How was your experience with Janelle Luk at Generation Next Fertility?
Dr Luk is knowledgeable, friendly and I believe she wanted me to be successful. I felt like most of the time, she had difficulty communicating effectively and comes across as all over the place. I wold really have to educate myself, prepare questions in order to get a sense of how it was going.
The first time, she didn't perform the egg retrieval herself which had not been communicated clearly either; It was really disappointing. I would be able to talk to her whenever I was asking for it. Sadly, most of our interactions felt rushed as if she had some place else to be. I don't feel like it was on purpose though.
One other thing I should mention is that on a couple of occasions, dr Luk asked me if I was covered by my insurance which led me to believe that she was making a decision for my treatment based on this information; It could go either way for me: since the egg count wasn't the best, maybe she would have cancelled the cycle and wait for another one if I wasn't covered. this is just my guess but I felt like since I was covered, she did continue, regardless of the outcome and chances of success.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
I would really make sure I know enough about the subtleties of the process in order to be able to ask the right questions, at the right time. She will be able to walk you through the very generic steps of the process. As soon as it becomes a bit technical, you will have to press her for questions to understand the details. If you don't ask, you won't get it from her.
I wish I had been more brave to repeat questions when it wasn't clear and demanded more time so she can walk me through her thought process.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
Although Dr Luk was very dynamic and always nice during our appointments, it was very difficult to get all the details relative to my treatment. I really had to come prepared with all the questions so I can get information. She would dive into the ultrasound after a very short small talk, count and measure follicles, mostly speaking to herself and then ask me to come back the next day for monitoring. I would always feel like I was taking too much of her time if I was asking too many questions. When she would take time to answer, I would feel a little rushed and not totally satisfied. Most of what I know is from the internet unfortunately. Based on that knowledge, I would be able to ask questions. Without that, I would still be clueless and at the mercy of what she had decided. After the first cycle, I already had that sentiment but I decided to stick with her since she had the history. I think she knows what she's doing but doesn't go deep enough with each patient (or at least with me).
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
I went through 2 egg freezing cycles. The particularity is that on the 1st cycle, I asked not to have vaginal ultrasound as I never had sexual intercourse. She was really accommodating and we went blind. I was on Gonal F 150 units, Menopur 75 IU, Ganirelix and Ovidrel. The other RE from the clinic retrieved 10 follicles and they froze 6.
On the 2nd cycle, she basically doubled the dosage. She was able to perform vaginal ultrasound to monitor follicles, I was on Gonal F 300 units and Menopur 150 IU. We only retrieved 3 follicles and 2 eggs were frozen (with one being put in culture to mature. The last one was empty).
Describe your experience with the nursing staff.
The nursing staff was very friendly. I never had any issues. Dr Luk would always be the one performing the ultrasounds. On day, she was running late so I had to go with a nurse. As I was not very comfortable with the ultrasound, I mentioned it to her and she was very thoughtful and took all precautions so I could be as comfortable as possible.
Describe your experience with Generation Next Fertility.
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.
Describe your experience with your monitoring appointments at Generation Next Fertility.
Monitoring would run from 7.30 to 10.30am. The sooner you would arrive, the sooner you would be out. It was very convenient since i was able to arrive early and go straight to work. It felt like it was a fair process; You would get in for your blood work, then go back to the waiting room before they would call for your ultrasound. On the days when I felt brave and would arrive at 7.30, the whole process would only take 30min.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
I paid around 2K$ for the medication and my insurance covered the other fees.
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.