CNY Fertility Center

The clinic is very cost effective. I would only recommend them if it is all you can afford and your last choice. Care is coordinated almost entirely by nursing and they make frequent mistakes. It’s not cheaper if you have to repeat cycles due to their errors. You will see people say “you have to advocate for yourself.” That means know the meds, which are right for you, labs, values, treatments etc. Dr Kiltz believes that keto is the answer to everything and if anything goes wrong in the cycle, diet is blamed. Use caution.

This is a very busy clinic. Genetic protocols are given. My requests for specific medications were denied without explanation. You almost never get to speak to a doctor. I didn’t get to talk to one until I was being prepped for ER.

Care is completely coordinated by travel nurses. I given conflicting information by different nurses on several occasions. They can be difficult to communicate with. The nurses in the facility were caring and efficient.

I do not care for Dr Kiltz’s manner. I had several concerns about my cycle, including meds and protocol. He completely dismissed my concerns and pushed keto heavily, explaining any negative outcome away with my diet. He is not very active in care, it is managed almost entirely by nurses. I didnt get to speak to a doctor until ER. I saw him at transfer, and made an appointment for follow up.

Be sure to know exactly what you are doing. You need to know your meds, and what is best for you. You need to know your labs, when they should be done, what the expected values are, and what to request if they are not within limits. No one is going to help you through this process.

I stimmed with 300 gonal f and 10 hCG/lh. I requested to prime with hgh as I was concerned about egg quality and was denied. I ended up with fair/poor 3 day embryos. I was encouraged to do a fresh transfer. My tsh was not checked until transfer day, and was elevated. By the time I knew, the embryos were already in me. Elevated tsh can cause chemicals and miscarriages. My cycle ended in a chemical.

The cost of this clinic is low, which is one of the only redeeming qualities. However, keep in mind that testing, monitoring, and travel add up. I spent about $10,000 for ivf and fresh transfer and it ended in a chemical pregnancy, possibly due to the clinics incompetence. It’s not cheaper if you have to do it several times due to their errors.

CNY does not usually allow multiple embryos transferred. Because mine were fair to poor and 3 day, I was allowed to transfer two.

Strengths are costs! This is the number 1 reason we are going to CNY. We are from TX but traveled to NY because our insurance does not cover IVF and CNY is affordable. Weaknesses are communication. Many times I received an incorrect protocol or was misinformed about certain medications. You speak to a different person every time so it is difficult to feel like you have a relationship with the clinic. If you have a complex case I would not recommend going here.

CNY is very popular for their low prices, but be advised that you do not have a specific nurse or even Dr that you work with every time. Each time you visit, call, message the portal it is a different nurse/person. This made me feel at times like a number as I had to repeat myself multiple times and often my protocol was lost in communication. Customer service was always wonderful and they were always nice, but I think they are just overwhelmed with patients.

The nursing staff was extremely nice and compassionate. The nurses run the show. All your monitoring appointments for retrieval and transfer will be with the nurses. They determine when you will trigger and when your retrieval will be. Make sure you are your own advocate for your protocol and triple check the instructions. I was given incorrect med doses 3 times and received different answers each time I asked about it. I think they are overwhelmed with patients and it's hard for them to keep up with everyone.

With CNY whoever you consult with does not mean they will be the Dr performing the retrieval, transfer or IUI. Ihad my initial consult with Dr.Corley and also my follow up with him but another Doctor performed my egg retrieval. I did not have the outcome I had hoped for with my egg retrieval and when I consulted with Dr.Corley he was great with creating a new plan. One thing that does bother me is I felt my file and medical history was never reviewed before I was given a prescription/protocol. If it would have been reviewed I wonder if my protocol would have been different resulting in more eggs/embryos. We are now gearing up for our second egg retrieval.

Be your own advocate. Always double check your protocol and ask questions!

First ER cycle he recommended LDN, 225 Gonal F and 75 Menopur. No birth control before cycles as CNY does not usually prescribe that. My next cycle I am priming with HGH, Menopur and a 7 day estrace post ovulation. Once I have day 1 I will start 300 Gonal F and 150 Menopur.

Each monitoring appointment you will be seen by the nurse. You have a different nurse every time. Most of my appointments were on time and the most I waited was 1 hour.

$3900 for retrieval and fresh transfer plus monitoring appointments/labs. This does not include medications. The cost for a frozen embryo transfer is $250 plus monitoring appointments/labs.

Super busy place and that's probably what makes it more affordable than other clinics. The cost of several things here, except IVF, might be close to what they may be elsewhere, especially if they aren't in-house costs, for example, medicines (third party pharmacy cost), PGS (third party diagnostic cost) etc. That being said, the difference in IVF cost here and other places is HUGE making it an easy win over other places. However, if you want a dedicated care team, want to see a doctor on each visit, and want the clinic to be initiating a lot of conversations with you instead of you having to call/email them for information constantly, this may not be the place for you.

The clinic is super busy and that means that I met a different nurse each time I went in and a different nurse responded to every email I wrote. Sometimes, that meant that the entire email thread wasn't read and that caused some miscommunication. The online system (portal) doesn't let you 'reply' to an email - you need to write a new message each time and that is a bit painful because you need to reference the content of the previous email to make sure the context is clear to whoever responds next. Overall, though, I thought the nurses took good care of me (even if it was a different person each time) and treated me like a person. From what I read on FertilityIQ after my treatment was that I could've asked for the same nurse each time! I did ask that a particular nurse not do my ultrasound and that request was respected.

Overall, I believe the nurses run the place and they are doing a pretty good job. Most of them seem to have a good bit of experience and are understanding and accommodating. I'm a bit less enthusiastic about the embryology team as some of them seem to have less than a year's worth of experience with no background in anything bio related. This is another thing I learned on FertilityIQ - to look for the nurses and other people on LinkedIn to get a sense of their education and experience!

We met Dr Kiltz once during the entire cycle and that was a random encounter while waiting for an ultrasound. The conversation was all about what the keto diet is and he certainly has super strong opinions on that. After the cycle and no seemingly viable embryo, I was expecting Dr Kiltz or someone from the office to call me to discuss the PGS results and potential options but nobody called us. I called the office and asked for Dr Kiltz's phone number (something I'd learned on FertilityIQ) and texted him asking him to call me back. He was pretty responsive and we talked on the phone a couple of days after the initial text message. During the conversation, I was hoping he would help me figure out what might be the next best thing to do but he mostly cited stats and said making the decision about what to do next was my call. While I appreciate that, I would've liked a little bit of guidance in the decision making process given that he's the experienced expert. I've already read plenty research papers and looked up stats on FertilityIQ and elsewhere! The final decision, of course, would've been mine. Those are the only two times I've talked to him and the rest of my interactions have been with the nurses, including the initial consultation, where I was given the sense that it would all magically work out.

Do your research. Read through all the relevant courses on FertilityIQ and go in with specific questions you want answered that you couldn't get answered elsewhere.

My first consultation was with a nurse and she set the treatment protocol. From my point of view, there was no input from Dr Kiltz regarding anything though I have no idea what goes on in the background. Makes me wonder if I should've explicitly asked to speak with him. I did ask to see the nurse who designed my protocol during one of my monitoring sessions but was told she is unavailable. I think my first consultation would've been with a doctor had I waited 8+ months for a phone consultation appointment. I went with the onsite nurse consultation as I got an appointment 4 months out which then got moved up by a couple of months as a slot opened up.

2600 (medicines) + 4600 (IVF + biopsy) + 1235 (monitoring in Syracuse and once in a different state) + 2100 (PGS) + travel and lodging costs for the initial consultation and the IVF cycle + some cost for tests done right after consultation.

Didn't get to this point in the cycle.

This is a beautiful clinic. The care they provide is good. Some things I am questioning and asking around is standardized treatment rather than individualized plans. Since I have not been successful with 3 ivf cycles and 5 transfers I am considering other options.

Very knowledgeable provider, grounded in research, can be abrasive with his wishes and forceful about his plan to acheive the outcome he considers best.

Great Nurses!!! What I didnt like is that you will be scheduled with a random nurse everytime unless you request a specific nurse. They will try to coordinate if you request to see the same nurse which I think is very important. My first cycle things were easily overlooked when seeing a different nurse every time.

Like I said, very knowledgeable and talented surgeon with a typical surgeon complex. I was told before hand he did not have the best bedside manner and was willing to take that on for his expertise. During my phone consultation he was very thorough and explained everything very well which I appreciated. We came up with a plan based off my previous cycles that adjusted stims and treated possible undiagnosed immunological issues without testing. I've been told it's cheaper and easier to just treat rather than test for these things. My negative experience came on the day of transfer when he decided to change the previously discussed plan while I was already in the surgery suite and my husband in the waiting room. He felt that it would be best to only transfer one of the three best looking embryos rather then all three even though my age and statistics and previous failed cycles permitted this number and we had already discussed this. He was very aggressive during an already emotional and vulnerable moment (naked lying on table without my spouse to discuss). I expressed needing an opportunity and a moment to talk to my husband and was told that he cant guarantee he will perform my transfer then as he cant grantee he wont be busy 5 minutes from now. This is why I felt more like a number. And I will mention they brought me back more then an hour late which means they were willing to give another patient the time they deserved possibly but not me. I felt like I was being rushed to just go along with what he decided and theres nothing else to question. However, being a well informed medical professional myself i felt disrespected that he would not want me to take a moment, be informed, and make a decision with him that I was comfortable with. In the end I decided to stick to my plan but honored him for his concern and interest in my best outcome and he appreciated my respect and we moved forward. I did conceive this round which was the very first time ever after 5 transfers! Unfortunately it ended in a 5wk miscarriage. I feel that I might not have even experienced that if I did not transfer all 3 since nobody really knows which will go the distance in the future. Just a reminder no matter how well meant...they are not God, but well intended Dr's and its important to be compassionate with the human being in front of you....even if it means explaining and understanding their goals, or even a fight, or even 5 minutes.

He is an excellent physician and obviously passionate about his responsibility and the outcomes he is responsible for; a really great thing! He can come off strong at the worst moment so just take a deep breath and know it's likely coming from a good place. Stay focused and dont get defensive or angry and it will likely work out.

The waiting room is a bit small but very beautiful; I actually enjoyed waiting in the relaxing low lit well decorated space. Often times you could get a free message while you waited. The nurses work as swiftly as they can without shortchanging patients. I was very happy with my monitoring appointments. They provide very early hours so you can squeeze in before work if needed but these appointments can fill quickly.

Ivf $3900 + monitoring fee $925 Transfer $250 + monitoring $500 No medications included

Evidently this physician has a strong preference for eSET, only this was not strongly expressed to me before the day of my tranfer. I specifically asked my nurse during prepatory visits if this Dr. was aware of my desire to transfer my three embryos and if he approved. I was told as long as I am aware of the risks and ok with them he is ok with with transferring 3. But this was disagreed upon tranfer day.

The price is definitely a strength of CNY. We wouldn’t be able to afford IVF if it wasn’t for the price. The atmosphere of CNY is great too. It’s so relaxing and the staff work hard to make you feel comfortable and relaxed. One negative thing is there are so many patients and not enough nurses. You truly have to be you’re own advocate and call multiple times to get someone to answer you.

He went out of his way to talk to us and make us feel comfortable and welcomed at CNY.

Brenley was amazing! She took the time to answer any questions we had and was always willing to talk. She was the only nurse there that didn’t rush when I talked to her.

Dr. Kiltz called my husband personally and set up a new plan for us when our cycle did not work. He changed my meds and had us freeze our embryos on day 3. He answered all of our questions and was very helpful.

You have to be you’re on advocate when it comes to CNY. There are not enough nurses for the amount of patients and you need to fight sometimes to get your questions answered.

The first cycle we used Menopur and Follistim. My husband gave a fresh sperm sample and we used ICSI. We only had one embryo survive to day 5. We did a 5 day fresh transfer and it did not work. The second time, Dr. Kiltz put me on Menopur only. They did a sperm extraction on my husband and ICSI. They decided to freeze our embryos on day 3. They froze 4 embryos. One is rated good and 3 are rated fair. We did not transfer them yet.

It’s very affordable, but we did have one issue where they misquoted a procedure for my husband and now are making him pay the new price.

Dr. Kiltz suggested one embryo for our fresh day 5 transfer and 2 embryos for our frozen day 3 transfer.

They are excellent at what they do but their communication is terrible. Their prices are exceptionally cheap. I think their intentions are amazing. Dr Kiltz is wonderful but not all the staff works as excellent as he does or intends his staff to do.

Extremely busy doctor. Often the staff didn't return calls as planned.

The nurses rarely return phone calls or call with lab results. Often they do not even update the patient portal. They do not communicate with you unless you basically repeatedly call and beg them to do so. They are over extended.

Dr kiltz is such an amazing compassionate brilliant man. He is extremely busy. He even gives out his cell phone number to patients. He is a believer in God and faith. He is kind gentle and incredibly smart. A man ahead of his time in knowledge of infertility. He is always rushed and in a hurry because his plate is so very full with the many many many people he is trying to help. His intentions are in the beSt place. He wants everyone to be successful in their infertility journey. His heart is the biggest of anyone I know. He is a wonderful man. I truly can tell he does this for the love and not the money. He keeps his prices down so they are the most affordable. However he does overextend himself.

Do not expect to see him when you visit his offices. You will rarely be treated by him. He often has other providers that will treat you. This is not a bad thing just how it is.

I was given metformin for pcos. Gonal. Menopur. Baby aspirin. Antirejection drugs. Prenatal vitamin. Prednisone. Z-pack. Clindomayacin. Endometrin. Progesterone. These were for egg production and retrieval as well as for transfer and pregnancy.

The ivf process was $3900 but the meds are terribly expensive. Semen extraction was $1000 and can only be done at 6 am before office hours. No regular urologist at the office. He comes before his own office hours to perform procedures. Total cost of one round of IVF is approximate $10k

Dr kiltz doesn't recommend transferring multiple embryos because of the possibility of multiple births. However he will agree to transfer 2 embryos.

Very cookie cutter. There were times that I felt I was doing DIY IVF because I had to self advocate frequently. Communication is hit or miss. I recently had an experience when a nurse told me about a test result over portal and suggested a medication. The nurse didn't call me and when I called the office shortly after receiving the message, she had left for the day and I had to speak with some random nurse who never worked with me. The nurse manager tried to create excuses like nurses don't want to play phone tag or leave voice mails. I messaged my RE about my decision to seek further confirmatory testing and he was highly supportive of my decision and actually told me I did the right thing. This incident left me highly distrustful of the general nursing staff.

Through all of my cycles at CNY I have contacted him via portal several times to check in, to get second opinions, and sometimes, to let him know I'm not comfortable with something. His responses were never cookie cutter, and there have been times that his recommendations have contradicted those of the nursing staff. He was respectful of my decision to dump all the "woo" that Dr Kiltz and his nursing staff were pushing.

The nurse I worked with (you can pick the nurse you want to do your monitoring with) was very pleasant and optimistic, seemed attuned to details, but the nurses do typically follow a set of guidelines that they apply to everyone, so you need to be careful. Don't be afraid to ask the doctor for a second opinion. The NP there is nice but seems overconfident and misinterpreted previous genetic workup and I left convinced that my infertility was due to a fragile x premutation (I spoke with a genetics counselor who explained I don't have a premutation, and my infertility is likely unrelated). Not all communication well. There is a lab tech/phlebotomist who has an edgy attitude.

Dr Grossman has generally been very patient with me (I am a "difficult" patient who questions everything) and all of my questions throughout this ordeal. It is really important to let him know how you want him to work for you; we made it very clear that we are evidence-based people with no room for questionable forms of treatment (like the use of Prednisone during stim cycles, which is their default, even if no immune issues are present). He is otherwise very pleasant, easy to speak to, and welcomes all questions.

Go in with all the questions you have already prepared. He'll take his time to speak with you and answer questions honestly and clearly.

#1 antagonist cycle; can't recall doses, 2 lead follicles after 3 days of stims (nurses started me too late in the cycle), converted to IUI, failed. Can't recall med doses. #2 estrogen prime, antagonist, started stims CD2 with 450 Follistim/150 menopur, Cetrotide with dual lupron/lower dose HCG trigger-->12 eggs, 4 mature, none made it to day 3. ICSI used. #3 estrogen prime, antagonist, with 450 Follistim/150 menopur, Cetrotide, stimmed longer than last cycle, full HCG trigger-->10 eggs, 4 mature, 4 others left to mature, one 3-day embryo cryopreserved. Used ICSI.

Each IVF is $3900, monitoring is around $850. IUI monitoring was around $750 or so, the IUI itself was approximately +/-$300. Follow up visits with the doctor were $75. Monitoring for an FET was between $750-850.

It was dependent on preference. Since I only have one embryo stored, I don't have the luxury of having such options.

I don't think there is anything they need to change the girls at the front desk are welcoming. My husband had one suggestion. The room for samples isn't very sound proof, he said it's hard to get comfortable when you can hear everything going on around you.

Dr Grossman and all the nurses at CNY really care about everyone and making sure your in the right place mentally and physically. Everyone knows who you are and calls you by name, they ask how your doing and feeling. They take an interest in your life outside of the fertility.

All of the nurses are awesome! They made it more bearable. My veins are very small and are hard to get for blood work or IV's. Ann usually did my blood work and after 2 or 3 times she's got really good and remembered that my veins sit close to top of my skin and after that she never missed again! And kimmi usually did my IV for the intralipids and she hardly ever missed. And if they did and they weren't comfortable trying again they would ask someone else to look. They really make me feel like I'm a really person not just a science experiment. After everything we've been through they really make it easier to handle. They are the best at what they do and I couldn't ask for better nurses

Dr Grossman explained each step as we went through the transfers and egg retrieval. He was very good at showing us what was going on the screen and helping us understand what was happening. He was wonderful at making me feel like I wasn't just a number. He made a hard time just a little easier by being upbeat and positive about the results.

He not the typical doctor. He's very good at what he does and he's very good at explaining what to expect. He makes you feel comfortable with the plan before moving forward and he helps weigh all the options.

Even though having blood drawn sucks, I like that they take blood each visit to make sure your progesterone and estrogen are where they need to be. Before they did the transfers I started intralipids and had an HCG wash and I really think all that stuff helped. And it did work I was pregnant until 17 weeks and we lost the baby because my water broke early. If I had to go back I wouldn't change a thing. All the medicine and doses worked like they should have and it was all worth it. I'm patiently waiting to be able to try again.

For my medications I paid about 250-250$ a month. Intralipids were 56$ every two weeks, endometrin were 15$ for 3 boxes, progesterone in oil were 15$ for 2 vials, the HCG wash was 15$ for one vial, the LDN was was 50$ for a 3 months supply. During the egg retrieval the gonal -f was $15 per pen and I used 3 or 4 total, the metopur was 15$ for 4 boxes, and cetratid was 15$ for 4 boxes. After it was done all of the medicine I had left I donates to the doctors office to give to peope who don't have as good of insurance as we do and can't afford to buy them.

The choice was left up to me and my husband. The first two transfers we did 2 each time and they failed or I had an ectopic pregnancy. The last transfer we did we chose to do one embryo and it was successful. I think it makes a different some people (me included) can't handle more than one embryo at a time.

I think Because the clinic offers such low rates on fertility treatment and IVF, they don’t keep as much nursing and support staff as a traditional fertility clinic. I am local t the clinic so it was very easy for me to stop in for bloodwork and the information was always very quickly uploaded to the patient portal (which is awesome and very convenient). I’ve heard working with the travel team can be difficult as they are understaffed and not very responsive. It’s a beautiful, comfortable clinic that feels more like a spa than a medical facility (and I mean this in a good way). I’ve always enjoyed going there and chatting with the friendly staff. I like hat they incorporate Eastern medical practices and massage into their practice.

Dr Kiltz always makes time for his patients, even handing out his private cell phone number. While he can sometimes go off on tangents during conversations, he always makes his best efforts to be positive and kind

I felt it was hit or miss as far as competence of the nursing staff was concerned. I always requested working with Danielle Villa - she was attentive, knowledgeable and extremely diligent.

I love Dr Kiltz. He is truly passionate and caring. It can sometimes be difficult to get him to answer questions bluntly and concisely, as he sometimes strays off the topic to talk about religion and positivity. Sometimes I just want more fact based answers.

Because the clinic can be a bit understaffed, you have to be somewhat on top of your care.

It was an IUI cycle that was converted to IVF because I had too many mature follicles (I felt this was the fault of the attending nurse because I specifically asked if we should lower the FSH dosage and she said no, so I wasn’t surprised when I had 4 or 5 mature follicles).

We had a $3000 medical deductible that we quickly went through on ordering fertility medications the first month. After that we spent a few hundred more on monitoring and medications with our 20% deductible. The cost of IVF was $3500

Price! Price! Price. Did I say price? Everything is reasonable priced and affordable. Right down to the massage they offer the day of FET (buy 1 get 1 free!) and the free yoga they provided. So many wonderful things about CNY.

He gives out his personal email and cell phone number. I’ve called his cell crying and he talked to me for 49 minutes about how to get me pregnant without ever making it feel rushed.

Inconsistent. Sometimes they were helpful other times you got 5 different answers. Compassionate, sometimes. Hit or miss. Friendly, sometimes.

He’s eccentric and passionate. He loves what he does. He will do everything he can to try to get you a baby. everything. He colors outside the lines. I loved that about him. But, also it does come with its setbacks. As a nurse, I sometimes felt like some treatments that were recommended were a little “experimental” and didn’t have good peer reviewed evidence of success. And I think in infertility women are in a very unique spot....they are desperate. Desperate to try anything. But some of the medications don’t have proven results or studies to show effects in say 10 years. Also, sometimes he’s a little Keto crazy. I would get a little frustrated when every conversation would lead back to Keto. All that being said, I would 100% recommend Dr Kiltz to a friend. He’s kind and genuine. And he really really does just want to get you pregnant. AND I never felt like he was just in it for the money. The clinic is one of the most inexpensive in the entire country! You wouldn’t know it though...they’re facilities are state of the art.

He’s eccentric and passionate but it’s because he loves his patients and what he does.

He really pushes the immune protocol with diet and immunosuppressants.

IVF $3900 including everything but monitoring ($795) and meds.

Dr Kiltz really didn’t want us to transfer 2 embryos because I’m young and he felt our chances of getting pregnant were good. However, he was willing to do what we wanted.

The nursing staff is wonderful but they all have different things to say about my fertility care. I’m also upset with the fact there isn’t a doctor onsite full-time. I understand this is a smaller office but the patients are just as important as the other offices, so we deserve a doctor as well.

In the Rochester office they make me feel like they care about me and my specific situation, but one thing that’s frustrating is the fact that I can get three to four different opinions on care because there is no doctor onsite.

The nursing staff at Rochester is very compassionate and professional, but they all have different opinions about medications and care. I have had at least three different opinions or methods of treatment given to me. It makes me nervous knowing they aren’t all on the same page.

I’ve only met Dr. Kiltz once, when he did my egg retrieval. I have talked to him via text message when he gave me some suggestions for my unexplained infertility. He was quick to respond and gave me great information.

Make sure to be specific when asking questions and choose the location of your care very carefully. If I could choose I would go to a different location.

I was prescribed the normal fertility drugs, but it was brought to my attention that one of the triggers that I use caused cysts, which I am prone to. I was surprised because the clinic knows I have PCOS and a history of ovarian cysts and have even had a laparoscopy.

Copays and whatever my insurance didn’t cover.

We transferred one, and this was after talking to Dr. Arroyo.

Being a travel pt is hard but worth it for the right care. It's affordable at cny that's the main reason but they treated us more like s human then the other clinics in Canada did. I think the donor team at cny needs some improvements. There has been some communication troubles and their donor website isn't very well organized. I think overall if you are a seasoned infertility warrior and know your stuff this clinic is a great affordable option.

He came in to speak with me multiple times retrieval day and after he knew I was nervous to get no mature eggs and did everything to assure me we would figure it out and had embryology call me 3 times day of retrieval to check to see if any matured in the lab post retrieval unfortunately none did but he was so kind

Kris had no weaknesses in my opinion she runs the Buffalo office and was amazing from start to finish also gave me her personal email and I still msg to ask questions even tho she isn't on the donor team there

Dr kiltz is knowledgeable and he cares about the patient. He offered discounts and another round of ivf only having to pay anesthesia fee for retrieval due to getting not mature eggs. However knowing that we got over 25 eggs between 2 retrieval sand different protocols donor eggs would be the best option. He gave us his cell number to call him or message him. It does take a while sometimes to hear back as he has a lot of patients. It can be confusing as the nurses run most of the show but nurse kris in buffalo is amazing lines can get crossed especially if your a travel patient but they are pretty good at accommodating all questions and needs. I did feel like I had to be an avocation for myself as my situation was rare. Overall dr kiltz cares I wish he had less patients so he had more time with patients, but then again I'm glad he is helping so many people.

Be an advocate for yourself ask questions especially if you are going to the clinic after a previous ivf failure.

We had no mature eggs our first round with another doctor so when we went to dr kiltz I had done some research about Lipton down regulated protocol being used in poor responders and with immature eggs. He agreed and also put us on a hgh prime for a month prior and during stims to help eggs. Also double triggered to help with immature eggs

It's very affordable even with the exchange rate. When we got not mature eggs he offered to do a free ivf retrieval only paying for the anesthesia

I haven't got to transfer as we had no embryos so moving to donor eggs this is something to dicuss

Strengths: compassion, affordability, availability of new and cutting-edge treatment options Weakness: keeping up with volume of patients means that some may fall through the cracks; patients should be prepared to advocate for themselves

Dr. Kiltz, as busy as he is, has spent time with us during the consultation to address our concerns, and has picked up his personal cell phone to take my call. He is compassionate and seems to genuinely care.

For the most part, my experience with CNY's nursing staff has been overwhelmingly positive and they have been so helpful and informative. The exception being one nurse who called me right before my second retrieval to tell me that the odds were against me, all of my follicles were likely cysts, and discouraged me from going through with the retrieval. I'm very thankful I called for a second opinion and checked in with Dr. Kiltz, because the retrieval resulted in 3 eggs (from 3 follicles, none were cysts) and 1 grade 4 AA embryo that we were able to freeze on day 6.

Dr. Kiltz is amazingly positive and encourages us to have faith, while acknowledging that this process is difficult. He listens to all of our concerns and always offers his opinion. While some of his methods and philosophies are unconventional, I find that I can take away some nuggets of truth from his advice and recommendations, even though not all of it (i.e. his extreme Keto diet) is for me. I have seen Dr. Kiltz at every visit to CNY (three to date), and he spent significant time with us on two of the three visits. Dr. Klitz and CNY Fertility is well-known for offering affordable fertility treatments, as well as cutting-edge approaches. I feel fortunate to have found CNY fertility, as some of these new and innovative approaches are not available in my home state. I also believe that Dr. Kiltz works very hard to keep treatment affordable and accessible for as many patients as possible.

Pay attention to your treatment plan. Do your own research. Read about the treatment options. Be prepared to advocate for yourself. CNY Fertility is really busy as the volume of patients continues to grow. Don't hesitate to call and ask questions.

Primed with Omnitrope and Low Dose Naltrexone; First stim/retrieval: 450 IU Gonal/150 IU Menopur; DuoStim/Second stim/retrieval: 150 Gonal/150 Menopur/10 mg Letrozole Rationale: DOR, Fragile X carrier, low AMH/high FSH, poor responder to first round, so the meds/approach was adjusted for second retrieval. First retrieval resulted in 0 eggs/second retrieval resulted in 3 eggs, 1 frozen day 6 4AA embryo.

Egg retrieval: $4050.00 (includes 150.00 fee for outside monitoring for travel patients); Intra-ovarian prp injections: 300.00 as an add-on to egg retrieval procedure; meds - approximately $5,000.00

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You have to be your own Advocate and follow up on everything!!! again I think this is because they have such a huge clientele and they are overwhelmed. They genuinely seem to care about their patients although I feel like the nurses should be on the same page. Sometimes you can call in the same day and get a different opinion depending on who you speak to you and that makes me very nervous when protocol gets changed. I feel like the only person that should be setting protocols are the doctors. The nurses have too much room to move things around in my opinion

it depends on the nurse that you get. Some nurses were absolutely amazing while other nurses didn't see him as invested in my journey.

Dr Robert kiltz is a very loving and caring man who really seems to want what's best for his patients and he really wants to help them make a baby however with that said, I feel like he is extremely overwhelmed and takes on too many clients and because of that I feel like he is just spread too thin. there have been times when I have sent him a text message and he responds immediately and other times when he never responds. I am assuming this because so many people contact him and he's just overwhelmed trying to help everyone. He's only one person. But he does have the biggest heart and he seems very genuine about helping people and making it affordable!

He's a great man but you have to stay right on him because he is so busy!

He's very big on keto and the immune protocol!

$9,000 for six donor embryos And of course other fees

It takes awhile for an initial consult and it can get confusing if you don’t know who to call in the beginning. Once I met my treatment team and spoke to dr kiltz the plan was in place and in motion by the time my next cycle started.

I’ve had two miscarriages and lost one son at birth due to birth defects and not having kidneys. I was originally going to go back to my original clinic (not CNY), but my doctor wanted me to go back on clomid with an IUI (how I got pregnant with my son.). Regardless of what caused my son’s birth defects, I was adamant about not going back on clomid, and my doctor was not listening to my concerns. I was dismissed and told I just “have bad luck.” I texted dr kiltz and he personally called me back ten minutes later to come up with a plan. He listened to my concerns and knowing I have lupus compiled a plan we both agreed on. We are now in our first cycle using injectables, iui and an immune protocol. I’m so grateful for dr kiltz, the buffalo office, and being able to start so quickly.

I go to the buffalo office and everyone I have come in contact with are kind and compassionate. Kris the NP is wonderful, and listens to everything you have to say. I’ve always gotten a response to every message I send the same day. Carrie, RN has been doing my intralipid infusions and is so helpful. It’s hard for me to “let go” and not be in control of things, but the girls in Buffalo make it easy.

I have never had a doctor that I could personally text with concerns and have him call me back 10 minutes later. I am so grateful for his out of the box thinking and not being afraid to try new things.

He does everything in his power to help you.

I have had two miscarriages and a son lost at birth to birth defects. I also have autoimmune disease with lupus and known inflammation in my body. We decided on femara, follistim, iui with the immune protocol with intralipid infusions.

Too early to know, I have not had to speak with finance yet.

We are currently doing iui

Beautiful facility. Very clean and organized. Staff is polite and efficient. I love that they have acupuncture and massage on site- I appreciate the mix of eastern and western medicine and it Makes a stressful process more relaxing.

He took the time to thank us for the long wait for our appointment and for traveling far to receive care at the clinic. He asked us a few questions about ourselves to get to know us better. He also took the time to explain about his background and experience as well as what his role will be in our care.

Allyson responds very quickly via their online portal. It is hard to call and get in touch with her unless it’s been planned via the portal. She has directed me through the initial phases of my treatment and has contacted the doctor when needed.

He was very straightforward and methodically took us through our different options and the success rates of each. He gave us time to ask all of our questions without us feeling rushed. We were seen right on time and the appointment lasted the expected amount of time. He was rather blunt which my husband and I prefer, but may be an issue for others.

I would recommend seeing him for the consultation. I did not work with him personally for any treatment but I would trust him with my care.

I am having issues with my uterine lining thickening during my mock cycle. It has been suggested to take Intramuscular estrogen, use Viagra to increase circulation to the area, and take a course of antibiotics to minimize inflammation and local flora. I have not gone through a new cycle yet so I cannot comment if this worked.

The staff is this clinic's strength. I would also say that the setting and environment in the clinic is phenomenal. This process is stressful enough, so the environment they have created which is warm, relaxing, and inviting is one of a kind. You truly feel appreciated as a patient. Their website patient portal however is absolutely terrible and is a terrible weakness. Communication is completely lost if you as a patient rely on the portal.

Dr. Ditkoff was very straightforward and clinical in his approach to me as a patient. However, he was also very thorough in his approach. I was only able to meet Dr. Ditkoff on the days of egg retrieval.

I cannot say enough good things about the entire staff at CNY. A well-oiled machine that runs efficiently. At the same time, the vibe in the office is warm, inviting, and everyone seems to love their jobs. Justine was so helpful. She took the time to sit with me, discuss my options and treatment plans. She empowered me as a patient, and relieved much of my stress and anxiety. I felt in control of my personal outcome both mentally and physically because of the way she spoke to me and informed me through every step of the way. I have never felt so sure of my decisions through my treatments until now and that is because she patiently educated me about the process, something that is highly unusual in this medical field.

I do not have enough experience personally with Dr. Ditkoff, I simply saw him briefly for my retrievals, however he seemed to be very serious about his job. I felt as if he doesn't like to waste his time or mine as a patient. I would agree with most that he lacks bedside manner, however what I do appreciate is his attention to details. I also must say that out of all the egg retrievals I've gone through, the ones performed by Ditkoff left me with no pain, symptoms, or even slight bleeding afterward. I wouldn't have even known I went through the procedure had I not been there myself!

I would not recommend him to a patient that needs a doctor to coddle them. But I would him to a "veteran" fertility patient who admires a doctor's precision and experience.

Treatment strategies and protocols were given to me by nurses for the most part.

We only saw the Dr a couple times, and while he's awesome, it can get frustrating not being able to get info right away from the nurses, but they are so overbooked it's not that they are bad, it's just a lot of people go through there. We expected it a little based on what we'd heard but I'm not sure i realized how frustrated I'd feel sometimes by that. We don't even have a lot of issues we are calling or need uploads for so it just seems like they could add some staff and take care of the problem.

Dr. Kiltz was fantastic at our consultation. He took so much time to explain everything and go in to detail about things that would be better for us to work on at home beyond the medicine, with yoga, and walking, and acupuncture and massage, and diet. he's really into keto which i don't think is for us, but he was great seeing how passionate he is about making families. he gave us his cell phone and just really wants to see his patients successful.

The nursing staff are mostly great, just over worked. There are few that you might encounter that arent as friendly as others, but for the most part I've had a good experience so far. It's just that they can take a bit to get back to you or to remember to upload to my portal if they get too busy. But I hate to say that's the nurses because they all seem so nice, i just think they need more nurses to better their response rate.

So far it's been great. We've only seen him twice but that's to be expected in such a busy office. But he passes info on to the nurses to give to us, they are just sometimes really busy in getting back with us, but he was fantastic to work with so far.

Ask a lot of questions, and realize that he will get off on tangents and you may have to bring him back to what your original question was.

I started on normal IVF meds with a change in progesterone protocol because I reacted badly to it last cycle. Dr. Kiltz was great in recognzing that and coming up with alternatives.

they are very upfront about costs, their billing director talked to us directly about the cost, finacing through them options, and a few other outside options, as well as add on costs, like glue, freezing etc. We'd already contacted the pharmacies for med costs, but those aren't too different no matter what facility you go to so I don't consider that a cost of Dr. Kiltz

he said we'd only do one, but we expected that as we'd seen in our support group he'd been toning it down to one with everyone lately.

The clinic has a nice spa-like feel and this reflects Dr. Kiltz's belief in de-stressing and providing a relaxing environment to help with IVF and IUI. The clinic offers many different avenues that many other clinics do not: accupuncture, yoga, lipid transfusions, which is unique and very cool if you live in NY to take advantage of all of these. Weaknesses may be that CNY sees alot of patients and patients who would like to really get the know the nurses/staff may not get this rapport at CNY. But overall they do a great job for being such a big clinic and for the great price that they offer for IVF.

Dr. Kiltz himself does a lot for patients. He wakes up early to take calls, stays late to take calls, and does extra things such as "fireside chats". At the office they are nice overall, however at times you can feel like a number as there are so many.

The nursing staff overall was very nice and understanding. It is a larger clinic, but for a larger clinic, the nurses and staff do a pretty good job welcoming people who come from all different states to have IVF performed at CNY.

Dr. Kiltz does a lot for his patients. We have had multiple calls with him and they have tried their best to help us out. We are from TX and it is difficult to arrange implantation and extraction, but they work with you every step of the way as much as they can. They are big on atmosphere, and it feels like a Spa, not a medical clinic... in a good way. Welcoming and friendly.

Be realistic with your own expectations and what the potential outcomes could be. IVF is a gamble, simple as that... They are great, but there are chances multiple procedures could still not work.

I used both injectibles, steroids to help decrease inflammation and many other medications to help decrease inflammation in general, especially abdominal inflammation. They also offer lipid infusions before implantation as well, which I did not do this past IVF, but may do in the future. CNY also offers accupuncture to help destress during implantation and retrieval, which I did do, and was stress-relieving. I had 2 implanted embryos, which were A graded embryos, but my IVF was not successful. Dr. Kiltz also really recommends the Keto diet: his Keto diet is even stricter: eggs, bacon, beef and butter, which is supposed to help decrease inflammation. I was not on the Keto diet during my first IVF implantation, but plan to Keto for my second.

CNY offers such a great cost for IVF, which includes freezing embryos for up to 1 year for $3900, which does not include medications of course. In comparison, most other places offer IVF starting at $8,000 at least.

Dr. Kiltz allowed me to transfer 2 embryos. I am not sure if he allows some patients to transfer more than that, but he is very understanding regarding patients and their individual situation.

Strengths this clinic has is all of the wonderful nurses available to you to answer any questions. The facility is beautiful, the lobby is inviting and comforting. The price is affordable so that every single couple can realize their dream of having a family. I can’t think of any weaknesses that I would directly relate to the clinic. I will say being a travel patient faced it’s challenges in just finding a proper place to monitor. Making last minute travel arrangements was also a bit stressful and costly.

While CNY is a high volume clinic, and during the stimulation process and transfer preparation I mostly dealt with the fabulous nursing staff, Dr. Grossman was patient, kind, and took the time to answer all of mine and my husbands questions before retrieval and transfer. He had a demeanor that made me feel safe. He explained everything he did during transfer and was realistic about our chances of success that cycle. I appreciated him not planting false hope, but suggesting that we remain optimistically hopeful for success.

The nurses at CNY are godsends. These women are wonderful at talking you off a ledge, especially when its your first time and you have a million questions and uncertainties. They are kind and informative and compassionate.

I was a travel patient which made it difficult to truly build a relationship with Dr. Grossman, however I knew all of this coming into it. The two interactions I did have with him were very pleasant. He was thorough in explaining the procedures and expectations. He was honest and gentle in not only his treatment but in his manner.

To trust the process although you may not be directly dealing with him the entire time.

My protocol was not very intense for my first cycle which I appreciated. I was thankful for this because overstimulation was a concern of mine during my initial consult. I was on relatively low doses of menapur and gonal for my retrieval. However, because I was a travel patient, and I had an extremely difficult time finding a facility to monitor me during stimulation, I believe that may be where my cycle failed. Accurate results were not reported to Dr. Grossman and he worked with what he had. For transfer I was on the usual estradiol and progesterone while continuing all of my vitamins. This part of my cycle monitoring was much less complicated and results were reported to the clinic that were accurate.

I was a travel patient so I had to locate a facility that would do my monitoring. The most stressful part of my IVF journey was this. Where I live I could not find one place that would agree to monitor me. Once I did find a facility that was almost 2 hours from where I live, they did not count and measure all follicles. This did not have anything to do with CNY and they were extremely patient, understanding, and at one point tried helping me find a place where I could go monitor. I had my labs drawn at lapcorp which for the most part did get my results by end of day to CNY.

IVF was $4,050 Transfer cost was $250 Travel and accommodation costs $2,000 Medications around $1,500

In most cases CNY will only transfer one embryo. I however had two embryos, one of fair quality and the other poor. Because of this I asked Dr. Grossman to transfer both, as to not prolong starting a new cycle, if the first failed. He was open and honest and explained that it wouldn't increase my chances of pregnancy but my chances of multiples which could have its own set of complications.

Strengths - knowledge, overall feel of the clinic, costs, patient portal, nursing staff, lab is state of the art Weaknesses - extremely busy (not in a bad way, just hard to get in), communication can sometimes be poor/slow The weaknesses are not a make or break deal for me. They are an extremely busy clinic with people trying to get into it every single day. They are an amazing clinic and that adds to their appeal. Because of this, they sometimes do not communicate as quickly as we would like. I never experienced this at the Buffalo location, only Syracuse. And it was not something that I found to be frequent either. Their strengths far outweigh the bad. It took a lot for me to even come up with bad things to say. The amount of support and knowledge that each staff member has is unbelievable. You never feel like you’re taking up too much of their time and they answer all of your questions. The patient portal is awesome because it helps to eliminate some phone calls and you can always go back and look at things on it. I thought this was very helpful, especially being an out of state patient.

I did all monitoring in Buffalo with Kris Ziegler and I cannot recommend her enough. She gave me her personal cell for any questions or anything I had. I would drive from out of state for appts and she was so accommodating and really reassuring. Dr. Kiltz did my retrieval and after it came and spoke with my husband and I for almost 40 minutes about everything. He laid it all out there for us (this entire process was very foreign and overwhelming for us) and never once seemed like he needed to hurry to get to someone else. He answered every question the best to his ability and also continuously told us that this isn’t a guaranteed process but that he was giving it his all. My husband and I left there feeling excited and like for the first time in our medical experience got answers to our questions and we were comfortable with them. I cannot say enough wonderful things about Dr. Kiltz and his entire staff.

Kris Ziegler (and all of the staff at buffalo) were just absolutely amazing. From the second my husband and I walked in for our consult, to when we were discharged we felt very welcomed and wanted. They helped accommodate us since we were driving in from out of state for every appt (2 hrs away) and were extremely good at communicating to us all of what was happening and our next steps. I seriously cannot come up with the amount of gratitude we have for them and everything they have done for our future family. We recommend Kris and her team to anyone who asks.

We had a wonderful experience with Dr. Kiltz. He only did my egg retrieval but I felt wonderful afterwards. He sat with my husband and I for 40 minutes after my retrieval answering all of our questions and never seemed bothered or like he had to be somewhere else. The knowledge this man has is unbelievable. Truly he made us feel good about the answers we were getting but also making sure we understood the reality of IVF and that it isn’t full proof.

Ask as many questions as you have. Nothing is “dumb”. Don’t be afraid to speak up about something that feels odd to you. Lastly, trust him. He is wonderful and will do his absolute best to hear your worries and fears and alleviate them.

As this was my first round of IVF, I went along with everything that was suggested. I was only on gonal-f 150 at 75mU a day and the cetrotide. I stimmed a little longer as I took a little bit to respond. But 12 days later, 15 eggs, 12 mature, 12 fertilized (ICSI even though no MF), 11 5 day blasts. I was also on prednisone, endometrium, baby aspirin, estrogen and POI for fresh transfer. I was elidgible for a fresh and so we did a 5 day fresh of 1 embryo. I also did accupincture directly before and after transfer. It was successful and I am currently 36 weeks pregnant. We did not do PGS on any of the frozen embryos.

My insurance covers “diagnostic testing” so I did not have to pay for that. Semen analysis - $30 Saline Ultrasound - $150 Monitoring - $850 Karyotyping/genetic testing (total for both my husband and I)- $700.00 Egg retrieval, fresh transfer - $3,900 Medications - $2,200

Dr. Corley did my transfer and although my husband and I had decided to only transfer one unless our embryos were poor and it was suggested to transfer two, also strongly was against transferring two. He explained the risks and how only transferring one was the best route to get our take home baby and I couldn’t have agreed more.

Strengths-doesn't feel like a doctor's office, super clean and organized, relaxing atmosphere, even when they are busy the wait is reasonable. Weaknesses-can sometimes be hard to get in contact with someone or might take a little longer than expected.

I feel like a human because Dr. Kiltz has always made time to either answer my texts or phone calls. I also feel like a human because he made time to sit and talk with my husband and I as he was getting ready to leave the office for the day.

The nursing staff at the Rochester, NY office is wonderful. They have worked with me staying over an hour away from the clinic and tried their best to schedule my appointments together or when I was going to be in the area, if it was possible. They are very kind, caring, and don't keep you waiting for very long. They make sure you are comfortable and tell you what they are doing and seeing during ultrasounds.

I have the utmost respect for Dr. Kiltz. He is very personable, caring, and never hurries us when we are talking with him. I haven't had an in person appointment with him yet, but I have communicated with him via phone and text message. For being such a busy man, I feel his response time is quick, usually within a few hours. He has been working with me for the last 3 weeks trying to figure out what was going on with my cycle. He told me not to wait and to get in and get labs and an ultrasound done. He even helped me to get the appointment set-up.

Don't be afraid to advocate for yourself, ask questions, or reach out to Dr. Kiltz himself, if you are receiving conflicting advice from the nurses.

I am currently taking LDN, Ova Vite, Ovasitol, DHEA, and priming with Omnitrope. I have been priming with Omnitrope since the 28th of February. I am doing all of this to help with hormone balance and to improve egg quality. I don't know the results yet, as I am getting ready to start my first IVF cycle.

$3900 for IVF, $850 for monitoring, $3500 medications (but I need a lot).

Dr. Kiltz is a strong advocate for single embryo transfer.

When you first walk into the CNY in Syracuse NY, the atmosphere is just so different than other drs offices I have been in. It is a very warm and friendly environment with a bunch of cozy chairs and couches and lots of reading material. It is very clean and spacious as well.

I felt like a human with Dr. Corley because he spoke with us about all the different options we had and money never came up once, whereas the doctors I had previously only seemed to care about money. If I had questions or concerns, he truly listens and elaborates to the best of his ability and makes sure I understand completely.

The nursing staff is very sweet. They answered some questions that I had as well. I have messaged them on the patient portal and they answer my questions in a timely manner.

Dr. Corley is just overall amazing. He makes sure I understand everything, he has wonderful bedside manner and he doesn't make me feel like just another case like some drs do. I had a HSG done with him and there was a lot of bleeding and I felt embarrassed. He reassured me that they have seen it all and this was nothing to be embarrassed about. He makes the appointments serious but he also lightens the mood by cracking some appropriate jokes.

Don't be afraid to ask questions if you don't understand something he says. He is very understanding and will explain everything in detail.

Right now I am in the midst of going for a laparscopy the end of April to remove recurring endometriosis, then to pursue IVF due to a genetic disorder in my family that I am a carrier of called Lowes Syndrome. I had my consult Jan 5th and he was very straightforward and answered all questions I had. He said he would recommend the Keto diet along with taking Naltrexone for the inflammation being I have an autoimmune disease. Then I had an HSG peformed by Dr Corley and he recommended that I contact my gynocologist to have a D&C done which came back that I have a change in cells so I have to have a repeat D&C in June. After the D&C in June depending on what it shows I will start IVF round #1 using my own eggs and my husband's sperm.

My insurance covered most of my costs because my deductible for the year was met. My laparscopy is covered 100%. My HSG I believe costed $900 but I can't be 100% positive. The medications for the IVF I was quoted a little over $3000 which I still think is an outstanding price, but it is a better amount to pay than some other clinics I have been too.

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