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This patient has provided documentation of treatment at this clinic.
2022, Successful
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I had confidence in Dr. Bareh’s expertise and recommendations, even when it required extra procedures/surgeries for a successful transfer. The doses/treatment length of the various medications seemed specific to my medical situation and the progress based on the ultrasounds and labs. I felt confident that the egg retrieval and embryo (blastocyst) transfer were expertly done...I believe single embryo frozen transfer cycle is preferred. I ended up with (identical) twins from one embryo....
They [nursing staff at Loma Linda University] call you in the afternoon after lab results from the morning come in or after you leave them a message. I would say you get responses much more readily than the vast majority of (non-fertility) clinics. Having a phlebotomist in clinic who is there by 7 am is also helpful when you need labs done quickly...They are prompt in responding to issues that may come up. Appointment times may change 2-3 days before based on whether there are procedures going on that day...
How was your experience with Gihan Bareh at Loma Linda University?
I had confidence in Dr. Bareh’s expertise and recommendations, even when it required extra procedures/surgeries for a successful transfer. The doses/treatment length of the various medications seemed specific to my medical situation and the progress based on the ultrasounds and labs. I felt confident that the egg retrieval and embryo (blastocyst) transfer were expertly done.
What's one piece of advice would you give a prospective patient of Gihan Bareh at Loma Linda University?
Most appointments are limited to the morning and you do need to be flexible especially during the egg retrieval process. My job didn’t allow much flexibility, but after I changed jobs this was less of an issue.
During treatment, were you treated like a number or a human with Gihan Bareh at Loma Linda University?
I felt the treatments/recommendations were tailored to my medical situation.
Describe the protocols Gihan Bareh used in your cycles at Loma Linda University and their degree of success.
For the egg retrieval Gonal F was the main agent used, and I ended up on it for longer than I expected (more than 2 weeks), though I think that was because my ovarian reserve was on the low end of normal. Ganirelix was also used. The trigger was with b-hcg and Lupron (which FYI led to hot flashes/menopausal symptoms for a month). This resulted in about 15 eggs, of which 9 were mature and of which 7 were fertilized. In the end I had 5 embryos that were frozen, 4 which were of high quality.
I had my tubes removed prior to the transfer (I had several ectopics and also believe there was some fluid backing up into the tubes). I also had to have uterine polyps removed prior to the transfer.
The transfer went smoothly (one embryo transfer), and I was on Intramuscular progesterone, intravaginal Endometrin, and oral estrogen. The IM progesterone lasted until week 12 for me, not sure if that’s standard or it was a little longer because of twins.
Describe your experience with the nursing staff at Loma Linda University.
They call you in the afternoon after lab results from the morning come in or after you leave them a message. I would say you get responses much more readily than the vast majority of (non-fertility) clinics.
Having a phlebotomist in clinic who is there by 7 am is also helpful when you need labs done quickly.
The embryologist showed us the blastocyst that was about to be transferred under the microscope prior to the transfer.
Describe your experience with Loma Linda University.
They are prompt in responding to issues that may come up. Appointment times may change 2-3 days before based on whether there are procedures going on that day. There is a phlebotomist on site. See above for other answers.
Describe the costs associated with your care under Gihan Bareh at Loma Linda University.
I was fortunate the insurance covered the majority of the cost (with a 2500 copay). Meds weren’t covered which probably was around $6000.
Describe Gihan Bareh's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Loma Linda University.
I believe single embryo frozen transfer cycle is preferred. I ended up with (identical) twins from one embryo.
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