Sher Fertility Solutions New York

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

TRUST HIM

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

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

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

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

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

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

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

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

Dr. Wang was truly an excellent doctor who made us feel at home; even in the SIRM office. He always answered every question with honesty, he never gave us false hopes, but he also didn't beat us down with age related facts, as he knew , we already knew them. He was a realist and I appreactaed that. He gets back to emails quickly, and doesn't miss a beat as far as leaving any stone unturned. Our insurance doesn't cover IVf treatments, so unfortunately we were priced out of SIRM, but even now, I am not his patient yet he still responds and answers my questions, faster and with more definition then my current doctor.

Ask lots of questions- he will answer them all! And take his advice- he is so knowledgeable.

Dr Wang used the estrogen priming with Lupron about a week before my cycle started. When my cycle started in Day three we continued on with Lupron x2 daily, Follistim at 225, HGH and then added a low dose HGH mid way through. It was a long stunning cycle but we were able to retrieve 6, fertilize 4, and then transfer 3 which has been my best results to date.

I am not sure the exact costs. But I believe the IVF was about $16,000-17,000

No, I have DOR and am now 44, so I understand transferring a few embryos gives me better odds.

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

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

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

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

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

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

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

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

Dr. Dicken is qualified and professional. I am very happy that I was able to deliver a healthy child with her intervention. She was flexible about trying both IUI with my own eggs and transfer of donated embryos, as well as with different levels of medication with each IUI.

Consider the team and not just the MD. All staff members impact your care.

Three IUIs, each with increasing levels of ovulation monitoring and ovulation-producing medication. Then two transfers of privately donated embryos, under anesthesia.

I do not remember. They were comparable to other facilities in the area, but a bit lower.

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

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

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

Insurance paid for most of it.

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

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

Antagonist protocol, 3 day transfer, all to freeze.

Mostly paid by insurance, 25 % copayment

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

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

Listen to Cary and trust her

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

Clinic and medication cost about 20000 dollars

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

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

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

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

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

She is excellent in explaining options based on her assessment of your situation. She was realistic but hopeful. She said to me, "if you were my sister, I would tell you not to give up on your own eggs." and it almost made me cry because it felt so good to hear.

Come in with all of your questions because she will make an effort to respond to them.

They are covered for the most part by insurance.

She was very knowledgable and thorough. Also seemed to enjoy her job. My husband and I actually discussed it and felt like she was somewhat like an aunt in nature- providing compassion, yet with direct facts.

Genetic testing- because it seemed a standard practice there. Egg retrieval and embryo transfer.

Mostly covered by my insurance. But we had to pay 20% out of pocket. Came to around $3000 per cycle.

She was very helpful at explaining things and putting us at ease. The difference in results was day and night - and that had to do with her having a great bedside manner and listening to my worries and reservations.

To ask questions because they will be answered. It was a partnership.

Estrogen priming with high dose Antagonist. I also did intralipid therapy and immune therapy that seemed to help tremendously.

i was completely self pay. I did a two cycle package

Dr. T is the most honest fertility doctor I dealt with. I was a confusing case and he worked his hardest to find a way for me to become pregnant. He did not beat around the bush and was always up front about his thoughts and plans. He has a very dry sense of humor that I loved every time I saw him. He talked me like a peer not a patient. He knew how informed was about situation and never talked down to me. We always had collaborative conversations about my situation.

He’s very honest and has a dry sense of humor that could take some getting used to.

Dr T always made exceptions for me to come in for monitoring in the afternoons to accommodate my work schedule.

I had insurance

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

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

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

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

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

Never give up and trust Dr. Wang completely!

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

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

My Dr had left the practice rather suddenly and I appreciated Dr Dicken taking over my care. We discussed treatment and she said she treated similarly to the Dr I had been seeing. I don't know that she could have done anything better medically, although perhaps if she had seen me as more of her patient and not someone who was out of state and just coming for retrieval - My issue with Dr Dicken was her bedside manner. She was unapproachable, unavailable and very cold. On the few occassions we did see her, she kept us waiting for hours, acted very nonchalantly, and didn't seem invested in me as her patient. On Day 5, no one called me with results, and when I called, I was told it was too late in the day to get news. ARE YOU KIDDING ME? Anyone who has undergone IVF and is waiting for day 5 to learn about their embryos knows no call is unacceptable. That evening I received an email from Dr Dicken stating my embryos didn't survive. It was two sentences - with zero kindness or compassion. It was an awful way to learn the outcome. I refused to see Dr Dicken again.

Don't expect kindness or compassion.

monitored out of state

Dr. Wang worked so hard with us for over a year, to bring us our son. He is the kindest, smartest, most caring doctor. He is considerate and brilliant and always a step ahead managing any road blocks. He always went above and beyond to look out for us and always treated us with such extraordinary care. He found autoimmune issues no other doctor had found, and that made all the difference for us. I will always look back at our treatments with Dr.Wang with incredible gratitude.

See him now. Don’t wait!

We did pretty straight forward antagonist cycles, the difference for us was using autoimmune meds during our last transfer and transferring a larger number of day 2 embryos, rather than waiting to make blasts. I firmly believe we would not have been successful without this early transfer protocol which Dr. Wang carefully put together for us.

I can’t remember exactly, but I think around 60k for four cycles not including genetic testing which added about 10k. However, I think rates have changed since we were there.

We transferred a larger number untested embryos which led to success after failed single and double transfers of pgd tested embryos.

Dr. O'Shaughnessy is a great Dr. She has years of experience and I felt very confident from the beginning that the protocol she was using was the best for my case. She was not a great communicator, but I was a satellite patient so I never met her until my retrieval. Dr. O can be very blunt in her tone, but she wants the very best outcome. She is very direct and honest regarding your chances and your results. I consulted with four Dr's I had recommendations for. She was the only one who went thru my bloodwork thoroughly. If you are a satellite patient (meaning your doing all your monitoring at another facility) you just have to make sure you stay on top of your results, and ask a lot of questions. From a surgical stand point, I felt very confident with her and her team.

To make sure you are prepared with your questions during the monitoring phase. From my experience, I felt Dr O was not as attentive during this stage because its not as important to the dr. despite every day being important to the patient.

I did not do any monitoring here. I did my monitoring in Virgina at RMSVA, which I have to say was wonderful. They treated me like I was their patient and they sent my results on a timely manner.

At the beginning, i thought she was great but as things progressed she didnt seem sound on her own opinon and would change it, eg. when to trigger me etc. she often changed her mind at the last min (eg, 3 day transfer v 5 day). On the last attempt she did not clearly explain why the volume of eggs was so low.

REally question her decisions, ask her why she keeps changing her mind. It felt like she was in a rush sometimes.

1st attempt - Follistim (600) , menapur and generelix and HCG trigger - 6 eggs, 5 fertilized, 5 made it to Day 3. Transferred 3 at Day 3 other 2 did not make it to Day5. negative pregnancy test 2nd attempt - Natural IVF attemp with lower meds, Follistim (350), menapur and ganerelix - 2 eggs retrieved, both fertilized. Did not make it past day 4. - no transfer 3rd attempt - Lupron used this time. for 7 days. Follistim (600), menapur and ganerelix - 5 eggs, only 1 fertilized. - Scans showed 9 follicles measuring between 18 -20 but only 5 mature, only 1 fertilized. - transferred the 1 embryo on Day 3 - awaiting results.

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

Trust the process

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

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

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

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

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

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

I cannot remember all of the medications we used

On par with other nyc clinics we researched

Dr. T. was very good at communicating, he replied very thoroughly / promptly to my questions. I think there was probably unnecessary part of the treatment and testing (immunology, hgh), i was stunned to have just one embryo after 2 months of prepping, and better results with other doctors.

Some treatment of immunology issues was done on me, it did not hurt probably. I also was taking hgh. Dr. T also adjusted protocol in the beginning of the cycle, given my hormone levels (there was a switch in drugs, and i actually lost some money on that). Since the results were dismal, I am not sure it worked.

10-13K + meds

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

Run, don't walk, to see him.

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

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