Jani Jensen

Dr. Jensen is wonderful at explaining every step of the process and what to expect. She is great at setting expectations and coming up with a treatment plan that is right for you, making sure to always listen to your thoughts and ideas and take them into consideration as well. She always made time during our appointments to answer any questions and I never felt rushed to leave or like she didn’t have time for us.

Never be afraid to ask questions, she’s great at answering any questions you have. Also if you have ideas for treatment share them with her, she’s more then willing to take them into consideration and will thoroughly explain why she’s picking the treatment plan that she has for you to have the best possible outcome.

I was diagnosed with diminished ovarian reserve so we knew that I may not have many eggs left. At my day 3 ultrasound we saw an AFC of 11, so we were hopeful to get more eggs than expected. I was on birth control to regulate my cycle before starting IVF meds and then started wearing Testosterone patches for 5 days. After that I started with 75mg Menopur and 150 Follistim. Throughout this cycle only 2 eggs were responding. On day 7 we upped the Menopur to 150mg to see if we could get more eggs to respond. On day 10 only 2 were still responding, but went into retrieval getting a 23mm and a 13mm follicle.

Monitoring appointments were generally on a specific day/time frame. You knew well in advance, which was nice to work around my work schedule.

Egg Retrieval, Anesthesia, Fertilization, and Fresh Embryo Transfer- $8750 ICSI$ 1200 Assisted Hatching-$400 Extended Culture (if needed)-$300 Embryo Cryopreservation (if applicable)-$1200 Embryo Storage (if applicable)-$60/month Frozen Embryo Transfer (Frozen Embryo Transfer after unsuccessful attempt $3,200)-$4000 Additional: Prescreening-$1500 Program Start Appointment-$2000 Monitoring ($2,500 retainer)**-$300-$3000 Medications – Fresh-$3,000-$5,000 Pregnancy Tests and Ultrasounds-sent through insurance By the end of it with medication costs we spent around $16,000

Dr. Jensen left this decision up to us knowing that we had DOR and this might be our only chance at having children with this IVF cycle. We decided that if we were to retrieve more than 2 follicles then we would transfer 2 and she was completely okay with this decision.

I truly only have positive things to say about my fertility experience with Dr. Jansen. I want to also preface that even though, as of today, we have not had the intended outcome we are hoping for, pregnancy - she has always given me the support, courage, hope and information I need to continue trying to achieve pregnancy. I believe she is progressive in her thinking without leading me into false hope. Every treatment or test she would share with us what she learned about me, and my body and would using that (along with her medical expertise) to inform the next move. Each next move we have gotten closer and closer to what we are hoping for. Prior to coming to Dr. Jansen, I was told after one cancelled IUI at another clinic, I would never be able to produce any mature eggs. With Dr. Jansen, she did not give up - she said that we may not get a lot, but we will get some. 2 of the 3 IVF cycles (one was cancelled due poor response to medication) I yielded 3 mature eggs in the second cycle and three the third. For me, that was a huge success because can produce mature eggs.

She will be honest with you while at the same time hugging you with kindness and compassion as you make some of the hardest decisions of your life.

First cycle...started with Folistim 150 and Lupron. Continued to increase Folistim amount. but stimulation day 12 my follicles started to perk up, but not to the extend to what she wanted. What she learned or shared with us is, if we wanted to move forward we would do, I believe flare protocol and that it might be a long protocol too. That next cycle gave us 3 mature eggs, all fertilized, one fresh transfer and one FET, the last embryo didn't make it to freeze. Our second cycle, for the FET we did have a chemical pregnancy. That was my first ever positive pregnancy test - I was so happy, even though it didn't yield our intended result. I am currently in my TWW of the 3rd cycle where we did the same at cycle two only we added estrogen priming. We transferred on day three and currently in our TWW.

monitoring appointments for me were flexible they would give a range of times that worked. On a few occasions the times were a bummer, but that was because i'm not really a morning person. Haha

It was 11,000 for IVF without the drug. They worked really well with my insurance. I would get my Menopur from the clinic which was nice. I spent a lot on meds about 500$ a day given I was a poor responder.

I know this was based on how many eggs would be retrieved and knowing that I wasn't going to come out with a lot I knew that if is was a good quality embryo we would transfer one and 2 of lesser quality if those options were available.

My experience with Dr. Jensen has been great so far. She is always ready with a smile, which is helpful on the bad days. She explains medical theories with lay man terms for our understanding, and she gives great illustrations. She has been very accommodating of our situation; we are having my sister be our egg donor, my sister lives in a different country and Dr. Jensen has been able to re-arrange her schedule to meet with us, she availed is with medication specifications such that my sister could get her meds wherever she is, we definitely don’t feel like she is pushing us to or away from a specific angle with medication, as we have felt with other doctors. We are able to do our research on the treatments she recommends and when we discuss our concerns with her, she is very knowledgeable and isn’t caught offguard by any questions. I’ve had doctors in the past have to pull up a google page to look up what am asking and that’s not right. I feel that Dr. Jensen has taken the time to know us, she remembers that my sister is out of the country, that my sister has kids, and she makes us feel like she’s taken interest in our life generally, that’s very helpful because it portrays that she cares and isn’t coming in to see us with another patient’s history or accidentally referring to us as someone else...it’s happened at another clinic before. So yes, so far, happy with our doctor.

Do your research, have questions ready, because she will answer them all. Don’t feel intimidated by the process, be sure to bring up everything that’s going on because she will try her best to work around your circumstances, and make things work out. So be honest and put all your cards out there.

Our journey has just started with Dr. Jensen, so far my sister is on Yazmin the oral contraceptive, since she will be our egg donor, and I am taking my prenatals, and I am wearing an estrogen patch. We start on an actual cycle next month and I can be sure to update my review then.

There has been a 1000$ administrative cost We have talked to a psychologist for about 300$ We have had blood work done for myself, my husband and sister, which costs we haven’t gotten yet. My husband has had a demented analysis which cost we haven’t got. My sister’s Yazmin, and altrasounds too have some costs associated that we haven’t yet got. So far that’s all we have done.

We haven’t discussed this in detail yet, again, I shall update my review once we have gone through the full IVF cycle.

Jani is a very positive person and balances that well with being candid and not artificially inflating our chances of success. She has been much better at relating to us and the frustrations associated with infertility than our previous doctor.

I would be sure to talk through all of the additional costs for the various medications - on top of the IVF or IUI fees. We weren't prepared for exactly how many drugs and how expensive they were.

We did one round of IUI using Menopur and a few other drugs along with timed intercourse. Since we had already tried IUI 4 times at our previous clinic, we were ready to move on to IVF. We used a combination of Menopur, Gonal-F and a few oral medications. We only were able to get one usable egg from the retrieval and we implanted it after 3 days. Still waiting to see if it takes.

$23,000 for a warranty program that allowed up to 3 IVF cycles and an 80% refund if not successful. This did not include all drugs and a program start fee of $2,000.

She gave us the statistics regarding eSET or transferring 2 embryos and we were hoping to transfer 2, but only had 1 usable egg from the retrieval.

Jani Jensen is a compassionate and intelligent doctor. She was open with us after each procedure did not go as planned, or failed completely. Having done 3 cycles of IVF without good results, I wish that the clinic would be more upfront ahead of time on some of the things that could go wrong. I appreciate the optimism, but it was so much more difficult when things did not go as planned.

Ask questions, she will tell you the answers. She will not make you feel uncomfortable for asking. She is caring.

The first 2 protocols used were the usual. I did not respond well to stims, and they needed to be increased greatly. After my second cycle it was noted that I have poor egg quality and another protocol was tried to increase the quality of my eggs. I cannot recall the name. Though it required more prep time. That cycle caused more eggs to be retrieved, but I got OHSS and my lining was not ready so we have to do a freeze all on day one in November, 2018 and wait to transfer January, 2019. Sadly, this did not seem to increase the quality of the eggs and we lost the majority of our embryos. None making it to freeze, outside of the 1-day freeze all that was done in November.

We did not do monitoring at this clinic as we live 1.5 hours from them. We did them at our local clinic instead and had results faxed.

We did the 3 cycle IVF warranty program which was approximately $30,000 for procedures only.

Our doctor, due to my age (just turned 40) elected to transfer multiple embryos, which is something we were comfortable with doing.

After my initial consultation with Dr. Jensen I felt confident that she knew what she was doing and that there was a real chance that IUI would work for us. However, as treatment progressed, I never heard from Dr. Jensen (only via email in a templated letter that stated the same thing every cycle). I felt after each IUI I was never given feedback about my progress or my cycle and reasoning for increasing my clomid dosage. I felt like just another person on her list of patients to review each month and that my treatment was not at all tailored to my personal situation.

Ask every single question you can think of at your consultation. This is literally the only time you will ever have a conversation with your actual doctor so even small questions like diet, exercise, be sure to ask her up front because she will not be available to meet with you after your consultation. Be prepared to work only with your nurses and to be in charge of your own treatment. Ask LOTS of questions every time you visit the clinic and make sure you understand what is happening each time you go. Barely any information is ever given at appointments so if you are unsure of something you need to be sure you ask -- the nurses will not provide you with any more than the bare minimum unless you ask. This clinic loves to do a blood draw even if you have a negative pregnancy test so be prepared to pay for your beta test every, single, cycle regardless of the outcome.

When I met with Dr. Jensen, I had already had all of the basic workup done for my infertility diagnosis by my OB-GYN. My blood work, HSG, pap results, and even my husband's semen analysis had all been provided to Dr. Jensen prior to my appointment and all results led to an unexplained infertility diagnosis. While meeting with her, I asked if further testing could be done or would be required, and I was told that no further testing would be needed and that moving on to treatment was my best option as I had a 3% chance of conceiving naturally each month at this point. The overall strategy from Dr. Jensen was to try three medicated cycles of IUI with HCG Trigger shot before moving on to IVF. The first cycle, I was prescribed 50 milligrams of Clomid for 5 days beginning on cycle day 5, with ultrasound on cycle day 10. After analyzing the size of my two follicles, I was then instructed to use the trigger shot on day 13 and come back for IUI on day 14. This cycle was unsuccessful and on day 28 I came in for a beta test to confirm negative results. I was told everything looked normal and to try again for IUI #2. The next cycle I was told to follow the same steps as the previous cycle. When I came in for my baseline ultrasound on day 10, I was told that I had one cyst and one follicle that was almost ready. I did the trigger shot on day 13 and came in day 14 for IUI when I was told the cyst was actually just a small follicle that never matured fully but that the other follicle was adequate in size. This was another unsuccessful cycle and my beta test on day 28 confirmed the negative results. The next cycle I was told to follow the same steps as before, but my Clomid dosage was increased from 50 milligrams to 100. On day 10 I was told that I did in fact have a cyst (not a small follicle as previously determined), but also had a very large follicle that was ready to go. My body was naturally surging on its own, so I triggered that night and came back on day 12 for IUI. This was another unsuccessful cycle. I was then told to come back for round 4 of IUI with another increase of clomid to 150 milligrams. It was at this point that I decided to stop coming back to RMIA. I was initially told by Dr. Jensen that after three failed IUIs, the likelihood that more attempts would work decreased dramatically. So, I was very confused when I received yet another, templated letter from the doctor stating to try again with just an increase in medication. I felt extremely frustrated that in 3 months I hadn't had any face time with my doctor and even after the strategy we had mapped out was complete, I still got no further feedback from her and the reasoning for another attempt was extremely unclear.

I only went to Dr. Jensen for IUI. Overall, I felt that her pricing was steep compared to others I had spoken to. Each aspect of treatment was priced differently, but overall for insemination, blood work, ultrasounds, each cycle totaled to about $1,200. Medications were separate from this cost. This is higher than I have heard others have paid ($800), and I did always feel pressured to have blood work done even if I knew I was not pregnant (negative pregnancy test on day 28 of my cycle, or spotting). This cost me almost $300 each time I had blood drawn, and I felt that was a cost that could have been cut if the clinic had personalized my treatment more, or had been more aware of saving their patients money.

We've really enjoyed having Dr. Jensen as our RE. She is very personable and truly cares about her patients. She has been open and honest about each step in the process - detailing information on infertility, procedures, and the anticipated results.

For each of our 4 IUIs, we did 5 days of Clomid 50mg, taking each dose at night in-between days 3-7 and a single insemination taking place around CD 12-15. While we had 3-4 large follicles and good sperm counts, none of these resulted in a positive pregnancy test. In-between IUIs 2 and 3, we had to wait for cysts to go away and I was on birth control for 40 days. After failed IUI 4, we moved to IVF. I took birth control for a month before starting stims including a week of Estrace. This was followed by a week of Ganirelix due to high estrogen. I started stims (2 vials of Menopur and 75iu of Follistim daily in the morning). A week in, I dropped Follistim and added Ganirelix at night. For a trigger, I used both a Lupron and an HCG trigger. 48 hours later, 13 eggs were retrieved, 11 mature, 10 fertilized, 4 made it to blast, and 3 were tested normal.

If embryos are PGS tested as normal, they recommend one embryo transfer.

She was so nice and very informative. She made sure my husband understood every step as he doesn’t know much about medical information, which made him feel very comfortable. She even talked about farming with him! She made sure to listen to and answer every question we had. And when things didn’t turn out as planned, she personally called me to talk about our negative results and express her feelings of sadness with us. She seemed just as disappointed as we were. She is very knowledgeable, but does also ask for advice from her colleagues as well so that we can have the best possible outcome.

Don’t be nervous for your first appointment! Your nerves will be put to rest the minute she walks in the room! She is very nice and has a bubbly personality!

I was put on birth control pills until starting the cycle. We did 3 vials of menopur and 275 units of follistim. After our first scan they increased the dosage of follistim to 375 units. There was concern at one point that I had developed a dominant follicle, but they gave me an opportunity to return after the weekend to see how things had progressed. My next scan was great! I cycled for 12 days as I had slow growing follicles. We ended up with 10 eggs and 6 of them were mature. This was the number we were hoping for.

We did a cost warranty program that cost $19,500. It included up to three fresh cycles and unlimited frozen cycles in a year. Medications and ultrasounds were not included in this price.

Dr. Jensen follows the guidelines with embryo transfer. She did offer elective single embryo transfer if we preferred. We went with whatever recommendations she had based on the guidelines.

Dr. Jensen was wonderful. I wish I had known about her first, instead of weaving my way through multiple other docs (one clinic closed, one clinic really wasn't our jam). She was ON IT and put me through the ringer, yes - but I feel was the most accurate and detailed in her diagnosis and proposed treatment of our situation (recurrent loss, unexplained infertility)

She will grill you. But it is worth it. She's nice about it and has a great sense of humor - like, you'd be happy to have a margarita with her after this crappy season of your life is over!

We went to Dr. Jensen at Mayo for a 3rd opinion - they were also the only other place who maybe would accept our insurance. She conducted a very detailed history, exam, consultation. She gave us the closest anyone could give us (legally), as to the "odds" of IVF working for our specific situation.

It was a consultation and testing, covered by insurance. Had we done IVF here it Mayo only would accept a small % of our insurance so I think it was going to cost $9500 of $18000 if I recall correctly

NA

We made the trek from the Twin Cities down to Rochester for all of our appointments based on the quality of care we received from Dr. Jensen. In addition, and although you can see any of the doctors for appointments, I only scheduled my appointments with her, (though for my retrieval I didn't have any choice in the matter as they are on a schedule for retrievals). She is the type of person I respond best to - "Get $(#% Done" - but does so in a way that still comes off as compassionate and caring. I'm still in the middle of my care, but I feel like she is doing everything in her power to make it successful.

Be straight and to the point with your objectives for care and how much (or how little) information you may want from her.

4 rounds of letrozole + timed intercourse. 3 were suggested, we did a bonus round because we were going to be out of town and couldn't do an IUI that month. 3 IUIs. We were a good candidate for this being successful given the diagnosis of unexplained infertility, quality of husband's sperm, and our overall age/health. We were given the option of doing IVF right away, but after reviewing the statistics with Dr. Jensen, 3 IUI cycles seemed like the right choice. Currently in the middle our first round of IVF. After 3 IUIs, were were told the chance of it being successful dropped significantly so we should try to be more aggressive. We were given options on meds to help with pricing, so it was a Folistim/Gonal-F + Menopur cycle, with Ganirelix for a few days before the Pregnyl trigger. Egg retrieval - 16 total, 12 mature, 10 fertilized without ICSI. ICSI is standard at Mayo for unexplained infertility, but given the additional cost and the studies I looked at (percentage of live births with/without ICSI for unexplained infertility couples with no MFI) we opted against it. Slightly elevated progesterone on the day of trigger (2.0), so the fresh transfer was cancelled and all embryos were frozen on Day 1. Next step is another consult with Dr. Jensen, then a protocol for a frozen transfer which will be 7-8 weeks out.

Lori Kingsley in the billing office is great, but her co-worker is terrible. Make sure you work with Lori instead. Pricing is $9,900 for one round of IVf, which includes everything except for male testing/collection (which I believe was around $300 - $400), embryo storage ($300-$400) and ICSI (around $1,100). It also does not include medications. With my transfer being cancelled, the frozen transfer will be included as well as I had viable embryos.

Dr. Jensen is very bubbly and a very positive person, which is a good thing to have in the room when you're dealing with so much unknown. She makes sure to explain things so they make sense to someone who is just starting on this journey.

Sometimes it feels like she may be rushing the conversation, but in reality she loves what she does and just wants to spill out everything she's thinking as quickly as possible.

We qualified for a warranty plan which includes three retrievals and as many transfers as embryos we got. The cost for this was $15,000 not including medicine. We also received a first responder discount, because my husband is a police officer.

Dr. Jensen informed us that the different success rates for 1 or 2 embryo transfers. She stated that two embryos a transfer is her max.

Dr Jensen was an excellent doctor. She was both very compassionate and very knowledgeable. My only concern is that when we saw her for RPL and she immediately jumped on the IVF train even though we had no problem conceiving.

We did three medicated cycles with timed intercourse (with Clomid) and two IUIs (with Clomid and an HcG trigger shot). The rationale is that ovulating more eggs might improve hormone levels and better help support a pregnancy. The treatment resulted in two chemical pregnancies and two miscarriages (we suffer from RPL), so while it was successful in achieving pregnancy, it did not ultimately help sustain a pregnancy.

She is warm and caring but also extremely smart and knows her stuff. She was patient as we asked questions. We never felt rushed or as if she didn’t have time for us. She was understanding about how hard this was after my second miscarriage.

Ask questions. Don’t be afraid to tell her you’ve heard of something or done your own research. She will be honest and let you know if that applies to your situation or not.

The costs were average with what IVF/iui costs in MN. We had excellent insurance overage though so we didn’t have to pay much at all for our 8 rounds of IUI.

Our consultation with Jani was great. However, I was surprised she wasn’t the one that performed my IUI’s. After my first IUI once I built “relationships” with the nurses, I felt more comfortable with the actual IUI procedure.

Be patient - this takes time and the actual plan you set with them may change depending on how your body reacts to the medication.

Each IUI consisted of 5 days of clomid (100mg). Then an ovidril shot 1-2days before procedure. Then a progesterone suppository 2 times a day after the IUI procedure until I go in for blood work

Unfortunately I do not have my bills with me. However, my insurance does assist up to IUI’s.

Not at this time.

Dr. Jensen did a mock IUI to be sure it was possible before we started treatment. I am a cervical cancer survivor so there is a lot of damage to the little cervix that I have left. When the nurses couldn't perform the IUI, Dr. Jensen performed it and all of the cycles after that.

I can't think of anything.

50 mg Clomid, 250 ug/0.5 ml ovidrel, 200 mg progesterone 2 x daily... all 3 rounds... all BFN

It was just under $6,000 for 3 rounds of IUI with no coverage under insurance.

We are hoping to do IVF this year. My doctor had a strong opinion about limiting the number of embryos due to my extremely shortened cervix, which agrees with my oncologist and MFMs.

Dr. Jensen is friendly and compassionate. She is exactly the type of doctor you need while going through infertility. She will go above and beyond to get you the results you are seeking. I worked with many doctors while at Mayo and she was the one who really made a difference.

Be open and honest. Don’t hold back anything. Give her the chance to answer your questions.

We used an antagonist protocol. The first cycle I did 150 ml of gonal-f and 50 ml of menopur and I overstimulated. The second cycle we started out with less GF and a lupron trigger and it was a perfect retrieval.

The consult was $350, the mock transfer and sono was $2k and the Ivf package was around $8700.

Mayo encourages eSET but are open to transferring two of you are aware of all risks.

She was so kind, respectful and supportive. We always felt like she had our best interest at heart. After 3 IUI procedures, she made it clear that she would continue them if we wanted, but that it probably wasn't the best course to take. We ended up taking some time away to think things through and ended up getting pregnant!

Be honest and forthcoming with all of your information. It makes it much easier to get the best treatment possible.

We tried Clomid on its own for a few cycles and then 3 IUI procedures.

We had insurance that covered our treatments.

N/A

She is very open and honest but makes you feel important and that you are not just a pay check. She is willing to try a new treatment regimen example after our hysteroscopy since it was my second one, first one with her I asked about the hormone therapy she said because this being my second one she would do it even though nothing has been proven it helping 100% but that is was worth a shot since the first time we did not do hormone therapy and low and behold I believe it helped as we had a clear ultrasound a month after surgery and the hormone therapy. She is very considerate that we drive three hours to see her for appointments and when we debated on doing another iui after switching to her from our other doctor she was honest that it would not be worth our time or money to drive all the way up for a small chance it may work if we had a place closer to home to do iui she encouraged that my husband and I go there if that was on our hearts but if we wanted to do the iui with her she was still have to do it justadr sure we understood the small percent it would be successful after 3 failed attempts. we were truly amazed and that was the first moment we felt she truly cared for us as people not as a paycheck. She always answers all my emails promptly and the appointments have been scheduled in a reasonable amount of time. She is very knowledgeable and is always willing to learn new treatment protocols and educate her self on things that are new in infertility research. she flew across state for one day to a conference to hear them talk about a new ivf technique even though she felt it would not be as productive she wanted to be able to fully educate patients on her reasons why they would or wouldn’t do it. She was open about her own life when asked and that helped to get to know her on a personal level. This is my first time in a private practice and I love it. Dr jensen and her team at RMIA are amazing and we fully appreciate their help and knowledge and have full confidence they will help us have a healthy baby.

Be open on what you want and don’t stop advocating for yourself.

At this point we have not done a treatment regimen yet we switched to her from our other re in nov 2018. we did some work ups after our consult we did blood work to check on clotting disorder and vitamin d, we did an sis ultrasound where scar tissue was found again so we did a hysteroscopy in Jan 2019 to remove scar tissue and hormone therapy we went back for another sis ultrasound in feb 2019 and agreed we’d try on our own for 6 months if we are not successful we would move forward with IVF.

So far our insurance has covered surgery and initial things but if we move forward to ivf or were to do an iui our insurance would cover nothing!

NA

We came to RMIA because we didn’t feel like we were getting the best care from our previous clinic in regards to fertility treatments. The second we met Jani Jenson we felt that we made the right decision. We are currently only on our first round of iui with this clinic, but already feel so comfortable and confident that we will get a successful outcome. She took the time to answer the many questions we had and we never felt like it was rushed or just a number. She even talked to us a little bit about her family which is something I really appreciate coming from a doctor. She is so kind and makes sure we know exactly what the plan is going forward.

I believe my first iui will be around $2000 out of pocket