Loma Linda University

Strengths: Dr. Bareh, Nursing staff, lab staff, and I can't forget the awesome financial coordinator and front desk receptionist! Weaknesses: It is a small clinic, not too many OR's/retrieval rooms. You may get bumped or waitlisted due to limited space/availability. Another weakness is that Dr. Bareh is currently the only RE seeing patients. She is very liked and very busy, so getting new patient appointments may be a problem.

Dr. Bareh is so genuine. Each visit is more than 30 minutes long. She is always so joyful and positive, every time I see her. Although she speaks really fast, she allows time for questions and is not bothered by interruptions. She explains everything clearly and gives you multiple options, making you feel really involved in the decision process.

The group of nurses are amazing! For such a small clinic, they serve a large amount of clientele. The nurses are easy to get a hold of and if you ever need FMLA forms or off-work notes from the office, they are more than willing to assist and get them back to you right away. I can't tell you what an added stress those types of paperwork can be, and for helping us in that little way, I'm so grateful. It is truly the little things that matter during such a stressful event like fertility treatment. The nurses are always smiling, and they really get to know each patient individually. I've never encountered any of them on a bad day. They all make a wonderful team.

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.

The best thing about my clinic is how close it is to where I live. It’s easy to access with a large parking structure but most of the time I can find parking in the lot. The front desk staff are amazing at what they do. I’ve never had any issues with insurance and authorizations or anything like that because they took care of it without a hitch. Mornings are the busiest times so if it works out try to schedule appointments in the afternoon.

The front desk knows my name before I have to say it myself and they greet me as I walk in. The nurses all remember me and are very professional yet caring. Dr. Bareh is professional with a warm bedside manner and doesn’t sugar coat things but is sensitive at the same time.

Some of the nurses, especially the LVN team were amazing and supportive. Most of the RNs were as well. There may have been one that wasn’t the most compassionate but I don’t expect the staff anywhere to be perfect.

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).

The clinic is very busy so wait times can sometimes be long BUT this is because Dr. Bareh provides such excellent care. The wait is work it. Also, I have heard that there is a waitlist to become a new patient but this is because the clinic will only take on a certain number of patients so their quality of care does not suffer. It’s a wonderful clinic overall, and each person who works at the clinic is warm and welcoming.

Greeted by name. Doctor got to know both my husband and I and what we did for work. Called on her own time to check in on how I was doing and responding to treatment. Felt Doctor genuinely cared about my success.

Angie, Monica and Julie are fantastic. Competent, knowledgeable, friendly and always willing to go the extra mile to help you in any way they could. Very confident in their care and appreciated their exceptional interpersonal skills.

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.

The waiting room, patient rooms, and bathrooms were always kept clean. Sometimes we would have to wait. I never had a problem with the receptionist although I know some have said she is rude or pushy. Not my experience with her. Weakness I guess would be getting into the patient room and waiting a while. And that they were tried to collect a payment from me from back in may.. 10 months ago. They had a financial manager they let go so the new one was going back into people's files and charging them for really old charges that weren't collected. We always paid everything in full and then every appointment it seemed like they were asking for money for something new. Frustrating.

The staff there is friendly and helpful. Never felt like a number.

They all seem like nice ladies. There is one lady that can come off rude sometimes. I didn't enjoy being around her because I never knew how she would be towards me that day.

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

Everything is in one place. Dr appts, lab, surgery/ transfer center. Pharmacy( not specialty) And always know the same nurses, lab techs etc. it’s really a comfortable experience when you’re losing your mind on meds and stress of success Weaknesses: not the most beautiful clinic but I think that keeps costs down. Anything you need, just ask they will provide it to save costs if they can. Lots of injection supplies and a couple free samples saved me about $150 which means the world when you’re spending thousands

She is a wonderful dr, always positive and knows the details of my case

There are 4 nurses and they all know me by name and my case status at all times. They are always helpful with my many calls and questions and never seem irritated by them. I love them! Only negative is communication btwn pharmacy’s can be difficult

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

It is easy to get appointments, and get in touch with the right people. The clinic is very clean. It is easy to get labs drawn and have the results quickly. The facility is older and does not look as luxurious as some of the other clinics but the one on one care that they provide is worth it.

She was awesome about caring for my needs and understanding. She would take time to call my cell phone after procedures or to talk about test results. I truly felt cared for. I never felt like she was rushed, and she really took time to explain the process and procedures.

They are a group of the most caring and compassionate nurses. They truly want to see you succeed. They are knowledgable, and easy to get ahold of. If you leave a message they always contact you back to answer any questions. They are all extremely supportive and friendly.

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.

I appreciated their promptness in returning my call and assisting me with getting what I need especially with insurance authorization. In walking in, I've always been treated in a kind manner. Their clerk would also make sure that I have everything I need before going in to the clinic knowing that we are 4 hours away. In addition, they have excellent communication skills and provide detailed information.

She sat down, took the time to answer my questions and she talked to me in a very compassionate way.

I've had multiple nurses in the clinic and all have been very helpful and understanding. One showed my husband in details how to administer the trigger shot and another held my hand as I went through the IUI procedure. They have been very supportive.

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.

I believe this is a well run clinic. From the registration staff, to nursing, financial coordinator, lab technicians, embryologist..... Everyone was skilled, compassionate, and efficient. The only issue I had was a specific financial coordinator (who replaced and long time coordinator that retired) did not seem to understand her work and did not explain things well. Almost to a point that I was not sure she understood the process herself.

Dr. Bareh is one of the most intelligent, direct, and compassionate physicians I know. She makes your goal, her goal. She is prompt in her communication. Once, she was on maternity leave, and still called me to inform me of a test result. To me, that is above and beyond.

Nurses were efficient in their work. Well organized. They were prompt in their communication, especially when leaving phone messages.

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.

I like this clinic because they're not commercial and don't shy away from tough cases. I get the overwhelming feeling that their goal is both to achieve live births and support the emotional well-being of the patients instead of being concerned about their numbers. They have a good reputation and have a lab on premises. They are a little bare bones; I sometimes wish that they made the experience less clinical (the staff is warm, but it's clearly a doctor's office). The magic of baby-making is already severely crippled by the need to do IVF and they don't put much back in. I sometimes envy the people going to clinics that offer acupuncture or other frills, even music during the transfers would be nice.

Dr. Bareh takes the time to ask how I am doing and if I have any questions.

Some of the nurses are very compassionate and informative while others are very matter-of-fact and only give you information when they think you need it.

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.

I have to say that I very much disliked the front desk staff. The check-in/waiting room was very small, so you could hear everyone's information when they were checking in. It did not help that the front desk staff was quite loud. Furthermore, at each visit I had to explain why the visit would be covered by my insurance as I was still in the process of work-up. This was a pain!

Dr. Jacobson was incredibly professional and very, very kind. I lived in a different region than my husband during treatment, had a very stressful job, and was having a difficult time coming to terms with my diagnosis and need for fertility treatment. Dr. Jacobson addressed these concerns and asked me how I was feeling whenever we met. He made me feel incredibly comfortable and it was obvious that he truly cared about his patients.

I did not feel a strong connection with any of the nurses. I rarely spoke to them, unless they were taking vitals prior to my visit (this was generally done by MAs) or relaying my progesterone results.

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)

Strengths: They are freindly and helpful. The clinic is clean and organized. If you call and leave a message they will return your call. Weakness: Appointments are a challenge. They are pretty busy. The close the clinic early.

Everyone has been friendly and helpful since the beginning. The have answered any question I have had so far.

The nursing staff have all been friendly and helpful. They also answer any questions you may have.

I haven't been treated that long yet with Dr Bareh we are still in the initial face of treatment with her. The times that we have seen her she been thorough with the explanation of treatment and what to expect. Sometimes she feels somewhat rushed seems like she has a lot of patients. So far she been compassionate and willing to try the best to have a successful result.

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 even communicates with you over the phone with you.

We are currently just beginning treatment with her haven't done much yet. 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 result. We will soon be starting stimulation with myself to start IVF

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

Dr. Bareh is very sought after. The level of dedication she has with each patient results in a bit of a wait. Bloodwork results are given in phone calls, it would be great if the information was available in email or chart. My procedures in this clinic went very smoothly. On the days that o was most nervous the clinic was efficient and professional, it made me feel much more comfortable.

It didn’t matter how busy the clinic was, Dr. Bareh always took the time needed to answer my questions. During treatment, Dr. Bareh changed course as needed even if it meant increasing the amount of work she needed. Both my retrievals resulted in freeze all.

All of the nurses new me! The recognized me when I walked in.

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.

The clinic providers are all awesome, I have no complaints about anyone. The physical aspect of the clinic is not great; it needs to be much bigger. Patient rooms are extremely small and the labs are even worse.

Dr. Bareh is a wonderful doctor. She answers all questions and concerns that I have and is always honest with me, even if the response is something I may not like. She makes me feel comfortable and at ease; I truly trust her care plan and have faith that things will work out.

The nurses are all very caring and are knowledgeable as well. They are prompt to answer any questions and concerns and also have great bedside manner.

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.

n/a

Nice clinic just sucks seeing pregnant women all the time. Every one responds quickly. Nurses are the best. Never felt like a number. Kenneth Wong is so nice and treated me like a human. IuI went so smooth.

Listened to me and all my comcerns. Always kept me hopeful

Very nice and understanding. Always reapinded to my questions.

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

N/A

The clinic is flexible with my schedule. They always make sure that you are welcomed in a personal manner. The clinic was organized, clean and welcoming. I had been there for 2 years and had no concerns with the way I was managed or treated.

Her care was always comprehensive and tailored for my specific needs. These were in depth diagnostic tests to rule out any barriers and we then went from there. My appointments were never rushed, my questions were always answered and I always felt well informed about the care I was receiving. I was not just another patient, but a real person struggling with infertility. I was treated with compassion, kindness and care. Dr. Bareh was always optimistic and kind, she kept me focused on the reward at the end of the journey.

Not only was Dr. Bareh amazing but so was the staff from the women in the lab (Laine) to the receptionist (Lauren)to the financial department (Amanda) and the incredible nurses (Monica, Rachael, Angie, and Julie). We were treated like family. The staff cried tears of both frustration and tears of shear joy and happiness. If it were not for this amazing staff I would not be pregnant with my miracle! I would have never had the strength to get where I am today. You get so much more then a standard doctors visit at Loma linda center for fertility, you get a support system like no other!

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.