Grace Couchman

Carolina Conceptions

Available Lines of Communication

Doctor, Nurse available by email
Doctor email
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Doctor, Nurse available by direct line
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Doctor personal cell phone
Medical SchoolU. of Colorado
ResidencyDuke
FellowshipNIEH / Duke
Raleigh
2601 Lake Dr
Raleigh, NC 27607
(919) 782-5911
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On a scale from 0-10, how likely are you to recommend Grace Couchman to a friend?
Strongly recommend: 67%Neutral: 20%Don't recommend: 13%8.7
83 assessments
  • 67% Strongly recommend (9-10)
  • 20% Neutral (7-8)
  • 13% Don't recommend (0-6)
Humanity
Treated like a number
Treated like a human
9
Humanity

Ratings of 1 mean patients felt this doctor treated them as "a number."

Ratings of 10 mean patients felt this doctor treated them as "a human."

Communication
Poor communication
Excellent communication
8.9
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
Rarely saw at appts.
Always saw at appts.
6.4
Frequency Seen

Ratings of 1 mean patients only saw this doctor once or twice during treatment.

Ratings of 10 mean patients saw this doctor at every appointment.

Responsiveness
Poor response time
Excellent response time
Poor
Responsiveness

Scale is "poor, ok, good, excellent," and measures how responsive a care team was when patients needed to see or speak to them.

On a scale from 0-10, how likely are you to recommend Carolina Conceptions to a friend?
Strongly recommend: 75%Neutral: 20%Don't recommend: 5%9.1
361 assessments
  • 75% Strongly recommend (9-10)
  • 20% Neutral (7-8)
  • 5% Don't recommend (0-6)
83 assessments
6
8
Age
38 - 39
Treated
2018 - 2019
Success with this Doc
?
Treatment
2 IUI, 1 IVF
Diagnosis
Unexplained
6
8
We did a full round of IVF with Dr. Couchman. We had 5 embryos develop after the retrieval. We had them PGS tested due to a prior chromosome abnormality miscarriage. We had only 1 genetically normal embryo. Dr. Couchman suggested we do the ERA test to make sure of the optimal time for transfer...I felt that during our sit down appointments and phone calls with her that we were rushed and all of our questions were not answered. When we first started at that clinic I felt like a human and towards the end I felt more like we were just a number in their daily baby making protocol. I felt like they just cared more about our money than us sometimes.
Our single IVF cycle [at Carolina Conceptions] was just under $15,000 and that does not include the meds, PGS testing, and other out patient procedures...We were told if we had our embryos genetically tested, that we were only able to transfer one at a time...front desk staff was very helpful and knew what they were doing...no emergency contact number to call after hours, hard to reach the clinic during afternoon business hours, ensuring that the information that is shared with us is accurate.
Age
38 - 39
Treated
2018 - 2019
Success with this Doc
?
Race
Other
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
Unexplained
6
8
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman was very nice and easy to talk to. As I mentioned before, she didn’t always answer all of our questions and I was sometimes confused about what was happening next. She was also very difficult to get on the phone or via email on the weekends. A couple of times we reached out with an issue that needed immediate assistance and we were always contacted back by another doctor at the practice.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
To make sure you push to get all of your questions answered in the detail you need as a patient. Do not let her make you feel rushed or that your list of questions isn’t important.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
I felt that during our sit down appointments and phone calls with her that we were rushed and all of our questions were not answered. When we first started at that clinic I felt like a human and towards the end I felt more like we were just a number in their daily baby making protocol. I felt like they just cared more about our money than us sometimes.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
We did a full round of IVF with Dr. Couchman. We had 5 embryos develop after the retrieval. We had them PGS tested due to a prior chromosome abnormality miscarriage. We had only 1 genetically normal embryo. Dr. Couchman suggested we do the ERA test to make sure of the optimal time for transfer. During the ERA test, I also had a hysteroscopy due to titled cervix. These are all the procedures they were done during our IVF cycle.
Describe your experience with the nursing staff.
All of the nursing staff were wonderful! They always answered my questions and treated me with care and compassion. They always explained what was about to happen next and prepared me. When they had to call with results, they were very thorough and made sure I understood what to do next. I really liked them all so much and couldn’t say anything better about them.
Describe your experience with Carolina Conceptions.
Strengths: front desk staff was very helpful and knew what they were doing, nurse staff was very nice and helpful, the lab workers who draw blood are amazing (and I was terrified about getting blood drawn), the financial coordinator was very helpful and responsive at all times, the clinic itself was clean and welcoming, all the embryologists at the clinic were very knowledgeable, responsive and explained results in a way we understood, there was always a good availability of appointments Weaknesses: no emergency contact number to call after hours, hard to reach the clinic during afternoon business hours, ensuring that the information that is shared with us is accurate. Ex: We were given conflicting information about the embryo biopsy delivery for PGS testing. This caused us concern because for some time we were unsure of where our biopsies were. Eventually, we were given proper information.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
Our single IVF cycle was just under $15,000 and that does not include the meds, PGS testing, and other out patient procedures.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
We were told if we had our embryos genetically tested, that we were only able to transfer one at a time.
What specific things went wrong at Carolina Conceptions?
  • Provided conflicting information
Describe the specific things that went wrong at Carolina Conceptions.
I explained how we were given conflicting information in a previous question.
6
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

7
8
Age
30
Treated
2020
Success with this Doc
Yes
Treatment
1 Fertility Medications
Diagnosis
Unexplained
7
8
With a diagnosis of unexplained infertility [from Dr. Grace Couchman], I found myself wanting more diagnostic tests completed or further work up to determine was was causing our infertility. We completed an HSG and AMH/progesterone/thyroid labs but that was it. The fact that these were not offered was a little frustrating, but I assumed that the point was our treatment plan would not change no matter the diagnosis so it would have been a waste of time/resources. There were a couple of times I was told I would receive a call with lab results and did not. They were normal in the end but I didn't find this out until the next in person appointment. I wasn't too concerned since I had assumed no news was good news, but still if it had been off I would have been frustrated at the lost time. In the end, we ended up pregnant after our first cycle of medicated timed intercourse (even though Dr. Couchman had warned us this was very unlikely to
Honestly I had minimal interaction with the nursing staff during my time [at Carolina Conceptions]. They usually just took my vitals then walked me back to Dr. Couchman...The strengths of this clinic are competent staff/providers, short wait times, flexible appointments, and clear financial expectations. Weaknesses include organization/prompt response to phone messages (not including email to providers). Once I needed an appointment urgently but there was no availability, the front office staff said they would "flag my chart" and call me if something opened up. After a few days I called back to ask about it and they had an opening but said they couldn't call me back because the sticky note fell off of my chart. When you're dealing with tight scheduling related to your me
Age
30
Treated
2020
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 Fertility Medications
Diagnosis
Unexplained
7
8
How was your experience with Grace Couchman at Carolina Conceptions?
I thought Dr. Couchman was a great provider overall. With a diagnosis of unexplained infertility, I found myself wanting more diagnostic tests completed or further work up to determine was was causing our infertility. We completed an HSG and AMH/progesterone/thyroid labs but that was it. The fact that these were not offered was a little frustrating, but I assumed that the point was our treatment plan would not change no matter the diagnosis so it would have been a waste of time/resources. There were a couple of times I was told I would receive a call with lab results and did not. They were normal in the end but I didn't find this out until the next in person appointment. I wasn't too concerned since I had assumed no news was good news, but still if it had been off I would have been frustrated at the lost time. In the end, we ended up pregnant after our first cycle of medicated timed intercourse (even though Dr. Couchman had warned us this was very unlikely to succeed) so with positive results its hard to have much negative to say.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Don't be afraid to "pester" with questions or to pursue more information.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
Dr. Couchman has a very straight-forward attitude. I would not describe her as having a "warm" bedside manner. I think her directness to some can come off as her treating you like a number. However, in the end she was a very competent provider made sure to explain all the details of our treatment plan and diagnosis in an unhurried manner. She was also very quick to respond to emails and complete chart reviews outside of our scheduled time which made it feel more like a human connection.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
1 round of letrozole taken cycle days 3-5 followed by a trigger shot on day 12 with timed intercourse on day 12 & 13. Confirmed pregnancy 2 weeks after trigger shot. This was confirmed by "beta HCG" lab draws and an ultrasound at 6.5 weeks pregnant.
Describe your experience with the nursing staff.
Honestly I had minimal interaction with the nursing staff during my time there. They usually just took my vitals then walked me back to Dr. Couchman. I did have one baseline ultrasound with a nurse and that went well, though I did have a rather large fibroid on the outside of my uterus that was missed until my next ultrasound with a provider.
Describe your experience with Carolina Conceptions.
The strengths of this clinic are competent staff/providers, short wait times, flexible appointments, and clear financial expectations. Weaknesses include organization/prompt response to phone messages (not including email to providers). Once I needed an appointment urgently but there was no availability, the front office staff said they would "flag my chart" and call me if something opened up. After a few days I called back to ask about it and they had an opening but said they couldn't call me back because the sticky note fell off of my chart. When you're dealing with tight scheduling related to your menstrual cycle and don't want to be delayed a whole month for one appointment, this can come as a big disappointment. There were a couple of times that I would leave voicemails either for the front office or the billing department and not receive a call back within 48 hrs and would have to call back. When I first found out I was pregnant, I wanted to come in first thing in the morning to get my labs drawn to confirm the pregnancy but couldn't get through on the phone until 15 minutes after opening time because they hadn't cut the phones on yet. The last major stressful instance I had was when trying to get prior authorization through insurance for a medication I needed. The billing department said they submitted it, then I noticed it was declined. When I followed up I found out it was because they left a portion off of the initial authorization request and that they would refile it. I waited a few days and still it had not been filed. Then I called the billing department to inquire and when I finally got through they said it had been denied, when really it hadn't been filed again (because I checked with my insurance company). I sent a strong-worded email and the form was submitted that day. I recall this being very stressful and was frustrated that the billing department did not hold to complete tasks they said they would complete and I felt pressured into going through their "self-pay pharmacy" rather than pursue treatment through my insurance.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
With the NC state 80/20 health plan: I paid $80 for visits/counsel sessions with Dr. Couchman. I paid $31.20 for ultrasound with an RN and $55.85 for ultrasound with a provider (they said you can specify which you want depending if you want to spend the extra money), $53.50 for Ovidrel at self-pay pharmacy,
What specific things went wrong at Carolina Conceptions?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Failed to call with results
  • Provided conflicting information
7
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
31
Treated
2019
Success with this Doc
?
Treatment
2 IUI, 1 IVF
Diagnosis
PCOS, Recurrent Pregnancy Loss
10
10
I feel like she [Dr. Couchman] was very experienced in what she was doing. She explained all of the risks and possible bumps down the road. She prepared us for the worst but hoped for the best along side of us. She was always very honest with us.... After our first negative test with one embryo transferred she adjusted and transferred two embryos, we got pregnant and lost it. After losing that we were going back for our third transfer and found out we were pregnant on our own.
They [Carolina Conceptions] were timely with appointments and you were in and out for ultrasound or lab tests in no time. We were miscarrying on the weekend and they got us in on a Sunday morning to do an ultrasound to verify what we thought we knew. They also brought us back the next day to do another ultrasound and lab work. They were compassionate and understanding of what we were going through.
Age
31
Treated
2019
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
PCOS, Recurrent Pregnancy Loss
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
I feel like she was very experienced in what she was doing. She explained all of the risks and possible bumps down the road. She prepared us for the worst but hoped for the best along side of us. She was always very honest with us. Her bedside manner was great as well.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Pregnancy is not a guarantee, no matter who you see.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
She took the time to go over and explain everything. We felt like we were heard.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
We did one round of IUI with Dr. Couchman, the medications weren’t working. She opted to stop before the insemination and move ahead with the egg retrieval. After our first negative test with one embryo transferred she adjusted and transferred two embryos, we got pregnant and lost it. After losing that we were going back for our third transfer and found out we were pregnant on our own. When telling her that we were pregnant she told us that if we lost that pregnancy she wanted to do a procedure to look at my uterus due to the multiple losses. We lost that baby as well and have yet to make an appointment with her.
Describe your experience with Carolina Conceptions.
They were timely with appointments and you were in and out for ultrasound or lab tests in no time. We were miscarrying on the weekend and they got us in on a Sunday morning to do an ultrasound to verify what we thought we knew. They also brought us back the next day to do another ultrasound and lab work. They were compassionate and understanding of what we were going through.
Describe your experience with your monitoring appointments at Carolina Conceptions.
There were appointments made for the hours in the morning. There was never a long line or seemed like excessive amount of people waiting for the same things.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
Medications were expensive but that’s what I expected. My insurance covered a certain portion and after that we paid it. I was prepared for the cost and appreciated the breakdown and financial planning ahead of time.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
We cautiously started with one embryo, she asked our opinion and was on board with us moving to two embryos.
What specific things went wrong at Carolina Conceptions?
  • Lost appointments
Describe the specific things that went wrong at Carolina Conceptions.
There was a scheduling error once. My husband and I were there and they didn’t have us down. We had to come back at a later date.
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

7
6
Age
39 - 42
Treated
2015 - 2018
Success with this Doc
?
Treatment
8 IUI, 1 IVF, Donor Sperm
Diagnosis
7
6
She is a good balance of reality and hope. ... Dr. Couchman can be a bit cold, but I also feel like she doesn't just waste your time doing things that likely won't work. ... I did an IVF cycle with menopur, testosterone, gonal-f, and something else, and I got very few follicles. I've done many IUIs with different doses of Gonal-F ... But before that, I did feel a bit like she was just putting me through a standard protocol, and I was just another patient.
So I would say, in general, the clinic's approach is more number-like, but overall, if you advocate for yourself and what you want, you will get individual treatment. But the status quo is more number driven, and one size fits all treatment. ... When I first started with Carolina Conceptions, I felt like a human, but there were definitely points along my journey where I haven't.
Age
39 - 42
Treated
2015 - 2018
Success with this Doc
?
Race
European
Income
$200K - $499K
Occupation
Marketer or PR
Order & Number of Docs Seen
1 Doc Seen
Treatment
8 IUI, 1 IVF, Donor Sperm
Diagnosis
7
6
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman can be a bit cold, but I also feel like she doesn't just waste your time doing things that likely won't work. She is a good balance of reality and hope. I have been working with Dr Couchman since conceiving my son, and we've had a lot of insurance-related hurdles, and because we've worked closely together, I feel she has more of an understanding of my case. But before that, I did feel a bit like she was just putting me through a standard protocol, and I was just another patient. However, with my relationship change with Dr. Couchman, the clinic's staff and other doctors also have been friendlier, so I feel like it's a clinic effort as well.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
ADVOCATE FOR YOURSELF! Read up on what may be causing your infertility, ask lots of questions, and if something doesn't feel right, bring it up. The tendency with Dr Couchman is to do what works for most, but you know what works for you. Ask for it. Dr Couchman is very reasonable and will listen, but you have to ask to get a different result.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
When I first started with Carolina Conceptions, I felt like a human, but there were definitely points along my journey where I haven't. I will say they have gotten a TON better in the last 6 months or so, across the board. Dr. Couchman can be a bit cold, but what I appreciate about her is that she is open to my thoughts on the process and the direction I want to go. There was a cycle (ended up being my best), that I had seen a different dr for my monitoring, who wanted to proceed very early with an IUI with just one follicle. I tried to push back, but the other dr was fairly adamant. I emailed Dr. Couchman later, and she came up with a plan that actually netted 9 eggs eventually. So I would say, in general, the clinic's approach is more number-like, but overall, if you advocate for yourself and what you want, you will get individual treatment. But the status quo is more number driven, and one size fits all treatment.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
I did an IVF cycle with menopur, testosterone, gonal-f, and something else, and I got very few follicles. I've done many IUIs with different doses of Gonal-F
Describe your experience with the nursing staff.
The nurses associated with my FET and egg retrieval "in the back" were great! Very compassionate and sweet and caring. The front staff is kind of hit or miss, some are very nice, most are just so so. The lab staff are also very nice. The embroyologist we had was not very nice, borderline cranky.
Describe your experience with Carolina Conceptions.
There seems to be an effort underway over the last 6 months to be friendlier, everyone is chattier, smiles more, and just more caring and friendly overall. I did have a few instances a few months back where the HCP doing my exam over a few of the appointments (different people each time) had to have a chaperone, which was a little weird, but overall, they seem to be trying to be nicer. I will say, they default your treatment overall, and if you feel something should be different, you need to speak up, across the board.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
$15,125 for one IVF cycle, just clinic services, nothing additional
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
Carolina Conceptions has guidelines for this, but we didn't have multiple to transfer, so wasn't an issue for us. In general, I felt their guidelines were very responsible and reasonable.
What specific things went wrong at Carolina Conceptions?
  • Failed to call with results
  • Failed to order appropriate test
  • Lost results
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at Carolina Conceptions.
This was all insurance related - I need no prior auth for IUI trying for my second pregnancy, and I was asked when we first started if i preferred IUI or IVF, I said IVF, but knew I had great coverage, so whatever the insurance dictated (previously I had to try IUI 6 times prior to being approved for IVF). We got denied for IVF, but the clinic made it seem like we were denied overall. We waited over 6 months of appeals prior to the clinic notifying us that we could have done IUI, and only after I asked. I'm AMA, so this was particularly concerning, having lost almost a year in total until we finally got everything in line and started trying again. In addition to this, the person working the financial piece was borderline rude and very unhelpful. She also didn't order the correct tests when we were appealing, and caused us to lose a month there as well, and forgot to send results in during the appeal. I haven't seen her there lately, so perhaps she's gone, but she's been a long time employee of the clinic, so I don't think that's the case.
7
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
6
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

9
10
Age
37 - 38
Treated
2017 - 2018
Success with this Doc
Yes
Treatment
1 IUI, 1 IVF
Diagnosis
Other
9
10
I would definitely recommend Dr. Couchman because I feel confident that she is an expert in her field and I trust that she did everything in her power to help me become pregnant. She's not always warm and fuzzy but she tells you like it is and I respect that.... You mostly see nurses during office visits (they are great with questions too!). You can email Dr. Couchman, but I feel like I'm being annoying if I do this often or if I have long emails because her answers are short and sweet.
The nurses [Carolina Conceptions] have been wonderful! They return calls promptly, answer questions well, encourage you, and are the ones you see most....friendly front desk and nurses, knowledgeable staff, lab draws always go smoothly and the lab staff is great, embryologists know their stuff... Weaknesses: Providing details and thorough information about diagnoses, treatment, results-I'm sure this is tough because too much info for some patients may be bad.
Age
37 - 38
Treated
2017 - 2018
Success with this Doc
Yes
Race
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI, 1 IVF
Diagnosis
Other
9
10
How was your experience with Grace Couchman at Carolina Conceptions?
I would definitely recommend Dr. Couchman because I feel confident that she is an expert in her field and I trust that she did everything in her power to help me become pregnant. She's not always warm and fuzzy but she tells you like it is and I respect that.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
When you have appointments with her, have your questions ready! You mostly see nurses during office visits (they are great with questions too!). You can email Dr. Couchman, but I feel like I'm being annoying if I do this often or if I have long emails because her answers are short and sweet. She probably means nothing negative by this. She seems like she is super busy!
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
I like that Dr. Couchman is realistic, to-the-point, and obviously knows what she is talking about. Sometimes, I feel like it is hard to get thorough answers and explanations about my treatment. I want to know every little detail and would LOVE to be able to look at all of my medication orders, office notes, labs, etc on a patient portal. I appreciate that Dr. Couchman replies to most emails. It would've been nice to have her or a nurse to call or email to check in on me after my egg retrieval because recovery was harder than expected. I had to email with an update on my symptoms to be sure this was normal and there was nothing more I could do.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
I did 1 round of medicated timed intercourse and 1 IUI each with Letrozole, Gonal-F 150 (I did not need Cetrotide but had it in case), and Ovidrel. With IVF, I was on birth control for a month then did Gonal-F 225 with 2 vials Menopur, added Cetrotide and ended up reducing Gonal-F and Menopur doses, then triggered with Lupron and a low dose of HCG. I have high AMH and am over 35. I had 39 eggs retrieved and 16 embryos made it to freeze. We did PGS testing and ended up with 5 normal embryos. We transferred one and we are pregnant!
Describe your experience with the nursing staff.
The nurses have been wonderful! They return calls promptly, answer questions well, encourage you, and are the ones you see most. If they don't know an answer, they will find out.
Describe your experience with Carolina Conceptions.
Strengths: High success rates!!, friendly front desk and nurses, knowledgeable staff, lab draws always go smoothly and the lab staff is great, embryologists know their stuff and are very nice Weaknesses: Providing details and thorough information about diagnoses, treatment, results-I'm sure this is tough because too much info for some patients may be bad. I am just one that loves to know it all upfront and see it. Having no portal to view my records is a bit of a challenge for me. You have to trust and ask questions along the way.
Describe your experience with your monitoring appointments at Carolina Conceptions.
Well-organized and I was able to ask the nurse questions
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
The clinic has been open about how they prefer single embryo transfer. I agree that this is safest for mom and baby.
9
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Grace Couchman at Carolina Conceptions.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
30 - 34
Treated
2014 - 2018
Success with this Doc
?
Treatment
3 Fertility Medications
Diagnosis
PCOS
10
10
Dr. Couchman is a phenomenal doctor. She is attentive, compassionate, confident in the work she does, and has instilled confidence and reassurance in me and my husband every step of the way. She has never once been pushy about a treatment and has been patient with us as we have arrived at IVF in our own time.... She has also taught me the best diet and exercise program given that I have PCOS. I don't think I have anything negative to say about Dr. Couchman...
They are friendly and welcoming. They also have a fantastic reputation and have a well thought out process. It is clean and comfortable, and my favorite thing is that they are not pushy.... I also want to point out that Carolina Conceptions offers education classes on the science behind the treatment. I feel extremely informed and know exactly what is happening with my body.... The nursing staff is always smiling and has made me very comfortable in every interaction.
Age
30 - 34
Treated
2014 - 2018
Success with this Doc
?
Race
Income
$100K - $199K
Occupation
Consultant
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 Fertility Medications
Diagnosis
PCOS
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman is a phenomenal doctor. She is attentive, compassionate, confident in the work she does, and has instilled confidence and reassurance in me and my husband every step of the way. She has never once been pushy about a treatment and has been patient with us as we have arrived at IVF in our own time. It is clear that it is important that her patients understand all procedures and options. She has also taught me the best diet and exercise program given that I have PCOS. I don't think I have anything negative to say about Dr. Couchman; I would recommend anyone in my situation to go to her.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Even with an amazing doctor, it is a tough journey to go through. Trust Dr. Couchman, she will steer you down the right path.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
Dr. Couchman has been wonderful through our journey. From the moment we walk in the office to the moment we leave, we feel special and important. The administrators know us and ask about our personal lives, the nurses are involved in our process, and Dr. Couchman has been patient with us as we have made tough decisions. Dr. Couchman also championed our successes and was comforting in times of heartache. I feel lucky to have landed with such an incredible treatment center.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
My OBGYN recommended me to Grace Couchman after a few rounds of treatment that were unsuccessful. When I met with Dr. Couchman she went through all of my records and immediately asked me to do a lifestyle change of eating low carb and no sugar because of my PCOS. She then went through all the possible treatments we could try and what will work best for our situation. We tried a combination of oral meds and injections with intercourse. Our next option was IUI, but Dr. Couchman recommended we do IVF because the chances of pregnancy would be much better. We waited until we were ready and discussed it several times with Dr. Couchman until we were ready. It took my husband and me a while to get there. We just finished our retrieval and everything is going extremely well. We are looking forward to the next two months as we move into our preparation for our frozen transfer. I also want to point out that Carolina Conceptions offers education classes on the science behind the treatment. I feel extremely informed and know exactly what is happening with my body.
Describe your experience with the nursing staff.
They are awesome! The nursing staff is always smiling and has made me very comfortable in every interaction.
Describe your experience with Carolina Conceptions.
Again, it's a great place and I feel fortunate to be a patient there. They are friendly and welcoming. They also have a fantastic reputation and have a well thought out process. It is clean and comfortable, and my favorite thing is that they are not pushy.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
15,000 for IVF, 4,000 for meds, 1,050 for genetic testing, 475 annually to keep frozen embryos
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
Carolina Conceptions has a strict approach on eSET. There are several criteria that are required in order to qualify for a 2 embryo transfer. Again, they are very thorough in explaining why they do this.
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

7
8
Age
28 - 30
Treated
2016 - 2018
Success with this Doc
No
Treatment
Diagnosis
PCOS
7
8
Dr. Couchman is to the point and somewhat blunt. Dr.Couchman isn’t the most warm and welcoming however her experience and education are outstanding. Dr.Couchman seems to stay on top of modern treatments...Bedside manner is not as impressive as I think fertility patients desire. Blunt with opinions, news etc...Letroze 2.5 mg days 3-7 Follistim Aq 900 days 8-12 Ovidrel 250 for trigger Ganitelix as instructed
Knowledgeable staff [at Carolina Conceptions] with top of the line technology and procedures. Money back guarantee on IVF (certain requirements must be met) Main clinic is in a great location... Reaching the clinic via phone is at times impossible, especially if you have a specific extension that you’ve been transferred to, they prefer email. Bedside manner is not as impressive as I think fertility patients desire. Blunt with opinions, news etc.
Age
28 - 30
Treated
2016 - 2018
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
Diagnosis
PCOS
7
8
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman is to the point and somewhat blunt. Dr.Couchman isn’t the most warm and welcoming however her experience and education are outstanding. Dr.Couchman seems to stay on top of modern treatments and seems to have high success rates.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
I would like future patients to go into the appointment with the understudy Dr.Couchman is a professional at this and though her bedside manner isn’t as warm and fuzzy as you may desire, she is telling you truthful facts and giving you top of the line care.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
It is impossible to get in contact with someone is phone. Typically I play phone tag 3 or 4 times before speaking with the person I am trying to reach. The clinic would much rather email and I think that’s very inappropriate as detail is so important in the fertility world.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
Letroze 2.5 mg days 3-7 Follistim Aq 900 days 8-12 Ovidrel 250 for trigger Ganitelix as instructed Progesterone suppositories 4 days following Ovidrel for 16 days.
Describe your experience with your nurse at Carolina Conceptions.
The staff is different to contact as I stated previously. Once in contact I did feel that I got the answers I needed.
Describe your experience with Carolina Conceptions.
We’ll start with weaknesses. Reaching the clinic via phone is at times impossible, especially if you have a specific extension that you’ve been transferred to, they prefer email. Bedside manner is not as impressive as I think fertility patients desire. Blunt with opinions, news etc. Strengths. Knowledgeable staff with top of the line technology and procedures. Money back guarantee on IVF (certain requirements must be met) Main clinic is in a great location.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
I wish I could remember the costs better. I feel that we paid around $250.00 for monitoring transvaginal ultrasounds. A consultation appointment may be around that as well. My husband is a State Trooper and the clinic does offer a great IVF discount for Law Enforcement officers, military, nurses and others I do believe.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
Based on articles provided by Dr.Couchmans clinic I feel they lean towards single embryo transfer as they see it has no significant difference in success rates, they feel it’s equally effective as multiple.
7
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
29 - 30
Treated
2017 - 2018
Success with this Doc
?
Treatment
1 IUI
Diagnosis
Male Factor
10
10
The second we walked in the door, Dr. Couchman knew us by name. She greeted us with a smile and handshake. Each time we are in the office, she continues to remember our names and details about our lives, without glancing at her chart. She truly has an incredible memory! She remembers friends of ours she has treated, where we work, even our dogs and aspects of our lives!...She spoke to me as a nurse, but also explained everything out to my husband. When we left, all of our questions were answered, both of us. Dr. Couchman has been honest, a straight shooter, with us about our particular case, and has been very honest about steps we need to take to make that happen.
So far, we have spent approximately $2,000 and are about to begin IVF, which will be around $15-20,000 [at Carolina Conceptions]...they will only transfer one embryo. Multiples was not listed as an offer...I don't see any weaknesses. CC have been very prompt with getting us in and scheduling appointments, their responsiveness is A+. The atmosphere is very happy and friendly, and everyone is incredibly helpful and knowledgeable. They are very compassionate and aware that this is a hard time for patients, and treat them appropriately.
Age
29 - 30
Treated
2017 - 2018
Success with this Doc
?
Race
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 2 Docs
Treatment
1 IUI
Diagnosis
Male Factor
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
My experience as a patient is a little different. I am an obstetrics nurse, so I am pretty familiar with infertility treatments, and what that entails. My husband is not medical. Dr. Couchman was great with us! She spoke to me as a nurse, but also explained everything out to my husband. When we left, all of our questions were answered, both of us. Dr. Couchman has been honest, a straight shooter, with us about our particular case, and has been very honest about steps we need to take to make that happen.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Trust her! She truly wants to give you a child, and weighs what she says. Her words are honest, wise and full of knowledge.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
The second we walked in the door, Dr. Couchman knew us by name. She greeted us with a smile and handshake. Each time we are in the office, she continues to remember our names and details about our lives, without glancing at her chart. She truly has an incredible memory! She remembers friends of ours she has treated, where we work, even our dogs and aspects of our lives!
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
We were referred to UNC Infertility first after a year of trying to get pregnant. It was going to take months to get into UNC. My friends had success with Dr. Couchman, and we called and were able to get into them right away. Dr. Couchman looked at my HSG, looked at the SA results, and came up with a plan. We discussed IUI and IVF, and waited to do anything until we had a confirmation SA. We then did another SA, which was also low, and due to my health and age, we attempted IUI. IUI was unsuccessful, and the SA was lower. Dr. Couchman was very real with us about our odds and options. We then opted to pursue IVF, which we are currently getting ready to start. She was wonderful with explaining the process, and simply stated facts. She never tried to advise us one way or another, and happily supported our decisions.
Describe your experience with the nursing staff.
The nursing staff have been exceptional. They have been patient, compassionate and full of knowledge. They have been wonderful through the entire process.
Describe your experience with Carolina Conceptions.
I don't see any weaknesses. CC have been very prompt with getting us in and scheduling appointments, their responsiveness is A+. The atmosphere is very happy and friendly, and everyone is incredibly helpful and knowledgeable. They are very compassionate and aware that this is a hard time for patients, and treat them appropriately.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
So far, we have spent approximately $2,000 and are about to begin IVF, which will be around $15-20,000.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
At CC, as of 2017, they will only transfer one embryo. Multiples was not listed as an offer.
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
8
Age
33 - 35
Treated
2016 - 2018
Success with this Doc
?
Treatment
2 IUI, 1 IVF
Diagnosis
Unexplained
8
8
Dr. Couchman does a good job at communicating my courses of treatment. She is very responsive to email messages and is open to consulation appts. ...They dont tend to run extensive testing, but will start you on treatment right away....Dr. COUCHMAN and the entire staff at carolina conceptions are extemely responsive to all questions. Very willing to take the time to speak with us about our treatments.
the entire staff at carolina conceptions are extemely responsive to all questions. Very willing to take the time to speak with us about our treatments. Their support staff- nurses, front desk, financial reps- are also amazing!!...Very organized. Open 24/7...very easy to get appointments once you are an established patient. Front staff is very flexible with appointments, ie, if you are running late for a scan, they can usually still fit you in. Everyone is great!!
Age
33 - 35
Treated
2016 - 2018
Success with this Doc
?
Race
East Asian
Income
$100K - $199K
Occupation
Writer
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI, 1 IVF
Diagnosis
Unexplained
8
8
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman does a good job at communicating my courses of treatment. She is very responsive to email messages and is open to consulation appts. The practice is very focused on pregnancy success rates, which is good, but I would also like to know more about my individual diagnosis.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
carolina conceptions is very motivated to get you pregnant. They dont tend to run extensive testing, but will start you on treatment right away. Make sure that you ask plenty of questions (around treatment, finances, etc) so you know what to expect
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
Dr. COUCHMAN and the entire staff at carolina conceptions are extemely responsive to all questions. Very willing to take the time to speak with us about our treatments. Their support staff- nurses, front desk, financial reps- are also amazing!!
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
1st Ivf was traditional with gonal f, cetrotide, and hcg trigger. It was cancelled b/c I ovulated early 2nd cycle was lupron down-reg. retrieved 8 eggs, which fertilized, 3 made it to blastocyst and were sent for PGS. 2 were normal and frozen.
Describe your experience with the nursing staff.
Very compassionate, communicative, and organized. Excellent patient care and followup. The nurses who teach the ivf and fet classes are excellent and very responsive to questions afterward
Describe your experience with Carolina Conceptions.
Very organized. Open 24/7...very easy to get appointments once you are an established patient. Front staff is very flexible with appointments, ie, if you are running late for a scan, they can usually still fit you in. Everyone is great!!
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
$20,000 for ivf
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
Due to my age, dr couchman will not transfer more than 1 egg at a time. Carolina conceptions has policies in place to prevent pregnancy with multiples.
8
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
35 - 41
Treated
2012 - 2018
Success with this Doc
Yes
Treatment
6 IUI
Diagnosis
Unexplained
10
10
Dr Couchman is compassionate without being warm and fuzzy. She wants you to ask questions, as many and whatever you need. Also, during your treatment, utilize email if you need. There is no way that any single doctor can do all of your monitoring appointments and such; they may not be working that day or weekend, they may be doing surgery or egg procedures that day, etc., but definitely either ask while you're there or use email. Dr Couchman is very responsive.
The clinic is fantastic. I tell people that despite all the emotions surrounding infertility, we could not have had better experience at Carolina Conceptions from beginning to end. The front desk folks are fantastic (I walked back in after over 4 years and the manager at the front still knew me, and she also got so excited when I was there for my pregnancy tests for my second pregnancy), the nurses are knowledgeable, the phlebotomists excellent (I am hard to draw blood from, and they never ceased to impress me with their skills), and all the doctors great. You're going to be there a lot; the overall experience matters in addition to the individual doctor.
Age
35 - 41
Treated
2012 - 2018
Success with this Doc
Yes
Race
Prefer not to answer
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
6 IUI
Diagnosis
Unexplained
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
I wanted a doctor who would be exhaustive in her assessments, honest, knowledgeable, balanced with enough compassion to make me feel hopeful and comfortable. I felt like Dr Couchman covered all the bases with my assessments during both courses of treatment, and she was matter-of-fact without being discouraging or rude. I also genuinely felt that she wanted us to conceive and wanted to do everything she could to help. That's exactly what I needed.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Dr Couchman is compassionate without being warm and fuzzy. She wants you to ask questions, as many and whatever you need. Also, during your treatment, utilize email if you need. There is no way that any single doctor can do all of your monitoring appointments and such; they may not be working that day or weekend, they may be doing surgery or egg procedures that day, etc., but definitely either ask while you're there or use email. Dr Couchman is very responsive.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
I felt like Dr Couchman listened to us and considered my unique set of circumstances.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
The first time, we started with some letrozole, Ovidrel, and timed intercourse. We moved on to IUI and got pregnant on the second IUI cycle. The second time (about 4.5 years later), we used the same drug protocol with one additional pill of letrozole per day, and went straight to IUI. Both times I was encouraged to lose some weight; the second time, she referred me to a newer clinic to expedite that process . They were fantastic, and I was grateful for the referral. In fact, I plan on going back to a less intense version of that plan once I'm done breastfeeding to take a little of that weight back off.
Describe your experience with the nursing staff.
The nurses are great. The ones doing monitoring are very knowledgeable, but also did not hesitate to check with the doctors if needed. They were also efficient, knowing that you're there a good bit and don't want to be there all day, but they do it without focusing on efficiency or being rude.
Describe your experience with Carolina Conceptions.
The clinic is fantastic. I tell people that despite all the emotions surrounding infertility, we could not have had better experience at Carolina Conceptions from beginning to end. The front desk folks are fantastic (I walked back in after over 4 years and the manager at the front still knew me, and she also got so excited when I was there for my pregnancy tests for my second pregnancy), the nurses are knowledgeable, the phlebotomists excellent (I am hard to draw blood from, and they never ceased to impress me with their skills), and all the doctors great. You're going to be there a lot; the overall experience matters in addition to the individual doctor.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
I don't remember the specifics as we had some insurance coverage as well. Importantly, they did everything possible to get as much covered by our insurance as possible, and even refiled some things after the year had turned and our insurance coverage had changed.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
We did not do IVF, but I definitely wanted to be at a place that would focus on eSET because if we did pursue IVF, I wanted to balance the potentials for success and risk.
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
10
Age
43 - 45
Treated
2015 - 2017
Success with this Doc
Yes
Treatment
1 IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve
10
10
Dr. Couchman had great bedside manner... We transferred 2 embryos 4 times. The fifth time, we transferred 3 embryos. Dr. Couchman encouraged us to only transfer 2 embryos each time. I chose to do 3 embryos the fifth time. We ended up with twins. We were very happy with our choice... I have found myself questioning whether or not an egg donor was the way to go, or if we should have tried a few more times with my own eggs, but the cost benefit of using an egg donor was so much lower than repeated failed cycles given my age...and my eggs were only getting older every try. I did wish the amount of time between attempts could be shortened. I sometimes wonder if the extra month between cycles is really warranted.
The scheduling staff [at Carolina Conceptions] was fantastic. The phlebotomists were also. Really, overall, no complaints about the clinic. The financial staff did a good job explaining the costs. The embryologists were also great and emailed us photos of the embryos at every transfer.... I think it was ~$25k for transfer of my own embryos. If using donor eggs, they offer a refund program. For ~$25k + "pass through" charges, you get as many transfers as you want from up to 3 egg donors, or until you bring a baby home from the hospital. So, we were on our 4th IVF, having used 2 egg donors, when I became pregnant and delivered healthy twins. So, we fortunately did not receive a refund. The pass through charges were about $6k every IVF cycle.
Age
43 - 45
Treated
2015 - 2017
Success with this Doc
Yes
Race
European
Income
$500K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman had great bedside manner. We were very happy with the results of the treatment we received. I am sure there was a time or two we were less than happy, but the end result was 2 beautiful baby boys...at the ages of 44 and 45. I have found myself questioning whether or not an egg donor was the way to go, or if we should have tried a few more times with my own eggs, but the cost benefit of using an egg donor was so much lower than repeated failed cycles given my age...and my eggs were only getting older every try. I did wish the amount of time between attempts could be shortened. I sometimes wonder if the extra month between cycles is really warranted.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
I don't think she is in the clinic full time at this point, so that may be a reason to choose someone else on the team. I met with Dr. Park and Dr. Meyer. While Dr. Meyer was very nice, I felt like he was just "being nice" instead of really listening to me...sort of like he had things he said to everyone, and didn't really treat me like a person. Dr. Park, on the other hand, seemed a little more honest.
Describe your experience with your nurse at Carolina Conceptions. (Assigned nurse: Michelle Medlin)
She is no longer at CC.
Describe your experience with Carolina Conceptions.
The scheduling staff was fantastic. The phlebotomists were also. Really, overall, no complaints about the clinic. The financial staff did a good job explaining the costs. The embryologists were also great and emailed us photos of the embryos at every transfer.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
I think it was ~$25k for transfer of my own embryos. If using donor eggs, they offer a refund program. For ~$25k + "pass through" charges, you get as many transfers as you want from up to 3 egg donors, or until you bring a baby home from the hospital. So, we were on our 4th IVF, having used 2 egg donors, when I became pregnant and delivered healthy twins. So, we fortunately did not receive a refund. The pass through charges were about $6k every IVF cycle.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
We transferred 2 embryos 4 times. The fifth time, we transferred 3 embryos. Dr. Couchman encouraged us to only transfer 2 embryos each time. I chose to do 3 embryos the fifth time. We ended up with twins. We were very happy with our choice.
What specific things went wrong at Carolina Conceptions?
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at Carolina Conceptions.
When we transferred my own embryos, we had planned on doing genetic testing. We were unable to, as we had to transfer fresh at day 3 (because of lack of embryos/quality of embryos). The nurse had not taken this into account as far as my meds went, so I wasn't on the correct meds for the transfer. This was disappointing since that was my only cycle using my own embryos.
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

1
2
Age
37
Treated
2017
Success with this Doc
No
Treatment
1 IUI, 1 IVF
Diagnosis
Poor Egg Quality, Tubal Blockage
1
2
I did not feel that Dr. Couchman was compassionate, and did not feel that she was interested in or had time to answer my questions, or consider any alternatives other than the course she thought was best for us. I was very disappointed that I only saw Dr. Couchman twice during our entire course of treatments at the clinic.... My body did not respond to the medication well. Dr. Couchman readjusted the dosages of the same medication for my second IVF cycle.
The clinic [Carolina Conceptions] can be very unorganized. There was trouble with my paperwork in the beginning leading to a misunderstanding about my treatment protocol.... I also applied for the refund program and my application was lost. I was told the day before my treatment was to start that I was not approved for the refund program.... The nursing staff were not as compassionate as I would have liked. There was one nurse who was very cold, and would not even return to the room when I had questions during one visit.
Age
37
Treated
2017
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI, 1 IVF
Diagnosis
Poor Egg Quality, Tubal Blockage
1
2
How was your experience with Grace Couchman at Carolina Conceptions?
I did not feel that Dr. Couchman was compassionate, and did not feel that she was interested in or had time to answer my questions, or consider any alternatives other than the course she thought was best for us. I was very disappointed that I only saw Dr. Couchman twice during our entire course of treatments at the clinic. The first was during our initial consultation and the other was when my body was not responding to the medications, and she just happened to be in the office and the nurse called her into my room to discuss.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Don't be afraid to ask questions, and demand that you be heard. Don't settle for only one option.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
I felt more like a number than a human because I only saw Dr. Couchman twice during my treatment at the clinic. I was constantly seeing different doctors and nurses, and never felt any compassion from any of them.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
I used Follistim, Menopur, and a growth harmone for my first IVF cycle. My body did not respond to the medication well. Dr. Couchman readjusted the dosages of the same medication for my second IVF cycle. The outcome was a bit better, and I had 3 mature eggs at retrieval. Of the three, none made it to day 5.
Describe your experience with the nursing staff.
The nursing staff were not as compassionate as I would have liked. There was one nurse who was very cold, and would not even return to the room when I had questions during one visit. She had the financial coordinator deliver the answers to me. I was already an emotional wreck, and not being given the time to answer a simple question just made things worse. The nurses would always return phone calls, and call in medications timely, however, you never knew what nurse you were going to get.
Describe your experience with Carolina Conceptions.
The clinic can be very unorganized. There was trouble with my paperwork in the beginning leading to a misunderstanding about my treatment protocol. When I called to make appointments, they weren't sure what type of appointment I needed. I also applied for the refund program and my application was lost. I was told the day before my treatment was to start that I was not approved for the refund program. This lead to having to rethink our financial situation at the last minute. There is already so much stress related to infertility and treatments that having the additional financial related stress is just too much when it can be, and should be avoided.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
$15,125 IVF package with PSG testing $480 IUI procedure
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
N/A
What specific things went wrong at Carolina Conceptions?
  • Lost paperwork
  • Lost appointments
  • Failed to consider drug intolerance
  • Scheduled the wrong procedure
Describe the specific things that went wrong at Carolina Conceptions.
My application for the refund program was lost, there was conflicting information written in my file regarding my treatment plan, and they took the wrong patient back for my procedure on one occasion.
1
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
2
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

1
7
Age
29 - 30
Treated
2016 - 2017
Success with this Doc
No
Treatment
3 IUI, 2 IVF
Diagnosis
Poor Egg Quality, Unexplained
1
7
Dr. Couchman always has to ask me why I was in instead of checking my chart ahead of time. One time, she even took my husband and I back to her office for a consultation when we were actually there for a follicle scan. When we let her know, she apologized and made us wait in the waiting room for a room to come available.... We did birth control pills for 2 weeks. Then we began Follistim injections along with Menopur. When we had a good number of mature follicles, we started Ganirelix injections until our Ovidrel trigger shot. They retrieved 10 eggs, 8 were mature, all 8 fertilized (4 normal fertilization and 4 abnormal fertilization), no embryos made it to day 5 transfer, so our cycle was canceled.
The reception staff and finance staff [at Carolina Conceptions] were top notch. Some of the doctors, such as Meyer and Park were a much better, organized, blunt but with good bedside manner fit for the practice. Our primary doctor was not the best fit for my husband and myself.... Some nurses we saw were wonderful. They were friendly, compassionate, understanding, and were patient with any questions we had. Some nurses seemed busy, rushed, not compassionate.
Age
29 - 30
Treated
2016 - 2017
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IUI, 2 IVF
Diagnosis
Poor Egg Quality, Unexplained
1
7
How was your experience with Grace Couchman at Carolina Conceptions?
We were just another number and when things didn’t work out with our first IVf cycle she just gave up on us and said we needed to do egg donor. She didn’t adjust treatment protocol to try something else the second round. It was like she just gave up and pushed us to the side.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Be your own advocate.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
When I went in for most visits, the receptionists knew me by name and exactly why I was there, but Dr. Couchman always has to ask me why I was in instead of checking my chart ahead of time. One time, she even took my husband and I back to her office for a consultation when we were actually there for a follicle scan. When we let her know, she apologized and made us wait in the waiting room for a room to come available.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
We did birth control pills for 2 weeks. Then we began Follistim injections along with Menopur. When we had a good number of mature follicles, we started Ganirelix injections until our Ovidrel trigger shot. They retrieved 10 eggs, 8 were mature, all 8 fertilized (4 normal fertilization and 4 abnormal fertilization), no embryos made it to day 5 transfer, so our cycle was canceled.
Describe your experience with the nursing staff.
Some nurses we saw were wonderful. They were friendly, compassionate, understanding, and were patient with any questions we had. Some nurses seemed busy, rushed, not compassionate.
Describe your experience with Carolina Conceptions.
The reception staff and finance staff were top notch. Some of the doctors, such as Meyer and Park were a much better, organized, blunt but with good bedside manner fit for the practice. Our primary doctor was not the best fit for my husband and myself.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
Our entire IVF cycle cost around $20,000.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
No comments because we had zero embryos to transfer.
1
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

9
9
Age
36 - 37
Treated
2016 - 2017
Success with this Doc
No
Treatment
5 Fertility Medications
Diagnosis
9
9
Dr. Couchman always took the time to sit with us and explain every relevant detail to us concerning our situation. She offered honest advice and spoke to us like intelligent human beings.... She suggested trying IUI at least once or twice, but we feel like so much time has been lost and want to go straight for the IVF since the odds of success are much higher. Additionally, we can't really afford to keep trying different techniques with the odds of success being so low and that's why we want to pursue IVF. She was completely understanding of our needs and frustrations and gave us all the information we needed.
Everyone in the office [Carolina Conceptions] was very professional, courteous, and helpful from the front desk clerks to the nurses, doctors, and billing staff. They will take the time to answer all of your quesetions and address all of your needs. Everything is handled very efficiently in this office and we highly recommend it.... If I remember correctly, the total cost of the timed intercourse treatment package was around $500.
Age
36 - 37
Treated
2016 - 2017
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
5 Fertility Medications
Diagnosis
9
9
How was your experience with Grace Couchman at Carolina Conceptions?
My wife and I feel that Dr. Couchman is very knowledgeable and compassionate. We have tried to get pregnant several times over 2 years under the direction of a previous doctor. When he transferred us to Dr. Couchman's care, she suggested that we try a very regimented timed intercourse treatment. Unfortunately, our attempt was unsuccessful yet again. We had a follow-up appointment with Dr. Couchman to discuss next steps. She suggested trying IUI at least once or twice, but we feel like so much time has been lost and want to go straight for the IVF since the odds of success are much higher. Additionally, we can't really afford to keep trying different techniques with the odds of success being so low and that's why we want to pursue IVF. She was completely understanding of our needs and frustrations and gave us all the information we needed. We are hoping to schedule it for sometime this summer.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Listen carefully and don't be afraid to ask questions until you fully understand everything you need to know. There will be a lot of information and different factors to consider.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
Dr. Couchman always took the time to sit with us and explain every relevant detail to us concerning our situation. She offered honest advice and spoke to us like intelligent human beings.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
My wife and I underwent a timed intercourse treatment in which she had to take prenatal vitamins. We then had to go in for an ultrasound followed by Letrozole tablets for several days. After that I had to administer Follistim injections for 3 consecutive days. Then, we had to go back in for another ultrasound. We were then instructed to begin taking Ganirelix. Lastly we had to begin the progesterone suppositories nightly until we became pregnant.
Describe your experience with the nursing staff.
They were very informative and helpful and instructed my wife on how to administer the injections that she was to take.
Describe your experience with Carolina Conceptions.
Everyone in the office was very professional, courteous, and helpful from the front desk clerks to the nurses, doctors, and billing staff. They will take the time to answer all of your quesetions and address all of your needs. Everything is handled very efficiently in this office and we highly recommend it.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
If I remember correctly, the total cost of the timed intercourse treatment package was around $500.
9
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

9
10
Age
32 - 33
Treated
2016 - 2017
Success with this Doc
No
Treatment
2 IUI, Donor Sperm
Diagnosis
Other
9
10
When we first met with Dr. Couchman, we immediately knew that she had a lot of experience and knowledge. This was great as we had very little knowledge. She was very direct and to the point with all of her answers, she wanted to make sure we received accurate information when we asked questions. My husband and I like to understand the full scope of what to expect for the full process, but Dr. Couchman was more inclined to go step by step and explain things as we got to the next step.
Nurses [at Carolina Conceptions] were all friendly. A nurse completed our first IUI. We were not confident that she had the experience or knowledge to be performing an IUI on her own. She explained that she was newer to the practice. She didn't talk much during the IUI and then after, she disappeared, so we weren't sure if it was done or what our next steps were. The call coordinator at the front desk was always amazing. Whenever we called, he was always happy to answer any questions that he could, and directed us to the right person. When we arrived at the office, he always knew our names, and what we were there for, and always had a smile on his face.
Age
32 - 33
Treated
2016 - 2017
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Operations
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI, Donor Sperm
Diagnosis
Other
9
10
How was your experience with Grace Couchman at Carolina Conceptions?
When we first met with Dr. Couchman, we immediately knew that she had a lot of experience and knowledge. This was great as we had very little knowledge. She was very direct and to the point with all of her answers, she wanted to make sure we received accurate information when we asked questions. My husband and I like to understand the full scope of what to expect for the full process, but Dr. Couchman was more inclined to go step by step and explain things as we got to the next step. This made it difficult to know what to expect as we moved through the process for the first time. During the second IUI, Dr. Couchman was great at keeping the room friendly and upbeat. It made for a big difference from the first time.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Know that she is going to tell it as it is, in no uncertain terms. If you want someone to sugar coat the truth, she is maybe not the best fit, but if you want someone to get straight to the point, she is great!
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
On our first IUI, we had no idea what to expect, and during our consultation, we weren't told that our doctor would not be the one completing the IUI. When we went in for the procedure, someone we had never met came in, completed the procedure and then left with little communication. The second IUI went much better as our doctor was the one to complete the procedure. My husband and I are planners, and we have a lot of 'what if' questions. We could tell that the doctor wanted to get our questions answered as quickly as possible and then send us on our way.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
The first consultation was to meet with the doctor and decide if we were a good fit. Next, we scheduled an HSG. The HSG showed that I had a uterine septum. We scheduled surgery to correct the uterine setpum and we were able to start the IUI process right away. The treatment had me go in on cycle days 1-3 for an ultrasound. If the ultrasound looked good, then I would start taking Femara for 5 days. Then I went in for a second ultrasound. If that ultrasound looked good, then on cycle day 12, I would inject myself with 1 pre-filled syringe of Ovidrel 250MCG/.5ML syringe. then two lays later, I would go in for the IUI. Then 2 weeks after the IUI, I would take a pregnancy test. The first IUI resulted in a negative pregnancy test. I wanted to wait for one cycle before trying again, but Dr. Couchman advised against that, saying that it was best to do it right away. We tried a second time, and this time along with the Femara pills, I used a Progesterone 50MG suppository. The rest of the treatment was the same. The second IUI resulted in a negative pregnancy test.
Describe your experience with the nursing staff.
Nurses were all friendly. A nurse completed our first IUI. We were not confident that she had the experience or knowledge to be performing an IUI on her own. She explained that she was newer to the practice. She didn't talk much during the IUI and then after, she disappeared, so we weren't sure if it was done or what our next steps were. The call coordinator at the front desk was always amazing. Whenever we called, he was always happy to answer any questions that he could, and directed us to the right person. When we arrived at the office, he always knew our names, and what we were there for, and always had a smile on his face.
Describe your experience with Carolina Conceptions.
The location was easy to find, but if you got there before hours, or after a certain time, the elevator would be locked, and there aren't clear signs on how to access the top floor if you can't use the elevator. The elevator opens up to a wall of windows, so it is initially a bit disorienting because usually the elevators open up to the front desk. There is a large waiting room with plenty of seating options. I loved that the bathrooms all had different themes, so it felt like you were at home, and not at a doctor's office.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
The initial consultation was $250.00. HSG was $538.00. Ultrasounds were $250.00 per ultrasound (This included $70.00 office visit and $180.00 for Ultrasound). IUI day of procedure was $430.00 (This included Office visit of $90.00, IUI $260.00, Thawing of sperm, $55.00, Semen Analysis $75.00).
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
N/A. We did not do an embryo transfer.
9
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
36 - 39
Treated
2014 - 2017
Success with this Doc
Yes
Treatment
IVF, Donor Eggs
Diagnosis
10
10
She [Dr. Grace Couchman] has one f the best patient handling approach I have experienced. Not only she is an expert with specific solid recommendations, she provides a fair explanation on why she recommends something. She listens to what you have to say and never neglects or discards our comments and/or concerns...Dr. was great during the whole process. She always took the time to walk us through the particularities, risks and key milestones of this very sensitive process. She was always very empathic with our particular situation as we had failed treatments in other clinics before and we lost a child due to a congenital disease. Always very open to answer all questions we had in a way it was simple for us to understand. She is just the best!
[Nuses at Carolina Conceptions were] Very open, structured, directive and willing to listen. Always responded on a timely manner...Very well organized clinic. correct staff in terms of level of training and patient handling...overall good service, could be more proactive on better explaining Insurance coverage as we are not always very familiar on terminology...We followed the clinic protocol, she [Dr. Couchman] recommended a few adjustments along the way as my wife has a Thyroid affection and she was allergic to some presentations of the hormones needed. she always had a precise adjustment to dosage and/or particular situation.
Age
36 - 39
Treated
2014 - 2017
Success with this Doc
Yes
Race
Latino
Income
$100K - $199K
Occupation
Business Executive
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF, Donor Eggs
Diagnosis
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
She has one f the best patient handling approach I have experienced. Not only she is an expert with specific solid recommendations, she provides a fair explanation on why she recommends something. She listens to what you have to say and never neglects or discards our comments and/or concerns.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Be open and honest...she will listen. Dedicate time to explain your personal situation, she will take all this into consideration for a best treatment for you.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
Dr. was great during the whole process. She always took the time to walk us through the particularities, risks and key milestones of this very sensitive process. She was always very empathic with our particular situation as we had failed treatments in other clinics before and we lost a child due to a congenital disease. Always very open to answer all questions we had in a way it was simple for us to understand. She is just the best!
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
We followed the clinic protocol, she recommended a few adjustments along the way as my wife has a Thyroid affection and she was allergic to some presentations of the hormones needed. she always had a precise adjustment to dosage and/or particular situation.
Describe your experience with your nurse at Carolina Conceptions. (Assigned nurse: Michelle)
Very open, structured, directive and willing to listen. Always responded on a timely manner.
Describe your experience with Carolina Conceptions.
Very well organized clinic. correct staff in terms of level of training and patient handling.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
overall good service, could be more proactive on better explaining Insurance coverage as we are not always very familiar on terminology.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
We did a multiple embryo transfer based on her recommendation. which resulted in a successful pregnancy and a healthy little boy. her recommendation was based on the quality and condition of the few embryos we had.
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
34 - 36
Treated
2015 - 2017
Success with this Doc
?
Treatment
6 IUI, 1 IVF, Donor Sperm
Diagnosis
Unexplained
10
10
She [Dr. Couchman] always was familiar with my previous treatment and had a plan for future treatment ready to discuss with me...She always seems very knowledgeable and gets to the point, but she also will take the time to explain and go over things if needed. She's compassionate and will change treatment if needed, and is not afraid to say what she thinks or recommends. She doesn't do a lot of small talk, which was totally fine with me.
Some of my rounds [at Carolina Conceptions] were partially covered by insurance, thanks to a strange loophole. IUI rounds cost a total of around $1000 if paying out of pocket, plus the additional cost for sperm and medications (medicine was usually around $80 for a clomid round, $1600 for a Gonal-F round)...Everyone on staff is professional and compassionate, and all of them, including the receptionists, are very nice. They have always been friendly. I can be hard to draw blood from, and occasionally they have trouble with that, but that's not unusual for me. Usually they do a great job with that too...Sometimes the clinic can be very busy (especially during walk-in hours at the beginning of the day), and depending on what's going on, sometimes they can be running a little bit behind. The receptionists and nurses are very friendly and return calls, and are happy to answer questions and take the time to make sure you understand what's going on. The doctors seem very experienced and each has a unique personality, but they are all very nice and professional.
Age
34 - 36
Treated
2015 - 2017
Success with this Doc
?
Race
European
Income
$0 - $49K
Occupation
Teacher
Order & Number of Docs Seen
1st of 2 Docs
Treatment
6 IUI, 1 IVF, Donor Sperm
Diagnosis
Unexplained
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
She always seems very knowledgeable and gets to the point, but she also will take the time to explain and go over things if needed. She's compassionate and will change treatment if needed, and is not afraid to say what she thinks or recommends. She doesn't do a lot of small talk, which was totally fine with me.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
She is not going to waste any time, so go to her when you're ready to start discussing treatment.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
She always was familiar with my previous treatment and had a plan for future treatment ready to discuss with me.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
She started me out on Letrozole, and when I didn't respond as expected (follicles didn't mature on schedule), we moved on to Clomid and Ovidrel. After three unsuccessful IUIs (one resulted in a chemical pregnancy), I did a round with Gonal-F, Cetrotide, and Ovidrel. When that round resulted in a negative pregnancy test (despite several mature follicles prior to trigger), she suggested that we move on to IVF.
Describe your experience with your nurse at Carolina Conceptions. (Assigned nurse: Tammy Enders)
Everyone on staff is professional and compassionate, and all of them, including the receptionists, are very nice. They have always been friendly. I can be hard to draw blood from, and occasionally they have trouble with that, but that's not unusual for me. Usually they do a great job with that too.
Describe your experience with Carolina Conceptions.
Sometimes the clinic can be very busy (especially during walk-in hours at the beginning of the day), and depending on what's going on, sometimes they can be running a little bit behind. The receptionists and nurses are very friendly and return calls, and are happy to answer questions and take the time to make sure you understand what's going on. The doctors seem very experienced and each has a unique personality, but they are all very nice and professional.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
Some of my rounds were partially covered by insurance, thanks to a strange loophole. IUI rounds cost a total of around $1000 if paying out of pocket, plus the additional cost for sperm and medications (medicine was usually around $80 for a clomid round, $1600 for a Gonal-F round).
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
Dr. Couchman STRONGLY recommends only transferring one embryo, citing the higher risks of twins.
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

5
7
Age
28 - 29
Treated
2016 - 2017
Success with this Doc
No
Treatment
1 IUI
Diagnosis
Unexplained
5
7
We met with Dr. Couchman for an initial consultation, and she was very prepared. She had reviewed our records and made some additional testing recommendations, including some additional blood work and an HSG... . What I most appreciated was, she looked at both of us and assured us that we WOULD get pregnant. She couldn't promise when or how much money it would cost, but she was very confident that it would happen for us. We found this incredibly reassuring.
[Carolina Conceptions] Strengths: front staff is WONDERFUL, doctors know what they're doing, they are easily accessible. I think they are one of the more popular clinics in the area. Also the financial coordinators are always prepared, and are open and honest. Facility is nice. Weaknesses: can be difficult to see "your" doctor. I have seen Dr. Meyer and the nursing staff more than I've seen Dr. Couchman.
Age
28 - 29
Treated
2016 - 2017
Success with this Doc
No
Race
European
Income
Occupation
Lawyer
Order & Number of Docs Seen
1st of 2 Docs
Treatment
1 IUI
Diagnosis
Unexplained
5
7
How was your experience with Grace Couchman at Carolina Conceptions?
We met with Dr. Couchman for an initial consultation, and she was very prepared. She had reviewed our records and made some additional testing recommendations, including some additional blood work and an HSG (we had already had some of the routine testing done - semen analysis, day 21 blood work). Since everything looked good, she recommended a couple trials of IUI. My insurance covered TIC, but not IUI, so we agreed to start with a few rounds of TIC. Those were not successful, so we're now trying IUI with Dr. Meyer. What I most appreciated was, she looked at both of us and assured us that we WOULD get pregnant. She couldn't promise when or how much money it would cost, but she was very confident that it would happen for us. We found this incredibly reassuring. A note: when you go for your baseline ultrasounds for TIC or IUI, and sometimes for your day 12 ultrasound, you will likely see a nurse. If a doctor is available, they may do it, but it can be tough to get your doctor. Truth be told, I have seen Dr. Meyer a lot more than I've seen Dr. Couchman. I think she is probably the more popular doctor, perhaps because women prefer women.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
She can be hard to get into, but the other doctors are great as well.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
I have never felt like just a number with Dr. Couch man, or anyone else at Carolina Conceptions. She reviewed our prior medical records, recommended additional tests, and recommended a course of treatment.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
We are dealing with unexplained infertility. She recommended a couple rounds of IUI, but since my insurance covered TIC, we agreed to try that first.
Describe your experience with the nursing staff.
The one nurse I saw the most often was just ok. She didn't have a very warm demeanor. Other nurses were better.
Describe your experience with Carolina Conceptions.
Strengths: front staff is WONDERFUL, doctors know what they're doing, they are easily accessible. I think they are one of the more popular clinics in the area. Also the financial coordinators are always prepared, and are open and honest. Facility is nice. Weaknesses: can be difficult to see "your" doctor. I have seen Dr. Meyer and the nursing staff more than I've seen Dr. Couchman.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
TIC was covered by my insurance, so just had to pay copays for appointments and ultrasounds. Switched to an HSA, so everything is out of pocket now. A visit with a doctor cost me $175. Ultrasounds are about $250, IUI is $500 day of. Total cost for IUI with oral meds is about $1000-$1500. Next month we're going to try IUI with injection medications, and I've been advised that the costs will be $2000-3000.
5
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

9
10
Age
35 - 37
Treated
2015 - 2017
Success with this Doc
?
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
9
10
Dr. Couchman is earnest and honest, without coming across as cold or overly clinical. I always felt comfortable in her office. Her warmth and confidence helped to dispel my anxieties (as much as they could be dispelled). She communicated with my partner and I well and I felt good about each decision I made under her care.... My partner and I had initially indicated to Dr. Couchman that we didn't want to do IVF, but I changed my mind after the last IUI. She was supportive of both decisions and did not pressure us toward any additional procedures. She gave us ALL the data we could need and helped us make a truly informed decision to proceed.
Everyone here [at Carolina Conceptions] is extremely compassionate and friendly. The atmosphere is calming. They seem to enjoy working there, and together, and I never dreaded an appointment. (I think they put something calming in the air!).... I love the nurses. They always remember my name and are friendly in a genuine way, I always felt comfortable and informed
Age
35 - 37
Treated
2015 - 2017
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
9
10
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman is earnest and honest, without coming across as cold or overly clinical. I always felt comfortable in her office. Her warmth and confidence helped to dispel my anxieties (as much as they could be dispelled). She communicated with my partner and I well and I felt good about each decision I made under her care.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Be patient.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
Dr. Couchman always responded to my emails personally and my interactions with her were always warm and personable. She was careful to tell me exactly what to expect with each phase and I never felt confused or hopeless as I had with my previous doctor.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
With Dr. Couchman, I initially started with timed intercourse coupled with injections (Follistim and Ovidrel? I think). This didn't work, we proceeded to IUI, with injections that were similar to the timed intercourse. We did 2 rounds of IUI (I had already had one unsuccessful IUI with a previous doctor). My partner and I had initially indicated to Dr. Couchman that we didn't want to do IVF, but I changed my mind after the last IUI. She was supportive of both decisions and did not pressure us toward any additional procedures. She gave us ALL the data we could need and helped us make a truly informed decision to proceed. Day after tomorrow I will go do my first implantation. I feel good about it.
Describe your experience with your nurse at Carolina Conceptions. (Assigned nurse: Tammy Enders)
I love the nurses. They always remember my name and are friendly in a genuine way, I always felt comfortable and informed
Describe your experience with Carolina Conceptions.
Everyone here is extremely compassionate and friendly. The atmosphere is calming. They seem to enjoy working there, and together, and I never dreaded an appointment. (I think they put something calming in the air!)
Describe your experience with your monitoring appointments at Carolina Conceptions.
It was definitely a well-oiled machine. I never waited long, and they were always aware that I had a classroom waiting for me!
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
My copay was $70 when I saw a doctor, and $55 for monitoring with a nurse (I think! It's been a while.) The IVF was a package deal, which was great.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
She prefers eSET, which I agree with and understand. I would rather have more than one transfer than risk a pregnancy with multiples.
9
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
27 - 29
Treated
2015 - 2017
Success with this Doc
?
Treatment
1 IVF, 1 Embryo Freezing
Diagnosis
Anovulation, PCOS
10
10
I had severe OHSS twice after retrievals. We were terrified and Dr. Couchman took all our calls, emails and appointment requests immediately. She made us feel like we were her own family that she was caring for. Never once did I feel like she thought we were complaining or overreacting. She treated me twice with IV fluids at the clinic so that we could avoid the ER...Dr. Couchman was extremely confident in our treatment plan and explained every step to us. I felt like we were all part of a team, not like there was some doctor-patient hierarchy and we just did whatever the doctor told us.
[Carolina Conceptions] Strengths: Communication, the best front desk staff (friendly, warm), clean and professional environment, extremely experienced, appointments are on time and you are seen quickly, they have office hours early in the morning and on weekends...Strengths: Communication, the best front desk staff (friendly, warm), clean and professional environment, extremely experienced, appointments are on time and you are seen quickly, they have office hours early in the morning and on weekends
Age
27 - 29
Treated
2015 - 2017
Success with this Doc
?
Race
Prefer not to answer
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
2nd of 4 Docs
Treatment
1 IVF, 1 Embryo Freezing
Diagnosis
Anovulation, PCOS
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman was extremely confident in our treatment plan and explained every step to us. I felt like we were all part of a team, not like there was some doctor-patient hierarchy and we just did whatever the doctor told us. There was always a clear explanation and we were given time to consider our next step. We never felt pressured or belittled- just part of a team!
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Don't be afraid to ask questions- lots of them! Dr. Couchman is so willing to answer anything and help put you at ease!
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
I had severe OHSS twice after retrievals. We were terrified and Dr. Couchman took all our calls, emails and appointment requests immediately. She made us feel like we were her own family that she was caring for. Never once did I feel like she thought we were complaining or overreacting. She treated me twice with IV fluids at the clinic so that we could avoid the ER. When we finally got to our first ultrasound after the transfer, she was just as excited as we were to see our little one there, wiggling around! We would recommend her and the entire Carolina Conceptions Clinic to anyone trying to conceive!
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
After a failed IUI cycle due to OHSS, as a team, we decided IVF would be our only option. We closely monitored my injections, beginning slowly so as not to overstimulate. I was seen my Dr. Couchman or one of her colleagues each time I visited the office for monitoring, at Dr. Couchman's request. This was so we could be hyper-vigilant for OHSS. After the retrieval, 48 eggs were collected, 35 were inseminated, and we ended up with 17 embryos at 5 days. Needless to say, I had OHSS. Prior to the retrieval, I was given a Lupron injection to help with the OHSS. After the retrieval, Dr. Couchman required that I be out of work for at LEAST 2 weeks because I was so ill. My husband called almost everyday to check in with her and the nurses, and we were seen immediately several days for IV fluids. Prior to the retrieval, Dr. Couchman and her team strongly recommended that we do a freeze-all to make sure that my body recovered from the retrieval. We felt that we were given the best treatment plan, tailored to us.
Describe your experience with your nurse at Carolina Conceptions. (Assigned nurse: Michele Medlin)
Michele was my main nurse coordinator. I was able to reach her daily via phone or secure email. This was excellent and comforting as we had so many questions and concerns, even after a positive pregnancy! If Michele was not available, I felt completely confident in speaking with any of the other nurses!
Describe your experience with Carolina Conceptions.
Strengths: Communication, the best front desk staff (friendly, warm), clean and professional environment, extremely experienced, appointments are on time and you are seen quickly, they have office hours early in the morning and on weekends
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
In total, including medication, we spent roughly $17,000.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
Dr. Couchman recommended that we transfer one embryo but was not opposed to us doing two.
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
38 - 40
Treated
2015 - 2017
Success with this Doc
Yes
Treatment
2 IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Recurrent Pregnancy Loss
10
10
Dr. Couchman is extremely qualified in her domain. She was always straight forward and to the point. She always prescribed the appropriate course of action based on our particular situation. She clearly explained the pros and cons and elicited our input into the course of treatment...She always reviewed our charts prior to our visits. She established a relationship with us and was very sympathetic to our issues.
$30K over the course of 2 years with several cycles. However, The clinic [Carolina Conceptions] decided to charge us at in-network even though our provider insurance coverage changed and they were really out-of-network. This was unexpected and very much appreciated. It showed they were there for the long term care and not just the revenue...Michelle, was very attentive and was able to effectively communicate the course of treatment. She was always very responsive when we have follow on questions returning our calls same day. Her ability to teach the different protocols such as injections was very helpful to our overall treatment plan. I would highly recommend her as a case nurse.
Age
38 - 40
Treated
2015 - 2017
Success with this Doc
Yes
Race
European
Income
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Recurrent Pregnancy Loss
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman is extremely qualified in her domain. She was always straight forward and to the point. She always prescribed the appropriate course of action based on our particular situation. She clearly explained the pros and cons and elicited our input into the course of treatment.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
She is very supportive and has the appropriate level of bed side manners while being very straight forward in her assessment and plan.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
She always reviewed our charts prior to our visits. She established a relationship with us and was very sympathetic to our issues.
Describe your experience with your nurse at Carolina Conceptions. (Assigned nurse: Michelle )
Michelle, was very attentive and was able to effectively communicate the course of treatment. She was always very responsive when we have follow on questions returning our calls same day. Her ability to teach the different protocols such as injections was very helpful to our overall treatment plan. I would highly recommend her as a case nurse.
Describe your experience with Carolina Conceptions.
Kiesha at the front desk was very personable and nice and showed genuine concern for our overall progress. She was a ray of light as we went through several treatment plans. Always providing an uplifting spirit. Kelly from the Finance/insurance department was very dedicated and on top of our case. We felt we were always in great hands with her I would highly recommend you work with Kelly for all of your financial concerns.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
$30K over the course of 2 years with several cycles. However, The clinic decided to charge us at in-network even though our provider insurance coverage changed and they were really out-of-network. This was unexpected and very much appreciated. It showed they were there for the long term care and not just the revenue.
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
37 - 38
Treated
2016 - 2017
Success with this Doc
Yes
Treatment
IVF, Donor Eggs
Diagnosis
Anovulation, Diminished Ovarian Reserve, Endometriosis, Poor Egg Quality, Tubal Blockage
10
10
Dr. Couchman is very blunt. If you're sensitive and your feelings are easily hurt, you may not appreciate this and should consider seeing a different doctor. Personally, this is one of the things I like about Dr. Couchman. She explained my fertility issues and ALL treatment options in great detail. She gave her opinion about which option would work best for us, and she encouraged us to go home and take our time discussing these options. My husband and I never felt like we were being rushed or pressured into choosing one treatment over another.
The office [Carolina Conceptions] is neat and clean. The receptionists are very friendly and helpful. It is difficult to reach anyone when you call. So be prepared to leave a detailed message and wait for someone to call you back. The billing part was a little frustrating at first, but the staff who work in that department are friendly and helpful. I was a little disappointed in the lack of donors available in the clinic's database and also disappointed that no one told me where to find other donors. I had to go online and figure that out for myself. I had to pay a hefty deposit just to get a password to use the database, only to find out that there are only a handful of donors who are qualified to participate in a shared cycle. I was very pleased that Carolina Conceptions was willing to refund that deposit when we decided to use another database to find a donor. For us, the hardest part of our journey was finding a donor and getting our finances together. Once we found our donor, things moved very quickly.
Age
37 - 38
Treated
2016 - 2017
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF, Donor Eggs
Diagnosis
Anovulation, Diminished Ovarian Reserve, Endometriosis, Poor Egg Quality, Tubal Blockage
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman is very blunt. If you're sensitive and your feelings are easily hurt, you may not appreciate this and should consider seeing a different doctor. Personally, this is one of the things I like about Dr. Couchman. She explained my fertility issues and ALL treatment options in great detail. She gave her opinion about which option would work best for us, and she encouraged us to go home and take our time discussing these options. My husband and I never felt like we were being rushed or pressured into choosing one treatment over another.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
She is very straightforward. If you have any questions, make a list and come prepared. She's great at reading body language and will be able to pick up on any reluctance or hesitation that you may have. She won't move forward with treatment until she's 100% sure that your ready and that she has your trust.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
Dr. Couchman was friendly and had a great bedside manner. She remembered not only details about my past fertility issues, but also details about my personal life that I had shared with her. She took the time to explain ALL treatment options and not just those that she felt would be most successful. Dr. Couchman made sure that all of our questions were answered. If I had any questions after I left the clinic, I was able to email her and get a response.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
We tried 3 cycles with Clomid while waiting for test results. None of these cycles were successful. I was diagnosed with diminished ovarian reserve, poor egg quality, endometriosis, and a blocked fallopian tube, which had to be removed. My husband has low sperm count and varicocele. We were told that our best chance of conceiving would be through IVF. Dr. Couchman said that we could try using my eggs, but she felt that we'd have a better chance of conceiving if we used donor eggs. We were told that if we chose to use my eggs that we should be prepared to spend a lot of time and money on the process. My husband and I decided that we had spent more than enough time trying to get pregnant, and we didn't have an unlimited amount of money to spend on something that would more than likely fail. We decided to try IVF using donor eggs. This wasn't an easy decision, but we felt it was the best option for us. I have 3 children from a previous marriage, but my husband has none that are biologically his. I know what it's like to have children that are genetically mine, and I wanted him to experience that same joy. Due to our financial situation, we decided to share a donor with another couple. We selected a donor using the clinic's database, but we waited for another couple for several months with no luck. After growing impatient, we found a donor using a frozen egg bank that we found online. Once we notified the clinic that we had found a donor, things moved very quickly. I found my donor in February, and I started taking birth control pills in March to prepare my body for a transfer in April. I can't remeber the exact timing and details, but I also had to take estrogen pills and progesterone injections at some point. I also had to go in several times for bloodwork and for an ultrasound to check my uterine lining before the transfer. We started with 8 eggs, and 3 of them made it to day 5. We decided to transfer 2 embryos and freeze 1 embryo. Dr. Couchman was not present for the transfer, but Dr. Bowling was. I had to continue the progesterone injections after the transfer, but I can't remember the exact timing. It may have been for about 10 weeks, but I can't remember. I went to the clinic 8 days after the transfer for bloodwork, which revealed that our 1st attempt was successful! We started our journey at Carolina Conceptions in May 2016, and we now have 5 month old twins.
Describe your experience with the nursing staff.
Nothing really stands out about my experience with the nursing staff. I saw a different nurse each time. I didn't have any bad experiences, but I didn't have any that stood out either.
Describe your experience with Carolina Conceptions.
The office is neat and clean. The receptionists are very friendly and helpful. It is difficult to reach anyone when you call. So be prepared to leave a detailed message and wait for someone to call you back. The billing part was a little frustrating at first, but the staff who work in that department are friendly and helpful. I was a little disappointed in the lack of donors available in the clinic's database and also disappointed that no one told me where to find other donors. I had to go online and figure that out for myself. I had to pay a hefty deposit just to get a password to use the database, only to find out that there are only a handful of donors who are qualified to participate in a shared cycle. I was very pleased that Carolina Conceptions was willing to refund that deposit when we decided to use another database to find a donor. For us, the hardest part of our journey was finding a donor and getting our finances together. Once we found our donor, things moved very quickly.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
I can't remember the exact costs. I know that I had to pay for a hsg, office visits, an ultrasound, and lab work that wasn't covered by my insurance. I was given a discount for having no insurance. I'm sure that I easily spent a couple thousand dollars on all of that. We found our donor at an online site for a frozen egg bank, and we used a single cycle guarantee that they were offering. Therefore, we didn't directly pay Carolina Conceptions for our IVF cycle.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
We were allowed to choose wether or not we wanted to transfer 1 embryo or 2 embryos. Our doctor seemed confident that the transfer would be successful either way. She also made sure that we were well aware of the possible complications associated with carrying and delivering multiples.
What specific things went wrong at Carolina Conceptions?
  • Failed to send your chart to another clinic
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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7
2
Age
39
Treated
2017
Success with this Doc
?
Treatment
3 IUI, 1 IVF
Diagnosis
PCOS, Unexplained
7
2
don't feel strongly one way or the other [about Dr. Couchman]. clinically seemed ok, could be more specific. Ex [example] told me at the beginning we could do one or 2 embryo transfers, but then when go to plan the transfer, told could only do one despite knowing upfront that I'd do PGS testing...Extremely unhappy with clarity around finances and visibility into options... I now question the accuracy of any information provided (it's a slippery slope).
Extremely unhappy with clarity around finances and visibility into options [at Carolina Conceptions]... If it is my responbility to make the choice, they should give me the prescription, or at least confirm that I want my Rx filled by their suggested pharmacy. It's poor practice to make the choice for someone, give no visibility into the options or even what's being ordered, then tell the patient it's their responsibility to choose with ZERO information. Given this experience, I now question the accuracy of any information provided (it's a slippery slope). The office has also said there's nothing they are willing to do from their side (not willing to discount their fees at all).
Age
39
Treated
2017
Success with this Doc
?
Race
Income
$200K - $499K
Occupation
Business Executive
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 IUI, 1 IVF
Diagnosis
PCOS, Unexplained
7
2
How was your experience with Grace Couchman at Carolina Conceptions?
don't feel strongly one way or the other. clinically seemed ok, could be more specific. Ex told me at the beginning we could do one or 2 embryo transfers, but then when go to plan the transfer, told could only do one despite knowing upfront that I'd do PGS testing
Describe your experience with Carolina Conceptions.
Extremely unhappy with clarity around finances and visibility into options. I was told I MUST use Cigna pharmacy for my specialty prescriptions and was never given the option to select my own pharmacy or given my prescription to even do price checking. Turns out Cigna was the most expensive option which results in me being out of pocket by few thousand dollars extra. After calling the doctors office, I'm being told that it's my responsibility to choose which pharmacy. However, I was never given the information to chose and was flat out told I MUST use Cigna! I absolutely get that the dr office can't know what's going on in the gazillion flavors of insurance that are out there, and I certainly don't expect them to be experts in insurance. However, I do expect transparency and accurate information. If it is my responbility to make the choice, they should give me the prescription, or at least confirm that I want my Rx filled by their suggested pharmacy. It's poor practice to make the choice for someone, give no visibility into the options or even what's being ordered, then tell the patient it's their responsibility to choose with ZERO information. Given this experience, I now question the accuracy of any information provided (it's a slippery slope). The office has also said there's nothing they are willing to do from their side (not willing to discount their fees at all).
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
All up ~$25k
What specific things went wrong at Carolina Conceptions?
  • Lost paperwork
  • Lost results
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at Carolina Conceptions.
This survey is way too long...survey fatigue. Sorry. Be more transparent with costs and options. If the patient is responsible, give them the info.
7
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
2
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
10
Age
29 - 34
Treated
2012 - 2017
Success with this Doc
Yes
Treatment
6 IUI, IVF, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Other
10
10
Dr. Couchman was completely invested in our treatment. It was clear she wanted the best outcome for us. She was direct and explained things clearly and as many times as we needed. She ALWAYS responded to emails I sent her, even while she was on vacation. She goes out of her way to help us succeed...When I gave birth to my daughter after many years of infertility, she was very invested in seeing pictures and learning about her. It was clear she cared.
Doctor's and nurses [at Carolina Conceptions] communicated everything we needed to know very well. Quick response time to calls/emails. Can email your doctor directly with concerns or questions and they respond promptly. help guide you in making hard decisions by providing factual statistics and information. Always presented us with different options and the pros and cons of each. I felt like we were easily making informed decisions, even if they were difficult. I saw Dr. Couchman, Dr. Meyer, and Dr. Park, and would recommend each one of these providers. Nursing staff was kind and compassionate. The front desk and office employees knew me by name when walking in. And the finance employees were always warm and helpful.
Age
29 - 34
Treated
2012 - 2017
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1st of 3 Docs
Treatment
6 IUI, IVF, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Other
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman was completely invested in our treatment. It was clear she wanted the best outcome for us. She was direct and explained things clearly and as many times as we needed. She ALWAYS responded to emails I sent her, even while she was on vacation. She goes out of her way to help us succeed.
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Dr. Couchman is a great doctor who is very invested in her patients.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
Dr. Couchman new me and my situation throughout my treatment. She listened to concerns. And was available via email at nearly any time of day. She would even respond to my questions while on vacation. When I gave birth to my daughter after many years of infertility, she was very invested in seeing pictures and learning about her. It was clear she cared.
Describe your experience with your nurse at Carolina Conceptions. (Assigned nurse: Terry Hunter)
Terry Hunter is a wonderful nurse. Compassionate, explains the processes well and as many times as you need. Promptly returns emails and phone calls. Always described what we could expect from each process.
Describe your experience with Carolina Conceptions.
compassionate, caring, cutting edge treatments. Doctor's and nurses communicated everything we needed to know very well. Quick response time to calls/emails. Can email your doctor directly with concerns or questions and they respond promptly. help guide you in making hard decisions by providing factual statistics and information. Always presented us with different options and the pros and cons of each. I felt like we were easily making informed decisions, even if they were difficult. I saw Dr. Couchman, Dr. Meyer, and Dr. Park, and would recommend each one of these providers. Nursing staff was kind and compassionate. The front desk and office employees knew me by name when walking in. And the finance employees were always warm and helpful.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
$60,000
10
Doctor
Grace Couchman
Communication
Compassion
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
10
Age
40
Treated
2017
Success with this Doc
No
Treatment
3 Fertility Medications
Diagnosis
Diminished Ovarian Reserve
10
10
Dr. Couchman was always willing to listen to us first, she heard our story as to why we were seeking out a second opinion without any judgement. She did interject along the way to ask more in depth questions but she showed empathy toward us. She gave us hope even after one miscarriage that we could become pregnant again. Anything we wanted to try she was willing to work with us to come up with the best treatment plan each time. She referred to us by our names and when I would come to the practice for monitoring and was seen by another doctor but saw her in the hallway she would give me a warm friendly smile and say hello!
The nursing staff [at Carolina Conceptions] was helpful will the process of ordering the medications, from the call ins to the pharmacy to sending in additional prescriptions to explaining the process of how it all works. Most of the nurses I saw were empathetic during my treatment cycles. They were friendly each time I was there lending a smile or a hello how are you... They were attentive if you needed anything or didn't understand a protocol they would be patient and explain it to you in terms you could understand without any hesitations.
Age
40
Treated
2017
Success with this Doc
No
Race
Income
$100K - $199K
Occupation
Teacher
Order & Number of Docs Seen
1st of 4 Docs
Treatment
3 Fertility Medications
Diagnosis
Diminished Ovarian Reserve
10
10
How was your experience with Grace Couchman at Carolina Conceptions?
Dr. Couchman was always willing to listen to us first, she heard our story as to why we were seeking out a second opinion without any judgement. She did interject along the way to ask more in depth questions but she showed empathy toward us. She gave us hope even after one miscarriage that we could become pregnant again. Anything we wanted to try she was willing to work with us to come up with the best treatment plan each time. She referred to us by our names and when I would come to the practice for monitoring and was seen by another doctor but saw her in the hallway she would give me a warm friendly smile and say hello!
What's one piece of advice would you give a prospective patient of Grace Couchman at Carolina Conceptions?
Don't be afraid to speak out and share what you really feel is best for you. She will respond with empathy.
During treatment, were you treated like a number or a human with Grace Couchman at Carolina Conceptions?
I felt like a human because of her empathetic communication style - she was able to understand and share the feelings we were having during each cycle.
Describe the protocols Grace Couchman used in your cycles at Carolina Conceptions and their degree of success.
Based on my history and lab test results she had me start at a mid range level of IU's for the main drug I took during the first 7 days of the cycle but when I came in for my first monitoring appointment she would readjust it if deemed necessary. In my first cycle I had to order another vial of the second drug to give my follicles a little more time to grow and also to make sure I didn't ovulate to early.
Describe your experience with the nursing staff.
The nursing staff was helpful will the process of ordering the medications, from the call ins to the pharmacy to sending in additional prescriptions to explaining the process of how it all works. Most of the nurses I saw were empathetic during my treatment cycles. They were friendly each time I was there lending a smile or a hello how are you... They were attentive if you needed anything or didn't understand a protocol they would be patient and explain it to you in terms you could understand without any hesitations.
Describe your experience with Carolina Conceptions.
The doctors are competent they are all friendly, knowledgeable and willing to work with each couple on coming up with the best treatment plan. Not once did I feel like I was being pushed into something I didn't want to do. Each time I was seen I was always told to please call them at anytime with any other questions I may have and they would be happy to help me. I was able to reach out to Dr. Couchman by email with questions too and she would always respond in a timely manner. All the doctors want the same thing and that is to help every couple that comes through their doors to take a baby home. It is such a blessing to be in a place where they have the same goals as you do.
Describe the costs associated with your care under Grace Couchman at Carolina Conceptions.
I was told insurance would cover up to three cycles of medications, which they were with only co-pays. I also had coverage for monitoring and blood work. The cycle for IUI was out of pocket since this wasn't coverage from the insurance company so we paid for the monitoring and blood work. However we were aware of this thanks to the awesome financial counselors.
Describe Grace Couchman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolina Conceptions.
No
10
Doctor
Grace Couchman
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Carolina Conceptions
Raleigh
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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