IVF Florida

Strengths - very informative from the first visit. Patient portal is very easy to use and understand. Scheduling appointments are easy either by phone or over the phone, the staff is very fast at responding to you in the patient portal. The nurses and medical assistants are friendly and knowledgeable. You are almost always seen on time for your scheduled appointment and if seen late it is never more then 10 mins. I do not have any weaknesses to report at this time. I personally love this office and Dr.

This office and Dr treat everyone very well. From the moment you walk in and check in to the medical assistants taking blood draws, nurses scheduling procedures and surgery right down to the Dr himself sitting with patients as many times as needed. I have never felt rushed or pressured in any way.

Overall the medical assistants and Nurse and care coordinators are great. Lynne is my favorite person to work with when it comes to scheduling appointments and surgeries. The medical assistant is also very skilled when it comes to taking my blood. I do not have good veins and it is very hard to find them.

Dr Gualteieri is very thorough. Very good at listening to your concerns, addressing any uncertainties and having a over all understanding of what the current situation is when it comes to planning for a family. He makes you feel welcome and worthy not just like you are another number. During my experience I have been under the care of him for two surgeries and during both he made me feel very comfortable. His bed side manor is impeccable! He continues to see me and is pushing for us to find out more or at least have as best of an understanding of what is going on for my current situation. I truly believe I will be successful in having a baby while being under his care.

Trust him, listen to him and be patient.

First Miscarriage - I was not under Dr Gualtieri's care and actually got pregnant naturally on my own. I miscarried at 8 weeks naturally. I began care with Dr G when my normal OBGYN would not conduct specific tests on me since I only experienced one loss. I visited Dr G and explained my concerns and request for additional testing. He ordered almost all of the testing I requested and I have been under his care since. We determined in my first set of blood work that I was O- and had become in contact with the D antibodies at some point in my life and my blood was now whats called sensitized. My husbands blood was tested as well and was determined he has O+ blood and we also found out that he is homozygous meaning he has identical alleles on both homologous chromosomes. So what does that mean? Our baby no matter what will have his blood type and be RH+. In turn my body will see those antigens in the baby’s blood and attacks them in utero. If enough of the baby’s blood cells are killed off, the baby can quickly become severely anemic and we could lose him/her. 1st medicated cycle - Clomid. I was prescribed this and took the pills on day 3 - 6 of my cycle followed by timed intercourse. I was monitored at the Dr's office and both my blood and ultrasounds were done. I did not become pregnant this cycle. 2nd medicated cycle - Letrozole. I was prescribed this just as I was with the Clomid they switched me to this since my lining wasn't getting as thick as it needed to be on my first cycle with Clomid. The letrozole was taken on days 3-7 of my cycle and I was not monitored this cycle. I did become pregnant after this round of medications. I went on to miscarry at week 8 again and ended up having a D&C performed by Dr G.

$35.00 initial copay for consultation. $35.00 for blood draws, $300.00 per ultrasound (not covered by insurance) when being monitored for medical cycle $250.00 outpatient hospital copay for Hysteroscopy surgery and D&C surgery

I personally am not going thru an IVF cycle yet but they do have information posted up in the office stressing the importance of transferring one vs two to eliminate any health concerns and problems that can occur.

Sometimes there is a delay to get someone on the phone. However, they encourage the use of emails and respond within 2-3 hours during business hours. Although they have multiple locations, not all locations have weekend hours or perform procedures. You may have to travel to a location that is 30-45 min from your home (depending on where you live) for tests and procedures. However, the location where our ultrasounds and labs were done, opened at 7am; so it did not interfere much with work.

Dr. Weitzman and the clinic staff have been very responsive to our calls/emails. Questions are always answered.

The nurses and staff were very professional and responsive. Everyone at the clinic (front desk, ultrasound tech, phlebotomist) were very pleasant and professional. My nurse always gave detailed instructions and was patient when we needed additional clarification.

Dr. Weitzman's communication style is very compassionate. She takes her time to ensure that all questions are addressed; and encouraged us to call and ask to speak with her directly, if we had questions or concerns. From the first visit, she took the time to get to know me and connect with me.

Don't be afraid to ask questions.

I underwent 3-4 Clomid and 4-5 Femara cycles with my OB/GYN between July 2017 and July 2018. IVF Cycle started October 2018. This protocol was used due to my age (42). My husband's sperm is within normal limits. Antagonist Protocol with Oral Contraceptives: Doxycycline 100mg by mouth twice a day (hubby and I) for 10 days Menopur 150IU Q AM & 75 IU Q PM Gonal F 75 IU Q AM & 150IU Q PM Cetrotide 0.25mg Q PM HCG 10,000 IU IM Retrieved 4 eggs, but none of them fertilized; despite ICSI being performed.

Approximately $18,000 w/ meds

IVF of Florida only performs single embryo transfers due to the high risk nature of twin pregnancies for the mother and the babies.

IVF Florida is a pretty expansive operation. My IUI’s were done 1.5 hours away from my home and where I see Dr Manko. Though it was far away, they are so organized and the staff is very personable. Over the course of my treatment I have been to the Port St. Lucie, Jupiter, and Margate offices and it was all very cohesive.

My first IUI with Dr Manko resulted in my son. My attempt at 2nd child thru IUI resulted in a miscarriage for 1 embryo and a ruptured tubal for the 2nd embryo. It was this last this terrible experience that really made me realize how wonderful Dr Manko and his staff really are. They were so compassionate but also realistically prepared for what was happening.

The nurses were amazing and definitely made me call very comfortable with everything I was going thru. When I went thru my miscarriage they were so compassionate.

I was so happy with Dr Manko with my 1st IUI and resulting pregnancy, they had to give me a date had to have an OBGYN by once I was pregnant because I didn’t want to stop going to his office. My second attempts at a child really showed what a wonderful doctor he is. I also wanted someone who was honest with me and wouldn’t sugarcoat the bad things and he was that while still be compassionate.

Listen to your options and be sure you know what he suggests you go with.

For all 3 of my IUI cycles over the course of my treatment I used Clomid and a trigger shot and I did 2 Back to back IUI’s each cycle. I was 32 with my 1 st pregnancy and 37 with my second attempts but 1 of my Fallopian tubes is completely blocked so the Clomid was so I would ovulate on both sides each cycle.

I think when I did an IUI cycle in 2018 the expenses were around $3500 ( that was for 2 IUI’s in one cycle and doesn’t include the $1500 for the sperm purchase).

This clinic was amazing. I am so glad my OB referred me to Dr. Hoffman and his nursing staff. There are no weaknesses. Strengths would be communication is excellent. They always called and communicated. In the very beginning the financial team called us to discuss payment options and what each payment plan covered. We were impressed that they called us right away.

I absolutely loved Dr. Hoffman. He always so upfront with me on the next steps. His nurses were always there to answer any questions. He called to check on me multiple times. When I called the emergency line a few times, he always called me back right away to answer my questions regarding injections. When he did my surgery and found endometriosis, he called my husband from the operating room to give him an update. My husband was very impressed by this. I am 32 weeks pregnant with a baby girl and I am looking forward to her meeting him.

Erica and Ilene were amazing. They always called me with next steps. Whenever I showed up for an appointment, they had my information pulled with the next calendar and next steps and knew exactly what we were doing. We were always on the same page.

He was very passionate. After my first failed transfer, I was so upset but he talked me through it and made me feel so much better. He knew what the next steps we were going to take was. He Communicated very well. I followed all of his instructions on what to come next and I’m now 32 weeks pregnant. If it weren’t for him, I wouldn’t be where I am today.

Follow everything he tells you to do. That’s what I did and I’m pregnant!!!

He put me on the lowest dose of stimulation medications because he knew I would respond quickly. I did respond quickly. We had to increase the medications halfway through and I responded even faster. He was VERY impressed with how many eggs were retrieved and how many made it to be frozen. He gave us the option to start with IUI but told us the success rates of IUI vs IVF for us. We chose IVF with him as he thought that was the better option. I wish he could deliver my baby.

They were typically in the mornings. I, being a teacher, could only go in the afternoons and they were more than willing to work with me. Dr. Hoffman did my ultrasounds in the afternoons.

It was $22,500 but with my husband being law enforcement, we got a discount. Paid $20,000.

He only wanted to transfer 1 embryo because of my age. I am 25 years old. He knew it would work and I had 6 embryos. He said the risks with multiple babies isn’t worth transferring 2 embryos as some embryos can split once transferred.

Expect to wait. This is a very busy clinic. I think they're organized and do a great job, but I can only think of once or twice when I waited less than 15-30 minutes for an appointment, even if it was just a scan and blood draw. All of the staff have been extremely kind, friendly, and helpful.

Dr. Hoffman has been kind and patient throughout the entire process. He always shares personal anecdotes, takes his time explaining things or answering my questions, and is always very reassuring.

The nursing staff is great. They are very quick to return phone calls and they have no problem taking the time to explain or go over treatment plans.

Dr. Hoffman is very warm and caring. He has a great bedside manner and I find him to be very patient and reassuring. I think his greatest strength is his experience and how long he's been doing this. He will tell you he is "old school," which I was worried at first would be a weakness and that he'd be stuck in his ways, but he is very current on all the research that's out there, and I truly feel he wants to see us succeed and become pregnant.

I have two: 1) Ask all of the questions you can think of and make sure you understand everything - he will definitely take the time to explain. 2) Trust what he tells you. We're still in the middle of treatment, but so far he's been accurate in his assessments and I feel good about our treatment plan.

I have low AMH and my husband has abnormal morphology. He put my husband on Conception XR with motility support, which helped his sperm a great deal. We did two rounds of IUI with clomid, gonal F and trigger. Dr. Hoffman is not a huge fan of IUI and he will tell you that. But he has not once pushed us in any one direction. He likes to give you all the options and let you make the decision you're most comfortable with. Both our IUIs failed and we are starting our first round of IVF next month on the microdose protocol.

I believe each IUI came out to a little under $2,000 with meds and visits. IVF will be $20k+

IVF Florida only does single embryo transfer to avoid the risk of multiples and that fit with what we wanted.

They bill you for bills you've paid or shouldn't be paying... I've had to argue with them on the propriety of some charges that were later admittedly removed as errors. The strengths are that they have good nurses and some good doctors.

He would frequently call me after his long days and make time to address my concerns and discuss my results with me. His nurses are excellent too - they were always responsive to my Type A questions and would communicate reliably through the ivf clinic patient portal so that I could be in the loop on my treatment, lab results, and other details.

They are kind and knowledgeable. They were there to hug me after the miscarriage and are still rooting for me. Very grateful to the nurses there as they made my experience so much better even in the toughest of times.

He is very caring and knowledgeable. The nurses he works with are on the ball and great at answering questions. I lost our baby at close to 9 weeks and am trying again hoping to have a second chance at having a healthy baby and he has never given up on my body and it's ability to conceive despite all of my reservations and self doubt. He came in on his day off to do my second egg retrieval because he knew I felt more comfortable with him there.

If you have questions, make sure to ask them when you meet with him because he is not a mind reader, and he will answer them for you.

He modified and canceled my recent frozen embryo transfer because my lining wouldn't grow. He said it's safer to do an ERA on me now and I appreciate how he modified his plan based on my body's poor response to medication.

It was pretty routine. I'd arrive early around 730am and be seen for bloodwork and ultrasound back to back. Sometimes the clinic was backed up with more patients and it took longer (over 2 hours) and other times I was in and out within 30 minutes.

Each egg retrieval was close to $10,000 and we did two egg retrievals. Each frozen embryo transfer was close to $5000 and we have one done transfer. We also pgd and Pgs tested the embryos for the breast and ovarian cancer gene that I have (brca) which was close to $8000 and the medications were over $5000 each cycle. Our insurance didn't cover any of our egg retrieval or transfer costs and only covered progesterone and birth control pills but none of the other ivf stimulation meds or the estrogen patches or the Luperon. We've spent about $50,000 so far on ivf.

He will only transfer a single embryo into me and is concerned about the increased risk of multiples even though I'd love to have twins. He said it could affect their health and I respect his rationale.

The clinic is clean and organized. However their main clinic was in Margate, an hour and a half away from my house. They have since added a clinic closer in Jupiter however. The clinic staff was by far the best part of any of my procedures. The doctor rotated daily through retrievals and transfers however so know that your doctor will likely not be the doctor to preform your retrieval or transfer.

Dr. Hoffman consistently told me what to do without explanation or conversation. It seemed as though he was always too busy to discuss the process with me so I had to research on my own and try to make my own uneducated decisions.

The nursing staff was who I saw most visits and they were excellent yet couldn't always answer my questions and had to send my Dr a message for him to respond to later and message me through a message board.

Dr. Hoffman came recommended due to his success rate. However, I ended up switching treatment to another doctor because of his lack of communication. Dr Hoffman has terrible communication, never had time to discuss treatment or options and never listened. I had blocked tubes and surgery corrected the issue. Right after dr. Hoffman continuously pushed me to do IVF even though my insurance covered most of the IUI process. I insisted on 1 IUI which resulted in an ectopic pregnancy and I lost my tube. We then got pregnant on our own which was another ectopic and I lost my other tube. Then IVF was our only option so we refinanced our house to come up with the money. After 2 retrievals we only has 3 viable eggs. Dr. Hoffman made us feel that the egg retrieval numbers would be higher with our 2nd cycle, we were worried of low egg count and wanted to cancel the cycle but we're reassured we'd get more than the 2 we got with the 1st round. We got 3 eggs out of our 2nd cycle. Only 2 fertilized and so we asked if 1 or both were not looking great we wanted to fresh transfer on day 5. It was all set up and I started progesterone and estrogen just in case then on day 5 (a Saturday) no one called me or would call me back until a nurse called at 1pm and said everyone had gone home for the day. I called repeatedly on Sunday, spoke to another doctor who told me we lost 1 egg overnight Saturday and froze 1. That somehow there must have been miscommunication with Dr Hoffman and I about doing a fresh transfer. I immediately switched care to another doctor. I now believe communication during this is more important that the doctors success rate and wish I had seen another doctor.

If you feel communication is important, I'd suggest Dr. G with this practice. If you don't care about communication or getting as much information as possible during this practice then go with Dr. Hoffman

Split protocol with birth control suppression. 75 iu gonal-f and 75 menopur for 1st cycle. I was considered a low responder to the meds to we increased to 150iu gonal-f and 150iu menopur for the 2nd cycle However we retrieval 3 eggs in both cycles.

They had a 2 cycle package that we got which was 27k, it included monitoring, retrieval, icsi if needed and cryo storage for 6 months. We had to pay for the 1st monitoring visit which was $350, anesthesia for retrieval which was $500 and all meds which were 5k first cycle and 9k 2nd cycle

My Dr strongly recommend that we only transfer 1 embryo and that frozen was a better option. We tried fresh the 1st cycle which failed then the frozen took however resulted in miscarriage due to chromosomal abnormalities. I agree with single transfers however. My goal was to have one healthy baby and i felt the risks associated with twins was too high.

IVF Florida is a major clinic with several different locations across the state. The great part about this is that you can go to any of the different offices pending on your schedule and location for that week. It is important to be aware that this is a very busy clinic and you may have to wait sometimes. Try to book appointments in the afternoon rather than the morning, it is much less busy.

We were trying for over a year when we made an appointment to see Dr. Maxson. I had done a TON of research and as opposed to treating me like everyone else, he acknowledged that and working within my higher understanding to ensure that I was getting the info I needed, not just the same stuff I had already learned. His bedside manner is excellent and the nurses are wonderful. I get stressed out easily and any time I needed to speak with someone to understand the process better, I was called within minutes or hours (not days). When we got the bad news that both tubes were blocked (most likely from the time I was born), it was heartbreaking. My doctor heard me crying in the bathroom and waited outside to reassure me that it was going to be okay and we would just move into IVF and that we are on this journey together. Wow, I have never trusted a doctor the way I trust him and fully encourage any woman who is going through this struggle with infertility to see him.

The nursing staff, in general, is excellent. They are caring and compassionate and know that this is an extremely stressful journey. They are not there to add anything more to your plate but rather to relieve some of the heavy load that you have been carrying on your shoulders.

Dr. Maxson is absolutely wonderful. He is caring, compassionate and extremely knowledgeable. He speaks to me at my level and is blunt but still empathetic. I like to receive information and don't want it sugar-coated, he is great at doing this. He has been there every step of the way and told me on my first appointment that I have been doing a great job of keeping the "car on the road" but now it is time to let him take the wheel. He could see that I had been stressed about this process for a long time and after that initial visit, I think I took the first deep breath for over a year. Could not give him a higher rating, strongly recommend.

Do your own research before going in and come with questions. Dr. Maxson will never rush you and will answer any and everything you may be curious about. Just remember, he is the expert and to trust him and not try to struggle for control. At this point, he is joining you on your journey to becoming a parent.

Dr. Maxson has a strong preference to only transfer one embryo. He feels that transferring more than one puts the mother as well as the baby (babies) at an unnecessarily high risk.

IVF Florida in Margate is a beautiful office. You are always greeted with a smile and hello from the front desk. Most of the girls are very knowledgeable when checking in and out. They remember each individual by name. I have always had a great experience with their phlebotomist and their ultra sound tech, Colleen, is amazing. She is so sweet and talks you through the ultra sound. She even shares what she is seeing with you.

Dr. Ory is very straight forward with his diagnosis. He has a wonderful personality and cracks a smile every now and then when discussing the issue(s). I felt like I was treated like an individual with Dr. Ory because he specifically spoke of me and very rarely compared me to anyone else. He know I was me and this was "my" issue and not a "bunch of other woman".

Cassie and Nadia are amazing. They are very caring, compassionate and listen to your concerns and even let you cry to them :) Cassie performed a number of my inseminations with ease. She was extremely knowledgeable on the protocol and procedure. Nadia was my shoulder to cry on. She listened when I was upset and always consoled me when I needed it. She explained things to me in a simple way, shared her personal stories and made me feel comfortable.

Dr. Ory's strengths: He explains everything to you and step by step. He is very caring about your situation and helps you feel comfortable with his protocol. Dr. Dr. Ory's weaknesses: Runs a little behind for appointments. I have waited close to a hour at one visit to just meet with him. Overall, Dr. Ory is a fantastic doctor who knows what he is doing.

Listen and ask questions. Dr. Ory will not explain above and beyond. He will tell you textbook wise what is going on and what his plan is. But research and ask questions...anything. He will answer them on the spot.

In 2014 I had a small fibroid preventing me from getting pregnant. Dr. Ory suggested 3 months of depot lupron shots to shrink it to avoid surgery. Unfortunately they did not work and ended up having laparoscopic surgery with Dr. Christie (Dr. Ory does not perform lap). The fibroid was removed and I became pregnant. Fast forward to 2016. I became pregnant but unfortunately miscarried. After 5 months of not getting pregnant again I returned to Dr. Ory. We ran a number of tests and determined diminishing ovarian reserve / poor egg quality was an assumption. We tried a few rounds of 50mg clomid to produce more eggs with timed intercourse, no luck. In January, February, and March I completed 3 IUI's, each with two days of insemination. I was given 50mg of clomid with ovidrel trigger shot. Each IUI was unsuccessful. We took a break for a few months and then tried 3 months of 2.5mg of letrozole with trigger shot and timed intercourse. Again no luck. We have stepped back from treatments for a while, but still keep in touch with IVF for questions, blood work etc.

For visits I had a $30 copay each time. My insurance covered 60% of my IUI treatments. I had to pay approximately $1500 for 3 IUIs. Most medications were covered, expect for the ovidrel injection.

The only down side that I had was that if I needed treatment on a Sunday I would have to drive 2 hours to margate, but other than that the staff at Ivf Florida are all amazing and were always concerned with how we felt and wanted to make sure we always had the info we needed.

Every time I walked in the office the nurses knew my name and greeted me with a big smile and a caring face. When ever I had a question it was always just a phone call away and they always answered and answered my questions with truth and professionalism.

My nurse was absolutely amazing. She handled everything from my negative pregnancy test to my joy for starting another cycle.

The first time meeting Dr.Maxson my husband and I knew right of the bat that he was the Doctor that we wanted and that we were going to be in great hands. He explained everything in detail and answered every question we had. Dr. Maxson had a vision for my husband and I and started right away. I wouldn’t go anywhere else.

If I could give any advise it would be to never give up on your dream to become parents. When you think you have hit rock bottom to get back up again and try harder for what you want to achieve and that is a baby!

The first thing Dr. Maxson said was to loose 5% of your weight. Even a small amount is beneficial to conceive. He started me on metformin starting at 100mg and working my way up to 1000mg. With having pcos it is suppose to balance my blood sugar and even out my hormones. From there it was weekly apt to check my follicles. Once my follicles got to a certain size Dr.Maxson told me to trigger and to trigger at a certain time. We would trigger and then the next morning we would go in for iui.

For the iui treatments I spent $1,700 per iui. I did 2 iui and I am working on my 3rd now

Everyone at the clinic is absolutely wonderful. They are kind, patient and very thorough to ensure everything is correct and up to date. The use of the portal is an excellent and efficient way to receive results and communicate with the office and nurses.

Dr. Christie is kind, respectful and honest. He tells us the good and bad in a very nurturing manner. He is a very sweet man and we have all our faith tha8t he is doing everything he can to help us have a baby.

The entire staff is absolutely wonderful and so caring. Love them all.

Dr. Christie is extremely professional. He has always made himself available to us to answer questions or concerns. He is very knowledge and recommend a different procedure in our last cycle that allowed us to have 8 more embryos to complete PGS testing on. One of which is now our little popsicle.

Don't keep wasting time. Go see Dr. Christie or any of this partners at IVF Florida. They are amazing.

In round 1, we went the "normal" way of fertilizing the eggs. On round 2 they were hand fertilized and we got 8 more embryos over the previous cycle (18 total). 8 in total made it to day 5 and after pgs one of those is now our popsicle. We couldn't be happier. We are now going to do an ERA to improve our chances of a successful transfer.

I purchased a 2 ivf cycle plan via Attain. I believe the cost was around $25k plus PGS testing $3k, medication $2k per round, and PGS testing was $3,600 per 8 embryos. ERA should be around $1k. In addition I have about $500 for anesthesiologist and another $2500 for the removal of a fibroid. I think that covers it.

They do not allow multiple transfers and I'm not sure about eSet (not interested)

It is a large practice but I still felt like the nurses/Dr. Gualtieri took the time to get to know me and give me individualized care. The only weakness is the wait time I would experience sometimes due to a large amount of patience waiting to be seen (this was the case even when I had an exact appointment time and arrived early).

Dr. Gualtieri had wonderful bedside manners and he always listened to mine and my husband’s concerns. He would also take the time to call from his personal cell phone if needed to discuss things after office hours.

I went to multiple locations of IVF Florida (Jupiter, Margate, Port St. Lucie, Wellington) and the nurses at each clinic location were knowledgeable and compassionate.

Dr. Gualtieri would always take the time to explain the risks and benefits of each treatment for each cycle. He was always polite and took the time to explain everything in an easy to understand manner. He would take our concerns and financial situation into consideration and adjust the treatment accordingly (i.e. increase the dosage of pills/injectables). He was successful at getting me pregnant in May of 2017 and now I am currently 2 months pregnant again thanks to his medical care.

Have an open mind but also have your own plan of action and he be prepared to convey that plan to Dr. Gualtieri- he will listen.

I have PCOS so for my first pregnancy I needed to be on the highest dosage of Metformin to help with my levels. I was on Letrozal/Femara starting with 2.5 mg and only having success with ovulating on 7.5 mg. I also took 75 & 150 iu of GonalF injectables and Ovidrel (“trigger shot”). For my first pregnancy we did an IUI with 7.5 mg of Letrozal and injectables for my second pregnancy we did the same medication but with timed intercourse.

Between both pregnancy we spent roughly $20,000

Dr. Gualtieri would also warn us about the chances and risks of multiples but that was never a concern of ours.

This clinic is very busy and tends to run a bit late. However they are extremely worth the wait. They are kind and patient. They walked me through everything and had no hidden fees, or anything that came up.

She took the time to really review my file and experiences with previous doctors and procedures. She gave us the good, bad, she ugly all while keeping our best interests in the forefront. She listens, answers questions at all hours, and truly cares about our success.

The nursing staff is always available to answer my emails, calls, or questions in person. They explained everything thoroughly and would walk me the process as many times as I needed.

Dr. Weitzman knew she was my last hope. We were on the waiting list for adoption when we met Dr. Weitzman. She did not push us one way or the other but encouraged us to make the decision that we felt best with. She did not waste our time with unnecessary tests and was honest with each answer. For example when I struggled to get my trigger shot correctly, she personally called me back at 11pm to talk me through it. When she’d see me in the hallway for my monitoring appointments she always updated me and hugged me. She got how important this was and what doing IVF meant to us.

Listen to her. She knows exactly what she’s talking about. But also be prepared to make the decisions for yourself. She won’t push you to do something you’re not comfortable with.

I was on birth control pills for 19 days. 4 days prior to birth control stopping I started 20 units of Lupron each night up until I triggered. I took 225 units of menopur daily and 225 units of gonal f daily. She put me on high doses to make sure I would stimulate.

For the total package of 2 IVF cycles with medicines it is about $ 35,000

My doctor prefers to do single embryo transfer. I trusts her judgement.

There are baby photos at check out. I know this can be triggering for some. The office is clean and usually runs on time. They are quick to get results into the portal and address any concerns. I will say the US staff is hit or miss. They have been very nice but maybe need more education about how to speak to those with infertility.

I have met with Dr Manko once during this process. We are just starting our second IUI with injectables. All communication has been through the nurses.

The nursing staff is wonderful. They communicate quickly although some of them are clearly less experienced than others. Any issues I had were addressed immediately. I was very impressed.

Dr Gene Manko was very friendly and listened to all my concerns. He went over all of our testing in detail. My only concern is I wish I would have heard from him after our first failed IUI. I spoke to the nurses who then spoke to him. My meds were only adjusted because I asked for them to be.

Ask questions and advocate for yourself. I would say that about any doc/patient relationship.

1st IUI 75units if Gonal-F Triggered on day 9 of Injections with 10,000 units of HCG. One follicle which was 17.3mm IUI #1 12 hrs after trigger and IUI #2 36 hrs after trigger Lining was within normal limits. Progesterone suppository until period arrived. First IUI unsuccessful. This cycle I started with 150units if Gonal-F for two days and then 75units for two days with a monitoring US on the 5th day in the morning which is tomorrow.

Our diagnostics were covered by our insurance but the IUI including meds were not. Our first IUI was $4,000 including meds and all US.

NA

I could not give any negative feedback to this clinic. The nurses, care coordinators, financial consultants, appointment coordinators, and check out ladies make this all such a pleasant experience. As I mentioned, this journey is hard. But knowing and trusting you are in great hands makes it so much easier. On another note, for someone who works full time, this clinic is ideal. They open at 7:45am and if you show up a few minutes before doors open, you’re one of the first to be attended.

I understood the chances of IVF and fertility upon going in, and doctors are no heros. However, from the beginning, Dr. B explained to us everything in absolute detail. After a failed transfer, he personally called to see how we were doing and what our next steps would be. If we had questions, he’d call us within the expected time. I always feel that my concerns are met. While he has several patients and probably hears the same story again and again, I feel uniquely valued.

The nursing staff is what makes this clinic what it is. They are on their A game to ensure that you know what you are doing every step of the way. They are compassionate, even when it is difficult. The phlebotomist is my absolute favorite. She’s so sweet and has such a positive aura. And hugs all her patients upon arrival. This journey stinks, but the nurses make it easier.

Overall, Dr. B is amazing, and I’m glad to have found him. He shows compassion, and doesn’t make you feel silly for asking the simplest/irrational questions. He treats his patients with care. He explains everything in absolute detail. When delivering bad news, he shows empathy and brings an action plan.

Ask all the questions. Sometimes doctors don’t know that we don’t know, and that’s okay! They do this all day. But he will answer all your questions with loving care.

During the egg retrieval cycle, we down-regulated with birth control. Once cleared, we started stims. Due to my young age and no apparent issues, I was placed on the lowest dose of Menopur and Follistim. I was monitored almost every other day with bloods and U/S. Once cleared, 48 hours before egg retrieval, I was told to trigger with an intramuscular injection of HCG. For my FET prep, I also began with BC. I then down regulated with Lupron injections. Once cleared, I was given my calendar and told to begin estrogen patches to build up my lining. A week before my scheduled transfer, I came in to ensure my lining was thick enough for transfer. 5 days before transfer, I began PIO injections. After that transfer failed, I followed the same protocol for an ERA to ensure that I had the correct amount of PIO to be receptive to an embryo. I am now currently on my second FET prep, and since my ERA came back “receptive,” I am following the same protocol.

Thankfully I had insurance. Without insurance, each FET would have cost about $10,000, not including medications. The Egg Retrival would have cost $6000.

My clinic is very against transferring more than one embryo, especially if the patients are under the age of 40 and have good quality embryos. I disagree with this mentality, but trust my doctor and am going with the flow. When a patient has gone through multiple heartbreaks, and is also financially unable to follow through with multiple transfers, sometimes transferring multiples is their final chance - emotionally, physically, and financially.

Wellington Office is kind, caring, organized, up to date with your file. The billing office does tend to be inaccurate time and time again. Which is very frustrating when you are seeking such expensive treatment.

Dr. Maxson is very warm, compassionate and down to earth. His compassion and knowledge of the field really resonated with us. From our initial visit to our most recent loss Dr Maxson has been with us every step of the way. He often checks in on us during our cycles and even on our "breaks". He really understands how grueling this process is not only on the patient but often on the family. There have been several times Dr. Maxson has met with my husband and I as well as my parents to calm our nerves and fears. At the end of the day Dr Maxson truly cares about his patients and the family they are so hopeful to create.

I attend the Wellington Office and the nursing staff there exceeds expectations. Being a smaller office they know you by name, know your journey and are with you 100% of the time. This includes the nurses, the sonographer, the triage nurses (who take our blood) , the office/billing employee and many others. They greet you by name, follow up with you via the web and phone, and show general interest, care and concern not only about your treatment and care but also about your general well being.

One of the things I like the best about Dr. Maxson is that He stays educated on up to date research and procedures and educates us as well. He doesn't hold back when offering "out of the box" thinking. I know that Dr. Maxson has several patients. However, that doesn't alter him from knowing every little detail about me and our journey to parenthood. He is blunt when He needs to be and He is cautious of our feelings when He needs to be as well. Recently we have hit a bump in the road financially and we are almost at the end of our journey and have no baby to show for our journey. To see the emotion on Dr. Maxson speaks volumes. This man genuinely cares about us. About our Marriage. About our Hopes and Dreams. And most of all about our desire to become parents.

When seeing Dr Maxson I would recommend that you remain open and honest with him. Be upfront about your plans and where you are at financially. Be open to suggestions--- even the ones that are hard to hear. Be ready to hear things you may not want to hear but be open to what He has to say regarding this and follow through with his plans.

We tried Clomid and Letrozole with IUI first. I stopped responding to both. We then moved to IVF with Menopur, Gonal F , Centrotide and HCG trigger shot. We retrieved 10 eggs and 6 made it to day 5. Sadly, these embryos resulted in 2 chemical pregnancies and a miscarriage around 12 weeks when referred to my OB. Our Second Retrieval we did Lupron for several weeks, Menopur and Gonal F with HCG trigger. We retrieved 17 eggs and 4 made it to blast. This was a freeze all cycle. We did an ERA test to make sure that we were transferring at the right time and that my uterus was receptive to the Progesterone shots. We found out that I was pre receptive by 24 hours and needed an additional day of Progesterone. We did two more transfers after this which resulted in negative pregnancy tests. We have two more embroys on ice and will be transferring again in 2019.

We used Attian, IVF

Dr. Maxson is very amendment about single embryo transfers. His first priority is always the health of his patient and his goal is always "one healthy baby".

Strengths would be the knowledge & education of assisted reproductive technology of all of the doctors and how there able to take an individualized approach still getting a positive result. Weaknesses would be sometimes it may take a minute to get called back when leaving messages with answering service over the weekends.

I’d like to start by saying I am over the moon happy I found Dr. G. I initially went to him as a second opinion after working previously with a different RE. From the day I made my appointment up until now I’m extremely glad I chose to stay with him. He is extremely intelligent, very committed to making sure I understand my particular case & condition, gets back to me in a timely manner & always answers my questions of concern. That by far is the most important thing to me. Knowing that we’re on the same page and he is willing to do what it takes to help me have a baby.

Compassionate. Helpful. Outgoing & always willing to help with additional resources. Gives great hugs & words of encouragement!!

Dr G, is very well educated and highly skilled on what methods work for each individuals case. He always explains everything to me in lamen terms & I always walk out like I get it. I am a bit over weight and he has never made me feel any less deserving of having a baby like my previous doctor. He suggested eating better & integrating exercise just to stay healthy & get my sugar levels under control. He can relate to me and that is impressive!

Trust him!

Well I have not had my actual IUI. I am in progress. So my husband & I were given a work up and consulted regarding results. We both did really well & the few areas of concern like my blood sugar which was also addressed by placing me on metformin. I’ve been on metformin for 4 months. Next phase of treatment includes ovulation induction medications including injectables & ultrasounds to monitor the effectiveness of the OI. Once final ultrasound and blood work is completed ovidrel will be prescribed & I’ll be scheduled for IUI.

$1300-2500

The clinic's strengths are its size, allowing it to utilize resources a smaller facility may not have available but this can also be a weakness. There is some inconsistency between the offices and I found my home office of Jupiter to be more amenable to me than the main office in Margate. In Jupiter I was a human, in Margate I was a number. I would want a new patient to understand that you'll spend more time with your home office than Margate so if you feel this way too, you should probably still stick with them if you like your home office.

Dr. Gualtieri is personable and eloquent and always made me feel like I mattered. I never felt like he had to check the chart to see who I was or what I was there for.

The nursing staff was always helpful and willing to answer my questions. Lynne was especially helpful with questions regarding how to give the shots and what to expect. She was also very compassionate with the emotional turmoil that occurs during this process.

Dr. Gualtieri is qualified and knowledgeable in the field of IVF and female reproduction. He even helped me when I had a question about being induced, well after I had "graduated" from IVF to my regular Obstetrician. I feel like he truly cares about his patients, in them achieving their goals of parenthood, and he is willing to listen and allow you to take agency over your own care.

Make a list of questions before your appointment so you don't forget.

We were diagnosed with unexplained infertility and tried several IUIs for budgetary reasons. When he finally recommended that we move to IVF, he explained the whole process and what the statistical odds were. My stim cycle was 75 of Menopur and 150 Gonal F in the morning and 75 Menopur with 75 Gonal F in the evening and wasn't changed during the cycle based on my follicular response. I then used Crinone after transfer. Our first cycle was successful.

The monitoring appointments were pretty well run. You would start in the initial waiting room, then get called back to a smaller room outside of the ultrasound room, then be called in as the patient ahead of you was finished. I don't remember waiting more than an hour or so to finish a full monitoring appointment. Those appointments were always in the morning which was convenient for me but may cause an issue for others.

I think each IUI was around $1,500.00 and the total cost for the IVF was about $15,000.00.

When we first met for our consultation we discussed implanting 2 embryos due to my age (37 at the time) but by the time I had my fresh egg transfer the protocol had changed and only 1 was authorized. We had a discussion prior to the transfer (I was emotional because, you know, hormones) and he allowed us to implant two embryos based on our initial understanding and my acceptance of the risk of multiples. I don't know that he could even do this today due to the protocol change but the fact that he was open to my concerns and listened was most important.

The clinic was well organized, modern, and clean. When I arrived for my initial consultation I was extremely overwhelmed with the process and costs, but after speaking with the nurses and staff I felt better. The nurses/staff perform the ultrasounds and blood testing in house so it is convenient and you get the test results within the same day. On the other hand, it is very busy and the waiting room is always crowded. Expect longer than usual wait times.

The clinic is large and always had a lot of people in the waiting room. I felt rushed during each of my appointments.

The nurses were kind, understanding, and sensitive to my needs and concerns. Their positive attitude made me feel comfortable. If I had any questions after my appointment I could email the nurses through the portal and they would respond within 24 hours. At times I was given conflicting information by each nurse which was confusing during my treatment.

He was professional, knowledgeable and kind. After my initial appointment, I was nervous but confident that he could help me become a mother. He explained the process and procedures, and was positive I would achieve pregnancy.

Conduct your own research beforehand and be prepared to ask questions because he doesn't give you all the information you need unless you prompt him with questions. Prepare for a long wait time.

During the initial testing, it was determined I have diminished ovarian reserve. He performed an HSG which resulted in one blocked Fallopian tube. Despite these results, his protocol was 3 IUI cycles with no medications and no monitoring (i.e. blood work and ultrasounds). I was instructed to take a OPK at home and to make an appointment for the day after I received a positive. I felt the timing was off and was not confident considering my test results and no monitoring. After 3 failed attempts, I am taking a break and getting a second opinion.

3 IUI cycles at $278.00 each. My insurance covered the consultation, blood work, and ultrasound so I paid my co-pay for those visits. Total cost – approximately $5,000.

The waiting room was large and clean. It was always crowded no matter the time: weekdays and weekends. The process from check-in to check-out was smooth, but it was usually a long wait. My favorite part was the break room - snack machines, coffee and TV (it wasn't just for employees!). Once I decided to seek a second opinion, it was difficult to obtain my medical records. I had to consistently follow-up with the records custodian as my request seemed ignored and took longer than it should.

No matter what time or day we arrived for an appointment, the waiting room was always full. The front desk staff seemed frustrated at times with patients. During one appointment scheduled with Dr. Ory, we waiting an additional hour for him in his office. He seemed rushed to answer our questions. We rarely had the same nurse, so each time they would have to read my chart to understand my situation and treatment.

There are multiple nurses that are involved in your treatment. This was frustrating at times because they would each provide me with conflicting information. For example, one nurse would tell me to come back the next day following an IUI to undergo a second IUI ("back-to-back). However, the next month/cycle, a different nurse instructed me to take a OPK that night following an IUI, and if it was negative then do not return the next day for the 2nd IUI that cycle. It was very confusing, each nurse had their own protocol!

Dr. Ory is soft spoken and doesn't show much emotion. Overall he seems like a nice man that wants patients to achieve success. Although I underwent treatment with his facility for over one year, I only met with him a few times as the nurses handled most of the treatment. I didn't see him unless I had a scheduled appointment for him specifically. For those appointments, he had me waiting for an hour or more, and I felt rushed when I finally met with him.

Seek a second opinion.

I first met with Dr. Ory during my consultation. He led me to believe that my only issue was lack of sperm (I'm married to a woman). After standard blood work, ultrasound and HSG, he explained my ovarian reserve was "low for my age," but he was confident I would achieve pregnancy within my first 3 IUI cycles. Based on his recommendation, we proceeded with 3 "natural" IUI cycles (no meds and no monitoring), which all failed. Next, he prescribed 50 mg Clomid for the 4th IUI cycle - failed. For the 5th, 6th and 7th IUI cycles he increased the Clomid dose to 100 mg and added Gonal-F 150iu with Ovidrel 250 trigger shot - failed, failed, failed. He remained confident that I would achieve success, but it never happened. He suggested a Laparascopy (possible endometriosis) and IVF treatment. I decided to seek another opinion. After numerous failed attempts, the process was taking a toll on my marriage, finances, and emotions. I lost my trust in Dr. Ory. After transferring my records to another RE, it was immediately determined that I have Hypothyroidism. This was based on the review of my initial blood work taken by Dr. Ory prior to his treatment! If your thyroid is off even slightly, then it could cause infertility. Dr. Ory failed to diagnosis my thyroid issue.

My insurance does not cover anything fertility related so I paid out-of-pocket for everything. Each IUI is $278, ultrasounds are $300 each, blood work (i.e. progesterone, estradiol) is about $100 each time, HSG is $700, initial consultation and follow-up visit(s) with doctor are $300 each, frozen sperm storage at clinic $100 per month with $50 processing fee each time they receive donor sperm vials. I spent over $20,000 for 7 IUI cycles (5 cycles were back-to-back = 12 IUIs total).

Strengths: - Convenient times and multiple locations (we were able to go to another location for testing at times when mine was booked out). - I think the doctors are generally very knowledgeable and do a good job. I liked all the doctors that I interacted with (different doctors did my HSG, retrieval and transfer). Weaknesses: - Nurses run the show and you don’t see the doctor that often. That being said all the nurses were great although it seems like different nurses supervise different stages of your treatment rather than having one nurse throughout the process. - No updates on monitoring ultrasounds during stims - if you don’t call to ask or ask to speak to the nurse afterwards, they do the ultrasound and tell you nothing about afterwards. Labs get uploaded to the portal but not the ultrasound results. - It is a bog clinic and you can sometimes feel like just a number or like your care is not being individualized.

This is a big clinic and sometimes you can feel like just a number. There are benefits to a big clinic also like more convenient hours and multiple locations.

Dr. Ory is definitely more of a straight-forward, to the point type of person which I didn’t mind. If you need a lot of hand holding or someone who will be very gentle or careful with what they say he may not be the person for you. I prefer the blunt approach and to go in knowing all the facts beforehand. He does not always go into a lot of detail but will answer any questions you have so just have your questions ready. I would have probably liked to see my doctor more. At this clinic the doctors do the initial consults then you mostly see the nurses after that until the end. I also did not have my doctor for my retrieval or transfer but I understand that the doctors work on a shift system.

Research ahead of time and have a list of questions prepared.

I was on microdose Lupron protocol due to low ovarian reserve. I was on Lupron, Menopur and Gonal F. I also did 3 weeks of birth control pills before my starting stims and before my transfer. For my transfer I did Lupron then estrogen patches then added vaginal progesterone just before transfer.

IVF cycle with retrieval and fresh transfer is about $12000 FET is about $4000 Embryo freezing and storage is about $1500 plus $100 per month Meds totaled about $5000

It was explained to me in detail and I was given hand-outs about how they decide how many embryos to transfer. Based on the odds I was given, I felt comfortable transferring one embryo.

IVF Florida - Margate is full of amazing staff. Everyone from the ladies at the front desk, to the woman who drew my blood, the US techs, the doctors and nurses are all wonderful. They take their time to make your visit a smooth process. I had one of the front desk ladies come down to the second floor the day of my egg retrieval because she saw me on the schedule and she just wanted to come and give me a hug and wish me good luck. You don't find medical staff as friendly as you do at IVF Florida.

The staff always remembered my husband and I, always asking us how we were doing. The office and staff are very personable.

At IVF Florida you are assigned to a nurse team. My team consisted of 3 nurses - Brittany, Jackie and a third whose name I can't remember at the moment. All of them were very nice. There is a patient portal that you can send questions to your nurse team and they always respond promptly.

Dr. Hoffman was my doctor and he is amazing. He will not sugar coat anything and will tell you how it is. He is very upfront with you and does not want there to be any surprises, and he will not get your hopes up unnecessarily. I really appreciated his honesty.

Do not let his "to the point" take on things fool you. He cares a lot and only wants you to succeed. Once you get to know him a bit better he ends up feeling like family.

My ovarian reserve looked good and our main issue was male factor. We used the agonist protocol using Ganirelix to supress ovulation. Dr. Hoffman also had me trigger using Lupron to reduce the changes that I would have OHSS. The protocol worked beautifully. I have 9 eggs retrieved, 8 were mature, 6 fertilized and all 6 made it to freeze. We did an all freeze cycle because I had to have surgery to remove a uterine fibroid.

SIS costs $975.00, HSG cost $595. I don't remember specifically the other costs. IVF is not cheap though (no matter where you go)

Dr. Hoffman was very adamant that we should only transfer 1 embryo. Due to my age and the fact that I had never been pregnant or miscarried he said my chances didn't change with multiple embryos, only my chances of having multiples. IVF Florida is very careful - their main goal is to get your pregnant with 1 baby.

The Wellington office is amazing!!! The Jupiter office is also a good one. Other than the issues we have had at the Margate receptionist/checkout area we have had a good experience. When we found out about the misscarriage it was at the Margate office and as we were leaving the check out lady yelled at us to pat before we left. After telling her about our loss and wanting to be alone, we would pay them later she insisted we would leave and skip payment so we had to pay. She was spoken to by our Dr and the office manager who apologized to us for the incident. Every Dr, nurse, tech, and other person at the 3 offices I mentioned have been good at their jobs as well as good people.

Everyone at IVF Florida, Wellington office has been kind, caring, involved, and helpful through out each and every step. At the Margate office we have had some issues. The lab where all procedures take place was wonderful, but the front desk at the 3rd floor for check in and check out are not as friendly.

Erica and Ilean both called us to celebrate our success and called to express sadness when we had our loss. Everyone we see them they always greet us warmly and have all the information ready for us. Both are very organized and professional, but also involved and human!

Dr Hoffman is caring and compassionate. He takes his time to give all of the information and to also help you and your spouse understand it. He is very hands and upfront about the rotation of Drs that may do retrieval and or transfers, but in my experience he has been there for us when we have asked him to be.

Listen to him then ask questions. He has a way of getting to the information in a logical and medical way that will help you understand what can happen. Asking questions afterwards gives you and Dr Hoffman the time to ensure you understand everything being said.

75 units of Menupor and 75 units of Gonal-F twice a day for 10 days. At day 6 we added .25mg of Cetrotide for the last 5 days. We then did a Lupron trigger of 40 units. (We did this protocol for both retrievals) For our only FET (Frozen Embryo Transfer) we used Lupron, 10 units, for 17 days every morning. On day 17 we went in for scans and blood work where we were told to start PIO (progesterone in ( sesame) oil). We did PIO for 5 nights then transferred a 5 day embryo that was PGS tested normal. The embryo took and then at 5 weeks 4 days we had a misscarriage. After this loss we did an ERA (Endometrial Receptive Assessment) test, once the HCG levels went down to less than 1. After the ERA we are currently doing our second FET with the same protocol, but have no results yet. We choose to move forward after speaking to our Dr and team to assess what our options are.

We choose to use an Attain program. By bundling our cycles we saved money and have a plan that allows us unlimited frozen embryo transfers. We picked a plan that gave us 2 retrievals with PGS testing, 2 fresh, and unlimited FETs. We chose not to use the 2 fresh so we could do PGS testing in every embryo we made.

Dr Hoffman feels that 1 embryo transfer at a time is healthier for potential mom and fetus.