Sacha Krieg

We've only seen Dr. Krieg virtually, and not at our specific appointments however this was communicated fully and we understand that you may not get your specific doctor depending on the day. During our virtual meetings we feel heard and understood. We are presented information and can process the information during our call and Dr. Krieg gives us space to do so. We did not have a high chance of lots of eggs and Dr. Krieg presented this information in a warm understanding way. We feel confident in Dr. Krieg's ability to lead us in the best direction for our family. There are a lot of options you have during the process, and I felt confident going with the statistics presented by Dr. Krieg.

You will enjoy Dr. Krieg's warm friendly attitude, and I suggest for anyone to ask lots of questions and find out all the information possible. There are so many steps it gets overwhelming. Having someone with you who can process all the information is extremely helpful, because personally I get overwhelmed and can't remember everything said during our conversations with Dr. Krieg. My partner is amazing and remembers these details and we take lots of notes on our to-dos and follow up for Dr. Krieg. Taking responsibility for our care and knowing when to speak up has been very helpful.

For the egg retrieval here is what we used: Menopur subcutaneous injection with a Q-cap Follistim AQ or Gonal-F ready jet pen Ganirelix Acetate or Cetrotide HCG Trigger (Pregnyl/Novarel) I felt confident this was the correct path forward based on Dr. Krieg's knowledge and experience. The Ganirelix has a "dull" shot, I definitely suggest getting the angle down correctly to use that one. The results were 4 embryos, 2 eggs. We did genetic testing PGT M and A and found our results of viable eggs from those tests. We used a lab outside of the normal lab used by OHSU and the genetics counselor was helpful getting us set up. I feel confident in the process.

Most of the costs went through insurance, however Andrology did not. We're working through these costs now.

Our doctor said most people are using single embryo transfer and knowing the risks for a multiple embryo transfer I feel confident that's the way to go.

Dr. Krieg has a very warm and welcoming personality. She made me feel confident I had something I could work on and move forward with. She did make me feel alone sharing many women like myself are going through the same thing and she was there to help.

Always advocate for yourself, and ask for what you want.

She made sure to address any hormonal problems, nutrient deficiencies and hormonal problems I had. We also reviewed all my medications and supplements and added anything that could help my egg quality. We also performed additional diagnostics such as hysterosalpingogram to make sure I didn't have any uterine abnormalities, especially since I had a recent miscarriage. We started out with ovulation inducers and HCG shots with IUI to improve my chances. When my partner had to have surgery for varicocele, we discontinued IUI until he had better counts. However, she allowed us to continue to try at home with ovulation inducers to take advantage of the months while my partner was healing. She didn't want to wast my time or money with IUI when our chances were low with the varicocele. I appreciated this greatly.

So far, I've done on all the labwork and diagnostic testing, medications including injections and two IUI's. I've spent about $4500.

I don't have any concerns at the moment. My cycles are put on hold due to the coronavirus. We are devastated as we were only weeks away from starting IVF. Dr. Krieg and her team made the difficult to decision to discontinue treatments for the better good. Although my partner and I are anxiously awaiting for opportunity to have a baby, we understand.

I recommend Dr. Krieg without reservation! I loved her positive attitude and enthusiasm! I also appreciated that she explained her thinking and what we were about to do and why each step of the way. (I had a great need for this and she always responded to me when I had a question or needed more info.) I liked receiving care from Dr. Krieg very much. In addition, the rotating care (i.e., I saw whichever doctor was on call) worked very well for me. I felt that Dr. Krieg knew where I was at every step of the way, and once I was in the system, I didn't have to wait to see a physician, nurse, and other care team members even if Dr. Krieg (and her team) wasn't personally available.

Come prepared with questions. Manage expectations regarding only seeing your primary fertility doctor, as the clinic has a rotating model of care. (Dr. Krieg will still remain your fertility doctor and will make the ultimate decision, following team consultation, on all steps.)

I had one egg retrieval cycle (antagonist protocol) and three frozen embryo transfers (1 OCP/estrace protocol, 1 modified natural cycle protocol, and 1 lupron estrace protocol). I was fortunate not to have major side effects or discomforts with one exception: the progesterone in oil injections that were required for 3 of these protocols irritated the injection site.

Single embryo transfer each cycle per clinic's recommendation and my strong preference.

I have zero complaints about Dr. Kieg. She was helpful and knowledgeable. We have one boy and another on the way thanks to her and her team. I didn’t always get to see her because of the timing of things but when I did it was always a pleasant experience. She is an upbeat, positive person.

Be completely honest in your situation and ask lots of questions.

I took Lupron, progesterone injections for the transfers both times. I can’t remember what was taken for my egg retrieval.

The appointments were scheduled based on the timing of my cycle. That means if I needed to come in on a weekend I did. I live 3 hours away so sometimes I had to leave super early to get to my appointment but they would try to work with me on that as well.

For egg retrieval, and then transfer we spent roughly $25,000.00. That includes some medicines.

Dr. Krieg will only place one embryo at a time in for the transfer. She feels that this allows your body to completely focus on this one fully. It worked for us two times!

I have nothing bad to say about her. She informed us of everything possible and gave us realistic expectations. She was also so compassionate and understanding of our losses. We were with her for almost 4 years and she made the whole process so much easier. I couldn’t imagine going through all we did without a doctor like her and her colleagues.

That you are with the best and if you aren’t getting answers through her nurse or other administration, email her directly and she will always call you. She always has time for you and your questions/concerns.

We went to OHSU fertility after trying to conceive for 2 years. After bloodwork and testing, she suggested doing 3 IUI’s before moving forward with IVF. We had no luck with those and had to go through 3 rounds of IVF before having a live birth. We used clomid, lupron, Estradiol and progesterone throughput the process.

We did a package from an outside source and that was approximately $28000. Not including medications for retrieval or each cycle. Total, we probably spent close to $40000.

We didn’t want to run the risk of multiples, so we did 1 at a time.

I was referred to Dr. Krieg by another practioner. What I love about Dr. Krieg is that she is optimistic and compassionate (while still being realistic about outcomes). I’m 39 with an FSH of 15 and an AMH of 0.29 and I loved that she viewed these numbers as a challenge to overcome instead of a death sentence. In fact her words were, “Don’t worry, I’ve had patients have full term healthy pregnancies with these numbers”. I loved hearing that.

Do your research on Fertility IQ first, so you can come prepared with questions to ask.

I’m midway through the first round of egg retrieval via IVF. Here is the protocol protocol I am on: Climara transdermal Patch (due to my high FSH) Ganirelix x 3 days Menopur 2 powder vials - AM Daily Follistim 300 Units - PM Daily Saizen - PM every other day Ganirelix again until follicles are 12-14mm Retrieval will likely occur sometime between 10-16 days of stimulation medications.

OHSU offers discounted financing options for fertility treatments through Attain and ARC. I’m 39 and was able to buy a package of three retrievals with unlimited transfers through attain for around $30K (with an option to get some $$ back if this protocol didn’t result in a pregnancy. The package didn’t include medications or genetic testing (maybe $15K more for 3 rounds of retrievals).

Dr. Kreig did not recommend multiple embryo transfer. We will be genetic testing all embryos (due to previous pregnancy losses) and she suggested multiple rounds would get us the most eggs to work with. With my FSH/AMH numbers, history of ovarian damage (due to recurring endometrioma on my ovaries) Dr. Krieg estimated we might get 1, maybe 2 embryos per retrieval that could be genetic tested. So we weren’t really good candidates for multiple embryo transfer anyway.

Sacha was sweet and listened to me at our consultation appointment, and had a very personable personality. Appointments were brief, but appeared caring, and non judgmental, and tried to relate to me as best she could.

Be your own advocate, and don't be afraid to push for more answers.

She ran basic fertility levels and HSG as well as genetic testing on me and a semen analysis which showed no male infertility. My only treatment with her was one cycle with a dosage of 50mg Clomid on days 3-7 of my cycle, which yielded no response, so they had me immediately do another few days of 100mg Clomid which again yielded zero response. The only other option they offered me was to do high dose injections and IUI. Which was too expensive for us to even try since I have a low chance of it working due to low AMH and a blocked tube.

They said that my injections should only have cost around $1,000 but that was no where near what it actually was going to be (closer to $6,000+). Everything else was luckily covered for the most part, however my insurance will not cover infertility treatments.

N/A

Dr. Krieg was easy to talk to and seemed helpful. I feel like she tried to give realistic (poor) odds of success with IUI. She pushed me away from doing IVF earlier on, which was unfortunate because then when I finally was able to get a meeting to talk to her about it, I was about to turn 38 and so no longer qualified for their refund programs.

You will frequently see other MDs for monitoring appointments. There is often a long wait for regular appointments. At least for IUI, the availability of monitoring appointments was limited. If you have questions, you will be speaking to her staff, not to her.

I met with Dr. Krieg for secondary infertility. She recommended 2-3 cycles of IUI with clomid. She recommended not going straight to IVF with my history. I responded well to clomid and had a miscarriage with the 3rd IUI cycle.

IUI was not covered by insurance. Cost for 1 round including monitoring ultrasound, sperm wash, ovidrel trigger, clomid, and procedure was about $1000. Each visit was paid in advance.

N/A

She was very helpful, realistic, and honest about the limitations and concerns of the treatment. She was very respectful, eager to help, and knowledgeable, which was very helpful given the fact that we had such a negative previous experience. Seeking fertility help as a member of a couple in which at least one member is transgender was difficult in the Midwest, especially before DOMA was overruled, and Dr. Krieg and her office staff were very welcoming and made us feel safe and comfortable.

We started with IUI using Clomid and donor sperm after testing was done to ensure that I did not have any physical indicators of fertility problems, since my husband is transgender. When that did not work, we tried various combinations and amounts of Letrazole and eventually tried injectibles, which resulted in our pregnancy. She was very helpful too once we found out we were expecting multiples, and talked openly and honestly about the risks.

It was expensive, as it was all out of pocket with no insurance coverage. They were able to work with us, and helped provide samples of medications when they could, especially after a cycle had to be cancelled halfway through when I got the flu and had already used a large amount of costly medication.

This doctor's name is Sacha Krieg, I believe, not how it's spelled above. She was very nice although I wish she'd gone over more of the risks on the hormone treatments and the likelihood (or not) of sucesss

Ask questions and don't get your hopes up.

$13,000 for IVF (egg retrieval and transfer) $5,000+ for meds $1,500 genetic testing

Our experience with infertility care has been long but has never resulted in getting to IVF. I've been particular about wanting certain things in our treatment (zymot for male infertility/DNA damage) and was not able to get the other Dr. that we were working at the time to agree to this (different clinic and city). Luckily, OHSU is already offering this. Dr. Krieg was very understanding of our specific desires for treatment in a certain way and was compassionate. While we have not yet moved forward due to Covid, I felt good about her as a Dr, and her proposed plan.

Ask a lot of questions and be as knowledgeable as possible with your own particular case.

We discussed using Zymot for sperm DNA damage, and doing a protocol to help with early recruitment of follicles, since I seem to do this. She had options for helping to work with these particular scenarios.

Cost of IVF is aprx 13k and transfers another 2K, including ICSI. They offer shared risk programs through Attain and Arc Fertility

Dr Kreig was very personal and thorough. She spent a lot of time with us at each visit and I never felt rushed. However, it was rather difficult to speak directly with Dr. Kreig as most communication is managed by her nurses.

Develop a good relationship with the nurses as you will primarily be working with them throughout the process.

Initially, the focus was to find a cause for my RPL. After numerous diagnostic tests were done, the only probably cause was chromosomal abnormalities. As a result, IVF with genetic testing was chosen.

IVF retrieval is approximately $10,000. Genetic testing is $3300. Embryo transfer is approximately $2600.

OHSU will transfer only a single embryo.

Dr. Krieg seems quite knowledgable of textbook diagnoses and interpretation of test results, but tends to overlook details I share that sit outside the norm. She continues to charge forward and treat the original diagnosis, with the original treatment plan for the time she may have specified in an appointment several months prior, even when new information has materialized that seems like it should result in a change of course. Like in my case, I all of the sudden stopped getting a period after ovulation and stopped showing LH surges on OPK's when every single prior cycle those two things hadn't occurred. In this case, I could hardly get her on the phone to have a conversation with me about it. I find when talking to Dr. Krieg, it's clear she's either forgotten or hasn't looked across my personal medical history when providing me answers, so it seems like each conversation is disconnected from the last.

Levelset on communication expectations before pursuing treatment to make sure you're both aligned - as the lack of communication could cause stress which quite possibly counterbalances the benefits of pursuing fertility treatments.

provera to stimulate period, letrizole to stimulate ovulation, ovidrel shot to stimulate ovulation, and IUI. 3rd time with this strategy back in 2017 I got pregnant. 3rd time with this strategy in 2019, I didn't get a period at the end of a cycle but had negative pregnancy tests. After trying hard to break through the staff filter to get me 5 minutes on the phone with Dr. Krieg to understand if she might have a hypothesis why, she said likely a luteal cyst, but that it was weird. Next cycle, I had to induce with provera, kept on the same letrizole course, my ultrasound was scheduled too late so we missed ovulation completely. All my OPK's were negative. No explanation. I was prescribed more letrizole to take mid-cycle as they weren't sure at my ultrasound if I had ovulated or if my cycle was just really really long. I started the letrizole, then several days later was told after a blood test that actually I had ovulated. Finally I was able to get a call with Dr. Krieg a few days after that, she said stop taking the letrizole (I had one day supply left). I asked if taking letrizole in the luteal phase was detrimental to my chances of getting pregnant that cycle from intercourse (since we missed IUI) and she said she didn't know, that they have never had anyone take letrizole in the luteal phase before. She recommended same treatment next month.

I can't remember the difference in cost between seeing Dr. Krieg 1:1 vs. IUI, vs. ultrasound, but I never left without spending at least $400 and over the course of the several months I've gone to OHSU fertility, I estimate being in over $10k.