How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
We had one face-to-face consultation with Dr. Marsh where she asked us a lot of questions and listened closely to our responses. She listened to every question we had and was well-informed in answering our questions. Dr. Marsh tends to keep her answers brief, but answers any followup questions. We had one unfortunate IUI with very low sperm count and Dr. Marsh spoke with us face-to-face about that situation. Our additional contact with Dr. Marsh has been over phone consultations following failed treatments. We have been able to quickly and easily obtain consultations with Dr. Marsh and review what we did and what are the next steps moving forward. She is quick to recommend changes to treatment as appropriate which I really appreciated. Her recommendations are guided by our situation and founded in a strong understanding of current research and data.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Being well prepared and informed has helped us make more efficient use of our time with Dr. Marsh. Have questions and topics prepared to discuss during your appointments.
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh and all the staff we regularly see at the clinic knows who we are. We don't live near the clinic, so we have had a number of phone consultations with Dr. Marsh and it always feels like Dr. Marsh takes into consideration who we are, where we are in the process, and our requests. Dr. Marsh and the clinic staff are good listeners and want our input. We have genuine conversations with Dr. Marsh which have guided our treatment decisions.
Describe the protocols Courtney Marsh used in your cycles at Kansas University Center for Advanced Reproductive Medicine and their degree of success.
We started with an IUI. Our last semen analysis showed just enough total motile sperm to make IUI a reasonable choice. Because she suspected that I might have a luteal phase defect, she also prescribed Letrozole (Femara) to boost my corpus luteum and progesterone for luteal phase support. Due to very low total motile count for the IUI, we decided to proceed to IVF. I have good numbers and wanted to do a fresh transfer, so Dr. Marsh prescribed low doses of medications for stimming (75IU Menopur and 75IU Gonal F, antagonist protocol). I started Cetrotide based on results from ultrasound and bloodwork monitoring. Dr. Marsh monitored and reviewed my results closely. I produced 9 eggs, 8 were mature, and 7 fertilized with ICSI, and resulted in 5 blastocysts. We transferred 1 day-5 embryo (after 5 days of 50 mg/day progesterone-in-oil) after the egg retrieval which did not implant. Immediately following we were able to start an FET cycle. Due to lack of implantation, Dr. Marsh had me do an endometrial scratch. I was primed with estrogen (Estradiol 2 mg tablets, 3/day) and started progesterone-in-oil (50 mg/day) and Endometrin (3 suppositories/day) 5 days before my FET. That embryo implanted, but resulted in an early miscarriage/chemical pregnancy.
Describe your experience with the nursing staff.
All the nurses have been a pleasure to work with. They are supportive and well-educated. They respond to questions and share results promptly.
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
Getting an initial consultation setup was difficult because it had to be done over the phone and connecting with a person was challenging. However, once setup in the portal, communication has been a breeze. All the staff has been incredibly friendly and easy to work with.
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
IUI cost $600 plus meds. IVF cost $11,000 plus meds (ICSI included in IVF cost). Each FET costs $2500 plus meds (endometrial scratch included in FET cost). I think the pricing is fair and is clearly outlined in documents provided by the clinic.
Describe Courtney Marsh's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.
Dr. Marsh very strictly follows a single embryo transfer policy for our situation (young, good quality embryos)