Joshua Klein

Extend Fertility

Rated 9.1
Strongly recommend: 80%Neutral: 14%Don't recommend: 5%9.1
80% strongly recommend
54 reviews
Humanity
9.6
9.6
Humanity

Ratings of 1 mean patients felt this doctor treated them as "a number."

Ratings of 10 mean patients felt this doctor treated them as "a human."

Communication
9.6
9.6
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
5.7
5.7
Frequency Seen

Ratings of 1 mean patients only saw this doctor once or twice during treatment.

Ratings of 10 mean patients saw this doctor at every appointment.

Responsiveness
8.4
Good
Responsiveness

Scale is "poor, ok, good, excellent" and measures how responsive a care team was when patients needed to speak to them.

Education

Medical School
Harvard
Residency
Harvard
Fellowship
Columbia

How Doctor Communicates

doctor, nurse available by email
doctor, nurse available by directline
doctor, nurse available by directline
doctor available by personal cell phone
doctor available by personal cell phone
Joshua Klein works at

Extend Fertility
Rated 9.2
Strongly recommend: 75%Neutral: 17%Don't recommend: 8%9.2

Explore Clinic
Extend
200 West 57th Street
New York, NY 10019

54 patient reviews

Verified

This patient has provided documentation of treatment at this clinic.

2020, 29 Eggs Frozen
NPS
10
NPS
10
Age 36
3 Egg Freezing
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
He [Dr. Klein] is honest and straightforward so as not to get your hopes up, but communicates information in a kind and empathetic way...He made himself available every time I asked him to speak again to ask more questions about what went wrong and made suggestions on what changes he would make to the protocol for the next round (while also letting me know we may not get better results the next time). He never gave me false hope, but I felt confident in his plan
Anything more complicated regarding questions about protocol, [the Extend Fertility nurses] would let me know they would relay to Dr. Klein and would call me back with an answer. They were consistent and reliable...They're really a great team - even the embryologists emailed me after I had questions the nurse couldn't answer. Advice to a new egg freezing patient: do your research - on the doctors, the lab, and the clinic. Understand how many eggs you want to freeze going into it, and how many cycles that may take
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein is fantastic. I was nervous about this process and came into the clinic for a second opinion after a not so great experience at what is considered the "top" fertility clinic in New York. I was hesitant about the whole process, and also came prepared with lots of questions, and felt completely comfortable moving forward by the time I left. He is honest and straightforward so as not to get your hopes up, but communicates information in a kind and empathetic way. I had a disappointing result after my first cycle and was devastated (my body just didn't respond to the meds as well as we had anticipated). Dr. Klein called and gave me the news himself and I could tell he was just as disappointed. He made himself available every time I asked him to speak again to ask more questions about what went wrong and made suggestions on what changes he would make to the protocol for the next round (while also letting me know we may not get better results the next time). He never gave me false hope, but I felt confident in his plan and decided to do two more rounds a year later. When I came back to the office, he remembered everything from our last round, we moved forward with the new protocol. I was stressed throughout the process but he was always available to answer questions (and I always had a lot of questions) and I always felt like he truly cared about the outcome. All of the changes he made to the protocol worked and I had two more retrievals with great results :)
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
If you are unsure of anything or have questions, just ask! I had questions about my diet, different protocols, and a million other things. He was always open to listening to me and providing thorough explanations that helped to make me feel more at ease.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Everyone in the office is kind and helpful; they are efficient and understanding. I always felt like I was in good hands, whether with the nurse, sonogram technician or a doctor. They are friendly and make themselves available to answer questions as needed.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
All 3 rounds we used follistim and menopur at varying doses, as well as cetrotide. The first round used a lupron-only trigger. For the second round, I primed with estrogen patches with the rationale that it would help the follicles grow in cohort. I also started at a higher dose of follistim and used a dual-trigger to help the eggs mature. Third round we did the same as the second.
Describe your experience with the nursing staff at Extend Fertility.
I really only spoke with the nurses over the phone when they gave me instructions, and when I came in for my surgery. However, they were always knowledgable and answered any questions I had as they came up. Anything more complicated regarding questions about protocol, they would let me know they would relay to Dr. Klein and would call me back with an answer. They were consistent and reliable - I don't think I ever had to call to follow up on anything.
Describe your experience with Extend Fertility.
I think Extend is great at what they do. The office is clean, the staff is efficient, and it is run like a well-oiled machine. They are so much more affordable than other clinics in the city, but the doctors and staff are top notch. As I mentioned, before deciding on Extend, I went to one of the "top" research clinics in the city, and while I was ready and willing to pay 14k for at least one round of egg freezing, I had a really bad experience with the doctor relaying the wrong information and doing so in a rude a callous way. I am so glad I did my research and found Extend. I was able to do 3 rounds for about the same amount of money as one round of egg freezing elsewhere, with an amazing team, much better experience, and great results. They're really a great team - even the embryologists emailed me after I had questions the nurse couldn't answer. Advice to a new egg freezing patient: do your research - on the doctors, the lab, and the clinic. Understand how many eggs you want to freeze going into it, and how many cycles that may take. Make sure you feel comfortable with your doctor and the team you're working with - it's a stressful process, so do your best to limit additional stress as much as you can by making sure you feel you're in good hands.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
Each cycle was between $5k-6500. I know their prices have changed since the first time I was there, but each time I paid I was fully aware of the payment, and that was the only payment I had to make to the clinic which I appreciated. I know other clinics charge additional fees for blood work, consults, anesthesiologist, etc. I had to pay for my medications separately, which is standard. I paid out of pocket, and appreciated knowing this fee covered everything as it was one less thing to worry about during treatment.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
2019 - 2020, Successful
NPS
10
NPS
10
Age 31 - 32
1 IVF
Unexplained
Income $50K - $99K
Entrepreneur
3rd of 3 Docs
3 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Successful
I am especially appreciative for a specific out-of-the-box decision he [Dr. Joshua Klein] made during my treatment that I believe contributed to the success of my first IVF cycle with him. I didn't feel like there were cookie-cutter protocols, but rather that each patient's success was given adequate thought...cares genuinely about each patient and it shows in his communication, responsiveness and throughout every step of the journey. I have never been disappointed.
I liked the extend fertility clinic. It's nicely designed! When you walk in for monitoring in the morning, you are greeted warmly (it's not a cold silent room like waiting rooms in fertility clinics are known for). Most of the staff knows you. Things run efficiently. I liked that there weren't set appointments for monitoring, you can just come in within a certain time range, at your convenience...Jordana, my IVF coordinator was extremely helpful and able to answer my questions throughout the process. She was super organized and helped with all the long-distance logistics too.
How was your experience with Joshua Klein at Extend Fertility?
Though there are plenty good doctors on the West Coast, there are none I found as caring and skilled as Dr. Klein. There is nothing like the peace-of-mind and reassurance that comes with fully trusting that your doctor has your best interest in mind. Personally, if I had to choose between a doctor who was extremely skilled, had great success rates, professional etc. vs a doctor who is kind caring and gentle - I would opt for the former, a doctor whose expertise I can rely on completely. But the greatest gift for me was that I didn't have to choose. He excels in both areas. I was comfortable to bring up any questions that I had and always received a clear and thorough response. He's fully present when he's with you and takes his time to explain things thoroughly.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Not only does Dr. Klein stand "head & shoulders" above other Reproductive Endocrinologists that I've seen but he stands out among any doctor I've known. Dr. Klein cares genuinely about each patient and it shows in his communication, responsiveness and throughout every step of the journey. I have never been disappointed.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
Although I do not remember the specific medications, I do remember feeling pretty decent throughout stimulation. I am especially appreciative for a specific out-of-the-box decision he made during my treatment that I believe contributed to the success of my first IVF cycle with him. I didn't feel like there were cookie-cutter protocols, but rather that each patient's success was given adequate thought.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Valerie, Stephanie)
Jordana, my IVF coordinator was extremely helpful and able to answer my questions throughout the process. She was super organized and helped with all the long-distance logistics too. Most of our correspondence was by email. The nurses were great - everyone knows who you are. Always got a call from them pretty early in the day with the medication instructions, plus a clear email. If I had a question for them, I'd call and get a call back pretty quickly usually. Being able to email them would've been nice since often when I called they were on the phone with other patients, in a meeting etc - but it was fine, since they would call me back quickly. And if I ever had a very pressing question or situation and a nurse wasn't available that minute, there was always someway somehow that someone would be able to help me. As a team, they all cared.
Describe your experience with Extend Fertility.
I liked the extend fertility clinic. It's nicely designed! When you walk in for monitoring in the morning, you are greeted warmly (it's not a cold silent room like waiting rooms in fertility clinics are known for). Most of the staff knows you. Things run efficiently. I liked that there weren't set appointments for monitoring, you can just come in within a certain time range, at your convenience.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
Compared to other clinics they are significantly cheaper - and very transparent about costs. No surprises. Medications cost me even less than they projected.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2019, Successful
NPS
10
NPS
10
Age 39 - 41
4 IUI
1 IVF
2 Egg Freezing
Black or African-American
Investment Banker
Only Doc Seen
Donor Sperm
Strongly Recommends
Strongly Recommends
Successful
Dr. Klein has been extremely patient with my numerous questions. He has the best bedside manners and always thoughtful as he explains everything that he's doing. I'm a very detail oriented person and he was great with providing information without my having to ask. He's also very open minded to hear about my findings on the internet and discuss the subject matter. I never felt like he was condescending and he never scoffed at what I had to say. He truly listens to his patients. And he always had hope.
In 2017, I went through 2 egg freezing cycles [with Extend Fertility] which I had a total of 16 eggs frozen. In 2019, I started the IUI process. After 4 failed IUI attempts we decided to try for IVF cycle. My body didn’t take to the IVF medication so we fertilized my frozen eggs. 5 embryos were created using ICSI and then PGS tested. We transferred one which didn’t result in a pregnancy. I tried another round of IVF which this time my body took to the medications. Dr. Klein retrieved 10 eggs and 5 embryos were created using ICSI. I did not get PGS testing done. He transferred 2 and now I’m pregnant with twins.
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein is a great communicator. As I mentioned before, it’s necessary to provide the patient with statistics; however, he never left me without hope. I had my frozen eggs fertilized and it resulted in 5 embryos. I sent it out for PGS testing with 4 coming back abnormal and 1 inconclusive. He was willing to transfer the inconclusive as that is what I wanted- which did not lead to pregnancy. I then went through an IVF cycle and he was able to retrieve 10 eggs. Again, we had 5 embryos. This time I did not want to have PGS testing done- which Dr. Klein respected. He transferred two and now I’m pregnant with twins!
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Have your questions ready because Dr. Klein is very thorough and ready to answer any questions.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Where do I start? It's been such a long journey for me. It started off in 2017 when I went through two rounds of egg freezing cycles at Extend. In 2019, I became an Expect Fertility client, as I was ready to begin my road to motherhood. Through it all, Dr. Klein has been extremely patient with my numerous questions. He has the best bedside manners and always thoughtful as he explains everything that he's doing. I'm a very detail oriented person and he was great with providing information without my having to ask. He's also very open minded to hear about my findings on the internet and discuss the subject matter. I never felt like he was condescending and he never scoffed at what I had to say. He truly listens to his patients. And he always had hope. I understand that in this industry, the doctor has to be data and statistics driven. As a patient, it's always nice when after given all of the ratios and numbers (which is a huge dream zapper), the doctor ends it with- it only takes one! It allowed me to keep the faith and stay optimistic.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
In 2017, I went through 2 egg freezing cycles which I had a total of 16 eggs frozen. In 2019, I started the IUI process. After 4 failed IUI attempts we decided to try for IVF cycle. My body didn’t take to the IVF medication so we fertilized my frozen eggs. 5 embryos were created using ICSI and then PGS tested. We transferred one which didn’t result in a pregnancy. I tried another round of IVF which this time my body took to the medications. Dr. Klein retrieved 10 eggs and 5 embryos were created using ICSI. I did not get PGS testing done. He transferred 2 and now I’m pregnant with twins.
Describe your experience with the nursing staff at Extend Fertility.
Molly, Stephanie and Valerie. They had the most patience with me. I had SO many questions. They never seem exasperated with me. They made me feel like all of my questions and concerns were valid to them. When I had a situation happen- Valerie was calm while I was frantic. She said that she would call me in 30 minutes to check on my symptoms- and she called in exactly 30 min. She followed up a couple of more times afterwards. She truly cared.
Describe your experience with Extend Fertility.
The staff truly cares and treats you like a human. They call you by name and will cheer you on. If you get there first thing in the morning for monitoring, it’s easy to get in and out. It tends to get more crowded later in the morning.
Describe your experience with your monitoring appointments at Extend Fertility.
Early mornings when they first open would result in less patients in the waiting room. They would be more women as it got later in the morning. Though, even with a lot of women waiting- the staff were very efficient. They would get your blood work and shortly after you would have your ultrasound.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
I remember $5k for 2 egg freezing cycles (doesn’t include medications). I can’t remember IUI or IVF.
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
N/A
What specific things went wrong at Extend Fertility?
  • Failed to convey critical information
Describe the specific things that went wrong at Extend Fertility.
Didn’t realize that I had to get a notarized consent from my partner for my first IUI.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2022, Successful
NPS
10
NPS
10
Age 35
1 Egg Freezing
Ashkenazi Jewish
Income $50K - $99K
Business Executive
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Klein truly cares about the patient. Optimal results is an individualized thing and it cannot be compared to others...Not only did he take the time to explain it in the way I would understand it but also in a very compassionate way which I appreciated and realized was necessary for me to get through the process...
There's always a sense of privacy and respect. The waiting room is never full. appointments are very on time. If you are late they are super accommodating and understanding...I knew if I had any questions I could call [the Extend Fertility nurses] any time and even multiple times and I would not be made to feel less than. In short-they really do truly care about the individual..
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein truly cares about the patient. Optimal results is an individualized thing and it cannot be compared to others. This was explained to me and thank God he did help me obtain those results! The process is not an easy one but choosing Dr. Klein should be.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein is so real and down to earth. As a doctor I was expecting him to explain the science without any human component. Thankfully I was wrong. Not only did he take the time to explain it in the way I would understand it but also in a very compassionate way which I appreciated and realized was necessary for me to get through the process.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
I started with his standard protocol for my initial lab results. About half way through the dosage was adjusted. The results were very positive.
Describe your experience with the nursing staff at Extend Fertility.
They were always so kind and patient. At times I repeated my questions for clarify and I was already responded to with compassion and understanding. I knew if I had any questions I could call any time and even multiple times and I would not be made to feel less than. In short-they really do truly care about the individual.
Describe your experience with Extend Fertility.
There's always a sense of privacy and respect. The waiting room is never full. appointments are very on time. If you are late they are super accommodating and understanding. The office itself has a very modern feel and is always clean. No discussions every take place in the waiting area no matter how insignificant it may seem.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
I don't know the exact cost but it was certainly more reasonable than another clinic I had inquired about. Not only are they less expensive but I would make the choice to use Extend even if the cost was more.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2020 - 2021, Successful
NPS
10
NPS
10
Age 28 - 29
1 IVF
Tubal Blockage
Ashkenazi Jewish
Income $100K - $199K
Marketer or PR
1st of 3 Docs
Strongly Recommends
Strongly Recommends
Successful
Dr Klein is extremely knowledgeable with years of experience in the field. He took the time to walk us through expectations, addressing our fears and concerns. He is very data driven, which as a data nerd I loved. He was very straight forward and gave us realistic expectations for our particular case. He was always available by email for questions & made us feel really confident throughout the entire process...
All of the nurses are Extend are amazing! They did a great job during all of the monitoring appointments as well as giving post appointments instructions for medications...They are very transparent from the start including pricing which was a big deal for us as we had to pay out of pocket (my insurance didn’t cover any infertility procedures). They took amazing care of us & we look forward to going back to them as we grow our family...
How was your experience with Joshua Klein at Extend Fertility?
We are so happy we decided to go with Dr Klein and Extend Fertility. Dr Klein is extremely knowledgeable with years of experience in the field. He took the time to walk us through expectations, addressing our fears and concerns. He is very data driven, which as a data nerd I loved. He was very straight forward and gave us realistic expectations for our particular case. He was always available by email for questions & made us feel really confident throughout the entire process.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Don’t be afraid to ask questions & to reach out. Dr Klein is a wealth of knowledge.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
One of the things we loved about Dr. Klein was his strong communication. He would always answer emails with any questions we had or would be happy to jump on a call. Communication was very important to us when deciding on a doctor / clinic.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
For our egg retrieval process we utilized the following drugs - menopur, follistim and ganirelix. I was on high dosages for all drugs due to my low AMH levels. We only had to do 1 egg retrieval process as this resulted in 6 genetically normal embryos. Given mine & my husbands age (late 20s early 30s) Dr Klein gave us a high confidence rating that 6 genetically normal embryos will yield in 2 children, potentially even 3. We were always on board for genetic testing so there was no persuasion needed by the clinic. They also did ICSI. For the frozen embryo transfer I did oral estrogen, progesterone suppositories and progesterone in oil shots. My progesterone levels were border line low hence the need for both suppositories and intramuscular shots. I was weaned off at about 10 weeks gestation. The first (and only) frozen embryo transfer worked and we now have a son.
Describe your experience with the nursing staff at Extend Fertility.
All of the nurses are Extend are amazing! They did a great job during all of the monitoring appointments as well as giving post appointments instructions for medications.
Describe your experience with Extend Fertility.
No negatives for the clinic. They did an amazing job and we will be forever grateful for them! They are very transparent from the start including pricing which was a big deal for us as we had to pay out of pocket (my insurance didn’t cover any infertility procedures). They took amazing care of us & we look forward to going back to them as we grow our family.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
The egg retrieval process not including medication or genetic testing was $11,000. Genetic testing was an additional cost of about $2000 (done by an outside lab) Medication costs were roughy $4000 for the egg retrieval. The frozen embryo transfer not including medication was $3000. Medication for the transfer was covered by insurance.
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
Dr Klein does not transfer more than one embryo at a time. He told us the goal is to have a healthy full term pregnancy, and transferring multiple embryos increases the chances of multiples which are usually higher risk pregnancies. We believe he does what’s best for his patients.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2020 - 2021, Successful
NPS
10
NPS
10
Age 25 - 26
2 IVF
Recurrent Pregnancy Loss
Ashkenazi Jewish
Income $100K - $199K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Klein not only provided the utmost medical care, regarding all treatments performed, but he always made sure to address the psychological aspect of all that I was going through, and always suggested ways to help me cope and to not feel alone...Dr. Klein strongly recommended transferring only 1 embryo, especially since my embryo's had PGT-A testing and only genetically normal embryo's were being transferred...
Extend Fertility is an incredible clinic. They are located in midtown Manhattan, making it super accessible and easy to get to...a wide range of morning monitoring hours, making it easy to accommodate your schedule.Everyone there is so kind and so friendly...The nurses are easily accessible, whether it's over the phone or in person, which makes it easy to have your questions answered. Additionally, a really big perk of Extend, is that it has an additional office/OR on the floor above its main clinic - This means that all procedures to be done happen in the same building, no hospitals to go to, just convenient and easy.
How was your experience with Joshua Klein at Extend Fertility?
Fertility is unique, where everything is so tailored to the individual person - What works for some, may not work well for another, and therefore, having a great doctor, who tailors treatment to you, the individual, is so important. Additionally, fertility treatment has an immense emotional and psychological component to it, thats crucial for your doctor/care team to address and be conscientious of. As a patient of Dr. Klein, you get the best of both worlds - You receive the most incredible medical care available, tailored to you and your specific needs/bodily responses, in addition to having the most caring and compassionate doctor imaginable. Dr. Klein not only provided the utmost medical care, regarding all treatments performed, but he always made sure to address the psychological aspect of all that I was going through, and always suggested ways to help me cope and to not feel alone. There's truly not enough words/ways for me sing my praises to Dr. Klein. He is one of kind, incredibly knowledgeable, skilled, and so compassionate - Anyone going through fertility treatment/preservation would be lucky to be a patient of his.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Don't hesitate to see him! You will not regret it! Whether its for fertility preservation or treatment, he is the best of the best, and you will be so taken care of and feel so happy under his care.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein, and all of the Extend Fertility team, made my experience so personal; I always felt cared about, I always felt like my questions and concerns were being validated, and I always felt like a conscious effort was made to make me feel as good and as happy as possible. Going through IVF can get really tough, both physically and emotionally, and I always felt like those tough aspects were addressed; whether is was by a nurse calling me with instructions, sonographers at monitoring appointments, for really by anyone I encountered or spoke with at Extend, my well-being was always addressed and I always felt truly cared about. Not once throughout the almost year and a half I spend there did I ever feel like a number - I always felt cared about, and like my care was personalized.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
I originally started seeing Dr. Klein due to recurrent pregnancy loss. During my last pregnancy, before starting IVF w/ PGT-A, Dr. Klein thought out of the box, and prescribed me progesterone and lovenox, in the hopes that those medications would help sustain the pregnancy. When my pregnancy resulted in a miscarriage, we decided to pursue IVF with PGT-A testing, in hopes of transferring a genetically normal embryo and subsequently achieving a healthy, viable pregnancy. Since I am relatively young, with a normal ovarian reserve, I responded well to the stimulation medications, and had, what I believe to be a pretty normal stim's cycle protocol (the same protocol was used for both of my egg retrieval cycles) - Menopur, Follistim, Ganirelix, and a Luprolide Trigger. Both cycles yielded over 35 eggs, majority of which fertilized.
Describe your experience with the nursing staff at Extend Fertility.
I have nothing but great things to say about the nursing staff at Extend Fertility. The nurses play a huge role in your overall treatment, as daily instructions and next steps are usually relayed by them. With that said, I'm so grateful for all of the nurses at Extend. They were all always so kind, so genuine, and so patient. They never made me feel rushed while on the phone with them, and they were always more than happy to address any questions or concerns that I raised. They showed tremendous compassion, and always tried to accommodate my schedule as best as possible. The nurses truly enhanced my overall care at Extend and always made me feel so cared about. When, after a long time, I had success, the nurses truly shared in my joy with me, and it was evident how much they cared and how genuinely happy they were for me.
Describe your experience with Extend Fertility.
Extend Fertility is an incredible clinic. They are located in midtown Manhattan, making it super accessible and easy to get to. The clinic was just renovated, and it is beyond beautiful, clean, and truly a pleasure to be in. They have a wide range of morning monitoring hours, making it easy to accommodate your schedule.Everyone there is so kind and so friendly - Even though its a fertility clinic, the environment is calm, serene, and overall a pleasant and enjoyable place to be. The nurses are easily accessible, whether it's over the phone or in person, which makes it easy to have your questions answered. Additionally, a really big perk of Extend, is that it has an additional office/OR on the floor above its main clinic - This means that all procedures to be done happen in the same building, no hospitals to go to, just convenient and easy.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
I don't remember the specifics of my costs, but I do remember it being highly affordable, especially compared to other Manhattan clinics.
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
Dr. Klein strongly recommended transferring only 1 embryo, especially since my embryo's had PGT-A testing and only genetically normal embryo's were being transferred. I completely agree with this approach, and was a big proponent of transferring 1 embryo as well. When, after 2 of my transfers/FET's failed/did not result in a pregnancy, before moving on to another transfer cycle, Dr. Klein recommended a short break, and he performed the Endometrio test/biopsy as well. When the biopsy results came back as receptive, I suggested/asked if transferring 2 embryo's could be done the next time around, in hopes of increasing the chances that at least 1 would implant - Dr. Klein still suggested that I transfer only 1, but said he was willing to transfer 2, since he understood the logic/reasoning behind my request. Needless to say, that transfer was, thank God, successful. At the end of the day however, had Dr. Klein been adamant about still transferring only 1 embryo, I would have happily went along with it - I completely trust him, and know he has his reasonings for doing things certain ways.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
10
NPS
10
Age 27
1 IVF
Male Factor
Ashkenazi Jewish
Accountant
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
[Dr. Joshua Klein] is very knowledgeable and patiently explains the process and everything about it...does lean towards single embryo transfer since there is always the chance it may split and result in twins he rather not take the chance of then possibly having triplets or more...he chose to change his schedule so he can be the one to do my retrieval...is fully present by each appointment and really listens to his patients and their concerns. He takes the time to explain all the information and answer any questions to make his patients as comfortable with the process as possible
Overall I have been really happy at expect fertility [Extend Fertility]. The staff are all nice and the atmosphere is pleasant... One example that stands out is the day of my egg retrieval the Dr. On call was not Dr. Klein who did my initial consultation and on his own he chose to change his schedule so he can be the one to do my retrieval. Also the nurses are all so sweet and helpful...They [nurses] are all super helpful and aiming to please. They really were instrumental in making the ivf process as stress free as can be
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein is fully present by each appointment and really listens to his patients and their concerns. He takes the time to explain all the information and answer any questions to make his patients as comfortable with the process as possible
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Feel free to ask as many questions as you would like. Dr. Klein is very knowledgeable and patiently explains the process and everything about it
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
So far I’ve had a really great experience at Expect Fertility. One example that stands out is the day of my egg retrieval the Dr. On call was not Dr. Klein who did my initial consultation and on his own he chose to change his schedule so he can be the one to do my retrieval. Also the nurses are all so sweet and helpful
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Fertility advisor Jordana )
The nursing staff at expect fertility are the nicest group of women I’ve ever experienced. They are all super helpful and aiming to please. They really were instrumental in making the ivf process as stress free as can be
Describe your experience with Extend Fertility.
Overall I have been really happy at expect fertility. The staff are all nice and the atmosphere is pleasant. They have a state of the art lab which is super important for treatments to yield positive results
Describe your experience with your monitoring appointments at Extend Fertility.
Their monitoring window was for a couple of hours in the morning. I was able to go in and still be at work on time. It is a first come first serve basis yet they were quick and professional. This method worked well for me since there was no pressure for a specific appointment time and there was a lower wait time as well since they took you in as you came
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
Dr. Klein does lean towards single embryo transfer since there is always the chance it may split and result in twins he rather not take the chance of then possibly having triplets or more
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2019, 22 Eggs Frozen
NPS
10
NPS
10
Age 33 - 35
5 Egg Freezing
Diminished Ovarian Reserve
European
Income $100K - $199K
Marketer or PR
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
I had an excellent experience with [Dr.Joshua Klein] ...treated me like a person throughout the 3-years it took me to bank 22 eggs. I am 35 and have low ovarian reserve and am a poor performer...actually there for me...available to talk details, new strategies or just empathize (plenty of tears shed). I was an out-of-state patient, so this was especially important...I traveled from the west coast 5 times to freeze eggs
During the lows, both the nurses and the doctor's were actually there for me, and made themselves available to talk details, new strategies or just empathize (plenty of tears shed). I was an out-of-state patient, so this was especially important. Because of this, I'd recommend Extend Fertility to anyone...Dayna [nurse] became my biggest supporter throughout the three years I spent freezing eggs at Extend. As an out-of-state patient, she worked closely with me to schedule appointments, fax in orders to facilities in my home city, get questions answered quickly and responded to emails in less than 8 hours (and usually within the hour). Logistically, she is amazing-- and personally she is incredible. She is THE reason my experience at Extend has been so positive.
How was your experience with Joshua Klein at Extend Fertility?
I had an excellent experience with Dr. Klein and Extend Fertility. Even as a low performer and a low AMH, they were able to provide affordable rates that allowed me to meet my egg banking goals. I traveled from the west coast 5 times to freeze eggs at this clicic because of the affordable and comprehensive fertility care.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Your business is growing so fast! Add a phlebotomist to decrease morning wait times, or schedule actual appointment instead of a window. (This last trip, I waited over an hour for every monitoring visit).
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein and all of his staff treated me like a person throughout the 3-years it took me to bank 22 eggs. I am 35 and have low ovarian reserve and am a poor performer. During the lows, both the nurses and the doctor's were actually there for me, and made themselves available to talk details, new strategies or just empathize (plenty of tears shed). I was an out-of-state patient, so this was especially important. Because of this, I'd recommend Extend Fertility to anyone.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Dayna Hennessy )
Dayna became my biggest supporter throughout the three years I spent freezing eggs at Extend. As an out-of-state patient, she worked closely with me to schedule appointments, fax in orders to facilities in my home city, get questions answered quickly and responded to emails in less than 8 hours (and usually within the hour). Logistically, she is amazing-- and personally she is incredible. She is THE reason my experience at Extend has been so positive.
Describe your experience with Extend Fertility.
Extend has some of the best rates in the country-- financially and scientifically. They offer affordable egg freezing without cutting corners or reducing the quality bar. Conservatively estimating, I saved $50k over the course of five freezing cycles by choosing Extend instead of local options.
Describe your experience with your monitoring appointments at Extend Fertility.
The monitoring experience has changed over time. As the business is growing, there are more women in the waiting room, so you should plan to be there for an hour. The front desk is extremely kind and helpful and the appointments are quick and informative. If you have a question or want to talk to a doctor instead of an ultrasound technician, you can.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
The most affordable I could find, without reducing quality. Conservatively estimating, I saved $10k per cycle, or $50k over the course of five cycles compared to my local options.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
7
NPS
8
Age 37
1 IVF
Unexplained
Income $200K - $499K
2nd of 2 Docs
3 IUI With Other Docs
Neutral
Neutral
Success w/ Doc Too early to know
He [Dr. Klein] was very knowledgeable and intelligent, and inspired confidence in his decisions. While this approach may not be comforting to everyone, I appreciated his analytical perspective and focus on the data and statistics. I like information and expertise, and I never felt as if I was lacking in either of those during the course of my treatment.... I only have one embryo to transfer, but he said he did not like to risk losing multiple embryos in one shot, along with the risk of multiples.
Because much of this new practice is still entwined with the egg freezing practice (Extend), there is a high volume of patients, but Dr. Klein and his team ensured that there was a personal quality to visits and treatment.... It's busy, and I did feel like I had to follow up with certain aspects of treatment (e.g., making sure the pharmacy had my medication orders, etc.). I think this may have been because I began my cycle on a holiday, however.
How was your experience with Joshua Klein at Extend Fertility?
He was very knowledgeable and intelligent, and inspired confidence in his decisions. While this approach may not be comforting to everyone, I appreciated his analytical perspective and focus on the data and statistics. I like information and expertise, and I never felt as if I was lacking in either of those during the course of my treatment.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Expect to see a wide variety of doctors and nurses in the course of your treatment.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Because much of this new practice is still entwined with the egg freezing practice (Extend), there is a high volume of patients, but Dr. Klein and his team ensured that there was a personal quality to visits and treatment.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
IVF -- Menopur & Follistim.
Describe your experience with the nursing staff at Extend Fertility.
They were very warm and made sure to follow up every day.
Describe your experience with Extend Fertility.
It's busy, and I did feel like I had to follow up with certain aspects of treatment (e.g., making sure the pharmacy had my medication orders, etc.). I think this may have been because I began my cycle on a holiday, however.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
They are about half as much as other clinics, and they are also very clear in advance. I previously did IUI cycles at another clinic and they ended up costing about three times what I was told to expect. There were no surprises with Expect.
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
I only have one embryo to transfer, but he said he did not like to risk losing multiple embryos in one shot, along with the risk of multiples.
What specific things went wrong at Extend Fertility?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
Describe the specific things that went wrong at Extend Fertility.
I started the day after New Year's Day, so the pharmacy did not have my order, and they also kept thinking that labs that I had previously submitted were missing. It is early stages for this branch of the clinic.
7
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
3 of 5
8
Clinic
Extend Fertility
Extend
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018, 13 Eggs Frozen
NPS
10
NPS
10
Age 36
1 Egg Freezing
European
Ashkenazi Jewish
Income $100K - $199K
Consultant
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
HE [Dr. Klein] took the time to explain everything very well in our intro meeting, while i did not see him a lot during the cycle, he was available if I needed to speak with him and was very nice...He was knowledgable, kind, and was willing to explain every detail and possible outcome. I appreciated his candor and felt very comfortable speaking with him. And that I was in good care. My procedure went as expected and I felt like he was honest about my odds of retrieving healthy eggs. Which turned out even better than i expected. I was very comfortable in his care.
I loved the nursing staff [at Extend Fertility]. They are kind, compassionate, and thorough. Especially the doctors assistants who do the blood work and the vaginal ultra sounds. They gave me as much info as they were able to and were very sweet...Very few things went wrong, but just once or twice felt like we got down to the wire on getting results to adjust medication in time. But it only happened 1 time and otherwise were extremely on top of it.
How was your experience with Joshua Klein at Extend Fertility?
He was knowledgable, kind, and was willing to explain every detail and possible outcome. I appreciated his candor and felt very comfortable speaking with him. And that I was in good care. My procedure went as expected and I felt like he was honest about my odds of retrieving healthy eggs. Which turned out even better than i expected. I was very comfortable in his care.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
You won't see him too much, but i was not too concerned about that. Overall the clinic sets a style of working with patients that I appreciated.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
HE took the time to explain everything very well in our intro meeting, while i did not see him a lot during the cycle, he was available if I needed to speak with him and was very nice.
Describe your experience with the nursing staff at Extend Fertility.
I loved the nursing staff. They are kind, compassionate, and thorough. Especially the doctors assistants who do the blood work and the vaginal ultra sounds. They gave me as much info as they were able to and were very sweet.
Describe your experience with Extend Fertility.
I love that the clinic is specifically geared towards women freezing eggs and not IVF. Since none of the patience are necessarily ready to have kids, they truly understand the needs of working professional women who are freezing eggs for later. They really kept focused on the fact we are planning for something in the future and likely have very busy lives right now. They are great at scheduling everything in a way that gets you in and out as quickly as possible. There can be personal embarrassment about freezing your eggs and they do such an amazing job of making you feel confident in your decision.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
It was well under the rates at other clinics.
What specific things went wrong at Extend Fertility?
  • Failed to call with results
Describe the specific things that went wrong at Extend Fertility.
Very few things went wrong, but just once or twice felt like we got down to the wire on getting results to adjust medication in time. But it only happened 1 time and otherwise were extremely on top of it.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
5 of 5
Compassion
4 of 5
Explained risks
4 of 5
Adaptability
4 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, 21 Eggs Frozen
NPS
8
NPS
10
Age 37 - 38
2 Egg Freezing
European
Income $100K - $199K
Nurse or HC Services
Only Doc Seen
Neutral
Strongly Recommends
Successful
I only saw him [Dr. Klein] once or twice for each of my two cycles but always made me feel comfortable and told me everything I needed to know- answering all questions. He did my second retrieval and made me feel at ease...Follistim 375 iu Menopur 2-3 vials/day cetrotide 4-5 shots, and ovidril trigger shot.... The only thing I didn’t love was that everyday you saw different people- basically whoever was on call that day. I never had a doctor or nurse assigned to me.
Everyone [Extend Fertility] was so friendly and willing to help. The only thing I didn’t love was that everyday you saw different people- basically whoever was on call that day. I never had a doctor or nurse assigned to me....They were very flexible with appointment times...Everyone knew my name and remembered me between cycles...Sarah was my fertility advisor and was amazing-I would email her with any questions or concerns and she always responded quickly.
How was your experience with Joshua Klein at Extend Fertility?
I only saw him once or twice for each of my two cycles but always made me feel comfortable and told me everything I needed to know- answering all questions. He did my second retrieval and made me feel at ease.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Ask him any questions you have to make sure you understand all steps and feel comfortable about the procedure
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Everyone knew my name and remembered me between cycles
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
Follistim 375 iu Menopur 2-3 vials/day cetrotide 4-5 shots, and ovidril trigger shot
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Sarah Steinle)
Sarah was my fertility advisor and was amazing-I would email her with any questions or concerns and she always responded quickly. I saw Ana the sonographer for most of my ultrasound-she was the best! So caring and informative. All the medical assistants were great- never had someone take my blood with such ease and barely any pain. All the nurses who called with medication information were so helpful with any questions. So thankful for Tania and Angela who went out of their way to help me!
Describe your experience with Extend Fertility.
Everyone was so friendly and willing to help. The only thing I didn’t love was that everyday you saw different people- basically whoever was on call that day. I never had a doctor or nurse assigned to me. I just got lucky and mainly saw the ones I felt the most comfortable with.
Describe your experience with your monitoring appointments at Extend Fertility.
They were very flexible with appointment times- able to go in really early (7am) when needed to go to work. But was also able to do later around 9 when didn’t have to rush in. Appointments were quick and usually less than 30 minutes. I would get my blood taken then have an ultrasound then would be done.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
They had plans based on your blood work and age. I paid $8050 for 3 cycles or 15 eggs whichever came first. I then had to pay $450 for storage and for medications. I got lucky and only had to pay for copays since my insurance covered most of the meds. My total medication cost for 2 cycles was $900
8
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
2 of 5
Trustworthiness
4 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
3 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017, 23 Eggs Frozen
NPS
10
NPS
10
Age 35
1 Egg Freezing
South Asian
Income $100K - $199K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Take advantage of the free consultation! Ask him [Dr. Joshua Klein] every question that crosses your mind...Our consultation lasted over an hour. It never felt rushed, and I received much more information and guidance than I expected...Dr. Klein participated in every single office visit... He made it personal and applicable to me, my age, my current situation... No complaints. He had a very high level of engagement which I couldn't be happier about.
There was only 1 day where they [nurses at Extend Fertility] didn't call me at the designated time to provide dosage instructions. I left a message with them and Dr. Klein called me within 30 min with instructions. I will say, they aren't the best with drawing blood. One nurse poked me a few times before I asked for a different nurse...Stimulation - $4990 Medication - $3052...The clinic is great in that it doesn't feel clinic-y at all. The lobby is warm and comfortable. I never saw more than 4 patients waiting in the lobby at one time. I have been to other clinics that felt cold, uncomfortable, and had farms of patients waiting to be called.
How was your experience with Joshua Klein at Extend Fertility?
Joshua Klein did a wonderful job of making me feel like a human, instead of a number. I live in Chicago, but after our initial consultation, it was a no-brainer that I needed to fly to New York to have him do the procedure. I am so happy I did. He participated in every office visit. He took the time to educate me on each decision (timing, medication, etc.) and each step. One day, a nurse forgot to call me with dosage instructions. Dr. Klein called me, himself, to give the proper dosage info. No complaints. He had a very high level of engagement which I couldn't be happier about.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Take advantage of the free consultation! Ask him every question that crosses your mind.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein's consultation was very extensive and detailed. He made it personal and applicable to me, my age, my current situation. Our consultation lasted over an hour. It never felt rushed, and I received much more information and guidance than I expected. I have heard that with many other clinics, the nurses handle the office visits and the doctor is only seen at the time of egg extraction. This was not the case at Extend Fertility, as Dr. Klein participated in every single office visit.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
Stimulation occurred over 9 days, with extraction on the 10th day. 1 vial of menupur throughout stimulation. I started with 225 units of Follistim, but it was reduced, as my follicles were growing quite quickly. Can't remember which trigger shot was used. There was logic to which one he wanted me to take, but I can't recall what it was.
Describe your experience with the nursing staff at Extend Fertility.
Overall the nursing staff was great. I did not have a specific nurse I worked with, but they were all great, responsive, communicative, etc. There was only 1 day where they didn't call me at the designated time to provide dosage instructions. I left a message with them and Dr. Klein called me within 30 min with instructions. I will say, they aren't the best with drawing blood. One nurse poked me a few times before I asked for a different nurse.
Describe your experience with Extend Fertility.
The clinic is great in that it doesn't feel clinic-y at all. The lobby is warm and comfortable. I never saw more than 4 patients waiting in the lobby at one time. I have been to other clinics that felt cold, uncomfortable, and had farms of patients waiting to be called.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
Stimulation - $4990 Medication - $3052
What specific things went wrong at Extend Fertility?
  • Failed to call with results
Describe the specific things that went wrong at Extend Fertility.
Nurses forgot to call with that day's dosage at designated time. Left a message on their after hours line, and Dr. Klein called with my dosage information within 30 min.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017, 23 Eggs Frozen
NPS
5
NPS
8
Age 35
1 Egg Freezing
PCOS
South Asian
Income $200K - $499K
Lawyer
Only Doc Seen
Doesn't Recommend
Neutral
Successful
One thing I feel kind of unsure about is that when I told him [Dr. Joshua Klein] that I knew that the success rate of freezing and thawing eggs was not as high as freezing and thawing embryos, he disagreed with me and said otherwise. I am pretty sure that it is a known fact, but since his entire clinics business model is freezing eggs, I'm sure he feels that he has to believe this.
Extend is mainly for people who want to freeze eggs, so you will not have as many interactions with him [Dr. Klein] as you might if you were going through the full process of IVF, etc. I thought he was fine for the purposes of egg freezing, patient and answered questions throughout the process, but it was really the staff and the educational materials on Extend's website that were the standout for me.
How was your experience with Joshua Klein at Extend Fertility?
I did not see Dr. Klein very much through the process, once at consultation and then again at the retrieval, but I did not really feel like I needed to see him that often, given that I was only doing an egg retrieval. He was very pleasant and kind when I did see him though. One thing I feel kind of unsure about is that when I told him that I knew that the success rate of freezing and thawing eggs was not as high as freezing and thawing embryos, he disagreed with me and said otherwise. I am pretty sure that it is a known fact, but since his entire clinics business model is freezing eggs, I'm sure he feels that he has to believe this.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Extend is mainly for people who want to freeze eggs, so you will not have as many interactions with him as you might if you were going through the full process of IVF, etc. I thought he was fine for the purposes of egg freezing, patient and answered questions throughout the process, but it was really the staff and the educational materials on Extend's website that were the standout for me.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
I liked the Extend Fertility, the nurses were very sweet and kind and the clinic was never full. I never had to wait very long for my appointments, and the staff was very kind and understanding.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
I have PCOS so I wasn't on the shots for very long - maybe a week and a half before they triggered with Lupron.
Describe your experience with the nursing staff at Extend Fertility.
As I said, the staff was really the standout here. They were really compassionate, always available, and very pleasant.
Describe your experience with Extend Fertility.
The clinic is really nice, and there was never a long wait. I felt like I was going to a spa every time I visited. Very new, sterile, and modern. The educational materials they have available on their website are awesome. Everyone going through the IVF process should read those materials b/c they do such a good job of explaining it in a way that you can understand.
Describe your experience with your monitoring appointments at Extend Fertility.
It was really easy to make appointments, always available before work, and never had to wait long to get seen.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
W extend, you pay around $5K. When I shopped around, it would have cost me at least $2K more to do it at a "normal" clinic.
What specific things went wrong at Extend Fertility?
  • Failed to call with results
Describe the specific things that went wrong at Extend Fertility.
The only thing I wish that they did was send me paperwork to confirm the number of eggs retrieved. But when I called and asked for it, they sent it right away.
5
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
1 of 5
Trustworthiness
3 of 5
Compassion
4 of 5
Explained risks
3 of 5
Adaptability
3 of 5
8
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017, Unknown Success
NPS
10
NPS
10
Age 27
2 IUI
PCOS
Unexplained
European
Income $50K - $99K
Teacher
2nd of 2 Docs
7 Fertility Medications With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Not sure
...he [Dr Joshua Klein] absolutely treats each patient as a human being. Every appointment when he's in the room you feel you have his undivided attention - and he's not just being courteous. He actually is giving you his attention, and thinks about what you're saying or asking. Eventhough when I would email him I would try to be brief and matter of fact so as not to take his time, he always responded very kindly. He goes out of his way for his patients, with a no-big-deal kind of attitude, really special doctor to have.
Excellent! I think it says something about Dr. Klein that everyone who works in his office [Extend Fertility] is kind and caring. I haven't found one exception. The value there is not on how much money they can rake in, but rather on caring for their patients - and it's across the board...I prefer not to get into specifics. But one thing i knew is that he [Dr. Joshua Klein] always remembered everything of my history and every strategy he used was carefully thought about.
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein is absolutely everything I could want in a doctor. Of course I'd be even happier if we never had to cross paths for this, but considering the circumstances, I feel so blessed to have him as my doctor. Having a doctor that you can trust is looking out for you and is reachable, explains things clearly really put my mind at ease throughout all the appointments. I didn't dread the visits or worry what would be - I felt like I was in the hands of the best doctor that I could be. He is really exceptional. He is a genuinely kind person, not out of fluff or diplomacy. And from what I understand, every patient feels that he is completely focused on them and creating the best outcome.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Just become his patient. You don't need any other advice.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
This question best sums up where Dr. Klein stands out - he absolutely treats each patient as a human being. Every appointment when he's in the room you feel you have his undivided attention - and he's not just being courteous. He actually is giving you his attention, and thinks about what you're saying or asking. Eventhough when I would email him I would try to be brief and matter of fact so as not to take his time, he always responded very kindly. He goes out of his way for his patients, with a no-big-deal kind of attitude, really special doctor to have.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
I prefer not to get into specifics. But one thing i knew is that he always remembered everything of my history and every strategy he used was carefully thought about.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Toby)
Excellent! I think it says something about Dr. Klein that everyone who works in his office is kind and caring. I haven't found one exception. The value there is not on how much money they can rake in, but rather on caring for their patients - and it's across the board.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
2013 - 2017, Successful
NPS
10
NPS
10
Age 24 - 28
4 IUI
PCOS
Unexplained
European
Ashkenazi Jewish
Income $0 - $49K
Sales Representative
2nd of 2 Docs
4 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Successful
I wish every physician in every field of medicine was as good as dr klein was as a Dr, both medically as well as emotionally for the patient going through a tough time. He was outstanding. He spent a tremendous amount of time from my very first consult until we had a successful pregnancy and I was discharged, explaining every scenario and walking me and my husband through the process and what to expect. As well as what our options would be moving forward.
I was seen in 2 different locations [at Extend Fertility] depending on the day of the week for monitoring and/or IUIs. Parking in Brooklyn was surprisingly good. And the city was ok but it was only on the weekends. I preferred the office in the city from an aesthetic point.... Nursing staff on blood draw days were amazing. Toby was blunt, said things like they were and always clear with directions and good with call backs.
How was your experience with Joshua Klein at Extend Fertility?
I wish every physician in every field of medicine was as good as dr klein was as a Dr, both medically as well as emotionally for the patient going through a tough time. He was outstanding. He spent a tremendous amount of time from my very first consult until we had a successful pregnancy and I was discharged, explaining every scenario and walking me and my husband through the process and what to expect. As well as what our options would be moving forward.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
To be prepared to have an amazing experience with him and his staff. Just to keep in mind that some days there will be a long wait time.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
I have never experienced the care and compassion Dr Klein showed with any dr I’ve ever been to before him.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
One thing that stands out is how I was not responding well to injectables and had to continue taking them longer than the expected time. Dr Klein kept a close watch every step of the way to ensure that we scheduled the IUI at the most optimal time, and not have too many viable eggs available, which he warned could result in a higher chance of multiples.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Toby)
Nursing staff on blood draw days were amazing. Toby was blunt, said things like they were and always clear with directions and good with call backs.
Describe your experience with Extend Fertility.
I was seen in 2 different locations depending on the day of the week for monitoring and/or IUIs. Parking in Brooklyn was surprisingly good. And the city was ok but it was only on the weekends. I preferred the office in the city from an aesthetic point.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
Dr Klein did not accept insurance when I was a patient. But my insurance had zero infertility coverage. Since I had to pay out of pocket regardless of who I saw, he was my first choice and priced well compared to other doctors.
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
I very much wanted twins when we discussed IVF as a possibility, and Dr Klein explained the downsides very well and after his explanation I do not believe it is something I’d opt for moving forward.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016, Successful
NPS
10
NPS
10
Age 37
1 Egg Freezing
European
Ashkenazi Jewish
Income $0 - $49K
Nurse or HC Services
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
The thing I liked most about him [Dr. Joshua Klein], was his friendly, easy demeanor and the fact that he was so easy to talk to. He was very honest, and didn't sugar coat anything, but did so with so much sensitivity, and warmth, which made all the difference for me. The few other times that I saw his partner, Dr.Cort, he was also really patient and warm. Both doctors were very knowledgable and didn't try to pressure me in any way. They very much included me in the decisions, and after giving me the facts about each stage, let me make decisions if I wanted to. My impression is that both Dr. Klein and Dr. Cort really know their field, and are really smart, and I definitely felt like I was in good hands while they treated me.
He [Dr. Joshua Klein] was very honest, and didn't sugar coat anything, but did so with so much sensitivity, and warmth, which made all the difference for me. The few other times that I saw his partner [at Extend Fertility], Dr.Cort, he was also really patient and warm. Both doctors were very knowledgable and didn't try to pressure me in any way. They very much included me in the decisions, and after giving me the facts about each stage, let me make decisions if I wanted to. My impression is that both Dr. Klein and Dr. Cort really know their field, and are really smart, and I definitely felt like I was in good hands while they treated me.
How was your experience with Joshua Klein at Extend Fertility?
I found Dr. Klein to be very empathetic and supportive. My situation was unique for many reasons (as are so many situations). He was understanding, never forgot my details, and explained everything in the context of my situation. The thing I liked most about him, was his friendly, easy demeanor and the fact that he was so easy to talk to. He was very honest, and didn't sugar coat anything, but did so with so much sensitivity, and warmth, which made all the difference for me. The few other times that I saw his partner, Dr.Cort, he was also really patient and warm. Both doctors were very knowledgable and didn't try to pressure me in any way. They very much included me in the decisions, and after giving me the facts about each stage, let me make decisions if I wanted to. My impression is that both Dr. Klein and Dr. Cort really know their field, and are really smart, and I definitely felt like I was in good hands while they treated me.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Don't let his boyish looks fool you! He might look young, but he is extremely capable.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
The staff were trained to be extra sensitive to each patients personal, and cultural situation. At both locations of this clinic the staff was very careful not to call my name when it was my turn if there were other patients present. The staff were extremely attentive and patient before and during the retrieval. Because this is a smaller clinic, I felt like was an important member of their clinic. Questions, submitted by email or by phone, were answered promptly (usually within an hour) by the doctor or head nurse, no matter what time of day it was. Although the doctor had many patients to see, I never felt rushed when he was with me. He answered all my questions no matter how repetitive they might have been, he was reassuring but honest and realistic with me, which really helped lower my anxiety. The level of sensitivity was really outstanding.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
I took Gonal F and medipur for the first 12 days of my cycle, and then two more drugs to help with ovulation before my eggs were retrieved.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Alla Khamermesh)
All of the staff members showed extreme sensitivity to me and my personal situation. The nurses not only made sure I was comfortable, but were also culturally sensitive to my religious and cultural background. For example, at their boro park location in brooklyn, the nurses never ask u to say your name out loud. Instead, they will ask u to write it down. They also won't use your name to get your attention or call you in, and instead will either walk over to you or make eye contact and nod when it is your turn. This tiny show of sensitivity demonstrated to me that the staff understood and respected the fact that the community is very close knit, that everyone knows each other and that this is a very private personal journey for each woman there. Alla especially was considerate of my personal circumstances, and went to lengths to ensure that I didn't feel awkward or uncomfortable, for example by having me wait in a different area to a woman who was trying to have a baby, as I wasn't able to do that due to my difficult relationship status. Her patience and compassion were touching. This combined with her fast and efficient response to all my queries really made me feel like she was by my side the whole way through.
Describe your experience with Extend Fertility.
I understand that the clinic has moved from the location they were in while I was a patient there, to a different location, so I can't say much about the new Manhattan location. The location in Brooklyn, is discreet, and comfortable. Come early to avoid a wait, as the doctor likes to give each patient as much time as they need. Patients should remember to check the parking signs on the street, and park on the side streets. The avenue has street cleaning every morning between 8-9 am!!!
Describe your experience with your monitoring appointments at Extend Fertility.
Come early to avoid a wait, as the doctor likes to give each patient as much time as they need.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
I paid $4990 for the cycle. This includes everything except, lab work, storage and medications.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016, 10 Eggs Frozen
NPS
10
NPS
10
Age 41
1 Egg Freezing
Diminished Ovarian Reserve
Recurrent Pregnancy Loss
Income $200K - $499K
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
His [Dr. Klein's] knowledge, patience, kindness and empathy are unsurpassed. After having multiple miscarriages and an unexplained infertility diagnosis, Dr. Klein gave me hope that I could still conceive a healthy child someday. He and the Extend Fertility team made this stressful process easier with their personalized care, organizational procedures and clear communication. During every step of the process, I was in contact with either a nurse or Dr. Klein, who reassured me of my progress. Dr. Klein, as busy as he was, never failed to answer my questions in great detail and in a manner that I could easily understand. He is a gem of a doctor and one in whom I have great confidence...
Finding and learning about Extend Fertility was a life changer for me. I've looked into other clinics and either 1) found their prices inexplicably high, given that I knew I would have to do multiple cycles because of my age, or 2) I didn't like the factory feel. Extend is a specialized clinic so it is smaller and is able to provide personalized and individualized care. Because of its focus, the pricing for egg freezing makes a lot more sense and makes the financial aspect more manageable. Be aware that the lab isn't fully complete yet but should be by Dec 2016. In the meantime, the retrievals are done in a surgical clinic in the UES...
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein is super kind, patient, brilliant and detail oriented. He has a way of exuding confidence in his care and expertise, and his approach, especially open communication and detailed responses, put me at ease. His upbeat, positive personality also made the monitoring visits more bearable.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
If you are considering Extend Fertility, a consultation with Dr. Klein will convince you that you will be placed under great care and reassure you that you are doing the best thing for yourself by proactively preserving your fertility.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein is by far the best doctor I have ever had. His knowledge, patience, kindness and empathy are unsurpassed. After having multiple miscarriages and an unexplained infertility diagnosis, Dr. Klein gave me hope that I could still conceive a healthy child someday. He and the Extend Fertility team made this stressful process easier with their personalized care, organizational procedures and clear communication. During every step of the process, I was in contact with either a nurse or Dr. Klein, who reassured me of my progress. Dr. Klein, as busy as he was, never failed to answer my questions in great detail and in a manner that I could easily understand. He is a gem of a doctor and one in whom I have great confidence.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
Antagonist protocol. 225 Follistim + 150 Menopur + Ganirelix + Lupron trigger. I think I over responded to the medication as my estrogen levels rose very quickly and very high. Dr. Klein adjusted my original trigger from Ovidrel to Lupron to prevent OHSS. The shots were a bit uncomfortable for me, probably because I am on the thinner side. 12 eggs were retrieved and 10 mature eggs were frozen. I was informed this was a great result for my age.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Dayna)
Dayna and Alla were my primary nurses. They were both diligent in their care and clearly communicated my daily instructions via phone and email. They were also available during the visits and during the evenings whenever I had questions about the injections.
Describe your experience with Extend Fertility.
Finding and learning about Extend Fertility was a life changer for me. I've looked into other clinics and either 1) found their prices inexplicably high, given that I knew I would have to do multiple cycles because of my age, or 2) I didn't like the factory feel. Extend is a specialized clinic so it is smaller and is able to provide personalized and individualized care. Because of its focus, the pricing for egg freezing makes a lot more sense and makes the financial aspect more manageable. Be aware that the lab isn't fully complete yet but should be by Dec 2016. In the meantime, the retrievals are done in a surgical clinic in the UES.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
$4990 for a minimum of 12 eggs and up to four egg freezing cycles, depending on your AMH level. About $3500 for meds.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
2016, Successful
NPS
10
NPS
10
Age 23
7 IUI
Unexplained
Income $0 - $49K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
When I had my miscarriage after my first iui cycle that morning I was rushed into his [Dr. Joshua Klein's] office and he sat with us as the clots passed and made sure we were able to understand what was going on. Although this process is taking way longer then expected I believe he's doing everything cautiously. The last cycle he's been more aggressive, and he makes sure we have a plan if this iui cycle doesn't work ivf is our next try
She [the nurse at Extend Fertility] always makes sure to call you with results right away, has compassion towards you, and is friendly... definetly makes you feel comfortable and always try's to make you feel better when you don't get the results you want to hear... Each cycle I believe is $1200.... Although our dr is definetly good he works with us when it comes to payments.... He is extremely patient, kind, he sits with you and makes sure you understand everything completly and feel comfortable before getting started. Makes sure we know exactly what we are getting into. Never rushes. Always happy and cheerful
How was your experience with Joshua Klein at Extend Fertility?
I'm still undergoing treatment although he really is an amazing doctor. When I had my miscarriage after my first iui cycle that morning I was rushed into his office and he sat with us as the clots passed and made sure we were able to understand what was going on. Although this process is taking way longer then expected I believe he's doing everything cautiously. The last cycle he's been more aggressive, and he makes sure we have a plan if this iui cycle doesn't work ivf is our next try... we found out the end of this week if it worked.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
To have patience, and to be optimistic... and to make sure to ask a million questions :)
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
He is extremely patient, kind, he sits with you and makes sure you understand everything completly and feel comfortable before getting started. Makes sure we know exactly what we are getting into. Never rushes. Always happy and cheerful
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
So before we started iui we were put on 2 rounds of clomid from my obgyn... once those 2 cycles failed we started seeing dr klein Iui #1- clomid 100 mg - ovidrell we got pregnant and had a miscarriage at 6 weeks- 3 follicles Iui #2 clomid 100 mg- day 3-7 ovidrell failed cycle- 2 follicles Iui #3 clomid 100 mg days 3-7-ovidrell failed cycle - 2 follicles Iui #4 letrozol 100mg days 3-7 ovidrell,failed cycle- 3 follicles Iui #5 letrozole 150 mg days 3-7 , ovidrell-failed iui- 2 follicles Iui #6 injectables gonal f 75 units monitoring, ovidrell ,failed iui 3follicles Iui #7 gonal f 85 units monitoring ovidrell- 4 follicles- waiting for results My husbands sperm count was lower in the beginning and the mortality wasn't too great... the last 2 cycles has improved.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Tobi)
She always makes sure to call you with results right away, has compassion towards you, and is friendly... definetly makes you feel comfortable and always try's to make you feel better when you don't get the results you want to hear
Describe your experience with Extend Fertility.
Communication, appearance, compassionate, does what's right for you. Never fails to answer questions Weakness I would say since they just moved the office isn't so nice although it's worth it
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
Each cycle I believe is $1200... although to some ppl this doesn't sound like much but after 7 iuis it really adds up, and this doesn't include the cost for the medication... gonal f, ovidrell( $100) and tovthink of ivf is scary knowing the price. Although our dr is definetly good he works with us when it comes to payments
Describe Joshua Klein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Extend Fertility.
We have not started the ivf process so I am not sure
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
4 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2015, Unsuccessful
NPS
0
NPS
0
Age 38
1 IVF
Tubal Blockage
European
Ashkenazi Jewish
1st of 2 Docs
1 IVF With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
He was fine. He seemed honest and open and nice. But he wasn't involved much in my care that I could see. The facility is so big that he was a very small part of my care. I was always told that he was "reviewing" my data, but I never heard from him...Dr. Klein was fine. But he was a very small part of my experience at RMA.
My egg retrieval experience with RMA was absolutely one of the worst medical experiences of my life. I asked to meet the doctor before the procedure and was told I couldn't unless it was an emergency of some sort. When I was ushered into the operating room, loud rock and roll was playing and no one greeted me or made me feel like I was a human being. I truly felt like a piece of meat on an assembly line. I got to meet exactly zero people involved with my care -- did not get to meet the anesthesiologist or the embryologist or the primary doctor. When I was put on the table in the operating room and started weeping because I felt vulnerable and exposed, no one acknowledge
How was your experience with Joshua Klein at RMA of New York?
He was fine. He seemed honest and open and nice. But he wasn't involved much in my care that I could see. The facility is so big that he was a very small part of my care. I was always told that he was "reviewing" my data, but I never heard from him.
What's one piece of advice would you give a prospective patient of Joshua Klein at RMA of New York?
Ask how many times you'll have contact with him during the course of your care.
During treatment, were you treated like a number or a human with Joshua Klein at RMA of New York?
Dr. Klein was fine. But he was a very small part of my experience at RMA. I only saw him at the very beginning and the very end of my treatment. Everything in between was a new person or a nurse or a rotating doctor. I never felt like there was continuity of care or any attention to detail with my case. The main RMA office in midtown Manhattan is horrible. The waiting room is HUGE and it really feels like a cattle call of patients. My egg retrieval experience with RMA was absolutely one of the worst medical experiences of my life. I asked to meet the doctor before the procedure and was told I couldn't unless it was an emergency of some sort. When I was ushered into the operating room, loud rock and roll was playing and no one greeted me or made me feel like I was a human being. I truly felt like a piece of meat on an assembly line. I got to meet exactly zero people involved with my care -- did not get to meet the anesthesiologist or the embryologist or the primary doctor. When I was put on the table in the operating room and started weeping because I felt vulnerable and exposed, no one acknowledged me or how I was doing. In short, no one spoke to me. I was truly just a piece of meat. Horrific.
Describe the protocols Joshua Klein used in your cycles at RMA of New York and their degree of success.
Can't remember exact protocols. But it was pretty standard IVF stuff.
Describe your experience with the nursing staff at RMA of New York.
They were different every time. The phlebotomists were the WORST and I had bruises all the time. The nursing staff did not seem to want to get involved in continuity of care. I asked if I could see the same person and was told that it was "whoever is on call." They all seemed young and disengaged.
Describe your experience with RMA of New York.
The second (and successful) clinic I went to was Madison Women's Health on the UES. They are AMAZING. They are exactly what anyone would want -- individualized attention, specific nurses helping & calling everyday, great attention to detail, great bedside manner. I felt so confident and happy with this clinic.
Describe your experience with your monitoring appointments at RMA of New York.
Ugh. Different person every time. Phlebotomists were truly awful.
Describe the costs associated with your care under Joshua Klein at RMA of New York.
Covered by insurance
What specific things went wrong at RMA of New York?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Lost appointments
  • Failed to call with results
  • Failed to send your chart to another clinic
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at RMA of New York.
RMA sucks. Don't ever go there.
0
Doctor
Joshua Klein
NPS
Humanity
1 of 5
Communication
2 of 5
Frequency Seen
1 of 5
Trustworthiness
1 of 5
Compassion
2 of 5
Explained risks
4 of 5
Adaptability
1 of 5
0
Clinic
RMA of New York
Brooklyn
NPS
Operations
1 of 5
Scheduling
4 of 5
Billing Department
1 of 5
Nursing Staff
1 of 5
Clinic Atmosphere
1 of 5
Educational Resources
4 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2022, Successful
NPS
10
NPS
10
Age 23 - 28
1 IUI
1 IVF
Unexplained
Ashkenazi Jewish
Income $0 - $49K
Teacher
1st of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Klein is a very sought after dr. which makes getting a consultation with him quite difficult. However it was worth the wait as we got quite good results with him. With a diagnoses of unexplained infertility he told us our best bet was IVF which although expensive and hard to hear saved us a lot of pain and heartache. We did get the results we wanted with IVF....With unexplained infertility we took our chances with clomid and iui. We were told not to continue past 3-4 cycles as that would be expensive and we’d not likely see results. We continued with ivf
The clinic [at Extend Fertility] is hi-tech modern and clean. They recently expanded their offices and waiting room. It has enough seating for patients and spouses. They have everything onsite including a lab and sterilized procedure room...The nurses and staff and extend are exceptional. It seems like a couple of nurses are assigned to each patient for the duration of treatment. They say the facts gently but as they are. I never felt rushed on a phone call and my calls were always returned.
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein is a very sought after dr. which makes getting a consultation with him quite difficult. However it was worth the wait as we got quite good results with him. With a diagnoses of unexplained infertility he told us our best bet was IVF which although expensive and hard to hear saved us a lot of pain and heartache. We did get the results we wanted with IVF.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Trust the process.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein employs the kindest nurses and staff who say the facts gently but as they are.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
With unexplained infertility we took our chances with clomid and iui. We were told not to continue past 3-4 cycles as that would be expensive and we’d not likely see results. We continued with ivf and got the results we wanted.
Describe your experience with the nursing staff at Extend Fertility.
The nurses and staff and extend are exceptional. It seems like a couple of nurses are assigned to each patient for the duration of treatment. They say the facts gently but as they are. I never felt rushed on a phone call and my calls were always returned.
Describe your experience with Extend Fertility.
The clinic is hi-tech modern and clean. They recently expanded their offices and waiting room. It has enough seating for patients and spouses. They have everything onsite including a lab and sterilized procedure room.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
Most recent procedure done was a transfer. Cost of that was $2250 flat rate which included bloodwork and ultrasounds.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
2017 - 2019, 3 Eggs Frozen
NPS
10
NPS
9
Age 38 - 40
1 Egg Freezing
Diminished Ovarian Reserve
Ashkenazi Jewish
Income $100K - $199K
3rd of 3 Docs
2 Egg Freezing With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Klein was very knowledgable. He explained information thoroughly but always in a way that was understandable. He was kind and compassionate when giving difficult news. He answered all my questions (and I had many) and he addressed all my concerns without judgement. ... Dr. Klein listened to my concerns, answered all my questions, and understood my feelings while delivering both good and bad news.
The biggest strength of this office is the compassion. They are understanding, kind, and thorough. As with any clinic, you always need to be your own advocate. If you have questions, you must ask. If you have concerns, you must voice them. Be knowledgable as a patient but also be trusting because this team only wants what's best for you.
How was your experience with Joshua Klein at Extend Fertility?
Dr. Klein was very knowledgable. He explained information thoroughly but always in a way that was understandable. He was kind and compassionate when giving difficult news. He answered all my questions (and I had many) and he addressed all my concerns without judgement.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Ask all your questions and don't worry if they are insignificant in your mind, Dr. Klein will understand, answer you thoroughly, and validate your concerns.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein listened to my concerns, answered all my questions, and understood my feelings while delivering both good and bad news.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
I went through 3 rounds of egg freezing, one cancellation, and will be doing one more before being the IUI process with Dr. Klein. In all three rounds, the Folistim amounts were increased from the start and I was given three different trigger drugs. My body reacts best to higher doses of Folistim but I also had a canceled cycle on the highest dose.
Describe your experience with the nursing staff at Extend Fertility.
From the moment you walk into the office, every single nurse is kind, gentle, understanding, and thorough.
Describe your experience with Extend Fertility.
The biggest strength of this office is the compassion. They are understanding, kind, and thorough. As with any clinic, you always need to be your own advocate. If you have questions, you must ask. If you have concerns, you must voice them. Be knowledgable as a patient but also be trusting because this team only wants what's best for you.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
$9000 for 4 egg freezing cycles $2000 for 5 years of long term storage
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
9
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018, Successful
NPS
10
NPS
10
Age 38
European
Income $200K - $499K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Klein is very knowledgeable, has a great bedside manner. He is responsible, professional, and kind. I had a great experience with Dr Klein and his team. My treatment and procedure were handled professionally, worry- and pain-free...Dr Klein and his team make all the important information easily accessible but if you are unsure about something, just shoot them a quick email or give them a call...
I had two nurses assigned to me [at Extend Fertility] and both of them were excellent. I felt well taken care of at all times...What I liked most about Extend Fertility was their personalized approach to every patient. It felt like they genuinely care about their patients, one patient at a time. Great service and great results made me happy...The process that led to the procedure lasted for about 10 days and during that period of time I felt really well taken care of. The procedure itself was a breeze. I would like to thank Dr. Klein, Dayna, Ilaina, Leslie, Jordana, the procedure room nurse Daniella and the entire incredible team for being so positive, welcoming, flexible, professional, organized, hard-working and nice.
How was your experience with Joshua Klein at Extend Fertility?
Dr Klein is very knowledgeable, has a great bedside manner. He is responsible, professional, and kind. I had a great experience with Dr Klein and his team. My treatment and procedure were handled professionally, worry- and pain-free. Special kudos goes out to his team.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Making sure that you understand every step of the treatment is very important. Dr Klein and his team make all the important information easily accessible but if you are unsure about something, just shoot them a quick email or give them a call.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
I have had an incredible experience with Extend Fertility. The process that led to the procedure lasted for about 10 days and during that period of time I felt really well taken care of. The procedure itself was a breeze. I would like to thank Dr. Klein, Dayna, Ilaina, Leslie, Jordana, the procedure room nurse Daniella and the entire incredible team for being so positive, welcoming, flexible, professional, organized, hard-working and nice. I recommend Extend Fertility and Dr Klein to everyone, who would like an "insurance policy" for having children later in life.
Describe your experience with your nurse at Extend Fertility.
I had two nurses assigned to me and both of them were excellent. I felt well taken care of at all times.
Describe your experience with Extend Fertility.
What I liked most about Extend Fertility was their personalized approach to every patient. It felt like they genuinely care about their patients, one patient at a time. Great service and great results made me happy.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017, 5 Eggs Frozen
NPS
10
NPS
10
Age 37
1 Egg Freezing
Diminished Ovarian Reserve
Engineer
3rd of 3 Docs
1 Egg Freezing With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Not sure
If I can only can sum up my experience with Dr. Klein with one word, it would be "positive." When the cup was half full, it was half full, not half empty. That was the most important to me. As a bonus he was also kind, compassionate and sensitive. Going through this can never be easy, and I faced some challenges. I so appreciated his mild manners and easy touch...[Nurses at Extend were] Awesome! They seriously were my support team. From training to phone calls they were patient and caring. Alla held my hand until i was able to do it on my own, i really felt that they were rooting for me to succeed. During the egg retrieval i was treated like royalty...They were very professional, yet they didn't treat me like a number. Everyone was always friendly and smiling. I believe that freezing my eggs is probably the most important thing I have done for myself and would recommend anyone considering it to just do it and not wait. The biological clock is a real thing.
[Nurses at Extend were] Awesome! They seriously were my support team. From training to phone calls they were patient and caring. Alla held my hand until i was able to do it on my own, i really felt that they were rooting for me to succeed. During the egg retrieval i was treated like royalty...They were very professional, yet they didn't treat me like a number. Everyone was always friendly and smiling. I believe that freezing my eggs is probably the most important thing I have done for myself and would recommend anyone considering it to just do it and not wait. The biological clock is a real thing.
How was your experience with Joshua Klein at Extend Fertility?
If I can only can sum up my experience with Dr. Klein with one word, it would be "positive." When the cup was half full, it was half full, not half empty. That was the most important to me. As a bonus he was also kind, compassionate and sensitive. Going through this can never be easy, and I faced some challenges. I so appreciated his mild manners and easy touch.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
You are in a good place and in good hands.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr. Klein always took the time to put me at ease, he was very sensitive to my specific circumstances, and patiently answered all my questions. He was always cautiously optimistic and positive. This had a tremendous impact on my mental well-being going through the cycle.
Describe your experience with your nurse at Extend Fertility. (Assigned nurse: Alla and Dayna)
Awesome! They seriously were my support team. From training to phone calls they were patient and caring. Alla held my hand until i was able to do it on my own, i really felt that they were rooting for me to succeed. During the egg retrieval i was treated like royalty.
Describe your experience with Extend Fertility.
They were very professional, yet they didn't treat me like a number. Everyone was always friendly and smiling. I believe that freezing my eggs is probably the most important thing I have done for myself and would recommend anyone considering it to just do it and not wait. The biological clock is a real thing.
Describe your experience with your monitoring appointments at Extend Fertility.
They were very easy-going with the times i could show up, making sure to schedule them on days that would be convenient for me.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2020, 24 Eggs Frozen
NPS
10
NPS
10
Age 35
2 Egg Freezing
Uterine Fibroids
Ashkenazi Jewish
Income $100K - $199K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Not sure
Dr Klein always made me feel like a person because he constantly responded to my questions and validated my concerns...Although Dr Klein doesn't see patients often, he came whenever I asked. He answered my emails promptly and thoroughly. I felt that worked really hard in getting all my eggs, eventhough my anatomy made it difficult...Email the doctor if you want to know something. He always gets back to you.
Courtney [nurse at Extend Fertility] was great. She seemed genuinely concerned. Valerie [nurse] took the time to call me when I was not feeling well...Caring practice. Fast appointments, accessible Dr.'s and nurses, clean facility. Dr willing to listen to your concerns and modify protocol to tailor it to your individual needs. Primary doctor not always available to do retreival...Dr Klein always made me feel like a person because he constantly responded to my questions and validated my concerns.
How was your experience with Joshua Klein at Extend Fertility?
Although Dr Klein doesn't see patients often, he came whenever I asked. He answered my emails promptly and thoroughly. I felt that worked really hard in getting all my eggs, eventhough my anatomy made it difficult.
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Email the doctor if you want to know something. He always gets back to you.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
Dr Klein always made me feel like a person because he constantly responded to my questions and validated my concerns.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
My first cycle included 9 days of stimulation. I took gonal-f, menopur, cetretide and lupron trigger as well as letrezol. My second cycle differed in that I took estredoil patches prior to stimulation, I did not take letrezol and that I stimulated for 12 days
Describe your experience with the nursing staff at Extend Fertility.
Courtney was great. She seemed genuinely concerned. Valerie took the time to call me when I was not feeling well.
Describe your experience with Extend Fertility.
Caring practice. Fast appointments, accessible Dr.'s and nurses, clean facility. Dr willing to listen to your concerns and modify protocol to tailor it to your individual needs. Primary doctor not always available to do retreival.
Describe the costs associated with your care under Joshua Klein at Extend Fertility.
One time storage fee for as many cycles as desired, fee for services and fee for medication.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
2020, 16 Eggs Frozen
NPS
10
NPS
10
1 Egg Freezing
Ashkenazi Jewish
Income $100K - $199K
Sales Representative
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
DR Joshua Klein is an exceptional doctor and incredible person. His compassion, care and knowledge is a real asset to anyone that is under his care. He took the time at each visit to explain each and every step. He encouraged me to ask questions and provided answers and clarity on all my concerns...[he] did several of my ultra sounds and ultimately my egg freezing procedure
The office [of Extend Fertility] is definitely very busy but the nurses are very kind and professional. They ensure that the wait time is short and that every patient is taken care of. They have a very good process of how they see patients to ensure that everything goes smoothly...[Dr. Klein] was incredible patient and gentle through out my process. He gave me the time of day and answered all my questions
How was your experience with Joshua Klein at Extend Fertility?
DR Joshua Klein is an exceptional doctor and incredible person. His compassion, care and knowledge is a real asset to anyone that is under his care. He took the time at each visit to explain each and every step. He encouraged me to ask questions and provided answers and clarity on all my concerns. I can confidently say that he is the top fertility doctor!
What's one piece of advice would you give a prospective patient of Joshua Klein at Extend Fertility?
Always ask questions through out the process and procedures. Knowledge will make you calm.
During treatment, were you treated like a number or a human with Joshua Klein at Extend Fertility?
DR klein was incredible patient and gentle through out my process. He gave me the time of day and answered all my questions.
Describe the protocols Joshua Klein used in your cycles at Extend Fertility and their degree of success.
Dr Klein did several of my ultra sounds and ultimately my egg freezing procedure.
Describe your experience with the nursing staff at Extend Fertility.
The nursing staff were very kind and professional. Ensuring that all appointments ran smoothly.
Describe your experience with Extend Fertility.
The office is definitely very busy but the nurses are very kind and professional. They ensure that the wait time is short and that every patient is taken care of. They have a very good process of how they see patients to ensure that everything goes smoothly.
10
Doctor
Joshua Klein
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Extend Fertility
Extend
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
4 of 5
Educational Resources
7 of 5