Suneeta Senapati

At the time I really appreciated how clear and concise Dr. Senapati was. She's extremely personable and friendly. However during my two miscarriages I never saw her in person. All my visits with her were via telehealth after the fact, and when I was in the office I would see only nursing staff, the on call, or an NP. She was able to clearly explain what was going on (after the fact) and used logic to come up with a treatment plan based off tests we did. However, what I have come to find out through additional consults is that her plan is not appropriate for my situation, and is considered an overly aggressive treatment plan.

While Dr. Senapati is a great person, don't go to Penn Fertility. It's a business and you're just a number there.

After 6 months of not getting pregnant I had an HSG done, and became pregnant the following month. I miscarried at 7 weeks, and was basically told it wasn't an issue and we could try again. I got pregnant two months later on my first cycle of Clomid 50mg, and then miscarried (had a D&C) 9 weeks later. We did Natera genetic testing of the fetal cells which showed a rare genetic issue. After that I was told we needed to do IVF with PGT due to the genetic issue. Dr. Senapati said we would immediately have some testing done, and be put on the schedule for our nursing consult for IVF and on the IVF schedule and to anticipate a November start but it could be sooner. Then went on sabbatical, and I had to call/message daily to get my tests, saline sonogram, and mock transfer done and once done no one would schedule our IVF consult or provide dates to us. It was crushing.

We've spent $5,000+ after insurance I believe. Keep in mind we only did one round of Clomid with them, and that was $10 for the prescription...

When I first went to see Dr Senapati I didn't know what to expect. She explained all the procedures such as IUI and IVF in great detail. I believe she could come off a little more compassionate as some of the other doctors I've met in the practice.

Dr Senapati throws a lot of information at you at once. Make sure you bring your questions and you take down notes.

I began birth control for a few weeks and then went on 10ml of lupron. On the second day of my period I had a baseline ultrasound to check my ovaries and lining. I started injections (5ml lupron in the morning and 375ml Gonal F in the evening). I had bloodwork and ultrasounds to check my hormone levels and follicle development 4 days later and my dose changed to 5ml Lupron, 300 Gonal F and 150 menopur for the rest of the days. I took my HCG trigger shot on day 11 and had my egg retrieval on day 13 (36 after my trigger shot.) I sent my embryos out for PGS testing and i'm waiting on the results. I don't know the strategies behind or rational because I just did what the nurse told me to do.

From June 2017 until now $62,567 in medical expenses not including prescription drugs. I still have to do the IVF transfer after the PGS results come in.

Doctor Senapati is very good at clearly and patiently explaining things, and takes a very matter-of-fact approach. I always felt very comfortable asking questions, and she never made me feel rushed when we were discussing my care. I always felt like I had a good grasp of the steps we were taking and the reasons behind them. The only reservation I had about her was that my husband and I chose to take a less conventional approach to IVF for religious reasons. We elected to inseminate only a small number of eggs to reduce the chances of excess embryos. We didn't feel like Dr. Senapati always fully understood how important this priority was to us, and we knew she didn't agree with our approach. In the end, we took a path we were comfortable with, but not before we experienced some (respectful) pushback. In summary: If you've got personal ethical concerns about fertility treatments/IVF, consider another doctor who might better understand where you're coming from. If what you want is an expert walking you through your care step by step, she's a great choice.

Don't hesitate to ask questions at any point! She's going to explain a TON of information to you, which can quickly get overwhelming and make decisions difficult. So ask about anything that's unclear, and request to go over something again if you didn't fully grasp it the first time. She'll never make you feel dumb for asking more questions.

Dr. Senapati understood that I wanted to avoid IVF if at all possible, so we exhausted every approach to IUI first. Unfortunately, my extremely sensitive ovaries made this difficult. After I overreacted to even the lowest dose of Clomid, we switched to Letrozole cycles. After I underreacted to even the highest dose of Letrozole, we switched to a hybrid Letrozole+Gonal F cycle. When that didn't work, we used exclusively Gonal F because the dosage can be calibrated so precisely. In the end, we did 14 hormone cycles, with 7 cancelled cycles and 7 IUIs. At that point she recommended we discontinue IUI, so we switched to IVF and I got pregnant after my first embryo transfer.

Dr. Senapati's preferences for single embryo transfer aligned with my own, so we didn't have to discuss it much. From what we did discuss, I felt confident that it was the best choice for my health and for my pregnancy goals. I also felt that the choice was my own and I could have gone a different way if I'd wanted to.

Dr. Senapati is very dedicated, thorough, smart and clear. I always felt she was doing everything she could to ensure I made informed decisions, had good experiences, and felt supported by the practice. Her nursing team is also very supportive and helpful.

Trust the process.

The practice in general seemed very adverse to multiple babies, so they seemed happy I wanted to do genetic testing with just 1 normal embryo transfer.