Paul Dudley

Dr. Dudley has been extremely thorough. He adjusts his education to our needs and questions; sometimes drawing great charts & diagrams, and other times just talking. He always spends a lot of time with us and he seems to really reference the research, which we, as scientists, appreciate. He weighs the pros and cons of each treatment and gives us sound advice. He is very much of a "western medicine" mindset but is open to other treatment options (e.g. acupuncture); he is really candid and detailed but sometimes talks quickly so it's important to ask specific questions and to repeat them as needed. He communicates clearly to his nurses and they have an understanding of the plan moving forward. We also advocated for him to do some of our US and procedures as we got more thorough answers to our questions.

Be yourself and ask every single question you have.

IUI with Letrozole - less side effects with Letrozole, more tolerable and you get a better response. IUI because of our infertility factors - the combination still placed us at higher chances of IUI working. Did this for 2 cycles because of my response and then added Menopur to last IUI cycle to increase the follicle production because didn't have as good of a response as he had hoped. None of these IUI cycles produced a pregnancy so our next step is IVF - rationale being that we are good candidates and have the potential for a positive response.

Each IUI cycle was $650 with fresh sperm. IVF ranges from $13,000-$20,000 without medications.

We are still discussing this but his rationale for a single embryo transfer is that he'd rather us have one healthy child than be a high risk pregnancy with multiples.

Dr. Dudley is good about explaining things so average people can understand it. PCOS is a large umbrella term and he made sure I understood what it mean for me and my body. I don’t as nervous about my first pregnancy and he reassured me it was a very healthy one which made me feel so much better!

Ask all the questions you need too! He will answer anything and everything. If you feel like you don’t know or understand something steps or even reasons for your infertility he does a great job of explaining and letting you take his notes home so you can reread them instead of Having to remember them all.

He started with a basic ultrasound to confirm my eggs were polycystic then he had a series of labs done to check all my hormones and levels. Once those results were in my husband was tested for infertility and we were presented with 2 options IUI or times intercourse while taking letrazole and triggering ovulation with an HCG shot. They preformed an ultrasound days before the trigger shot was administered to ensure my eggs were responding and trigger day changes based on that ultrasound. After three attempts we got a positive pregnancy test!!

It was around 700 each treatment for my husband and myself.

Dr. Dudley isn't the warmest person, but he is knowledgeable and recognized our health concerns and was quick to be reassuring. It would have been nice to have had a bit more contact (just one consultation, no phone calls/emails), but I understand he may be more likely to focus direct contact on IVF patients or patients with more complications.

Don't expect a shoulder to cry on, but you will have a knowledgeable doctor who can clearly explain what to expect out of the process.

Because he couldn't identify anything that stood out as a cause for infertility, he had us do IUIs. We ended up doing 3 non-medicated IUIs (just with Letrozole and Ovidrel) and 1 medicated IUI (with Letrozole, Ovidrel, Menopur, and Prometrium). The medicated IUI was because he thought I had responded well during the non-medicated IUIs, I just wasn't successful in getting pregnant. Still waiting on results from the 4th IUI.

The total amount I've paid out of pocket for 3 non-medicated IUIs and 1 medicated IUI has been approximately $3,000. IUIs themselves are $650 (with a fresh sample). The new patient consult was $250 but it was covered by my insurance. Ultrasounds were $175 but most of that was covered by my insurance.

Unknown.

Dr. Dudley is incredibly knowledgeable and caring. He has gone the extra mile to help us find answers to questions we have had for years. He has also gone out of his way to be at every appointment and performed my D&C when I had a miscarriage, even though he wasn’t scheduled to do surgery that day. He has called me personally to deliver results and has made both my husband and I feel hopeful in some very challenging times. I would choose Dr. Dudley every time and feel so fortunate that we have been under his care.

Be on time for appointments. He is very good at running right on time (huge bonus!).

We initially saw Dr. Dudley to undergo testing for repeat miscarriages. He ran all the pertinent labs, had us complete chromosomal and genetic testing and performed a hysteroscopy to r/o any uterine scarring due to repeat D&Cs and a c-section. We ended up getting pregnant just before we started interventions to get pregnant. Unfortunately, we lost our baby at 10 weeks. The silver lining - we had the best care we could have asked for and have gotten answers to why we lost our most recent child. Because of this, we still feel hopeful that we can conceive again and will definitely be continue working with Dr. Dudley through the rest of our fertility journey.

Between our labs, tests and different procedures, we have already met our out of pocket maximum (>$5,000)

NA

Dr. Dudley is amazing. He has always told us exactly what to expect from our appointments and what numbers he was looking for with our IVF cycles. When I once raised concerns about medications I was taking in relation to how many eggs we would go through surgery for, he took my case to the panel of doctors at SRM and they all discussed my concerns. He told me that if their opinion had been different from his, that his opinion would become that of the collective. His honesty in gaining other's perspectives put my mind at ease and we continued with our cycle. Every time we see Dr Dudley in the clinic, it's like greeting an old friend. He always stands to shake your hand before and after a meeting and his smile puts me at ease, even through many consecutive disappointments. I always felt he was truly fighting his hardest for us. Every cycle.

Make sure you get in to see him. I can't vouch for the other doctors - he is simply amazing.

We did 3 rounds of full IUI. None of them ever worked. Then 3 rounds of just Letrizole to satisfy insurance. Nothing. Moved on to IVF and did a maximum medication stimulation cycle with minimal results. We canceled the cycle. We then did two cycles in succession of minimum stimulation medication. Letrizole, Menopur and Gonal-F. Both cycles were fresh transfers with no results. The extra embryos we didn't transfer were also not good enough quality to freeze, so we lost everything from those two cycles. We took some time off and eventually went back for a third cycle - our last under insurance. We decided on a freeze all min-stim cycle as there was a polyp in my uterus. Dr. Dudley performed my retrieval and polypectomy surgery and it resulted in 4 embryos. We lost one, and froze 3. I began injectable as well as suppositories of progesterone before we went back to transfer 2 which Dr. Dudley performed. Both grew sacs but one never developed. I continued the progesterone injections and suppositories until 12 weeks.We had a live birth in March of 2016 with one more in the freezer.

I went in for monitoring during the morning of my scheduled day. It never felt too rushed. They were always kind and thorough.

Our insurance covered 6 IUI cycles and 3 IVF at 90%. Everything else went onto our HSA card.

We discussed at length transferring more than 2 embryos but Dr. Dudley discussed with us the risks so we decided to transfer 2 on every transfer.

Dr. Dudley is Kind and compassionate. He explains things so we can understand what is happening. He answers all of our questions and even draws simple diagrams to explain how different procedures work with my body. He is candid and will tell you the truth ina professional but realistic way. He works well with nurses, medical assistants and financial planners at the clinic. I trust his ability as a fertility specialist at Seattle Reproductive medicine. He is also timely and rarely is late for an appointment. I like having our conversations in his office rather than a sterile procedure room.

Be prepared for honesty. But in a compassionate way.

Started with letrazole on day three and took until day five. Went in for ultrasound. Follicles looked good each time. Returned the next day for insemination. Did this protocol three times. All Three rounds I did a trigger shot. I think gonal f. All looked good on paper, it just didn’t take. We were prepared for that to happen.

It’s very expensive. We have had to put our IVF on hold to try to figure out how to pay for it. Some procedures were covered by insurance.

Since we are about to start IVF Dr. Dudley mention the possibility of transferring two embryos because of the adenomyosis. I agree with this approach.

Dr. Dudley is competent, caring, and realistic about his patient care. He gave me all of the facts and details that I wanted, and ensured that I understood all of my options and their associated success rates. He is cognizant of the fact that patients are going to spend a significant amount of money on their treatment, and so he recommends a treatment plan that he believes will work for you, and will also fall within your expected expenditures. As SRM's medical director, it's clear that he has clinical experience with all types of cases, and tailors his approach accordingly. I was confident in his care and never doubted that his recommended treatment plans were in my best interest.

Come with your questions, and Dr. Dudley will be able to address them to whatever level of detail you're comfortable with.

I took 5 days of letrozole and 2 doses of menopur in preparation for an IUI. I also had an HSG. My IVF plan included a hysteroscopy and a hybrid IVF cycle, but I ended up conceiving naturally in a failed IUI cycle.

Dr. Dudley is very detailed in his explanations for recommended treatment. There was often I felt so frustrated and sad after not getting the results I was hoping for. I remember at one point breaking down in his office and he was always so great about comforting me and looking for the positives.

To be open and honest about things you are feeling and expecting out of treatment

He recommended a non aggressive approach starting off with IUI treatment, following the negative result we then started IVF treatments. Those were also negative and I have not pursued any additional appointments.

A round of IUI cost about $2500 that included medications I bought from an online pharmacy. IVF treatment was about $16500 that included medications as well. My monthly fee for embryo storage is $40 a month

Dr. Dudley left that decision ultimately up to me, However he did mention two or less would be ideal. I went with two embryo transfer.

Dr. Dudley was great at the first appointment and answered all of our questions. I do sort of feel as if we were treated as a number at the clinic. I never saw him again after that initial visit or received an email, or phone call following our failed iuis. Communication was very low. I did not hear anything from Dr. Dudley himself until after I requested to have my file transferred to a new clinic.

Get more personable.

All three iuis: Letrozole 5mg (2 a day, 5 days) Gonal F Ovidrel Trigger Shot

$700 per iui $40 copay for every ultrasound

Our over-all experience with Dr. Dudley was positive. He's warm, easy to talk to, and positive. He reviewed our records and thought that we could start off by trying IUI and an HSG. During our first visit, we felt no sales pressure to use him or SRM, which was really nice. I saw Dr. Dudley only two times after our initial appointment during three rounds of IUI and an HSG. This might be hard to follow if you're not familiar with thyroid, TSH, and thyroid meds, but here it goes: Dr. Dudley wanted me to drop my thyroid medication dosage because he felt that it was too strong for me. That resulted in my TSH going too high. When I asked for my original prescription dosage from the nurse, she said I shouldn't be on that dosage because it was too strong for me. That left my TSH too high. My endocrinologist, who primarily manages my thyroid, saw that my numbers weren't right and adjusted me back to a higher dose than Dr. Dudley prescribed which lowered my TSH to a good range for pregnancy. My endocrinologist wants the numbers in a good range before conception, so I decided to follow her prescription.

He's a great doctor. You won't feel any pressure from him, so go for it! Manage your thyroid levels with your own endocrinologist.

After an all-clear HSG, we did 3 IUIs. The first IUI was with .25 Letrozole during the first half of my cycle then a trigger shot after an ultrasound to look at follicle size and lining thickness. For the second IUI, they stepped up the original protocol with a day-9 Gonal-F trigger shot and progesterone capsules taken vaginally after the insemination. That resulted in two nice looking follicles but no positive pregnancy test. For the third IUI, we followed the same protocol. BFN. The one thing that bothered me about this clinic is that they only want you to do home pregnancy tests — no blood beta. This was a bit unnerving because taking progesterone vaginally can delay your period but you are supposed to stop taking them if you have a negative home pregnancy test. I'd be left without a period for a few days thinking that maybe the home pregnancy test didn't work or maybe I was one of those women who did produce enough HCG to show up on a pregnancy test. My fear was that somehow I was pregnant and because I stopped taking the progesterone, I would miscarry. I felt like a simple blood test would've given me peace of mind and less stress. I would've happily paid the extra money to do this.

An IUI cycle was $600-800 — not including medication.

I was under the care of another doctor who just happened to retire while I was her patient. During that time, I had my first embryo transfer that resulted in a pregnancy. Sadly, I suffered a miscarriage after finding out there was no heart beat at my ultrasound appointment. I was just a day shy of my 11-week mark. I chose to miscarry at home. I chose not to have a D&C with the fear of uterine preforation. Instead, I used the medication misoprostol to induce the miscarriage. After heaving cramping and extreme tissue loss, our baby presented himself. My husband placed the baby and tissue into an Anora Kit that we had obtained and sent our baby in for testing to see what might have gone wrong. Thus, my follow-up appointment was with Dr. Dudley and I reestablished care with him. Since we live out of state, our appointments are over-the-phone. We happened to speak with him while we were still waiting for results from our miscarriage. Dr. Dudley immediately expressed genuine compassion and made us feel like he really cared about our situation. He seemed disappointed and was very empathetic. Furthermore, Dr. Dudley expedited the results that we were anxiously awaiting. Additionally, Dr. Dudley implemented a new protocol and further testing before beginning another retrieval cycle. He also explained potential risks of starting a new cycle too soon. He talked to the company that completed our PGS testing and had our date extended for another few months. This meant we would not have to pay another base fee for our next retrieval. His assistance made us feel hopeful again! We have since completed another egg retrieval in July of 2108. We have one embryo from that cycle. However, since I am almost 38, we have chosen to complete two more cycles of egg retrievals before a transfer. We shared our concerns with Dr. Dudley and he agreed that by choosing to do this instead of another immediate transfer would definitely help increase our chances of getting pregnant. I definitely do not want to go through what I had just experienced and then not only loose another baby, but be older and have poorer egg quality. Dr. Dudley reminded me that I did have implantation on my first transfer and was positive to point out that is was a good thing! He explained to my husband and I both what to expect during treatment. We are scheduled to have another egg retrieval in a couple of weeks and meet with Dr. Dudley. I am so far very impressed with Dr. Dudley and his professionalism, along with his expertise.

One piece of advice I would give to a prospective patient about Paul Dudley is to not be afraid of asking any kind of question. Dr. Dudley is very knowledgeable and respectful. He communicates effectively and will explain things thoroughly so that you will understand.

After my miscarriage, Dr. Dudley immediately ordered blood tests for genetic thrombophilias, specifically Factor V Leiden, which is a mutation that can increase your chance of developing abnormal blood clots. Moreover, he recommended another blood draw three weeks after the previous one to rule out any antithrombin activity, anti-thyroid antibodies, anti-cardiolipin antibodies, lupus anticoagulant, and beta-2 glycoprotein antibodies. My results for blood clotting and immune panel were negative. Dr. Dudley's treatment strategy was the antagonist protocol for both my egg retrieval in July of 2018 and also the one coming up in a couple of weeks. However, my medication doses are different. For the first retrieval, I was on 450 units of Follistim and 75 units of Menopur. For the upcoming cycle, I am to take 375 units of Follistim and 150 units of Menopur. A blood test is taken on day five as well as day eight for both cycles. I fly from Alaska to Seattle for the day-eight appointment. After arriving in Seattle for monitoring, each appointment is contingent on the one before. I am to be notified when to start my antagonist medication, Ganirelix. In July, I started on day seven with 0.5 mL and continued on until day eleven. I take this medication to prevent ovulation. An ultrasound and blood test determine when to take my trigger injection. With the retrieval in July, I used the medication Lupron and for the upcoming retrieval I am prescribed 10,000 units of Pregnyl for my trigger shot. The rationale for using the Lupron trigger is that it stimulates your own pituitary to release a large amount of LH and FSH. In contrast, the Pregnyl trigger releases hCG, which itself acts like LH and causes ovulation. Dr. Dudley is hoping for better results with the hCG trigger in terms of egg maturation. Only time will tell! With my first cycle with Dr. Dudley I produced six eggs. Only four were mature and two made it to day blastocysts. After biopsying the two embryos and sending them in for preimplantation genetic screening, it was found that one embryo tested normal and the other one has less than 85% chance of harboring abnormality of chromosome 21 (Down syndrome). The plan is to possibly thaw and rebiopsy the embryo with another cycle and send for PGS testing again.

My husband and I are on our second Attain package and have already spent over $30,000. Our upcoming treatment is going to cost $22,000.

Dr. Dudley explained that he would not transfer more than two embryos at time. He did also explain the greater risks of transferring two embryos as opposed to just one. Dr. Dudley explained that any pregnancy has risks, however many risks are greatly increased with twin birth.

Dr. Dudley had a great balance of being straightforward and realistic, while also being very optimistic and positive. We always left realizing that while we had a long road to go, but also feeling that we would get pregnant. He would tell us his personal opinion on what he would do and why, but always empowered us to make the decisions.

Ask lots of questions!

We did a round of femara that resulted in a negative. We then did four rounds of IUI, with femara and injectables, with 4 negatives. Then we moved onto IVF. We did an egg retrieval with ICSI, the embryos were left to develop for 5 days and then all embryos were frozen. Dr. Dudley performed my egg retrieval. I then had a frozen embryo transfer (1 embryo) that another dr. performed. It resulted in a negative. We transferred another frozen embryo (1 again), and it resulted in a pregnancy!

We were lucky and our insurance covered our treatments up to a certain amount. We had co-pays still so it was still pricey, but we were covered. We used up our $15,000 benefit, and probably paid $5-8,000 out of pocket for all of our treatments and drugs.

He feels strongly about eSET, but is willing to transfer two if that's your preference.

Dr Dudley is very clinical/scientific. When I was discussing whether to do a transfer or another egg retrieval, he said, "well, unless you're made of money," I'd say to do a transfer. I thought that was an offensive comment. Also, he was overly confident. He said I had "above average fertility for someone my age." Yet, after 3 IVF cycles, and more than 70 eggs retrieved, he couldn't get me pregnant. He offered no real changes to the protocol, only said "let's keep trying." He also discouraged me from going to other clinics because he said that "all labs are basically the same." I have since learned that this is not the case. I liked Dr Dudley a lot until I had disappointing results.

I would choose a different dr at SRM.

I did the antagonist cycle for a freeze all. Then I did long lupron for fresh transfer. Then (after poor results from fresh transfer), I did antagonist again.

Approx 14K per IVF cycle $3500 for FET

Dr Dudley is a fan of eSET..which I am too

I felt I was very informed and everything was easy to understand. Given the fact there were so many details that go into IVF, I felt confident in all the knowledge that was given to me. I wouldn’t say Dr. Dudley is a personable man but he seemed like a straight shooter and we liked that about him and that is why we went back when we were trying for another child.

He is very good at explaining things but I would say don’t be afraid to ask questions or if you don’t understand

First round- I was under the category of unexplained infertility. But my blood tests, hormones, tests and my husbands sperm count was all normal so my plan was pretty straight forward. On day 4 of my cycle I started bc pills. On day 9 I had OH uterine sounding. Day 24 did injection training and began luteal Lupron. Husband takes Zithromax. Day 28 take last bc. Day 32 suppression check. Day 34 start follistim and menopur. Bloodwork and ultrasounds in between. Day 45 hcg shot. Day 47 egg retrieval. Day 53 embryo transfer. This round resulted a pregnancy and live birth. 2 1/2 years later since everything was so straight forward and all my blood work looked great we did an embryo transfer with no meds and used an opk to test when I ovulated. Then used progesterone. That resulted in no pregnancy. The following cycle we did another round but this time did meds Lupron, Vivelle, and progesterone and that resulted in a pregnancy but ended in a miscarriage.

I think the first round was about $12,000 and of course more costs for meds. Then when we did the 2nd and 3rd rounds were about $3000 each with the 3rd costing more money for meds

Because I have had a previous pregnancy and no history of miscarriages and all our tests were normal for the most part Dr. Dudley recommended we only transfer one embryo because he believed we would have a high chance of twins.

Honestly, I don't really remember much about Dr. Dudley other than it was a positive experience. I always felt listened to and respected. I did not have any fertility issues. I had IUI, and I became pregnant on the 3rd attempt.

I did not have any fertility issues, I was simply using IUI to become a single mother by choice. However, I was 36 years old so there was a possibility that I might not get pregnant right away. It was explained that it might take about 6 attempts and that we would do 3 attempts before using any hormones or other interventions. I got pregnant on the 3rd IUI attempt without any need for any interventions.

I don't recall exactly the costs as it was 6 years ago, but I believe I paid about $1,000 for testing and then about $350 per IUI. I became pregnant on my 3rd IUI

I have recommended Dr Dudley to at least half a dozen of my friends. Not only does he explain his treatment plan to you extremely clearly but he's also very compassionate. I have had other issues with my clinic as far as billing and appointments and have wanted to leave practice. I have never left though because I trust dr. Dudley completely and don't want to end my relationship with him.

If you want a dr that is completely candid with you and be extremely detailed with his explanations than dr. Dudley is perfect for you.

Dr. Dudley is an absolutely amazing doctor. He took the time to understand my concerns, was very compassionate, and was easy to talk to.

He knows what he is doing.

I had 4 IUI cycles with Dr. Dudley. The first was femara+an injectable for one day. That resulted in a miscarriage. The next two were the same protocol but did not result in pregnancies possibly because sperm counts were low. The fourth attempt was injectable only with a new sperm donor and resulted in a live birth.

I am not sure. It was covered by insurance.

Dr Dudley has a very kind bedside manner, he will answer any questions or concerns you have. He was very candid with me when providing my options, which enabled me to choose donor eggs. He was honest and forthright with all information, but delivered it in a compassionate manner.

Go see him, he's very knowledgeable and informed on all of the latest information and techniques.

One mini-stim using low doses of Letrozole and Follistim with Ganirelix (as I had left over from my earlier clinic). One donor cycle with Lupron, Progesterone in Oil.

approximately $12,000 excluding meds for mini-stim IVF cycle approximately $28,000 excluding meds for a frozen donor egg cycle.

It was my first IVF and at the time I had no diminished ovarian reserve, so I was started on a standard long lupron protocol. I think that was the approach any clinic would have taken. Prior to IVF, Dr Dudley performed a laparoscopic surgery to remove my endometriosis. He was supportive of my attempting to TTC after surgery before attempting more aggressive treatment.

Monitoring was an efficient well oiled machine. There were Plante of ultrasound techs and phelbotamists that I never had to wait long

I purchased a multi cycle plan which was about 23,000 for 2 cycle fresh, 2 cycles frozen with icsi

He was very "matter of fact" and knowledgeable. He didn't pressure us to do treatments. He seemed to be realistic with what our outcome was likely to be. He didn't seem very hopeful. He didn't want us to get our hopes up too high.

Feel free to ask questions.

I don't remember exact amounts, but it was out of reach for me.