Tiffany D. Justice

Dr Justice offered to see us during her lunch as there was a scheduling mishap that had nothing to do with her. She talked with us and listened to our concerns and answers all of our questions for as long as it took. Because I was about mid cycle she offered to do an ultrasound at our consultation to see if I currently had any viable follicles. When she saw that I did she offered to start trigger shots in 2 days! She gave us all the info for the mail order fertility pharmacy, cost information and instructions on when and how to administer, as this was something we had never done before. She was extremely down to earth, kind, and very knowledgeable.

She’s worth the wait to get an appointment to see her!

I have PCOS and was already on letrozole 5mg, but at my consultation appointment she increased it to 7.5mg for next cycle if I do not get pregnant and will monitor with ultrasound. She also started a trigger shot of Ovidrel for current cycle and future cycles if needed. I will continue on metformin for PCOS and insulin resistance and extra folic acid for the MTHFR gene mutation. She also started me on progesterone suppositories to help support the uterine lining for implantation!

I could not speak more highly of a doctor than Dr. Justice. She was a smiling face at every single visit. She maintained a unmatched level of optimism, while still staying realistic. I never felt rushed at appointments and she listened to me, answering every question and explaining each step of the process. I always knew she had my best interests in mind when making any decisions about my care. I came into the initial consult requesting IVF. She still made sure to detail all the options I had available, drawing pictures for me to get a more clear understanding. I was never pushed into any decisions. She has a way of making people feel like her most important patient, always asking about my day to day life while at visits (remembering things we discussed before) and personally calling with the blood beta hcg levels after transfer. I will definitely trust her with my future care.

Trust her expertise. You're in good hands.

Birth control for 19 days. Gonal-F 225 and Menopur 75 for 8 days (Cetrotide for 3 days) Triggered on Day 9 with Lupron for retrieval the morning of day 11. Cabergoline started on day of trigger. Egg retrieval and freeze-all cycle. Chose to do no testing on the embryos. Couple weeks on birth control before starting 2mg Estrace 3x a day orally. Lining was thin at ultrasound, so added 2mg vaginally. Lining developed a fluid pocket, which did not resolve after the next period. Hysteroscopy, polyp removal, d&c. New cycle with 2mg estrace 3x a day plus 1 vaginally. Tranfer about 3 weeks later.

IVF was roughly $13,500 with $600 for anesthesia. This included monitoring appointments, retrieval, transfer, first blood beta, 1 year of storage for the embryos. Medications were about $5000.

She prefers to transfer 1 embryo. Fully educated us on the tradeoffs of transferring 2.

Dr. Justice is extremely knowledgeable about all things Fertility. She was always available, even coming in early and staying late to fit my schedule. She knew financing was a challenge and did all she could to make my experience as affordable as possible. She was calm, caring and treated my family like family (not patients). She gradually went through a course of treatment and did not rush us to make rash or expensive decisions. She was amazing! I would recommend her to anyone.

Go in with questions and explain your expectations. Let Dr. Justice have all the information so she can create a plan.

Costs were expensive - about $14000 for the ivf plus medications (another $8,000-10,000) the IUIs were about $500 each, the ultrasounds were about $100 each

Since I have two children already, Dr. Justice was firm in her choice to transfer one embryo. We wanted one child. She was fairly confident that if we transferred multiples we would conceive multiples.

As stated already, her personality seems shy at first and it took me a few visits to warm up to her. She is gentle, very calming, and explains everything in the plan of care in great detail, as well as during the procedure. She is compassionate but not a warm and fuzzy kind of person. She sets realistic expectations.

That she is fairly new to RE but is very knowledgeable

We had 4 failed IUIs. The first 2 using letrozole only. After the first 2 failed, we did a Hysterosalpingogram with normal results. My husbands initial count was great however morphology was quite low. Throughout the course of attempts his count was between 6 and 15 million, with morphology improving somewhat. After the fourth failed IUI she recommended IVF as the best way to get a positive pregnancy test.

IUIs were around $500 each, with the bill split between a lab cost and procedure cost. My labs and the hsg was covered by insurance. One round of IVF with genetic testing was around $28,000. I do not recall if this included ICSI. This included 1 year of freezing any available embryos.

During our first visit Dr.Justice sat down with my husband and I and went through our history. It didn’t feel rushed or impersonal, which I was expecting. From that meeting she gave us a specific plan on how she wanted to approach treatment. She wrote every step down for us so that we understood what we would be doing and when. Coming from someone who likes a plan it was my first inclination that I was in the right place! At each appointment we were treated with respect and friendliness. Dr.Justice personally does the ultrasounds and every procedure that we have been through and each time she treats the procedure with hope. Always telling me first what happens WHEN I get pregnant not if I get pregnant. It gives me hope after seven years of infertility!!! Dr. Justice’s strength is in her compassion, her demeanor during visits keeps me from losing hope. The only weakness I can think of was explanation of side effects. Even then she does explain what the medication does and why I am taking it. I am beyond thankful for Dr.Justice and would recommended her to anyone struggling to conceive.

I would say to ask questions. She is open to questions and answers them in a way that helps you to understand. So if your confused but afraid to ask questions, don’t be!

We began with just using progesterone since I was later in my cycle on our first meeting with Dr.Justice. The second month I came in for a baseline ultrasound. I was then put on Letrozole, two per day for five days. Then I came in for another ultrasound to determine how many eggs were mature.After that I was to self administer Ovidril on day twelve of my cycle. After 36 hours the IUI was performed. Two days after the IUI I started progesterone for 12 days. A negative pregnancies test was the result of the first IUI. We did the same procedure for the second but my progesterone was increased to twice a day instead of once a day. Still waiting on the results of the second IUI.

Letrozole- 25.00 Ultrasound (2)- 350 IUI- 500 Progesterone- 45.00

Very friendly. Answered all my questions throughly. Seems to be very knowledgeable with infertility. Doesn't push more on you than you can handle. I would like her to maybe be open to adjusing timing after a few negative cycles. We just seem to keep trying the same things.

Ask questions and make suggestions about your treatment and what you want.

We have been trying Letrizol cycle days 3-7. Ultrasound on day 10 to measure folicles. Then depending on the size of the folive we usually do the shot to induce ovulation on day 10-11. If we choose IUI that month we will do that on day 12. Otherwise its just planed intercourse. 2 days after ovulation we start progesterone suppositories. We do those for 2 weeks and then test for pregnancy. If the test is positive we would continue progesterone, if negative we stop it. We have not had a positive cycle with this treatment plan.

IUI was typically about $500. Ultrasounds- $175. Ovidrill- $107

Dr Justice is the nicest most personable doctor I have ever had. I truly wish I could see Dr Justice for every medical problem I have. I trust her so much and she truly cares! She will sit and explain everything to you. She always makes sure I am ok with everything and really cares about her patients. She is an amazing doctor!

Don’t give up! I have wanted to give up so much! I know Dr Justice is going to help me become a mom and I can’t wait. She is amazing!!

We tried a couple of medicated cycles on our own with times ovulation. Then we moved to IUIs each time it didn’t work we increased our medication. Still with no success we are saving for IVF

Dr. Justice makes sure you understand everything you are going through and taking. She is always available to help you with questions whenever you need her. She is flexible with scheduled. Her personality is always positive and she provide much comfort knowing I have her as my doctor.

To definitely have her as your doctor because she is amazing.

Dr. Justice started me out on times intercourse and progesterone supplements. After 3 cycles of negatives we moved on to IUI with the HCG shot and progesterone supplements. After 3 negatives with that we began IVF treatment. We went on all injections to start egg retrieval process. Began taking estrogen and PIO and Crinone. I have had 2 transfers from this cycle. The first did not take so she scheduled an ERA finding I needed one more day of progesterone. The second transfer has been successful so far.

Costs were typical for any infertility treatment

I am completely satisfied with the service and care that I am receiving with Doctor Justice. I have been trying to get pregnant for almost a year and cannot. During my consultation she laid out a plan immediately to used fertility pills called femara and IUI. Dr. Justice was extremely honest with me and let me know that the success rate for each IUI is only about 20%, and that it doesn't always work on the first try. She warned me that I may need to do this a few times to get a successful outcome. I have finished two cycles of IUI so far and unfortunately, have not gotten pregnant yet. I recently finished my third IUI procedure and am awaiting the two-week wait to find out if I am pregnant this time. Although I am not pregnant yet I'm confident that Dr Justice will do everything she can to help me in this journey of getting pregnant.

I would tell the prospective patient that doctor Justice is amazing and you will not find a better doctor out there!

I have completed two IUI cycles so far using 7.5 mg of femara and a trigger shot. Both of these cycled did not end with a pregnancy. I'm currently on my third cycle and I'm awaiting the two weeks to find out if I am pregnant this time.

The consultation visit was $50. Each of my IUI Cycles, including my ultrasounds, are roughly $450. The trigger shot was about $120 each time.

Dr justice is the most compassionate dr I have ever met. She was there for us 100%, no question or concern was too small. She explained the process and the possibilities with us completely. She is so gifted in her practice. I cannot imagine having gone thru this journey with any other dr.

Breath a little easier, because you are going to be in the best of hands with the gentlest of care

I have pcos, which does present certain issues, but with the use if femara we were able to try 3 rounds of iui. At the time my husband as well had sperm quality issues, and all agreed going forward IVF would be the best option. We proceeded with egg retrieval we had 10 eggs. 5 of which were mature enough to fertilize of the 5 1 went in to fertilize normally. So we had 1 to transfer. And we did , unfortunately for us it didn't implant

I was scheduled to go in specific times of my cycle, and would always see my dr who would fully discuss what she was looking for, what it looked like, and what that meant

Well. So our insurance was a bit confusing and may have been filled incorrectly at the beginning...in the end we had to pay roughly $4k more than we had been quoted or budgeted for. I understand everyone's hands were tied, but it did kinna stink

For me we were ever only going to transfer 1 due to my age, but we only had 1 to transfer so it wasnt an issue

Dr. Justice is very informative, but in a sensitive way. We went to her for a second opinion after i had a horrible miscarriage. My previous doctor was giving up hope on us and was ready to say that we just needed to do IVF. We went to Dr. Justice to see if that was the case and she was so positive that it really helped me get passed the previous miscarriage and begin to hope again. While we didn't get pregnant on our first try, we did get pregnant on our second. Unfortunately, that pregnancy ended in a miscarriage, but we haven't given up hope and that is all due to the positivity of dr. Justice. Without her, I would have given up by now.

Unfortunately, she is leaving KFI soon and won't be practicing for a year due to a none compete clause. Once she comes back, find out where she is and go to her! You won't regret it.

I have PCOS and I am also overweight. I have a thyroid concern as well. Dr. Justice had me do 3-5 days of letrizole and then 3-4 days of Gonale (fsh injections). After that I did a trigger shot and then an IUI. Before my first cycle with her she had me complete an HSG. She was able to see that my right tube was blocked. I had a previous surgery to try to unblock that tube. She didn't think the surgery would be a success a second time so we didn't waste time on it. I have only been with her for two cycles. The first was unsuccessful, but the second one was a success. While this one ended in a miscarriage, the positive part is that we are able to get pregnant. She is now running a bunch of blood tests to attempt to figure out why I lost this lost recent one and what we might need to do moving forward to attempt to keep the pregnancy.

Like with any fertility process in KY, hardly any if it is covered by insurance so we pay out of pocket for a lot of things. They do their best to see you money where they can. The biggest cost saver is the fact that they have their own facility and can do most procedures in house.

NA

As soon as our first consultation with Tiffany was over I felt so much confidence in her, relief in a sense, in our situation. She was very positive from the jump. My husband had to have micro TESE she explained all options should it go well or should it produce no sperm. I do remember thinking at one point, is she too optimistic? Should we not be as confident as she isn’t making us feel? Low and behold we are 12 weeks pregnant and just graduated from our fertility clinic. We will without hesitation start seeing Tiffany for our second transfer when ready!

Go for it, I have no regrets or hesitation in referring to her. I know not everyone will be as fortunate as we were but, she and her team are there every step of the way good and bad.

Our treatment overall was average I would think? After my husband’s TESE and frozen sperm, I had a baseline scan. There Dr. Justice found a mass on my right ovary she then explained we would have to wait on results from an MRI, I had already started on birth control prescribed by her as well as low-dose levothroxine. My thyroid was a little hyper for the ideal conception-pregnancy standards, fine otherwise she explained. After the MRI was cleared we were straight sailing. Started on Gonal-F, cetrotide, trigger shot, egg retrieval. About a week, if I recall correctly, prior to transfer I started low-dose aspirin, estrogen 3x a day, progesterone in oil injections 1x a day, Crinone 2x a day and continued until 10 weeks of pregnancy.

We applied for CapexMD. Their package was $13,500 which does not include medicine, anesthesia and frozen embryo storage after the first year. The medicine anesthesia together were roughly an additional $7000. Then my husband TESE surgery was through an urologist who works with kentucky’s Fertility Institute

Dr. Justice thoroughly explained to us the possible results of transferring multiple embryo’s. She explained we had the option to up her choice by 1 embryo but she felt very confident in only transferring 1 the first time. Her expertise did not disappoint.

Dr. Justice is an amazing physician. She is incredibly knowledgeable in her field and is always listing facts/data/statistics. I truly believe she has our best interest at heart. She is however, extremely busy and allows her IVF coordinator to order meds/ make decisions, which I don't always agree with. In my experience with Dr. Justice, she is one to go with the odds and treat a patient as protocol calls for, however, in my case things happened that typically wouldn't (I.E: later receptivity window - 7.5 days, miscarriage after genetic testing) - I wish she had prepped us and allowed us to decide if we wanted to test for things before we started (I.E.- receptivity window, miscarriage blood panel testing). We may have proceeded with treatment prior to this testing but would have liked to have been advised of what could be done so we could weigh the pros and cons.

Do research, ask lots of questions. Ask whether your physician is one who treats the visible problem (2 failed IVF's so now test for receptivity window) or allows you to discuss what could happen (most women have receptive window of day 6, but some may differ up to day 8), whether you wish to test for it (weigh options/discuss with doctor), then treat per your discussion. Keep track of your meds, what insurance covers, and who to contact in certain situations.

IUI 1- (8/20/16) / Letrozole 5mg, CD 3-7, OPK IUI 2- (9/14/16) / Letrozole 5 mg, CD 3-7, OPK, prometrium IUI 3- (10/25/16) / Letrozole 5 mg, CD 3-7, Ovidrel Trigger IUI 4- (12/15/16) / Letrozole 7.5 mg, CD 3-7, Ovidrel Trigger, prometrium IUI 5- (1/25/17) / Letrozole 7.5 mg, CD 3-7, Ovidrel Trigger, prometrium IVF 1- (3/6/17) / Days 1-6 estradiol 2mg/ 3 daily; STIM - Day 1-4: Gonal-F (300 units/daily) Menopur (75 units); Day 5-6 Gonal-F (375 units/daily) Menopur (75 units)/ Cetrotide (0.25 mg) / day 7-8 Menopur (75 units)/ Cetrotide (0.25 mg) / Trigger shot day 9; retreival day 11, doxycycline starting day of trigger shot/ 100 mg twice daily for 5 days IVF #1/Transfer #1 - (4/10)17) - Estrace (2 mg/ 3 daily), Aspirin (baby), Progesterone in oil (5 days -evening between hrs 6-9), crinone twice daily (morning/ night) IVF #1/ Transfer #2 (6/16/17) - same protocol as prior FET IVF #2 - Days 1-6 estradiol 2mg/ 3 daily STIM: Day 1: Gonal F (225 units in evening), Menopur (75 units in evening) / day 2-5: Gonal F (225 units in evening & morning), Menopur (75 units in evening) / Day 6-11: Gonal F (225 units in evening & morning), Menopur (75 units in evening), Cetrotide (syringe in evening), trigger shot day 9, retrieval day 11 - doxycycline starting day of trigger shot/ 100 mg twice daily for 5 days IVF#2 transfer (1 embryo) - Estrace (2 mg/ 3 daily), Aspirin (baby), Progesterone in oil (morning @ 9 AM sharp) for 7.5 (based on hours), crinone twice daily (morning/ night)

IUI - $500/ each+ meds + donor sperm IVF #1- $12500 + $4250 embryo genetic testing- (outside vendor) + meds, + donor sperm, anesthesia $525 (outside vendor) (Each transfer after 1 cost $4,000 (one more was needed) IVF# 2 - $13,500 (we had $5000 financial assistance) so cost us $8500, plus meds, plus donor sperm, anesthesia $625

Dr. Justice has made it very clear that she will allow us to transfer 1 more than the recommended amount she suggests. She's always suggested 1.

From the first day I walked in to KFI was treated like family. The time I spent with Dr. Justice she never once rushed me with questions. It was like sitting in a room with your best friend and just talking and giving advice. When my treatments did not work she didn't make me feel like I was hopeless and there was nothing more. She gave more options and acted like she was hurting just as much as I was when we didn't have answers. I was more scared of an IVF cycle not working to even try. But she gave me some hope to try.

Compassionate. She is very compassionate in one of the hardest times in your life and truly cares for her patients.

My first appointment with Dr Justice was a consultation since I had 5 IUI cycles at s different office. She believed my IUI was a timing issue. The previous office I was in did not do treatments on the weekends. You almost felt like you were just another number there and not another person. So we started with femara and IUI but before my IUI she also ran a couple more test the previous office didn't do. We found a uterine polyp from those test and then moved on to IUI. First IUI beautiful follicle. Nice sperm count. IUI done and nothing. Same thing for the second but then we moved on to injectables. Several follicles and that were beautiful and still no positive. At this point we talked again and after that many IUI she believes there is some sort of issue with sperm not penetrating the egg and we met about IVF. We talked for a very long time and she explained everything to me thoroughly and never mentioned cost. That made me feel like she was not just worried about the money.

Not totally sure of cost l. IUI was about $300. My U/s was covered by insurance but I had to pay for meds

We have not started that process yet. My husband and I are still trying to figure out how we are going to pay for IVF

She is nice and sweet. Very knowledgeable. From one cycle to the next though she would want to leave things the same that didn’t work the cycle before. I’m currently getting ready to start IVF. I’m excited yet scared that it might not work. In Dr Justice’s office I would have to pay for each IVF and if it doesn’t work you don’t get any money back. She gave me and 80% chance with IVF.

Write down all the questions that you think of, she will answer all your questions.

Well my lining would not get to where it needed to be before the IUI’s so we tried viagra vaginally and it helped. Now that I’m getting ready to start the IVF process, she is not getting me to take the viagra and I am confused.

The IUI’s was about 300 dollars a piece. I’m not sure how much I have spend on all the meds. The ultrasounds are 50 a piece. The blood draw varies. My initial blood test was around 100 but after that they are around 30. The IVF process the meds are around $1,000 and my insurance gave me $5,000 for the actual IVF so I owed $5,000. I filled out online to freeze my embryos but not sure how much that will be.

Not to that process yet

Dr. Justice was excellent from the start with being prepared for our first visit with a detailed review of my previous treatments with another physician. She thought “outside the box” and gave alternative options for medication than I had previously used. She continued to work with us with adjustments in treatment for several months before we were finally able to attempt implantation. She recommended another exploratory procedure after several months of limited success in growing my uterine lining during which excessive scar tissue was identified from a previous procedure with another physician. She was very thorough with evaluation of our situation and took the time to determine an appropriate course of care since we only had 1 embryo to implant. In the end it was success and we now have a beautiful, perfect baby boy!

Be patient and willing to try whatever treatment is recommended.

Dr. Justice recommended use of estrogen patches as opposed to oral pills when resulted in improved growth of my uterine lining. After a few months of limited success, she recommended a hysteroscopy to further evaluate the state of my uterine cavity, during which excessive scar tissue was found and removed. Dr. Justice was then careful with taking one month to ensure that the scar tissue had not returned with an US procedure and to look at my natural cycle to determine my lining growth with no intervention prior to attempting implantation. Implantation was a success!

$4200 to the clinic for all services up through implantation since retrieval had already be completed. $2000-$3000 to pharmacy in medications. Other insurance determined costs for hysteroscopy and other procedures.

None. We only had one embryo to implant.

Dr. Justice has the best bedside manner and shows the most compassion of any physician of I have seen. She makes you feel as though you are the only appointment of the day, not ever rushing you or failing to make sure you fully understand what is going on. She offers her opinion but also listens to the patient's preferences and concerns. She is very respectful, kind, caring, patient, and invested in obtaining the most favorable outcome possible for the patient and their family. She is always available to answer questions, and goes out of her way to be accommodating.

Don't bother looking anywhere else. You will not find any better or more caring physician than Dr.Justice. She's amazing.

3 IUI with oral medication. 3 IUI that included injetible medication. 1 Ivf cycle using ICIS and then doing a freeze-all and later frozen embryo transfer - positive singleton pregnancy! Despite having perfect labs, tests, and responses to medications during IUI, poor egg quality was discovered during IVF. Yet, Dr. Justice still got me to a healthy pregnancy from that IVF cycle :)

Dr. Justice is great about explaining her opinion but also listening to patent concerns and preferences, trying to ultimately do what is best for the patient and their family.

Dr. Justice is one of a kind doctor. She 's awesome. She is the only doctor who returned my call when i have questions for her even at night. My husband and I were so comfortable with her. She is very compassionate, dedicated and always make sure that I get the best care. I never felt so scared when i had my surgeries with her because I know she will take care of me and always making sure that i will be okay. No words can describe how greatful we (me and my husband) are to be her patients.

just relax she will take care of you

I had some health issues that she treated me. I had a irregular period. I had to take birth control pills. When i first took clomid and it didnt work the first time she did an dye xray (hsg) i think to make sure my tube doesn't have a blockage and it showed that something in there and another X-ray (SIS)to confirm it. I had a hysteroscopy last August and when the result came out i had another one last December because of the aplasia. In between i have been taking agestin i think. My period is now every month. Before she gave me treatment usually i wont have it for 6 months or more.

Dr.Justice made sure that when she goves prescription making sure that she its has a lowest price and will ask you how was the pharmacy treated me and she said she always make sure that we can get lower price. And she makes sure that she always check any other pharmacy. With cost i had with her i never expected that its much cheaper in her clinic

Dr. Justice reviewed records from our previous fertility doctor and then sat down with us to review everything during our consultation. She has was thorough and blunt about her opinion and our options. She never pushed us to do or try treatments we didn't want. She did explain all of our treatment options thoroughly and realistic outcomes for each of them, so that we could make an informed decision that was right for us. She is always warm and friendly and soft spoken. She is also empathetic and comforting which has made this lengthy process much more bearable.

Be prepared for honesty, she is very kind but she is also honest. Don't expect her to only tell you what you want to hear or to sugar coat anything.

Initially I had to have surgery to remove a large fibroid tumor. Once I healed Dr Justice let us try one round of Clomid but we were unsuccessful, this was at our request. We then started injections in preparation of our egg retrieval. We used Good nap-f 250 units twice a day, menopur 75 in the evening, cetrotide in the evenings and then ovidrel to trigger. My body responded well and she was able to retrieve 8 eggs!

The first appointment I arrived early and had a short wait (maybe 15 mins). The subsequent appointments were efficient with little or no wait.

We had to pay out of pocket for everything. Our IVF package was $13,500.00. Anesthesia services for the egg retrieval was $525.00. Medications were covered by my insurance and cost approximately $80.00

Dr. Justice is very compassionate and sympathetic during what is, naturally, a very stressful time. When my IUI attempts failed, she spoke to me like a concerned friend and shared my disappointment. That was so comforting, more so than she might even realize. During each procedure, she always makes me feel so at ease. She is thorough and wants to make sure we always understand all treatments and medications and any risks they may pose. We never had a question go unanswered. We will resume our treatments in a few months and I am confident that Dr. Justice will do all that she can to see that we get pregnant. And if, for some reason, those cards just aren't in our favor, I know that I'll have her comfort and support.

Be patient. Dr. Justice has explained that it may take a few tries. They run all the tests. They do all of the ultrasounds. They are doing what they can to give you the best chance possible to become pregnant. So, just be patient.

Due to hypothyroidism, I was put on Levothyroxine prior to any procedure. We did IUI #1 with just Letrozole (days 3-7) and we used the OPK. However, I started my cycle just a few days post IUI. This resulted in IUI #2 being monitored with ultrasound. Again, we did Letrozole, and we also added Ovidrel as the ultrasound results were great with 2 follicles ready to go, and Progesterone inserts each night. IUI #2 failed, and I started my cycle on 13 days post IUI. For IUI #3, all treatments were the same, however we increased Progesterone to twice a day, once in the morning and once at night. IUI #3 failed. We will start again in 2 months and, as I understand, we will follow the same treatment plan as we did in IUI#3.

Very managable. Each round cost us around $400-$500, and that includes the cost of medications.

I know where I am supposed to be. I've dealt with a myriad of reproductive issues over the years, and many times I felt "pushed along". In fact, there is an ER visit that will stand out in my mind where the physician made me feel like I was making up symptoms in my mind. For the first time, I feel like a doctor is truly listening to me and my concerns. In my opinion, Dr. Justice makes you feel like you're the most important patient when she walks in the room, but she is very unassuming. Her demeanor and strength are qualities I admire because I feel I possess those same qualities. She's open, honest, and gives you all the facts and knowledge. She doesn't sugarcoat things, but she also doesn't make you feel like this is "it...the end of the road." I know I am in the best hands possible for fertility treatment.

I would give this advice to any prospective patient. Speak up and be an advocate for your health and body. Not to badmouth past physicians, but I've let medical professionals steamroll me in the past. Dr. Tiffany Justice will always listen with an open mind. Don't be afraid to say what's on yours.

I'm a "unique" case. Since beginning treatment with Dr. Justice since last March 2016, we've unearthed I regularly make ovarian cysts and that my hormones have been completely out of whack. I'm now currently on thyroid medication to help balance hormones. To help reduce/diminish the cysts, for multiple cycles I've been on continuous birth control. Once the cysts have diminished or decreased enough in size, then we've taken that small window of opportunity to try Clomid and then one round of IUI. These windows of opportunity were far and few between cycles. It's been a rollercoaster. You can't take Clomid with the ovarian cysts because they may increase or duplicate, but then if you're taking continuous birth control, you can't move forward with treatment basically.

To be honest, I haven't completely totaled them. Over 1,000 at this point.

I recently started seeing Dr. Justice after a year at another specialist. Immediately I could tell that we made the right decision switching. I could tell that Dr. Justice had spent time before our appointment reviewing our lengthy file of failed cycles. Although her appointments were running behind that day due to an emergency situation and it was her lunch, she spent nearly two hours with us asking questions, listening to us, and developing a treatment plan. We never felt like she was in a hurry. She made us feel very comfortable.

Dr. Justice offers free second opinion consultations. I would recommend taking advantage of that to any prospective patient because it can't hurt!

After over a years worth of failed treatments with our first specialist, we decided to seek a second opinion. In my previous cycles I would usually take a combination of Clomid and Letrozole to stimulate follicle growth. Our goal was to try and get 2-3 follicles. Majority of the time I was lucky to get one mature follicle. Very rarely was I able to ovulate two. Since this wasn't producing the results we were hoping for, we moved onto injections. We did two cycles of injections and didn't have any luck getting at least 2 follicles with those either. Dr. Justice reviewed our records and devised a plan. The plan is to try and go back to the basics (pills), but increasing the doses to try and stimulate at least 2-4 follicles. If we are able to get more than one, then Dr. Justice wants us to do another IUI. We've had three failed IUI's in the past. Dr. Justice wants us to do at least 2-3 IUI's with at least 2-4 follicles each time. If they all fail, she recommends IVF.

Ovulation shots cost $120 (through outside pharmacy). Fertility pills are usually around $60 (Walgreens Pharmacy). Cycles with injections cost roughly $400. Dr. Justice charges $350 for an IUI cycle. I was told that worst case scenario for IVF would be $15-20,000. Since we are doing few rounds of IUI's first, we haven't sat down and looked at the exact costs of IVF with her.

My doctor recommended only transferring one embryo, mainly due to my age. I believe they will do up to two if you are comfortable with the risk of multiples.

Throughout this whole process I have felt like I'm on a emotional roller coaster. She is very patient and takes her time to make sure that I understand all of my procedures and what will come next. She makes me feel comfortable with all of my issues.

Listen to what she has to say. She is fabulous and knows what works best!

We started with simple testing such as my husband completing a semen analysis, me completing a test known as HSG to see if I had any blocked tubes (found out my right tube is blocked). My next options were surgery or to start clomid, we opted to start clomid and actually conceived on the first dose, unfortunately it ended in miscarriage. We gave me a month off and started clomid again and again I became pregnant and miscarried. We now decided to check me for any blood clotting disorders (My aunt has factor V with leiden) well and behold that test came back positive for Factor V with Leiden. I started taking a 81 mg aspirin and was given a prescription for Lovenox to start when I got a positive pregnancy test. We tried for 9 more months after with clomid and ultrasound monitoring and I was unable to conceive. She informed me that it is time to move on to IUI with clomid and injectables. I completed my first IUI in March and it was unsuccessful.

We have had to pay for every ultrasound and any type of other testing since my insurance did not cover anything. They are very accommodating on not ordering unnecessary scans.

Dr.Justice is very passionate about her patients and their care. I personally have not seen anything negative about her or her practice. The only downside to her practice could be that you may have to see her partner. Dr. Hunter has been wonderful to me also. So personally I have no complaints. But if you only wanted to see a female, it may be a problem for some.

Be patient. They are a busy practice, but totally worth any wait you may have.

IUI- 150 Clomid and dexamethasone 1 mg twice a day. Ultrasound day 10. The ovidrel shot for trigger shot and IUI after 36 hours. My body needed the 150 to respond and the dexamethasone helped with inflammation because of my endometriosis and pcos. We are now getting ready to start ivf (pending finances) because I feel that I am 38 and running out of time.

13000 for ivf and 3500 for meds

I personally thought that we would transfer 2 embryos due to my age (38). But after speaking with Dr. Justice, she suggested only transferring one since we are doing pre genetic screening on the embryos. I am overweight and have high blood pressure, so she really doesn't want me to end up with a higher risk twin pregnancy. She told me I could transfer two if I was set on it,but she suggests one

We actually have just started our fertility with Dr. Tiffany Justice and can already say she has been pleasant to work with. Our first initial consult we went through the ins and outs of all the steps. And what we do and don't want and things to expect or not expect. We are very excited to continue our feeltikty journey with Dr. Tiffany Justice.

To make sure you ask all the questions you want and if you forget then just call the office or use the patient portal and they get back to you relatively quickly.

Like I said before we just started our journey with Dr. Tiffany Justice so far we've both done blood work and she did a vaginal ultra sound to look at my ovaries And follicles. I'm on birth control pills now so she can track my periods as well. We're trying to figure out finances and get them In line since my health insurance doesn't cover any part of my fertility treatments.

For me since I have to do pre implantation genetic testing it's going to cost more. Roughly $35,000-$40,000 for fertility, medications, and pre implantation genetic testing. My insurance doesn't cover any aspect of it.

She recommends for the safety of me and our future baby she just recommended transferring one egg but said we can always one up her.