Pacific NW Fertility

5 doctors work here

Rated 8.8
Strongly recommend: 81%Neutral: 8%Don't recommend: 11%8.8
81% strongly recommend
98 reviews
Operations
9.6
9.6
Operations

Ratings of 1 indicate that a clinic was poorly operated.

Ratings of 10 indicate that a clinic operated very well.

Scheduling
9
9
Scheduling

Ratings of 1 mean it was difficult to schedule appointments with this clinic.

Ratings of 10 mean it was easy to schedule appointments.

Billing Department
8.2
8.2
Billing Department

Ratings of 1 indicate an unsatisfactory billing department.

Ratings of 10 indicate an excellent billing department.

Nursing Team
9.1
9.1
Nursing Team

Ratings of 1 indicate an unsatisfactory nursing team.

Ratings of 10 indicate an excellent nursing team.

Attention to Detail
8.4
8.4
Attention to Detail

Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.

For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.

CDC Success Rates

This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics.

For more information please see our FAQs.

Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.

Annual Cycles
1,087
National Avg
635
This Clinic
National Avg
00%
20%
40%
60%
<35
35-37
38-40
41-42
>42

Available Resources

Genetic counseling
Genetic counseling
Acupuncture
Acupuncture
Mental health counseling
Mental health counseling
Nutrition counseling
Nutrition counseling
Administration of shots
Administration of shots
Coordinating at-home nursing is not offered
Coordinating at-home nursing is not offered
Selling medication
Selling medication
Providing backup medication
Providing backup medication

This clinic has 3 offices

Bellevue
1231 116th Ave NE
Bellevue, WA 98004
206.515.0000
Issaquah (closed)
751 NE Blakely Drive
Issaquah, WA 98029
206.515.0000
Seattle
1101 Madison St
Seattle, WA 98104
206.515.0000
Show 1 more

98 patient reviews

Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unknown Success
10
10
Age 36 - 37
2 IUI
3 IVF
Diminished Ovarian Reserve
Male Factor
Ashkenazi Jewish
Income $200K - $499K
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
We saw Dr. Marshall for a second opinion IVF appointment which I expected would be fairly perfunctory. I couldn't have been more wrong. Dr. Marshall had gone through our large stack of medical records and had detailed notes on exactly what she would recommend and provided thoughtful answers to all our questions. She has been incredibly supportive and caring throughout this process (which is still underway) and you can tell she is genuinely rooting for us...I mentioned to her that my previous clinic never technically categorized me as diminished ovarian reserve. Her response, "Really? Of course, you have diminished ovarian reserves and there are very successful treatment protocols that we've developed. We just need to adjust your treatment plan."
Brenna [at Pacific NW Fertility] is a fantastic IVF coordinator. She quickly responds to my emails and phone calls and provides detailed information...IVF including meds, ICSI and PGS $22,000...I especially appreciate the egg retrieval set up because each PNWF patient gets a private room so you can relax before the procedure. At our previous clinic, all patients waited in an emergency-room style set up with sheets separating the bays. You would hear the outcomes of previous retrievals while you waited for your own which was a weird experience.
How was your experience with Lorna Marshall at Pacific NW Fertility?
Before meeting with Dr. Marshall, we had two very disappointing IVF cycles at a previous clinic. I'm 36 years-old with diminished ovarian reserves and in the previous two cycles I had retrieved 4 eggs (1 fertilized) and 2 eggs (0 fertilized). I felt like a total failure after the 2nd IVF cycle so I decided to reach out for a second opinion and selected Dr. Marshall based on some of the FertilityIQ reviews about diminished ovarian reserve. We met with Dr. Marshall and it was night and day from our previous clinic. In our one-hour consultation she arrived with detailed notes on our medical history and jumped right in with new protocol recommendations. I mentioned to her that my previous clinic never technically categorized me as diminished ovarian reserve. Her response, "Really? Of course, you have diminished ovarian reserves and there are very successful treatment protocols that we've developed. We just need to adjust your treatment plan." This interaction made me feel so good just to know that there was a path forward. Dr. Marshall answered all our questions thoughtfully and backed up her suggestions with clinical research findings. My husband and I knew after that first meeting that we had to switch to Dr. Marshall and we were grateful that she would consider taking our case given the challenge and likelihood that it might lower the clinic's success statistics. Fast forward to our first IVF cycle with Dr. Marshall, she had me on an estrogen lead in protocol to suppress the lead follicles. I took Clomid for five days, immediately began stimulation with 450IU Gonal F and mini-HCG after my day 3 suppression check. We went from retrieving 3 eggs in my last cycle to getting 10 eggs! Of the 10 eggs, 4 fertilized and 2 grew to a blastocyst which is the farthest we had gotten. Unfortunately, both blastocysts were abnormal but upon reflection I'm so grateful to have used PGT-A to avoid wasting time and money on blastocyst that would not result in a viable pregnancy. Overall, we're still a challenging case and I can't say we have a happy ending yet. However, Dr. Marshall has and continues to do everything she can to support patients like me who are really challenging. She hasn't forced donors eggs on us and she's supportive of going forward with additional IVF cycles.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
If you have questions always ask Dr. Marshall, she really wants to make sure patients have all the information they need to understand their options.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
We saw Dr. Marshall for a second opinion IVF appointment which I expected would be fairly perfunctory. I couldn't have been more wrong. Dr. Marshall had gone through our large stack of medical records and had detailed notes on exactly what she would recommend and provided thoughtful answers to all our questions. She has been incredibly supportive and caring throughout this process (which is still underway) and you can tell she is genuinely rooting for us.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
Lead in with 2mg estrogen 2x daily. Day 3 stimulation with Clomid 100mg, Gonal F 450IU, mini-HCG 20 units. Stimulated for 12 days (which is 5 days longer than my previous cycle). Added in Cetrotide at some point, but I forget when.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Brenna )
Brenna is a fantastic IVF coordinator. She quickly responds to my emails and phone calls and provides detailed information.
Describe your experience with Pacific NW Fertility.
Pacific NW Fertility overall has been a great clinic. We completed ultrasounds/monitoring in Bellevue because it was more convenient and had all surgical procedures in Seattle. The quality of the staff is equal at both locations and we met with different doctors and nurses during the monitoring phase and everyone was wonderful. I especially appreciate the egg retrieval process at PNWF because each patient gets a private room so you can relax before the procedure. At our previous clinic all patients waited in an emergency-room style set up with sheets separating the bays. You would hear the outcomes of other retrievals while you waited for your own which was a weird experience. I especially appreciate the egg retrieval set up because each PNWF patient gets a private room so you can relax before the procedure. At our previous clinic, all patients waited in an emergency-room style set up with sheets separating the bays. You would hear the outcomes of previous retrievals while you waited for your own which was a weird experience.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
IVF including meds, ICSI and PGS $22,000
10
Doctor
Lorna Marshall
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Successful
10
10
Age 36 - 37
2 IUI
3 IVF
Diminished Ovarian Reserve
Male Factor
Ashkenazi Jewish
Income $200K - $499K
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
We saw Dr. Marshall for a second opinion IVF appointment which I expected would be fairly perfunctory. I couldn't have been more wrong. Dr. Marshall had gone through our large stack of medical records (we had done 2 unsuccessful cycles at another clinic) and had detailed notes on exactly what she would recommend, and provided thoughtful answers to all our questions. She has been incredibly supportive and caring through this process (which is still underway) and you can tell she genuinely rooting for us...continues to do everything she can to support patients like me who are really challenging. She hasn't forced donors eggs on us and she's supportive of going forward with additional IVF cycles.
Brenna is a fantastic IVF coordinator [at Pacific NW Fertility]. She quickly responds to my emails and phone calls and provides detailed information...overall has been a great clinic. We did our ultrasounds/monitoring in Bellevue because it was more convenient and the procedures in Seattle. The quality of the staff is equal at both locations and we met with different doctors and nurses during the monitoring phase and everyone was wonderful. I especially appreciate the egg retrieval set up because each PNWF patient gets a private room so you can relax before the procedure. At our previous clinic, all patients waited in an emergency-room style set up with sheets separating the bays. You would hear the outcomes of previous retrievals while you waited for your own which was a weird experience.
How was your experience with Lorna Marshall at Pacific NW Fertility?
Before meeting with Dr. Marshall, we had two very disappointing IVF cycles at a previous clinic. I'm 36 years-old with diminished ovarian reserves and in the previous two cycles I had retrieve 4 eggs (1 fertilized) and 2 eggs (0 fertilized). I felt like a total failure after the 2nd IVF cycle so I decided to reach out for a second opinion and selected Dr. Marshall based on some of the Fertility IQ reviews about diminished ovarian reserve. We met with Dr. Marshall and it was night and day from our previous clinic. In our one-hour consultation she arrived with detailed notes on our medical history and jumped right in with new protocol recommendation. I mentioned to her that my previous clinic never technically categorized me as diminished ovarian reserve. Her response, "Really? Of course, you have diminished ovarian reserves and there are very successful treatment protocols that we've developed. We just need to adjust your treatment plan." This interaction made me feel so good just to know that there was a path forward. Dr. Marshall answered all our questions thoughtfully and backed up her suggestions with clinical research findings. My husband and I knew after that first meeting that we had to switch to Dr. Marshall and we were grateful that she would consider taking our case given the challenge and likelihood that it might lower the clinic's success statistics. Fast forward to our first IVF cycle with Dr. Marshall, she had me on an estrogen lead in protocol to suppress the lead follicles. I also Clomid for five days, immediately began to stimulate with 450IU Gonal F and mini-HCG after my day 3 suppression check. We went from retrieving 3 eggs in my last cycle, to getting 10 eggs! Of the 10 eggs, 4 fertilized and 2 grew to a blastocyst which is the farthest we had gotten. Unfortunately, both blastocysts were abnormal but upon reflection I'm so grateful to have used PGT-A to avoid wasting time and money on blastocyst that would not result in a viable egg. Overall, we're still a challenging case and I can't say we have a happy ending yet. However, Dr. Marshall has and continues to do everything she can to support patients like me who are really challenging. She hasn't forced donors eggs on us and she's supportive of going forward with additional IVF cycles.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
If you have questions always ask Dr. Marshall, she really wants to make sure patients have all the information they need to understand the options.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
We saw Dr. Marshall for a second opinion IVF appointment which I expected would be fairly perfunctory. I couldn't have been more wrong. Dr. Marshall had gone through our large stack of medical records (we had done 2 unsuccessful cycles at another clinic) and had detailed notes on exactly what she would recommend, and provided thoughtful answers to all our questions. She has been incredibly supportive and caring through this process (which is still underway) and you can tell she genuinely rooting for us.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
2mg estrogen lead in. Day 3 stimulation with Clomid 100mg, Gonal F 450IU, mini-HCG 20 units. Stimulated for 12 days (which is 5 days longer than my previous cycle). Added in Cetrotide at some point, but I forget when.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Brenna )
Brenna is a fantastic IVF coordinator. She quickly responds to my emails and phone calls and provides detailed information.
Describe your experience with Pacific NW Fertility.
Pacific NW Fertility overall has been a great clinic. We did our ultrasounds/monitoring in Bellevue because it was more convenient and the procedures in Seattle. The quality of the staff is equal at both locations and we met with different doctors and nurses during the monitoring phase and everyone was wonderful. I especially appreciate the egg retrieval set up because each PNWF patient gets a private room so you can relax before the procedure. At our previous clinic, all patients waited in an emergency-room style set up with sheets separating the bays. You would hear the outcomes of previous retrievals while you waited for your own which was a weird experience.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
Not sure because insurance hasn't billed us yet.
10
Doctor
Lorna Marshall
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2018, Unsuccessful
7
7
Age 35 - 38
5 IUI
1 IVF
Donor Eggs
Donor Sperm
Diminished Ovarian Reserve
Poor Egg Quality
Uterine Fibroids
Unexplained
European
East Asian
Income $50K - $99K
Nurse or HC Services
2nd of 2 Docs
Neutral
Neutral
Unsuccessful
Dr. Marshall seems to be very well practiced in her field. I have 100% trust in her knowledge of fertility treatment. She was present for most of my procedures and often entertained my questions...After our failed embryo transfer, when we were finally able to meet up to discuss what happened - she couldn't remember a lot of the details of my cycle (how many embryos did we get? did I have a positive HCG?, etc) and clearly hadn't refreshed herself prior to the meeting. Which was disappointing. After such a loss (chemical pregnancy of your one and only embryo), I was hoping for answers but since she didn't appear to know me from the next infertile woman so it felt like a waste of time.
When we decided to use donor eggs we were initially assigned a new RN [at Pacific NW Fertility] but she failed to send in my Rx and complete my FMLA forms even though I asked her twice for each so I requested to return to my IVF RN...IVF with ICSI and PGS $22,000...Emily, Danielle (RN's), Annemika (CRNA), Suzanne (phlebotomist) and the recovery RN are amazing...Parking could be a pain. More expensive than other clinics in the area. Long wait times. Leaving messages with the front office staff is not always reliable
How was your experience with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall seems to be very well practiced in her field. I have 100% trust in her knowledge of fertility treatment. She was present for most of my procedures and often entertained my questions. After my hysteroscopy she told my husband about the results, because I was still coming out of anesthesia, but she would have never followed up with me if I hadn't asked. After our failed embryo transfer, when we were finally able to meet up to discuss what happened - she couldn't remember a lot of the details of my cycle (how many embryos did we get? did I have a positive HCG?, etc) and clearly hadn't refreshed herself prior to the meeting. Which was disappointing. After such a loss (chemical pregnancy of your one and only embryo), I was hoping for answers but since she didn't appear to know me from the next infertile woman so it felt like a waste of time.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
She's very knowledge but not that personable - she lays out the facts but she doesn't pressure you to go one way or the other. She is one of the harder doctors to get appointments with - prepare yourself for a lot of 'hurry up and wait'.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
To up front, I didn't feel like a number until our embryo transferred failed. Prior to this (during the IVF cycle and leading up to the frozen embryo transfer) I felt treated like a human. We had our egg retrieval on Thanksgiving and there wasn't any "oh man, this is a holiday and I'm working..."-vibe. Communication had been pretty good up to the point (a few months later) of the cycle failure. After I went in for my first beta HCG, I received a phone call around 11am - I had a "very good" level. Then the 2nd draw (phone called results received around 2pm) the number had decreased and that apparently wasn't good but I was not informed what that could mean - just that it wasn't good and I would need to repeat the blood draw again. After the 3rd HCG blood draw, 3pm no phone call - I called them to see what was happening and about 10 min later received a return call saying "sorry, your HCG levels are dropping. You can stop taking the estrogen and progesterone." And that was it. I was livid - 99% due to the fact that my one and only PGS normal embryo had died - but 1% because there was total lack of compassion and explanation. I was then informed that if I wanted answers I would have to talk to Dr. Marshall and her next appointment was in 3 months. Suddenly my $20k investment had met its end and I was just a number placed back in the line
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
I was diagnosed with low ovarian reserve (AMH ) and probable poor egg quality, other than that I don't know why the meds and doses were chosen. my IVF regimen was as follows: 3 weeks of BCP suppression check/blood work Follistim 450 IU and miniHCG 20u for 12 days. Meanwhile reporting to the clinic day 5 (ultra sound - 9 follicles), day 7 (US - 12 follicles), day 9 (US - 14 follicles), day 11 (13 follicles), and day 12 (12 follicles). Started Ganerelix on day 9. On day 12 max follicle size was 18.6 so HCG Trigger shot was scheduled for that night with retrieval the next morning. Egg retrieval in the morning, 10 eggs retrieved, 7 of those were mature. Day one report - 5 fertilized. Day 5 - 1 blastocyst and two more still growing. Day 6 - 2 blastocysts, both biopsied and frozen PGS report a four days later (we were told it would take 2 weeks) - 1 chromosomal normal blastocyst About a week after the retrieval I had a hysteroscopy and removal of some polyps found during the Saline Sonogram. Then I took a month and a half break (continuing birth control pills) to allow healing. For the FET, I did 2 weeks of lupron at 10u (some overlap with the BCP). A suppression check and blood work prior to starting Estrogen patches. The patches started at two every other day for a week then increased to 3 patches every other day for a few days then up to 4 patches every other day. Lupron had been reduced to 5 units every day. My first lining check was not thick enough so I continued with 4 patches. Still continuing with Lupron. Finally my lining was thick enough (it took 5 weeks instead of the 4 that was initially outlined). Progesterone was to start 6 days prior to transfer, but I forgot to start the progesterone so the cycle got cancelled. For the next cycle to prepare for the frozen embryo transfer, we repeated the BCP and lupron portion of the meds but I reacted negatively to the estrogen patches (rashes) so we switched to delestrogen injections. The delestrogen injection worked much better and my lining was ready pretty quickly. 6 days prior to the transfer I started progestrone injections and stopped the lupron. 10 days later I had my first beta HCG which was 150ish and my follow hcg test had declining levels so I had to repeat it again and the number was even lower so I was told to stop the delestrogen and progesterone.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily)
Emily is A-M-A-Z-I-N-G! She was the glue that held everything together. Each ultrasound/blood work visit started with the blood draw or the ultrasound then wrapped up with Emily. I was often unsure of what Dr.Marshall meant or what I was supposed to do but Emily always closed the loop. And if I ever reached out to her via email (about something that I was obsessing over or a weird thing I had read on a forum) she responded within 2 hours and reasoned with me. She helped me keep my sanity. She's very nice, funny, personable and professional. I always felt better when she was around. On one visit she wasn't there but she followed up with me the next day to make sure I understood the plan and to see if I had questions. She was even very timely with outside paperwork - FMLA forms, Rx forms, etc. If it weren't for Emily, I might have gone to another facility for my current treatments
Describe your experience with Pacific NW Fertility.
Clinic strengths - for me the location is very convenient. Emily, Danielle (RN's), Annemika (CRNA), Suzanne (phlebotomist) and the recovery RN are amazing. They have every magazine under the sun to keep you entertained. Weaknesses - If Emily wasn't working that day it would take a long time to get the results of my blood work. Parking could be a pain. More expensive than other clinics in the area. Long wait times. Leaving messages with the front office staff is not always reliable
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
IVF with ICSI and PGS $22,000. Meds for IVF were about $4,000. FET about $800. Meds for FET about $1200.
What specific things went wrong at Pacific NW Fertility?
  • Failed to call in prescriptions to pharmacy
  • Failed to call with results
  • Failed to order appropriate test
Describe the specific things that went wrong at Pacific NW Fertility.
When we decided to use donor eggs we were initially assigned a new RN but she failed to send in my Rx and complete my FMLA forms even though I asked her twice for each so I requested to return to my IVF RN
7
Doctor
Lorna Marshall
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
7
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2020, Unsuccessful
10
10
Age 35
5 IUI
Recurrent Pregnancy Loss
Unexplained
Prefer not to answer
1st of 2 Docs
Strongly Recommends
Strongly Recommends
Unsuccessful
Dr. Rothenberg patiently listens and then gives you science. She helps keep you rational...With Dr. Rothenberg and her team I always felt taken care of. I have recurrent pregnancy loss so their professionalism and empathy was really critical for my emotional well-being during treatment. They were exceptionally good with communication about my situation...Dr. Rothenberg entertained every question I could possibly think of and for every scenario
This is a top notch operation [Pacific NW Fertility]...Don’t underestimate how important communication and the simple act of answering the phone is. Other clinics might call you back after almost always having to leave messages, days later. PNWF will actually pick up the phone...Complete transparency and communication from everyone
How was your experience with Stephanie Rothenberg at Pacific NW Fertility?
She isn’t a bulls$&77er about what’s happening or treatment which I really appreciate. Infertility can lead you down some dark places and through many rabbit holes of things people swear worked for them and their miracle babies. Dr. Rothenberg patiently listens and then gives you science. She helps keep you rational.
What's one piece of advice would you give a prospective patient of Stephanie Rothenberg at Pacific NW Fertility?
Research, ask questions, be your own advocate, but listen to your doctor. She gives great information and feedback but you have to ask the questions. Dr. Rothenberg entertained every question I could possibly think of and for every scenario.
During treatment, were you treated like a number or a human with Stephanie Rothenberg at Pacific NW Fertility?
With Dr. Rothenberg and her team I always felt taken care of. I have recurrent pregnancy loss so their professionalism and empathy was really critical for my emotional well-being during treatment. They were exceptionally good with communication about my situation.
Describe the protocols Stephanie Rothenberg used in your cycles at Pacific NW Fertility and their degree of success.
Initially everything was on the table for us because our labs came back fine. We elected to do IUI with Letrozole and the HcG trigger shot. We could have started with IVF but decided why use dynamite when a sparkler might work? We were successful, but miscarried.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Team Rothenberg )
My comments for Dr. Rothenberg apply to the nursing staff as well. Complete transparency and communication from everyone.
Describe your experience with Pacific NW Fertility.
This is a top notch operation. I’ve since moved to Indiana and every clinic here is a disappointment in comparison. Don’t underestimate how important communication and the simple act of answering the phone is. Other clinics might call you back after almost always having to leave messages, days later. PNWF will actually pick up the phone.
Describe the costs associated with your care under Stephanie Rothenberg at Pacific NW Fertility.
IUIs are, in total, about $900, and meds are $140.
10
Doctor
Stephanie Rothenberg
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2020, Unsuccessful
0
0
Age 37
31 IVF
Other
East Asian
Income $200K - $499K
1st of 3 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
Dr. Shahine was kind and warm, she spoke very gently and smiled a lot, she made me not so nervous during every time. But actually my family and I, we didn't think that she cared about us, during the 2 cycle, I didn't get any phone calls from her, and she didn't give us the exact reason that why with normal results (as her assistance words, "perfect results")EVERYTIME blood test, we just 1 normal blast of the 5 day, I had 31 eggs retrieval. She didn't care, and the same with her team.
They [nurses at Pacific NW Fertility] were polite and kind, but mistakes were made...They didn't response my email in time, even when I was bleeding after transfer and I was doubting about chemical pregnancy, they told me that bleeding was normal, and told me to contact them when I saw tissue came out. I wrote to them about seeing the tissue, and they didn't answer my email anymore. Maybe I interrupted them. Finally I had a chemical pregnancy, they called me to tell me to schedule a new cycle!!!!
How was your experience with Lora Shahine at Pacific NW Fertility?
She was kind, but she didn't care from deep, maybe it's just for us. she told us she didn't know the reason, why blood test were all good, we just failed our 2 cycle. First cycle, 14 eggs retrieval,6 matured, with ICSI with 6 fertilized. 1 normal. she said maybe it was a little bit late for the last trigger. Ok, next cycle, 17 eggs retrieval, 9 matured, with ICSI, 4 were fertilized! 50% failed, and none of them were normal. why ?? she didn't know! just told us unfortunately. excuse me, are you kidding me???
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Maybe she and her team will take care of you if you were native or not asian people.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine was kind and warm, she spoke very gently and smiled a lot, she made me not so nervous during every time. But actually my family and I, we didn't think that she cared about us, during the 2 cycle, I didn't get any phone calls from her, and she didn't give us the exact reason that why with normal results (as her assistance words, "perfect results")EVERYTIME blood test, we just 1 normal blast of the 5 day, I had 31 eggs retrieval. She didn't care, and the same with her team. I didn't know it's because our response, we really gave a lots of patience to them, they didn't give us any reasonable explanation. just saying, we're sorry, we don't know bla bla bla...it's regretful and disappointed.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
2 cycles. 1: 14eggs, 6 matured, 2 for the 5 day, 1 normal. ----transfer, chemical pregnancy, her assistant said that bleeding was normal, and didn't response my email. 2: 17 eggs, 9 matured, 1 for the 5 day. None. We didn't see any report for the updates of embryos or blasts, just their phone call, we didn't know what was going on for the 3 days, or 5 days. Nothing, Nothing was reported.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Jenifer)
They were polite and kind, but mistakes were made, and also, they didn't care about us at all. They didn't response my email in time, even when I was bleeding after transfer and I was doubting about chemical pregnancy, they told me that bleeding was normal, and told me to contact them when I saw tissue came out. I wrote to them about seeing the tissue, and they didn't answer my email anymore. Maybe I interrupted them. Finally I had a chemical pregnancy, they called me to tell me to schedule a new cycle!!!!
Describe your experience with Pacific NW Fertility.
Go for another doctor who cares about you and your treatment, and who would do the egg retrieval by herself to you. The clinic was good, I was done a polyp operation there, the nurse took good care of me.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
50k+ for 2 cycles of IVF and a polyp remove operation
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
single transfer
What specific things went wrong at Pacific NW Fertility?
  • Provided conflicting information
0
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
0
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unknown Success
9
9
Age 32 - 33
4 IUI
Anovulation
Unexplained
European
2nd of 4 Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
She [Dr. Shahine] was very kind and helpful, from initial meeting she was looking out for our best interests and fully explained the process we were about to embark on. Her team always got back to me promptly and created safe plan of actions with her...Nurses on site perform the actual IUI and her staff consults her after blood word and relays into to me....
They [Pacific NW Fertility] are organized, on time, helpful, communicative & supportive...Each appointment, procedure and test has a cost. For IUI, each ultrasound was $190 (usually 3 per cycle so $570) + blood work. Medication like letrezole was covered by insurance but HCG shots were $150 each month. Each IUI was $282 so each month it was ~ $1,050. Now as we prepare for IVF, there is blood work required, medications and we dont have the individual cost but were told its starts at $25k and to estimate more for things like genetic testing.
How was your experience with Lora Shahine at Pacific NW Fertility?
She was very kind and helpful, from initial meeting she was looking out for our best interests and fully explained the process we were about to embark on. Her team always got back to me promptly and created safe plan of actions with her. I would recommend Dr Shahine to friends/ family.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Ask questions! Have a list of questions for your first appointment and don’t be afraid to follow up.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
We met with her once in person and once over video conference (due to corona virus) and she is very friendly, thoughtful & helpful. Nurses on site perform the actual IUI and her staff consults her after blood word and relays into to me.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
I initially did bloodwork and the HSG grate and then started with medicated cycles and IUI. I took letrezole in the beginning plus the HCG trigger shot before ovulation. after a few months and one anovulation cycle later we doubled the dose. The last month I did IUI, I was on letrezole beginning of my cycle, took the HCG trigger shot and also started progesterone after ovulation. I got a positive pregnancy test and then with blood work a few times after, my levels were declining. We did multiple blood draws over the next month to track this pregnancy to 0 HCG. This was the last IUI before IVF. Now with the clinics closed due to coronavirus, we wait 😌
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle )
Her nursing team is very caring and friendly.
Describe your experience with Pacific NW Fertility.
Overall I have been very impressed. They are organized, on time, helpful, communicative & supportive. There are so many people that come through their doors and they clearly have an organized method to the madness.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
Each appointment, procedure and test has a cost. For IUI, each ultrasound was $190 (usually 3 per cycle so $570) + blood work. Medication like letrezole was covered by insurance but HCG shots were $150 each month. Each IUI was $282 so each month it was ~ $1,050. Now as we prepare for IVF, there is blood work required, medications and we dont have the individual cost but were told its starts at $25k and to estimate more for things like genetic testing.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
It’s very situational but from what i have learned a he believes in single embryo transfer for healthy women under 35. It’s situational but i have a few other friends who have seen her and she also recommended single embryo transfer. Doesn’t want to risk multiple embryos if you only have a few good ones.
9
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
9
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Successful
10
10
Age 35 - 36
3 IVF
Male Factor
Other
European
Income $200K - $499K
Consultant
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
She [Dr. Marshall] had more thoroughly reviewed our file and had a more in depth conversation with us about our situation than our medical team at our previous clinic...we have seen Dr. Marshall throughout the entire cycle...suggested a completely different protocol and the results were dramatically different compared to our previous 2 cycles (round 1: 4 embryos - all abnormal, round 2: 2 embryos - all abnormal, moved to Dr. Marshall, round 3: 11 embryos, 2 normal). (I have a genetic condition that results in a small % of normal embryos) Beyond the outcome, the experience felt different - from her proactive communication, to her kind and thorough bedside manner, to the fact that even though she didn't do the retrieval surgery, she popped in right after to check on us - it felt like she was on our side and we were on the s
Brenna and Emily [nurses at Pacific NW Fertility] were absolutely incredible. They were caring, proactive, detail oriented and incredibly skilled...The medical staff has been helpful in tailoring our plan to use leftover medications from previous cycles. The finance department is quick to answer with any questions (e.g. how much will this count towards our insurance cap?)...They are incredibly organized and proactive - whether it is the fact that every time I go for monitoring they are able to take my blood early, to the fact that the finance team remembers my name and my situation - they are fantastic.
How was your experience with Lorna Marshall at Pacific NW Fertility?
We absolutely love Dr. Marshall. We came to her from SRM to get a second opinion because it felt like we were trying the same protocol over and over again with no results. When we walked out of that meeting, my husband looked at me and said 'I don't care if the results are different, she makes me feel calm and actually cared for." We switched immediately after. Dr. Marshall suggested a completely different protocol and the results were dramatically different compared to our previous 2 cycles (round 1: 4 embryos - all abnormal, round 2: 2 embryos - all abnormal, moved to Dr. Marshall, round 3: 11 embryos, 2 normal). (I have a genetic condition that results in a small % of normal embryos) Beyond the outcome, the experience felt different - from her proactive communication, to her kind and thorough bedside manner, to the fact that even though she didn't do the retrieval surgery, she popped in right after to check on us - it felt like she was on our side and we were on the same team throughout the entire process. We are doing a 4th round to get a few more embryos and I feel completely confident in Dr. Marshall. Finding her has been a game changer in reducing the anxiety and stress of this entire experience, while also giving us a better outcome.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Ask her for a second opinion if you are thinking of moving to her from another clinic. She had more thoroughly reviewed our file and had a more in depth conversation with us about our situation than our medical team at our previous clinic.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
Coming to PNW from SRM and working with Dr. Marshall was a complete game changer when it came to results (2 unsuccessful rounds at SRM, 1 successful round at PNW) as well as when it came to quality and type of care. For this first time in months, we felt like we had hope - we were asked questions about what we wanted, we were told what was going on at each stage and we were treated like we mattered. At SRM, we never saw our Doctor during the cycle - all appointments were with different technicians. At PNW we have seen Dr. Marshall throughout the entire cycle and the nurses have been responsive, pro-active and caring.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
The stimulation portion of our IVF treatment plan included 450 IU of Gonal-F, 20 IU mini HCG, and 250 mcg Ganirelix. For the trigger, we used a dual trigger (Lupron and HCG). We have yet to do an embryo transfer since we'd like to bank a few more first.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily and Brenna)
Brenna and Emily were absolutely incredible. They were caring, proactive, detail oriented and incredibly skilled. A few examples: when we ordered our medications they knew which pharmacies had which medications available and which had the lowest prices; they had us come in a day early for monitoring given the high dose of medications we were on; they answered the 3000 questions we had when we transferred from our old clinic; they genuinely seems invested in the outcomes and shared out joy with the results; they were diligent in checking on us post-retrieval; every time we debriefed with them after monitoring they were thorough and kind; all of our emails were answered within a day - we have never waited (whether in person or via email) - they are incredibly responsive.
Describe your experience with Pacific NW Fertility.
PNW has been fantastic. They are incredibly organized and proactive - whether it is the fact that every time I go for monitoring they are able to take my blood early, to the fact that the finance team remembers my name and my situation - they are fantastic.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
We're fortunate to have insurance cover a large portion of the bill. Our coverage is capped, so we still have reason to keep costs down. The medical staff has been helpful in tailoring our plan to use leftover medications from previous cycles. The finance department is quick to answer with any questions (e.g. how much will this count towards our insurance cap?). They have proactively gotten pre-authorizations from our insurance company without us asking or being involved. At SRM, we had to call daily to ask them to submit the pre-auth and then follow up daily to make sure progress was being made, so this was a very welcome change.
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We indicated our preference to transfer one embryo at a time and Dr. Marshall agreed.
10
Doctor
Lorna Marshall
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unsuccessful
0
0
Age 37 - 38
6 IUI
Unexplained
European
Income $200K - $499K
1st of 2 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
Overall, it felt like like this doctor [Dr. Broughton] did not care about me as a person. ... This doctor did not treat calls - such as my call reporting my miscarriage - with a sense of urgency. ... She didn’t feel present with regards to my treatment, she didn’t return my calls in a timely manner, my treatment plan was the same month after month. When I wanted to find out a timeline to resume treatment post miscarriage, I only seemed to get calls back re things that could be sold to me.
Communication is the greatest weakness of this clinic [Pacific NW Fertility]. They clinic also charges a premium price for a decidedly not premium patient experience. The doctor came up with one plan and that was the only plan. No revaluing each month, no connecting with me on the plan. Just this is what we are doing. ... The clinic did not send my medical records to my new clinic as requested. When they send them to me, they included inaccurate information re conversations that we had. I kept getting new bills many months after I had moved on to a new clinic. Not certain why their billing is not more streamlined.
How was your experience with Darcy Broughton at Pacific NW Fertility?
Overall, it felt like like this doctor did not care about me as a person. She didn’t feel present with regards to my treatment, she didn’t return my calls in a timely manner, my treatment plan was the same month after month. When I wanted to find out a timeline to resume treatment post miscarriage, I only seemed to get calls back re things that could be sold to me.
What's one piece of advice would you give a prospective patient of Darcy Broughton at Pacific NW Fertility?
You will need to advocate strongly for yourself if you don’t feel confident in your treatment plan; I didn’t feel like she was engaged with mine, personally. Set expectations re communication- her perception of an appropriate response time might not align with yours (it certainly did not with mine)
During treatment, were you treated like a number or a human with Darcy Broughton at Pacific NW Fertility?
This doctor did not treat calls - such as my call reporting my miscarriage - with a sense of urgency. Doctors that I had never called called me about my miscarriage prior to Dr. Broughton - literally the only doctor I called.
Describe the protocols Darcy Broughton used in your cycles at Pacific NW Fertility and their degree of success.
Letrozole. Triggered basically the same time each month though my cycles are variable (and my current doctor does not).
Describe your experience with the nursing staff at Pacific NW Fertility.
Nurses were OK.
Describe your experience with Pacific NW Fertility.
Communication is the greatest weakness of this clinic. They clinic also charges a premium price for a decidedly not premium patient experience. The doctor came up with one plan and that was the only plan. No revaluing each month, no connecting with me on the plan. Just this is what we are doing.
Describe Darcy Broughton's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
N/A
What specific things went wrong at Pacific NW Fertility?
  • Failed to send your chart to another clinic
Describe the specific things that went wrong at Pacific NW Fertility.
The clinic did not send my medical records to my new clinic as requested. When they send them to me, they included inaccurate information re conversations that we had. I kept getting new bills many months after I had moved on to a new clinic. Not certain why their billing is not more streamlined.
0
Doctor
Darcy Broughton
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
0
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Consult
10
10
Age 31
5 IUI
PCOS
Unexplained
Prefer not to answer
Income $100K - $199K
Teacher
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
I have only met with Dr. Shahine for an initial IVF consult. In the time I spent with her I found her to be very kind and compassionate. She was equally concerned about my emotional well being as getting to the end result of having a healthy pregnancy/baby. She was very informative and provided many resources. I felt that she wasn't just trying to get me to do IVF, she wanted to explore other options first and make sure my health was in good shape before moving forward. I appreciate her honesty and care in discussing such sensitive topics.
The clinic's [Pacific NW Fertility] strengths are their warm and kind service. I have always felt so comfortable at what could be a very uncomfortable visit. This clinic is also very efficient and my team has been incredibly responsive with information and any concerns I may have. They have several beautiful locations and are flexible in appointment times and days of availability.
How was your experience with Lora Shahine at Pacific NW Fertility?
I have only met with Dr. Shahine for an initial IVF consult. In the time I spent with her I found her to be very kind and compassionate. She was equally concerned about my emotional well being as getting to the end result of having a healthy pregnancy/baby. She was very informative and provided many resources. I felt that she wasn't just trying to get me to do IVF, she wanted to explore other options first and make sure my health was in good shape before moving forward. I appreciate her honesty and care in discussing such sensitive topics.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Have an open mind and be ready that IVF isn't the first coarse of action to take.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine was very compassionate towards my experiences. She spoke to me with kindness and without judgement, acknowledging how much my husband and I have been through. She provided resources to treat my emotional needs as well as my physical needs. Dr. Shahine never left me feeling hopeless.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
She currently has me working with a nutritionist who specializes in fertility and PCOS. Additionally she is having me lose weight and continue trying naturally at home until my weight is at a safer space for IVF treatment.
Describe your experience with the nursing staff at Pacific NW Fertility.
The nursing staff has always been so kind, warm and welcoming. I have always felt incredibly comfortable at every visit.
Describe your experience with Pacific NW Fertility.
The clinic's strengths are their warm and kind service. I have always felt so comfortable at what could be a very uncomfortable visit. This clinic is also very efficient and my team has been incredibly responsive with information and any concerns I may have. They have several beautiful locations and are flexible in appointment times and days of availability.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
Just the initial consult was covered by insurance
10
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Successful
10
10
Age 37 - 38
1 IVF
Donor Sperm
European
Income $50K - $99K
Entrepreneur
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Julie [Lamb] was smart, capable, and super caring from our very first meeting. She was like a breath of fresh air after a few bad experiences with previous doctors. We just loved her and felt so special and taken care of under her care. ... I am advanced maternal age (38) and we used a sperm donor because my husband has azoospermia, so Julie was very thoughtful and had a clear strategy from the beginning. We didn’t really weigh many options and decided to go with her recommendation, which was to do IVF.
Generally the clinics [Pacific NW Fertility] was super friendly, organized and well-run. We only had a few issues with communication, where the next steps weren’t clear to us, which caused some confusion and stress. They were always quick to make up for it and help us get back in track, though. ... The biggest example was when we found out we had only one viable embryo, but that the other 21 eggs didn’t survive. We were pretty shaken up.
How was your experience with Julie Lamb at Pacific NW Fertility?
Julie was smart, capable, and super caring from our very first meeting. She was like a breath of fresh air after a few bad experiences with previous doctors. We just loved her and felt so special and taken care of under her care.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Go for it, no hesitation.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Everyone was so thoughtful, caring, sweet, and fun. They felt like caring friends.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I am advanced maternal age (38) and we used a sperm donor because my husband has azoospermia, so Julie was very thoughtful and had a clear strategy from the beginning. We didn’t really weigh many options and decided to go with her recommendation, which was to do IVF. We did all testing recommended. I even had a hysteroscopy done to make sure everything was clear and healthy. At our retrieval we were thrilled to get 22 eggs, but unfortunately only one healthy embryo. Thank goodness for that miracle embryo that is now a 4.5 mo baby in my belly. We feel truly lucky and appreciative of the direction Julie took with our situation.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Claire )
We had a team under Julie, which was two other nurses who regularly communicated with us. One was fabulous (Claire), while the other was good, but had some issues (Nicole).
Describe your experience with Pacific NW Fertility.
Generally the clinics was super friendly, organized and well-run. We only had a few issues with communication, where the next steps weren’t clear to us, which caused some confusion and stress. They were always quick to make up for it and help us get back in track, though.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
Our insurance didn’t cover any of it and it was very expensive, approx $40,000
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We only had the option of a single transfer because we only ended up having one.
What specific things went wrong at Pacific NW Fertility?
  • Failed to call with results
  • Failed to order appropriate test
  • Failed to convey critical information
Describe the specific things that went wrong at Pacific NW Fertility.
There were a few times when we weren’t sure about next steps and they weren’t explained to us clearly. The biggest example was when we found out we had only one viable embryo, but that the other 21 eggs didn’t survive. We were pretty shaken up. We asked questions and were anxious to continue onto the next step, but our specific nurse (Nicole) was unable to explain it to us in a clear or compassionate manner. We felt very insecure about proceeding with our embryo transfer and felt like we had to really push to continue on with it.
10
Doctor
Julie Lamb
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Successful
10
10
Age 32
2 IUI
1 IVF
PCOS
Recurrent Pregnancy Loss
European
Income $100K - $199K
1st of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
After my third miscarriage I searched online for books on recurrent miscarriage. I came across Dr. Shahine's book, "Not Broken". I learned so much from it. Fast forward another year at a clinic across the country where I live, I had gone through a very successful egg retrieval but had two failed transfers. I was defeated...I booked a second opinion consult with her. I am so very thankful I did! She first started our conversation with "I just want to say that I am so sorry you are going through this.". Those simple words meant so much to me and my husband and made us immediately feel like she cared. She showed so much empathy with us. It really stood out to us.
Everytime I called or emailed any of the staff [at Pacific NW Fertility] they were prompt to answer. I was impressed with that. Brittany helped me make sure I got all of my information to them and that I had filled out everything that I needed to...She [Dr. Shahine] recommended trying metformin starting before our next transfer. I am lean PCOS and have never had issues with my blood glucose so I hadn't ever tried it. She cited the study by Dr. Zev Williams suggesting benefits in PCOS with metformin. I have felt incredible since taking it. She also recommended lovenox as an immunmodulator. I did this as well a low dose of 40 mg. So far my pregnancy has been on the right track. So thankful for these suggestions
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr Shahine had read through my chart thoroughly before our consult. She was aware of my entire case, and my chart is a thick one. She went over extra details she had questions about and we discussed those. She then made her recommendations based on research and sited those studies. She stressed that we had done nothing to cause our many miscarriages, failed transfers and were doing everything we could. However, she did make two changes and suggestions for our doctor here in town. I can say that I am now pregnant after our third transfer, and I truly feel that it's Dr. Shahine's suggestions made all the difference. I would highly recommend her to anyone. Especially those who have had recurrent miscarriage. We need more providers with the care and compassion that she has!
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
She is incredibly thoughtful, knows all the current studies, is humble and is just all around an incredible doctor. Highly recommend.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
After my third miscarriage I searched online for books on recurrent miscarriage. I came across Dr. Shahine's book, "Not Broken". I learned so much from it. Fast forward another year at a clinic across the country where I live, I had gone through a very successful egg retrieval but had two failed transfers. I was defeated. I had been following Dr. Shahine on instagram for over a year. I booked a second opinion consult with her. I am so very thankful I did! She first started our conversation with "I just want to say that I am so sorry you are going through this.". Those simple words meant so much to me and my husband and made us immediately feel like she cared. She showed so much empathy with us. It really stood out to us.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
She recommended trying metformin starting before our next transfer. I am lean PCOS and have never had issues with my blood glucose so I hadn't ever tried it. She cited the study by Dr. Zev Williams suggesting benefits in PCOS with metformin. I have felt incredible since taking it. She also recommended lovenox as an immunmodulator. I did this as well a low dose of 40 mg. So far my pregnancy has been on the right track. So thankful for these suggestions.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Jennifer)
I had Jennifer call me to get all of my information before my consult with Dr. Shahine. She was so kind, thorough and paid attention to detail. All of her notes she took were correct for when we had our appointment with Dr. Shahine.
Describe your experience with Pacific NW Fertility.
Everytime I called or emailed any of the staff they were prompt to answer. I was impressed with that. Brittany helped me make sure I got all of my information to them and that I had filled out everything that I needed to.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
It was a second opinion consult so it was not much. I am thankful for that!
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
She strongly encouraged us to only transfer one embryo. We took her advice and continued with only one.
10
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2019, Successful
9
9
Age 32 - 36
3 IUI
1 IVF
Unexplained
European
Accountant
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr Shahine recommended a single embryo transfer, which we agreed with. We also appreciated her recommendation to do PGS testing on our day 5 embryos to essentially up our odds of success with the single embryo transfer approach...treated me with respect, and I thought very highly of her background, research, and passion about with what she does, as well as her involvement with organizations and individuals outside of the clinic that support infertility.
During our IVF cycle our primary nurse [at Pacific NW Fertility] was very responsive, compassionate, and helpful. I felt very supported, and never hesitated to reach out to ask questions...Monitoring was scheduled when convenient with my schedule during the week. The appts on the weekend are scheduled in time order, which makes it less convenient, but not beyond reason...Costs were given upfront and conveyed very clearly. There were no hidden costs.
How was your experience with Lora Shahine at Pacific NW Fertility?
From our initial meeting through our IVF treatments, Dr. Shahine was kind, informative, and compassionate, all traits that my husband and I valued while going through an emotional time in our fertility journey. I felt very listened to, and any concerns or topics I asked about were addressed and discussed with respect and honesty. I liked that we saw her every visit and that she always made time to ask how I was feeling. She coordinated the care that I needed to receive very smoothly.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Ask any question that you may have around any and all parts of your treatment. No question is too big, or too small, and Doctor Shahine was very receptive, open, and honest to any questions we brought forward.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Doctor Shahine consistently checked up with me during my iVF cycle, always making sure to ask how I was feeling. I truly felt listened to and felt like the staff cared for my well being during such an emotional time. I felt like Dr Shahine treated me with respect, and I thought very highly of her background, research, and passion about with what she does, as well as her involvement with organizations and individuals outside of the clinic that support infertility.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
My initial protocol involved testing to properly diagnose the reasoning for infertility, including a Hysterosalpingography, Saline sonogram, bloodwork to check such levels as FsH, estradiol, TSH, Anti mullerian hormone level, and progesterone. When my husband and I decided to do IVF, Dr. Shahine set up a FET protocol for my IVF cycle, due to the potential of ovarian overstimulation. This included birth control pills, Ganirelix, Gonal F, minced dose HCG, and Progesterone in Oil injections.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle Call)
During our IVF cycle our primary nurse was very responsive, compassionate, and helpful. I felt very supported, and never hesitated to reach out to ask questions. We are now back at the clinic, and though we now have a team of nurses assigned vs a primary nurse, I still feel the same. The nursing staff I have met thus far is very supportive, & quick to respond to emails.
Describe your experience with Pacific NW Fertility.
The clinic is very well run overall. Staff are respectful, kind, attentive, and prompt in returning emails and phone calls. I truly feel like the staff I communicate with knows my name, and I feel very comfortable reaching out with any questions.
Describe your experience with your monitoring appointments at Pacific NW Fertility.
Monitoring was scheduled when convenient with my schedule during the week. The appts on the weekend are scheduled in time order, which makes it less convenient, but not beyond reason.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
Costs were given upfront and conveyed very clearly. There were no hidden costs.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Dr Shahine recommended a single embryo transfer, which we agreed with. We also appreciated her recommendation to do PGS testing on our day 5 embryos to essentially up our odds of success with the single embryo transfer approach.
9
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
9
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Successful
10
10
Age 25
Fertility Medications
Recurrent Pregnancy Loss
Other
European
Income $0 - $49K
Nurse or HC Services
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Shahine took the time to talk with me one on one. When she did, she praised me for taking charge of my health and also made sure I knew that my miscarriages were not my fault.... Dr. Shahine recommenced a 3D ultrasound to evaluate the shape of my uterus and check for a septum. When the results came back inconclusive she recommended a hysteroscopy to get a direct look and to diagnose/treat any abnormalities that may be causing my recurrent pregnancy loss.
The clinic [Pacific NW Fertility] is always running on time, they are very friendly, and they have the capability to draw labs, and do ultrasounds and other procedures on site. The rooms are private and not super clinical which is nice.... The nursing staff is very kind. I was very nervous at my first appointment and they took time to comfort me and show me compassion....The clinic was upfront with costs associated with things if you didn’t have insurance coverage and provided cost sheets when requested for hysteroscopy, IVF, IUI, etc.
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine was so kind throughout the process. My initial meeting with her was great, she quickly coordinated the care that I needed to receive. When she sensed my hesitancy when we were discussing surgery, she assured me she wouldn’t do anything that she didn’t need to to, and that’s she wasn’t a surgical cowboy. This meant a lot to me because I’ve had anxiety regarding recovery time. When my surgery had to be cancelled last minute (day of surgery), she personally called me to discuss why and apologize, and offered to write a letter for work and got me rescheduled ASAP.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
I would simply tell them to pick Dr. Shahine.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine took the time to talk with me one on one. When she did, she praised me for taking charge of my health and also made sure I knew that my miscarriages were not my fault.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
Dr. Shahine recommenced a 3D ultrasound to evaluate the shape of my uterus and check for a septum. When the results came back inconclusive she recommended a hysteroscopy to get a direct look and to diagnose/treat any abnormalities that may be causing my recurrent pregnancy loss.
Describe your experience with the nursing staff at Pacific NW Fertility.
The nursing staff is very kind. I was very nervous at my first appointment and they took time to comfort me and show me compassion.
Describe your experience with Pacific NW Fertility.
The clinic is always running on time, they are very friendly, and they have the capability to draw labs, and do ultrasounds and other procedures on site. The rooms are private and not super clinical which is nice.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
All of my care was covered under my insurance as pre-conception screening or screening for abnormalities. I did not have any “infertility” related billing. The clinic was upfront with costs associated with things if you didn’t have insurance coverage and provided cost sheets when requested for hysteroscopy, IVF, IUI, etc.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Not applicable
10
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unknown Success
9
9
Age 32 - 33
4 IUI
Diminished Ovarian Reserve
Endometriosis
Male Factor
Poor Egg Quality
Tubal Blockage
Recurrent Pregnancy Loss
European
Income $100K - $199K
3rd of 3 Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr Shahine was always prepared for our meetings. ...Due to DOR, age, family goals, and history of repeat pregnancy loses she gave us timeline of ~6 months to try this intervention if we had the energy for it and then suggested we move onto IVF. IVF would allow us best chance of success and also allow us to test for chromosomal abnormalities to dec risk of repeat miscarriage. ...
Their office [Pacific NW Fertility] can be difficult to find your first time or two to the clinic as signage is poor in the towers so it is tricky if you can't remember what floor to go to and what tower you should be in. ... Primary nurse, Michelle was organized with timelines and calendars of appointments, lab work, etc. ... There office staff is always very professional. All appointments have been on time. The office is always very clean.
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr Shahine was always prepared for our meetings. What sets her apart from other physicians, is that she engaged both my husband and I in the conversation. This helped her to gauge our individual personalities, emotions, and learning styles in order to know how to best present information to us which often meant in 2 various styles - 1 that worked better for my husband, and one that worked better for me. Dr Shahine quickly read that I needed to process information in an evidence based method. She presented me with the most incredible resource (a book she authored on miscarriage and repeat pregnancy loss) and was able to factually support her decision making process. I have had repeat pregnancy loses and was seen by more provider than I can count. Other providers would dance around my questions regarding miscarriage whereas Dr Shahine was genuinely empathetic but provided me with evidence based research for what things may be linked to miscarriage. This helped my brain process information and felt like I had some control. The control to me was knowledge. I am the person that needs to know the "but why", and she always delivered the answers.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Write down all your questions in advance of your meeting with her. She will notice your list of questions and allow you time to ask every question you have.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr Shahine always is very warm in her welcome. She genuinely listens to your concerns and shares in your heartbreak without rushing you or showing signs of being uncomfortable. She allows you to process and talk through your emotions which I believe helped her guide her decision making process with us. When asking to share her reasons in her decision making process she presents pros and cons and always cites examples we have given in relation to our "feelings".
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
Dr Lora Shahine took over my care after other physicians left the practice thus I was already on a regimented protocol that she agreed with so we did not need to make any adjustments. At that time I was taking Femera on days 3-7 of my cycle, with ultrasound monitoring appointments to ensure the mature eggs where on the side in which my Fallopian tube was not blocked to ensure best change at success, when the follicle measured the correct size I would have a trigger injection with IUI within 36 hours. Due to DOR, age, family goals, and history of repeat pregnancy loses she gave us timeline of ~6 months to try this intervention if we had the energy for it and then suggested we move onto IVF. IVF would allow us best chance of success and also allow us to test for chromosomal abnormalities to dec risk of repeat miscarriage.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle)
Primary nurse, Michelle was organized with timelines and calendars of appointments, lab work, etc. They recently moved to a model to have a "care team" which they believe allows for improved communication time. I have not been as impressed with others on the care team as they do not seem to be as informed on my particular case and give insufficient answers to my questions (they do not address all questions asked) and often contradict what the primary nurse and MD's plan was which makes it frustrating. I feel most confident when Michelle answers my questions. I also have never met the other care providers so I believe without a face to face meeting they may treat me more as a number vs human
Describe your experience with Pacific NW Fertility.
They are open 7 days a week. The first appointment may take a while to get however once you are an established patient it is very easy to make appointments when needed. There office staff is always very professional. All appointments have been on time. The office is always very clean. Their office can be difficult to find your first time or two to the clinic as signage is poor in the towers so it is tricky if you can't remember what floor to go to and what tower you should be in.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
My insurance does cover some expenses however many things, especially medications are cash pay only despite insurance saying they cover fertility benefits.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We have not yet fully discussed this with MD thus can not provide information on this at this time.
9
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
9
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unknown Success
10
10
Age 30 - 31
5 IUI
PCOS
Unexplained
Other
Latinx
Other
Income $50K - $99K
Operations
4th of 4 Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr Broughton has been very understanding and very caring about our situation and what we have went through. She is finding answers for us. She is very knowledgeable and very educated. I love that she has a very extensive background with the female body. I trust her completely. She takes the time to let me talk and answers al my questions. ...
I love that they have a lab in clinic so if doctor wants to order something while we are there they can get it done ASAP. ... They do there best to help with billing insurance for things that are infertility and not infertility related. ... The nurses are amazing. Amber has mostly been my nurse since I started going to PNWF she has always been amazing at responding to my emails and phone calls. Which I wrote and call a lot because I am from out of town and we travel back and forth.
How was your experience with Darcy Broughton at Pacific NW Fertility?
Dr Broughton has been very understanding and very caring about our situation and what we have went through. She is finding answers for us. She is very knowledgeable and very educated. I love that she has a very extensive background with the female body. I trust her completely. She takes the time to let me talk and answers al my questions.
What's one piece of advice would you give a prospective patient of Darcy Broughton at Pacific NW Fertility?
You are in good hands! Trust the process and the journey.
During treatment, were you treated like a number or a human with Darcy Broughton at Pacific NW Fertility?
When D.r Swelstad left the clinic we were sad we liked him. We got pregnant with our son and lost him at 18weeks. Dr Broughton became our new doctor she is so smart and knowledgeable she was very sweet understanding and determined for us. We appreciate her.
Describe the protocols Darcy Broughton used in your cycles at Pacific NW Fertility and their degree of success.
Dr Broughton took the time to go through our whole history with us and each round we went through step by step. We did a round with her and she kept track of my body and how it was reacting. She noticed my lining was thick so she suggested we do a sis procedure and sure enough we found a polyp that was keeping my lining so thick. So we did a hysteroscopy and now we are waiting for Aunt Flo to show up so we can start another round of iui with trigger Letrozole and follistim. She also adjusted the meds and amounts daily. We are very hopeful.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Amber)
The nurses are amazing. Amber has mostly been my nurse since I started going to PNWF she has always been amazing at responding to my emails and phone calls. Which I wrote and call a lot because I am from out of town and we travel back and forth. Amber has been very supportive from the time we first started to when she got to call us and tell us we were pregnant to finding out we lost our son.
Describe your experience with Pacific NW Fertility.
I wish they would open a clinic in Yakima or somewhere closer to me! I love that they have a lab in clinic so if doctor wants to order something while we are there they can get it done ASAP. To a new patient I would say you are in good hands. They are amazing.
Describe the costs associated with your care under Darcy Broughton at Pacific NW Fertility.
They do there best to help with billing insurance for things that are infertility and not infertility related. My insurance covers nothing with infertility so when we do my hsg or my sis procedure or my hysteroscopy all of those things get covered by insurance because they are not infertility and labs. So every little thing helps!
10
Doctor
Darcy Broughton
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
2017 - 2019, Successful
10
10
Age 38 - 40
IVF
2 Egg Freezing
2 Embryo Freezing
Donor Sperm
Diminished Ovarian Reserve
European
Income $100K - $199K
Graphic Designer
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
She [Dr. Julie Lamb] took the time to talk to me and really listened. She went out of her way to help me fulfill my dream of being pregnant by Christmas. She also celebrated small wins along the way. And for times when my numbers weren’t great she stayed optimistic yet realistic. She was positive and caring...has a very sunshiny demeanor. She is very intelligent and treated me with respect, taking the time to explain everything. She let me direct things and helped guide decisions that were right for me. She was the perfect blend of candid and caring. She made a scary process almost fun. She even held my hand before each egg retrieval as I went to sleep.
She [nurse at Pacific NW Fertility] was SO ORGANIZED and took a lot of stress out of the process. She also taught me to do injections and made me feel like a pro...I paid about $15000 per round... They work with you financially. You get personal treatment. You feel like a human. The main blood draw person is so good at it too. The front desk people are fast and have it together...First round went better than expected with 8 eggs and 4 embryos but only one passed the genetic screening.
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr Lamb has a very sunshiny demeanor. She is very intelligent and treated me with respect, taking the time to explain everything. She let me direct things and helped guide decisions that were right for me. She was the perfect blend of candid and caring. She made a scary process almost fun. She even held my hand before each egg retrieval as I went to sleep.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Schedule in advance because she books up fast!
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
She took the time to talk to me and really listened. She went out of her way to help me fulfill my dream of being pregnant by Christmas. She also celebrated small wins along the way. And for times when my numbers weren’t great she stayed optimistic yet realistic. She was positive and caring.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I ended up with a very low AMH so she said to plan for 3-4 IVF cycles which was more than I had originally anticipated. I wanted to freeze some embryos and some eggs. First round went better than expected with 8 eggs and 4 embryos but only one passed the genetic screening. Next round we kept the same plan and I got one more healthy embryo. We decided to do a couple more rounds for eggs - I was using a friend sperm donor and didn’t know if I would have a husband in the future. I froze 11 eggs. We decided to try a FET for one embryo and if it didn’t work I would do another round of IVF but it worked and I got my Christmas miracle. She even came out to the waiting room to give me a hug when I was there for the blood test to confirm pregnancy.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle Call)
Danielle was the best nurse I have ever had. She was SO ORGANIZED and took a lot of stress out of the process. She also taught me to do injections and made me feel like a pro. She was so encouraging, caring, and positive. Also smart and knowledgeable. Nursing perfection.
Describe your experience with Pacific NW Fertility.
They are great. Detail oriented. They work with you financially. You get personal treatment. You feel like a human. The main blood draw person is so good at it too. The front desk people are fast and have it together.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
I paid about $15000 per round
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
I knew I only wanted her to put one in. I had already genetically tested them. She recommended the same so it wasn’t even much of a discussion.
10
Doctor
Julie Lamb
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unsuccessful
8
8
Age 32
4 IUI
Diminished Ovarian Reserve
Endometriosis
Male Factor
Unexplained
Other
European
Income $100K - $199K
2nd of 3 Docs
Neutral
Neutral
Unsuccessful
I was only able to meet Dr Swelstad once before he left the practice I saw him at. Because I was a new patient to him and he was in transition to move out of state to a different practice, I feel he had several things to juggle. I believe he couldn't be as concrete with his suggested plan/approach with IVF as he knew we would have to go through in a change of provider very soon.
Appointments are always on time, you can call 7 days a week, prompt replies from nursing team via email, and large(r) practice thus I believe they do a good job of staying current with evidence based practice to optimize pt outcomes. They [Pacific NW Fertility] also have many resources for fertility exercise classes, acupuncture, counseling etc. Only downside is this supplemental care is not reviewed with the provider
How was your experience with Brad Swelstad at Pacific NW Fertility?
I was only able to meet Dr Swelstad once before he left the practice I saw him at. Because I was a new patient to him and he was in transition to move out of state to a different practice, I feel he had several things to juggle. I believe he couldn't be as concrete with his suggested plan/approach with IVF as he knew we would have to go through in a change of provider very soon. The next provider may have a very different plan to his which could introduce doubt. He went the safest route with disseminating information to us.
What's one piece of advice would you give a prospective patient of Brad Swelstad at Pacific NW Fertility?
Ask clarifying questions about exact timelines for your specific scenario.
During treatment, were you treated like a number or a human with Brad Swelstad at Pacific NW Fertility?
My impression of Dr Swelstad may not be reflective of his normal care. I was transferred onto his caseload and ended up having a consultation with him just before he left that practice. I am sure he was pressured to continue seeing new patients up until he left due to clinic demands and shortage of providers so I can not fault him. In a perfect world I wish the clinic would have informed me he would be leaving the practice soon and allowed me to either keep the apt with him or wait to get in with another provider.
Describe the protocols Brad Swelstad used in your cycles at Pacific NW Fertility and their degree of success.
Interventions were previously established by another provider thus we did not change anything. We did discuss IVF as an option however did not review when we should consider this route more seriously.
Describe your experience with the nursing staff at Pacific NW Fertility.
I can not recall who my nursing team was while under care of Dr. Swelstad as I was only with him for one visit thus I communicated with previous MD's nursing team (at same clinic) since they were familiar with my case/care.
Describe your experience with Pacific NW Fertility.
Overall this clinic is excellent. Appointments are always on time, you can call 7 days a week, prompt replies from nursing team via email, and large(r) practice thus I believe they do a good job of staying current with evidence based practice to optimize pt outcomes. They also have many resources for fertility exercise classes, acupuncture, counseling etc. Only downside is this supplemental care is not reviewed with the provider. Pamphlets are nicely displayed and you have to specifically ask for details if you want further information.
Describe the costs associated with your care under Brad Swelstad at Pacific NW Fertility.
Visit was covered as I met my deductible for the year.
Describe Brad Swelstad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We did not review this in detail.
What specific things went wrong at Pacific NW Fertility?
  • Failed to order appropriate test
Describe the specific things that went wrong at Pacific NW Fertility.
One provider discussed getting a number of labs drawn and forgot to include AMH on the orders (we verbally discussed this). This was not identified until 1 year later when another provider was reviewing results and surprised to see this was missed.
8
Doctor
Brad Swelstad
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
8
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unknown Success
9
10
Age 34
1 IVF
1 Embryo Freezing
Endometriosis
European
Income $100K - $199K
Operations
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
She [Dr. Marshall] is very straight forward but not too blunt. When talking about my chances being lower than others because of low egg count she talked us through specific number examples and let us throw in hypothetical questions. She set the expectations really well in our very first appointment so we have felt like we've been "on track" because it's working out to match what she set us up for - it's not ideal (of course I wish it was way easier) but she's been really good about knowing what we can expect.
I was able to talk to someone at the clinic [Pacific NW Fertility] whenever I needed to. My nurse took my calls and emails every day - even when I repeated myself and she didn't make me feel like I was bothering her. ...The clinic has been great. The hours work well - during a cycle you get appointments around 8 and 8:30 on the weekdays. The Saturday/Sunday appointments are all morning appointments.
How was your experience with Lorna Marshall at Pacific NW Fertility?
She is very straight forward but not too blunt. When talking about my chances being lower than others because of low egg count she talked us through specific number examples and let us throw in hypothetical questions. She set the expectations really well in our very first appointment so we have felt like we've been "on track" because it's working out to match what she set us up for - it's not ideal (of course I wish it was way easier) but she's been really good about knowing what we can expect.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Don't be afraid to ask your questions. She is so smart and it could be intimidating to ask what might feel like a dumb question but she's actually very patient with the crazy things I've asked her. It's ok to keep asking why - she'll answer when she can and be honest when there is no explanation for a specific result.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
I was able to talk to someone at the clinic whenever I needed to. My nurse took my calls and emails every day - even when I repeated myself and she didn't make me feel like I was bothering her. She let me express my worry and explained the process as many times as I wanted to hear it very kindly.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
My first IVF cycle was with hcg (20 units) and folistim (450 units). The folistim is at the highest dose because I have very few eggs for someone my age. We started a day earlier than planned and retrieved a day earlier than predicted. I stayed at those dosages the whole cycle and the trigger was planned when the largest follicle was at about 19 mm. Early on she let me know it would be best to do retrievals now if I want to plan for more than one child because my egg count is so low so we are starting a second cycle now.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily)
The staff at this clinic has treated me so well since our first appointment - they are actually the reason I was even open to the idea of IVF. Before meeting them I had imagined it to be too difficult and painful for me to take on. After our first appointment I felt I was in good hands and they were already reassuring me that I could do this. Emily my nurse and coordinator is the best support I could ask for. She has been so kind and patient and available during what has been the biggest challenge of my life. I can't imagine doing this all without Emily. I can't recommend her enough.
Describe your experience with Pacific NW Fertility.
The clinic has been great. The hours work well - during a cycle you get appointments around 8 and 8:30 on the weekdays. The Saturday/Sunday appointments are all morning appointments. They have wifi in the lobby so when I've had to wait for results I was able to stay busy. Everyone on the phone and in person is kind and understanding.
9
Doctor
Lorna Marshall
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unknown Success
9
10
Age 37
1 IUI
2 IVF
PCOS
European
Income $200K - $499K
Entrepreneur
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
[Dr. Lamb's] schedule books quickly, and I did not see her on the majority of my visits or my egg retrieval...I'm 37 and had one prior egg retrieval that only resulted in 5 eggs, so we did BCP agonist, a higher dose of Gonal-F with the addition of mini HCG, and a HCG trigger. I generally have a high amount of follicles but my eggs need more to mature, and this seemed to do the trick.
This clinic [Pacific NW Fertility] has a rule that for PGS embryos, they will only transfer one single. I'm not sure of the policy on non-tested embryos, since we did not go that route...So far, we've had nothing bad to report. We've had no unexpected charges, and the lab and front desk have always been great. I particularly liked my nurse anesthetist, who really put me at ease during the actual egg retrieval.
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb has been very compassionate and really clearly explained every step of the procedure, as well as the studies behind certain options that make her recommend or not recommend them. She seems incredibly up to date on the latest science.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Her schedule books quickly, and I did not see her on the majority of my visits or my egg retrieval, so you might want to plan that out ahead of time. However, all of the doctors or NPs I saw were great.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb consistently takes the time to talk to me about my emotional state in addition to what's actually happening with treatment.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I'm 37 and had one prior egg retrieval that only resulted in 5 eggs, so we did BCP agonist, a higher dose of Gonal-F with the addition of mini HCG, and a HCG trigger. I generally have a high amount of follicles but my eggs need more to mature, and this seemed to do the trick.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Clare Hatch)
I ADORE my nurse coordinator, who has been helpful and easy to access via email whenever I have any questions. The staff is also exceptionally good at preparing you for what's to come.
Describe your experience with Pacific NW Fertility.
So far, we've had nothing bad to report. We've had no unexpected charges, and the lab and front desk have always been great. I particularly liked my nurse anesthetist, who really put me at ease during the actual egg retrieval.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
We went through insurance, so we were only out of pocket about $3000 for genetic testing. I believe the total billed to insurance was something like $18k.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
This clinic has a rule that for PGS embryos, they will only transfer one single. I'm not sure of the policy on non-tested embryos, since we did not go that route.
9
Doctor
Julie Lamb
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unknown Success
8
6
Age 31
4 IUI
Recurrent Pregnancy Loss
East Asian
Income $100K - $199K
Nurse or HC Services
2nd of 2 Docs
Neutral
Doesn't Recommend
Success w/ Doc Too early to know
Dr. Shahine considered all my previous testing and medical files from my previous RE and fully reviewed everything before we came in for our consult. I felt that she really took her time to familiarize herself with our case and that means a lot. She had so much compassion and approached our current situation with kindness.... She suggested we change the dosage on some meds due to those complications. This clinic also times the IUIs differently than my last clinic to be anytime on the day after trigger shot instead of a set 36hrs after trigger like my previous clinic's IUIs.
PNWF is a much larger clinic than my previous clinic. There are many doctors on staff here and most of your appointments are handled by the nurses. As a new patient, you'll most likely not meet with your doctor right away. You meet with a nurse first and do any testing required first. (i.e.: RPL bloodwork) Then you will see Dr. Shahine to review those results at a later time. So it may take you several weeks to get in for the first appointment with the nurse and then several more weeks after that to actually meet with your Dr.
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine is a very active person in the field of fertility medicine. She is very active on her social media Instagram to help raise awareness for infertility including available grants and support groups. She is also a specialist for recurrent pregnancy loss and an author. The reason why I seeked her out for a second opinion on my recurrent pregnancy loss was to gain some new insights on why I've miscarried two babies already in the last two and a half years. So far, I'm not sure I've learned anything new, that I haven't heard from my previous RE. To be honest, I did not expect her to have the magic pill that would fix RPL, but maybe we'll learn more as our treatment at this new clinic moves forward.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Dr. Shahine is good about making sure you have your questions answered. She is also reassuring and encouraging. I say this about any Dr or situation, to be your own advocate and bring those hard questions to them.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine considered all my previous testing and medical files from my previous RE and fully reviewed everything before we came in for our consult. I felt that she really took her time to familiarize herself with our case and that means a lot. She had so much compassion and approached our current situation with kindness.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
After reviewing and discussing our last IUI treatments with our first RE, she noticed the dosage of the fertility meds and some complications I had. She suggested we change the dosage on some meds due to those complications. This clinic also times the IUIs differently than my last clinic to be anytime on the day after trigger shot instead of a set 36hrs after trigger like my previous clinic's IUIs.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle Peterson)
Communication at this clinic is mainly with your nurse coordinator or the front office relaying your phone calls and scheduling your next appointments. No portal message system but you can email your coordinator directly. So far they do call back within reasonable time. It does seem as though, when your taking to a nurse who is not your set coordinator, there is some mix ups and misunderstandings.
Describe your experience with Pacific NW Fertility.
PNWF is a much larger clinic than my previous clinic. There are many doctors on staff here and most of your appointments are handled by the nurses. As a new patient, you'll most likely not meet with your doctor right away. You meet with a nurse first and do any testing required first. (i.e.: RPL bloodwork) Then you will see Dr. Shahine to review those results at a later time. So it may take you several weeks to get in for the first appointment with the nurse and then several more weeks after that to actually meet with your Dr.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
Medications for a hybrid oral/injection cycle ran about $440 and the IUI and sperm prep were covered at 80% by our insurance.
What specific things went wrong at Pacific NW Fertility?
  • Provided conflicting information
Describe the specific things that went wrong at Pacific NW Fertility.
Communicating with a nurse who is not your own nurse coordinator may inform you with conflicting information regarding your treatment. Which is what happened when I asked about getting a specific prescription filled by a certain time, and was told I wouldn't be taking it on a day that I actually was scheduled to start taking it.
8
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
6
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unknown Success
8
10
Age 31
1 IVF
Male Factor
Tubal Blockage
European
Income $100K - $199K
Only Doc Seen
Neutral
Strongly Recommends
Success w/ Doc Too early to know
Dr. Lamb has always been a candid and proactive part of my treatment. My partner and I came to the clinic with some complicated issues, so we are still undergoing treatment and discussing potential future treatments. I appreciated Dr. Lamb's personalized approach to my care, and I know that she truly wants us to leave the clinic with a baby.... I shared my ideas for potential protocol changes, and Dr. Lamb always explained to me why those changes would be good or bad with evidence to back up her answers. Don't be afraid to play an active role in your care and approach IVF as a team process.
I always feel like a human at Pacific Northwest Fertility. Everyone knows me by name and offers a kind word or a greeting when they see me.... The nursing staff is extremely busy, so it does take 24-48 hours to receive a response. I recommend sending all questions at once, rather than spacing them out over several e-mails and phone calls. The nursing staff is knowledgeable and professional, even when faced with the tough task of sharing bad news with the patient.
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb has always been a candid and proactive part of my treatment. My partner and I came to the clinic with some complicated issues, so we are still undergoing treatment and discussing potential future treatments. I appreciated Dr. Lamb's personalized approach to my care, and I know that she truly wants us to leave the clinic with a baby. It's just a matter of finding the right path to get there. Dr. Lamb has been patient with my severe anxiety, and I appreciate her direct and scientific answers to my questions. I am very happy with my experience as a patient.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Don't be afraid to ask questions and ask for more explanations. I shared my ideas for potential protocol changes, and Dr. Lamb always explained to me why those changes would be good or bad with evidence to back up her answers. Don't be afraid to play an active role in your care and approach IVF as a team process.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
I always feel like a human at Pacific Northwest Fertility. Everyone knows me by name and offers a kind word or a greeting when they see me. I definitely do not feel like a stranger coming into the clinic as just another number. The nurses and front desk staff are all incredibly warm and caring.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
We used a higher dose of Follistim during cycling and triggered with HCG. All of my eggs produced were mature, but we didn't get as many healthy embryos as expected. We used IVF + ICSI. We are in the process of troubleshooting our approach for our next cycle since we are dealing with severe male factor infertility and less eggs making it to blast.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Clare Hatch)
The nursing staff is extremely busy, so it does take 24-48 hours to receive a response. I recommend sending all questions at once, rather than spacing them out over several e-mails and phone calls. The nursing staff is knowledgeable and professional, even when faced with the tough task of sharing bad news with the patient.
Describe your experience with Pacific NW Fertility.
This clinic is clean, professional, and warm. It was important for me to choose a clinic where I felt personally cared about. (I toured other clinics in the Seattle area that left me feeling like a number.) I never waited more than ten minutes for an appointment, and I was quite often seen early upon arrival. My monitoring appointments were a breeze and the clinic was running like a machine to move me through each step. Although this isn't what I planned for my life, I am happy to say that I feel like PNWF is my family.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
The cost for a full cycle was approximately $18,000. This doesn't include medications and optional PGS testing.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Dr. Lamb prefers eSET/pursuing one healthy singleton pregnancy at a time.
8
Doctor
Julie Lamb
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018, Successful
10
10
Age 27
1 IVF
1 Egg Freezing
Recurrent Pregnancy Loss
Other
Income $100K - $199K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Doctor Shahine is very sympathetic to fertility struggles. Especially miscarriages. It doesn’t feel like you are a statistic or a dollar sign- she really does want to help you emotionally as well as physically to get results you want.... In my case I have a “balanced translocation” a condition with my chromosomes that can be passed down to my eggs that lead to miscarriages. Since a large number of my eggs would not result in a viable pregnancy, Doctor Shahine told me we would be more aggressive with the egg retrieval medication.
The clinic [Pacific NW Fertility] is always clean and has a relaxing atmosphere. I’ve been seen in a timely manor and everyone I’ve come in contact with has been very kind and helpful. Getting to the office can be confusing the first time. The office is good about giving you instructions beforehand how to get there. You will have to pay for parking ($8) each appointment, that is a downside, however for good treatment it is worth it.
How was your experience with Lora Shahine at Pacific NW Fertility?
Doctor Shahine is really good at giving you all the options and staying neutral to allow you to make the best decision for you. However if you ask her “what would you do if you were in my situation?” She will give you an honest answer and list the reasons why. Which I appreciate. Doctor Shahine is really good at explaining treatment procedures and keeping you informed of what needs to happen.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
You can never ask too many questions. Do some research on each treatment beforehand and come in with some questions written down.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Doctor Shahine is very sympathetic to fertility struggles. Especially miscarriages. It doesn’t feel like you are a statistic or a dollar sign- she really does want to help you emotionally as well as physically to get results you want.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
In my case I have a “balanced translocation” a condition with my chromosomes that can be passed down to my eggs that lead to miscarriages. Since a large number of my eggs would not result in a viable pregnancy, Doctor Shahine told me we would be more aggressive with the egg retrieval medication. That way we’d have better odds of getting a “good egg.” The results were effective as we ended up with one embryo to transfer.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Tara)
I don’t know how she manages to do this for every patient, but Tara is SO organized and quick to respond to any questions you have. She is sincere while being professional. She is fantastic at explaining procedures and giving you instructions on how to administer medication.
Describe your experience with Pacific NW Fertility.
The clinic is always clean and has a relaxing atmosphere. I’ve been seen in a timely manor and everyone I’ve come in contact with has been very kind and helpful. Getting to the office can be confusing the first time. The office is good about giving you instructions beforehand how to get there. You will have to pay for parking ($8) each appointment, that is a downside, however for good treatment it is worth it.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
A large portion of our treatment was covered by insurance. Treatment costs included egg retrieval, kearotype testing, fertility medication, PGD and PGS testing.
10
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018, Successful
10
10
Age 34
3 IUI
1 IVF
European
Income $100K - $199K
Nurse or HC Services
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
From the first time I met her [Dr. Lora Shahine] I felt so comfortable. You can tell she genuinely cares for her patients, getting to the cause of your fertility problems and coming up with an individual care plan to help achieve your end goal. I feel welcomed and listened to each time I’m with her and her clinical team...has a sweet demeanor, has great bedside manor and is very to the point. She is great at listening and answering every question I present. I began seeing her after my previous RE retired within the practice. The transition was seemless and I am so pleased with the attention to detail and protocol she has put in place for me.
[The nurses at Pacific NW Fertility were] Very attentive and thorough in answering my questions and in a timely matter...Front office staff hasn’t been calling to remind me of my upcoming appointments. Also, I have had a few issues with the billing department. Make sure you take notes and review billing statements. Thankfully I am very organized. Everyone is very friendly. The clinic is clean. And I’m always brought back on time or if not they have communicated with me. I appreciate that.
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine has a sweet demeanor, has great bedside manor and is very to the point. She is great at listening and answering every question I present. I began seeing her after my previous RE retired within the practice. The transition was seemless and I am so pleased with the attention to detail and protocol she has put in place for me.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Initially starting with a fertility consult can be very scary and intimidating and although she wasn’t my initial Dr on this journey I had to start over with a new protocol with her and I was immediately heard and cared for. She is relatable and incredibly knowledgeable. She is every active in the community, an author and advocate. Overall a great physician!
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
From the first time I met her I felt so comfortable. You can tell she genuinely cares for her patients, getting to the cause of your fertility problems and coming up with an individual care plan to help achieve your end goal. I feel welcomed and listened to each time I’m with her and her clinical team.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
Dr. Shahine has set up a FET protocol for my which included birth control pills, a saline sonogram, Lupron, Estrogen patches and Progesterone in Oil injections. Lupron was part of my protocol due to the suspicion of endometriosis.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily Gray)
Very attentive and thorough in answering my questions and in a timely matter
Describe your experience with Pacific NW Fertility.
Front office staff hasn’t been calling to remind me of my upcoming appointments. Also, I have had a few issues with the billing department. Make sure you take notes and review billing statements. Thankfully I am very organized. Everyone is very friendly. The clinic is clean. And I’m always brought back on time or if not they have communicated with me. I appreciate that.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
I did get a sheet with the 2018 FET cost estimate. I don’t have the specifics on hand but with meds it was around $6,000 per transfer.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
All of the physicians with in the clinic agree that 1 healthy pregnancy at a time is best. Best for Mom and baby as a pregnancy with multiples run a higher chance of encountering risks. However, they will consider transferring 2 on a case by case basis.
10
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, Unknown Success
10
10
Age 35 - 36
6 IUI
Diminished Ovarian Reserve
Poor Egg Quality
European
Other
Income $50K - $99K
Nurse or HC Services
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Not sure
She [Dr. Shahine] does her homework about you prior so you don’t have to explain your story over and over. She is competent in her job, kind, compassionate, and direct. She really was amazing. She is willing to do what you want to do, or get you to the right people that you need. She works with outside facilities if you live outside the Seattle area.... She gave us the option of trying to do IVF with our own eggs but our chances of having a quality egg would be very low. If our end game was a healthy child she suggested we use donor eggs.
They [Pacific NW Fertility] were prompt returning emails and phone calls. They were all so kind especially for crazy people like me with all my questions. They truly are great people. They have a candy dish at the front desk. Chocolate really does calm nerves when you are so nervous to be in a place like that. Everyone has smiles on there faces. They make you feel human... We got quotes for both and outside monitor IVF with and with PGS and quotes for outside monitoring donor cycles. Costs ranged from 22,000ish to 40,000 ish with and without medications
How was your experience with Lora Shahine at Pacific NW Fertility?
She does her homework about you prior so you don’t have to explain your story over and over. She is competent in her job, kind, compassionate, and direct. She really was amazing. She is willing to do what you want to do, or get you to the right people that you need. She works with outside facilities if you live outside the Seattle area.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
You will love her. She is so kind, so caring. She is educated, direct and compassionate. She is prepared for your visit and treats you with respect and explains everything fully.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
She is so kind but explains everything very well. She gets to the point but has compassion. She knew about us and didn’t have to look through a chart while she talked. She did her homework. She is amazing
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
She gave us the option of trying to do IVF with our own eggs but our chances of having a quality egg would be very low. If our end game was a healthy child she suggested we use donor eggs. But she wanted to make sure whatever choice we made she would go 100% toward that choice and do everything she could to make our dream come true
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Can’t remember her name)
The whole office was kind, welcoming and caring. The office was brightly lit wh big windows overlooking downtown seattle
Describe your experience with Pacific NW Fertility.
They were prompt returning emails and phone calls. They were all so kind especially for crazy people like me with all my questions. They truly are great people. They have a candy dish at the front desk. Chocolate really does calm nerves when you are so nervous to be in a place like that. Everyone has smiles on there faces. They make you feel human
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
We got quotes for both and outside monitor IVF with and with PGS and quotes for outside monitoring donor cycles. Costs ranged from 22,000ish to 40,000 ish with and without medications
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
I understand the single versus multiple egg transfer. Dr Shahine’s clinic promoted single egg high quality transfer. The thought of multiples scared us so that eased our minds.
10
Doctor
Lora Shahine
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
LGBTQ
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, Unsuccessful
10
9
Age 39 - 40
6 IUI
Donor Sperm
European
Income $200K - $499K
Doctor
Only Doc Seen
LGBTQ
Strongly Recommends
Strongly Recommends
Unsuccessful
Dr Lamb has always been very forth-coming with the level of detail we were looking for in terms of understanding the science of what is (and is not) happening, AND she does it in a very compassionate and empathetic manner.... We really felt like to only patients in the clinic when she was sitting in front of us—she was never rushing off to another clinic appointment, never seemed annoyed by our questions—even when we had a half dozen of them!
Front desk staff [Pacific NW Fertility] is friendly, compassionate, and very responsive—both when we are standing in front of them and on the phone. The andrology lab seems to run really smoothly. When we come in for procedures, the rooms are prepared appropriately.... One prescription wasn’t called into our pharmacy in the timeframe we had expected. When we brought it to the clinic’s attention, the situation was immediately remedied.
How was your experience with Julie Lamb at Pacific NW Fertility?
We initially chose to see Dr Lamb (as opposed to the another clinic provider) because her bio on the clinic website seemed like the best initial fit. As a lesbian couple who (initially) was “only needing IUI,” we were worried about feeling like “less of a priority” because we weren’t seeking IVF or something else complicated. But from our very first visit with Dr Lamb, it felt very clear that she was going to dedicate whatever time and attention our treatment plan required. We really felt like to only patients in the clinic when she was sitting in front of us—she was never rushing off to another clinic appointment, never seemed annoyed by our questions—even when we had a half dozen of them! She has always been very compassionate in her demeanor and is easy to talk to about very intimate details of our lives.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Don’t be afraid to ask the “hard questions” that you really want answers to or are wondering about — it might be scary to hear the answer, but hearing it from Dr Lamb really does make it a little easier!
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr Lamb has always been very forth-coming with the level of detail we were looking for in terms of understanding the science of what is (and is not) happening, AND she does it in a very compassionate and empathetic manner. She reads people (at least she reads us!) very well, and seems to truly understand that even when we are struggling to understand the science, we are still in the midst of a very emotional process. She responds to our emotional display in slowing down a bit, asking if we need a break, etc—but never witholding or “sugar-coating” the information we are seeking.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
We started with a very basic protocol because all labs, u/s, and hysterosalpingogram were normal. For our first 5 cycles, I took letrozole days 3-7, had a day 12 u/s, then timed ovulation trigger based on u/s results. For the 6th cycle, we tried a ten-day course of letrozole, but because of thin ing of the uterine lining, we didn’t continue that in cycle 7. Cycle 7 we did letrozole days 3-7 + injectables, with day 12 u/s. We used letrozole instead of clinic per Dr Lamb’s recommendation to lower the risk of multiples.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle Peterson)
Ms Peterson was assigned to us a bit later in our treatment course—Dr Lamb’s primary medical assistant had had a couple of health-related leaves of absence, and while the clinic was trying to provide coverage, things just weren’t going as smoothly as we expected. When we raised this concern to Dr Lamb, she immediately asked Ms Peterson to follow-up and address our MA-RN related concerns. Tim’s Peterson exceeded our expectations for timely and thoughtful communication, and was clearly invested in preventing any further communication-related frustration.
Describe your experience with Pacific NW Fertility.
Front desk staff is friendly, compassionate, and very responsive—both when we are standing in front of them and on the phone. The andrology lab seems to run really smoothly. When we come in for procedures, the rooms are prepared appropriately. We don’t have much experience with the on-site lab for blood draws. The clinic seems to always be running on time, which is pretty amazing. There was only one occasion when they were about ten minutes behind schedule, and we were informed at check-in, and an MA came out to give us an updated timeline so we knew what to expect (again, for just a ten minute delay).
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
We were provided with a price sheet at the very first appointment, and while we did not expect our insurance to cover any of our fertility-related care, the clinic agreed to bill insurance prior to collecting payment from us. Our insurance ended up covering some components of the care, and it was super convenient to us that hey had been willing to bill.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
N/a
What specific things went wrong at Pacific NW Fertility?
  • Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Pacific NW Fertility.
One prescription wasn’t called into our pharmacy in the timeframe we had expected. When we brought it to the clinic’s attention, the situation was immediately remedied.
10
Doctor
Julie Lamb
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
9
Clinic
Pacific NW Fertility
Seattle
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources