Janis Fox

Dr. Fox is more clinical than warm, which my OBGYN had previously warned me about. However, she is very knowledgeable and is ready with a treatment plan once all the tests are completed. She is flexible to the patient's wants/needs and didn't force any treatment.

Be prepared with questions and speak up if you prefer one treatment or drug over another.

I started on the lowest dose of letrozole, with intention of doing 3 IUIs and then moving onto IVF. Due to travel, my first two IUIs had to be cancelled. The 1st completed IUI worked much to my and Dr. Fox's surprise.

My insurance covered fertility treatment.

She was a great doctor and I would recommend her. She sometimes wavered on decision making, but I always felt she was very clear. I had an overall good experience, even though I did not have a successful pregnancy under her care.

Be prepared to wait. She runs behind often because she is willing to give each and every patient the time that they need. I never felt rushed and she was always willing to answer my questions!

I did multiple protocols with Dr. Fox including the antagonist protocol, VLD lupron protocol, and ULD lupron protocol. She definitely had a rationale for each. The cases are discussed in a IVF committee at Brigham before finalizing your treatment plan. This gave my confidence that there was expert consensus on my plan.

Efficient smaller clinic. Overall very well run. No complaints!

Covered by insurance mostly.

They have an algorithm for the number to transfer based on age and number retrieved. This also determines whether you proceed with a day 3 or day 5 transfer.

Dr. Fox is highly intelligent, and has a practical approach to treatment. She is compassionate and understanding, and made me feel hopeful and at ease the whole way through. She never gave me false hope, and kept the data real, but she did give me confidence in going forward with a second cycle after the first failed.

Trust her method!

We used antagonist protocol, and I had a very good response both cycles I did.

pretty easy process- you were given a "window" of time, early morning, which worked well for me.

This was completely covered by insurance. I only had to pay Dr. visit copays, and a portion of the prescription fertility meds.

Dr. Fox was aggressive with how many we transferred, so we did 3 embryos for 4 of my transfers, and 2 for the last (only had 2 remaining).

I really like Dr. Fox personally and she was very candid on the statistics for success as well as other options. She won't actively put herself in our position and say what "she" would do which I sometimes want her to do, I understand these are very personal decisions and she tries to give us all of the information we need to make the decisions. She is very sensitive to our individual situation and it feels like she is personally committed to us becoming pregnant and having a successful pregnancy.

She doesn't sugar coat but she's very smart and experienced. She'll answer anything you ask, just make sure you ask! It's sometimes hard to get a hold of her outside of normal appointments and she often runs behind so our appointments didn't run on time.

I did 2 patch protocol cycles and 1 micro dose Lipton cycle. I am currently doing my 3rd patch protocol. In both protocols, I was on the highest dose of medication (4 menopur in the morning) and 300 of final-f in the evening. This was because my test results showed a diminished ovarian reserve. The first cycle we had 7 follicles, 5 eggs retrieved and fertilized and all transferred. The 2nd cycle we had 7 eggs retrieved 2 fertilized and both transferred. The 3rd cycle took much longer for stimulation (30 days Vs 12-14 for the first two) and resulted in 3 eggs, 1 fertilized and 1 transferred. All were a negative result. This current cycle Dr Fox and team decided to give us one last chance on the patch protocol since my stimulation was materially better. We are self-pay and while a significant burden we were willing to spend the money on a 4 th cycle before deciding potentially to do egg donation.

11k

Dr. Fox is a wonderful doctor who cares deeply about her patients and helping them achieve the families they dream of. I liked that she explained all of the medical things I was going to experience. I also liked that she didn't just follow protocol when it came to testing, but also her gut. She also looked out for my financial and psychological well-being.

She has a strong Long Island accent that if you're not used to, takes a little getting used to. Be as open as possible with her so she can use all the information in your treatment.

The monitoring appointments for ovulation/IVF were early in the morning before they opened up ultrasounds to others. It interrupted my morning routine, but it was early enough that I was able to get to work ontime. The window was big enough and there were enough rooms that I didn't have to wait long. The ultrasounds after I got pregnant were scheduled at my convenience.

All of my expenses were covered by insurance except the co-pay

She did want to transfer 2 embryos on my first IVF cycle. I wasn't willing to risk twins and so we had a pretty emotional discussion. Ultimately, though, she listened to me and my needs.

We saw Dr. Fox for a second opinion regarding ongoing fertility issues. After out first visit with her, she made us few confident in the approach she would use to hep us concieve.

She runs late at times, but it is worth the wait. She spends as much time as needed with you. We never felt rushed, and we always had a lot of questions!

She did some Initial testing Amd blood work that she felt was not done previously, and then we proceeded with an egg retrieval using a different medicine and protocol. After my retrieval, we proceeded with PGS testing, at which time 2 eggs came back normal. I then had my first frozen transfer, which resulted in a negative pregnancy. We met with Dr Fox again to review my case. I then had a battery of tests looking for uterine abnormalities, including polyp removal. I did a prep cycle to see how my uterus responded to the medicines in my protocol, and when she was satisfied with that I had another transfer, which has resulted in a pregnancy. I am currently 16 weeks

I prefer frank information rather than sugar-coating - with the appropriate level of compassion. Janis Fox worked well for what we were looking for in a provider. She provided the right balance of information and next steps.

Be open about what you are looking for (how much information) and what your concerns are - ask the questions.

Due to my insurance monetary limitations, Dr. Fox recommended going straight to IVF (and presented published trial data to support the recommendation). This worked great for us and allowed us to stay just under the lifetime maximum that we had.

She was very warm but I didn't feel like she was completely up front with me. Miscarriage is a common outcome, and it made it harder for me to handle it when she a) didn't warn me that sometimes embryos don't develop heartbeats and b) acted like it was surprising that it had happened.

She was the right mix of compassionate and practical. She noted my interest in medicine and provided full explanations for her proposed plan.

Ask lots of questions and be honest about your wants.

If you are the kind of patient who just wants to be told what to do without understanding the 'Why' then maybe she'd be a good fit. Personally, I found her unwilling to answer questions about what we were doing and why. She showed little care for how traumatic the infertility process can be.

BWH is a wonderful clinic, but wait a little longer to get in with one of the other doctors.

Monitoring appointments were quick and efficient. They opened very early which made it very convenient for work.