InVia Fertility Specialists

My husband and I came to Dr Klipstein after sge came on high recommendation from two former patients. We had a terrible experience with our first RE and upon walking out of the very first consultation meeting with Dr Klipstein, we felt like she cared more about our well being than our previous RE ever did. She took my case to her colleagues after first meeting me and called me the next day to let me know what her office thought about my future protocol with their office. Shes been the one to call me after each beta to deliver the news with confidence that we will find our path to parenthood. Although she hasn't performed either of my egg retrievals, she has been the ine to do both of my embryo transfers. Even though we have had failures thus far under her care, I have never considered leaving her care as she always has the next plan ready for me when I see her at my next visit.

She has definite plans of what she thinks is best for each patient, but she is also willing to discuss other options so don't be afraid to bring everything to the table in your meetings. Also be prepared to be flexible in making time to meet with her, she can be hard to get in with.

My first retrieval with a previous RE resulted in OHSS and failed FETs. She felt very strongly that I was way over medicated in my first retrieval protocol and subsequent FETs. Dr Klipstein drastically dropped my injectable medication doses to prevent OHSS, did not use BC leading up to a cycle, and used suppository progesterone and a lower dose of progesterone in oil injections in both of my egg retrievals and subsequent transfers. Though I still slightly over stimulated in both cycles, I felt much better physically than during my first retrieval. Results below from retrievals: Retrieval 1 (with different office): 150IU Menopur, 250 Follistim, 10,000 units Pregnyl. 16 eggs retrieved, 12 fertilized, 3 day 6 blasts. OHSS forcing a freeze all cycle. No PGS testing. Transfers: 1.5cc PIO twice daily and up to 12 2mg Estradiol tabs daily. Single embryo transfer failure, 2 ERA biopsy cycles, double embryo transfer failure. Retrieval 2 (with Dr Klipstein): 75IU Menopur, 100 Follistim, 10,000 Pregnyl. 13 eggs retrieved, 10 fertilized, 5 day 6 blasts, 3 PGS normal. Slight OHSS. Frozen Transfer: 2 1mg Estridol tabs twice daily, 1 Crinone suppository daily, 1cc PIO once daily. Failed PGS normal single embryo transfer. Retrieval 3: 75IU Menopur, 100 Follistim, 5,000 units Pregnyl, Lupron trigger. (suspected OHSS) 13 eggs, 10 fertilized, 2 day 5 blasts. Fresh Transfer: 3 vivelle dots every 48 hours, 3 Endometrin suppositories daily, 1cc PIO injection once daily. Double untested fresh embryo transfer resulting in a chemical pregnancy. Retrieval 4 this coming October with similar protocol, but reduced Follistim to 75units, full 10,000 units of Pregnyl, and planned PGS normal FET following retrieval.

Luckily our first two retrievals were mostly covered under our insurance. We did pay $4,800 for PGS testing. Paid out of pocket (under $1,000 each round) for medications not covered by insurance. Minor charges from the anesthesiologist (in low hundreds) This was mostly after we met our deductible. Our next round is not covered by insurance so we are facing $11,000 to just get started.

Dr Klipstein does not love the idea of multiple embryo transfers in fresh or frozen situations for risk of multiples. She prefers to akways transfer a single embryo. However she did let us transfer two embryos in a fresh transfer after giving us all of the info on the risks of carrying multiples.

The first thing they did at my appointment was an ultrasound. Before we started the tech told me that Dr. Karande would come in at some point to look at the screen himself. When he did come in, he looked at it and started to explain to me what we were looking at. There was a screen on the wall for me to look at too. Then after he left I cleaned off and was escorted to his office to discuss everything. I gave him my full medical history, which is extremely long, and then he told me what he seen on the ultrasound. He explained to me that my left ovary was diminished almost completely and he didn't think that we would be able to get any eggs from it. As he was explaining things to me, he was drawing on a paper to show me visually and also writing down all the big words he was saying that he figured I would want to look up later. After he went over my condition, he went on to talk about what he wants to do. As he was talking about the different steps of the IVF procedure he also was drawing a graph on the same sheet of paper with the timelines. Then he asked if I had any questions, but I didn't have any because he thoroughly explained to me everything. Then he mentioned to me the different pricing for each part of the treatment. How the IVF treatment would be one price, anesthesia would be separate, medications, and the pretesting. When I started to tear up (which was a couple of times during our talk), he would stop, hand me a tissue, and console me. My husband wasn't able to be at the appointment with me, but Dr. Karande definitely helped make it easier on me.

Be ready to go because Dr. Karande is ready to start your treatment from the day you walk into his office.

I'm still in the beginning stages of my IVF. I haven't even finished my pretests yet.

Since I only have enough eggs to do one round of IVF my costs can be different from someone else's cost. For the IVF treatment it is $10,000. For the anesthesia to retrieve the eggs it is $650. Medications can cost up to $6,000. Pretesting can cost up to $2,000. ICSI is $2,100. AZH is $1,050.

He told me that how many embryos to be transferred would be up to me because I only have one shot at IVF due to my egg count being extremely low. He said when the time comes, he'll let me know all the different options, the benefits, and the disadvantages to each one. I know if I am lucky to have 2 healthy embryos for transfer that I will definitely have both of them, but if there are more well then I'll need his guidance.

I think the best thing about Dr. Klipstein is her caring nature - she really takes the time to listen and clearly cares about her patients. A weakness could be described as maybe being too optimistic at times? I feel like a couple times she gave me a little bit of false hope, though that's generally not the case.

Come prepared with questions because she'll answer them. She's very resourceful!

Initially we weren't sure why we were having infertility issues, so we decided to start off very conservatively. Dr. Klipstein was totally fine with that and we began with a medicated cycle. No dice. After that, we upped things to an IUI. No dice. We took a break of maybe 6 weeks and then did IVF. She monitored me super carefully and the retrieval went really well. I did have OHS, which she was VERY responsive to and I felt like I received excellent care (in the end, the OHS wasn't serious and it passed within 2-3 days). The first embryo transfer ended in a chemical pregnancy; the second ended up being a miscarriage. They were not certain why we lost the second pregnancy. On the second retrieval, Dr. Klipstein did slightly modify my medication to try to avoid OHS and we were successful. We were also able to do a fresh transfer, though that didn't take. The second transfer was successful, but I lost the baby @ 14 weeks due to complications from Downs/T21. We still have two frozen embryos and are planning to do PGS/PGD to hopefully end up with a healthy child.

IVF isn't cheap, there's no question. Our insurance covered a great deal of the costs, but after everything, we've probably spent around $8,000-$10,000. A lot of that was from medications because we ran out of coverage on that. The medications are REALLY pricey, but that's not determined by the clinic.

Dr. Klipstein is pretty conservative, so while she entertained me hemming and hawing about transferring more than one embryo, she definitely wasn't in favor of it. Considering that we only have 2 embryos left, I'm not sure how we'll proceed. However, based on what we've already been through, I'm GUESSING I could convince her to transfer both. But I'd have to have a pretty solid argument ready. She's definitely looking out for the well-being of her patients, first and foremost.

Dr. Karande is a true professional. I felt very confident in his knowledge and skills as a Dr. in this area of expertise. Each time we met, he explained each process clearly. I did not feel rushed when I was in his presence. He was always very kind and honest at the same time. He has a very calm demeanor which I also found very comforting.

Dr. Karande is very knowledgeable, kind, honest and straight forward. Be prepared to accept the information and/or course of treatment that he proposes.

We attempted one egg retrieval cycle with typical medications/dosages and did not gain any viable embryos after PGS testing. With the subsequent two cycles, Dr. Karande increased the dosages and added two additional types of medication that are not traditionally used. The third cycle yielded three viable, five day embryos (PGS tested).

The total out of pocket cost was roughly $10,000 which included PGS testing for three egg retrieval cycles.

My husband and I were looking to grow our family by one. We felt completely comfortable in transferring one single embryo.

My husband and I give Dr. Karande 5 stars! After trying to conceive for over two years we were referred to Dr. Karande by my OB/Gyn. He explained every possible cause for our lack of success and guided us through every test and procedure in order to get some answers. After it was determined that our best chance at conception was IVF, Dr. Karande explained in great detail our estimated costs, timeline, and answered all of the questions we had. When we decided to go through with IVF, I received regular communication from the staff with clear instructions on what my next steps were until my next appointment. Any questions that I had I could either call or message them in their patient portal and I would get prompt responses. After completing all of the necessary steps, I am now 11 weeks pregnant! I look forward to working with Dr. Karande and his exceptional staff in the future for baby number two!

Everyone is very professional and they make you feel welcome. Dr. Karande was profesional from the first time I met with him and he gave me hopes of geting pregnant. He knew exactly why I couldn’t get pregnant from my first visit. The nurses were very nice and professional. I highly recommend Dr. Karande for those who want to have a baby.

Don’t lose your hopes and trust Dr. Karande. He sure knows what he is doing and will help you have a baby.

Dr. Karande gave me some pills, (forgot the name) to ovulate. After that I had to go get ultrasounds to see if my follicles were growing and when there was a mature follicle, I had to do a trigger shot. 36 hours after trigger shot I went in for IUI. 10 days after I had to go get an hcg test to see if I was pregnant. The test came out positive and then I had to do vaginal progesterone pills.

Insurance covered most and paid out of pocket around $850

n/A

Dr. Klipstein is easily the best doctor I have ever worked with. She is confident, yet completely grounded and real. She is incredibly kind and genuinely cheers you on and celebrates your successes. Luckily I never had to hear bad news while working with her, but if I did, I am totally confident that she would help me work through anything.

Trust her. Surrender and have faith. She will completely take care of you. The process is so relaxing compared to other places.

We went in for a FET. We were open to transferring 2 but she suggested only one- said that one would do the trick. And it did. I was on Estrace, Endometrin and PIO. Very easy protocol that wasn’t at all hard on my body or my mind. My procedure day was a ton of fun- and went perfectly. 10 days later I got a call from Dr. Klipstein on a Sunday afternoon saying “ok, we’re in business. It’s positive!”

The medications were easily the most expensive part. Out of pocket to the dr for an FET with monitoring was not at all expensive. I spent about $500 total.

She made the right call only transferring one. She said one will do the trick, and she was right. She’s able to have high success rates while doing what’s best for her patients.

From the moment we met Dr. Klipstein we knew she was our doctor. Her calm voice and bedside manner are just the beginning of how wonderful everything about her is. She would always schedule enough time to have conversations with us for our 2 appts that we needed to talk. She never made us feel rushed, in fact, she made us feel like we were her only patients. When we wanted to transfer 2 embryos she did a lot of research and told us why she recommends only 1 for us and it was the best decision. I recommend everybody that asks me about infertility to go to her. She is one of a kind!

Get to her ASAP.....she will do anything and everything to help you create your family!

We did a cycle based on my cycle. I did estrace, follistim and menopur for ER and added Ganirelix last two days to suppress ovulation. Triggers with hCG and Lupron. We got 38 eggs, 13 fertilized and 8 made it to day 5 and we did a freeze all. A month later we did the frozen transfer with 1 embryo graded 4AA- again Estrace and then we used Crinone and PIO . Today we are 21+6!

It was $30K for a n retrieval with TESE for my husband and transfer. Embryo freezing was another $1K and $9K in medication

Nothing

I recently gave birth to my daughter after failing to get pregnant naturally and going through 3 failed transfers with a precious specialist. Making the switch to Invia was invaluable. Dr. Karande was very knowledgeable, confident, and straight forward throughout the process which is exactly what I wanted and needed going through this emotional journey. He was very thorough in re- evaluating me prior to starting treatment despite receiving my previous records. His technique(HSG & transfer) was much better than my previous provider and everything felt very different. Dr Klipstien completed my retrieval. It was great that they completed everything in their office and that my cycle was scheduled around my body’s cycle not their schedule which is why procedures can be completed by either doctor. I have and will recommend Dr. Karande to friends struggling with infertility.

He is very straight forward but had amazing results.

I was on the estrace priming protocol. I never used birth control which I was very pleased with. The protocol was a bit long but it all paid off. We genetically tested the embryos and were able to pick the embryo we wanted transferred which we decided to transfer the embryo that had the best ratings.

I had BCBS HMO and it wascovered almost 100% by insuarance. Genetic testing was not covered and cost us approximately $6,000. I was very lucky.

I am glad we listened to his advice to only transfer one embryo.

Dr. Klipstein is by far the most compassionate fertility doctor. She gave me her phone number and personal email address when we first met and this was very telling of her availability and willingness to make her patients feel cared for, important, and “human”. Every detail was always explained as far as treatments and procedures so I never felt lost. If I had any questions I would send her a portal message and she would respond in such a timely manner. In my previous experience there was almost no possible to contact the doctor himself, just the nurses. I would recommend Dr. Klipstein to every friend, family member, and anyone looking for a compassionate, smart, and detail oriented doctor.

You are in the best hands. Never hesitate to reach out to her because she makes it her priority to speak with you. Even if you think your question is “simple”.

I had a pretty standard IVF cycle and this was the protocol we followed, which was beneficial for me.

Insurance luckily covered mostly everything.

Dr. Klipstein was a major supporter of using one embryo for transfer. She definitely took into consideration the quality of the embryos and everything else. My other doctor was a big supporter of two every time, but Dr. Klipstein was the opposite. She explained all of her reasoning clearly and we followed her guidance which luckily ended in a successful pregnancy.

I feel that Dr. Karande is a very thorough and straight-forward doctor. In his field, it is important to be honest with patients about their diagnosis and treatment plan. I also feel it is important to give patients realistic goals to achieve during the IVF/FET process. I knew what was expected of me during my journey which included weight-loss. I followed his protocol and feel that is the reason why I experienced success with my retrieval and even with my transfers. Although two resulted in a chemical pregnancy/miscarriage, Dr. Karande never made it seem like hope was lost.

I would tell a future patient to go into the clinic after exhausting yourself with knowledge about infertility and possibly her or her partner's specific diagnosis of infertility. It is helpful to know what questions to ask at the initial consult with the doctor and makes a more informed patient. Also, be honest about your medical history. At this stage, there is no hiding from your past. It gets very real and very honest.

For my egg retrieval, I believe my treatment strategy was an IVF antagonist protocol. I did 10 days of estrogen priming (CD21-CD4), 12 days of injectable stims for ovarian stimulation (CD5-CD16) menopur 225u/follistim 225u (SD1-4), menopur 300u/follistim 300u (SD5-12), ganirelix 0.25mg (SD7-11) to suppress ovulation, Pregnyl HcG trigger shot 10,000u. We retrieved 18 eggs, 10 initially fertilized, 4 (4aa) blastocyst made it to day 5. We prepped for a fresh single embryo transfer. I did 5 days of antibiotics post retrieval, 5 days of Medrol in preparation for transfer, and started crinone vaginal progesterone support to prepare my lining for embryo transfer/implantation.

My IVF and FET procedures including medications were covered by insurance. I only had to pay a $35 copay when interacting with the doctor and my storage fees and initial cost for my frozen embryos.

I fully understand the recommendation to transfer a single embryo and that is the protocol I followed.

She was very welcoming and open minded. She didn't focus on my health challenges or the negatives--she made whatever came just seem like it was the next thing to do on the road to my inevitable pregnancy. She did sometimes confuse my case with others when not looking right at the chart (like when she would pop in for a quick consult at the ultrasound and would say things that didn't apply to me). She was always present and available.

Ask lots of questions and be very up front with her.

Lupron

I had insurance which was supposed to cover 90%. They "miscoded" a few of the parts of my retrieval and transfer and as a result these were not covered by insurance, even though they should have been. I ended up paying thousands and they were in no way intersted in discussing the issue. This time around I have HMO and they have been good so far at communicating with the insurance and getting things approved.

Because of my particular family situation, she stated that she would be transferring only one embryo. I felt the same, but if I hadn't I'm sure she would have gone along with my wishes to transfer more than one.

I felt like dr karande new what I wanted before I even voiced my opinion and was very open to listening to what I wanted and adjusting our medical plan accordingly. He was very upfront with information and potential risk (which one did occur) and it kept me prepared.

He will take good care of you and recommend a course of action but don’t be afraid to also let him know what you want and ask questions if you do t understand

We did IUI after having problems with clomid and my general OBs lack of info. After 3 failed attempts he offered to try more or put IVF on the table. I knew going into the meeting I wanted to move forward with IVF. He was very informative and gave me lots of articles to rea. He warned me that with my AMH levels being so high that he wanted to do a freeze all because I would most likely going to get ovarian hyper stimulation syndrome ( and I did). He gave me statistics and percentages for 1and 2 embryos transfers and gave me reading on complications from multiple births but we still wanted to transfer 2

Not sure because my insurance covered 100% after I met my yearly OPL which was only 1,100

He presented us with stats and left it up to us to deside. We chose to transfer 2

Dr. Karande had told me my chances of success were high because I was so young yet he never gave me an actual reason why I was infertile. He didn't do anything before jumping right Into IVF which I now realize was because my insurance would pay Boohoo bucks for it! During each ultrasound he would say I had a little Endo but no big deal in fact he said "the best way to cure Endo is to get pregnant". After I aged off my parent's insurance I had to stop IVF. 4 transfers still no live baby :(...Fast forward a year later and I had exteme pain. I went to a regular gyno who did a lap and I have stage 4 Endo that was attached to both ovaries. That dr and the next Endo dr I went to said I never would should have done IVF without cleaning the Endo out first. It was so bad I apparently had little chance for success. So Dr. Karande wasted my little time that I had on my dad's great insurance and let me do all those cycles only to have my heart broken. Oh and when I wasn't getting pregnant he said to me "well I know its not my clinic because everyone else has been getting pregnant this year"...ummm??

Get a second opinion before you go just to be sure he isn't missing anything.

For My IVF cycles I used small doses of lupron, follistem, monupur, gonral x(I think that's the name) and I can't remember the HCG trigger I used. The Follistem was the easiest to administer. I took Crinone progesterone suppositories each cycle. After a retrieval I had doxycycln to help stop any infections.

My insurance covered almost all of it but it was pricey! However the clinic is more towards the city so that's to be expected.

He said single was better because of my little size but after the first one didn't work he allowed me to try 2.

Dr. Karande was always very thorough. We were patients for a long time almost 8 years and we felt as if we truly knew him like a friend. We had many successful pregnancies but some of them just didn't last and we knew that wasn't his fault. He adjusted our process many times and always came up with new options to help us. We have one daughter and in a week are about to welcome our second child a boy. We couldn't have done it without his help!

I would say don't be afraid to ask questions if you don't understand. He is extremely knowledgeable and after working with him for a little bit we understand exactly what he was doing and how he wanted us to get pregnant. I appreciated him getting right to the point and managing our expectations.

Dr. Karande was open about the process, explained every step and was supportive during my miscarriage. He was at multiple ultra sounds, checked in when he saw me, even if I was just doing blood work, and performed every procedure himself. I felt comfortable with him and his staff and completed supported the year I was in his care.

I had to wait 6 months after a partial molar pregnancy before going through IVF, I suggested doing the retrievals during that time. Dr. Karande was on board. I was on clomid and 1 HCG trigger for my IUI's. I used menopur and follistrom and added gonal-f for both retrievals. I then was on Estrace and progesterone suppositories (3months) as well as progesterone injections (1 month) during the transfer/IVF.

Dr. Karande said he would only transfer 1 single embryo as mine was PGS tested.

She got us to a point where other said it could not be done! She was realistic but also used her knowledge to get me pregnant. I am currently 16 weeks with a little girl! She was there every step of the way and helped me get through our failed transfer with a new plan of action.

Come with questions. She is very knowledgeable and will take the time to answer them.

She placed me on a course of medication that would prepare my uterus for pregnancy. They monitored me very closely to make sure they did the transfer at the most optimal time.

I do not remember since it was covered by my insurance.

I did want two embryos transferred, but after hearing the risk to the babies and myself I did agree transferring only one would be best.

She was kind, compassionate and very well informed in the field of fertility. She took her time with every step and made sure we understood everything that would be happening. She also understood the emotional side of what we were going through and made sure that we were well taken care of.

Don't hold back - the more she knows about you and your partner, the better she will be able to help you.

My employer insurance covered 100% so the costs to me were nothing

She’s very personable, gives facts and doesn’t sugar coat. Almost motherly. It isn’t hard to talk to her. Developed a plan and explained risks and benefits. Not afraid to be blunt when it’s appropriate. I’d recommend her to anyone.

Don’t be afraid to ask questions

I’m still in the process of treatment

I am currently going through treatment.

She’s said she would only transfer one and I’m ok with that

After the first miscarriage, my wife and I have been trying for 1.5 years without successful. Then we was referred to Dr. Karande by our Obgyn. And thanks to their efforts and expertise (and the super helpful patient portal) helped us through the craziness of 3 IUIs and then 2 IVFs. We are expecting in May 11th. Thanks Dr. Karande and Invia Fertility staff. We are very grateful to you.

He does not have a very good bedside manner, but is technically very good and my treatment resulted in pregnancy, which is ultimately what mattered most to me.

Keep in mind that he is not warm and fuzzy, but will give you the best shot at getting pregnant.

He is to the point . no hand holding and sometimes hard to understand. BUT he cares soo much he wants the end result. He lights up when he sees his final result. I want a great doctor who knows what hes doing .. I dont want my hand held I want the actual truth

Go to him with an open mind. He makes sure he logs EVERYTHING in the computer as he talks to you. he does have an accent. He does great work with the procedures.

Dr Klipstein was quite caring and I felt very comfortable in speaking with her about this very sensitive topic.

Make sure that you are completely honest.

Dr. Karande is extremely knowledgeable and he takes the time to communicate with your ob doctor by voice dictation. He is so caring and has created a family on his practice. I was patient and he really made my dreams come true.

Be patient and breathe. Take yoga and treat the process like a marathon. Keep your head in the game.

Dr. Karande utilized IVF. He followed a regimen to get me ready for egg retrieval. Then he prepared my uterus to be able to maintain the 5 day embryo. Finally, they inserted the embryo and started the progesterone injections to ensure the baby had a home until its amniotic sac was developed.

I was fortunate to be involved in a study. My bill was minimal.

He understands that its best for one embryo because complications can arise from more than 1 embryo developing at a time.