Jim Toner

Dr. Toner takes a science/evidence-based approach and always had data and statistics at hand when discussing treatment options. This did not come at the expense of bedside manner, as he was very kind and patient. His demeanor was a great fit for my husband and I who value science and data-driven decision making.

Come prepared with questions, and be open-minded.

For the cycle we tried with my own eggs I was on a antagonist protocol, with Ganirelix, Menopur, and Follistim. I was on high doses but I still stimmed for 16 days as it took my body longer to respond. It resulted in 9 eggs, 8 mature, 6 fertilized, 1 blastocyst. We did a fresh transfer of the 1 blast but it was not successful. Poor egg quality was suspected.

The IUI procedures were ~$2,500. The first IVF procedure with my own eggs cost approximately $30,000, but $11,000 of that was for meds. Since I was on high doses for a long time that's probably $5K more than normal. Our second IVF procedure with donor eggs was ~$15K (not including the cost of the donor eggs).

Dr. Toner established upfront that transferring single embryos is strongly recommended.

Dr. Toner listens very well. He doesn’t come off as “too good” to talk to you. He makes the somewhat awkward conversations that come with infertility feel effortless not intrusive. If you have questions come prepared with them or email him after and he is quick to respond.

Don’t be afraid to ask questions he will thoroughly answer them all.

We did a cycle of Femara. We decided against IUI for the cycle hoping everything would happen on its own. He was frank with us when he said that there wasn’t much chance and IVF was a better route for us due to the stage of my endometriosis. We had labs and ultrasounds throughout. Everything looked great but no pregnancy. At least we were prepared for that, though, since he had been very up front about what he thought our chances were. He was also very positive about moving forward with further treatment and caring. When we found we could get IVF for lower cost elsewhere he also agreed to do our monitoring so it could be made more affordable for us. Highly recommend him.

My insurance paid for some things. My femara cycle I had to pay for bloodwork and part of my meds and it was about $1,000 after insurance.

The practice does money back gaurantees if you go through one of their programs so eSET is actually possible financially. He only does multiple transfers after several failed cycles or after a certain maternal age. I think this makes good sense medically since it lowers risk of complications for mom and baby and since the risk for identical twins is still higher even with that eSET.

Dr Toner gave me hope when one of his colleagues completely dismissed me. I have PCOS and I remember him telling me that my weight or the diagnosis would not stop me from becoming a mom. When we meet with him covers all the facts and explains all the possible outcomes. He supports whatever decisions we make and have gotten us through some pretty tough times. ACRM's lab does not accept our insurance so we had to have our third egg retrieval at another clinic. Although we were able to get some eggs I felt more comfortable just paying the money to go back to ACRM. My seventh egg transfer will be March 13 with Dr.Toner and I wouldnt have it any other way.

He's a very kind man,and definitely knows what hes talking about. He will give you hope when other wont.

My second egg retrieval was devastating because we ended up with nothing,but I understand that these things happen. Trial and error. I was triggered too early and my eggs hadn't had time to mature. After having the ERA test done that was performed by Dr.Toner I went on to conceive twice after having four unsuccessful transfers. My protocols for egg retrieval is to stim slow and steady to prevent OHSS. Transfer protocol is very simple estrogen tabs,followed by six days of PIO before transfer. My ERA results showed that I needed an extra day of PIO before transfer.

I have no complaints with the time frame of monitoring. It makes sense that they are done first thing to ensure that patients with consults later on in the day get the full attention they deserve.

Right now Dr.Toner i covered under my insurance but not the lab. That part has been a bit of a disappointment,but Dr.Toner offered us a 20% discount for what is not covered under insurance.

I am a one at a time kind of patient. I understand after all the information I have now that if an embryo is genetically tested and transfer is at the right time,all it takes is one embryo. At my age and having genetically tested embryos I understand that it is safe for me health wise to transfer one embryo at a time.

He lacked emotion or bedside manner, but was always pleasant and optimistic. I trust him and felt he had a very good sense of what he was doing and how to handle our case successfully. He recommended freezing sperm (which was unsuccessful because samples didn't survive thaw well).

Do not expect extreme warmth, but do expect a capable and calm Doctor.

Antagonist protocol (no female issues known). ICSI for fertilization

This was a well-oiled machine. I was usually called into appointments within 15 minutes, though I was almost always early or on time. I did wait for 10-15 minutes in the exam rooms, though.

Cycle $15,600. Meds $3,300. Pre-treatment (Hysteroscopy, mock transfer) $1,770.

Dr. Toner's colleague Dr. Keenan performed eSET.

Dr toner was amazing. He took my emails anytime, always responded with thorough and detailed answers, even when I was really delving into Google research and had a million questions. He never acted annoyed, though I'm sure I was very annoying, heh. He always listened to what I wanted, gave his advice, thoroughly explaining why he recommended it, but always took my wishes and direction into consideration in planning my cycles. Best of all, he always told me it would happen, it was just a matter of time, and never let me lose all hope.

Dr Toner is not going to give you false hope. If he thinks you have a strong possibility of a good outcome, believe him. Sometimes it just takes longer than we want to accept. It's worth it in the end! Don't be afraid to ask questions, and ask to change your treatment if you feel strongly about it, Dr Toner will work with you. He won't let you stray too far or do anything that could be harmful. He knows what he is doing! But sometimes it's ok to ask to move on to the next course of treatment sooner than later.

I had diminished ovarian reserve and was a low responder to stimulation medication, so I actually did two "mini ivf" retreival cycles. I was on a lowish dose of letrazole days 2-7(I think 5mg? It's hard to remember back in 2015-2016), then a low dose of follistim days 4-until my eggs were big enough. I did not use Lupton or anything to suppress ovulation because I was never ovulating on my own anyway, so they just monitored my estrogen and lh daily until i was ready to trigger. My second retrieval round actually began as a break round-return to an IUI after I had had two miscarriages in a row from a fresh transfer and a frozen transfer, but my ovaries responded so well to the medications that time that we had to switch to an egg retrieval. Normally I had no more than 1-4 follicles developing in any given cycle, but that one I somehow suddenly had 13! That is the retrieval that contained my son. I had an insane pregnancy with him splitting into a twin then the twin dying and the sac becoming a subchorionic hemorrhage that stayed with me until my water broke at 29 weeks, the other transferred embryo becoming ectopic and exploding my fallopian tube, hidden behind my hyperstimulated ovary, for which I had emergency surgery to discover this and remove my right ovary, all while I was pregnant with my son. But it was worth it in the end!

I paid about $11,000 total per egg retrieval, since my insurance covered some things like bloodwork, not including medications. Medications per retrieval were purchased offsite, and for me were about $1100, because of the mini IVF cycle. Dr toner always helped discount procedures for me. I was able to take out the costs for any specific procedures I didn't need, not just charged the global ivf cycle price. I went through each cost list with a fine toothed comb and they worked with me. My frozen transfer cycle was about $4000, plus medication. IUI cycles were covered by my insurance, but cost me about $200/ month.

Acrm is a big advocate for only transferring one embryo at a time. I followed their advice the first two transfers, especially since I only had two good embryos from my first retrieval, but the 3rd I really wanted to up my odds of a good embryo, so I insisted on transferring 2. I paid for that by getting pregnant with my son AND having an ectopic pregnancy at the same time, for which they had to do emergency surgery to remove my right fallopian tube when I was 8 weeks pregnant with my son. It all turned out ok in the end, though!

He was direct and to the point, and explained things fairly well. He was willing to answer all of my questions, but was always rushed. I felt that I was in good hands though. I think if there were better emotional support from him I would feel better. However, I would rather have a competent physician that wasnt overly friendly vs a super friendly physician who may not know exactly what they were talking about or what needed to be done.

Be prepared to feel a bit like a number. I've heard so many good things about the office, so even though we didn't have success yet doesn't mean that they won't.

We started with bloodwork, naturally. My husband was diagnosed with low testosterone, and even though his sperm count was still in the normal range, it was on the low side. He was prescribed clomid to help with his testosterone, which in turn boosted his sperm count over the next few months. As far as I'm concerned, my bloodwork came back all within a normal range. I was then sent for a hsg, which showed that my tubes were clear. Dr. Toner then met with us to discuss a game plan. Dr. Toner thought that we just had a bit of 'bad luck' over the previous 18 months and want us to give iui a try. Every month, my husbands sperm count rose but I did not/ have not fallen pregnant as of yet. Going on 3 years of trying!

Baseline ultrasound and bloodwork- approx. $500 Midcycle ultrasound and bloodwork- approx. $500 Hsg- approx $400 Iui- approx $300

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He was very open and honest. I know my chances are low due to age, but he is willing to try different things to give me the best chance. I feel very comfortable in his care. It is clear he knows what he is doing.

Do your research and come prepared with questions. He will take the time to answer them but you need to narrow down what you want to discuss.

I used follistim 300 and menopur 150 daily for 11 days. Triggered with pregnyl 10,000 hcg.

I think a cycle was around $15k.

He recommended not doing pgs since I only had 1 embryo. Cost was important to me and I'd rather give it a try than send off for testing. He was willing to transfer note than 1 if I had more.

He's strengths are his knowledge, his heart, positive, but realistic, wants the best for his patients. No negatives with him. I remember Dr. Toner telling me that it's not a matter if you'll get pregnant but when. That gave me hope.

He might seem shy at first.

We tried Clomid cycles and Femara cycles. Basic stuff. Then we moved on to IUI. Logical next step. IVF was just the next logical step after IUI. A blocked tube, poor egg quality, endo. Just makes sense. With my recurrent pregnancy losses, it makes sense to do testing on the embryos. He's just very logical in his thinking.

One cycle of Fresh IVF is $18,000 not including Meds.

I think if I was to be older in my 40's I think he would do two, but he would do normally one.

I would recommend Dr. Toner to ANYONE. His bed side manner is phenomenal and through the hills and valleys he has been there to answer all questions. He feels like a part of our family at this point.

Utilize his knowledge. His bachelors is in psychology. I feel like he has helped me take care of my mind and body during this journey.

Because I was diagnose as unexplained, we have utilized letrozole, trigger shots and IUI’s for our last three cycles. We have 2-3 check in’s, including blood work per month. 3 IUI’s, first- chemical, second miscarriage at 11 weeks, third- unsuccessful.

Dr Toner took time to explain everything to us. Step by step as to what we would be looking at as treatment. I was suprised to sit down with him on our first appointment. Usually you talk with nurses and other office professionals first, but not at this appointment. He was eager to begin treatment that day, and we are coming up on our next appointment. If the first course of treatment didnt work, he has other options for us.

Be honest and open so he can use his experience to help in the best way possible.