Dr.Engmann is very good in handling his patients , he calls in and elaborates on what didn't go well. He also clearly explains on how ultrasound looks on the monitoring appointments. Since I had failed cycles he spent time in going through the reports and he himself called to share the results...He never gets tired of the questions and answers patiently...
She [nurse at Center for Advanced Reproductive Services] is good but doesn’t spend much time when in calls , she has so much going on but replies promptly in the emails sometimes not clear though...highly organized and the wait times are also less . Retrieval procedure room is also very much maintained and all the nurses there take good care of the patient. They are prompt. Environment is also good. Lab facilities also termed to be as high quality ones.
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
He is very good in handling his patients and provides individual attention and explains things and addresses all the questions. He tries to go through the entire process in detail . But unfortunately we were not able to find why my eggs are not making to embryos though I was able to conceive 5 times and ended up in miscarriages. His diagnosis is perfect but May be in my case it was not very clear with the issue since two cycles had two different results but he tries to make changes in the protocols and explains the same.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
We should be ready to ask more questions possible only when we will get to know the complete understanding of the process . He never gets tired of the questions and answers patiently.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr.Engmann is very good in handling his patients , he calls in and elaborates on what didn't go well. He also clearly explains on how ultrasound looks on the monitoring appointments. Since I had failed cycles he spent time in going through the reports and he himself called to share the results.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
1. Antagonist protocol
Gonal+ menopur + Ganirelix + Lupron for triggering - resulted in 9 eggs out of which 7 fertilized but none made to blast
2 .Lupron priming protocol
Omnitrope + prime with Lupron before CD1 - add Gonal + menopur + reduced dose of Lupron + hcg for trigger - longer stims than first cycle - resulted in 11 eggs out of which only 2 fertilized, he mentioned very poor quality eggs in this cycle .was suggesting priming to give more synchronized growth of follicles but that did not work.
We are planning to go with one more cycle with a estrogen priming instead of Lupron.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Amanda)
She is good but doesn’t spend much time when in calls , she has so much going on but replies promptly in the emails sometimes not clear though
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
They are highly organized and the wait times are also less . Retrieval procedure room is also very much maintained and all the nurses there take good care of the patient. They are prompt. Environment is also good. Lab facilities also termed to be as high quality ones.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Self pay was around 10k for possiblity program
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Didn’t make it to transfer
NPS6
Doctor
Lawrence Engmann
NPS
Humanity4 of 5
Communication4 of 5
Frequency Seen3 of 5
Trustworthiness4 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability4 of 5
NPS7
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
Dr. Engmann is a very knowledgeable doctor...was compassionate about my care, and when I asked for my medical records to review test results and read his notes about us it brought tears to my eyes to see how much he cared about our individual care.
Every member of the clinics staff [at Center for Advanced Reproductive Services] went out of their way to remember my name and things about me. I never felt like a number...The office staff were so friendly and I always found them to be very responsive to my phonecalls.
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr. Engmann is a very knowledgeable doctor. When we first went to meet him we were nervous, and he helped us to understand more about our situation which included finding out about some thyroid issues. I would always recommend going in with questions as Dr. Engmann wants to help as much as possible but it was always more helpful when I had questions. Dr. Engmann was compassionate about my care, and when I asked for my medical records to review test results and read his notes about us it brought tears to my eyes to see how much he cared about our individual care.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Always bring questions you have about your specific criteria. If you have a suggestion, or you have read about something and ask if you can try a certain thing, he is very open to changing and meeting your needs. I read so much literature and listened to many podcasts about fertility so I knew which types of questions and processes to ask about.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Every member of the clinics staff went out of their way to remember my name and things about me. I never felt like a number.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
We first visited Dr. Engmann after having a late first-trimester loss, and I found that I was ovulating very late in my cycle with a short luteal phase. The first round of testing revealed that I had sub-clinical hypothyroidism and low vitamin D. For protocols moving forward I wad prescribed thyroid medication, vitamin D and we were also told to try progesterone gel after ovulation as I was found to have a luteal phase defect. We did conceive again with timed intercourse and these protocols, but unfortunately had a checmical pregnancy at 5 weeks. After this we continued the same protocol for 6 months and were unable to conceive. At this time due to my age we decided to pursue IVF, unfortunately my insuance denied this, and so we moved forward with a non-medicated round of IUI. We chose unmedicated IUI since I ovulated every month and had previously conceieved. We were excited to find out that our first round of IUI had worked.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Mary-Kate )
Mary-Kate was such an excellent nurse. Whenever I had a question day or night I would write her an email, or leave a voicemail depending on the level of importance and I would always hear back from her within 8-12 hours. I am still in communication with her even after my discharge.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
I really liked my clinic, even though it is located in Hartford Center, it was very easy to get in and out of during the morning early hours. The bloodwork hours usually begin at 7:00 am so I would usually go in on my way into work. I was always seen for bloodwork within 20 minutes. I also sometimes had to go to the Farmington location and found both to be very convenient. The office staff were so friendly and I always found them to be very responsive to my phonecalls.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
I only had to pay co-pays, other than that my health insurance paid for everything else including my IUI.
NPS10
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
NPS10
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
If you're using him for egg freezing, be very clear with him how many rounds you are planning/can afford to do. ... I found Dr. Engmann to be a bit passive. I needed someone to guide me through and ensure I was getting the best possible outcome. I felt like I was just enrolled and and going through the motions. I didn't respond as quickly as I thought I would to the treatment and aside from adding days on to the cycle there wasn't much other adjustment made. I felt it was assumed I would do a second round. I didn't feel as though he was invested in my outcome.
... for straight egg-freezing I don't think you're treated with the same level of care/compassion since your time with the clinic [Uconn Health] is short. All of the training videos they make you watch are for IVF so nothing is tailored to just the women freezing their eggs. ... If you are doing elective egg freezing you have to pay for everything up front yourself. The wait times in the morning could be very long, especially if you're doing a round before the holidays.
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
I found Dr. Engmann to be a bit passive. I needed someone to guide me through and ensure I was getting the best possible outcome. I felt like I was just enrolled and and going through the motions. I didn't respond as quickly as I thought I would to the treatment and aside from adding days on to the cycle there wasn't much other adjustment made. I felt it was assumed I would do a second round. I didn't feel as though he was invested in my outcome.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
If you're using him for egg freezing, be very clear with him how many rounds you are planning/can afford to do.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
I felt as though egg freezing patients were not treated the same as other patients trying to conceive. As a single female in her late 30s, deciding to freeze my eggs was a big deal to me. I felt like I didn't know what was going on at the beginning of the process and I was disappointed at the outcome. The doctors assume you will do multiple rounds but who at $12K a cycle who has money for that? I wanted the best possible result at cycle 1.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
Gonal Fe 300 mg, Menopure 150, Ganirelix with a Lupron trigger shot
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Amanda)
Nursing staff across the board was nice and kind. They were amazing and would email with you if you had questions.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
They are known to be one of the best in the state. One area I didn't find fair was that they only offer payment plans to patients who already are covered by insurance (couples). If you are doing elective egg freezing you have to pay for everything up front yourself. The wait times in the morning could be very long, especially if you're doing a round before the holidays. It's up to you to manage your medications and amounts if your cycle extends and the only injection/medication mixing training they give you is a series of videos to watch. People seem to love them for fertility issues but for straight egg-freezing I don't think you're treated with the same level of care/compassion since your time with the clinic is short. All of the training videos they make you watch are for IVF so nothing is tailored to just the women freezing their eggs.
Describe your experience with your monitoring appointments at Center for Advanced Reproductive Services (First Fertility Network Clinic).
You were given a specific window of time and then people were called on a first-come first-serve basis. Sometimes the waits were very long. However, the team was very efficient once you were in.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
$12,000 (all in with medications)
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Due to my age he stated he would prefer to transfer 2 embryos if I used my eggs.
What specific things went wrong at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Provided conflicting information
Describe the specific things that went wrong at Center for Advanced Reproductive Services (First Fertility Network Clinic).
When I was given my AMH levels the nurse called to say everything looked great and that I was good to go but the doctor wanted to give me my official results. The doctor called and told me my levels were below average. I was very upset with the miscommunication. In speaking with my nurse later about it she stated even though I was slightly below average my numbers were still great for the cycle.
NPS5
Doctor
Lawrence Engmann
NPS
Humanity2 of 5
Communication3 of 5
Frequency Seen2 of 5
Trustworthiness4 of 5
Compassion3 of 5
Explained risks4 of 5
Adaptability1 of 5
NPS6
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
He [Dr. Lawrence Engmann] took the time to review my medical record transferred from my Gynecologist. He differed in opinion with my Gynecologist and proceeded to request his own examination. He was eager and very proactive in finding out my true medical condition. He also took into account my partners infertility issues. He provided recommendations as well for my boyfriend to follow up with with his own primary care doctor.
Caring, compassionate and welcoming was exactly how I felt in the waiting room [at Center for Advanced Reproductive Services]. The financial counselor provided a brief overview but we would have liked for her to provide us with other information or grant options out there verdes just providing us a pamphlet on how to secure a loan to pay for IVF treatments...She [nurse] was outstanding and prompt returning my calls when I had added questions.
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr Engmann showed compassion when sharing with me my exam results. He made sure I understood right away what everything meant in his findings. He took the time to review my medical record transferred from my Gynecologist. He differed in opinion with my Gynecologist and proceeded to request his own examination. He was eager and very proactive in finding out my true medical condition. He also took into account my partners infertility issues. He provided recommendations as well for my boyfriend to follow up with with his own primary care doctor.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr Engmann is very busy and give yourself enough time to gather all your questions prior to your visit with him so that you have a very thorough consultation. Do not assume he can take you right in for an appointment.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr Lawrence Engmann, M.D. was candid and got straight to the point. He chatted with me alone, a second consultation included my boyfriend who resides in a different state. He provided us with viable options on how to proceed in our conceiving journey.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
Due to my advanced age and my boyfriends fertility complications he recommended to start IVF as soon as possible. Also to have my uterine fibroids removed prior to starting the IVF process to help ensure a safer pregnancy.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Mary Kate Malloy)
She was outstanding and prompt returning my calls when I had added questions.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
Caring, compassionate and welcoming was exactly how I felt in the waiting room.
The financial counselor provided a brief overview but we would have liked for her to provide us with other information or grant options out there verdes just providing us a pamphlet on how to secure a loan to pay for IVF treatments.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Genetic testing; blood lab work, freezing of my partners sperm, consultation fee & physical exams
NPS9
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen5 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability4 of 5
NPS9
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
During each cycle, Dr. Engmann radiated empathy and compassion when we would get negative results. During the care after the chemical pregnancy/miscarriage, he was very comforting and spent extra time talking my husband and I through our grief and options moving forward.... Dr. Engmann has been an excellent communicator and explained everything in a way that was easy to understand. He has been patient with our questions and nervousness as related to the cost of treatment.
The financial advisors [Ctr for Advanced Repro Med] don’t necessarily see your records prior to talking to you. This can be frustrating when you’re grieving a negative result or trying to figure out how to move forward under incredible stress and THEN getting a call about balance owed or insurance approval processes.... My initial nurse, Mary kate, ended up going on maternity leave shortly after we began treatment. I’ve mostly worked with Peggy
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr. Engmann has been an excellent communicator and explained everything in a way that was easy to understand. He has been patient with our questions and nervousness as related to the cost of treatment. His kindness while we grieved our loss was so genuine and I’m very grateful to be his patient.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Don’t hesitate to ask a question even if it seems “stupid” as the doctor is more than happy to take his time to explain anything that you might be confused about.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
During each cycle, Dr. Engmann radiated empathy and compassion when we would get negative results. During the care after the chemical pregnancy/miscarriage, he was very comforting and spent extra time talking my husband and I through our grief and options moving forward.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
We first did (I believe) 3 cycles of provera to induce my period and have timed intercourse. When this didn’t result in pregnancy, we moved onto 2 unsuccessful IUI cycles with 5 mg of letrozole to induce ovulation. Our third IUI cycle, I was prescribed 7.5 mg of letrozole and had a positive pregnancy test (urine & blood confirmed). At almost 6 weeks, we found out that I was miscarrying — a chemical pregnancy. After a lot of bloodwork and an endometrial biopsy and several ultrasounds, we determined it was not an ectopic pregnancy and I would not need a D&C. We’re currently not pursuing another IUI or beginning IVF as our budget will not allow for that for quite awhile. We’re going to attempt a cycle (or several) with provera and letrozole and timed intercourse while we lay down our balance.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Mary Kate & Peggy)
My initial nurse, Mary kate, ended up going on maternity leave shortly after we began treatment. I’ve mostly worked with Peggy and I absolutely adore her. Both women are very clear in their communication and answer all of my questions and provide an incredible amount of emotional support. There have been a couple of other nurses (whom I don’t know and could not name based on one interaction) who have called to tell me of a negative result with a very chipper and misleading tone. I never had this problem with Mary Kate or Peggy and am so grateful for my interactions with them.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
The financial advisors don’t necessarily see your records prior to talking to you. This can be frustrating when you’re grieving a negative result or trying to figure out how to move forward under incredible stress and THEN getting a call about balance owed or insurance approval processes.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
We have pretty good insurance, but have still had pretty sizable costs over the last 10 months. It’s always helpful after we meet our deductible. We’ve spent north of $5000 on our treatment thus far.
NPS10
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen4 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
NPS10
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
We met with him [Dr. Lawrence Engmann] for a few of our appointments. He relies heavily on a large staff of nurses to provide him with the daily data. Every bloodwork and US was reviewed by him even if I didn't speak with him directly. He was open to hearing our goals and matching treatment to them. He also fully explained the likely causes, and possible courses to take early on.... The initial plan was 3 cycles on letrozole with timed intercourse, because letrozole is a more conservative choice than clomid with fewer side effects.
It's a very large clinic [Ctr for Advanced Repro Services] but the nursing staff is very organized and you have one POC for your whole treatment plan. Depending on who is there that day you will see different Drs and nursing staff. All of the Drs I've interacted with are friendly and direct. The auxiliary staff is not quite as organized and compassionate, to them you are just patients.... She was very responsive and entertained any questions I had. She always deferred to Dr Engman for decisions but would talk to me about "hypothetical" outcomes before Dr Engman had reviewed my chart, and would then follow up that he had come to the same conclusion.
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
We met with him for a few of our appointments. He relies heavily on a large staff of nurses to provide him with the daily data. Every bloodwork and US was reviewed by him even if I didn't speak with him directly. He was open to hearing our goals and matching treatment to them. He also fully explained the likely causes, and possible courses to take early on.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Trust in the process and don't try to be more of a doctor than he is. The clinic has a method and it can be frustratingly slow but they proceed with treatment in the order they do for a reason. Treatment begins pretty conservatively but is open to changes if you make it known you'd like to be more aggressive.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
He's very direct but also kind and uses some slight humor. This is a big practice and my nurse was more up to speed with my day today treatment.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
The initial plan was 3 cycles on letrozole with timed intercourse, because letrozole is a more conservative choice than clomid with fewer side effects. After that the plan was 3 IUI cycles with letrozole but after 2 IUIs we were given the option to proceed to IVF if we were getting frustrated. We're starting IVF shortly.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Mary Kate Malloy)
She was very responsive and entertained any questions I had. She always deferred to Dr Engman for decisions but would talk to me about "hypothetical" outcomes before Dr Engman had reviewed my chart, and would then follow up that he had come to the same conclusion.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
It's a very large clinic but the nursing staff is very organized and you have one POC for your whole treatment plan. Depending on who is there that day you will see different Drs and nursing staff. All of the Drs I've interacted with are friendly and direct. The auxiliary staff is not quite as organized and compassionate, to them you are just patients.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
I have an insurance benefit that covers everything for me. SAs for my husband was $230
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Dr Engman advises only one embryo transferred at a time.
What specific things went wrong at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Failed to call with results
Describe the specific things that went wrong at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Sometimes during monitoring I don't receive a call in the afternoon, this is usually interpreted and I need to go in for monitoring the next day. My regular nurse was out for several months and in her absence there were a few mix ups and I could tell the nursing staff was a little flustered and stretched when it came to managing patients.
NPS5
Doctor
Lawrence Engmann
NPS
Humanity4 of 5
Communication5 of 5
Frequency Seen2 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability4 of 5
NPS7
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
I like Dr. Engmann because he gives all of the info. The good, the bad, everything. The only downfall is that I wish that he would say, “This is what we are doing.” Because he’s the doctor. I don’t want to choose. ... He can come across as stand offish, but he’s not. He’s really smart and really cares for his patients. ... I was allowed to grieve my loss, and when freaking out after transfer 2 failed he called to check on me.
Hartford [Center for Adv Repro Svcs] is small and so they know everybody. ... They aren’t open on weekends, and all procedures are done in Farmington. That can be awkward because any of the doctors can/will perform procedures. ... The doors open at 7am, and I arrive at 630. Bloodwork starts at 715 and ultrasounds start at 745. Some days getting to work on time is tough even on just bloodwork days, other days it’s empty.
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
I like Dr. Engmann because he gives all of the info. The good, the bad, everything. The only downfall is that I wish that he would say, “This is what we are doing.” Because he’s the doctor. I don’t want to choose.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
He can come across as stand offish, but he’s not. He’s really smart and really cares for his patients.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
I was always explained everything and allowed to choose. I was allowed to grieve my loss, and when freaking out after transfer 2 failed he called to check on me.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
IVF- Antagonist protocol w/ Cetrotide. 3 retrievals w/ different amounts of Gonal and Menapur
Natural transfer-I ovulate
Medicated transfer w/ Lovenox-never does the same thing twice
Afyer 2 failed transfers for no reason
Fertilome
Immunology
karyotype
ERA
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Amanda Czilak)
I wouldn’t get through this without her. She and all the staff in Hartford are amazing. So much better than Farmington.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
Hartford is small and so they know everybody. Only Dr Engmann and Dr diLiugi practice in Hartford. They aren’t open on weekends, and all procedures are done in Farmington. That can be awkward because any of the doctors can/will perform procedures. Most people I know prefer the Hartford office because there are less patients and so morning cycling goes faster than farmington-even though it opens later.
Describe your experience with your monitoring appointments at Center for Advanced Reproductive Services (First Fertility Network Clinic).
The doors open at 7am, and I arrive at 630. Bloodwork starts at 715 and ultrasounds start at 745. Some days getting to work on time is tough even on just bloodwork days, other days it’s empty.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Living in CT, we are a mandate state. However, we have exhausted our benefits. In additon, we are now moving to treatments/testing that wouldn’t be covered regardless.
In addition to what insurance covered we’re paid:
3220 - crypto fees
800-ERA
4000-deductible
150-Fertilome
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
I kind of wish we could do 2 PGS tested next time, but I don’t want to waste embryos either.
We do have 4 untested frozen, and if we use those we will transfer 2.
NPS10
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen4 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks4 of 5
Adaptability5 of 5
NPS10
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
Dr. Engmann is not only an incredibly compassionate doctor, but also an incredibly patient (with all my questions), kind (you could tell he always wanted the best outcome), and knowledgable of every cycle and situation we were in. If there was an issue with treatment plan, or medications he reacted so quickly. Dr. Engmann calmed my nerves and relieved my anxiety during appointments. I will never forget when we were prepping for our transfer, he came in to speak to my husband and I and told us the embryo was "perfect".
The clinic (UCONN Medical0 was wonderful; from the front desk staff, the phlebotomists, nurses, financial team, doctors....everyone was just wonderful, compassionate and kept information confidential. There was one doctor I had a terrible experience with, I informed my doctor of the situation and I never saw that one doctor again- thankful for my doctor who fully understood this particular situation.... Morning appointments depended on the number of patients
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr. Engmann is not only an incredibly compassionate doctor, but also an incredibly patient (with all my questions), kind (you could tell he always wanted the best outcome), and knowledgable of every cycle and situation we were in. If there was an issue with treatment plan, or medications he reacted so quickly. Dr. Engmann calmed my nerves and relieved my anxiety during appointments. I will never forget when we were prepping for our transfer, he came in to speak to my husband and I and told us the embryo was "perfect". I cried and he put his hand on my shoulder to reassure me this was going to be a good day. During the transfer he and the nurse walked me through every step of the way and showed me on the screen where the embryo was placed. When we had our viability scan he could tell we were extremely nervous, and he immediately went right into the ultrasound- no small talk...just straight to the point. We we "graduated" from the clinic I cried happy tears for the first time in his treatment room and I'm forever grateful for Dr. Engmann and his compassion.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Trust him. No matter what you "google" or read on your Facebook forum, he knows what he's doing and he has your best interest in mind.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr. Engman was wonderful, as well as his entire staff. Phone calls were returned so quickly- regardless of how trivial my questions may have been at times. He always knew the details of my particular cycle when he walked into the treatment room. All procedures, updates, etc. were explained in full and expectations were set.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Darlene (IUI) & Amanda (IVF))
Darlene, even though she's no long with the clinic, was such a constant during our treatments. She walked us through every procedure, every medication. She educated and answered questions, she never treated me like my questions were silly.
Amanda was such a change in attitude that my husband and I needed. After our failed medicated cycles and failed IUI moving onto IVF was a really hard transition for us. I thought of IVF as the "LAST CHANCE" and Amanda was so patient during our initial consultation and explained that this was the next best step. She walked us through all the paperwork explaining decisions we needed to make. Leading up to and after all the IVF procedures she was irreplaceable- checking in on me, making sure I was up to date with all information and returned my calls so quickly. She knew I was concerned about my TSH levels and was sure to test them and adjust my medications appropriately. When we were testing for Beta levels- I could tell in her voice that she was genuinely happy for us. When we graduated from the clinic she sought us out to say goodbye and it just made my heart so happy.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
The clinic was wonderful; from the front desk staff, the phlebotomists, nurses, financial team, doctors....everyone was just wonderful, compassionate and kept information confidential. There was one doctor I had a terrible experience with, I informed my doctor of the situation and I never saw that one doctor again- thankful for my doctor who fully understood this particular situation.
Describe your experience with your monitoring appointments at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Morning appointments depended on the number of patients who were also there for monitoring. It was really nice to see most of the same faces and know that you weren't alone. The monitoring procedures themselves were relatively quick and painless. I liked going in the morning because I didnt have to take more time out of work.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
We were lucky to have fantastic insurance, our costs were mostly copays. Totaling somewhere in the ball park of $3,000.00
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
We trusted Dr. Engmann's decision as to if he'd transfer a single or multiple embryos. Thankfully, we had a "perfect" embryo and only had to transfer one.
NPS10
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen4 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
NPS10
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
Dr. Engmann always prefers to see his patients for scans, transfers, etc. I think he truly cares about his patients. I think he maybe didn't always think outside the box for other things we could try (could have been restricted due to the clinic) such as immune testing or testing for endometriosis. I went unexplained for 2 years without a diagnosis and we just keep trying IVF and kept failing. I feel like we should have spent more time at the very beginning trying to figure out root cause.
We had a lot of issues with the financial department [UCONN Medical]. We had a financial rep tell us that there was "no way" we had a $20,000 lifetime cap...we thought we had insurance coverage and were so excited! She was wrong....They have a number of qualified physicians there and a strong lab.... They follow national guidelines though so they will not try any of the new outside of the box treatments... Sometimes it is very busy there. They say they start blood draws at 7:15 but I have been there and they often don't start until 7:30
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr. Engmann always prefers to see his patients for scans, transfers, etc. I think he truly cares about his patients. I think he maybe didn't always think outside the box for other things we could try (could have been restricted due to the clinic) such as immune testing or testing for endometriosis. I went unexplained for 2 years without a diagnosis and we just keep trying IVF and kept failing. I feel like we should have spent more time at the very beginning trying to figure out root cause. He has good bedside manner and doesn't sugar coat things if they don't look right.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Sometimes he can be a bit clinical but he is very factual.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
I did feel like they truly cared about me. I just felt like they kept trying to do IVF as a solution rather than look for root cause for my problems.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
My 2nd retrieval was an antagonist protocol with menopur and gonal f. I cannot remember what the first one was (just gonal F). I also used HGH in my 2nd retrieval. I had a better outcome in that I had more PGS normal embryos that cycle.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Amanda Cislak)
Amanda was fabulous. She is responsive on the phone and also replies to emails which can sometimes be more convenient for the patient if we are at work, etc. She's compassionate... she has cried with me and laughed with me. I truly felt connected to her and that she cared about me as a patient and person.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
They have a number of qualified physicians there and a strong lab. They have some of the highest success rates in the state and multiple locations so you can go to wherever is most convenient to you. They follow national guidelines though so they will not try any of the new outside of the box treatments... such as immune treatments, etc. They tend to do similar things... hysteroscopy, ERA testing, PGS testing, etc. that they rely on as next steps when IVF has failed. However I think there is more testing that can be done that I had to ask for (Sperm DNA fragmentation, MRI for adenomyosis, immune testing/medications, EFT testing, etc.). I did end up having to go to an immune specialist to get further answers to try something different after 5 failed cycles and 3 miscarriages (1 of which was a PGS tested embryo).
Describe your experience with your monitoring appointments at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Sometimes it is very busy there. They say they start blood draws at 7:15 but I have been there and they often don't start until 7:30... There is always a long wait but that is just due to the volume of patients and only 1 person who does blood draws.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
We had $20,000 of insurance money which lasted us about 1 year (3 IUIs, 1 retrieval with fresh transfer, and 1 FET). After that we were self pay and opted to do a financial share program which cost us $20,000 for 6 cycles (3 fresh and 3 FET). However costs for anesthesia, cryo, PGS, etc. were not included in that so that was an additional cost.
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
He definitely prefers eSET. He feels strongly against multiples. He advised us to transfer 1 many times.
What specific things went wrong at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Failed to call in prescriptions to pharmacy
Failed to call with results
Failed to send your chart to another clinic
Provided conflicting information
Describe the specific things that went wrong at Center for Advanced Reproductive Services (First Fertility Network Clinic).
We had a lot of issues with the financial department. We had a financial rep tell us that there was "no way" we had a $20,000 lifetime cap... that she had never heard of that before (even though I already knew this was the case). And she was supposed to call me back that same day with the information but I had to follow up a week later because I never heard from her and sure enough I was correct that we did have a cap. But to tell us that we didn't was awful... we thought we had insurance coverage and were so excited! She was wrong. I also had a couple of instances when I had an interim nurse who forgot to send in my script and a couple of times they forgot to call me with results and I had to follow up with the on-call Doctor.
NPS6
Doctor
Lawrence Engmann
NPS
Humanity4 of 5
Communication4 of 5
Frequency Seen4 of 5
Trustworthiness4 of 5
Compassion4 of 5
Explained risks5 of 5
Adaptability4 of 5
NPS7
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
Dr. Engmann is an amazingly kind and compassionate brilliant Doctor. He cares very deeply about his patients...We conceived our son under his care when I was 42 years old. Our son was diagnosed with cancer at 13 months old and passed away at 17 months old. We are presently trying to have another child and Dr. Engmann has been so compassionate and kind and gentle with us. My age is a huge factor at this point and Dr Engmann has been very understanding. Conversations have been difficult as we have had failed cycles. He wants to be hopeful but realistic at the same time...Any one would be lucky to have him. He is truly one of the best doctors I have ever met...
It's an excellent clinic [Uconn Ctr Adv Repro S - Hart]. The staff is amazing. Everyone cares deeply from the receptionist to the girls taking blood draws to every nurse and ultrasound technician...Amanda is an amazing nurse. So kind and compassionate and always takes time to talk to me and comfort me when needed...
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr. Engmann is a very kind and brilliant dr. We conceived our son under his care when I was 42 years old. Our son was diagnosed with cancer at 13 months old and passed away at 17 months old. We are presently trying to have another child and Dr. Engmann has been so compassionate and kind and gentle with us. My age is a huge factor at this point and Dr Engmann has been very understand. Conversations have been difficult as we have had failed cycles. He wants to be hopeful but realistic at the same time.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Any one would be lucky to have him. He is truly one of the best doctors I have ever met.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr. Engmann is an amazingly kind and compassionate brilliant Doctor. He cares very deeply about his patients.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
We have used atagonist protocol, micro dose lupron. We did PGS testing and got 2 chromosomally normal embryos at 44 years of age but the transfer was unsuccessful. We have done 4 egg retrievals since losing our son to cancer to try to get chromosomally normal embryos with my own eggs. I produce a lot of eggs at 45 years old. We've retrieved 12 eggs in the 1st cycle, 26 in the 2nd, 24 in the 3rd and 30 in the 4th cycle.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Amanda Cislak)
Amanda is an amazing nurse. So kind and compassionate and always takes time to talk to me and comfort me when needed
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
It's an excellent clinic. The staff is amazing. Everyone cares deeply from the receptionist to the girls taking blood draws to every nurse and ultrasound technician
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
We've spent over $50,000 for 5 egg retrievals which led to 3 embryo transfers. This resulted in 1 full term baby.
NPS10
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
NPS10
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
Dr Engmann was very compassionate and respectful and was ready to listen to our opinion. And he was very honest about what he thinks . He sometimes call me personally if he needs to give us information about treatment....He is going to tell you as think and not sugar coat his words to make you feel better. He will be frank with you.... My ivf protocol was microdose flare . Because I am a poor responder.it consist of lupron , Gonal F and Menopur.
CARS is a nice and clean place to be. They are very organized and you have a whole doctor or a nurse to yourself. And they many offices in Connecticut so you don’t have to be on waiting list for long....I did six IUI and each cost $750.00 and the IVF $11000 and medication cost $8000... Amanda [nurse] had me come to the office and we sat down and she explained all I needed to know about my injections and how to administer them
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr Engmann was very compassionate and respectful and was ready to listen to our opinion. And he was very honest about what he thinks . He sometimes call me personally if he needs to give us information about treatment.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
He is going to tell you as think and not sugar coat his words to make you feel better. He will be frank with you.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
I was treated like a family
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
My ivf protocol was microdose flare . Because I am a poor responder.it consist of lupron , Gonal F and Menopur. After a whole week of injections my blood work was the same and my cycle was cancelled. I’m yet to start any cycle.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Amanda Seslac)
Amanda had me come to the office and we sat down and she explained all I needed to know about my injections and how to administer them
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
CARS is a nice and clean place to be. They are very organized and you have a whole doctor or a nurse to yourself. And they many offices in Connecticut so you don’t have to be on waiting list for long.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
I did six IUI and each cost $750.00 and the IVF $11000 and medication cost $8000
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Yes, he recommended a single embryo transfer
NPS10
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen5 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability4 of 5
NPS10
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
We had so many trials and tribulations during the course of the four years of treatment, and he [Dr. Lawrence Engmann] was there every step of the way and showing care and compassion towards us! I've never had a doctor have a such a personal investment in me as he was...The care and treatment was so personal and kind...Don't worry if he seems very serious yes, he is excellent at what he does and takes it seriously but can also joke and have a sense of humor.
It felt like a family at the clinic [Center for Advanced Reproductive Services UNCONN Medical] with everyone rooting for you!...This was my best experience have any doctors office or clinic. It was like a family and they are so kind and caring and invested in the outcome that you feel like you have nothing to worry about because they have it all under control...They [the nurses] are so invested in you and your outcome. They are always available when you call and are willing to answer any questions you have.
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
We had so many trials and tribulations during the course of the four years of treatment, and he was there every step of the way and showing care and compassion towards us! I've never had a doctor have a such a personal investment in me as he was.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Don't worry if he seems very serious yes, he is excellent at what he does and takes it seriously but can also joke and have a sense of humor.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
The care and treatment was so personal and kind. It felt like a family at the clinic with everyone rooting for you!
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Amanda and Helen)
They are so invested in you and your outcome. They are always available when you call and are willing to answer any questions you have.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
This was my best experience have any doctors office or clinic. It was like a family and they are so kind and caring and invested in the outcome that you feel like you have nothing to worry about because they have it all under control.
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
We did a combination of patches and injections the second time around which was now and we are pregnant. Previously we did injections with no patch and it was unsuccessful with only three eggs to retrieve.
NPS10
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
NPS10
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
Dr. Engmann was great...he was strict about transferring one embryo...explained everything extremely clearly...took the time to speak to me on the phone when I had further questions...even made sure that he was the one who transferred my last embryo (my request) and it was successful.
[Center for Advanced Reproductive Services (UCONN Medical) is a] Great facility...Some of the US techs at the Hartford location were not friendly and welcoming which was unfortunate...receptionists at Hartford and Farmington were great...wait times were minimal at both...All the girls in pre-op/post-op area were FANTASTIC! they were so warm and welcoming and positive
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr. Engmann was great, I recommend to all my friends needing a fertility doctor. He explained everything extremely clearly. He took the time to speak to me on the phone when I had further questions. He worked with my schedule as much as possible. He even made sure that he was the one who transferred my last embryo (my request) and it was successful. I underwent 4 transfers and he did 2 of them, both of which were successful, he had 100% success rate.
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
He actually listened when I was speaking , he answered all of my questions, he created my treatment plan specific to my needs
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Erin)
Erin was the best!! I am so happy she was my nurse. I probably drove her crazy with all my phone calls and messages but she was always so kind and compassionate when calling me back. If there were results that she knew were making me anxious she would call me back as soon as possible so she didnt make me wait.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
Great facility. Wish they could do more at the hartford location. Some of the US techs at the Hartford location were not friendly and welcoming which was unfortunate. The receptionists at Hartford and Farmington were great. The wait times were minimal at both locations. Blood work was a breeze, the phlebotomists at Hartford were way more friendly than the ones in Farmington, they were not friendly at all! All the girls in pre-op/post-op area were FANTASTIC! they were so warm and welcoming and positive
Describe your experience with your monitoring appointments at Center for Advanced Reproductive Services (First Fertility Network Clinic).
they worked with my schedule as much as possible
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
dont remember
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
he was strict about transferring one embryo
NPS10
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
NPS10
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)
He was very clear his stance on multiples was it would not be advisable or healthy. ... He was very concerned I would end up with multiples and suggested selective reduction if that were to happen. ... I loved our experience with Dr.Engmann. He is very knowledgable and helpful when you ask questions and when coming up with a course of treatment. He exhausted all possibilities of why we were infertile and was very optimistic when I was losing hope.
You will be leaving and receiving voicemails more thank talking to an actual person most of the time but I was ok with that. Everyone [at Ctr for Adv Repro Svc] is helpful and informative, I enjoyed working with everyone on the nursing staff. ... I talked to many different nurses for the IVF cycle. I loved my clinical nurse Darlene that I had for my IUI’s. All the nurses I worked with were helpful and kind.
How was your experience with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
I loved our experience with Dr.Engmann. He is very knowledgable and helpful when you ask questions and when coming up with a course of treatment. He exhausted all possibilities of why we were infertile and was very optimistic when I was losing hope. He was kind when he needed to be, direct when he needed to be and even though there were long periods where I only saw nurses and not him, I always felt like he was in control and monitoring everting. He had a good sense of humor and made me feel comfortable and confident in him.
What's one piece of advice would you give a prospective patient of Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Have your questions ready, and trust him he knows what he is doing!
During treatment, were you treated like a number or a human with Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic)?
Dr.Engmann was always engaged and determined to help me finally become pregnant. He listened to me, answered my questions and reassured me.
Describe the protocols Lawrence Engmann used in your cycles at Center for Advanced Reproductive Services (First Fertility Network Clinic) and their degree of success.
I had a miscarriage after trying for 2 years to get pregnant, then tried to get pregnant for a year after that before going to Dr.Engmann. He had me go for a hysterosalpingogram, tested my blood for everything, std tests for both my husband and I, semen analysis for my husband, looked at my uterus and diagnosed me with unexplained infertility. He recommended 3 rounds of IUI with 50 mg clomid days 3-7. The first round I monitored my ovulation with kits at home, the other 2 times I went for bloodwork everyday day 10 until surge and I did an hcg trigger shot for the 3rd one. None of them worked. He recommended IVF I had a saline ultrasound to check my uterus, many blood tests, ultra sounds, took hormone injections and after one cycle became pregnant. They performed ICSI and assisted hatching on the embryo that was transferred. 9 days after transfer I had a positive pregnancy test and continued progesterone injections until my second ultrasound at 8 weeks and then was transferred back to my obgyn.
Describe your experience with your nurse at Center for Advanced Reproductive Services (First Fertility Network Clinic). (Assigned nurse: Amanda)
I talked to many different nurses for the IVF cycle. I loved my clinical nurse Darlene that I had for my IUI’s. All the nurses I worked with were helpful and kind.
Describe your experience with Center for Advanced Reproductive Services (First Fertility Network Clinic).
You will be leaving and receiving voicemails more thank talking to an actual person most of the time but I was ok with that. Everyone is helpful and informative, I enjoyed working with everyone on the nursing staff.
Describe the costs associated with your care under Lawrence Engmann at Center for Advanced Reproductive Services (First Fertility Network Clinic).
Costs were considerable but expected for infertility trestments. They don’t hound you for payments and will work with you.
Describe Lawrence Engmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Advanced Reproductive Services (First Fertility Network Clinic).
He was very clear his stance on multiples was it would not be advisable or healthy. He only wanted to transfer one embryo and he was worried about having too many mature eggs during my last IUI. He was very concerned I would end up with multiples and suggested selective reduction if that were to happen.
NPS10
Doctor
Lawrence Engmann
NPS
Humanity5 of 5
Communication5 of 5
Frequency Seen3 of 5
Trustworthiness5 of 5
Compassion5 of 5
Explained risks5 of 5
Adaptability5 of 5
NPS10
Clinic
Center for Advanced Reproductive Services (First Fertility Network Clinic)