Northwestern Fertility & Reproductive Medicine

Doctor Jared was awesome I felt 100% comfortable with him and my treatment plans. He went over all my test results with me & my partner.he explain the treatment we would do like first I start on the clomid pill then do ultrasounds & blood draws to track my hormones.

Don’t be afraid to ask questions and do retest on anything that doesn’t sound right.

My insurance covered everything except my medications & IUI procedure so we decided to do clomid with the injection with time intercourses

Dr. Jain gave good explanations and helped me decide to do the egg retrieval. I honestly didn't interact with him much but when I did it was good. I don't have much else to say - he wasn't a big part of my experience with the egg retrieval.

Find a way to ask the nurses for more input if you want to know what's going on

Day: Date: [Ganirelix], Dose Gonal F, dose novarel/HCG 1: 10/27: 100, 0.06 (estradiol 61) 2: 10/28: 100, 0.06 3: 10/29: 100, 0.06 4: 10/30: 150, 0.06 (estradiol 153) -You have a few follicles measuring less than 10mm 5: 10/31: 150, 0.06 6: 11/1: Gonal-F 225 units, HCG 6 units (estradiol 366) -The largest follicle measuring by ultrasound is 10mm. -You also have smaller follicles measuring less than 10mm 7: 11/2: Ganirelix AM, Gonal-F 225 units, HCG 6 units 8: 11/3: Ganirelix AM, Gonal-F 300 units, HCG 6 units (estradiol 954) -The largest follicle measuring by ultrasound is 13 mm. -You also have 3 smaller follicles measuring between 12 and 13. 9: 11/4: Ganirelix AM, Gonal-F 300 units, HCG 6 units 10: 11/5: Ganirelix AM, Gonal-F 300 units, HCG 6 units 11: 11/6: Ganirelix AM, Gonal-F 300 units, HCG 6 units (estradiol 1408) -Your estrogen level is 1408. You have 5 follicles measuring between 17 mm and 27 mm. 12: 11/7 1am: leupron 13: retrieval (11 follicles, of which 6 were mature) Total meds used: -Gonal-F used: 2250 (required 3 pens) -Ganirelix: 5 doses. -HCG: Plenty of HCG leftover Round 2 Day: Date: [Ganirelix], Dose Gonal F, dose menopur 1: Mon 2/14: Gonal-F 200u, Menopur 75u. (estradiol 60) 2: Tues 2/15: Gonal-F 200u, Menopur 75u. 3: Wed 2/16: Gonal-F 200u, Menopur 75u. 4: Thur 2/17: Gonal-F 200u, Menopur 75u. (est 339) -The largest follicle measuring by ultrasound is 10 mm. -You also have 2 smaller follicles measuring 10 mm. 5: Fri 2/18: AM: Gan. Gonal-F 200u, Men 75u. 6: Sat 2/19: AM: Gan. Gonal-F 200, Men 75u. (est 749) -The largest follicle measuring by ultrasound is 14mm. -You also have 6 smaller follicles measuring between 10 and 13mm. 7: Sun 2/20: AM: Gan. Gonal-F 200, Men 75u. 8: Mon 2/21: AM Gan. Gonal-F 200, Men 75u. (est 922) -The largest follicle measuring by ultrasound is 19 mm. -You also have 12 smaller follicles measuring between 11 and 18 mm. 9: Tues 2/22: AM Gan. Gonal-F 200, Men 75u. (est 1190) -The largest follicle measuring by ultrasound is 20 mm. -You also have 12 smaller follicles measuring between 11 and 17 mm. 10: Wed 2/23: AM Gan. Gonal-F 200, Men 75u. (est 1685) -You have 10 follicles measuring between 15mm and 30mm. 11: Thurs 2/24: 12am Leurpon 80u. am labs 12: Fri 2/25: 12pm retrieval (16 follicles, of which 12 were mature) Total meds used: -Gonal F: 2000u (3 pens) -Menopur: 10 vials -Ganirelix: 6 doses

1500 procedure, 200-300 for meds per round

Dr. Feinberg is one of the foremost doctors in the field. She is knowledgeable and experienced and no nonsense, which I appreciate. Dr. Feinberg is also empathetic, caring, considerate, honest and an excellent communicator. I very much appreciate her approach to treatment.

Book early. She's difficult to get an appointment with.

We started with Clomid IUI when my saline ultrasound and bloodwork demonstrated positive findings. After disappointing sperm counts and motility, we moved directly into IVF.

Insurance will not cover our treatments. IUI was approximately $2000 including medication. IVF is approximately $18,000, including medication.

I have not gotten to the point of retrieval yet, as is was cancelled for COVID -19

Dr. Jain was absolutely incredible. I referred him to my sister and had zero hesitations with that. I felt like I received individualized care based on my testing and results of ultrasounds/blood work.

Be vulnerable and honest and come with prepared questions and hesitations. They address them all.

This was my second IVF cycle. The first IVF cycle resulted in a pregnancy at the first embryo transfer and we were so excited that IVF was effective and worked! I unfortunately miscarried but that can happen even with a natural pregnancy. The second IVF cycle involved a series of shots with Follistim (dosages are adjusted based on blood work and how effectively the levels are increasing and how many follicles are growing and being produced), ganirelix, and oral meds letrozole, and then a trigger shot with leuprolide right before retrieval. My body responded very well to all medications and shots. My hormone levels increased appropriately and follicles were growing and produced properly. My first IVF cycle I produced 23 eggs and the second cycle I produced 17 eggs.

My first 3 IUIs totalled about 3K; first round of IVF about 22K but that included about 5K of genetic testing. 2nd round of IVF is currently under 10K, i believe that's because I've hit some deductible maximums with insurance, not sure though.

I only transferred one embryo at a time.

Dr Jain invests deeply in the care of his patients. Although my journey was complicated, Dr Jain never gave up on me. After each appointment, we would change the treatment protocol and explore additional testing if needed. I did a lot of research myself and felt very comfortable asking him questions to share my wants and needs. Dr Jain had no problem adjusting the treatment plan to what I felt most comfortable with. During each appointment, I never felt rushed. He would also send MyChart messages very late at night as he is catching up on his charting. It showed that I was not just a number to him, and that he genuinely cared about me as his patient.

Come prepared to ask questions! If you’re up for it (or in the healthcare field), do your own research and ask Dr Jain what he thinks about certain tests, labs, or procedures. Knowledge is power, so take your time during the appointment to make sure all questions are answered.

IUI - letrozole alone, and letrozole with clomid. Unfortunately all were unsuccessful. IVF - low doses of GonalF and Menopur since I made a lot of eggs. He monitored me closely to make sure I didn’t develop OHSS. We ended up with 29 eggs and 13 embryos from that one cycle! FET - due to my risk of OHSS, all of my transfers were frozen. First transfer was a medicated transfer with estradiol and IM progesterone - which failed. I ended up fainting with the IM progesterone once, so we avoided it for the next transfers. Second transfer was a modified natural cycle with letrozole and Ovidrel - but unfortunately ended in an ectopic. Third transfer was another modified natural cycle and currently pregnant! (We did genetic testing of embryos and ERA test prior to the third transfer)

My insurance thankfully covered IVF, so I just had to pay my out of pocket max for the year which was $3500. I never had any issues with the billing department. Embryo testing was not covered, so that was an additional $5000. Also, the ERA and ReceptivaDx testing is not covered by any insurance, so that was an extra $1500 out of pocket. In total: $10,000

Always starts with one tested/untested embryo. If first transfer fails, will consider 2 untested embryos if patient understands the risks. If embryos are tested, then single embryo transfers only.

I've only met Dr. Jain twice never in person only telemed because of Covid. The very first time I met him to my partner and I he seemed cocky he basically told me to go on a Plant based diet, lose weight, cut sugar out, and stop eating meat because its bad food. He was confident that I would not need IVF and with 4 IUI (3 being negative and 1 being a chemical pregnancy). After our 2nd telemed meeting we are now doing IVF. Which is not only time consuming but is very expensive. I will say I cut dairy out of my diet and did lose 28 pounds. Never had natural periods until I lost all that weight the last 5 months my periods have been coming by themselfs and timid. He does take the time to listen to you and it is very overstimulating the amount of information that is received and what your body really goes through! You are mentally and physically drained.

Be prepared- this experience is very long and becomes overwhelming for you and your partner. It consumes your life from the blood draws, semen samples, ultrasounds, and appointments. You pretty much work around their availability and I've personally have missed a lot of work just to attend these appointments. *Do your researches make notes and DO NOT be afraid to ask Questions.

My partner and I decided to do 2 timid intercourses and 2 IUI. But, the protocols were similar. Timid intercourse: Notify the clinic of day 1 of period. Day 3 of period schedule you for bloodwork and ultrasound. Based on your bloodwork and ultrasound they send you a message letting you know to start taking Letrozole 5mg once a day for 5 days. Return for bloodwork and ultrasound and based on your results the nursing staff will tell you when to give the trigger shot usually 24 hrs last between 9pm-10pm. The nursing staff gave specific instructions for the timid intercourse usually the next three days. Wait 2 weeks and take a pregnancy test. The IUI:Notify the clinic of day 1 of period. Day 3 of period schedule you for bloodwork and ultrasound. Based on your bloodwork and ultrasound they send you a message letting you know to start taking Letrozole 5mg once a day for 5 days. Return for bloodwork and ultrasound and based on your results the nursing staff will tell you when to give the trigger shot usually 24 hrs last between 9pm-10pm. The nursing staff reaches out to scheduling to set you a time for your partner and yourself to go in the IUI procedure (Usually 2-3 days after trigger shot).

Make sure you try to have the best deductible because the cost quickly add up. The trigger shot is through Northwestern Speciality Pharmacy and you have to special order that shot and it was $20.00. The ultrasounds and bloodwork after I met my deductible were free essentially but prior the blood work was roughly $10-$30 and ultrasound was $30-$50

No comments this process was explained thoroughly to me and I understood why he is transferring one embryo instead of multiples.

Dr. Jain gave the biggest gift he could possibly give us, our miracle baby boy. I was getting treatment at FCI prior to seeing Dr. Jain and I felt like I was just treated like a number and not a person. When I started seeing Dr. Jain in January 2020 after a recommendation by my sister n law who was in her 40s and had a very successful 1st cycle of IVF by Dr. Jain, I was blown away at the difference in care with him. Dr. Jain has the best amazing bedside manner. He is a good listener and is very compassionate. You can tell that he is rooting for you. He makes you feel like you are his only patient. Anytime I had questions, it was always very easy to set up a consultation with him. I felt very involved in my care and he was very receptive to my ideas as well. He would change my protocol as needed with each round. I already knew that we have a male factor issue and a poor egg quality issue and even with the odds against us, he made my dream come true. We are having our baby boy in July 2021 and it is all because of Dr. Jain. You would be foolish to look elsewhere. I have recommended him to some of my co-workers and they now pregnant too. Look no further than Dr. Jain for your fertility needs. He is a miracle worker.

nothing, please stay exactly the same. I can't wait to start my next round of IVF with him in January 2022.

micro dose lupron protocol with follistim is the protocol that got me pregnant

not sure, insurance covered everything

Dr Jain was very thorough in his explanations and medical opinion. He always listened to me when an IUI cycle didn’t work and adjusted the medications based on patient preference. Be prepared with questions! You won’t see Dr Jain often but he is working with the staff behind the scenes. I highly recommend him!!

Be prepared at your appointment with a list of questions. Ask Dr Jain anything that is on your mind. Patients lose a lot of control during the infertility process, so Dr Jain will listen to your requests to “give back control” in a sense. Do your homework and be prepared to ask questions!

PCOS - letrozole 2.5, letrozole 5, then letrozole 5 with clomid 100

My insurance has great coverage, so our out of pocket costs were low. IUI was about $220 after insurance

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