Robert Greene

Dr.Greene made my husband and I feel very comfortable. He is warm and thorough while remaining open about what outcomes could potentially be. He also explains why he is changing protocol and is able to discuss what did not work after a failed cycle. We both really appreciated the way that he approached our failed IVF cycle and he was able to talk about it and share the disappointment with us while remaining hopeful.

Dr. Greene is very knowledgeable and approachable. He will answer any questions and is always available via email.

I have PCOS and prior to egg retrieval my Menopur to encourage egg growth as we were hoping for them to develop more and were nearing 2 weeks on medications. We ended up going in for retrieval shortly thereafter because he did not want me to have OHSS. I felt like he really monitored me progression to keep me healthy while getting the best results. I was also taking Cetrotide to prevent ovulation.

For IVF with genetic testing and more that 10 eggs retrieved we payed around $26,000. We did not transfer any embryos as the eggs fertilized but did not make it past day 2 due to an egg quality issue.

Dr.Greene prefers to transfer one embryo but is open to transferring two depending on the situation. He is not willing to transfer more than two due to health risks.

Dr. Greene is friendly, patient and shows genuine care for his patients. He always has a big smile and encourages his patients during the difficult times. In addition, he is very data driven which we appreciated. He provides facts, studies and information from personal experience when creating a plan for you. He has reasonable expectations and won’t force unnecessary and inaccurate rules on you that can cause additional stress. He is informative and always available for questions. He is direct but empathic and we are thankful we found Dr. Greene to help us through this journey.

Don’t be afraid to ask questions! You are in control of your journey and information is power. Dr. Greene will answer all your questions and provide additional information and references for you to explore.

We did an IUI with Letrozle. This cycle failed. We proceeded with an antagonist IVF cycle in 1 month later. We were diagnosed as “unexplained” and did not have any reason to suspect I would be a poor responder. We started with 1 vial menopur and 150 gonal f per day. After 4 days this was increased to 3 menopur and 150 gonal f. We retrieved 11 eggs, 9 mature and ended with 1 pgs tested embryo. We went immediately into a second cycle with testosterone gel and bcp, 2 menopur, 225 gonal f and .8 HGH per day. We had a much better response and retrieved 13 eggs, 11 mature and 2 pgs tested embryos. After the first cycle they saw poor egg quality and poor sperm quality. We are waiting to schedule our FET.

Self pay is about $16k excluding medications. My medication was between $3,000-$4,000 per IVF cycle.

Conceptions highly recommends pgs testing and transferring a single embryo for most patients.

During a polypectomy procedure, Dr. Greene made a rude comment to my mother about “how I was raised” while we were waiting to be wheeled back. While it was meant as a joke it was inappropriate and not the right time. At the clinic, we rarely had face time with Dr. Greene and had very limited interactions that were meaningful or helpful.

I would recommend that it be someone who doesn’t need a lot of compassion or who isn’t super emotional. As an emotional and sensitive patient, I struggled with his approach at many times.

Both rounds of IUI were with letrozole, a trigger shot and fresh sperm samples.

1500 per IUI, (x2) 3000 for polypectomy More fees for initial testing.

He was extremely condescending and treated us like a number. He never took the time to read my medical history or ask me any questions. He just wanted to know how many children we wanted so that we would only consider Ivf because of my age. Then he gave us a totally unrealistic number that we would have a 85% chance of success. Later doing research and talking to other doctors we learned that a 41 year old women does not have a 85% chance at success and it’s a straight up lie. I left the two meetings with him feeling unheard, disrespectful, and stressed out of my mind. We ended up trying out another clinic and it was 180 degree difference, they listened and didn’t talk down to me (Dr. Greene would only talk to my husband and would talk about me like I wasn’t in the room). The other clinic was more expensive but it really relaxed me because I knew what to expect.

If he doesn’t look at your medical history, listen to you, or ask you specific questions go to another clinic. If his only bit of advice is to watch videos of him being interviewed, run away. Don’t waist your time. You don’t have time for his ego. This process is stressful, expensive, and takes a lot you want to be surrounded by good people who care about you. He is fake nice.

Dr. Greene was very wonderful as a physician. He understood what myself and my husband both needed in order to make an informed decision regarding our treatments and the way we would like to proceed. The nursing staff has always been wonderful with me very kind and understanding when we had setbacks and very elated when we experienced joy. While we are currently in the middle of a treatment we cannot show enough gratitude to how wonderful the team and conceptions has been.

One piece of advice that I would give a prospective patient of Dr. Greene’s would be to be honest with him about how you need things explained. Also, don’t be afraid to ask the why questions.

Since I am an older patient of Dr. Greene, He understood and explained that treatments and protocols may change. I do remember that between our IUI and IVF cycle Dr. Greene did make sure that my thyroid levels and my PCOS are being treated by constantly getting blood work done and making sure that my medication’s are correct.

My husband and I are self-pay patient so the cost was something that we needed to prepare for. We are hoping that soon our insurance company will cover fertility treatments, but conceptions was willing to work with us on payments.

Dr. Greene was very helpful and took the time to explain the procedures and IVF protcol in laymen's terms. He's clearly very knowledgable and experienced with the science. He was always very friendly and optimistic which help me stay positive. He's down to earth and treated me very well.

Stay Positive

I was diagnosed with Diminished Ovarian Reserve with poor egg quality. As a result, Dr. Green had us do Duo Stimulation. The first round of IVF stimulation meds involved using Omnitrope and Menopur injections the first several days of the cycle in the morning. In the evenings he had me do Gonal-F injections. Part way through the cycle he added a Menopur injection to the evening injections. We then triggered when instructed and had our first egg retrieval. Due to not having any viable embryos from the first round of IVF injections, Dr. Greene changed up the medication protocol for the second round of IVF injections by increasing the amount of Menopur injected during the cycle. We increased the Menopur injections in the morning as well as the evenings. Everything else was essentially the same. It is from this cycle that we were able to get one genetically normal embryo.

We had medication costs, doctor fees, ultrasounds, lab work, coordination fees, trial embryo transfers and other tests to rule out any other potential complications when it came time for the transfer.

Because we were only able to get one embryo from our two rounds of IVF cycles, we only had the option to transfer one embryo.

Dr. Greene as a very warm and positive presence. He is very informative and explains the IVF process in a way that is thorough and easy to comprehend. He truly cares about us as human beings and has instilled hope in our quest to build our family.

Dr. Green is very personable but also doesn’t shy away from explaining the facts and research. Always advocate for your needs and ask questions along the way!

We are in the middle of our first IVF with ICSI a cycle to support our struggles with male factor. Dr. Greene takes into account your specific labs and tailors your protocol to meet your individual needs - he does not believe one size fits all. I am confident that our protocol is unique to our situation and our families needs.

Our insurance did not cover treatment. Our out of pocket cost for our IVF cycle came out to about $22,000 (this includes unlimited blood draws, ultrasounds, hysterectomy, egg retrieval, PGT testing and transfer). This price does not include the cost of medication.

Dr, Green prefers single embryo transfer as his philosophy is supporting us in having a low risk healthy pregnancy.

Dr Greene is compassionate and has walked in my shoes with his own experiences and knew what to say and what not to say to make me feel comfortable and confident in him. When our recent transfer failed he expressed and emphasized how it was not my fault which gave me peace.

During consults or follow ups have an agenda to follow so you make sure you cover all concerns abs questions. I am fairly comfortable with our Dr. But I always seem to freeze up during consultations and lose my voice. An agenda helped keep me on track without becoming too emotional.

• ERA, SHG, HSG , TET tests prior to transfer Protocol: • Birth control pills the cycle prior to FET - down regulation ▪︎ Lupron injections for 4 weeks – this and birth control work as my down regulation cycle. This combo will shut down (suppress) my ovaries and allows my clinic to control my cycle. ▪︎ Omnitrope injections for 10 days - we added this to my protocol with Sunny due to implantation failure in previous cycles. This drug can help your uterine receptivity become more favorable for an embryo. Essentially this is the welcome party drug for our embryo. ▪︎ Progesterone in oil injections begin 6 days prior to FET and continue through 12 weeks of pregnancy – helps prepare the lining of the uterus and helps maintain a healthy level during pregnancy ▪︎ Estrace pills vaginally twice a day – helps build the endometrium lining nice and thick ▪︎ Vivelle (a.k.a estrogen patches) 1 patch, increased to 4 patches then decreased to 2 - helps build lining ▪︎ Baby aspirin – improves blood flow to implantation site ▪︎ Intralipid Infusion 1 week prior to fet and aging at 7 weeks pregnant Next fet cycle we will repeat an shg and do a microbiome test

Roughly around $40,000

He strongly advises against multiple embryo transfer because of his success and even after our very recent failed cycle with him he advised against increasing embryos

We were a pretty straightforward case, which made our treatment plan pretty standard. Dr. Greene was pretty conservative with meds for my egg retrieval, which initially was a bit scary, but everything worked out. Dr. Greene is super thorough and does a good job checking all the boxes. His transfer nurses (Kristine!) are amazing and super responsive.

IVF takes so much time, so do not expect this process to go quickly. The timeframes given to you by Dr. Greene are best case scenario. If you need something from him, send him an email- he is super responsive via email. He's also optimistic, so don't be afraid to push him to give you more realistic expectations.

I was on an antagonist protocol with low doses of everything (37.5 of menopur and an equivalent dose of gonal f). I was borderline PCOS, and he was concerned that I would develop OHHS. Because of that, he kept my meds lower, believing that fewer eggs would mean higher quality. He was right- out of 12 eggs, we ended up with 5 PGT normal embryos.

Monitoring appointments were easy- I knew I could get in quickly if I went early in the morning. I appreciated this, because it allowed for flexibility with my job.

We had insurance coverage, so our costs were relatively low. We were very fortunate to never deal with billing.

Due to the Covid pandemic, 90% of all our appointments were via telehealth appointments, but he made sure they were warm and inviting and friendly. Even with a technological setback where we couldn't get volume to work, he called in on our landline to speak with us while presenting the slides on the computer. The only time we got to see him in person was during our embryo transfer which was amazing, and made us wish we could've been in the same room with him throughout the entire process. He was genuinely excited for us, took time to explain, to encourage, to include. Everything was well communicated, he made it a point to tell us what we were looking at on the screen, made sure to pause the process (where possible) so my husband could get pictures of our little embryo being shown to us, get videos of the nurse bringing the loaded catheter in, everything that would help us remember and honor our journey. Since you have to have a full bladder for the procedure, I was naturally a little uncomfortable and he cracked a joke that made us all laugh. I warned him that he was in a danger zone for making me laugh and if he kept it up, I might accidentally pee on him. He laughed even more and said that "I fully believe laughter is good for the soul. If laughing gets you this baby and gets me soaked, I'm fully willing to take that one for you!"

Ask him anything. I have a crazy good immune system and hardly ever get sick and, although I "knew" the answer, I needed his professional reassurance that it wasn't my own body working against me for the failed natural conception or IUIs. He took so much time and explained how my immune system was such a good thing in this case and went into the process of immune issues that would cause problems just so that I would have peace of mind.

Egg retrieval: Menopur 75 units subcutaneously daily as directed (for 15 days, I think) Gonal-f RFF Inject 75- 450iu subcutaneously daily as directed (don't remember the length of time) Ganirelix Acetate 250 mcg, Inject subcutaneously daily as directed Leuprolide - Inject 4mg (0.8ml) subcutaneously at the appropriate time as directed for trigger and repeat the same dose 12 hours later Chorionic Gonadotropin (HCG), 1000- 10000iu IM as directed for trigger For the FET cycle: Birth control pills for 24 days. Active pills only, no placebo. Lupron for 27 days, 10 units. On Day 1 of the cycle: baby Aspirin (81 mg), Metformin, Vitamin D, and prenatal vitamin throughout the first 3 trimesters, stopping at the advice of my OBGYN. Pregnyl 10000 units, Inject 5000 units IM for trigger before transfer Estrace 2 mg tablet, altered between dosages and whether orally or vaginally until desired hormone level was reached Vivelle-Dot 0.1 mg patches, Applied anywhere from 2-4 patches for the first trimester per doctor's orders Progesterone in Sesame Oil 50 mg, Inject 1.5 ml intramuscular for first trimester, slowly weaning off per doctor's orders I'm sure I'm missing something, but that's as close as I can recall at the moment!

I've never kept detailed track of what cost what, but I know the initial IVF protocol that includes PGT-A screening, ICSI, and frozen embryo transfer (FET): is $17,875 Anesthesia: ~$400 Medications over our entire cycles probably ~$3000-5000 Acupuncture for transfer day - $100 Embryo storage fee: $62.50 a month When speaking with the clinic's pharmacy, they recommended a program that could potentially help with payments based on income levels and went above and beyond to do everything they could to help keep costs as low as possible.

We were given the option for a multiple embryo transfer, but we would have to "plead our case" and do a good job with logical reasonings behind why we though it would be a good option, etc. before Dr. Greene would approve it for us. We didn't wish to do more than one embryo since we didn't know how my body would respond to a pregnancy, so kind of N/A for us

Doctor Greene is incredibly science-minded. He is following the latest research to give his patients the best possible outcome. He is very confident and warm. We only had three appointments to discuss treatment throughout, but the nurses handle everything wonderfully and he was always responsive by email.

Trust the process! He knows what he’s doing.

I added on HGH, intralipids, and probiotics to my FET protocol. Some of these are more experimental and we discussed them together.

Probably close to $20,000

Dr. Greene (I believe?) assessed this on a case by case basis. I initially wanted to try for twins, and after discussing the risks, I decided to go with one embryo. I am glad I trusted Dr. Greene’s advice because he is the expert.

3IUI and one IVF was all bad experiences at Conception. It is more of a business than a medical centre. For all my IUI rounds, the estimated dates to conduct the final step were all wrong. After doing IUI for 3 times and having the pattern of my ovulation, still they were wrong in their calculation for ovulation dates. You need to double check their dates and discuss it with them. Lots of work and stress for you! The sensitive IVF treatment we received was not tailored to our specific situation. The procedure we received was a blind and general one. When we discuss this matter with Dr Greene, he said they only customize the treatment for the second round of IVF! He automatically assumes you will do minimum of 2 IVF with them! He retrieved the eggs when it was late, and instead of taking responsibility, he mentioned that if the eggs were good, they would properly be fertilized even if they are were post-mature. He then tried to push us to use donor eggs. Though another center, successfully developed 2 embryos with our own eggs and sperms. This center is a business department. Everyone is nice and responsive before your big IVF payment. But once you paid for IVF, you can hardly talk to your nurse or doctor. I have not seen doctor Greene or my nurse AT ALL during the whole IVF process, never talk to doctor even on phone, and my nurse maximum talked 1-2 minutes on phone. Horrible experience! 2 days before retrieval doctor Greene sent an email in which he literary asked me to make decision with my nurse about the date of egg retrieval, and he forced me to make decision without giving me enough information. Be careful, Conception is cheaper option compare to other clinics, but you get what you pay for! More importantly, they are not part of SART or reporting to such professional bodies, so in case of the mistakes they commit along the way, you can not report them to professional bodies. See other clinics before commit to Conception! it totally do worth it.

Dr. Greene has been very open about his and his wife struggles and the IVF journey they had to take. He is a big believer of research from all over the world and open minded to suggestions. He tailors the treatment to you, no one treatment fits all. i had many setbacks due to my DOR and my age but he pushed me to believe that everything is possible and he wont give up on me.

He has a direct line to him (emails are the best and he always response) use it, ask all the questions in world and listen to him.

IUI was a strait forward cycle, clomid with prenatal and estrogen/progeterone pills and ovidrel trigger shot. My FET: Lupron, Estrogen patches, PIO, Estrace, Synthroid (to control thyroids due to meds), Metformin (to control sugar levels and proven to help implantation) Prenatal with extra vit D (I have vit D deficiency), and pregnyl trigger shot. Although i had a miscarriage is was due to embryo not developing not me so dr. Greene believes next cycle will be the same.

FET cycle $9330 and meds costs around $1300, Miscellaneous $500, Embryo adoptions $400 for storage for a year (legal cost are not with the clinic)

He recommends at my age (45) to transfer 1

Dr. Greene, at first seemed very professional and very sympathetic and almost like eager to help us. After 3 failed IUI treatments and being told of very high chances, Dr. Greene followed the same protocol for all 3 IUI's. It didn't make sense as to why he wouldn't change something if it didn't work the first or second time. He requested bloodwork for everything. I only saw and talked to him 2x, which were scheduled consultations with him other than that I worked directly with different nurses for everything else. He did explain PCOS diagnosis very well and I appreciated it.

I would advise, that if something doesn't seem right- then speak up. You know your body and your dreams. I would advise to do your research and get more opinions.

At first we had bloodwork and tests done to diagnosis. Tests were hormone levels, ultrasounds, HSG, seman analysis for my husband m and medication was given to start period. When period started, I called on CD 1 to go in for bloodwork and an ultrasound, then after results were in I was given letrozole 5mg for 5 days. An ultrasound was scheduled on CD12 for follicle sizes. On the first round of IUI, my follicles did not grow much so they upped my dosage of letrozole to 7.5mg for another 5 days -they called this the step approach. Then I went back in on CD12 and I had one follicle size 18mm. I was told to use trigger shot the next day for IUI 36 hours later. First IUI failed. Period came and called on CD1 again, went in for bloodwork and ultrasound and was told I had a cyst size 4.6x2.7cm on left ovary, the cycle was cancelled. They told me to call when period arrived again or on CD35. I called in CD35 since no period yet, went in for bloodwork and was then given prescription provera to start period. Called CD1, went in for bloodwork and ultrasound. Letrozole at 7.5mg was given and went back on CD 12 for scan, had 3 follicles size 14,14,15 lining at 5.5 was told to trigger next day and IUI was scheduled. 2nd IUI failed. Called in on CD1 for 3rd IUI attempt, same protocol was followed. Follicles were 16,17,12 and lining was at 6.5, told to trigger next day and IUI was scheduled. 3rd IUI failed.

Ultrasounds were about $200 Office visits $225 Bloodwork up to $300 depending what HSG $823 IUI $350

Dr. Greene is extremely knowledgeable about infertility treatments. He was very honest and open when discussing what steps need to be taken. He was proactive and wanted the big picture first. He loads of test and procedures on both my husband and I. When reviewing test results he broke it down so it was easily understood. He was honest and hopeful. When we had a missed miscarriage and had to have a review appointment he was a bit too blunt and seemed a bit aggravated. My husband chocked it up to just being upset about the loss too. He referred to our loss as a failed pregnancy. He did give us a plan and what we needed to do before getting the green light to try again. He was very kind when we had to have a surgery done and did not hesitate to let us try again after that. We did have to have another meeting with him after two cycles of no response. That appointment was had as he really pushed IVF, which we did not feel ready for. He did refer to our loss again as a failed attempt. Which still hurt for me and the chemical pregnancy was not even recognized. He was kind enough to let us take as much time as we need to figure out what we wanted to do. He did let us try another IUI while we were still deciding. He is very proactive when it comes to care but can be very blunt during sensitive times.

You are in good hands. He will proactively order all the testing so he has a better understanding of you when you come back to review. He is diligent, honest and can be blunt.

For our first IUI We started with the lowest does of letrozole at the CD12 scan there was no follicle growth so instead of wasting the cycle he offered we stair step. So he upped my doseage to 75mg of letrozole. At the new CD12 scan I had responded and we proceeded to trigger that night for a CD14 IUI. He prescribed progesterone suppositories and order me to take them two days after the IUI. After our MMC he ordered for weekly blood draws until beta was zero. Once zero he ordered an SIS. After that procedure based on the results he ordered a hysteroscopy which found scar tissue and a uterine polyp which he removed. He ordered 3 weeks of healing. He kept the same letrozole dose for the next 3 IUIs. He cancelled two cycles due to poor response but did offer extra injectables that I declined.

Each ultrasound was $185, each IUI was $402, each meeting appointment was $225, bloodwork varied between $25 for the Ventipuncture to $200 for blood test, sperm analysis was $75, HSG was $250, SIS was $200. Hysterscopy was $950

Dr Greene always made sure we understood the course of treatment and took into consideration our vision of our complete family, not just focused on the first baby (which has yet to happen). Dr. Greene has been patient and easy to contact. When I had a miscarriage, he reached out personally to schedule our follow up and provided next steps.

Don’t be afraid to ask questions!

based on my diagnoses and our MIF he recommended 3 (max) IUI’s and then IVF. We have done 2 IUI’s so far and have had 1 miscarriage. After additional testing Dr. Greene is suggesting IVF based on my husband and my results.

Medicated IUI 1,500 Medicated cycle 1,000 IVF 18,000-25,000

He is on top of the most recent research which is important to me. He has a personal email that he told us we can email him at any time. He even has a blog although does not update it frequently. I have only seen him twice but he is very friendly and intelligent. He seems very passionate about his career and I feel like I can absolutely trust him.

Come prepared with a list of questions.

He looks at bloodwork and other tests before deciding anything. He looks at HSG, if you are able to ovulate normally, AMH, and as well as male factor. He doesn't jump into performing a biopsy to diagnose endometriosis and recommends pine bark extract which has one study stating it can help. He recommends removal of polyps and performs the surgery himself. His nurses perform the IUI procedure. There has been a lot of waiting which is frustrating but it seems to me that he follows protocols by the book.

My IUI costs are about $400-500 a month plus a $600 COBRA payment. Not sure what IVF will be.

He strongly recommends single embryo transplant which is something I have done research on and agree with.

I didn't see Dr. Greene as much as I would have liked, but the consultations and treatment plan meetings were very useful. He never seemed rush and always took the time to explain things in detail and answer all of my questions. I always walked away feeling very armed with knowledge about what was next. He was also very responsive to email, but I found his in person responses most thorough. I most appreciated his EXTREMELY thorough understanding of the science and literature behind his treatment plans. He was very up to date on the most recent studies and always had something new to implement to improve his course of action. The one thing I would say that was frustrating about my experience was that Dr. Greene was extremely optimistic to the point where I felt like a freak case/failure when I didn't fall into the great success rates of the clinic. For example, he asked us how many children we would like to have (2-3) and he told us that he was very confident we would have at least 2 babies from one IVF cycle and each embryo transfer was about an 80% success rate. So, when I had 2 PGS tested embryos from round 1 fail, I felt like something was very wrong with me because I wasn't as successful as he made me feel like I would or should be be. On the other hand, in the midst of the treatment, his optimism was helpful and I always left his office excited and enthusiastic about the plan, so the optimism wasn't all bad!

Know that even if Dr. Greene is very optimistic about the success rates of the clinic, failure does happen. Prepare your questions ahead of time to make sure you are able to remember what to ask in the limited meeting times.

2 IUIs with letrazole- he used letrazole instead of clomid because he found better success rates for PCOS patients. (I had 3 failed clomid cycles at CCRM prior to coming to Conceptions). 1st IVF: antagonist protocol with menopur, gonalF, cetrotide, etc. 21 eggs resulting in 2PGS normal embryos. FET 1: hormone replacement cycle (PIO, estrodial pills and patches, lupron). Intralipid infusion, resulted in chemical pregnancy FET2: hormone replacement cycle as above with human growth hormone (omnitrope) added, resulted in negative 2nd IVF: antagonist, similar to first with increased doses of menopur and gonal F, added human growth hormone, 19 eggs retrieved, resulted in 5 PGS normal embryos! ERA biopsy cycle with protocol from FET1, result was pre-receptive Waiting for FET3

IUIs: <$1000 per cycle if I remember correctly IVF 1 including 1 FET and PGS testing of all embryos: about $19,500 + $5000+ medications, additional $ for anesthesia, doppler ultrasound, hysteroscopy FET2: $5100 + about $2500 in medications IVF2 including 1 FET: about $16,000 + $8000+ medications + $2200 PGS embryo testing and ERA biopsy

Dr. Greene was adamant about single embryo transfer and he explained the risk of multiple pregnancies. He also reiterated the clinic's high success rates with single embryo transfers and said the large majority of patients use PGS testing. He did say if we really wanted to have twins, then we could talk and consider transferring 2.

Dr. Greene is energetic, knowledgeable and supportive. He tells silly jokes and creates a more relaxed space even when there is tension. I appreciated that he responds directly to emails. Unfortunately after two frozen embryo transfers, we have not received the outcome we were hoping for under our care with Dr. Greene. I do not believe that. Dr. Greene is at fault for either loses.

Come with all of your questions!

Before each transfer I had pylops removed by Dr. Greene. Frozen Embryo transfers with Lupron, HCG, estrodial, progesterone in oil. In my most recent FET I was put on Metformin.

We paid about $4000 for each Frozen Embryo Transfer. We separately paid for acupuncture.

Dr. Greene seemed to know what he was doing and communicated well with me and his team. It was nice to not have to see him often as this helped keep costs lower. His staff was helpful but very much made me feel like they were just going through the motions and not really pulling for me. It was also extremely frustrating when they would give me a written prescription for medication I needed to take the same evening and not just call it in for me. It was frustrating because I would be going back to work and therefore unable to get the prescription to my pharmacy in time to be able to pick it up in my way home. When I would ask for them to just calm it in they would act like it was a HUGE inconvenience for them. It’s insulting when everything is already harder than it should be. It is such a simple thing they can do to help and they choose not to. Dr. Greene was able to diagnose my atypical PCOS so that was a relief but not sure about the rest of it as we are still in process with trying to conceive.

Advocate for yourself. Listen to the options and make the best decision for you and your partner regardless of what he wants or thinks you to do.

I did IUI with Letrizole and ovadril Witt donor sperm. Three tries and all were unsuccessful thus far. I was placed on Metformin, vitamin E, and a prenatal as well.

IUI generally costs me 1500 each try

If you were young and have a very straightforward case, then he might be able to help you. If yours is more complicated like mine was, go to CCRM or a mini IVF clinic. After two failed cycles where I had 25% of my eggs mature on both cycles at retrieval, I never had any embryos make it to freeze.Dr. Greene told me that at 38 with secondary infertility my eggs were “dysmature” and suggested donor eggs. We were devastated. A friend suggested CCRM. At 39, a year later, CCRM managed to get 100% of my eggs mature at retrieval by letting me follicles go larger than what Dr. Greene considers ideal and changing my protocol. We had success on our first transfer with CCRM and have three more embryos in the freezer.

Realize he has a cookie cutter approach. If you don’t fit it, they will blame your eggs. If you are a complex case or need to go outside the box, go elsewhere. We have trouble making blastocyst, and asked for a three day transfer. Dr. Green said no and told me that if my embryos wouldn’t make it in the lab, they would not make it in my uterus. My next clinic made blastocysts but then actually suggested freezing at day three for my final cycle. I’m currently pregnant with a day three embryo.

We did antagonist twice. If he had let me stim a day longer each time, we would have had more than 3 mature eggs between 2 cycles. At CCRM I had 19 mature eggs from 3 cycles. And I was a year older. Switching to microdose lupron flare at my next clinic was key for my body to produce lots of mature eggs.

We spent $20k+ for the first retrieval and about $10k on the second retrieval plus $20k total on meds.

He is very knowledgeable and acts like he truly cares. But the big weakness is. In order to get you to your goal he pushes IVF which is 30k through his practice. Spend money is his main push. No alternatives or different solutions. Just push that high dollar procedure. Even though a IUI worked just as well.

Just be prepared to spend money if your insurance doesn't cover fertility. Conceptions are not cheap.

He started off by ordering test to find out what we need to do. Analysis of my sperm and wife's area. By doing test, ultra sounds and scans, blood work. Looking for how many eggs and follicle health and size. Monitors the process from before IUI and after and during pregnancy. Then a year of half he starred with the IUI once my wife's tubes were not blocked as initially found in test. Unblocked by natural supplements that were not used by Dr Greene. Finally got pregnant on IUI 2 lost baby 7 weeks in. Dr Greene pushed for IVF from there.

Test and blood worked varied by insurance coverage. But alot of it wasn't covered by insurance so in rough 10k just on blood work and scans. IUI's cost 700 each time. Ovarian drilling polyp removal and hospital times was 15k. My wife was told weight loss would help and recommended gastric bypass. Which wasn't fertility but recommended by the Dr. Was additional 20k since alot of it wasn't covered by insurance. Fertility right around 30k not including IVF. Additional work recommended added another 25k totaling cost 55k.

We were and continue to be in the unexplained category. We asked about all the diagnostic tests we would need to do, but he didn't recommend some because if there was an issue, he would just recommend IVF anyway. However, we would prefer to have the entire workup done first to make that decision. Thus, we didn't get a full diagnostic workup before we did our first IUI and then almost started IVF at this clinic. Luckily, before starting IVF, we moved to a different clinic, who did a full workup which showed a couple minor issues. I really feel you need the entire picture before you waste your time and money on IUI or IVF, but that wasn't done here. I felt pressure to go the IVF route from the very first meeting, although I am young and have no major hurdles we are aware of yet.

Ask for all possible diagnostics tests to be done before doing any procedures. I had two polyps that had to be removed, but that was found by my second doctor before my second IUI. If there is a possibility that these issues are lingering, why spend money and time on treatments without having a full picture of what could be an issue?

We did one IUI under Dr. Greene with letrozole. It did not yield a positive pregnancy test.

Doctor Greene was amazing. He was always willing to cover treatment options and plans in as much detail as we wanted. He also provided material on extra supplements and research that has been show to help with fertility. He never had me do something in my treatment without providing an explanation about why I was doing it.

Come prepared with questions and feel free to ask them.

I had 2 rounds of treatment, after the first round we discovered an egg health issue that we did not know about previous to having embryos PGS tested. The first round did not include any extra medications, They retrieved 18 eggs, 13 were mature, 12 were fertilized. Only 3 made it to day 5 (previously unknown egg quality issue) and 3 were sent for PGS testing, 1 was deemed "normal" Grade AB. The second round of IVF protocol was similar with the addition of Omnitrope. They retrieved 13 eggs, 9 were mature, 8 were fertilized, 4 made it to day 5 and were frozen and sent for PGS testing, 3 came back "normal".

We have insurance coverage and paid around $20,000 for all testing and procedures.

The clinic recommends eSET because of all of the testing done on the embryo and uterus before hand the live birth rate is very high and the goal is for a healthy baby and a single embryo transfer has a higher chance of a healthy live birth. But they have it as an open topic of discussion.

Dr Greene was very familiar with my case right when I walked in- I could tell he had read it before I arrived and that was reassuring. He asked a lot of questions and gave us several options and helped us understand everything thoroughly before we parted. We never felt rushed and he answered any questions that arose after our meeting very promptly

Ask a lot of questions- he explains things well but he also doesn't mind answering anything you think of

we used 50 mg of Clomid for the first 4 IUIs and an ovulation predictor kit. For our last IUI we used a trigger shot and ultrasound to be more accurate. I was also taking herbal supplements that he recommended and prenatals to help egg health

IUIs and testing were less expensive than my own doctors- IUIs were $350ish. IVF all in would be 25-35k per round

He definitely leaned towards eSET because of their success rates and explained that unless we desperately wanted twins he would discourage multiple embryo transfers