Isabelle Ryan

I thought she was fine. Nothing special, for sure no love or warmth came from her. She was very by the book, cut and dry. If you need a bit more information, time and care - I would find another doctor. She did provide some good information to my husband and I and set us on a path towards frozen egg donors which is a journey we are still on.

Be ready to hear the a lot of information much of which we had no idea meant as she was the first doctor we had seen about our Fertility problems. She doesn't handhold or provide any warmth or love. It was overwhelming. She would probably be a better doctor if we had seen someone else first and knew a bit more about the process. Coming in cold to her was tough.

We did the initial consultation, my husband did his donation and I did the water ultrasound. We got stuck looking for donor eggs with PFC. There donor pool is very small and we spent this past year looking with not much help from them so we ended up stuck with PFC and just switched clinics.

Well, I mentioned in the clinic review section so I'll briefly explain here. They are quick to take your money, even though everything we did with them was covered by insurance they are so slow to submit to insurance. I've had to follow up several times to ask them to submit everything, not just one or two visits but everything. We've yet to receive any refund from PFC even though insurance has covered our appointments so I'm currently trying to get a refund since they have received payment from our insurance company as well. Lots of back and forth in their online tool. Not much help, there is zero sense of ownership or urgency in helping to me to solve this. Again they take your money very quick and then they couldn't be any slower to work with insurance and solve problems. It was very disappointing and really left a bad taste in our mouth with this clinic. Huge area where you feel like a number.

no comments, I'm fine with 1 embryo transfer vs multiple. Whatever is the safest and gives a good chance of success.

Dr. Ryan was very professional and compassionate during all of my appointments. She took the time to answer all of my questions and always kept me updated on where I stood in the process of my egg retrieval, embryo transfer, and post care. She is very blunt and that may turn some patients off, but I do enjoy that style because it helped me truly make realistic expectations for our treatment and make informed decisions regarding my care. This was a big help to me emotionally because it helped me stay grounded for whatever the results would be after all of our processes that include egg retrieval, genetic testing of the embryos, our own genetic testing, and chances for success with the embryo transfers and preparation of the lining. She even went as far to recommend an ERA test prior to our actual embryo transfer due to my medical history and we were allowed to do our own research and make the decision to proceed or not on our own. She did not pressure us either way. That proved that she was really paying attention to my health history and was doing all that she can to increase our chances of a successful transfer. Overall, I really enjoyed working with Dr. Ryan and her approach to care really meshed with my expectations and made me feel confident with every decision along the way.

One piece of advice to those prospective patients of Dr. Isabelle Ryan is to do your research prior to your first consultation. Come prepared with questions you may have and really use that time to dig in and have a deep conversation about your possible treatment, areas of concern, and get her opinion on your overall chances for success given your medical history and reasons for infertility. When you come prepared, that will instantly make your appointments more meaningful and keep you more informed to make decisions regarding your own care.

Egg Retrieval Treatment included daily dosages of follistim and menopur, and later included ganirelix. This was successful and resulted in 43 eggs retrieved. ICSI was used to combine my eggs with my spouses semen to produce embryos. We then proceeded with PGS testing for the resulting 9 embryos that made it to day 5. Of those 9 embryos, we had 3 healthy embryos with no chromosomal abnormalities. We also did ERA testing to make sure my lining would be receptive prior to the actual embryo transfer. Once the ERA testing came back, we proceeded with the Frozen Embryo Transfer based on the timing listed in the ERA report. Due to my age, we did ESET and implanted one embryo which has resulted in a pregnancy.

Genetic Consult - $395 Horizon Screening - $199 Medications - $2500 Single Cycle Fee which includes Office Visits, Ultrasound, Estradiol, Anesthesia, Egg Retrieval, Facility, Lab, Embryo Freezing and one year Storage, Embryo Biopsy - $13,915 PGS Testing on up to 8 embryos - $2170 ($325 for each additional embryo) Frozen Embryo Transfer - $3175 ERA Testing - $1000 + $600 for actual test at Natera

I appreciate Dr. Ryan suggesting we go with eSET instead of multiple embryo transfers because of my age and high risk pregnancy if we were to have multiples. I agree with her approach and it showed that she was not only focused on doing everything she could to increase our chances of success, but also was looking out for my own health. She took the time to explain her reasoning and I was confident with this approach given all of the facts.

I like Dr. Ryan a lot. I've read some reviews critiquing her "bedside manner" but I only experienced her positively. My partner and I were trying a second transfer with an embryo created using his sperm and a donor's egg. Unfortunately, it resulted in a negative pregnancy result, which was deeply disappointing, as it was our final option at PFC for transfer. Dr. Ryan was very caring, however when I pressed her about next steps and diagnostics, she stated that she did not think anything was "wrong" with me, and that she would want to do 4-6 more transfers before doing any diagnostic procedures. This, of course, sounded crazy to us - from both an emotional and financial point of view.

Even though we did not get the desired result, she seems like an excellent doctor and was very caring.

We did one IVF transfer, with a tested, euploid embyro created with my partner's sperm and a donor egg. I took estrogen and progesterone leading up to, and for a couple weeks after, the transfer. There was no pregnancy.

$25,000

Dr. Ryan is very direct but I appreciated her frankness. It allowed us both to have open and authentic communication about expectations, treatments, and procedures. I felt very confident in her treatment decisions. We felt like she was our strongest advocate.

Have open and authentic communication. Feel confident in taking her advise as well as making the decisions that are best for your family, she will support whatever is the best decision for you.

I feel like Dr. Ryan nailed my medication dosages perfectly. I once saw another doctor at the practice for an ultrasound and he changed my medication dosage. After reviewing the doctor's recommendations Dr. Ryan's team called me shortly after my appointment to negate the other doctors recommendations and to stick to Dr. Ryan's protocol. I got excellent numbers for my retrieval and I think Dr. Ryan's medication dosage is one of the contributing factors to that.

$25,000

Dr. Ryan encouraged elective single embryo transfer over multiple embryo transfers, which was on the same page as us. But I also feel confident Dr. Ryan would of supported our decision even if it differed from her recommendation as long as it was safe.

Dr. Ryan was excellent. Although her fist impression on the phone was not the best, in person she explained everything clearly. She proceeded to be very caring, very thorough and I trust her immensely. I would highly recommend her. Communication with the nurses was also easy over email and the online portal kept everything very organized. At times fertility treatment can be overwhelming but the staff, nurses and doctors all make it as easy as it can be.

Although she may not make small talk, she is always there to answer questions and never rushes you.

I was diagnosed with annovulation a and possible PCOS. I had tried letrozole for several months prior to seeing Dr. Ryan (with my ob/gyn). We tried IUI with letrozole twice without any success. I then had a very successful egg retrieval (34) and had the eggs tested and then frozen (20). We then did the first transfer with only a brief chemical pregnancy, but the second time it worked and I'm now 10 Weeks pregnant.

I don't remember this off hand but it is all clear on the website. It was straightforward.

Isabelle Ryan has a very direct, succinct, blunt manner. That didn’t bother me at first, but at a later stage in my care I realized that many crisply communicated statements really glossed over important nuances, and areas of uncertainty. Our meetings were always very quick, and I left thinking I had gotten all the information I needed, but it’s hard to know what you don’t know. As a small example, I was a first-time patient, and it was never communicated to me that at PFC my doctor likely wouldn’t be performing my retrieval surgery. I now know this is very common, but this shouldn’t be communicated to a patient the first time in the middle of a stimulation cycle. Most importantly, I feel she handled my case poorly from a medical standpoint, and made critical errors which, subsequent doctors pointed out, introduced unnecessary risk. She and her care team overlooked disturbing symptoms that I had and, in retrospect, gave me a treatment which was dangerous rather than helpful. This aspect of my case would not apply to most patients, but I think it speaks to a lax attitude about complications, and an unwillingness to take the time to think beyond the obvious norms. Finally, she was coordinating care with an outside specialist, and the communication about the status of this coordination was bad -- I realized months later that the tests from the outside specialist had actually given me the opposite results that Dr. Ryan had used in her assumptions and care.

I probably would see a different doctor unless you are ready to go home and independently fact check what you hear, and almost act as your own secondary doctor.

Before cycling she had my husband and I do prophylactic antibiotics (zithromax and cipro). First cycle (which ended in a cycle cancellation with no retrieval): 3 weeks birth control pills, started 200 IU Follistim & 75 IU Menopur, this was increased but not sure to what levels. Never triggered because cycle was canceled for poor response. Second cycle: Removed IUD; no birth control pills. Estrace priming before cycle start (4 mg daily). At baseline ultrasound start micro-dose lupron (10 units, twice per day); then starting dose 300 IU Follistim and 150 IU Menopur. Trigger 10,000 IU hCG. Resulted in 19 eggs retrieved.

Not sure how much we paid for the first canceled cycle. Second cycle where we did a retrieval was about $12,000, though they gave us a $1,500 discount because of issues in our first cycle, and because we were self-pay patients. This did NOT include all of the lab tests and drugs, which added several thousand dollars, or the $1500 to Natera which is the outside reference lab used for PGS testing.

Recommended eSET with PGS, but did not do a transfer at PFC so it wasn’t a lengthy discussion.

I did feel certain Dr. Ryan was on my team through the process. She was supportive and kind and professional. I didn't want to hear the news she was ultimately able to convince me of (that my lack of success was "120% due to egg quality") so I think I continued too long with attempting each method of treatment. Not sure what else she could have done to get through to me, but I do wish I hadn't put my body through so many medicated IUIs, for example.

Really listen and ask questions to make sure you aren't just hearing what you want to hear. She will help you make a plan.

My treatments were so long ago ... I don't remember specifics. I did 10+ IUI. #7 resulted in a pregnancy that was not viable. 1 IVF and 1 cancelled IVF.

I've blocked out the specifics - the costs were high.

I do remember she was very helpful on advising the number to transfer. I understood the pros and cons.

i would say that she was blunt, but i didn't mind blunt. some people might be put off by her somewhat cold bedside manner but i didn't mind. she was very thorough in describing the processes involved in IVF and i appreciated that. my only complaint was her failure to warn me of all the risks with the ectopic pregnancy. perhaps she thought i knew how dangerous they are, but i did not. i had no idea.

If you want Dr. Ryan to be very thorough in how much information she gives you, ask for it, and i think she will oblige.

I had read that she was not the most warm of doctors. But I really appreciate information, and I know she had the latest facts and was very up front with my husband and I on what to expect and I appreciate that.

Be willing to hear the hard truth, this is not a doctor that will sugar coat it for you.

She advised starting with IVF, but due to financial my husband and I did IUI to start with Letrozole. She adjusted my dosage as we went. Then we switched to IVF, with 300 Folistim and 150 menopur, I just had a canceled cycle due to poor responding (3 folicles- 1 mature), so we did another IUI. I am currently in 2ww

Ultrasounds cost $330 iui cost $495 IVF round without medications about 19,000

She did not come across as sincere to me. It felt like this was a job to her and she did not truly care about my results and the outcome. When explaining the details of egg freezing, she seemed bored having to go through the materials with me.

If you like a straight-up, less warm doctor, Dr. Ryan is a good choice.

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Dr Isabel Ryan is smart and patient she knows that this is a difficult situation and clarified any questions we had. She was open about what the next steps would be and did not sugar coat anything. She asked us to call her anytime we had any questions and when my husband needed further clarification we received it by talking to dr Ryan.

To ask lots of questions and write down anything you may forget.

Just going in to see the doctor is $350 every time. We have the cost for the genetic counselor any medications from $10-500 any blood work is around $200 and so much more

She is a great doctor; smart, conservative, and compassionate. I would recommend her to my friends. Only thing you won't get from her is non-traditional medical advice. She is strictly by the book.

She is great and will answer all your questions. Bring everything you want to the table, she'll get you the answers.

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Egg Retrieval costs were close to 9K; Making the embyro's were about 6K; transfer was 2,500; and icsi was about 2K.

We were highly recommended to only put in one single embryo for our transfer because we did chromosomal testing.

I wish she would've explained a bit more about the number of eggs actually needed in order to conceive a child. I would've done another round or two of retrievals to be safe. Other than that she provided me with a lot of knowledge of how everything worked, the process, what was to be expected with the injections, side effects, etc. There were no surprises.

Ask questions until you fully 100% understand every detail of the process.

$9000 for egg freezing and meds

know that she operates in a team environment so even if she's your preferred doc, you won't always get her

She is professional and very kind. It's obvious she knows what she is doing and you trust her for that. She is wonderful and very reassuring. She is always gentle and explains things completely. I saw her every visit and she always made time for me.

You're in good hands.

I found the drugs and dosage prescribed and used very effective.

I can't recall

Ask dr. Ryan all the questions you need answers to.

Dr Ryan was very to the point, but compassionate at the same time. I appreciate being treated as an intelligent person while also having each detail described at the same time. We have not yet completed our IVF cycle, but I feel very comfortable under the care of Dr Ryan.

Don’t hesitate to ask all of your questions!

Dr. Ryan is a clear and direct communicator, without sacrificing warmth. She managed my expectations about my retrieval, and my results met/exceeded those expectations. I am a very skittish patient and she provided the right level of detail for me to understand the process without being overwhelmed.

Dr. Ryan is very direct and matter of fact, which I appreciated. Be prepared to ask questions and discuss data, especially during later appointments.

All costs were covered by my insurance