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.