We are sure Dr. Shah was intelligent, competent and hardworking. She had no bedside manner, warmth, or patience when asked questions, however. At the beginning of our second and last appointment with her I had asked a question after her ten minutes of explaining IVF. She abruptly and somewhat rudely said to wait until she had finished her entire presentation. I never felt comfortable asking her questions.
[Penn Fertility Care] Modern facilities. Terrible bedside manner of the primary nurse and Dr. Shah. It drive often drove me to the point of leaving appointments in tears because of how insensitive their treatment was- from not describing the physical pain of different procedures well enough to acting inconvenienced to have to answer patient questions.
How was your experience with Divya Shah at Penn Fertility Care?
We are sure Dr. Shah was intelligent, competent and hardworking. She had no bedside manner, warmth, or patience when asked questions, however. At the beginning of our second and last appointment with her I had asked a question after her ten minutes of explaining IVF. She abruptly and somewhat rudely said to wait until she had finished her entire presentation. I never felt comfortable asking her questions. During one of the diagnostic tests she didn’t explain how painful it would be and seemed annoyed when I cried. The clinic then had me walk down the stairs to meet my husband in the parking lot by myself. There were several instances like these where it would’ve been easy to show compassion and warmth. We never experienced that with Dr. Shah.
What's one piece of advice would you give a prospective patient of Divya Shah at Penn Fertility Care?
Prepare to be treated like you’re less than.
During treatment, were you treated like a number or a human with Divya Shah at Penn Fertility Care?
Dr. Shah acted like it was an inconvenience to have to speak to us. At one point after a year of unsuccessful treatment, we asked to make an appointment to see her one on one as we understand that the regular monitoring and IUI visits were completed by nurses/doctors available. Our last straw was her abruptness and impatience during that final appointment. She was clearly not invested in explaining anything to us, or even at the very least helping us navigate this difficult journey. We decided to look for a different clinic the next day.
Describe the protocols Divya Shah used in your cycles at Penn Fertility Care and their degree of success.
5 cycles of IUI with clomid. Dr. Shah for some reason started me out on a very high dosage of clomid which resulted in two cancelled cycles. Incredibly frustrating. Even after we determined the correct dosage, our IUIs were unsuccessful.
Describe your experience with your nurse at Penn Fertility Care.
The primary nurse we saw at Radnor would dash out of the monitoring room immediately after the ultrasound technician had finished the scan. I never would have the chance to ask any questions. At one point after another unsuccessful cycle, I had some questions. Meanwhile our nurse had one hand on the doorknob facing the door to leave even as she answered our questions. My husband and I left this clinic and moved to Main Line Fertility because of how insensitive this nurse and our doctor was. They never had the time or showed any interest in answering our questions. Because this was all during Covid, my husband could never see firsthand what it was like. It was only after a full year of terrible treatment I had enough. Our experience with nursing staff and doctors at Main Line was the exact opposite- some of the warmest, smartest, and compassionate people I have ever met during medical care.
Describe your experience with Penn Fertility Care.
Modern facilities. Terrible bedside manner of the primary nurse and Dr. Shah. It drive often drove me to the point of leaving appointments in tears because of how insensitive their treatment was- from not describing the physical pain of different procedures well enough to acting inconvenienced to have to answer patient questions.
What specific things went wrong at Penn Fertility Care?
Failed to convey critical information
Canceled a cycle due to clinic error
Describe the specific things that went wrong at Penn Fertility Care.
Our doctor started us off at an abnormally high dosage of clomid that resulted in two cancelled cycles.
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.
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.