Sanford Fertility and Reproductive Medicine
Available Resources
Genetic counseling
Acupuncture
Mental health counseling
Nutrition counseling
Administration of shots
Coordinating at-home nursing
Selling medication
Providing backup medication
Sioux Falls
1500 W 22nd Street
Sioux Falls, SD 57105
(605) 328-8800
35 assessments
9
9
Age
27 - 28
Treated
2018 - 2019
Success with this Doc
No
Treatment
1 IVF
Diagnosis
Male Factor
9
9
We first met with Dr. Dahl in August of 2018. We were sent to her due to male infertility. She instantly connected with us on a very personal level and made us feel comfortable from the start. She explained all the possible diagnoses, tests, and labs.... With the diagnosis of a double carrier for CF, she instantly talked about available options and connected us with urology and a genetic counselor. For my appointments, I was always excited to see her because she made me feel at ease.
The clinic [Sanford Fertility] is separate from other facilities in our town so it is nice that it has its own space. They have it well set up for the waiting area, ultrasounds, appointment rooms to meet with the doctors, area for labs, and rooms in the back that are secluded for procedures. We feel that the team works well together including the receptionist, providers, nurses, financial counselor, genetic counselor, lab techs, etc.
Age
27 - 28
Treated
2018 - 2019
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 2 Docs
Treatment
1 IVF
Diagnosis
Male Factor
9
9
How was your experience with Stephanie Dahl at Sanford Fertility and Reproductive Medicine?
We first met with Dr. Dahl in August of 2018. We were sent to her due to male infertility. She instantly connected with us on a very personal level and made us feel comfortable from the start. She explained all the possible diagnoses, tests, and labs. After going over a complete history with my husband and I she said her assumption is my husband is a cystic fibrosis carrier. We did genetic testing, which confirmed that diagnosis. With the diagnosis of a double carrier for CF, she instantly talked about available options and connected us with urology and a genetic counselor. For my appointments, I was always excited to see her because she made me feel at ease. She always explained to us what the ultrasounds were showing, what medication changes to make and the rationale. We always felt very informed and that she had our best interest at heart. She connected us to all the right medical staff and resources, and felt that overall she cared about us individually and as a couple. She shows great care and compassion for her patients and shows enthusiasm for the job she does.
What's one piece of advice would you give a prospective patient of Stephanie Dahl at Sanford Fertility and Reproductive Medicine?
I would recommend writing down a timeline of your appointments. I kept a notebook that had our appointment and what we did at that appointment, what was discussed, what labs or ultrasound results were, etc. Another thing I would recommend is always writing down questions you have. She is more than willing to answer questions and to take the time to have open discussions about any topics with fertility and health.
During treatment, were you treated like a number or a human with Stephanie Dahl at Sanford Fertility and Reproductive Medicine?
Dr. Dahl was always very compassionate and empathetic throughout our IVF journey thus far. She has always cared about how we were doing during the process, connecting us with available resources, and always talking with us on a personal level. She has always been a great advocate for us and our future.
Describe the protocols Stephanie Dahl used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
The only way for us to conceive is through IVF. The first round I was started on progesterone only birth control due to a clotting disorder we did not want to use estrogen. I had my baseline labs which were all within normal limits and started on Follistim/Gonal F 300 units. I was unable to use menopur due to a dairy allergy. I continued on for 5 days of "stims" and labs all were within the range that was expected, but I had discordant growth with my follicles (2 large and 2 small follicles). At that time we decided to stop with this first round of medications and restart.
The second round I did use a birth control with estrogen but then took lovenox injections during that time. I was started on gonal F 375units. On day 3 after labs we increased the dose to 450 units. On day 6 I had 4 follicles, day 8 I had 6 follicles that were all growing at the same rate and appropriate size to lead up to an egg retrieval. After a few more days of stimulation it was time for the trigger shot which we used Lupron. We successfully retrieved 5 eggs, and 3 successfully fertilized. We did PGS testing on our embryos. We had 1 chromosomally normal. We had a different provider do our transfer due to the timing of it, which did not lead to a successful pregnancy. Since then, Dr. Dahl has met with us and talked about the future options and different medication protocols to try.
Describe your experience with the nursing staff.
The nursing staff have been great! They are quick to respond to messages, easy to talk to, and keep you very informed during the process. They don't have one specific nurse assigned to you, but you usually work with the same two or three nurses. We have always felt like they care about us and are willing to help however they can. Each nurse seems to enjoy their job and are passionate about what they do.
One thing I wish is that you did have one specific nurse or coordinator assigned to you that is your go to person for everything. I also feel like they should give you a calendar with your appointments and specific medications with dates at times. They do give you papers. information, and send specific messages that clarify all that information but an individual patient calendar would be helpful.
Describe your experience with Sanford Fertility and Reproductive Medicine.
Overall we love our clinic. I feel that it was the perfect fit for us. It is kind of crazy to me that it is one of my favorite places to go because its where we get closest to making our family. The clinic is separate from other facilities in our town so it is nice that it has its own space. They have it well set up for the waiting area, ultrasounds, appointment rooms to meet with the doctors, area for labs, and rooms in the back that are secluded for procedures. We feel that the team works well together including the receptionist, providers, nurses, financial counselor, genetic counselor, lab techs, etc. One thing I really appreciate is that they have a financial counselor right in the clinic who can work personally with you. Our nurses have been great about trying to get us the best connections to pharmacies and coupons to make the medications as cheap as possible and we appreciate that. I feel there are so many positives about our clinic and the team. I don't have many weaknesses to point out. I would say that overall I wish they would just go more in depth about each medication, each procedure, and have a specific nurse or person who oversees the entire process for you, but if you have questions or concerns they are always willing to take the time for you and answer all questions.
Describe the costs associated with your care under Stephanie Dahl at Sanford Fertility and Reproductive Medicine.
Overall we feel that the cost at the clinic seems to be average for IVF in our area. They do pair up with ARC fertility so that is an option for patients to look into for "plan" options. We did have some insurance coverage so for us it was best to use our insurance first before using other resources. When you first start with the clinic and before you start IVF they have you meet with the financial counselor to discuss cost and prepayment. We were given a break down of costs for trial transfer, cycle monitoring ( which included 5 office visits, 7 lab draws, some ultrasounds), egg aspiration with ICSI, freezing of embryos, thaw and transfer, and post IVF lab work. Also if you plan to do PGS testing they have you pay part of that cost up front. We did end up having some confusion with insurance, but the financial counselor was so willing to look through each bill, each charge, and even contact our insurance to help make the process run smoother. Even during visits with Dr. Dahl she would mention an approximate cost of testing and let you know if she thought if it was covered by insurance or not. We really appreciated that. We also felt that she would include us in on the decisions and what is best for us to get the results we want and can financially afford.
Describe Stephanie Dahl's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
From the start we primarily talked about a single embryo transfer. She did say it would be an option for us to do 2 embryos but we felt it just depended on our situation and the number of embryos. We only had 1 embryo to transfer so that made the decision easier because 1 embryo was our only option.
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10
10
Age
30 - 31
Treated
2018 - 2019
Success with this Doc
Yes
Treatment
2 IUI, 1 IVF
Diagnosis
Anovulation, Male Factor, PCOS
10
10
Every time we met with Dr. Christensen, he would spend the first few times chatting about our jobs (which he remembered exactly what we do), or spend time casually talking about how I was doing emotionally with the process. He genuinely cared that I stayed stress free (as much as possible) and relaxed, offered suggestions, or joked with my husband about taking me out to a nice dinner. He spent the extra time to care about my mental health throughout the entire process and not just the medical procedures.
The clinic [Sanford Fertility And Reproductive Med] is family! Its a small clinic, and the number of nurses, doctors, and staff that you see is limited - so they know you. They are there with you along this journey. The clinic has all the supplementary support you need through the process. Nurses who help get in touch with the right mail-order pharmacies. Financial adviser who explains every charge and provides documentation before any of the process begins, as well as suggests programs to assist with the costs of infertility treatments.
Age
30 - 31
Treated
2018 - 2019
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Professor
Order & Number of Docs Seen
1st of 3 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
Anovulation, Male Factor, PCOS
10
10
How was your experience with Steffen Christensen at Sanford Fertility and Reproductive Medicine?
Dr. Christensen's greatest strength is how personable he is. The whole infertility process was new for us, i.e. our first cycle/doctor/appointments. He took the time every appointment to thoroughly explain what was going to happen, what we should expect, what typical results would be, and how they would deal with atypical results.
This was evident in the appointments up to and including the egg retrieval. Dr. Christensen did a walk through of how the egg retrieval day would go several appointments prior. Then a two days prior, he covered it again with specific attention to how my follicles were progressing, how long they anticipated the appointment to take, and how many eggs they hoped for. He has adjusted my medications to lower amounts to focus on egg quality versus quantity, and told us they hoped to retrieve 5-15 eggs. Day of retrieval, Dr. Christensen met with us before heading to the procedure room, made sure we were ready, asked about any more questions, and seemed just as happy for us to have made it to this day as we were. The procedure (before I fell asleep) was professional and scripted, and Dr. Christensen checked on me frequently. It was very reassuring as the nurses prepped the room. As soon as the procedure was over/I awoke, Dr. Christensen was there, big smile on his face to tell me they had retrieved 23 eggs. But, he also cautioned and took proactive measure to help prevent OHSS as he suspected based on the number I may struggle with it (I did, but not nearly as bad because of the extra care and proactive medications he prescribed). This was the level of care, attention, and investment Dr. Christensen showed throughout our treatment!
What's one piece of advice would you give a prospective patient of Steffen Christensen at Sanford Fertility and Reproductive Medicine?
Do not be afraid to ask the blunt questions - he's okay to see you cry. He can handle dealing with hormonal/emotional type questions. Don't downplay if you are experiencing mood swings, he's very sensitive to how you react to various medications, and wants to minimize the unnecessary effects as much as possible.
During treatment, were you treated like a number or a human with Steffen Christensen at Sanford Fertility and Reproductive Medicine?
Every time we met with Dr. Christensen, he would spend the first few times chatting about our jobs (which he remembered exactly what we do), or spend time casually talking about how I was doing emotionally with the process. He genuinely cared that I stayed stress free (as much as possible) and relaxed, offered suggestions, or joked with my husband about taking me out to a nice dinner. He spent the extra time to care about my mental health throughout the entire process and not just the medical procedures.
Describe the protocols Steffen Christensen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
Our overall plan was to first try 3 or so rounds of IUI, and if they were unsuccessful, then to discuss further options.
During the IUI cycles, Dr. Christensen chose to use Femara, as in his experience it had better results with PCOS patients. After 2 unsuccessful IUI cycles, Dr. Christensen was the first to suggest our efforts would be better spent exploring IVF than to continue with unsuccessful IUIs. He used how I reacted to the medications during the IUI to predict which IVF medications and dosages to use. He elected to use 150 units of Menopur and 150 units of Gonal F for the IVF cycle. Being I was growing more than 20 follicles, he lowered the Gonal F to 75 units mid cycle to lessen the number of follicles producing eggs. He explained over crowding can cause lower quality eggs, and quality was better than quantity. He prescribed Ganirelix to prevent ovulation, and a Lupron and HCG trigger. Results were 23 eggs retrieved. 18 mature. 14 fertilized through ICSI (due to male factor low mobility) and frozen. We elected to do PGS (our choice, no pressure from the clinic or Dr. Christensen), and 5 tested normal.
Describe your experience with the nursing staff.
As you progress in the process, you only work with a handful of nurses (2-3), and each was just as caring and compassionate as the next. They took every concern with great care, and made sure to be prompt in answer any questions, or assisting with the process. Nearly every Dr. visit was followed up with written instructions from the nurse to ensure that you had all your instructions. They also set up majority of the appointments for you on your behalf based upon the Dr.'s timeline.
Describe your experience with Sanford Fertility and Reproductive Medicine.
The clinic is family! Its a small clinic, and the number of nurses, doctors, and staff that you see is limited - so they know you. They are there with you along this journey. The clinic has all the supplementary support you need through the process. Nurses who help get in touch with the right mail-order pharmacies. Financial adviser who explains every charge and provides documentation before any of the process begins, as well as suggests programs to assist with the costs of infertility treatments. A genetic counselor who can discuss the pro/cons and results of PGS or PGD. They even can coordinate on site acupuncture services if you elect to do so.
All the people you don't realize you need when you begin your infertility journey - they're all here conveniently waiting to help and guide you.
Describe the costs associated with your care under Steffen Christensen at Sanford Fertility and Reproductive Medicine.
2018 Projected Costs (All provided up front to every patient prior to care)
Trial Transfer - $566
Cycle Monitoring - $3921
Egg Aspiration with ICSI - $6622
Freezing of Embryos (up to 4) - $1995
Thaw & Transfer of Embryo - $4126
Post IVF Cycle - $442
Additional Embryo Freeze - $200 each
PGS (14 embryos) - $3800
Describe Steffen Christensen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
We elected to do a single transfer for a number of reasons. First, my age and health were big indicators to contribute to a healthy pregnancy, as well as no previous miscarriages. Second, the embryo physical grade and genetic results indicated high quality. Lastly, the trial transfer was very successful and no problems for actual transfer were anticipated.
Dr. Christensen felt that a transfer of multiple would result in a multiples pregnancy. He was very concerned about the health of the pregnancy as well as the health of the mother, and urged us to transfer a single embryo. We agreed.
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10
9
Age
32 - 34
Treated
2017 - 2019
Success with this Doc
?
Treatment
3 IUI
Diagnosis
Unexplained
10
9
[Dr. Keith Hansen] is always very attentive and really takes the time to explain the process...I liked that he was honest and provided all the details. It was easy to set up an appointment with him, the wait times were short and overall I felt like he is very knowledgeable and is an expert in his field. He also performed a D&C after my loss, he was very companionate and I had no complications. I would definitely recommend him, he is easy to talk to, easy to ask questions from and look for guidance from.
The downside [at Sanford Fertility and Reproductive Medicine] would be – there is no other RE clinic in the area unless you want to travel few hours, I feel that due to lack of competition they don’t run “specials”, participate in clinical studies or quickly pick up new techniques and procedures such as invocell...Front desk coordinator is exceptional. The Nursing team is great, they returned all my phone calls promptly and were very caring, organized and knowledgeable. The CNP I worked with was wonderful! The whole team always made me feel that they really want for us to succeed.
Age
32 - 34
Treated
2017 - 2019
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Operations
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI
Diagnosis
Unexplained
10
9
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Dr. Hansen is always friendly and cheerful. He really goes into the details, if you don’t want to hear in details on all side effects or potential issues, you will need to let him know. I liked that he was honest and provided all the details.
It was easy to set up an appointment with him, the wait times were short and overall I felt like he is very knowledgeable and is an expert in his field.
He also performed a D&C after my loss, he was very companionate and I had no complications.
I would definitely recommend him, he is easy to talk to, easy to ask questions from and look for guidance from.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Ask questions if you don’t feel comfortable with the plan.
He will answer them all and make changes to the plan as needed to make sure you agree with it completely.
He is very open to suggestions, questions and concerns.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Dr. is always very attentive and really takes the time to explain the process.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
I was on letrozole through an OB while I began to see Dr. Hansen.
The original plan was to do diagnostic testing, such as US, HSG, blood work to determine ovarian reserve and rule out PCOS.
Once my letrozole 3-month plan finished, I was put on Chlomid with an injectable trigger shot, followed by IUI.
I did three cycles, with one resulting in pregnancy that ended at 10 weeks and resulted in a D&C.
The current plan is to start the IVF process over the next couple of months.
Describe your experience with your nurse at Sanford Fertility and Reproductive Medicine. (Assigned nurse: Angie, CNP, Amy, Holly)
Front desk coordinator is exceptional. The Nursing team is great, they returned all my phone calls promptly and were very caring, organized and knowledgeable.
The CNP I worked with was wonderful! The whole team always made me feel that they really want for us to succeed.
Describe your experience with Sanford Fertility and Reproductive Medicine.
Convenient location within a large hospital with easy access to pharmacy, OR and so on, great staff with a lot of experience. The upside is that the team really do know their stuff and are good at what they do.
The downside would be – there is no other RE clinic in the area unless you want to travel few hours, I feel that due to lack of competition they don’t run “specials”, participate in clinical studies or quickly pick up new techniques and procedures such as invocell.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
So far with all the testing - about $3500 out of pocket, as many were not covered by insurance, such as SHG.
IUIs - 3 months about $8000 out of pocket.
D&C - after insutrance $2000 out of pocket.
IVF has been quoted at 20-30K.
Describe Keith Hansen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
The Dr. informed me that they do one embryo transfer at a time if under 35, unless there are special circumstances, such as low embryo quality or a condition that reduces implantation rate.
Older than 35 the transfer qty could change depending on the circumstances.
What specific things went wrong at Sanford Fertility and Reproductive Medicine?
- Failed to call with results
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8
9
Age
28
Treated
2019
Success with this Doc
?
Treatment
1 IUI
Diagnosis
Male Factor, Unexplained
8
9
Dr. Hansen went through every scenario and option for our particular case. Showed us the outcomes of studies that are for our similar situation. He didn't push us into doing anything we didn't want to. He gave us our best outcomes and we could decide how we wanted to proceed....We have male factor infertility with low morphology. He was put on a fertility blend to see if that would help my husbands analysis and we rechecked in 8 weeks. It did not improve and IVF is our best option, so we are moving forward with IVF.
A strength is how quick they [Sanford Fertility & Repro Med] are to respond to any questions I ask, whether that's when I call them or message them through My Chart. The My Chart app is very easy to message them through, also the app has test results and appointment reminders. Looking online you can read your consultations with the nurses and doctors which is nice to look back on to see what was discussed.
Age
28
Treated
2019
Success with this Doc
?
Race
Other
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI
Diagnosis
Male Factor, Unexplained
8
9
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Dr. Hansen went through every scenario and option for our particular case. Showed us the outcomes of studies that are for our similar situation. He didn't push us into doing anything we didn't want to. He gave us our best outcomes and we could decide how we wanted to proceed.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Have questions ready for the consultation, he will gladly answer every question. If possible do a semen analysis or lab work that can be done before the consultation in order to figure out what the best plan is to go forward.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Answered all of my questions and concerns. Very kind and nice along with his staff.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We have male factor infertility with low morphology. He was put on a fertility blend to see if that would help my husbands analysis and we rechecked in 8 weeks. It did not improve and IVF is our best option, so we are moving forward with IVF. We did try an IUI between the 8 weeks which was our choice to do so. We did 50mg of clomid with Ovidrel trigger shot. Everything went fine but our chances with IUI were only 2% which Dr. Hansen went over during our consultation so we were fully aware of our chances. We did the IUI for our own peace of mind.
Describe your experience with the nursing staff.
Very quick to answer any questions I have. Very kind and helpful and easy to reach out to.
Describe your experience with Sanford Fertility and Reproductive Medicine.
A strength is how quick they are to respond to any questions I ask, whether that's when I call them or message them through My Chart. The My Chart app is very easy to message them through, also the app has test results and appointment reminders. Looking online you can read your consultations with the nurses and doctors which is nice to look back on to see what was discussed. They help set your account up the first consultation which is nice. They are good about telling you how long it will approximately take for appointment and what could possibly be done that day. Going forward with treatment they did lay out an approximate timeline for us which is helpful for work. They are open early in the morning which is nice for people with full time jobs. They have been on time for appointments and easy to work with.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
Typical pricing for treatments. Around 20k for IVF; 20-30k IVF with pgd testing, IUI ranges from 600-3000.
Describe Keith Hansen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
Dr. Hansen's approach is single embro transfer especially in women under the age of 35. His goal is a single live birth. But does depend on the patients situation and outcomes of the IVF process.
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10
10
Age
25 - 26
Treated
2018 - 2019
Success with this Doc
?
Treatment
1 IUI
Diagnosis
Anovulation, PCOS
10
10
My body is not very good at growing follicles and he [Dr. Christensen] would follow the growth of them each cycle and tell me how many I had and the size of them, good or bad, it usually wasn’t the greatest. But he would always be so honest with me on how each cycle was going to go. He wouldn’t necessarily tell me “no I don’t think it’s going to take this time” but he would say I would need more time before the ovulation shot. When I got ovarian hyperstimulation syndrome he was very quick to respond to my discomfort and my concerns and got everything taken care of very quickly.
They [Sanford Fertility & Reproductive Medicine] are very very good at being on time. Once you get and ultrasound you see the nurses immediately and not even 2 minutes after the nurse would leave the room the doctor would be in. They communicate very well through Sanford MyChart if you have any questions or concerns and also with the instructions. The doctor will tell you all the instructions when you are in the room with them then a nurse will also type out the instructions
Age
25 - 26
Treated
2018 - 2019
Success with this Doc
?
Race
Other
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI
Diagnosis
Anovulation, PCOS
10
10
How was your experience with Steffen Christensen at Sanford Fertility and Reproductive Medicine?
My body is not very good at growing follicles and he would follow the growth of them each cycle and tell me how many I had and the size of them, good or bad, it usually wasn’t the greatest. But he would always be so honest with me on how each cycle was going to go. He wouldn’t necessarily tell me “no I don’t think it’s going to take this time” but he would say I would need more time before the ovulation shot. When I got ovarian hyperstimulation syndrome he was very quick to respond to my discomfort and my concerns and got everything taken care of very quickly. I feel like he really wants a child to happen for me and my husband.
What's one piece of advice would you give a prospective patient of Steffen Christensen at Sanford Fertility and Reproductive Medicine?
Tell him your concerns because he will listen. Ask him questions because he will answer them to the best of his knowledge.
During treatment, were you treated like a number or a human with Steffen Christensen at Sanford Fertility and Reproductive Medicine?
He would always ask how I was doing good or bad and made sure how I was feeling before going to the next step whether it was more medication or going to iui
Describe the protocols Steffen Christensen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
Femara 2.5mg, ovidrel 250mcg for 2 cycles. Follistim in increasing doses which I’m not completely sure of anywhere from 50 units to 150 units along with femara 2.5mg (two pills) and ovidrel 250mcg. He also did an HSG to make sure my tubes weren’t blocked. All pregnancy tests were negative and with the iui I ended up getting ovarian hyperstimulation syndrome and had to have 350cc of fluid drained from my abdomen.
Describe your experience with the nursing staff.
A lot of the nursing staff worked with my mom at some point and knew me since I was little. So my opinion might be a little biased because they took really good care of me, I’m sure it wasn’t just because they knew my mom but it probably helped. But even the nurses that didn’t know my mom were always super friendly and understanding.
Describe your experience with Sanford Fertility and Reproductive Medicine.
They are very very good at being on time. Once you get and ultrasound you see the nurses immediately and not even 2 minutes after the nurse would leave the room the doctor would be in. They communicate very well through Sanford MyChart if you have any questions or concerns and also with the instructions. The doctor will tell you all the instructions when you are in the room with them then a nurse will also type out the instructions and send you a clear message with all the same information that you can look back on if need be.
Describe the costs associated with your care under Steffen Christensen at Sanford Fertility and Reproductive Medicine.
I’m not exactly sure what the costs have been. My insurance has been good to provide a decent amount of coverage. I would say my bill has been no more than $2000 out of pocket
What specific things went wrong at Sanford Fertility and Reproductive Medicine?
- Failed to call in prescriptions to pharmacy
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2
2
Age
30 - 31
Treated
2018 - 2019
Success with this Doc
No
Treatment
1 IUI
Diagnosis
Recurrent Pregnancy Loss, Male Factor, PCOS, Other
2
2
Tiffany [Dr. Von Wald] is very smart, but doesn't break things down well for non medical people. She doesn't have the absolute warmest bedside manner. I struggled to feel as though she was as invested in my journey as I was. Though maybe not intentional I always felt like a number. My husband and I have seen Tiffany in clinic (over the year we have undergone treatment) twice (once because I semi demanded to)... it gets frustrating always seeing NPs and hearing back from nurses.
I had really horrible experinces with the US techs and a couple nurses [at Sanford Fertility]. One nurse in particular, Mandy, is so terrible. Through my miscarriages/ectopic she was very demeaning, cold and belittled my concerns. She treated me as if I was an annoyance. She didn't acknowledge my pregnancies as such because I was so early (4-5 wks). She never gave me time to ask questions on the phone. She would reply to my messages to Dr. VonWald without even consulting her. US techs are cold. They very casually tell me they see nothing in my uterus when I had be trialing for weeks with positive preg tests and fluctauing hcg levels... that is sensitive info to divulge so carelessly to which I sobbed with no compassion on their part.
Age
30 - 31
Treated
2018 - 2019
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI
Diagnosis
Recurrent Pregnancy Loss, Male Factor, PCOS, Other
2
2
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Tiffany is very smart, but doesn't break things down well for non medical people. She doesn't have the absolute warmest bedside manner. I struggled to feel as though she was as invested in my journey as I was. Though maybe not intentional I always felt like a number. My husband and I have seen Tiffany in clinic (over the year we have undergone treatment) twice (once because I semi demanded to)... it gets frustrating always seeing NPs and hearing back from nurses.
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Be a self advocate. Do not be afraid to ask questions/seek clarification (not matter how annoying you think you are being) and demand good service and communication.
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Tiffany is smart and kind, but we have only met with her twice in tje year we have been there. The rest of the staff is very rude (Mandy, RN), cold and demeaning (with the exception of Shanna Kontz--she is great). I never felt like anyone does any extra digging to uncover my specific cycle trends, ovulation, hormone patterns, etc. I also feel as though I have to advocate for myself/husband a lot because they are terrible at keeping you updated and addressing questions.
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
Clomid or letrazole day 3 through 7. Menopur day 9. US and trigger shot. IUI day after.
Describe your experience with the nursing staff.
I had really horrible experinces with the US techs and a couple nurses. One nurse in particular, Mandy, is so terrible. Through my miscarriages/ectopic she was very demeaning, cold and belittled my concerns. She treated me as if I was an annoyance. She didn't acknowledge my pregnancies as such because I was so early (4-5 wks). She never gave me time to ask questions on the phone. She would reply to my messages to Dr. VonWald without even consulting her. US techs are cold. They very casually tell me they see nothing in my uterus when I had be trialing for weeks with positive preg tests and fluctauing hcg levels... that is sensitive info to divulge so carelessly to which I sobbed with no compassion on their part.
Describe your experience with Sanford Fertility and Reproductive Medicine.
They are pretty flexible at getting you in for US and testing. They were not very timely with results, appt times, etc... Also, several times O was waiting on the waiting room there were children. I know it is maybe not realistic, but man would it be nice to not have to stare at a child when you are about to find out you miscarried.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
Our insurance on covered some diagnostic testing. So all genetic testing, intra cycle ultrasounds, medication (oral and injectables), copays for each an every visit and all ART procedures were out of pocket. The have a finance guy, Tyler, who was EXTREMELY unhelpful. I am still not exactly sure what his job is as he didn't help us with understand our insirance coverage or working with our insurance.
What specific things went wrong at Sanford Fertility and Reproductive Medicine?
- Failed to call in prescriptions to pharmacy
- Failed to call with results
- Failed to order appropriate test
- Provided conflicting information
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9
8
Age
26 - 33
Treated
2012 - 2019
Success with this Doc
No
Treatment
3 IUI, 2 IVF, Surrogacy
Diagnosis
Anovulation, Endometriosis, Male Factor, PCOS, Unexplained
9
8
She [Dr. Von Wald] took her time to explain everything, never made us feel rushed and answered all of our questions...did a lot of research & called her colleagues from different out of state hospitals to review our records and offer advice. She then met with us for over an hour going over everything. Although it didn’t work out we appreciate all the time she put into us trying to be successful. After 8 years of trying she treated us more like family then a patient.
They [nurses at Sanford Fertility] are amazing. They have so many patients and know my information without having to look it up. So compassionate, great advice and always there to listen...Stacy at the front desk is amazing. she will make you feel so comfortable and invited into a place where you are so confused and nervous...Frozen embryo transfer (with out meds) was around 4500$. (That’s if no additional tests/ultrasounds were needed) Retrieval with PGS testing 22-27000. With Meds.
Age
26 - 33
Treated
2012 - 2019
Success with this Doc
No
Race
Other
Income
$0 - $49K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IUI, 2 IVF, Surrogacy
Diagnosis
Anovulation, Endometriosis, Male Factor, PCOS, Unexplained
9
8
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Dr VonWald did a lot of research & called her colleagues from different out of state hospitals to review our records and offer advice. She then met with us for over an hour going over everything. Although it didn’t work out we appreciate all the time she put into us trying to be successful. After 8 years of trying she treated us more like family then a patient.
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Ask questions - she’s there to answer them
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
She took her time to explain everything, never made us feel rushed and answered all of our questions.
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
Our last protocol was depot Lupron x3 months-
Daily meds included- myo-inositol, cinnamon, coq10, metformin, baby aspirin,
Then 2mg estrogen orally TID to thicken lining.
Prior to transfer doxycycline daily x3 days and start progesterone oil 1.5ml daily.
After transfer cont progesterone, daily meds listed above, and then start lovenox daily and bid prednisone.
She was treating for everything- inflammation, blood clotting, pcos and endometriosis.
Describe your experience with your nurse at Sanford Fertility and Reproductive Medicine. (Assigned nurse: Amy or Katie)
They are amazing. They have so many patients and know my information without having to look it up. So compassionate, great advice and always there to listen
Describe your experience with Sanford Fertility and Reproductive Medicine.
Come prepared to ask questions. Book your Ultrasounds out in advance if you need a certain time. If your flexible then don’t worry. Stacy at the front desk is amazing. she will make you feel so comfortable and invited into a place where you are so confused and nervous.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
Frozen embryo transfer (with out meds) was around 4500$. (That’s if no additional tests/ultrasounds were needed)
Retrieval with PGS testing 22-27000. With Meds.
Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
Our embryos were PGS tested so they recommended one at a time but were ok if we wanted to do two.
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9
10
Age
32
Treated
2019
Success with this Doc
?
Treatment
4 IUI, 1 IVF
Diagnosis
PCOS, Unexplained
9
10
I was given stems for two weeks and developed 20+ follicles [on cycle with Dr. Hansen]. They retrieved 19 eggs and 14 of them fertilized. We had 9 embryos on the 5-day transfer and ended up transferring one AA embryo...Very knowledgeable. Talked us through everything and made sure we understood what was happening. Would explain what the next steps were and made sure all of our questions were answered... He likes to lighten the mood and sometimes laughing can help with the nerves and a stressful situation.
I was given stems for two weeks and developed 20+ follicles [on my cycle with Sanford Fertility and Reproductive Medicine]. They retrieved 19 eggs and 14 of them fertilized. We had 9 embryos on the 5-day transfer and ended up transferring one AA embryo...The nursing staff was absolutely wonderful. They were so kind and caring...The clinic was clean and inviting. The staff was always very friendly. They called you by your first name and really build a relationship with you. The staff that we met with were all very knowledgeable and were willing to help with whatever we needed. The lab and clinic office were very close as well as the pharmacy so it was very convenient.
Age
32
Treated
2019
Success with this Doc
?
Race
Other
Income
$100K - $199K
Occupation
Accountant
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
4 IUI, 1 IVF
Diagnosis
PCOS, Unexplained
9
10
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Very knowledgeable. Talked us through everything and made sure we understood what was happening. Would explain what the next steps were and made sure all of our questions were answered. He really cared about us. We were treated compassionately and not like another couple they were trying to just push through. This is a very difficult and delicate process to go through and they made it as enjoyable as possible. I always felt safe and comfortable in their care.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
I would say to be ready to laugh. He likes to lighten the mood and sometimes laughing can help with the nerves and a stressful situation.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Every question was answered in detail. Never felt rushed. They really gave us their undivided attention.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
I was given stems for two weeks and developed 20+ follicles. They retrieved 19 eggs and 14 of them fertilized. We had 9 embryos on the 5-day transfer and ended up transferring one AA embryo. On day 6 we had 4 embryos to freeze. This resulted in a negative pregnancy test. We started birth control the next cycle and are currently in the two week wait after transferring 2 frozen embryos. I am taking estrogen and progesterone shots.
Describe your experience with the nursing staff.
The nursing staff was absolutely wonderful. They were so kind and caring. They would respond so quickly to any questions I had. They were also such a big help with the medications. They told me exactly what to do and made it so easy! It can be very scary getting that box and they explained everything perfectly with detail.
Describe your experience with Sanford Fertility and Reproductive Medicine.
The clinic was clean and inviting. The staff was always very friendly. They called you by your first name and really build a relationship with you. The staff that we met with were all very knowledgeable and were willing to help with whatever we needed. The lab and clinic office were very close as well as the pharmacy so it was very convenient.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
Our insurance does not pay for anything. We have to cover everything out of pocket. I think the only thing I picked up for this whole process that was covered was my birth control pill I had to take to start each cycle.
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10
10
Age
40 - 41
Treated
2017 - 2018
Success with this Doc
Yes
Treatment
1 IUI, IVF
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Endometriosis, Unexplained
10
10
I really liked Dr Hansen and enjoyed seeing him. He takes his time and answers questions. He is very knowledgeable. My biggest complaint is you rarely see the doctors at this clinic, you usually see the mid levels who are very nice and also do a good job.... The first cycle was long Lupron cycle which was a complete bust. I had one egg retrieved with was found to be abnormal with pGS testing. They felt that the birth control prior to starting meds may have contributed to the outcome. My second cycle was a antagonist with growth hormone. Although it I did not respond well to this either we did have 5 eggs retrieved and fertilized with icsi. We were very anxious that only one of those eggs tested normal but we were able to proceed with transfer
The care and treatment areas are top notch [at Sanford Fertility & Reproductive Med]. Clean facilities, have a nice workflow through appointments. Weakness: billing!! Very confusing and not able to really produce a statement of where my money had gone. My insurance was paying for some services and I met my deductible, but my self pay part did not adjust accordingly. Did. It make sense to me that i had to pay all of the cost up front, but then in addition had to pay to meet my deductible
Age
40 - 41
Treated
2017 - 2018
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI, IVF
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Endometriosis, Unexplained
10
10
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
I really liked Dr Hansen and enjoyed seeing him. He takes his time and answers questions. He is very knowledgeable.
My biggest complaint is you rarely see the doctors at this clinic, you usually see the mid levels who are very nice and also do a good job.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Be prepared for you appointments. Do your research, and ask questions about your treatment plan.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Very kind and caring, spent time with us and answered our questions
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
The first cycle was long Lupron cycle which was a complete bust. I had one egg retrieved with was found to be abnormal with pGS testing. They felt that the birth control prior to starting meds may have contributed to the outcome.
My second cycle was a antagonist with growth hormone. Although it I did not respond well to this either we did have 5 eggs retrieved and fertilized with icsi. We were very anxious that only one of those eggs tested normal but we were able to proceed with transfer!
We consider ourselves extremely fortunate to have had a successful transfer, a healthy pregnancy and a perfect baby boy!
Describe your experience with the nursing staff.
Excellent nursing staff!! Very prompt in answering my questions and calling with results.
Describe your experience with Sanford Fertility and Reproductive Medicine.
The care and treatment areas are top notch. Clean facilities, have a nice workflow through appointments.
Weakness: billing!! Very confusing and not able to really produce a statement of where my money had gone. My insurance was paying for some services and I met my deductible, but my self pay part did not adjust accordingly. Did. It make sense to me that i had to pay all of the cost up front, but then in addition had to pay to meet my deductible
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
Majority of services were self pay
Describe Keith Hansen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
Prior to starting the process the clinic was pretty clear that they encourage single embryo transfer
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10
9
Age
31 - 32
Treated
2017 - 2018
Success with this Doc
No
Treatment
4 IUI, 1 IVF
Diagnosis
Male Factor, Unexplained, Other
10
9
With my clinic there are 3 doctors you can see during your fertility treatments but my personality meshed the best with dr Cain. She is a very compassionate yet straight to the point lady which I appreciate. This is a very emotional experience and I found some other doctors made me more emotional which I didn’t necessarily like since I like to show my emotions in private. Dr Cain is very straight to the point and answers and explains any questions that we have. I feel like she genuinely cares and will do anything to help her patients yet she doesn’t cross any emotional boundaries.
My clinic [Sanford- Sioux Falls] is very small and I had a lot of the same nurses all the time even though I was not assigned one specifically. I feel that they make every patient feel special and cared for. They learn names quickly and seem to become invested in their lives and interests. Thoughout our time there there has been many more downs there have been ups and I have no doubt that they feel the pain of their patients and are cheering them on in the background
Age
31 - 32
Treated
2017 - 2018
Success with this Doc
No
Race
Other
Income
$100K - $199K
Occupation
Sales Representative
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
4 IUI, 1 IVF
Diagnosis
Male Factor, Unexplained, Other
10
9
How was your experience with Kristen Cain at Sanford Fertility and Reproductive Medicine?
With my clinic there are 3 doctors you can see during your fertility treatments but my personality meshed the best with dr Cain. She is a very compassionate yet straight to the point lady which I appreciate. This is a very emotional experience and I found some other doctors made me more emotional which I didn’t necessarily like since I like to show my emotions in private. Dr Cain is very straight to the point and answers and explains any questions that we have. I feel like she genuinely cares and will do anything to help her patients yet she doesn’t cross any emotional boundaries. I do understand how some people may choose another doctor at my clinic if they want someone more “warm and fuzzy”. Don’t get my wrong DR Cain is extremely compassionate and I truly feel like she is invested in us and She is definitely my style of doctor but may not be the first choice for others.
What's one piece of advice would you give a prospective patient of Kristen Cain at Sanford Fertility and Reproductive Medicine?
She will speak to you as an equal so if you do not understand anything or have questions on certain terms or procedures please ask. She is very good at explaining any questions that we have bc there were times we did not understand terminology, medicine, or what the next steps were.
During treatment, were you treated like a number or a human with Kristen Cain at Sanford Fertility and Reproductive Medicine?
With my clinic there are 3 doctors you can see during your fertility treatments but my personality meshed the best with dr Cain. She is a very compassionate yet straight to the point lady which I appreciate. This is a very emotional experience and I found some other doctors mad me more emotional which I didn’t necessarily like since I like to show my emotions in private. Dr Cain is very straight to the point and answers and explains any questions that we have. I feel like she genuinely cares and will do anything to help her patients yet she doesn’t cross any emotional boundaries.
Describe the protocols Kristen Cain used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
I do not remember specifics with regards to the exact dosages and medicine. What I do know is that my clinic keeps a very close eye on me and my levels. I never felt like I was not being cared for or monitored. They do recommend accupuncture during your IVF transfer and she was very willing to research the specifics behind it for me.
Describe your experience with the nursing staff.
My clinic is very small and I had a lot of the same nurses all the time even though I was not assigned one specifically. I feel that they make every patient feel special and cared for. They learn names quickly and seem to become invested in their lives and interests. Thoughout our time there there has been many more downs there have been ups and I have no doubt that they feel the pain of their patients and are cheering them on in the background
Describe your experience with Sanford Fertility and Reproductive Medicine.
The clinic is a separate building away from the hospital so it offers a lot of privacy. One thing that I do appreciate is they have a sign on the door asking patients not to bring children. They know this is an emotional experience for us and babies and small children may be hard for some patients to see while they are there.. the staff at Sanford in Fargo is also great. In the two years I have been going there I have seen little to zero turn over. Honestly I do not have to many things to say about weaknesses minus the cost. I feel like what they charge is above the average but being in North Dakota we do not have to many other options unless we want to travel. They do however offer some financing programs for patients. I believe this is a relatively new offering there so I did have to ask a lot of questions to get clarity on exactly what is covered under the loan company and what I am responsible for.
Describe the costs associated with your care under Kristen Cain at Sanford Fertility and Reproductive Medicine.
I cannot recall the exact cost of the iui procedures because they were covered under insurance at that time. For our IVF cycle I believe not including medicine it was around 20k for an egg retrieval and 2 frozen transfers.
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10
10
Age
25 - 26
Treated
2017 - 2018
Success with this Doc
?
Treatment
1 IVF
Diagnosis
Other
10
10
Having her [Dr. Tiffany Von Wald] as my doctor was a wonderful experience. She was very straightforward and kind. As stressful as all the doctor visits I had, and all of the injections, patches and pills, I never felt alone...I would recommend her in a heartbeat...My retrieval and first transfer went okay. I was on gonal-f, menopur, lupron at the beginning. I did have to increase my menopur once for the cycle. I took progesterone in oil shots after the transfer along with an estradiol patch. My second transfer was with progesterone in oil, and estrogen pills three times daily.
They were all great ladies [the nurses at Sanford Fertility and Reproductive Medicine]...They all answered my questions I had over the phone or online. When my first results came back negative one nurse cried with me. I felt like I was family... I've never had any problems. The nurses and doctors are so thoughtful and kind. Even the receptionist knew me by name. I have seen both Dr. Von Wald and Dr. Hanson they are both amazing people and doctors. They will take the time to talk to you about anything you need.
Age
25 - 26
Treated
2017 - 2018
Success with this Doc
?
Race
European
Income
$0 - $49K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Other
10
10
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Having her as my doctor was a wonderful experience. She was very straightforward and kind. As stressful as all the doctor visits I had, and all of the injections, patches and pills, I never felt alone. I hope no-one I know will have to go through this hardship. But I would recommend her in a heartbeat.
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Don't be scared. You may feel alone, but you're not. I was treated so greatly at sanford, I know you will be too!
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Every doctor I had seen knew me by my face. They helped me understand everything that was going on, and they helped me when I found out the blood tests came back negative. I felt like family.
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
My retrieval and first transfer went okay. I was on gonal-f, menopur, lupron at the beginning. I did have to increase my menopur once for the cycle. I took progesterone in oil shots after the transfer along with an estradiol patch. My second transfer was with progesterone in oil, and estrogen pills three times daily.
Describe your experience with the nursing staff.
They were all great ladies. My very first meet with the nurses, one of them forgot that I was waiting for her to come back. I did understand that people get busy though. They all answered my questions I had over the phone or online. When my first results came back negative one nurse cried with me. I felt like I was family.
Describe your experience with Sanford Fertility and Reproductive Medicine.
I've gone to Sanford my whole life. I've never had any problems. The nurses and doctors are so thoughtful and kind. Even the receptionist knew me by name. I have seen both Dr. Von Wald and Dr. Hanson they are both amazing people and doctors. They will take the time to talk to you about anything you need.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
Most of it was covered under my insurance, but I needed another shot of gonal-f and that was 300 out of pocket because I maxed my prescription cost from my insurance. My second transfer was about 100 dollars all together.
Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
My doctor said for the first transfer, they'd strongly recommend one embryo. For the second transfer they were okay with 2 embryos because they had been frozen.
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10
10
Age
37 - 39
Treated
2016 - 2018
Success with this Doc
Yes
Treatment
3 IUI, 3 IVF
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Poor Egg Quality, Unexplained
10
10
I love that she [Dr. Von Wald] is down to earth. She understands that this is difficult, time consuming and expensive. I also travel almost 3 hours one way for appointments and she was great about doing as many things at home or scheduling things for the same day when I was seeing her. You don't get to see her every time and I'm ok with that but I knew she looked at everything even when I didn't see her.... First we did 3 IUIs that resulted in 2 pregnancies
They [Sanford Fertility] are Very easy to work with. They make it so easy to schedule appointments. By the 2nd visit I was greeted by my first name!! All the staff are great. They always keep you informed of delays in appointments if there are any but usually there are not. The waiting room is very nice.... [Nursing Staff] Very knowledgeable. I Always receive a call back or return message back within the hour. Love them all. Very caring and compassionate
Age
37 - 39
Treated
2016 - 2018
Success with this Doc
Yes
Race
Prefer not to answer
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, 3 IVF
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Poor Egg Quality, Unexplained
10
10
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
I love that she is down to earth. She understands that this is difficult, time consuming and expensive. I also travel almost 3 hours one way for appointments and she was great about doing as many things at home or scheduling things for the same day when I was seeing her. You don't get to see her every time and I'm ok with that but I knew she looked at everything even when I didn't see her.
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Spend time with her, ask questions, let her know your concerns, ask every question you have, do you own research and go to her with everything
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Human!!! Very caring. Greated by name at every visit. Great communication!!
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
First we did 3 IUIs that resulted in 2 pregnancies, 1st ivf cycle was a long lupron cycle, 2nd was a gentle cycle without lupron and my 3rd was more of a mini ivf cycle that we did oral meds with menopause. My last 2 cycles resulted in pregnancies. Unfortunately my 4 pregnancies ended in losses due to chromosome issues which we knew would be an issue because of my age/eggs
Describe your experience with the nursing staff.
Very knowledgeable. I Always receive a call back or return message back within the hour. Love them all. Very caring and compassionate
Describe your experience with Sanford Fertility and Reproductive Medicine.
They are Very easy to work with. They make it so easy to schedule appointments. By the 2nd visit I was greeted by my first name!! All the staff are great. They always keep you informed of delays in appointments if there are any but usually there are not. The waiting room is very nice.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
In SD we do not have infertility coverage so the cost is significant. My insurance was billed for most of the initial testing but most is not covered. They have a billing expert right there in the office that will meet at anytime and he is great. They do not finance through the office but there are several different option for financing.
Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
She is always willing to discuss this with me. With my IVF we did 2 3 day embryos because of my age but we discussed at length the risks and benefits of 1 vs 2
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6
7
Age
30 - 32
Treated
2016 - 2018
Success with this Doc
No
Treatment
4 IUI, Donor Sperm
Diagnosis
—
6
7
We did 4 rounds of IUI [with Dr. Keith Hansen]. The first, we took no medication. The following, my wife took Chlomid and then also a trigger shot. By rounds 3-4 we were still doing chlomid but changed to a double trigger as one of the cycles resulted in early ovulation and a delayed period by about 2 weeks... Dr. Hansen was empathetic and even made us laugh to ease the tension.
The front desk lady [at Sanford Fertility and Reproductive Med], Stacy is awesome!! She remembers who you are even if several months have passed and is super fun to talk to. One thing I would change is making sure that there is 1 nurse or 1 doctor providing a patient information. It was frustrating when we would be told different things by different doctors/nurses.
Age
30 - 32
Treated
2016 - 2018
Success with this Doc
No
Race
Other
Income
$100K - $199K
Occupation
Operations
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
4 IUI, Donor Sperm
Diagnosis
—
6
7
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
When we started fertility treatments, we did not know what to expect and unfortunately found that there were many surprises along the way that were not described to us. When we are investing a lot of time and money, we expected nothing but the best. I will say though that since we are starting IVF treatments, we have had a much more positive experience so far (we are in the early stages of this process. Dr. Hansen was empathetic and even made us laugh to ease the tension.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Make sure you are prepared with questions and do not be afraid to ask them and push for answers.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Sometimes we felt as if they were trying to boost their success rate and not so much caring for each individual. We have found over time, this has gotten better and they are more empathetic.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We did 4 rounds of IUI. The first, we took no medication. The following, my wife took Chlomid and then also a trigger shot. By rounds 3-4 we were still doing chlomid but changed to a double trigger as one of the cycles resulted in early ovulation and a delayed period by about 2 weeks
Describe your experience with your nurse at Sanford Fertility and Reproductive Medicine. (Assigned nurse: Amy)
I can say without hesitation that we had nurses we preferred over others. The ones we enjoyed had been funny, emphathetic and just plain awesome!
Describe your experience with Sanford Fertility and Reproductive Medicine.
The front desk lady, Stacy is awesome!! She remembers who you are even if several months have passed and is super fun to talk to. One thing I would change is making sure that there is 1 nurse or 1 doctor providing a patient information. It was frustrating when we would be told different things by different doctors/nurses.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
Our insurance does not cover any portion of this so it was all out of pocket. We paid for several tests, medications and the actual procedure. I would say each round of IUI cost is around 3-4K with our first round of IVF being around 20k.
Describe Keith Hansen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
We are gearing up for IUI and plan to do a multiple embryo transfer.
What specific things went wrong at Sanford Fertility and Reproductive Medicine?
- Failed to order appropriate test
- Failed to send your chart to another clinic
- Provided conflicting information
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6
5
Age
34 - 35
Treated
2016 - 2017
Success with this Doc
No
Treatment
3 Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Male Factor, Unexplained
6
5
It is very difficult to actually get Dr. Von Wald's advice or recommendation. The clinic's default is to have a CNP make treatment decisions. And I often felt as though my treatment plan was forgotten from one appointment to the next. However, I did appreciate a call on a Saturday from Dr. Von Wald changing the course of treatment from what the CNP had directed....I was happy with my meetings with Dr. Von Wald but recognized that she is extremely busy and that she probably wasn't as involved with my course of treatment as I would have liked.
Sometimes I found the nursing staff [at Sanford] to be uninformed and not instill very much confidence. At other times I found them helpful - but they are usually very responsive at least...The clinic is pushing through a lot of patients and this seems to lead to staff not really knowing your case very well from one appointment to the next...The clinic's default is to have a CNP make treatment decisions. And I often felt as though my treatment plan was forgotten from one appointment to the next.
Age
34 - 35
Treated
2016 - 2017
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Lawyer
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Male Factor, Unexplained
6
5
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
I was happy with my meetings with Dr. Von Wald but recognized that she is extremely busy and that she probably wasn't as involved with my course of treatment as I would have liked. I chose her, not the NPs, but unfortunately I usually dealt with the NPs. She also had very little to offer me in the way of treatment and explanation of recurrent pregnancy loss. I don't think this is her specialty. Although she is busy, she never rushed me through my discussions with her and welcomed most of my questions. She was somewhat dismissive of a couple of concerns I had, such as about MTHFR. But ultimately she agreed to test me for it.
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Know that she is extremely smart and you can trust her, but that you may not be able to deal with her as often as you expect. And you will need to push back if you are doubting the advice you get from Angie or Shanna, and request that they confirm with Dr. Von Wald.
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
It is very difficult to actually get Dr. Von Wald's advice or recommendation. The clinic's default is to have a CNP make treatment decisions. And I often felt as though my treatment plan was forgotten from one appointment to the next. However, I did appreciate a call on a Saturday from Dr. Von Wald changing the course of treatment from what the CNP had directed. She was only reviewing my plan because I had an appointment booked with her for the following week. So I learned that it was very important to be proactive and demand meetings with her.
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
She prescribed Letrozole at the lowest dose for the first cycle without results. So in the second cycle she doubled the dose and added a trigger shot. This did not lead to pregnancy. In the third cycle, she took the same approach to the Letrozole but recommended an earlier ultrasound and subsequent trigger shot. This protocol resulted in pregnancy but ended shortly thereafter as a chemical pregnancy.
Describe your experience with the nursing staff.
Sometimes I found the nursing staff to be uninformed and not instill very much confidence. At other times I found them helpful - but they are usually very responsive at least. I just had to push back to make sure they'd checked with Dr. Von Wald when they provided advice.
Describe your experience with Sanford Fertility and Reproductive Medicine.
The clinic is pushing through a lot of patients and this seems to lead to staff not really knowing your case very well from one appointment to the next.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
I paid for the medications, visits, and procedures and the clinic ran everything through insurance.
What specific things went wrong at Sanford Fertility and Reproductive Medicine?
- Provided conflicting information
- Failed to convey critical information
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Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
38
Treated
2018
Success with this Doc
Yes
Treatment
2 IUI, 1 IVF
Diagnosis
Anovulation, PCOS, Uterine Fibroids, Unexplained
10
10
I’m so happy that I found Dr. Christiansen. He was a pleasure to work with. He was very genuine during all my encounters with him. He made sure to answer all my questions and ensured I understood everything that was happening with each visit. He also made sure to follow up with written instructions after every visit. He made the process as easy as it possibly could be...We first tried pills to help, along with a trigger/ovulation injection. Followed by intercourse. After 2 unsuccessful months, he recommended IUI. Same pills and trigger shot, but manual placement of my husbands semen. After 2 unsuccessful months, Dr C recommended IVF. They retrieved 10 eggs from me. 7 of them fertilized. 3 of them made it to day 5. At that point, we elected to do genetic testing. 1 was completely normal, 1 was mosaic, and 1 was abnormal. IN December we transferred the one healthy embryo. It resulted in a positive pregnancy. Unfortunately I miscarried at 19 weeks on April 14th due to a weakened cervix.
The IVF costs [at Sanford Fertility and Reproductive Medicine] (ultrasounds, bloodwork, procedures, etc) was around $20,000...The only weakness - when needing to go over financial information it was done right in the waiting room where anybody could over hear. I’d prefer that we would be able to discuss finances in an office with a door... They retrieved 10 eggs from me. 7 of them fertilized. 3 of them made it to day 5. At that point, we elected to do genetic testing. 1 was completely normal, 1 was mosaic, and 1 was abnormal. IN December we transferred the one healthy embryo. It resulted in a positive pregnancy. Unfortunately I miscarried at 19 weeks on April 14th due to a weakened cervix.
Age
38
Treated
2018
Success with this Doc
Yes
Race
Prefer not to answer
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
1st of 3 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
Anovulation, PCOS, Uterine Fibroids, Unexplained
10
10
How was your experience with Steffen Christensen at Sanford Fertility and Reproductive Medicine?
I’m so happy that I found Dr. Christiansen. He was a pleasure to work with. He was very genuine during all my encounters with him. He made sure to answer all my questions and ensured I understood everything that was happening with each visit. He also made sure to follow up with written instructions after every visit. He made the process as easy as it possibly could be.
During treatment, were you treated like a number or a human with Steffen Christensen at Sanford Fertility and Reproductive Medicine?
He thoroughly listened with every meeting we had. I felt as if though I was his only patient. Very thorough with instructions verbally, then followed up with an email which was very helpful.
Describe the protocols Steffen Christensen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We first tried pills to help, along with a trigger/ovulation injection. Followed by intercourse. After 2 unsuccessful months, he recommended IUI. Same pills and trigger shot, but manual placement of my husbands semen. After 2 unsuccessful months, Dr C recommended IVF. They retrieved 10 eggs from me. 7 of them fertilized. 3 of them made it to day 5. At that point, we elected to do genetic testing. 1 was completely normal, 1 was mosaic, and 1 was abnormal. IN December we transferred the one healthy embryo. It resulted in a positive pregnancy. Unfortunately I miscarried at 19 weeks on April 14th due to a weakened cervix.
Describe your experience with Sanford Fertility and Reproductive Medicine.
The only weakness - when needing to go over financial information it was done right in the waiting room where anybody could over hear. I’d prefer that we would be able to discuss finances in an office with a door.
Describe the costs associated with your care under Steffen Christensen at Sanford Fertility and Reproductive Medicine.
The IVF costs (ultrasounds, bloodwork, procedures, etc) was around $20,000.
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8
7
Age
38 - 39
Treated
2017 - 2018
Success with this Doc
?
Treatment
Fertility Medications
Diagnosis
Male Factor
8
7
Dr. Cain was very pleasant and always answered our questions as they arose....She’s a very pleasant doctor and always answered questions in a manner that was helpful and informative. I just feel like we’ve been forgotten since our last visit. We almost always had to recount who we were and what we’d done in the past at every visit.... To date I’ve had a lot of bloodwork, a saline sonogram, a uterine polyp removal, and several visits. My husband has had two semen analyses. That’s about it
I feel they [Sanford Repro Med] could be more aggressive with treatment, forthcoming with information and communication, and clear with clients.... Insurance paid for most of our appointments but not her office visit fees ($250ish). Our insurance does not pay for IVF...which we were quoted around $20,000.... I had a bout with pneumonia and was scheduled for a uterine polyp removal surgery. Unfortunately, the night before the surgery was cancelled by the anesthetist due to the recent pneumonia diagnosis (which I was healed from at the time).
Age
38 - 39
Treated
2017 - 2018
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
Fertility Medications
Diagnosis
Male Factor
8
7
How was your experience with Kristen Cain at Sanford Fertility and Reproductive Medicine?
She’s a very pleasant doctor and always answered questions in a manner that was helpful and informative. I just feel like we’ve been forgotten since our last visit. We almost always had to recount who we were and what we’d done in the past at every visit.
What's one piece of advice would you give a prospective patient of Kristen Cain at Sanford Fertility and Reproductive Medicine?
Keep in touch with clients more. This is a difficult road and feeling forgotten doesn’t make us too eager to come back.
During treatment, were you treated like a number or a human with Kristen Cain at Sanford Fertility and Reproductive Medicine?
Dr. Cain was very pleasant and always answered our questions as they arose. I feel she/her office could have reached out to us more though. We were last there in October 2017 and haven’t heard from them since. I feel like once we were presented with IVF being our only option and we needed time to secure funding they completely forgot about us.
Describe the protocols Kristen Cain used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We have yet to start working with a lot of medications. To date I’ve had a lot of bloodwork, a saline sonogram, a uterine polyp removal, and several visits. My husband has had two semen analyses. That’s about it
Describe your experience with the nursing staff.
Always friendly and helpful.
Describe your experience with Sanford Fertility and Reproductive Medicine.
I feel they could be more aggressive with treatment, forthcoming with information and communication, and clear with clients.
They did a good job with diagnosing but I feel we’re no further today than we were 15-months ago.
Describe the costs associated with your care under Kristen Cain at Sanford Fertility and Reproductive Medicine.
Insurance paid for most of our appointments but not her office visit fees ($250ish).
Our insurance does not pay for IVF...which we were quoted around $20,000.
Describe Kristen Cain's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
We only ever spoke with a financial counselor about this...not Dr. Cain.
What specific things went wrong at Sanford Fertility and Reproductive Medicine?
- Provided conflicting information
- Failed to convey critical information
- Canceled a cycle due to clinic error
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10
10
Age
28 - 29
Treated
2016 - 2017
Success with this Doc
No
Treatment
5 IUI
Diagnosis
Anovulation, Endometriosis, PCOS
10
10
He [Dr. Hansen] was very knowledgeable and understanding. Answered all of my questions fully so both I and my husband could understand the situation and procedures....We first started out on lower dose Letrozole, that wasn't producing what he wanted so we increased the doasge and I had started feeling nauseous so they also included a medication to help with that. Tried that for a couple cycles before moving on to IUI....
I would send anybody to this clinic [Sanford Fertility and Repro Med]. Everyone from the receptionist to the ultrasound techs to the Doctors are warm, comforting and compassionate. They truly want a positive outcome from every person....They were always comforting and compassionate. Made sure all of our questions were answered every visit and comfortable with the treatment.... They remembered who you were and what you've been through.
Age
28 - 29
Treated
2016 - 2017
Success with this Doc
No
Race
European, Other
Income
$0 - $49K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
5 IUI
Diagnosis
Anovulation, Endometriosis, PCOS
10
10
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
He was very knowledgeable and understanding. Answered all of my questions fully so both I and my husband could understand the situation and procedures. We had already been through a lot before going to Dr. Hansen and felt like he was the right choice for us.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Dr. Hansen truly cares for each patient.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
All the staff were very warm and comforting. They remembered who you were and what you've been through.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We first started out on lower dose Letrozole, that wasn't producing what he wanted so we increased the doasge and I had started feeling nauseous so they also included a medication to help with that. Tried that for a couple cycles before moving on to IUI. We also switched to Clomid when starting the IUI cycles. After that resulted in no pregnancy after a couple cycles we agreed that it was best to do a diagnostic laparoscopy in which they found endometriosis. After my body healed we went back to IUI with no pregnancy after a couple more cycles they recommended moving on to IVF.
Describe your experience with your nurse at Sanford Fertility and Reproductive Medicine. (Assigned nurse: Angela Schmidt)
They were always comforting and compassionate. Made sure all of our questions were answered every visit and comfortable with the treatment.
Describe your experience with Sanford Fertility and Reproductive Medicine.
I would send anybody to this clinic. Everyone from the receptionist to the ultrasound techs to the Doctors are warm, comforting and compassionate. They truly want a positive outcome from every person.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
I thought the costs were reasonable. Our insurance did not cover a lot but I knew that going into treatment. I thought the price of IUI was fair.
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4
5
Age
32 - 34
Treated
2014 - 2016
Success with this Doc
No
Treatment
Fertility Medications
Diagnosis
Male Factor, Unexplained
4
5
He [Dr. Keith Hansen] was direct and easy to understand. He was also motivated toward success. But he didn't listen to what we wanted and he refused to dig deeper and seek a solution that didn't include IVF. In Sioux Falls you can't get IUI anywhere else ananywhere else and it felt like he knew he had the power to dictate our treatment plan.... He wouldn't sign off on a medicated cycle or IUI. He wouldn't let us try anything except IVF, even though our test results are very controversial as to their conclusivness. We also told him we aren't comfortable with IVF and ignored that.
It's [Sanford Fertility and Reproductive Med] the only option here. It's a nice clinic and the staff is kind, and I know the associated hospital is top quality, but there doesn't feel like much choice involved. A little competition migbt increase their customer service. Dr. Hansen is the biggest weakness, he had a myopic approach.... We were upfront about not wanting IVF and I mentioned if we were ever to change our mind I wouldn't want to have excess embryos on hand or have a quad pregnancy. He very matter of factly stated to make the procedure cost effective for couples like us, large egg retrevials and multiple embryo transfers were necessary to avoid the cost of multiple procedures and to increase success rates. He didn't care about our comfort or morality, just cost.
Age
32 - 34
Treated
2014 - 2016
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Sales Representative
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
Fertility Medications
Diagnosis
Male Factor, Unexplained
4
5
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
He was direct and easy to understand. He was also motivated toward success. But he didn't listen to what we wanted and he refused to dig deeper and seek a solution that didn't include IVF. In Sioux Falls you can't get IUI anywhere else ananywhere else and it felt like he knew he had the power to dictate our treatment plan.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
If you have limits see Van Wold instead. Always plan for IVF to be a part of his plan of action.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
We were very upfront about our limits and what were wanted to avoid. He pushed right through those. He was only willing to try IVF, he had no other suggestions or options for us. He wouldn't consider and alternate route.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We didn't get to move forward with treatment. He wouldn't sign off on a medicated cycle or IUI. He wouldn't let us try anything except IVF, even though our test results are very controversial as to their conclusivness. We also told him we aren't comfortable with IVF and ignored that.
Describe your experience with the nursing staff.
They were kind and efficient.
Describe your experience with Sanford Fertility and Reproductive Medicine.
It's the only option here. It's a nice clinic and the staff is kind, and I know the associated hospital is top quality, but there doesn't feel like much choice involved. A little competition migbt increase their customer service. Dr. Hansen is the biggest weakness, he had a myopic approach.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
I don't remember. A couple hundred dollars I think. Billing was pretty easy, the sperm analysis billing was weird. If you paid right away you got a huge discount but I didn't pay Sanford, it was a 3rd party.
Describe Keith Hansen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
We were upfront about not wanting IVF and I mentioned if we were ever to change our mind I wouldn't want to have excess embryos on hand or have a quad pregnancy. He very matter of factly stated to make the procedure cost effective for couples like us, large egg retrevials and multiple embryo transfers were necessary to avoid the cost of multiple procedures and to increase success rates. He didn't care about our comfort or morality, just cost.
What specific things went wrong at Sanford Fertility and Reproductive Medicine?
- Failed to send your chart to another clinic
- Provided conflicting information
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9
10
Age
28 - 30
Treated
2017 - 2019
Success with this Doc
?
Treatment
6 Fertility Medications
Diagnosis
Anovulation, PCOS
9
10
She [Von Wald] was very kind and helpful in explaining course of action. She took time to get to know our story instead of just reading a history in the medical chart. She has a great team working with her and is always available for questions....We started with letrozole and menopur and then a trigger shot for ovulation. After a couple cycles we started using dexamethasone to speed the cycle. They have been very patient with my cycles
Staff [Sanford Fertility & Repro Med] is great. Being surrounded by kind and caring people during this time is such a comfort. They communicate clearly and often and listen to your needs and respect your plan. Billing is easy to understand and keep up with.... Very kind and knowledgeable, helped answer questions when I had them and listened to my concerns or frustrations.
Age
28 - 30
Treated
2017 - 2019
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
6 Fertility Medications
Diagnosis
Anovulation, PCOS
9
10
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
She was very kind and helpful in explaining course of action. She took time to get to know our story instead of just reading a history in the medical chart. She has a great team working with her and is always available for questions.
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
She's very willing to answer questions, so come with all of them :)
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
She takes the time to visit with us and explain each step and ask for our feedback.
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We started with letrozole and menopur and then a trigger shot for ovulation. After a couple cycles we started using dexamethasone to speed the cycle. They have been very patient with my cycles and attentive to my needs and the plan my husband and I have.
Describe your experience with your nurse at Sanford Fertility and Reproductive Medicine. (Assigned nurse: Angela Schmidt)
Very kind and knowledgeable, helped answer questions when I had them and listened to my concerns or frustrations.
Describe your experience with Sanford Fertility and Reproductive Medicine.
Staff is great. Being surrounded by kind and caring people during this time is such a comfort. They communicate clearly and often and listen to your needs and respect your plan. Billing is easy to understand and keep up with.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
My husband and I chose not to pursue IVF or insemination. We had costs for each appointment and ultrasound, and then medication. Our insurance covered a significant amount of those costs.
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10
10
Age
25 - 26
Treated
2018 - 2019
Success with this Doc
?
Treatment
13 Fertility Medications
Diagnosis
PCOS, Tubal Blockage, Other, Unexplained
10
10
Dr. Von Wald is great. Honest, compassionate, and you can tell she loves what she does! I have had excellent care, and have hope that we will be able to have a baby with the help of this great team ... Very caring and compassionate, she is blunt and honest but still helpful and considerate of your feelings ... Our protocol has been metformin, myo-inisotol, cinnamon, Femara with Ovidrel. I did well on this protocol, no issues. ...
The clinic [Sandford Fertility and Repro Med] is great, we have had a great experience so far. They have great doctors and great staff. You can't possibly go to a better clinic. Even though we live 3 hours away, it is well worth it, they also offer telehealth and home clinic monitoring which is great! ... The nursing staff is great, very helpful and get back to you promptly if you have questions.
Age
25 - 26
Treated
2018 - 2019
Success with this Doc
?
Race
European
Income
$200K - $499K
Occupation
—
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
13 Fertility Medications
Diagnosis
PCOS, Tubal Blockage, Other, Unexplained
10
10
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Sanford is a fabulous clinic, Dr. Von Wald is great. Honest, compassionate, and you can tell she loves what she does! I have had excellent care, and have hope that we will be able to have a baby with the help of this great team
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Be open to trying something different, they may suggest a lot of diagnostic testing, even if you have already had it, do it again! They may find different results
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Very caring and compassionate, she is blunt and honest but still helpful and considerate of your feelings
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
Our protocol has been metformin, myo-inisotol, cinnamon, Femara with Ovidrel.
I did well on this protocol, no issues.
Describe your experience with the nursing staff.
The nursing staff is great, very helpful and get back to you promptly if you have questions.
Describe your experience with Sanford Fertility and Reproductive Medicine.
The clinic is great, we have had a great experience so far. They have great doctors and great staff. You can't possibly go to a better clinic. Even though we live 3 hours away, it is well worth it, they also offer telehealth and home clinic monitoring which is great!
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
I have great insurance, so my medication and diagnostic testing, blood work and ultrasounds has all been covered. We are awaiting a surgical bill, but we haven't had much to pay out of pocket
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9
5
Age
32 - 34
Treated
2016 - 2018
Success with this Doc
No
Treatment
1 IVF
Diagnosis
Male Factor, PCOS, Uterine Fibroids
9
5
I loved how honest Dr. HANSEN was. He took time to explain what was and going to happen. Even if he didn't know an answer he tried to find an answer. He made me safe and with 3 surgeries done with him not including the fallopian test and multiple ultrasounds. He always stayed up beat and positive which kept my spirits up.... We did a lower dose IVF with one ovary and PCOs he did not want to over stimulate. No birth control was used. It yeilded 7 eggs. 5 embroyos, 2 transferred and the remaining died before freezing. It was a negative pregnancy test.
The clinic [Sanford Fertility] is very friendly, efficient, and easy to work with. A few things that I would say our the weaknesses were they don't always read the charts before meeting with the patient. I had to multiple times remind them of my history and remind them of the protocol that we were using.... We paid for 1 round of IVF with ICSI, all of the testing, monitoring, and medication and it was around $23,000....
I got frustrated that I had to keep correcting my protocol with them or the fact that I only have 1 ovary.
Age
32 - 34
Treated
2016 - 2018
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Consultant
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Male Factor, PCOS, Uterine Fibroids
9
5
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
I loved how honest Dr. HANSEN was. He took time to explain what was and going to happen. Even if he didn't know an answer he tried to find an answer. He made me safe and with 3 surgeries done with him not including the fallopian test and multiple ultrasounds. He always stayed up beat and positive which kept my spirits up.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
It's ok to ask questions. He will answer them and make sure you are comfortable.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
He took time to listen to my concerns and answer my questions without it seeming like a chore.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We did a lower dose IVF with one ovary and PCOs he did not want to over stimulate. No birth control was used.
It yeilded 7 eggs. 5 embroyos, 2 transferred and the remaining died before freezing. It was a negative pregnancy test.
Describe your experience with the nursing staff.
I got frustrated that I had to keep correcting my protocol with them or the fact that I only have 1 ovary.
Describe your experience with Sanford Fertility and Reproductive Medicine.
The clinic is very friendly, efficient, and easy to work with. A few things that I would say our the weaknesses were they don't always read the charts before meeting with the patient. I had to multiple times remind them of my history and remind them of the protocol that we were using.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
We paid for 1 round of IVF with ICSI, all of the testing, monitoring, and medication and it was around $23,000.
Describe Keith Hansen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
They would at most transfer 2 for my age.
What specific things went wrong at Sanford Fertility and Reproductive Medicine?
- Provided conflicting information
- Read less
4
6
Age
29 - 30
Treated
2017 - 2018
Success with this Doc
No
Treatment
Fertility Medications
Diagnosis
Other
4
6
[Dr. Cain] seemed nice, but there was an instance when I messaged her through my message portal online, and she replied back with something that didn't make any sense. I later found out she had mistaken me for another patient. I was not happy, and that is when I chose to see another doctor...I was diagnosed with POF (premature ovarian failure), so I was told that doing a medicated cycle would not be helpful. Dr. Kain monitored me for follicle development and we did timed intercourse. No results to speak of. I had very poor follicle development.
[Sanford Fertility and Reproductive Medicine] Seems like a nice place. Very rarely did I see other people in the waiting room. And they have a no child policy which I was grateful for. I know some clinics allow children, and I'm glad this one didn't. The offices where they take you to discuss things were nice and inviting...felt they spent enough time with me to answer questions...I was diagnosed with POF (premature ovarian failure), so I was told that doing a medicated cycle would not be helpful. Dr. Kain monitored me for follicle development and we did timed intercourse. No results to speak of. I had very poor follicle development.
Age
29 - 30
Treated
2017 - 2018
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
1st of 2 Docs
Treatment
Fertility Medications
Diagnosis
Other
4
6
How was your experience with Kristen Cain at Sanford Fertility and Reproductive Medicine?
Dr. Kain seemed nice, but there was an instance when I messaged her through my message portal online, and she replied back with something that didn't make any sense. I later found out she had mistaken me for another patient. I was not happy, and that is when I chose to see another doctor.
What's one piece of advice would you give a prospective patient of Kristen Cain at Sanford Fertility and Reproductive Medicine?
Make sure she knows what patient she is talking to
During treatment, were you treated like a number or a human with Kristen Cain at Sanford Fertility and Reproductive Medicine?
It was a small clinic and felt they spent enough time with me to answer questions
Describe the protocols Kristen Cain used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
I was diagnosed with POF (premature ovarian failure), so I was told that doing a medicated cycle would not be helpful. Dr. Kain monitored me for follicle development and we did timed intercourse. No results to speak of. I had very poor follicle development.
Describe your experience with the nursing staff.
They were nice and understanding.
Describe your experience with Sanford Fertility and Reproductive Medicine.
Seems like a nice place. Very rarely did I see other people in the waiting room. And they have a no child policy which I was grateful for. I know some clinics allow children, and I'm glad this one didn't. The offices where they take you to discuss things were nice and inviting.
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5
1
Age
34
Treated
2017
Success with this Doc
No
Treatment
1 IUI, 2 IVF
Diagnosis
Other, Unexplained
5
1
[Dr. Dahl] Was unreasonably optimistic and quoted statistics that were incorrect. Explained risks of treatments and was empathetic. Didn’t have good continuity of care due to clinic set up, which made it difficult to develop rapport with individual providers.... One doctor at the clinic [Sanford Fertility and Repro Med] didn’t stop a medication after I reported a major adverse effect. A second doctor did stop the medication. Clinic charged me for services I didn’t have. Clinic failed to send all of my records to another clinic.
I was billed for over $1000 of services that I didn’t receive. The clinic never apologized but after I challenged this, they did refund the money. I never felt that any of the doctors understood my case or took the lead in developing a treatment protocol because I would often see a different doctor from visit to visit. This clinic missed an important that a consult with another clinic picked up on at the first consult. I wonder if the treatments at Sanford didn’t work because they didn’t have the correct diagnosis.
Age
34
Treated
2017
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Doctor
Order & Number of Docs Seen
3rd of 4 Docs
Treatment
1 IUI, 2 IVF
Diagnosis
Other, Unexplained
5
1
How was your experience with Stephanie Dahl at Sanford Fertility and Reproductive Medicine?
Was unreasonably optimistic and quoted statistics that were incorrect. Explained risks of treatments and was empathetic. Didn’t have good continuity of care due to clinic set up, which made it difficult to develop rapport with individual providers.
What's one piece of advice would you give a prospective patient of Stephanie Dahl at Sanford Fertility and Reproductive Medicine?
Check your bill carefully to determine if you have had the services you are being billed for.
During treatment, were you treated like a number or a human with Stephanie Dahl at Sanford Fertility and Reproductive Medicine?
Was rude when needed to call on call. Respectful and personable in clinic.
Describe the protocols Stephanie Dahl used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
Clomid, has hyperstimulation with it, cycle was cancelled
Describe your experience with the nursing staff.
Nursing staff were generally prompt in replies to messages. One nurse was somewhat rude when rooming me.
Describe your experience with Sanford Fertility and Reproductive Medicine.
I was billed for over $1000 of services that I didn’t receive. The clinic never apologized but after I challenged this, they did refund the money. I never felt that any of the doctors understood my case or took the lead in developing a treatment protocol because I would often see a different doctor from visit to visit. This clinic missed an important that a consult with another clinic picked up on at the first consult. I wonder if the treatments at Sanford didn’t work because they didn’t have the correct diagnosis.
What specific things went wrong at Sanford Fertility and Reproductive Medicine?
- Lost paperwork
- Failed to order appropriate test
- Failed to send your chart to another clinic
- Provided conflicting information
- Failed to consider drug intolerance
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Verified
This patient has provided documentation of treatment at this clinic.
10
9
Age
26 - 31
Treated
2012 - 2017
Success with this Doc
Yes
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
10
9
He [Dr. Keith Hansen] is so welcoming. Friendly. Makes you feel at ease and not nervous. Easy to talk to and ask questions. Does not talk over your head!! Gives great info but not too much info. Explains risks but not in a scary way...We tried clomid with times intercourse for 4 cycles. No pregnancies. Keith recommend us to try another route by gave us the option to be as aggressive as we liked. We tried 3 IUI's with clomid. No pregnancies. We didn't want to continue to waste time and money and he said if we were ready then IVF next route.
They [Sanford - Sioux Falls] are very welcoming, accommodating and give you to knowledge you need. The scheduling of appointments is sometimes hard. They have a full schedule...15,000-18,000 with medications included in that...[Nurses] Friendly. Super easy to ask questions and always responsive. Didn't make you feel out of place. Made you feel like you were right at home and so passionate!! 😄 Cared about how doing and YOU
Age
26 - 31
Treated
2012 - 2017
Success with this Doc
Yes
Race
Other
Income
$50K - $99K
Occupation
Sales Representative
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
10
9
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
He is so welcoming. Friendly. Makes you feel at ease and not nervous. Easy to talk to and ask questions. Does not talk over your head!! Gives great info but not too much info. Explains risks but not in a scary way
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
He is great!! You will feel right at home!
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Very friendly, talks real but not over your head. Gives the perfect amount of info! Makes you welcomed
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We tried clomid with times intercourse for 4 cycles. No pregnancies. Keith recommend us to try another route by gave us the option to be as aggressive as we liked. We tried 3 IUI's with clomid. No pregnancies. We didn't want to continue to waste time and money and he said if we were ready then IVF next route. We did shots along with IVF. We conceived on first round!
Describe your experience with the nursing staff.
Friendly. Super easy to ask questions and always responsive. Didn't make you feel out of place. Made you feel like you were right at home and so passionate!! 😄 Cared about how doing and YOU
Describe your experience with Sanford Fertility and Reproductive Medicine.
They are very welcoming, accommodating and give you to knowledge you need. The scheduling of appointments is sometimes hard. They have a full schedule.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
15,000-18,000 with medications included in that.
Describe Keith Hansen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
He told us it was our choice. Due to age and our history. Unexplained infertility, he seemed like 2 was a good options for us. He doesn't recommend over 2
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Verified
This patient has provided documentation of treatment at this clinic.
10
9
Age
28 - 31
Treated
2014 - 2017
Success with this Doc
No
Treatment
3 IUI, 2 IVF
Diagnosis
Recurrent Pregnancy Loss, Anovulation, Male Factor, PCOS, Unexplained
10
9
Dr. Hansen would sit and talk to us for hours and answering all our questions we had. He treated us like we were family...Dr Hansen is very sympathetic person. He wants the best results for every single patient of his. He would explain things to us in ways we could understand. He also has a way of making us relax in a stressful process...I was diagnosed with PCOS, so I produce a lot of eggs. he had me on a protocol to produce less eggs but of higher quality. Instead of a ton of eggs at Ok-ish quality.
Ultrasounds/clinic visits [at Sanford]-500$ a time IVF process 12,000 w/o meds ICSI- 2000 Genetic testing 4500 Iui 800 Saline infused ultrasound 800...They [nurses at Sanford] are all the most warm hearted, wonderful, cry with you, laugh with you, sit with you for hours people...They have expanded they're clinic to help accommodate the rising infertility issues. More staff, more rooms, ect
Age
28 - 31
Treated
2014 - 2017
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IUI, 2 IVF
Diagnosis
Recurrent Pregnancy Loss, Anovulation, Male Factor, PCOS, Unexplained
10
9
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Dr Hansen is very sympathetic person. He wants the best results for every single patient of his. He would explain things to us in ways we could understand. He also has a way of making us relax in a stressful process.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Ask questions, he will sit for hours until you have no more questions. He will never make you feel like he is in a hurry and needs to be somewhere else.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Dr. Hansen would sit and talk to us for hours and answering all our questions we had. He treated us like we were family.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
I was diagnosed with PCOS, so I produce a lot of eggs. he had me on a protocol to produce less eggs but of higher quality. Instead of a ton of eggs at Ok-ish quality.
Describe your experience with the nursing staff.
They are all the most warm hearted, wonderful, cry with you, laugh with you, sit with you for hours people.
Describe your experience with Sanford Fertility and Reproductive Medicine.
They have expanded they're clinic to help accommodate the rising infertility issues. More staff, more rooms, ect
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
Ultrasounds/clinic visits-500$ a time
IVF process 12,000 w/o meds
ICSI- 2000
Genetic testing 4500
Iui 800
Saline infused ultrasound 800
Describe Keith Hansen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
dr. Hansen, my husband and I all decided together to do 1 embryo transfers based on the high quality embryo and genetically tested normal to help reduce multiples or miscarriages.
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7
7
Age
30 - 34
Treated
2013 - 2017
Success with this Doc
No
Treatment
2 IUI, 3 IVF
Diagnosis
Diminished Ovarian Reserve, Male Factor
7
7
Dr. Hansen is very knowledgeable, and definitely has a lot of experience. Overall, I think he is good at what he does. But he didn't seem to want to think outside the box for our situation. To a certain extent, I think he was trying to protect us financially, but we wanted a child more than anything and were willing to pay for it.... After a retrieval, I wished he would have come talk to me (and not just my husband) to let me know how it had gone.
This [Sanford Fertility and Reproductive Medicine] is the only clinic in the area that does ART -- so options are limited. I think the doctors are good at what they do, but we had significant issues with billing. For one cycle we overpaid nearly $7000, and had to fight with the clinic to get it back. We had similar issues on subsequent cycles, but because of this experience I refused to prepay. They would have never brought it to our attention if I hadn't caught the discrepancy between our EOBs and clinic statements. So watch this, as it can happen.
Age
30 - 34
Treated
2013 - 2017
Success with this Doc
No
Race
European
Income
$0 - $49K
Occupation
—
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 IUI, 3 IVF
Diagnosis
Diminished Ovarian Reserve, Male Factor
7
7
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Dr. Hansen is very knowledgeable, and definitely has a lot of experience. Overall, I think he is good at what he does. But he didn't seem to want to think outside the box for our situation. To a certain extent, I think he was trying to protect us financially, but we wanted a child more than anything and were willing to pay for it.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Be ready for the rollercoaster that is ART.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
After a retrieval, I wished he would have come talk to me (and not just my husband) to let me know how it had gone.
Describe your experience with Sanford Fertility and Reproductive Medicine.
This is the only clinic in the area that does ART -- so options are limited. I think the doctors are good at what they do, but we had significant issues with billing. For one cycle we overpaid nearly $7000, and had to fight with the clinic to get it back. We had similar issues on subsequent cycles, but because of this experience I refused to prepay. They would have never brought it to our attention if I hadn't caught the discrepancy between our EOBs and clinic statements. So watch this, as it can happen.
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10
10
Age
27 - 28
Treated
2016 - 2017
Success with this Doc
Yes
Treatment
2 IUI, 1 IVF
Diagnosis
Endometriosis
10
10
Doctor VonWald was always so caring and went over the entire process into detail with me. She answered any questions I had and made my feel at ease and give me hope. I wasn't just a number-I was a person that she truly cared about helping.... Dr. Von Wald helped make a very stressful situation better by communicating what was going on and what the plan of attack was. If something didn't go how originally planned, a new plan was set in place. I felt like I was in good hands that cared about our end goal-having a baby.
All the staff, especially front desk, were so caring and nice. They [Sanford Fertility and Reproductive Medicine] always were so helpful and returned your call if you ever had any questions. The clinic is clean and inviting. Parking is a little busy at times, but there is free valet parking offered.... The total amount for IVF was about $20,000... Dr. Von Wald helped make a very stressful situation better by communicating what was going on and what the plan of attack was.
Age
27 - 28
Treated
2016 - 2017
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Sales Representative
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
Endometriosis
10
10
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Dr. Von Wald helped make a very stressful situation better by communicating what was going on and what the plan of attack was. If something didn't go how originally planned, a new plan was set in place. I felt like I was in good hands that cared about our end goal-having a baby.
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Anyone going through infertility, I always tell them that it is a rollercoaster ride of emotions and to always have a person to be able to vent to or get emotions off your chest with.
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Doctor VonWald was always so caring and went over the entire process into detail with me. She answered any questions I had and made my feel at ease and give me hope. I wasn't just a number-I was a person that she truly cared about helping.
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
She watched closely over the dosage of shots to stimulate my ovaries. They took a while to respond, so dosages were increased and lots of ultrasounds were done to make sure I didn't overstimulate
Describe your experience with the nursing staff.
They were so caring and helpful!
Describe your experience with Sanford Fertility and Reproductive Medicine.
All the staff, especially front desk, were so caring and nice. They always were so helpful and returned your call if you ever had any questions. The clinic is clean and inviting. Parking is a little busy at times, but there is free valet parking offered.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
The total amount for IVF was about $20,000
Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
My embryos were in great quality and she recommended just transferring one embryo.
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9
9
Age
34
Treated
2016
Success with this Doc
No
Treatment
2 IVF
Diagnosis
Poor Egg Quality
9
9
He [Dr. Keith Hansen] was the one who called me with the news that we couldn't move forward with an embryo transfer since the embryos didn't fully develop. He was empathetic and even stayed on the phone with me while I had an emotional breakdown. He talked me through it and advised we can still try again or think about donor eggs. Every time we mee with him he was upbeat and positive.
They [the nursing staff at Sanford] were awesome! They answered all my questions, returned my calls and emails with in same day. They took the time to throughly go through all the steps required for my meds which was very important to me... My loan package was 23,000 which covered 2 IVF cycles. ... I used menopur, hcg, gonal f, and centricide. I didn't end up pregnant but my body responded well to the meds and had16 eggs retrieved.
Age
34
Treated
2016
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
2 IVF
Diagnosis
Poor Egg Quality
9
9
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
He was the one who called me with the news that we couldn't move forward with an embryo transfer since the embryos didn't fully develop. He was empathetic and even stayed on the phone with me while I had an emotional breakdown. He talked me through it and advised we can still try again or think about donor eggs. Every time we mee with him he was upbeat and positive.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Don't give up
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
He was easy to talk to and took the time to make sure we fully understood everything. He was gentle with his responses, upfront and honest.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
I used menopur, hcg, gonal f, and centricide. I didn't end up pregnant but my body responded well to the meds and had16 eggs retrieved.
Describe your experience with the nursing staff.
The were awesome! They answered all my questions, returned my calls and emails with in same day. They took the time to throughly go through all the steps required for my meds which was very important to me
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
My loan package was 23,000 which covered 2 IVF cycles. My first one was October 2016 and was unsuccessful. My next will be June 2017
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7
8
Age
29 - 31
Treated
2013 - 2015
Success with this Doc
No
Treatment
3 IUI
Diagnosis
Endometriosis
7
8
He has compassion. He does not see you every time- just for consults and then his NPs do the rest.
No one went out of their way to be nice or make sure I knew the plans...they want to get in and get out to finish their day.
Age
29 - 31
Treated
2013 - 2015
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Doctor
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IUI
Diagnosis
Endometriosis
7
8
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
he has compassion. he does not see you every time- just for consults and then his NPs do the rest. But then he gets to charge you another consult when you are "finished" with that phase of treatments- like we did IUI then after that didn't work we have to pay 600 dollars for another consult to discuss IVF (which we had initially discussed ivf after iui if it didn't work).
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
overall we had a good experience, but we are still in the process and going to be starting ivf- at another facility since their numbers are not good.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
I barely was seen by Dr. HAnsen himself. mostly seen by his nurse practitioners. I felt as though they made me feel less like a number than a human- but they are still a doctors office and this is routine for them- they want to get in and get out to finish their day. the nurses at the office were less warm and fuzzy, and the secretaries (better now) but in 2013 when we started the treatment, they were not helpful and very grumpy.
Describe your experience with the nursing staff.
nothing really- no one went out of their way to be nice or make sure I knew the plans.
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Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
39 - 40
Treated
2011 - 2012
Success with this Doc
Yes
Treatment
5 IUI, 1 IVF, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
Dr. Hansen is extremely knowledgeable about infertility treatment. I also did my own research and consulted with him about my findings, he was very open to discussion options with me. Even if I hadn't been successful, I would still recommend him....I did five IUIs without success. I decided to try IVF, Dr. Hansen recommended the agonist protocol. My research also suggested that would work best considering my age (40 at the time) and egg quality....We always had very frank discussions, and he treated me with respect....
Excellent nursing staff [at Sanford]! They were so kind to me. And also were very responsive to e-mails I sent regarding to my protocol when I was in the middle of things...Costs were not covered by my insurance. I was billed for procedures....Dr. Hansen is extremely knowledgeable about infertility treatment. I also did my own research and consulted with him about my findings, he was very open to discussion options with me. Even if I hadn't been successful, I would still recommend him.
Age
39 - 40
Treated
2011 - 2012
Success with this Doc
Yes
Race
European
Income
—
Occupation
Lawyer
Order & Number of Docs Seen
1 Doc Seen
Treatment
5 IUI, 1 IVF, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Dr. Hansen is extremely knowledgeable about infertility treatment. I also did my own research and consulted with him about my findings, he was very open to discussion options with me. Even if I hadn't been successful, I would still recommend him.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Know what you are getting into, do research, talk about treatment with other people who have gone through it. All of that will help when meeting with the doctor.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
We always had very frank discussions, and he treated me with respect.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
I did five IUIs without success. I decided to try IVF, Dr. Hansen recommended the agonist protocol. My research also suggested that would work best considering my age (40 at the time) and egg quality. I took Menopur and Bravelle at highest dosages. Dr. Hansen retrieved 10 eggs, two were fractured and not usable for IVF. He used ICSI to inseminate 8 eggs. Two high quality, 5 day embryos were transferred. One implanted. None of the other embryos were of good enough quality to freeze.
Describe your experience with the nursing staff.
Excellent nursing staff! They were so kind to me. And also were very responsive to e-mails I sent regarding to my protocol when I was in the middle of things.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
Costs were not covered by my insurance. I was billed for procedures.
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9
10
Age
29
Treated
2017
Success with this Doc
No
Treatment
3 IUI, 1 IVF
Diagnosis
Male Factor
9
10
She [Dr. Von Wald] explained everything to us, our results, what was going to happen next. Asked us if we had questions. She answered our questions. She was a nice, kind doctor. She knew what she was talking about and doing....Her strengths were she explained everything in an a way we could understand. She knew the answers to ou r questions. She explained everything in detail. She answered all our questions. She didn't have any weaknesses.
Clinic [Sanford] employee's were nice and accommodating. Made you feel welcomed. Were nice and greeted us when we walked into the clinic.We had a short wait time. Knew us by our names after awhile. Easy check in with them....Nursing staff was kind, informational, answered all our questions. The nursing staff knew what they were doing and talking about....She [Dr. Von Wald] explained everything to us, our results, what was going to happen next.
Age
29
Treated
2017
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
1st of 4 Docs
Treatment
3 IUI, 1 IVF
Diagnosis
Male Factor
9
10
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Her strengths were she explained everything in an a way we could understand. She knew the answers to ou
r questions. She explained everything in detail. She answered all our questions. She didn't have any weaknesses.
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
She explained everything to us, our results, what was going to happen next. Asked us if we had questions. She answered our questions. She was a nice, kind doctor. She knew what she was talking about and doing.
Describe your experience with the nursing staff.
Nursing staff was kind, informational, answered all our questions. The nursing staff knew what they were doing and talking about.
Describe your experience with Sanford Fertility and Reproductive Medicine.
Clinic employee's were nice and accommodating. Made you feel welcomed. Were nice and greeted us when we walked into the clinic.We had a short wait time. Knew us by our names after awhile. Easy check in with them.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
Normal price
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Verified
This patient has provided documentation of treatment at this clinic.
8
10
Age
29
Treated
2017
Success with this Doc
No
Treatment
3 IUI, 1 IVF
Diagnosis
Male Factor
8
10
He [Dr. Hansen] was Nice, told jokes, made you feel comfortable. listened to what are concerns were. We never had a bad experience with him. Explained procedures, what was happening while he was doing the procedures. He gave us options after IVF failed...Carefully explained everything with us. didn't treat us like just another patient....Just basic Ivf procedures. Medications didnt get adjusted. My body was doing what it was suppose to.
The clinics [Sanford] strengths were they were friendly, accessible, and easy to make appointments. Their Weaknesses would be calling you were put on hold or someone had to call you back. Receptionist were nice and friendly, after you've been their a few times they knew your name, talked extra with you, they kind of became like friends...nursing staff was nice, easily accessible to answer our questions and concerns.
Age
29
Treated
2017
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
3rd of 4 Docs
Treatment
3 IUI, 1 IVF
Diagnosis
Male Factor
8
10
How was your experience with Keith Hansen at Sanford Fertility and Reproductive Medicine?
He was Nice, told jokes, made you feel comfortable. listened to what are concerns were. We never had a bad experience with him. Explained procedures, what was happening while he was doing the procedures. He gave us options after IVF failed.
What's one piece of advice would you give a prospective patient of Keith Hansen at Sanford Fertility and Reproductive Medicine?
Just ask questions, they will answer them.
During treatment, were you treated like a number or a human with Keith Hansen at Sanford Fertility and Reproductive Medicine?
Carefully explained everything with us. didn't treat us like just another patient.
Describe the protocols Keith Hansen used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
Just basic Ivf procedures. Medications didnt get adjusted. My body was doing what it was suppose to.
Describe your experience with the nursing staff.
nursing staff was nice, easily accessible to answer our questions and concerns.
Describe your experience with Sanford Fertility and Reproductive Medicine.
The clinics strengths were they were friendly, accessible, and easy to make appointments. Their Weaknesses would be calling you were put on hold or someone had to call you back. Receptionist were nice and friendly, after you've been their a few times they knew your name, talked extra with you, they kind of became like friends.
Describe the costs associated with your care under Keith Hansen at Sanford Fertility and Reproductive Medicine.
Normal cost,
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Verified
This patient has provided documentation of treatment at this clinic.
10
9
Age
25 - 26
Treated
2017 - 2018
Success with this Doc
No
Treatment
4 IUI
Diagnosis
Male Factor, Unexplained
10
9
[Dr. Von Wald] Very patient, explains things well. Gave us all options available, went over pros and cons of each. Gave her full recommendation as to what to try first and to do next. Ensures that we know all the steps that will be taken....Each cycle we would up the dosage depending on how last cycle went. She made sure I was feeling fine with the drugs.... Just know it’s going to be a bit of information overload.... Remembers life events
Ease of making appointments. Pretty flexible with appointments. All people [Sanford Fertility and Reproductive Medicine] show great compassion. People start to get to know you by name. Get stopped in the hall for small chat. Everything is very thorough.... [Cost Of Treatment] IUI-$2,000-2,500 each cycle, meds depending. IVF-$17,000-20,000, meds depending.... [Nursing Staff] All very kind and helpful.... Remembers life events
Age
25 - 26
Treated
2017 - 2018
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
Accountant
Order & Number of Docs Seen
1st of 3 Docs
Treatment
4 IUI
Diagnosis
Male Factor, Unexplained
10
9
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Very patient, explains things well. Gave us all options available, went over pros and cons of each. Gave her full recommendation as to what to try first and to do next. Ensures that we know all the steps that will be taken.
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Just know it’s going to be a bit of information overload.
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Remembers life events
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
Each cycle we would up the dosage depending on how last cycle went. She made sure I was feeling fine with the drugs.
Describe your experience with the nursing staff.
All very kind and helpful.
Describe your experience with Sanford Fertility and Reproductive Medicine.
Ease of making appointments. Pretty flexible with appointments. All people show great compassion. People start to get to know you by name. Get stopped in the hall for small chat. Everything is very thorough.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
IUI-$2,000-2,500 each cycle, meds depending. IVF-$17,000-20,000, meds depending.
Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility and Reproductive Medicine.
She suggests 1 is 2 depending on how many fertilized embryos we can get.
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10
10
Age
23 - 24
Treated
2018 - 2019
Success with this Doc
?
Treatment
1 IUI
Diagnosis
Anovulation, PCOS
10
10
[Dr. Tiffany Von Wald] has been amazing to work with! She is so kind and caring and cares what you have to say! She always took the time to listen to our concerns and knew how to help us...when we first walked in knew who I was as an individual she knew all about my past and everything. I felt like I had been seeing her my entire life. She was always willing to listen and help us out. She is beyond amazing...We used letrozole for all of my rounds but one and menopure shots about 4 of those and the trigger shot.
This clinic [Sanford Fertility and Reproductive Medicine] probably has weakness but I have not experienced any! Every time I go in I am treated with respect and kindness. I honestly love going to see them. Even if I get bad news. The receptionist knows me by name and always remembers things we talked about like two weeks ago...The other day I absolutely needed to be seen so we could do iui this round. Due to the weather I wasn’t able to make it. Katie made sure I could get an ultrasound in Mitchell and set up a video chat with my doctor.
Age
23 - 24
Treated
2018 - 2019
Success with this Doc
?
Race
Middle Eastern
Income
$0 - $49K
Occupation
—
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI
Diagnosis
Anovulation, PCOS
10
10
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Dr.vonwald when we first walked in knew who I was as an individual she knew all about my past and everything. I felt like I had been seeing her my entire life. She was always willing to listen and help us out. She is beyond amazing
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Take notes, go in with an open mind.
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Dr.vonwald has been amazing to work with! She is so kind and caring and cares what you have to say! She always took the time to listen to our concerns and knew how to help us
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We used letrozole for all of my rounds but one and menopure shots about 4 of those and the trigger shot.
Describe your experience with your nurse at Sanford Fertility and Reproductive Medicine. (Assigned nurse: Katie )
The other day I absolutely needed to be seen so we could do iui this round. Due to the weather I wasn’t able to make it. Katie made sure I could get an ultrasound in Mitchell and set up a video chat with my doctor.
Describe your experience with Sanford Fertility and Reproductive Medicine.
This clinic probably has weakness but I have not experienced any! Every time I go in I am treated with respect and kindness. I honestly love going to see them. Even if I get bad news. The receptionist knows me by name and always remembers things we talked about like two weeks ago.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
Since insurance doesn’t cover infertility I had lots of lab bills, ultrasound and office visit bills. I had a hsg done and they didn’t cover any of that. Medicine such as shot was crazy
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9
8
Age
33 - 34
Treated
2018 - 2019
Success with this Doc
?
Treatment
2 IUI, 1 IVF
Diagnosis
Unexplained
9
8
We started with chlomid and then did letrazol [with Dr. Tiffany Von Wald]. We also did two iuis and are on our second round of ivf...She treats you like a person and knows where you have been and where you want to be. She has been in your shoes and cares...She is very personable and makes you feel welcome. She is a great listener and tells you where you should go next. Her team is great to work with. They get to know you very well and truly care about you.
[The nurses at Sanford Fertility and Reproductive Medicine were] very professional and helpful...Around $600 for iui. 15,00 for egg transfer and ivf 1. Ivf 2-3,000...They make you feel so welcome. I feel very comfortable there. They are so encouraging and helpful. They communicate well using my chart. Everyone knows your name and takes interest in your story. The team is all very positive and friendly...They get to know you very well and truly care about you.
Age
33 - 34
Treated
2018 - 2019
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
Unexplained
9
8
How was your experience with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
She is very personable and makes you feel welcome. She is a great listener and tells you where you should go next. Her team is great to work with. They get to know you very well and truly care about you.
What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
Remain positive. Don’t be afraid to reach out and ask her for help.
During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility and Reproductive Medicine?
She treats you like a person and knows where you have been and where you want to be. She has been in your shoes and cares.
Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility and Reproductive Medicine and their degree of success.
We started with chlomid and then did letrazol. We also did two iuis and are on our second round of ivf.
Describe your experience with your nurse at Sanford Fertility and Reproductive Medicine. (Assigned nurse: Shanna Konz)
They were good communities and very professional and helpful.
Describe your experience with Sanford Fertility and Reproductive Medicine.
They make you feel so welcome. I feel very comfortable there. They are so encouraging and helpful. They communicate well using my chart. Everyone knows your name and takes interest in your story. The team is all very positive and friendly.
Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility and Reproductive Medicine.
Around $600 for iui.
15,00 for egg transfer and ivf 1.
Ivf 2-3,000
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Verified
This patient has provided documentation of treatment at this clinic.