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Divya Shah
U of Iowa Center for Advanced Reproductive Care
Available Lines of Communication
Not available by email
Direct line to nurse
Not available by personal cell phone
Medical SchoolColumbia
ResidencyU. of Michigan
FellowshipBrigham & Women's Hosp
Iowa City
200 Hawkins Drive
Iowa City, IA 52242
800-777-8442
Radnor
250 King of Prussia Road
Radnor, PA 19087
800-789-7366
6 assessments
10
Age
31 - 32
Treated
2017 - 2018
Success with this Doc
?
Treatment
7 Fertility Medications
Diagnosis
Anovulation, PCOS
10
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.
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Age
31 - 32
Treated
2017 - 2018
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
7 Fertility Medications
Diagnosis
Anovulation, PCOS
10
How was your experience with Divya Shah at University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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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10
Age
38 - 40
Treated
2016 - 2018
Success with this Doc
?
Treatment
4 IUI, 1 IVF, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
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.
+ Read more
Age
38 - 40
Treated
2016 - 2018
Success with this Doc
?
Race
Prefer not to answer
Income
$0 - $49K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
4 IUI, 1 IVF, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
How was your experience with Divya Shah at University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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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8
Age
27 - 29
Treated
2016 - 2018
Success with this Doc
No
Treatment
2 IUI
Diagnosis
PCOS, Unexplained
8
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.
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Age
27 - 29
Treated
2016 - 2018
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI
Diagnosis
PCOS, Unexplained
8
How was your experience with Divya Shah at University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania Penn Fertility Care.
Dr. Shah does not perform multiple embryo transfer to my knowledge.
What specific things went wrong at University of Pennsylvania Penn Fertility Care?
- Provided conflicting information
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4
Age
28
Treated
2017
Success with this Doc
No
Treatment
2 IVF
Diagnosis
Male Factor, PCOS
4
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.
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Age
28
Treated
2017
Success with this Doc
No
Race
European, Ashkenazi Jewish
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 3 Docs
Treatment
2 IVF
Diagnosis
Male Factor, PCOS
4
How was your experience with Divya Shah at University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania Penn Fertility Care?
- Failed to send your chart to another clinic
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9
Age
35
Treated
2016
Success with this Doc
No
Treatment
1 IUI
Diagnosis
Diminished Ovarian Reserve, Male Factor
9
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...
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Age
35
Treated
2016
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Professor
Order & Number of Docs Seen
1st of 2 Docs
Treatment
1 IUI
Diagnosis
Diminished Ovarian Reserve, Male Factor
9
How was your experience with Divya Shah at University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania Penn Fertility Care?
- Failed to call with results
- Failed to convey critical information
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8
Age
37
Treated
2017
Success with this Doc
No
Treatment
4 IUI, Donor Sperm
Diagnosis
Anovulation, PCOS
8
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.
+ Read more
Age
37
Treated
2017
Success with this Doc
No
Race
Latino
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
4 IUI, Donor Sperm
Diagnosis
Anovulation, PCOS
8
How was your experience with Divya Shah at University of Pennsylvania 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 University of Pennsylvania 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 University of Pennsylvania Penn Fertility Care?
Dr. Shah spoke with compassion. She was very informative.
Describe the protocols Divya Shah used in your cycles at University of Pennsylvania Penn Fertility Care and their degree of success.
Letrozol day 3-7....then trigger shot.
Describe your experience with your nurse at University of Pennsylvania Penn Fertility Care.
Strengths: very detailed and showed compassion
Weakness: at times it was difficult to speak to her
Describe your experience with University of Pennsylvania 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 University of Pennsylvania Penn Fertility Care.
$250 for iui
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