CNY Fertility Center

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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 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

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.

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.

Dr. Kiltz treated my best friend and he changed her life. My friend encouraged me not to give up and that was very encouraging. Her story is amazing. Dr. Kiltz is very personable and positive in his interactions with patients. He was always kind to me and helped me to feel hopeful. I am hoping to move onto IVF next and fulfill our dream of having a baby. Because I am a healthcare practitioner myself, I feel I am in a unique position to help others. I highly recommend Dr. Kiltz to anyone experiencing infertility.

Hang in there, he keeps his promises.

I was prescribed gonal f, menopur and cetrotide with IUI. I am 41 years old and my egg reserve is low. The gonal f stimulates you to produce eggs. Menopur helps them mature. Cetrotide prevents ovulation until you have IUI.

My insurance is terrible and doesn't cover anything. I spent nearly 20,000 for the three cycles of IUI that I completed. I was devastated that I was not successful. My company has a self funded insurance plan and unfortunately will not implement the changes required by NYS healthcare law mandating coverage of 3 IVF cycles. I am hopeful I will qualify for the IVF grant. This would make IVF possible for my husband and I.

The doctor was kind and has a good bedside manner though he does tend to speak fast and mumble. Make sure if you are unclear on anything you ask him pointed questions. He seems like he genuinely wants to help but is overwhelmed by the volume of patients he sees every day.

Research as much as possible because If you don’t come in armed with questions, they will not volunteer information.

We are in the midst of our 4th donor egg cycle with no success. We have used immuno protocols due to a history of miscarriage. We have tried alternative therapies such as acupuncture to increase our odds of conception.

The doctor was hesitant but did transfer more than one frozen three day embryo at our request.

I have only met Dr K once and it was when I needed Him the most. I was having a horrible week with work and PCOS just makes you emotional haha. I was Starting to lose hope and cried my eyes out at my appointment. The nurses called him in and he gave me a really good “get back on the horse” pep talk. I know He was probably busy but I appreciated he took the time to talk to me.

So far it’s been 2 cycles at CNY first cycle we started with the Femara, then Gonal injections. I ended up with 2 follicles but had issues with my lining. First cycle ended with trigger shot and times intercourse. Which resulted with a negative pregnancy test. Second cycle started similar to the first Femara for a few days, then we switched to Gonal and Cetrotide due to my reoccurring lining issues. We ended up doing and IUI this cycle and the result is still pending :)

$40 per office visit which included bloodwork and ultrasound. Medicine is covered only if For timed intercourse $450 for IUI and medicine was not covered

Since changing care to Dr. k I have not had an appointment with him yet. However, his staff are amazing and they treat their patients with dignity and respect. With my laproscopy out of the way, I can't wait to begin the next step.

Be prepared to have the PA/NP and nurses run the show. Start the keto diet waay ahead of time to prepare yourself and read It starts with the egg. There is a lot of good info in the book to get you started in the right direction.

So far I have only don't IUI cycle. I primed with Gonal F 150mg and letrizole. I had to cancel as I had a blocked tube on my left and all my dominant follicles were on the left. I just had a Laparoscopy/hysteroscopy and will moving onto IVF

As of right now my insurance covers mostly everything. However come time to switch to IVF nothing will be covered. We haven't gone over the financial part of that yet.

Dr. Kiltz sees many patients so it is not always easy to get time with him. However when it’s very important he makes time. I see the nurses every visit and if I can’t communicate with him directly I can do so through the nursing staff.

I would tell them to not expect a lot of handholding and that they should be prepared to take a lot of initiative on their own.

Initially I was started on a high dose protocol, 450 gonal and 150 menopur. I also primed with Omnitrope before beginning my cycle. This protocol resulted in cancellation due to poor response. The next cycle we went with 150 gonal/75 menopur and four follicles were retrieved. Two were mature, and only one fertilized which was frozen at day three. For my current cycle we are priming with estrogen, testosterone and Omnitrope and doing a Lupron microdose protocol.

$3900 per ivf cycle

CNY encourages single embryo transfer, however with women over 40 they are open to multiple.

Dr. Kiltz is passionate about infertility and the Keto diet. I will forever be grateful to him for simply giving me a chance to use my own eggs. My initial consultation went smoothly and he explained how he would proceed with my course of treatment. He removed my scar tissue and performed one of my transfers. I never felt rushed when talking to him and always felt genuine concern.

Dr. Kiltz is busy, but won't make you feel like a number.

1st cycle: 30 days of HGH priming and DHEA/Coq10 before antagonist cycle Mini-IVF due to DOR. Prednisone/Tacrilimous/LDN/Letrozole/Omnitrope/Z pack to reduce inflammation and rejection of the embryo Negative pregnancy test 2nd cycle: Hysteroscopy and saline ultrasound Scar tissue removal with endometrial scratch to aid in implantation FET with one donor egg (no PGS testing) to reduce odds of multiples Prednisone/Lovenox/Plaquenil/LDN/Z pack to reduce inflammation and rejection of the embryo Negative pregnancy test 3rd cycle: FET with two donor eggs (no PGS testing) Prednisone/Lovenox/Plaquenil/LDN/Z pack to reduce inflammation and rejection of the embryo PRP treatment, Intralipids and HCG wash Results pending

$3900 IVF $600 IVF monitoring $9000 donor eggs $1250 scar tissue removal $250 Saline sonogram $950 FET monitoring $450 subsequent FET transfers and $1600 after first year $450 for PRP, HCG wash and intralipids

There was a strong push to only transfer one embryo due to the risks. However, Dr. Kiltz allowed me to transfer two embryos after the first transfer failed. They explained the risks.

In general I found him to be a knowledgeable and caring doctor. I would definitely recommend him. Sadly I think my story and experience with my FET echos to many other women’s. Who’s cases are treated generically lacking guidance or understanding of options available. The medications he put me on for stimulation and egg retrieval worked wonderfully for me. He listened and considered my concerns of ohss. I felt completely safe and comfortable with him doing my egg retrieval. Which went great! On the negative side I feel that my specific situation wasn’t considered and was placed on a cookie cutter protocol for embryo transfer. I was not given a chance nor different options discussed with me about different transfer protocol options. When I asked about different protocols I received a very negative response.

If your looking for a good doctor with your best interests at heart he’s your man but make sure to ask what your options are for different procedures.

1embryo preferred

He’s very caring and compassionate in person. Over the phone he seems a little distracted and forgetful or disorganized but he still genuinely cares. Just make sure to take notes and don’t be afraid to ask questions.

Make sure to keep track of what he says so you know what he wants your protocols and medicines to be in case there is any confusion. And always ask questions.

I was on 150 Gonal f and 75 cetrotide. I stoned for 5 days I think and had 5 follicles/eggs. Four mature eggs and made 4 embryos using icsi. They were all 5 day embryos grades 4AA, 4AA, 3AA and 3AB. For transfer we were on autoimmune protocol. The first two single FETs failed. The third FET of two embryos resulted in a blighted ovum. For that final transfer we did an hcg wash and intralipids and I did Keto for a month prior.

I work in a hospital so my monitoring wasn’t the typical experience but I liked that the clinic was ok with me handing it on my own.

$4100 as a travel patient for the retrieval and a fresh transfer, icsi, assures hatching, cryopreservation of remaining embryos for a year. $250 for each fet after (it’s now $450) Cost of meds is separate.

They seem to know best when selecting which option to go with. I trust them fully. We did two singles and one with two.

I initially had another doctor at CNY and felt confused by the alternative medications that I had been prescribed, some of which are still sitting in a box at home. For my second IVF, I wanted to work with Dr. Grossman because I think he has a more practical approach. During consults, he takes the time to listen and answer your questions. During procedures, he is more pragmatic.

Be proactive. Many patients probably travel to this clinic as it is one of the most affordable. While you can schedule a call with the doctor over the phone, it is best to have an in-person meeting before you start your cycle. I actually came away with some free medications that they had to spare.

Gonal-F 300 IU, Menopur 75IU, Z-Pak, Low-Dose Naltrexone, Pre-natal. Added Cetrotide 0.25mg on day 6. Triggered with Lupron on day 12 as my estrogen went too high - I think I was stimulated for too long. Retrieved 16 eggs but only 2 made it to day 5 and 6.

IVF with remote management fee $4050. My medications were donated so the costs were minimal for this round. FET transfers are $450.