Extend Fertility

3 doctors work here

Rated 9.2
Strongly recommend: 76%Neutral: 16%Don't recommend: 8%9.2
76% strongly recommend
77 reviews
Operations
9.5
9.5
Operations

Ratings of 1 indicate that a clinic was poorly operated.

Ratings of 10 indicate that a clinic operated very well.

Scheduling
9.7
9.7
Scheduling

Ratings of 1 mean it was difficult to schedule appointments with this clinic.

Ratings of 10 mean it was easy to schedule appointments.

Billing Department
9.5
9.5
Billing Department

Ratings of 1 indicate an unsatisfactory billing department.

Ratings of 10 indicate an excellent billing department.

Nursing Team
9.1
9.1
Nursing Team

Ratings of 1 indicate an unsatisfactory nursing team.

Ratings of 10 indicate an excellent nursing team.

Attention to Detail
8.7
8.7
Attention to Detail

Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.

For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.

CDC Success Rates

This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.

For more information please see our FAQs.

Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.

Annual Cycles
1,242
National Avg
738
This Clinic
National Avg
00%
20%
40%
60%
<35
35-37
38-40
>40

Available Resources

Genetic counseling
Genetic counseling
Acupuncture
Acupuncture
Mental health counseling
Mental health counseling
Nutrition counseling
Nutrition counseling
Administration of shots
Administration of shots
Coordinating at-home nursing
Coordinating at-home nursing
Selling medication is not offered
Selling medication is not offered
Providing backup medication
Providing backup medication

This clinic has 1 office

Extend
200 West 57th Street
New York, NY 10019
212-810-2828

77 patient reviews

Verified

This patient has provided documentation of treatment at this clinic.

2020, 29 Eggs Frozen
10
10
Age 36
3 Egg Freezing
Prefer not to answer
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
He [Dr. Klein] is honest and straightforward so as not to get your hopes up, but communicates information in a kind and empathetic way...He made himself available every time I asked him to speak again to ask more questions about what went wrong and made suggestions on what changes he would make to the protocol for the next round (while also letting me know we may not get better results the next time). He never gave me false hope, but I felt confident in his plan
Anything more complicated regarding questions about protocol, [the Extend Fertility nurses] would let me know they would relay to Dr. Klein and would call me back with an answer. They were consistent and reliable...They're really a great team - even the embryologists emailed me after I had questions the nurse couldn't answer. Advice to a new egg freezing patient: do your research - on the doctors, the lab, and the clinic. Understand how many eggs you want to freeze going into it, and how many cycles that may take
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein is fantastic. I was nervous about this process and came into the clinic for a second opinion after a not so great experience at what is considered the "top" fertility clinic in New York. I was hesitant about the whole process, and also came prepared with lots of questions, and felt completely comfortable moving forward by the time I left. He is honest and straightforward so as not to get your hopes up, but communicates information in a kind and empathetic way. I had a disappointing result after my first cycle and was devastated (my body just didn't respond to the meds as well as we had anticipated). Dr. Klein called and gave me the news himself and I could tell he was just as disappointed. He made himself available every time I asked him to speak again to ask more questions about what went wrong and made suggestions on what changes he would make to the protocol for the next round (while also letting me know we may not get better results the next time). He never gave me false hope, but I felt confident in his plan and decided to do two more rounds a year later. When I came back to the office, he remembered everything from our last round, we moved forward with the new protocol. I was stressed throughout the process but he was always available to answer questions (and I always had a lot of questions) and I always felt like he truly cared about the outcome. All of the changes he made to the protocol worked and I had two more retrievals with great results :)
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
If you are unsure of anything or have questions, just ask! I had questions about my diet, different protocols, and a million other things. He was always open to listening to me and providing thorough explanations that helped to make me feel more at ease.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Everyone in the office is kind and helpful; they are efficient and understanding. I always felt like I was in good hands, whether with the nurse, sonogram technician or a doctor. They are friendly and make themselves available to answer questions as needed.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
All 3 rounds we used follistim and menopur at varying doses, as well as cetrotide. The first round used a lupron-only trigger. For the second round, I primed with estrogen patches with the rationale that it would help the follicles grow in cohort. I also started at a higher dose of follistim and used a dual-trigger to help the eggs mature. Third round we did the same as the second.
Describe your experience with the nursing staff at Extend Fertility.
I really only spoke with the nurses over the phone when they gave me instructions, and when I came in for my surgery. However, they were always knowledgable and answered any questions I had as they came up. Anything more complicated regarding questions about protocol, they would let me know they would relay to Dr. Klein and would call me back with an answer. They were consistent and reliable - I don't think I ever had to call to follow up on anything.
Describe your experience with Extend Fertility.
I think Extend is great at what they do. The office is clean, the staff is efficient, and it is run like a well-oiled machine. They are so much more affordable than other clinics in the city, but the doctors and staff are top notch. As I mentioned, before deciding on Extend, I went to one of the "top" research clinics in the city, and while I was ready and willing to pay 14k for at least one round of egg freezing, I had a really bad experience with the doctor relaying the wrong information and doing so in a rude a callous way. I am so glad I did my research and found Extend. I was able to do 3 rounds for about the same amount of money as one round of egg freezing elsewhere, with an amazing team, much better experience, and great results. They're really a great team - even the embryologists emailed me after I had questions the nurse couldn't answer. Advice to a new egg freezing patient: do your research - on the doctors, the lab, and the clinic. Understand how many eggs you want to freeze going into it, and how many cycles that may take. Make sure you feel comfortable with your doctor and the team you're working with - it's a stressful process, so do your best to limit additional stress as much as you can by making sure you feel you're in good hands.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
Each cycle was between $5k-6500. I know their prices have changed since the first time I was there, but each time I paid I was fully aware of the payment, and that was the only payment I had to make to the clinic which I appreciated. I know other clinics charge additional fees for blood work, consults, anesthesiologist, etc. I had to pay for my medications separately, which is standard. I paid out of pocket, and appreciated knowing this fee covered everything as it was one less thing to worry about during treatment.
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
2019 - 2020, Successful
10
10
Age 31 - 32
3 IUI
1 IVF
Unexplained
Prefer not to answer
Income $50K - $99K
Entrepreneur
3rd of 3 Docs
Strongly Recommends
Strongly Recommends
Successful
I am especially appreciative for a specific out-of-the-box decision he [Dr. Joshua Klein] made during my treatment that I believe contributed to the success of my first IVF cycle with him. I didn't feel like there were cookie-cutter protocols, but rather that each patient's success was given adequate thought...cares genuinely about each patient and it shows in his communication, responsiveness and throughout every step of the journey. I have never been disappointed.
I liked the extend fertility clinic. It's nicely designed! When you walk in for monitoring in the morning, you are greeted warmly (it's not a cold silent room like waiting rooms in fertility clinics are known for). Most of the staff knows you. Things run efficiently. I liked that there weren't set appointments for monitoring, you can just come in within a certain time range, at your convenience...Jordana, my IVF coordinator was extremely helpful and able to answer my questions throughout the process. She was super organized and helped with all the long-distance logistics too.
How was your experience with Joshua Klein at Extend Fertility?
Though there are plenty good doctors on the West Coast, there are none I found as caring and skilled as Dr. Klein. There is nothing like the peace-of-mind and reassurance that comes with fully trusting that your doctor has your best interest in mind. Personally, if I had to choose between a doctor who was extremely skilled, had great success rates, professional etc. vs a doctor who is kind caring and gentle - I would opt for the former, a doctor whose expertise I can rely on completely. But the greatest gift for me was that I didn't have to choose. He excels in both areas. I was comfortable to bring up any questions that I had and always received a clear and thorough response. He's fully present when he's with you and takes his time to explain things thoroughly.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Not only does Dr. Klein stand "head & shoulders" above other Reproductive Endocrinologists that I've seen but he stands out among any doctor I've known. Dr. Klein cares genuinely about each patient and it shows in his communication, responsiveness and throughout every step of the journey. I have never been disappointed.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
Although I do not remember the specific medications, I do remember feeling pretty decent throughout stimulation. I am especially appreciative for a specific out-of-the-box decision he made during my treatment that I believe contributed to the success of my first IVF cycle with him. I didn't feel like there were cookie-cutter protocols, but rather that each patient's success was given adequate thought.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Valerie, Stephanie)
Jordana, my IVF coordinator was extremely helpful and able to answer my questions throughout the process. She was super organized and helped with all the long-distance logistics too. Most of our correspondence was by email. The nurses were great - everyone knows who you are. Always got a call from them pretty early in the day with the medication instructions, plus a clear email. If I had a question for them, I'd call and get a call back pretty quickly usually. Being able to email them would've been nice since often when I called they were on the phone with other patients, in a meeting etc - but it was fine, since they would call me back quickly. And if I ever had a very pressing question or situation and a nurse wasn't available that minute, there was always someway somehow that someone would be able to help me. As a team, they all cared.
Describe your experience with Extend Fertility.
I liked the extend fertility clinic. It's nicely designed! When you walk in for monitoring in the morning, you are greeted warmly (it's not a cold silent room like waiting rooms in fertility clinics are known for). Most of the staff knows you. Things run efficiently. I liked that there weren't set appointments for monitoring, you can just come in within a certain time range, at your convenience.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
Compared to other clinics they are significantly cheaper - and very transparent about costs. No surprises. Medications cost me even less than they projected.
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unsuccessful
3
5
Age 37
Ashkenazi Jewish
Writer
1st of 3 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
My experience with Dr. Guarnaccia wasn't negative--he was nice and friendly, but the treatment felt rote, and his medication recommendations were very standard combinations of medications for me that had also been recommended to other women at the follow-up experience where you're taught how to inject yourself
Extend Fertility had a very calm, soothing atmosphere, patient privacy seemed paramount, and it didn't feel like a clinical environment. Those are the positives. The negatives are that they don't--or didn't, in my case--seem to offer any flexibility in terms of caring for patients with co-morbidities that may affect egg retrieval cycles.
How was your experience with Michael Guarnaccia at Extend Fertility?
I explained at the outset of my first consultation that I'm not the average patient, given my conditions, but Dr. Guarnaccia launched into the general statistics for egg freezing/fertility by age, the relevance of AMH, potential side effects--the standard dog and pony show (Extend was not the first clinic I visited--I also went to NYU, but the doctor there acknowledged me and handed me a packet and told me to schedule an appointment). My experience with Dr. Guarnaccia wasn't negative--he was nice and friendly, but the treatment felt rote, and his medication recommendations were very standard combinations of medications for me that had also been recommended to other women at the follow-up experience where you're taught how to inject yourself. I had specifically asked if he'd be willing to consult my endocrinologist and rheumatologist and my pain management doctor who manages my MCAS diagnosis, and he demurred. It's such an enormous investment of time, money, physical pain, psychological pain (I'm terrified of blood draws) that I wasn't satisfied I'd get the tailored treatment a patient like me probably needs, which was disappointing.
What's one piece of advice would you give a prospective patient of Michael Guarnaccia at Extend Fertility?
If you're young and healthy, he'd likely be a good choice for you. I think I'd heard he's not known for his bedside manner, but I found him to be likeable enough. I actually cared less about those metrics and much more about my doctor's commitment to tailoring my care/medications to fit my needs, and I didn't have enough confidence that my concerns about that were being heard.
During treatment, were you treated like a number or a human with Michael Guarnaccia at Extend Fertility?
I was and am an extremely informed patient wanting to pursue egg freezing at the time, but concerned because of my medical history, which includes autoimmune issues. I had been led to expect that I would get tailored information during the consultation and afterwards, and during my appointments for bloodwork which would be tailored to my conditions, and could help decide whether egg freezing would be right for me, which medications might work, which ones might cause flare-ups, etc. What I got from the doctor was instead a very rote, paint-by-numbers list of statistics and charts of what to expect success-wise by age and AMH, with no accounting for other factors. I expected doctors to meet me where I am, as a person and a patient with co-morbidities, but instead this made me feel like I was a potential customer being offered standard packages.
Describe the protocols Michael Guarnaccia used in your cycles at Extend Fertility and their degree of success.
I have them written down somewhere, but I don't have access to them at the moment--basically, Extend has four medication packages they offer in conjunction with the pharmacies they partner with, with varying strengths/dosages of medications. On a scale of 1 (being the least intense) and 5 being the most intense, he recommended dosages of Gonal-F and Menopur (I believe) at the 4 level/amount/dosage. I wish I could be more specific.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Kezia Onel)
Kezia was, I believe, my overall coordinator, but my questions were about my current autoimmune medications and conditions (thyroid levels, other medications I was/am on, etc), so I was referred to a nurse, Stephanie. She didn't really have any answers for me--which wasn't entirely unexpected, as she wasn't a rheumatologist or endocrinologist, which is why I was really hoping that my doctor would consult with my other doctors to provide the right course of treatment for me. But otherwise my nurse and care coordinator were very personable and friendly.
Describe your experience with Extend Fertility.
Extend Fertility had a very calm, soothing atmosphere, patient privacy seemed paramount, and it didn't feel like a clinical environment. Those are the positives. The negatives are that they don't--or didn't, in my case--seem to offer any flexibility in terms of caring for patients with co-morbidities that may affect egg retrieval cycles. What they offer are packages (dosages of medications and treatment schedules)--and my sense was that they fit the patient to the package, not the package to the patient, which someone like me needs. If you have thyroid issues, rheumatology issues, MCAS, a condition like Ehlers Danlos, or really just any medical issue that requires you to take medication(s) that affect your endocrine system, or if you receive more specialist care than you do from your GP, Extend Fertility may not be the right place for you.
Describe the costs associated with your care under Michael Guarnaccia at Extend Fertility.
At the time, with a promotion, a single egg freezing cycle was $5500, not including medications. My medications (the ones/dosages recommended to me) were in the $4500 range. So, about $10,000. I believe the costs now are about $12,000.
Describe Michael Guarnaccia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
I was not enquiring about IVF at the time so this was not applicable to me.
What specific things went wrong at Extend Fertility?
  • Provided conflicting information
Describe the specific things that went wrong at Extend Fertility.
I sent in all of my labwork from other clinics and my personal specialists, and there were major inconsistencies in my bloodwork done at Extend vs. not only my regular endocrinologist, but also at Cornell and NYU. My Day 1, 2, and 3 results were wildly inconsistent with other labs; for example, my AMH was 2/3 lower than each of the other labs (Sunrise as well as Cornell and NYU's labs). My E2, FSH, and LH were also wildly different at Extend's lab vs. the other labs, which were in the same general range, and the Extend Lab values made me seem less likely to succeed with one cycle only. I asked about this, but got a general answer that "lab results differ." It seemed an odd coincidence, though.
3
Doctor
Michael Guarnaccia
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
5
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2019, Successful
10
10
Age 39 - 41
4 IUI
1 IVF
2 Egg Freezing
Donor Sperm
Black or African-American
Investment Banker
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Klein has been extremely patient with my numerous questions. He has the best bedside manners and always thoughtful as he explains everything that he's doing. I'm a very detail oriented person and he was great with providing information without my having to ask. He's also very open minded to hear about my findings on the internet and discuss the subject matter. I never felt like he was condescending and he never scoffed at what I had to say. He truly listens to his patients. And he always had hope.
In 2017, I went through 2 egg freezing cycles [with Extend Fertility] which I had a total of 16 eggs frozen. In 2019, I started the IUI process. After 4 failed IUI attempts we decided to try for IVF cycle. My body didn’t take to the IVF medication so we fertilized my frozen eggs. 5 embryos were created using ICSI and then PGS tested. We transferred one which didn’t result in a pregnancy. I tried another round of IVF which this time my body took to the medications. Dr. Klein retrieved 10 eggs and 5 embryos were created using ICSI. I did not get PGS testing done. He transferred 2 and now I’m pregnant with twins.
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein is a great communicator. As I mentioned before, it’s necessary to provide the patient with statistics; however, he never left me without hope. I had my frozen eggs fertilized and it resulted in 5 embryos. I sent it out for PGS testing with 4 coming back abnormal and 1 inconclusive. He was willing to transfer the inconclusive as that is what I wanted- which did not lead to pregnancy. I then went through an IVF cycle and he was able to retrieve 10 eggs. Again, we had 5 embryos. This time I did not want to have PGS testing done- which Dr. Klein respected. He transferred two and now I’m pregnant with twins!
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Have your questions ready because Dr. Klein is very thorough and ready to answer any questions.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Where do I start? It's been such a long journey for me. It started off in 2017 when I went through two rounds of egg freezing cycles at Extend. In 2019, I became an Expect Fertility client, as I was ready to begin my road to motherhood. Through it all, Dr. Klein has been extremely patient with my numerous questions. He has the best bedside manners and always thoughtful as he explains everything that he's doing. I'm a very detail oriented person and he was great with providing information without my having to ask. He's also very open minded to hear about my findings on the internet and discuss the subject matter. I never felt like he was condescending and he never scoffed at what I had to say. He truly listens to his patients. And he always had hope. I understand that in this industry, the doctor has to be data and statistics driven. As a patient, it's always nice when after given all of the ratios and numbers (which is a huge dream zapper), the doctor ends it with- it only takes one! It allowed me to keep the faith and stay optimistic.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
In 2017, I went through 2 egg freezing cycles which I had a total of 16 eggs frozen. In 2019, I started the IUI process. After 4 failed IUI attempts we decided to try for IVF cycle. My body didn’t take to the IVF medication so we fertilized my frozen eggs. 5 embryos were created using ICSI and then PGS tested. We transferred one which didn’t result in a pregnancy. I tried another round of IVF which this time my body took to the medications. Dr. Klein retrieved 10 eggs and 5 embryos were created using ICSI. I did not get PGS testing done. He transferred 2 and now I’m pregnant with twins.
Describe your experience with the nursing staff at Extend Fertility.
Molly, Stephanie and Valerie. They had the most patience with me. I had SO many questions. They never seem exasperated with me. They made me feel like all of my questions and concerns were valid to them. When I had a situation happen- Valerie was calm while I was frantic. She said that she would call me in 30 minutes to check on my symptoms- and she called in exactly 30 min. She followed up a couple of more times afterwards. She truly cared.
Describe your experience with Extend Fertility.
The staff truly cares and treats you like a human. They call you by name and will cheer you on. If you get there first thing in the morning for monitoring, it’s easy to get in and out. It tends to get more crowded later in the morning.
Describe your experience with your monitoring appointments at Extend Fertility.
Early mornings when they first open would result in less patients in the waiting room. They would be more women as it got later in the morning. Though, even with a lot of women waiting- the staff were very efficient. They would get your blood work and shortly after you would have your ultrasound.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
I remember $5k for 2 egg freezing cycles (doesn’t include medications). I can’t remember IUI or IVF.
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
N/A
What specific things went wrong at Extend Fertility?
  • Failed to convey critical information
Describe the specific things that went wrong at Extend Fertility.
Didn’t realize that I had to get a notarized consent from my partner for my first IUI.
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2022, Unsuccessful
3
6
Age 22
1 IVF
Ashkenazi Jewish
Income $50K - $99K
1st of 2 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
I felt that Dr. Maslow was definitely educated and intelligent and when I did get to speak with her, she was very willing to explain everything. However, after the initial consultation, I did not see her once. She was not at any of my monitoring appointments and did not perform my egg retrieval. After the retrieval, she did call me with the results, even though they were worse than we hoped
The [Extend Fertility] clinic is very organized. Your calls are answered and nurses call back quickly. Everyone is very nice and professional and you feel taken care of by the support staff. The only issue I had was communication with the nurses and doctor. The clinic itself is very nice though...The nurses were not always up to date on the latest decisions that had been made.
How was your experience with Bat-Sheva Maslow at Extend Fertility?
I felt that Dr. Maslow was definitely educated and intelligent and when I did get to speak with her, she was very willing to explain everything. However, after the initial consultation, I did not see her once. She was not at any of my monitoring appointments and did not perform my egg retrieval. After the retrieval, she did call me with the results, even though they were worse than we hoped. It took two weeks to get a phone call with her after my cycle. I felt that this was completely unacceptable. She did not encourage me to email or call her with any questions and overall I did not feel supported at all.
What's one piece of advice would you give a prospective patient of Bat-Sheva Maslow at Extend Fertility?
Advocate for yourself and ask questions
During treatment, were you treated like a number or a human with Bat-Sheva Maslow at Extend Fertility?
Dr Maslow was always nice when we spoke, however I felt that she did not communicate often enough and I was left with many questions and confusion a lot of the time
Describe the protocols Bat-Sheva Maslow used in your cycles at Extend Fertility and their degree of success.
I had two vials of menopur and gonal. At a certain point the menopur was increased the three vials and cetrotide was added. My cycle was not nearly as successful as we had hoped it would be.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Avigayil Edelman )
The care coordinator was extremely helpful and always called me back quickly answering all of my questions. I felt that the nursing team in general did not take the time to make sure that the patient fully understood the instructions or results. They didn’t offer any information, you had to ask every single question if you wanted answers
Describe your experience with Extend Fertility.
The clinic is very organized. Your calls are answered and nurses call back quickly. Everyone is very nice and professional and you feel taken care of by the support staff. The only issue I had was communication with the nurses and doctor. The clinic itself is very nice though.
Describe Bat-Sheva Maslow's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
We did not get to that point as we had no healthy embryos
What specific things went wrong at Extend Fertility?
  • Provided conflicting information
Describe the specific things that went wrong at Extend Fertility.
The nurses were not always up to date on the latest decisions that had been made. They would call me and say things like “start estrogen patches so we can do your next cycle in 10 days” and I would just be confused because I hadn’t even spoken the the doctor about my last cycle and had not made any decisions about upcoming ones
3
Doctor
Bat-Sheva Maslow
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
6
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2021 - 2022, Unsuccessful
7
8
Age 38 - 39
2 IVF
Donor Sperm
Diminished Ovarian Reserve
European
Income $100K - $199K
Business Executive
Neutral
Neutral
Unsuccessful
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.
Extend is a clean, modern, well-run clinic with a fantastic nursing staff. Affordability is a priority for them, and I appreciate their transparent pricing and care with managing the financial aspects of the process. I felt very well supported and treated with care and dignity...I can't say enough good things about the nurses and support staff at Extend. After a horrifying few visits to a different clinic, walking into Extend felt like a breath of fresh air. They're incredibly organized, competent, and supportive. I never felt like I was falling through the cracks, and everyone greeted me by name despite it being a very busy practice. Kezia, specifically, as my patient coordinator, was truly a gem.
How was your experience with Michael Guarnaccia at 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.
What's one piece of advice would you give a prospective patient of Michael Guarnaccia at Extend Fertility?
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.
During treatment, were you treated like a number or a human with Michael Guarnaccia at Extend Fertility?
Dr. G is friendly and upbeat and present for the majority of my monitoring sessions (or as much as needed on request). He takes my questions seriously and is encouraging but realistic.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Kezia Onel)
I can't say enough good things about the nurses and support staff at Extend. After a horrifying few visits to a different clinic, walking into Extend felt like a breath of fresh air. They're incredibly organized, competent, and supportive. I never felt like I was falling through the cracks, and everyone greeted me by name despite it being a very busy practice. Kezia, specifically, as my patient coordinator, was truly a gem.
Describe your experience with Extend Fertility.
Extend is a clean, modern, well-run clinic with a fantastic nursing staff. Affordability is a priority for them, and I appreciate their transparent pricing and care with managing the financial aspects of the process. I felt very well supported and treated with care and dignity.
Describe the costs associated with your care under Michael Guarnaccia at Extend Fertility.
$6000 per retrieval, $3000 per thaw/fertilization, PGT $300 per embryo.
Describe Michael Guarnaccia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
They prefer eSET and PGT. This was what I planned to do anyway...not sure if they require it.
7
Doctor
Michael Guarnaccia
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
8
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2022, Successful
10
10
Age 35
1 Egg Freezing
Ashkenazi Jewish
Income $50K - $99K
Business Executive
Strongly Recommends
Strongly Recommends
Successful
Dr. Klein truly cares about the patient. Optimal results is an individualized thing and it cannot be compared to others...Not only did he take the time to explain it in the way I would understand it but also in a very compassionate way which I appreciated and realized was necessary for me to get through the process...
There's always a sense of privacy and respect. The waiting room is never full. appointments are very on time. If you are late they are super accommodating and understanding...I knew if I had any questions I could call [the Extend Fertility nurses] any time and even multiple times and I would not be made to feel less than. In short-they really do truly care about the individual..
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein truly cares about the patient. Optimal results is an individualized thing and it cannot be compared to others. This was explained to me and thank God he did help me obtain those results! The process is not an easy one but choosing Dr. Klein should be.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein is so real and down to earth. As a doctor I was expecting him to explain the science without any human component. Thankfully I was wrong. Not only did he take the time to explain it in the way I would understand it but also in a very compassionate way which I appreciated and realized was necessary for me to get through the process.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
I started with his standard protocol for my initial lab results. About half way through the dosage was adjusted. The results were very positive.
Describe your experience with the nursing staff at Extend Fertility.
They were always so kind and patient. At times I repeated my questions for clarify and I was already responded to with compassion and understanding. I knew if I had any questions I could call any time and even multiple times and I would not be made to feel less than. In short-they really do truly care about the individual.
Describe your experience with Extend Fertility.
There's always a sense of privacy and respect. The waiting room is never full. appointments are very on time. If you are late they are super accommodating and understanding. The office itself has a very modern feel and is always clean. No discussions every take place in the waiting area no matter how insignificant it may seem.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
I don't know the exact cost but it was certainly more reasonable than another clinic I had inquired about. Not only are they less expensive but I would make the choice to use Extend even if the cost was more.
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2020 - 2021, Successful
10
10
Age 28 - 29
1 IVF
Tubal Blockage
Ashkenazi Jewish
Income $100K - $199K
Marketer or PR
1st of 3 Docs
Strongly Recommends
Strongly Recommends
Successful
Dr Klein is extremely knowledgeable with years of experience in the field. He took the time to walk us through expectations, addressing our fears and concerns. He is very data driven, which as a data nerd I loved. He was very straight forward and gave us realistic expectations for our particular case. He was always available by email for questions & made us feel really confident throughout the entire process...
All of the nurses are Extend are amazing! They did a great job during all of the monitoring appointments as well as giving post appointments instructions for medications...They are very transparent from the start including pricing which was a big deal for us as we had to pay out of pocket (my insurance didn’t cover any infertility procedures). They took amazing care of us & we look forward to going back to them as we grow our family...
How was your experience with Joshua Klein at Extend Fertility?
We are so happy we decided to go with Dr Klein and Extend Fertility. Dr Klein is extremely knowledgeable with years of experience in the field. He took the time to walk us through expectations, addressing our fears and concerns. He is very data driven, which as a data nerd I loved. He was very straight forward and gave us realistic expectations for our particular case. He was always available by email for questions & made us feel really confident throughout the entire process.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Don’t be afraid to ask questions & to reach out. Dr Klein is a wealth of knowledge.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
One of the things we loved about Dr. Klein was his strong communication. He would always answer emails with any questions we had or would be happy to jump on a call. Communication was very important to us when deciding on a doctor / clinic.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
For our egg retrieval process we utilized the following drugs - menopur, follistim and ganirelix. I was on high dosages for all drugs due to my low AMH levels. We only had to do 1 egg retrieval process as this resulted in 6 genetically normal embryos. Given mine & my husbands age (late 20s early 30s) Dr Klein gave us a high confidence rating that 6 genetically normal embryos will yield in 2 children, potentially even 3. We were always on board for genetic testing so there was no persuasion needed by the clinic. They also did ICSI. For the frozen embryo transfer I did oral estrogen, progesterone suppositories and progesterone in oil shots. My progesterone levels were border line low hence the need for both suppositories and intramuscular shots. I was weaned off at about 10 weeks gestation. The first (and only) frozen embryo transfer worked and we now have a son.
Describe your experience with the nursing staff at Extend Fertility.
All of the nurses are Extend are amazing! They did a great job during all of the monitoring appointments as well as giving post appointments instructions for medications.
Describe your experience with Extend Fertility.
No negatives for the clinic. They did an amazing job and we will be forever grateful for them! They are very transparent from the start including pricing which was a big deal for us as we had to pay out of pocket (my insurance didn’t cover any infertility procedures). They took amazing care of us & we look forward to going back to them as we grow our family.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
The egg retrieval process not including medication or genetic testing was $11,000. Genetic testing was an additional cost of about $2000 (done by an outside lab) Medication costs were roughy $4000 for the egg retrieval. The frozen embryo transfer not including medication was $3000. Medication for the transfer was covered by insurance.
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
Dr Klein does not transfer more than one embryo at a time. He told us the goal is to have a healthy full term pregnancy, and transferring multiple embryos increases the chances of multiples which are usually higher risk pregnancies. We believe he does what’s best for his patients.
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2020 - 2021, Successful
10
10
Age 25 - 26
2 IVF
Recurrent Pregnancy Loss
Ashkenazi Jewish
Income $100K - $199K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Klein not only provided the utmost medical care, regarding all treatments performed, but he always made sure to address the psychological aspect of all that I was going through, and always suggested ways to help me cope and to not feel alone...Dr. Klein strongly recommended transferring only 1 embryo, especially since my embryo's had PGT-A testing and only genetically normal embryo's were being transferred...
Extend Fertility is an incredible clinic. They are located in midtown Manhattan, making it super accessible and easy to get to...a wide range of morning monitoring hours, making it easy to accommodate your schedule.Everyone there is so kind and so friendly...The nurses are easily accessible, whether it's over the phone or in person, which makes it easy to have your questions answered. Additionally, a really big perk of Extend, is that it has an additional office/OR on the floor above its main clinic - This means that all procedures to be done happen in the same building, no hospitals to go to, just convenient and easy.
How was your experience with Joshua Klein at Extend Fertility?
Fertility is unique, where everything is so tailored to the individual person - What works for some, may not work well for another, and therefore, having a great doctor, who tailors treatment to you, the individual, is so important. Additionally, fertility treatment has an immense emotional and psychological component to it, thats crucial for your doctor/care team to address and be conscientious of. As a patient of Dr. Klein, you get the best of both worlds - You receive the most incredible medical care available, tailored to you and your specific needs/bodily responses, in addition to having the most caring and compassionate doctor imaginable. Dr. Klein not only provided the utmost medical care, regarding all treatments performed, but he always made sure to address the psychological aspect of all that I was going through, and always suggested ways to help me cope and to not feel alone. There's truly not enough words/ways for me sing my praises to Dr. Klein. He is one of kind, incredibly knowledgeable, skilled, and so compassionate - Anyone going through fertility treatment/preservation would be lucky to be a patient of his.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Don't hesitate to see him! You will not regret it! Whether its for fertility preservation or treatment, he is the best of the best, and you will be so taken care of and feel so happy under his care.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein, and all of the Extend Fertility team, made my experience so personal; I always felt cared about, I always felt like my questions and concerns were being validated, and I always felt like a conscious effort was made to make me feel as good and as happy as possible. Going through IVF can get really tough, both physically and emotionally, and I always felt like those tough aspects were addressed; whether is was by a nurse calling me with instructions, sonographers at monitoring appointments, for really by anyone I encountered or spoke with at Extend, my well-being was always addressed and I always felt truly cared about. Not once throughout the almost year and a half I spend there did I ever feel like a number - I always felt cared about, and like my care was personalized.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
I originally started seeing Dr. Klein due to recurrent pregnancy loss. During my last pregnancy, before starting IVF w/ PGT-A, Dr. Klein thought out of the box, and prescribed me progesterone and lovenox, in the hopes that those medications would help sustain the pregnancy. When my pregnancy resulted in a miscarriage, we decided to pursue IVF with PGT-A testing, in hopes of transferring a genetically normal embryo and subsequently achieving a healthy, viable pregnancy. Since I am relatively young, with a normal ovarian reserve, I responded well to the stimulation medications, and had, what I believe to be a pretty normal stim's cycle protocol (the same protocol was used for both of my egg retrieval cycles) - Menopur, Follistim, Ganirelix, and a Luprolide Trigger. Both cycles yielded over 35 eggs, majority of which fertilized.
Describe your experience with the nursing staff at Extend Fertility.
I have nothing but great things to say about the nursing staff at Extend Fertility. The nurses play a huge role in your overall treatment, as daily instructions and next steps are usually relayed by them. With that said, I'm so grateful for all of the nurses at Extend. They were all always so kind, so genuine, and so patient. They never made me feel rushed while on the phone with them, and they were always more than happy to address any questions or concerns that I raised. They showed tremendous compassion, and always tried to accommodate my schedule as best as possible. The nurses truly enhanced my overall care at Extend and always made me feel so cared about. When, after a long time, I had success, the nurses truly shared in my joy with me, and it was evident how much they cared and how genuinely happy they were for me.
Describe your experience with Extend Fertility.
Extend Fertility is an incredible clinic. They are located in midtown Manhattan, making it super accessible and easy to get to. The clinic was just renovated, and it is beyond beautiful, clean, and truly a pleasure to be in. They have a wide range of morning monitoring hours, making it easy to accommodate your schedule.Everyone there is so kind and so friendly - Even though its a fertility clinic, the environment is calm, serene, and overall a pleasant and enjoyable place to be. The nurses are easily accessible, whether it's over the phone or in person, which makes it easy to have your questions answered. Additionally, a really big perk of Extend, is that it has an additional office/OR on the floor above its main clinic - This means that all procedures to be done happen in the same building, no hospitals to go to, just convenient and easy.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
I don't remember the specifics of my costs, but I do remember it being highly affordable, especially compared to other Manhattan clinics.
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
Dr. Klein strongly recommended transferring only 1 embryo, especially since my embryo's had PGT-A testing and only genetically normal embryo's were being transferred. I completely agree with this approach, and was a big proponent of transferring 1 embryo as well. When, after 2 of my transfers/FET's failed/did not result in a pregnancy, before moving on to another transfer cycle, Dr. Klein recommended a short break, and he performed the Endometrio test/biopsy as well. When the biopsy results came back as receptive, I suggested/asked if transferring 2 embryo's could be done the next time around, in hopes of increasing the chances that at least 1 would implant - Dr. Klein still suggested that I transfer only 1, but said he was willing to transfer 2, since he understood the logic/reasoning behind my request. Needless to say, that transfer was, thank God, successful. At the end of the day however, had Dr. Klein been adamant about still transferring only 1 embryo, I would have happily went along with it - I completely trust him, and know he has his reasonings for doing things certain ways.
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
2020, Successful
10
10
Age 34
1 Egg Freezing
Prefer not to answer
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
I met with [Dr. Bat-Sheva Maslow] when I first was thinking about starting the process and she was very clear about what I should expect and answered all my questions, she also called in a few days after my retrieval to check in and answer any other questions, which really made me feel like I was in great, caring hands...It was nice to start and end with Dr. Maslow, because of the familiarity. Also, she was very clear about expectations and had no problem answering all of my questions...
The staff at Extend Fertility as a whole was amazing. Everyone was so caring and had no problem answering questions...Lovely and caring staff. Good communication. Clean and organized facility. The nurses did a great job with communicating next steps and answering follow up questions. During treatment for egg retrieval it is a lot monitoring and blood work, but Extend Fertility was efficient, so that even when I had to go to work afterwards, it was a huge stress. I only wish that they had an Extend Fertility also in Brooklyn...I saw Dr. Guarnaccia and Dr. Maslow. Dr. Guarnaccia preformed my medical scan as well as my retrieval and Dr. Maslow met with me for my final follow up.
How was your experience with Bat-Sheva Maslow at Extend Fertility?
Dr. Guarnaccia is amazing. He performed my medical exam as well as my egg retrieval. He was so professional, but personable. I felt very comfortable asking questions and he was very clear with expectations. I truly felt like I was in great hands with Dr. Guarnaccia and I was. After the retrieval, I had almost no pain and the procedure went very smooth. I would highly recommend Dr. Guarnaccia to anyone considering egg retrieval. Dr. Maslow was great. I met with Dr. Maslow for my initial consultation and she reached out to follow up a few days after my procedure. It was nice to start and end with Dr. Maslow, because of the familiarity. Also, she was very clear about expectations and had no problem answering all of my questions. I would highly recommend Dr. Maslow to anyone considering egg retrieval.
What's one piece of advice would you give a prospective patient of Bat-Sheva Maslow at Extend Fertility?
Feel comfortable asking questions, because they both do a wonderful job making the patient feel comfortable and outlining clear expectations.
During treatment, were you treated like a number or a human with Bat-Sheva Maslow at Extend Fertility?
During my visits to Extend Fertility I saw Dr. Guarnaccia and Dr. Maslow. Dr. Guarnaccia preformed my medical scan as well as my retrieval and Dr. Maslow met with me for my final follow up. The process went very seamless and I had all of my questions answered. Dr.Guarnaccia is wonderful. I felt very comfortable under his care, especially for the actual egg retrieval. Following my procedure, I had no pain and the aftercare plan was very well communicated. I met with Dr. Maslow when I first was thinking about starting the process and she was very clear about what I should expect and answered all my questions, she also called in a few days after my retrieval to check in and answer any other questions, which really made me feel like I was in great, caring hands. I would highly recommend both doctors!
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Molly Spilka, Tamar Tenenbaum)
The staff at Extend Fertility as a whole was amazing. Everyone was so caring and had no problem answering questions. The communication was great during my procedure which made me feel so much more comfortable. Tamar my fertility advisor is amazing. She made me feel much more at ease each step, because she answered all of my questions and was very caring. Molly the nurse I worked with is also amazing. She clearly and thoroughly showed me how to mix and administer my medication. She took her time in explaining and answering any questions. If it was not for her, I do not think I would have been as comfortable administering my medication.
Describe your experience with Extend Fertility.
Extend Fertility Strengths: Lovely and caring staff. Good communication. Clean and organized facility. The nurses did a great job with communicating next steps and answering follow up questions. During treatment for egg retrieval it is a lot monitoring and blood work, but Extend Fertility was efficient, so that even when I had to go to work afterwards, it was a huge stress. I only wish that they had an Extend Fertility also in Brooklyn.
10
Doctor
Bat-Sheva Maslow
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Successful
10
10
Age 40 - 41
6 IVF
Prefer not to answer
Entrepreneur
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
I have never ever experienced that type of stellar service with any other doctor...When I shared with my friends how I can email him [Dr. Guarnaccia] and get a reply back in less than 10mins they were shocked...Every Dr. visit I would come in with a list of questions I found on forums or the internet. Dr. G patiently listened and provided detailed answers to my questions, never brushing it off or telling me to stay off the internet... anytime something would happen, i.e., unexpected spotting I would email him and get a response back immediately.
The nursing staff [at Extend Fertility] was super friendly...The facility is new and clean. The staff is super friendly and knowledgable. The pricing is great. I never had to wait more than 15min in the waiting room. The Drs here were directors at top clinics. The clinic is great with email communication. Weakness: The billing department took a bit to get insurance paperwork done...Estrogen patch before my period Follistim 300 units Menopur 225 IU
How was your experience with Michael Guarnaccia at Extend Fertility?
I never experienced any anxiety or questioning with Dr. Guarnaccia because anytime something would happen, i.e., unexpected spotting I would email him and get a response back immediately.  I never had to sit there wondering if something was wrong or am I doing the right thing.  I am not an easy patient. Every Dr. visit I  would come in with a list of questions I found on forums or the internet. Dr. G patiently listened and provided detailed answers to my questions, never brushing it off or telling me to stay off the internet.  
During treatment, were you treated like a number or a human with Michael Guarnaccia at Extend Fertility?
Before Extend Fertility I was at a very well known, highly ranked fertility clinic where I would call in when I had a question, wait for over 15min on the phone with the receptionist and then be told the Dr will call you back when they get a moment which meant the next day.  However, I felt like I won the lottery with Dr. Guarnaccia (Dr. G). When I shared with my friends how I can email him and get a reply back in less than 10mins they were shocked. Actually, the first time I emailed him and got a quick response I was shocked too. I have never ever experienced that type of stellar service with any other doctor.
Describe the protocols Michael Guarnaccia used in your cycles at Extend Fertility and their degree of success.
Estrogen patch before my period Follistim 300 units Menopur 225 IU
Describe your experience with the nursing staff at Extend Fertility.
The nursing staff was super friendly.
Describe your experience with Extend Fertility.
I did 2 rounds of IVF at Columbia but had to stop because my insurance was no longer going to cover IVF and Columbia was too expensive. I was choosing between RMA and Expect Fertility. I went with Expect Fertility because of Dr. Guarnaccia experience & knowledge, the rates, and the state of the art lab. I didn't go with RMA because they suggested a birth control protocol. Strengths: The facility is new and clean. The staff is super friendly and knowledgable. The pricing is great. I never had to wait more than 15min in the waiting room. The Drs here were directors at top clinics. The clinic is great with email communication. Weakness: The billing department took a bit to get insurance paperwork done.
10
Doctor
Michael Guarnaccia
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, 22 Eggs Frozen
10
10
Age 43 - 44
4 Egg Freezing
Ashkenazi Jewish
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
I only did egg freezing [with Dr. Michael Guarnaccia]...always answered questions with patience and understanding. He's been doing this for a long time and he has empathy for his patients...is a knowledgeable and experienced doctor who is more old fashioned in the way he acts with his patients. He answered every question with patience and understanding, and I think he gets what his patients are going through because he's done this for so many years.
The nurses at Extend were amazing! They were kind and compassionate and always got an answer for any question I had. They are truly the backbone of the clinic and some of the nicest people I've met...It was a well oiled machine even on the busiest of days. When I first started at Extend they had appointments during morning monitoring hours but for my last cycle they had changed that to just showing up anytime between 7-9:30 am which I didn't like.
How was your experience with Michael Guarnaccia at Extend Fertility?
Dr. Guarnaccia is a knowledgeable and experienced doctor who is more old fashioned in the way he acts with his patients. He answered every question with patience and understanding, and I think he gets what his patients are going through because he's done this for so many years.
What's one piece of advice would you give a prospective patient of Michael Guarnaccia at Extend Fertility?
Do the research before you start the process and be as informed as possible. It goes by fast and a lot of information will be thrown your way. If you know the questions to ask you'll always get an informed response.
During treatment, were you treated like a number or a human with Michael Guarnaccia at Extend Fertility?
Dr. Guarnaccia always answered questions with patience and understanding. He's been doing this for a long time and he has empathy for his patients.
Describe the protocols Michael Guarnaccia used in your cycles at Extend Fertility and their degree of success.
Microdose Lupron 10 units 2x a day Gonal-F 450 units 1x a day Menopur 2 vials 1x a day Estrdiol patches
Describe your experience with the nursing staff at Extend Fertility.
The nurses at Extend were amazing! They were kind and compassionate and always got an answer for any question I had. They are truly the backbone of the clinic and some of the nicest people I've met.
Describe your experience with Extend Fertility.
I think Extend Fertility knows their business inside and out and I was happy with my results. It's hard to form a normal medical relationship with the doctors/nurses/staff because you're only a patient at the clinic temporarily so sometimes you can feel like a number. However, I think the staff tries their hardest not to make you feel that way, even on the busiest of days.
Describe your experience with your monitoring appointments at Extend Fertility.
It was a well oiled machine even on the busiest of days. When I first started at Extend they had appointments during morning monitoring hours but for my last cycle they had changed that to just showing up anytime between 7-9:30 am which I didn't like. Busy days were harder but everyone was always kind and worked very hard.
Describe the costs associated with your care under Michael Guarnaccia at Extend Fertility.
Cycles were $5200 for the first and $4000 for any cycles performed after that. I don't recall the costs of all the medications but that differs for everyone.
Describe Michael Guarnaccia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
I only did egg freezing
10
Doctor
Michael Guarnaccia
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
10
10
Age 33
Ashkenazi Jewish
Operations
1st of 2 Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr. Guarnaccia used a chart to determine the correct dosage for my egg retrieval medications based on my blood test and ultra sound results. He assured me that I was in the 95 percentile for my age so I am getting the lowest dose of hormones, which I appreciate.... He was very straightforward and informative. Easy to talk to, willing and able to answer all my questions.
I really like Extend Fertility!... They assign an administrator to you and he/she is with you throughout the process. That has been very nice....I have not had much experience with the nursing staff but everyone at the clinic seems very warm and professional.... I thought I was told that egg freezing has a limit on how long eggs can be frozen but was then told that they can be frozen indefinitely.
How was your experience with Michael Guarnaccia at Extend Fertility?
He seems well-informed and willing to answer my questions and spend time with me going over information. I felt comfortable in his hands and believe he is good at his job. I liked him and appreciate him.
What's one piece of advice would you give a prospective patient of Michael Guarnaccia at Extend Fertility?
I would go in with an open mind and understand that he is a busy man but he is present with you! He goes over all pertinent information and makes you feel well-informed. He is not going to add fluff but I think that is a good thing. He knows what he is talking about and has a lot of education and experience to back it up.
During treatment, were you treated like a number or a human with Michael Guarnaccia at Extend Fertility?
He was very straightforward and informative. Easy to talk to, willing and able to answer all my questions.
Describe the protocols Michael Guarnaccia used in your cycles at Extend Fertility and their degree of success.
Dr. Guarnaccia used a chart to determine the correct dosage for my egg retrieval medications based on my blood test and ultra sound results. He assured me that I was in the 95 percentile for my age so I am getting the lowest dose of hormones, which I appreciate.
Describe your experience with the nursing staff at Extend Fertility.
I have not had much experience with the nursing staff but everyone at the clinic seems very warm and professional.
Describe your experience with Extend Fertility.
I really like Extend Fertility! They marketed to me on Instagram and since that ad, the process had been very easy! They assign an administrator to you and he/she is with you throughout the process. That has been very nice.
Describe the costs associated with your care under Michael Guarnaccia at Extend Fertility.
approx. $6.5 k for the procedure, $4.5K for ten years of storage. $2.5K goes directly to pharmacy (this is the lowest dosage of hormones. They get more expensive as the amounts go up).... Overall, I think this is cheaper than the big NYC hospitals.
What specific things went wrong at Extend Fertility?
  • Provided conflicting information
Describe the specific things that went wrong at Extend Fertility.
I thought I was told that egg freezing has a limit on how long eggs can be frozen but was then told that they can be frozen indefinitely. I may have misheard!
10
Doctor
Michael Guarnaccia
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
10
10
Age 27
1 IVF
Male Factor
Ashkenazi Jewish
Accountant
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
[Dr. Joshua Klein] is very knowledgeable and patiently explains the process and everything about it...does lean towards single embryo transfer since there is always the chance it may split and result in twins he rather not take the chance of then possibly having triplets or more...he chose to change his schedule so he can be the one to do my retrieval...is fully present by each appointment and really listens to his patients and their concerns. He takes the time to explain all the information and answer any questions to make his patients as comfortable with the process as possible
Overall I have been really happy at expect fertility [Extend Fertility]. The staff are all nice and the atmosphere is pleasant... One example that stands out is the day of my egg retrieval the Dr. On call was not Dr. Klein who did my initial consultation and on his own he chose to change his schedule so he can be the one to do my retrieval. Also the nurses are all so sweet and helpful...They [nurses] are all super helpful and aiming to please. They really were instrumental in making the ivf process as stress free as can be
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein is fully present by each appointment and really listens to his patients and their concerns. He takes the time to explain all the information and answer any questions to make his patients as comfortable with the process as possible
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Feel free to ask as many questions as you would like. Dr. Klein is very knowledgeable and patiently explains the process and everything about it
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
So far I’ve had a really great experience at Expect Fertility. One example that stands out is the day of my egg retrieval the Dr. On call was not Dr. Klein who did my initial consultation and on his own he chose to change his schedule so he can be the one to do my retrieval. Also the nurses are all so sweet and helpful
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Fertility advisor Jordana )
The nursing staff at expect fertility are the nicest group of women I’ve ever experienced. They are all super helpful and aiming to please. They really were instrumental in making the ivf process as stress free as can be
Describe your experience with Extend Fertility.
Overall I have been really happy at expect fertility. The staff are all nice and the atmosphere is pleasant. They have a state of the art lab which is super important for treatments to yield positive results
Describe your experience with your monitoring appointments at Extend Fertility.
Their monitoring window was for a couple of hours in the morning. I was able to go in and still be at work on time. It is a first come first serve basis yet they were quick and professional. This method worked well for me since there was no pressure for a specific appointment time and there was a lower wait time as well since they took you in as you came
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
Dr. Klein does lean towards single embryo transfer since there is always the chance it may split and result in twins he rather not take the chance of then possibly having triplets or more
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, 20 Eggs Frozen
8
10
Age 35
1 Egg Freezing
European
East Asian
Income $100K - $199K
Professor
1st of 2 Docs
Neutral
Strongly Recommends
Successful
[Dr. Guarnaccia] was very straightforward and detailed, which is an approach I really appreciated. I felt that he was able to express care and concern while also being direct (warmth in a doctor is not a requirement for me in treatment). I would definitely recommend Dr. G to my friends who are interested in egg freezing... explained my bloodwork and ultrasound results, and showed me data comparing my results to others my age. He was specific about his recommendations regarding getting genetic testing done for my family's history of breast cancer.
The window for the monitoring appointments [at Extend Fertility] was large enough that I never felt rushed or that it was an inconvenience. As I mentioned, at times the waiting area was very crowded, but the staff is so efficient that it moved fast...Freezing = 5500...Storage = 2000...The clinic is very organized and efficient. At times there would be many clients waiting to get their ultrasounds done in the mornings, but the process moved fast and I was never left waiting for long. The staff really listens to your concerns and makes themselves available to you.
How was your experience with Michael Guarnaccia at Extend Fertility?
Dr. G was very straightforward and detailed, which is an approach I really appreciated. I felt that he was able to express care and concern while also being direct (warmth in a doctor is not a requirement for me in treatment). I would definitely recommend Dr. G to my friends who are interested in egg freezing.
What's one piece of advice would you give a prospective patient of Michael Guarnaccia at Extend Fertility?
Come with your questions prepared--your anxiety will lessen as he gives you concrete information.
During treatment, were you treated like a number or a human with Michael Guarnaccia at Extend Fertility?
During my consultation, Dr. G reviewed details of my blood work and ultrasound, and the likely outcome of my egg freezing. I discussed my extensive family history of breast cancer and Dr. G strongly recommended I get genetic testing done before the egg freezing process so that we could adjust the hormones if necessary.
Describe the protocols Michael Guarnaccia used in your cycles at Extend Fertility and their degree of success.
Dr. G explained my bloodwork and ultrasound results, and showed me data comparing my results to others my age. He was specific about his recommendations regarding getting genetic testing done for my family's history of breast cancer.
Describe your experience with the nursing staff at Extend Fertility.
While I did not work specifically with one nurse, they were all compassionate and able to answer any questions I had.
Describe your experience with Extend Fertility.
The clinic is very organized and efficient. At times there would be many clients waiting to get their ultrasounds done in the mornings, but the process moved fast and I was never left waiting for long. The staff really listens to your concerns and makes themselves available to you.
Describe your experience with your monitoring appointments at Extend Fertility.
The window for the monitoring appointments was large enough that I never felt rushed or that it was an inconvenience. As I mentioned, at times the waiting area was very crowded, but the staff is so efficient that it moved fast.
Describe the costs associated with your care under Michael Guarnaccia at Extend Fertility.
Freezing = 5500 Storage = 2000 Meds = 2169 (I was able to use my friend's leftover hormone meds so saved around $400) Total = $9669
Describe Michael Guarnaccia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
NA
8
Doctor
Michael Guarnaccia
Humanity
Communication
Frequency Seen
Compassion
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, 49 Eggs Frozen
10
10
Age 33 - 34
6 Egg Freezing
Prefer not to answer
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
I had a short agonist protocol which was closely monitored and had frequent dose adaptions [by Dr. Maslow] and an lupron trigger. The retrieval date was determined based on the monitoring. She did everything to ensure a good numebr and quality of eggs and the results with her were excellent and a lot better than in my previous treatments. She was able to retrieve a large number of eggs, almost all of them were mature.
Cara [nurse at Extend Fertility] was very helpful and well organized. She was always up to date with what was going on with my case and she took care of all issue...[Monitoring appointments are] Very well organized, quick and efficient. Staff is well trained and very kind and respectful... the set up is designed to improve the results. The monitoring is not just for safety but to optimize for the chances of a good outcome. They usually don't schedule the cycle but start based on the natural cycle which improves chances, also the retrieval date is based on the monitoring and therefore flexible, this increases the chance for an optimal result.
How was your experience with Bat-Sheva Maslow at Extend Fertility?
She answered all of my questions, I asked about many issues concerning my case as well as research and upcoming treatments. She was very understanding, knowledgeable and accommodating. I felt very safe with her regarding my treatment and that she did everything to improve my outcome.
What's one piece of advice would you give a prospective patient of Bat-Sheva Maslow at Extend Fertility?
Ask all questions you have and let her know your wishes, she solved a lot of issues that I thought could not be changed.
During treatment, were you treated like a number or a human with Bat-Sheva Maslow at Extend Fertility?
She was very warm and understanding, I felt like she cared a lot about me and my outcome. I felt like I can trust her and she found the best treatment for me while answering my questions.
Describe the protocols Bat-Sheva Maslow used in your cycles at Extend Fertility and their degree of success.
I had a short agonist protocol which was closely monitored and had frequent dose adaptions and an lupron trigger. The retrieval date was determined based on the monitoring. She did everything to ensure a good numebr and quality of eggs and the results with her were excellent and a lot better than in my previous treatments. She was able to retrieve a large number of eggs, almost all of them were mature. On my request the MIs were also frozen.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Cara)
Cara was very helpful and well organized. She was always up to date with what was going on with my case and she took care of all issue. I often had special requests which she took care of very competently. I felt like I can depend on her. At one point I was traveling and needed help urgently, I emailed her about the issue, she called me within seconds and solved my problem right away.
Describe your experience with Extend Fertility.
The clinic is very well organized and the set up is designed to improve the results. The monitoring is not just for safety but to optimize for the chances of a good outcome. They usually don't schedule the cycle but start based on the natural cycle which improves chances, also the retrieval date is based on the monitoring and therefore flexible, this increases the chance for an optimal result. I had both retrievals on weekend days, many clinics don't do that. I believe their method is responsible for the great results I had.
Describe your experience with your monitoring appointments at Extend Fertility.
Very well organized, quick and efficient. Staff is well trained and very kind and respectful.
Describe the costs associated with your care under Bat-Sheva Maslow at Extend Fertility.
I had one fee that paid for the whole cycle, I thought it was very affordable.
10
Doctor
Bat-Sheva Maslow
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, 11 Eggs Frozen
10
10
Age 41
3 Egg Freezing
Diminished Ovarian Reserve
Uterine Fibroids
Black or African-American
Income $50K - $99K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
[Dr. Guarnaccia] was always kind and honest during my scans and egg retrieval procedures. As a 40 year old woman with only 1 ovary I had to be realistic about my situation. I really appreciated that though it would be a longer road I was always told that there was still hope...There were many times where my body was not responding to the course of treatment and instead of pressing me to go forward he would always give me the choice of wether I wanted to continue going forward knowing that the chances of an optimal result were low or to stop for this cycle and then try again next cycle. It made me feel good knowing he was more concerned with the result as opposed to just completing the cycle.
The nursing staff at the clinic is wonderful. I've been going to Extend for 2 years. The only negative thing I have to say is that as they grow in popularity and become a lot busier small details fall through the cracks a bit in terms of being able to ask follow up questions and phone calls...their monitoring hours were perfect because they started at 7am which allowed me to go before work. This was important for me so that I did not have to explain anything to my workplac
How was your experience with Michael Guarnaccia at Extend Fertility?
Dr. G was alway honest and realistic during my treatment. There were many times where my body was not responding to the course of treatment and instead of pressing me to go forward he would always give me the choice of wether I wanted to continue going forward knowing that the chances of an optimal result were low or to stop for this cycle and then try again next cycle. It made me feel good knowing he was more concerned with the result as opposed to just completing the cycle.
What's one piece of advice would you give a prospective patient of Michael Guarnaccia at Extend Fertility?
My work schedule forced me to come into the clinic very early when they opened at 7am and sometimes I would miss having him scan me. If its important to you to be always seen by the doctor I recommend coming in a little later (8am)
During treatment, were you treated like a number or a human with Michael Guarnaccia at Extend Fertility?
Dr G was always kind and honest during my scans and egg retrieval procedures. As a 40 year old woman with only 1 ovary I had to be realistic about my situation. I really appreciated that though it would be a longer road I was always told that there was still hope.
Describe the protocols Michael Guarnaccia used in your cycles at Extend Fertility and their degree of success.
A year prior I had to have my right ovary removed due to a dermoid cyst. Due to my age I had a diminished ovarian reserve and had to take the maximum amount of hormones to see good results. For my first cycle we did a Follistim and Menopur protocol. But my body didn't respond and the cycle had to be cancelled early on. I did an estrogen patch for the days leading up to day 1 of my cycle and then. Then the next two successful cycles I did a micro-flare protocol where I took Follistim (once a day), Menopur (twice a day) and Lupron. (twice a day) and a Pregnyl trigger. For my third and most successful cycle I took Follistim and Menopur once a day and then also Ganarelyx for about 5 days towards the end of my cycle and was triggered with Pregnyl. Please keep in mind that in order to even do the 3 full cycles and retrievals I had about 3 cancelled cycles.
Describe your experience with the nursing staff at Extend Fertility.
The nursing staff at the clinic is wonderful. I've been going to Extend for 2 years. The only negative thing I have to say is that as they grow in popularity and become a lot busier small details fall through the cracks a bit in terms of being able to ask follow up questions and phone calls
Describe your experience with Extend Fertility.
The clinic is in a great location in midtown near a lot of train lines. The staff is very friendly and know what they are doing. I always felt that I was in good hands (which is important when you have to get blood drawn every other day!) The hours are great for people like myself who have to start work early (I would normally go there for 7am for my monitoring appointments). The only weakness I would say is that as they grow in popularity the waiting area can get a little cramped
Describe your experience with your monitoring appointments at Extend Fertility.
their monitoring hours were perfect because they started at 7am which allowed me to go before work. This was important for me so that I did not have to explain anything to my workplace
Describe the costs associated with your care under Michael Guarnaccia at Extend Fertility.
The costs to consider were the medications, the procedure fees and the storage fees.
10
Doctor
Michael Guarnaccia
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2019, 22 Eggs Frozen
10
10
Age 33 - 35
5 Egg Freezing
Diminished Ovarian Reserve
European
Income $100K - $199K
Marketer or PR
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
I had an excellent experience with [Dr.Joshua Klein] ...treated me like a person throughout the 3-years it took me to bank 22 eggs. I am 35 and have low ovarian reserve and am a poor performer...actually there for me...available to talk details, new strategies or just empathize (plenty of tears shed). I was an out-of-state patient, so this was especially important...I traveled from the west coast 5 times to freeze eggs
During the lows, both the nurses and the doctor's were actually there for me, and made themselves available to talk details, new strategies or just empathize (plenty of tears shed). I was an out-of-state patient, so this was especially important. Because of this, I'd recommend Extend Fertility to anyone...Dayna [nurse] became my biggest supporter throughout the three years I spent freezing eggs at Extend. As an out-of-state patient, she worked closely with me to schedule appointments, fax in orders to facilities in my home city, get questions answered quickly and responded to emails in less than 8 hours (and usually within the hour). Logistically, she is amazing-- and personally she is incredible. She is THE reason my experience at Extend has been so positive.
How was your experience with Joshua Klein at Extend Fertility?
I had an excellent experience with Dr. Klein and Extend Fertility. Even as a low performer and a low AMH, they were able to provide affordable rates that allowed me to meet my egg banking goals. I traveled from the west coast 5 times to freeze eggs at this clicic because of the affordable and comprehensive fertility care.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Your business is growing so fast! Add a phlebotomist to decrease morning wait times, or schedule actual appointment instead of a window. (This last trip, I waited over an hour for every monitoring visit).
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein and all of his staff treated me like a person throughout the 3-years it took me to bank 22 eggs. I am 35 and have low ovarian reserve and am a poor performer. During the lows, both the nurses and the doctor's were actually there for me, and made themselves available to talk details, new strategies or just empathize (plenty of tears shed). I was an out-of-state patient, so this was especially important. Because of this, I'd recommend Extend Fertility to anyone.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Dayna Hennessy )
Dayna became my biggest supporter throughout the three years I spent freezing eggs at Extend. As an out-of-state patient, she worked closely with me to schedule appointments, fax in orders to facilities in my home city, get questions answered quickly and responded to emails in less than 8 hours (and usually within the hour). Logistically, she is amazing-- and personally she is incredible. She is THE reason my experience at Extend has been so positive.
Describe your experience with Extend Fertility.
Extend has some of the best rates in the country-- financially and scientifically. They offer affordable egg freezing without cutting corners or reducing the quality bar. Conservatively estimating, I saved $50k over the course of five freezing cycles by choosing Extend instead of local options.
Describe your experience with your monitoring appointments at Extend Fertility.
The monitoring experience has changed over time. As the business is growing, there are more women in the waiting room, so you should plan to be there for an hour. The front desk is extremely kind and helpful and the appointments are quick and informative. If you have a question or want to talk to a doctor instead of an ultrasound technician, you can.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
The most affordable I could find, without reducing quality. Conservatively estimating, I saved $10k per cycle, or $50k over the course of five cycles compared to my local options.
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
8
8
Age 34
1 Egg Freezing
European
Income $50K - $99K
Writer
Only Doc Seen
Neutral
Neutral
Success w/ Doc Too early to know
I am seeing Dr. Maslow for egg freezing.... 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.... She also went through other hypothetical AMH blood levels with me and how that might impact my anticipated results.
Extend Fertility provides egg freezing exclusively, so I found the prices are lower than other clinics for this very specific service. They used to offer free consultations and diagnostic testing, but now they charge $250 and if you end up using them to freeze your eggs you get to apply that amount to the cost of your egg freezing cycle.... There was one time when I showed up for a blood test that the nurse told me my test wasn’t on the calendar.
How was your experience with Bat-Sheva Maslow at Extend Fertility?
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.
What's one piece of advice would you give a prospective patient of Bat-Sheva Maslow at Extend Fertility?
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.
During treatment, were you treated like a number or a human with Bat-Sheva Maslow at Extend Fertility?
She sat down with me face-to-face for a full hour and thoroughly went through my test results with me. She also went through other hypothetical AMH blood levels with me and how that might impact my anticipated results.
Describe the protocols Bat-Sheva Maslow used in your cycles at Extend Fertility and their degree of success.
I’m still in the process of my treatment so I haven’t had any protocols performed yet.
Describe your experience with the nursing staff at Extend Fertility.
The nursing staff are all generally friendly, and helpful. They were all very accommodating of my fear of needles.
Describe your experience with Extend Fertility.
Extend Fertility provides egg freezing exclusively, so I found the prices are lower than other clinics for this very specific service. They used to offer free consultations and diagnostic testing, but now they charge $250 and if you end up using them to freeze your eggs you get to apply that amount to the cost of your egg freezing cycle.
Describe your experience with your monitoring appointments at Extend Fertility.
I haven’t had ultrasound monitoring performed yet, but I do know that it is a general window.
Describe the costs associated with your care under Bat-Sheva Maslow at Extend Fertility.
There is a $6000 cycle fee, plus the cost of medications and long-term storage.
Describe Bat-Sheva Maslow's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
This does not apply to me. I am seeing Dr. Maslow for egg freezing.
What specific things went wrong at Extend Fertility?
  • Lost appointments
Describe the specific things that went wrong at Extend Fertility.
There was one time when I showed up for a blood test that the nurse told me my test wasn’t on the calendar. But it turned out not to be an issue. They were able to get me in but I was told that my appointment did not show up for them.
8
Doctor
Bat-Sheva Maslow
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
8
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
7
8
Age 37
3 IUI
1 IVF
Unexplained
Income $200K - $499K
2nd of 2 Docs
Neutral
Neutral
Success w/ Doc Too early to know
He [Dr. Klein] 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.... 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.
Because much of this new practice is still entwined with the egg freezing practice (Extend), there is a high volume of patients, but Dr. Klein and his team ensured that there was a personal quality to visits and treatment.... It's busy, and I did feel like I had to follow up with certain aspects of treatment (e.g., making sure the pharmacy had my medication orders, etc.). I think this may have been because I began my cycle on a holiday, however.
How was your experience with Joshua Klein at Extend Fertility?
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.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Expect to see a wide variety of doctors and nurses in the course of your treatment.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Because much of this new practice is still entwined with the egg freezing practice (Extend), there is a high volume of patients, but Dr. Klein and his team ensured that there was a personal quality to visits and treatment.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
IVF -- Menopur & Follistim.
Describe your experience with the nursing staff at Extend Fertility.
They were very warm and made sure to follow up every day.
Describe your experience with Extend Fertility.
It's busy, and I did feel like I had to follow up with certain aspects of treatment (e.g., making sure the pharmacy had my medication orders, etc.). I think this may have been because I began my cycle on a holiday, however.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
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.
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
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.
What specific things went wrong at Extend Fertility?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
Describe the specific things that went wrong at Extend Fertility.
I started the day after New Year's Day, so the pharmacy did not have my order, and they also kept thinking that labs that I had previously submitted were missing. It is early stages for this branch of the clinic.
7
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
8
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
2019, 12 Eggs Frozen
7
9
Age 34
1 Egg Freezing
Ashkenazi Jewish
Income $100K - $199K
Marketer or PR
Only Doc Seen
Neutral
Strongly Recommends
Successful
I only met her [Dr. Bat-Sheva Maslow] 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 feels more like you are a patient of the clinic then any patient of a specific doctor.
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 [Dr. Maslow] once during a consultation and was once seen by a different doctor during the routine visits...The nurses were sweet, smart, friendly, patient and follow up. However, you have to be organized as things can slip through the cracks...It [monitoring] was a well run machine. Sometimes it took 15 min and other times it was 30
How was your experience with Bat-Sheva Maslow at 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.
During treatment, were you treated like a number or a human with Bat-Sheva Maslow at Extend Fertility?
It's a smaller office, but it's still a bit of a factory. At least it's a well oiled machine with many polite and friendly nurses and staff.
Describe the protocols Bat-Sheva Maslow used in your cycles at Extend Fertility and their degree of success.
It was a standard egg retrieval process. They told me to add more hormones based on the growth of my follicles.
Describe your experience with the nursing staff at Extend Fertility.
The nurses were sweet, smart, friendly, patient and follow up. However, you have to be organized as things can slip through the cracks. A pharmacy didn't get the prescription and they never told me which type of trigger shot i needed until i asked. I did call to speak to a nurse after a treatment as i was experiencing vertigo and they were useless with that issue. However, this does not surprise me since it was not directly related to the procedure
Describe your experience with Extend Fertility.
Their practice is geared towards women who want to freeze their eggs for the future and not for any immediate treatment, which is what i was doing. It had a smaller feel then an RMI and was less expensive (my insurance did not provide coverage). Everyone is super friendly and nice and wait times are really managable. However, you have to stay organized the whole time as things can fall through the cracks. This will happen at any of the egg retrieval or ivf clinice.
Describe your experience with your monitoring appointments at Extend Fertility.
It was a well run machine. Sometimes it took 15 min and other times it was 30
Describe the costs associated with your care under Bat-Sheva Maslow at Extend Fertility.
$6500 for retrieval, $2000 for 5 years of freezing and approx $2000 in hormones
What specific things went wrong at Extend Fertility?
  • Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Extend Fertility.
The pharmacy didnt have the prescription and they never called in my trigger shot until i reminded them about it
7
Doctor
Bat-Sheva Maslow
Humanity
Communication
Frequency Seen
Compassion
Explained risks
9
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018, 5 Eggs Frozen
0
0
Age 34
1 Egg Freezing
Black or African-American
Income $0 - $49K
Only Doc Seen
Doesn't Recommend
Doesn't Recommend
Unsuccessful
He [Dr. Guarnaccia] clearly had not looked at my file before he came in to perform surgery on 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. ... All I know is that this was an unexpected result and that I got infected under his care. ... 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
They [Extend Fertility] failed to inform me that the doctor that I worked with for 6 months to freeze my eggs was not going to actually going to do the procedure! A per diem was going to take on my complex case. That was not what I signed up for. I paid this hard-earned money with no help from a loan or an insurance, that is the least I could have expected. ... That is unacceptable. I should have had the heads up to make a sound decision, instead of feeling pressed 10 mins before surgery in my hospital gown.
How was your experience with Michael Guarnaccia at Extend Fertility?
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.
What's one piece of advice would you give a prospective patient of Michael Guarnaccia at Extend Fertility?
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.
During treatment, were you treated like a number or a human with Michael Guarnaccia at Extend Fertility?
He clearly had not looked at my file before he came in to perform surgery on me. My medical history is complex so it was obvious, he was scrolling through his stack of papers. He had to continuously leave the room to search for more information on the computer.
Describe the protocols Michael Guarnaccia used in your cycles at Extend Fertility and their degree of success.
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.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Jordana)
I do not have any grievances with the nurses, they were all very nice, so was my care coordinator. Actually, the time I came in a week after my first ER visit, 2 of the nurses asked me if I needed help getting dressed. That is how bad my infection was, they felt sorry for me. I am fair and would rate them fairly, according to my experience.
Describe your experience with Extend Fertility.
The clinic did not inform me that on Sabbath day my doctor will not show and that instead I would get a low-rated 'fertility' doctor. That is unacceptable. I should have had the heads up to make a sound decision, instead of feeling pressed 10 mins before surgery in my hospital gown.
Describe the costs associated with your care under Michael Guarnaccia at Extend Fertility.
8,500 total
What specific things went wrong at Extend Fertility?
  • Failed to call with results
  • Failed to inform you of changes in protocol
  • Failed to convey critical information
Describe the specific things that went wrong at Extend Fertility.
They failed to inform me that the doctor that I worked with for 6 months to freeze my eggs was not going to actually going to do the procedure! A per diem was going to take on my complex case. That was not what I signed up for. I paid this hard-earned money with no help from a loan or an insurance, that is the least I could have expected.
0
Doctor
Michael Guarnaccia
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
0
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018, 13 Eggs Frozen
10
10
Age 36
1 Egg Freezing
European
Ashkenazi Jewish
Income $100K - $199K
Consultant
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
HE [Dr. Klein] took the time to explain everything very well in our intro meeting, while i did not see him a lot during the cycle, he was available if I needed to speak with him and was very nice...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.
I loved the nursing staff [at Extend Fertility]. They are kind, compassionate, and thorough. Especially the doctors assistants who do the blood work and the vaginal ultra sounds. They gave me as much info as they were able to and were very sweet...Very few things went wrong, but just once or twice felt like we got down to the wire on getting results to adjust medication in time. But it only happened 1 time and otherwise were extremely on top of it.
How was your experience with Joshua Klein at Extend Fertility?
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.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
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.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
HE took the time to explain everything very well in our intro meeting, while i did not see him a lot during the cycle, he was available if I needed to speak with him and was very nice.
Describe your experience with the nursing staff at Extend Fertility.
I loved the nursing staff. They are kind, compassionate, and thorough. Especially the doctors assistants who do the blood work and the vaginal ultra sounds. They gave me as much info as they were able to and were very sweet.
Describe your experience with Extend Fertility.
I love that the clinic is specifically geared towards women freezing eggs and not IVF. Since none of the patience are necessarily ready to have kids, they truly understand the needs of working professional women who are freezing eggs for later. They really kept focused on the fact we are planning for something in the future and likely have very busy lives right now. They are great at scheduling everything in a way that gets you in and out as quickly as possible. There can be personal embarrassment about freezing your eggs and they do such an amazing job of making you feel confident in your decision.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
It was well under the rates at other clinics.
What specific things went wrong at Extend Fertility?
  • Failed to call with results
Describe the specific things that went wrong at Extend Fertility.
Very few things went wrong, but just once or twice felt like we got down to the wire on getting results to adjust medication in time. But it only happened 1 time and otherwise were extremely on top of it.
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, 21 Eggs Frozen
8
10
Age 37 - 38
2 Egg Freezing
European
Income $100K - $199K
Nurse or HC Services
Only Doc Seen
Neutral
Strongly Recommends
Successful
I only saw him [Dr. Klein] 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...Follistim 375 iu Menopur 2-3 vials/day cetrotide 4-5 shots, and ovidril trigger shot.... The only thing I didn’t love was that everyday you saw different people- basically whoever was on call that day. I never had a doctor or nurse assigned to me.
Everyone [Extend Fertility] was so friendly and willing to help. The only thing I didn’t love was that everyday you saw different people- basically whoever was on call that day. I never had a doctor or nurse assigned to me....They were very flexible with appointment times...Everyone knew my name and remembered me between cycles...Sarah was my fertility advisor and was amazing-I would email her with any questions or concerns and she always responded quickly.
How was your experience with Joshua Klein at Extend Fertility?
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.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Ask him any questions you have to make sure you understand all steps and feel comfortable about the procedure
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Everyone knew my name and remembered me between cycles
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
Follistim 375 iu Menopur 2-3 vials/day cetrotide 4-5 shots, and ovidril trigger shot
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Sarah Steinle)
Sarah was my fertility advisor and was amazing-I would email her with any questions or concerns and she always responded quickly. I saw Ana the sonographer for most of my ultrasound-she was the best! So caring and informative. All the medical assistants were great- never had someone take my blood with such ease and barely any pain. All the nurses who called with medication information were so helpful with any questions. So thankful for Tania and Angela who went out of their way to help me!
Describe your experience with Extend Fertility.
Everyone was so friendly and willing to help. The only thing I didn’t love was that everyday you saw different people- basically whoever was on call that day. I never had a doctor or nurse assigned to me. I just got lucky and mainly saw the ones I felt the most comfortable with.
Describe your experience with your monitoring appointments at Extend Fertility.
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.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
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
8
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017, 23 Eggs Frozen
10
10
Age 35
1 Egg Freezing
South Asian
Income $100K - $199K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Take advantage of the free consultation! Ask him [Dr. Joshua Klein] every question that crosses your mind...Our consultation lasted over an hour. It never felt rushed, and I received much more information and guidance than I expected...Dr. Klein participated in every single office visit... He made it personal and applicable to me, my age, my current situation... No complaints. He had a very high level of engagement which I couldn't be happier about.
There was only 1 day where they [nurses at Extend Fertility] didn't call me at the designated time to provide dosage instructions. I left a message with them and Dr. Klein called me within 30 min with instructions. I will say, they aren't the best with drawing blood. One nurse poked me a few times before I asked for a different nurse...Stimulation - $4990 Medication - $3052...The clinic is great in that it doesn't feel clinic-y at all. The lobby is warm and comfortable. I never saw more than 4 patients waiting in the lobby at one time. I have been to other clinics that felt cold, uncomfortable, and had farms of patients waiting to be called.
How was your experience with Joshua Klein at Extend Fertility?
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.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Take advantage of the free consultation! Ask him every question that crosses your mind.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein's consultation was very extensive and detailed. He made it personal and applicable to me, my age, my current situation. Our consultation lasted over an hour. It never felt rushed, and I received much more information and guidance than I expected. I have heard that with many other clinics, the nurses handle the office visits and the doctor is only seen at the time of egg extraction. This was not the case at Extend Fertility, as Dr. Klein participated in every single office visit.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
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.
Describe your experience with the nursing staff at Extend Fertility.
Overall the nursing staff was great. I did not have a specific nurse I worked with, but they were all great, responsive, communicative, etc. There was only 1 day where they didn't call me at the designated time to provide dosage instructions. I left a message with them and Dr. Klein called me within 30 min with instructions. I will say, they aren't the best with drawing blood. One nurse poked me a few times before I asked for a different nurse.
Describe your experience with Extend Fertility.
The clinic is great in that it doesn't feel clinic-y at all. The lobby is warm and comfortable. I never saw more than 4 patients waiting in the lobby at one time. I have been to other clinics that felt cold, uncomfortable, and had farms of patients waiting to be called.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
Stimulation - $4990 Medication - $3052
What specific things went wrong at Extend Fertility?
  • Failed to call with results
Describe the specific things that went wrong at Extend Fertility.
Nurses forgot to call with that day's dosage at designated time. Left a message on their after hours line, and Dr. Klein called with my dosage information within 30 min.
10
Doctor
Joshua Klein
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Extend Fertility
Extend
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources