David Prokai

Of the two fertility clinics I've tried, Aspire has been a breath of fresh air. They are clear on costs up front, they provided me a detailed calendar of medications, appointments, etc. I had a much clearer picture of what to expect along the process. The clinic was never overly crowed like the other clinic I had gone to, so I didn't feel like a number in a cattle call. I felt like they actually had the same goal in mind as I did, to get pregnant. Where my other clinic I felt like they just really wanted my money. I'd recommend Aspire and Dr. P for sure. There's always a few things they could do better, i had to ask questions rather than information always being presented. And since I had previous experience I knew what to ask. However overall I still give them a 9 out of 10 compared to my other experiences. I felt like they all cared about me and our outcome and gave us the time and patients we needed during the process.

Make sure to ask questions. If you don't know how to give a shot, make sure to ask the nurse. It might be because I had already gone through the experience before. They are much more clear on the process than others, but still didn't cover everything. Do your research no matter who you see and ask questions.

We only did an embroyo transfer with Aspire. They use a pretty agreesive approach compared to my other fertility clinic, which I much appreciated. They were great at making sure the uturus lining was the right size - over 7mm. I took Progesterone shots pre transfer and until week 10 of pregnancy. Estrace 6mg (2mg 3 times a day) as well as estrogene patches (2 patches every other day.

My care was a different cost because we used a donor service. We bought a package that had the ability to refund if we don't get to a live a birth through 6 donor cycles. That package was $39k plus we did pay for embroyo testing $4100 and additional embroyo biopsy $1500. I believe we also paid a little extra for a mock trial required by the donor service, maybe $500.

I can't say enough good things about Dr David Prokai. He is the most emotionally supportive, talented, and caring doctor that I have ever met. Fertility treatment is so incredibly traumatic. Having a doctor who not only gives you first class care, but also understands how to be there emotionally for you is incredibly important. Dr. Prokai genuinely cares about his patients. In 2020 I was working with another fertility clinic in Austin and my body wasn’t responding to stimulation treatment. I was told that I needed to start exploring donor eggs. I went to Dr. Prokai for a second opinion and I felt an immediate connection to him. During our conversation, I felt more heard and seen than I had ever felt during my year of fertility treatment with my other clinic. At my previous clinic I felt like a number in their system, and had no emotional connection to my doctor. During my appointment with Dr. Prokai I remember him saying "I understand that every step in this journey is a loss, I can only tell you what I would tell you if you were my sister, and if you were my sister, I would agree that a donor egg is your best chance". I was blown away, my other doctor had never acknowledged the emotional weight that fertility treatment carries. We stayed with my old clinic and went forward with stimulating my sister Sarah, who agreed to be my egg donor. Unfortunately, after a horrible experience with that clinic, we were forced to abandon treatment mid-cycle. I called Aspire Fertility in tears on Friday night and they called Dr. Prokai who not only talked to me that Friday night, but agreed to rush us in for an appointment. He rescued our cycle and was able to continue Sarah’s stimulation. During Sarah’s egg extraction, she grabbed Dr Prokai’s hand and said “you’re such a blessing for our family. Thank you so much for everything you’ve done. I believe god gave you to us.” Dr. Prokai got misty-eyed, but is a superstitious man so didn’t congratulate us just yet. Even though my sister also has a low ovarian reserve, the cycle resulted in three grade A healthy and viable embryos! Not only did Dr. Prokai make me feel taken care of emotionally and clinically, he also made my sister Sarah feel cared for as one of his own patients- not just “the donor.” At one point during our treatment, it looked like we were going to have to stop her cycle and try again with another medication protocol. Thankfully, Sarah started responding to treatment and we were able to move forward. So many ups and downs. Dr. Prokai confessed that he was so worried that he would have to call off the cycle that he had spent the weekend practicing how to tell us with his wife, so he could make sure that he told us in as gentle of a way as possible, so we wouldn’t lose hope. This is who he is. He cares so much. We are now three months pregnant with our baby boy! Due on my sister’s bday- another blessing. Dr. Prokai wanted so badly to FaceTime Sarah & her husband during our first heartbeat appt, and it was such a beautiful moment, every team member on board, listening to our miracle’s strong heart beat. During our last appointment with Dr. Prokai I was a sobbing mess. I was so devastated to leave him and his incredible staff who rallied around us and gave us the care and support we needed to make this little boy. I will never be able to thank the team at Aspire enough for the wonderful gift they have given us. We love them like family. They want constant updates from me and my sister. It has been such a long and hard journey, but I could not be more grateful that it was Dr. Prokai who helped us create this little life. It was all meant to be, but with the right doctor.

Book your appointment today. Dr. Prokai is the most incredible fertility doctor.

Dr. Prokai stimulated my sister to secure donor eggs, he used birth control, injectable hormones and estrodial (among other medications which I can't remember). For my transfer he used birth control, estrodial, progesterone injections and other medications I can't remember.

I had coverage with Progyny so my fertility coverage was covered 100%

We transferred one embryo under Dr. Prokai's recommendation. He fully explained the trade offs between implanting one vs. two.

Changing doctors to Dr Prokai was the best decision for me. Yes, I did have a successful transfer and that of course makes things extra great...but I felt like I could be myself and be heard and supported by Dr Prokai and his team. Infertility is a horrible thing to go through and it made such a difference feeling like I could be participatory in my care by asking questions and not just be told what the cycle was.

If you want to feel truly like a person and not a number, go to Dr Prokai!

After a failed FET with a pgt tested normal Embryo I wanted to rule everything out. Dr Prokai suggested a cycle that started with about 2 weeks of birth control. Then we did a mock transfer (I had a extremely painful first transfer and this was a huge selling point for me that he said he always does a mock to make sure he knows how to place the catheter before it’s actually the time for the transfer). He also did a test for inflammation and that was normal. I did estrogen and PIO before the transfer. Had the transfer (it was soooo easy) and then continued the medication until 12 weeks pregnant.

FET was about $4000

He was empathetic for our situation with our failed round (a different clinic). It seems like he LOVES what he does and definitely has the right bedside manner for such an emotional medical area. He quickly put a plan in place for our next round based on how I responded to my initial round. I am so glad I met Dr. Prokai and just wish I did earlier.

Trust him! He welcomes questions so don't hold back on anything that you are wondering or apprehensive about. He is a very good listener and seems resulted driven so you're in good hands.

Dr. Prokai reviewed my previous protocol (with a different clinic) and adjusted the plan according to my response. I will be on estorgen priming instead of birth control and then off to the races with a mixture of follistim, menopur, and omnitrope. I am so hopeful this time around.

It is about 20k for the retrieval and transfer. Meds will be about 5k-10k.

Dr. Prokai is a good person and I really think that he wants the best for his patients. We chose to use him as our doctor because we really felt good with his bedside manner. When his staff was causing problems, he offered to communicate with us directly, which I appreciated. In retrospect, I wish he had been more proactive with setting a path for treatment. We weren't financially ready to spent $1,400/month on Aspire IUI treatments and we were vocal about that. I wish he had been more creative with ways to help us given our financial limitations at the time. For example, adding progesterone, trigger shot, etc.

When communication breaks down, don't just accept it as is. You are your own strongest advocate and you HAVE to play hard ball at Aspire to get what you need.

After we completed the final diagnostic tests, we were told that I had some kind of ovulatory issue, but it wasn't super clear. I do ovulate on my own, but it is often delayed. We decided to do a monitoring cycle with Letrozole to "gather information." That cycle really didn't tell us much. From there, we were told to continue on Letrozole, which we did for many months with no positive test. Finally, we asked about incorporating a trigger shot or even progesterone just to try something different. We added progesterone, though my labs didn't suggest that I needed any additional, in this last month with no success. We were supposed to do a timed cycle this month again but their office never responded to my messages at the first of the month with concerns about timing of the cycle and upcoming travel. So, that was the final straw and I'm going back to my OBGYN for an IUI next month. WHICH BY THE WAY only cost $292!!! At Aspire, they charge over $400 for a monitored cycle and $1,400 for an IUI. Absolute highway robbery.

A timed cycle cost $650+ medications An IUI cycle cost $1,400 I later found out that an IUI with my OBGYN cost $292. Needless to say, we are not doing IUI with Aspire.

We feel incredibly lucky to have seen Dr. Prokai through this process. Unexplained infertility is both a good and bad thing - good because nothing is wrong, bad because nothing is wrong (and still nothing is happening!). It can be very confusing, isolating and sad. Dr. Prokai balanced empathy and optimism with educating us and presenting the facts. He always took the time to answer our questions thoroughly and patiently. On my first visit I mentioned how I hated getting blood drawn - he stayed back while the nurses did this and just chatted with me to distract me. I knew then that he would be different. All of our fears going into this process were quickly alleviated- we trusted in Dr. Prokai and his plan - he didn't let us down. Now we are pregnant with our baby boy and couldn't be happier! While we hope we don't have to go through this again, we would in a heartbeat knowing Dr. Prokai is on our team.

Trust him, be honest and communicate! He will always give you the time if you need it- so don't shy away from it.

First round IUI - Clomid with Ovidrel. We noticed this caused my lining to be a bit thin. Because of this we changed strategies for the second round. Second round IUI - Letrozole with Ovidrel and Progesterone supplements. Success!

We were lucky enough to have Progyny as a fertility benefit which covered most of the costs associated with Dr. Prokai's care.