I'm currently with Westmead Fertility Centre. I recommend them although in my experience you need to push very hard for what you want

My first cycle on 200 mg I was moderately OHSS and despite me telling them my symptoms and calling them, also being admitted to my local hospital for dehydration (despite 3L per day of water!) they didn't alter any dosage even though I requested and continued with the egg collection and trx. I was only ever told by Dr Moustafa (last name omitted) there (not my DR) to drink lots of milk and have lots of protein???. Continual bleeding and pain for the 2WW. Oh the pain.

Did a FET (natural) and no embryo's survived which is apparantly very common with OHSS I've since found out, but I also have a family history of failed thaws.

Second cycle I insisted that I would not talk with that Dr again. I saw a lovely Dr whose name is too hard to pronounce let alone spell who called my Dr (Dr Mobbs) and when they went through my notes found problem Dr failed to note my symptoms down and it was never reveiwed in their meetings. They had to backtrack through the telephone records to find where I told westmead my symptoms. Also with my levels - over 17,000??? 5 days before EPU I should have been admitted and cycle cancelled. In second cycle medication reduced and between both DR's continual monitoring cycle went well. I refused to take the 'pill' as I react badly to it which they didn't have a problem with. Became mildly OHSS and coasted at end of cycle. Head scientist Dr Stephen ?? stayed in touch due to failure in thawing. He recommeded blast due to high no. of good quality embryo's. All Dr's recommened trx of 2 day 2 embryo, then take other embryos to blast. AF arrived on day 15 of 2WW and developed late onset OHSS. What fun. Despite a request for one nurses refused to do a BT as stated I wasn't pregnant as AF arrived. A bit emotional on that day and no DH there to help so didn't force the issue. Instead went to my GP and did BT. The headaches vomiting and nausea which were side effects of crinone were exactly the same as my first pregnancy.

Now again despite my protests I am on a reduced programmed cycle (I react badly to estrogen, progesterone, crinone, synarel, puregon and the 'pill') with all the side effects and really unhappy about it. I would much prefer natural cycle but I've only just found that WFC won't do a natural cycle with blast. Also with my family history of failed thaws I don't hold much hope with this FET. The headaches, tremors, vomiting, nausea, cramping and pain even on reduced estrogen are just not fun. I'm not looking forward to the progesterone which will push my hyperthyroidism up and make my symptoms more acute either.

The nurses are a bit hesitant with me as I refuse any contact with the problem Dr and as he is an assistant Dr there he mainly does the transfers and books patients in for their EPU. Thank goodness he doesn't do EPU. On my last trx I was very happy when I spoke with 2 other ladies waiting as the three of us had to do a late afternoon trx as we all refused to have problem Dr do the trx.

My SIL also used Dr Mobbs at WFC and had a mix up on first EPU where hers and another ladies eggs were contaminated. She did a back to back cycle at WFC expense and fell pregnant first go.

The costs are 1950 for icsi and after you reach the medicare limit you get back 1453. (approx).

I thoroughly recommend Dr Gayer, Dr Thinsyangonguo (???) and Dr Mobbs. I personally do not recommend problem Dr as treated only with milk and eggs my OHSS would have become severe and I was only lucky I took myself to hospital.

The nurses are helpful but only if you ask the right questions and push hard for what you want. But then my SIL is adamant the nurses were fantastic with her.

If you really want to do something a particular way, tell the nurses you are doing it, and argue as you need to be in control of yourself and only you know how your body works and reacts to things.

The chief scientist is also very excited about moving to new premises at end 2007 (still at Westmead hospital) with better facilities and ability to freeze and thaw at a slower and much more successful rate. Apparantly this is only done with people who regularly have failed thaws (my SIL and I in same boat) and gives a 90% success rate for thawing compared to 40% with conventional freezing.