Weill Cornell Medical College

Weill Cornell Tribeca - biggest pro is that the physician performs the monitoring ultrasounds. I was able to see Dr. Reichman at almost every single monitoring appointment during the week. In addition, the clinic is clean, and the calls from nurses during the cycle are consistent and organized. Front desk is very friendly. I chose this clinic due to early monitoring hours before work, and the fact that it was a 5 minute walk from my apartment. Weakness: you do not get to see your doctor on weekends and holidays unless he/she happens to be on call. My weekend treks up to the UES office were always much worse experiences (i.e., longer wait times, unfamiliar physicians, and several incompetent nurses).

The Tribeca office staff always remembered my name, and Dr. Reichman kept detailed notes on my case.

Hannah was Dr. Reichman's nurse, whom I worked with before she went out on maternity leave. She was always cheerful and willing to help, but in most cases she did not know the extent of my discussions with Dr. Reichman, so I preferred to speak directly with the doctor.

Dr. Reichman was one of five REs in the NYC area my husband and I consulted with. He was optimistic with my case from the beginning, even when I felt pessimistic. I had come to see him having just experienced my very first pregnancy, which became a miscarriage at 10 weeks. I was emotional but had my heart set on doing everything possible to becoming pregnant again. I micromanaged him. I wanted to handle every aspect of my journey, from the IVF protocols to the timing of transfer. I second guessed his nurses constantly. I emailed Dr. Reichman incessantly with compromises, worries, and left-field inquiries. He almost always answered in detail, which is something that I have yet to come across in other NYC physicians who are as busy as he is. He did not have unlimited patience, but he was always willing to sit down and touch base with us to alleviate fears, or to set our patient-physician relationship back on track after an argument.

Advocate for yourself. Dr. Reichman is incredibly smart. If your requests are substantiated, he will compromise with you on reasonable grounds.

We dove straight into IVF due to my diminished ovarian reserve. Dr. Reichman had pitched starting with IUI/letrozole, but he supported my more aggressive choice. I insisted on a natural start, resulting in 8 retrieved, 5 fertilized, and 4 frozen. We did not PGS test. The second cycle, he proposed using BCP. I was afraid of being oversuppressed and did not want to try this modification, but he assured me it would give good results. Unfortunately, I developed a lead follicle and he canceled that cycle. The third cycle, he proposed estrogen priming. I also fought him on this. Although I had 7 follicles going into retrieval, only 2 were retrieved. Both were alive at day 6, frozen, and confirmed to be PGS normal. I took some time off after the last cycle to undergo several back to back surgeries. In January of 2019, I insisted Dr. Reichman raise a request to the embryology lab for them to transfer the second-best graded frozen embryo in my batch. That FET resulted in my current pregnancy - I am due in three weeks.

If you are willing to be at the office right at 6:30, there is almost no wait time. I made it my priority to always be in by 7am, and never had an issue being late to work.

My husband and I are fortunate to both have some fertility coverage from work. During 2018 when we were banking embryos, we were on his insurance, which covered the entirety of the 1st and 2nd round. We paid about $15,000 out of pocket for the 3rd round.

Dr. Reichman was adamant on single embryo transfer with me, citing my age and body type (slim/petite).

Strengths: clinic physically is clean and spacious. They have a separate area for doctor's appointment and during "monitoring hours". During monitoring hours, They also have a "card" system where you just swipe your card and let them know you have arrived. You don't have to fall in line to "register". The egg retrieval and embryo transfer are done in a hospital setting. What I also like it that they have a "pre-op" class prior to the egg retrieval, they check your labs, vitals". Weakness: Speaking to billing might not be private. Clinic could get crowded during the monitoring hours. Some receptionist in the front could be more friendlier.

I rate my experience is neutral. I like Dr. Schattman - he called us personally to discuss test results; he will also call back if I leave any messages. When you see him during monitoring, I don't feel rushed to ask him questions. However, the nurse communication/instructions could be better. They have different numbers for appointments, Main office # and nurses. For the nurses, there will not always be someone to pick up your call. You will have to leave a voice message. Although they will call you back before the end of the day when you leave a message, during this stressful journey I feel that having someone answer your phone call (may it be to relay a message) feels more "human" or less anxious provoking. Also, sometimes you also gets a voice message thru Dr. Schattman's office. When I leave a message, there is always that thought what if my message get deleted by mistake or the voice mail machine acts up. What now? Just my thought. In terms of their monitoring and appointments, they have a different section for both which I like. You don't feel the crowdedness in the morning during monitoring hours if you have an appointment with your doctor.

My primary nurse at Weill Cornell is very knowledgeable about fertility treatments. Although I had difficulty communicating with them. I feel that since they have many patients, sometimes they could loose their "patience". They would always return your phone call but you most times have to leave a message in an answering machine and waiting for their phone call. I also feel that sometimes, they are rushed when you are in the phone with them or in person. This infertility journey is as stressful as it could be and we need someone from our team to be there for us to help us get through his journey. I remember one time during in this clinic during monitoring, the doctor (not my primary doctor) told me to give ganirelix since some of my eggs are growing faster than the rest. I thought she would repeat the instructions before leaving. I didn't ask again, I thought I could just ask a nurse. I went and asked for a nurse but the nurse (not my primary nurse) told me, if the doctor told you to do it, do it; "nothing yet is written in your file so I don't know what the doctor said". I left and cried but went back to the doctor that did the monitoring. This could have been avoided if the nurse just had asked the doctor what was said! As a nurse myself, I try to bridge that gap between the patient & the doctor. If something was not clear to the patient, I will make sure and even take "strides" to ask the doctor about the plan of care. I also feel that they could have an email sent to patients for "instructions" during monitoring as to avoid confusions.

Strength: he tries to see his patients during "monitoring" hours. This puts me at ease as he knows everything that is going on with me. He will also try to call back your phone call by the end of the day. What I like about him is that he calls us personally with results of tests and what are the treatments. I liked that I don't feel rushed when I asked him questions after ultrasound during monitoring (which could be awkward for some). Weakness: I have had 2 failed embryo transfer with him. The last one was devastating as I transferred 2 of my last remaining embryos but I didn't receive any phone call from him. Even just to say, "sorry it didn't work". The only call I received was from my nurse that my pregnancy test was negative. I had to do a follow up appointment to speak to him about the next step. I know he might be busy or might be away during that time but days/weeks passed and still no phone call.

Be prepared with your questions during your initial consultation. Do your own research also as to what IVF is. Be an advocate for yourself - if you don't understand something or want to discuss something with him don't be afraid to do so.

I don't know that protocol Dr. Schattman used but he started me with Estrogen patches (after a positive ovulation using ovulation predictor kit) changing it every 2 days, till the 4th patch and getting my period. He then gave me letrozole for 5 days together with follistim/gonal-f and menopur. After a few days on those (I forgot exactly), I needed to get ganirelix to prevent "maturing" of my eggs. I had 1-2 that is growing faster than the rest. Then they gave me a Lupron trigger prior to egg retrieval. I have about 24 eggs retrieved with 3 embryos making it to freezing. I had one blastocyst transferred in October 2018 but failed and 2 morulas in April 2018 which also failed.

Weill Cornell's monitoring hours was from 6:30 am-8 am so it was convenient for me. I will still be late for work since I start 7 am but I will just have to come to the clinic at 6:30 or earlier. It is a well oiled machined will lots of people taking blood so we move quickly. Dr. Schattman will also try to see me during monitoring hours for the ultrasounds which I liked since it also gives me opportunity to ask him questions.

for regular appointments with Dr. Schattman, I only paid my copay with my insurance. For IVF cycle, please be advised that this clinic might be more expensive that the others. their IVF cycle for 1 fresh transfer: 10,500 for any frozen embryo transfer: $ 4,260 ICSI: $ 2, 630 Cryopreservation: $ 1,050 (storage $ 262. 50/quarterly); 1st 6 months waived Anesthesia fee varies if your insurance covers it but they have a facility fee $ 1005.84 during the day of egg retrieval which is an additional expense.

Weill Cornell Reproductive team has a sheet where you can put it who many embryos to transfer. The recommend embryo transfer for my age was only 1 but my second transfer since the embryos are in the morula stage, Dr. Schattman decided two embryos transfer but it also failed.

Cornell has a research profile and reputation that is nearly unmatched, as far as I can tell. And I know colleagues who have found success there. But I experienced it as a large, impersonal practice, which very little investment in whether or not I personally had a successful outcome. At the beginning of this process I thought I didn't need compassionate care if the research chops were there, but over time and repeated failures my needs changed, and I completed treatment elsewhere.

Cornell is a large cattle-call practice. I was monitored by a different attending almost every time. I didn't have a consistent nurse. I felt like my treatment plans were by the numbers, rather than tailored to me specifically, and I had real problems with pain management after egg retrieval. Over two years, they never even pronounced my name correctly. It wasn't great.

I had a different nurse every time, so it's hard to say. Once I had to request a different phlebotomist because she was having so much trouble taking my blood. Honestly, my experience with them wasn't great.

I went to Dr. Davis because of his reputation as a researcher, which is impeccable. However, he has so many patients that our interactions were very brief. By my third cycle I felt like he had lost interest in my case. During my fourth cycle - a protocol that I requested - I neither saw nor spoke to him once.

Go prepared to ask a lot of questions, and do not expect hand holding. I thought I didn't need personalized attention if I was seeing someone with incredible research chops, but discovered that this is a more emotional process than I realized.

3 IUI with Clomid, no success. One IVF cycle with estrogen priming and high doses of Follistim and Menopur, canceled due to nonresponse. One IVF cycle with estrogen priming, Clomid, and low doses of Follistim and Menopur, resulting in 3 day 3 fresh embryos transferred, no success. One IVF with estrogen priming, Clomid, low doses of Follistim and Menopur, plus endometrial co-culture, which was painful and not covered by insurance, 4 day 3 fresh embryos transferred, no success. One IVF with estrogen priming and Lupron flare (my request), 2 day 3 fresh embryos transferred, no success.

It was a cattle call with a line around the corner. I regularly waited at least an hour, and once was forgotten in an examining room waiting for an ultrasound.

I had insurance coverage. My out of pocket expenses were $1000 for endometrial co-culture, several trigger shots, and misc.

Dr. Davis was a strong proponent of fresh day 3 transfers, and one time we transferred 4 of them, which made me pretty nervous. He felt that embryos had a better chance of success in a woman's body than in a petri dish. I ultimately had success with a fresh day 3 transfer with another doctor.

Weill Cornell Reproductive Medicine is a top center for infertility. As I said we traveled from PA to NY to be a patient and it was worth it in every way. I only wish we had done this from the beginning instead of wasting a year with a different RE in PA. Dr. Reichman's Tribeca office is absolutely wonderful. The office seems newer with state-of-the-art equipment and the most friendly staff. His staff are extremely helpful, especially if you need support dealing with prior-auths and insurance - they stepped in and before I knew it everything was handled.

Dr. Reichman is an extremely personable physician. He makes his patients feel like they matter. He takes time at every appointment with you, answers every question you have, and does not make you feel rushed. There were a couple times he suggested we set an appointment for a "strategy meeting" - his words - which we loved. He knows every detail about his patients. He remembers everything, even asking about how our trip to Chicago was when we had a follow-up appointment with him. His front-desk staff are the nicest and sweetest team members. They remember your name, ask how you're doing, and are always on top of everything.

My primary nurse that I communicated with was Hannah. She always showed compassion during every interaction or phone call. She answered every question and made sure you understood your directions and next steps before hanging up the phone. Even when meeting in person about something Hannah never rushed you and was very thorough in her care and explanations. She also replied very timely to emails.

Dr. Reichman is like no other. We traveled from Pennsylvania to New York and it was all worth it. From the moment we had our initial consultation with him he gave us hope and made us feel like he truly cared. I have not had an easy journey with fertility - 2 natural pregnancies both ending in miscarriages, being told by a previous RE my lining was too thin and so never even getting to a transfer attempt, retained products of conception after a D&C by my OB. But Dr. Reichman never gave up. I remember starting my IVF cycle with him in March 2018 and during a saline sonogram is when he discovered I had retained products of conception and told me he would have to go in and do surgery after I completed the IVF cycle and retrieval. I started crying in the exam room. Dr. Reichman was extremely comforting, telling me "I am in your corner," letting me know that he would take care of me during the surgery as I was worried about my lining, and that together we would get through this and meet our end goal of having a baby. He is an extremely compassionate and caring physician, but he is also a realist - he is very straightforward with what he thinks. This is a quality my husband and I appreciated; we wanted someone who would be direct and honest. Dr. Reichman is always thinking about what is best for his patients; he individualizes every plan of care to each of his patients.

Don't be afraid to ask questions. He answers every single one of them without making you feel rushed or that it's a silly question.

I was on Gonal-F, Menopur, and Cetrotide, with an HCG trigger shot before the egg retrieval. I can't remember the exact dosages but he had me on a low dose of Gonal-F. I only had 5 antral follicles. We retrieved 5 eggs, all 5 fertilized, 3 made it to PGS testing and all 3 were PGS normal! We did not expect this and were thrilled, as my last miscarriage was confirmed due to chromosome issues.

Monitoring appointments were very efficient. You have a window of time they do "morning monitoring" and you don't have to wait very long once you arrive. Once you are pregnant, the 2-3 ultrasounds you have to have are via appointment after monitoring hours.

I was lucky as my insurance covered IVF 100%; the cost of the medications were mostly covered as well. We did pay a few hundred dollars though for some genetic testing and other blood work to be done as I had two previous miscarriages.

From my experience, I believe Dr. Reichman prefers single embryo transfer.

The Tribeca location is fantastic. It is calm, comfortable, and all new. It can get a little crowded during monitory hours but never too bad and they are really organized. The nurses are all very nice. It's so much better than the UES location! The receptionists are also very nice and helpful

Dr. Reichman sees me every visit (unless it is a weekend or he is off for a holiday), which I appreciate. He always seems to consider my case and our next steps carefully. He doesn't have the warmest bedside manner, and doesn't seem to plug into the emotional toll this takes, but he does lay out the numbers and realities and stays positive.

Dr. Riechman's main nurse is fantastic. She always answers my questions and when I wanted to order fewer meds since i had to pay OOP as I hit my insurance limit, she worked with me on ordering just what was necessary. She's a pleasure every time I speak with her. Any other nurses that cover for her are also great.

I came to Dr. Reichman from another doctor only because my insurance changed and it now covers IVF and the other place I was going doesn't take my insurance. Dr. Reichman agreed with the assessment of my other doctor (age-related infertility). Although I feel I got more compassionate "bedside manner" from the first doctor, I appreciate that I see Dr. Reichman for every monitoring visit (at the Tribeca Office). He may take a day or so to email back, but he always always responds to email. His answers are short but to the point. He's gives it to you straight so you have to be able to take that, but I have no doubt he knows that he's talking about! I feel I am in good hands for sure.

He can be blunt with the reality of things, but he does care about you getting success and knows his stuff. If you want someone with a super compassionate bedside manner he may not be the one for you, but he certainly takes his work seriously and is always positive yet realistic. If you are paying out of pocket, he also understands the great cost of IVF and takes that into account when recommending next steps, which I really appreciate.

2 stimulation cycles. Both times mostly 150 menapure, 300 gonal f, then leuprolide added in. Egg retrieval and fertilization with ICSI using fresh sample. Waited the 5 days to see which embryos survived and did genetic testing on those that did. Cycle 1 - 10 eggs retrieved, 8 mature, 6 fertilized, 4 embryos genetically tested, 1 recommended for transfer. Cycle 2 - 7 eggs retrieved, 6 mature, 3 fertilized, 2 genetically tested - awaiting results. Still have not yet done an embryo transfer.

In the Tribeca office it is a very pleasant experience even when crowded -- and it's never that bad. I don't think I have waited longer than 30 min to be seen and sometimes i get seen within 10 min.

My insurance paid for up to 40K of my expenses. After I hit my limit, I have to pay OOP. Approx 10K for egg retrieval (all monitoring included), 1K for ICSI fertilization, 4K for PGD/PGS testing. 1K hospital fee. Not sure what frozen embryo transfer will cost. Meds were covered by insurance but i think it cost 10K

The reputation for this clinic is extremely strong in the NYC area. I know many people who have gone to this clinic and had success. I feel like if you have a more common issue or case and can follow standard protocols, you'll be good. The lab is also supposed to have a great reputation and rates of success. I felt like everyone was competent and I was in good hands but often felt like I was being shuffled along due to the amount of patients.

This is an extremely busy practice and while it is run as efficiently as possible, I found the experience to lack personal attention. The front desk employees are not overly friendly. The doctors handing ultrasounds for follicle growth always seemed to be in a rush and I would need to ask questions quickly to get an answer before they left the room for the next patient. I never had a dedicated nurse assigned to my case while I was a patient. Every call would be from a different individual which made it difficult if I had questions on my treatment....there was no consistency. For my egg retrieval and transfer at the hospital, it was one big waiting game. The room was full of patients and you were filed into the operating room one after the next. The process was quite long and there was a lot of down time while waiting your turn.

This is an area that could be greatly improved upon. There should be consistency in the person you speak to during an IVF cycle. I felt like I needed to give color on my case or background information given I was always speaking to a new person. For my first failed transfer, the lack of compassion I received from the nurse who called to tell me my test was negative was very upsetting. There was no emotion or feeling of empathy as she spoke to me and the call last all of 2 minutes. At times nurses had attitudes and made you feel like you were bothering them if you called with a question. You would always have to leave a voicemail and someone would eventually call you back.

Dr. Spandorfer was pleasant during our consult and took an extensive history for both my partner and I. He acknowledged the emotional toll infertility takes on a woman and highlighted the psychological/counseling resources that are available at the clinic. While I had a basic understanding of my diagnosis from doing research on my own prior to my first consult (my OBGYN had completed basic hormone level testing which indicated severe diminished ovarian reserve and high FSH and referred me to the clinic), looking back I feel that Dr. Spandorfer could have been more specific and blunt about my chances of success doing IVF and using my own eggs. At no point would he give us an estimated chance at success given my young age and diagnosis. He explained that while I would likely only produce 2-4 eggs per retrieval, there was a good chance that due to my young age, there was a chance I could produce a good quality egg within that cycle. As we progressed with treatment and moved on to second and third rounds of IVF, I often found that he would present options (ex: medication protocols) and I would be left to make the decision on which path to choose. I would have preferred the doctor to have more conviction and state "we should go with XX option given this will give you your best shot". I received a lot of "well we just don't know..." in my time with this doctor.

Be your own advocate. Do your research and be well prepared for your consult and appointments. You will need to speak up for yourself and not be afraid to ask questions about your plan of treatment.

Cycle 1: estrogen priming/antagonist protocol- 300 units Gonal F and 150 units Menopur; eggs retrieved: 3 Cycle 2: low dose medication protcol with clomid-> (150 units Gonal F and 75 units Menopur; meds were eventually bumped up due to lack of response) we tried this approach given my body will never produce a large amount of follicles and I had been told by other parties that this is a good approach for poor responders/diminished ovarian reserve patients. This protocol unfortunately did not work at all and I was left stimming for approx. 18 days without any follicles growing past 10mm and cycle was then cancelled. Cycle 3: returned to original protocol- estrogen priming/antagonist protocol- 300 units Gonal F and 150 units Menopur; eggs retrieved: 1

The clinic has the flow down for monitoring appointments and is run efficiently however, there can be long waits due to the number of patients if you decide to go at "peak time". It is best to go when monitoring hours open or if it works for you, to their Tribeca office.

From what I recall, an IVF cycle with ICSI was approximately $20K.

For my first transfer, we transferred two embryos. The doctor gave me the choice if I wanted to transfer 1 or 2 embryos. He and the doctor performing the embryo transfer explained that there was an increased chance of twins by transferring 2 embryos.

Let me start by saying that I hated pretty much everything about the way this clinic is run. it is impersonal. It is a factory but not a well oiled machine. All REs love to talk about how their labs are teh best. Literally every single RE will tell you they have the best lab. And while there are some labs that may be better than others in some ways, for the most part i think it's negligible once you get past a certain threshold of care. So I think Cornell hides behind "we have the best lab" argument to avoid actually providing quality continuity of care. The waiting room holds 100 people. You check in with a swipe card. It is incredibely impersonal. They do not run on time. When you get called in you will see random blood draw person- i swear I never saw teh same person twice. Then you will be assigned a room and random young dr will do your scan. I seriously had to ask a few of tehm if they were med students or not becuase tehy looked so young, and again, I never saw teh same person twice. This is a problem becuase everyone measures follicles differently and you are relying on their measurements being given to your dr to decide on what next steps are needed. So if you are deciding when to trigger and someone measures either generously or conservatively it can actually have a major impact on your outcome. I hated that I literally never saw Dr. Davis and they drs doing the scans were so clearly like- whatever- about their job. It is a factory. I also really, really have a major issue with how they handle retrievals. First of all, EVERYONE is required to come to a 6am class and sort of group blood work the day before your retrieval even if you have already done multiple retrievals. They come out with a clipboard and the order that your name goes on teh clipboard is the order that you are seen. So you sit around a conference table with all the women who are being retrieved the next day. Too bad about HIPPA and expectations of privacy- there are NONE. You could end up sitting there with your boss, or your sister in law, or your hairdresser. I actually can;t believe it's legal. Then they call yuo back one at a time to do blood and sign forms. I then refused to stay for the class ofw hat to expect becuase this was going to be by 4th or 5th retrieval which I told them. The nurses were not nice about it all and threatened to cancel my cycle if I messed up anything. I was like- you are handing me a piece of paper with the extensive instructions of what to do. i can read and I will follow them . And then I left. Then the next day I showed up at 6am again- for a 10am retrieval- which is just obnoxious. Then again, you are called by name and given scribs to change into they put the IV in your arm. And then you are put in a waiting room with all the same women AND their partners, parents etc... in scrubs... with an IV sticking in your arm. And you wait. Again. And then they call you by name in groups of 3 and take you to a tiny waiting room. There one at a time the anethesiologist pulls you into the hallway (i swear) to have a private converastion about any anethesia you may have. I had 2 very lovely girls I was sitting with and we kinda chatted a bit but honestly, what if you don't really want to be in scrubs with strangers having a convo right before your retrieval? Then they take you one at a time and you see whoever is on call for retrievals that day- you may or may not have ever met them. Then you go to recovery. They wake you up with mandatory pain pills and send you on your merry way. They do tell you how many eggs were retrieved and thats it. Having had a a fair amount of clinic experiences by the time I got there I had a lot of comparisons to other clinics and this model is by a loooong shot, my least favorite. I ended up moving my 10 frozen 2PNs to another clinic because I refused to ever cycle with them again.

Dr. Davis is a very nice person. He was very patient and available on the phone and reassuring. I absolutely hated the clinic and that was the reason I only did 1 cycle there. But I liked him as a Dr and respected his approach.

I remember Dr. Davis's manager a lot more than his nursing staff. His office manager was excellent. The way that Cornell organizes their clinic make me so aggravated that I honestly don't think I had a main nurse. You literally never see teh same person twice- nurse or even phlebotomist. They were all.... fine. It really is truly a factory so the nurses respond to the culture that they are a part of and have no power to change.

Dr. Davis was the 4th fertility doc on my long list. i came to him because i was told he would do day 2 or 3 freezing and fresh transfers if desired and appropriate. This was the first time that those options had been offered to me and given the fact that i cannot get an embryo to day 5 in a dish this was comforting. We had one initial converastion to make a plan. It was extended and I never felt rushed. I asked him about the reason that nothign ever made it to day 5 in the dish and he said probably egg quality but not necessarily. He is not didactic in his approach to treatment and has been doing this long enough to remember the days before automatically pushing to day 5 blasts and pgs was the norm. We ultimately decided on a freeze all cycle with the plan to do another cycle immediately following which I ended up not doing because I hated the clinic so much. I told him I thought I had been way overmedicated in my previous cycle and he listened and dosed lower as a result. We ended up having a very solid outcome of that cycle with 10 to freeze. Ultimately the one pgs normal was in that group but it ended up not taking in transfer.

Be aware that you will probably never see him in person again after your initial consult. He was available by phone as was consistent in returning phone calls and I never felt rushed in our conversations.

It was lose dose- i think it was 25 clomid on cycle days 3-7 and then 125 follistim. He likes double ganirelix on theses low dose cycles, but I thouht it may have been over-suppressive so i actually just did one and a half ganirelix instead of 2X a day.

100% a cattle call. See above. I walked in one saturday and there were literally 75- 100 people waiting to be seen. It is the worst model for monitoring.

I paid OOP for this whole cycle. I think it was around 20k?

NA

The clinic is very organized, despite having a lot of women go through I feel like I am a priority and trust everything. They have two locations one UES and one Tribeca. I actually love UES but schlep downtown to see Dr. P several times a week - he always tries to find days he is working UES so I don’t need to travel as far. We also get to go UES on the weekend trips so that is a nice treat or for IUI or spem analysis. The afternoon following a blood test you get a call from the office with updates on medication as well as next steps if you didn’t already discuss. Making an appointment is VERY easy too. DR. P has his own medical assistant, Megi. Megi is very responsive and makes it all work!!!

Dr. Nigel Pereira treats all patients as if they are his family. This is a tough and emotional rollercoaster but he is there every step of the way to ensure you have everything you need. His bedside manner is also just what you need! Just one of the many examples of how amazing, Dr. P is - He was away visiting a family member who was sick and still personally called me on a weekend to provide me with an update on my blood results.

The nursing staff is amazing! They always see me and give me a big smile and ask me questions about how I am doing. I mentioned this before, but I am very afraid of needles, and they all are so patient and sweet to me. I have even broken down in tears before when I knew my blood test was going to be negative but they know what to say and do. Compassionate nurses make a VERY big difference!

Dr. Nigel Pereira is amazing. Would recommend him to my best friend, in fact I did and she got pregnant right away! Having a doctor that you trust, feel at ease with and also know if you shoot him an email will get back to you VERY soon is a blessing and all you can hope for with your fertility journey. Also, Dr. P is sensitive to what is going on in your life whether it be travel for work, fear of needles or both!! He finds ways to make everything as easy as possible on you. Truly couldn’t recommend someone more - still not pregnant yet and saying this because I know how much he cares and wants to make this happen too!

Trust him and feel comfortable asking him anything!

I found out a few months into my fertility journey that I had PCOS and needed to see a R.E. Luckily after HSG and sperm testing everything looked good on our end and we started letrozole. We tried naturally the first month. The next 3 months we tried with an IUI (we think one month we were a little too late based on my work travel :/). We also use an estrogen patch to help with the growth of my lining. This month we are trying a mix of letrozole and clomid but I will be traveling (this time on a much needed vacation) so we will try naturally. I am going to see Dr. P this week to see how far down the line IVF is and if that is our best chance - despite hating needles more than anything it could be good to have some frozen embryos and a better success rate but I trust Dr. P wholeheartedly so whatever he says he will do!

I left my prior job and am currently paying for COBRA because the fertility benefits were better than my new job (non-existent!) IUI was $735 including male and female part!

Strengths - physicians are making decisions as a team, excellent team based approach between the doctors and the nurses. Compassion and going above and beyond by all members of the care team, especially Shannon C. and Waleska P. Weaknesses - there were a few times when we felt like they dropped the ball during our first cycle. For instance, when I met with the nurse to review the IVF instructions, she mentioned consent forms and a packet/folder... we never got those though were supposed to have gotten them when checking in for the first daily monitoring appointment. Communication after cycle failure with our doctor was not great, he would say he’d need to ask the embryologists to review everything and he would really need to think about it, but did not call back with any updates. Two weeks later I finally emailed asking for an update, which was met with apologies for the late responses. Things a new patient would want to know - it may be busy/crowded (which was how I felt when I walked into the clinic for monitoring the first time), but they are generally a well-run clinic. Dr. Rosenwaks might not be cheery or delicate, but he is kind, compassionate, and great at what he does.

While Dr. Rosenwaks is quite blunt and not very delicate, you can tell how much passion he has for his work and you as a patient. The first day we met him (initial consultation) he spent more than hour with my husband and me, discussing our history, personally doing a physical exam, and even took a photo of my husband and me (presumably to put faces to the names). We were very impressed with all of this.

The second nurse, Katia, as well as her other colleagues were extremely compassionate and kind. Devon (who I believe does not work there anymore) was quite cold, it appeared, and lacked the compassion shown by others.

I don’t even know where to start... we’ve done two cycles with him, just finished the egg second egg retrieval. He is nothing short of brilliant, thoughtful, and compassionate. I broke down and started crying when I spoke with him over the phone when he mentioned the possibility of a second cycle... he was kind and referred me to his main administrative assistant who ended up finding significant financial assistance for us. He was also in constant contact with my husband and me after I experienced a rare reaction to progesterone injections. All this in the setting of living 3-4 hours away from the clinic. The only downside is he is not a great communicator... does not always tell you what he’s thinking or why, had some issues with calls back regarding a plan moving forward.

While he is not very delicate in his approach to care, know he cares, is always working for the good of his patients, and is at the top of his practice with respect to his approach to treatment.

First cycle - Follistim, Menopur, Ganirelix added in towards the end as the antagonist. Hcg trigger shot was 10,000 units. 14 eggs retrieved, 10 mature, 9 fertilized with ICSI. 1 early blastocyst transferred day 5, negative pregnancy test. Others were multinucleated and did not even approach the blastocyst stage. Trigger shot was done a little early based previous failed cycles with a different clinic, which produced no blastocysts between 2 cycles. Second cycle - clomid for five days total, after three days started follistim and menopur. Added cetrotide in after a few days. Hcg was 10000 units again. Had egg retrieval today, sounds like 10 eggs but won’t know until tomorrow how many, maturity, fertilization results. Not sure why the clomid first, other than I was using all donated medications and this is very inexpensive.

Some days were very busy and four of us would be called at a time and placed into rooms one by one. Other times, it was not that busy and one 1 or 2 would be called at a time. Sometimes you do bloodwork first, sometimes ultrasound first. There is a window from 6:30-8:30 am to get the monitoring done, so you show up and check in with the front desk sometime between those hours.

Since our insurance did not cover ANYTHING related to ART, we estimated the whole thing (IVF cycle, retrieval and hospital fees, parking, medications etc.) put us close to $25,000. We also live 3-4 hours away so would sometimes stay overnight, which also added to that cost.

Generally I think he prefers single embryo transfers, at least in younger patients. Other than that, we never had more than one so that wasn’t really applicable or discussed.

Go to Cornell for their lab - we got much better fertilization rate; They have a lot of patients cycle through so it's not as personal as a private clinic. Don't expect to see your doctor on every monitoring appointment. He / she may not do your retrieval or transfer. each doctor only does retrieval one day a week.

We were living abroad when we went through the treatment with Dr. Chung. He makes an effort to go over the procedure and results with us either over the phone or in person when we were in NY. However, he does seem to be in a rush all the time so better get your questions prepared ahead of time.

The nurse had a hard time figure out how to coordinate with us because we were living overseas and did the first few days of monitoring outside of country. I would like to note the genetic counsel who communicated the final results to us was horrible. she had zero compassion and knowledge. her name was Ann Carlson. She didn't know how to explain our results and completely dismissed our results because they were abnormal. She would make these conclusions about the embryos without any data and told us it's based on her gut feeling. I am floored with how unprofessional she was. You should definitely request a different genetic counselor if you go to Cornell. She added so much stress to our process. We deserve better.

Dr. Pak Chung takes very straight and narrow approach to IVF , a process that has a lot variability. We did 3 retrievals with him, each time it failed to yield a PGTA normal embryo from a total of 14 highly rated day 5 embryos. Throughout the process, we asked him multiple times to consider doing something different to improve the results but he refused. We are now under the care of CCRM, the doctor there was very surprised by Dr. Chung's approach to stick with the same protocol after seeing the same results in 3 rounds. I think Dr. Chung's approach may work with 75% of the patients but if you have a tough/ unique case and requires the doctor to think out of box, you should not go to Dr. Chung. He sticks with the same general protocol. Being a part of an academic organization, the doctors there are super conservative. They would not go out of their way to help the patient.

If you have a tough case and his protocol didn't work for the first time, I would think very hard about staying with him. Get a second opinion. Be prepared with questions when you meet with him. He can be very intimidating sometimes but you need to be your own advocate.

I am a good responder to stim so he used the same protocol for all three rounds: 225 gonal F/ 150 Menopur then added grlx use 5000 IU HCG trigger

cattle call but efficient.

mine was mostly covered by my insurance. Don't recall the exact cost

I think Cornell does up to 2 for day 5 and 3-4 for day 3 (not 100% sure)

The tribeca office is very pleasant, clean, spacious, bright...nice artwork! Busy but you also feel like there is something personable and private. Staff friendly and positive. I can’t come up with any negatives about tribeca

Cornell is a busy practice and at times in the waiting room you feel like just a number. However, when interacting directly with Dr Reichman (and his team) I always felt like I was his only patient. Dr. Reichman gave me his full and complete attention and I felt like he genuinely cared about the outcome of this difficult process

I have never been to a medical practice that runs this smoothly- and it is remarkable given the volume of patients here. Even during monitoring visits, I was most often in-and-out. Phlebotomists, nurses, front desk lovely and always friendly and quick!

Since our first meeting with Dr Reichman we have trusted him, had the utmost confidence in him and have felt like he has genuinely cared about the outcome of our process. He is direct and honest, compassionate and thoughtful through setbacks, reassuring and confident, and pleasant to interact with. He responds within hours to emails/phone calls. We felt like we were a team.

See him!

We have a 2.5yr old who was conceived naturally. After trying for 6+ months for a second child we saw Dr Reichman. Given my history he suggested IUI/clomid. We did 2 rounds with no success. He read my disappointment and we agreed together to do IVF. During my first cycle, though 23 eggs were retrieved the fertilization rate was low and ultimately there were no genetically healthy embryos. I was devastated and Dr Reichman was attuned and empathic and we moved forward and he has plans to make adjustments during next cycle of IVF in order to address the issues w fertilization. Second cycle was a success- 30-something eggs, 15 fertilized and 3 genetically healthy embryos.

I have only good things to say about WCM. It was clean, the staff organized and friendly. Sometimes the waiting room was crazy crowded and you'd have to wait for a while, but to be expected in New York.

From my first appointment to my very last, Dr. Reichman made me feel like my case was a top priority. He always remembered my husband's name, what I did for work, and snippets from our previous conversations. He never compared me to other patients like some doctors do (which can make you feel like just another patient in a long line of patients), unless of course it was relevant or he was sharing an example. Dr. Reichman always responded to my questions honestly and openly. I knew he was working hard and following all of the right steps to get us where we wanted to be.

I spent a lot of time at WCM. I stopped counting after my 60th appointment. Yet somehow sometimes I would oddly look forward to those early morning appointments, which often required me to get probed and poked for blood work, etc. It was definitely because the staff was SO lovely and friendly, especially the nurse Christine who was clear and concise and had super positive energy, which I loved.

I came to Weill Cornell with very little understanding of how fertility treatments worked or what the process was for someone like me who wasn't getting pregnant after months of trying. I'd researched a bit on the internet and chatted with friends, but there was a lot of conflicting information out there and it really seemed like fertility treatment depended so much upon the individual and their circumstance. My gynecologist at the time was extremely unhelpful answering fertility questions — she basically told me to come back in a year if I still wasn't pregnant, and that was that. I was so discouraged and really wasn't sure what to expect with WCM. My first appointment with Dr. Reichman was more of a level-set; we talked about my health history, how long we'd be trying and what our options were. From the very beginning, Dr. Reichman made it clear that his objective was to get us pregnant, and he was going to do everything in his power to make that happen. I could tell he was incredibly smart and an expert in his field, which made both my husband and I feel reassured and confident in his plan. As Dr. Reichman's patient, I felt cared for and listened to every step of the way. I don't think I've ever had a doctor I've trusted more.

Trust his judgement. Though it can of course be helpful to do your own research or talk to other women about IVF, I honestly never took anyone else's advice over his. If you have a question, no matter how silly, ask it and he will answer.

Over the course of seven months, we did five IUIs with no luck, moving on to IVF in June of 2018. It was a bit of a rollercoaster those seven months — taking meds for two weeks then doing the procedure, then waiting the ten days....and every time is wasn't the answer we wanted. But Dr. Reichman stayed positive. I remember every time I got my period after a failed IUI I would go to see him and his first response would something warm and encouraging. After our 5th failed IUI we decided to do IVF and I was actually really relieved and excited for it. Dr. Reichman carefully explained what IVF would entail and WCM offered a helpful course, so we began the process with all of our questions answered, ready to go. All in, the 10 days or so of medication and daily monitoring wasn't so bad. Mostly it was enormously disruptive to my schedule but I didn't experience any pain or mishaps. We got 25 eggs which was a huge success, and ended up with 6 embryo. And as luck would have it, Dr. Reichman was able to do my transfer which made me really happy. That first transfer was successful, and I don't think I've ever been more excited than when I got the call confirming my bloodwork.

I found that getting there early was always best (and the nurses tipped me off to this), so waiting wasn't too much of an issue. The clinic was well-run, super organized and had an overall welcoming environment.

In total we paid approximately $20,000 just for IVF. IUIS I believe were about $1,000 each.

I loved the walk in hours at the clinic, but, sometimes waiting for bloodwork was grueling. And I just wondered why I had woken up so early just to sit in the office waiting for bloodwork. Overall, I would say the clinic was very organized, clean, and as nice of an environment as you could expect for a medical fertility clinic.

I can't say enough positive things about Dr. Pereira or his staff. Dr. Pereira is a special doctor, and one of the rare ones whose bedside manner equally parallels his incredible expertise. I have never felt so important and cared for as a patient, and I think Dr. Pereira's regular communication and quick responses to my inquiries, has a lot to do with it. During my time as Dr. Pereira's patient, I underwent emergency surgery for ovarian torsion. Dr. Pereira did not skip a beat making sure I was properly cared from the initial testing, to understanding my options, to answering my call at the crack of dawn when I knew I was in need of emergency surgery. I felt really lucky to have a gynecological surgeon, who was also a fertility specialist, in charge of my care, because I knew he would ensure my fertility future was well taken care of. He really is the best doctor, and it was bittersweet 'graduating' from his practice. Can not recommend him enough.

The entire nursing staff was professional and lovely as can be, which is exactly what you want when you are going through something as serious and intimidating as fertility treatment.

I can't say enough positive things about Dr. Pereira or his staff. Dr. Pereira is a special doctor, and one of the rare ones whose bedside manner equally parallels his incredible expertise. I have never felt so important and cared for as a patient, and I think Dr. Pereira's regular communication and quick responses to my inquiries, has a lot to do with it. During my time as Dr. Pereira's patient, I underwent emergency surgery for ovarian torsion. Dr. Pereira did not skip a beat making sure I was properly cared from the initial testing, to understanding my options, to answering my call at the crack of dawn when I knew I was in need of emergency surgery. I felt really lucky to have a gynecological surgeon, who was also a fertility specialist, in charge of my care, because I knew he would ensure my fertility future was well taken care of. He really is the best doctor, and it was bittersweet 'graduating' from his practice. Can not recommend him enough.

I would give any patient, of any doctor, the same advice, be patient and ask a lot of questions.

I can't remember specific costs, but I do remember that Dr. Pereira was very considerate with billing when my insurance wasn't the best.

The office staff was organized in explaining and obtaining the necessary paperwork. I was seen by the provider in a timely manner in relation to my appointment. I do wish that the office had a direct # that is not affiliated with the main # for NY Presby/Weill Cornell. I had received a phone call the morning of my appointment that I missed. When I called back the # I spoke to the answering service telling me the office was closed when I just received a message.

I was warmly greeted by the doctor by name and handshake. He took over an hour to explain all the details of my specific case and my available options. This doctor is not only interested in solving the problem, but to ensure the patient's level of comfort.

I have not had any interaction with the nursing staff at this clinic as I have not gotten past the testing stage.

I have always experienced pain in the area of my right ovary at first during when I thought I was ovulating. Over the years this pain got progressively worse and more frequent. I was told by my OB/GYN that it was a uterine fibroid on the outside of the uterus in the back and it was sitting on a blood vessel. I sought fertility treatment from the Chief of a well known health system on LI. He advised me that he wasn't sure it was a fibroid, but rather it was a "mass". An MRI of the Pelvis showed absolutely nothing but the pain was even occurring during my period. I had a round of IVF in which I had 13 mature egg and all of them fertilized. A grade A embryo was implanted and it didn't take. We were devastated to say the least. I sought Dr. Elias for a 2nd opinion as I knew something was not right. After reviewing all of my documentation he was able to provide a potential diagnosis....not a fibroid at all but rather a blocked Fallopian tube. Not only could this be causing my pain, but could be the reason my IVF cycle was unsuccessful. He is thoughtful, cautious, kind, caring and patient. All the things that a doctor should be. I am willing to drive from LI to Westchester for him to be my doctor.

Don't be afraid to voice your concerns or questions as he is very willing to listen and give an explanation in layman's terms.

Dr. Elias has prescribed a HSG to confirmed discussed diagnosis. Based on the results a Hysteroscopy is possible.

Dr. Elias does not accept my insurance plan so I was a self-pay patient. My plan does have out-of-network benefits, however, I was told that I had to pay upfront and then get a form that I could submit to my insurance for reimbursement.

Dr. Elias explained that due to a number of factors including advanced maternal age as well as other medical issues I would be prudent to only transfer one embryo for not only a positive outcome for pregnancy but to my long term health.

If you can try to go to the Mt. Kisco office for morning monitoring because you get to see Dr. Elias for US and Blood work everyday except Thursday's and weekends. The NYC main office is more of the factory feel and you get a different doctor or nurse each time. They are extremely fast though because there are so many NP's there.

Dr. Elias always made us feel comfortable. My husband and I had multiple appointments with him because of my pre-ops for my fibroid surgeries, lap, etc. He has great bed side manner, he's very kind, compassionate and extremely patient. We always knew the success rates going in which helped when a treatment didn't work and he always took the time to thoroughly explain everything.

Lisa and Jane are Dr. Elias's two IVF NYC Nurses that call to give daily updates. They also called me for IUI next steps as well. They were great to work with and when I called multiple times for follow up questions, they always called me back the same day.

We would not be expecting our little boy in December if it wasn't for Dr. Elias. We will forever be grateful to him. Dr. Elias always called me to follow up after surgeries and several times when i freaked out over results. I truly feel he genuinely cares about his patients and ask my husband, he was the only person that could calm me down. You just feel a sense of comfort when he's talking to you. Dr. Elias is also extremely patient - pretty sure i repeated several questions over multiple appointments and he always answered them without hesitation. Although morning monitoring was fast, i never felt he rushed me without answering my questions. Dr. Elias was able to remove my fibroid with three minimally invasive hysteroscopic surgeries. After multiple IUI's and laparoscopic surgery which confirmed my blocked tube, we ended up doing IVF. Dr. Elias never made us feel rushed to move onto the next step until we were ready, but also gave us his honest opinion, which i really appreciated. The first IVF cycle ended in a CP, but was my first FET was a natural unmediated cycle and it was a success.

Don't be afraid to ask him questions or give him your opinion on research you found, etc. He really takes the time to address your concerns so that you can understand his protocol, etc. He's happy to repeat himself though if you don't understand what he says the first time.

1 clomid cycle and TI, 5 IUI cycles of 100mg Clomid (1 was 150mg Clomid). We were going to move forward with IVF after 4th IUI but we missed deadline due to time of year. For IVF: 150iu Gonal F, Menopour 75, Cetrotide. 17 eggs retrieved, 14 mature, 12 fertilized with ICSI, 10 made it to blastocyst. Fresh cycle ended in a CP, Frozen was un-medicated with 1 BL and it was a success.

Already stated above, but the Mt. Kisco office would get crowded during monitoring appointments, but it was more of a personal feel getting to see Dr. Elias (being able to ask your own DR questions). NYC office was always packed, but they always moved pretty quick.

IUI was ~750, IVF cycle was approximately 10k for one cycle plus injections were ~6k, plus ICSI was ~2,500, Frozen cycle was ~4k. Insurance covered Fibroid surgeries, lap, IUI and IVF but i had to pay until we hit our out of pocket max.

Dr. Elias strongly recommended SET due to my age even after my fresh cycle ended in a CP.

At the tribeca office I never had to wait very long. However, the main office on the weekend gets crowded. I still feel like they were very organized and things moved well. You will always see your doctor for checkups. They are not done my a nurse or random doctor like other clinics. The only exception may be the weekend - but even then I was lucky enough to see my doctor. The retrieval and transfer are typically done by the doctor that is assigned to the OR that day. I had dr. P for my retrieval but someone else for the transfer. I forgot the name of the doctor that did my transfer, but he was very knowledgeable and comforting as well.

Dr Pereira always encouraged me that this will work and that there’s no reason that I can’t get pregnant. He always responded to my emails the same day and took all my concerns seriously. He was the only person I saw for all my checkups and the retrieval.

Everyone at the clinic was very nice and always helpful. Setting up appointments was easy and I always got a follow up call with results in the afternoon. If they couldn’t reach me they’d call again instead of just leaving a message. I always felt like everyone knew who I am when I called and they directed my concerns to dr Pereira as necessary. This was the first clinic (out of 3) where I did not feel like a number

Dr Pereira took the time to review my history thoroughly and took the time to answer all my questions. He was the only person I saw for checkups and he was able to switch things around to do my retrieval as well. He was always encouraging and always followed up. If I had any concerns he saw me the same day or next day. I cannot recommend him enough! He is compassionate and really cares about his patients!

I started the cycle with 100mg of Clomid for 5 days. On day 4 I added 150iu Gonal and 150iu Menopur. Menopur was increased to 225iu after a few days (this was my request cause i felt i wasn’t responding well enough). The last 5 days before the retrieval I added Cetrotide. Since I had a failed transfer at another clinic with a PGS normal 6AA embryo, dr P suggested a fresh transfer for me. He explained that sometimes it’s better to do a day 3 transfer cause some embryos don’t like the lab and there’s a chance that my embryo was rejected by my immune system so an “untouched” embryo may be better for me.

I always saw my doctor for monitoring and I never had to wait very long - even if it was crowded. The team is very organized.

Ivf cycle $10,500 ICSI $2,630 Sounding $600 Facility Fee $1005,84 Anesthesia $600 ————————- FET $4,260 Embryo Cryopreservation $1,050

Since I had 1 PGS normal out of 3 embryos during that first cycle, we decided to transfer 3 embryos. This is also the clinics recommendation for non-tested embryos at my age

Cornell's early monitoring hours are really great and and make it really easy to avoid a disruption to work. It was easy to make appointments and get in for super last minute ultrasounds if I was ever feeling nervous about anything. Highly recommend Cornell's fertility care.

From the moment my husband and I met Dr Pereira, we really liked him. He is not only knowledgeable, but incredibly warm and compassionate and always made me feel like a priority, which was especially important after I suffered an additional miscarriage while under his care. He never made me feel like a number and treated my case specifically based on my medical history. If I ever had any questions for Dr P, he would email or give me a call even after hours. He is a wonderful person and the best doctor I have ever had.

The nurses at Cornell were really great and friendly which is really important when coming in daily at some points. They were always prompt with their calls to report blood results and some were particularly warm and friendly. At times it was hard to get in contact with them via phone, but they always returned your calls.

As previously mentioned, Dr Pereira always made me feel incredibly cared for. He always made time to explain everything and answer my questions thoroughly - no appointment ever felt rushed and I always felt like a priority of his.

To chose him as your reproductive doctor!

As I had gotten pregnant two times previously on my own before visiting Cornell (and lost them), he started me out by putting me on Progesterone supplements post ovulation surge. I became pregnant naturally after my first cycle under his care and all was going well until week 9, when a heartbeat could no longer be detected. After testing it was determined that the fetus likely died due to a blood clot as it was 'normal' and I have Factor V Leiden blood clotting disorder. It was decided at that point that I would give myself daily Enoxaparin Sodium injections starting with my next positive pregnancy test. We decided to try IUI to increase our pregnancy success rate and got pregnant. Unfortunately I lost that pregnancy too at about 6 weeks though giving myself injections (on top of Progesterone supplements). Not wanting to deal with a 5th pregnancy loss that could potentially be due to an abnormal embryo, my husband decided to take aggressive action with IVF. We became pregnant with our first transfer of one embryo and I am currently 16 weeks pregnant and will be giving myself daily 40mg injections of Enoxaparin Sodium through my pregnancy.

While the office was generally super busy during monitoring hours and the wait could be longer than ideal, it was all managed quite well and the actual monitoring was really quick.

As we did not qualify for IUI and IVF medical coverage with mine or my husband's medical status, we had to pay a lot of money out of pocket, easily in excess of $20k after IVF.

Dr Pereira felt strongly that I should only have 1 embryo transferred due to my history with miscarriages and wanting to mitigate risk. This was in line with what my husband and I wanted to do also.

Amazing clinic- super kind staff, very prompt ‘service,’ extremely clean and modern facility. This is one well-oiled machine, with a very uncommon level of care and humanity. I really appreciate how quickly I could get in and out of the office, esp given the frequency of appointments.

Though Dr. Reichman is a busy doctor, I always felt like our questions were answered, issues clarified, etc. I was fairly active on email and he was super responsive.

Worked with Hannah during the IUIs, she was fantastic. She then went on maternity leave and we worked with a new nurse, who was less familiar in the lead role. Had a few hiccups along the way, but got better as went went.

My early reaction, and continued perspective on Dr. Reichman, is that I wish every doctor I had was like him. He’s super intelligent, passionate about his work, focused on results, data oriented, and a caring, communicative doctor. From our first consultation, he provided us with assurance that we had previously been lacking. The road wasn’t always smooth (2 failed IUIs), but we knew that the likelihood of getting pregnant that way was much lower than with IVF, given the data he presented in the first consult. When we had a hiccup with meds/insurance while starting IVF, he personally found a way to get us what we needed, allowing us to begin the cycle in what was a good month. I can’t ever say I’ve had a doctor that has gone so above and beyond. He was always very receptive to our thoughts and questions, to some concerns we had along the way, dedicated to making sure our experience was as good as it could be.

If you’re results oriented and respond to data and a logic-based approach, he’s your guy.

2 IUIs, first cycle with Clomid and second with Letrozole. Second cycle elicited a larger egg count, but ultimately, both cycles did not produce a pregnancy. For IVF, we did a frozen transfer to allow for timing flexibility on the transfer (to evaluate the lining of my uterus) and the option to genetic test the embryos. Got 12 oocytes, which led to 10 mature eggs. 8 fertilized, and 6 were viable after genetic testing. Meds prescribed pre-retrieval were Gonal F, Menopur, and Cetrotide. Did the trigger shot the night before the retrieval. Followed the transfer with progesterone inserts.

IUIs cost about $400 with our insurance, not sure about the actual cost. Our insurance didn’t pay for ivf, so we paid out of pocket. We did ICSI, genetic testing on the embryos, and a frozen transfer. Including the cost of meds, anesthesia for the retrieval, and the aforementioned choices, we spent about $25K on IVF.

Thought it was smart and strategic that we transferred one, given my age, the number of viable embryos we had, and the potential risks posed with multiples.

Cornell is known to be the best clinic in NYC and even the country. While it is no secret that the Hospital Waiting room can feel cold and "factory" it is a small price to pay for what expertise they have

Dr. Melnick and her staff are all extremely warm, personal but also direct. They care about their patients but also value honesty which meant a lot to me in the process.

Holly, Lindsay, Connie and Jersey are the best. The treat you like family and not just a number. They care about your success and are always positive even when you are going through the worst

Dr. Melnick is at the top of her field. She is young and up to date on current advice regarding infertility treatment. She has a protocol she follows but knows when to adjust to meet patients needs. She is extremely smart and confident in her abilities which as a patient helped me with so much of my anxiety.

Book an appointment as soon as possible!

When I saw Dr Melnick I was 1 year into TTC with 1 miscarriage (first month trying) because my labs / test showed no reasons why I couldn't get pregnant again we started with natural cycle IUI. The first cycle was negative and then we tried clomid + IUI for 3 rounds which resulted in 2 chemical pregnancies and 1 full miscarriage. At that point I was certain nothing would work however Dr. Melnick suggested IVF with PGS testing (which was confirmed recommendation by 2 other second opinions). We started IVF a few months later and had a very successful round with 23 eggs resulting in 12 embryos, 6 of which tested PGS normal. Because of my history, Dr Melnick had me take baby aspirin and increased doses of Progesterone during my transfer and early pregnancy. I had a healthy baby boy and am now starting to think about round #2!

Insurance covered but roughly $20,000. Dr Melnick takes Aetna but the Hospital sadly does not

Dr Melnick did not suggest multiple embryo transfers given that mine had been through PGS

Generally great, reception is polite although a bit hasty and patronizing - I assume because of the volume of emotional women they deal with all day. Wait times can be up to an hour but for the most part were very quick and I felt the clinic did all possible to mitigate waiting. Facilities were clean and modern. Staff was all professional and friendly.

I did understand what tests were being done, nor the outcome or meaning. I would have liked to better understand what he/ we learned from each test and cycle. I often felt in the dark and my questions were answered but curtly and without elaboration.

Generally great but I had one major problem with billing that was in contrast to what the nurse told me.

I felt he was competent and knew exactly what he was looking for and observing - I wish he shared more insight. I still do not understand why none of our attempts worked or if he had any understanding. Our first consultation was jarring because he assertively suggested IVF immediately (at 38 years old), but I can't blame him for my shock. Throughout, he was very matter-of-fact and direct. There were no elaborations, explainations were as minimal as necessary, he seems busy but always made time for pleasantries and to ensure I was OK. There were a few times I had to call nurses after the appointment for clarity on next steps.

Do your reserach before seeing him to understand potential outcomes, alternatives and questions to ask. He will competently answer all, but not necessarily offer excess info.

We attempted three IUI, first two with Clomid and third with Letrozole. We monitored frequently (expensively) and I gave blood and had an ultrasound for consecutive days prior to procedure. Each time I recieved conflicting recommendations for when to have intercourse following the IUI. Each IUI attempt was unsuccessful and if there was any suggestion of explaination, I never heard it.

IUI was apx $5K per attempt, including monitoring.

N/A

Leave messages with questions. They always call you back........…................................... ..........….....................................................................................................

The ladies at the front desk always greeted me by name and were warm. Dr. Reichman always had a smile on his face and asked how I was. He responded quickly to my emails outside of office hours. He also always took what my husband and I wanted into consideration when presenting plans for next steps. I always felt like Dr. Reichman cared for me and was always rooting for the end result we wanted.

The nursing staff was always friendly and answered all of my questions when they called with test results. They were also excellent when responding to messages I left for them.

I cannot say enough good things about Dr. Reichman. I have never felt like a doctor was so invested in me as I did with Dr. Reichman. He not only is an amazing doctor but he is warm and compassionate. He was very patient and thorough when explaining options, procedures and next steps. He made me feel very confident in the choices I made because I felt he had given me all of the information I needed. I also always felt very confident with his recommendations. When I emailed him questions he responded quickly even outside of office hours. When I came in for monitoring appointments he took my work schedule into account and would see me earlier in the morning.

Choose him as your doctor.

I do not ovulate on my own due to PCOS. Dr. Reichman started me out on 2.5mg of letrozole to help me ovulate. He said that women with PCOS often respond better to letrozole than clomid. I did not respond to that dosage, so the next month he increased it to 5mg. I responded to that dosage and continued to use it for 3-4 cycles combined with regular monitoring, trigger shot and timed intercourse. Those cycles were met with negative pregnancy tests, so Dr. Reichman did a procedure to test my Fallopian tubes to make sure they were open. They were clear so, we moved on to 2 cycles of letrozole and IUI. Our plan was to do one more cycle with IUI and then move on to IVF because my insurance would pay for it and my husband and I did not want to wait. Since it was our last IUI cycle Dr. Reichman though I should try clomid rather than letrozole to see if it yielded different results. I did not respond to clomid, so I went back on letrozole and did one last IUI. This cycle worked and I am now pregnant!

My insurance covered everything except for my copays.

I am still in my fertility journey, and after many IUI and 7 IVF, I would consider myself experienced. I have used multiple clinics for IVF and have sought multiple second opinion consults. BY FAR, my experience at Cornell with Dr. Davis has been the best.

With my complicated history, Dr. Davis clearly reviewed my extensive fertility records prior to our visit and was prepared to lay out a well formulated plan. He was honest but extremely informative.

Cornell is a huge and busy clinic. Nursing care was not personalized for me, but most were nice and helpful. Sometimes I felt there was some miscommunication, so I felt it was important to advocate for yourself as a patient.

Dr. Davis was by far the best RE I have ever worked with. He is the most knowledgeable and I truly trust his clinical judgement. He provided clear and concise recommendations, and I always understood the plan. He was readily accessible for questions, and always called me after a failed cycle. I was referred to him by a physician after multiple failed cycles for a second opinion and I believe he is known to take complicated cases. I completely understand why. He provided a very personalized treatment plan, incorporating my complicated history. I had received multiple other 2nd opinions at other prestigious clinics, and only received generic "cookie cutter" recommendations. I was extremely impressed with the care I received from Dr. Davis at our very first meeting. My husband was also impressed (and trust me, it takes A LOT to impress him!) I would give Dr. Davis my highest recommendation!

Have a list of questions prepared, because you will get every single one answered!

Antagonist protocol with estrogen patch. I had a history of asynchronous follicle development, so Dr. Davis chose this protocol. I had some of the best quality embryos to date, but unfortunately it did not result in pregnancy. He did recommend a protocol that they do at Cornell where they do an endometrial biopsy and grow your embryos on your own endometrial cells - which requires extra visits.

Cornell is a well oiled machine. They are efficient and organized. However, they are extremely busy so a wait time is expected. I was there over a Monday holiday weekend, and my wait times exceeded 1 hour and there were no chairs left.

I paid out of pocket for IVF, which was around $15K.

I did not have strong preferences on the number of embryo transferred, and took his recommendations which were based on age and prior transfer history for me.

Considering the results, the embryologist and the lab were excellent. I would assume that my rate of conversion from egg -->embryo-->blast is on the higher range of success for any clinic. Weekend monitoring on the UES was painless as the wait time was quick and the nurses always pleasant.

Dr. Elias is great listener and thoughtful about his approach to treatment. I had previously seen another RE that had discouraged me from IVF due to my age, and relative AMH and AFC; however, Dr. Elias had a positive outlook from the onset which made a huge impact in the process. He assessed HSG records from specialists that I had seen previously and where others failed to, he educated me on the results with his recommendation. He has a great bedside manner and is highly responsive to any concerns or questions.

Lisa and Jane were great and communicated with a lot of positivity and high energy. They were consistent and very considerate with regard to advice for my medication as I was paying out of pocket (advising on the more cost effective pharmacies). I received very quick responses to all my emails. I also loved going to the Mt. Kisco office which was much more intimate and the team there is fantastic. It felt like a family practice.

Dr. Elias offered a lot of guidance throughout the process, and took the time to explain his diagnosis, recommendation, as well as what to expect during the various stages of the cycle. He was highly compassionate and very human. I was fortunate to see him for almost every monitoring and he performed the retrieval. He was committed to delivering the best results and based on his protocol, his initial assumptions were spot on. I really felt that I was in the best possible care with his knowledge, ability, and expertise.

Dr. Elias is more than happy to share his knowledge - ask questions!

Estrogen priming antagonist protocol with 150 Gonal-F, 150 Menopur and Cetrotide. Trigger with HCG/Lupron. 8 mature eggs retrieved, 6 embryos, and 5 day 5 blasts. Shockingly positive results for my age and have to acknowledge the excellent work of Dr. Elias, his team, and the lab. All were aneuploidy and unfortunately in this case, I was a statistic of my age group. However, Dr. Elias still had a very positive outlook given the results and I appreciate that he had developed a strategy for the next IVF round during our follow up after the genetic results.

No insurance coverage unfortunately. IVF Cycle Fee $9463, ICSI $2630, Freezing $1050, PGS $4850, Medication $4500, Hospital Fee $1000

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