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. O'Brien] was so delicate in moments that needed it, and so comprehensive at other times... I always felt supported and cared for, and she understood our process as a two mom family and always made us feel embraced for the choices we were making...Incredibly inclusive of my wife as much as me, and always respected our choices throughout the process of egg retrieval, through miscarriages, and through to us graduating to our local OB-GYN.
The clinic [at Shady Grove Fertility] overall was not competent at LGBTQ+ care. I was asked about my husband multiple times, and corrected them to my wife each time. Additionally, the billing person/team is horrible and very hard to get a straight answer out of about anything. Not a quick response time...The phlebotomists are fabulous, as were the nurses on the surgical floor...Internally, I think they have communication issues
How was your experience with Jeanne O'Brien at Shady Grove Fertility WMA?
We would absolutely love to work with Dr. O'Brien again. She was so delicate in moments that needed it, and so comprehensive at other times, so we were fully involved in the process. There is literally nothing negative I have to say about her, she is a fabulous doctor and was willing to throw everything at the wall to make sure we got our rainbow. We have already referred another two mom family to her, and she worked with them with as much compassion and clinical creativity as she did us, through miscarriage and policy changes that impacted their care.
What's one piece of advice would you give a prospective patient of Jeanne O'Brien at Shady Grove Fertility WMA?
Make sure you communicate if you are concerned about something. She will always take you seriously, and if it's within her power, she'll find an answer or creative solution.
During treatment, were you treated like a number or a human with Jeanne O'Brien at Shady Grove Fertility WMA?
She made sure to call and touch base after every challenging moment on the journey. She is incredibly nerdy but in the best way, and she somehow also managed to have such a human touch in the way she approached our care. I always felt supported and cared for, and she understood our process as a two mom family and always made us feel embraced for the choices we were making, and that everything could happen on our timeline, when we were ready.
Describe the protocols Jeanne O'Brien used in your cycles at Shady Grove Fertility WMA and their degree of success.
After two miscarriages, we tried a low dose steroid and daily shots of blood thinners through the first trimester to try to keep the pregnancy viable. It worked on the first try with this protocol... I think it was found in a journal as an intervention for pregnancy loss that had no cause after testing. Aside from that, my protocol was standard for a 30 year old that didn't have infertility, but was just a part of a two mom family. Progesterone shots every third day, vaginal inserts twice a day, and estrogen. That was for transfer; I don't remember the egg retrieval protocol.
How competent was Jeanne O'Brien at LGBTQ+ care?
Yes. She interacted with our family as I would have wanted a provider to interact with our family. Incredibly inclusive of my wife as much as me, and always respected our choices throughout the process of egg retrieval, through miscarriages, and through to us graduating to our local OB-GYN.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Christine)
Christine was the other reason we had the best experience, even during hard times. Timely and responsive communication, no matter how often we asked questions or thought we didn't make sense. Really made the process phenomenal, even when the process was challenging and sad.
Describe your experience with Shady Grove Fertility WMA.
The clinic overall was not competent at LGBTQ+ care. I was asked about my husband multiple times, and corrected them to my wife each time. Additionally, the billing person/team is horrible and very hard to get a straight answer out of about anything. Not a quick response time, and meaningless answers that requires another round of slow communication to attempt to get a more actionable answer. The phlebotomists are fabulous, as were the nurses on the surgical floor. I don't want to forget them, because they were great. The facility is nice, but I would say that most other things about the clinic are meh or fine. The other techs and the doctors I had in substitution of Dr. O'Brien, I was generally unimpressed with though. Some were even insensitive regarding miscarriage. Literally would only come back for Dr. O'Brien and Christine, because they surpassed all expectations and knew what we needed as a family to feel cared for in this process with so many ups and downs.
Describe the costs associated with your care under Jeanne O'Brien at Shady Grove Fertility WMA.
We did shared risk program, as most of our care was not covered by insurance. I believe we paid $25,000 not including genetic testing ($6,000), medications ($??? maybe $10,000) and other insurance covered things such as a D&C and polyp removal (we paid out of pocket at least $1200). Sperm cost $3,000. Plus, we have embryos in storage we pay for monthly. We spent at least $40,000.
Describe Jeanne O'Brien's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
I believe it was their policy at Shady Grove to only do 1 at a time if there was no clinical reason to do more; we never had a choice to do more than one, nor would we have chosen that due to my age and the fact that blood flow to my uterus seemed to be the issue with miscarriage.
How competent was Shady Grove Fertility WMA at LGBTQ+ care?
No. Asked about my husband multiple times, multiple people. Heteronormative mindset and not affirming (rainbows, etc to indicate training or any bit of knowledge about how to navigate families that are not one (cis)man one (cis)woman.
Describe your experience using 3rd party reproduction (donor eggs, donor sperm, or gestational carrier) at Shady Grove Fertility WMA.
I think it worked okay; I have no memory of it, but seemed to happen smoothly.
What specific things went wrong at Shady Grove Fertility WMA?
Failed to call in prescriptions to pharmacy
Lost paperwork
Lost appointments
Provided conflicting information
Scheduled the wrong procedure
Describe the specific things that went wrong at Shady Grove Fertility WMA.
Internally, I think they have communication issues. Not sure the left hand talks to the right hand. They also were over capacity with patients I think, because it was COVID and everyone was working remotely so wanted to start the process. I'm sure this added to the overwhelm but it made the administrative experience with them a nightmare.
Dr. Doyle himself was wonderful and caring. However, once our consult with him was over and we paid the fees, I felt like “just another number” on a list of pt’s where the nurse was concerned...He was a caring and compassionate doctor. We saw him as he is the international doctor that sees pt’s for egg donor consults and he took the time to explain the program to us. And he did follow up when our results for donor egg retrieval were much less than expected.
[Shady Grove Fertility] Egg donor coordinator and financial coordinator were very helpful, caring and treated us kindly. Dr. Doyle was very nice and caring...When our embryos were being transferred from SGF to our home clinic, FedEx lost them for four days and all I wanted were answers and she stopped all communication...Unfortunately, the situation described earlier, ruined our entire experience.
How was your experience with Joseph Doyle at Shady Grove Fertility WMA?
He was a caring and compassionate doctor. We saw him as he is the international doctor that sees pt’s for egg donor consults and he took the time to explain the program to us. And he did follow up when our results for donor egg retrieval were much less than expected.
What's one piece of advice would you give a prospective patient of Joseph Doyle at Shady Grove Fertility WMA?
Ask more questions!
During treatment, were you treated like a number or a human with Joseph Doyle at Shady Grove Fertility WMA?
Dr. Doyle himself was wonderful and caring. However, once our consult with him was over and we paid the fees, I felt like “just another number” on a list of pt’s where the nurse was concerned.
Describe the protocols Joseph Doyle used in your cycles at Shady Grove Fertility WMA and their degree of success.
He only consulted prior to our donors egg retrieval. I was then transferred back to the care of my home clinic.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Gail Felperin)
I would send specific questions via email and had to ask them in multiple emails because she wouldn’t answer. Initially she was fine but she did not have a caring compassionate demeanour at all. When our embryos were being transferred from SGF to our home clinic, FedEx lost them for four days and all I wanted were answers and she stopped all communication. Nobody at the clinic would answer my questions. I just wanted reassurance that they would be ok for a those days they were lost and would stay frozen. Nobody would tell me anything. My husband and I spent four days calling airports, FedEx and the crypt shipping company. Everybody had a different story. We’ve been on this journey for 13 years and this week, when our embryos were lost in transit, were the worst and most stressful to endure. We paid close to $60,000 Canadian with SGF for donor eggs and then when something went wrong they washed their hands of us. Very disheartening. Gail was the only one I could communicate with through the portal and she just ignored my emails.
Describe your experience with Shady Grove Fertility WMA.
Egg donor coordinator and financial coordinator were very helpful, caring and treated us kindly. Dr. Doyle was very nice and caring. Unfortunately, the situation described earlier, ruined our entire experience.
Describe the costs associated with your care under Joseph Doyle at Shady Grove Fertility WMA.
$60,000 Canadian
Describe Joseph Doyle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
N/A
What specific things went wrong at Shady Grove Fertility WMA?
Failed to call with results
Provided conflicting information
Failed to convey critical information
Lost or damaged samples
Describe the specific things that went wrong at Shady Grove Fertility WMA.
[Dr. Li] is an expert, but she is also very compassionate. She cares about her patients like her own family, not some cold numbers on the balance sheet. We had one failed transfer, but she encouraged me, adjusted the whole protocol, and was on top of each procedure. I respect her opinion and trust her judgement and professionalism...I was advised to do eSET because I had a high-risk pregnancy before.
The monitoring appointments are generally easy to schedule and on time. Occasionally it runs late...[our nurse] is a clear communicator, and you know she cares about you. We never had any issues working together...I think Shady Grove Fertility has great facility, doctors and nurses. The only weakness they have is the financial team and billing team. I wasn't happy with them. They made a lot of mistakes in my case.
How was your experience with Sandy Li at Shady Grove Fertility WMA?
I would recommend Dr Nair to any close friends or relatives. She is an expert, but she is also very compassionate. She cares about her patients like her own family, not some cold numbers on the balance sheet. We had one failed transfer, but she encouraged me, adjusted the whole protocol, and was on top of each procedure. I respect her opinion and trust her judgement and professionalism. I finally got pregnant under her care after almost four years of trying. My husband and I thank her with our whole heart.
What's one piece of advice would you give a prospective patient of Sandy Li at Shady Grove Fertility WMA?
If you are looking for a down to the earth, no fluffy and compassionate doctor with great expertise, she is your doctor to go.
During treatment, were you treated like a number or a human with Sandy Li at Shady Grove Fertility WMA?
Dr Nair is very compassionate with her doctor. You can feel it when talking to her.
Describe the protocols Sandy Li used in your cycles at Shady Grove Fertility WMA and their degree of success.
I was put on antibiotics to repress my immunity before transfer. She also used Lovenox to help with implantation. I think these two things finally helped me conceive.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Lana)
I love my nurse Lana. She is the best. She is a clear communicator, and you know she cares about you. We never had any issues working together.
Describe your experience with Shady Grove Fertility WMA.
I think Shady Grove Fertility has great facility, doctors and nurses. The only weakness they have is the financial team and billing team. I wasn't happy with them. They made a lot of mistakes in my case.
Describe your experience with your monitoring appointments at Shady Grove Fertility WMA.
The monitoring appointments are generally easy to schedule and on time. Occasionally it runs late.
Describe the costs associated with your care under Sandy Li at Shady Grove Fertility WMA.
My insurance covered main costs, but I still paid about $12,000 including treatment and medication.
Describe Sandy Li's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
I was advised to do eSET because I had a high-risk pregnancy before.
Dr. Doyle is the kind of doctor that feels like family. He cares about you and your well-being. He is very interested in achieving a healthy pregnancy while keeping you healthy as well...[he] takes the time to call me personally on occasions that require more detailed information or when he may feel I may need some more support. He checks in and he cares about not just the physical but the emotional affect of this process
[Our Shady Grove Fertility] Nurse is compassionate and kind. She has a hard job. She has to deliver results and then tell us the next steps at a very sensitive time. She is attentive and keeps in contact. She is helpful in every way...The clinic environment is welcoming, clean and feels safe. There is a very peaceful and calming energy in the clinic...
How was your experience with Joseph Doyle at Shady Grove Fertility WMA?
Dr. Doyle is the kind of doctor that feels like family. He cares about you and your well-being. He is very interested in achieving a healthy pregnancy while keeping you healthy as well. He is upfront and honest. Dr. Doyle is gentle and understanding how difficult this process can be. He is very attentive. I have had to have multiple surgeries but I have always felt safe because of Dr. Doyle. I trust him with my body and my future family.
What's one piece of advice would you give a prospective patient of Joseph Doyle at Shady Grove Fertility WMA?
Be honest with Dr. Doyle. He will listen to you and understand. He will create a plan that will be in your best interest. If you need to talk to him, call him. He may not be available at the time but he WILL call you back...even if it is late at night. He is committed.
During treatment, were you treated like a number or a human with Joseph Doyle at Shady Grove Fertility WMA?
Dr. Doyle takes the time to call me personally on occasions that require more detailed information or when he may feel I may need some more support. He checks in and he cares about not just the physical but the emotional affect of this process. I have walked into the office feeling really sad about not testing positive and he took the time to speak with me, even on a very busy day. He is kind and caring. He is attentive and he makes me feel that he really wants me to have a positive outcome.
Describe the protocols Joseph Doyle used in your cycles at Shady Grove Fertility WMA and their degree of success.
I had a surgery to unblock one of my tubes. I have been on clomid, injections and the trigger shot. I then had 6 IUIs thus far with donor sperm.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Alexa)
Nurse Alexa is compassionate and kind. She has a hard job. She has to deliver results and then tell us the next steps at a very sensitive time. She is attentive and keeps in contact. She is helpful in every way.
Describe your experience with Shady Grove Fertility WMA.
The clinic environment is welcoming, clean and feels safe. There is a very peaceful and calming energy in the clinic. They are helpful and kind. They always work to fit you in on 'surprise' appointment needs.
Describe the costs associated with your care under Joseph Doyle at Shady Grove Fertility WMA.
IUI is a few thousand and IVF is about 10 thousand.
Weaknesses [of Dr. Arthur Sagoskin] -- hard to get a hold of. Could be better at explaining the why of what we were doing. Strengths -- seemed very knowledgable and very experienced. I trust him because he's been doing this for 30 years...He's compassionate but can be candid and blunt when appropriate...When there was bad news, he called me to talk to me in person and explain the next steps
Feels a little bit like a number [at Shady Grove Fertility clinic]. Different nurses, ultrasound technicians, and doctors every day. Was never given a way to contact doctor directly. However, they were relatively efficient and had their procedures down cold. Embryo lab world class...Did multi-cycle discount (2 for the price of about 1.5 cycles)...sometimes they got backed up 30-45 minutes
How was your experience with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
Weaknesses -- hard to get a hold of. Could be better at explaining the why of what we were doing.
Strengths -- seemed very knowledgable and very experienced. I trust him because he's been doing this for 30 years and started the clinic so there's probably not a lot he hasn't seen
What's one piece of advice would you give a prospective patient of Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
Don't expect to have your hand held through this process. Advocate for yourself and speak up. Ask questions (what about trying this?). He's compassionate but can be candid and blunt when appropriate.
During treatment, were you treated like a number or a human with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
When there was bad news, he called me to talk to me in person and explain the next steps. Wish it was easier to get a hold of him and ask questions. I definitely don't doubt his expertise and trust him, but I have a scientific mind and Type A personality so it puts my mind at ease to know just what we are doing but why we are doing it.
Describe the protocols Arthur Sagoskin (retired) used in your cycles at Shady Grove Fertility WMA and their degree of success.
Estrogen priming protocol with 600 IU of gonatropins. Microdose lupron 2nd cycle slightly lower doses. Microdose lupron with longer time between trigger and retrieval (37 hours vice 36) for third cycle. Lowered does of meds on third cycle to prevent OHSS. Have not gotten results on third cycle yet, but best egg yield by a factor of 3.
Protocols chosen because diminished ovarian reserve. Did not respond much on EPP. Responded well on microdose lupron the first time. Second time responded very well (and possibly too well). Changed retrieval interval to improve egg maturity.
Describe your experience with Shady Grove Fertility WMA.
Feels a little bit like a number. Different nurses, ultrasound technicians, and doctors every day. Was never given a way to contact doctor directly. However, they were relatively efficient and had their procedures down cold. Embryo lab world class.
Describe your experience with your monitoring appointments at Shady Grove Fertility WMA.
Could go in when convenient but sometimes they got backed up 30-45 minutes.
Describe the costs associated with your care under Arthur Sagoskin (retired) at Shady Grove Fertility WMA.
Did multi-cycle discount (2 for the price of about 1.5 cycles). Paid for it and meds out of pocket
Describe Arthur Sagoskin (retired)'s approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
eSET chosen because I am very skinny and have had a high risk pregnancy in the past. Also only got one PGS normal anyway from first two cycles
What specific things went wrong at Shady Grove Fertility WMA?
Lost appointments
Scheduled the wrong procedure
Describe the specific things that went wrong at Shady Grove Fertility WMA.
The only thing that went wrong was scheduling the 3rd appointment which was to do a specific diagnostic procedure. It was a minor inconvenience but it could have delayed things a month.
He [Dr. Arthur Sagoskin] has retired now so no one can have him as their Dr. he was not a bad doctor but we felt he just wanted to keep us spending money. He always was able to fit us in for a face to face appointment and we did a zoom call appointment too which was great! He charged a lot for the appointments and we were hurried in and out so we always had our questions and concerns written out so we knew what to say in the short time with him.
Go in prepared to your [Shady Grove Fertility] appointments and know how much you are willing to spend, do not let them tell you how much it all is. Also this clinic is not the only one so shop around...[nursing staff was] Curt and cold!!! I always felt like I was in their way and making trouble for them just showing to my appointment on time but they would make me wait 30-45 min sometimes just to get my blood drawn.
How was your experience with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
He has retired now so no one can have him as their Dr. he was not a bad doctor but we felt he just wanted to keep us spending money. He always was able to fit us in for a face to face appointment and we did a zoom call appointment too which was great! He charged a lot for the appointments and we were hurried in and out so we always had our questions and concerns written out so we knew what to say in the short time with him. The nurses were not as nice.
What's one piece of advice would you give a prospective patient of Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
Write out your questions before hand and always request a detailed report of everything discussed at the appointment as well as write down his responses. Keep a journal or calendar of everything just for this, it’s nice to see what the protocol was and see if he changes or scales the protocol with each cycle.
During treatment, were you treated like a number or a human with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
I felt it was more about making money, pushing expensive non-covered procedures which did help us in conceiving.
Describe the protocols Arthur Sagoskin (retired) used in your cycles at Shady Grove Fertility WMA and their degree of success.
We first did IVF and retrieved 10 of my eggs. He recommended Genetic testing after we fertilized the eggs with my husbands sperm to ensure no genetic defects. He explained the benefits of genetic screening and we agreed, he also showed us the statistics on frozen versus fresh transfer rates of success and we were comfortable with freezing our embryos. After the first failure he recommended I go see a Dr to have scar tissue and fibroids removed before next transfer. It took almost a year of procedures including having my fallopian tubes removed due to toxic drainage into my interim preventing implantation. After all that the second and final embryo transfer failed. We had no choice but to do another round of IVF since we were talked into paying for the Multi Program $24,000 price tag. That round the Dr only retrieved 5 eggs and after testing none of them were normal. He told us his diagnosis was that my endometrium lining was too thin and that now due to my age my eggs were poor quality so an Egg Donor and a surrogate to carry would be our best chance for a baby. This conclusion was a sad one which we felt could have and should been suggested to us instead of $1000’s of dollars of procedures. We spent over $70,000 of procedures we could put toward donor eggs and a surrogate. So we were left with this doctor all about money.
Describe your experience with the nursing staff at Shady Grove Fertility WMA.
Curt and cold!!! I always felt like I was in their way and making trouble for them just showing to my appointment on time but they would make me wait 30-45 min sometimes just to get my blood drawn.
Describe your experience with Shady Grove Fertility WMA.
Do your own reading!!! Go in prepared to your appointments and know how much you are willing to spend, do not let them tell you how much it all is. Also this clinic is not the only one so shop around!!!
Describe the costs associated with your care under Arthur Sagoskin (retired) at Shady Grove Fertility WMA.
EXPENSIVE!!!!!!!!
Describe Arthur Sagoskin (retired)'s approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
None
What specific things went wrong at Shady Grove Fertility WMA?
Failed to call in prescriptions to pharmacy
Failed to call with results
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Shady Grove Fertility WMA.
They forgot to call in medications once. It was taken care of as soon as I notified them and they apologized but it made me nervous. I also ran out of medications and they wouldn’t call in the med order but sold me a vial of medication from the office which was a life saver.
Dr. Doyle is very soft-spoken and gentle...explains things clearly and directly...warm and compassionate, and he set my mind at ease going into my treatment. I felt confident that he would be able to handle anything that arose during my treatment...protocol was decided on based on my age, and previous treatments I had done at other fertility clinics. 20 eggs were retreived...never once doubted that my embryos were in the best hands!
Dr. Doyle and his staff at Shady Grove - Rockville, MD are the perfect blend of compassion and professionalism. Although they run a huge operation, I always felt taken care of and had my questions and concerns addressed right away...up-to-date on all of the latest and best research, procedures, treatments, labs, facilities...willing to work with me in offering options related to billing, payment, etc.
How was your experience with Joseph Doyle at Shady Grove Fertility WMA?
Dr. Doyle is very soft-spoken and gentle. He explains things clearly and directly, and is clearly extremely knowledgeable, but he does so in a way that lay people can understand what he is saying. He is very warm and compassionate, and he set my mind at ease going into my treatment. I felt confident that he would be able to handle anything that arose during my treatment.
What's one piece of advice would you give a prospective patient of Joseph Doyle at Shady Grove Fertility WMA?
Fertility treatment is not something you should attempt to do halfway... At the beginning of my treatment, I was focused on finding a doctor or clinic that was the cheapest or quickest. I wish that I would have reached out to Shady Grove and Dr. Doyle sooner, because I could have spared myself a lot of money, pain, and time.
During treatment, were you treated like a number or a human with Joseph Doyle at Shady Grove Fertility WMA?
Dr. Doyle and his staff at Shady Grove - Rockville, MD are the perfect blend of compassion and professionalism. Although they run a huge operation, I always felt taken care of and had my questions and concerns addressed right away
Describe the protocols Joseph Doyle used in your cycles at Shady Grove Fertility WMA and their degree of success.
I did a standard IVF retrieval protocol, using follistim and menopur and a lupron trigger. The protocol was decided on based on my age, and previous treatments I had done at other fertility clinics. 20 eggs were retreived.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Effie Ifrat)
I CANNOT say enough good things about the nursing staff and care team at Shady Grove-Rockville, particularly Effie Inbar. They truly go above and beyond for you, and really care about your success. Their communication, expertise, professionalism, etc. was top-notch.
Describe your experience with Shady Grove Fertility WMA.
Shady Grove is a huge fertility clinic with multiple locations along the Southeast. Despite being such a large operation with hundreds of doctors, nurses, patients, etc. I never felt like I was in a factory. All of the doctors, nurses and staff act with the utmost professionalism at all times, and are extremely communicative and prompt with everything. Actually, the fact that they are so large and well-known in the fertility world gave me a lot of peace of mind. They recruit the best doctors, and are up-to-date on all of the latest and best research, procedures, treatments, labs, facilities, etc. I never once doubted that my embryos were in the best hands!
Describe your experience with your monitoring appointments at Shady Grove Fertility WMA.
I was an out-of-state patient at this clinic, so I had my monitoring appts. done at a different clinic off-site.
Describe the costs associated with your care under Joseph Doyle at Shady Grove Fertility WMA.
My treatment was financed through a third party company, as my health insurance does not cover ANYTHING related to infertility. I will say that I thought that the cost of treatment at Shady Grove-Rockville was comparable to what a similar treatment cycle would cost at other fertility clinics. But Shady Grove was much more willing to work with me in offering options related to billing, payment, etc.
Describe Joseph Doyle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
Dr. Doyle and Shady Grove do counsel patients to use eSET when the patient's age and statistical treatment outcome call for it, however, they ultimately allow the patients to make their own choice in how many embryos to transfer. I appreciated the fact that they allow you to make the choice for your own embryos. Some clinics take that choice away from you.
Dr. Doyle is very friendly and jovial and understands tbis field very well. He is not great an explanations with granularity, and kind of waves questions away. He is obviously bright, but the lack of explanations makes the interactio feel like he is dismissive of concerns and can't wait to get to the rest of his calendar...If you have a lot of questions or disagree, he's not going to adjust to you.
SGF is huge and has lots of resources. However there is no coordination to get information to the patient. You have to do it yourself. There is lots on their website - peruse it closely and ask questions. No one will tell you what you need to know, you need to get all the info for yourself. Everyone who works there seems fine but they won't advocate for you if you don't!!! It's on you.
How was your experience with Joseph Doyle at Shady Grove Fertility WMA?
I have not had a chance to do the prescribed treatments with Dr. Doyle yet, but it seemed clear we will not have a lot of opportunities for further interaction unless somethingdoes not go right. He is young, smart and friendly. I definitely got the feeling that he knows his stuff. He diagnosed an issue for me that others didn't. On the other hand, he was obviously touchy when pressed for additional details and further information about why a certain treatment was indicated or not. He joked about it but clearly did not like it. So if you like what he proposed, and trust him - go with it. If you have a lot of questions or disagree, he's not going to adjust to you.
What's one piece of advice would you give a prospective patient of Joseph Doyle at Shady Grove Fertility WMA?
Advocste for yourself with SGF and your nurses.
During treatment, were you treated like a number or a human with Joseph Doyle at Shady Grove Fertility WMA?
Dr. Doyle is very friendly and jovial and understands tbis field very well. He is not great an explanations with granularity, and kind of waves questions away. He is obviously bright, but the lack of explanations makes the interactio feel like he is dismissive of concerns and can't wait to get to the rest of his calendar.
Describe the protocols Joseph Doyle used in your cycles at Shady Grove Fertility WMA and their degree of success.
Did not start treatment yet. Will begin with IUIs before progressing to IVF.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Alexa)
Nurses seem to switch off. They ate very responsive over the patient portal. No one provided any advice about how to get medication in the cheapest way or the timeliest way. I had tonfigure it out for myself and find the cheapest pharmacies and request that it gets called in.
Describe your experience with Shady Grove Fertility WMA.
SGF is huge and has lots of resources. However there is no coordination to get information to the patient. You have to do it yourself. There is lots on their website - peruse it closely and ask questions. No one will tell you what you need to know, you need to get all the info for yourself. Everyone who works there seems fine but they won't advocate for you if you don't!!! It's on you.
Describe the costs associated with your care under Joseph Doyle at Shady Grove Fertility WMA.
Consultations were covered by insurance as was most testing (some semen analyses were out of pocket to the tube of $150 per). IUI will be abour $450 out of pocket after insurance, and simplest medications about $150 per cycle.
Describe Joseph Doyle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
Clearly concerned about multiples.
What specific things went wrong at Shady Grove Fertility WMA?
Lost paperwork
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Shady Grove Fertility WMA.
Information was lost when my obgyn faxed it over. I had to collect it myself and bring it over. I was not informed that my cycle would be cancelled because of COVID 19, I had to find out for myself when I called to schedule. Billing people did not know the CPT code for a test that my insurance covered and claimed it had to be paid out of pocket. I had to get the CPT code from my insurance company and provide it to billers.
[Dr. Sagoskin] was patient with all of our questions and concerns, but I do not feel he grasped the full history of our fertility issues. He would ask questions, but did not gather a full timeline (including medication and miscarriages) until we brought it up or walked him through it...He did not perform any of the monitoring appointments or treatments, even when it was on a weekday and he was in the office
Shady Grove is excellent in caring for their patients. The appointments are quick, but allow plenty of time to ask questions or concerns. My only issue would be the delay the Financial department had in receiving the Treatment referral from our insurance. It took me coordinating between my insurance and the finance department for the referral to come through and it was too late to cover the treatment we were receiving. We had to pay out of pocket for the first IUI.
How was your experience with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
We liked Dr. Sagoskin the minute we met him. He was very clear with the direction he wanted to take and was reassuring that we could figure out what is preventing us from getting pregnant and overcome it. He was patient with all of our questions and concerns, but I do not feel he grasped the full history of our fertility issues. He would ask questions, but did not gather a full timeline (including medication and miscarriages) until we brought it up or walked him through it. I thought he was well qualified for his position, but could have been a little more clinical with us.
He did not perform any of the monitoring appointments or treatments, even when it was on a weekday and he was in the office. This was disappointing as I would think he would be the one that knows the most about our fertility. That said, when I was not responding to medication, he quickly made adjustments so that we would not have to skip that cycle.
All in all, he is is good doctor and knows what he is doing. I think my only complaint is the lack of presence he has outside of his office/consults.
What's one piece of advice would you give a prospective patient of Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
Make sure you plan out your questions in advance and be sure to inform him of your history at the first consultation.
During treatment, were you treated like a number or a human with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
Dr. Sagoskin was gentile, but direct with us about our options. He answered our questions and concerns about our fertility and took the time to walk us through what was causing our issues.
I did not give him the top score, because the second time we met with him he did not review our chart or remember our issues until after we brought it up. Some of our questions were brushed off until we pointed out historical patterns.
Describe the protocols Arthur Sagoskin (retired) used in your cycles at Shady Grove Fertility WMA and their degree of success.
Dr. Sagoskin suggested we start with 3 medicated IUI cycles with a trigger shot before moving to IVF. WHen I was not responding to Letrozole, he doubled the dose and had me return to monitor the progress after finishing the course of medication. He had me in for monitoring every other day or so until the IUI.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Allyson Tack)
Allyson was amazing. Very fast responses and an excellent communicator. She is clear about all of the steps and ensures her patients understand everything about the process/procedure/medications.
Describe your experience with Shady Grove Fertility WMA.
Shady Grove is excellent in caring for their patients. The appointments are quick, but allow plenty of time to ask questions or concerns. My only issue would be the delay the Financial department had in receiving the Treatment referral from our insurance. It took me coordinating between my insurance and the finance department for the referral to come through and it was too late to cover the treatment we were receiving. We had to pay out of pocket for the first IUI.
Describe the costs associated with your care under Arthur Sagoskin (retired) at Shady Grove Fertility WMA.
The IUI was $1800 out of pocket. With insurance it was around $500. the first consult with Dr. Sagoskin without insurance was $135.
What specific things went wrong at Shady Grove Fertility WMA?
Lost paperwork
Describe the specific things that went wrong at Shady Grove Fertility WMA.
During our first consult, the front desk lost the first page of my application. This included a lot of important information about my health and fertility issues. I had to redo the page. It was not a big deal, just inconvenient.
Dr. Chang was very warm and personable in his communication with us. We had an initial phone consultation with him (we live out-of-state), met him during our first office visit and, upon our request, he performed the embryo transfer...Based on my age, we were recommended and chose to go with a donor egg...He answered all our questions (big and small) with thoughtful, detailed answers and was willing to share what events led him into the field of fertility medicine...was a very good communicator before the procedure and was very smooth and efficient during my procedure. His beside manner was excellent and he made us feel very at ease and that we were in good hands.
The clinic [Shady Grove Fertility] is very modern and welcoming. Several of the initial coordinators were great, and provided us with a wealth of information. The waiting areas are very comfortable and provide a bit of privacy for the couples to wait for their appointments....Based on my age, we were recommended and chose to go with a donor egg via IFV. We selected frozen eggs via an egg bank. We purchased eight eggs, seven eggs thawed successfully and were inseminated with my partner's sperm (his sperm was also frozen and thawed). From those seven eggs, four embryos reached day-five blastocyst. We had one embryo transferred and I am currently in week 8 of my pregnancy! We froze the remaining three embryos.
How was your experience with Frank Chang (retired) at Shady Grove Fertility WMA?
Dr. Chang was a very good communicator before the procedure and was very smooth and efficient during my procedure. His beside manner was excellent and he made us feel very at ease and that we were in good hands.
What's one piece of advice would you give a prospective patient of Frank Chang (retired) at Shady Grove Fertility WMA?
Keep a list of all your questions, big and small, and ask him, so that you are comfortable and confident with your choices.
During treatment, were you treated like a number or a human with Frank Chang (retired) at Shady Grove Fertility WMA?
Dr. Chang was very warm and personable in his communication with us. We had an initial phone consultation with him (we live out-of-state), met him during our first office visit and, upon our request, he performed the embryo transfer. He answered all our questions (big and small) with thoughtful, detailed answers and was willing to share what events led him into the field of fertility medicine and to Shady Grove Fertility Clinic. Before making our decision, we did a lot of research and consulted with several other clinics, and Dr. Chang and Shady Grove was an excellent choice for us.
Describe the protocols Frank Chang (retired) used in your cycles at Shady Grove Fertility WMA and their degree of success.
Based on my age, we were recommended and chose to go with a donor egg via IFV. We selected frozen eggs via an egg bank. We purchased eight eggs, seven eggs thawed successfully and were inseminated with my partner's sperm (his sperm was also frozen and thawed). From those seven eggs, four embryos reached day-five blastocyst. We had one embryo transferred and I am currently in week 8 of my pregnancy! We froze the remaining three embryos.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Pennye)
Our primary nurse coordinator has been responsive but very flat in her communication with us. On several occasions we looked to her for some critical additional information and she fell short. For example, I had to take progesterone shots for 10 weeks, and asked her for some tips on administering the shots. All she provided was a link to a video which we had already seen. Alternatively, during our transfer, we had access to another nurse who provided a wealth of useful information regarding the shots.
Our nurse coordinator was prompt with her responses, but was not very good at going the extra mile to provide helpful information.
Describe your experience with Shady Grove Fertility WMA.
The clinic is very modern and welcoming. Several of the initial coordinators were great, and provided us with a wealth of information. The waiting areas are very comfortable and provide a bit of privacy for the couples to wait for their appointments.
Describe the costs associated with your care under Frank Chang (retired) at Shady Grove Fertility WMA.
We paid $13k for donor eggs. Our insurance (Cigna) has been great thus far and has covered many costs. We paid $300 for the Clinic's counselor, and probably several hundred in various appointments and local monitoring (blood work, ultrasounds). We are still waiting for some claims to process through insurance.
Describe Frank Chang (retired)'s approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
The philosophy for Shady Grove is one day-five embryo transfer for one healthy baby.
I've seen Dr Doyle on 3 occasions; 1 consult, 1 follow-up after testing, and during 1 monitoring appointment for my 3rd IUI. He was very thorough in explaining the testing, the results, the treatment plan, and the odds of success. He was also very compassionate and positive when discussing the treatment plan and the failure of the first 2 IUIs.
It is pretty easy to get an appointment [at Shady Grove Fertility] and the doctors/nurses/staff all seem very compassionate. It is a large clinic with many patients per day so my doctor did not perform any of my monitoring or IUI procedures except that he checked in during one monitoring appointment for my 3rd IUI attempt. The other sonographers/technicians/doctors were great so it didn't bother me that he wasn't at all of my appointments.
How was your experience with Joseph Doyle at Shady Grove Fertility WMA?
I've seen Dr Doyle on 3 occasions; 1 consult, 1 follow-up after testing, and during 1 monitoring appointment for my 3rd IUI. He was very thorough in explaining the testing, the results, the treatment plan, and the odds of success. He was also very compassionate and positive when discussing the treatment plan and the failure of the first 2 IUIs.
What's one piece of advice would you give a prospective patient of Joseph Doyle at Shady Grove Fertility WMA?
I would say I recommend him. He is a great doctor and you should feel at ease expressing any concerns to him as he should be able to reassure you.
During treatment, were you treated like a number or a human with Joseph Doyle at Shady Grove Fertility WMA?
I felt like Dr. Doyle took the time to explain all the testing and treatments and showed compassion and positivity during a monitoring appointment for my 3rd IUI.
Describe the protocols Joseph Doyle used in your cycles at Shady Grove Fertility WMA and their degree of success.
My treatment protocol is up to 3 medicated IUIs using Clomid (75mg for the first IUI, increased to 100mg for 2nd and 3rd) on days 3-7, Ovidrel trigger shot to induce ovulation, and Prometrium (progesterone) vaginal inserts after the IUI until the pregnancy test. The rationale is that we conceived our first child on our own in less than a year and the testing showed some mild male factors so IUI would bring the sperm closer to the egg. He prescribed Clomid because I am 39 so the hope was that 2 eggs would be released at ovulation increasing the odds that one of them would be of good quality and get fertilized. We are in the two week waiting period for the 3rd IUI. The first 2 did not work.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Efrat Inbar)
All of the nurses I interacted with were very compassionate and knowledgeable.
Describe your experience with Shady Grove Fertility WMA.
Shady Grove Fertility has high success rates. It is pretty easy to get an appointment and the doctors/nurses/staff all seem very compassionate. It is a large clinic with many patients per day so my doctor did not perform any of my monitoring or IUI procedures except that he checked in during one monitoring appointment for my 3rd IUI attempt. The other sonographers/technicians/doctors were great so it didn't bother me that he wasn't at all of my appointments.
Describe the costs associated with your care under Joseph Doyle at Shady Grove Fertility WMA.
Each IUI cost $1800 plus the cost of the medications which was ~$250-260. My treatment is not covered by insurance. Most of the testing was covered. I think we paid ~$200-300 out of pocket for all of the testing procedures for copays/coinsurance/deductibles.
he [Dr. Sagoskin] is very blunt. So if you need that compassion, you will not get it from him...I did a 2 and 3rd cycle of non-medicated IUIs. Both failed and the of course the next treatment option recommended is IVF. Instead of trying to figure out what our issue is or at least taking the time to rule out issues, IVF is suggested. I just think it would be wise to attempt to find our issue so the IVF has a chance of being successful. I realize someone couples have unexplained fertility, but that means due diligence was given to find a diagnosis. I’m so confused how they would continue treatment on me not ever attempting to see if they can find my issue.
The clinic [Shady Grove Fertility-Rockville] for the most part is ok. It’s clean, they have convenient appointment availability, and you are in an out. I would say it feels kind of like an assembly line with ladies lining up back to back. It’s not a warm feeling and the vibe feeling more like a commercial business than a doctors office...It was just like I was another number at this clinic and with this doctor. My individual case was not taken into consideration or seriously. My voice and concerns were not heard. When I asked questions or voiced my concerns, I was ignored.
How was your experience with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
I had one office visit with Dr. S and one telephone visit. Each time, it ended with me in tears. It was mostly because of his lack of compassion...if you need that from your fertility doctor, you will not get that from him. My husband was ok with his bluntness and lack of bedside manner, but it just elevated my already sensitive feelings. He made me feel worse than what I was already feeling due to my problems with infertility. He is also quick to jump to IVF which was also a problem for me. He never gave me a diagnosis which also troubled me since he was so quick to “prescribe” IVF. I can’t say it was anything I liked about him because I only had 2 visits with him. And those 2 visits were not pleasant. Nurses and other doctors completed my IUIs and I’m only allowed to communicate with him through his nurse. The nurses are not much better and blow off my questions I asked about non-invasive treatment options.
What's one piece of advice would you give a prospective patient of Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
Don’t look for compassion...he is very blunt. So if you need that compassion, you will not get it from him.
During treatment, were you treated like a number or a human with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
It was just like I was another number at this clinic and with this doctor. My individual case was not taken into consideration or seriously. My voice and concerns were not heard. When I asked questions or voiced my concerns, I was ignored.
Describe the protocols Arthur Sagoskin (retired) used in your cycles at Shady Grove Fertility WMA and their degree of success.
Dr. S ordered the “regular” initial treatments for us. Without having a diagnosis for our infertility. He suggested 3 rounds of IUI with Clomid. After the 1 failed IUI with Clomid, when I went for the 2nd IUI, I had developed cysts (detectable via ultrasound). He then advised I skip that cycle and try another IUI cycle the following month. Since I don’t have any fertility diagnosis, I didn’t want to keep taking Clomid since my body was not reacting positively to it, so I asked him if I could do an non-medicated IUI. He complied and I did a 2 and 3rd cycle of non-medicated IUIs. Both failed and the of course the next treatment option recommended is IVF. Instead of trying to figure out what our issue is or at least taking the time to rule out issues, IVF is suggested. I just think it would be wise to attempt to find our issue so the IVF has a chance of being successful. I realize someone couples have unexplained fertility, but that means due diligence was given to find a diagnosis. I’m so confused how they would continue treatment on me not ever attempting to see if they can find my issue.
Describe your experience with your nurse at Shady Grove Fertility WMA.
The first nurse I had was very good (Helanie). However, she left the location and after she was left, the nurse I got was random. Once Helanie left, the nursing experience went down. The replacement did not take time to know my situation or where I was in the process.
Describe your experience with Shady Grove Fertility WMA.
The clinic for the most part is ok. It’s clean, they have convenient appointment availability, and you are in an out. I would say it feels kind of like an assembly line with ladies lining up back to back. It’s not a warm feeling and the vibe feeling more like a commercial business than a doctors office.
Describe the costs associated with your care under Arthur Sagoskin (retired) at Shady Grove Fertility WMA.
My insurance paid 50% and I would have to pay the other 50% at the end of each visit.
What specific things went wrong at Shady Grove Fertility WMA?
Failed to call in prescriptions to pharmacy
Failed to call with results
Failed to send your chart to another clinic
Describe the specific things that went wrong at Shady Grove Fertility WMA.
The one problem I had when I was a new patient is that they hadn’t called in my prescriptions. It wasn’t a huge deal but I did have to wait at the pharmacy for quite some time to get it worked out.
[Dr. Chang's] very knowledgeable but can seem to be in a rush at times. We only saw him once during our IVF cycle and it was based on our request after having a significant decrease in anticipated embryos. We believe our stim medication was not properly adjusted and monitored, which impacted the amount of mature eggs to be fertilized because we triggered early due to my estrogen level being so high. He knew it was high but didn’t see a need to decrease it significantly until the end. He called us though for our embryo updates because the counts were so low. Out of 27 eggs, 15 mature, 9 fertilized, 1 viable embryo.
We were scheduled for a fresh cycle [at Shady Grove Fertility - Rockville] and due to lack of modification and up front monitoring, we were required to freeze all and pay additional money for a frozen transfer. During monitoring appointments, we were always told “looks good”, “you might trigger or start another injection early”, “ no issues” but changing our plan and having significantly higher hormone levels could have been better avoided.
How was your experience with Frank Chang (retired) at Shady Grove Fertility WMA?
He’s very knowledgeable but can seem to be in a rush at times. We only saw him once during our IVF cycle and it was based on our request after having a significant decrease in anticipated embryos. We believe our stim medication was not properly adjusted and monitored, which impacted the amount of mature eggs to be fertilized because we triggered early due to my estrogen level being so high. He knew it was high but didn’t see a need to decrease it significantly until the end. He called us though for our embryo updates because the counts were so low. Out of 27 eggs, 15 mature, 9 fertilized, 1 viable embryo.
What's one piece of advice would you give a prospective patient of Frank Chang (retired) at Shady Grove Fertility WMA?
Be up front with any and all questions you have and stand firm with having him explain. He will answer, just may appear to always be in a hurry.
During treatment, were you treated like a number or a human with Frank Chang (retired) at Shady Grove Fertility WMA?
I had to ask more questions and do more research on my own about a lot of pieces of the Ivf process. And when asking a question, my nurse made me and my husband feel like a burden or a nuisance for asking. We had to follow up a lot to get any insurance items submitted properly and timely, received and required correction of deposit amounts, had to call in and follow up on our own medicine cause the nurse was so delayed and we would’ve missed our protocol.
Describe the protocols Frank Chang (retired) used in your cycles at Shady Grove Fertility WMA and their degree of success.
Started with 112.5 Menopur and 75 gonal-f 9 days. Estrogen levels were over double the entire time - gonal-f was reduced to 75 on day 5 and again to 37.5 on day 7. Started Cetrotide AM on day 7. Estrogen levels were concerning so we had almost daily bloodwork and ultrasound appointments but they didn’t modify until halfway and again at the end. We were planned to use a dual trigger of HCG and Leuprolide but with the risk of OHSS with my estrogen, Dr. Change switched to Lupron only. We were scheduled for a fresh cycle and due to lack of modification and up front monitoring, we were required to freeze all and pay additional money for a frozen transfer. During monitoring appointments, we were always told “looks good”, “you might trigger or start another injection early”, “ no issues” but changing our plan and having significantly higher hormone levels could have been better avoided.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Dew)
Requires follow up and wasn’t forth coming with information without us asking numerous questions. Simple questions confirming whether or not to continue other injections when starting Cetrotide. When asking questions, I dreaded calling because I felt like a bother to be invested in my cycle and results.
Describe your experience with Shady Grove Fertility WMA.
They have a quick process to get patients in and out. Following up with your financial counselor is a MUST because we’ve received incorrect and delayed information as well as other patients we know at SGF.
Describe your experience with your monitoring appointments at Shady Grove Fertility WMA.
Monitoring is in the morning for nurses to call in the PM with results. You’d wait in the main waiting room, get called for blood draw, wait in another area for an ultrasound room to open. Very consistent and smooth process.
Describe Frank Chang (retired)'s approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
N/a
What specific things went wrong at Shady Grove Fertility WMA?
Failed to call in prescriptions to pharmacy
Lost paperwork
Lost appointments
Failed to order appropriate test
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Shady Grove Fertility WMA.
Mentioned in other notes. Financial team errors and issues. Conflicting info from doctor, nurse and financial team. Required extra patient follow up on getting prior authorizations and medications ordered in time before start of cycle or procedures, and confirming or correcting errors after we spoke with insurance on our own.
As we transitioned from iui to ivf to reciprocal ivf we got to know him [Dr. Jospeh Doyle] more. He tries to do our procedures when possible. Says hi and comments on our cycle when we see him in the hallway.... Natural iui, 3 cycles. Medicated iui with clomid 3 cycles upping dose each time. 1 iui with clomid and gonal f. One ivf microdose lupron, had 6 embryos, but nothing made it to blast. 2nd ivf did estrogen priming. Had 16 eggs retrieved nothing made it to blastocyst, but transferred 2 that were almost blastocysts. 3rd ivf did lupron stop protocol. Had best response yet. 18 eggs retrieved. 2 made it to blastocyst. Had freeze all due to higher prpgesterone. Switched to reciprocal ivf. First retrieval for my wife was estrogen priming. Had 8 eggs retrieved. 3 fertilized and 3 made it to blastocyst. Preparing for my wife’s second retrieval in the coming months. Planning lupron stop.
It [Shady Grove Fertility- Rockville] is a large clinic. Sometimes it feels like a factory, however the staff knows you and interacts with you pn a human level. No one talks in the waiting room. The medical assistants are very personable. The nurse practitioners in monitoring are great.... Effie is a wonderful nurse and great communicator. We started with her on our 9th cycle of treatment. Our first nurse was Alana. Her comminication was lacking.
How was your experience with Joseph Doyle at Shady Grove Fertility WMA?
He is very personable and knows us as patients. He is kind and compassionate. Serious, but also has a sense of humor. We appreciate that he has done many of our procedures. He calls after procedures and after big tests like beta tests.
What's one piece of advice would you give a prospective patient of Joseph Doyle at Shady Grove Fertility WMA?
Let him know what youbare thinking. Ask for his opinion.
During treatment, were you treated like a number or a human with Joseph Doyle at Shady Grove Fertility WMA?
Felt like numbers in the beginning. As we transitioned from iui to ivf to reciprocal ivf we got to know him more. He tries to do our procedures when possible. Says hi and comments on our cycle when we see him in the hallway. He really treats us as humans.
Describe the protocols Joseph Doyle used in your cycles at Shady Grove Fertility WMA and their degree of success.
Natural iui, 3 cycles. Medicated iui with clomid 3 cycles upping dose each time. 1 iui with clomid and gonal f. One ivf microdose lupron, had 6 embryos, but nothing made it to blast. 2nd ivf did estrogen priming. Had 16 eggs retrieved nothing made it to blastocyst, but transferred 2 that were almost blastocysts. 3rd ivf did lupron stop protocol. Had best response yet. 18 eggs retrieved. 2 made it to blastocyst. Had freeze all due to higher prpgesterone. Switched to reciprocal ivf. First retrieval for my wife was estrogen priming. Had 8 eggs retrieved. 3 fertilized and 3 made it to blastocyst. Preparing for my wife’s second retrieval in the coming months. Planning lupron stop.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Efrat “Effie” Inbar)
Effie is a wonderful nurse and great communicator. We started with her on our 9th cycle of treatment. Our first nurse was Alana. Her comminication was lacking.
Describe your experience with Shady Grove Fertility WMA.
It is a large clinic. Sometimes it feels like a factory, however the staff knows you and interacts with you pn a human level. No one talks in the waiting room. The medical assistants are very personable. The nurse practitioners in monitoring are great.
Describe the costs associated with your care under Joseph Doyle at Shady Grove Fertility WMA.
$50,000
Describe Joseph Doyle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
He discussed eset in the beginning. After nothing made it to blast in first and second cycles transferred 2 in 2nd and 3rd cycles-because they weren’t blasts on 2nd and because I was 38 for the 3rd cycle.
What specific things went wrong at Shady Grove Fertility WMA?
Egg retrieval treatment protocol [with Dr. Arthur Sagoskin] included birth control for almost three weeks. Then we did 900 IU Gonal-F plus 150 ml of Menopur everyday for 12 days as I have a slightly higher FSH and a middle of the road AMH. The Menopur was increased to 225 in the last three or four days because my follicles needed a little extra boost to get to the desired size (they were kinda stuck around 18mm-20mm). Cetrotide was given at day 5 or 6 for the rest of the stimulation cycle to keep me from ovulating. HCG was used for the trigger, and I took an (crazy) antibiotic the day before my retrieval.
You do not see the doctor enough [at Shady Grove Fertility- Rockville]. For as much as these procedures cost, you'd think you'd see your doctor at least once during your monitoring. But you don't. You see other doctors who someones come in to help you understand your monitoring. The billing department is literally impossible to deal with. It doesn't matter if you contract says specifically what they will and won't cover based on your fee, if they have another list (a list you haven't been provided) that says your fee doesn't cover a particular service - even if that service seems completely logical to the IVF process (not something special), you will be charged extra. That said, their shared risk program is pretty amazing if you think you have a chance of not getting pregnant on your first try.
How was your experience with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
Overall, I like him. If someone were to go to Shady Grove, I'd recommend him. My problems are more with how the clinic is run as a whole (which as a founding doctor of the clinic, I guess means that I disagree with Dr. Sagoskin's approach in that regard.)
What's one piece of advice would you give a prospective patient of Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
Write down all your questions beforehand. Do not leave until you've had them all answered. He is willing to answer, but you have to ask.
During treatment, were you treated like a number or a human with Arthur Sagoskin (retired) at Shady Grove Fertility WMA?
We first starting meeting with Dr. Sagoskin a few years ago but my husband really didn't like his bedside manner. I kind of didn't care, but he did somewhat treat us like a number in our first consultation with him. Plus, Shady Grove is quite expensive so we tried a different doctor/clinic for our first round, which proved unsuccessful. We decided to come back to Shady Grove and meet again with Dr. Sagoskin. It was like he was a different person. He was warm, he answered all our questions, we didn't feel rushed. He was great, and has been great when it comes to the side of making us feel "human" since we started seeing him again in 2018.
Describe the protocols Arthur Sagoskin (retired) used in your cycles at Shady Grove Fertility WMA and their degree of success.
Egg retrieval treatment protocol included birth control for almost three weeks. Then we did 900 IU Gonal-F plus 150 ml of Menopur everyday for 12 days as I have a slightly higher FSH and a middle of the road AMH. The Menopur was increased to 225 in the last three or four days because my follicles needed a little extra boost to get to the desired size (they were kinda stuck around 18mm-20mm). Cetrotide was given at day 5 or 6 for the rest of the stimulation cycle to keep me from ovulating. HCG was used for the trigger, and I took an (crazy) antibiotic the day before my retrieval. (That thing was terrible and gave me the worst stomach cramps and diarrhea.) Egg retrieval resulted in 8 eggs, of which only 6 were mature. 5 eggs were fertilized, but only 2 made it to day 5. I began using Endomentrin progesterone inserts 3 times per day, the day after the retrieval through the transfer and up until the pregnancy test. I also took Estrace (Estradiol) daily. One embryo was transferred, and the other was frozen. The fresh transfer resulted in a negative pregnancy test 13 days later.
The frozen embryo transfer treatment protocol: I began with birth control for two weeks, after which I began taking Estrace (Estradiol) three times per day. On day 16, after they checked my uterine lining which was 12mm, I began using 1mL of progesterone oil once every three days. I also started Endometrin inserts twice daily. On day six of injecting and inserting progesterone, I had one frozen embryo transferred that used assisted hatching. That was yesterday so I will have to update in 13 days as to the results.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Tina)
Initially I was no pleased with the nursing/care coordinators in Dr. Sagoskin's staff. They seemed annoyed by questions or overwhelmed by patient load. At one point I was foisted off of one care coordinator who abruptly left the office for another one in the Shady Grove family, and I had no one helping me, which was super frustrating because I was starting my first fresh cycle with Shady Grove in two weeks. Finally, I got frustrated and worried about some medication issues I was having and went straight to the clinic without and appointment, requesting to see Tina (as she had been my sort-of contact without actually having been assigned my case.) She took care of me, she was kind and patient. She got me some samples when I ran out of medication and she listened to me when I told her how scared I was about all the costs running up. I had spent so much money and didn't know what to do. She helped. Then she gave me her direct number and told me that she was officially adding me as her patient, that way there would be no more confusion. Tina has been amazing.
Describe your experience with Shady Grove Fertility WMA.
You do not see the doctor enough. For as much as these procedures cost, you'd think you'd see your doctor at least once during your monitoring. But you don't. You see other doctors who someones come in to help you understand your monitoring. The billing department is literally impossible to deal with. It doesn't matter if you contract says specifically what they will and won't cover based on your fee, if they have another list (a list you haven't been provided) that says your fee doesn't cover a particular service - even if that service seems completely logical to the IVF process (not something special), you will be charged extra. That said, their shared risk program is pretty amazing if you think you have a chance of not getting pregnant on your first try. Keep in mind, though, that the shared risk program does not cover the injection class (even though it is not stated in the contract that it is not covered, and since it is held at the clinic by clinic staff, should logically be covered by the shared risk program). Also, meeting with your doctor after a failed IVF cycle under the shared risk program to discuss next steps (also seems like a necessary visit that should logically be included in the cost) is also NOT covered in the shared risk program. So basically, you pay your $20,000+ and still have to pay extra to see your doctor throughout your failed attempts. That's super annoying. A strength, though, is that they do have very good medication specialists to figure out your medication coverage through insurance. My first fresh cycle with Shady Grove was with a different health insurance, so it wasn't covered. However, my insurance changed and they have been appealing my insurance denials, and winning! So, if I need to go through another fresh cycle, I will probably have much smaller payments for medication. Fingers crossed. Their care coordinators are great and incredibly responsive.
Describe the costs associated with your care under Arthur Sagoskin (retired) at Shady Grove Fertility WMA.
The costs for diagnosis were pretty expensive, especially since some weren't covered by insurance. Many were, but most weren't. And if you lapse by three years, you have to redo everything. Semen analysis is $150/time. My husband has had to do this four times. The female diagnosis (mock embryo and HSG were...$800(?) with Shady Grove). The medication costs for egg retrieval were nearly $6000. The Shared Risk Program was $19,500.
Describe Arthur Sagoskin (retired)'s approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
He has told me flat out that he will not transfer more than one embryo for me. I do not know his stance on multiple embryo transfer in general, but he said that I was too thin to chance having multiples. (I'm not that thin. I'm 5'7" and weigh 140lbs.) This is one of the few issues I've had personally with Dr. Sagoskin as this wasn't even allowed a discussion.
What specific things went wrong at Shady Grove Fertility WMA?
Provided conflicting information
Describe the specific things that went wrong at Shady Grove Fertility WMA.
Again, the billing department is difficult. They keep charging me for things that should be covered under the Shared Risk program contract, like meeting with my doctor to go over next steps after a failed cycle, and the injection class which our care coordinator said we needed to take.
The front desk has also failed to check me into my monitoring appointments TWICE. I've sat in the waiting room for a half hour watching all these people go through who have come in much later than me. It wasn't until I went and asked if I had come to my appointment early, that they went "Oh! So sorry, you weren't checked in. We'll figure that out right now." So an appointment early in the morning that usually only takes 30 minutes from check in to check out is now over an hour. Not great when you need to get to work on time.
Dr. Chang was a straight shooter, factual, and had a compassionate bedside manner. He called me directly each time there was significant news to share with me and expressed empathy when things did not turn out well...I had some signs that pointed to a hypothyroid condition (which I painfully discovered was linked with my recurrent pregnancy loss) and unfortunately it went undiagnosed under Dr. Chang and SGF's care for the 18 months I was a patient...
Although their [Shady Grove Fertility] facilities and clinic atmosphere was very warm and inviting, I would not recommend going to Shady Grove Fertility, especially If you suspect you might have an autoimmune condition or a more complex health profile. SGF approaches patients with a cookie-cutter factory approach, and does not engage with deeper diagnostics and analysis of conditions like thyroid autoimmunity disorders...
How was your experience with Frank Chang (retired) at Shady Grove Fertility WMA?
Dr. Chang was a straight shooter, factual, and had a compassionate bedside manner. He called me directly each time there was significant news to share with me and expressed empathy when things did not turn out well.
Describe your experience with Shady Grove Fertility WMA.
Although their facilities and clinic atmosphere was very warm and inviting, I would not recommend going to Shady Grove Fertility, especially If you suspect you might have an autoimmune condition or a more complex health profile. SGF approaches patients with a cookie-cutter factory approach, and does not engage with deeper diagnostics and analysis of conditions like thyroid autoimmunity disorders. I had some signs that pointed to a hypothyroid condition (which I painfully discovered was linked with my recurrent pregnancy loss) and unfortunately it went undiagnosed under Dr. Chang and SGF's care for the 18 months I was a patient. It was only after the failure of 2 IVF cycles and my desire to get to the root causes of my health issues that I sought out a functional integrative specialist elsewhere, and then I finally got diagnosed with Hashimoto's. Unfortunately, I cannot recommend SGF, even though I wish I could.
Describe the costs associated with your care under Frank Chang (retired) at Shady Grove Fertility WMA.
I paid approximately $30,000 out of pocket for 2 rounds of IVF (which ended up resulting in 3 FET) that unfortunately all failed. We did not have insurance coverage for IVF through Federal Employee Benefits b/c all available insurance plans with IVF coverage were pulled the year we started treatment for political reasons.
What specific things went wrong at Shady Grove Fertility WMA?
Failed to order appropriate test
Describe the specific things that went wrong at Shady Grove Fertility WMA.
I asked for a full thyroid panel but they did not do one. Had they done a full thyroid panel, I would have discovered Hashimoto's earlier on and might not have missed the final window of my fertility.
I honestly cant rave enough about Dr Doyle. He is the only reason i'll more than likely try again with Shady Grove. one our first try, i barely responded to the meds, eventually i showed about 3 -5 eggs and while most doctors wouldve cancelled, he believed that my age and my physical condition would result in two or three great embryos and Alas! we ended up getting 3 eggs and two made it to day 5.
Strengths [Shady Grove] - The Best in the area! top notch , great facility Weakness - You do eventually start to feel like a number. If you care about being cuddles somewhat it'll irk you. if like me you just want the best results, you'll remind yourself its only for a little bit of time... - Insurance paperwork was lost a few times and i missed a condultation because they wouldnt let me see Doyle with the paperwork that shouldve already had!
How was your experience with Joseph Doyle at Shady Grove Fertility WMA?
I honestly cant rave enough about Dr Doyle. He is the only reason i'll more than likely try again with Shady Grove. one our first try, i barely responded to the meds, eventually i showed about 3 -5 eggs and while most doctors wouldve cancelled, he believed that my age and my physical condition would result in two or three great embryos and Alas! we ended up getting 3 eggs and two made it to day 5.
Unfortunately i had to have an emergency C section to save my little boy at 25 weeks and he stayed with us a day before getting called to heaven.
Dr Doyle was as affected by it as we were, two years later and he still calls to check in on us.
He really is the best!
What's one piece of advice would you give a prospective patient of Joseph Doyle at Shady Grove Fertility WMA?
Be Open, discuss as much as you can. Ask questions when you dont know.
He goes out of his way to explain everything and will whip out a pen and draw on a pad if need be! utilize his time and expertise.
During treatment, were you treated like a number or a human with Joseph Doyle at Shady Grove Fertility WMA?
My first time using the practice the staff was great , however i changed nurses twice and that made things somewat sensitive. i had to do alot of follow ups with the new Nurse , she might have been a newbie in the business. Dr Doyle however, is a true gem, straightforward, optimistic and empathetic.
My second go around from start to end i felt like a number, my details were getting mixed up, call ins, scheduling, dr visits , everything was very clinical and this is on the staff side NOT Dr Doyle. towards the end of my second go Doyle called not just to apologize for the frustrations i'd gone through with miscommunication from the front desk on insurance coverage, he occasionally called also just to check in.
Describe the protocols Joseph Doyle used in your cycles at Shady Grove Fertility WMA and their degree of success.
Memory fails me but if i remember correctly it was
- Birth control Pills
- Gonal F 150 then increased to 300 because i was a low responder
- Menopur 25 or 50
and HCG.
Both times were same protocol. However he would prefer to try something different when i go back because my LH levels are very high and he doesnt think starting with birth controls will be ideal.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Efrat Inbar)
My Last primary Nurse Effie was great, responsive and detailed. I got the feeling they were on top of things.
The Nurse before her - i forget her name wasnt soo great and it was a relief when she eventually left the practice- she was terribly forgetful, couldnt remember my name to save her life! - not that it matters to me - i like results not pleasantries, but IVF is such a sensitive time i think every bit of being personable helps
Describe your experience with Shady Grove Fertility WMA.
Strengths - The Best in the area! top notch , great facility
Weakness - You do eventually start to feel like a number. If you care about being cuddles somewhat it'll irk you. if like me you just want the best results, you'll remind yourself its only for a little bit of time
Describe your experience with your monitoring appointments at Shady Grove Fertility WMA.
Well oiled machine for the most part
I preferred to go very early because of work , but i believe they are flexible
Describe the costs associated with your care under Joseph Doyle at Shady Grove Fertility WMA.
It was fairly reasonable with insurance coverage. There was an initial deposit of about 3500 and majority of the procedure was covered at the time- Out of pocket i want to say in total was about 5000 -6000 for IVF, Medications, HSG tests, ICSI(about $1200 or so ), Transfer. Embryo storage was 1600 initial deposit and 800 Yearly!
Describe Joseph Doyle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
Doyle's preference is single embryo transfer, he will not only lecture you oon the perils of multiples, but will have you sign a disclosure that you were educated on the potential issues. Since eqq quality for me is not an issue, ive not yet needed to ask for more than one transfer.
What specific things went wrong at Shady Grove Fertility WMA?
Failed to call in prescriptions to pharmacy
Lost paperwork
Failed to call with results
Failed to order appropriate test
Describe the specific things that went wrong at Shady Grove Fertility WMA.
- Insurance paperwork was lost a few times and i missed a condultation because they wouldnt let me see Doyle with the paperwork that shouldve already had!
Dr Doyle called to apologize when he found out!
- Medications for my FET were delayed and not called in on time and i lost a day and the protocol had to be adjusted
We used a fresh cycle-frozen embryo transfer [with Dr. Levy] because my lining responded better to IVF drugs, but we transferred a genetically tested 5 day embryo... saw us after we’d failed several courses of treatment and we thought we were ready to move on to donor eggs. He encouraged us to try with him again. We had our best cycle on record for a freeze all, and he studied MY DATA and saw that my lining didn’t respond on using traditional FET drugs so we used injectibles instead- boom- two Singleton babies later, we cannot be more satisfied with our doc.
We did two IVFs and 2 transfers to get our “take home baby” [at Shady Grove Fertility-Rockville]...runs like a well oiled machine. I love that the surgical bays are so clean and organized- trust me, I’ve been to some truely shady fertility clinics (pun intended). The teams for retrievals and transfers are military like in their processes- it makes me feel safe and secure as a patient, that my proceedure is in good hands and that they’re transferring the right embryos. They’re always stopping to match names and procedures.
How was your experience with Michael Levy at Shady Grove Fertility WMA?
Dr. levy saw us after we’d failed several courses of treatment and we thought we were ready to move on to donor eggs. He encouraged us to try with him again. We had our best cycle on record for a freeze all, and he studied MY DATA and saw that my lining didn’t respond on using traditional FET drugs so we used injectibles instead- boom- two Singleton babies later, we cannot be more satisfied with our doc. They see a million patients there and even though we didn’t see our doc a ton, I know he was carefully looking after me.
What's one piece of advice would you give a prospective patient of Michael Levy at Shady Grove Fertility WMA?
As an out of state patient, be prepared for a long stay near the clinic before the IVF for monitoring, this means days off of work and hotel costs.
During treatment, were you treated like a number or a human with Michael Levy at Shady Grove Fertility WMA?
We didn’t get to talk to or email with Dr levy apart from the initial consultation and strategy changes after a failed cycle. But we had a dedicated nurse who was very much available by phone and e-mail for all of our questions and concerns. To us, it didn’t matter because we got two babies (singletons) and that’s all that mattered after not getting the same results for years of treatment before.
Describe the protocols Michael Levy used in your cycles at Shady Grove Fertility WMA and their degree of success.
We used a fresh cycle-frozen embryo transfer because my lining responded better to IVF drugs, but we transferred a genetically tested 5 day embryo.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Jordan Blades and Nicole Antonio)
We both called and emailed and always got quick responses.
Describe your experience with Shady Grove Fertility WMA.
Shady Grove runs like a well oiled machine. I love that the surgical bays are so clean and organized- trust me, I’ve been to some truely shady fertility clinics (pun intended). The teams for retrievals and transfers are military like in their processes- it makes me feel safe and secure as a patient, that my proceedure is in good hands and that they’re transferring the right embryos. They’re always stopping to match names and procedures.
Describe the costs associated with your care under Michael Levy at Shady Grove Fertility WMA.
Oye. I think we paid 25k for two cycles of IVF plus including all FETs for the embryos created until we took home a baby. We did two IVFs and 2 transfers to get our “take home baby”. Then we had frozen embryos left and only had to pay for FET for our next baby. Storage costs were about 500$ for embryos and 300? Maybe for sperm, yearly.
Describe Michael Levy's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
If your lining isn’t good and you transfer more than one, you lose a chance to try to prep the lining a different way. Plus Dr levy was a huge proponent of single embryo transfers because it was safer for mom and baby.
Dr. Doyle is our end-game. We have male factor infertility and were referred to Shady Grove's reproductive urologist. After Dr. Doyle identified that our issue was male factor and referred us, it was unfortunately made clear that we would be on the long road. My husband's treatment will be about a year long from start until finish, and only then will Dr. Doyle and IVF/ICSI be on the table, but what makes Dr. Doyle so great is that he is on board for every milestone we go through with the RU.
[Shady Grove Fertility - Rockville is a] Great facility. It is clean and new-looking. I have never once gotten the medical heeby-jeebies from any of our treatments. They even have a pharmacy on location. The services they offer are all able to be handled in one place. It is great that both my care and my husband's care is able to be addressed in one location. It works like a well oiled machine without having the mass produced factory vibe.
How was your experience with Joseph Doyle at Shady Grove Fertility WMA?
Dr. Doyle is the most caring and attentive doctor I have ever met, not just fertility wise. His knowledge and compassion are so greatly valued during this difficult time. Dr.Doyle makes my husband and me feel respected, heard, and cared for. He is honest and proactive. I truly feel that he is able to help us and that he is rooting for us.
What's one piece of advice would you give a prospective patient of Joseph Doyle at Shady Grove Fertility WMA?
Infertility is so hard. Ask questions and kindly address your concerns. Dr. Doyle is a very good communicator and he will talk through any concern you might have. Speak up.
During treatment, were you treated like a number or a human with Joseph Doyle at Shady Grove Fertility WMA?
Dr. Doyle is our end-game. We have male factor infertility and were referred to Shady Grove's reproductive urologist. After Dr. Doyle identified that our issue was male factor and referred us, it was unfortunately made clear that we would be on the long road. My husband's treatment will be about a year long from start until finish, and only then will Dr. Doyle and IVF/ICSI be on the table, but what makes Dr. Doyle so great is that he is on board for every milestone we go through with the RU. In fact, during my husband's treatment often the RU will leave voicemails for my husband and will not try to contact me (grrr) and Dr. Doyle will follow up with me when he sees the results even though he was not involved in the treatment. It makes me so confident that once we are eligible for IVF Dr. Doyle will be our champion. We are so thankful to have him be a part of this whole journey, and we are lucky that he is dedicated enough to care about our treatment even when he is not directly involved.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Alana)
Informative, thorough, good communicator, caring, effective, teammate
Describe your experience with Shady Grove Fertility WMA.
Great facility. It is clean and new-looking. I have never once gotten the medical heeby-jeebies from any of our treatments. They even have a pharmacy on location. The services they offer are all able to be handled in one place. It is great that both my care and my husband's care is able to be addressed in one location. It works like a well oiled machine without having the mass produced factory vibe.
Dr. Levens was at this location when I first started treatments but has moved. Although my treatments are remote, I still can call him anytime I have any questions. He calls and checks in on me to see if I have any questions. I monitor outside of Shady Grove but when we were pregnant last and was having heavy bleeding. Dr. Levens asked we go to his clinic so he can personally do our sonogram. I am happy with Dr. Levens. He is a great doctor.
Very modern, professional, clean. Has their process down. At the beginning of the process, Shady Grove set you up for a coordinator for financial, embryo, office, nurse- all parties which specialized in their reapected areas to help you to navigate when the process starts....She’ll [nurse] answer questions, has patience, you are able to contact her via email or phone and always returns call/email same day.
How was your experience with Eric Levens at Shady Grove Fertility WMA?
I am in Virginia Beach. I go to the Rockville, Maryland location for treatments. Dr. Levens was at this location when I first started treatments but has moved. Although my treatments are remote, I still can call him anytime I have any questions. He calls and checks in on me to see if I have any questions. I monitor outside of Shady Grove but when we were pregnant last and was having heavy bleeding. Dr. Levens asked we go to his clinic so he can personally do our sonogram. I am happy with Dr. Levens. He is a great doctor. Too bad he is not in Virginia Beach. Shady Grove is worth the travel.
What's one piece of advice would you give a prospective patient of Eric Levens at Shady Grove Fertility WMA?
Do research and trust the process.
During treatment, were you treated like a number or a human with Eric Levens at Shady Grove Fertility WMA?
Like a human bc show they care. Communicated. Easy to get a hold of my nurse or doctor. Took time with me.
Describe the protocols Eric Levens used in your cycles at Shady Grove Fertility WMA and their degree of success.
We started with progesterone vaginal inserts and progesterone injections. Then, we moved to progesterone injections and was able to have implantation. As for estrogen, we started we just injections, second cycle we added estrogen vaginal inserts twice a day and now, inserts are up to three times a day. The change to estrogen have increase the uterine lining before implantation and increase of progesterone injections dosage have decrease bleeding after transfer.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Vivian Oseni)
She’ll answer questions, has patience, you are able to contact her via email or phone and always returns call/email same day.
Describe your experience with Shady Grove Fertility WMA.
Very modern, professional, clean. Has their process down. At the beginning of the process, Shady Grove set you up for a coordinator for financial, embryo, office, nurse- all parties which specialized in their reapected areas to help you to navigate when the process starts.
Describe the costs associated with your care under Eric Levens at Shady Grove Fertility WMA.
$25,000 donor egg, risk share program.
Describe Eric Levens's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
Doctor was very careful about the amt of embryo we can transfer. He educated us to the possible risk for the baby and mom with multiple embryos. The 1st cycle, we transfer one. The 2nd cycle, two embryos bc we asked. I am glad although he prefers one embryo because we asked for two, he was open to our decision.
While the day to day instructions and details are conveyed by our nurse, Dr. Chang is usually available for questions if requested and called us directly if there was significant news (good or bad). During those calls, he always asked how am I doing--all of which made us feel like our case mattered...Dr. Chang is pleasant, knowledgeable, honest and an empathetic listener. He seems fully aware of the physical and financial challenges patients often experience. He is slightly hopeful while remaining candid. He also doesn't try to push us in a direction we don't want.
To be honest, it was a bumpy start with our nurse [at Shady Grove]. She's very kind and compassionate, but having worked with another nurse before, we could see that she was not as thorough in giving instructions. There's been much improvement since those initial hiccups, but we still ask for clarification on occasion...SGF handles monitoring appointments like a well-oiled machine. They do a great job from start to finish.
How was your experience with Frank Chang (retired) at Shady Grove Fertility WMA?
Dr. Chang is pleasant, knowledgeable, honest and an empathetic listener. He seems fully aware of the physical and financial challenges patients often experience. He is slightly hopeful while remaining candid. He also doesn't try to push us in a direction we don't want.
During treatment, were you treated like a number or a human with Frank Chang (retired) at Shady Grove Fertility WMA?
While the day to day instructions and details are conveyed by our nurse, Dr. Chang is usually available for questions if requested and called us directly if there was significant news (good or bad). During those calls, he always asked how am I doing--all of which made us feel like our case mattered.
Describe your experience with your nurse at Shady Grove Fertility WMA.
To be honest, it was a bumpy start with our nurse. She's very kind and compassionate, but having worked with another nurse before, we could see that she was not as thorough in giving instructions. There's been much improvement since those initial hiccups, but we still ask for clarification on occasion.
Describe your experience with Shady Grove Fertility WMA.
Shady Grove takes great effort to create an environment with compassionate professional care from the front desk folks that greet you at check-in to the medical staff passed in the halls to even how the waiting space is broken up so you don't walk into a massive open waiting room akin to visiting the DMV. When you're having a tough day as many of us do in this process, those things are comforting.
We've been with Shady Grove through three IVF cycles and the one area of weakness is the Financial Services team. The Finance team has high turnover, doesn't always lay out costs clearly and at times may take days to respond to your call or message. That said, they are still pleasant to work with. I would suggest doing most communication on finances via email so you have records.
Describe your experience with your monitoring appointments at Shady Grove Fertility WMA.
SGF handles monitoring appointments like a well-oiled machine. They do a great job from start to finish.
Describe the costs associated with your care under Frank Chang (retired) at Shady Grove Fertility WMA.
Two cycles of IVF with PGS testing:
$21,500 plus the cost of meds which adds an additional $5,000-$7,500 per cycle.
What specific things went wrong at Shady Grove Fertility WMA?
He [Dr. Michael Levy] is so knowledgeable and it was clear from the minute we walked into his office that we were in good hands, medically. I never once wavered in his approach toward our treatment and had full faith in his ability to guide us through these murky waters. Simultaneously, my husband and I felt that he often rushed us off the phone, was not as compassionate as we had imagined he'd be, and was somewhat cavalier about our setbacks when we were visibly struggling.
It [Shady Grove-Rockville] is a pretty well-oiled machine. There are so many women (and men) that attend the clinic daily for a multitude of reasons and all are taken care of. There were a few times when I knew that during morning monitoring I needed to follow a certain protocol, as delineated by my nurse, however it was not written in the system and they were unable to reach her because it was before 9 am. I had to turn around and go back which was an inconvenience but not the end of the world.
How was your experience with Michael Levy at Shady Grove Fertility WMA?
He is so knowledgeable and it was clear from the minute we walked into his office that we were in good hands, medically. I never once wavered in his approach toward our treatment and had full faith in his ability to guide us through these murky waters. Simultaneously, my husband and I felt that he often rushed us off the phone, was not as compassionate as we had imagined he'd be, and was somewhat cavalier about our setbacks when we were visibly struggling.
What's one piece of advice would you give a prospective patient of Michael Levy at Shady Grove Fertility WMA?
Know that you will be in very good medical care and look for other members of his team (or your own team of family and friends) to lean on for emotional support.
During treatment, were you treated like a number or a human with Michael Levy at Shady Grove Fertility WMA?
There were times when Dr. Levy called me and helped me understand the process and there were other times where I felt that he could have been talking to anyone and lacked the proper bedside manner.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Nicole Astorga)
She was available by phone and email and usually got back to us within 24 hours, on rare occasions, it took longer. She tried her best to explain everything she understood and managed our case as much as she was able. She answered all questions and was always friendly.
Describe your experience with Shady Grove Fertility WMA.
It is a pretty well-oiled machine. There are so many women (and men) that attend the clinic daily for a multitude of reasons and all are taken care of. There were a few times when I knew that during morning monitoring I needed to follow a certain protocol, as delineated by my nurse, however it was not written in the system and they were unable to reach her because it was before 9 am. I had to turn around and go back which was an inconvenience but not the end of the world.
Describe the costs associated with your care under Michael Levy at Shady Grove Fertility WMA.
We have spent around 40K thus far for IVF treatment (not including medication)
Describe Michael Levy's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
He told us that since I was under 39/40 he believed in singleton pregnancies as they are less high-risk in nature.
What specific things went wrong at Shady Grove Fertility WMA?
Lost appointments
Scheduled the wrong procedure
Describe the specific things that went wrong at Shady Grove Fertility WMA.
As mentioned earlier, there was a mistake in the system that did not match my protocol. I knew I had to have certain monitoring done one morning but it was not in the system and they could not reach my nurse to confirm because it was too early in the morning and she was not in the office yet. On my way to work, I called my nurse and she told me I had been correct and to return to the office for further monitoring.
Most of my communication with Dr. Levy was through a nurse which was not a great experience...I only did donor egg cycles with Dr. Levy. .. However when I did speak directly with Dr. Levy, I was always happy with the interaction. He treated me as an individual and respected my goals and desires for my treatment. Was always open to talking about other options or ideas that I had and let me make decisions when appropriate....
We travelled a long distance to use this clinic [Shady Grove] due to their wealth of experience with donor eggs as we knew we were at that point. We also were able to qualify for their guarantee program which was well worth it after spending so much money on own egg IVF. It made us feel much more comfortable to know that we could decide how many times to try based on what we wanted and not based on cost. Ultimately we needed 3 transfers and two egg lots to be successful so we were very glad that we used the guarantee program.
How was your experience with Michael Levy at Shady Grove Fertility WMA?
Most of my communication with Dr. Levy was through a nurse which was not a great experience. However when I did speak directly with Dr. Levy, I was always happy with the interaction. He treated me as an individual and respected my goals and desires for my treatment. Was always open to talking about other options or ideas that I had and let me make decisions when appropriate.
Describe the protocols Michael Levy used in your cycles at Shady Grove Fertility WMA and their degree of success.
I only did donor egg cycles with Dr. Levy. Due to a history of Asherman's and thin lining, I used stim meds (gonal F) to build a lining prior to transfer. He quickly moved to this after a poor response to estrogen alone and also at my request because I knew this worked better for me. After two failed transfers, we added lovenox pre and post transfer and that transfer worked.
Describe your experience with your nurse at Shady Grove Fertility WMA.
My main nurse was not a great communicator. I would email questions and concerns and ask for them to be addressed to my doctor. I finally realized she was not telling him any of these questions or concerns and was just giving me her own responses. Half the time she would only answer one out of two questions and just ignore the other. It was extremely frustrating. When she was out of the office and I had other nurses cover my experience was MUCH better.
Describe your experience with Shady Grove Fertility WMA.
We travelled a long distance to use this clinic due to their wealth of experience with donor eggs as we knew we were at that point. We also were able to qualify for their guarantee program which was well worth it after spending so much money on own egg IVF. It made us feel much more comfortable to know that we could decide how many times to try based on what we wanted and not based on cost. Ultimately we needed 3 transfers and two egg lots to be successful so we were very glad that we used the guarantee program.
Describe the costs associated with your care under Michael Levy at Shady Grove Fertility WMA.
We paid around $40,000 for the egg donor guarantee program- up to 6 egg lots with all resulting transfers included. Full money back if we did not bring home a baby.
Describe Michael Levy's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
Dr. Levy never recommended multiple embryo transfer and in fact discouraged me from this as he felt it lowered my chances for success by using up my donor egg embryos. By doing single transfers, I was able to keep trying with a new lining each time. I agreed and felt very comfortable with his recommendation.
What specific things went wrong at Shady Grove Fertility WMA?
Dr. Change listened to our concerns and worked with a new plan, as our first IVF with another fertility clinic failed. He was willing to try what we thought would work differently. we tried a fresh transfer rather than a frozen, and we took many supplements that were allowed by SGF to help with egg quality. Overall I felt heard and my ideas taken under consideration...We did the Lupron Stop protocol, along with menopur and Gonal F. We tried that because my first round of IVF with a different clinic was unsuccessful in growing quality embryos. Our first round of IVF at the other clinic yielded 0 embryos to transfer. This cycle with Dr. Chang at SGF yielded 7 good quality embryos! We transferred 1 embryo which resulted in a successful pregnancy. I am currently 34 weeks pregnant.
[The nurses at Shady Grove Fertility- Rockville were] very nice and frequently good with communication and emailed responses...Once my beta results were failed to be notified. I called the clinic and was able to get the results...I did a fresh transfer. I at first wanted to transfer two, however Dr. Chang was concerned about the development of OHSS. I am happy he led me to transfer only one embryo. I became successfully pregnant with a single embryo.
How was your experience with Frank Chang (retired) at Shady Grove Fertility WMA?
Dr. Change listened to our concerns and worked with a new plan, as our first IVF with another fertility clinic failed. He was willing to try what we thought would work differently. we tried a fresh transfer rather than a frozen, and we took many supplements that were allowed by SGF to help with egg quality. Overall I felt heard and my ideas taken under consideration.
What's one piece of advice would you give a prospective patient of Frank Chang (retired) at Shady Grove Fertility WMA?
Don't be afraid to voice your concerns. Dr. Change will listen and will work with your plan.
During treatment, were you treated like a number or a human with Frank Chang (retired) at Shady Grove Fertility WMA?
Although this clinic was very busy, I was always seen in a timely manner, and Dr. Chang called me personally to let me know the outcome of our retrieval.
Describe the protocols Frank Chang (retired) used in your cycles at Shady Grove Fertility WMA and their degree of success.
We did the Lupron Stop protocol, along with menopur and Gonal F. We tried that because my first round of IVF with a different clinic was unsuccessful in growing quality embryos. Our first round of IVF at the other clinic yielded 0 embryos to transfer. This cycle with Dr. Chang at SGF yielded 7 good quality embryos! We transferred 1 embryo which resulted in a successful pregnancy. I am currently 34 weeks pregnant.
Describe your experience with your nurse at Shady Grove Fertility WMA. (Assigned nurse: Kaitlin Fournier)
Very nice and frequently good with communication and emailed responses.
Describe your experience with Shady Grove Fertility WMA.
This is a very busy clinic. With that being said, most all staff members were compassionate and helpful. SGF has a free therapy group that patients can join and meet others in the same situation. That was very helpful. They also have a wellness center with acupuncture and massage. This was a saving grace for me! I was able to do acupuncture often, and on the day of my transfer.
Describe the costs associated with your care under Frank Chang (retired) at Shady Grove Fertility WMA.
I had insurance that covered 50%. My medication and fresh cycle cost totaled about $6000 total. The cryopreservation totaled $1800 for the first year.
Describe Frank Chang (retired)'s approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
I did a fresh transfer. I at first wanted to transfer two, however Dr. Chang was concerned about the development of OHSS. I am happy he led me to transfer only one embryo. I became successfully pregnant with a single embryo.
What specific things went wrong at Shady Grove Fertility WMA?
Failed to call with results
Describe the specific things that went wrong at Shady Grove Fertility WMA.
Once my beta results were failed to be notified. I called the clinic and was able to get the results.
She [Dr. O'Brien] explained both options, but preferred to transfer singles. However in my first cycle, we had only 2 viable embryos that were both b grade. She was comfortable with me making the decision to transfer both...[she] adjusted my protocols as needed and gave me a detailed explanation on why and how the protocol was changed...She took the time to listen to me and answered questions throughly. I never felt like she was rushing me and she was positive and reassuring. She held my hand when I needed. I had confidence in her abilites.
Monitor was done in the morning, which wasn't always convenient. However, the [Shady Grove Fertility] office had appointments starting at 7:15, so I was able to go and make it to work easily...The first cycle we did, we ended up paying 4000 out of pocket...They are not totally clear with the billing and its important to stay on top of it yourself so you are not surprised with a large bill. They have great facilities, especially the surgical floor for embryo retrieval and transfers
How was your experience with Jeanne O'Brien at Shady Grove Fertility WMA?
I have recommended Dr. O'Brien to several friends as well as having gone back to her for a second pregnancy. She is knowledgeable, kind, and treated me with respect. Although it was sometime frustrating to deal with her nurses, she herself is amazing. I highly recommend her to anyone.
What's one piece of advice would you give a prospective patient of Jeanne O'Brien at Shady Grove Fertility WMA?
Make sure you can email her directly if you really have an important question. You are in great hands.
During treatment, were you treated like a number or a human with Jeanne O'Brien at Shady Grove Fertility WMA?
She took the time to listen to me and answered questions throughly. I never felt like she was rushing me and she was positive and reassuring. She held my hand when I needed. I had confidence in her abilites.
Describe the protocols Jeanne O'Brien used in your cycles at Shady Grove Fertility WMA and their degree of success.
I don't remember the exact protocols for my cycles, but I do know that Dr. O'Brien adjusted my protocols as needed and gave me a detailed explanation on why and how the protocol was changed.
Describe your experience with your nurse at Shady Grove Fertility WMA.
I had an experience where I was very unhappy with the communication and empathy of a nurse. When I talked with Dr. O'Brien about my experience, she transferred my care to a different nurse. I was very happy with the second nurse.
Describe your experience with Shady Grove Fertility WMA.
They are a large clinic, so it can feel impersonal for the check ins, but it is clean, organized, on time and when you meet with your doctor it is personal. They are not totally clear with the billing and its important to stay on top of it yourself so you are not surprised with a large bill. They have great facilities, especially the surgical floor for embryo retrieval and transfers.
Describe your experience with your monitoring appointments at Shady Grove Fertility WMA.
Monitor was done in the morning, which wasn't always convenient. However, the office had appointments starting at 7:15, so I was able to go and make it to work easily. Monitoring ran smoothly and I frequent saw the same ultrasound technicians who were friendly, personable, and knowledgeable. Nursing staff that took blood sample varied in their competence, from very good to okay. I never had one I thought wasn't competent, just some were more skilled.
Describe the costs associated with your care under Jeanne O'Brien at Shady Grove Fertility WMA.
The first cycle we did, we ended up paying 4000 out of pocket (beyond what insurance covered. When I went back a few years later, my insurance had change and out of pocket costs for 2 cycles of ivf were closer to 9,000 as my insurance covered less.
Describe Jeanne O'Brien's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Shady Grove Fertility WMA.
She explained both options, but preferred to transfer singles. However in my first cycle, we had only 2 viable embryos that were both b grade. She was comfortable with me making the decision to transfer both (resulting in twins). My next two cycle, we did single embryo transfers (resulting in 1 single birth).