Seeds of Success: The Metcalf Family
After spending four years on their family building journey, Tricia and Cody felt like they weren’t having good luck. The couple kept hearing the words, ‘unexplained infertility’ and were left without answers from their fertility specialist. “I felt in my heart that there was a little bit more than that,” Tricia shared, “so I started to search online and came across RAD.”
Familiar with the world of fertility treatment acronyms, Tricia endured two intrauterine insemination (IUI) cycles and 2 in vitro fertilization (IVF) cycles with another practice. “My insurance covered three IVF cycles so I only had one more cycle left covered under insurance,” Tricia said. “It was my last chance; I knew it was time to seek a second opinion.”
Tricia scheduled an appointment at RAD’s Dover office in the Eden Hill Medical Center. From the couple’s home in Pocomoke City, Maryland, it was a 2.5-hour drive to Dover and RAD’s Newark location was even further.
“There were other clinics a bit closer that I found, but I felt led to go to RAD.“
Hope For March
On October 5, 2015, Tricia and Cody had their first appointment with Dr. George Kovalevsky. During this visit, Dr. Kovalevsky listened intently to their concerns and affirmed one of Tricia’s underlying suspicions. “He talked about the possibility of endometriosis and what could be done with surgery,” Tricia said. This was the first time the couple heard ‘surgery’ on their fertility journey so they continued to discuss next steps.
Dr. Kovalevsky’s statement at the end of the visit is something Tricia will never forget. “And I remember at the end, he said, ‘if all goes well, in March of next year, you could be pregnant.’” This positive statement along with the hope of a diagnosis was exactly what Tricia and Cody needed.
From Unexplained Infertility to an Endometriosis Diagnosis
Tricia and Cody decided to move forward with the testing and evaluation portion of their plan of care, known as the work-up process. The work-up is part of the diagnostic treatment process at RAD and involves a physical exam and ultrasound, followed by prenatal lab work for both male and female partners. The physician uses this information to create an individualized treatment plan based on their recommendations and the patient’s goals.
Dr. Kovalevsky reviewed the results from the couple’s initial testing and prepared Tricia for the next step on her journey. They scheduled a hysteroscopy and laparoscopy for November 12, 2015, to examine Tricia’s cervix and the inside of her uterus. RAD’s team approach meant that Dr. Barbara McGuirk, Director of Reproductive Surgery, worked side-by-side with Dr. Kovalevsky for Tricia’s procedure at the Delaware Outpatient Center for Surgery (DOCS). Laparoscopic surgery is the only way to confirm endometriosis. This surgical technique also allows our physicians to treat endometriosis within the same procedure.
“They did find endometriosis and it was pretty bad in there,” Tricia recalled, “It was holding together my bowels and other organs.” Dr. McGuirk and Dr. Kovalevsky found and treated Stage I/II endometriosis.
Asher Andrew Metcalf was born on December 3, 2016
The Tides Began To Turn
With a diagnosis and more answers for their fertility challenges, it was time for Tricia and Cody to prepare for an IVF cycle. While it was their first cycle with RAD, this cycle represented the couple’s third IVF cycle. Tricia was familiar with the steps and one of the hardest parts was battling the thoughts in the back of her head, “I was nervous and kept having that fear that it didn’t work before, it is not going to work now.”
The tide turned for the couple during their January 2016 cycle when they participated in the IVF For Me program at RAD. IVF For ME incorporates pre-implantation genetic screening (PGS), a tool used to identify which embryos have a complement of 46 chromosomes and significantly increases the likelihood of pregnancy. After Tricia’s egg retrieval, the couple also decided to place their fertilized embryos in the EmbryoScope, a time-lapse camera, microscope, and incubator. RAD’s Genetic Counselor, Stephanie Hill, delivered the PGS test results to the couple which revealed two healthy, euploid embryos.
It was now March of 2016 and Tricia couldn’t help but think about Dr. Kovalevsky’s comment during that first appointment, ‘if all goes well, in March of next year, you could be pregnant.’ Tricia and Cody’s first frozen embryo transfer was successful and this comment represents a special memory in the couple’s journey. “I always refer to that first appointment,” Tricia said, “I love telling people about it.”
An Early Christmas Gift
The couple encountered one scary bump in the road during their first trimester pregnancy when Tricia started bleeding. Dr. Kovalevsky had her come into the office and confirmed the baby’s heartbeat and ensured the pregnancy was progressing well. Tricia recalled, “The love that the staff showed during that appointment was really helpful.”
“At RAD, the easiest part of treatment was going to all of the appointments because the staff made you feel like family. I was happy to go and see everybody, they were so uplifting.”
Asher Andrew Metcalf was due on Christmas Eve, but arrived 3 weeks early on December 3, 2016. The elated couple reflected on their path to parenthood, “For the first 4 years of our journey, we isolated ourselves,” Tricia shared. “Then, we opened up to people in our church and there were people all over the United States praying for us.”
Tricia has fond memories of the RAD team, “They were very personable – not like any other doctors. We felt like we were part of their family and they loved us through the whole process.” Tricia and Cody are excited to return to RAD someday to continue building their family with their remaining frozen embryo.
More Patient Experience Resources
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"We had a wonderful experience working with RADfertility. Our doctor was so sweet, informative and helpful with all of our questions. The front desk, it’s always nice to be greeted by a friendly smiling face."
"RAD heard my hopes, dreams, and wishes and led me toward them while holding my hand. My dream came true. I was guided to a beautiful baby girl! It took less than a year for my pregnancy to begin and it was successful. This was the best decision I ever made. Thank you, RAD!"
"From the beginning our team was determined to find a way for my husband and I to complete our family. All the RAD staff was knowledgeable and truly cared for us. We wish we could have continued with them after our baby hit 12 weeks. We thank them daily in our prayers for giving us our beautiful baby girl!"
"We will be forever grateful for the wonderful care we received at RAD! Dr. Feinberg took the time to listen and create a plan we were comfortable with. The whole team was amazing and truly care about their patients. You have exceeded our expectations. Thank you!!"
"Thanks to RADfertility, we have the most perfect addition to our family. The help and support the whole staff gave us was indescribable. We never once lost hope because of them. We will be forever grateful to each and every person we worked with during our journey."
"Dr. Neithardt was amazing. She explained in great detail all the options we had and put us at ease about the entire process. Everyone has been amazing and I have absolutely no complaints. Today I am 17 weeks pregnant and we only have Dr. Neithardt and her wonderful team at RAD to thank."
"They are the most amazing team of doctors and care coordinators. After having started at another facility I was so happy to come to RAD. They are truly amazing, never make you feel like just a number and have empathy and compassion every step of the way. They also get the job done! Thanks RAD!"
"Dr. McGuirk is a very holistic doctor. She doesn’t just treat the fertility issues. She also points out personal health ideas (juicing, whole 30) to help heal/treat the whole patient. She is honest and open. Be open minded and trust in her process. This is a marathon, not a sprint! Dr. McGuirk will be with you the whole way."
"I will never be able to put into words how thankful we are for RAD. Rhonda was there every step of the way as we were going through the process. Everyone was so welcoming and patient as we asked questions. We were blessed with a daughter, who is now three. I have already recommended and will continue to recommend RAD to people who need help growing their family!"
4735 Ogletown-Stanton Road
Medical Arts Pavilion 2
Newark, DE 19713
Silverside Medical Center
2700 Silverside Road, Suite 2A
Wilmington, DE 19810
Eden Hill Medical Center
200 Banning Street, Suite 240
Dover, DE 19904
Phone: (302) 602-8822
Fax: (302) 602-8832