Laura Lawrence

Dr. Lawrence is extremely knowledgable and talkative. She answered my questions thoughtfully and made recommendations based on evidence and research. She did leave the final decisions up to me, such as when I asked if I might need an ERA to check receptivity, or if I needed to add or change my protocol after a failed cycle and a chemical pregnancy. I am appreciative for her guidance and thoughts through this process. I would definitely return to Dr. Lawrence!

Ask for details and explanations as needed. Expect to go in for frequent quick appointments during treatment cycles - most of my visits were before work and during lunch. I only needed to take time off for the egg retrieval and a couple embryo transfers. Also, ask about support groups and counseling referrals as needed - I'm so happy to have found the Resolve support group! I was hoping to connect with others experiencing fertility issues, and I discovered a group of strong women with stories just like me.

I started with 3 IUIs with Femara and an Ovidrel trigger shot. I produced several eggs each time but all cycles were unsuccessful. I prepped for an egg retrieval with Follistim and Menopur for ~9 days before the trigger shot. Ganirelix was introduced after several days in to prevent natural ovulation. For the frozen transfers (I had 2 each transferring 1 embryo, and 1 transferring 2 embryos), I took birth control to suppress my hormones, and when starting a cycle began Estrace 2x per day (increased incrementally from 1x to 3x per day in the 3rd cycle to build a thicker lining), followed by progesterone in oil injections ~5 days prior to transfer. Regular bloodwork and ultrasound monitoring determined when to transfer the embryo(s).

Monitoring and labs were billed to my insurance Each IUI was about ~600 including the procedure, sperm prep, and Rxs Stimulation meds for egg retrieval & transfer meds ~4400 Egg retrieval, IVF, & blastocyst cryopreservation ~7000 Additional Oocyte cryopreservation (I chose to freeze eggs beyond the first 10 retrieved) ~800 Frozen Transfer ~3200 each

Dr. Lawrence strongly recommended 1 embryo at the first transfer. She limited the second transfer to 1 embryo due to my uterine lining not being at an optimal thickness. The third transfer she approved our request to transfer 2 embryos.

We took time off between IUI and IVF and when we came back, she remembered us and many things about the year of IUI that weren’t just written on paper. It made me feel comfortable immediately. There have been times where I’ve gone home to look things up but not for her lack of trying to explain. She’s very sure in what our treatments should be and has built up our trust in her.

Be ready with questions, and ready to take notes!

For our egg retrieval, we set the timing to ensure it would be done by Dr. Lawrence. We did menopur in the morning and follistim at night. We increased the dosage of follistim during the last week because my body had taken to the birth control a little too well. It worked perfectly and she was able to get a great amount of eggs (19). She said we would be doing ICSI right off the bat, as it was our best chance to get embryos due to my husband’s borderline low morphology. She was right and we got 13 embryos. For our FET, I started estrogen 2x/day 2 weeks before and PIO at 9pm 1 week before.

Egg retrieval with ICSI - $10,000 global fees (not including medicine or pgt-a testing) FET $3,500 (not including medicine) Med costs aren’t controlled by the clinic.

She said we should do eSET, although I did not ask for multiple especially with the first transfer.

For the person reading this review, I imagine you have some understanding of the challenges that may or may not come with trying to have children. Selecting the right fertility doctor is key in helping you start, continue, or complete your family. I think it’s important to have your own idea of what TTC looks like for you prior to interviewing fertility doctors. It’s also important to learn to trust your gut. I’d be remiss if I did not say a doctor who may not be a good fit for me, may possibly be a good fit for you. This is my experience with Dr. Lawrence, so feel free to eat the meat and spit out the bones because my hope your experience will be different than mine. Long story short, after taking several months to decide if I wanted to pursue fertility treatments. Upon the recommendation of a colleague, I decided to meet with Dr. Lawrence to obtain her opinion of what my options looked like. Though I was pretty confident on the fertility doctor I wanted to move forward with, I figured I owed it to myself and future children to at least get an additional opinion. The day of my appointment I arrived early. After doing the initial blood pressure and weight check, I was placed in examination room and told to take everything off (including ALL undergarments). I was, however, given a paper robe to put on. I was told the Dr. Lawrence would be in shortly. I waited 45 minutes in the examination room with no one checking in on me or telling me the doctor got behind schedule. So, I waited there cold and basically naked that entire time. At the 45 minute mark, I got dressed went to the staff member up front, advised I was leaving and to refund my co-pay. She expressed an apology for the long wait, the doctor was running behind, but was now ready to see me. I politely said no thank you and left. A few hours later I received a call from Dr. Lawrence expressing her sincere apologies---which I deeply appreciated and believe was warranted. She made sure to express that my time was valuable and continued to express her apologies. She then elected to share her diagnosis of me based on the information she had of me from 7 months ago. Not knowing that my numbers had actually improved and her information is outdated. You see, I wanted a thorough second opinion and did not want her to base the opinions of my situation based on the blood work of another doctor. Moreover, the recent bloodwork she was unaware of would have shown a vast improvement due to my lifestyle changes—but again, she didn’t know this information because instead of asking or taking the time to talk to me, Dr. Lawrence elected to spew a bunch of hopeless statistics of motherhood and reducing my chances as IVF being the only way. I don’t disagree that IVF may be the route I take in an effort to conceive, but I also feel IUI is an option or simply giving me suggestions to better my chances at conceiving either naturally or with the help of IVF. I think it is very important when treating someone in such a sensitive area to speak words full of life and hope. Bedside manner starts before coming in contact with the patient and post examination—the overall experience in my opinion. Fortunately I took my ear away from the phone when she recited her discouraging facts of how low my chances at motherhood would be. My overall issue is Dr. Lawrence’s timing and taking away the sincerity of her apology when she turned it into a lecture on a bleak future of motherhood. Bad timing, Dr. Lawrence and simply an unnecessary addition to your apology. Fortunately I am in a good space mentally, emotionally, and spiritually. Despite her discouraging treatment and words, I sincerely believe that I will have children with the help of God, my husband, positive thinking, continual lifestyle changes, and my fertility doctor. I’ll be sure to post a picture of my bouncing baby when I do. It’s important to have a physician who will speak life and encourage you throughout this journey—despite the potential outcomes. To end, I wish the very best to every person looking for ways to start their family.

I would encourage you to educate yourself and have as much of an understanding of your fertility issues as you can. Be mindful that you will have to advocate for yourself during this journey, but probably more so with this physician. Trust your instincts and go with the doctor you believe is designed just for you. There will be challenges, but who you pick as your doctor is important to your journey.

I did not reach this stage with Dr. Lawrence. My initial experience with her was enough for me not to want to move forward with her or her office.

Dr. Lawrence was very nice and she seems incredibly intelligent! I do feel that she was not very aggressive even after 3 failed IUI attempts. I never saw any doctor for any of my sonograms, it was always only the nurse or the sono tech. Ultimately, I felt Dr. Lawrence was not able to determine the best route to get me pregnant, so I switched clinics.

Ask her to slow down and allow you to write everything down. Dr. Lawrence will give you a typed up sheet of what you discussed so you don't have to take notes however, I often left forgetting many things she said that were not on the sheet.

IUI cycle one- natural cycle with trigger only. IUI cycle 2 letrozole and trigger. IUI cycle 3 letrozole and trigger. All 3 unsuccessful. I felt that I was ovulating too soon and the IUI was too late, I did verbalize these concerns.

Each IUI was about $350, not including medications or sonograms. My sonos were covered by insurance so total was about $500 per IUI cycle.

While Dr. Lawrence is very busy, she made my husband and I feel like we were the only ones that mattered to her when she met with us. She never rushed us through anything, but took time to thoughtfully explain things to us and to answer our questions. She left me a thoughtful--and long!--message before my first egg retrieval about why things had been so difficult. After the failed retrieval, she called and spoke to me for over a half hour about why things may have happened the way they did and to check on me. She adjusted the approach for my next round of IVF, which was significantly more successful. She is warm, funny, honest, and knowledgeable--all way which made me feel like I was in good hands.

Take advantage of your interactions with her to ask questions and to get her feedback.

Two rounds of IVF was expensive, but I have good insurance that covered the bulk of it. I probably paid around $10k out of pocket for various medications or lab fees that weren't covered by insurance.

Dr. Lawrence is a top notch doctor. She is well credentialed, she is respected by her peers (I was referred by my OB), and she is up-to-date on current issues in the field. She is an open book, I never felt as though she wasn't telling me the whole truth or steering me in a direction that was good for me. She always explains things to the absolute detail (as does her staff --- they are always available 24/7). The negative is that she talks A LOT. I don't see that as a negative but if you have to say one thing, that would be it. She will pow-wow with you on a decision, a direction, a treatment schedule and requires that you give your opinion and blessing to move forward. She wants to have pregnancies but she always obviously wants the patient to be okay through the process. She was open with me about my timelines (my declining fertility due to age) and the plan to best position myself (and my family) for a good outcome.

Go in prepared. Do your research and ask her any and all questions. She will answer ALL OF THEM. I found her to be caring, intelligent, friendly and hard working. She was always knowledgeable about my case despite seeing a lot of patients.

I was approaching 40 and have low egg quality. She wanted to do back to back retrievals to give me the best chance at PGS tested positive embryos before transfer. I few times I had to cancel or change treatments. I ended doing several mini-cycles as I responded to these protocols better. I probably did 5 retrievals last year. She was with me every step and deciding whether we would make it to retrieval based on egg count and size. I would typically start with about 11-15 follicles and get 1-3 eggs each time. The last retrieval I got none.

I was extremely lucky and my insurance through work paid for a majority of my IVF costs.

She is very adamant about eSET unless your case calls for a different approach. I am comfortable with that and confident should I need something else, we would discuss it as a group and make the next right decision together.

She talks very fast and it’s not always clear what she’s talking about. She can use a lot of medicinal terms and then try and explain all of them which can get confusing. I trust her knowledge and capabilities.

Ask her to repeat herself if needed or slow down when talking. Also I found it helpful to also consult with the nurses.

I am currently in the middle of my first IVF cycle. Using cloned, Omni trope, follistim, Ganirelix, and Ovidrel. Using low doses of each given my age, low AMH (.95), and high FSH (13).

Luckily our insurance covers most of our cost. But the IVF lab isn’t under contract so we had to pay $5300 for those costs. Additional $400 for doctor fees and $2000 for PGTA testing. Meds were about $1000

We both agreed on single transfer which we are very happy about.

Going through this process despite numerous dr.google searches, there is still way too much information to digest at once. We immediately told her IVF was not of interest to us and she respected it 100% no "can I ask why" guilty nonsense. She respected our decision and said let's make sure the iui works perfectly! That made both my husband and me a lot more comfortable and at ease.

Don't be afraid to ask questions. She can go through everything a little too quickly but has no problem going back and repeating herself or going into more detail.

I have unexplained infertility. I have a great egg reserve and my husband's sperm is good. We did 50mg clomid for 5 days and then used ovidrel to release my eggs, which I had plenty of that were large in size. We then did our iui with a good semen sample. Now I'm waiting to see if it worked!

All said and done for my iui, I'll be sitting around $1,000.

N/A

Dr. Lawrence has been amazing with us. Our first doctor was very pushy and dismissive about our emotions about this crazy journey. Moving our care to Dr. Lawrence has been the best decision for us. We drive 1.5 hours to see her and it’s always worth it. Our first consultation with she spent almost 2 hours going over history and recommendations. We knew after that appointment that we were in the right hands. She has always been very open with us about expectations which I really appreciate. I wouldn’t want her to fill our heads with dreams when it might not become reality. When our first round IVF did not result in any embryos Dr. Lawrence seemed to be just as disappointed as we were. She called and made sure my husband was available for the bad news. She was compassionate and said she already has a plan whenever we want to sit down and talk. She told us to take our time and call when we are ready to talk about next steps. I love that she has encouraged us to never rush into a decision when everything is finically and emotional draining. We love Dr. Lawrence!

She cares about this process just as much as you do. She is going to be honest with you about expectations and will recommend the best plan in order to achieve the goal of pregnancy.

IVF recommended due to diminished ovarian reserve and low follicle antral count. We requested a more reserved plan because of regilious reasons and she honored that. Plan was Cycle day 3- baseline blood work, sono, and desogen (birth control) x 10 days After completed, sonogram followed by 5 day break. Stim started with clomid 100mg x 5 days, ominitrope 33 units until retrieval Stim day 3 added Gonal F 150 units until retrieval Stim days 5 ganrelix every night until reterival and blood work/ sonogram every other day until reterival.

$2800 to the lab for storage and cyropreservarion $7,250 for Dr. Lawrence IVF fee $500 anesthesia

She recommended single embryo transfer based on my age but we have not reached the point of a transfer yet.

She’s an incredible doctor. She is passionate about what she does and truly wants the best for her patients. If one protocol doesn’t work she is will try something else for a better result. She understands that many decisions in infertility made based on finances and not desires and that this process is a huge emotional and financial burden. She has given me a son and a daughter and when my son passed away she was at his bedside. I recommend her to anyone who is having trouble conceiving. She is incredible and I am very grateful for her guidance

She will do everything she can to get you pregnant! She will be your biggest cheerleader!

To be honest, even though I am a nurse, I did not pay attention to the specific drugs and doses. I trust my doctor and assume she knows best. I know she did make changes throughout my 4 retrievals to maximize the results but I did not obsess over the specifics.

IVF with meds is about $12000 per round

Due to my age, my Dr was willing to transfer 3 non tested, day 3 embryos. We ended with one healthy boy.

I love Dr. Lawrence. I feel confident she knows what she is doing and has my best interest and health at heart. I don't feel like she is only doing what she wants to make her look good. She is a fast talker, so I have needed to ask her to slow down or to repeat things to make sure I understand them. And she is patient when I ask questions because I want to make sure I understand. She has a great way of being positive and being direct. She does not sugar coat things or pretend them to be what they are not. And she allowed me to be in charge of my process, even when it went against her recommendations. She remained supportive and honest. I do not see her every visit, and her staff make up for it. She was not at one of my two IUIs because it was on the weekend and I had the on-call doctor. She has been the doctor at both retrievals. I have been very happy in her care.

Ask questions and be sure you ask her to repeat herself or slow down. She is a fast talker with lots of energy!

During my first IUI, we did Clomid. I had a very high egg count and we were confident it would be enough. When we had a negative result, we boosted it up and tried again. When that didn't work, she was very frank and we decided to do IVF. During the first cycle, I was on 150u Menopure, 300 Gonal F, and Ganerelix. During the first 5 days I needed to drop the Menopure and start Ganerelix because I was developing too many too fast. The retrieval produced 44 eggs, 38 mature, 28 inseminated and 8 were able to be tested. We ended up with 1 normal embryo. None of us predicted this result. When we decided to do a second round to gather more eggs, she was frank about trying things differently. I went on birth control to suppress the estrogen, with the goal of it not getting too high too fast again. This was not successful, because when I went in for my baseline, I had a follicle developing. I needed to trigger and let that one go before we could proceed. Then they had me take Estrace. During this time, before I was supposed to be done, my body had a period. I went in for a baseline and we began injections. This time I did 150u Menopure for 3 days and then dropped to 75u on day 3. This was a planned strategy and was on target in order to help me not produce too much too soon. I was still taking 300 Gonol F and began Ganerelix on day 5. I am currently in the middle of this treatment, so I cannot report on the retrieval. I hope the results are better!

IUI was about $950 plus medication. I paid for this out of pocket both times. IVF was financed with ARC. The cost was about $18,000 the first time and $15,000 the second time because we had meds left over from the first so we didn't need to buy as much. We paid for ICSI and Genetic testing for both rounds.

I have not had experience with transfer yet, as we are on our second round of retrieval.

I am still seeing her and getting ready for my second transfer. She looks at me and my unique hormonal and body issues and adjusts the plan to me. She is open to all questions and answers truthfully and with respect. She always has a smile on her face which makes me feel like everything is going to be OK. I know, because she tells me, that she will never give up on me and my desire to have a family!

Come with your questions ready! She will answer all of them. I took notes with the consultations (that is how I learn best) and was glad I did because she is so passionate about what she does that she gives you all the information you could ever need. Don't be afraid to ask her to slow down. She speaks really fast when she gets excited.

First I had an HSG that found polyps in my uterus and a blocked fallopian tube (at the ovary). She then scheduled me for surgery of the polyps (can't do anything about the tube) and did the procedure herself. Recovery was very minimal. Because of my age (37 at the time), she had me on max doses of the ovarian stimulation drugs pre egg retrieval and because we were dealing with a post vasectomy low sperm count, we did ICSI. 8 eggs retrieved and 2 grade BB embryos that were PGS tested as genetically perfect. I was on the typical Estrace tablets and then added progesterone injections (injections are more reliable than pills or vaginal in achieving the appropriate and consistent levels of progesterone. We did our first transfer November 16 and it did not take. I do not believe it had anything to do with Dr. Lawrence or the clinic as everyone was shocked it did not work. They all said how perfect and smooth the transfer went. We are currently getting ready for transfer #2 and she has me on birth control for a couple weeks, Leupron injections because I made cysts my last 2 cycles for some unknown reason, and will do Estrace and Progesterone injections later in the month. I made some personal changes to my lifestyle and medications to help with success of the next transfer and my piece of mind (off the magnesium supplement for my IBSC, doing acupuncture, and seeing a chiropractor). I am very hopeful and Dr. Lawrence is very supportive.

I believe our total will be, after medications for the entire process, one retrieval, and 2 transfers: $18,000-$20,000

She let us decide if we transferred only one embryo or 2. We chose one embryo to transfer for 2 reasons. #1 I really wanted 2 children and would have loved to have the second embryo for a second child. #2 I wanted to have no regrets incase the first did not take (which it didn't) I didn't want to loose our only 2 embryos at once.

Dr. Lawrence is extremely knowledgeable about infertility and all things related to it and IVF. She was very helpful with helping us understand everything and reexplained everything in easier terms when my husband was confused. She’s so funny and makes conversation, especially during rough procedures to help put us at ease.

Be ready to learn a lot more about your fertility issues than you knew before. Lots of great info!

She ran numerous tests on me to make sure we had a proper diagnosis. She always made sure to do bloodwork and ultrasounds before each procedure. Before egg retrieval and starting meds for that, she was very upfront about letting us know that even with IVF medications there was a strong possibility that I could get little to no eggs. But she never said it was impossible. She was right because we only got 3 eggs. And because I had max dosages of all meds she recommended we freeze our eggs and wait to transfer so my body could rest and we were okay with that. As we started the process to transfer issues came up with my thyroid and blood sugar levels so she stopped the cycle until I could see an endocrinologist. We were disheartened at first, but knew that she was doing what was best for me. Even if it prolonged the journey.

We got a loan from an outside source that they recommended. They were very up front about cost and our options. We got a loan for $18,000 and that has covered everything so far. If our first transfer fails, we still have money from our loan for a second transfer.

Dr. Lawrence never gives information without research to back it. She is incredibly knowledgeable about the most groundbreaking technology, tests, and procedures in relation to fertility treatments. She is also kind and empathetic which has been a breath of fresh air.

Build a relationship with her, she really does care and want to see you be successful in treatment.

Round 1 of IVF: highest doses of gonal-f , micro dose lupron, menopur. Ovidrel trigger shot, egg retrieval that resulted in 7 eggs. ICSI was performed due to male factor infertility. No eggs fertilized. Round 2: gonal-f, ganirelix, and clomid. We reduced meds to help relax my body and not over work my ovaries. This cycle resulted in my body ovulating through the meds so we converted it to an iui that was not successful. Round 3: same meds as round 2, but we went to retrieval a day earlier. Retrieved 4 eggs, performs PICSI & ICSI. 1 egg fertilized. It grew to day 6, we had it genetically tested and frozen. We transferred the embryo in November 2017 and I am currently 23 weeks pregnant

We used ARC to finance our cycles. We bought 2 cycle plus program that included 2 cycles of IVF. Our doctor uses a global fee. They are very open and honest about billing.

Laura took the time to fully explain what was wrong with my uterus. She also helped us understand the percentage of Iui vs ivf would work for us. We never felt pushed one way or the other. Laura was very thorough in my diagnoses and did not leave anything up to wonder about. She was very open about the cost and she even helped make a rough schedule of IVF for us so we could understand what to plan for.

Don’t be afraid to ask questions. Don’t be afraid to ask her to repeat something and don’t be afraid to tell her you are confused or don’t understand what she’s talking about.

At this time I am still in the process of ivf and cannot answer this question accurately.

Dr. Lawrence was to the point and didn’t waste anytime. She got us started with testing on our very first appointment. She was easy to talk to, willing to answer every question, and was reassuring the whole time. I felt so comfortable and at ease with her. Can’t wait to continue with treatment!

Go to her!! Don’t waste time anywhere else.

Dr. Lawrence is very knowledgeable and went out of her way to make sure i understood every detail of the treatment. I always felt like I was the only patient she had that day. She never made me feel rushed.

Be honest with her. She is very open to listening and accommodating to your needs.

First cycle we used max drugs because of my low ovarian reserve. I only produced 2 eggs that round. The next 2 cycles we used less drugs. It was more successful. We added ICSI to help with the fragmenting.

the drugs varied depending on the protocol anywhere between $2000-$5500. Doctor fee was about $2500 and lab fee was about $3500.

She said she would transfer no more than two considering my age.

She is amazing. She was understanding and compassionate. I never felt like I was just a number. She has incredible bedside manners!

You will not go wrong! Be ready with questions so will answer every one!

I honestly can not remember, I do know she was cautiously aggressive with my treatment.

Everything was told to us upfront. There wasn't any hidden fees or last minute charges. The only thing we didn't know off hand was the cost of the medications because they varied.

I was grateful and always felt confident in her abilities. We had a different doctor in the practice so one retrieval and her faith in him helped me still feel confident if she could not be there. I appreciated her.

Ask every question you have! And take notes. She talks fast

On accident, we ended up “priming” my ovaries before my retrieval. We ended up with a LOT of eggs. Everything else seemed pretty standard.

With all additional testing we chose, it ended up being about $20k with meds.

It was not advised to do multiple embryos because we did PGS testing. The risks were explained and they would discuss it further if we wanted to. We did not

Dr. Lawrence is a great doctor. We have not started our IVF procedure yet with her but we are already impressed. She really took the time with us learning our history and reading our records. She made us feel important, and was making sure we understood where we were in the process. I highly recommend her.

Ask questions...if you don't understand why she wants to do something. Ask her to explain why and show research to prove what she wants to do.

Estrogen priming and microdose Lupron. Max dose of Follistim and Menopur.

We used the ARC 3 cycle success plan to finance our treatment.

She was straight to the point of getting us pregnant! She did not want to fiddle around which was exactly what we wanted. I will trust her with all of my babies! When I went on bedrest later in my pregnancy, she came to visit and sent cookies. She truly cares about her patients.

First IUI we did clomid and then a trigger shot. Since I had recurrent loss, I started progesterone right after the IUI. I tested negative that round and on my next baseline sono there was a cyst so I did 2 weeks of birth control. The cyst cleared so we did another IUI with letrozole and a trigger shot. It was successful!

Each IUI was about $900.

Dr. Lawrence has been great. She has had to deliver some unpleasant news to us, but did so compassionately. She gave us a heads up that IVF is likely in our future, but did not pressure us to make that decision and was willing to try however many IUIs we wanted prior to making that jump.

Keep a list of questions. She is a talker, which I like, but make sure you have yours ready so you don’t get lost in conversation and forget them.

My husband had very low count and I appeared to be ovulating, but there was a question on my egg quality. Dr. Lawrence was very upfront with us that IUI may not work because Clomid would not fix my short follicular phase, but she let us try it anyway. I was on 100mg of Clomid on CD 3-7. I went in for monitoring on CD 9 and 10 and had two follicles that were ready to go so I triggered the evening of CD 10 for a CD 12 IUI. On IUI days, my husband's number were less than half of what they had been on previously so our hopes were not high. Luckily, we got a positive pregnancy test 14 days post IUI!

My insurance has covered all of the diagnosis testing, but iui and IVF are out of pocket. The prepaid iui is only $1000.

N/A at this time

Very nice and kind doctor. Answered all questions and told me what plan was the best and all my options. Shared life stories and helped me understand that everything is going to be ok. She explained everything as she was doing it.

Don't be afraid to ask alot of questions. She will answer them all the best she can.

I had a low egg count and I am currently over weight have a form of pcos. So weight loss is the number one thing right now. Then possibly sperm donor and IUI

Not sure