Jones Institute for Reproductive Medicine (closed)

I appreciated Dr Os commitment to my treatment. He laid out a very clear plan and took immediate action. Good sense of humor. Sometimes a little difficult to understand due to accent.

Make an appointment immediately.

Dr. Bocca is very thorough and responds to all messages. She answers all questions and makes sure you understand before you leave the office. If you send a email she always gets back to you within the same day. She will make timelines to better help you understand how the treatment will work. At the follicle scans she is so good about including my husband and I in explaining.

I got pregnant once with iui treatment but had one miscarriage. In the process of trying again. The doctor was willing to try other options and listen to my concerns. The only disadvantage was she wasn't at the office that much so I had to see a couple different doctors.

To be prepared for a lot of tests from you and your partner

Dr. Pakrashi was very kind and always felt like she really cared. She gave us a lot of hope and we plan on doing IVF with her. She also explained everything very well. She took the time to answer all the questions we had.

Write down any questions you have so you remember them all to ask.

We haven’t started IVF yet.

After IVF would be about 20,000 So far it’s been about 4,000

I have had a very good experience with dr. Stadtmauer. She has answered every question I have and helped me in whatever I needed. It has been a great experience. My only complaint is really with the office. They try to get back but when it comes to the coordinators it is sometimes like pulling teeth....

Be your own advocate. I did have to ask for some specific tests to be done but she's always willing to listen and hear you out.

She is very compassionate and wants us to have another child. I believed she genuinely felt bad when a treatment didn't work. She would call and check on us and always start planning the next treatment.

Be patient

We did an IVF study that cost 4400, most other appointments were a few hundred

Dr. Bocca has a way of keeping my fertility reality, which is being post menopausal at 30-years-old due to cancer treatments, hopeful, but at the same time realistic which is a combo I fully appreciate as a patient.

Understand, that she is honest, and wants you to have a successful experience as much as you do.

Something to remember is science is constantly changing. In 2010, my leukemia relapsed and Dr. Bocca decided to put me on a trial to remove half of my ovary and save ovarian tissue with immature eggs to one day possibly transplant that tissue back on to my ovary for me to produce an egg. I was #13 on the study. Now they know, to get the cancer patient in remission, do fertility treatments to produce mature eggs to freeze. Science is awesome! She made the right decision for the science that was available at the time.

Thick accent made it hard to understand at times, very to the point not a lot of time for questions. Explained what we were doing that day, but not a lot of details on future options, just vague timeline

Choose another, but I think he’s retire now

Femerra used with ultrasound checks, found hemmoraging cyst and halted further injection until cyst cleared

Consult and ultrasound in the $250 range, second ultrasound and meds + appt in the $400 range

N/a

Dr Bocca is very compassionate. She wants you to achieve pregnancy. She gives you the best options. She personally calls to check up on you after surgical procedures. She seems very hopeful. Dr Bocca explains everything that is asked of her.

Ask any questions.

clomid 150mg for timed intercourse and some IUI's. Trigger shot. Never got pregnant.

Costs weren't bad because of insurance. For IUI, including medications and sperm wash, it was about $500. Unfortunately, IVF is too expensive.

She has been incredibly informative. We’ve had 4 miscarriages (one was confirmed ectopic, she suspects two of the others were also ectopic but they resolved themselves) in two years. After the last one in February, she gave us more information than anyone else has. She wasn’t able to 100% pinpoint our issues but I did feel like her thought process made the most sense.

Be persistent in your need to be heard. Once you’re on her radar, I do feel like she will be there for you.

Our plan was paused due to COVID-19, however her plan was to have me take about 2 weeks of birth control at the start of my cycle. After I will go in for the instructional consult and begin injections preparing myself for egg retrieval. She has given us the option to do genetic testing on our embryos due to our recurrent losses but said we could do an initial fresh transfer.

My husband and I work for the same employer. Our insurance is the same and it doesn’t cover anything associated with Infertility treatments. Our initial tests and blood work cost around $1,000. My medication/injections was about $7,100. The procedures associated with egg retrieval and implantation are about $11,000 and the embryo genetic testing is around $900.

Our facility recommends single embryo transfer. I feel positive about this approach.

I felt like I really had to advocate for myself in terms of what I wanted for a treatment plan. I like to understand everything that is going on and the reasons why we are approaching things in a certain way and I felt like I had to really ask a lot of questions to get that information

Come in with your questions written down so that you don't get rushed out without everything you asked being answered

We started with 7.5 mg of letrozole combined with ovidrel injection. We eventually switched to clomid and did that in conjunction with gonal-f injections and the ovidrel injection.

ultrasounds and most medications were covered by insurance. IUI was not covered by insurance and was $250 for the procedure and $55 for the sperm sample use. The cryopreservation of my husband's sperm was $450 total

n/a

Dr. Bocca is a wonderful doctor, she has given me a lot of hope and I feel very well cared for. She always listens to my concerns and always is willing to work to find the right treatment. Being over 40 she helped to start treatment right away and to have additional tests scheduled immediately. She always seems to take the time needed for her patients, I’ve never felt rushed or that she is unavailable.

She will listen to all of your concerns and seems very open to trying to find a way to help.

Started with diagnostic testing with a hysteroscopy and then moved to lertrezol 5mg day 3-7, ultrasound on Day 11 and then trigger shot of ovidrel. I did 4 cycles of this with no pregnancy so have moved to adding Gonal F. Only one cycle of IO with femera and Gonal, waiting to try another before doing IVF

I have Tricare so most visits and diagnostics are covered

We have talked about IVF as next steps but haven’t decided the best course of action so far

If you want a caring compassionate doctor, Dr. Pakrashi is a must. She is warm and welcoming in a world that seem cold and isolating. I bombard her with questions every visit and she is also so patient in answering them no matter how trivial they may seem. I do feel like there could have possibly been tweaks to my treatment plans as we seemed to keep repeating what resulted in negative test after negative test.

As amazing as she is, you won’t always see her and you may be disappointed with some of the nurses and doctors in the practice.

1) Timed intercourse with Letrozole. 2) IUI with Gonal F and Ovidrel (3 cycles) 3) IVF - gonal f, menepour, progesterone, trigger shot

Monitoring appointments were always scheduled in the morning and wait time was on average 30 min - 60 min.

Our IVF cycle was approximately $19,000 including medications (not bought through clinic).

Dr. PAKRASHI would make jokes and eased my mind when I felt discouraged. When she realized the first IUI did not work (timing of my body went against her schedule), she was sure to change the process and do the second insemination personally. It worked! I still can't believe I have a daughter. Thank you x a million!! She is perfect just like you said she would be.

Just tell her your issues, ask questions. And follow directions to the T. She knows what she's doing. At first I thought she was too nice and the things she said were too good to be true...but when she says don't worry so much and tells you what to do, DO IT.

The 1st cycle was clomid and she measured my eggs, then I took the shot in my belly the day before the IUI. I remember the first try being very painful and done by a doctor I didn't know. I went back and told Dr. Pakrashi on the next cycle and she said it should not have been that way and she would personally do my second try. We changed to Femara and she did the next procedure.

I am a veteran, so the VA paid for my procedures due to my fertility issues stemming from a deployment. I did have to pay for donor viles and my medications and shots. Altogether I spent about $600 per try.

Dr Stadtmauer is very knowledge however when first meeting her, she was very hard to read and it was a little hard to keep the conversation going. She’s very question/answer not elaborative. I found that it was best to write down my questions when meeting with her regarding treatment and next steps.

Write down everything that comes to mind and go into her office with it. It’s easy to get overwhelmed with all of the information and you can go down one trail of discussion and completely forget to get it all out before leaving the office.

We were identified as unexplained, therefore, the game plan was to just try IUIs with femara, ovidrel and then follow up with progesterone. We did this three times under the treatment of Stadtmauer which resulted in no positive pregancies.

Strengths - very smart, patiently answers all questions, is direct and no-nonsense and explains everything very well. Weaknesses - she's not the hand-holding, warm and fuzzy type of doctor. But I did not need that at all since this was my third cycle and I felt pretty good about what to expect at that point.

She's no nonsense.

We qualified for a "buy two cycles, get your third for free - or receive half your money back" program and that put my mind at ease!

I only had one embryo to use so this does not apply.

Dr. Oehninger answered all questions that I had for him. During my stimulation cycle at appointments where I saw him quickly for an ultrasound there were always other doctors in the room and he let them take the lead and explain to me although it seemed he was the one making the decisions. When it was one on one during the consultation I felt that this Dr. was more personable and shared his experience and expertise with me regarding what I should do next.

He has a quiet and serious demeanor. If you have questions ask them

During my IVF cycle I took Follistim, menopur and ganirelix. After the transfer I was on progesterone oil injections and estrogen patches. During this cycle they found that I have 2 endometrioma cysts. This protocol resulted in 5 eggs retrieved, 4 fertilized and 2 being transferred.

She has been amazing and very thourough with our treatment plan. We have gone through one egg retrieval, one fresh transfer (resulting in our son born 2017), and one frozen transfer (negative pregnancy test). We will be doing one more frozen transfer. Over the years I never feel like a number to Dr. Bocca she always remembers me and asks questions about our son and life. She is very thorough and has taken extra care an attention to diagnose and treat some underlying issues we were having. So thankful for the attention to detail, kind words, and phone calls that make difficult news easier to handle.

Dr Bocca truly is one of the best Dr I have seen and she is very kind, upfront, and honest about treatment plans and expectations. Come with questions because she will take the time to go through everything in detail with you.

We have male factor infertility (blockage) and IVF with ICSI is our treatment option. We under went stimulation leading up to our egg retrieval in March 2017. We then implanted 2 embryos which resulted in the birth of our healthy son in December 2017. Every question I had was quickly answered and I felt supported through the process. In July 2019 we did a frozen transfer of two embryos (per our request). We had a negative pregnancy result and Dr. Bocca took the time to call me personally and talk about options for moving forward and some test she would like to do. It was very personally and kind. From there she suggested a hysteroscopy to see if there was any inflammation of the uterine lining. After the procedure the lab found abnormal cells which could lead to uterine cancer. ( a little scary but Dr. Bocca personally called and explained everything in detail and her plan of action). From there I was placed on a medication for 3 months with a plan to retest. After the retest I was found all clear and no abnormal cells were found. Now we are in the wait to do a frozen transfer once the Coronavirus quarantine is over. So thankful to have a doctor who takes the extra precautions to make sure her patients are healthy and well.

1,500 - ICSI 12,000 - IVF w/ ICSI 2,757 - medication 400 - anesthesia Initial Consultations - 260 Hydrosonogram- 1,000 Pre blood work - 300

We decided to do 2 embryos for our first round as I am young and healthy. Our doctor would never do more than 2 and that is something we would not want either. It resulted in a live birth of our son so we feel this was a right choice for us.

Dr. Pakrashi is very supportive and knowledgable. She has an amazing bedside manner. I have been seeing her for 2 years now and therefore understand how to best communicate with her and receive recommendations. She is friendly and thorough in making sure I receive the care I need. She is also very responsive when I contact her with questions or concerns. I know that she and I share the same goals for my fertility.

Ask as many questions as possible and do not be afraid to re-ask the same questions or have information repeated back to you.

Cycle 1: Letrozole + progesterone since we were still at the beginning of my fertility journey. With the addition of progesterone, I got pregnant, but ultimately it ended in an ectopic pregnancy. Surgery to remove right tube. Cycle 2: Letrozole. We did not add progesterone because I was ovulating on the side where my tube had been removed. I did get pregnant, but also ended in an ectopic pregnancy with methotrexate shot to manage it. Cycle 3: Gonal-F + progesterone with timed intercourse. Levothyroxine added to treat hypothyroidism and reduce TSH levels. The goal was to produce more eggs. However in this cycle it seemed most of the egg production was on my tubeless side. No pregnancy resulted. Cycle 4: Gonal-F + progesterone = IUI. The goal was to produce more eggs again and also plant the sperm closer to the egg. In my honest opinion the IUI concept is flawed and a bit of a waste of money. Perhaps if there had been multiple IUIs done during this cycle, it might have worked, but this resulted in no pregnancy. Cycle 5: IVF using Menopur, Follistim, Ganirellix. The goal was to implant embryos. I was on a relatively low dose of Menopur and Follistim. Despite these low dosages, I was unable to have the Hcg trigger because of the risk of OHSS. Dr. Pakrashi was very attentive in making sure I did not get to sick and was very on top of my care. I used a lupron trigger for the egg retrieval and all embryos were frozen. Cycle 6: Frozen Embryo Transfer using estrogen patches and tablets and Endometrin inserts. The amount of Endomentrin inserts was increased due to not enough progesterone in my system. Cycle ongoing...

Most of my care was done through claims submitted to my insurance agency and out of pocket expenses. They do not take Tricare, but will submit claims on your behalf. The process is frustrating because you receive checks that then need to be mailed to EVMS.

Dr. Pakrashi sat down with me to discuss the risks and rewards with eSET vs multiple embryo transfer however she ultimately left the decision to me as the patient and I elected to for multiple embryo transfer.

Dr B has been so wonderful. We’ve had a few setbacks, but she’s Beene wonderfully supportive. She understands that I like plans, and she always has one for me. I can send her a message whenever with questions and she or her LPN answer quite promptly.

Go to your appointment with questions. She’ll give you as much time as you need to get answers.

We started with bloodwork and whatnot. I had an HSG and we realized I only had one tube. I had 2 MRIs to conclude I have UU. Then we started letrozole and ultrasounds every cycle, and trigger shots when I’m on my correct side. Once Covid-19 has passed, I’m having a hysteroscopy to see why it hasn’t worked yet.

Almost everything has been covered! My MRIs were about $1500, but other testing was covered. My letrozole is only $8 a month, my progesterone and ovidrel shout were $250 a pop.

During my experience with Dr. Bocca I felt that she was very knowledgeable. However, I did not feel that she explained things as thoroughly as I would have liked. During my IUI the results from my husbands sample came back much lower than any other tests had. She did mention this to me during the procedure and noted that we would still have a small chance of it working. however, I got the idea that she knew it probably wasn't going to work, so I'm wondering if we even should have gone through with it or waited to find out what was going on from his end.

When she tells you something during an appointment don't feel that you need to just go with it and let them be on their way. Ask the Dr. to sit down and explain things to you thoroughly.

The IUI procedure cost close to $1,200 with everything involved.

I felt like I was with a professional. I knew he understood the best practices and procedures and explained everything to me. I wouldn't say he was high on the compassion scale, but it didn't matter as much to me if going through IVF with him meant a successful pregnancy. He was always straightforward and honest, and he made jokes to help lighten the mood sometimes. I enjoyed my experience.

If you want to achieve a pregnancy, use Dr O. If you're looking for lots of warm and fuzzies during the process, he may not be your doc.

We did IVF, retrieved 13 eggs, and 8 became embryos. We had 3 amazing Day 5 blastocysts, and we chose to transfer 1. Even though there as higher chances to conceive with transferring more than 1, we felt confident with a single embryo transfer and he believed and supported our decision.

I know it was around $20k for IVF plus medication and ICSI plus we had a few other costs that drove up our overall price. In the end it was all worth it!!

He supported our decision for a eSET.

I was very happy on how caring she was in the process of ivf and how long it will take to recover after egg retrieval in April and that with Covid-19 I have waited until I can come bto do my frozen transfer when I could do it again.

That Laurel stadtmauer would be a good doctor to help them through everything.

Gonnal-F pen, ganirelex, and the protocols and how to do the shots and wasn't that hard to do.

My health insurance covered most of it

Doing a frozen embryo was better because of quilty.

We saw Dr. Bocca for our initial appointment and to test and freeze my husbands sperm. When we saw her we had a surrogate lined up in Virginia Beach. It did not end up working with that surrogate and that is why we did the rest of our treatments in Florida.

Ask questions if you don’t understand something!

I do not remember the exact cost but we did our sperm testing and freezing through the Jones institute. I believe it was about 2000.00