Joshua Klein

Dr. Klein always made sure to be on call for my procedures He always helped me stay positive and hopeful he showed true compassion and interest in my care/needs even after success. He is always available by email and phone if needed.

dont be afraid to ask questions

first IVF protocol was "micro- flare" which resulted in "funky" egg behavior. The next cycle was antagonist with high dosage of Gonal- F and 3rd and most successful cycle was antagonist with lower dosage of Gonal- F which resulted in better egg quality.

very fairly priced (compared to other clinics)

Dr. Klein was not a fan of transferring multiple embryos but would have agreed if I begged enough

I liked him. He seemed very knowledgeable. He answered questions I had. I did have to wait a long time because he was presenting to another patient. He had a long presentation. The wait was inconvenient but I was overall pleased with the consultation. I would have preferred that he re-check a suspiciously low blood test number but as a practitioner I felt comfortable in his care

Be ready to wait

I don’t remember

Don’t remember

I didn’t have this procedure

Dr Klein was very thorough through out the whole process he explained everything to me in detail was very patient with me and is very knowledgeable and made going through this process much easier then I expected

Your in good hands

The process entailed many blood tests and ultrasounds to insure the optimum outcome and my well being I injected myself with hormones and I was monitored very closely dr Klein and his staff were always available for me through email or a phone call

He was a perfect doctor. He spent a lot of time with us from the hours long first meeting to the monitoring visits when he would discuss results, what to expect, and answer all of our questions. He was thoughtful about treatment options and recommendations.

He's the best doctor you'll ever have (now at Extend Fertility).

The major change was from a regular gonal f+menopur cycle to estrogen priming + gonal f + menopur

Cattle call -- wait wasn't too bad at Brooklyn.

Covered by insurance

Once we did PGD he strongly counseled against transferring more than one embryo.

Dr. Klein is honest but in a gentle way. He does an excellent job of setting realistic expectations without trying to romanticize an arduous journey. He is also more accessible than most doctors I surveyed which provides an additional layer of comfort.

Be patient.

Egg retrieval about $5k and medications averaged between $3k-$7k. Storage is $475 per year.

Very smart, non judgemental and did a great job of achieving the results I wanted from my IVF treatment. Great bedside manner Very communicative Adjusted treatmebt accordingly and discussed all options clearly.

3 x no medication IUIs - unsuccessful 3x medicated back to back IUIs 1x IVF eset- resulted in 6 x 5 day embryos. Transferred 1 for fresh cycle. Reaulted in chemical pregnancy Frozen transfer resulted in twin pregnancy (carried out by different doctor because Joshua Klein left the practice)

Yes. I am a SMC and because my embryos were of good quality the first transfer was an eSET.

The whole fertility process feels fairly mechanical especially if your condition is unexplained infertility. But unlike my previous fertility doctor at Cornell Weill, who was clearly going through the motions and very rushed, Dr. Klein was kind, patient and took the time to clearly explain things so I didn't feel like just another one of the thousands of women in New York in her late 30s trying to conceive. After just one round of gonal f injections, careful monitoring and IUI I became pregnant with twins. Dr Klein was extremely aware of avoiding this and unpleasantly surprised but not shocked - to be clear, this was certainly not his or my desired outcome as he measures success by singleton pregnancies. Whether this is an indication of his ability is subjective - I was not pleased but ultimately delivered 2 healthy babies. Just something to be aware of with any fertility measures.

Dr. Klein was kind, patient, compassionate and understanding. He knew the sensitivity of the whole situation and didn't try to give me other options that would delay the process for no reason. He was always reachable and I cannot thank him enough!

You'll feel so comfortable there, don't worry about a thing!

Amazing doctor with a great bedside manner. Kind and patient, answered all questions.

Go see him, he's great.

I loved working with Josh Klein. He gave me very honest feedback and set my expectations. Other doctors wanted to run so many tests (many were invasive) to try to diagnose the problem or put me on meds (like Lupron, which I refused) to try to correct something that hadn't even been diagnosed. Dr. Klein listened to my story and focused in on the one problem that had been identified a year earlier - scarring - that we thought had been solved (two visits to Dr. Isaacson in Boston, who I still highly recommend). Before launching into other tests, he wanted to check in on that to see if it had come back. We did a hysteroscopy and he removed some scarring. My next transfer (#5!) was successful. Even with a 5.9 lining. He didn't just apply the rule book on what next but really thought about the situation and it paid off. I'm so grateful that I went to him. Also- the only reason I didn't see Josh Klein on every visit was because of restrictions related to COVID-19

Trust him! and the other doctors are great too. Dr. G did my transfer (because of COVID restrictions) and he was great!!

Hysteroscopy to diagnose and remove scarring. Letrozole and Estrogen to bulk up my lining. PIO, oral & vaginal progesterone before and after FET

I was fortunate enough to have the vast majority covered by insurance (united & cigna)

never discussed multiple

I wish someone had shared their experiences with Extend, so I could have skipped my 2 cycles with them, and saved my ovaries Dont take me wrong, Dr Klein is very nice. The clinic is pretty well organized. (Dr G is a different story. Very rude and impatient ) But the methods they use are so aggressive and ineffective. They are very rigid with statics, and treat every patient like how a textbook would instruct. They try to pump as much medication into you as possible, hoping to get the best results. But it turned out to be very counterproductive and I am afraid its harmful to my body in the long run. And the results are so poor. I only got 50% of mature eggs the first time, and the second time half of the eggs magically disappeared ( I think they ovulated earlier because the doctor was late!) They use manupor unnecessarily. They ask you to inject full dose of ganerilx every shot. They don't time well the ovulation Window. They just rigidly go by the 36 hours rule. (I strongly suspect in the second cycle, the missed the ovulation window, and lost half counts of my eggs. Because the count of eggs was only half of what the unltrasound indicated. But the doctor was not willing to tell me why. They tried to hide the reasons. I even got yelled by doctor G for asking about the reason ) I only found out how these things are wrong after I went to New Hope for my third cycle this month. I was pretty skeptical about them at the beginning, and even wanted to go back to the extend. The extend sells them well for all the charts and statistic based result predication But at New Hope, they customize the medication for you. I didn't have to use manupor. They minimize both the ganerilx and trigger shots. I felt less influenced by the drug during the whole cycle. And the result was better. New hope is not the best. For example, they could have given me the wrong trigger shot medication if I didn't triple check with the nurse. just for a full disclosure But if I could have done it again, I wouldn't have gone to the extend at all. I feel really regretted, not for the money, but worried about how all the cycles might have impacted my health. But it's my fault that I didn't do a thorough research first. So I just want to share the experience here. I hope it will help someone who is going through the same situation-- egg freezing

Don’t go to that clinic

The doctor sees so many patients that he didn’t remember me when I went in for ultrasounds or for the egg retrieval procedure. However, he did have very good bedside manner and explained everything clearly and in detail.

To expect to be seen by other doctors and nurses, but to know they will still be in good hands.

Follastim 375 units, Menopur 225 IU (between 2- 3 vials), Ganirelix Acetate 250 mcg, Pregnyl 10,000 units

$6000 and the medications were separate and variable each cycle (between $3500 and 4,500)

N/A

Dr Klein was kind and helpful. He was honest with all the possible outcomes and made sure I understood what was happening. When I had concerns he made sure to explain options in-depth to make sure I felt comfortable to make a decision.

It depended on the day and time I showed up. Some days were less crowded, but the later you go in, the more crowded it will be. There were some days where they had to put people in conference rooms, but they made sure everyone had a seat and they're always offering water!

I got lucky and they were doing a special discount for the month that I was going to begin so I got $1,000 off for all of the stuff associated with retrieval, except for medication and storage.

Pros: explain procedures, answered questions , good bedside manners Cons: was late for appointment, like 1 h late, and didn't offered other alternatives. I think I should have tried ivf, but i didn't understand the benefit

He is very knowledgeable, but you have to ask many questions

I don't remember the name.of the injection- but it was a doses of 150 units.

1000

Joshua Klein is an amazing Dr. I've used 4 Dr before i got to him. we couldn't imagine how we have ever used any other Dr. before. The patience, the clarity he always provided. He was always always there for us. there was no such a thing as not receiving a response on an email or phone call before the end of the day.

Dr Klein was reassuring and there for me as a patient. He encouraged me to email him with any questions. During the consultation Dr Klein explained the science, statistics, and procedures. He was also sensitive to my religious needs and worked around them.

Ask questions and get clarity

I don't remember the protocol only that I started with follistim and menopur.

I think it cost about $6500 for office visits and anesthesia.

Very nice, good listener, explains thoroughly. Only bad experience that doctor “forgot” a gauze inside me. It was not him though but the doctor performing the procedure which was his colleague at the clinic

Insist that he does the procedure himself

Dr. Klein paid close attention to my history and adjusted my protocol accordingly. He responded to my questions and changed strategy when needed. After five visits at another clinic, I switched to Dr Klein and had much better results.

Dr Joshua Klein provided a seamless experience for me. His professionalism and expertise puts him above all and allowed me to be at ease throughout my procedures. I highly recommend Dr Klein and Extend Fertility.

Ask as many questions as possible, stay informed and understand the process

Clear description for all medication, dosage amounts and how to take each.

Appx $10,000

Dr. Klein is very warm, compassionate, patient, and articulate. He explained every option and solution in great detail. He was very attentive to our questions and worries. Absolutely loved to be in his care!

Dr. Klein is not your regular doctor, he's also your friend.

Dr. Klein was extremely knowledgable and data-driven and we felt so comfortable and confident in our egg freezing journey. We visited 4 other clinics before deciding on Dr. Klein and Extend Fertility. He came through a personal recommendation, and I can see why, he was the best. We felt that he was extremely informative. In our first consultation, he met with us for over an hour to answer all of our questions and provided us useful graphs for us to understand the journey ahead. Dr. Klein performed my first egg freezing surgery and while I was nervous at the beginning, he put my nerves at bay. He is realistic and helped to level set our expectations. We actually retrieved and froze more eggs than we were predicting both egg freezing cycles, which just felt like such an overall win for a great experience with better than expected results. I could not recommend Dr. Klein more enthusiastically and anytime one of my friends states that they are looking into fertility treatment I sing the praises to go to Dr. Klein. He is the best.

Definitely spend time with Dr. Klein to understand your own projected outcomes from all of his data & graphs.

I did not have any reactions or symptoms to the strategies provided. I do not recall the protocol or treatment plan.

I paid $6,200 for the egg freezing treatment & $4,549 for the medication.

This is not relevant.

Dr. Klein. explained the process and statistics during my consultation appointment and gave me all the time to ask questions and he answered any and all that I had. He was factual and present and the information was very clear. I felt confident choosing Dr Klein as my doctor.

I wished that the video instructions for the medications was available as a print-out so that I would have had the visual to glance at all at once and not need to skim through videos to find answers to your questions.

Monitoring appointments were great. The nurse would show me my growing follicles on the screen and we'd chat and have laughs. The monitoring appointment were fine.

Dr. Klein's level of expertise and professionalism was head and shoulders above any Dr. I've worked with in any women's medical practice. He was kind, patient, and very knowledgeable. I think his combination of expertise and humanity help him customize the best course of treatment for me. The results I had with him were better than predicted and most importantly for me I felt well taken care of throughout the process.

This is kind of a tricky question to answer in the confines of how these reviews are set up. After my consultation I was given the option of the doctors and their availability and opted to go with the NP Valerie as she had the earliest availability and I didn't feel like I was dealing with anything complicated enough that would require the mental assurance of needing to work directly with a doctor. So my interactions with Dr Klein were very limited but really positive. On my first night of medication I accidentally doubled the dose and called in a panic. This was after hours and he was on-call and returned my call quickly and calmly reassured me this wasn't a big deal. My other interaction with him was him doing my retrieval and he was warm and professional and instilled confidence in me.

Natalie prescribed me Menpur and Follistem, and then Ganirelex. I'm older and combined with my AMH levels I was on a pretty high dose of medication and ended up having to increase the dosages from the original estimations.

I tended to opt for the later end of the monitoring time window and never had any issues getting appointments or waiting. And they were always accommodating if I was running a bit behind as long as I was there in the window.

The cost was $6400 for the cycle which was after a 10% discount I received from my associated benefit company. The medications ended up being around $6000 which was a lot more than the original estimation but I was on high doses that ended up having to be increased event higher.

I felt very safe as Dr. Klein's patient. I was very inquisitive and he took the time and patience to go through each of my questions. I never felt rushed and 2 different times when I questioned his methods, he gave me sound reasoning as to why he went the course he did. I truly respected his approach and his willingness to hear my concerns. His professionalism in tandem with his care was excellent. I would highly recommend him and in fact have done so many times over thus far.

Ask questions, advocate for yourself and speak to someone who has gone through the process already in order to ask the right questions.

My protocol was 2 vials of Menopur and 300 GonalF/Follistim for days 1-4 or 5. On the 4th or 5th day, I was pushed to 3 vials of Menopur and took Ganirelix/Cetrotide as well until my trigger. My first cycle I had 1 less day of meds and got 23 eggs of which 18 were viable. My second cycle went 1 day longer and I got 26 eggs of which 26 were thankfully viable.

Retrievals are around ~$6000 range and meds cost between another $3000-$4000 depending on what you need.