Emma Giuliani

Dr. Giuliani was very personable and took a thorough history from me. We have met 3 times via virtual appointments and she even called me personally after I had sent a patient portal message. Dr. Giuliani sent my husband to get checked out which led to us learning he had a pituitary tumor, no one else had even thought of this. Dr. Giuliani has been honest about next steps in treatment.

Take notes during the appointment and don’t be afraid to ask any questions.

Dr. Giuliani suggested we start with timed intercourse cycles with the option to add IUI at any time. We opted to do several timed intercourse cycles first. Dr. Giuliani suggest we try clomid as I had done several cycles with femara previously. She also suggested a mid cycle ultrasound and trigger shot with the timed cycle which I hadn’t done previously. When we were ready to add IUI Dr. Giuliani met with us to discuss that in further detail and answer any questions we had. She was also very honest that we may need to consider IVF and provided some information on that as well, since we have some male factor issues as well as PCOS.

My ultrasounds and office visits were billed to insurance, although I was not aware of the cost associated with speaking with the nurse after some of my ultrasounds so that was an extra cost. My portion of my first IUI was billed to insurance as I had asked, we did pay out of pocket for the semen was which was $375. Total cash price for each IUI is currently $800, up from $650 last year.

We have not reached this step in treatment.

I think Dr G is really nice, and we’ll intentioned. I think overall the clinic runs poorly with lack of communication between the departments— which probably makes it hard for her to do her job. I do find speaking on the phone with her difficult as it’s sometimes hard to understand what she’s saying. More in person meetings would be valuable. I also think we should have a set meeting after each retrieval to go over what worked and what didn’t. And what if anything we need to change.

Do a lot of your own research, and demand time.

I was on the highest dose of meds she said she could prescribe. We added HGH for the second retrieval to help with embryo survival. Still waiting on results for that. Was never given much explanation for anything else really.

Close to 20K just for the three retrievals. Medicine, ultrasounds and bloodwork are all separate. When we complete our third retrieval we will have spent close to 75,000

She is always, kind, compassionate, takes her time with me, values what I have to say, and she never makes me feel stupid. (In comparison to her male counterparts at the office, it’s night and day difference).

Don’t be afraid to ask many questions!

She did a full evaluation of me and my partner. We got 2 diagnoses of septum uterus and mild male factor. I had surgical intervention, my husband was sent to a specialist (urologist). We then came up with a plan of a medicated cycle (letrozol, mid cycle ultrasound, and trigger shot). The first cycle resulted in a chemical pregnancy. We naturally conceived right after that miscarriage, she put me on progesterone, but that ended in a blighted ovum diagnosed at our first 6w ultrasound. After D&C and genetic testing that baby was found to have a genetic anomaly. We were advised to wait at least one cycle before we try again. We did a recurrent miscarriage blood panel, every thing was fine. She added baby aspirin to my daily vitamins. We did 3 more medicated cycles with the same dosage of letrozol for me because my body always responded well. This last cycle we conceived! We are 5 weeks today so hoping for our rainbow baby. We had met with Giuliani a few weeks ago to come up with a plan if this didn’t work, we had a plan in place to move onto IUI.

Oh who knows! In 2021 we met our deductible bc of costs associated with going there but luckily our insurance covered a good amount.

NA

She is a wonderful provider! She explains things very clearly and concise. She is understanding and makes sure me as a patient understands the next steps for treatment. She always asks if I have any further questions or things to go over at the end of each visit. She truly cares about her patients

Ask every single question you have!

I have done several medicated cycles along with timed intercourse/trigger shots. None of them have been successful but I have also learned a lot about my body during these cycles. When exactly I ovulate and what my symptoms are when ovulating

$600