Emory University Reproductive Center page 2

2017 - 2018, Successful

10

Age 45 - 46

4 IVF

Donor Eggs

Diminished Ovarian Reserve

Poor Egg Quality

Unexplained

Other

European

Income $100K - $199K

3rd of 3 Docs

Strongly Recommends

Successful

Review of

Jennifer Kawwass Emory University Reproductive Center

I had worked previously with two other doctors who either treated me like a number or their staff did. I was extremely stressed out and felt like I had to fight to get attention and the level of concern about my care that I expected. And then I met Dr. Kawwass. I can't imagine more patient-centered, positive, thoughtful, encouraging, professional care. She looked me in the eye, she followed through with questions, she was very empathetic, and her staff was all of those as well.

The communication with the office (if you've been doing IVF, you know how important that is!) was fantastic, so easy, so reliable [at Emory University Reproductive Care]...Phone calls also were extremely easy, and I never felt blocked from the people I was trying to reach. I felt very well looked after, and this communication made the whole process so much easier than it might have been in such a stressful, complicated experience. I worked with three other clinics during my whole fertility experience, and before I was at Emory I was **miserable** and so so so stressed out. It was awful. Emory provided the level of professional, patient-centered care every patient deserves. I am actually working on getting involved in healthcare advocacy in my community because I can't believe how poorly I was treated in the other clinics, and I want patients to know that care like what I received at Emory is possible, and they deserve it, too!

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

Dr. Kawwass and her entire staff were amazing. I had worked previously with two other doctors who either treated me like a number or their staff did. I was extremely stressed out and felt like I had to fight to get attention and the level of concern about my care that I expected. And then I met Dr. Kawwass. I can't imagine more patient-centered, positive, thoughtful, encouraging, professional care. She looked me in the eye, she followed through with questions, she was very empathetic, and her staff was all of those as well. The communication with the office (if you've been doing IVF, you know how important that is!) was fantastic, so easy, so reliable. I felt 100% safe in her care. I actually live quite far from Atlanta but ended up working with Dr. Kawwass because our donor lived close by, and I am so so glad I made that choice. Would recommend Dr. Kawwass (and her colleagues; I also worked a couple of times with Dr. Hipp) to anyone without reservation. That practice should be a model for all other fertility clinics.

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

Don't hesitate to connect with her! If you are at all questioning whether your current doctor is the right fit for you, meet Dr. Kawwass.

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

Dr. Kawwass and her entire staff were amazing. I had worked previously with two other doctors who either treated me like a number or their staff did. I was extremely stressed out and felt like I had to fight to get attention and the level of concern about my care that I expected. And then I met Dr. Kawwass. I can't imagine more patient-centered, positive, thoughtful, encouraging, professional care. She looked me in the eye, she followed through with questions, she was very empathetic, and her staff was all of those as well. The communication with the office (if you've been doing IVF, you know how important that is!) was fantastic, so easy, so reliable. I felt 100% safe in her care. I actually live quite far from Atlanta but ended up working with Dr. Kawwass because our donor lived close by, and I am so so glad I made that choice. Would recommend Dr. Kawwass (and her colleagues; I also worked a couple of times with Dr. Hipp) to anyone without reservation. That practice should be a model for all other fertility clinics.

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

3 embryo transfers with donor egg. So sorry that I have forgotten my protocols, but Dr. Kawwass did make adjustments, and I think I don't remember the protocols because I trusted her judgment (not the case with my previous doctors).

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Nancy Ellsworth)

My experience of IVF treatments was that communication with the staff was CRUCIAL. Nancy and the rest of the Emory team were amazing. They communicated very easily via the patient portal, which was critical for me because I was working in a fast-paced, meeting-heavy, open office, which meant I couldn't take phone calls whenever they might have come in. Emailing was key. I never felt my messages got lost -- people responded right away, and with excellent details, charts, etc. Phone calls also were extremely easy, and I never felt blocked from the people I was trying to reach. I felt very well looked after, and this communication made the whole process so much easier than it might have been in such a stressful, complicated experience. I worked with three other clinics during my whole fertility experience, and before I was at Emory I was **miserable** and so so so stressed out. It was awful. Emory provided the level of professional, patient-centered care every patient deserves. I am actually working on getting involved in healthcare advocacy in my community because I can't believe how poorly I was treated in the other clinics, and I want patients to know that care like what I received at Emory is possible, and they deserve it, too!

Describe your experience with Emory University Reproductive Center.

I think I covered this in the other sections of my review, but I think this clinic should be a model for all other fertility clinics. I hope they are honored by their professional community for their work. And I certainly hope that many many other patients are able to receive care from these wonderful practitioners.

Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.

$35K?

Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

I believe the clinic recommends single embryo transfer.

10

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

2018, Successful

10

Age 31

5 IUI

PCOS

European

Income $200K - $499K

Graphic Designer

2nd of 2 Docs

Strongly Recommends

Successful

Review of

Heather Hipp Emory University Reproductive Center

Dr Hipp was very caring and understanding of how hard this journey has been. The nursing staff and the fellows were absolutely wonderful, always compassionate and gentle. It's such an emotional process and they understand that and treated me like a real person with feelings.... She was very personal and kind. We had to switch doctors after 4 IUI because the previous Dr left the practice, which was very scary, but Dr Hipp picked right up where we left off and didn't make me repeat anything.

Clean office [Emory University Reproductive Ctr], friendly receptionists. Most appointments we're very timely, things got backed up on the weekend appointments due to short staffing I think. They have a nice TV Which is helpful for distraction when I got stressed.... I loved all of the nurses at this office!!! They were so kind and caring, always encouraging me along the way. They answered my questions via message portal in an extremely quick manner and often called me back in less than an hour when decisions needed to be made quickly. They talked me through timing/schedule options which was very helpful when I was traveling during treatment. When I got pregnant the nurse was so happy for us!

How was your experience with Heather Hipp at Emory University Reproductive Center?

She was very personal and kind. We had to switch doctors after 4 IUI because the previous Dr left the practice, which was very scary, but Dr Hipp picked right up where we left off and didn't make me repeat anything. Treatment continued exactly as planned with the previous doctor and I really appreciated that. When we got pregnant she was so encouraging and made sure we were considering our next steps and answered our questions.

During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?

Dr Hipp was very caring and understanding of how hard this journey has been. The nursing staff and the fellows were absolutely wonderful, always compassionate and gentle. It's such an emotional process and they understand that and treated me like a real person with feelings.

Describe the protocols Heather Hipp used in your cycles at Emory University Reproductive Center and their degree of success.

The previous doctor helped with most of the strategy (Dr McKenzie), but Dr Hipp allowed us to continue with that plan when we switched to her. We had 4 IUI with Femara and 6 previous clomid cycles. We were allowed to choose to do up to 2 more IUI cycles or change to IVF. The choice was very helpful. I took a 2 month break for emotional reasons then returned for #5 which was successful!!

Describe your experience with the nursing staff at Emory University Reproductive Center.

OMG I loved all of the nurses at this office!!! They were so kind and caring, always encouraging me along the way. They answered my questions via message portal in an extremely quick manner and often called me back in less than an hour when decisions needed to be made quickly. They talked me through timing/schedule options which was very helpful when I was traveling during treatment. When I got pregnant the nurse was so happy for us!

Describe your experience with Emory University Reproductive Center.

Clean office, friendly receptionists. Most appointments we're very timely, things got backed up on the weekend appointments due to short staffing I think. They have a nice TV Which is helpful for distraction when I got stressed.

Describe the costs associated with your care under Heather Hipp at Emory University Reproductive Center.

I paid for all IUI cycles out of pocket which was about $1500 per cycle after all bills. This was for ultrasounds, IUI and Dr bills

10

Doctor

Heather Hipp

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Heather Hipp Emory University Reproductive Center

2018, Unknown Success

10

Age 33

1 IVF

European

Income $100K - $199K

1st of 5 Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Jennifer Kawwass Emory University Reproductive Center

I have not gone through my treatment plan with Dr. Kawwass yet as it will not start until January, but Dr. Kawwass is definitely providing a more individualized approach to my IVY cycle than my previous doctor. She has tailored my treatment based on my previous results. She will be increasing the dosage of my stimulation as well as performing a sonohysterogram prior to the IVF cycle.... She goes above and beyond for her patients and takes the time to meet with each patient and review any questions or concerns. She is extremely knowledgeable and informative regarding all parts of the process of fertility treatment.

Again, I have not had extensive interaction with the clinic yet as I have only had my consultation and communication with nurses through the portal, but Emory truly seem like an excellent fertility clinic already. I am more hopeful and excited than I ever was with my previous clinic and that can mainly be attributed to the staff as well as the high level of care provided at Emory... About $10,000 for an IVF cycle, not including medications.

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

I have only been a patient with Dr. Kawwass for a brief time, but already I have seen the excellent care she provides to her patients. She goes above and beyond for her patients and takes the time to meet with each patient and review any questions or concerns. She is extremely knowledgeable and informative regarding all parts of the process of fertility treatment.

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

She is always open to answering all questions so do not hold back anything.

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

Dr. Kawwass is extremely compassionate and truly individualizes the care she provides.

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

I have not gone through my treatment plan with Dr. Kawwass yet as it will not start until January, but Dr. Kawwass is definitely providing a more individualized approach to my IVY cycle than my previous doctor. She has tailored my treatment based on my previous results. She will be increasing the dosage of my stimulation as well as performing a sonohysterogram prior to the IVF cycle.

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Lutissa)

I have not had extensive interaction with the care team yet but thus far they have been excellent in regards to communication, especially through the patient portal. They have been extremely thorough with instructions.

Describe your experience with Emory University Reproductive Center.

Again, I have not had extensive interaction with the clinic yet as I have only had my consultation and communication with nurses through the portal, but Emory truly seem like an excellent fertility clinic already. I am more hopeful and excited than I ever was with my previous clinic and that can mainly be attributed to the staff as well as the high level of care provided at Emory.

Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.

About $10,000 for an IVF cycle, not including medications.

Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

Dr. Kawwass recommends eSET (at least in my case) for the best possible outcome and to avoid complications that twins my cause.

10

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

2017 - 2018, Successful

10

Age 35 - 36

3 IUI

2 IVF

Black or African-American

Income $50K - $99K

Teacher

1st of 2 Docs

Strongly Recommends

Successful

Review of

Jennifer Kawwass Emory University Reproductive Center

Dr. Kawwass is very knowledgeable, informative, positive, and involved throughout the process. She takes the time to answer all of your questions, and is very upfront. We went through 3 stim cycles and after the second failed she even contacted me over the weekend to see how I was doing and to give recommendations for the next cycle – which was successful! I appreciate the fact that each stim cycle was different in terms of the medication protocol that was used. I could tell the team was reviewing my chart and making adjustments based on how my body responded each time.

Emory uses Patient Portal so patients and doctors can communicate. All of my messages were answered in a timely manner! It’s a very convenient system. The waiting room area is quiet, clean, and modern. The front desk staff is very professional and friendly! One thing I loved about Emory is that no matter who you saw that day as you checked in, got your ultrasound or lab work completed - EVERYONE was professional and friendly. To them you’re more than your patient number, you become a part of their family and they’re there to make sure all of your questions are answered and your journey is as pleasant as possible.

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

I loved ERC!!! Dr. Kawwass is very knowledgeable, informative, positive, and involved throughout the process. She takes the time to answer all of your questions, and is very upfront. We went through 3 stim cycles and after the second failed she even contacted me over the weekend to see how I was doing and to give recommendations for the next cycle – which was successful! I appreciate the fact that each stim cycle was different in terms of the medication protocol that was used. I could tell the team was reviewing my chart and making adjustments based on how my body responded each time. (The last reproductive center my husband and I were at kept using the same methods each time, and didn’t bother to alter anything even though we weren’t getting any results. It made us feel like they just wanted to keep our hopes up and take our money.)

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

Don't expect to see her every visit; however, you're in great hands with the other staff members who will be providing you with your primary care for that particular visit, i.e. sonographers and phlebotomists. If you happen to have more questions, they're great about asking you if you'd like to speak with a Nurse before you leave. She goes into great detail about your plan of action and how the overall process works during your intake appointment. You're in great hands with Dr. Kawwass.

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

I felt like a human because Dr. Kawwass contacted me over the weekend after a failed stim cycle to see how I was feeling, and to give me recommendations for the next cycle. I appreciate the fact that each protocol was changed based on how my body responded each time. They weren't choosing cookie-cutter protocols. They tailored them to meet my needs.

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

1st Stim Cycle - 75 iu Menopur 2x's/day, 450 units Follistim 1x/day - Produced 4 eggs, 0 fertilized, 2nd Stim Cycle - 75 iu Menopur 2x's/day, 450 units Follistim 1x/day, and Lupron - Did not produce eggs large enough for retrieval 3rd Stim Cycle - Clomid, menopur, 150 units follistim, Cetrotide - Produced 9 eggs, 7 fertilized, 4 embryos

Describe your experience with the nursing staff at Emory University Reproductive Center.

The nurses were friendly and very thorough. My husband and I went through 3 cycles, and I would recommend that patients receive new schedules for each cycle. I didn't receive one my last cycle, and didn't know I was supposed to start taking one of my medications on a certain day because I was used to the nurse telling me and I typically had a sheet to follow. It was an error on both of our parts, but it was resolved quickly - I was able to get a new calendar via the portal.

Describe your experience with Emory University Reproductive Center.

Emory uses Patient Portal so patients and doctors can communicate. All of my messages were answered in a timely manner! It’s a very convenient system. The waiting room area is quiet, clean, and modern. The front desk staff is very professional and friendly! One thing I loved about Emory is that no matter who you saw that day as you checked in, got your ultrasound or lab work completed - EVERYONE was professional and friendly. To them you’re more than your patient number, you become a part of their family and they’re there to make sure all of your questions are answered and your journey is as pleasant as possible.

Describe your experience with your monitoring appointments at Emory University Reproductive Center.

Monitoring appointments were scheduled during the morning hours so they could contact you that afternoon about your status and when you should begin taking other meds or do your trigger shot. You simply checked in and you were buzzed back within 5 or so minutes for your ultrasound. The only time the wait was longer than usual was when the computer system was on the fritz. Other than that, the staff was always efficient.

Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.

ERC offers various financial packages. It depends on how many transfers and cycles you'd like to purchase.

Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

The process explained to us was if we did a day 5 transfer, they'd transfer 1 embryo. If we did a day 3 transfer, they'd transfer 2 embryos. We were given the option to do a day 3 or 5 transfer.

What specific things went wrong at Emory University Reproductive Center?

Failed to convey critical information

Describe the specific things that went wrong at Emory University Reproductive Center.

Each cycle you receive a calendar that lists your medications, amount, and start/stop days. For my 2nd and 3rd protocol/cycle, I didn't receive one. I simply wrote on the 1st one during my 2nd cycle, and didn't think to ask for one during my 3rd cycle since everything was always communicated via phone with the Nurse. It turned out to be fine, but I did not start taking one of my medications on the day I was scheduled to start. The nurse and I resolved the issue. I simply asked for a new schedule for this cycle.

10

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

2017, Successful

10

Age 32

3 IUI

1 IVF

Unexplained

European

Income $50K - $99K

3rd of 3 Docs

Strongly Recommends

Successful

Review of

Jennifer Kawwass Emory University Reproductive Center

Dr. Kawwass prescribed a high dose protocol for egg stimulation including Menopur and Gonal F. Since we were diagnosed with unexplained infertility, she recommended that we do ICSI. My progesterone started to increase earlier than anticipated, so our retrieval was scheduled a few days earlier than anticipated. 10 eggs were retrieved, 5 were mature and only 2 fertilized. Due to only having 2 embryos, Dr. Kawwass recommended a day 2 transfer of both embryos.

[Emory is] Very welcoming, friendly staff. Nice facility. It takes a 10-15 minutes to find a parking spot and travel from the parking deck to the clinic. Parking is $5. You get some parking vouchers during your IVF cycle when you're going quite often. The Emory Patient Portal makes it very easy to ask non-emergent questions of your Dr. and nurses at any time. They will reply to messages or call you after hours and on the weekends.

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

Very knowledgeable and passionate. I felt very comfortable and confident working with her. She communicated well and did a great job explaining the details of the procedures and processes that we underwent.

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

Ask any and all questions that you have. She'll answer them and put you at ease.

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

The IVF orientation process at the Emory Reproductive Center is very thorough. Dr. Kawwass did a great job explaining everything in a way that we could understand. She took the time to answer any questions we had and made sure we were comfortable with the entire IVF process.

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

Dr. Kawwass prescribed a high dose protocol for egg stimulation including Menopur and Gonal F. Since we were diagnosed with unexplained infertility, she recommended that we do ICSI. My progesterone started to increase earlier than anticipated, so our retrieval was scheduled a few days earlier than anticipated. 10 eggs were retrieved, 5 were mature and only 2 fertilized. Due to only having 2 embryos, Dr. Kawwass recommended a day 2 transfer of both embryos. The Embryologist discussed the options of transferring 1 vs. 2 embryos the morning of the transfer. We decided to only transfer one and allow the other to mature to day 5 (which it did!) before freezing. After the transfer I used Estradiol patches and Progesterone shots. This IVF round was successful and I now have a 4 week old healthy baby boy!

Describe your experience with the nursing staff at Emory University Reproductive Center.

Everyone was very compassionate, kind, and competent.

Describe your experience with Emory University Reproductive Center.

Very welcoming, friendly staff. Nice facility. It takes a 10-15 minutes to find a parking spot and travel from the parking deck to the clinic. Parking is $5. You get some parking vouchers during your IVF cycle when you're going quite often. The Emory Patient Portal makes it very easy to ask non-emergent questions of your Dr. and nurses at any time. They will reply to messages or call you after hours and on the weekends.

Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.

I am fortunate to have some insurance coverage for infertility and IVF services. We used the maximum amount of that benefit (I think it was $10,000). After insurance I believe we payed Emory about $13,000 plus $7,000 for medication.

Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

Dr. Kawwass recommended we transfer both embryos since we only had 2 to increase our chances. The Embryologist discussed our options with us the morning of the transfer. My husband and I decided to only transfer one embryo and we are confident that was the correct decision for us.

10

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

2017, Unknown Success

10

Age 30

6 IUI

2 IVF

Endometriosis

Unexplained

European

Income $100K - $199K

Entrepreneur

2nd of 2 Docs

Strongly Recommends

Success w/ Doc Not sure

Review of

Jennifer Kawwass Emory University Reproductive Center

Dr. Kawwass is amazing. It is clear she really loves what she does. She never rushed us and was sure to answer every question we had. She (and all the fellows) explain EVERYTHING so clearly. At all times you know exactly what they are doing, how and why they are doing it. It makes all of those invasive procedures feel better because you understand what is going on. Also, I love how knowledgeable Dr. Kawwass is in current fertility studies. The best way I can describe the kind of doctor she is, is by telling you about our failed transfer. This was our 2nd failed attempt, but first with her. The nurse from Emory called to give me the news as soon as the results came in, and told me Dr. Kawwass would call the next week (it was Friday). However, I got a call from Dr. Kawwass just to express her condolences and "send me a hug". This meant so much to me, I could tell she was truly upset by the result as well. She is so smart and compassionate if anyone is going to get me to the best end result, I believe it will be her.

[Emory Fertility's] Strengths - Doctors, Fellows, and scheduling (they are open year round, which means weekend appointments, and IVF all year). Weaknesses - They don't hold your hand as much through the medication process. Again I stress, in my opinion the strengths outweigh the weaknesses by a mile...The nurses are all very nice and compassionate. I never saw many nurses, but talk to them a lot. I was not assigned a particular nurse to I have talked to many of them. As I mentioned earlier sometimes I have to help them with where all my prescriptions go, and if I need refills.

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

Dr. Kawwass is amazing. It is clear she really loves what she does. She never rushed us and was sure to answer every question we had. She (and all the fellows) explain EVERYTHING so clearly. At all times you know exactly what they are doing, how and why they are doing it. It makes all of those invasive procedures feel better because you understand what is going on. Also, I love how knowledgeable Dr. Kawwass is in current fertility studies. The best way I can describe the kind of doctor she is, is by telling you about our failed transfer. This was our 2nd failed attempt, but first with her. The nurse from Emory called to give me the news as soon as the results came in, and told me Dr. Kawwass would call the next week (it was Friday). However, I got a call from Dr. Kawwass just to express her condolences and "send me a hug". This meant so much to me, I could tell she was truly upset by the result as well. She is so smart and compassionate if anyone is going to get me to the best end result, I believe it will be her.

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

The doctors, and fellows are fabulous; however, you have to be on top of ordering you medicine on time. This may be more of an issue for me as I am an out of state patient and have to do outside monitoring. At my previous clinic my nurses were on top of the medication, showed you how to take it, and knew exactly where to order it. At Emory, I have to tell the nurses when I need the prescription increased and where to put the orders. With all that being said, I believe it is worth it to have the knowledge of the Emory doctors. One thing I love is all the doctors have a meeting to discuss your case, so you have the opinions of multiple doctors, not just one.

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

Emory is the second clinic we have gone to, but we visited 4 clinics total. From the first minute we met Dr. Kawwass she felt like a friend, not just a doctor. It was very clear she wanted us to have a baby, not just gain a new patient. Also, the waiting room is never full (like most private clinics), and I have never waited more than 10 minutes from my appointment time (usually they pull me back early).

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

For my IVF I was on the highest does of Gonal F (450 IU) and Menopur (150 IU). I ended up stimulating for 12 days, and we used Ganirelix for 5. This produced 12 follicles (almost twice the amount of my first IVF) and we got 9 eggs. Out of the 9 eggs, we got 7 embryos. After the retrieval, I began 2 estrogen patches (changed every other day) and 1mL Progesterone shot. We ended up transferring 2 fresh embryos on day 3, and freezing 4 embryos (one embryo did not make it to day 3). We decided to do this since there is so much attrition between day 3 and 5, and we really wanted some to freeze. We are now preparing for a Frozen transfer. All my meds have been increased. I will be building up to 4 estrogen patches before the transfer. We will also do 3 days of Ganirelix. After the transfer, we will continue the estrogen patches, 2mL Progesterone shot, and 3 progesterone tablets. Hopefully we will get a good result this time. This will be our first frozen transfer.

Describe your experience with the nursing staff at Emory University Reproductive Center.

The nurses are all very nice and compassionate. I never saw many nurses, but talk to them a lot. I was not assigned a particular nurse to I have talked to many of them. As I mentioned earlier sometimes I have to help them with where all my prescriptions go, and if I need refills.

Describe your experience with Emory University Reproductive Center.

Strengths - Doctors, Fellows, and scheduling (they are open year round, which means weekend appointments, and IVF all year). Weaknesses - They don't hold your hand as much through the medication process. Again I stress, in my opinion the strengths outweigh the weaknesses by a mile.

Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.

I have good insurance, so my monitoring and medicine was covered. We purchased a plan through Emory that included IVF and 1 FET. This was approximately $14k. We also did ICSI ($1.5k) and Assisted Embryo Hatching ($1.5). My meds were just a $300 co-pay.

Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

Dr. Kawwass, like most doctors, opts for a single embryo transfer. The only reason we did two was my previous two embryo transfer failed, and the fact we did a day 3 versus day 5 transfer. We will be unfreezing 2 embryos for the frozen transfer in case one does not make it.

What specific things went wrong at Emory University Reproductive Center?

Failed to call in prescriptions to pharmacy

Describe the specific things that went wrong at Emory University Reproductive Center.

My insurance is funny so I have to order medicine from two separate pharmacies depending on the meds. Sometimes the nurses send the prescription to the wrong one, and I have to call them to resend to the right pharmacy. Also if you have to get approval from your insurance before the meds are ordered make sure the nurses know! Or else you may not get it in time.

10

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

2014 - 2017, Unsuccessful

10

Age 36 - 39

3 IUI

Endometriosis

Uterine Fibroids

Unexplained

Other

Black or African-American

Income $50K - $99K

2nd of 2 Docs

Strongly Recommends

Unsuccessful

Review of

Jessica Spencer Emory University Reproductive Center

[with Dr. Spencer] I took clomid 50 mg, Ovidrel 250 mcg/0.5ml, Gonal-F and Prometrium 200mg. If I can remember correctly, I took clomid starting on day 3 for 5 days. I had to give myself the Ovidrel shot (I don't remember on what day). I had to go in on day 12 to get an ultrasound and they called me to tell me when to do the trigger shot (Gonal-F). Then after that, I had to come in for insemination. Then starting 2 days afterwards, I had to insert the Prometrium pills 3 times a day for 2 weeks. Take a pregnancy test on the 15 day.

The clinic's [Emory] strengths are an excellent medical staff, the technology they offered to run test or ultrasounds, and they are always available to speak with me to answer questions. The clinic's weaknesses is that a person may not like dealing with the residents, which may be someone different each time. I was fine with it, but some people may be very emotional and need the steady relationship with the main doctor.

How was your experience with Jessica Spencer at Emory University Reproductive Center?

Dr. Spencer was a great choice for a doctor. I loved her bedside manner and how she explained everything thoroughly. She is a really good doctor and really cares for her patients! She would run all the proper test on me. Nurses would call me the very next day to give me the results.

What's one piece of advice would you give a prospective patient of Jessica Spencer at Emory University Reproductive Center?

Along with Dr. Spencer, you will meet with students, but all of the students I met with were just as nice and explained everything thoroughly. If there was something that they could not answer, they would go and get her and she would speak with me directly if necessary.

During treatment, were you treated like a number or a human with Jessica Spencer at Emory University Reproductive Center?

I was definitely treated like a human. Everyone has excellent bedside manner. Dr. Spencer was WONDERFUL!!! She even spoke with my husband about his health (smoking) and how important it is for the fertility process as well as his overall health. She was very informative and took great care of me!

Describe the protocols Jessica Spencer used in your cycles at Emory University Reproductive Center and their degree of success.

I took clomid 50 mg, Ovidrel 250 mcg/0.5ml, Gonal-F and Prometrium 200mg. If I can remember correctly, I took clomid starting on day 3 for 5 days. I had to give myself the Ovidrel shot (I don't remember on what day). I had to go in on day 12 to get an ultrasound and they called me to tell me when to do the trigger shot (Gonal-F). Then after that, I had to come in for insemination. Then starting 2 days afterwards, I had to insert the Prometrium pills 3 times a day for 2 weeks. Take a pregnancy test on the 15 day.

Describe your experience with the nursing staff at Emory University Reproductive Center.

The nursing staff was very supportive and helpful. They would always give encouraging words and tell me they are praying for me. They give the best hugs! They were very informative and if they didn't know they would definitely find out the info I needed.

Describe your experience with Emory University Reproductive Center.

The clinic's strengths are an excellent medical staff, the technology they offered to run test or ultrasounds, and they are always available to speak with me to answer questions. The clinic's weaknesses is that a person may not like dealing with the residents, which may be someone different each time. I was fine with it, but some people may be very emotional and need the steady relationship with the main doctor.

Describe the costs associated with your care under Jessica Spencer at Emory University Reproductive Center.

My health insurance covered 50% of IUI so they allowed me to pay later. The finance department was great to deal with and didn't treat me like a number either. So one IUI was $300 and the prescriptions were $80 each time. I had Humana.

Describe Jessica Spencer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

N/A

10

Doctor

Jessica Spencer

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jessica Spencer Emory University Reproductive Center

2012 - 2017, Successful

10

Age 37 - 42

4 IUI

9 IVF

Diminished Ovarian Reserve

Poor Egg Quality

Recurrent Pregnancy Loss

European

Income $100K - $199K

1st of 2 Docs

Strongly Recommends

Successful

Review of

Jessica Spencer Emory University Reproductive Center

I also appreciated that she [Dr. Jessica Spencer] was constantly bringing in new research that might impact my particular situation. Not once did I feel like I was "a number" or that I was just being given generic advice/protocols...She is up to date on the latest research - explaining every study and how much stock I should take in it given the population in the study, the size of the study, etc. -I NEVER felt rushed...-She is "real." She didn't take on a medical/defensive persona. When things didn't work out she would say she was sorry and hug me and we'd walk through the protocol and what she might have done differently and could do differently if I wanted to try again. She is crazy empathetic... I had multiple 2.5 hour meetings with her and not once did she say, "I need to get to another patient."

The nurses at Emory are amazing! They are crazy knowledgeable about every protocol and drug and why the doctors are doing what they're doing...At Emory you are assigned a primary nurse but given the need for care and support to be available 365 days, you're bound to talk with multiple nurses if you do more than 1 cycle. While I had a primary nurse, all the nurses were familiar with my specific protocol and me personally (they knew I was emotional and anxious to do everything perfectly)...The nurses always happily walked me through things and reassured me if I was nervous about being off on timing of a shot. Michelle, in particular, is incredible. She works way longer than she is supposed to because she wants to make sure every question gets answered and you feel secure -- so phone calls with her can be long! It just makes you feel all the more like a unique human rather than just #10 on her list of calls.

How was your experience with Jessica Spencer at Emory University Reproductive Center?

There are so many positives about Dr. Spencer -- let me list them: -She is up to date on the latest research - explaining every study and how much stock I should take in it given the population in the study, the size of the study, etc. -I NEVER felt rushed. I had multiple 2.5 hour meetings with her and not once did she say, "I need to get to another patient." -She would explain all the options - and they were often complicated with many unknowns given the research is so inconclusive. If I really couldn't decide what to do, she'd say "if you were my sister, I'd say x." She was taking into account the medical, financial and emotional aspects of my decision. -If I wanted to talk with her, the nurses/staff would get the message to her and she'd call me. She was always available when I needed her. -She is "real." She didn't take on a medical/defensive persona. When things didn't work out she would say she was sorry and hug me and we'd walk through the protocol and what she might have done differently and could do differently if I wanted to try again. She is crazy empathetic. I have no idea how she is so empathetic given all the patients and how often the news is negative -- she is a very strong person! -The only negative and it's not even a negative, is that she couldn't do all my procedures. But over 5 years and more than 20 procedures that cannot be timed to a certain day, there's no way a doctor could do that.

What's one piece of advice would you give a prospective patient of Jessica Spencer at Emory University Reproductive Center?

If you've had an experience at another clinic, share that. And explain all your concerns, hopes and fears. She's really good at addressing all of that and isn't afraid to go into the details on anything.

During treatment, were you treated like a number or a human with Jessica Spencer at Emory University Reproductive Center?

I can't say enough good things about Dr. Spencer. She always knew my complete medical history -- even from before I came to Emory. She was willing to have long conversations (1-2 hours!) to help me figure out what my next steps should be during cycles as well as after failed cycles. She seemed to truly understand the stress involved in IVF and would help me weigh emotional, practical and financial factors in making decisions. Whenever I had a failed cycle she would call and tell me how sorry she was -- and she seemed to be almost as upset as I was, which made me feel like she really cared. I also appreciated that she was constantly bringing in new research that might impact my particular situation. Not once did I feel like I was "a number" or that I was just being given generic advice/protocols.

Describe the protocols Jessica Spencer used in your cycles at Emory University Reproductive Center and their degree of success.

For all of my cycles with Dr. Spencer I used an antagonist protocol. With a prior clinic they had me on a micro-dose flare that was timed with birth control. Dr. Spencer was worried the birth control was making it to hard for my ovaries to recover from the suppression of birth control and so we used natural timing for every retrieval. I also used Ganarelix before the my cycle started to help prevent a leading follicle. I was on the highest dose of Bravelle (later Gonl-F) and Menopur for all retrievals. A few times we added in human growth hormone but on the last (and successful) cycle we dropped it b/c we didn't think it was doing enough to outweigh the high costs. I was also taking DHEA and CoQ10 for my last 4 cycles. (Dr. Spencer shared that there is no evidence that CoQ10 has a positive impact on human eggs but that it wouldn't hurt anything so if I wanted to take it I should go ahead). On many cycles we weighed the pros and cons of PGD. We did it for 2 cycles mainly as a way to reduce the chances of miscarriage given I had had many. The last, successful cycle we decided to change up everything - still an antagonist protocol, but we didn't do PGD (we started getting concerns that the biopsy, freeze and thaw could do damage to the embryo and so agreed to risk the miscarriage), and we did a clomid-antagonist cycle. So I did clomid for the first 7 (?) days of the cycle and then started with the injections. We did a Day 3 transfer (I had a couple of experiences where embryos did not survive until Day 5). On this last one the embryologist came out to see us right after the retrieval and asked to NOT do ICSI as we had done 7 times before. I had some eggs not quite mature and she wanted to give them the extra 24 hours to mature by just letting the sperm find the eggs in the petri dish, rather than do ICSI and "arrest" development and potentially lost an egg because it wasn't mature.

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Michelle)

The nurses at Emory are amazing! They are crazy knowledgeable about every protocol and drug and why the doctors are doing what they're doing. At a prior clinic every time I had a question about a drug or the protocol the nurse would have to go ask the doctor and then just repeat what the doctor said without really explaining. At Emory you are assigned a primary nurse but given the need for care and support to be available 365 days, you're bound to talk with multiple nurses if you do more than 1 cycle. While I had a primary nurse, all the nurses were familiar with my specific protocol and me personally (they knew I was emotional and anxious to do everything perfectly). I should've been an expert on this given I was at it for so long, but still called them constantly with questions and concerns. The nurses always happily walked me through things and reassured me if I was nervous about being off on timing of a shot. Michelle, in particular, is incredible. She works way longer than she is supposed to because she wants to make sure every question gets answered and you feel secure -- so phone calls with her can be long! It just makes you feel all the more like a unique human rather than just #10 on her list of calls. On my last positive pregnancy test a bunch of the nurses and staff gathered in the room to all call me and tell me the news. I couldn't stop crying. They really make you feel cared for.

Describe your experience with Emory University Reproductive Center.

The only true weakness I can think of is financial/billing. I did not feel like the people who handle the financial end of things were equipped to explain my bills to me or deal with insurance issues. Luckily Emory Hospital's billing department handles all of it in the end, but I wish the Clinic itself had a stronger financial team. On top of that, it's not a lavish place! It's a teaching hospital and so it's bare bones (none of the spa like atmosphere at the private clinics) -- but I'll take that with high quality services over all the bells and whistles of a so-so clinic.

Describe the costs associated with your care under Jessica Spencer at Emory University Reproductive Center.

I had great insurance that covered almost all of my meds and 80% of procedures once I met deductible. I probably spent around $2k per cycle when you average everything out.

Describe Jessica Spencer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

Given my low ovarian reserve and age (I was getting 4-6 eggs...and we presumed most were abnormal), I was thankful that Dr. Spencer was willing to transfer multiple embryos. Usually I transferred 2-3 embryos b/c that was all that I had but the last two times I transferred 4. She would walk through the risks with me and it was my decision in the end.

10

Doctor

Jessica Spencer

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jessica Spencer Emory University Reproductive Center

2015 - 2016, Successful

10

Age 29 - 30

IVF

Donor Eggs

Other

European

Income $100K - $199K

Nurse or HC Services

Only Doc Seen

Strongly Recommends

Successful

Review of

Jennifer Kawwass Emory University Reproductive Center

Dr. Kawwass is a wonderful physician. She took the time to explain our treatment plan and options available to us. She personally called me multiple times to discuss our treatment plans. She understands the emotional toll IVF takes on a couple and I could tell that she genuinely cared about our feelings during the IVF process. It is rare to find a physician that is so incredibly smart/up to date and who also has a wonderful bedside manner...

It is clean [at Emory], the staff is incredibly friendly, the techs are wonderful, and the waiting room has great magazines and a TV. It is an academic hospital so expect to see residents and fellows around. All of the residents and fellows are wonderful. It is nice to receive care in an academic setting because you know that they will be providing the most up to date care. It is annoying to have to go all the way up to the 18th floor for a 10 minute monitoring appointment and you have to pay for parking which can get expensive.

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

I cannot say enough about how much my husband and I have enjoyed working with Dr. Kawwass. She always took the time to explain to us our treatment options and probability of success. We were always seen on time for our appointments, which is important if you have a busy work schedule. She is readily reachable via the patient portal, a phone call to the clinic, and through her nurse.

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

Trust her! She is up to date on the IVF literature and incredibly smart. She will not suggest something unless she thinks there is a reason to do so.

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

Dr. Kawwass is a wonderful physician. She took the time to explain our treatment plan and options available to us. She personally called me multiple times to discuss our treatment plans. She understands the emotional toll IVF takes on a couple and I could tell that she genuinely cared about our feelings during the IVF process. It is rare to find a physician that is so incredibly smart/up to date and who also has a wonderful bedside manner.

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

We had a hard time getting the lining of my uterus thick enough for transfer. We tried different estrogen combinations to thicken up my lining. I liked that the clinic adjusted my medications when I was not having success with the original protocol.

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Lutissa )

Lutissa is amazing! She is so responsive on the patient portal. I knew that if I wrote her she would get back to me within 24 hours (most of the time I had a response in a couple of hours). She gives very clear instructions and is incredibly knowledgable about treatment protocols. I knew that I was in good hands with her and she had excellent communication skills.

Describe your experience with Emory University Reproductive Center.

It is clean, the staff is incredibly friendly, the techs are wonderful, and the waiting room has great magazines and a TV. It is an academic hospital so expect to see residents and fellows around. All of the residents and fellows are wonderful. It is nice to receive care in an academic setting because you know that they will be providing the most up to date care. It is annoying to have to go all the way up to the 18th floor for a 10 minute monitoring appointment and you have to pay for parking which can get expensive.

Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.

Approximately 27K for a fresh donor egg cycle plus 1 FET cycle. 27K included the contact I purchased through ARC and the donor's medication

10

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

2016, Successful

10

Age 37

5 IUI

2 IVF

Unexplained

Prefer not to answer

Income $100K - $199K

Sales Representative

2nd of 2 Docs

Strongly Recommends

Successful

Review of

Meaghan Bowling Emory University Reproductive Center

Dr. Bowling added a personal touch to her treatment. I felt like she really cared about our success and was patient and caring when we met and I would share concerns and become emotional from past experiences. She also performed a hysteroscopy and walked me to the operating room. She met with my husband and provided a full explanation of her findings as well. She went above and beyond my expectations for providing a personal, yet very professional, consultation and service throughout the process...

The [Emory] clinic is very clean and organized. I usually didn't have to wait long for my scheduled appointments. A couple of appointments I waited around 20 minutes if they waiting room was full. The front office staff are very friendly and would let the nurses know when I arrived. I skipped my nurse consultation for an overview of shot protocol which also provided the financial planning consultation...

How was your experience with Meaghan Bowling at Emory University Reproductive Center?

Dr. Bowling added a personal touch to her treatment. I felt like she really cared about our success and was patient and caring when we met and I would share concerns and become emotional from past experiences. She also performed a hysteroscopy and walked me to the operating room. She met with my husband and provided a full explanation of her findings as well. She went above and beyond my expectations for providing a personal, yet very professional, consultation and service throughout the process.

What's one piece of advice would you give a prospective patient of Meaghan Bowling at Emory University Reproductive Center?

Schedule an appointment to meet with her before beginning the process. She is kind and willing to discuss the entire process and answer any questions you may have. I'd also find out what her on-call schedule is so you can make sure she's available when scheduling the retrieval/transfer. The dates and timing are very dependent on the timing of the cycle but it's good to know ahead of time. If she's not scheduled to provide transfers/retrievals the day you're scheduled one of her colleagues will be there and they're all really great as well.

During treatment, were you treated like a number or a human with Meaghan Bowling at Emory University Reproductive Center?

She made time to meet and speak with me before beginning a new cycle. She'd stop and say hello and ask how things were going when I was in the office and she would pass by. Dr. Bowling called me directly, not a nurse, to let me know about my positive pregnancy test.

Describe your experience with the nursing staff at Emory University Reproductive Center.

I always knew I'd hear from a nurse later in the day. If I had any questions I could call the office and a nurse would return my call by the end of the day. I could also message them online via Emory Portal and my emails were always responded to by the end of day.

Describe your experience with Emory University Reproductive Center.

The clinic is very clean and organized. I usually didn't have to wait long for my scheduled appointments. A couple of appointments I waited around 20 minutes if they waiting room was full. The front office staff are very friendly and would let the nurses know when I arrived. I skipped my nurse consultation for an overview of shot protocol which also provided the financial planning consultation. Because of that I was never billed during the process and received a call from Emory's billing department demanding payment. I had inquired to the nurses and the financial consultant for the office during my visits and they assured me someone would contact to schedule payment or financing options. That never happened so I ended up having to take care of everything in a rushed manner to avoid getting sent to a collection agency. This aspect would be the weakest area for the office. I don't believe the business manager runs a very tight ship in that regard. Had I known, I would have called the financing company on my own and made arrangements during my cycle.

Describe the costs associated with your care under Meaghan Bowling at Emory University Reproductive Center.

I financed a fresh cycle with frozen and ICSI for around $11,000. My insurance covers labs so I didn't need to include those in my loan.

10

Doctor

Meaghan Bowling

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Meaghan Bowling Emory University Reproductive Center

2015 - 2016, Unsuccessful

10

Age 36 - 37

4 IUI

3 IVF

Unexplained

Income $200K - $499K

1st of 2 Docs

Strongly Recommends

Unsuccessful

Review of

Jennifer Kawwass Emory University Reproductive Center

Dr. Kawwass was amazingly supportive and gave me her direct email address and phone number to use if I ever needed it. I did on occasion and she was always available to make the process easier on me. She wants you to succeed and is open to trying new approaches as treatments progress...

[At Emory] For most of the communications during the retrieval and transfer processes, Helen was the person I spoke with or emailed with. She is attentive, response and accomplishes all the fundamental responsibilities of the primary nurse...

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

Dr. Kawwass was amazingly supportive and gave me her direct email address and phone number to use if I ever needed it. I did on occasion and she was always available to make the process easier on me. She wants you to succeed and is open to trying new approaches as treatments progress.

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

Jennifer Kawwass, and other Emory Reproductive Center doctors, seem conservative with their protocol for deciding how many embryos to transfer. I don't know this from personal experience, but have heard from friends of similar age and medical issues that there was more risk for multiples taken on during their treatments. I was only allowed to transfer two day 5 embryos after my second retrieval and two failed transfers. I have multiple friends who did two day 5 embryos (some even PGS screened) on their first retrieval and transfer.

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

After being diagnosed with unexplained infertility, I had four IUI's and two IVF egg retrievals with three embryo transfers performed at Emory Reproductive Center over the course of the last 1.5 years. None of the procedures resulted in a pregnancy. My primary doctor was Jennifer Kawwass. I chose to receive care from Emory because of their overall level of education and expertise compared to other clinics in the Atlanta area. Not only do you receive attention from some of the most highly qualified specialists in the country, but you also work with doctors doing fellowships who are young, bright, eager and up-to-date on the latest research. Between IUI's and IVF I went to GRS to receive IVF treatment (which didn't lead to pregnancy either) because I wanted to try somewhere new and different. But, I ended up going back to Emory because I felt that the doctors were smarter and more invested in my success. When treatments failed, I felt like they were experiencing the failure with me. The Emory system is big and bureaucratic, creating administrative and logistical hassles that you might not receive at other private clinics. But, for me, I decided I was ok dealing with them because at the end of the day what mattered most was the decisions my doctors made and the quality of the procedures I received from medical staff. Dr. Kawwass was amazingly supportive and gave me her direct email address and phone number to use if I ever needed it. I did on occasion and she was always available to make the process easier on me.

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

I did two retrievals with the same approach. Both utilized Lupron to suppress my ovaries and I stimulated egg production with Follistim AQ and Menopur. This worked very well and I had an excellent response both times. I was very, very happy with the egg retrieval outcome specifically, which created about 20 each time. At a different clinic (GRS) where I also did a retrieval, I had a different protocol that was much less successful. The unsuccessful protocol was Cetrotide to suppress ovaries with Menopur and Bravelle to stimulate egg production. On this protocol I grew a lead follicle that kept the others from maturing. I only got six eggs from that retrieval.

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Helen)

For my second retrieval I was able to pick which nurse I wanted to work with. I chose Helen because I had previously met her and liked her style. For most of the communications during the retrieval and transfer processes, Helen was the person I spoke with or emailed with. She is attentive, response and accomplishes all the fundamental responsibilities of the primary nurse. There are other nursing staff at Emory that are not as helpful as Helen, but I did my best to avoid interacting with them and was mostly successful with this.

Describe your experience with Emory University Reproductive Center.

The Emory system is big and bureaucratic, creating administrative and logistical hassles that you might not receive at other private clinics. As a whole the nursing staff is not as educated or experienced in fertility medicine as the other clinic (GRS) I utilized. It didn't seem like the nurses had a specialty, per se, in fertility medicine which gave me pause and I ended up second guessing their directions. The Emory doctors, however, are amazing and the primary reason why I chose to receive treatment at the clinic. They seem to be some of the best and brightest minds in the field and also are emotionally invested in outcomes.

What specific things went wrong at Emory University Reproductive Center?

Lost paperwork
Lost appointments
Failed to send your chart to another clinic
Provided conflicting information

Describe the specific things that went wrong at Emory University Reproductive Center.

The Emory bureaucracy and the Reproductive Center nursing staff have weaknesses that create administrative and logistical issues during treatment. You can feel lost in the big Emory system. The nursing staff also don't seem like they are pursuing a specific specialty or have what I would consider significant years of experience in the field. There are a couple of exceptions but for the most part they came across this way to me.

10

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

2015, Successful

9

10

Age 38

3 IUI

1 IVF

Diminished Ovarian Reserve

Endometriosis

Male Factor

Poor Egg Quality

East Asian

Income $100K - $199K

Only Doc Seen

Strongly Recommends

Successful

Review of

Jennifer Kawwass Emory University Reproductive Center

Dr. Kawwass was compassionate and warm in her interactions with us. She thoroughly explained the process and went over our chances with each method.... We were given the option of IUI or going straight to IVF. Since I didn’t want to be too aggressive in treatment just yet, figured IUI would be the best route.... Dr. Kawwass allowed us to be empowered in making our own decision yet while at the same time sharing our potential chances with the methods.

The clinic staff [Emory U Reproductive Ctr] is great! They all were very friendly and accommodating. Had no issues with billing. And when we were financially responsible for certain parts of our treatment, they did share with us early on that we would owe out of pocket. So I appreciated the transparency and letting me know when items were covered or not. Scheduling can be a bit of a challenge because it is through their central switchboard.

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

Dr. Kawwass was compassionate and great at educating us on our issues, options and risks. We felt confident that we were getting quality care from an educator that truly wanted to help us opposed to someone that was more interested in profit and hitting the highest numbers.

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

Be patient. This is a stressful process. But also ask as many questions needed. They have an online portal and you can email the staff and doctors your questions at any time. Very responsive.

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

Dr. Kawwass was compassionate and warm in her interactions with us. She thoroughly explained the process and went over our chances with each method. She didn’t talk down to us or made us feel uncomfortable. Nor did she make the practice feel like they were only there to take our money. They left decisions up to us and educated us on our options.

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

We were given the option of IUI or going straight to IVF. Since I didn’t want to be too aggressive in treatment just yet, figured IUI would be the best route. I do have endometriosis and should have just jumped into IVF. But Dr. Kawwass allowed us to be empowered in making our own decision yet while at the same time sharing our potential chances with the methods. We didn’t feel pressured which helped a lot. After IUI did not work, we went with IVF and treatment was not adjusted too much from what was planned.

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Lois)

Overall the nursing staff was great. They all were very helpful and answered questions when I had them.

Describe your experience with Emory University Reproductive Center.

The clinic staff is great! They all were very friendly and accommodating. Had no issues with billing. And when we were financially responsible for certain parts of our treatment, they did share with us early on that we would owe out of pocket. So I appreciated the transparency and letting me know when items were covered or not. Scheduling can be a bit of a challenge because it is through their central switchboard. Or at least it was when I last had treatment here. That can be inconvenient if you need to get an appointment as soon as possible.

Describe your experience with your monitoring appointments at Emory University Reproductive Center.

It’s nice that you had a set appointment time. But tough when it’s only during certain hours. The patient has to be flexible.

Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.

Very reasonable. I have a friend who went through IVF same time I did and she was at another clinic. I learned she paid a lot more than I did and she was shocked how expensive her clinic was. Also fortunate that my insurance also covered the ultrasounds.

Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

Reasoning was justified due to my age and endometriosis.

9

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

2014 - 2015, Successful

10

Age 34 - 35

1 IVF

Diminished Ovarian Reserve

Male Factor

European

Income $200K - $499K

Nurse or HC Services

2nd of 2 Docs

Strongly Recommends

Successful

Review of

Jennifer Kawwass Emory University Reproductive Center

She [Dr Jennifer Kawwass] is such a real, authentic person who genuinely loves what she does and wants to see every patient succeed and become pregnant. Also, she is very knowledgeable and competent. I crave physicians who are up to date on literature, protocol, recommendations. This is also something that attracted me to Emory in the first place. Jennifer, and all the doctors at Emory RE, genuinely care about their patients.

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

Oh, man! I provided specific examples in my previous narrative.

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

I don't have anything bad to say. Dr. Kawwass is an excellent, competent, compassionate physician, who ALSO has a sense of humor! I forgot to add that previously.

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

During our consult to begin IVF, Jennifer said something like, "because this is so emotionally charged"... it was then I began crying, BECAUSE THIS IS. I love that she acknowledged that and kept that in mind as she walked us through the entire process. She is such a real, authentic person who genuinely loves what she does and wants to see every patient succeed and become pregnant. Also, she is very knowledgeable and competent. I crave physicians who are up to date on literature, protocol, recommendations. This is also something that attracted me to Emory in the first place. Jennifer, and all the doctors at Emory RE, genuinely care about their patients.

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

I don't remember the KIND of protocol we used with IVF/ICSI. I do remember that I was on the max doses of Follistim and Menopur, twice a day. When I did research online of other women with DOR, I noticed that my protool was very conservative and aggressive. We got 8 eggs, and 4 embryos, one transferred on day 5 resulting in a baby girl born in April 2016. Update From My Clinic: "You were on a maximum dose standard down regulation lupron protocol. (Lupron, FSH 225 twice a day and menopur 75 twice a day). We chose this protocol because of your diminished ovarian reserve - we anticipated that you would need a high dose."

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Lutissa Parker)

Lutissa was really wonderful, calm, reassuring, and knowledgeable.

Describe your experience with Emory University Reproductive Center.

Some difficult things about Emory are getting there, parking, and PAYING FOR PARKING, and hoofing it to the 18th floor. The great thing is, everyone there is super great about you being late for appts, because, Atlanta.

Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.

I believe a fresh cycle costs 14, 500k.

10

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

2015, Unsuccessful

5

2

Age 35

5 IUI

3 Egg Freezing

IVF

Unexplained

Other

1st of 2 Docs

Doesn't Recommend

Unsuccessful

Review of

Jessica Spencer Emory University Reproductive Center

Strengths: Dr. Spencer is a good doctor and her interns/fellow were fantastic! ...Dr. Spencer was wonderful. She made sure to give details on what was going one, why she chose the meds she did, and what she thought our outcome would be...Dr. Spencer always made me feel welcomed. She was polite, courteous, gentle, and always showed compassion...My experience overall with her as a doctor was positive.

Weaknesses: Emory's billing department, front desk management, and nurses lack of communication and not knowing which patient you are and mixing up important, details regarding appointments and medication...The nursing staff was nice...they messed up our appointments multiple times, and gave us wrong information about the medications I was supposed to take and when...Beware of Emory and their lack of communication

How was your experience with Jessica Spencer at Emory University Reproductive Center?

As stated before, Dr. Spencer always made me feel welcomed. She was polite, courteous, gentle, and always showed compassion. Her staff also were wonderful to deal with. My experience overall with her as a doctor was positive.

What's one piece of advice would you give a prospective patient of Jessica Spencer at Emory University Reproductive Center?

Beware of Emory and their lack of communication, lack of billing communication, and nurses not always knowing what medicines you are prescribed.

During treatment, were you treated like a number or a human with Jessica Spencer at Emory University Reproductive Center?

Dr. Spencer was wonderful. She made sure to give details on what was going one, why she chose the meds she did, and what she thought our outcome would be. The reason we left her practice was due to other issues dealing with Emory.

Describe the protocols Jessica Spencer used in your cycles at Emory University Reproductive Center and their degree of success.

When seeing Dr. Spencer, I was undergoing IUIs. From what I can recall, I was on Clomid, Clomid's sister drug, but can't remember the other medicines prescribed. I also can't remember much about the protocols. It was a couple of years ago and I have moved past this experience.

Describe your experience with the nursing staff at Emory University Reproductive Center.

The nursing staff was nice. However, they never remembered our names (I can sort of understand this, there are a lot of patients), they messed up our appointments multiple times, and gave us wrong information about the medications I was supposed to take and when. A few times, I had to call Dr. Spencer personally to get correct information. Very frustrating.

Describe your experience with Emory University Reproductive Center.

Strengths: Dr. Spencer is a good doctor and her interns/fellow were fantastic! Weaknesses: Emory's billing department, front desk management, and nurses lack of communication and not knowing which patient you are and mixing up important, details regarding appointments and medication.

Describe the costs associated with your care under Jessica Spencer at Emory University Reproductive Center.

I do not remember the costs.

Describe Jessica Spencer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

Just that when the doctor thinks it right to transfer two, go with it.

What specific things went wrong at Emory University Reproductive Center?

Lost appointments
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information

Describe the specific things that went wrong at Emory University Reproductive Center.

I have already stated the problems in the prior boxes.

5

Doctor

Jessica Spencer

Humanity

Communication

Frequency Seen

Compassion

Explained risks

Adaptability

2

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jessica Spencer Emory University Reproductive Center

2019 - 2020, Successful

10

9

Age 32 - 33

Diminished Ovarian Reserve

Recurrent Pregnancy Loss

South Asian

Income $100K - $199K

Consultant

2nd of 2 Docs

Strongly Recommends

Successful

Review of

David Austin Schirmer III Emory University Reproductive Center

Dr. Schirmer was very emphatic from day 1! He didn't push for a certain type of treatment just to generate revenue. He was very honest and methodical which is exactly what my husband and I wanted from our doctor. He always explained this with great detail. He made sure to cross the t's dot the i's. ... He ran all the fertility tests AMH, FSH, HSG, etc. He also did genetic testing to see if there were any genetic problems.

Making appointments are usually not too tough. They [Emory University Repro Center] try to get you scheduled according to your schedule. I was able to talk to billing or nurses as needed. The response time is very quick. The billing can be a bit challenging to understand but you can talk to the department and get further explanations. You can also set up payment plans with accruing any interest.

How was your experience with David Austin Schirmer III at Emory University Reproductive Center?

Dr. Schirmer was very emphatic from day 1! He didn't push for a certain type of treatment just to generate revenue. He was very honest and methodical which is exactly what my husband and I wanted from our doctor. He always explained this with great detail. He was very through and made sure to cross the t's dot the i's.

What's one piece of advice would you give a prospective patient of David Austin Schirmer III at Emory University Reproductive Center?

Ask questions...even the silly ones. He takes his time and it's happy to answer them.

During treatment, were you treated like a number or a human with David Austin Schirmer III at Emory University Reproductive Center?

Dr. Schirmer was very emphatic from day 1! He didn't push for a certain type of treatment just to generate revenue. He was very honest and methodical which is exactly what my husband and I wanted from our doctor. He always explained this with great detail. He made sure to cross the t's dot the i's.

Describe the protocols David Austin Schirmer III used in your cycles at Emory University Reproductive Center and their degree of success.

He ran all the fertility tests AMH, FSH, HSG, etc. He also did genetic testing to see if there were any genetic problems.

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Tadzia)

She answered my questions on the portal very quickly. She checked in on me during my miscarriage to make sure I was doing ok.

Describe your experience with Emory University Reproductive Center.

Making appointments are usually not too tough. They try to get you scheduled according to your schedule. I was able to talk to billing or nurses as needed. The response time is very quick. The billing can be a bit challenging to understand but you can talk to the department and get further explanations. You can also set up payment plans with accruing any interest.

Describe David Austin Schirmer III's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

I believe he recommends eSET.

10

Doctor

David Austin Schirmer III

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

9

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

David Austin Schirmer III Emory University Reproductive Center

2019, Successful

10

Age 36

5 Fertility Medications

Male Factor

PCOS

European

Income $100K - $199K

3rd of 3 Docs

Strongly Recommends

Successful

Review of

David Austin Schirmer III Emory University Reproductive Center

When we came to Dr. Schirmer III we were told that by a previous fertility clinic our only option was to go through IVF. Dr. Schirmer didn't agree with that and said let's exhaust all other options before we do that. He helped my husband by getting him with a male fertility specialist and in the end, that's what gave us our healthy baby girl.

The experience [at Emory University Reproductive Center] overall was wonderful. We hope to use them again soon. I can't think of anything that was negative or an area in which they needed to improve. They provided multiple treatment plans and a clear path to the next steps based on how things would progress. It was so helpful to see a roadmap of where we were going and what would happen each step along the way.

How was your experience with David Austin Schirmer III at Emory University Reproductive Center?

When we came to Dr. Schirmer III we were told that by a previous fertility clinic our only option was to go through IVF. Dr. Schirmer didn't agree with that and said let's exhaust all other options before we do that. He helped my husband by getting him with a male fertility specialist and in the end, that's what gave us our healthy baby girl.

What's one piece of advice would you give a prospective patient of David Austin Schirmer III at Emory University Reproductive Center?

Take him up on the sound advice he gives. He's very open to hearing what you would like and delivering realistic options to fit your timetable.

During treatment, were you treated like a number or a human with David Austin Schirmer III at Emory University Reproductive Center?

He was very sympathetic and hopeful. He gave us all the information we needed to make a concise decision.

Describe the protocols David Austin Schirmer III used in your cycles at Emory University Reproductive Center and their degree of success.

I was put on Metformin as that always helps regulate my period due to having PCOS. My husband was directed to a specialist who put him on Clomid. Clomid help my husband's sperm counts and motility.

Describe your experience with the nursing staff at Emory University Reproductive Center.

They were very responsive and informative in their responses.

Describe your experience with Emory University Reproductive Center.

The experience overall was wonderful. We hope to use them again soon. I can't think of anything that was negative or an area in which they needed to improve. They provided multiple treatment plans and a clear path to the next steps based on how things would progress. It was so helpful to see a roadmap of where we were going and what would happen each step along the way.

10

Doctor

David Austin Schirmer III

Humanity

Communication

Frequency Seen

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

David Austin Schirmer III Emory University Reproductive Center

2019, Unknown Success

10

Age 43

1 IVF

Donor Sperm

European

Income $100K - $199K

Only Doc Seen

Strongly Recommends

Success w/ Doc Too early to know

Review of

Jim Toner Emory University Reproductive Center

He [Dr. Toner] was very open and honest. I know my chances are low due to age, but he is willing to try different things to give me the best chance...He recommended not doing pgs since I only had 1 embryo. Cost was important to me and I'd rather give it a try than send off for testing. He was willing to transfer note than 1 if I had more...Do your research and come prepared with questions. He will take the time to answer them but you need to narrow down what you want to discuss.

I found it [Emory University Reproductive Center] to be very organized and everyone was very friendly. I never had to wait long for any of my appointments. The front desk people were on top of things and knew the patients...making you feel like an individual not just a number. The finance group was very helpful in getting insurance clearance and making sure everything was all set for my procedures.

How was your experience with Jim Toner at Emory University Reproductive Center?

He was very open and honest. I know my chances are low due to age, but he is willing to try different things to give me the best chance. I feel very comfortable in his care. It is clear he knows what he is doing.

What's one piece of advice would you give a prospective patient of Jim Toner at Emory University Reproductive Center?

Do your research and come prepared with questions. He will take the time to answer them but you need to narrow down what you want to discuss.

During treatment, were you treated like a number or a human with Jim Toner at Emory University Reproductive Center?

I had good discussions on my care. He listened and discussed research and the reasons why he was selecting aspects of my care.

Describe the protocols Jim Toner used in your cycles at Emory University Reproductive Center and their degree of success.

I used follistim 300 and menopur 150 daily for 11 days. Triggered with pregnyl 10,000 hcg.

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Michelle)

Michelle was amazing! She was great at communicating and I felt like she was in my corner! This was my first experience with ivf and she made it very comfortable.

Describe your experience with Emory University Reproductive Center.

I found it to be very organized and everyone was very friendly. I never had to wait long for any of my appointments. The front desk people were on top of things and knew the patients...making you feel like an individual not just a number. The finance group was very helpful in getting insurance clearance and making sure everything was all set for my procedures.

Describe the costs associated with your care under Jim Toner at Emory University Reproductive Center.

I think a cycle was around $15k.

Describe Jim Toner's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

He recommended not doing pgs since I only had 1 embryo. Cost was important to me and I'd rather give it a try than send off for testing. He was willing to transfer note than 1 if I had more.

10

Doctor

Jim Toner

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jim Toner Emory University Reproductive Center

2019, Successful

8

Age 36

1 IVF

Endometriosis

Tubal Blockage

European

Income $100K - $199K

Nurse or HC Services

Only Doc Seen

Neutral

Successful

Review of

Heather Hipp Emory University Reproductive Center

Dr Hipp is very kind and passionate. She knows all her patients well and communicates well. The number of 5 day old embryos we ended up with were not what we envisioned (only 1) but it was transferred and we are pregnant. We liked Dr Hipp and would recommend her... My egg retreival meds were standard dosing at first but towards the end I was on max doses...I think if we did it again Dr Hipp said she would change the protocol

My egg retreival meds were standard dosing at first but towards the end I was on max doses [at Emory University Reproductive Center]. They were able to retrieve 11eggs, 7 were fertilized but only one made it to day 5 for transfer...Helen [nurse] was nice but not the best communicator and not great at explaining things...The clinic is really nice and clean. Labs and US are efficient and fast. The front desk staff are great. Getting appointments are easy. We have had some issues with Emory charging us extra (that was fixed) but then also still waiting for them to refund us for services we didnt do.

How was your experience with Heather Hipp at Emory University Reproductive Center?

As stated before, Dr Hipp is very kind and passionate. She knows all her patients well and communicates well. The number of 5 day old embryos we ended up with were not what we envisioned (only 1) but it was transferred and we are pregnant. We liked Dr Hipp and would recommend her.

What's one piece of advice would you give a prospective patient of Heather Hipp at Emory University Reproductive Center?

Ask as many questions as you can. They will be answered.

During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?

I never felt like a number. My questions were always answered quickly. Dr Hipp is very caring and passionate. She would even check in on me during her days off (Easter)

Describe the protocols Heather Hipp used in your cycles at Emory University Reproductive Center and their degree of success.

I was initially delayed a couple of weeks because they found a cyst and my period didnt start. My egg retreival meds were standard dosing at first but towards the end I was on max doses. They were able to retrieve 11eggs, 7 were fertilized but only one made it to day 5 for transfer. I think if we did it again Dr Hipp said she would change the protocol

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Helen)

Helen was nice but not the best communicator and not great at explaining things.

Describe your experience with Emory University Reproductive Center.

The clinic is really nice and clean. Labs and US are efficient and fast. The front desk staff are great. Getting appointments are easy. We have had some issues with Emory charging us extra (that was fixed) but then also still waiting for them to refund us for services we didnt do.

Describe the costs associated with your care under Heather Hipp at Emory University Reproductive Center.

$17,000 to $20,000 including medications

8

Doctor

Heather Hipp

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

8

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Heather Hipp Emory University Reproductive Center

2016 - 2017, Successful

7

Age 30 - 31

3 IUI

Male Factor

European

Income $50K - $99K

Teacher

Only Doc Seen

Neutral

Successful

Review of

Jessica Spencer Emory University Reproductive Center

She [Dr. Spencer] did a great job of explaining the process and answering our questions, and setting our plan. We did not see her very often though. She did not perform any of the check ups, just some of the procedures, and the initial consultations. ... I know that she adjusted my clomid with each attempt. ... She took the time to talk to us when formulating a plan, but we did not see her often. ...

There are long waits. You have to pay for parking after a short period, you do not see your doctor often. The reception staff [Emory University Reproductive Center] is not always discreet. The ultrasound technicians sometimes spoke before they should have, worrying me unnecessarily. There is free coffee/tea in the waiting room. ... I believe each IUI was around $1,000. ... It would have been nice to see the same nurses consistently, but they did a good job.

How was your experience with Jessica Spencer at Emory University Reproductive Center?

She did a great job of explaining the process and answering our questions, and setting our plan. We did not see her very often though. She did not perform any of the check ups, just some of the procedures, and the initial consultations.

What's one piece of advice would you give a prospective patient of Jessica Spencer at Emory University Reproductive Center?

Write down your list of questions so you don't forget anything

During treatment, were you treated like a number or a human with Jessica Spencer at Emory University Reproductive Center?

She took the time to talk to us when formulating a plan, but we did not see her often.

Describe the protocols Jessica Spencer used in your cycles at Emory University Reproductive Center and their degree of success.

I don't remember specifics, but I know that she adjusted my clomid with each attempt.

Describe your experience with the nursing staff at Emory University Reproductive Center.

It would have been nice to see the same nurses consistently, but they did a good job.

Describe your experience with Emory University Reproductive Center.

There are long waits. You have to pay for parking after a short period, you do not see your doctor often. The reception staff is not always discreet. The ultrasound technicians sometimes spoke before they should have, worrying me unnecessarily. There is free coffee/tea in the waiting room.

Describe the costs associated with your care under Jessica Spencer at Emory University Reproductive Center.

I believe each IUI was around $1,000.

Describe Jessica Spencer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

We did not end up needing IVF, but during the consultation, she explained that she wanted to transfer a single embryo to reduce the risk of multiples.

What specific things went wrong at Emory University Reproductive Center?

Provided conflicting information

Describe the specific things that went wrong at Emory University Reproductive Center.

I was told something worrisome from an ultrasound technician about the quality of my lining/follicles, but when the doctor called that afternoon (as is the procedure), they said there was nothing to worry about.

7

Doctor

Jessica Spencer

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

7

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jessica Spencer Emory University Reproductive Center

2019 - 2020, Unknown Success

10

8

Age 40 - 41

IVF

Diminished Ovarian Reserve

Endometriosis

Tubal Blockage

European

Other

Income $50K - $99K

2nd of 2 Docs

Strongly Recommends

Neutral

Success w/ Doc Too early to know

Review of

Heather Hipp Emory University Reproductive Center

I love Dr. Hipp! So compassionate and a great communicator. She walked me through each step of my treatment and was always there when I needed her. If she was not available she would make sure someone great was there to take care of me...Dr. Hipp told me if we had multiple embryos that she would only transfer one at a time especially sense we did genetic testing...

Nursing staff [at Emory University Reproductive Center] was great but I did have one nurse in the beginning of my treatment that did forget to call me to let me know my results and my next steps of treatment...The women that take your blood could be a little more friendly but I love the women that did all my ultrasounds. Clinic is nice and clean! The women in the front office are very nice...I did 3 egg retrieval’s. We got 10 eggs out. The last retrieval was the hardest. I had to be put on a extra injection a growth hormone. My follicles were not growing as we wanted. We were able to make one good normal embryo. It is frozen and waiting for transfer.

How was your experience with Heather Hipp at Emory University Reproductive Center?

I love Dr. Hipp! So compassionate and a great communicator. She walked me through each step of my treatment and was always there when I needed her. If she was not available she would make sure someone great was there to take care of me.

What's one piece of advice would you give a prospective patient of Heather Hipp at Emory University Reproductive Center?

IVF Journey is hard! Be patient and don’t give up.

During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?

I felt like a human with Dr. Hipp not a number.

Describe the protocols Heather Hipp used in your cycles at Emory University Reproductive Center and their degree of success.

I did 3 egg retrieval’s. We got 10 eggs out. The last retrieval was the hardest. I had to be put on a extra injection a growth hormone. My follicles were not growing as we wanted. We were able to make one good normal embryo. It is frozen and waiting for transfer.

Describe your experience with the nursing staff at Emory University Reproductive Center.

Nursing staff was great but I did have one nurse in the beginning of my treatment that did forget to call me to let me know my results and my next steps of treatment.

Describe your experience with Emory University Reproductive Center.

The women that take your blood could be a little more friendly but I love the women that did all my ultrasounds. Clinic is nice and clean! The women in the front office are very nice. I really like them a lot.

Describe the costs associated with your care under Heather Hipp at Emory University Reproductive Center.

35.000

Describe Heather Hipp's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

Dr. Hipp told me if we had multiple embryos that she would only transfer one at a time especially sense we did genetic testing. Which I was totally fine with.

What specific things went wrong at Emory University Reproductive Center?

Failed to call with results

Describe the specific things that went wrong at Emory University Reproductive Center.

One nurse forgot to call me with my results but other then that I love Emory!

10

Doctor

Heather Hipp

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

8

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Heather Hipp Emory University Reproductive Center

2017, Unsuccessful

8

10

Age 29

1 IUI

IVF

Donor Eggs

Diminished Ovarian Reserve

Unexplained

Black or African-American

Income $50K - $99K

Nurse or HC Services

Only Doc Seen

Neutral

Strongly Recommends

Unsuccessful

Review of

Heather Hipp Emory University Reproductive Center

[Dr. Heather Hipp is an] Amazing communicator...always went above and beyond to call and commmnicate results and info that may not have been clear...always called to reassure me the process...she was very compassionate and caring thru the entire process...She always tried to help me reduce anxiety and stress. By staying informative and telling me to work less because I am a nurse. She indicated stress could cause negative results she recommended massages and breathing techniques

[The nurse at Emory University Reproductive Center was] Very knowledgeable prompt compassionate always called back and followed up...Made each visit very welcoming for my boyfriend and I. There were no weakness. I just wished the outcomes were better...She [Dr. Heather Hipp] always tried to help me reduce anxiety and stress. By staying informative and telling me to work less because I am a nurse. She indicated stress could cause negative results she recommended massages and breathing techniques

How was your experience with Heather Hipp at Emory University Reproductive Center?

Amazing communicator always went above and beyond to call and commmnicate results and info that may not have been clear always called to reassure me the process she was very compassionate and caring thru the entire process

What's one piece of advice would you give a prospective patient of Heather Hipp at Emory University Reproductive Center?

Be optimistic and and remain stress free

During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?

Very welcoming cared about very involved in my care. Very compassionate very knowledgeable

Describe the protocols Heather Hipp used in your cycles at Emory University Reproductive Center and their degree of success.

She always tried to help me reduce anxiety and stress. By staying informative and telling me to work less because I am a nurse. She indicated stress could cause negative results she recommended massages and breathing techniques

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Unlnown)

Very knowledgeable prompt compassionate always called back and followed up

Describe your experience with Emory University Reproductive Center.

Compassion concern always followed up and very polite caring. Made each visit very welcoming for my boyfriend and I. There were no weakness. I just wished the outcomes were better. I had a overal experience

Describe the costs associated with your care under Heather Hipp at Emory University Reproductive Center.

20,000

Describe Heather Hipp's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

I wish we could of done mutiple to increase my chances of pregnancy to a vapid having to do the process again. Although my doctor was concerned with my health and the pregnancy I wish it was note that could be done with embryo selection or a better choice

8

Doctor

Heather Hipp

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Heather Hipp Emory University Reproductive Center

2016 - 2017, Unknown Success

8

7

Age 31 - 32

2 IUI

PCOS

European

Income $100K - $199K

Teacher

2nd of 2 Docs

Neutral

Success w/ Doc Not sure

Review of

Heather Hipp Emory University Reproductive Center

Dr. Hipp is always very quick to respond to questions and remembers personal details of life...Dr. Hipp reached out to me each time I had questions. She personally called to check on me after my D&C....We began seeing Dr Hipp after a miscarriage from an IUI. She encouraged us to do an IUI again with metformin, follistim , and ovidrel and switched me to letrozole. I was then placed on progesterone suppositories and baby aspirin after the procedure.

[Emory] Strengths: cheaper than other clinics. Easily reachable Weaknesses: not always organized...Helen was my main nurse but others would sometimes call. Helen was always very encouraging...Medications sent to discount pharmacy so much cheaper than imagined. Injectibles ranged from $85-$270. IUI procedure around $700 Ultrasounds and visits covered by insurance...Dr. Hipp is always very quick to respond to questions and remembers personal details of life

How was your experience with Heather Hipp at Emory University Reproductive Center?

Dr. Hipp reached out to me each time I had questions. She personally called to check on me after my D&C. After losing our baby before my birthday she made sure to be extremely kind and encouraged me to still have a good birthday. After we were in a car accident which I briefly mentioned she reached out to me to check in on us

What's one piece of advice would you give a prospective patient of Heather Hipp at Emory University Reproductive Center?

Never be afraid to email her questions

During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?

Dr. Hipp is always very quick to respond to questions and remembers personal details of life

Describe the protocols Heather Hipp used in your cycles at Emory University Reproductive Center and their degree of success.

We began seeing Dr Hipp after a miscarriage from an IUI. She encouraged us to do an IUI again with metformin, follistim , and ovidrel and switched me to letrozole. I was then placed on progesterone suppositories and baby aspirin after the procedure. I am now on progesterone oil injections of 1ml

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Helen)

Helen was my main nurse but others would sometimes call. Helen was always very encouraging

Describe your experience with Emory University Reproductive Center.

Strengths: cheaper than other clinics. Easily reachable Weaknesses: not always organized

Describe the costs associated with your care under Heather Hipp at Emory University Reproductive Center.

Medications sent to discount pharmacy so much cheaper than imagined. Injectibles ranged from $85-$270. IUI procedure around $700 Ultrasounds and visits covered by insurance

8

Doctor

Heather Hipp

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

7

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Heather Hipp Emory University Reproductive Center

2017, Unsuccessful

6

7

Age 37

1 IUI

Endometriosis

Black or African-American

Income $100K - $199K

1st of 2 Docs

Doesn't Recommend

Neutral

Unsuccessful

Review of

Jessica Spencer Emory University Reproductive Center

She [Dr. Spencer] thoroughly went over my history with me to determine the best course of action. She let me know the chances of doing the IUI successfully were slim due to the fact that I have endometriosis. She let me know that IVF would probably be best to do but due to the cost I decided to try out the IUI ... The instructions I was given was specific to me and not generic. The fact that I have endometriosis was taken into consideration

What I like about Emory is that they were up front with the costs. I was not left in the dark not know what my bill would be. The only issue I had was waiting to get labs done, this took a very looooong time as the waiting area was always jam packed ... Emory clinic's approach is to do eSet ... The nurses were always nice and patient. They would always come back and reitierate what the doctor had gone over and also answer any additional questions

How was your experience with Jessica Spencer at Emory University Reproductive Center?

She thoroughly went over my history with me to determine the best course of action. She let me know the chances of doing the IUI successfully were slim due to the fact that I have endometriosis. She let me know that IVF would probably be best to do but due to the cost I decided to try out the IUI

What's one piece of advice would you give a prospective patient of Jessica Spencer at Emory University Reproductive Center?

Be patient and ask questions if things are not clear.

During treatment, were you treated like a number or a human with Jessica Spencer at Emory University Reproductive Center?

The instructions I was given was specific to me and not generic. The fact that I have endometriosis was taken into consideration

Describe the protocols Jessica Spencer used in your cycles at Emory University Reproductive Center and their degree of success.

I was initially given Clomid but I asked for it to be changed to Femara due reviews of it not working for Endo patients. I believe I was also prescribed Follistism, can't remember what else.

Describe your experience with the nursing staff at Emory University Reproductive Center.

The nurses were always nice and patient. They would always come back and reitierate what the doctor had gone over and also answer any additional questions

Describe your experience with Emory University Reproductive Center.

What I like about Emory is that they were up front with the costs. I was not left in the dark not know what my bill would be. The only issue I had was waiting to get labs done, this took a very looooong time as the waiting area was always jam packed

Describe the costs associated with your care under Jessica Spencer at Emory University Reproductive Center.

Total cost was about $4000. This was for consultation, full panel bloodwork, IUI

Describe Jessica Spencer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

Emory clinic's approach is to do eSet

6

Doctor

Jessica Spencer

Humanity

Communication

Frequency Seen

Compassion

Explained risks

Adaptability

7

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jessica Spencer Emory University Reproductive Center

2017, Successful

10

Age 28

1 IVF

South Asian

Middle Eastern

Income $50K - $99K

Engineer

2nd of 2 Docs

Strongly Recommends

Successful

Review of

Heather Hipp Emory University Reproductive Center

Dr. Hipp explained all possibilities thoroughly, and when things didn't go as planned, she took time to call in person to relay news and discuss possible solutions moving forward. Reviewed messages and answered those addressed directly to her, and answered very thoroughly.... Very supportive and understanding, Dr and staff... They let us choose [a single or multiple transfer] while also giving their professional opinion

[Emory is] Small, but state of the art facilities. Very professional, prompt responses to any questions and appointment calls. Clean. Privacy honored. Ideally located in midtown. Always available to answer questions... Nurse was more pen and paper based than electronic. All staff was always friendly, helpful, professional, and seemed to know what they were doing

How was your experience with Heather Hipp at Emory University Reproductive Center?

Dr. Hipp explained all possibilities thoroughly, and when things didn't go as planned, she took time to call in person to relay news and discuss possible solutions moving forward. Reviewed messages and answered those addressed directly to her, and answered very thoroughly.

What's one piece of advice would you give a prospective patient of Heather Hipp at Emory University Reproductive Center?

Be honest and relay all your concerns from the beginning

During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?

Very supportive and understanding, Dr and staff

Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Helen Battiste)

Nurse was more pen and paper based than electronic. All staff was always friendly, helpful, professional, and seemed to know what they were doing

Describe your experience with Emory University Reproductive Center.

Small, but state of the art facilities. Very professional, prompt responses to any questions and appointment calls. Clean. Privacy honored. Ideally located in midtown. Always available to answer questions

Describe Heather Hipp's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.

They let us choose while also giving their professional opinion

10

Doctor

Heather Hipp

Humanity

Communication

Frequency Seen

Compassion

Explained risks

Adaptability

10

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Heather Hipp Emory University Reproductive Center

2017, Unsuccessful

7

Age 40

1 IUI

Endometriosis

Other

Income $50K - $99K

Only Doc Seen

Neutral

Unsuccessful

Review of

Jennifer Kawwass Emory University Reproductive Center

Dr. Kawwass is good communicator and has warm bedside manners. She did explain the issue at hand and specified the risk associated with the process. Getting an appointment with the doctor is tough as she is quite busy....Clomid 24 Hr prior to process Injection in the stomach IUI... Clinic is quite neat and well maintained but is located in a sky scraper, the elevator of which is very annoying. The place is more expensive than other places so unless one is covered by Insurance one should look for other places

Clinic is quite neat and well maintained but is located in a sky scraper, the elevator of which is very annoying. The place is more expensive than other places so unless one is covered by Insurance one should look for other places... 840 for IUI... Dr. Kawwass is good communicator and has warm bedside manners. She did explain the issue at hand and specified the risk associated with the process. Getting an appointment with the doctor is tough as she is quite busy.

How was your experience with Jennifer Kawwass at Emory University Reproductive Center?

Dr. Kawwass is good communicator and has warm bedside manners. She did explain the issue at hand and specified the risk associated with the process. Getting an appointment with the doctor is tough as she is quite busy.

What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?

Ask Dr. Kawwass to perform the procedure herself rather than giving it to some nurse

During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?

Her words were encouraging and she tried to calm me as well as explain the issue at hand.

Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.

Clomid 24 Hr prior to process Injection in the stomach IUI

Describe your experience with Emory University Reproductive Center.

Clinic is quite neat and well maintained but is located in a sky scraper, the elevator of which is very annoying. The place is more expensive than other places so unless one is covered by Insurance one should look for other places

Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.

840 for IUI

7

Doctor

Jennifer Kawwass

Humanity

Communication

Frequency Seen

Trustworthiness

Explained risks

Adaptability

7

Clinic

Emory University Reproductive Center

Atlanta

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jennifer Kawwass Emory University Reproductive Center

Emory University Reproductive Center

7 doctors work here

CDC Success Rates

Available Resources

This clinic has 1 office
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70 patient reviews

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Emory University Reproductive Center

7 doctors work here

CDC Success Rates

Available Resources

This clinic has 1 officeVisit clinic website

70 patient reviews

Learn from top fertility experts

This clinic has 1 office
Visit clinic website