Mamie McLean

Dr McLean always made sure that we never left with any questions unanswered. If we had any other questions, we could always call and ask without hesitation. She took her time to explain everything and always adjusted our plan based on the previous treatment cycle. She is extremely thorough and doesn’t leave any stones unturned.

Be prepared to ask questions. She is so thorough that you may forget to ask something small you were thinking about but she is always excellent about making sure you are comfortable with the plan and making sure you don’t leave feeling uneasy about anything.

My first two iuis we used clomid 100 and then 150 respectively. I had already tried two regular cycles of clomid 50 with no result from my Gyn. My last two cycles of iui we used Letrozole with gonal-f. The gonal f was 37.5 units for the third cycle and 75 for the last cycle. Unfortunately none of our iui treatments were successful but they did produce good follicles. Due to having already used clomid 4 times with no success she wanted to change our protocol to try for a different result but my husband also has low sperm counts. She was very hopeful that the change in medication would be the trick but we are now moving on to ivf to hopefully combat our issues.

My appointments with Dr McLean were covered under my insurance, which was a $40 copay. The regular ultrasound and monitoring appointments were $30. Our iuis were $324 for each of them plus our medication. We have been quoted $10,960 for IVF with ICSI plus our medication costs.

During our work up she discussed that in our case she would only recommend a single egg transfer. She believes it is safer for mother and baby in our circumstances.

With her there are no weaknesses. She is an amazing doctor. This whole infertility journey I’ve been on has been filled with tons of heartache. She has supported me every step of the way.I trust her with any decision she makes. She has my best interest at heart. She really gets to know her patients and creates an individual plan for each. She wants everyone to leave with a baby they have been praying for.

To just relax. I know I hated hearing when someone told me that. But they were right. I was so worked up and consumed by this whole process. Worrying won’t change a thing. She is gonna take care of you.

In the beginning, I initially came to her because we had tried for over a year with no results. My periods were very irregular. So we decided to try oral femara, I believe 2.5 mg for cd 5-9. First month negative. Second month I was pregnant. 5wks 3days. Ended in chemical loss. Did four more cycles with no progress. Moved onto iui with clomid and hcg injections. Did two cycles of that with no progress. Did two more iui’s using follistim and hcg injection. No progress. Had my first surgery to remove endometriosis and remove some scar tissue on my cervix and found a weird Fallopian tube. It flushed so we kept it in.Two more iui’s with follistim and hcg injection. No progress. Did an invocell cycle using menopur( tons of it) and the injections that keep you from ovulating I forgot what they were called then trigger shot. 4 eggs retrieved. All placed in device. Husband always has great numbers. Waited the three days. Once opened one egg ended up not being mature. Only three were mature and two made beautiful perfect embryos. Since I had spent so much money out of pocket we had decided to implant both and not spend all that money to just freeze one. No pregnancy. Had surgery again to remove bad Fallopian tube we suspected to now be a hydrosalpinx. During surgery to or surprise both Fallopian tubes were totally blocked. She had to remove both so my chances at another egg retrieval would be the best they could possibly be. Wasn’t what we had planned but here we are. I’ve spent all our saving. Nothing left to do ivf with now. If I had a chance to do a total full ivf cycle I truly believe I will be successful.

These treatments were spaced out over two years for me. My heath Insurance literally covers nothing. The fertility drugs are so expensive. An iui is only $324 each plus your monitoring. Clomid is cheap. I spent a ton on follistim. Every iui that had follistim and hcg injection cost me about $2,000. The invocell cycle cost was $4,000. But I had to spend $6,000 in fertility drugs to go with it. Had two surgery’s in one year. There again my health insurance is a joke. The first one I spent $3,000 in deductibles. The second one was about $900.

She prefers single embryo transfer. However my case I only had two day 3 embryos. If I had gotten 4 or 5 embryos I could have froze the rest and just impalnted one. We didn’t see spending more to just freeze a single embryo and then pay a ton of money to do a frozen transfer later.

Dr. McLean is the best doctor. She is brilliant and will think outside the box. She frequently communicates with you and genuinely cares. When things don't go as planned, she comes up with a new plan. She spends so much time with you and wants to make sure all of your questions are answered. I have sent so many friends to her, and everyone loves her.

Go see her! You will not be disappointed.

Laparoscopy surgery to remove endometriosis. IUI- dexamethazone (I have a lot of complex allergies), letrozole, trigger shot and IUI. This resulted in a successful pregnancy, my 20 month old son. TTC baby #2, same protocol, got pregnant but miscarried at 8 weeks. D&C revealed baby had triploidy. Tried 3 more IUI's before moving on to IVF. Did conservative IVF protocol due to prior OHSS from injections (before my son). Retrieved 4 eggs, got 2 embryos. Only 1 genetically normal. Transferred (FET) and resulted in chemical pregnancy. :( Hoping to do IVF again in December.

IUI (my insurance covered 8/lifetime), now $300 plus meds and apts IVF retrieval $10,000, transfer $2200 plus meds, genetic testing $2,000

My RE strongly only wanted to transfer one embryo if it was genetically tested. She wants to transfer two untested embryos in the future.

Mamie met me outside her office in the hallway, after hours, to talk with me about my anxiety and make sure I was ok. She is reassuring, kind, and operates out of place of encouragement and positivity. She is confident when she presents explanations and information. She gives the sense that she understands and believes in the treatments she is giving.

Ask a lot of questions at the beginning

Ultrasounds were used to check ovaries and eggs, and also to monitor the size of cysts on ovaries. I was prescribed Letrozole and then given the trigger shot. Then I had an IUI.

Around $1000 per cycle

dr McLean has always take the time to explain everything to us, all options and potential outcomes. We have not yet had a successful treatment but still working with her to get there. We’ve moved from IUI to IVF and hope to start our IVF this summer. She met with us several times to walk through the options as we were unsure of which path we wanted to take. She never rushes and asks questions and answers questions.

Trust her judgement

We did IUI 3 times with clomid, FSh and trigger shots. She adjusted accordingly after the first round.

Costs included office visits, meds, ultrasounds, IUI, testing, etc. All costs were in line with other local fertility treatments.

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I have only been to an initial consultation. I value the fact that she spent a lot of time with my husband and i at that consult. She was explanatory without being patronizing, and very positive. She has also been very understanding and patient with waiting to get the results of my husband's tests before ordering tests for me given my poor insurance coverage.

The same i would give anyone seeking a fertility specialist, don't expect them to wave a magic wand and diagnose your issue.

I have only had initial consults. Since our main issue is Male factor, we were referred to a urologist with a specialty in male fertility.

My costs have been all lab related bc our issue is male factor. She was very accommodating on what she would potentially order based on my insurance.

Dr McLean has been a very good doctor to me. She explains all of our problems and discusses what our options are at each visit. When new information is found, she adjusts the plan accordingly without falter. She is caring and has been a shoulder for me to cry on when things have not gone as planned.

Be upfront with your expectations and your situation. If finances are a concern, say that. She won’t push you into unnecessary tests and procedures.

We had planned to do a medicated cycle with IUI. I took Femara, because of my PCOS and did a trigger shot to induce ovulation. We were unable to go through with the IUI because of my husband’s sperm quality the day of, so she drew more labs to further investigate that.

IUI $345, office visit $100

Dr. McLean is very sweet and kind. She is very personable and takes the time to get to know you. I called into the office on the weekend because I had bad back pain and she called me personally to talk to me.

Know that she cares

By the time I saw De McLean I had laresdy done 6 rounds of Clomid so she started me on Femarra. I did 3 rounds of Femarra with her. I also had ultrasounds to check follicles. On round 2 and 3 she added a trigger shot. After an unsuccessful roind 3 we were told IUI was our next step.

I paid my co-pay for seeing a specialist of ~$60

Dr McLean is very compassionate. She really cares about her patients and is always willing to listen. I felt like she lets me have an active role in the treatment. She is always open to hear about the research I have made on my own and tries to adjust protocols including my thoughts. She always answers all the e-mails I write to the UAB portal within the same day.

You can totally trust this doctor. The best way to communicate with her is via the patient portal.

I had one unsuccessful IUI with Dr McLean and two Ivf's. Since I have diminished ovarian reserve I don't have many eggs. However I responded quite well to Dr McLeans protocol ( antagonist, 300 Gonal F, 150 Menopur) They were able to freeze 4 embryos and they all came back pgs normal. I am currently waiting for my first transfer.

She is wonderful. She cares about each patient and what they are going through. She understands and helps you better understand what is going on. Most importantly she makes what you are going through seem alot better then it really is.

Trust in her. She has your best interest at heart.

She took blood work, then we tried a medicated cycle. When that didn't work she moved to IUIs. We did 2 of those and they were unsuccessful. We had been dealing with infertility for 3 years at this time, with one miscarriage. We decided after the 2nd failed IUI we would take time off and save. We are currently still saving and plan to go back soon. She takes everyone situation different. My protocol is different I'm sure then other people.

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I could not have had a better experience with Dr. McLean. I think what made it so great was communication. I could send her a question through the portal and get an immediate answer. In person, she never made me feel rushed. Her answers to my questions were always honest and we'll thought out.

Definitely use her!

We used ICSI because of male factor infertility and the fact the sperm had to be retrieved. Although it was male factor, I got thoroughly checked out too. I think I ended up being on a low dose of meds. We had ~20 eggs retrieved, 8 fertilized and 3 embryos made it. 1 successfully transferred and 2 frozen. She said we had a low number of embryos from 20 eggs because of male factor.

I fortunately had insurance that covered but without it would have been about 10k.

She gave us the option but was honest that in our case eSet was probably the best choice.