Audubon Fertility

My husband and I went to Audubon after a year of unsuccessfully trying to conceive on our own. We had a consultation to discuss future options with Dr. Juneau, and I felt so much more hopeful even after just talking to her. She has been so patient with me and my crazy questions and seems personally invested in our journey. She can somehow make me still feel positive after receiving not so great news. We’re in the middle of prepping for a third egg retrieval, and before we began each treatment, Dr. Juneau sat with me and my husband and helped us decide what was best for us. And she doesn’t stop thinking about your treatment when you leave the clinic. I’ve received multiple calls from her after leaving saying “I’ve thought about this more, and instead of doing X, I think we should do Y...”. I can’t imagine a more compassionate and caring RE.

Ask questions. Since Dr. Juneau is living and breathing infertility treatment every day, sometimes she forgets to explain (or assumes you know) next steps or reasons for why she prescribes certain things.

We started infertility treatment with an “unexplained infertility” diagnosis. IUI - Letrozole for 5 days followed by follistim (don’t recall the dosage...maybe 75 units), with an HCG trigger shot. Had 4 follicles but no pregnancy. IVF retrieval 1 - 150 units menopur, 225 units gonal-F. Cetrotide last 4 days of stims. Lupron trigger (my estrogen was over 5000 so she didn’t want to give me an HCG trigger because she was worried about OHSS risks). Retrieved 16 eggs (she had trouble getting eggs from my left ovary which was hardened), only 6 mature, 5 fertilized, 1 good quality day 5 embryo (PGS normal). IVF retrieval #2 - added omega-3, folic acid, CoQ10 vitamins to improve egg quality since it was identified as an issue. 150 units menopur, 225 units gonal-F. Cetrotide last 3 days of stims. Dual trigger of Lupron + small dose of HCG (2500). My estrogen was still very high again, but Dr. Juneau added HCG trigger to try to improve egg maturity. 26 eggs retrieved, 20 mature, 15 fertilized. I ended up with 2 fair quality day 5 embryos (one PGS normal) and 2 poor quality day 6 embryos (both PGS normal). I had very mild OHSS. IVF retrieval #3 - I’m currently on day 5 of stims under the same protocol as retrieval #2.

The following represents their IVF costs: Procedures and physician fees - $1400 (monitoring, oocyte retrieval, embryo transfer, injection teaching, etc.) Anesthesia fee - $500 Lab fee - $3,825 (oocyte ID, sperm prep, culture and fertilization, ICSI, assisted hatching, crypto preservation, prep for transfer, 1 year embryo storage) Facility fee - $3600 Medications between $2000-$5000 PGS testing - $4750 (up to 8 embryos; additional $300/embryo above 8)

Dr. Juneau has said that the typical practice is to transfer one good or fair quality embryo at a time. For poorer quality embryos, or if there has been an issue with embryos implanting, they may transfer two.

Dr. Wells was very nice and always able to answer any question that my husband and I had. I never once felt uncomfortable around her or at any appointment. She made sure to explain every step of the IVF process and before moving on made sure that we understood.

I would tell them to make sure they ask a lot of questions and never feel like any question you have is not a good one.

The first thing my husband, myself, and Dr. Wells did was sit down and discuss options and risk. We then moved right into treatment. For a few weeks I gave myself injections until my follicles were at the right size. Once my follicles were big enough I went in for my egg retrieval and they were able to fertilize 17 out of my 20 eggs. By day 6 I have 6 embryos that were frozen. Two months after my egg retrieval I had my first transfer with 2 embryos that both took.

My monitoring appointments were always scheduled to best suit myself. The staff was really understanding of my work schedule and would try their best to accommodate my hours.

It costs about $15,000 for the IVF process which included physician costs, facility cost, procedures, and monitoring. My medications were not included and cost between $4,000-$5,000. The following year after my first IVF transfer I had 2 more transfers that cost $4,800-$5,000 each.

Dr. Wells let my husband and I decide on how many embryos we wanted to transfer. She let us know the risks for the number we chose.

Juneau was amazing. From her being honest and open to what could or couldn’t happen. To getting us the treatment we needed to hopefully be able to conceive. She went above and beyond to make my husband and I feel comfortable. She had a great personality and just made us feel good at every visit even when we knew things weren’t going as expected.

Even when you’re sad be prepared to laugh and smile with Dr Juneau. She is great at opening her heart and making every situation good or bad better.

During our first round of IUI, Juneau did just oral meds. We did I believe 3 days and I came back to see follicle development before triggering for IUI. We had like 1 or 2 viable for the transfer. For the second IUI, we did injections. Just the normal maybe 5 days I went in every 2 days to check follicle development. We trigged with I believe 3 that time. On our last round we did a lot more injections as my body was not responding as quickly to the meds to mature follicles. In the end we had 4 on one ovary and 1 on the other before we triggered. Still then with as many as we had no luck in getting pregnant.

We spent at least 15,000 with the 3 IUIs plus ultrasounds and bloodwork procedures when going to fertility. Not counting the funds for when I got pregnant to do ultrasounds, bloodwork and genetic testing another 3,000 at least.

None she was amazing.

First let me say that Dr. Wells is extremely kind. She explains everything very well. I did not see her as often as I though I would. In fact out of all 6 of my IUI's I don't think she performed any of them. That was kind of disappointing since you pick a clinic based on the dr.

I would forewarn them that they won't be seeing much of her past the initial consultation.

My first IUI I was strictly on femara. When that one didn't work we added injections. That time I did get pregnant, but ended in miscarriage. So the 3rd we stuck with the same protocol as the 2nd since technically it did work. The 4th and 5th we may have done the same. The 6th since it was my final try we amped it up to only injections. I produced multiple follicles each cycle. So the protocol worked. Unfortunately the outcome did not.

I don't really have anything to base it on, but I believe the rates were fair/average.

I only saw Dr. Wells once or twice. The times I did see her she was very professional, answered all my questions, and treated my husband and I like family. For my iui procedures I mainly saw Jaime the nurse practioner. She has the same demeanor as Dr. Wells, very patient, understanding, warm, and caring. I cannot save enough good things about Dr. Wells and staff office.

Ask questions. If you dont understand something ask as many questions as you want. Write down everything you want to know before your appointments in case you forget. Be patient and try to relax.

I took Letrozole, then did Follistim injections, then a trigger shot, folled by intrauterine insemination that my husband gave 36 hours after trigger shot. We also had to use frozen samples from my husband due to his schedule in the military. He was not always able to give a fresh sample.

The procedure with meds and shots for around 1500 each iui.

Dr. Wells is empathetic and caring. She really wants what is best for her patients. I always felt like she spoke to me like a friend who was offering advice, rather than a doctor who was telling me what needed to be done. She explained every option and let me choose my course of action.

Go to her first! Don’t waste time at other local fertility clinics.

I don’t remember specifics, but after exploratory surgery where endometriosis and polyps were found on my uterus we started a cycle with injections. It was two days before Thanksgiving and I had one fully mature egg, with three almost mature eggs following. She gave me the option to set up the IUI for the next day, or wait until the day after Thanksgiving to see if more eggs matured. She explained the risk of having multiples, but left it up to me.

I cannot remember individual prices, but I know Audubon was around $500 less per cycle than the Fertity Institute. I spent nearly $15,000 over the course of the year on 4 IUI cycles.

Dr. Wells is a brilliant doctor. She is not warm and fuzzy but she makes you feel comfortable through the IVF roller coaster. Unfortunately, the percentages for success that she gave us did not come to fruition and she has not been able to determine the reason(s) for our failures.

Ask lots of questions.

For IUI, we started with clomid and then femara. My ovaries did not stimulate from either so then we started injectables. It took a month and we finally were able to the insemination. It didn't work so we moved to IVF. For my egg retrieval, we hit the same injectables hard. For the FET, we started with oral and vaginal estrace. This didn't work, so we added estradiol patches (4 per day changed every other day) and daily progesterone in oil shots. That cycle ended in miscarriage. For the second FET, we added daily crinone to the mix. That cycle we transferred 2 embryos and became pregnant and subsequently delivered 1 baby.

Dr. Wells prefers to transfer just 1 embryo at a time due to the fear of multiples, but she will transfer 2 if you really want.

Dr. Wells is very kind and caring. She listens to everything I say and makes sure to answer all of my questions. She does everything in her power to make sure a patient is comfortable and to make sure a patient understands what the plan is. She made sure to cover everything I wanted to know and more at the consultation. Before my husband and I left that day, we already had blood work, sperm analysis, laparoscopy and hysteroscopy scheduled, and a plan of attack. Pricing was laid out in an understandable manner, and I left feeling like someone FINALLY listened and understood me. The day I had my first IUI with her I was standing in my best friends wedding that night. I went in with hair done up and she even made sure someone kept my hair neat for me and made sure I had an appointment time for the IUI that didn’t interfere with the time I needed to be where I was supposed to for the wedding. I couldn’t ask for a more caring doctor.

Be ready to listen carefully and pay attention. She will go over your history and tell you what she thinks is the best plan. Don’t be afraid to ask questions or feel like you are taking too much time, because she will answer everything you want to know.

I had laparoscopy and hysteroscopy in February. We felt that I should do the procedure again as I had it in 2014 with my OBGYN and endometriosis was found at that time. When I went for my consultation with Dr. Wells in January, I had been experiencing symptoms of endo again. We decided to go ahead and get that out of the way. I had the procedure in February and my next cycle we started monitoring and prepping for IUI. Unfortunately when I went for day 3 baseline, I had a functioning follicle for some reason so we had to wait for me to ovulate and have another period. After that happened, we were able to start treatment next cycle after my day 3 baseline showed we were good to go. I did follistim injections and ended up with 9 follicles. Instead of canceling, we discussed draining follicles and leaving 3-4 and doing the IUI. She explained how uncomfortable it would be and went over everything possible with conception of multiples. I went in the day of the IUI with my hair done up for a wedding I was standing in that night. She made me as comfortable as possible and drained follicles, then did the IUI. That one failed so we did another in April with follistim injectables on a lower dose to avoid hyper stimulating since I had the major response the first time. Went in every couple of days for ultrasounds and did the second IUI. That one failed. Third cycle we followed same protocol and I responded well, but that one failed. At that point we had a consultation for IVF and decided that was our best move forward. I have not been back to start because of money.

We have no insurance coverage for fertility. IUI package cycles were $1600 plus the cost of medications. IVF consultation shows a package price of $13, 925 plus cost of medications

I have not done IVF

My husband semen analysis results were not good. He was already self conscious and she did a wonderful job providing support the first time she shared them with us. His results improved and thought we had a good chance should we do an IUI. We proceeded with the IUI and that morning his results were not good again. I think she just wanted to prepare us so we didn't get our hopes up but she made a comment about the results and I could see that it embarrassed him. I jokingly told her that it only takes one sperm and we would pray for the best...in order to keep my husband in a positive mindset.

Be prepared for the honest truth. It can be hard to go in with high hopes only to realize you may have a long road ahead. Also, my insurance does not cover anything fertility related...including blood work. My OB/GYN ordered some of the same tests and it was covered. Just do your research on the costs of everything.

I cannot recall which protocols we followed.

My insurance did not cover anything. Semen analysis for my husband are $200 each (we’ve had 3). Initial consultation labs/genetics were $2,000, IUI including ultrasounds and medications were $1,800-2,000.

Dr. Wells is open and very knowledable. She answered all of our questions and explained how our ivf cycle would go. She was encouraging and gave us different ideas on how to afford or pay for the ivf cycle. She made sure to get labs on me and my husband and explain results and let us know what was needed next.

Be patient and follow directions given.

Certain tests were done before others. She made sure to put me on medications for PCOS for my body to respond to ivf medications when we start ivf.

We were told it would cost about 16,000 dollars including meds for our ivf cycle. The finance dept. explained how the clinic accord payment and ways to pay.

N/A

We had a wonderful experience with Dr. Wells. She was honest and realistic with us, while still being encouraging and supportive through the process. She has a caring and non-abrasive demeanor, and was extremely genuine in the way she treated us and discussed the results of treatment.

Do not be afraid to ask questions. She or her staff will gladly answer any questions you have.

I have endometriosis and diminished ovarian reserve. I was on 300 gonal and 75 menopur for the first few days. I was then upped to 150 menopur with the 300 gonal, and inclusion of the centrotide in order to let my smaller follicles keep growing. With my low AMH, we ended up getting more eggs than expected with this approach.

I was sufficiently educated on the number of embryo transfers and we have elected to do the single embryo transfer

Dr. Wells is honestly the best of the best. She spends time explaining everything you need to know about your procedure & what to expect. We spent about 45 minutes talking to her about IVF and she explained it so well. She is caring, positive, & a great doctor.

They will do anything they can to help you!

During IVF, I was given a list of things to avoid & a list of things to do. Exercise, eat healthy, stay hydrated, etc. I was always given a specific treatment plan to follow, which told me when to take certain meds & give injections. The results were positive because we are now pregnant!

It depended on what the monitoring was for. IVF monitoring must be done in the morning. If you’re doing IUI or another treatment, you can choose any time of the day.

IVF was obviously the most expensive. We paid $15,000 for the egg retrieval, cytopreseervation, and transfer. We paid an additional $4000 for the genetic testing which I highly recommend.

Yes, because of my age, hormone levels, & other factors, Dr. Wells felt very strongly that one embryo would work. And she was right!

Dr. Wells is female and relatively young, making her very relatable. Whenever I have had serious questions (about how much this is going to cost me), she has been frank and honest. She was also straightforward when she advised, after my second failed IUI, that I should start thinking about IVF. This has definitely been a more tortuous journey than I had anticipated, but I have never doubted Dr. Wells' skill, knowledge, or advice. While Dr. Wells is young and relatively personable, there have been a few occasions, early on, when I found her to be a bit standoffish. She did not recognize me on one occasion, and it was after enough visits that I would have expected her to remember me and my story. She definitely knows who I am now, though, after these many months. I believe that she truly wants success for me and the rest of her patients.

Expect competence and honesty.

IUI #1: Unmedicated, unmonitored. I used an at-home opk. Solid smiley on a Thursday evening, IUI on Friday morning. Unsuccessful. IUI #2: Letrozole 5mg + Follistim (125IU? Not sure) and HCG trigger. 5 mature follicles. I felt myself ovulate a few hours after the IUI. Positive at-home pregnancy test morning 11 dpiui (after a few days of negatives). Period started two days later. IUI #3: Follistim alone (300IU? Not sure) and HCG trigger. 5 mature follicles. I felt myself ovulate 14 hours before IUI. IUI #4: Follistim alone (300IU? Not sure) and HCG trigger. 4 mature follicles. I felt myself ovulate 28 hours after IUI. IVF retrieval: 75 Menopur + 300 GonalF. I am on day five of stims. First monitoring appointment tomorrow.

Unmedicated IUI: $450 Medicated IUI: $1600 + meds IVF: ~$20000 PGS testing: ~$5000

We have yet to discuss this.

She’s a bubbly, friendly person. We felt comfortable with her instantly. If I had a question I was able to contact her through the portal or by leaving a message with the front desk. I always received a response that same day. She talked me through each ultrasound, explaining what she was doing and seeing. She calls me personally with lab results (this HUGE for me as a patient).

Be honest and don’t be afraid to ask a question.

After bloodwork she had be start Letrozole to stimulate follicles. She felt that this drug was safer for PCOS than Clomid as far as side effects. I went for follow up ultrasounds after to monitor my progress. I responded very well and a trigger shot and IUI were scheduled. Unfortunately, it was not successful, but she explained to us before hand the success rate. We were all hopeful but also not surprised when it didn’t work. I’m grateful that she was willing to try for us when our other doctor refused and would only do IVF.

There are different levels to each treatment and the clinic gives VERY detailed printouts explaining each part of the procedure, the cost associated with it, where the money goes, and financing options available. For our IUI we paid $1,200 and it included baseline and follow up ultrasounds, semen collection, washing, and count, also lab work and office visits associated with the procedure. The trigger shot was $80 (not covered by my insurance). I opted to do the pregnancy test at a local Labcorp to avoid missing more work (we travel 3 hours to get to Dr. Juneau for visits). We will soon be starting IVF and they have gone over cost with us for that as well. Again, it is broken down on a printout detailing each step and the cost associated with it. The total estimated cost was around $14,500 plus optional genetic screening for ~$4,000.

Dr. Juneau is Intelligent, trustworthy, and compassionate. She is extremely kind and makes the patient feel like family. She explains every detail of both the IUI and IVF process. She is very detailed and doesn’t miss a beat. She has been a true blessing. She was with me every step of my infertility process. She made my husband and I feel like family. She is extremely thorough. She knows her stuff! She personally performed my ectopic surgery- even though it took place at a hospital and not the clinic. This was so reassuring during such a scary time. After my ectopic, Dr. Juneau presented my husband and me with all of our possible options. We decided to move forward with IVF/ICSI/PGS and transfer using a frozen embryo rather than fresh. We only transferred one and it worked! We are excited to say we are expecting our first miracle and rainbow baby in December (2018). Dr. Juneau monitored me every week prior to the transfer and after until we reached 10 weeks. We “graduated” and I began seeing my regular OB. The week of my first visit with my OB, Dr. Juneau messaged me to check on us! She didn’t have to do that- but that is th kind of doctor that she is. Leaving Dr. Juneau was bittersweet. Although we were sad to no longer be under her care- we knew it meant things were progressing as they should for a healthy pregnancy! I would recommend, and do, Dr. Juneau to anyone experiencing infertility. She is truly a light in such a dark time!

Trust her! She welcomes questions and concerns and always listens. She gives recommended actions- trust her advice. Infertility is such a difficult time and there are so many decisions that need to be made- trust her and allow her to help take some of thher decision making off of your plate.

HSG- checked to make sure tubes were clear before beginning IUI. They were. 1st: IUI with clomid- transvaginal monitoring and bloodwork .... BFN 2nd: IUI with injectables- transvaginal monitoring and bloodwork... BFP, low HCG to start, but began to double appropriately. Resulted in ectopic, with emergency ectopic surgery and left tube removal. Dr. Juneau performed my entire procedure and checked my right tube as well. IVF- Gonal, Menapur, Cetrotide.... transvaginal monitoring and bloodwork, 15 retrieved, 11 mature and inseminated, 8 fertilized, (3) 5 day blasts (frozen after biopsy sent off for PGS testing). PGS: 2 normal and 1 abnormal. Used birth control to control cycle, started Estrace and PIO (progesterone in oil injections). Monitored often. Transfered 1 embryo when the timing was right- BFP! Dr. Juneau personally monitored the pregnancy until week 10 ( which is when I got off of PIO). Baby due 12/29/18!

About 5,000 for IUI About 24,000 for IVF All process fees stated above included my labs and monitoring, medication. My insurance doesn’t cover- so this was out of pocket fees.

Dr. Juneau recommends transferring 1 embryo. If for some reason the 1 didn’t take- she believes in having a discussion about the possibility to try (2) for the 2nd transfer. Not promised.

My experience as a patient with Dr. Wells has been positive. You can tell that she genuinely wants to help you get pregnant. After our first embryo transfer we got pregnant, but unfortunately lost the pregnancy at 7 weeks and 4 days. We had no idea we had lost the pregnancy until we went in for the ultrasound. One of the nurses came in first and had to break the news when no heartbeat showed. She brought Dr. Wells in to take a second look and to confirm the loss. We were devastated, but I can vividly remember looking up and seeing that Dr. Wells was equally devastated. It is refreshing to meet a doctor who is clearly invested in the treatment and success of her patients. I genuinely look forward to continuing my treatment under Dr. Wells' care.

I would tell any prospective patient to remember to be kind to themselves and be kind to their doctor. Both you and the doctor are doing everything possible to reach a successful pregnancy. Sometimes things do not always go as planned, but that is not your fault or the doctor's.

After our egg retrieval, we were due to have a fresh embryo transfer, but had to postpone as my progesterone levels came back a little too high and Dr. Wells did not want to risk that causing a miscarriage. We decided to transfer (1) frozen fair/fair embryo in September 2016. I was placed on birth control from day (1) of my period and stopped after per the schedule given to me by the nurse, I did the vaginal progesterone, baby aspirin, and pre-natal vitamins along with fish oil. I was placed on bed rest for 72 hours after the transfer. After the miscarriage at 7 weeks and 4 days we had a D&C. The embryo was sent to a lab and the results came back stating that there were no chromosomal abnormalities. Blood work was ordered to see if my blood was too thick and may have possibly caused the miscarriage, but those results came back negative as well. We took about two months to heal from the D&C with no exercise or sexual activity for 4 to 6 weeks. We transferred (2) frozen good/fair embryos in January 2018. I was placed on birth control from day (1) of my period and stopped after per the schedule given to me by the nurse, I did the vaginal progesterone, baby aspirin, and pre-natal vitamins along with fish oil. I was placed on bed rest for 72 hours after the transfer. Unfortunately both embryos did not take. I know that each cycle was treated a little differently, but I do not remember exactly how. I do know that the final transfer is being handled completely different from the prior (2). We decided to take a few months off before transferring the last embryo. We are currently waiting for my next cycle to start so that we may begin the process again.

We had $20,000 max life insurance coverage for infertility. Some costs were out of pocket but the surgery center would call to verify and breakdown the costs and then send a follow up email. Some of the costs out of pocket were labs which were out of network, anesthesia fees, medication costs. Most of the anesthesia and medication costs were covered by insurance but there was some out of pocket due.

We had a thorough explanation from day (1) as to why we should transfer a certain amount of embryos. We started with only one as we did not necessarily fit the profile to transfer more. The one we transferred was a good, healthy embryo. With the second transfer we decided to use (2) embryos as they were frozen at the same time. In order to use (1) we would have had to thaw both and then re-freeze (1) again. The doctor felt confident with this approach too.

Dr. Wells is an overall very friendly and personable Dr. She always made feel comfortable with whatever we had going on at the time. I'm usually a very private person, I keep things to myself and whatever I don't know, I'll figure out on my own. Dr. Wells made sure to explain things to me, I never felt rushed and she never had any issue getting on the phone with me to explain anything I didn't understand.

Don't be afraid to ask questions! They won't know to answer them unless you ask!

The first two IUIs I underwent at Dr. Well's office were just clomid and trigger. Each time I only had at the most 2 mature follicles. The other 2 IUIs were Letrozole, injections, and trigger. The first one was great, I ended up with around 10 follicles (I think) and 2 good sized ones, but we stopped the injections because we didn't want too many to mature. My final IUI I did the exact same medicine and injections, but only ended up with one follicle, so we didn't do the insemination. So now we are moving on to IVF!! I actually start stimulating next week and we are so hopeful this works! We are using a known donor sperm for this. I'm also donating some of my embryos to my best friend so she can get pregnant!

My first two IUIs altogether with medicine and sperm were around $2,500 each. The other two IUIs were around $3,000 each. The IVF (procedure, meds, PGS, etc) will be around $25,000.

Dr. Wells is not only an amazing professional who is dedicated to her work, but also someone who takes the time to look you in the eyes and remember you. She’s been through infertility struggles herself and gives that part of herself to empathize with you. You never feel like a number and you always know that there’s someone who has your back.

Let her in. Don’t be afraid to be vulnerable and emotional. She is the one Dr who didn’t judge my emotions, but instead lent a hug and made me feel like I was normal.

She was very aggressive with my initial fresh IVF protocol due to my AMH being low and me being young. She also was pretty adamant on making sure we understood the single embryo transfer way and positive reasons.

We were out of pocket the entire time. Our first fresh cycle totaled around $20,000. The two frozen transfers came in around $4,000-$6,000.

Dr. Wells is very pro single embryo but is open to discussing up to two.

A pretty good doctor very nice explained most of the details always responded and answered questions. Wanted to jump to surgery right away after I had just undergone surgery less than a year prior to me seeing her.

You will not be disappointment and try to come with a list of questions so u can have them answered right away.

First visit was a consultation, then I went in for a SIS I opted out of the hsg which would have been the next test. On day 3 of my cycle I went in for a baseline ultrasound then I went in for a day 11 ultrasound after taking letrazole for 5 days my eggs weren't quite ready so I went in again on day 13 they were ready so I triggered at 9 15 that night and my iui was scheduled for 36 hours later. Then after the iui I went into the office for a hcg test which came out negative

250 for consult 350 for sis 525 for hsg 1250 for medicated iui monitoring which included all the ultrasounds, and bloodwork 120 for letrazole and 83 for trigger shot I had to pay everything out of pocket because my insurance does not cover fertility

My husband's sperm count is severely low. Dr. Laborde was compassionate but also honest with our realistic course of action. He remained hopeful but also did not fill us with false hope, which we as a couple struggling with infertility truly appreciate. Specifically, when my husband asked if starting clomid would increase his count enough for IUI, Dr. Laborde told us "He has seen it happen, but it is a huge jump to get to that point". I appreciated the honesty more than he will ever know. We now know what our course of action will most likely have to be and we know what to work towards.

Ask as many questions as you need, he will answer honestly.

We ran a preliminary semen analysis on my husband. We were told that the result count was severely low. Dr. Labored ordered a second semen analysis and also ordered blood work. The blood work came back showing my husband has a low testosterone level. Dr. Laborde started my husband on Clomid, explaining why he could not start him on any kind of testosterone booster (because it would diminish the little count he does have). He explained that the hope is that Clomid will help his body naturally produce testosterone and in turn MAY increase his sperm count. He did tell us that we have quite a way to go before we would be eligible for IUI but that IVF would still be possible for us. He requested that we have blood work done a month after taking clomid and to return to do a semen analysis and to see him after 3 months of the medication. We are still in that process. We are looking forward to the next meeting.

155.00 each semen analysis. I am not sure about the actual visit with Dr. Laborde, my husband has primary and secondary insurance that seemed to have covered it.

Dr. Wells bed side manor is unmatched. She is dedicated to the individual plan of action for every treatment. She cared about more than us just getting pregnant, she cared about the financial burden it put on us, she cared about my feelings and frustrations. Consoled and reassured us when things weren’t working and took the time to explain why She even laughed at my husbands “do I have a fertil day” question (it broke the ice to say the least). She calmed my worries when I did get pregnant and let me continue to see her for just one more visit before going to my OBGYN. She’s a wonderful doctor and her amazing light shined in every greeting we got from her.

Trust her. She has walked this path not just as a doctor but as a woman. She will always do what’s best and explain everything so never hesitate to ask why or what or how. You’ll be in the best care around while a patient of Dr. wells.

We did two separate treatments.first round was with clomid (failed) but changed to femera followed by trigger to ovulate and IUI. No pregnancy during the time blood work and ultrasounds were done at almost every visit. Second round was after laparoscopic surgery to remove a dermoid cyst on my ovary. Sample pack doses of folistim daily trigger shot to help ovulation and double IUIs. Also regular blood work and ultrasounds at visits.

Our treatments run around $2800 range. She try’s to make sure that insurance covers whatever portion they are supposed to and if there is any overpayment it is sent back to us.

N/A

Dr. Wells is extremely thorough in answering questions as well as explaining treatment plans and success rates. She also makes you feel very comfortable when asking questions and discussing treatment plans. My only complaint would be that some visits I did not see her when I thought I would or I did not get to spend as much time with her as I wanted. For instance, I did not see her at all on the date of my first Iui. The nurse performed everything. Some appointments I saw her for a little bit but she had to move on to see other patients and I finished up my appointment with the nurses. However, that was not the case every time.

Like always with fertility treatment, nothing is guaranteed but there are lots of options.

Dr. Wells suggested trying an IUI from the beginning rather than trying naturally first. My husband’s semen analysis came back with poor morphology numbers so she believed starting with an IUI would be the most effective. Since I have irregular cycles, I began taking oral medicine (letrozole) but it failed to stimulate egg growth. I then moved onto injections (follistim and gonal) and that stimulated growth. We triggered ovulation and did my first Iui. I started my period about a week and a half later so It was not successful. We decided to move on to another IUI cycle. The injections were slower to work the second time but after a week or so longer than the first cycle, we triggered ovulation and did another IUi. I started my period again about a week and a half later. We decided to move onto a 3rd iui cycle initially starting with the same mediciation. After 2 weeks of follistim and gonal injections, there was still no growth so Dr. Wells decided to change my injections to Menopur. She believed this would help egg quality as well. This proved to work and a couple weeks later, I had my 3rd iui. About a week and a half after my 3rd iui, I started spotting and believed I was facing another unsuccessful iui. However, after a few days the bleeding stopped and I took 2 positive blood pregnancy tests within a few days of one another. Dr. Wells prescribed me to progesterone since I had been spotting and scheduled my first ultra sound for 7.5 weeks. I was experiencing pregnancy symptoms and went to my first ultra sound to find that there was no heartbeat, only an empty sac in my uterus. The baby had stopped developing at some point and I took cytotec to pass the sac. Everything passed fine. I’ve had another check up and now we are discussing IVF.

There was standard financial plans associated with my treatment plans however I felt like Dr. Wells and the clinic went above and beyond to help me out where they could. I received free medicine a few times when they had donated items from other patients. I felt very well taken care of in the finance department.

I believe she said they would only transfer one embryo but I cannot remember exactly. We have not moved forward to IVF just yet.

Dr. Wells was amazing during our time there, and she gave us encouragement when we wanted to give up. Her attention to detail during our protocol was great, and she answered all of our questions without rushing us. She was always patient and kind, and took the time to explain information, despite having other patients.

I would say that you might not see Dr. Wells every visit, and that’s okay. The staff does a great job at working as a team and the monitoring and protocol is always approved by Dr. Wells.

I first had a laparoscopy and was diagnosed with endometriosis. It was removed during surgery, and started our first IUI protocol soon after. The first IUI was with oral medication only, the second IUI was with oral and injectables. The third IUI was with injectables and oral also, from what I remember. We moved on to IVF. And we transferred our one good/fair embryo, and this one failed. We then transferred two fair/poor embryos, and this one was a natural cycle, and this one failed. We PGS tested our last two fair/poor frozen embryos, and one returned genetically normal and we transferred this last one, and this one failed. We are going to return and try again next year.

The coordination of the costs were organized and thorough, we knew exactly what to expect. Despite my failed transfers, Dr. Wells offers an assurance plan for failed cycles with PGS testing, meaning her physician fees are waived for the next cycle. This speaks volumes!