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???

Maybe she and her team will take care of you if you were native or not asian people.

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.

50k+ for 2 cycles of IVF and a polyp remove operation

single transfer

She seems like a cheerleader initially when you see her online persona and in our first meeting with her. But in reality she was rough with us in some conversations and she knew we had just suffered a horrible tragedy. If we were anxious it was because of our circumstance, and I would hope a doctor would understand a patient’s anxiety in a tragedy and during a pandemic. She showed no such understanding.

The IVF advocate influencer personality she shows online is not what you’ll be getting.

She used birth control to get ahold of my cycle to begin. This resulted in fewer eggs than subsequent cycles with a different doctor. With Dr. Shahine’s cycle we only got 12 eggs and 1 mosaic at the end. My subsequent doctor was able to get 18-21 eggs with several cycles and some normal embryos. Dr. Shahine also told me I had diminished ovarian reserve with extremely low AMH. Subsequent cycles with another doctor showed normal range AMH and no indication of DRI.

We had fertility insurance.

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.

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)

Letrozole. Triggered basically the same time each month though my cycles are variable (and my current doctor does not).

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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.

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.

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.

Medications for a hybrid oral/injection cycle ran about $440 and the IUI and sperm prep were covered at 80% by our insurance.

Dr. Marshall was very calm and considerate whenever we met with her. She is very knowledgable and was patient with us even when we were frustrated that multiple IUI attempts had not worked. I have also heard great things about her from other patients that we have met during our journey. My two critiques are as follows: - Dr. Marshall (and PNW Fertility) was less than willing to stray from the normal playbook. Our case is atypical in that we were using donor sperm and we had no explanation why the IUIs hadn't worked to date. We asked about a laparoscopy to look for possible endometriosis, which she dismissed as too invasive and stated that she thought there was no reason to think my wife had that condition. We decided to move forward with the procedure anyway using my wife's OB-GYN, and they did indeed find endometriosis, which may have been an issue with the prior IUI attempts - At our last insemination, the RN asked if we had been taking in additional medication recommended by Dr. Marshall. These recommendations were in our file, but she had not actually told us anything about it.

Dr. Marshall is knowledgable and considerate, but as with everything in the infertility process, it is important to be your own advocate and make sure you communicate with her if you feel you need more testing or are seeking a different approach.

Multiple IUIs attempted with Dr. Marshall and RNs at PNWF. None were successful. After 5 attempts Dr. Marshall recommended proceeding directly to IVF.

IUI costs included the insemintation, as well as defrosting and testing of donor sperm. We were repeatedly charged for sperm analysis that as not done (since it was a donor). We have begun exploring IVF costs, and while they seem comparable to other clinics in the area, it is... excessive.

Lorna Marshall was technical and rather emotionally cold. She was pleasant enough to work with, superficially compassionate, and not very warm. She had a strange story about her parents taking 9 years to conceive her which was unhelpful given my age and situation. She provided information on the procedures and answered the questions we had as best she could. She was less than helpful in giving advice on next steps and directed us away from further examination of my partner's varicocele and potential varicocelectomy. She was helpful in not recommending IUIs with injectables to avoid possible multiples.

Be prepared that Lorna Marshall likely won't be very warm and emotionally supportive through the process.

Lorna Marshall recommended IUIs with letrozole. She had us come in for ultrasounds in advance of the IUI in order to check follicle count in advance of each IUI. She had us use an HCG trigger shot prior to the IUI. Each time, I developed 1-2 follicles on letrozole, but only ever got negative pregnancy tests.

We paid for 2-3 consultations with Dr. Marshall, the cost of letrozole and HCG trigger shot medications, the cost of ultrasounds/IUI/sperm washing procedures, and parking.

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Dr Lamb was friendly, but I think that she was overly optimistic in her diagnosis. Lots of unknowns along the fertility journey, but I think she could have been a bit more realistic.

Research two or three clinics before making a decision and spend time briefly interviewing each doctor before deciding which clinic to use.

I was 37 and took 75iu Menopur & 300iu Follistim. I had 11 (or 12?) eggs retrieved, 6 mature, 3 decent embryos on day 3. All three were implanted on day 3, resulted in chemical pregnancy.

Base price of $9,951.30 plus $400 for anesthesia, $2,000 for ICSI, $1,230 for embryo cryopreservation and $600 for blast culture for a total of $14,181.30. Plus medications.

Dr. Shahine clearly knows her stuff, and she’s wonderful to speak with about treatment options and everything that goes along with it. That said, as a patient, you primarily speak only with her nurses. She is not accessible to patients and, when dealing with infertility, that can be tough. Other than that, though, this doctor is optimistic, compassionate, intelligent, and definitely knows what she’s doing. Would definitely recommend overall.

Be prepared to ask ALL OF YOUR QUESTIONS when you see her because it’s unlikely that you’ll get another chance!

We tried one (failed) medicated IUI, although it turned out that even the trigger shot didn’t work. About to start our first IVF cycle!

All costs are out of pocket for us, so we’re about the hand over about $23k to the clinic plus $3k for meds.

She will inform you of statistics and her recommendation, but will ultimately let you make your own decision.

Dr. Shahine was not the doctor assigned to me. During my second IUI attempt she flat out said she didn't know what to do with me and asked if I had considered egg donors. She had not done any testing on me to find out if this was something I should consider. Needless to say it scared me very much. I left the clinic, had testing done at another clinic, learned I had a thyroid imbalance which was easily corrected and got pregnant immediately after.

Be careful and get a second opinion. From what I have heard she treats her own patients a lot better.

femara + IUI.

I do not remember the cost. I do know it was cheaper than other clinics.

She is clear in explaining her process, but there is little room for a patient to work with her on your plan of care. She is also quite defensive when questions are asked, as if she is offended. Overall, I felt pretty disheartened by our meeting together.

If you want to just have someone take the wheel, this is your doctor. If you want to explore options with a doctor, she is probably not the best fit. However, her nurses are incredible and you won't see her much, so it could be a good fit for some folx.

We did a consultation for IVF and she managed our IUI inseminations using Letrozole. She planned our IVF cycle with only PGS testing embryos. The clinic does not do, as far as I can tell, any fresh transfers.

It was about $300 for an IVF consultation, however IVF for one retrieval was quoted at just over 30K, with no discounts for self-pay clients. They also looked flabbergasted when we asked for an LGBTQ grants.