Tiffany Von Wald

Dr. Von Wald has a warm demeanor...She will answer any questions you may have about treatment plans or any concerns you have. I had an unsuccessful second embryo transfer. Dr. Von Wald called me with the news...[she]did not recommend more than two embryos transferred at a time...She explained options to try for a baby again and gave me her recommendations for the best course of treatment.

[nurse of Sanford Reproductive Medicine] She explained procedures and injections to my husband and me. She even marked where each injection should be placed...The whole IVF cycle with meds, ultrasounds, egg retrieval, and transfer was approximately $20000. The second transfer was approximately $5000...The billing side of things is probably the biggest weakness. They warn you that you have to pay a large amount before you do the procedure but we kept getting bills for things that should have been paid for already.

How was your experience with Tiffany Von Wald at Sanford Reproductive Medicine?

Dr. Von Wald has a warm demeanor. She is professional but not stuffy. She will answer any questions you may have about treatment plans or any concerns you have. I had an unsuccessful second embryo transfer. Dr. Von Wald called me with the news. She was kind, compassionate, and forthcoming. She explained options to try for a baby again and gave me her recommendations for the best course of treatment.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Reproductive Medicine?

Make sure you ask questions if you have any. It’s so important to fully understand everything you’ll be going through. Dr. Von Wald is so knowledgeable and kind.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Reproductive Medicine?

The doctor and staff always made sure both me and my husband understood the upcoming procedures. They were quick to respond to concerns I had. I never felt uneasy asking questions.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Reproductive Medicine and their degree of success.

I did Lupron and Gonal-F injections prior to my egg retrieval. I had regular lab work as well as ultrasounds. I had to have a hysteroscopy due to a polyp on my uterus before I could do my first embryo transfer so I wasn’t able to do a fresh embryo transfer. Leading up to the transfer I was prescribed estrogen patches and progesterone injections as well as a progesterone pills. These were to be continued to support pregnancy through the first trimester.

Describe your experience with your nurse at Sanford Reproductive Medicine. (Assigned nurse: Kati)

Kati is very knowledgeable. She explained procedures and injections to my husband and me. She even marked where each injection should be placed. She has always been very fast at responding to any electronic messages I send as well.

Describe your experience with Sanford Reproductive Medicine.

The front desk lady is so sweet and welcoming. The waiting area is very calming. The office itself is inside of the hospital I got a little lost the first time I visited. The billing side of things is probably the biggest weakness. They warn you that you have to pay a large amount before you do the procedure but we kept getting bills for things that should have been paid for already.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Reproductive Medicine.

They wanted you to have a balance under $500 (I think). The whole IVF cycle with meds, ultrasounds, egg retrieval, and transfer was approximately $20000. The second transfer was approximately $5000.

Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Reproductive Medicine.

My doctor did not recommend more than two embryos transferred at a time.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Reproductive Medicine

Fargo

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Reproductive Medicine

2020, Unknown Success

Age 37

2 IUI

1 IVF

PCOS

European

Income $50K - $99K

Marketer or PR

1st of 2 Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Tiffany Von Wald Sanford Reproductive Medicine

they [Dr. Tiffany Von Wald] explained every part of the procedure, made sure you felt comfortable, explained the risks, and made sure you had a thorough understanding of what to expect...For my PCOS I was put on metFORMIN, Levothyroxine, and a few vitamins that I continue taking. I took Follistim 100mg and Menopur 1 vial for several days, I became overstimulated and had to travel to Sioux Falls, reduce the medication amount by 50%, and be monitored closely for the rest of the visits

They [Sanford Reproductive Medicine nurses] explained everything, were friendly, easy to talk to, and had an overall positive outlook. They were quick to respond to any message and made you feel welcome...The staff was amazing! The clinic, however, I have some notes. The billing system could use some work, it was hard to estimate how much you were actually going to spend as a lot of the estimates were incorrect. We get bills months after anything was completed, it's hard to tell what you are getting charged for. In the beginning, they didn't send it to insurance so that was frustrating.

How was your experience with Tiffany Von Wald at Sanford Reproductive Medicine?

Dr. Von Wald and her partner Dr. Hansen were great, they explained every part of the procedure, made sure you felt comfortable, explained the risks, and made sure you had a thorough understanding of what to expect. I was only able to go as far as the egg retrieval due to COVID-19, and so far I haven't experienced any negative aspects of these doctors up to this point.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Reproductive Medicine?

Infertility is a hard road to travel, we all know that because we are experiencing it right now. This facility understands that, the doctors are compassionate and experienced.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Reproductive Medicine?

Everyone at the Sanford clinic is beyond friendly, they know your name when you walk in the down even if you have never been there before. They are thorough with all their explanations and very quick to get back to you on any communication. The doctors, nurses, and office staff give you the impression that they really care about you and want a positive outcome just as much as you do.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Reproductive Medicine and their degree of success.

For my PCOS I was put on metFORMIN, Levothyroxine, and a few vitamins that I continue taking. I took Follistim 100mg and Menopur 1 vial for several days, I became overstimulated and had to travel to Sioux Falls, reduce the medication amount by 50%, and be monitored closely for the rest of the visits. The rationale was to make sure I didn't get Ovarian Hyperstimulation Syndrome

Describe your experience with the nursing staff at Sanford Reproductive Medicine.

Amy and Katie were excellent! They explained everything, were friendly, easy to talk to, and had an overall positive outlook. They were quick to respond to any message and made you feel welcome

Describe your experience with Sanford Reproductive Medicine.

The staff was amazing! The clinic, however, I have some notes. The billing system could use some work, it was hard to estimate how much you were actually going to spend as a lot of the estimates were incorrect. We get bills months after anything was completed, it's hard to tell what you are getting charged for. In the beginning, they didn't send it to insurance so that was frustrating.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Reproductive Medicine.

10,000

Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Reproductive Medicine.

I wasn't given a lot of information as to what would be better after PGS testing, single or double, but that could also be because I haven't completed the transfer yet due to COVID19 delays.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Reproductive Medicine

Fargo

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Reproductive Medicine

2020, Unsuccessful

Age 41

2 IVF

2 Embryo Freezing

PCOS

Other

European

East Asian

Native American

Income $50K - $99K

Operations

1st of 2 Docs

Neutral

Unsuccessful

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

Doctor VonWald tries to treat you the best as she can, but the emotional component of frustration is there, it doesn't matter what. She is very objective but lack a little when laying out the IVF protocol and explanation of timeline...She was not able to perform egg retrieval (even when I asked specifically for her...Most of my questions were answered by designated nurse for my case

Front desk staff [of Sanford Fertility & Reproductive Medicine] was very approachable and helped a lot on the phone, or during in-person consultation. Clinic has specialty personnel to deal with insurance and mail in medication - make sure you order ahead the medication due to unforeseen events. On Saturdays, there is no staff in the office, and you are going to be directed to the lab to go to your consultation. Hours of operations 8-12, and 1-5.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

I asked for initial consultation specifically with her, and I thought I was very clear on that request, even during other consultation. It was until almost the last minute (Tuesday prior to egg retrieval on Monday) that she said due to her schedule, she won't be able to perform the egg retrieval, and another doctor will do it. I explained my reasons for choosing her as my doctor, and I listened to her side as well. I was very upset with the change (nothing during IVF process is controllable and I thought I could control at least who will be my doctor - I was wrong).

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Ask ask, and ask everything you want to know and the whys. Have a list prior to your consultation and read it to her. Make sure you understand the timeline between first medication and egg retrieval (that is long with her - 35 to 45 days depending on medications and protocol). Ask the geneticist more info about embryo grading (yes you can have it at the freeze step), sperm quality at the time of fertilization, and other info to make your further decisions easy. The nurses are you allies - they are there for you - but expect be seen by multiple nurses (depends on the schedule and their rotation). Ask for your levels at D3 cycle (FSH, AMH, Estradiol) as baseline for your records. Try to not get upset (very hard step) with those changes, and always advocate for yourself.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Doctor VonWald tries to treat you the best as she can, but the emotional component of frustration is there, it doesn't matter what. She is very objective but lack a little when laying out the IVF protocol and explanation of timeline. Time is very important to me, since advanced maternal age associated to PCOS was the factors contributing to no pregnancy. My first consult was 2 months after contacting the clinic. 1st IVF stim 3 months after consultation, and egg retrieval 4 months after initial consultation. She was not able to perform egg retrieval (even when I asked specifically for her, not her peers). Most of my questions were answered by designated nurse for my case, but it changed as well (rotation of staff?).

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

Besides advanced maternal age, I am a PCOS patient. 1st IVF stim: Birth control pill D3 cycle to D26 Lupron 10IU in the morning D22 to D32 Lupron 5IU in the morning D33 to D40 Gonal-F 150IU (one in the morning, one at night) D33 and D34 Menopur 2 vials in the morning D35 to D40 Gonal-F 150IU at night D35 to D40 10000IU hCG at night 19:45 D40 10000IU hCG booster at morning D41 (my levels were not there, less than 100) Egg retrieval 07:45 D42

Describe your experience with your nurse at Sanford Fertility & Reproductive Medicine. (Assigned nurse: Kati)

Kati was awesome and gave me all support needed and answered my questions by email/message

Describe your experience with Sanford Fertility & Reproductive Medicine.

Front desk staff was very approachable and helped a lot on the phone, or during in-person consultation. Clinic has specialty personnel to deal with insurance and mail in medication - make sure you order ahead the medication due to unforeseen events. On Saturdays, there is no staff in the office, and you are going to be directed to the lab to go to your consultation. Hours of operations 8-12, and 1-5.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

16171 for treatment, freeze all, without PGT-A or PGT-M testing or medication. 6000 in medication (depends on protocol) 375 to ship PGT-A samples to genetic lab

Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility & Reproductive Medicine.

Did not have the embryo transfer yet, embryos are going under PGT-M

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2020, Unknown Success

Age 33

1 IUI

Male Factor

Unexplained

European

Income $100K - $199K

Graphic Designer

2nd of 2 Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Tiffany Von Wald Sanford Reproductive Medicine

She [Dr. Von Wald] takes time with me and my husband, answers all our questions, is timely, shows compassion, and is extremely positive and hopeful. She is quick to respond to phone questions and never makes us feel like our questions are silly...My husbands semen analysis was pretty good, but had some room for improvement, so she recommended some vitamins he take...She looked me in the eyes, took time with me, explained and reexplained, and answered all my questions.

[The nurses at Sanford Reproductive Medicine are] So very kind, uplifting and positive!...We opted for the genetic testing for our demand analysis. When the results came in, we were informed via the automated app, instead of a nurse calling us... is clean, prompt, kind, positive, smiley and thorough. During your initial assessment, you’ll meet with doctor, genetic testing department, and the billing department. They lay out everything for you and answer every single questions.

How was your experience with Tiffany Von Wald at Sanford Reproductive Medicine?

She takes time with me and my husband, answers all our questions, is timely, shows compassion, and is extremely positive and hopeful. She is quick to respond to phone questions and never makes us feel like our questions are silly.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Reproductive Medicine?

Your time with her is your time! Make sure you use it and get all your questions answered. She will stay and answer them all!

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Reproductive Medicine?

She looked me in the eyes, took time with me, explained and reexplained, and answered all my questions.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Reproductive Medicine and their degree of success.

My husbands semen analysis was pretty good, but had some room for improvement, so she recommended some vitamins he take. We started those immediately in February (and then COVID hit). In May for me, we did 5mg of letrozole for 5 days (cd3-7). On cd11, I came back for a follow up ultrasound and confirmed 3 mature follicles (16mm, 19mm and 22mm) and a uterine lining of 9.8mm. They then administered my HCG trigger shot. We came back the next day for insemination. They wanted >1 million motile sperm and we’re able to inject 16 million. I am now in my 2ww and am on a vaginal progesterone.

Describe your experience with the nursing staff at Sanford Reproductive Medicine.

So very kind, uplifting and positive!

Describe your experience with Sanford Reproductive Medicine.

Sanford clinic in Sioux Falls is clean, prompt, kind, positive, smiley and thorough. During your initial assessment, you’ll meet with doctor, genetic testing department, and the billing department. They lay out everything for you and answer every single questions.

What specific things went wrong at Sanford Reproductive Medicine?

Failed to call with results

Describe the specific things that went wrong at Sanford Reproductive Medicine.

We opted for the genetic testing for our demand analysis. When the results came in, we were informed via the automated app, instead of a nurse calling us.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Reproductive Medicine

Fargo

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Reproductive Medicine

2019, Unknown Success

Age 32

1 IUI

1 IVF

Male Factor

Other

European

Income $100K - $199K

Marketer or PR

Only Doc Seen

Strongly Recommends

Success w/ Doc Too early to know

Review of

Tiffany Von Wald Sanford Reproductive Medicine

She [Dr. Von Wald] was compassionate and patient. I would guess, like most doctors, she receives a lot of the same questions on a day to day basis but she was always willing to take the time to answer any and all of them. I never felt rushed out of the office and my husband and I were never overly stressed throughout the experience (so far)...She gave us expectations based on the history of the hospital and everything held true in terms of statistics. I was very impressed with how dialed in the numbers were. She was compassionate and patient.

They [staff at Sanford Reproductive Medicine] are very thorough and polite. We are treated in a very professional manner but also with compassion. That, in my mind, is a fine line to walk at times and they do a good job of it...Some had even been through the process themselves so they were able to give advice only someone who had been through the process could give. They were polite, efficient, gentle- overall exceptional...I do not have exact numbers in front of me but the IUI was about $5,000 and the IVF process is around $22,000 (depending on genetic testing- which we chose not to do)

How was your experience with Tiffany Von Wald at Sanford Reproductive Medicine?

Dr Von Wald is very thorough, practiced and specific. She gave us expectations based on the history of the hospital and everything held true in terms of statistics. I was very impressed with how dialed in the numbers were. She was compassionate and patient. I would guess, like most doctors, she receives a lot of the same questions on a day to day basis but she was always willing to take the time to answer any and all of them. I never felt rushed out of the office and my husband and I were never overly stressed throughout the experience (so far).

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Reproductive Medicine?

Come prepared and do some research beforehand. A lot of people have gone through these appointments and are very open about their experiences.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Reproductive Medicine?

Dr Von Wald and the nurses do a wonderful job. They are very thorough and polite. We are treated in a very professional manner but also with compassion. That, in my mind, is a fine line to walk at times and they do a good job of it.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Reproductive Medicine and their degree of success.

Oofta- there are so many: We started with some medications for both my husband and myself. We tried IUI with no luck. We then decided to abandon the IUI option and moved to the IVF process. My husband treated a small tumor in his pituitary gland to help his motility (related to testosterone levels) with medication (sorry I do not remember the name of it). I was given lots of shots in order to produce eggs and then we did the retrieval and were able to freeze 2 eggs. We will be doing implantation next week (hopefully). I am happy to have a conversation as the treatment is A LOT to try and remember and type haha.

Describe your experience with the nursing staff at Sanford Reproductive Medicine.

They were fantastic. Some had even been through the process themselves so they were able to give advice only someone who had been through the process could give. They were polite, efficient, gentle- overall exceptional.

Describe your experience with Sanford Reproductive Medicine.

Knowledgable, efficient, and very professional. They are specialists and we never doubted the care we would get. However, it is extremely expensive at this location and we didn't have any other options. Our closest second option is Minneapolis and that is 4 hours away. ALMOST close enough to make it worth the time to save almost half the cost.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Reproductive Medicine.

I do not have exact numbers in front of me but the IUI was about $5,000 and the IVF process is around $22,000 (depending on genetic testing- which we chose not to do)

Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Reproductive Medicine.

My husband wanted to try both eggs (for twins) but we were discouraged from doing so. I think it was considered less safe for myself and the potential babies.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Reproductive Medicine

Fargo

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Reproductive Medicine

2018 - 2019, Unsuccessful

Age 30 - 31

1 IUI

Male Factor

PCOS

Recurrent Pregnancy Loss

Other

Income $50K - $99K

Nurse or HC Services

2nd of 2 Docs

Doesn't Recommend

Unsuccessful

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

Tiffany [Dr. Von Wald] is very smart, but doesn't break things down well for non medical people. She doesn't have the absolute warmest bedside manner. I struggled to feel as though she was as invested in my journey as I was. Though maybe not intentional I always felt like a number. My husband and I have seen Tiffany in clinic (over the year we have undergone treatment) twice (once because I semi demanded to)... it gets frustrating always seeing NPs and hearing back from nurses.

I had really horrible experinces with the US techs and a couple nurses [at Sanford Fertility]. One nurse in particular, Mandy, is so terrible. Through my miscarriages/ectopic she was very demeaning, cold and belittled my concerns. She treated me as if I was an annoyance. She didn't acknowledge my pregnancies as such because I was so early (4-5 wks). She never gave me time to ask questions on the phone. She would reply to my messages to Dr. VonWald without even consulting her. US techs are cold. They very casually tell me they see nothing in my uterus when I had be trialing for weeks with positive preg tests and fluctauing hcg levels... that is sensitive info to divulge so carelessly to which I sobbed with no compassion on their part.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Tiffany is very smart, but doesn't break things down well for non medical people. She doesn't have the absolute warmest bedside manner. I struggled to feel as though she was as invested in my journey as I was. Though maybe not intentional I always felt like a number. My husband and I have seen Tiffany in clinic (over the year we have undergone treatment) twice (once because I semi demanded to)... it gets frustrating always seeing NPs and hearing back from nurses.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Be a self advocate. Do not be afraid to ask questions/seek clarification (not matter how annoying you think you are being) and demand good service and communication.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Tiffany is smart and kind, but we have only met with her twice in tje year we have been there. The rest of the staff is very rude (Mandy, RN), cold and demeaning (with the exception of Shanna Kontz--she is great). I never felt like anyone does any extra digging to uncover my specific cycle trends, ovulation, hormone patterns, etc. I also feel as though I have to advocate for myself/husband a lot because they are terrible at keeping you updated and addressing questions.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

Clomid or letrazole day 3 through 7. Menopur day 9. US and trigger shot. IUI day after.

Describe your experience with the nursing staff at Sanford Fertility & Reproductive Medicine.

I had really horrible experinces with the US techs and a couple nurses. One nurse in particular, Mandy, is so terrible. Through my miscarriages/ectopic she was very demeaning, cold and belittled my concerns. She treated me as if I was an annoyance. She didn't acknowledge my pregnancies as such because I was so early (4-5 wks). She never gave me time to ask questions on the phone. She would reply to my messages to Dr. VonWald without even consulting her. US techs are cold. They very casually tell me they see nothing in my uterus when I had be trialing for weeks with positive preg tests and fluctauing hcg levels... that is sensitive info to divulge so carelessly to which I sobbed with no compassion on their part.

Describe your experience with Sanford Fertility & Reproductive Medicine.

They are pretty flexible at getting you in for US and testing. They were not very timely with results, appt times, etc... Also, several times O was waiting on the waiting room there were children. I know it is maybe not realistic, but man would it be nice to not have to stare at a child when you are about to find out you miscarried.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

Our insurance on covered some diagnostic testing. So all genetic testing, intra cycle ultrasounds, medication (oral and injectables), copays for each an every visit and all ART procedures were out of pocket. The have a finance guy, Tyler, who was EXTREMELY unhelpful. I am still not exactly sure what his job is as he didn't help us with understand our insirance coverage or working with our insurance.

What specific things went wrong at Sanford Fertility & Reproductive Medicine?

Failed to call in prescriptions to pharmacy
Failed to call with results
Failed to order appropriate test
Provided conflicting information

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2012 - 2019, Unsuccessful

Age 26 - 33

3 IUI

2 IVF

Surrogacy

Anovulation

Endometriosis

Male Factor

PCOS

Unexplained

Other

Income $0 - $49K

Nurse or HC Services

1st of 2 Docs

Strongly Recommends

Neutral

Unsuccessful

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

She [Dr. Von Wald] took her time to explain everything, never made us feel rushed and answered all of our questions...did a lot of research & called her colleagues from different out of state hospitals to review our records and offer advice. She then met with us for over an hour going over everything. Although it didn’t work out we appreciate all the time she put into us trying to be successful. After 8 years of trying she treated us more like family then a patient.

They [nurses at Sanford Fertility] are amazing. They have so many patients and know my information without having to look it up. So compassionate, great advice and always there to listen...Stacy at the front desk is amazing. she will make you feel so comfortable and invited into a place where you are so confused and nervous...Frozen embryo transfer (with out meds) was around 4500$. (That’s if no additional tests/ultrasounds were needed) Retrieval with PGS testing 22-27000. With Meds.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Dr VonWald did a lot of research & called her colleagues from different out of state hospitals to review our records and offer advice. She then met with us for over an hour going over everything. Although it didn’t work out we appreciate all the time she put into us trying to be successful. After 8 years of trying she treated us more like family then a patient.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Ask questions - she’s there to answer them

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

She took her time to explain everything, never made us feel rushed and answered all of our questions.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

Our last protocol was depot Lupron x3 months- Daily meds included- myo-inositol, cinnamon, coq10, metformin, baby aspirin, Then 2mg estrogen orally TID to thicken lining. Prior to transfer doxycycline daily x3 days and start progesterone oil 1.5ml daily. After transfer cont progesterone, daily meds listed above, and then start lovenox daily and bid prednisone. She was treating for everything- inflammation, blood clotting, pcos and endometriosis.

Describe your experience with your nurse at Sanford Fertility & Reproductive Medicine. (Assigned nurse: Amy or Katie)

They are amazing. They have so many patients and know my information without having to look it up. So compassionate, great advice and always there to listen

Describe your experience with Sanford Fertility & Reproductive Medicine.

Come prepared to ask questions. Book your Ultrasounds out in advance if you need a certain time. If your flexible then don’t worry. Stacy at the front desk is amazing. she will make you feel so comfortable and invited into a place where you are so confused and nervous.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

Frozen embryo transfer (with out meds) was around 4500$. (That’s if no additional tests/ultrasounds were needed) Retrieval with PGS testing 22-27000. With Meds.

Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility & Reproductive Medicine.

Our embryos were PGS tested so they recommended one at a time but were ok if we wanted to do two.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2017 - 2018, Unknown Success

Age 25 - 26

1 IVF

Other

European

Income $0 - $49K

Only Doc Seen

Strongly Recommends

Success w/ Doc Not sure

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

Having her [Dr. Tiffany Von Wald] as my doctor was a wonderful experience. She was very straightforward and kind. As stressful as all the doctor visits I had, and all of the injections, patches and pills, I never felt alone...I would recommend her in a heartbeat...My retrieval and first transfer went okay. I was on gonal-f, menopur, lupron at the beginning. I did have to increase my menopur once for the cycle. I took progesterone in oil shots after the transfer along with an estradiol patch. My second transfer was with progesterone in oil, and estrogen pills three times daily.

They were all great ladies [the nurses at Sanford Fertility and Reproductive Medicine]...They all answered my questions I had over the phone or online. When my first results came back negative one nurse cried with me. I felt like I was family... I've never had any problems. The nurses and doctors are so thoughtful and kind. Even the receptionist knew me by name. I have seen both Dr. Von Wald and Dr. Hanson they are both amazing people and doctors. They will take the time to talk to you about anything you need.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Having her as my doctor was a wonderful experience. She was very straightforward and kind. As stressful as all the doctor visits I had, and all of the injections, patches and pills, I never felt alone. I hope no-one I know will have to go through this hardship. But I would recommend her in a heartbeat.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Don't be scared. You may feel alone, but you're not. I was treated so greatly at sanford, I know you will be too!

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Every doctor I had seen knew me by my face. They helped me understand everything that was going on, and they helped me when I found out the blood tests came back negative. I felt like family.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

My retrieval and first transfer went okay. I was on gonal-f, menopur, lupron at the beginning. I did have to increase my menopur once for the cycle. I took progesterone in oil shots after the transfer along with an estradiol patch. My second transfer was with progesterone in oil, and estrogen pills three times daily.

Describe your experience with the nursing staff at Sanford Fertility & Reproductive Medicine.

They were all great ladies. My very first meet with the nurses, one of them forgot that I was waiting for her to come back. I did understand that people get busy though. They all answered my questions I had over the phone or online. When my first results came back negative one nurse cried with me. I felt like I was family.

Describe your experience with Sanford Fertility & Reproductive Medicine.

I've gone to Sanford my whole life. I've never had any problems. The nurses and doctors are so thoughtful and kind. Even the receptionist knew me by name. I have seen both Dr. Von Wald and Dr. Hanson they are both amazing people and doctors. They will take the time to talk to you about anything you need.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

Most of it was covered under my insurance, but I needed another shot of gonal-f and that was 300 out of pocket because I maxed my prescription cost from my insurance. My second transfer was about 100 dollars all together.

Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility & Reproductive Medicine.

My doctor said for the first transfer, they'd strongly recommend one embryo. For the second transfer they were okay with 2 embryos because they had been frozen.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2016 - 2018, Successful

Age 37 - 39

3 IUI

3 IVF

Diminished Ovarian Reserve

Poor Egg Quality

Recurrent Pregnancy Loss

Unexplained

Prefer not to answer

Income $50K - $99K

Nurse or HC Services

Only Doc Seen

Strongly Recommends

Successful

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

I love that she [Dr. Von Wald] is down to earth. She understands that this is difficult, time consuming and expensive. I also travel almost 3 hours one way for appointments and she was great about doing as many things at home or scheduling things for the same day when I was seeing her. You don't get to see her every time and I'm ok with that but I knew she looked at everything even when I didn't see her.... First we did 3 IUIs that resulted in 2 pregnancies

They [Sanford Fertility] are Very easy to work with. They make it so easy to schedule appointments. By the 2nd visit I was greeted by my first name!! All the staff are great. They always keep you informed of delays in appointments if there are any but usually there are not. The waiting room is very nice.... [Nursing Staff] Very knowledgeable. I Always receive a call back or return message back within the hour. Love them all. Very caring and compassionate

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

I love that she is down to earth. She understands that this is difficult, time consuming and expensive. I also travel almost 3 hours one way for appointments and she was great about doing as many things at home or scheduling things for the same day when I was seeing her. You don't get to see her every time and I'm ok with that but I knew she looked at everything even when I didn't see her.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Spend time with her, ask questions, let her know your concerns, ask every question you have, do you own research and go to her with everything

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Human!!! Very caring. Greated by name at every visit. Great communication!!

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

First we did 3 IUIs that resulted in 2 pregnancies, 1st ivf cycle was a long lupron cycle, 2nd was a gentle cycle without lupron and my 3rd was more of a mini ivf cycle that we did oral meds with menopause. My last 2 cycles resulted in pregnancies. Unfortunately my 4 pregnancies ended in losses due to chromosome issues which we knew would be an issue because of my age/eggs

Describe your experience with the nursing staff at Sanford Fertility & Reproductive Medicine.

Very knowledgeable. I Always receive a call back or return message back within the hour. Love them all. Very caring and compassionate

Describe your experience with Sanford Fertility & Reproductive Medicine.

They are Very easy to work with. They make it so easy to schedule appointments. By the 2nd visit I was greeted by my first name!! All the staff are great. They always keep you informed of delays in appointments if there are any but usually there are not. The waiting room is very nice.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

In SD we do not have infertility coverage so the cost is significant. My insurance was billed for most of the initial testing but most is not covered. They have a billing expert right there in the office that will meet at anytime and he is great. They do not finance through the office but there are several different option for financing.

Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility & Reproductive Medicine.

She is always willing to discuss this with me. With my IVF we did 2 3 day embryos because of my age but we discussed at length the risks and benefits of 1 vs 2

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2016 - 2017, Unsuccessful

Age 34 - 35

3 Fertility Medications

Male Factor

Recurrent Pregnancy Loss

Unexplained

European

Income $200K - $499K

Lawyer

Only Doc Seen

Doesn't Recommend

Unsuccessful

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

It is very difficult to actually get Dr. Von Wald's advice or recommendation. The clinic's default is to have a CNP make treatment decisions. And I often felt as though my treatment plan was forgotten from one appointment to the next. However, I did appreciate a call on a Saturday from Dr. Von Wald changing the course of treatment from what the CNP had directed....I was happy with my meetings with Dr. Von Wald but recognized that she is extremely busy and that she probably wasn't as involved with my course of treatment as I would have liked.

Sometimes I found the nursing staff [at Sanford] to be uninformed and not instill very much confidence. At other times I found them helpful - but they are usually very responsive at least...The clinic is pushing through a lot of patients and this seems to lead to staff not really knowing your case very well from one appointment to the next...The clinic's default is to have a CNP make treatment decisions. And I often felt as though my treatment plan was forgotten from one appointment to the next.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

I was happy with my meetings with Dr. Von Wald but recognized that she is extremely busy and that she probably wasn't as involved with my course of treatment as I would have liked. I chose her, not the NPs, but unfortunately I usually dealt with the NPs. She also had very little to offer me in the way of treatment and explanation of recurrent pregnancy loss. I don't think this is her specialty. Although she is busy, she never rushed me through my discussions with her and welcomed most of my questions. She was somewhat dismissive of a couple of concerns I had, such as about MTHFR. But ultimately she agreed to test me for it.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Know that she is extremely smart and you can trust her, but that you may not be able to deal with her as often as you expect. And you will need to push back if you are doubting the advice you get from Angie or Shanna, and request that they confirm with Dr. Von Wald.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

It is very difficult to actually get Dr. Von Wald's advice or recommendation. The clinic's default is to have a CNP make treatment decisions. And I often felt as though my treatment plan was forgotten from one appointment to the next. However, I did appreciate a call on a Saturday from Dr. Von Wald changing the course of treatment from what the CNP had directed. She was only reviewing my plan because I had an appointment booked with her for the following week. So I learned that it was very important to be proactive and demand meetings with her.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

She prescribed Letrozole at the lowest dose for the first cycle without results. So in the second cycle she doubled the dose and added a trigger shot. This did not lead to pregnancy. In the third cycle, she took the same approach to the Letrozole but recommended an earlier ultrasound and subsequent trigger shot. This protocol resulted in pregnancy but ended shortly thereafter as a chemical pregnancy.

Describe your experience with the nursing staff at Sanford Fertility & Reproductive Medicine.

Sometimes I found the nursing staff to be uninformed and not instill very much confidence. At other times I found them helpful - but they are usually very responsive at least. I just had to push back to make sure they'd checked with Dr. Von Wald when they provided advice.

Describe your experience with Sanford Fertility & Reproductive Medicine.

The clinic is pushing through a lot of patients and this seems to lead to staff not really knowing your case very well from one appointment to the next.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

I paid for the medications, visits, and procedures and the clinic ran everything through insurance.

What specific things went wrong at Sanford Fertility & Reproductive Medicine?

Provided conflicting information
Failed to convey critical information

Describe the specific things that went wrong at Sanford Fertility & Reproductive Medicine.

I was scheduled for a uterine biopsy after my third pregnancy loss and was not given any of the standard advice about taking pain medication before the procedure. I was told by a friend that I should take it but it was too late so I called to ask why I wasn't given the information. I took the medication and moved my procedure back so it could take effect but the receptionist didn't understand why I would need to do that. I expected more awareness by the staff about the procedures they regularly offer.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2019, Unknown Success

Age 39

1 IUI

Unexplained

European

Income $100K - $199K

1st of 2 Docs

Doesn't Recommend

Success w/ Doc Too early to know

Review of

Tiffany Von Wald Sanford Reproductive Medicine

Clomid was prescribed first [by Dr. Von Wald], with significant reduction in endometrial lining. My second cycle included 5 days of Letrozole and estradiol, with better lining and more mature follicles. My third cycle included 7 days of Letrozole and estradiol with the addition of Menopur for an IUI cycle...After the initial consultation, it felt like I was on a production line of fertility treatment. It took me asking a lot of questions and requesting more communication over the course of 3 months for the treatment and experience to feel personal to my body and needs.

The reception staff [at Sanford Reproductive Medicine] is usually great! The clinic has its own lab, which is very convenient and discreet in such a large hospital. Billing can be an issue with multiple insurances, so watch your statements closely to avoid overpaying...After the initial consultation, it felt like I was on a production line of fertility treatment. It took me asking a lot of questions and requesting more communication over the course of 3 months for the treatment and experience to feel personal to my body and needs...Clomid was prescribed first, with significant reduction in endometrial lining. My second cycle included 5 days of Letrozole and estradiol, with better lining and more mature follicles. My third cycle included 7 days of Letrozole and estradiol with the addition of Menopur for an IUI cycle. Progesterone was added following the insemination. My current cycle has included 5 days of Letrozole, 2 days of Menopur and estradiol with an IUI scheduled tomorrow.

How was your experience with Tiffany Von Wald at Sanford Reproductive Medicine?

Dr. Von Wald seems knowledgeable in her field but lacks warmth and individualized care. As a patient with elevated BMI, she suggested weight loss. I asked for specific behaviors related to diet and movement to help support my treatment and was met with a blank stare. It is clear that I am seen as a less than ideal patient for asking questions.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Reproductive Medicine?

Expect clinical knowledge with an aloof delivery.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Reproductive Medicine?

After the initial consultation, it felt like I was on a production line of fertility treatment. It took me asking a lot of questions and requesting more communication over the course of 3 months for the treatment and experience to feel personal to my body and needs.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Reproductive Medicine and their degree of success.

Clomid was prescribed first, with significant reduction in endometrial lining. My second cycle included 5 days of Letrozole and estradiol, with better lining and more mature follicles. My third cycle included 7 days of Letrozole and estradiol with the addition of Menopur for an IUI cycle. Progesterone was added following the insemination. My current cycle has included 5 days of Letrozole, 2 days of Menopur and estradiol with an IUI scheduled tomorrow.

Describe your experience with Sanford Reproductive Medicine.

The reception staff is usually great! The clinic has its own lab, which is very convenient and discreet in such a large hospital. Billing can be an issue with multiple insurances, so watch your statements closely to avoid overpaying.

What specific things went wrong at Sanford Reproductive Medicine?

Provided conflicting information
Failed to convey critical information

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Reproductive Medicine

Fargo

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Reproductive Medicine

2016 - 2017, Successful

Age 27 - 28

2 IUI

1 IVF

Endometriosis

European

Income $50K - $99K

Sales Representative

2nd of 3 Docs

Strongly Recommends

Successful

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

Doctor VonWald was always so caring and went over the entire process into detail with me. She answered any questions I had and made my feel at ease and give me hope. I wasn't just a number-I was a person that she truly cared about helping.... Dr. Von Wald helped make a very stressful situation better by communicating what was going on and what the plan of attack was. If something didn't go how originally planned, a new plan was set in place. I felt like I was in good hands that cared about our end goal-having a baby.

All the staff, especially front desk, were so caring and nice. They [Sanford Fertility and Reproductive Medicine] always were so helpful and returned your call if you ever had any questions. The clinic is clean and inviting. Parking is a little busy at times, but there is free valet parking offered.... The total amount for IVF was about $20,000... Dr. Von Wald helped make a very stressful situation better by communicating what was going on and what the plan of attack was.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Dr. Von Wald helped make a very stressful situation better by communicating what was going on and what the plan of attack was. If something didn't go how originally planned, a new plan was set in place. I felt like I was in good hands that cared about our end goal-having a baby.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Anyone going through infertility, I always tell them that it is a rollercoaster ride of emotions and to always have a person to be able to vent to or get emotions off your chest with.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

She watched closely over the dosage of shots to stimulate my ovaries. They took a while to respond, so dosages were increased and lots of ultrasounds were done to make sure I didn't overstimulate

Describe your experience with the nursing staff at Sanford Fertility & Reproductive Medicine.

They were so caring and helpful!

Describe your experience with Sanford Fertility & Reproductive Medicine.

All the staff, especially front desk, were so caring and nice. They always were so helpful and returned your call if you ever had any questions. The clinic is clean and inviting. Parking is a little busy at times, but there is free valet parking offered.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

The total amount for IVF was about $20,000

Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility & Reproductive Medicine.

My embryos were in great quality and she recommended just transferring one embryo.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2020, Consult

Age 29

1 IUI

PCOS

Unexplained

Other

Income $0 - $49K

5th of 5 Docs

Neutral

Strongly Recommends

Success w/ Doc Too early to know

Review of

Tiffany Von Wald Sanford Reproductive Medicine

We have met with her [Dr. Tiffany Von Wald]once before as she did our IUI procedure and then had a consult with her for our 2nd try with fertility doctoring. Right away I felt she was ready to get down to business as I had already tried the meds and other procedures. She was willing to listen to our plan of action and agreed with our decision. She is very compassionate and determined to help us achieve pregnancy...

[Sanford Reproductive Medicine has] Friendly front desk staff who keeps our information private, ultrasound techs are professional and answers questions about findings , lab is quick to get me in and out. Overall a very nice place to help us achieve a pregnancy. Clean and well set up...IUI was around $700 Visits are $150-$200..

How was your experience with Tiffany Von Wald at Sanford Reproductive Medicine?

We have met with her once before as she did our IUI procedure and then had a consult with her for our 2nd try with fertility doctoring. Right away I felt she was ready to get down to business as I had already tried the meds and other procedures. She was willing to listen to our plan of action and agreed with our decision. She is very compassionate and determined to help us achieve pregnancy.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Reproductive Medicine?

This was our 2nd time giving Sanford a try as we took a break and went to another facility and came back being treated as a human with focusing on me and my infertility issues.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Reproductive Medicine and their degree of success.

I went back on Myo-inositol and cinnamon as well as metformin. She gave suggestions for vitamins for my husband to try as well.

Describe your experience with the nursing staff at Sanford Reproductive Medicine.

Very sweet and friendly nursing staff. Always smiling and ready to listen. They are fast in responding to questions.

Describe your experience with Sanford Reproductive Medicine.

Friendly front desk staff who keeps our information private, ultrasound techs are professional and answers questions about findings , lab is quick to get me in and out. Overall a very nice place to help us achieve a pregnancy. Clean and well set up

Describe the costs associated with your care under Tiffany Von Wald at Sanford Reproductive Medicine.

IUI was around $700 Visits are $150-$200

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Reproductive Medicine

Fargo

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Reproductive Medicine

2017 - 2019, Unknown Success

Age 28 - 30

6 Fertility Medications

Anovulation

PCOS

European

Income $50K - $99K

Only Doc Seen

Strongly Recommends

Success w/ Doc Too early to know

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

She [Von Wald] was very kind and helpful in explaining course of action. She took time to get to know our story instead of just reading a history in the medical chart. She has a great team working with her and is always available for questions....We started with letrozole and menopur and then a trigger shot for ovulation. After a couple cycles we started using dexamethasone to speed the cycle. They have been very patient with my cycles

Staff [Sanford Fertility & Repro Med] is great. Being surrounded by kind and caring people during this time is such a comfort. They communicate clearly and often and listen to your needs and respect your plan. Billing is easy to understand and keep up with.... Very kind and knowledgeable, helped answer questions when I had them and listened to my concerns or frustrations.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

She was very kind and helpful in explaining course of action. She took time to get to know our story instead of just reading a history in the medical chart. She has a great team working with her and is always available for questions.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

She's very willing to answer questions, so come with all of them :)

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

She takes the time to visit with us and explain each step and ask for our feedback.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

We started with letrozole and menopur and then a trigger shot for ovulation. After a couple cycles we started using dexamethasone to speed the cycle. They have been very patient with my cycles and attentive to my needs and the plan my husband and I have.

Describe your experience with your nurse at Sanford Fertility & Reproductive Medicine. (Assigned nurse: Angela Schmidt)

Very kind and knowledgeable, helped answer questions when I had them and listened to my concerns or frustrations.

Describe your experience with Sanford Fertility & Reproductive Medicine.

Staff is great. Being surrounded by kind and caring people during this time is such a comfort. They communicate clearly and often and listen to your needs and respect your plan. Billing is easy to understand and keep up with.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

My husband and I chose not to pursue IVF or insemination. We had costs for each appointment and ultrasound, and then medication. Our insurance covered a significant amount of those costs.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2018 - 2019, Unknown Success

Age 25 - 26

13 Fertility Medications

PCOS

Tubal Blockage

Unexplained

Other

European

Income $200K - $499K

3rd of 3 Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

Dr. Von Wald is great. Honest, compassionate, and you can tell she loves what she does! I have had excellent care, and have hope that we will be able to have a baby with the help of this great team ... Very caring and compassionate, she is blunt and honest but still helpful and considerate of your feelings ... Our protocol has been metformin, myo-inisotol, cinnamon, Femara with Ovidrel. I did well on this protocol, no issues. ...

The clinic [Sandford Fertility and Repro Med] is great, we have had a great experience so far. They have great doctors and great staff. You can't possibly go to a better clinic. Even though we live 3 hours away, it is well worth it, they also offer telehealth and home clinic monitoring which is great! ... The nursing staff is great, very helpful and get back to you promptly if you have questions.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Sanford is a fabulous clinic, Dr. Von Wald is great. Honest, compassionate, and you can tell she loves what she does! I have had excellent care, and have hope that we will be able to have a baby with the help of this great team

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Be open to trying something different, they may suggest a lot of diagnostic testing, even if you have already had it, do it again! They may find different results

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Very caring and compassionate, she is blunt and honest but still helpful and considerate of your feelings

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

Our protocol has been metformin, myo-inisotol, cinnamon, Femara with Ovidrel. I did well on this protocol, no issues.

Describe your experience with the nursing staff at Sanford Fertility & Reproductive Medicine.

The nursing staff is great, very helpful and get back to you promptly if you have questions.

Describe your experience with Sanford Fertility & Reproductive Medicine.

The clinic is great, we have had a great experience so far. They have great doctors and great staff. You can't possibly go to a better clinic. Even though we live 3 hours away, it is well worth it, they also offer telehealth and home clinic monitoring which is great!

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

I have great insurance, so my medication and diagnostic testing, blood work and ultrasounds has all been covered. We are awaiting a surgical bill, but we haven't had much to pay out of pocket

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2017 - 2018, Unsuccessful

Age 25 - 26

4 IUI

Male Factor

Unexplained

Other

Income $50K - $99K

Accountant

1st of 3 Docs

Strongly Recommends

Unsuccessful

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

[Dr. Von Wald] Very patient, explains things well. Gave us all options available, went over pros and cons of each. Gave her full recommendation as to what to try first and to do next. Ensures that we know all the steps that will be taken....Each cycle we would up the dosage depending on how last cycle went. She made sure I was feeling fine with the drugs.... Just know it’s going to be a bit of information overload.... Remembers life events

Ease of making appointments. Pretty flexible with appointments. All people [Sanford Fertility and Reproductive Medicine] show great compassion. People start to get to know you by name. Get stopped in the hall for small chat. Everything is very thorough.... [Cost Of Treatment] IUI-$2,000-2,500 each cycle, meds depending. IVF-$17,000-20,000, meds depending.... [Nursing Staff] All very kind and helpful.... Remembers life events

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Very patient, explains things well. Gave us all options available, went over pros and cons of each. Gave her full recommendation as to what to try first and to do next. Ensures that we know all the steps that will be taken.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Just know it’s going to be a bit of information overload.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Remembers life events

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

Each cycle we would up the dosage depending on how last cycle went. She made sure I was feeling fine with the drugs.

Describe your experience with the nursing staff at Sanford Fertility & Reproductive Medicine.

All very kind and helpful.

Describe your experience with Sanford Fertility & Reproductive Medicine.

Ease of making appointments. Pretty flexible with appointments. All people show great compassion. People start to get to know you by name. Get stopped in the hall for small chat. Everything is very thorough.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

IUI-$2,000-2,500 each cycle, meds depending. IVF-$17,000-20,000, meds depending.

Describe Tiffany Von Wald's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sanford Fertility & Reproductive Medicine.

She suggests 1 is 2 depending on how many fertilized embryos we can get.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2017, Unsuccessful

Age 29

3 IUI

1 IVF

Male Factor

Other

Income $50K - $99K

1st of 4 Docs

Strongly Recommends

Unsuccessful

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

She [Dr. Von Wald] explained everything to us, our results, what was going to happen next. Asked us if we had questions. She answered our questions. She was a nice, kind doctor. She knew what she was talking about and doing....Her strengths were she explained everything in an a way we could understand. She knew the answers to ou r questions. She explained everything in detail. She answered all our questions. She didn't have any weaknesses.

Clinic [Sanford] employee's were nice and accommodating. Made you feel welcomed. Were nice and greeted us when we walked into the clinic.We had a short wait time. Knew us by our names after awhile. Easy check in with them....Nursing staff was kind, informational, answered all our questions. The nursing staff knew what they were doing and talking about....She [Dr. Von Wald] explained everything to us, our results, what was going to happen next.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Her strengths were she explained everything in an a way we could understand. She knew the answers to ou r questions. She explained everything in detail. She answered all our questions. She didn't have any weaknesses.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

She explained everything to us, our results, what was going to happen next. Asked us if we had questions. She answered our questions. She was a nice, kind doctor. She knew what she was talking about and doing.

Describe your experience with the nursing staff at Sanford Fertility & Reproductive Medicine.

Nursing staff was kind, informational, answered all our questions. The nursing staff knew what they were doing and talking about.

Describe your experience with Sanford Fertility & Reproductive Medicine.

Clinic employee's were nice and accommodating. Made you feel welcomed. Were nice and greeted us when we walked into the clinic.We had a short wait time. Knew us by our names after awhile. Easy check in with them.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

Normal price

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2019 - 2020, Unknown Success

Age 37 - 38

Unexplained

European

Income $100K - $199K

Only Doc Seen

Strongly Recommends

Success w/ Doc Too early to know

Review of

Tiffany Von Wald Sanford Reproductive Medicine

Dr Von Wald was considerate and caring at my initial visit for testing and workup...She was hopeful in iui working as we had no visible issues for not conceiving, very accommodating to my husband's travel work schedule, explained different things we could try. Vitamins, antioxidants, etc...took her time to go over all testing and possible procedures, didn't feel rushed, made it personal and felt cared about.

The nurses [at Sanford Reproductive Medicine] seemed great from the little I have been at the clinic. Very quick to respond via app or phone with answers...Only frustration was trying to figure out insurance,, I had trouble getting answers, but the financial advisor with the clinic was able to get answers and help a ton...very accommodating to my husband's travel work schedule, explained different things we could try. Vitamins, antioxidants, etc.

How was your experience with Tiffany Von Wald at Sanford Reproductive Medicine?

Dr Von Wald was considerate and caring at my initial visit for testing and workup. We didn't get to go further into iui, etc as covid happened and halted all elective procedures. She was hopeful in iui working as we had no visible issues for not conceiving, very accommodating to my husband's travel work schedule, explained different things we could try. Vitamins, antioxidants, etc.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Reproductive Medicine?

Have something to take notes as alot of info and hard to remember everything. Have questions written too as I was anxious and can't always remember what I wanted to ask. She is very kind and takes the time to answer questions!

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Reproductive Medicine?

The Dr took her time to go over all testing and possible procedures, didn't feel rushed, made it personal and felt cared about.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Reproductive Medicine and their degree of success.

I was only able to get testing done before covid happened, she did all the typical tests, blood work, ultrasound, was going to do hsg test but have to wait. Was going to do iui with meds to induce ovulation. Still planning on this after covid calms down and can resume elective procedures.

Describe your experience with the nursing staff at Sanford Reproductive Medicine.

The nurses seemed great from the little I have been at the clinic. Very quick to respond via app or phone with answers.

Describe your experience with Sanford Reproductive Medicine.

The clinic is great, only went once as unable to continue procedures at this time due to covid. Take notes, ask questions. Only frustration was trying to figure out insurance,, I had trouble getting answers, but the financial advisor with the clinic was able to get answers and help a ton.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Reproductive Medicine.

We have really good insurance so specialist copay was $40, all the testing and blood work ran about $400, plus $300 for husband. We were told iui would be covered by insurance after deductable was met.

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Clinic

Sanford Reproductive Medicine

Fargo

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Reproductive Medicine

2018 - 2019, Unknown Success

Age 23 - 24

1 IUI

Anovulation

PCOS

Middle Eastern

Income $0 - $49K

2nd of 2 Docs

Strongly Recommends

Success w/ Doc Not sure

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

[Dr. Tiffany Von Wald] has been amazing to work with! She is so kind and caring and cares what you have to say! She always took the time to listen to our concerns and knew how to help us...when we first walked in knew who I was as an individual she knew all about my past and everything. I felt like I had been seeing her my entire life. She was always willing to listen and help us out. She is beyond amazing...We used letrozole for all of my rounds but one and menopure shots about 4 of those and the trigger shot.

This clinic [Sanford Fertility and Reproductive Medicine] probably has weakness but I have not experienced any! Every time I go in I am treated with respect and kindness. I honestly love going to see them. Even if I get bad news. The receptionist knows me by name and always remembers things we talked about like two weeks ago...The other day I absolutely needed to be seen so we could do iui this round. Due to the weather I wasn’t able to make it. Katie made sure I could get an ultrasound in Mitchell and set up a video chat with my doctor.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Dr.vonwald when we first walked in knew who I was as an individual she knew all about my past and everything. I felt like I had been seeing her my entire life. She was always willing to listen and help us out. She is beyond amazing

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Take notes, go in with an open mind.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Dr.vonwald has been amazing to work with! She is so kind and caring and cares what you have to say! She always took the time to listen to our concerns and knew how to help us

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

We used letrozole for all of my rounds but one and menopure shots about 4 of those and the trigger shot.

Describe your experience with your nurse at Sanford Fertility & Reproductive Medicine. (Assigned nurse: Katie )

The other day I absolutely needed to be seen so we could do iui this round. Due to the weather I wasn’t able to make it. Katie made sure I could get an ultrasound in Mitchell and set up a video chat with my doctor.

Describe your experience with Sanford Fertility & Reproductive Medicine.

This clinic probably has weakness but I have not experienced any! Every time I go in I am treated with respect and kindness. I honestly love going to see them. Even if I get bad news. The receptionist knows me by name and always remembers things we talked about like two weeks ago.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

Since insurance doesn’t cover infertility I had lots of lab bills, ultrasound and office visit bills. I had a hsg done and they didn’t cover any of that. Medicine such as shot was crazy

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Sanford Fertility & Reproductive Medicine

Sioux Falls

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

2018 - 2019, Unknown Success

Age 33 - 34

2 IUI

1 IVF

Unexplained

European

Income $50K - $99K

Teacher

1st of 2 Docs

Strongly Recommends

Neutral

Success w/ Doc Too early to know

Review of

Tiffany Von Wald Sanford Fertility & Reproductive Medicine

We started with chlomid and then did letrazol [with Dr. Tiffany Von Wald]. We also did two iuis and are on our second round of ivf...She treats you like a person and knows where you have been and where you want to be. She has been in your shoes and cares...She is very personable and makes you feel welcome. She is a great listener and tells you where you should go next. Her team is great to work with. They get to know you very well and truly care about you.

[The nurses at Sanford Fertility and Reproductive Medicine were] very professional and helpful...Around $600 for iui. 15,00 for egg transfer and ivf 1. Ivf 2-3,000...They make you feel so welcome. I feel very comfortable there. They are so encouraging and helpful. They communicate well using my chart. Everyone knows your name and takes interest in your story. The team is all very positive and friendly...They get to know you very well and truly care about you.

How was your experience with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

She is very personable and makes you feel welcome. She is a great listener and tells you where you should go next. Her team is great to work with. They get to know you very well and truly care about you.

What's one piece of advice would you give a prospective patient of Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

Remain positive. Don’t be afraid to reach out and ask her for help.

During treatment, were you treated like a number or a human with Tiffany Von Wald at Sanford Fertility & Reproductive Medicine?

She treats you like a person and knows where you have been and where you want to be. She has been in your shoes and cares.

Describe the protocols Tiffany Von Wald used in your cycles at Sanford Fertility & Reproductive Medicine and their degree of success.

We started with chlomid and then did letrazol. We also did two iuis and are on our second round of ivf.

Describe your experience with your nurse at Sanford Fertility & Reproductive Medicine. (Assigned nurse: Shanna Konz)

They were good communities and very professional and helpful.

Describe your experience with Sanford Fertility & Reproductive Medicine.

They make you feel so welcome. I feel very comfortable there. They are so encouraging and helpful. They communicate well using my chart. Everyone knows your name and takes interest in your story. The team is all very positive and friendly.

Describe the costs associated with your care under Tiffany Von Wald at Sanford Fertility & Reproductive Medicine.

Around $600 for iui. 15,00 for egg transfer and ivf 1. Ivf 2-3,000

Doctor

Tiffany Von Wald

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic