Ratings of 1 indicate that a clinic was poorly operated.
Ratings of 10 indicate that a clinic operated very well.
Scheduling
8.1
8.1
Scheduling
Ratings of 1 mean it was difficult to schedule appointments with this clinic.
Ratings of 10 mean it was easy to schedule appointments.
Billing Department
7.8
7.8
Billing Department
Ratings of 1 indicate an unsatisfactory billing department.
Ratings of 10 indicate an excellent billing department.
Nursing Team
8.3
8.3
Nursing Team
Ratings of 1 indicate an unsatisfactory nursing team.
Ratings of 10 indicate an excellent nursing team.
LGBTQ+ Care
10
10
LGBTQ+ Care
Ratings of 1 indicate an unsatisfactory LGBTQ+ care.
Ratings of 10 indicate an excellent LGBTQ+ care.
Attention to Detail
7.4
7.4
Attention to Detail
Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.
For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.
CDC Success Rates
This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
One thing that could improve for me is that it feels like each time we have actually met with Dr. Marsh in person I feel very rushed and when I asked questions it felt as if I was an inconviennce and wasting her time. I know that she has tons of patients and is very busy, however I could see that potentially being an issue for someone wanting a more personalized or communicative RE. I was already aware of Dr. Marsh's "dry and sometimes cold" personality before choosing her as my doctor. Ultimately my husband and I felt that we would rather have the BEST doctor with highest success rates who lacked personality over a doctor who had a terrific bedside manner but lower success rates and potentially requiring more attempts for success.
they [KS U Ctr for Advanced Repro Med] were great about scheduling and got me in very quickly for my consult. However, once my initial appointment past, the waiting times get longer and longer. I appreciate them getting me in the door right away, but it is almost more stressful having to wait 3 or 5 weeks between appointments. Waiting over a month just to go over test results is the worst. I do love having the portal to communicate with the nursing staff and they have been great about responding very quickly no matter what which is awesome.
How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
My husband and I had been warned by several people that Dr. Marsh is incredible and truly amazing at what she does. She is incredibly smart and experienced as well as high success rates. However, some are very offput by her personality. Personally, we felt that we would rather have a doctor be successful on the first try that had a rude or cold personality (which is far from the case, she is very caring and kind) as opposed to a doctor with amazing bedside manner who made us feel great but took multiple attempts which means more money and time . Luckily, we discussed this all in advance and were able to make the decision expecting her to be super rude or something just awful. Dr. Marsh to me is more of a straight shooter who cares deeply about her patients and puts her entire heart into what she does therefore takes it seriously. She has always had a smile on her face and been very kind but always serious and means business.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
dont expect a bubbly joking personality from her because that is just not who she is. instead you can expect her to be direct and honest and kind but with a very serious demeanor
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
I know that it is common and happens with almost all RE's, but I still struggle with the lack of interaction or ability to communicate with Dr. Marsh. Her entire staff is beyond amazing and very helpful throughout this entire process. One thing that could improve for me is that it feels like each time we have actually met with Dr. Marsh in person I feel very rushed and when I asked questions it felt as if I was an inconviennce and wasting her time. I know that she has tons of patients and is very busy, however I could see that potentially being an issue for someone wanting a more personalized or communicative RE. I was already aware of Dr. Marsh's "dry and sometimes cold" personality before choosing her as my doctor. Ultimately my husband and I felt that we would rather have the BEST doctor with highest success rates who lacked personality over a doctor who had a terrific bedside manner but lower success rates and potentially requiring more attempts for success.
Describe the protocols Courtney Marsh used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
I have bi-lateral tubal obstruction with the presence of fluid in my left tube. Following a severe sexual assault at age 20, I had a reconstructive surgery at age 21 attempting to repair my tubes hoping to one day become a mom. Sadly, the surgery was unsuccessful and I am now 29 with IVF as my only option. I am currently in the process of trying to finance the procedure as its not covered by insurance. Dr. Marsh expects that I will produce an abundance of eggs in just on retrieval as I have an AMH of 15.92 and very rarely get periods. As long as we get enough embryos as expected, my left tube will then be removed due to the presence of hydrosalpinx. FET will then occur as soon as everything heals (as soon as a few weeks later)
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
always so kind and sweet! they are very helpful and always have smiles on their faces.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
they were great about scheduling and got me in very quickly for my consult. However, once my initial appointment past, the waiting times get longer and longer. I appreciate them getting me in the door right away, but it is almost more stressful having to wait 3 or 5 weeks between appointments. Waiting over a month just to go over test results is the worst. I do love having the portal to communicate with the nursing staff and they have been great about responding very quickly no matter what which is awesome. I have a couple times felt a phone call would be more appropriate and easier than using the messages on the portal because sometimes what would only take a three minute phone call ends up taking a couple hours of messaging back and forth. However I do see the the long term benefit of being able to go back and re read messages and avoid any confusion which you can obviously not do on a call.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
i know the cost for IVF including ICSI and FET is $11,750 and they will not split it up. This doesnt include medications. I requested the bundle as they called it be broken down as my insurance will cover some of it like ultrasounds, blood work, etc but they are not willing to do that and refused.
Describe Courtney Marsh's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
due to my age she said she would be transferring just on embryo
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Failed to call with results
Provided conflicting information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
During my HSG I really dont understand why or what exactly caused this but - somehow left the procedure under the impression that both of tubes were open and looked great and rejoiced because i was almost certain my tubes would never be able to work after a horrific trauma ten years ago. Then about a week or two later, I was utterly devastated and crushed to then find out the exact opposite in that they were both blocked and could not be fixed.
7
Doctor
Courtney Marsh
NPS
Humanity2 of 5
Communication2 of 5
Frequency Seen3 of 5
Trustworthiness4 of 5
Compassion3 of 5
Explained risks5 of 5
Adaptability3 of 5
8
Clinic
Kansas University Center for Advanced Reproductive Medicine
We liked that she was up to date on current research and treatment options being performed. She handled our miscarriage appropriately without babying us but with compassion. We had issues with the staff and she was very understanding about helping us, including calling us the day of a funeral she was at. ... When I wanted to be more aggressive, she discussed real options with me that we'll be pursuing.
Weakness [of KU Med] - 100% the nursing staff. Second being the portal communication. It is HORRIBLY slow to use. ... It was very much the nursing staff that caused problems. They communicated poorly, the wrong information and caused me severe unneeded emotional stress. They are also very difficult to contact. They use this terrible portal, but no where is there a phone number in the portal if you have issues!
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
We liked that she was up to date on current research and treatment options being performed. She handled our miscarriage appropriately without babying us but with compassion. We had issues with the staff and she was very understanding about helping us, including calling us the day of a funeral she was at.
What's one piece of advice would you give a prospective patient of Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
She seems wonderful but her nursing staff is terrible.
During treatment, were you treated like a number or a human with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
When I actually got to talk to Dr Holoch, she was wonderful. She explained things well in normal terms without dumbing it down to much. When I wanted to be more aggressive, she discussed real options with me that we'll be pursuing.
Describe the protocols Kristin Holoch used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
We started with well defined plan on what we were testing for and why. When they came back unexplained, the plan made was for timed intercourse with femara to help induce healthier ovulation, since I did ovulate, progesterone supplements, and the antihistamine protocol. That resulted in only a miscarriage, still at 5 weeks. From there we are currently moving into an IUI with the hopes that we may have better luck with a trigger shot.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
The nursing staff is extremely week. They do not communicate well using a terribly designed patient portal. They often overlook questions which results in repeatedly asking the same questions. They do not include enough information when they translate Dr Holochs information. They treat you like a number and often don't look at your chart before replying. They are insensitive to the emotional turmoil we go through. They are uneducated about certain treatments they provide, such as methotrexate injections.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Strength - definitely Dr Holoch being a modern doctor. She is patient when asking questions and is always open to discuss treatments or research studies mentioned by me. She also did not dismiss my husbands role in this process.
Weakness - 100% the nursing staff. Second being the portal communication. It is HORRIBLY slow to use.
Describe the costs associated with your care under Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine.
Most of it has been covered under my insurance. Without insurance costs will be: IUI $600, + the trigger shot, $120, femara, $8, plus 2-3 ultrasounds at $250 each
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Failed to call with results
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
It was very much the nursing staff that caused problems. They communicated poorly, the wrong information and caused me severe unneeded emotional stress. They are also very difficult to contact. They use this terrible portal, but no where is there a phone number in the portal if you have issues!
10
Doctor
Kristin Holoch
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen4 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
7
Clinic
Kansas University Center for Advanced Reproductive Medicine
We had one face-to-face consultation with Dr. Marsh where she asked us a lot of questions and listened closely to our responses. ... We don't live near the clinic, so we have had a number of phone consultations with Dr. Marsh and it always feels like Dr. Marsh takes into consideration who we are, where we are in the process, and our requests. ... She listened to every question we had and was well-informed in answering our questions. Dr. Marsh tends to keep her answers brief, but answers any followup questions. ...
Getting an initial consultation setup [at KU Med] was difficult because it had to be done over the phone and connecting with a person was challenging. However, once setup in the portal, communication has been a breeze. All the staff has been incredibly friendly and easy to work with. ... All the nurses have been a pleasure to work with. They are supportive and well-educated. They respond to questions and share results promptly.
How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
We had one face-to-face consultation with Dr. Marsh where she asked us a lot of questions and listened closely to our responses. She listened to every question we had and was well-informed in answering our questions. Dr. Marsh tends to keep her answers brief, but answers any followup questions. We had one unfortunate IUI with very low sperm count and Dr. Marsh spoke with us face-to-face about that situation. Our additional contact with Dr. Marsh has been over phone consultations following failed treatments. We have been able to quickly and easily obtain consultations with Dr. Marsh and review what we did and what are the next steps moving forward. She is quick to recommend changes to treatment as appropriate which I really appreciated. Her recommendations are guided by our situation and founded in a strong understanding of current research and data.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Being well prepared and informed has helped us make more efficient use of our time with Dr. Marsh. Have questions and topics prepared to discuss during your appointments.
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh and all the staff we regularly see at the clinic knows who we are. We don't live near the clinic, so we have had a number of phone consultations with Dr. Marsh and it always feels like Dr. Marsh takes into consideration who we are, where we are in the process, and our requests. Dr. Marsh and the clinic staff are good listeners and want our input. We have genuine conversations with Dr. Marsh which have guided our treatment decisions.
Describe the protocols Courtney Marsh used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
We started with an IUI. Our last semen analysis showed just enough total motile sperm to make IUI a reasonable choice. Because she suspected that I might have a luteal phase defect, she also prescribed Letrozole (Femara) to boost my corpus luteum and progesterone for luteal phase support. Due to very low total motile count for the IUI, we decided to proceed to IVF. I have good numbers and wanted to do a fresh transfer, so Dr. Marsh prescribed low doses of medications for stimming (75IU Menopur and 75IU Gonal F, antagonist protocol). I started Cetrotide based on results from ultrasound and bloodwork monitoring. Dr. Marsh monitored and reviewed my results closely. I produced 9 eggs, 8 were mature, and 7 fertilized with ICSI, and resulted in 5 blastocysts. We transferred 1 day-5 embryo (after 5 days of 50 mg/day progesterone-in-oil) after the egg retrieval which did not implant. Immediately following we were able to start an FET cycle. Due to lack of implantation, Dr. Marsh had me do an endometrial scratch. I was primed with estrogen (Estradiol 2 mg tablets, 3/day) and started progesterone-in-oil (50 mg/day) and Endometrin (3 suppositories/day) 5 days before my FET. That embryo implanted, but resulted in an early miscarriage/chemical pregnancy.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
All the nurses have been a pleasure to work with. They are supportive and well-educated. They respond to questions and share results promptly.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Getting an initial consultation setup was difficult because it had to be done over the phone and connecting with a person was challenging. However, once setup in the portal, communication has been a breeze. All the staff has been incredibly friendly and easy to work with.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
IUI cost $600 plus meds. IVF cost $11,000 plus meds (ICSI included in IVF cost). Each FET costs $2500 plus meds (endometrial scratch included in FET cost). I think the pricing is fair and is clearly outlined in documents provided by the clinic.
Describe Courtney Marsh's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
Dr. Marsh very strictly follows a single embryo transfer policy for our situation (young, good quality embryos)
10
Doctor
Courtney Marsh
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen2 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks3 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
Dr. Marsh was on our team and communicated that everytime we saw her. I appreciated her optimism, while keeping it realistic. She spoke the truth and was really pulling for us to get pregnant. She listened to our concerns when we had them and adjusted accordingly.... She wanted to get to know us as a couple instead of just a number.... Femara and Gonal RFF with Ovidrel trigger for IUI. Femara was used due to my history of endometriosis.
When you submit a question or message via the portal the first available nurse [KU] responds. This is nice for timely responses but can be frustrating when the nurse doesn’t fully understand your protocol or doesn’t take the time to read over it correctly. Sometimes there were numerous spelling errors in our messages and that worried me since everything needed to be precise. It seemed like there were too many hands. I would have liked to have had a primary contact for all of my procedures.
How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh was on our team and communicated that everytime we saw her. I appreciated her optimism, while keeping it realistic. She spoke the truth and was really pulling for us to get pregnant. She listened to our concerns when we had them and adjusted accordingly.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Be your own advocate. Speak up when you need more information or have questions because it isn’t spoon fed to you.
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh listened to our concerns and answered our questions thoroughly. She wanted to get to know us as a couple instead of just a number.
Describe the protocols Courtney Marsh used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
Femara and Gonal RFF with Ovidrel trigger for IUI. Femara was used due to my history of endometriosis.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
When you submit a question or message via the portal the first available nurse responds. This is nice for timely responses but can be frustrating when the nurse doesn’t fully understand your protocol or doesn’t take the time to read over it correctly. Sometimes there were numerous spelling errors in our messages and that worried me since everything needed to be precise. It seemed like there were too many hands. I would have liked to have had a primary contact for all of my procedures. It would have been more personalized.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Financial services is great to work with. Prices are good since it is a huge hospital. The pharmacy they use is great. Clinic hours and availability are awesome for working parents! Clean and nice facility with new equipment. Dealing with the nursing staff was definitely my least favorite experience.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
IUI was $600 plus meds and ultrasounds/bloodwork. IVF with ICSI was $14k plus meds.
Describe Courtney Marsh's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
Only eSET is used for my age range.
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Lost paperwork
Lost appointments
Failed to order appropriate test
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
There is a lot of miscommunication due to the fact that all of the nurses answer the questions and messages on the portal. Numerous times I had to ask questions of the care protocol and they were mistaken in the information that they previously gave me with our IUI cycles. During our IVF cycle, we had one primary contact which was much more helpful.
9
Doctor
Courtney Marsh
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks4 of 5
Adaptability4 of 5
8
Clinic
Kansas University Center for Advanced Reproductive Medicine
When I first saw Dr. Lydic, I was referred because of irregular periods and pain. He explained what possible causes were and treatments for each possible cause. I ended up having a 7.5 cm cyst on one ovary and 3.5 cyst on the other. Before we began fertility treatments, he wanted to watch those to make sure they didn’t turn into anything. I ended up with a positive pregnancy test and at my first ultrasound found out it was ectopic. I went in for immediate surgery after speaking with Dr. Lydic, who was very compassionate and informational, and since then have began fertility treatment with Letrozole.
The nurses [at KS University Center for Advanced Reproductive Med] are all very kind and understanding, but they are also very well informed when it comes to questions I have or concerns that have to do with me. They know how to answer questions specific to me.... All clean, friendly staff, easy in and out. They seem just as compassionate as the nurses and Dr. Lydic. I have seen them help out with other patients young children and it is nice to have a staff there who cares.
How was your experience with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr. Lydic always explains everything that’s going on in my body with the utmost care and intelligence. He provided me with expectations, risks, and hopes as a result of the treatments or process. I loved that he would draw pictures to explain everything, giving me a better visual understanding of what was going on in my body.
What's one piece of advice would you give a prospective patient of Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Make sure to ask clarifying questions if needed!
During treatment, were you treated like a number or a human with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr. Lydic is very caring and aware of what is going on in my life and in my health. When I first started seeing him, he would call me just to check in.
Describe the protocols Michael Lydic used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
When I first saw Dr. Lydic, I was referred because of irregular periods and pain. He explained what possible causes were and treatments for each possible cause. I ended up having a 7.5 cm cyst on one ovary and 3.5 cyst on the other. Before we began fertility treatments, he wanted to watch those to make sure they didn’t turn into anything. I ended up with a positive pregnancy test and at my first ultrasound found out it was ectopic. I went in for immediate surgery after speaking with Dr. Lydic, who was very compassionate and informational, and since then have began fertility treatment with Letrozole. I do not know what the results are as it is too early to tell, but have faith that he will stop at no end to help me get the results I want from my fertility journey.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
The nurses are all very kind and understanding, but they are also very well informed when it comes to questions I have or concerns that have to do with me. They know how to answer questions specific to me.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
All clean, friendly staff, easy in and out. They seem just as compassionate as the nurses and Dr. Lydic. I have seen them help out with other patients young children and it is nice to have a staff there who cares.
Describe the costs associated with your care under Michael Lydic at Kansas University Center for Advanced Reproductive Medicine.
I don’t remember different components, but my treatments have been very cost efficient and it has been easy to work out payment plans with KU hospital billing.
Describe Michael Lydic's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
N/A
10
Doctor
Michael Lydic
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen2 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
100% treated like a human by Dr. Holoch...has called me directly to discuss next steps, results and even to tell me I was pregnant (I later miscarried). She is AWESOME...Be prepared to only see her at the initial consult, which is usually far out from when you are actively "needing" to see her (and when you will want advice from her and live conversations vs portal messages). She is an amazing and empathetic doctor, just very hard to get in touch with due to barriers the clinic puts in place.
[Kansas University Center for Advanced Reproductive Medicine] Forgot to call in Progesterone for first IUI cycle -Did not check in on me when I was Hyperstemming from IVF retrieval (I had to call them to get updates and ask what to do) -Didn't change my D&C appointment to a consult after I miscarried on my own after IVF cycle -Doesn't try to get you scheduled quickly and instead prioritizes new patient consults on the Dr's calendar
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Dr Holoch has called me directly to discuss next steps, results and even to tell me I was pregnant (I later miscarried). She is AWESOME... ***IF*** you can talk/connect with her instead of the clinic and nurses.
What's one piece of advice would you give a prospective patient of Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Be prepared to only see her at the initial consult, which is usually far out from when you are actively "needing" to see her (and when you will want advice from her and live conversations vs portal messages). She is an amazing and empathetic doctor, just very hard to get in touch with due to barriers the clinic puts in place.
During treatment, were you treated like a number or a human with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
100% treated like a human by Dr. Holoch. Her back office and nurses on the other hand - 100% like a NUMBER which is so frustrating.
Describe the protocols Kristin Holoch used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
6 IUIs - Levothyroxine
1 Retrieval - Gonal-F, Menopur
Prep for Transfer - PIO, Estradiol
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
In person, the nurses are compassionate and helpful. But if you are not in the office, the only way to contact them is to leave a voicemail or a portal message, and they typically do not call you back (instead they portal message you back). You are shuffled from nurse to nurse, and never know who will be responding to your message. They must be completely overwhelmed (due to their response time) or lack a sense of urgency.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
The first clinic that I was at assigned me a specific NP; this clinic does not assign you to anyone, and if they do, you are shuffled from nurse to nurse and never know who you will talk to or when.
They also do not try to get you into the Doctor to get any concerns addressed (which I'm sure is protocol to try to address concerns themselves). For instance, I miscarried at 7wks after my first IVF transfer, and was told that I couldn't get in to talk to my Dr about next steps for another 5 weeks. (!)
Describe Kristin Holoch's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
In hindsight, I wish I would have let her suggest what we do. I basically told her that I was told by my last doctor that we needed to transfer only one, since I had preeclampsia with my first baby and was at risk of developing it again.
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Failed to call in prescriptions to pharmacy
Lost paperwork
Lost appointments
Failed to call with results
Provided conflicting information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
-Forgot to call in Progesterone for first IUI cycle
-Did not check in on me when I was Hyperstemming from IVF retrieval (I had to call them to get updates and ask what to do)
-Didn't change my D&C appointment to a consult after I miscarried on my own after IVF cycle
-Doesn't try to get you scheduled quickly and instead prioritizes new patient consults on the Dr's calendar
9
Doctor
Kristin Holoch
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen1 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability2 of 5
3
Clinic
Kansas University Center for Advanced Reproductive Medicine
Dr. Holloch was amazing! She spent time with to answer all of my questions and explained everything so I could make the best choice for me, my care and the future of our family. She even made time to meet with me in person if I had questions or concerns along the way. She was very supportive and empathetic when we had to cancel due to my body not responding to meds for a transfer...I had a ton of questions and was very scared due to my past pregnancy losses. She was very empathetic and supportive. She always knew my labs and reviewed my chart. She remembered personal details and even checked up on me during the pregnancy. Being with her and the network at KU was like being part of a team that supports your vision of having a family. She was honest about protocols and treatment plans.
I had 2 coordinations and a NP [at Kansas University Center for Advanced Reproductive Medicine] that we’re amazing and always knew what my current plan was and what the doctor wanted them to update me on. They had hand outs and schedules to keep me organized with all my meds and appointments...let me use the pharmacy of my choice to save on cost or bundle IVF meds...The clinic was great and operated smoothly. The wait times were often minimal and if you did have a longer wait time of 15 minutes, you could check In with the front desk. The team was organized and the process of moving patients between US and labs was smooth.
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
She was very patient. I had a ton of questions and was very scared due to my past pregnancy losses. She was very empathetic and supportive. She always knew my labs and reviewed my chart. She remembered personal details and even checked up on me during the pregnancy. Being with her and the network at KU was like being part of a team that supports your vision of having a family. She was honest about protocols and treatment plans. After we had our child we decided to transfer another about 2 years later. I did miscarry at 6 weeks and came to the clinic to be checked out and while she did everything she could and my levels prior to the loss were excellent, she was supportive and followed up with me afterwords to discuss options and next steps.
What's one piece of advice would you give a prospective patient of Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
To be open and honest with what your main goals are and be open and trusting to treatment plans.
During treatment, were you treated like a number or a human with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Dr. Holloch was amazing! She spent time with to answer all of my questions and explained everything so I could make the best choice for me, my care and the future of our family. She even made time to meet with me in person if I had questions or concerns along the way. She was very supportive and empathetic when we had to cancel due to my body not responding to meds for a transfer.
Describe the protocols Kristin Holoch used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
Before seeing Dr. Holloch I was pregnant with triplets from OI meds and and IUI cycle. I went into labor at 22 weeks and my daughters passed away shortly after they wore born. We decided to try again but with Dr Holloch at KU medical. She was cautious and encouraged IVF to help reduce the risk of multiples by doing only 1 transferred embryo. It only took a few weeks for the stimulation meds of follistem to work. We did a frozen cycle because my body needed time to heal from the retrieval. Once healed we did estrogen to build up the lining. When my body failed to respond we did a low dose or letrozole to build the lining and it worked for me beautifully. I had my child 9 months later with no complications during the pregnancy or delivery.
Describe your experience with your nurse at Kansas University Center for Advanced Reproductive Medicine.
I had 2 coordinations and a NP that we’re amazing and always knew what my current plan was and what the doctor wanted them to update me on. They had hand outs and schedules to keep me organized with all my meds and appointments.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
The clinic was great and operated smoothly. The wait times were often minimal and if you did have a longer wait time of 15 minutes, you could check In with the front desk. The team was organized and the process of moving patients between US and labs was smooth.
Describe the costs associated with your care under Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine.
I don’t recall the cost. We did several procedures and protocols that ranged. She let me use the pharmacy of my choice to save on cost or bundle IVF meds.
Describe Kristin Holoch's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
In my case loosing a multiples pregnancy it was no question for me and my doctor to only transfer 1 embryo.
10
Doctor
Kristin Holoch
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen4 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability4 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
I didn't have a good experience as a patient with Dr. Holoch. We only saw her 3 times in the year that we went through treatment with her. Our treatment plan never changed, despite several failed IUI cycles. She was late to every appointment. She was 30 minutes late to our last appointment and then was very defensive when talking with us. No one came in to tell us that she was running behind, so we just sat there waiting.
They [KS University Center] are quick to get you an appointment, but other than that I just felt like a number. The front desk staff was usually friendly. The wait time was usually about 15 minutes. ... I felt like we were rushed for our appointments and all the results were provided through the portal and not explained in person or over the phone. ... There was one excellent nurse named Jen that we loved. She truly cared about her patients and was the only one that didn't make you feel like you were just a number.
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
I didn't have a good experience as a patient with Dr. Holoch. We only saw her 3 times in the year that we went through treatment with her. Our treatment plan never changed, despite several failed IUI cycles. She was late to every appointment. She was 30 minutes late to our last appointment and then was very defensive when talking with us. No one came in to tell us that she was running behind, so we just sat there waiting. Then our appointment only lasted maybe 15 minutes.
What's one piece of advice would you give a prospective patient of Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Advocate for yourself and push for your protocol to be changed if what you are doing isn't working.
During treatment, were you treated like a number or a human with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
The first couple of appointments were better, but after that we always just felt like a number. I felt like we were rushed for our appointments and all the results were provided through the portal and not explained in person or over the phone.
Describe the protocols Kristin Holoch used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
Every IUI it was Femara for 5 days, Gonal F for usually 2 days at 75 units, and progesterone supplements after the IUI. I had 7 IUIs done and every single one resulted in a BFN.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
There was one excellent nurse named Jen that we loved. She truly cared about her patients and was the only one that didn't make you feel like you were just a number. Everyone else seemed to always be in a hurry. Several of my scans were only like 5 minutes long and they didn't communicate anything to me during it.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
They are quick to get you an appointment, but other than that I just felt like a number. The front desk staff was usually friendly. The wait time was usually about 15 minutes. Advocate for yourself or they will just keep doing the same thing every single time. I also only had a doctor do my IUI once.
Describe the costs associated with your care under Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine.
IUIs were $600 each plus medications, so for me each IUI was around $1,000. Monitoring and lab work was covered by my insurance.
Describe Kristin Holoch's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
N/A
0
Doctor
Kristin Holoch
NPS
Humanity1 of 5
Communication2 of 5
Frequency Seen2 of 5
Trustworthiness2 of 5
Compassion2 of 5
Explained risks4 of 5
Adaptability2 of 5
0
Clinic
Kansas University Center for Advanced Reproductive Medicine
He [Dr. Ajay Nangia] is a reproductive urologist...was upfront about expectations of surgery and was always clear with us. He was genuinely excited for our journey...was our urologist who was helping with male factor infertility. He was straightforward and honest about what our expectations should be. He was open about us helping choose our treatment plan and let us be as involved as we wanted. He was also very honest about how the surgery wasn't 100% guaranteed and we may have to pursue other treatment options, which we did. It was nice that the expectation was set beforehand.
We did varicocele surgery [with Kansas University Center] per Dr. Nangia's recommendation for MFI. The surgery was less invasive due to the fact that he recommended surgery with Interventional Radiology. I was back to work the next day. Numbers improved, but IVF was still necessary...[nurses were] professional and kind. We didn't have a lot of interaction with the nursing staff. We saw Dr. Nangia at every appointment...
How was your experience with Ajay Nangia at Kansas University Center for Advanced Reproductive Medicine?
Dr. Nangia was our urologist who was helping with male factor infertility. He was straightforward and honest about what our expectations should be. He was open about us helping choose our treatment plan and let us be as involved as we wanted. He was also very honest about how the surgery wasn't 100% guaranteed and we may have to pursue other treatment options, which we did. It was nice that the expectation was set beforehand.
What's one piece of advice would you give a prospective patient of Ajay Nangia at Kansas University Center for Advanced Reproductive Medicine?
Feel free to ask anything. He really knows his stuff and can explain it in a logical and understandable way.
During treatment, were you treated like a number or a human with Ajay Nangia at Kansas University Center for Advanced Reproductive Medicine?
Dr. Nangia was upfront about expectations of surgery and was always clear with us. He was genuinely excited for our journey.
Describe the protocols Ajay Nangia used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
We did varicocele surgery per Dr. Nangia's recommendation for MFI. The surgery was less invasive due to the fact that he recommended surgery with Interventional Radiology. I was back to work the next day. Numbers improved, but IVF was still necessary. We are glad we tried the surgery first and would have always wondered if it would work.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
Everyone was professional and kind. We didn't have a lot of interaction with the nursing staff. We saw Dr. Nangia at every appointment.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
I felt confident in my care at Dr. Nangia's office. The only weakness is the demand for appointments. Sometimes it took awhile for us to get in to see him as he is very busy. His staff would always return our phone calls and answer our questions quickly & thoroughly.
Describe the costs associated with your care under Ajay Nangia at Kansas University Center for Advanced Reproductive Medicine.
The surgery was covered by our insurance minus our deductible. Office visits were also covered by our insurance with copays.
Describe Ajay Nangia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
No comment. He is a reproductive urologist.
10
Doctor
Ajay Nangia
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen5 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
Dr Holoch was amazing at listening and explaining everything to me and my husband. She even called me directly a few times. She is amazing at her job! I would recommend her. The only thing I don't like about this clinic is you deal with the nurses majority of the time and only see the doctors if needed.... We did 2 IUIs with no success. We wanted to move forward with IVF. We did 3 months on depo for my endometriosis after my retrieval. Then a frozen transfer of 2 embryos. They let us decide on number of embryos to transfer but encouraged just 1.
The clinic [KU Ctr for Advanced Repro Med] was great and I would use them again. The biggest issue I had was with communication. I felt like I had to be on my own stuff or things would get missed. I had issues with billing that I had to keep calling about. I also had to remind nurses what my plan of care was. The clinic is great if you're in top of everything but if you're not probably not the best for you... I believe with everything IUIs and IVF it was around $22,000
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Dr Holoch was amazing at listening and explaining everything to me and my husband. She even called me directly a few times. She is amazing at her job! I would recommend her. The only thing I don't like about this clinic is you deal with the nurses majority of the time and only see the doctors if needed.
During treatment, were you treated like a number or a human with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Dr Holoch did an excellent job making sure I was comfortable but the clinic is very busy so I definitely get not being able to use too much time
Describe the protocols Kristin Holoch used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
We did 2 IUIs with no success. We wanted to move forward with IVF. We did 3 months on depo for my endometriosis after my retrieval. Then a frozen transfer of 2 embryos. They let us decide on number of embryos to transfer but encouraged just 1. We ended up with twins.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
Nursing staff were ok. They were friendly but I don't feel communicated very well. They took a long time to return calls and then ask the Dr and then call back.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
The clinic was great and I would use them again. The biggest issue I had was with communication. I felt like I had to be on my own stuff or things would get missed. I had issues with billing that I had to keep calling about. I also had to remind nurses what my plan of care was. The clinic is great if you're in top of everything but if you're not probably not the best for you
Describe your experience with your monitoring appointments at Kansas University Center for Advanced Reproductive Medicine.
I had appointments sometimes others were a range normally when they opened and these were normally more for weekend during my treatments
Describe the costs associated with your care under Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine.
I believe with everything IUIs and IVF it was around $22,000
Describe Kristin Holoch's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
They encourage PGS testing and single embryo transfers
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Provided conflicting information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
I had to remind nurses what my protocol was and had to address billing issues
9
Doctor
Kristin Holoch
NPS
Humanity4 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
9
Clinic
Kansas University Center for Advanced Reproductive Medicine
Dr. Holoch is incredibly smart and up to date on all new medical treatment options. She clearly explained each and every step of the way so we never left the office feeling confused. She made it a point to include us in each decision that we made for our treatment. Her bedside manner is impeccable and I truly felt like she was invested with us during our entire process. I did not feel like I was a part of a large "system" where all treatments were directed down the same pathway, each step was highly individualized
I saw/interacted with several of the nurses [at KUMC Center for Advanced Reproductive Med] throughout our treatments, and each time they were incredibly personable and supportive. They were always available to help me and very quick to respond to any email questions or concerns.... The clinic is easy to find and professional appearing. The office has everything you need and there are many people around to help direct your care exactly where it needs to go. You probably will wait a little bit, but not more than 20 minutes, which is extremely good in my experience.
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Dr. Holoch is incredibly smart and up to date on all new medical treatment options. She clearly explained each and every step of the way so we never left the office feeling confused. She made it a point to include us in each decision that we made for our treatment. Her bedside manner is impeccable and I truly felt like she was invested with us during our entire process. I did not feel like I was a part of a large "system" where all treatments were directed down the same pathway, each step was highly individualized. Honestly, I can not say enough great things about Dr. Holoch and I will continue to recommend her to any of my friends who need infertility help!!
What's one piece of advice would you give a prospective patient of Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Be honest and open with her. She is incredibly responsive to each person's wants/needs and does all she can to make it happen.
During treatment, were you treated like a number or a human with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Dr. Holoch was incredibly open and kind beginning at day one, thru our miscarriage and then until we got pregnant. She was always available for questions and really listened to what we desired to do with out treatment. I felt like we made shared decisions with her and that she was always concerned about our well-being (both physically and mentally).
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
I saw/interacted with several of the nurses throughout our treatments, and each time they were incredibly personable and supportive. They were always available to help me and very quick to respond to any email questions or concerns.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
The clinic is easy to find and professional appearing. The office has everything you need and there are many people around to help direct your care exactly where it needs to go. You probably will wait a little bit, but not more than 20 minutes, which is extremely good in my experience.
Describe the costs associated with your care under Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine.
The cost for each IUI was definitely in the range of what I have seen everywhere. I am not completely sure on the exact amount.
10
Doctor
Kristin Holoch
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen4 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
Dr. Lydic was so kind and respectful of my faith and my concerns. He always put my comfort first, and reassured my understanding every step of the way. He even drew me a diagram to give me a visual understanding of the process....Dr. Lydic did bloodwork and discovered I needed a thyroid medication. I had been to several other doctors and that was never discovered. He then gave options for IUI with Femera and ovidrel trigger shot, or IVF. We decided on IUI, which we proceeded with 3 times, but with no success.
They [KS U Ctr for Adv Repro Med] are timely, informative, and friendly. I can't say enough positive things about this clinic. I never had any negative situation from the time I checked in, to the time I left....The nursing staff was incredible. They performed the insemination and made me comfortable each time. They were caring and compassionate anytime I called with questions and I never felt like "just another patient" to them.
How was your experience with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr. Lydic was so kind and respectful of my faith and my concerns. He always put my comfort first, and reassured my understanding every step of the way. He even drew me a diagram to give me a visual understanding of the process.
What's one piece of advice would you give a prospective patient of Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr. Lydic gives great detail which is incredibly helpful but in the moment you may feel overwhelmed. Don't be afraid to ask him to write it down for you, and don't hesitate to ask questions. He is patient and understanding of the emotions that go along with this process.
During treatment, were you treated like a number or a human with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr. Lydic was respectful of all the questions I had, and went to great lengths to ensure I understood the process and felt comfortable.
Describe the protocols Michael Lydic used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
Dr. Lydic did bloodwork and discovered I needed a thyroid medication. I had been to several other doctors and that was never discovered. He then gave options for IUI with Femera and ovidrel trigger shot, or IVF. We decided on IUI, which we proceeded with 3 times, but with no success. We went back for an appointment to discuss IVF in greater detail. He answered all the questions we had, and eased my doubt! Finances are now the only thing stopping us from continuing with the IVF process.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
The nursing staff was incredible. They performed the insemination and made me comfortable each time. They were caring and compassionate anytime I called with questions and I never felt like "just another patient" to them.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
They are timely, informative, and friendly. I can't say enough positive things about this clinic. I never had any negative situation from the time I checked in, to the time I left. The first visit I had, I knew I had phone he doctor I would continue to see until I had a successful pregnancy!
Describe the costs associated with your care under Michael Lydic at Kansas University Center for Advanced Reproductive Medicine.
We had the direct cost of lab for sperm washing and the artificial insemination, as well as the follicle check ultrasounds. In addition we paid for the medications and trigger shots in full to a specialty pharmacy.
Describe Michael Lydic's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
Dr. Lydic does single embryo transfer. He believes it is the safest for the baby and the mom. He explained the genetic testing that is available and with that, finds no need to transfer more than one embryo at a time because the quality of the embryo is more certain with the testing.
10
Doctor
Michael Lydic
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
We did 4 IUIs with Letrozole [with Dr. Michael Lydic] which we unfortunately unsuccessful. My husband has low volume, so the thought was that IUI would help get the sperm where it was needed. After that we decided to go with IVF. We medicated with Gonal-F, Menopur, and Cetrotide. We were able to retrieve 22 eggs, and using ICSI we had 7 embryos make it to day 5. We did a fresh transfer with 1 embryo that was unsuccessful. After that we did a FET with vaginal estrace and progesterone in oil. We transferred 1 embryo that was again unsuccessful. We are now doing an ERA test, and hopefully a second FET.
The clinic [KU Center for Advanced Reproductive Med] was very well organized. In general, you did not have very long waits. Sometimes earlier in the week, you might have a longer wait, due to everyone playing catch up from the weekend. The receptionist and front desk staff were friendly and genuinely caring about what is going on with the patients... The nurses were all very friendly. You could tell that they really wanted the treatments to succeed. They explained things well, and were good about communicating test results, etc.
How was your experience with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr Lydic is very warm and caring. He spent 45+ minutes with me during our consultations to explain in great depth the process and go over my test results. He also likes to draw out pictures to help explain things which is very helpful. On multiple occasions, Dr. Lydic called me to discuss what was going on in my treatment, and even called after I moved out of state to check on me. He is very knowledgeable and willing to listen to your questions and concerns.
What's one piece of advice would you give a prospective patient of Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Tell him all of your concerns. Don't be afraid to ask all the questions you want. He is very good with explanations and listening.
During treatment, were you treated like a number or a human with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr. Lydic really knew who I was. He didn't just treat me like a test or a diagnosis. He knew what was going on in our lives. He tailored treatment to me and my situation.
Describe the protocols Michael Lydic used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
We did 4 IUIs with Letrozole which we unfortunately unsuccessful. My husband has low volume, so the thought was that IUI would help get the sperm where it was needed. After that we decided to go with IVF. We medicated with Gonal-F, Menopur, and Cetrotide. We were able to retrieve 22 eggs, and using ICSI we had 7 embryos make it to day 5. We did a fresh transfer with 1 embryo that was unsuccessful. After that we did a FET with vaginal estrace and progesterone in oil. We transferred 1 embryo that was again unsuccessful. We are now doing an ERA test, and hopefully a second FET.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
The nurses were all very friendly. You could tell that they really wanted the treatments to succeed. They explained things well, and were good about communicating test results, etc.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
The clinic was very well organized. In general, you did not have very long waits. Sometimes earlier in the week, you might have a longer wait, due to everyone playing catch up from the weekend. The receptionist and front desk staff were friendly and genuinely caring about what is going on with the patients.
Describe the costs associated with your care under Michael Lydic at Kansas University Center for Advanced Reproductive Medicine.
IUIs were $600 plus medication, and IVF was $11,000 plus medication.
Describe Michael Lydic's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
Dr. Lydic was strongly for single embryo transfer. He stated that the risk of multiples was so much higher that it outweighed the possible slightly higher success rate of transferring multiple embryos.
10
Doctor
Michael Lydic
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks4 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
When I actually did see dr. Marsh, she was in very briefly and didn't acknowledge my concerns about cost, which Is a huge factor for us.she disregarded those questions aaaand asked like it didn't matter. I also have Cystic Fibrosis, which causes extra cervical mucus. She did not think that was a concern and did not address it. I feel this was a factor as all my nurses that performed my iuis mentioned it everytime that day. But my treatment was not altered.
[KU Center for Advanced Reproductive Med is] Hard to get in for a first visit, and they are hard to get ahold of. I would call multiple times a day and it would go straight to voicemail. Everyone was helpful once I was in the office. They were no help at all when I asked about financial options, and just told me I had to pay the full amount. No payment plan option or anything.
How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
When I actually did see dr. Marsh, she was in very briefly and didn't acknowledge my concerns about cost, which Is a huge factor for us.she disregarded those questions aaaand asked like it didn't matter. I also have Cystic Fibrosis, which causes extra cervical mucus. She did not think that was a concern and did not address it. I feel this was a factor as all my nurses that performed my iuis mentioned it everytime that day. But my treatment was not altered.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Be prepared to do your own research and understand all your options before you make any decisions.
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Very hard to get ahold of nurses to make sure I got my correct meds I needed on time
Describe the protocols Courtney Marsh used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
I was prescribed clomid and a shot to release the eggs. I was also prescribed levothyroxine and told to take folic acid. Told to call on day 1 of cycle, and start mess, then ultrasound, then iui.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
Very nice when you walked in, but not very helpful asking when calling to ask questions.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Hard to get in for a first visit, and they are hard to get ahold of. I would call multiple times a day and it would go straight to voicemail. Everyone was helpful once I was in the office. They were no help at all when I asked about financial options, and just told me I had to pay the full amount. No payment plan option or anything.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
$600 per iui, with a few hundred dollars for meds. $125 per ultrasound, which I did 1-2 per cycle.
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
I was due for for my meds, and tried to pick them up at the pharmacy but the nurse never called it in. I was 2 days late starting my prescribed meds.
6
Doctor
Courtney Marsh
NPS
Humanity4 of 5
Communication4 of 5
Frequency Seen1 of 5
Trustworthiness3 of 5
Compassion5 of 5
Explained risks4 of 5
Adaptability3 of 5
6
Clinic
Kansas University Center for Advanced Reproductive Medicine
Dr. Lydic has a great bedside manner and always makes time for questions during office appointments. ...Dr. Lydic is very personable and really seems to care about his patients. I have had him paged after hours and he responded very quickly. He makes time for me during my office visits and explains everything very clearly. ...3 cycles of timed intercourse- neg 2 cycles with 2.5 Letrozole, 1 w/ HCG trigger and 1 w/o- neg 1 IUI w/ 5.0 Letrozole and HCG trigger - neg
The nurses do not take phone calls, only emails. ... The clinic appointments [Kansas University Center for Advanced Reproductive Medicine] are always on time and the receptionist at check in is very sweet. ... When I would need to have my labs drawn outside of the clinic the orders were rarely in the system. ... In person, I was given the incorrect test results and had to return to the clinic the next day for the correct information. ...
How was your experience with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr. Lydic is very personable and really seems to care about his patients. I have had him paged after hours and he responded very quickly. He makes time for me during my office visits and explains everything very clearly.
What's one piece of advice would you give a prospective patient of Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
When choosing him you are essentially choosing a clinic where you rarely talk to a person. Pretty much all communication is done through a website app. and you rarely get a phone call about labs/tests. Although he is a great doctor, the circumstances/clinic around him are the drawback.
During treatment, were you treated like a number or a human with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr. Lydic has a great bedside manner and always makes time for questions during office appointments. Unfortunately, his nursing staff made me feel like a number and part of a cookie cutter fertility protocol that is one size fits all.
Describe the protocols Michael Lydic used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
3 cycles of timed intercourse- neg
2 cycles with 2.5 Letrozole, 1 w/ HCG trigger and 1 w/o- neg
1 IUI w/ 5.0 Letrozole and HCG trigger - neg
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
The nurses do not take phone calls, only emails. I have to sometimes send 4-5 emails just to get a clear answer to a question. Most of the time my questions are dismissed completely. I generally end up making an office appointment after dealing with the nurses just to get legitimate answers. The nurses make me feel as though I have the same rubber stamped planned as the other patients.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
The clinic appointments are always on time and the receptionist at check in is very sweet. The clinic has fairly good business hours and I can usually get an appointment within a reasonable amount of time. Lab is onsite at one clinic location.
Describe the costs associated with your care under Michael Lydic at Kansas University Center for Advanced Reproductive Medicine.
Each IUI is $600 not including meds. Insurance doesn't cover the HCG trigger shot and it runs about $100.
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Failed to call with results
Failed to order appropriate test
Failed to send your chart to another clinic
Provided conflicting information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
When I would need to have my labs drawn outside of the clinic the orders were rarely in the system. I asked two separate nurses to follow up regarding a lab I needed drawn. Neither of them spoke with the doctor about ordering the lab. I had to make another office appointment just to speak with him about it. In person, I was given the incorrect test results and had to return to the clinic the next day for the correct information.
8
Doctor
Michael Lydic
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen1 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks4 of 5
Adaptability2 of 5
3
Clinic
Kansas University Center for Advanced Reproductive Medicine
[Dr. Marsh] started with Femara since I have PCOS and using Clomid would be more dangerous. When I failed to respond, injectables were added to the protocol with a trigger shot. This hybrid protocol was used for all 3 cycles with increasing dosages of Gonal-F until I responded in a quick manner...Dr. Marsh is clearly an industry expert and engaged with the research community, which makes me feel confident that she is giving me the latest information possible. She is very willing to answer any questions I may have. She does not however offer over the top emotional support, which some women value.
The staff [at Kansas University Center for Advanced Reproductive Medicine] was always kind and caring in treatment. They made sure to make me feel comfortable with the medications and procedures every step of the way...[nurses were] Well coordinated and timely. They always provide same day call backs and show great care in their work. Special thanks to the sonographers who always show the most kindness.
How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh is clearly an industry expert and engaged with the research community, which makes me feel confident that she is giving me the latest information possible. She is very willing to answer any questions I may have. She does not however offer over the top emotional support, which some women value.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Be prepared to ask a lot of questions.
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
The staff was always kind and caring in treatment. They made sure to make me feel comfortable with the medications and procedures every step of the way.
Describe the protocols Courtney Marsh used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
We started with Femara since I have PCOS and using Clomid would be more dangerous. When I failed to respond, injectables were added to the protocol with a trigger shot. This hybrid protocol was used for all 3 cycles with increasing dosages of Gonal-F until I responded in a quick manner.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
Well coordinated and timely. They always provide same day call backs and show great care in their work. Special thanks to the sonographers who always show the most kindness.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
The clinic as a whole functions as a well oiled machine with everyone in the office very knowledgeable about each patient. It is conveniently located right off the highway and usually runs on time getting you in and out really quickly.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
My insurance has infertility coverage even covering IVF. I pay roughly $500 per hybrid cycle with a max out of pocket being $5000 a year.
Describe Courtney Marsh's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
N/A
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Provided conflicting information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
I have had a nurse suggest a cycle was going to be cancelled because of over stimulation(4 follicles) but then Dr. Marsh okayed it and said she approves cycles up to 5 follicles.
8
Doctor
Courtney Marsh
NPS
Humanity4 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion3 of 5
Explained risks5 of 5
Adaptability5 of 5
8
Clinic
Kansas University Center for Advanced Reproductive Medicine
I feel like she [Dr. Marsh] is pretty good at explaining course of treatment and options. I do however feel like sometimes she generalizes and has a hard time thinking outside of the box. Dr marsh took over for a doctor that moved away in the beginning of my care at the clinic and my initial meeting with her was disastrous. Since that first meeting I think her bedside manner has improved tremendously and she’s become much more personable and relaxed with her patient interactions.
Once in the office and even on the phone the nurses [at Kansas University Center for Advanced Reproductive Medicine] are very kind and compassionate...Trigger shots were not always called in when I went to pick up so ended up having to wait around pharmacy on 2 occasions...13k for ivf cycle to clinic Approximately 1k per iui cycle... The clinic has a kind and fun front desk staff. The financial coordinators explain costs up front and answer all questions frankly, which is a welcome so there's no surprise expenditures. When i had an issue with one staff member and expressed my experience to my nurse she was extremely concerned and understanding. I had a call later that afternoon from the office manager to discuss the situation.
How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Understanding that the majority of people who end up seeking treatment from dr Marsh are not straight forward cases and I am NO exception, I feel like she’s pretty good at explaining course of treatment and options. I do however feel like sometimes she generalizes and has a hard time thinking outside of the box.
Dr marsh took over for a doctor that moved away in the beginning of my care at the clinic and my initial meeting with her was disastrous. Since that first meeting I think her bedside manner has improved tremendously and she’s become much more personable and relaxed with her patient interactions.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Advocate. Advocate. Advocate for yourself! Speak up!
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh and her staff are compassionate and real. They have humor and understanding depending on the situation. I have felt like a number at times when calling the nurse line and asking questions relating to my specific situation and felt they were a little annoyed and were giving me “broad brush answers”.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
Once in the office and even on the phone the nurses are very kind and compassionate.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Billing is my biggest issue. Receiving numerous bills for physician and hospital charges were cumbersome to navigate.
The clinic has a kind and fun front desk staff. The financial coordinators explain costs up front and answer all questions frankly, which is a welcome so there's no surprise expenditures.
When i had an issue with one staff member and expressed my experience to my nurse she was extremely concerned and understanding. I had a call later that afternoon from the office manager to discuss the situation.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
13k for ivf cycle to clinic
Approximately 1k per iui cycle
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Failed to call in prescriptions to pharmacy
Failed to consider drug intolerance
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
Trigger shots were not always called in when I went to pick up so ended up having to wait around pharmacy on 2 occasions.
6
Doctor
Courtney Marsh
NPS
Humanity4 of 5
Communication3 of 5
Frequency Seen3 of 5
Trustworthiness4 of 5
Compassion4 of 5
Explained risks3 of 5
Adaptability3 of 5
7
Clinic
Kansas University Center for Advanced Reproductive Medicine
Dr. Lydic was wonderful to work with. He was patient and kind, walking us through all the details of what would be our IVF journey. He called me personally on several occasions to discuss the course of treatment and made sure to explain when we had to change our initial plans for a fresh transfer to a frozen transfer. We had a really wonderful experience with Dr. Lydic and I’m grateful to him and his team every day.
[Kansas University Center for Advanced Reproductive Medicine] Strengths: very organized, good communication among team, a caring group of people all around Weaknesses: appointments were easy enough to book, but often booked out for several weeks/months for a consult...We had a really wonderful experience with Dr. Lydic and I’m grateful to him and his team every day...Dr. Lydic was wonderful to work with.
How was your experience with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
Dr. Lydic was wonderful to work with. He was patient and kind, walking us through all the details of what would be our IVF journey. He called me personally on several occasions to discuss the course of treatment and made sure to explain when we had to change our initial plans for a fresh transfer to a frozen transfer. We had a really wonderful experience with Dr. Lydic and I’m grateful to him and his team every day.
What's one piece of advice would you give a prospective patient of Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
When in doubt, ask the questions! Dr. Lydic was wonderful about answering all of my questions anytime they came up.
During treatment, were you treated like a number or a human with Michael Lydic at Kansas University Center for Advanced Reproductive Medicine?
The first time I met with Dr. Lydic, he sat with us for as long as we needed to discuss moving forward with IVF. I showed up with a typed up list of questions and he took the time to answer every single one. He called me personally on several occasions during the IVF process and had excellent bedside manner.
Describe the protocols Michael Lydic used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
Dr. Lydic had me on Menopur, Gonal F (which I had been on before), and Ganirelix when I had a lead follicle. We planned on a fresh day 5 transfer, but had to switch to a frozen transfer since my progesterone levels were higher than they should’ve been for a transfer. We had a successful FET of a day 5 blastocyst that resulted in our oldest child. And we were back a year and a half later transferring embryo #2, which resulted in our youngest child.
Describe your experience with your nurse at Kansas University Center for Advanced Reproductive Medicine. (Assigned nurse: Christina Williams)
Dr. Lydic worked with an amazing team of nurses! They were all compassionate, wonderful people that I became very familiar with during my time in the clinic.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Strengths: very organized, good communication among team, a caring group of people all around
Weaknesses: appointments were easy enough to book, but often booked out for several weeks/months for a consult
Describe the costs associated with your care under Michael Lydic at Kansas University Center for Advanced Reproductive Medicine.
~9K for treatment; ~1K in medications
Describe Michael Lydic's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
I was concerned that an eSET might not be as successful as transferring 2 embryos, despite knowing that the difference in success rate is small. Dr. Lydic explained that I had a good prognosis for pregnancy and that while he would respect my wishes, he recommended an eSET, especially given my small frame. Im so glad he did! And that we listened.
10
Doctor
Michael Lydic
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen4 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
Our initial visit [with Dr. Holoch] was very straightforward and a plan was developed. I think after that I had more concerns about discovering the true reason behind my infertility and multiple miscarriages and so far have no answers in that regard. Not sure if they don't explore as the treatments are all the same though. She has adjusted medication behind the scene but have not seen since first visit.
I also overheard a nurse [at Kansas University Center for Advanced Reproductive Medicine] comment that she was selling IVF when she was giving me our overview packet but she might have meant it in another way. Otherwise they are excellent and usually call back quite quickly and are accommodating with their hours...Some of the nurses were incredibly compassionate and answered my questions and some refused to give me any information during the ultrasound, saying it would be gone over later.
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Our initial visit was very straightforward and a plan was developed. I think after that I had more concerns about discovering the true reason behind my infertility and multiple miscarriages and so far have no answers in that regard. Not sure if they don't explore as the treatments are all the same though. She has adjusted medication behind the scene but have not seen since first visit.
What's one piece of advice would you give a prospective patient of Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Make sure you write out your questions up front and don't be afraid to ask as there is not time later on to go back over them with her.
Describe the protocols Kristin Holoch used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
Medicated IUI cycle with clomid on cycle day 3-5, an ultrasound around day 12, an ovedril injection shot, and then prometrium for two weeks after insemination. Prometrium as I have had two miscarriages. For cycle two added additional medication, letrzole as I had one ultrasound showing small follicles and my second ultrasound showed they shrinked so started that for 5 days and by third ultrasound there was one mature follicle. Both cycles resulted in negative tests. On third cycle now
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
Some of the nurses were incredibly compassionate and answered my questions and some refused to give me any information during the ultrasound, saying it would be gone over later. I also overheard a nurse comment that she was selling IVF when she was giving me our overview packet but she might have meant it in another way. Otherwise they are excellent and usually call back quite quickly and are accommodating with their hours
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Strengths is hours and having everything in one location. Weakness is timeliness only when it comes to IUI procedure. It is usually an hour after scheduled time which is hard to plan around and the waiting can cause anxiety
Describe the costs associated with your care under Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine.
Medications ranged form 50-$100 dollars for each and I have taken four different types with each cycle. Ultrasounds are around $150 and I had to have three one cycle. Insemination is $650.
Describe Kristin Holoch's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
Preference for single embryo
5
Doctor
Kristin Holoch
NPS
Humanity4 of 5
Communication3 of 5
Frequency Seen1 of 5
Trustworthiness4 of 5
Compassion3 of 5
Explained risks5 of 5
Adaptability4 of 5
7
Clinic
Kansas University Center for Advanced Reproductive Medicine
I was only able to see Dr. Holloch one time at our initial consult....Upon meeting Dr Holloch she was kind and compassionate... We were disappointed that it would be the only time we ever actually saw her over our treatment of 8 months. And we’re told the only way we would be able to see her would be to schedule an IVF consult...Dr. Holloch suggested we try 4 rounds of chlomid (50 mg) in our own
Overall the nurses are friendly but disorganized. Don’t expect to have a personal relationship formed at this clinic with the staff [KU Med]. I certainly felt like another number not a human being trying to build a family.... I was disturbed that each nurse would have a different answer to my same question. During my second IUI the nurse laughed as she was in the middle of turkey basting me and said “oh I hope I did that right” .
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Upon meeting Dr Holloch she was kind and compassionate. She provided my husband and I with our first feeling of hope to expand our family in a year. We were disappointed that it would be the only time we ever actually saw her over our treatment of 8 months. And we’re told the only way we would be able to see her would be to schedule an IVF consult.
What's one piece of advice would you give a prospective patient of Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
I would say to have done research. Know the important questions to ask, things to expects, and to discuss your expectations as patients with her.
During treatment, were you treated like a number or a human with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
I was only able to see Dr. Holloch one time at our initial consult. During each monthly visit I had a new nurse who clearly had not reviewed my file and did not ask the questions I had assumed would be important to know for my appointment. Ie mid sonogram would ask if I was in for egg retrieval’s or IUIs.
Describe the protocols Kristin Holoch used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
After reviewing my medical history and tests I had already completed through my obgyn at an attempt to discuss the factor causing my infertility. She determined the best plan was to have my husband complete two separate semen analysis - both which came back with “perfect” little swimmers. After ruling out make factor and knowing all my tests came back “normal” Dr. Holloch suggested we try 4 rounds of chlomid (50 mg) in our own aka take a pill everyday for a week then use our OPK at home kits to know the days we should be doing the baby dance. 4 months later no baby. Month 5 and 6 Dr. Holloch had planned to increase chlomid to 100 mg and start IUIS. Neither helped. Dr hollochs (aka her nurses) next recommendation was to schedule an IVF consult (for a small fee of 350$) with Dr Holloch as this was the “next best step and only solution” for my family.
Describe your experience with the nursing staff at Kansas University Center for Advanced Reproductive Medicine.
The nursing staff were all over the place. Over 6 months at the clinic I never had the same nurse. I was disturbed that each nurse would have a different answer to my same question. During my second IUI the nurse laughed as she was in the middle of turkey basting me and said “oh I hope I did that right” .. me too since I just paid the receptionist over 600 dollars. Other nurses made promises that today was the day you would be making a baby - not a good thing to promise a desperate woman.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Overall the nurses are friendly but disorganized. Don’t expect to have a personal relationship formed at this clinic with the staff. I certainly felt like another number not a human being trying to build a family.
Describe the costs associated with your care under Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine.
600 dollars for one round of IUI.
200 dollars per sonogram before the IUI (this cost depends on your insurance, my insurance covered 60% of cost 200 is what I was still owed)
250 dollars for an initial consult.
350 dollars for IVF consult.
My HSG test was quoted at up to 2500 dollars and thankfully insurance covered almost all of that.
Each semen analysis was a couple hundred dollars (do not recall specific amount).
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Lost appointments
Provided conflicting information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
My husband and I had our initial consult with the clinic and when we showed up they told us we weren’t on the schedule. After some digging we were in fact on the schedule. They were still able to “squeeze” us in with Dr. Holloch which resulted in a rushed initial consult.
0
Doctor
Kristin Holoch
NPS
Humanity1 of 5
Communication2 of 5
Frequency Seen1 of 5
Trustworthiness3 of 5
Explained risks3 of 5
Adaptability1 of 5
0
Clinic
Kansas University Center for Advanced Reproductive Medicine
Dr. Marsh is a pro. She noticed my uterine lining was responding oddly to the medications prior to my FET, so she took me off meds and ordered a natural cycle with HCG trigger. It worked. We only had 1 genetically normal embryo, and she was very careful to ensure all conditions were absolutely optimal. She also took extra time with me after implantation when I had 10 weeks of bleeding due to a subchorionic hemorrhage.
The clinic is organized. Busy, but this is attributable to their solid reputation. I never waited longer than 15 minutes, and I felt like each team member was pulling for us. Also.... I'm confident KU has the best equipment and on-site facilities without the need to go elsewhere for procedures or scans.... IVF with ICSI and PGS testing (I'm over 40) Menopur, Follistim, Lupron, HCG trigger Natural cycle FET with HCG trigger and progesterone support (canceled medicated transfer because lining did not respond and I have a very regular 28-day cycle).
How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh is a pro. She noticed my uterine lining was responding oddly to the medications prior to my FET, so she took me off meds and ordered a natural cycle with HCG trigger. It worked. We only had 1 genetically normal embryo, and she was very careful to ensure all conditions were absolutely optimal. She also took extra time with me after implantation when I had 10 weeks of bleeding due to a subchorionic hemorrhage. She never made me feel like a bother. I've sent my best friends to her and am currently starting my second IVF cycle in hopes of having a sibling for the 8 month old daughter Dr. Marsh already gave us.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Trust her.
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh is direct but has a compassionate demeanor. She cared about my emotional status throughout the process and even provided free guided meditation services with a nurse trained in this area. She took time to answer my questions without making me feel paranoid or like a bother.
Describe the protocols Courtney Marsh used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
IVF with ICSI and PGS testing (I'm over 40)
Menopur, Follistim, Lupron, HCG trigger
Natural cycle FET with HCG trigger and progesterone support (canceled medicated transfer because lining did not respond and I have a very regular 28-day cycle).
Describe your experience with your nurse at Kansas University Center for Advanced Reproductive Medicine. (Assigned nurse: Raquel)
The nursing staff are top notch and always take whatever time necessary to explain treatment plans and listen to other concerns. Also, the ultrasound technicians are excellent.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
The clinic is organized. Busy, but this is attributable to their solid reputation. I never waited longer than 15 minutes, and I felt like each team member was pulling for us. Also, from speaking with friends who used other clinics, I'm confident KU has the best equipment and on-site facilities without the need to go elsewhere for procedures or scans.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
I believe the IVF cycle cost approximately $12,500. Plus, we paid approximately $2,000 for my husband's sperm retrieval and ICSI. Medications were approximately $4,000. And, we did pgs testing. I cannot recall the cost for this.
10
Doctor
Courtney Marsh
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
Doctor [Holoch] was comfortable transferring two embryos. Both stuck but miscarried one at 8 weeks. I wish I asked about success rates in regards to if it is better to transfer one or two as I wonder if I would have miscarried if only one was transferred.... Great bedside manner, willing to listen and figure out best treatment... Very caring and showed understanding with any setbacks. Would explain process and test results in a way that was easily understandable.
All staff [Kansas U Ctr for Advanced Repro Med] was again very understanding and empathetic.... Coordinator talked with our insurance and made it seem like the donor eggs would be covered due to having no exclusions but later was denied due to no procedure code.... $15,000 for donor eggs. Roughly a thousand or two for medications and roughly $3500 for transfer. Appointments were around $1-300. Unknown for blood work/tests.
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Very caring and showed understanding with any setbacks. Would explain process and test results in a way that was easily understandable. Even while not directly working with her, she would take the time to answer any questions I had and again make sure it was understood.
What's one piece of advice would you give a prospective patient of Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Don’t hesitate to ask questions or ask for further explaination
During treatment, were you treated like a number or a human with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Great bedside manner, willing to listen and figure out best treatment
Describe the protocols Kristin Holoch used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
It was recommended I go straight to donor eggs for a successful pregnancy. I first used estrogen patches that increased to 3mg that changed every couple days. My lining did not get thick enough during this time so that IVF cycle was cancelled and never used the remaining meds- progesterone of some sort. I then went to estrogen and progesterone shots twice a day- dosage unknown. We transferred two eggs in which both stuck but later miscarried one at 8 weeks. I stopped shots at 10/11 weeks and went to obgyn. This was a successful pregnancy. We still have one frozen embryo.
Describe your experience with your nurse at Kansas University Center for Advanced Reproductive Medicine.
All staff was again very understanding and empathetic.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Great communication and easy process. Weakness- my insurance denied claims even though we supposedly had 15k lifetime towards fertility. I thought it was covered due to their staff talking with my insurance but somehow there was miscommunication and was not covered due to no diagnostic code for receiving donor eggs. We changed insurances in the middle of it and paid out of pocket for the procedure which had we known insurance wouldn’t cover donor eggs we would have at least had it cover the medication and transfer.
Describe the costs associated with your care under Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine.
$15,000 for donor eggs. Roughly a thousand or two for medications and roughly $3500 for transfer. Appointments were around $1-300. Unknown for blood work/tests.
Describe Kristin Holoch's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
Doctor was comfortable transferring two embryos. Both stuck but miscarried one at 8 weeks. I wish I asked about success rates in regards to if it is better to transfer one or two as I wonder if I would have miscarried if only one was transferred.
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Provided conflicting information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
Coordinator talked with our insurance and made it seem like the donor eggs would be covered due to having no exclusions but later was denied due to no procedure code.
10
Doctor
Kristin Holoch
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen5 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
After my miscarriage, my uterus behaved differently with the injectables and she [Dr. Holoch] cancelled the transfer with concern for suboptimal lining. She was very thorough in describing that she didn’t want to chance losing an embryo. The subsequent transfer we used vaginal estrogen and injectables and it was perfect...She took her time to explain the process, the likely reasons for my miscarriage, was encouraging but not pushy after our loss, and honest the whole way through
Weakness: [Kansas University Center for Advanced Reproductive Medicine doesn't] get many long distance patients like myself so there was some learning curve. There was some delay in communication from front office staff to back. Strengths: welcoming, timely, organized, compassionate. The transfer nurse is one of the best humans on the planet...She [nurse] was extremely organized and communicated well with appropriate response times. Not the biggest snuggler but she was an awesome guide.
How was your experience with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
She is professional, kind, and honest. She is compassionate in the deliverance of suboptimal news, is honest but not blunt about predicted outcomes, and is able to have a sense of humor along the way!
What's one piece of advice would you give a prospective patient of Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
Be upfront with any concerns- she is willing to listen and doesn’t take things personally.
During treatment, were you treated like a number or a human with Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine?
She took her time to explain the process, the likely reasons for my miscarriage, was encouraging but not pushy after our loss, and honest the whole way through
Describe the protocols Kristin Holoch used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
We originally used all injectables on my first transfer with her. My lining grew slowly so she offered ideas to adjunct the medications that worked. After my miscarriage, my uterus behaved differently with the injectables and she cancelled the transfer with concern for suboptimal lining. She was very thorough in describing that she didn’t want to chance losing an embryo. The subsequent transfer we used vaginal estrogen and injectables and it was perfect.
Describe your experience with your nurse at Kansas University Center for Advanced Reproductive Medicine.
She was extremely organized and communicated well with appropriate response times. Not the biggest snuggler but she was an awesome guide.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Weakness: They don’t get many long distance patients like myself so there was some learning curve. There was some delay in communication from front office staff to back.
Strengths: welcoming, timely, organized, compassionate. The transfer nurse is one of the best humans on the planet.
Describe the costs associated with your care under Kristin Holoch at Kansas University Center for Advanced Reproductive Medicine.
Copay, STD testing, HSG ultrasound, transfer, costs for our donor for all of that and embryo storage.
Describe Kristin Holoch's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
She gave us the option of what we wanted to do and outlined the probabilities of both as well as the risks involved.
10
Doctor
Kristin Holoch
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen5 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
10
Clinic
Kansas University Center for Advanced Reproductive Medicine
I did not feel like I was treated as an individual, because she [Dr. Marsh] never changed protocol or even suggested IVF or IUI all she wanted to do was keep doing TI even after 2 years. As we stayed with her longer, her communication between her and I and her staff and I declined....I had to advocate for myself the entire time I was there, having her as a doctor and the lack of communication and the failed treatments was defeating.
This clinic [Kansas University Center for Advanced Reproductive Medicine] did not take into account of some drug intolerances I had which meant when I was given a tetanus shot, as they felt I needed one prior to starting with them since it had been years since my last one, I had an allergic reaction...When I left this clinic they also failed to forward my chart on to the next provider, even after I signed the paperwork and spoke with records several times.
How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
I was face to face with Dr Marsh on two occasions, the first when I had my consult and the second when I was there for what felt like the 100th sonogram. I never had any other form of personal contact from her. I walked away from Dr. Marsh feeling like all I had done was put money in her pocket and make a hole in my bank account and our hearts after month after month or failed attempts. I was so now to everything back then, I had no idea she was not doing everything possible and I did not know anything about IVF back then so I was clueless that IVF may be the answer to our years of unanswered prayers. I had to advocate for myself the entire time I was there, having her as a doctor and the lack of communication and the failed treatments was defeating. I wouldn't want anyone else to ever have to go through that. When you select a provider you do so in hopes they are going to side with you and help you attain a goal, a goal that you both put your heads together to try and achieve, this however did not happen.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
If you want to use this provider, be your own advocate, do your own research and learn everything you can about infertility because Dr. Marsh is not the provider who is going to help guide you through this maze.
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
I did not feel like I was treated as an individual, because she never changed protocol or even suggested IVF or IUI all she wanted to do was keep doing TI even after 2 years. As we stayed with her longer, her communication between her and I and her staff and I declined.
Describe the protocols Courtney Marsh used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
On our first cycle we used clomid 50mg for 5 days and gonal f 75 units at night, my follices did not respond and after 46 days of shots we decided to start over without them inducing a period and switch to femara 5mg for 5 days and then started back on gonal f we raised it to 100 units at night and after 120 days on this cycle I called it just before New Years. Every cycle after that we used femara 5mg and gonal f between 100-175 iu and then HCG shot and did TI none of the cycles resulted in a positive pregnancy but after the first one all of the cycles did result in follicles and with the HCG shot I had a positive ovulation test.
Describe your experience with your nurse at Kansas University Center for Advanced Reproductive Medicine.
Dr Marsh's nurse was very nice, I cannot remember her name offhand but she always answered my emails within a few hours and if I needed a PA or any med called in she would make sure that I had it even if she needed to figure it out on the weekends or after hours at the office. I saw this nurse more than I saw my provider and she was there for most of my follicle scans and for the negative results every cycle.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
The clinic itself is not up to the standards of the parent facility. KU Med is widely known for its amazing providers, state of the art testing/treatments/equipment this clinic was nothing more than an average OB office. You may have an appointment scheduled for something but that is a soft appointment as there are likely to be 5-10 other people scheduled at the same time, especially on the weekends. This clinic used to be open even on the weekends, but as I did my last cycle there they changed to only being open 8-5 Monday through Friday, which, with this type of treatment makes things super complicated.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
Usual costs of lab work, ultrasounds, and medications. My HMO covered most of my ultrasounds and lab work and I used compassionate care for the medications that were not covered.
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Failed to send your chart to another clinic
Provided conflicting information
Failed to consider drug intolerance
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
As I stated before if you go here you need to be your own advocate. This clinic did not take into account of some drug intolerances I had which meant when I was given a tetanus shot, as they felt I needed one prior to starting with them since it had been years since my last one, I had an allergic reaction. My arm started to get a welt like a golf ball and it was red and hot to touch in the area, I called and they advised me to go to urgent care locally which told me there was nothing that could be done. The clinic on numerous times told me conflicting things, including after me asking about IVF, them telling me that it is the least effective way to get pregnant and that the numbers of success are less than with TI.
When I left this clinic they also failed to forward my chart on to the next provider, even after I signed the paperwork and spoke with records several times.
0
Doctor
Courtney Marsh
NPS
Humanity1 of 5
Communication3 of 5
Frequency Seen1 of 5
Trustworthiness1 of 5
Compassion3 of 5
Explained risks1 of 5
Adaptability2 of 5
0
Clinic
Kansas University Center for Advanced Reproductive Medicine
Dr. Marsh expected me to have a good attitude... after going through the hell we went through at our first clinic I do NOT have a good attitude. I am NOT going to be optimistic or happy for them to poke and prod on me again for a bunch of money and another emotional catastrophe. Dr. Marsh is an excellent doctor, and had I not been through the first cycle at another clinic, I'd probably have glowing reviews... all in all though, definitely recommend...
KU med specifically made us feel more like they were on our team than our previous clinic. There was no demand for money prior to being seen and our phone calls and emails were always answered in a timely manner...Weakness - complete communication-- Didn't have a full bladder when I went for an appt, no one told me this needed to be done. Sent consent for FET in 3x before they finally stopped asking for it. Didn't answer all my email questions, phone system is always out of date or no one will answer. At the time of IVF, we were supposed to be at the clinic at 6 AM. The door was locked and no one would answer the phone, until the nurse came down looking for us 15 minutes later. Lots of details that would have made it a little less stressful for us.
How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh expected me to have a good attitude... after going through the hell we went through at our first clinic I do NOT have a good attitude. I am NOT going to be optimistic or happy for them to poke and prod on me again for a bunch of money and another emotional catastrophe. Dr. Marsh is an excellent doctor, and had I not been through the first cycle at another clinic, I'd probably have glowing reviews... all in all though, definitely recommend, she cannot help my attitude, just made me feel worse when she would ask " is there something wrong?" YES!! There is something wrong... we are here and are hoping we don't get our hearts broken again! EVERYTHING IS WRONG!!!
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Get to know her better on your first visit.
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
KU med specifically made us feel more like they were on our team than our previous clinic. There was no demand for money prior to being seen and our phone calls and emails were always answered in a timely manner, not with a snippy response to use a antiquated "patient portal" and to quit calling the clinic.
Describe your experience with your nurse at Kansas University Center for Advanced Reproductive Medicine. (Assigned nurse: Jen Hope and Raquel Chavez)
Jen Hope -- Totally saved the whole situation. Made sure we completely understood everything and worked with us on when we had to make the 4hr drive to the clinic for our ultrasounds.
Raquel Chavez- Not in the office much, didn't answer my questions to the extent we needed prior to a procedure for me before our FET. Now we have a new person, Turri.. I have only dealt with her once.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Strengths - Male Factor Infertility - working with Dr. Nangia in the Urology department along with the Dr. Marsh gave us the hope of having a biological child that our clinic in Tulsa told us we would never have. If it had not been for Dr. Nangia we would have never done a 2nd IVF cycle.
Weakness - complete communication-- Didn't have a full bladder when I went for an appt, no one told me this needed to be done. Sent consent for FET in 3x before they finally stopped asking for it. Didn't answer all my email questions, phone system is always out of date or no one will answer. At the time of IVF, we were supposed to be at the clinic at 6 AM. The door was locked and no one would answer the phone, until the nurse came down looking for us 15 minutes later. Lots of details that would have made it a little less stressful for us.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
The costs were less than what we experienced at the Tulsa Fertility Clinic by several thousand dollars and included more in the cost.
What specific things went wrong at Kansas University Center for Advanced Reproductive Medicine?
Failed to call with results
Provided conflicting information
Describe the specific things that went wrong at Kansas University Center for Advanced Reproductive Medicine.
After my husband's TESE we were anxiously awaiting the results to see if any live sperm -- the clinic didn't have the right phone number (transposed?) and someone else got our message that it was going to be ok. We just had a few instances which we lacked some important details that would have created less stress for us.
8
Doctor
Courtney Marsh
NPS
Humanity4 of 5
Communication3 of 5
Frequency Seen4 of 5
Trustworthiness3 of 5
Compassion3 of 5
Explained risks3 of 5
Adaptability5 of 5
9
Clinic
Kansas University Center for Advanced Reproductive Medicine