Ratings of 1 indicate that a clinic was poorly operated.
Ratings of 10 indicate that a clinic operated very well.
Scheduling
8.5
8.5
Scheduling
Ratings of 1 mean it was difficult to schedule appointments with this clinic.
Ratings of 10 mean it was easy to schedule appointments.
Billing Department
7.8
7.8
Billing Department
Ratings of 1 indicate an unsatisfactory billing department.
Ratings of 10 indicate an excellent billing department.
Nursing Team
8.6
8.6
Nursing Team
Ratings of 1 indicate an unsatisfactory nursing team.
Ratings of 10 indicate an excellent nursing team.
LGBTQ+ Care
6.9
6.9
LGBTQ+ Care
Ratings of 1 indicate an unsatisfactory LGBTQ+ care.
Ratings of 10 indicate an excellent LGBTQ+ care.
Attention to Detail
8
8
Attention to Detail
Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.
For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.
CDC Success Rates
This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
Dr. Evans-Hoeker diagnosed us with "unexplained infertility" after checking my blood work and my husband's sperm... We were told it would only take 2-3 IUI's to be successful. When they didn't work, we were told there was no reason why it shouldn't work, and to try again. It made us feel like failures, like there wasn't an explanation, and that continuing to put money into additional IUI's would result in a baby eventually.
There were select hours and days you could go for ultrasound appointments and you felt like a sheep waiting in line with everyone else. There was little compassion or empathy, and very little explanation for treatment courses other than what you would pay the clinic [Carilion Clinic - Roanoke].... We spent about $1000 for each cycle of IUI to the clinic, not including medications (which were around $150 each cycle).
How was your experience with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Dr. Evans-Hoeker diagnosed us with "unexplained infertility" after checking my blood work and my husband's sperm, and did not recommend any other tests before pushing us through 7 IUI's (3 with only medication). Once we moved to a new clinic we found out that I had a low AMH, which was from the blood test Dr. Evans-Hoeker performed) which should have given me a diagnosis of diminished ovarian reserve. After additional tests I was also found to have a blocked tube from endometriosis, and IUI's never should have been recommended as a course of treatment, and 7 of them was an absurd amount to do without changing course of treatment or performing additional tests to find out what was wrong. We were continually told, "we don't know why this isn't working" or, "there's no reason why this won't work if we keep on trying...the odds are in your favor!" We were mislead, had our money taken, and treated like just another patient giving them money for treatment.
What's one piece of advice would you give a prospective patient of Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Find another doctor. We didn't realize how bad the doctor and clinic were until we found a new clinic. Once we saw how great we could be treated at a fertility clinic we couldn't believe we stayed at Dr. Evans-Hoeker's practice for so long.
During treatment, were you treated like a number or a human with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Dr. Evans-Hoeker does not have a good bed-side manner. There were select hours and days you could go for ultrasound appointments and you felt like a sheep waiting in line with everyone else. There was little compassion or empathy, and very little explanation for treatment courses other than what you would pay the clinic.
Describe the protocols Emily Evans-Hoeker used in your cycles at Shady Grove Fertility Richmond and their degree of success.
After bloodwork and a semen analysis we were given a diagnosis of "unexplained infertility" and told that we should proceed with IUI treatments. We were told it would only take 2-3 IUI's to be successful. When they didn't work, we were told there was no reason why it shouldn't work, and to try again. It made us feel like failures, like there wasn't an explanation, and that continuing to put money into additional IUI's would result in a baby eventually. We were misdiagnosed, neglected, and out thousands of dollars by the time we left Dr. Evans-Hoeker's care.
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
We did not really see many nurses. We either saw Dr. Evans-Hoeker or another doctor who would occasionally perform our ultrasounds, but not nurses. We were sent to a local hospital for blood work, so the nurses did not help out with our testing either.
Describe your experience with Shady Grove Fertility Richmond.
Trust your gut. We felt like we weren't getting the best care, but there weren't any other fertility facilities in the area, and it would be expensive to travel somewhere else and start over. However we wasted more time and money staying at a place where we thought we were being looked after and receiving the best treatment available. We should have gone with our initial gut reaction and switched to a new clinic, particularly after viewing this clinic's IVF schedule. You have to sync your cycle to other women's cycles, which only happens 3-4 times per year, and be seen on the same days. Other clinics work with your body individually, and see you on days you need to be seen. Not shuffling you through the process like cattle.
Describe the costs associated with your care under Emily Evans-Hoeker at Shady Grove Fertility Richmond.
We spent about $1000 for each cycle of IUI to the clinic, not including medications (which were around $150 each cycle).
What specific things went wrong at Shady Grove Fertility Richmond?
Failed to order appropriate test
Failed to send your chart to another clinic
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Shady Grove Fertility Richmond.
We were misdiagnosed and mislead for months, while hemorrhaging money to this clinic. We also applied for a third party grant to help cover fertility payments, and were told by the grant that we were chosen as a winner, but because this clinic never returned any of their phone calls, we could not be awarded the grant.
Since we were doing IUI's, i felt like she [Dr. Evans-Hoeker] was not as interested in helping us unless we chose to do IVF (which we did not). She spent little time with me and was typically either talking about my weight, or something similar. My last appointment with her included some students shadowing in which she harshly discussed my weight and I came to the conclusion that she saw me as less of a person because I was bigger and it felt like I did not deserve children unless I lost weight...
nursing staff [at Carilion Clinic] we all approachable and responsive...Our specific issues related to billing and follow up communications from the physician and nurses. I would often have to initiate contact to get information or rely on the information provided in MyChart...Things that had been covered before were no longer being covered. We were paying double the amount out of pocket vs. when we were with the previous dr/clinic at Carilion...
How was your experience with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
I think Dr. Evans-Hoeker was a fresh face when we were using her. She had big plans for IVF collaboration with UNC, which is amazing for those who are going that route. Since we were doing IUI's, i felt like she was not as interested in helping us unless we chose to do IVF (which we did not). She spent little time with me and was typically either talking about my weight, or something similar. My last appointment with her included some students shadowing in which she harshly discussed my weight and I came to the conclusion that she saw me as less of a person because I was bigger and it felt like I did not deserve children unless I lost weight.
What's one piece of advice would you give a prospective patient of Emily Evans-Hoeker at Shady Grove Fertility Richmond?
I'd tell them to stick to their plan and follow the path they choose. Do not go blindly in and let her talk you into IVF from the start. If you feel like you're being pushed get a second opinion.
During treatment, were you treated like a number or a human with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
The appointments were short and to the point. I don't feel like she was interested in spending time with me, she was getting through the appointment so she could move on to the next.
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
The nursing staff we all approachable and responsive. I felt like they saw me as a human and a patient.
Describe your experience with Shady Grove Fertility Richmond.
I started out with this clinic when they were newer. They had just moved into their building and were still adjusting staff and physicians. I think the clinic is warm and welcoming. Our issues with the clinic revolved around insurance and billing. Things that had been covered before were no longer being covered. We were paying double the amount out of pocket vs. when we were with the previous dr/clinic at Carilion.
Describe the costs associated with your care under Emily Evans-Hoeker at Shady Grove Fertility Richmond.
I don't remember exact costs, but i do remember that they were double the price before the clinic moved from the previous location. Things that were covered were now not covered and payment was demanded at the time of service (which i understand is typical, just confusing as to why all the insurance changes when they were working the previous bill).
What specific things went wrong at Shady Grove Fertility Richmond?
Failed to call with results
Failed to send your chart to another clinic
Describe the specific things that went wrong at Shady Grove Fertility Richmond.
Our specific issues related to billing and follow up communications from the physician and nurses. I would often have to initiate contact to get information or rely on the information provided in MyChart.
Dr. Evans-Hoeker is extremely knowledgable and explained both the issues we were facing and the treatment options thoroughly. She answered all questions, communicated well through the patient portal, and made sure we had all the information we needed to proceed...We were facing unexplained male factor infertility. My husband had been tossed from doctor to doctor when we finally made the decision to visit Dr. Evans-Hoeker. She continued my husband on Clomid while beginning an IUI cycle. She had me in for saline ultrasounds and an HSG and I passed on all needed bloodwork. I went on Clomid for the IUI cycle along with a trigger shot. We did double inseminations. It worked!
Wonderful nursing staff [at Carilion Clinic]! The nurse who oversaw my IUI was especially kind...The nurse who oversaw my IUI was especially kind...Costs were very reasonable. My insurance did not cover the costs, but they do bill for insurance if yours covers. Hospital procedures, not in the clinic, were covered and I only paid copay on those...Very accessible. Worked well with my schedule and offered as much flexibility as can be in this process. They communicate well and have an easy to find location. Celia greets everyone with a smile, which makes such a difference.
How was your experience with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Dr. Evans-Hoeker is extremely knowledgable and explained both the issues we were facing and the treatment options thoroughly. She answered all questions, communicated well through the patient portal, and made sure we had all the information we needed to proceed.
What's one piece of advice would you give a prospective patient of Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Come prepared with questions. It's easy to go blank when you are sitting there!
During treatment, were you treated like a number or a human with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Dr. Emily Evans-Hoeker sat with us for literally an entire hour during our first appointment. She shared her own fertility struggle and explained processes and options thoroughly.
Describe the protocols Emily Evans-Hoeker used in your cycles at Shady Grove Fertility Richmond and their degree of success.
We were facing unexplained male factor infertility. My husband had been tossed from doctor to doctor when we finally made the decision to visit Dr. Evans-Hoeker. She continued my husband on Clomid while beginning an IUI cycle. She had me in for saline ultrasounds and an HSG and I passed on all needed bloodwork. I went on Clomid for the IUI cycle along with a trigger shot. We did double inseminations. It worked!
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
Wonderful nursing staff! The nurse who oversaw my IUI was especially kind.
Describe your experience with Shady Grove Fertility Richmond.
Very accessible. Worked well with my schedule and offered as much flexibility as can be in this process. They communicate well and have an easy to find location. Celia greets everyone with a smile, which makes such a difference.
Describe the costs associated with your care under Emily Evans-Hoeker at Shady Grove Fertility Richmond.
Costs were very reasonable. My insurance did not cover the costs, but they do bill for insurance if yours covers. Hospital procedures, not in the clinic, were covered and I only paid copay on those.
Dr. Gentry has always been warm with me when talking to her. She explained everything in a way that myself and my significant other could understand... Responds quick to messages when sent through MyChart or telephone messages. She stays on top of treatment. She keeps me in the know when test results come back or when we need to take a different course of action and she explains everything for us where we can understand. And I fully feel like I know what is going on when I leave the visit!
The nurses [at Carilion Clinic] are excellent. So nice and caring. Most of them have lived the infertility life and that's what brought them to the clinic...I think the clinic was great overall. Very welcoming and friendly. Very easy to find. Front desk was very friendly upon coming to the office. I feel welcome at the office when I am seen. Easy to make an appointment with the front desk. Copay is due at the time of visit. The copay can not be billed.
How was your experience with Adrienne Gentry at Shady Grove Fertility Richmond?
Dr. Gentry is friendly. Responds quick to messages when sent through MyChart or telephone messages. She stays on top of treatment. She keeps me in the know when test results come back or when we need to take a different course of action and she explains everything for us where we can understand. And I fully feel like I know what is going on when I leave the visit!
What's one piece of advice would you give a prospective patient of Adrienne Gentry at Shady Grove Fertility Richmond?
Don't delay. Go see Dr. Gentry today. She is jumps right in and helps you make a plan for next steos in treatment
During treatment, were you treated like a number or a human with Adrienne Gentry at Shady Grove Fertility Richmond?
Dr. Gentry has always been warm with me when talking to her. She explained everything in a way that myself and my significant other could understand. I really appreciate Dr. Gentry.
Describe the protocols Adrienne Gentry used in your cycles at Shady Grove Fertility Richmond and their degree of success.
I have not started timed intercourse I will be starting at the beginning of May. This will be my first round of treatment overall. Newly diagnosed.
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
The nurses are excellent. So nice and caring. Most of them have lived the infertility life and that's what brought them to the clinic.
Describe your experience with Shady Grove Fertility Richmond.
I think the clinic was great overall. Very welcoming and friendly. Very easy to find. Front desk was very friendly upon coming to the office. I feel welcome at the office when I am seen. Easy to make an appointment with the front desk. Copay is due at the time of visit. The copay can not be billed.
Describe the costs associated with your care under Adrienne Gentry at Shady Grove Fertility Richmond.
I have a copay. That has to be paid at the time of visit. I can not bill it. First visit is around $500. Ultrasounds vary. Meds vary. HSG unsure of cost. MRI was right at $5,000. I do have insurance through my job so that has helped
[Dr. Adrienne Gentry] was willing to work us into her schedule on short notice, which was helpful. She was thorough in the explanation of her recommendations. After we left the office we had some follow up questions and she was quick to respond even though it was a Friday afternoon...My partner and I were seen for a fertility consult. We expected to be cleared, as there were no known fertility issues other than us being a same-sex couple who would need assistance with creating a family. After some tests and chart review we found out that we could potentially be facing some fertility issues after all. Adrienne recommended an HSG, an ultrasound and some blood work before she would move forward with IUI.
~400 for initial consultation including ultrasound ~700 per IUI cycle including two ultrasounds, trigger shot and IUI [at Carilion Clinic]...Patient flow was good. We hardly had to wait once we arrived, even though we were a bit early. Staff explained what we would be doing every step of the way and were happy to answer questions that we had. They were responsive to our questions outside of the office as well, including helping to get lab work coordinated.
How was your experience with Adrienne Gentry at Shady Grove Fertility Richmond?
Adrienne was willing to work us into her schedule on short notice, which was helpful. She was thorough in the explanation of her recommendations. After we left the office we had some follow up questions and she was quick to respond even though it was a Friday afternoon.
What's one piece of advice would you give a prospective patient of Adrienne Gentry at Shady Grove Fertility Richmond?
Go for it! Don’t be afraid to ask her questions.
During treatment, were you treated like a number or a human with Adrienne Gentry at Shady Grove Fertility Richmond?
Adrienne was patient and kind with the many questions that my partner and I had. We were hit with some unexpected news during our visit and she was compassionate and understanding.
Describe the protocols Adrienne Gentry used in your cycles at Shady Grove Fertility Richmond and their degree of success.
My partner and I were seen for a fertility consult. We expected to be cleared, as there were no known fertility issues other than us being a same-sex couple who would need assistance with creating a family. After some tests and chart review we found out that we could potentially be facing some fertility issues after all. Adrienne recommended an HSG, an ultrasound and some blood work before she would move forward with IUI.
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
Nursing staff went out of their way to help us, even at the end of the day on a Friday.
Describe your experience with Shady Grove Fertility Richmond.
Patient flow was good. We hardly had to wait once we arrived, even though we were a bit early. Staff explained what we would be doing every step of the way and were happy to answer questions that we had. They were responsive to our questions outside of the office as well, including helping to get lab work coordinated.
Describe the costs associated with your care under Adrienne Gentry at Shady Grove Fertility Richmond.
~400 for initial consultation including ultrasound
~700 per IUI cycle including two ultrasounds, trigger shot and IUI
She [Dr. Evans-Hoeker] was thorough and professional but I didn’t feel assured or comforted when going through the whole process. I felt I was overlooked a little bit because she kept mentioning how young I am which made me feel like she wasn’t as invested as she would’ve been with her older patients...3 separate IUI’s, 50 milligrams of Clomid and trigger shot with each attempt...She wasn’t cold but wasn’t warm and sympathetic either. She didn’t seem entirelt invested like I was.
My nurse who performed the actual IUI procedures for me [at Carilion Clinic] was very comforting, kind, and listened to all my questions and concerns...$165 for baseline and midline scan, $260 for IUI, about $90 for clomid and trigger shot, and about $820 for donor sperm...I initially had to wait 3 months before I could be seen for a consultation. All of the initial testing had to be handled at 2 other facilities which was annoying to coordinate.
How was your experience with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
She was thorough and professional but I didn’t feel assured or comforted when going through the whole process. I felt I was overlooked a little bit because she kept mentioning how young I am which made me feel like she wasn’t as invested as she would’ve been with her older patients.
What's one piece of advice would you give a prospective patient of Emily Evans-Hoeker at Shady Grove Fertility Richmond?
She is very knowledgeable but prepare yourself for the unexpected during the process.
During treatment, were you treated like a number or a human with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
She wasn’t cold but wasn’t warm and sympathetic either. She didn’t seem entirelt invested like I was.
Describe the protocols Emily Evans-Hoeker used in your cycles at Shady Grove Fertility Richmond and their degree of success.
3 separate IUI’s, 50 milligrams of Clomid and trigger shot with each attempt
Describe your experience with your nurse at Shady Grove Fertility Richmond. (Assigned nurse: Ashley Byrd)
My nurse who performed the actual IUI procedures for me was very comforting, kind, and listened to all my questions and concerns
Describe your experience with Shady Grove Fertility Richmond.
Due Dr. Evans-Hoeker being the only doctor at the time of my treatments I initially had to wait 3 months before I could be seen for a consultation. All of the initial testing had to be handled at 2 other facilities which was annoying to coordinate.
Describe the costs associated with your care under Emily Evans-Hoeker at Shady Grove Fertility Richmond.
$165 for baseline and midline scan, $260 for IUI, about $90 for clomid and trigger shot, and about $820 for donor sperm. Insurance did not cover any of this.
My doctors strength is that she [Dr. Evans-Hoeker] is very open and truthful she tells you as it is and very compassionate. For weaknesses, I don’t really have any weakness I can point out because my experience has been awesome...Be prepared to hear the truth because she will not lie to you...[protocol] Lab works, blood works, birth control to calm my hormones, progesterone as well...only one can be transferred at a time. Multiple transfers is only when they have been 4 failed ET
The entire team at Carilion are very friendly and accommodating...They [nurses] are all good not had a bad experience ever...My transfer was done at UNC Fertility under Dr Evans-Hoeker and I paid 3283 for each embryo transfer and currently paying 45 dollars monthly for embryo preservation. 163 dollars each time I visit my doctor at Carilion clinic...They treat each patient with care and it’s an individualized approach. Just call in advance if you going to be late because I do out of respect. Arrive on time and all the doctors can see you with the same approach. Personally I wish this can be my primary care hospital but I can’t because I am a veteran and already have a primary care at the VA hospital
How was your experience with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
My doctors strength is that she is very open and truthful she tells you as it is and very compassionate. For weaknesses, I don’t really have any weakness I can point out because my experience has been awesome. The entire team at Carilion are very friendly and accommodating
What's one piece of advice would you give a prospective patient of Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Be prepared to hear the truth because she will not lie to you
During treatment, were you treated like a number or a human with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
My doctor is the best ever so friendly, patient and listens to all my concerns
Describe the protocols Emily Evans-Hoeker used in your cycles at Shady Grove Fertility Richmond and their degree of success.
Lab works, blood works, birth control to calm my hormones, progesterone as well
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
They are all good not had a bad experience ever
Describe your experience with Shady Grove Fertility Richmond.
They treat each patient with care and it’s an individualized approach. Just call in advance if you going to be late because I do out of respect. Arrive on time and all the doctors can see you with the same approach. Personally I wish this can be my primary care hospital but I can’t because I am a veteran and already have a primary care at the VA hospital
Describe the costs associated with your care under Emily Evans-Hoeker at Shady Grove Fertility Richmond.
My transfer was done at UNC Fertility under Dr Evans-Hoeker and I paid 3283 for each embryo transfer and currently paying 45 dollars monthly for embryo preservation. 163 dollars each time I visit my doctor at Carilion clinic
Describe Emily Evans-Hoeker's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility Richmond.
Yes that only one can be transferred at a time. Multiple transfers is only when they have been 4 failed ET
The doctor [Dr. Gentry] seems very knowledgeable and attentive. She sometimes speaks to fast which made me feel like I was taking too much of her time and she was trying to finish the appointment quicker. She was careful and compassionate during procedures. ... The doctor was attentive and clear most of the time. She sometimes failed to give enough details about a condition.
The clinic is well equipped and clean. The rooms are comfortable and inviting. The building is easily accessible and situated in a nice part of the city. The parking lot has a lot of room. There is no MRI or tube test equipment in the building. ... They [nurses] were well organized. They were attentive and professional. They seems to know what they were doing.
How was your experience with Adrienne Gentry at Shady Grove Fertility Richmond?
The doctor seems very knowledgeable and attentive. She sometimes speaks to fast which made me feel like I was taking too much of her time and she was trying to finish the appointment quicker.
She was careful and compassionate during procedures.
What's one piece of advice would you give a prospective patient of Adrienne Gentry at Shady Grove Fertility Richmond?
Ask the doctor to slow down when she talks to you
During treatment, were you treated like a number or a human with Adrienne Gentry at Shady Grove Fertility Richmond?
The doctor was attentive and clear most of the time. She sometimes failed to give enough details about a condition.
Describe the protocols Adrienne Gentry used in your cycles at Shady Grove Fertility Richmond and their degree of success.
Water ultrasound, MRI, Tube test. Some tests seemed redundant at first but proven to be necessary.
They helped to determine the course of action.
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
They were well organized. They were attentive and professional. They seems to know what they were doing.
Describe your experience with Shady Grove Fertility Richmond.
The clinic is well equipped and clean. The rooms are comfortable and inviting. The building is easily accessible and situated in a nice part of the city. The parking lot has a lot of room. There is no MRI or tube test equipment in the building.
Describe the costs associated with your care under Adrienne Gentry at Shady Grove Fertility Richmond.
Consultation $130
Ultrasound $170
Describe Adrienne Gentry's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility Richmond.
Dr. Evans-Hoeker made me feel like a human simply by being 100% honest and open with my husband and I. She didn’t hold back and kept me informed as possible. She was nice and sensitive to my husband and my feelings...So far we’ve only done diagnostic work ups for my husband and I, which have resulted in needed IVF. She has given me tons of information and answered my millions of questions.
The [Carilion Clinic] is amazing. Very welcoming every time I visit. It is a hard appointment to attend, but this clinic always make it so relaxing. The clinic has a very clean and warm look about it. They are very quick to call or email back...They [nurses] have sent me encouraging messages, talked with me at each appointment, and always have smiling face...
How was your experience with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Dr. Evans-Hoeker is an amazing doctor. She understands that fertility is a hard thing to deal with but remains honest with you. She never let me feel alone but allowed me to have feelings.
Dr. Evans-Hoeker explained everything treatment and diagnostic work up fully and made sure my husband and I understood everything.
What's one piece of advice would you give a prospective patient of Emily Evans-Hoeker at Shady Grove Fertility Richmond?
To ask questions because she gives amazing answers.
During treatment, were you treated like a number or a human with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Dr. Evans-Hoeker made me feel like a human simply by being 100% honest and open with my husband and I. She didn’t hold back and kept me informed as possible. She was nice and sensitive to my husband and my feelings.
Describe the protocols Emily Evans-Hoeker used in your cycles at Shady Grove Fertility Richmond and their degree of success.
So far we’ve only done diagnostic work ups for my husband and I, which have resulted in needed IVF. She has given me tons of information and answered my millions of questions.
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
They are amazing. They have sent me encouraging messages, talked with me at each appointment, and always have smiling face.
Describe your experience with Shady Grove Fertility Richmond.
The clinic is amazing. Very welcoming every time I visit. It is a hard appointment to attend, but this clinic always make it so relaxing.
The clinic has a very clean and warm look about it.
They are very quick to call or email back!
Describe the costs associated with your care under Emily Evans-Hoeker at Shady Grove Fertility Richmond.
My insurance does not cover fertility treatment, only some diagnostic work up.
I have to pay $50 each visit and the two treatments I’ve had so far we’re together over $500.
I’m probably (90%) going to have to do IVF, which will cost over $25,000.
She [Dr. Evans-Hoeker] was amazing throughout the surgery that I had to remove my fibroids and helped me track my early pregnancy to make sure I was where I needed to be before I was turned back over to my OBGyn. I have been absolutely thrilled with everything she has done to help me.... This clinic [Carilion Clinic] was very welcoming and willing to help me through my infertility which was one of the hardest things I have dealt with emotionally and physically.
This clinic [Carilion Clinic] was very welcoming and willing to help me through my infertility which was one of the hardest things I have dealt with emotionally and physically. This allowed me to have the chance to have a family. They are compassionate and were excited at my positive results.... She [Dr. Evans- Hoeker] was amazing throughout the surgery that I had to remove my fibroids and helped me track my early pregnancy
How was your experience with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
She was amazing throughout the surgery that I had to remove my fibroids and helped me track my early pregnancy to make sure I was where I needed to be before I was turned back over to my OBGyn. I have been absolutely thrilled with everything she has done to help me.
Describe your experience with Shady Grove Fertility Richmond.
This clinic was very welcoming and willing to help me through my infertility which was one of the hardest things I have dealt with emotionally and physically. This allowed me to have the chance to have a family. They are compassionate and were excited at my positive results.
[Dr. Evans-Hoeker] references studies and research frequently but I found that very beneficial and helpful...Easy to talk with, always a smile on her face. Relatable. Open with her own infertility struggles. Realistic. Very well versed and knowledgeable. Thorough in all explanations. Clearly passionate about her field and science...Spoke to me as a woman, a mother...Wonderful success with Evans-Hoeker...
All [the nurses at Carilion Clinic are] very upbeat and positive. Welcoming...Professional. Prompt. Organized. Wonderful success with Evans-Hoeker. 4 years of zero progression with Dr. Slackman. Clinic has improved tremendously. Give them another try with the new chief since Slackmans retirement...[Dr. Evans-Hoeker] references studies and research frequently but I found that very beneficial and helpful...Easy to talk with, always a smile on her face. Relatable. Open with her own infertility struggles. Realistic. Very well versed and knowledgeable. Thorough in all explanations. Clearly passionate about her field and science...Spoke to me as a woman, a mother...Wonderful success with Evans-Hoeker...
How was your experience with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Easy to talk with, always a smile on her face. Relatable. Open with her own infertility struggles. Realistic. Very well versed and knowledgeable. Thorough in all explanations. Clearly passionate about her field and science.
What's one piece of advice would you give a prospective patient of Emily Evans-Hoeker at Shady Grove Fertility Richmond?
She’s a doctor, references studies and research frequently but I found that very beneficial and helpful.
During treatment, were you treated like a number or a human with Emily Evans-Hoeker at Shady Grove Fertility Richmond?
Bedside manner and conversation. Spoke to me as a woman, a mother.
Describe your experience with your nurse at Shady Grove Fertility Richmond. (Assigned nurse: Ashley)
All very upbeat and positive. Welcoming.
Describe your experience with Shady Grove Fertility Richmond.
Professional. Prompt. Organized. Wonderful success with Evans-Hoeker. 4 years of zero progression with Dr. Slackman. Clinic has improved tremendously. Give them another try with the new chief since Slackmans retirement.
He’s [Dr. Anish Shah is] an outstanding clinician - very knowledgeable, incredibly articulate, kind, responsive, and willing to do what’s best for us personally. He encourages us to make decisions on our care based on our wants and needs while guiding us with his expertise. He’s fantastic! And SUPER LGBTQ+ friendly. My partner and I have similar sounding names and he’s never mixed us up once! (Which has been common in other medical settings)
[Shady Grove Fertility Richmond] Strengths: they’re a large practice with lots of resources. They’re able to do many different tests/procedures in house. They’re appointment availability is good and they have multiple locations. Weaknesses: because they’re so big at times you do feel like “just a number” unless you really advocate for yourself you get lost in the shuffle a little bit. Their office hours are odd sometimes requiring you to call an after hours or emergency number. Sometimes the answering service then makes you feel silly for calling when your issue “isn’t really an emergency”
How was your experience with Anish Shah at Shady Grove Fertility Richmond?
Dr. Shah is the single reason we’ve stayed the course with Shady Grove. He’s an outstanding clinician - very knowledgeable, incredibly articulate, kind, responsive, and willing to do what’s best for us personally. He encourages us to make decisions on our care based on our wants and needs while guiding us with his expertise. He’s fantastic! And SUPER LGBTQ+ friendly. My partner and I have similar sounding names and he’s never mixed us up once! (Which has been common in other medical settings)
What's one piece of advice would you give a prospective patient of Anish Shah at Shady Grove Fertility Richmond?
Dr. Shah is outstanding. My advice would be to deal with the shortcomings of the clinic itself and lean on his expertise. He’s so sweet and easy to talk to. He answers all your questions and spends time with his patients.
During treatment, were you treated like a number or a human with Anish Shah at Shady Grove Fertility Richmond?
Dr. Shah calls us regularly to check in post-procedure even when he’s not on call/out of town. His bedside manner is fantastic. He’s kind and gentle and very knowledgeable.
Describe the protocols Anish Shah used in your cycles at Shady Grove Fertility Richmond and their degree of success.
We did 3 cycles of IUI - 1 natural cycle (ovulation testing at home) & 2 medicated cycles with monitoring in clinic, trigger shot and progesterone supplements. We switched to Reciprocal IVF and I did an egg retrieval with the intention of my partner carrying. Medications for retrieval included menopur, cetrotide, gonal-f, and lupron trigger 36 hours prior to retrieval. My partner’s medications for transfer included birth control, Lupron, estradiol, and progesterone shots. We did a 5-day fresh embryo transfer directly following the retrieval. We genetically tested and froze remaining embryos which resulted in 8 genetically normal embryos. After this failed, we did some bloodwork and found she had a thyroid issue. It took 2 months of dosage shifts to regulate with levothyroxine. We then did a frozen embryo transfer which resulted in a chemical pregnancy and miscarriage. Her medications included birth control, estradiol, and progesterone shots.
Describe your experience with your nurse at Shady Grove Fertility Richmond. (Assigned nurse: Morganne and Vivian)
Morganne helped us when we did our IUIs and she was very helpful and cheerful. She answered our questions confidently and made us feel heard. Vivian helped us when we switched to IVF and she is very kind and knowledgeable but can be a little scattered in her thoughts at times.
Describe your experience with Shady Grove Fertility Richmond.
Strengths: they’re a large practice with lots of resources. They’re able to do many different tests/procedures in house. They’re appointment availability is good and they have multiple locations.
Weaknesses: because they’re so big at times you do feel like “just a number” unless you really advocate for yourself you get lost in the shuffle a little bit. Their office hours are odd sometimes requiring you to call an after hours or emergency number. Sometimes the answering service then makes you feel silly for calling when your issue “isn’t really an emergency”
Describe the costs associated with your care under Anish Shah at Shady Grove Fertility Richmond.
Donor sperm: $8,000
IUI: $2,250
IVF cycle with great transfer: $13,000
Genetic testing $3,600
IVF medications: $2,500
Cryopreservation: $1,500
Al base-line testing $1,000
Frozen transfer $4,000
Meds for frozen transfer $500
In total about $36,500
Describe Anish Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility Richmond.
Our doctor recommended one embryo for transfer based on my partner’s age and no history of miscarriages.
How competent was Shady Grove Fertility Richmond at LGBTQ+ care?
They’ve been welcoming and respectful during the course of our treatment however, many of their forms are antiquated with language such as “husband and wife”. LGBTQ people are certainly accepted, however we have felt like an afterthought, with the primary care being directed towards heterosexual couples struggling with infertility rather than LGBTQ couples who are using their services.
Describe your experience using 3rd party reproduction (donor eggs, donor sperm, or gestational carrier) at Shady Grove Fertility Richmond.
Our experience with donor sperm and Shady grove has been great. California cryo- bank was the bank we used and the shipment from the cryo-bank to the clinic and from the clinic’s andrology lab to us during treatment was always smooth.
What specific things went wrong at Shady Grove Fertility Richmond?
Lost paperwork
Provided conflicting information
Describe the specific things that went wrong at Shady Grove Fertility Richmond.
The front desk staff isn’t alway knowledgeable about what you’re there for. They’ve made mix ups in paperwork or failed to offer follow up appointments when needed. Our specific nursing team has always corrected the issue and got us back on track
Be prepared with your questions because he’s not going to over explain things unless asked. He [Dr. Tidey] will explain everything but he’s not “chatty” so it will be direct and brief...colomid and timed intercourse. After doing that for 3 cycles he told us that it was time to move along. He said we could keep trying but didn’t want us to spend all of our money and emotional currency on a potentially dead end treatment. We did 3 IUIs and none of them worked. I was on the fence about a 4th round and Tidey told me it would be a waste but he didn’t stop me and ultimately allowed me the choice.
IVF meds- $5000 IVF treatment- $30,000 IUI- $900 [at Shady Grove Fertility]...It is a little slow and hard to get someone on the phone. However they do a great job managing all aspects of the process. I personally think their business office is amazing as they do all that they can to try and help you figure out the best way to pay for everything...Dr Tidey’s lead nurse provides all of the compassion and love that Tidey cannot. She is amazing and makes you feel so calm, supported and taken care of. The whole staff is amazing but our nurse knew our name, knew what was going on and always knew the best way to care for us based on the visit. As for the coordination she was also amazing. She is the perfect blend between Tidey and his nursing staff. She is calm, steady, compassionate but also firm and educational. She has to go over all of the information and patiently answers all questions and does an amazing job holding your hand while also making you feel like you’ve got it and you can do it!
How was your experience with Geof Tidey at Shady Grove Fertility Richmond?
Dr Tidey has an awkward bedside manner. He is a little socially awkward and more comfortable talking about the process and the procedure than he is making small talk and putting you at ease. He is very throughout and puts so much care into every decision and suggestion he makes. He puts his patients safety first and is very direct about what your options are. He doesn’t sugar coat the options and is very direct when making his suggestions about your car. He does a great job balancing your right and need as a patient to make your own decisions with not allowing you to spend too much time wasting money and time doing expensive treatments that aren’t going to work. In a truly emotionally overwhelming moment his direct and balanced insight and medical treatment is exactly what I needed.
What's one piece of advice would you give a prospective patient of Geof Tidey at Shady Grove Fertility Richmond?
Be prepared with your questions because he’s not going to over explain things unless asked. He will explain everything but he’s not “chatty” so it will be direct and brief.
During treatment, were you treated like a number or a human with Geof Tidey at Shady Grove Fertility Richmond?
He is very matter of fact so while you are very much treated like a human he is incredibly detached in the way he speaks to you. You aren’t a number, everything is tailored to you and he’s very well versed on your case but it’s going to be very clinical.
Describe the protocols Geof Tidey used in your cycles at Shady Grove Fertility Richmond and their degree of success.
I came in with unexplained infertility and so he had us try colomid and timed intercourse. After doing that for 3 cycles he told us that it was time to move along. He said we could keep trying but didn’t want us to spend all of our money and emotional currency on a potentially dead end treatment. We did 3 IUIs and none of them worked. I was on the fence about a 4th round and Tidey told me it would be a waste but he didn’t stop me and ultimately allowed me the choice. Ultimately I agreed with him that IVF was the best option. It was so hard for me to hear but he clearly explained to me while it made the lost sense. He suggested that we do both genetic testing and ICIS given my history of miscarriage. We ended up determining that I had bad egg quality and so out of 18 eggs retrieved 3 made it and only 1 was viable. We implanted that one and gave birth 9 months later.
Describe your experience with your nurse at Shady Grove Fertility Richmond.
Dr Tidey’s lead nurse provides all of the compassion and love that Tidey cannot. She is amazing and makes you feel so calm, supported and taken care of. The whole staff is amazing but our nurse knew our name, knew what was going on and always knew the best way to care for us based on the visit. As for the coordination she was also amazing. She is the perfect blend between Tidey and his nursing staff. She is calm, steady, compassionate but also firm and educational. She has to go over all of the information and patiently answers all questions and does an amazing job holding your hand while also making you feel like you’ve got it and you can do it!
Describe your experience with Shady Grove Fertility Richmond.
It is a little slow and hard to get someone on the phone. However they do a great job managing all aspects of the process. I personally think their business office is amazing as they do all that they can to try and help you figure out the best way to pay for everything.
Describe the costs associated with your care under Geof Tidey at Shady Grove Fertility Richmond.
IVF meds- $5000
IVF treatment- $30,000
IUI- $900
Describe Geof Tidey's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility Richmond.
He doesn’t suggest multiple transfers the first time around. He has concerns about the health of the mother. Said he would honor our decision but wasn’t excited about multiple embryo transfer.
I have generally found Dr. Edelstein to be a bit rote in his recommendations, not that proactive in giving me detailed information even when it should be clear that's the kind of patient care I want, and not that attentive to my chart and my overall history. I'd prefer to get a lot more detail from him most of the time, and it's a struggle if I'm asking him about things he hasn't brought up himself...
I have really liked all the nursing and phlebotomy staff [at Shady Grove Fertility Richmond] that I have met in person, and have generally had good portal communications from/with nursing staff. I have really liked the nurse practitioners who do a lot of the IUIs also...I find Shady Grove's approach to outsourcing information on clinical treatment to webinars, the volume of consents and acknowledgements I have to sign, the financial clearance to get treatment, the automated invoices, and the use of new portal and patient management systems to be cumbersome and it makes me feel like I'm just a cog in a wheel...
How was your experience with Michael Edelstein at Shady Grove Fertility Richmond?
I haven't had success yet so I can't speak for his success rates, but I have generally found Dr. Edelstein to be a bit rote in his recommendations, not that proactive in giving me detailed information even when it should be clear that's the kind of patient care I want, and not that attentive to my chart and my overall history. I'd prefer to get a lot more detail from him most of the time, and it's a struggle if I'm asking him about things he hasn't brought up himself. He tries to be very empathetic and consoling when my pregnancy tests have come back negative, but in a way where I feel like he's afraid I will burst into tears (I don't). It almost feels like I have to help him manage his emotions about it. But perhaps he's used to people who need a lot of consoling in those phone calls.
What's one piece of advice would you give a prospective patient of Michael Edelstein at Shady Grove Fertility Richmond?
I would recommend looking elsewhere if you are a high detail, high research patient. I would also say, if you feel patronized or condescended to when you initially meet him, you will likely continue to feel that way in subsequent meetings. He approaches most conversations assuming you know nothing about fertility biology, which I imagine many patients need when they are overwhelmed, but it never quite changes even as patients spend a long time in treatment and get to know a lot more about it. I don't think he's a bad guy and I'm sure a lot of people like his care approach, it just hasn't worked for me.
During treatment, were you treated like a number or a human with Michael Edelstein at Shady Grove Fertility Richmond?
Dr Edelstein is friendly and tries to be human, but I don't feel that he's paying very good attention most of the time. He has a "patter" he's clearly said many times before and that's where his comfort level is, and he wants to do it on autopilot, often without having reviewed my chart for my specific details. For example, he gave me the same spiel about IUI and what it is on my 4th IUI as on my 1st, and it felt pretty patronizing because I'd been through it several times and knew what IUI stood for by that point. He has told me I needed to get procedures done or need to update my bloodwork, when I have already done it before recently and he just hadn't checked. I'm a single mother by choice and he has forgotten that quite a lot in my consultations, which I don't feel sensitive about but I do think he should know that I'm using donor sperm when he's making medical recommendations because it makes a difference on several elements. When I ask him why something is the way it is, he often defaults to claims to authority ("I have done thousands of X" or "I actually wrote a paper on this once, and..." or "Shady Grove has the best record with X") instead of giving me the actual medical/biological reasoning. He seems to prefer it when patients just know the very basic information about what they are doing, take his advice, and don't ask many detailed questions. I was not trying to do something radically different than what he was recommending, and didn't come in with any crackpot theories, I just like to make decisions with a lot of information so having him as a doctor has been frustrating.
Describe the protocols Michael Edelstein used in your cycles at Shady Grove Fertility Richmond and their degree of success.
unmedicated, unmonitored IUI
monitored IUI with letrozole
Describe your experience with your nurse at Shady Grove Fertility Richmond. (Assigned nurse: LIndsay Diamond)
I have really liked all the nursing and phlebotomy staff that I have met in person, and have generally had good portal communications from/with nursing staff. I have really liked the nurse practitioners who do a lot of the IUIs also.
Describe your experience with Shady Grove Fertility Richmond.
The facilities are very nice, the portal generally works fine, I really like the nurses and the front desk staff. They have all been doing a good job through COVID.
I had some very bad experiences with the financial department but I think there have been some staffing changes that might have helped. They sent me an invoice to my email, it ended up in a non-priority folder, and then I was getting portal messages right before my IUI saying I couldn't have my IUI until I'd paid my invoice. One time I overpaid my balance because the desk staff couldn't figure out how much I owed (???) and then the financial folks refused to refund me, they said it would stay on my account for future treatments. But if they are owed money it's an emergency, even though they know where I live. I don't like loaning my money to large companies for care I haven't received yet.
Overall, I find Shady Grove's approach to outsourcing information on clinical treatment to webinars, the volume of consents and acknowledgements I have to sign, the financial clearance to get treatment, the automated invoices, and the use of new portal and patient management systems to be cumbersome and it makes me feel like I'm just a cog in a wheel. It's annoying to have to respond to multiple electronic check ins before an appointment. I have felt like there's all of this homework that gets put on my plate to do and learn, and the focus of it generally is to limit their liability. There are reams of consents and online forms I have to fill out, and the purpose of it is usually to make sure I know there are no guarantees.
Overall, the way I feel as a Shady Grove patient is that they are outsourcing as much of the patient information process as they can, their financial and legal systems have had a lot of work put into them to make sure they protect and advantage the company, but there has been very little effort to understand what the patient user experience is and to improve it.
Describe the costs associated with your care under Michael Edelstein at Shady Grove Fertility Richmond.
Natural IUI went from $195 to $400 while I was undergoing treatment
There was a significant increase to the IVF bundle programs in July 2022
Some of my supplemental treatment has been covered by insurance even though my insurance doesn't cover infertility treatment, so it's hard to parse out
Generally they have been good at running things through insurance
Describe Michael Edelstein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility Richmond.
It's clear from talking to him that he's much more positive about eSET than multiples. He also recommends genetic testing for older women undergoing IVF. I imagine if an older woman was resistant to genetic testing he would be much more open to transferring multiple embryos, but I haven't been in that situation.
What specific things went wrong at Shady Grove Fertility Richmond?
Lost appointments
Describe the specific things that went wrong at Shady Grove Fertility Richmond.
I have had a few appointments that were made but didn't show up when I arrived for them, but generally things have worked out
Dr. Shah has a wonderful bedside manner. He is very warm, empathetic, and caring. He also didn't make me feel rushed during my appointments, which I really appreciated...[he] also suggested transferring two embryos instead of one during this round because it would increase the odds of having one of them "stick." The third time we did a modified natural cycle, were I took a lot less medicine and got my blood drawn more frequently, and we transferred two embryos
I'm not sure if they grew too quickly, but the service became horrible when Shady Grove took over Virginia Fertility Associates. I no longer saw Dr. Shah at every appointment, and was disappointed when he was unable to do my egg retrieval...I almost never saw the same nurse, and my calls went through to a nurse line rather than a designated nurse. People messed up my protocol multiple times, and I just felt very overlooked and forgotten.
How was your experience with Anish Shah at Shady Grove Fertility Richmond?
Dr. Shah was very open and honest, and always tried to make sure we felt optimistic about the possibility of having a baby. He always let me know what was coming, and how I could expect things to go.
On a more personal level, he is the only doctor who figured out how to properly insert a speculum and catheter without causing massive pain because he discovered I had a tilted uterus. After seeing so many other doctors who quickly (and painfully) went through these intimate procedures with little regard for me as a person, it was reassuring to know that he was seeing me as an individual and treated me accordingly. I truly appreciated working with him.
What's one piece of advice would you give a prospective patient of Anish Shah at Shady Grove Fertility Richmond?
He's wonderful, but you may not always see him with the way the practice is run. It can also be hard to get hold of him sometimes, and it feels like you're playing phone tag with his nurses.
During treatment, were you treated like a number or a human with Anish Shah at Shady Grove Fertility Richmond?
Dr. Shah has a wonderful bedside manner. He is very warm, empathetic, and caring. He also didn't make me feel rushed during my appointments, which I really appreciated.
Describe the protocols Anish Shah used in your cycles at Shady Grove Fertility Richmond and their degree of success.
I had 3 IUIs, one egg retrieval, and 3 frozen transfers with Dr. Shah. For the IUIs, I was on Clomid and then had a trigger shot the day before the procedure. The Clomid made me feel like an absolute basketcase and I had horrible headaches and hot flashes, but Dr. Shah determined that the positives outweighed the negative side effects, so I did the same thing each time. He also had take Vitamin D supplements prior to the Clomid as I was deficient. Then they did an HSG to rule out any blockages before we moved onto IVF.
For the egg retrieval, they had me on a lot of medication, so I'm sure I'm forgetting something. I took Clomid, Menopur and then Lupron for my trigger shot. I had to come in for multiple blood tests for them to check my levels prior to the retrieval retrieval make sure I didn't miss my window. We then did ICSI and PGS testing on the embryos.
My first two FETs resulted in miscarriages. The protocol for these two were the same, with strong doses of Estradiol, which made me feel awful. Then I began progesterone injections, which I continued until I was 10 weeks pregnant. I miscarried shortly after stopping the shots both times.
After the second miscarriage I asked if there was a more natural way to get the timing right because my body was so sensitive to medication. Dr. Shah also suggested transferring two embryos instead of one during this round because it would increase the odds of having one of them "stick." The third time we did a modified natural cycle, were I took a lot less medicine and got my blood drawn more frequently, and we transferred two embryos. I also tapered off of the progesterone at 12 weeks, and went on to have a healthy pregnancy and delivered my son at 40 weeks.
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
When I first started with them, Bridgit was my nurse and she was WONDERFUL! Everything was organized and she knew my protocol. After Shady Grove purchased Virginia Fertility Associates, things started to change. I almost never saw the same nurse (or Shah for that matter), and my calls went through to a nurse line rather than a designated nurse. People messed up my protocol multiple times, and I just felt very overlooked and forgotten.
Describe your experience with Shady Grove Fertility Richmond.
I'm not sure if they grew too quickly, but the service became horrible when Shady Grove took over Virginia Fertility Associates. I no longer saw Dr. Shah at every appointment, and was disappointed when he was unable to do my egg retrieval. The doctors seemed to be overbooked at multiple locations, and not everyone has the same bedside manner.
The office double charged us on several occasions, and our insurance didn't cover anything, so that left us stressed out and having to comb through every bill to make sure we weren't being overcharged. It just caused a lot of anxiety during an already stressful event. Unfortunately, I don't have a lot of positive comments for the clinic, I just really liked Dr. Shah.
Describe the costs associated with your care under Anish Shah at Shady Grove Fertility Richmond.
It's been a few years, but I believe each IUI was roughly $1,500 not including the medications and ultrasounds. Then we did the Shared Risk plan for IVF and that cost about $30,000 (not including all medications or ultrasounds) so we had to take out a loan with a company they worked with.
Describe Anish Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility Richmond.
Prior to my miscarriages, Dr. Shah was pretty adamant about only transferring one embryo at a time. He said he did not want an, "Octo-Mom situation," as it's not healthy for either the mom or babies. After my miscarriages, however, he said the chance of both sticking was slim and that the benefits outweighed the risk in terms of me being able to have a healthy pregnancy and baby.
What specific things went wrong at Shady Grove Fertility Richmond?
Lost paperwork
Lost appointments
Failed to call with results
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information
Scheduled the wrong procedure
Describe the specific things that went wrong at Shady Grove Fertility Richmond.
On several occasions I had my protocol changed by Dr. Shah, but the nurses had no note of it. I had to show them my own notes and then have them confirm with the doctor.
I also took time off work for an early morning appointment, and when I got there, they said I wasn't on the books, even though I received a reminder call the day prior. They then told me I also couldn't be fit in that day and would have to reschedule.
Dr. Shah for the consult and the follow up, but he didn't perform my HSG or ultrasound. I did feel he took care with my charts, so this didn't seem a disadvantage ... Dr. Shah is professional and friendly and puts us at ease. He is very confident and explains things clearly. I like that he walked us through why he was recommending a certain treatment plan, and that he took the financial aspect seriously.
The lab is located on the floor below so it is easy to schedule the semen analysis. The only weakness [of Shady Grove Fertility] is the hours of operation. There are no extended hours, and most of the procedure appointments are available before noon only. Scheduling was hard. It was difficult for us to navigate our work schedules to complete these appointments. It would have been so much easier even if they had some availability until 5 PM or 6.
How was your experience with Anish Shah at Shady Grove Fertility Richmond?
Dr. Shah is professional and friendly and puts us at ease. He is very confident and explains things clearly. I like that he walked us through why he was recommending a certain treatment plan, and that he took the financial aspect seriously. He went over the standard treatment options and the average success rates of each, and didn't jump immediately to either the most expensive option that we might not need, or the least expensive option that wouldn't give results. He showed us clear data, answered all of our questions, and definitely made us feel more hopeful about getting pregnant! The only thing I wish he did differently would be his approach to genetic testing. He told us it was a requirement for treatment, but we were told by our care coordinator that we had the option to accept or decline testing. Based on our medical histories, genetic testing was the right decision, but I would have preferred that he put the decision in our hands. Overall my spouse and I appreciate his skills and demeanor and are happy with our choice of having him as our doctor.
What's one piece of advice would you give a prospective patient of Anish Shah at Shady Grove Fertility Richmond?
Dr. Shah works at a clinic in partnership with other doctors. They take turns being on call for different procedures, and a lot of those procedures are based on your cycle. If you need a certain procedure on a specific day and Dr. Shah is not on call, another doctor will perform the procedure. I saw Dr. Shah for the consult and the follow up, but he didn't perform my HSG or ultrasound. I did feel he took care with my charts, so this didn't seem a disadvantage, and the doctors who performed the procedures had excellent bedside manner and told me each step of the process as they did it. My care was excellent and this did not seem to impact my standard of care, but it can throw you if you're not expecting to see a different doctor.
During treatment, were you treated like a number or a human with Anish Shah at Shady Grove Fertility Richmond?
Dr. Shah was personable and friendly, and made an effort to connect. He explained everything in easy to understand terms and seemed to remember details about us from our initial consult to the follow up.
Describe the protocols Anish Shah used in your cycles at Shady Grove Fertility Richmond and their degree of success.
Dr. Shah recommended Clomid with IUI. My test results were all in normal range, and my spouse had low end of normal results for his SA, except for his morphology being at 0. He was prescribed supplements to enhance the quality of the sperm. Dr. explained the data - with minor male factor we have a 4% chance of conceiving on our own. Using Clomid with IUI will increase our chances to 12-14% by creating more opportunity and making the path more direct for conception. Since we are healthy and not yet 30, he recommended this course of treatment as having the best cost-to-chances of success ratio. If that is not successful after a few months we would talk about IVF.
Describe your experience with your nurse at Shady Grove Fertility Richmond. (Assigned nurse: Jonessa)
We saw Jonessa after our first consult with Dr. Shah. He was very kind and knowledgeable. My anxiety levels were high, especially trying to process the information we had just learned. I hadn't known what to expect and was overwhelmed at all of the bloodwork and diagnostic procedures we needed to do for our prescreening. Jonessa slowly and clearly explained the timing of each procedure as well as the anticipated cost. She answered all of my questions and was patient when I wasn't sure how to word something. Her demeanor was reassuring and she made sure we knew our rights as patients.
After this initial meeting we have been in contact with several staff members and nurses. Everyone has been exceedingly helpful and kind. If they don't know the information I am looking for, they connect me with the person who does. I can always be confident about a quick follow up. When we went for our genetic testing blood draw, my husband got woozy. The nurses got him a pillow and fed him a juice box! Quality treatment. The staff are really what put me at ease so I feel confident going into the clinic.
Describe your experience with Shady Grove Fertility Richmond.
The clinic environment is pleasant and clean. They have a Keurig in the waiting room, and an encouragement board where you can write notes to others on the same journey. The lab is located on the floor below so it is easy to schedule the semen analysis. The only weakness is the hours of operation. There are no extended hours, and most of the procedure appointments are available before noon only. Scheduling was hard. It was difficult for us to navigate our work schedules to complete these appointments. It would have been so much easier even if they had some availability until 5 PM or 6.
Describe the costs associated with your care under Anish Shah at Shady Grove Fertility Richmond.
Appointment with Dr. Shah (consult/followup) - $140
Transvaginal Ultrasound - $230 on site
Office visit for Ultrasound - $65
HSG procedure - $1170
Describe Anish Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility Richmond.
Dr. Steingold has been an excellent source of knowledge and support in a very difficult time for our family. He is always professional however very personable and compassionate. My husband and I feel he truly wants us to succeed in our journey to parenthood with the least invasive options.... I have done two IUIs. Each with 2.5 letrozole for a few days at the beginning of my cycle. The first cycle the initial vaginal ultrasound was completed during my period. In the second cycle the vaginal ultrasound was completed mid cycle
The Virginia Fertility Associates merged with Shady Grove Fertility in Jan 2019. We have notices a huge change for the worst since the change. My phone calls I have been put on hold much more often and much longer. I waited over an hour and a half to be seen for an appointment that I had had scheduled for over a week. Thankfully I did not have to return to work afterwards or I would have had to leave and wait another cycle to return for this specific appointment.
How was your experience with Kenneth Steingold (retired) at Shady Grove Fertility Richmond?
Dr. Steingold has been an excellent source of knowledge and support in a very difficult time for our family. He is always professional however very personable and compassionate. My husband and I feel he truly wants us to succeed in our journey to parenthood with the least invasive options.
What's one piece of advice would you give a prospective patient of Kenneth Steingold (retired) at Shady Grove Fertility Richmond?
Not necessarily Dr Steingold but all fertility patient's, be forthcoming with your personal goals, timeline and plan of care up front and through out the process.
During treatment, were you treated like a number or a human with Kenneth Steingold (retired) at Shady Grove Fertility Richmond?
Our initial consultation was over a hour long. A lot more thorough and helpful than I ever anticipated. I know he has many patients on his caseload but at he then beginning gf each appointment he reviews my chart and remembers exactly where we left off. Dr Steingold always takes the time to ensure we have understanding of our plan of care, answers questions and he and is team returns phone messages in a timely manner. I have never felt rushed.
Describe the protocols Kenneth Steingold (retired) used in your cycles at Shady Grove Fertility Richmond and their degree of success.
I have done two IUIs. Each with 2.5 letrozole for a few days at the beginning of my cycle. The first cycle the initial vaginal ultrasound was completed during my period. In the second cycle the vaginal ultrasound was completed mid cycle as monitoring to plan the date of the IUI. Both IUIs I used an OTC ovulation kit and called in the clinic after I received a peak test. With first IUI I had costochondritis and odd swelling of my leg calf. My PCP worked me up for these. Assumed they were from affects of letrozole as I had no other changes in meds or lifestyle. Both issued resolved. No issues with second IUI. After two unsuccessful IUIs I had an HSG. Preparing for third IUI now.
Describe your experience with your nurse at Shady Grove Fertility Richmond. (Assigned nurse: Deb and Bridgit)
Dr. Steingold's nursing team is outstanding!!! I know they are super busy during the day. I am a nightmare patient because I can't answer my cell phone during the day at work. They always returned calls within a few hours of leaving a message. They were very helpful, supportive and compassionate with our previous procedures and ongoing care.
Describe your experience with Shady Grove Fertility Richmond.
The Virginia Fertility Associates merged with Shady Grove Fertility in Jan 2019. We have notices a huge change for the worst since the change. My phone calls I have been put on hold much more often and much longer. I waited over an hour and a half to be seen for an appointment that I had had scheduled for over a week. Thankfully I did not have to return to work afterwards or I would have had to leave and wait another cycle to return for this specific appointment. It has also taken 3-4 weeks to get a copy of our receipts to submit to FSA which prior to 2019 we could get in a week or two. With Shady Grove taking over, I now feel like a number and not a human in regards to the clinic. If we didn't have the rapport with Dr Steingold we would switch to VCU's fertility clinic.
Describe the costs associated with your care under Kenneth Steingold (retired) at Shady Grove Fertility Richmond.
Consultation: was covered by insurance- copay $30
Monitoring Ultrasounds: covered by insurance co pay $30, bill ~$40
IUI: Sperm wash- $200, IUI- $300
HSG: covered by insurance ~$80
Letrozole: Covered by insurance first cycle .28 cents, second cycle $1.25
What specific things went wrong at Shady Grove Fertility Richmond?
Dr. Johnston is a compassionate doctor. I felt very comfortable and at ease with her during every visit. I never left an appointment with questions and she took her time to make sure I understood and consented to every step of our fertility plan. She made me feel very involved in the planning process...she expressed her hopefulness for me which was contagious.
The office [at Shady Grove Fertility Richmond] is clean and welcoming and the number of locations are convenient...There are many doctors in the office so you'll have no problem being assigned someone...The staff took too long to call me back with results. Often I'd wait almost 2 weeks and then I'd have to call or send a message to get results or follow ups. From the first call to me taking my first pill was 6 months and it should not have been that long.
How was your experience with Erika Johnston-MacAnanny at Shady Grove Fertility Richmond?
Dr. Johnston is a compassionate doctor. I felt very comfortable and at ease with her during every visit. I never left an appointment with questions and she took her time to make sure I understood and consented to every step of our fertility plan. She made me feel very involved in the planning process.
What's one piece of advice would you give a prospective patient of Erika Johnston-MacAnanny at Shady Grove Fertility Richmond?
Be patient and open minded.
During treatment, were you treated like a number or a human with Erika Johnston-MacAnanny at Shady Grove Fertility Richmond?
Dr. Johnston is a wonderful listener. I explained my health history to her and she never made me feel bad for my infertility. Despite it all, she expressed her hopefulness for me which was contagious.
Describe the protocols Erika Johnston-MacAnanny used in your cycles at Shady Grove Fertility Richmond and their degree of success.
We decided to start with medicated cycles. I was prescribed 5mgs of letrozole and Ovidrel. As explained to me, these medications are more effective for me as a person with PCOS. After 1 cycle with these medications, I tested positive with a viable pregnancy.
Describe your experience with the nursing staff at Shady Grove Fertility Richmond.
The nursing staff was very kind and happy. The team's speed of communication is an area of opportunity. Often I had to reach out to them when I was told I would hear from the nursing team in a few days. More often than not, 2 weeks would pass before I heard anything from them. I assume this is because they are used to being pestered by patients and weren't used to my relaxed style.
Describe your experience with Shady Grove Fertility Richmond.
The office is clean and welcoming and the number of locations are convenient. They decorate for the seasons and love to celebrate every milestone. There are many doctors in the office so you'll have no problem being assigned someone.
Describe the costs associated with your care under Erika Johnston-MacAnanny at Shady Grove Fertility Richmond.
My treatment was not very expensive, especially when compared to other treatments. In total, we spent about $1,500 with STI testing for both myself and my husband, various screenings, genetic testing, and prescription medications. We did use our health insurance for many of the required tests.
What specific things went wrong at Shady Grove Fertility Richmond?
Failed to call with results
Describe the specific things that went wrong at Shady Grove Fertility Richmond.
The staff took too long to call me back with results. Often I'd wait almost 2 weeks and then I'd have to call or send a message to get results or follow ups. From the first call to me taking my first pill was 6 months and it should not have been that long.