Sher Fertility of New York

SHER is willing to work with patients who have DOR which was our biggest priority. I previously did a cycle at RMA who treated me like a number for sure. All doctors are skilled in this sub-area. The clinic is great about sending instructions and calendars, has very responsive and communicative staff who are always available by email, and has a great late-night nursing call back system. I would highly recommend for a patient with diminished ovarian reserve as they are one of few clinics who will go to retrieval for one or two eggs.

Dr. Dicken is excellent at maintaining active correspondence during treatment. She always responded to our emails, which were often sent during periods of heightened emotion and anxiety, within 24 hours, and was both reassuring and realistic. She always read our chart before seeing us, and asked us how we were before delivering news.

Marian was responsive, kind, and organized. We had one problem with communication that was frustrating - when we started our second cycle we did not have a full consultation, only a partial, so some decisions were made without our knowledge. They were responsive and rectified the situation with a mid-cycle consultation. We will not make the mistake again - the office staff in that case needed to be better as communicating as an entire team, but Marian herself was great. she even answered our late-night call when we had a panic attack about administering the double trigger We really love her and hope to work with her again.

Dr. Dicken is a skilled doctor who is willing to treat patients with severely diminished ovarian reserve. I went to retrieval with an AFC of 7 and an AMH of below .4. She specializes in this type of treatment and did not overmedicate me, in order to avoid compromising the quality of remaining eggs. She was willing to incorporate HGH at my suggestion, based on outside research I had done. At one point we had some communication glitches, which resulted in our having to delay a cycle, but we came to learn this was more the result of failed communication between her and the office staff. We are very grateful to her for her willingness to help patients like me - she will go to retrieval for only one egg, because she understands how precious that one egg is.

Ask questions, and be sure that you understand every aspect of the proposed treatment as well as the rationale. Maintain communication throughout.

Our first cycle, we used 150iu of Menopur and 150iu of Gonal F, then added in 250mg of Cetrotide three days before retrieval. We triggered with HCG. The rationale was to not overmedicate, as I have DOR and too much medication can compromise the quality of eggs. We retrieved 4 eggs, and froze one 5-day embryo, which tested PGS normal. The second cycle, we hoped to have similar results but possibly retrieve more eggs without compromising quality, so we kept the protocol the same for the first five days, but then increased the Gonal f to 225iu on the sixth day, and added 1mL of Omnitrope (HGH) to increase egg quality. We also started the Cetrotide sooner to allow the eggs to grow a bit longer while preventing premature ovulation. We triggered with a combination of HCG and Lupron. That cycle, we retrieved 9 eggs, though only 6 were mature. Of those six, three made it past day 3, and 2 made it to freeze. We tested both - one came back PGS normal, and the other was inconclusive (the cells that were biopsied did not have enough DNA to run the test - annoying). We are about to start a third cycle and will probably keep the treatment the same as the second, because we were happy with the results.

We had two cycles covered by insurance. The next will be self pay. The first two cycles came out to about 5K each including the cost of PGS testing and co-pays. They have quoted the self pay cycle at about 12K.

Dr. Dicken recommends transferring two past the age of 35, though she is more cautious with PGS-tested normal embryos and the last time we spoke, indicated that it was ultimately up to us. We will most likely transfer the PGS normal embryo along with the inconclusive embryo at the same time, because that (according to her) gives us the highest chance of a single live birth. Overall, she is a good combination of realistic but cautious.

Very nice facility. Some weird art. The staff knew me and again always struck me as efficient and conscientious. While Dr. Dicken was based on the 6th floor mostly, many procedures are on the third floor, and that could sometimes be confusing. Doctors cover for each other occasionally, and the in interactions I had with Dr. Tortoriello and Dr. Wang, I found them both pleasant, responsive and effective.

Dr. Dicken and nurses and staff at the clinic were all kind and responsive in communicating.

The nursing staff I encountered on visits were always kind, professional and efficient. I wish they all wore name tags because I often ended up seeing the same people and while they knew me, after a while, it was awkward not to know theirs and to have to ask. Jacqueline, the coordinating nurse, once or twice was party to minor miscommunication, but it was always resolved quickly. She always had a lovely affect, which goes a long way.

Dr. Dicken was always clear, efficient, and realistic but positive. She responded to emails quickly, within 24 hours on weekends and much sooner during business hours. She easily answered any questions I had, and I always felt cared for. She went out of her way to support me when a cycle went awry financially and while it was a small thing for her, it made a huge difference to me. She responded conscientiously to my financial needs as well as my body to adjust treatment and I never felt like I wasn't getting the best care just because I couldn't afford every option.

If you're not sure, ask and she'll tell you.

I had exhausted my covered IVF cycles and prescriptions and was limited to paying out of pocket for all drugs but had unlimited covered IUI cycles. She prescribed letrazole for low side-effect follicle stimulation, which I responded well to, producing 3-6 follicles for each of 5 cycles, the third resulting in a chemical pregnancy. Around that time, she suggested injectables would produce more eggs, if I could afford it. After two more negative cycles, I felt I was ready to try the more aggressive injectables. She gave me the choice of Menopur or Gonal-F, giving me a timeline and estimated number of doses, saying the output would be about the same. She did not indicate that the number of doses could go much higher, based on how my body responded, but it did, by five days, the follicles needing more time to grow than anticipated. I might have made a different choice had I known, but when it happened, I couldn't just scrap the cycle and while I did incur some unforeseen debt, she helped me out with a box of Menopur they had on hand at the clinic. This made a big difference to me both in how much I had to pay and struck me as a caring, humane gesture that certainly she didn't have to make. It was worth it, though, since that sixth cycle has ended up in a viable pregnancy!

$50 copay each visit--30 for seeing the doctor, 20 for labs whether I had them done or not. I was billed later for fees. I ended up spending an average of $800 a month at the clinic and on associated out-of-pocket drug costs (I used Kings in Brooklyn) for IUI cycles using letrozole. I did not investigate discount online fertility pharmacies, and I wish I had.

This clinic treats patients like people and not numbers. I worked briefly with another clinic and had a different experience. I saw a dr once in that prior clinic and wasn’t able to communicate with the dr again. At Sher, I met with Dr. T and then he was available all the time via email.

Dr. T spent a lot of time with me discussing what options made most sense. He and his staff were very supportive along the way, and felt horrible when the results of PGS testing came back to show that all four embryos tested were not viable.

She was so upset when she found out the PGS testing results from my first round of IVF. She was so compassionate. She also spent a lot of time with me on the phone beforehand deciding whether to do PGS testing or a fresh transfer...she truly cared about me as a patient — my physical and mental well being. I should also mention that she called me on a day off to let me know that two more embryos could be frozen and tested...that spoke volumes to me.

He is caring as a doctor and cares about his patients. He is always available by email and responds quickly. He discussed options with my husband and me, presenting us with the info we needed to make an informed decision, and had patience when we went back to him several times with follow up questions.

Meet with him...and work with him.

We started with IUIs because they were needed before IVF coverage. We did three, and I had a chemical from the last one. We then moved into IVF with PGS. The first round was not successful. We are gearing up to do a second round.

We had $50 co pays for monitoring appointments. We had a $1000 co pay for IVF cycle.

I haven’t done a transfer yet.

I liked this clinic very much. Everything was organized and I always felt I was treated with respect. The nurses were always friendly and there was never a long wait. I was always seen within minutes of arriving at the office. Since I am a teacher, the office staff worked with me to accommodate my schedule. I like how they communicate via email and are always quick to answer any questions.

The moment my husband and I met Dr. Wang we felt a breath of fresh air. Coming off a very bad experience with a different doctor at a different clinic, we felt we were given no other options but donor eggs, after only one IVF cycle. On the contrary, Dr. Wang sat with us and answered ALL of our questions. Not once did we feel rushed. He made us feel like all of our questions were important questions. He also suggested supplements that he felt might help us and told us not to hesitate to contact him via email. I already felt like I was in good hands even though we hadn't even started our cycle yet. Whenever I emailed Dr. Wang he was always quick to write a response. It felt good that Dr. Wang actually cared.

All the nurses at Sher were extremely organized and caring. I liked how they provided me with an email of what I had to do during sims. I liked this much better than phone communication. If I had any questions, I could email the nurse. Anytime I emailed them, they always got right back to me.

Dr. Wang truly listens to his patients' concerns and does his best to answer any questions with complete honesty. Every time I asked him something, he was quick to offer his suggestions and feedback about what he think would work best for my cycle. At every appointment he sat with me for a few extra minutes so that he could answer all of my questions. I never felt rushed! He never hesitated to make sure I felt comfortable with the course of action.

If you have felt that all doctors have given up hope on you, please seek out Dr. Wang!

For my current cycle, Dr. Wang suggested I lower my sim doses. At my prior clinic I was on very high doses, but Dr.Wang felt that lower doses would be just as effective. I was on Gonal, Menopur, Omnitrope, and also Predisone. I also did a double trigger for egg retrieval.

I believe my treatment was approximately $7,000 with my insurance.

This clinic is great to work with whether you are local to NY or if you live in another city. By being so easy to communicate with the nurses and the doctors, you never feel like you are far away or that you will be forgotten. They do make mistakes now and then as all clinics, and people in general, are apt to make, but because they are so readily available through email, corrections are made quickly. The only team that can be difficult to get answers from is the financial team.

Dr Wang gives very personalized care. And you can actually communicate with him directly. He takes the time to explain what he recommends and you never feel like he is just throwing out a cookie-cutter protocol.

Dr Wang has great nurses. Leslie is the main nurse and Dr Wang's right hand. She's amazing. The other nurses - Cecilia and Lindsay - are also great. They are quick to reply to emails, and send out prescriptions to pharmacies quickly and to other clinics if you are monitoring remotely.

Dr. Wang is a very knowledgeable and compassionate doctor. He takes the time to answer all of your questions thoroughly. It is amazing and refreshing that patients are able to contact him directly instead of just communicating via nurses. Dr Wang understands that the infertility journey is difficult, scary, and ambiguous. He is open to ideas from his patients, but he will also tell you when he disagrees and the reasons why. You also never feel like his recommendations are just part of a script. Your protocols and other tests are always done for a specific reason and he will tell you those reasons. His bedside manner is warm, friendly, and compassionate. He takes the time to communicate both good and difficult information directly to his patients. Perhaps the only criticism is that sometimes he will leave some decisions up to his patients when sometimes as a patient you just want to be told what to do. However, he only does this when the outcome for either decision will remain unknown until tried, as every individual will react differently and there is know way to know ahead of time. Above all, you feel like you are part of a true doctor-patient relationship with Dr Wang and you feel like you can trust his recommendations. Even when some cycles don't work out as you hoped, you never feel like noone was watching or that a true attempt wasn't made. And that makes such a difference in the journey.

Ask every question you have, no matter how silly you think it might be. Dr Wang is a rare doctor that never makes you feel like any question is dumb, or that you are bothering him or insulting his role as a doctor.

Micro-dose lupron with Follitism and hgh - 1st cycle cancelled due to only 4 follicles growing. 2nd cycle - retrieved 4 eggs. Antagonist with follistim and hgh - 1st cycle cancelled due to low response. 2nd cycle - 5 eggs retrieved. Micro-dose lupron with Follitism, hgh, letrezole - 7 eggs retrieved.

$9950 freeze all cycle - if monitoring not done at Sher. $3820 - FET (does not include monitoring. I'm a remote patient) $1800 - PGS testing. covered up to 8 embryos over 9 months.

Dr Wang approved transferring 3 embryos due to my age and embryo quality. Otherwise, I'm not sure if he has strong feelings to doing eSET vs multiple in other circumstances.

Boutique Appointments rather than open monitoring Don't feel like a number It's almost always empty which makes me nervous! Big staff and sometimes feels disorganized Modern facilities Modern communications Financial coordination is great

His bedside care is amazing. He is warm, open, and caring. He listens and is incredibly patient. He remembers my case and responds to every email!

She was very responsive and supportive. Easy to talk to by email. Seems to know her stuff but for some reason I'm not blown away by her capabilities as a nurse.

Dr T is a wonderful person, and I feel safe and well cared for with him. He knows his stuff and has zero ego. He is open to experimental treatment but committed to the standard fundamentals. I did have two failed transfers with him, however, with tested embryos. He recommended a very different protocol than I had had previously, and I wonder if it was too different, or too out there. His protocol included things like prednisone and intralipids, which I know are controversial. When I wanted to switch back to a more standard protocol he was very supportive, and so far this one has worked (I'm 11 weeks). I would feel very comfortable going to him for a future cycle.

You must do your own research and be proactive! He is quiet and introverted ... Make sure you ask all your questions!

For the first two FET rounds: Crinone Estrace Prednisone (slightly elevated NK levels) Lovenox (for slightly elevated anticardiolipin) Intralipids (slightly elevated NK levels) For third, I switched to PIO thinking maybe it was affecting implantation, skipped prednisone and intralipids and waited on the lovenox until a positive beta. This transfer worked, and so far so good.

$1540 per transfer with insurance Plus other costs

He was very open and asked my preference. Because I said single without hesitating, we didn't discuss it further

Sher has a pretty good system so for the most part you only deal with your primary physician. I had to come in on the weekend once for an ultrasound and met a different doctor on call but in terms of the care I received, it was the same.

Dr. Tortoriello is a very calm and reassuring physician. He presented information without editorializing or imposing any judgement.

I absolutely loved working with Lindsay. She was so incredibly helpful and responsive. Having that kind of support made me feel like I had a team going through the process with me, rather than just me and my husband.

I met with a RE at another clinic before working with Dr. Tortoriello and the experience was like night and day. While the other physician had zero beside manner and barely let me speak, Dr. T really explained everything and answered all my questions. You can tell he cares deeply about patients, and I never felt like a number. I could email him and he would reply very quickly. If I pursue more IVF, it would definitely be under his care.

He doesn't make promises, but he will take so much of the anxiety out of the process. If you need someone who is reassuring, honest, and thoughtful, Dr. T your best bet.

I was on Gonal-F, Menopur, and Cetrotide. My follicles grew slowly so I had a long stimming cycle and adjustments were made throughout. Gonal-F started at 300 but increased to 350. Menopur started at 75 and increased to 150.

I was able to use my insurance to cover my care, although we paid for medications out-of-pocket. I had a couple of great conversations with the Financial Coordinator who practically gave me a line item budget of what everything would cost, what insurance covered, etc. It was so very helpful to go into the process with a clear picture of what we would need to pay upfront.

The clinic itself seemed to be undergoing some changes in management right around the time that I became a patient there. The financial division was somewhat difficult to work with prior to the onset of my cycle. But the clinic itself, or rather the chain of clinics, are nationally renowned for their outside of the box thinking and their successes with the most difficult of cases.

I've never met a doctor quite like Jeff before. Jeff really makes me feel like part of the team that is treating our infertility and not just a number in a paper gown.

Everyone seemed efficient. I don't have a lot to say about the nursing staff.

I can't stress this enough: if you have been to other clinics and have had failed IVF cycles but you are not done fighting infertility yet, you absolutely need to go see Jeff. He treats you with so much compassion and he is the very best at what he does. He tested us for things that other clinics either overlooked and blew off, or didn't bother to look into at all. We aren't pregnant yet, but we have plan of action and Jeff is so patient about working with us through that plan. If he can't help us get pregnant, I am convinced no RE can.

He's so worth it. I don't even live in NY. He's that worth it.

Jeff is really good with cases of poor responders (aka diminished ovarian reserve). Our first attempt with him I responded too quickly and unevenly so we cancelled, and the second time around we adjusted a few things and everything went much more smoothly. It was my 9th and 10th attempt overall and Jeff really studied all of my prior cycles so that he knew what had worked and not worked in the past.

This clinic is costlier than other clinics.

We have not yet transferred. We have only done retrievals with freezing. I believe that he assesses these things on a case by case basis.

Sher is a small clinic. You won't be in a massive waiting room of people for monitoring hours. You will only see your doctor for monitoring so you will have to work with their schedules a bit but it's worth it. It's not the most modern office but everyone is very nice and you feel taken care of.

In spite of still not being successful, I have nothing but good things to say about Dr. Wang. He is responsive, compassionate, thoughtful. He responds to emails on nights, weekends, all the time really, with thorough responses. He always asks what you think, too. Doesn't just give his opinion. He's open to your thoughts and feedback but is also authoritative when you need him to be. He manages all your monitoring appointments. His bedside manner is great. It feels like he is really invested in your success.

All of the nurses and coordinators at Sher are very responsive. Like all clinics I do think you have to stay on top of them and be constantly checking that the plan is the same you agreed with the dr, the orders have been placed, etc. but they're generally very competent.

My background - I started seeing Dr. Wang after a terrible experience at another clinic. He was immediately completely different from what I had experienced at a much bigger clinic. He is patient and kind and thoughtful and researches your case. His responses to your emails are extremely thorough. When I did a test with him (EFT test for implantation and it came back with suspected endometriosis) - he referred me to someone outside of their practice for further diagnosis and surgery. When I didn't agree with Dr Wangs suggestion of taking Lupron and forgoing the surgery, he was very agreeable and worked with the surgeon and continued to be responsive and available. I really valued that even when I went to see someone else he was still open to hearing opinions and thoughts.

Meet him. Do the consultation. Ignore that Sher may have lower SART stats (and really not statistically significant) than other big NYC clinics.

Round 1 : standard protocol - menopur, gonal f, ganirellex -- cycle cancelled due to too few follicles, converted to iui Diminished reserve diagnosis Round 2 : birth control pills, ganirellex to start - menopur, gonal f -- cycle cancelled. Low follicle count. Round 3 : birth control pills, gonal f, menopur, ganirellex, trigger shot -- 5 follicles retrieved, 4 fertilized, no blasts Round 4: similar to round 3, 4 follicles, converted to iui Round 5: similar to round 3 & 4, introduced steroid for inflammation; cancelled around day 5. Few follicles. Moved to donor embryos EFT test - revealed high levels of cyclin E consistent with possible endometriosis-- referred to surgeon for endo excision and immune panel

United healthcare coverage - 80/20 after $4k deductible.

This is a relatively small clinic, which for us was a plus. Before going to SHER, we first went to another facility that was much larger and felt like an assembly line where no one knew our name; frankly, we came to feel unwelcome at this other facility, as though we were dragging down their success statistics. In contrast, SHER was a smaller, kinder and more welcoming place, while still being totally professional. As we were nearing the end of our treatment, SHER was sold to another company. Some changes started to happen, such as reorganization of offices and departments, but we saw only a little of this as we were on our way out (happily, we became pregnant and had a baby). So because we didn't have much experience with SHER after the sale, we don't feel that we can fully evaluate it today.

Dr. Dicken was a kind and understanding doctor, who did not hesitate to give us the information we needed but was sensitive and considerate when she had bad news to deliver. She remembered us, kept in touch and was always available when we needed her. In contrast to other doctors we saw, Dr. Dicken was as kind and warm as she was totally professional. That made a great difference to us as we were going through a stressful process.

We dealt closely with two or three nurses under Dr. Dicken. All were excellent. They were not only professional but were warm and friendly. It made a big difference to us that even the receptionists at the front desk remembered our names and greeted us warmly every time we saw them.

We found Dr. Dicken to be a consummate professional who gave us clear information and took the time to explain things when we had questions. She was encouraging but was always clear about risks and the probability of success. Dr. Dicken also remained available to us when we had questions for her. She responded promptly to emails and made sure that her staff followed up when necessary. We saw her at every appointment that involved a doctor. It is hard to overstate how important this was for us. We went to Dr. Dicken after first seeing a well-known doctor at a major facility who we found cold, remote and insensitive. By contrast, we felt comfortable with Dr. Dicken as our guide through this sometimes difficult process. After some setbacks, we were blessed with a beautiful baby boy and we are eternally grateful to Dr. Dicken for her help in getting us there.

The advice I would give is to see Dr. Dicken first before trying other facilities. Frankly, we wasted time and money with another doctor who was more of a big name but ended up a disappointment.

When we first came to see Dr. Dicken, we were trying IVF using our own eggs. We knew the odds were against us - and Dr. Dicken was clear with us about the statistics - but we were not ready to give up. Dr. Dicken led us through two cycles and made some adjustments to the process. After two IVF cycles, we decided to use an egg donor. The first transfer was not successful, and Dr. Dicken again made some adjustments to the treatment. The second time it worked.

We compared facilities and found that costs at SHER were about average.

I never had to wait more than 5 minutes when I came in for an appt. After my appt they were very quick and good in explaining my next steps. I would have to say timeliness was their biggest strength. For weakness I would say I wish they had someone like a social worker or therapist on hand or that the recommend. Going thru this process can be very hard on your mind and being able to talk to someone about what your feeling would have been great

Dr T was very kind every time I went to see him. Very soft spoken and made me feel very comfortable

I hate doing blood work because I have small veins but needed to do it every appt. but they were gentle and did a great job

Dr T was fantastic from my consultation wiith him to having 17 embryos frozen! Having infertility issues is devestating but finding a doctor like him and now being able to plan a family is amazing. I am grateful for meeting him. Every appt I had with him was comfortable and fast. I would sometimes go on my lunch break and didn’t have to take much time off of work. During my egg retrieval he was calm and patient and caring and checked up on me afterwards to make sure I didn’t have complications. I plan on using his services when I am ready to implant.

Email is his best way of communication and it was mine too because of work. That was perfect. Every email I sent was replied to within minutes by either the doctor or the nurse

I was on menapur, gonal f, and ganirelix. My hormones were high leading up to my egg retrieval so he changed my trigger shot from hcg to Lupron. Afterwards I took a prescription to lower hormones along with ganirelex

I had Cigna so they covered most after I met my deductible. The prescription medicine was an expense I didn’t budget. Cigna covered it but I had to pay a copay and that was 1k

Other staff members were not so great. The technician that assisted during my egg retrieval was unfortunately very nasty. I sent the clinic an email about her. I found this woman to be rude. Other staff member were nice but at times insensitive. I think because some of the aides were young and not trained well enough on dealing with fertility patients.

Although Doctor Wang didn't have a lot of time the time that he did spend was meaningful. He always made me feel important and most of all he was extremely responsive via email. I've emailed other doctors and till this day some of them have yet to respond. Doctor Wang is an amazing doctor the most compassionate doctor I have ever met. In addition, he's extremely smart and thinks outside the box.

Leslie was great! Organized, responsive, and nice.

Again, I can't say just how amazing he is. Smart, compassionate, and extremely responsive. I've dealt with other doctors for fertility and none of them can hold a candle to this doctor not even the doctors at NYU or Cornell. The only thing I wish is that prior to my third transfer we should have done more tests.

Before you do a transfer have doctor Wang do the tests like EFT especially if you've have prior failed transfers. Don't be afraid to ask lots of questions via email, doctor Wang will always respond.

Doctor Wang used a low dose approach for me on mostly all of my cycles. Low dose of the stimulating drugs. For my first few retrievals we did microdose lupin and that worked with my first cycle with doctor Wang and I retrieved 5 eggs and transferred 4 on day three however the result was a chemical pregnancy. We used no more than 300 units of gonal f for the days that I stimulated. The doctor suggested low doses because i did not make a lot of eggs and the few I did make we didn't want to fry them. Ganirelex worked best for me as when I continued to use MDL i would ovulate.

My insurance paid for two cycles with the doctor, but the times i paid cash it was extremely expensive.

My doctor preferred using multiple embryos because of my age. I would not transfer more than 2 embryos in the future

You see your doctor at every appointment (unless it's the weekend-rotating schedule). Small and personal approach. Billing department seems to be disorganized, you need to be on top of your account and insurance info.

Dr. Wang was very warm from the beginning. I had a difficult diagnosis and he remained realistic but positive. With Sher, you see you doctor with every monitoring appointment so it was great to have so much face time with Dr. Wang. Even when we received disappointing news, it felt like he was right there with you. I researched everything so always had a lot of questions. Dr. Wang would email back quickly and took the time to explain everything.

All the nurses I have dealt with were wonderful, however I am unsure if they are still there.

He is a wonderful human being. I felt that he took my questions seriously and was patient driven. I had some questions about protocols and he explained why he suggested the protocol and why some protocols wouldn't be beneficial for me. He has a reassuring way to him, this process can lead to so many worries but I felt like I was able to trust in the process because of him.

Don't be afraid to ask questions but trust in his answers.

We decided to do embryo banking in hopes to have multiple children. We also felt that I would benefit from a lower dose in hopes to get better quality eggs. first attempt at IVF - Estrogen prime (EPP) 225 gonal f - canceled poor response and converted to IUI. IVF 1 - EPP, 225 gonal f, 150 menopur - 6 eggs/3 blasts (freeze all) IVF 2 - EPP, 225 gonal f, 150 menopur - 3 eggs/1 blast (freeze all)

Insurance covered IUIs, partial IVF

We did not do any transfers

The billing dept is the worst. I always get random bills and can't tell if it's truly the most up to date reflection of how much I owe. Some of the nurses are more warm and fuzzy than others. The front desk is great once you get to know them and they have gone out of their way to help me with scheduling my appts.

Dr. Wang may be the most compassionate doctor I have ever been treated by. He makes himself readily available and has always returned my emails the same day, whether I reached out in the morning, afternoon, or late evening. He is always the one to see me for all my appointments and spends the time afterwards to discuss with me any issues or questions that may have arisen.

Leslie is a great partner to Dr. Wang. She is quick to answer my emails and goes out of her way to help me out. I always got my prescriptions without any issues.

Dr. Wang is the most compassionate doctor with a great bedside manner. He is quick to respond to any and all questions that I may have (especially when I start to question or overthink everything or when I'm in a panic). He really is on this journey with you, and is rooting for you to have your dreams realized. He is very soft-spoken and gentle mannered. While I appreciate this, I do feel like sometimes you have to be a little more forceful in telling him you want something done.

Run, don't walk to go see him!

We did IUIs with no medications that all failed. We moved on 5 IVF cycles that were also unsuccessful unfortunately. I was on letrozole, estrace, and Crinone for my frozen cycles. I was on gonal f, cetrotide, menopur and HCG for my fresh transfer cycles following retrieval.

I have always been able to get the early morning appointments. The office is extremely quiet and I'm seen as soon as I check in.

I had insurance coverage

Their approach to patients is the best I've seen. There is no "cattle call" for morning check-ups (you always have an appointment), you aren't seen by any doctor on staff (you always see YOUR doctor), and you know that everyone there knows your unique situation and is working to help YOU.

At Sher you only ever see YOUR doctor and you always have an appointment. There are no "cattle calls" or long waits. Your doctor knows you, they work with you every day. Dr. O replied to emails quickly, never pressured us to try something we weren't comfortable with, and was a great combination of compassionate and professional. She treated us like an individual couple and prescribed a treatment plan specifically for us (unlike at another clinic where we felt like they had one thing they "do" and you were doing that thing that way regardless).

Incredibly friendly and upbeat. They were such supporters of the whole process and felt like they were on our team!

She was caring, compassionate, and professional. She is a great communicator, easily reachable via email for questions/concerns. She performed every procedure and saw us for 99% of our visits.We felt like we were seen and heard and treated like individuals.

Speak up! Be your own advocate because she is more than happy to listen and follow your lead.

We were IUI patients. I believe I took follistim and the ovidrel for a trigger shot. I also tested for having elevated natural killer cells (NK) that could have been causing miscarriages so after the insemination I took steroids-- about 10mg/day of prednisone-- to help combat that.

I do not recall; they participated in my insurance at the time so we only had copays.

They truly make the process as easy as possible for you. Everything runs on-time and almost seamlessly. Everyone, even doctors, email with you in record time. It's a warm, inviting environment, and staff take the time to get to know you. I'd never go anywhere else!

My treatment was highly individualized, and my care was very hands-on. Dr. Dicken makes recommendations based on medical needs but takes your preferences and resources into consideration as well. Somehow, she managed to recite almost all my numerous test results and numbers off the top of her head during appointments. She always mentioned treatment costs upfront as well as potential savings. Since I prefer less medication, Dr. Dicken always explained why she recommends a new medication or increase in dosage. I appreciated that I was informed and involved in my healthcare decisions.

Jackie, who communicates test results and instructions, is absolutely wonderful! She's friendly and greets each patient, and she's very efficient at communicating instructions and calling in prescriptions. The other nurses (it's changed a bit) that meet with you before your cycle are less helpful and often get instructions and information incorrect.

Dr. Dicken is the best doctor I've ever had...I often say to friends and family that I wish Dr. Dicken could be my doctor for everything! It's a very difficult process, but I got better results each cycle and didn't give up because of her excellent care. She is very thorough, pragmatic, and individualizes treatment. She found a number of things that were missed by my previous doctor. She explains treatment and procedures, so that you know her rationale and what to expect. She always has recommendations to improve the next cycle, and her recommendations always are a good balance of proven treatments and the latest research.

Communicate openly and honestly with Dr. Dicken--she really listens and respects patient concerns, questions, and wishes. When she makes a recommendation or communicates test results (you'll never need to follow up to get test results on time!), she asks what questions you have rather than asking if you have any questions. I was open about some embarrassing things and never been met with judgement, which is very different from my experiences with other doctors. My results and overall experience were definitely been much better because of it.

Dr. Dicken individualized my protocols and changed them as necessary based on my response and test results. I've done both natural and medicated transfer cycles. She added supplements and anticoagulants based on immune and clotting test results. She used protocols with letrozole and lupron to address my ongoing receptivity problems and abnormal uterine biopsy results. I got better results each cycle and finally was successful.

Luckily, my insurance covered the majority of my costs. I chose to do a few more experimental tests that weren't covered by insurance, but they weren't pushed on me and the costs were made clear upfront. I've had a few errors on my bills, but they've been cleared up pretty easily. The biggest hurdle was the initial financial consult, but everything has been fine since.

They are small which I like. You don't feel like a number - you get individualized care. Everyone seems to work after hours and on weekends to answer questions for you. The billing department can be disorganized though.

Dr Wang is amazing and treats everyone with care and compassion. He spends so much time and energy on every patient. He sets such a high standard for all doctors to follow

Leslie was amazing - she got back to me quickly even after hours and on the weekends. I did remote monitoring so i didn't see many nurses in person but always helpful via email, over the phone or when I was there for procedures.

Dr Wang is the best doctor I've ever had (and I had been to several other clinics before). He spends lots of time with you reviewing everything. He answers emails all day and night and provides in depth explanations. I never waited longer than a couple of hours for a response even when he was in another country! He is caring and compassionate. Very open to new ideas. He was the one that figured out I had silent endo and suggested a treatment path. Most other docs keep just doing ivf after ivf without trying to find what is wrong. I would recommend him to anyone. He is truly amazing and I'm so glad I found him!

You will not regret going to Dr Wang - he is amazing!!

He recommended the Yale EFT test to test for silent endo and then a 3 month course of lupron depot - I believe it helped me to be successful ultimately. He also was able to retrieve the most eggs from me (21 each time). Previous docs got at most 8. His stim method is slow and patient so it took a while but paid off.

I was an out of town patient that monitored locally

20k per IVF cycle with PGS testing

We transferred 2 embryos since my egg quality is poor. It also costs me a lot to transfer each time so I liked that he was willing to transfer 2.

I only went there for retrieval and transfer. I was surprised it wasn't more sleek/new/shiny but in the end that didnt matter .... if you travel from out of state it is very easy. we used hotels tonight to get cheap hotel

Dr Wang treats you like a human more than any doc I have ever experienced (and I have known a lot). He is honest but optimistic and understands the emotional side -- example, night before retrieval I freaked out when I had night sweats and worried my estrogen was dropping and I had ovulated. I emailed him at 2am!! HE emailed at like 5:30am saying it's probably fine but he gets I'm worried and we did a quick ultrasound before retrieval to be sure I hadn't ovulated (I had not)

always responded right away to email .... I did monitoring in Boston and she was in NYC and went above and beyond to get all my papers and info in right away. 1000% better than ppl at "top clinic" i went to in Boston

If you have DOR or egg quality issues RUN to Dr Wang. I live in MA but traveled to NYC to cycle with him (did monitoring in Boston). I had 2 doctors in Boston tell me I might need donor eggs at 34 and with already having a naturally conceived child, and that seemed crazy. My first cycle in Boston was cancelled before retrieval due to no response (MGH). My second one in Boston got a good number of eggs for me (11) but nothing made it to day 5.... after this I wondered if I would never have another child. I read about Dr Wang on a fertility chat board and made a phone consult. What I loved about him is unlike the docs in Boston who had a very cookie cutter approach, he was willing to think out of the box. Like whereas they said I should do a 5 day transfer, he said sometimes those with quality issues do better on day 3 (which happened for me). While the Boston docs thought the problems were all me since my husband's sperm was always normal, he thought due to terrible quality of embryos on one cycle, it was worth doing a sperm DNA fragmentation test (which showed abnormality) and so we used PICSI in this cycle (no on in Bos would do it). He allowed HGH because while he agreed with Bos docs that it often doesn't help, it sometimes can, and when I told him I wanted to throw the kitchen sink at this, he said great..... His stance on many issues was "if it won't hurt and there's some evidence to suggest it will heko, let's do it" (eg giving me low dose prednisoe because i have an autoimmune disease) He responded to EVERY email I sent within 12 hours max, often in 20 mins. This includes emails sent in the middle of the night .... at other clinics the docs didn't even answer email, it was all filtered through nurses

Do not be afraid to ask him anything!!! he is very open minded

Estrogen primed microdose lupron

i had insurance coverage but believe the cycle was about $25K (it's expensive but worth it)... we paid out of pocket for PICSI at 1000

Given our horrible quality (never making a blast) and my insistence I was not doing IVF again (I had insurance coverage but emotionally could not handle it), and our saying we'd prefer twins to zero kids, we were aggressive. we transferred 4 day 3 embryos. We ended up with twins born healthy at 38 weeks

This clinic is not a factory. The receptionists knew me by name and were always cordial and helpful. I always got the early appointments I wanted so that I could go to my monitoring before work, which was very helpful.

Dr. Wang is the most caring, engaged, and dedicated doctor i have visited in 15 years of living in NYC. He takes as much time as needed to explain everything that is going on in your body (helpful for us non-medical professionals) and gives his candid evaluation in a straightforward but kind and patient way. His receptionists knew me by my first name, and his office is absolutely not a factory. He also is completely available and responsive by email, even once when he was on vacation and I called with a minor question that I thought another doctor would answer, he sent me an email.

Kind and respectful.

Dr. Wang is a patient, kind doctor who treats you like a partner on the fertility journey. He explains everything and always treated me with the utmost respect. He shared equally in our disappointment when there were setbacks and in our happiness when I got pregnant. I always saw him (with the exception of one visit when he was on vacation).

Run, don't walk, to an appointment with him. You will not find someone more dedicated.

After not getting my period for 6 months I was prescribed three cycles of clomid by my OBGYN. After not getting pregnant i went to Dr. Wang, who immediately diagnosed me with PCOS. I went on to do three cycles of letrozole, and got pregnant on the third cycle with an injection to induce ovulation once the follicles were mature.

I had insurance coverage, but a high copay for the sonograms.

n/a

It always feels very orderly and zen-like in the waiting area. The staff that picks up the phone/coordinates appointments are professional and efficient. The clinic's schedule is managed so well that I am simultaneously always able to get an appointment and yet there is never a wait to see the Dr.

From the onset, Dr Dicken asked what our long term goals were and what we were willing to do to achieve them. She remembers practically every detail we've shared with her about issues ranging from our preference for non-medicated cycles to why we have a timing preference for our most recent planned transfer. She demonstrates empathy and always shares her professional opinion directly, kindly and without judgement.

Dr. Dicken's nurse Jackie is efficient, friendly and caring. She answers all our questions promptly, takes extra time to send us our blood test results levels (our request) after every blood test (and there are many!) and efficiently executes tasks accurately e.g. calling in prescriptions and conveying doctor's response.

Dr. Dicken is up to date with the latest research, explains her opinion to our questions directly with the positives/negatives, shows compassion/empathy to the tough situation we are in, typically responds to our questions within hours, has a kind/understanding "bedside manner", remembers our preferences for almost every issue (e.g. preference for how medicated we want our cycle to be, how we prefer to take medication), is very sensitive to how we react to the medication, and basically goes ABOVE AND BEYOND IN EVERY SITUATION to provide excellent patient care.

I wish I switched to Dr. Dicken sooner. Do not hesitate. She is an all around rock star in all aspects of patient care.

Dr. Dicken monitored my results closely throughout the process and adjusted my protocol, as needed. Unlike my previous clinic, she was open to estrogen priming and allowed me to use the patch when the pill caused nausea.

Clinic is small boutique style which is nice. Compare this embryology lab to some of the more reputable clinics: NYU, CCRM Colorado, Cornell. Their SART rates are much higher. In retrospect, I regret not choosing another clinic regardless of my outcome because at least I would trust my eggs/embryos were in good hands!

Dr. Dicken informed us that we could have local monitoring (in conjunction with care at Sher) since we live in another state. However, neither the Sher medical team nor my local clinic techs communicated with one another throughout day 5 of my monitoring cycle. I had to call Sher several times to ensure the ultrasound and blood test results were received and read by my RE. In addition, when we arrived at Sher NYC for day 8 monitoring apt, Dr. Dicken said that she only saw 3 large follicles. She said that had been given more information by the local clinic (i.e. follicle sizes measuring under 10mm) then she would have known my follicles were not properly aligned and would have suggested I be placed on a full week of estrogen priming prior to the cycle. However, Dr. Dicken and her team failed to communicate this information to me or to my local clinic during the first 7 days of my cycle. As a result, I nearly cancelled this retrieval. Neither Dr. Dicken nor her team communicated with me or my partner for 8 days while we waited for the embryology report. An IVF clinic will typically provide you information about embryo growth at days 2, 3, 5, and 6. Not the case here. On the morning of day 8 she called me to tell me all embryos had suddenly arrested on day 3. However, she said she was not sure she could provide me or my partner with an embryology report because she wasn't sure the embryologist had even taken notes on day 3! It is important to note that I froze my eggs with Dr. Dicken two years ago. I had great results---18 eggs retrieved and 14 eggs frozen. I also had 6 eggs frozen from another clinic. We attempted to thaw and fertilize these 20 eggs along with the fresh cycle. I received a call from Dr. Dicken letting me know that only 25 percent of my eggs had properly thawed! She said she didn't know why---possible poor lab conditions (and 14 of my eggs were vitrified at Sher) or poor egg quality. Again, she couldn't give me a clear answer.

Nurse was extremely organized and thorough. She was very busy and hard to reach but overall I enjoyed my experience with her.

I will say that I am impressed with Dr. Dicken's ability to help us improve our egg quantity during a cycle that was initially bound for failure. We had 8 eggs retrieved after she greatly lengthened our protocol. That said, I have read that longer stim protocols more often result in poorer outcomes. I wish she had iterated that information to us in order to help us make a decision about continuing with the cycle. Overall, Dr. Dicken disappointed us greatly. She failed to communicate important information to me and my partner several times which nearly cost us a cycle and caused emotional distress while we awaited our results FOR EIGHT DAYS! We also felt she didn't even take the time to read our notes before checking in with us during apts. Ie. In a conversation with me she did not remember my partner's name nor the fact that we'd opted for PICSI. I am also very concerned that the lab did not provide me with an embryology report---vital information for our next cycle.

Her strengths: she will answer emails in a timely manner. She seems like a nice person. Her weaknesses: very poor verbal communication skills. You may have to wait several days before receiving lab report. Dr. Dicken will call you herself. You will have no communication with the embryologist.

Estrogen priming (although not primed for long enough) 225 Gonal F, 75 menopur, ganirelix 16 day stim cycle because my follicles were many different sizes

14.5 K and 5 K for medications

We were extremely disappointed that she wasn't direct about the pros and cons of day 3/day 5 transfer. Also, had I known my embryos would arrest on day 3 I would have opted for this option. Since the embryologists do not check the embryos on day 2 there is no option for day 3 transfer if you opt for day 5.

The billing system here is very frustrating in that they're very slow to file claims and don't always get it done right the first time. That said, it's worth the price of admission to see Dr. Wang, so don't let it discourage you. Just be prepared to not get bills right away and to sometimes get improper bills. The finance department always gets it sorted out, but it takes a while.

Dr. Wang always took time to explain his thoughts and to answer any questions thoroughly. He never rushed me and never left me wondering what he meant or what the plan was. He also has an incredibly thoughtful personality and I truly felt like he was seriously invested in getting us pregnant and taking home a baby. He also remembered little bits about me that weren't pertinent to our fertility, which also made me feel like a real person and not just another patient. I also know for fact that his other patients also feel the same way as I've talked with several of them.

Quick to reply via email, quick to send in meds, etc.

Switching to Dr. Wang after my original doctor gave me the donor egg speech was like switching between night and day. He was candid about his expectations and limitations and was the first to say he was cautiously optimistic. He doesn't make promises, but he works the hardest anyone can to help you bring home a baby. He's also incredibly articulate, which my husband and I found invaluable as both of us are fact driven people who want to know as much as possible in order to feel secure about our choices. Dr. Wang always answered questions well the first time so I didn't have to ask for further clarification or wonder what he meant or feel like he didn't understand my question. With Dr. Wang, I go to sleep at night knowing that we're in excellent hands and even if we don't end up having children, we both know we tried everything and won't have regrets.

No question is off limit with him. He's open to everything and will give you feedback as to why or why not he thinks it's a good option. I wish I'd switched to him sooner, so I'd encourage everyone who is wondering if they should get a second opinion to go ahead and do it sooner than later.

We failed to implant after transferring 3 nearly perfect looking day 3 embyros so he recommended doing the Yale EFT test. My results came back abnormal so we did the lupron depot 3 month suppression to help suppress my estrogen and essentially give the uterine lining a break and chance to "reset." We banked for two cycles before starting the lupron though, b/c with my DOR, there was a chance it would be hard to cycle afterwards and also b/c we wanted to make sure I could make blasts before undergoing the depot treatment. We then went straight into frozen transfer after the suppression phase was over and had a chemical; our first time implanting. We'll continue with more transfers.

I did my monitoring remotely, so I can't talk about the monitoring appointments at SIRM-NYC. However, I CAN say that for remote patients, Dr. Wang and his office do a great job of getting results and orders handled and providing feedback within several hours.

I had insurance for the year I did retrievals, but the out of pocket cost for FETs is 3800, not including monitoring visits.

Dr. Wang will support eSET or multiple. He encouraged us to try multiple embryo transfers given my past history of poor implantation.

Strengths: quick communication, billing was smooth (I have insurance), easy to make appointments in the near future. I only had to wait a long time in the waiting room once, and it was in the weekend so I didn't care too much.

The doctor communicates quickly by email -like within the half hour- to answer any questions. The support staff also responds quickly and with empathy.

I actually never met the primary nurse on my doctor's team because She only spoke by phone to my husband (I had a meeting at work) and she wasn't available when I had my injections class. But she was great over email and the nurse I met at the injections class and at my retrieval was warm and organized.

He explains things calmly and in detail. I saw him at every visit except one weekend monitoring. I trust his judgement and results were close to what he had predicted. For my 2nd round I requested he change one aspect of treatment and he agreed to do so. He responds to emails very quickly which reassures me that my treatment is important.

Don't be afraid to ask lots of questions and explain your ideal outcome. Initially he didnt recommend PGS testing but when we explained we wanted to bank frozen embryos he agreed PGS testing would be beneficial. I'm glad we made that choice.

He recommended a mid amount of medication for my poor egg quality and dimished ovarian resserve. He didn't change anything during monitoring. I only got 1 PGS embryo but I guess egg quality was a little worse than expected. He recommended ICSI and DNA sperm fragmentation for my husband because of low morphology.

My insurance paid for most of it, except retrieval anesthesia ($625) plus cost of PGS testing. I paid copays for office visits and medications. Calls with dr were $75 (not covered by insurance). Injections meeting with nurse cost $100. We had to pay co-pays on all testing. DNA sperm fragmentation test was not covered by insurance.

We told him we were very against twins so he didn't recommend iui or clomid. So he knows we would never transfer more than one embryo.

Sher (SIRM) is a much smaller clinic than most in NYC but is still very highly rated. The best part is the you always see your doctor. Your doctor does all your monitoring, your retrievals, your transfers - unlike some of the bigger clinics where the doctors all rotate. I think when you're dealing with multiple cycles and poor responses, this type of connection is so important. The outward appearance of the clinic is not the most modern - they could probably use a little office face lift, but the quality of the care makes up for that. The reception and nursing staffs are kind and familiar. They accommodate appointments easily. It may not seem like an important detail, but there is never a packed waiting room so you don't feel like you're being herded through like I have felt in other places. The doctors are still busy and dealing with lots of patients, but you very much feel like a patient and not a number when you're at Sher.

Sher is a much smaller clinic. I had previously been at RMA and was very happy with the level of engagement you get with only your doctor. Dr. O'Shaughnessy is very real, upfront, and while not warm and fuzzy, she is responsive, and knows you and your issues and the plan.

Marian could be a little disorganized and on several occasions did send me calendars and medication details that were not reflective of what the doctor and I had spoken about. She is super responsive on email and quick to check with the doctor and correct the details. But I did need to be super on top of it and reconfirm everything. She is very very kind and compassionate.

Dr. O'Shaughnessy is very experienced and authoritative. She made me feel at ease after a bad experience at another clinic. She is very matter of fact, which for me, works well. She gives the facts and doesn't necessarily add much color commentary. She is responsive by email and also makes time available to talk on the phone.

Don't expect warm and fuzzy or humor. She's very pragmatic and straightforward.

1 IVF - Gonal F (150) / Menopur (75) / Omnitrope protocol. Day 5 of monitoring showed only 3 follicles. Decision to convert to IUI cycle due to low response. - IUI not successful. Diagnosis - diminished ovarian reserve 2 IVF - Estace pre-cycle // Letrazole / Gonal F (150) - "estrogen primed cycle" - introduced Menopur later in the cycle. Ganirellex. Trigger shot. 5 follicles retrieved. 3 fertilized (donor sperm) // 1 arrested at day 3 // 2 arrested at day 5. None made it for PGS testing. 3 IVF - about to begin // will use Ganirellex prior to cycle day 1 in hopes of getting more even growth across follicles.

I have $25k Lifetime coverage through United Healthcare which Sher accepts. I gave a $1k deposit to cover all office copays at the start of my cycle. My medication is coverage through my medical insurance - minus $3k deductible.

SIRM has a lovely, modern waiting room. As for the pre-op and operating rooms, I found them a bit outdated. I was surprised that the operating room was separated by just a curtain from the hallway, and I remember looking at a lot of messy shelves in the OR while I was waiting for the anesthesiologist. But in the end, it isn't pretty ORs or facilities or even the nurses or office staff that make a place great - it's the doctors and the lab that are going to get you your baby. And with Dr. Wang and the embryologists at SIRM NY, you've got a winning combo.

Dr. Wang is the best doctor I've ever had. Beginning with our consult, he welcomed us recording the session. He gave us some great advise and came up with a game plan right then. He never and still has never uttered the words "donor egg", even with now 5 IVF failures. We left there and he wrote down his personal email address to write him with any questions. Over the next month and a half, even while getting treatment elsewhere, we were in constant email communication with him and he provided guidance every step of the way. He always responds quickly and never makes me feel like any question is crazy or stupid. He has looked for, tested, and found issues that no other doctor thought to check before. I live 7 hours away and he is worth every second of the drive to see him. With my other doctors, I was stressed and frustrated because I never thought they listened or cared. Jeff is a true one in a million, and I will be eternally grateful for having found him.

Leslie gets back to me quickly, just like Dr. Wang. However sometimes it takes a lot of back and forth to get a simple answer done. I feel like I need to follow up a lot to make sure things aren't forgotten or to make sure things are received. Often she'll tell me something wasn't received, so I have to call my local doctor or pharmacy and they will tell me it was sent, so there's a lot of back and forth and then Leslie will find it. I don't know if that's her fault or if maybe the office is not so organized in general.

Dr. Wang is incredibly kind and compassionate. He listens and involves me and my husband with every step of the journey. How many doctors can you email personally and who actually find the time to write you back? I can tell you at least in my experienc - one! And it's Dr. Wang. He has gone above and beyond to help us, and I will never go to another doctor. I feel like we are partners in my care. I can't say enough about him. Just go to him - you won't regret it.

Be prepared to work with the best doctor in your life.

For my 5th IVF and first with Dr. Wang, he recommended estrogen priming with a lower dose stim protocol for me with my DOR. We also tried HGH. He said HGH will help 20-30% of people get better eggs, so it is worth a try. From that we got 10 eggs - more than ever retrieved, and 4 fertilized - more than I ever had fertilize. Unfortunately the quality was the same as all my other tries - highly fragmented and only 3-4 cells. So the HGH didn't help me in my case but I'm glad we tried. He tested my husband for DNA fragmentation to see if that could be a reason for poor embryo growth (he was normal). He also recommended I get an EFT test, which showed I had receptivity issues. From there he recommended I get a laparoscopy to see whether I might have endometriosis, which could potentially cause the receptivity issues. Sure enough, they found the endometriosis during the lap, which was removed. Knowing this, he may have discovered why we've had such trouble all along - no other doctor suggested looking into whether I had endometriosis. So now we are going to try a new protocol to tackle that somewhat and hope we get different results.

Everything was billed to my insurance - I haven't received any bills yet. We did pay ~$1,000 for various testing that was not covered by insurance.

For my poor embryos, I think we would have transferred 2. But mine didn't develop well enough to have that conversation.