James Goldfarb

The few times I interacted with Dr. Goldfarb were good. My concerns about my experience with him we're greatly improved by how the clinic overall functions and how it impacted my experience with him. There was not a lot of direct contact with him, but that's primarily because the nurses are more your primary contact rather than your physician. Also, there was a lot of coverage by his colleagues, so when I had a procedure, he was not involved. I did occasionally hear from him, but usually a nurse called with my results.

A prospective patient would need to make it clear that they want to hear/discuss results with Dr. Goldfarb and would need to work around his call schedule to have him perform procedures.

We did 2 IUI cycled with Clomid in order to increase the number of eggs that could be fertilized due to male factors and unexplained infertility. Neither cycle produced a positive pregnancy test.

Thankfully our insurance plans have covered most of the costs associated with our treatments so far...

He is wonderful. Dr. G is so thorough and caring, and explains everything very well. Amazing bedside manner and treats you like family. He has made this process easier for us, just because we feel so comfortable with him. We love him!

I would say to understand that he is there to support you. Ultimately he is there to guide you in making the best choices, but he wants you to do what you’re most comfortable with. This is just one of the many things we love about him! When going over options, we called with questions and he called us back the same day, after hours, and spent 45 minutes explaining and talking with us. You don’t find that often! He’s made us feel hope again and has also been realistic. We know he has our best interests at heart. I would recommend him to anyone!

I don’t remember complete specifics, but halfway through the first cycle, he wasn’t seeing the follicle growth he wanted, and recommended stopping part way through, then starting a new protocol the next month. He added a long Lupron protocol which worked really well. I got 9 eggs from that cycle!

I believe the total cost for medication and retrieval was about $35,000. The retrieval was about $20,000 of that number

Because of my age, he recommended a single embryo transfer. It’s also a safer route considering multiple pregnancies are high risk. We felt very comfortable with this and are glad we transferred a single.

I have had only good experiences with Dr. Goldfarb he seems to know his stuff, really care, etc. I haven't seen him too many times but each time he was extremely thorough and compassionate. He has even suggested potential anecdotal items that might help.

Trust him he is great!

I had 5 failed cycles of IUI where I could not actually do the procedure which was a deficiency in my cycle and body not with the clinic. The last one I had a good experience but did not get pregnant and was advised by an outside advisor because my husbands sperm is ok that there is no point in continuing with IUIs and I also have endometriosis which just progresses. I then proceeded to my first IVF with my transfer tomorrow! The protocol was progressive follistm and then ganirelix and hcg. My estrogen got pretty high so they reduced the folistim and gave me a Lupron trigger instead. This produced a lot of eggs but my own theory is that is why only 1 embryo survived until day 6 out of 36 mature eggs.

12k for ivf, $500 iui

At our new patient consultation, Dr. Goldfarb made us feel secure and cared-for from the moment we walked into his office. He took 10 minutes to review our file before we met with him, and once we were sitting with him, his demeanor and calm candor assured us that we were in good hands. Dr. Goldfarb is the third RE we've seen in two years, and his bedside manner is unparalleled. He took the time to explain to us his suggested course of treatment, and most importantly, he seemed to understand how what we have been through to this point has affected the kind of treatment (both medical and personal) we need now. With the ever-frustrating dual diagnosis of unexplained infertility and recurrent pregnancy loss, it can feel like we are muddling down a road of uncertainty, but Dr. Goldfarb charted a clear path forward for us while still offering us choices for our treatment.

Write down your questions ahead of time, and be sure to ask them.

Dr. Goldfarb prescribed Clomid 50mg for my unexplained infertility, which I am currently taking. He did not prescribe any additional treatment for my recurrent pregnancy loss.

I have not yet been billed for my appointment with Dr. Goldfarb. The out-of-pocket cost for one month of Clomid is about $17.

He was a wonderful Dr. I wasn’t able to have a baby under his care, but he did a lot for me. I later had my miracle baby after moving cross country. He was very personable, and answered every question I had. I did one IUI and 18 other cycles on clomid, letrozol and injectables. He made me feel at ease during the IUI- which later resulted in another miscarriage. He did lots of testing on me to figure out what was going on, never could. He deemed us unexplained infertility, but I do feel he was adequate in his treatment.

Don’t be afraid to ask questions! He is a wonderful and expert fertility dr!

Clomid made me feel terrible. Most cycles I did 7.5 of letrozol which was very successful. It took a long time to get pregnant each time, and each one always resulted in miscarriage. I did several cycles of injectables which were no more successful than letrozol. I did one IUI which also resulted in miscarriage. I only saw dr Goldfarb 2-3 times over a 20 month period. Each month, I was seen by the nurses primarily, who were wonderful.

$500 for one IUI Meds were about $50 a month

No comment

Dr. Goldfarb is an extremely experienced reproductive endocrinologist. I felt at times early in my treatment with him that he would talk as though I knew and understood everything related to fertility treatment, which was not the case. I wasn't overly troubled by this initially because I was freezing my eggs for fertility preservation and not actively trying to conceive. I'm also not afraid to speak up for myself so I was able to ask questions if need be. Then, about 5 years after my initial experience with him, there was a freezer malfunction in the lab where my eggs were stored and all of my eggs were destroyed. Following said disaster my interactions with Dr. Goldfarb changed. Given the sensitive nature of the fertility process, my assumption and expectation was that the treating physician would be sensitive and supportive. Then after the freezer malfunction, which made an already sensitive process exponentially more sensitive and emotional, I naively thought my doctor would bend over backwards for me, making sure to handle my case with kid gloves. Unfortunately, this did not happen. I felt I was offered empty apologies, conflicting information and to make matters worse, the doctor regularly told me stories about himself or his family members in an attempt to make me feel better. Clearly his attempts went terribly wrong. To give you an example, after losing my eggs I was told there was a waitlist to start another round of egg freezing. This didn't sit well with me because I felt I would lose more time having to wait. When I expressed my frustration to Dr. Goldfarb he said he completely understood and then proceeded to tell me he had been scheduled for a procedure once that had to be cancelled unexpectedly. This example was not helpful to me. He turned what was a very horrible situation for me, about himself and did nothing to validate my feelings or advocate for me. Furthermore, this happened on more than one occasion. I found his approach to be unsympathetic, minimizing my experience.

Know what you need from your physician and be a strong advocate for yourself.

My protocol never changed under Dr. Goldfarb's care. I was on Follistim, Menopur and Ganirelix, with the hcg trigger. All doses were the maximum that could be prescribed. Of note, I have not been diagnosed with fertility issues thus far. I have undergone fertility preservation and two non-medicated iui's. When I presented to re-do my egg freezing after the disaster, my protocol did not change despite being 5 years older. It's my understanding that this group of physicians prefers to keep the protocol the same if the patient has responded well previously.

This clinic has monitoring hours, but the nurse will ask you what time you want to come in. Even though you select a time, they still take you first come first serve. It is my understanding that they are starting to give actual appointments now. During one of my recent cycles I arrived for monitoring on two occasions and was told I didn't have an appointment. The ultrasound tech, Carmella is fantastic and I've no trouble with the phlebotomist either.

The medications were expensive. If I remember correctly, around $5,000 or so. I do have a fertility benefit under my insurance although it is limited. Nevertheless it has been an expensive endeavor. Sorry I don't have more specifics on cost. Storage fees were $400/yr.

Very good credentials and history of infertility treatments. However, I barely saw my RE through both cycles and I did not communicate with him a lot. He did not go over any thoughts or suggestions for the next cycle. It seemed like he thought our success would be easy with IVF dealing with male factor, but we have not been able to produce strong embryos. The 2nd cycle suggestion was to create more eggs than the first and we ended up getting way less the 2nd time. He still wanted to proceed and I was uneasy about it. Of course the 2nd cycle as a fail and only 1 embryo made it. We are very disappointed. No explanation whatsoever from the clinic.

Make him more involved in your treatment.

The first was long Lupron with Follistim. Lupron seemed to have made my ovaries not produce so the Follistim dosage kept increasing and my estrogen level was sky high. It produced around 16 eggs. 12 mature. The 2nd cycle was Menopur, Follistim and Ganirelix to try to get more eggs due to my high AMH than the first try. Since they kept my Follistim dosage low at 175 IU and 175 menopur, I only yielded 10 eggs. 1 was transferred and the rest stopped growing. It seemed my estrogen level was more important than number of eggs.

IVF costs $9800 out of pocket for the first cycle. Drugs and follicle monitoring are not included.

No preference. Max 2 depending on what the embryos looked like.

Dr. Goldfarb is very thorough when discussing treatments. He has a gentle demeanor and is very kind and caring. He doesn’t hesitate to get on the phone and discuss the situation and go over all of the options. I could tell that he really loves his job and enjoys meeting new patients and getting to know them!

I don’t really have any advice. I feel like they cover everything very well during your first couple of visits.

I had already had 3 unsuccessful IUIs with another dr. in another state and 10 years of trying to conceive. Dr. Goldfarb agreed that we should jump right to IVF. I started the injections ganarelix, follistem, HCG. I had 1 follicle that was way too big for IVF, so we opted for an IUI. Dr. Goldfarb put me on Lupron right away just in case our IUI didn’t work so we could jump right back the next month. Our IUI WAS unsuccessful, so I continued Lupron and added follistem and menopur. We are in the process of seeing if this protocol will work.

I am self pay. Each ultrasound and blood draw is $200. The retrieval and transfer is $10,000. My first round of meds was $1500 and my second round was $1260.

We are not to this point yet.

Each visit I felt like a priority. It was never an "ok we have 15 minutes scheduled so let's get going". He made sure I was comfortable with every procedure and decision before moving forward. I felt like I was a part of every part of the process, not just an observer. He has the best bedside manner.

Ask a lot of questions and trust him. He's one of the best in the business and he's been doing this for 35 years!

We had to use n egg donor and fortunately we already knew who we were using. He set us up with his secretary nurse who scheduled everything perfectly for us. We had another Dr perform the embryo transfer who was also wonderful. We had great phone and email communication during the entire process. Our donor had the eggs retrieved and they called each day to tell us how they were progressing. When we had the transfer the Dr was very thorough in explaining what to expect and answered all questions.

It was around $18,000.00. We financed through ARC

He recommended singhle transfer for less risk, however we chose to transfer multiple.

Dr Goldfarb was always very positive despite our negative outcomes. After multiple miscarriages and failed cycles, my thyroid was found to be deficient. We would need to invest in a third round of IVF to see if that has caused our unexplained infertility.

He's been helpful to some friends, but we feel like he overlooked my thyroid.

Due to my age, I started a lupron cycle. My amh is high so I over responded and the cycle was cancelled. Then, I did two cycles with the same protocol of Follistim, hcg, and ganirelix. I overstimulated the first cycle and did a freeze all. The second cycle I only had 8 eggs compared to 20 in the first cycle. My cycles were 8 months apart.

I have to drive 2 hours to Beachwood. I was never told that monitoring wax from 7 to 10 am. They just made me 8 or 8:30 appointments and I was called on a first come first served basis. Some mornings there was little wait, other mornings it would be an hour.

We had two grants for IVF. One wax through university hospitals. We still spent $13,000 for meds, IUI's, and transfers.

My doctor let us transfer two embryos if we wanted to.

I was referred to see Dr.Goldfarb by a close friend who highly recommended him. He is very knowledgeable and I could tell from the very 1st appointment with him. My husband and myself felt very comfortable and trusted that he had our best interest at heart. He was not pushy and wanted to be more conservative 1st. I was happy with that because financially we can not afford IVF and my insurance does not cover any fertility treatment. I am very hopeful that we will have success, I have had 2 IUI's that have not been successful. I am almost 38 years old and never been pregnant so if the 3rd IUI does not work he recommends laparoscopic surgery to check for scar tissue. I have had one ovary removed and several cysts rupture since I was a young teenager. He would like to do the surgery before moving on to IVF, with hopes that I could possibly become pregnant on my own. My time is limited so I pray God blesses us with out miracle baby soon.

He is very knowledgeable and compassionate.

3 IUI's with Clomid or letrozole. Laparoscopic surgery to check for and remove scar tissue. IVF final

The initial consultation appointment was about $300. IUI $420 each procedure

Dr. Goldfarb is caring and helpful. He genuinely cares to see each of his patients succeed in their goals. He devotes his life to his work and it shows. One time I called to speak with him after a failed cycle and wanting to talk about which direction to go next and he had actually, FINALLY, taken time to spend with his family. He is an amazing doctor.

be honest with him. let him know if you are comfortable or not comfortable with something he suggests. Dr Goldfarb wants you to be in control of your treatment, so take control.

Our first IUI we used 5mg of letrozole and 250 Ovidrel. I had 2 nice big follicles. we went ahead and did IUI. It failed. Our second cycle, we kept the same protocol. Went in for my day 12 monitoring appointment and realized I had already ovulated. So the cycle was cancelled. The third attempt, we kept the same protocol but I came in on day 9 for monitoring. I had one follicle. We went ahead with our second IUI. It failed. Our fourth cycle, we kept the same exact protocol. I had one follicle on day 9, we triggered and went ahead with IUI #3 on day 11. It failed. Our fifth cycle, Dr Goldfarb discussed IVF with us. Not being able to afford it, we decided - with Dr Goldfarb - to continue with IUI until we can afford IVF. He suggested we up the letrozole to create more follicles. So I took 7.5mg and went in for my day 9 monitoring. Dr Goldfarb was out of the office and the doc on call decided to trigger the next day and IUI #4 36 hours after. I had ovulated on my own before trigger was due. So we cancelled IUI #4 and my husband and I decided to stop IUIs. at Dr Goldfarbs recommendation, we are doing every other cycle a medicated cycle (with 7.5mg letrozole) and natural cycles between.

They were exuberant. I had lost my insurance and had to pay for bloodwork out of pocket for my monitoring. They have self pay packaging, but it doesn't include the LH and that alone was almost $300. So I opted not to have it done. And we missed my surge. However, Dr. Goldfarb was receptive of this and asked me to email him a statement of why I was opting not to have the LH drawn. He said he was taking my email along with others to the board to get it into package pricing.

As I said earlier, he was honest with me about likely outcomes but willing to do whatever I chose. I feel so fortunate that he told me the truth about my chances with IVF using my own eggs so we could decide ourselves whether it made sense financially. We did a round of IVF drugs with abysmal results and, ultimately, chose to go with a donor. I have friends who went in significant debt only to end up with no child through IVF. it was one of the hardest things I have ever had to hear and he couldn't have handled it better. There was never a bit of pressure to choose a donor egg cycle over trying another cycle with my own eggs. If I'd wanted to proceed with my own eggs, he was willing as long as I understood the probability that we would not end up pregnant. He also made himself 100% available, though I didn't realize it at first as his nurses don't make that clear. At one point I told a nurse who was resistant that I needed to talk to him and she needed to make that happen. Finally, she agreed to let him know. He contacted me immediately. He told me that I could contact him anytime, including by email him. I have incredible respect for him and an unspeakable. I am most grateful for him helping me have this amazing, beautiful child who couldn't be more mine, but also relieved that he handled the message so well that we moved on to using a donor egg rather than emptying our savings trying to use my own eggs in IVF.

Ask for amh and fsh to be tested immediately if you are 36 or above. Tell them you don't want to wait until it's time for IVF because clomid and IUI didn't work. Also, insist with the nurses that you speak to him. In fact, during your first appointment ask how you can reach him if the nurses won't let you talk directly to him about your concerns. Don't get me wrong, the nurses are wonderful in many ways. Also, Dr. Rossi is also wonderful. I wouldn't hesitate for a second to see her instead. They are both wonderful. I give them both credit for this amazing three year old sleeping on my lap.

Don't remember but he was very detailed and willing to give us as much time as we needed to talk through things.

I believe the ivf cycle was around $13K. I don't remember the total but I think it ended up being $23,000 with donor fee, agency fee for donor, and medications for me and for donor. I think the medications were around $2500, I just can't remember if our total was $23,000 with or without the medications.

Dr. Goldfarb lacks aggressive plans when age is primary concern coupled with ovarian reserve issues. I felt as if I needed to prompt more aggressive treatment. On several occasions I followed up with concerns regarding irregular bleeding and early recruitment. It took 3 cycles to get him to understand that this was an issue.

It may take a while to get anywhere in this office.

I started with clomid, first dose at 50 mgs, unmonitored. I suffered from a short LP, so cycle unsuccessful. Cycles 2 and 3 were with Clomid 100mg, and progesterone from 3 dpo. Also unsuccessful. I took a break and did a cycle with Femara, 2.5 mg. monitored, but unsuccessful. The Femara completely screwed up my cycle and the proceeding 3 cycles had irregular bleeding and early recruitment (Ovulation on CD 12, 9 and 6 respectively). Dr. Goldfarb sisnt seem alarmed. I am 36, my father is terminally ill and I need to be aggressive and get this done. He is slow to understand the urgency.

My insurance has covered everything done thus far.

N/A

Dr Goldfarb was amazing. I didn’t physically see him much but we spoke on the phone quite often. He always took his time to answer all my questions and was always very thorough. There were times I’d be on the phone with him discussing all my options and superstitions for 45 minutes. He was ALWAYS patient with me.

Ask as many questions as you need to to feel comfortable.

He had me do 6 rounds of clomid before I moved on to IUI. He never tried to push me to do anything I wasn’t comfortable with. Once I was ready, we moved on to IUI. I did 6 total rounds of that. First, 3 rounds of clomid and the last 3 rounds were with follistim.

The IUI procedure was $420 (including sperm wash). The ultrasounds and bloodwork I don’t remember how much they were and the medicine carried from $15 to $325 a month.

The doctor is extremely knowledgeable a d has up to date knowledge on effective treatments. The doctor is thorough in his work and willing to discuss any part of the treatment. We feel confident with this doctor that we will achieve a pregnancy and take home a baby!

Just talk with him and trust his expertise.

We have done an IVF cycle with egg retrieval and frozen embryo transfer. He also has done saline ultrasounds to be sure my uterus is clear and ok for implantation. He has discussed change in treatment for me following a second miscarriage.

The IVF cost was about 12000 with additional cost of medication. If we do not have a baby at the end of this we may qualify for a grant for a second cycle for free.

Because of my uterine anomaly I am a candidate for only a single embryo transfer.

When we experienced our chemicals Dr. Goldfarb and our nurse called us individually and cried with us. Dr. Goldfarb is a very patient man who will answer any and all question and explains his plan of treatment deeply and throughly.

Don’t be afraid to ask him to go over the plan because he is more then willing to go over the parts that were not clear.

I did clomid and letrozole together for 3 cycles alone then when I had iui I used them plus a trigger shot. We monitored hormones and follicles.

Our insurance covered 80% so I cannot complain cost.

He prefers single embryo transfer if your under 30. Is willing to look into multiple.

He is a genuine man that speaks to your level. His level of knowledge and experience is beyond measure. Available at any time to speak, from initial consultation up until pregnancy available when I needed him

No advice

Diagnosed with unexplained infertility he recommended iui with clomid for 3 rounds and if that didn't work move to ivf. He did offer iui with injectable meds but he opted out because we were not okay with selective reduction. For egg retrieval I stimulated well but two eggs were always larger than the others so for 2 cycles we did not retrieve due to the cost and only getting 3 eggs. Finally the 3rd time we did retrieval and got 12. We transferred 2 3 day fresh due to higher chance of conceiving.

Very open window, made it easy for me since we live 2 hours away

To date $27,000

He is an amazing and very knowledgeable. He went over the entire process very thoroughly and took the time to answer all of our questions. He made us feel like he was fully invested in helping us start a family .

Make sure to bring all your records. Have a list of questions you can get over whelmed during the appointment and forget. Bring a notebook and pen to take any notes.

We will be doing ivf. Harvesting the eggs,fertilization and implantation.

The office visit wasn’t covered by insurance so we paid for the visits out of Pockect

He suggested single embryo transfer.

Dr. Goldfarb was always honest and kind. He even called me himself to provide results and discuss treatment. He made sure I knew everything up front. Dr. Goldfarb would respond to emails right away when I had questions. I loved how he seemed to care so much for me and my family and how he remembered us and our names, children's names.

Just trust him to do what is best, he is a very smart man!

This office was wonderful! When I called the nurses they got back to me right away. Dr. Goldfarb and his nurse gave me their email so I could be in contact quickly if I needed. once we were ready to part was Dr. Goldfarb called me personally.

Ask any question! He is very happy to answer anything you may come up with.

They were very adaptive to any suggestions we had and they worked with us to pick the right number and decide what was best for us.

Dr. Goldfarb is a pioneer in this and going into our cycles I fully trusted his opinions and he always explained the steps of action to me. Although, he is a busy doctor, he was always available for even a 5 minute chat if need be. Our appt. very frequent, sometimes as many as 3 times a week, and I felt that even if I saw him once that week, he knew the status of the cycle and if there were any concerns.

To trust Dr. Goldfarb fully. Every piece of advice he gave us, I feel, was to our benefit.

Fortunately for us, all of our procedures were covered by insurance.

Dr. Goldfarb is a wonderful physician. He is patient, kind, understanding and compassionate.

You will feel very cared for. Don't be scared to ask questions.

I was advised to go directly to IVF because of my situation. I had had multiple abdominal surgeries that left me unable to conceive naturally. He adjusted my protocol as needed.

About $15-20,000 per fresh cycle,$10,000 for frozen. Some wascovered y insurance.

Dr. Goldfarb is a pioneer in the area of infertility treatment. He helped us have our miracle baby.

He is a little bit more conservative with drug protocols, so if you feel like you want to be more aggressive, speak out. But overall, trust his expertise.

It was run very efficiently

I only went to Goldfarb for IUI's. I started on clomid with intercourse (3 times), then I moved to climid with IUI (3 times), and then I moved onto injectables with IUI (2-3 times). Overall, Goldfarb answered any questions I had and actually called me on a Saturday to discuss Dailed IVF cycles with other clinics and offered his advice and suggestions even though he knew I was not at his clinic anymore. I also used their clinic for outside monitoring and they were always very nice.

Dr. Goldfarb is a very nice and compassionate person. I went to him before hearing about the news of the broken lab equipment and understand that the clinic is going through many different changes to update their systems. I just don't know if I would trust the lab yet due to what happened.

We did 3 cycles with clomid and intercourse, 3 cycles using clomid with IUI and three cycles using injectables with IUI. We moved on to another clinic to do the IVF cycles.

I think IUI is around $600.00