We were in the market for an infertility specialist recently and got two referrals from my regular doctor. They recommended one clinic a little more highly but warned that the primary doctor was a bit brusque and blunt and not much in the bedside manner department but would tell you how it is, no sugar-coating.
Since that's okay by us, we went in for a consult. And he did fit that reputation, but moreover he was pushy, very negative about our situation and basically said full IVF would be our only chance. Not that he wanted us to rush our decision, and he wasn't only out to push the most expensive option, no, but he wanted us to know the truth (i.e. his opinion) that the other less invasive options would only be a waste of valuable time. He bombarded us with information and comments about how his office is so busy all the time, then when it was time for us to ask questions, I felt too rushed to really ask much. I think what did it was that he said we should go home, think on it for a week (but don't wait too long), and if we signed up, we would be a priority case and he would find time in his busy schedule to fit us in next month even though they were already booked 2 months out.
Instead we went to the other clinic for a second opinion, that doctor asked what *we* wanted, reviewed our case, and agreed that our preference would still be viable. He explained things in detailed terms so that we understood and just generally seemed patient and trustworthy. If this doctor had said our only chance was full IVF we probably would have believed him.
I think the first doctor expected us to be desperate enough to throw $15k his way just on his say-so. Sorry, no. I hope that he does care about his current patients but that's not the clinic for us.