Loma Linda University

Dr. Bareh is kind, welcoming, and direct. I appreciate the way she communicates as she gets straight to the point. I first met Dr. Bareh in 2019 when when my husband and I were “not trying” to try but also with known male factor infertility. I was expecting to try meds first and maybe IUI, but after Dr. Bareh reviewed my husband’s sperm analysis, she told me our best chance of getting pregnant was with IVF. I was overwhelmed and not ready for IVF. I’ve actually known I never want to do IVF and that if ewe couldn’t get pregnant with meds or IUI that’d we’d just adopt. I was also told my TSH was elevated and Dr. Bareh started me on levothyroxine. I told Dr. Bareh I was not ready for IVF and wanted to try IUI. She then referred my husband to a urologist to try to get his numbers up. He was put on clomid and had a sperm analysis every 3 months to monitor his progression. His I told response was pretty good and we thought we could try for IUI, but after a repeat SA his numbers weren’t good. He continued on clomid and his numbers got high enough to move forward with an IUI. I figured we’d take a break. Dr. Bareh called me to follow up and I told her I wasn’t ready for IVF. About a year later, after giving it another thought, we decided to move forward with IVF. I just turned 38 and I told my husband that this was the last year that we could try to get pregnant before considering adoption. I called the clinic and informed them of my decision. I had so many worries and concerns and Dr. Bareh was always confident yet comforting and all the nurses have been great. I’m so glad I agreed to move forward with IVF with Dr. Bareh because I’m happy to report that I’m pregnant after my first transfer. We are so excited. Thank you Dr. Bareh for making this little miracle possible.

Ask all the questions that concern you. Dr. Bareh is very knowledgeable and will answer your questions with a direct approach. She is very busy, but 100% worth it.

For stims, I was on Gonal, micro hcg. I did a freeze all and transferred a PGT tested 5 day frozen transfer.

My insurance covered half

eSET is highly recommended.

Dr. Bareh has a great style of communication that makes people feel at ease and more comfortable with everything. She would explain exactly what she is doing and what steps we should expect through the entire process. Dr. Bareh bridged that gap that we see in our healthcare industry nowadays. She combined compassion and empathy with technical expertise, making this the best possible decision we could have made.

First of all, if you have a chance to work with her, jump on it! Amazing people like this don't usually have many openings in their schedules so if you are able to get an appointment.... do it! Also, she is great at answering literally anything involved in the whole experience. She will make time for you, no matter what. She gets back to you so quickly, despite her schedule, etc. Ask her everything, she is happy to share her knowledge with empathy and compassion.

From the initial consult to where we are now (13 weeks) we have had several steps that got us here. On our path to IVF, we had an issue with a hematoma near the cervix. Dr. Bareh communicated with us on all the things we need to do to avoid issues as a result. Once the placenta was fully formed, she advised we were out of the woods on that. There were a battery of meds that were needed (mostly hormones) and that has tapered off as we go. Dr Bareh has been very clear on literally everything in the entire experience. She is a pro and we definitely could tell.

Dr. Bareh is the perfect mixture of expertise and compassion. When things aren't working right and you need fertility treatment, Dr. Bareh is the perfect example of the doctor you want in your corner. Not only is Dr. Bareh an expert in her field and is very knowledgeable about the latest tests/procedures, but she has that go-getter and fighter attitude that no problem is too big to be resolved. By the time I had my consultation with Dr. Bareh, I felt my dream of being a mother would never come true. By the end of the consultation, I knew if anyone could make it happen, Dr. Bareh could. Yes, there were "bumps" along the way... Dr. Bareh has a very long waiting list, it takes a long time to get that consultation, but she's definitely worth the wait. Through treatment you will wait a good amount of time for your appointments - Dr. Bareh wants to help everyone and being the only doctor at the facility, she does get overbooked [but it doesn't affect the quality of care you receive].

Be patient. Fertility treatment is a long and emotional process. We all want it done now and that's just not how it works. Be sure to ask questions, all the questions you have. And if you don't understand Dr. Bareh's response, ask her to clarify. She will gladly do it.

The physician/facility charge for the egg retrieval portion of IVF was between $11,000 - $15,000. The medication for this portion was around $6,000 - $7,000 [varied depending on which protocol Dr. Bareh chose]. We chose to have our embryos frozen, biopsied, and tested, which added another couple thousand, but I don't remember the exact amount. There was some additional testing to ensure the proper transfer date and no issues with polyups which I believe in total was around $1,000. For the transfer itself, the physician/facility bill I believe was around $2,500 [a little more expensive because they had to thaw out the embryo and did the assisted-hatching process] and the medication was around $1,500 - $2,000 [medications taken before the transfer and after].

Dr. Bareh spoke to us about single embryo transfer versus two embryo transfer. The decision was left to us as to whether we wanted twins or not. After discussing the pros and cons to each, we decided to go with the single embryo transfer.

Dr. Bareh is very knowledgeable and is willing to change treatment as necessary according to the situation. She always let us know what the next steps were and what to expect. My hcg numbers were not doubling as they should so she made sure to have me do multiple blood tests to track my numbers and did an early ultrasound to make sure everything was on track. She was patient and answered all of our questions. She made sure that every procedure was explained and we knew what was happening. She shared our victories and sorrows but never gave up on us.

If you are looking for a caring doctor that is willing to work with you Dr. Bareh is that person. She has a high success rate, but know that infertility is not one size fits all. She will work with you and your spouse to figure out what works for you.

I had 2 cyst removal surgeries before we could start egg retrieval. Once that was done I started on Gonal F and another injection. We did the trigger shot 72 hours before retrieval. On retrieval day my husband was also in surgery for a testicular biopsy. We had back up donor sperm incase they did not find any. We ended up having to use the donor sperm to fertilize my eggs. Dr. Bareh took the time to explain what happened after the procedure and knew that we were heartbroken. During egg retrieval one of the follicles had a brownish liquid in it so I could not start a fresh transfer cycle. I had to take antibiotics to make sure nothing got infected. We did an FET of two embryos with 6 days of progesterone oil shots prior and started Estrace at the beginning of our cycle. The embryos implanted but my hcg numbers did not double. She continued to have my levels checked multiple times to make sure it wasn’t a chemical pregnancy. After transfer I started Endometrin inserts twice a day and continued oil shots and Estrace. Depending on my estrogen and progesterone numbers I did have my medications upped to 3 Endometrin daily. I had an ultrasound at 5 weeks and we found a one yolk sac, so the other embryo didn’t implant. We saw the babies fetal pole but we miscarried at 6 and a half weeks. Our second FET we transferred 2 embryos as well but started progesterone oil shots 12 hours earlier. Again we implanted but only one. My hcg numbers did not double so I had multiple blood tests and saw the babies heartbeat. Everything seemed more promising than the first time. We miscarried again at 7 and a half weeks. Dr. Bareh was perplexed by our situation. We had healthy embryos and they implanted. She had me do a recurrent miscarriage blood work up. All tests came back negative. So we planned for an ERA. I took Estrace pills three times a day and started progesterone oil shots 6 days before the ERA. Finally she found something. Instead of the normal 125 hours of progesterone I needed 149 hours plus or minus 3 hours. For our third FET we transferred two embryos and started the progesterone shots 7 days before transfer at 5am. Once we transferred I started Endometrin twice a day. After the first blood pregnancy test and we found out we were pregnant I started an estrogen patch and Lovenox blood thinner. I was not flagged for having a clotting issue but we wanted to cover everything. We are currently 10 and a half weeks pregnant and transferring to our OB.

IVF cycle - $13,500 I had to pay for medications because my insurance did not cover them. My medications for egg retrieval were $6000 and medications for an FET were $1500. FET cycle - $5000 After the pregnancy blood test visits up to 10 weeks were run through insurance

Dr Bareh said it was our decision after explaining the risks.

Dr Bareh is clearly a knowledgeable and skilled physician and I felt I could trust her judgment and guidance (eg. to transfer just the one embryo genetically tested as normal rather than transferring two, it and the one embryo that wasn’t genetically tested). She always presented our options and clearly explained the process without overwhelming us with information. No shortcuts were taken, an example is when I was to undergo my transfer I had consumed the required amount of water but my bladder was not sufficiently full. Consequently the transfer was delayed an hour but it ensured she had good visibility to transfer the embryo under ultrasound. She knew I would be uncomfortable after the transfer with such a full bladder so to enable me to remain lying on the bed after the transfer she inserted a catheter to empty my bladder.

Don’t delay a consultation and don’t be shy to ask questions.

Dr. Bareh was very informative and helpful, any questions or concerns I’ve had been addressed and explained thoroughly and she never made me feel dumb for asking numerous questions. As someone who always felt hopeless in my fertility journey, she gave me hope and always made me feel comfortable. I initially was recommended to her and now I will be recommending her to others.

Write down any questions you might want to ask the doctor.

I’ve done 2ml progesterone injections every morning at the same time, as well as the vaginal inserts twice a day, also estrogen pills to help with the pregnancy. Now I’ve been slowly weaning off the meds and my baby is doing just fine.

Staring rate is about 18k, so far I’ve spent about close to 30k or more.

The doctor recommended I only did one embryo, only because of the risk of premature birth or the babies being in the nicu as infants. Compared to the lower risks of having one at a time.

I have had nothing but positive experiences with Dr. Bareh . She exceeded my expectations. I never once felt as if I was left in the dark & she always did a great job at explaining everything during each visit. I would highly recommend her to friends and family.

There is a lot of waiting but that comes with the whole process of IVF/IUI don’t give up and go to another clinic because you have to wait to get an appointment. Wait it out & you won’t regret it.

I followed all of Dr. Barehs protocols to the T. I believe in doing so and taking care of myself had help lead to a successful pregnancy.

Dr. Bareh is very brilliant and very thoroughly explains the process of IVF. She always shared the risks and rewards and it was one step at a time and most of the time very encouraging under stressful conditions.

Do your research, be prepared for whatever news may come, and stay calm and trust the process!

I always felt comfortable with the medications and adjustments that came with them. The nurses and Dr. Bareh would constantly check bloodwork and adjust dosages based on me as the patient.

The costs of IVF are expensive, but I did my research and my care was comparable to other clinics.

We went with two embryos because that is what we did the first time with success. The second round has been very similar with same success so far.

She was always helpful with any questions or concerns. She was able to keep me calm during embryo transfer. She truly shows she cares about her patients. I world recommend her to anyone. She was always calming and asking if I needed anything else.

Everyone's fertility journey is different but she gives you the best treatment plan for you.

Follistim 900IU Ganirelix Pregnyl Lupton trigger Progesterone in oil Endometrin Estrace

$5000-$7000

She did perform the eSet transfer, we really wanted multiple embryo transfer but I am not of the age to have that multiple transfer plus our embryo was grade A. But I will return for more transfers.

Dr. Bareh was very professional and courteous. She never made any unrealistic promises. I always felt comfortable in her clinic. She took the time to answer my questions and concerns. She also called to make sure I understood the process and check on me.

She knows what she is doing. I felt confident in her care.

We first attempted IUI 3 times. After 3 failed tries we went to IVF and were successful on the first attempt.

Dr. Bareh advised to go with a single embryo transfer which was successful.

My experience with Dr. Gihan Bareh has been excellent! She has treated both me and my husband with great care and respect. I appreciate her friendliness, the way she maintains eye contact, and her warm smile when she speaks with us.

Don't hesitate to ask all the questions lingering in the back of your mind when the procedure and process are being explained. Dr. Bareh will make sure to address any doubts or concerns you have.

Egg donor Mock cycle Hormone medications IVF transfer Ultrasounds I am now 9 weeks pregnant and very happy with treatments and results.

About $30,000-37,000

No I understand the risk that’s involved with having a multiple embryo transfer vs single.

I had an amazing experience with Dr. Bareh. I did a 5 day frozen embryo transfer. I did exactly what she recommend down to the minute and I’m happy to say I’m pregnant with my first transfer. She is very thorough and will inform you every step of the way.

It will happen especially under the care of Dr. Bareh. Trust the process.

I did progesterone injections, vaginal progesterone suppositories and estrogen before and after the transfer. I also took prednisone before and after the transfer to decrease any fighter cells. I did strict bed rest for 4 days following the transfer. I also did not use stairs the first 4 days, followed by once per day for the following week.

I have loma linda insurance so my cost was based on deductibles.

It’s a safer approach. I had 2 quality embryos after the genetic testing so in addition to it being safer I didn’t want to use both embryos in one transfer.

Dr. Bareh is very thorough and goes through everything she is doing step by step with you. Her communication style is very direct and honest. We did two IUI cycles with Dr. Bareh and the second cycle was successful! We are now 10 weeks pregnant and doing well…even after becoming pregnant she does ultrasounds and check in on the baby every 10 days, which has been so helpful and takes a lot of the worry away! So happy with Loma Linda and Dr. Bareh through this process.

Be prepared for honest answers, some you may not want or like to hear, however the results are worth it!

Dr. Bareh was able to quickly come up with a course of treatment that has worked for me. She was very compassionate about any set backs, but was still determined to help me. She took her time answering all my questions and saw me at every appointment.

To trust Dr. Bareh

Dr. Bareh had me on a medicine to help me ovulate during my period. A trigger shot the day before my IUI that was done at home by my sister and then I was scheduled to see her in her office the next day to preform the iui

Most insurances, like mine, do not cover fertility costs at any facility, so I did have to pay out of pocket.

Dr. Bareh was very thoughtful and caring throughout my whole process. She took her time to discuss my options and answer all my questions. I felt very comfortable and trusted her expertise and process from the very beginning.

Trust Dr. Bareh and have faith that things work out in its own time.