Describe your experience with Repromed Fertility Center.
The clinic was convenient to where I lived at the time and the nurses were nice enough. Other than that, I don't recommend this clinic because I don't respect Dr. Pinto (please see my discussion above for more on this).
Another specific thing I don't like about this clinic: They make you shave and/or trim your pubic hair for hysteroscopy. This is not standard practice and I found it demeaning. I've had 6 hysteroscopies and the only time I had to prep my pubic hair was for Dr. Pinto. Not sure what that's about.
I was reflecting on my experience at this clinic and wanted to write about two positive experiences I had: (1) I had partial ovarian torsion at one point during the one clomid cycle I did under Dr. Pinto's care and the doctor or nurse (can't remember!) on call took it really seriously and helped us figure out whether or not we needed to go to the emergency room. (2) I asked Dr. Pinto for a referral to a therapist and he gave me the name of someone I then went to for several months and she was FANTASTIC. Probably the best therapist I have ever been to. So I am grateful for those two things.
During treatment, did you feel like you were treated like a number or a human?
Dr. Pinto took a lot of time to meet with me and my husband and explain our situation which I really appreciate. However, one of the things that he did that I really did not like is that when he was talking to both of us he tended to make more eye contact with my husband than with me. He also didn't check in with me to make sure I understood. My husband is a doctor so that might have been part of what was going on in this situation. Regardless, it was not good doctoring for him to be doing this. He also made a number of comments that were off-putting. At one point, he said that we were "old" - maybe we were by Dallas standards - but at the time my husband was 32 and I was 34 so we really weren't that old in the infertility world!
Describe your experience with the nursing staff.
I don't remember too much. All I remember is thinking that they were very nice and organized!
What specific things went wrong at this clinic?
- Failed to order appropriate test
- Failed to convey critical information
How was your experience with Anil Pinto?
I went to Dr. Pinto for an infertility work-up. I had already been diagnosed with PCOS causing anovulation and had taken clomid 6 times, resulting in 2 miscarriages (a blighted ovum at 8 weeks and a chemical pregnancy) and was having a very light almost non-existent period each month. This had all been under the treatment of an ob/gyn in California where I was living before. After doing the infertility work up, Dr. Pinto said everything looked good except for my uterus which seemed to show a large polyp on a saline ultrasound. When I went in for the hysteroscopy, he diagnosed me with severe "Asherman's Syndrome" and tried to cut away the intrauterine scars. I did not talk to him for over a week after the procedure; he talked to my husband briefly right after the procedure and told himabout the Asherman's Syndrome diagnosis and then headed out on a vacation. I get that doctors need vacations (my husband is a doctor), but I thought it was really weird that he didn't schedule a time to talk to me about the diagnosis since it was a really big deal and I wanted to know more about the severity of the scarring since that matters for prognosis and I also wanted to know more about the post-op protocol. This was the beginning of things going downhill in our doctor-patient relationship. I felt like I had to hound Dr. Pinto for a meeting. When we finally met with him, he was really rude about the procedure and his vacation and answering my questions. I get that I am doing some shooting the messenger here. I probably would not have been happy with any doctor who told me that I had this diagnosis. But these are the moments when infertility patients need extra care and attention - when they are scared and don't know what's going to happen next! After taking estrogen for three weeks and then progesterone to induce a period, I had another saline ultrasound one month after the first hysteroscopy. Just based on the saline ultrasound, Dr. Pinto said my lining looked bad and there was nothing else he could do for us and that we needed a gestational carrier. My husband and I both felt like he did not seem to want us as patients anymore and was kind of "firing" us by saying we needed a gestational carrier. I was distraught. I now know for a fact that a saline ultrasound after one hysteroscopy is not the standard of care for Asherman's Syndrome patients. You cannot tell how the lining is without performing a repeat hysteroscopy and it's not true that there is nothing else to do at this point. This is when we left Dr. Pinto's practice and went to another fertility doctor in Dallas and also started going to our doctor in California for subsequent hysteroscopies. The California doctor did two more hysteroscopies and then said we could try to get pregnant. The California doctor did not know what Dr. Pinto saw on the initial hysteroscopy but he did not think it was severe Asherman's Syndrome and he also did not think you would be able to say there is nothing else to do after performing one hysteroscopy. Moreover, some doctors think that you can get better results if you place a balloon in the uterus after a hysteroscopy. This was not done, nor was I given the option for it, nor did I even consent to a hysterscopy for lysis of adhesions from Dr. Pinto. If I had been given the choice, I may not have even wanted him to be the doctor who initially cut away the scars.
What one piece of advice would you give a prospective patient of Anil Pinto?
I went to Dr. Pinto because he was convenient to where I lived at the time. Convenience matters when you think you will be doing a lot of monitoring. However, if you have an at all complicated case, I would go to a different doctor. I don't think Dr. Pinto had a good handle on the latest research relating to our situation. We would ask for evidence on things and he would just talk about his clinical experience. I'm sure if you got a good result with this doctor, you would like him because he was very personable. But seriously, stay away if your situation is complicated.
Describe the protocols Anil Pinto used in your cycles and their degree of success.
I already explained this above.
Describe the costs associated with your care under Anil Pinto.
I don't remember paying anything for my care. I think an infertility work-up was covered by our insurance plus the hysteroscopy was a medical treatment that was also covered. The only thing that I remember thinking was expensive was that the hysteroscopy was performed at an off-site out-patient facility that charges about $1,000 just for using the facility for several hours. Other than that, surprisingly there were no bills. I always wonder if Dr. Pinto just wrote the whole thing off because he felt bad for us?!