Love dr. Troche! I had a sugsessful ivf transfer. It is not a cheep process. Everything and every step cost money, that is of course their business. Most insurance won't cover infertility. Keeping that in mind, Dr. Troche is great, he makes you feel safe and taken care of. Read all the reviews befor making a decision! Good reviews = success, bad reviews = no success. If you need a diagnosis try your MD or OBYN first, that's is typically covered by your insurance, getting done with the infertility clinic is conciderd a specialist. This is the place to go when you are ready to do an iui or ivf, and prepare to spend a good chunk of change!