Loma Linda University

Dr. Bareh was there with us every step of the way. I have been a patient of hers for a little over two years. When my initial blood work came back she said that an egg donner would be our best chance seeing as my husband and I both had problems with infertility. We decided to try with my own eggs first. My body decided to not respond to the hormone injections and by the third round I only had one large folicle. She did the egg retrieval and we only got one egg. The egg was fertalized and was frozen for an upcoming transfer. The Quality of the egg was low however we wanted to go through with the transfer. It was unsuccessful and we were crushed. Dr. Bareh called us regularly to encourage us not to give up. We decided to go with a donner egg and started another round. Its a time consuming process after we have already been through so much but they kept us informed on each step of the way. We ended up only getting four viable embryos from our doner but Dr. Bareh told us not to get discouraged and she was going to do everything in her power to get us our baby. We had our second transfer and I'm happy to say we are expecting or miracle in March 2022. We absolutely love Dr. Bareh and will use her again for any further tranfers.

Don't give up. Be patient and ask questions when you dont understand something.

As previously described, Dr. Bareh is very friendly and tried to connect with me as a person. She was non-judgmental with regards to me being a single mom (not d/t LGBTQ) and allowed my own mother, who is my emotional supporter, to be a part of my ultrasounds post successful transfer. Dr. Bareh is very easy to communicate with and listens to every concern I had and addressed them each compassionately. She is an excellent fertility specialist.

Trust her, she knows what she is doing and she does it very well.

Due to my DOR diagnosis she recommended I go straight to IVF with egg retrieval so as not to cause me to spend money on possible multiple failed IUI cycles. My retrieval medication choices were not really given a rationale but I responded well to them so looking into other medications wasn't necessary. My left ovary was not producing many follicles but my right ovary produced the more and because of DOR she was only able to retrieve 11 follicles, 8 out of the 11 were mature enough to attempt fertilization and only 5 of the 8 actually fertilized and only 1 of the 5 that fertilized made it to day and was frozen. the single frozen embryo was given a grade 5AA which thankfully is really good quality. My pre and post transfer medication protocol was given a rationale but being a nurse I already understood to some degree why they were necessary.

My insurance covered the majority of my cycle but with a $2500 copay, retrieval medications were around $6000, post transfer meds were less than $500, and then subsequent ultrasounds were a $20 copay.

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Dr Bareh sometimes feels somewhat rushed she has a lot of patients. So far she been compassionate and willing to try the best to have a successful result. After consultation I've only spoke to Dr Bareh a few times, the nurses at the clinic are the ones to mainly contact me with any information.

Dr. Bareh explains everything thoroughly and makes sure you understand the process which can be overwhelming. She talks fast and is moving fast all the time but ask the questions and she is willing to answer them.

She gave me a few months to let my body process the use of fertilmax and dhea to see if my egg reserve will have a better results. She then moved on to clomid and injectables.

IVF cycle estimated at about $20,000 and up. Doesn't include anesthesia or embryo freezing or biopsies. Also any test and medication is separate.

She's actually given me hope and I feel much more knowledgeable because of her. She's very honest and explains what's going on and what is going happen. I feel confident with her and I would recommend her to other women.

Do exactly as she says when she suggests diet change and supplements. It may just yield positive results. Bring a pen and notepad and take notes. If you need help for certain problems, like conceiving with endometriosis , go to her first.

I'm about to start spending money on procedures this month but I was told to expect around $18,000 in total expenses.

My initial consultation with Dr. Bareh was so positive. I was diagnosed with diminished ovarian reserve at a younger age than most, and she started our consultation by telling me about her previous patient who is even younger than me with similar issues. I felt as if the story was being deliberately told to me to give me hope, and to shed some light at the end of this tunnel. She ended her story with a happy ending, sharing how that patient now has healthy twins. I just fell in love with her positivity from the get go. She is the second doctor that I am seeing at the clinic and the first doctor I saw had such a different demeanor. While he was very factual and honest (which we appreciated), he was lacking good bedside manners. Since we have had no success thus far, seeing Dr. Bareh has been a glimmer of light for me and my husband, the type of positivity we need during this difficult time when we feel so defeated. Even more so, when I leave messages for the staff at the clinic, Dr. Bareh is quick at following up and calling me back personally. I really feel that she cares about each of her patients. During our last egg retrieval, I was not responding well, and so she thoroughly explained to me her opinion and the pros and cons of moving forward, and really allowed me to make the best decision for me and my husband. I appreciated her collaboration with the patient. She has been such a genuinely kind physician, who is very knowledgeable!

Ensure you have questions written down before seeing her in clinic. The time passes so quickly, but she always takes the time to ask "do you have any questions for me?"

For our first egg retrieval with Dr Bareh, she used the Antagonist protocol. I believe I had previously used the Lupron flare protocol? with the previous physician and did not have much success with egg quantity. Her rationale for using Antagonist protocol was that, perhaps, the previous protocol suppressed my ovaries too much. Unfortunately, the Antagonist protocol was not more successful with my condition, so we decided to cancel that cycle and try a different one next try around.

This is our first cycle with Dr. Bareh, we have spent about $9000 to date.

Dr. Bareh is professional with a warm bedside manner. She keeps it real with her patients while being sensitive to their feelings at the same time. I am so happy that she is my doctor during this journey and I have the utmost respect and confidence in her that she will be able to get us pregnant.

Dr. Bareh hs amazing but also very busy so be prepared to wait a while for your appointment

I started right off the bat with an IUI without medication. When that didn’t work, we started femara and I did another round of IUI which was unsuccessful. After a few cycles with femara which I didn’t respond to very well, she switched me to clomid which I responded to a little too well. I ended up getting too many follicles for IUI so we went quite a few cycles trying to get my follicle count under 4. My third and final IUI was also unsuccessful so after taking a break for a few months we moved onto IVF in December 2018. I started by taking birth control for 10 days, then my stims on 12/2/18. She had me on microHCG and Gonal-F at first then added Ganirelix on 12/7. Finally on 12/12, I triggered with 3,000 units of novarel + Lupron with a final dose of Lupron the next morning and I had my egg retrieval on 12/14/18. Currently I am waiting for CD1 to start FET prep.

Insurance covered the cost of IUI so my out of pocket expense was $250 + meds. IVF was $2,500 + meds. I will be paying out of pocket for my FET and I believe it will be $5,000 + meds.

My doctor is not against a multiple embryo transfer for me because I am still in my 30s and healthy. I think the reason most of her transfers are single embryos is because insurance will only allow one. I am choosing to pay out of pocket for multiple embryos (2).

Dr. Bareh is very compassionate and clearly loves her job. She took setbacks in stride and never made my husband and I feel as though our success was hopeless. She is extremely knowledgeable and seemed to be integrating the leading edge research for PCOS treatment. She was always willing to answer questions or discuss any concerns I had.

She and the clinic itself are very busy as she is the only doctor at the clinic, but the wait is worth it. You need to be patient with this whole process. If you expect to be in and out of your appointments in 10 minutes, you need to reassess your expectations for this process. Dr. Bareh is worth the patience and worth the wait to get into the clinic!

Letrozole 5 mg day 3-7 for timed intercourse with hCG trigger 36 hours before ovulation Letrozole 5mg day 3-7 for IUI with hCG trigger 36 hours before transfer Retrieval: Follistim 150-225 units each evening for 2 weeks, Ganarelex shot each evening for 7 days directly before retrieval, micro hCG, and small dose hCG and Lupron combo for trigger 36 and 24 hours before retrieval. Birth control pills utilized 2-3 weeks before retrieval and transfers. FET: Estrogen pills (6 mg total) and estrogen patch every 3 days for transfer prep. Added progesterone in oil for 5 days before transfer as well as doxycycline and prednisone 3 days fore transfer and 3 days after. Progesterone suppositories 2-3x daily after transfer.

Covered through insurance except copays. Medications were primarily not covered by my insurance, or they were covered but at a high copay. Pills were all covered but most injections were out of pocket (except PIO which was covered).

Insurance only covered one embryo transfer each time, so did not have a choice between single or multiple embryo transfer.

I loved dr. Bareh but sometimes I felt like she knew more then she let on to us. She was out of the office a lot. I felt like if I had questions after hours then I basically had to wait till they were open. She pushed back my frozen transfer 5 different times because I had a cyst that never got bigger each time. Always remained the same size. Even though we didn't have our embryo tested I felt like she could tell if the ones she were putting in were good or bad. And even if they were bad she never talked to us about it beforehand. Our embryos were never graded so we are not sure if they are good or bad. She was professional and would see us in a timely manner.

I'm not really sure what is going on.. but we've only been with Dr.Bareh for a year and she been out 2 months. And they ended up during our treatments. If you plan to do ivf at this clinic be prepared that you could be dealing with the nurses more then the doctor.

Fresh transfer : not sure of the dosage of each meds because I did them of may 2017. Used: gonal-f, menipur, omintrope, ganerlix, pregnyl, doxycycline, endometrin, and progesterone oil. Egg retreival: 8 eggs all mature, all icsi, 4 fertilized normal, transferred 2, lost 1 by day 5 and froze the last 1. The transferred 2 resulted in a negative. Frozen transfer: BCP 3 months prior and then bled then started lupron for 1 month. Transfer pushed back 5 times. Then day of transfer embryo thawed perfectly. Transfer went smoothly. 5dp5dt faint positive which eventually became a stronger positive. Beta #1: 167 Beta #2: 431 Beta #3: 1081 Beta #4: 270 I am currently waiting to miscarry. Devasted. 4 1/2 years and still no baby.

I think we paid $16000 total. That's including egg retrevial, fresh transfer, icsi, and we did a frozen transfer. Medication was separate cost

I do felt a little bit rushed to do our fresh transfer. She gave us the option to do a frozen but said the embryos look good now let's put them back in. This was on day 4. She also mentioned that when do the retrevial she irritated the endometriosis. That should have been a red flag not to put the embryos in. I still to this day regret that decision. And I wanted to put in one and it kinda felt that we were pushed into doing the two. I'm not sure if I won this treatment if I would go back to Loma Linda

I respect her and like her. I do feel I had to ask a lot of questions and do my own research for the ivf process. Also had unexpected cost and results but I think my dr did the right corse of treatment. I feel she sincerely wants me to get pregnant and not just a money figure

Don’t expect them to walk you through everything. Know or ask any small/big question you have.

300 follistium am, 75m menopur pm, atoms for 14 days, ultrasounds every other day to check folicules size. She advised growth hormone as well but we couldn’t afford the extra costs. Should have done it as now we need to do another cycle. 30 folicules, 21 had eggs, 17 mature, 10 fertilized, 4 made it to blastocyst. 1Fresh transfer, chemical pregnancy. 3 frozen, 2 are ‘fair quality’ 1 is good quality

My ins covers ivf dr fees and sx, 1 transfer for $2500 deductible. All meds were additional and only some where partially covered with ins.

She advised 2 if we opted to transfer the less quality eggs. But only 1 if we do the better quality. She advised PGS but again, too expensive

Dr. Bareh is everything I would want in a doctor. She is kind, compassionate, smart and really takes time to make me feel comfortable. She has been very flexible and patient with my body and my finances. She has an amazing bedside manner that makes me feel comfortable in uncomfortable situations. She takes time and throughly explains procedures, and my plans. I always feel like I can ask questions. Even when the news I am receiving is not ideal, she can deliver the message in a way that is both to the point, while saying it in a compassionate manner.

I would say, you have made the right choice and you are in good hands.

I am in a protocol currently so I don't have the results yet. I am doing a LH antagonist protocol with Hgh. This is different than my first IVF cycle which did not produce the results I wanted. I am doing the Hgh for egg quality.

Including medications it was about 10,000

I agree with my doctor's approach and suggestions. I am also limited because of insurance issues.

She was very personable. I love 4 hours away from the clinic and she'd take the time to call me and kept me updated. In addition, during IUI procedure, she truly gave it her all to make sure the sample was placed in the right site. My husband and I truly felt grateful for everything she's done for us.

If you are looking for a prospective infertility doctor and want someone who is passionate about her work and helping others, Dr.Bareh is the perfect doctor.

We used femara for our IUI cycle using our own egg and sperm. She also used an ultrasound to view we are in the right site before inseminating specimen. The other clinic I went to previously didn't have such practice.

Our insurance covered some procedures for our first IUI procedure. These out of pocket amounts are estimated; US $170, IUI procedure $280, semen analysis $140. Pharmacy $45.

No comment on this because we are still in the process of starting IVF for the first time.

Dr. Bareh is intelligent and compassionate. She is truly an expert in her field. Although I did not have an ideal result with her, she always presents a plan to move forward. She goes above and beyond for her patients. She makes you feel that she is always aware of your case, despite the workload she has. Once, I had halted treatment for months. She emailed me just to touch base. To let me know she was still thinking about me. I don’t see any weakness in her skill or professionalism. It’s just unfortunate that I didn’t have a positive result under her care.

You are undergoing care under a physician that will try her best to give you a positive result. Fertility care itself is an overwhelming process, so no matter what, you must be prepared for that. However, having a doctor that is a good and prompt communicator will help in this process. That is what you will get from Dr. Bareh.

Dr. Bareh conducted my first egg retrieval and IVF. I believe it was a typical egg retrieval process. Moderate stimulation. PGS testing. Frozen transfer. Due to insurance guidelines, I was only able to transfer 1 embryo. After it was unsuccessful, Dr. Bareh continued with a hysteroscpy for suspicion of retroverted uterus, which was negative.

Depending on the day, some waits were very short (less than 15min). Some days were hours, up to 3-4.

Insurance covered 75% of IVF cycle. 25-50% of meds. Covered first 3 IUI cycles.

Due to my employer’s insurance guidelines, I was only allowed a single embryo transfer.

Dr. Bareh is compassionate and seems competent and very concerned with achieving a positive outcome for her patients. However, she's not a great communicator. Many times, I left the office to research things on my own after she did not explain something to my understanding

Be prepared to ask about the next step(s) over and over again and press for clear answers. I think that Dr. Bareh doesn't understand what is old hat to her is mostly new to her patients.

Dr. Bareh likes to begin cycles with aspirin and birth control pills. I used Gonal-F and Menopur as stims and then Centrotide for my trigger/antagonist. I took estradiol pills and progesterone in oil for both my fresh and FET cycles. The fresh cycle included estrogen pessaries, whereas, I vaginally inserted an estradiol pill for the FET. I took and antibiotic and Prednisone surrounding the transfer dates and a diazepam prior to the transfers.

The length of time at the monitoring appointments varied on the day. Patients were to come in between 7:30-9 a.m. The blood draw was always fast, but the wait for an ultrasound depended on who arrived first and what other appointments (non-monitoring) were scheduled for that day.

IVF & FET cycles do not include monitoring or medications. A FET cycle following a cancelled fresh transfer would include monitoring. It cost more than I was expecting (blood draw, monitoring, and medications add up), but nothing is cheap in SoCal.

The goal is for a singleton, but Dr. Bareh does allow multiple-embryo transfer for older patients if they accept the risks.

Dr. Jacobson was level-headed, incredibly calm, and very reassuring. He was patient, answered all of my questions, and made me feel at ease. I appreciated that he did not push or encourage more aggressive interventions (as one of his colleagues did on the day that I saw him), as he truly believed that my husband and I would be able to conceive using oral ovulation induction + timed intercourse (I did not believe this to be true). Of course, he was right, and I am so thankful that he encouraged me to stay the course. I felt well taken care of.

Ask your questions, voice your doubts, trust his answers.

Standard Clomid protocol, switched to Femara due to thinner lining on Clomid, then standard protocol of Femara x 4 with 21 day progesterone. He modified the day/time frame that my husband and I should plan for intercourse based on my progesterone results each month. This worked!

Each clinic visit was approx $200-400 (depending on ultrasound)

Dr. Bareh is passionate about her work and her patients. She is very knowledgeable and considerate. During treatment she took into consideration my personal life circumstances, at an inconvenience to the clinic she was flexible with scheduling treatments to coordinate with my husband’s work travel.

This is advice for any person seeking treatment, be prepared for changes in treatment.

During my first stims cycle 13 eggs were retrieved and 3 made it to 5 day blastocysts. Because of my lower AMH, Dr. Bareh recommended embryo banking. During my 2nd cycle my medication dosage doubled and hgh was added. The 2nd cycle resulted in 7 5day blastocysts.

IVF cycle freeze all, Which included the egg retrieval, monitoring, and ICSI, $13,500.

Dr. Bareh has great bedside manner. I have been her patient for 2+ years and ever since our first appointment I have always felt like she genuinely cared about me as a person and patient. She is extremely knowledgeable in what she does and I love that she is proactive with my care plan. From the get go, she has always been honest with me and she is prompt to return my phone calls when I need her.

Advice I would give a prospective patient of Dr. Bareh would be to not give up, have faith, and don’t be afraid to ask her questions.

My care plan is IVF. I have not started any medications for this yet.

I have not met with the finance team to discuss costs yet.

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Very knowledgeable doctor. Listens to me. Just very expensive. His helpers nurses are so nice and respectful. I still feel hopeful. Ivf is next with him. He explains everything in detail and always calls to check on me.

Ask every question!!

Testing. Blood, hormones, hsg, we dis clomid and monitoring. And IUI.

Exoensive. $1200 IUI cycle

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Dr. Bareh treated you as a human enduring a struggle. Never a number! She was comprehensive and always sought out the best treatment for me. She made sure to keep me positive and calm through this process!

Go in trusting her whole heartedly!

The costa at Loma Linda were on par with all other clinics I had researched when starting the process. I did not feel that we over paid, and they except many forms of insurance.

Dr. Bareh is an amazing doctor. I love that she seems to care as much about the success of my treatments as I do. She treats me so warmly, hugs me when she can tell I need a hug, and is just kind. She remembers stuff about me personally and feels not just like my doctor but family. Dr. Bareh understands that I am the type of person that needs to discuss all the options, all the what ifs, and know what to expect. With this in mind she always makes sure I get to ask all the questions I want and she explains everything in a way that I can understand.

I feel Dr. Bareh adjusts to her patients. For example I like to think positive but I am a logical thinker so putting the negative outcomes totally out of mind isn't possible for me. So every time we are preparing for a procedure we discuss the unfavorable outcome and what we will do if that happens, and then we say ok but lets not think about that and think positive. She knows that being prepared for the unfavorable outcome calms me just knowing that if whatever we are trying doesn't go my way we have further options. Communicate with her the type of patient you are, ask all the questions you can.

Doctor was very patient and helpful. She answered our questions very thoroughly. She explained what she was checking when she did the initial ultra sound and made sure we understood what we were looking at.

Make a list of questions prior to appointment, so you don’t miss anything. Also, don’t be afraid to ask questions.

The doctor was thorough with explaining our diagnosis. She went over recommenced treatment plans , and answered questions. She went over all testing that was needed on both ends, and discussed next steps. She informed us we have time to do testing and return once results are in, so that next steps could be discussed.

We’ve only done a consultation, including an ultrasound. The cost was relatively cheap , however there was supposed to be a reimbursement and it had not happened yet.

Dr Bareh was very thorough in going through procedures and what I should expect. She was super compassionate and knew exactly where to go next. She ran blood and ultrasounds first visit and we planned to move forward right away. However, we do not have the money. But Dr Bareh is the cheapest prices in Southern California that I have yet to see.

Not to worry that she will take good care of them

We ran blood work To make sure all my hormones were a good levels as well and as an ultrasound to check on my lady parts which were all good also an HSG to confirm my blocked tubes, however we have not moved forward with IVF as I have to come up with the money still

I know that my treatment was going to cost $13,500 plus medication $2000

We will be transferring two embryos as soon as we have them

Dr. Bareh is kind, welcoming, and direct. I appreciate the way she communicates as she gets straight to the point. I first met Dr. Bareh in 2019 when when my husband and I were “not trying” to try but also with known male factor infertility. I was expecting to try meds first and maybe IUI, but after Dr. Bareh reviewed my husband’s sperm analysis, she told me our best chance of getting pregnant was with IVF. I was overwhelmed and not ready for IVF. I’ve actually known I never want to do IVF and that if ewe couldn’t get pregnant with meds or IUI that’d we’d just adopt. I was also told my TSH was elevated and Dr. Bareh started me on levothyroxine. I told Dr. Bareh I was not ready for IVF and wanted to try IUI. She then referred my husband to a urologist to try to get his numbers up. He was put on clomid and had a sperm analysis every 3 months to monitor his progression. His I told response was pretty good and we thought we could try for IUI, but after a repeat SA his numbers weren’t good. He continued on clomid and his numbers got high enough to move forward with an IUI. I figured we’d take a break. Dr. Bareh called me to follow up and I told her I wasn’t ready for IVF. About a year later, after giving it another thought, we decided to move forward with IVF. I just turned 38 and I told my husband that this was the last year that we could try to get pregnant before considering adoption. I called the clinic and informed them of my decision. I had so many worries and concerns and Dr. Bareh was always confident yet comforting and all the nurses have been great. I’m so glad I agreed to move forward with IVF with Dr. Bareh because I’m happy to report that I’m pregnant after my first transfer. We are so excited. Thank you Dr. Bareh for making this little miracle possible.

Ask all the questions that concern you. Dr. Bareh is very knowledgeable and will answer your questions with a direct approach. She is very busy, but 100% worth it.

For stims, I was on Gonal, micro hcg. I did a freeze all and transferred a PGT tested 5 day frozen transfer.

My insurance covered half

eSET is highly recommended.

Dr Bareh is clearly a knowledgeable and skilled physician and I felt I could trust her judgment and guidance (eg. to transfer just the one embryo genetically tested as normal rather than transferring two, it and the one embryo that wasn’t genetically tested). She always presented our options and clearly explained the process without overwhelming us with information. No shortcuts were taken, an example is when I was to undergo my transfer I had consumed the required amount of water but my bladder was not sufficiently full. Consequently the transfer was delayed an hour but it ensured she had good visibility to transfer the embryo under ultrasound. She knew I would be uncomfortable after the transfer with such a full bladder so to enable me to remain lying on the bed after the transfer she inserted a catheter to empty my bladder.

Don’t delay a consultation and don’t be shy to ask questions.