Sher Fertility Solutions New York

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.

We are extremely grateful to Dr. Tortoriello for his expertise and care. We came to Dr. T after having 2 failed FETs and 3 failed IUIs. Within the first round of treatment we had an extremely successful IVF round, ending up with 6 genetically normal embryos (!!) from one round, versus the two we'd gotten from our 1st round and one that we'd gotten from our second round, and our FET with Dr. T worked on the first try, versus two failed FETs we'd had before coming to Dr. T. Based on the effectiveness of his approach alone I would 100% recommend Dr. T to anyone who is looking for a fertility doctor in NYC.

I would say that, as with many doctors, you always have to be your own best advocate. I found that it was very important to stay super organized and to ask questions. Dr. T is amazing, but he's not infallible, and there were a couple of times when I needed to ask "didn't you mean this?" when we were confirming a detail of a medication regimen, based on what he'd told me before. I think this is true with most doctors, so just a general word of wisdom going into this process.

For the IVF cycle we did with Dr. T, the biggest difference between this regimen and the two we'd done before with another doctor was the use of HGH (human growth hormone), or Omnitrope. That seems to have made a huge difference -- we ended up with six (!!) genetically normal day 5 embryos (from 27 eggs), vs. the two we'd gotten in our first round (from about 20 eggs), and the one we'd gotten in our second round (from about 30 eggs). It's a little hard to remember everything we did but looking back at my treatment calendar it looks like we did Cetrotide, Estrace, and Omnitrope for about a week, in the week *before* my period. Then once I was at day 2/3 we stopped the Cetrotide and Estrace, kept doing the HGH, and added in Gonal F and Menopur. We did this for about a week and half. Then used HcG and Lupron for trigger shots before the IVF procedure. After the IVF, and before the FET cycle, we did a mock transfer to two tests: (1) a Receptiva test to test for endometritis or endometriosis (came back negative) and (2) an ALICE test to test for any problematic bacteria (came back negative). With my previous doctor we'd done an ERA (endometrial receptivity assessment) to test for the ideal # of hours for me to do FET after starting progesterone and we used those results in our FET with Dr. T. For the FET, before the transfer, Dr. T had me on estrace (estrogen) twice a day (4 MG twice a day); folic acid (1 pill); prenatal vitamins (which I'd already been taking for a long time); HGH injection once a day; vaginal viagra (! yes, vaginal viagra! this was new also, I'd never done this before) twice a day; predisone (a steroid) twice a day; and neupogen (an injection-- 20 iu once a day). I was on all of these meds for about 4 weeks (a little more) leading up to FET (my timeline was about a week longer than typical because the lining of my uterus wasn't getting to ideal thickness and so he gave it a little more time). We also did 2 PRP infusions and I had an intralipid infusion about every 3 weeks. As mentioned my uterus lining wasn't getting to ideal thickness so Dr. T also added in vaginal estrace (1 pill inserted into the vagina at night) about 2 weeks (maybe a little longer) into taking medications. My lining never got beyond about 7mm, but the trilaminal (trilaminar?) architecture/shape was good, and the FET worked :-) As far as rationale for all of this: The Vaginal Viagra, acupuncture (I did this also), and intrauterine PRP lavage were to help thicken the endometrial lining. The HGH was to help with egg quality. The predinose and neuogen I believe were used under the assumption that I might have a hyperactivated immune system that was rejecting the previous embryos (this is the "natural killer cell activity" theory which is relatively new in the fertility world).

We were extremely fortunate to be able to use insurance coverage for our IVF + FET with Dr. T (1 of each). This was our 3rd and final covered cycle. This also covered standard medications. The experimental medications were not covered by insurance. By the time we're done with medications total cost will probably be $14,000-$15,000. This includes medications, office co-pays, 2 PRPs, 5 intralipid infusions, and the receptiva and ALICE tests.

Dr. T always made me feel 100% comfortable in every setting - office visits, IUI, retrieval, and transfers. I never felt confused about anything and was totally relaxed in every moment being a patient of Dr. T. I felt that any of my concerns were valued and discussed.

Follow Dr. Ts directions and opinions 100% - he is an amazing expert !

I did 3 rounds of IUI, all unsuccessful. We then switched to begin the IVF process which included oral medicine as well as the injections and trigger shot before transfer. I was able to get 6 eggs from 1 retrieval - only 2 made it to viable embryos. My first transfer (5 day fresh eggs) resulted in my daughter. 2nd transfer a year later (frozen embryo) resulted in my son. We listened to every bit of advise and instructions given by Dr.T and we could not have been happier with our total experience over the past 5 years at Sher.

My insurance covered all

At our first transfer, we went in thinking we wanted to transfer our only 2 viable embryos, but we’re not aware of any concerns regarding doing this. Dr. T talked us through all of our options and without giving his opinion, he gently guided us in the safest most effective outcome. But he did not use his opinion to sway us in a direction, he openly gave us the opportunity to chose what we wanted. We ended up transferring 1 egg which led to a successful pregnancy.

Dr. T is truly a great doctor and compassionate, caring and patient. Over several years of treatment he never turned me away, we did several IVF cycles and embryo transfers that were not successful he realized I had immunological issues and sought the advice of a reproductive immunologist who assessed my case, performed endometriosis surgery and added medications to my cycles to suppress the immune system. With a frozen embryo transfer done at Sher I was able to become pregnant and recently delivered a healthy baby. I highly recommend Dr. T and Sher for those struggling to conceive.

Don’t lose faith it may take a few cycles but maintain a positive attitude. You are in good hands with Dr. T.

Several IVF cycles covered by insurance some out of pocket.

Dr. T is a very experienced, thoughtful, knowledgeable, and kind doctor. After the first consulting with him, I know I found the right doctor. As a patient, I can see him every time I visit the clinic; I can receive his response on my questions promptly; even when I don't have sufficient medications, his clinic immediately provided me some for urgent use. I really appreciate it. I feel he is not only for the money, he loves this job and has full passion on his patients and his career. The Clinic is quite clean and in good order. In general, nurses are all nice and friendly, especially Cecilia Choe.

Follow Dr T's instructions, he knows what he is doing and would find the best treatment for you. Trust him.

cant remember the treatment protocols, I just followed Dr. T's instructions.

did not calculate yet; but feel reasonable.

Did not discuss this question with him, as I have only one embryo to be transferred.

How to describe Dr. Tortoriello (Dr. T.)?? Honestly speaking I don't have words the only thing I can say that he is the best doctor in the whole wide world. I am his international patient. I saw doctors both in the USA and out of the USA as well but only got a positive result thru him. My first cycle didn't work however I just delivered my twin boys thru my second cycle done by Dr. T. The only thing I can say that if you have been to other clinics and had failed IVF cycles but you are not done fighting infertility yet, you absolutely need to see Dr. T. He tested us for things that other clinics either overlooked and blew off or didn't bother to look into at all. He is a very knowledgeable and compassionate doctor. He always takes the time to answer all of your questions thoroughly. Dr. T understands that the infertility journey is difficult, scary, and ambiguous. He is open to ideas from his patients, but will also tell you when he disagrees and the reasons why. His bedside manner is warm, friendly, and compassionate. He takes the time to communicate both good and difficult information directly to his patients. Above all, you feel like you are part of a true doctor-patient relationship with Dr. T and you feel like you can trust his recommendations. Even when some cycles don't work out as hoped, you never feel like no one is watching you or a true attempt wasn't made.

Just listen to his recommendation and trust him.

I don't remember all of the exact treatment and strategies that he used , however, the only thing I clearly remembered that he prescribed HGH during my egg retrieval cycle as well as in my transfer cycle. My second cycle was a success and resulted in a positive pregnancy with 2 healthy babies.

I paid $14,500 for 1 egg retrieval and a frozen embryo transfer cycle.

He is calm and thorough. He never got agitated, even when at times I was frankly a lot to handle. My baseline mode borders on panic to begin with. I thought I was going to burst from anxiety when he told me my sperm count was super low. But he worked through this with us and got us the right tests and treatment without wasting time. Plus my wife has English as her second language and speaks English not very well and Dr. Tortoriello always took time to listen and speak with her slowly so she understood.

Trust him and ask questions at each visit in the AM.

Urology consultation showed me that only IVF with ICSI was the way to go so we didn't bother with inseminations. My wife did a regular protocol with follistim and menopur. We did well. I wanted a fresh day 5 transfer so we did but it was only a brief pregnancy (chemical). We did PGT testing on the rest and had 2 normal embryos. We took a 2 month break to recharge our batteries and then did a frozen transfer with one girl embryo. Thank goodness it took.

Sher is more of a boutique clinic. They give each patient appointments so it is never crazy or crowded...a good thing especially during COVID.

~13k

He recommended one embryo per transfer.

Honestly, when Dr. Wang left, I wanted to follow him to his new clinic. But because of various logistical reasons we decided to stay at SIRM. Dr. Dicken has been fantastic. As a poor responder, I appreciate that her protocol for our most recent freezing cycle hasn’t simply been a canned response.

If you’re a former patient of Dr. Wang’s and you’re thinking about staying with SIRM, Dr. Dicken is a wonderful option.

Our protocol has been shaped mainly by past failures and though our work with Dr. Wang. We use a combination of low-stims and estrogen priming, plus hGH. Dr Dicken added a few tweaks to that protocol for poor responders (like a dual trigger, for example). I liked that she had poor responder data and observations to back up her protocol tweaks.

I am a satellite patient and I monitored out of town and flew in for egg retrievals. It’s difficult but not impossible to do this but you have to be prepared to manage a lot of the appointment go-betweens yourself.

I am fortunate to finally have IVF coverage but it’s not the greatest and many thing still aren’t covered. The things we have had to pay out of pocket for are required to be paid for before cycling. SIRM is much more expensive out of pocket than other clinics we have been to.

Dr. Dicken counsels each patient on this individually.

He is very professional, he answers all your questions and also is always available via email. He is kind and compassionate but also direct. Sometimes when you get bad news, you would prefer not to be direct but he isn’t dismissive of your hopes and dreams. We had two miscarriages with both of our transfers so the embryos likely had chromosomal abnormalities and he indicated this early on when signs showed it via sonogram but also let me have hope.

Go with Dr. T and Sher, they are kind and know what they are doing. Ask questions when you need to and know that Dr. T is usually right when he says things don’t look right.

He put me on an estrogen patch for 5 days to increase my follicle count and it worked. He followed my follicles very carefully and didn’t have me trigger too early, he adjusted my medicines daily as needed and as a result he got 4 eggs and all of them made it to 5 day blastocyst.

14,000k for IVF cycle, $3800 for frozen embryo transfer

He let me make the decisions.

I have a very tricky schedule living in NYC with two toddlers (one with special needs) and no family to help out so Dr. T was very flexible in my appointment scheduling which was such a relief because there was no way I could have attended other well known NYC clinics with my schedule. He always answered my questions via email or in person and I asked huge amount of questions. He was straight forward and honest but kind and compassionate at the same time. He was always right about my treatment.

Just ask questions and ask the office staff questions as well to put your mind at rest and email him your concerns. I never had to long wait or really any wait at all at his office...it was well run.

Started with clomid even though I pushed that because I was new to fertility treatments and nervous about injectables, IVF etc and wanted to try something as simple as possible. He was right when he said it probably wasn’t the best course of action to take in my situation and it caused more issues for me. Then we moved to injectables and timed intercourse which failed the first time but worked more in harmony with my body and again he was correct 100% on which drug protocol to use despite me asking about trying other drugs and him assuring me that his choice would be best for me. My 2nd round of injectables we tried IUI and I got pregnant.

I only had co-pay each visit and co insurance until I met my deductible.

I don’t have enough words to describe the great Doctor he is. He is smart and is very knowledgeable in the latest research. He always changed my plan according to my needs. If something didn’t work, he looked for a solution. In my case he found it and we are blessed today at my age 44 with my own eggs. This is truly a blessing and miracle and It couldn’t happen without him. He didn’t turn me away where others did so it speaks to his compassion. He is dedicated and very diligent. I always felt 100 trust in him and his approach. He leveled with us when we asked the difficult questions and never gave us false hope... but somehow still managed to give us hope. I always felt relaxed with him because he is so easy going and very calm. That helps during such difficult times. I will forever be grateful to him.

Don’t ever give up and Trust Dr. T. And his approach. I feel he is not about the money.... but truly cares. I believe that he really is in this to help in this difficult journey of infertility.

We asked Dr. T what he thought would be best for us and our situation. He would always give us his expert suggestions but ultimately try to let us decide how many we wanted transferred as long as it was safe. Based on my age we would transfer no more than two.

Dr. Tortoriello was kind and communicative from the second I consulted with him. I had previously been to another clinic where I felt like a number and that the clinic had decided I needed to undergo IVF before even diagnosing me or conducting any tests. The experience with Dr. T was entirely opposite. He wanted to make sure to explain things to me and would not provide an opinion as to the best course of action until he conducted preliminary tests/did a workup. Dr. T communicated with my husband and me throughout all of the treatments we did.

Ask him any questions you have...he will answer them.

I first went through three IUIs for insurance coverage purposes. I used clomid in the first and third cycles. The third cycle led to a chemical pregnancy which slightly delayed moving forward with IVF. I had to do three egg retrievals. Given my age, we PGS tested all embryos that survived to day 5. For the third retrieval, Dr. T decided to add in HGH...it was this cycle that led to the ONE embryo that tested viable and which we then transferred.

Fortunately, my insurance covered a large portion of treatments. IUIs were covered; i had $50 co-pays every time I went for an appointment. IVF was 75% covered so I had a co-pay prior to treatment. Same for the transfer. I had to pay for medications.

I only had one viable embryo to transfer.

Dr T really took the time to learn my entire background going back to teenage eating disorders to my current high blood pressure to recommend the next steps. He was an amazing listener (my husband and I are both talkers!) and asked questions that we were able to fill in. The day of our consultation we immediately got the ball rolling with an ultrasound and blood tests.

Ask as many questions as you need - he will take the time to answer them.

We are still in testing consultation mode after returning from a two week vacation. Our next steps will be IUI if needed.

We have coverage through my husband's employer.

N/A

Dr. T put me at ease during every appointment. He has an extremely calm bedside manner and explained what we were trying to accomplish at the beginning of every appointment. When we had an unsuccessful frozen embryo transfer, I felt that he truly took the results personally and had a different path to my care for the following attempt. I trust his professional judgment.

I would advise anyone to come in equip with questions you have in mind. He is extremely knowledgeable but cannot read your mind and expectations.

I don't remember all of the exact treatment strategies used, however, I do think Dr. T was conservative in administering hormones (in a good way) so I wasn't overstimulated. I had heard horror stories from other clinics and felt fortunate to definitely avoid that experience.

We had care under the Progeny insurance network.

Dr. T was very firm to transfer a single embryo each time given my younger age.

I was skeptical about Dr. T in the beginning because I had been through so many negative experiences with fertility doctors. But with every questions, concern, or anxiety I had, he stayed calm, patient, and kind. He treated me like a friend as opposed to a number. Hands down, the BEST experience. I recommend him to everyone looking for an IVF doctor.

Don't let your anxieties get in the way of Dr. T's expertise. He will tailor the treatment to you and will actually care about your outcome.

I'm not sure the name, if there was a name, of the protocol Dr. T used but I can tell you we used Letrozole, Estrogen patches, baby aspirin, and progesterone suppositories. I had gone to Dr. T because I was told my egg quality was not good. On top of that, I had ashermans syndrome (scarring of the uterus due to 2 DNC's caused by another doctor). Dr. T was honest. He made no promises and in my eyes that's all I wanted! I can successfully say I now have a healthy 4 month old son because of Dr. T. We did use a donor egg however I was able to carry my son the entire pregnancy - gave birth at 38 weeks - myself!

It cost us approx $90k

I told Dr. T the gender of the baby my husband and I wanted and I let him pick with embryo looked the best and would give me the best chances. Can you tell I had faith in him?!

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.

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.

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.

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.

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.

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.

My wife had a serious complication that resulted from ovarian over-stimulation. She wound up in the hospital. Dr. Tortoriello actively participated in her treatment and remotely was able to correctly diagnose my wife's condition. His correct diagnosis allowed us to avoid a very dangerous surgery proposed by the hospital staff. For that, we are eternally grateful

Dr. Tortoriello is a very tactful person. Try to tamper your aggression. Trust this doctor to do the best for you. Ulterior motives exit when Dr. T enters

The cost of the cycle (hormonal pre-retrieval therapy, egg retrieval, ICSI, pre-implantation hormonal therapy, PGS/PGD, fertilization, implantation) ran close to $20,000

Unfortunately, we did not have the luxury of having the availability of multiple embryos. Therefore, this question is moot

Dr Dicken was always available on email and very through during all the consults I had including phone consults. She is a very kind woman and made me feel empowered and involved in my treatment plan. She never was condescending and she would get back to me with through responses via email during very stressful times and always put me at ease.

Tell her what you are thinking and she will work with you to do the best treatment for you.

I have DOR and we attempted to bank embryos and she usually stuck to the same protocol of low dose folistim and 1 vial of menopur but at my urging we did add other things into my protocol. I urged her to raise my dose once and she finally complied and it was a mistake and ended up a canceled cycle but I’m glad we at least tried.

PICSI cost $1000 even if it was just 2 eggs retrieved. Consults were $50. Most of my other costs I was lucky enough to have covered by insurance.

It is my great honor and pleasure to write this recommendation for Dr. Tortoriello. He is a miracle worker. After 2 successful IVF cycles at another boutique clinic (on East 69th St. in Manhattan) that resulted in 2 miscarriages at ~8 weeks (devastating), we switched to Dr. T. During my initial consult with Dr. T he recommended a different protocol, adding several new medications. On my 1st cycle with Dr. T, I became pregnant and successfully carried to term and delivered a beautiful baby boy into the world. 2 years later, we went back to Dr. T., the man worked his magic again, and voila, we now have baby boy #2. I intend to visit Dr. T again soon as my husband is eager for baby boy #3...ha!

Be proactive about your case. This is true for any fertility doctor you visit.

After 2 miscarriages at ~8 weeks while at another clinic, Dr. T added Lovenox and intralipids to my cycle medications. My previous clinic did not prescribe these. I was 27 during my 1st cycle, my husband was 45, and our issue becoming pregnant was likely male-factor though it also seemed that I had an issue maintaining pregnancy beyond 8 weeks.

I was covered by insurance up to $25,000.

After I had my first son Dr. T recommended eSET for subsequent transfers due to my age and success getting pregnant with previous transfers.

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