Sandy Li

Doctor to patient I would love to see her face to face more. I think in a total 2.5 years we have seen her 3 times. I haven’t seen her yet this year and I’ve done a IVF cycle, retrieval and ERA with transfer approaching. I understand with covid-19 now but I don’t think we met up her her face to face last year either. Would love more of that.

To compile all questions and concerns up front in your consultation because even though Dr. Li has a team of nurses it’s always better to hear your concerns coming straight from your doctor.

The overall strategy was what came from my baseline and test of bloodwork. I believe my baseline for estrogen is not high enough so I was on Menopur 75 which moved up to 150 on the 7th or 8th day, Gonal stayed at 250 both retrieval’s. For my second retrieval Menopur went up to 150 right away (maybe on day 3) this was successful I believe because we got 17 eggs, 15 mature. Whereas first cycle was 12 eggs, 9 mature. My protocol for my second IVF was to do a ERA and PGS testing since we had 2 failed transfers on good lookin embryos. Waiting on ERA results and PGS testing gave us all 5 genetically normal embryos. So happy and would say my protocol has been successful.

My monitoring appointments are always consistent I know what to expect and know I will always get my results within a few hours of the appointment.

Global package IVF #1 $8,000 Storage $1,800 last year fee plus $35 every month FET #1 $4,600 Shared risk program IVF #2 $20,000 Medication total $5,000

No I completely understand, I’m under 35 I know the risk.

Dr Li was very up front with her recommendation given our medical profile, and was confident IVF would yield the best outcome for us. She educated us on the data and the treatment protocol that was recommended. She answered all of my questions and used visual aids to help explain the science and process of IVF and PGT-A testing.

Go into every meeting with questions prepared for her.

Antagonist protocol with PGT-A testing due to diminished ovarian reserve, recurrent pregnancy loss and age factor. Gonal-F and Meopur at max dosing, added in Centrotide day 5 due to concerns of pre-ovulation. Lupron Trigger 36 hours before retrieval. Produced 8 eggs, 4 mature, 1 fertilized and frozen but came back abnormal from PGT-A testing.

I have insurance but it did not cover IVF. My out of pocket costs were 12,571 which included monitoring, egg retrieval, and PGT-A testing. Medications were 5,000 and if I have an embryo transfer that would have been 3,400.

It was clear and agreed up from the beginning that we only want a eSET!

I would recommend Dr Nair to any close friends or relatives. She is an expert, but she is also very compassionate. She cares about her patients like her own family, not some cold numbers on the balance sheet. We had one failed transfer, but she encouraged me, adjusted the whole protocol, and was on top of each procedure. I respect her opinion and trust her judgement and professionalism. I finally got pregnant under her care after almost four years of trying. My husband and I thank her with our whole heart.

If you are looking for a down to the earth, no fluffy and compassionate doctor with great expertise, she is your doctor to go.

I was put on antibiotics to repress my immunity before transfer. She also used Lovenox to help with implantation. I think these two things finally helped me conceive.

The monitoring appointments are generally easy to schedule and on time. Occasionally it runs late.

My insurance covered main costs, but I still paid about $12,000 including treatment and medication.

I was advised to do eSET because I had a high-risk pregnancy before.

Strengths are that she makes herself available to her patients. Weaknesses is that she doesn't review charts appropriately and has patients repeat the same tests multiple times. She also allows her personal bias to cross ethical boundaries. She essentially delayed my treatment because I refused to approve genetic testing. I am African-American they screen for sickle cell anemia at birth. She heard my husband say he has a history of it on his side of the family and took it upon herself to tell me she wouldn't select an embryo with sickle cell trait or sickle cell anemia for transfer. This is beyond medical advice and crossed into telling a client what they should and shouldn't do with their own embryos. At this point imaginary embryos that have not possibility of developing sickle cell anemia. I essentially was discarded to the side because I didn't sign a consent form for genetic testing.

Advocate for yourself.

Didn't make it this far. Dr. Li and her nurse gave me the runaround and then disappeared before the lab closed for quality assurance.

Initial workup was 2000 for the testing and repeated tests. Mostly covered by insurance. They quoted me 10000 for IVF.

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