NYU Langone Fertility Center

Dr. Fino was very nice, took a lot of time with us listening. Seemed very intelligent and knowledgeable. Gave us all our options.

Understand that you won't see her every time you come in for visits (and there will be a lot of them). But that she is aware of what's going on and is monitoring everything.

Dr. Grifo is knowledgable, straight forward, reliable and honest. He adjusted treatments in response to results. He and the other physicians in the group were well coordinated, so I never felt as if there was a lapse in care if he was out of the office on the day of my visit.

Perhaps the only thing I would have advised was only doing IUI once and if that failed to go straight to IVF.

I went first thing in the morning. Hours were convenient. Very efficient, was able to always leave clinic and be on time for work. It is a first come first served process so getting there before the doors open is recommended

total over the yrs probably over $150K

I am very happy that they placed 3 embryos at a time. I strongly believe this is the most appropriate option for women who are in their late 30's or older.

She is a guru in the field and has special expertise around protecting women like myself who are also undergoing treatment for breast cancer. It was disappointing to me that I only saw Dr. Noyes though at the initial consultation and then at the egg retrievals.

Don't expect warm and fuzzy but a very experienced doctor who will get you good results.

I do not remember the entire regiment of medicine I took but I did take the follicle stimulating hormone Gonal F my first round and then switched to a different stimulating medicine the second round in an effort to produce more eggs; although, I produced about the same amount. I was also on Femara to protect me as I had hormone related breast cancer.

The clinic was open between 7am and 9am which made it very convenient with work. For the most part, the wait was about 15 minutes. The clinic ran fairly smoothly.

I received financial assistance from Live Strong so each cycle was discounted. My cost per cycle was $6750.

We got the results we wanted and were always treated compassionately. I had had a previous bad experience with an HST test and he redid it in a much better way and made me feel like it was the other doctor's fault and not mine. At a time when I felt very vulnerable that my body wasn't doing what it was supposed to do, he never made me feel like it was my fault and he always made me feel like we had options.

Be prepared for a wait to get an appointment but once you're in, it's all good.

Both pregnancies -- Clomid (lowest dose) one cycle with monitoring (ultrasound). IUI at the right time and I got pregnant. Very lucky, I know.

I'm sorry - it was a long time ago. I remember they didn't take my insurance so I had to submit by hand, but they always had the paperwork ready for me. It wasn't cheap, but we weren't expecting it to be.

Strengths: he was real and honest and encouraged us to 'stir the pot' with the donor eggs which we really liked. He showed us pictures of his IVF children and made us feel comfortable with the procedures. Weakness: he was speaking at an event the day of my embryo transfer so he didn't perform the day of the big event, which made me upset. However, like the entire process, I just went with the flow and now have two beautiful and healthy twin girls who I love and adore with all my heart.

Request him to be present at the transfer if important to you.

I really liked him and was very knowledgeable. He followed up when the IUI wasn't working and did further testing to find out if I wasn't having a problem. Since I was okay we moved into IVF. The first time was successful

To be upfront about everything and clear on your history. Be prepared it is group of Doctor's so he may not be the one performing your extractions and implantation.

sorry I do not remember anymore.

there were set monitoring hours and would make sure to go early to beat any waits.

don't remember

He did not provide an feedback on that. I only had 2 good embryos so we went with both of them.

Our initial meeting with her lasted almost an hour. She spent a lot of time asking me questions about myself, family, job, education, social life etc. She really wanted to know who should could be working with. She made me feel like I was doing the right thing, and that I was light years ahead of my counterparts. It was obvious from this meeting that Dr. Noyes's compassion and bedside manner matched my needs. Once my cycles started I did not see Dr. Noyes very often. I saw her an average of 2 times per cycle, and Dr. Noyes did not do either of my two retrievals.

Be ready to have complete strangers give you internal ultrasounds at 7:05 am. If you this bothers you, than NYU, Cornell, or any big time center, is not the place. Talk to the person in the finance office that deals with medications and insurance. I was able to get my medication covered through Aenta Speciality Pharmacy. Aetna themselves did not tell me this, one of the patient coordinators at NYU told me to go through Aenta Speciality Pharmacy. The medications are brutal but you just need to power through it with your eye on the end result. Write everything down the doctors and nurses tell you during monitoring and nightly calls. Stay organized by inputting your medication doses and timing on the calendar on your phone. Keep track of your medication supplies daily, and check with the doctors/nurse weekly to be sure you have the correct supplies and enough medication to complete your cycle. Never give up. After having my first cycle cancelled I was devastated. I pushed through and ended up with 34 eggs...

Round 1: Non-Lupron Cycle (10/27/09-11/4/09) - Cycle Cancelled 10/27/09: Nothing 10/28/09: Blood work and Ultrasound- saw Dr. Noyes: 450 Follistim pm 10/29/09: 225 Follistim am & 225 Follistim am 10/30/09: 225 Follistim am & 225 Follistim am 10/31/09: Blood work and Ultrasound - did not see Dr. Noyes, saw a fellow: 450 Follistim pm 11/01/09: 450 Follistim pm 11/02/09: Blood work and Ultrasound - did not see Dr. Noyes, saw a fellow, only 4 eggs, was told by fellow that these were disappointing results. The fellow was also about 8 months pregnant, so that did not help the situation. Antagon injected at NYU, 450 Follistim pm 11/03/09: Antagon am & 450 Follistim pm 11/04/09: Blood work and Ultrasound- saw Dr. Noyes, only 2 eggs, cycle cancelled. HcG shot taken at home Round 2: Lupron Cycle (11/11/09-12/10/09) - 12 eggs 11/11/09-11/22/09 - .1 injection of Lupron 11/23/09 - Blood work and Ultrasound - did not see Dr. Noyes, saw a fellow, possibility of cysts 11/23/09 - 11/27/09 - .5 Lupron 11/25/09 - Blood work and Ultrasound - saw Dr. Noyes, possibility of cysts so may delay start 11/28/09 - ok'd to start - .5 Lupron, 450 Follistim, 150 Menpur 11/29/09 - .5 Lupron & 450 Follistim am, 150 Menpur pm 11/30/09 - .5 Lupron & 450 Follistim am, 150 Menpur pm 12/01/09 - Blood work - .5 Lupron am, 450 Follistim & 150 Menpur pm 12/02/09 - .5 Lupron am, 450 Follistim & 150 Menpur pm 12/03/09 - Blood work and Ultrasound - did not see Dr. Noyes, 9 eggs, .5 Lupron am, 450 Follistim & 150 Menpur pm 12/04/09 - .5 Lupron am, 450 Follistim & 150 Menpur pm 12/05/09 - Blood work and Ultrasound - did not see Dr. Noyes, 9 eggs, .5 Lupron am, 450 Follistim & 150 Menpur pm 12/06/09 - .5 Lupron am, 450 Follistim & 150 Menpur pm 12/07/09 - Blood work and Ultrasound - saw Dr. Noyes, 9 eggs, .5 Lupron am, 450 Follistim & 150 Menpur pm 12/08/09 - Blood work 0- HcG shot at 11pm 12/09/09 - nothing 12/10/09 - retrieval - 12 eggs Round 3: Lupron Cycle (01/08/10-02/20/10) - 22 eggs ( I didn't seem to write down when I saw Dr. Noyes at morning monitoring) 01/08/10 - 1/26/10 -Blood work and Ultrasounds every 3 days. Progesterone levels were low, ovulation was delayed, and there was a cyst on my ovary. 01/27/10 - Blood work and Ultrasound - saw Dr. Noyes - got the ok to start as ovulation had occurred. 01/28/ - 02/05/10 - .1 Lupron until period 02/05/10 - Day 1 of cycle. Called NYU to let them know that I had gotten my period and did not receive a call back 02/06/10 - continued the .1 of Lupron. Did not hear from NYU all day. Called at 5:30pm, got a call back at 7pm from a doctor I had never met. 02/07/10 - .1 Lupron 02/08/10 - Blood work and Ultrasound - ok'd to officially start stims - .1 of Lupron in the am, .5 Lupron, 450 Follistim & 150 Menpur in the pm 02/09/10 - .5 Lupron & 450 Follistim am, and 150 Menpur pm 02/10/10 - .5 Lupron & 450 Follistim am, and 150 Menpur pm 02/11/10 - Blood work - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/12/10 - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/13/10 - Blood work and Ultrasound - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/14/10 - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/15/10 - Blood work and Ultrasound - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/16/10 - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/17/10 - Blood work and Ultrasound - .5 Lupron am, 150 Follistim & 150 Menpur pm 02/18/10 - Blood work and Ultrasound - .5 Lupron am, 11pm HcG 02/19/10 - Blood work 02/20/10 - Retrieval - 22 eggs

10k for Each egg retrieval and close to 2k for meds each round

I saw Dr. Noyes a long time ago -- 1999-2000. I was 42 years old and had failed a number of IUI and IVC rounds with injectable hormones, as well as two previous donor egg attempts at a different clinic. Dr. Noyes was straightforward, candid, warm but a bit brisk (I am OK with that), and made it clear that she would give you as much or as little detail as you wanted. She told me at the first visit that she thought she could get me pregnant "one way or another," and she did. She originally planned to go straight to a donor egg cycle, but while waiting for a donor I unexpectedly got pregnant the old fashioned way (courtesy of my husband) for about ten minutes, until I had an early miscarriage. Still, that was enough evidence to prompt Dr. Noyes to suggest one more cycle using my own eggs. We tried that, but it did not work. Next, a donor became available and we had a long talk about how many embryos to implant. I wanted to be aggressive, in light of my age and history. Dr. Noyes eventually agreed to 4, with all kinds of contingency plans if I ended up with too many. As it turned out, one took. Dr. Noyes discharged me from the fertility clinic at 3 months but sent a lovely note when my first daughter was born. Somewhat amazingly, I got pregnant again -- also the old-fashioned way -- when daughter #1 was 6 months old. Even though Dr. Noyes had nothing to do with that (except, perhaps, in the karmic sphere) and she sent another lovely note when my second daughter was born. Both girls are now in high school.

Don't be shy. She responds well to questions: ask them.

See above. I don't remember any of the names of the drugs.

Don't recall the details. It was a lot, and most was not covered by insurance.

She is smart, and tells it like it is. I appreciated her sense of humor. I didn't ask alot of questions, because I didn't feel the need to. I'm not a doctor, but I am smart, and I trusted her expertise. If you are older, she indicates that will work against you. She did follow up with me.

Be prepared that she will be honest. She is not going to sugar coat your chances.

I was prescribed the usual IVF protocols and each cycle produced eggs and embryos, but for some reason there was a failure to implant.

Depended on the day, I was taken in the order I got there. Sometimes there was a line, sometimes not. I tried to get there early and get in and out.

$8K per cycle