IVF New England

As I have not started the IVF process yet, and only completed all pre-IVF testing I can't speak to the clinic's IVF treatment, but I can speak with regarding onboarding new patients and pre-IVF testing. The clinic does a great job with explaining the process to new patients and has wide availability to get you into appointments quickly. I did feel the testing process takes a long time, and perhaps it could be just my siltation which each test seemed to bring up another issue that needed to be addressed before moving forward. Final treatment plans appoints can book a ways out so in that instance it is difficult to get in sooner, but overall I have liked my experience with the clinic.

Dr. Wright has always taken the time to explain each one of our tests to us. As we are in the beginning stages of IVF, this is all very new and confusing. My husband and I have almost completed all of our pre-IVF tests and hope to start IVF with ICSI next month. Dr. wright has called me to explain my various test results and helped me to get my TSH on track for IVF. I had a miscarriage prior to this process and Dr. Wright and her staff have been so understanding in working with me knowing I already experienced a very difficult loss.

Barbara Soto and the rest of the IVF New England nursing staff in Bedford NH and Waltham offices are absolutely amazing! Having recently experienced a miscarriage, this has been a very emotional process for me. The nursing staff has been unbelievable considerate while treating me. There were there as my IVF tests were delayed due to waiting for the HCG to leave my system, through many ultrasound and blood work, and through my recent sono hysteroscopy.

Dr. Wright has treated my husband and myself with compassion, understanding and patience. We experienced a miscarriage prior to working with Dr. Wright and I greatly appreciate her ability and willingness to answer all my questions and concerns that go along with having experienced a prior loss. I feel she truly cares about me and my husband and wants to see us start our family. We have hit a few bumps in the road which has slowed down our IVF start based on various test results, but Dr. Wright has helped me start correct medication and move us along faster then my PCP. I appreciate her quick responses and willing to walk me through each step of the process.

Don't ever feel guilty asking too many questions. There is no such thing. Dr. Wright has been wonderful answering my many questions and it's made a world of difference in going through this process.

We have not yet begun IVF treatment. We are just about to finish our pre-IVF testing. Dr. Wright found I had high TSH level and correctly that, as well as a uterine fibroid which will be removed. After the removal we are starting IVF with Dr. Wright.

As we are just beginning the IVF process, costs of IVF with ICSI and PGS for one cycle is around $19,000. We have spent approximately (with insurance coverage) $1500 in pre-IVF testing so far.

Dr. Wright recommends single embryo transfer.

The clinic has multiple monitoring locations, which is convenient for someone like me who lives close to one location and works close to another. You can go to different sites depending on what works for you. The main procedures are completed at one location. They give you a scheduled time for blood work and ultrasounds, which streamlines the process really well. Dr. Wright never did any of my procedures, which I was disappointed about, but I did feel comfortable with the other doctor's in the practice.

I felt like a human under the treatment of Dr. Wright. I felt that she and the nurses were caring and compassionate. However, the clinic is large and at times I felt like a number - not due to the way any staff member treated me, but because I knew there were so many patients under the care of the clinic's doctors.

My main nurse was clear in her directions and knowledgeable about medications. She called to explain next steps and answered all my questions efficiently.

Dr. Wright takes the time to explain every aspect of treatment clearly. I came to her with many questions and she answered all of them fully and honestly. Dr. Wright presented the facts of my case and provided me with options after discussing the benefits and disadvantages of each. She is very knowledgeable and trustworthy.

Attend appointments with a list of questions so that you can maximize your time with the doctor and get all the information you need to proceed with treatment.

Dr. Wright prescribed an antagonist cycle with no birth control. This was my fourth IVF cycle, but first with her. Five eggs were retrieved and two embryos were transferred, but resulted in a negative pregnancy test. Due to diminished ovarian reserve and poor egg quality, I am going to undergo an donor egg cycle with Dr. Wright soon.

When undergoing an IVF cycle, I had majority of costs covered by insurance. With my upcoming donor egg cycle, I will pay a fee to the clinic, a fee to the outside agency, donor fee, and legal fees.

The clinic works tirelessly. I was worried my transfer timing might occur right on Thanksgiving Day. The assured me they work, they're open! As a private clinic this is a major positive vs. smaller or academic clinics that may not do retrievals or transfers on Sundays or holidays for example. Process wise there was some confusion about who (which doctor) is performing retrievals and transfers. It was not clear to me from the beginning that my primary treating physician may not be the one performing the retrieval or transfer. I wish I received more advance notice of which doctor was on staff that day performing these duties.

Dr. Glatstein was very compassionate, very personable. For key milestones, he often called us himself.

The nursing staff changed quite a bit during the entire course of treatment. I believe it was the clinic's intention to assign a primary nurse but due to turnover and staffing changes it felt like I spoke with a different person every time. Although this was somewhat frustrating from a continuity of care perspective, all the nurses I spoke with were well trained and pleasant.

Every fertility journey is unique. From the beginning, Dr.Glatstein gave us the confidence and sense of calmness we needed throughout the process. Through it all, Dr. Glastein was there for us and assuring us that we would have success! Failing a fresh embryo transfer after retrieval, we had success upon our first frozen embryo transfer. Dr. Glatstein is a passionate, patient, and kind caregiver. We were so thankful to have him on our side. Don't wait to make an appointment... go see them now!

Do not hesitate to make an appointment. Time is precious!

Dr.Glastein ordered Gonal-F, Menopur and Cetrotide for stimulation. I believe all were low-to-moderate doses as this was my first cycle and I was 31 YO at the time. Leuprolide trigger shot was also ordered but not used as it was not needed. Retrieval resulted in 9 eggs. Estradiol patches and Crinone were ordered as supportive medications as well.

Fortunately, I had insurance coverage. I believe I paid a coinsurance for stimulation medications. Otherwise, all procedures, monitoring, testing, etc... was covered at no cost to me with the exception of cryopreservation which I believe was at or close to $1,000. We also have to pay $85 per month out of pocket for continued storage of cryopreserved embryos.

The clinic is coviently located in Lexington to my work near by. The day of my fresh transfer my husband had a difficult day time with his contribution. Not only did the rooms not have any door looks, and people kept knocking on the door. The Waltham IVF location was the only complaint we have.

Dr. Pauli along with his nursing team openly share information as things progress. It makes me feel more involved and less vulnerable. Everyone is friendly and so supportive, my own cheer squad!

Dr. Pauli’s nursing team openly share information as things progress. It makes me feel more involved and less vulnerable. Everyone is friendly and so supportive, my own cheer squad!

Dr. Pauli has great bedside manor, even while delivering bad news he makes you feel like he cares. I also like that he doesn’t give you false hope and tells it to you straight. Dr. Pauli has made me feel like I have say. When a cycle didn’t work he listens to my concerns and discusses the what to do next. I am a scientist so I am always reading medical journal articles, and Dr. Pauli respects that is willing to try things if it makes sense for a positive outcome.

Don’t be afraid to ask any and everything you can think of.

My first IUI we tried clomid, but it hampered growth of my uterine lining. So I ended up with a negative test. For the next two cycle of iui we just used gonal-f at 375 units twice daily, still we got a negative. I never had more than 4 follicles. For the first IVF we used BC, lupron and final-f. After the BC my body had a difficult time restarting resulting in 22 days of injections. However there were 3 follicles and two were retrieved. Both follicles were fertilized by icsi and were day 3 transfer 8A embryos my lining thickened to 7mm. Unfortunately we saw a negative. When meeting with the Dr we discussed what might have hampered things, my concern was that the BC was too suppressive so we tried just estrogen and lupron. . After 14 days of injections my lining had thickened only and I had only one follicle and It didn’t want to grow. So to my dismay the cycle was canceled. The third cycle we went back to BC with clomid, gonal-f and a antagomits. Centrolide the antagonist hurt and bruised me for weeks. Once again my lining did not grow past 4mm, I did have 2 nice follicles. Due to the low # of follicles the IVF cycle was converted to iui. Nothing stuck. Dr. Pauli told me as long as I produce eggs we will try, but I need to start thinking about using a donor egg. That is tough to hear but it is realistic. My current cycle is just beginning with BC, lupron and 375 BID. I hope we get a positive soon.

Medications, copays and lab work.

The staff is mostly awesome. There was one ultrasound tech in the Brookline office who was young and super unprofessional but every other person I encountered was amazing. Every phlebotomist, secretary, ultrasound tech (except for that one), and nurse was compassionate and efficient and just all around awesome. I don’t have any weaknesses to comment on.

He genuinely cared about our situation, and he took plenty of time to go over every detail I asked for.

The nurses were great. They were going through some staffing changes so I was never sure who to ask for specifically, but luckily I know one of the nurses personally (mom of a friend) and even though she wasn’t on my team she stepped in and helped me out tremendously whenever I needed to speak with someone directly.

He was incredibly knowledgeable. He took the time to go over our five previous cycles in great detail, including dosing and why he thought our outcomes were what they were. He was quick to adjust my doses when my terrible ovaries were not responding well to stims, and was very candid about the fact that my retrieval might not be successful due to my ovaries being displaced by adhesions from endometriosis. The best was the voicemail I got from him wishing me a happy and healthy pregnancy about a week after I was released from the clinic, that and the fact that he personally called me to talk about my fertilization report. And let’s not forget that it took my last doctor eight embryos over five transfers to get me a live birth, and it took Dr Pauli just two eSETs to give me the gift of my second daughter, who is due in less than two weeks.

Take the time to ask questions, because he will answer absolutely every single one of them candidly.

We did an antagonist protocol with very high doses of stims for over a week, I think I stimmed for 10 or 11 days? HCG trigger, retrieval went well, fresh eSET resulted in a chemical but I’ve never had luck with fresh transfers. Second transfer was a successful frozen eSET, used PIO for the first time, old doc had me always using Crinone. Also used baby aspirin for the first time.

Covered 100% by insurance

Our original plan was actually to transfer two at a time given my history, but my insurance limited us to eSET because of my age (under 35) and prior successful pregnancy. He did originally suggest eSET but after going over my history (three transfers of two embryos at once resulting in just one singleton) agreed that two was probably safe for me. I’m glad we ultimately didn’t take that path though!

It’s a small clinic, but I never had to wait long for appointments. They do book up quickly so it generally takes about 2-3 weeks to get an appointment, so that’s something I had to stay on top of, especially for follow up appointments after treatment.

The staff in this office are incredible, they know you by name and treat you with sincere compassion.

Brenda is amazing as a nurse coordinator and I truly felt that she cared for us to have a positive experience and outcome. She always treated me like a friend more than a patient which is hard to come by. The other nurses were kind, and willing to answers my questions, and the ultrasound techs were always very kind as well.

Dr. Wright has always been clear and direct with us, but is also careful to speak to us in a compassionate manner. She is very knowledgeable, consistently updating us on recent studies that relate to us and has always been very good at listening to our concerns and answered all our questions.

Be prepared with questions, Dr. wright will give you an honest opinion, so it’s important to know what questions to ask to help you understand where she is coming from. Also be aware that she will not be doing many of your procedures as they are partnered with a bigger clinic that has other doctors for IVF egg retrieval’s, transfers iui’s etc.

We tried 2 rounds of oral pills, 1 month of clomid with timed intercourse, and 1 month of a higher dose of letrozoyle with timed intercourse. We got pregnant with letrozoyle, but miscarried shortly after. This was our 9th miscarriage so we quickly moved on to IVF. In our IVF cycles we used birth control for two weeks in my first cycle then added follistim 150units and menopur 150units for the first 5 days of my first cycle and then doubled each dose days 6-12 while also using cetrotide. Due to high progesterone we opted for a freeze all cycle. We had 15 eggs, 12 fertilized and 1 BB embryo made it to freeze. Our second IVF cycle we used menopur 150 and follistim 300 from day 1 of the cycle. We continued for 8 days before adding cetrotide in for days 8-10. We retrieved 13 eggs, 8 fertilized and transferred 2 day 5 morulas. We received a positive pregnancy test with doubling hcg and but are currently only 5 weeks along.

Fortunately most of our treatment was forever by insurance, but I believe each IVF cycle with icsi was about $9,000

Dr. Wright prefers to transfer single embryos, unless there is a quality issue. In our case there was, so we transferred 2. She was flexible in adjusting our protocol from cycle to cycle to improve our chances based on how my body responded.

Small outpost of IVF New England and Boston IVF merger. I usually went to Lexington office (IVF NE) but could also go to Waltham office (Boston IVF) for blood work and ultrasounds. I VASTLY PREFERRED the staff at the Waltham office. Ultrasound techs were friendly and communicative, phlebotimists were skilled and fast.

gave precise explanations and called to follow up

I'd come in for morning blood work and ultrasound, and nursing staff would call with results by 2 pm. Very clear communication, gave precise directions. The one thing that didn't happen is that we did not have an appointment to specifically walk me through each of the medications (but I figured it out).

Very detailed and thorough. Made numbered lists. Talked through all aspects of the situation with precision and compassion. Calming bedside manner -- not overly empathic, so seemed trustworthy.

If you like someone who makes lists and is detailed, he is your doctor. I didn't want someone who would be overly emotional -- I wanted the news straight, and that's what I got.

My insurance required 2 IUIs before IVF. For IUI, used Letrozole and an Ovidrel trigger. Now in middle of IVF. Using Menopur and Gonal-F for daily injections. HCG and Lupron trigger. Cabrigolide to prevent OHSS, will use progesterone cream and estrogen patches to support transfer.

I have excellent insurance with a $4000 deductible. after my deductible was satisfied, everything was free. Office visits were $300-$500, blood work and ultrasounds were usually around $150. Medications were thousands.

Definitely said not to do more than 2 embryos. On the fence about 1 vs 2.

One weakness is that the satellite offices aren't as accessible as I'd like for monitoring appointments. It would be great if they opened the same time as the main clinic (It would be even greater if the main clinic opened about 30min earlier too) and if they were open on the weekends. The main clinic is over an hour away from me and the satellite is about a 20min drive so that's a bit of an irritation. And one major gripe is that the clinic recently closed and moved locations. We weren't given much notice. I'm not the biggest fan of the new locations and I will miss the old clinic. Change is inevitable I guess, I just would have liked more notice and a bit more information on how we would be affected. But I love my clinic. Everyone is so kind and they're very well organised. They're extremely responsive and I never felt like a number there.

Dr Pauli calls us personally after hours to give results of tests. He once called while he was on vacation.

The nurses are wonderful. They are prompt with responding to your voice messages. I know some people don't like that you have to leave a voice mail and your clinic calls you back, but I prefer it sometimes. My only tiny gripe is calling after hours and dealing with the after hours team. They don't really know your back story so aren't really helpful.

Dr Pauli is great! He's soft spoken and kind of serious but extremely kind. He was happy to try new things. He called us after hours to give results to tests and spoke to us at length about all upcoming procedures. I trust him implicitly.

Don't be nervous to ask any question no matter what. He won't speak condescendingly and explains all angles of everything.

We did an antagonist protocol with 150iu of Menopur and 300iu of Gonal-f. We switched to a Lupron trigger from an HCG trigger because I was at risk of OHSS. We had done this protocol before but it was my best cycle so we tried it again.

Relatively efficient. A bit of a wait for blood work but nothing too crazy. The ultrasound techs are lovely.

Everything is covered under my insurance. PGD testing is covered as a reimbursement.

We've never had the privilege of the choice but Dr Pauli said that because we're doing PGD testing he would recommend transferring one embryo.

Front desk staff is very friendly and gets to know you over your visits. The phlebotemists and Ultrasound technicians couldn't be nicer. They are all friendly and welcoming - and this is a big plus because these are the people you see throughout your cycle face to face - not the nurse and not the doctor. I feel comfortable there - more than at any other doctor's office. The same can be said about the staff for egg retrieval - very nice/friendly/compassionate with you - especially if you are nervous for each egg retrieval like I am.

She seemed genuine in giving us advice and telling us the process

Negative: Some of the nurses would be short with you if you asked questions or when explaining your instructions - probably because they repeat themselves a number of times a day - but depending on who called you, it could be annoying. Also, they were hard to get a hold of. If I called, I never had anyone answer live...I always had to leave a voicemail and wait for a call back. Not everything is explained in detail. I recently did a cycle where it was a freeze all due to genetic testing. They kept telling me to call when I got my period after the retrieval - but didn't indicate why. I didn't ask (so that's on me) but assumed they just needed to track it. When I got my period and called, they said I would need to go on the pill - and the reason for that was because I was still waiting for financial approval of the frozen cycle and they need to control my period. Not a big deal, but I thought it was weird that this was not explained to me previously. I think overall it boils down to - they same the same thing, more or less - to probably 20 or more patients a day - so sometimes you can tell they want to just spit out the instructions and be done. Positive: while some of the nurses were bitchy, some were really nice, patient and tried to help. There was one time when my medication order got messed up with my insurance and the nurse worked with for a few hours trying to fix it. While I said all that 'negative' stuff, 8 times out of 10 I got a really nice nurse.

Dr DiGirolamo met with us a number of times at the start of each cycle to talk through the process and listen to our concerns. There were times when it was hard to get a 'straight answer', especially after failed cycles - everything seem to be generalized as egg quality or not 'viable' - but I also understand that she can't explain exactly why the cycle failed. After visits with the doctor we would meet with the nurse to go over the instructions for the start of the cycle. Once we started, we didn't see the doctor again; just talked to the nurse with instructions after U/S and bloodwork

I would give this for any doctor: the process is overwhelming and even if you think you asked everything and understood anything when walking out the door, make sure to leave the door open for follow up questions or to repeat information. Ask the doctor what is the best way to contact them or their nurses for these types of questions

strong protocol with stimulation medication to help with low reserve

I'm unsure as my insurance covered about 90%. I think each cycle - with a fresh transfer cost around $9000

I liked the regular sonographers Annie and Deb. They told me what they were seeing and didn’t leave me wondering how many follicles I have or how big they were. The lab was usually very quick. I didn’t like the way the waiting room was. Various people were waiting and sometimes I felt sensitive to what others were there for.

Dr Pauli explained why it is so hard for us to conceive and was very realistic but in a nice way. He agreed to do the 7th IVF just because I wanted to. At the same time, he blurted out clinic’s success rate was gonna go down with my 7th try. I know he said it jokingly. Except this statement, he treated us nicely.

They were always pleasant to talk to. They were organized and answered any questions I had patiently. Their return calls were always prompt.

Dr Pauli is a very science based doctor. He wanted to stick to what has been scientifically researched in terms of supplements and remedies. He listened me for my suggestions and agreed to do a procedure the way I wanted.

He is very nice. But don’t ask him about supplements and other things you would do to increase your fertility.

Because I had already had four IVF cycles before I saw him, dr Pauli reviewed what worked well and didn’t work well for me from the previous cycles. He did both antagonist and birth control for prep. Used Gonal-f (follistim) as FSH and menopur and lupron. I used clamid and femera as well. When I used femera and small dose of follistim, I had day 5 transfer for the first time although it ended in negative pregnancy test.

It was about $10,000 for a complete cycle plus testing and lab. My insurance covered almost all of the full cycle.

None

The clinic overall was good. Whenever I called, I got the answers I needed. The billing took a while at times (more than a month), but not a deal breaker. The only challenge was during my last cycle, they were in the process of moving facilities and my doctor was moving to another location. When my husband went to drop off his sample, he ended up having to wait quite a long time just to drop it off (30+ min). I had to go to Waltham instead of Lexington for my last appointment.

She was straight-forward with our situation and treatment options. She said that while many doctors would not try IUI with us, she wanted to make sure we tried all options before having to make a more significant decision (like using donor eggs). I appreciated her candid nature and honesty.

Many of Dr. DiGirolamo's staff was great. From the nursing team, to ultrasound techs, to her administrative assistant - everyone was great.

Dr. DiGirolamo was straight-forward and honest about our situation and options. She was not overly "warm and fuzzy" - but that was fine with me. She was willing to try a course of treatment with us that the first doctor we saw did not offer. She gave us hope.

She is very patient! She answered all of our questions with patience and kindness. She was honest with us, and I appreciated this so much.

At first, my FSH was very high, and my cycles were irregular. Dr. DiGirolamo wanted to put me on birth control to regulate my cycles. I was against that, since I had been on for 18 years. Instead, she put me on an estradiol and prometrium protocol. After 5 months of that, we started IUI cycles. We used injectible meds (Menopur), Ovidrel trigger shot, and Crinone gel and estrogen patches post-IUI. The dosage of Menopur started at a lower dosage to see how I responded to it, and increased as each cycle progressed. After the first two IUIs, she increased my medication dosage for the third and fourth cycles. The fourth cycle finally worked, and we are expecting a little girl later this year.

I was very fortunate to have my procedures covered by my employer offered insurance policy. I only had to pay a co-pay to meet with the doctor, and for each IUI procedure. I also had prescription med coverage, so I paid the top tier co-pay for specialty meds.

n/a - we did IUI, not IVF.

Everyone was wonderful, friendly, knowledgeable, and helpful.

The nurses were amazing. They were very nice/warm/kind and thorough. They were available to me 24/7 and were always able to answer my questions. As I mentioned I had a complication after my retrieval and a nurse called me pretty much daily to check in afterwards. I have only good things to say about her nursing team.

From the get go, Dr. DiGirolamo was very warm, honest and straight forward. She spent a lot of time with my husband and I during our initial appointments, answering all of our questions and talking through our miscarriages and test results. For one appointment we had to bring our 3 year old son and she was very accommodating. Infertility makes anyone vulnerable and anxious and I felt comfortable with her from day 1. Unfortunately, during my retrieval (performed by another dr) a blood vessel was nicked and I had internal bleeding in my abdomen. I went to the ER and had to be admitted into the hospital. During this time Dr. D was on vacation so another doctor called to check in on me. When Dr. D returned from vacation she called me right away even though we had an appointment scheduled for a few days later. I never felt like a number and always felt like she saw me as a person.

Take advantage of your time with her. Be honest about your anxieties/questions/history etc.

My husband and I have a three year old son who was conceived very effortlessly. Once we started trying again we had two consecutive miscarriages. To me this was very very confusing. Our trouble wasn't in getting pregnant, but staying pregnant. I went into this with an open mind but also didn't think we would need to do IVF. Dr. D was very straight forward with us and told us IVF was pretty much our only option to ensure a successful pregnancy. It took a little while longer than I expected to get everything started but once we did it was very structured and disciplined. I started with birth control to calm my ovaries, prevent clotting and regulate my cycle. From there we moved onto injectible hormones and I was doing three by the end of it. I know menopur was one but I forget the other two. The shots weren't as bad as I thought and I ended up doing them on my own in my abdomen. After the retrieval I went back on birth control after I got my period and then I started with the estradiol and baby aspirin (adult low dose aspirin) until day 15 when I started the progesterone cream.

We are very fortunate and only had to pay for the PGS testing and medication co-payment + dr. visit co pays.

I really can't speak to this too much. We didn't go anywhere else so I have no basis for comparison. I will say that I wish they had not been so negative about transferring two embryos, and that the communication with the nursing team could have been better. However, you can't argue with success and ultimately I have a very positive feeling toward them because I have my beautiful son and am four weeks away from having a daughter if all goes well.

They seemed a bit disorganized to me. The communication was also not great. Friends that used other clinics talked about how they could email questions and also how close they felt to their nurse because they talked to them so much. There were some times that they forgot to call when they were supposed to and so forth.

He was very knowledgeable and answered all of our questions. The first IVF someone else performed the procedure but he did the second one. It worked on the first try both times. I have nothing else to say but you are requiring me to get to 200 characters which seems sort of ridiculous.

His manner can be rather dry but he is a good doctor and our procedures were successful. Also, he pushed the egg bank they worked with quite a bit which I guess is understandable but I might remind someone that there are others and they can use any one that they want.

I don't remember specifically. I believe that the first time I took Lupron, Estrace, and Progesterone. The second time I only took Estrace and Progesterone.

I really don't remember exactly. I think the first time was around $15,000 and the second time was around $4000.

Yes, he was very discouraging on transferring more than one embryo at a time. I still wish we had tried for that and that I had been more assertive about it.

The location and hours were convenient for me. They did not do the egg retrievals or fets there so I had to go to Lexington for those which is a long drive. Most of my iui were done at this office, however, I did some at the urology office because they were cheaper. I didn't like that I had to store the sperm at the urology office. It would have been more convenient to store it at the fertility clinic

The office in providence was small and personal. You get to know the staff.

Everyone was friendly

She is very friendly and personable. She was direct with expectations and explained everything thoroughly. She always answered questions clearly. I didn't meet with her as often as I would have liked. I would have preferred her doing the iuis.

No real advice. I would recommend her

We started with unmedicated iui. After two failed rounds we moved to medicated iui with clomid. I chose not to do monitored cycles since I was paying out of pocket. I do t recall the specifics of the fresh ivf cycle. I opted not to test the embryos. She gave me the option of a medicated or unmedicated frozen transfer. I opted for medicated and that cycle resulted in my child. She gave me the information and allowed me to make the decisions.

You were given a time but it was really first come first serve. You had to get there before they opened to get in and out quickly. Otherwise there would be a bit of a wait.

Iui was $450. The rest was covered by insurance. Copay for ivf meds were pricey, but that was insurance related costs.

Flexible and considerate with scheduling, prompt in answering messages, interested in your own outcome and not just statistics.

Their practice is more patient focused but at times I felt like they wanted to use a cookie cutter approach instead of customizing a cycle for my needs. A lot of the 'out of the box' treatment we pursued was at my research and suggestion. However, Dr Pauli was always open to listening without judgment and while some things worked and some did not he was willing to try new things.

They answered calls or responded to messages promptly and were considerate to my work schedule at the time. They were willing to answer questions and always caring and patient.

Much of what I wrote previously, he was willing to entertain my out of the box suggestions but I found his own approach very cut and dry. Admittedly I was not always right and when we did finally successfully conceive it was on a cycle that was very close to his original treatment plan. I liked that he was open to new research and always explained risks and benefits of what to try and if statistically it could make a difference. Personality wise he's very serious and my husband always joked that my humor was lost on him. He did always listen and considered our best interest and was encouraging that even with l we had been through that he was confident we would figure out something that would work and he was right.

Don't be afraid to ask questions and make suggestions if there's something you've read or something a friend has used that he hasn't recommended. He's very patient and informed and willing to work with his patients.

I can't remember specific names but my first cycle was just gonal f with trigger and fresh transfer. 12 eggs, 6 mature, 5 fertilized, 1SET, 2 frozen. Miscarried at 10 weeks. My second was a natural cycle frozen transfer of 2 embryos. Miscarried a singleton pregnancy at 7 weeks. My second retrieval we extended retrieval after trigger from 36 hours to 40 hours as my first cycle only half of the eggs were mature. We also added menopur & dexamethasone. 16 eggs retrieved , 13 mature, 12 fertilized. Fresh day 5 SET followed by chemical pregnancy. Next natural cycle FET of 2 embryos, negative result. Next natural cycle FET of 1 embryo, chemical pregnancy. Third retrieval we used a cycle I found from some doctor in NYC and although Dr Pauli didn't agree he let me try it and it was disastrous. It was heavy on menopur but I can't remember the other details. It took a long time to mature any eggs and at by retrieval i had 6 follicles but only 3 eggs and 2 was mature. Both fertilized and we did a day 2 transfer, negative result. After that we took a few months off. Our last retrieval we decided to do Human growth hormone injections and PGD testing. The cycle otherwise was similar to my second with gonal f (200) menopur (75), dexamethasone and HGH. He did an extended time between trigger and retrieval again. We ended up freezing all due to progesterone rise before retrieval and subsequent OHSS. Although i had only 13 follicles they were much better quality and 12 were mature eggs and all 12 fertilized. 7 were sent for PGD testing as 5 day embryos. 6 were genetically normal. A month later we did a natural FET of 2 embryos (an elective SET was strongly recommended but we decided to transfer 2 anyway). We had twin girls from that transfer, born healthy at 38w3. 17 months later we did another natural FET of one embryo. We did find out the gender prior to FET and are expecting a boy in 5 months.

My insurance fortunately covered almost everything but copays.

The clinic is very efficient. You know exactly where to go (for blood work and ultrasound). They get you in and out quickly and I hardly ever had to wait past my appointment time. The hours are very flexible. They open early in the morning and weekends which made it convenient for me since I did not need to miss any work. I would suggest them to change the process for people who brings the sperm. I remember on the day I had to bring my husband's sperm to the clinic immediately after he had surgery, there were 2 other people ahead of me in line and it took a long time for the receptionist to address their questions. Before the surgery, I specifically asked where I should bring the sperm. The nurse told me that I needed to bring the sperm to the receptionist and she would take care of it. They should have told me to bring it to the second floor where the lab is located so that I did not have to wait in line for another 15 minutes to speak with the receptionist. I was so nervous since I was told sperm would survive with 1 hour after retrieval and it took 20 minutes drive to the clinic. Even at the lab, I still had to wait for the lab technician to come out and meet me. They should improve this process.

During my entire treatment, we only saw/spoke with Dr. Carla 3 times during the entire process. I raised concerns about the low # of follicles during the injection to the nurse since we did not have any interaction with the doctor directly; however, my med dosage was not adjusted. Prior to the treatment, there was no issue (on paper or blood result) about my egg quality as all along I was told it was a male infertility factor. I was surprised that I only had 5 eggs retrieved. I am currently pregnant and looking forward to the baby arrival. When I was confirmed that I was pregnant (through day 14 bloodwork and week 7 ultrasound), there was no personal phone call from the doctor to congratulate me.

There are total of 3 nurses on the nurse team that I normally worked with. They are very friendly and do get back to me in a reasonable time whenever i left a message. They ordered the medicine timely and provided the instruction including the calendar. I did not know how to inject myself but the nurse told me to youtube as the links that they provided did not work.

When we met with Dr. Carla the first time, she was very warm and explained things to us in details and made us comfortable. We were actually shopping for fertility doctor at the time and decided to go with Dr. DiGirolamo since she was able to start the process right away (and we got the appointment with her within 3 days meanwhile the original RE doctor that my OB doctor recommended did not have any appointment for 2 months). However, we had no interaction with Dr. DiGirolamo throughout the entire process after we decided to go with her and everything was through the nurses. Dr. DiGirolamo happened to be the scheduled doctor on the day of my egg retrieval (IVF New England does rotation). She was in the waiting area where all patients were while she awaited for her first retrieval to start but did not come by to say hi or acknowledge that I was her patient (I was the 3rd or 4th one).

Dr. DiGirolamo gets the job done. At the end, I did get pregnant and have a healthy baby. Don't expect Dr. DiGirolamo to connect with you at the personal level or spend the time to listen to your needs/concerns. Dr. DiGirolamo does have a great nurse team and they work very efficiently.

It was explained to me that because it was male infertility factor, I must go through IVF process with the egg retrieval and embryo implementation. I was on birth control pill (i did not understand why I was on the bcp when my period has always been very regular but did not question since I thought everyone needed to be on it as part of the process. I later asked my friend who also went through IVF treatment and she said her wasn't on the bcp), I was then on menopur and follistim on the first day of my period. On day 5 was my first ultrasound and learned that I had 2 follicles that were larger than 10mm. There was no increase in dosage through the entire process even though I had expressed my concern as the # of follicles remained low for the next few ultrasound. I was told that as long as I have at least 3 follicles that were larger than 10mm, my retrieval would not be cancelled. But I was hoping to have more eggs so that I could save some for the second baby. I am not sure if increasing would have helped with getting more follicles but it would have been nice to the doctor adjusted the treatment.

My insurance covers all the costs. All I had to pay was the co-payment for the appointments and medicine. However, I had to pay genetic testing as well as my husband's sperm storage and analysis before receiving the procedures. IVF New England would not submit claims to my insurance for these. I submitted the claims to my insurance in early 2016. Because the contract my insurance has with IVF New England, they paid IVF New England as well. Due to some kind of policies, neither party could refund me the money directly and ask other to pay me back for the money I paid to IVF New England. It's now January 2017, I still do not have the money.

Strengths.....organized, clean, staff, worked with my local RE. Weakness.....a hospital setting - not warm, fiscal people suck, it was far for me, a lot of changes since they became part of Boston IVF.

I felt like a human with some and number with others. I ended up being at the clinic for so long that I got to know many of the staff. I LOVED my coordinator. Dr. Pang is all business.

I loved Alicia and she left the clinic. I then had Paula and she was ok. Attentive etc but sometimes a scatter brain. I LOVED my coordinator....Linda Hillis. She was instrumental in me getting through the process and getting pregnant. She helped with donors and made sure that I received the best care possible.

He is all business. He is an excellent doctor but not warm and fuzzy. Very uptight and by the books. He knows his stuff but he wouldn't be who I would call if I needed something explained. I did not see him every appointment and I was ok with that. Sometimes I felt like he was a bit judgmental. He didn't perform my transfers and again I was ok with that.

If you are looking for warm and fuzzy....this is not the doctor for you. If you are looking for a good doctor with an amazing coordinator....go for it.

I don't even know. Lupron, estrogen (all forms), PIO. I had a lot of stupid things happen. Eggs didn't thaw.....lining issues.....crappy embryos......My last cycle the book was thrown at me. Lupron, estrogen (all forms), Deletrogen shots, PIO.....it finally worked.

$35,500 plus meds (most covered by insurance)

Clean facility with updated furniture, good lighting & recently renovated. State of the art embryology lab. Careful to ensure no mistakes w/ lab samples or signed paperwork (need to show photo id for all blood draws, ERs, ETs, sperm collection & details of photo id are recorded on all consents (license #, expiration date, state of license for both partners). Friendly & knowledgeable staff especially all clinical people. Greeted with a smile by almost everyone for almost every encounter. Have counseling free of charge & mandate counseling for donor egg cycles which really helped my husband & I to have the conversations to decide on proceeding with donor egg. The PACU staff sincerely offered sympathies before & after my D&C. They took the time to acknowledge my loss rather than just treat it as any other procedure.

Dr. Pang called me with PGS results every cycle. Also called me w/ karyotype results from miscarriage D&C. Also called to offer congratulations after successful DE cycle ultrasound

Extremely detail oriented, organized, knowledgeable, & compassionate. Provided easy to read written treatment plans & stimulation with dates for every cycle. Spoke slowly & clearly when leaving msgs w/ results & instructions including all results (lab levels, etc) & repeated the msg twice & even added humor on most interactions. Personally scheduled herself to review all OB ultrasound results & even was present during the ultrasound scans

Dr. Pang was thorough w/ explanations especially of risks of treatment & success rates of treatment/chance of multiple pregnancy w/ DE transfer of more than one embryo. He was sincere when calling to report PGS results (all embryos for all cycles were abnormal) & called as soon as he had the report (by 7 am). He made the schedule for ERs & ETs so that he could do most of the procedures himself (did all ETs & 1/4 of ERs)

He is not an overly warm/fuzzy type however still sincere & offered genuine sympathy w/ miscarriage & abnormal PGS results. He is extremely knowledgeable of statistics, lab tests, PGS & donor egg.

After miscarriage w/ frozen embryos Dr. Pang highly recommended using PGS for all subsequent fresh autologous IVF cycles to prevent another miscarriage resulting from abnormal karyotype which was not something that we had considered. He altered treatment plans for IVF stimulation to maximize # of eggs retrieved rather than just trying the same thing over & over. He also recommended supplements to help improve my response to stimulation & maximize what ovarian reserve I had.

$2,200 per PGS cycle x 4 cycles $18,500 for donor egg cycle Aprox $100 per cycle total co pays for rx - had excellent rx insurance coverage (per the pharmacy receipts my meds cost the insurance co aprox $15k per cycle for autologous cycles) Very fortunate to have harvard pilgrim insurance that covered IVF cycles w/ $5 co pay per cycle $85 per month storage fee for frozen embryos

The front desk needs some work! They are often dismissive. The ladies who take blood are great! You see them more than anyone else. It's rare to have to wait. The women who prefer the internal ultrasounds are great too and give as much information as they are able to.

He's so sensitive and happy to answer all questions. He also made personal phone calls to us when we had a miscarriage and other difficulties

They were patient, excellent about calling back and extremely helpful with getting us sample meds when they realized we were paying out of pocket.

Dr Pauli was incredibly sweet and helpful. He always broke down our plans in the most simple way possible to avoid unnecessary stress for us. He answered all questions to the best of his ability and would often give us a few different options to make sure we were making the right choices for us. He was in touch regarding each procedure and what to expect next.

He's amazing. He is working for YOU and honestly wants to help you achieve what you want. He's patient, easy to talk to and genuinely interested in your personal story.

We tried very painful (for me) iui's and when we started to run out of donor sperm doctor Pauli suggested IVF. My wife carried our first child using the donor and we really wanted them to be biological siblings. I started ivf - birth control for a couple weeks, then injections (up to three a day) and then egg retrieval. He retrieved 12 eggs, 9 were excellent and we used 4 total trying. Our first ivf ended in a negative test, the next we used two eggs and got a positive, but had a miscarriage at 7.5 weeks and now I am 8 months pregnant with the fourth egg -- our son.

I can't even talk about it. We paid so much because we are military and they don't cover fertility treatments. It's still a sore subject

The clinic overall is very organized and efficient. This allows them to see the number of patients they need to see each day. They do bloodwork and ultrasounds in the mornings, and call with results and instructions in the afternoon. The ultrasound/sonographer is the best of the best. And the phlebotomists are skilled and friendly. All of the clerical staff is very friendly and helpful on the phone as well.

On several occasions, she called us herself to deliver news. Each time I called the office, I was able to speak to my nurse or leave a message and receive a call back in a short time.

She is very knowledgable and has been working in this field for a long time. She was always able to answer my questions herself, or she checked with the doctor and provided a response in a timely fashion. Each day when I was monitored, she thoroughly explained my results and provided clear instructions for nexts steps. I felt as though I could all with questions anytime.

She is very intelligent and kind. She took time to evaluate our situation at our consultation, ordered the appropriate tests, and then spent time going over our results with us. She took into account our concerns and preferences and planned our protocols accordingly. I was able to schedule appointments with her that were not too far in the future. She is always pleasant and I truly look forward to all of our appointments with her!

If you decide to go through treatment with her, you are making a great decision!

Our original diagnosis was unexplained infertility, with a suspicion of ovulation dysfunction, and no male factor issues. So we tried two IUI cycles with Clomid, the first with 50mg and the second with 100mg. Both times, I produced a good sized follicle and my husbands number were excellent. But neither led to a pregnancy. We completed an IVF cycle using an antagonist protocol. After approximately 3 weeks of birth control, we began injections with 100 units of Follistim and 75 units of Menopur to help me produce many follicles. Over time, the Follistim dosage was reduced as I was responding well, and Cetrotide (the antagonist) was added to prevent premature ovulation, prior to the scheduled retrieval. I used a Lupron trigger, because based on the number of follicles I had developed, I was at risk for Ovarian Hyperstimulation Syndrome which can cause issues if an HCG trigger is used. The doctor retrieved 21 eggs, 17 fertilized, and we ended up with 15 embryos to freeze. We had to freeze them all due to the OHSS risk.

There were often many women in the waiting room at the same time because the monitoring window was relatively short. However, the staff members were always very courteous and took the necessary time with each patient. I never felt rushed or like my tme was being wasted.

Some appointments can be quick in and out and some may require a long wait if they have a full waiting room. Doctors sometimes get real busy and get overbooked.

I felt in the middle. While he is good, we also never are able to get him on the phone directly and only speak to the nurses during treatment. The nurses bedside manner is about 50/50

They always got back to you same day with instructions and procedures. Though I noticed when you specifically need or want something like a scheduling thing, they would not go out of their way for you unfortunately. You have to abide by their schedule and their rules ofr retrievals and transfers and results. One time I was having major anxiety and would not stop crying at work. I wanted to find out my pregnancy results sooner on a weekend if possible and they would not do that for me because they said their rooms get too swamped when they allow blood tests on weekends. I had been a patient there for a long time and would've appreciated some additional assistance but they would not budge.

He is a director and very knowledgeable. He understands your situation and advises treatment well. He is not the most personable person but as long as I get good results and I understand my treatment, that is what matters most. He is good at treating and identifying "unexplained infertility" which is what I first had before going to him. So far I have produced one child in his care and am currently in the process of working on another one!

Do not wait too long before getting results and if after a couple of years if you are still unhappy, get a second opinion. Dr Pang was my second opinion after which I finally was able to have kids. I spent too much timegoing through senseless procedures with another doctor that would've never produced me any kids.

Expensive, indusrance did not cover much

I can’t say anything bad. Maybe I’m bias because I was a successful ivf story but it took many bad days to get to that one good one. While the traveling was convenient being from the other side of the state I wish they had branches more locally to setve western mass.

He made me feel re-assured that I would be a mom. He didn’t bs me or my husband and got right to the point and we appreciated the honesty. It’s a tough business and to have someone know how to make things happen and will do all it takes was a game changer. He is amazing.

The staff was amazing and Paula was the best. I live on the other side of the state and she always made sure appointments for myself and donor were made and easy and stress free.

Dr. Pang was no nonsense and after so many failed attempts and fluff from our previous doctor we felt we were finally with a doctor that would take the time to figure out the real reason we couldn’t get pregnant. He is no nonsense and very serious about his job and he does it good and will do whatever it takes to have a happy outcome. And even reached out to me to discuss any questions I had during the the process.

Stay open-minded and just know this guy is legit and knows what he is doing. Trust him.

Dr Pang had given my husband and I a chromosome test where is was found I had an extra chromosome that was maybe to blame for myany failed ivf attempts at my last clinic. They didn’t test me there but pushed frozen cycle after cycle that always ended in miscarrriage. Because of this chromosome being there he was more confident in using donor eggs then my own to have a healthy baby. I trusted him and he provided an excellent medical protocol for my egg donor. Everything was seamless,and easy. Which for an egg donor having to go through ivf for no personal benefit you want to be sure they are treated better than most.

Because we used donor eggs and had no insurance coverage we paid out of pocket $16,000. Give or take. This included legal fees, egg donor cycle, transfer, meds, and continuing to pay storage fees.

I remember a couple days before transfer I begged dr pang to transfer two embryos for a higher success rate. He didn’t want to budge and knew I’d get pregnant and have a healthy pregnancy with a singleton and he was right.

The clinic is organized and the staff are personable considering how busy it is.

Dr. Pauli was very compassionate as well as informed and worked with the data he had within his area and philosophy of expertise from the Western model. He explained things clearly and also was able to listen and I felt heard. He engaged and participated in my treatment decisions from day 1. It was complicated with fibroids and he used trusted second opinions and referred me to Tamie as well.

All of them became like family I was there so often for a while. There was only one bad experience with someone who was either covering or new, but didn't stay or didn't last because of complaints? She met with us to let us know about not finding a heart beat and she was brutal and awful. I never saw her after that. All of the regular nurses are really great. No complaints whatsoever.

I felt like he did a great job. He follows the western medical model and as a patient I needed to remember that he was going from that philosophy which isn't the whole picture. I have been considering returning for another cycle though. The fact that he did most of my surgeries helped me trust him with understanding my specific fertility treatment needs as complications arose.

1. The body needs time to recover and heal in between surgeries. Sometimes focusing on the body clock medical model although has evidence behind it, may not be paying attention to the need for recovery time. 2. Get to know a few more other approaches that are also evidence based for informed referral practices because ivf treatment really requires an interdisciplinary approach and model. Specifically - for emotional and psychological support: Music therapy and other creative arts therapies/ expressive therapies. Dietician should definitely be a part of ivf treatment as well as acupuncture for sure! If I had not had these areas covered in my treatment with Tamie, I would have definitely been prescribed more medical model medicine, or surgeries and not found the root of the issues I was facing.

2 x fibroid removal surgeries, 3 hours long each. 1 or 2 months between each. 1 cycle, gonotropin? and the other injections: one for egg quality and one to control the cycle. egg retrieval with 2 eggs, successful positive test unsuccessful pregnancy 2 natural egg transfers, 1 at a time. a few months between each other with progesterone.

not sure, my insurance covered most of the costs.

Strength: Very well organized, the doctors and nurses are specialized in their areas and I'm very confident in their abilities. They do respect your privacy, which is extremely important in this field. Weakness: With my first doctor (Dr. G.) that I worked with, it was hard to reach her directly. Had to go through the nurses and waited days before she contacted me back. However, this may be doctor specific.

The fourth IVF cycle was going to be our last attempt for my husband and me for financial, emotional, and physical reasons. Our first Fertility doctor had told us that she (the doctor) had tried all the protocols that she would on me and she would just go back to one of the previous protocols for our fourth IVF cycle. At that point we felt our doctor had given up on us and it was just a shot in the dark, if the next IVF cycle would work. At that point, my husband and I decided we needed a break from all of the Fertility treatments and then switched to a new Fertility doctor, Dr. Samuel Pauli. Dr. Samuel Pauli helped us with our fertility treatment. He listened to what research and knowledge I gained from my failed IVF cycles and tailored the treatment for us. The fourth and last IVF cycle (the first IVF cycle with Dr. Pauli) was a Success! This in itself speaks to how wonderful Dr. Pauli is at his profession. We felt he doesn’t see us as just another one of his patients. He truly cared about us.

Dr. Pauli's nurse are very caring and showed compassion. They are a very organized and supportive team. They answered my questions as best as they can and understood this was not an easy process to go through.

Dr. Pauli has great bedside manners. He truly listens and cares about the patients that he is trying to help. If it's a viable solution, he will help you try it. In my case I was diagnosed with "Unexplained Infertility" and had 3 failed IVF cycles before seeking help from Dr. Pauli. Knowing what I know now, I would definitely have gone to him first!

If you have done some research on your situation and believe it will help, please share with him. This will help him help you.

The protocol involved following the natural ovulation cycle and used heavy hormone stimulation (Gonal F and Ganirelix) to increase the most amount of eggs that can be retrieved during ovulation that was triggered with the trigger shot. Then I believe with only 6 eggs retrieved, ICSI was performed.

The IVF cycles were around $20K per round.

She was nice and in the end, helped me get pregnant, but there were a lot of big bumps along the way. First of all, she didn't give me enough information about possible outcomes and options before taking the Clomid Challenge. Then, she called me and gave me the results (DOR) over the phone and said I would need to use donor eggs. Nothing was explained, no follow-up appointment was made, just a blunt diagnoses with no information or support. That is not information that should be given over the phone. Then, on the day of my transfer, no doctors from IVF New England were available and I found out (while my feet were in stirrups waiting for the transfer) that I was getting a substitute doctor from Harvard Pilgrim. No one thought to tell me this could happen or reassure me. I had researched all the IVF New England doctors (they were RSC before a merger) and felt comfortable with them all and they send in a substitute at my most critical appointment with no warning or explanation. It was my fresh transfer and ended in a BFN.

The nurses were kind and 90% on top of things. Once they made a mistake (which I luckily caught) and almost made me stop taking Lupron too soon. Overall, I felt like I was in good hands.

Again she was nice and I am confident she knew what she was doing and had the knowledge to help me get pregnant. I also appreciate that she didn't support me trying IVF with my own eggs because of my DOR. That would have been a waste of time and money. All of the support/information I got was from an online group for donor eggs called PVED. I got hardly any information from Dr. Wright. She basically prescribed the medications for IVF and oversaw my cycle. My case was not complicated, no other diagnosis beyond DOR and I had already had a child naturally with my own eggs. Dr. Wright did not do either of my transfers and I did not communicate with her much during my cycles. I mostly talked to my nurse.

Ask lots of questions. Ask who will be doing your transfers and if they use substitute doctors from other practices. She was never rude or mean, but definitely not very emotional. She will get the job done, but don't expect a big hug or anything.