Jane Frederick

The first meeting with Dr. Frederick she was really knowledgeable and asked us to get genetic testing. As soon as we got results it actually changed our plans. We then started IVF and she was there doing everything with us. She would answer emails very quickly and was very responsive even outside business hours. We will be starting another round soon and she has been very helpful with explaining what will change and what we can do on top of the meds.

She is a bit blunt but I am a fan of that when it comes to medical. I want someone to tell me how it is. If you need something a bit more sugar coated then she may not be for you.

Retreival $21,500 +$3,000 retreival medicine (we had the embryos tested PGD and PGS) Transfer $3,800 + $1,000 transfer meds

I asked about transfering 2 embryos however she was very specific based on my age and previous miscarriage she would only transfer one.

Simply put, we paid Dr. Frederick $41,631.68 for 10 dead embryos. We'd had prior success with Dr. Nelson at HRC Pasadena, which I will review separately. We switched to Dr. Frederick in OC because it was a far distance to the Pasadena office where Dr. Nelson is. When we had our initial consultation with her, we told her that this would be our last try, and asked her if she recommended that we use donor eggs. She said that she didn't think it was necessary, and recommended trying with my own eggs. She insisted that we do PGS, which we did not agree with, and I've previously stated. We considered going back to Dr. Nelson, but decided to go forward with the treatment with her. At my saline sonogram, a 2 cm intermural fibroid was identified by the tech. She stated that she wanted to do a freeze all cycle for PGS, so she would address the fibroid via hysteroscopy after "the harvest." This essentially took any fresh transfer of untested embryos off the table for us and limited our options to those that she'd already chosen for us. She recommended ICSI due to my husband's age, even though his SA came back good. IVF #1- Antagonist protocol- Follistim 450, Menopur 75, Ganrelix 250x2, and Doxycycline. 7 retrieved, 4 fertilized, 2 biopsied and frozen for PGS. I asked to be informed about how many embryos that I still had on day 5 before they took a biopsy because if it was fewer than 4, it would not be a cost effective choice, I would just transfer all embryos. I was refused that information about my own embryos by Dr. Frederick. She would not give the report until after the biopsy. She is completely inethical. At that point, I could refuse PGS, but my embryos were already damaged and the cells already taken. Since I only had 2 embryos to PGS test, Dr. Frederick recommended we do another retrieval cycle and send the additional embryos together to be PGS tested at once. Since we wanted to maximize our chances, and we felt that the PGS testing fee was so high that we needed to check more embryos, we agreed to do another IVF retrieval. IVF#2- Lupron microdose Flare 40mcg/0.2mcg with Omnitrope 5.8 units, Follistim 450, Ovidrel 250x2. 8 retrieved, 6 fertilized, 2 sent to PGS. PGS results: one normal female three abnormal males. The normal embryo was from the first retrieval. Hysteroscopy: She determined that she had no need to remove my intermural fibroid, but advocated timely transfer in case it became large enough to affect implantation. She repeated over and over. "You only have one embryo", even on my transfer day. And yet, she did not recommend an ERA, even when I asked her, she said that she didn't think I'd need one. Transfer. I was unhappy with the scarcity of labs done for my transfer. Progesterone was not checked at baseline, only estrogen, and again at my lining check, only estrogen. She was not specific about the timing of starting the progesterone in oil, or the timing of when I would do my shot. I know that this timing and level is important for uterine receptivity. I felt like she had my money and she was going to do as little monitoring as possible for it. Since the FET failed, she could blame my body for it. My lining was an 8 at lining check. When I voiced my concerns that it was too thin, she pushed my concerns aside. On day 4 post transfer I found my embryo in my underwear and my beta was less than 2. At my post appointment she was ready to take more money- to do more cycles with us, or do donor eggs or donor embryos. I told her, "We are done." She failed. I also mentioned donor cycles in CZ, and that seemed to hit a button with her. She said, "We don't know how those people are screened." We are now facing the emotional and financial loss. Even if we did have the resources to continue, it would not be with her.

Find someone else. Anyone else would probably be better.

I mentioned this already, but the reason that she said that she wanted to change protocols is that she was hoping that the Lupron flare would yield more embryos. Unfortunately, we had the same amount, and the 2 from that cycle were PGS abnormal.

$41,631.68 out of pocket

She repeated "you only have one embryo to transfer". How negative.

Dr. Frederick is compassionate and direct and that's two qualities I definitely want in a fertility doctor. She has a confidence that also makes me feel that I am in good hands. In comparison to a previous doctor I was seeing, I felt I was always questioning him and advocating for myself, with Dr. Frederick I feel she hears me and is accessible.

You'll be in good hands with Dr. Frederick.

I began with birth control on my 3rd day of my menstrual cycle and about 5 weeks later of all active birth control pills I stopped taking it. Had a baseline appointment to go over medications and any other questions I may have had. 5 days later I began Follistim 375IU and Menopur 1 vial for 10 days each at 7:30pm. I visited the doctor's office 3 times for ultrasound and blood lab. I started Ganirelix at 7am for 4 days on day 6 of medications. Had my 3rd, last appointment before egg retrieval which was 4 days later and reviewed medications and expectations for egg retrieval day. I took Ovidrel 35 hours before scheduled egg retrieval and began doxycycline (antibiotic) 1 day before egg retrieval. They were able to retrieve 24 eggs. 17 of those eggs were mature and 17 eggs were successfully fertilized. 14 embryos came from the 17 and our final number after PGS was 7 embryos.

I was able to book my monitoring appointments at my convenience, so I made the appointments for as soon as they opened and it seemed smooth to me.

I believe it's more expensive than other clinics, however, what Dr. Frederick has provided to my husband and I is definitely worth it.

n/a, embryo transfer will be happening in June 2019

I searched for a reproductive endocrinologist for two years and went to many initial consultations. Most fertility clinics in San Diego did not have great results for my age group, I am over age 35. Also, the labs were not great. For instance, at one lab in San Diego, I saw the Embryologist enter the fertility clinic through the public door wearing workout clothes. Then she put on a lab coat and entered the lab. In my opinion, that is not the best protocol for dealing with sensitive embryos. This is why I searched outside of San Diego. I also searched outside of California. I prayed to have a doctor like Dr. Frederick. Her expertise, professionalism and compassion far exceeds all other reproductive endocrinologists I have met. During the initial consultation she was very familiar with our reproductive profile and asked specific questions to get a better understanding of how she would help me get pregnant. She patiently answered all of my many questions. She exudes confidence and had a specific plan for us to be successful. Once we made our decision to continue with Dr. Frederick, the ENTIRE IVF process was smooth. I had two banking cycles before the frozen embryo transfer. This was recommended by Dr. Frederick to ensure greater success and she was correct. Both egg retrieval procedures were smooth. I did not experience any complications and minimal pain. Dr. Frederick’s techniques are exceptional. We transferred one embryo. Everything went smoothly and my husband and I were excited because we believed we were about to have our dream come true. I was on strict bed rest for three days and I started having pregnancy symptoms within one week. Ten days later I took a home pregnancy test and it immediately was positive. I was elated. I never seen a positive pregnancy test until that day. It was amazing. The day of the first pregnancy ultrasound Dr. Frederick showed us the baby and heartbeat. I immediately started crying. Amazing feeling seeing your baby’s heart beating and knowing that he or she is growing inside of you. The day of graduation from the fertility clinic, Dr. Frederick takes a picture with you. I started crying because I am so grateful to her for helping us experience our dream of having a baby. Currently, I am 10 weeks pregnant and baby is growing strong. We will go back to Dr. Frederick to have siblings for this baby. I recommend Dr. Frederick if you want to have a healthy baby. Her protocol and techniques work!

Pray and trust that you selected an excellent doctor. Dr. Frederick is experienced, professional and compassionate. She truly wants you to get pregnant and have a healthy baby. Trust her process, it works. I believe having a positive mindset will help in getting the results you want.

Because I am over age 35 and did not have many embryos at my first IVF cycle (with a different doctor), Dr. Frederick recommended two banking IVF cycles. She also recommended genetic testing and freezing embryos. This is to ensure she transfers a healthy normal embryo for a higher chance of success. Dr. Frederick recommended transferring one embryo because I had genetic testing. I used Gonal-F, Menopur, micro Lupron, Ganirelix, Lupron, Progesterone injections and suppositories, Estradiol, Doxycycline, Medrol

Dr. Frederick’s costs were better if you have more than one IVF cycle.

We agreed with Dr. Frederick to transfer a single embryo. We had our embryos genetically tested. We wanted the best success rate and agreed to transfer one embryo.

Dr. Jane Frederick is a specific kind of doctor and not for the faint of heart. She is direct, clear, gets to the point and knows exactly what she is talking about (meaning she has logical evidence to support her opinions and treatment plans). She is not the most empathetic person in the world. She isn’t necessarily cold, I feel that is too harsh, but she isn’t warm either. So somewhere in the middle I guess. She is not the shoulder to cry on if you’re feeling overwhelmed with your fertility process. But she is the hands that will get you pregnant and will be up front and honest with what to expect / how to do it. If you do what Dr. Frederick asks of you, you will have a healthy pregnancy and bring a healthy baby into the world.

Don’t let what she says hurt your feelings. She’s very honest and blunt. Be open to what she is saying and really hear her responses to your questions. If you want someone to unapologetically tell you how it is and what you need to do to conceive, Jane Frederick will do exactly that for you.

Each person is very different and I’m sure no two patients are alike. I’m young but I have a low AMH level, so Dr. Frederick advised us to skip IUI altogether - her exact words were not to waste my time or my money because it would take a very long time - and to do IVF for conception. That would save me money in the long run. She said statistically I have an 85% chance of getting pregnant on my first try if I do what she asks. Secondly, she said my wife needed to be tested as well and she wanted to make sure that everyone involved in this process is healthy and ready for a child (whether you’re the one pregnant or not). At first I thought that was strange, but thinking about it now, it makes so much sense and I really appreciate how thorough she is in everything she does. I also appreciate how quick and to the point she is about how we can cross all of our t’s and dot all of our i’s. In less than 24 hours I had a full treatment plan and a full cost breakdown. I made sure to ask who would be doing these medical procedures. Other than the sonohystogram and blood work, Dr. Frederick will be doing all other procedures herself (egg retrieval, embryo PGS, FET, ultrasound, etc.). I will be starting on BC and then injections next month after my menstrual cycle has started.

The cost for IVF was much more expensive than an FET, but the total cost was still far more affordable than anywhere else we looked. An FET at HRC is $3,600 (pre-medication). I am not sure of the total cost of IVF, but for me (I’m young and low AMH is the only issue) it was around $20k

She was VERY specific: NO TWINS. We will transfer one healthy embryo and produce one very healthy baby.

She was worse than Potter on remembering patients and the only reason I went with her is because our insurance at the time covered ART and HRC was on the list of approved providers. I didnt want to deal with waiting with Potter, so I thought we could manage with Frederick. She was a good salesperson as she makes you feel like she is competent but when it comes to the outcome, not so much. For example, when I had my two failed rounds and I suggested egg donor, she wrote back in an email, "We have excellent donors." She was lying, as HRC is not affiliated with any donor agencies and their donor coordinator was horrible at searching for donors. I stopped responding at that point because our benefits ran out at that time.

Be prepared to be in your hospital gown, on your hospital bed, with two other patients with you at the surgery center and she tells each one of you the same thing... Definitely felt like a number then, too.

First round called for Follistim, second round called for Menopur. I don't have many eggs to choose from so I don't think she had much choice.

Although my appointment was at a specific time, the order in which I would be seen was dependent on what time I signed in. For the same exact appointment time, I have waited 5 mins and other times I waited an hour.

I don't remember, sorry.

We didn't get this far.

A few hours after the very first consultation with Dr. Frederick, we were given the calendar of dates for the injectable, the dosage and also the egg retrieval date without her doing any physical exam or ultrasound on me. Because of her reported high success rate, I chose to trust her even though I felt I was being treated like a number.

Try harder.

Antagonist protocol with Gonal F 450 unit and Menopur 75 unit together from the beginning till the end. No dosage adjustment at all throughout the treatment.

I lived 1.5 hours away from HRC orange county, so I did my monitoring ultrasounds at HRC oceanside branch. What bothered me was that, the ultrasound technician refused to told me what she saw in the ultrasound. She said the doctor would explain to me, but the doctor never did. I went in for couple of ultrasounds for my ivf cycle and I had no clue of how my body responded to the injectables. I was kept away from the information of how the cycle went.

I signed up for 2 cycle banking of embryos, which is $23K. After 1st cycle failed, we decided to find another doctor and we got the refund from HRC for $11K. So this failed cycle cost us $12K with only egg retrieval, no PGS done, no transfer, and injectables not included.

Dr. Frederick is a nice woman, however, I don’t feel like she thinks outside the box. I felt like she had a set protocol no matter who the patient is. She didn’t take the time to really find out what the cause of our infertility was. She doesn’t have any bedside manners either, which is fine because my husband and I didn’t need the extra handholding. That being said, it would have been nice to have some compassion when none of our embryos passed genetic testing our first cycle or when we only had one healthy embryo the second cycle and then miscarried.

Don’t expect to have your protocol tailored to you and don’t expect her to have good bedside manners.

Honestly, I don’t remember because it was all a blur. However, it’s my understanding that she uses two protocols and she tried both on me.

The costs for Dr. Frederick were about $20,000 and the medications were about $5,000

We only had one healthy embryo so we didn’t have a choice.

Since we only saw her twice in over a year I can't speak to her strengths. Maybe except she always got back to the nurse fairly quickly. After her giving the go ahead to use frozen donor eggs she only communicatedthat they had a lower success rate but proceeded since we were doing PGS testing. The day of our transfer she walked in and said "well frozen wasn't the way to go, the red flag was that we had to thaw 14 to get 5." That was the first thing she said to us! Then proceeded to say our embryo was a B/C grade and that she would go ahead and transfer it but the odds weren't good. Honestly how was I supposed to be hopeful when the doctor was so negative. After she transferred our 1 embroyo that made it after 5 days, and PGS testing she said "well if this doesn't work let's re-group and do a fresh transfer". I started crying uncontrollable how could she think we just had another $30,000 laying around! No compassion at all. Financially we opted for frozen eggs vs fresh because that's what we had to start a family. Dr. Frederick was well aware of our finances and showed complete lack of compassion to us.

Make sure you're okay with only communicating to a nurse coordinator.

I was put on birth control pills, progesterone in oil, estrace, and one more injection that I can't recall the name. My protocol made sense and everything went smoothly. My uterine lining was thick enough to move forward with a transfer. She did try and put me on a ton of supplements that I purchased once. When I was finished I went to Whole Foods and purchased my own.

All of our fees were paid to the egg donor agency except the PGS testing fee which was $5,050

We only had 1embryo to transfer.

She was very helpful & always answered my questioned. She was very informative & made sure I understood everything before I left my appointments. If I had additional questions after my appointments I was able to email her & she would respond the same day & or call me if she felt it would of been before.

Go in with all your questions written down she is very knowledgeable.

She had a calendar for me which documented when I should take my meds & at what time. If a blood test came back not to her standards she would adjust & resend my calendar.

Treatment was not cheap. I spent approx. $20k on 1 round of ivf & $6k for FET

She was nice but I didn’t feel that She explained much to me. No conversation was had in detail on trying to figure out the “why” behind our infertility. I felt like we jumped right into IVF which was ok but I would have liked more in depth conversation.

Make sure you bring up everything you want to know. Don’t let your appointment go fast without having a true understanding of what is going on.

I used Lupron. I don’t remember much details about all the mess used. We followed the calendar to a tee and didn’t need to make any adjustments.

No cost. We won a free IVF.

She was comfortable doing a total of 2 embryos. No more than that.

Thank you Dr. Frederick for your kindness and attention throughout my treatment. I appreciated your gentle manner in providing treatment and recommendations. Your patients are lucky to have you! Thank you again for everything.

Highly recommend!! She made me feel comfortable and safe and ultimately was the only doctor who could help us achieve our goals. The process was scary at first but Dr. Frederick and her team were so calm, patient, and supportive throughout our journey. We are forever grateful for you!

The process was easy and the time flew by. Dr. Frederick was always on call and always available to answer any questions that we had.

Insurance was able to cover some costs. The other costs were what I expected. You can't put a price on high quality health care from a top doctor.

n/a