Molina Dayal

Dr Dayal came out to the lobby to get us on our first appointment. In my husband’s words “wow she seems so much more invested”...provided me with the information and reassurance I needed...performed her own procedures...called us in the evening more than once to talk through random questions I had...made a medical regimen specific to me and explained drug choices and dosages. The meds resulted in the production of many eggs and she changed my dosages frequently at the end of the retrieval cycle (with additional appointments to monitor and determine the best retrieval date).

They [STL Fertility (formerly SIRM St. Louis)] are very friendly on the phone and scheduling is so easy! After hours nursing is also so friendly (even at 10pm and even when I just needed reassurance )! The tech who did US was so nice, yet professional, and put me at ease. The phlebotomists are all great- I never had a bad experience with them...able to meet with someone in billing on our first appointment. She spent about an hour with us and explained all our options.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr Dayal is wonderful! We switched clinics because I was not happy with our care. Dr Dayal was so very thorough and performed her own procedures. I am anxious at baseline and she provided me with the information and reassurance I needed. She called us in the evening more than once to talk through random questions I had. She is the absolute best.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Ask all your questions, she truly wants to hear them and help you!

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr Dayal came out to the lobby to get us on our first appointment. In my husband’s words “wow she seems so much more invested”. He is absolutely right, I felt like she listened to us and wanted to help, along with providing very detailed information and expectations.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

Unlike the clinic prior, Dr Dayal made a medical regimen specific to me and explained drug choices and dosages. The meds resulted in the production of many eggs and she changed my dosages frequently at the end of the retrieval cycle (with additional appointments to monitor and determine the best retrieval date).

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy)

Amy was available for questions all throughout the work week, and the on call nurse answered immediately after hours. Amy never made me feel silly for asking a question (even though I asked silly questions and just needed reassurance). I felt like she really cared!

Describe your experience with STL Fertility (formerly SIRM St. Louis).

They are very friendly on the phone and scheduling is so easy! After hours nursing is also so friendly (even at 10pm and even when I just needed reassurance )! The tech who did US was so nice, yet professional, and put me at ease. The phlebotomists are all great- I never had a bad experience with them. I am very anxious for bloodwork (which is evident) and they all hit the vein right away, while encouraging me to positively cope with the blood draw.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

We were able to meet with someone in billing on our first appointment. She spent about an hour with us and explained all our options. I felt like they were more aware and conscious of billing than the previous clinic we went to. We ended up utilizing Attain fertility.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2016 - 2020, Unknown Success

Age 31 - 35

4 IUI

Anovulation

PCOS

Recurrent Pregnancy Loss

Unexplained

Income $50K - $99K

Only Doc Seen

IVF With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr. Dayal is so warm and compassionate and makes us feel like we are her only patients. She spends much quality time and makes sure we fully have and know everything we need...During the miscarriages and hard times she would reach out personally to make sure we were okay and made us feel like her only patients. She makes the treatment processes much easier to handle...After doing an ERA last summer she found that I would potentially benefit from a day 6 transfer instead of a day 5 with the next FET.

After doing an ERA last summer [at SIRM] she [Dr. Dayal] found that I would potentially benefit from a day 6 transfer instead of a day 5 with the next FET...Amy [nurse] is fantastic! She is always there with answers to questions we may have and understands my need for communication...The only issue I had was during a staff change the new employees did not know our history and our protocols. We were getting conflicting info from person to person. Everything worked out!

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal has zero weaknesses. She is the most compassionate and intelligent doctor I have ever had the pleasure of knowing. During the miscarriages and hard times she would reach out personally to make sure we were okay and made us feel like her only patients. She makes the treatment processes much easier to handle.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Keep up with communication with your nurses, etc. Do not be afraid to ask questions and make sure you have everything you need.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal is so warm and compassionate and makes us feel like we are her only patients. She spends much quality time and makes sure we fully have and know everything we need.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

During the IUIs I was placed on letrozole and did a pregnyl injection to release the egg(s). Egg retrieval for IVF was Gonal F, Lupron, Menopure. At the time this was the best course of treatment. After doing an ERA last summer she found that I would potentially benefit from a day 6 transfer instead of a day 5 with the next FET.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy Albertson)

Amy is fantastic! She is always there with answers to questions we may have and understands my need for communication. She has always been there for us during the tough times. She is extremely organized!

Describe your experience with STL Fertility (formerly SIRM St. Louis).

My only comment about weakness is that they recently had a change in staff. There was a time where I got lost in the shuffle, but with so many new employees it is understandable when trying to get settled and trained. It's also understandable since I have been coming to this clinic for 5 years.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

The costs have been uniform since our first visit. With each cycle we knew what our costs would be and there were no surprises. We were able to secure a loan to help us.

What specific things went wrong at STL Fertility (formerly SIRM St. Louis)?

Provided conflicting information

Describe the specific things that went wrong at STL Fertility (formerly SIRM St. Louis).

The only issue I had was during a staff change the new employees did not know our history and our protocols. We were getting conflicting info from person to person. Everything worked out!

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2018 - 2019, Unknown Success

Age 32 - 33

2 IVF

Unexplained

European

Income $100K - $199K

Professor

2nd of 2 Docs

3 IUI With Other Docs

1 IVF With Other Docs

Strongly Recommends

Success w/ Doc Not sure

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Prior to egg retrieval, I used Lupron. I had two retrievals with Dr. Dayal which were much more successful than the retrievals I had with another RE. I felt Dr. Dayal carefully considered the best approach given my history, age, etc. For the FETs I have had under Dr. Dayal's care we have used both medicated and a semi-natural/gentle stim cycle...I have only done single embryo transfers, which Dr. Dayal is strongly in favor of...is extremely warm and caring - you can tell she really cares about her patients and thoughtfully thinks about each case and the best approach.

I used an Attain shared risk plan [at SIRM St Louis]...This clinic makes you feel like a person and I have seen Dr. Dayal at nearly every appointment. This is very much in contrast to the approach I had at another clinic where I rarely met the RE and procedures were performed by the RE on service that week. Dr. Dayal performed every embryo transfer and FET I had under her care personally...Nursing staff is great at SIRM! Very thorough and great attention to detail. I have had very few issues with them, which is in contrast to my experience at another clinic.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal is extremely warm, intelligent, and thorough. Despite the fact that I have still not achieved the outcome I want, I completely trust her and believe she has left no stone unturned. I would recommend her wholeheartedly to anyone going through infertility.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal is incredibly thorough and explains everything well but certainly feel free to ask her questions, which she will always answer!

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal is extremely warm and caring - you can tell she really cares about her patients and thoughtfully thinks about each case and the best approach.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy Albertson)

Nursing staff is great at SIRM! Very thorough and great attention to detail. I have had very few issues with them, which is in contrast to my experience at another clinic.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

This clinic makes you feel like a person and I have seen Dr. Dayal at nearly every appointment. This is very much in contrast to the approach I had at another clinic where I rarely met the RE and procedures were performed by the RE on service that week. Dr. Dayal performed every embryo transfer and FET I had under her care personally.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

I used an Attain shared risk plan.

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

I have only done single embryo transfers, which Dr. Dayal is strongly in favor of.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2018 - 2019, Unknown Success

Age 28 - 29

1 IVF

Anovulation

PCOS

Unexplained

European

Income $100K - $199K

Only Doc Seen

Strongly Recommends

Success w/ Doc Too early to know

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr. Dayal always greeted me by name. She would ask questions that were more than just a "how are you doing?" nature to really get to know you...has always been very straight forward with us. She tells us what treatment options are best for our situation. When a cycle failed, she changed things up so things looked different the next time. She genuinely cares about me as a patient and always weighs the risks and benefits of each treatment option.

It [SIRM St Louis] is newly renovated and easy to find. They just added a third doctor to their practice. At this time they do batched IVF cycles, which is both good and bad. I'd love to see them stop that and do the IVF based on where their patient is in their cycle...The nursing team work together to make sure your needs are met. You are assigned a specific nurse, and she is the one who makes your schedule and fields the majority of your questions. But almost every nurse there knows me by name and can answer any question I have regarding my treatment if my nurse is not available.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal has always been very straight forward with us. She tells us what treatment options are best for our situation. When a cycle failed, she changed things up so things looked different the next time. She genuinely cares about me as a patient and always weighs the risks and benefits of each treatment option.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Be prepared to never want to see another doctor again! Dr. Dayal will warm your heart and give you confidence that you'll walk out of that office pregnant.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal always greeted me by name. She would ask questions that were more than just a "how are you doing?" nature to really get to know you.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

We attempted a timed intercourse cycle with a low dosage of stimulation drugs. I have a high number of eggs so she wanted to start with a low dose so as not to overstimulate me. That cycle was unsuccessful, but it did give Dr. Dayal an idea on how my body would react to a full stim IVF cycle. We moved straight forward with IVF, choosing the skip IUI as the issue was annovulation, not a sperm issue. She monitored me very closely as I did produce a very high quantity of eggs. Due to the large number of eggs we had to freeze all of our embryos and do a frozen cycle. Our first frozen cycle failed. After that cycle Dr. Dayal added on a bag of intralipids and had us do an ERA to determine our optimum window for implantation. Our second cycle also failed, and I will be speaking with Dr. Dayal tomorrow on what we can change for our next cycle to try to be successful.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy Albertson)

The nursing team work together to make sure your needs are met. You are assigned a specific nurse, and she is the one who makes your schedule and fields the majority of your questions. But almost every nurse there knows me by name and can answer any question I have regarding my treatment if my nurse is not available.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

This clinic has some of the best doctors around. It is newly renovated and easy to find. They just added a third doctor to their practice. At this time they do batched IVF cycles, which is both good and bad. I'd love to see them stop that and do the IVF based on where their patient is in their cycle.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

I do not remember the costs. I know that my insurance did cover 85% of the total costs of treatment.

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

Dr. Dayal did recommend only transferring one embryo because of my younger age. She told us that transferring two embryos doesn't really increase your chance of getting pregnant, just your chance of having multiples.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2017 - 2019, Unknown Success

Age 27 - 29

1 IVF

PCOS

Recurrent Pregnancy Loss

European

Native American

Income $50K - $99K

Sales Representative

2nd of 2 Docs

2 IUI With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

The thing I love the most about working with Dr. Dayal is I feel like we're part of a team. I can always ask her questions, mention concerns, and we work on a plan together. I never feel rushed with her in my appointments, even when I have a ton of questions. With both of my losses Dr. Dayal was incredibly compassionate and when I was ready mentioned procedures/tests we might consider to get to the bottom of the issue.

Nurse Tayon [at SIRM STL] is great to work with. I definitely feel comfortable asking her any questions I have and she is always quick to respond. When she went on maternity leave Merry Kay took over as my nurse and she was equally as great. I feel like I always get the information I need. If I have concerns or inquiries about our cycle she is always willing to listen and ask Dr. Dayal if needed.... Overall the clinic is great. The best care I have ever received. When we first started their financial adviser for patients was hard to get a hold of and seemed very unorganized but she is no longer at the clinic. Everyone is so friendly, accommodating, and I love that I never feel rushed.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Ask all the questions you have. It isn't a reflection on Dr. Dayal or her staff because they are great with communication, more being your own advocate and not being afraid to ask any and all questions.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

The entire staff at SIRM is incredible and they always know exactly who I am, the laugh with me, joke with me; which makes the overall experience much more positive. Dr. Dayal is highly involved in my care and I see her every appointment I have which I really appreciate.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

The first IVF cycle I did with Dr. Dayal was canceled. We had agreed to do a low dosage protocol and my follicles simply stopped growing at the mid-way point. Dr. Dayal suggested a low dose protocol because she was worried about hyper-stimulation due to my PCOS. We tried to work with the cycle but it just wasn't working so we wound up canceling it. Our second IVF we did complete and did a freeze all instead of doing a fresh transfer. We used a "middle of the road" dose protocol and it worked perfectly. She was still worried about hyper-stimulation and warned me if this occurred we would have to do a freeze all. While I didn't hyper-stimulate I did have a rough recovery with egg retrieval due to past abdominal surgeries, completed unrelated to Dr. Dayal, and we wound up having to do a freeze all anyway. With each of our 3 frozen embryo transfers (FETs) we used the same protocol because even though the first one was unsuccessful with a negative beta, my body responded exactly as wanted to the medication protocol. My 2nd and 3rd FETs resulted in positive betas but ended in miscarriage, both at 5 weeks 1 day. After learning this Dr. Dayal highly recommended doing an ERA test to make sure we were transferring on the right day.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amanda Tayon)

Nurse Tayon is great to work with. I definitely feel comfortable asking her any questions I have and she is always quick to respond. When she went on maternity leave Merry Kay took over as my nurse and she was equally as great. I feel like I always get the information I need. If I have concerns or inquiries about our cycle she is always willing to listen and ask Dr. Dayal if needed.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

Overall the clinic is great. The best care I have ever received. When we first started their financial adviser for patients was hard to get a hold of and seemed very unorganized but she is no longer at the clinic. Everyone is so friendly, accommodating, and I love that I never feel rushed.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

I don't specifically remember costs because my Husband and I are very lucky to have health insurance that helps with infertility treatments. However, they do use an anesthesiologist who does not accept insurance and their cash/check payment cost is $500 which is due at time of service.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2015 - 2018, Unsuccessful

Age 36 - 39

1 IUI

2 IVF

Unexplained

European

Income $200K - $499K

Nurse or HC Services

1st of 3 Docs

2 IVF With Other Docs

Doesn't Recommend

Unsuccessful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr. Dayal was always gentle in all of her procedures that she performed and took care to minimize pain....Unfortunately my last experience with Dr. Dayal is the reason why I cannot recommend her as a doctor.... My gynecologist's office had to chase her down to get the records they needed and only through their efforts was I able to get my D&C. A miscarriage is awful enough, but having a doctor that you worked with for years abandon you in the middle of it is just unconscionable

There was a real deficit of caring at this clinic [SIRM St. Louis]. Overall the staff here doesn't care about their patients very much. For example a nurse made a joke about my memorial necklace after I returned to treatment after a stillbirth... The staff frequently forgot that I had stillbirth and kept asking me how the baby I lost was doing.... myself and another patient's charts were mixed up during our monitoring appointments and I was told to trigger far too soon.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal was always gentle in all of her procedures that she performed and took care to minimize pain. She was generally good about explaining everything and was upfront if a certain test or procedure did not have a lot of research. Dr. Dayal was open to trying new procedures and medications. Unfortunately my last experience with Dr. Dayal is the reason why I cannot recommend her as a doctor. I went into her office for a D&C after a miscarriage and unfortunately her nurse anesthesiologist was not able to place an IV despite many tries so the procedure was cancelled. This is obviously a terrible experience, but Dr. Dayal told me she would see if either the other anesthesiologist team she worked with would be available and also took the name of my gynecologist to see if she could get me set up to have it done with them and that she would call me later that day. She never called. I called my gynecologist's office the next day who said they had not heard from Dr. Dayal. My gynecologist's office had to chase her down to get the records they needed and only through their efforts was I able to get my D&C. A miscarriage is awful enough, but having a doctor that you worked with for years abandon you in the middle of it is just unconscionable

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal tends to phrase things in a very optimistic manner. Please do your own research and take any statistics she quotes you with a large grain of salt.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

There was a real deficit of caring at this clinic. Overall the staff here doesn't care about their patients very much. For example a nurse made a joke about my memorial necklace after I returned to treatment after a stillbirth in front of Dr. Dayal and the Dr. didn't say anything to her. The staff frequently forgot that I had stillbirth and kept asking me how the baby I lost was doing.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

Long lupron protocol with fresh transfers of a single embryo (against Dr. Dayal's recommendation) then double embryo transfer. Did natural killer cell testing after the first fresh transfer failed and when this came back elevated, she added intralipid infusions to future transfers. Also did two medicated frozen embryo transfers.

Describe your experience with the nursing staff at STL Fertility (formerly SIRM St. Louis).

The nursing staff here in general were unprofessional. My first IVF cycle almost went down the drain, because myself and another patient's charts were mixed up during our monitoring appointments and I was told to trigger far too soon. This didn't match what Dr. Dayal had discussed with me, but the nurse refused to listen to me. I had to argue with her for quite awhile before she reluctantly went to double check with a lot of attitude and then she didn't even apologize when she slinked back to give me the correction instructions. I'd been chewed out by the nursing staff for not scheduling my appointment (I had) and for them not being able to get an IV in to me. Overall the nurses were pretty good at getting back to me if I had a question and for the most part were responsive and correct in getting appointments, orders to pharmacies, updated calendars and there was a lot less waiting to hear back at this clinic than my experience with other clinics.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

Getting on the schedule is very easy and not a lot of waiting. Their monitoring starts at 8am and tends to take awhile, which sucks if you are trying to juggle IVF and work. But your RE is there at every appointment and you know the next steps and have your next appointment scheduled before you leave which is great . The financial counselor there was completely useless, but they do send itemized bills which were easy to understand.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

Had insurance coverage

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

Due to my age, she recommended transferring two day 5 embryos. I do think Dr. Dayal downplays the risks of a pregnancy of multiples.

What specific things went wrong at STL Fertility (formerly SIRM St. Louis)?

Failed to call in prescriptions to pharmacy
Lost appointments
Provided conflicting information

Describe the specific things that went wrong at STL Fertility (formerly SIRM St. Louis).

I've had a few minor issues such as they forgot to call in prescriptions and I wasn't on the schedule once when I had made an appointment. I had a much more critical near miss where they mixed my chart up with another patient's and they almost screwed up both of our IVF cycles by telling me to trigger when I wasn't ready and telling the other patient to continue stims when she was ready to trigger and it took a lot more arguing from me than it should have for them to double check. The biggest issue I had there was the nurse anesthesiologist not able to place an IV for a D&C procedure that Dr. Dayal failed to follow up after this procedure was cancelled. The clinic as a whole does not accept responsibility for their errors and tends to blame patients or anyone else for their mistakes.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2018, Unknown Success

Age 34

1 IUI

2 IVF

Immunological

European

Income $50K - $99K

Nurse or HC Services

2nd of 3 Docs

3 IUI With Other Docs

Neutral

Success w/ Doc Too early to know

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr Dayal is very compassionate and seems to truly care. I have had issues that I have brought forward and she listens well and has attempted to make them right. I really appreciate that she is in every appointment, she answers all my questions and I have felt like I have a say in my care ...Dr Dayal and all of the staff [Sher] do a wonderful job of making you feel like a person.

The office [Sher] is nice, staff is great, they are responsive to your needs. However they are a large clinic and like anywhere else you need to continue to advocate for yourself and your needs. I recommend having a note book with questions and be prepared with it at every visit ... had a scan done at another location and the report stated I had a septate uterus. ... I was not notified of report and the embryo transfer proceeded. My septate uterus was offically diagnosed 2 years later and I had surgery immediately.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Advocate for yourself, have questions prepared and don’t be afraid to adk

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr Dayal and all of the staff do a wonderful job of making you feel like a person. They remember personal information and make you feel so comfortable

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

We have tried several different protocols. I did not stun well my first try at egg retrieval and we started making changes after that

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy A)

The nursing staff is amazing. They answer my questions, are very responsive to emails or calls, and have been supportive through some really hard times and helped celebrate through some big wins

Describe your experience with STL Fertility (formerly SIRM St. Louis).

The office is nice, staff is great, they are responsive to your needs. However they are a large clinic and like anywhere else you need to continue to advocate for yourself and your needs. I recommend having a note book with questions and be prepared with it at every visit

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

I am not sure we had some coverage but each cycle seemed to be about 7000.00 prior to medications

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

I had a uterine anaomly and will always do a single transfer

What specific things went wrong at STL Fertility (formerly SIRM St. Louis)?

Lost paperwork
Failed to convey critical information

Describe the specific things that went wrong at STL Fertility (formerly SIRM St. Louis).

I had been previously diagnosed with a bicornuate uterus and had a scan done at another location and the report stated I had a septate uterus. This was prior to my 3rd embryo transfer. I was not notified of report and the embryo transfer proceeded. My septate uterus was offically diagnosed 2 years later and I had surgery immediately. I then had another transfer that resulted in pregnancy however it ended in miscarriage

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2016 - 2018, Successful

Age 29 - 31

3 IUI

Diminished Ovarian Reserve

Unexplained

European

Income $50K - $99K

Professor

1st of 2 Docs

Fertility Medications With Other Docs

Strongly Recommends

Neutral

Successful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr. Dayal is very warm and compassionate. She remembers details about you when you visit (both medical and personal). While we were seeking a second opinion before doing IVF she called to get a check-up on our progress. Although she will give her medical opinion and guidance, she is 100% supportive of OUR decisions through the process. She treats us as intellectuals and explains ideas that need elaboration, but doesn't overexplain ideas that we've "got." She has never once rushed an appointment with us. She has made it clear that us having a successful pregnancy is her priority.

My experiences with the clinic [Sher-STL] have been the only thing that has not been great about the process. Everyone is VERY warm and friendly, and a lot of the staff gets to know you personally, but they honestly can be a bit disorganized at times. Nothing major so far, but things like calling to cancel/reschedule an appointment and it not getting noted. Sometimes I feel like I am responsible for reminding them of details that I think the should have recorded. Like I said, not horrible! But there have been a few moments.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Is it possible for a doctor to be too kind? I am struggling to come up with anything except that maybe at times I wish she was a little more forceful with her advice (ok, not really). But we may have made some different decisions to move quicker if she had guided us to. So have an idea of what your goals are when meeting with her.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy Albertson)

We've only met with Amy once so far (just starting out) but she seems kind, competent, and organized. I am relieved that she is our nurse.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

My experiences with the clinic have been the only thing that has not been great about the process. Everyone is VERY warm and friendly, and a lot of the staff gets to know you personally, but they honestly can be a bit disorganized at times. Nothing major so far, but things like calling to cancel/reschedule an appointment and it not getting noted. Sometimes I feel like I am responsible for reminding them of details that I think the should have recorded. Like I said, not horrible! But there have been a few moments.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

If I remember correctly, IUIs were somewhere around $1,000 a piece (roughly), and we've been quoted about $10,000 for the first round of egg retrieval, $5,000 if we have to do a second round, $3,000-6,000 for meds (ours is $4,250), $450 for anesthetic, and approximately $5,000 for transfers.

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

We have not yet gone through the process of IVF, but in our preliminary discussions, she has mentioned the odds of success for single vs. multiple and does seem to have a medical bias towards single. It seems like she would allow us to do two if we chose two, but she is definitely recommending one (which we will likely follow!)

What specific things went wrong at STL Fertility (formerly SIRM St. Louis)?

Failed to send your chart to another clinic
Provided conflicting information
Failed to convey critical information

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2014 - 2017, Successful

Age 35 - 38

2 IVF

Recurrent Pregnancy Loss

Unexplained

European

Income $200K - $499K

Business Executive

Only Doc Seen

Strongly Recommends

Successful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

I knew she [Dr. Molina Dayal] was in the trenches with us and wanted us to have a child. She was sympathetic and understanding to our needs. She never made us feel like we were anything but family. I can not speak highly enough about her or her staff. These people created my twins and will forever hold a spot in our hearts.... She would hug you on a bad day and be a cheerleader on a good day. She never made us feel like a patient but more like family. She cared whether we got pregnant or not.

They [nurses at SIRM-STL]never sugar coated which I greatly appreciated. I am a "give it to me straight" and they always did this. I formed relationships with all of the staff and I would get excited to see them during my appointments. I coined MaryKay "my woobie" she was my security blanket and she always made me feel calm and relaxed. Also Jamie was fantastic to my husband and I. She gave me her cell number because I was such a worry wart and would let me text her whenever.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Fantastic, compassionate, smart doctor. She would hug you on a bad day and be a cheerleader on a good day. She never made us feel like a patient but more like family. She cared whether we got pregnant or not.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Take each step of the fertility treatment one step at a time. I found it worked best for us by taking each hurdle of this process one at a time versus having everything thrown at you at once. Dr. Dayal always did this for us.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

I knew she was in the trenches with us and wanted us to have a child. She was sympathetic and understanding to our needs. She never made us feel like we were anything but family. I can not speak highly enough about her or her staff. These people created my twins and will forever hold a spot in our hearts.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

We did interlipid treatments before each transfer. When we had two miscarriages we added longer Interlipid treatments and more meds to ensure a positive test.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: MaryKay)

Fantastic!! They never sugar coated which I greatly appreciated. I am a "give it to me straight" and they always did this. I formed relationships with all of the staff and I would get excited to see them during my appointments. I coined MaryKay "my woobie" she was my security blanket and she always made me feel calm and relaxed. Also Jamie was fantastic to my husband and I. She gave me her cell number because I was such a worry wart and would let me text her whenever.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

My biggest complaint would be that it was bought out by Intermed and was ran a little more aggressively when it came to money. This was not anyone at the clinics fault and you would never know they were switched to a more corporate type place.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

I want to say around 10,000.00 for a fresh cycle and 3,500 for a frozen.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2015 - 2017, Unknown Success

Age 27 - 29

PCOS

Tubal Blockage

European

Income $50K - $99K

Only Doc Seen

Fertility Medications With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Molina Dayal Nevada Fertility Center (FKA SIRM Las Vegas)

She [Dr. Dayal] is very honest about each situation and about your progress...Upon seeing Dr. Dayal, I had blood work done and ultrasounds that determined that I needed a surgery to remove the build up of the lining of my uterus that when tested was cancerous and pre cancerous. The blood work also concluded that I do not produce some of the chemicals that are required to ovulate or to shed the lining of my uterus and fertility medications were not resulting in ovulation. Given all of the results and the results from the previous Dr. it was deemed that IVF would be the best course of treatment. She said that trying any other course of action would be just a waste of time and money because she didn't see a high chance of these courses having any results. Currently we are waiting and trying to save up money for IVF.

The clinic [Sher Fertility] is very informative and they are dedicated in helping you on your journey and in trying to find answers. They used to do seminars once a year for informative purposes and where they would draw to give away a free round of IVF...I have worked with several of them [nurses] and I can say that they are all very professional and they give you and overall sense that they care for your wellbeing and about your journey.

How was your experience with Molina Dayal at Nevada Fertility Center (FKA SIRM Las Vegas)?

We are still waiting to save money for IVF so we are currently at a standstill. She has been very upfront and honest through the process so far. She has informed us of the best treatment and has not pushed us to try routes that she has thought to be a waste of both time and money since there would be no real chance of seeing results. She has first taken care of me and my overall health so that I am in the best possible position to get the best outcome.

What's one piece of advice would you give a prospective patient of Molina Dayal at Nevada Fertility Center (FKA SIRM Las Vegas)?

Do not go into this thinking that IFV is a last resort or that it is a terrible outcome. Know that it is a process and she will work with you and coming up with the best course of action.

During treatment, were you treated like a number or a human with Molina Dayal at Nevada Fertility Center (FKA SIRM Las Vegas)?

She has been very patient with your health as the top priority. She is very honest about each situation and about your progress.

Describe the protocols Molina Dayal used in your cycles at Nevada Fertility Center (FKA SIRM Las Vegas) and their degree of success.

I went through many tests and a surgery. I had previously done rounds of Clovis with no results. I had an previous procedure before coming to see Dr. Dayal where they did a minor surgery to look at my uterus. It was determined that I had PCOS and a blocked tube. Upon seeing Dr. Dayal, I had blood work done and ultrasounds that determined that I needed a surgery to remove the build up of the lining of my uterus that when tested was cancerous and pre cancerous. The blood work also concluded that I do not produce some of the chemicals that are required to ovulate or to shed the lining of my uterus and fertility medications were not resulting in ovulation. Given all of the results and the results from the previous Dr. it was deemed that IVF would be the best course of treatment. She said that trying any other course of action would be just a waste of time and money because she didn't see a high chance of these courses having any results. Currently we are waiting and trying to save up money for IVF.

Describe your experience with the nursing staff at Nevada Fertility Center (FKA SIRM Las Vegas).

I have worked with several of them and I can say that they are all very professional and they give you and overall sense that they care for your wellbeing and about your journey.

Describe your experience with Nevada Fertility Center (FKA SIRM Las Vegas).

The clinic is very informative and they are dedicated in helping you on your journey and in trying to find answers. They used to do seminars once a year for informative purposes and where they would draw to give away a free round of IVF if you were to require one but they are not doing this currently.

Describe the costs associated with your care under Molina Dayal at Nevada Fertility Center (FKA SIRM Las Vegas).

So far, everything has been covered by my insurance for preventative care. Currently, the cost for my IVF is about $7,500 with medications costing between $3,000 and $5,000.

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Nevada Fertility Center (FKA SIRM Las Vegas).

We have not reached this part in our treatment.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Nevada Fertility Center (FKA SIRM Las Vegas)

Las Vegas

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal Nevada Fertility Center (FKA SIRM Las Vegas)

2015 - 2017, Successful

Age 30 - 32

1 IVF

Immunological

Unexplained

European

Income $100K - $199K

Teacher

2nd of 3 Docs

7 IUI With Other Docs

1 IVF With Other Docs

Strongly Recommends

Successful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr. Fatal [Molina Dayal] suffers from infertility herself so that alone ups the "human factor." She's so thorough and body language and communication skills truly make you feel like you are her only patient for the whole day. There is no rushed feeling.... She's open to input on cycles from her patients and makes sure everyone in on the same page at each step in the process. I never left confused or frsutrated; she talked through every step.

It's a smaller office [SIRM-STL] and everyone is so caring. You really feel like you're the only patient. They after hours call back is fast and they answer email on the weekends. A NA, Jamie, at the clinic even started a Facebook group for our clinic as a extra place to get support. They go above and beyond!!... I love that they offer discounts for law enforcement and teachera. I love the small office feel and how quickly you can get an apppintment. I love that Dr Dayal does all the ultrasounds and procedures herself. Sometimes the lady in the finance department can be a bit harsh. I also wish we could get bloodwork done in the office

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

It sounds cliche, but you can just tell she wants the best for you. She's quiet and thorough without being worrisome. She's open to input on cycles from her patients and makes sure everyone in on the same page at each step in the process. I never left confused or frsutrated; she talked through every step.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Sit down and talk with her! Ask questions and get her opinion.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Fatal suffers from infertility herself so that alone ups the "human factor." She's so thorough and body language and communication skills truly make you feel like you are her only patient for the whole day. There is no rushed feeling.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

Before we started out FET ahe redid most testing which I appreciated. She redid the saline sonogram, blood Work, and did a new test for natural killer cells. Based on results I had polyps removed again, did intralipids, baby asprin, lovonox, etc. We ended up having to move to a fresh cycle and based on previous success and test results we did a micro-ivf cycle. We did lower doses of meds gonal-f and menopur.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy)

It's a smaller office and everyone is so caring. You really feel like you're the only patient. They after hours call back is fast and they answer email on the weekends. A NA, Jamie, at the clinic even started a Facebook group for our clinic as a extra place to get support. They go above and beyond!!

Describe your experience with STL Fertility (formerly SIRM St. Louis).

I love that they offer discounts for law enforcement and teachera. I love the small office feel and how quickly you can get an apppintment. I love that Dr Dayal does all the ultrasounds and procedures herself. Sometimes the lady in the finance department can be a bit harsh. I also wish we could get bloodwork done in the office

Describe your experience with your monitoring appointments at STL Fertility (formerly SIRM St. Louis).

Everyone had an appointment and everything was quick and on time!

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

With the discount for teachers, our FET was $2995. Our mini was $7995 (plus meds). Our next cycle, without help, is about $9000

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

I appreciated that a 5dt of 2 embryos was pretty much a given!

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2013 - 2017, Unknown Success

Age 36 - 40

1 IVF

Diminished Ovarian Reserve

Endometriosis

Poor Egg Quality

Uterine Fibroids

European

Income $50K - $99K

Accountant

4th of 4 Docs

4 IVF With Other Docs

Donor Eggs With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr. Dayal takes the time to sit and talk to you before your appointment. Very personable!...really cares about us and wants to do whatever she can to help us succeed in becoming parents. She is very knowledgeable, but also takes our ideas and feelings into consideration. She will always do what is best for us...She is very knowledgeable and she herself has been through Infertility.

MerryKay is our primary nurse [at Sher Fertility] and she has always shown compassion during our cycles. Recently with finally coming to the terms of making the decision to use donor eggs, she us been nothing short of excellent in helping us and making us feel comfortable!...They will give you a package price, you pay a deposit to hold your place for the cycle...The whole SIRM -St. Louis staff is amazing, they ask about how you are doing personally.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

I feel like Dr. Dayal takes the time to get to know my husband and I and really cares about us and wants to do whatever she can to help us succeed in becoming parents. She is very knowledgeable, but also takes our ideas and feelings into consideration. She will always do what is best for us!

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Listen to her! She is very knowledgeable and she herself has been through Infertility.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

The whole SIRM -St. Louis staff is amazing, they ask about how you are doing personally. Dr. Dayal takes the time to sit and talk to you before your appointment. Very personable!

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

My first protocol with Dr. Dayal was very aggressive, inhave endo, adeno, fibroids, blocked tubes & DOR, so she went aggressive. Unfortunately there were only 2 eggs not even mature enough to retrieve. Our cycle was cancelled. We tried again, she went with a different protocol of low and slow and we ended up getting 5 eggs, but only 4 mature and fertilized. Day 5 nothing good enough to transfer and they said we could wait one more day. They called and our one little fighter had gone to a pre blast, so we got to transfer! Thought it was our miracle, but again ended in a negative outcome. We now are currently in the process of a Donor cycle that we will hopefully be retrieving in June!

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: MerryKay)

MerryKay is our primary nurse and she has always shown compassion during our cycles. Recently with finally coming to the terms of making the decision to use donor eggs, she us been nothing short of excellent in helping us and making us feel comfortable!

Describe your experience with STL Fertility (formerly SIRM St. Louis).

I truly love this clinic. I have been tonothers and here is where we have felt the most comfortable and actually like they care about us, from the receptionists all the way to the Dr!

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

They will give you a package price, you pay a deposit to hold your place for the cycle.

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

I have never had this option

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2016, Successful

Age 34

2 IVF

Male Factor

Income $50K - $99K

Only Doc Seen

Strongly Recommends

Successful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr. Dayal is so compassionate and personable. She seems more like a friend and someone you can confide in than a doctor. Dr. Dayal is truthful and won't steer you in the wrong direction. You always feel like she has your best interest at heart. Our first round with IVF, our embryos were not viable enough to transfer. Of course this is heartbreaking but she called a few days later to check on us and wanted us to know that she was thinking about us and wanted to go over everything. Then, on our second round, right be our transfer she hopped up on the bed next to me and asked how I was feeling and discussed the transfer before going into the operating room. I love that she is so relate-able!

The clinic [Sher Fertility of St. Louis] is very organized and good with time management when dealing with patients. They take the time to answer any questions and make sure you understand what is going on. I would highly recommend anyone to use this clinic!... Amy is very down to earth and welcomes any questions you have. All of the nursing staff are very helpful and more than willing to help in any way possible.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Trust in Dr. Dayal! She is truthful and will give you great advise. She will treat your issues with the best of her abilities.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal is very personable and easy to relate to. She takes the time to explain everything in terms you can understand and takes the time to answer any questions you have.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

I was on various injections and oral medications. The progesterone in oil injections were the worst because they burned horribly because the shot is like a jelly substance. On our second cycle, Dr. Dayal increased my dosages of Follistim and added another medication to hopefully get more eggs, which it did.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy)

Amy is very down to earth and welcomes any questions you have. All of the nursing staff are very helpful and more than willing to help in any way possible.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

The clinic is very organized and good with time management when dealing with patients. They take the time to answer any questions and make sure you understand what is going on. I would highly recommend anyone to use this clinic!

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

Our medical bills with Dr. Dayal were probably around $3,000 to $4,000 with our insurance paying the majority of our bills. Our major costs were the medications. We probably spent around $7,000 total for our two cycles.

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

Dr. Dayal did inform us of the pros versus cons on a single versus a multiple embryo transfer. She gave us her opinion and we made a decision to go with her educated opinion.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2015 - 2016, Successful

Age 35 - 36

3 IVF

Diminished Ovarian Reserve

Income $50K - $99K

3rd of 3 Docs

4 IUI With Other Docs

Strongly Recommends

Successful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr Dayal was very compassionate and had great bedside manner. She always explained everything in great detail. Spent an hour with us on our first consult visit...Dr Dayal had us try ourselves first with just meds since the success rate was similar with IUI and waiting on insurance. That was not successful. We then moved to IVF due to my age and history and my husband's sperm issues. First time was a lower protocol to see how my body reacted to it. It did not succeed. We then moved to a very high protocol since we didn't get very many eggs at all with low one. 2nd time we did not succeed either due to egg quality. 3rd time we tried with high protocol, acupuncture, and reduced stressed and we where successful. Dr Dayal did suggest acupuncture and that my stress levels were to high.

They [the nurses at Sher Fertility] always called with results as soon as they got them from the lab. Always answered emails or messages I left if I had issues or questions quickly. Only bad thing was our nurse/case coordinator moved away so we were left in limbo for a little bit without a direct point of contact...Sometimes the front desk staff didn't answer the phone and would have to leave a VM which could get annoying. The staff was always very nice and helpful wether it's the front desk, insurance ladies or the embryologist (first babysitter).

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr Dayal was very compassionate and had great bedside manner. She always explained everything in great detail. Spent an hour with us on our first consult visit. We conceived on our 3 IVF try and we never felt like just another statistic with her like with other clinics we had used.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Ask questions if you don't understand a procedure or the course of treatment. She is great about explaining everything.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

When we came in for our first meeting with her she spent a long time with us and went over everything including what haooens to your eggs over your lifetime. Our previous infertility doctor would only spend 5 minutes with us and let his staff do everything else.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

Dr Dayal had us try ourselves first with just meds since the success rate was similar with IUI and waiting on insurance. That was not successful. We then moved to IVF due to my age and history and my husband's sperm issues. First time was a lower protocol to see how my body reacted to it. It did not succeed. We then moved to a very high protocol since we didn't get very many eggs at all with low one. 2nd time we did not succeed either due to egg quality. 3rd time we tried with high protocol, acupuncture, and reduced stressed and we where successful. Dr Dayal did suggest acupuncture and that my stress levels were to high.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis).

They always called with results as soon as they got them from the lab. Always answered emails or messages I left if I had issues or questions quickly. Only bad thing was our nurse/case coordinator moved away so we were left in limbo for a little bit without a direct point of contact.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

Sometimes the front desk staff didn't answer the phone and would have to leave a VM which could get annoying. The staff was always very nice and helpful wether it's the front desk, insurance ladies or the embryologist (first babysitter).

Describe your experience with your monitoring appointments at STL Fertility (formerly SIRM St. Louis).

Since we lived over 90 mins away I liked to be there first thing in the morning and they almost always got me in then. It never felt like a "cattle call".

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

I have insurance which covered most of my treatment. Still waiting to figure out my out of pockets/deductibles from insurance.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2015 - 2016, Successful

Age 27 - 28

1 IUI

1 IVF

Anovulation

Male Factor

PCOS

Immunological

Income $0 - $49K

Nurse or HC Services

3rd of 3 Docs

3 IUI With Other Docs

Strongly Recommends

Successful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr Dayal talks to you in a friendly manner and seems to want to know your story. She remembers you and isn't just "reading from your chart". She is genuinely happy when you get good news and sad when you don't... I can not say enough good about Dr Dayal. She is not only knowledgeable about infertility and treatments but she treats you like family. They're up to date on new options and willing to dig deeper to find a treatment that works.

The office staff [at Sher-STL] is great, hey answer calls quickly and efficiently. Emails are returned quickly as well. Wait times are minimal and appts are not hard to coordinate. Everyone was friendly and treated us like family. It always gelt like they genuinely cared about our cycles. It's also very clean.... Amy was our nurse and Jamie our Care Coordinator. Both had excellent bedside manner. Amy was knowledgeable and explained things in terms we could understand. Jamie helped keep us on track and plan our schedule. She is very friendly and makes you feel comfortable when going through such a scary process. Both were easy to get in contact with even after hours/weekends

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

I can not say enough good about Dr Dayal. She is not only knowledgeable about infertility and treatments but she treats you like family. They're up to date on new options and willing to dig deeper to find a treatment that works. Dr Dayal still checks in on us and our son is 6 months old.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Ask questions, she will answer then in a way you understand

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

I don't remember everything. I do remember we used lupron, menopur, and gonal-f. Also dexamethasone & progesterone in oil. I took heparin 2x daily for a clotting disorder and did Intralipid Infusion for Elevated Natural Killer Cells

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy/Jamie )

Amy was our nurse and Jamie our Care Coordinator. Both had excellent bedside manner. Amy was knowledgeable and explained things in terms we could understand. Jamie helped keep us on track and plan our schedule. She is very friendly and makes you feel comfortable when going through such a scary process. Both were easy to get in contact with even after hours/weekends

Describe your experience with STL Fertility (formerly SIRM St. Louis).

The office staff is great, hey answer calls quickly and efficiently. Emails are returned quickly as well. Wait times are minimal and appts are not hard to coordinate. Everyone was friendly and treated us like family. It always gelt like they genuinely cared about our cycles. It's also very clean.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

It was on par with what we were quoted other places.

What specific things went wrong at STL Fertility (formerly SIRM St. Louis)?

Provided conflicting information

Describe the specific things that went wrong at STL Fertility (formerly SIRM St. Louis).

I wouldn't really say things went wrong. Mistakes happen. We were told the wrong price for a priceedure by the receptionist. The billing staff gave us the correct amount and worked with us to resolve the differences

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2015 - 2016, Successful

Age 28 - 29

1 IVF

Anovulation

Immunological

European

Income $50K - $99K

Investment Banker

Only Doc Seen

IUI With Other Docs

Strongly Recommends

Successful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

She [Dr. Dayal] thoroughly explained everything about infertility, our issues, possibly plans, testing, and everything else. During all of the initial testing, I always saw her. She was quick to give back results, even the ones that were abnormal. I always felt so at ease with her and it helped me to stay positive in the struggle of infertility...Dr. Dayal never made me feel like I was a number. I saw her at every single appointment and she talked to me so kindly. I never was talked down to, any of my questions dismissed, or thought to be inferior to her. Her entire office was like this. They became like family to me...

Their front office staff [at Sher - STL] is always smiling when they greet me, I was always able to make appointments that worked with my schedule. They are super organized, know what their doing and run it like a well oiled machine. That makes me feel great, as I tend to be a very organized person. I didn't get a lot of interaction with the lab directly but they definitely took good care of my embryos, so that's fine with me!...

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

From the very first appointment, Dr. Dayal was always there. She came out and greeted us at the initial consultation and brought us back to her office. She thoroughly explained everything about infertility, our issues, possibly plans, testing, and everything else. During all of the initial testing, I always saw her. She was quick to give back results, even the ones that were abnormal. I always felt so at ease with her and it helped me to stay positive in the struggle of infertility.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Stay with her! She will work wonders for you! Trust her. She knows what she's doing!

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal never made me feel like I was a number. I saw her at every single appointment and she talked to me so kindly. I never was talked down to, any of my questions dismissed, or thought to be inferior to her. Her entire office was like this. They became like family to me.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

I was on an agonist protocol with Lupron as my suppressant because my labs came back pretty good. I was on a medium protocol, Dr. Dayal said. I ended up getting 25 eggs, so it worked well for me and the maturity and embryo production was great! I didn't feel like it was a "cookie cutter" protocol at all!

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy)

My main nurse as well as the entire nursing staff were amazing to me. I had most of their email addresses and would email them at all hours (literally, I emailed some of them at 10 pm and got responses back). I had to call the on-call nurse once and got to talk to them late at night as well when I had a medication question. I had no hesitation in her voice as she helped me and walked me through a mini-freak out. The girls who brought me back for all the ultrasounds were always smiling and so excited to see me!

Describe your experience with STL Fertility (formerly SIRM St. Louis).

I think there are a lot of strengths with this clinic. Their front office staff is always smiling when they greet me, I was always able to make appointments that worked with my schedule. They are super organized, know what their doing and run it like a well oiled machine. That makes me feel great, as I tend to be a very organized person. I didn't get a lot of interaction with the lab directly but they definitely took good care of my embryos, so that's fine with me!

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

I paid

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2015 - 2016, Unknown Success

Age 33 - 34

1 IVF

1 Egg Freezing

1 Embryo Freezing

Diminished Ovarian Reserve

Male Factor

Uterine Fibroids

Recurrent Pregnancy Loss

European

Income $200K - $499K

Business Executive

2nd of 2 Docs

1 Egg Freezing With Other Docs

1 Embryo Freezing With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr. Dayal is an extremely intelligent and compassionate healthcare provider...It was fantastic to see Dr. Dayal at all of my visits and have ultrasounds interpreted in real time. As the clinic started to build a larger patient base, it became much harder to schedule timely appointments...The best way to partner with Dr. Dayal (and any doctor) is to educate yourself, ask questions, and understand the realities and difficulties of fertility treatment...

Amy [nurse at SIRM] is smart, kind, and compassionate. Often times her patient load seemed to be on the heavy side though...There is very little flexibility with appointment times. It is also important to know that they provide preferential treatment times to those that are 'in cycle.' Whether a patient is in cycle receiving a treatment or receiving an ultrasound after a cycle - they should be treated with the same level of importance and respect...

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal is an extremely intelligent and compassionate healthcare provider. If anything, some of her talents in more complex cases may be limited by the protocols of belonging to a large organization like SIRM.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Research, research, research. For any fertility patient - you are your best advocate. The best way to partner with Dr. Dayal (and any doctor) is to educate yourself, ask questions, and understand the realities and difficulties of fertility treatment.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

It was fantastic to see Dr. Dayal at all of my visits and have ultrasounds interpreted in real time. As the clinic started to build a larger patient base, it became much harder to schedule timely appointments.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

Under the care of Dr. Dayal I completed 1 fresh cycle - resulting in a miscarriage and 1 frozen embryo. 1 Frozen transfer - resulting in a chemical pregnancy. 1 egg retrieval with ICSI for CGH testing - resulting in 1 CGH normal pregnancy. 1 cancelled cycle - intended for banking more CGH screened embryos. 1 Frozen transfer of 1 CGH normal embryo - resulting in a current Mo-Di twin pregnancy.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amy Albertson)

Amy is smart, kind, and compassionate. Often times her patient load seemed to be on the heavy side though.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

There is very little flexibility with appointment times. It is also important to know that they provide preferential treatment times to those that are 'in cycle.' Whether a patient is in cycle receiving a treatment or receiving an ultrasound after a cycle - they should be treated with the same level of importance and respect.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

Ultrasounds, visits, etc. were included in the treatment pricing packages. Medications and any extra procedures were not.

What specific things went wrong at STL Fertility (formerly SIRM St. Louis)?

Failed to call in prescriptions to pharmacy
Failed to call with results

Describe the specific things that went wrong at STL Fertility (formerly SIRM St. Louis).

After my miscarriage and chemical pregnancy, I had to request anticoagulation/recurrent loss panels as opposed to having this recommended to me. This isn't necessarily something that 'went wrong,' but is illustrative that patients need to continue to do their own research and self-advocacy.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2015 - 2016, Unsuccessful

Age 33 - 34

2 IVF

Male Factor

European

Income $100K - $199K

1st of 3 Docs

4 IUI With Other Docs

3 IVF With Other Docs

Donor Sperm

Neutral

Unsuccessful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

[Dr. Molina Dayal] seemed very concerned and never rushed us. She was knowledgeable and answered all of our questions. As a patient, I felt that Dr. Dayal really cared about us and the outcome we were looking for...We were new to this infertility world and while Dr. Dayal was excellent answering our questions, there was a lot of information that was kept from us which we didn't even know until we got a copy of our records...didn't know to ask about specific sperm count because we were told everything was viable,

I didn't like that they got everyone on the same schedule [at SIRM St. Louis], so all retrievals would be the same week/weekend and transfers all together. It felt unnatural to sync everyone like that. I also wish we were given all of the testing information that they had. For example, my husband's sperm count was basically non-existent according to the records we received after leaving. If we had known that, we would have looked at other options. However, that was never ever communicated to us and we spent two cycles there with no results.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal seemed very concerned and never rushed us. She was knowledgeable and answered all of our questions. As a patient, I felt that Dr. Dayal really cared about us and the outcome we were looking for.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

My only advice, and this is really just for anyone new to infertility treatments, is to ask questions and ask them what questions you should be asking. We were new to this infertility world and while Dr. Dayal was excellent answering our questions, there was a lot of information that was kept from us which we didn't even know until we got a copy of our records.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal always made us feel like she cared about us and our situation. She spent as much time with as we needed. The staff was also excellent.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

Both cycles were long lupron cycles. They put you on the same calendar as everyone else each month. The first one was more to see how I'd respond. We also added the lipids for the natural killer cells.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Crystal)

The nursing staff was really wonderful and made us feel so comfortable at every visit. I always felt special and not just another number.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

It does feel like a baby factory. I didn't like that they got everyone on the same schedule, so all retrievals would be the same week/weekend and transfers all together. It felt unnatural to sync everyone like that. I also wish we were given all of the testing information that they had. For example, my husband's sperm count was basically non-existent according to the records we received after leaving. If we had known that, we would have looked at other options. However, that was never ever communicated to us and we spent two cycles there with no results.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

$20,000 or maybe slightly higher

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

She was ok with a multiple embryo transfer.

What specific things went wrong at STL Fertility (formerly SIRM St. Louis)?

Failed to convey critical information

Describe the specific things that went wrong at STL Fertility (formerly SIRM St. Louis).

I just wish they would have given us all of the information that they had. We were new to IVF and didn't know to ask about specific sperm count because we were told everything was viable, when in reality, it really was not the case. We ended up not even transferring anything the second round because nothing made it to day 5.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2015, Unsuccessful

Age 26

2 IVF

Tubal Blockage

Unexplained

Income $0 - $49K

1st of 2 Docs

1 Fertility Medications With Other Docs

Neutral

Doesn't Recommend

Unsuccessful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr. Dayal is a very compassionate person who always tries to see a bright outcome. She knew it was my fallopian tubes that prevented pregnancy so I had them removed before I even tried Ivf . It didnt work but she never gave up on me. I do wish she would have tried a way different protocol the second time but at least I got more eggs the second time around.... My first ivf attempt I had dexamethasone pills first after bc. Then I had first hormone shots, gonal f menopur trigger shot.

Everyone there [SIRM St. Louis] tries to help you the best they can. They look straight at you when your talking so you know they listen. They always try to give you hope but are straight about things as well. I wish they would not be so expensive and have help for couples that cant afford these expensive treatments.... All the nurses was very nice and accommodating but it was so busy all the time things were rushed. I wished I had more one on one time to make sure all my questions were answered to my satisfaction.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Dayal is a very compassionate person who always tries to see a bright outcome. She knew it was my fallopian tubes that prevented pregnancy so I had them removed before I even tried Ivf . It didnt work but she never gave up on me. I do wish she would have tried a way different protocol the second time but at least I got more eggs the second time around. She has been through what we have so she is more knowledgeable and understanding.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

My one advice I could give anyone is to ask any question you can so you know what to expect. Dont hold back on anything even crying because believe me she understands and knows the emotional trauma this can bring us all.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Although I did not get the outcome I wanted and never got pregnant she was a very good doctor to me. She had amazing bedside manners and never made me feel bad once. She always told me to be hopeful but also be prepared for whatever happens. She always kept trying to see the bright side, for that I will forever be greatful.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

My first ivf attempt I had dexamethasone pills first after bc. Then I had first hormone shots, gonal f menopur trigger shot. We got 13 eggs retrieved and 7 fertilized. None made it to blastocyst stage they all cleaved we had to cancel my transfer. 2 months later I had same them with cetritide added and upped my doses of menopur and gonal f. I got 25 eggs that time and 18 fertilized out of the 18 only 2 made it to blastocyst stage they was graded bb and bc. No pregnancy resulted. They was both fresh.

Describe your experience with the nursing staff at STL Fertility (formerly SIRM St. Louis).

All the nurses was very nice and accommodating but it was so busy all the time things were rushed. I wished I had more one on one time to make sure all my questions were answered to my satisfaction.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

Everyone there tries to help you the best they can. They look straight at you when your talking so you know they listen. They always try to give you hope but are straight about things as well. I wish they would not be so expensive and have help for couples that cant afford these expensive treatments.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

It was very expensive. I had insurance through my husband at the time so it covered alot but I still had to take out a loan of 5 thousand and pay for some meds. I lived in another state 6 hours away so alot of times I had to make a day drive it was very tiring and costly plus when had to stay the night hotel cost.

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

I did 2 at a time but that isn't a guarantee just because you put more than one in. Sometimes it works better with just one.

What specific things went wrong at STL Fertility (formerly SIRM St. Louis)?

Lost paperwork
Failed to call with results

Describe the specific things that went wrong at STL Fertility (formerly SIRM St. Louis).

There was paperwork that need to go to another clinic but only half my stuff went there. The other doctor had to run test already done because she could make a diagnosis just off what they sent.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2013 - 2014, Successful

Age 29 - 30

Endometriosis

Male Factor

PCOS

Tubal Blockage

Immunological

European

Income $50K - $99K

2nd of 2 Docs

1 IVF With Other Docs

Strongly Recommends

Successful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

For me the main strength and the reason I'd never go anywhere else [than SIRM-STL] is the fact that you actually see the RE at each appointment, she does your monitoring ultrasound so there's no waiting around for a phone call later, you get your answer straight away. Half way through my time there a place opened right next door to get your blood work, they would send over your lab request so you could go there first, it's very efficient. Even Stephanie the receptionist would greet you by name and know why you were there, from the moment you walk in you feel welcome

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr Dayal took over my treatment half way through, Dr Sher had done my egg retrieval and first two transfers then he went back to Las Vegas and Dr Dayal took over. The first real time she saw us was for our first ultrasound of our very first pregnancy, I was 7 weeks pregnant, our baby had stopped growing at 6 weeks and she had to tell us there was no heartbeat, I could not have asked for a better experience at a horrible time, it was clear she was upset for us and she hugged me before I left. When we had issues getting my lining to grow for frozen transfers she was willing to try different things and never gave up. Our son is two and we've had some losses since he was born, Dr Dayal has still been there for us whenever we had questions or needed help. She is a very special person who is great at her job, I know you want objective comments but I genuinely don't have a bad thing to say.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Be honest with her, about your fears or goals, she will listen and even if it seems like you're asking a stupid question she will never make you feel that way.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr Dayal would talk to us about our cycle and what was happening, she never talked in general terms of treatment, it was always about our specific cycle.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

My lining doesn't grow well for frozen cycles so I was on terbutaline and viagra, on my final cycle my lining still wasn't as good as she wanted so we added vaginal estrace, it worked in two days. I was also on intra lipid infusions for elevated nk cells and a partial dq alpha match.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Jamie Layman )

Jamie was my co ordinator and MerryKay was my nurse, I think they have very different styles, with Jamie making friends more and being the shoulder to cry on and MK being the cool and collected one that gave the answers and could pull you back to earth when the hormones are making you crazy. They both answered emails very quickly and made me feel not alone, they are a great team.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

For me the main strength and the reason I'd never go anywhere else is the fact that you actually see the RE at each appointment, she does your monitoring ultrasound so there's no waiting around for a phone call later, you get your answer straight away. Half way through my time there a place opened right next door to get your blood work, they would send over your lab request so you could go there first, it's very efficient. Even Stephanie the receptionist would greet you by name and know why you were there, from the moment you walk in you feel welcome. I would like to see prices on the Website but I'm very happy that they have recently joined up with a medical loan company. Even if we were to move away if we ever do another cycle we would travel back to Missouri to use Dr Dayal.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

We paid for the two cycle plan which included two fresh cycles and unlimited frozen transfers, we didn't get to use the second fresh because we had our son from the final frozen embryo, because we done four frozen cycles it saved us money. We had to pay separately for anesthesia and blood work.

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

Due to our partial dq alpha match we were only allowed to transfer one embryo at a time because of the belief if we put one back that was a match it could cause it's to lose both of them, I personally don't see a need to transfer more than one, out of 5 set we had 3 positive tests with one live birth.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2018 - 2020, Unknown Success

Age 33 - 35

3 IUI

2 Egg Freezing

Anovulation

Male Factor

PCOS

Recurrent Pregnancy Loss

Unexplained

Income $50K - $99K

Only Doc Seen

IVF With Other Docs

Strongly Recommends

Success w/ Doc Not sure

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

When she [Dr. Molina Dayal] first greeted my husband and I she did it in the Lobby. She has always been very personable and willing to talk with each of her patients. She wants them to succeed just as much as they do...Each transfer Dayal would do at most 2 [embryos], even though I had asked to do 3. She said it was a very high risk and does not think it is a good idea and will not do it...

They [SIRM] have just remodeled so they are looking upgraded and fancy. I love their set up. It looks very homey and open. There could be a little more seating but they are working with what they have. The inside of the clinic is great. They have a number of ultrasound rooms and offices for everyone to have some privacy...I love everything about Amanda [nurse at SIRM]! She is always so helpful and very personable. The other staff members are great.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

It has been very good. Except for the part where we still have not brought home a live birth baby. Strengths is her willingness to help you succeed anyway possible. Weakness, can;t seem to figure out how I keep having miscarriages.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Be honest and open. This is YOUR journey to have a family and no one can take that away from you. Dr. Dayal is trying to help in anyway she knows how.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

When she first greeted my husband and I she did it in the Lobby. She has always been very personable and willing to talk with each of her patients. She wants them to succeed just as much as they do.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

My protocol for the second egg retrieval was the same as the first even though I did not get as many eggs as I did last retrieval. Cycles are run very smoothly.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amanda Tayon)

I love everything about Amanda! She is always so helpful and very personable. The other staff members are great.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

They have just remodeled so they are looking upgraded and fancy. I love their set up. It looks very homey and open. There could be a little more seating but they are working with what they have. The inside of the clinic is great. They have a number of ultrasound rooms and offices for everyone to have some privacy.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

We did a multi package because it was a better deal than doing a one time shot.

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

Each transfer Dayal would do at most 2, even though I had asked to do 3. She said it was a very high risk and does not think it is a good idea and will not do it.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2017, Unsuccessful

Age 43

1 IVF

Poor Egg Quality

European

Income $200K - $499K

2nd of 2 Docs

1 IVF With Other Docs

Strongly Recommends

Unsuccessful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

If Dr. Dayal has a weakness, I've not noted it yet. She has been encouraging, yet realistic. I feel as if I get a sufficient amount of her time and she does not rush appointments. I've not yet had a question posed to her that wasn't answered in detail. Her compassion is evident...you can tell that it's not just a numbers game to her...Dr. Dayal's focus is on a customized plan that works best for YOUR body, not a one-size-fits-all approach that I've experienced elsewhere.

Absolutely nothing is negative about SIRM. In fact, you can now do both your ultrasounds and your blood work in their office! It's not only great care, it's incredibly convenient....The care coordinators and nursing staff at SIRM-St. Louis are fantastic...It's a completely different scenario at SIRM...and much for the better. It's a sense of compassion and of comradery...Dr. Molina and her staff have a wonderful bedside manner.... without coverage, my cost would be around 11k/cycle.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Try Dr. Dayal FIRST. Oh I wish someone had told me that prior to doing my first IVF round. Dr. Dayal's focus is on a customized plan that works best for YOUR body, not a one-size-fits-all approach that I've experienced elsewhere.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr. Molina and her staff have a wonderful bedside manner. This is my 2nd center and I'm shocked at the difference in care between the two.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amanda Tayon)

The care coordinators and nursing staff at SIRM-St. Louis are fantastic. For example, in my previous cycle prior to coming to SIRM, I was in my RE doctor's office once. I only communicated via email with my coordinator. I felt like a number. It's a completely different scenario at SIRM...and much for the better. It's a sense of compassion and of comradery.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

Absolutely nothing is negative about SIRM. In fact, you can now do both your ultrasounds and your blood work in their office! It's not only great care, it's incredibly convenient.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

I have insurance coverage, but I have to say that without coverage, my cost would be around 11k/cycle. Note that I'm on an estrogen priming cycle, so my meds are expensive.

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2016 - 2017, Successful

Age 31 - 32

1 IUI

Anovulation

Male Factor

PCOS

European

Income $100K - $199K

Nurse or HC Services

Only Doc Seen

Strongly Recommends

Successful

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

From the first consult, she [Dr. Molina Dayal] explained things in detail while making them easy to understand. She was open about our course of treatment and made sure we had realistic expectations while showing true empathy for us...Dr Dayal understands how hard infertility is not only physically, but emotionally. She always made sure we were comfortable with the course of treatment and that we understood each step of the process. This was our first experience with fertility treatments, and she respected how overwhelming the whole process can be.

All of the staff [at Sher Fertility of St. Louis] was excellent! The majority of my visits were with Dr Dayal 1:1, but the nurses were always available to answer questions and provide medication instructions as well as warm wishes...Appointments ran smoothly and on time. Small office made visits more comfortable...IUI cycle and monitoring was $1000 plus meds, insurance covered all by $25 copay for visits during medicated cycles. Medications cost between $150-500 per cycle

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr Dayal understands how hard infertility is not only physically, but emotionally. She always made sure we were comfortable with the course of treatment and that we understood each step of the process. This was our first experience with fertility treatments, and she respected how overwhelming the whole process can be.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Be patient, and trust her

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

From the first consult, she explained things in detail while making them easy to understand. She was open about our course of treatment and made sure we had realistic expectations while showing true empathy for us.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

Cycle monitoring, femara (increasing dosages through cycles to achieve optimal follicle counts), hmg injections to stimulate follicle growth as needed, ovidrel trigger shot to induce ovulation. Positive, viable pregnancy occurred in the 6th cycle

Describe your experience with the nursing staff at STL Fertility (formerly SIRM St. Louis).

All of the staff was excellent! The majority of my visits were with Dr Dayal 1:1, but the nurses were always available to answer questions and provide medication instructions as well as warm wishes

Describe your experience with STL Fertility (formerly SIRM St. Louis).

Appointments ran smoothly and on time. Small office made visits more comfortable

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

IUI cycle and monitoring was $1000 plus meds, insurance covered all by $25 copay for visits during medicated cycles. Medications cost between $150-500 per cycle

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2016 - 2019, Unknown Success

Age 35 - 38

Unexplained

Latinx

Income $50K - $99K

Teacher

4th of 6 Docs

IVF With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

Dr Dayal is compassionate, caring, and listens to my concerns.... Lovenox and intralipids for mthfr and recurrent loss.... She’s compassionate and honest. She is a good listener. She explains everything carefully. She sets out a treatment plan for your treatment type and will try to adjust as needed. Only thing I would change is the fact that there is no way to communicate with her directly; you have to communicate with your nurse if there is something you need to communicate with her.

Friendly and great staff [at SIRM STL]. Weakness would be billing and the fact that you can’t communicate directly with your doctor. If you need to communicate with your doctor you will have to leave a message with your nurse and she will tell/ask your doctor and your nurse will get back to you with an answer.... Lovenox and intralipids for mthfr and recurrent loss.... She [the nurse] listens to all my ideas and answers all my questions quickly.

How was your experience with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

She’s compassionate and honest. She is a good listener. She explains everything carefully. She sets out a treatment plan for your treatment type and will try to adjust as needed. Only thing I would change is the fact that there is no way to communicate with her directly; you have to communicate with your nurse if there is something you need to communicate with her.

What's one piece of advice would you give a prospective patient of Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Advocate your needs and wants.

During treatment, were you treated like a number or a human with Molina Dayal at STL Fertility (formerly SIRM St. Louis)?

Dr Dayal is compassionate, caring, and listens to my concerns. She wants me to succeed and have a successful pregnancy. She is not sure why we have not been successful yet but is hopeful we will be this next time.

Describe the protocols Molina Dayal used in your cycles at STL Fertility (formerly SIRM St. Louis) and their degree of success.

Lovenox and intralipids for mthfr and recurrent loss.

Describe your experience with your nurse at STL Fertility (formerly SIRM St. Louis). (Assigned nurse: Amanda )

She listens to all my ideas and answers all my questions quickly.

Describe your experience with STL Fertility (formerly SIRM St. Louis).

Friendly and great staff. Weakness would be billing and the fact that you can’t communicate directly with your doctor. If you need to communicate with your doctor you will have to leave a message with your nurse and she will tell/ask your doctor and your nurse will get back to you with an answer.

Describe the costs associated with your care under Molina Dayal at STL Fertility (formerly SIRM St. Louis).

Don’t recall

Describe Molina Dayal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at STL Fertility (formerly SIRM St. Louis).

N/a

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

STL Fertility (formerly SIRM St. Louis)

St. Louis

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal STL Fertility (formerly SIRM St. Louis)

2018, Unsuccessful

Age 25

1 IUI

Native American

Income $50K - $99K

Nurse or HC Services

3rd of 3 Docs

2 Fertility Medications With Other Docs

Strongly Recommends

Unsuccessful

Review of

Molina Dayal Nevada Fertility Center (FKA SIRM Las Vegas)

I was always told unexplained but she [Dr. Dayal] ran an extra test and I have high NK cells. ... She took the extra time with me, and explained everything. ... I have only tried one IUI, planning on doing another one in the near future. Since I have NK cells, I had an intralipid infusion along with 3 ultrasounds to check on my follicles during my IUI treatment. I recently got my negative pregnancy test, but need to keep going!

Strengths are definitely the clinics [SIRM] communication and you can just tell they have passion and actually care. I am so glad I chose SIRM. It’s about a 3 hour drive for me but wouldn’t change it for a thing! ... Jamie is amazing! I even had to call their after hours number because the pharmacy didn’t receive my script and they answered promptly and got it taken care of for me.

How was your experience with Molina Dayal at Nevada Fertility Center (FKA SIRM Las Vegas)?

I loved her! She took time to actually try to figure out what was going on. Took me into her office just to sit and chat through the whole process. I have always been told it’s just unexplained infertility but she ran one extra test and comes to find out that gives us an answer. I love her communication!

What's one piece of advice would you give a prospective patient of Molina Dayal at Nevada Fertility Center (FKA SIRM Las Vegas)?

You will love her! She is such an amazing doctor!

During treatment, were you treated like a number or a human with Molina Dayal at Nevada Fertility Center (FKA SIRM Las Vegas)?

She was amazing! She took the extra time with me, and explained everything. I was always told unexplained but she ran an extra test and I have high NK cells.

Describe the protocols Molina Dayal used in your cycles at Nevada Fertility Center (FKA SIRM Las Vegas) and their degree of success.

I have only tried one IUI, planning on doing another one in the near future. Since I have NK cells, I had an intralipid infusion along with 3 ultrasounds to check on my follicles during my IUI treatment. I recently got my negative pregnancy test, but need to keep going!

Describe your experience with your nurse at Nevada Fertility Center (FKA SIRM Las Vegas). (Assigned nurse: Jamie)

Jamie is amazing! I even had to call their after hours number because the pharmacy didn’t receive my script and they answered promptly and got it taken care of for me.

Describe your experience with Nevada Fertility Center (FKA SIRM Las Vegas).

Strengths are definitely the clinics communication and you can just tell they have passion and actually care. I am so glad I chose SIRM. It’s about a 3 hour drive for me but wouldn’t change it for a thing!

Describe the costs associated with your care under Molina Dayal at Nevada Fertility Center (FKA SIRM Las Vegas).

I have only had an IUI, cost was $1000

Doctor

Molina Dayal

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Nevada Fertility Center (FKA SIRM Las Vegas)

Las Vegas

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Molina Dayal Nevada Fertility Center (FKA SIRM Las Vegas)

Learn from top fertility experts

476k

IVF - In Vitro Fertilization

The most complex fertility treatment, this course will help you do it right the first time.

Featuring experts from

Northwestern, Johns Hopkins, +7 more

11k

Fertility 101

You took sex ed, but now you need to understand fertility. Data to answer your questions about natural conception and diagnosing what might be wrong.

Featuring experts from

Mount Sinai, Stanford, +7 more

Mental Health & Fertility

Breaking down every important topic relating to mental health & fertility. We cover data around anxiety, depression, and stress as they relate to fertility & fertility outcomes. Studies on relaxation techniques & SSRI antidepressants. Tools for managing relationships with your partner, family, friends, & co-workers

Featuring experts from

Harvard, Cornell, +1 more

Explore all courses

Molina Dayal

STL Fertility (formerly SIRM St. Louis)

Education

How Doctor Communicates

STL Fertility (formerly SIRM St. Louis)
Rated 9

42 patient reviews

Filter by patient information

Learn from top fertility experts

Molina Dayal

STL Fertility (formerly SIRM St. Louis)

Education

How Doctor Communicates

STL Fertility (formerly SIRM St. Louis)Rated 9Strongly recommend: 84%Neutral: 7%Don't recommend: 9%9

42 patient reviews

Learn from top fertility experts

STL Fertility (formerly SIRM St. Louis)
Rated 9