Infertility/Fertility/ivf clinics


sir your answers have been very helpful for me...but im still a lil confused
let suppose if u were in my place and u have to choose between these clinics
CLINIC1,  success rate upto 60% is claimed
         highly crowded FACTORY type clinic  

CLINIC2,success rate 4 my age ie 24 to b 41%...buh he said we have very less patients of ur age..
       doctor does everything by himself...pays attention to every
       single even scan is done by him...
WHERE WOULD U GO...keeping in mind that u already had 2 failed cycles.....and if this one also fail then u have to wait 4 TWO more years to go for another cycle

Hello Again Hina,

As previously mentioned, I run a smaller clinic, that we consider to be a "boutique" clinic.  A "boutique" clinic is like a high class, high priced store (Saks Fifth Avenue) vs the factory stores like Costco.  I too see every patient and do everything, including the scans, myself.  I personally would never go to a "factory" clinic for IVF.

However, your dilemma is that your two choices are not the best choices.  At your age, we have a 73% pregnancy rate, so the 60% of the factory clinic and the 41% of the smaller clinic are not good choices.  Considering that you have failed two previous cycles, I think you need to seriously think about finding a better option.  From a pure statistical chance point of view, certainly the larger clinic makes more sense, but I can say for 100% surety that there are better clinics out there where you can a better chance of pregnancy in a more personalized environment.  I don't think that either choice is a good one.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, California Medical Association, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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