How was your experience with Lora Shahine at Pacific NW Fertility?
Strengths: Caring, knowledgeable and compassionate. Optimistic and positive. Open to alternative therapies to support fertility treatments. Clearly explains procedures and makes you feel at ease. Has used fertility treatments herself, so she understands what you are going through emotionally and physically.
Weaknesses: Too positive sometimes.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
My advice is the same for all fertility patients, regardless of doctor: Be prepared with questions and don't be afraid to ask the "silly" question. Be your own advocate - you know your body, and if you don't feel like a course of treatment is working, say so. Ask for other options or changes you can make to improve your outcomes.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine took the time to explain all treatments and answer all our questions. We never felt rushed during an appointment. When our first embryo transfer resulted in a negative pregnancy test, Dr. Shahine called me to express her disappointment at the failure and belief that we would ultimately get pregnant. She genuinely cares about her patients and helping you create a family. She's gone through IVF, so she is uniquely able to understand how you are feeling, both physically and emotionally.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
IVF, egg retrieval: 9 days of mini-HCG and Follistem; added Ganirellex on day 5
FET #1, programmed cycle: Delestrogen every three days (estrogen patches were recommended, but we were trying to save money). Delestrogen dosage decreased after initial check because levels too high. Progesterone-in-oil (ethyl oleate) five days before transfer. Diazapam for embryo transfer. Negative pregnancy test.
FET #2, natural cycle: Tried two natural FET cycles but both were canceled because estrogen levels failed to get high enough and follicles stopped growing.
FET #2, programmed cycle: At Dr. Shahine's recommendation, returned to the programmed cycle and used estrogen patches instead of delestrogen injections. Patches resulted in more consistent estrogen levels that rose gradually and within acceptable parameters. Progesterone-in-oil changed to sesame oil base because ethyl oleate base was irritating and causing lumps; sesame oil more comfortable for me. Diazapam for transfer. Negative pregnancy test.
FET #3, programmed cycle: Same medicines and protocol for this transfer. Major change was switching to a prenatal with methylfolate instead of folic acid. Positive pregnancy test.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle)
Danielle was always available to answer my questions, clearly described the process and how to administer injections, and her calendars kept us on track. She was personable, compassionate and friendly. I had excellent interactions with the entire nursing staff.
Describe your experience with Pacific NW Fertility.
Professional, comfortable, clean, helpful staff. Parking garage. Patient care separated from lab, private rooms to talk about finances with financial counselors.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
IVF and one FET: About $16,000 + medications (about $4,000) + genetics screening (about $5,000)
FET #2 and #2: About $5,000 + medications (about $2,000)
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Since we elected to have all embryos screened through PGS, Dr. Shahine recommended only transferring one embryo at a time. Her rationale was that transferring two screened embryos did not increase the success rate, only the chance of multiples. And she recommended we try to avoid multiples if possible because it's more stressful to both the mother and babies.