Naveed Khan

I am all around disappointed. Honestly, from the start I was a little put off by feeling like a number. It’s the closest clinic to my house, so, I stayed when I shouldn’t have. Dr, Khan did take the time to hear me out most of the time when we had a meeting. But, he was quick to wave off newer studies I’ve found. I let him because he’s the doctor, not me. My test came back with high FSH and possible clotting disorder. Otherwise “unexplained infertility”. I asked if I should take baby aspirin, “it’s not part of our protocol” I pushed back “will it hurt if I take baby aspirin. Since it could help prevent another miscarriage?” “no it won’t hurt anything”. Alrighty fighting for clarity and treatment as an individual and it was only the beginning. One medicated timed intercourse failed. Then I set up for an IUI, our insurance doesn’t cover it, in Northern VA fertility treatment is very pricey. I then went to my primary doctor who ran regular tests and found my thyroid was off (hypothyroid). A few days before IUI I told my clinic about my thyroid levels they “‘made note of it”. Went ahead with the IUI. It failed. I then discovered that my levels were way off for fertility and could be a reason for infertility and early miscarriage. When I brought this up to doctor Khan he said “yes. Your thyroid is not optimal for fertility. If you’d like, go and see an Endocrinologist”. That was the last contact I had with this clinic. I won’t be returning. They took my money and instead of holding off on the IUI that was perhaps destined for failure from the start and waited for my thyroid levels to regulate, they did the IUI. And I had to figure out for myself that my thyroid being off needed to be taken seriously. So frustrating and disheartening. You must be your own advocate. Ask questions. Do your own research!

Do your own research. Be your own advocate. Ask all of the questions. Be persistent. Also, don’t be afraid to go somewhere for a second opinion.

From my understanding for timed intercourse and IUI - its all the same. I did not do any IVF rounds or egg retrieval’s. For T.I and IUI - take clomid or letrozole starting day 3 of your cycle. Then around day 12 you go into the office for blood work and ultrasound to count follicles to see if you’re ready to take the trigger shot (ovadril). Trigger shot and two days later go in for the IUI. Then follow up with progesterone suppositories until negative blood test. Continue them if positive. My lining was thin during my T.I. and I had to take estrogen suppositories until negative pregnancy test.

My insurance covered the medication for timed intercourse. That price was under 70$ for the clomid, ovadril, and progesterone. My IUI was not covered my insurance, $1,800 for IUI then $175 for medications.

We didn’t do this.

He was pleasant but sterile. I felt as though he was succinct and not as compassionate as I would have liked, but he seemed knowledgeable. When we were talking about IVF he wanted to put me on a very high dose protocol, 600 of follistim to start, and 3 weeks of birth control prior. When I asked about lower doses I was told “let’s see how this goes and then we’ll adjust.” When you’re out of pocket, a full course with 600iu follistim is prohibitively expensive, so I would have liked it if he worked with me on dosing.

Be prepared with your own questions. When I went for an IVF consult he said “so what are your questions” at the top of the appointment.

IUI - clomid 100mg with ovidrel trigger, estrogen for lining, progesterone suppositories. Second IUI - femara ?5mg, ovidrel trigger, progesterone.

Shady Grove really is prohibitively expensive for out of pocket patients. IUI was $1800 global fee. Timed intercourse cycles were the SAME price bc “they don’t recommend doing it without monitoring,” ie my obgyn wouldn’t prescribe clomid or femara without monitoring but neither would my RE. IVF was $10,500 for a fresh cycle. Frozen transfers are $4500 a piece or something, pgs is $3500 or $3600, not sure about ICSI.

He preferred one but said it was up to me and that if they recommended 2 it meant things weren’t looking very good.

Dr Khan is very kind and very forthcoming. He is open to treatment suggestions and will give you the pros and cons from his perspective for each scenario. He is very knowledgeable about his profession, I have found that he is exceptionally skilled at tailoring treatment to the patient instead of offering blanket solutions to all.

Don't be afraid to suggest alternatives to the initial protocol or treatment plan, Dr. Khan is very receptive to patient suggestions and will give you an honest opinion as to what he thinks about the suggestion without getting upset.

After initial testing I was diagnosed with PCOS with an-ovulation and my husband was diagnosed with mild male factor (poor morphology). We did 3 IUI procedures with Femara, taken CD 3-7, and an ovidrel trigger when the lead follicle reached 18mm+. First and second cycles were 2.5mg, and I had one follicle each time. I triggered on CD16 for the first cycle, and CD18 for the second cycle. The third IUI cycle we went with the same protocol since I had responded well in the past, however this time when I went in for a CD12 and CD15 follicle scan and we saw no growth, and no lead follicle. Dr. Khan decided to do a "re-dose" and upped the dose of Femara to 5mg this time. I started the re-dose on CD16 and completed on CD21. I had follicle scans on CD26, 28, and 30 and we triggered on CD31, still only one large follicle. Each IUI cycle resulted in a negative beta. Dr. Khan offered to have us do another IUI, he said the clinic would do up to 6 if we wanted, but we elected to move on to IVF to increase odds of success. My IVF protocol was high responder agonist. I started with 3 weeks of birth control pills, and then I was on 112.5 Follistim and 75 of Menopur for 8 days. I started Ganreliex on the 8th day of stims and days 9-11 we took the follistim down to only 75 because I had a ton of measurable follicles and added in PIO. I stimmed overall for 11 days and used a lupron trigger shot, with retrieval on day 13. I was unable to have any HCG (which they usually administer during the retrieval) because of risk of OHSS. I had 59 eggs retrieved. The retrieval went very smoothly, but I was miserable afterwards. I was given pain meds but even with those the car ride home was absolutely horrible - every small bump in the road was excruciating. I took the day of the retrieval and the next day off of work, and was able to resume normal life 2 days post retrieval. I wanted to do a fresh transfer, but Dr. Khan warned me that this might not be possible due to risk of OHSS. We planned to move forward with the fresh transfer anyway, and I drank more then my share of Gatoraide in the next few days. Since I was feeling back to normal by the time the day for the fresh transfer came around, Dr. Khan advised me that it was up to me to listen to my body and told me to go through with the fresh transfer if I felt up to it. I did, so we did. During the transfer there was only a very small amount of fluid visible on the ultrasound, so I felt much better. Unfortunately we ended up getting another negative beta, and I am cycling for my first FET now. We had 16 embryos fertilized normally, 1 was transferred fresh, and an additional 4 were cryopreserved. We did not do PGS testing because we are not high risk candidates as far as that is concerned, but plan to pursue it if we transfer our 4 frozen and do not have success and want to do another retrieval.

I am lucky enough to have great insurance. I paid approx $100 per ultrasound appointment during IUI treatment, and up to my out of pocket maximum once I started IVF ($1400). Medications were about $110 per IUI cycle, and approx $500 per IVF cycle.

I am fortunate enough to be fairly healthy, and should not have problems conceiving, so most of our protocol has to deal with my husband's issues. Dr. Khan explained what the process would be at the beginning if I had no issues, and after all of our testing explained again what to expect. I was surprised that the results of my genetic testing was not communicated with him prior to my follow-up consult, and he had never heard of the syndrome that I am a carrier of, but had he been given the information prior, I think it would have eased my comfort level, because he would have been able to speak knowledgeably to my concerns. It would have been nice after our first failed IUI to have him explain why we were trying the same exact protocol as before, but it's understandable to have a nurse call us and talk to us as well.

Be upfront about an issues you are, or believe you are facing. Dr. Khan certainly isn't a mind reader, but answered every question that we asked.

I am currently still undergoing treatment with Dr. Khan, however our encounters with him thus far have been great. He is to the point and ready to work towards a solution. I have had no issues with his bedside manner. We look forward to completing our treatment process and believing in his plan of action!

He may come across as a bit cold but he is just very straightforward.

Leading up to Egg Retrieval, my protocol was Menopur with a Lupron Trigger. Last minute he switched my Lupron to an HCG trigger because he believed it would work better with how my body was progressing.

The doctor is a good communicator. I felf at ease talking to him. He explained the procedure, set a realistic expactation of the outcome without giving me a false hope. He had all the right answers when I asked my questions. He made the jurney almost effortless and easy.

Be positive.Do you research so you can be better prepare for the conversation with the doctor. Knowing the subject will allow you the ask the doctor the right questions.

I had IUi procedure for first time. I was prescribed letrazol, Gonal-F 450 ml, Ovidrel 250 MCG/0.5 ml, Progesterone 200 mg.

The cost for IUI was $1800 + $508 for medications

As scary as the experience is I always felt calmed by the experience and confidence and the knowledge of Dr. Kahn and his staff. Every question was answered. He spent time with us and even after explaining thing to us he would make sure no other questions came to mind. He would wait around to make sure. We always knew the steps that were happening and what to expect next.

Always ask questions and write them down for each appointment. And follow all the directions to a few they know what they are doing and trust the process.

We had to do a frozen transfer as I got to “ripe” to do a live transfer. This was not originally part of our plan but it was explained beforehand and we knew the possibility so we were not thrown off when we realized we would have to go that route.

15,000

That was our choice we did not want to try 2.