Guy Ringler

Dr. Ringler is incredibly trustworthy and compassionate. I was initially planning to do an egg retrieval cycle in February and I was eager to get it done. But Dr. Ringler said based on my response to the estrogen treatment, he would like to try something else and push to March. He thought we could get better results. I was disappointed, but he turned out to be right. The March cycle with the adjustment in estrogen produced more follicles. A greedy doctor could have pushed me into the February cycle with abysmal results and then gotten me to do another cycle after. I have Progyny benefits with 4 full cycles through my employer, so the fact is he could have gotten more money out of me, but at the expense of my body and health. He did not take advantage of this, which I really respected. I also later discovered looking online at my labs that my AMH levels were really bad for my age. I was 41 at the time of treatment and AMH was at 0.7. When I did my previous cycle at 38, AMH was 1.2, so I was definitely declining quickly. He never once brought this up. Because I had previous experience with egg retrievals, I did notice my medication doses this time were higher, so he was definitely adjusting treatment to address it. He was honest about IVF not always working, but he never once brought up my age or low AMH. He encouraged me to stay optimistic and had I not researched it myself, I wouldn’t have known what a miracle he had performed in getting me pregnant at 41 off a single egg retrieval and embryo transfer, despite diminishing ovarian reserve! I pursued IVF and pregnancy as a single mom by choice using known donor sperm from gay friends. From the SMBC communities I’ve joined, I’ve learned a lot of doctors discourage the use of known donors, but that was never an issue with Dr. Ringler. He was most accommodating of my unique situation, including helping me find a great lawyer and taking my donors through the testing process. I truly appreciate his support in my decision to create a family through alternative means.

I’ve been through 3 fertility doctors and my experience has been that the biggest driver of outcome is having a doctor who personalizes the protocol to your results and needs. Hormones and pregnancy are so complicated and every single woman responds to treatments uniquely. Having a good doctor is absolutely crucial and Dr. Ringler is THE BEST. I could not refer him more highly.

Egg retrieval - estrogen patches prior to starting cycle to quiet ovaries and help them produce more mature oocytes evenly. Prior to FET, I did PGT-A testing on embryos. Also did a HSG to confirm no issues. I also did a mock trial and ERA prior to transferring first embryo. For embryos, ICSI was used.

I used Progyny so they billed everything through them. I just paid my deductible and for my sperm donor costs (about $1k for 2 donors)

I only wanted to transfer one embryo at a time, so this was not a discussion in my case.

Although there have been hurdles along the way, our confidence in Dr. Ringler never faltered. My husband and I have as much faith in him today as we did when we entered his office for the first time over three years ago. Without going into great detail, our experiences thus far with our journey to parenthood have been disappointing. While we had hoped to have a healthy baby long before now, we also realize it is no one's fault. We are also aware that other intended parents often have much longer roads. Everything went very smoothly during the process until the retrieval and outcome of PGT-A testing. All of our embryos were mosaic to varying degrees. At first, we did not fully understand the gravity of the situation. Dr. Ringler took the time to call us from his vacation in Europe to discuss the results. He was candid in saying that he was quite surprised due to our donor's age of twenty-four and excellent history. It was a rare but troubling result. During that call and subsequent conversations, Dr. Ringler laid out our options. He was supportive when we needed it most. In order to fully explore the possible ramifications of transferring a mosaic embryo, we met with a genetics counselor at Harvard on Dr. Ringler's recommendation. We ultimately decided not to proceed with a transfer based on the high degree of mosaicism. Several weeks later, COVID struck and our plans to immediately resume the process were dashed. Life also intervened when my husband lost his father unexpectedly. During this lengthy period, Dr. Ringler checked in periodically which was much appreciated. We met with him again recently in person to discuss our three potential egg donors. He provided guidance which led to our final selection. If all goes well, we are hoping for a retrieval to take place in several months. We are cautiously optimistic and feel that we are in great hands as far as Dr. Ringler and his entire office.

I would tell a prospective patient that while Dr. Ringler seems reserved, when it matters most, he is extremely compassionate. Dr. Ringler is not "warm and fuzzy" upon meeting him. He is serious and business-like. However, we learned that he is incredibly supportive during a traumatic experience. It is easy sometimes to write off people whose personalities do not jump off the page. This is true of Dr. Ringler but based on his calls from a European vacation to counsel us, among other things, he is all we could have expected and more.

Our course of treatment was standard in terms of a gay couple intending to be parents. We had a detailed physical examination and semen analysis during our initial appointment. Thereafter, our egg donor was cleared and began her cycle. We actually traveled to Los Angeles on the day of the retrieval to provide fresh samples. The retrieval went smoothly; unfortunately, the result was not what we hoped for. For our second attempt, we are proceeding similarly. My husband and I feel confident we were simply victims of bad luck. There was nothing that could or should have been done differently.

I believe that the total cost of treatment from initiation through transfer was about $40,000.00. This seems consistent with similar practices in LA.

Dr. Ringler encouraged eSET as the healthiest option for our gestational surrogate. We had not considered otherwise so everyone was in full agreement.

Unfortunately, we did not get to that point with CFP. That said, we have no reason to believe there would have been any problems down the road.

While he is very likely a highly skilled physician, he was unprofessional in handling our case. When we questioned him on why his own medical standards were not being followed, and rather relying on things the donor or donor agency said rather than actual medical / lab documents, he became defensive. Worse, when he realized how bad our case had transpired at his office and apologized and claimed he was embarrassed, he did little to correct the situation and actually ignored emails.

While is likely a very skilled physician, make sure your case in handled properly from a medical perspective if using an egg donor (e.g. her exams are done there and/or transferred from other medical facilities to his).

We were still evaluating both the donor and host for viability of egg/embryo transfer.

$35 for full egg donor cycle and one embryo transfer

I am a 2 time cancer patient and unable to have children. I tried to freeze my eggs before starting chemo, but only able to retrieve one egg...which did not turn into a viable embryo. I was gifted embryos by an amazing anonymous donor. Part of my contract with the donor was that I had to use Dr Ringler and I am so glad because Dr Ringler has been so kind and compassionate through this whole procedure. Having to use donor embryos AND a surrogate has been hard but Dr Ringler has been my rock. After 1 (and a half) failed transfers, I have a new surrogate lined up and our medical clearance appt is on Monday. I can not wait to start this process again and am so glad to be working with Dr Ringler.

To trust him. If I had another dr who told me to move on from my first surrogate, I may not have listened and probably would have just wanted to go ahead and try again. But I completely trust Dr Ringler and when he told me to look for a new surrogate, I took his advice.

With my first surrogate, we did 2 months of BC and then the transfer. the transfer failed. We started again with 1 month of BC and then went in for her lining check appt and determined she had swelling in her uterus that would not be good for a successful implantation. After months/or a year of searching for a new surrogate, I have found a lovely girl and we are excited to have her medical clearance appt on Monday. Hopefully from there, right to transfer!

I mean, not sure of exact cost but it's so much...not because it's Dr Ringler but because all IVF costs are expensive and not covered by insurance. I feel like I had to spend extra because of working with a surrogate. Again, Dr Ringler's fault, so more out of pocket expenses for someone using a surrogate

No comments. I am only looking to transfer one embryo as I am a single intended mother and one is what I'm looking for.

Dr. Ringler is pretty dry but once you get to know him is very sweet and compassionate. This man means business! He is very committed to success and everything he does is with extreme precision. I understand his bedside manner is not for everyone but I was at a previous clinic with a doctor well-known for being sweet and it just wasn’t cutting it. I’ll take getting pregnant over niceties any day. Many fertility doctors also don’t do their own ultrasounds and that was never the case with Dr. Ringler. He has his finger on the pulse every step of the way. We had been trying for nearly 2 years prior to seeing Dr. Ringler. He took a look at my paperwork, all our previous attempts and within minutes was able to see exactly what the problem was. It was such a relief to finally feel like we were in good hands and I’m so grateful. He’s truly a master of his art.

I was apprehensive about doing IVF but Dr. ringler advised against IUI due to low sperm count from our donor and borderline AMH levels. He said he would give IUI a shot but that we shouldn’t get our hopes up and he was right. We went to IVF for our second cycle and it stuck right away.

I went to Dr. Ringler at CFP for a natural cycle IUI. I had an initial consult app. On Skype with Dr. Ringler that cost $490. As part of the consult, we discussed the treatment plan for the IUI cycle. At the end of the conversation, he asked me to upload the past tests in the patient portal and also send them to his email address, those tests were critical for the success of the IUI cycle. He was supposed to provide his feedback on whether he had all the tests needed or if any test was missing or needed to be repeated. His promise of looking at the documents was never fulfilled. He did not review the documents uploaded in the patient portal and never responded to my email either. I never received any sort of response and wrongly assumed that he does not need any tests to be repeated, it was only after I started the cycle, that I asked him about the medical history, which he mentioned that he has never looked at the documents I have uploaded in the portal and never received my email, when I mentioned the date that I sent the email, he was able to find it and then informed me that one of the tests is missing! At that time, it was already too late to repeat the test and the chances were that I missed the cycle altogether. Doctors in CFP put notes in the system that nurses, and staff become aware of the discussed and agreed treatment plan and be aware of what needs to be done when the patient starts the cycle. Dr. Ringler did not put any notes in their system and the treatment plan which was agreed on bet. me and him, never been discussed with the nurse and the rest of the team. The goals of the consult session have never been fulfilled, it was a complete waste of time and $490 was a complete waste of money. Unfortunately, Dr. Ringler did not do enough to clarify and resolve anything. He put his staff before the wellbeing of his patient, for not putting any note in the system and not communicating clearly with his staff.

Make sure that you and him are on the same page when it comes to treatment plan. Make sure he puts notes in the system and let the staff and nurses know - ahead of time - of the agreed treatment plan. Make sure he reviews the medical records that you upload in the patient portal or send to his email address and ask for his feedback BEFORE you start the cycle.

Natural cycle IUI, no mediations used.

No insurance accepted. Please note these fees belong to 2020. Consultation session $490. Progesterone: $130, Estrogen $125, LH $125, Blood draw fee: $45, Ultrasound: $285.

He’s compassionate, caring and detailed oriented. Answers every question and ensures that I understand everything before he leaves the room. Dr Ringler diagnosed me with a septate uterus and the amazing (now retired) Dr March repaired the defect and I’m ready for IVF.

Listen to him and ask questions. Have information written down i.e. period dates, any medications, any previous miscarriages or treatments you have had. If you have any test results bring them with you along with a CD of images if applicable. He will answer your questions and if you don’t understand tell him, he will make sure that you understand and are comfortable with your treatment plan.

Total for IVF 2021 is about $35k including meds, ICSI, PHS, etc. the entire package.

With my age he does multiple embryo transfers, which is amazing.

Dr. Ringler has performed every procedure, answered every question, and has been willing to go in depth to educate us on what our options are at every step of the way. He also has been completely available and willing to build strategies to accommodate our schedules. He's clearly steeped in the latest science and is incredibly knowledgable (as you would hope) on the subject matter, but more importantly is top notch at explaining things in a way that we understand.

There are so many steps and variable to the fertility process. You can't necessarily expect your doctor to proactively explain everything. Advocate for yourself. Ask the dumb questions (they're not dumb if they're making you anxious). Stay as long as it takes for you to fully understand your options. Dr. Ringler will patiently be there to answer all your questions and advise you on the optimal path.

We have a pretty straight forward IUI (one failed pregnancy test) and now IVF (awaiting transfer). Other than the small tweaks and adjustments to various hormones, injections and medicines things have been fairly status quo as best I can tell.

From what I can tell online, it seems prices here a little higher than other clinics in other states, but in Los Angeles they're in line with the market.

Dr. Ringler strongly prefers to do single embryo transfers for the simple reason of the safety and health of both baby and mother. He was open to multiple embryo transfers if we wanted but he stated his preference and rationale for a single persuasively and we agreed.

Dr. Ringler was extemely throrough and pragmatic and helped fix things my former clinic had messed up. He left no stone unturned and because of his diligence, we got pregnant on the first transfer with him after three failures at my previous clinic. He insisted on me seeing his colleague Dr. March for a hysteroscopy who is the uterine specialist that he works with. One of the things I loved about Dr. Ringler was his willingness to bring his colleague in at that moment... he is the opposite of an ego driven doctor. His primary concern was getting us pregnant and not putting me through too much. It was a lot that I had been through already and he always acknowledged that. I wasn’t just a series of procedures, he saw the person going through them. He is OUTSTANDING at doing transfers. Everyone in the clinic mentioned it and I knew what they meant when I had one. It was so easy and perfect.

Ask as many questions as you’d like. You’ll always be taken seriously. If he’s quiet in an exam it’s just because he’s very focused. This is a good thing. :)

We did the Yale EFY test to check for timing and other uterine issues. I did a few hysteroscopies with his colleague who removed adhesions most likely left by my former clinic. We did a retrieval to get more embryos since I only had one left from my previous cycle. We PGS tested and put back in the best looking normal embryo and we were successful.

They were a little less expensive than my first clinic but on the high end of what the average is.

When I told him we didn’t want twins he said, we would only put one back.

Dr. Ringler is amazing and a consummate professional. We had a number of setbacks throughout the process, which he helped us through as much as possible. For example, there was an early issue with the communication style of one his staff, which was corrected when we switched to another IVF coordinator. We also had one transfer cycle cancelled because of excessive uterine fluid (a uncommon reaction to hormone injections) - which was frustrating because there was no data to tell us whether the problem was likely to recur. Dr. Ringler stuck to the facts, and was patient with our angst over the situation. It all resolved happily, and the grin he flashed at us on the day of transfer is an unforgettable memory from our journey. The only disconnect was that we still don't quite understand whether the survival rate of our frozen embryos was normal: it seems to us that ending up with three surviving embryos when we started with fourteen was not consistent with our expectations.

Understand that Dr. Ringler will only give you the facts, and not definitive recommendations for every decision that needs to be made. And there aren't always going to be data points available for every consideration. But he's a great person and completely trustworthy.

I don't know the protocol details for our egg donor. Our initial prospective surrogate had been exposed to varicella (chicken pox, through her young children) and the strategy was simply to wait for it to clear her system - which took months. She also had uterine polyps, which had to be removed to make her uterine as optimal an environment as possible. It took a few weeks for her to recover. Dr. Ringler had our surrogate begin with Delestrogen injections, with Progesterone injections after ultrasound confirmation. The surrogate that we ultimately ended up with had excessive uterine fluid build up (2.3 mm) leading up to the scheduled transfer. This is apparently an uncommon reaction to the hormone injections (delestrogen), and has been pretty definitively shown to reduce transfer success rates. Dr. Ringler canceled the transfer cycle, started our surrogate on Provera (10mg for seven days), and reduced her initial delestrogen injection levels (from 2mg to 1 mg). He ramped up her delestrogen injection levels to 2mg, which worried us but it turned out that slowly "ramping up" hormone injections kept uterine fluid build up to a minimum.

$6,600 in gestational surrogate medical screening fees. $4,500 in medical fees for one frozen transfer cycle. $2,200 in medications (inclusive of medications for one dropped cycle).

Dr. Ringler will not transfer more than two embryos at once. He very clearly explained the statistical probabilities of success for a one versus two embryo transfer.

I am currently pregnant with our rainbow baby, and without a doubt that is because of Dr. Ringler's determination and persistence in finding answers and trying different approaches. Positives: Extremely thorough and detailed, well researched, compassionate to your situation and the daunting process of infertility Negatives: May not always seem warm and fuzzy, but I think that's because he's so focused on getting it right. After a not-so-great experience with our first fertility doctor, I realized that I need a doctor who can get the job done. My husband can bring the warmth and fuzziness.

Do not expect him to be warm and fuzzy - that's simply not his nature. But he is an expert in the field and he truly cares for the well-being of his patients. He wants to give you a successful outcome, and this goal is clear at every appointment, consultation, procedure, etc.

He was very clear about the process. It was up to my husband and myself to handle the emotional roller coaster that is infertility treatment.

Think of the process as a marathon race and each cycle as one mile within your journey to try to reach the finish line.

I started infertility treatment in 1992 after I had had two ectopic pregnancies. First we used clomid, but after testing they found I had developed enzymes against sperm after the ectopic pregnancies. So we moved to GIFT which worked after a first pregnancy which was a blighted ovum. Subsequently, I had 5 more GIFT procedures to have a total of three children.

I don't remember

So far I am very pleased with Dr. Ringler as a doctor. He is smart, present, compassionate and positive. This clinic is very expensive and sometimes I feel like they charge for every little thing, but overall they are fantastic.

Be clear and ask questions. He is very scientific minded so writing things down is important too.

I’m not far along enough in the process to answer.

Costs are extremely high

Dr. Ringler has a very calming presence and is a pioneer in the field of LGBT family building which I admire (though does not apply to my specific situation). I appreciate that he demonstrated compassion and personal interest despite the multiple patients he sees.

This facility does not work with insurance and is fee for service. You should be prepared to know how you will pay for or finance IVF prior to your treatment timeline.