CNY Fertility Center

I have only spoken to Dr. Kiltz once on the phone. I had a follow up call with him after several failed IUIs and before going to IVF. The call was early in the morning (7 or 7:15) and he was exactly on time, which was impressive. The call was good, and he agreed that IVF was a good next step. He was friendly and knowledgable. He was compassionate, but didn't really ask me too much about my history or seem to have reviewed my file. He spent a good portion of the call talking about the keto diet and that plants are killers. You can tell that he really cares about his patients and is passionate about what he does. I feel like there are some people who are lucky to see him often and get to know him, and then there are others who only interact with him once, if at all.

Expect to hear about keto, the bebbi diet, Kiltz's keto, and that plants are out to kill us. I'd also say that he seems to be super dedicated to his work and is very passionate. He regularly gives out his cell phone number, he does weekly fb/instagram live videos (daily during COVID19 pandemic), he starts his calls early in the morning. He must always be working! I wonder when he sleeps!

I first planned to do three IUIs then move to IVF. My IUI cycles included a z-pak, prednisone, letrozol, ovidrel, and endometrin. I did not have any adverse reactions to the medication. I think I produced 1-3 follicles. The third IUI changed to a timed intercourse cycle, as my bloodwork indicated that I had either just ovulated or was about to. They said I could have still done the IUI, but there was an increased chance that the timing would be off. For IVF, I started with a z-pak and prednisone, and stimmed with compound HCG and Follistim. I then used cetrotide and triggered with leuprolide acetate. I was supposed to trigger with HCG as well, but there was an error with the script and I never got it. I didn't realize I was supposed to have it. Apparently it wasn't signed and CVS Specialty sent it back to the clinic for signature, but never got it. Only four eggs were retrieved, 2 matured, and 1 fertilized and made it to blast. Genetic testing indicated it was abnormal. I'm waiting for my second retrieval and the meds I have this time are follistim and menopur to stim, then cetrotide, followed by HCG and leuprolide acetate to trigger. During a follow up call with a nurse, she said that I responded as though I have a low ovarian reserve, even though my blood work does not indicate that. This was the protocol that she designed...I believe she called it the 450/150 protocol.

I'm still waiting for some billing to come through. My insurance covered my IUIs, so I only had to pay two copays at each visit, one for the appointment and one for bloodwork. My medications for my three IUIs cost several hundred dollars. Since I live in NY and work for a company with more than 100 staff, my IVF cycles are now partially covered. Unfortunately they do not cover the techniques used to fertilize the eggs (assisted hatching and something else that escapes me at the moment) and I believe that will cost $1000. It was $700 for the embryologist to sample the blastocyst, and I believe another $700 for the genetic testing (would be higher if I had more than one embryo). I have not gotten a bill from CNY for the fertilization and the embryologist. My medications have probably cost around $1,000. I need to follow up with the financial team to make sure that my next retrieval is covered. Dr. Kiltz mentioned last night in his fb live video that some insurances are tricky with what they mean by three rounds. If it is not covered, then I will have to go to out of pocket pay with a financed payment plan, and I believe that is around $5,000. I know that I am fortunate to have insurance cover a lot of this, but it is still more than what my husband and I can really afford to pay at this time.

I have not gotten to transfer yet. I have one frozen day 5/6 embryo that came back as abnormal after genetic testing. Eager to have my second retrieval and will hopefully get more embryos and move to transfer.

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.

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

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 a very kind and compassionate man. He did well explaining the what to expect for our first IVF cycle. When that failed he wanted us to just do another try. We had refused to do so without making some kind of changes. For the second cycle I did keto, even though I was vegetarian, I took really expensive meds to prime, I did a 3day freeze, I even stayed 2 weeks in NY to be monitored at CNY. All of this was at his request. The 2nd second was almost identical to the first. We asked for answers and none were given.

Be prepared to advocate for yourself.

The first protocol was pretty standard for CNY. I did metformin, gonal-f, estrogen, progesterone, a trigger shot, etc. I did a day 5 fresh transfer with our only 2 remaining embryos. Both implanted but one was ectopic and the other we miscarried. The second cycle we added HGH for priming. I did Keto at Dr. Kiltz request. We hoped to have better quality eggs. We did a day 3 frozen transfer as I was hyperstimulated and couldn't do a fresh transfer. I had 3 failed transfers. I had high number of eggs retrieved for both cycles but when it came down to the transfer we hardly had anything left and the quality wasn't great.

Retrieval and transfer was $3,900 but monitoring varied. At home monitoring ran us about $4,000. Monitoring at the clinic was $850 but had to pay hotel costs for 2-3 weeks. Medications ran between $3,000-4,000 per cycle. We also had cost of travel such as renting a car, gas, and food.

For the first cycle we transferred both as we didn't have a choice. For the second we transferred 2 embroys for all 3 transfers at our request.

Dr Corley stayed positive and friendly but both transfers need better instructions. Some options wasn’t offered unless patient asked or was aware. Last embryo was day 7 high mosaic. Dr in Atlanta advised we could transfer but didn’t provide the obvious. That embryo had a very small chance of achieving a successful pregnancy.

Ask lots of questions, research as much as possible before attempting IVF. Understand that you might not be successful.

Didn’t talk with Dr. Corley most of my questions and treatment was done by a nurse. CNY has a call center to call for treatment instructions and questions. You have to pay extra to talk to a random doctor. cost even more to talk to Dr Kiltz or Corley.

Monitoring was done locally and it was stressful at time to find a appt or for clinic to accept order’s from Dr Kiltz. This is why want to do it local next time.

IVF care fees, Medications , PGT , each Transfer fees, storage fees, Freeze Embryos fee, acupuncture fees, Talk to Doctor fees, Travel Fees

Only one option to do one embryo at a time.

Dr Chang as a doctor is great. Pro's- Very knowledgable and has a lot of experience. Trust his recommendations and that he truly wants to help us have a family. He's quirky and funny and will make time for small talk if he can. The negatives - if you have a consult time set, expect to wait all day for a call. I dont mind if he cannot make the time, I just think they can do a better job communicating that he will be late and help provide patients a window that is realistic for him to call so we arent waiting around all day. Another neg is that I think he sees SO many women, I dont think he ever remembers me or our case and have to refresh him on everything every time I talk to him.

Expect to wait for your consult and dont get upset. You just have to go in knowing you may wait all day for him to call bc he is helping and seeing so many women. The consult will go well and he's a grast doctor.

Dr. Chang is changing my protocol from round one to two - bieth control for a month to help minimize cysts and allow more synchronus growth of follicles. Also doubling menopur dosage in an effort to get more eggs and pgt normals next cycle. Too early to say for results.

CNY IVF cycle- incl. Retrieval, anesthesia, etc. 3995. 995 for in house labs/monitoring. Transfer + monitoring during transf. Cycle - 1800. Est.. med costs outside clinic range from $3-8k. Pgt testing- 300 per embryo, plus 300/ea to cny for biopsy. And 250 courier fee. Total cycle cost est. 14k

NA have not transferred yet.

You don't speak to him until you are ready for treatment. It's very odd. I know he's very busy but it's odd to not have communication with your doctor. You mostly interact with nurses. With that being said I've heard great things about him and appreciate his weekly chats on social media.

You need to be very very organized because the clinic has a lot going on.

All of the information is online. My situation was a bit more complicated.

Did not have a conversation about this.

I first spoke to Dr Chang after our first IVF cycle and subsequent 3 transfers of 4 embryos failed. Needless to say, I was not in a great place emotionally or mentally. Dr Chang reviewed my first cycle's retrieval protocol and FET protocol and identified some areas he thought may have caused our problems. He was extremely kind and seemed extremely confident that he could help me. I began that phone call in a complete state of devastation and panic and ended it feeling reassured and slightly vindicated... I also had a new plan that I fully understood because he took the time and effort to explain each adjustment in the new protocol. He also instructed me to make sure that during my retrieval cycle, all monitoring updates would be handled by him personally to make sure everyone stuck to his specific protocol. The reassurance that he was personally handling things, even though I was not monitoring in Buffalo or retrieving there was a godsend during that very scary time. We ultimately got 16 eggs, 13 of which were mature... all 13 fertalized and 10 became 5, 6, or 7 day embryos. (The previous cycle I had 11 eggs, only 5 mature, 4 fertilized and were frozen early at day 3.) Grading of the embryos became a concern of mine as ours were almost all "fair". I was able to get a tele appointment with Dr Chang quickly and he, once again, was able to patiently and kindly explain why he still felt confident in those embryos and went through the FET protocol and broke down all of my options. His confidence and reassurance was extremely valued and appreciated. Dr Chang is clearly knowledgable and cares a lot about his patients. Once he's invested in your treatment, you can rest assured that you're in good hands. He is arguably one of the more aggressive doctors at CNY in terms of what he is willing to do and the things he is willing to try. I really liked that he was able to explain everything in a relatively simple manner so that I fully understood his reasoning for all med or protocol changes. He does have a very funny sense of humor which I personally felt helped in such an awkward and relatively anxiety filled time. I also feel that he is very much to the point and will bluntly state his thoughts on things... something I also appreciated.

Don't be afraid to say exactly what you're thinking or feeling about your treatment. He was the only doctor I spoke to that didn't just repeat the same go-to information to placate me. He not only acknowledged that I was audibly upset or nervous, he took steps to get to the root of what was causing those negative feelings so that he could give me the information and confidence I needed to move forward.

Dr Chang believed that the biggest issues with my first cycle were a dominant follicle and timing the retrieval. He basically came right out and said that he felt they sent me for retrieval too early and that's why my maturity rate was so poor. To address these issues, he recommended a full cycle on hormonal birth control (even though CNY doesn't seem to like to do this) and personally handled my monitoring. I ended up doing 12 days of injections vs 9 the first time. The birth control helped my eggs grow more evenly and the prolonged stim time helped me get more mature eggs than I had in my previous cycle. He also switched me from Lh-HCG to Menopur (this was orignally a suggestion of Dr. Ditkoff) solely because they both believed some patients respond better to one drug over the other.

Dr Chang recommended a single embroy transfer as I had never done an FET with a day 5 embryo. However he did say that he would be willing to consider letting me transfer two if the first single transfer failed.

We watch Dr. K every Sunday on his chats, here we see him as a human and he gives great FREE advice and answers patient questions. He is a busy man so he moves quickly. I am still in the consultation process but he has given me great things to try while waiting for our stims to begin.

Be prepared to take notes, do KETO, and have an idea of what you would like to have for an outcome.

Still in consult phase, but Dr. K is very willing to do full immune protocol, RPL, and highly suggests KETO for the anti-inflammatory effects

The clinic is very open about their cost. Many items can be found online without having to speak to someone directly. A cycle without medication for retrieval and transfer with icsi is less than $4,000. Because I do not have any fertility coverage they are not charging me for my consultation!

Dr. Recommends single transfer unless there are factors to suggest a multiple would be better : age, AMH, # of embryos, etc.

Positives: Dr. Kiltz is very passionate. He is honest about the structure of the clinic (more patients enable lower costs) and pricing. He seems very knowledgeable about treatments. I do have faith he will be able to get me pregnant. He gives out his phone number and email address and will respond to you. He is also very progressive and open to trying new medications/treatments. I am doing platelet rich plasma (PRP) uterine washes this cycle. Based on the research I've read, this sounds very promising. Negatives: Dr. Kiltz has very strong beliefs about infertility being related to diet, which I do not agree with. After a failed cycle he spent the entire telephone consult (which took 2 1/2 weeks to schedule) telling me that my tube is blocked because I eat lean meats, fresh vegetables, and fruits. He believes in the Keto diet (high fat, moderate protein, low carb). He flat out told me he was an expert with tons of experience and that my tube was blocked directly as a result of inflammation in my body, due to my diet. He then prescribed a ton of additional anti-inflammatory medications. I have chosen not to take most of the extras (prednisone, prograf [used to suppress the immune system in transplant patients], intralipids, and hydroxychloroquine [used to treat Lupus and autoimmune diseases]. I had an ANA test (for autoimmune disease) after my failed cycle and it was negative. I did a lot of research on my own to decide which medications I wanted to use (aside from the standard meds like estrace, progesterone, etc). Thankfully I am a nurse and feel comfortable researching these things myself. It would still be nice to be able to have a partnership with my doctor and not feel like it is all on my shoulders, as I am certainly not a fertility expert.

Be your own advocate, do your own research, and do what you are comfortable with. Realize you will not get a lot of time with any doctor at CNYF, but you can reach out to them by email and you should if it is something time sensitive that is important to you. Otherwise you will be waiting a looooong time for a phone consult.

An "auto-immune" protocol was prescribed: prednisone, prograf, hydroxychloroquine, intralipids, low dose naltrexone, baby aspirin, lovenox. Most of these are immunosuppressants. The aspirin and lovenox thin the blood, which is supposed to increase blood flow to the placenta and prevent clots for those with clotting disorders. Low dose naltrexone is actually a very interesting drug used to treat autoimmune diseases as well as clinically low endorphins. It has very few side effects. It also boosts your immune system, which has helped me avoid getting sick. It also helps me sleep better. The only extra I took my first cycle was the baby aspirin. That cycle failed. I transfer again in five days. This cycle I have been taking LDN, baby aspirin, and start lovenox tonight. I did not find sufficient evidence that lovenox will increase my odds, but it has relatively few side effects, so I am trying it. I also took estrace vaginally, progesterone in oil and endometrium vaginal suppositories, and Cleocin (clindamycin - a vaginal suppository antibiotic) both cycles. Also, azithromycin orally at the very beginning of each cycle.

Most costs are posted on the website. $3900 for IVF cycle. $850 for monitoring. $250 for FET. All meds are separate. HCG wash $50. PRP $500 for once/$900 for two times in the same cycle. This was without insurance coverage. There were no hidden fees.

My clinic wanted me to transfer one 5 day embryo based on my age and recommendations/guidelines from professional organizations. I am 36. I had my heart set on transferring two and actually want to have twins. The risks were explained to me and I have been allowed to transfer two both cycles.

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

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

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

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

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

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

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

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

n/a

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

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.

Dr. Kiltz is very nice and an amazing doctor. He called my husband and me after our second embryo transfer cycle failed. He showed compassion towards us. He fully explained the process during the call, but at that point it was too late. My husband and I were extremely hurt and had so many unanswered questions. We asked if tests could be ran to see why the cycles failed. I recommended fertility patients need to go through counseling prior to starting treatment because no one can prepare patients for any mental effects it may cause. This process affected me mentally. Months later I was diagnosed with Major Depressive Disorder.

PLEASE SEEK COUNSELING!!! This is an extremely hard process!

o Desogen 1 Pack, Take 1 tablet by mouth daily until instructed to stop. o Estrace (Estradiol) 2 mg, One tablet by mouth twice daily o Z Pak - -, Take 2 tablets by mouth the first day, then 1 tablet by mouth daily until all the medication is gone. o Prednisone 5 mg, 1 tablet by mouth twice daily o LDN (Low Dose Naltrexone) 4.5 mg, Take 1 tablet by mouth daily at bed time o Aspirin, low dose 81 mg, One tablet by mouth daily o Prenatal Vitamin one qd -, Take one by mouth daily o Prograf (Tacrolimus) 0.5 mg, Take 1 tablet by mouth twice daily o Cleocin Vaginal Ovules 100 mg, Insert 1 suppository vaginally at bedtime o Endometrin 100 mg, 1 tablet vaginally twice daily o Progesterone In Oil 50 mg, Inject 1 ml (50 mg) daily intramuscularly once daily Before starting second cycle: 1) When you start your period, have an HSG (hysterosalpingogram) sometime between CD 5-12. An order for this has been uploaded fo your patient portal. 2) Complete an endometrial scratch between cycle days CD# 20-22. An order for this has been uploaded to your patient portal. 3) Call the office when you start your period AFTER the HSG and scratch are done. At this time, we will give you an order for baselines, call you once the results are received, and provide instructions on when to start the FET preparation medications (estrace, etc.) 4) Complete an Intralipid Infusion when you start your estrace, then repeat the day prior to FET with an HCG wash, then weekly. I have ordered the Intralipids and the HCG wash to Integrity for you. We will provide you orders for the Intralipid Infusion once we have dates (which we'll know once you start the period after the HSG and scratch.) 5) Start Neupogen injections when you start your estrace--this medication and the appropriate syringes have been ordered to Integrity for you and we'll provide you further instructions after your baseline. 6) Start Prograf 2 days prior to your FET. This has been ordered to Integrity for you. 7) Start Lovenox and Baby Aspirin when you start your estrace. The Lovenox has been ordered to Integrity and the Baby Aspirin (81mg) can be purchased over the counter. 6) Start plaquenil 200mg twice daily now. Then, stop it once you start estrace so that you can switch to Prograf. 7) Continue LDN 4.5 mg each night at bedtime. o Neupogen 300 mcg, Inject 60 mcg (0.2ml) subcutaneously once daily as directed o Lovenox 30 mg, Inject (1) prefilled 30 mg syringe subcutaneously once daily o hCG- Uterine Wash 500 IU, Intrauterine wash- in office as directed AT 10AM o Intralipids 20 %, 100 ml bag- Infuse 100ml as directed- 10AM

Affordable

Yes, we were educated. Five eggs were retrieved but only four embryos were formed. We had one embryo to be transferred for the first cycle. "Something happened" to one of the embryos during the freezing process, so we were left with two. After the first cycle failed, the doctor advised us to transfer the last two embryos for the second cycle.

He had great bedside manner, but I rarely saw him and almost never actually spoke to him. And at one transfer he kept us waiting for nearly 2 hours after acupuncture, which seemed to negate the purpose of the acupuncture

Don’t be afraid to call a lot and ask a ton of questions. Ask for things to be over-explained and write it down.

The first transfer was very straight forward with most meds typical for IVF. The second transfer after the miscarriage they added provera when my lining was too thick for 5 months. Then they added low dose naltrexone when I finally went for the transfer and they added intralipids prior to transfer. This pregnancy lasted longer, but still ended in miscarriage.

You have to schedule them with your doctor in your area. They just provided the orders

3,900 for the IVF including the fresh transfer and the first year of storage. $250 for each transfer in the first year. Meds not covered at all, for the retrieval and first transfer meds were $3,500 for me. Storage fees are $350/yr after the first year.

When I chose to do a single transfer he was very encouraged and told me that I had a higher chance for success with one. But he would have done either way if I had chosen.

From what I have seen from the Fireside chats, he is very knowledgeable about what he does. It's too early in my journey to tell exactly what type of doctor he will be but I am hoping for the best. I chose Dr.K not just because of his prices but because he is highly rated about and this gives me faith that he will also help my husband and I with our miracle baby.

Dont expect too much communication outside of appointments.

I am being put on the immune protocol because I have PCOS. This is completely different than what was explained to me in my phone consultation. I am put on primarily put on a low dose of gonal, meno, and cetro for retrieval.

They are the cheapest clinic I have ever found

I know that transfering more than one embryo doesn't increase the chances of implantation, so I am okay with only transferring one at a time. However if I have to do several transfers, for cost reasons I may ask to transfer two.

He was honest, given my age, about the chances of success. Was willing to listen to my input and answer my husbands questions so that he really understood what was going on. He let me be the emotional hot mess that I was (we’ve been trying for 4 years and have now miscarried twice) during the process

Ask questions if you have them, he’s very willing to answer them

We used omnitrope for priming due to my age and a combo of menopur and gonal-f

Meds were almost $4000 but would’ve been more without discounts and the few that were covered by my insurance. Cycle was 4750$ with financing fees. Travel was $2000 at least.

My Doctors are Doctor Kiltz and Corley. They are great. They explain everything in detail. They answer any questions I have, and are very kind and caring. They allow me to make decisions about my treatment after arming me with the knowledge that they have. We have been able to learn a great deal and in just a couple months. I do not like that I have to make contact with the clinic after my procedures to have a follow up. I feel that they should contact me with results and next steps after they have the results. I had to wait a month because I had to call and schedule an appointment. Other than that, it has been great.

Follow up, call them. You have to be the one to keep the ball rolling.

I do not have that yet.

They are cheaper than average. Out of pocket are 3900 not including meds and monitoring. I am being charged more though, because I have some insurance coverage. It’s still expensive.

We have not talked about this yet. I want to transfer two, but I want to discuss the risks with having pcos and having multiple transferred, vs. ESet.

He seemed very busy, and is very big on his Keto diet being a major factor. We weren't convinced, and neither were our OBGYN / Urologist. Overall though every conversation we did have with him was informative and professional. But it definitely seemed like he was always in a rush.

Ask lots of questions to the RN and develop a good relationship with the nurses in general - they will be your main contact.

I was prescribed clomiphene. I can't recall everything that my wife was taking. I know there were several anti-inflammatory options used and closely monitored.

We spent about $2100 on drugs, $4,500 on retrieval, and several thousand more on cycles, monitoring, and travel. In total, we probably spent close to $11,000

We were well informed on eSET vs multiple. He recommended single for our first transfer due to the high embryo quality, but let us elect to do a multiple transfer for the second due to the lower quality.

He is very nice and competent, however, since we are out of town I have only met him twice when he was performing my egg retrevials. A different doctor did my frozen embryo transfer. I have had a phone consultation with another doctor after our failed frozen embryo transfer and he was very helpful. He suggested adding new medications . He also went over a plan of our second transfer fails.

If you are out of town know that you can schedule free phone consultations with the doctors at CNY and I would recommend it

I was on a high doses of Gonal and menopur since I have a low ovarian reserve at 33. They also had me take human growth hormone the month before and during my ivf cycles to boost my egg production. They are suggesting raising the amount of gonal if we do a third IVF cycle. My partner had two PESAs

3,900 for one ivf cycle including free transfers for a year. Doesn’t include monitoring which is approximately 800 for IVF. (Not sure for FET) and doesn’t include meds. 1100 for PESA. We did not do monitoring with them because we live out of state

They let us transfer 2 high grade embryos the first time and for our second transfer we are going to transfer 3 three day embryos ( 2 good and one fair)

Dr. Kiltz is a brilliant and compassionate man. It's rare to see a person, especially a doctor, who feels so strongly about their work. If I had any complain about him, it would be that he's a little rough with the ultrasound wand.

Always make sure of your appointments and that they have you scheduled for the right kind of testing.

My first 2 IUI cycles, I took letrozole(days 3-7),10mg of prednisone to combat inflamation, and 1 baby aspirin, for a healthy uterine lining, each day, and triggered with hcg on cycle day 13 IUI on day 14. Progesterone suppostories were started 2 days after the IUIs. The first resulting in a late implanting chemical pregnancy and the second with an unconfirmed ectopic. A D&C, hyteroscopy and shot of methotrexate were necessary. The next 2 IUIs were done with 150 of Gonal F daily on days 3-8 to increase egg quality. I also took the prednisone and aspirin (same dosage) and progesterone following the HCG triggered IUIs again. These times Lovenox was added to my list of meds. incase of a possible clotting issue. My insurance company wouldn't cover the blood test, so Dr. Kiltz decided it would be no harm to treat me as if I had a clotting disorder. Again, both ended in a late chemical pregnancy where my HCG would be negative for my scheduled pregnancy test, but when I would get my period, and come in for my bloodwork to start a new cycle, I would have a positive HCG that would slowly decline.

Lack of emotion. Seems like a nice doctor but I have only seen him a few times: during initial meeting, for a few minutes before retrieval and a few minutes before transfer. He is friendly and knowledgeable but perhaps the clinic size is too much for the number of doctors there

He is nice and knows his job but he does not have a good bedside manner.

Stim with menopur and gonal, cetrotide and then trigger shot. Prednisone, DhEA and coenzyme. Only 2 eggs retrieved first time, 1 fertilized and after a fresh transfer failed to implant. Second time same protocol except 7 eggs retrieved, 3 fertilized. 2 implanted after a frozen transfer and experimental treatment of a drip resmeblembling mayonnaise and a HCG wash. Both embryos used with donor sperm failed to implant.

First time close to $7000 due to insurance not covering procedures and included $1000 for donor sperm and accupcunture costs for a few months. Second time approximately $800 due to insurance covering most except drug and appointment copays.

Office was hesitant to transfer more then 1 embryo but I wanted to so they allowed it even though it was against protocol.

Out of the box thinker, kind and fun to be around. He made me feel comfortable with the process. He did my lapro surgery and after explained very thoroughly what is going on. He didn’t seem rushed at all to get to the next patient. He went in and visited with my family while I was recovering. He was willing to treat things proactively which I really appreciated. Too often with fertility doctors want you to fail first. They wouldn’t do that with any other disease. They wouldn’t wait till you get pneumonia to give you antibiotics. They wouldn’t make you break your arm twice before putting a cast on. Kilts did all the testing that they usually wait until you have 2 miscarriages. We only had one but he wanted to do everything. I wish we went to him sooner is my only regret. So many other doctors I’ve consulted with said they wouldn’t even have done the testing it’s so insulting.

Just do your research. He doesn’t recommend PGS testing but if you want it then make it happen.

My first protocol was the standard antagonist protocol. Stimmed with cetrotide and gonalf only. We were on a budget so he let us skip the menopur.

Self pay $7000 including bare bones meds and a surgery. Not including airfare, etc. That is for 1 retrieval and 2 transfers

Kiltz is a strong advocate for single transfer which is good. However it should be more strictly enforced. It was fairly easy for us to get as many as we wanted transferred because if Kiltz isn’t available another doctor stands in for him and the other doctors aren’t as strict