Ratings of 1 indicate that a clinic was poorly operated.
Ratings of 10 indicate that a clinic operated very well.
Scheduling
8.9
8.9
Scheduling
Ratings of 1 mean it was difficult to schedule appointments with this clinic.
Ratings of 10 mean it was easy to schedule appointments.
Billing Department
7.4
7.4
Billing Department
Ratings of 1 indicate an unsatisfactory billing department.
Ratings of 10 indicate an excellent billing department.
Nursing Team
8.3
8.3
Nursing Team
Ratings of 1 indicate an unsatisfactory nursing team.
Ratings of 10 indicate an excellent nursing team.
LGBTQ+ Care
10
10
LGBTQ+ Care
Ratings of 1 indicate an unsatisfactory LGBTQ+ care.
Ratings of 10 indicate an excellent LGBTQ+ care.
Attention to Detail
6.5
6.5
Attention to Detail
Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.
For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.
CDC Success Rates
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. Luk is an exceptional physician who goes above and beyond in providing outstanding care...She individualizes the care throughout the cycle...is compassionate and empathetic...is not only a brilliant medical professional but also a kind and understanding human being
[Generation Next Fertility] looks really clean and pretty...great front desk staff...waiting is about 15 mins for blood and US...ove the kindness of every staff...care coordination comprises of nurses an clinical assistants that help to coordinate the care. They are supportive, kind and empathetic.
How was your experience with Janelle Luk at Generation Next Fertility?
Dr. Luk is an exceptional physician who goes above and beyond in providing outstanding care. From the moment you walk into the office, you feel welcomed and valued. Dr. Luk's profound knowledge and expertise are evident in every consultation, and she tailored the approach to meet individual needs. She is compassionate and empathetic. She is not only a brilliant medical professional but also a kind and understanding human being who truly makes a difference in their patients' lives. I am incredibly grateful to have such a dedicated and skilled doctor. My family is also so grateful.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
Dr. Luk sometimes runs late with her schedule. She really gives her patient time in explanation. As a result, my appointments sometimes run late about 10 mins. However, she apologizes and very flexible. One time, she even calls me at night. Just be more flexible with time. Tele medicine also helps.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
She describes everything so clearly. Amazing bed side manner. She was also able to give me all the options and give me all the risk and benefits of each procedure. It is lots of information. She gave me and my partner detailed information and planning. We feel so great with her. We own our baby to her. I went to another doctor before. Compared to him, she is just a superior doctor.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
She uses lots of mild stimulation protocol which was great because it cuts cost and also helps me stimulate better quality of eggs comparing to the results from another IVF center where they were using high stimulation protocol. She studies my ovaries so at times, she does use higher stimulation at certain time of the IVF cycle. She individualizes the care throughout the cycle.
Describe your experience with your nurse at Generation Next Fertility. (Assigned nurse: Pamela)
The care coordination comprises of nurses an clinical assistants that help to coordinate the care. They are supportive, kind and empathetic.
Describe your experience with Generation Next Fertility.
The ivf center looks really clean and pretty. They even have a piano in the waiting area. They have a great front desk staff. The waiting is about 15 mins for blood and US. Overall, I love the kindness of every staff I have encountered. Their personalized approach, combined with their unwavering dedication to patient care, made a significant difference in our experience.
Describe your experience with your monitoring appointments at Generation Next Fertility.
My experience with the monitoring process at the IVF center was nothing short of excellent. The monitoring phase was usually smooth and efficient. Appointments were well-organized. However, when some patients were late, it could make the waiting time longer.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
Some part of it was covered by insurance, but then with the mild stimulation IVF cycle, it was very cost effective where the mild stimulation was a lot cheaper than conventional.... The mild stimulation was around 7500 dollars
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
My doctor strongly prefers single embryo transfer when is a tested embryo. But she also do multiple embryo transfers when the situation applies with untested embryos.
What specific things went wrong at Generation Next Fertility?
Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Generation Next Fertility.
One time, I was at the Hamptons. They forgot about that and called the prescription to my pharmacy closer to my home address.
never saw or spoke to the doctor [Dr. Janelle Luk] again after initial consultation...a very fast talker so it was a little hard to follow...had to ask her to repeat some things and the appointment felt rushed...body barely responded and she didn't make much change to the protocol. I had 8 follicles at the start and only 2 grew, but they grew unevenly so we ended up cancelling the cycle and turned it into IUI. I never saw or spoke to her again until the IUI.
[At Generation Next Fertility] the exam rooms are tiny and the communication is not always clear...had asked an important question specific to the dosage, and never got a response back...charged me for doctor visits, when I was really just doing bloodwork and ultrasound...Don't think I ever met or spoke to an actual nurse...Don't think I ever met or spoke to an actual nurse...his place is the most unorganized I've ever been to.
How was your experience with Janelle Luk at Generation Next Fertility?
She is a very fast talker so it was a little hard to follow. I had to ask her to repeat some things and the appointment felt rushed, even though I waited 30-40mins to even see her. She had a few ideas that seemed great. I had wanted a different opinion from my previous RE, but the prep for starting my cycle was a horrible choice for me. My body barely responded and she didn't make much change to the protocol. I had 8 follicles at the start and only 2 grew, but they grew unevenly so we ended up cancelling the cycle and turned it into IUI. I never saw or spoke to her again until the IUI.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
I'd be very cautious as she seems almost too accommodating. I was excited at first as it seems like she was confirming everything I wanted to believe. In the aftermath, I realized that this clinic is her business and making a profit might be more important than being honest. Perhaps it could've worked out had we had a better prep. Unfortunately, I'll never know. I did try going back for a new IVF cycle, but everything felt wrong. The constant miscommunications, the sneaky extra charges to my insurance, the lack of communication with the doctor. I had came from a very well organized center, so this place was just a mess I didn't want to deal with considering the experience.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
This center is very hands off. I never saw or spoke to the doctor again after initial consultation. Everything was handled through multiple technicians, not even nurses. There was never a consistent person that I spoke or met with. One time, they didn't even know I was there, even though I had checked in. I had to flag someone after waiting nearly an hour and watching everyone after me come and go. This place is the most unorganized I've ever been to.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
She didn't much care for estrogen patches, so had me on pills instead to prep. I had used patches at a previous center that worked really well for me, but she thought I should try something new given the lack of success. Her prescribed dosage was really low, which I learned later that it didn't give me much chance at all. I was also on a low dose IVF cycle, so started with 2 Letrozole, 150 Gonal-F and 20units low dose HcG. I did appreciate that she was thoughtful of my finance situation so found alternatives for me. Unfortunately, all dosage were just so low that they did nothing for me. Even with the lack of follicle growth, my dosage decreased to 1 Letrozole, 100 Gonal-F and 20units low dose HcG. After two weeks of injections and monitoring, only 1 follicle had met the required size. A second one was semi kind of near and the rest were too small. She suggested doing a duo stim, which meant paying nearly double for retrieval. That cost for only possibly 2 eggs did not seem rightly justified, so we opted to change to IUI.
Describe your experience with the nursing staff at Generation Next Fertility.
Don't think I ever met or spoke to an actual nurse. I thought I was in communications with a nurse, but found that it was actually just medical assistant/technicians--a staff of young girls who acted as a middleman sort between me and the doctor. As I said before, I was never assigned anyone so it was just shooting an email to her "team" and then getting a reply back from any available technician.
Describe your experience with Generation Next Fertility.
The office is nice and from what I heard, was either newly renovated or a new space they had acquired. I like that they had a little beverage refrigerator for you. However, the exam rooms are tiny and the communication is not always clear. There were several times that I would get instructions and then be emailed again a few hours later with changed instructions. One time, I had asked an important question specific to the dosage, and never got a response back. I started panicking as they had 10 mins before office closure and had to call frantically. Not a good place to be when the whole process of IVF is already so stressful. They also charged me for doctor visits, when I was really just doing bloodwork and ultrasound. I never even saw/spoke to the doctor. And later, I also found some sneaky charges to my insurance that made no sense for procedures that I never did. These charges had gone unnoticed because they didn't require payment from me, but my insurance paid directly. This clinic really felt like a money making machine, so I would just caution new patients to be on top of your charges.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
I spent about $3-4k on copays, extra drugs that I didn't already have on had from previous cycles. Would have been about $8-10k if I had gone through with IVF. My insurance covered everything else.
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
N/A
What specific things went wrong at Generation Next Fertility?
Lost appointments
Failed to call with results
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Generation Next Fertility.
See previous comments on bad protocol, miscommunications, wrongful charges, etc.
Dr. Luk will often call me whenever there are glaring questions or more complexity to explain, which I appreciate...she specializes in supporting women with diminished ovarian reserve (DOR) and low egg quality, high FSH/low AMH. She believes mild stimulation...is very committed to her patients...she talks incredibly fast, often cutting me off in the middle of asking a question as if she already knows what I was going to ask...D
The office [at Generation Next Fertility] was a nice place to be. The staff are always warm and the office itself is a well-oiled machine. They have a very smooth system to get lots of people through the monitoring process every day of the week...The billing process is very frustrating as a self-pay patient, and they were not always up-front with what I was going to be charged...Very warm. Lovely, compassionate people. The dedicated nursing team for Dr. Luk were pretty good with responding to emails quickly.
How was your experience with Janelle Luk at Generation Next Fertility?
There's a warm quality to the GNF office. With marble white walls and a white baby grand, it feels luxurious. Dr. Luk, herself, is very committed to her patients. I can see the excitement she has for doing the work she's doing. While I appreciate that energy in her, she talks incredibly fast, often cutting me off in the middle of asking a question as if she already knows what I was going to ask. Even if she does know, it's de-regulating to an already-traumatized nervous system to constantly be shut down like that. I feel a slower energy from her would be more nourishing, but as it is, when in meetings with her, sometimes I don't fully understand the plan and I leave feeling unsettled, unsure. All that said, her compassion feels genuine. She is a kind doctor.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
Write down all of your questions in advance of a meeting with Dr. Luk. When you're in the room with her she moves quickly. It can scramble your brain. Make a habit of referring to your list of questions. In general when doing any fertility treatments anywhere, do your own research about your procedures and see what holes in your understanding there are. Then ask those questions. Dr. Luk has always been delighted when I ask informed questions, and gives me straight-forward answers. Have pen and paper to write things down in the moment. That way you can cross-reference with what they write in your notes on the portal. I've caught some mistakes. If you're self-pay, assume they will charge you for Everything. Always ask when they explain your protocol - how much does each element of this cost? You can always talk to the finance team to see if they can give you a discount.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
The office was a nice place to be. The staff are always warm and the office itself is a well-oiled machine. They have a very smooth system to get lots of people through the monitoring process every day of the week. Dr. Luk will often call me whenever there are glaring questions or more complexity to explain, which I appreciate. The billing process is very frustrating as a self-pay patient, and they were not always up-front with what I was going to be charged.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
Dr. Luk says she specializes in supporting women with diminished ovarian reserve (DOR) and low egg quality, high FSH/low AMH. She believes mild stimulation encourages egg quality over egg quantity. I did 3 cycles of mild stim IVF. Did ERA cycle and now 2 months of lupron before my first transfer.
Describe your experience with the nursing staff at Generation Next Fertility.
Very warm. Lovely, compassionate people. The dedicated nursing team for Dr. Luk were pretty good with responding to emails quickly. Sometimes things were unclear, but there was always someone to resolve my confusion.
Describe your experience with Generation Next Fertility.
On the day of retrievals, everyone greets you and asks you the same questions over and over, just to ensure no mistakes are made. An embryologist comes to introduce themselves to you, as they will be the one to make your embryo in real time. They always ask if I have any questions.
I wish Dr. Luk did my procedures, as I have a relationship with her. The doctor I had most often, Dr. Hade, has a disinterested energy to me. My time with him, I was pretty angry about it. I complained about him and there was an apology from Dr. Luk. I felt relatively heard, but not from him directly.
I loved the anesthesiologist! He's so great in that moment right before you go under. Worth the $600. I would appreciate more transparency around the billing. I was disoriented on the morning of my retrival to be hit was a surprise bill of hundreds of dollars! No one explained there would be more to my bill. It does seem that communication isn't seamless, there, which is also frustrating.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
Dr Nejat was very warm and answered questions directly and honestly when asked. He was available for every visit during our first IUI. We are a lesbian couple and he always greeted both of us with equal respect and warmth. That being said, it did feel like the information was not offered unless we asked specific questions, and he does not always warn you before the ultrasound, which was jarring at first.
The clinic [Generation Next Fertility] is small, both physically and in their medical staff. There are only two doctors, which means you get to know one doctor well and they know you. Conversely, there are a lot of nurses, who are all working to get you in and out quickly during the morning monitoring.... We had an issue with the prescription trigger shot that was called in during our first round of IUI. The prescription was sent to CVS specialty pharmacy and needed to be shipped from out of state.
How was your experience with Edward Nejat at Generation Next Fertility?
Dr Nejat was very warm and answered questions directly and honestly when asked. He was available for every visit during our first IUI. We are a lesbian couple and he always greeted both of us with equal respect and warmth. That being said, it did feel like the information was not offered unless we asked specific questions, and he does not always warn you before the ultrasound, which was jarring at first.
What's one piece of advice would you give a prospective patient of Edward Nejat at Generation Next Fertility?
Make sure you ask your questions, don't necessarily expect to be told every detail. If you have a concern, raise it early, and he will make sure to keep it in mind as you go through the process.
During treatment, were you treated like a number or a human with Edward Nejat at Generation Next Fertility?
Dr Nejat knew us after our first visit, and always made time to answer all of our questions, or even just greet us when we were there for monitoring with nurses and sonographers and not specifically with him. The whole staff was very warm and welcoming and reassuring.
Describe the protocols Edward Nejat used in your cycles at Generation Next Fertility and their degree of success.
I have been previously diagnosed with PCOS, but during our initial consult we had blood drawn and an ultrasound. Based on those results, which appeared within normal ranges, and my age (33), Dr Nejat did not want to overmedicate me for an IUI with donor sperm, so we went drug-free for our first round. This did not produce a pregnancy. I am awaiting results for our second round and am interested to see if strategy changes this time, or if we will continue unmedicated.
Describe your experience with the nursing staff at Generation Next Fertility.
Everyone was very warm and answered all our questions plainly, taking the time to call us after each monitoring session and give us our next steps. They walked through the trigger shot process with my wife, who was very nervous to stick me or do something incorrectly. They made me feel comfortable during the many blood draws and ultrasounds.
We did have one communication error right before our first IUI that led to a lot of stress. We were told that CVS specialty pharmacy would reach out to us about our trigger shot shipment, but they never did, and there was a mad rush to get the shot to us in time for our IUI. Now that we know better, we will take steps to ensure we have everything we need on time, but the nurses miscommunicated the process to get the shot (which has to come from out of state) and it caused a lot of stress.
Describe your experience with Generation Next Fertility.
The clinic is small, both physically and in their medical staff. There are only two doctors, which means you get to know one doctor well and they know you. Conversely, there are a lot of nurses, who are all working to get you in and out quickly during the morning monitoring. The procedure rooms and offices are cramped, but all modern and updated. The waiting room opens out onto the building's atrium, which is exposed to views from other floors and offices, so it doesn't feel that private. The desk staff are all very young, and often seem to need Adult Supervision to answer simple questions, but they are kind and eager to try.
Describe the costs associated with your care under Edward Nejat at Generation Next Fertility.
We have Progyny insurance, which covers 4 rounds of IUI after meeting our deductible. We had to pay $1600 for genetic testing and initial blood tests prior to picking a donor in order to meet the deductible, and I have not seen a bill since.
What specific things went wrong at Generation Next Fertility?
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Generation Next Fertility.
We had an issue with the prescription trigger shot that was called in during our first round of IUI. The prescription was sent to CVS specialty pharmacy and needed to be shipped from out of state. We were told they would call us to set that up, and the patient portal for the clinic made it look like it was en route. So two days before our IUI, when we didn't have a trigger shot, we were concerned and I called to figure out where the shot was. The desk clerk told me it was in Illinois (we live in New York) and I needed to call CVS directly. Upon calling CVS, I learned that they did not have all my insurance information to fulfill the prescription. When I gave that to them, they told me the prescription I had been written was not covered by my insurance so the doctor would need to write a new one. After a few hours of back and forth, I was able to get a prescription shipped.
The main errors were around how we were meant to communicate with CVS, and the office not providing all my insurance information to CVS to fulfill the order. It's my understanding that this has happened with this clinic in the past, and Dr Nejat was very apologetic when he heard what had happened. We were very stressed about not getting the shot in time, and he offered to "lend" us one and we would swap him for the one being shipped to us at a later date, in case ours didn't make it in time.
Now that we know the process and have the right prescription, we know how to prevent the issue from happening again.
Dr Nejat is so warm and caring...has wonderful bedside manner...Even though I didn’t see him as much as I would’ve liked I knew I was in good hands and trusted the whole team...he listened to every concern...Mild IVF cycle Less medication, and only 10 days He added Clomid, 150 men and 225 Gon + Gan at the end No BC or estrogen priming
[Generation Next Fertility] is clean, new and bright...never waited more than 10 minutes to be seen...runs efficiently and smoothly....always someone available to call or email if I had questions...front desk staff is so wonderful. They remembered my name which is always a lovely feeling
How was your experience with Edward Nejat at Generation Next Fertility?
Since this was my second retrieval I knew what to expect. Even though I didn’t see him as much as I would’ve liked I knew I was in good hands and trusted the whole team. I was clear when I went in that I wanted to shift my protocol since the first time didn’t work and he listened to every concern. I had a few losses so he was the only doctor that didn’t make me feel that the losses were my fault. I knew right then I could trust him.
What's one piece of advice would you give a prospective patient of Edward Nejat at Generation Next Fertility?
You may not see him that often but when you do be prepared with your questions
During treatment, were you treated like a number or a human with Edward Nejat at Generation Next Fertility?
Dr Nejat is so warm and caring. He has wonderful bedside manner and I really felt like he cared about my story. I was at a previously clinic where I felt like a number. I liked him right away and knew intuitively that he wasn’t just thing to take my money
Describe the protocols Edward Nejat used in your cycles at Generation Next Fertility and their degree of success.
Mild IVF cycle
Less medication, and only 10 days
He added Clomid, 150 men and 225 Gon + Gan at the end
No BC or estrogen priming
Describe your experience with the nursing staff at Generation Next Fertility.
The office is a well oiled machine. I hardly ever waited and there was always someone I could call if I needed assistance. The front desk staff is so wonderful. They remembered my name which is always a lovely feeling
Describe your experience with Generation Next Fertility.
Clinic is clean, new and bright. I never waited more than 10 minutes to be seen. It runs efficiently and smoothly. There always someone available to call or email if I had questions. I liked that the procedure was done at the clinic- I wasn’t as nervous since I was already familiar with the facility.
Describe the costs associated with your care under Edward Nejat at Generation Next Fertility.
We paid OOP. Generation next is the most affordable we found in the city
They gave us a discount whihc was much appreciated
Dr. Hade did not seem familiar or deeply grounded in the details of my case...unfriendly bedside manner...knowledgeable and an efficient doctor but he did not come across as a compassionate person...gave no clear rational as to why he started with 2 IUIs and not IVF...Clomid, which resulted in multiple follicles
[Generation Next Fertility] is swanky, clean, and easily accessible....seem quite organized...seem overworked and understaffed...are not easily reachable on the phone...Most of them were quite nice. Especially during my monitoring visits. Some of them were quite compassionate.
How was your experience with Jesse Hade at Generation Next Fertility?
I have shared a couple of instances in the previous question. But here's more. Dr. Hade is perhaps a knowledgeable and an efficient doctor but he did not come across as a compassionate person. Whatever little jokes he would crack seemed put on and I had close to no access to him. I could not email him directly and it always felt like he truly did not know what was happening to me. He did not remember specific things about my case, except for a polyp he removed. He made me go through several procedures and every time I would ask him why, he would come up with a reason only to assign yet another procedure for the same reason he had given earlier. During one of our video calls, he told me I had abnormal Sema4 results, which indicated that I faced low risk for breast and ovarian cancer. Despite the risk being low, he blurted that I should seek surgical intervention - removal of breasts and ovaries. He neither had data nor an understanding of the effect such conversations would have on someone. I later met with the geneticist who clarified that it was a probable risk and NO SURGICAL INTERVENTIONS ARE SUGGESTED. Not entirely sure if this was the reason, but overtime I began to dread seeing him. I found myself hoping that the sonographer does my morning ultrasounds rather than Dr. Hade.
What's one piece of advice would you give a prospective patient of Jesse Hade at Generation Next Fertility?
Fertility treatments are nerve-racking and stressful. And no one, especially women of colour who have been through other kinds of societal trauma, should go through even more stress during their treatments. A good doctor, kind staff, and knowledgeable nurse go a long, long way in making the process bearable. I've changed doctors since Dr. Hade, and although I haven't become a mother yet, I am so so glad I with another doctor and a clinic now.
During treatment, were you treated like a number or a human with Jesse Hade at Generation Next Fertility?
There are two reasons as to why I felt like a number more than a human being. One is wrt the doctor itself, the other wrt the clinic. I will start with the clinic. The first and the only time I felt like I was speaking to someone who was truly familiar with my case was when both my IUIs had failed and we were ready for IVF. And that was an IVF nurse; not the doctor. Until then, I had only been talking to nurses who I felt were either flippant or just reading out instructions. They sounded overworked and a tad bit rude. Now, for the doctor: Dr. Hade did not seem familiar or deeply grounded in the details of my case. He had an unfriendly bedside manner and seemed more irritated than interested with my questions. At one point, when I had asked him, if there is any hope for me based on my numbers, he said, "well, it depends on how badly you want it." It was crude, unkind, and completely unnecessary to tell someone who had just gone through a miscarriage. He also chose to go for 2 IUIs instead of an IVF despite me asking if he was sure I wasn't wasting time. I was.
Describe the protocols Jesse Hade used in your cycles at Generation Next Fertility and their degree of success.
Dr. Hade gave no clear rational as to why he started with 2 IUIs and not IVF. I really wish we had started with IVF, which would have saved us so much time and eggs. For the IUIs, I was put on Clomid, which resulted in multiple follicles, was then asked to sign a waiver for multiple pregnancy risk, and then triggered for insemination. The second one resulted in a chemical pregnancy.
Describe your experience with the nursing staff at Generation Next Fertility.
Most of them were quite nice. Especially during my monitoring visits. Some of them were quite compassionate.
Describe your experience with Generation Next Fertility.
The clinic is swanky, clean, and easily accessible. They also seem quite organized. They ask patients to sign several waivers before any procedure whatsover. I did not go through an IVF with them but I believe GNF is an expensive clinic. They seem overworked and understaffed. They are not easily reachable on the phone, and I believe there is no emergency doctor on call.
Describe the costs associated with your care under Jesse Hade at Generation Next Fertility.
Describe Jesse Hade's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
I did not go through ET with Dr. Hade.
What specific things went wrong at Generation Next Fertility?
Lost paperwork
Provided conflicting information
Describe the specific things that went wrong at Generation Next Fertility.
They did not record my Rubella immunization and tried to get me to sign a waiver. When I resisted, they made me run around at the last minute for a immunization record from the pharmacy.
Dr. Luk was very good but I could also tell she was very busy... worked with me through the schedule and we talked about every option that was available to me timing wise...Dr. Luk talks really fast and it's sometimes difficult to understand, especially if you are new to the process and there are so many terms and phrases she is saying that don't quite make sense. But she is patient and she will answer your questions.
The [Generation Next Fertility] front desk staff I could take or leave. Some of them were extremely nice, some of them were very unfriendly from the get go. I would say that is their biggest weakness. All of the doctors seemed very kind, and they seem to have a robust system for this process...The most negative part of my experience was several times I came to the office and for some reason I wasn't checked in and I had to wait a long time, that made me feel like I had been forgotten about. I expressed this to the doctors and nurses several times and after the second time it was fixed.
How was your experience with Janelle Luk at Generation Next Fertility?
I had some pretty complicated scheduling conflicts that are based around a very physically active job. Dr. Luk worked with me through the schedule and we talked about every option that was available to me timing wise. I also got Covid while I was about to start a cycle, it was pretty upsetting because we had to cancel the cycle, but Dr. Luk was open to other options and very helpful.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
Do your own research and ask questions. Dr. Luk talks really fast and it's sometimes difficult to understand, especially if you are new to the process and there are so many terms and phrases she is saying that don't quite make sense. But she is patient and she will answer your questions.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
Dr. Luk was very good but I could also tell she was very busy. The most negative part of my experience was several times I came to the office and for some reason I wasn't checked in and I had to wait a long time, that made me feel like I had been forgotten about. I expressed this to the doctors and nurses several times and after the second time it was fixed.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
I have migraines with an aura, so Dr. Luk prescribed me Lovenox to avoid clotting. She also prescribed Follistim, Menopur, Ganirelix.
Describe your experience with the nursing staff at Generation Next Fertility.
The nursing staff was extremely kind. I just had two instances where I was very frustrated because I had been forgotten in the waiting room. I don't know who's fault it was, but I was already feeling very vulnerable with the whole process and then to feel like I was forgotten about twice was not great. The nurses were understanding about this issue.
Describe your experience with Generation Next Fertility.
The front desk staff I could take or leave. Some of them were extremely nice, some of them were very unfriendly from the get go. I would say that is their biggest weakness. All of the doctors seemed very kind, and they seem to have a robust system for this process.
Describe your experience with your monitoring appointments at Generation Next Fertility.
Monitoring was pretty easy. bloodwork and then ultra sound, the quickest lastest around 30 mins.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
My egg freezing was $6000
my meds were around $4400
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
N/A
What specific things went wrong at Generation Next Fertility?
Lost appointments
Describe the specific things that went wrong at Generation Next Fertility.
I already mentioned them but I was forgotten twice in the waiting room. Neither time was a good situation. It wasn't a reflection of the doctors and their care, but it did negatively impact my feeling about the clinic.
Dr. Nejat is very welcoming, respectful & knowledgeable about my needs as an LGBTQ person...We are just beginning an IVF cycle with [him] and we are very hopeful! I did have to have medication to treat a possible ectopic pregnancy and I felt very safe...He is open to answering any and all questions so do not be afraid to ask them
The clinic [at Generation Next Fertility] is very clean and feels like a safe place to be...The process of sending our frozen sperm to this clinic was very straight forward...I have never waited very long to be seen. The systems they have for doing blood work and ultrasounds are very efficient. I also appreciate the rage of appointment times they have available all days of the week!
How was your experience with Edward Nejat at Generation Next Fertility?
We are just beginning an IVF cycle with Dr. Nejat and we are very hopeful! I did have to have medication to treat a possible ectopic pregnancy and I felt very safe at Generation Next! Everyone at the clinic is very kind and explains procedures very well so we are optimistic for a positive experience.
What's one piece of advice would you give a prospective patient of Edward Nejat at Generation Next Fertility?
He is open to answering any and all questions so do not be afraid to ask them!!
During treatment, were you treated like a number or a human with Edward Nejat at Generation Next Fertility?
Dr. Nejat is very kind and personable!
Describe the protocols Edward Nejat used in your cycles at Generation Next Fertility and their degree of success.
I am doing a traditional IVF cycle. If I am able to update my review after the cycle I will!
How competent was Edward Nejat at LGBTQ+ care?
Yes! Dr. Nejat is very welcoming, respectful & knowledgeable about my needs as an LGBTQ person!
Describe your experience with the nursing staff at Generation Next Fertility.
They are all very kind and personable. It seems like they enjoy their jobs and are happy to help you in any way they can!
Describe your experience with Generation Next Fertility.
The clinic is very clean and feels like a safe place to be. There is plenty of seating and I have never waited very long to be seen. The systems they have for doing blood work and ultrasounds are very efficient. I also appreciate the rage of appointment times they have available all days of the week!
Describe the costs associated with your care under Edward Nejat at Generation Next Fertility.
Unknown at this time
Describe Edward Nejat's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
I will be asking for a single embryo transfer.
How competent was Generation Next Fertility at LGBTQ+ care?
Yes! They are all very kind and treat me and my partner with respect.
Describe your experience using 3rd party reproduction (donor eggs, donor sperm, or gestational carrier) at Generation Next Fertility.
The process of sending our frozen sperm to this clinic was very straight forward!
What specific things went wrong at Generation Next Fertility?
Lost appointments
Describe the specific things that went wrong at Generation Next Fertility.
The only issue we have had so far is that we had a virtual medical teaching appointment scheduled that the clinic seemed to think had been canceled. There was then some issue with the wifi connection, but the nurses remedied the issue and we were able to have the appointment. Everyone was very apologetic!
Dr. Luk is my third RE and the first time I have not felt dismissed when wanting to try something new. We are a difficult and unique case, and even though she’s been honest about our chances, she has not made us feel hopeless. After a loss or a setback, we always feel better after discussing next steps...she let me know if I wanted to transfer 2 of my day 3 embryos she would support me, but ultimately agreed that transferring one at a time would be best...I am a very poor responder to IVF, so Dr. Luk suggested mild stimulation
[Generation Next Fertility is] Affordable compared to most other clinics...They’re very innovative, and the REs consult with one another, particularly when there are roadblocks or question marks....I highly recommend GNF for anyone freezing eggs...As for weaknesses, sometimes it has taken a bit to receive instructions or a reply, but they’re generally quick to reply when I reach out...[nurses were] Always kind, always warm, always compassionate
How was your experience with Janelle Luk at Generation Next Fertility?
Dr. Luk is my third RE and the first time I have not felt dismissed when wanting to try something new. We are a difficult and unique case, and even though she’s been honest about our chances, she has not made us feel hopeless. After a loss or a setback, we always feel better after discussing next steps. She is clearly passionate about what she does, and has never missed an opportunity to remind me that she knows how precious our few embryos are. She has so far always had something new to try, and listened to me if there’s something new I want to try.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
Don’t be afraid to speak up if you have questions or ideas. She is very passionate about self advocacy.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
It feels like she is fighting with and for us, not against us. When having to give me bad news she has been warm and empathetic. And when getting small victories she is excited with us. I clearly feel she knows how heavy the burden of infertility can be.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
I am a very poor responder to IVF, so Dr. Luk suggested mild stimulation. I did indeed end up responding better to lower doses, and fewer meds. We also primed with Estrogen patches instead of birth control. We eventually found out the earlier I removed the patch the better I responded. We were never quick to always move forward with a retrieval because we only had one vial of my spouse’s frozen sperm left, so we never moved forward unless we felt confident. And if a cycle was scheduled we would slightly change something up. It’s unclear if any changes made a difference, but after past experiences with other RE’s it did feel good to know we were actually trying something different and not going around in circles.
Describe your experience with the nursing staff at Generation Next Fertility.
Always kind, always warm, always compassionate, but sometimes it took awhile to receive instructions. I was doing outside monitoring though, so it did complicate communication a bit.
Describe your experience with Generation Next Fertility.
Affordable compared to most other clinics. Even though I traveled out of state all of my treatments were considerably less expensive. They’re very innovative, and the REs consult with one another, particularly when there are roadblocks or question marks. The facility is gorgeous and welcoming. The morning of our final egg retrieval we were anxious and emotional, but there was a live pianist in the lobby and it was so lovely and refreshing it helped us relax a bit. The lab exceeded my expectations. When freezing eggs I kept being warned by others only a small percentage survive thaw, but all 4 of my frozen eggs survived thaw, all fertilized with ICSI, and 2 of them became day 3 embryos when fertilized. I highly recommend GNF for anyone freezing eggs, including affordability.
As for weaknesses, sometimes it has taken a bit to receive instructions or a reply, but they’re generally quick to reply when I reach out. Communication is a bit more complicated when doing outside monitoring, so sometimes the cause for delay is the fault of my local monitoring clinic.
Describe your experience with your monitoring appointments at Generation Next Fertility.
I was always a little disappointed I couldn’t just stay in NY for my full cycle because their equipment was so much nicer and seemed more up to date than my outside monitoring clinic back in NC. The ultrasound techs were also more thorough. My left ovary can be hard to find, but they always found it every time!
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
I’m unsure of total costs since some of our treatment was covered by insurance and some was a discounted rate, but whenever we paid out of pocket I remember things always being almost half the cost of the first clinic we had treatment back in NC.
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
She let me know if I wanted to transfer 2 of my day 3 embryos she would support me, but ultimately agreed that transferring one at a time would be best, to give them each a separate chance since we had so few.
What specific things went wrong at Generation Next Fertility?
Failed to call with results
Provided conflicting information
Describe the specific things that went wrong at Generation Next Fertility.
After my hysteroscopy I was given the wrong information about my results, but they called me back in less than 10 minutes to correct their mistake. The procedure was done on New Years Eve, so things were very frazzled that day in the clinic when they’re normally pretty organized.
I experienced Dr. Hade be both super-humane (as with discussing a rough moment during an embryo transfer) and also super-dismissive of my intellect...took some effort to get to have real conversations with him...when I did get to have a real conversation with him about treatment details (at a high level) it was helpful...two children so there were great moments
GNF greatly improved over the years-- smart, serious clinical assistants and nurses who really filled in the gaps when doctors were too busy to deal directly with patients. A few truly stood out...assistants are great...dealt with the clinic over many years and two children so there were great moments and maddening moments; it's hard to summarize. But ultimately I would recommend them strongly for older women and for those who don't do well with a cookie-cutter, large-institution feel.
How was your experience with Jesse Hade at Generation Next Fertility?
As already stated, I had great moments dealing with him and very enraging moments. The great moments were either at times of total crisis or when we had more time than usual to have a detailed technical conversation. The enraging moments were when I'd try to bring up an issue during monitoring or by email. In the latter cases I often felt like he didn't realize how smart and capable I was of understanding the situation--and this felt paternalistic; in general this feeling was an ongoing low-grade issue for me. However, when he did stop and really talk through something with me I often found it extremely helpful. He could be open and human or dismissive one encounter to the next.
During treatment, were you treated like a number or a human with Jesse Hade at Generation Next Fertility?
I experienced Dr. Hade be both super-humane (as with discussing a rough moment during an embryo transfer) and also super-dismissive of my intellect-- it really swung both ways many times. Dr. Hade's assistants are great, but it took some effort to get to have real conversations with him. I have high expectations in this regard and I was often frustrated when I'd send an email with a question or concern and would only hear back from an assistant. However, most of the time when I did get to have a real conversation with him about treatment details (at a high level) it was helpful.
Describe your experience with the nursing staff at Generation Next Fertility.
This is something GNF greatly improved over the years-- smart, serious clinical assistants and nurses who really filled in the gaps when doctors were too busy to deal directly with patients. A few truly stood out.
Describe your experience with Generation Next Fertility.
I dealt with the clinic over many years and two children so there were great moments and maddening moments; it's hard to summarize. But ultimately I would recommend them strongly for older women and for those who don't do well with a cookie-cutter, large-institution feel.
Dr. Nejat has a personable bedside manner. I received some unfortunate results from the clinic the day of a major holiday and he took the time to call to see if i was okay...the explanations received by [him] were very vague or the standard...Low stim protocol starting out with Clomid for a few days and then introducing 50-100 units of Gonal-F (depends); toward end of cycle either one half or a full syringe of Cetrotide for less than one handful of days before trigger
Any follow up questions that I have regarding medications or my chart is met with a relatively prompt response by phone/vmail and a message on the Patient Portal before the end of the business day...I didn't feel like an outcast at Generation Next Fertility because I am in my 40s with diminished ovarian reserve...Their finance department is a mess and diminished my impression of the clinic. It was easier to pay out of pocket without insurance coverage
How was your experience with Edward Nejat at Generation Next Fertility?
Being in your late 30s/early 40s with a diminished ovarian reserve (DOR) diagnosis can feel like you are facing an uphill battle. Patients with a diagnosis of diminished ovarian reserve will be given some hope with Dr. Nejat. He and his partner Dr. Luk treat a retrieval of one egg as a victory whereas other clinics/clinicians would have canceled the cycle because the numbers weren't there.
However, when one inquired about changing course of treatment or what might have gone wrong with a seemingly successful retrieval that ends up yielding no viable Day 5 embryos-- the explanations received by Dr. Nejat were very vague or the standard "You're doing everything you can" or "I don't know what happened" or "I think we are doing everything we can." To be fair, I don't know if Nejat, or Luk or both determine the course of treatment for a given patient. Further, I acknowledge that i was facing an uphill battle with DOR at ny age, but it irked me when I was given these vague and seemingly blasé responses. It gave me the impression that I was being treated as a number without much substantive thought to my course of treatment.
What's one piece of advice would you give a prospective patient of Edward Nejat at Generation Next Fertility?
Don't feel intimidated/too overwhelmed to ask whatever questions or concerns that you might have-- advocate for yourself. Push if you feel like you are not satisfied with the response you are being given.
During treatment, were you treated like a number or a human with Edward Nejat at Generation Next Fertility?
Dr. Nejat has a personable bedside manner. I received some unfortunate results from the clinic the day of a major holiday and he took the time to call to see if i was okay.
Describe the protocols Edward Nejat used in your cycles at Generation Next Fertility and their degree of success.
Low stim protocol starting out with Clomid for a few days and then introducing 50-100 units of Gonal-F (depends); toward end of cycle either one half or a full syringe of Cetrotide for less than one handful of days before trigger. ICSI used for one retrieval without success; PICSI used for remaining cycles-- most achieved initial fertilization but couldn't survive until Day 5.
My understanding for the low stim /mild/natural IVF was attributed to my diminished ovarian reserve diagnosis.
Describe your experience with the nursing staff at Generation Next Fertility.
It's a busy practice with what I perceive as a slightly understaffed nursing team...but I have always been met with a friendly, professional and efficient demeanor by every nurse during monitoring days and retrieval. A benefit that can be had from such a small staff is that you recognize each other. Blood draws are always a smooth and comfortable process. Any follow up questions that I have regarding medications or my chart is met with a relatively prompt response by phone/vmail and a message on the Patient Portal before the end of the business day.
Describe your experience with Generation Next Fertility.
I have previously cycled with a larger IVF clinic that is part of a major hospital system where I felt like a number and protocol was very textbook high dosage stims despite my being told that I have diminished ovarian reserve. I didn't feel like an outcast at Generation Next Fertility because I am in my 40s with diminished ovarian reserve.
Don't be deceived by the physical size of the clinic when you come in for a consult. The original facility (they have moved a few floors to their brand new custom built offices during summer 2020) was very clean, you have the requisite amount of privacy that you need as a patient but it was very tiny.
My time at GNF was coming to an end by the time they moved upstairs. The new facility is a remarkable improvement for patients and staff alike-- I was impressed by that and it was a smart business move to push that forward
because it is a fast- growing and busy practice. The patient demographics is diverse along race/ethnicity/age which is encouraging to see. Back in 2019 and even in 2020, I still believe they stand to hire additional nurses and an ultrasound tech just to keep things flowing in order to minimize the wait for ultrasounds.
Their finance department is a mess and diminished my impression of the clinic. It was easier to pay out of pocket without insurance coverage. Once insurance got involved for 2020-- you had to perform quality control review on the invoices they sent to you and question everything that is not adding up. Just because you are sing an insurance company does not mean that you should get ripped off.
Also there were some communication hiccups- when I first started at the clinic in 2019, I was given the price points for donor egg (DE) IVF treatment. In spring 2020 I asked for the persons that handle inquiries about donor egg IVF to put me in contact with patients willing to talk about their DE cycle and to some follow up questions that I had about selecting an egg bank-- I submitted this request in writing at least twice...one request was relayed to that person/department by Dr. Nejat himself and did not receive a response. Even if you could not find a patient willing to discuss their DE experience with me...put that in writing so that at last I would know that you tried....presuming GNF actually attempted to connect me with DE IVF patient.
I also discuss in another section of my feedback survey about the clinic's lack of communication when it came to disposing my embryos.
Describe your experience with your monitoring appointments at Generation Next Fertility.
In 2019/early 2020, monitoring hours go frm 7:30am-10am are busy ...the bloodwork is usually a shorter wait than the ultrasounds and I think they need one more ultrasound tech. I very much appreciate that monitoring hours go until 10am.
During COVD-- monitoring was done by appointment only.
What specific things went wrong at Generation Next Fertility?
Failed to convey critical information
Describe the specific things that went wrong at Generation Next Fertility.
There was a important request involving the disposal of our embryos that the clinic completely dropped the ball on for months. I followed up with them twice within two week after the initial request and they apologized and assured me that they would lest us know when the disposal was completed. Then they ghosted again, and they were still charging me for frozen embryo storage while they took their time processing my request. So 2.5 months after my initial request, I told them this was all unacceptable and demonstrated poor customer service and a lack of patient sympathy given the sensitive nature of the request. After 2.5 months and my last email blasting their conduct, the clinic personnel finally signed off on the paperwork (electronically-- so why did it take so long?) and disposed of the embryos.
Every time we saw Dr. Luk she knew exactly who we were and knows our history to a T...If something was confusing to us she explained it again with pleasure and gave an example or a parallel. She acknowledge that this is not an easy process and genuinely wants to help us become parents...Dr. Luk is super knowledgeable...It seems like the wheels in her head are always turning, tying to find solutions to your struggle. She is always very thorough and patient. She makes time for you and weighs out your options.She does talk a little fast, but its always clear and understandable. I had 4 miscarriages and she recommended I take a Karyotype test. I found out I have a Chromosomal translation. She explained this very clearly and gave me the facts on what this means for me. My overall experience with Dr. Luk is A++. My main concern is that I want to work with someone who is knowledgeable, kind and continues to research and learn
nursing staff [at Generation Next Fertility] is so compassionate and responsive. I always get an email within the day, if not that day. They are always open and available via email or phone for any questions...It [monitoring] was run quite smoothly, however, sometimes there was a little wait, but that's expected. The wait was never too long...They are efficient and professional. its feel friendly and welcoming. If I request to see Dr. Luk they always try their best to have me see her asap. Sometimes I have to wait a little during monitioring, but I expect that. The bathroom and rooms are always stocked wth light day pads and tampons and an espresso machine in the waiting area.
How was your experience with Janelle Luk at Generation Next Fertility?
Dr. Luk is super knowledgeable. She really wants to know you and your history. It seems like the wheels in her head are always turning, tying to find solutions to your struggle. She is always very thorough and patient. She makes time for you and weighs out your options.She does talk a little fast, but its always clear and understandable. I had 4 miscarriages and she recommended I take a Karyotype test. I found out I have a Chromosomal translation. She explained this very clearly and gave me the facts on what this means for me. My overall experience with Dr. Luk is A++. My main concern is that I want to work with someone who is knowledgeable, kind and continues to research and learn
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
You may feel like she is rushing you, but she just talks fast. She has a lot of information and knowledge and wants to share it all with you.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
Every time we saw Dr. Luk she knew exactly who we were and knows our history to a T. She sympathized and empathized with us. If something was confusing to us she explained it again with pleasure and gave an example or a parallel. She acknowledge that this is not an easy process and genuinely wants to help us become parents.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
Dr. Luk's strategy is quality over quantity. The cycle with my first Dr we did a high stimulation, getting me 39 eggs, however, all were abnormal. If i remember correctly, Dr .Luk had me tale Clomid, i vial of Menopur and 150 u of Gonal. after 4 days we increased it to 200 u of Gonal and then added cetrodide a couple days later. then on the 11th dayI did the dual HCG trigger shot
Describe your experience with the nursing staff at Generation Next Fertility.
Dr. Luks nursing staff is so compassionate and responsive. I always get an email within the day, if not that day. They are always open and available via email or phone for any questions. If they don't know the answer they check with Dr. Luk and get back to you asap. They are all very willing to help in any way they can. Calling in RX and helping you find Pharmacy's if you are self pay. They aslo call insurance and take care of any pre-authorization
Describe your experience with Generation Next Fertility.
They are efficient and professional. its feel friendly and welcoming. If I request to see Dr. Luk they always try their best to have me see her asap. Sometimes I have to wait a little during monitioring, but I expect that. The bathroom and rooms are always stocked wth light day pads and tampons and an espresso machine in the waiting area.
Describe your experience with your monitoring appointments at Generation Next Fertility.
It was run quite smoothly, however, sometimes there was a little wait, but that's expected. The wait was never too long
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
Fortunately, I had up to 10K covered for IVF and meds. I did have to pay for any embryo testing or freezing. I believe her IFV fee is $8500(don't quote me). I think its $900 for testing up to 4 embryos.
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
Dr. Luk is very much open to transferring 2 embryos which is something my husband and I are interested in.
During procedures, he [Dr. Nejat] is very focused, and I felt like I was getting excellent care. There are several times where he gave advice that he allowed me to overrule. In hindsight, perhaps I should have listened to him on those few occasions. But part of the infertility journey is emotional and wandering, and I think that he also understands that a patient may not be psychologically ready for the most straight forward medical path.
One thing that I have discovered is unique about the clinic [is that they allow you to do your procedure with only local anesthesia, rather than general anesthesia. I am a single woman, and this was extremely helpful. You can walk yourself out of a retrieval and take the subway home if you have local. With general you have to find someone to escort you home during the middle of the work day. This was stressful for me as a single person, and the local anesthesia, was totally fine.
How was your experience with Edward Nejat at Generation Next Fertility?
Dr. Nejat is disturbingly available by email. If you have questions, they will be answered. He is personable but professional. And very positive and likable. During procedures, he is very focused, and I felt like I was getting excellent care. There are several times where he gave advice that he allowed me to overrule. In hindsight, perhaps I should have listened to him on those few occasions. But part of the infertility journey is emotional and wandering, and I think that he also understands that a patient may not be psychologically ready for the most straight forward medical path. In several conversations with him, it's been clear that he is considering the whole human in his medical practice--both what the body and mind need. There were times that I wished he had pushed a little harder with early advice to start treatment and transition to IVF more quickly because of my age. It took me a long time to realize just how tough the road is for women of my age. My first consultation with him was at 43 and I didn't start a cycle until I was 44. I do wish I had started earlier. Dr. Nejat does not readily give macro evaluations of how things are going. Most of the process is detailed and step by step. Perhaps that is by design. But some part of me wanted to be graded overall, so I would know whether to speed up or slow down or generally reframe how I was thinking about my prospects.
What's one piece of advice would you give a prospective patient of Edward Nejat at Generation Next Fertility?
I would be as proactive about asking questions and following up on things. And be prepared to see Dr. Luk on occasion, as Dr. Nejat does have to take vacation and they swap coverage for holidays. Be very diligent about making sure your care plan is communicated between the doctors or with the rest of the staff if you have to see the other doctor. Dr. Luk is awesome, though, so you won't feel slighted.
During treatment, were you treated like a number or a human with Edward Nejat at Generation Next Fertility?
Dr. Nejat is incredibly empathetic. You always have the sense that he cares as much about your success as you do.
Describe the protocols Edward Nejat used in your cycles at Generation Next Fertility and their degree of success.
The clinic has a preference for more mild, treatments, I believe. And I was much more successful with milder treatments. After my first IVF, where I retrieved 10 eggs, but only 2 embryos were sent for testing, I personally asked to be more aggressive, because it seemed like it was basically a game of roulette to try to get quality eggs down the chute. We used more drugs, and the second IVF produced 5 eggs and only one survived to embryo testing. Dr. Nejat had suggested canceling the cycle and I overruled it (in part because I had done so much work with injecting the drugs). After my one embryo came back abnormal, of course, I wish I had saved myself the money. The next two cycles we went back to a protocol that was similar to the first one, but each time improved. We got 22 eggs and 6 embryos out of those cycles. Specific drugs: 1st--> chlomid, gonal 150-200, cetrotide .25; 2nd--> vivelle dot, gonal 225-300, menapur 75-150, microdose lupron 2x40; 3rd and 4th--> chlomid, gonal 150-200, cetrotide .25, vivelle dot.
Describe your experience with the nursing staff at Generation Next Fertility.
Everyone who works at the clinic is incredibly nice and professional. It was a little hard to keep track of all the faces in the clinic, and my appointments, I would typically see Dr Nejat, a medical assistant who tailed Dr. Nejat, someone who drew my blood, and the ultrasound technician. I feel like most of my interactions with the nurses came during phone and email communications, and during procedures where they were in charge of my pre- and post-procedure care. I also asked the nurses to draw circles on my butt for injections, and they explained the injections to me. Generally speaking, I felt very comfortable contacting the nurses by email with any questions and problems. It took me a long time to understand who actually handled what and when it was appropriate to reach out, but now that I do, I feel good about the system. No one wears nametags, which is good for sterile environments, but I feel bad that I can't communicate with people more personally because I dont know their names. The nurses on a few occasions said they would send me something and they didn't, and in those cases I usually just let it drop, it was never anything totally crucial. But it may be useful to diligently track all the things you need and want and be proactive about asking for them. On one or two occasions, I had to double check some instructions and they were revised after I spoke up. One person on staff, who I am not sure official had a "nurse" title, and now has moved out of town, spent time chatting with me when I didn't feel well after a procedure. That was nice. And god bless who ever cleaned up the blood that I spilled on the floor on more than one occaision.
Describe your experience with Generation Next Fertility.
One thing that I have discovered is unique about the clinic is that they allow you to do your procedure with only local anesthesia, rather than general anesthesia. I am a single woman, and this was extremely helpful. You can walk yourself out of a retrieval and take the subway home if you have local. With general you have to find someone to escort you home during the middle of the work day. This was stressful for me as a single person, and the local anesthesia, was totally fine. I think if you have tons of eggs, its not a good option, but I did it with 12 eggs. And I hear some woman did it with 20 (not sure if this is true). We as woman have all experienced worse. And its nice to be able to watch the procedure on the monitor. I also appreciate the clinics aptitude in less medicated cycles and the personal attention you get from the doctors. I wish I had gotten more detailed written instructions directly from the clinic about what to expect and what steps I could take to help/hurt at home. I ended up spending a lot of time googling around my appointments as many of us probably do. And trying to interpret results and answer my own questions. I guess I could have just asked, but I am shy about asking. I don't know what other clinics are like, but a number of the rooms are small and not a lot of places to put your stuff. They are doing an expansion into another part of the building, so I guess that will change. I love that they have a Japanese bidet in the bathroom. That is a great touch. And I think the nurses and finance team do a really good job of handling the insurance and prescriptions. They fought for coverage on a few things for me, and knew where I would get the best prices on meds, and I always felt like those two things were being handled in a way that I didn't have to think about them. Ultimately, I felt like this clinic is more affordable than the places I got quoted in my process of choosing. I had to watch the billing department and correct at least one mistake. And when I am done with my treatments I will go line by line through the charges, but overall, the costs were lower than I thought they would be. I felt like I had two issues in the hand-off between doctors. When Dr Nejat was on vacation, and my third IVF cycle was starting, I got instructions to start with a protocol that I had used in my 2nd IVF, even though that protocol was less successful than my 1st IVF. They immediately alter the protocol when I brought it up, but in that moment, I had to be an advocate for my own treatment and remember the conversation I had had with Dr. Nejat after the dip in success. During this same 3rd IVF cycle, I also saw a rapid drop in estrogen on a day when Dr. Nejat was out. After monitoring, Dr. Luk called me back in to do a retrieval that day, rather than the following morning as it had been scheduled for. I came back in, and we retrieved one immature egg after opening three follicles, and paused and decided that I should come back in the next day and have Dr. Nejat retrieve the rest. So I had to do two retrievals back to back, which was not fun, but ultimately this cycle produced the only normal embryo that I've gotten so far. Not sure if we would have had the same result if Dr. Nejat had been doing the monitoring day, but perhaps. The clinic expanded its monitoring hours, which really helped my schedule. If you are starting your fertility journey, I think it's important that you track your own care and advocate for yourself at all times. There are so many people involved in your care and so many details that no clinic can be 110% on everything. I have thought about whether I should try another clinic, but I just had a good feeling the first time I walked in the door, and I do a lot of things on instinct. I think this clinic was able to quickly find a path that was smart for my treatment, and I feel like I'm in the right place.
Describe your experience with your monitoring appointments at Generation Next Fertility.
Monitoring is a well-oiled machine. Only on a few occasions did I have to wait too long. The receptionist can tell you there are times that are busier than others, so I would suggest asking if you need to be in and out.
Describe the costs associated with your care under Edward Nejat at Generation Next Fertility.
$1,600 for IUI, $4,000 FET, about $5000-$6000 for IVF retrieval cycle.
Describe Edward Nejat's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
We only had one normal embryo to transfer, so this was not a specific conversation we had at the time of transfer, but I do believe with PGS testing, Dr. Nejat does prefer to transfer one embryo. He is willing to consider transferring mosaic and some abnormal embryos. And in those cases, I believe he is willing to transfer multiple. He did make it clear to me early that my wish for twins was probably something I should get over because of the medical risks. Advice taken.
What specific things went wrong at Generation Next Fertility?
Failed to call in prescriptions to pharmacy
Provided conflicting information
Describe the specific things that went wrong at Generation Next Fertility.
Dr. Luk has been honest to me from the start. She's been able to guide me and help me where other fertility doctors have given up on me. She doesn't treat me as a number game, where if I can't get many eggs they cancel the cycle. One egg for her is one dream and it's that hope and positive energy that I rely on...Overall I am happy she creates a treatment plan for the individual vs the masses.
[Generation Next Fertility clinic] Strengths - tailoring treatment towards specific individuals. Weaknesses - Billing department as of now, understanding this a big one for everyone, but just had a claim submitted late and had to pay a lot out of pocket, this could have been avoided...[the nursing staff] were there for me and held my hand when I went through the retrievals. Emotionally they were super supportive pre-post covid
How was your experience with Janelle Luk at Generation Next Fertility?
Dr. Luk cares about her patients, and it's was definitely shown during this pandemic. She told me before there was a very small possibility we could retrieve eggs from me, but all it takes is one egg. Since seeing her since September 2019 I have retrieved 4 quality embryos. Overall I am happy she creates a treatment plan for the individual vs the masses.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
Make sure to take notes and ask her to slow down. She does care about her patients a lot, but always be prepared :)
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
Dr. Luk has been honest to me from the start. She's been able to guide me and help me where other fertility doctors have given up on me. She doesn't treat me as a number game, where if I can't get many eggs they cancel the cycle. One egg for her is one dream and it's that hope and positive energy that I rely on.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
My treatment plans were mini IVF cycles, less medications and seeing when it was optimal to retrieve my eggs. That is the treatment plan I had for my my 3 IVF cycles where I was able to retrieve 4 eggs. Because of DOR, this is the treatment plan that the doctor that was best for me - less medication or overstimulation of the ovaries.
Describe your experience with the nursing staff at Generation Next Fertility.
They were there for me and held my hand when I went through the retrievals. Emotionally they were super supportive pre-post covid.
Describe your experience with Generation Next Fertility.
Strengths - tailoring treatment towards specific individuals.
Weaknesses - Billing department as of now, understanding this a big one for everyone, but just had a claim submitted late and had to pay a lot out of pocket, this could have been avoided.
Describe your experience with your monitoring appointments at Generation Next Fertility.
They open at 7AM, I recommend getting it done earlier rather then later. However when COVID came, people would have to come in during scheduled time.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
Reasonable as we are doing mini IVF cycles.
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
Dr. Luk is friendly, direct and thoughtful. She takes time to understand her patients and adjust her interaction and communication accordingly. As a physician she is clearly highly intellectual and very engaged in the work...The overall strategy of my care has been based on my age. The decision was to do natural cycle, rather than trying to promote egg development. So I have not had a high volume of medication. Some changes have been made along the way with the drugs or protocol used.
The clinic [Generation Next Fertility] is well run and as there are only 2 primary physicians there it has an intimate and personal feel. They have good systems in place to manage efficiently and make efforts to attend to patient needs. The practice has become more busy so the wait time can be long. They have taken steps to address that which is appreciated.
How was your experience with Janelle Luk at Generation Next Fertility?
Dr. Luk is friendly, direct and thoughtful. She takes time to understand her patients and adjust her interaction and communication accordingly. As a physician she is clearly highly intellectual and very engaged in the work. I trust that she keeps herself educated about fertility treatment and options and she shares information with her patients. She and her partner are engaged with patients and take time to communicate and check in.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
To understand that she has a very direct and pragmatic approach. She is not a touchy feely type person but she is caring.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
I feel the practice is very attentive to each individual and has a relationship with the patient.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
The overall strategy of my care has been based on my age. The decision was to do natural cycle, rather than trying to promote egg development. So I have not had a high volume of medication. Some changes have been made along the way with the drugs or protocol used. At one point a decision was made to freeze embryos at day 3 due to evidence that they were high quality at that point and might transfer effectively.
Describe your experience with the nursing staff at Generation Next Fertility.
The nursing team are very caring and helpful. They provide a lot of information and do outreach via phone, email and the portal. They are friendly and patient. At times mistakes have been made with my information. These have not been of serious consequence, just occasional mistakes that are understandable; but can also be avoided. Overall I find them organized and reliable.
Describe your experience with Generation Next Fertility.
The clinic is well run and as there are only 2 primary physicians there it has an intimate and personal feel. They have good systems in place to manage efficiently and make efforts to attend to patient needs. The practice has become more busy so the wait time can be long. They have taken steps to address that which is appreciated. While they have protocols to manage information and communication on occasion I find errors or minor issues that can be frustrating. I think the portal could be better and more user friendly. I really like the staff and feel they care about the patients.
Describe your experience with your monitoring appointments at Generation Next Fertility.
Monitoring is a daily window in the morning. I found it to work ok because typically I would need to do this before work. It did become busy over time and the wait was long which was challenging at times. The practice is taking actions to expand their ability to service patients more quickly.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
I paid directly out of pocket but they submitted to insurance for procedures that were covered.
What specific things went wrong at Generation Next Fertility?
Lost paperwork
Failed to inform you of changes in protocol
Provided conflicting information
Describe the specific things that went wrong at Generation Next Fertility.
No major issues. I have worked with this clinic along the way so occasionally some errors have been made in terms of getting me information or necessary details. That is not a common issue.
Strengths: Intelligent, funny, compassionate, great listener and [Dr. Nejat was] willing to share information that other doctors did not. Areas of improvement: willing to listen to other treatment options and other therapies for older patients. ... I was on more of a natural cycle because of my age and the likelihood of NOT producing enough eggs with higher drug doses. I started researching agonists and other protocols, but Dr. Nejat did not want to try those, even with my age related in fertility and being on the lower end of being able to conceive, but was not told why they were off the table for me.
I did not want to talk to anyone [at Generation Next Fertility] about PSG as me and my spouse decided not to use it, but we were scheduled to speak with a genetic counselor for that very procedure for our one embryo. It was awkward to tell them, we did not want this procedure and never scheduled an appointment with them. ... I think that getting the money before you go in is better than after, and there needs to be a specific area devoted to paying that is not out in the open where others are checking in. The clinic needs air conditioner in all the rooms. it was stifling in the office spaces and small. Also, cleaner bathrooms!! ...
How was your experience with Edward Nejat at Generation Next Fertility?
Strengths: Intelligent, funny, compassionate, great listener and willing to share information that other doctors did not.
Areas of improvement: willing to listen to other treatment options and other therapies for older patients. Let patient know ahead of time if he is not going to be in for your appointments.
What's one piece of advice would you give a prospective patient of Edward Nejat at Generation Next Fertility?
Just have questions ready to ask. Be clear on what you want to do and take notes on what Dr. Nejat is telling you. Sometimes there was a mix up on information told and what happened, but it did not affect treatment.
During treatment, were you treated like a number or a human with Edward Nejat at Generation Next Fertility?
Dr. Nejat is warm and welcoming. He talks to you like you are his family. No matter what the outcome, he is approachable and engaged. I never felt like he was ready to move on with another patient, even though there were other patients waiting. Anytime I email him or the nurses, I get responses in a good amount of time. It is just human nature to want to feel important when you are paying for such a high priced service. It is Dr. Nejat's nature to treat you like the VIP you are.
Describe the protocols Edward Nejat used in your cycles at Generation Next Fertility and their degree of success.
I was on more of a natural cycle because of my age and the likelihood of NOT producing enough eggs with higher drug doses.
I started researching agonists and other protocols, but Dr. Nejat did not want to try those, even with my age related in fertility and being on the lower end of being able to conceive, but was not told why they were off the table for me.
Describe your experience with the nursing staff at Generation Next Fertility.
Nurses were amazing and thorough. I know it is hard to remember names of every patient, but they remembered a lot of them. The nursing staff made me feel welcome and part of the family. They are the reason I stayed and keep going back there to figure this out.
Describe your experience with Generation Next Fertility.
I think the previous setup was bad, but the new office space is more inviting and welcoming and does not feel like you are sharing all your information with the world. I think that getting the money before you go in is better than after, and there needs to be a specific area devoted to paying that is not out in the open where others are checking in. The clinic needs air conditioner in all the rooms. it was stifling in the office spaces and small. Also, cleaner bathrooms!!
Describe your experience with your monitoring appointments at Generation Next Fertility.
It was like a cattle call with all the patients in a small waiting area. I could wait 15 minutes or 40 mins, it just depended on who was available to monitor us. This could use some adjustments.
Describe the costs associated with your care under Edward Nejat at Generation Next Fertility.
Insurance paid the most of the procedure. I paid for visit $50 a visit
Describe Edward Nejat's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
Only harvested one egg.
What specific things went wrong at Generation Next Fertility?
Failed to call with results
Provided conflicting information
Describe the specific things that went wrong at Generation Next Fertility.
I did not want to talk to anyone about PSG as me and my spouse decided not to use it, but we were scheduled to speak with a genetic counselor for that very procedure for our one embryo. It was awkward to tell them, we did not want this procedure and never scheduled an appointment with them.
[Dr. Nejat has a] Friendly and pleasant enough demeanour, but always felt like he was purely going through the motions necessary to extract as much money from my insurance company as possible...His entire vibe gave me the impression of style over substance. Didn’t take time to do any real investigation / deep diagnosis — felt like he was just ticking boxes of what was needed for insurance company to approve further treatment. Didn’t know my individual case from one appointment to the next. Could never provide definitive information, even when asked directly. Didn’t seem in any way motivated to investigate further. Unfortunately dishonest — i discovered several issues in my medical records noted that he discussed specific things with me that he definitely did not. Confirmed for me that he avoided sensitive topics & discussing issues openly and honestly that might have impacted my decision to proceed with treatment.
Felt like they [staff at Generation Next Fertility] were quickly going through the motions necessary to extract as much money as possible from insurance, rather than investigate, do a deep diagnosis in order to provide effective personalized treatment...I only met with one young nurse when i requested instructions for administering a Pregnyl injection. All other staff were Medical Assistants + a couple of Sonographers. They were all very kind, helpful and pleasant.
How was your experience with Edward Nejat at Generation Next Fertility?
Friendly and pleasant enough demeanour, but always felt like he was purely going through the motions necessary to extract as much money from my insurance company as possible. FYI - He is a partner in this practice so directly profits. His entire vibe gave me the impression of style over substance. Didn’t take time to do any real investigation / deep diagnosis — felt like he was just ticking boxes of what was needed for insurance company to approve further treatment. Didn’t know my individual case from one appointment to the next. Could never provide definitive information, even when asked directly. Didn’t seem in any way motivated to investigate further. Unfortunately dishonest — i discovered several issues in my medical records noted that he discussed specific things with me that he definitely did not. Confirmed for me that he avoided sensitive topics & discussing issues openly and honestly that might have impacted my decision to proceed with treatment.
What's one piece of advice would you give a prospective patient of Edward Nejat at Generation Next Fertility?
You deserve more than pleasantries and non-answers. Don’t waste your precious time. Go elsewhere.
During treatment, were you treated like a number or a human with Edward Nejat at Generation Next Fertility?
Felt like they were quickly going through the motions necessary to extract as much money as possible from insurance, rather than investigate, do a deep diagnosis in order to provide effective personalized treatment.
Describe the protocols Edward Nejat used in your cycles at Generation Next Fertility and their degree of success.
FYI at my initial appt Dr Nejat actually asked his intern what my insurance was before suggesting any strategy/protocol, which was very off-putting. After he very casually reviewed my results and information i provided to his intern, he then recommended proceeding to IUI. I declined, as i wanted to try to determine if i was definitely ovulating first and foremost – since my previous few cycles had been somewhat fluctuating in length. I made it clear that my Husband and i were only interested in timed intercourse at first, which Dr Nejat didn’t challenge. But, i could tell he immediately lost interest right there. Especially when i explained my Husband and i had no interest whatsoever in IVF at this point (even though my insurance covers it) since there were no clear reasons why we would need it. We proceeded with bloodwork and ultrasounds which led to clear instructions for when to time intercourse. This was unsuccessful. When i tried to determine if i definitely ovulated Dr Nejat told me he ‘thought so’. Seemed very blasé about everything. Told me i had what’s called ‘Unexplained Infertility’. Not motivated whatsoever to investigate further. The only thing both Dr and staff wanted to know is what kind of cycle we wanted to do next. We then decided to proceed with a ‘natural’ IUI but were advised a Pregnyl injection would be needed to induce ovulation at a suitable time for IUI procedure to be performed. After bloodwork and ultrasound on the Saturday morning I was instructed to inject that night at midnight, with an IUI scheduled for following Monday afternoon. This i feel was badly timed. I remember telling my Husband on the Monday morning i felt like i had maybe already ovulated, and i was right. I told him a few weeks later i felt my period was about to arrive, and it did! IUI was unsuccessful. In hindsight, i should’ve trusted my instincts and cancelled the IUI. I am now trusting my instincts and seeking treatment elsewhere.
Describe your experience with the nursing staff at Generation Next Fertility.
I only met with one young nurse when i requested instructions for administering a Pregnyl injection. All other staff were Medical Assistants + a couple of Sonographers. They were all very kind, helpful and pleasant.
Describe your experience with Generation Next Fertility.
Strengths: Bright, clean and modern facility. Efficient bloodwork results (same day) w/ access to a patient portal, can easily view all results.
Weaknesses: Too many reception staff / interns. Very disjointed experience. Disorganized communication. Resulted in things being missed and obvious errors. Reception/clinic staff are very young and seem like rotating interns.
Not much interest here in your personal case / getting to the root of your issue. Purely seem to be going through the motions to maximize profits.
Describe the costs associated with your care under Edward Nejat at Generation Next Fertility.
They were in-network with my insurance company so most was covered at 80%, but co-pays still added up to quite a bit. They billed co-pays sporadically. So far we have paid around $500 for one timed intercourse cycle and one IUI. The genetic testing that Dr Nejat reco’d. Our insurance didn’t cover the Pregnyl injection which was around $130 out-of-pocket. We are still awaiting final bill for IUI co-pay.
Describe Edward Nejat's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
N/A
What specific things went wrong at Generation Next Fertility?
I loved being treated by Dr Nejat. He is super professional...It was always fun to get him to laugh. He genuinely cared if things did not go well, but mostly they did. Nothing ever hurt, and he did not pressure me to do any treatment any way...He is less meds, and more let the body do it's thing, and his partner is more into meds so because they are both there you can talk to both if you like
Front desk [at Generation Next Fertility] is great, very helpful. You need to stay on top of billing but that is normal...Monitoring is done in the am before work, first come first serve. If you have special needs (as I did when I already had one child) you can ask and they will accommodate. Some days the wait was 5 min some days it was 30...Great people on the second birth I mainly saw a nurse...(on request as I did not need much hand holding, it cut down my time in the office) and she was amazing
How was your experience with Edward Nejat at Generation Next Fertility?
I loved being treated by Dr Nejat. He is super professional, but you can tell he is very human. It was always fun to get him to laugh. He genuinely cared if things did not go well, but mostly they did. Nothing ever hurt, and he did not pressure me to do any treatment any way...it was always me driving the boat.
What's one piece of advice would you give a prospective patient of Edward Nejat at Generation Next Fertility?
He is less meds, and more let the body do it's thing, and his partner is more into meds so because they are both there you can talk to both if you like. He also wears a bow tie...gotta love the bowtie.
During treatment, were you treated like a number or a human with Edward Nejat at Generation Next Fertility?
He has a wonderful bedside manner. He is young and energetic and very compassionate. You feel that he feels all of this with you. You are not a number.
Describe the protocols Edward Nejat used in your cycles at Generation Next Fertility and their degree of success.
We did very low doses of stims and endo inserts.
Describe your experience with the nursing staff at Generation Next Fertility.
Great people on the second birth I mainly saw a nurse...(on request as I did not need much hand holding, it cut down my time in the office) and she was amazing .
Describe your experience with Generation Next Fertility.
The clinic is smaller...but this month they moved to an all new location so it really does not matter what I say about it. Front desk is great, very helpful. You need to stay on top of billing but that is normal.
Describe your experience with your monitoring appointments at Generation Next Fertility.
Monitoring is done in the am before work, first come first serve. If you have special needs (as I did when I already had one child) you can ask and they will accommodate. Some days the wait was 5 min some days it was 30. It was fine.
Describe the costs associated with your care under Edward Nejat at Generation Next Fertility.
We had full coverage so it did not matter. Out of pocket was just our deductable. We looked at paying without insurance and it was not horrible per cycle.
Describe Edward Nejat's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
She [Dr. Luk] would dive into the ultrasound after a very short small talk, count and measure follicles, mostly speaking to herself and then ask me to come back the next day for monitoring. I would always feel like I was taking too much of her time if I was asking too many questions. When she would take time to answer, I would feel a little rushed and not totally satisfied...she had difficulty communicating effectively and comes across as all over the place. I wold really have to educate myself, prepare questions in order to get a sense of how it was going.
The nursing staff [at Generation Next Fertility] was very friendly. I never had any issues...Monitoring would run from 7.30 to 10.30am. The sooner you would arrive, the sooner you would be out... I never had issues with billing or getting instructions late. They would be very prompt to call me and send me an email after each monitoring to update me on next steps. Whenever I had additional questions, they would make sure Dr Luk would get back to me asap. I would always be in and out without any issues.
How was your experience with Janelle Luk at Generation Next Fertility?
Dr Luk is knowledgeable, friendly and I believe she wanted me to be successful. I felt like most of the time, she had difficulty communicating effectively and comes across as all over the place. I wold really have to educate myself, prepare questions in order to get a sense of how it was going.
The first time, she didn't perform the egg retrieval herself which had not been communicated clearly either; It was really disappointing. I would be able to talk to her whenever I was asking for it. Sadly, most of our interactions felt rushed as if she had some place else to be. I don't feel like it was on purpose though.
One other thing I should mention is that on a couple of occasions, dr Luk asked me if I was covered by my insurance which led me to believe that she was making a decision for my treatment based on this information; It could go either way for me: since the egg count wasn't the best, maybe she would have cancelled the cycle and wait for another one if I wasn't covered. this is just my guess but I felt like since I was covered, she did continue, regardless of the outcome and chances of success.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
I would really make sure I know enough about the subtleties of the process in order to be able to ask the right questions, at the right time. She will be able to walk you through the very generic steps of the process. As soon as it becomes a bit technical, you will have to press her for questions to understand the details. If you don't ask, you won't get it from her.
I wish I had been more brave to repeat questions when it wasn't clear and demanded more time so she can walk me through her thought process.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
Although Dr Luk was very dynamic and always nice during our appointments, it was very difficult to get all the details relative to my treatment. I really had to come prepared with all the questions so I can get information. She would dive into the ultrasound after a very short small talk, count and measure follicles, mostly speaking to herself and then ask me to come back the next day for monitoring. I would always feel like I was taking too much of her time if I was asking too many questions. When she would take time to answer, I would feel a little rushed and not totally satisfied. Most of what I know is from the internet unfortunately. Based on that knowledge, I would be able to ask questions. Without that, I would still be clueless and at the mercy of what she had decided. After the first cycle, I already had that sentiment but I decided to stick with her since she had the history. I think she knows what she's doing but doesn't go deep enough with each patient (or at least with me).
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
I went through 2 egg freezing cycles. The particularity is that on the 1st cycle, I asked not to have vaginal ultrasound as I never had sexual intercourse. She was really accommodating and we went blind. I was on Gonal F 150 units, Menopur 75 IU, Ganirelix and Ovidrel. The other RE from the clinic retrieved 10 follicles and they froze 6.
On the 2nd cycle, she basically doubled the dosage. She was able to perform vaginal ultrasound to monitor follicles, I was on Gonal F 300 units and Menopur 150 IU. We only retrieved 3 follicles and 2 eggs were frozen (with one being put in culture to mature. The last one was empty).
Describe your experience with the nursing staff at Generation Next Fertility.
The nursing staff was very friendly. I never had any issues. Dr Luk would always be the one performing the ultrasounds. On day, she was running late so I had to go with a nurse. As I was not very comfortable with the ultrasound, I mentioned it to her and she was very thoughtful and took all precautions so I could be as comfortable as possible.
Describe your experience with Generation Next Fertility.
The clinic is rather small but warm and clean. They run a very tight process. I never had issues with billing or getting instructions late. They would be very prompt to call me and send me an email after each monitoring to update me on next steps. Whenever I had additional questions, they would make sure Dr Luk would get back to me asap. I would always be in and out without any issues. They were very familiar with my insurance so this made the process very smooth for me.
The only thing I could say is that once the cycles were over, i wish I had a closing interview with the doctor to understand what went well and what did not. I had to request it this time around and again have all the questions ready. If not, I would just have had a dry email to tell me how many eggs retrieved and frozen, the nurse contacting me the day of and 1 day after a the retrieval to see if I was doing ok (which is a nice touch). But no post mortem. I know that I am 38 and that I am not going to get 25 eggs but there was no specific diagnosis (DOR) or anything else. i wish i had been given more details.
Describe your experience with your monitoring appointments at Generation Next Fertility.
Monitoring would run from 7.30 to 10.30am. The sooner you would arrive, the sooner you would be out. It was very convenient since i was able to arrive early and go straight to work. It felt like it was a fair process; You would get in for your blood work, then go back to the waiting room before they would call for your ultrasound. On the days when I felt brave and would arrive at 7.30, the whole process would only take 30min.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
I paid around 2K$ for the medication and my insurance covered the other fees.
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
Dr. Luk has been honest and straightforward about IVF process for my age and health. She is conservative and cautious. She does not create false hope but rather matter of fact. She listened to my needs and adjusted IVF protocol for me. She never forced anything I did not desire.... I didn't get to see her except for initial consultation but I was assured that she was commanding every step away. She tries not to over promise and willing to accomodate your needs and recommendations.
Efficient settings with staff assigned with specific responsibilities. Reception desk [at Generation Next Fertility] might need a little bit more improvement with welcoming atmosphere and warm greetings. They tend to be too dry and appear unfriendly as they all seem to be busy with other things while sitting in reception desk....First come, first served during monitoring time. Otherwise, specific schedule outside of the monitoring time but only until early afternoon by 2:30 due to staff schedule.
How was your experience with Janelle Luk at Generation Next Fertility?
Dr. Luk listens and discuss openly during the course of IVF. I didn't get to see her except for initial consultation but I was assured that she was commanding every step away. She tries not to over promise and willing to accomodate your needs and recommendations.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
Be prepared and understand what IVF is about including time period, medications, tests required, etc. Dr. Luk doesnt go over every details but there are a lot of resources available to educate yourself before going into IVF.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
Dr. Luk has been honest and straightforward about IVF process for my age and health. She is conservative and cautious. She does not create false hope but rather matter of fact. She listened to my needs and adjusted IVF protocol for me. She never forced anything I did not desire.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
Clomid or Letrozol w/ Gonal F, then cetrotide. Mine is mild IVF stimulation
Describe your experience with the nursing staff at Generation Next Fertility.
Rather dry but they are very responsive over the phone or email inquiry.
Describe your experience with Generation Next Fertility.
Efficient settings with staff assigned with specific responsibilities.
Reception desk might need a little bit more improvement with welcoming atmosphere and warm greetings. They tend to be too dry and appear unfriendly as they all seem to be busy with other things while sitting in reception desk.
Describe your experience with your monitoring appointments at Generation Next Fertility.
First come, first served during monitoring time. Otherwise, specific schedule outside of the monitoring time but only until early afternoon by 2:30 due to staff schedule.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
Around 10k including medications.
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
Dr. Luk leaves it up to patient to choose. We chose single embryo in our first IVF. I am in our 2nd IVF and we decided to transfer 2 embryos.
What specific things went wrong at Generation Next Fertility?
Failed to call with results
Describe the specific things that went wrong at Generation Next Fertility.
It was one time Dr. Luk consecutively missed 2 days in a row to discuss test results. After I sent an email, I was able to talk. This teyo of incidents didn't happen again.
[Dr. Luk] created her practice to create a specialized treatment for patients. I did a mild IVF with her and a 3-day fresh transfer. Neither of which former doctor offers. I retrieved about the same number of eggs as a full IVF with the previous doctor... she immediatly saw the need for mild IVF to not drown the body in meds and to do 3 day since embroyo might do better in body than lab..Takes the time to explain her methodology and think outside the box. You are not a number like at my old clinic. She specializes in the protocol per each patient. There is no one sizes fits all which was common in other practices. Every question was answered, every fear relieved.
Staff [at Generation Next Fertility] was pleasant and efficient. All appointments were quick and minimal waiting time...Dr. Nejat performs all the retrievals and transfers and was very nice and calming during the procedures. I felt very confident in both of these doctors. Would highly recommend...The nursing staff was great. Monitoring hours were also good. A long period to come in. I never waited more than 20 minutes. They also provide a variety of iced coffee and tea.
How was your experience with Janelle Luk at Generation Next Fertility?
Dr. Luk created her practice to create a specialized treatment for patients. I did a mild IVF with her and a 3-day fresh transfer. Neither of which former doctor offers. I retrieved about the same number of eggs as a full IVF with the previous doctor. Her partner, Dr. Nejat performs all the retrievals and transfers and was very nice and calming during the procedures. I felt very confident in both of these doctors. Would highly recommend.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
Don't delay - set up a consultation. So happy I did!
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
Dr Luk, Takes the time to explain her methodology and think outside the box. You are not a number like at my old clinic. She specializes in the protocol per each patient. There is no one sizes fits all which was common in other practices. Every question was answered, every fear relieved.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
We set up a mild IVF (with estrogen priming) with a 3 day transfer. At my previous doctor we did full IVF with planned frozen 5 day transfer. 1st doctor, we did retrival. 5 eggs. 4 to day 3 but they did not grow beyond this. This doctor was only going to add estrogen. Not change the protocol. With Dr. Luk, she immediatly saw the need for mild IVF to not drown the body in meds and to do 3 day since embroyo might do better in body than lab.
Describe your experience with the nursing staff at Generation Next Fertility.
The nursing staff was great. Monitoring hours were also good. A long period to come in. I never waited more than 20 minutes. They also provide a variety of iced coffee and tea.
Describe your experience with Generation Next Fertility.
Staff was pleasant and efficient. All appointments were quick and minimal waiting time. Based on previous doctor there was a lot less paper work and pre planning. Meaning, my former doctor printed a schedule for me to follow which was reassuring. Dr Luk doesnt do that since she says things can change at any moment and I don't want you stuck on a day when something ' should' have happened. This was not a game changer.
Describe your experience with your monitoring appointments at Generation Next Fertility.
Never wait more than 20 minutes. Usually in and out within 15 minutes. Never felt like an overwhelming amount of people waiting.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
About 13K. She did not accept my insurance which we knew going into this.
She [Dr. Luk] speaks very quickly which might not work for some. But it works for us. She does try to thorough. She did make herself accessible and seems to have a good pulse on what's happening. She can be blunt which also may not work for some. But it was good for us.... The big thing for us was PICSI... selecting the sperm and putting my girlfriend on suplements. Acai berry powder, Inositol and Coq10. We believe that made a difference in egg and embryo quality. Antagonist protocol.
They [Generation Next Fertility] are tech savvy. Lots of email and portal communication and text messages. It's easy to knows what wrong. They usually answer emails very quickly. The billing seems to get a bit messy and and are sometimes on "automatic" so they miss things. Don't like part of the waiting area. It's like sitting in a long hallway. Not so comfortable.... They scheduled a embryo biopsy by mistake when I expressly put in writing not to do it. I spoke to my doctor and they were quick to correct it with a monetary credit.
How was your experience with Janelle Luk at Generation Next Fertility?
She speaks very quickly which might not work for some. But it works for us. She does try to thorough. She did make herself accessible and seems to have a good pulse on what's happening. She can be blunt which also may not work for some. But it was good for us.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
Have all your questions mapped out in a email for her to answer. She covers a lot in person and you may not be able to grasp it all at once. Ask her to repeat things. Some words are not always clearly understood when she speaks. She will make jokes, don't get offended. Take it light.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
She took to time to address concerns, asked questions to get to know us and always knows exactly who she is talking to when she contacts us.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
The big thing for us was PICSI... selecting the sperm and putting my girlfriend on suplements. Acai berry powder, Inositol and Coq10. We believe that made a difference in egg and embryo quality. Antagonist protocol.
Describe your experience with the nursing staff at Generation Next Fertility.
Always remember who I am when I come without even looking at the screen. Are always friendly and have smiles. If there is something amiss or misunderstood they act quickly and all are computer savvy and have a good phone presence.
Describe your experience with Generation Next Fertility.
They are tech savvy. Lots of email and portal communication and text messages. It's easy to knows what wrong. They usually answer emails very quickly. The billing seems to get a bit messy and and are sometimes on "automatic" so they miss things. Don't like part of the waiting area. It's like sitting in a long hallway. Not so comfortable.
Describe your experience with your monitoring appointments at Generation Next Fertility.
It's definitely a mill, but warm friendly and well organized.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
$8,500
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
She leaves the choice up to you and gives you a lot of information to make an informed decision. For someone over 40, she does suggest 3 embryos to transfer at once.
What specific things went wrong at Generation Next Fertility?
Failed to call in prescriptions to pharmacy
Failed to call with results
Scheduled the wrong procedure
Describe the specific things that went wrong at Generation Next Fertility.
They scheduled a embryo biopsy by mistake when I expressly put in writing not to do it. I spoke to my doctor and they were quick to correct it with a monetary credit.
[Dr. Luk is] leaving it [Eset preference] up to me...In our first consultation with Dr. Luk, I felt like she was willing to investigate, offer a new approach, and consider my own thoughts on our treatment. She acknowledged how much we'd been through previously...She doesn't sugar coat anything, which I appreciate at this point in my journey (she's our third doctor). I also appreciate that she has something different to offer than other clinics.
mild-stimulation IVF- I've previously done only high doses of stims, so we are just trying something different [at Genereation Next Fertility], with the hope that we may get quality over quantity...The clinic has a modern vibe, and doesn't feel like as much as a medical setting as some others do. Generally, wait times haven't been too bad for monitoring. Be prepared to wait for appointments, things don't always run on schedule. Once you are seen, you'll get the attention you need. Everyone at the reception area has been friendly and easy to communicate with.
How was your experience with Janelle Luk at Generation Next Fertility?
Dr. Luk is very sharp and knowledgeable, and open to trying things that are somewhat outside of the box. So far, I've found that she has a matter-of-fact, kind & positive approach. I have felt very comfortable, so far, having her perform procedures on me. She doesn't sugar coat anything, which I appreciate at this point in my journey (she's our third doctor). I also appreciate that she has something different to offer than other clinics.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
She's very smart, thinks outside the box, and her mind works quickly! She can be a fast talker, but she also takes her time with us and answers all our questions. Make sure to ask questions if something is not clear.
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
In our first consultation with Dr. Luk, I felt like she was willing to investigate, offer a new approach, and consider my own thoughts on our treatment. She acknowledged how much we'd been through previously.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
mild-stimulation IVF- I've previously done only high doses of stims, so we are just trying something different, with the hope that we may get quality over quantity.
Describe your experience with the nursing staff at Generation Next Fertility.
So far my dealings with the nurses have been very warm & friendly.
Describe your experience with Generation Next Fertility.
The clinic has a modern vibe, and doesn't feel like as much as a medical setting as some others do. Generally, wait times haven't been too bad for monitoring. Be prepared to wait for appointments, things don't always run on schedule. Once you are seen, you'll get the attention you need. Everyone at the reception area has been friendly and easy to communicate with.
Describe your experience with your monitoring appointments at Generation Next Fertility.
Wait times have not been too bad. It all seems to be efficiently run. Some days are busier than others.
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
The minimal stimulation IVF cycle is much less than traditional Ivf cycles. It was under $8000 for the cycle, not including meds.
Describe Janelle Luk's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.
Dr. Luk always takes the time to explain everything and to answer my questions thoroughly. Dr. Luk and her staff always call with timely phone calls to explain results and for instruction. I also feel that she truly cares and customizes a protocol for myself and other patients... is very good at being informative and setting realistic expectations. With that being said, she is very compassionate and hopeful in her outlook. She is a great communicator and is very accessible whether by phone or email.
My FSH jumped up very quickly so medications were discontinued. This cycle [at Generation Next Fertility] turned into a natural IVF cycle...The nurses are very caring and communicate very well. They are constantly calling and emailing with results and to inform me of what to do next...There is always a wait, but the monitoring is done very smoothly. I can always count on being done within an hour of arrival
How was your experience with Janelle Luk at Generation Next Fertility?
Dr. Luk is very good at being informative and setting realistic expectations. With that being said, she is very compassionate and hopeful in her outlook. She is a great communicator and is very accessible whether by phone or email.
What's one piece of advice would you give a prospective patient of Janelle Luk at Generation Next Fertility?
To make sure to ask as many questions as you need
During treatment, were you treated like a number or a human with Janelle Luk at Generation Next Fertility?
Dr. Luk always takes the time to explain everything and to answer my questions thoroughly. Dr. Luk and her staff always call with timely phone calls to explain results and for instruction. I also feel that she truly cares and customizes a protocol for myself and other patients.
Describe the protocols Janelle Luk used in your cycles at Generation Next Fertility and their degree of success.
Cycle 1) Gonal F only as we started late in my cycle due to travel. It turned into a natural IVF cycle. My antral follicle count is low and she was able to retrieve one egg that went on to become a 5 day embryo (5AB) and frozen
Cycle 2) Estrogen patch primed for 4 days (one patch for every 3 days) Then half a pill of Clomid and Gonal F 75. My FSH jumped up very quickly so medications were discontinued. This cycle turned into a natural IVF cycle
Describe your experience with the nursing staff at Generation Next Fertility.
The nurses are very caring and communicate very well. They are constantly calling and emailing with results and to inform me of what to do next.
Describe your experience with Generation Next Fertility.
The clinic is very clean and organized. The set up with the reception/waiting area is unique but doesn't detract from the overall effectiveness of the practice. The labs seem to operate very quickly and accurately
Describe your experience with your monitoring appointments at Generation Next Fertility.
There is always a wait, but the monitoring is done very smoothly. I can always count on being done within an hour of arrival
Describe the costs associated with your care under Janelle Luk at Generation Next Fertility.
A natural cycle IVF is $4800 self pay. If you have insurance it covers the monitoring, if not then that is $1000/cycle
Dr. Nejat has an impeccable bedside manner. He seems to remember the small details about you and always makes your questions feel welcome and thoughtfully answered...He was very diligent at tracking and changing the course of my IUI as needed (e.g., he allowed us to come in early for the insemination procedure after addressing my concerns regarding the time between the Ovidrel trigger shot and the procedure
[Generation Next Fertility] Scheduling abilities and easily accessible monitoring hours on weekday mornings and Saturdays, however the first-come-first serve nature of this lends itself to lengthy wait times...The online portal with blood and ultrasound results makes it easy and quick to get results and is extremely helpful...nursing staff were pleasant enough and called back within 2-hours if I had questions.
How was your experience with Edward Nejat at Generation Next Fertility?
Dr. Nejat is a fantastic doctor. He was very diligent at tracking and changing the course of my IUI as needed (e.g., he allowed us to come in early for the insemination procedure after addressing my concerns regarding the time between the Ovidrel trigger shot and the procedure, and he also explained the timeframe for the egg traveling down the fallopian tube to help me understand the timing). For my most recent consultation regarding IVF, he thoughtfully went through the expected process including showing us a slide show of egg development and hatching. He offered multiple breaks in this discussion for us to ask questions and to check we understood everything. He is generally a warm and empathic doctor! I have recommended him to a friend who now sees him also.
What's one piece of advice would you give a prospective patient of Edward Nejat at Generation Next Fertility?
If you have to wait to begin as one of his patients he is well worth the wait.
During treatment, were you treated like a number or a human with Edward Nejat at Generation Next Fertility?
Dr. Nejat has an impeccable bedside manner. He seems to remember the small details about you and always makes your questions feel welcome and thoughtfully answered.
Describe the protocols Edward Nejat used in your cycles at Generation Next Fertility and their degree of success.
We stimulated with 50mg of Clomid, rather than a higher dose as I usually ovulate on my own. We used Ovidrel to trigger ovulation at day 14 based on the size of two follicles (both 19mm) and slight indication on blood work that my LH levels were rising. Although not standard practice at his clinic, he offered us two inseminations in response to my request (we ended up only going with one).
Describe your experience with the nursing staff at Generation Next Fertility.
Nursing staff were pleasant enough and called back within 2-hours if I had questions. The one who gave the trigger shot in office seemed a little hesitant, like she may have been new at this.
Describe your experience with Generation Next Fertility.
Scheduling abilities and easily accessible monitoring hours on weekday mornings and Saturdays, however the first-come-first serve nature of this lends itself to lengthy wait times. Also, it's impressive that you can make a consultation appt with Dr. Nejat within one week timeframe even though he is a busy doctor. The online portal with blood and ultrasound results makes it easy and quick to get results and is extremely helpful for tracking what happened if you have treatment over multiple cycles.
Describe the costs associated with your care under Edward Nejat at Generation Next Fertility.
Other than a copay of $40 for each visit including monitoring and $88 for Ovidrel shot (which was cheaper than the pharmacy, Freedom Pharmacy, that they send prescriptions to), costs were covered by my insurance
Describe Edward Nejat's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Generation Next Fertility.