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. Homa is certainly knowledgeable in her area. However, she does lack bedside manner. My first egg retrieval was very upsetting, and I attribute some of that to her post procedure Lack of compassion. She also described IVF as busy which seemed to downplay the intense emotional undergoing that IVF really is....I would not seek out Dr. Homa if you want more gentle Dr.
The [Jones Institute at West Penn Allegheny] clinics strengths were definitely that it’s been around a while and has a system in place. Its weaknesses definitely lie and their ridiculously long waiting list and lack of staff. If you prefer an individualized approach or care team I would definitely go elsewhere...Overall, I just felt the clinic contributed to the emotional stress. I was already undertaking. I originally did not understand the value of having a compassionate care team.
How was your experience with Lori Homa at Jones Institute at West Penn Allegheny?
Dr. Homa is certainly knowledgeable in her area. However, she does lack bedside manner. My first egg retrieval was very upsetting, and I attribute some of that to her post procedure Lack of compassion. She also described IVF as busy which seemed to downplay the intense emotional undergoing that IVF really is.
What's one piece of advice would you give a prospective patient of Lori Homa at Jones Institute at West Penn Allegheny?
I would not seek out Dr. Homa if you want more gentle Dr.
During treatment, were you treated like a number or a human with Lori Homa at Jones Institute at West Penn Allegheny?
I was under the care of another doctor in the practice, however, Dr. homa performed my egg retrieval. I went to the procedure but the expectationthat I would have close to 10 eggs I ended up with only four, news that Dr. Homa delivered in a very blunt and callous manner.
Describe the protocols Lori Homa used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
The practice underwent a lot of shifts during my time there, so my treatment was never entirely set up by Dr. Homa.
Describe your experience with the nursing staff at Jones Institute at West Penn Allegheny.
Overall, they seem very understaffed which I think contributes to not feeling much of an individualized plan. However, many of the staff does do a great job of providing support and compassion.
Describe your experience with Jones Institute at West Penn Allegheny.
The clinics strengths were definitely that it’s been around a while and has a system in place. Its weaknesses definitely lie and their ridiculously long waiting list and lack of staff. If you prefer an individualized approach or care team I would definitely go elsewhere.
Describe the costs associated with your care under Lori Homa at Jones Institute at West Penn Allegheny.
Fortunately, my insurance covered it in full.
Describe Lori Homa's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Jones Institute at West Penn Allegheny.
Single
What specific things went wrong at Jones Institute at West Penn Allegheny?
Provided conflicting information
Describe the specific things that went wrong at Jones Institute at West Penn Allegheny.
Overall, I just felt the clinic contributed to the emotional stress. I was already undertaking. I originally did not understand the value of having a compassionate care team.
She [Dr. Fabiola Balmir] actually listened to me and answered my questions no matter how ridiculous they were...explained everything so that I could understand...showed compassion to me when I would start to tear up and felt like a failure. The only issue I have is that most of our appointments we had to wait 20+ minutes after our scheduled time before we were seen...
The clinic [Jones Institute at West Penn Allegheny] is very hard to get into. You have to schedule months in advance which is understandable for the type of clinic it is. Everything is very clean and organized. Only issue is that we had to wait 20+ minutes passed our scheduled appointment time...When it was time for the IUI the nurses would talk to me to distract me from what was going on...
How was your experience with Fabiola Balmir at Jones Institute at West Penn Allegheny?
She listened to me and explained everything so that I could understand. De. Balmir showed compassion to me when I would start to tear up and felt like a failure. The only issue I have is that most of our appointments we had to wait 20+ minutes after our scheduled time before we were seen
What's one piece of advice would you give a prospective patient of Fabiola Balmir at Jones Institute at West Penn Allegheny?
Make your appointment early in the day
During treatment, were you treated like a number or a human with Fabiola Balmir at Jones Institute at West Penn Allegheny?
She actually listened to me and answered my questions no matter how ridiculous they were
Describe the protocols Fabiola Balmir used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
We started with Letrozole and trigger shot and then IUI 3 times. We then did 4 months of Letrozole and timed intercourse.
Describe your experience with the nursing staff at Jones Institute at West Penn Allegheny.
They were all very professional and compassionate. When it was time for the IUI the nurses would talk to me to distract me from what was going on so I would be so tense and they explained each step before it happened
Describe your experience with Jones Institute at West Penn Allegheny.
The clinic is very hard to get into. You have to schedule months in advance which is understandable for the type of clinic it is. Everything is very clean and organized. Only issue is that we had to wait 20+ minutes passed our scheduled appointment time
Describe the costs associated with your care under Fabiola Balmir at Jones Institute at West Penn Allegheny.
The office visits were not as expensive as I thought and the medicine I had to take some was covered and some wasnt. IUI was not covered by insurance but was still cheaper than expected. IVF is a lot more pricey but around the same or less than other clinics I have researched
Describe Fabiola Balmir's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Jones Institute at West Penn Allegheny.
We went for our initial consultation after waiting several weeks for an appointment with Dr. Homa. We waited two hours to see her. She barely reviewed our medical history and threw options at us without explaining much. The time we did get with her felt rushed...Ask to see a different doctor if she has other appointments that will take priority (like egg retrievals)...We decided to do a cycle with injections and timed intercourse. I produced 5 follicles, three of which were 15mm or larger. We were not successful this cycle.
I have had most of my interactions at thus clinic [Jones Institute at West Penn Allegheny] with the nursing staff. They are willing to answer questions and showed me how to do the injections...Communication is definitely a problem. Each time you call the nurses line, you have to leave a message - no one ever answers. They return calls about once a day. Plan on playing phone tag. Overall everyone is friendly and it’s nice that you can have bloodwork done right there. However, I sat in the waiting room as the front office staff discussed the birth of one of their children with a patient. I could’ve done without that conversation.
How was your experience with Lori Homa at Jones Institute at West Penn Allegheny?
We went for our initial consultation after waiting several weeks for an appointment with Dr. Homa. We waited two hours to see her. She barely reviewed our medical history and threw options at us without explaining much. The time we did get with her felt rushed.
What's one piece of advice would you give a prospective patient of Lori Homa at Jones Institute at West Penn Allegheny?
Ask to see a different doctor if she has other appointments that will take priority (like egg retrievals).
During treatment, were you treated like a number or a human with Lori Homa at Jones Institute at West Penn Allegheny?
I wasn’t really treated like a number per se, but at my initial consultation, I didn’t really feel like I was made a priority either.
Describe the protocols Lori Homa used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
Letrozole, Follistim, and Ovidrel. We decided to do a cycle with injections and timed intercourse. I produced 5 follicles, three of which were 15mm or larger. We were not successful this cycle.
Describe your experience with the nursing staff at Jones Institute at West Penn Allegheny.
I have had most of my interactions at thus clinic with the nursing staff. They are willing to answer questions and showed me how to do the injections.
Describe your experience with Jones Institute at West Penn Allegheny.
Communication is definitely a problem. Each time you call the nurses line, you have to leave a message - no one ever answers. They return calls about once a day. Plan on playing phone tag. Overall everyone is friendly and it’s nice that you can have bloodwork done right there. However, I sat in the waiting room as the front office staff discussed the birth of one of their children with a patient. I could’ve done without that conversation.
Describe the costs associated with your care under Lori Homa at Jones Institute at West Penn Allegheny.
My IUIs are covered by insurance, so we haven’t paid anything but the copays on medication.
She [Dr. Homa] is blunt and to the point but you can tell and feel she knows what she is doing and that she wants to help. She does her job well, researches you and your past, answers questions fully and makes sure you understand the next steps, risks, etc.... She suggested that due to our diagnosis that we try IUI along with Clomid for a few cycles. We had the option to do IUIs without medication, but with medication slightly increased our chances. She explained that if after a few rounds nothing works, we will discuss other options and next steps.
Parking is easy, staff is friendly and welcoming, clinic [Jones Institute] is inviting and very easy to find. We really liked the fact that they make you meet with a financial advisor on your first visit to make sure you’re aware of all of the costs associated with EVERYTHING. They really go above and beyond.... [Nursing Staff] They are very kind, help you to feel less stressed, treat you like a human being.... So far we have had two IUIs, in the process of our third.
How was your experience with Lori Homa at Jones Institute at West Penn Allegheny?
She is blunt and to the point but you can tell and feel she knows what she is doing and that she wants to help. She does her job well, researches you and your past, answers questions fully and makes sure you understand the next steps, risks, etc.
What's one piece of advice would you give a prospective patient of Lori Homa at Jones Institute at West Penn Allegheny?
You won’t always see her, but don’t be alarmed at that.
During treatment, were you treated like a number or a human with Lori Homa at Jones Institute at West Penn Allegheny?
You always get a call back. Staff is kind and understanding. They answer questions without making you feel like you’re annoying them. They explain everything. They have you meet with a financial advisor before anything.
Describe the protocols Lori Homa used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
She suggested that due to our diagnosis that we try IUI along with Clomid for a few cycles. We had the option to do IUIs without medication, but with medication slightly increased our chances. She explained that if after a few rounds nothing works, we will discuss other options and next steps.
Describe your experience with the nursing staff at Jones Institute at West Penn Allegheny.
They are very kind, help you to feel less stressed, treat you like a human being.
Describe your experience with Jones Institute at West Penn Allegheny.
Parking is easy, staff is friendly and welcoming, clinic is inviting and very easy to find. We really liked the fact that they make you meet with a financial advisor on your first visit to make sure you’re aware of all of the costs associated with EVERYTHING. They really go above and beyond.
Describe the costs associated with your care under Lori Homa at Jones Institute at West Penn Allegheny.
So far we have had two IUIs, in the process of our third. Each IUI is $369; $299 for the ultrasound and bloodwork.
I was at the clinic frequently, having initiated 4 cycles, and I saw Dr. Hecht every single visit. If they had bad news for me, he personally phoned me right away and we talked things over. You truly can't ask for more in a physician...You know what you're getting here. His hands were a little bit tied when it came to getting creative with protocols because the clinic is small and they batch retrievals each month. But that's not his fault. ..
Dr. Hecht never has to look at my file to remember who I am. Whenever I am in the office, he's sure to stop and talk.
How was your experience with Bryan Hecht at Jones Institute at West Penn Allegheny?
Dr. Hecht treats me like a person, not a case. I was at the clinic frequently, having initiated 4 cycles, and I saw Dr. Hecht every single visit. If they had bad news for me, he personally phoned me right away and we talked things over. You truly can't ask for more in a physician.
He's not conservative in his treatments but there are other clinics that are on the cutting edge and experimental. This isn't one of those clinics and that's okay. You know what you're getting here.
His hands were a little bit tied when it came to getting creative with protocols because the clinic is small and they batch retrievals each month. But that's not his fault. That's just the nature of a small clinic.
In the end, after having left and gone to two other clinics, I've returned to Dr. Hecht. I trust him. I trust that he has our best interests at heart.
During treatment, were you treated like a number or a human with Bryan Hecht at Jones Institute at West Penn Allegheny?
Dr. Hecht never has to look at my file to remember who I am. Whenever I am in the office, he's sure to stop and talk.
Describe the protocols Bryan Hecht used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
We initiated 4 IVF cycles with Dr. Hecht. I have DOR and I'm a poor responder. My first cycle was an antagonist cycle with high dose FSH. My second and third cycles were long Lupron cycles worh high dose FSH (to quell spontaneous ovulation) and my fourth cycle was long Lupron with high dose FSH, plus a clomid flare.
She [Dr. Homa] was caring and empathetic....She was ready to start me right where I had left off with my previous protocol. I saw her day 10 of my cycle and in day 14 had an ultrasound, gave my trigger and iui then next day. 2 weeks later I had a positive pregnancy test....Schedule ahead of time as her schedule fills quickly. They also do not work around work schedules so expect to take time off work. She is only in Wexford....Only one location, they [Jones Institute] don’t work around your hours at all. You come when they say or not at all. However they are good at what they do.
Only one location, they [Jones Institute] don’t work around your hours at all. You come when they say or not at all. However they are good at what they do. They truly care. They are associated with AHN, not a private practice so they have no reason to take your money with getting results. Come to your first appt with all your previous testing and lab work. They almost always start with their own hsg though....They are busy but always returned my call the same day. They are incredibly compassionate.
How was your experience with Lori Homa at Jones Institute at West Penn Allegheny?
She was ready to start me right where I had left off with my previous protocol. I saw her day 10 of my cycle and in day 14 had an ultrasound, gave my trigger and iui then next day. 2 weeks later I had a positive pregnancy test.
What's one piece of advice would you give a prospective patient of Lori Homa at Jones Institute at West Penn Allegheny?
Schedule ahead of time as her schedule fills quickly. They also do not work around work schedules so expect to take time off work. She is only in Wexford.
During treatment, were you treated like a number or a human with Lori Homa at Jones Institute at West Penn Allegheny?
She was caring and empathetic.
Describe the protocols Lori Homa used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
We did the previous protocol which worked but ended is miscarriage. I had already taken 5mg letrozole days 3-7 and then had ultrasound day 14, gave myself my trigger shot that night and iui the next day.
Describe your experience with your nurse at Jones Institute at West Penn Allegheny. (Assigned nurse: Not assigned, all nurses shared the phone calls. All were knowledgeable. )
They are busy but always returned my call the same day. They are incredibly compassionate.
Describe your experience with Jones Institute at West Penn Allegheny.
Only one location, they don’t work around your hours at all. You come when they say or not at all. However they are good at what they do. They truly care. They are associated with AHN, not a private practice so they have no reason to take your money with getting results. Come to your first appt with all your previous testing and lab work. They almost always start with their own hsg though.
Describe the costs associated with your care under Lori Homa at Jones Institute at West Penn Allegheny.
None, my insurance covered everything except $35 inj medication copay
Dr. Hecht is extremely processional, but he does use humor at times to lighten the mood. This might entirely not be for everyone, but for mine and my husbands personalities and treatment it was fantastic. He is extremely knowledgeable and you feel like a person not just a number...Dr. Hecht explained everything we needed and took the time to make us feel comfortable with diagnostic procedures and treatment. He never acted like he was too busy to talk with us.
The clinic [Jones Institute at West Penn Allegheny] is in an outpatient setting instead of attached to a hospital so if you have a late appointment and need bloodwork done you will have to go elsewhere or wait until the next day because the outpatient lab closes at 3:00pm...[Nurses are] Super knowledgeable and compassionate. Always able to answer our questions and didn’t feel annoyed by phone calls.
How was your experience with Bryan Hecht at Jones Institute at West Penn Allegheny?
Dr. Hecht is extremely processional, but he does use humor at times to lighten the mood. This might entirely not be for everyone, but for mine and my husbands personalities and treatment it was fantastic. He is extremely knowledgeable and you feel like a person not just a number.
What's one piece of advice would you give a prospective patient of Bryan Hecht at Jones Institute at West Penn Allegheny?
Be open to the humor, he’s not trying to poke fun or downplay the circumstances of why you’re there but rather make infertility a little less doom and gloom.
During treatment, were you treated like a number or a human with Bryan Hecht at Jones Institute at West Penn Allegheny?
Dr. Hecht explained everything we needed and took the time to make us feel comfortable with diagnostic procedures and treatment. He never acted like he was too busy to talk with us.
Describe your experience with the nursing staff at Jones Institute at West Penn Allegheny.
Super knowledgeable and compassionate. Always able to answer our questions and didn’t feel annoyed by phone calls.
Describe your experience with Jones Institute at West Penn Allegheny.
The clinic is in an outpatient setting instead of attached to a hospital so if you have a late appointment and need bloodwork done you will have to go elsewhere or wait until the next day because the outpatient lab closes at 3:00pm
Describe the costs associated with your care under Bryan Hecht at Jones Institute at West Penn Allegheny.
Costs would’ve been approximately $8000 but with insurance we paid $150.
Lori homa was very positive from our first visit and helped us beat our secondary infertility on the first cycle! She was very thorough and upbeat the entire process. She also was very knowledgeable and answered every question we had.... I'm not sure if the rationale for any of our treatments but what worked for us was: Letrozole cycle days 3-7 Trigger shot- day 13
The only thing I would change about the clinic [Jones Institute at West Penn Allegheny] is their availability. It took me a few months to get in for my fist appointment.... [The nursing staff were] A huge group of smart cheerleaders. They were able to answer all of our questions and a huge support system.... I'm not sure if the rationale for any of our treatments but what worked for us was: Letrozole cycle days 3-7 Trigger shot- day 13
How was your experience with Lori Homa at Jones Institute at West Penn Allegheny?
Lori homa was very positive from our first visit and helped us beat our secondary infertility on the first cycle! She was very thorough and upbeat the entire process. She also was very knowledgeable and answered every question we had.
What's one piece of advice would you give a prospective patient of Lori Homa at Jones Institute at West Penn Allegheny?
Trust. Trust what she says and take a deep breath. Infertility is the hardest thing I have ever dealt with, but know you are in good hands.
Describe the protocols Lori Homa used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
I'm not sure if the rationale for any of our treatments but what worked for us was:
Letrozole cycle days 3-7
Trigger shot- day 13
Describe your experience with the nursing staff at Jones Institute at West Penn Allegheny.
A huge group of smart cheerleaders. They were able to answer all of our questions and a huge support system.
Describe your experience with Jones Institute at West Penn Allegheny.
The only thing I would change about the clinic is their availability. It took me a few months to get in for my fist appointment.
Describe the costs associated with your care under Lori Homa at Jones Institute at West Penn Allegheny.
Our insurance has a pretty high deductible. Because of our high deductible one month of blood work, meds, and ultrasound was around 700$.
Describe Lori Homa's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Jones Institute at West Penn Allegheny.
I felt he [Dr. Bryan Hecht] listened to me and really let me lead how aggressive, or not aggressive, I was comfortable with in tackling our problems. This did mean he didn't push me at all and missed diagnosing me with diminished ovarian reserve. As a result I lost a year of treatment.
We did one IUI and Dr. Hecht was out that day [from Jones Institute]. The dr. who filled in for him told me during the procedure that it likely wouldn't work. I wanted to cancel everything, demand a refund, and walk out...Payment was due upfront. No price lists were given. It was very much a whirlwind.
How was your experience with Bryan Hecht at Jones Institute at West Penn Allegheny?
When I was seeing Dr. Hecht I didn't know what questions to even ask. I wish I would have asked more questions about everything. I never felt rushed or hurried during my appointments and he always included my husband in the conversation.
What's one piece of advice would you give a prospective patient of Bryan Hecht at Jones Institute at West Penn Allegheny?
He's retiring.
During treatment, were you treated like a number or a human with Bryan Hecht at Jones Institute at West Penn Allegheny?
I felt he listened to me and really let me lead how aggressive, or not aggressive, I was comfortable with in tackling our problems. This did mean he didn't push me at all and missed diagnosing me with diminished ovarian reserve. As a result I lost a year of treatment.
Describe the protocols Bryan Hecht used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
We did one IUI and Dr. Hecht was out that day. The dr. who filled in for him told me during the procedure that it likely wouldn't work. I wanted to cancel everything, demand a refund, and walk out.
Describe your experience with Jones Institute at West Penn Allegheny.
Dr. Hecht is retiring and another dr is taking over the practice.
Describe the costs associated with your care under Bryan Hecht at Jones Institute at West Penn Allegheny.
Payment was due upfront. No price lists were given. It was very much a whirlwind.
What specific things went wrong at Jones Institute at West Penn Allegheny?
Failed to call with results
Failed to send your chart to another clinic
Lost or damaged samples
Describe the specific things that went wrong at Jones Institute at West Penn Allegheny.
I would have to call for test results after guessing when I thought they would have them back.
[Dr. Lori Homa] was very thorough with us from the moment she met us...did not have to wait a long time for testing & she was very upfront about results & our next plans. During HSG test, she was very informative & compassionate about the discomfort I experienced. She walked me through the entire procedure very kindly...only downfall was feeling like the same next step as everyone- try meds until it works or you are ready to move on..
The nurse that was present for my HSG was very sweet & caring, she held my hand through the procedure & prepared me for each uncomfortable time...Everyone [at Jones Institute at West Penn Allegheny] is always kind, our appointments are quick & very thorough. I think we are just frustrated that we have not been successful yet & also have no answers. This isn’t something we take out on the clinic though.
How was your experience with Lori Homa at Jones Institute at West Penn Allegheny?
I like Dr Homa. I feel that she was very thorough with us from the moment she met us. We did not have to wait a long time for testing & she was very upfront about results & our next plans. During HSG test, she was very informative & compassionate about the discomfort I experienced. She walked me through the entire procedure very kindly.
What's one piece of advice would you give a prospective patient of Lori Homa at Jones Institute at West Penn Allegheny?
We waited a long time after our scheduled appointment to be seen for our initial treatment. This does not bother me- working in healthcare, i know that unexpected things come up & people run behind. But i would definitely warn someone so they don’t have plans around the appointment!
During treatment, were you treated like a number or a human with Lori Homa at Jones Institute at West Penn Allegheny?
She was very nice & thorough with us. She did not rush in & out of the room, she spent time with us, explained all steps & results. The only downfall was feeling like the same next step as everyone- try meds until it works or you are ready to move on
Describe the protocols Lori Homa used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
Our first step in treatment was Letrozole cycles. I ovulate naturally on my own, so this was described as trying to provoke the release of multiple eggs at once to increase our chances. This was advised with IUI, but we chose to begin with timed intercourse. We have not been successful yet at 3 cycles in. I have Mittelschmerz & very painful ovulation, & Dr Homa did address that this may not be tolerable after 1 cycle. We appreciated that she addressed the issue of pain instead of telling us just to try it.
Describe your experience with the nursing staff at Jones Institute at West Penn Allegheny.
The nursing staff is always very kind & thorough. The nurse that was present for my HSG was very sweet & caring, she held my hand through the procedure & prepared me for each uncomfortable time
Describe your experience with Jones Institute at West Penn Allegheny.
Overall, we really like the clinic. Everyone is always kind, our appointments are quick & very thorough. I think we are just frustrated that we have not been successful yet & also have no answers. This isn’t something we take out on the clinic though.
Describe the costs associated with your care under Lori Homa at Jones Institute at West Penn Allegheny.
Expensive, but our insurance did cover portions of it. We were unsure of fertility coverage before seeing the clinic & we expected none
She [Dr. Homa] doesn't remember my situation or review my chart before appointments. In my last appointment she left the room to look up something I had asked her, she sent a nurse back in to give me a answer and my appointment was over...After appointments I feel like. Always left with more questions then answers. I don't feel like she actually listens to me as a patient...
They [nurses of Jones Institute at West Penn Allegheny] never answer the phone. you have to call leave a message and wait for them to give you a call back within 48 hours...I can't speak for IVF patients but as a non IVF patient I would say that I did not feel like I was treated as though my fertility was a priority. My husband was never allowed in the ultrasound room when they were checking for ovulation nor would he have been allowed in if I would've become pregnant. This made me uncomfortable as it's something I had always thought of us experiencing together.
How was your experience with Lori Homa at Jones Institute at West Penn Allegheny?
She seems uninterested in my fertility. I don't feel like she cares if my husband and I become pregnant or not. After appointments I feel like. Always left with more questions then answers. I don't feel like she actually listens to me as a patient.
What's one piece of advice would you give a prospective patient of Lori Homa at Jones Institute at West Penn Allegheny?
Do your research and be your own advocate.
During treatment, were you treated like a number or a human with Lori Homa at Jones Institute at West Penn Allegheny?
She doesn't remember my situation or review my chart before appointments. In my last appointment she left the room to look up something I had asked her, she sent a nurse back in to give me a answer and my appointment was over.
Describe the protocols Lori Homa used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
I started out on 2.5mg of letrozole day 3 through 7 of my cycle. After 3 months, the dosage was increased to 5mg letrozole day 3 through 7 of my cycle. I was also offered that I could come in to confirm ovulation through ultrasound which I did. After 2 months of the 5mg they added a trigger shot injection. So once ovulation was confirmed via ultrasound I would give myself an injection 10,000 mg pregnyl at home. With each of these strategies I have never become pregnant.
Describe your experience with the nursing staff at Jones Institute at West Penn Allegheny.
They never answer the phone. you have to call leave a message and wait for them to give you a call back within 48 hours.
Describe your experience with Jones Institute at West Penn Allegheny.
I can't speak for IVF patients but as a non IVF patient I would say that I did not feel like I was treated as though my fertility was a priority. My husband was never allowed in the ultrasound room when they were checking for ovulation nor would he have been allowed in if I would've become pregnant. This made me uncomfortable as it's something I had always thought of us experiencing together.
What specific things went wrong at Jones Institute at West Penn Allegheny?
Dr. Balmir is a godsend for most patients. Her warm and compassionate bedside manner is truly what makes her so wonderful as a physician. I will say however (this may just be my emotional state at the time) but sometimes I felt I craved a little less positivity...I came to her after several failed IUIs with another doctor in the practice she followed the same protocol...I don’t attribute feeling like a number to Dr. Balmir,
I don’t attribute feeling like a number to Dr...simply the volume of patients AHN takes on...I never found any specific issues (aside from the bluntness of one nurse during my tube flush) however I think they just simply take on too many patients. I also did appreciate an assigned nurse that I had at other clinics...As a new patient I simply would not want to encounter the wait list. Also if you have a less than stellar egg retrieval (as I did) you go back to the very end of the list so you’re looking at years of waiting around.
How was your experience with Fabiola Balmir at Jones Institute at West Penn Allegheny?
The overall over capacity clinic aside Dr. Balmir is a godsend for most patients. Her warm and compassionate bedside manner is truly what makes her so wonderful as a physician. I will say however (this may just be my emotional state at the time) but sometimes I felt I craved a little less positivity.
During treatment, were you treated like a number or a human with Fabiola Balmir at Jones Institute at West Penn Allegheny?
I don’t attribute feeling like a number to Dr. Balmir, simply the volume of patients AHN takes on.
Describe the protocols Fabiola Balmir used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
I came to her after several failed IUIs with another doctor in the practice she followed the same protocol.
Describe your experience with the nursing staff at Jones Institute at West Penn Allegheny.
I never found any specific issues (aside from the bluntness of one nurse during my tube flush) however I think they just simply take on too many patients. I also did appreciate an assigned nurse that I had at other clinics.
Describe your experience with Jones Institute at West Penn Allegheny.
As a new patient I simply would not want to encounter the wait list. Also if you have a less than stellar egg retrieval (as I did) you go back to the very end of the list so you’re looking at years of waiting around.
Describe the costs associated with your care under Fabiola Balmir at Jones Institute at West Penn Allegheny.
I was fortunate to have full insurance coverage.
Describe Fabiola Balmir's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Jones Institute at West Penn Allegheny.
Single
What specific things went wrong at Jones Institute at West Penn Allegheny?
Provided conflicting information
Describe the specific things that went wrong at Jones Institute at West Penn Allegheny.
My main pain point here was my egg retrieval there was some miscommunication. I went in with the understanding I’d have around 10 eggs, when I had only 4 I was devastated. I felt I was in the dark on next steps.
Dr Homa is very easy to work with, she cares about her patients and is knowledgeable. My somewhat less positive experience is around simply blaming the failure of a cycle on embryo quality and not willing to test further and try to figure out how to adjust meds etc to raise the potential for success the second time around. ... Dr Homa was not unkind but she does not believe in extra testing or personalizing/ adjusting a cycle.
The clinic and staff [Jones Institute at West Penn Allegheny], embryologist are all super flexible, kind, wonderfully easy to work with in our special situation. I do not think we would have such an easy time anywhere else. You are allowed to waive testing you do not feel is needed (for example:mammogram) ... Dr Homa said if embryos are PGS-tested, she will only transfer one - with non-tested, it was up to us to transfer one or two.
How was your experience with Lori Homa at Jones Institute at West Penn Allegheny?
Dr Homa is very easy to work with, she cares about her patients and is knowledgeable.
My somewhat less positive experience is around simply blaming the failure of a cycle on embryo quality and not willing to test further and try to figure out how to adjust meds etc to raise the potential for success the second time around.
During treatment, were you treated like a number or a human with Lori Homa at Jones Institute at West Penn Allegheny?
Dr Homa was not unkind but she does not believe in extra testing or personalizing/ adjusting a cycle.
Describe the protocols Lori Homa used in your cycles at Jones Institute at West Penn Allegheny and their degree of success.
FET with 14 days of 3x2mg of vaginal estrogen then after lining check 4.5 days of 3x200mg of vaginal progesterone, 5 days of prednisone (16mg) and doxycycline (500mg)
Baby aspirin daily the whole cycle.
Describe your experience with Jones Institute at West Penn Allegheny.
The clinic and staff, embryologist are all super flexible, kind, wonderfully easy to work with in our special situation. I do not think we would have such an easy time anywhere else. You are allowed to waive testing you do not feel is needed (for example:mammogram)
Describe Lori Homa's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Jones Institute at West Penn Allegheny.
Dr Homa said if embryos are PGS-tested, she will only transfer one - with non-tested, it was up to us to transfer one or two.
Dr. Balmir is very understanding and empathetic during this entire process. She truly cares about you and your journey. I could not imagine going to any other fertility doctor. The time she spends to educate you, to share her knowledge and to come up with a plan is unparalleled! I can not thank her enough for giving me hope...is knowledgeable, ask questions! She is very open and honest while at the same time understanding
This Allegheny Health Network - Jones Institute for Fertility - communicates very well and is understanding. I have had no problems scheduling or calling and getting answers. All staff has been very friendly...Dr. Balmir is very understanding and empathetic during this entire process. She truly cares about you and your journey. I could not imagine going to any other fertility doctor. The time she spends to educate you, to share her knowledge and to come up with a plan is unparalleled! I can not thank her enough for giving me hope...is knowledgeable, ask questions! She is very open and honest while at the same time understanding
How was your experience with Fabiola Balmir at Jones Institute at West Penn Allegheny?
Dr. Balmir is very understanding and empathetic during this entire process. She truly cares about you and your journey. I could not imagine going to any other fertility doctor. The time she spends to educate you, to share her knowledge and to come up with a plan is unparalleled! I can not thank her enough for giving me hope.
What's one piece of advice would you give a prospective patient of Fabiola Balmir at Jones Institute at West Penn Allegheny?
Doctor Balmir is knowledgeable, ask questions! She is very open and honest while at the same time understanding
During treatment, were you treated like a number or a human with Fabiola Balmir at Jones Institute at West Penn Allegheny?
Dr. Balmir is very understanding and empathetic during this entire process. She truly cares about you and your journey. I could not imagine going to any other fertility doctor. The time she spends to educate you, to share her knowledge and to come up with a plan is unparalleled! I can not thank her enough for giving me hope.
Describe your experience with Jones Institute at West Penn Allegheny.
This Allegheny Health Network - Jones Institute for Fertility - communicates very well and is understanding. I have had no problems scheduling or calling and getting answers. All staff has been very friendly.
Describe the costs associated with your care under Fabiola Balmir at Jones Institute at West Penn Allegheny.
I am getting IVF which is very expensive and insurance does not cover this.