we used Natural Cycle IVF [with Dr. Kay Waud]- just my natural egg produced in a cycle without fertility medication priorShe spent so much more time discussing our test results [than previous doctor] and providing some new insights as to why we may be having trouble (particularly pertaining to some male infertility issues)did not perform any of the major procedures in our Natural Cycle IVF treatmentmy experience with her as a patient in consult and diagnostics was very positive. If you're the kind of patient who wants your hand held and wants to understand in detail every step of this process, he [Dr. Dimattina] may not be your guyWe only got 1 PGT-A normal embryo in the first cycle, so we did another oneDespite repeated attempts, Dr. D. consistently refused to answer questions specific to my case. My insurance agreed to call her to work things out but she has not returned calls. I didn't feel like I would be in good care. He's progressive (first to offer PGS and PGD along with natural cycle IVF, which worked for us on our 2nd pregnancy). The financial counselor is clear and upfront about costs, and she has been very helpful with communicating with the insurance company on my behalf. His manner is brusque, and he said to me many times that he would have expected me to be pregnant by now as most of their patients are within two transfers. It is an aggravating experience where you wish they would just combine it all into one visit. When I would ask, he would either resort to flattering platitudes or tout his own expertise, but he would not give me details when I was trying to better understand my own treatment. [Dr. DiMattina] is very kind, calm, and confident. I can only talk about the Arlington location since all my visits where there. A judge has sanctioned Fox News after claims it withheld evidence in a $1.6bn (1.3bn) defamation lawsuit. Home Things to know are the same for all fertility offices - be prepared to pay prior to receiving services. Injection were to stimulate multiple follicles to produce multiple eggs for retrieval. I chose a package that included up to two retrievals (embryo banking) and up to two transfers as needed until a live birth. Then I had a mock embryo transfer (standard) and a successful frozen embryo transfer. I am excited to move forward with him, once we have the all clear from the COVID19 pandemic. Very detailed, informative, and compassionate. As someone nervous with needles, this was HUGE. She was always very distracted when I called with questions, and seemed very disorganized. 13 eggs. I would prefer that they pick up the calls. This was after my third monitoring cycle which lasted over three months. ERA due to 3 failed transfers at prior clinic. (Assigned nurse: Kerry Hartman). He was younger, fresher and seemingly more up to date on the latest medical studies, Use all the doctors at Dominion. I called my insurance again in a few days and found that the auth was approved. The whole process was very smooth. 3 fertilized. Donna Jove! I asked for clarification only for her to talk fast and not really help me understand her logic. She made me feel that she was invested in my treatment and my success. Describe the protocols Kay Waud used in your cycles at Dominion Fertility and their degree of success. Describe your experience with your nurse at Dominion Fertility. For any new patient entering this journey don't move forward until you understand the medical and financial component. They do all of the pre-authorizing and tell us what is and is not covered by insurance. I would say have a very thick skin and be prepared to advocate for yourself. Limited activities during the two week wait after transfer. They were so caring and made us feel so at ease. He will be very honest and not sell you a procedure or a statistic that won't work. I've gotten in 5 minutes, but sometimes waited up to 30. I mostly communicated with my primary nurse through the portal. > Dr DiMattina is straightforward and respectful. Before seeing Dr. D, I went to my regular OB-GYN and went through the tormenting process of timing intercourse, clomid cycles, countless exams, and I even did fertility-focused acupuncture. Simply based on my experience with the financial department, I wouldnt recommend Dominion. is covered under a package price of $4900. We were able to use it for medications which were covered, but not the treatment. During the weekends I had to go to the Arlington office, there were more patients, the visits were according to arrival time, and sometimes I had to wait for about 20 minutes. Ratings of 1 indicate an unsatisfactory billing department. Within 36 hours I was in the office for an egg retrieval. While waiting for my transfer I was prescribed progesterone and estrogen. From the first time he came in to monitor me, he was asking me personal questions about my career and interests. Some days there are very few women in the waiting room and other days it is packed with a line out the door. Prior to starting treatment, we did a mock embryo transfer and a water sonogram, which cost us a total of $650. Yes we paid for this out of pocket the cost of IVF treatment was $16,000 and medication an additional $7,800. I had weeks of delay due to hormone issues and became increasingly frustrated and felt a little out of the loop. I mostly communicated with my primary nurse through the portal. It was a few hundred dollars for our first few rounds of IUI. He will try different approaches quickly if something is not working [Dominion -Arlington clinic is] Very organized, convenient locations and hours, accommodating and competent medical staff. I also shouldn't have to wait to weeks to start treatment because my nurse coordinator didn't contact me. Unforunately, science does not always match what happens in human existence, and I think Dr. Waud would agree that our case turned out to be more complicated than it appeared, resulting in a misdiagnosis which ultimately led us to change clinics. I felt more like a number when I came in for blood draws and monitoring which did not always involve Dr. Sarajari. He was encouraging and made me feel confident about the treatment plan (NC-IVF). Dr. Gordon did not shy away from referencing our history and showed sympathy for our situation in addition to factoring it into our treatment. He does not sugar coat his findings and treats you like a person. In total we spent 16,500The Arlington office is the best! I want to resolve these issues before I have to go back for the transfer but clearly its going to cost me more time and energy. If I wasn't sure about next steps or something I was able to quickly get a response via the portal or after leaving a voicemail with the nurses. Solely based on my experience, I would not recommend Dominion Fertility for patients who are not strictly doing IUIs. The whole process was very smooth Dr. Gordon was always very clear that he didn't have all the answers. Dr. Gordon recommended a 3 month course of IUI given that we had solid and healthy fertility factors for our age (I'm 38 and my partner is 37). The nursing staff I saw at monitoring visits were mostly very friendly and competent. 6 eggs. When I finally talked with her on the phone, no apologyI felt more like a number when I came in for blood draws and monitoringEvery nurse was a little different. I was very emotional after the egg retrieval, and the nurse helping us that day let me cry on her shoulder and called me later to check up on me. The nurse with us the last few appointments was so happy when she heard that I'd had a positive home pregnancy test and cried when I cried hearing the heartbeat for the first time. I felt like a number at the other clinic. Furthermore, Dr. Sarajari is not a credentialed reproductive endocrinologist specialist with Blue Cross Blue Shield. She answered every single once of my many emails and questions within 24 hours. His approach is one of minimal drugs and truly adhering to nature only transferring the number of embryos naturally conceived without any drugs. He would tell us the good, the bad, and the ugly. A crucial report showing the karyotype of our miscarriage was left out of this paperwork, and it took a lot of back and forth and non-responsiveness to resolve. I fully trust Dr. D's medical expertise - that is why we stayed with him when we had to do a second cycle. Ask her to go over all details of your case with a fine tooth comb, examining all contingencies, and not necessarily deciding that the simple answer is the best answer. On the day of my FET they even handed me a pineapple snack with a sweet message that said stick baby stick. And, when asking questions, I found it very helpful to have them at hand for a productive conversation. I called my insurance later to follow up and found she had requested an auth the day after I contacted my coordinator but never heard from her that she did so. When I contacted my coordinator about this, she said she would help me follow up with Leslie. They are very honest and forthcoming with any information about my history and future cycles. I was lucky that my egg retrievals were during the week so he was able to do them. He [Dr. DiMattina] was always available by phone or message. I have found no weaknesses. They are all pleasant in person and seem to run a tight ship. Over multiple years I used up several lifetime limits on different insurance programs. My egg retrieval went perfectly. Dr. D is very confident. The clinic [Dominion Fertility] is very clean and well-organized. I felt like I could never get enough information out of her. Ask this reviewer a question about their experience with Susan Sarajari at Dominion Fertility. The fact that I have my embryos at the facility and I have to go back for a transfer makes me mad. 9. They have available clinic hours for weekend visits to obtain certain treatments or tests. After I was diagnosed with fertility issues, I met with Leslie Jackson requesting an overview of what my insurance would or would not cover before I could decide to start treatment. She always called me back by close of business day. A judge has sanctioned Fox News after claims it withheld evidence in a $1.6bn (1.3bn) defamation lawsuit. For me, it was very reasonable. 1 PGT normal embryo. Breaking down every important topic relating to mental health & fertility. But talking was not going to ever change the outcome of our failed fertility cycles. We only got 1 PGT-A normal embryo in the first cycle, so we did another one. So we went to Dominion and are very happy to have changed. She answered every single once of my many emails and questions within 24 hours. Heads up! I had to always initiate questions or do research online to figure out information. He also works slowly and gently during procedures, so it does not feel rushed. Dr. Waud was really friendly, warm, and seemed truly empathetic when I experienced multiple setbacks with each retrieval or my transfer ending in a miscarriage. Not every doctor will fit all the criteria's you look for in a person, what I needed was a doctor with experience that would help us have a baby. 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. They were always prompt with paperwork and everything we needed. I never had any doubts about his knowledge and experience. Do your research, make sure that you feel comfortable with the diagnosis and treatment. Not to mention I left multiple VMs with no return calls. And as far as a lawsuit, well, what happened happened. William T. Newman, Jr., Record No. I don't like that. Dr. D was awesome! No complaints. Infertility is stressful. They were helpful in answering questions they were able to answer, and telling us which questions should be directed to the doctor. Everyone in the office from the receptionist to Dr Dimattina were friendly and welcoming. It's not like he rushes us out, but I think consultations should be longer than 30 minutes. Dominion clearly cares about their patients and staff - we had a big snowstorm in DC one weekend, and they put up their staff at the hotel across the street so there'd be no chance they'd miss work! 3 PGT normal embryos. They had a long time window for monitoring so you can easily pick a time convenient for you. For my personal schedule (I work afternoons and nights), it is a little challenging because I must be in there before 9 AM, but for most people working in jobs during the day, I imagine it's a very convenient process. I did not see her at every visit, as the majority of my visits were monitoring appointments, but she handled all of my procedures and was there for all of the milestone appointments (including the egg retrieval, embryo transfer, pregnancy ultrasounds, etc.). [The nurses at Dominion Fertility were] All great, sweet women. Dominion Voting Systems has sued Rudy Giuliani and Sidney Powell for making false accusations of election fraud that defamed the company after the 2020 Every nurse was a little different. I can only talk about the [Dominion Fertility] Arlington location since all my visits where there. He's progressive (first to offer PGS and PGD along with natural cycle IVF, which worked for us on our 2nd pregnancy). They are only counting a part of the copay I paid to the clinic, it created a discrepancy between what I paid and what insurance counted. The communication is terrible. Billing is even around the corner and incredibly helpful - they will answer any and all questions you have about costs of treatment on the spot. I also was able conference call my husband into the call and Dr D. answered all of our additional questions. I was not getting pregnant after trying for 6 months. The rationale for all of these is that combined, they offer the best possible chance for an embryo to implant into the uterus for pregnancy. On Jan. 8, Dominion sued Sidney Powell, a lawyer who previously worked for Switched it up to natural cycle IVF. They'll help you as you go along. At Columbia Fertility, I felt like a number. He told us many times that hed get me pregnant and when that didnt happen, he just kept repeating that most people do; he seemed more frustrated than compassionate and didnt have much to offer in terms of how we might do things differently. The financial department is very poorly run. I wait some more, call back, still nothing submitted for reprocessing. He understands that we are seeking answers and options and he is clear about his expectations. He always called me back when I asked to speak with him. (Assigned nurse: Donna Jove). That might seem like an exorbitant amount of money. I have generally great insurance so cant imagine how much more difficult their process is for patients who do NOT have it. They were always prompt with paperwork and everything we needed. My doctor would only transfer one genetically tested embryo at a time, which I was comfortable with. There's only metered street parking, but there are tons of spaces so you don't have to worry about driving around the block multiple times. She argued that the services were not PCP/GYN, which I dont disagree with. Since I was younger (30) when I started treatment and I was doing fertility treatment due to male factor, I was recommended the Natural IVF cycle. After suffering a major loss, I do not want to add more risk to pregnancy -- something that is riskier than I had ever expected. She is clearly invested in the best possible outcomes for her patients, and was very candid about treatment options that she did not feel would be good for us (for example, IUI treatment because of our particular challenges would have been a wasted effort in her opinion). Where do I begin? What's one piece of advice would you give a prospective patient of Michael DiMattina at Dominion Fertility? Ask this reviewer a question about their experience with John David Gordon at Dominion Fertility. Overall, no one was terrible nor exceptional My experience was pretty mediocre. I would imagine that one of the biggest factors that prevent someone from considering treatment is financial capacity. Dr. Gordon comes out to greet you in the waiting room. (Assigned nurse: Natalie Sofia). Solely based on my experience, I would not recommend Dominion Fertility for patients who are not strictly doing IUIsbilled my insurance incorrectly for a few consults that were charged as office visitsThe nursing staff seemed to have high turnover. I am a fan of Dr. Kay. It is important you feel heard and seen and important. This made me feel respected and cared forexcellent after-hours communication with the on-call nurse, and excellent communication through the portal How was your experience with Michael DiMattina at Dominion Fertility? She is patient, thorough, accessible, and kind. That is very much in line with nature and God's creation. Monitoring was during early morning hours, before work, which worked for me. The office is nice, a large waiting room. They'll help you as you go along. I got a second opinion from another area-clinic and while I did not pursue care there, I wish I had found them first as the RE I spoke with gave me more confidence in their knowledge of up-to-date research and laboratory quality. We first decided to see Dr. Di back in 2016 after years of unexplained infertility. Fast forward to 2019, after years of more therapies, 2 failed IUIs (not performed by Dr. D), hundreds of pregnancy tests, urology appointments and treatments, with no baby in sight, we decided to revisit Dr. D. We were finally ready! She insisted I go on metformin and that even if I didn't have PCOS I'd still need this medication. I came back 5 days later for transfer. We experienced one loss and one hysteroscopy under her care, and her bedside manner at surgery was the mix of humane and confident that I want in those stressful situations. Describe the protocols Michael DiMattina used in your cycles at Dominion Fertility and their degree of success. She was kind, but never made me feel comfortable in her diagnosis or decisions. I was on the antagonist protocol for both IVF cycles. VA-SUPREME-COURT-RECORDS Some days there are very few women in the waiting room and other days it is packed with a line out the door. Appointments are made very efficiently over the phone, and I have never been kept waiting past an appointment time before seeing the doctor. Ms. At no point did we ever consider changing course even though the cost was $7000 per month. I kept sharing with my friends and family that the entire process from the start of my cycle to the transfer was so straight forward and easy - which I did not expect it to be! He always took the time to explain things during meetings when a transfer did not work. They felt your highs and lows with you. Download Record 941410: Joint Appendix (4.0 MB) Download Record What's one piece of advice would you give a prospective patient of John David Gordon at Dominion Fertility? They treated me more like a member of their family. They almost always see you within ten minutes of your arrival time, and I was never there more than 20 minutes or so. While I tried to advocate for myself, I felt she was very hand wavy when I asked about new protocols or diagnostic tests that I had come across in FertStert or other journals. Never be afraid to ask questions, Dr. D will always take time talk to you. I don't know what I would have done without her compassion and dedication. All in all, our treatment cost us around $6850. Dr. Waud thought there was a good independent explanation for each, but nonetheless order some other diagnostic testing. Dr. D [DiMattina] was always upfront about the treatment. He also had me go on metformin for 3 months before we started the egg retrieval protocol because of my history of lengthy menstrual cycles. What's one piece of advice would you give a prospective patient of Susan Sarajari at Dominion Fertility? Our costs ended up being all diagnostic or pregnancy related, and therefore we had pretty good insurance coverage. Describe the costs associated with your care under Susan Sarajari at Dominion Fertility. As a woman, I guess I assumed our fertility issues were caused by me; never considered male factor infertility. Fortunately, I was lucky. As for a con, I wish I could have more time to ask more questions and talk to him more about my concerns. The clinic does have fairly rigid rules about only doing frozen transfers and they almost mandate PGS testing. He was willing to try when no other doctor would. (Assigned nurse: Sam). Lupron. Dr. DiMattina will recommend the best treatment for you. The $1.6bn lawsuit brought by voting company Dominion against Fox News has done more than threaten the rightwing channel with a historic financial penalty.. They [staff at Dominion Fertility] are very honest and forthcoming with any information about my history and future cycles. I didn't immediately remember this, but she did and was very kind a compassionate about it. For my first one, I was under heavy narcotics. The BCP reset worked. Pregnant on first try. The nurses also didn't inform me that I'd have to have a 2 hour glucose test, so when I went to the lab, I wasn't prepared and didn't have enough time. This does not apply to me because we used Natural Cycle IVF - just my natural egg produced in a cycle without fertility medication prior. Critical when undertaking a large financial commitment like IVF. I had injections: gonal, menopur, ganirelix and lupron trigger shot. Describe the costs associated with your care under Kay Waud at Dominion Fertility. I also had to personally seek approvals from Kaiser to go straight to IVF when this was my doctor's recommendations due to my age and history. I'm so blessed to have gotten pregnant the first FET. I went through a half dozen natural cycle IVF procedures at this clinic. He will change what needs to be changed if a protocol does not work. We really appreciated that he set his expectations for our care. The clinical staff I got to grow attached when they drew my blood, Nichol was the best at drawing my blood because my veins are difficult find. I appreciate that I did not feel any pressure from him to pursue the more aggressive option.