Describe your experience with InVia Fertility Specialists.
InVia has multiple locations to visit and early clinic hours for convenience. The nursing staff seems to be exclusive to each location but does jump around so you get to meet a lot of staff to feel comfortable working with. InVia has Dr Karande, Dr Klipstein, and Dr Pusheck on staff doing retrievals and transfers. Be prepared, your main Dr may not perform your retrievals or transfers depending on their schedule which can be disappointing. However, the Drs all know your case before performing any procedure as the Drs meet once a week to discuss difficult cases. Their offices and procedure areas aren't "flashy" and meeting rooms sometimes seem a little disorganized. A face lift of the offices could help in the future.
During treatment, were you treated like a number or a human with Sigal Klipstein at InVia Fertility Specialists?
Dr Klipstein is incredibly compassionate but also direct with her patients so you're never confused with what is occurring. She is sensitive to delivering bad news and really takes the time discuss what she thinks happened and what the next move is. She is light hearted and very easy to talk to and never makes you feel uncomfortable when asking questions. You can tell she really cares about the person sitting in front of her.
Describe your experience with the nursing staff.
There are lots of nurses you meet while working with InVia. Knowing they are seeing many patients each day, you have to expect things get confusing. I haven't had any terrible experiences with the nursing staff, but they do get confused often about my protocol. Each nurse is incredibly nice and explains everything to the fullest. Theyre also incredibly prompt in returning portal messages and refilling prescriptions. I just wish before a nurse consult meeting or before a retrieval/transfer they better read my chart so there wasnt as much confusion when talking.
What specific things went wrong at InVia Fertility Specialists?
- Lost paperwork
- Lost appointments
- Provided conflicting information
How was your experience with Sigal Klipstein at InVia Fertility Specialists?
My husband and I came to Dr Klipstein after sge came on high recommendation from two former patients. We had a terrible experience with our first RE and upon walking out of the very first consultation meeting with Dr Klipstein, we felt like she cared more about our well being than our previous RE ever did. She took my case to her colleagues after first meeting me and called me the next day to let me know what her office thought about my future protocol with their office. Shes been the one to call me after each beta to deliver the news with confidence that we will find our path to parenthood. Although she hasn't performed either of my egg retrievals, she has been the ine to do both of my embryo transfers. Even though we have had failures thus far under her care, I have never considered leaving her care as she always has the next plan ready for me when I see her at my next visit.
What's one piece of advice would you give a prospective patient of Sigal Klipstein at InVia Fertility Specialists?
She has definite plans of what she thinks is best for each patient, but she is also willing to discuss other options so don't be afraid to bring everything to the table in your meetings. Also be prepared to be flexible in making time to meet with her, she can be hard to get in with.
Describe the protocols Sigal Klipstein used in your cycles at InVia Fertility Specialists and their degree of success.
My first retrieval with a previous RE resulted in OHSS and failed FETs. She felt very strongly that I was way over medicated in my first retrieval protocol and subsequent FETs. Dr Klipstein drastically dropped my injectable medication doses to prevent OHSS, did not use BC leading up to a cycle, and used suppository progesterone and a lower dose of progesterone in oil injections in both of my egg retrievals and subsequent transfers. Though I still slightly over stimulated in both cycles, I felt much better physically than during my first retrieval. Results below from retrievals:
Retrieval 1 (with different office): 150IU Menopur, 250 Follistim, 10,000 units Pregnyl. 16 eggs retrieved, 12 fertilized, 3 day 6 blasts. OHSS forcing a freeze all cycle. No PGS testing. Transfers: 1.5cc PIO twice daily and up to 12 2mg Estradiol tabs daily. Single embryo transfer failure, 2 ERA biopsy cycles, double embryo transfer failure.
Retrieval 2 (with Dr Klipstein): 75IU Menopur, 100 Follistim, 10,000 Pregnyl. 13 eggs retrieved, 10 fertilized, 5 day 6 blasts, 3 PGS normal. Slight OHSS. Frozen Transfer: 2 1mg Estridol tabs twice daily, 1 Crinone suppository daily, 1cc PIO once daily. Failed PGS normal single embryo transfer.
Retrieval 3: 75IU Menopur, 100 Follistim, 5,000 units Pregnyl, Lupron trigger. (suspected OHSS) 13 eggs, 10 fertilized, 2 day 5 blasts. Fresh Transfer: 3 vivelle dots every 48 hours, 3 Endometrin suppositories daily, 1cc PIO injection once daily. Double untested fresh embryo transfer resulting in a chemical pregnancy.
Retrieval 4 this coming October with similar protocol, but reduced Follistim to 75units, full 10,000 units of Pregnyl, and planned PGS normal FET following retrieval.
Describe the costs associated with your care under Sigal Klipstein at InVia Fertility Specialists.
Luckily our first two retrievals were mostly covered under our insurance. We did pay $4,800 for PGS testing. Paid out of pocket (under $1,000 each round) for medications not covered by insurance. Minor charges from the anesthesiologist (in low hundreds) This was mostly after we met our deductible. Our next round is not covered by insurance so we are facing $11,000 to just get started.
Describe Sigal Klipstein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at InVia Fertility Specialists.
Dr Klipstein does not love the idea of multiple embryo transfers in fresh or frozen situations for risk of multiples. She prefers to akways transfer a single embryo. However she did let us transfer two embryos in a fresh transfer after giving us all of the info on the risks of carrying multiples.