How was your experience with Kenneth Moghadam at Austin Fertility Institute?
He tells it like it is. He's compassionate without being unrealistic or condescending. I like his bedside manner a lot. He's not the type to sugar coat things or sit and hold your hand, but not everyone wants or needs that type of doctor. However, he will make sure you have answers to all your questions and explains each step.
What's one piece of advice would you give a prospective patient of Kenneth Moghadam at Austin Fertility Institute?
Wait times are extensive, but when it is your turn, the care you receive somehow makes you forget the wait. Go into it open and willing to listen to options. However, don't feel like you need to do something you are not interested or comfortable doing.
During treatment, were you treated like a number or a human with Kenneth Moghadam at Austin Fertility Institute?
Everyone in the office is caring. They use your name, know your history, and treat you like a person. They always spend time with you each appointment.
Describe the protocols Kenneth Moghadam used in your cycles at Austin Fertility Institute and their degree of success.
ur priority was to get me ovulating. He used oral and injectable medications right away. When I questioned this, he said his experience showed a better outcome and gave me specific examples of how my case fit this protocol. He had "criteria" he explained about number of spontaneous ovulations in a year dictating if oral vs oral + injectable meds worked best.
After 4 rounds of this with a surgery in the middle (adhesions were found), we decided to take a break from treatments. We were not ready to go to IVF and that was his recommendation. He said further IUIs would not be worth the cost for our situation because I was responding to the medications beautifully but still not conceiving. A few weeks later, I had a spontaneous pregnancy that ended up being in my tube. He treated me (doing betas, early ultrasound, basically treating me like I was still his patient even though I had technically said goodbye to him the month before). At this point I got the push I needed to pursue IVF.
He provided details about our expected outcome of IVF stimulation - estimating the number of eggs. I appreciated that he said he gives each patient a personalized "low number" that he likes to see before he cancels a cycle. He detailed the lab side of things talking about when we would receive updates and what details would be provided. We discussed the benefits and negatives of doing a Freeze All vs a Fresh cycle. We chose a freeze all and it was a good choice for us because I responded well to the meds and would have been at risk for overstimulation otherwise.
He provided a recommendation and fairly detailed reasons why when we were trying to determine if we should transfer 1 vs 2.
For my FET, it was a long prep time. That is always a bummer to have MORE waiting after so long, but Dr M explained it all. Because of the crazy high hormone levels post-retrieval, I needed Lupron and birth control pills for a month or so. We started estrogen supplements and all seemed to go well, but then my body messed up and my lining was not good enough to transfer. We had to cancel and Dr. M promised me we'd get it right next go. He got me back on board really quick (we only lost 3 weeks) and added in IM estrogen shots because my body was metabolizing the oral estrogen too quick he said.
He gave me a choice of progesterone options and we chose a combination of PIO and Crinone. He said he really liked this combo and had great results with it, but PIO alone was a cost effective solution. (He was sensitive to our finances in understanding we could not do all crinone due to cost). Our first transfer was a success.
Describe your experience with the nursing staff.
They are all very sweet, caring, and helpful. They know you and remember details to make it seem more personal.
Describe your experience with Austin Fertility Institute.
ave not been to other clinic(s) in town so I can't really speak towards comparison, but I chose Dr. M and AFI because of the individualized attention and treatment plan. I also picked him because he was ready to get me started immediately and did not make me go through a bunch of hoops to become a patient.
For something so personal as fertility treatments to build your family, you need to be comfortable with the doctor and nurses. You WILL spend a lot of time with them and put a great deal of trust in them. I have always felt very comfortable and well taken care of here.
Describe the costs associated with your care under Kenneth Moghadam at Austin Fertility Institute.
e provided a price list (cash patient pricing) at my first visit for Timed Intercourse and IUI cycles ($500-$1500 depending on type of medication used and TI vs IUI)
He provided a list of costs for IVF at my IVF consult appointment. ($10-12K depending on fresh vs frozen - FETs around $3K)
Describe Kenneth Moghadam's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Austin Fertility Institute.
He used my age, the lab results, and finances to propose a recommendation for # of embyros to transfer. He said between my age and the lab results he really did not have a strong preference or suggestion. At nearly 36, he said two made a lot of sense (not genetic tested). Because our embryos looked so great in the lab and we had extras frozen, he said we should start with 1. Finally he did mention costs and if doing a 2nd transfer would be a large burden we should go with 2 as long as we were open to twins. After all that information he said his "soft recommendation" would be a single transfer, but he had no hesitations or judgement if we chose 2. (we did choose 2)