CNY Fertility Center

Cost is their number 1 strength and also the reason why everything else suffers. I am completely out of pocket so cost was my primary reason for going with this clinic. They will not turn away anyone. This is also a double-edged sword. They give hope to those who maybe they shouldn't and the volume of clients they see make if feel like you're just a number. I went into this knowing they were super busy and not really expecting the kid glove treatment, but I'm still surprised by how little guidance I've had.

I'm a travel client, so I've had no face to face contact with anyone from the clinic. I've had a couple of phone conversations with nurses who seem very nice.

I've communicated with several nurses. It's a bit frustrating because you're never sure if the nurse you're speaking to is up to date on all the details. They are always professional and kind but stingy with information. I never get a complete thorough answer to my questions and have repeated myself so many times.

I've never spoken with Dr. Kiltz. I have no idea what he's like. I've read that this is common with travel clients who are having remote cycle monitoring. Honestly, I only saw my last RE a handful of times and that was over 8 IUIs and almost 3 years. I was not expecting any hand-holding from an RE from across an international border.

If you are a travel client having remote cycle monitoring, do not expect any communication from directly from Dr. Kiltz. He signs your prescriptions and that's about it. If you're having IVF I would imagine you'd see him on the days of retrieval and transfer.

This is my second RE, second clinic but first time IVF. I sent CNY my medical records and the results of any tests they asked me to take. They sent me a list of medications with little to no information on dosages and format. They just said to get all these meds and call us on your day 1. I have no idea what the protocol is. I had to repeatedly ask for clarification on amounts, dosages and what the medication was. The list I got was as follows: 1. Gonal F 450 x 4 inject 225iu 2. hCG LH supplement (100iu/ml)x1 Inject 20 units subQ 3.Cetrotide .25mg x 6 4.Lupron trigger 4 mg 5.Prednisone 5mg x 60 1 twice daily 6. Prograf 0.5mg x 32 1 twice daily 7. Baby aspirin 81mg x 30 8. Zithromax ZPAK 250mg x 1 9. Cleocin Ovules 100mg box 10. Estrace 2mg x 60 1 twice daily 11. Progesterone in oil 50mg/ml x2 vials. Inject 50 mg IM 12. hCG 10,000iu trigger I guess they are waiting to explain how to take this medication when I call in my day 1? Like I said, this is my first IVF cycle. I had to look up most of these meds to try to figure out what the protocol is. From what I can gather from my own research is the protocol I'm on is a version of a down regulation short protocol.

Single IVF costs $3900 US Includes retrieval, ICSI, anesthetic, assisted hatching and 1 fresh embryo transfer. Each frozen transfer done within 1 year costs $450 US That's easily a third the cost of any local-to-me clinic. Remote cycle monitoring is $150

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 might be elsewhere, especially if they are not in-house items, 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. Low cost does not translate into poor care. You just have to be well informed (FertilityIQ can help) and take charge of the process (communicate with the nurses). 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 emails I wrote. A couple of times, 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 and continue to do so 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 once asked that a particular nurse not do my ultrasound and that request was respected. Since my most recent miscarriage, I've been in communication with the nurses to keep up with dropping HCG labs and ultrasounds especially since I've moved to a new city and don't yet have an local OB. The nurses and Dr. Kiltz have been super responsive. I found Dr Kiltz's phone number on the CNY website and I've been talking to him throughout the process from embryo transfer to miscarriage to D&C to post D&C complications to future directions and he has been amazingly supportive.

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. The nurses could've been more pro-active with changing my estrogen dosage based on monitoring results (blood and ultrasound). They didn't do it until I asked for it and one of the doctors suggested they increase my estrace dosage, which happened after many expensive monitoring visits. If you don't see your lining start to get thicker in 10-12 days, take charge and ask the nurses to review your protocol with a doctor and change it accordingly. I spent a frustrating month going for blood work and ultrasounds and not seeing much change. The whole process could've been faster and cheaper had I asked to get a doc involved early enough.

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 in person and the rest of my interactions have been over text. He is very responsive over text though sometimes his one word responses might be a little tricky to decipher. I still appreciate him making himself available outside of the portal and clinic and he has been super supportive and with me through my most recent pregnancy and miscarriage.

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. There is a lot of information on the CNY website as well, especially if you are already going through the IVF process there and want to consider options like donor eggs/sperm, surrogacy etc.

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. I asked to see the nurse who designed my protocol during one of my monitoring sessions but was told she is unavailable and I didn't ask again. 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 within 4 months which then got moved up by a couple of months as a slot opened up.

For retrieval: 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. For transfer: Lining prep medicines (don't remember exact number but likely under 250 as estrace and progesterone aren't as pricy as the retrieval meds) + monitoring (out of town so about 2000 because I was asked to go many times) + embryo transfer cost (varies if its part of IVF cycle or not) + travel and lodging costs for the embryo transfer + acupuncture cost ($70 for 2 sessions or 1, I don't remember) if you choose to do it before and after transfer.

I didn't ask what the doctor's preference was. I went with my own idea about how many I wanted to transfer and nobody was opposed to it.

To work with this clinic, you have to be on top of your stuff. If you are looking for hand holding and a passive approach to your care, I wouldn’t recommend this clinic for you. If you have a strong voice and have done your research, I think this is a great fit! They support the approach you feel best about while giving their guidance and opinions as well.

I was feeling anxious about the protocol plan and the nurses weren’t aligned to what was agreed to on the phone with the doctor. I texted him about my concerns and frustrations early on a Saturday morning. I did not ask him to call me that day, nor did I expect an immediate response. He called me immediately! He listened and spoke with me about life and the stresses of this process like he was my friend.

They are extremely busy and difficult to get in touch with. Done have been overly helpful, while others have made me feel like an inconvenience.

During the consultation phase of the IVF process, my brain was overwhelmed by information and questions. He made me feel calm and supported as we decided together on what was best for me. I was seeking an individualized experience and so far he has made the time to give me confidence in the plan. He not only discussed the medical side of the process with me, he also discussed lifestyle and perspective.

He is a doctor in high demand, so do not expect him to reach out to you. However, if you have questions or concerns, you can expect him to respond quickly and with compassion.

His approach is 300 Gonal/Foll and 150 MEN to start. This is my first IVF cycle, so he made an insightful statement that gave me much needed perspective: “We have to shoot before we aim sometimes.” We don’t know how I’ll respond to the medications so we have to start with what we think will be best and adjust as we learn how my body responds. I came to him with studies about Early Egg Retrieval and protocols other REs were using for women my age and he was not only open to discussing them, he said he would go with whatever approach I felt best about. He said a moderate approach seems like a good start because even though I’m 44, I have normal AMH and low to normal AFC (7). He also addressed my concerns about endometriosis and the abdominal inflammation in my body by putting me on LDN and HGH to start. I will write about the results I’m a couple of weeks when we see how many eggs we retrieve and fertilize.

4K for egg retrieval cycle with fresh transfer (if you wanted that), ICSI, and assisted hatching (laser). $450 per frozen transfer.

I was relieved that he follows the most relevant and up to date studies for women my age. He is supportive and encouraging about multiple embryo transfers for my age and situation.

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.

The clinic is very clean, comfortable and the staff is great. I usually go first thing in the morning and get right in. On the occasions where I had a late morning or afternoon appointment, it was a very long wait. Some patients come very early for their appointment so that when they check-in, they are added on the list and therefore end up jumping ahead of other patients who are scheduled before them. I feel there should be a better system to prevent this from happening.

He has an incredible bedside manner, is full of compassion and positivity, and makes you feel very comfortable and at home.

All of the nurses I have seen were amazing. Very personable, compassionate and knowledgeable. I also would use the patient portal when I didnt have time to call or after hours and always received a quick response. They are a great team at CNY

Dr. Kiltz is very compassionate, patient and u understanding. He takes his time to make sure you are comfortable and all your concerns and questions are answered. You can easily see the amount of love and passion he has for his profession and truly cares for his patients.

Dont be afraid to ask too many questions.

For my IVF transfer I was on the immune protocol. This included prednisone for inflammation and prograf to help with implantation. Unfortunately the prograf did not agree with me (caused fevers) and I had to stop taking it. Unfortunately that transfer did fail. I have one embryo left and will be doing a FET, but we have not discussed protocol yet.

Monitoring costs such as bloodwork and ultrasounds during my cycles. HSG Xray, Hysteroscopy and IUI. My insurance does not cover IVF, so I was able to use CNY's payment plan for that. It is a monthly payment automatically deducted from your credit or debit card. You choose the length of the loan.

Due to fragmentation and fair quality, Dr Kiltz suggested transferring 2 embryos for my fresh transfer, hoping that we would have a better success rate.

The clinic is fabulous! Even the atmosphere when you walk in is so relaxing. They are very busy, so the only thing I find is you have to keep on top of everything. If you have a question or concern, email/call the nurses right away.

He was very kind to me and explained each step he was going to do. He remembered our phone consult and when I came back for my transfer!

Nurses at the Albany office are great! I was so nervous going in a few times, but they make you feel so comfortable. Sheila Miller is one of the nurses I have really been keeping in touch with. She is amazing at getting back to my questions so fast and helping me along this journey!

He was great! He took the time to make sure I understood the procedures and risks that could appear. He didn’t seem to rush anything and answered all of my questions.He can have a dry sense of humour, which maybe people don’t like, but I found him funny and caring! I am going back for a 5 day frozen transfer and hope to see him again!

Ask all the questions you may have.No matter how simple they are. He will make sure you understand and feel comfortable!

I seem to have used a pretty standard protocol for my egg retrieval. Menopur 75u & gonal 225u then added my cetrotide in and a double lupron trigger. I had 21 eggs retrieved, so I felt pretty confident it was a good cycle. I responded well to the medications and stimmed for 8 nights. After retrieval I felt okay as well, which is what I was hoping for!

The cost is so reasonable. It of course is still expensive, but much more affordable than other clinics.

He explained the pros and cons of transferring one or two embryos. He didn’t seem to persuade my choice, just explained what he thought was best and let me decide.

The clinic and staff is wonderful. The facility is very nice and comfortable. There is a spa attached that provides alternative treatments for fertility. Although I do not use the spa, I love how the spa-like environment spills over to the clinic.

The doctor was a bit dismissive of some of my questions.

The nursing staff at CNY is amazing. They are so understanding and knowledgeable. They keep all of my info, which there is a lot of, up to date and organized in the patient portal. I really appreciated how one of the nurses went through and explained all of my test results to me.

Dr Ditkoff is a great fertility doctor. I trust his professional opinion, however his bedside manner could be better. He was dismissive of some of my questions, once actually rolling his eyes, which I’m sure he did not notice but I sure did. Something else I didn’t like was that he was rude to staff.

Make a list of questions and follow up questions before meeting with him. He is on the blunt side so if you need a softer touch speak to the nurses who are great and can answer most of your questions about procedures and what to expect.

Dr. Ditkoff discussed possible treatments before and after diagnostic testing. He gave me as much information about my chances with different treatment options as I think he could based on my results. We ended up deciding to try three cycles of IUI before moving on to IVF.

My insurance covered all diagnostics and medications. I paid around $450 per IUI procedure, not including monitoring.

The reception staff are amazing! They make everything move along. Sometimes the wait times are really long, so I suggest, if you're only there for blood work (not scans or anything else), ask the front staff about getting in quicker (they usually can make it happen). Everything at this clinic is very clean yet feels comfy/cozy. The NPs and other nurses are wonderful and only want the best for you.

Everyone at the office is always kind and helpful (always willing to answer any questions) and take their time with you if you ask for it.

All of the nurses at CNY Syracuse are amazing. Sometimes, they are very rushed though, so remember to have your questions ready to ask!

We had our consultation with Dr. Kiltz and we (hubby and I) felt great about it. We never saw him again though until we finished our 3rd IUI and we decided we wanted to move onto IVF. Dr. Corley did my egg retrieval (Dr. Corley also did my HSG test) and then Dr. Kiltz we finally saw again the day of transfer, and he was the one that performed that. Overall, I love BOTH Dr. Kiltz and Dr. Corley--you can't go wrong with either, honestly.

Be prepared for a LOT of energy--Dr. Kiltz runs on keto and coffee! Also, be prepared to try the keto diet/lifestyle...it truly has helped my husband and I.

We did 3 different IUI cycles (none resulted in pregnancy). And we did one fresh embryo day 5 transfer, which at the moment I AM pregnant! The IVF they called a "mini" IVF because they didn't put as many medications into me.

Well-oiled machine here. You may have to wait a couple hours, but they will try to get you in as soon as possible...just be patient (bring a book and fully-charged phone).

After reading about other clinics--this is the place to go if you want real affordable health care.

Dr. Kiltz recommended a single embryo transfer for us because of my age (I'm 29) and because it was my first ever transfer.

The clinic is very nice. It feels more like a spa than a medical clinic. The only weakness I would say is that sometimes the appointments run late because they see such a high volume. The atmosphere is very peaceful and clean.

This practice sees a large volume of clients, and they are very busy. I realize that this doctor has a lot on his plate. He does a great job in trying to handle everything, but during my embryo transfer, it did feel like he was in and out, making it a not very personal experience.

Being a large practice, I did not deal with the same nurses each time, so sometimes I would get a nurse that I had never dealt with before, so sometimes it was difficult to have to explain everything multiple times and get different opinions about things. Sometimes when I dealt with the same nurse multiple times, I felt more of a personal connection.

Dr. Kiltz did my embryo transfer. My appointment was a few hours late because some of his other appointments ran late. My transfer felt very rushed, but he was very pleasant during the procedure. I was hesitant that it would work because of how quick it was, but I did get a positive pregnancy test.

Make sure that you ask questions and double check everything because this practice sees a large volume of clients and sometimes things slip through the cracks.

My strategy for my embryo transfer was a partial immune protocol with prednisone, prograf, estradiol, progesterone, low dose aspirin, and low dose naltrexone. Although implantation was successful, I had a miscarriage at 6.5 weeks. I also had a previous ERA done, so for this protocol, an extra day of progesterone before transfer was added (6 days).

Embryo transfers scheduled within one year of an egg retrieval were $250, so that was very reasonable. The fee for outside monitoring was $150. The medications for this one embryo transfer were around $200, but insurance covered most of them.

Since CNY offers a low cost IVF cycle they are incredibly busy. I have found that the more active an advocate for myself the more feedback I get. They are always willing to answer my questions and to take the time to explain anything I might not understand. Although, this was our second round of IVF (first with CNY) I was already familiar with the general "process".

Dr. Kiltz is always warm and welcoming. He did my egg retrieval and 2 FET thus far. During my IVF cycle, during a routine monitoring appointment with an ultrasound tech, he made a point to stop in to say hello, ask if I had any questions, and was very friendly. He is just incredibly busy but is always willing to answer questions, which I greatly appreciate.

The are well organized and excellent at answering questions. CNY has a texting option that allows me to text a nurse during the day with questions. It is so easy to text when I need prescription refills, general questions, etc.

He is very engaging and passionate. He listens and is willing to "think out of the box" with treatments. We found him after our first round of IVF resulted in zero live births. That clinic was unwilling to try different treatments or protocols for a FET. Dr. Kiltz adjusted my FET protocol after the first one failed.

He's incredibly busy and very enthusiastic. Like with any medical condition/treatment you need to be your best advocate. He does weekly chats on Facebook and Instragram that have a lot of information. I would start by watching those.

We did down regulation with BC followed by 9 days of stims. Included in CNY's low cost IVF cycle is ICSI which is part of the reason I believe we ended up with so many embryos (14 total).

We have spent around $10,000 including IVF, monitoring, medications, and FET which is significantly less than what we paid at our first clinic.

We have had 2 FET with Dr. Kiltz and both times we asked to transfer two embryos which he agreed to.

It's comfortable. It's relaxing. I was a little confused at the end about billing, but they are totally willing to answer questions. Some people have told me that the wait would be long, but we never had to wait more than 10 minutes.

He was explaining the surgery to me, and I started to get upset, and he came over, sat next to me, held my hands, and whispered that it would be okay, we would come through this, we would have a baby. But first, the surgery needed to take place so I could be healthy enough for that baby. He said he would do everything possible to keep my ovaries, and in the end, he did.

Kelly was very informative. She wasn't touchy-feely, but she was able to answer all of our questions, and deal with me being a complete emotional wreck. She also helped us understand the keto lifestyle's benefits and drawbacks. Danielle was able to draw my blood, though I rarely have good veins. She was in and out in a pinch, which was fantastic.

He is aggressive about Keto, and specifically *his* type of Keto. My husband and I are already on keto because it helps me with inflammation, but that didn't seem good enough. He was very good at explaining the information a few times because I didn't quite understand, and when I broke, he was able to comfort me, explaining that he would do everything in his power to make sure I kept both ovaries (he took only half of one with a cyst on it) and would make sure I was healthy before we did retrieval. After surgery, he explained to my husband that it was a "war zone" in there, and he now understood why we were concerned. He still saw no reason as to why IVF would not work for us.

Take the Keto info with a grain of salt. Do not let it derail you. Yes, it can be done, and yes, there will be benefits, but it is *not* for everyone. I need it to manage my inflammation due to endometriosis. But it should not be how you are judged. You can cut carbs and get similar results. :) He knows his R.E. area, and he is very supportive once in there.

July: Myomectomy, Hysteroscopy, Cystectomy to treat Endometriosis Stage IV and scar tissue from drained cyst in December. Late July: 11.25mg leuprolide to keep endo at bay while I heal from surgery

Insurance covered my costs.

He mentioned while prepping for surgery we would probably want to try for one due to the severity of my endo.

This clinic's strengths are that they are really cheap. Plus they see so many patients that someone has to get pregnant at some point, so maybe a new patient might win that lottery. Weaknesses: Not compassionate, knowledgeable or safe

First of all Robert Kiltz is my doctor of record but I have never met or spoken to him. After my first embryo transfer with CNY, I was never called with my negative beta result. This was problematic because I had been on Prednisone for several weeks prior and need instructions for weaning. After I had to send multiple phone calls and emails, a follow up call was finally scheduled with an NP. She set the appointment, but she didn't call at our appointed time. After sending several more calls and emails, I finally got a follow up with the NP. She suggested that I do a mini-IVF moving forward. I voiced concerns that I had not had success with those in the past. She said it would be better this time because I had been on Omnitrope and would take menopur during the cycle. I reluctantly agreed. She did say that she wanted to make sure I was "suppressed" when I started the cycle. I had my baseline. I had several follicles over 10 mm and an LH of over 11. I was prepared to have to wait until next cycle. A nurse called me and told me to start my meds. I expressed concern. She said she would contact the NP who made my protocol. She called back and said she couldn't get ahold of that NP but she talked to another "provider" and it was ok to start. I got to the "egg retrieval". I was left several times alone in the OR before and after the procedure (including post anesthesia). The OR was cluttered and dusty. The nurse taking care of me had long, fake fingernails. The anesthesiologist did not wear a cap over his hair piece. A speculum was inserted while I was still awake but without warning me that they were inserting a speculum. I remember being concerned that they were going to start before I was asleep so I told them I was still awake. I then went to sleep. When I woke up, I was told that they got no eggs. I only had cysts. I again said that this cycle should have never been started because I had 14mm follicles at base line. The Dr. (Dr. Corley) said it was fine for them to have started me with such big follicles. I was charged my new payment plan amount that included both cycles with CNY three days later, even though I had signed a contract stating that the new higher amount would begin in the following month.

Long fake fingernails. Did not monitor me very closely after egg retrieval (was frequently out of the room and left me alone). Had zero compassion for the fact that I just wasted thousands of dollars to get no eggs. Still handed me card with my embryologist's name and instructions for transfer meds and betas after getting no eggs at retrieval.

I kind of explained it all when I talked about not feeling like a human. I have no idea what my doctor, Dr. Robert Kiltz is like, because I have never met Dr. Robert Kiltz. Granted I was a travel patient and my monitoring was done locally.

Don't do it. Save your money and go to a real fertility clinic. The more I think about it, the more dangerous a place CNY seems to me. People come there desperate. People come there and spend every last dime they have. This place does not care at all about your safety or emotional wellbeing. It is almost like they take advantage of people in their desperation.

First cycle: Omnitrope, Low Dose Naltraxone, max dose of gonal F/menopur, cetrotide, 5 mg Predisone, Tacrolimus, Cleocin, Z-pack, IM and vaginal progesterone, vaginal estrodial. Rationale: DOR, Results: 1 embryo, no pregnancy Second cycle: Letrozole, Omnitrope, Low Dose Naltraxone, 225 gonal F, menopur, ganirelix, 10 mg prednisone. Rationale: If a lot of meds only make 1 egg, why not sped less money to only make 1-2 eggs. Results: painful cysts, no eggs

Cycles are $3900 plus monitoring plus meds.

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