Laura Tatpati

She was honest and straightforward, but not overly concerned with treating the baseline issues (pcos, endometriosis, etc), but more in achieving pregnancy. I can respect that, but I wish we could delve more into treating the cause of our fertility issues rather than trying to bypass them or put a bandaid on them. She wasn't pushing in treatments, but is letting me pursue treatments at my own pace.

Do you own research! Come prepared and know what you want.

Laparoscopy to clear out endometriosis, removal of left fallopian tube due to disconnect, D&C. Now doing IUI with natural cycles if ovulating on correct side. Suggested Clomid and Femara, but waiting for a few natural cycles before adding meds.

IUI $500, Trigger shot $107

n/a

We felt calm with Dr. Tatpati from the moment she entered the room the first time. It was clear she had spent time with our files prior to arrival of the first appointment and knew our history and had thought through a plan already. She was very calm with our questions and concerns and was candid with us when it was needed. She created a good environment for testing and procedures and lessened anxiety with her confidence and knowledge.

Have your questions thought out before coming to the appointment. There will be a lot of information coming your way, and she will cover it all, so having questions ready will help you get everything you need as it will feel like whiplash during your appointments because of the amount of knowledge she will share with you.

IUI $500 total

I feel as though I had very little contact with Dr. Tatpati. I believe she is involved behind the scenes, but I would love to feel more involvement from her. She also has made me feel inadequate because the lack of my husbands presence. He hates hospitals and faints a majority of the time when in one, so it is less stressful for me for him to be gone. However, I feel as though she has judged us for him not attending some appointments or waiting in the lobby.

She knows what she is doing and is very knowledgeable. However, sometimes she speaks in doctor terms instead of something easier to understand.

I was a little annoyed because I had to reach out about a change in protocols. We had done 6 unsuccessful IUI attemps with Clomid and it wasn't until I brought it up to add injectibles, that we changed. I felt like I had to do the research and request a change, when I think that should have been coming from her.

It seems very odd to me that prices were exact. For example: $500. Or the cost to be split between my husband and myself for the IUI was exactly down the middle. I just have a hard time believing it is the exact same price for both of us.

We have not done any of these.

Dr. Tatpati has many strengths. First she is very knowledgeable and takes the time to explain treatments. She also shows empathy for what people with fertility issues go through. She also consults with staff and other dr.s in the practice. The only weakness I can think of is that when we first were consulted at the clinic she seemed very clinical. But, in hindsight that makes sense because she did not have much data on my husband and I and she did not know us well.

Listen to her advice and trust in her expertise.

She knew I had PCOS from blood tests and the ultrasound she performed. Also, she ordered a hsg and my tubes were clear. All of my husband's tests came back normal. She notified us that this was good news and I just needed to ovulate. We started with femara, then higher doses of femara, then clomid. With pills alone I was not ovulating, so she added injections and suggested iui if we wanted. We wanted our best chance so we opted for iui with injections. After a few cycles I stopped responding to meds and even overstimulated. So, my cycles were all over the place. She ordered more lab work because she had some suspicions about my thyroid and adrenal gland. Her suspicions were correct, my thyroid was too low and I had adrenal fatigue. She added a steroid to my protocol and a higher dose of levothyroxine and I started producing follicles for iui. I became pregnant on iui #2 but it was ectopic. We had to take a break as she suggested I take methotrexate rather than having a laparoscopy (that could further damage my tube). Months later we tried a few more times and on our last attempt, iui #6, I became pregnant again but miscarried early in the pregnant. She suspected something may be going on with my Fallopian tubes and/or uterus so she suggested a hysteroscopy and laparoscopy before we move on to more treatments. She let us decide, though she suggested we do to rule out other fertility issues. I opted for the procedures for piece of mind. The results were a small uterine polyp, a small amount of endometriosis, a damaged left tube from the ectopic pregnancy, and a thin right tube that may have caused my last miscarriage. She removed the polyp and the mild endometriosis. After the surgery she let us decide if we wanted to continue with more iuis since I got pregnant twice or to move on to IVF. We feared another ectopic or more failed attempts so we opted to go to IVF. She agreed, and said I'm a good candidate. I started stims this past week (on day 4 now) for our first IVF cycle. I am currently on 75u of menopur and 150u of gonal-f. So far my estrogen levels are right on track!

Blood tests for estrogen and progesterone are $85 Mid cycle sonograms are $150 Iui is $375 IVF is roughly $20k Meds are ordered through integrity pharmacy and range in price for menopur, gonal-f, ovidrel, cetrotide, and crinone. I do not know the exact prices for the meds because the clinic helped me sign up for a discount program that we were approved for. They also have given us meds patients have donated. Overall we have spent about $16k so far because we are out of pocket.

Dr. Tatpati prefers one healthy baby due to the fact that multiples have higher risks. She will however transfer 2 max depending on the case.

I have only seen her twice in the 4 months of treatments - at our first appt and for the hsg procedure. She seems friendly and did explain things thoroughly. She had decent bedside manners, and answered any questions we had at the time. But I did leave the first appointment with lots of questions.

Be sure to ask all the questions you can up front.

My treatment was using Femara (10mg per day for cd 3-7), Follistim (75 IU on cd 5 and 7) and Ovidrel on cd 11. Usually we did an IUI procedure 36 hours after taking the Ovidrel. Then I would take 600mg of progesterone per day (vaginal pills) during my 2 week waiting time. The Follistim was used for stimulating the ovaries to produce more follicles each cycle. They wanted the measurement of each follicle to be at least 16mm. The Ovidrel was used to stimulate ovulation for the timing of the IUI procedure. I have done 2 IUI cycles. One of my treatment cycles did not progress as they expected and I took triple the amount Follistim but missed the window of opportunity to do the IUI procedure. The results of the stimulating drugs have been pretty good but the dosage may need to be altered soon to get moreand bigger follicles. Taking the progesterone after the IUI for 2 weeks definitely delayed my cycle by a couple of days. My cycle did not start until I stopped taking the progesterone.

$40 co-pay each visit $100 for meds each cycle treatment (after insurance coverage) $400 for IUI procedure (not covered by insurance) Unknown lab work cost $400 genetic testing and counseling for both partners $100 for hsg test (after insurance)

Dr. Tatpati is very kind, warm, and reassuring. She seemed knowledgeable and confident. I didn't speak directly with her often, usually through her very capable nurse, but always felt like Dr. Tatpati knew my case well and had my best interests in mind.

When you see Dr. Tatpati, you will feel at ease. You will feel reassured, but still leave knowing as much as you need to know about your case. Know that you can be completely comfortable around her, and that she really has seen it all!

My tubes are blocked, and my blood work indicated slightly lower ovarian reserve. Due to the reserve, I was started on higher doses of Gonal-F (300) and Menopur (150). After 2-3 days of these doses, my estrogen wasn't reacting as quickly as she liked, so my dose of Gonal-F was increased to 450 for 2 days. This jumped my estrogen up dramatically and my dose was decreased back to 300, while the Menopur always stayed at 150. I was on this regimen for 12 days before finally getting the green light for a trigger shot and egg retrieval. 16 eggs were removed, 14 were fertilized successfully using ICSI (slow swimmers), and 8 embryos made it to day 5. 7 were frozen and 1 was fresh-transferred. I was on 5 mL progesterone IM injections daily. On Day 10 after transfer I had the blood test that showed negative for pregnancy.

Monitoring appointments were quick and easy. I was always in and out in under 30 minutes, usually under 15 minutes. A window of time was provided, but if that didn't work in my schedule as a teacher, they were able to accommodate with a little wiggle room. The blood draws were the worst, one phlebotomist was able to get the draw on the first try each time, but the other would try a couple times and then have to call in someone else, so I dreaded seeing her.

The doctor/clinic fee was $12,500. The freezing fee was $1,200 (I think). The medications were the sticker shock. Before we started, after seeing my blood work, I was told an estimate of $2-$6,000 for medications. My first med order was for $5,500, and we ended up spending $8,500 on medications. Based on my age and infertility diagnosis, my husband and I had estimated that I would be on the low end of med cost, so spending so much more was a huge surprise and financially straining.

Dr. Tatpati strongly encouraged me to only transfer 1 embryo. This was due to my age (30), reason for infertility (tubal blockage), and that this was our first transfer. She was willing to talk with me about risks and my interest in transferring more than one, but helped me see that at that point in my fertility journey, the risks outweighed the pros on transferring more than 1 embryo.

Dr. Tatpati was not a warm doctor with exceptional bedside manner but she was very forthright about where you stood with regards to treatment, which I personally preferred. If something wasn't likely to work, she said so. If there was a chance she said so. She gave her honest opinion with no pressure.

Go to her if you are looking for honest feedback that is not sugar-coated. She is honest and forthright.

We did some medicated cycles with intercourse and 1 IUI, none of which were successful as my husband has severe male factor.

We probably spent around $1000 as most was covered by insurance because it was diagnostic and we only did one IUI

Don't know, we never did IVF with this clinic.

She was very open and honest. She was willing to work with us the best she could, especially because we have quite a commute to see her. She took the time to explain everything. I cried like a baby the last time I saw her, and I saw the concern on her face. She took the time to listen and comfort me.

Be sure you understand everything. Ask questions if you don't understand. She is more than willing to answer your questions.

We started with 4 months of clomid and timed intercourse. When this did not work, we did laparoscopic surgery to remove my endometriosis, adhesions, and a polyp in my uterus. Then next step was IUI with letrozole, gonal-f, and ovidrel injections. We did 6 IUI. Our next step is IVF, which we are not going to do due to costs.

IUI was $400, ultrasounds, copay during office visits, HSG, Surgery, medications were from the pharmacy.

Dr. Tatpati has always been very informative and answers all our questions. Miscarriages are hard especially when you have no answers. She gave us all the information we needed to make a decision that is best for us.

Ask lots of questions and she will take good care of you!

Our very first appointment is when we started all the testing. Semen analysis, HSG, blood work for numerous tests. Everything came back fine but my husband was referred to a urologist. In the mean time I was put on progesterone and baby aspirin when I would get pregnant. After 5 losses we have decided our next step is IVF.

We both agree that the single embryo transfer is the safest option.

I feel like with our situation being unexplained we got chances to try the obvious (iui and Ivf in future) but maybe not as many options as others so we are still left with no solutions or answers. I don’t blame her specifically but I feel like she could of given us more options, trying different medications or information on diet or vitamins or something

Ask questions, no matter how dumb they seem!

We tried iui with at home injections, and weekly visits to neck follicles and ovulation with blood work

Office visits, medications, proxedures

She takes her time during your appointment and makes sure that you leave with all your questions answered and all the information she can give you. She’s very thorough but gentle during exams. If she can’t answer your question she’ll point you in the direction that might be able to help you.

Ask your questions.

We didnt actually get much time with the doctor and felt like we were left with alot of questions and uncertainty. We only got to see doctor of we requested it. I also felt like they were not direct in telling us what they thought are best options were

Ask lots of questions

We most did famera and ovedril with times intercourse. We did try 3 iui's but they were not successful

At the beginning insurance was covering some of the ultrasounds and blood work but not medication and procedures. Then nee insurance covered nothing and was to expensive to keep going