Sher Fertility Solutions New York

I found Dr. T after being dissatisfied with the care at another practice. I did a lot of research and chose to move to Sher so I could be treated by Dr. T. This was the best decision I made as he is truly one of a kind. I had ‘unexplained’ infertility and nothing seemed to be working, despite seemingly endless tests and attempts. After some time under his care Dr. T believed I had silent endometriosis and other immunological issues. He referred me to a specialist who was able to remove my endometriosis surgically and he worked with that practice to continue my treatment until he delivered the amazing news that I was finally pregnant!! Throughout my time there, Dr. T always remained positive and always approached us with new ideas on how to change course (we requested this). He dealt gracefully and calmly with my sometimes unpleasant and frustrated attitude. His responsiveness to emails was extremely valuable to me, as I often emailed him frantically about my case. 10 months after I had my daughter I found out I was pregnant again (naturally!) and my OBGYN was concerned that my hormone levels were very low, he was certain it was a bad pregnancy. I quickly emailed Dr. T, whom I hadn’t spoken to in over a year and asked his opinion. He was, as always, honest but hopeful. That pregnancy ended in a perfectly healthy baby. I will always be thankful to him for finally diagnosing my issue and providing a solution, and ultimately being responsible for the two beauties that are now in our lives! I cannot forget to also acknowledge the nurses and other doctors in the practice who were all so wonderful as well. This is truly a special practice.

I think all patients of all doctors should always advocate for themselves. Come to the appointment as informed as possible, think about what questions you want to ask beforehand.

Dr. Dicken is an amazing doctor. She was constantly present wether it was during a visit, over the phone and through email. She answered every question clearly and non-judgmental can, even if it was a question that I had asked a ton of times before. I felt she truly understood what U was going through not only medically and emotionally and handle it in a delicate manner but still direct and professionally. When I found out I was pregnant she was just as excited for me. I thought that was amazing because she sees so many people. But I felt I was the only one.

No matter what you are thinking or feeling tell Dr. Dicken. She is understanding and kind. Dr. Dicken wants the same outcome as you and she truly cares.

We used clomid to help with the folicals.

I would only have to pay our copay and for the shots, which were around $300. We also had to pay for some tests.

Our dream came true thanks to Dr. Drew Tortoriello Everything began four years ago when we decided to start family. We tried to get pregnant for year with no luck met. That time I went to see my ob/gyn who sent us for some tests. We were confused, sad and depressed. She told us that IVF is our only option. So we went to clinic that was closest to our hometown. Doctors explained us what should we expect, but after failed IUI, IVF cycles and one miscarriage we were disappointed. We did not know what to do next, stay with clinic that follow protocol and won't make any changes or find someone else who can help us. At that time, I met a friend who was doctor’s T. patient and who got pregnant after first cycle of IVF in her 40s. So we called dr. T. office to make apt. and it was best decision of our live. Doctor Tortoriello is caring, knowledgeable and professional. He is always available to his patients, even when he is not in his office. We again ALWAYS received an answer within 5 minutes. He run tests, gave us hope and came up with a plan. After couple additional tests we were diagnosed with thyroid problems, endometriosis and my husband has low sperm count. We also had prolactin level problems and high alfa cells counts. We did not succeed with the first approach, but it gave doctor enough information to optimize and individualize approach. Right now, it is middle of the night when we are writing it, and we are not sleeping because we have a small miracle that is crying by our side since she is hungry. We are happiest since this is something that wouldn't be possible without doctor T. What we want to say is beyond 5 stars, excellent service etc. He helped us made life dream come true, so make appointment with him and you will see by yourself. THANK YOU DR. TORTORIELLO and SHER INSTITUTE FOR OUR BEAUTIFUL BABY GIRL AIMEE :)

TRUST HIM

Dr. Dicken is in a league of her own. Her attitude and knowledge made for an excellent IVF experience. My wife and I were not only blessed with a positive outcome, but also felt totally cared for along the way. After quite a bit of fertility research, we had an initial meeting with Dr. Dicken to discuss our options. We quickly knew she was the best doctor and Sher the right practice to help us expand our family. The IVF process can seem quite overwhelming. Dr. Dicken and the wonderful staff at Sher made sure we had all appointments, calendars, RX’s, and most importantly knowledge along the way. The office is run like a well-oiled machine- rarely a wait, efficient and caring nurses, insurance know-how, and all services onsite. Another couple friend worked with Dr. Dicken/Sher as well; they had the same excellent results and glowing feedback. We enthusiastically recommend Dr. Dicken and Sher to anyone in need of their expertise.

She is an excellent physician with a great staff. Take notes during an initial appointment but know she is available to answer any questions as you go along

We used my eggs and my wife carried. Neither of us had any known fertility issues. Due to the way we wanted to have our child, IVF was the clear path. Dr. Dicken gave us options of a fresh transfer or a 5 day embryo, we chose the latter. Each process was clearly explained and we made the decision based on our preferred timeline. Felt 100% confident and very well educated

I don't recall exactly because we have insurance and were near our policy out of pocket max. Do remember thinking costs were very reasonable, inline with other practices researched, but with better care.

Dr. Dicken was thorough and effective in identifying some problems I had with tubal blockage and low egg reserve. She also tested my husband's doer for amount and quality which were fine. She took me step by step through the process of IUI then IVF until I had my baby. I had a hysterioscopy first to clear my tubes. Then I started hormones and had to undergo three IUI. Dr. Dicken explained that IVF was more effective but I needed IUI's done before my insurance would cover IVF. She was correct. The second IVF resulted in a pregnancy. That IVF I didn't even need injections, just medications. The first IVF I think was rushed because she was trying to get it done before she herself left to have a baby. But the second round went perfectly. Dr. Dicken was patient with my constant questions and responded to a million emails.

Have your health records ready to go, like genetic and medical history.

I had a low egg reserve so a lot of my treatment was smoking up the eggs I had. She measured my hormone levels and gave me hormones in response.

Much of my treatment was covered by insurance but about a quarter of it was by me. Medications (and there were lots) was mostly covered, but I'm sure I spent a few thousand dollars on medication and treatment. Also, I have paid for egg freezing.

He is just a very kind man who cares. You can tell. He never rushed me and answered my emails, sometimes late at night, all the time. He was very realistic without dashing my dreams and prayers. He is incredibly busy but somehow always reached out to me to see how I was doing. Love that man.

See him first...not after schlepping through 2 factory centers first!!!

He used estrogen patches and then stimulation medication. Lower dosages than before. Felt much less bloaty. He triggered me a bit later I think. I got the same egg number but made 2 blastocytes. He implanted both on day 5 and one made my daughter!

Not much....my insurance covers me for 3 cycles.

He offered to implant one, but I wanted both, and he said it was all right as I was nearly 40.

Dr. Dicken is a knowledgeable doctor with excellent bedside manner. She is easy to talk to and cares about her patients. She thoroughly answers all questions her patients have and makes herself available by email which was a real blessing. I felt comfortable asking her questions that may have otherwise been uncomfortable to ask should I have had a different doctor (about bleeding I was having etc). I attribute this to her warm, easy-going personality. I went through 2 IVF cycles with Dr. Dicken and the 2nd cycle resulted in my husband and I having two beautiful twin boys! We couldn't be happier with our experience and highly recommend Dr. Dicken to anyone considering IVF treatment.

Don't be afraid to reach out and ask her about concerns you have (I even sent her a picture of a bloody pad)!

My 2nd IVF cycle we used a treatment where we quieted down the endometriosis I had. I was given 1 shot every month for 3 months so that my eggs could grow without the endo interfering with their growth. I think this was a key factor in my ability to get pregnant in my 2nd IVF cycle.

My treatment was largely covered by my insurance. I think that the overall cost of care was somewhere in the $4,000 to $7,000 dollar range per IVF cycle.

"The best ever RE you can find on the East Coast! Not only in the state of NY, but for the entire East Coast! After being a patient to many other REs, once I met Dr. Wang, I knew he was the RE I needed! We have our miracle son due to his fantastic work, incredible bedside manners, extreme knowledge of protocols and customizing treatments for his patient’s needs. Can’t say enough great things about Dr. Wang and his team! Extraordinary person with charismatic personality and fantastic mind! THANK YOU DR. Wang for making it happen for us after 6 years wait! WE LOVE YOU!!! Forever grateful!”

Never give up and trust Dr. Wang completely!

My successful cycle we transferred my lonely 2 embryos on Day 2 and I have my 1 year old son from that fresh D2 transfer. We used HGH as my quality was really bad especially after termination my first pregnancy with Dr. Wang due to a developmental issue with the baby. So we used everything we knew about .

I had insurance coverage so all I had to do is keep a close eye to all the claims

There aren't enough words in the English language to cover my admiration, appreciation, and respect for Dr. Wang. He kept us involved in the process, answered emails at all hours, was open to our ideas, and fully made it a "team" effort. He grieved our setbacks with us and plotted a new course, and celebrated our victories, including the birth of our child, with us.

Run, don't walk, to see him.

We dealt with severe MFI, so he coordinated with my husband's urologist to time my egg retrieval with his surgery. He monitored me closely to keep my on schedule, and it worked perfectly. He retrieved a significant amount of eggs, and his amazing embyrologist spent 9 hours, until late in the evening, going through the surgical samples to inject the sperm into my eggs. After our fresh transfer resulted in a negative test, he suggested some tests just to be safe (since the frozen embryos were my husband's only chance for a biological child). He did an endometrial function test, and found an issue. I did 3 months of depot lupron to reset my system, and then prepared for an FET. That FET was successful. His treatment was such that, even if it hadn't worked, I never would have wondered "what if," which was a huge gift.

We had insurance coverage, so I can't comment beyond saying that the staff was very helpful in dealing with my insurance, despite the insurance company's hard work to make things as difficult as possible.

This doctor is very easy to talk to and answers his emails within a few hours. He is very compassionate and caring. He listens to you and takes your ideas into account. My first IVF with him resulted in 36 eggs and 22 embryos that ALL arrested on day 3. It was a complete shock that not even one made it to blastocyst. He called me himself with this news and stayed on the phone with me as long as I needed him to. We did another IVF with him in which I also produced 36 eggs and 22 embryos. He called saying they werent looking good on day 3 and I begged if I can come in and transfer 2 to see if maybe they would survive better inside me than in a petrie dish. He agreed. This ended up being a chemical pregnancy. All my other embryos did arrest. This dr was very sensitive when delivering such delicate news. He even admitted to try another clinic to see how my embryos would grow there. Its been 4 years since being treated by him and we still keep in contact. He is a very honest and kind dr. I wish it would have worked out by him.

My advice is that he is a really kind and caring doctor. He is on top of it all and will deliver news to you personally. You will have a human experience here.

My first IVF we used gonal F in varying amounts, menopur, and ganirelix and triggered with HCG. This resulted in 36 eggs, 22 embryos, and they all arrested by day 3. I also had slight OHSS from this cycle. I did another IVF with him and we changed the protocol. I was on BCP for 3 weeks before stims, lupron, gonal F, menopur, and ganirelix. We had 36 eggs, 22 embryos and transferred 2 embryos on day 3 since the dr called saying all the embryos weren't looking good. I ended up with a chemical pregnancy and had VERY bad hyperstimulation and was bedridden for a few weeks. This doctor believed that maybe my husbands balanced translocation caused this (later we tested some of the dead embryos and they were normal so this was not the reason) or that my embryos did not like their lab. He also suggested doing a day 1 or 2 transfer. Ultimately he suggested trying RMA since their lab protocol is difference there.

They were very accommodating with monitoring. Dr. Wang often came in 10 minutes earlier to see me so that I would not be late to work since I worked over an hour away.

I dealt with Jessica at billing and she was very easy to work with. We did 2 IVF egg retrievals here and one fresh transfer. We also paid to get embryos tested. My medications at the time were partially covered by insurance. I believe we spent around $30,000.

He combines facts/figures with also the emotional piece. Didn't shy away from any topic. Gave us realistic picture but also hope. I'm glad we were recommended to him by friends who also had success. More importantly, seems to be very ethical--never wanted to go over board with drugs, used by own cycle at least to try to see if it would work (did), never suggested we transfer too many, respected our decisions

Be prepared to listen even if it's emotional. He really listens but the patient needs to know how to listen also and express all of their concerns

Don't really remember. Seemed to include ganerelix and some other shot for ovulation and the usual trigger injection, progesterone etc at the beginning. Nothing all that unusual

Covered by insurance. Out of pocket probably around $2000 per cycle? Covered around 10-20K/cycle?

I already covered this in the why I felt like a human rather than a number section, and this interface won't let me cut and paste so unfortunately if you want more coherence you're going to have to refer to my previous answer. Short version, Dr. Tortoriello: -- listened to me -- was never patronizing or dismissive of my questions -- never discouraged me from doing my own research -- was kind -- was a straight talker about my treatment details -- had a good sense of humor -- was deft and gentle in his touch with both ultrasound and during retrievals

I remember all of this, but I did too many cycles to be extremely specific here. To give a quick overview, though, after my first disastrous high stim cycle (nothing frozen), I then always did a low-medium stim cycle with Femara for a few days, then added anywhere from 75-300 FSH plus a small dose of HGH (Omnitrope .5mL or less) per day. We then added Ganerelix to suppress ovulation when that became necessary, until it was time for retrieval. The standard 10,000iu hCG trigger shot was used every time. Occasionally we did a luteal phase start. The rationale for this was that the super high stim protocol oversuppressed me and my AFC was never that high anyway (although we would never start a cycle with less than 4, which meant I took off a couple of months after every cycle so my follicle count could replenish itself a bit). With this protocol, I always had at least 1 blastocyst frozen per cycle. I didn't do genetic testing so I've no idea how many of those embryos are normal, butvam assuming at least a few of them probably are.

I've tried to block it out, but it was commensurate with other equivalent clinics in NYC and slightly cheaper than a couple of the others I considered at the time

As long as my doctor is willing to do eSET, I think that's up to the patient; I never wanted it so it never came up, but I'm pretty sure Dr. Tortoriello would do it if that was what I wanted--it's my body/money/willingness to risk or reduce a multiple pregnancy!

Dr. T is not super warm and fuzzy and yet I can tell he cares about my case and wants me to achieve my goal. He is direct but with good bedside manner. He always remembers the exact details of my case. He treats me as a collaborator in my treatment rather than just someone to be told what to do.

At each step, ask about what diagnostics are available. He will work with you to get tests that you want. For example, I asked for NK and thyroid tests before my first transfer and he agreed.

Antagonist protocol. The 2nd cycle we added HGH during sims and 3rd cycle priming with HGH. Improved each time!

aboutt $12000 per IVF cycle (not including meds)

He recommends eSET for me b/c I have PGS normals. I do have an undetermined and he said he would transfer the undetermined along with a PGS normal if I wanted.

Dr. Geoffrey Sher was one of the only doctors that gave me a chance to transfer my mosaic embryos. Not all doctors are willing to take that chance, but he did and I am grateful for that, even though I didn’t get a positive test. He explained the possibilities and the risks and we were aware of that.

The doctor is in Las Vegas but if you live in Los Angeles he goes there every 3 months and perform cycles at the LA IVF clinic.

More then 6,000 for the transfer and lab test and a surgery

My wife and I had an amazing experience with Dr. T. We had a bit of a difficult time getting pregnant and currently we are celebrating nearly a week with our healthy beautiful baby girl. Throughout the process Dr. T was patient and understanding, always available to answer our questions. He had a steady optimism that even in the worst of times during our process, let us knew one way or another things would work out. It took a while and there were some struggles, but having him by our side throughout the process made things much easier. We recommend Dr. T highly without any reservations

Don't be afraid to ask questions - he always is patient and happy to explain things

We used Clomid then injectables for PCOS, and then used IUI to help with sperm morphology issues

Dr. Wang is outstanding. He communicates extensively with me, gives thoughtful opinions and advice, and doesn't put me through anything hard unnecessarily. He truly considers me as a specific patient and doesn't automatically do or not do anything. He is clearly an expert, and has recommended things that have brought us increased success.

Share all of your questions and opinions so he can help make you very comfortable.

PICSI was added for male factor infertility (sperm fragmentation) and this got us 2.5 more embryos than any prior cycle.

Around 11k for IVF, 1000 for PICSI, 3600 I think for FET.

Honestly, even if this doesn't work, I'm glad we tried our 2nd IVF with Dr. Dicken instead of staying at our old clinic. The experience has felt much more respectful and caring. She listens, explains things patiently, and tries to be prepared for all roadblocks.

Have all your tests and documentation ready for her to review. Tell her your concerns.

I have endometriosis and my first IVF cycle the clinic would only do a 5 day blastocyst transfer and none of my embryos made it to 5 days. She thinks endo can make it harder for them to last til 5 in the lab so wanted to try a day 3 freeze. My first IVF I also had a split cohort of eggs growing at different rates. Because of this, she chose not to start me on BCP, but instead a week of estrogen priming, then 225 gonal f and 75 mg menopur. She also let me try Human Growth Hormone for 5 days, which my former clinic refused to do. Ganirelix the last few days. My eggs all grew at the same rate this time, meaning we could retrieve almost all.

My insurance covered it, so I had the percentage that they don't pay for, plus $400 for HGH which they don't cover, plus travel and lodging for the 5 days I had to be in NY for monitoring before egg retrieval. As well as cost for donor sperm and embryo freezing.

They will transfer 3 for my age group.

My experience as a patient was excellent. I was extremely nervous visiting Dr. Tortoriello because I was heavily bleeding and did not know why. Dr. T made sure I did multiple tests to diagnose my situation. He prescribed an endometrial biopsy, sonogram, and inter uterine sonogram. Once he diagnosed the fibroid pressing on my uterus, he knew I needed a hormone shot, medicine and surgical procedures. All went very well and the bleeding has stopped! I didn't feel like a number, I felt like a patient who was cared about. Dr. T. always remembered my case and plus he even wrote me in between visits to check on me. My experience with him has been wonderful. Thank you Dr. T!

Be very honest with him about all your symptoms and trust him.

I was very pleased to find out that Dr. Tortoriello took my insurance and that he participates in many insurances. He tries very hard to work with his patients' comfort level.

Dr. Wang is everything one could hope for in an RE. He is kind, compassionate, knowledgeable, thorough, communicative, progressive...I could go on and on. Truly, there is no other RE like him.

Don't be shy to ask questions. Dr. Wang is very responsive and he never makes you feel like your questions are a bother.

Estrogen priming to synchronize follicles then microdose Lupron, Gonal F and menopur and Omnitrope. Produced better results in terms of quality of the eggs.

Insurance paid for most of it.

Dr. Dicken was very professional, accomodating and understanding. She is easy to reach and answers emails promptly. All appointments were right on schedule, never felt rushed and all questions were answered. Was pleased to know that patients' requests and considerations regarding treatment plan were taken into account and changes were made as needed during treatment plan. Good to know that patient's opinion also means something during this difficult journey.

General advice for all patients undergoing fertility treatments - read, read and read. Be prepared when you go on interview so you can have a conversation. Be your own advocate, know your own history, do research on all procedures. This knowledge will not only allow you to get the best results but will also save you a lot of money.

Antagonist protocol, 3 day transfer, all to freeze.

Mostly paid by insurance, 25 % copayment

Dr. Dicken did have a preference to transfer the least number of embryos.

Cary was very candid and paid extreme attention to detail. I connected with her from the very first day. She took her time to review all my test results and explained clearly the best course of treatment. She insisted that I see other specialist in relation to other health issues I had and intact communicated with those specialist. She made sure :that health wise, I was ready to Cary a pregnancy

Listen to Cary and trust her

Can't remember the details but I know the blastocyte was transferred on day 5

Clinic and medication cost about 20000 dollars

Cary Dicken advised me to transfer a single embryo because of my history. I lost an 18 weeks twin pregnancy the previous year and suggested it was better not to risk a multiple pregnancy

Thanks to Dr. T, I have 2 beautiful children. I did 2 cycles with him, and each resulted in a singleton birth. I can't thank Dr. T enough for the joy of having full family. He explained all treatments, checked in on how I felt, followed up on any emails and phone calls, was realistic in setting expectations, was compassionate and guiding every step of the way.

Listen to him and trust him. Don't be afraid to ask questions - he's there for you.

Cycle mostly covered by insurance. About $5000 out of pocket for medications, co-pay and non-covered tests

Dr. T described what he thought would be best approach for the transfer and given my age expected outcomes. I always felt that I was making an educated decision

Dr. Dicken was the third doctor I met with and for whatever reason I knew she would be the doctor that would finally make us parents. I have a sexual assault history and I felt comfortable disclosing this information to her. Before we completed the egg retrieval my anxiety was sky high because I was going to be unconscious-this made me feel extremely vonerable. After discussing my history and anxiety, Dr. Dicken listened with an open mind and reassured me. After that I was mentally ready to finally move forward with IVF.

Trust the process

For UIU, we switched from clomid to letrozole because it was better for my lining. The first round of IVF we used birth control but after we canceled that round we left our birth control because I was a slow responder.

I had a tricky schedule and the clinic was able to work around my availability.

UIU's at the time, out of pocket cost roughly $650, since then the entire IUI procedure now costs around $950 a cycle.

We transferred both eggs because of my low numbers and age.

We could not be happier with our experience. He tempered our expectations to be realistic, while ensuring we never lost hope. He treated all of our questions respectfully and never spoke down to us while explaining out care plan.

He no longer practices in NYC, but he is WELL worth the trip to Westchester

I cannot remember all of the medications we used

On par with other nyc clinics we researched

Dr. T is great! He was a little matter-of-fact about some things, when I could have used some reassurance at times, so that is probably my one complaint. But he is gentle, and I always trusted him. He did a great job and has a gentle touch.

Make sure you ask questions. He will answer, but isn’t always direct with offering information that you might need to know in anticipation of your needs.

We did Femara IUI. I am an SMC and didn’t have any proven infertility at the time, so we started slow. I had one cycle cancelled because my estrogen was low. Two actual IUIs, both negative.

I had insurance, so I just paid copays.