This patient has provided documentation of treatment at this clinic.
2021 - 2022, Unknown Success
She [Dr. Allison Petrini] always answers me in facts and the data from the research, and walks me calmly through all the scenarios. I never feel like my questions are a nuisance to her (especially since my journey has been so long at this point) which makes me feel like I can ask anything...She has such a warm and friendly personality...The south office feels like a fun place to work because of what she brings to it.
[Texas Fertility Center] Strengths: They're the best in Austin, with the largest care team with the most years of experience collectively...Weaknesses: They do not have an electronic portal, for messaging, results, access to EMRs. This I have found to be almost archaic, but the quality of care I get makes up for it enough. Communication with my nurse team is via either 1) a secure email that is impossible to access on my mobile or 2) just my personal email (which I'm not quite sure is secure, obviously). Calling the clinic you always have to leave a voice message instead of getting someone directly.
How was your experience with Allison Petrini at Texas Fertility Center?
Dr. Petrini is new to Texas Fertility Center as of July or August 2021. During the time of transition from my priori clinic doctor to Dr. Petrini, I was recovering from a miscarriage. I'd been doing blood tests through my OB to check my beta as the number went down for 3 whole months, when my number started to plateau right around 20, which was incredibly frustrating because I wouldn't be able to start another transfer until it was zero. My OB immediately diagnosed the issue as a molar pregnancy, without even doing a saline sonogram (which I didn't even know was a think at that point). I called Dr. Petrini, who was new to me and the clinic, and she nonchalantly said it was probably retained tissue, immediately had me in for a saline sono, and had me in surgery the next week. She also called Natera, the company that had done my miscarriage genetic test, to check if their tests cover for molar pregnancies (which would rule out that being a possibility) without me even asking or knowing that was a possibility. She's on the younger side, but I know she's just come from one of the most prestigious REI fellowships in the country and I trust that she has the most recent research at her disposal. She always answers me in facts and the data from the research, and walks me calmly through all the scenarios. I never feel like my questions are a nuisance to her (especially since my journey has been so long at this point) which makes me feel like I can ask anything. She performed my surgery to remove the tissue Aug 2021, and then went on maternity leave. Her recommendation during that time was to make sure I did another saline sono before trying for another transfer -- and sure enough, we found even a little more retained tissue and a polyp in there. While I wish she'd been able to remove everything the first time, she mentioned there had been a lot in there and there was a lot of bleeding, so just wanted to cover the bases. I'm glad she recommended it, rather than approaching with hubris and assuming she'd gotten it all out (which is basically what had happened with my OB). She has such a warm and friendly personality, and I can tell her nurses really like working with her, too. The south office feels like a fun place to work because of what she brings to it.
What's one piece of advice would you give a prospective patient of Allison Petrini at Texas Fertility Center?
She's the best! No advice, I find her the easiest to work with of all the Texas Fertility Clinic doctors.
During treatment, were you treated like a number or a human with Allison Petrini at Texas Fertility Center?
Dr. Petrini always remembers who I am and what my story is when I come into the office. While most of the phone calls I get are from her nurses, the nurse care team know me very well at this point and they also pass on what Dr. Petrini says when she gets my results (blood tests, mostly) and they mention Dr. Petrini's disappointment or excitement. She will also sit with me in the room answering any questions I have until I have no more questions left, and makes sure I understand what everything means.
Describe the protocols Allison Petrini used in your cycles at Texas Fertility Center and their degree of success.
With Dr. Petrinie I've done a total of one full femara (natural) transfer (resulted in miscarriage at ~8 weeks), one cancelled femara cycle transfer, and am in the middle of a programmed transfer cycle (transfer soon). Natural transfer (miscarriage) This was our second transfer, the first had ended in a miscarriage as well. We had done a natural transfer cycle for the first and also for my ERA prior to that, so she was confident this was the right type of transfer. I took femara (letrozole) first ~5 days and then went in for my first lining check at ~day 10 or 11 of my cycle. My lining was still pretty thin (less than 7) so she had me up my estradiol dosage (2mg pill vaginally at night) and also 75 units of Gonal F each night each night to support the growth of the follicle. I did this for about 3-4 days total before the lining was thick enough (only just about 7, but mine tends to be thin) for the trigger shot. Dr Petrini didn't do my transfer bc it was on T-giving weekend, but I worked with her once I was pregnant and through the miscarriage. Cancelled natural transfer cycle: After the 2nd miscarriage (above) it took about 5 weeks to finally get started on another transfer cycle again. We did almost the exact same thing this time (including Gonal F), but at like day 13 or 14 of my cycle, she was not happy with the lining thickness or follicle size. She sent me for a blood test the next day and another lining check (it was on weekend with Dr Vaughn) and my lining had not changed. They called later that day to tell me my blood test indicated I'd already started the ovulation process (LH increase) so we'd have to cancel. Dr Petrini called me the very next Monday to talk me through what happened, which basically was that my uterus had probably been through a lot, and I had an irregular cycle (which, I've learned, can happen after miscarriages). She recommended a programmed transfer cycle to control for this sort of thing, but ultimately said it was my decision. What I liked was that she helped me figure out what I was deciding between, in detail, which really helped. Programmed transfer cycle (in progress): Once I could do another cycle we started with the programmed cycle. I started taking estradiol (2mg) twice a day, and then after about 10 days you up to 3x a day and an ultrasound to check there's a dominant follicle. I didn't have one and lining was good, so kept going with 3x a day. I went back for a lining check on the day that was supposed to start the progesterone, but the lining was just barely 7mm so she wanted to give it a few more days. But she also had me take cetrotide for those 4 days just to be extra careful I didn't ovulate in that time. Four days later lining was in a much better place (7.4-8.6) so we could start the progesterone then. I have transfer coming up soon.
Describe your experience with your nurse at Texas Fertility Center. (Assigned nurse: Taylor and Berkeley)
Taylor and Berkeley are Dr. Petrini's nursing staff who I communicate with outside of the office. They're really quick to reply (if they can) and if they can't, they let me know why. They have seen me through my time with Dr. Petrini as well as previously with Dr. Burger so sympathize with what I've gone through. They express sadness when another bad thing happens to me or there's another delay, and happiness when I get to move forward. It's nice to feel like they're rooting for me.
Describe your experience with Texas Fertility Center.
Strengths: They're the best in Austin, with the largest care team with the most years of experience collectively. I like that they have both a south Austin clinic and their main clinic in the north Austin area. Weaknesses: They do not have an electronic portal, for messaging, results, access to EMRs. This I have found to be almost archaic, but the quality of care I get makes up for it enough. Communication with my nurse team is via either 1) a secure email that is impossible to access on my mobile or 2) just my personal email (which I'm not quite sure is secure, obviously). Calling the clinic you always have to leave a voice message instead of getting someone directly. And at lunch time, when they're closed, you can't even leave a voicemail at all. They have a very nice nights/weekends nurse named Pam that is quite responsive when you need her - especially when you're doing your hormones for retrieval cycles for the first time. I'm really happy with Dr. Petrini now, so I wouldn't want to change clinics.
Describe the costs associated with your care under Allison Petrini at Texas Fertility Center.
The biggest costs have been my surgeries and medications. I use Progyny and so most is covered under that - and I don't get billed the day of visit, which is what they do with other insurance.
Describe Allison Petrini's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Texas Fertility Center.
I actually don't know Dr Petrini's philosophy, but I know she recommends 1 embryo transfer.
What specific things went wrong at Texas Fertility Center?
- Provided conflicting information
Describe the specific things that went wrong at Texas Fertility Center.
There was one call I received, I can't remember if it was a retrieval cycle (I've had 2) or a transfer (I've had 2), but the nurse that called gave me a couple orders and they seemed a little off to me based on what my doctor had told me. So I just asked her if she was sure, and she double-checked, and I was right. It was only once and small, but I was glad I'd remembered and advocated on my behalf.