Southwest Fertility Center

I was very pleased with the care I received from Dr. Gunnala. We are out of state and I was concerned about the logistics. On top of that, this was our very first time pursuing fertility treatments, so I felt like a duck out of water. I liked that she offered consultations via FaceTime and phone calls. I found I had to concentrate very hard when listening due to her accent. I appreciated the follow up emails that had all of her instructions written down so there were no miscommunications. I did not meet Dr. Gunnala in person until I flew out for my procedure. She was warm and I felt comfortable with her. I was happy with my care and plan on going back to her for a second try with our remaining donated embryos.

Do not be afraid to ask for clarification or follow up questions. Ask away.

My protocol was for a frozen embryo transfer. I was prescribed prenatals, vitamin D, Co-Q10. I took birth control to prevent ovulation and control my cycle before transfer. Estrogen and progesterone were used to grow the lining of my uterus to an appropriate thickness and sustain a pregnancy (if achieved). I was also on baby aspirin (blood thinner), antibiotics (to prevent infection). I responded appropriately to her protocol and had one "perfect" (according to the embryologist) embryo transferred. Our cycle was not successful. I think our chances of success were at 40-50%.

I don't remember specific costs. They were more expensive than clinics like CNY, but less expensive than clinics like California Conceptions. Traveling to them also made it more expensive. An unexpected expense was paying the coordinator fee per transfer cycle. I had thought that was a one time fee and it was an unpleasant surprise when our cycle failed. But, I thought the financial coordinator handled it with compassion. We also paid for embryo storage yearly since we have remaining embryos. We will pay that annually until we use all the embryos or decide to be done. Additional costs were medications and outside monitoring.

Dr. Gunnala encouraged a single embryo transfer. Given that this was our first transfer and there were several embryos, I felt this was appropriate.

She was patient and seemed knowledgeable. She answered all our questions and was understanding about our special circumstances (partner travels for work which complicates this journey). She was direct as possible. I would like a clear reason why this isn't happening for us, but I'm not sure a clear reason exists. #infertility

Make sure you write down questions before hand and take notes in your visit. I think this is important with all providers, but I think it's especially important in this office, not so much because of Dr. Gunnala, but to make sure what you understand is also what's communicated to the rest of the care team.

I came into her care at the end of a cycle with clomid (50mg) and an at home DIY IUI. She had me take a pregnancy test (neg) and set the course for cycle 2 (or 1.5 really). In that cycle, I took a "clomid challenge" so 100 mg clomid days 3-7 with an FSH test on day 3 and day 10. This was to test my ovarian reserve, since a previous blood test showed I had low a low AMH level. The "Clomid Challenge" seemed to go well, my numbers suggested that the AMH level was an outlier. I wish it were clearer to me if this means I am NOT diagnosed with low ovarian reserve. Dr. G said I only have 1/4 indicators so not to worry about this. Under the clomid challenge, I had 6 maturing eggs. The RN said I would likely ovulate cycle day 13 based on my ultrasound. This would be a very early ovulation for me, I usually ovulate cycle day 17-19. I did what looked to me like a surge on my OPK and went in for IUI on cycle day 12. I continued to take my BBT and noticed that, even by cycle day 16 my temp had not spiked. I called and insisted that they check to see if I had in fact ovulated. With some convincing, they agreed, and cycle day 17 they checked my progesterone. I had not ovulated! Cycle day 18 I went in for an ultrasound and more blood work. This showed that I was starting to ovulate, and that evening I felt some serious ovulation cramps. The ultrasound suggested I would ovulate with 4 eggs (thanks, clomid!). Cycle day 19 (and the day I had, through previous cycle monitoring, predicted I would ovulate) I went in for IUI #2. Unfortunately IUI 2 my partners #s were lower, 8.4 million post sperm wash, but it only takes 1 and I had 4 eggs, so you take what you can get! Unfortunately, that IUI did not take. I had a neg blood test cycle day 28 (10 days Post Ovulation and IUI#2). They had me take a second blood test cycle day 32 and I started my period Cycle day 33, with much sadness. Our understanding is that this cycle plan was aggressive (to do the clomid challenge and an IUI in the same cycle) and that Dr. G did this because she knew we had a challenging time line with my partner's work/travel. The doctor had discovered that I had a small uterine polyp in my original work up (during the clomid challenge). She said this is not in and of itself a reason for infertility, but said it would be smart to remove it in case it is malignant or results in problems during an eventual pregnancy (if it ever happens! please let it happen!). We had agreed to remove the polyp after the IUI cycle if it was unsuccessful. After this unsuccessful cycle, we realized that the cycle with the surgery would be a lost cycle (having been scraped of polyps, my uterus would most likely NOT be up for implantation). We also knew that we would be leaving town in April and unable to seek care from her or any other doctor (my partner travels for work, so we move about every 3 months, which complicates this journey). We asked if, given the size of the polyp and the complications of our calendar, we could try for another IUI cycle in March and then complete the polyp surgery in April, when the cycle would be lost to care anyway. The doctor declined this request. She felt the polyp needed to be removed. I had the polyp removed yesterday, I was out for the whole procedure and felt groggy but completely fine today. We are disappointed that we'll likely have to wait until May for any forward progress to continue, but understand why the doctor proceeded as she did.

We spent about $2500 on our various tests, visits, and two IUIs.

We did not do a embryo transfer, however we were told that if we had more than 4 eggs ovulate in a cycle, that they would not move forward with an IUI, even though they have the ability to "selectively reduce" implantations. We would have had LOTS of questions had that been the case.

Dr. Gunnala does a very good job of communicating the rationale for her thought process regarding the treatment and the particular cause(s) for infertility. She has a warm bedside manner and is thorough but efficient. I always felt that I had enough time to discuss all of my questions. However, I'm not sure the success rates she proposed reflect reality. However, I think she might have glossed over certain details in an effort to follow our wishes. For example trying to maximize the success of the first transfer (IVF, ICSI, PGS, FET) without evaluating whether that would truly make a significant difference for us as a couple with unexplained infertility.

Natural cycle IUI which was unsucessful. IVF with ICSI and PGS planned.

My insurance covered very little. For one a hysteroscopy, IUI, approximately 4 ultrasounds, and multiple blood tests; I paid around $1500.

Strong preference for single embryo transfer to minimize the complications of pregnancy.

Dr G is compassionate. She has an amazing bedside manner. She is smart and has been doing this along time. She comes across as strategic. She is gentle. What helps is that she says “when you are pregnant... this is the next step.” Not just— if you can get pregnant. In those little ways, her words give hope.

Be committed to whatever she recommends (ie: diet, exercise, meds) as she is going off what info you share and she is trying her best to help you start a family. She can do her part, but yes u must do yours.

I am just in the beginning phases.

She was kind and thorough but we did not see her often. Most of the time the nurses handled things. She wanted to continue with IUI despite having severe male factor where she should have moved us to IVF sooner.

Do your research and be your own advocate.

First round did IUI as part of a Clomid challenge diagnostic test. She put my husband on Clomid to up his count and we did another IUI. His count did not his 2mil so she took him off Clomid but wanted to do a third IUI. I used Clomid the first, low dose follistim for the second and increased follistim the third cycle.

IUI was covered by insurance, I paid a $70 copay for every visit.

She communicated very well what was going to happen, and expectations of what the treatments could offer. She was thorough, and always asked if I had any questions or whether I was uncomfortable. The clinic is not close to my home, but is worth the drive for the experience she offers.

Be patient, at first she can seem very direct, but you learn as you go through the process that it is necessary.

Clomid cycle, treated with progesterone, prescription prenatal vitamins, aspirin, COQ10.

Mostly just my copay. Sperm test was not covered but that was $80.

She was wonderful. She addressed all I’ve my concerns and questions. She cared about my well being and out embryos. She was very knowledgeable. She made sure we took ever step needed. She gave us the best possible outcome in regards to our embryos.

Trust her.

Oh I don’t remember the medications. We did ivf. Started the medication. Did the egg retrieval and our embryos grew for 5 days. Two were transferred. 9 days later a positive pregnancy test

cost out of pocket was 20k except my husband at the time, his insurance covered it at 100%

She recommended two. I agreeed

knows her stuff, wants fast results, very smart and up on the literature. Her nurses work directly w/ patients and are excellent.

do everything she and her nurses instruct you do you. dont get discouraged

He asked many times if I had questions and was very thorough. He even said they'd work with me regarding ultrasounds he needs taken in his office, not something you hear from fertility clinics very often.

Ask a lot of questions- he expects you to and he will give thorough answers.

He has an IVF package starting at $5300 that has made IVF affordable to me. Unfortunately, the meds will run between $3-8000 and I'm hoping they will submit a preauth ahead of time so I can find out how much insurance will cover. I also need to finish applying for Compassionate Care which I really don't want to do until I receive the price list to verify prices which they were supposed to be sending today.