Ratings of 1 indicate that a clinic was poorly operated.
Ratings of 10 indicate that a clinic operated very well.
Scheduling
9.1
9.1
Scheduling
Ratings of 1 mean it was difficult to schedule appointments with this clinic.
Ratings of 10 mean it was easy to schedule appointments.
Billing Department
8
8
Billing Department
Ratings of 1 indicate an unsatisfactory billing department.
Ratings of 10 indicate an excellent billing department.
Nursing Team
8.8
8.8
Nursing Team
Ratings of 1 indicate an unsatisfactory nursing team.
Ratings of 10 indicate an excellent nursing team.
LGBTQ+ Care
10
10
LGBTQ+ Care
Ratings of 1 indicate an unsatisfactory LGBTQ+ care.
Ratings of 10 indicate an excellent LGBTQ+ care.
Attention to Detail
8
8
Attention to Detail
Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.
For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.
CDC Success Rates
This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
He [Dr. Tortoriello] is quiet and introverted...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.
[Sher Fertility has] 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...She [nurse] was very responsive and supportive. Easy to talk to by email...I believe they misplaced a test result (test for initial clearance for an FET) but overall were very organized
How was your experience with Drew Tortoriello at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Drew Tortoriello at Sher Fertility Solutions New York?
You must do your own research and be proactive! He is quiet and introverted ... Make sure you ask all your questions!
During treatment, were you treated like a number or a human with Drew Tortoriello at Sher Fertility Solutions New York?
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!
Describe the protocols Drew Tortoriello used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Lindsay )
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.
Describe your experience with Sher Fertility Solutions New York.
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
Describe the costs associated with your care under Drew Tortoriello at Sher Fertility Solutions New York.
$1540 per transfer with insurance
Plus other costs
Describe Drew Tortoriello's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
He was very open and asked my preference. Because I said single without hesitating, we didn't discuss it further
What specific things went wrong at Sher Fertility Solutions New York?
Lost paperwork
Describe the specific things that went wrong at Sher Fertility Solutions New York.
I believe they misplaced a test result (test for initial clearance for an FET) but overall were very organized
My follicles grew slowly so I had a long stimming cycle and adjustments were made throughout [my cycle with Dr. Drew Tortoriello]...a very calm and reassuring physician...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...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 absolutely loved working with Lindsay [nurse at Sher Fertility]. 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 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.
How was your experience with Drew Tortoriello at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Drew Tortoriello at Sher Fertility Solutions New York?
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.
During treatment, were you treated like a number or a human with Drew Tortoriello at Sher Fertility Solutions New York?
Dr. Tortoriello is a very calm and reassuring physician. He presented information without editorializing or imposing any judgement.
Describe the protocols Drew Tortoriello used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Lindsay Cluff)
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.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Drew Tortoriello at Sher Fertility Solutions New York.
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.
He [Dr. Wang] 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...Jeff is really good with cases of poor responders (aka diminished ovarian reserve). ..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...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.
The clinic [Sher] 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....Everyone seemed efficient. I don't have a lot to say about the nursing staff.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
He's so worth it. I don't even live in NY. He's that worth it.
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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.
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Leslie)
Everyone seemed efficient. I don't have a lot to say about the nursing staff.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
This clinic is costlier than other clinics.
Describe Jeffrey Wang's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
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.
What specific things went wrong at Sher Fertility Solutions New York?
He [Dr. Wang] 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.
All of the nurses and coordinators at Sher are very responsive... they're generally very competent....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...I had a few instances where prescriptions were called in wrong and I had to redo them. a few times my med chart was different than what I had discussed with the doctor but wasn't conveyed to the nurse.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
Meet him. Do the consultation. Ignore that Sher may have lower SART stats (and really not statistically significant) than other big NYC clinics.
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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.
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
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
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Leslie )
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.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
United healthcare coverage - 80/20 after $4k deductible.
What specific things went wrong at Sher Fertility Solutions New York?
Failed to call in prescriptions to pharmacy
Provided conflicting information
Describe the specific things that went wrong at Sher Fertility Solutions New York.
I had a few instances where prescriptions were called in wrong and I had to redo them. And a few times my med chart was different than what I had discussed with the doctor but wasn't conveyed to the nurse.
I had 12 eggs retrieved and 6 embryos were frozen [with Dr. Tortoriello]. I sent all the embryos for biopsy and PGS testing. They all came back abnormal. After discussions with Dr. Tortoriello and going over my PGS results, I decided to go the donor egg route as my egg quality was not resulting in normal embryos to transfer...was always available to speak with me whether over the phone , in person or via email. He always took his time to explain all of my options and any answered any concerns or questions I had during my process. Loved his one-on-one communication.
I love the fact that Sher is a boutique type of clinic. Everyone is always available to speak with you whether you are there in person, over the phone or via email. The office is bright, clean and just overall inviting. The staff always greets you with a smile. I honestly can not think of any weaknesses I experienced during my treatment. They are open on the weekends for monitoring and are very good at making sure you are seen at your appointment time. I have never had an issue waiting to be seen. I always saw Dr. Tortoriello during my visits. Overall, I had a great experience.
How was your experience with Drew Tortoriello at Sher Fertility Solutions New York?
I felt at ease with Dr. Tortoriello during my first consultation with him. He is very soft spoken as well as very thorough in explaining the pros and cons, as well as answering all of my questions. It was very easy to make my decision to pick him to be my fertility doctor. Any other consultations I had at other clinics made me feel like a number and not a human. He always made me feel like a human.
During my treatment with Dr. Tortoriello, he was always very personable and accessible. There was never a time that I did not get a call back or an email reply to my questions or concerns during treatment.
What's one piece of advice would you give a prospective patient of Drew Tortoriello at Sher Fertility Solutions New York?
I would tell a prospective patient to pick him as your fertility doctor. He takes his time with you and explains everything to you. You will not be disappointed.
During treatment, were you treated like a number or a human with Drew Tortoriello at Sher Fertility Solutions New York?
Dr. Tortoriello was always available to speak with me whether over the phone , in person or via email. He always took his time to explain all of my options and any answered any concerns or questions I had during my process. Loved his one-on-one communication.
Describe the protocols Drew Tortoriello used in your cycles at Sher Fertility Solutions New York and their degree of success.
In 2016, I had an egg retrieval. The medication used was as follows: Lupron 10 units, Ganirelix 250 mcg, Gonal F 225 units, Menopur 75 units and Trigger Shot 10,000 IU. I had 13 eggs retrieved, 10 matured and fertilized and 7 embryos were frozen. I did not do any PGS testing during this first egg retrieval. In the same year, I did two frozen transfers. I transferred 2 embryos the first time and 1 embryo the second time and got negative results on both occasions. I then decided to unfreeze and biopsy (PGS testing) the 4 remaining embryos and they all came back abnormal (chromosomes). I then decided to discard those abnormal embryos and not transfer them. In 2017, I had another egg retrieval. The medication used was as follows: Lupron 10 units, Ganirelix 250 mcg, Gonal F 225 units, Menopur 75 units and Trigger Shot 10,000 IU. I had 12 eggs retrieved and 6 embryos were frozen. I sent all the embryos for biopsy and PGS testing. They all came back abnormal.
After discussions with Dr. Tortoriello and going over my PGS results, I decided to go the donor egg route as my egg quality was not resulting in normal embryos to transfer. In my case, my egg donor was my sister. It resulted in us having 2 normal PGS tested embryos. I transferred one of those embryos and got a positive pregnancy and a live birth. He is currently 7 months old.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Bushra Suddal)
My primary nurse was Bushra Suddal, but I also was helped by other nurses at Sher. Bushra and all of the staff were absolutely amazing. They were always responsive and answered all of my concerns immediately. I have reached out to Bushra during after hours as well as on weekends and she always replied (email or telephone) to any questions I had whether it was a medication question or just a general question I had at the time. The staff (no matter who I reached out to) was always quick to reply and handle any concern I had. Making my appointments was always easy and I never had an issue getting a date and time that worked with my work schedule.
Describe your experience with Sher Fertility Solutions New York.
I love the fact that Sher is a boutique type of clinic. Everyone is always available to speak with you whether you are there in person, over the phone or via email. The office is bright, clean and just overall inviting. The staff always greets you with a smile. I honestly can not think of any weaknesses I experienced during my treatment. They are open on the weekends for monitoring and are very good at making sure you are seen at your appointment time. I have never had an issue waiting to be seen. I always saw Dr. Tortoriello during my visits. Overall, I had a great experience.
Describe the costs associated with your care under Drew Tortoriello at Sher Fertility Solutions New York.
My care under Dr. Tortoriello was primarily covered under my husband's insurance plan. My insurance covered 2 egg retrievals (my own egg retrievals), 2 transfers and medication associated with both egg retrievals and both transfers using my own eggs/embryos. However, my egg donor process was paid out-of-pocket. My out-of-pocket cost for my egg donor process plus transferring the embryo was approximately $22K (including egg retrieval of egg donor, medication for her, anesthesia for her, my transfer and my medication).
She [Dr. Dicken] was so positive and encouraging. She was open to my own ideas and made me feel like we were partnering and not like I was a science project. At the same time she is professional knowledgeable and made a protocol that didn’t feel cookie cutter. ... Estrogen priming antagonist protocol with icsi. ... We transferred 2 as I was 44 at time of transfer. ...Embryo banking till we got enough embies to transfer.
On the clerical side [of Sher Fertility of New York], I was told the day before my transfer that I owed a substantial amount of money even though I was assured these charges were covered by insurance. I found it to be terrible timing and also not cool that the insurance coordinator wasn’t clean on what was covered. The lady was very sweet, but she needed to be more precise about that.
How was your experience with Cary Dicken at Sher Fertility Solutions New York?
She was so positive and encouraging. She was open to my own ideas and made me feel like we were partnering and not like I was a science project. At the same time she is professional knowledgeable and made a protocol that didn’t feel cookie cutter.
What's one piece of advice would you give a prospective patient of Cary Dicken at Sher Fertility Solutions New York?
Don’t be afraid to ask questions and trust her instincts. I was so annoyed she sent me for an MRI of my uterus... it turns out my earlier RE’s totally missed that I had a uterine septum! Her instincts were right!
During treatment, were you treated like a number or a human with Cary Dicken at Sher Fertility Solutions New York?
She a d her staff were just really cool and personable. They remember you and your case and everyone was positive and encouraging.
Describe the protocols Cary Dicken used in your cycles at Sher Fertility Solutions New York and their degree of success.
Estrogen priming antagonist protocol with icsi. Embryo banking till we got enough embies to transfer.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Mariam)
All the nurses were awesome, including my nurse coordinator, tho she started slipping a bit here and there. She sometimes gave incorrect updates which when I double checked was corrected. Generally, she was good, and I found two other nurses I could reach out to (also part of the team) who were always on point. Together, The team was amazing.
Describe your experience with Sher Fertility Solutions New York.
It’s hard for me to make much of a complaint on the clinical side, they gave me my rainbow baby at 45 with my own eggs. To me they are IVF superheroes. On the clerical side, I was told the day before my transfer that I owed a substantial amount of money even though I was assured these charges were covered by insurance. I found it to be terrible timing and also not cool that the insurance coordinator wasn’t clean on what was covered. The lady was very sweet, but she needed to be more precise about that.
Describe the costs associated with your care under Cary Dicken at Sher Fertility Solutions New York.
I don’t remember actual prices as my insurance covered almost everything
Describe Cary Dicken's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
We transferred 2 as I was 44 at time of transfer. Ultimately one stuck and I am nursing her as I type!
What specific things went wrong at Sher Fertility Solutions New York?
Provided conflicting information
Describe the specific things that went wrong at Sher Fertility Solutions New York.
Just a couple times the coordinating nurse told me one thing in person and then emailed me something in error. When I wrote back to confirm, she was able to give the right info. Wasn’t a big deal.
I saw Dr. Tortoriello for every visit. He did each and every ultrasound and at the end of each scan he told me exactly where he thought i was in the process in relation to where he thought I ought to be. He did both my egg harvest and embryo implantation. He responded to all my many emails, even during his Easter weekend. ... He is my second IVF doctor and was a breath of fresh air. I genuinely felt he was my partner in this process
The 6th floor is beautiful to look at and very well run [Sher Fertility of New York]. I waited never more than 10 minutes. ... They need to open a bit earlier though as I had to rush to work after each visit. ... She [nurse] communicated with me practically daily and I actually feel bad at the number of times I had her call me! she was patient and soft-spoken and read and responded to most emails within 15 minutes.
How was your experience with Drew Tortoriello at Sher Fertility Solutions New York?
He is my second IVF doctor and was a breath of fresh air. I genuinely felt he was my partner in this process...which was a big deal for me as my husband travels a lot and it's easy to get overwhelmed if you are doing a lot of this immense process alone. His warmth and intellect I found to be a perfect combination.
What's one piece of advice would you give a prospective patient of Drew Tortoriello at Sher Fertility Solutions New York?
Consult with him early onward and then make your choice.
During treatment, were you treated like a number or a human with Drew Tortoriello at Sher Fertility Solutions New York?
I saw Dr. Tortoriello for every visit. He did each and every ultrasound and at the end of each scan he told me exactly where he thought i was in the process in relation to where he thought I ought to be. He did both my egg harvest and embryo implantation. He responded to all my many emails, even during his Easter weekend.
Describe the protocols Drew Tortoriello used in your cycles at Sher Fertility Solutions New York and their degree of success.
We did an estrogen priming protocol that incorporated omnitrope (growth hormone). We were planning to do a fresh transfer but I had fluid in my uterus so we had to freeze and then do a frozen transfer. I had fluid in my uterus with my previous doctors but they downplayed it and both prior transfers with them failed. So Dr. Tortoriello was the first to acknowledge this and correct for it.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Cecily)
She communicated with me practically daily and I actually feel bad at the number of times I had her call me! she was patient and soft-spoken and read and responded to most emails within 15 minutes.
Describe your experience with Sher Fertility Solutions New York.
The 6th floor is beautiful to look at and very well run. I waited never more than 10 minutes. (Plus they have my favorite cookies out). They need to open a bit earlier though as I had to rush to work after each visit.
Describe the costs associated with your care under Drew Tortoriello at Sher Fertility Solutions New York.
No issues...was out of pocket.
Describe Drew Tortoriello's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
Dr. Tortoriello told me that twins were a high risk pregnancy so we opted to transfer just one blast and it took!
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...took the time to explain things when we had questions. She was encouraging but was always clear about risks and the probability of success.
We dealt closely with two or three nurses under Dr. Dicken [at Sher Fertility of New York]. 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 compared facilities and found that costs at SHER were about average.
How was your experience with Cary Dicken at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Cary Dicken at Sher Fertility Solutions New York?
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.
During treatment, were you treated like a number or a human with Cary Dicken at Sher Fertility Solutions New York?
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.
Describe the protocols Cary Dicken used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York.
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.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Cary Dicken at Sher Fertility Solutions New York.
We compared facilities and found that costs at SHER were about average.
What specific things went wrong at Sher Fertility Solutions New York?
Lost paperwork
Describe the specific things that went wrong at Sher Fertility Solutions New York.
One time, a nurse apparently lost some requested paperwork that we brought in and left at the front desk for her. We were annoyed with this but it was the only time anything like that happened. Otherwise they were completely organized and professional about all things.
Email is [Dr. Drew Tortoriello's] best way of communication...My hormones were high leading up to my egg retrieval so he changed my trigger shot from hcg to Lupron...was very kind every time I went to see him. Very soft spoken and made me feel very comfortable...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.
I never had to wait more than 5 minutes when I came in for an appt [at Sher Fertility of New York]. 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
How was your experience with Drew Tortoriello at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Drew Tortoriello at Sher Fertility Solutions New York?
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
During treatment, were you treated like a number or a human with Drew Tortoriello at Sher Fertility Solutions New York?
Dr T was very kind every time I went to see him. Very soft spoken and made me feel very comfortable
Describe the protocols Drew Tortoriello used in your cycles at Sher Fertility Solutions New York and their degree of success.
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
Describe your experience with the nursing staff at Sher Fertility Solutions New York.
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
Describe your experience with Sher Fertility Solutions New York.
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
Describe the costs associated with your care under Drew Tortoriello at Sher Fertility Solutions New York.
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
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.
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... My insurance paid for two cycles with the doctor, but the times i paid cash it was extremely expensive.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
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.
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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.
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Leslie Dychiao)
Leslie was great!
Organized, responsive, and nice.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
My insurance paid for two cycles with the doctor, but the times i paid cash it was extremely expensive.
Describe Jeffrey Wang's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
My doctor preferred using multiple embryos because of my age. I would not transfer more than 2 embryos in the future
He [Dr. Wang] 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.
You see your doctor at every appointment [at Sher Fertility of New York] (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...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.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
Don't be afraid to ask questions but trust in his answers.
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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.
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
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)
Describe your experience with the nursing staff at Sher Fertility Solutions New York.
All the nurses I have dealt with were wonderful, however I am unsure if they are still there.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
Insurance covered IUIs, partial IVF
Describe Jeffrey Wang's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
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...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.
The billing dept [at Sher] 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...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.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
Run, don't walk to go see him!
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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.
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Leslie)
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.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe your experience with your monitoring appointments at Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
She [Dr. O'Shaughnessy 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... 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.
Their [Sher] 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...Incredibly friendly and upbeat [nurses]. They were such supporters of the whole process and felt like they were on our team!
How was your experience with Althea O'Shaughnessy at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Althea O'Shaughnessy at Sher Fertility Solutions New York?
Speak up! Be your own advocate because she is more than happy to listen and follow your lead.
During treatment, were you treated like a number or a human with Althea O'Shaughnessy at Sher Fertility Solutions New York?
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).
Describe the protocols Althea O'Shaughnessy used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with the nursing staff at Sher Fertility Solutions New York.
Incredibly friendly and upbeat. They were such supporters of the whole process and felt like they were on our team!
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Althea O'Shaughnessy at Sher Fertility Solutions New York.
I do not recall; they participated in my insurance at the time so we only had copays.
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 always mentioned treatment costs upfront as well as potential savings. .... 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.
They [Sher] 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!...ackie, 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.
How was your experience with Cary Dicken at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Cary Dicken at Sher Fertility Solutions New York?
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.
During treatment, were you treated like a number or a human with Cary Dicken at Sher Fertility Solutions New York?
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.
Describe the protocols Cary Dicken used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Jackie)
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.
Describe your experience with Sher Fertility Solutions New York.
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!
Describe the costs associated with your care under Cary Dicken at Sher Fertility Solutions New York.
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.
What specific things went wrong at Sher Fertility Solutions New York?
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... He was the one that figured out I had silent endo and suggested a treatment path. ...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.
They [Sher] 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....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.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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!
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
You will not regret going to Dr Wang - he is amazing!!
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with the nursing staff at Sher Fertility Solutions New York.
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.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe your experience with your monitoring appointments at Sher Fertility Solutions New York.
I was an out of town patient that monitored locally
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
20k per IVF cycle with PGS testing
Describe Jeffrey Wang's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
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.
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...If you have DOR or egg quality issues RUN to Dr Wang....One thing ihat 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. ...) 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 ....
[Nurse at Sher - Manh] 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...the cycle was about $25K (it's expensive but worth it)... we paid out of pocket for PICSI at 1000...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.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
Do not be afraid to ask him anything!!! he is very open minded
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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)
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
Estrogen primed microdose lupron
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Leslie)
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
Describe your experience with Sher Fertility Solutions New York.
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
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
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
Describe Jeffrey Wang's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
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
She treated me for having overactive natural killer cells, PCOS and hormonal imbalance. Whether via email or in person, Dr. Dicken was readily available to me and my husband during a very challenging time...Dr. Dicken was responsive, attentive, patient and very accessible by phone, email or in person. She made me feel like I was her only patient...
The clinic’s strengths are that it has Flexible hours, great team, great with technology (e.g. email), resourceful (I.e. each doctor has their own expertise) , open minded (I.e. supportive of holistic measures like acupuncture) and comprehensive beyond just the medical/technical work involved (e.g. They have financial counseling)....
How was your experience with Cary Dicken at Sher Fertility Solutions New York?
Dr. Dicken made me feel like I was her only patient. She was compassionate, accessible, has a strong command for her field and can explain things in terms that are easy for a non-medically trained person to understand. Dr. Dicken was the second doctor I saw after 2 failed IVF transfers with Greenwich Fertility and several IUI’s. On the first IVF transfer Dr. Dicken performed, I conceived. She treated me for having overactive natural killer cells, PCOS and hormonal imbalance. Whether via email or in person, Dr. Dicken was readily available to me and my husband during a very challenging time. We are grateful for our newborn son who was born just 13 months after our first time meeting with Dr. Dicken.
What's one piece of advice would you give a prospective patient of Cary Dicken at Sher Fertility Solutions New York?
Ask as many questions as you must and avail yourself of asking questions of her via email or her team.
During treatment, were you treated like a number or a human with Cary Dicken at Sher Fertility Solutions New York?
Dr. Dicken was responsive, attentive, patient and very accessible by phone, email or in person. She made me feel like I was her only patient.
Describe the protocols Cary Dicken used in your cycles at Sher Fertility Solutions New York and their degree of success.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Jacqueline Piccardo)
Incredibly compassionate - I felt like Jackie felt everything I was going through personally and did everything she could to make me feel less alone.
Describe your experience with Sher Fertility Solutions New York.
The clinic’s strengths are that it has Flexible hours, great team, great with technology (e.g. email), resourceful (I.e. each doctor has their own expertise) , open minded (I.e. supportive of holistic measures like acupuncture) and comprehensive beyond just the medical/technical work involved (e.g.
They have financial counseling).
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.
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.... 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.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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).
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
Run, don't walk, to an appointment with him. You will not find someone more dedicated.
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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.
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with the nursing staff at Sher Fertility Solutions New York.
Kind and respectful.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
I had insurance coverage, but a high copay for the sonograms.
Describe Jeffrey Wang's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
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.
It always feels very orderly and zen-like in the waiting area [at Sher]. 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...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.
How was your experience with Cary Dicken at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Cary Dicken at Sher Fertility Solutions New York?
I wish I switched to Dr. Dicken sooner. Do not hesitate. She is an all around rock star in all aspects of patient care.
During treatment, were you treated like a number or a human with Cary Dicken at Sher Fertility Solutions New York?
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.
Describe the protocols Cary Dicken used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with the nursing staff at Sher Fertility Solutions New York.
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.
Describe your experience with Sher Fertility Solutions New York.
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.
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....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.
Neither Dr. Dicken nor her team [at Sher] 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 tha
How was your experience with Cary Dicken at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Cary Dicken at Sher Fertility Solutions New York?
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.
During treatment, were you treated like a number or a human with Cary Dicken at Sher Fertility Solutions New York?
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.
Describe the protocols Cary Dicken used in your cycles at Sher Fertility Solutions New York and their degree of success.
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
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Marian)
Nurse was extremely organized and thorough. She was very busy and hard to reach but overall I enjoyed my experience with her.
Describe your experience with Sher Fertility Solutions New York.
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!
Describe the costs associated with your care under Cary Dicken at Sher Fertility Solutions New York.
14.5 K and 5 K for medications
Describe Cary Dicken's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
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.
What specific things went wrong at Sher Fertility Solutions New York?
Dr. Wang is very responsive. He takes his time to answer all the questions. Does not rush. After each setback he is eager to learn from the past and do testing to assure positive results in the future. I feel like he really cares to help me...Leslie was very responsive and I felt I could always email her with any questions. She send the prescriptions to my pharmacy promptly. She even helped me with getting some paperwork from my previous doctor. Leslie kept me organized by sending me detailed calendar with each medication dosage and appointment/blood test scheduled. She would follow up with new calendar if anything changed. Leslie spend an hour with me showing me how to administer each shot or each medication by myself which made me very confident when I had to do it at home. She also send me some video links in case I forgot.
Clinic [Sher Fertility of New York] is very organized. Appointments are on time. I never waited more than 10 minutes and most of the time my wait was less than 5 minutes. Staff is pleasant. The waiting room is clean and not crowded...Leslie was very responsive and I felt I could always email her with any questions. She send the prescriptions to my pharmacy promptly. She even helped me with getting some paperwork from my previous doctor. Leslie kept me organized by sending me detailed calendar with each medication dosage and appointment/blood test scheduled. She would follow up with new calendar if anything changed. Leslie spend an hour with me showing me how to administer each shot or each medication by myself which made me very confident when I had to do it at home. She also send me some video links in case I forgot.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
Dr. Wang is very responsive. He takes his time to answer all the questions. Does not rush. After each setback he is eager to learn from the past and do testing to assure positive results in the future. I feel like he really cares to help me.
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
Try this doctor because you will not go wrong with him. Be as open as you can about your concerns or symptoms.
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
Dr. Wang was very accessible to answer all my questions. I could call him as well as email him with any updates or questions and he responded right away, most of the time within an hour or two.
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
injectible drugs before the egg retrieval.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Leslie)
Leslie was very responsive and I felt I could always email her with any questions. She send the prescriptions to my pharmacy promptly. She even helped me with getting some paperwork from my previous doctor.
Leslie kept me organized by sending me detailed calendar with each medication dosage and appointment/blood test scheduled. She would follow up with new calendar if anything changed.
Leslie spend an hour with me showing me how to administer each shot or each medication by myself which made me very confident when I had to do it at home. She also send me some video links in case I forgot.
Describe your experience with Sher Fertility Solutions New York.
Clinic is very organized. Appointments are on time. I never waited more than 10 minutes and most of the time my wait was less than 5 minutes.
Staff is pleasant. The waiting room is clean and not crowded.
Describe Jeffrey Wang's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
Dr. Wang educated me on eSET vs multiple embryo transfer not once but each time before the decision needed to be made. He left the decision to me and my husband. He was NOT preferring one over the other. Dr. Wang would not transfer more than 2.
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...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 d
The billing system here [at Sher Fertility of New York] 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...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.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
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.
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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.
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Leslie)
Quick to reply via email, quick to send in meds, etc.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe your experience with your monitoring appointments at Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
I had insurance for the year I did retrievals, but the out of pocket cost for FETs is 3800, not including monitoring visits.
Describe Jeffrey Wang's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
Dr. Wang will support eSET or multiple. He encouraged us to try multiple embryo transfers given my past history of poor implantation.
What specific things went wrong at Sher Fertility Solutions New York?
Provided conflicting information
Describe the specific things that went wrong at Sher Fertility Solutions New York.
It's important to always check your protocol calendar and make sure it's what you and your doctor discussed. Once or twice I had to clarify some discrepancies between Dr. Wang and what Leslie had put on the calendar. Not a big deal for me, but for someone who isn't familiar with medicine or comfortable with emailing Dr. Wang, they might've done the wrong med/dose/etc.
The doctor [Dr. Tortoriello] communicates quickly by email -like within the half hour- to answer any questions...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 recommended a mid amount of medication for my poor egg quality and dimished ovarian resserve. He didn't change anything during monitoring.
[Sher] 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...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.
How was your experience with Drew Tortoriello at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Drew Tortoriello at Sher Fertility Solutions New York?
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.
During treatment, were you treated like a number or a human with Drew Tortoriello at Sher Fertility Solutions New York?
The doctor communicates quickly by email -like within the half hour- to answer any questions. The support staff also responds quickly and with empathy.
Describe the protocols Drew Tortoriello used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Bushra suddal)
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.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Drew Tortoriello at Sher Fertility Solutions New York.
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.
Describe Drew Tortoriello's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
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.
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...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.
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...[Nurse] 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... 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.
How was your experience with Althea O'Shaughnessy at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Althea O'Shaughnessy at Sher Fertility Solutions New York?
Don't expect warm and fuzzy or humor. She's very pragmatic and straightforward.
During treatment, were you treated like a number or a human with Althea O'Shaughnessy at Sher Fertility Solutions New York?
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.
Describe the protocols Althea O'Shaughnessy used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Marian Gerges)
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.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Althea O'Shaughnessy at Sher Fertility Solutions New York.
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.
What specific things went wrong at Sher Fertility Solutions New York?
Provided conflicting information
Describe the specific things that went wrong at Sher Fertility Solutions New York.
The only thing I had go wrong is sometimes the daily email from the nurse with meds and calendars was conflicting with what I had discussed with the doctor. It was always corrected, but I had to be paying close attention.
Over the next month and a half, even while getting treatment elsewhere, we were in constant email communication with him [Dr. Jeffrey Wang] 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.
In general I feel like the office [at Sher] is disorganized. I had to call or email in often to follow up about whether they had received paperwork, tests I had done, verified my insurance, ordering meds, scheduling my nurse and financial consults, etc. A lot of necessary tests were not ordered until the last minute which I found annoying considering I was signed up with the doctor months before. It was almost like having a second full time job trying to keep tabs on what the office staff had or hadn't received on my behalf and when things were supposed to be done or ordered. In the end it all worked out, and I think we should be set for our future cycles, but it was definitely a headache. Thankfully the doctor and embryology have their act together, which is the most important with all this.
How was your experience with Jeffrey Wang at Sher Fertility Solutions New York?
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.
What's one piece of advice would you give a prospective patient of Jeffrey Wang at Sher Fertility Solutions New York?
Be prepared to work with the best doctor in your life.
During treatment, were you treated like a number or a human with Jeffrey Wang at Sher Fertility Solutions New York?
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.
Describe the protocols Jeffrey Wang used in your cycles at Sher Fertility Solutions New York and their degree of success.
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.
Describe your experience with your nurse at Sher Fertility Solutions New York. (Assigned nurse: Leslie)
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.
Describe your experience with Sher Fertility Solutions New York.
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.
Describe the costs associated with your care under Jeffrey Wang at Sher Fertility Solutions New York.
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.
Describe Jeffrey Wang's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Sher Fertility Solutions New York.
For my poor embryos, I think we would have transferred 2. But mine didn't develop well enough to have that conversation.
What specific things went wrong at Sher Fertility Solutions New York?
Failed to call in prescriptions to pharmacy
Lost paperwork
Failed to call with results
Failed to order appropriate test
Lost results
Provided conflicting information
Describe the specific things that went wrong at Sher Fertility Solutions New York.
In general I feel like the office is disorganized. I had to call or email in often to follow up about whether they had received paperwork, tests I had done, verified my insurance, ordering meds, scheduling my nurse and financial consults, etc. A lot of necessary tests were not ordered until the last minute which I found annoying considering I was signed up with the doctor months before. It was almost like having a second full time job trying to keep tabs on what the office staff had or hadn't received on my behalf and when things were supposed to be done or ordered. In the end it all worked out, and I think we should be set for our future cycles, but it was definitely a headache. Thankfully the doctor and embryology have their act together, which is the most important with all this.