immediately felt uplifted to be under her [Dr. Bocca's] care. She has a wonderful bed side manner and she is compassionate, yet professional. She explains everything in detail in regards to my care. She encourages you to ask questions and takes her time answering them. I have never left the appointment with any unanswered questions...She explained the lab tests that she was ordering and what results she would be looking for in those tests. She had changed my fertility medication from Clomid to Letrozole and explained in detail that the Letrozole would encourage a thicker uterine lining.
The nursing staff [at Jones Institute for Reproductive Medicine] have always been very friendly, empathetic, and extremely professional. They are always eager to answer any of your questions and concerns. They have always made me feel comfortable and I truly feel like they are the Patient's Advocate... I have called many times with questions and the front desk was always happy to help me. The clinic is always very clean. The waiting area is spacious with comfortable couches and chairs with a TV playing HGTV which we know everyone enjoys, a nice distraction while you wait for your appointment.
How was your experience with Silvina Bocca at Jones Institute for Reproductive Medicine (closed)?
My initial consultation appointment with Dr. Bocca was in August 2018. Before meeting Dr. Bocca, I had felt discouraged. My husband and I have been trying to conceive for 4 years (now going on 5 years) with a history of an ectopic pregnancy that resulted in emergency surgery which later resulted in losing my right fallopian tube. We had also had a biochemical pregnancy while I was on Clomid prescribed by my OBGYN. I was on Clomid for 3 months. After those 3 months, we finally made the decision to schedule an appointment with Dr. Bocca. At the consultation, Dr. Bocca was very friendly, professional, and explained everything in detail. She answered all of our questions and concerns. She explained the lab tests that she was ordering and what results she would be looking for in those tests. She had changed my fertility medication from Clomid to Letrozole and explained in detail that the Letrozole would encourage a thicker uterine lining. She explained that Letrozole would be a better option because of my fibroid history. She also addressed a plan of action on getting a sperm analysis for my husband to rule out male factor infertility. Dr. Bocca recommended IUI for our next plan of action. She gave clear written instructions on the steps for my next upcoming ovulation cycle i.e. making appointments, taking medications, trigger injections. After leaving that first consultation appointment with Dr. Bocca, I felt encouraged and hopeful which I hadn't felt that way in years. My husband and I decided to do our first round with timed intercourse which resulted in a negative pregnancy. After that we proceeded with Dr. Bocca's recommendation of IUI. We have done 2 IUIs so far. My second IUI resulted in another biochemical pregnancy. After my failed IUIs, I had another appointment with Dr.Bocca to discuss the next plan of action. During that appointment, she was very compassionate and was aware that I was feeling grief. She explained to me my blood work results that was done days prior to the appointment. She had explained that it would be beneficial to have a Hysteroscopy to investigate the uterus, fallopian tubes, and ovaries. Along with the Hysteroscopy, she recommended that IVF is our next plan of action. While that was tough news to hear, she delivered that information in a compassionate and gentle manner. She made sure to take the time to answer any of my questions or concerns during that appointment. I am currently scheduled for the Hysteroscopy for next week.
What's one piece of advice would you give a prospective patient of Silvina Bocca at Jones Institute for Reproductive Medicine (closed)?
I would tell the prospective patient of Dr. Bocca to trust the process. It may be a long road ahead, but under her care you will get the answers that you have been searching for. Always ask questions, share your concerns, and remain hopeful. This is Dr. Bocca's profession and she will leave no rock unturned.
During treatment, were you treated like a number or a human with Silvina Bocca at Jones Institute for Reproductive Medicine (closed)?
Upon first meeting Dr. Bocca at my consultation appointment back in August 2018, I immediately felt uplifted to be under her care. She has a wonderful bed side manner and she is compassionate, yet professional. She explains everything in detail in regards to my care. She encourages you to ask questions and takes her time answering them. I have never left the appointment with any unanswered questions.
Describe the protocols Silvina Bocca used in your cycles at Jones Institute for Reproductive Medicine (closed) and their degree of success.
She had changed my fertility medication from Clomid to Letrozole and explained in detail that the Letrozole would encourage a thicker uterine lining. She explained that Letrozole would be a better option because of my fibroid history. She also addressed a plan of action on getting a sperm analysis for my husband to rule out male factor infertility. Dr. Bocca recommended IUI for our next plan of action. She gave clear written instructions on the steps for my next upcoming ovulation cycle. I was instructed to call on cycle day 1 to make an appointment for an ultrasound around cycle day 10. I was also prescribed Letrozole 5mg and to take on cycle day 3 through cycle day 7. On cycle day 10, I would go in for an ultrasound to look at the thickness of the uterine lining and to look at the size of the follicles. If the uterine lining and follicles weren't measuring at certain size , the office would schedule another ultrasound two days later to look at the progress. After the ultrasound, if the uterine lining was thick enough and the follicle growth was at the recommended size; They gave me very clear written timed instructions with the "trigger" Injection which was Ovidrel 0.5mg. She explained that this would trigger the ovaries to release the follicles. Then, I would scheduled an appointment for the IUI. The IUI was performed quickly and easily.During the IUI, the doctor would explain every step that was occurring. After the IUI was performed, I was instructed to lay flat for fifteen minutes after the IUI. Afterwards, I was given clear written instructions to start taking Progesterone 50 mg suppositories at bedtime for 14 days due to low levels of progesterone and the date to take an at home pregnancy test. If the pregnancy test was negative, I was instructed to stop taking the Progesterone. If the pregnancy test was positive, I was to call the office to schedule a BETA lab (Blood work to confirm pregnancy). Sadly, after my second IUI, I had a biochemical pregnancy. After my failed IUIs, I had another appointment with Dr.Bocca to discuss the next plan of action. During that appointment, she was very compassionate and was aware that I was feeling grief. She explained to me my blood work results that was done days prior to the appointment. She had explained that it would be beneficial to have a Hysteroscopy to investigate the uterus, fallopian tubes, and ovaries. Along with the Hysteroscopy, she recommended that IVF is our next plan of action. While that was tough news to hear, she delivered that information in a compassionate and gentle manner. She made sure to take the time to answer any of my questions or concerns during that appointment. I am currently scheduled for the Hysteroscopy for next week.
Describe your experience with the nursing staff at Jones Institute for Reproductive Medicine (closed).
The nursing staff have always been very friendly, empathetic, and extremely professional. They are always eager to answer any of your questions and concerns. They have always made me feel comfortable and I truly feel like they are the Patient's Advocate.
Describe your experience with Jones Institute for Reproductive Medicine (closed).
The clinic and the staff are always very friendly and greet you with a smile. The front desk checks you in immediately and for the most part, I have been seen by the Nurse or Doctor by my appointment time (which is unheard of at doctor offices). If you have any questions, they are always willing to give you the answer or find out the answer. I have called many times with questions and the front desk was always happy to help me. The clinic is always very clean. The waiting area is spacious with comfortable couches and chairs with a TV playing HGTV which we know everyone enjoys, a nice distraction while you wait for your appointment.
Describe the costs associated with your care under Silvina Bocca at Jones Institute for Reproductive Medicine (closed).
The test that were associated with my care included:
Basic semen analysis-$110.00
Day 3 bloodwork (FSH,LH,E2)-$250.00 in house, **Labcorp-$380.00
Cycle Day Ultrasound-$190.00 (done several times, insurance has been covering some costs of the ultrasounds).
Intrauterine Insemination (IUI) with Sperm wash-$255.00 (IUI), $240.00 (sperm wash) **Have done this twice**
Semen/Sperm Cryopreservation- $450.00 with $35.00 process with IUI preparation.
Medications:
Ovidrel Injection-$ 175.00 **Have filled prescription 3 times**
Progeresterone suppositories (14 day supply) - $20.00 **Have filled prescription 3 times**
Letrozole 5mg (cycle day 3-cycle 7)-$20.00 **Have filled prescription 3 times**
An estimation of my current costs are between $3,000.00 to $4,000.00 as of 2/12/2019.
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Clinic
Jones Institute for Reproductive Medicine (closed)
Norfolk