The doctor’s [Dr. Wilcox] approach is a one size fits all method. Throughout the 3 rounds of IVF, he did not bother changing the medication for any of those rounds. Even after 2 of the cycles resulted in identical failed outcomes that followed the same recipe, he chose to only slightly change the dosage on one of the medications...Throughout the treatment, he was dismissive of my questions and continued to use statistics to justify his dismissive attitude...
The staff [at HRC Fertility] was friendly and helpful. However, it was apparent that they were understaffed. There were a few times where I was left in a waiting room (or left in the hallway) after an exam for awhile before a nurse came to meet with me...During one IVF round, the nurse did not order one of my medications in time and I actually ran out of it...The billing department lost records of previous invoices....
How was your experience with John Wilcox at HRC Fertility?
Summary:
I would NOT recommend going to Dr Wilcox at HRC for your fertility treatment, as I had a disappointing and demoralizing experience with him.
Note: This review is solely for Dr John Wilcox and does not reflect the other doctors at the HRC Fertility clinic.
Background:
I had 3 unsuccessful rounds of IVF (2 that went through an egg retrieval and 1 that did not even make it that far).
I waited a year to write this review because I wanted to be absolutely sure that the disappointing experience was valid and not marred from the failed results. I wanted to wait and compare the behavior with my other doctor to be absolutely sure that this wasn’t behavior that was common or considered normal. I can assure you that it is not. I ended up going to another clinic, and am now pregnant. I just wish I didn’t have to go through the painful journey with Dr Wilcox beforehand. I hope this feedback will help others avoid my mistake, and save themselves heartache and a huge financial loss.
Problem #1: One size fits all approach
The doctor’s approach is a one size fits all method. Throughout the 3 rounds of IVF, he did not bother changing the medication for any of those rounds. Even after 2 of the cycles resulted in identical failed outcomes that followed the same recipe, he chose to only slightly change the dosage on one of the medications. I also asked him about changing the medication, which he dismissed and chose to stick to his [continued unsuccessful] method. By the way, the 2nd round didn’t even make it to the egg retrieval stage.
One example of the unchanging and failed recipe: Dr Wilcox had me start every cycle with 2 weeks on birth control. Come to find (per my new doctor at a different fertility clinic) that birth control can actually slow down the growth of follicles too much for those who are sensitive to birth control AND that the birth control method is actually for the benefit of the doctor not the patient. It allows the doctor to control the timing of a woman’s cycle, rather than follow the natural cycle. (Dr Wilcox never explained this to me, btw)
Problem #2: Poor bedside manner
Throughout the treatment, the doctor was dismissive of my questions and continued to use statistics to justify his dismissive attitude. (I.e., when I asked him why the medications were not changed after the first and second failed attempt, he told me that his approach works for the ‘majority’ of his clients and if it failed for me then that must mean statistically I do not have a good chance of getting pregnant anyways.)
His stance was that since my results were not successful based on his [one size fits all] treatment, the odds of me getting pregnant were slim to none. He told me straight up that I had <1% of getting pregnant by the 2nd cycle.
He also mentioned to me after my first round, that HRC’s policy was to only allow 3 rounds per person before they stop treatment. (They would only continue treatment if the person opts for a donor egg.)
Problem #3: Understaffed
The staff was friendly and helpful. However, it was apparent that they were understaffed. There were a few times where I was left in a waiting room (or left in the hallway) after an exam for awhile before a nurse came to meet with me.
During one IVF round, the nurse did not order one of my medications in time and I actually ran out of it. When I let the staff know that I ran out and I needed to get a refill ASAP, Dr Wilcox emailed me and said that it was ok that I skip a few days because it doesn’t really make much of a difference. Nice to know that they prescribed me medication (that was quite expensive) that ‘didn’t do much’.
Problem #4: Runs like a business
The office is really nice and comfortable. The waiting lounge feels spa-like and I know they recently moved into a new space since I left. HRC looks like a very profitable business, and Dr Wilcox manages that business very well.
Throughout my IVF experience with him, I felt like he was handling my fertility treatment very much like a business. With the one size fits all treatment, the policy of no more than 3 rounds, and immediate referral to egg donor after the first round, I felt like he was churning me through the fertility factory and trying to get me out as soon as possible so the next customer can get in line.
In my final IVF round with HRC, he confirmed that I only had one follicle that was mature enough to retrieve. (Yes, only ONE) He told me to go ahead with the egg retrieval surgery anyways. For those of you who are not familiar with that procedure, the patient undergoes general anesthesia and the procedure is invasive. Dr Wilcox had me go through that procedure for ONE follicle, which has a very low chance of success. I didn’t realize how unethical it was for him to do that, until I went to the new clinic and the multiple doctors there said that they would never recommend a patient to go through a retrieval with only one follicle. This just further confirmed that he does not treat patients like human beings.
Conclusion:
If you are looking to get fertility treatment, please go to another doctor. You will not get the experience you need nor deserve with Dr Wilcox. Luckily for me, my insurance covered majority of my treatments so I was financially able to continue with another doctor and now I am pregnant. However, I know for a fact that if I didn’t have insurance, I would have spent my savings on this horrendous experience.
What's one piece of advice would you give a prospective patient of John Wilcox at HRC Fertility?
Go to another doctor.
If you've already committed, then do A LOT of research on your own. I would ask about alternative medication (especially to the birth control pills they prescribe) and alternative hormone medication. There are hormone medications that are covered by insurance and ones that are not. Ask your insurance and TELL (don't ask) him that is what you need.
During treatment, were you treated like a number or a human with John Wilcox at HRC Fertility?
Throughout my IVF experience with Dr Wilcox, I felt like he was handling my fertility treatment very much like a business. With the one size fits all treatment, the policy of no more than 3 rounds, and immediate referral to egg donor after the first round, I felt that he was churning me through the fertility factory and trying get me out as soon as possible, so the next customer can get in line.
Throughout the treatment, he was dismissive of my questions and continued to use statistics to justify his dismissive attitude. (I.e., when I asked him why the medications were not changed after the first and second failed attempt, he told me that his approach works for the ‘majority’ of his clients and if it failed for me then that must mean statistically I do not have a good chance of getting pregnant anyways.)
Describe the protocols John Wilcox used in your cycles at HRC Fertility and their degree of success.
Round 1: I started with birth control pill for 7 days. Then they had me take [daily] 25ml of Omnitrope injections, 300 IU of Gonal injections for first couple of days, then increased dosage to 450 IU, and Clomid pills for about a week and a half.
Gonal dosage increased because the follicles were not growing quickly enough.
(The # of days of hormone treatment also differed slightly for each round depending on the follicle growth each time.) Dr Wilcox was waiting until the follicles reached an average of 20-23 mm. I used Pregnyl as the trigger shot 2 days before the egg retrieval. Results were one egg retrieved with failed fertilization even though they were monitoring 3 eggs.
Round 2: Same birth control for 7 days. Then 25ml of Omnitrope injections, 450 IU of Gonal injections and Clomid pills for only 4 days because my follicles were growing unevenly so they stopped treatment mid-way. Result: No egg retrieval.
Round 3: Same birth control for 7 days. Then 25ml of Omnitrope, 450 IU of Gonal for first 4 days then increased to 525 IU, and Clomid. Again, the follicle were not growing quickly enough. Pregnyl for trigger then retrieval. Doctor continued to try to hit the 20-23 mm follicle size. Results: Retrieved one egg (doctor knew there was only one egg). Egg degenerated a couple of days after retrieval.
Describe your experience with your nurse at HRC Fertility. (Assigned nurse: Gladdys D. Caspellan)
The staff was friendly and helpful. However, it was apparent that they were understaffed. There were a few times where I was left in a waiting room (or left in the hallway) after an exam for awhile before a nurse came to meet with me.
During one (of 3) of the IVF rounds, the nurse did not order one of my medications (omnitrope) in time and I actually ran out of it in the middle of treatment. When I let the staff know that I needed to get a refill ASAP, Dr Wilcox emailed me and said that it was ok that I skip a few days because it did not really make much of a difference. Nice to know that they prescribed me medication (that was quite expensive) that ‘didn’t do much’.
My coordinator was sweet but she was not very responsive. She called me a couple of times in the beginning of my first round but then I never really heard from her afterwards. I mostly spoke or emailed with the nurses directly. And when I had billing questions, I had to work directly with the billing department.
Describe your experience with HRC Fertility.
Strengths: The nurses who took my blood sample during every visit were pros at it. Seemingly painless and minimal bruising.
Weaknesses: Clinic was super busy with understaffed nurses. Don't except to get a lot of attention here.
Describe the costs associated with your care under John Wilcox at HRC Fertility.
Thankfully, my insurance covered most of the services. There were a few medications that my insurance did not cover, like Omnitrope and Pregnyl.
What specific things went wrong at HRC Fertility?
- Failed to call in prescriptions to pharmacy
- Lost paperwork
Describe the specific things that went wrong at HRC Fertility.
During one IVF round, the nurse did not order one of my medications in time and I actually ran out of it. When I let the staff know that I ran out and I needed to get a refill ASAP, Dr Wilcox emailed me and said that it was ok that I skip a few days because it doesn’t really make much of a difference.
The billing department lost records of previous invoices. I got an invoice recently (in 2021) for services in 2020. Unfortunately, my FSA does not cover services from prior years so I had to pay out of pocket. They also double billed my insurance for the same services in 2020. Thankfully I researched each service (and kept track of them in my own excel spreadsheet) so I noticed it right away.
The billing dept actually admitted that the prior team that handled the bills lost paperwork.
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Clinic
HRC Fertility
Pasadena