How was your experience with Samuel Pauli at Boston IVF?
Dr. Pauli has been fantastic. I really appreciate his straightforward manner. He's approach tends to be more conservative and while I have not gotten pregnant yet, I don't think this is a reflection of his clinical skills.
What's one piece of advice would you give a prospective patient of Samuel Pauli at Boston IVF?
Ask lots of questions. Dr. Pauli always seemed willing to answer all my questions and explain his rationale for my treatment plans, and asking questions helped me to understand.
During treatment, were you treated like a number or a human with Samuel Pauli at Boston IVF?
Dr. Pauli has really listened to my concerns, answered my questions compassionately, and was receptive when I asked about alternative transfer protocols.
Describe the protocols Samuel Pauli used in your cycles at Boston IVF and their degree of success.
We did three IUIs with Dr. Pauli using letrozole, which he selected because the academic research indicates women with PCOS tend to respond better to letrozole than clomid. During the first IUI cycle, we started with the lowest dose and incremented up until I was on the highest dose plus dexamethasone.
For our egg retrieval, he had me do an antagonist protocol with Cetrotide. I don't know the rationale for this protocol over others, but I responded will in terms of follicles/mature eggs produced. On retrieval day, we got 21 eggs, 16 mature eggs, 16 fertilized, and 6 embryos frozen on day 5. I did develop mild OHSS.
For the first two frozen embryo transfers, Dr. Pauli had me on a birth control and Lupron down regulation then estrogen in increasing doses before starting progesterone in oil after a lining check. Both transfers resulted in negative betas. We switched to ovulation induction with letrozole and an HCG triggers shot for the third embryo transfer, which resulted in a chemical pregnancy. I stopped responding to letrozole, so we switched back to the original transfer protocol and did an ERA, which showed that I was 1 day pre-receptive and needed an additional 24 hours of progesterone. Our fourth embryo transfer resulted in a missed miscarriage between 6 and 8 weeks. Fifth transfer resulted in a negative beta test.
Describe your experience with your nurse at Boston IVF. (Assigned nurse: Nicki)
Nurse Nicki primarily manages my care, and she has been fantastic. Occasionally, one of the other nurses on Dr. Pauli's team will manage my care and they have also been great. They almost always return my call on the same day if not within an hour or two of leaving a message.
Describe your experience with Boston IVF.
BostonIVF (which merged with IVF NE a couple years ago) is a large fertility clinic, which has advantages and disadvantages. One of the pros is that monitoring and time sensitive procedures (IUIs, retrievals, transfers) happen every day of the week, and with the exception of scheduling consultations with my RE, I'm able to schedule tests/procedures without huge delays/waits. The cons are that care may not be as personalized as it is at smaller clinics with fewer patients.
Describe the costs associated with your care under Samuel Pauli at Boston IVF.
My insurance has covered the majority of my costs.
Describe Samuel Pauli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Boston IVF.
In my situation, he strongly suggested elective single embryo transfers for the first two transfers. After that, he seemed more amenable to doing a multiple embryo transfer if I pushed for that but still recommended single embryo transfers.
What specific things went wrong at Boston IVF?
- Failed to call with results