How was your experience with James Nodler at CCRM Houston/Houston IVF?
Dr. Nodler is smart, kind and strikes the right balance of setting realistic expectations but also providing hope. He has good attention to detail and really seems to care about his patients' outcomes. I like that he practices evidence based medicine, but this means his protocols/approach may sometimes feel less holistic (not a lot of time spent discussing supplements and other TBD ART supports). I thankfully haven't had any major disappointments to date, so can't comment on how he might adjust/personalize protocols in the event of disappointing outcomes.
What's one piece of advice would you give a prospective patient of James Nodler at CCRM Houston/Houston IVF?
Ask questions and share any concerns you have- I've found Dr. Nodler is always happy to provide more information or explain his thought process.
During treatment, were you treated like a number or a human with James Nodler at CCRM Houston/Houston IVF?
Dr. Nodler and his nursing staff (Amelia and Erin) have all been warm, available and encouraging to date. I like to know exactly what's going on at each step of the process and they always seem happy to answer my questions. I am also prone to negativity and Dr. Nodler and Amelia have been so kind- they are realistic but offer regular reassurance where it is due.
Describe the protocols James Nodler used in your cycles at CCRM Houston/Houston IVF and their degree of success.
IUI was really managed by the nurses. I have a high AMH and was prescribed clomid only (no injectables). Monitoring was overseen by Dr. Nodler, but the actual IUI was performed by the nurses. I had a different nurse each time, and no specific point person if I had questions during the cycle (just had to call the nurse line). I didn't feel like IUI cycles were a priority for this clinic.
My experience was totally different once we moved on to IVF. IVF patients are assigned a specific nurse and this makes communication much easier. Monitoring ultrasounds were done by Dr. Nolder (or the REI covering for him if he was not available). I was prescribed gonal-f (150), menopur (150) and cetrotide. I responded well to meds and my protocol did not need to be adjusted. I did a dual trigger with lurpon to avoid OHSS. We did ICSI as that is standard for my clinic (and as we used frozen donor sperm). We retrieved 16 eggs, 13 mature, 13 fertilized, 9 day 5/6 blasts, 4/9 normal CCS/PGS results. Recovery from the egg retrieval was easy and fast. Our first FET cycle is currently in process.
Describe your experience with your nurse at CCRM Houston/Houston IVF. (Assigned nurse: Amelia)
Amelia is smart and responsive. I do think she is a very busy person, and I sometimes felt bad asking extra questions, but she always responded to me same day. I found emailing her was sometimes easier than playing phone tag.
Describe your experience with CCRM Houston/Houston IVF.
Houston IVF/ CCRM-Houston may be a bit more expensive than other clinics in the area but I think it is worth the costs. I have interacted with all 4 REIs and believe they are all very skilled and up-to-date physicians who care about their patients. I also think the lab is superior to many other clinics in Houston. I had better than expected outcomes (100% fertilization of mature eggs 13/13 and good blastocyst rate 9/13, 70%). I wish they paid as much detail to patients' IUI cycles as they do IVF, but understand that IUI is a much less controlled and lower cost procedure, so it makes sense that IVF cycles are prioritized. That said, if someone's goal is to conceive via IUI and to really avoid moving on to IVF, this may not be the clinic for you. To summarize: smart and personable REIs and nurses, a great lab and a comfortable and convenient physical space (I used both the med center and memorial city locations).
Describe the costs associated with your care under James Nodler at CCRM Houston/Houston IVF.
IUI: $1,300 per cycle (including all monitoring)
IVF (PGS with FET): $20,630 (included all monitoring, CCS/PGS and first FET), NOT including medications
Describe James Nodler's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Houston/Houston IVF.
I personally feel very strongly about eSET and Dr. Nolder was aware of this from the beginning so multiple embryo transfer was never a conversation we had. I do believe this clinic does more multiple embryo transfers than is ideal because they are quick to honor patient wishes and I think many patients ask for multiple embryo transfer.