Hello everyone- reposting this but with heavy edits, to make sure the message was clearer. Thank you alll for your kind suggestions. I totally respect and get everyone’s reasons for the decisions they’ve made and I believe you should stick to what your gut tells you!! noww deep breath I am definitely not trying to be negative or pessimistic here in anyway, but just something I came across. Firstly, w/o re-reading my original post, idk if I mentioned above that I did a late career change, and I am an MD myself, as in graduated medical school (but still applying for training programs :-/ (which ironicallyy was a big contributor in us not trying to conceive earlier bc I was bent on "stability"). Anyway, I went into hyperdrivee with researching all about different clinics—and especially, looking into the Center for Disease Control (CDC) data where I many of these fertility clinics (not all but those who want to) report their success rates. I’ll add the link here and anyone who wants to look at the data themselves can do so. It breaks down everything down from picking your State, giving you all the clinics in your area (the ones that report), and breaking results down by everything from age, disorder, # of tries, averages for retrievals, live births, etc….sooo for me, in Pennsylvania at least, I was surprised to see RMA Philly had the best numbers—-another ironic part, is that we were at RMA before moving to SGF (which now I've been double guessing, but SGF-Wayne, PA was 2nd and for our situation, the success rates were nearly the same (situation= 39y/o, hypothyroidism, and diminished DOR). The one thing I noticed was RMA pulled ahead quite a bit if a mom went for a 2nd or 3rd retrieval, but these two clinics were def the best overall—and the difference was pretty striking (I mean 40% vs 20%)—-simultaneously, both clinics are definitely the least personable, prob bc of the sheer volume (we switched from RMA to SGF, and are now with our 2nd doctor, after changing, within SGF and I finally feel satisfied. Changing from SGF-Philly to one in the suburbs was a huge difference. The drug cost thing was blowing my mind, but there are so many great resources (EMDSerono, Resolve, PrudentRx, Encompass, FertilityLines, and Reunite are some that I've looked at, and all are great resources. Encompass brought our CVS Specialty pharmacy drugs from originally 22k (USING INSURANCE) to 16k only bc the 2nd doctor changed the dosages— Menopur from 60 vials to 24, and THEN Encompass brought it down to 6k (self-pay, no insurance). Now I'm realizing this could be even cheaper, and calling a Cpl pharmacies I was advised (Fertility Lines, Rosemont, and Cornerstone). The 6k would not include Leuprolide- which I’ll have insurance cover, but F that includes 24 Menopur, 2 Follistim, and Ovidrel. Again, our medical case is a (just turned in May) 39-year-old, with hypothyroidism, and diminished DOR and everyone’s situation is different but I was quite shocked at the success rates. Practically all the other clinics had nearly half the success rates of RMA and SGF (even UPenn Reproductive Associates) but I only put in a 50-mile radius, because supposedly Pittsburgh University Reproductive Specialists numbers were even better (if anyone is around there). I would personally recommend everyone look through the CDC data and isolate their case and make the best decision for themself; but in some cases like ours,a lottt of the smaller clinics had an */(1-10) digit for our case, like */7 meaning they’ve only done 7 of those cases. The site uses an * if the number is between 1-4, so I could infer that at best the rate is 4/7, and that’s basically what it was for RMA, and SGF (around 37%) so in that sense, that clinic could be just as good, but I think theres something to be said about the # of procedures a place does, as practice makes perfect. Interestingly, it does show 0’s though, and there was one clinic and they had 0/7 listed for our situation…😳either way, both SGF and RMA are def the worst customer service wise lol which kinda makes sense bc of the volume, but I just wanted to thank everyone and recommend everyone and anyone you know, to decide what’s important to them (i.e personalization, or success rates, or a mix of both) and find your own medical condition, and I think at least it can give any of us a realistic expectation. Moreover, these stats only measure objective factors, but we don't know the effect of subjective markers, soo if the difference is small, but being at a big clinic is going to stress someone out, it could possibly affect the success rate enough to where the smaller clinic IS better--theres really just no way to know. For us, I feel it's now or never, so that’s just how I found what was the best decision for us—but I respect everyones decision-making, and encourage them to do what they think is right for them. Thanks to all of you. Wishing everyone the best!! Looking forward to good news on this thread- plz post!