This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
Dr. Kawwass is one of the best doctors I've ever seen. She is able to combine compassion and genuine care with statistics and factual information to help assist in decision making. Throughout IVF, there are SO many decisions that you have to make...I am someone who needs all of the facts to make a decision. She would provide paragraph answers with all of the statistics and all of the possibilities so that you can make a decision...She lets you advocate for your own health. She feeds off of whatever you give her so if you need more information she is very happy to provide it. She called me multiple times to help me go through it and basically talk me off a cliff. Cannot recommend her enough! Well worth the 5+ hour drive.
The [ Emory University Reproductive Center] strengths is definitely Dr. Kawwass. The things they could improve on is the responsiveness of the financial team. I think they only have 1 person and when everyone in the beginning of the year is having to get insurance recertified I think she was just a little overwhelmed and would not respond for sometimes 2 weeks...The nursing staff is VERY responsive to the portal messages. They respond almost instantly which is wonderful when you have lots of questions! They never made me feel dumb and when needed would escalate the question straight to Kawwass who would also respond in the portal.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass is one of the best doctors I've ever seen. She is able to combine compassion and genuine care with statistics and factual information to help assist in decision making. Throughout IVF, there are SO many decisions that you have to make (freeze all or fresh transfer, PGT testing or not, etc). I am someone who needs all of the facts to make a decision. She would provide paragraph answers with all of the statistics and all of the possibilities so that you can make a decision. She was never like hard and fast "you should do this." She lets you advocate for your own health. She feeds off of whatever you give her so if you need more information she is very happy to provide it. She called me multiple times to help me go through it and basically talk me off a cliff. Cannot recommend her enough! Well worth the 5+ hour drive.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
She feeds off of what you need. If you are someone who needs all of the information and all of the details, she will absolutely give that with extreme care and detail. If you just want to go with whatever her flow is and what she suggests, I would absolutely trust what she thinks the best plan would be.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass made us feel safe and created an atmosphere where we could ask questions comfortably. I was at another doctor local to my home and switched to drive 5+ hours to Kawwass because of how wonderful she made us feel. She is really good at being honest in a kind way. She gives actual statistics and reasons why she thinks a certain treatment is the way to go. The whole way through the IVF process, she gave statistics as to what to expect and was very honest but also confident. She was absolutely incredible. I had a polyp removal surgery with her too. She came into the room bouncing and smiling and was so excited to get the surgery done so we could move onto the next step. She was genuine and excited because she knows the process works.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
We started IVF with a middle strength protocol. After the baseline appointment and I only had 11 follicles vs the 18 on my AFC, she upped the protocol to the highest strength medicine to get the most out of those follicles. We ended up collecting 18 eggs but only the 11 were mature which was exactly what she predicted would happen and warned me to expect. We did a fresh transfer because I do not have PCOS and was not expected to have OHSS. Because of that, we did not PGT test our embryos. I went back and forth on the PGT testing, but Dr. Kawwass provided a VERY detailed explanation about statistics and the efficacy of PGT testing for my age group and my diagnosis.
Describe your experience with your nurse at Emory University Reproductive Center.
The nursing staff is VERY responsive to the portal messages. They respond almost instantly which is wonderful when you have lots of questions! They never made me feel dumb and when needed would escalate the question straight to Kawwass who would also respond in the portal.
Describe your experience with Emory University Reproductive Center.
The strengths is definitely Dr. Kawwass.
The things they could improve on is the responsiveness of the financial team. I think they only have 1 person and when everyone in the beginning of the year is having to get insurance recertified I think she was just a little overwhelmed and would not respond for sometimes 2 weeks.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
My insurance covered the costs up to $30k. Because of that, we got the "In-network" pricing. So in total the 1 full round of IVF was about $8k but my out of pocket max was $6k. The no insurance cost self-pay was about $15k if I remember correctly.
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Dr. Kawwass' general approach is to implant 1 embryo unless you are older or have had multiple failed transfers. If you need the statistics on why, she is happy to provide the information that shows that you're not more likely to have a successful transfer just by implanting 2 tested embryos.
we were asked what our preferred learning style is (ie. hearing it, seeing it, doing it) and that information was utilized by Dr. Schirmer and every member of our treatment team to ensure that we understood each step of the process...When a treatment cycle seemed to not be going as planned, he met with us to "regroup"...continue with the current treatment plan or move to a more aggressive approach. We have felt valued and heard throughout this entire process.
Emory is a teaching hospital and they pride themselves on having a great working relationship with each patient, which is very evident in their approach. Each doctor makes you feel so at ease and understood...[nurse] made sure to stay in contact with me via Patient Portal as well as telephone calls and she answered any questions I had...provided us with a full itemized break-down of all of the costs...
How was your experience with David Austin Schirmer III at Emory University Reproductive Center?
Dr. Schirmer has shown compassion throughout our entire fertility treatment journey. He has informed us of our odds, the clinic's success rates, and our personal success rates and he has gone above and beyond to make sure that we are comfortable with every step we have taken. He has been transparent about every procedure, cycle, step, and possible outcome and he has diligently worked to develop a treatment plan specific to our needs.
What's one piece of advice would you give a prospective patient of David Austin Schirmer III at Emory University Reproductive Center?
Don't be afraid to ask questions! Dr. Schirmer is very open to answering every single question you have. I went into our IVF orientation with a LONG list of questions and he gladly took all the time needed to answer each and every question I had. I have never felt "rushed out of the door" or like he is "too busy to see us" because Dr. Schirmer goes out of his way to make sure we are fully informed and feel comfortable with each step.
During treatment, were you treated like a number or a human with David Austin Schirmer III at Emory University Reproductive Center?
Dr. Schirmer took as much time as needed to meet with us for any questions and concerns. He presented all of the information in a way that I could understand yet allowed me to have the final say in my treatment plan. During our initial consultation, as well as our IVF orientation, we were asked what our preferred learning style is (ie. hearing it, seeing it, doing it) and that information was utilized by Dr. Schirmer and every member of our treatment team to ensure that we understood each step of the process. Our transfer cycle is cancelled/postponed due to the COVID-19 pandemic, but our treatment team has reached out to updated us throughout this process to make sure we are as much at ease as possible during this waiting time.
Describe the protocols David Austin Schirmer III used in your cycles at Emory University Reproductive Center and their degree of success.
Dr. Schirmer, like most Reproductive Endocrinologists, started with "conservative" treatments due to my age (26 years) and the length of time my husband and I had been trying to conceive at the time (1 year). During our initial consultation he reviewed possible treatment plans for us but ultimately let us decide what we wanted to do. As a team, we chose to do Timed Intercourse with Injectables which we did for several complete cycles before we decided to move to IVF. After every failed cycle, Dr. Schirmer met with us to discuss our next steps and what our desired treatment plan would be going forward. He never pressured us to move to a more aggressive (expensive) plan but laid out the facts and statistics of every fertility treatment (timed intercourse, IUI, IVF, etc.) and ultimately allowed us to have an open and honest conversation with us about our specific plan. When a treatment cycle seemed to not be going as planned, he met with us to "regroup" and figure out whether we wanted to continue with the current treatment plan or move to a more aggressive approach. We have felt valued and heard throughout this entire process.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Tadzia Toote)
Tadzia was very compassionate and caring throughout each step of the process. She calmed me down on so many different occasions because going through infertility is something that is very stressful and often overwhelming. She made sure to stay in contact with me via Patient Portal as well as telephone calls and she answered any questions I had.
Describe your experience with Emory University Reproductive Center.
I don't have a single negative thing to say about Emory Reproductive Center! Every single nurse, doctor on call, financial counselor, front desk personnel, and "medical fellow" has gone above and beyond to ensure that our experience has been outstanding. Emory is a teaching hospital and they pride themselves on having a great working relationship with each patient, which is very evident in their approach. Each doctor makes you feel so at ease and understood, which is SO important for someone struggling with infertility. I am connected to other women who are patients at Emory Reproductive Center and there is nothing but positive, glowing reviews.
Describe the costs associated with your care under David Austin Schirmer III at Emory University Reproductive Center.
Before each treatment plan was initiated, Dr. Schirmer and an Emory Reproductive Center Financial Counselor sat down with us to review the costs associated with our care. They reviewed different payment methods, options, and third-party companies for financial packages (particularly for IVF) that were available to us. They provided us with a full itemized break-down of all of the costs that we would be responsible for in that chosen treatment plan and worked with us to make sure we could get the desired fertility treatment.
Describe David Austin Schirmer III's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Dr. Schirmer prefers an elective single embryo transfer but ultimately let me make the final decision. He laid out all of the facts and statistics and informed us of the increased risks to me and the babies, should we get pregnant with multiples. However, it was a discussion that we were able to talk through and voice our opinion and Dr. Schirmer let us make the ultimate decision about the number of embryos to transfer. Our clinic grades each embryo and transfers the best quality embryo first to increase the chance of a viable pregnancy. Due to conversation we had, the recommendation of Dr. Schirmer, and the results of my own research, we have chosen to transfer only one embryo and we are so happy that Dr. Schrimer heard our concerns and talked them through with us.
Dr. Heather Hipp always takes the time to answer any questions and to explain all aspects of treatment...Each visit she sat with us for as long as it took for us to ask any and all questions in order to leave reassured...During stimulation, I was on Menopur in the morning (150iu) and Gonal-F in the evening (300iu) everyday for 10 days...I triggered with Lupron to try and avoid OHSS. I was higher risk for OHSS due to a high AMH
staff of [Emory University Reproductive Center] were compassionate and quick to respond to any questions or concerns...We financed treatment for $14,500 without monitoring or medication. The cost for monitoring and medication brought the cost to well over $20,000...I would tell a new patient not to hold too tight to the first schedule you receive as the cycle can be very unpredictable and the team has to change the approach and protocol as needed
How was your experience with Heather Hipp at Emory University Reproductive Center?
Dr. Hipp has been working with us for many years as we prepared to start our IVF cycle. Each visit she sat with us for as long as it took for us to ask any and all questions in order to leave reassured. She and her team are very quick to respond to portal messages or concerns. Dr. Hipp made it very clear throughout the process that she was invested in obtaining the best possible results for us.
What's one piece of advice would you give a prospective patient of Heather Hipp at Emory University Reproductive Center?
I would advise any patient for any doctor to write down questions as they arise so they do not forget them when they are at appointments.
During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?
Dr. Hipp always takes the time to answer any questions and to explain all aspects of treatment. It was evident that she genuinely cares for her patients and for the best possible outcome while also ensuring the mothers health along the way.
Describe the protocols Heather Hipp used in your cycles at Emory University Reproductive Center and their degree of success.
During stimulation, I was on Menopur in the morning (150iu) and Gonal-F in the evening (300iu) everyday for 10 days. Days 5-10 I added Ganirelix (250mcg) midday. I had monitoring about 4 times during stimulation. On the 10th day I took the first of my two-part trigger shot, at 10pm and again at 10am. I triggered with Lupron to try and avoid OHSS. I was higher risk for OHSS due to a high AMH. I also took Cabergoline after retrieval to avoid OHSS as well as an antibiotic for about a week to avoid infection. I was unable to do a fresh embryo transfer so that my body could rest after stimulation.
About a week later, I started Lupron (20 units) daily for about a month to suppress my ovaries. About 2.5 weeks after starting Lupron, I started Estradiol patches. Started with 1 patch every other day and progressively moved up to 4 patches every other day. About 2 weeks after starting patches, I started progesterone in oil (PIO) intramuscular shots in the evening and then also progesterone vaginal pills 3x daily. Six days after starting progesterone, I had my frozen embryo transfer. I am currently 7 weeks and 3 days. I am still on the PIO shots daily, progesterone vaginal pills 3x a day, and 4 Estradiol patches every other day. I will begin tapering off of my medications starting week 8 until week 12.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Ellen and then Mary)
I worked primarily with Ellen and then with Mary for the majority of my IVF cycle. Both were compassionate and quick to respond to any questions or concerns. I have spoken to other members of the nursing team during my treatment and all have been helpful and kind.
Describe your experience with Emory University Reproductive Center.
Everyone I had contact with in the clinic worked quick and efficiently. They were quick to respond to calls and messages. I would tell a new patient not to hold too tight to the first schedule you receive as the cycle can be very unpredictable and the team has to change the approach and protocol as needed.
I expected at my first ultrasound after confirmed positive beta to hear the heartbeat as I was 6 weeks 5 days. I had read that a lot of women at other clinics were able to hear heartbeat around the same time. However, my clinic said that they do not do sound for heartbeat until second trimester which was confusing to me. I was not aware that I would not hear it until that appointment. They did tell me what the heart rate was, though.
Describe the costs associated with your care under Heather Hipp at Emory University Reproductive Center.
We financed treatment for $14,500 without monitoring or medication. The cost for monitoring and medication brought the cost to well over $20,000.
Describe Heather Hipp's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Due to my age and health, my doctor recommended transferring only one embryo to avoid multiples which can be hard on my health and potentially dangerous to the babies.
When the blood work came back and was shockingly disappointing Dr. Kawwass called me personally after hours to talk. She answered every question with sincere thoughtfulness...we were able to get pregnant through IVF with her care. Unfortunately our son was diagnosed with Down syndrome while in utero and was stillborn at 36 weeks. This tragic outcome was no way in relation to anything done through Dr. Kawwass. When she found out our son had died she contacted us personally to send her condolences. Her professionalism and compassion sets her far above any doctor I’ve ever seen.
The nurses [at Emory University Reproductive Center] were polite and never made me feel dumb for asking questions or being nervous. Even the ladies handling financing were extremely helpful and understanding... The bathrooms were clean, rooms and waiting areas. It was never crowded and I don’t think we ever had to wait for more than 10-15 minutes and that was a rare occurrence. The downside to the clinic was the parking deck. It is hard to find a spot sometimes so you end up parking on the roof because Emory’s Reproductive Clinic is part of the hospital.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass was compassionate and understanding. Our situation was very odd being that I am only 27 and have been diagnosed with diminished ovarian reserve. When the blood work came back and was shockingly disappointing Dr. Kawwass called me personally after hours to talk. She answered every question with sincere thoughtfulness. Even with the odds against us we were able to get pregnant through IVF with her care. Unfortunately our son was diagnosed with Down syndrome while in utero and was stillborn at 36 weeks. This tragic outcome was no way in relation to anything done through Dr. Kawwass. When she found out our son had died she contacted us personally to send her condolences. Her professionalism and compassion sets her far above any doctor I’ve ever seen.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Don’t be afraid to ask questions because she won’t rush you or make you feel silly. Nothing is too big or too insignificant to ask and she will be 100% honest with you.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
When meeting with Dr. Kawwass she always knew our information before we were called back. She talked to my husband and I like we were friends she was giving professional advice to, she was not just reading off our paperwork in front of us.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
We used a low dose of antagonists because of my low egg count. I took menopour, gonal-f or ganirelix, estrogen patches and clomid although I can’t remember in which order. After egg retrieval I was on progesterone injections for 10 weeks because the egg implanted and it helps to maintain the pregnancy. At the retrieval she got 3 eggs. I had 4 mature follicles so 4 was the maximum we expected so getting 3 was a positive for us. They were transferred at the cleavage stage - day 2/3 - and like I mentioned above, one took.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Nancy)
Everyone I worked with while being treated at Emory was more than pleasant. The nurses were polite and never made me feel dumb for asking questions or being nervous. Even the ladies handling financing were extremely helpful and understanding.
Describe your experience with Emory University Reproductive Center.
The clinic was so clean. The bathrooms were clean, rooms and waiting areas. It was never crowded and I don’t think we ever had to wait for more than 10-15 minutes and that was a rare occurrence. The downside to the clinic was the parking deck. It is hard to find a spot sometimes so you end up parking on the roof because Emory’s Reproductive Clinic is part of the hospital.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
Our cost was roughly between $20,000-$25,000 with retrieval, transfer and medication.
She [Dr. Kawwass] always took so much time to sit down with me and discuss all my treatment options, the evidence-base around these options, and took the time to make sure I had time to ask any questions at all...After 2 clinical miscarriages (<10 weeks) and 3 chemical pregnancies (<6 weeks) I was at a loss of what to do. Dr. Kawwass ordered necessary tests and helped to explain to me my diagnoses of premature ovarian failure at age 35, as well as all the potential reasons for my miscarriages and what I could do. As a marathon runner, she cautioned me to run less (which seems obvious, but I had 4 different OBGYNs tell me that if I was running before pregnancy, I could continue to do so during pregnancy). She helped with treating subclinical hypothyroidism to get it under control, and she put me on progesterone at 3 DPO, which I think may have made a big difference for me. She also suggested trying Clomid prior to IVF with PGS testing first, as a less invasive method that may work to get pregnant.
[The nurses at FCI were] Super responsive. I always got call backs and replies on the patient portal to my messages within 1-2 hours. It was really amazing to be treated so well!...Excellent clinic. Easy to get in for appointments quickly, and very quick turnaround times. The clinic staff all communicate really well and I always felt like I was in the best hands. The clinic location is great, new, clean and top notch...team at Emory always took the time to get to know myself and my husband as individuals, not just as her patient, which I really appreciated.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass was incredible. She always took so much time to sit down with me and discuss all my treatment options, the evidence-base around these options, and took the time to make sure I had time to ask any questions at all. I never felt like she was rushed and needed to move on. She also really took the time to get to know myself and my husband as individuals, not just as her patient, which I appreciated. One thing I really valued about her was that she really knows the medical literature and studies really well, and for someone like me that really likes that evidence, she was an amazing doctor.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Write down your questions in advance - she will go through each one of them with you and it was always really helpful to have handy during my visits with her.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass and the team at Emory always took the time to get to know myself and my husband as individuals, not just as her patient, which I really appreciated.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
Dr. Kawwass had a lot of great recommendations for me, and while many of them were minor "tweaks" in my care, it resulted in a positive outcome. After 2 clinical miscarriages (<10 weeks) and 3 chemical pregnancies (<6 weeks) I was at a loss of what to do. Dr. Kawwass ordered necessary tests and helped to explain to me my diagnoses of premature ovarian failure at age 35, as well as all the potential reasons for my miscarriages and what I could do. As a marathon runner, she cautioned me to run less (which seems obvious, but I had 4 different OBGYNs tell me that if I was running before pregnancy, I could continue to do so during pregnancy). She helped with treating subclinical hypothyroidism to get it under control, and she put me on progesterone at 3 DPO, which I think may have made a big difference for me. She also suggested trying Clomid prior to IVF with PGS testing first, as a less invasive method that may work to get pregnant. She also had recommendations for just two supplements that had shown some effectiveness (many others she said were a waste of money and did not work), so I took these two to help improve egg quality prior to the clomid cycle. The clomid worked in the first cycle! I am 12 weeks pregnant now. Dr. Kawwass was so amazing helping to calm my nerves, as I was able to come in for almost weekly ultrasounds when I was nervous about spotting or other concerns about having another miscarriage. Overall, all of these changes to my treatment have resulted in a pregnancy that I hope to carry to term.
Describe your experience with the nursing staff at Emory University Reproductive Center.
Super responsive. I always got call backs and replies on the patient portal to my messages within 1-2 hours. It was really amazing to be treated so well!
Describe your experience with Emory University Reproductive Center.
Excellent clinic. Easy to get in for appointments quickly, and very quick turnaround times. The clinic staff all communicate really well and I always felt like I was in the best hands. The clinic location is great, new, clean and top notch.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
My insurance covered the majority of my treatment.
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Dr. Kawwass is against multiple embryo transfer because of the severe complications and health risks that multiple embryos can cause both mother and babies. I agree with this policy after she explained it to me. Though having twins sounded amazing at first after struggling with fertility, given all the current worries I have just at 12 weeks and knowing how much MORE I would worry about all the health risks of multiples, I completely understand this viewpoint as it is founded in evidence-based and scientific research.
Dr. Kawwass was a light at the end of a dark tunnel...was caring, supportive, explained the process in detail, and was very prompt to respond to any questions or concerns...used varying amounts of Clomid, Follistem, Menopur, Ganirelix, Pregnyl, and Gonal. In the 4 and 5th round I also added Omnitrope.
nothing negative to say about Emory Reproductive Center...billing office was transparent with costs and efficient with billing processes...hours were GREAT...clinic staff was always compassionate, supportive, and available...They called each day to report my test results and explain what the results mean.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
I could not have asked for a better doctor than Dr. Kawwass. After coming from another clinic where the doctors were unavailable, did not explain the process, and I was left in the dark, Dr. Kawwass was a light at the end of a dark tunnel. She was caring, supportive, explained the process in detail, and was very prompt to respond to any questions or concerns I had. The infertility journey is a stressful one, and knowing Dr. Kawwass was advocating for me and on my team made the journey a lot less stressful. She is the absolutely best doctor and human!
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
You want her to be your physician!
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
After leaving another well known clinic that wasted several crucial months with process and procedures, we felt the immediate warm embrace of Dr. Kawwass and her team as we embarked on this incredible journey. Within 15 minutes after meeting Dr. Kawwass we already had a plan in place and not only a doctor to guide us through but a knowledgeable and sympathetic friend to help us through the many ups and downs of this climb. Looking back we only wished we met Dr. Kawwass earlier but feel incredibly blessed to have her part of our lives!
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
All rounds I used varying amounts of Clomid, Follistem, Menopur, Ganirelix, Pregnyl, and Gonal.
In the 4 and 5th round I also added Omnitrope. The 5th round where I did low dose and added Omnitrope was my successful round and I am 9 weeks and 4 days pregnant with a fresh transfer embryo. I believe the omnitrope made a difference. All rounds, except for one round were low dose protocols. The one high dose round I went to my retrieval and had no eggs in my follicles.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: I had a couple of nurses)
The nursing staff was great. They were always accessible to answer any questions I had. They called each day to report my test results and explain what the results mean.
Describe your experience with Emory University Reproductive Center.
I have nothing negative to say about Emory Reproductive Center. I found Emory Reproductive Center after an exhausting experience with another “shady” clinic. The other clinic was a disaster- the billing office, the nursing staff, the doctor. Everything. Emory Reproductive Center provided an entirely different, stress free experience. The billing office was transparent with costs and efficient with billing processes. The clinic hours were GREAT, and I found the clinic staff was always compassionate, supportive, and available to answer and questions or concerns I had.
Dr. Kawwass got me in for a consult very quickly...Premature Ovarian Failure and Diminished Ovarian Reserve at 28 Years Old...helped me make the difficult decision to turn to egg donation rather than continuing to try to retrieve my own eggs...first transfer resulted in a healthy, happy little boy! My second transfer, just under two years later, resulted in a perfect little brother
Emory Reproductive Clinic is a very professional, well rounded group. I always felt like I was in good hands and I was always listened to. One day, my appointment was left off their calendar by mistake and they fixed it on the spot...Egg Retrieval ~$6,000 Embryo Transfer ~$4,000 Embryo Storage ~$500/year Medication Additional
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
I was referred to Dr. Kawwass by a nurse who had worked in the local fertility community for 20+ years. Dr. Kawwass got me in for a consult very quickly! I explained my journey - diagnosed with Premature Ovarian Failure and Diminished Ovarian Reserve at 28 Years Old; 4 retrievals, 2 transfers, 2 misscarriages, 1 failed transfer, and more heartbreak than I could ever imagine - She helped me make the difficult decision to turn to egg donation rather than continuing to try to retrieve my own eggs. When we decided that my younger sister would be my donor, she went above and beyond to help us find an out of state doctor (her friend from med school) who monitored my sisters retrieval until it was time for her to travel from Virginia to Atlanta for her egg retrieval. We were fortunate enough to retrieve many eggs and got 8 embryos! My first transfer resulted in a healthy, happy little boy! My second transfer, just under two years later, resulted in a perfect little brother! We could not be more overjoyed!! Dr. Kawwass is truly a gift to our family and the fertility community. She changed my life and I am eternally grateful!!
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass is very genuine and always made a point to let me know that she was monitoring my progress herself rather than solely relying the oncall doctors.
Describe your experience with Emory University Reproductive Center.
Emory Reproductive Clinic is a very professional, well rounded group. I always felt like I was in good hands and I was always listened to. One day, my appointment was left off their calendar by mistake and they fixed it on the spot.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
From my first meeting with Dr. Kawwass I felt that she genuinely cared about me and helping us to build our desired family. She regularly checked in with me before, during and after my retrieval cycles, celebrated with us when we experienced joy, and was sad with us when we experienced loss...she will do everything she can to provide you with the information you need to make decisions to best support your goals.
The [Emory University Reproductive Center] clinic typically operates on time or even early (if you arrive early for blood work for example, they are often able to get you in earlier), which is really helpful...We interacted with multiple nurses, as well as residents and lab technicians over the years and they all have been very caring, knowledgeable, and helpful. I developed a rapport with many of them and it was nice to see their familiar and friendly faces during many scary/nerve-racking appointments.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
I can't say enough positive things about Dr. Kawwass to do her justice. I trust her opinion, value her honesty, and recommend her to anyone that is looking for assistance. When we first met with Dr. Kawwass she let us know that she had seen a variety of outcomes for people in our situation and answered all of our questions to help us decide what course of action was best for our family. She supported us in our decisions and celebrated (and mourned) with us along the way. Even though we have not needed to use the eggs we retrieved, I am positive that doing the retrievals was the best decision for our family, and attribute our successful outcomes to her consultation/honesty with us and recommendation to take action to begin our family naturally as soon as we were ready. I most appreciate how genuine Dr. Kawwass is when talking with us and her ability to break down complicated topics in ways that we understand. I still have a photo of a sketch she drew to help explain our situation and potential outcomes to us and have shared it with with friends on multiple occasions.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Go see her now. Don't wait. Be honest and open with her so that she can provide you the best guidance for your situation. Dr. Kawwass can not control your outcome, but she will do everything she can to provide you with the information you need to make decisions to best support your goals.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
From my first meeting with Dr. Kawwass I felt that she genuinely cared about me and helping us to build our desired family. She regularly checked in with me before, during and after my retrieval cycles, celebrated with us when we experienced joy, and was sad with us when we experienced loss.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
We used the same protocol for all three of my retrieval cycles and I kept my Mirena IUD in place during all cycles as I was not yet ready to begin a family. Because I have diminished ovarian reserve we did not anticipate that we would be able to mature a large number of eggs, so we used the Estrogen Patches Clomid Antagonist IVF Protocol. We started with estrogen patches 9 days after ovulation (i think we actually only used them for the first two retrievals), once my period began I was monitored, and then instructed when to start taking 100 mg of Clomid. On day 5, I began 150 IU of Follistim Gonal-f and 75 IU of Menopur, I was monitored and then instructed to give the trigger shot (10,000 IU of HCG). On the second retrieval cycle I threw up the morning after the trigger shot. The length of my stimulation varied each cycle. I know that we did 13 days for the second cycle.
Describe your experience with the nursing staff at Emory University Reproductive Center.
We interacted with multiple nurses, as well as residents and lab technicians over the years and they all have been very caring, knowledgeable, and helpful. I developed a rapport with many of them and it was nice to see their familiar and friendly faces during many scary/nerve-racking appointments.
Describe your experience with Emory University Reproductive Center.
Communicating through the portal system takes a little bit to get used to. Once you use it a few times it will become more natural. I found that the doctors and nurses are very responsive when I send a note through the portal and that it was typically the best way to get a question answered. The clinic typically operates on time or even early (if you arrive early for blood work for example, they are often able to get you in earlier), which is really helpful. There are two locations and I have seen folks mistakenly go to the wrong location, so that would be good to be aware of when making your appointments. Dealing with insurance, particularly for medications can be really challenging. This is not because your team isn't doing what they need to do, it is because insurance the requirements are wonky and different for everyone.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
I was able to use my insurance so that was incredibly helpful. Using my insurance, I believe the retrieval and all appointments were around $8-$10k per cycle and the medications were around $5-$7k per cycle.
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Dr. Kawwass personally reached out after she returned from a medical leave to discuss the IVF transfer I had undergone while she was out. She makes herself available to address whatever questions or concerns that we have...She knows what she's doing, explains things clearly, and shows interest in the role that this IVF treatment is playing in our family and lives as a whole...
Dr. Kawwass and the staff [at Emory University Reproductive Center] are both warm and professional, treating us like humans while being at the cutting edge of providing expert fertility treatment... keep in mind that each provider doesn't necessarily perform the procedure that might need on the day that you need it, so you should be ready to get to know and work with other providers in the practice occasionally. Dr. Kawwass, though, regularly communicates with her colleagues. and she won't "forget" about you even if you have a procedure done with another provider...
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
I really couldn't ask for a better provider than Dr. Kawwass. She knows what she's doing, explains things clearly, and shows interest in the role that this IVF treatment is playing in our family and lives as a whole.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Just keep in mind that each provider doesn't necessarily perform the procedure that might need on the day that you need it, so you should be ready to get to know and work with other providers in the practice occasionally. Dr. Kawwass, though, regularly communicates with her colleagues. and she won't "forget" about you even if you have a procedure done with another provider.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass and the staff are both warm and professional, treating us like humans while being at the cutting edge of providing expert fertility treatment. Dr. Kawwass personally reached out after she returned from a medical leave to discuss the IVF transfer I had undergone while she was out. She makes herself available to address whatever questions or concerns that we have.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
Because we had "unexplained infertility," Dr. Kawwass first recommended that we try IUIs. She suggested doing 3 before turning to IVF. Because we couldn't make an IVF cycle happen for a few months after the third unsuccessul IUI, we did two more until we could start an egg retrieval cycle in the summer. After the egg retrieval, which was very successful given that I was 38 years old, she recommended that we test the embryos both with PGS and PGD testing. We did the former on account of our being a little older (I was 38 and my husband 41) and we did the latter to screen for a genetic condition that both of us are carriers for. We then transferred a frozen embryo and thankfully got a healthy baby boy from this first transfer. She recommended transferring only one embryo, since they had undergone the genetic testing and thus stood a better chance of implanting an developing to term. After our little boy turned two, we decided to try another transfer using one o our remaining 5 embryos. This second transfer resulted in a biochemical pregnancy that did not advance beyond the second blood test. We wanted to try again a few months later and managed to find one more funding to source to make it happen. Originally scheduled for October, Dr. Kawwass suggested that we call off the transfer about a week in advance because the lining in my uterus was not as thick as they hoped and there was some fluid between the layers. She reasoned that, since I wasn't going to be undertaking another egg retrieval cycle, we probably should be conservative in transferring the embryos. We postponed this transfer to a couple months later. That transfer at first resulted in a pregnancy. However, at the 7 week ultrasound, the fetus's heartrate was a little low and size a little small. By the ultrasound the next week, the fetus did not have a heartbeat at all. During this transfer cycle, Dr. Kawwass herself was out on medical leave, so another doctor, Dr. Marsidi performed this transfer. We met with Dr. Schirmer after the second ultrasound. They both provided excellent care and counsel. Dr. Schirmer explained that, even though we had put the embryos through PGS testing, the embryo is so small at that stage that there is much the testing cannot detect.
As soon as she returned from medical leave, Dr. Kawwass reached out to me to express her concern and make herself available for any support or consultation. I have been working her on trying to resolve the bleeding that still continues from the miscarriage, about 8 weeks later. I will be going in soon for a hysteroscopy to clear the remaining tissue.
We hope that we can muster the funds to try once more this summer to transfer an embryo. Since the two recent transfers have not resulted in a viable pregnancy, we have discussed whether she would be willing/would recommend transferring both of our remaining embryos. She said she would be willing in this case, though she has counseled about the significant risks o bearing twins. We still have not decided when and how many embryos to transfer.
Describe your experience with the nursing staff at Emory University Reproductive Center.
The nurses communicate well both with me and the doctors and often have gone out of their way to help, telling me after my miscarriage how to connect with the emergency after-hours line to connect with a doctor on all at the clinic. The nurses and ultrasound techs are always friendly and personable as well as professional.
Describe your experience with Emory University Reproductive Center.
The ERC has experts who care. Being connected with the broader Emory healthcare community is helpful for coordinating with other doctors who might also be prescribing medications or providing other treatment. For example, my neurologist and psychiatrist can see notes about my fertility treatments and vice versa. The weaknesses are in the understanding of where bills are coming from, as their is both a "physicians" and "hospital" billing system, with services not always being categorized in an intuitive way. Sometimes I've found it difficult to communicate with the billing and financing side of things, but it's gotten better.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
Out of pocket $10,238 (we had grant support for the retrieval and first transfer, some grant support for the second and third transfers)
$659 per IUI (x5) = 3,295
$4292 per FET (x3) = 12,876
$12,127 for retrieval (1)
+ hormones, parking, testing
TOTAL for 5 IUIs, 1 retrieval, and 3 transfers = $28,982.66
full itemized list below
Fertility costs
Date Item Place Amount
2017-9 testing ERC $158.46
2017-10 hormones and other supplies Walgreens/ERC $836.70
2017-11 IUI ERC $667.04
2017-12 IUI ERC $659.00
2017-12 parking Emory Midtown $25.00
2017-7 testing ERC $272.29
2017-8 IUI hormones Walgreens Community $104.50
2018-1 IUI ERC $659.00
2018-3 IUI ERC $659.00
2018-3 IUI ERC $931.98
2018-4 parking Emory Midtown $15.00
2018-5 IUI fees ERC $265.34
2018-6 parking Emory Midtown $48.00
2018-6 retrieval ERC $12,127.00
2018-6 retrieval hormones Walgreens Community $3,350.00
2018-6 retrieval hormones Walgreens $464.48
2018-9 transfer ERC $3,750.00
2021-10 transfer hormones Walgreens Community $132.18
2021-11 parking Emory Midtown $32.00
2021-12 transfer hormones Walgreens Community $835.08
2021-5 embryo storage ERC $252.00
2021-5 FET 2 ERC $1,333.28
2021-5 transfer hormones Walgreens Community $895.01
2021-6 transfer hormones + JAX monitoring Walgreens Community $506.35
2021-9 transfer hormones Walgreens Community $664.61
2022-1 transfer hormones Walgreens Community $334.52
$28,982.66
Dr. Spencer was very respectful and knowledgeable of my needs as na LGBTQ person. She was also very inclusive of my wife...She was good with explaining protocols, and setting reasonable expectations. When I had failed attempts, she was very empathetic. There were times when I had questions that my nurse couldn't answer and it sometimes took several days for Dr. Spencer to respond. I know she's busy but that can add stress to an already stressful process...Dr. Spencer had a strong preference for eSET...
Lisa [nurse at Emory University Reproductive Center] was very responsive and was always happy to answer any questions that I had...Because there are so many people involved in your care, sometimes the answers you get will be a little different. I did find that the financial team was less communicative than the clinical team. I wouldn't get updates about the approval process unless I asked, even when things were in process...
How was your experience with Jessica Spencer at Emory University Reproductive Center?
Dr. Spencer did well with all of our interactions. She was good with explaining protocols, and setting reasonable expectations. When I had failed attempts, she was very empathetic. There were times when I had questions that my nurse couldn't answer and it sometimes took several days for Dr. Spencer to respond. I know she's busy but that can add stress to an already stressful process.
What's one piece of advice would you give a prospective patient of Jessica Spencer at Emory University Reproductive Center?
When given the opportunity to meet directly with Dr. Spencer, be sure to ask lots of questions. She is very responsive and makes it a point to answer all of your questions during your appointment. I never felt rushed during the process.
During treatment, were you treated like a number or a human with Jessica Spencer at Emory University Reproductive Center?
Dr. Spencer does a good job of empathizing with you when things go wrong and also with setting realistic expectations.
Describe the protocols Jessica Spencer used in your cycles at Emory University Reproductive Center and their degree of success.
I had 3 failed IUI attempts with Dr. Spencer. The first was an unmedicated cycle. The others were medicated cycles with Clomid and HCG triggers.
I'm now in the middle of my first IVF cycle. We used an antagonist protocol which resulted in 29+ mature follicles. I used a Lupron trigger but unfortunately ovulated the morning of my egg retrieval. She was able to retrieve 11 eggs, which resulted in 1 embryo. I'm currently in the middle of preparation for my FET.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Lisa)
Lisa was very responsive and was always happy to answer any questions that I had.
Describe your experience with Emory University Reproductive Center.
Strengths: Very responsive to pool messages and very clear on what times they are most reachable. I found it very easy to get scheduled for my needed monitoring appointments. Several locations to choose from
Weaknesses: Because there are so many people involved in your care, sometimes the answers you get will be a little different. I did find that the financial team was less communicative than the clinical team. I wouldn't get updates about the approval process unless I asked, even when things were in process.
Describe the costs associated with your care under Jessica Spencer at Emory University Reproductive Center.
IUIs were covered by my insurance, so just my copay. One round of IVF is costing about $15k. My IVF meds cost about $13k.
Describe Jessica Spencer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Dr. Spencer had a strong preference for eSET and only performs multiple embryo transfer in very rare circumstances.
How competent was Emory University Reproductive Center at LGBTQ+ care?
Dr. Spencer was very respectful and knowledgeable of my needs as na LGBTQ person. She was also very inclusive of my wife.
Describe your experience using 3rd party reproduction (donor eggs, donor sperm, or gestational carrier) at Emory University Reproductive Center.
The coordination of our sperm bank went very well. We had no issues getting our sperm delivered and they did a good job of letting us know when things arrived.
...she was very knowledgeable in helping me in my infertility journey. She diagnosed me with unexplained infertility...I mentioned having more than one put in and she informed me the chances of that being multiples was really high and quickly talked me out of that idea...My last time talking to her was for her to release me to my OBGYN and she was just so happy for me and my husband. I’m grateful for her and her knowledge. I would refer her to anyone.
The [Emory University Reproductive Center] financial department was a little slow to get back with me at first with the correct information but things ended up changing..In the beginning it did seem like the nurse team was not on the same page but there was some changes with staff at the time which may have been the result of that . Other than that everyone seem to be a team...there was always a nurse available through patient portal to answer my questions
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
I would say that she was very knowledgeable in helping me in my infertility journey. She diagnosed me with unexplained infertility which bothered me at first. It wasn’t on her behalf but because I just needed a reason to believe why it wasn’t happening for me. I suggested certain tests just because of other stories I heard of or other situations I saw and she was very reassuring in what tests I needed. After trying IUI and taking clomid with timed intercourse she was very hopeful for me because she said I was younger and assured me that she would help get me pregnant. We started with the IVF orientation process. I had a SIS done and had to have a polyp removed. After that , another doctor performed my egg retrieval but she made sure to message me through out the whole process. She was so happy for me that I had 29 eggs . I ended up with only 2 frozen embryos over time and she even messaged me to give me that news and sympathize with my husband and I. Once it was time for the transfer I mentioned having more than one put in and she informed me the chances of that being multiples was really high and quickly talked me out of that idea . Looking back on that, I think 🤔 most doctors probably would have just did it and I’m glad for her explaining that to me. When I received my positive pregnancy test everyone was so happy for me at the office and I felt it . My last time talking to her was for her to release me to my OBGYN and she was just so happy for me and my husband. I’m grateful for her and her knowledge. I would refer her to anyone.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Please have patience, ask as many questions and try to relax and trust the process.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
I felt like a human because I was going through so much mentally and with questions there was always a nurse available through patient portal to answer my questions. There was one time I felt like nobody was responding to me and I could’ve been over exaggerating but I went to the office to get answers to my questions and everything was okay from there .
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
With timed intercourse we were instructed to use ovulations calculators and the same when it came to IUI . I don’t really remember to the extent but I called in when there was a smiley face through ovulation. With IVF , there was alot more pressure with timing and everything. One of the nurses created a calendar and we went from there. I know there was like pills and injections for stimulation . After my egg retrieval we didn’t transfer because of overstimulation and I still had to have a polyp removed so all of this happened in December of 2019 and I had my polyp removal done in January 2020. My transfer was done in I believe July or August of 2020. My baby was born in Feb 2021 but she was due in April. She is healthy and I’m grateful for everything I went through to see, touch and hold her.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Sushila )
Everyone was really nice and very informative on what they knew . As well as getting back to me with anything I didn’t understand . All the way down to the financial department
Describe your experience with Emory University Reproductive Center.
The financial department was a little slow to get back with me at first with the correct information but things ended up changing..In the beginning it did seem like the nurse team was not on the same page but there was some changes with staff at the time which may have been the result of that . Other than that everyone seem to be a team.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
We had insurance so the cost was different but I remember having an issue with getting the wrong estimate of the total. I think there was miscommunication with adding something called the ICSI. My husband and I came into the office to explain that process to us . I ended speaking to the lady who was the head of the financial department and my issue was resolved . I paid directly with her . I don’t really remember what happened but I was very upset and even considered changing clinics with out them even knowing but issue never escalated and was handled.
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
I’m not sure 🤔 what this means but I do know that it was a thought that crossed my mind that I would like to have twins and it was probably because I felt like we went through so much but because my doctor was so sure of me conceiving which I did. I really think that was safe. She explained the risks of multiples and I truly trusted her judgment from that point.
Dr. Toner takes a science/evidence-based approach and always had data and statistics at hand when discussing treatment options. This did not come at the expense of bedside manner, as he was very kind and patient. His demeanor was a great fit for my husband and I who value science and data-driven decision making...Dr. Toner established upfront that transferring single embryos is strongly recommended.
[retrieval] resulted in 9 eggs, 8 mature, 6 fertilized, 1 blastocyst...The aspect I like the best about Emory is they are affiliated with a top research university, meaning their doctors, staff and residents are knowledgeable of the most recent research and advanced practices/technology...It took a long time to get financial clearance even when we paid cash, and our billing statements were very confusing.
How was your experience with Jim Toner at Emory University Reproductive Center?
Dr. Toner takes a science/evidence-based approach and always had data and statistics at hand when discussing treatment options. This did not come at the expense of bedside manner, as he was very kind and patient. His demeanor was a great fit for my husband and I who value science and data-driven decision making.
What's one piece of advice would you give a prospective patient of Jim Toner at Emory University Reproductive Center?
Come prepared with questions, and be open-minded.
During treatment, were you treated like a number or a human with Jim Toner at Emory University Reproductive Center?
Dr. Toner was always very patient with us, making sure we had time to ask questions and he was a good listener. He also understood the emotional toll of fertility treatments on his patients.
Describe the protocols Jim Toner used in your cycles at Emory University Reproductive Center and their degree of success.
For the cycle we tried with my own eggs I was on a antagonist protocol, with Ganirelix, Menopur, and Follistim. I was on high doses but I still stimmed for 16 days as it took my body longer to respond. It resulted in 9 eggs, 8 mature, 6 fertilized, 1 blastocyst. We did a fresh transfer of the 1 blast but it was not successful. Poor egg quality was suspected.
Describe your experience with your nurse at Emory University Reproductive Center.
We had multiple nurse coordinators throughout our treatment. The first one we were assigned was not a great match for us. She was nice, but disorganized and a bit unprofessional. The second nurse was much better, but she retired shortly before our last procedure.
Describe your experience with Emory University Reproductive Center.
The aspect I like the best about Emory is they are affiliated with a top research university, meaning their doctors, staff and residents are knowledgeable of the most recent research and advanced practices/technology. This does mean there are students shadowing doctors at some appointments, but that didn't bother us. I'd say the finance and billing departments were the worst aspects. It took a long time to get financial clearance even when we paid cash, and our billing statements were very confusing.
Describe the costs associated with your care under Jim Toner at Emory University Reproductive Center.
The IUI procedures were ~$2,500. The first IVF procedure with my own eggs cost approximately $30,000, but $11,000 of that was for meds. Since I was on high doses for a long time that's probably $5K more than normal. Our second IVF procedure with donor eggs was ~$15K (not including the cost of the donor eggs).
Describe Jim Toner's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Dr. Toner established upfront that transferring single embryos is strongly recommended.
What specific things went wrong at Emory University Reproductive Center?
Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Emory University Reproductive Center.
Once or twice a nurse forgot to call in a prescription, but they were quick to rectify the issue.
Dr. Schirmer was very transparent on the opportunities for success and struggles we faced during our infertility journey. He was kind and patient at each step of our process, answering all questions we had in an honest yet optimistic manner, and provided thoughtful detailed options along the way...We had 3 failed IUI’s which I do think was a waste of money, but [he] changed treatment plans and after switching to IVF we retrieved 18 eggs
[Emory U approx cost] ~$15k for IVF retrieval & transfer, plus $7k for medication (out of pocket)...I don’t love that the large number of doctors are on rotation so it wasn’t guaranteed that Dr. Schirmer would perform my procedures. I also overpaid around $2K and it took over 8-months of my aggressively following up with Emory to then only get a credit instead of an actual refund. The billing isn’t handled by the Dr but it was enough of a frustrating experience to make me not want to return for future treatments
How was your experience with David Austin Schirmer III at Emory University Reproductive Center?
I went in having done a tremendous amount of research ahead of time but my husband had not. I asked a lot of questions to confirm what I had researched and to get my husband up to speed, and Dr. Schirmer was so patient and informative. We had 3 failed IUI’s which I do think was a waste of money, but Dr. Schirmer changed treatment plans and after switching to IVF we retrieved 18 eggs. Using ICSI we got 2 blastocyst embryos after our first retrieval. After a frozen transfer, we had a healthy baby! Dr Schurmer was great along the way and performed my transfer. We then tried a second retrieval which resulted in 28 eggs. Despite undergoing an emergency ICSI procedure after only 1 egg was fertilized naturally, no embryos made it paste day 3 growth. Another doctor in the practice performed this retrieval but she was great too. It was devastating to spend so much money out of pocket to not get any embryos in the end. Dr. Schirmer was very considerate and sympathetic when presenting our options and future treatment plans. We are in the process of planning next steps.
What's one piece of advice would you give a prospective patient of David Austin Schirmer III at Emory University Reproductive Center?
Ask questions if you have them. Make sure you are upfront and honest about what you want and what concerns you have so he can provide answers and you can be on the same page.
I was concerned over a resident who performed one of my exams because the person smelled like smoke (which I was incredibly sensitive to) and Dr Schirmer was sensitive to my frustration and I didn’t encounter the situation again and he assured me that is not something that would occur again.
During treatment, were you treated like a number or a human with David Austin Schirmer III at Emory University Reproductive Center?
Dr. Schirmer was very transparent on the opportunities for success and struggles we faced during our infertility journey. He was kind and patient at each step of our process, answering all questions we had in an honest yet optimistic manner, and provided thoughtful detailed options along the way. His dedicated nurse was wonderful was wonderful and kind as well.
Describe the protocols David Austin Schirmer III used in your cycles at Emory University Reproductive Center and their degree of success.
I already shared a good bit about this in my other response. 3-rounds of failed IUI. 1 retrieval that resulted in 2 embryos. 1 frozen transfer resulted in a live birth. 1 retrieval that resulted in no embryos. Lots of hormone medicine... so many shots and patches.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: T)
Tadzia was great. She was very kind and would follow up when she said she would.
Describe your experience with Emory University Reproductive Center.
I don’t love that the large number of doctors are on rotation so it wasn’t guaranteed that Dr. Schirmer would perform my procedures. I also overpaid around $2K and it took over 8-months of my aggressively following up with Emory to then only get a credit instead of an actual refund. The billing isn’t handled by the Dr but it was enough of a frustrating experience to make me not want to return for future treatments. I eventually did because I really liked Dr. Schirmer but Emory’s billing system is the worst I’ve seen. They strung me along saying a refund check would be in the mail and sent within the month. It took several months of my following up to then eventually just go into labor and have that credit applied to my balance for labor and delivery. I would have much rather had that $2K in my pocket for 8-months than let them sit on it.
Describe the costs associated with your care under David Austin Schirmer III at Emory University Reproductive Center.
~$15k for IVF retrieval & transfer, plus $7k for medication (out of pocket)
Describe David Austin Schirmer III's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
I was told that Emory had a policy about not doing multiple embryo transfer for the first transfer for healthy women. We only transferred one embryo and got a single live birth. There are apparently some other considerations for transferring multiple embryos like older women or those with many failed transfers.
Dr. Kawwass was very attentive and listened to all of our concerns. The office staff were also very warm and friendly both in person and on the phone...listened to all of our concerns at our first appointment. I advised her of the negative experience I had with my previous doctor's office and staff. She made me feel very comfortable and assured me that I would not be dealing with anything like that. She explained her plan for me in detail and answered all of our questions and wasted no time in getting started. She did not rush us and was very generous with her time.
Everything was great [at Emory University Reproductive Center]. The only part of the process that was somewhat frustrating was being able to contact the financial office and being able to get answers quickly. They were working with my insurance , so understandably it can take some time to respond. In the midst of going through such a big thing in life, prompt responses are helpful esp when it has to do with financing the cycle.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
Dr.Kawwass listened to all of our concerns at our first appointment. I advised her of the negative experience I had with my previous doctor's office and staff. She made me feel very comfortable and assured me that I would not be dealing with anything like that. She explained her plan for me in detail and answered all of our questions and wasted no time in getting started. She did not rush us and was very generous with her time.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Don't hesitate to ask questions. She was great at answering all of our questions and addressing our concerns.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass was very attentive and listened to all of our concerns. The office staff were also very warm and friendly both in person and on the phone.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
Antagonist IVF treatment. BCP on 1st day of Menses. Baseline. labs and ultrasounds. Start Stims after period starts again. Egg retrieval. Fresh Transfer
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Sushila)
The nursing staff were great. Sushila was my main Nurse. She would always respond to me promptly through the patient portal or would call me. If she was not in office that say Nancy or someone else would respond to my inquiries right away. She went above and beyond to communicate with the office I was using for satellite monitoring as I am in Nashville and they are in Atlanta.
Describe your experience with Emory University Reproductive Center.
Everything was great. The only part of the process that was somewhat frustrating was being able to contact the financial office and being able to get answers quickly. They were working with my insurance , so understandably it can take some time to respond. In the midst of going through such a big thing in life, prompt responses are helpful esp when it has to do with financing the cycle.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
Our insurance covered IVF. We did have to pay out of pocket for ICSI ,our out of pocket amounts and the patient amount for the medications
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Single Embryo transfer was recommended as I was 29 yrs old at the time with no health issues.
he [Dr. David Schirmer] was super approachable and took a lot of time to explain our options and how each option would work...we plan to use him again to transfer remaining embryos from our retrieval...He recommended single embryo as I was young (34)...I had 3 unsuccessful rounds of clomid assisted IUIs. Then shifted to IVF...I used menopur and gonal f. I had to be stimulated for 14 days then did the trigger prior to my retrieval
they [clinic of Emory University Reproductive Center] had early morning appointments and validated parking given how often I had to go...They pulled out 14 eggs, 12 fertilized and 5 remained after 5 days. I did genetic testing and 3 were genetically normal. I did a frozen transfer of 1 embryo...I was able to use insurance for some costs...We had to pay a certain amount prior to starting the cycle for IVF...he [Dr. Schirmer] was super approachable and took a lot of time to explain our options and how each option would work.
How was your experience with David Austin Schirmer III at Emory University Reproductive Center?
he was super approachable and took a lot of time to explain our options and how each option would work. He was also incredibly skilled based on our positive results. I would go to him again if given the option and we plan to use him again to transfer remaining embryos from our retrieval. We are very thankful for his excellent skill that resulted in our wonderful daughter
What's one piece of advice would you give a prospective patient of David Austin Schirmer III at Emory University Reproductive Center?
Be sure to ask lots of questions- he was excellent at reviewing our questions and giving advice without being prescriptive
During treatment, were you treated like a number or a human with David Austin Schirmer III at Emory University Reproductive Center?
He was super collaborative and Informative
Describe the protocols David Austin Schirmer III used in your cycles at Emory University Reproductive Center and their degree of success.
I had 3 unsuccessful rounds of clomid assisted IUIs. Then shifted to IVF. I used estrogen patches for a few days before starting stimulation. I used menopur and gonal f. I had to be stimulated for 14 days then did the trigger prior to my retrieval. They pulled out 14 eggs, 12 fertilized and 5 remained after 5 days. I did genetic testing and 3 were genetically normal. I did a frozen transfer of 1 embryo resulting in a successful pregnancy and birth.
Describe your experience with your nurse at Emory University Reproductive Center.
She was new so not as knowledgeable about what to expect and not precise with her works like the physicians were. Had I been less educated and informed, it would have been acceptable but since I had done so much research I think I asked harder questions.
Describe your experience with Emory University Reproductive Center.
The clinic process was very standard and professional from the front desk to the doctors. I liked that they had early morning appointments and validated parking given how often I had to go. It was nice to be able to go before work.
Describe the costs associated with your care under David Austin Schirmer III at Emory University Reproductive Center.
I was able to use insurance for some costs but all costs were discussed up front with a financial person. We had to pay a certain amount prior to starting the cycle for IVF
Describe David Austin Schirmer III's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
He recommended single embryo as I was young (34). I agree with this approach.
Be prepared that she [Dr. Jennifer Kawwass] is available only for the consults and an occasional call. She isn’t available to do the procedures...I only did IUIs. But my regimen was clomid and then 1 day of injection of Gonadotropins And then the trigger shot (Ovidril). This is the regimen that we used 2x and that resulted in the pregnancy. But they key was banking sperm ahead of time. Which they didn’t tell us was an option until we were getting ready for the 3rd IUI. It was very frustrating. And I asked about it because I had read online it was a possibility.
Several [nurses at Emory University Reproductive Center] were wonderful, others I didn’t feel connected to...I wish they had told us about sperm banking sooner, also I think each doctor should have their own nurse (or maybe 2 that each take 1/2 the week) that responds to calls and portal emails. I felt like the care was very disjointed and you felt like a number. But on an individual level, I liked our doctor and a couple of the nurses that really seemed to care and remember me.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
Jennifer Kawwass is very kind and has good bedside manner. I felt like she genuinely cared if we were successful or not. Even when we switched doctors she wanted us to come back and see her when we started our family. What I didn’t like was that the continuity for care for me and my husband was always different. I never felt like outside of her office people really knew who I was. And it wa s always someone different responding to emails on the portal or providing the actual care.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Be prepared that she is available only for the consults and an occasional call. She isn’t available to do the procedures.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass was wondeful. Kind thoughtful, but always truthful. I appreciated her honesty. What I didn’t like was that for the 4 IUIs over the course of more than a year, we only saw her 3 times, the initial consult, after our miscarriage (which had complications) and then ahead of our final IUI. We did talk on the phone twice. But every time I went Fir the IUI or the MVA after the miscarriage I saw a different doctor or fellow - and none were her. Also the patient portal I felt like there was inconsistency with the nurses responding. I recommend Dr. Kawwass personally, but overall was disappointed in the overall care and service at Emory.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
I only did IUIs. But my regimen was clomid and then 1 day of injection of
Gonadotropins And then the trigger shot (Ovidril). This is the regimen that we used 2x and that resulted in the pregnancy. But they key was banking sperm ahead of time. Which they didn’t tell us was an option until we were getting ready for the 3rd IUI. It was very frustrating. And I asked about it because I had read online it was a possibility.
Describe your experience with the nursing staff at Emory University Reproductive Center.
Several were wonderful, others I didn’t feel connected to.
Describe your experience with Emory University Reproductive Center.
That you may not see your doctor for the actual procedures. And that you need to research things yourself ahead of time to ask questions and at times advocate for yourself. I really had to push for antibiotics when I felt like I was getting an infection as a result of a miscarriage that had left behind some tissue.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
It was minimal since it was just IUI and I has good insurance. I did have to follow-up repeatedly to get cost info for IVF and it only happened when we went back and had our final consultation with Dr.Kawwass - so she had set it up. The point person never responded to my personal emails or voicemails, but I know she had some family issues at that time. So I understood to some extent, but someone should have been responding on her behalf.
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
NA this hasn’t happened yet and is with another doctor.
What specific things went wrong at Emory University Reproductive Center?
Failed to call with results
Failed to convey critical information
Describe the specific things that went wrong at Emory University Reproductive Center.
I wish they had told us about sperm banking sooner, also I think each doctor should have their own nurse (or maybe 2 that each take 1/2 the week) that responds to calls and portal emails. I felt like the care was very disjointed and you felt like a number. But on an individual level, I liked our doctor and a couple of the nurses that really seemed to care and remember me.
Dr. Kawwass took the time to discuss my treatment plan and answer all of my questions. When I went back 2 years later to try for my second child, she greeted me like an old friend and remembered the details of my previous treatment....she was a great communicator, empathetic, and a great scientist / up to date on the latest literature. I appreciate how she combined scientific rigor with her empathetic approach to treatment.
Clinic [Emory] was well-run with appointments on time, clean and comfortable waiting area, and great staff. Parking was sometimes frustrating - would definitely recommend coming early to find parking in the garage.... Nursing staff were always friendly and professional... Dr. Kawwass was an amazing practitioner - she was a great communicator, empathetic, and a great scientist / up to date on the latest literature.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass was an amazing practitioner - she was a great communicator, empathetic, and a great scientist / up to date on the latest literature. I appreciate how she combined scientific rigor with her empathetic approach to treatment. Even though I didn’t see her at every visit I trusted her team and knew she was consulted on the decisions around my care.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass took the time to discuss my treatment plan and answer all of my questions. When I went back 2 years later to try for my second child, she greeted me like an old friend and remembered the details of my previous treatment. I always found her very empathetic and approachable and appreciated how she never ‘dumbed things down’ when talking about my treatment plan or answering questions.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
We started with letrozole only cycles to stimulate ovulation with timed intercourse. At the time both my husband and I were traveling for work so it was difficult for timing intercourse so we eventually moved to stimulation plus IUI. When that didn’t work for a few months I started an IVF cycle with injectables but I wasn’t producing enough eggs so we switched to an IUI. I got pregnant with my daughter on that cycle. When I went back to the clinic 2 years later to start trying again we did a clomid+menopur cycle and IUI and I got pregnant in that first cycle.
Describe your experience with the nursing staff at Emory University Reproductive Center.
Nursing staff were always friendly and professional
Describe your experience with Emory University Reproductive Center.
Clinic was well-run with appointments on time, clean and comfortable waiting area, and great staff. Parking was sometimes frustrating - would definitely recommend coming early to find parking in the garage.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
Costs were covered by insurance so only paid $40 co pay on some visits
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Dr. Kawwass did not perform any of our procedures, but we were aware she was consulted throughout. Our meetings with her were thorough and encouraging. When we were worried, she would always appear just to comfort us...Know that as medical director she may not be available for the day to day, but she knows her stuff and is a great team leader to help you find the best course of treatment and hopefully positive results.
The physicians and nurses [at Emory University] were amazing. We had some issues with the customer experience coordinator getting us information and communicating in a timely manner in regards to our insurance coverage and options. We also had to beg to pay and the bills are overly complicated...It would be helpful if they gave a medication estimate along with the "bottom line" number from insurance for IVF.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass did not perform any of our procedures, but we were aware she was consulted throughout. Our meetings with her were thorough and encouraging. When we were worried, she would always appear just to comfort us.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Know that as medical director she may not be available for the day to day, but she knows her stuff and is a great team leader to help you find the best course of treatment and hopefully positive results.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass is warm and friendly and makes an intimidating process seem manageable. She always listened and responded to our concerns however we presented them and we felt like she truly wanted us to conceive.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
IUI 1-3: Letrozole - Ovidrel trigger Then HSG test. IUI 4 added Menopur for thin lining.
IVF: reciprocal with wife's eggs. Me: gestational parent: Birth Control for 4 weeks, daily Lupron shots, estrogen patches. 2CC Progesterone injections daily from retrieval through 9 weeks. Prometrium suppositories 3x day through 12 weeks.
We didn't ask why this protocol, but I had very few side effects and we were willing to try anything.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Nancy )
Nancy oversaw our protocol, but with the amount of ultrasounds and blood draws much of our kudos go to Amy and the other ultrasound techs for being so kind and gentle and informative.
Describe your experience with Emory University Reproductive Center.
The physicians and nurses were amazing. We had some issues with the customer experience coordinator getting us information and communicating in a timely manner in regards to our insurance coverage and options. We also had to beg to pay and the bills are overly complicated.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
Because there were two people invovled, and we have seperate insurance, my IVF protocol was covered outside my $1500 copay. My wife's insurance did not have fertility coverage but she was given a discount. All in for 6 IUI and 1 IVF we spent just over $20,000 including donor sperm.
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
We only had 2 make it to Day 5, only one was transferred.
What specific things went wrong at Emory University Reproductive Center?
Provided conflicting information
Describe the specific things that went wrong at Emory University Reproductive Center.
Only with the billing and insurance coordination side. It would be helpful if they gave a medication estimate along with the "bottom line" number from insurance for IVF.
She [Dr. Hipp] is always willing to support our choices - as long as there are still options on the table. I have never felt left out of the conversation or the decisions we have made in my treatment and surgical plans... is knowledgeable, confident, and compassionate...is willing to advocate for your care to fit you and your needs - all while competently addressing the issues at hand. She is willing to look under all the rocks for possible adjustments or procedures and is willing to allow your body to work hard in its own unique time.
I have missed critical pre-op appointments with my RE [at Emory University] that were never scheduled. I have had a balloon catheter placed without prior discussion. I have had medications I wasn't ready for called in on my behalf. I have been brought in for procedures in the past despite being in the wrong phase of my cycle for the test. I've had a nurse answer a personal call whilst an ultrasound wand was inside my vagina...is a teaching environment and not all of the nurses have the same approach to sharing treatment results.
How was your experience with Heather Hipp at Emory University Reproductive Center?
Dr. Hipp was my personal choice having met with her for the various procedures that began my treatment. We immediately built a report. She is always willing to support our choices - as long as there are still options on the table. I have never felt left out of the conversation or the decisions we have made in my treatment and surgical plans. While still in the burgeoning years of her career, Dr. Hipp is knowledgeable, confident, and compassionate.
What's one piece of advice would you give a prospective patient of Heather Hipp at Emory University Reproductive Center?
Dr. Hipp is willing to advocate for your care to fit you and your needs - all while competently addressing the issues at hand. She is willing to look under all the rocks for possible adjustments or procedures and is willing to allow your body to work hard in its own unique time.
During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?
Dr. Hipp is warm and friendly. She is realistic and gentle-of-spirit - even when the subject of conversation is not the news you'd like. At one point in my treatment, Dr. Hipp called me personally to share some troubling news and immediately went to work to have my tests reevaluated so that we had plenty of options and information to work with. She is so caring and hopeful for us, with us, and is always direct without being unkind.
Describe the protocols Heather Hipp used in your cycles at Emory University Reproductive Center and their degree of success.
We have worked hard for years combating unexplained scar tissue - pills, injections, tests, surgeries, balloon catheters - together we've thrown out the rule books and have made tremendous progress. We've had varying levels of hormones serve as roadblocks along the way and through Dr. Hipp's guidance, have corrected and been able to keep moving forward. And we haven't stopped yet - we finally got the last surgical procedure aligned with the right combination of injections, acupuncture, a proper cath... - and low and behold, my cycles even came back unassisted for the first time in years! Dr. Hipp's recommendations have been strategic and considerate of my unique circumstances. We will likely move forward with IVF in the coming weeks and I know that I am in good hands as we attempt this next phase.
Describe your experience with the nursing staff at Emory University Reproductive Center.
ERC is a teaching environment and not all of the nurses have the same approach to sharing treatment results. As an example - follicles like mine respond very slowly - but they are responding. Some nurses see the slow response not match what is considered to be large enough to get excited about. Some tell you every detail. For me, I want and need to know that I have growth at xx size and at xx amount on each ovary - as opposed to being told there has been "no response" simply because the sizing hasn't reached the size that nurse has been trained to disclose. So, I've had to say - "Put it in my chart that I want to know every detail. You can't tell a 40-year-old woman there's 'no response' to 225 daily units of Follistim when what's really happening is 8 follicles measuring at 8s and 9s." For me, any progress is progress and I've been able to take the information and use it to determine if the cycle was still viable for IUI. So far, so good. The staff is open to making adjustments - but you have to advocate for yourself in this environment. Otherwise, the lessons tend to be more focused by-the-book.
Describe your experience with Emory University Reproductive Center.
This clinic is a teaching environment and that is an environment I've had to make adjustments for. On occasion, I've had the ultrasound tech that is nervous or the nurse that answers her cell phone. There have been some surprises along the way. If you choose to seek treatment here, remember that it is okay to refuse to let 4 fellows in the room for your SHG or whatever heinous and scary test you may have to have run during your journey and take opportunities to share your constructive feedback. You are first and foremost!
Describe the costs associated with your care under Heather Hipp at Emory University Reproductive Center.
My insurance covers a great deal of the costs. My deductible is $2700. In 2018, my IUI medications cost me $5300 out of pocket in addition to meeting my individual deductible.
What specific things went wrong at Emory University Reproductive Center?
Failed to call in prescriptions to pharmacy
Lost appointments
Failed to call with results
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Emory University Reproductive Center.
I have missed critical pre-op appointments with my RE that were never scheduled. I have had a balloon catheter placed without prior discussion. I have had medications I wasn't ready for called in on my behalf. I have been brought in for procedures in the past despite being in the wrong phase of my cycle for the test. I've had a nurse answer a personal call whilst an ultrasound wand was inside my vagina. I've had a fellow perform an SHG and endured the replacement/adjustment of the speculum 6 times - SIX....times during the procedure. I had one of my catheters removed by a male fellow that I had never met before without prior consult. It's been an adventure.
communication style is very direct, which I appreciate, but we did not connect [to Dr. Kawass] on any other level which made it difficult to hear one another. Later experiences improved but I always have the sense that I'm viewed as that crazy patient that didn't follow orders - even when there was no possibility of that happening financially at the time...If you're the type of person that just wants to be told what to do - she's incredible...
Emory is a teaching hospital. Be prepared to handle that. Everyone is wonderful but some are still learning and it makes for some interesting experiences. If you're not up for making room for that, this is not your clinic...sometimes getting told there may be 4 people in the room or a simple ultrasound taking longer because the tech doesn't have enough experience to get in and get out. Everyone is friendly but there is not one standard for the clinic. As an example - one of my nurses knows that slow follicle growth is still growth and will explain exactly what is happening.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
My surgical procedure was successful but the after care was not as aggressive as it could have been. Other procedures included hormones and other precautions to avoid the condition returning. Her communication style is very direct, which I appreciate, but we did not connect on any other level which made it difficult to hear one another. Later experiences improved but I always have the sense that I'm viewed as that crazy patient that didn't follow orders - even when there was no possibility of that happening financially at the time.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
If you're the type of person that just wants to be told what to do - she's incredible.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
..."don't come back to me a year from now saying you're ready to try IVF"... it was a devastating appointment. Not to mention we received a call from the pharmacy to pick up shots we weren't ready to use before we even left the parking lot. We did choose to take things slow after surgery... and she may have been right on the money about our timing but it isn't just about what works on paper. Knowing now just how much IUI costs add up and contemplating IVF and what it may do to our savings, there was no way we could have afforded it then. It will be financial restrictions in the end that may keep us from building our family - which is unfair and unacceptable. That said, on that day I felt like I was in danger of ruining someone's success record instead of someone who came in ready to take part in my treatment.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
Pills to bring on cycle
Ultrasounds
HSG and SHG
Surgery to address unexplained adhesion
Did not order hormone regimen or balloon cath
Suggested 2 immediate rounds of IUI followed by IVF within 4 months post op
Describe your experience with the nursing staff at Emory University Reproductive Center.
Emory is a teaching hospital. Be prepared to handle that. Everyone is wonderful but some are still learning and it makes for some interesting experiences. If you're not up for making room for that, this is not your clinic.
Describe your experience with Emory University Reproductive Center.
Teaching environment often leaves a lot to be desired... the little things. And sometimes getting told there may be 4 people in the room or a simple ultrasound taking longer because the tech doesn't have enough experience to get in and get out. Everyone is friendly but there is not one standard for the clinic. As an example - one of my nurses knows that slow follicle growth is still growth and will explain exactly what is happening. Another of the nurses told me there was "no response" because my activity didn't meet the standards on paper. This is the kind of news that can send you under a blanket for days!! You have to advocate for yourself EVERY step of the way here and that is difficult to navigate when treatments are new and the process is a mystery.
What specific things went wrong at Emory University Reproductive Center?
Failed to call with results
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Emory University Reproductive Center.
Inconsistent results have been revealed. I had to insist that a note be placed in my chart that I don't care about what is "supposed" to be happening, I want to know what "is" happening and hear recommendations based on both parts of the equation. I am my own advocate and it is exhausting and somewhat scary to not really be led through the process. Some have far better bedside manner than other and that's fine. I just often feel I'm at square one every time I walk in.
Dr. Hipp is amazing and so educated. She made sure to explain everything so we could understand it. If there were any set backs she made sure to call in addition to the nurses. She is just wonderful and I will definitely work with her again.... Our infertility was due to low AMH and male factor. We did one cycle where we started with estrogen patches when ovulation occurred. When I got my period we did the baseline and started Gonal-f and Menupur at max doses.
The doctors are Emory’s strength. They are some of the best in the US. I would recommend staying on top of the financial office and make sure your insurance covers meds or you will regret that! Overall, we had impeccable care....Cost was about 15K for transfer and retrieval without meds....We weren’t told that it would save us money to get our prescriptions out of pocket and lost 95% of our coverage
How was your experience with Heather Hipp at Emory University Reproductive Center?
Dr. Hipp is amazing and so educated. She made sure to explain everything so we could understand it. If there were any set backs she made sure to call in addition to the nurses. She is just wonderful and I will definitely work with her again.
What's one piece of advice would you give a prospective patient of Heather Hipp at Emory University Reproductive Center?
Ask as many questions as you need. Even if you feel like you are bothering them.
During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?
Dr. Hipp is very sweet. She’s like family. Hurts when you hurt, Happy when things go your way.
Describe the protocols Heather Hipp used in your cycles at Emory University Reproductive Center and their degree of success.
Our infertility was due to low AMH and male factor. We did one cycle where we started with estrogen patches when ovulation occurred. When I got my period we did the baseline and started Gonal-f and Menupur at max doses. About 7 days in we did the Cetrotide to prevent ovulation. We did the trigger shot on day 11 if I recall and the retrieval 2 days later. We got 9 eggs, 6 were mature. In the end we had 2 make it. We did a fresh transfer with a 4AA blast which ended in a chemical. We still have one frozen that we will transfer in July.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Helen)
Helen was the one who called us with updates and told us what to do. She is very good at answering emails and calls you back the same day.
Describe your experience with Emory University Reproductive Center.
The doctors are Emory’s strength. They are some of the best in the US. I would recommend staying on top of the financial office and make sure your insurance covers meds or you will regret that! Overall, we had impeccable care.
Describe the costs associated with your care under Heather Hipp at Emory University Reproductive Center.
Cost was about 15K for transfer and retrieval without meds.
Describe Heather Hipp's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
No
What specific things went wrong at Emory University Reproductive Center?
Lost appointments
Describe the specific things that went wrong at Emory University Reproductive Center.
We weren’t told that it would save us money to get our prescriptions out of pocket and lost 95% of our coverage we had at the time to our prescription costs.
Dr. Kawwass is compassionate and enthusiastic. She makes the process seem routine and takes the scary out of it. She explains her diagnoses and treatments so that it can be easily understood and makes herself readily available to answer questions in a timely manner.... Dr. Kawwass is a firm believer in eSET for first timers without obvious fertility issues identified.
The clinic [Emory] is clean and calm. The staff are warm and inviting. I never felt like it was super busy and I was never rushed through any of my appointments. I felt like the staff truly cares about me and my family. Once you get established you feel like you are also a part of the clinic family!... I was then fortunately notified by Dr. Kawwass the my IVF would be newly covered by my insurance if I could wait 3 months until the next calendar year when benefits were expanded to include IVF. With insurance coverage I paid a $1500 copay and then out of pocket for assisted hatching ($1700) for a total of $3200. My stimulation cycle medications cost an additional $500.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass is compassionate and enthusiastic. She makes the process seem routine and takes the scary out of it. She explains her diagnoses and treatments so that it can be easily understood and makes herself readily available to answer questions in a timely manner.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Bring your positive attitude!
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass is warm and detailed in her appointments. She is encouraging and explains everything in a way that is easy to understand. Her staff are quick to respond to communication. The only downside has been hold ups with the insurance coverage and starting treatment but since this is a newly covered service I imagine the process will improve in speed, efficiency, and know how very quickly!
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Nancy)
The nursing staff and care coordinator are very responsive and knowledgeable. They work quickly to keep things moving and are compassionate and caring. They always follow through with requests.
Describe your experience with Emory University Reproductive Center.
The clinic is clean and calm. The staff are warm and inviting. I never felt like it was super busy and I was never rushed through any of my appointments. I felt like the staff truly cares about me and my family. Once you get established you feel like you are also a part of the clinic family!
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
All of the diagnostics for infertility were covered in full by my insurance. I was then fortunately notified by Dr. Kawwass the my IVF would be newly covered by my insurance if I could wait 3 months until the next calendar year when benefits were expanded to include IVF. With insurance coverage I paid a $1500 copay and then out of pocket for assisted hatching ($1700) for a total of $3200. My stimulation cycle medications cost an additional $500.
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Dr. Kawwass is a firm believer in eSET for first timers without obvious fertility issues identified.
Dr Kawwass remembers a lot about me, my job, my husband’s job, where we live. She looks me in the eyes when we speak instead of the computer and is doing everything in her power to get me pregnant. She seems to genuinely care about her patients... Dr Kawwass is against multiple embryos at one time but placed two when asked.
Emory hospital is amazing, when I had my surgery to remove my hydrosalpinx, the nursing staff was outstanding and caring. I love the doctors there, even the fellows. they recently renovated the office and it looks great.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
In 2017 I did three cycles of IVF. One fresh and two frozen. After none resulted in a pregnancy, I knew I needed a break. Two years came and went and when I returned to the clinic she remembered everything about me and my husband.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
Dr Kawwass will do anything in her power to help you get the baby you have always wanted.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
Dr Kawwass remembers a lot about me, my job, my husband’s job, where we live. She looks me in the eyes when we speak instead of the computer and is doing everything in her power to get me pregnant. She seems to genuinely care about her patients
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
Egg retrieval from only one ovary because I lost on to a dermoid cyst. Three cycles, one fresh with one embryo because I was young and healthy. Two frozen cycles with two embryos because I requested. This most recent cycle we re did all of the bloodwork and diagnostic tests. My HSG showed blocked tube resulting in a diagnosis of hydrosalpinx. This was removed and we will start a frozen cycle in one month
Describe your experience with the nursing staff at Emory University Reproductive Center.
Michelle was my nurse in 2017 and she was wonderful. Always responded to questions quickly. Most recent staff is not as quick but they are sweet and helpful
Describe your experience with Emory University Reproductive Center.
Emory hospital is amazing, when I had my surgery to remove my hydrosalpinx, the nursing staff was outstanding and caring. I love the doctors there, even the fellows. they recently renovated the office and it looks great.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
The costs included the monitoring-bloodwork and ultrasounds, all the medications. The frozen transfers included only the transfers
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
Dr Kawwass is against multiple embryos at one time but placed two when asked.
Our experience with [Dr.] Kawwass was magnificent. She treated our whole picture - not only our GC treatment...took the time to review what the next moves for me as a patient would be, as well as placing our sweet embryo ever so perfectly to give us our sweet baby girl who we strived for over a 5 year journey... I felt she not only listened to what I had to say, including my history and my goals, but used that information to provide her opinions regarding my care rather than letting me steer the ship, or ignore me entirely. I feel Dr. Kawwass was unique in providing me with care you don't usually see these days. She really cared.
Both Mary and Lutissa [nurses at Emory University Reproductive Care] were excellent. They were quick to respond to my many portal messages and passed messages along when needed. Mary stepped in when I needed additional care post release from ERC and I found that to be very heartwarming. She could have given me the run around, but did not, passing my message along to Dr. Kawwass when I needed to reach her.
How was your experience with Jennifer Kawwass at Emory University Reproductive Center?
Dr. Kawwass was a part of the end of our journey, as our journey began a few years prior to landing in her care after transferring clinics and our original doctor leaving the practice. At first we were disappointed our doctor was leaving at such a pivotal point in our care (transfer to gestational carrier); however, after meeting Dr. Kawwass we were smitten! She was so kind, professional, empathetic and informative. She really listened to our history and provided insight into our whole picture - my care, as well as our GC. I am proud to say she will continue to be our doctor throughout our fertility journey, should/when we decide to pursue another transfer in the future.
What's one piece of advice would you give a prospective patient of Jennifer Kawwass at Emory University Reproductive Center?
I encourage anyone seeking fertility treatment to take an active part in their journey. Ask the questions that come to mind, and digest the information given to you fully. You have a say, and can decide what treatments you do and do not wish to take part in. The doctors, especially Kawwass, will guide you in whatever direction they feel is best based on the facts presented to them, but this is a partnership, so don't be shy to speak up if you want to explore other treatment options (fresh vs. frozen, IUI vs IVF, etc.
During treatment, were you treated like a number or a human with Jennifer Kawwass at Emory University Reproductive Center?
I have previously felt I have been treated like a number, but not by Dr. Kawwass. I felt she not only listened to what I had to say, including my history and my goals, but used that information to provide her opinions regarding my care rather than letting me steer the ship, or ignore me entirely. I feel Dr. Kawwass was unique in providing me with care you don't usually see these days. She really cared.
Describe the protocols Jennifer Kawwass used in your cycles at Emory University Reproductive Center and their degree of success.
Again, the majority of my journey was at another clinic, with Emory reviewing records and redoing a few tests they felt needed to be updated; therefore, I cannot provide a whole picture of Emory, as I came to them with frozen embryos. I originally saw a doctor which has since left Emory. That original doctor is who did my transfer, with Kawwass picking things up once we moved onto a gestational carrier. Our experience with Kawwass was magnificent. She treated our whole picture - not only our GC treatment. Dr. Kawwass took the time to review what the next moves for me as a patient would be, as well as placing our sweet embryo ever so perfectly to give us our sweet baby girl who we strived for over a 5 year journey. Obviously, the positive outcome helped, but aside from our wonderful outcome, we found Dr. Kawwass to be thorough with incredible bedside manner. She is highly intelligent and it shows in her treatment.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Mary and Lutissa)
Both Mary and Lutissa were excellent. They were quick to respond to my many portal messages and passed messages along when needed. Mary stepped in when I needed additional care post release from ERC and I found that to be very heartwarming. She could have given me the run around, but did not, passing my message along to Dr. Kawwass when I needed to reach her.
Describe your experience with Emory University Reproductive Center.
Clinic's strengths are the doctors and the nurses. Their weaknesses is by far their financial team. I, like many patients I'm sure, had quite a time with their financial team, having to get the clinic's manager involved when I requested a simple financial statement showing the amounts paid and why. I was also double billed and had to go through several hoops to get this resolved, which is not something you have time to do when you are managing your gestational carrier's care.
Describe the costs associated with your care under Jennifer Kawwass at Emory University Reproductive Center.
Luckily, I had insurance that had infertility coverage; therefore, my out of pocket costs were somewhat low - thousands, rather than tens of thousands. Now, with a gestational carrier, you must pay out of pocket, which also was only thousands rather than tens of thousands when it came to the reproductive piece given we already had frozen embryos which were transferred from another clinic.
Describe Jennifer Kawwass's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
During our care, Emory transferred two embryos for our first attempt with them (third overall) and 1 embryo when transferring to our GC.
What specific things went wrong at Emory University Reproductive Center?
Failed to call with results
Failed to convey critical information
Describe the specific things that went wrong at Emory University Reproductive Center.
I had to call to have someone share the results of our transfer with me. Again, we had two transfers with this clinic - one with me, and another with a carrier. The clinic failed to call me with my results, resulting in me calling 5 hours after my appointment because I just couldn't take the anxiety any longer. They of course said someone had to call me back. The results were negative, so I felt as though no one wanted to deliver the bad news.
Dr. Hipp was a compassionate, smart, kind, and generous provider. She went above and beyond when it came to communication and relationship building. She gave us data so that we could make informed decisions, but didn’t treat us like data ourselves. She offered guidance, support, and treated me like a sister. When I needed a surgery that was outside the scope of her practice, she tracked down the best surgeon in the city and consulted with him.
I had a wonderful experience at Emory. From billing to scheduling to communication after hours, all of my questions were answered and needs were met. The staff is knowledgeable and they truly act as a team to support your care. ... Everyone at the clinic was wonderful, though. From fellows to phlebotomists, everyone was a cheerleader! ... I worked with Helen, primarily. She was an effective communicator, kind when answering questions, and was quick to respond.
How was your experience with Heather Hipp at Emory University Reproductive Center?
Dr. Hipp was a compassionate, smart, kind, and generous provider. She went above and beyond when it came to communication and relationship building. She gave us data so that we could make informed decisions, but didn’t treat us like data ourselves. She offered guidance, support, and treated me like a sister. When I needed a surgery that was outside the scope of her practice, she tracked down the best surgeon in the city and consulted with him. I always felt like I had the best of the best on my team, led by Dr. Hipp.
What's one piece of advice would you give a prospective patient of Heather Hipp at Emory University Reproductive Center?
Be honest with her about your questions and fears. No question is stupid, and no fear unwarranted.
During treatment, were you treated like a number or a human with Heather Hipp at Emory University Reproductive Center?
Dr. Hipp is extremely personable, remembers details about patients’ lives that are unrelated to fertility. She recognizes that family building is time consuming and stressful, but that her patients have whole lives outside of the clinic. She understood this while being completely committed to patient success.
Describe your experience with your nurse at Emory University Reproductive Center. (Assigned nurse: Helen)
I worked with Helen, primarily. She was an effective communicator, kind when answering questions, and was quick to respond. Everyone at the clinic was wonderful, though. From fellows to phlebotomists, everyone was a cheerleader!
Describe your experience with Emory University Reproductive Center.
I had a wonderful experience at Emory. From billing to scheduling to communication after hours, all of my questions were answered and needs were met. The staff is knowledgeable and they truly act as a team to support your care.
Describe the costs associated with your care under Heather Hipp at Emory University Reproductive Center.
IUIs were about $1k with medication. Egg retrieval and embryo with icsi was about $15k. Embryo transfers were about $5k
Describe Heather Hipp's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Emory University Reproductive Center.
I had a strong preference for a single embryo transfer. She supported that 100%.