Andrea Reh

Dr. Reh was just the person we needed on our team during our fertility journey. My husband and I were diagnosed with unexplained infertility and Dr. Reh was so direct and clear with information and options, yet also positive and optimistic. Her team is amazing and I always felt like I was able to get into contact with the right person when I needed. She listened to me, validated me, and gave me options when options were available - I felt like I had space and respect to make decisions that were best for my husband and I. I appreciated her direct nature and honesty throughout the entire process. During monitoring appointments, I didn't always see her, but a) I loved the team so much that it didn't matter who I saw and b) if I ever needed to see her directly or speak with her, it was easy to do! Currently 37 weeks with a little boy thanks to Dr. Reh, her team, and IVF!

She is willing to consider all options!

For IUI cycles, Dr. Reh prescribed Letrozole with a trigger shot. All 4 IUI cycles resulted in at least 1-3 appropriately sized follicles. None were successful. For egg retrieval, I followed a "standard" protocol and had a successful retrieval with 19 eggs, 13 mature, 11 fertilized, 6 day-5 embryos, 4 PGT-A normal.

I was an out of pocket patient. An IUI cost about $2,000 per cycle with medications. I paid for the Shared Risk Program with PGTA testing - this cost about $26,000. Medications for egg retrieval were about $4,000. Overall, I paid about $40,000 throughout treatments.

Dr. Reh is very professional and sensitive to how emotionally fraught infertility treatment can be. She always treated us and our decisions with respect. She was understanding when we initially sought treatment at another clinic for financial reasons and also understood that finances affected other decisions like opting out of PGT-A testing. I also appreciate that from the beginning she emphasized that my behavior or diet or supplement regimen was not contributing to my infertility. I was confident that she was trying the treatment that had the highest odds of success.

Don’t expect to be able to reach her directly. I have heard that other doctors in the practice are more accessible. She would call to give important results but otherwise all communication is through her nurse.

Lupron stop protocol yielded 1 abnormal embryo, antagonist with estrogen patch protocol yielded 1 embryo and miscarriage, micro lupron flare yielded 2 embryos and miscarriage. The goal with each was to increase my low number of mature eggs but changes in protocol did not yield a different outcome, despite trying different trigger times/types.

22,500 for shared risk plus cost of medication

eSET is preferred but two embryos transferred due to multiple failed cycles.

At this time I have only met with Dr. Reh once for my consultation. She made recommendations but also allowed me to make my own informed decision. Due to having endometriosis and one blocked tube IVF is the preferred treatment. My insurance does not cover IVF so I decided to begin with IUI for a few cycles. Dr. Reh moved forward with my desired treatment. Following initial ultrasound she reported to her staff that I would have to take birth control for one month prior to proceeding. I just started Clomid cycle with Gonal f injection

Have all documents in order to present to her so that she can review them with you in the room. If she has questions she can ask. Make notes of your questions and ask them at the end...once she is finished talking

Initial ultrasound, one month of birth control, Clomid (5 days) and Gonal f injection plus trigger shot, IUI. I am currently still taking the Clomid

Kaiser insurance: thus far $377 for Rx, $450 for IUI, $30 office visit

It was explained that single embryo is preferred. I am not at this stage yet so we will see what happens in the future

Dr. Reh was honest in her assessments, if not a little conservative in her estimates of our chances of conceiving. She seemed up to date on the latest literature. She answered all of our questions. She made adjustments to my treatment as we went in response to how I was progressing. Overall, I was very pleased with my experience.

Dr. Reh was not especially warm, but she was extremely knowledgeable and competent.

Gonal-F (225 IUs) and Menopur (75 IUs) evenings; Cetrotide in the mornings; Lupron trigger; 27 eggs released; 21 mature eggs; 12 embryos; 7 day-5 or day-6 blastocysts; 2 chromosomally normal blastocytsts; 1 male child

We did the shared risk program (guaranteed live birth or most of the fee is refunded). I believe that was $28,500 (due to my age). Meds on top of that for one cycle were ~$4,000.

Dr. Reh preferred single embryo transfer and we agreed

I found Dr Reh to lack bedside manner and empathy. Instead of thinking outside of the box and offer solutions, Dr Reh and Shady Grove refused to work with me after one late-term loss. I called to speak with the manager of the clinic and after we decided I would no longer be a patient, Dr Reh still never called me to follow up. She also never reached out after my loss. My egg retrievals and transfers were done with another Dr. I had no communication with Dr Reh except my initial consult and once I graduated (maybe one call in between that time).I am now with another clinic and RE who offered solutions and support, something that SGF never did. Even though I had insurance coverage, I was constantly receiving incorrect bills and having to have their billing department correct them. They only care about SART numbers and do not care about you as patient. SGF felt like a factory and I was just another number to them. If you mess up their success rates, they drop you as a patient asap. Beware!

20k

Andrea was very thorough in exploring all of my options. As a single woman, she was supportive of my journey. I never felt worried about doing this alone. Andrea never made me feel like she was rushing. In fact, when I apologized for asking so many questions, she told me that it was her job and to ask her everything I needed to. In addition, I was told to contact her with further questions. She encouraged me to keep all of my options open and explore all possibilities. Each time I go, Andrea makes me feel that I matter and am not just another number.

That she is very nice and thorough - don't hesitate to ask her any questions.

I had fibroid surgery while I was under Andrea's care. I had all of the testing done to assess readiness for IVF. My treatment was pause in order to secure proper financing. We discussed transferring my eggs from NY, using egg donors, and using sperm donors.

I was able to use insurance only for the fibroid surgery. Everything else has been out of pocket - my insurance does not cover anything. I believe using my froze eggs (including transfer) costs somewhere around 16K, if this is not successful, using an egg donor (shared) will be around 19k.

Dr. Reh seemed competent and was friendly and good to talk to. I did feel at times like she was obligated to try to sell extra services. However, this is only based on one in-person meeting, one phone call, and one voicemail. Most of my interaction were with other staff at shady grove, which were not always as positive.

Try to get more time and check in more with Dr. Reh herself— she seemed like she knew what she was doing, but it got lost in translation being relayed through multiple layers of staff.

I did three unmedicated IUI which resulted in negatives. (One of these was monitored, with a trigger and prometrium after iui, but I’m not sure Dr. Reh had anything to do with that protocol choice— it seemed to come from the nurse.) the next planned steps were/are a medicated iui and then she suggested an IVF cycle with PGD.

With 50% coverage on my insurance, the cost for appointments was $105-$135. (However, when the insurance snafu happened, I became aware that the self-pay option was actually about 5-6 times that amount.

I was worried that Shady Grove would try and push us into treatments that I wasn’t comfortable with/we couldn’t afford. Dr Reh listed to our concerns and took time to explain the pros and cons of each treatment option. She was also honest about questions we had that she couldn’t answer. We never felt guilted, pushed, or pressured into making a decision.

I would say have know that she will be honest with you and have faith in the decisions you make together. At least in our experience, we met with Dr Reh to lay out a treatment regime but then went through the rest of it under the care of clinicians at other facilities that were closer to work, so we didn’t get to see her as regularly as we did in the beginning. We asked a lot of questions of Dr Reh in the beginning so that we fully understood our path forward and that helped us navigate through treatment. This was important as the treatment can feel very factory-ish and the other medical personnel you’re dealing with may not have the time or insight to answer questions specific to your treatment.

We had insurance that covered 50%, and they had an excellent financial counselor (Grace). We knew the cost of treatments before proceeding with them, so we were able to make informed decisions.

Dr. Reh is friendly and to the point. She does not dilly dally. She provided optimism in my fertility journey. I trusted her in my care. I had also heard excellent things about her from other patients/my personal friends.

She will do whatever it takes to get you pregnant and I would trust her advice even if you think it will never happen.

I underwent 3 cycles of IUI. First with clomid, the following 2 cycles were w/ letrozole. I also used vaginal progesterone and estrogen. The 1st 2 cycles failed. Then prior to initiating a 3rd cycle, my thyroid studies were abnormal so I was referred to an endocrinologist and started on levothyroxine. My 3rd IUI was successful. I am now 8 weeks pregnant and hopeful this will be a successful pregnancy.

$1800 for each IUI cycle and everything done within that cycle (ultrasounds, blood work). I had to pay out of pocket for medications/whatever my insurance didn't cover. Seemed like reasonable pricing.

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I am 38 years old and was referred to Dr. Reh by my OBGYN . I had been thinking about egg freezing for about a year and had a lot of doubts about the whole process. I was very fortunate to become Dr. Reh’s patient. She sat with me and explained the process, my initial test results as well as the options I had. The protocol she created for me worked perfectly. I did not have any side effects from the medication and was able to get more eggs than the initial estimate from my pre-evaluation exam. I went through two cycles and both times Dr Reh performed a painless egg retrieval. I was fully recovered next day. She was very supportive during Corona 19 outbreak. I am very happy with the care and results I got. I highly recommend Dr. Reh!

It’s a long process that can get difficult but you are in really good hands!

The protocol was perfect for me. I had no side effects and was happy with the results.

I only paid for the program I signed for.

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While I have not yet officially gone through IVF, I have just started my cycle and Dr Reh has been so helpful in clearly answering all of our questions. What I like about Dr. Reh is she's real: this may not work, and we were able to have a candid conversation about that.

Nothing - she's great!

I've not yet started my protocol, but will provide an update when I do!

$30k - includes PGS testing, all meds, and two cycles, frozen transfer

Not applicable for me - I was not eligible for multiple embryo transfer due to a medical condition.

Dr Reh is smart, honest, and compassionate. It was always a great experience, even when the results were not what was desired. She was always prompt. When we got bad news and she was unable to reach us, she took the time to squeeze in a 10 minute call between appointments to quickly address next steps (we also scheduled a follow up call).

Come prepared with questions and feel free to ask her to explain things. Even drawing a picture can help understand things.

We went straight to IVF because of my age (42). I took a lower dose of medication because my bloodwork was good, however due to a low egg count, I was put on an aggressive protocol for IVF 2.

We did the multi cycle plan, which was approximately $23,500 plus medication.

I thought Dr Reh was helpful when we spoke to her and answered our questions. She listened to our concerns and didn’t push us into things we weren’t ready for. She was realistic with us and told us what to expect. I would see her again but hopefully I won’t need to.

To go see her and listen to her advice.

It was never really clear. I felt like I’d check out and be told we owed. Since I paid then they never sent bills.

I saw Dr. Reh during the very beginning of my infertility journey. I was diagnosed with unexplained infertility. Later, after I had moved out of state and gotten a new clinic, we found out that I have endometriosis. I guess Dr. Reh couldn't have know that I had it at the time, because it's somewhat difficult to diagnose, but I can't help but think that maybe she could have caught it early before it did too much damage. Dr. Reh constantly reminded me how young I was (around 31 at the time) and that I had plenty of time. I guess she thought it would work out soon for me. But it didn't. I was coming at the problem aggressively, but she encouraged me that this approach wasn't necessary. Because of this I kind of felt like a number. Most of their patients go on to get pregnant. And I eventually did, but it was difficult and the endometriosis had time to do a lot of damage.

My best day with Dr. Reh was when she personally did my heartbeat ultrasound with the pregnancy that resulted in my son. Up until that point we'd had three and a half years of struggle and disappointment and losses. I started to feel like I was a bad bet. But she never gave up and had a new avenue to pursue whenever one was closed off.

Shady Grove tends to run its patients on a need-to-know basis—you only find out what's next when you get there. I'd recommend asking a lot of questions if that's what you need, or if you are a more live-in-the-moment kind of person, this style might really work for you.

After my second miscarriage, Dr. Reh recommended an endometrial biopsy, which revealed I had an E. coli infection in my uterus, which was treated quickly with antibiotics. The protocol that eventually worked for embryo transfer included an injectable blood thinner, a low dose of a steroid to suppress my immune system a little bit, and progesterone suppositories.

Each IUI cost $1,700, which included monitoring and the procedure. The package for two rounds of IVF, including egg retrievals and unlimited embryo transfers, was a bit over $25,000. The shared risk program for donor embryos was about $16,000, which included six embryo transfers and a full refund if none result in a live birth. For each round of IVF, I spent about $7,000-8,000 on medications. Medications for IUI were less; the most expensive was the progesterone suppositories. Medications for embryo transfers were in the middle; for one of my transfers we did a "natural" cycle that nevertheless included Menopur, which I think is about $700 for a five-dose box.

Dr. Reh strongly prefers transferring only one embryo. She repeatedly expressed that she was trying to get me pregnant with exactly one baby.

I wanted to see a different provider in Shady Grove Fertility, but it would have added two more months of waiting for my initial consult so I agreed to proceed with Dr. Reh. During 6 months of treatment, I saw her only three times (initial consult, one monitoring ultrasound, and follow-up consult). The rest of the communication with Dr. was done through the nurse. I did not feel I got sufficient explanations of why specific treatment was chosen based on my situation (e.g. natural vs. medicated IUI, choice of specific protocol). I felt part of the problem was that she did not review my records before the appointment, so she did to have any specific suggestions on my treatment during our conversations. I was receiving written recommendations on my treatment only after my appointment with Dr. Reh which made it more difficult to ask questions. She also did not seem caring.

Try to do your own research on possible treatments and make a list of questions that you may have about it before the appointments.

I did two IUIs using clomid, ovidrel and progesteron. I did not receive any rationale for why these medications were chosen for my cycle. I tolerated them well, and my response was also good, but both cycles failed.

Costs through our insurance: Initial consult $200 First IUI cycle $1200 Second IUI cycle $800 (had fewer monitoring appointments), plus meds.

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From the beginning Dr Reh told us that after 40’s fertility chances goes down around 90%, she explained in detail the process, she was realistic and precise with our expectations. Dr Reh has knowledge and experience about fertility treatments. She is clear and honest. Dr Reh is more into the scientific results and medical procedures than any other options (like natural supplements NeoQ10). There’s not scientific proof that natural supplements improve fertility, but our point was if it does not hurt, why not?

Dr Reh works for Shady Grove, which is a center that has everything is needed for fertility treatments, she works with many patients daily and experience is everything.

Regular protocol with injections and trainings. Maybe the amount of dosage were higher for me because I had lots of eggs, but not much quality.

Around 10,000 I believe but not sure

I

Dr. Reh was direct and kind at the same time. She listened to my concerns when our suppression meds failed, and adjusted course so that our next attempt at a transfer was successful. When my husband and I asked to do the fertilization process in a limited manner, Dr. Reh agreed with our requests, even though it would not be the most efficient route.

Know what you want, and what you are okay with in terms of treatment. Dr. Reh will do her best to work with you to customize your treatment protocol.

We did an egg retrieval, single egg insemination, fresh transfer, and egg freeze. Several months later we did a limited egg thaw and fertilization, with fresh embryo transfer and embryo cryopreservation.

After insurance our egg thaw and transfer cycle was around $5,000. Meds were approximately a total of $200

Was only offered a single embryo transfer based on age and infertility factors.

To say Dr. Reh is a wonderful provider would be an understatement. She is outstanding and provided a warm and successful experience from beginning to end. Because of Dr. Reh, we now have a beautiful daughter. All credit goes to her and her team. From our very first visit with Dr. Reh, my husband and I knew we could trust her. She directed us to begin our journey with medicated/timed cycles. We tried four cycles of Letrozole. After that treatment did not result in pregnancy, we moved to IVF. Dr. Reh explained thoroughly explained the IVF process and our individualized odds of success. We were incredibly confident in her treatment plan. We underwent one egg retrieval cycle which resulted in three PGT-normal embryos. I let my body rest for a few months after the egg retrieval and transferred one embryo, which resulted in a success pregnancy and birth. Dr. Reh personally called me the morning of the egg retrieval to wish me luck and was present for my "graduation" appointment at Shady Grove before I moved to my OBGYN. She was also my provider for several of my monitoring appointments. If I choose to move forward with a second embryo transfer, I will make sure Dr. Reh is my provider. She is outstanding and the absolute best Shady Grove has to offer.

Shady Grove is a large institution and you may not always see Dr. Reh at your appointments. Trust the process. She is still overseeing your treatment and is always available via her staff.

I do not ovulate regularly, so I started with Letrozole and medicated/timed cycles. I completed four cycles of varying dosages. While I did ovulate each time, I did not become pregnant. When I moved to IVF, I used an antagonist protocol (Gonal, Menopur and Cetrotide) for my stimulation cycle. I produced 22 eggs. ICSI was used resulting in three PGT-normal embryos. One embryo was transferred which then gave us a successful pregnancy and a healthy baby girl.

We took advantage of the Shared Risk program. Treatment and medications totaled $30,000.

Dr Rey was wonderful, she connected with me at important moments, made sure I had time and space to ask questions, and she always made me feel like she was familiar with the details of my fertility journey.

She has a very calm demeanor but don't take that as a lack of enthusiasm or investment in helping you have a baby.

Started with a standard egg retrieval process with injectable medications. Resulted in 3 day-5 embryos, which were then biopsied for PGT A & PGT M. Only 1 embryo was cleared for transfer. I was hoping for more than 1 viable embryo so Dr Rey counseled me on options and we decided to do a 2nd round of egg retrieval – she upped my medication levels this time, resulting in 6 or 7 embryos that were then sent for genetic testing. Of those, we got 4 viable embryos! Once we had 5 embryos we decided to move forward with a medicated frozen embryo transfer. During the medication lead up to the transfer my uterine lining was not thickening up to an ideal number – I discussed with Dr Rey and since my lining was naturally thin, I opted to move forward with the embryo transfer. I got a positive pregnancy test but had a miscarriage at week 6. I was pretty devastated and doubting myself – thinking I had done something wrong. When talking to Dr. Rey she was honest with me that even she was a bit surprised that I miscarried with a genetically viable embryo, but she explained that PGT testing isn't 100% guaranteed due to what cells are tested in the blastocyst stage. We decided that for my next embryo transfer we would try an unmedicated cycle before transfer since I had been able to get pregnant previously. (I pursued IVF because I had to terminate two wanted pregnancies due to fatal genetic issues, my husband and I are carriers of the same genetic disease) The natural cycle worked better and my uterine lining got thicker than the previous cycle – my embryo transfer went smoothly and I'm now 9 weeks pregnant.

My fertility care was covered by my employer so I had minimal exposure to costs. I will say that Shady Grove offered financial consultations and plans.

Dr Rey explained that they typically transfer a single embryo because of the risks associated with twins, especially for someone at my age (37). She also recommended 1 embryo since I had been able to get pregnant naturally in the past and my focus in IVF was pre-implantation genetic testing.

I could not have asked for a better doctor. Fertility treatment is always challenging, but Dr. Reh made the process easier. She was extremely patient and excellent at making sure to address all of our concerns.

Follow the process and be patient because fertility treatment takes time (after all, one cycle is a minimum of 28 days).

She increased our letrizole dosage to help increase chances for pregnancy by having multiple eggs produced at once. She was always careful not to over stimulate. We also tried chlomid upon our own request and desire to try other ovulation stimulating medication. And finally she was a pro at our IVF. She carefully adjusted the medication for optimal results (maximizing the number of developed eggs at the same time) and we had resounding success.

My insurance only covered initial diagnostic treatment. The fertility treatment itself was out-of-pocket, though the clinic did give information on financial resources if needed.

We did PGT-A testing and therefore only did a single embryo transfer.

Dr. Reh was able to personalize her approach to help get me pregnant. She reviewed the results each month and adjusted medications as needed. She was friendly and knowledgeable and I felt confident in trusting her opinion. I had a great experience with her and I have recommended her to others struggling with fertility.

Dr. Reh has years of experience helping others get pregnant. She knows how to guide her patients to a healthy, safe pregnancy. I personally have recommended her to friends/colleagues and encourage prospective patients to meet with her as well.

I took letrozole to induce ovulation because I do not a regular cycle (due to PCOS). I also took a trigger shot each month followed by progesterone pills. I completed this process for 4 months before getting pregnant. Each month the amount of letrozole that I took increased slightly to help with my egg development and it adjusted at that level to ensure that the chance of multiples were reduced.

Same day lab work cost about $50-$75 with insurance per cycle. My medications (letrozole/trigger shot) were about $75-$100 per cycle with insurance. I also had a co-payment of $35 for visits.

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We did not see Dr. Reh personally many times. I met her in person twice - once for a saline sonogram and once for our final ultrasound. However, we had a virtual consult and several phone calls to discuss our options and treatment plan. I know some might have a problem with not seeing their doctor personally for every appointment, but I never felt like there was any lost information or miscommunication. Her treatment plan as described was being carried out every time.

Be able to discuss your history in detail during the consult. She had not reviewed my records in detail, but once I explained our background in about 10 minutes of our 60 minute consult, she was able to talk to us about our previous cycles. Just understand that she is busy and she may not see you personally at each appointment. That does not mean that she isn't checking your records and communicating with the staff.

We came to Dr. Reh's office following treatment at 2 other clinics. We left the first clinic due to a move and the second clinic shut down because of a lab accident. We had one Day 6 tested embryo available to us to use for a frozen transfer. Dr. Reh recommended an ERA prior to transfer, which our previous clinic did not support until at least two failed transfers. That ERA showed that we needed 11 hours less progesterone and we made that adjustment for the frozen embryo transfer. I obviously do not know what would have happened had we not done that ERA, but our first transfer was successful and we are currently pregnant with identical twins. We are certainly very satisfied with the outcome.

We paid for the Global Frozen Embryo Transfer Fee with the Military Discount. It was $3910 and insurance covered all medications. That was the only thing we paid. Our financial counselor let us know that Shady Grove was raising their prices in a few days and advised us to pay early, which saved us several hundred dollars.

We did not have multiple embryos to transfer, so this was not an option for us.

Dr. Reh was the best part of our experience with Shady Grove. Friendly, professional, and extremely well-informed, she consistently took time to thoroughly answer our questions about what to expect throughout the process and encouraged us through some disappointing steps. Fortunately, we are now pregnant with two babies. Navigating all the steps can be challenging, but absolutely worth it.

Ask lots of questions and take notes that you can refer to when following up with other doctors and staff to ensure nothing gets lost in translation.

She had us take all the relevant tests, starting with the female, then the male. Once she determined that we had unexplained infertility, she proceeded with genetic testing. We planned for 3 IUI attempts over 3 months, each with increasing levels of medication if they didn't work, before we would move to IVF. The first IUI was unsuccessful. Prior to the second attempt, I was prescribed Letrozole. Following the second attempt, I become pregnant with fraternal twins.

Insurance covered most of the steps until IUI, which was $1800 per round, which we paid out of pocket. We also had to pay for a genetic testing out of pocket that wasn't covered by my husband's insurance, which was $350 (I believe through a discount program)

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Dr. Reh is a very good doctor. She showed a lot of compassion for me as I was going through treatment and hit a lot of road blocks. She was also willing to try different approaches/med protocols when the typical approach didn't work for me. She also presented my case to her colleagues to get others feedback, which I feel like shows a lot of humility and willingness to go beyond to figure out what would work for me. Even though we got pregnant without IVF, Dr. Reh and her colleagues gave me the diagnosis and connected me to a surgeon who was able to help us and is probably the reason we got pregnant.

Be prepared with questions and don't be afraid to ask about alternative approaches.

I was 33 at the time of my egg retrieval, and had a good retrieval that resulted in 8 PGS normal embryos. The hardest part for me was preparing my lining. Dr. Reh tried multiple different protocols, including estrogen priming and a natural cycle. Dr. Reh also recommended a series hysteroscopies with a surgeon outside of SGF. That turned out to be a really excellent recommendation - I was able to get pregnant after that.

I thought monitoring appointments were efficiently run. I frequently saw my primary doctor during these appointments. This was a benefit to the Arlington office. I also had the same nurses and techs at most appointments, so it was a comfortable experience.

I did SGF's Shared Risk Program with PGS. It was $19,500 + $5,000 for PGS. That included up to 6 retrievals and all FETs.

We never discussed anything other than an eSET. I would not have wanted to transfer multiple.