How was your experience with Amanda Hurliman at Oregon Reproductive Medicine?
I did three IVF cycles with Dr. Hurliman, and she was amazing throughout the entire process. I was diagnosed with DOR a few months before my 34th birthday. We were trying for our second child, and the diagnosis totally devastated me. I cried through the entire first few meetings my husband and I had with Dr. Hurliman. She was very kind, but let me know that my chance of success was more in-line with the over 43 year old group (my FSH was very high 21.42). Dr. Hurliman suggested donor eggs would be my best chance of success, but I wasn't ready for that and wanted to try with my own eggs. Dr. Hurliman listened to me, and we came up with a plan to move forward. I never felt that she pushed donor eggs on me, and I greatly appreciated that. However, she did provide realistic expectations - My chance of success using my own eggs was low. My first two cycles were canceled at different stages of the IVF process. My third IVF cycle wasn't looking much better (only 2 mature follicles). Dr. Hurliman gave me the option to cancel that cycle or proceed. I decided I had zero chance of success if I didn't try, so I went forward with the retrieval. One egg fertilized, and on day 5 it was a day behind in development, but I decided to proceed with the fresh transfer. On the day of the transfer I remember telling my nurse Heather “It’s a beautiful day for a miracle." I now have a perfectly healthy 3 month old baby girl. There were many times during this process that Dr. Hurliman could of gave up on me. With my high FSH she could of refused me service from the time I first walked in her door like many other fertility clinics would of done, but she didn’t. She could of let me know I wasn’t a candidate for IVF using my own eggs, but she didn’t. She could of canceled my third cycle without giving me the option to proceed, but she didn’t. Dr. Hurliman never gave up on me, and I love her for it. I wouldn’t have my miracle baby without her. She is a brilliant doctor that listens to her patients, laughed with me on the good days, and offered compassion on the tough days. I always felt like she was on MY team. I wasn’t just a number. She deeply cared about me and kept tweaking my IVF cycles/meds to try and help me succeed in having the baby I desired so deeply. I have tears in my eyes as I’m writing this. It was a rough year, but we did it Dr. H!!! My baby girl is perfect in every way, and we love her so much. There are no words to express how grateful we are to Dr. Hurliman. I highly recommend her to anyone needing fertility services.
What's one piece of advice would you give a prospective patient of Amanda Hurliman at Oregon Reproductive Medicine?
Get as healthy as you can for your fertility treatment(s). I lost 25 lbs., ate only organic foods - lots of fruits and vegetables, followed an alkaline diet, eliminated foods from my diet (sugar, caffeine, wheat, dairy and alcohol), took a bunch of herbal supplements & Chinese herbal tea, walked an hour or more daily, quit my job as a graphic designer to reduce stress in my life, listened to the Circle+Bloom IVF & IUI relaxation and meditation CDs every night, and did acupuncture twice a week (moxa sticks & hot foot baths too!). I'm not sure if any of these things helped or not, but I know it helped me emotionally. Gave me a sense of control in a situation I had no control over. It helped to be working toward something. Dr. Hurliman didn't suggest theses things specifically, so do your own research and try things that make sense to you. Even if it seems crazy - who cares! Dosen't hurt to try things. I know I was desperate for a successful outcome, and now I have my little miracle.
During treatment, were you treated like a number or a human with Amanda Hurliman at Oregon Reproductive Medicine?
Dr. Hurliman and her team really care about their patients, and I received amazing support during my three IVF cycles.
Describe the protocols Amanda Hurliman used in your cycles at Oregon Reproductive Medicine and their degree of success.
Me = 34 years old; Diagnosis = DOR; AMH = 0.33; FSH = 21.42; Husband = Low sperm count.
IVF Cycle 1 = Lupron 40 Flare with Omnitrope protocol. 150 Menopur and 300-425 Follistim. We thought we had 4 mature follicles, but ended up just having 3 mature eggs at collection. One egg fertilized, and on day 5 it was a day behind in development so we gave it an extra day. It arrested and the cycle was canceled.
IVF Cycle 2 = Antagonist protocol converted to HMG/IUI. Follistim 150. Only 2 mature follicles, so we thought we could do better and canceled the cycle before egg collection. The IUI was unsuccessful. This was the 4th IUI I tried (3 with my OBGYN before I came to ORM - all unsuccessful).
IVF Cycle 3 = Estrogen Priming Antagonist protocol. 150 Menopur and 300-425 Follistim. Only two mature follicles, two mature eggs collected, one egg fertilized, and day 5 it was a day behind in development but we went ahead with the fresh transfer on day 5. I now have a perfectly healthy 3 month old baby girl. I am so thankful to my ORM team!
Describe your experience with your nurse at Oregon Reproductive Medicine. (Assigned nurse: Heather Fivas)
I LOVE Heather!!! I always looked forward to seeing her at all my appointments. Sitting and talking with her was like talking to a lifelong friend. She cares so much about her patients, and would do anything to help me during this very difficult process. I truly don't know what I would of done with out her. She made a huge difference in my treatment. My husband was out of town a lot for work during my IVF cycles, so I had to administer all the shots to myself. I kept messing up my doses, and Heather would always laugh with me and show me what I was doing wrong. She even drew a bullseye on my rear end for the progesterone shots. One cycle I did 8 shots a day, the other two I did six. It was such a stressful time, and I wanted to make sure I did everything correctly. A few times I cried in frustration to Heather, and she always did anything she could to help. I had difficulty with one med in particular, and for my last cycle she even put all the doses in syringes for me so I didn't have to worry about getting it right. After I got pregnant, and I would come in for my scans to make sure everything was alright, I remember her waiting outside my door with tears in her eyes hoping for good news. Heather was rooting for me every step of the way. She will forever have a friend in me. She went above and beyond her role at ORM, and I will forever be grateful to her. Love that girl!!!
Describe your experience with Oregon Reproductive Medicine.
Very pleased with Dr. Hurliman, nurse Heather Fivas, and the rest of their staff. I did have some issues with billing that were resolved quickly. I was sent a few bills for misc. things when I had already paid the deposit. I contacted the billing department and they told me to ignore the bills they were an error. After I became pregnant I had to contact billing for a refund of the credit we had with them. This was not an issue, just something to be aware of. It's not automatically refunded after a successful pregnancy. Also, when we first became patients at ORM my husband went in to provide a sperm sample for freezing, and he was told he needed to take a few tests before he could leave his sample. He didn't realize that ORM hadn't received our medical records from Kaiser yet, and he had already taken the tests - $500 wasted. Make sure ORM has received your medical records before leaving sperm samples!
Describe the costs associated with your care under Amanda Hurliman at Oregon Reproductive Medicine.
ORM 3 rounds of IVF (2 rounds canceled at different stages) = $28,551.00
Medications = $16,256.67
Acupuncture = $3,600
Oregon Anesthesiology = $1,134
Labs/IUI's outside of ORM = $1,458.33
TOTAL COST = $51,000
Kaiser only covered the IUI's we did with them - Not our IVF treatments. The itemized info above was 100% out of pocket. Worth every penny!!!