Education
Medical School
Columbia
Residency
U. of Michigan
Fellowship
Brigham & Women's Hosp
How Doctor Communicates
doctor, nurse available by email
nurse available by directline
not available by personal cell phone
Divya Shah works at
U of Iowa Center for Advanced Reproductive Care
At 1 office
Iowa City
200 Hawkins Drive
Iowa City, IA 52242
800-777-8442
Divya Shah works at
Penn Fertility Care
At 1 office
Radnor
250 King of Prussia Road
Radnor, PA 19087
800-789-7366
11 patient reviews
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10
We are unexplained. So we started with Clomid [with Dr. Shah] because it’s the most powerful/popular choice...we switched to Letrozole. Then we added in trigger shots when the first 2 IUI’s weren’t successful. We started with the plan of 3 IUI’s, and ended at 5 IUI’s after taking a month off. Now we’re waiting to start IVF...Dr. Shah listened to our concerns, answered our questions over and over again, and didn’t just write us off. When I came to her office once in years because of how crazy I felt on Clomid she listened to me and immediately said OK let’s change it up. I don’t have to fight to be heard and I value that.
The staff who answer the phone and takes messages [at U of Iowa Center] could listen clearer. Sometimes I tell them exact things and then once I hear back from the doctor or send a message to the nurses I’m made aware that my full message wasn’t translated. I tend to just send direct messages to the team now....NP Susan has been there for every appointment I’ve had. She’s hopeful and tells me directly what’s going on and what the plan is and next steps based on labs. She’s been fantastic.
How was your experience with Divya Shah at U of Iowa Center for Advanced Reproductive Care?
Dr.Shah was just who I was scheduled with as the next available REI appointment. And I’m so glad I was. She is kind, upbeat, positive, and explains all the ins and outs of what we’re doing or about to do. I found out my coworker had her as well and had a successful IVF pregnancy so I felt relieved I knew a personal success story as a representation of how hard she’ll work for your and your treatment.
What's one piece of advice would you give a prospective patient of Divya Shah at U of Iowa Center for Advanced Reproductive Care?
Take notes, she can talk fast and it’s a lot of information that will be getting thrown at you that you may get hung up on stuff and zone out. But she will gladly send it all to you and her nurses will explain everything in detail as many times as you need it.
During treatment, were you treated like a number or a human with Divya Shah at U of Iowa Center for Advanced Reproductive Care?
Dr. Shah listened to our concerns, answered our questions over and over again, and didn’t just write us off. When I came to her office once in years because of how crazy I felt on Clomid she listened to me and immediately said OK let’s change it up. I don’t have to fight to be heard and I value that.
Describe the protocols Divya Shah used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
We are unexplained. So we started with Clomid because it’s the most powerful/popular choice. That made me rollercoaster crazy, so we switched to Letrozole. Then we added in trigger shots when the first 2 IUI’s weren’t successful. We started with the plan of 3 IUI’s, and ended at 5 IUI’s after taking a month off. Now we’re waiting to start IVF.
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Susan Troncelletti)
NP Susan has been there for every appointment I’ve had. She’s hopeful and tells me directly what’s going on and what the plan is and next steps based on labs. She’s been fantastic.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
The staff who answer the phone and takes messages could listen clearer. Sometimes I tell them exact things and then once I hear back from the doctor or send a message to the nurses I’m made aware that my full message wasn’t translated. I tend to just send direct messages to the team now.
Describe the costs associated with your care under Divya Shah at U of Iowa Center for Advanced Reproductive Care.
My health insurance fortunately covers up to $10k. Out of pocket costs were $400 for an IUI cycle. Out of pocket cost for IVF is $6-8k not including meds.
Describe Divya Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
We have not yet discussed single or multiple embryo transfers.
What specific things went wrong at U of Iowa Center for Advanced Reproductive Care?
- Lost appointments
Describe the specific things that went wrong at U of Iowa Center for Advanced Reproductive Care.
One time I called and asked for my ultrasound and lab appointment to be moved to an earlier time the following day. They canceled the ultrasound completely and rescheduled the labs for later. I noticed it that late afternoon so I called and left a message and got a call back about 10 minutes later from a nurse who fixed everything.
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the plan [with Dr. Shah] was to do PGS and frozen cycle(s) so the goal was to push my body a little harder than if we were doing fresh. The Dr wanted to be careful since I have a higher AMH about OHSS/over-responsiveness. We had around 12-15 mature follicles in each ovary prior to retrieval but they were only able to get 7 eggs out...After failed transfers, it would take at least a month to see her and so it felt like she didn't really know us and wasn't closely following our journey. She was conservative in her practice and was adamant at continuing the same protocol even after repeated failures. You need to be an advocate for your own needs and protocol because issues that might come up for you or your health might not be closely monitored or addressed if they're outside the standard protocol.
Our main nurse [at University of Penn Fertility Care] was not empathetic, especially when she had bad news to share. She was very laid back about details (e.g., suggesting we come in to get a written plan *after* the protocol & medications began)...We presented with a high TSH level for pregnancy and had been on a synthroid and having it monitored by my wife's GYN. When we switched to the fertility clinic we shared that and asked for further monitoring but it was rare and after our first FET, when we got a negative result, we pushed for a TSH test and discovered the level was 5.0.
How was your experience with Divya Shah at Penn Fertility Care?
When we saw Dr Shah she would always let us share our questions and provided very detailed (with notes!) explanations of her answers and, at times, what would happen next in our treatment. Unfortunately, we only saw Dr Shah in the office twice (an initial consultation and a meeting before starting IVF). After failed transfers, it would take at least a month to see her and so it felt like she didn't really know us and wasn't closely following our journey. She was conservative in her practice and was adamant at continuing the same protocol even after repeated failures. You need to be an advocate for your own needs and protocol because issues that might come up for you or your health might not be closely monitored or addressed if they're outside the standard protocol.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
Choose Dr Shah because you're looking for a safe, researched-based practice that won't be aggressive and make sure you speak up and advocate for your own needs.
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
When my wife would go in for monitoring, she wasn't allowed to hear any results from her ultrasounds, she was told to just lie there and then wait for the results each afternoon. Blood draws were often stressful, conversations with the nurses felt impersonal and information was often unclear or left out, so that we had to do our own research and make suggestions or double-check protocols.
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
FSH / GNRH Antagonistic Protocol - the plan was to do PGS and frozen cycle(s) so the goal was to push my body a little harder than if we were doing fresh. The Dr wanted to be careful since I have a higher AMH about OHSS/over-responsiveness. We had around 12-15 mature follicles in each ovary prior to retrieval but they were only able to get 7 eggs out.
Describe your experience with your nurse at Penn Fertility Care. (Assigned nurse: Christine)
Our main nurse was not empathetic, especially when she had bad news to share. She was very laid back about details (e.g., suggesting we come in to get a written plan *after* the protocol & medications began). She could be hard to get in touch with and did not always seem to know the answers to critical questions we asked about what to do at various points in the protocol
Describe your experience with Penn Fertility Care.
The clinic is often fairly quiet and pretty efficient. There's free parking, although the lot is very busy/tight after the very early morning. All procedures must be done at the downtown office and procedures are done by whoever is on-call/working that day, not by your doctor. The nurses at the front desk never learn your name or get to know you. There are no discounts for procedures.
Describe the costs associated with your care under Divya Shah at Penn Fertility Care.
Retrieval & biopsy - $9,000; FETs $2,500 (these prices have now been updated & significantly increased)
Describe Divya Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Penn Fertility Care.
Our Dr strongly encouraged single embryo transfers, it didn't feel like there was an option for anything else
What specific things went wrong at Penn Fertility Care?
- Failed to convey critical information
Describe the specific things that went wrong at Penn Fertility Care.
We presented with a high TSH level for pregnancy and had been on a synthroid and having it monitored by my wife's GYN. When we switched to the fertility clinic we shared that and asked for further monitoring but it was rare and after our first FET, when we got a negative result, we pushed for a TSH test and discovered the level was 5.0. We were upset that this had not be addressed or monitored during the transfer process and that we only learned of the level at our own pushing/forcing the issue.
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Dr. Shah was very personable. She gave her full attention to my husband and I, gave us all of the information, and answered all of our questions. She even illustrated and wrote notes on paper for us...explained the potential treatments before the results were back and then explained then gave options for treatment. She gave me her opinion, but let my husband and I decide what the best treatment would be for us...We had our consultation, then had blood work, genetic testing, and an ultrasound all in her office minutes after the visit.
[University of Pennsylvania Penn Fertility Care's] strengths would be their location, cleanliness, and assess to other care. The clinic is located in a health campus with other offices, a lab, and radiology department. They do not do surgery there, so the egg retrieval would have to happen in downtown Philadelphia...She [nurse] explained everything thoroughly and provided me with her direct number...Plan on having some testing done after the consultation as well. We had our consultation, then had blood work, genetic testing, and an ultrasound all in her office minutes after the visit.
How was your experience with Divya Shah at Penn Fertility Care?
Dr. Divya’s strengths include showing compassion, being detail oriented, knowledgeable, and thorough. I haven’t had any negative experiences with Dr. Divya. She explained what would happen every step of the way and also explained the results to all of our testing. She also explained the potential treatments before the results were back and then explained then gave options for treatment. She gave me her opinion, but let my husband and I decide what the best treatment would be for us.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
My advice to anyone would be to be prepared with questions. Plan on having some testing done after the consultation as well. We had our consultation, then had blood work, genetic testing, and an ultrasound all in her office minutes after the visit.
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
Dr. Shah was very personable. She gave her full attention to my husband and I, gave us all of the information, and answered all of our questions. She even illustrated and wrote notes on paper for us.
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
We haven’t started any treatment as of yet, but she recommended IVF for us. We’ll be going over the details at our next appointment.
Describe your experience with your nurse at Penn Fertility Care. (Assigned nurse: Christina)
The nurse was just as nice and knowledgable as Dr. Shah. She explained everything thoroughly and provided me with her direct number.
Describe your experience with Penn Fertility Care.
The clinic’s strengths would be their location, cleanliness, and assess to other care. The clinic is located in a health campus with other offices, a lab, and radiology department. They do not do surgery there, so the egg retrieval would have to happen in downtown Philadelphia.
Describe the costs associated with your care under Divya Shah at Penn Fertility Care.
I haven’t completed treatment, but I believe IVF will cost about $15,000. Medications alone will cost a couple thousand and egg freezing will cost about $500 for 3 months (I believe).
Describe Divya Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Penn Fertility Care.
She stated that for young couples, I believe under 35 years of age, she would recommend single embryo transfer, but I think it would ultimately be the patient’s decision.
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When we started seeing Dr. Shah we had come from another fertility clinic who told us that IVF was the only option we should consider. Instead of just moving us along to that process, Dr. Shah ordered new rounds of bloodwork and some additional tests to round our our history that the other clinic hadn't done.... I have been taking the highest dosage allowed of Clomid coupled with an Ovidrel shot to trigger ovulation and timed intercourse. That combination works best for me - other options have not worked. Because I have PCOS and annovulation, she has not recommended that we move onto Clomid and IUI.
Dr. Shah and the team at UPenn Radnor knows me by name and always refers to me in that way during appointments.... What I appreciate most about UPenn is that they are a teaching hospital. One of the first things that Dr. Shah said to us is that she will never push us to the most invasive - and often most expensive - treatment plan. Because they are a teaching and research hospital, there is benefit in moving through each prescribed option and trying things multiple times.
How was your experience with Divya Shah at Penn Fertility Care?
When we started seeing Dr. Shah we had come from another fertility clinic who told us that IVF was the only option we should consider. Instead of just moving us along to that process, Dr. Shah ordered new rounds of bloodwork and some additional tests to round our our history that the other clinic hadn't done. Once we had those results, we were presented with two options - continue trying Clomid or move onto IVF. Given our current financial situation, it was a blessing to hear that Clomid was still a viable option for us. Since that first consultation I've seen Dr. Shah twice more. Each appointment she takes the time to explain to me in very simple ways what is going on in my body and how that impacts my fertility. She's patient and willing to explain things multiple times to make sure I feel comfortable with our plan. She's the best person we could have guiding us through this process at this time.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
It took us over a month between when we initially called for an appointment and when we were able to schedule one, so I'd consider calling early. I also don't see her at every appointment, but have been able to (and encouraged by the nurses) schedule other appointments with her if I need to.
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
Dr. Shah and the team at UPenn Radnor knows me by name and always refers to me in that way during appointments. Additionally, they know that we drive over an hour each way to our appointments and make every effort to give me the first appointment slot so that my work day isn't interrupted significantly. They are reassuring and answer even some of the simplest of questions.
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
I have been taking the highest dosage allowed of Clomid coupled with an Ovidrel shot to trigger ovulation and timed intercourse. That combination works best for me - other options have not worked. Because I have PCOS and annovulation, she has not recommended that we move onto Clomid and IUI. IUI isn't going to increase our chances all that much more and because it isn't covered by my insurance, she doesn't think it's something we necessarily need to consider. This treatment combination has produced one strong follicle in 4 of the 5 cycles we've completed. We had no reaction in the last cycle which caused us to take a break for the summer. We just resumed last week and are in the middle of a sixth Clomid cycle now.
Describe your experience with your nurse at Penn Fertility Care. (Assigned nurse: Susan)
Susan is the NP who is the primary on my case. She's just fantastic - even though we're in our sixth round of Clomid treatment, she has walked me through the steps every time and hasn't assumed I know what to do because I've done it before. She returns my phone calls within the same day and even at appointments where I'm in and out of the office before she comes in, she still calls me in the same day to check in and make sure I'm feeling ok with where things are.
Describe your experience with Penn Fertility Care.
What I appreciate most about UPenn is that they are a teaching hospital. One of the first things that Dr. Shah said to us is that she will never push us to the most invasive - and often most expensive - treatment plan. Because they are a teaching and research hospital, there is benefit in moving through each prescribed option and trying things multiple times. It has resulted in a longer amount of time that we've been in treatment, which may not be for everyone depending on how long they've already been trying. But it's kept our treatments within the window of what is mostly covered by my insurance which meets our financial needs at this time.
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She [Dr. Divya Shah] is a wonderful, honest, thorough physician and she never got frustrated with my thousands of questions. She did everything she could to explain each step of my treatments with me. She also was extremely honest with me in regards to my fertility issues and what my realistic expectations for pregnancy were. I never felt like she would push me toward something she didn’t feel would work for me.
[UPenn is] Organized and caring!! I always felt and feel important to them. I have never felt like a number!! They are prompt and informative. The financial people are also amazing at helping navigate you through the insurance coverage you might have and fee schedules!!... They [monitoring appts] were scheduled times with a first come first served policy. Through the years I got to know both the sweet lab technician and the wonderful ultrasound tech! They were always understanding and excited when all was going well or on the harder days too!!
How was your experience with Divya Shah at Penn Fertility Care?
She is a wonderful, honest, thorough physician and she never got frustrated with my thousands of questions. She did everything she could to explain each step of my treatments with me. She also was extremely honest with me in regards to my fertility issues and what my realistic expectations for pregnancy were. I never felt like she would push me toward something she didn’t feel would work for me.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
Come prepared with your questions and have an understanding of the process. I feel like having a handle on things and knowing what to ask shows that you are ready to make informed decisions and that you are completely invested in the process. She will explain and re-explain anything you don’t understand. She will give you realistic expectations and she will guide you toward the best options for your specific situation!
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
My doctor and the clinic always made me feel like my feelings, questions and requests were extremely important. I never felt like I was a number in Dr. Shah’s eyes!
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
I did two iuis with her using an antagonist protocol, then we did and hsg which showed I more than likely have a blocked right tube. We tried a microdose Lupron ivf protocol which never led to a retrieval and was cancelled on cycle day 13 after no growth. I am currently in the tww after a succeful ivf cycle called the estrogen patch protocol and an antagonist protocol.
Describe your experience with your nurse at Penn Fertility Care. (Assigned nurse: Dawn)
Always willing to listen, respectful, knowledgeable and caring!! They all go above and beyond the call of duty.
Describe your experience with Penn Fertility Care.
Organized and caring!! I always felt and feel important to them. I have never felt like a number!! They are prompt and informative. The financial people are also amazing at helping navigate you through the insurance coverage you might have and fee schedules!!
Describe your experience with your monitoring appointments at Penn Fertility Care.
They were scheduled times with a first come first served policy. Through the years I got to know both the sweet lab technician and the wonderful ultrasound tech! They were always understanding and excited when all was going well or on the harder days too!!
Describe the costs associated with your care under Divya Shah at Penn Fertility Care.
I have insurance coverage to a certain capped amount, so I only paid a copay for dr visits and for donor sperm related costs. Medication coverage limits were reached so I pay all Meds out of pocket.
Describe Divya Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Penn Fertility Care.
Because of my low amh and my age, we decided to transfer two eggs to give me the best chance of a positive pregnancy test. I completely agree.
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Dr. Shah is excellent at communicating what's going on. She breaks things down for "non-science people" and will re-explain something as much as you want. She is kind, compassionate and has been rooting for us since day 1. She is open to my concerns and suggestions (one example is that I wanted to try a natural FET instead of a medicated cycle). She explained the pros and cons of each and ultimately let me decide. This is just one example of many where she has helped me make a decision.
Be prepared to acknowledge that the office is run much differently than most other clinics because UPenn is a teaching hospital. Once I figured this out, it became much less stressful. You will be on hold a lot. You might have to follow-up with the nursing staff. If you miss a call, it's a huge pain to get the team back on the line. Having said that, Dr. Shah ALWAYS called me back in the same day that I asked to talk directly to her and there is ALWAYS an on-call doctor that you can reach (even at 3am). You just have to know that Dr. Shah is managing your care and that every single doctor at UPenn is fantastic, as well. I never had concerns about my care, it was just annoying the way their communication system is.
How was your experience with Divya Shah at Penn Fertility Care?
Dr. Shah is excellent at communicating what's going on. She breaks things down for "non-science people" and will re-explain something as much as you want. She is kind, compassionate and has been rooting for us since day 1. She is open to my concerns and suggestions (one example is that I wanted to try a natural FET instead of a medicated cycle). She explained the pros and cons of each and ultimately let me decide. This is just one example of many where she has helped me make a decision.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
Be prepared to acknowledge that the office is run much differently than most other clinics because UPenn is a teaching hospital. Once I figured this out, it became much less stressful. You will be on hold a lot. You might have to follow-up with the nursing staff. If you miss a call, it's a huge pain to get the team back on the line. Having said that, Dr. Shah ALWAYS called me back in the same day that I asked to talk directly to her and there is ALWAYS an on-call doctor that you can reach (even at 3am). You just have to know that Dr. Shah is managing your care and that every single doctor at UPenn is fantastic, as well. I never had concerns about my care, it was just annoying the way their communication system is.
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
Please note that many of the nurses mentioned in other reviews are no longer at Penn. There have been a few wonderful new nurses (Christine and Dawn) who are excellent at relaying information, call back promptly and are kind and compassionate. Whenever I am there, everyone say hello to me and remembers me. I can reach Dr. Shah whenever I want to speak with her directly.
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
Antagonist protocol for egg retrieval (BCP, Follistim, Menopur, Ganirellex). For transfers BCP, Lupron, Estrace, PIO, but ultimately what worked was a natural FET with only Crinone.
Describe Divya Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Penn Fertility Care.
The clinic follows the national recommended guidelines for embryo transfer. Due to my age, we transferred 1 embryo each time. Dr. Shah never pushed me to transfer more than 1 and I never asked to.
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Dr. Shah was very kind and very honest. She recognized how hard this is and always tried to remain positive but gave us her honest opinions.... She was very empathetic and clearly knowledgeable. My only negative is that she was more cautious than I would have liked, after 22 cycles all negative tests- I’ve learned I would’ve like to be more aggressive a year ago.... I did the first 8-10 cycles taking letrozole and times intercourse. We moved to letrozole and IUI because that did not work. Due to my PCOS, ovulation was unclear so we introduced ovidrel shots as well. I reacted fine to all of this, the 2.5 mg of letrozole day 3-7 just made me a little more emotional than usual.
I love the staff at Penn. Going through this for as long as I have, seeing the girls (Angie, Susan, Aleah) is nice. They’re familiar. They’re professional. They make me feel safe in a very hard situation....Strengths - Always on time with appointments, in and out. And they always provide fast, accurate feedback. Negatives- IVF is too expensive:( for something some of us need to have - our only hope - it’s disheartening to know I can’t afford the one thing that I need.
How was your experience with Divya Shah at Penn Fertility Care?
She was very empathetic and clearly knowledgeable. My only negative is that she was more cautious than I would have liked, after 22 cycles all negative tests- I’ve learned I would’ve like to be more aggressive a year ago.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
She will do whatever you choose - so push if you feel like you’re not being aggressive enough with your treatment.
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
Dr. Shah was very kind and very honest. She recognized how hard this is and always tried to remain positive but gave us her honest opinions.
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
I did the first 8-10 cycles taking letrozole and times intercourse. We moved to letrozole and IUI because that did not work. Due to my PCOS, ovulation was unclear so we introduced ovidrel shots as well. I reacted fine to all of this, the 2.5 mg of letrozole day 3-7 just made me a little more emotional than usual. Then we moved to gonal-f injectables with IUI. This cycle was longer because we started on too low of a dose. At this point we are back to monitoring with oral meds and times intercourse while saving for the inevitable (IVF).
Describe your experience with your nurse at Penn Fertility Care. (Assigned nurse: Susan)
I love the staff at Penn. Going through this for as long as I have, seeing the girls (Angie, Susan, Aleah) is nice. They’re familiar. They’re professional. They make me feel safe in a very hard situation.
Describe your experience with Penn Fertility Care.
Strengths - Always on time with appointments, in and out. And they always provide fast, accurate feedback.
Negatives- IVF is too expensive:( for something some of us need to have - our only hope - it’s disheartening to know I can’t afford the one thing that I need.
Describe the costs associated with your care under Divya Shah at Penn Fertility Care.
My insurance has covered everything except the gonal-f to date. IVF begins at $8,500. PGS testing is an additional $6,000 and meds between $2k and $5k.
Describe Divya Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Penn Fertility Care.
Dr. Shah does not perform multiple embryo transfer to my knowledge.
What specific things went wrong at Penn Fertility Care?
- Provided conflicting information
Describe the specific things that went wrong at Penn Fertility Care.
When my primary nurse, Susan, was out on medical leave the replacement nurses called me with incorrect, conflicting information. I called and spoke with the Nurse Manager and she handled communications until Susan returned.
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Dr Shah is genuine and compassionate and although we rarely saw her, we felt like she was monitoring us closely from afar. She didn’t do any of my procedures and I think that played a part in feeling like a number and not a patient at this clinic... I was on a high-responder protocol. I was on Follistim 150 daily to start. Eventually added in Ganirelix and menopur. Eventually we attempted HGH because of a cycle that resulted in poor quality embryos, howevery retrieval was cancelled.
The NP [at UPenn-Radnor] assigned to us was the least compassionate human being I’ve ever met. She was very negative and made the whole IVF process near unbearable. Every time I asked that something be submitted to insurance, she gave me a snarky response about they would never cover it. She acted like I was an inconvenience to her daily.... I felt very out of touch with my own care due to almost never speaking with my doctor. I would speak with a new nurse every day (someone unfamiliar with me) regarding my lab results and medication adjustments.
How was your experience with Divya Shah at Penn Fertility Care?
Dr Shah is genuine and compassionate and although we rarely saw her, we felt like she was monitoring us closely from afar. She didn’t do any of my procedures and I think that played a part in feeling like a number and not a patient at this clinic.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
Trust her and don’t be afraid to ask questions!
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
Dr Shah was compassionate and I really felt that she was invested in our care. She called us whenever we got bad news and to give her best wishes when we decided to switch clinics. We didn’t get the outcome we had hoped for so we were eager to get some new ideas by switching clinics, but leaving Dr Shah was bittersweet.
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
I was on a high-responder protocol. I was on Follistim 150 daily to start. Eventually added in Ganirelix and menopur. Eventually we attempted HGH because of a cycle that resulted in poor quality embryos, howevery retrieval was cancelled.
Describe your experience with your nurse at Penn Fertility Care. (Assigned nurse: Susan Tronicelli)
The NP assigned to us was the least compassionate human being I’ve ever met. She was very negative and made the whole IVF process near unbearable. Every time I asked that something be submitted to insurance, she gave me a snarky response about they would never cover it. She acted like I was an inconvenience to her daily.
Describe your experience with Penn Fertility Care.
I get the impression that this clinic may be more concerned with their statistics than with their patients. There are about a dozen doctors and in my time there, I saw every single doctor once for one procedure or another. After over a year at the clinic, I still felt like a new patient.
Describe the costs associated with your care under Divya Shah at Penn Fertility Care.
We paid separately for the egg retrieval ($12,000), FET ($2,500). PGD was paid directly to the lab and meds were separate. I must also say that the Financial coordinator is extremely unhelpful! We were better off googling. At my first meeting with her, I asked her what options there were for paying (do people ever take out loans, are there assistance programs, any opportunities for discounted meds, etc) and she looked at me like I had 12 heads.
Describe Divya Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Penn Fertility Care.
We got the lecture about risks of multiples to the nth degree. I was told I would be the next octomom if we transferred two embryos!
What specific things went wrong at Penn Fertility Care?
- Failed to send your chart to another clinic
Describe the specific things that went wrong at Penn Fertility Care.
I felt very out of touch with my own care due to almost never speaking with my doctor. I would speak with a new nurse every day (someone unfamiliar with me) regarding my lab results and medication adjustments.
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I felt comfortable with Dr. Shah immediately and felt like I was in great hands. Most of my reluctance of recommending her would only come from how Penn Medicine is run and my experience with the nurses. Dr. Shah had a worksheet made up to help guide her conversations with her patients regarding all of the possible causes of infertility and the tests to identify them. It was incredibly thorough and helpful. I have nothing but great things to say about her...
The clinic at Radnor is well organized and run. The prices for self-pay patients seem to be more reasonable for everything (treatment and meds) than anywhere else I've researched or read about. It is less busy than the office at 3701 Market and for some things you would still need to go to their University City location, but for monitoring, etc, I was at Radnor. However, you will rarely see a physician during your actual treatment. All monitoring is coordinated through the nursing staff...
How was your experience with Divya Shah at Penn Fertility Care?
I felt comfortable with Dr. Shah immediately and felt like I was in great hands. Most of my reluctance of recommending her would only come from how Penn Medicine is run and my experience with the nurses.
Dr. Shah had a worksheet made up to help guide her conversations with her patients regarding all of the possible causes of infertility and the tests to identify them. It was incredibly thorough and helpful. I have nothing but great things to say about her.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
Be aware that Penn Medicine acts a bit like a team and even if Dr. Shah is your primary RE and guiding your care, you will see any of the doctors at a given procedure and no doctor at all during your monitoring.
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
Dr. Shah is warm, straightforward, and whip-smart. She goes over things in as little or as much detail as you are comfortable with.
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
Dr. Shah debated between an antagonist protocol (which she selected) and another type of protocol (not sure what that would have been) based on my DOR diagnosis and relatively young (in infertility world) age. The logic for going with the specific protocol was never relayed to me. Did a natural start, 450 gonal f for days 1-5, then ganarelix was added, and I went to gonal f 300 + menopure 150. I had a dominant follicle by day 7 which they warned me might get me cancelled and by day 9 they cancelled the cycle and converted me to IUI that didn't work.
Describe your experience with your nurse at Penn Fertility Care. (Assigned nurse: Julie Huston)
While I liked the other staff in the clinic, I didn't like either of the main nurses at Penn Radnor, Julie or Beth. Julie was my coordinator and she just doesn't have a lot of patience and was frequently confusing. When I was trying to confirm one set of her instructions early on, she made a snarky remark that she had done this many times. I replied back that I hadn't and wanted to make sure that I understood. She sounds condescending on the phone and ordered medications that I didn't need without warning me that I didn't need to pick them up right away (that they were only "in case of").
I would see Beth sometimes during monitoring and I felt as though she was withholding information (probably bad news). She was not my primary contact, however, so my experience with her was minimal.
Describe your experience with Penn Fertility Care.
The clinic at Radnor is well organized and run. The prices for self-pay patients seem to be more reasonable for everything (treatment and meds) than anywhere else I've researched or read about. It is less busy than the office at 3701 Market and for some things you would still need to go to their University City location, but for monitoring, etc, I was at Radnor.
However, you will rarely see a physician during your actual treatment. All monitoring is coordinated through the nursing staff. You'll have an ultrasound technician do your scans and a tech to do your blood draws. You sometimes can see a nurse or the nurse pratictioner after your monitoring appt, but your nurse will call in the afternoon with an update to your plan.
The entire team including the faculty and the fellows will meet and discuss cases. After a treatment fails, they will discuss recommendations for the next round (I don't know if this is for all cases or just more difficult ones, but it happened for mine without any prompting or request and I got the impression that this is just what they do).
Describe the costs associated with your care under Divya Shah at Penn Fertility Care.
Prices changed July 2016 and I do not know current rates. 6750 covered one retrieval and 2 transfers (1 fresh, 1 frozen or 2 frozen) and ALL embryology, anesthesia, monitoring, bloodwork, mock transfer, etc. Everything. Cancelation before retrieval netted a refund of all but 1500. There were other graduated refunds possible (ie only one transfer, but no embryos to transfer reduced cost to 5000).
1 retrieval and 1 transfer (fresh or frozen) was 5000, but the only refund possible was if your cycle was cancelled before retrieval (cost reduced to $1500). This also included absolutely everything (monitoring, embryology, icsi, bloodwork, education seminar, med training).
What specific things went wrong at Penn Fertility Care?
- Failed to call with results
- Failed to convey critical information
Describe the specific things that went wrong at Penn Fertility Care.
The fertility information does not go into the online portal (mypennmedicine) and so I had no knowledge of my AMH levels until meeting in person with my RE, despite the fact that all tests for other things (and even things like my HSG) are put into the portal. I also wouldn't have a record of my E2, FSH, etc unless my nurse happened to tell me (or I asked) AND I wrote it down. If you like to know exactly what's going on in your body, like I do, this might bother you. There isn't anything here that is "wrong" per se, it just doesn't mesh with how involved I care to be in my own health and treatment.
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Ask this reviewer a question about their experience with Divya Shah at U of Iowa Center for Advanced Reproductive Care.
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She [Dr. Shah] was very honest and compassionate. This wasn't our first cycle so we knew what to expect, but she still went over everything thoroughly. Overall she just came off warm and caring at a point in our lives when we were fragile...she embraces educating her patients on their treatment...We used a very strong protocol with ganorelix. I did not produce a lot of mature oocytes. And our fertilization rates were low as well. With PGD and PGS after all.of this we typically ended up with 1 or 2 embryos per cycle.
Dr. Sparks in the lab [at U of Iowa Center for Advanced Reproductive Care] is at the top of her field and does an excellent job teaching you about the process. I felt knowledgable about our situation and the process. Appointments run on time and there wasn't a long wait to get in initially...[The nurses were] Absolutely amazing!!! I came to love these women, from the ultrasound tech's to nurses they went above and beyond to welcome you into this family.
How was your experience with Divya Shah at U of Iowa Center for Advanced Reproductive Care?
She was very honest and compassionate. This wasn't our first cycle so we knew what to expect, but she still went over everything thoroughly. Overall she just came off warm and caring at a point in our lives when we were fragile.
What's one piece of advice would you give a prospective patient of Divya Shah at U of Iowa Center for Advanced Reproductive Care?
Ask all the questions, even if they sound silly to you, she embraces educating her patients on their treatment.
During treatment, were you treated like a number or a human with Divya Shah at U of Iowa Center for Advanced Reproductive Care?
She was so verswd on our history it was like she was instantly apart of our team. She worked hard to build trust and was totally honest.
Describe the protocols Divya Shah used in your cycles at U of Iowa Center for Advanced Reproductive Care and their degree of success.
We used a very strong protocol with ganorelix. I did not produce a lot of mature oocytes. And our fertilization rates were low as well. With PGD and PGS after all.of this we typically ended up with 1 or 2 embryos per cycle.
Describe your experience with your nurse at U of Iowa Center for Advanced Reproductive Care. (Assigned nurse: Jan)
Absolutely amazing!!! I came to love these women, from the ultrasound tech's to nurses they went above and beyond to welcome you into this family.
Describe your experience with U of Iowa Center for Advanced Reproductive Care.
This is the premier clinic.in the area, I would not think about going anywhere else, ever!! Dr. Sparks in the lab is at the top of her field and does an excellent job teaching you about the process. I felt knowledgable about our situation and the process. Appointments run on time and there wasn't a long wait to get in initially.
Describe the costs associated with your care under Divya Shah at U of Iowa Center for Advanced Reproductive Care.
Our insurance paid 80% after we met our deductible of $2000, but PGD and PGS were not.covered, so we spent $7000 out of pocket on that each cycle.
Describe Divya Shah's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at U of Iowa Center for Advanced Reproductive Care.
Strong preference for SET. Very concerned with health and safety of mother.
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I wish I could have spoken to her [Dr. Shah] to share some of my concerns including be given the option to have an ultrasound the day of my IUI. Since I suffer from PCOS my progress has always been a little slow so I believe my IUI may have been done too early. I did not get monitored after my IUI. In fact, the office never called and checked on me after my IUI. I was just instructed to call if I get a positive test. If I don’t then I would just call on the 1st day of my cycle.
Strengths [for the nurse at Penn Fertility Care]: very detailed and showed compassion Weakness: at times it was difficult to speak to her...front desk office is in a main hallway which is not private and forces you to have a personal conversation in a public hallway. After an IUI, I did not get a follow up call from nurses or staff to discuss my next options or at least to check on me...$250 for iui...You may only see your doctor once and that’s it
How was your experience with Divya Shah at Penn Fertility Care?
Strengths: she showed lots of compassion. She was very thorough and I appreciated that about my initial visit.
Weak: I wish I could have spoken to her to share some of my concerns including be given the option to have an ultrasound the day of my IUI. Since I suffer from PCOS my progress has always been a little slow so I believe my IUI may have been done too early. I did not get monitored after my IUI. In fact, the office never called and checked on me after my IUI. I was just instructed to call if I get a positive test. If I don’t then I would just call on the 1st day of my cycle.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
You may only see your doctor once and that’s it
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
Dr. Shah spoke with compassion. She was very informative.
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
Letrozol day 3-7....then trigger shot.
Describe your experience with your nurse at Penn Fertility Care.
Strengths: very detailed and showed compassion
Weakness: at times it was difficult to speak to her
Describe your experience with Penn Fertility Care.
Strengths: location, clean, staff was very friendly and did show compassion
Weakness: front desk office is in a main hallway which is not private and forces you to have a personal conversation in a public hallway. After an IUI, I did not get a follow up call from nurses or staff to discuss my next options or at least to check on me.
Describe the costs associated with your care under Divya Shah at Penn Fertility Care.
$250 for iui
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