Institute for Human Reproduction

I feel very confident in Dr. Cohen and the staff at IHR -- not that they'll guarantee us a baby but that they're trying their darnedest to help us achieve that goal and care about my husband and I as patients. Dr. Cohen has the right blend, in my opinion, of frank and honest guidance that is still warm and compassionate. He also kept us well-informed in multiple consultations of the procedures that lay ahead and what options were available. The process felt orderly and methodical but Dr. Cohen factored in our opinions and what was important for us. He adjusted our protocol after our first egg retrieval yielded no viable embryos and our 2nd round yielded better results. He let us know of the pros/cons of adding HGH to our protocol, balancing the possible added value with the out-of-pocket costs. We went through a hysteroscopy to get my uterus into the best possible shape for transfer. We could have done a costly ERA test at the start of our transfers but as Dr. Cohen explained the various scenarios with ERA tests (conclusive, inconclusive), we felt we could make a calculated risk to hold off the ERA until our 2nd transfer, knowing that we'd be happy with one child at the end of all of this. None of the IVF process is easy but we feel we have a valued partner in all of this with Dr. Cohen & IHR.

Don't be afraid to ask questions. Dr. Cohen does a great job of explaining things (diagrams and all!) and doesn't hold back on information but being your own advocate and putting forth the questions you need answers to, just benefits you, the patient.

$10-15K in additional medication (above our coverage limits), HGH out-of-pocket costs; ERA test out-of-pocket costs

Dr. Cohen is intelligent and always came to our consultations or to the exam room knowing my case and exactly what we needed to do. That meant a lot to me to know he reviewed my file before he interacted with me. I never felt rushed and he allowed me to ask a million questions. Dr. Cohen has always been honest about the process, never over-promising, but offering hope.

During the first two IUIs, I used 2.5 mg of Letrozole and then triggered when the follicles were 19mm. During the first IUI, everything was textbook. The second IUI was more difficult. I wasn't responding as well, but we ended up going through with an IUI anyway. Because the clinic isn't open on weekends to do IUIs, we had to do an IUI on a Friday. I felt like my body wasn't ready, and I wasn't surprised that that cycle failed. After two failed IUIs, we sat down with Dr. Cohen. He suggested that I see another doctor about the cyst on my tube. Several months later, I had a laparoscopy and then came back to Dr. Cohen to try IUI #3. Upon my baseline ultrasound, they found a polyp. Once that was removed, we proceeded. This time I used 5 mg of letrozole. We haven't had luck with IUI, but we knew that was a possibility.

Each IUI was $1500 out-of-pocket. The meds ordered were around $700/cycle.

I immediately felt as though Dr. TK was invested in spending the time with my partner and I to understand our options. I do wish I had more face time with him, I did not see him between my consult and my retrieval.

Come with questions prepared! He is happy to answer them and walk you through the options.

For my treatment, I was prescribed Gonal F, Menopur and Ganirelix. Although the Dr. only predicted we would have 5/6 eggs we ended up with 11 at retrieval. We only had 1 embryo that went for genetic testing (which was normal!) so overall it was a win.

Super easy! Window from 630 to 830 am. Never waited longer than 15 minutes.

15k for IVF with genetic testing. This was discounted from 19k as I am a self pay patient.

Dr. Tur-Kaspa was the first and only doctor to point blank ask me how many children I want. It was his first question. And that alone made me have faith in him. He was honest and didn’t sugar coat anything. He made me know that it was going to be an uphill battle but he believed in me and believed I will get a child. He gave me courage and confidence. He also, took the time to talk with me as a person and get to know me and my personality.

Believe.

I just finished my first egg retrieval today and am awaiting results. I am prepared to do 4 back to back retrieval’s as I have DOR. I only retrieved 3 eggs today on the following proptocol: 2.9 HGH daily 10 units lupron in the a.m. and p.m. 150 Menopur 450 Gonal-F So as you can see, I am on a very strong dosage with very little response. Hence, why we need to do as many cycles as my insurance will cover in the annual year. We also are doing PGS testing as I had a miscarriage previously that had trisomy 16.

This is a well oiled machine. The 2 ultrasound techs get you in and out. There is rarely a wait. And Theresa is my sounding board. She is compassionate and gives me positive reinforcement. She sat with me and listened and sympathized while I cried over my poor response. You are not just a number here. They genuinely care.

Well my insurance is a BCBS marketplace plan as my employer does not offer IVF benefits so my plan is expensive. It is a $7,900 pie of pocket max I easily hit with the medication alone. Also, each cycle I opted for PGS which was $5,700 per cycle and HGH which was $2,100 per cycle. Remember as mentioned earlier I am doing 4 retrieval’s. So it is extremely expensive.

Dr. TK will do multiple transfer

He is very clear about what his goals are. He met with me and explained the entire process, but when I expressed concerns and my wishes/decisions I felt like I was getting blown off. During testing, he explained the results of the ultrasound live, but I was so shaken up by the procedure that I wasn't processing anything. I expected some kind of follow up and never got any.

Take notes, ask questions, and write everything down

I only went through the consultations and initial testing. I understood the need for the initial ultrasound, but when they said "okay everything looks good now let's schedule the more invasive ultrasound" I had questions as to why I need another test if everything "looked good". I felt like Dr Cohen kept pushing IUI and IVF but never explained why.

Initial testing and consultation (no cycles) cost around $2000. I have "excellent" insurance coverage according to them.

I found Dr. Tur-Kaspa after trying two other clinics on the east coast. What a different experience, on so many levels. Most importantly, Dr. Tur-Kaspa is very, very good at this. He is simply an excellent clinician and has success where others have failed. He adjusted my protocol several times to maximize the number of embryos we got. He worked within the limits of my insurance -- even canceling one cycle early when he thought we would get better results with a different protocol (in order not to "use up" one of my 4 egg retrievals allowed by insurance). He is not only sensitive to the emotional turmoil of this journey, but also the financial stress. His office worked with my insurance company to get as much covered as possible, and when I had to pay for a procedure out-of-pocket they offered me a highly discounted rate -- very similar to the contracted rate that insurance actually pays (much less than the "sticker price"). Dr. Tur-Kaspa is the only doctor in this field that I know of who offers a lottery every year for FREE IVF! This doctor is truly on a mission to help people. With his phenomenal track record and multitude of awards, it was amazing to see how much humility he has and how accommodating he was. For example, I really wanted to try a natural cycle for implantation -- which means that I was not "in sync" with the majority of his patients (default standard of care is a medicated cycle, allowing doctors to "batch" their patients) and he was fine with that, even though it meant a more inconvenient and unpredictable schedule for himself (e.g., coming to surgery center one day special for me, etc.). I've been to other clinics where there was a my-way-or-the-highway attitude (y'know, "this is how we do things here") - and Dr. Tur-Kaspa was the exact opposite. Being a fertility patient, you're very vulnerable, and having the doctor respect your individual preferences is really empowering. The other thing I remember from various appointments with him was that he made me smile and laugh. He has a good sense of humor which can lighten the mood and imbue everything with optimism. I distinctly remember a couple of his one liners from right before egg retrieval surgery and I'm chuckling as I type this (not gonna give them away online!). I recently met with Dr. Tur-Kaspa again to discuss my next embryo implantation. I brought my 8 month old daughter with me to the appointment. He was so happy to meet her that he literally carried her out of his office to show her off to his staff! This is truly a man on a mission to make couples happy.

I needed relatively high doses of Follistim and Menapur, and low dose Lupron throughout.

window of time for monitoring appointments was pretty convenient. Several days a week, for several hours in the morning. I was able to beat rush-hour traffic and it didn't ruin my day. Depending on the time I got there the wait could be under 5 minutes or 30 minutes.

My experience with Dr. Cohen was and continues to be top notch. I was a tricky case when trying to get pregnant with my daughter and had three failed transfers before finally getting pregnant. Each time, he would call me, give me encouragement, and help me get back into the game. After two failed attempts, he counseled my husband and I to try a new test that might tell us why the transfers had failed. The test worked and on the fourth try we had success. We’re trying again for another baby and there isn’t anyone else I would trust to help us conceive than Dr. Cohen. He is truly the best at what he does!!

While I have nothing but the best to say about Dr. Cohen and my time at IHR, it’s always best to be your own advocate and know what’s going on with your care.

I’m not sure of the particular protocol I did for my retrievals, nor the dosages, but I do recall being on Menopur, Follostim, and Ganirelix. I triggered with Lupron for all of the cycles. For my frozen transfers, it was estrogen pills and Crinone for the first two transfers, then patches and Crinone for the second two. My body did stop responding to the pills so we had to switch to the patches. For my positive cycle I was also supplemented with progesterone in oil due to spotting.

For the most past the monitoring hours don’t bother me. I am a stay at home mom now and don’t have anywhere to be. There are times I will show up and be called right back, and other times I will have to wait more than an hour to be called. It just depends on how busy the clinic is.

Most of our costs have been covered by our insurance. The genetic testing was not, nor the embryo storage fees. They did, however, offer us the option to do back to back cycles and test all the embryos up to a certain amount. It was much cheaper than doing two separate cycles with testing.

Dr. Cohen felt very strongly that having one baby was better than transferring two and ending up with multiples. Since we chose to screen the embryos he recommended only transferring one. We did decide to transfer two on the fourth attempt, but there was a miscommunication with the lab and only one was thawed. It turned out wonderful though because I got my beautiful little girl from that cycle.

Dr Cohen was super cordial. He went through things, made himself available. He always made me feel like things would be ok. I’m still not done with treatment with him. But I’m glad he was my first stop for fertility treatment! He’s awesome!

The care of Dr Cohen far outweighs the communication struggles with the staff.

He began doing an HSN on me which I never had. My OB said I had a T shaped uterus but only did a HSG. I lost my daughter at 23 weeks and Dr Cohen said that we needed to look further into why that may have happened. He found a septum in my uterus and we did surgery the next week. He placed a balloon catheter in there for a week. Removal and then we proceeded to get a final cycle started to begin monitoring. He gave me 100mg of clomid and I didn’t respond as needed. I was canceled my 1st planned IUI cycle. I was then given more provera to induce another cycle. I requested doing Letrozol instead of the 150mg of clomid as he had planned to do. I then continued with monitoring, triggered with ovidrel and got my 1st IUI. Started crinone 2 days after. I’m still waiting to see if it worked.

The only price I was ever given was $1500 for an IUI cycle. I’ve been seeing Dr Cohen since 12/6/17 and I have yet to receive a bill or discuss finances with anyone at that office.

N/A

Dr. T found a tubal blockage and PCOS issue that my first clinic failed to identify. He has great bedside manner, when he had to give me bad news he didn't shy away from telling me but did so in a gentle and kind way. He helped me get a grant to cover some of the cost of IVF. He hugged me the day I graduated, he is that kind of doctor.

Ask all the questions you want, he will take the time to answer each of them. If you don't understand him, just ask again, I'm sure he is used to it with his accent.

Because I was PCOS, he used Metformin. I was on Gonal F, Menopur, esterace, Lupron, and progesterone.

Monitoring appointments were so great for me, I went before work and usually was there at 7, only a few people there, first come first seen, I was never there more than 15-30 minutes

IVF was around 10-11k, plus 1k for freezing, and medications. PGS testing would be additional 4k plus FET round of 3K.

He felt really strongly re a 1 embryo transfer, due to the risks associated with multiples. He did say if we wanted to try to transfer more than one he would let us.

Dr. Tur-Kaspa seems to work hard to build a personal relationship with each of his patients. He is an amazing listener. Jen is efficient with his time but never makes his patient feel rushed. He is always encouraging and always smiling. He returned messages in a timely manner. He is beyond knowledgeable on his field. It was clear he wasn’t just following a protocol but tweaking my medications and schedule as my body needed.

Don’t hesitate... get a consult with him.

Initially he started me on a “typical” protocol for IVF, our first round ultimately failed as none of my embryos survived past day 3. He was not flustered. He took the time to meet with my husband and I. He claearly had done more research into my problems with poor egg quality. He gave us a few options that were more unconventional (I.e. delaying retrieval by a day and adding HGH to our regimen). The next 2 rounds were trying but much more successful. We had 4 embryos that are PGS tested and we were happy!!! I truly feel that without his changes we would have been wasting time and money with canceled cycles and disappointment.

Monitoring is a first come first served basis. It can get quite hectic but staff works quickly. My longest wait was 45 min but it is clear that they are trying to go quickly for their patients convenience.

Thank GOD insurance covered our treatment. However PGS testing and storage was out of pocket. We spent about $18000 out of pocket but that also included elective acupuncture off-site.

For me... Dr TK only wanted to transfer 1 embryo at a time because I am already high risk. He didn’t see a reason to electively increase my perinatal risk. I agreed whole heartedly.

I like the doctor a lot, he’s honest and open and candid about his method of treatments. His accent is a bit hard to understand sometimes but I was ok with that. He was compassionate and understanding in several situations. He called personally many times when I felt upset or frustrated with the nurses.

See a second opinion and compare.

We did 3 egg retrievals and never changed protocol because I responded well each time during stims. He has suggested several things that weren’t originally discovered - genetics test, HSN, removal of a large polyp. He does more testing to prevent heartache and I appreciate his thoughral approach.

Super convenient and very organized. They had a sign Jon sheet between specific hours and I never had to wait long as I went during less busy time 9-9:30am.

Expensive! We spent $48K (30 insurance paid but we maxed it) and that’s NOT including meds. Absolutely ridiculous, Especially the PGS part with freezing and biopsy was $5790! $3500 transfer, $1,000 - ERA test.

He will not transfer multiple embryos if they’re PGS tested.

He did inter-change with the other doctor at the center, but they both were sure to make us feel we were having comprehensive care. Both the egg retrieval and a pollup removal during an IUI cycle were done at another medical facility, but by our doctors. We did not see him often, but 95% of visits were lab work and it wouldn't have been necessary. IHR came highly recommended to us, and has fulfilled that reputation.

Prepare questions ahead of time, but don't be afraid to ask him.

When he explains procedures, it comes with charts and graphs and numbers, like a college lecture. My wife and I loved that level of detail, and he explained every step and decision as he went along. How many more IUIs to do, whether or not to do testing, how many to transfer, all came with percentages and evidence-based decisions that he was still open to change if we were to insist.

It was a well oiled machine.

Dr. Cohen gave us an insiders look to our insurance, and explained in detail how to make the most out of it. Out of pocket costs ended up being only sperm and shipments, and a delivery fee to the lab, and the freezer cost for a year for the embryos.

None, we agree in the 'one healthy baby at a time' idea

Dr Tur-Kaspa is a nice doctor, he knows what he's doing for sure because he helped me to conceive my twin boys. He has always showed compassion in my case but is mostly straight to the point kind of doctor. He did advise against transferring 2 embryos but of course it was my decision & he respected that. He did try to talk me out of it at one point. In the beginning when I was new to infertility & IVF I would have preferred him to explain the process a little bit more. Going in not knowing if you are ever going to conceive you just kind of go with the flow & trust the doctor. If I had known what I know now I would have skipped IUI & went straight to IVF after 1 failed attempt. As a patient I am pretty satisfied & have decided to go back to him for further treatment because I am comfortable & trust him as my doctor.

Do your research & have your questions ready to ask. It is so overwhelming to go to a fertility doctor & there is a lot of information that will be given to you. I wish that I had done more research & asked more questions at first after being diagnosed.

I don't remember the protocols because they were done in 2013 but I do have a timeline for my next IVF cycle which includes labs & ultrasound at day 3 & then birth control & metformin for 2 to 3 weeks, hsn & if all goes well I will start IVF injections.

I love the monitoring hours there. It is very convenient in my opinion because you can go anytime between 6 and 9 or 9:30am especially if you work you can get it done before work usually. It is pretty well run & in an organized matter. The visits usually are no longer then 10-15 minutes which I like. The lab department loves their job, they are always friendly & upbeat so early in the morning.

I have insurance so my costs were minimal in my opinion. I don't recall the specifics. I do want to add his office is pretty pricey to store your embryos compared to friends who have theirs stored at other facilities. I think that it should be a bit more affordable.

Yes he strongly advised me against transferring 2 embryos at a time. He still suggests that I only transfer 1 embryo due to my young age.

Dr Cohen is empathetic, kind, and funny. He was always in tune with exactly how I was feeling without me having to tell him. I can't say enough good things about him. Without him I would have been completely lost and confused during the IVF process.

Be open and honest. He will be with you. He will answer all of your questions if you ask them. IVF (or other fertility treatments) is especially confusing if you've never been through it before and it's almost impossible to retain all the information that's provided during an initial visit with Dr Cohen. You can always ask him to clarify or go over anything you need to again outside of appointments with him.

Dr Cohen told me right away that he would only transfer one embryo and I was just fine with this. I believe what he said was his goal was for IVF to be successful for me and it wouldn't be a success if I had two (or more) babies in the NICU or worse. I got the impression you have to have a pretty good reason for him to transfer more than one embryo on your first try.

He was very personable and talked to you in terms you understand. Really took the time to get to know you and make you feel comfortable. It’s just a scary and exciting time. We always felt like he truly cared about us and you can tell he loves what he does.

Definitely go see him and see what he has to say because he will do everything it takes for you to have a family.

We did ivf with our embryos genetically tested. I did injections daily and sometimes twice a day during my cycle for the retrieval and also before the transfer.

It was always in the morning so it was nice that it didn’t take up your whole day. But when you are going through this it’s all you think about so it didn’t really matter to me. You just have the mindset of the end result.

I believe we spent around $28,000 for everything including one retrieval, genetic testing, two transfers and all medications.

We choose to do one embryo during our first transfer since we only had two good embryos.

The doctor certainly seemed very informed and on the ball. But as I look back on my notes, I feel a little misled about his live birth rate success. He convinced me if we did PGS testing that I would have a 60-70% chance of getting pregnant because I'm under 35. His SART data, though, does not show that high of a percentage at all. At one point he told me I should be pregnant by now. He doesn't know why I'm not. It's either really bad luck or a uterine issue and we don't have enough data yet. But then month after month he'd basically pump me up with estrogen and put me through hell with no change and no success. He traveled frequently without giving me a heads up, and at one point I had to ask to be put on an extra week of estrogen just to coordinate with his travel plans so he could do my transfer (which was cancelled anyway). Your body is expected to work around his schedule, and I wish I had known how big of a deal that would be when I chose the clinic. He can be incredibly compassionate and funny. I really liked him personally, but at the end I wasn't pregnant and I felt like he wasn't taking responsibility. He is also very aware of issues within his nursing staff, and he doesn't take active steps to make it better. When I started with him in 2016 we discussed his poor Yelp reviews, mostly based on the staff. He said the problems had been taken care of. Let me tell you -- they weren't.

Go somewhere else! But if you stay, take detailed notes and always confirm in writing, via email, what he told you. If you don't understand something because of his accent, ask until you do. If you feel like you are starting to dictate your treatment because he isn't coming up with a plan of action -- run. Do not rely on the nurses to give you correct information abut protocol or meds. Be your own advocate. You can't trust them to get it right.

He triggered me with Lupron and we had 7 frozen, tested embryos. I thought I'd never have to do IVF again. I was wrong. One implanted, but was a pregnancy of unknown origin and they had to give me two doses of methotrexate to get "unpregnant." Each month my lining wouldn't get above a 8, so he would cancel my frozen transfer. I got to transfer one more, but it didn't stick. To get my lining to thicken, he pumped me full of ungodly amounts of estrogen (my serum levels were 2200+). I suggested patches, so we tried those. They didn't work either. I often got to a 7, but not when I needed to be for the purpose of his Thursday-only transfer schedule. I was told my embryos were perfect, but after the 2nd didn't stick I consulted with other clinics. I'm not sure how good IHR's outsourced lab is. And there are studies that triggering with Lupron makes eggs that are not high quality. He only used vaginal progesterone. Everyone else I know uses PIO injections, or both. So he finally relented and said I too could do PIO. But we never got that far.

They were the least offensive thing about this place.

Here is where we saw eye to eye. He refused to put in two quality embryos and fully explained all the risks of twins.

Dr. Cohen had made himself available if we have had any questions in the process. He did not trust my hsg results from my local hospital and completed an hsn in office. He felt that my previous diagnosis of blocked tubes was wrong based on his testing. At his recommendation we are trying IUI when I had previously been told my tubes needed to be taken out and ivf was my only option.

If possible I would recommend you have an initial consult at his office in Chicago. I live in another state and Dr. Cohen comes to my OB/GYN office once a month to see new referrals from that office. He did not have any office staff with him and even called us back from the waiting room. While there is nothing wrong with that, I felt I may have gotten more handouts or material to take home had we been seen in Chicago. It also may have allowed us time to meet with their financial coordinator. Dr. Cohen didn't leave a lot of time for questions in the first appointment. So if you have them, make sure to be upfront and ask at the beginning of the appointment. While he met with us for an hour and a half a majority of the time was reviewing my history, previous testing results, and discussing types/outcomes of ART.

After my hsn Dr. Cohen recommended IUI as he felt my tubes were clear and uterus fine. My first IUI was 50 mg if clomid says 5-9 of my cycle. I had baseline monitoring cycle days 5, 12, and 14. I had an ovidrel trigger shot on cycle day 15.My IUI was completed on cycle day 16. I was given progesterone and estrogen supplements to take untill my blood test.

There is a self-pay discount for treatment services as my insurance has no fertility coverage.

Dr. Tur-Kaspa performed a hysteroscopy, an egg retrieval, and a transfer. I never experience any discomfort or pain, not even after the hysteroscopy, which I thought was amazing. (I had another hysteroscopy earlier on, and that was performed by Dr. Cohen of IHR.) One egg retrieval plus PGS resulted in 9 embryos down from 16 (which is a really great number), and after just one transfer, I was pregnant. While the IUIs were very frustrating, I don't know if I can complain much now that I had such great IVF results.

Do you as much as your own independent research as possible and ask a lot of questions so that you understand the process and timeline, whether IUI or IVF. For example, with my partner and my busy work/travel schedule, I had to understand the timelines very well to be able to plan or postpone certain treatment.

For the IUIs, I took one or two doses of clomid for five days, then ovidrel trigger after b/w and u/s monitoring, and a couple days after IUI, started progesterone support. Sometimes also included estrace/estradiol. For IVF, injections of menopur, follistim (adjusted as necessary based on ultrasounds), and then ganarellix, and finally, before the retrieval, leuprolide injection. In prep for the transfer, I was on estrace, progesterone, and medrol. Also, always lots of antibiotics. On estrace and progesterone until week 10. As far as I know, there was nothing particular about this protocol tailored to me as there weren't any special circumstances. This retrieval resulted in 34 eggs though I never had any symptoms at all; I felt perfectly normal the whole time, no discomfort whatsoever.

The PGS testing (which was outsourced to a lab) was $4,500 for up to 8 embryos and $250 for each additional.

Because we did PGS testing, it wasn't a question for him whether we would take the risk of multiple because doctor said he had a 70% success rate with single embryo transfers after PGS testing.

Dr. Cohen is very caring, straightforward, but also optimistic about treatment options. I never felt like he gave me false hope. Has has always been honest about potential outcomes and realistic success rates. To be honest, I wish I was able to work with him more frequently than other members of office staff. My only qualm is about a diagnosis. I was initally referred for bilaterally blocked tubes. He completed an hsn and stated all was clear and that my tubes were fine. I am not sure this test is as specific for blocked tubes as my hsg. He seemed to completely trust his results and we are proceeding with his recommended treatment of IUI at this time.

If possible try to complete your initial consult visit at his main office. He came to my OB/GYN's office for my initial visit. He had no staff with him and was doing everything by himself. While this isn't necessarily a problem, I feel like we would have had more material like handouts to take home and review if the visit had been at his main office. He doesn't leave a lot of time in the first appointment for questions. So make sure you are upfront with those early in the appointment to get your answers.

I was referred to Dr. Cohen by a friend who had just delivered a perfectly healthy baby and shared her experiences with me along the way. He was compassionate and easy to talk to, very understanding, reassuring and experienced. I felt very comfortable and positive with him.

Be patient with the frequent appointments, multiple times a week. They do have a lot of patients, but I appreciated that it was "first come first served" - on days that I needed to get to the airport for a 9am flight, I was able to come in at 6:30 and get my ultrasound and blood work done efficiently.

I started with Dr. Cohen in January after switching insurance so it would cover the procedures- I had been 6 months with another doctor on drugs and timed intercourse with no results. He gave me the option of doing IUI or going straight to IVF, which is what we chose due to my age (39, now 40) and everything was straightforward. I went through 3 retrievals - 4, 2 and then 7 5 day embryos resulted and were frozen to go through PGS, with 9 recommended for transfer. In retrospect I appreciate that he was conservative and I have enough embryos to potentially have additional children, but hind sight being 20 20 I could've stopped after 2 retrieval cycles and likely had plenty.

They had monitoring hours in the morning, so as I stated previously, it was very convenient for me to be able to go in early and still get to work on time (or occasionally to the airport for a flight!).

Ugh! I had to go on an Exchange Blue Cross Blue Shield plan because neither mine nor my husband's employers companies covered the treatments because they were "self insured". That out of pocket max was around $6,000 which I hit with my first order of drugs, plus a $400/month premium. However, everything else was covered except for the genetic testing, and each retrieval cycle was a few thousand dollars, and then because I had more than the average (7) embryos go through PGS, there was an additional charge for that as well (but I suppose that's a good problem to have).

Because we went through PGS, Dr. Cohen only transferred a single embryo, which made sense to me.

Dr Tur Kaspa is extermely direct. His directness took getting used to - but he cares and is invested. I might not always like what he says but he spends as much time with me as I need, is compassionate and doesn't give up.

Don't let his directness turn you off. Underneath he is kind and compassionate and he will try his hardest to get you pregnant.

EPP on estradiol, 400-450 Gonal F, 150 menopur, 1/2 vial omnitrope (hgh), ganirelex, lupron trigger. EPP, MD Lupron 10iu/2x daily, omnitrope 1/2 vial daily (2 days), add in, menopur 150 am, gonal f 450 pm (continue with MD Lupron and omnitrope) tried lupron cycle when my follicles didn't respond one cycle

Monitoring takes place from 6:45-9:30am. Women begin showing up at 6am. The US tech is quick and efficient and begins taking patients early. From start to finish, I am usually there 1 hr.

My OOP cycle was $10,500 plus meds. Embryo biopsy and freeze cost approximately $3000. I was charged a batching fee of $500 per cycle, which I did not like - why does it matter how many cycles I am doing? I tried to argue this charge and lost. Genetic testing is $4750 which is the highest of any clinic I have been to - which was disappointing to learn. Most of my cycles have been covered by insurance thankfully. For insurance covered cycles, I paid deductibles for meds, I paid cost of meds not covered by insurance, the batching cost, embryo biopsies and freezing and genetic testing (one test for all batched embryos).

Dr. Cohen is incredible. He is brilliant and up to date on all of the latest trends. He is experienced and looks at you as individual, opposed to just another patient. During his initial consult with him, we probably spent about 45 minutes together, and that was the first of many one on one consults. He is willing to try new things, but will always refer to the real statistics and scientifically proven data. He is down to earth, kind, trustworthy, good humored, and very available. I found his level to of care to be exceptional. Another thing I appreciated about him was that he didn't take advantage of us in terms of requiring procedures that were not necessary. I was desperate to have a child, and would have paid for every test under the sun, but he was confident that he had the information we needed, given our circumstances, and that with time we would have success. Even when I tried to convince him otherwise, he would remind me that he really thought we would have success, but he would tell me if after time, his thoughts changed, which I appreciated. I am forever grateful for his care, and respect him immensely.

Be direct and honest with Dr. Cohen. Ask him for his thoughts and reasoning behind doing things a certain way. He is a great blend of warm, but honest.

Given I have PCOS - we used Menopur and Follistm. I believe the dosage was between 75 - 150, so very minimal. He also recommended ICSI as my husband has sperm issues. His protocols resulted in tons of day 5 embryos. We initially did transfers without testing the embryos, but after no success, he recommended testing the embryos, which we did. My next transfer worked. We just had to find the right one, which he was saying all along.

The clinic is busy, and they typically run IVF cycles every other week. I would advise to get there early. They open at 6:30am, but you can typically arrive as early as 6:15am. That's how you will get in asap.

I do not know the cost. Thankfully we had good infertility coverage.

Dr. Cohen and our assigned Nurse Coordinator were kind and patient. Dr. Cohen explained what his recommended treatments were, listening to what questions and concerns we had. Our NC responded quickly to my emails with questions and was patient in explaining things. The only thing that was sometimes a drag was the early morning monitoring appointments. They are first come first serve so you never knew whather you'd be out in an hour or in 5 minutes. But never too bad and always quick once you were called. We're really pleased with the thoughtful care from Dr. Cohen and the Nurses we worked with during the IUI's, as well as our NC.

May be silly, but parking is very easy for the early morning monitoring appointments and is very easy to get to. There also seem to be some days that have less wait times for the monitoring visits-I would ask what those are and go those days, if possible.

I was on Clomid 50mg (increased after first failed cycle I think), Ovidrel, Estrace (3x/day vaginal) and Crinone 8% 1x/day, combined with IUI. The second cycle was when the estrace was added (due to a thin lining, found during the first cycle), which is when we became pregnant!

Covered by BCBS HMO, except for HSG co-pay and cost of estrace co pay.