How was your experience with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Dr. Marsh is friendly and very knowledgeable. However, I felt like my care plan is not fully satisfying my needs, and that might be that I am not pregnant yet or I am not grasping the plan. We have been trying for 2 years next month, 8 failed medicated cycles, and yet when I ask questions I feel like I get the bare minimum answers. "try again next month, don't give up", "everything looks fine", but no additional labs or test are done to investigate why this is not working. I am might be jaded when it comes to this but I feel like I have to go above and beyond to advocate for myself.
What's one piece of advice would you give a prospective patient of Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
Take her demeanor with a grain of salt, she can come off as being curt, but again I have very pleasant conversations with her, when I actually do speak to her.
During treatment, were you treated like a number or a human with Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine?
All communication is done via email and makes it difficult to have a personal touch. I have only visited with Dr. Marsh twice, the rest have been via email and her nursing staff (which is wonderful). I had to beg the front desk to speak in person with a Nurse when I was really struggling with the fertility drugs. I did get to be seen, but it made me feel like I had to go above and beyond to advocate for myself and not be 'another email'.
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 HSG that showed a partial blocked right tube and a pre diagnosis of PCOS. Then was prescribed Letrozole 5mg starting CD 3 - CD 7 and did follicle ultrasounds on CD 10. Follicles did not respond and she upped the Letrozole to 7 mg, again follicle ultrasound on CD 10. The right follicles were the only side responding and not very well. Letrozole said the same, but added GONAL-F 50 mg injections on CD 7 - CD 10. The left side started to respond but my dominate follicles were on the right. We did this treatment for 6 months, and decided to take a break last May. In August 2019 we started again and in addition to the Letrozole and GONAL-F, Clomid (do not have the dosage but it was 3 tablets a night CD 3 - 7) was added. We had a great response with the Clomid and was able to do our first IUI in August, it failed. We did the same cycle plan in October, the Clomid and Letrozole responded better and I did not have to do the injections of the GONAL-F. We tried another IUI end of September and I am currently in the TWW to know if it was successful.
Describe your experience with the nursing staff.
The nursing staff is great at KU. You will see them more than Dr. Marsh, they are compassionate, quick to respond, and friendly. I have notice some turnover which is a little concerning, but all of the nurses that I have come into contact have been very pleasant!
Describe your experience with Kansas University Center for Advanced Reproductive Medicine.
There are often a long waiting period when doing an IUI, I wish that they would call when the specimen has been completed. They typically tell you when to show up after your partner's appointment and I have waited close to 2 hours
(after my scheduled time) before the specimen was ready. The clinic has a friendly front desk. The front desk staff can be a little frazzled sometimes, but I just patiently work with them. The billing is such a pain, if you have any insurance that covers fertility treatment it can be a pain to get accurate invoices, I finally got a bill corrected from January. Also, they require you pay upfront for IUI services, which is no problem but then they bill you for it after as well, which again is a pain. When I called to get this corrected, they expected me to know that it wasn't a bill, that my payment had not posted in their systems...
Describe the costs associated with your care under Courtney Marsh at Kansas University Center for Advanced Reproductive Medicine.
IUI - $600, Ultrasounds - Unknown Insurance covered, HSG - - Unknown Insurance covered, GONAL- F - $350, Clomid - $30 with insurance, Letrozole - $4
Describe Courtney Marsh's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kansas University Center for Advanced Reproductive Medicine.