Generation Next Fertility

The clinic is small, both physically and in their medical staff. There are only two doctors, which means you get to know one doctor well and they know you. Conversely, there are a lot of nurses, who are all working to get you in and out quickly during the morning monitoring. The procedure rooms and offices are cramped, but all modern and updated. The waiting room opens out onto the building's atrium, which is exposed to views from other floors and offices, so it doesn't feel that private. The desk staff are all very young, and often seem to need Adult Supervision to answer simple questions, but they are kind and eager to try.

The clinic is very clean and feels like a safe place to be. There is plenty of seating and I have never waited very long to be seen. The systems they have for doing blood work and ultrasounds are very efficient. I also appreciate the rage of appointment times they have available all days of the week!

Affordable compared to most other clinics. Even though I traveled out of state all of my treatments were considerably less expensive. They’re very innovative, and the REs consult with one another, particularly when there are roadblocks or question marks. The facility is gorgeous and welcoming. The morning of our final egg retrieval we were anxious and emotional, but there was a live pianist in the lobby and it was so lovely and refreshing it helped us relax a bit. The lab exceeded my expectations. When freezing eggs I kept being warned by others only a small percentage survive thaw, but all 4 of my frozen eggs survived thaw, all fertilized with ICSI, and 2 of them became day 3 embryos when fertilized. I highly recommend GNF for anyone freezing eggs, including affordability. As for weaknesses, sometimes it has taken a bit to receive instructions or a reply, but they’re generally quick to reply when I reach out. Communication is a bit more complicated when doing outside monitoring, so sometimes the cause for delay is the fault of my local monitoring clinic.

I have previously cycled with a larger IVF clinic that is part of a major hospital system where I felt like a number and protocol was very textbook high dosage stims despite my being told that I have diminished ovarian reserve. I didn't feel like an outcast at Generation Next Fertility because I am in my 40s with diminished ovarian reserve. Don't be deceived by the physical size of the clinic when you come in for a consult. The original facility (they have moved a few floors to their brand new custom built offices during summer 2020) was very clean, you have the requisite amount of privacy that you need as a patient but it was very tiny. My time at GNF was coming to an end by the time they moved upstairs. The new facility is a remarkable improvement for patients and staff alike-- I was impressed by that and it was a smart business move to push that forward because it is a fast- growing and busy practice. The patient demographics is diverse along race/ethnicity/age which is encouraging to see. Back in 2019 and even in 2020, I still believe they stand to hire additional nurses and an ultrasound tech just to keep things flowing in order to minimize the wait for ultrasounds. Their finance department is a mess and diminished my impression of the clinic. It was easier to pay out of pocket without insurance coverage. Once insurance got involved for 2020-- you had to perform quality control review on the invoices they sent to you and question everything that is not adding up. Just because you are sing an insurance company does not mean that you should get ripped off. Also there were some communication hiccups- when I first started at the clinic in 2019, I was given the price points for donor egg (DE) IVF treatment. In spring 2020 I asked for the persons that handle inquiries about donor egg IVF to put me in contact with patients willing to talk about their DE cycle and to some follow up questions that I had about selecting an egg bank-- I submitted this request in writing at least twice...one request was relayed to that person/department by Dr. Nejat himself and did not receive a response. Even if you could not find a patient willing to discuss their DE experience with me...put that in writing so that at last I would know that you tried....presuming GNF actually attempted to connect me with DE IVF patient. I also discuss in another section of my feedback survey about the clinic's lack of communication when it came to disposing my embryos.

They are efficient and professional. its feel friendly and welcoming. If I request to see Dr. Luk they always try their best to have me see her asap. Sometimes I have to wait a little during monitioring, but I expect that. The bathroom and rooms are always stocked wth light day pads and tampons and an espresso machine in the waiting area.

One thing that I have discovered is unique about the clinic is that they allow you to do your procedure with only local anesthesia, rather than general anesthesia. I am a single woman, and this was extremely helpful. You can walk yourself out of a retrieval and take the subway home if you have local. With general you have to find someone to escort you home during the middle of the work day. This was stressful for me as a single person, and the local anesthesia, was totally fine. I think if you have tons of eggs, its not a good option, but I did it with 12 eggs. And I hear some woman did it with 20 (not sure if this is true). We as woman have all experienced worse. And its nice to be able to watch the procedure on the monitor. I also appreciate the clinics aptitude in less medicated cycles and the personal attention you get from the doctors. I wish I had gotten more detailed written instructions directly from the clinic about what to expect and what steps I could take to help/hurt at home. I ended up spending a lot of time googling around my appointments as many of us probably do. And trying to interpret results and answer my own questions. I guess I could have just asked, but I am shy about asking. I don't know what other clinics are like, but a number of the rooms are small and not a lot of places to put your stuff. They are doing an expansion into another part of the building, so I guess that will change. I love that they have a Japanese bidet in the bathroom. That is a great touch. And I think the nurses and finance team do a really good job of handling the insurance and prescriptions. They fought for coverage on a few things for me, and knew where I would get the best prices on meds, and I always felt like those two things were being handled in a way that I didn't have to think about them. Ultimately, I felt like this clinic is more affordable than the places I got quoted in my process of choosing. I had to watch the billing department and correct at least one mistake. And when I am done with my treatments I will go line by line through the charges, but overall, the costs were lower than I thought they would be. I felt like I had two issues in the hand-off between doctors. When Dr Nejat was on vacation, and my third IVF cycle was starting, I got instructions to start with a protocol that I had used in my 2nd IVF, even though that protocol was less successful than my 1st IVF. They immediately alter the protocol when I brought it up, but in that moment, I had to be an advocate for my own treatment and remember the conversation I had had with Dr. Nejat after the dip in success. During this same 3rd IVF cycle, I also saw a rapid drop in estrogen on a day when Dr. Nejat was out. After monitoring, Dr. Luk called me back in to do a retrieval that day, rather than the following morning as it had been scheduled for. I came back in, and we retrieved one immature egg after opening three follicles, and paused and decided that I should come back in the next day and have Dr. Nejat retrieve the rest. So I had to do two retrievals back to back, which was not fun, but ultimately this cycle produced the only normal embryo that I've gotten so far. Not sure if we would have had the same result if Dr. Nejat had been doing the monitoring day, but perhaps. The clinic expanded its monitoring hours, which really helped my schedule. If you are starting your fertility journey, I think it's important that you track your own care and advocate for yourself at all times. There are so many people involved in your care and so many details that no clinic can be 110% on everything. I have thought about whether I should try another clinic, but I just had a good feeling the first time I walked in the door, and I do a lot of things on instinct. I think this clinic was able to quickly find a path that was smart for my treatment, and I feel like I'm in the right place.

Strengths - tailoring treatment towards specific individuals. Weaknesses - Billing department as of now, understanding this a big one for everyone, but just had a claim submitted late and had to pay a lot out of pocket, this could have been avoided.

The clinic is well run and as there are only 2 primary physicians there it has an intimate and personal feel. They have good systems in place to manage efficiently and make efforts to attend to patient needs. The practice has become more busy so the wait time can be long. They have taken steps to address that which is appreciated. While they have protocols to manage information and communication on occasion I find errors or minor issues that can be frustrating. I think the portal could be better and more user friendly. I really like the staff and feel they care about the patients.

I think the previous setup was bad, but the new office space is more inviting and welcoming and does not feel like you are sharing all your information with the world. I think that getting the money before you go in is better than after, and there needs to be a specific area devoted to paying that is not out in the open where others are checking in. The clinic needs air conditioner in all the rooms. it was stifling in the office spaces and small. Also, cleaner bathrooms!!

Strengths: Bright, clean and modern facility. Efficient bloodwork results (same day) w/ access to a patient portal, can easily view all results. Weaknesses: Too many reception staff / interns. Very disjointed experience. Disorganized communication. Resulted in things being missed and obvious errors. Reception/clinic staff are very young and seem like rotating interns. Not much interest here in your personal case / getting to the root of your issue. Purely seem to be going through the motions to maximize profits.

The clinic is smaller...but this month they moved to an all new location so it really does not matter what I say about it. Front desk is great, very helpful. You need to stay on top of billing but that is normal.

The clinic is rather small but warm and clean. They run a very tight process. I never had issues with billing or getting instructions late. They would be very prompt to call me and send me an email after each monitoring to update me on next steps. Whenever I had additional questions, they would make sure Dr Luk would get back to me asap. I would always be in and out without any issues. They were very familiar with my insurance so this made the process very smooth for me. The only thing I could say is that once the cycles were over, i wish I had a closing interview with the doctor to understand what went well and what did not. I had to request it this time around and again have all the questions ready. If not, I would just have had a dry email to tell me how many eggs retrieved and frozen, the nurse contacting me the day of and 1 day after a the retrieval to see if I was doing ok (which is a nice touch). But no post mortem. I know that I am 38 and that I am not going to get 25 eggs but there was no specific diagnosis (DOR) or anything else. i wish i had been given more details.

Efficient settings with staff assigned with specific responsibilities. Reception desk might need a little bit more improvement with welcoming atmosphere and warm greetings. They tend to be too dry and appear unfriendly as they all seem to be busy with other things while sitting in reception desk.

Staff was pleasant and efficient. All appointments were quick and minimal waiting time. Based on previous doctor there was a lot less paper work and pre planning. Meaning, my former doctor printed a schedule for me to follow which was reassuring. Dr Luk doesnt do that since she says things can change at any moment and I don't want you stuck on a day when something ' should' have happened. This was not a game changer.

They are tech savvy. Lots of email and portal communication and text messages. It's easy to knows what wrong. They usually answer emails very quickly. The billing seems to get a bit messy and and are sometimes on "automatic" so they miss things. Don't like part of the waiting area. It's like sitting in a long hallway. Not so comfortable.

The clinic has a modern vibe, and doesn't feel like as much as a medical setting as some others do. Generally, wait times haven't been too bad for monitoring. Be prepared to wait for appointments, things don't always run on schedule. Once you are seen, you'll get the attention you need. Everyone at the reception area has been friendly and easy to communicate with.

The clinic is very clean and organized. The set up with the reception/waiting area is unique but doesn't detract from the overall effectiveness of the practice. The labs seem to operate very quickly and accurately

Scheduling abilities and easily accessible monitoring hours on weekday mornings and Saturdays, however the first-come-first serve nature of this lends itself to lengthy wait times. Also, it's impressive that you can make a consultation appt with Dr. Nejat within one week timeframe even though he is a busy doctor. The online portal with blood and ultrasound results makes it easy and quick to get results and is extremely helpful for tracking what happened if you have treatment over multiple cycles.

It's a beautiful facility very close to train access. For me, personally, it's a bit far from home in Brooklyn. I would only recommend going there if you need a specialist in genetic factors. The office itself is very welcoming. The rooms feel private and the furniture is very comfy. All the suites are decked out with large screens so you can see what's happening during your sono.

The clinic is small and intimate. As a commuter to NYC, it was difficult to get clear explanations on the schedule to come in. I tried to get them to provide advance notice if I would need back to back appointments, so that I could make plans to stay in the city. I had to remind them several times and it wasn't always communicated.

Generation Next Fertility is beautifully remodeled and located in Midtown Manhattan at a super convenient location.

The clinic is undergoing renovations and they were so awesome to include us patients in the review process of how the clinic will look and feel. It is so important that the environment we are interacting with during these procedures are calm and welcoming. The current clinic is a bit small but it has a warm and cozy feel. The front desk staff is friendly and communicative and responsive.

Their communication skills & organization are UNMATCHED. They answer the phone, they promptly and thoroughly answer emails, they do what they say they are going to do & do it when they say they will. It’s been a REFRESHING experience. They should train all other fertility clinics in the US how torun a terrific office. This is the first time I’ve had 0 stress doing fertility because they are so on top of everything!!

The clinic itself is nice and offers a great environment. It can get really busy during Day 2 testing hours, but they have expanded the hours to accommodate for working schedules. They also offer support groups with is a really nice personal touch.

It is a beautiful, upscale, clean, and well run office. From the front desk to the exam room. They were extremely timely and I was never waiting long. Everybody calls you by your first name there because they make an effort to know each patient personally. I always knew what the next steps were with same day phone calls and a very user friendly iphone app.