Extend Fertility

When you go to Extend Fertility, it feels more like you are a patient of the clinic then any patient of a specific doctor. I only met her once during a consultation and was once seen by a different doctor during the routine visits. She did not do my retrieval. She was really nice and knowledgeable and patiently answered my questions.

It was a standard egg retrieval process. They told me to add more hormones based on the growth of my follicles.

It was a well run machine. Sometimes it took 15 min and other times it was 30

$6500 for retrieval, $2000 for 5 years of freezing and approx $2000 in hormones

Dr. Klein was very knowledgable. He explained information thoroughly but always in a way that was understandable. He was kind and compassionate when giving difficult news. He answered all my questions (and I had many) and he addressed all my concerns without judgement.

Ask all your questions and don't worry if they are insignificant in your mind, Dr. Klein will understand, answer you thoroughly, and validate your concerns.

I went through 3 rounds of egg freezing, one cancellation, and will be doing one more before being the IUI process with Dr. Klein. In all three rounds, the Folistim amounts were increased from the start and I was given three different trigger drugs. My body reacts best to higher doses of Folistim but I also had a canceled cycle on the highest dose.

$9000 for 4 egg freezing cycles $2000 for 5 years of long term storage

Dr. Guarnaccia was incredibly knowledgeable and friendly. I would recommend him absolutely as for REI services including egg freezing, which is what I had with him. I appreciated both his candor and his efficiency - working with him as my doctor was all I could ask for during the process.

He is very quick - prepare any questions you might have beforehand

I had egg freezing done with an HCG trigger shot.

It seemed to be a fairly well-run process with my coming in and waiting a max of 15-20 min, mostly less, and getting in and out of the clinic rooms fairly quickly. I think it was also helpful that I went during the summer - less clothing to take on and off!

I can't recall, but all-in each cycle was about $10k

N/A

I chose a female doctor because I think it’s more convenient. She is very nice and professional. The whole procedure went smoothly and I got a pretty good result. I didn’t feel anything miserable, the medication was efficient, I only injected 8 days to get it ready.

Don’t fear of anything, I feel the procedure just like a regular period.

They give me the dose is medium. Follistim 225 unites and 2 vials of Menopur per day. I only injected 8 days to get it ready for retraival. They expected to get 10-15 eggs, I got 13 mature eggs, which is pretty good. Although I expected 15.

Their monitoring hours is 7:00am-9:30am every day. Which is very convenient. The waiting time is very short.

First cycle 6500, one year storage 600, medication 3000.

I liked him. He seemed very knowledgeable. He answered questions I had. I did have to wait a long time because he was presenting to another patient. He had a long presentation. The wait was inconvenient but I was overall pleased with the consultation. I would have preferred that he re-check a suspiciously low blood test number but as a practitioner I felt comfortable in his care

Be ready to wait

I don’t remember

Don’t remember

I didn’t have this procedure

Dr. Klein always made sure to be on call for my procedures He always helped me stay positive and hopeful he showed true compassion and interest in my care/needs even after success. He is always available by email and phone if needed.

dont be afraid to ask questions

first IVF protocol was "micro- flare" which resulted in "funky" egg behavior. The next cycle was antagonist with high dosage of Gonal- F and 3rd and most successful cycle was antagonist with lower dosage of Gonal- F which resulted in better egg quality.

very fairly priced (compared to other clinics)

Dr. Klein was not a fan of transferring multiple embryos but would have agreed if I begged enough

Dr Klein was kind and helpful. He was honest with all the possible outcomes and made sure I understood what was happening. When I had concerns he made sure to explain options in-depth to make sure I felt comfortable to make a decision.

It depended on the day and time I showed up. Some days were less crowded, but the later you go in, the more crowded it will be. There were some days where they had to put people in conference rooms, but they made sure everyone had a seat and they're always offering water!

I got lucky and they were doing a special discount for the month that I was going to begin so I got $1,000 off for all of the stuff associated with retrieval, except for medication and storage.

The doctor sees so many patients that he didn’t remember me when I went in for ultrasounds or for the egg retrieval procedure. However, he did have very good bedside manner and explained everything clearly and in detail.

To expect to be seen by other doctors and nurses, but to know they will still be in good hands.

Follastim 375 units, Menopur 225 IU (between 2- 3 vials), Ganirelix Acetate 250 mcg, Pregnyl 10,000 units

$6000 and the medications were separate and variable each cycle (between $3500 and 4,500)

N/A

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. Klein was very responsive to email communications, he went through the process in detail with me and answered all my questions. This gave me comfort in choosing Extend Fertility as well as my decision to go through the egg freezing process. Dr. Klein is also very kind.

Ask him as many questions as you need!

The cost of the office portion was $5,500 for the egg freezing cycle and the medications were extra.

He was knowledgable, kind, and was willing to explain every detail and possible outcome. I appreciated his candor and felt very comfortable speaking with him. And that I was in good care. My procedure went as expected and I felt like he was honest about my odds of retrieving healthy eggs. Which turned out even better than i expected. I was very comfortable in his care.

You won't see him too much, but i was not too concerned about that. Overall the clinic sets a style of working with patients that I appreciated.

It was well under the rates at other clinics.

Dr. Guarnaccia came in as a tourist to perform surgery on me. It was the first time I saw him, ever, he was the per diem who came in to cover for my actual doctor that Saturday. Unlucky me. He asked me if I had any medical concerns. This was the first bad sign. When I said heart disease, history of fibroids, cysts and a clotting disorder, he started scrolling through his stack of papers. I was a little nervous at that point. He also asked me who "Jane Doe" was and I said she works here. I got alarmed then. He proceeded to go to the computer to get acquainted with my record as this was not necessarily going to be a walk in the park as he had expected. I took that moment to asked the nurse who that was. They explained my doc who I was confident in and choose to care for me, was away for Sabbath and this was the per diem who was going to perform the surgery. No one informed me of this ahead of time and I almost felt obliged to accept it. All I could think of as a patient was, I don't even know him, I just meet him and he doesn't seem competent; as well as all the money, injections, time off that it took to get to that day to freeze my eggs. I told myself it will all be fine, although I almost wanted to call my boyfriend who was sitting in the waiting room. However, the anesthesiologist came in, he knew exactly what he was doing and I thought it would be ok. A day after my surgery, I had intense pain at work ( i have a high pain tolerance) and my boss sent me home. I called my actual fertility doctor who said everyone reacts differently, if pain persists come for a visit. As far as the results, I am young with no ferlility issues whatsoever, but from the expected 12 eggs to be frozen, we only got 5. My actual doctor admitted it was very unusual. Unfortunately, the pain came back stronger a few weeks later. Basically, I was rushed to the ER from work - they said I had a cyst. Went home, still in pain for a week so I went to my actual doctor and he prescribed me medications. One more week of pain, I am rushed to the ER from my obgyn's office! She tells me this is bad and that I might lose my ovary. I got emergency surgery as the doctors at the hospital feared me losing my ovary due to an hemorraghic cyst. I was crushed. They said consent to have your ovary removed and I just felt numb at that point. When I woke up from surgery, my boyfriend tells me, you still have both your ovaries, instead I had been carrying a 6-week old infection that spread puss to my ovaries, uterus, abdomen, colon/rectum. You can imagine how I felt, emotionally and physically, all this pain. Infections are extremely rare and this was a very bad one. Because of all of this, my fallopian tubes are scared and I will probably need IVF to conceive as is will not happen spontaneously. I was just freezing my eggs as an option because of my heart and fibroid history. Basically, I have reduced my options when I thought I was being smart. And I wonder if this is what killed half of my eggs at retrieval. When I found this site and saw his reviews, I cried, I knew I had been screwed by this doctor. I had to be out recovering for about 3 months, not working. Ended up having to move upstate due to my precarious situation. My living condition is good but very stressful. I got the flu and to top it all, my second heart attack now. I will stop here but you get the point, my entire life has been hanged for the worst. I am thankful to this site and the other reviewers for sharing their story. I am not one to leave a review ever but I felt like a responsibility for anyone debating Dr. G’s care. With such a low review rate, I wonder why he’s even practicing and those hiring him to still be out there are to do their due diligence and be responsible.

Save yourself a bad ending. In my opinion, he should not be practicing and not hired as a per diem. You would think he is qualified and that you should trust him. I fell victim of an unprepared doctor with overwhelmingly bad reviews. Perhaps he has a calling in another field but not fertility.

Dr. Guarnaccia was the per diem performing my retrieval, the most crucial part of the process. He was not part of that process. I was unaware he would perform the surgery on me. 12 eggs were retrieve and only 5 were frozen. All I know is that this was an unexpected result and that I got infected under his care. Also, had extra anti-coagulant shots to take during the hormone treatment because of my blood disorder.

8,500 total

I only saw him once or twice for each of my two cycles but always made me feel comfortable and told me everything I needed to know- answering all questions. He did my second retrieval and made me feel at ease.

Ask him any questions you have to make sure you understand all steps and feel comfortable about the procedure

Follistim 375 iu Menopur 2-3 vials/day cetrotide 4-5 shots, and ovidril trigger shot

They were very flexible with appointment times- able to go in really early (7am) when needed to go to work. But was also able to do later around 9 when didn’t have to rush in. Appointments were quick and usually less than 30 minutes. I would get my blood taken then have an ultrasound then would be done.

They had plans based on your blood work and age. I paid $8050 for 3 cycles or 15 eggs whichever came first. I then had to pay $450 for storage and for medications. I got lucky and only had to pay for copays since my insurance covered most of the meds. My total medication cost for 2 cycles was $900

Dr Klein is very knowledgeable, has a great bedside manner. He is responsible, professional, and kind. I had a great experience with Dr Klein and his team. My treatment and procedure were handled professionally, worry- and pain-free. Special kudos goes out to his team.

Making sure that you understand every step of the treatment is very important. Dr Klein and his team make all the important information easily accessible but if you are unsure about something, just shoot them a quick email or give them a call.

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

Dr Klein was very thorough through out the whole process he explained everything to me in detail was very patient with me and is very knowledgeable and made going through this process much easier then I expected

Your in good hands

The process entailed many blood tests and ultrasounds to insure the optimum outcome and my well being I injected myself with hormones and I was monitored very closely dr Klein and his staff were always available for me through email or a phone call

Dr. Klein is honest but in a gentle way. He does an excellent job of setting realistic expectations without trying to romanticize an arduous journey. He is also more accessible than most doctors I surveyed which provides an additional layer of comfort.

Be patient.

Egg retrieval about $5k and medications averaged between $3k-$7k. Storage is $475 per year.

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

Dr. G is extremely knowledgable and kind. I felt like he really understood and cared how I felt throughout the process and he took the time to answer every question big or small. I would (and have!) recommend Dr. G to friends.

My starting protocol was 225iu of Follistim and 2 vials of Menopur with a Lupron trigger.

Very nice, good listener, explains thoroughly. Only bad experience that doctor “forgot” a gauze inside me. It was not him though but the doctor performing the procedure which was his colleague at the clinic

Insist that he does the procedure himself

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.

Joshua Klein did a wonderful job of making me feel like a human, instead of a number. I live in Chicago, but after our initial consultation, it was a no-brainer that I needed to fly to New York to have him do the procedure. I am so happy I did. He participated in every office visit. He took the time to educate me on each decision (timing, medication, etc.) and each step. One day, a nurse forgot to call me with dosage instructions. Dr. Klein called me, himself, to give the proper dosage info. No complaints. He had a very high level of engagement which I couldn't be happier about.

Take advantage of the free consultation! Ask him every question that crosses your mind.

Stimulation occurred over 9 days, with extraction on the 10th day. 1 vial of menupur throughout stimulation. I started with 225 units of Follistim, but it was reduced, as my follicles were growing quite quickly. Can't remember which trigger shot was used. There was logic to which one he wanted me to take, but I can't recall what it was.

Stimulation - $4990 Medication - $3052

Dr. Klein is absolutely everything I could want in a doctor. Of course I'd be even happier if we never had to cross paths for this, but considering the circumstances, I feel so blessed to have him as my doctor. Having a doctor that you can trust is looking out for you and is reachable, explains things clearly really put my mind at ease throughout all the appointments. I didn't dread the visits or worry what would be - I felt like I was in the hands of the best doctor that I could be. He is really exceptional. He is a genuinely kind person, not out of fluff or diplomacy. And from what I understand, every patient feels that he is completely focused on them and creating the best outcome.

Just become his patient. You don't need any other advice.

I prefer not to get into specifics. But one thing i knew is that he always remembered everything of my history and every strategy he used was carefully thought about.

I wish every physician in every field of medicine was as good as dr klein was as a Dr, both medically as well as emotionally for the patient going through a tough time. He was outstanding. He spent a tremendous amount of time from my very first consult until we had a successful pregnancy and I was discharged, explaining every scenario and walking me and my husband through the process and what to expect. As well as what our options would be moving forward.

To be prepared to have an amazing experience with him and his staff. Just to keep in mind that some days there will be a long wait time.

One thing that stands out is how I was not responding well to injectables and had to continue taking them longer than the expected time. Dr Klein kept a close watch every step of the way to ensure that we scheduled the IUI at the most optimal time, and not have too many viable eggs available, which he warned could result in a higher chance of multiples.

Dr Klein did not accept insurance when I was a patient. But my insurance had zero infertility coverage. Since I had to pay out of pocket regardless of who I saw, he was my first choice and priced well compared to other doctors.

I very much wanted twins when we discussed IVF as a possibility, and Dr Klein explained the downsides very well and after his explanation I do not believe it is something I’d opt for moving forward.

If I can only can sum up my experience with Dr. Klein with one word, it would be "positive." When the cup was half full, it was half full, not half empty. That was the most important to me. As a bonus he was also kind, compassionate and sensitive. Going through this can never be easy, and I faced some challenges. I so appreciated his mild manners and easy touch.

You are in a good place and in good hands.

They were very easy-going with the times i could show up, making sure to schedule them on days that would be convenient for me.