Extend Fertility

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

Be patient.

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

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

Don’t go to that clinic

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

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

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

Insist that he does the procedure himself

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

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

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

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

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

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

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

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

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

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

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

Stimulation - $4990 Medication - $3052

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

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

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

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

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

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

You are in a good place and in good hands.

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

As soon as I met with Dr. Kort I was at ease, he was kind and understanding and he is truly a expert in his field, up to date on all current treatment options. He is easy to talk to and listened to all of my concerns and fears with a calm manner. After meeting with him I left with a folder full of information of what we discussed during the consultation, step by step information on how the procedures would work and what type of medication I will need as well as the pricing for the procedure and medication.

You don't have to walk in full of nerves and anxiousness you can trust that you will be in good hands and that you will be dealing with a expert in his field. You will feel warmth and compassion from that very moment you walk in to meet him. you can be yourself because he will treat you like you are family.

When I first walked in for consultation he discussed my AMH level with me and how he wanted to see how many follicles I had and that it will be best to check during my period cycle, which caught me off guard and explained each type of medication I would have to take, as well as the time the procedure would take and how it will be done very quickly and that I will be asleep during the procedure for egg retrieval, and that I will feel great after, some people can even go back to work the same day if they wanted to.

I believe it at that time it was $5000.00 for the procedure and around $5,000.00 for the medication then within that year the prices for the procedure went up by $1000.00

Dr. Klein is super kind, patient, brilliant and detail oriented. He has a way of exuding confidence in his care and expertise, and his approach, especially open communication and detailed responses, put me at ease. His upbeat, positive personality also made the monitoring visits more bearable.

If you are considering Extend Fertility, a consultation with Dr. Klein will convince you that you will be placed under great care and reassure you that you are doing the best thing for yourself by proactively preserving your fertility.

Antagonist protocol. 225 Follistim + 150 Menopur + Ganirelix + Lupron trigger. I think I over responded to the medication as my estrogen levels rose very quickly and very high. Dr. Klein adjusted my original trigger from Ovidrel to Lupron to prevent OHSS. The shots were a bit uncomfortable for me, probably because I am on the thinner side. 12 eggs were retrieved and 10 mature eggs were frozen. I was informed this was a great result for my age.

$4990 for a minimum of 12 eggs and up to four egg freezing cycles, depending on your AMH level. About $3500 for meds.

I found Dr. Klein to be very empathetic and supportive. My situation was unique for many reasons (as are so many situations). He was understanding, never forgot my details, and explained everything in the context of my situation. The thing I liked most about him, was his friendly, easy demeanor and the fact that he was so easy to talk to. He was very honest, and didn't sugar coat anything, but did so with so much sensitivity, and warmth, which made all the difference for me. The few other times that I saw his partner, Dr.Cort, he was also really patient and warm. Both doctors were very knowledgable and didn't try to pressure me in any way. They very much included me in the decisions, and after giving me the facts about each stage, let me make decisions if I wanted to. My impression is that both Dr. Klein and Dr. Cort really know their field, and are really smart, and I definitely felt like I was in good hands while they treated me.

Don't let his boyish looks fool you! He might look young, but he is extremely capable.

I took Gonal F and medipur for the first 12 days of my cycle, and then two more drugs to help with ovulation before my eggs were retrieved.

Come early to avoid a wait, as the doctor likes to give each patient as much time as they need.

I paid $4990 for the cycle. This includes everything except, lab work, storage and medications.

I'm still undergoing treatment although he really is an amazing doctor. When I had my miscarriage after my first iui cycle that morning I was rushed into his office and he sat with us as the clots passed and made sure we were able to understand what was going on. Although this process is taking way longer then expected I believe he's doing everything cautiously. The last cycle he's been more aggressive, and he makes sure we have a plan if this iui cycle doesn't work ivf is our next try... we found out the end of this week if it worked.

To have patience, and to be optimistic... and to make sure to ask a million questions :)

So before we started iui we were put on 2 rounds of clomid from my obgyn... once those 2 cycles failed we started seeing dr klein Iui #1- clomid 100 mg - ovidrell we got pregnant and had a miscarriage at 6 weeks- 3 follicles Iui #2 clomid 100 mg- day 3-7 ovidrell failed cycle- 2 follicles Iui #3 clomid 100 mg days 3-7-ovidrell failed cycle - 2 follicles Iui #4 letrozol 100mg days 3-7 ovidrell,failed cycle- 3 follicles Iui #5 letrozole 150 mg days 3-7 , ovidrell-failed iui- 2 follicles Iui #6 injectables gonal f 75 units monitoring, ovidrell ,failed iui 3follicles Iui #7 gonal f 85 units monitoring ovidrell- 4 follicles- waiting for results My husbands sperm count was lower in the beginning and the mortality wasn't too great... the last 2 cycles has improved.

Each cycle I believe is $1200... although to some ppl this doesn't sound like much but after 7 iuis it really adds up, and this doesn't include the cost for the medication... gonal f, ovidrell( $100) and tovthink of ivf is scary knowing the price. Although our dr is definetly good he works with us when it comes to payments

We have not started the ivf process so I am not sure

Dr Joshua Klein provided a seamless experience for me. His professionalism and expertise puts him above all and allowed me to be at ease throughout my procedures. I highly recommend Dr Klein and Extend Fertility.

Ask as many questions as possible, stay informed and understand the process

Clear description for all medication, dosage amounts and how to take each.

Appx $10,000

Dr. Klein is very warm, compassionate, patient, and articulate. He explained every option and solution in great detail. He was very attentive to our questions and worries. Absolutely loved to be in his care!

Dr. Klein is not your regular doctor, he's also your friend.

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

too early for me to say

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

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

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