Douglas Austin

Dr Austin is one of the kindest human beings I have ever met. He is honest, straightforward, compassionate, supportive,kind, and recognizes the emotional toll this journey has been without ever being patronizing. While some of the exams and procedures can be physically and personally uncomfortable, he always makes me feel comfortable.

When people say he is amazing and the best, they are telling the truth.

I initially began seeing Dr Austin with the plan to retrieve my own eggs and fertilize them with donor sperm. The first three attempts never even got to the retrieval stage because my body didn’t respond the way we expected with the various meds and injections. Dr Austin changed my approach and I was able to make it to the egg retrieval stage. Unfortunately two of the retrievals resulted in very few eggs, which tested positive for abnormalities once fertilized. Another retrieval led to the discovery that I had already ovulated. Dr Austin then recommended I try using donor embryos rather than my own eggs. There were a few times on the process where I didn’t make it to the transfer stage because of issues with my hormone levels or uterus, and I have been able to have three transfers using one embryo each time. Two resulted with me not being pregnant while one resulted in pregnancy that unfortunately became a miscarriage within a few weeks of finding out I was pregnant. Dr Austin and I have discussed trying again with 2 embryos at my next transfer, which I am scheduled for next month.

I don’t remember exact costs as they allowed me a generous payment plan, where I paid 50% up front and up to two years to pay remaining balance with no interest. Additionally, I never was able to complete the full process of IVF using my own eggs that dr Austin retrieved.

Dr Austin has been very supportive of my request to only transfer one embryo at a time as I have financial concerns about the possibility of being a single mom with twins. However, after trying multiple times with a single embryo, we discussed the pros and cons of trying with multiple embryos, which is what I will be doing next month. Dr Austin has been great about explaining everything and is supportive the entire time.

He has such a big heart, I feel like he his purpose is to help people through fertility. He took the time to get to know us, he made it a priority to let us know that he would do everything in his power to help us succeed with a pregnancy. He is so dedicated to his work, it's a breath of fresh air in the medical field.

Take it one day at a time, and put your complete trust in Dr. Austin.

My fiancé is type 1 diabetic, and has retrograde ejaculation. After our consultation with Dr. Austin, he had Jason, my fiancé, try a anti-depressant medication first to help get the sperm out. Jason did not like that drug because it made him feel weird, so Dr. Austin had him try a baking soda regimen 2-3 days before my estimated ovulation surge. This was successful! So Dr. Austin felt confident with continuing with the IUI procedure, as Jason's sperm appeared to be very good. We had a successful pregnancy after our first IUI procedure, thanks to Dr. Austin. As stated before, we unfortunately had to terminate the pregnancy due to my hormone fueled breast cancer. We then did the egg retrieval, with the hormone injections. They were able to collect 10 eggs and create 8 embryo's on the first try.

Unfortunately, I've accrued about $6500 I believe in debt with them. They are wonderful for setting up a payment plan, especially since after I was diagnosed with breast cancer, everything was moving fast for me, and I started to accrue so much medical debt. I appreciate their understanding.

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He is kind, thorough, practical, and experienced. He is not afraid to think outside the box and sincerely wants you to succeed. He is very kind and genuine. He works extremely well with all types of families, including LGBTQ families, and is sensitive to issues of ethnic, racial, and religious diversity.

Make sure to ask the questions you want to ask- he and his staff will answer everything, you just have to ask! Don't feel self conscious.

I did a test cycle and found I had poor ovulation. I took letrozole and had better ovulation, but needed to bump up the letrozole to get a stronger number. I had three cycles of letrozole, with confirmed ovulation, with insemination via IUI with donor sperm. I have an HSG shortly and will begin a cycle of gonadotropins (menopur and a trigger shot) with IUI with donor sperm. Dr. Austin was willing to let us continue with only oral medication, but our insurance benefit is limited and we wanted to increase our chances.

I'm not sure of exact costs because we have a fifty percent insurance benefit, that covers some things but not others, so our bills always look a little crazy. I can say that the billing office is extremely detail oriented and got us the maximum benefit from our insurance possible, to the point of fighting for us.

Dr.Austin is wonderful- a caring, compassionate professional who made me feel cared about and taken care of during a time when I needed that the most. He always took time to answer all my questions, ask about my life and explain options, procedures, etc. I have never felt more comfortable or supported in a doctors office- I am eternally grateful I found Dr. Austin.

Make that appointment! As someone who has issues with fertility I felt a sigh of relief having Dr. Austin by my (and my husbands) side- we got answers, treatment options but most importantly we were offered the support we so desperately needed in navigating infertility.

My husband was prescribed clomid to address his testosterone levels that were impacting his sperm. We went through IVF and he was at every appointment checking my follicles and did not make any adjustments to our protocol during the cycle.

For the initial visit it was just over $600. We did IVF and it was 11,000 (without genetic testing) plus the costs of medication.

Our experience with him was wonderful. I think he took the time needed. He talked about our health beyond just the basic sperm and egg. He conveyed to us that he does care about us. We both enjoyed being able to see him even if it was for one visit.

A piece of advice I would give to a prospective patient of Dr. Austin’s would be to be honest, open minded, and enjoy the experience even though it can be hard.

He has not done a whole lot. He did inform us that testosterone my husband was prescribed (different doctor) was part of the problem. He took him off those and he’s been on HCG. After a few months, Dr. Austin had him take a SA and it came back low for almost everything. Waiting now for a way to pay for IVF.

We have only had one appointment and one SA. Thankfully the insurance covered these both.

I have not had any experience with either of these.

He’s a very kind and knowledgeable person. He spoke to us like he might a friend. He has always explained things very thoroughly and answered all our questions. He has never made us feel like we were bothering him when we asked lots of questions.

Have questions to ask when you have your consultation.

Menopur, ganirelix and trigger shot with Progesteone Suppositories for IUI resulted in negative pregnancy test. This was our 4th IUI. We decided with Dr. Austin that we would move to IVF after that IUI failed. IVF protocol included menopur, ganirelix, follistim and trigger shot. We did a fresh transfer with a day 5 blast along with PIO injections starting the day after transfer. Fresh transfer ended in a chemical pregnancy. Frozen transfer included 30ish days of birth control and about a week or so before stopping birth control I started 10 units of daily Lupron injections and continued for 2 weeks. Then 2 weeks of 5 units. 2 weeks prior to transfer began twice weekly estrodial valerate injections and 2 ml PIO daily starting 5 days prior. Frozen Transfer ended in a negative pregnancy test.

Less than $5000 for IUI plus injectable drugs $9500 global fee for IVF: includes monitoring appt, egg retrieval, fertilization assistance ICSI and embryologist fees, and fresh transfer. Clinic worked with overseas pharmacy also to save money on medications. Spent nearly $2000 on IVF meds

Dr. Austin is always very personable and takes the time to address not just me, but also my husband which is nice. It is clear he is very well trained and efficient. We are still in our first trimester so it’s too soon to know if it has fully worked, but we have confidence in Dr. Austin to help us create our take-home baby.

Write down all of your questions for the initial consultation and be sure you ask anything that concerns you. Also, as an infertility patient in general, take it one day at a time and try to not get overwhelmed with all the potentially scary or intimidating treatments that may come up. Be aware that you will likely have setbacks and things won't go as planned, but that you can get through them and Dr. Austin's team will help you navigate it all.

We did 1 round of Letrozol and timed intercourse, then we increased my letrozol feom 2.5 to 5 and did 4 IUIs. None of these were successful. We then moved on to IVF. Our first cycle I took FSH, HMG, Ganirelex, and the HCG trigger shot. Although it looked like I had quite a few good follicles (around 18) I only had 7 eggs retrieved and only 5 were mature, however all 5 fertilized. We ended up with 2 Day-5 blasts and performed PGT-a testing which resulted in 1 abnormal and 1 low level mosaic. Since we want two kids, we decided to do a second cycle. During my second retrieval I increased my FSH and HMG and did a micro-lupron protocol instead of the Ganirelex. This time I had 20 large follicles prior to trigger (HCG again) and they were able to retrieve 20 eggs! Of those, 16 were mature and 14 fertilized. We end up with 6 blasts this time and the PGT-a results on them were 4 "normal", and 2 abnormal. We transferred 1 of the normal embryos during a medicated FET and it was successful on the first try.

Each IUI was around $400, If we needed an ultrasound baseline (if doing back to back ones) that cost increased to $1000. Our first IVF cycle ended up being approx. $18,000 out of pocket including the consultation, all tests, medications, monitoring, anesthesia, the retrieval, PGS testing, and a transfer. Our second round will be closer to $10,000 because there are less preliminary tests to do and we already paid for the PGS and transfer.

Dr. Austin strongly recommends only transferring 1 embryo due to the risks that come to both mom and babies with twins, or multiples. We agreed that the risks were not worth it and only transferred 1 embryo.

As we've just started a more formal relationship with Dr. Austin, it is hard to fully know how we'll feel overall until treatment is completed. I do think that so far, he has really listened to our particular concerns and nuances as an individual, which for me, are many! More than anything in our journey I have really disliked when feeling dismissed by a provider, and Dr. Austin will never make you feel that way. I do wish that his practice was offering more cutting edge approaches to things, rather than the standard way of doing things (INVOcell, different sperm sorting techniques, etc) I feel that we have a rare and complex situation, and I get concerned that although I really LIKE Dr. Austin, I wonder if his practice is forward thinking enough and willing to adjust or try different approaches.

Be prepared as possible with a thorough background on your own situation, try to research as much as you possibly can so you can ask a lot of questions based on your own case, and advocate for yourself and the things that make you comfortable. I think that Dr. Austin is willing to hear you.

We are in very early stages of treatment with Dr. Austin so I don't have much helpful information as of yet in this area. Although I have done many IUI's with my regular OB (some medicated, some natural) none were monitored, so I believe that is where we need to start and he was agreeable to this. He did suggest based on what we see, we could then move forward to more medication and triggers to try and get the best, and most follicles, well synchronized for ovulation. We have not discussed yet IVF protocols in particular. I did inquire about some additional pre-testing prior to IVF (we've already done a lot through my OB and through my husband's Urologist), and he explained his rationale for not using or using things I asked about (ERA testing for example) and I was satisfied with his reasoning. I do still wish they would consider things like Zymot (microfluidic sorting) as we do know we have a mid-high level of DNA fragmentation, and for the price of adding this, it would ease my mind. If we move forward with IVF in his clinic, I would advocate for this as I think it's worth at least trying - why not?! It can't hurt, and when you're shelling out 10's of thousands of $'s, I think it's important to really throw everything you can at giving it your best chance (based on your tests, of course).

We have done many, many sperm analysis and washes for IUI - those range from $100-$140. Initial cost for consultation was $600, which seems to on the high end compared to Portland clinics by near double, which is disappointing. My understanding is that his IVF cost does include ICSI for no additional cost (not confirmed) and his overall IVF cost is lower than Portland options.

No experience with this.

Dr. Austin is a great communicator and is really knowledgeable. He has even given us medical information on non-fertility related issues that was spot-on, as well. I appreciate that he is readily available and active in the practice. I wanted to try something different with our last FET, as it was our last 2 embryos. We ended up doing 2 things different with the protocol but I feel like there are probably a lot more options out there that could help, but it seemed like those were the only things that could be added to the cycle. I'm not sure that the size of the clinic allows for a lot of creativity when it comes to personalizing treatment.

Never be afraid to ask questions. Push for more information. Be your own advocate.

For our IUIs, we used Femara. For our egg retrieval, I believe I was on Menopur, Gonal, Lupron, Ganirelix, and Progesterone in Oil. For our FET, I was on Estradiol Valerate and PIO.

IVF with egg retrieval was about $9,500, plus medications of about $2,500. FET was about $1,450, plus medications.

We transferred 2 embryos both our FET. Dr. Austin was very clear about the possibility of having multiples, as a result, and that we needed to be prepared for that.

Dr. Austin is very kind, listens to my concerns. He talks to my husband a lot as well which makes him feel included, sometimes too much- I wish he would talk to me more than my husband. Dr. Austin treats me like the medical professional that I am, which I appreciate. I am a very type A person and Dr.Austin has made me feel, at times, like I am being too cautious or worried about the fertility plan (or step) that we are on and that very much frustrates me. It isn’t his body (or his babies) that are hanging in the balance.

Have a consult with him and ask lots of questions. Also, call the office a lot and check in to make sure what Dr. Austin says actually happens.

We did a 5d transfer fresh cycle with injectable for my only successful pregnancy. We were encouraged that with subsequent frozen attempts it was quick and painless, only to find out that frozen cycles also take 12 weeks of planning (scheduling) and then if you fail your cycle you have to WAIT until you can be fit into the next cycle, very frustrating to fail and then have to wait to start for many more weeks.

Fresh cycle meds:$3-4K Fresh cycle:$10k Frozen cycle:$3,500 Frozen cycle meds$800 Frozen cycle after loss $1,700

We have only transferred in multiples. Risk was discussed with us each time, but once the risks were weighed it seemed to be our choice.

He is very attentive and interested in my goals to grow a family. He is also very personable and easy to talk to about any issues or concerns we may have during our journey. Many questions arise through all the meds and procedures, he always answers honestly and has never been misleading.

Ask as many questions as possible! There are so many routes to take once you've made it to a fertility specialist, it can be confusing and expensive. Don't be shy to bring up cost!

When I first came to his office I did some blood tests and then continued clomid/famara and then did the 3 IUI's. He didn't think it would be smart to waste more money to Continue the IUI's so we began talking about IVF which I followed through with. I did 3 rounds, 2 embryos each round. One fresh and the other two frozen. I have now ran out of frozen eggs so I have now decided to to another egg retrieval and will do PGS.

I have no complaints. Easy to schedule appointments for before I started work and a quick in and out.

With IVF I know I had to put $5,000 down and the the rest I could do a payment plan with. The IVF drugs I also had to pay for out of pocket. He nurse coordinator did point me towards another patient that was reliable that was getting rid of left over meds to get them for a cheaper rate.

Honestly he was willing to do either for us since we have never have a positive pregnancy test.

Dr. Austin is a very sweet, caring doctor. He is fun and down to earth. He doesn't just see his patients as people coming/going, he treats them as friends in that he likes to get to them as individuals/people. He takes the time to ask questions about how you are doing and what is new in your every day life. His ability to interact on a personal level and remember details is comforting. My husband and I have complete faith in him, as his actions have proven and continue to prove he is willing to go above and beyond in an effort to make it possible to see us grow our family. Dr. Austin is more than a doctor, he is our friend.

Become your own advocate, dig into educating yourself on infertility, personal diagnosis, ask questions. Infertility is such a broad, large issue with so many potential issues, do you due diligence and do your homework... this is a team effort!

I have low AMH, a low ovarian reserve. That is our only known issue. Our protocol has focused on growing as many follicles as we can possible get (as there are not many). The medications used have helped see that happen.

The cost of IVF with ICSI is $9500. I believe they, with consent will always do ICSI if deemed necessary. Medications in US are around $5500 for a higher dose protocol.

For us, we do not have a high enough number of eggs for eSET. We transfer what we get for when you have low AMH, a pregnancy of multiples isn't feared. There is a lower possibility of that happening, if that makes sense.

He has great bedside manner and is super kind. I don't feel like he would listen to my ideas and had to really push for labs that I wanted. I think he would be great for someone with basic infertility issues, but not unexplained. He wouldn't think outside the box and look at other avenues. When transfers didn't work he just said it was bad luck.

He is a very nice person but don't expect to get a lot of answers.

3 IUI with femera, I hated Clomid and had reactions with it so we used this drug and it was way better. We had all BFN with all 3 cycles. IVF, I believe I was on low dose mess and responded well. We retrieved 22 eggs and had 11 make it to day 5. He said he did half ICSI and the other half go natural but ours didn't take well with ICSI. We transferred 2 fresh with a BFN. FET with 2 5 day embryos with BFN with low dose medication FET with 3 5 day embryos with BFP with no change in protocol MC at 6 weeks FET with 4 5 day embryos with BFP with no change in protocol MC first twin at about 4 weeks and second at 6-7 weeks. Put unwilling to try new things besides put more embryos in. Felt like we had no hope.

About $13,000 for IVF and $3500 for each FET. Then my beds ranged from. About $700-1,000.

He said he doesn't like to do more than 2 but with me he wanted to put 4 in with no hesitation. I wanted to transfer 3 then transfer 1 but he thought I should do all 4. With my first transfer though he was willing to put in 1. But after that he wanted 2 or more because I was getting BFN and he didnt know why.

Strengths: kind, compassion, detailed explanation giver. Values resource (money) needs for patients and encourages finding medications at lowest prices. Always met with us in person, never felt rushed. Encouraged us to move on to a different lab when it became clear that our case needed it. Weaknesses: Facility has limitations of being in a smaller practice. Didn't like to be part of a cohort that all cycled at the same time in order to be on their schedule.

Definitely a good place to start if the location is optimal.

We did antagonist: one month BCP, then Follistim and Menopur. Ganirelix at the end. It seemed like the classic place to start, I guess. Added an extra day of stims because the growth and estradiol plateaued more than they hoped for.

This was my cheapest cycle- I think it was about $10,000 with all meds and monitoring. Medications were ordered from an overseas pharmacy to reduce costs.

I feel that crucial time was wasted going through multiple IUIs without any suggestion of what should be done next. When there was uncertainty of what to do next, he performed a laparoscopy, which discovered a growth which ended up being benign and of no concern. Before the procedure and prior to a biopsy being done in a separate colonoscopy, he only emphasized the worst case scenarios. After that, no other outreach was done by their office. No further tests were suggested. I called their office, asking if I should do a testosterone or any other testing, which they let me do, but they never suggested an AMH test, which would have shown my diminished ovarian reserve and pointed in the direction of doing IVF, assuming it wasn't too low.

Visit someone in Portland.

He initially suggested doing IUIs to see if that would do the trick.

IUI pricing was fairly in line with other facilities.

Dr Austin has great communication. He always listens and answers all the questions that you have. When I have been nervous about things he has calmed my nervous. He has shared his personal experience with us as well which made us feel like we weren't alone. He finally got us answers and a game plan when the other Dr's office made us not want to go to a Fertility Dr.

Research and ask questions. Write your questions down and don't be afraid to ask for clarification if you don't understand what is happening or what needs to be done.

We had to set up a payment plan and make monthly payments. Dr. Austin was very understanding about us making monthly payments and even talked to new financial Coordinator that was rude to us and explained that he was ok with us making monthly payments.

He was very honest. Did not sugarcoat things. I very much appreciate that! But on the other hand, he did not seem willing to try new things that I would bring to the table for him to explore. When he would quote me statistics... They would be different than what he quoted to all of my other friends that see him. He made me feel very comfortable... And he also included my husband in every aspect.

Do your research

IUI - very high doses of menopur. IVF - donor eggs Because of my diminished ovarian reserve... Using my own eggs was never in a discussion. I did not get pregnant from any of the IUI procedures. I had one fresh transfer and 2 frozen - resulting in one baby

IUIs - about $400 each Donor Egg IVF - $19,000 Frozen transfers- $4000 None of this includes medication

I was shocked with how hands on Dr. Austin was. He worked with our work schedule and drive in. I saw him for every Sunday appt I had. He was always straight to the point but knew how to keep me from stressing.

Try to embrace and enjoy the process. He is such a lovely down to earth man that cares for each patient individually.

I did two frozen embryo transfers with Dr. Austin. Each cycle we used birth control, lupron, estradoil, and progesterone injections for implanting 2 embryos. After the first cycle failed after one positive pregnancy test we tried endometrial scratching for the 2nd cycle.

1350 per FET another 400 each time for meds

2 was always recommended. However we had discussed transferring 3.

We went to him for a diagnosis of recurrent pregnancy loss. He provided a thorough workup and gave me a copy of the note when he explained our options in detail so I could re-read it once we got home. Procedures were gentle and explained as they were performed. He performed much of the care himself - not ultrasound techs or other staff. He never made us feel rushed in asking a ton of questions and explaining his answers coherently.

We had a workup of recurrent pregnancy loss so there were labs, SA, HSG. Once We saw him in the early days of a couple pregnancies so we had weekly or every other week ultrasounds in the office that he performed and explained as he was doing them.

Fee up front to cover intial visit and after that I was billed for services. Some insurance paid for and others they didn't.

Dr Austin is a sensitive, compassionate, and intelligent man and Dr. We laughed with him. We cried with him. We feel like he truly cares about and for us. He is no non sense when it comes to your care. We feel like he never was just putting us through rounds and rounds of treatments that wouldn't work... we appreciated that he didn't put us through unnecessary treatments just to make money off us to just see if they would work before going directly to ivf

Trust him.

We did 2 rounds of ivf. Both with two embies. We were blessed with two pregnancies, however only one live birth.

I felt great as a patient with Dr. Austin. He always took the time to explain things to me. While I don't think that my specific fertility issue was identified by Dr. Austin, I feel as though he did do everything in his practice to help me.

Get educated. Check out all other alternative issues that may be outside of his "normal" treatment realm

Dr Austin is compassionate, kind and caring. He didn’t focus on my weight as other doctors had and made me feel more human than before. The only thing I don’t love is that we don’t see him often. We have most of our plan worked up over the phone; however, it has been partially due to Covid available appts and my insurance doesn’t cover this so I would have to pay more to see him more often. He has very clear notes that the nurse can relay to the patient and I can always have them ask him specific questions

Go see him sooner. I went through a few OB/GYN’s trying to find someone to help with fertility and hormones and most of that was a waste of time. Dr Austin is a specialist and the most knowledgeable in the field of fertility in the area.

Treatment strategies consisted of labs and analysis to determine hormone, semen and egg reserves. Procedures to determine Fallopian tube issues and ultrasounds to check on eggs. Medications to improve ovulation and sperm quality.

Out of pocket for everything due to insurance.

Dr. Austin and his staff are all friendly and very professional. I was treated very well, and was always pleased with my care. I would still be receiving treatment from Dr. Austin if I hadn't recently moved to another state.

Do your research, and don't be afraid to ask questions or get to doctor's opinion.

I had 3 IUI's done. One with Clomid, and 2 with injectibles, multiple ultrasounds, and trigger shots. I did get pregnant on my second IUI, but had a very early miscarriage. I also went through several cycles of Clomid and femara, all of which were unsuccessful.

I paid $500 up front, and that covered a lot of my blood draws and apppintments. Then, once I used that up, I had to pay for my ultrasounds and blood draws. An IUI cost about $500 for the actual procedure, that included the sperm washing and the actual IUI. My insurance covered a small amount of ultrasounds. They cost around $150 per ultrasound, and my insurance covered about $50 of that is all.

He is exactly what ever doctor should be. He listens and actually hears you and meets you where you are. He is compassionate and fully explains everything from treatment to conditions. He was at every appointment and made sure he handled everything for us. He even took the time after my IUI to talk to me and get me a magazine.

Just be patient this team works hard and sometimes they don’t always respond right away but they always take care of you

IUI is affordable at $450