Generations & University of Wisconsin Hospitals

She was amazingly supportive when I had my miscarriage. She talked me through what to expect and how to handle it. When I was going through subsequent rounds of IUI there was nothing that stuck out as particularly good or bad. I wanted to have another check-in like the first time we sat down, where we discuss my history and prospects but including the in/fertility issues that have come up since that initial consult.

Be sure to ask what happens next, and how this impacts future pregnancies.

The first IUI was completely natural. Used an OTC ovulation predictor kit and 1 vial of donor sperm. I got pregnant but miscarried. Had to wait 1 cycle of natural menstruation before trying again. 2nd IUI we used letrozole on cycle days 3-5, then the same process. Negative result. 3rd IUI we used letrozole but also an injection of ovidrel to trigger ovulation. I got a positive pregnancy test but it was a chemical pregnancy and I menstruated shortly thereafter. They are hesitant to escalate treatment because it is clear my body is capable of getting pregnant, and their rationale is that it just takes more tries to be successful. They did a HgbA1c and prolactin tests after the 3rd IUI which were normal.

I don't recall the specifics. We have a $3000 deductible for our fertility insurance and we didn't meet it in our initial work up for the clinic. Our hysteroscopy cost maybe $300 before insurance, but after was only about $30.

I can't give much info on Christina Broadwell as I mainly saw her for my 1 consultation, 2 ultrasounds out of the 8 at the clinic, and 0 IUI's. During the consultation she was friendly and informative and knowedgable but I'm bothered that she had minimal part in my treatment other than setting the plan. I never got to talk with her when the plan wasn't working or when I had concerns. The nurses did everything in my eyes.

I don't know enough about her but what I can say is even though she is your doctor, most times she won't be actively involved in treating you

10/17/18. Consult 11/25/18. Clomid Ultrasound. Trigger shot 11/27/18 IUI 12/22/18 clomid ultrasound. Tx called off; too high risk. 1/13/19. Ultrasound. Lower dose clomid & Estradiol 1/20/19. Ultrasound. Tx called off; too high risk 2/10/19. Ultrasound. Letrazole lowest dose. 2/17/19. Ultrasound. OPKs and TI 3/31/19. Letrazole alt dose. Ultrasound. Trigger shot 4/3/19. IUI 4/29/19. Letrazole highest dose. 23.5 follicle 6 lining. 5 follicles 10-17 Ultrasound Trigger shot 5/1/19. IUI 7/2019. OPKs and TI at home. Missed ovulation day (anxiety) 8/13/19. Consult at Advanced Reproductive. Second opinion

IUIs were about $700 Ultrasounds were about $250 Meds: Ovijrel injection about $110 Clomid about $25 Letrazole about $10 Consultation over $100 insurance covered Bloodwork insurance covered

N/A

Dr. Stanic is really great at explaining what is happening. Not only with a procedure but leading up to and after the procedure, what is happening with the embryos, how that happens, and what we're looking to see. I felt very prepared with information and knew what to expect. He helped us to understand our chances and why his plan of action for us is what it is.

Come with specific questions. Dr. Stanic really likes to talk and share information but he can go off on tangents. So just come prepared with questions you want answered and don't be afraid to interrupt and ask.

We did IVF with Lupron, Gonal-F, Menopur, and Progesterone Oil. He upped the Gonal-F after the first visit or two because of slow growth from my ovaries.

I have health insurance coverage. I believe one egg retrieval cycle with fresh transfer was approx $11,000. Each FET is $4,000.

Dr. Stanic is a huge proponent of placing one embryo at a time.

Dr. Broadwell is amazing. She is always willing to work with us and move around our treatment plans if needed. When we had a very high amount of follicles, she was great in explaining the chance of multiples and what the risks mat be with them.

Always as questions. Dr. Broadwell is always willing to listen, adjust treatment if its not working and wants you to be completely informed.

After completing our HSG and discovering that I had a very low AMH level, our course of treatment was IUI. We started on 100mg of Clomid and had a good response. Unfortunately that cycle did not end in a pregnancy. For our second cycle, we kept the same treatment plan and only ended up with 1 follicle and a very low lining. For our third cycle we upped the Clomid to 150mg and it was ROUGH. I felt horrible, hot flashes, night sweats, moody-ness and was so nauseated. We were able to get three follicles and a decent lining, but again ended in a negative pregnancy test. The fourth round was better, we switched to Letrozel and had a great response! We had FOUR big fluffy follicles and a great lining. We usually do not trigger same day, but needed to this time. There was less then 24 hours between our trigger and IUI. We think this may have been the reason that the IUI was not successful. We are currently in our TTW for cycle #5. We kept the same treatment as cycle four, but only had one follicle and a decent lining. (over 7mm)

I don't know the exact cost. We are lucky in that my insurance helps pay for some of our treatments.

N/A

Christina is knowledgeable and caring. She works with me as a person and looks at my situation and then is giving a steps to hopefully have a successful pregnancy. She listens to my husband and myself and answers our questions with honesty and compassion.

She is willing to put the time in to make sure your body is right BEFORE she carries through any treatments or transfers.

We decided to do a hysterscope to see how my ovaries look and to check on the cyst that I have had for years! By doing that, it resulted in surgery to remove a few polyps and the cyst, they found that I actually had endometroisis. This surgery probably saved lots of heartbreak and by not doing it years ago (because no other fertility suggested it) created lots of heartbreak. We have also found out that my AMH level is low, so with my age also, we decided to do donor egg. My first round of treatments actually was cancelled because my estrogen levels were off and I had fluid in the cavity area where implantation would happen. I am now on the second round. Hoping all goes well!

We had costs for my surgery (which insurance covered the most). Costs for consultation and general workup, donor egg ($16,000), cost for sending sperm in container to donor egg facility, cost for sperm collection, medication, monthly cost for clinic to store embryos, cost from clinic ($8,000) to prepare embryo for transfer, two hystroscopes ($1,200 each). All out of pocket.

none

Dr cooney was thoughtful. She took our health history, especially mine into her decision to choose an appropriate medication protocol for us. She also understood that this was stressful and difficult

Come with your questions

Birth control orally for one month Lupron daily in the am-10mg After a week or two we had our baseline ultrasound and started menopur(75mg) and gonal f(150mg) also lupron decreases to 5mg. After 10 days we decided to trigger with hcg -10,000 units. We retrieved 16 eggs in which they only fertilized 12, resulting in 2 embryos. We transferred the embryos on day 3, with a negative pregnancy test.

We were seen between 7-830am for monitoring appointments. They felt welcoming however it was like, “ go ahead get undressed and the staff will be in” staff came in, chatted and then did the ultrasound. If you had any questions you could ask them. They were less than 30 min appointments

15-16,000 including meds for 1 treatment cycle

Chose to transfer both

Her approach is very grounded in science, and she appears to keep up with the latest developments. She does not seem keen to jump on board with new approaches unless there is sound science behind them. She manages to be both caring/compassionate and straight-forward. She did not volunteer a lot of commentary beyond the recommended next steps, but she was open to questions and always took them seriously and responded clearly.

Write down your questions and bring them with you, so you don't forget them while meeting with her, and don't be afraid to ask them.

As background, I had surgery for stage 2 endometriosis and I have lowish AMH (0.6-0.9). I started with 4-6 weeks of birth control. Once my cycle started, I was on micro-dose Lupron (10 units twice a day), Follistim (300 units), and Menapur (150 units). I believe the doses were fairly high due to my lower AMH and follical count. My first cycle I had 8 eggs retrieved, had a fresh transfer with a day 5 embryo, no embryos to freeze, and a negative test. Since Dr. Broadwell was happy with my egg response in the first cycle considering my AMH and AFC, there was no change to my medications or dosage for my second cycle, but I did take NeoQ10 for 5 months leading up to it. The NeoQ10 was mentioned by Dr. Broadwell as an option - neither strongly encouraged or discouraged. Second cycle had 17 eggs retrieved, fresh transfer with a day 5 embryo, 3 embryos frozen on day 6, and a positive pregnancy test.

Fortunately we had some insurance help, so it was hard to parse out the original clinic charges with the after-insurance charges, but in general the charges seemed in-line with the estimates on their website.

She included us in the decision but ultimately recommended single embryo transfer to us for both cycles. The pros/cons were discussed.

Dr Cooney shows genuine compassion her patients, even when (or maybe ESPECIALLY when) a patient has been told by a prior doctor to stop trying to conceive altogether. She has a great knowledge of the field, and very openly shared all relevant statistics with us whenever we had a question. She also made us feel like we weren’t a lost cause, and that though the chance wasn’t guaranteed...there was a chance. And now we’re expecting! So we will be forever grateful for Dr. Cooney and the Generations team.

My advice would be don’t be afraid to ask questions. She is extremely knowledgeable, and willing to answer any question to help put you at ease.

Dr Cooney adjusted my protocol slightly to account for improving our odds with the first round. That said, the protocol was relatively standard. The lab allowed our embryos to grow out to day 7, which is when they both went to blastocyst.

The costs for us were a payment package, that included everything up until the pregnancy test. Including the frozen transfer.

At Generations, the doctors and the embryology lab meet as a group on Mondays to discuss all of the embryos created that week, to form a recommendation on how to proceed (implanting 1 or 2). However, this is simply a recommendation. Generally, I believe they recommend one embryo, but in some cases will recommend two. But it’s always your choose how to proceed.

I love having Dr. Stanic-Kostic as my primary. He has demonstrated several times that he won’t leave our appointment until we are comfortable and have asked all our questions. He has brought in studies and data even to help explain and share why certain results may have fluctuated between tests. He is very careful with sharing he different sides to think about without making me feel guilted into picking a certain option. It is a perfect example of sharing data, and advising but leaving the ball in our court. He is very honest based on research which I respect. That said he is very empathic. Ive never felt like a burden with him even when I have hundreds of questions.

Come prepared with your questions and get them to him ahead of time. Prepare to listen and get the answers throughout his explanation vs in numerical order. Also plan for extra time longer than your appointment since he will take time to give extensive answers to help you understand.

We did two rounds of letrozole with IUI and now are going into IVF

IVF package price for cycle one is just under $12,000; excluding medicine which is expected to be $3-6k. Also excludes the embryo cryopreservstion and storage which is $725 was our $58 per month; excludes a frozen sperm backup which is additional $315 plus $33 monthly. IVF round 2 with the frozen embryos is $3,690 with medicine being additional $500-1500. Plus uterine mapping charge of $470. Don’t forget the sperm frozen backup cost if needed and the monthly fees you may still have from left over embryos. IUI was partially covered under our insurance so I can’t remember the cost breakdown.

As far as I can tell, Dr. Broadwell work in a very close partnership with the NP on her team. It’s not totally clear to me whether I’m Dr. Broadwell’s patient or Vickie’s patient. As far as my other doctors are concerned, I’m Dr. Broadwell’s patient and even as far as Generations staff, it’s sometimes confusing. I think Vickie is great and I have always been able to be seen when needed so their practice style works for me. Dr. Broadwell has been very warm and caring through this process. It is incredibly stressful and she’s been able to put be at ease equally in the procedure room and consult room.

Whoever you schedule your assessment with will be the primary provider of your care. Dr. Broadwell takes longer to get into but that may be worth it to you to ensure she is undoubtedly managing your care as opposed to providing consults as needed.

I have completed 1 round of IUI with 5mg of letrozole and an ovadrel shot. My second round is being adjusted to 7.5 mg of letrozole since I was given an extra dose after imaging and before my ovadrel injection. I require progesterone before each cycle to stimulate my period in addition to the cycle meds. There was one ultrasound before insemination but I had the option for a second because my eggs weren’t totally ready. I declined the second ultrasound. Prior to the IUI cycle, Dr. Broadwell performed a hysterogram which resulted in a polypectomy. This was a strongly recommended course of treatment before beginning IUI which I completed.

Several of my visits were billed as office visits and I was only responsible for my copay. The HSG was initially going to be full price but after finding polyps it was billed as diagnostic instead of screening which allowed my insurance to cover most of the cost. For the IUI with imaging, I paid $750. I also paid an additional $125 dollars for the medications.

I said this I the previous questions but she is just so down to earth and personable. Even with being in the medical field, she still treated me like any other person and fully described it all to me.

Come with a list of questions and don’t be afraid to ask. She is receptive to each patient and takes the time to make sure you understand it all.

We had previously done 3 medicated cycles with Clomid and Letrozole at a previous clinic. We switched providers due to insurance and Generations was so accommodating to continuing the same protocol. We moved on to IUI x3 rounds with Letrozole, estrogen supplement, and progesterone supplement. We have unexplained infertility and have been trying to conceive for 2 years

Our insurance covers a lifetime max of $10,000 and 50% of all fertility related needs. We currently have paid for nothing due to insurance denying claims and waiting for them all to be reviewed.

We have not started the protocol and treatment yet for IVF, so unsure regarding single va multiple embryo transfer.

Dr. Broadwell is very upbeat and energetic. She makes sure she is available at every appointment. She is very knowledgeable, but talks to you in a way that you can understand what she is saying. She is great at remembering faces and names and makes you feel extremely comfortable the first time you meet her.

Always follow her direction and reach out to her if you have any questions. She always has a speedy response.

For my FET. We used Lupron (started with 10ml and reduced to 5ml), estradiol patches (started with one and moved up to 4 at a time), and progesterone in oil (1cc). At this point, I have had a positive pregnancy test, just waiting to go in for the first ultrasound. My previous doctor/FET had me using estradiol pills instead of patches, I prefer the patches!

Initial Consult: $600 Uterine Mapping: $470 FET: $3,690 Medications: $700

With a unicornuate uterus (about half the size of a "normal" uterus) it was highly recommended and strongly encouraged that we only transfer one embryo at a time. We were allowed to make the decision for ourselves. After we were provided all the information necessary to make that decision, we agreed to transfer only one embryo.

She was the nicest doctor at Generations, but I didn't feel like I got personal attention from her, I always had to communicate with her via the nurses and often received conflicting information. We scheduled a one-on-one consult to discuss our failed IUI's and other possible testing we could have done but she didn't seem interested in getting us answers, only pushing us to do IVF. I felt like she ignored my husband's high DNA fragmentation test results, and didn't give us any recommendations as to how we could improve his sperm quality. We asked about alternatives to IVF, like low stimulation cycles (mini IVF), and only fertilizing 1 egg at a time but she said they don't do that. We ultimately decided to leave the clinic after I was put on a medication that ended up suppressing my ovulation and messing up my cycle, wasting us a lot of money, time and stress. I just didn't feel like I got a personalized treatment plan.

Make sure you read up on all your options, and also the risk factors of various treatments they might recommend; you won't get any information from her if you don't ask and probe.

I had 5 cycles of letrozole prior to IUI. The first 3 cycles I was it cycle days 3-7, and had 1 mature follicle. Dr. Broadwell increased the length of of the medication to cycle day 2-8, and the next 2 cycles I had 2 mature follicles. She had me trigger with ovidrel each cycle as well. Unfortunately none of those IUI's worked. Dr. Broadwell wanted us to move on to an injectable IUI cycle, with the goal of producing more follicles, but we were very uncomfortable with the idea of having more than 2 follicles, and the risk of high order multiples. Dr. Broadwell seemed less concerned about this, calling it a calculated risk. Since our main diagnosis is MFI, we finally convinced her to try back to back IUI's (2 IUI's 1 day apart in the same cycle). Unfortunately, it did not work. The 6th and last cycle we tried, Dr. Broadwell added estrace to my protocol, but didn't explain why. I finally determined that it was to thicken my uterine lining, but I was never told that my lining was thin during the previous cycles. Unfortunately, the estrace suppressed my follicle growth, and after 2 ultrasounds my cycle was cancelled, and we were told to try timed intercourse. I wasn't told whether I should stop the estrace, I had to call and ask about that. Shortly after stopping I had several days of spotting, and now my cycle has been irregular. No one told me this could be a possible risk of going on estrace, so I was very upset, as I have normally had very regular cycles.

IUI (1 ultrasound + sperm processing and IUI) $750ish per cycle (not including meds... meds were about $160 for letrozole and ovidrel from costco)

Dr. Broadwell prefers single embryo transfer (though we never did IVF)

Dr. Brodwell is very friendly, bubbly, person and easy to talk to. She is very personable and will listen and answer all your questions. I believe it is a lot easier to connect and communicate with a female regarding fertility issues.

To ask for numbers not percentages regarding success rates of ivf cycles and embryo transfers. It will create a lot better picture of the possible outcome

In our case due to my genetic inversion during IVF cycle I was on pretty high dose of hormones to produce the biggest amount of eggs possible.

The IVF Cycle was 13,500 plus cost of drugs which was between 4000-6000 and NGS genetic testing 2400.

Dr. Brodwell preferred eSet versus multiple but the final decision belonged to patient.

Dr. Dan Lebovic was great at making us feel heard. He also did not drag anything out. We got right to the point in finding the best things that would work for us to get pregnant. In addition, he did not sugar coat things. For us, that was good, but I know many people would not like that.

Go in there knowing that he is really there to help you. It is obvious that he is not there for the money. Also, he isn't there to waste time. He told us that if one treatment plan didn't work, we would do it three times and then discuss moving on. We didn't want to wait, so I'm happy we didn't have to. Though, I'm sure he would take it slower if that is what you want.

I had been diagnosed with PCOS prior to seeing Dr. Lebovic. I had done multiple rounds of Clomid with no ovulation. Dr. Lebovic induced a period. Then, I took Femara days 1-10 and deximethasone days 5-9. I had a monitored cycle with a trigger shot of Ovidrel on day 12 or 13. Then, we did timed intercourse. This worked the first time. We were very blessed. We are currently trying to conceive our second child at a different clinic (moved across the country), but they do not typically follow this protocol. I think it is a more aggressive protocol, but it worked well!

We had low costs due to our treatment plan and our insurance.

We went to Generations after a lot of wasted time and money with another clinic. From the time we walked in the door for our first visit, we were treated with respect, and not like just another number. Dr. Stanic-Kostic spent a LONG time just talking to us, asking questions about our history, and explaining everything in great detail. He was very personable and understanding. The main reason we'd left the previous clinic was that they had refused to do ANY testing with either my husband or I, and just continued to put me on very high doses of medication. Dr. Stanic-Kostic agreed that this was not appropriate, and immediately ordered testing for both of us. For me, this included a hysteroscopy and saline sonogram to rule out any fibroids or abnormalities (that came back totally clear). My husband did a semen analysis, which showed only 1% morphology (but a very high overall count and excellent motility). However, with morphology being so low, our chances of becoming pregnant without IUI or IVF were very slim (this is why none of the treatments were successful with the previous clinic). The staff at Generations did a wonderful job of explaining the results to us and then helped us to plan a course of action, which was to include oral meds, injectable meds, and then and IUI. If that didn't work, we would move on to IVF. However, just two weeks later (while we were getting ready to order the injectable meds to start the IUI cycle) I found out I'm pregnant! I'm now 19 weeks along with a healthy baby girl! I truly believe that the hysteroscopy made the difference and that had that been done before, we would have avoided a lot of expense and heartache. I regret that we didn't come to Generations sooner.

Do not hesitate to make an appointment to see him! The only drawback is that he only works there 1 day per week (he's at UW the rest of the time). However, if he is not available, the other doctors in the clinic are, so you are always in good hands. Also, he is often running behind schedule for his appointments, but trust me this is a GOOD thing. It is because he takes as much time as necessary with every patient, and will not leave you until he is sure that you are feeling comfortable and informed. He is absolutely worth the wait.

I had a hysteroscopy and saline infused sonogram, which found no abnormalities. However I believe it was successful in flushing out debris left from my previous miscarriage, as I ended up getting pregnant shortly after the procedure. Had this NOT been successful, the plan was to do a cycle with letrozole and injectable FSH with an ovidrel trigger and IUI. This would have also included a baseline ultrasound on cycle day 3 and a follicle scan. Dr. Stanic is very cautious and will cancel a cycle if there are more than 2 mature follicles.

Due to lack of insurance coverage (the clinic is out of network) we paid 50% up to a $2000 lifetime maximum and 100% for medications. Prices were very comparable to other clinics in the region.

He is straight to the point, which I really appreciated. the clinic works in a rotation setting, so I only saw Dr. Stanic-Kostic a couple of times. But I really enjoyed my time with him when I did visit him. He would always talk through what he was doing and explain each step. He is pretty blunt, so if that's not your style you may want to try to meet with others in the office. After my hysteroscopy he was very forward with making sure I understood that this could take some time and to be ready for the long haul.

ask questions, he has a lot of knowledge and is willing to share!

I was on a 10 day cycle of 5mg of Letrozole. I would take the meds day 3-13. I would come in to be monitored around day 13 to make sure I had a mature folical, then take a Hcg trigger shot to have the egg drop.

While Dr Broadwell was great about explaining what was going to happen, I wasn't always sure about the why, especially as we got close to egg retrieval time as we watched my estrogen levels got higher and higher. Deciding when to trigger was the only part of my treatment that seems to be a mystery to me. Otherwise, I always felt like I knew what was happening, although fertility treatments in general aren't for the faint of hear, I think we must do our own research so we know what questions to ask.

Always ask why (about everything) . She will always happily and patently explain, but won't necessarily offer it up unless you inquire.

I don't know the names for the strategies, and this question makes me question how much I really knew about my own procedures.

$60,000! Whew! (But that also includes the separate costs of drugs and donor sperm) Without those extra costs: 5 IUIs approx. $639 each = 3195 3 IVF cycles $10,800- $12,800 each= $36,000

From the moment we walked in to Generations we knew they were going to help get us answers. Never once did they push our concerns to the side. Dr. Broadwell has a great personality along with a fabulous bed side manner. She knows when it’s time to crack a joke and when it’s time to be concerned and considerate.

She is going to lay it all on the table for you.

Dr. Stanic-Kostic is very attentive to answer any questions you may have and explains the procedures as going along, as well as checking to make sure I am feeling comfortable. His bedside manner is warm and he is never rushed.

Great doctor only downfall is that he only works there 1 day per week. However, if he is not available, the other doctors in the clinic are great, so you are always in good hands.

Dr. Stanic-Kostic preformed my hysteroscopy to determine reason for why our fertility issues. He also did the insemination for 2 of my IUI's cycles.

IUI (1 ultrasound + sperm processing and IUI) $750ish per cycle (not including meds... meds were about $160 for letrozole and ovidrel from costco)

She was always willing to answer my questions fully. I had a lot of them as I was no stranger to the fertility family. I was wanting to try different approaches and she was willing to try them. The result ended up in 3 beautiful babies!

They should definitely ask questions and educate themselves. You are your best advocate. The doctors are there to facilitate, but only you know your body.

There were so many! I tried oral and hybrid cycles. The hybrid cycles were the ones that ended up with 2 babies under Christina Broadwells care.

They are high.

None

She was good at being honest with us which we really appreciated.. I sometimes felt like I didn’t have all the information I needed, but I’m a very anxious over planner so that could be my own issues. At times though I felt pushed through the system, which may be more of a clinic issue than specific to Dr Broadwell.

Make sure to advocate for yourself.

Very nice and understanding, but after speaking with others with one blocked tube, I'm not sure that IUI was ever going to be beneficial to me. I wish they were more realistic about the odds with me. I feel like they should have pushed more towards IVF so we didn't waste money we could have spent on that on the IUIs.

Letrozole CD 3-7, ultrasound on CD10 or 12, trigger shot on night of CD12, IUI morning of CD14.

I think each IUI came out to about $1,000 before insurance

I met with dr. Broadwell to plan the iui- she was very clear on what I needed to do and what to expect. We made the plan and I followed it - my iui was on a Sunday with another dr at generations. I always felt comfortable if I needed to call dr. Broadwell with more questions.

She’s great!

I used letrozole, trigger shot, and iui 36 hours after trigger. It worked on the first try!

My insurance didn’t cover anything so they helped me with codes for some procedures to be completed at my clinic at home. Very helpful!