How was your experience with Cary Dicken at Sher Fertility of New York?
Dr. Dicken is a skilled doctor who is willing to treat patients with severely diminished ovarian reserve. I went to retrieval with an AFC of 7 and an AMH of below .4. She specializes in this type of treatment and did not overmedicate me, in order to avoid compromising the quality of remaining eggs. She was willing to incorporate HGH at my suggestion, based on outside research I had done. At one point we had some communication glitches, which resulted in our having to delay a cycle, but we came to learn this was more the result of failed communication between her and the office staff. We are very grateful to her for her willingness to help patients like me - she will go to retrieval for only one egg, because she understands how precious that one egg is.
What's one piece of advice would you give a prospective patient of Cary Dicken at Sher Fertility of New York?
Ask questions, and be sure that you understand every aspect of the proposed treatment as well as the rationale. Maintain communication throughout.
During treatment, were you treated like a number or a human with Cary Dicken at Sher Fertility of New York?
Dr. Dicken is excellent at maintaining active correspondence during treatment. She always responded to our emails, which were often sent during periods of heightened emotion and anxiety, within 24 hours, and was both reassuring and realistic. She always read our chart before seeing us, and asked us how we were before delivering news.
Describe the protocols Cary Dicken used in your cycles at Sher Fertility of New York and their degree of success.
Our first cycle, we used 150iu of Menopur and 150iu of Gonal F, then added in 250mg of Cetrotide three days before retrieval. We triggered with HCG. The rationale was to not overmedicate, as I have DOR and too much medication can compromise the quality of eggs. We retrieved 4 eggs, and froze one 5-day embryo, which tested PGS normal. The second cycle, we hoped to have similar results but possibly retrieve more eggs without compromising quality, so we kept the protocol the same for the first five days, but then increased the Gonal f to 225iu on the sixth day, and added 1mL of Omnitrope (HGH) to increase egg quality. We also started the Cetrotide sooner to allow the eggs to grow a bit longer while preventing premature ovulation. We triggered with a combination of HCG and Lupron. That cycle, we retrieved 9 eggs, though only 6 were mature. Of those six, three made it past day 3, and 2 made it to freeze. We tested both - one came back PGS normal, and the other was inconclusive (the cells that were biopsied did not have enough DNA to run the test - annoying). We are about to start a third cycle and will probably keep the treatment the same as the second, because we were happy with the results.
Describe your experience with your nurse at Sher Fertility of New York. (Assigned nurse: Marian Gerges)
Marian was responsive, kind, and organized. We had one problem with communication that was frustrating - when we started our second cycle we did not have a full consultation, only a partial, so some decisions were made without our knowledge. They were responsive and rectified the situation with a mid-cycle consultation. We will not make the mistake again - the office staff in that case needed to be better as communicating as an entire team, but Marian herself was great. she even answered our late-night call when we had a panic attack about administering the double trigger We really love her and hope to work with her again.
Describe your experience with Sher Fertility of New York.
SHER is willing to work with patients who have DOR which was our biggest priority. I previously did a cycle at RMA who treated me like a number for sure. All doctors are skilled in this sub-area. The clinic is great about sending instructions and calendars, has very responsive and communicative staff who are always available by email, and has a great late-night nursing call back system. I would highly recommend for a patient with diminished ovarian reserve as they are one of few clinics who will go to retrieval for one or two eggs.
Describe the costs associated with your care under Cary Dicken at Sher Fertility of New York.
We had two cycles covered by insurance. The next will be self pay. The first two cycles came out to about 5K each including the cost of PGS testing and co-pays. They have quoted the self pay cycle at about 12K.
Describe Cary Dicken's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility of New York.
Dr. Dicken recommends transferring two past the age of 35, though she is more cautious with PGS-tested normal embryos and the last time we spoke, indicated that it was ultimately up to us. We will most likely transfer the PGS normal embryo along with the inconclusive embryo at the same time, because that (according to her) gives us the highest chance of a single live birth. Overall, she is a good combination of realistic but cautious.
What specific things went wrong at Sher Fertility of New York?
- Provided conflicting information
- Canceled a cycle due to clinic error
Describe the specific things that went wrong at Sher Fertility of New York.
As written in the nursing section, we had a glitch with our second cycle where the staff didn't give us a full consultation appointment so decisions were being made without communicating to us the rationale. Also, we had to delay a cycle because Dr. Dicken didn't tell us to abstain from intercourse in the weeks prior and didn't want to risk proceeding if I was possibly pregnant (I wasn't). This was very frustrating, though they were responsive to our concerns. Overall we were happy enough with the outcome and so grateful to her for treating us with DOR that we took this as a lesson to always make sure we are asking the right questions and insisting on appointments and rationale. We will take it upon ourselves to be hypervigilant in the future. This is the only reason for the lower ratings.