Describe your experience with Gago Center for Fertility.
The great strength of this clinic is Dr. Gago and the atmosphere of warmth, caring, and trust she fosters. Her staff are for the most part excellent as well. The clinic does at times seem to have communication issues, and they are often running behind and sometimes our visits can feel rushed. Make sure to plan for more time than you think you'll need for your visits. The ability to do monitoring in multiple locations is really convenient.
During treatment, were you treated like a number or a human with Laura April Gago at Gago Center for Fertility?
Dr. Gago has a warm bedside manner, and most of her staff have excellent bedside manner as well. Dr. Gago personally performs all of my major procedures (D&C, ERA biopsy, egg retrieval, transfer). She takes the time to talk with us and patiently answer all our questions even when she is clearly busy or running behind. She personally called us with our PGS results.
Describe your experience with the nursing staff.
Overall the nursing staff is excellent. Sometimes things seem a little disorganized or delayed, and some nurses have a more distant bedside manner than others. But for the most part, we have been very pleased with our interactions with the nursing staff. Many of them take a personal interest and truly seem to care.
How was your experience with Laura April Gago at Gago Center for Fertility?
Dr. Gago is very warm and caring, and takes the time to patiently answer our many questions. She performs all major procedures (except our IUIs). She personally called us with our PGS results and I anticipate she will call with our beta results after my upcoming transfer. My only bad experience was during a recent hysteroscopy when we waited in the waiting room for a long time, and then the doctor and five other staff rushed in and hurriedly went about the procedure. It felt very frantic and was stressful. Every other time, Dr. Gago has been very calm.
What's one piece of advice would you give a prospective patient of Laura April Gago at Gago Center for Fertility?
Take the time to get to know the nurses. You will primarily be communicating with them.
Describe the protocols Laura April Gago used in your cycles at Gago Center for Fertility and their degree of success.
Retrieval: 2 days Cetrotide followed by approx 1 week Gonal F 150iu, LDHCG 20iu, and Femara 2.5mg. Restart Cetrotide 2-3 days before trigger shot. Ovidrel trigger. Bromocriptine and Prometrium after retrieval. Results: 18 eggs retrieved, 11 fertilized, 11 embryos frozen and biopsied; 4 PGS normal embryos.
-Transfer #1 (ongoing): Lupron 20iu daily. Estrace 1 tab vaginal for 2 days, increase to 1 oral/1 vaginal for 3 days, increase to 2 oral/1 vaginal for rest of cycle. Progesterone in oil 2cc beginning 6 days before transfer (earlier due to ERA results) and through end of cycle. Transfer is scheduled for next week.
Describe the costs associated with your care under Laura April Gago at Gago Center for Fertility.
IUIs were around $500 each; we paid about $350 after insurance covered the semen sample prep. Not including medications.
We paid ~$23,000 for a multi-cycle IVF package with ICSI - includes two egg retrievals and unlimited transfers until viable pregnancy achieved. We paid an additional ~$2,000 to a lab for PGS. These costs do not include medications or monitoring, which fortunately were covered by our insurance with co-pays.
Describe Laura April Gago's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Gago Center for Fertility.
Dr. Gago strongly recommended PGS so we could confidently transfer one embryo at a time. She said her policy is never to transfer more than two embryos.