Paul Marshburn

Dr. Marshburn was very sensitive and compassionate in delivering bad news. He always provided me with hope even when things didn't go well. He was willing to help me be more comfortable during a second HSG by giving me a higher level of sedation, because he remembered how painful the first one was for me. I felt that his care for me was personalized, and that I wasn't just another patient. I honestly don't have any negative feedback to say about him.

If you have the opportunity to work with Dr. Marshburn, then do it! I think you will be happy you did.

I had 2 IUI's with donor sperm. I was given Clomid and the Ovidrel as the trigger shot. I have not been diagnosed with any fertility issues (we were doing IUI because of my husband's infertility), but I think I was given 50 mg of Clomid, just to make sure that at my older age (38), that I was going to ovulate and that the procedure would have the best chances. Then, Ovidrel was used to time ovulation and to schedule the IUI. I received a negative pregnancy test for the first IUI. The second IUI led to a chemical pregnancy which I lost in April of 2017. Then I took a break, emotionally unsure if I wanted to try again. Later, in October and November of 2017, I had two more IUI's with donor sperm. The first was a negative pregnancy test, but the 2nd one was successful and led to the birth of our healthy daughter in July of 2018.

The IUI process was overall affordable. I cannot remember the specific costs. Some of the cost was covered by my insurance. The Ovidrel shot was around $85. Each IUI was less than $1000.

From day one, Dr. Marshburn was kind and informative. His bedside manner was exactly what we needed — truthful, to the point and compassionate. And not only that, but when he helped pioneer the fertility clinic years ago, he fought to make it affordable for the folks who worked for the hospital. Which, in my case, was extremely beneficial as it gave me incredible financial assistance/benefits for pursuing help with our fertility. He cares about his patients’ health first and foremost. He never pushed an agenda and allowed my body’s response (and that of my husband’s) to guide the process. He saw me as an individual and always put me first — over any possible outcome. But mostly he was kind and he answered ALL of my questions with knowledge and experience. I can’t imagine having trusted anyone else to get us where we are today.

Ask questions! He’ll answer them honestly and he has a great way of explaining things so that they make sense. The body is so complex but he makes it more easily understood and will go out of his way to make sure you understand what’s going on.

From the beginning, it was determined that I had a low average egg supply. He never pushed us one way or another but always made it clear what our options were. He was always good about recommending what he believed was clinically best for us but never pushed anything on us. As our infertility was considered “unexplained”, He recommended pursuing several rounds of IUI as this was least invasive. As two rounds failed, he then explained the benefit of pursuing IVF due to my lower egg supply but also that it would increase the likelihood that we could conceive. Granted, we were blessed in that we had a lot of financial assistance through my insurance which allowed us to consider this option sooner. He ultimately always left the decision up to us but always made sure we had the information and the time to make the decision. We chose to do IVF after two rounds of IUI. We retrieved 18 eggs, 6 were frozen, and one was implanted. Dr. Marshburn did not recommend transferring more than one egg at a time given my age (I’m under 35 so the chances of one working was high enough) and he didn’t want to risk multiple embryos sticking as this can pose some increased health risks to me and/or the babies themselves. We completed a fresh transfer with one embryo and became pregnant during that cycle.

~15,000 for meds and procedures.

I appreciated the concern he had for my health. It felt as though he was just as concerned about my personal health than a successful transfer. Which made me trust him more.

Dr Marshburn is an outstanding Dr. he is kind and compassionate and wants you to fully understand the process and anything you have questions about. He is happy to discuss percentages and what ifs etc. He doesn’t rush you and is easy to talk to.

Write out questions you have ahead of time so you do not forget to ask something. Also if you have records from another hospital/practice bring copies because we had trouble with them being able to access them even though the other practice said they sent them.

The protocol after the femera and IUIs did not work was IVF. I used lupron, menopur and gonal F and ovidril trigger and crinone. For the later FET for a 2nd I used estradiol, vivelle patches and progesterone in oil shots.

Monitoring was efficient and well run.

I believe the IVF cycle including meds and retrieval and transfer etc was around 15000. A frozen transfer including meds was around 4000-5000

He felt there was a greater risk to transferring two especially for the first transfer.

Dr. Marshburn was wonderful. Before my first ever visit he had reviewed all tests and information sent over from my gynecologist and was prepared with a plan before we even spoke. As our conversation progressed he made changes based on the information he got from me and went from there. He was very confident and easy to speak with. I would have liked to have had more interaction with him versus just the nurses but enjoyed the appointments where I met with him. Once we became pregnant he was present during the initial ultrasound and explained everything to us in detail and asked us to please update him when our son was bored. I was impressed when I did and actually received an email back from him. It was so nice. When going back to him to try for a second child he again had read up on everything and even remembered the notebook I kept with me at every appointment. I don't have a single negative thing to say about him.

Go in with all your details. He is willing to listen and work with you but be prepared so as not to prolong the process.

1) first cycle was 50mg clomid days 4-8 to which I did not respond so we proceeded with 100mg clomid days 12-16. I had a 18mm follicle on my LT ovary. Triggered on CD 20. IUI on CD 22. Negative outcome 2) Switched to Femara based on the nasty side effects I had from the clomid. 5mg femara days 4-8. I had a 23mm and 17mm follicle on my RT ovary on CD 14. Triggered that night and IUI on CD 15. Negative outcome 3) 5mg Femara on days 3-7. I had a 22mm follicle on my RT ovary on CD 11. Triggered CD 12. IUI on CD 14. Positive beta 14DPIUI. Live birth at 40w1d. 4) 5mg Femara on days 4-8. I had a 19.5mm follicle on LT ovary on CD15. Triggered CD16. IUI on CD18. Negative outcome. 5) 5mg Femara on days 3-7. I had a 24mm and 19mm follicle on LT ovary on CD11. Triggered that night and IUI on CD13. Negative outcome 6) 5mg Femara on days 3-7. I had a 24mm and 15mm follicle on LT ovary on CD10. Triggered that night and IUI on CD12. Negative outcome 7) 5mg Femara on days 3-7. I had a 16mm follicle on LT ovary and a 19mm and 16mm follicle on RT ovary on CD10. Triggered on CD11 and IUI on CD13. Negative outcome. Negative outcome After the 4th failed IUI for our second child we decided to move onto IVF.

Each IUI cost approx $600-$700 including medications.

He is pleasant and takes his time to talk to you. I wish he was able to explain our unexplained infertility, but I guess sometimes no one can! I feel like he put us on the typical and usually prescribed track of 3 IUIs, then IVF. I wish there were more things we could try to diagnose and try before having to fork over $20k for IVF.

Don't expect to see him often. You will most often deal with the nurses instead. Doctor appts are mostly for initial consults only.

Dr. Marshburn is patient and respectful. He understood our health issues, listened to our concerns and provided us with a well organized plan to conceive.

Be patient. Dr. Marshburn and his team are fantastic, but this can be a long process filled with many tests and visits. You will understand what is being done each step of the way, though. You are in good hands!

Monitoring appointments are easy! You arrive early in the morning and are generally seen within 15 minutes or less.