How was your experience with David Vandermolen at ArkLaTex Fertility and Reproductive Medicine?
Dr. Vandermolen seems like a great physician. He did take good care of me, he performed my laparoscopy and diagnosed me with endometriosis. I am glad that he pushed me to have that performed before starting IUI. He may not be quite as aggressive as I would prefer, however. But my case was a difficult on because I was a poor responder to the fertility drugs and had poor egg quality.
What's one piece of advice would you give a prospective patient of David Vandermolen at ArkLaTex Fertility and Reproductive Medicine?
To seek out support outside of the clinic ( counselor, social media, local support groups, etc) because infertility is so tough and that is not a topic that they really harp on (the emotional aspects.)
During treatment, were you treated like a number or a human with David Vandermolen at ArkLaTex Fertility and Reproductive Medicine?
For the most part I did feel like a human. They are a friendly staff. There was overturn with the fertility nurse during my treatments, and some appointments felt very rushed and there were a few things overlooked at times. SO some days I did feel like a number too, now that I reflect back on it.
Describe the protocols David Vandermolen used in your cycles at ArkLaTex Fertility and Reproductive Medicine and their degree of success.
For all IVFs, I took 5-6 weeks of birth control and 10 days of Doxycycline before starting.
My initial IVF, I was on the following ( I under-responded and we converted to an IUI): Leuprolide ( micro) 40 mcg, follistim, menopur.
Start Lupron 10 units subcutaneous injection (in abdomen) once daily ( in the evening).
Date AM dose PM dose Lupron Appt
03/31 NA 100 F / 2 M 5 units
04/01 NA 100 F / 2 M 5 units
04/02 NA Need appt this day for E2 LH and P4
04/03-04/10 100 F/ 2 M 5 Lupron
04/11 Tentative retrieval
2nd IVF: I was a poor responder, with 7 eggs retrieved. The RE transferred 3 embryos, but negative pregnancy test.
I started microdose Lupron 20 units subcutaneous injection twice daily.
I started gonadotropins (Follistim) subcutaneous injections Doses are as follows:
Date AM dose PM dose Appt
6/24 225 F 225 F
6/25 225 F 225 F
6/26- 225 F 225 F until 7/05 retrieval
For my final IVF, I had 3 embryos transferred and was negative test again. I did have 12 eggs retrieved, however, the quality was not great and I had none to freeze.
I took Ganirelex 250 mcg SQ daily for 3 days,
then started 200 Follistim / 2 Menopur, then twice daily
150 F / 1 M for 9 days until retrieval.
Describe your experience with your nurse at ArkLaTex Fertility and Reproductive Medicine. (Assigned nurse: Lori Fellah)
Lori Fellah was relaxed and friendly. I got annoyed at a few minor overlooks ( for instance, incorrect amount of Doxycycline ordered and I ran out of medications-but she was eager to correct overlooks); there was an error on the IVF schedule with conflicting directions which she clarified via email. I think she could have been more organized and willing to prevent these same mistakes from recurring. She was new to the IVF as a full-term nurse, however, so I gave her a lot of slack.
Describe your experience with ArkLaTex Fertility and Reproductive Medicine.
Strengths: Friendly staff, Organized, Efficient, RE does spend time with you in his office laying out details and effectively communicating
Weaknesses: Disorganized with finances/billing information; No "IVF classes" offered, no resources for emotional support offered ( such as counseling hotlines, counselors, support groups, etc)
Describe your experience with your monitoring appointments at ArkLaTex Fertility and Reproductive Medicine.
I never had a problem with scheduling these; and did not have to wait too long in the waiting room.
Describe the costs associated with your care under David Vandermolen at ArkLaTex Fertility and Reproductive Medicine.
My surgery ( laparoscopy) was about $8,000 with insurance. IUIs were about $500. IVF: all in cost about $8,000 for services. Cost of fertility drugs were $,4,392, $6,691.97, and about $5,000 for last round.
Describe David Vandermolen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at ArkLaTex Fertility and Reproductive Medicine.
For my final rounds of IVF, the RE was very helpful in judging/recommending how many embryos to transfer based in the quality. In my case, I had poorer quality so he elected multiple embryo transfer.
What specific things went wrong at ArkLaTex Fertility and Reproductive Medicine?
- Failed to call in prescriptions to pharmacy
- Provided conflicting information