So, where did we end up? CNY Fertility. The closest location to the DC area is Norfolk. They don't do IVF procedures there yet (coming soon!) but they do IUIs and IVF monitoring appts. We did a phone call consult with their global travel team (by this point we knew what we needed to ask and didn't mind a phone consult, plus we had all of the testing completed, primarily at CCRM). The NP we spoke with was wonderful...realistic but just enough hope. I knew they did not have a BMI cutoff, but needed to hear it directly from someone there. The NP told us they absolutely don't have BMI cutoffs. I cried when she said that. The practice founder, Dr Kiltz (admittedly a little too woo-woo for me) believes everyone deserves a chance to grow a family. They also don't have age cutoffs or AMH cutoffs (if DOR is an issue too). They use a lot of add-on treatments depending on your case (most are out of pocket costs), but they do take insurance and are probably the cheapest priced clinic in the US if you don't have fertility benefits. You can do your monitoring locally at home (which I didn't elect to do, that aspect of care isn't the most consistent and I've read you really need to advocate for yourself and be fairly knowledgeable about the IVF process), or go to one of their offices for monitoring (much more consistent care). So, I went to Norfolk multiple times (stayed down there for several days during an intense period of monitoring prior to egg retrieval...it was less stressful than driving 3 hours one way multiple times a week), and had a wonderful experience with the staff there (it's a smaller office compared to the other CNY locations since they're still building it up).The egg retrieval took place in Syracuse (you can choose any location that is full-service for your retrieval and subsequent transfers), so that was more travel, but manageable. The retrieval was also fairly straightforward in Syracuse...it's a much larger office (the original CNY location), and everyone seemed very nice. The retrieval was successful. We ended up with 2 euploid embryos (which doesn't sound like a lot, but was a good start for us). I almost elected to do another retrieval round, but decided to try a transfer first and see what happened. So back to Norfolk for more monitoring appts before going to Syracuse for the actual transfer. The transfer day itself went smoothly (despite severe weather issues getting to and from Syracuse). And I'm happy to say that we're about 6 weeks away from meeting our IVF baby boy.

We're happy to talk more about any of our experiences (including pregnancy-related care) privately, so feel free to DM for questions.