Describe your experience with Austin Fertility & Reproductive Medicine.
Some of the front desk staff/medical assistants are better than others. The vast majority were great. Comparable or better than most medical offices.
During treatment, were you treated like a number or a human with Shahryar K. Kavoussi at Austin Fertility & Reproductive Medicine?
We adore Dr. Kavoussi. From my very first appointment, I appreciated his warmth, candor, level of detail, and authenticity. I am a "high information" patient, and wanted the nitty gritty scientific details. He never talked down to me, and appreciated/encouraged my frequent research and questions. We experienced two tragic losses, and always felt that Dr. K, Kate, and the entire practice genuinely grieved with us, hoped the best for us, and prayed/rooted for us. WE LOVE Dr. K. and this practice.
Describe your experience with your nurse at Austin Fertility & Reproductive Medicine. (Assigned nurse: Kate Odenwald)
I love Kate. She is efficient but kind. We got to know each other well over our years in treatment, and she goes out of her way to e-mail, text, or even see you on a weekend if necessary. She is Dr. K's right hand woman, and is extremely well-versed in the details and science behind the treatment.
How was your experience with Shahryar K. Kavoussi at Austin Fertility & Reproductive Medicine?
Dr. Kavoussi is the kindest doctor I've ever seen as a patient. He combines compassion and personal attention with extreme attention to detail and as much or as little medical information/explanation as you want--which in our case was a lot. He always took time to listen, answer questions, draw diagrams if need be, and explain risks. We underwent 7 medicated cycles (6 TI, 1 IUI), and achieved two pregnancies from two of them. Unfortunately my DOR and poor egg quality led to two trisomy-related losses. The office could not have been kinder to us during these difficult times. I had two hysteroscopic surgeries along the way, which Dr. K personally performed. Again, his level of care, detail, and bedside manner were unmatched. After our second loss, we went on to IVF with PGS. Our first antagonist cycle produced 6 eggs, all of which fertilized abnormally. Our second Microdose Lupron cycle produced 10 eggs and 2 blastocysts, both of which came back PGS Abnormal. We were not willing to undergo another OE cycle, and we appreciate and respect that the doctor was honest and realistic about our statistical chances. He always called personally with bad news. He always called personally to congratulate good news. He always called personally to follow up and check in after a loss. He is a truly good man. We ultimately pursued DE overseas, as we could not afford it in the US. Dr. Kavoussi and his practice were still with us every step of the way, supporting our choice and providing local monitoring care. When we were successful (currently in 2nd trimester) with our first DE transfer, they were all over the moon overjoyed for us. Even though we never achieved a healthy take-home baby with this practice, we would not change a thing, and are so very grateful for them.
What's one piece of advice would you give a prospective patient of Shahryar K. Kavoussi at Austin Fertility & Reproductive Medicine?
Morning appointments are only at Westlake. Afternoon appointments are only at James Casey. Sometimes there can be a wait, as with many offices. If you have an appointment early in the AM, you'll be seen quickly. Come with questions: they'll answer them.
Describe the protocols Shahryar K. Kavoussi used in your cycles at Austin Fertility & Reproductive Medicine and their degree of success.
Medicated cycles: 7.5 letrazole with ovridel trigger shot--each time, the plan was three cycles of this before moving on to more aggressive approach, and each time we got pregnant on the 3rd cycle. (The 1st one was a throw-away, as my HSG came back with polyps in the middle of that cycle, requiring surgery before trying again.)
IVF with ICSI #1: 300 gonal-f, 75 menopur, cetrotide antagonist cycle. This was the recommended 1st place to start based on my AMH. (They wouldn't have done a long lupron cycle.) 6 mature eggs. All fertilized abnormally.
IVF with ICSI #2: 300 gonal-f, 150 menopur, microdose lupron -- all in divided doses 2x a day. 10 eggs, 2 mature, both fertilized and made it to blast. Both PGS abnormal.
Describe the costs associated with your care under Shahryar K. Kavoussi at Austin Fertility & Reproductive Medicine.
It certainly isn't cheap, but this is infertility: It's expensive.
I was very fortunate to have my insurance change and cover infertility coverage part-way through my treatment--which enabled us to do IVF. From my perspective, costs were average for this city. Self-pay costs ARE cheaper than insured/negotiated costs.
Describe Shahryar K. Kavoussi's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Austin Fertility & Reproductive Medicine.
If we had had embryos of my own eggs to transfer, Dr. K would have supported multiple transfer. However, when we discussed donor eggs, he was very realistic about the chances of multiples, and supported our choice to do eSET.