Anne Nolte (OB/GYN)

Dr. Nolte is personable, friendly and has a way to make you relax and feel comfortable. Dr. Nolte and the Gianna center is a catholic women center that focus on naprotechnology methods. A lot of emphasis is placed on charting your cycles using the creighton method-which is helpful-but if you do not wish to chart your cycles in this way, then you should not go there. Dr. Nolte takes time to come to the underlying root cause of infertility, doing more extensive testing compared to other more larger fertility centers I have been too. Her treatments are personalized to your particular problem. We have been trying Dr. Noltes modified cycles for 5 cycles now, and while we are still not pregnant, I know that I can contact Dr. Nolte anytime to discuss any concerns. The gianna center offers an alternative to jumping straight into IVF.

You must be open to charting your cycle.

Dr. Nolte has places me on HCG injections post ovulation, three days after I ovulate. I inject HCG every two days until Day 9 and test progesterone levels. Dr. Nolte also recommended a series of vitamin like supplements to enhance mucus production and hormone balance. Some cycles when we choose I will have an ultrasound to check follicle growth and size.

The first appointment with Dr. Nolte is $300-of which you spend 1hour with her personally going through your history etc. After that, it is a co-apy of $20 with my insurance. Ultrasounds $30 with insurance. You have to do a charting course $40 and regularly review your chart with a charting counselor ($40)

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Dr. Nolte is very thorough in her evaluation and is unique in that she works with patients charts (the same concept as basal body temperature charting but different) after patients are trained in that charting method (by nurses on site). She helped me carefully evaluate surgeons for the excision of endometriosis, not pressuring me at all to choose her partner at the Gianna Center in NJ (whom I ultimately went with and was very happy with). I leave each appointment understanding my body, cycle and hormone levels more and supported on whatever step is next.

If you are completely closed to learning a (new) way to chart your cycles, this is not the place for you. There is a learning curve, but it is immensely rewarding.

HCG injections at beginning of cycle to increase progesterone + estrogen levels in luteal phase Progesterone for luteal support (cycles too short) Estradiol (to correct low levels) Semen analysis Multiple follicle studies Referral for excision of endometriosis, selective HSG, tubal patency test Clomid - 1 cycle Letrozole - 2 cycles

The center does everything they can to treat everyone. They are an in-network provider. I only paid co-pays, and only a few things (less than $100) weren't covered by insurance. My insurance did not cover ultrasounds done in their office, but they only charge $50 for them! I had to pay some out of pocket for HCG injections but I think that is fairly normal. This center is not about profit but instead is motivated to provide affordable, high quality care and I think they do a great job at that.

Dr Nolte is extremely caring compassionate and knowledgeable. She clearly has a passion for her work and I have never had a more empathic Doctor. She was a true partner in the process.

There is a lot of work involved in learning to chart appropriately and to some degree you need to let go and trust the process (particularly as the methods are a bit unorthodox). But it is so worth it!

Dr Nolte used NaPro technology treatment. This involved very careful charting on my part using the Creighton method, and my treatment involved use of low doses of clomid and naltrexone to stimulate ovulation, frequent ultrasound monitoring of cycles, timed hcg injection to cause follicle rupture, and strategies for increasing cervical mucus such as mucinex, amoxicillin, vitamin b6, and progesterone treatment during luteal phase. On first consultation (due to charts I had brought in and my history of type 1 diabetes) I was diagnosed with hypothalamic amenorrhea and specifically had luteinized unruptured follicle syndrome which was not picked up by previous Doctor. I also had problems with premenstrual bleeding and cervical mucus deficiencies, all of which were treated with the above techniques. I had had an HSG test done and my partner had SA and both were fine. It took a few cycles to realize (with ultrasound monitoring) about the LUFS, after which point the hcg injections were added. I became pregnant on the 6th cycle working with dr Nolte and carried to term. I had progesterone injections during the first 10 weeks of the pregnancy.

My insurance was out of network for office visits but the fees were very reasonable, like 30-40 per visit. In learning the Creighton method there was a small copay. The ultrasound visits were very expensive due to frequency but luckily these were covered by my insurance.

She is very thorough and kind! She took the time to observe and respond to things that other doctors had looked over. She considered me as a full partner in my treatment and respected my questions, concerns and suggestions.

Trust her judgment.

Charting using the Creighton Fertility Care Model and monitoring hormone levels and follicle growth in conjunction with the chart. Dr. Nolte then only treats what appears to need treatment. This approach is more conservative than some doctors and works with a woman's natural fertility.

$300 consult and $65 phone appointments. Insurance covered medications. Paid for a laparoscopy out-of-pocket--$6,000.