Describe your experience with Fertility & Surgical Associates of California.
I recommend this clinic. Each member of the staff are easy to work with and kind, from the receptionist to the doctor. The after hours care line is easy to use and when I needed the dr. after hours, I was able to talk directly to my Dr. when I needed to. The clinic is clean, the rooms are comfy, well as comfy as exam rooms can be =) Also, the office is organized well, meaning there is a person for every step. The waiting area, the exam rooms, room for blood draws, waiting area in the back when you wait for a nurse and then the payment desk. It is all clear and someone walks you to each area.
During treatment, were you treated like a number or a human with Rick Buyalos at Fertility & Surgical Associates of California?
Dr. B is a wonderful doctor. He listened to my whole story, and his office was so personal. He told me a bit about himself and I felt like he wanted to get to know exactly what was going on with me. Dr. B was prepared with a presentation and things to show me on my first visit. He had a plan for me with multiple steps, and it was customized to my specific situation. Dr. B listens when I ask questions, and always make sure to have time for me.
Describe your experience with your nurse at Fertility & Surgical Associates of California. (Assigned nurse: Megan)
I do not always have Megan, but I have her most of the time as my nurse. She is absolutely amazing! Megan has been compassionate, thorough, and goes above and beyond every time. I have her email, and she always answers all my questions. The other staff at the clinic are kind, helpful, and are good at what they do.
How was your experience with Rick Buyalos at Fertility & Surgical Associates of California?
Dr. B listens, and is prepared for every visit. Even when I can tell it is busy at the clinic, he doesn't seem rushed with me. On my first visit, we were in his office, and it was so personal. He listened to my whole story and told me a bit about himself. He wasn't afraid to spend time just getting to know me and not just about the infertility. Dr. B is also careful to answer any questions I have thoroughly.
What's one piece of advice would you give a prospective patient of Rick Buyalos at Fertility & Surgical Associates of California?
Ask any questions you have because he will treat you with respect and always answer your questions fully.
Describe the protocols Rick Buyalos used in your cycles at Fertility & Surgical Associates of California and their degree of success.
I have a low egg reserve for my age, 33. My HSG test was good, no blockages. I have no problems with my uterus and my husband has a high sperm count, good motility, morphology, etc.. Dr. B started with two months of timed intercourse using Letrozole 5mg. On the third month we did an IUI cycle, also with 5mg of Letrozole. The fourth month the Dr. gave me the option to try Clomid or keep using Letrozole, he was happy with the results of the Letrozole, but recommended at some time trying Clomid, since I had not gotten pregnant. I wanted to do one more month with Letrozole, so he added Follistim 0.1ml to inject three times during the course of Letrozole. Each of these four cycles (2 timed and two IUI) I used Ovidrel as my trigger shot. After the four months, Dr. B said we should either move to IVF, because the success rate of IUI and timed is less after about four times, or he said we can do one more round of IUI. I am just about to start this round of IUI and will be using Clomid this time. I do not know the dosage yet.
Describe the costs associated with your care under Rick Buyalos at Fertility & Surgical Associates of California.
My HSG test, semen analysis, consultation, blood draws, and ultrasounds related to diagnostics were covered by my insurance. After that, ultrasounds were $175, and I needed two per timed or IUI cycle. The progesterone they gave me free or I had to pay $20 when I ran out. The Ovidrel was $105.00 each time, and was shipped to my house. The Letrozole was paid for by my insurance the first time and was about $20 each other time from the CVS pharmacy. Each IUI with the sperm wash was $360. Dr. B's office waives the office visit fee if you are paying out of pocket. My insurance doesn't cover fertility treatment, just the diagnosis part, so now I am paying out of pocket.
Describe Rick Buyalos's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Fertility & Surgical Associates of California.