How was your experience with Akas Jain at Reproductive Gynecology?
He's a thorough doctor, taking into consideration various scenarios and options. He's a little chatty at times, but seems genuinely concerned about patient's circumstances. He did all of my procedures except one appointment when he was sick and a partner, Dr. Nash, helped out and kept the appointment to keep us on schedule.
What's one piece of advice would you give a prospective patient of Akas Jain at Reproductive Gynecology?
My advice is the same for any fertility doctor, have them explain all procedures and outcomes in detail. Some times I feel like I'm missing bits and pieces of info that would help my understanding of the process.
During treatment, were you treated like a number or a human with Akas Jain at Reproductive Gynecology?
I don't feel like a number because I am addressed by name and not my account information. The nurses and doctor are readily available to answer questions.
Describe the protocols Akas Jain used in your cycles at Reproductive Gynecology and their degree of success.
I had two IUI with clomid and follistim injections (and HcG trigger shot) that failed. Based on age and low reserve, donor egg was recommended. We had one full cycle with first donor, but embryos were low quality, transfer was negative, and extra embryos weren't good enough to freeze. Second donor cycle was cancelled before transfer when donor wasn't responding to the drugs as well as hoped. Donors 3-4 were tested, but didn't meet the requirements. Donor 5 was a good candidate, but had to back out due to an injury. Donor 6 was successful in that we got 12 quality embryos to freeze: After a negative test and a miscarriage, we did PGS testing. 7 of 10 embryos tested were abnormal. Had two transfers of “normal” embryos which ended in chemical pregnancy and a misacarriage. During the first donor egg cycle I was synced to donor, so I had prenatal vitamins and folbic tablet, birth control pills, then lupron, estrogen, and eventually progesterone shots. There were some meds taken around time of transfer, such as antibiotics as prep. This current cycle I am not syncing to the donor's cycle, so there is no lupron, but the rest of the meds are pretty similar, except this time I have an additional thyroid med due to low TSH. Because of recurrent miscarriage was tested for clotting issues, but none found.
Describe your experience with your nurse at Reproductive Gynecology. (Assigned nurse: In the beginning yes, but not now)
When we started, Betheen took care of the IVF patients and was readily available to answer questions, but she retired. Lately, it’s a small group of nurses who take turns responding, but I do have nurses’ email and doctor’s email and phone.
Describe your experience with Reproductive Gynecology.
The strengths are: the environment is modern and clean. Staff are pretty friendly and you're treated like a human being, not a number. They have an in-house LabCorp tech, so you don't have to go elsewhere for blood work and the lab tech is very good. Weaknesses: there's not much in terms of guarantee programs/refunds. Billing needs more transparency. When I've had money due, it wasn't an issue getting an itemized list of services (in bill form), when I had a positive balance on my account, it was like pulling teeth to get a list of documented services and expenses (in a legible form that wasn't in office codes). The drop off for semen samples is not more than a hallway leading to a window with a couple of chairs to the side and can be awkward if someone's waiting there and another person has to drop off, mainly due to cramped quarters. Some times they over book and can run late, which is not fun on a Monday or Saturday morning when it seems very busy.
Describe the costs associated with your care under Akas Jain at Reproductive Gynecology.
This is an estimate... about $22k total for a cycle: donor drugs, egg retrieval, embryology, and transfer (no freezing). Freezing embryos for my second cycle was $1k extra. Donor drugs are around $3-3500 of that $22k. My drug costs have ranged from $500-750 per cycle and not part of the $22k. IUIs were $500 and extra for the drugs (clomid was ~$25, can't remember how much follistim and HcG chot were).
Describe Akas Jain's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Gynecology.
I prefer single transfer. The last four transfers have been singles. For the last attempt, due to low quality of embryos, two were transferred, but that didn't work.
What specific things went wrong at Reproductive Gynecology?