Edward Nejat

Dr Nejat was very warm and answered questions directly and honestly when asked. He was available for every visit during our first IUI. We are a lesbian couple and he always greeted both of us with equal respect and warmth. That being said, it did feel like the information was not offered unless we asked specific questions, and he does not always warn you before the ultrasound, which was jarring at first.

Make sure you ask your questions, don't necessarily expect to be told every detail. If you have a concern, raise it early, and he will make sure to keep it in mind as you go through the process.

I have been previously diagnosed with PCOS, but during our initial consult we had blood drawn and an ultrasound. Based on those results, which appeared within normal ranges, and my age (33), Dr Nejat did not want to overmedicate me for an IUI with donor sperm, so we went drug-free for our first round. This did not produce a pregnancy. I am awaiting results for our second round and am interested to see if strategy changes this time, or if we will continue unmedicated.

We have Progyny insurance, which covers 4 rounds of IUI after meeting our deductible. We had to pay $1600 for genetic testing and initial blood tests prior to picking a donor in order to meet the deductible, and I have not seen a bill since.

Strengths: Intelligent, funny, compassionate, great listener and willing to share information that other doctors did not. Areas of improvement: willing to listen to other treatment options and other therapies for older patients. Let patient know ahead of time if he is not going to be in for your appointments.

Just have questions ready to ask. Be clear on what you want to do and take notes on what Dr. Nejat is telling you. Sometimes there was a mix up on information told and what happened, but it did not affect treatment.

I was on more of a natural cycle because of my age and the likelihood of NOT producing enough eggs with higher drug doses. I started researching agonists and other protocols, but Dr. Nejat did not want to try those, even with my age related in fertility and being on the lower end of being able to conceive, but was not told why they were off the table for me.

It was like a cattle call with all the patients in a small waiting area. I could wait 15 minutes or 40 mins, it just depended on who was available to monitor us. This could use some adjustments.

Insurance paid the most of the procedure. I paid for visit $50 a visit

Only harvested one egg.

Friendly and pleasant enough demeanour, but always felt like he was purely going through the motions necessary to extract as much money from my insurance company as possible. FYI - He is a partner in this practice so directly profits. His entire vibe gave me the impression of style over substance. Didn’t take time to do any real investigation / deep diagnosis — felt like he was just ticking boxes of what was needed for insurance company to approve further treatment. Didn’t know my individual case from one appointment to the next. Could never provide definitive information, even when asked directly. Didn’t seem in any way motivated to investigate further. Unfortunately dishonest — i discovered several issues in my medical records noted that he discussed specific things with me that he definitely did not. Confirmed for me that he avoided sensitive topics & discussing issues openly and honestly that might have impacted my decision to proceed with treatment.

You deserve more than pleasantries and non-answers. Don’t waste your precious time. Go elsewhere.

FYI at my initial appt Dr Nejat actually asked his intern what my insurance was before suggesting any strategy/protocol, which was very off-putting. After he very casually reviewed my results and information i provided to his intern, he then recommended proceeding to IUI. I declined, as i wanted to try to determine if i was definitely ovulating first and foremost – since my previous few cycles had been somewhat fluctuating in length. I made it clear that my Husband and i were only interested in timed intercourse at first, which Dr Nejat didn’t challenge. But, i could tell he immediately lost interest right there. Especially when i explained my Husband and i had no interest whatsoever in IVF at this point (even though my insurance covers it) since there were no clear reasons why we would need it. We proceeded with bloodwork and ultrasounds which led to clear instructions for when to time intercourse. This was unsuccessful. When i tried to determine if i definitely ovulated Dr Nejat told me he ‘thought so’. Seemed very blasé about everything. Told me i had what’s called ‘Unexplained Infertility’. Not motivated whatsoever to investigate further. The only thing both Dr and staff wanted to know is what kind of cycle we wanted to do next. We then decided to proceed with a ‘natural’ IUI but were advised a Pregnyl injection would be needed to induce ovulation at a suitable time for IUI procedure to be performed. After bloodwork and ultrasound on the Saturday morning I was instructed to inject that night at midnight, with an IUI scheduled for following Monday afternoon. This i feel was badly timed. I remember telling my Husband on the Monday morning i felt like i had maybe already ovulated, and i was right. I told him a few weeks later i felt my period was about to arrive, and it did! IUI was unsuccessful. In hindsight, i should’ve trusted my instincts and cancelled the IUI. I am now trusting my instincts and seeking treatment elsewhere.

They were in-network with my insurance company so most was covered at 80%, but co-pays still added up to quite a bit. They billed co-pays sporadically. So far we have paid around $500 for one timed intercourse cycle and one IUI. The genetic testing that Dr Nejat reco’d. Our insurance didn’t cover the Pregnyl injection which was around $130 out-of-pocket. We are still awaiting final bill for IUI co-pay.

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having diminished ovarian reserve can be an uphill battle. Patients with a diagnosis of diminished ovarian reserve will be given some hope with Dr. Nejat. He and his partner Dr. Luk treat a retrieval of one egg as a victory whereas other clinics/clinicians would have canceled the cycle because the numbers weren't there.

Don't feel intimidated to ask whatever questions or concerns that you might --advocate for yourself. With infertility I don't know if there is a clear answer for every situation but I think Dr. Nejat does his best to answer questions and he does so in person or gives you a call back at the end of the business day.

Low stim protocol starting out with Clomid for a few days and then introducing 75 units of Gonal-F; toward end of cycle either one half or a full syringe of Cetrodtide for less than one handful of days before trigger. ICSI used for one retrieval without success; PICSI used for other cycle retrievals with success.

Monitoring hours go frm 7:30am-10am are busy ...the bloodwork is usually a shorter wait than the ultrasounds and I think they need one more ultrasound tech. I very much appreciate that monitoring hours go until 10am.

Dr. Nejat is a fantastic doctor. He was very diligent at tracking and changing the course of my IUI as needed (e.g., he allowed us to come in early for the insemination procedure after addressing my concerns regarding the time between the Ovidrel trigger shot and the procedure, and he also explained the timeframe for the egg traveling down the fallopian tube to help me understand the timing). For my most recent consultation regarding IVF, he thoughtfully went through the expected process including showing us a slide show of egg development and hatching. He offered multiple breaks in this discussion for us to ask questions and to check we understood everything. He is generally a warm and empathic doctor! I have recommended him to a friend who now sees him also.

If you have to wait to begin as one of his patients he is well worth the wait.

We stimulated with 50mg of Clomid, rather than a higher dose as I usually ovulate on my own. We used Ovidrel to trigger ovulation at day 14 based on the size of two follicles (both 19mm) and slight indication on blood work that my LH levels were rising. Although not standard practice at his clinic, he offered us two inseminations in response to my request (we ended up only going with one).

Other than a copay of $40 for each visit including monitoring and $88 for Ovidrel shot (which was cheaper than the pharmacy, Freedom Pharmacy, that they send prescriptions to), costs were covered by my insurance

No comments

Dr. Nejat is very kind and compassionate. I felt he was experienced and knowledgeable. Unfortunately, I did not receive the results that I wanted. After years of working with him I am questioning if more could have been done to ensure that I did not go through 2 miscarriages, though I’m not positive that more could have been done. Dr. Nejat for the most part kept in touch via email and always explained any questions I had about medication or procedures.

Request that all diagnostic tests be done.

When I went to Dr. Nejat I wanted to try to complete an Ivf cycle as naturally as possible. He adhered to my wishes and we did several low dose Ivf cycles with Femara and injectables. We were able to successfully retrieve 3 eggs during a cycle that was used only injectables. The fresh transfer failed, one embryo arrested and the last embryo was transferred during a FET. This resulted in pregnancy, but I miscarried at 7/8 weeks. We continued on with another injectables low dose cycle which resulted in an unsuccessful retrieval. We decided to move on to a fully medicated cycle. This was the least successful, all 7 eggs arrested by day 3. We moved onto a donor cycle with a known donor. We were able to get 5 mediocre quality embryos from that cycle. The fresh transfer failed. We found out I had an endometrial infection from a biopsy that was then treated with 3 weeks of antibiotics. The following FET transfer worked, but resulted in a miscarriage at 9 weeks. We have two low quality embryos remaining that we will transfer by the end of the year.

Waiting to get blood drawn was never a long wait. Waiting for ultrasounds could take over an hour if you didn’t go early enough.

I live in a mandated state so most treatment and medication was covered up until now. I had to pay $5,000 for donor screening, $1,000 a year for storage fees, and $15 copay for monitoring visits.

Dr. Nejat left this decision up to us, which I was completely comfortable with.

Dr. Nejat strength was his bed side manner. How available he was, I consider a strength and a weakness. My fertility treatment started with Dr. Nejat and I was pretty anxious through the process. Dr. Nejat always made himself available to talk even during off peak hours. However, I felt that Dr. Nejat at times would forget a test that needed to be done. For example when I started fertility meds, he assumed that I already had a Sonohysterogram. When I told him I never even heard of the test, it was scheduled immediately due to it being a required test before an IVF cycle. I know that it is difficult for Doctors to remember everything with each patient. There should be someone ( Nurse ) maybe checking off all the boxes. I think it can be overwhelming for A Doctor to have so much control for each patient. As you can tell I was extremely comfortable with this Doctor, but i don’t think he Performed all the test that was needed to Properly diagnosis me. After an unsuccessful IVF. I switched to a different Doctor and was diagnosis with Hydrosalphinx and endometriosis.

Make sure you do your own research and it does help to talk to other people who have gone through it , but I understand that IVF is a private matter. So research online and see what other people are diagnosis with. Make sure ask yor Doctor about your montioring results and learn what they are looking for.

I was on the estrogen patch about a week before my period. I started follistim 150 and Clomid 50 mg on day three of my period. He stated that he didn’t want to take an aggressive approach because he felt that I wouldn’t produce enough eggs due to my age. I was given centrotide for three days at the end of the cycle. Day 11 was retrieval, three day embryo transfer.

Monitoring was pretty smooth. Can’t complain.

It cost about 8,000.

Dr nejat was very calm, patient, and explained everything when i had questions. his bedside manner was excellent and i really appreciated it. my most important thing in a doctor was one who could really understand my personal situation and tailor the protocol to my needs. i felt at ease and safe under his care and he really took time for us which boosted our confidence.there were certain tests that i had done at hte clinic with a different doctor just before i saw him that im glad he didnt make me repeat. on the flip side, having moved on to another clinic because he left hte practice, i wish he would have requested clearance from my other specialists (although he was aware of my medical history and it is very minor things. maybe we could have gone over pgs/pgd more in depth to see if it was right for us

make sure that he pays as much attention to your other medical conditions as he does to working with your preferences and circumstance

1 cycle clomid 1 cycle letrozole- switched to letrozole to minimize reaction to side effects as well as personal exposure based on family history with cancer in relatives who did fertility treatments 1 cycle letrozole with iui to try and increase chance of pregnancy after this IVF was recomended bec of my age and the length of time since my last pregnancy . mild stimulation to produce minimal eggs and therefore retreival without anesthesia was recomended to limit my exposure to drugs based on family history. we tried to prep for a cycle several times and as yet have not been able to see one thru, mostly bec of logisits not medically related

procedure before ivf 95% covered by insurance. frozen sperm less than $1000 out of pocket includes one year storage. yearly storage fee maybe slight high. already mentioned previously that they failed to get a sep preauth for meds for iui and to thouroughly review detailed ivf costs

was happy with his suggestion of eset

He was extremely compassionate and willing to answer all questions. He was always concerned with me as a human not just as a reproductive challenge. He never made me feel rushed. He also showed an impressive capacity and willingness to listen and learn. When I showed him research about a procedure I had concerns about, he read it and told me he would adjust his use of it going forward. My one and only criticism was that sometimes when I had a concern that required a detailed understanding of the science behind something (like the use of one drug over another) he didn’t want to get into that detail with me. His standard answer in those instances was always “I’m not worried about that.” I’m a person who does a lot of research and wanted to understand for myself whether I should or should not worry about something. At the end of the day, I never felt like he always steered me in the right direction and made the best decisions he could with the information available and gave me truly excellent care. I never doubted the quality of care and I really trusted him.

Know he has your best interests at heart and that he really will answer with all details and the science behind his decisions if you explicitly push him to tell you that level of detail.

We used Letrozole in all but one IUI cycle because of my PCOS diagnosis and I responded well to it. The one time we tried Clomid (after my first or second negative pregnancy test), it thinned my lining too much so we went back to Clomid. Dr. Nejat always tried to support my natural cycle as much as possible. When I asked to go on Progesterone after each IUI he prescribed it without challenging me. When I asked to go on Metformin for my PCOS after my 6th IUI (and first chemical pregnancy) he also agreed without challenging me. He gave me lower doses of injectable hormones in the lead up to my egg retrieval to protect me from hyper stimulation (though I ended up hyper stimulated anyway). The egg retrieval, fertilization process and transfer went off without a hitch!

My insurance covered the IUI so not sure about those costs. The egg retrieval was $8000 not counting medicine and checkups. The transfer was $4000 not counting meds or checkups.

Because I was 36 with no major fertility complications, he preferred doing a single transfer to avoid a multiple pregnancy. I agreed.

As stated before, Dr. Nejat has the right bedside manner for this area of medicine. He listens, he cares and he has a more natural approach than other doctors. He isn't as eager to pump you up with fertility medicines, which I appreciated. But after two failed IUI attempts, he didn't really offer us another course of action. He seemed to be winging it more than planning a protocol for us. I don't know if this is because of our diagnosis and our bad numbers, but I felt like I was approaching him about different options I had learned about that other women with my condition were trying instead of him approaching me about them. I wish he were a little more aggressive at the end.

I think that if you are seeing Dr. Nejat and are nervous about treatments, he is a great doctor to go to. I think if you've already been in treatments and you want an aggressive doctor, he may not be the right match. He will certainly do things within your comfort zone and doesn't seem to say no either though, so I would just say that if you need some handholding, he is the right person.

We basically did natural cycle IUIs with Dr. Nejat. Each time (there were only 2) we used an HCG trigger shot. He put me on an estrogen patch for a week or two to try to lower my FSH levels because I wasn't producing any eggs, but that was suggested by me after doing some research. He didn't think it could help or hurt, so he had me try it. He was a bit more passive in this respect.

covered by insurance

Dr Nejat is an extremely skilled and kind doctor. He is decisive and intelligent. He is always positive and caring to patients. He is perfect for someone beginning their IVF journey but I am unable to see him any longer because he will not treat immune issues.

He is a great doctor. Get an appointment with him right away.

Cycle 1: Mild IVF with Tamoxifen, 150 Gonal-F, lead to 21 eggs, 6 embryos Cycle 2: Mild IVF with Letrozole, 150 Gonal-F, 16 eggs, 2 embryos Cycle 3: standard IVF with lupron, 75 Menopur, 250 Gonal-F, 21 eggs, 3 embryos Cycle 4: standard IVF with no lupron, 75 meopur, 175 - 125 Gonal-F, 20 eggs, 2 embryos

7:30 - 9:30am, they had growing spurts where waits would be extremely long, but they resolved that. The Dr never made you feel rushed during the ultrasounds. patiently answered all questions

IVF $6,000- $8,000. Transfer $4,000. anesthesia is by outside specialist and would always cost $600 and they would not try to run through insurance.

Dr. Nejat initially seemed like the perfect doctor for us. He's kind, articulate, and has a very soothing bedside manner. But ultimately, that soothing quality didn't really work for us - we prefer blunt assessments, lots of detailed information, and someone who can articulate exactly what the treatment strategy is and why. So after my wife's failed IUI with Dr. Nejat, we switched to Dr. Luk (also at Neway). I certainly don't blame him for the failure, since the odds of success were very long, but we prefer Dr. Luk's more energetic and engaged style.

Dr. Nejat would be great for a patient who doesn't want to micromanage every aspect of their treatment. If you're comfortable putting yourself into his hands, his attentive but relaxed demeanor might be a great fit for you.

The IUI was a first attempt at fertility treatments. Dr. Nejat prescribed my wife clomiphene citrate, which she responded well to. However, as my wife was already 39 years old, the chances of an IUI succeeding were very, very small. Dr. Nejat made this clear going in, so we were prepared when she ultimately had a negative result.

Our IUI cost $800. That price has almost certainly gone up in the past year.

I think that in addition to having excellent bedside manner and being caring and supportive, he's a skilled and talented doctor. He has an optimistic attitude toward the fertility process, and I trust that he knows how to navigate his way through my fairly complex medical case and find an appropriate course. When I did get pregnant with a previous IVF cycle, he was genuinely thrilled at the success; unfortunately after two months it turned out that the pregnancy was not viable and we had to let it miscarry, and I found him to be sensitive and supportive through that experience as well.

Dr. Nejat is a brilliant and caring doctor. Being a naturally skeptical person, I always had a lot of doubts about his recommendations but he was proven right every single time. Over time this built trust and respect. I will absolutely go to him for a second child!

Ask questions. Email him, he always responds. He can tend to forget your particular details since he has so many patients so remind him.

He suggested for us 3 IUIs followed by IVF. He was confident that we would be pregnant with IUI but we needed IVF. He used an antagonist protocol with us since I have an above average AMH, but no PCOS. It turned out to be perfect since we got a healthy retreival of 16 eggs and 8 blastocysts, which for my age of 35 is pretty decent. We transferred two and are 3 months pregnant with a singleton.

An IVF cycle with monitoring, retreival and fresh transfer costs $8900 as of February 2016. An FET costs $3200.

He was a very nice, knowledable dr. Who took pride in helping women with their infertility. I do wish how he explained some things about infertility were clearer/broken down in terms that weren’t so complicated. And I do wish that when I could no longer afford and when it was clear that egg retrieval’s probably wouldn’t work for me that he offered other options that could still work/help prep my body, and not just go with adoption/egg donor.

Make sure you do your own research as well

I would go in everyone during their scheduled time, I mostly had short wait, when I got there early, but if I went later, the wait was longer.

Egg retrieval was not covered, my blood /sonogram tests were.

Although I thought Dr. Nejat was a truly caring and lovely individual, I would not recommend him as an RE. At the time of the retrieval, my AMH was very high for my age. Dr. Nejat assured me that I would retrieve many eggs as there were greater than 25 follicles on my first ultrasound. However, he only retrieved 13 eggs and out of 13, only 6 were mature! Dr. Nejat admitted he was shocked at my poor results. In retrospect, I believe he should have placed me on higher doses of medications in order to stimulate growth of the many smaller follicles.

I chose this doctor because I was given a discounted rate through eggbanx. However, if I were to freeze again I would see a higher rated RE at a top facility such as NYU or RMA NJ.

Antagonist protocol. 225 gonal F and 75 menopur. Ganirelix on day 4 onward.

Monitoring apts were well orchestrated by Dr. Nejat and nursing.

6000 dollars for cycle through eggbanx and another 4000 for medication not covered by my insurance

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His communication skills are top notch. He answers questions immediately & is willing to tweak the protocol based on ongoing bloodwork results. I always felt he was up front & honest, yet supportive and caring.

Trust the process.

I tried natural IVF where I only did a trigger shot & retrieval. Best results I’ve ever had in 2 yrs of IVF. I have 3 frozen embryos.

Insurance covered most of it

Dr. Nejat is fully invested in his patient's fertility journey. He is what all doctors should be in terms of compassion, empathy and bedside manner. He never rushes you out even though he is very busy. He is thoughtful, accessible and highly intelligent. Conversations with him are a two way street. While he values the patient's input, he was adamant about specific topics that he knows best. This provided me with the comfort that I had a voice but he was the expert I sought after. He truly cares about his patient's and their success.

Go to him!

Dr. Nejat is very very sweet. He is a good communicator most of the time. I had 3 appointments with another doctor in the practice one which was my iui and had no idea he wasn’t going to be the one doing that procedure. He’s done sis and 2 iui for me and he seems through and knowledgeable.

Be overly communicative and in touch with him or you get lost in the shuffle.

Estradiol to stimulate lining of uterus. Follistim to stimulate follicles. Clomid to stimulate egg production. Ovidrel to drop the egg before iui

Iui was covered by my insurance as was the medications. I haven’t done ivf but that won’t be covered.

Don’t know never did this

before seeing Dr Nejat, I have failed about 10 IUI at another clinic. I transferred to Dr. Nejat and planed to have mini-IVF. Luckily, we got a success in first IUI before mini-IVF. While the other clinic is ok, my experience with Dr Nejat was very relaxing. He gained my full trust in short time. I believe the trust and relax played a big role in our success. Dr. Nejat has impeccable bedside manner, full attention on my situation and feelings. He really cares.

you will feel the respect, kindness when you start to work with him. Trust comes naturally.

plan one IUI, if failed, start mini-IVF

I came to Najat after 2 failed cycles at a different clinic. He gave us hope, practical hope, but hope none the less. He was highly recommended by my fertility acupuncturist. His approach was vastly different which I liked.

Ask all of the questions. He doesn't go into the science that much.

He watched my cycle until he saw the follicles growing on their own. It's called Slow IVF. I never actually took any meds, although I would have take a trigger shot if I made it retrieval.

Minimal because I never made it to retrieval. I think $300 in total. My company covered 90% of it.

Slow IVF.

We met with a number of other fertility doctors, and Dr. Nejat was the only one who took the time to understand our situation and lay out a clear treatment plan. He made recommendations while also allowing room for us to make decisions about how we'd like to proceed at each step. He answered all of our questions with patience and always remembered that as as same-sex couple we have different considerations than straight couples. This was a unique experience. He is compassionate and has a good sense of humor.

Doctor Nejat has a very warm bedside manner and is very compassionate. He listens attentively and is open to questions. Although very professional and skilled, he does not pretend to have all the answers and will try new protocols and consider your suggestions and personal; research. I felt like he cared about my overall health as well as my reproductive health. However, because he is part of a small practice, he did not seem to be

Come to each visit with prewritten questions. He will only elaborate on what you ask. He is part of a growing practice and sometimes he has to quickly go to the next scheduled patient.

My protocol ranged from aggressive to mild. With a mild protocol producing somewhat better