Nancy Durso

The only thing that may be considered a weakness to some is that Dr. Durso can be a bit socially awkward when it comes to small talk or casual conversation. She’s a great listener, though, if you like to chat. Regardless, when it’s time to talk treatment she really knows her stuff and gives you a clear plan and predicted outcomes, and we leave comfortable with every appointment we have with her.

Be open and honest with her. She would’ve stopped us after our 3rd IUI and moved us to IVF but we weren’t comfortable without one more try. She listened to us and gave it a 4th and final attempt. Now we are comfortable moving into IVF with ICSI since our attempts revealed MFI in addition to my PCOS.

Because of my PCOS we had to use Provera to jumpstart the first treatment, as well as Letrazole tablets because previous attempts with Clomid (at my former OBGYN) failed. We did 4 IUIs using Gonal-F and triggering with Ovidrel. I was also placed on progesterone suppositories and Estrace, both taken vaginally. None resulted in pregnancy but male factor infertility was revealed.

We have not yet undergone our first IVF round but I did ask if we would be able to transfer two embryos. Dr. Durso highly recommends only transferring one because it will ultimately be safer for mom and baby.

Dr. Durso is quiet and has a strange demeanor. It may have been because she was leaving VCU, but her personality is a little bizarre and she wasn’t very engaged during treatment. I had high hopes for her after our first consult, but it went downhill after that.

She is straightforward and not a warm and fuzzy type , if you don’t mind such a personality then she would be fine as a physician for you.

Straightforward IVF protocol : Gonal-f, menapur, citrotide, ovidrel, crinone. Stims for 10 Day with one week of BC beforehand.

$11,500 fresh IVF cycle . $700-900 meds total out of pocket without insurance .

Dr. Lucidi did the transfer. Multiple embryos.

I started seeing Dr. Durso after my husband and I weren't having any luck. We didn't know what was wrong, and Dr. Durso was able to figure out that I actually have pretty bad endometriosis. She did a laproscopic surgery, and I thought she did a really good job with that. After doing some research, I learned that the biggest concern with that procedure is the risk that the surgeon could damage your ovaries, or cause some other complication that will affect your fertility. I found that Dr. Durso did a great job, and I really appreciate that. The surgery didn't have any complications, and gave her more info about what was going on with my body. She adjusted my plan after that, and advised that we would almost certainly need to pursue IVF. We did a number of rounds of IUIs. Dr. Durso performed 3 of those, and based on scheduling issues (holidays, weekends), another doctor and a NP at VCU performed the others. We did one cycle of IVF with Dr. Durso. We were able to retrieve a decent number of eggs, but only half of them were mature. Half of those fertilized, and all of the fertilized eggs stopped dividing. This wasn't great, and apparently my eggs might have some problems. I don't think Dr. Durso did a good job talking to us about this. We had already been planning to try more IVF cycles, but she didn't want to change any of the plan. My sense was that she didn't believe that she could get us pregnant. That was the reason we decided to change up and work with someone new.

Write down questions and ask questions. Dr. Durso isn't great about telling you information. But, if you ask her questions, she'll answer them fully. It's more like she just doesn't think about bringing things up on her own. Ask questions about what is going on with you, what she recommends and why, and whether there are other plans that you could try. Make sure that you know the practical things. Also -- make sure that if you're going to do IVF, that she actually puts you on the schedule!

For IUI, we did a few rounds using Femara. Those weren't successful. For the IVF cycle, we did Menopur / Gonal-F, then Ganirilex and HCG trigger shot. This cycle was ok. We got a good number of eggs, although only half of them were mature. Just a note -- I don't have any hormone issues, so I think the above protocol is her "standard".

The costs for each IUI round were around $550 or so. We did the IVF Guarantee program with ICSI, which gives us 6 full cycles for $22,000, and we get a refund if this doesn't result in a baby. We still have to pay $500 for anesthesia for egg retrievals, and we pay for medicine out of pocket. With the VCU pharmacy, meds are around $700.

She is ready for retirement, you can tell she is tired and ready for a break. She is the only doctor at the Fredericksburg location and the level of care shows that. Her nurses make up for it, but you won’t feel like a priority with her.

Do your homework. Know what you want from a treatment cycle and be prepared to push for what you want. Ultimately she only decides the course of treatment and you’ll rarely if ever see her after that.

Lowest dosage of all medications and we quickly had to shift to a higher dose over a weekend which led to a poor retrieval count.

Efficient. Check in, get a blood draw within minutes. There was usually a good 15min wait for the ultrasound but all in all you were there for maybe 30 minutes.

100% covered by insurance

From what I understand, there is no option. They only allow eset

I felt like physician was not qualified to be a fertility physician. Scattered, casual, not serious, did not seem concerned with my feelings about the procedure, did not feel like I was treated like a person, did not feel like I was fully informed, somewhat patronizing, seemed to have a "superiority" complex, seemed unconcerned with my outcome.

Go somewhere else

Do not recall specific breakdown. Approx $5000 for retrieval and implantation. My final round was prepaid then lab destroyed eggs thru negligence and final transfer was canceled with no refund to me for their error.

She was fine. Just no personality, warmth or bedside manner. I liked the small clinic and specifically avoided the region's gigantic fertility machine. Was she as good? Dunno. Her clinic is now diff than where I saw her in 2007

She doesn't talk or explain more than the minimum necessary. Be your own advocate!

Too long ago. Basically standard injections iui. Tried one minimal stimulation Ivf which was unsuccessful. Took a gamble. Not sure if she's even doing that still.

Costs were less than the mega clinics in the area.

No opinion

Dr. Durso is straight forward and very good at breaking down what we need to look for and expect next. She also is open to any suggestions that we may request. Communicating with her is relatively easy and we always get to a solution.

Make sure you take note of all symptoms you have monthly and be sure to know your family history. Also, don’t expect immediate results.

Dr Durso was very good when we were undergoing IUIs, and we did have a child. When we were ready for a second child, we needed to do IVF and chose PGS testing to get our best possible chance for a successful pregnancy. She pushed us into testing on d3 and transferring on d5 and never disclosed that she did not have the equipment to test the embryos on d5. I would not recommend her for IVF treatment based on this experience.

Only use her for IUI, not IVF.

She cared during my miscarriage but the rest of the treatment I barely saw her or she was quick and cold and wasn’t open to hearing us out or our ideas or suggestions the answer was always “this is how we do it here”

Be your own advocate

It was a standard IVF protocol for someone with pics. Start with low doses and slowly work up in dose. She didn’t cater to me and my body which resulted in a lot of my eggs being fried or too mature and so many little ones. We had 53 follicles, 34 eggs and only 26 mature.

She forced us almost into not transferring more than one when we were set on transferring two based on past experience