Mohamed F Mitwally

The strengths would be that he took time at the beginning to explain everything. He made us feel comfortable and he seemed caring and compassionate. I’d say some weakness were his inability to change things up. It seemed (towards the end) that we just kept doing the same protocol. I would also say cost was a huge weakness, he was not very affordable.

To ask plenty of questions and insist on getting more information (medical and payment options)

He used Letrozole for every cycle. Sometimes he added injections and triggers for timed intercourse and IUIs. He also included a trigger shot for IUIS and would also use vaginal pills for transfer (progesterone, estriol). He did not believe in PIO shots. He also included Meapure and Gonal F for retrieval. He did forget to have my tubes tested until after a transfer had failed. He somehow skipped that step until I brought it up. At that point we discovered that I had a blocked tube on the left side. Had I know that, I wouldn’t have done so many IUIs because my left side did produce more follicles.

If I remember correctly, each visit we $80 and each iui was around $500 (with shots) Our IVF cycle was $12,000 not including medication. So we spent around 20,000 for the cycle. That included one fresh transfer but ever other transfer was $4000. It was so much for our family

For my age (38) he didn’t think it was a bad idea to transfer two embryos at a time. And at $4,000 a transfer, it seemed more economical to do two at a time. He also did several IUIs when I had 3 or more follicles. So I would say he wasn’t too concerned about multiples

He is very smart and knows what he is talking about. He helps you understand the steps and the process. If you ever had questions you could call or text him or his staff directly. Wheather over the phone it in person, he took his time to go over everything with you. He does gave an accent and sometimes he can be hard to understand. He tries to get your body healthy by having to take a variety of supplements (coq 10, vitamin d, alpha lipid acid). After our first egg retrieval and transfer failed, I started to reach what I can do and came across the book, It Starts with the Egg. It went over over the same supplements Mitwally had me and my husband taking. I even asked him about the book. When he learned I was interested in learning more on my own he recommended some other books and even a live webinar hosted by Dr. Sher. I’m so thankful to Dr. Mitwally for my two, heathy boys.

Be patient and trust him. If your not sure or confused ask. He wants to help you understand the process too not just get you in and out. He really does care.

Egg retrieval one - I was on birth control for a few weeks then added letrozole and lupron and weaned off the birth control. Continued the Lupron and added menapur and Bravelle. I think I stimed for 10 days and through the stims I had every couple of days monitoring with ultrasound and bloodwork. The birth control was to quite my whole system, the Lupron to keep me from ovulating and the letrozole, menapur and Bravelle to help develop and grow follicles. Sadly, that cycle ended in a failed transfer and no frozen embryos. We transferred the only 2 embryos that made it to day 5. Later I found out that I had used less potent Bravelle that was being recalled. I feel that had something to do with the failure since we retrieved 11 mature eggs and only 4 fertilized and grew but only 2 made it to day 5. We did an IUI cycle in between the first and second retrievals. That was just letrozole and a trigger shot. The second retrieval was similar to the first with birth control, letrozole, lupron but we used follistim, instead of Bravelle and menapur. That retrieval went perfectly. Retrieved 14 mature eggs, 12 fertilized, and 6 made it to day 5. Huge difference in results. 4 embryos were frozen and 2 transferred, one of which implanted and developed and is now my crazy 2 year old. When we were ready to try for number 2, we went back and started seeing Mitwally again. We we planning on an October transfer (worked best with our schedules between week and making travel arrangements). In the meantime we decided to try a cycle with letrozole and trigger shot and bam, baby number 2. We didn’t need to do a frozen embryo transfer.

Every appointment you had an ultrasound to check for cysts, linning, follicle growth, even baby development just depending on where you were in your cycle/journey. It was part of your appointment. They had a ultrasound machine in all the rooms.

My insurance covered some of the a appointments and ultrasounds. I was responsible for about $150 each appointment. He used a popular fertility pharamacy that had some of the best prices and also offered discounts. I think the medicine for the first egg retrieval was about $3000. The first retrieved was $12,000. The letrozole was about $50 and he had the trigger shots on-site for $100. If you were running low on your medicine doses, you could purchase that as well I think for about $50 to $150 depending on what medicine and doses. The medicine for the second retrieval was about $5000 since we change to the more expensive follistim. The retrieval was $7,000 since the first one fidn’t Work out.

We transferred 2 embryos both egg transfers. The second time they were pushing to only transfer one but since we had been trying for 3 years and had a previous failed transfer, we elected to transfer 2 embryos. Dr. Mitwally explained the benefits and risks to us and left it up to us.

Dr. Mitwally was very caring with my treatment, however I do feel he was vert “set” on one course of treatment, which ultimately did not work for me. His bedside manner was very warm and his staff was always kind as well.

Ask alot of questions and question every bit of treatment, including vitamins. Request bloodwork if you suspect a problem, this is YOUR body and you must always be your #1 advocate.

Dr. Mitwally diagnosed me with PCOS and promptly prescribed metformin to help with the pcos symptoms & ovulation. Ultrasounds were performed on day 7, 14, and I believe 21st of each medicated cycle. Typically on the 7th day ultrasound he would discuss how many follicles i had developing and whether IUI would be a good option that month. Iui’s were scheduled between days 12-15 and an ultrasound would occur beforehand, then an HCG injection and the IUI insemination afterwards. He also did bloodwork throughout the cycle to test progesterone. I never became pregnant anytime during treatment with Dr. Mitwally. Although he had a list of reccomended vitamins and supplements for his patients, I felt as if the treatment protocol wasn’t truly tailored to my specific needs & issues.

The cost of IUI through Mitwally was $475 if I am remembering correctly. Injections were $50

Dr. Mitwhally was very personable. I always saw him at every visit. He conducted most of the tests on his own and was extremely involved in the process. He took his time with us and always tried to make us feel like we would be successful with our treatments.

Do your research. Don’t be afraid to ask around and asks the questions however difficult they maybe. Trust your own instinct! Dr. Mitwhally was great, but there were times in our treatments that i felt like he “tried” something too many times. I had to push him a few times and ask for things I wanted to get done. It was a long and tiresome process.

Mitwhally place my husband and I on a whole lot of vitamins from the start. And he started me on Metphormin 500 mg 3X daily. I was diagnosed with PCOS and one of his first concerns was thinking out my lining. It felted like months of medication. Each time I’d go he’d say, “I just don’t like your lining” and prescribe more medication help shed it. After many months of attempting with medication I started to do some research of my own and finally asked for a D&C.... I felt like he waited too long to get the process going. He recommended I find an OBGYN to commit and conduct it.

My insurance seemed to cover most of the procedures. The insemantion cycle was roughly $400 each time

Dr Mitwally is amazing to work with. He is honest and truly cares. He did things differently from the other doctors I had seen or had consulted with. He gives you his cell number and always called us back or even texted us. He was very communicative and puts his clients first.

Please trust the process even with billing. Dr.Mitwally and his staff really know what they are doing. And they truly care.

With previous doctors I was in clomid and kept having chemicals and losses. Dr Mitwally took me off of clomid and even had me detox from clomid then started me on letrozole and metformin while monitoring cycles and hormones to make sure everything was working.

He is a very knowledgeable and experienced doctor, he takes the time to educate and inform you and then leaves the ultimate decision about your care up to you without pressuring you. He truly helped make the process easier and less stressful.

Ask all the questions you need to feel comfortable! Don't be shy.

We tried IUI but it was not successful after 3 tries, we then moved on to IVF and was able to be successfully preganant. Dr. Mitwally like to use Letrozole with all his treatments and we paid $12,000 for IVF.

$12,000 for IVF and $450 per IUI. Medications and shots were also available when we ran out, but can't remember exact price but it was better than what we paid at our previous doctor for menopur

My experience was decent.. He was very informative on explaining things days of appointments and whats to come... Weekly... Was very understanding about the prescriptions, lab work, ultrasounds ECT..

U may not see or get the results u want right away but be patient god is working a miracle

Was taking letrozole that may have possibly caused hair loss.. explained everything needing to Kno about what was seen on ultrasounds, amount of follicles, any cyst ect.. explained when to have intercourse during Ovulation period

Had office visit to pay,. $5 co pay Deductible amounts whice was $650..hcg shot was ,100.00 menopur injection shots were 150 when needed to increase follicles

He gave me hope from day one even though my journey is continuing on 20 years. He made me feel that he would and will stop at nothing to help me achieve my goals to have children. He has so much compassion and understanding.

Have all of your records ready. Do everything he says.

Because of my financial situation when dealing with a different clinic before we did timed intercourse and vitamins. Letrozole a few doses in between

Most of my pay was my co pay and if I got any meds but he always had samples to test and try

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