Extend Fertility

Dr. G has a good bedside manner--straightforward but warm. He is decisive about the treatments he pursues but makes sure you feel on board with each stage of treatment. He definitely seems like he knows his stuff and answers questions thoroughly and explains the science behind his decisions without being dismissive.

The monitoring sessions can be brief, so if you have questions make sure to have a list ahead of time. Contact him by email if needed.

$6000 per retrieval, $3000 per thaw/fertilization, PGT $300 per embryo.

They prefer eSET and PGT. This was what I planned to do anyway...not sure if they require it.

Dr. Maslow was candid and took the time to ask me my understanding and knowledge. She was very direct and sometimes a bit more understanding/soft and caring approach would have been helpful . For example, while discussing my progress mid-cycle and that I was slower than expected, the communication was very direct and matter-of-fact. I think I would’ve preferred some more validation of the challenges associated with the process.

Don’t hesitate to speak up and share questions or concerns and advocate for yourself. If you ask, she will take the time to answer. But you have to initiate/ask first.

experience went very well. Dr. Maslow was very nice and communicated everything well to me. I've only had one consultation with her so far but I have no complaints, everything went well. I look forward to having more appointments with her once I start the process

I think to just be patient if the patient is looking for a female physician at this clinic. As the only female physician, I did have to wait a few extra weeks for an appointment.

I have not started treatment yet.

just over $10000

N/A

Pros: explain procedures, answered questions , good bedside manners Cons: was late for appointment, like 1 h late, and didn't offered other alternatives. I think I should have tried ivf, but i didn't understand the benefit

He is very knowledgeable, but you have to ask many questions

I don't remember the name.of the injection- but it was a doses of 150 units.

1000

Dr. Maslow was extremely helpful in explaining the complicated elements of a pleasing to me. She was easy to talk to you even when my results were not so great in the beginning stages. She was encouraging but honest throughout the process, which I really appreciated.

I would come with a list of questions for her. There’s a lot of basic information that needs to be told every single patient but beyond that it really is up to you to do your research and make sure you ask the right questions so that you get the answers you need to feel comfortable with your personal care.

I’m still in the process of my treatment so I haven’t had any protocols performed yet.

I haven’t had ultrasound monitoring performed yet, but I do know that it is a general window.

There is a $6000 cycle fee, plus the cost of medications and long-term storage.

This does not apply to me. I am seeing Dr. Maslow for egg freezing.

He was very knowledgeable and intelligent, and inspired confidence in his decisions. While this approach may not be comforting to everyone, I appreciated his analytical perspective and focus on the data and statistics. I like information and expertise, and I never felt as if I was lacking in either of those during the course of my treatment.

Expect to see a wide variety of doctors and nurses in the course of your treatment.

IVF -- Menopur & Follistim.

They are about half as much as other clinics, and they are also very clear in advance. I previously did IUI cycles at another clinic and they ended up costing about three times what I was told to expect. There were no surprises with Expect.

I only have one embryo to transfer, but he said he did not like to risk losing multiple embryos in one shot, along with the risk of multiples.

Dr Klein was reassuring and there for me as a patient. He encouraged me to email him with any questions. During the consultation Dr Klein explained the science, statistics, and procedures. He was also sensitive to my religious needs and worked around them.

Ask questions and get clarity

I don't remember the protocol only that I started with follistim and menopur.

I think it cost about $6500 for office visits and anesthesia.

Dr. Maslow cares about her patients and women's education around fertility. She is passionate about what she does and wants her patients to have positive outcomes. She communicates over the phone and over email.

Have a baseline knowledge of fertility. Do your own research and be prepared to ask specific questions

We agreed to do 2 cycles of egg retrieval (I am 40) and we would determine if a third is necessary. After the 2nd, we agreed to a 3rd but she was confident that completing a 4th cycle was unnecessary.

5000 a cycle for egg retrieval. Meds were covered under my insurance

I wish someone had shared their experiences with Extend, so I could have skipped my 2 cycles with them, and saved my ovaries Dont take me wrong, Dr Klein is very nice. The clinic is pretty well organized. (Dr G is a different story. Very rude and impatient ) But the methods they use are so aggressive and ineffective. They are very rigid with statics, and treat every patient like how a textbook would instruct. They try to pump as much medication into you as possible, hoping to get the best results. But it turned out to be very counterproductive and I am afraid its harmful to my body in the long run. And the results are so poor. I only got 50% of mature eggs the first time, and the second time half of the eggs magically disappeared ( I think they ovulated earlier because the doctor was late!) They use manupor unnecessarily. They ask you to inject full dose of ganerilx every shot. They don't time well the ovulation Window. They just rigidly go by the 36 hours rule. (I strongly suspect in the second cycle, the missed the ovulation window, and lost half counts of my eggs. Because the count of eggs was only half of what the unltrasound indicated. But the doctor was not willing to tell me why. They tried to hide the reasons. I even got yelled by doctor G for asking about the reason ) I only found out how these things are wrong after I went to New Hope for my third cycle this month. I was pretty skeptical about them at the beginning, and even wanted to go back to the extend. The extend sells them well for all the charts and statistic based result predication But at New Hope, they customize the medication for you. I didn't have to use manupor. They minimize both the ganerilx and trigger shots. I felt less influenced by the drug during the whole cycle. And the result was better. New hope is not the best. For example, they could have given me the wrong trigger shot medication if I didn't triple check with the nurse. just for a full disclosure But if I could have done it again, I wouldn't have gone to the extend at all. I feel really regretted, not for the money, but worried about how all the cycles might have impacted my health. But it's my fault that I didn't do a thorough research first. So I just want to share the experience here. I hope it will help someone who is going through the same situation-- egg freezing

Don’t go to that clinic

I did not see Dr. Klein very much through the process, once at consultation and then again at the retrieval, but I did not really feel like I needed to see him that often, given that I was only doing an egg retrieval. He was very pleasant and kind when I did see him though. One thing I feel kind of unsure about is that when I told him that I knew that the success rate of freezing and thawing eggs was not as high as freezing and thawing embryos, he disagreed with me and said otherwise. I am pretty sure that it is a known fact, but since his entire clinics business model is freezing eggs, I'm sure he feels that he has to believe this.

Extend is mainly for people who want to freeze eggs, so you will not have as many interactions with him as you might if you were going through the full process of IVF, etc. I thought he was fine for the purposes of egg freezing, patient and answered questions throughout the process, but it was really the staff and the educational materials on Extend's website that were the standout for me.

I have PCOS so I wasn't on the shots for very long - maybe a week and a half before they triggered with Lupron.

It was really easy to make appointments, always available before work, and never had to wait long to get seen.

W extend, you pay around $5K. When I shopped around, it would have cost me at least $2K more to do it at a "normal" clinic.

So far I have only had an initial zoom consult with Dr. Klein but he was excellent. Explained everything so that I could understand, gave good analogies, and took all questions in stride. He also got back to my email within 24 hours (which has not been my experience with my previous doctor). He was easy to connect with, very smart, very calm.

too early for me to say

Since I have tried IVF twice now, at RMA, with an aggressive "microflare" protocol, he said he might try a different protocol, a slower, less aggressive approach, priming with an estrogen patch, then using a mix of Clomid and the other injectables. I think only one amp of menopur. He also said that he would recommend that I didn't do a fresh transfer (as I did previously), but that he would freeze the embryo, then transfer the next cycle.

So far, the finance team was great and let me know what to expect regarding upcoming costs and my insurance coverage.

This is not really an issue for me since I produce so few eggs each cycle, it's unlikely I'll get more than one viable embryo. I will add more if it's an issue when I try IVF next.