Endometriosis

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Our journey began in 2019 after Justin suffered a tragic car accident only a few months following our wedding. At 31, Justin became paralyzed from the neck down just as our life together was beginning. 

After more than 8 months of Justin being hospitalized, we knew we wanted to start a family and began working with a clinic in Philadelphia. Sadly, Christine experienced multiple pregnancy losses with genetically normal embryos. We were left without answers and diagnosed with unexplained infertility and diminished ovarian reserve. 

Finding fertility care at SGF

Wanting a fresh perspective, we sought out Dr. Isaac Sasson in 2022 at Shady Grove Fertility in Chesterbrook. He was open to trying anything to help us achieve our dream of having a family. We knew we were a tough case given Justin’s spinal cord injury and my diminished ovarian reserve, but Dr. Sasson renewed our hopes and left no stone overturned to try to help us. His thorough approach identified that I had endometriosis, which we believe contributed to our issues. After laparoscopic surgery, it was identified that I had Stage III endometriosis.

Science and faith

Our next in vitro fertilization (IVF) cycle following the surgery was finally successful. We welcomed our miracle son, Nolan Jude, in January 2024.  

Many things had to happen for our son to come into this world. Persistence, love, and the help of both faith and science brought him to us.  

We are forever grateful to Dr. Sasson, Nurse Nikki, and the entire SGF team for their exceptional kindness, determination, and willingness. Our family has been through so much since Justin’s accident and we felt truly cared for by this stellar clinic.  

Find your team

For any other individual or family struggling with fertility, don’t be afraid to advocate for yourself or seek other perspectives. Many factors contribute to fertility, and you need to have a team that you feel comfortable with. And most importantly, keep the faith – your child is possible, however you find your way to one another.




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Infertility terms
In vitro fertilization (IVF)
Male factor infertility

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Dr. Isaac E. Sasson
Chesterbrook, Pennsylvania, location
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We got married in November 2014 after almost 5 years of dating. We never expected to go through this journey.

In August 2017, we decided to expand our family. I was not yet 30 and Andrew was 32. We followed the guidelines of trying naturally for a year since I was under 35 and like many couples, thought we would be pregnant by the end of that year of trying.

Starting fertility care at SGF

However, by September 2018 it became clear that we needed to see a specialist. After meeting with Dr. Timmreck and going through all the necessary testing, we found a few reasons we were struggling to grow our family. I had a fallopian tube that was blocked with fluid that needed to be removed and large endometriomas that also needed to be removed surgically, due to endometriosis — I had never been diagnosed before, but it made sense due to my extremely heavy and painful periods. I thought that was normal for me, but once endometriosis was confirmed everything clicked together.

We also learned Andrew had less than the required sperm count for intrauterine insemination (IUI). All these conditions pointed to in vitro fertilization (IVF) for the best chance of having a baby. I was referred to a gynecological oncologist surgeon for laparoscopic surgery to take care of my issues. When the time would come for us to do IVF, we would use intracytoplasmic sperm injection (ICSI) to address Andrew’s sperm count. Dr. Timmreck told us to just think of these as detours on our road to become parents. Little did I know just how many detours we would need to take!

During the couple of months while I was waiting for my surgery, I kept having recurring, unexplained low-grade fevers (around 99/100°F) and chills. When I went in for the surgery in January 2019, they found a gynecological bacterial infection around my ovaries and fallopian tubes (which would explain the fevers and chills). The next couple of months, I was working side by side with an infectious disease specialist, first by taking oral antibiotics and when those didn’t work, I got a PICC line put in for IV antibiotics (this was very time consuming, as I needed to take approximately 3 separate hours a day to devote to my medication).

After a few months (April 2019), which included another drain of my infection (another outpatient hospital visit, it became clear that the infection was too deep for the IV antibiotics to work, and I would need another surgery to clear out the infection. After my second surgery in May 2019 (where my other fallopian tube which had been scarred was taken out, along with more endometriomas), the IV antibiotics were finally able to do their job and within a month my infection was gone.

Ready for IVF

Once I had been cleared by my surgeon and my infectious disease doctor, I was finally ready to start IVF in August 2019.

Unfortunately, my first egg retrieval only yielded 3 eggs, and while they all matured and were fertilized, only one was implanted and the implantation failed. I needed to wait a month for the Lupron trigger to leave my system before starting a second IVF cycle in October 2019.

This time, the egg retrieval yielded over 20 eggs and I had around 10 that ended up being fertilized. The transfer failed again, but my doctor said there were 5 embryos that were good candidates for freezing, so we opted to freeze our embryos. I decided to wait a little while, maybe a few months, before my next transfer, to get in the right headspace. March 2020 threw a wrench into that plan, and I was too stressed during the pandemic to even think about embryo transfers for a while.

“Act now, don’t wait”

In the summer of 2020, when things were calming down, we were looking into adoption since I was worried another transfer wouldn’t work. However, after hearing a sermon from our Rabbi during the High Holidays whose theme was “act now, don’t wait,” we decided to test our 5 frozen embryos with PGT testing, and 3 turned out normal! We were thrilled and excited to transfer as soon as possible. But as it turned out, more roadblocks still faced us.

Another roadblock

As the year 2020 progressed, pain in my uterus became greater and more frequent. It seemed like I was bleeding for 3 out of every 4 weeks. I knew this wasn’t normal. When I went to see my gynecologist for my yearly pap, she advised me to get an ultrasound due to the bleeding. We found that I had a fibroid which had always been there, smaller before but now had grown to over 10 cm! I knew this would be a problem down the line if I were ever to get pregnant so I contacted my surgeon from 2019 and he agreed I should get it removed. In March 2021, I had my third surgery to remove the fibroid. This time, it was a laparotomy, so the recovery was much longer and harder.

After 3 months I was mentally ready to transfer again, but during a routine saline sonogram (my doctor advised me to get these monthly when I wasn’t undergoing transfers so that she could get updated pictures of my uterus), they thought they saw some scar tissue, and Dr. Timmreck advised me to get a hysteroscopy (another hospital procedure!). After the hysteroscopy, I was cleared to start IVF once my cycle returned to normal. We transferred our first frozen embryo in October 2021 unsuccessfully. This was our last cycle that insurance would cover, and we were forced to look at options for payment.

Enrolling in Shared Risk

We decided to enroll in SGF’s Shared Risk 100% Refund Program as we felt this would give us the best chance with our remaining embryos. After our second embryo transfer in March 2022 failed, I asked my doctor and nurse if there was anything different I could try for my last embryo, and they suggested a natural FET, which would sidestep a lot of the medications for a FET and instead rely on my natural hormones to increase my lining and hopefully get me pregnant. We were so relieved and excited that in May – June 2022, our “little embryo that could” stuck around and we got our first positive pregnancy test!

Finally finding good news

We couldn’t wait to see our little peanut at the six-week scan. Unfortunately, the visit didn’t go as we hoped – the doctor couldn’t see any yolk sac inside the gestational sac, and thought he saw something that looked like a yolk sac around my cervix, which would indicate an ectopic pregnancy. Everyone at SGF was super helpful in trying to calm my nerves and getting me another appointment almost immediately at another radiology center where they could take a closer look. After what felt like the longest appointment ever, they finally found the yolk sac in the gestational sac, using abdominal ultrasound. Dr. Timmreck was very reassuring that this was good news and wanted to book another appointment at 7 weeks for another scan to confirm. At this 7-week appointment, everything that we were hoping to see at our 6-week appointment was present, and we were able to graduate from SGF at 8 weeks.

Worth the wait

After a high-risk pregnancy, our beautiful miracle daughter, Reena Naomi Apt was born in January 2023. Every day with her is a true gift. We are endlessly grateful to Dr. Timmreck, our nurse Kim, and everyone who was a part of our journey at SGF for helping us get our miracle. My advice to patients is to stick with it as long as you can –it may be longer than you thought but the result was worth the wait!




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Infertility terms
In vitro fertilization (IVF)
Frozen embryo transfer (FET)

Receiving care

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Dr. Lorna S. Timmreck
Columbia, Maryland location
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Conor and I met in college and have been together for over 10 years. We married in 2016 and since then we’ve supported each other through changing careers, graduate degrees, and cross country moves. Conor is in marketing, and I work for a children’s hospital as a nurse practitioner.

Prior to trying to conceive, I had two ectopic pregnancies; one in 2018 and one in 2019. Our ectopic pregnancy in 2018 resulted in an emergency surgery to remove my fallopian tube. Our ectopic in 2019 scarred my remaining tube, which was removed in 2020. When we decided we were ready to start our family, we were so hopeful. We assumed that the ectopics were a fluke and that now without the tubes all we needed was to put an embryo in the right place. We had our first egg retrieval in February 2022.

Finding a second opinion at SGF

Ultimately after 4 unsuccessful frozen embryo transfers (FETs) with euploid embryos at our previous practice, we knew we needed a second opinion. Each failed transfer was another heartbreak. The infertility community is a close-knit one, and when I asked for recommendations, I kept hearing about Shady Grove Fertility.  

Our first meeting with Dr. Schumacher told me it would be different. She reviewed our case, talked about the data with us, and explained her reasoning behind treatment options. We felt like care team partners as opposed to the traditional doctor/patient relationship. Our nurse Colleen kept us sane when we were navigating insurance and uncertainty, and she always rooted for us.  

Patient and positive care

When our 5th embryo transfer failed, Dr. Schumacher sat with Conor and me in our grief, but she also planned what to do next. She explained that I might have had adenomyosis based on my failed euploid transfers and my history of ectopic pregnancy. She recommended two months of Lupron followed by another FET. At this point, Conor and I were losing hope and exhausted. But Dr. Schumacher remained patient and positive with us. She believed in my ability to get and stay pregnant.  

Lupron was tough. Chemical menopause is no joke, and the hot flashes really kept me on my toes. However, I marked the calendar each day as one day closer to transfer. By the time February 6, 2022, rolled around, I was ready and finally excited about our odds again. On February 16, 2022 I got the call from Colleen saying my blood test was positive. It was the best day of our treatment journey aside from graduation day.  

Happiest day

On November 5, 2023, our beautiful, healthy son Graeme Thomas was born, and it was the happiest day of our lives. He’s worth every single blood draw, ultrasound, procedure, and transfer.

I would tell future patients to find a physician who they trust to guide them through this process, who doesn’t treat them like a number, and who advocates for them just as fiercely as they advocate for themselves. Find a team whose goal is to make your dream of having a child a reality.

Maternity and newborn photos by Rachel Pearlman Photography



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Diagnosis and treatment

We understand you may have questions about infertility and how it’s treated. Gain answers from the diagnosis and treatments shared in this story.
Infertility terms
In vitro fertilization (IVF)
Endometriosis

Receiving care

Assemble your fertility care team close to home. Explore our different locations and physicians who will provide guidance along your journey.
Dr. Cassandra Roeca
Denver, Colorado, location
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My husband and I married in 2018 and have now been together for just over 7 years total. I made him aware that I was diagnosed with endometriosis when I was 18 and that I had struggled with pain, heavy/irregular periods, and other problems long before the diagnosis; approximately since I started getting periods at 14. He was always very supportive of the fact that it may be difficult for us to have babies.

SGF’s Shared Risk 100% Refund Program seals the deal

We discovered that I had infertility after trying to conceive for a year with no luck and decided to seek professional help. With the referral from my gynecologist to another fertility clinic, we were seen and discovered that I also had adenomyosis on top of endometriosis and a blocked fallopian tube with other lesions. Further, we discovered that my husband, Cameron, had male factor infertility due to low sperm count, motility, and shape. We made the decision to leave our fertility clinic and seek more affordable in vitro fertilization (IVF) options, and that’s when a friend recommended Shady Grove Fertility. When we found out about the Shared Risk 100% Refund Program on top of all the wonderful things our friend had to say, it solidified the deal for us.

Making miracles possible

When we started treatment, it was the most exciting but nerve-wracking time in our life, partially because I had to spend quite a bit of time away from home and Cameron could only visit so often as we were approximately 6 hours away from the Denver location. But as far as the shots and number of medications went, it was nice to have something to let me know that we were really doing this, even when my body was sore, or I didn’t feel my best. I remember going over it again and again in my head how I was so fascinated by the science of the process and so grateful that we have advanced enough to make it possible. I also had to remember that we weren’t alone even when it felt like we were.

By the time it was ready for our retrieval and the fertilization process, we ended up with 16 eggs, 12 fertilized, and 9 total embryos made it to blast. After our transfer, the 2-week wait couldn’t go by fast enough, but I started getting positive pregnancy tests prior to finding out (I couldn’t wait that long). But the call really confirmed the reality that we were finally pregnant.

Unfortunately, the duration of the pregnancy wasn’t something I could call a positive experience. On top of a number of things, I was diagnosed high risk due to fetal growth restriction and was getting weekly ultrasounds by my third trimester. While I was thrilled to see my baby every week, it created an intense anxiety that he wouldn’t be healthy when he was born. My doctors made the decision to induce me early as a result.

Finding the missing piece of our hearts

However, we finally welcomed our baby boy, Jensen Dean, on July 27th, 2023 and not only was he a healthy 6 pounds and 4 ounces but the birth was the best part of the pregnancy journey! Our life feels so whole and complete, like he was the missing piece to our hearts. We couldn’t be more grateful. Dr. Roeca and her team were absolutely wonderful to work with.

Infertility does not define you

If I had anything to tell to future patients it would be to remind them that they are not alone, even when they feel alone. Infertility is a taxing journey mentally, physically, and emotionally. Your emotions matter and are completely validated. You’re entitled to feel them. It’s okay to be angry. It’s okay to question why, just know that it isn’t your fault. You are not less of a person and your infertility doesn’t define you.




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Need-to-know fertility resources and guidance

Diagnosis and treatment

We understand you may have questions about infertility and how it’s treated. Gain answers from the diagnosis and treatments shared in this story.
Infertility terms
In vitro fertilization (IVF)
Endometriosis

Receiving care

Assemble your fertility care team close to home. Explore our different locations and physicians who will provide guidance along your journey.
Dr. Cassandra Roeca
Denver, Colorado, location
Find a location near me

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I have been wanting a child for 12 years but about 8 years ago I was diagnosed with endometriosis. The many trips to the doctors or the hospitals from so much pain almost made me want to get my tubes tied, but I decided not to stop trying for the one thing I always wanted.   

 I met Jason 4 years ago who also wanted a family and we tried for 2 years either on our own or with medication but nothing worked.  

Finding fertility care with SGF’s Dr. Ochalski

Last spring, we met Dr. Melanie Ochalski Ochalski from SGF’s Lancaster location and had a virtual consultation. I knew my stakes were going to be high due to my age and condition, but we decided to do it!   

 Dr. Ochalski was caring, so informative, and very honest about how our journey would play out. Once my medications were all ordered and videos were watched, we were ready. The very first night I was so nervous and actually worked myself up that I passed out from an adrenaline rush. After that day, it only seemed to get easier and easier to do.  

Every few days I had to drive an hour to Lancaster to get my vitals checked to see how everything was going. After a few weeks, I was an emotional rollercoaster, and my follicles were growing. On Easter, we had 22 eggs retrieved and during that week I felt overwhelmed that they weren’t going to make it.  

At the end of the week there was only 1 embryo left to be frozen and I was heartbroken, but Dr. Ochalski called me on her own time and made me feel important and assured me that we were going to still do the transfer.  

It’s Transfer Day!

A month on more medications and June 1st was Transfer Day!! We were so nervous. Words cannot express how anxious we were in the waiting area. During the transfer, we got a picture of the embryo which made us feel hopeful and watched the transfer happen on a screen.  

Meeting our miracle

Five days later, I had a gut feeling we were pregnant, and I took 5 tests which all said positive. On Father’s Day, I told Jason it worked, and we couldn’t believe it.  

Pregnancy was very smooth for us and on January 16th we welcomed our miracle baby via emergency c section because she was five weeks early and breech. She ended up in the NICU for 2 weeks with a hole in her lungs but she kept fighting to be here.  

Pure love and happiness

Every day we look at her and are so blessed and thankful that Shady Grove Fertility made this miracle happen for us and gave us the best gift in life that I thought would never happen. The staff at SGF’s Lancaster location is hands down amazing at what they do, and I could never put a price tag on pure love and happiness that they gave us. Thank you from the bottom of our hearts.

Photos by Victoria Allen Photography and The Ruby Company




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Diagnosis and treatment

We understand you may have questions about infertility and how it’s treated. Gain answers from the diagnosis and treatments shared in this story.
Infertility terms
In vitro fertilization (IVF)
Endometriosis

Receiving care

Assemble your fertility care team close to home. Explore our different locations and physicians who will provide guidance along your journey.
Dr. Melanie Ochalski
Lancaster, Pennsylvania, location
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I met my husband when I was in sixth grade, and he was in eighth grade. We both knew we were going to end up together. After years of running into each other, dating, and then getting engaged, we finally tied the knot in 2018, after a nine-year engagement!   
 
Our infertility journey began after a miscarriage in 2018. After years of painful periods, painful intercourse, and pain using the restroom, I decided to speak with a reproductive endocrinologist. 
 
I felt like I should not be experiencing this level of pain and trouble getting pregnant, and with a recommendation of a friend, I tried my first fertility center. I received a diagnosis of stage four endometriosis, had a laparoscopy, and attempted four rounds of intrauterine inseminations (IUIs).  
 
With no success, we went for a second opinion.  

A second opinion with SGF’s Dr. Sasson

I searched for other doctors in the area and stumbled upon Shady Grove Fertility. Dr. Sasson had many positive reviews, and I decided to book a consult. 
 
I brought all my previous records and had a conversation with Dr. Sasson. He spent the first half going through the documents and results with me, mostly noting things on his plain white piece of paper.  
 
After jotting things down, he let me know I would need in vitro fertilization (IVF) to be able to have a baby. No beating around the bush, and straight to the point, but in a very caring way.  
 
He explained by going over the physical images of previous ultrasounds with me, bloodwork, the report of my laparoscopy, and the multiple attempts of IUIs along with the previous HSG, that IVF would be the only way to get pregnant.  
 
He explained conception and where he thinks my body couldn’t connect the sperm and egg. He was very thorough, referred to evidence-based information, processes, and procedures, and simplified a process I was very scared of.  
 
He relayed this information to me in a way I understood and that went very far for me. I enjoyed his open demeanor and ability to ask as many questions as possible without him making me feel ignorant or rushed. This was new for me!  
 
But I faced the facts and had to figure out a way to be able to afford treatment. At the time, my current job didn’t have any fertility benefits, so I placed IVF on the back burner and researched companies that cover IVF but came up empty-handed with being able to have a flexible schedule.  

Finding a new work family at SGF

After two years, and going through a pandemic, I knew I couldn’t be a server forever and be able to afford IVF. 
 
Cue a job posting for Shady Grove Fertility! I said to myself, why don’t I just apply, and see what happens? I knew what being a patient is all about, the highs and super LOWS, I am very friendly, and I love to be surrounded by people of all different cultures and backgrounds and family definitions.  

I got the job!!! I wound up feeling supported and felt like my family has grown by 100s, even 1,000s of members! After getting the job and learning the job of a patient service representative and then watching these women come in, I decided to take the extremely scary plunge into an IVF cycle.  

Inspired by SGF patients

I’ve seen 100s of women come in every day, multiple times a week even and if they can do it, I can do it! 

It was amazing having that bond with these warriors. Through all their journeys and now my own, I was able to be an ear and hand and even share a hug with these women.  

This ignited bravery I never knew I had.  

The shots were scary and the hardest part for me to wrap my head around but after the first night of injections, my husband and I grew into a routine, and even a deeper love I didn’t know was possible. We would make jokes and laugh about the IVF process.  

Laughter was our way through all the pain, physically, emotionally, and mentally. It was time for our egg retrieval and being scared was an understatement. We had our retrieval during covid, so he had to wait in the car while I walked in by myself even though I knew everyone there. I knew our MA, our RNs, and to my surprise a brand-new nurse anesthetist and panic was all over my face.  

Ready for egg retrieval

Our team at SGF in Chesterbrook calmed me down. They took their time to explain everything I thought I already knew. They were gentle and kind, and respectful of the process I had to go through. I was nervous to hear the results: Did I have any eggs? Were they mature? Did they fertilize? Do we have embryos?  

We ended up with embryos that were able to be frozen! We were shocked! We were excited! But then we fell back into darkness. What if something happens? What if they don’t make it? What if our transfer fails?  

It is such an emotional roller coaster you cannot prepare for. But this is the life of a person, or family going through the process! We are all the same. No matter where we come from, or where we are in life, we all have this to process and go through. 

Focused on miracles

We were able to go through a transfer a few months after our retrieval. We transferred in April, and we got a positive blood test! We were excited! We were in tears! But we were so scared to breathe.  

We have been this far on our own before. What will be different this time?  

The only thing I had was the miracles I witnessed on a day-to-day basis.  

I have seen patients be successful here! I have seen the doctors, the embryologists, the andrologists, the nurses, the MAs, and the receptionist work so hard to be a key part of our patients’ journeys. I was ready for this. We were ready for this.  

Fast forward to our last ultrasound at SGF. It was bittersweet. I really wish we could take our doctors to our OB/GYN, and then deliver our babies! It was a surreal moment in our lives, having our baby in our arms. Adelina was born on Nov 30, 2021, all thanks to every single person at SGF and every single patient. Everyone had a role, no one bigger than others. That was life-changing for me. I got to know everyone that helped my daughter become our family. That will never leave my side.

Shout out to the SGF Care Team

Dr. Sasson was very reassuring during this time. He was kind, compassionate, respectful, and his bedside manner is unlike any I have ever seen. This is rare in today’s medicine. I am so grateful for what he has done for me and our family. Thank you for all the hours you put in, every day, even on “your days off” which I’m convinced you never have a day off! 
 
Dr. Schumacher and nurse practitioner Elyse were also such warm wonderful providers. They have answered AT LEAST 1,000 questions from me! You ladies are so important to the values SGF stands for. You work tirelessly every day and have the biggest smiles on your face. Thank you so much for all of our conversations.  
 
The nurses, surgical and clinic, Nikki who was my nurse, did such an amazing job explaining everything back to me and helped me go through the process. The role your personal nurse plays in your treatment is so important. They will call you; they will message you back, and they even try so hard to work around your schedule with communication preferences. They try so hard to have an answer for you, and if they don’t, they will find it! They work so hard serving as your front-line personal warrior buddy. They truly care about your journey, and it shows. Tip: give them time to call/message you back! They are always trying to find out the answers and help you! 
 
The embryology team is the hardest working team I have ever met. Their leaders are strong women and work incredibly hard. Their coworkers are dedicated to the process. They are the ladies behind the eggs/embryos and are your first-ever babysitters, that says so much!! 
 
The andrology/endocrinology team are so good at their jobs. They are responsible for getting your results to your doctors, and nurses and without them, it would fall apart. These women are the most down-to-earth people out there. Thank you, ladies! 
 
The MAs/PCCs draw your blood and set up the rooms and help the doctors with so much! They always made the draws less painful and more fun. I can’t thank them enough, esp Kayla! You guys rock! 
 
The receptionists greet you with sincere smiles. They see you more than anyone else in the practice. These ladies love to hear from you, they help get you to the right place, and are so organized.  
 
I hope you can see how each role and person at SGF serves a purpose to help you grow your family. Through the hard times, and through the best times, this fertility center is unlike anywhere I have been and had the pleasure of working for. The passion is there, you can feel it as soon as you walk in. Thank you, one million times, for our sweet Adelina. She will always know where she came from. Thank you will never be enough.  




SHARE YOUR STORY

Share experiences.
Share hope.

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Need-to-know fertility resources and guidance

Diagnosis and treatment

We understand you may have questions about infertility and how it’s treated. Gain answers from the diagnosis and treatments shared in this story.
Infertility terms
In vitro fertilization (IVF)
Endometriosis

Receiving care

Assemble your fertility care team close to home. Explore our different locations and physicians who will provide guidance along your journey.
Dr. Isaac E. Sasson
Chesterbrook, Pennsylvania, location
Find a location near me

2026 Shady Grove Fertility

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