DOR ladies: If you could choose, money no object-- Shady Grove, Dominion, or CCRM?

[Anonymous]

Anonymous wrote:

Anonymous wrote:In my experience, SG will only transfer embryos on day 5. If you have DOR, you will probably not have anything to transfer. Also, at least my old doctor at SG (can't speak for the whole practice) gave me very high doses to increase egg production. But the quality of these eggs were horrible. I was also in my twenties when I was at SG, so bad quality was not a function of age. Cornell and GW will both do day 3 transfers and will give you low doses of medicine.

Were you successful?

Not at Shady Grove. I never even got to transfer at SG. I was at GW.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:In my experience, SG will only transfer embryos on day 5. If you have DOR, you will probably not have anything to transfer. Also, at least my old doctor at SG (can't speak for the whole practice) gave me very high doses to increase egg production. But the quality of these eggs were horrible. I was also in my twenties when I was at SG, so bad quality was not a function of age. Cornell and GW will both do day 3 transfers and will give you low doses of medicine.

I did Day 3 transfers at SG. I worked with Kate Devine. I was unsuccessful, but she suggested trying Day 3. She also wanted to try a "mini-stim," which I was happy about, but it involved high doses of Menopur. If I could do it all over, I would try CCRM (they weren't open yet when I was stimming). They are known for their success rates, getting more eggs, tweaking protocols, getting more blasts, and getting more normals.

What do you consider high doses of Menopur and why are you against them?

I was on like 225 per day. There is some thought that too much LH is bad for older women. In those cases, it's recommended to stick with 75 on the Menopur. Some docs don't even use it at all until the last couple days of stims.

[Anonymous]

CCRM does not have DC monitoring. It is a pain in the ass to go out there but it’s a short period of time.

[Anonymous]

CornelL in NYC

[Anonymous]

What insurance do you have that covers PGS testing?!

[Anonymous]

Anonymous wrote:What insurance do you have that covers PGS testing?!

very good insurance... objective is pregnancy as an outcome, so they cover it.

[Anonymous]

Anonymous wrote:

Anonymous wrote:What insurance do you have that covers PGS testing?!

very good insurance... objective is pregnancy as an outcome, so they cover it.

Right. Can you share which one?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:What insurance do you have that covers PGS testing?!

very good insurance... objective is pregnancy as an outcome, so they cover it.

Right. Can you share which one?

Progyny

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:What insurance do you have that covers PGS testing?!

very good insurance... objective is pregnancy as an outcome, so they cover it.

Right. Can you share which one?

Progyny

Is this a new thing? Up until now no insurance has ever covered PGS testing. Some will cover PGD with a demonstrated need to screen for a genetic disorder for which you are a carrier, but that is different testing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:What insurance do you have that covers PGS testing?!

very good insurance... objective is pregnancy as an outcome, so they cover it.

Right. Can you share which one?

Progyny

Is this a new thing? Up until now no insurance has ever covered PGS testing. Some will cover PGD with a demonstrated need to screen for a genetic disorder for which you are a carrier, but that is different testing.

This is employer sponsored right?

[Anonymous]

Anonymous wrote:There are a ton of threads asking this very question. You can use the search function in the forum. I would choose Widra at Shady Grove. He is straightforward, which some people like and other don't. Regardless, he will listen to you and discuss/explain options if you are researching a lot and have specific questions. I asked really dumb questions along the way and he was always patient and respectful despite that. I also considered him to be sympathetic and sensitive overall. He knows a lot about the industry and what other clinics do. He is not that involved during the monitoring, so you need to set up consults and follow-up consults for that. He will answer questions you send in through your nurse.

I have done consults with other REs who have reputations for being especially warm, great bedside manner, etc. and I didn't have that experience at all with them. I liked Widra much more and never left a consult feeling really upset or like my issues were dismissed.

So, given reactions vary from patient to patient, you may need to devote a bit more time to comparison shop to get a better sense which is the best fit.

Widra was my doctor for three failures due to premature DOR at age 33. He told me my best shot was Dr Davis at Cornell.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:What insurance do you have that covers PGS testing?!

very good insurance... objective is pregnancy as an outcome, so they cover it.

Right. Can you share which one?

Progyny

Is this a new thing? Up until now no insurance has ever covered PGS testing. Some will cover PGD with a demonstrated need to screen for a genetic disorder for which you are a carrier, but that is different testing.

This is employer sponsored right?

yes. And Progyny is a fertility benefit startup and its focus is on customer experience and also maximizing live births. Hence, includes PGS.

[Anonymous]

Anonymous wrote:

Anonymous wrote:There are a ton of threads asking this very question. You can use the search function in the forum. I would choose Widra at Shady Grove. He is straightforward, which some people like and other don't. Regardless, he will listen to you and discuss/explain options if you are researching a lot and have specific questions. I asked really dumb questions along the way and he was always patient and respectful despite that. I also considered him to be sympathetic and sensitive overall. He knows a lot about the industry and what other clinics do. He is not that involved during the monitoring, so you need to set up consults and follow-up consults for that. He will answer questions you send in through your nurse.

I have done consults with other REs who have reputations for being especially warm, great bedside manner, etc. and I didn't have that experience at all with them. I liked Widra much more and never left a consult feeling really upset or like my issues were dismissed.

So, given reactions vary from patient to patient, you may need to devote a bit more time to comparison shop to get a better sense which is the best fit.

Widra was my doctor for three failures due to premature DOR at age 33. He told me my best shot was Dr Davis at Cornell.

Did you end up going to Dr. Davis at Cornell? If so, how did it go?

[Anonymous]

Anonymous wrote:Just got a very generous insurance plan but can only choose between Shady Grove, Dominion or CCRM. I have really bad DOR (AFC 4, amh 0.3) and this will be my last shot.

I'm not sure if I have the time to do consults at all three. Would love to hear pro/con and endorsements of these clinics. Which should I pick?

I started out at Dominion and wound up at Shady Grove. I had Dr. Widra and my husband & I thought he was fantastic. I don't know why you wouldn't want someone with a straight forward, matter of fact approach- other doctors had me so confused on what was happening next. The staff in general at Shady Grove is great and they are way more organized and can deal with the volume of people they get.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Just got a very generous insurance plan but can only choose between Shady Grove, Dominion or CCRM. I have really bad DOR (AFC 4, amh 0.3) and this will be my last shot.

I'm not sure if I have the time to do consults at all three. Would love to hear pro/con and endorsements of these clinics. Which should I pick?

I started out at Dominion and wound up at Shady Grove. I had Dr. Widra and my husband & I thought he was fantastic. I don't know why you wouldn't want someone with a straight forward, matter of fact approach- other doctors had me so confused on what was happening next. The staff in general at Shady Grove is great and they are way more organized and can deal with the volume of people they get.

were you successful with him?