Describe your experience with The Fertility Center of PA.
The clinic is small which is both a strength and a weakness. They more than happily accommodated my busy and constantly changing schedule between the Lancaster and York locations. Appointment times are periodically limited due to the size of the clinic and limited staff. However, they are up front about availability and work to find a mutually agreeable option. I found the small size to be more personal and given the closeness to home it was much easier to accommodate appointment schedules than other larger clinics at further distances.
During treatment, were you treated like a number or a human with Robert Filer at The Fertility Center of PA?
Dr. Filer has a small local practice and care was personal. Staff was warm and welcoming and accommodating of weird schedules, knowledge of the oddity of circumstances, etc.
Describe your experience with your nurse at The Fertility Center of PA. (Assigned nurse: Michelle Munch)
Michelle is very clinical and her bedside manner is not especially warm. However, she is very knowledgeable. The nursing staff overall is very warm and caring. It made a huge difference in our comfort level to feel welcome and familiar with the staff at seeing them so frequently.
What specific things went wrong at The Fertility Center of PA?
- Failed to call in prescriptions to pharmacy
How was your experience with Robert Filer at The Fertility Center of PA?
Dr. Filer is a little quirky but thoroughly explains the procedures both before and during the processes. He welcomes any questions and ensures patients understand the next steps and are comfortable with the information. I was very happy with him as my doctor and plan to see him again for future procedures.
What's one piece of advice would you give a prospective patient of Robert Filer at The Fertility Center of PA?
Don't be afraid to ask questions. Dr. Filer is very knowledgeable about the latest research and fertility issues (PCOS in my case). He is happy to discuss and patiently explain next steps specific to your situation.
Describe the protocols Robert Filer used in your cycles at The Fertility Center of PA and their degree of success.
Two drug cycles with metformin and progesterone to attempt to induce ovulation. Both failed. Four IUI cycles with progressively increasing doses of Gonal-F. Based on bloodwork, ovulation was successful but IUIs were not. Fourth IUI was cancelled due to hyperstimulation at a dose of 225 units of Gonal-F. However, it proved positive for IVF success. Egg retrieval produced 23 eggs, of which 18 fertilized and 11 survived to Day 5. Freeze all/frozen cycle was recommeded for my PCOS due to the hyperstimulation (which occurred again with the egg retrieval. Birth control was used for the retrieval and implantation cycles to "reboot" my hormones due to historic anovulation and amenhorrea. Implantation cycle placed two embryos of which one successfully implanted. Currently 28 weeks and all looks healthy. Progesterone and estrogen treatments were maintained through the first 10 weeks. Metformin (1500 mg) and Synthroid remain in use. We have 9 remaining embryo's frozen for use in future implantation(s) and hope to have 2-3 children.
Describe the costs associated with your care under Robert Filer at The Fertility Center of PA.
In total our treatments cost upwards of $55,000 out of pocket. This does not include insurance discounts for in-network doctors and pharmacies. This included at least two medical cycles, four IUIs and enrollment in the Shared Risk IVF program ($22,000). The Shared Risk program allows for six implantation cycles for the prices of two and a full money-back guarantee if a live birth is not achieved. High cost medical cycles (Gonal-F, progesterone, estrogen, etc.) began with IUI #1 and dosage increased through IUI#4 and IVF retrieval.
Describe Robert Filer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at The Fertility Center of PA.
Dr. Filer was open to discussion of our interest in implanting two embryos as within the normal range and with his knowledge of our specific circumstances. We understood the risks and the chances of multiple births.