Antonio Gargiulo

I first saw Dr. Gargiulo when my regular OBGYN referred me to his office for suspected endometriosis. When I first met Dr. Gargiulo, I was scared and in a lot of pain. He explained very patiently that I needed surgery and communicated very patiently with me through the exams I had with him prior to scheduling my surgery. He performed my laparoscopic excision procedure and confirmed I did indeed have endometriosis (stage 3), but that the surgery had been a success and that I could always reach out to him in the future if I needed reproductive help due to the endo. When I did in fact need help years later, Dr. Gargiulo remembered me when I returned to his office and approached my care the same way he had before: with care and with hope. He was honest about what would likely be easy and what would likely be difficult with IVF based on what he knew about my medical history. It is common to have a million questions when considering IVF, and he listened and answered all of my questions, not making me feel as though I was taking up too much of his time. Dr. Gargiulo cares about his patients and wants them to be successful, and it shows in the way he interacts with his patients.

If you have concerns or questions, definitely bring them up with Dr. Gargiulo. He listens and takes what his patients say into consideration, and is very patient while doing so.

When I began my IVF cycle, we were planning on doing a fresh transfer shortly after my egg retrieval. However, my estrogen levels were very high, so my cycle was changed to a freeze-all cycle and I triggered with Lupron only. Dr. Gargiulo let me move directly into a frozen transfer cycle a month later, and my lining was thickening very slowly. I took 3 estrogen pills in the morning and three in the evening. We kept following the protocol he had in place and waited for my lining to thicken, but unfortunately not much was happening. At one of my ultrasounds, Dr. Gargiulo came in to look at the ultrasound and check my lining levels himself (instead of reviewing the images later), and determined that we needed to cancel the transfer cycle and schedule a biopsy instead to make sure nothing was going on in my uterus that shouldn't be. The biopsy came back normal so he determined that we would use the same protocol again and as long as my lining got to where it was last time, we could try to transfer. I went into another transfer cycle the following month, and while my lining was slow to thicken again, Dr. Gargiulo allowed me to transfer with a thin lining, and the transfer was successful.

Our health insurance didn't cover any infertility-related treatment, so we paid completely out of pocket for everything. Since this is the only clinic we worked with, I don't know how cost compares with other clinics.

Dr. Gargiulo told me that we would be transferring a single embryo for my transfers. If we had two unsuccessful transfers then he would possibly look into transferring multiple embryos, but he was hesitant to do that because of the risks that come with carrying multiples.

As I mentioned, Dr. Garguilo has a phenomenal bedside manner. I cannot get over how incredibly kind he is, and how positive I felt every time I left an appointment. He is very honest and encouraging and evaluated me as an individual rather than a statistic. He kept my husband involved in everything, including visits to see him in the waiting room both before and after my procedure (I had a robotic tubal reanastemosis done, not IUI, but that's not a selection on this web site). When I brought up an issue with billing, something that I did NOT feel was part of his performance but wanted him to know, he immediately took steps to have me speak with someone who could help. Dr. Gargulio is a fantastic doctor and I highly recommend him to anyone looking to have a tubal ligation reversed.

My one piece of advice is to not bother calling anyone else - call Dr. Gargulio's office. I went through three doctors - one of whom treated me so poorly that I had given up on ever having children again - and my only regret is that I hadn't found him sooner.

I would like to repeat that I didn't have a fertility procedure or analysis done, but this particular website doesn't allow for that. I went to Dr. Gargulio because I wanted my tubal ligation reversed. The procedure had been done by my Ob/Gyn when I was in an abusive relationship (and I felt pressured by her nurse to have it done instead of another method of birth control) and began to regret it as soon as that relationship ended. I had an initial visit with Dr. Gargulio where we discussed IVF or tubal reanastemosis, with my very strong preference being the surgery. I was given some statistical information, then came back for a pre-operative visit where risks and statistics were discussed in further depth, and I signed my consent. I then had my surgical visit, followed by a post-operative visit where I was told that I can schedule a dye test to ensure my tubes remained open at my convenience. I am still within one month of post-op, so I don't have any results aside from the overwhelming satisfaction of having my fallopian tubes intact.

There was a one time bill of (approximately) $8,500, which would include a refund if I did not require an overnight stay. This included my consultation, pre and post op appointments, the surgery, and a hystogram (dye test) following the surgery.

This is not applicable to my situation. My doctor's approach of using a robot to perform my tubal ligation reversal laprascopically made my recovery time quick and easy, with a much lower risk of complications and infection.

Dr. Gargiulo is a warm, kind and friendly doctor. He makes you feel comfortable enough to ask questions and does his best to answer them in a very factual and informed way. He is very knowledgeable and uses research and statistics to help you gain understanding. During procedures he is patient, kind and gentle, explaining the process every step of the way. Dr. Gargiulo seems to be very skilled in IVF as well as endometriosis.

Advocate for yourself, don’t be afraid to speak up and ask questions - he is very receptive to that.

Dr. Gargiulo had me call on the first day of my cycle. On day two I started 5 days of birth control. I was told this is to make sure only a certain number of people are cycling at the same time. I was then put on the antagonist protocol. I was put on a high dose on meds. I was told this was because I wanted to test my embryos, so Dr. Gargiulo wanted to get as many eggs as possible. Unfortunately I was a low responder to the meds and only had 7 follicles (only 4 of those mature) on egg retrieval day. They were able to retrieve four eggs. We used natural fertilization due to no male factor. Only two eggs fertilized (one didn’t fertilize at all and one fertilized abnormally). The two fertilized eggs made it to blast and were sent for testing. Unfortunately they both came back as abnormal and were not viable for transfer.

My insurance covers IVF under a state mandate after the deductible has been met. I have a $5000 deductible. Embryo testing is not covered and costs $2500 plus an additional cost to ship the embryos and test each one. To test my two embryos it cost $3000 total.

Dr. Gargiulo only ever recommended transferring one embryo at a time in order to have a healthy pregnancy with the least amount of risks and one healthy baby.

Dr.Antonio Gargiulo is very compassionate and he approached our case in a personalized manner, changing medications and procedures based on how I react and my condition , esp endometriosis. He is very patient and answers all your questions emphatically. He is also very blunt sometimes when he thinks what is going to work and not work for you and I liked it very much. He is very sweet and I found him humorous and he definitely didn't treat me like a number.We are very fortunate and grateful to have taken treatment from Dr.Gargiulo. He is very knowledgable and according to me he doesn't do the kitchen sink procedures.He will take it slowly , steadily and with attention to details, which is what we need.

Trust him and his team, you might achieve your goal someday :)

IVF Freeze all, Lupron for Endometriosis, PGS testing. FET

around $28,000

Dr.Gargiulo prefers eSET

Dr. Gargiulo was extremely trustworthy and respectful when treating my stage IV endometriosis. He doesn't dumb things down, make things seem better or worse than they are, and is honest with his thoughts process for diagnosis. He is also very talented and precise during surgery, as he was able to save both my ovaries and fallopian tubes. I really like his conservative approach to treatment, where he aims to leave all fertility options open to the patient.

Definitely ask all the questions you need. Dr. Gargiulo is extremely knowledgable and if he doesn't know something, he will know how to find out.

Dr. Garguilo first had me do a 3D ultrasound down in Boston as the first step to follow up on an ovarian cyst (later to be confirmed as endometrioma), a polyp, and fibroids as diagnosed by my previous OB-GYN. Dr. Garguilo had me get an MRI to check for adenomyosis, which is very hard to detect on ultrasound. With previous OB-GYNs, my adenomyosis was misdiagnosed as fibroids, but Dr. Garguilo has ample experience to note a subtle difference and then went and confirmed via MRI. Knowing that I have adeno is useful for the surgery. He also had me get bloodwork for cancer markers (CA-125 and HE-4), because this would affect how to operate on my 6.3cm ovarian cyst. Most doctors don't look at HE-4, but it's a very important and useful tool. If I had cancer, and he spilled my ovarian cyst contents, the results could have been disastrous.

MRI came out to $200 after insurance. Each office visit was $20 after insurance.

He was warm and compassionate. He understood our deep desire to have a child and was willing to think outside the box which we appreciated as standard approaches were not going to work; which we knew from the first appointment. He never had to look back at my notes to reference previous cycles, he always seemed so well prepared for our visits and did not spend our time flipping through a chart. He is one of the best physicians I have ever met and I work for the best hospital in Boston.

Understand that as much as you want a positive outcome it is not always possible. You have to go in with an open mind and remember that Dr. Gargiulo will do anything possible to give you the best possible outcome.

I was referred to Dr. Gargiulo with a tough diagnosis. During the first appointment he was very frank with my husband and myself to explain the low percentage of having a child with my own eggs. After the first appointment he recommended a large volume of tests to understand why I had diminished ovarian reserve at such a young age. At our second appointment we were told that I had an undiagnosed thyroid antibody that attacked my reproductive system. Dr. Gargiulo understood our deep desire to try anything we could. We started an IVF cycle immediately with the highest dose of medications he could give me. We got to cycle day 24 and my eggs died on their own without maturing. Four months later we tried a different IVF cycle; Lupron Microflare and this cycle only got to day 7 and my hormones were unchanged. After 2 failed cycles Dr. Gargiulo recommended to use Donor eggs. Even through this entire time he was understanding and warm with his approach even with such devastating news. After 2 additional second opinions in Boston from other top IVF providers; we have started the Donor egg process. Both of the second opinions agreed completely with Dr. Gargiulos approach

Copays for Office Visits and Failed IVF procedures.

Dr. Gargiulo based the embryo transfer on the patients age and diagnosis. On our first cycle he suggested only 1 embryo transfer. With our second IVF cycle he was going to recommend to the insurance company a 2 embryo transfer due to the rapid decline in my ovarian reserve. We never got to the embryo transfer state though for either cycle.

Dr. Gargiulo had performed a myomectomy for one of my friends several years earlier. When I was diagnosed with multiple fibroids, she asked him whether he would consider consulting with me long distance (I reside in Virginia). He immediately said yes and provided his email address. We discussed my case via email and he ordered an MRI, which I obtained locally. He requested that I send a disc with the images so that he could evaluate my condition himself, rather than relying on the radiologist's report. He provided an assessment and recommendation (all remotely at no cost) but didn't pressure me to travel to Boston or make a decision. After nine months' hesitation, I opted to move forward with surgery (laparoscopic robotic myomectomy). Dr. Gargiulo never criticized or commented on the delay, other than ordering a new MRI to ensure that he fully understood the fibroids current state. He and his staff quickly arranged both a half-day of pre-op appointments across the hospital (so that I would only have to be in Boston for one day) and a surgery date. When I finally met Dr. Gargiulo in person, he was welcoming, kind and cheerful. He walked me through the MRI images and thoroughly explained what the surgery would entail and possible additional elective procedures (but with no pressure to authorize them). My uterus was riddled with fibroids, three of which were the size of a small fist; unlike my regular gynecologist, he never suggested a hysterectomy. His entire focus was to preserve my uterus, even though at my age a spontaneous pregnancy is extremely unlikely. On the day of surgery, he stopped in to chat during my prep (he hadn't even changed into scrubs yet), spoke with my mother immediately after surgery, and came back once I was reasonably coherent. He took the time to remove more tumors than originally planned and, when he discovered adhesions holding my ovaries and fallopian tubes to the pelvic wall, removed them. He accelerated my post-op appointment by a few days so that I could return to Virginia more quickly (though I am certain he would have requested I stay had I not been healing well). During that appointment, he went over all of my surgery's details, offered images of the procedure and discussed potential pregnancy options. At all times, he was kind, thorough, patient and positive. He never condescended or tried to rush me; he never tried to badger me into making a particular choice.

Don't hesitate to ask questions via email or in person. He will answer all of them completely and in a timely fashion.

I only pursued removal of fibroid tumors. Dr. Gargiulo wanted a current MRI to ensure that he fully understood the landscape before arriving in the O.R. Because I had delayed making a decision for almost nine months, that meant getting a second set of images. I have good insurance so it wasn't an issue. He predicted he would remove the three largest tumors but ended up taking out seven, which together weighed almost a pound and were five times the size of my uterus. My menstrual cycle is no longer debilitating; my abdomen has returned to being flat; and I've lost about 8 lbs (taking my rather old body back to what I weighed 25 years ago!). If I choose to become pregnant, Dr. Gargiulo strongly recommended I deliver via C-section.

All appointments, surgery and medicine were covered by my insurance with relatively small co-pays (combined, less than $600). I did notice on a co-pay statement that the stated non-negotiated cost for the laparoscopic robotic myomectomy was $61,000.

I am a 27 year old female who lives in the DC area who was born with a unicornate uterus with a rudimentary horn. I was diagnosed when I was 22 while I was trying to get to the root of my painful cramps. I had an ectopic pregnancy when I was 23 and wanted to be proactive for future planning. My OB/GYN recommended I have a laparoscopy done to diagnose endometriosis and take a loser took at my abnormal uterus. We did extensive research in efforts to finds a specialist in the area but no luck and since my family lives in Massachusetts we began our search there. We came across a colleague of Dr. Gargiulo and after speaking to his colleague, sending my MRI, and medical records, he stated Dr. Gargiulo would be the best fit to assist. When I met Dr. Gargiulo he was very personable, kind, and empathetic of my situation. We spoke about my history and I was able to express my concerns surrounding infertility. He recommended getting a laparoscopy and removing the non communicating horn to prevent future ectopic pregnancies. He made me feel confident in trusting him for next steps. We scheduled a "Laparoscopic Excision of Right Rudimentary Uterine Horn, And Fallopian Tube". His staff along with him were so kind, wonderful, and accommodating from beginning to end. It was a successful procedure and I am pleased with the small and not very noticeable incisions.

Have questions ready to ask.

We focused on preparing my uterus for fertility. I have not yet began attempting.

not sure

Dr. Gargiulo is a truly excellent doctor and I can't recommend him enough. I initially came to him years ago seeking to freeze my eggs due to a severe case of endometriosis. He helpfully guided me through the process, and I was happy to complete several successful cycles of egg freezing under his care. Years later, after meeting my husband and deciding to start a family, I returned to Dr. Gargiulo, who talked through our plans for addressing infertility from every angle. When we decided to do a fresh cycle of IVF and ran into a terrible dispute with my insurance, he and his assistant went above and beyond what I would expect of anyone in that situation. They were always ready to help at the shortest notice during the weeks of the dispute. We won the case, and my husband and I went on to have a successful cycle of IVF at our first attempt despite a very low number of eggs retrieved. We were thrilled! I never once doubted Dr. Gargiulo's expertise, judgment, or advice. He explains everything in great detail and treats you with respect rather than talking down to you. He answers all questions with care and attention. What stands out as well are his kindness, humor, and genuine human touch. He is a generous doctor who clearly loves helping his patients. I will continue to seek treatment for infertility and endometriosis from him and cannot think of a better place in the area in which to do this than the BWH Infertility/Reproductive Medicine Center.

Dr. Gargiulo is extremely competent, smart, friendly and compassionate. He spent enough time to answer my questions and listen to my concerns. I always left my appointments with a game plan that I was confident in. I highly recommend him and his practice.

Make a list of questions and concerns that you have because there is so much that you will learn from the visits that you may forget things.

I started with cycle dependent IUI, and switched to IVF when those didn’t work. The staff was very accommodating with appointment times and availability for teachings and answering questions

My insurance covered 100 percent of all costs, I was very fortunate.

Due to the small size of my uterus, it was recommended to me that I do a single embryo transfer to avoid complications and or having to possibly make the gut wrenching decision of aborting a multiple. They really had my best interest in mind.

Dr Gargiulo is an extremely experienced and competent fertility doctor, but with a warm and caring genuiness. It took us almost 3 years to have our twins, and Dr Gargiulo kept adjusting our plans as new results occurred. He is wonderful.

Make sure to discuss genetic testing of embryos. Because it is not paid for by insurance, Dr Gargiulo does not recommend it universally. We had to ask to test ours, which he was more than willing to support, but if we did not ask, if could have take us much longer to have children.

I do not remember

Most of mine was covered by insurance with the exception of genetic testing of embryos, of which I paid about $8000 out of pocket.

His philosophy of transferring only one genetically normal embryo at a time is the right one. I willingly transferred two, which he supported, but only after 2 prior failed FETs.

I "saw" Dr. Gargiulo for my IVF consult this week. He made sure I was ready to discuss IVF before delving into the details then very thoroughly covered potential complications and FAQs. When I raised concern about my thyroid, he thanked me for bringing it up and discussed what we will do before starting any cycle. When I asked about lifestyle/diet/supplement recommendations, he said to continue just being healthy.

Be sure to ask your questions!

He's prescribed a classic antagonist IVF cycle for me. This is our first cycle together after clomid/letrezole TI and 4 IUIs with clomid. Cycle to start when clinics reopen after covid.

I plan to pay $8000 for IVF cycle, $800 for egg freezing, $234 for self pay insurance -- meds were quoted $4-$5k.

He said for my age (36) he would only transfer 1 egg at a time.

Dr Gargiulo is extremely knowledgeable and compassionate. On my first telehealth visit with him I was anxious and expecting more bad news, but he treated me with respect and educated me about the disease and treatment and the steps to continue the IVF treatment and embryo implementation after the surgery. Dr. Gargiulo made me feel hopeful again that everything would work out a s pregnancy was still an option for me.

It is a long wait for initial appointment and surgery schedule but is totally worth it.

NA

100% covered by insurance

NA

Amazing talented doctor from God. From first meeting with him, then later in surgery day and on post-surgery meeting I had strong confident feeling inside of me that its best doctor whom I could trust myself and my health. I did right choice! Knowledgeable, experienced, companioned, attentive. even that human charming smile means so much to us, his patients. I highly recommend him. Dr. Gargiulo is the best!

Do not have doubts, if you chose Dr. Gargiulo, you are in safe hands!

I truly can’t say enough about Dr. Gargiulo. He and his team were amazing from start to finish. We’re so grateful that he was able to perform my surgery, and that we’re one step closer to becoming parents!

He has a very full schedule, but is worth the wait!

I had uterine fibroids that if not removed would’ve prevented pregnancy. He performed a laparoscopic myomectomy, without any issues. I have recovered well, and will hopefully be transferring two embryos this summer!

Felt my concerns about high twin rate weren't taken that seriously. Felt he was overly optimistic about male-factor issues, in an effort to be reassuring. Pleasant personality. Appointments felt rushed, had to come in with a list of questions to make sure they got answered. Only saw him at the commencement of treatment each time.

I'm 22 years old and have had one of my ovaries removed due to ovarian cysts and recently had reoccurring cysts on my other ovary. My past surgery was with another doctor, but this time around my sister (with infertility and PCOS) insisted that I switch to her doctor, Dr. Gargiulo. I was so glad I did. He explained everything at a level that I could understand and made me realize how important it was to take care of this problem now, before I get older. He has special characteristics that no other doctors have. He was always running a bit behind because he refuses to cut time with any patients and likes to spend more time with everyone. He also uses a robotic technique to remove ovarian cysts instead of a laparoscopic technique, which uses heat that could damage ovarian tissue. His methods are much safer and exact than applying heat to the ovary because he essentially uses a plastic bag to enclose the ovary to protect it while removing the cyst. This method is newer, so women are sometimes hesitant to use it, but I had a wonderful experience with it and with Dr. Gargiulo because I truly felt that he had my best interest in mind. By using newer methods, he was able to keep me safe and to save my ovarian reserve, which I'll forever be grateful for!

If he is running behind schedule don't jump to conclusions, because it's probably a good thing! He spends more time with patients, compared to other doctors I've seen, because he is personable and truly cares about you and your health. He goes the extra mile, so just be patient in that waiting room, because you'll have your turn and it's most definitely worth the wait.

I had a large cyst removed in the past, which caused the removal of my ovary as well. When other cysts started to occur on my only existing ovary, I started to see Dr. G.. Though she is a very successful surgeon, I was told that my previous doctor may not have used the best method to remove an ovarian cyst. She specialized more in OBGYN, so she wasn't as familiar with the fertility outcomes as Dr. G. is. The previous surgery was done laparoscopically, which meant that heat was applied to remove the cyst. However, in the long run, heat can damage the ovarian tissue, which can cause the ovary quality and activity to lessen. Dr. G. informed me about a very similar surgery with small incisions, but using robotics instead of heat. He told me that his method entailed using a plastic bag to surround the ovary when removing the cyst so that the ovarian tissue wouldn't be harmed any more than it already was. He used robotics to do this because they are extremely accurate and proven to be successful. He predicted that doing the surgery this way instead would leave my ovary with much better chances of being unharmed. The surgery went exactly as expected and the ovary was not harmed in the process. The recovery was also exactly what he had told me it would be, there were no surprises. He has also suggested for me to see him in a year to consult about freezing more eggs due to a lower ovarian reserve. He used the data to produce exact results and informed me of the statistical chances that I will conceive a baby from the number of eggs I currently have frozen. Due to the lower percentage, I have decided to go ahead and freeze more in a year. I was very, very happy with the results and care that I received from Dr. G and would recommend anyone to him! He presented me with every detail. I would definitely recommend his methods of surgery due to the low risk and positive results that come along them.

I had a $40 copay each time I saw him because my insurance issues that for specialists. I'm still waiting for the bill for the surgery, however, I was told by my insurance company that they should cover a lot of it.