This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
[Dr. Abigail Mancuso] was very patient and kind, she let us talk and ask questions....went through the entire process from start to finish...do a mock cycle to see if they can get my uterine lining thick enough for transfer...never gave me the feeling that we should lose hope, but just start on plan B
[U of Iowa Center for Advanced Reproductive Care] are positive, answer your questions and provide information...were warm and welcoming...frustrating but is really out of their hands is how far out they schedule...is clean, the people are really nice, and I never have felt uncomfortable there.
How was your experience with Abigail Mancuso at U of Iowa Center for Advanced Reproductive Care?
She was very patient and kind, she let us talk and ask questions. She went through the entire process from start to finish (egg donor companies they work with, my personal history, the results from the last transfers we had attempted, the plan of action going forward, billing). She also seemed very knowledgeable and I like that she knew about my rare autoimmune disease(s). I felt really comfortable with her and wasn't anxious about asking questions.
What's one piece of advice would you give a prospective patient of Abigail Mancuso at U of Iowa Center for Advanced Reproductive Care?
Schedule well ahead of time as she books out pretty far.
During treatment, were you treated like a number or a human with Abigail Mancuso at U of Iowa Center for Advanced Reproductive Care?
She took the time to review my previous history WITH my husband and I, explain results the previous clinic we worked with didn't review with us (ex: how thin my lining was) and then put together a plan for mock cycles, before we paid for anything, to make sure we could get the result we wanted (thick lining for embryo transfer). She was also familiar with my rare autoimmune disease which was really impressive to my husband and I. She took time to answer questions and never once made us feel rushed.
Describe the protocols Abigail Mancuso used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
Her course of action for myself was to do a mock cycle to see if they can get my uterine lining thick enough for transfer because apparently that was an issue the last couple of transfers I had. She had me start on estradiol orally and vaginally then come in for a lining check. When that didn't get us the results we wanted, she had me start on estrogen injections. She never gave me the feeling that we should lose hope, but just start on plan B. The process so far has been night and day different (in the BEST way) compared to the other clinic we worked with. They are positive, answer your questions and provide information we otherwise had to beg for at the other clinic.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
They were warm and welcoming. It's like they know how intimidating and scary the process is. They explained everything very thoroughly and never made me feel 'alone' when I was getting testing done. I was never scared to ask questions or for clarification on things. I enjoy working with them.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The only thing that's frustrating but is really out of their hands is how far out they schedule. We had our first appointment scheduled at the beginning of August but had to reschedule because we had Covid. We weren't able to get in again until October 31 which was really hard, especially since this process is so long anyway. But again - out of their hands. Overall, the clinic is clean, the people are really nice, and I never have felt uncomfortable there.
Describe the costs associated with your care under Abigail Mancuso at U of Iowa Center for Advanced Reproductive Care.
My insurance doesn't cover any infertility, so the cost is expensive. I believe with the donor eggs for a fresh cycle/transfer/etc. it was around 26k. We are still the middle of the process.
Describe Abigail Mancuso's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
Her approach at first would be to do a single transfer vs. multiple because of my underlying health conditions and not putting too much stress on my body. Although that's not what I want, I appreciate her insight because she's protecting my health. If I continue to have losses, we will revisit. She never completely ruled it out but more that we'd revisit later if needed.
After a difficult cycle, Dr. Mancuso called me personally and initiated the conversation by asking how I was feeling. She discussed next steps with me, letting me know that she fully supports whatever I choose to do. She has maintained optimism through this process, especially when it’s been hard for me to evaluate the bigger picture...She is compassionate. She is realistic but also maintains an optimistic outlook on the process. She presents all options to us, gives her expert opinion and makes sure we know that she will support whatever course we choose.
[U of Iowa Center for Advanced Reproductive Care] Strengths: Very responsive to portal messages. They work quickly to coordinate treatments/get procedures on the schedule. They have a financial advisor that keeps track of benefits/gives recommendations on how to navigate your fertility benefits/costs of IVF, etc. Weaknesses: While mental health services are available through the clinic (description included on website), they don’t discuss them in person at your initial/follow-up appointments which I think would be helpful.
How was your experience with Abigail Mancuso at U of Iowa Center for Advanced Reproductive Care?
Dr. Mancuso is always very patient with my husband and I. She answers all the questions we have fully. She is compassionate. She is realistic but also maintains an optimistic outlook on the process. She presents all options to us, gives her expert opinion and makes sure we know that she will support whatever course we choose.
What's one piece of advice would you give a prospective patient of Abigail Mancuso at U of Iowa Center for Advanced Reproductive Care?
Write down any questions you may have in advance to help guide the appointment/tailor it to what you need.
During treatment, were you treated like a number or a human with Abigail Mancuso at U of Iowa Center for Advanced Reproductive Care?
After a difficult cycle, Dr. Mancuso called me personally and initiated the conversation by asking how I was feeling. She discussed next steps with me, letting me know that she fully supports whatever I choose to do. She has maintained optimism through this process, especially when it’s been hard for me to evaluate the bigger picture.
Describe the protocols Abigail Mancuso used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
1. Long Agonist Protocol (OCP, Leuprolide, Follistim, Menopur, Pregynl) was used initially given suspected endometriosis. ICSI utilized. This yielded 5 eggs; 5 of which fertilized normally with maturation of 2 blasts/embryos.
2. Short Antagonist Protocol (Follistim, Menopur, Ganirelix, Pregynl) was used the second round. It was not felt that I had DOR after the first round but was felt that it might have been a little too suppressive. Hence the adjustment to the shorter antagonist protocol. ICSI utilized. This yielded 9 eggs, 5 of which fertilized normally with maturation of 2 blasts/embryos.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
The nurses are always very patient with me. They answer all my questions completely. They are very responsive to portal messages. They provide reassurance when needed.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
Strengths: Very responsive to portal messages. They work quickly to coordinate treatments/get procedures on the schedule. They have a financial advisor that keeps track of benefits/gives recommendations on how to navigate your fertility benefits/costs of IVF, etc.
Weaknesses: While mental health services are available through the clinic (description included on website), they don’t discuss them in person at your initial/follow-up appointments which I think would be helpful.
Describe the costs associated with your care under Abigail Mancuso at U of Iowa Center for Advanced Reproductive Care.
IUI was approximately $400 per time (before insurance).
IVF (including medications) was approximately $20,000 per cycle (before insurance).
Describe Abigail Mancuso's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
Dr. Mancuso has appropriately recommended single embryo transfer given my age/perceived egg quality. She has given me the option of multiple embryo transfer and let me know she would support it if that’s what we wanted to do but was clear about the current guidelines/data.
Dr. Mejia did my egg transfer procedure and I also saw her for a follow-up ultrasound visit after my positive pregnancy result. She was very caring, explained procedures to me, answered questions, and made me feel comfortable...For my IVF cycle, they used the dual trigger antagonist protocol..One of the trigger shots was Pregnyl and the other was a formulation at the hospital's pharmacy...Our protocol also included ICSI due to male factor infertility
This [U of Iowa Center] clinic has a general policy of only transferring single embryos, depending on the maternal age...The majority of nurses I interacted with during my 3 IUIs and 1 IVF cycle were incredibly kind. Given their team approach at this clinic, I saw a variety of doctors and nurses at each visit...A strength of this clinic is that they are very organized, efficient, and have all of the latest technology and treatment options to give you the best chance of success
How was your experience with Rachel Mejia at U of Iowa Center for Advanced Reproductive Care?
Dr. Mejia did my egg transfer procedure and I also saw her for a follow-up ultrasound visit after my positive pregnancy result. She was very caring, explained procedures to me, answered questions, and made me feel comfortable.
What's one piece of advice would you give a prospective patient of Rachel Mejia at U of Iowa Center for Advanced Reproductive Care?
The doctors at this clinic are very responsive to patients' needs but you sometimes have to advocate for your preferences and opinion in your treatment process.
During treatment, were you treated like a number or a human with Rachel Mejia at U of Iowa Center for Advanced Reproductive Care?
I was very impressed with Dr.Mejia and Dr.Bjorkman for taking time to answer my questions and for being warm, caring doctors.
Describe the protocols Rachel Mejia used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
For my IVF cycle, they used the dual trigger antagonist protocol. We used Follistim, Menopur, and Ganirelix during the stimulation. One of the trigger shots was Pregnyl and the other was a formulation at the hospital's pharmacy. After retrieval, we did 6 weeks of progesterone injections and Estradiol pills. Our protocol also included ICSI due to male factor infertility. We did a fresh embryo transfer 5 days after retrieval and froze 6 additional embryos for future transfers.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
The majority of nurses I interacted with during my 3 IUIs and 1 IVF cycle were incredibly kind. Given their team approach at this clinic, I saw a variety of doctors and nurses at each visit, but most of the nurses were patient and kind in explaining procedures and answering questions. My experience contacting nurses through the app to answer questions about my treatment or during concerning moments in early pregnancy was that they called back quickly and treated me with empathy and kindness.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
A strength of this clinic is that they are very organized, efficient, and have all of the latest technology and treatment options to give you the best chance of success. They lay out their success percentages at the beginning of the process, and their pregnancy rates are higher than average. With all of their efficiency, I felt that everything was laid out clearly for me and I always knew what was coming next in the process. They are quick to share results with you, minimizing anxiety during wait times. A weakness is the team approach they use, which means you can't choose one particular doctor or see the same doctor throughout your care. Another weakness is that you may experience a long wait time of several months or more before you can begin an IVF cycle.
Describe the costs associated with your care under Rachel Mejia at U of Iowa Center for Advanced Reproductive Care.
The cost to complete one IVF cycle is $15,000-20,000 with another $3-4,000 in medication costs. I had insurance coverage that covered 80% of the medical costs and part of my medication costs. Out of pocket, I paid around $4,000 throughout the process. Half of that was spent directly on medications. Factoring in how much my insurance paid in addition to what I paid, the cost for one cycle and one fresh transfer was a little over $15,000. Without the discounted rates through my insurance, it might have been higher. They do offer some "package" discounts for patients without insurance coverage.
Describe Rachel Mejia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
This clinic has a general policy of only transferring single embryos, depending on the maternal age. They did tell me that if the embryos were all poor quality, we might discuss whether to transfer more than one, but in my case, my embryos were all average or above average quality so I expect to only transfer single embryos for any future frozen cycles as well.
[Dr. Kresowik] suggested single transfer, and we had always agreed. She said for multiple it would have to be a discussion and meet criteria...She called my husband and speaker and explained ivf to both of us. She insisted that the clinic would allow us both to come for the next assessment so that I wasn’t feeling so alone. Everything she said, she did. I had lots of questions and she never rushed me or my husband.
The [U of Iowa Center] nurses let me email or call ANY time I had a question. They were very patient with me...We did not do a warranty program. It cost us $10,500 plus all meds at about $4000...The clinic in Davenport is comfortable and clean and quiet. I was really impressed. The ultrasounds happen right there and most testing can be done next door. Even my husband was able to get testing done right next door, which made things so much simpler.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
When she told me that I wouldn’t be able to have reversal surgery, she was genuinely disappointed for me. She gave me tons of options. Because of Covid my husband was not with me when she gave me the news. She called my husband and speaker and explained ivf to both of us. She insisted that the clinic would allow us both to come for the next assessment so that I wasn’t feeling so alone. Everything she said, she did. I had lots of questions and she never rushed me or my husband.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Ask tons of questions. That’s what they are there for.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
The nurses, front office and Dr Kresowik all treated me as if I was the only person they were thinking of every moment they were with me. They never rushed to get to another patient, even when I had questions. They apologized if they were a few minutes extra with other patients. I think the way they smile and speak with kindness and honestly makes a huge difference.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
Short antagonist. She wanted to try the least amount of hormones as possible. She looked through my history very thoroughly and discussed why they chose this.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
The nurses let me email or call ANY time I had a question. They were very patient with me.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The clinic in Davenport is comfortable and clean and quiet. I was really impressed. The ultrasounds happen right there and most testing can be done next door. Even my husband was able to get testing done right next door, which made things so much simpler.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
We did not do a warranty program. It cost us $10,500 plus all meds at about $4000
Describe Jessica Kresowik's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
She suggested single transfer, and we had always agreed. She said for multiple it would have to be a discussion and meet criteria.
[Dr. Kresowik] always made me feel like I was her only patient that day. My first appointment was very last minute, due to a cancellation, so my husband was unable to attend. At my next appointment, which was just to check on an ovarian cyst, my husband came with and [she] still took the time to go over ALL of the same information from my first consultation, so that he could understand and be on the same page for the treatment plan.
The entire clinic [U of Iowa Center for Advanced Reproductive Care] is compassionate and accommodating...I was so pleased with Dr. Kresowik, and how she really took the time to explain my diagnoses, and the different plans for treatment that were available. She made sure that I did not leave with any questions unanswered...The only weakness I can think of is how long it takes to get an appointment.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Dr. Kresowik was very attentive during every appointment. She always made me feel like I was her only patient that day. My first appointment was very last minute, due to a cancellation, so my husband was unable to attend. At my next appointment, which was just to check on an ovarian cyst, my husband came with and Dr. Kresowik still took the time to go over ALL of the same information from my first consultation, so that he could understand and be on the same page for the treatment plan.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Be patient, success does not happen after one appointment. Trust her process and follow her instructions for testing or treatments.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
I was so pleased with Dr. Kresowik, and how she really took the time to explain my diagnoses, and the different plans for treatment that were available. She made sure that I did not leave with any questions unanswered.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
After a few appointments, Dr. Kresowik determined that I do not ovulate naturally. She started me on 2.5mg of Letrozole for cycle days 3-7. I ovulated on cycle day 16 and her staff instructed us to begin timed intercourse, which resulted in conception.
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Lisa, Amanda, Gayle)
Dr. Kresowik's entire staff, from the secretary to the nurses, were all so compassionate and helpful. Just like Dr. Kresowik, they made sure I understood everything that was being done and what the next process entailed.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The entire clinic is compassionate and accommodating. The only weakness I can think of is how long it takes to get an appointment. Dr. Kresowik is the best in our area, so it is not surprising how booked she always is.
Dr. Eapen was very thorough and kind. I felt that he made time to answer my questions and explain things honestly, but in a sensitive way. He has a gentle demeanor that I found comforting...Dr. Eapen (and the U of Iowa in general) will only transfer one if genetic testing has been done. If genetic testing is not done, they will transfer two...
They [U of Iowa Center for Advanced Reproductive Care] are organized, clean and timely in responding to questions and emails. Several options are given when it's time to purchase IVF drugs, I would suggest NOT using Avella as they nearly cost me my cycle. Fortunately the pharmacist at the U of I worked with me and saved the day; helping me to find the drugs I needed near me...I think the package we purchased was $13,200; which included local ultrasounds/bloodwork, retrieval and transfer. However, we paid more for PGT-A testing, fertility medications, and initial appointment/tests. I believe the total ended up being closer to $22,000 for a full IVF cycle.
How was your experience with Abey Eapen at U of Iowa Center for Advanced Reproductive Care?
At the U of I I saw whichever doctor was working that day, however saw Dr. Eapen the most frequently. He also performed my egg retrieval. His predictions regarding the number of eggs/fertilization rate/number of normal embryos were a bit lower than what occurred, which was a pleasant surprise. I appreciated his realistic approach, all while being patient and treating me with kindness and answering any questions I had.
What's one piece of advice would you give a prospective patient of Abey Eapen at U of Iowa Center for Advanced Reproductive Care?
Be prepared with a list of your questions, and know he will provide you with informed answers/opinions, but you can ultimately decide various things yourself. I was on the fence about doing PGT-A testing, and although he felt I should do it, and explained why, he left it up to me and was still very kind. If you want a compassionate, intelligent, RE, I recommend him.
During treatment, were you treated like a number or a human with Abey Eapen at U of Iowa Center for Advanced Reproductive Care?
Dr. Eapen was very thorough and kind. I felt that he made time to answer my questions and explain things honestly, but in a sensitive way. He has a gentle demeanor that I found comforting.
Describe the protocols Abey Eapen used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I have done just 1 IVF cycle thus far. I was put on a flare protocol; and had 5 mature eggs retrieved. 4 fertilized, 1 made it to a day 5 blast; 2 made it to day 6 blasts. One (the day 5 - grade 4AA) was genetically normal. I have not yet transferred as I have uterine polyps that need to be removed, which can't happen until COVID restrictions are lifted, and would like to do another retrieval in an attempt to produce more embryos before transferring my one and only. He felt strongly I should do genetic testing based on my age (42) and the fact I had 3 miscarriages last year. I was on the fence and almost didn't do it, but changed my mind in the end.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
All of the nurses were organized, calm, patient and compassionate. This has not been my experience at other places, so I greatly appreciated this. The anesthesia nurse was particularly lovely. I was so nervous and she put me at ease, and called a couple of days later to check on me. Every single person I encountered was wonderful!
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
They are organized, clean and timely in responding to questions and emails. Several options are given when it's time to purchase IVF drugs, I would suggest NOT using Avella as they nearly cost me my cycle. Fortunately the pharmacist at the U of I worked with me and saved the day; helping me to find the drugs I needed near me.
Describe the costs associated with your care under Abey Eapen at U of Iowa Center for Advanced Reproductive Care.
I think the package we purchased was $13,200; which included local ultrasounds/bloodwork, retrieval and transfer. However, we paid more for PGT-A testing, fertility medications, and initial appointment/tests. I believe the total ended up being closer to $22,000 for a full IVF cycle.
Describe Abey Eapen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
Dr. Eapen (and the U of Iowa in general) will only transfer one if genetic testing has been done. If genetic testing is not done, they will transfer two. This makes sense to me.
[Dr. Abey Eapen] was honest and sincere, while still maintaining hope...they were busy, but he took my call (rather than the nurse) to check on how I was and make sure my questions were answered...kept me aware of OHSS risks...poor egg quality and none became viable embryos...diagnosed it as an oocyte problem...had one unsuccessful transfer, but the second one was successful, although we are still early in pregnancy.
The waiting is unavoidable, however, and worth the wait to see this incredible team [U of Iowa Center for Advanced Reproductive Care]...[nurses] did the majority of the communication and they run like a well oiled machine. They make personal connections and are so helpful...dedicated financial counselor who walked us through our insurance coverage and out of pocket expenses...no surprises when it came to costs.
How was your experience with Abey Eapen at U of Iowa Center for Advanced Reproductive Care?
We loved how straightforward and kind be was. We didn’t always get the best news, but he was honest and sincere, while still maintaining hope. I called in with a question for the nurse after an unsuccessful first cycle. It was a weekend they were busy, but he took my call (rather than the nurse) to check on how I was and make sure my questions were answered. I cannot day enough wonderful things about him.
What's one piece of advice would you give a prospective patient of Abey Eapen at U of Iowa Center for Advanced Reproductive Care?
Ask all the questions you may be afraid to ask. He is honest and caring. Sometimes vocalizing the scary questions and concerns, even in the worst case scenario, can help. Even when getting difficult news, Dr. Eapen was helpful and I am grateful for his compassion.
During treatment, were you treated like a number or a human with Abey Eapen at U of Iowa Center for Advanced Reproductive Care?
He and his team were compassionate, kind, and straight forward. They gave us honest numbers, while still being optimistic.
Describe the protocols Abey Eapen used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
We started with collision for stimulation. I had a lot of eggs stimulate, but they kept me aware of OHSS risks the whole time. We got a lot of eggs with the first cycle. My husband and I elected to only fertilize 10 though. Unfortunately, there was spoor egg quality and none became viable embryos. We did another cycle with leuprolide. They retrieved over 20 eggs but only 3 were embryos. They diagnosed it as an oocyte problem and explained what the meant. We had one unsuccessful transfer, but the second one was successful, although we are still early in pregnancy.
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Jenna)
The nurses are the best. They did the majority of the communication and they run like a well oiled machine. They make personal connections and are so helpful.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The only drawback is clearly the wait. It’s hard to be patient and wait for your time, clinic appointment, the stimulation. The waiting is unavoidable, however, and worth the wait to see this incredible team.
Describe the costs associated with your care under Abey Eapen at U of Iowa Center for Advanced Reproductive Care.
They have a dedicated financial counselor who walked us through our insurance coverage and out of pocket expenses. I emailed her several times with follow up questions. I had no surprises when it came to costs.
Describe Abey Eapen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
They recommended single embryo transfer based on my age. After an unsuccessful transfer, we were given the option of doing multiple embryo transfer. The risks were explained to us, as well as their recommendation to do a single transfer. We went with their recommendation.
Dr. Duran explained things in a way that the average person could understand. He was realistic and optimistic about his ability to help us with a successful pregnancy. I appreciated his sense of humor and warm personality as well, it helped take some of the edge off of a stressful and anxious situation... The course of treatment is decided by the whole team of doctors at a weekly meeting as opposed to a decision being made by one physician.
The nurses [at U of Iowa] were all very knowledgeable and very patient with every question we had. They are quick to return phone calls. They were a pleasure to work with...We were eligible for IOWarranty program which covered all of the medical facility fees throughout the process (including additional transfers if the first failed). This program cost $18,250, with a refund of $13,500 if we did not have a viable 12-week pregnancy...
How was your experience with Eyup Duran at U of Iowa Center for Advanced Reproductive Care?
Dr. Duran explained things in a way that the average person could understand. He was realistic and optimistic about his ability to help us with a successful pregnancy. I appreciated his sense of humor and warm personality as well, it helped take some of the edge off of a stressful and anxious situation.
What's one piece of advice would you give a prospective patient of Eyup Duran at U of Iowa Center for Advanced Reproductive Care?
You can't go wrong with the University of Iowa!
During treatment, were you treated like a number or a human with Eyup Duran at U of Iowa Center for Advanced Reproductive Care?
The University of Iowa was the second fertility clinic we visited as a means of a second opinion. What a breath of fresh air they were. The course of treatment is decided by the whole team of doctors at a weekly meeting as opposed to a decision being made by one physician. They truly want to ensure they provide the best possible outcomes for their patients on a very sensitive and emotional issue.
Describe the protocols Eyup Duran used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I was on the antagonist protocol. I started with 3 days of Follistim 225 injections and then on day 4 added 1 vial of Menopur and went to 150 on Follistim. On day 6, I went for my first stim ultrasound and they had measured 13 follicles. I started Ganirelix on day 5 as well and continued the same dosage of the Menopur and Follistim. On day 8, I had my second ultrasound and they measured 15 follicles and continued the same dosage of all three medications. On day 10, I had my third ultrasound and the same 15 follicles were still measured. I also took my last dose of Ganirelix that day and had a dual trigger with Pregnyl and Lupron that night. Retrieval was on day 12 where 10 eggs where retrieved with all 10 being mature.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
The nurses were all very knowledgeable and very patient with every question we had. They are quick to return phone calls. They were a pleasure to work with.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
This clinic is phenomenal. I would tell any one else in Iowa (especially the Des Moines area) that a trip down I-80 to the University of Iowa is the best decision you could possibly make. The care team takes each case on an individual basis and selects the best course of treatment for that INDIVIDUAL (as opposed to the standard protocol another clinic in Iowa provides, regardless of the patient's situation). They are excellent at communication and can be reached very easily (again something another clinic in Iowa is absolutely horrible at). You won't be disappointed in choosing U of I to provide your care and help you grow your family.
Describe the costs associated with your care under Eyup Duran at U of Iowa Center for Advanced Reproductive Care.
Consult appointment was covered by insurance and after network discount, out of pocket was $317.99 (I am on a high deductible plan and had not yet hit my deductible). The actual IVF care was not covered by my insurance. We were eligible for IOWarranty program which covered all of the medical facility fees throughout the process (including additional transfers if the first failed). This program cost $18,250, with a refund of $13,500 if we did not have a viable 12-week pregnancy. Medications were not covered by my insurance and my out of pocket on those $3,830.86. Their pharmacist did help us to secure the cheapest medications for our protocol which meant we had to use a couple different pharmacies (not a big deal when they all are overnight mail order).
Describe Eyup Duran's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
University of Iowa has a strict standard that only one embryo is transferred if you are younger than 38.
When we first met with Dr. Kresowik, she immediately made me feel less anxious. We sat with her for over an hour, and she went through every detail of what to expect, which shows that she truly cares about her patients. ... Dr. Kresowik was very good at communicating with us and explaining the details of their process. ... We never felt rushed during our appointment, which is a problem we had at our previous fertility clinic.
The new clinic on Dodge Street and clinic in Davenport are wonderful and easy to find. ... Everyone at the U of Iowa is wonderful. I have no complaints about their staff; they are all so nice and caring. ... The only weakness is I had to have my IVF cycle pushed back a month because of the move to the new clinic, which was disappointing. Other than that, everything has been wonderful and mostly stress free
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Dr. Kresowik was very good at communicating with us and explaining the details of their process. At the first visit, she made us aware that she may not be the doctor that does our retrieval and transfer (they have a team of doctors, and it depends on who is working that day), but she would still be involved in every step of the process. We never felt rushed during our appointment, which is a problem we had at our previous fertility clinic.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
When we first met with Dr. Kresowik, she immediately made me feel less anxious. We sat with her for over an hour, and she went through every detail of what to expect, which shows that she truly cares about her patients.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I had a fairly normal protocol. I started on Gonal-F (150) for 8 days. Added Menopur (1 vial) on day 4, which was increased to 2 vials on day 6 because I was responding as quickly as they wanted. Cetrotide (250) was started on the morning of day 7. On the night of day 9, I did a dual trigger shot (hCG and Lupron) for egg retrieval on day 11. During this time, I had a baseline ultrasound and blood work 4 days before I started shots. I then had blood work on day 4, and blood work and ultrasound on day 6 and day 9. I had no complications with these medications, besides headaches and feeling a little more tired, but this could have been due to stress.
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Allie)
Everyone at the U of Iowa is wonderful. I have no complaints about their staff; they are all so nice and caring.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The new clinic on Dodge Street and clinic in Davenport are wonderful and easy to find. The clinic in Davenport was more convenient for us to travel to, so we went here more often. The only weakness is I had to have my IVF cycle pushed back a month because of the move to the new clinic, which was disappointing. Other than that, everything has been wonderful and mostly stress free.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
I have insurance, so I don't remember exactly what the overall cost would have been without insurance. I think it was around $20,000 for a cycle, and we paid a quarter of that with insurance.
Dr. Kresowick not only answers the questions you have, she anticipates the hard ones or the ones that you might not think to ask. She is very proactive in providing information to help you best understand diagnosis, treatment plans, etc... She found a polyp right away. Before scheduling that surgery she advised to do an HSG test - there was no concern around my tubes at that time, but her reasoning that it would prevent a second surgery and more scar tissue if there were to be an issue made sense.
The first appointment was a little overwhelming because the scheduler [U of Iowa] didn't volunteer much information. I had to have an ultrasound in my initial consultation that caught me off guard since I knew they had all my records from my referring doctor. Aside from that, the clinic is very nice and clean. Each exam room has a desk to sit at and exam table. Once you have been through one appointment, you will know what to expect in the future.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Dr. Kresowick not only answers the questions you have, she anticipates the hard ones or the ones that you might not think to ask. She is very proactive in providing information to help you best understand diagnosis, treatment plans, etc.. If she has ever had a bad day, you can't tell it by her demeanor in the office. Since starting with Dr. Kresowik I have met several other people that see her as well and we all agree that she is the best.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
This journey is very emotional and on days where you have lost hope, she will always be there to help you find it with a smiling, familiar face. While it takes some time for initial appointments to be scheduled, it is worth the wait for the warm and professional approach she takes to treating you as an individual versus a file.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
The entire staff at the clinic is very welcoming and encouraging. They share the same feelings you are going through from the hopefulness for the IUI that you just went through to be successful to the grief of a failed cycle. They do their best to make you feel comfortable and heard.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I came to Dr. Kresowik by referral from my regular OBGYN after 3 failed cycles of increased dosage of Chlomid and timed intercourse. She doesn't just treat me, she also handled things like my husband's sperm analysis. She looks at the whole picture and both partners. She found a polyp right away. Before scheduling that surgery she advised to do an HSG test - there was no concern around my tubes at that time, but her reasoning that it would prevent a second surgery and more scar tissue if there were to be an issue made sense. After removing the polyp, she has followed all the protocols that you'd expect. We started with Femara and timed intercourse for 3 cycles, though they were not successful. I responded well to Femara so moving to IUI was the most affordable, next best option. After 4 cycles she explained that IUI with injectables or IVF were the next options. We talked through both and with the risk of multiples combined with my family history and the potential to have to cancel cycles we are now moving to IVF in May.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
The nurses here follow all protocol for quality and safety while being friendly and providing the emotional support that you need in person and over the phone.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The first appointment was a little overwhelming because the scheduler didn't volunteer much information. I had to have an ultrasound in my initial consultation that caught me off guard since I knew they had all my records from my referring doctor. Aside from that, the clinic is very nice and clean. Each exam room has a desk to sit at and exam table. Once you have been through one appointment, you will know what to expect in the future. They are really consistent with their routines and procedures.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
I have insurance. Out of pocket costs for appointments and IUIs were just a co-pay of $30 for me. Before being adjusted they were around $400. The HSG was $900 and the Hysteroscopic Polypectomy was $2000 between anesthesia, surgery center, and dr bills. The prescriptions range depending on what it is, but with Metformin, Chlomid and Femara, they have all been under $10. In moving to IVF they advised they will help find the best cost for prescriptions and I will learn actual costs for this in May.
Describe Jessica Kresowik's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
We haven't been through an IVF cycle yet. We will start ours in May, but we have been educated that because we are so young they will use the eSET approach. Age and egg quality impact whether they will use multiple.
I have not started my IVF cycle yet [with Dr. Rachel Mejia]. But when we do, we are not going to use birth control to suppress my ovaries and are going to be pretty aggressive with injection dosages due to my decreased ovarian reserve and previous IVF cycle at another clinic. We will also not use ICSI due to my husbands sperm counts and morphology being normal...From day one, Dr. Mejia took her time to answer all of our questions. We never feel rushed. She has also called with test results herself and answered all of my questions. She listens to my frustrations/emotions while developing a plan of care.
They [U of Iowa Center for Advanced Reproductive Care] give you the cost of the consultation which includes ultrasound and lab work. I believe it was around $3,000. IVF will be around $17000...like to do single embryo transfer the most due to the risks that can be associated with a multiples pregnancy...I like how they have a team approach and discuss your case with multiple providers for feedback and plans of care. The front desk staff are pleasant and efficient. As said said before, the nurses, ultrasound techs and providers are all amazing. I always felt at home there. I believe the clinic runs smoothly and they give you all information to help run smoothly.
How was your experience with Rachel Mejia at U of Iowa Center for Advanced Reproductive Care?
The moment I went to the University of Iowa for a second opinion, I wished I had started from the beginning. Dr. Mejia answered all of my questions, treated me with compassion and also gave me the information I needed regarding realistic expectations. She has continued to answer further questions/follow up on test results. I am about an hour and a half away from the clinic so communication is key. While I have not started my IVF cycle yet due to the need for surgery first, she has helped put my a bit at ease during this journey. I have complete trust in her judgment and capabilities!
What's one piece of advice would you give a prospective patient of Rachel Mejia at U of Iowa Center for Advanced Reproductive Care?
Come with questions and don’t be afraid to ask. She is super helpful with answering what you need!
During treatment, were you treated like a number or a human with Rachel Mejia at U of Iowa Center for Advanced Reproductive Care?
From day one, Dr. Mejia took her time to answer all of our questions. We never feel rushed. She has also called with test results herself and answered all of my questions. She listens to my frustrations/emotions while developing a plan of care.
Describe the protocols Rachel Mejia used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I have not started my IVF cycle yet. But when we do, we are not going to use birth control to suppress my ovaries and are going to be pretty aggressive with injection dosages due to my decreased ovarian reserve and previous IVF cycle at another clinic. We will also not use ICSI due to my husbands sperm counts and morphology being normal.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
The nurses have been amazing! I communicate a lot with them through my chart. They have great communication and get back to me in a timely manner! They are super compassionate and just want the best outcome possible just like the providers.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
I really enjoy going to the U of Iowa. I wish I would have started here instead of Mid Iowa. I like how they have a team approach and discuss your case with multiple providers for feedback and plans of care. The front desk staff are pleasant and efficient. As said said before, the nurses, ultrasound techs and providers are all amazing. I always felt at home there. I believe the clinic runs smoothly and they give you all information to help run smoothly.
Describe the costs associated with your care under Rachel Mejia at U of Iowa Center for Advanced Reproductive Care.
They give you the cost of the consultation which includes ultrasound and lab work. I believe it was around $3,000. IVF will be around $17000. This is not an exact number.
Describe Rachel Mejia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
The U of Iowa like to do single embryo transfer the most due to the risks that can be associated with a multiples pregnancy. Although, I do believe they are open for discussion if the embryos are not of good quality to possibly transfer more than one. That is a discussion you should have with them.
I first met Dr. Kresowik at my first HSG procedure. Dr. Duran had completed my consultation and it was very obvious they had communicated with one another my treatment plan. Before the procedure, Dr. Kresowik checked on me in the pre-op room and was very comforting while being honest about how it was going to be painful. During the procedure, she talked to me and made sure I knew what was going to happen. Immediately following the HSG, she showed me the results and even though they weren't great, she was reassuring that we would still be able to get pregnant eventually.
The University of Iowa has a Quad City Campus which is the one I go to. It is clean and comfortable. The consultation room was big enough for my husband and I to meet with the nurse and still have plenty of room.... I have yet to find a weakness in Dr. Kresowik's nursing staff. Everyone I have talked to has been warm and compassionate while trying to answer all of my crazy questions. When I message or call the nursing staff, they are quick to return my message and make sure I understand what is going on before moving on.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Dr. Kresowik is kind, compassionate, and honest. Even on one of the worst days yet confirming what I new was wrong, she was reassuring and positive. She wanted to make sure we got a follow-up appointment set up right away to make sure we could develop a treatment plan as soon as possible.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
The one piece of advice I would give a prospective patient of Dr. Kresowik would be to go in with an open mind. Try not to worry and be anxious as she truly does have your best interest in mind and understanding that you want to be a parent.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
I first met Dr. Kresowik at my first HSG procedure. Dr. Duran had completed my consultation and it was very obvious they had communicated with one another my treatment plan. Before the procedure, Dr. Kresowik checked on me in the pre-op room and was very comforting while being honest about how it was going to be painful. During the procedure, she talked to me and made sure I knew what was going to happen. Immediately following the HSG, she showed me the results and even though they weren't great, she was reassuring that we would still be able to get pregnant eventually.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
The only procedure I have had under Dr. Kresowik is an HSG. My regular obgyn had prescribed Clomid, so instead of venturing down the same path and wasting time, she wanted to get a diagnostic test done before future treatments. The procedure did confirm my diagnosis and she stated she is confident she can develop a plan next time we meet.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
I have yet to find a weakness in Dr. Kresowik's nursing staff. Everyone I have talked to has been warm and compassionate while trying to answer all of my crazy questions. When I message or call the nursing staff, they are quick to return my message and make sure I understand what is going on before moving on.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The University of Iowa has a Quad City Campus which is the one I go to. It is clean and comfortable. The consultation room was big enough for my husband and I to meet with the nurse and still have plenty of room.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
Dr. Kresowik is considered an in-network doctor for me, so I only ended up paying $20 for my consultation. Blood work has been under $5. My HSG is still pending but without insurance, it is $2,000.
The main thing I remember [about treatment with Dr. Kresowik] is only being able to transfer one embryo as I am considered high risk for pregnancy. We are self pay and I was devastated that they wouldn’t let us transfer two...I understand it but it was a tough pill to swallow...She takes as much time as needed for you to talk through your emotions when discussing things. She is very comforting and reassuring that they will do all they can but doesn’t blow smoke either. She is honest about the numbers and success rates, etc.
The nurses [at U of Iowa Center for Advanced Reproductive Care] are wonderful. They know who you are when you come in and some recognize your voice on the phone. When we’ve had failed cycles, the nurses grieve with us...Total cost for fresh ivf cycle was $27,000...they only allowed us to transfer one embryo as I am high risk for premature delivery (first child born at 26 weeks). The embryo was graded excellent so they only allowed one.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
She spent time discussing our course of action with my cycle as my previous pregnancy/delivery made e high risk. She was a new Dr to me as my previous dr retired and she truly wanted to learn all she could about my history from me as opposed to just looking briefly at my chart.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Don’t be afraid to open up and discuss emotions, as emotions are a big part of fertility treatments. She treats the whole patient, but just the womb.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
She takes as much time as needed for you to talk through your emotions when discussing things. She is very comforting and reassuring that they will do all they can but doesn’t blow smoke either. She is honest about the numbers and success rates, etc.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
The main thing I remember is only being able to transfer one embryo as I am considered high risk for pregnancy. We are self pay and I was devastated that they wouldn’t let us transfer two, just to give us the best chance of success but my first child was delivered at 26 weeks and they would only allow the transfer of one embryo. I understand it but it was a tough pill to swallow.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
The nurses are wonderful. They know who you are when you come in and some recognize your voice on the phone. When we’ve had failed cycles, the nurses grieve with us.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The clinic in Davenport is amazing. They are all so friendly and get to know their patients. The clinic in Iowa city is so well organized and everyone is very kind and informative it just runs like a well oiled machine!
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
Total cost for fresh ivf cycle was $27,000
Describe Jessica Kresowik's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
As mentioned before, they only allowed us to transfer one embryo as I am high risk for premature delivery (first child born at 26 weeks). The embryo was graded excellent so they only allowed one.
Honestly, I wish there were more doctors out there like Dr Kresowick. If she could be my doctor for everything she would be. My experience as a patient has been amazing. She is always honest and upfront about things but caring when she says them. I finally got a diagnosis of PCOS and so she explained well. My first round we had to change some treatments so we could do IUI. Every experience with Dr. has been wonderful!
Walking in it is clean and you will great Stephanie the lady at the front desk. She is sweet and always multi tasking but she makes you feel welcome! The clinic [U of Iowa Ctr for Advanced Reproductive Care] is busy but you never feel like you are rushed out. Their strengths are that the nurses and doctor make you feel welcomed and taken care of. It is a clean facility that has a desk in each office to talk. Each person you work with is honest and kind. The only weekness is that first consultation appointment can take a while to get into.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Honestly, I wish there were more doctors out there like Dr Kresowick. If she could be my doctor for everything she would be. My experience as a patient has been amazing. She is always honest and upfront about things but caring when she says them. I finally got a diagnosis of PCOS and so she explained well. My first round we had to change some treatments so we could do IUI. Every experience with Dr. has been wonderful!
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
You will not regret it! The money is hard to swallow but the care and love you will feel is worth it all! Take every day one step at a time. The emotional Roller coaster is hard but you got this! You are in good hands!
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
I felt like I was treated as a human because she always had a smile on her face when she saw up. She always called us by name! She gave us hope and truly spent extra time with us when we had questions or needed extra care. For example this process is hard and when you have been going through it for about 3 years you have some stress in your life and one day our appointment was only supposed to be a half hour but she took almost an hour with us to make sure we understood and helped with some of my self care. She missed out on lunch because she wanted to make us feel like this is going to work ! She is ABSOLUTELY amazing!
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
With my diagnosis of PCOS and tha small chance of it happening with clomid we decided to not try that. Plus I had done 3 cycles with another doctor and they were not successful. The first round of IUI I did not ovulate (well get a positive on the stick) so we had to cancel the first round. The second try they had me come in for a ultrasound to be able to schedule my IUI! That worked out well and I did the trigger shot in my belly. We have done 3 rounds of that. At that point we decided to talk with Dr. because all three didn’t work and the money we were spending was starting to add up because our insurance does not cover at all. We are at the point of IVF is our next phase and we are just waiting for the chance to be able to!
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Amanda )
The nursing staff is absolutely wonderful! They are so caring and sweet! It was always shocking to me that all of them would say hello with the bright smile and ask how you were doing. They all just had such pure joy! Made you feel welcome and in good hands!
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
Walking in it is clean and you will great Stephanie the lady at the front desk. She is sweet and always multi tasking but she makes you feel welcome! The clinic is busy but you never feel like you are rushed out. Their strengths are that the nurses and doctor make you feel welcomed and taken care of. It is a clean facility that has a desk in each office to talk. Each person you work with is honest and kind. The only weekness is that first consultation appointment can take a while to get into.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
Consultation and initial tests- some were covered under insurance so it was about $800.00. That includes appointment and an ultrasound.
IUI were $412.00 and my ultrasound was $363.00.
Ivf- don’t have the official price yet because we have to see if we qualify for the guarantee program.
Describe Jessica Kresowik's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
Dr Kresowik did an ultrasound and found that I have polycystic ovaries and based on my symptoms, diagnosed me with PCOS and recommended lifestyle changes and medication to help me ovulate. She also did an HSG to see if my tubes were clear since I had an appendectomy as a child and had a risk factor. I signed up to be part of a clinical trial using letrozole (femara) and clomid for my first treatment cycle. Since it helped me ovulate, Dr Kresowik continued trying different combinations of these medications to find what helped me ovulate and increase my progesterone level.
The staff [at Univ of IA] is all very organized and professional. The facility is very comfortable and clean. Dr Kresowik is very knowledgeable, empathetic, and has a great bedside manner. The nurses are very friendly, knowledgeable, and helpful. Nurses can sometimes not have all the updated information in front of them when talking to patients, which can be confusing. I'm not sure if the issue is that the doctor didn't provide her notes or if they nurse didn't use the notes.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
She explained things very well and patiently answered all of my questions. She gave us our options and let us decide how aggressive be wanted to be with treatment. We never felt pressured to do anything we didn't want to do. Her instructions were very clear and she adjusted my medication with each cycle based on ovulation results and progesterone levels. We love Dr Kresowik! If I could say anything negative, it would be that she didn't think to re-test my husband's count after a year of treatment for me and I suggested we have him re-tested after my surgery to remove adhesions. We got him tested and discovered his count dropped significantly, so I wish we would have thought of it sooner.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Don't be afraid to ask questions, and have them prepared before you talk to her. Be prepared to wait a month or longer to get in to see her, as she books up quickly and is very popular. If you leave a message with a question for the nurses, they usually respond within a day and are very knowledgeable and helpful. They can talk to Dr Kresowik on your behalf so you don't have to wait around for an appt with her (or pay for it). If you're working on your own treatment, don't forget to regularly get your husband's count checked, at least annually, or I would say every 6 months.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
She was gentle, calm, and empathetic in her conversations, smiled a lot, answered all of my questions patiently, gave us lots of options and the power to choose the path we want to take.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
Dr Kresowik did an ultrasound and found that I have polycystic ovaries and based on my symptoms, diagnosed me with PCOS and recommended lifestyle changes and medication to help me ovulate. She also did an HSG to see if my tubes were clear since I had an appendectomy as a child and had a risk factor. I signed up to be part of a clinical trial using letrozole (femara) and clomid for my first treatment cycle. Since it helped me ovulate, Dr Kresowik continued trying different combinations of these medications to find what helped me ovulate and increase my progesterone level. When the medicated cycles didn't get me pregnant, we decided to do exploratory laparoscopy due to previous appendectomy. She removed a significant number of adhesions and did ovarian wedge resection on my left ovary which was enlarged. Then, we discovered my husband's low sperm count, and she recommended he consult with Dr Tim Kresowik, her husband and urologist, who we really liked. He prescribed him clomid and some supplements to increase his count. After a couple months he did a re-count and it improved, so we were recommended for IUI. We attempted 1 IUI cycle with clomid and letrozole, but no pregnancy. We will be attempting another cycle soon.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
They are very knowledgeable, kind, and respond to messages within a day. I have had 1 instance of a nurse providing me conflicting information and 1 instance of a nurse not returning my phone call and missing out on medication for an IUI cycle (so we decided to skip that cycle). Other than that, they are great!
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The staff is all very organized and professional. The facility is very comfortable and clean. Dr Kresowik is very knowledgeable, empathetic, and has a great bedside manner. The nurses are very friendly, knowledgeable, and helpful. Nurses can sometimes not have all the updated information in front of them when talking to patients, which can be confusing. I'm not sure if the issue is that the doctor didn't provide her notes or if they nurse didn't use the notes.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
I was billed for office visits and treatments with Dr Kresowik, but not for phone calls into the office. My medications were purchased separately from Walgreens. They worked with my insurance providers and mailed the bill to me for the balance. I could also view my balance and test results in their online portal.
Describe Jessica Kresowik's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
I have no experience here.
What specific things went wrong at U of Iowa Center for Advanced Reproductive Care?
Lost paperwork
Provided conflicting information
Failed to convey critical information
Canceled a cycle due to clinic error
Describe the specific things that went wrong at U of Iowa Center for Advanced Reproductive Care.
My husband's sperm count should have been checked prior to my surgery, since correcting his low count issue is time consuming, and I would have preferred that he was ready to go soon after my surgery, in case my adhesions grew back and interfered with my fertility.
She [Dr. Kresowik] is easy to talk to and makes you feel like a person not a number... My tube was completely blocked because of endometriosis and there was evidence that it was also inside of my tube so she removed it... She diagnosed me with pcos and did the nessicary blood work to confirm. We started with metformin for the pcos and 5mg Letrozol to induce ovulation...She's very compassionate, and attentive. She makes sure all of my questions and concerns are addressed.
[University of Iowa is a] Great clinic, short wait times. Great staff. The only issue is how long it can take to get an appointment. You get in fast for emergencies, and ultrasounds but general appointments can take a while. The staff is quick to return phone calls so they are always available...All of the nursing staff is simply amazing. Katie has stood out. She personally takes the time to really help me. I wouldn't have survived the emotional strain of the ectopic without her.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
She is a great doctor, she is very attentive, she listens to my concerns. She is also very straight forward with treatments and what is best for me. I feel she genuinely cares about her patients and does her best to consol us when we are faced with difficult situations.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Be open and honest with her. She is easy to talk to and makes you feel like a person not a number.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
She's very compassionate, and attentive. She makes sure all of my questions and concerns are addressed.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
We started with blood work. She diagnosed me with pcos and did the nessicary blood work to confirm. We started with metformin for the pcos and 5mg Letrozol to induce ovulation. I've conceived twice under her watch but lost both but it wasn't anything she did or didn't do. After that we took a break from trying. When I was ready to get back to it, she wanted to do another HSG since my ob did the first one. We found out my left fallopian tube was blocked. We then did exploratory lap surgery to check for endometriosis and try to fix or remove the tube. My tube was completely blocked because of endometriosis and there was evidence that it was also inside of my tube so she removed it. Once I healed we started back of Letrozol 7.5mg. Ovulated on my bad side 2 times. A miracle happened. I ovulated from my left side and my right fallopian tube picked it up and I got pregnant. Then came the bad news. It was ectopic in my only good tube. She wasted no time we did 2 injections of methotrexate and so far we have saved my tube. Due to losses and risks of another ectopic she wants us to move forward with IVF in the near future.
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Katie luchtel)
All of the nursing staff is simply amazing. Katie has stood out. She personally takes the time to really help me. I wouldn't have survived the emotional strain of the ectopic without her.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
Great clinic, short wait times. Great staff. The only issue is how long it can take to get an appointment. You get in fast for emergencies, and ultrasounds but general appointments can take a while. The staff is quick to return phone calls so they are always available.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
Ultrasounds $350
Appointments $120-200
Surgery $10,000
IVF $16,000 plus meds
[Dr. Ginny Ryan] did do our initial consult and the fresh transfer and she was very professional and kind. I have no concerns about how I was treated...Dr. Ryan spent a lot of time with my husband and I during our initial consult...I was already on birth control from a cancelled cycle at a different clinic so I was able to start lupron right away after my consult...
I absolutely loved that they [U of Iowa Center for Advanced Reproductive Care] take a team approach when working on individual cases. Because there is a rotation of several REs on staff on any given day, their scheduling is very flexible. Other clinics have waiting lists that are months long...You'll likely see different doctors through your treatment but their process works well...University of Iowa was great about working with my insurance to get my cycle covered without any worries....
How was your experience with Ginny Ryan at U of Iowa Center for Advanced Reproductive Care?
I don't have very specific recollections of Dr. Ryan due to the way in which you can rotate through the doctors on staff at University of Iowa. Dr. Ryan did do our initial consult and the fresh transfer and she was very professional and kind. I have no concerns about how I was treated.
What's one piece of advice would you give a prospective patient of Ginny Ryan at U of Iowa Center for Advanced Reproductive Care?
You'll likely see different doctors through your treatment but their process works well. It provides the most flexibility with scheduling and all of the doctors work closely together on all of their patient's. I would rather have 10 doctors reviewing my case instead of 1 anyway :)
During treatment, were you treated like a number or a human with Ginny Ryan at U of Iowa Center for Advanced Reproductive Care?
Dr. Ryan spent a lot of time with my husband and I during our initial consult.
Describe the protocols Ginny Ryan used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I was already on birth control from a cancelled cycle at a different clinic so I was able to start lupron right away after my consult. At my baseline, they found a cyst and it delayed things by a few days but ultimately we kept going with the round. I was on 2 vials of menopur a day and 150 uis of Gonal F throught my 11 days of stims. I had the option of using follistim but I had leftover gonal from a different cycle so I chose to use Gonal for consistency.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
I don't remember the nursing staff but I don't have any specific memories that weren't positive. For that reason, I believe that all of the nursing staff was kind and helpful.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
I absolutely loved that they take a team approach when working on individual cases. Because there is a rotation of several REs on staff on any given day, their scheduling is very flexible. Other clinics have waiting lists that are months long and if anything goes wrong during a cycle that causes cancellation or delays, it could be another several months before you can try again. University of Iowa scheduled my consult 2 weeks after I called and I was able to start my cycle right away. I had my egg retrieval within a month, which is probably not typical but I just happened to already be surpressed due to a cancelled cycle at a different clinic. University of Iowa was great about working with my insurance to get my cycle covered without any worries.
Describe the costs associated with your care under Ginny Ryan at U of Iowa Center for Advanced Reproductive Care.
I was using a Starbucks plan through United Healthcare and University of Iowa and I never had to worry about paying a bill. They would file to insurance and then I'd eventually get bills but it was all done after the procedures. They didn't require any collection up front since I was using insurance that had no deductible.
Describe Ginny Ryan's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
This clinic has criteria for allowing 2 embryos, which I didn't qualify for at the time. I was able to transfer the only good quality blastocyst that I had on day 5 (Fresh transfer) and it lead to a healthy, successful pregnancy.
She [Dr. Ryan] actually looked at me when she was speaking, unlike her colleague who continued my treatment later on. She was clear, considerate and gave me facts without talking down to me or making me feel dumb.... We elected to transfer both the embryo and the morula as they stated that they would be discarding the morula the next day anyway. Didn't matter, nothing took. But I think having the hope of more than one embryo in there helped with the anxiety & fear that nothing would work.
Our nursing experience [U of Iowa] varied from AMAZING and compassionate to gruff and clipped. One nurse cut me off multiple times (when she asked questions) and left my husband fuming because to him it showed that to this clinic we were just another number. He didn't attend any other visits with me as he didn't feel he could keep his mouth shut if we got that nurse again.... They talk a good game and do A LOT of cheerleading. Unfortunately this cheerleading behavior can lead to unrealistic expectations. From the beginning talking about how you have a 'perfect little cervix' and the lining on the uterus looks 'amazing' and 'you have tons of follicles, this won't be hard at all!' To the end, when nothing worked, and they lay blame on you (me, the woman that they didn't do any additional testing on because my spouse was the one with low count & low motility.
How was your experience with Ginny Ryan at U of Iowa Center for Advanced Reproductive Care?
She actually looked at me when she was speaking, unlike her colleague who continued my treatment later on. She was clear, considerate and gave me facts without talking down to me or making me feel dumb.
What's one piece of advice would you give a prospective patient of Ginny Ryan at U of Iowa Center for Advanced Reproductive Care?
She was great at making me feel at ease, explaining the process very well and doing so while speaking to me and my spouse on a human level.
During treatment, were you treated like a number or a human with Ginny Ryan at U of Iowa Center for Advanced Reproductive Care?
She actually looked at me when she was speaking, unlike her colleague who continued my treatment later on. She was clear, considerate and gave me facts without talking down to me or making me feel dumb.
Describe the protocols Ginny Ryan used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
We did their basic protocol: estradoil to sync my cycle with their up time. Follistim AQ, then Menopur, then Ganirelix and HCG as my trigger shot. Throughout I had transvaginal ultrasounds to track my lining and follicle growth. Retrieval was done under general anesthesia and they were able to retrieve 8 eggs. 5 fertilized, 1 made it to embryo, 1 was a morula and 3 were discarded. In the end we were not successful in getting pregnant.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
Our nursing experience varied from AMAZING and compassionate to gruff and clipped. One nurse cut me off multiple times (when she asked questions) and left my husband fuming because to him it showed that to this clinic we were just another number. He didn't attend any other visits with me as he didn't feel he could keep his mouth shut if we got that nurse again.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
They talk a good game and do A LOT of cheerleading. Unfortunately this cheerleading behavior can lead to unrealistic expectations. From the beginning talking about how you have a 'perfect little cervix' and the lining on the uterus looks 'amazing' and 'you have tons of follicles, this won't be hard at all!' To the end, when nothing worked, and they lay blame on you (me, the woman that they didn't do any additional testing on because my spouse was the one with low count & low motility.) without a ton of explanation. But absolutely want you to come back for another round!
Describe the costs associated with your care under Ginny Ryan at U of Iowa Center for Advanced Reproductive Care.
Up front we were told what our cost would be ($11500 -13000 plus medications) We topped out at about $16000 plus medication costs coming in at $4700.
Describe Ginny Ryan's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
We elected to transfer both the embryo and the morula as they stated that they would be discarding the morula the next day anyway. Didn't matter, nothing took. But I think having the hope of more than one embryo in there helped with the anxiety & fear that nothing would work.
What specific things went wrong at U of Iowa Center for Advanced Reproductive Care?
Failed to call in prescriptions to pharmacy
Lost appointments
Describe the specific things that went wrong at U of Iowa Center for Advanced Reproductive Care.
When we were called to set up our first appointment we were offered a date that was, amazingly, only a few weeks away. I said we would take it, but after 6 hours of waiting for the appointment to appear on my MyChart I got nervous and called them back. The scheduler said I didn't confirm that I wanted the appointment (!?) and so they gave it to someone else. The clinic was able to work us back in on the same day, but the scheduler gave attitude every time I interacted with her after that.
One other small thing, but after being told that my prescriptions were being sent to pharmacy before we left clinic we arrived in pharmacy to find out nothing had been ordered. They had to call the clinic to remind them to place the orders AND then had to call again after 15 minutes because they had missed a medication. Just made a long stressful day a lot longer and more stressful.
I would of never been able to go through my tumultuous infertility battle without the support, guidance and help of Dr. Jessica [Kresowik]. Her bedside manner is amazing....I've never seen another doctor show the compassion that Dr. Jessica showed me. Dr. Jessica was spot on with all of my treatments and predictions as far as my egg retrievals went.... I have DOR due to endometriosis. My protocols were always Non-OCP EPP. (No Oral Contraceptives Estrogen Priming Protocols) to make sure to not make my ovaries TOO calm so they wouldn't react to the stims.
Amanda and Allie [U of Iowa Ctr for Advanced Repro Care] were great - they were always punctual in getting back to my emails or calls and always had excellent customer service. I couldn't of done it without them as well. Gretchen, our ultrasound technician, was also amazing and so integral to our process.... This whole process is very time consuming - don't ever go to an appointment expecting to be able to get done quickly. This is a time investment along with all the other forms of investment you will be doing.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
I had a MMC and D&C after our second transfer and it was horribly emotional. I woke up from anesthesia and after seeing my husband the first person I called for was Dr. Jessica. Later once I was in recovery she came and talked to me and gave me the biggest hug while I was crying over the loss of my unborn daughter. I've never seen another doctor show the compassion that Dr. Jessica showed me.
Dr. Jessica was spot on with all of my treatments and predictions as far as my egg retrievals went. I had immense trust in her to get us our baby into our arms and through our perseverance and her knowledge and care we achieved that in May 2017 with the birth of our beautiful daughter.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Trust her, ask all the questions you need to - but trust her. She knows what is best for you in getting the best results.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
I would of never been able to go through my tumultuous infertility battle without the support, guidance and help of Dr. Jessica. Her bedside manner is amazing.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I have DOR due to endometriosis. My protocols were always Non-OCP EPP. (No Oral Contraceptives Estrogen Priming Protocols) to make sure to not make my ovaries TOO calm so they wouldn't react to the stims. I stimmed for usually 10-12 days. My first retrieval we got 11 eggs, my second we only got 5 due to a mistake by the retrieving doctor (not Dr. Jessica).
My first transfer was a CP, seocond transfer (two embryos) was a MMC and resulting D&C of my daughter Anne. My third transfer (two embryos) resulted in a successful singleton pregnancy with my daughter born May 2017.
I unfortunately have no leftover eggs frozen.
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Amanda/Allie)
Amanda and Allie were great - they were always punctual in getting back to my emails or calls and always had excellent customer service. I couldn't of done it without them as well.
Gretchen, our ultrasound technician, was also amazing and so integral to our process.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
This whole process is very time consuming - don't ever go to an appointment expecting to be able to get done quickly. This is a time investment along with all the other forms of investment you will be doing.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
My first round was covered under insurance - but we still had to pay almost 3k out of pocket on top of that. We are about to undergo a egg retrieval for freezing needs and it will be about $8500 out of pocket and that does not include my meds we pay for separately.
He [Dr. Eyup Duran] was very straight forward and blunt with us. He explained and talked me through procedures in detail.... I was on a dual trigger protocol. Due to my age and weight there was worry for OHSS. I started with Folistim. After a couple of days we added in Ganirelix. As my follicles got bigger I started on Menopur. Lastly I triggered with HCG and Leuprolide. I had my egg retrieval 36 hours later. We got 21 eggs of which 20 were mature. 17 of the 20 fertilized and we had 17 left at my day 5 transfer. Of the 17 a few were falling behind and were poor quality. We were able to freeze 12 5 day blasts. I did a fresh day 5 embryo transfer
The strength [of U of Iowa] is definitely the know and skilled the providers bring. I like the care team. It allows for multiple provider options so my care isn’t soloed into on providers perspective. Negatives is the lack of scheduling when you aren’t in a cycle. Sometimes it’s hard to see the provider you prefer or to even get in at all within a timely manner. This holds very true for the initial infertility work up (tests, HSG, consultations.)
How was your experience with Eyup Duran at U of Iowa Center for Advanced Reproductive Care?
My husband and I really appreciated the providers knowledge of my situation. He was very straight forward and blunt with us. He explained and talked me through procedures in detail, which I prefer.
The only negative complaint I have is once we were completed with our IVF cycle we found it hard to get appointments with him.
What's one piece of advice would you give a prospective patient of Eyup Duran at U of Iowa Center for Advanced Reproductive Care?
If you need additional information then what’s provided don’t be afraid to ask. Dr Duran always seemed happy to explain things further for my husband and I. Although he is an amazing provider, remember you are your own number one advocate!
During treatment, were you treated like a number or a human with Eyup Duran at U of Iowa Center for Advanced Reproductive Care?
The University’s IVF Clinic has really impressed me with the amount of compassion the staff hold for their patients. I have had multiple nurses and providers go out of their way to see how I’m doing. They seem to really care for their patients. Dr Duran was awesome! He was the main provider we saw throughout our IVF cycle. He was very personable and honest.
Describe the protocols Eyup Duran used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I was on a dual trigger protocol. Due to my age and weight there was worry for OHSS. I started with Folistim. After a couple of days we added in Ganirelix. As my follicles got bigger I started on Menopur. Lastly I triggered with HCG and Leuprolide. I had my egg retrieval 36 hours later. We got 21 eggs of which 20 were mature. 17 of the 20 fertilized and we had 17 left at my day 5 transfer. Of the 17 a few were falling behind and were poor quality. We were able to freeze 12 5 day blasts. I did a fresh day 5 embryo transfer. Overall I was very happy with our protocol and outcome. It surpassed my expectations. I had a pregnancy test 10 days post transfer that was positive. In the end we ended up miscarrying at 9 weeks due to a believed chromosome abnormality. We’re currently prepping for our first FET.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
I had a couple of nurses go out of there way to call and check up on me. We have only had a couple nurses that my husband and I weren’t giant fans of due to their lack of communication.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The strength is definitely the know and skilled the providers bring. I like the care team. It allows for multiple provider options so my care isn’t soloed into on providers perspective.
Negatives is the lack of scheduling when you aren’t in a cycle. Sometimes it’s hard to see the provider you prefer or to even get in at all within a timely manner. This holds very true for the initial infertility work up (tests, HSG, consultations.)
Describe the costs associated with your care under Eyup Duran at U of Iowa Center for Advanced Reproductive Care.
I was lucky to have some insurance infertility coverage. This clinic does not allow any payment plans on infertility services. Depending on your insurance/or lack of coverage you are expected to pay up front. A medication administration class is require that insurance will not pay for ($150-$200 I can’t remember exactly.) Patients are required to pay for Cryopresorvation ($900) as this too is something insurance wont cover. If you intend to do PGS testing you must pay this up front as well(prior to IVF protocol start.) We opted for genetic screening of myself and husband instead. They go through a third party company that allows payment plans in the event your insurance doesn’t cover it.
Describe Eyup Duran's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
We only had the option to transfer a single embryo due to my age and lack of historical challenges. The clinic has strict guidelines in order to be able to qualify for multiple embryo transfers. Most are related to age and previous failed IVF cycles.
[Dr. Jessica Kresowick has an] Excellent bedside manner - extremely knowledgeable. She predicted our potential retrieval outcomes from the beginning based off my issues. Doctor was always realistic yet positive. Going through infertility and all it entails is a nightmare - having a doctor like Dr. Jessica to be the one holding your hand through it all made it possible. I am extremely science based and research oriented. I am an advocate for my own care and I didn't once question the path or decisions Dr. Jessica was making along our path. My husband and I cannot say enough good things about her. She is amazing.
Dr. Jessica's nursing staff [at University of Iowa] was amazing. Amanda and Allie helped me through so much - and would facilitate in "talking me off the ledge" when I called or emailed freaked out or upset about a step in the process or results. They really dealt with me well. Their knowledge was always premiere and their compassion and bedside manner never lacking.... Expect your appointments to be lengthy. You cannot go into this process expecting to pop in and out of appointments. There are no weaknesses that I can think of.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Excellent bedside manner - extremely knowledgeable. She predicted our potential retrieval outcomes from the beginning based off my issues. Doctor was always realistic yet positive. Going through infertility and all it entails is a nightmare - having a doctor like Dr. Jessica to be the one holding your hand through it all made it possible. I am extremely science based and research oriented. I am an advocate for my own care and I didn't once question the path or decisions Dr. Jessica was making along our path. My husband and I cannot say enough good things about her. She is amazing.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Do your own research but trust her. She really is the best.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
My clinic treated me and my husband like family. My doctor held me when sobbing before going in for a D&C after my miscarriage. They never once treated us like a number - we were always individuals there to try and become parents, nothing less.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I had tubal blockage due to Endometriosis that was diagnosed after a lap which resulted in a salpingectomy of my left tube. Due to this I was also diagnosed as DOR. All of these factors resulted in me being put on a Non-OCP Antagon Priming Protocol. I had expected responses each time. Dr told me from the beginning she expected to retrieve about 10 eggs from me at retrieval. Each time was very close to that.
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Amanda and Allie were my main nurses)
Dr. Jessica's nursing staff was amazing. Amanda and Allie helped me through so much - and would facilitate in "talking me off the ledge" when I called or emailed freaked out or upset about a step in the process or results. They really dealt with me well. Their knowledge was always premiere and their compassion and bedside manner never lacking.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
Expect your appointments to be lengthy. You cannot go into this process expecting to pop in and out of appointments.
There are no weaknesses that I can think of.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
We had insurance coverage but we still paid over 12k out of pocket for our treatments.
Describe Jessica Kresowik's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
The University of Iowa had strict policies regarding this. My doctor supported them as did my husband and I.
[Dr. Kresowik] Always made time to talk with us and to ensure we understood the process. Always kind and patient. We never felt rushed out the door. We were always told all of our options, and always had our concerns taken seriously...We tried IUI since it was male factor infertility. My husband was sterile from chemo, but we had frozen sperm before treatment. The thought process was that since there was no known female infertility, the pre chemo sperm may be enough to get pregnant. After 3 IUI's, we moved on to IVF. Our fresh cycle was not successful, but the next transfer with frozen worked! Since motility wasn't great in the frozen sperm, ICSI was performed, and it worked like a charm
The clinic [University of Iowa Center for Advanced Reproductive Care] has off campus locations in other bordering cities, making it convenient for anyone who does not live in Iowa City, and may be closer to one of the other clinics. So, for an ultrasound or regular office visit, I was able to go to an office in the city where I live...All [nurses] were so positive and upbeat. One even hugged me after I told her we were going to move on to IVF. She was always rooting for us! Nurses would cross fingers for us, give us positive thoughts. It was always motivational going to my visits
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Always made time to talk with us and to ensure we understood the process. Always kind and patient. We never felt rushed out the door. We were always told all of our options, and always had our concerns taken seriously.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Ask questions! She is more than willing to answer, but if you don't ask, you'll basically be getting very general information.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Always very kind and personable. Always there to answer questions.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
We tried IUI since it was male factor infertility. My husband was sterile from chemo, but we had frozen sperm before treatment. The thought process was that since there was no known female infertility, the pre chemo sperm may be enough to get pregnant. After 3 IUI's, we moved on to IVF. Our fresh cycle was not successful, but the next transfer with frozen worked! Since motility wasn't great in the frozen sperm, ICSI was performed, and it worked like a charm
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
All were so positive and upbeat. One even hugged me after I told her we were going to move on to IVF. She was always rooting for us! Nurses would cross fingers for us, give us positive thoughts. It was always motivational going to my visits
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The clinic has off campus locations in other bordering cities, making it convenient for anyone who does not live in Iowa City, and may be closer to one of the other clinics. So, for an ultrasound or regular office visit, I was able to go to an office in the city where I live, as opposed to driving an hour away for a 15 minute office visit.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
My insurance covered most costs of IUI'S. We paid out of pocket for our medications for ivf, but qualified for greenlight rebate program. It cost us about 2k out of pocket for meds and. We ran everything else through insurance. Ended up costing around 1200 out of pocket after insurance
Describe Jessica Kresowik's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
They prefer to only transfer one if you've never had a failed cycle before. There are other factors, like age and diagnosis as well. After a failed cycle, they will transfer 2, but I don't believe they ever transfer more than 3.
She [Dr. Kresowik] is very kind and calming. It's clear that she knows what she is doing, but she's also patient with questions and explaining everything -- even when you need it "dumbed down." I really like that she laid out percentages of what each treatment's chance was of working and also explained how each treatment works. I left with a clear plan of what we will do. I've only had my consultation so far (I start an IUI next cycle), but I've been impressed so far.
Everything has been speedy so far, and I love that I don't feel I'm wasting time for test results or anything like that. Everyone was also very nice and compassionate. My experiences so far are limited, but it's definitely been one of the best experiences I've had with any doctor or clinic [U of Iowa Center for Adv Repro Care] ever. ... Everyone was very quick to get us in and get things going. They were very efficient without making us feel rushed.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
She is very kind and calming. It's clear that she knows what she is doing, but she's also patient with questions and explaining everything -- even when you need it "dumbed down." I really like that she laid out percentages of what each treatment's chance was of working and also explained how each treatment works. I left with a clear plan of what we will do. I've only had my consultation so far (I start an IUI next cycle), but I've been impressed so far.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
It may be overwhelming, so going in with a list of questions you have may be helpful so that you can remember everything.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
She was very kind and patient, as was everyone in the clinic. I was amazed at how quickly everything went -- not having to wait was very nice and a good change!
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
I've only had my consultation so far, but our plan is 3 or 4 IUI rounds and then moving to IVF after that since we are unexplained.
Describe your experience with the nursing staff at U of Iowa Center for Advanced Reproductive Care.
Everyone was very quick to get us in and get things going. They were very efficient without making us feel rushed.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
Everything has been speedy so far, and I love that I don't feel I'm wasting time for test results or anything like that. Everyone was also very nice and compassionate. My experiences so far are limited, but it's definitely been one of the best experiences I've had with any doctor or clinic ever.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
I haven't received a bill or anything, but I had a $35 copay through insurance for my consult.
He [Dr. Abey Eapen] truly cared for me and my husband. Asked questions about how I was doing. He shared many of our emotions...I wasn’t just a number. He cared about me and my well being with the process...When he asked how I was doing after a miscarriage. He didn’t want me to say fine. He wanted to know all my emotions. He recommended a therapist and made sure my mental health was being taken care of.
All the nurses [at U of Iowa Center] are very passionate. They always meet with the patients and there when hard conversations happen. There is always a hug!...The U of I usually pushes to only transfer 1 embryo...once you are in cycle, it’s so easy to get the appt times you need/want. They just moved to a new clinic so it’s a lot more convenient for patients!...He [Dr. Abey Eapen] truly cared for me and my husband. Asked questions about how I was doing. He shared many of our emotions...I wasn’t just a number. He cared about me and my well being with the process...When he asked how I was doing after a miscarriage. He didn’t want me to say fine. He wanted to know all my emotions. He recommended a therapist and made sure my mental health was being taken care of.
How was your experience with Abey Eapen at U of Iowa Center for Advanced Reproductive Care?
I wasn’t just a number. He cared about me and my well being with the process. When throngs were devastating, he was there to help me through it and truly cared. When he asked how I was doing after a miscarriage. He didn’t want me to say fine. He wanted to know all my emotions. He recommended a therapist and made sure my mental health was being taken care of.
What's one piece of advice would you give a prospective patient of Abey Eapen at U of Iowa Center for Advanced Reproductive Care?
He is so genuine and professional. Once he opens up, it’s easy to joke with him.
During treatment, were you treated like a number or a human with Abey Eapen at U of Iowa Center for Advanced Reproductive Care?
He truly cared for me and my husband. Asked questions about how I was doing. He shared many of our emotions.
Describe the protocols Abey Eapen used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
He told me about superstitions like eating pineapple, taking baby aspirin, and having lucky socks. The medical protocol was always explained with what it would do and side effects.
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Michelle Maifeld)
All the nurses are very passionate. They always meet with the patients and there when hard conversations happen. There is always a hug!
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
They have up and down time. Sometimes the down time isn’t ideal. But once you are in cycle, it’s so easy to get the appt times you need/want. They just moved to a new clinic so it’s a lot more convenient for patients!
Describe the costs associated with your care under Abey Eapen at U of Iowa Center for Advanced Reproductive Care.
We are fortunate to have medical insurance to cover. The costs are very average within the US
Describe Abey Eapen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
The U of I usually pushes to only transfer 1 embryo. The odds aren’t any higher if there is 1 or 2.
Dr. Kresowik is very friendly, and didnt make me feel like I was just another patient to her. She took time to listen to me, and my husband. She remembered my problems and talks that we had in the clinic. Had other drs who didnt seem to even remember who I was, let alone why I was there. Dr. Kresowik is not like that....The medications i used was letrozole 40mg, clomid 10mg, trigger injections, and follistim 75 units, then 100 units
Strength is everyone at the clinic [U of Iowa] is super nice, and caring. Upon checking is, they always knew my name before I told them. No one ever made me feel uncomfortable or that I wasn't important. Weakness, maybe that she is a good dr and sometimes its hard to get an appt because shes full or busy. But they do the best they can to fit you in as quickly as possible.... [nurses] Explained things very good, didnt leave answers unanswered. Knew what they was doing and talking about.
How was your experience with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Dr. Kresowik is very kind, friendly and caring. She listens and takes your cares, and feelings into account. She explains things and makes it easy to understand. When I seen her, I felt like an individual, and that she really cared about me. I wasn't compared to others who attended her clinic.
What's one piece of advice would you give a prospective patient of Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
If you have questions, or dont understand something then ask. She will take the time to listen , and explain so you do.
During treatment, were you treated like a number or a human with Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care?
Dr. Kresowik is very friendly, and didnt make me feel like I was just another patient to her. She took time to listen to me, and my husband. She remembered my problems and talks that we had in the clinic. Had other drs who didnt seem to even remember who I was, let alone why I was there. Dr. Kresowik is not like that.
Describe the protocols Jessica Kresowik used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
The medications i used was letrozole 40mg, clomid 10mg, trigger injections, and follistim 75 units, then 100 units
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Katie and Allie)
Very good. Caring, and easy to talk to. Explained things very good, didnt leave answers unanswered. Knew what they was doing and talking about.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
Strength is everyone at the clinic is super nice, and caring. Upon checking is, they always knew my name before I told them. No one ever made me feel uncomfortable or that I wasn't important.
Weakness, maybe that she is a good dr and sometimes its hard to get an appt because shes full or busy. But they do the best they can to fit you in as quickly as possible.
Describe the costs associated with your care under Jessica Kresowik at U of Iowa Center for Advanced Reproductive Care.
The visit itself, ultrasounds $250 (I think), IUI $400
Describe Jessica Kresowik's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.