Describe your experience with Froedtert & Medical College of Wisconsin.
This clinic is a well-oiled machine. I was very worried going into fertility treatments about the amount of information, the financial aspect of it, insurance coverage, privacy, etc. But the clinic had everything covered. From the front desk staff to the schedulers to the financial coordinator to the nurses -- they are in sync. They are professional yet compassionate, and I felt very supported by the entire team.
During treatment, did you feel like you were treated like a number or a human?
Dr. Bosler always took as much time as necessary to listen and answer questions. At this particular clinic, IUIs and ultrasounds are handled by the available doctors, so I didn't always see Dr. Bosler, but it was very clear that they consulted about me before I saw other doctors in the practice for procedures and they discussed my case. My care was very consistent and personalized.
Describe your experience with the nursing staff.
The nursing staff at the clinic was really on top of things. I worked with a variety of nurses over the course of my treatment, and they always had quick access to all the information they needed. They were always able to respond to my questions quickly and explained things clearly. They were also very compassionate and professional regarding failed cycles.
How was your experience with Jayme Bosler?
Dr. Bosler was wonderful to work with. She not only understood my goals and took the time to learn my health history, but she also took into account my personal circumstances (such as finances and insurance coverage) and helped me factor that into my decision making. She clearly laid out my chances and risks with each course of treatment, and when I didn't conceive within the first few tries, she consulted with other doctors both within and outside the practice to help determine what further testing might be wise and which approach might be best for next steps. When I didn't see her at my last appointment (due to an unexpected emergency), she sent me a very kind congratulatory note. In short, she was wonderful to work with, and made me feel in control and well advised.
What one piece of advice would you give a prospective patient of Jayme Bosler?
Don't be afraid to ask questions - the doctor is willing to spend time to help you understand your best options.
Describe the protocols Jayme Bosler used in your cycles and their degree of success.
I did six cycles of IUIs with donor sperm. My test results showed no expected fertility problems and were very good for my age, but my long and slightly irregular cycles prompted Dr. Bosler to suggest using Clomid to increase the chances of ovulation.
Cycles 1 and 2 involved 50 mg clomid days 3-7, monitoring ultrasounds to track follicle growth, a trigger shot administered when lead follicle was at least 18 mm, with IUI the next day (days 17 and 18). Both cycles resulted in negative HPT.
Cycles 3 and 4 still used 50 mg clomid on days 3-7, but ovulation was tracked using ovulation predictor kits at home (at my request). These cycles had later IUIs (days 20 and 21). Both resulted in negative HPT.
At this point, I had another consult with Dr. Bosler, who, after speaking with another doctor in the practice, Dr. Strawn, ordered some additional tests to look at cortisone and testosterone levels. Due to some slightly high results, I was referred to an endocrinologist outside the practice, eventually getting a PCOS diagnosis.
After that diagnosis, Dr. Bosler met with me again to discuss options, looking at both my test results and what was financially feasible for me. We decided to continue with IUIs.
Cycles 5 and 6 were on 5 mg Letrozole, which produced more follicles for me than clomid. There were monitoring ultrasounds for both rounds and a trigger shot with the IUI the next day. Cycle 5 was a negative HPT, but cycle 6 was a success, with a positive HPT followed by doubling beta tests.
Describe the costs associated with your care under Jayme Bosler.
The clinic provided a complete overview of all costs, from testing to procedures, with prices for insured and uninsured patients. My testing costs were covered by insurance, so I do not know the totals for those. My IUIs were $800 each, not including monitoring or the trigger shot, which were covered by insurance.