Marjan Attaran

I only met with Dr. Attaran once. She was very helpful answering my detailed questions, and giving me insight into the physical and emotional things that I may be signing up for by going through the process. I appreciated her clearing up a lot of the questions that I had, but again, had limited experience since we only met once for a consultation.

Most of the interaction was really with the nurses and the clinic staff, so don't be surprised if you end up relying on them for information instead, but they are very experienced and good at what they do.

I went through the egg freezing process. This started with a consultation to make sure it was right for me, followed by some tests that I had to have done before the procedure, including a physical, STD testing, and an AMH level measurement. Then it was time to sign up for the procedure. About a month ahead of time, I started taking birth control to control estrogen levels, and then about 2 weeks before the procedure came in to get a baseline blood test measurement of my estrogen levels and ultrasound. They decided that they looked good enough for me to start the injections, and three days later I started regular morning injections of follistim to promote egg growth. I had ultrasounds and bloodwork taken every few days to monitor the process and several days later they told me that the eggs had grown enough that I should also start a nightly injection on ganirillex (spelling?) to prevent the eggs from releasing before retrieval. Regular ultrasounds and bloodwork continued until the eggs had grown enough that I could inject the trigger shot and come in for retrieval. The whole process starting with the baseline measurement was about 12 days. The retrieval went very smoothly, and it was clear that they knew what they were doing. They retrieved 17 eggs and 14 froze successfully, which was a great result. The procedure took place under anesthesia for about 20 minutes, and I was in the clinic for 2-3 hours. Recovery took about one day.

Approximately $7,000 for the procedure and $2500 for medications

n/a

I found Dr. Attaran to be cold, detached and uninterested. I had to meet with her to begin IVF and my biggest take-away after speaking to her, for less than 10 minutes, was that she didn’t think IVF would work- despite me having two successful pregnancies from IVF and nothing about my situation changing.

If you want to work with The Cleveland Clinic because of their labs or endocrinologist, come prepared! If this is your first time doing IVF i would never recommend using the Clinic because you to be your own advocate every step of the way and know what each step entails. The only reason I knew my treatment was so off the rails is because I had previously done IVF twice.

I was supposed to do an antagonist protocol but pulled the plug on the day I was supposed to start injections because I was not confident the office knew what they were doing with my case. The day before I was supposed to start, I learned the office had been basing my whole treatment plan on the wrong date (period start date). This is after it took me days to get a person on the phone to tell them this important date.

She is fairly thorough so far. My initial visit left me with the impression that she thought I was overthinking things and that we would just conceive naturally, when it turns out that would be a miracle due to severe MFI. I feel that perhaps if I hadnt advocated for myself I would not have received all the testing upfront which would have been a huge waste of time, but it's hard to speculate. However once we figured out that IVF is what we will need (which by the way, she never told us as such but rather asked what I would like from her, which I find a very disconcerting way to start a visit with any patient), she did describe everything and answer all my questions well and did not rush me until I had no more questions. However once shes gone, it's very difficult to get a hold of her again, as she doesnt return calls or MyChart messages herself.

Be proactive in your own care.

Still waiting for a cycle once COVID 19 settles down.

Not through it all yet but was told it would cost about 21,000 for a cycle and additional 5000 for PGS testing.

She was very nice and it my impression may be partly due to the fact that I am also a physician but I just didn’t feel like she explained things thoroughly for me and she ordered labs and didn’t ever respond regarding what they meant to my IVF cycle. She did send me to a specialist regarding my medical history which was important for me to avoid complications. Leading up to egg retrieval the office didn’t order labs they needed and That partly prevented me from being able to do a fresh transfer.

You have to stay on top of things. I am a physician and I have a good friend who is a REI so I know what questions to ask and what to look out for but for the average person or someone with no medical background they could leave you lost. It is recommmended that I not take estrogen and the IVF nurse was talking about starting my cycle with birth control pills. Speaks to poor chart review and communication from the physicians to the nurses. Dot the Is and cross the Ts then double check

Used an antagonist protocol. I have PCOS but am unable to use estrogen due to having a history of blood clots. I took provera to induce a period. I started gonal F 200 units on day 3 of the cycle and started lovenox at the same time. Lupron Trigger planned Day 14 due to high risk for OHSS with PCOS and elevated AMH

Package $11,700 cost before insurance

She is extremely knowledgeable and took time to explain the plan. I do wish she was more accessible for questions outside her clinic. I understand she has NPs but there are times I want to talk to her.

Be prepared with basic knowledge of your cycle.

We tried clomid to help better develop my eggs. The thought might be they were immature since my cycle was shorter than the average. Also tried progesterone suppositories after IUI to help prevent miscarriage. Clomid made my cycle off so it was discontinued.

Each IUI is $700 ...I have had 3 and a miscarriage. The surgery associated with the miscarriage was over 2k. Plus the drugs...about $600 (the progesterone suppositories has to be compounded)

I loved her as my second opinion and I will defiantly be back soon. She was easy to understand and passionate. She treated you like a human not a number or based on financial income. She explained different procedures and gave options.

You will receive the one on one attention you need. She will be honest and try to help you. She listens and doesn’t judge you.

My insurance covered the consultation I didn’t have to pay a penny.

Stregnths -Thorough, professional, and empathetic. Good bedside manner and honest about prognosis for all treatment options Weaknesses -long wait times to get appointments, many nursing staff members involved in care

Schedule early !

Initially 3 IUIs with luteal phse progesterone suppository due short cycles. Then 2 IUIs with clomid and trigger shot .

Each IUI was about 400 dollars, though as an employee of the medical center i received a discount. With donor sperm and medications each cycle came to 1,000-1500