How was your experience with Caroline Juneau at Audubon Fertility?
My husband and I went to Audubon after a year of unsuccessfully trying to conceive on our own. We had a consultation to discuss future options with Dr. Juneau, and I felt so much more hopeful even after just talking to her. She has been so patient with me and my crazy questions and seems personally invested in our journey. She can somehow make me still feel positive after receiving not so great news. We’re in the middle of prepping for a third egg retrieval, and before we began each treatment, Dr. Juneau sat with me and my husband and helped us decide what was best for us. And she doesn’t stop thinking about your treatment when you leave the clinic. I’ve received multiple calls from her after leaving saying “I’ve thought about this more, and instead of doing X, I think we should do Y...”. I can’t imagine a more compassionate and caring RE.
What's one piece of advice would you give a prospective patient of Caroline Juneau at Audubon Fertility?
Ask questions. Since Dr. Juneau is living and breathing infertility treatment every day, sometimes she forgets to explain (or assumes you know) next steps or reasons for why she prescribes certain things.
During treatment, were you treated like a number or a human with Caroline Juneau at Audubon Fertility?
Dr. Juneau has kept in constant contact with me about my treatment (even giving me her cell number in case I have questions when the clinic is closed). She also remembers and asks questions about other aspects of my life that have nothing to do with treatment. She seems personally invested in my journey.
Describe the protocols Caroline Juneau used in your cycles at Audubon Fertility and their degree of success.
We started infertility treatment with an “unexplained infertility” diagnosis.
IUI - Letrozole for 5 days followed by follistim (don’t recall the dosage...maybe 75 units), with an HCG trigger shot. Had 4 follicles but no pregnancy.
IVF retrieval 1 - 150 units menopur, 225 units gonal-F. Cetrotide last 4 days of stims. Lupron trigger (my estrogen was over 5000 so she didn’t want to give me an HCG trigger because she was worried about OHSS risks). Retrieved 16 eggs (she had trouble getting eggs from my left ovary which was hardened), only 6 mature, 5 fertilized, 1 good quality day 5 embryo (PGS normal).
IVF retrieval #2 - added omega-3, folic acid, CoQ10 vitamins to improve egg quality since it was identified as an issue. 150 units menopur, 225 units gonal-F. Cetrotide last 3 days of stims. Dual trigger of Lupron + small dose of HCG (2500). My estrogen was still very high again, but Dr. Juneau added HCG trigger to try to improve egg maturity. 26 eggs retrieved, 20 mature, 15 fertilized. I ended up with 2 fair quality day 5 embryos (one PGS normal) and 2 poor quality day 6 embryos (both PGS normal). I had very mild OHSS.
IVF retrieval #3 - I’m currently on day 5 of stims under the same protocol as retrieval #2.
Describe your experience with the nursing staff.
The nursing staff is just as caring and patient as Dr. Juneau. They’re helpful with answering any questions I’ve had and very responsive to my barrage of portal messages.
Describe your experience with Audubon Fertility.
The clinic is very well run for the most part. There has been some confusion with billing, upfront payments, and insurance coverage. I would encourage a new patient to ask questions about any charges they don’t understand.
Describe the costs associated with your care under Caroline Juneau at Audubon Fertility.
The following represents their IVF costs:
Procedures and physician fees - $1400 (monitoring, oocyte retrieval, embryo transfer, injection teaching, etc.)
Anesthesia fee - $500
Lab fee - $3,825 (oocyte ID, sperm prep, culture and fertilization, ICSI, assisted hatching, crypto preservation, prep for transfer, 1 year embryo storage)
Facility fee - $3600
Medications between $2000-$5000
PGS testing - $4750 (up to 8 embryos; additional $300/embryo above 8)
Describe Caroline Juneau's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Audubon Fertility.
Dr. Juneau has said that the typical practice is to transfer one good or fair quality embryo at a time. For poorer quality embryos, or if there has been an issue with embryos implanting, they may transfer two.