How was your experience with Elizabeth Fino at NYU Langone Fertility Center?
Dr. Fino is exceptionally knowledgable, practical and compassionate. She spends at least 20 minutes with me every call we have and thoroughly answers all of my questions. She's also exceptionally open to hearing what research I have done or approaches I would like to consider. I appreciate that after my first failed transfer of a PGS tested embryo she gave me information on a reproductive immunologist to further explore additional options.
What's one piece of advice would you give a prospective patient of Elizabeth Fino at NYU Langone Fertility Center?
Don't be discouraged by the fact that you don't see her very often or that you can't get immediate access to her. She is exceptionally responsive and thorough and if you schedule a call you will get all the time you want/need with her. She's been fantastic and I trust her completely.
During treatment, were you treated like a number or a human with Elizabeth Fino at NYU Langone Fertility Center?
NYU is a large fertility clinic and well oiled machine. At first I felt like a number until I learned how to operate within the system. It's difficult to have direct access to your Doctor, which is understandable given the volume of patients they say day in and day out. However, any time I leave messages with Dr. Fino's assistant for Dr. Fino I get an immediate response. They went above and beyond for me several times. Dr. Masbou who is a fellow that works with Dr. Fino is super responsive and accessible by email as well. The staff at NYU has come to feel like family and they are very responsive and well organized.
Describe the protocols Elizabeth Fino used in your cycles at NYU Langone Fertility Center and their degree of success.
IUI protocol: letrozal (for PCOS)
First Egg Retrieval: Gonal F (150), Menopur (150) both tapered down to 75 toward end of stimulation, Cetrotide
First Transfer Cycle: Estrace (2 mgs, 4 mgs, 6 mgs), Progesterone 1.5cc
First cycle Vitamins/Medicines: 750 mg Metformin, 600 mg CoQ10, 800 mg Folic Acid, 2,000 mg Vitamin D3
After failed transfer Dr. Fino performed a saline sonogram to look for fibroids and/or endometriosis and an endometrial biopsy. The biopsy found Endometritis. Husband and I were treated with strong course of 2 antibiotics for 2 weeks.
Second Egg Retrieval: Gonal F (150), Menopur (150) both tapered down to 75 toward end of stimulation, Cetrotide. During this retrieval Dr. Masbou performed a follow up endometrial biopsy or scratch to both confirm Endometritis was cleared and at the recommendation of Dr. Jonathan Scher (reproductive immunologist).
Second Transfer Cycle: Includes protocols from Dr. Jonathan Scher (reproductive immunologist as well). Estrace (2 mgs, 4 mgs, 6 mgs), Progesterone 1.5cc, Baby Aspirin (81 mg), Lovenox (0.6mL), Intralipid 20%
Second cycle Vitamins/Medicines: 1500 mg Metformin, VitaCare (prescribed prenatal), 600 mg CoQ10, 1.4 mg Folic Acid (Metanx), 4,000 mg Vitamin D3, Fem-Dophilus pro-biotic, 400 mg Magnesium Citrate, Prednisone (15 mg per day), Synthroid (25 mg)
Describe your experience with the nursing staff.
The NYU nursing staff is like my family. They all know me by name, are upbeat friendly faces to see every morning monitoring. Can't say enough about this staff. Really love them.
Describe your experience with NYU Langone Fertility Center.
The clinic is extremely large so you have to proactively manage your care and be your own advocate. Do your research so you're prepared with your questions when you talk to your doctor or the staff. I keep a binder with all of my lab results, protocols, Insurance forms, Financial forms, general info etc. I have found absolutely everyone on this staff to be responsive and fabulous.
Describe your experience with your monitoring appointments at NYU Langone Fertility Center.
Well oiled machine. Check in at computers up front and wait to be called. Blood taken first then sent to room for the ultrasound. I always get there early and am in and out in no time.
Describe the costs associated with your care under Elizabeth Fino at NYU Langone Fertility Center.
Our first cycle was completely covered by United Healthcare with the exception of PGS testing. The first cycle totaled approximately $21,000. Our second cycle (retrieval, PGS testing and transfer) have been completely covered by Progeny.
Describe Elizabeth Fino's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at NYU Langone Fertility Center.
NYU recommends single embryo transfer for PGS tested embryos. We discussed all of the risks.