CCRM New York

Dr. Jaime Knopman is compassionate and carrying when it comes to family building. She diligently explained to me and my partner all the steps we should expect and always asked us if we had questions. She seemed to be a leaned-in partner to our family building journey.

Come with any and all questions you may have because she is more than willing to answer them.

It is too early.

Don't remember.

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Dr. Talebian does not back down from a challenge. I came to her as a RIF patient (recurrent implantation failure). I had failed 5 FETs prior to coming to her. She did not hesitate when we asked her if she thought we should keep spending our time with fertility treatment. I appreciated that. Like all REs, regular appointments with her were brief but she never made me feel like I couldn't get my questions answered. I was very glad that she was able to do both my egg retrieval and transfer. The transfer experience was a really good one since I knew she would be doing it and since we had been working together a few months I knew she was really cheering for me.

Make sure you prepare your questions prior to any appointment.

I came to Dr. Talebian as an RIF patient (recurrent implantation failure). I was in this category because I previously failed 5 FETs before coming to Dr. Talebian, 3 of which were PGS normal. Dr. Talebian started out by doing additional screening on both myself and my husband. My husband had a DNA fragmentation analysis; I did a second ERA test with a new protocol (modified natural; led in with letrozole, added a few estrogen patches and progesterone before the mock transfer) as well as the ReceptivaDx test for silent endometriosis. The ERA came back as receptive which had not happened before so we were excited about that result. When it came time for my retrieval, she also did a hysteroscopy at the same time, so we could rule anything out there. I really appreciated this thoroughness. At CCRM, they PGS test all embryos; of the 8 day 5 and 6 embryos I got from my retrieval, 7 tested normal. For my first transfer, we followed the same protocol as we did for the mock transfer with the ERA. This included leading in with letrozole, adding in some estrogen patches pre-transfer and also starting progesterone inserts before the transfer. They also did a blood test on me a day or so before transfer and increased my estrogen patches. In addition to CCRM, I was also seen by Dr. Jonathan Scher who did an immune protocol on me. I took prednisone (a steroid) as well as did an infusion of intralipids prior to my transfer. This was to address my immune testing results, which included high natural killer cells.

The costs at CCRM were not all that different from at Cornell at the end of the day. They just recently started accepting insurance from Cigna, which I have. I think I paid about $20-25k for my retrieval, plus medications ($2-3k), plus anesthesia ($2k). I haven't yet paid for additional embryo freezing so not sure what that costs.

Dr. Talebian only recommended transferring one embryo. Because we had failed a few times before we asked for her thoughts on multiple embryo transfer and she said she would consider it if our first transfer failed. Thankfully our first transfer was successful.

Working with Dr. Choi was great. We did a bit of research on Fertility IQ before choosing a clinic & doctor and were not disappointed by our choice. Knowing time is extremely important we didn't want to waste time in not-a-great-experience. We wanted a doctor with a solid reputation and results. Right from the first consultation we were pleased by the amount of time Dr. Choi spent with us, including detailed explanations of all required testing, fertility treatment options including risk factors and percentage chance of success, and any limitations. Again we had done a bit of research on infertility before any appointments so we were able to jump right into conversation with her. She heard our concerns and addressed them. She was very factual and speaks quickly, so we always needed to be paying close attention. I brought my notes from home and my recent cycle dates on paper and she appreciated it. Two times, after testing results were received, we would send detailed questions/concerns into the Facility's nurses inbox and Dr. Choi called directly in reply. She allayed concerns, not with any pretense of guaranteed results, but reminding us there was likely not any one factor that would determine full success or full failure. We appreciated the personal touch. Dr Choi's protocol selection for me was spot on. The research we did on our own shows it was slightly aggressive but had it not been we would have not likely gotten the same results. The egg retrieval experience was good as well. She also always called with results (with any thing more than normal monitoring instructions). Dr Choi and her staff also worked with us patiently as we changed our minds a couple times regarding how we wanted the IVF cycle to proceed (fresh vs frozen transfer; PGS testing or not). She said, "I'll do what you guys want to do," so it made us feel heard. Ultimately we went with her recommendation; and we feel we got the best results we could have.

Do your own research and homework outside of your treatment recommendations, more for your own understanding. Come to the table with some knowledge of fertility/infertility. I could imagine not knowing anything someone might feel overwhelmed (in general). She explains well, but you'll maximize the depth of her knowledge better. She's extremely smart and good at what she does. Come to her with your own thoughts, questions. Dr. Choi speaks quickly, pay attention to her answers (take notes if possible).

I was diagnosed with a slightly lower egg supply (diminished ovarian reserve), with high FSH. My AMH is considered normal/age appropriate... somewhat of a conundrum. So designing a treatment protocol that would wake up enough eggs but not make me overstimulate was important. The protocal included... Estrogen priming, Menopur, Follistim, later added in Ganirellix, and 2 trigger shots. I didn't overstimulate and was pleased with the number of eggs retrieved.

The IVF cycle costed around $16K. This does not include the initial consultation and testing, medication, anesthesiology, or final frozen embryo transfer.

Dr. Choi was willing to do no more than a 2 embryo fresh transfer. She warned against the risks of a multiple embryo transfer to both mom and baby. Ultimately we opted for PGS testing tho.

His strength is looking at you like a person. He takes into account all aspects of your life as they relate to fertility. Not just "you are infertile!" -- as I had heard at other providers. He is compassionate, but not coddling. He is direct, which I appreciate on a daily basis. Just tell me what I need to know and what the plan is! He was available for questions in the appointment, via email and via phone. (he is busy though, so it is hard to catch him at the office!) He actively listened and gave an informed, detailed medical opinion based on knowledge, science and anecdotal experiences. He doesn't rush you either. It may take a while to get an appointment with him, but know that he will spend a lot of time with you! I always feel confident in our plan when leaving the appointments with Dr Levine.

Bring any and all questions you have! He will answer them with insight and thoughtfulness. Nothing is off limits, too personal or too medical. He is also great to just chat about life and how things are with you, so don't be afraid to be personal. He really does want to get to know you as a human being. Don't feel the need to rush the meeting because you think he needs to go! He will take his time with you unless some emergency comes up. (has only happened once in a year!) When you leave and forget to ask something, just email him. He will respond within a few days.

Our first two protocols were letrozole + Ovidrel trigger followed by specifically timed intercourse. With diminished ovarian reserve due to age, this rationale was to get the best egg response and time my cycle. We also added luteal support with progesterone inserts and estrogen patches. Unfortunately, we didn't conceive. Dr Levine then suggested trying an IUI which would increase our chances slightly, but get the sperm at least closer to the egg -- if that was the conception issue. We did the same medication protocol with letrozole (great response from my body), ovidrel trigger followed by a specifically timed IUI. We used a fresh sperm sample the day of the IUI with no male factor issues. Unfortunately, this didn't lead to conception either. Dr Levine has no adjusted course which my husband and I really appreciate. He didn't push us one way or the other actually -- he simply informed us of our options. We decided to skip another IUI and move into IVF due to my age, ovarian response and success rates with IVF. We started with a month of estrogen priming followed by a cycle of menopur + cetrotide + clomid + dexamethasone + gonal f + and will trigger with lupron + novarel when the time comes for retrieval.

I would recommend you ask for the billing costs. They sent a complete list of all procedures, codes for insurance if you have it, and the costs associated with each item. Costs for timed intercourse cycles were low -- medications were under $5. Trigger shots were closer to $200. IUI procedures were around $1K. And IVF is around $23K including PGS testing, biopsy, ICSI and assisted hatching. Medications we shopped around for the best prices at local and other pharmacies.

We haven't gotten to the FET stage as of yet, but I believe the clinic prefers FET over fresh embryo transfers. I also believe that eSET is the preferred method, but would suggest you chat with Dr Levine about your questions and concerns.

This is a hard review to write because there were so many aspects of our care under Dr Knopman that we felt positive about, but in the end we could not recommend her. The positives. She will respond to your emails/calls and you will actually see her and get to know her as your doctor. She absolutely knew us as people and as patients. She is approachable, intelligent and was quick to admit when our case went beyond her comfort zone at which point she referred us out to a consulting specialist. The downsides: She felt very rushed, careless and not as thorough as we would have liked. She contradicted herself on multiple occasions. On one occasion, she performed the wrong kind of sonogram on me. The nail in the coffin was the fact that she failed to make note of the medications that the specialist (who she referred me to) prescribed. As a result, she prescribed me two medications that I was already taking. When our case became complicated, she justified proposed treatments with anecdotal stories instead of studies. This made us feel like she wasn't willing to dig deep for answers and was instead relying on whatever evidence jumped to mind. Ironically, we felt that she was at her best when she called to give us bad news (failed IUIs, IVF cycles and chemical pregnancies). At these moments, she slowed down and provided us with thoughtful unhurried responses to our questions. We did not get pregnant with Dr. Knopman and I don't know if that is the result of her care. If I'm honest with myself, I don't necessarily think it is. What I do know is that in the end neither my husband nor I had confidence in her attention to detail and the stakes were too high to risk having a detail fall through the cracks. We've since moved to another clinic and feel much more confident that we are getting the level of attention we should be. Even if we don't ultimately get the outcome we want, we feel better about the process than we did with Dr. Knopman.

Be prepared to speak up and advocate for yourself. I think Dr Knopman genuinely wants the best for all of her patients, but I suspect she is just super busy. Don't be the patient who gets shortchanged and demand the time/answers you need.

We spent approximately 50,000 on 2 egg retrievals and 3 transfers at CCRM excluding meds.

From day 1 Dr. Talebian was supportive, compassionate, communicative and made us feel supported, heard and well taken care of. Her care was truly 360 -- she was present at every visit, connected us with an acupuncturist, checked in with our therapist, and spoke with our OBGYN. With her, we really felt like we had a full team supporting us. Not only that, Dr. Talebian was very communicative, making herself available after hours to discuss our plan and address concerns. Aside from that, she is an expert and her approach was thorough, and we were thrilled with the results.

Keep doing what you're doing!

As a 41 year old patient looking to do a retrieval, I was confident in the protocol Dr. Talebian laid out for us. I don't recall all of the details, but the results were 24 retrieved, 12 mature, 12 fertilized and 1 normal.

I was fortunate to have generous fertility insurance at the time, so I can't speak to the actual costs.

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Janet Choi is an extremely smart doctor. She spent the time walking us through the procedures and we felt we were in good hands when we can to her. The reason we picked CCRM was because of her reputation, experience, and credentials. We wanted the best doctor for our IVF experience and that is why we picked her. Overall, I think she is a good doctor, and as well have gotten to know her more I think she has become more easy to talk to. At the beginning it was extremely overwelming and I felt she talked too fast and really needed to slow down a bit.

Record your appointments so you can listen to her afterward since each appointment is information overload it helps to be able to play back what she says in your appointments. Also, take extensive notes during the meetings.

n/a. I am not comfortable sharing this level of information.

Initial Consultation/Ultra Sounds/Blood Work - me $580.00 Initial Consultation/Ultra Sounds/Blood Work - partner 185.00 SEMA4 Expanded Carrier Screen (511 genes) Lab Work $249.00 SEMA4 Expanded Carrier Screen (511 genes) Lab Work $100.00 CCRM Blood Tests & Quant Immunoassa $150.00 Enzo Clinical Testing Lab Results $10.03 Initial Consultation/Ultra Sounds - partner $525.00 CCRM Blood Testing $50.22 The Center for Family Forming - Sperm Consultation - Outside of clinic cost, but required by Dr. Choi $400.00 California Cryobank - Sperm - $2,365.00 Ovulation Monitoring Kit - $60.96 (outside cost) Prenatal Vitamins - $14.49 (outside cost) Estrogen Patches - $15.00 CCRM - IVF Cryo all with CCS Cycle - $18,255.00 (this is with a 10% discount) Westchester Anesthesiologists - Anesthesia Fee $1,400.00 Medication - oral, injectable, vaginal - $4,800.00 (includes discount) 11-14 Embryo CCS Fee - $800.00

I believe she only does single embryo transfer, but I am not positive.

Dr. Choi is kind. When I had a round with no embryos, she told me herself and called to check in on me. Dr. Choi performs most of her own ultrasounds, and unless she's on vacation, performs her own retrievals--which made me feel very cared for. Dr. Choi always calls back to answer questions on the patient portal--even little questions that could be answered by a nurse. Dr. Choi is senstive to psychological issues and listened to me and my husband talk about our IVF fatigue and our different desires about the process being shaped by that fatigue. Dr. Choi is so brilliant and cares so much. When I had issues with recovery from anesthesia after a retrieval, she called me personally many times to check up on me, did her own research to figure out why I had recovered more quickly at my past clinic, and changed the anesthesia so I could resove better. The only warning about Dr. Choi is that she's a purist and wants to control the process--and she's a very kind but very authoritative person. I feel comfortable having discussions with her and giving her my opinion, and usually agreeing with her by the end as she explains her reasoning. Not everyone might feel that way. But her kindness and openess and empathy balances out her brilliance and authoritativeness. She is an amazing listener--not one of those docs who interrupts patients. She's truly paying attention and modifying treatment to get the best results for the patient.

Be open with her and tell her when you experience bodily discomfort or psychological discomfort. Communicate with her and her team. She's truly 100% on your side and will do everything she can to help you accomplish your goals.

Because I have done so many rounds, I don't remember all of them, but the last round, which was very successful (produced 3 high-graded embryos) was a mini-IVF round. No ICSI, and no CCS testing.

Well-oiled machine. I felt like a human. Everyone was so friendly and kind. If I was late, no one was mean. And usually Dr. Choi did her monitoring herself. When she didn't, it was a doc or NP, and they were all amazing. The NP there is very sweet and communicative. I never felt like an animal in a cattle call there: I felt cared for and human.

About $20k plus anesthesia and medications.

Dr. Levine is an incredibly impressive fertility doctor! He was always on top of the most recent advances in the fertility field and had unique approaches and recommendations when the "standards of care" weren't working. He was responsive to all questions and always took the time to make sure my husband and I fully understood our treatment plan(s). When cycles weren't yielding successful results, Dr. Levine remained optimistic (which at the time frustrated me as I was very disheartened and couldn't/didn't share in his optimism), but my husband and I trusted Dr. Levine enough to stick with him, and we couldn't be more thankful that we did. After our first embryo transfer at CCRM, we had our first positive pregnancy test, and gave birth to our beautiful baby girl last month. We are so grateful to Dr. Levine for his experience, expertise, and commitment to helping us create the family we were dreaming of. We feel so blessed!

Trust his knowledge of the science/medicine, and stick with him even if you're not getting the results you want right away.

Dr. Levine was concerned that I had (silent) endometriosis, which was confirmed with the Receptiva (uterine biopsy) test. He referred me to an endometriosis specialist for surgery, following which my husband and I had our successful embryo transfer.

$18-21k per IVF cycle, $5.5k for embryo transfer

When I first saw Dr. Knopman she felt that IUI would be a waste of my time and money. With the first round of IVF it worked perfectly. I had 8 embryos and the first one transferred and stuck. She recommended picking the best embryo and I'm glad I listened. I developed an SCH with my first pregnancy and she was completely honest with me. She said this could go either way. She monitored me a little longer than normal and then referred me to a great OBGYN. With my second transfer something didn't look right when she did my second scan and she was completely honest with me. I ended up miscarrying a few weeks later. She was very compassionate and checked in with me. I then did another transfer with a boy embryo that we wanted to try. She was again completely honest with me that the grade embryo that it was probably wouldn't take but if we wanted to try we could. She was right it didn't stick but she never gave me any false hope. I then transferred 2 more emrbyos which both resulted in miscarriages one at 14 weeks and the next at 21 weeks. All throughout these miscarriages she checked in on me. She then suggested we do a whole new round of embryos which I agreed with. I am now 25 weeks pregnant with knock on wood no complications.

She will make you feel like you're talking to your friend not your doctor which I really appreciated. She also tells you how it is and she's not an alarmist!

I don't remember any of this sorry!! We did do a natural cycle with my last transfer which she said she's doing more of now. The natural cycle didn't have as many injections of the previous cycles I did with using depot lupron. After my second miscarriage Dr. Knopman suggested I go on blood thinners since a clot may have caused the miscarriage.

I have the breakdown of everything that I could attach!

She never recommended multiple embryo transfers. She felt since I'm small that multiples would make it high risk. She also felt it was so precise these days that one usually sticks and with me she was right.

I genuinely looked forward to my appointments at CCRM because of Dr. Knopman. She made it enjoyable and I always felt well-informed about the next steps. I would have my questions thought out before our appt since all the Dr's are busy (which is a good sign!) and since they are so efficient, the regular monitoring sessions would be over very quickly.

Run don't walk to see her!

I previously had 2 cycles at NYU Langone which resulted in no normal embryos after Pre-Implantation Genetic testing. During my initial consultation with Dr Knopman she took onboard my history and recommended including Microdose Lupron. The results of this cycle could not have been more different - I retrieved 3 normal embryos!!! We did our first transfer in August 2021 which unfortunately resulted in a miscarriage Week 8. After our next transfer in November 2021, we are now pregnant and I am 13 weeks! So happy, excited and relieved!

CCRM are expensive but absolutely worth it. Don't waste your time and money with other clinics!

CCRM recommend one embryo at a time with the best quality first.

We came to Dr. Levine after multiple miscarriages and failures at two other local clinics. We felt ccrm was our last hope at having a biological child. We liked Dr. Levine’s no nonsense approach and felt he and his lab were far more skilled than the local clinics we first went to. After our first egg retrieval and transfer resulted in another miscarriage, Dr. Levine was quick to adjust protocols and change direction to try something that would be better suited for my body. Previously, all our cycles would result in little to no embryos. With Dr. Levine’s second retrieval cycle, we were able to get 9 embryos and 5 of them tested normal. We were ecstatic. Dr. Levine also helped us on our path to seek treatment from a reproductive immunologist and we feel their combined protocols are what made our second transfer with him a success. We now have a beautiful one week old baby boy and we couldn’t be happier with Dr. Levine and ccrm.

Run don’t walk to CCRM. Know that you deserve answers and the best treatment possible and do not quit or settle until you get that.

Our first retrieval with Dr. Levine resulted in 33 eggs, 18 fertilized but only 1 embryo which tested normal. This was with the standard gonal f, Menopur, clomid, cetrotide protocol. Although I do not have pcos, I have a high egg count and this protocol may have fried my eggs to some degree. Our second retrieval we did the microdose lupron flare protocol with lupron, gonal f and no Menopur. This time, we retrieved 15 eggs and 11 fertilized resulting in 9 embryos and 5 of them tested normal. This is by far the most success we had out of all 6 of our retrieval cycles (locally and CCRM combined). We were grateful that Dr. Levine pivoted after the first cycle and took the time to strategize what could potentially work better for my individual body.

We had progyny insurance for our cycles with CCRM other than our second transfer which we paid out of pocket. Transfers are just under $5k. We never had any issues with the finance team or any insurance mishaps unlike previous clinics.

Dr. Levine suggested transferring single embryos each transfer as are ASRM guidelines for my age group. We had no issue with that.

My husband and I found Dr. Levine in our journey to conceive baby #2 when our son was 2 years old. We were fairly confident when we first went in to seek treatment with our first dr at RMA - we'd gotten pregnant only 2-3 years prior and assumed any issue would be easily resolved with fertility treatment. RMA quickly diagnosed me with DOR (AMH tested at .5) without much sympathy or explanation. That diagnosis quickly hurdled us into IVF with a sense of panic that I didn't have much time left. Two cycles later, I had retrieved 13 eggs total with RMA, but 0 blastocysts. After that cycle, our previous dr was recommending we try IUI since "maybe my eggs would do better in their natural environment" - which in hindsight, should have been a red flag that their lab wasn't working with our embryos. Shortly after that 2nd failed round, I started researching and came across Dr. Levine - after our first call with him, we knew he'd be the doctor we moved forward with. He suggested we take the summer off to recover from the trauma of the 2 failed rounds, and he reassured us that 3 months wouldn't make a difference with my egg reserve. I used the summer months to clean up my diet with a focus on anti-inflammatory foods, added supplements, meditated, prioritized sleep and did acupuncture. When I went in for our initial bloodwork and workup with Dr. Levine, he revealed that my AMH in fact "wasn't that bad" at 1.6, and suggested we do some additional testing on my husband to make sure we weren't missing anything. That testing uncovered 2 varicoceles which were likely the cause of his borderline high DNA fragmentation. As such, Dr. Levine suggested we use PICSI instead of just ICSI for our retrievals to make sure we were selecting the best possible sperm to fertilize the eggs. We then went on to collect 15 eggs in the first retrieval which yielded one normal blast, and then 17 eggs the 2nd time, which also yielded one normal blast - we were thrilled after having nothing to show for our first two rounds. The maturity rate of my eggs was pretty low (only 6 mature from the 15, and 7 mature from the 17) which indicated to Dr. Levine that we were battling both an egg quality and sperm quality issue. As such, once we had our embryos biopsied & frozen, he suggested we do some additional testing before transfer to make sure there wasn't anything else going on on my end. He ordered me an endometrial biopsy (the ReceptivaDX test) which showed a good amount of inflammation in my lining, and suggested silent endometriosis might be the culprit - something I never knew I had having never had symptoms (other than infertility). He said this diagnosis would explain a lot - the poor egg quality, and if there was a month when an egg had been fertilized, why it wouldn't have implanted. He didn't indicate that I needed laparoscopic surgery, but instead treated the endo with 2 months of depot lupron prior to transfer. That transfer was successful and resulted in our current pregnancy! We're currently 9 weeks and just graduated from CCRM, so we still have a long way to go, but are so grateful to Dr. Levine for getting us to this point and believing in us from the start. His wealth of knowledge, positive attitude & confidence are absolutely what made the difference in our outcome once switching to CCRM.

Just trust him!! He knows what he's doing.

For my retrievals - I had a fairly standard protocol with estrogen priming (patches), dexamethasone (.5 mg), Menopur (150iu), Follistim (300iu), Clomid (50 mg), Ganirelix, and a dual trigger (HCG & Lupron). Believe Dr. Levine reduced my Follistim dose slightly half way through my 2nd retrieval cycle, but otherwise the meds stayed consistent for both cycles. For the transfer, he treated me as if I had endometriosis - 2 months depot lupron, then 2 estrogen patches every other day + 5 units lupron, baby asprin daily, Endometrin 3x/day, PIO 1cc/mL every day - continued through weeks 8/9 of pregnancy at which point I started weaning off the meds.

It was roughly $20K per retrieval, costs for the transfer were much less

Dr. Levine suggested only transferring one embryo, which we didn't argue with!

I consider myself incredibly lucky to be Dr. Choi's patient. Doing IVF during a pandemic adds lots of stress to an already challenging and unpredictable situation, but I felt reassured knowing that I was in the best hands. Dr. Choi genuinely cares about helping you, and she is extremely knowledgeable and thorough - I met with her to get a second opinion after a not-so-great experience at another clinic and she suggested a number of additional tests my other doctor had never brought up. She's very calm, straightforward and to the point but never in a brusque or condescending way. I trusted her immediately and I'm so glad I switched clinics. It's a small practice but run very well, scheduling was easy and wait time was short. All the receptionists, IVF coordinators and nurses are wonderful and take the time to get to know you by name. The facilities are also very new and clean. I did two rounds of IVF with Dr. Choi and I am now in my first trimester. I would recommend her & CCRM to anyone.

Be ready with all the questions you want to ask her - she is a great resource and an open book.

Two rounds of antagonist protocol (Menopur + Gonal F with the later addition of Cetrotide). We added Clomid the second round in order to yield more eggs. During the first retrieval I also had a hysteroscopy done. For both rounds we did PGS testing.

I was lucky to be covered by my insurance.

She recommended a single embryo transfer as the embryos had passed genetic testing.

Dr. Knopman's expertise along with her professional / proactive/ optimistic personality (and attitude) made me feel like I truly had a chance for success and helped me believe in myself. After two failed embryo transfers, she referred me to the exact doctor to help me (a reproductive immunologist). The combination of her CCRM treatments along with this specialist's treatments were the recipe for success (on my third transfer). I am now 9 weeks along.

Any IVF patient needs to get their "head in the game". This means that in your head, in your mind, you cannot complain (or you must limit this significantly). Complaining out loud to your spouse or friends (or in your mind) about the side effects of the hormones, medications and other drugs. Also complaining about having to schlep to the doctor office for appointments is also not going to help. The more negative thoughts and feelings about the IVF process can only hinder your outcome. It is also important to remove the word "infertility" from your vocabulary. Instead just think you're going to IVF doctors to "assist in your upcoming pregnancy". The more positive or neutral thoughts about the IVF process can only help you.

Egg retrievals for PGD (embryo screening) done in early 2019. Started embryo transfers in late 2019. Successful embryo transfer in June 2020 (after waiting a few months after the COVID-19 lockdown).

One egg retrieval + embryo transfer is $21K. This does not include the medications. Separate embryo transfers are around $5K.

CCRM only transfers one at a time (that is their policy).

Dr. Talebian has always been thorough and didn’t immediately go for a cycle. She made sure that my reproductive health was as healthy as can be. At my first ultrasound, she thought she saw a fibroid and referred me to an amazing OBGYN surgeon. It turned out to be ademyosis and I had hysteroscopy surgery to remove the extra tissue. After that, I had a HSG and it showed my right Fallopian tube may be blocked by the left over ademyosis. With this knowledge we focused on when we will do an IUI based on which side the follicles are growing. When my hormones seemed off at the start of my cycle, and I had a ovarian cyst from the first medicated cycle, and after I didn’t ovulate on a natural cycle, she put me on a month of birth control. This got rid of the cyst, and balanced my hormones for the next cycles and I finally started my IUI’s. Dr. Talebian always talks me through an ultrasound so I know what she sees, since it all looks like a dot matrix to me.

Tell her what you want, and she will give you options.

We decided to use letrozole for 5 days for ovulation. 0 cycle- my hormones were off in the beginning, so it was canceled 1st cycle - my hormones were off in the beg, but after a few days I started the letrozole. After the 1st week, follicles were small, so I did 5 more days. I also developed a small ovarian cyst. Things were going slow but well, but we missed the surge on day 21. I was ovulating late and the timing was off because I had weekend travel. 2nd cycle - Because of the cyst, we did a natural cycle. It took the same amount of time for the follicles to develop, but then I didn’t ovulate and my menstrual cycle started. I was put on birth control to get rid of the cyst and to prevent having follicles at the start of the cycle, which were throwing off my hormones. 3rd cycle - 5 days of letrozole, ultrasound, then 5 more days of letrozole, took Ovidrel trigger shot on night 18. Had 1st IUI on day 20 early morning. Was given luteal support to start 3 days after. Estradiol Estrogen patch 0.1mg every other day, and progesterone suppositories 100 mg twice a day. Pregnancy test was negative 4th cycle - only 5 days of letrozole, trigger shot on night 13 and IUI on Day 14 late morning. Same luteal support. Pregnancy test was negative

Cost are about $300 for bloodwork and per ultrasound. IUI with donor sperm is $925.

Dr. Choi is brilliant - I trust her education, training, and experience. She does not have an ego which is amazing for a doctor of her level; she was willing to try new things that could potentially help our outcomes. I felt Dr. Choi was a detective for us. We were not sure why IVF wasn't working and why we were having such struggle. She dug in on every additional test (I was a very willing participant), additional bloodwork, she even consulted with another doctor on our case. She always demonstrated compassion and honesty. The only "negative" I could even say about my experience which I think is pretty standard, is that I didn't see her every visit. They are busy! I didn't realize this at first. The doctor doing the Ultrasound is pretty quick. If you want to know every detail, just ask - I didn't realize this at first as most information wasn't readily shared with me (exact blood work levels, egg size during a cycle, etc). I started asking, and had no issues getting every additional detail I wanted. I highly recommend Dr. Choi and have full trust in her. She is amazing at what she does.

Writing down my questions in advance for re-group sessions or when I was expecting a call with her helped me focus on not missing something. Expect her to move quickly (she speaks quickly) but she will gladly slow down if you need or have additional questions. She truly cares about her patients and their success. She's a perfectionist!

I had 3 different protocols with Dr. Choi. After learning more information during my first 2 cycles, my 3rd cycle was my best and produced the most eggs and embryos. We did not prime that cycle with any estrogen and we started earlier in my cycle. Egg Maturity was my main issue - half or more eggs were typically immature at retrieval, and we had a hard time producing normal embryos after testing.

From my first consultation with Dr. Levine, he fully understood what we went through including all the trauma we experienced with our unlucky pregnancies, failed transfers, and miscarriage. He took the time to explain what CCRM would offer us compared to our last clinic but was careful not to promise miracles. He was compassionate and straightforward. I also got the sense that he had a type of energy and vigor to help his patients that I felt was missing from my previous doctor. He also encouraged me to do acupuncture, take certain supplements to improve my outcome and did not treat these ancillary efforts as anecdotal. He always spent a lot of time on the phone with me to explain treatment protocols, my progress, next steps and the reasons behind his decisions - which was very important to me. We did one egg retrieval cycle that went very successfully and he encouraged us to feel optimistic for a transfer. I love that CCRM offers acupuncture on site so that I don't have to run back and forth to my acupuncture clinic before and after a transfer. I also love that my husband was able to join me in a normal room for the transfer that wasn't on an operating table. The embryologist came in and introduced herself, along with the fantastic nurses, and really the whole experience felt personalized. My first transfer ended up in a chemical pregnancy and Dr. Levine called me on a Sunday twice, when it was clear he was with his family to take the time to explain what happened and what he thought we could change for the next time. Dr. Levine is an incredibly smart, compassionate, and intelligent doctor. I really appreciate that he reads a lot and shares his knowledge and findings with his patients. He is never dismissive when questions arise and he has an opinion. He also has a great sense of humor and doesn't take himself too seriously. He is generous with advice, recommendations and what was truly unprecedented for me was that I could email or text him and he would answer me back within minutes.

Don't be afraid to ask any questions or contact him when you have additional ones that you forgot to ask during the appointment.

The cycle was about $20,000, not including medications. Each transfer cost approx $5000, plus an additional $2000 for pregnancy monitoring.

Brian Levine is a good communicator and great Doctor who encourages us to try for IVF despite my low ovarian reserve. He calls you personally on the weekend to give your results. He answers any questions you have through email and listens to your concerns. Really, he wants all his patients to be successful and we are glad he's our Doctor.

Understand that CCRM is a community that he is running. Brian might not be there for every ultrasound but the other Doctors will be and they are all great.

He changed clomid to lupron during my second cycle and I'm on estrogen pills with lupron, menopur, and gonal this cycle- our third. First cycle only had one egg- cancelled, second cycle 5 follicles, 2 eggs retrieved. We are hoping for better results third time around.

An efficient well run machine. No waiting, compassionate Doctors. I loved the team at CCRM so if Dr. Levine was not available it was always great to see the other Doctors- they are all good. Dr Knopman is so kind, Dr. Talebian encouraging, Dr Choi matter of fact but in a good way.

I had my insurance through Progyny

After 3 failed IVF cycles at Cornell including 2 FET of PGS normal embryos I looked into other clinics for one last attempt at IVF since Cornell said they wouldn’t do anything differently. I considered SIRM where I underwent further testing and learned I had elevated NK Cells, because of their experience treating immune issues but after seeing their low success rates for women over 40 I did not feel comfortable proceeding. I also considered NYU but they never called me back when I asked about their prices. Based on reviews for CCRM I thought this was definitely the best clinic in NYC. When I called to make an appointment Dr. Talebian and Dr. Knopman had appointments available soon. I chose Dr. Talebian based on her reviews. I enjoyed our consultation. She was smart, confident and prepared for our meeting. She took the time to explain what she would recommend that was different than Cornell. Based on my bloodwork she recommended the Microflare Lupron protocol which she expected to provide better quality than the antagonist protocol which I used 3 times at Cornell. Unfortunately, this protocol did not work as well as I had hoped. It took me much, much longer to produce follicles and eggs. I did not produce as many eggs (16 vs 11) and none were genetically normal. Frankly, I regret changing the protocol when the standard antagonist protocol had worked so well for me at Cornell. She also reviewed the long list of supplements I was taking. She said they were good but she recommended I lower the dosage of DHEA to 25mg a day since my levels were off the charts high after she tested my levels. I am not sure if lowering the DHEA dosage was the right call or not because I had a better result at Cornell when I was taking 75mg a day of DHEA. Because of my repeated IVF failures and miscarriage, Dr.Talebian said she would also recommend an immune protocol during the transfer including Lovenox and a steroid to suppress the immune system. She said she does not administer intralipids but if I wanted to, I could go to Dr. Jonathan Scher for further immune testing and she would work with him and incorporate his immune protocol into my plan. She said for some of her patients they have finally had success after treating immune issues. Dr. Talebian’s experience and success with hard cases gave me comfort and confidence. I like that she is open to treating immune issues. My RE at Cornell did not “believe” in immune issues at all. Unfortunately, I never had any embryos to transfer so I cannot really elaborate on the immune protocol. Another way CCRM differs from Cornell is that they recommend PGS for all blastocysts. At Cornell on my last cycle, I had a fresh transfer of my two best untested Day 5 embryos (3AB and 2.5AB). That transfer failed. Dr. Talebian would not transfer untested embryos. She says that it “tells us nothing.” In retrospect I wish we had tested all of my blastocysts at Cornell before transferring.

I found very few doctors that are willing to use alternative therapies for immune issues but Dr. Talebian was one of them. However, I personally regret doing a cycle with her and changing my protocol because my results were not as good as expected.

Started estrogen patch 6 days before injections. Started 20 units of Microdose Lupron on first night of injections, then 20 units in AM and 20 units PM after that. On day 3 of injections added 150 units Menopur in the AM and 300 units Gonal F at night. Took a combination of microdose Lupron, Menopur, Gonal-F and Dexamethasone for about 13 days before trigger shot. (In my previous IVF cycles, I took meds for about 10 days. I think my follicle growth was slowed down a bit by the Microdose Luprom.)

So far close to $29k out of pocket. $350 for consultation. $22,000 for IVF including CCS and FET which I have not done yet. $300 for sperm freeze. $5,000 for medication payable directly to pharmacy. There may be additional costs that could come up including $1,400 for anasthesia. Sometimes insurance covers anasthesia-waiting to find out. Less than $200 for lab work. Some of the lab work was covered by insurance. I exhausted my IVF insurance coverage so was paying out of pocket. I looked into the pricing at Cornell, NYU, RMA and SIRM as well and I think CCRM was about $7k more than the others. At the time I thought it was still worth it to go with CCRM. But in retrospect, I regret the decision.

I experienced secondary infertility. My own research for treatment mainly through fertility iq led me to CCRM NY and Dr. Levine. I had a year long experience at CCRM, patiently progressing from the least invasive approach. I had 4 iui and 2 ivf transfers. The first transfer led to an ectopic pregnancy, the second happily brought our full term, healthy baby to life. Dr. Levin was always reachable and available beyond the call of duty. On the first consultation he give all his attention and gained our confidence and trust. Dr. Levine works passionately with dedication and a good sense of humor and social skill. He responded to calls even late in the evening.

Be prepared to take the least invasive approach even if it takes a longer treatment. Dr Levin will guide you through the entire process reliably.

The most difficult time was when I heard from the doctor that my first transfer resulted to an ectopic pregnancy. I did not know what that meant even. Dr Levin sent me immediately to a clinic for a confirmation ultrasound. Then I got the methotrexate shot and had to wait 3 months before the next transfer.

SET preferred and recommended for my case

Dr. Choi is a warm compassionate person who understands that you are a person. As a "doctor" having empathy is a no-no but she understands the vulnerability of why you're at the office. She explains everything from start to finish and if there are any set-backs (in my case, there were), SHE will discuss it with you. Not anyone else that doesn't know your situation. She has a good personality and can definitely say something funny at times to make light of a situation. The only bad thing is she can not be everywhere at all times, you will see other doctors if she's away or conducting procedures.

When she says it's a process, IT IS A PROCESS! I am the least patient person and i had to learn that this takes time and it is a HUGE commitment. Trust the process.

Well first, you have to go through a process of elimination. She asked what procedures did i do before going to CCRM NY, which was only using Clomid and did some cycles of IUI's. One which resulted in a chemical pregnancy. Prior to starting my IVF cycle, i did plentiful of blood work, i was on medication for an elevated pituarty. I did blood genetic testing, hormonal testing, I checked to see if i had blockage of my fallopian tubes. Then for my 1st cycle (I wound up having 2). I was taking 2 vials of Menopur in the am & 300 units of Follistem at night, Lupron. Followed by Cetrotide in the morning. Right before the retrieval i had to take a HSG shot. I initially had 15 eggs withdrawn and ultimately they were all unusable. For my second cycle, the meds were pretty much the same, instead of using Cetrotide, i used Ganirelix. We did the genetic testing again and this time we sent my husband's sperm to be analyzed (The company was SCSA) and they were able to use sift out the stronger sperm from the weaker ones. My second retrieval resulted in 15 eggs, and 2 survived. I had one sucessful implantation and the other is frozen. For the transfer I was on Estrogen patches and I had to inject myself with Progesterone Oil as well as take suppositories. Immediately after the transfer I did acupuncture. My son now is 7 1/2 months old and I'm grateful everyday that he is here.

I was fortunate to have everything, from blood work to ultrasounds sounds early in the morning. I'm a 9 - 5 woman so sometimes I was able to get a 7:30am appointment. Never any lines, I occasionally waited in the hallway, not more than 3 mins.

The state of NY doesn't cover IVF expenses. CCRM NY's costs are very itemized. It costs more to add genetic testing, which i highly recommend.

For the state of NY, they always tell you to transfer 1 embryo. In my case out of 2 cycles, i only had embryos. Dr. Choi strongly suggested that i transfer one embryo at a time and I agreed that was ultimately best.

Dr. Knopman was absolutely fantastic. Going into fertility treatment my husband and I were not sure what to expect but she was aways honest and open, direct and encouraging. Dr. Knopman was innovative and willing to try new paths if a cycle did not work out the way we had hoped, she never repeated the same cycle twice without first considering alternatives or other avenues. She gave us tough news in the kindest way possible and was also our biggest cheerleader when we took steps forward. Dr. Knopman changed our lives and we are so grateful to have had her each step of the way.

Be open to the process and be realistic about the treatment. A lot of working through infertility is figuring out what works for your specific situation and Dr. Knopman will be a fantastic ally in that journey.

Early on we tried two IUIs with letrozole and a trigger shot, which was a very comfortable first step for us in the early process. Then we moved to our first egg retrieval and did one medicated transfer (using progesterone, patches, supplements, etc.) and one "natural" transfer (using just the patches and suppositories). Our first transfer resulted in a negative pregnancy test and our second resulted in a chemical pregnancy. We did a second retrieval and for our third transfer we did a "natural" transfer with two embryos and supported by supplemental IVIG treatments provided by Dr. Jonathan Scher, which was ultimately successful.

We were very fortunate to have fertility insurance through Progyny. Out of pocket costs were for procedures co-pays and for medications.

None.

I would recommend dr. Talebian to all my friends. I am still going through the IVF process but regardless of the outcome she has my full trust. I know I am in good hands with her. She is smart, dedicated, caring and kind. She makes me feel like I am not alone in this journey and is as vested as I am.

Describe your situation and history with details and Dr. Talebian will make sure to adjust the protocol accordingly.

I have done two cycles so far with Dr. Talebian. Based on my history, we did the lupron protocol combined with Menopur and Gonal F. I responded well the first time, less the second time. We suspect that it’s because the first time I was prep’d with estrogen patches, and with the contraceptive pill the second time. For my third cycle we will start w the patches, the Gonal F and Menopur combined with Clomid. I will be triggered w lupron and HCG.

Wait time was minimal and process very smooth.

Each retrieval cycle cost about $16k + injections paid separately. That does not include the embryo transfer.

Dr. Talebian suggested we may have to consider transferring two embryos when the time comes given my success so far.

Dr. Knopman is a communicative, intelligent, caring doctor who will give you the best treatment every step of the way. She is willing to take each case as an individual situation and think outside the box to get you to your end goal. She is candid and casual and I felt like I had known her for years after meeting her for the first time. However, she is also blunt and to-the-point. If you are somebody who wants things delivered delicately and know the you prioritize hand-holding, she may not be the doctor for you. I would recommend Dr. Knopman to anyone who is seeking fertility treatment and would be confident that they were in the best medical hands.

Have all of your questions ready because she is fast; she is in and out of the room when you go in for scans and you should be prepared with everything you want to discuss. I would also say never hesitate to email her, she will always get back to you.

After two failed rounds on IVF at another clinic (where many embryos were made but few made it to PGS testing and none were "good") she added micro dose lupron to my protocol and it worked. While I still only had one embryo sent to PGS testing it was one more than we had the last two rounds and it came back "good" and we are now 8 weeks pregnant.

I honestly forget the details but a cycle was around 20k?