Genesis Fertility and Reproductive Medicine

Dr. Ross is straightforward and has a calm demeanor. She is realistic in her expectations and explains each step of the process, including answering my many and repeat questions. As my struggles with infertility continued, I felt that she became even more invested in my case.

Ask questions!

I started with unmedicated IUIs, then gradually increased the number of meds I used in my IUIs. Once I switched to IVF, I started on a high dose of Gonal-F because Dr. Ross already knew how my body responded to the drug from the IUI cycles. For my next round of IVF, which is to begin next month, we are trying different meds as well as higher doses of some of the ones we have tried.

I went to two of three locations for monitoring. At one, there was usually no wait but it was only open for 45 minutes. At the other, the window was longer (about 2 hours) but there was almost always a wait - though sometimes the wait was short.

Under my insurance, for 9 IUIs and 1 round of IVF we have spent around $25,000. However, at least $12,000 of that has been for donor sperm which is separate from the clinic.

For my first fresh transfer, Dr. Ross wanted to transfer only 1 on day 3. Since my other embryo from that retrieval had multiple abnormalities, Dr. Ross is willing to transfer 2 embryos from the next IVF cycle (assuming I get several).

I've always been a difficult patient--low pain tolerance, apt to pass out, squeamish. Dr. Chiware was the perfect person to ease my anxiety, and is so gentle in both word and deed that we wouldn't be surprised if she simply willed our now-fetus into existence. This is the opposite of our previous experience at a larger, more well-known fertility clinic where we felt overlooked and later learned that indeed some of the stats of our case weren't being fully monitored. Once we switched to Genesis, Dr. Chiware created such a comfortable atmosphere for us that we felt we'd known her from a previous life. We owe the growth of our family to her, and can never repay her for her unyielding devotion to our commitment to get pregnant. We literally miss her now that we've graduated from Genesis.

Get ready to never be able to let her go! We would've loved it if she could be our OB. Also, don't be afraid to push the envelope--if you are so unfortunate as to have a failed IUI or a failed embryo transfer, ask Dr. Chiware how you can supplement or change your treatment for the next cycle. She wants you to succeed, and won't blindly reassure you that what you're doing is enough.

We first did an egg retrieval using Gonal-F, Certrotide, Menopur, and an Ovidrel trigger. That yielded 15 eggs, 10 of which were mature, and all of which fertilized with ICSI. By Day 7, we had 6 remaining, which we sent off for PGT testing. 2 came back normal, 2 abnormal, and 1 low mosaic. Since we had 5 failed IUIs at our previous clinic, we did an ERA before our first transfer and then transferred 1 of the normal embryos. The cycle consisted of Estrace pills and Progesterone injections. Unfortunately the transfer wasn't successful. I took a few months off for acupuncture and a mental health reboot, then transferred our remaining normal embryo. For that cycle, Dr. Chiware offered to have us add Lupron, Lovenox, Prednisone and baby aspirin in addition to Estrace and Progesterone. (I'd been taking a prenatal multi and Metformin for PCOS all along.) We chose to go with all the 'extra' meds except Lovenox, whose side effects scared us. We were fortunate that this transfer yielded a pregnancy--we're over the moon to now be 18 weeks.

As a lesbian couple, we felt respected from start to finish in our every interaction with Dr. Chiware and with Genesis. Not once did any staff member (from receptionist to lab tech to nurse to doctor) inquire about a "husband"--we just showed up to Genesis as ourselves, and considering the extreme stress of IVF, that meant the world.

Retrieval, including 1st transfer: $12,225 Surgery Center fee (for retrieval): $1000 2nd transfer: $2800 PGT for 6 embryos (sent to Igenomix, a partner of Genesis): $1250 ERA: $700, but this will depend upon your insurance Sperm storage (6 months): $300, $50/mo refunded for any unused months Embryo storage: can't recall Monitoring: free on my insurance Copays for seeing Dr. Chiware: $40 copay on my insurance SHG: can't recall ;( Ultrasounds: $80 copay on my insurance IVF meds: would've been about $5000 had we not found ways to, err, circumvent some of the traditional purchasing avenues Trips to 7-11, across the street from morning monitoring: PRICELESS Keep in mind, these numbers aren't inclusive of everything, and certainly could vary widely depending upon whether you have fertility coverage.

She suggested that since our 2 normal embryos were both highly graded, we avoid transferring both at once in case they yielded quadruplets or triplets. We are infinitely grateful for this advice--since our first cycle failed, if we'd used both embryos on it, there's a strong possibility we could've lost both. It was out of the question financially for us to do another retrieval.

Gail was the one responsible for coordinating the move of our donor sperm from our first clinic to Genesis. The process was overwhelming on our first clinic's end, but Gail reassured us throughout, and met us with warmth and excitement when we finally dragged that ugly beige tank out of the elevator at Genesis. Our first clinic put up lots of red tape when it came to taking our sperm to another place; Gail was having none of that. ;)

She was extremely knowledgeable and professional. She took the time to explain each step and ask me to decide on how to proceed every time we made a decision. She was also very skilled. The ER was uneventful. She also conducted my uterine biopsy and the embryo transfer procedure.

Be ready to work with their schedule in terms of when retrieval happens.

A long antagonist high dose gonal and menopour. The other protocol was the short antagonist with high gonal 300 and menpour 300.

$1500 plus meds. It was covered by insurance. Without insurance it was $9960

They allow multiple embryo transfer, but only day 5.

I first visited Dr. Chiware two months after deciding to stop seeing my previous fertility doctor. At that point, my partner and I were skeptical about fertility clinics and their motives. However, from the moment we walked into Dr. Chiware's office, my feelings of doubt were abated. She made us feel relaxed and reassured that we were in capable hands by being genuine and sincere. Whenever my partner and I meet with Dr. Chiware, we never feel rushed or disappointed. She takes her time to make sure we completely understand the treatment plan by going through charts and records; making sure to explain any risks involved and answering any questions that we may have about anything. We feel 100% confident in Dr. Chiware as our fertility doctor.

I would advise a prospective patient of Tendai Chiware, M.D. is to stay the course, and trust the process. She knows what she is doing.

Genesis has multiple locations across the city and Long Island with varying office hours which makes it convenient for work schedules. I only went to locations in Queens and Long Island and I was seen right away.

I started the IVF process at age 36 to try for my 4th baby (after tying my tubes). I originally saw Dr. Katherine Melzer Ross for my IVF consultation. She was very nice and gave me tons of information. She answered every single question and was ALWAYS available via email or phone to talk. I remember her saying to my husband and I "You will get pregnant, it's just a matter of when." Eventually after a failed cycle and then a cancelled cycle (follicles did not grow enough), I finally became pregnant with my one frozen embryo that was left. The transfer was done by Dr. Grazi who was the doc on call the day of my transfer. He did an amazing job and reassured me that everything would be fine. My daughter was born last month (my current age = 37) (she was born at 31 weeks & 6 days) as a preemie, but all is well. I would like to thank Dr. Ross, Dr. Grazi, Dr. Smizer (who delivered my girl via c section) and all of the doctors at Genesis for their teamwork, friendly service and genuine care during my IVF process. If I had to do it again I would definitely choose Genesis. Frozen Embryo Transfer June 2019 Success! Baby Girl Born 12/31/19.

Listen carefully and take notes. Breathe and know that you are in good hands. Don't be afraid to reach out to any doctor here.

Fresh embryo transfer, then frozen. Used progesterone suppositories, gonal f, cetrotide, ovidrel trigger shot, estradiol.

They had very early times so I was able to get in before work, as early as 5 am. Multiple locations made it convenient as well. Early bird gets the worm

My insurance covered 85% of the costs. I paid less than $500 for meds. Storage fees for frozen sperm were included

Very strict about single embryo transfer. Multiple embryos were not offered. Maybe because I had 3 children already and my age was 36.

The extraordinary care we received under Dr. Grazi is hard to put into words. With his incredible medical knowledge and kind demeanor, Dr Grazi was determined that our dream become a reality. Infertility is physically and emotionally challenging in so many ways. Throughout our journey, Dr. Grazi was always there for us. We feel ever so blessed to have been cared for, by such a wonderful doctor.

Don't hesitate to ask questions, Dr. Grazi is happy to answer!

IUI: letrozole or clomid, frequent monitoring, Ovidrel trigger IVF: Stimulation-Gonal F, Menopur, Cetrotide, daily monitoring, Lupron trigger Fertilization- half my eggs were fertilized via conventional ivf, half were ICSI fertilized. We did a freeze all cycle so that the embryos could be PGS tested.

IVF is costly. Our insurance did not cover any fertility treatment. However, we worked together with the billing department who were very reasonable to deal with.

The topic was barely discussed as it was obvious from the doctor's end and from our end that we would only transfer one embryo.

Dr Ross is a very compassionate, caring doctor. My husband and I were very impressed with her from the start. My frustration though was that I never saw her ONCE after the initial consultations to start IVF. I did most of my monitoring at Genesis in Staten Island where I saw a nurse practitioner for ultrasound and bloodwork. I went to Brooklyn Surgery Center for 2 egg retrievals in which 2 different doctors performed them and not Dr Ross. Although I really liked Dr Ross, I felt like I never saw her for any of the treatment. I greatly appreciated her taking the time to respond to emails and call me but I would have liked to actually see her...particularly to perform the retrievals. If I did IVF again, I am not sure I would go to Genesis due to this. We live in NJ so we had to drive to Staten Island and Brooklyn for all the monitoring and retrievals. So not sure it was worth it in the long run for all that driving to never see the doctor we chose in the first place.

Don't expect her to do all your retrievals, if any. Not sure if she would be the one doing the transfer, as we sadly never made it to that step.

Dr Ross had me do mini IVF ( low stimulation) cycles. She chose this due to my age and diminished ovarian reserve along with us paying all of the IVF costs out of pocket. She had me on 100 mg of Clomid daily and 150 IU of Menopur every other day on the first cycle. After only getting 2 follicles, and ending up retrieving only 1 egg on the first cycle, she upped the Menopur to 150 IU daily for round 2.

Well oiled machine. First come, first serve. Went to Staten Island for all but one monitoring session that fell on the weekend.

Genesis offered a military discount of 25% which helped since we had no fertility coverage. Cost of an IVF w discount was approximately $3500. If we had at least 3 cycles, then one transfer was included. Retrieval was done at the Brooklyn Surgery Center in the same building as Genesis Bayside Parkway office. The cost to the Surgery Center was $1000 per retrieval. We also did PGS testing where there was a one time laboratory cost of $1875 (after discount) and the genetic lab charged $250 per embryo plus shipping

Dr Ross stated that she would only transfer one embryo if we PGS tested, which we did due to having recurrent miscarriage due to chromosonal abnormalities.

Dr. Grazi is an exceptional doctor. He went above and beyond with caring for us during our time doing IVF. I always felt cared for and never rushed during our appointments with him. Dr. Grazi would personally call me with both good and bad results and to check in with me to see how I was feeling after set backs or disappointments. He was always a ray of hope and encouragement, even when I felt the most doubt. He has truly been a blessing in our journey with trying to conceive,

Don't hesitate to see Dr. Grazi and book your appointment sooner than later for two reasons: 1. time is everything when it comes to fertility so with all of the tests and procedures you may need to go through prior to starting treatment, it's always better to start sooner than later. And 2. Dr. Grazi and the other doctors at Genesis book up quickly so setting an appt in advance is advisable.

My husband and I did IVF with ICSI and this was recommended due to male factor infertility (low count, poor motility and poor morphology). Because the count of sperm was so low plus quality and motility being an issue, ICSI was necessary to ensure the best results. I knew this would be advised and would yield the best outcome (based on my own research) so it was a good feeling when that was confirmed. It was recommended we freeze the sperm (which is something our previous IVF doctor outside of Genesis never informed us of as an option). Since my husband and I chose to do PGS genetic testing (it was discussed w us by Dr. Grazi but never forced on us and rather just presented as a personal choice of ours), this meant that we had to go with a frozen transfer instead of a fresh transfer. During the first egg retrieval in May, we retrieved 11 eggs, 9 of which fertilized initially but then only having one become a blastocyst on day 6. This embryo was tested and came back genetically abnormal (i.e.,VERY likely to result in a miscarriage if transferred). The second retrieval in July yielded better results with 11 eggs, 8 of which fertilized initially, and then 3 day 5 blastocysts and 1 day 7 embryo. Out of the 4 embryos tested all 4 came back as genetically normal. We transferred our best quality embryo (6AA) in August and I am now pregnant with our baby girl!

Monitoring was very early in the morning between 5:30-6:30am at the Queens location. This was great for me getting to work on time or actually very early on monitoring days, but I do wish that the monitoring hours there extended a little later. On weekends, it was always dreadful to wait around at the Bay Parkway location.

Luckily for us, GHI covered 75% of our IVF treatment. A small military discount was also applied, as my husband has served and is currently a reservist, which helped with the out of pocket expense.

I believe going with what the research shows is best practice which is why I agree with Genesis' approach to eSET.

Dr. Ross was our second opinion, and unbeknownst to me, I was already pregnant on my own when I saw her. She followed up with my bloodwork, made herself available and seemed interested in my case. However, when I lost the embryo at 6 weeks, things changed. She told me that she felt my autoimmune dz was causing my recurrent miscarriages, and she had exhausted all the tests to find out what was actually wrong. Then she referred me to another practice, who she said she "didnt really believe in their controversial methods" but we had basically hit the end of the road. Then she said well, let's do a hysteroscopy, just to see, maybe IVF with Lovenox. As a medical clinician, the thought of trial and error guessing with my already sick body and emotionally fragile psyche, was too much to bear and I will not be returning. IMO, if you have infertility with other medical complications, Genesis is not the place to go. Good luck to everyone.

Thankfully covered by insurance.

I’ve only met with her in person once because she took over for my previous doctor when he moved out of state, but she did a good job at making me feel welcomed and in good care. She took the time to review my history and adjust my medications to try to increase my chances. She is alway very responsive via email.

Be patient and trust the doctor’s advice and course of action.

Between $775-$2000

She was very kind, attentive, and personable. She is very knowledgeable and great at explaining things. She diagnosed an issue others had missed, and was flexible in her approach. Not a weakness of hers but while she was out on leave, her replacement was not my favorite doctor, and this doctor ended up performing significant portions of my treatment.

Just understand the schedule of all the offices, and despite the satellite offices, understand how much time you will be forced to go to the main office.

Did unmedicated IUI, did medicated IUI with letrozole and trigger, and eventually did one round of IVF.

Some days it was packed and others it was calm and just me. This could definitely be done better. It was also up to patients to track their place in line, ect - which works with some people and not with others.

IUIs ranged from 3000-5000 depending on protocol they quoted something like 12000 for a round of IVF (plus meds) but in reality it was way more out of pocket for the whole process

An issue for me was that I think two different doctors handling my care had different thoughts, Dr. Ross suggested multiple, while a doctor that actually did my transfer suggested only one. In the future, I plan to move forward with two, as was Ross's original advice.

We were under the direct care of Dr Kulak for nearly a year. In this time we we underwent several rounds each of clomid and injectable IUIs and a few rounds of IVF, all unsuccessful attempts. We had carefully chosen Genesis primary for the following reasons: they were in-network and they were less than a mile from our house. Our cousins had gone through IVF at another clinic and had mentioned the daunting treks they went through every morning and how their doctors had poor bedside manners. We hoped for the best and were pleasantly surprised when we found that not only was Dr Kulak tremendously patient and kind, he was also very supportive throughout the process. One IVF cycle had to be cancelled and he moved mountains to clear a room so we could convert it into an IUI same day. Another time he went out of his way for us was around the point of 6 failed attempts. My husband had trouble making a sample and it caused a huge fight between us since as everyone who goes through this process knows everything is timed exactly to the minute. When we hadn't shown up for our IUI due to my husband, the doctor called to mediate (yes, no joke) and help us find another solution. Dr Kulak is young, approachable, and generally very warm. After a year at this clinic we decided to leave to get a second opinion as he didn't haven't much experience with patients with unexplained infertility but we still have positive feelings toward the clinic.

He comes across as spaced out because his nature is to be very calm and relaxed. Don't fret, he's a genius. And don't be afraid to ask questions- he will even send you research and statistics if you request it.

We started at Genesis after 3 months of letrozole with timed intercourse and 12 months of unprotected relations. Gensis did extensive bloodwork on both me and my husband in the beginning, as well as a sonogram and a hysterosalpingogram. We went straight to 3 injectable IUI's using Follistim and Ovidrel. The first IUI cycle was stimmed for approximately 8 days using Follistim. Our dosage decreased overtime from 75, to 50, to 62.50 every other day. We triggered with Ovidrel 250 units on cycle day 12. The IUI was performed was on 8/17/17 using a fresh sample and we had 3 follicles, 19, 13, and 10.5. We then used 50mg progesterone bullet suppositories. Our second IUI was stimmed for 7 days using Follistim 75 units then triggered with Ovidrel 250 units on cycle day 12. The IUI was performed was performed on 9/13/17 using a fresh sample and we had one follicle at 17. We then used 50mg progesterone bullet suppositories. For our third IUI, the doctor tried adjusting our dosage, again using Follistim. Our dosages were 75, 87.5, and then 100. We triggered with 250 units of Ovidrel. The IUI was performed on 10/11/17 with a fresh sample and we had two follicles, one at 15.5 and one at 14. We then used 50mg progesterone bullet suppositories. The following month while prepping for IVF we leveraged Clomid (50 units) and practiced time intercourse. We got 4 follicles, 18, 13, 9.5, and 10.5. Our first round of Fresh Cycle IVF began on 11/15.The cycle started with 200 Follistim and consistent 75 units of Menopur. Our Follistim dosage increased every other day by 50 units of until we ended at 350. This cycle was cancelled due to generating only about just one follicle at 16 with several 10 or under. Needless to day, we converted to IUI. After approximately 12 days of Follistim, Menopur, and Citrotide, we triggered. Our dosage for Follistim began at 350ui, menopur 150 units. Almost every other day the doctor requested us to change our dosage. For example, 12/22 we started at 350 Follistim, on 12/24 we went down to 275, and then on 12/25 we jumped back to 300. We came in for blood work 3 times in the first week of stims and daily the week leading up to trigger. At the final scan, we generated 19 follicles, with 4 of them mature (18-21.5 size). Our retrieval produced 18 eggs and 11 fertilized. We did a 5 day freeze transfer and found out that they performed ICSI on 8 of the embryos. We put in two embryos (5AA and 5BA) and chose to froze the remaining which were 4AB, 4BA, 3BB, 3BB, and 2BB according to their grading system. Afterwards we used progesterone suppositories 200mg and took green estradiol until our blood test.

Monitoring appointments are mornings 7-8 AM and are literally a scene of herded cattle. Genesis does not have enough seating room for their patients which leads several patients to sit on the floor in the hallway until their name is called. Patients are called on a first-come basis.

Since fertility treatments are covered (somewhat) by my insurance, we luckily did not have to pay an-arm-and-a-leg. We did however get large bills of 500-1,000 dollars at a time. Genesis has a rule in place that prevents any patient from going into the clinic (for even monitoring) unless their full balance is paid.

Our doctor did not consult us prior to the day of the transfer regarding the number of embryos we would transfer. When the day came around we told them we'd like to put in 2 and he strongly advised against it due to potential complications. The clinic in general only allows 1 embryo transfer at a time as they are a proponent of singleton pregnancies, which I guess is where their greatest success comes from.

Dr. Grazi is the most intelligent, caring,compassionate doctor I’ve ever met. With every visit he gives you his undivided attention. He gives you his time and care and speaks to you with warmth. He understands what you’re going through and tries his hardest to help you in every way possible. he’s happy when you’re happy and sad when you’re sad. I did IVF with Dr. Grazi in 2015 and I saw him a few times during my cycle . Dr. Grazi did my retrieval because he was on call that day. He answered every question I had and every single email I sent. He was very gentle and encouraging. Dr. Grazi did my frozen embryo transfer and we were successful with a positive pregnancy. After i had my baby we found out we have a genetic mutation in the family, so I couldn’t use my stored embryos for future pregnancies. Dr. Grazi worked very hard to find the mutation. We had to use a lab in Ohio to test for the mutation. Not only did he work hard to figure out where to test for this mutation but he got many genetic specialists involved in my situation. It took up a lot of his time and effort but he never gave up and he was able to find the mutation. He even wrote a letter to my insurance to cover the cost of the genetic testing . Genetic testings can be very expensive. I did IVF again in 2017 and a different doctor did my retrieval . All the doctors are amazing and caring. They want what’s best for you. Dr. Grazi did my frozen transfer and we got a positive pregnancy but unfortunately i miscarried a few days later. Dr. Grazi called a few times to check up on me and held my hand and cried with me. If there’s anybody in the world that was born to be an infertility doctor, it’s Dr. Grazi. He is in it for the right reasons, to help couples fulfill their dreams of parenthood. Dr. Grazi did another transfer and it was successful. I’m now 10 weeks pregnant. Dr. Grazi knows what he’s doing just trust him and follow all his instructions. You can’t go wrong with this doctor. We are very grateful to him . He’s an angel sent from heaven!! Whether you’re successful with Dr. Grazi or not you have to understand that it’s all from god. Doctors are just god’s Helpers . In my opinion it’s rude to write a bad review just because you weren’t successful with a doctor and you want to let out your angry on him. Trust in Dr. Grazi and believe in him. He becomes your friend at the end and you’ll always have a special connection with him because he helped you have your baby.

Follow his instructions, trust him because he’s very experienced in his field

I did IVF twice with 2 successful pregnancies. We did hormone injections to stimulate eggs for retrieval. After I got pregnant, I took estrogen pills and progesterone injections everyday.

Not such a long wait. I went at 7 till I was done blood and sonogram it took an hour. You can go from 6 till 9 so it fits perfectly with your schedule

My insurance didn’t pay for anything. It costed me around $15,000 just for cycle and transfer around $3,000 and pregnancy scans $200 each scan

Single embryo transfer brings higher success rate for pregnancy.

Initial she was very encouraging and engaged. But I’ve the diagnosis was done she didn’t seem to care much about anything. The nurses did everything. From monitoring to calling and the IUI itself. Dr Ross was available by email but seemed annoyed with answering questions. In the end she didn’t seem to care about the outcome or adjusting my treatments although I had diminished ovarian reserve so clearly time was an issue.

Don’t expect to see your doctor during treatments. When you go for monitoring in that main office, make sure you know how many people are ahead of you. They are very unorganized and skipped me twice because the receptionist crossed me off the list before I was seen

Most of my cycles were without any treatment - just monitoring and then a canceled cycle. I did one Clomid cycle which resulted in a “maybe” mature enough follicle on the side that’s not blocked but that cycle did not work.

I think an IUI was about $700 My insurance covered the dr visits and monitoring

Dr. Ross was a beacon of hope in my infertility journey. I had previously been under the care of a different physician in a different clinic who made me feel like a number. Dr. Ross is the exact opposite. She has such a wonderful presence and such positivity. She explains in great detail, with sketches and everything, about your treatment plans and procedures, etc. She is compassionate and understanding. i never felt forced to do anything and I left every appointment with a clear understanding.

Enjoy her and listen. She’s a very knowledgeable doctor.

I suffer from PCOS and my husband male factor. She was open to IUI during our initial consultation, but after further testing, she acknowledged the low success rate and suggested IVF. Since I don’t cycle normally, she needed to start me on Provera to induce. The protocol she used was moderate. The plan: grow as many great eggs as possible, without putting my body at risk for OHSS. As far as the single fresh embryo transfer - my age was the sole decision maker. One egg if you’re under 35.

Their monitoring schedule is so helpful. Depending on their location, they have different monitoring hours. They started as early as 5:30am for those who work very early and were as late as 8:00am. All monitoring results were given by early afternoon.

Infertility is covered with my insurance. Genesis is considered a Center of Excellence with them as well. Therefore, I had $0 copays in the office and small copays associated with the testing and medicine. All together, we spent about $300.

Because of my age, under 35, Dr Ross would only transfer one embryo.

He is a great doctor. I would email him about concerns I had And he would always address them by the end of the day. I felt comfortable and clam around him. He has a lot of patience. Just wish I was stop not getting pregnant and actually go to term.

To bring in any questions you may have so he can answer them.

1st round IUI did 50mg of clomid. Ended in chemical pregnancy. Second cycle IUI did 50mg ended up not getting pregnant. 3rd round did 100mg of clomid, didnt respond and did a stair stepper. Took 150mg of clomid then IUI and ended in chemical pregnancy

Insurance covered a lot of my stuff I think. Still waiting to hear back.

Dr kulak is wondeful and knowledgeable. Is hands in and contact you with details and info as needed. He knows his info and is extremely compassionate and kind. Follows up often when you contact him or email him no matter the time.

He is wonderful

Gonal 350 and ovidrel for trigger

Other then my deductible mostly covered so no issues.

Dr Grazi is truly one of a kind. I’ve seen many doctors with terrible bedside manners. He is the exact opposite. Its almost too good to be true. He is an angel disguised as a doctor. Always keeping you updated the minute he gets information and treating you with the utmost respect.

Definitely use him if you want someone who is sensitive, efficient, educated and experienced.

Dr grazi devised a personal plan exactly according to my needs. He doesn’t do the same thing for everyone. He really takes everything into consideration and gives you his time. My husbands sperm was not so great so he used icsi and later it proved that this was the correct decision.

It was always crowded but I never Waited too long. The bay parkway office has more patients than the staten island office.

I paid Out of pocket because we did family balancing. It was very expensive but well worth it.

He of course suggested a single embryo transfer when we were deciding if we wanted single or multiple. He gave us the facts. But he will never force anyone to do anything unless it was a health issue. We took his advice and did single but we will be back.

Success in overcoming our infertility issues did not come immediately for us. I have heard that for some people it does come quickly; however, for us, it had become a very grueling experience which, required a major effort from both of us. We had consulted and were treated by many fertility specialists prior to discovering Dr. Grazi. All of them were very skilled, extremely knowledgeable, highly recommended and reputable, but none of them were anything like Dr. Grazi. Unique and special are only two of the many adjectives that truly describe his key attributes. For us Dr. Grazi was the only weapon we had to combat the grueling experience that we had undergone while going through our “ART” experience. Even though we owe our success to a “Higher Authority” (God the Creator), without, Dr. Grazi our “ART” experience would have been vastly different. Whether we had succeeded or failed in accomplishing our objectives we would still recommend Dr. Grazi to be the doctor of your choosing since he was the only doctor that enabled us to get us through this most difficult crisis in our lives with the least amount of emotional, psychological, spiritual, ethical and financial stress that anyone has ever dream of. Dr. Grazi was God’s answer to our prayers!

Trust his judgement, heed his advice and seriously consider his recommendations for he is truly a very remarkable doctor to be under the care of.

We started with an IVF procedure that made use of the meds-- Menopur and Bravelle to stimulate egg production.

An efficient well oiled machine. I had to be there at 6:30 AM if I wanted to get out quickly. This did not ruin my schedule.

The costs were fair and reasonable. The billing department was very helpful. Cost is negotiated if it is too high for the consumer. Financially this clinic is operated in a very business-like manner. It is excellent! They are very flexible at costs. There isn't a service performed that is over-priced or out of reach for the consumer. Deals are made and results are obtained.

Dr. Grazi only transferred one embryo. Transferring multiple embryos was never recommended and was never performed.

She is honest and caring, tried to help us an any way she could. Easy to communicate with, responsive to emails, etc. She offered both medical and moral support through this tiring process. If you are looking for a doctor that's compassionate and trustworthy, I'd highly recommend her.

Bring all your questions, she will consider them and answer the ones that she can. She is extremely supportive and will take time with you each visit.If you have been down the IVF road before and still have not had success, and are interested in any "experimental" treatments or immunological testing, you will need to be referred elsewhere. She practices evidence-based medicine.

IUI- Used Letrozole and Clomid. Clomid produces several follicles, whereas letrozole produced one. IVF-Used antagonist protocol and agonist (lupron) protocol. Agonist produced more mature eggs. Medications were adjusted throughout cycle depending on blood work results.

Normally didn't have to wait too long. On weekends, the wait time was always much longer.

IVF cycles (without meds) around $10,000. They participated in the NYS IVF Grant program.

We went over the recommendations for number of embryos to be transferred based on age.

Warm and friendly from the moment we met. Always available to us, whether in person, via phone or email. Checked in with me to see how I was doing. Was warm and supportive and sensitive when I was going through a D&C for a miscarriage after my first IVF cycle. Shared our joy when I finally became pregnant with the baby that is now my healthy, thriving son.

Be open, share your concerns, ask questions.

Started with 3 IUIs with clomid and ovidrel trigger. None successful. Moved right onto IVF - first cycle gave us 8 eggs retrieved, only 2 viable embryos -- two transferred, resulted in a pregnancy in which we lost the heartbeat by the 8 week sono. Went right into the next IVF cycle after D&C, adjusted protocol a bit - used Lupron, menopur, gonal f and then triggered. This ended up being a freeze all cycle since we retrieved 21 eggs and we were being cautious of overstimulation. The doc felt that my body wouldn't be ready for a fresh cycle and if I got pregnant, it could worsen symptoms of overstimulation. We froze 5 day 5 blastocysts. Went into our frozen cycle a month or two after retrieval and transferred two blasts. This resulted in a negative. Went right into our next frozen cycle and transferred two more blasts. This resulted in my healthy singleton pregnancy.

You have to get there early. Monitoring starts very early, at 6:45 am, and it's first come, first served. This was never a problem for me though as I'd get there very early since I had to go to work afterwards. These monitoring hours worked well with my work schedule.

My insurance covered quite a bit, so we were lucky. We did have some out of pocket expenses with procedures that were done, co pays, medications etc. Our total out of pocket for all of our treatment in total was under $15,000.

We transferred two embryos each time which worked well for us.

Dr Grazi is a very warm caring Dr. He is very passionate on achieving success for his patients. Patient confidently is kept to the utmost form and fashion. He was always very on top of our treatments and matters.

I wouldn't change anything. we are very happy with Dr Grazi and the Genesis team.

a cycle would cost us between $10000 to $17000

We had multiple IVF cycles at Genesis, sometimes we were advised to do single and other multiple transfers. Each cycle is accessed separate.

Dr. Grazi was very knowledgeable and professional. Moreover, he was compassionate and cared about me as a person. I enjoyed the way he described each process and guided me through all of the steps. IVF is not easy. Dr. Grazi put me at ease and gave us hope.

Be patient with the process. I know it could be frustrating but listen to the doctor as he has plenty of experience. Ask questions! Dr. Grazi is always there to answer them.

Injections followed by retrieval and embryo transfer. We also opted to do genetic testing on the embryos.

20+ thousand for everything

Yes. Single was better due to my conditions. Dr. Grazi explained and advised against multiple embryo transfer in my case.

He is extremely compassionate and caring and he truly looks out for you. He was very sympathetic when things didn't work out and made it that much easier. He is knowledgeable and knows what he's doing

Definitely to gather up the courage and go for an appointment. Hopefully it will all work out

I used gonal f and manopur and cetrotide and for the trigger shot was ovidrel

It was very efficient and run well. Only on weekends was it a little busy. Otherwise Great

Around 12000

The dr insisted on a Eset. I wouldn't have minded multiple

Very compassionate, patient, knowledgable, gets back to you right away. Helps find embryos, asks if procedure hurts, emotionally appropriate, reassuring. I felt like his only patient, though I wasn't!

Do your own research first, and come with questions. Also, be persistent if you have a concern-- he does not mind considering all options.

FET with 2 day 5 embryos.

Procedure was $3800, but other things extra, saline soon $600, counselling $250, etc

First decided one embryo then two. Happy, as one was better than another.