Laura Cooney

She was amazingly supportive when I had my miscarriage. She talked me through what to expect and how to handle it. When I was going through subsequent rounds of IUI there was nothing that stuck out as particularly good or bad. I wanted to have another check-in like the first time we sat down, where we discuss my history and prospects but including the in/fertility issues that have come up since that initial consult.

Be sure to ask what happens next, and how this impacts future pregnancies.

The first IUI was completely natural. Used an OTC ovulation predictor kit and 1 vial of donor sperm. I got pregnant but miscarried. Had to wait 1 cycle of natural menstruation before trying again. 2nd IUI we used letrozole on cycle days 3-5, then the same process. Negative result. 3rd IUI we used letrozole but also an injection of ovidrel to trigger ovulation. I got a positive pregnancy test but it was a chemical pregnancy and I menstruated shortly thereafter. They are hesitant to escalate treatment because it is clear my body is capable of getting pregnant, and their rationale is that it just takes more tries to be successful. They did a HgbA1c and prolactin tests after the 3rd IUI which were normal.

I don't recall the specifics. We have a $3000 deductible for our fertility insurance and we didn't meet it in our initial work up for the clinic. Our hysteroscopy cost maybe $300 before insurance, but after was only about $30.

Dr cooney was thoughtful. She took our health history, especially mine into her decision to choose an appropriate medication protocol for us. She also understood that this was stressful and difficult

Come with your questions

Birth control orally for one month Lupron daily in the am-10mg After a week or two we had our baseline ultrasound and started menopur(75mg) and gonal f(150mg) also lupron decreases to 5mg. After 10 days we decided to trigger with hcg -10,000 units. We retrieved 16 eggs in which they only fertilized 12, resulting in 2 embryos. We transferred the embryos on day 3, with a negative pregnancy test.

We were seen between 7-830am for monitoring appointments. They felt welcoming however it was like, “ go ahead get undressed and the staff will be in” staff came in, chatted and then did the ultrasound. If you had any questions you could ask them. They were less than 30 min appointments

15-16,000 including meds for 1 treatment cycle

Chose to transfer both

Dr Cooney shows genuine compassion her patients, even when (or maybe ESPECIALLY when) a patient has been told by a prior doctor to stop trying to conceive altogether. She has a great knowledge of the field, and very openly shared all relevant statistics with us whenever we had a question. She also made us feel like we weren’t a lost cause, and that though the chance wasn’t guaranteed...there was a chance. And now we’re expecting! So we will be forever grateful for Dr. Cooney and the Generations team.

My advice would be don’t be afraid to ask questions. She is extremely knowledgeable, and willing to answer any question to help put you at ease.

Dr Cooney adjusted my protocol slightly to account for improving our odds with the first round. That said, the protocol was relatively standard. The lab allowed our embryos to grow out to day 7, which is when they both went to blastocyst.

The costs for us were a payment package, that included everything up until the pregnancy test. Including the frozen transfer.

At Generations, the doctors and the embryology lab meet as a group on Mondays to discuss all of the embryos created that week, to form a recommendation on how to proceed (implanting 1 or 2). However, this is simply a recommendation. Generally, I believe they recommend one embryo, but in some cases will recommend two. But it’s always your choose how to proceed.