Baystate Reproductive Medicine

Dr. Wiczyk is a tell-it-like-it-is kind of doctor, but in a process that is emotionally and physically draining, I found that refreshing. Thanks to her I went into the process with hope, but realistic expectations. From day 1 she recommended that we consider donor eggs but didn't push us in that direction. She answered all of our questions thoroughly and when she felt she had exhausted the options for treatment using my own eggs, she referred us to a top specialist. In the end, we decided to continue our treatment with her using donor eggs.

Be prepared not to have things sugar coated. It's a good thing, trust me!

My first protocol was a microdose lupron protocol, which is what they use for woman expected to be poor responders. This wasn't wildly successful, we got two eggs and one resulted in a good blast and a transfer, which didn't take. She decided to mix it up for round two and I did the patch protocol with the addition of HGH. This cycle was a disappointment resulted in two more eggs, but none survived for transfer. My third protocol, which was the most successful, was back to the microdose lupron with the addition of HGH and we got 7 eggs, three of which made it to blast. We transfered 2 fresh and 1 frozen. None of these resulted in pregnancy. I did not have any genetic testing done on any of the embryos.

It was very easy to get in and out. I usually showed up right when the opened so I was first on the list. There was one ultrasound technician who was more gentle than the other, but everyone was kind and efficient.

I am lucky that my IVF cycles were covered by insurance. The only out of pocket costs I incurred were co-payments, storage fees and HGH was not covered because it was considered experimental by the insurance company. This was about $1,000 per round. I am currently in the middle of a donor cycle, which is not covered by insurance because of my age, but the meds are. I have paid $15,000 for a frozen egg cohort from Fairfax Egg Bank, which is their partner organization and I anticipate about $10-12K in expenses for the procedures.

We had so few embryos available to us that we didn't have much discussion of this, but we did decide to transfer two fresh embryos, which was recommended for someone my age.

Dr.D helped me feel great about my decision to reverse my tubal ligation. She gave me all the information I could use to decide between surgery and IVF. She is kind and helpful. She has made me feel comfortable and confident in this whole process. I am very grateful to have found her and have her on my team.

Don’t put too much pressure on your self you will get to where your supposed to be in your Journey, and with Dr. Delaney you are in great hands.

My treatment started with a preoperative visit on March 16, 2021 at 9:40 in the morning. Then on March 30, 2021 at 7:30 I received a Tubal Reanastomosis mini laparotomy. The surgery took about 3 hours. I also had an HSG on December 20 2021, which reveal that the surgery was successful on the left side the right tube was not intact. I began Clomid in February 2022, two pills a day for 5 days. In March 2022, I tried Clomid again this time three pills a day for five days. Both times I was instructed to test for ovulation and have sex every other day and report my day one if I got my period and repeat process if I had a day one.

My surgery was the most costly part of my procedures. The cost was $10,587.00. Now for my Clomid I pay $38 per round.

Dr. Sites was pleasant and knowledgeable. She reviewed all of our previous tests results with us and explained why she was ordering more or re-doing some. She was understanding and gave me a few moments to compose myself after I had been told IVF was the best option (I had gone in thinking IUI). My only complaint is that I felt like she wasn’t the best communicator, specifically towards the end of appointments. It seemed like my husband and I were always left hanging a bit only being given a “call the nurses this day.” But we never really knew what was coming next. It felt a bit awkward because it seemed like that was her way of saying goodbye. Other than that, my experience with her was fine. I felt very lucky that she was the one to do my egg retrieval and embryo transfer, although it really seems to be up to chance there.

When telling patients to call the IVF nurses on a certain day, explain to them what to expect from the conversation. Ex: Call the nurses this day, tell them it’s this cycle day and they will set up your calendar and send you an information packet. (Because I had no clue when I’d be getting medication information and instructions and I like to be prepared.)

I was put on the microdose lupron flare protocol, as I was expected to be a poor responder due to DOR. I started with 10 units of microdose lupron twice per day for two days. Then added 225 units of gonal-f twice per day while continuing the lupron. I was on gonal-f for 10 days (lupron for 12) before triggering with ovidrel. 11 eggs were retrieved, 6 fertilized, 1 perfect embryo was transferred on day 5 and 1 embryo was frozen on day 6. I was put on vaginal progesterone 3x daily and estrogen patches from the day after retrieval to 6w3d (first scan-saw the heartbeat).

My IVF cycle was covered by insurance so I only had to pay my deductible. The medications were also covered so I only had to pay a co-pay on each. However, the binder I was given did list the out-of-pocket price as $9,000 for monitoring, egg retrieval, and transfer. ICSI, genetic testing, and embryo freezing and storage were all additional fees.

My insurance only covered single embryo transfers, so that’s what we went for. That being said, Dr. Sites said she also recommended a single transfer for us given my age (27) and history (no previous pregnancies, no losses).

Dr. Sites is very thorough and I found it refreshing that she could "give us a number" on our odds of success. When I asked specific questions, she gave easy to understand answers. She has good bedside manner in that she clearly cares but she's not overtly warm. She was generous with me when I miscarried.

Ask questions because she has good answers.

Dr. Sites told us at our consult that she expected IVF with ICSI to work the first time and if not the first, then the second. We had a successful singleton pregnancy after the third frozen transfer. Our diagnosis was male factor infertility; I was prescribed the luteal lupron protocol for the retrieval. After the retrieval, I was scheduled for a fresh transfer but I experienced moderate OHSS symptoms and was encouraged by the nurses to do a frozen transfer instead after they saw me in the office. The first frozen transfer resulted in a miscarriage at seven weeks. The embryo was tested after the miscarriage and it was genetically normal. After I completed recovery from the miscarriage and before the second frozen transfer, my uterus was biopsied and I was told I had an infection; it was treated with oral antibiotics. I asked why my uterus was not biopsied prior to the transfer and Dr. Sites said that is not done when they're expecting everything to go right. For the second frozen transfer, I switched to intramuscular shots of progesterone rather than the vaginal suppositories. Dr. Sites explained that the intramuscular shots are considered by some REs to be the "gold standard" but that she considered the suppositories to have similar results to the shots. After the second frozen transfer resulted in a chemical pregnancy, Dr. Sites recommended implanting two embryos; I am told this is standard operating procedure after 2 failed transfers. After this second failure, we reached out to another RE (Dr. Howe) for a second opinion. Dr. Howe encouraged us to stay at our clinic because we had frozen embryos already and each lab has their own procedures for how they're frozen/unfrozen and it's best to stick with that lab. My husband and I decided to another transfer at Baystate and only transfer 1 embryo; that third time was successful.

Because I went at the earliest possible time, I rarely had to wait longer than 10 minutes.

Because the Commonwealth requires insurance companies to cover IVF, we just had to meet our deductible which I believe was $2,000 at the time. We continue to pay for embryo storage at Baystate $52/month.

Dr Lunch cares about her patients and genuinely seems interested in their outcomes. She thoroughly explains what to expect. One time I felt very rushed through an appointment, but all other interactions were very good.

You can explain Dr Lynch to treat you with respect and care about your treatment.

For several cycles I used Clomid then switched to Letrazole while using ovulation testing. We did this because my husband and I weren’t ready for anything else yet. Next we did 3 IUIs with Letrozole. The last one resulted in a chemical pregnancy. We then moved onto IVF with ICSI. The first month I used an ovulation prediction kit. 10 days after the surge, I applied a Vivelle patch (3 patches and changed them every other day). 11 days after the surge, I started Ganirelix (for 3 days). For month 2, I came in on day 2 of my cycle for baseline blood test and US. I started Menopur (4 vials). That day we both started antibiotics also (for 7 days). Gonal f was started that night. On day 6, another US, then started Ganirelix. I had to go in one week on Monday, Wednesday, Friday, Saturday, and Sunday as they monitored the growth of my follicles (which were a bit slow to grow), along with bloodwork each time. Then Ovidrel and egg retrieval 2 days later. We had planned to transfer 2 embryos, due to my age, but were down to only one healthy one, so it was transferred on day 5. This didn’t result in a pregnancy.

You have to be there between 7:30-9 am for an ultrasound and lab work. It’s first come first served, so sometimes it was quick and other days took longer.

Each IUI was ~$600 plus medication costs. Our IVF wasn’t terribly expensive because I had already reached my annual deductible. $60 copay, ~$600 for meds. Now that a new year has started, it’ll be $1,200 for deductible, plus meds, plus copays.

It seems it would have made sense to transfer 2 embryos, if we had them, given my age and poor egg quality.

My experience with Dr. Lynch has been a great experience so far. She has taken the time to listen to me and help me figure out what's best for me to start my family. Dr. L:ynch is straight to the point but not rude and never seems inconvenienced when I have questions. Although a busy doctor when sitting and talking with Dr. Lynch she makes you feel like your her number one priority.

Go in with an open mind and any questions you have. Questions are good and Dr. Lynch always answers them even if it's something you might now want to hear she always gives you lots of options and doesn't make you feel like your making the wrong decision.

The treatments, medications and protocols we decided to use was based on my pcos diagnosis. My main problem I had was ovulating on my own so my first round of medications we started with was 5 mg of letrozole and timed intercourse. With no success of getting pregnant after a few cycles of that we upped my dose and started 7.5 mg of letrozole, hcg trigger shot and our first round of IUI. I had gotten pregnant after our first round of IUI but later miscarried. Although I was in fact ovulating with the medications getting pregnant after the first time seemed to be a lot harder. I did a few more rounds of the 7.5 mg letrozole, hcg trigger shot and IUI and added progesterone suppository with no success. I did take breaks in between medicated cycles and did ovulate on my own and did timed intercourse but no pregnancies.

Since I'm self pay with everything it is very expensive. Ultrasounds are $300, IUI $500 and just visits were $150 if I can remember correctly. Hcg shot was $118 but most of medications(letrozole, progesterone suppositories etc.) were covered or only a few dollars. We start IVF soon and haven't gone over those cost yet but last time I talked with one of the nurses they said it had actually went up the medications range from $600-$700 and the retrieval and other procedures for IVF are starting at $9,000

The percentage of multiples with multiple embryo transfer is my concern as well as Dr. Lynch's plus high risk pregnancies and high risk deliveries

Dr Lynch is very smart and I have had a great experience so far. She understands that I am trying to be very aggressive and I don't want to delay any new treatments or strategy, and she is helping me move forward from my most recent loss. I feel like I am in good hands with her and she will help solve my unexplained RPL.

I would say to go to her because she is a great doctor who listens to all your concerns and follows up quickly.

So far I have had a $500 initial consult with the doctor. All my ultrasounds have cost $200. I have high deductible insurance so it hasn't covered anything yet.

Very nice, straight forward, and answered questions. Not the most personable doctor you will meet. Sometimes felt like I had to ask more questions to get all the information I wanted rather than her explaining everything.

Ask questions.

I can’t remember. The protocol before the egg retrieval. Dr Sites was on top of my condition which requires surgery before egg retrieval and one before the frozen transfer to optimize success.

Well oiled machine. Wait times weee not long for ultrasounds that occurred 8-10 every morning.

I don’t remember.

I agree with her that single embryo transfer is the way to go unlessnover the age of 35. If you are over that age you have the option for a multiple embryo transfer. She will also base it on your history. It is great that she is open minded for others based on age and history.

She was honest about what treatment would likely and would not likely work for us. She was aggressive in treatment but not too aggressive. She listened to our concerns and provided answers to most of our questions (We're diagnosed as unexplained so there simply are not answers for everything). She knows her stuff and is confident in the information she provides and her treatment recommendations.

Go talk with her.

IVF Down regulation, control cycle with bc pills for 3 weeks Started 10IU of Lupron on day 18 After day 3 US, reduced Lupron to 5IU and mixed in 300IU Follistim and 175IU Menopur (this was not for a set period of time; time on the meds differs by response). I took these for about 10 days 9 follicles, 6 were eggs. All 6 fertilized. 4 were ready on day 5 and 2 were ready on day 6. Transfered 1 fresh on day 5. It stuck but only in week 5 so far.

They are a well oiled machine. The facility has a lab downstairs for blood draws. The staff there are very friendly and fast. Then you sign in at the office upstairs and wait for an US. I think the longest I waited was 45 minutes but I got there toward the end of open hours.

There was a mix up with my insurance. My primary insurance doesn't cover IVF but we purchased a secondary plan through my spouse's employer that does. They had his insurance as the primary and mine as secondary which is wrong and making the claims reps at the insurance company cranky. They fixed the order in their system but I have yet to be charged for anything (not even copays) so we'll see how that works out.

For my age (31), she highly discouraged multiple transfers. They only do day 5 embryos and the lab is very good. They have decient success rates so the they focus on counseling patients about health of the baby and risks with multiples.

She explained everything so we completely understood what we were doing and why. Even when we were frustrated, she’d reassure us that we would get pregnant and we just had to try the next step. Very compassionate

Trust her. She knows what she’s doing

There’s a time in the morning for that. Took a little getting used to but ended up working out fine

Dr.Lynch was good with me and assisted with helping me to conceive. A drawback that I have is that I wish I saw her more often than not as well as i wish I could have had more access to her via email or if I had a question.

Arrive on time and follow all Dr.Lynchs instructions the best you can.

I don’t recall all of them at this time but I know I began with Clomid, then moved to IUI’s with no success. Then ended with IVF

Monitoring appointments are first thing in the morning. You arrive and sign in, then you wait 5 minutes or less and you’ll be seen... Women arrive every 10 minutes but since you don’t need an appointment time they just give you a date it’s imperative you arrive early.

Paying for medications For cycles ,hospital co-payments, and out of pocket expenses for products and services related to treatment such as acupuncture therapy.

Based on my Age my doctor recommended 1 embryo transfer for both cycles

Our experience with Dr Lynch has been excellent. While she is often behind schedule, we usually wait approximately an hour after our scheduled appointment, she takes the time with us each visit to be sure we are fully informed and that all of our questions and concerns are addressed.

After our consult we had bloodwork, semen analysis, and HSG we moved directly to IVF with ICSI due to male factor. Our stim cycle used lupron and menopur. We had 20 eggs retrieved, 4 embryos went to freeze. During the stim cycle the ultrasound tech noticed a uterine fibroid and Dr Lynch suggested we do a freeze all and then have a SHG and potential hysteroscopy.

The clinic seems to advocate for eSET, but fully reviews a couple's options and the benefits and risks to both options.

Knowledgable, gentle mannered, accessible, covered all important information, answered my questions, accepting of diversity. I have recommended her to others. I did not like her discussion of terminating multiples.

Do your homework and come prepared with questions.

Medicated IUI cycles to better predict ovulation. Femera instead of clomid to reduce chamce of multiples

$4,000 for three cycles

Not applicable.

We first met with a resident, which I had not been expecting. The resident was kind and asked us additional questions about some of our health history before all of us met with Dr. Sites. Dr. Sites was warm, friendly and matter of fact. She presented a course of treatment, explained the process and the steps that would need to happen prior to starting the process. She was patient, and did not seem to be in any rush. She did not present any aspect of her course of treatment in terms of options, in that we could do any aspect one way, or another way--she only presented a standard plan. When we asked about another option, she was slightly dismissive and stated that it would likely not be necessary in our case. She was thorough in her explanation of why we would not need to pursue this (we had asked about PGS). This was the only time she was slightly curt with us. She laid out next steps clearly and offered us resources to pursue as we waited to be able to take those next steps. She also laid out a standard pricing structure for a cycle, not including medications.

We are very early on in the process, but I did have the sense that you might need to advocate for yourselves. I am not sure how willing she would be to deviate from standard protocols. Again, in our case there does not seem to be a reason, but when I asked about fresh vs frozen transfer and PGS/PGD (the clinic almost always does fresh, and rarely does screening without strong evidence to support the need), she did not give the impression that she was open to either.

We were quoted around 9,000 for one cycle of IVF including ICSI, which did not include medications (additional 2-4k), any diagnostic testing/imaging that would need to be done prior, or any procedure (maybe another 1k) my husband would need to get a sperm sample (1.5-3k quoted estimate)

I believe this clinic generally only performs single transfers, but we did not go over this, and after the appointment we regretted not asking/hearing about this, because we wanted to pursue the possibility of implanting two.

She explains everything clearly, answers any and all questions, and has a very kind and calm demeanor which is appreciated during what can be a stressful process. I’ve never felt rushed during any of my appointments with her, and she shows real concern for the comfort of myself and I’m sure other patients.

Don’t worry or stress because you will be well taken care of!

I am using clomid and a trigger to provide some control over timing as my cycles aren’t totally regular. And I am using IUI because based on age and tests there is no reason to suspect any fertility issues at this point. My first attempt was not successful, and I am in the midst of a second attempt, currently taking clomid.

Much has been covered by insurance, but I’ve been responsible for copays (prescriptions), the sperm, and all sperm-related fees (thaw, storage, etc.)

N/A

Dr. Lynch was very compassionate. She went over everything from diet to vitamins and medication. She gave us the time we deserved and so desperately wanted. Both my husband and I went to every appointment together and she spoke to both of us equally. His questions and comments were as important as my own. She had a great bedside manner. Never once did I feel like this wouldn't work.

Don't expect your appointment to be on time. They are very busy.

My insurance dictated the order in which we needed to do things but we had some wiggle room. She gave us the option of how aggressive we wanted to be. We started off slow and let me dictate what we wanted to move on to next when something didn't work. We did timed intercourse the first month. Then moved up to medicated timed intercourse. Then moved up to medicated/monitored timed intercourse the next month finally moving up to Medicated IUI the third month. Before going into treatment I didn't have any strong opinions on how aggressive I wanted to be. Once we actually started appointments I didn't want to wait any longer. When something didn't work we moved on to the next step(that was allowed by insurance) Dr. Lynch was very accommodating to our approach.

Everything was billed through the insurance which my insurance covered. I was only responsible for copays

I was able to get my labs done prior to visiting, and had an ultrasound at the clinic. After that we met with Dr. Sites and she gave us the Diagnosis of LOR. she suggested a test to check my tubes (one of which turned out to be blocked). She then said our first course of action would be IUI (due to our insurance requirements). She explained everything well and we were satisfied. But that was i believe the only time we saw her. After that it was only nurses and US techs.

Be your own advocate. She can be a bit old school. If you think you want Progesterone for your cycle. Ask for it!

Clomid for the first round. trigger shot and IUI after 36 hours. This one failed. Switched to Letrozol, did not trigger since this was on our blocked side. Letrozol again, triggered and IUI after 36 hours. Failed. After this we requested her office send a letter asking for us to start IVF.

Our insurance covered most of our treatments about 20% was left up to us.

She was compassionate during this difficult process, which was very appreciated. She was informative, but still kind. Never did she make us feel fearful about the process. When she could not be part of a procedure, she assured us that we were in good hands. She was on hand to celebrate our success as well, which was amazing.

Ask questions! This is definitely not the time to be shy. There are no stupid questions. She is more than willing to answer anything that you may ask, and quell any fears you have. The more educated you are, the less scary this process seems.

My insurance required 3 IUI’s before IVF. Those were all unsuccessful for me. Because of my PCOS, she used a low dosage of fertility meds for our first round of IVF. That only produced 8 eggs, but 2 of my embryos were very high quality. We did a 3 day transfer, as all 4 of my embryos were unsure to make it to day 5. We implanted one high quality embryo, but nothing else made it to freeze.

My insurance covered most of the cost of my IVF process. I paid a copay when I went for visits, but I paid only $500 for the cycle.

She left that decision up to us. Since two of our embryos were high quality, we only transferred one.

She was patient and supportive and hopeful! she spoke to me like a person and was so excited to participate in helping us become pregnant. The staff of nurses and ultrasound techs, everyone was absolutely wonderful and made this difficult process so much easier

Do your research and come with questions - she is happy to answer them. Don't hold back, the more you share with her, the easier it is for her to help you

The ultrasound techs were the best....I feel like they are dealing with us at our most vulnerable and they were always so patient and kind

The majority of my care was covered by my health insurance...once i hit my deductible, that was about it

She was so helpful and informative. She took the time to explain everything in great depth and answer all our questions. She allowed us to make our own informed decisions about treatment.

I think she is a great doctor who really cares about her patients she answers all questions truthfully and honestly. She doesn't rush appointments and is easy to understand. She cares for her patients and doubles check you understand before leaving.

To be hopeful

It is first come first serve 7:30am to 9am

She leaned towards doing one verses two because of my age but was open to doing 2