How was your experience with Robert Greene at Conceptions Reproductive Associates?
I didn't see Dr. Greene as much as I would have liked, but the consultations and treatment plan meetings were very useful. He never seemed rush and always took the time to explain things in detail and answer all of my questions. I always walked away feeling very armed with knowledge about what was next. He was also very responsive to email, but I found his in person responses most thorough. I most appreciated his EXTREMELY thorough understanding of the science and literature behind his treatment plans. He was very up to date on the most recent studies and always had something new to implement to improve his course of action. The one thing I would say that was frustrating about my experience was that Dr. Greene was extremely optimistic to the point where I felt like a freak case/failure when I didn't fall into the great success rates of the clinic. For example, he asked us how many children we would like to have (2-3) and he told us that he was very confident we would have at least 2 babies from one IVF cycle and each embryo transfer was about an 80% success rate. So, when I had 2 PGS tested embryos from round 1 fail, I felt like something was very wrong with me because I wasn't as successful as he made me feel like I would or should be be. On the other hand, in the midst of the treatment, his optimism was helpful and I always left his office excited and enthusiastic about the plan, so the optimism wasn't all bad!
What's one piece of advice would you give a prospective patient of Robert Greene at Conceptions Reproductive Associates?
Know that even if Dr. Greene is very optimistic about the success rates of the clinic, failure does happen. Prepare your questions ahead of time to make sure you are able to remember what to ask in the limited meeting times.
During treatment, were you treated like a number or a human with Robert Greene at Conceptions Reproductive Associates?
Although meets with Dr. Greene were few and far between, he was very warm and kind. He had a clear understanding of our history and how it was influencing our ability to succeed. When another doctor at CCRM dismissed atypical PCOS symptoms, Dr. Greene paid attention to them and had a different treatment plan.
Describe the protocols Robert Greene used in your cycles at Conceptions Reproductive Associates and their degree of success.
2 IUIs with letrazole- he used letrazole instead of clomid because he found better success rates for PCOS patients. (I had 3 failed clomid cycles at CCRM prior to coming to Conceptions).
1st IVF: antagonist protocol with menopur, gonalF, cetrotide, etc. 21 eggs resulting in 2PGS normal embryos.
FET 1: hormone replacement cycle (PIO, estrodial pills and patches, lupron). Intralipid infusion, resulted in chemical pregnancy
FET2: hormone replacement cycle as above with human growth hormone (omnitrope) added, resulted in negative
2nd IVF: antagonist, similar to first with increased doses of menopur and gonal F, added human growth hormone, 19 eggs retrieved, resulted in 5 PGS normal embryos!
ERA biopsy cycle with protocol from FET1, result was pre-receptive
Waiting for FET3
Describe your experience with your nurse at Conceptions Reproductive Associates. (Assigned nurse: Sarah E, Jessica R)
Sarah (egg retrieval nurse) and Jess (embryo transfer nurse) are great and both respond to emails very quickly and efficiently. They have been very compassionate and are continuing to cheer me on after failure. They always answer all of my questions (which is a lot). I have found that finding compassionate nurses in this field is actually quite difficult, so I really appreciate them. The only criticism I have about the nursing team as a whole is that if you need something on the weekend, it's hard to get help. There is an emergency line, but what about non-emergencies? A couple times I left a message with the emergency line but still didn't hear back until the week.
Describe your experience with Conceptions Reproductive Associates.
The clinic clearly has individualized treatment plans and you are not just treated with a blanket protocol. However, it is still easy to feel like a number at times when you don't interact with the Dr. very often at all. However, the nurse care and organization is very thorough. Sometimes it would just be nice to be assured that the Dr. reviewed the plan, etc. It is clear that the clinic is very busy and once you're ready to schedule a FET, tell your nurse immediately as dates can fill up. If you're on top of it, though, everything goes smoothly. It also seems like there is a long wait between egg retrieval and FET because they do hysteroscopy and doppler ultrasound in between. I'm not sure if this time can be shortened at all for people who are anxious to get going. As I stated before, getting help on weekends is quite difficult, but overall if you're on top of it and can anticipate questions/issues you might have before the weekend, things are OK.
Describe the costs associated with your care under Robert Greene at Conceptions Reproductive Associates.
IUIs: <$1000 per cycle if I remember correctly
IVF 1 including 1 FET and PGS testing of all embryos: about $19,500 + $5000+ medications, additional $ for anesthesia, doppler ultrasound, hysteroscopy
FET2: $5100 + about $2500 in medications
IVF2 including 1 FET: about $16,000 + $8000+ medications + $2200 PGS embryo testing and ERA biopsy
Describe Robert Greene's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Conceptions Reproductive Associates.
Dr. Greene was adamant about single embryo transfer and he explained the risk of multiple pregnancies. He also reiterated the clinic's high success rates with single embryo transfers and said the large majority of patients use PGS testing. He did say if we really wanted to have twins, then we could talk and consider transferring 2.