How was your experience with Althea O'Shaughnessy at Conceptions Reproductive Associates?
I only met with the doctor during my initial consultation and then during my re-group after the canceled cycle. Every other appointment and call was with a nurse. Several times, I asked to speak with the doctor about her instructions, and instead received communications back from the nurse who said she had spoken with the doctor.
Dr. O put me on a priming protocol that was questionable for someone with DOR (estrogen and birth control). I only had 2 follices during my AFC, and was put on a maximum (very expensive) dose of medications (450 follistim/150 menopur/.7 cc omnitrope). Even though I started with only 2 follicles, my cycle was canceled 5 days later due to not growing more than 2. This did not make sense to me, and wasted thousands of dollars on medications.
After my canceled cycle, Dr. O basically did not have any alternative protocols to try, and wanted me to go directly to donor egg. I have since received second opinions that this suggestion makes no sense, given my relatively young age and the fact that someone with DOR should not be expected to produce a lot of eggs in the first place.
What's one piece of advice would you give a prospective patient of Althea O'Shaughnessy at Conceptions Reproductive Associates?
If you are in Denver, it is worth spending a bit more money to go to CCRM.
During treatment, were you treated like a number or a human with Althea O'Shaughnessy at Conceptions Reproductive Associates?
The doctor did not seem to know me personally or to create an individualized protocol for me. Instead, I felt that I was treated like a number, and that the doctor expected me to have the same results as someone without DOR, when I now understand that she should have been aiming for very different results.
Describe the protocols Althea O'Shaughnessy used in your cycles at Conceptions Reproductive Associates and their degree of success.
Primed with estrace for 7 days , starting 7 DPO. Birth control pill for 5 days to delay start of stimulation medications. 450 iu follistim, 150 iu menopur, and .7 cc omnitrop for 4 days; increased to 300 iu menopur on 5th day. Canceled after that.
Describe your experience with your nurse at Conceptions Reproductive Associates. (Assigned nurse: Sarah Evans)
Sarah was great! She showed great compassion and always responded to my questions.
My only complaints have to do with weekends/scheduled days off. My first monitoring appointment was on a Saturday. I was told I would get a call with medication instructions by that afternoon, but didn't receive it. I finally called the after-hours number, and got a response from the on-call nurse a few hours later that I didn't need to adjust anything. She did not provide me any details on how my follicles or labs were looking. This seemed very disorganized. I also did not like that every assigned nurse is out of the office one weekday per week (plus weekends), so on those days my questions would not be answered until the next day. I'm not sure why the nurses do not work 5 days per week.
Describe your experience with Conceptions Reproductive Associates.
Strengths: Compassionate, knowledgeable nurses. Appointments easy to make, usually did not have to wait long (except to see doctor).
Weaknesses: Communication; organization; did not like that finances were kept mostly secret, you had to leave a message with their business office and likely wouldn't hear back for a day; costs were communicated verbally, not in writing. They tried to charge me a $3,500 cycle cancellation fee when my cycle was canceled after 5 days of stimulation. I disputed this, and they only charged me for services used ($1,500, plus the $1k coordination fee). This seems like a very high cancellation fee.
Describe the costs associated with your care under Althea O'Shaughnessy at Conceptions Reproductive Associates.
Initial consult: $325
IVF coordination of care: $986
IVF with ICSI and PGS testing, including 1 FET: $17,354 (most of this was refunded due to canceled cycle)
PGS for greater than 8 embryos: $250/extra embryo (did not actually incur this)
Anesthesia: $400 (did not actually incur this)
Mock transfer/hysteroscopy/doppler: $870 (did not actually incur this)
Subsequent transfer: $5,100 (did not actually incur this)
Additional rounds of IVF: $9,895 (including ICSI & PGS, but not transfer) (did not actually incur this)
Drugs (paid to MDR pharmacy): $6,378.76 (this did not include all drugs, but cylce was canceled before ordering all)
Cycle cancellation fee: $3,350 (did not actually incur this; instead, paid $1,475 for services rendered)
What specific things went wrong at Conceptions Reproductive Associates?
- Failed to call with results