Miriam Krause

It’s impossible to talk to her if I’m not physically in the office, but she’s very easy to talk to and takes time to answer all my questions when I am there. She is always positive and upbeat and doesn’t seem rushed / annoyed when I keep throwing questions at her. I’ve felt comfortable with her from the beginning. When I finally got pregnant, she seems genuinely happy and wanted to be updated. She just seems like she truly cares about her patients and it’s not about the paycheck or the job for her.

Come to your appointments with any questions you may have.

We started with just letrozole + trigger shot+ TI for a couple cycles (after TTC for about 20 months). She felt confident this would get me pregnant since I ovulate on my own already and don’t have any other issues that have been indicated by testing. After a few cycles, we added in the IUI. She increased my dose of letrozole and I ended up growing more follicles than expected. She explained the different strategies we could follow and explained the risks very well so that we could make an informed decision on how to proceed.

Letrozole was about $5-15 with my insurance, trigger shot about $80, ultrasound and IUI about $250 (before insurance), sperm wash $160 (separate)

I have not gone through this

Dr. Krause is a fantastic doctor. She has always been so sweet and caring and supportive. She explains everything in terms you can understand and will cover all questions before you even ask. She makes us feel like we aren’t alone in this horrible struggle to conceive.

Always feel free to ask what ever questions you have. She will never make you feel like it’s a stupid question.

We started out with IUI with clomid. Started the clomid on day 3 and continued to day 5. We had three attempted IUI’s. The second cycle we missed ovulation by less then 12 hours so she did not do the insemination. My husband was also seeing a male fertility doctor and was on clomid and vitamins. After the three failed attempts and no improvement in sperm quality we moved on to IVF with ICSI. We had 11 eggs retrieved 6 fertilized and 5 survived. We transferred 1 day 5 embryo fresh and then froze the remaining. After that transfer failed we transferred two embryos. That transfer was also unsuccessful. With only two remaining embryos we decided to transfer one which resulted in a chemical pregnancy. We still have one embryo frozen.

IUI cycles were around $300 to $500. Our IVF cycle we bought a package through a financing company. It was close to $15000

She suggested to transfer one embryo for the first transfer stating that frozen embryos have giving better results.

I was born with a cleft lip cleft palate. I am unsure if this has much to do with my infertility issues, but I have previously been seen by endocrinologist. This is why I was referred to Dr. Krause to begin with. She has always been honest with me and has given me options that were best for my husband and I even when it included us using a different doctor. She put us before her own needs. Dr. Krause has really made my infertility experience as best as can be expected.

Listen to every piece of advice she is giving. Follow the orders she has given and trust she has a plan, even if it may seem it is taking too long. She has a plan set in place.

Dr. Krause has let me know Superovulation is my best route. My brain does not produce the right chemicals to ovulate. As of now she has me taking estidiol to help my uterus grow before I go forward with my treatment. Although it seems like no progress is being made, it is in the long run. I did a tube test to make sure my tubes were open. She checks my uterus every 3 months and checks my eggs.

Superovulation treatment doing it as insemination is $1400. This does not include the shots I will need to take. This is the price for one cycle.

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She is not pushy, she lets me make an informed decision. She calls to check on me, and was very caring during my miscarriage. I feel like she is really rooting for me, and is understanding of my losses and infertility.

Chose her. She is caring and compassionate.

I was referred to Dr. Krause after my 2nd missed miscarriage in a row. She ran additional repeat loss labs that me OB didn’t. She performed a saline US. She had me take birth control pills prior to my hysteroscopy to help thin my lining. She performed my hysterectomy, I wore a foley catch in my uterus for 5 days, and took estrogen for weeks after my surgery. I took probers to get my cycle back. I had another Saline US and we were cleared to TTC. I had an annovulatory cycle followed by a very long cycle, so we did 50mg clomid, Trigger shot and timed intercourse, that cycle didn’t work so I tried 100mg clomid, Trigger shot of pregnyl and timed intercouse, that cycle was negative do I had an hsg then I took a 4 month break from the RE, after the break she called to check on me, and we decided my husband needed a Sperm analysis. It was fine. We did 100mg of clomid, Trigger shot and timed intercourse and got a BFP. She check 2 betas, and an US at 6w4d, baby did not have a heartbeat. She rechecked US 1 week later baby still did not have a heartbeat. I stopped my progesterone, and she gave me a prescription for cytotec and pain meds to induce the mc if I desired. I miscarried at home naturally and she wrote orders to have to baby genetically tested. Baby had an extra chromosome. We took 5 months off from medicated cycles continued to try on our own. I did 2 more clomid cycles with trigger and timed intercourse, and I am now on my first Femara cycle with a trigger and timed intercourse. Dr. Krause has given us the option of ivf with pgs, donor eggs, or donor embryos, but we have no infertility coverage so she is willing to let us go as little or as much as we want.

Clomid $30, Trigger shot $90, insurance covered US and visits bc of how the coded them. I had to pay my deductabile and 10% after for my hysteroscopy. My HSG was covered bc I had met my deductible. The sperm Analysis was $150.

From the very first appointment that I had with Dr. Krause she made eye contact, sat beside me not in front me, and made an entire written care plan that went from best case scenario to worst case scenario. We immediately started with blood work and she started working on my diagnosis and just like that the care plan was implemented. I have always felt very comfortable telling her the good, bad, and ugly of my emotions, side effects, and both me and my husband's feelings about where we were in the care plan. During the almost two years I've been with Dr. Krause, we have had ups and downs including delays, accidentally dropped very expensive medication, surgery, extremely uncomfortable procedures but all in all I feel most comfortable with her.

This is a funny question because unfortunately I know many women who have difficulties conceiving and I highly recommend Dr. Krauss every time. I explained that I've been to other doctors, and she is the only one that makes me feel relaxed, comfortable and has fought so hard for a diagnosis for me. She's really the whole package! My advice is always for them to find somebody that you're comfortable with, at least have a consultation and you'll know then.

Since I had already started fertility medications with another physician that did not turned out to be successful, Dr. Krause immediately explained her rationale for a different medication and planof attack. I was convinced so we started on femara. She explained that it was not FDA-approved for the route that we were going to be taking, but in her experience had seen a lot of success. She explained that she understood if we were uncomfortable moving forward since it was not FDA-approved. I truly believe she would have altered the plan of care she was not trying to persuade me out of my comfort zone at all. She also ensured she would check for ovulation with ultrasound technique versus blood work which was what I had previously been doing. When after several months of treatments, positive follicle growth, and positive ovulation, she decided to become more invasive with finding out the reason as to why I had not been conceiving. This is when she order the hsg test to check for blocked tubes. In discovering that my right tube was completely blocked we scheduled surgery. The surgery was successful and that my tube is now open, we (myself, her, and my husband) decided that we would try timed intercourse 2 months on our own before we would move to IUI. After two failed rounds of IUI my husband and I decided to take a break. Dr. Krause explained that she thinks that we are good candidates for IVF and during this break we are saving money so we can hopefully afford IVF one day.

All of the costs for specimen cleaning and IUI were relatively appropriate. I was never sucker punched into expensive cost. I remember sitting down with the Financial Coordinator for IVF and walking away kind of surprised that there were so many Financial options and that it was a little cheaper than I thought it was going to be.

Dr. Krause said that she is not comfortable doing more than a 2 Embryo transfer for IVF due to complications that might arise. At first I was a little disappointed because of my age (32) and I have been wanting a baby for many years so I wanted as many babies as I possibly could, as fast as I could. But I understand her success rate is higher with these numbers which means my success rate would be higher if I take her advice and only transfer one or two embryos at a time. When talking with her about all of the options she is very knowledgeable about the latest methods and her comfort level which is refreshing.

After trying to conceive for a year under the guidance of my OB-GYN and knowing there were some irregularities and obstacles, my husband and I took the leap and scheduled an appointment with Fertility and Endocrine Associates. I had a friend that had seen Dr. Homm and had success with their three boys! I remember calling and asking for an appointment with Dr. Homm and I was told his schedule was super packed and it would be quite a while until there was an opening. It turned out that there was a newer doctor who had recently joined the office and her schedule was not quite as full (yet!) and could see us much sooner. I decided, we wanted to get started as soon as possible and Dr. Krause turned out to be unbelievably amazing!!!!! Dr Krause walked us through each procedure and made sure we understood even if we weren’t asking questions. After our loss, she was honestly more emotional than me which allowed me to feel my heartache instead of being tough for the sake of procedures.

Listen. Listen to her ideas and weigh the options. She will always let you decide but she has so much information and insight to share.

We chose to use ovulation medication before we considered IVF. I used letrazol/femera for 6 rounds (months) before IVF was our solution. The ovulation medication was the financially safe way to try controlling some variables.

Louisville Repeodictive was $10,000 Medication was around $3000 And Fertility&Endocrine was $7,000

Dr Krause gave us lots of information on single vs multiple embryo transfers. The embryo I used had a 50 percent chance of working and using another would raise our percent of success to 55 but could also lead to twins. My husband was not a fan of the idea of twins and Dr Krause was sure to be honest about the risks.

The first time we met Dr. Krause I felt that she Was very patient with us. We did not feel rushed and she answered all of our questions. Although we have only completed 3 IUI due to my husbands inability to provide a sample each time due to a spinal cord injury we have waned to try severe more times. Dr. Krause and her office staff was always so understanding when we would call can cancel 30 minuets before our appointment because of this issue and never made us feel like it was our fault even though it was. She would always call and let me know that she was there if we needed anything and that we could change our course of action at any time. Dr. Krause is awesome and I would recommend any of my friends or family to her.

You will love her. She is very personable and she does not act like she knows more than you. You would not know she is a doctor because she talks to you like a friend would and is very passionate about her profession and patients.

On our first visit she discussed our treatment options. She suggested we start with IUI because my lab results was great and nothing indicated differently at this time. The issue we have is my husband has a spinal cord injury and has a low sperm count. We tried IUI without medications and then IUI with medication and still no success at this time.

The cost for iui is expensive and I was able to pay on a month to month basis

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She is intelligent, gifted at her profession, compassionate, and patient. Dr. Krause never talked down to me, was never rushed, and provided wonderful care. I looked forward to my visits because she was always able to calm me while providing me with correct information and realistic expectations. I knew she was great, but after talking to other infertile couples, I learned that not all REs were nearly as wonderful.

Be yourself and ask any question. But really don't they need my advice, she will take care of them.

It is hard to remember all of this. I used Letrozole with an HCG IM trigger shot each of my IUIs and progesterone suppositories to follow. My follicle growth was on track with each. I did a single IVF retrieval and while there was a time I could tell you ever med, it is all a fog now. I did not transfer fresh due to a blood test that sugggested my uterus was not in time with the embryos. I later transferred a single embryo after BC pill suppression, Estrodial, Estrogel, progesterone suppositories and IM. I had a successful pregnancy. Most recent FET was a noncarriage (negative pregnancy test). Will increase estrogen on next cycle to address uterine lining being slightly thinner than preferred.

I think within average. They billed insurance as much as possible. Even though my insurance won't cover infertility they did cover a few services.

Due to my medical condition eSET is the only option. Dr. Krause would not allow anything else as it would put me and children at very high risk.

One thing that I greatly enjoyed about the care given to me by Dr.Krause was her explanation of what I was seeing during the ultrasound. Sure, a patient just sees a grainy image but she pointed out every little thing and if I had a question she was quick to answer and explained it in a way that I could easily understand. It is often that patients get textbook responses to questions and they walk away confused with more questions than they possibly had going in to see their physician. I left the office with little to no questions and I knew exactly what the next steps would be and I also had a good idea of what those steps would entail financially.

Don't be afraid to ask any questions. She thoroughly explains everything if you ask and she will explain it in a way that is easy for you to understand. It is better to be more informed. Something you might feel is a stupid question or something about your medical history that you might consider irrelevant can actually be mind opening!

Initially I saw Dr. Kit Devine and towards the end I was seen by Dr. Miriam Krause. Dr. Kit Devine initially did some bloodwork and ultrasounds and a thorough medical review. I had all of my records sent to them from my OBGYN, Dr. Jacqueline Riely of OBGYN and Associates and from my endocrinologist, Dr. Lohano at Joslin Diabetes Center. We reviewed my condition together, prolactinoma which included blood work, MRIs and more. She developed a plan to start me on Chlomid along with my current dosage of Bromocryptine (this medication prescribed by my endocrinologist works to lower my prolactin level. Normal range is in the teens and my level initially was 385). We tried a couple rounds of this medication along with some other medications which I believe were called Letrozol and femara. I can't recall dosages and instructions for the medications. After attempting two cycles of medication with no signs of ovulation on the pelvic ultrasound they decided to increase the dosage of medication. After my third pelvic ultrasound the findings were the same and there was still no signs of ovulation. It was concluded by Dr. Miriam Krause that the medication was not strong enough to induce ovulation and that I would have the most success moving on to injectables with IUI or IVF.

The pelvic ultrasounds were around $200 and I believe I had 3. My office visits were $22 and I believe I might have been seen around 4 or more times. The only other costs I incurred would have possibly been my consultation fee and my medication although my medication cost would have been from a local pharmacy and not their practice.

After a third unsuccessful attempt with medications I was information for IUI and IVF. I thoroughly reviewed the information given to me and I clearly understood the process. For the medications I was also given a list of a variety of pharmacies so that I could compare costs. I liked that in the explanation of embryo transfer they mentioned that sometimes they have to make the tough call to cancel a cycle if it doesn't appear to be working. They said unfortunately sometimes fertilization and implementation does not occur and they will cancel a cycle and hold a thorough review of that cycle. They review the cycles success and how it progressed so that modifications can be made to the next cycle if need be. It was even mentioned that IVF technology does change and that could even result in changes to a patients treatment.

Dr. Krause is very kind, but doesn't sugarcoat results or treatment plans. She has also never tried to push procedures on us, or put us through unnecessary treatments. This fits our personalities perfectly. We want someone who cares, but is upfront about our chances. She makes sure we leave with the knowledge we need to make decisions correctly for us.

She is compassionate and kind, but presents the facts based on the on the medical information. If you are looking for someone who will always tell you what you want to hear, she is not the doctor for you. She will do what is best for you and recommend treatment options based on your medical history, not pricey procedures.

I had already been under the care of endocrinologists before I saw her, so she had a lot of my medical history before she even saw me. She did some initial bloodwork, and made some changes to my medications based on the results. Because of my medical history, she really wanted to get a look inside to see what was going on. After laproscopic surgery, she gave us treatment options based on what she saw. We could go with IVF, which would give us the highest chance of pregnancy but is costly. Or we could do a few rounds of iui first, which is less expensive and gives us less of a chance of pregnancy. Again, she presented these options on a neutral basis, which left us to make a decision best for us. We chose to do 3 iui cycles, and then re-evaluate. In addition to iui, she also put me on letrozole and hcg trigger shot. The first iui went fine, but I started my period too soon for an unknown reason. The second iui went well, but Dr. Krause added progesterone to prevent premature bleeding. This worked, and we currently have an active pregnancy. It is still early, but she says everything looks great. We are hopeful.

Each iui procedure cost 500, with an additional 125 for semen analysis and prep. My insurance covered office visits and surgical procedures.

Great communicator. Very kind person. She has gone through infertility herself and thus knows how hard and emotional it can be. Her staff can be a little difficult to communicate with sometimes. Some staff members are wonderful, others don't seem to listen to you which leads to some minor and annoying misunderstandings (like not relaying the correct question to the doctor).

Make sure to ask lots of questions. Make sure you have a full understanding of the process and what treatments she thinks is best.

For 4 months we were prescribed Letrozole. I took it days 4-7 of my cycle. Then on day 10 or 11 of my cycle I went into the office for an ovulation check. During this last cycle, I was also given a HCG trigger shot on the same day of the ovulation check to cause ovulation to occur within 24 hours. We were instructed to do timed intercourse, which mean having intercourse once every 24 hours for the next 72 hours.

I don't know her approach.

Dr. Krause really took the time to educate us on all the positives and negatives that can happen with IVF including with genetic testing. She has great bed side manner. She was very compassionate when none of our embryos made it.

Be sure to ask questions...she will give you very honest questions.

We did IVF with embryo genetic testing. We used Gonal-F, Menopur and Ceteotide before the egg retrieval. We decided to go with the genetic testing as I have had recurring pregnancy losses.

$15,000 including genetic testing

She highly recommended single for my age, but we didnt make it to that stage.

Dr. Krause was always at the appointment and throughly explained everything. We could call her anytime day or night if there was a question.

Prepare yourself it is not a quick process. We started this process in March we are now in October and still going through it. It takes time and patience