How was your experience with Larisa Gavrilova-Jordan at Augusta University Reproductive Medicine and Infertility Associates?
Dr. Jordan takes the time to explain treatment options, which is critical, especially in the field of reproductive medicine. I appreciate this quality, because not only do I have important decisions to make about my care and my future, but I’m also paying out of pocket for treatment. Also, while experiencing infertility and undergoing treatment, I always felt comforted by Dr. Jordan's light-heartedness and confidence. Even before we achieved our goal of a pregnancy, I had all of the trust and faith in the world in Dr. Jordan and her care.
What's one piece of advice would you give a prospective patient of Larisa Gavrilova-Jordan at Augusta University Reproductive Medicine and Infertility Associates?
As Dr. Jordan is talking with you, take notes — not just notes on what she says but also notes on questions that come up in your mind while she is talking. There’s a lot of information to absorb throughout the process, but she and her staff are always there to help.
During treatment, were you treated like a number or a human with Larisa Gavrilova-Jordan at Augusta University Reproductive Medicine and Infertility Associates?
Dr. Jordan supported me through the ups and downs of infertility treatment. She did so through the individualized care she provided that addressed my unique needs and also through her genuine care and concern. I experienced a complication before my IVF cycle, which we thought would cancel or delay the cycle. Her care and concern, displayed through her phone calls to me during my ER visit and the days following, was also very telling of her human-focused approach to care. And when the tide turned in my husband's and my favor and we experienced a successful IVF cycle and frozen embryo transfer, she showed such genuine happiness for us.
Describe the protocols Larisa Gavrilova-Jordan used in your cycles at Augusta University Reproductive Medicine and Infertility Associates and their degree of success.
A few years ago, well before my husband and I decided to start trying to conceive, I was diagnosed with a rare genetic blood clotting disorder called protein S deficiency. It didn’t require ongoing management — just no use of most birth control pills, and I’d have to use Lovenox, a pregnancy-safe blood thinner, during the first trimester of pregnancy. Considering my protein S deficiency and our goals, Dr. Jordan recommended taking a conservative approach — meaning stimulate my ovaries to produce a small handful of follicles and, therefore, quality eggs — to manage my clotting risk. Before my IVF cycle, Dr. Jordan put me on a special birth control pill for my condition, but I developed a DVT, which we initially thought would delay or cancel the cycle. Dr. Jordan and her team worked efficiently to research my condition and bring together a multidisciplinary team of doctors (maternal-fetal medicine specialist and hematologist) who could determine if and how I could undergo IVF, pregnancy and the postpartum period. She came back to me within days with a plan for managing my risk for clotting that she said she felt very confident about and that kept us on track for our scheduled cycle (with little tweaks): First, we wouldn’t use birth control pills to maximize how my ovaries respond to the medications, which wasn’t a concern because of my age and egg quality. Not using birth control pills meant timing the IVF cycle off of my natural cycle. Second, we would skip the dose of blood thinner I would've taken right before the egg retrieval, and Dr. Jordan would use as few pokes as possible to grab the eggs. Third, we would do a frozen cycle versus a fresh cycle to give my body time to recover from any potential OHSS between the egg retrieval and transfer. Dr. Jordan's treatment strategy was successful: We started with 10 follicles, which dropped to nine by the second ultrasound and remained at nine through the last ultrasound before the retrieval. Dr. Jordan retrieved seven eggs, six of which fertilized using ICSI. All six made it to day 5 blastocyst. Dr. Jordan didn't recommend PGS testing, so we did not test the embryos.
Describe your experience with your nurse at Augusta University Reproductive Medicine and Infertility Associates. (Assigned nurse: Stacy Swetman)
The care is always very warm and friendly. My IVF coordinator, a nurse, is prompt with correspondence. She does a great job keeping everything straight.
Describe your experience with Augusta University Reproductive Medicine and Infertility Associates.
Before establishing care, I had trouble reaching the front desk to make an appointment and didn’t receive a call back. And while I was undergoing IUI, I called to inform the clinic that my period arrived, as instructed, but was unable to leave a voice message because the mailbox was full. I know that the clinic serves a large volume of patients. Having direct contact with Dr. Jordan mitigated both of these issues.
Describe the costs associated with your care under Larisa Gavrilova-Jordan at Augusta University Reproductive Medicine and Infertility Associates.
IUI cost around $1,000 per cycle — including ultrasound, trigger shot, sperm collection and washing and the insemination. One IVF cycle will cost around $15,000 — including medications, clinic fees and lab fees.
Describe Larisa Gavrilova-Jordan's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Augusta University Reproductive Medicine and Infertility Associates.
We transferred one embryo, which according to American Society for Reproductive Medicine guidelines, is appropriate for my age (younger than 35).