CNY Fertility Center

Dr Chang has done all my retrievals and transfers, and each time remembers exactly what my file is - he is so positive, and is really a cheerleader for you!! I only see him for retrievals and transfers because he is so busy, but who can blame him, he is helping so many women and it’s amazing!

Don’t worry about the fact that you won’t see him too much - when you do, he is super thorough, professional, and beyond kind!!

He changed my menopur dose to double for my second retrieval since I got a lot of eggs the first time, but not many mature. He also gives the option of immune protocols which is really helpful!!

For retrieval, monitoring and transfer, about $8.5k. Medications are covered under my insurance, but if they weren’t covered it would be approx. $10k in med costs. PGT testing is about $2k on top of the IVF/transfer costs.

When describing Dr. Chang, I truly cannot think of anything positive to say about him or his character. This was my first experience with an RE, and he was quick to diagnose me with two conditions that completely blindsighted me. He was condescending, crass, tone deaf, rude, and unprofessional. To make a long story short, I was referred to him by my GYN to have an HSG done. When Dr. Chang entered the room, I disclosed that I have endometriosis but he knew nothing else about my medical history. After inserting the dye, he proclaimed that I had tubal disease due to my endometriosis and distal occlusions on both sides, even though dye was spilling out. As a result, he said that I would need IVF to conceive. This was a shock, considering that during both surgeries to remove my endo, neither doctor said that they saw any problems with my tubes. Dr. Chang also did a blood test for AMH and said that since my results were a 6, that I had PCOS. Another bizarre diagnosis, since he was not interested in doing additional work to see if I met any other criteria. Since I don't have poly cystic ovaries, or hirsuitism, or annovulation, or irregular cycles, this was another blindsighting moment. I went for a second opinion at another clinic 3 months later. They performed another HSG and the results came back normal. They also said that I did not have PCOS. So essentially I received two traumatic and inaccurate diagnosis's during such a fragile and sensitive chapter in my fertility journey. Please stay away from this doctor!!

Please consider going elsewhere!!

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.

He was so friendly and outgoing. He made me and my husband very comfortable during our retrieval. He did two of my transfers and always made me laugh during them. He made sure all of our questions were always answered and we never left confused or questioning the next steps.

Be patient. He's worth the wait.

Our retrieval protocol was very basic I believe. We did ten days of stims with ultrasound every few days. We triggered with Ovidrel and did our retrieval and fresh transfer. I miscarried. They changed my protocol to an immune protocol because of the miscarriage. That transfer failed. Then changed it back to a basic one for my third transfer which resulted in my son.

The cost was allot lower then I expected. In total we paid around 5k between the ivf and transfers. We didn't have any coverage for IVF but my insurance did cover the monitoring

We did two transfers of one embryo. The first I miscarried. The second didn't take. Knowing I had two lower quality embryos left. And it being a three hour drive each transfer. I asked that we transfer our last two together and they were willing to do that because if the two previous transfer results. That third transfer ended up resulting in my son.

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.

Dr Chang is kind and likes to joke, which helps keep the mood light. He didn't have a lot of suggestions on what to change after our first transfer of 2 embryos failed. We still do not know why nothing is working for us

He is receptive to your own ideas regarding treatment

We tried histamine protocol, lipid infusion, lovenox/asa, and nivestym. Along with prednisone and doubled PIO to 2cc for the second transfer. The HCG wash did not help with the first transfer here (second overall)

outside monitoring, travel patient

$4000 for retrieval, $5000 for meds, $900 for transfer, $4000 monitoring and labs at outside facility per cycle

He suggested two the first time. We then had three left and I wanted to transfer all. He was receptive to this and allowed it.

I didn't have much interaction with him. What interaction I did have was straight forward and clear. However, I felt like just another task in his busy day. He did seem concerned about me after the egg retrieval and gave my husband instructions about caring for me on the way home.

Expect more task orientation then warm fuzzy feelings

I didn't have any communication with Dr Chang about my treatment, the nurses handled it completely.

Very competitive prices

Dr Chang was very easy to talk to. He explained everything that I had to go through very well. He was willing to try to get to the root of the issue. Very friendly and talkative. Gave me some hope. Made me feel comfortable though retrieval and transfers

Make sure to ask questions if you aren’t 100% sure. Don’t waste time on doctors that you have no trust in.

Had surgery prior to remove endometriosis/endometrioma. Started to stim the month after only to find out the endometrioma came back. I was on Gonal f 300 IU once a day, Menopur 150 IU once a day, Letrozle 10mg once a day, LDN 4.5mg once a day, Prednisone 5mg twice a day, Cetrotide 0.25mg once a day, Prograf 0.5mg twice a day, Estrace 2mg twice a day, Endometrim 100mg twice a day, Progesterone in oil 50mg once a day. Only collected three eggs in which two became embryos. He decided to do a fresh transfer that failed. We needed up doing a frozen two months after with our last embryo and it failed as well

IVF was $4000 Lab work and ultrasound was $1200 Transfer was $995 Medicine was $200

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I thought that he was very good. I only had him so far for my retrieval. I still have yet to have my FET. I was told to make sure that I ask the questions to be answered because he does not volunteer information. So if any one does see him, make sure you ask your questions before you go under anesthesia.

Ask all the questions you feel you need answered. Also make sure to use the portal.

CNY works as a system overall. The files are open to all the providers and they consult each other on these cases. The protocol was different for me based on the other facilities I had gone to. I had a really good NP or PA who was able to help me dig deep into the rationale behind all the meds and the other meds that I was taking that I thought had nothing to do with my actually treatment. The biggest thing with this clinic (and all the ones I have encountered except Barbados) is communication.

I have to go to a local facility (Texas Children's Pavilion for Women) and do remote monitoring.

This clinic is the cheapest clinic for the basics in America.

My understanding is that Dr. G will do what the pt wishes in reason but prefers to do 1. The NP explained the rational further for me and all the reasons for me, at my age, should have 1 at a time for FET.

Dr Grossman made sure we never had any questions before any procedure. He was nice and straight forward. He was our doctor for our two egg retrievals and one frozen embryo transfer. Procedures were quick but went well.

The advice I’d give all CNY patients is to be your own advocate and join the CNY fb group. Because CNY is a low cost clinic, they don’t hold your hand through every step. The doctors, like Dr Grossman, are available for consults but, for the most part, they just perform the main procedures and leave the rest to the nurses.

Dr Grossman and CNY are big on the autoimmune protocol, which was great for me because I have Hashimotos. So they had me on things like low dose naltrexone and prednisone, through our egg retrievals and transfer. They also had me on prograf and lovenox for our frozen embryo transfer, on top of the normal meds.

An IVF cycle is $3,900 plus $450 for a frozen transfer, plus monitoring. But we were travel patients and monitored in our home town.

If you’ve done PGS testing on your embryos then CNY typically will only transfer 1 embryo at a time.

I can't speak much to my experience with Dr. Grossman, mostly because I never met him. I only spoke with him twice, once for my initial consult before starting my cycle, and once after my egg retrieval which went poorly due to only resulting in one poor quality embryo (after having 12 follicles retrieved), to discuss next steps and review things. Both times he honestly didn't have much to say. It felt like our conversations were directed by me and my questions rather than him offering any information or thoughts. He only gives what you ask for and even then it's not much.

Don't expect much, you're your only advocate, so don't rely on him to advise you or provide you with much information.

Stimulation via 300 IU Gonal F, 150 IU Menopur, 4.5 mg LDN daily until trigger, adding in .25 mg Cetrotide in the morning on cycle day 9 continuing until trigger. Triggered with Lupron. I did well on these meds, no big side effects, had 14 follicles and retrieved 12. I had done a mini stim cycle with a different clinic before coming to CNY and didn't get many eggs, so this was a more typical level of higher stimulation and I did better with it. However it clearly didn't matter since I only ended up with one 6cc embryo.

3900 for a cycle not including meds (those were another 3500) this was without insurance.

Their protocol is to only transfer one, unless it's a special scenario or they are pushed by the patient.

I didn’t have tons of interaction w him other than the FET, but he was a kind, efficient doctor and professional. I had a different protocol this time around, which felt encouraging to me to try something different as we hadn’t had much success at this point.

Just be willing to ask questions and go after the information that you need. CNY is a busy place, so you need to make sure you’re clear on everything.

I am on an immune system protocol for previous miscarriage and some Other supportive measures, which included steroids, intralipids, and HCG boosters. I don’t recommend the boosters as it makes results confusing. I’d prefer to try the HCG wash instead.

Super affordable compared to other places, and great financing options. Their pricing is the only reason I am able to move forward.

We didn’t do genetic testing, so my preference moving forward is 2 embryos for an FET.

He was very open to listening to us. He was respectful of the fact that this was extremely important for us and that we put in a lot of time Learning everything possible about our unique needs and was open to the things we brought to him. He was willing to look at treatments that we brought to him that might improve our chances and even willing to modify our treatments based on the information when he found merits to the info. This was huge many doctors would never listen to a patient in this was and respect their Medical knowledge almost as an equal. He was straight forward with us and didn't try to sugarcoat things when we told him we preferred not to have that kind of communication. He had no issues with the fact we are LGBTQ and he also didn't make assumptions about what we were Looking for in our treatment or who would be the carrier etc. overall it was a good experience and he is great at giving you what you ask for so long as you can express your needs he was happy to meet them.

the one piece of advice is to be a self advocate and tell them what you want and need if you do that you'll have a good experience.

we had a initial retrieval with a different doctor and dr. Grossman learned from that retrieval and slightly increased our gonna-F does and extended our stimms by a few Days to get more mature eggs even if that means that we might have stimulated past our lead follicle. he explained very clearly the benefit vs risk of potentially stimulating past the lead follicle and gave us the choice allowed us to feel in more control. it seems to have been more effective as if we would have done retrieval at the standard time about 1/3 of our follicles still would have been under 10mm

our ivf Medical treatment was $5,000 and monitoring was $900 we paid about $300 for HCG was and acupuncture it was extremely affordable and they helped us apply for discount medication too so our meds ended up far cheaper then they would have been

Again they give you very clear understanding of the facts for both options and they will tell you that its preferred by most Medical bodies to do single Embryo transfers but they seem to be better then many about allowing the Patient to Direct their care in a reasonable way. i don't think for one second if we went in and said we want triplets because we think its cool and we want you to put in 3 high grade blastocyst Embryos at 34yrs old that he would have done that. However going to them with a rational discussion like we have failed previously, we don't have pgt testing and or grading isn't wonderful he is willing to work with you

Dr. Ditkoff was extremely thorough. He went over all of my past history and treatments, as well as tests. He even ordered them to be done again just to make sure nothing was left out. He went over which treatment plan would be best for us and when the best time would be to start. I truly appreciate him being thorough and explaining all of my results. The doctor I had seen prior never did this and told me I needed surgery and that his nurse should have told me over the phone 4 months prior! Dr. Ditkoff had these tests done again and went over what the issue was and why I need surgery in order to have successful IVF treatments there after.

I would tell them he will be very thorough so if they had any questions, write them down and bring them with you on your visit. He will go over all of your concerns and explain why certain treatments will be successful as apposed to others.

For now I am awaiting surgery to have my left fallopian tube removed. After I heal we will start injections and medicine for my first egg retrieval.

The costs are the absolute best and lowest price for the highest quality of care. We have to pay out of pocket and they are very understanding of this, they also work out in house payment plans. They are the only reason we can afford to have any IVF treatments at all. They are literally our only hope in conceiving a baby. The costs total $5,000 for one egg collection and transfer. Each transfer after that is only $450. The pharmacy they refer to is extremely low cost was well only charging us $4,500. To understand this better, our area in NJ wanted $34,000 for the same treatment and medication.

We are able to try both. But he strongly suggested eSET due to my medical conditions. I have Ehlers-Danlos Syndrome and could possibly face premature birth.

I have not yet begun my IVF process since I am waiting for my first cycle to arrive so I can start. When my husband and I consulted with Dr. Kiltz, he was friendly, engaging, explained things so that we’d understand, and offered his cell phone, email and told us to contact him whenever if we had further questions or concerns. What doctor does that??? I have not met a doctor that offered their private cell phones to patients!

You will love him!

Dr. Kiltz took mine and my husband’s health, and pre-existing conditions into consideration for our first IVF treatment. He recommended I go on a keto diet because a lot of what I was experiencing was due to inflammation. My husband and I have lost weight since taking Dr. Kiltz’s advice. I’m not a medical professional so I can’t speak to the medications that were ordered for me. I’m new to this whole process so I don’t have a lot to share.

He is affordable!!!!!

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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.

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.

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.

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.

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.

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 Grossman was funny and compassionate. He was able to answer all of my questions to my satisfaction. There were questions he wouldn't out right answer because they were decisions I had to make on my own but he helpful.

He has a dry sense of humor.

$3900 for egg retrieval, icsi, anesthetic and fresh transfer; $150 for travel clients monitoring at home or $600 for monitoring at the clinic; $250 for frozen transfers. Medications cost will vary depending on protocol.

CNY as a whole strongly encourages only one embryo to be transferred at a time. They will make exceptions for women who have recurring miscarriages or who are older.

At CNY you only see your doctor for the big procedures but he is always very responsive and thorough to email questions throughout the process and will always come in to the room if available while in for regular monitoring appointments. My confidence level when working with Dr. Grossman went up so much from my previous experience. I felt much more educated throghout the process by him and much more at ease.

He believes in evidence based medicine so some of the diet recommendations, or other changes that can be made that have loose correlations he will more or less tell you it can’t hurt, but may not recommend directly. You do have to be your own advocate but he is always supportive and will have in depth discussions about alternative treatments or add ons.

My protocol with Dr. Grossman was very different from my previous clinic including the use of Prednisone to reduce inflammation, Prograf, Lovenox, Endometrin, Estrace, LDN and Intralipids the week before transfer, the day before transfer and weekly once I got a positive beta until 12 weeks (but we only made it to 10). I feel that the lipids was a big help with the success of this cycle and the higher dosage of Endometrin from the beginning. There are other meds that I know I didn’t list but it’s a lot!!

Including the 3 rounds of shared cycle Donor Egg retrieval/fertilization’s and 2 FET we have paid around $30k excluding medications for my FET.

Dr. Grossman has been pretty strong on recommending eSET because we did PGS testing with our donor egg embryos. We never asked to transfer more as the risk of twins is a little worrisome for myself and my husband financially.

He was very personable. He took the time to speak to me and not st me and he didn’t make me feel like I was just another number. He genuinely cares about his patients and what they are going through. When I expressed concern during my treatments, he made sure that they were addressed and if something needed to be changed or there was something he could do to make treatment easier he helped.

Make sure that if you have questions to have them ready to ask him. If you don’t ask a question they will assume you are ok. Express all concerns because he is very good at explaining everything.

Very well done, they schedule your appointment time and you are always taken back within 5 min of your appointment time

The IVF cost $3,900, and the monitoring cost $800 on top of that.

They ultimately give you the option of how many embryos you want to transfer but they suggest one.

As a patient I wanted more straight forward answers, less 'what do you think' type of responses. I do not know for certain if my cycle would have been different at a different clinic or not but some things have still been unanswered. I will say I felt more like a patient than a paycheck compared to another doctor we've seen. I felt like Dr.Grossman cared about my outcome and that means alot.

Though you are the patient, you will have to be your own advocate, your own nurse and researcher.

My stim cycle was pretty typical. Gonal F 150 Menopur 75 Cetrotide FET 1: Prednisone 10mg, Endometrin, Prenatal, Estrace, Progesterone in oil, Intralipids, hcg wash, Prograf FET2: Prednisone 20mg, Estrace 2x, Endometrin 2x, Prenatal, Progesterone in oil, Lovenox, Neupogen, Intralipids, Plaquenil, Prograf.

I did not monitor at this clinic. It is in a different state and I found it easier being a traveling patient to stay local for all ultrasounds and blood work.

My Egg Retrieval, ICSI, and Fesh transfer were $4,050. Medicine obviously varies but somewhere close to $3,500 Monitoring (all ultrasounds, blood work including my two FET cycles as well) $3,200 FET are $250 for the first year, I've had two FET $500 Then you have the costs of traveling if you decide to travel to this clinic. We drove the first time which still costs us around $800, the first flight and stay were $1,500 and the third (we stayed a bit longer this time around) $1,900. So far without a healthy pregnancy, 2 negative pregnancy tests and 1 miscarriage we have spent roughly $15,500 so far.