Ashley Wiltshire

Words cannot express how grateful & I am to have had Dr. Wiltshire as my doctor, but I will surely try! I emphatically recommend selecting Dr. Wiltshire for your fertility journey. I began my journey nervous, overwhelmed and with many questions. Yet, all nervousness dissipated in lieu of the extremely knowledgeable, empathetic and professional bedside manner of Dr. Wiltshire. During our initial consultation, she took my personal history with care, answered every question I had -no matter how small, and laid out a clear plan of care. During the hormone cycle, the nursing/ medication staff becomes your main contact, but Dr. Wiltshire’s attention to my case and quality of care did not waiver. When I had questions about my treatment, symptoms etc. via email or voice message, Dr. Wiltshire swiftly responded, with an attention to detail I’ve never experienced under any doctor’s care. Dr. Wiltshire and the supporting staff acted so synchronously that I was never concerned about falling through the cracks. Day of my egg retrieval, Dr. Wiltshire was literally the last confident & reassuring voice I heard (responding to my last nervous procedural question) before the anesthesia kicked in, and the first staff person I remember speaking to in post-op recovery.

Breathe easy, because you are in good hands! Additionally, do not feel nervous to ask questions. Dr. Wiltshire’s experience & knowledge combined with her bedside manner makes her the ideal professional to navigate a mentally and physically daunting journey.

We initially requested a consultation via email/ the CU website and the initial consultation was promptly scheduled by her team. During our initial consultation via video chat, Dr. Wiltshire took a thorough personal and family medical history. We also discussed what the motivations and desired outcomes were for our fertility treatment. Lastly, Dr. Wiltshire walked us through the next steps and answered any additional questions we had. Our next steps included blood panels to tests, currently fertility, health status, and any pre-existing genetic conditions. After the needed tests were complete & explained, we began the fertility medications. The medication treatment plan and administration was explained in great detail and had videos to provide step by step instructions. The staff checked in with me regularly and often and Dr. Wiltshire swiftly returned insight to any questions I had. As retrieval day got closer, check-ins and blood work became near daily and the team was amazing the whole time. In the days leading up to extraction, pre & post-care operation was clearly walked through. Lastly, Dr. Wiltshire provided day by day updates and the final results of our egg retrieval cycle.

I don't ,in full ,remember the total costs, but have a ball park of $12-25k all in. I am unsure since the billing department did an amazing job of checking/ running everything through insurance. From the costs that were paid out of pocket, since we do have a robust healthcare plan, we spent an estimate of $4-8k.

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I'm so thankful I had Dr. Wiltshire as my physician. She is smart and knowledgeable, answer all my questions, and most importantly she talked me through all my options at each step of the process and supported my decisions around treatment. I did two cycles of egg freezing due to cancer. The first cycle was unsuccessful, and I was somewhat unsure about trying a second time. Dr. Wiltshire met with me twice before I made a final decision. I never felt pressure from her either way, she was completely supportive of whatever decision I choose to make. Ultimately, I decided to do a second cycle, and Dr. Wiltshire carefully walked me through the adjustments in protocol and answered all my questions. I made it to the egg revival stage the second time and felt so safe in Dr. Wiltshire's hands. Sometimes it's hard to find a doctor attentive to the patient experience, even when you are dealing with cancer and fertility, but Dr. Wiltshire is the rare combination of excellent physician and bedside manner.

With Dr. Wiltshire you are safe to ask the questions you may be hesitating about. The things that worry you and you are not sure about. You will be heard and respected!

The first cycle was ten days of injections. I started with six follicles, three of which grew, but by the end of the cycle only one for possible retrieval so the cycle was ended with retrieval. The second cycle consisted of nine days of injections, this time I was able to proceed to retrieval and had two eggs retrieved and frozen.

Most of my care was covered by insurance, but co-pays for visits including morning monitoring, blood work, ultrasounds, and medication was between $1000 - $1200

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I was very afraid of how I would manage with my busy schedule but she accommodated every question I had an maneuvered my cycle so I would do it before my vacation and an important exam. I gladly did a second cycle with her because of how easy she made it the first time and because she explained to me the percentage of success with my first cycle. I like that she involved me with the process. She is incredibly smart and I’m so glad I got to experience her care as a patient.

Rest easy because you are in safe, knowledgeable, and kind hands. Any worries you have, she will tell you the truth and use her medical reasoning while being understanding. You lucked out as did I!

I had an egg freezing cycle. She monitored my hormones and my follicle size and adjusted the levels day by day and I responded appropriately. She has the medical expertise to get you to achieve your goal. It was nerve wracking for me since I have to pay out of pocket but I only had successful experiences with her.

First cycle $10,450. Second cycle $9700

I did not do elective single embryo transfer

Dr. Ashley is a phenomenal doctor! I could not have had a better experience. I was very nervous coming into the treatments and also had a tight deadline due to switching jobs. She developed a treatment plan that worked with my schedule, optimized to leverage my insurance and have 2 cycles. She answered all of the questions I had, listened to my requests with wanting abdominal ultrasounds if possible, and allowed an alternative for drawing blood that eased the process a bit for me personally. She made sure to be there for both of my retrievals which made me feel as though I was truly in great hands. Can't recommend her enough!

Be honest about your questions or concerns, no matter how trivial you think they are! Dr. Ashley will answer :)

The 1st cycle I went through about 10 days of injections, 3 follicles grew quickly (faster than the rest), so she modified the treatment. We were able to retrieve 8 and freeze 3. I did a 2nd cycle immediately after the 1st. This time, Dr. Ashley adjusted my treatment plan starting with estrogen tablets & clomid at the outset, then I went through about 11/12 days of injections. The adjustments worked and we were able to retrieve 14 and freeze 12!

Very efficient, when I came in, they saw you within 10 minutes of your appointment time, sometimes sooner.

90% of my treatment was covered with my Progyny insurance

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I would recommend Dr. Wiltshire to anyone! She was super communicative and available throughout the whole process, and was really patient and meticulous with my care. The entire clinic as well was well organized, and they offer very early morning monitoring appointments which was super helpful with my work schedule.

Egg retrieval: follistim + menopur days 1,2 follistim + menopur+ganirelix days 3-10 Trigger: lupron only Extraction on day 12

cycle $8000 meds $2500 anethesia $600 storage first year free, then $1200 annually

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This was my first time going through the egg freezing process and Dr. Wiltshire was very knowledgeable, caring and supportive throughout. I really appreciated her candor and kindness as her patient. She also helped me identify my goals, which I had never thought about before, and readily answered any questions I had. I'd highly recommend her to anyone, I had a wonderful experience with her as her patient.

Think through any questions you have in advance so you can make the most of your time with her. She's very thorough!

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Dr. Wiltshire is always willing to listen and help clarify any doubts that I have relating to the IVF process. She is very approachable and explains any upcoming procedures clearly, which puts me at ease. This is my first time as an IVF patient, and I am extremely pleased to have met Dr. Wiltshire to guide me on the process. I always know that if there are issues that crop up in the process, she would respond back promptly.

Don't be afraid to ask questions when in doubt because Dr. Wiltshire is extremely helpful.

Before each process stage, I always get a detailed overview of what is upcoming which is very helpful for me as I will have an idea of what to expect. For the egg retrieval, I was on 225 units of Gonal f, 1 powder of Menopur, and Cetrotide. There was close monitoring of the blood work almost every other day to ensure that the follicles were growing in line with the medications taken. I had an adjustment to 2 powders of Menopur as a result of these monitoring sessions. I have minimal reactions to the medication dosage which I am very happy with given my lupus condition.

I used insurance to cover the bulk of costs for embryo retrieval and FET but the PGT biopsy testing and anesthesia for the embryo retrieval were paid separately.

No, I chose the number of embryos to transfer as per my own preference.

During my first round, Dr. Wiltshire found a cyst on my ovary and immediately shared her concern with me. I was very nervous about what that meant for my fertility treatment but she calmed my nerves and carefully walked me through her plans to watch the cyst over time and come up with another course of action (pausing the egg freezing process and wait for the cyst to shrink, which it did!). Subsequently after the cyst concern, Dr. Wiltshire explained every step of the egg freezing process I was about to undertake, including the complicated injections I had to give myself every night. On the day of my egg retrieval, Dr. Wiltshire was professional and extremely prepared. I was nervous about the anesthesia but she made the operating room a very calm space. Once I came to, Dr. Wiltshire let me know my egg count and made sure I had everything I needed to recover. My mother picked me up after the retrieval and hugged and thanked Dr. Wiltshire for taking great care of her daughter :). After the first retrieval, Dr. Wiltshire and I talked about plans for another cycle to increase the # of eggs we froze. She talked me through her plans to increase my dosage and push me a little further in order to retrieve more mature eggs. Her plan worked and we were able to retrieve and free more eggs the second time around! It's been about a week and a half since my second retrieval and a few days ago, I had a follow up call with Dr. Wiltshire who wanted to check in and again, answer any questions I had. We talked in detail about options to use my frozen eggs in the future and this is where she really understood my concerns, specifically about fertilizing my eggs and transferring them...in other words, becoming a parent! She made me feel very comfortable sharing my fears and my nervousness about that process and assured me that the decision was mine and there was no wrong way to feel about this. I cannot thank Dr. Wiltshire enough for being so patient and kind throughout this process. I've told several friends to consider seeing Dr. Wiltshire to freeze their eggs and start their fertility treatments. She is incredibly impressive and I am so grateful to have found her!

GO TO HER IMMEDIATELY! And ask all the questions - she literally has all of the answers and can walk you through everything with incredible precision.

Retrieval #1: As mentioned, Dr. Wiltshire found a cyst on my ovary, which delayed my treatment but once it started, I started my injections and pills (Clomid pills, Gonal-F (300 units), and Menopur (2 power vials)) for about 4 days. During that time, I went to the Columbia Fertility Center to do bloodwork and an ultrasound every other day. Once my medication changed as we got closer to the trigger shot, I went in for bloodwork and the ultrasound everyday. For the trigger shot, I had to take HCG 10,000 IU and Leuprolide Acetate (40 units). Then it was time for the retrieval! Dr. Wiltshire retrieved 7 eggs but not many of them were mature (3/7). As a result, Dr. Wiltshire and I talked about a strategy for another cycle and pushing the days for how long I took my medication to try and retrieve more mature eggs. Retrieval #2: After a few months, I began my second cycle with slightly different dosages, as we discussed. I was on Clomid (100 mg), Gonal F (250 IU), and Menopur (150 IU). A few days later, I added Cetrotide 0.25 mg. I did all three injections for a few days until my ovaries grew to be much larger than they were during the first retrieval! Dr. Wiltshire was pleased with how I responded to the medication and she made an educated recommendation to add one more day to my process before the retrieval in an attempt to retrieve more mature eggs, which would hopefully be different than my last retrieval. The results were excellent! I still had a "small" number of eggs retrieved (6) but all except one were mature and were able to be frozen! I was so incredibly happy. Dr. Wiltshire's educated recommendation was spot on and after both retrievals, I ended up with a total number of 8 eggs, which may not seem like a lot but I was quite happy with the results. Fertility treatments are not easy and honestly, I was praying for one or two eggs. So coming out with 8 is cause for celebration! At this point, I don' t think I will do another cycle but my employer does provide these cycles as part of our benefits so I may consider it next year. And if I do, I will immediately call Dr. Wiltshire!

My employer paid for 95% of the costs. I paid roughly $400 for the medication, which came from my HSA.

Dr. Wiltshire was fantastic to work with. She is personable, empathetic, compassionate, a cheerleader. She made the process seem so easy and effortless which reduced my anxiety and apprehension to the whole process. I keep saying if I knew it was this easy I would have done it sooner. I genuinely believe it felt this easy because of the care and attention I received from Dr. Wiltshire.

Everything moves very quickly so when you're ready to commit Dr. Wiltshire will make it happen.

I went through the egg freezing process. Dr. Wiltshire asked me about my preference in timing and developed a strategy around that. I wanted to make this happen asap balancing that I was also expecting to travel and my cycles not falling ideally. I was placed on birth control temporarily and once I was ready, Dr. Wiltshire gave me my dosages for my ovary stimulation/follicle growth. That involved monitoring my follicle growth very carefully. Dr. Wiltshire adjusted my dosages according to progress. Growth was slower than expected so we steadily increased dosages. Growth started picking up but Dr. Wiltshire wanted to make sure the eggs were the ideal size for retrieval so we kept on with the injections until the eggs were in the high-teens mm in size. On the day of the retrieval they retrieved 25 eggs of which 24 were frozen.

This was a well-oiled machine. They held monitoring hours every morning which was convenient for people who work traditional office jobs from 9-5. They often ran on time, the most I waited was 10 minutes. They were very accommodating - I always request to get blood drawn laying down and that can often times disrupt their flow however they never let that phase them and always found a way to make it work for me.

I was charged for my monitoring appointments and my initial consultation with Dr. Wiltshire. All was covered under insurance and was charged based on my plan. My insurance did not cover prescriptions but Columbia University is partnered with multiple specialized pharmacies that give patients reduced rates on medicines.

Dr. Wiltshire's empathetic nature is also worth mentioning. She demonstrates a deep understanding of the emotional and physical challenges her patients may be facing. This empathy enables her to provide not only medical treatment but also emotional support, which is invaluable in the healing process. In terms of knowledge, Dr. Wiltshire is undoubtedly highly skilled and knowledgeable in her field. She stays up to date with the latest research and medical advancements, ensuring that her patients receive the most accurate and effective care possible. Her expertise instills a sense of reassurance, knowing that you are in capable hands. Furthermore, Dr. Wiltshire excels in communication. She has the ability to explain complex medical concepts in a clear and understandable manner. She actively listens to her patients, making sure they fully comprehend their diagnoses, treatment plans, and any necessary lifestyle changes. This clear communication fosters a collaborative relationship between the doctor and patient, promoting better health outcomes. Regarding availability, Dr. Wiltshire has been quite accommodating. She promptly responds to inquiries and ensures that appointments are scheduled in a timely manner. Her commitment to being available for her patients demonstrates her dedication to their well-being and is greatly appreciated.

Dr. Wiltshire has a very thorough consultation during the 1st visit. She explains the various possibilities that could explain the infertility. However, it wouldn't be confirmed until the extensive workup is completed, which also occurs quickly. She and her team are quite knowledgeable and provided frequent updates (mostly by email, at times phone) for any laboratory data obtained that morning you visited the clinic. Therefore, you are pretty much not in the dark of your own medical care.

Initially it was suggested that we opted for IUI after the retrieval. However, once it was realized the sperm quality (mobility) was a bit limited, it was suggested to opt in for IVF. The option for IVF was never forced from the beginning. It was thought we could use a less benign treatment if possible.

Costs included co-pays for medications, ICSI, IVF. The latter two were covered by insurance.

No comment. It was self explanatory as to why a single embryo transfer was the only option (i.e. no female infertility factor, young age, healthy, and the need to avoid adding a risk of a pregnancy with multiples).

Dr. Wiltshire is highly skilled, knowledgeable, excellent communicator and very caring. She explained the entiire egg freezing process from start to finish. She was thorough, compassionate and always available if I had any question. She allowed me to work through my fears about this process and encourage me to make the best decision for myself. When I started the actual process, she was with me through every step and wanted to make sure that I got the maximum number of eggs. She is outstanding and goes above and beyond. Although she couldn't do my actual retrieval she kept in consistent contact with me the day before and after the retrieval. She also checked on me during the week for post recovery. She is absolutely amazing and I couldnt have had a better experience. She is truly a gem and her medical knowledge is outstanding. She is excellent.

You get to meet someone who is caring, knowledgeable and is your personal cheerleader through the entire process

1st time Egg Retrieval, 10 days of meds follutism, menopaur and then the trigger shot Lupron. Egg Retrieval 48 eggs and 28 were mature enough to be frozen

Very convenient and even when the subway delayed -typical NYC transit they accomodated me after being late over an hour. It was no hassle. This place was a breath of fresh air

Self pay for $8,000 for Egg retrieval process, $600 Anesthesia , $95 co pay for Meds they were covered under my insurance some how. First year of storage is free. Then $1200 annually for storage can be broken down into monthly payments

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Dr. Wiltshire was an incredible doctor to support me during my egg freezing process. The process was rushed was I was a cancer patient, but she got me in right away and took excellent care of me throughout the process. She made sure to do some of my morning monitoring appointments so she could check-in and keep me up to date on the process and how things were going. She went above and beyond to make sure that I felt supported and safe throughout the egg freezing process and I cannot thank her enough for the excellent outcome.

Make sure you ask all your questions!

I had to pay a lot for the medication co-pays, but everything else was covered by my insurance

I was TERRIFIED going into this process, but with Dr. Wiltshire felt supported overstep of the way. She answered all my questions and was patient when I was emotional. She encouraged me. She was extremely knowledgeable and kind. I felt like I was a real person, with support from another human, while going through the process. I felt safe and grew more and more comfortable with her expertise. She even checked in on me while she was on vacation!

No advice needed. Based on my experience, I can imagine Dr. Wiltshire adjusting and meeting every patient's needs on a case by case basis. She is honest and kind. She will explain the process and re-explain if needed later down the line.

I had a fairly uneventful egg retrieval and process. I will note that I expressed to Dr. Wiltshire, frequently, how expensive the process was and that this was my ONE shot doing it. I shared my fears and concerns about the process. When I was getting close to the end I was sore and tired and ready to give up, but she pushed me a little further along (an additional day or two of regular treatments vs. triggering too early). She reminded me about MY own goals of having a successful retrieval and was honest about weighing our options. She gave her expert opinion that I needed a little more time to be as successful as possible, and she was right! I appreciated her expertise and encouragement.

It was an easy process - I scheduled an appointment online or from my phone. My wait time was very short and I could be in and out in 30 minutes usually. Easy, professional and very manageable, especially while working.

I was charged for the first two consultations. Once I decided to move forward with the process, I paid a lump sum which included all work during visits and any communication. I paid for my medication out of pocket and anesthesia out of pocket.

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I had a great experience with Dr. Wiltshire. She was very responsive at every step of the way, explained next steps clearly, and answered my questions with patience and care. When a complication arose, she made sure I was aware right away and together we made a plan for next steps. I appreciated that she consulted with her senior colleagues at different points in the process; this shows me that she is able to let go of ego and make sure that the best interests of the patients are central to the care. I feel very grateful to have found Dr. Wiltshire to help me walk through this unknown time in my life.

Take deep breaths and trust that she is on your team and will do whatever she can to help you meet your goals.

Basic lab work and consultation which was normal. An abnormal HSG, in-office hysteroscopy to confirm adhesions and operative hysteroscopy, then a follow up ultrasound to confirm that surgery was successful.

Dr. Wiltshire displays and embodies what anyone ideally seeks in their healthcare provider. Simply, she was attentive, communicative, thorough, knowledge, kind and understanding. When I decide to proceed in moving with IVF in the future, without hesitation, I plan on working with Dr. Wiltshire. I recommended her care with my closest friends and family, that's speaks volumes of what I thought of her as my doctor.

Take every opportunity to ask all the questions you might have. It's better to always know an answer ahead!

Prior to working with Dr. Wiltshire, I had one egg freezing round that was not as successful. Dr. Wiltshire leveraged the previous clinical work and results to determine the best course of action for medication, which yielded a much higher, successful second round. I recognize this may not be the case for everyone, but I appreciated her thoroughness and explanation of the upcoming medications.

I was fortunate that my insurance covered my elected egg freezing procedure. Out of costs were limited to copays (between visits and medications).

Dr. Wiltshire was absolutely amazing! She is an exceptional communicator, taking time to clearly explain what was happening in terms that made sense to me. Striking the right tone can be so hard for doctors but she nailed it without dumbing things down or relying only on medical jargon. She reached out throughout the process to make sure she answered all my questions and always felt accessible. I never felt rushed and she listened carefully to my concerns to make sure she offered options that met my needs. Dr. Wiltshire was extremely knowledgeable. Because she explained the process so well, I always felt fully informed about my treatment and I trusted her. When there were decisions I needed to make about how to proceed, she equipped me with the necessary information to weigh my options and make the best choice. Dr. Wiltshire demonstrated she cared about me as a patient. She came in on a holiday to perform my procedure, which I really appreciated. Also, I mentioned having difficulty reaching someone for an administrative issue and she made sure they reached out to me so things moved forward, which was super helpful.

Ask all your questions. She wanted me to feel knowledgeable and comfortable with the process.

We started outside of my cycle because it was delayed so she adjusted my medicines. My cycle also ran long (I did injections for 14 days) because she wanted to be sure as many of my eggs were mature as possible.

She was kind, honest, and a clear communicator. She took my treatment seriously and made sure she was available to support me along the way. She was very responsive on email and text, and even got back to me with answers to my questions about my medication dosage after hours. There was a question about whether she would be available for the extraction surgery or would be replaced by another doctor, but she was there. I was her only surgery that day and she came in to make sure she was performing, which was very important to me. We had a very successful retrieval (57 eggs) and we celebrated together as I recovered. She was funny, caring and relatable.

Feel free to be yourself and ask all your questions up front. There are no 'dumb' questions.

We amended my Ganerelix start date to manage my estrogen levels, which shot up a little faster than expected. She also updated my Folostim dosage every few days in response to my growth rates.

medicine ultrasounds bloodwork anesthesia storage

I am so glad Dr. Wiltshire took care of me. She took the time to explain the adjustments in medications and reviewed the ultrasounds with care. She walked me through some of the hurdles along the way and remained optimistic on my behalf. She's the absolute best and I have already recommended her to my friends.

Don't be afraid to share your goals and fears. She will take them seriously and won't make you feel bad about them.

We used higher doses of Gonal F and Menopur to try and get my ovaries to respond. I was starting out with a low normal AMH.

Approximately $2500-3000 after insurance coverage and all of my medication were covered

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