Describe your experience with Cooper Institute for Reproductive Hormonal Disorders.
The clinic is very old-fashioned and disorganized in its methods which seems off-putting at first. Everything is mainly paper-based, you have to fill out forms every time, and you have to get used to their way of doing things. The PA office has short hours and so trips to the NJ office are necessary sometimes which can be a pain. It's worth it for the individualized level of care that you receive. They'll really do whatever they can to make the process as easy as possible otherwise.
During treatment, did you feel like you were treated like a number or a human?
Dr. Check has Friday night consults and makes home calls. He will sit with you for 1-2 hours to discuss your options and your feelings/opinions on treatment in extreme detail. He will try old-fashioned and "outside the box" methods and tests when the typical methods prove unsuccessful. For instance, he performed a postcoital test on us. Some clinics may call this outdated, but it shed light on our situation by revealing that my body may have been killing my husband's sperm all along. He's very anti-establishment and realistic and cares deeply about his patients' well-being.
Describe your experience with the nursing staff.
The nursing staff can be somewhat off-putting in person depending on the day. However, they are always available via phone to answer questions. When calling with blood results, they give you the specific levels each time and explain them, which is wonderful!
How was your experience with Jerome Check?
Dr. Check is compassionate and thorough. He looked at our prior experience and tests and developed a specific, individualized plan. He monitors very often to ensure that he truly understands your cycle and its patterns, strengths, and downfalls. He performed tests such as the postcoital and identified problems that had never been considered in our prior experiences with othet clinics. In consults, he is aware of your individual struggles and history because he takes the time to know and understand you. He also communicates with his staff often and adjusts the plan as you go along. He listens to your concerns and takes them seriously.
What one piece of advice would you give a prospective patient of Jerome Check?
Understand that while his methods seem a bit outdated and crazy, he cares about each individual person and will literally try anything within the realm of fertility care to get you pregnant.
Describe the protocols Jerome Check used in your cycles and their degree of success.
Dr. Check immediately ruled out Clomid and Letrozole due to the fact that it can cause more problems than solutions. He also showed us that IUI success rates are not actually great for our situation since we had good sperm analysis results. He opted to have us try "natural cycles" with timed intercourse and progesterone. With the 1st cycle, he monitored so closely that they increased progesterone to ensure that my lining was perfect. With the 2nd cycle, they performed a postcoital test which showed mostly dead sperm. He added Mucinex to correct this, followed by another PC test which showed completely opposite and excellent results, meaning that my cervical mucus may have been the problem all along and that the Mucinex had thinned it out to allow sperm to pass through more easily and live longer. He also prescribed a Lupron injection each month along with an endometrial scratch to improve implantation conditions, as he believed this may also be the problem. In later cycles, he added more progesterone to hopefully improve things, and we had a chemical pregnancy on our 5th cycle with him. He also added Adderall on the 5th cycle on the chance that it can control "natural killer cells" which sometimes inhibit implantation. He showed us and explained the research for each treatment along the way. Though we still are not pregnant, he is fine tuning things and getting closer to identifying the underlying issues.
Describe the costs associated with your care under Jerome Check.
There are some copays for office visits. They really do what they can to make it as financially easy as possible, including medications and finding the cheapest and best resources available.