Long Island IVF

Everyone I came in contact with from reception, to billing to nurses were professional and kind. I always felt comfortable dealing with everyone I came in contact with at long island ivf. I would refer then over and over again to anyone who needs fertility treatments.

Dr.Pena was ALWAYS available to answer any questions, he called as soon as he recieved an email from me.

Jess was my rock! She was caring , compassionate and everything you want from your nurse going into this.

When my husband and I found out we needed IVF we were heart broken but Doctor Pena honestly turned an unfortunate situation into a pleasant one. He never promised but always delivered. He was honest , considerate and set my expectations exactly where they should have been. He made me feel calm and comfortable, he put me and my husband at ease throughout this entire process. I can honestly say that I wouldn't have made it through this without him . And I am so thrilled to say I am now 7 weeks pregnant with Baby #1!! Dr. Pena will not disappoint, anyone looking for the best should look no further.

Trust him. I questioned everything, and I shouldnt have. Dr.Pena was right and knew exactly what needed to be done every step of the way. He has alot of patients, but he is on top of everything I promise you.

Dr. Pena tried one protocol for our first transfer which unfortunately failed, we did a similar one with a few adjustments the second time which also failed and the third time he made numerous changes , which resulted in my positive!

Monitoring was always super quick! Honestly to knew patients you may go in there and see 10-12 girls waiting ahead of you but dont panic. The nurses there were SO quick. I would get there at 630am , and with an average on I girls ahead of me I was seen by 640am and home at 7.

I do not know my exact costs as part of it was covered through my insurance but what I can say is that midge in billing is extremely on top of everything. I knew what would be owed by me before a procedure was even done, I was never surprised with a bill I didnt expect.

Dr.Pena suggested we do 1 embryo each time as I didnt want to risk twins and he was exactly right.

Communication needs to greatly improve. Everything was told to me verbally, I had to take my own notes. Their office forgot to call in a prescription I needed that night and I had to spend time on the phone finding someone who could call it in. I often left feeling overwhelmed. I wish they would send emails with all your notes and results. Also, the phlebotomist were actually amazing people. They got to know me more then the rest of the staff. I got hugs from all of them on transfer day. HOWEVER, they should be told to NOT complain about their kids or their pregnancies in front of patients.

While sitting in front of Dr Kreiner, I felt like he did care. But I wasn't more then a chart he was reading. He didn't remember me or take time to get to know us. We only spent about 15 minutes with him.

The nursing staff was great when you were face to face. But they see so many patients daily, its a factory.

I have no doubt he is an excellent doctor. He is smart and very knowledgeable. But he is missing the personal touch. Conversations seemed surface level even though this is a very emotional and personal experience.

I asked him to be very aggressive since we were paying out of pocket, but he was not. I was on a very minimal protocol of medications that only resulted in 2 low quality embryos. My cycle should have been cancelled.

I was on 3 menopur a day for almost 15 days because my follicles weren't growing and he didn't want to cancel. After the first 7 days the injections were changed to intramuscular which did help. Dr Kreiner did want me to hyper stimulate so he was cautious (which i did NOT appreciate since we were paying out of pocket)

It was a fairly well oiled system. I never waited too long

IVF Cycle was $22,000 plus meds.

Dr Kreiner was amendment about only transferring 1. Had i had more then 2 I would have pushed back to transfer 2. But i wanted to freeze one for a FET

Again, if you are going to Long Island IVF expect for a very involved process. Frequent blood monitoring, phone calls that afternoon, treatment plans. The nice thing there is nothing left for the patient to think about - the office does it all. There are several locations - and they are open basically 365 days a year.

Dr. Pena and his office staff are extremely personable. I feel like part of the family when I walk into the office or make a call. They are available any time to ask questions, put my mind at ease. They were extremely comforting during my losses and extremely happy during my positive tests.

Working with Joey has been a pleasure. She is just as involved as Dr. Pena. She is compassionate, knowledgeable, and always available for questions. The entire team in the Patchogue office is incredible. I always feel welcome, at home and at peace. Even in more difficult times.

From my initial consult with Dr. Pena to present day I have always felt well informed and cared for. He patiently answered all of my questions, and explained every step of the procedures to me. Unfortunately, some of my procedures happened while Dr. Pena was away, but the other doctors in the practice were lovely, and Dr. Pena always followed up and chatted with me when I came to the office. I am a very anxious person and worry over everything, he never once seems bothered by my questions or having to explain things to me. He is extremely knowledgeable and was quick to evaluate our process and see what made the most sense for my particular case. I have really enjoyed my experience with him over the past 12 months. Far exceed my expectations.

Be prepared for a very involved process. I have spoken to many other women in my situation and they do not receive the same level of care. It may seem daunting with all the visits and blood work, etc. but their hours are great and it never conflicted with work, they have multiple locations. It was easy. But it is involved and he is involved - and that is exactly what I would expect and I hoped for during this process.

I did 3 rounds of IUI, each round I was on 50mg of clomid and used a trigger shot. Each time I produced 2 good quality follicles and ovulated as expected for my IUI treatment. For each one, the process and timeline was basically the same. The first was a negative, second was chemical, third was an early loss. Then we moved on to IVF. We did a round of stimulation treatment for retrieval, I was originally on Follistim which I had an allergic reaction to - but just hives, I was switched to Gonal-F, unfortunately same reaction. Dr. Pena was aware and offered several times to find other courses of treatment, it was my decision to continue as I felt the itchy skin was not so bad. He did check to make sure that it was nothing serious or threatening before he allowed me to continue. The retrieval required a lot of visits, I did not produce good follicles at first, but around day 18 or 19 of the stim medication everything looked good and we were scheduled for transfer. At the end we had 3 day 5 embryos. We did 1 fresh transfer, that did result in a positive but unfortunately a loss at 7.3 weeks. Dr. Pena was very comforting and very realistic during the monitoring phase- it was apparent that something was off, and he did not sugar coat anything, which I greatly appreciated it. 2 round we did a 5 day frozen transfer - Dr. Pena made me feel very comfortable with the transfer, and the follow up afterwards. I am currently 6 weeks along and glad that he is there to help through the process.

Monitoring was done between 7am- 8am. There were multiple locations to choose from. I was almost always seen within 15 minutes of my arrival, even if I was late. I felt that the wait time was significantly less than most doctors.

I used my insurance - treatments were covered, sometimes a co pay

I only wanted to transfer one embryo at a time.

Strengths: Most of the offices are small because they have 6 locations. I believe this minimizes the patient numbers per office. Never had a long wait time for appointments or monitoring. The staff was always friendly and helpful. Weaknesses: Didn't see my doctor after initial consultation.

The nurses at the Stonybrook Clinic and the Patchogue Clinic were very friendly. Dr. Kenigsberg made himself available to answer my questions when requested.

I was assigned a nurse, but I never met her. I only had a couple calls with her in the beginning to get all the paperwork and my schedule set. The nurses I met and interacted with at the Stonybrook and Patchogue locations were all friendly. Diane and Jessica were standouts, both very nice and compassionate. Sharon the PA was amazing! She was very helpful, compassionate and explained everything completely.

Dr. Kenigsberg does not come across as warm and compassionate at the initial consultation. If this is your only interaction with him, you will miss out on his openness and availability. Dr. Kenigsberg was open to address our specific concerns and make accommodations. He made himself available to answer our questions when requested and made it clear he would always get back to us if we had any more questions or concerns. However, he was very matter-of-fact in explaining my failed results and lacked empathy in his recommendation on how we should proceed.

Request his email. He will get back to you.

IVF Lupron 20units (27 days), Gonal F/Follistim 450iu (15 days), Ovidrel Trigger (On day 28), Doxycycline (5 days prior to egg retrieval). Results: 10 eggs retrieved, 6 mature, 2 fertilized, 0 Blastocysts.

Please see previous comments.

Set price for Freeze-All IVF w/ PGS testing: $17K+, + Anesthesia $600 (Paid to outside practice), + Medication costs. Was refunded some since never made it to PGS testing or transfer.

Easy scheduling is their primary strength. Weaknesses are multiple! - lack of follow up: we had to chase the dr and his stuff for every single test result. I’m getting calls from the pharmacy about prescriptions I have never been told were given to me... And of course billing, billing, billing... had to triple check and cross reference every item with insurance statements... Oh yeah, and zero common sense and courtesy - “So do you have kids?” adked one of the nurses taking my blood during the first visit... how do you respond to that...

Payment for the initial consultation is collected in the office before they even make an eye contact with you. Btw later on they forget to apply this payment towards the balance. Doctor spends 5 minutes (while you and your partner squeeze hands and stare at him) reviewing the pile of records you sent ahead of time (for him to review ahead of time) and 15 minutes purring statistics and acronyms at you... Are you over 35? - regardless of your shape and condition, brace yourself for the gloomiest forecast. Next visit and they try to charge you again - apparently, because they confused you with a couple scheduled for their first visit that day. Any questions about the procedures on the bill? - save yourself time - the answer is “This is what we bill everyone”

The nurse, Jessica, is the only reason we are staying with this clinic. Very responsive, compassionate, detailed.

He appears knowledgeable and experienced, but very remote. I felt like he follows a check list of procedures (similar to the one you walk away with from the first visit) and cares very little about your individual case.

Do your research ahead of time, he will not bother spelling things out or even explaining what certain acronyms stand for.

The Patchogue clinic at small but well organized and privacy is well preserved. The plus in the Long Island IVF is that they have multiple locations in Long Island all centralized with once system. You can do your blood work near where you work and still follow up with your doctor from another location.

Dr. Pena knew us by name. He knew what we do for living and chatted with us most of the time that we feel comfortable. He had always taken his time with us

Compassionate, cheerful and amazing, throughout the whole journey. We had one instance where the billing person kind of yelled at us because a protocol was changed, we have reported the issue to the nurse when we saw her for the consent and she had cleared out the issue for us immediately and professionally.

We have chosen Dr. Pena based on the reviews although the Patchogue office was not the most convenient for us location-wise. It turned out that Dr. Pena is in summary the Go-To Doctor for infertility treatment in Long Island. Dr. Pena is very knowledgeable (we've been elsewhere, and we now know the difference). He has always been available whenever we had an issue. He listened to our concerns and found the best solutions to our circumstances. In detail, we had only one last cycle covered by insurance. Dr. Pena planned to do a fresh embryo transfer although we had 2 frozen embryos left and to test the embryos genetically (the new and the old ones) so to maximize our chances for this last cycle. But the insurance denied our request for a fresh cycle because we had 2 embryos left. Then Dr. Pena requested a PGS to the frozen embryos to maximize our success rate. But again our request was denied by the insurance because our pre-conceptual carrier screening tests came free of genetic diseases. Then Dr. Pena was left with one option to transfer both embryos, something that we really wanted. He had warned us of the complications of twin pregnancy and we happily accepted the challenge. In brief, we are now 9 week pregnant with twins, thanks to Dr. Pena. Furthermore, because we did not have an OB/GYN at the time of pregnancy, Dr. Pena kept monitoring us weekly until we transitioned to our OB/GYN.

Do not hesitate to discuss your socioeconomic situation with Dr. Pena.

Dr. Pena had changed the estradiol pills frequency depending on the levels. from 1 a day, to 2 a day, to 1 a day, to finally stopping it. All based on the weekly blood levels. Dr. Pena prescribed Ovasitol twice a day for PCOS treatment.

$20 copay for seeing Dr. Pena and $20 copay for ultrasound

After 2 miscarriages, Dr. Pena's preference was for a third single FET. But depending on our specific circumstances, Dr. Pena decided to go for a two embryo transfer, something that we really wanted. He had repeatedly warned us about the complications down the road, and we happily accepted the challenge

Having come from another clinic which resembled a factory, I can tell you that Dr. Pena's office is nothing like that. Although a busy office, they really take the time to get to know you and pay attention to any concerns you may have. They are attentive, work as quickly as they can while still giving you the attention necessary during early morning appointments, and they truly have a family feel.

Dr. Pena is amazing. I emailed him one afternoon and he called me within 3 hours from the airport, and my question wasn't even pressing. I felt like he spent the time getting to know me and I truly felt heard.

Joey was extremely thorough and went over all my supplements with me when I had questions. If she needed to, she referred to Dr. Pena and never came off too controlling at all. She has a wonderful demeanor and was able to work as a great liason between me and Dr. Pena.

Dr. Pena was truly amazing and I am 16 weeks along and attribute it completely to him. I came to him from another clinic with a folder thicker than a dictionary. He spent 2 hours talking with my husband and I on our first meeting. I believe he spent the time necessary to truly get to know my case. He was thorough, pleasant, funny, caring, and intelligent.

If you had bad experiences in the past like I did, it is okay to trust him. I came in hesitantly and, within one visit, felt that I knew I was in the right place.

I never once had an issue with the monitoring window, nor was I any later to work than I had planned. Depending on what time you have to be at work, being late may just have to happen, but I was never held up longer than anticipated. If I needed to be at work earlier I just arrived at the start of the monitoring window time and if I didn't, then I just arrived before the window ended. Ironically, at my previous clinic I would have an appointment time which always took longer than the monitoring window at Dr. Pena's! They do an awesome job getting everything through quickly and efficiently.

I have insurance coverage, so I only paid a co-pay for certain visits. Since it is a center of excellence many of my co-pays were covered.

Dr. Pena was willing to transfer 2 embryos for me since I had miscarried a genetically tested embryo in the past. I elected not to do the testing and transfer one, and to transfer 2 and see what happened. I ended up with a singleton pregnancy.

Typically for monitoring and bloodwork, the wait is around 10 minutes at the East Patchogue office, but appointments with Dr. Pena may take about 30 minutes due to the volume of patients. The waiting room is comfortable, and the receptionists/nursing staff are very warm.

He listened attentively to all our concerns, and responded promptly to our all our questions, especially via e-mail. We greatly appreciated his no-nonsense approach. He was warm and guided us at each step of the way. Although we were initially recommended to go through IUI, he did not dissuade us from choosing IVF, which was successful. Sharon at the Stony Brook office went out of their way to make us feel comfortable and calm through this long journey.

Jessica G coordinated the overall scheduling and appointments at the East Patchogue office. I saw the nursing staff at the East Patchogue, Stony Brook and W. Islip offices. Sharon at the Stony Brook office was particularly kind and guided me on how to inject the medication and calmed me during this long process.

Dr. Pena was warm and guided us at each step of the way. We always felt that we were getting the complete story each visit - both the pros and cons of each step. We will not hesitate to return to Dr. Pena in the future.

Dr. Pena will lay out all the facts for you and will allow you to reach an independent decision.

We went for IVF with ICSI. For stimulation, I took Gonal F (225 U) and 2 x Menopur for Days 1-6; Gonal F 225, 2x Menopur, and 1 cc Ganirelix Days 7-9; Gonal F 300, 2x Menopur, and 1 cc Ganirelix Day 10; and 1cc Ganirelix and HCG trigger on Day 11, with retrieval on Day 13. For transfer, I took progesterone in oil, followed by Endometrin, Estrace, Aspirin, Medrol, and Doxycycline. This protocol maximized the number of mature eggs collected, and I had one egg transferred successfully.

Monitoring appointments were efficient, with no more than 10 minutes of waiting if bloodwork only, or no more than 30 minutes if I needed an ultrasound.

We paid about $9,000 out of pocket. The rest was covered by insurance.

Based on my age and fertility, Dr. Pena strongly suggested transferring a single embryo

LI IVF is a large practice. There are a lot of doctors, therefore a lot of patients. On the weekends only the Melville office is open which means you could be waiting over an hour just to have your monitoring services done. However, it's worth it. All of the doctors i've seen have been great. The nurses are all wonderful and everyone is concerned and doing whatever they have to in order to help you on your journey.

Dr. Pena took the time to answer all of my questions. If I sent him an email he would call me back instead of just emailing me. He sat and explained the procedure and discussed all the risks and benefits.

My primary nurse was Sue, who does not work in the West Islip office. She is phenomenal and was constantly keeping me updated on my progress. However, Jess, who works out of West Islip is also fantastic. Since all of my screening is done in West Islip, she is the one who calls with my results most of the time. She always explains things to me and puts me at ease. At one point I was concerned I was losing the pregnancy and when I came in the office for testing she came over and asked me how I was doing. She talked to me for a few minutes and said she was keeping her fingers crossed. Luckily everything was OK. I cannot say enough about how great this practice is.

Dr. Pena was a great doctor. The practice is big so it's not always easy to receive personalized service, however he was always available to answer any questions I had, calling me to discuss my concerns. I have a beautiful baby boy and am pregnant again thanks to Dr. Pena.

Don't doubt him. Discuss your concerns with him but trust he will do everything he can to help you achieve a successful pregnancy.

If you went to the LI IVF West Islip office, there may have been a short wait in the morning, but as soon as they started seeing patients, things progressed very quickly.

about average

I wanted to transfer two embryos but Dr.Pena felt strongly I should only transfer one. I am now pregnant with that single transfer!

The clinic is amazing. They sort of become family, everyone knows your cycle and where you are. For me this was invaluable as my family is unaware i was going through treatment. They are against it for religious reasons. This process is emotional and you def need a support system. They became my family i had my own personal cheerleaders.

i have a quirky personality and i felt at ease with Dr. Pena. My left ovary went under a procedure with my gynecologist. Every time we were stiming i would say my left side just takes longer to get ready , like some girls they get ready in 15 mins , my righ side takes longer , she needs to put on lashes , do her make up , get her hair done , and forget about picking out an outfit . forget about how strange this sounds , any time i went in to see him he played right along, when he would see follicles developing he would say she's almost done getting ready and would say hopefully she makes it the party. When she didn't produce anything worth retrieving , he would say little things like she's (my left ovary) is staying in tonight. he always found a way to make me laugh. He made me feel normal and safe.

I absolutely LOVE Jessica, she was my rock when i was there. She was so loving and motherly. She explained all my paperwork , i always had tons of questions and she was always kind in answering , never feeling annoyed. I always looked forward to getting blood work results from her as she explained what the numbers meant. She also told me to stay away from google , she had noticed my personality and said she wants me to be stress and worry free. She said if i had any questions or concerns to reach out to her directly and if she couldn't give me the answer she would get me the answer from Dr. Pena. They really are a dynamic duo. I also cant say enough about Krystal , she would be the one who would draw my blood and coordinate my meds for me . She was on top of it. My insurance was a bit of a nightmare to deal with but she was relentless on the followup to ensure i would have meds on time for my cycle. The billing coordinator, Midge, is also so amazing she explained the charges and was always willing to work with me .

Dr Pena was honest from the beginning. I wish i would have listened and not wasted as much time. He stated the obvious about my ovary and egg count. Instead of jumping into IVF i wanted to try IUI. Against his suggestion we tried. Even though it didn't work out he never once said i told you so . He in a kind and nurturing manner suggested IVF with ICSI. Again against his suggestion we only tried IVF. Despite all my failures he was always kind and supportive. I finally listened to him and got pregnant twice. First time i miscarried at 10 weeks 5 days due to stress from my commute and work. This time i'm pregnant and am extremely hopeful for a live birth. Recently i freaked out because i had some vaginal bleeding. I called the emergency hotline and a nurse returned my call , then Dr. Pena reached out to me and told me to come in to see him for peace of mind. He said me stressing will not do anything good. I wasn't scheduled to see him until Thursday but he took me in on Tuesday. When i saw him i was in tears . He was kind and speaking positive . He mentioned that the progesterone suppositories may cause bleeding. He performed the sono and everything is perfect. baby is growing and has a healthy heartbeat. He also mentioned that the sono might cause some bleeding , and not to panic. He mentioned that if i bleed heavily , like soaking 2 pads an hour i need to call him right away and go to the ER. I couldn't have asked for a more understanding , caring and a person who actually gets me and can foresee any issues i might have . He really pays attention and made me feel safe and comfortable.

Be yourself , he doesn't judge and is actually very funny himself. He will always give you his best medical advise . Don't be a hard head like myself. In this case the Dr. does know best.

Due to my low egg reserve had to be aggressive , he took extra care to ensure i was not hyper stimulating my ovaries . He always asked me if i was having any side effects. He did modify one of my meds because my ovaries were not responding.

When Dr Pena was performing the monitoring it took longer , as i'm sure others had questions and took up more of his time . When he was not in the West Islip office and we had a tech, it was in and out. The tech was always professional and told you your progress if any.

Luckily for me i was covered under my insurance. The only thing i had to pay out of pocket was ICSI, which was reasonable.

Due to my egg quality and count he preferred multiple embryo transfer for my fresh cycle. He did explain the consequences. For my frozen transfer he did explain he preferred just 1 embryo , only 1 made it.

Wait times can sometimes be a pain for monitoring and sometimes they won't have enough staff for the amount of patients and that can be frustrating. One time I went in and they no sonogram technician so I had to drive all the way to Melville just for a sonogram.

They always used my name and answered all my questions and handled things delicately when need be

Overall I liked Jessica but not as much as the nurse I had back in 2013/2014 Karen who was amazing. that being said Jessica was very nice but she made a few errors along the way that were frustrating. But always apologized for her mistakes and corrected them but sometimes it felt like maybe she hasn't been doing it long enough.

Dr Pena is very forthcoming with information. He's not warm and fuzzy but that doesn't mean he's not kind. I liked how straightforward he was with information and I liked that he had a good sense of humor when dealing with the trials of infertility. Overall I liked his way of handling things and his demeanor. He was real and nothing felt ingenuine or fake.

To really listen to what he has to say and trust that he has a lot of experience to back up his advice

I started with Dr Pena back in 2013 with IUI bc I was optimistic that I could get pregnant without too much intervention. Dr. Pena was willing to work with what I wanted but also let me know the statistics and success rates of IUI with no meds vs IUI with meds and then of course the success rate of IVF. So after failed IUI with no meds then I did a couple rounds with meds and still no luck so I went to IVF. Dr. Pena felt more confident that given my age and the fact that the problem was mainly with my husband that we'd ave a better chance with IVF. The first round I didn't get a ton of eggs at retrieval and only 2 survived so that's what they transferred but had a chemical pregnancy. Then I started a whole new fresh cycle a couple months later and had a much better retrieval and had I believe 4, 5 day embryos and they transferred 2 and I got pregnant! They froze the 2 remaining. I had a ealthy single baby girl in 2014. Now in 2017 I went back for a FET and had a chemical pregnancy and then did my 2nd FET about a month ago and I am currently pregnant.

I already mentiond this earlier but monitoring on certain days can be a nightmare at this office and other days its easy breezy. When its busy it can be a little crazy but overall you can tell their really trying to get everyone in and out in a timely fashion

I am very fortunate to have very good insurance so I had zero co-pays til I had a positive pregnancy test

The doctors are on a rotating schedule for retrieval and transfer procedures, so don’t expect to have your doctor complete every retrieval or transfer. That being said, any doctor I encountered was just as good as the next. No issues. They are open 7 days a week, not every office though. You may have to travel to another office on weekends. Even when using a different office, I was made very comfortable and the staff was very organized and timely. Communication is great throughout the entire process.

His staff and himself were very personable but still professional. Always answered any questions that I had when I left office in a very timely matter and spent the time to assure I understood.

Jessica was very organized and also set and met expectations. Very responsive to messages left for her and called back in very timely manner. Staff was very personable and pleasant.

From start to finish he is very clear and candid about all procedures and expectations. He answered all questions I had and made me feel very comfortable. After the IVF procedure, I had several questions. He responded to my emails almost immediately, did not leave me hanging in the unknown. I highly recommend Dr. Pena and I would definitely use him again if need be.

This process is not an easy one. If you want a true experienced professional who is going to be upfront and candid about procedures and results, he’s the doctor for you!

I do not have any known fertility issues. My partner and I used donor sperm. My partner became pregnant through IVF in 2016 using Dr. Pena and it was very important for us to use the same reserved sperm. We only had a certain amount of viles and I made this clear to Dr. Pena. He completely understood our concerns. We decided to start with IUI. Although, clomid wasn’t necessary, I opted to take it. Dr. Pena was clear on the pros and cons of taking it. I did 4 single iui cycles, all resulting in negative pregnancies. The last cycle I will mention the sperm count was below normal. With Dr. Pena’s support, I decided to try IVF the next cycle. All instructions and risks were clearly cut out for me and I was completely comfortable going through with it. The retrieval and transfer were all a success and resulted in pregnancy. He is closely monitoring hormone levels and the babies growth and once I will soon be sent off to the OBGYN.

Very efficient process. Weekends tend to be a little busier but they really do a great job getting people in and out. Very organized.

I have very good insurance, fortantely with no copays.

I really did not want multiples and because of my age and quality of embryos it was only necessary to transfer one embryo.

I feel that the doctors and staff are extremely professional and have a great desire to help their patients achieve their dream of becoming parents. The only complaint is my husband didn't feel the the room he was given to produce a specimen in was really a bathroom with a fold out chair. He said he would have liked a more comfortable environment.

Dr. Brenner is a kind man, he approached my situation with sensitivity and candor, which I truly appreciate.

Victoria Loveland is an excellent nurse. She made sure we understood what our treatment entailed from cost to the physical aspect of it all. She always kept in touch throughout the entire process and made sure everything was in order from inception to the surgery. She was extremely sympathetic and supportive when the pregnancy failed. She was there prior to and after the surgery. She is very sweet and incredibly kind. The nursing staff is great and communicative, they made sure I had all the information and guidance I needed throughout my treatment. The RN that was in the room when my husband and I received the devastating news, gave me a hug and was very sympathetic to our situation. All there kindness was very appreciated. They are still in contact with me, they are following through with treatment instructions from Dr. Brenner.

I feel that Dr. Brenner is a true professional. His experience, knowledge and desire to help those of us who are unable to conceive on their own is a true blessing and gift. During our visit he discussed the clinical results and offered us his professional opinion of our current situation and what we should do if we wanted to continue with treatment. We needed a doctor who was going to be straight forward, making sure all options were explored and explained so we could make a decision on what our next steps should be and/or to be comfortable with the possibility of an "only option".

Trust Dr. Brenner and have faith.

It was explained by Dr. Brenner that donor egg was our only option at this point. When treatment began we did all the necessary blood screenings, physical evaluation and testing, we where evaluated by a psychologist and assigned a RN who monitored our treatment and find us a donor if we could not find one on our own. A year after treatment began, a donor was found whom we were comfortable with and preparation for transfer began. Blood screening was continued, when my last menstrual cycleI began I was put in a protocol of estogen and baby asprin. Eventually I was put on progesterone and oil and had to take Medrol and Doxycycline for 5 days which started pre transfer and ended the after transfer. My husband produce seman specimen to be frozen, just in case the day of he was able to. We had 7 eggs, my husband was able to produce a fresh specimen on the day the eggs were to be thawed and ICSI was used to fertilize the eggs. Only 5 eggs fertilized and on day 3, post fertilization, 2 embryos were transferred. We were told 3 days later that the 3 remaining eggs did not make it to day 5. My medication protocol continued with estrogen, baby asprin and progesterone and oil. Day 10 post transfer we had a positive pregnancy test. The same medication protocol continued and blood screenings to evaluate levels. I was told by Dr. Brenner on my second HcG blood test that the levels were normal but on the low end, but that didn't mean I couldn'thave a normal pregnancy. The same continued on the following HcG test. The first sonogram showed a small embryo, Dr. Brenner said they like to see it bigger, but they would continue monitoring. The next sono was with Dr. Kreiner an associate, he stated the same and added that he could not determine if there was a sack or not. 6+ weeks post transfer sonogram with another associate Dr. Zinger showed no development in the fetus. Dr. Zinger and the RN were very consoling as the devastating news was delivered. Dr. Zinger discusses the options of letting a miscarriage happen on it's own or have a DNC. I said I would like to discuss that with Dr. Brenner, he understood. Dr. Brenner called that evening, offering his condolences, at that point my husband and I had already decided on the DNC because I couldn't put myself through expecting a miscarriage, that would have been to much for me to bare. The DNC was scheduled 2 days later and Dr. Brenner preformed the surgery. The tissue was taking to have genetic testing done. Dr. Brenner had me continue taking the estogen for 2 weeks post surgery, stating it would help build up the lining of my uterus. Now I am waiting for my menstrual cycle to begin. Dr. Brenner stated I could take medicine for it to come, I declined the medication, I rather it happen on own. Genetic testing is in process.

Our medical insurance does not cover IVF treatment, it will only cover treatment prior to treatment and post treatment if pregnancy occurs.

Due to my age, they ( the facility, doctors) only allow up to 2 embryos to be transferred at a single time.

This clinic was clean, organized, caring and knowledgable. They became like family, as I was there almost everyday for a month. The secretary always greeting you with a smile and pleasant conversation. Diane, who took my blood each morning was amazing. I only trusted her to take my blood! Joey, my nurse was very knowledgable and could answer any questions or concerns I had.

Dr. Pena and everyone in his office, knew me by name. Everyone was very friendly, understanding and took care of my every need. I knew I could call or email Dr. Pena at any time with any questions or concerns I had, and he would respond within minutes. I felt very loved at his office and am so grateful to Dr. Pena and his staff.

Joey called every afternoon with my instructions. Her instructions were clear and she was able to answer any other questions or concerns I had.

Dr. Pena is the most knowledgable doctor i've ever met. Dr. Pena truly knows how to do his job. Since the first visit at his office, I felt completely confident in his abilities to get us pregnant. During my treatment I started to show signs of hyperstimulation, Dr. Pena changed my medication, and I truly believe because of this I did not develop OHSS. I read horror stories on the internet about OHSS and their doctors not knowing how to prevent it. But I was fully confident Dr. Pena knew what to do and he did.

One piece of advice I would give a prospective patient would be to trust in Dr. Pena to make your dreams come true. He is professional, knowledgeable and compassionate.

On the first day of my period I began taking estrace for 4 days. One the 5th day I went to Dr. Pena's office for my baseline bloods and sono. That afternoon I received my phone call with instructions. I was told to take Follistim and Menopur for 3 nights and return to the office the next day for blood and sono. That afternoon I received my phone call with instructions. I was told to continue the same treatment, Follistim and menopur. for two nights and return the next day for blood and sono. I was told to continue same treatment and return to the in two days. On that day, was when Dr. Pena saw that I had MANY follicles. I returned to the office everyday after that until egg retrieval. Once Dr. Pena saw that I had many follicles, he changed my medication to 2 menopur each night and to discontinue to follistim. I also took ganirelix to prevent ovulation. On Sunday night I was told to take a small dose of HCG alone with a lupron shot. 36 hours later I arrived for my egg retrieval. Dr. Pena retrieved 37 follicles, 29 mature, 23 fertilized, 1 successful fresh transfer and 15 embryos frozen!

I always arrived 15 minutes before the monitoring window, so I was always the first to be seen and was in and out in 10 minutes.

I was fortunate enough that insurance paid for my entire IVF treatment. I did not even have any co-pays until I was pregnant.

Dr. Pena did a single embryo transfer, I am 29 years old and we both felt that a healthy 9 months of pregnancy was more important than multiples. Especially because multiples can cause a high risk pregnancy.

LIIVF is a high volume fertility clinic that sees patients in mass. All the offices (especially Melville) are very crowded and you will end up waiting for most appointments. The doctors work as a team so it is very likely your own doctor won’t be performing your own procedure and the nurses and practioners take on the brunt of the communication and patient liaising.

I rarely saw or spoke with Dr Pena - he was only present during a few monitoring appointments for a few minutes at a time. It seemed pretty clear he didn’t really remember where I was at in my cycle and just referred to the paperwork to discuss the specifics of my cycle.

Jess is so friendly and very compassionate - she couldn’t be more helpful when asked for assistance with anything. I wish the calendars that were provided were a little more thorough and explanatory (especially since we were going through our first IVF). I ended up learning most of the helpful information through YouTube and fertility communication boards!

Our initial consultation with Dr Pena was very good and he explained the general process very thoroughly. After that point we received little to no communication on our situation, next steps, test results, etc. Dr Pena did not perform the IUIs, our retrieval or our transfer (not exactly sure why he is even labeled as our doctor?). One of the only times I did speak to him on the phone (when I was upset at the number of blastocysts we ended up with), he gave me partial (and arguably inaccurate information) about embryo quality. I also felt Dr Pena did not communicate process or potential options in treatment to us at all. We are left feeling much money was “wasted” just being pushed through a cattle herding process...

Communicate after key results and give reasons for why treatment plans/directions were chosen. Give options to patients but provide recommendations where necessary. Make sure your patients are clear on next steps and ensure there are no surprises for them.

IUI 1 (2 follicles) & 2(8 follicles - cycle canceled): Clomid IUI 3 (1 follicle): letrozole IVF 1: gonal-f & menopur for stimulation, lupeon, hcg (ovidrel) trigger, Estrace and POI prior to transfer

If you are the first person in the office there is very little wait. However, if you are late you have to wait at least 45minutes to an hour. Generally, appointments at the West’s a Islip office are short and Dr Pena is present most days.

Insurance covered most but general costs without insurance are $6000 for IVF cycle, $3500 meds, $4000 PGS

Dr Pena said he would only do single embryo transfer for our first IVF since I am under 41 years old.

The office is amazing. I would ugly recommend Liivf patchogue to everyone and anyone! I went to another practice on Long Island and I was not happy. Once I came to Liivf patchogue it really changed my view on my fertility issues and the everyday challenges I was facing.

Dr.Pena and his staff treated me with the utmost respect during my treatment. Dr. Pena was kind, caring and informative. He took his time to explain everything, review results and discuss the next steps in my treatment.

All of the nurses and staff are fabulous and friendly. I felt completely comfortable with them. I enjoyed coming to the office even though this was an extremely difficult time for me. The nurses and staff members always answered my questions and were very positive.

Dr. Pena is an amazing doctor. I felt comfortable from the day I stepped foot into his office. He took his time to explain treatments and procedures. He answered my questions quickly and efficiently. I trust Dr.Pena 100 percent and would recommend him to anyone struggling with fertility issues.

The only advice I would give is to trust him 100 percent with whatever course of treatment he thinks is best.

I underwent 3 iui's. All of them were similar in treatment plan of action. I was given clomid on day 3 for five days. After that I went in multiple times to check follicles and hormone levels. Wheb the follicles were ready I was Instructed to do one shot of ovidrel and than two days later I would undergo an iui. The first was negative, second was a chemical and third I am pregnant with twins!

Thankfully I have insurance that covers most of my treatment. I had co pays and had to pay for medication.

The West Islip location is by far the most organized and quickest location. They have a sincere respect for your time and get you in and out quickly. All of the nurses are down to earth, take a moment to say hello and even give a bit of comfort or thumbs up when needed. Everything is extremely clean and neat.

I have been struggling with male factor infertility for almost ten years. It has been a very long and emotional journey. During my first meeting with Dr. Pena, we went through my history and my intentions for the future. By the end of our first meeting, I was able to smile and relax feeling like I was sitting with a friend who genuinely wanted happiness for me. I was prepared to hear more statistics and lectures but what I received from Dr. Pena was understanding and encouragement to move forward with the vision that I had in mind which was donor embryo. He even went as far as to compliment me on being an intelligent individual and applauded my decision to make a reasonable choice for my family. Medical knowledge and experience is extremely important but to have someone feel like they are on your team is priceless. He gave me hope. I am so thankful.

The nursing staff at the West Islip location are amazing. They are very professional and kind. They are organized and successfully drew blood or scheduled sonograms for me quickly and efficiently. Most days, I was able to stop in before work and still be at work on time. I completely owe this to the nursing staff at West Islip. I also can't say enough great things about them.

It's hard for me to pin down Dr. Pena's strengths since I feel that he is just such a great doctor overall. For me, his biggest strength, was his ability to connect with me as a person. He did not make me feel intimidated but instead almost made me feel like we were going through this together. He explained procedures as we were going through them and took the time to make me laugh which I desperately needed at times. He is so skilled as a doctor knowing my body and was able to access my uterus repeatedly when other doctors were unable to. At times, I encountered setbacks like a polyp and Dr. Pena was immediately prepared to direct me in the right direction so I didn't feel lost. When we had times of disappointment, he took a few moments to remind me that sometimes this was part of the journey but we could still move forward. Most of all, he went out of his way to be there for my most recent transfer even though he was not on the schedule. A few of the previous doctors had much difficulty entering my uterus and left me in pain and bleeding. Knowing this, Dr. Pena made himself available to me, missed his daughter's soccer game on a Saturday morning, and successfully completed a perfect transfer for me. I am currently now pregnant for the first time in my life. I will be forever grateful to him. Dr. Pena is a great doctor and amazing person. I can't say enough good things about him.

Be sure to speak from your heart and be as open as you can with your intentions and wishes in building your family. Also, don't hesitate to ask him for recommendations when needed for other doctors. He has a great network! If something doesn't feel right, trust your instincts.

We pursued donor embryo's and since we have male factor infertility, I assumed that everything would be super easy - boy was I wrong! Prior to first transfer, Dr. Pena performed a mock transfer where he found an endometrial polyp. He directed me to have this removed in order to improve my chances for a successful transfer. My first attempt to have this removed was unsuccessful due to cervical stenosis and the surgeon (NOT DR. PENA) ruptured my uterus. We decided to move forward with the polyp in place. The LIIVF team suggested that I get a quick endometrial biopsy to increase my chances of success. However, Dr. Kreiner was unable to access my uterus, it was excruciatingly painful and he decided to cancel the procedure halfway through. Dr. Pena felt it wasn't necessary and simply installed a cervical stitch then we had two transfer attempts but both were not successful. Dr. Pena suggested that I see another surgeon for polyp removal and recommended an amazing doctor who ultimately was able to remove the polyp successfully. Following the removal, I had an unsuccessful transfer which Dr. Pena felt was due to embryo quality. The team suggested that I move forward with a hysterosalpingogram to make sure that my tubes were ok and not leaking fluid which may destroy the embryo. All checked out perfectly fine. I had a fourth transfer with Kr. Keningsburg and it was very difficult, took numerous attempts to access my uterus and was a failure from the start. I left bleeding and in pain. Finally, my fifth transfer with Dr. Pena was perfect and resulted in a successful pregnancy.

Medications - less than $1,000 Co-pays - approx. $1,000 Transfer/Donor Embryo Fees - $2,000.00 per transfer

Dr. Pena was fully supportive of my choice immediately from the start. I was insistent on SET since I am almost 40 and felt it would be too risky. He understood my concerns and explain the advantages and disadvantages thoroughly.

Long Island IVF East Patchogue has fantastic staff who work together as a team to provide the best possible care for every patient. Their early morning hours are especially helpful for those who have to go to work. You also never have to worry if you are scheduled to come in for monitoring over the weekend or after hours because you will be instructed to go the Melville office which also has flexible hours. There is always someone you can talk to if you have any questions, even after office hours. I was extremely satisfied with their level of communication when it came to medication instructions and upcoming appointments/procedures.

Dr. Pena was extremely thorough when answering all of our questions. His sense of humor made this stressful process much easier.

The entire staff at Long Island IVF East Patchogue is fantastic, especially Joey, Peggy and Diane! Every single staff member is knowledgeable and compassionate. I instantly felt welcomed and supported from the moment I called to schedule my consultation. The staff at Long Island IVF absolutely helped to make this experience as positive as possible. I cannot say enough good things about this amazing team!

From our first appointment we instantly felt comfortable with Dr. Pena. He thoroughly explained our options and each procedure. He was straight to the point, which I appreciate, and has a great sense of humor that always put me at ease. I have already recommended friends who are struggling with infertility to meet with Dr. Pena.

I feel that Dr. Pena is very compassionate but he is also very direct when answering questions or explaining certain things. Although I definitely prefer this form of communication and found it to be extremely helpful throughout this process, I know that some patients may feel like they need a little more "hand holding."

IVF - egg retrieval and Day 5 transfer (singleton) Medications: Follistim (Pen) varying dosage (mostly 200iu) Menopur 75iu (eventually increased dosage) Cetrotide .25mg Chorionic Gonad Progesterone in Oil 1ml Estradiol 2mg (2x daily) Methylprednisolone 4mg Endometrine 100mg (3x daily) Baby Aspirin (1x daily)

Monitoring appointments always went very smoothly. Patients were given a time frame (usually 7am-9am) to come in for monitoring. It was first come, first serve and always appeared to be well organized.

We were fortunate enough to have all of our procedures fully covered by our insurance. We only had copays for the medications and a $20 copay for all appointments after a confirmed pregnancy.

Dr. Pena strongly recommended eSET due to my age, history and potential risks with multiples. I definitely feel that eSET was the right decision for us.

Always upbeat, professional, compassionate & informative. I spent a majority of my office visits in the Melville office. Everyone was always kind, supportive. As important the office is very efficient which is helpful when you're going before your daily job every morning. It can be very stressful. The O-R staff is exceptional we were always in awe how well run (and clean) the O-R was. You would even get a big hello and a hug goodbye on days you were in the O-R, which is an overwhelming experience, so it is nice to feel that level of kindness.

Everyone is upbeat & positive, kind, knows who you are welcomes you, w/ good follow-up. This goes for all offices in Patchogue, W Islip & Melville

Always upbeat, professional, compassionate & informative. She was always one step ahead of me in terms of preparing my medicine orders and next steps. IUI IVF etc is a lot to process and she simplified it well and always gave us peace of mind. Considering she deals w tons of patients I never felt like a number. The same goes for the Melville office, as I used both offices often over a 2 year period.

Always professional, compassionate & informative. Every step we have taken under his direction and changes in my care has brought us a step closer to better results, and quickly ruled out options that weren't working. I recall one time at an egg retrieval about to go under anesthesia he even held my hand. It gave me a sense of comfort and that he views his patients as more than just a number :)

Be patient...it's a timely process, but your in good hands w Dr Pena

My treatment I think is probably typical of someone over 40. IUI, IVF's and frozen cycles. But we recently did PGS and it has worked so far, but equally as important it's more efficient and saves time when you're racing against the biological clock, as well as limits miscarriages. Dr Pena suggested PGS and gave us great peace of mind when considering another round of IVF which seemed overwhelming at the time (after a miscarriage).

Efficient & professional...always upbeat. 7am isn't an easy time for anyone, and the whole staff made it less stressful

We paid out of pocket and have paid appx $100K over a 2 year period. A portion of our IUI and meds the first year were covered under insurance but we met the lifetime cap rather quickly and have paid out of pocket majority of the time

Clinic was clean, typically I did not have to wait very long for my appointments, I was in and out.

Dr. Kreiner took ample time to sit with my husband and I to explain our options. He had a great bedside manner during treatments.

Nursing staff was pretty efficient and forthcoming with information, I don't remember them being overly empathetic or compassionate but certainly no issues with them.

Dr. Crane are provided us with a wonderful experience. He had a lovely bedside manner and during each visit communicated his interest in us. He was fairly accessible. He was upfront about our odds when we first started the process, not overly pessimistic but neither did he set unrealistic expectations. There were a couple of instances where we weren't completely clear on the information he provided to us but in each instance he was able to provide clarity when requested. Overall it was a positive experience and I would definitely recommend him and have recommended him to my friends.

While Dr. Kreiner provided us with a good deal of information I would still recommend that my friend do their own homework and get informed so that they can ask the right questions.

As informative as Dr. Kreiner was, he never did actually provide me with the name of the protocol that he was using come to I think of it. But I did have was a list of medication that I was supposed to take. Our objective was to be conservative and produce a good amount of eggs but for me not to be overstimulated since I didn't want to have to make a decision about discarding embryos. Meds: Menopur, Ganirelix, Gonal F, Progesterone

It was fairly efficient, I never had to wait for very long. It was convenient for me and never significantly disrupted my day.

~13k

I believe he suggested a single embryo transfer but I don't recall that he had a very strong position .

The best part about this practice is having so many locations. You are not "LOCKED IN" to any one location, so if you need to visit a different location for convenience with work, life, etc, you are able to do so. The clinic has a wonderful, organized system for their morning monitoring so they usually have you in and out in a timely fashion. The fact that they are 7 days 365, means you never miss any windows of opportunity...And, there are so many drs. in the practice, you can always get in to see one in an emergency.

Dr. Pena was always warm and friendly. He remembered conversations we had the weeks previous and would ask or remark about those. That made me feel important like he "really listened" to me. The entire office is amazing and super warm. They always make you feel like you're the most important patient.

All of the nurses and staff are wonderful, caring people. They are super patient, even if you call asking the silliest questions. They explain your next step clearly and are always available via email or phone call to answer questions. Joey was extremely patient with me and my questions. Diane, the nurse/phlebotomist, was AMAZING and GOT MY VEIN EVERY TIME!! She never missed and it was NEVER painful.

Dr. Pena is warm and friendly but honest and realistic. He shows compassion for his patients and NEVER makes me feel like I am just another patient. In fact, he made me feel like I was his ONLY patient, even though of course I am not. He was attentive to my needs and questions.

no advice is needed, except, to listen to whatever he suggests you do.

Dr. Pena started me with Clomid and suggested we start with IUI. We did two cycles unsuccessful, and upon reviewing my husbands sperm count, Dr. Pena recommended that we then move on to IVF. He wanted to try the IUI to be less invasive and to be a little proactive as long as we were willing to be patient with the process. We moved onto IVF with many other course of treatements.

As stated previously, the morning monitoring appointments ran like a "well oiled machine". There was a system, and it was the same at each location. It was a smooth process and was usually an in and out process. Because the process is the same at each location, it was easy for me to have my morning monitoring done at a location, other than my primary location, so that it was convenient for my work schedule.

Thanks to my AMAZING insurance, I paid for NOTHING related to my IUI or IVF except for my medications!! It is AMAZING.

Prepare to wake up very early for appointments! They take blood 6:30am-8am in Stonybrook and 7am-8:30am in Patchogue. I think this is so thoughtful! They understand that we also have full time jobs and a lot of us are 9-5 (or 8-4:30 as I am) so we aren't constantly missing work for follow ups.

I love Dr. Pena. I wish I could continue seeing him my entire pregnancy. He gives you his email address in case you need him directly. I emailed him and received an auto response stating he was out of the office for the next week, so I figured I wouldn't hear back for a week. He emailed me back an hour later! I appreciated that so much and it definitely made me feel like I was being treated like a human. Also, I ended up getting pregnant naturally but he noticed my progesterone levels were low. He has prescribed me progesterone and has continued monitoring me until I'm out of the first trimester. He is listening to me and taking better care than my OB.

Best nursing staff I have ever had to deal with. They are on top of their game. They call same day with results. If you call them and need something, they call you right back with the answer. They are friendly and compassionate.

As stated in my previous answer, he is easy to get in contact with. That is a HUGE PLUS! He is thorough and explains everything in a way you understand. You may feel overwhelmed from all the information but first visit, he gives you a plan of action. You leave with a printed copy of what to expect, what your next steps are, what tests you will need, etc. He does the sonograms himself. He is very easy to talk to. I don't have one negative thing to say. He is absolutely fantastic and I would recommend him to anyone having difficulty conceiving.

Check out his reviews. I have never seen a doctor with so many positive reviews in my life and now I understand why.

We started with a lot of blood work to check out my hormones, glucose and whatnot. Due to my glucose results, I was put on Metformin which I knew I needed for years but other doctors wouldn't listen. My husband did a semen analysis to make sure he wasn't having issues as well. His analysis was perfect. The next step for a dye test to check for any blockages in my tubes. It was then that they gave a pregnancy test to clear me for the HSG test and the results came back that I was already pregnant :) If I had not conceived on my own, the plan was to try Letrozole and IUI. The pregnancy test did show low progesterone levels so I came back for a follow up. the follow up showed my progesterone had lowered so he put me on Crinone 8% and has been checking on me since. My first OB appointment my OB called this pregnancy a threatened miscarriage, offered me the abortion pill, expected me to miscarry before my next follow up 2 weeks later since the sac was empty. I informed Dr. Pena's office of the results. Dr. Pena had me come in only 4 days after my OB appointment and there I was able to see the baby, yolk sac and the heartbeat :-D I am so grateful he did this for me, I was able to relax and know the baby is ok!

Based on my insurance, the first $10k of infertility is covered. I have one $30 copay bill that just came in.

Long Island IVF is a comprehensive clinic that specializes in fertility services. Their practice has a number of fertility specialist on the staff to accommodate your needs, both personally and financially. They offer a wide range of locations, with various hours that work with your schedule. They are great at communicating necessary information from health care comcerns, to billing, to insurance and more with their patients. In addition to offering fertility services, they offer informational sessions, and support groups. They're compassionate to their patient's individual needs, and willing to work with them to ensure the best care that they can.

Dr. Peña was personable from the first time my wife and I met him. He engaged us in some easy conversation before getting into the more technical aspects of treatment and the fertility process. He explained step by step what to expect, how to move along through the process, and all possible tests that may be used/ordered. His bedside manner was great during exams, and he was thorough in explaining what he was doing, seeing, etc.

Jess has been phenomenal since day one. She has helped my wife and I understand the process each step along the way, answering any and all questions, and returning both emails and phone calls in a very timely manner. She has been a liaison between the doctor and myself, as well as the rest of the staff at the clinic myself. She is the one that calls me with results following bloodwork and ultrasound, providing instructions as to how to proceed. Jess is compassionate and caring, and very supportive of the emotional rollercoaster this process is. We are so grateful to have had Jess by our side throughout this experience. The rest of the nursing staff has been equally as phenomenal, from the phlebotomist, to the ultrasound techs, to the office manager and everyone in between.

Dr. Peña is a very knowledgeable professional in the field who is friendly and compassionate. He has been involved each step of the way; ordering and reviewing bloodwork, ultrasounds, medication, and any other needed tests and/or courses of treatment. His bedside manner and relatedness to patients is second to known. I feel confident in his care, and am grateful for the care he has provided me thus far.

Don't be afraid to ask questions, he's a wealth of knowledge.

An initial ultrasound and bloodwork were done the 3rd day of each cycle. That same afternoon I was instructed when to begin clomid. The first two courses of clomid consisted of 1 pill a day for 5 days. The last two cycles consisted of 2 pills a day for 5 days. This medication was used to help stimulate follicle production. On day 10 of my cycles, I returned to the office for bloodwork and ultrasound to monitor hormone levels and check follicle growth. Each cycle, I returned every 1-3 days to repeat bloodwork and ultrasound, receiving instructions as when to return the same afternoon. Typically, I would go in for three visits to monitor prior to having the IUI. We chose to use only one donor specimen per cycle, as the cost was very expensive. The morning of insemination, we would go in and identify the donor specimen and allow time for it to thaw. After approximately 30 minutes, we would go to an exam room with the specimen and the doctor where insemination occurred. The procedure itself lasted approximately 10 minutes, between insertion of the speculum, swabbing of the cervix, and injection of the specimen through a catheter. The doctor was sure to describe each step of the procedure, checking in with me often to make sure I was okay. After waiting several minutes, I was free to go about my day. Two weeks later, I returned to the office for a pregnancy test. The first three tries yielded negative results. The fourth try, with a new donor yielded a positive result. After the very first IUI, I returned to the office for blood work a week later to check my progesterone level. At that time, I was prescribed progesterone suppositories to use three times a day. I continued using the progesterone folllwing each IUI as directed by the doctor.

Out-of-pocket fees for insemination, with washing of the donor specimen, and all bloodwork and ultrasounds needed in between cost approximately $2,000. The thawing process of the specimen was $100 per cycle perio. With insurance, there was still a thawing fee of $100, however office visits simply cost me my insurance co-pay. My insurance covered the actual insemination.