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
9.2
9.2
Nursing Team
Ratings of 1 indicate an unsatisfactory nursing team.
Ratings of 10 indicate an excellent nursing team.
LGBTQ Care
6
6
LGBTQ Care
Ratings of 1 indicate an unsatisfactory LGBTQ care.
Ratings of 10 indicate an excellent LGBTQ care.
Attention to Detail
8.5
8.5
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. This data represents the outcomes of IVF cycles when using a person's own eggs.
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.
[Dr. Stephanie Rothenberg] is so compassionate, kind, caring and she want to help you in your TTC journey. She cares about her patients and you can tell that right away when you meet her. She answers questions thoroughly so you know what to expect and she can tell if you’re unsure about something she says
Very knowledgeable Doctors at [Pacific NW Fertility]...A very warm environment and caring Nurses...you are not just a number you are a patient who gets treated with the utmost respect. They care about you and your partner...When doing the blood draw the nurse was compassionate and did an amazing job...Costs would be anywhere from $25,000-30,000
How was your experience with Stephanie Rothenberg at Pacific NW Fertility?
Wow, what to say about Dr. Rothenberg.... too many good things! She is so compassionate, kind, caring and she want to help you in your TTC journey. She cares about her patients and you can tell that right away when you meet her. She answers questions thoroughly so you know what to expect and she can tell if you’re unsure about something she says.
What's one piece of advice would you give a prospective patient of Stephanie Rothenberg at Pacific NW Fertility?
She may be new to the Clinic, but she comes with loads of knowledge and compassion!
During treatment, were you treated like a number or a human with Stephanie Rothenberg at Pacific NW Fertility?
At PNWFC you are not just a number you are a patient who gets treated with the utmost respect. They care about you and your partner.
Describe the protocols Stephanie Rothenberg used in your cycles at Pacific NW Fertility and their degree of success.
N/A at this time due to Covid
Describe your experience with the nursing staff at Pacific NW Fertility.
When doing the blood draw the nurse was compassionate and did an amazing job. No bruises and was not painful.
Describe your experience with Pacific NW Fertility.
Very knowledgeable Doctors at this clinic. A very warm environment and caring Nurses. I am so glad we switched to this clinic. They care about their patients and it shows. I felt very comfortable there and the front desk woman was so kind and polite and very helpful.
Describe the costs associated with your care under Stephanie Rothenberg at Pacific NW Fertility.
[Dr. Julie Lamb] and her staff all treated us with kindness and respect...everyone at PNWF remembered us every time we interacted...She explained her thoughts about why we were having trouble very clearly and gave us clear and realistic expectations of what to expect. I felt she was truly our ally and wanted us to succeed...did not over promise, but did give us hope...I felt truly cared for...
Dr Lamb and her staff all treated us with kindness and respect. I felt that everyone at PNWF remembered us every time we interacted. They did not over promise, but did give us hope...The clinic staff are friendly and efficient. I especially appreciated that they went over a cost breakdown very carefully with us to make sure we understood...wish we could have gotten in sooner to see our providers...scheduled out 4-6 weeks.
How was your experience with Julie Lamb at Pacific NW Fertility?
She explained her thoughts about why we were having trouble very clearly and gave us clear and realistic expectations of what to expect. I felt she was truly our ally and wanted us to succeed. She did not give us hope when hope was not there. I felt truly cared for.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Trust her!
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr Lamb and her staff all treated us with kindness and respect. I felt that everyone at PNWF remembered us every time we interacted. They did not over promise, but did give us hope.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I took Letrozole for days 3-7 of my cycle then ultrasounds to monitor follicles before IUI.
Describe your experience with the nursing staff at Pacific NW Fertility.
Truly don’t have any examples of weaknesses- they always communicate very compassionately and get back to us right away.
Describe your experience with Pacific NW Fertility.
The only thing is I wish we could have gotten in sooner to see our providers- our initial consultations with an ARNP and with Dr Lamb were scheduled out 4-6 weeks. The clinic staff are friendly and efficient. I especially appreciated that they went over a cost breakdown very carefully with us to make sure we understood.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
SAs were about $30/each, HSG cost me $600. IUI runs about $1,000 per cycle if we do ultrasounds. Consultations cost about $200 each.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Dr. Broughton is very honest and doesn't try to create false expectations. She has a friendly and warm demeanor but she is not cloying or over the top. When my stimulation cycles started being not successful she adjusted the treatment...always friendly and interested in seeing me...The first four IVF cycles were without clomid or estrace. Estrace lead in clomid flare antagonist IVF.
The service [at Pacific NW Fertility] is good. The facilities in Seattle are nice, you do have to pay for parking. The one thing I don't like is that they have this $500 fee to initiate the IVF cycles that is not billable to insurance. I have no idea why it can't be billed and people there can't seem to tell me why...[the nursing staff] was available to answer my questions and clarify any treatment details.
How was your experience with Darcy Broughton at Pacific NW Fertility?
Dr. Broughton is very honest and doesn't try to create false expectations. She has a friendly and warm demeanor but she is not cloying or over the top. When my stimulation cycles started being not successful she adjusted the treatment.
What's one piece of advice would you give a prospective patient of Darcy Broughton at Pacific NW Fertility?
Ask all the questions you want and don't be afraid to ask for what you want or need.
During treatment, were you treated like a number or a human with Darcy Broughton at Pacific NW Fertility?
Dr. Broughton is always friendly and interested in seeing me.
Describe the protocols Darcy Broughton used in your cycles at Pacific NW Fertility and their degree of success.
The first four IVF cycles were without clomid or estrace.
Estrace lead in clomid flare antagonist IVF.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Amber)
She was available to answer my questions and clarify any treatment details.
Describe your experience with Pacific NW Fertility.
The service is good. The facilities in Seattle are nice, you do have to pay for parking.
The one thing I don't like is that they have this $500 fee to initiate the IVF cycles that is not billable to insurance. I have no idea why it can't be billed and people there can't seem to tell me why.
Describe the costs associated with your care under Darcy Broughton at Pacific NW Fertility.
Most of my costs are being covered by insurance. The cost of a regular IVF cycle billed to insurance is around $19,332.00, plus copays and all.
Describe Darcy Broughton's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Dr. Lamb speaks to you as a person and not just another patient. Her compassion and willingness to sit next to you, share the good news, share the bad news, to cry and share the truth has meant the world.... Take notes. Ask questions because sometimes the information coming from Dr. Lamb can be quickly communicated.... [Pacific NW Fertility's] Strengths - very organized, accommodating, consistent Weaknesses - Blood draw is sometimes not comfortable with some of the staff & they don't always take the next person "in line"; waiting area is small and can feel awkward; kids should not be allowed in - it's so hard being in a fertility clinic as a patient and having babies present can be such a trigger for difficult and painful feelings to surface.
[Pacific NW Fertility's] Strengths - very organized, accommodating, consistent Weaknesses - Blood draw is sometimes not comfortable with some of the staff & they don't always take the next person "in line"; waiting area is small and can feel awkward; kids should not be allowed in - it's so hard being in a fertility clinic as a patient and having babies present can be such a trigger for difficult and painful feelings to surface.
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb speaks to you as a person and not just another patient. Her compassion and willingness to sit next to you, share the good news, share the bad news, to cry and share the truth has meant the world.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Take notes. Ask questions because sometimes the information coming from Dr. Lamb can be quickly communicated.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
She listened.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I really don't remember enough information to be able to share more.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily Grey)
My primary nurse was absolutely amazing. She was clear, thorough, compassionate and consistent. I can't say anything else that could help her be better - she deserves an A+++++
Describe your experience with Pacific NW Fertility.
Strengths - very organized, accommodating, consistent
Weaknesses - Blood draw is sometimes not comfortable with some of the staff & they don't always take the next person "in line"; waiting area is small and can feel awkward; kids should not be allowed in - it's so hard being in a fertility clinic as a patient and having babies present can be such a trigger for difficult and painful feelings to surface.
What specific things went wrong at Pacific NW Fertility?
Provided conflicting information
Describe the specific things that went wrong at Pacific NW Fertility.
Nothing major - just some miscommunication between myself and the front desk.
Dr. Shahine did my egg retrieval and brought not only humor, but also a sense of calmness that really helped put me at ease before the procedure. Every appointment I’ve had with her she has been so warm and genuinely interested in me as a person, not only as a patient.... PNWF advocates strongly for single embryo transfers to bring one healthy baby home. That being said, they did offer the choice to transfer 2.
This is my second time with this clinic [PNWF- Seattle] (trying for baby #2 after a successful IVF round and FET for #1). I did notice the clinic feels overall much busier, but everyone I encountered from front desk, lab, back desk, nurses and doctors have been nothing but friendly and professional.... PNWF advocates strongly for single embryo transfers to bring one healthy baby home. That being said, they did offer the choice to transfer 2.
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine did my egg retrieval and brought not only humor, but also a sense of calmness that really helped put me at ease before the procedure. Every appointment I’ve had with her she has been so warm and genuinely interested in me as a person, not only as a patient.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Go prepared with a list of your questions. Appointments can move rather quickly, but she always asks if I have questions.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine is extremely personable and down to earth. She’s very easy to talk to and truly wants the best for her patients.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Clare)
Clare has been fantastic to work with and responsive to emails.
Describe your experience with Pacific NW Fertility.
This is my second time with this clinic (trying for baby #2 after a successful IVF round and FET for #1). I did notice the clinic feels overall much busier, but everyone I encountered from front desk, lab, back desk, nurses and doctors have been nothing but friendly and professional.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
PNWF advocates strongly for single embryo transfers to bring one healthy baby home. That being said, they did offer the choice to transfer 2.
I appreciated how Dr Rothenberg dealt with every part of the process...I have PCOS and between myself and husband some other complications as well as medication I'm unable to stop taking, [she] considered it all and developed a strategy to best suit our situation. The most recent stage was fertilization which included lupin injections, estradiol patches (replaced every two days, progressively more over a couple weeks before implantation appointment, then returned to 2 patches every 2 days
Strengths [of Pacific NW] : great location (for me, ~9 minute walk). Majority women-lead, run and in treatment. Pleasant enough set-up and atmosphere, even considering current COVID issues. Offers good safety precautions and guidelines regarding COVID as well. Open on the weekends, and from 7am throughout the week. Weaknesses: really not much of anything - some inconveniences maybe like some procedures or sessions only being doable during the week, or certain times of day, etc. Perhaps a way to directly call/get to your nursing team (even to leave them a message) rather than having to go through the main reception every time
How was your experience with Stephanie Rothenberg at Pacific NW Fertility?
Overall I appreciated how Dr Rothenberg dealt with every part of the process.
Some of her strengths: knowledge and ability to relate information as in-depth or simplified as wanted (from the original meet and explanation, to follow-ups and subsequent visits); engaging and considerate (able to keep things light-hearted when needed despite such a tough endeavor); thorough and flexible. No weaknesses really spring to mind, honestly.
What's one piece of advice would you give a prospective patient of Stephanie Rothenberg at Pacific NW Fertility?
Definitely see her. Also, just be open and honest with her. She's there to help however she can, and she'll be as transparent and realistic with you as possible.
During treatment, were you treated like a number or a human with Stephanie Rothenberg at Pacific NW Fertility?
Dr Rothenberg and her team were always kind, thoughtful and personable. I wasn't just another number but a person seeking their expertise which they were happy to share. They made what could have been an extremely stressful, antiseptic experiece not only manageable but somehow even pleasant. Everything explained, with any concerns or questions were further elaborated on to above satisfaction. They were also just considerate and friendly which helped immensely.
Describe the protocols Stephanie Rothenberg used in your cycles at Pacific NW Fertility and their degree of success.
Sorry but I couldn't go over it all to be honest. I have PCOS and between myself and husband some other complications as well as medication I'm unable to stop taking, and Dr Rothenberg. considered it all and developed a strategy to best suit our situation.
The most recent stage was fertilization which included lupin injections, estradiol patches (replaced every two days, progressively more over a couple weeks before implantation appointment, then returned to 2 patches every 2 days), and Progesterone injections (first a type in sesame oil, and then changed to a version in ethyl oleate when I had a bad reaction to the first).
Describe your experience with the nursing staff at Pacific NW Fertility.
The nursing staff were an integral part of the process. They were as kind and knowledgeable as Dr Rothenberg throughout the process - those that I interacted with only once or twice, and those who were regularly in contact with me in person or via email or calls in between sessions. When they were unable to fully address any inquiries or issues, they made sure to get me an answer as soon as possible.
Describe your experience with Pacific NW Fertility.
Strengths: great location (for me, ~9 minute walk). Majority women-lead, run and in treatment. Pleasant enough set-up and atmosphere, even considering current COVID issues. Offers good safety precautions and guidelines regarding COVID as well. Open on the weekends, and from 7am throughout the week.
Weaknesses: really not much of anything - some inconveniences maybe like some procedures or sessions only being doable during the week, or certain times of day, etc. Perhaps a way to directly call/get to your nursing team (even to leave them a message) rather than having to go through the main reception every time (though you are able to email the team and they get back to you ASAP).
Additional: social distancing, safe practices and care are taken throughout. Unfortunately (if understandably) partners are not able to come in in most cases at present because of health/safety concerns re: COVID.
She [Dr. Julie Lamb] always advocated for single transfers, but suggested a multiple embryo transfer for my last two embryos...is a great doctor. She tries to make uncomfortable procedures and ultrasounds quick and she makes sure to keep you positive even when shes giving you bad news...is a great advocate for her patients. She will hear you out but ins't overly sensitive...She is a realist, but her communication always comes across genuine....
The [Pacific NW Fertility] facility is nice, clean and everything you would expect. The front staff is mostly great. I have run across some individuals who aren't knowledgeable or helpful, but most of the time they are great...IUI's were around ~$1k, IVF retrieval and 1 transfer was ~$20k, each additional transfer was ~$5k...The communication between the office and the lab isn't great...
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb is a great doctor. She tries to make uncomfortable procedures and ultrasounds quick and she makes sure to keep you positive even when shes giving you bad news. During my D&C - they were having a hard time getting an IV in me because I was very dehydrated. Dr. Lamb came into the OR and held my hand under the blanket, and tried her best to comfort me. She stayed with me the whole time to make sure I didn't feel scared and alone. She truly understands the emotion behind fertility treatments and is always rooting for us.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Dr. Lamb is a great advocate for her patients. She will hear you out but ins't overly sensitive.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb is very friendly. She always remembers my husband and I and remembers whats going on in our lives. She is a realist, but her communication always comes across genuine.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
Started with IUI's, moved to IVF after they were unsuccessful. One egg retrieval followed by a mix of fresh and frozen transfers using both medicated and natural cycles.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Claire)
Claire is my favorite. Shes super sweet and very knowledgeable. You can talk to her like shes your good friend - and always super helpful. Responds to my emails very quick.
Describe your experience with Pacific NW Fertility.
PNWF is great. The facility is nice, clean and everything you would expect. The front staff is mostly great. I have run across some individuals who aren't knowledgeable or helpful, but most of the time they are great.
Describe your experience with your monitoring appointments at Pacific NW Fertility.
They were actually great - most of the time they had my blood drawn in the ultrasound room, which was a nice luxury. They allowed for me to get in and our of there in 15-30 min.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
IUI's were around ~$1k, IVF retrieval and 1 transfer was ~$20k, each additional transfer was ~$5k.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
She always advocated for single transfers, but suggested a multiple embryo transfer for my last two embryos to eliminate the emotional heartache of another failed transfer given all my stats were normal and I was young and healthy.
What specific things went wrong at Pacific NW Fertility?
Provided conflicting information
Describe the specific things that went wrong at Pacific NW Fertility.
The communication between the office and the lab isn't great. When I needed to schedule appts one after the other, they did not coordinate and made it difficult to do so.
Dr. Marshall answered all our questions in a way that we understand. She is very caring and I can feel her concern for us...I pushed for a test to see why I miscarried on the 1st transfer. [she] explained how the test would really not help me but left the decision to me...[she] suggested we do a Progesterone blood test prior to my 2nd transfer and added a vaginal suppository twice a day. It worked...She is very honest with what will work for my situation and doesn't recommend tests that are just waste of time and money.
[nurses of Pacific NW Fertility] Very professional and timely in their response...they care for their patients and when they give me personal instruction, they make sure it's printed on a paper and they still respond to my emails...[clinic] They also have excellent response to COVID, only 3 patients in the lobby during my appointment...[cost]With insurance about $20,000 not including medicine but including genetic testing
How was your experience with Lorna Marshall at Pacific NW Fertility?
My experience was great, I pushed for a test to see why I miscarried on the 1st transfer. Dr. Marshall explained how the test would really not help me but left the decision to me. She is very honest with what will work for my situation and doesn't recommend tests that are just waste of time and money.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
List all your questions and your partner's question prior to your appointment.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall answered all our questions in a way that we understand. She is very caring and I can feel her concern for us. Her team is very professional but human!
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
Dr. Marshall suggested we do a Progesterone blood test prior to my 2nd transfer and added a vaginal suppository twice a day. It worked! Turned out my body was not absorbing all the PIO shots and I need more help.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emma and Brenna)
Very professional and timely in their response. Emily and Brenna are the best, when I send an email in the morning, I get a response in 2-3hours. I know they care for their patients and when they give me personal instruction, they make sure it's printed on a paper and they still respond to my emails.
Describe your experience with Pacific NW Fertility.
My husband who works for a hospital was impressed and he said PNWF is like a well-oiled-machine. They also have excellent response to COVID, only 3 patients in the lobby during my appointment, they temperature-scanned everyone that gets in.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
With insurance about $20,000 not including medicine but including genetic testing. Insurance helped me pay but it did not pay for everything.
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
PNWF will only transfer One embryo for a healthier pregnancy.
I was stuck on one treatment that I had in mind, but she [Dr. Lorna Marshall] helped me to see there are other paths...We started with IVF and it was a standard cycle. We used injections...After that we moved onto IUI. The first round had no injections, after that round we started injections. Each round became more refined. Dr. Marshall was very careful with medications and did not want to give too many at once, so she altered cycles as we went. The last two cycles had the injections and progesterone supplements, I believe. The 5th round was successful.
All staff [at Pacific NW Fertility] was very helpful. Our main care coordinator help keep us organized because we lived out of town. They communicated well and we were able to have successful treatment with little traveling...They have awesome financial counselors that helped provide the information before we even started...It feels very private and welcoming. Infertility is hard to deal with and the clinic helps in so many ways. I also love that they have a restroom right when you get off the elevator. Women in treatment often need that right away. The clinic was always clean and has fresh bouquets all of the time. Made the clinic very cheery.
How was your experience with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall was always open and compassionate. My husband and I really wanted a biological child. He had infertility, but through IVF there was a slight chance of success. Dr. Marshall was very honest about our odds. We did IVF, and it did not end in our favor. Dr. Marshall was very compassionate in helping us deal with our loss, and gave us other options we could look at when we were ready. There was no pressure and we felt very supported. We chose another route and now have a 2 year old we love dearly. As a patient I was taken care of and felt valued and heard.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Listen to all advice she has to offer. I was stuck on one treatment that I had in mind, but she helped me to see there are other paths. Thanks to Dr. Marshall we now have a family we always wanted.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall always made time to speak with us and help us through this difficult time. She also made sure all our visits were thorough because we were traveling from 3 hours away, she tried to save us unnecessary return trips.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
We started with IVF and it was a standard cycle. We used injections. I do not recall more than that. After that we moved onto IUI. The first round had no injections, after that round we started injections. Each round became more refined. Dr. Marshall was very careful with medications and did not want to give too many at once, so she altered cycles as we went. The last two cycles had the injections and progesterone supplements, I believe. The 5th round was successful.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Yvette Sharman)
All staff was very helpful. Our main care coordinator help keep us organized because we lived out of town. They communicated well and we were able to have successful treatment with little traveling.
Describe your experience with Pacific NW Fertility.
Pacific Northwest Fertility is in a great location. It feels very private and welcoming. Infertility is hard to deal with and the clinic helps in so many ways. I also love that they have a restroom right when you get off the elevator. Women in treatment often need that right away. The clinic was always clean and has fresh bouquets all of the time. Made the clinic very cheery.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
I honestly don't remember the details. They have awesome financial counselors that helped provide the information before we even started.
What specific things went wrong at Pacific NW Fertility?
Lost paperwork
Failed to call with results
Describe the specific things that went wrong at Pacific NW Fertility.
There was only one instance where a fax was lodged under paperwork. We live out of town and had blood work done locally. When the fax went through it got stuck to another paper. It was an honest mistake and our results were only delayed from a late afternoon to the next morning. We totally understood, but I wanted to be honest in this response. All tests and blood work done in the clinic had no issues. It was our circumstance of living 3 hours away.
Dr. Marshall was always very calm and clear about next steps. This was helpful because there is a lot going on and a lot to remember. She always made herself avail and I felt like we had her full attention and care, even though I imagine she seems many patients...I did three rounds of retrievals and from what I understand it was the standard cycle for all three. I don't remember adjusting anything to get different results. There was a time at the end when the progesterone shots were really painful, so Yvette recommended lidocaine patches and they helped numb my butt.
Yvette [nurse at Pacific NW Fertility] is an angel! I am forever grateful for Yvette and Dr. Marshall for their care. I appreciated the check in emails and calls with each procedure, and really felt like I was their only patient...I haven't' been to other clinics so i don't know how else it's different, but I thought the clinic was set up and easy to work with. They also always called back promptly, which was nice. Billing was easy to work with as well and always avail with an open door for questions.
How was your experience with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall was always very calm and clear about next steps. This was helpful because there is a lot going on and a lot to remember. She always made herself avail and I felt like we had her full attention and care, even though I imagine she seems many patients.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Meet with her first. If you like her, go with her. i would absolutely recommend it. If not, then move onto someone else. The treatment and relationship is something you need to have full confidence in from day 1.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall and her team of nurses, including Yvette, made sure to check in during appts even when it was routine and not necessary for them to touch base. However, they made sure they popped in to say hello and offer encouragement along the way. It's the little things that really count!
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
I did three rounds of retrievals and from what I understand it was the standard cycle for all three. I don't remember adjusting anything to get different results. There was a time at the end when the progesterone shots were really painful, so Yvette recommended lidocaine patches and they helped numb my butt.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Yvette, and then Emily and Brenna)
Yvette is an angel! I am forever grateful for Yvette and Dr. Marshall for their care. I appreciated the check in emails and calls with each procedure, and really felt like I was their only patient. That's how good their communication is with their patients! Also when I needed some adjustments with needle size as well as pain management, they were quick to help.
Describe your experience with Pacific NW Fertility.
I haven't' been to other clinics so i don't know how else it's different, but I thought the clinic was set up and easy to work with. They also always called back promptly, which was nice. Billing was easy to work with as well and always avail with an open door for questions.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
I think it was about $10-15k per egg retrieval cycle, just for the appts (not including medications). I was fortunate to have Livestrong and Walgreens sponsor my medications because the reason for the retrieval was a cancer diagnosis. I also pay $400 for embryo storage.
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Because we had run PGS on the embryos and knew they were viable, the recommendation was to transfer only one since it had a better chance of taking.
She [Dr. Marshall] 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. ... She has obviously been working in the field for a long time. Our consultation was clear and direct, but when I ask any clarifying questions she appeared defensive, like it wasn't my job to speak up and ask questions.
It [Pacific NW Fertility] is a top notch clinic, with great outcomes. It was always clean and professional. It was also extremely expensive. Sometimes it was hard to figure out the chain of communication and hard to get a direct line to anyone. ... Chelsea was amazing. She has a great way of explaining options and including a personal communication style with research. We stayed at the clinic for her services and were sad to leave her when we transferred care.
How was your experience with Lorna Marshall at Pacific NW Fertility?
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.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
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.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
She has obviously been working in the field for a long time. Our consultation was clear and direct, but when I ask any clarifying questions she appeared defensive, like it wasn't my job to speak up and ask questions.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
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.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Chelsea Reed)
Chelsea was amazing. She has a great way of explaining options and including
a personal communication style with research. We stayed at the clinic for her services and were sad to leave her when we transferred care.
Describe your experience with Pacific NW Fertility.
It is a top notch clinic, with great outcomes. It was always clean and professional. It was also extremely expensive. Sometimes it was hard to figure out the chain of communication and hard to get a direct line to anyone.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
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.
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.
For some reason only part of my medical record was sent to the new clinic when we changed providers.
She [Dr. Shahine] is happy to talk through any questions or concerns you may have...She took the time to get to know us--why we moved to Seattle, what we do for work, etc. She was approachable, friendly, and authentic. Also, when we saw her at the Footsteps for Fertility 5K the next day, she ran over and gave us big hugs. It's clear she truly cares about her patients... During our consultation appointment, we felt as though she met us where we were, explained our options thoroughly, and gave us hope that IVF could work for us. She exceeded all expectations, and we're looking forward to starting this process with her.
They [Pacific NW Fertility] are organized, friendly, and professional. I will say that I haven't had a ton of appointments yet, so I don't have much to critique. My only interactions that haven't been totally positive have been with some front desk staff that seemed a little confused, but I mostly think it's because I've interfaced with some new folks...She [nurse] was very real with me about my previous AMH score and diagnosis. She let me know that they needed to test to see whether IVF would be the right path for me, because some with DOR won't get good results. Given my new AMH (it went up by quite a bit), the other blood tests, and my ultrasound, I received positive encouragement. But I believe the nurse and doctor would have directed me to another path if they thought I wasn't a good candidate for IVF.
How was your experience with Lora Shahine at Pacific NW Fertility?
We're just starting to work with Dr. Shahine. During our consultation appointment, we felt as though she met us where we were, explained our options thoroughly, and gave us hope that IVF could work for us. She exceeded all expectations, and we're looking forward to starting this process with her.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Come with questions. She is happy to talk through any questions or concerns you may have.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
She took the time to get to know us--why we moved to Seattle, what we do for work, etc. She was approachable, friendly, and authentic. Also, when we saw her at the Footsteps for Fertility 5K the next day, she ran over and gave us big hugs. It's clear she truly cares about her patients.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Chelsea Reed)
She was very real with me about my previous AMH score and diagnosis. She let me know that they needed to test to see whether IVF would be the right path for me, because some with DOR won't get good results. Given my new AMH (it went up by quite a bit), the other blood tests, and my ultrasound, I received positive encouragement. But I believe the nurse and doctor would have directed me to another path if they thought I wasn't a good candidate for IVF.
Describe your experience with Pacific NW Fertility.
They are organized, friendly, and professional. I will say that I haven't had a ton of appointments yet, so I don't have much to critique. My only interactions that haven't been totally positive have been with some front desk staff that seemed a little confused, but I mostly think it's because I've interfaced with some new folks.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
We are just getting started. I will say that I was impressed that some of the tests were covered by insurance. I thought all fertility work was not covered, but they were able to keep our costs down for testing. However, I know we're about to spend a huge chunk of change on our first round of IVF. Dr. Shahine gave us options to apply for grants, but other than that, we're going to be stuck with a very significant bill.
Dr. Lamb has clear strategies for treatment, and navigates the often emotional roller coaster of fertility treatments with care and support. We have done several IUIs and meet at various intervals with her to discuss next steps. She is always encouraging and positive, helping keep our spirits up while being clear about the areas for growth. We feel so lucky to have met her and the whole PNWF team!
We have loved PNWF and have had a great experience. From the front desk staff, to the nurses and doctors, everyone is supportive and on top of all the details. It can be hard to get in as a new patient, so I recommend getting on the waitlist if you’re wanting to be seen sooner than 3 months out.... I cannot day enough positive things about working with Michelle! She is detailed, kind, supportive, and goes above and beyond to support her patients. She is a powerful support for Team Lamb!
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb has clear strategies for treatment, and navigates the often emotional roller coaster of fertility treatments with care and support. We have done several IUIs and meet at various intervals with her to discuss next steps. She is always encouraging and positive, helping keep our spirits up while being clear about the areas for growth. We feel so lucky to have met her and the whole PNWF team!
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
It can be hard to get an appointment, as she books several months out- get on the waitlist and you may get squeezed in earlier!
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb is personable, kind, knowledgeable, and tailors her approach to each patient. She is warm and clear, giving encouragement and support in a data-driven, personable way.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
We have done 5 IUIs, resulting in 1 biochemical pregnancy, one ectopic pregnancy, and three negative pregnancy tests. Each cycle was unique and different, varying the doses of Letrazole tablets or Folustim injections, and combined with a trigger shot to find the perfect combination.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle)
I cannot day enough positive things about working with Michelle! She is detailed, kind, supportive, and goes above and beyond to support her patients. She is a powerful support for Team Lamb!
Describe your experience with Pacific NW Fertility.
We have loved PNWF and have had a great experience. From the front desk staff, to the nurses and doctors, everyone is supportive and on top of all the details. It can be hard to get in as a new patient, so I recommend getting on the waitlist if you’re wanting to be seen sooner than 3 months out.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
$3500 for 5 IUIs plus medication
What specific things went wrong at Pacific NW Fertility?
Failed to call with results
Provided conflicting information
Describe the specific things that went wrong at Pacific NW Fertility.
With a nursing switchover, some information was lost in transition.
Dr. Broughton is always warm and friendly at appointments, but she senses if you are feeling worried or upset and is sympathetic.... Since we just have one embryo, Dr. Broughton recommended an ERA test (mock transfer cycle where a biopsy of the uterine lining is done) before we move forward with the actual FET.... Don't expect to see her at every appointment. I was also surprised that she was not the doctor that performed my egg retrieval.
I've been with the clinic [Pacific NW Fertility] for about 2 years now (sigh) and have been pleased with the service. I feel like everyone is doing all they can to help you. I've heard this clinic is on the expensive side, but it is convenient to my work... Everyone on the nursing team was friendly and in a way more helpful than the doctors since they are the ones teaching you how to administer meds, scheduling, etc.
How was your experience with Darcy Broughton at Pacific NW Fertility?
I began seeing Dr. Broughton after Dr. Swelstad left the clinic (I liked him too and sad that he left). This was during my treatment after failed IUIs and we were ready to start considering IVF as the next step. My first impression was she was very warm and cheerful and seemed genuine. (I've had other doctors that have a robotic/fake friendly personality and this was not the case with Dr. Broughton). Although, I liked Dr. Swelstad (male), I felt I could be more open with Dr. Broughton.
I haven't felt pressured to do any of the various treatment options and she always takes time to answer questions. For example, when my husband and I were trying to decide if we wanted to do ICSI vs. traditional IVF, she was clear about the probable outcome but didn't push one way or the other in our case.
I am still in treatment with Dr. Broughton (awaiting FET).
What's one piece of advice would you give a prospective patient of Darcy Broughton at Pacific NW Fertility?
Don't expect to see her at every appointment. I was also surprised that she was not the doctor that performed my egg retrieval. I was not bothered by this, but some might. Personally, I thought it was interesting to see what the other doctors at the clinic were like.
During treatment, were you treated like a number or a human with Darcy Broughton at Pacific NW Fertility?
Dr. Broughton is always warm and friendly at appointments, but she senses if you are feeling worried or upset and is sympathetic.
Describe the protocols Darcy Broughton used in your cycles at Pacific NW Fertility and their degree of success.
I have unexplained infertility so I assume I'm on the standard IVF protocol.
During my stim cycle (for egg retrieval), things were moving along on the slower side. About halfway through, she decided to increase Follistim to the highest dosage (450) and I continued stimulation for 14 days (longer than average). I did end up getting 20 eggs, but the process ended with only one embryo suitable for transfer.
Dr. Broughton recommended another round of IVF to try for more embryos, and although this I what I would like to do, I cannot afford that option. Since we just have one embryo, Dr. Broughton recommended an ERA test (mock transfer cycle where a biopsy of the uterine lining is done) before we move forward with the actual FET. We are about to begin the ERA cycle in the next week.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Amber and Linda)
Everyone on the nursing team was friendly and in a way more helpful than the doctors since they are the ones teaching you how to administer meds, scheduling, etc.
Describe your experience with Pacific NW Fertility.
My OB/GYN recommended this clinic, so I didn't do any research before choosing PNWF. Also, since I didn't have a particular doctor I wanted to see, I got in for a first appointment fairly quick.
I've been with the clinic for about 2 years now (sigh) and have been pleased with the service. I feel like everyone is doing all they can to help you.
I've heard this clinic is on the expensive side, but it is convenient to my work (which is extremely helpful when you have tons of appointments) and I'm happy I decided to go to PNWF.
Describe the costs associated with your care under Darcy Broughton at Pacific NW Fertility.
In my situation, I've had to pay about 95% out of pocket. A small portion of some of the various tests were covered by my insurance. An IUI is about $400, not including meds (I think I spent about $500 per cycle on meds). One cycle of IVF is about 19k and genetic testing on the embryos is about 4k. This does not include medications for the IVF cycle, which were about 6k. The FET is about 5k, with about $500 in medications.
Considering all these treatments, plus the various tests, I would say I've easily spent 30k, and I haven't even had a transfer yet.
Describe Darcy Broughton's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We only have one embryo so this is not applicable.
Dr. Shahine is a very caring physician. She was always fully present, very engaged, and very kind. I appreciate the time she spent getting to know about our case and making her commentary fit for how we liked to hear it...I do not feel my protocol was incredibly particular to me; it felt it was more a typical routine at this point...
[nurse of Pacific NW Fertility] So patient, so kind, so ready to answer any question at any time...Strengths are it’s all inclusive nature: there’s a financial counselor to answer your questions, an on-site lab and surgery suite, and the amazing team of nurses...Results were 16 eggs, 13 mature eggs, 10 fertilized eggs, 6 blastocysts, only 1.5 normal eggs
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine is a very caring physician. She was always fully present, very engaged, and very kind. I appreciate the time she spent getting to know about our case and making her commentary fit for how we liked to hear it.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Just be prepared to not always see Dr. Shahine. The clinic practices as a team, so you may need to have an appointment on a day when your dr isn’t in clinic.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Through the care team approach you receive at PNW Fertility, you are given so much personalized attention and support, largely courtesy of the team of nurses. The doctors also are there to answer any question at your appt and ensure you understand.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
I do not feel my protocol was incredibly particular to me; it felt it was more a typical routine at this point. Bcp for about two weeks, followed by Menopur and Follistim, then a Ganirelix trigger shot. Results were 16 eggs, 13 mature eggs, 10 fertilized eggs, 6 blastocysts, only 1.5 normal eggs. Some things the treatment cannot fix.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle, Ketner, Amanda)
The nursing team is the very best part of PNW Fertility. They are AMAZING. So patient, so kind, so ready to answer any question at any time. They’re the best.
Describe your experience with Pacific NW Fertility.
Strengths are it’s all inclusive nature: there’s a financial counselor to answer your questions, an on-site lab and surgery suite, and the amazing team of nurses. I really cannot say there’s a negative.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
[Dr. Lora Shahine is a] Strong communicator, compassionate and understanding while also not beating around the bush. Only disappointing thing was BMI cutoffs for egg retrieval, BMI is not a reliable indicator for health so not happy that the clinic uses a BMI cut off for any health decisions... Had many personal interactions with Dr Shahine and her staff, especially during my second miscarriage.
It’s Hard to get in [at Pacific NW Fertility- Seattle]. The Docs are busy and scheduled out. I had to wait several months after my initial appt to have a follow-up. The have an In-house lab, which makes lab work easy and you get very fast results.... Had many personal interactions with Dr Shahine and her staff, especially during my second miscarriage... Book early. It will probably take a couple months to get in
How was your experience with Lora Shahine at Pacific NW Fertility?
Strong communicator, compassionate and understanding while also not beating around the bush. Only disappointing thing was BMI cutoffs for egg retrieval, BMI is not a reliable indicator for health so not happy that the clinic uses a BMI cut off for any health decisions
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Book early. It will probably take a couple months to get in
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Had many personal interactions with Dr Shahine and her staff, especially during my second miscarriage.
Describe your experience with Pacific NW Fertility.
It’s Hard to get in. The Docs are busy and scheduled out. I had to wait several months after my initial appt to have a follow-up. The have an In-house lab, which makes lab work easy and you get very fast results.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
So far my insurance has covered my appts but they will not cover treatment. I expect IUIs will be about 2K per month
