Tarun Jain

He has always been supportive of my interest in trying supplementary treatment outside of just the RE world (i.e. supplements, Naturopath, acupuncture). He has been very flexible with doing things on our timeline and not his or the clinics. He has given us his honest medical opinion for treatment based on our clinical presentation. I have never felt like he was forcing us into doing certain treatments (i.e. going right to IVF after my miscarriage). He has been clear and direct with us and explained all the medical language he was using. One issue I had was when I was 3 days after my D&C when I was in significant pain due to additional clots passing. Another doctor in the clinic performed my surgery so she was the one who I saw when I went into the clinic to figure out what was going on. After, it all subsided and i passed all the tissue I heard from my nurse who I work with but I did not hear from Dr. Jain himself about the issues after my surgery.

Come in with questions. If you do your research before you will be able to get even more out of your appointment than you have to begin with.

I have done 6 IUI's up to this date. Dr. Jain's rationale for performing IUI's was because my main issue with irregular cycles due to mild PCOS. I had no other abnormal test results that indicated a more severe treatment was needed (i.e. IVF). He also had me immediately start taking 25 mcg of Synthroid to balance out my thyroid. For the IUI's, I took 5 mg of letrozole and then used the ovidrel trigger shot for each cycle. On the second IUI, my uterine lining wasn't thickening as it should have been so they put me on 10 mg of Estradiol. This was the cycle I got pregnant! I had an early miscarriage for unknown cause (genetic test showed the baby was chromosomal normal). For the following 3 IUI's, Dr. Jain had me taking 20 mg progesterone suppositories following the IUI to help assist with implantation. Throughout this process I have had to increase my Synthroid dose. After my 5th IUI (4th failed), we decided to take a break from treatments and see a Naturopath doctor. After a few months of diet change and additional testing/treatments suggested by the Naturopath we returned to Dr. Jain to discuss next treatment options. He went talked us through what IVF would look like and the pros and cons for our situation. He also talked about the pros and cons of continuing with IUI's. He was very supportive and willing to continue with IUI's because we had success. After that appointment, we decided to try more IUI's. We had our 6th IUI in March 2020 with the same treatment protocol listed above. We had set a plan with Dr. Jain for what we would do different if I got a positive pregnancy test. This included taking blood thinners to help maintain the pregnancy. Unfortunately, I did not get pregnant from that cycle. We are currently in a holding pattern right now due to COVID-19 and have not been able to start another IUI. Our plan is to try two more IUI's and see if either is successful before discussing other options.

Our insurance did not cover any procedures. It is $709 per IUI. My Ovidrel injections cost $92. We paid co-pays per our insurance for all other appointments.

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We were initially introduced to Dr. Jain during our third embryo transfer. He was kind and careful during that procedure. I ended up becoming pregnant but lost the baby nine weeks later. As an aside, it turns out that the baby had a severe case of down syndrome. In between the embryo transfer and our miscarriage, our doctor had retired and it was recommended that we meet with Dr. Jain for our follow-up appointment. Despite being a large clinic, Dr. Jain remembered performing our embryo transfer and gave his condolences several times given that we lost the baby from that transfer. We decided to move forward with Dr. Jain for our third, and hopefully last, IVF cycle. We just had our egg retrieval two day’s ago, but so far Dr. Jain has been extremely sympathetic to our situation, needs and wishes and has done whatever was in his ability to set us up for a good outcome. Most importantly, he listens to what we have to say.

I would tell a perspective patient that they most likely won’t see Dr. Jain often but know that he is working behind the scenes and will monitor your case and implement your wishes however he can. So please speak up. Dr. Jain is there to listen and craft a plan with your assistance.

I am prone to OHSS. After my second retrieval, in which they harvested 29 eggs, my husband and I told Dr. Jain that we didn’t want to go that route again. Dr. Jain said that more eggs out better but felt for us and did what he could so that I wouldn’t produce an over abundance of eggs. He put me on 75 units of Menopur and 125 units of Follistim. After five days, he reduced my Follistim dose to 100 units and we discontinued my stims after 8 days. The doctor who performed my egg retrieval, Dr. Boots, ended up getting 16 eggs of which 11 fertilized. We are much happier with this modest amount.

The clinic down monitoring within a two hour window each morning during the early hours (6:45 to 7:45, I believe). While this doesn’t always jive with our schedule, especially with a little one at home that needs to be dropped off at daycare, once we get to the clinic, monitoring appointments usually run very smoothly. I am usually in and out within twenty minutes.

We are lucky in that our insurance covers the procedures related to IVF. We only have to pay for medications and genetic testing. That being said, we asked Dr. Jain to send in the request for medications in December even though we weren’t doing IVF until February because we had already spent our deductible in 2018 and the medications would be free (we’ll take our small wins where we can). Dr. Jain complied but failed to order enough Follistim to cover a minimum of 8 days. What we had only covered 7 days. We had to purchase more Follistim in February because we were 75 units short and it cost us $1.5k. We will also have to pay for genetic testing, which will likely cost around $5k.

The fertility clinic as a whole has a very strict one embryo transfer policy. I’m not sure what circumstances would make the doctors change this protocol. Perhaps if the patient is over 40 and did not test their embryos they would be more willing to transfer more than one.

Dr. Jain was absolutely incredible. I referred him to my sister and had zero hesitations with that. I felt like I received individualized care based on my testing and results of ultrasounds/blood work.

Be vulnerable and honest and come with prepared questions and hesitations. They address them all.

This was my second IVF cycle. The first IVF cycle resulted in a pregnancy at the first embryo transfer and we were so excited that IVF was effective and worked! I unfortunately miscarried but that can happen even with a natural pregnancy. The second IVF cycle involved a series of shots with Follistim (dosages are adjusted based on blood work and how effectively the levels are increasing and how many follicles are growing and being produced), ganirelix, and oral meds letrozole, and then a trigger shot with leuprolide right before retrieval. My body responded very well to all medications and shots. My hormone levels increased appropriately and follicles were growing and produced properly. My first IVF cycle I produced 23 eggs and the second cycle I produced 17 eggs.

My first 3 IUIs totalled about 3K; first round of IVF about 22K but that included about 5K of genetic testing. 2nd round of IVF is currently under 10K, i believe that's because I've hit some deductible maximums with insurance, not sure though.

I only transferred one embryo at a time.

Dr Jain invests deeply in the care of his patients. Although my journey was complicated, Dr Jain never gave up on me. After each appointment, we would change the treatment protocol and explore additional testing if needed. I did a lot of research myself and felt very comfortable asking him questions to share my wants and needs. Dr Jain had no problem adjusting the treatment plan to what I felt most comfortable with. During each appointment, I never felt rushed. He would also send MyChart messages very late at night as he is catching up on his charting. It showed that I was not just a number to him, and that he genuinely cared about me as his patient.

Come prepared to ask questions! If you’re up for it (or in the healthcare field), do your own research and ask Dr Jain what he thinks about certain tests, labs, or procedures. Knowledge is power, so take your time during the appointment to make sure all questions are answered.

IUI - letrozole alone, and letrozole with clomid. Unfortunately all were unsuccessful. IVF - low doses of GonalF and Menopur since I made a lot of eggs. He monitored me closely to make sure I didn’t develop OHSS. We ended up with 29 eggs and 13 embryos from that one cycle! FET - due to my risk of OHSS, all of my transfers were frozen. First transfer was a medicated transfer with estradiol and IM progesterone - which failed. I ended up fainting with the IM progesterone once, so we avoided it for the next transfers. Second transfer was a modified natural cycle with letrozole and Ovidrel - but unfortunately ended in an ectopic. Third transfer was another modified natural cycle and currently pregnant! (We did genetic testing of embryos and ERA test prior to the third transfer)

My insurance thankfully covered IVF, so I just had to pay my out of pocket max for the year which was $3500. I never had any issues with the billing department. Embryo testing was not covered, so that was an additional $5000. Also, the ERA and ReceptivaDx testing is not covered by any insurance, so that was an extra $1500 out of pocket. In total: $10,000

Always starts with one tested/untested embryo. If first transfer fails, will consider 2 untested embryos if patient understands the risks. If embryos are tested, then single embryo transfers only.

I've only met Dr. Jain twice never in person only telemed because of Covid. The very first time I met him to my partner and I he seemed cocky he basically told me to go on a Plant based diet, lose weight, cut sugar out, and stop eating meat because its bad food. He was confident that I would not need IVF and with 4 IUI (3 being negative and 1 being a chemical pregnancy). After our 2nd telemed meeting we are now doing IVF. Which is not only time consuming but is very expensive. I will say I cut dairy out of my diet and did lose 28 pounds. Never had natural periods until I lost all that weight the last 5 months my periods have been coming by themselfs and timid. He does take the time to listen to you and it is very overstimulating the amount of information that is received and what your body really goes through! You are mentally and physically drained.

Be prepared- this experience is very long and becomes overwhelming for you and your partner. It consumes your life from the blood draws, semen samples, ultrasounds, and appointments. You pretty much work around their availability and I've personally have missed a lot of work just to attend these appointments. *Do your researches make notes and DO NOT be afraid to ask Questions.

My partner and I decided to do 2 timid intercourses and 2 IUI. But, the protocols were similar. Timid intercourse: Notify the clinic of day 1 of period. Day 3 of period schedule you for bloodwork and ultrasound. Based on your bloodwork and ultrasound they send you a message letting you know to start taking Letrozole 5mg once a day for 5 days. Return for bloodwork and ultrasound and based on your results the nursing staff will tell you when to give the trigger shot usually 24 hrs last between 9pm-10pm. The nursing staff gave specific instructions for the timid intercourse usually the next three days. Wait 2 weeks and take a pregnancy test. The IUI:Notify the clinic of day 1 of period. Day 3 of period schedule you for bloodwork and ultrasound. Based on your bloodwork and ultrasound they send you a message letting you know to start taking Letrozole 5mg once a day for 5 days. Return for bloodwork and ultrasound and based on your results the nursing staff will tell you when to give the trigger shot usually 24 hrs last between 9pm-10pm. The nursing staff reaches out to scheduling to set you a time for your partner and yourself to go in the IUI procedure (Usually 2-3 days after trigger shot).

Make sure you try to have the best deductible because the cost quickly add up. The trigger shot is through Northwestern Speciality Pharmacy and you have to special order that shot and it was $20.00. The ultrasounds and bloodwork after I met my deductible were free essentially but prior the blood work was roughly $10-$30 and ultrasound was $30-$50

No comments this process was explained thoroughly to me and I understood why he is transferring one embryo instead of multiples.

Dr. Jain gave the biggest gift he could possibly give us, our miracle baby boy. I was getting treatment at FCI prior to seeing Dr. Jain and I felt like I was just treated like a number and not a person. When I started seeing Dr. Jain in January 2020 after a recommendation by my sister n law who was in her 40s and had a very successful 1st cycle of IVF by Dr. Jain, I was blown away at the difference in care with him. Dr. Jain has the best amazing bedside manner. He is a good listener and is very compassionate. You can tell that he is rooting for you. He makes you feel like you are his only patient. Anytime I had questions, it was always very easy to set up a consultation with him. I felt very involved in my care and he was very receptive to my ideas as well. He would change my protocol as needed with each round. I already knew that we have a male factor issue and a poor egg quality issue and even with the odds against us, he made my dream come true. We are having our baby boy in July 2021 and it is all because of Dr. Jain. You would be foolish to look elsewhere. I have recommended him to some of my co-workers and they now pregnant too. Look no further than Dr. Jain for your fertility needs. He is a miracle worker.

nothing, please stay exactly the same. I can't wait to start my next round of IVF with him in January 2022.

micro dose lupron protocol with follistim is the protocol that got me pregnant

not sure, insurance covered everything

Dr Jain was very thorough in his explanations and medical opinion. He always listened to me when an IUI cycle didn’t work and adjusted the medications based on patient preference. Be prepared with questions! You won’t see Dr Jain often but he is working with the staff behind the scenes. I highly recommend him!!

Be prepared at your appointment with a list of questions. Ask Dr Jain anything that is on your mind. Patients lose a lot of control during the infertility process, so Dr Jain will listen to your requests to “give back control” in a sense. Do your homework and be prepared to ask questions!

PCOS - letrozole 2.5, letrozole 5, then letrozole 5 with clomid 100

My insurance has great coverage, so our out of pocket costs were low. IUI was about $220 after insurance

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Dr. Jain is a great, compassionate doctor. I only with he would have changed our protocol much earlier than he did. He waited for three failed cycles before changing anything. That being said, it is my understanding that he is one of the best doctors at Northwestern and in the area in general.

Please be sure to advocate for yourself. Understand that you’ll be seeing the other doctors at the practice much more often than your specific doctor

I respond very well to the meds and create a lot of eggs. I am always on the lowest doses of Menopur and Follistim. My problem is that I don’t produce high quality embryos so after three rounds we only produced two PGS tested Day 6 embryos. One transfer resulted in a miscarriage of a chromosomally abnormal embryo despite the PGS resting. The other PGS tested embryo resulted in a negative beta. After that round we changed our protocol to transfer two Day 3 embryos. That transfer resulted in a chemical pregnancy.

Monitoring appointments were quick and easy! Results and any changes to protocol were provided later in the day via secure email.

We’re luck that insurance covers the medical procedures associated with IVF. We have to pay out of pocket for medications (approximately $7k) and genetic testing (approximately $3k) per round of IVF.

I’m happy to do eSETs but understand that transferring two Day 3 embryos, given my history of poor quality embryos, was the right choice.

I do think when I came to him expressing my own instinctual fear that my egg quality might be an issue, and that we are going out of pocket for this he didn't quite hear me. He was looking at odds, numbers, labs and my fear was with 3 miscarriages at 40 years old using my own eggs would be an issue. I even asked him about embryo adoption and he didn't seem that we were there yet. So on one hand I loved that he believed we'd have a FEW healthy embryos come out of this but I was gutted when we had zero.

Maybe get a second opinion before going with him if you have any concerns like I did.

stimulation medication,(Gonal -F or Follistim) 225 units & Menopur 75 units tand every night within approximately one hour of your chosen time. Ganirelix/Cetrotide was weaved in at somepoint.

$10,000 down payment for 1 cycle this was not including meds, and certain labs like the genetic labs for my husband and myself and then the genetic testing on the embryos was also separate. All in we spent $20,000

I just wish I understood more about how these day 6 embryos with good "grades" widdled down to ZERO healthy ones?

I did not see Dr Jain too often, just twice. Once for initial fertility consult when be advised us his plan for IUI before IVF. We met again for an IVF consultation.i thought he was quite thorough and provided hope for our case

Most likely will be interacting with the nurses more

We started with provera to induce a period as I have anonvary (spelling?) Cycles. Once my cycle started I would come in for a baseline ultrasound to check if there were any cysts or abnormalities. If all was cleared, I would take clomid for 5 days and come back for a mid cycle ultrasound to get blood work done. If estrogen levels and follicle size were mature, I would be instructed to do an ovidrel shot before coming into doing an IUI cycle. I have not started IVF yet but Dr Jain informed me of the risk of OHSS

With insurance, each IUI cycle was about $600. Ovidrel injection is $92 each x 5 attempts. IVF meds were $2,000 after insurance. The IVF procedure would cost about $5,000.

None

Dr. Jain is very personable. I felt comfortable meeting him and enjoyed our discussions. He seemed to understand my goals and was very open to helping me as a single mother by choice. I was a bit disappointed that he did not seem to review the very lengthy intake paperwork I had to complete before my first appointment. Not sure why patients are made to complete it if it will not be reviewed by their doctor.

Make sure you know your goals and what you would like your treatment to look like. He is open to trying different medications if you have concerns about any he recommends. Be prepared with questions as he does not volunteer much information unless you bring it up.

I have no known fertility problems, other than those common for a women in her mid 30s. I sought RE treatment as I am trying to become pregnant without the involvement of a male partner, by using donor sperm. He recommended medicated IUIs (low doses of Clomid/Letrozole at same time and Ovidrel trigger shot to time the IUI better). I asked to skip the Clomid initially due to my concerns about the side effects, but we did add it back into my treatment plan for IUI #3. My first two IUIs resulted in negative pregnancy tests and I am currently in the TWW for IUI #3. I was a bit disappointed to find out he had me trigger with my first IUI when my follicle was quite small still (18mm) and my lining was very thin as it felt like we probably had the timing off for that one. Since then, I've been more proactive in my care and have pushed back when I felt the timing wasn't right.

The clinic costs for each IUI were about $1,200 each cycle ($315/monitoring visit x 2 visits, $584 for each IUI). Medications were an additional $120 per visit, with the Ovidrel shot being available for $92 at the hospital pharmacy. My insurance did not cover any of the costs.

Dr. Jain is a kind and compassionate RE. He’s written a book about infertility and it’s clear he truly cares for his patients and their well-being. That said, I am a poor responder and have done 6 cycles with Dr. Jain. Other than the first 2 cycles, I have suggested all protocols and potential new ideas to try. While I wish he would have been more proactive in that respect, he was completely open to my suggestions and allowed me to try everything I wanted to without hesitation. Of my 6 retrievals, Dr. Jain only performed 1 of them. I never saw him during stims either but he was also available for a call if I requested it (and I was never charged for them). Overall, I think Dr. Jain is a great RE.

Be sure to do your own research and advocate for any protocols or medicines you think may be beneficial. Northwestern appears to be pretty conservative in their practice.

Antagonist - first 4 cycles, mostly diagnostic but I think this is the standard protocol they use for all patients. Microdose lupron - it was my suggestion to make this change For the last 2 cycles because I knew regular antagonist was not working for me.

Northwestern follows SART guidelines in this regard.

So far he is very nice and very gentle. He explains this well and although I am in the field he still explained everything. Sometimes he can be a little awkward but I believe he knows his specialty. I’ve never had a problem with him, I’d just like him to be more visible.

Be prepared to not see a MD during your IUI. I was completely caught off guard. Be prepared to travel down town for monitoring and procedures, I was under the impression everything could be done in Oakbrook.

Iui x3 with letrozole and ovidrel trigger. Letrozole works better with those with a history of PCOS. 1 ivf cycle with gonal f and menopur. 7 follicules, 4 mature, 1 fertilized. 1 bfn.

Last I have heard... my insurance covers 5 IUI’s and 4 IVF procedures.

1-2 with a 3 day. 1 with a 5 day.

Dr. Jain is compassionate. He is willing to explain things in detail and genuinely cares. He is not in a rush to push things that he knows will be financially difficult for his patients. He takes your thoughts and feelings into consideration with his recommendations for your treatment plan. I truly feel that he is invested in the process of doing what is best to achieve a baby.

Come with any questions or concerns you have and he will address them all and answer to the best of his ability.

I have been doing iui with injectables. Each time depending on my response he has adjusted the dosage when necessary. I have only one functioning tube, we make sure that is the side with the follicles be fore proceeding with the iui. He also has me begin progesterone a few days following my treatment.

The ultra sounds and blood work range depending on the type. The iui cost for self pay was $350. All medications range in price.

So far my experience with Dr. Jain has been positive. I feel that he is innovative and willing to listen to all of my concerns and answer all of my questions. He has compassion for not only me but also my partner. He was willing to go above and beyond in my treatments so far to address all problems. I am very happy having him as my doctor.

He is very open and honest. He is a doctor you can ask anything to without feeling intimidated or like he is rushing you out. Come with all of your questions and concerns. He will address them all with honesty.

I went to Dr. Jain for a second opinion. He performed a laparoscopy & hysteroscopy and resolved some issues of mine that other doctors could not. I have done 3 IUI's with injectables under his care. Unfortunately none have been successful yet. He has adjusted my dosage each time and wants to do one more aggressive IUI with injectables before moving to IVF. He is understanding of the fact that I am self pay. He wants to exhaust all of the lower cost treatments before moving onto the larger one which is wonderful. We are hoping our last IUI will work, but if not will continue to save for IVF with him.

We had a fabulous experience with Dr. Jain. I felt completely confident in his expertise, his insight into my particular case, and his execution. During my actual transfer, it went so smoothly, and I honestly hardly felt a thing. (He is not the only fertility doctor I’ve seen, so I know this is not always the case!)

You’re in good hands!

We tried a few times to harvest my own eggs. After a couple failed cycles, Dr. Jain was willing to give a final effort, increasing my meds accordingly. Finally, he advised that donor eggs would be the best route for us. We now have a beautiful baby girl and are so thankful!

Our insurance coverage was fabulous at CIVF. There were some admin fees, specifically the ones I recall were associated with genetic testing (which we didn’t end up being able to use) and donor egg coordinating (a fee for receiving the eggs).

Dr. Jain recommended transferring two embryos for each of my cycles.

Dr Jain is intelligent, kind, honest, and has an amazing bedside manner. He was positive yet realistic. He did not sugar-coat anything. I really appreciated that. He also gave me a free copy of his new book -- The Infertility Journey! It really helped me.

Drop what you are doing, and go see him now!! You will not be disappointed, I assure you. We need more doctors like Dr Jain. He is a breath of fresh air.

Dr Jain and his staff made it very easy. I had detailed written instructions for everything. I could use vaginal progesterone (Crinone) instead of those horrible progesterone in oil shots that my previous doctor insisted upon. He also had me stop unnecessary things like baby aspirin, prednisone, and blood thinners. I did not need any of them. I also used ganarelix instead of lupron -- ultimately needed much fewer shots.

My insurance covered most of the costs, except for using donor eggs. I got an accurate financial estimate well in advance so I knew what to expect. There were no surprises.

Dr Jain recommended I try a single day 5 embryo first, since it was from a donor egg.

Dr. Jain was fine. I'm an introvert so I was never overly emotional and wouldn't expect nor need much emotion from my doctor; however, he did celebrate my victories with me. He explained things clearly and was willing to repeat as necessary and without bias, allowing me to make my own decisions. The day of the surgery I decided to change our course of action. He explained the implications without forcing me to do anything.

Don't expect to be best friends.

After the hysterosalpingogram showed blocked tubes we scheduled a laproscopy and a hysteroscopy. If the tubes were hydrosalpinx he would clamp them to better the chances for a successful IVF.

Insurance covered 60%

Very open, transparent and honest. Let us know all of the outcomes. The good, the bad and how we can adjust depending on how each treatment went. He was compassionate, caring, and very educational as we were going through the process for over 24 months. We couldn't recommend him and a team highly enough.

Be open to learning all of the different options available. Dr. Jain is an excellent doctor and will be sure to inform you of all different ideas and potential options.

He was great he draws pictures to make sure you understand, he send you MyChart messages, 24 hour turnaround time for questions most times it was within hours, he listened to concerns, he’s opened for discussion. Just all around nice practice

This is a long process and you have to be mentally prepared

I didn’t have a baseline, so he started me off with gonal f 300, then I wasn’t moving like he wanted so he increased my med to 450, I was only able to produce 3 follicles, after a couple of days with those 3 he told me to start ganirelix the follicles grew but not big enough so I decided to end the cycle and start another one, I feel confident this time because Dr have a baseline to work with

My insurance covered everything OOP less then 5k

Doctor Jain was a really great doctor. He was kind and patient. Never was in a rush to get you in and out. Dr Jain made me feel comfortable in an uncomfortable situation. I would recommend dr Jain to anyone not because I was sucessful with IVF but because it was the overall experience I had with him.

If you don’t understand ask he is very patient and understands that it can be very overwhelming.

Dr Jain recommended 2 embryos to have more of a chance of successful transfer

I was very happy with his knowledge and cycle protocols.

Always ask questions and do your own research. I would give anyone that advice for any doctor.

I remember that we used Ganirelix and no lupron for our IVF cycle. He gave me the option to use Crinone instead of progesterone in oil, even for a frozen embryo transfer. Cycles are synced with birth control pills.

Dr. Jain was very informative and sensitive at the same time. He laid out our options in a tiered manner from least aggressive and least expensive to most. His staff was really helpful and even accommodated my early work ours for blood work.

Don't hesitate to ask questions or ask for clarification. The nurses are very encouraging and most are knowledgeable.

Dr. Jain is incredibly kind and has a bedside manner that makes you feel welcome. I was a puzzle for him as scores and scores of testing were'normal' yet I continued to miscarry. After my first miscarriage under their care, he wanted to do the d&c and following my next pregnancy, made sure he was doing the ultrasound scan. As I was scouring medical journals and doing my own research (which all doctor's love), Dr. Jain was patient and always will to discuss journal articles I shared with him, and even talked to the director of labs at NW after I wanted certain draws and tests done. While ultimately it was not possible, I appreciated Dr. Jain's willingness to advocate for me. His research interest is equity in reproductive health, so that alone can tell you the sort of doctor -and person - he is

My only treatment protocols were progesterone and Lovenox. I was a medical mystery, diagnosed with recurrent miscarriages and unexplained loss (2 missed miscarriages, a miscarriage in the 2nd trimester, and 2 chemical pregnancies: I was 5 for 5 on attempts at natural conception, I just couldn't keep them alive and no one seemed to know why. I was under his care for 2 miscarriages and one chemical pregnancy). He was willing to try IVF as during one of my miscarriage tested positive for a chromosomal abnormality, thinking IVF had a potential to avoid that situation, but would not necessarily address the whole failing thrive in my uterus thing... I appreciated this willingness though.

He conducted a thorough examination and provided clear instructions and recommendations for our game plan. We only met him once at our initial consultation back in January but he came highly recommend by my gynecologist. We also have an IVF consultation scheduled for next month if needed.

Since we had already been trying to conceive for a year, had 5 months of clomid and one failed IUI without a positive pregnancy test he laid out a game plan to switch to letrozole for three months before discussing IVF.