How was your experience with Laura Londra at Ohio Reproductive Medicine?
She's very direct but can be hard to understand if she talks quickly due to her accent. However, I dont see that as a weakness or drawback. She always makes sure were on the same page before we're done speaking and that my questions are answered. My very first appointment she came in with tears in her eyes and I've seen her like that a handful of times since. She's very compassionate and empathetic. She's also been very thorough in my treatment plans and testing thus far.
What's one piece of advice would you give a prospective patient of Laura Londra at Ohio Reproductive Medicine?
Listen carefully and don't be afraid to ask questions and voice your concerns.
During treatment, were you treated like a number or a human with Laura Londra at Ohio Reproductive Medicine?
Dr. Londra always makes sure my questions are answered. She speaks to me by name and she is very attentive to my needs. She explains treatments and recommendations thoroughly and eases my mind when worried about outcomes.
Describe the protocols Laura Londra used in your cycles at Ohio Reproductive Medicine and their degree of success.
I did 3 medicated IUIs with her and one medicated timed intercourse cycle. Letrozole was used 3-7 with cycle monitoring and a trigger shot. Sperm samples were given the day of IUIs and we always went over the sample specifics prior to each IUI. Booster shots were administered 7dpiui as I have an allergy to progesterone suppositories. Letrozole is better for patients with endometriosis and I was previously unresponsive to both Clomid and Femara/Letrozole. These resulted in no pregnancies.
IVF began shortly after the last failed IUI. I was on the antagonist protocol: Gonal F started CD3. I stimmed for 14 days, used Cetrotide for 7 and triggered with Novarel and Lupron Trigger. I did not proceed with PGS testing. My meds were increased a few days into stimming as I was slowly responding. 4 five-day blastocysts came from this retrevial cycle. A fresh transfer was done and PIO was also used. One embryo was transferred and resulted in a pregnancy. However, it was an early miscarriage (approximately 7 weeks)/ chemical pregnancy as it was not seen on an ultrasound, only confirmed by betas. After a new cycle started we did a GEEP protocol: 28 active birth control pills, a bleed, 30 days lupron, delestrogen shots twice a week 2 weeks before transfer, and PIO beginning the week before transfer. This transfer was unsuccessful. It was done to suppress ovulation and medicinally manipulate the cycle to give the best environment for an embryo. After that cycle Dr. Londra recommended a endometrial biopsy (scratch) in an unmedicated cycle. That was completed and normal. We are now in the middle of a "natural" FET cycle: Letrozole 3-7, a trigger, and PIO. We will transfer one embryo as Dr. Londra and ORM recommend against transferring multiple embryos due to the risks of multiple pregnancies.
Describe your experience with the nursing staff.
The IVF nursing team is amazing. They do drop the ball every now and then but it is quickly remedied upon a phone call. Dr. Londras nursing staff is hit and miss. When I first started with the clinic I had a nurse who was great! She then went on to being an IVF coordinator. The nurse(s) that took over for her is getting better but I usually call her with my lab results and updates to schedule my next steps rather than vice versa.
Describe your experience with Ohio Reproductive Medicine.
If you're IVF, don't try to be the first person there for morning blood work, and expect a long wait on a Monday. The lab is same day results. Itsba contract company/third party so enroll in their EHR system to see your results as well. Sometimes you'll have to wait a few days to get your ultrasound and lab work added to your portal so ask questions at your appointment if you're curious. Also, make sure you have the receptionists extension in case you need it.
Describe your experience with your monitoring appointments at Ohio Reproductive Medicine.
For IVF its first come first serve. So, women who started their cycles on the weekend makes for a crazy and hectic Monday. The rest of the week isn't so bad but can be a little time consuming.
For IUIs it was a scheduled time slot rather than the hour or so designated strictly to IVF patients.
Describe the costs associated with your care under Laura Londra at Ohio Reproductive Medicine.
Costs varied by insurance coverage so it would be hard to dictate. General range with my coverage for IUI was around $400 per cycle including meds, labs, and insemination. IVF was too involved but ran around $5,000 including all meds, ultrasounds, surgery, preservation, etc. FET was around $400-$900 depending on the protocol with meds. Out of pocket is reasonable as well. The clinic has a price list.
What specific things went wrong at Ohio Reproductive Medicine?
- Failed to call in prescriptions to pharmacy
- Failed to call with results