Harry Lieman

Dr. Lieman clearly cares about what he does and is very knowledgeable. He picked up the pieces after my care at my first clinic and immediately knew things we could try. He always gives us options and explanations, which helps us feel involved in our care. His knowledge of the medical literature is completely up to snuff. He is up to date on the latest information and critically evaluates the literature as well. He doesn't simply take all studies as fact and analyzes whether it is reliable based on the details in the paper and how it fits with other papers. He also keeps in mind what he observes at his clinic and combines these two sources to make better decisions. Whenever I bring up a concern, he discusses it with me right away. I never feel like I am being forgotten or like I am not being heard. He did say in the beginning that his specialty is not as much the thyroid, so he recommended that I go to a separate regular endocrinologist specifically for that (which I did and having that other specialist has gotten things under control quickly). I appreciate that he knows where his limits are and refers out to make sure I am receiving optimal care. I also appreciated that when he first started with us, he did not simply go along with what we were planning on doing (another embryo transfer) but that he said he could do that, but gave us another option that he thought made sense given our history. He then recommended we take a little time to decide (which we did-- that extra time was huge). He is clearly not in it for the money at all (that transfer makes more monetary sense for him). We fully trust him with our care. I keep trying to come up with a weakness, but I am seriously struggling to do so. I feel my care under Dr. Lieman has been phenomenal. I would recommend him to anyone in a heartbeat, and have in the past.

Honestly, my best advice is to trust him because he knows his stuff. Trust and relax because you are under good care. Also be sure to bring up any questions or concerns you have to him.

Dr. Lieman started me on letrozole at 5 mg. He started at 5 mg of letrozole because I had quite spectacular failures to stimulate with clomid at my old clinic, had way overstimmulated on FSH injections at my old place (leading to IVF rescue and moderate OHSS), and had no stimulation with lower dose FSH injections at my old clinic. I had not tried letrozole before and had only had one ovulatory cycle at my old clinic before moving on to IVF and having the failed transfer. Because PCOS and thyroid are my only known issues, trying the letrozole made sense. 5 mg did get me to ovulate, even though it was slow. We then tried 7.5 mg letrozole which has gotten me to ovulate at a pretty normal speed with 2-3 mature sized follicles, increasing our chances. Unfortunately all three letrozole cycles ended in BFN. This was no fault of the protocol. After the third cycle failed, he gave us the recommendation to either try IUI or transfer one of our waiting embryos. He did not think it would be a good idea for us to combine FSH injections with letrozole given the risk of me overstimulating and my history of overstimulating with the injections. I agree with every recommendation he has given. We did a frozen embryo transfer of a single PGS normal 5 day embryo using letrozole to induce follicle stimulation, trigger shot, and vaginal progesterone supplementation. We did this protocol at my request due to previous reactions to progesterone in oil injections. The FET worked and gave us a healthy singleton live birth.

The first cycles we had done were minimal intervention and thus had minimal costs. Bloodwork and ultrasounds ended up being covered by my insurance and my copay was $0 so my only costs for those cycles were for the letrozole and the trigger shot. My insurance does not cover IVF though, and my FET cycle was ~3-4k, if I am remembering correctly. According to my financial consult, the total out-of-pocket cost for a retrieval would have been half of that from my old clinic (don't remember exact costs from the consult and it was very specific to my treatment plan and depends on whether my insurance would cover bloodwork and ultrasounds for the next transfer and retrieval, if needed, but I do remember calculating that the cost was half that of my old place).

He’s amazing. His bed side manner is great. He knew I had already tried clomid, femara, and iui w my ob before going to him. He was very reasonable when we said we just want to do ivf. My first meeting with him was over an hour where we just talked- he asked me lots of questions to get to know my history and then he talked- explaining the whole process. I had no questions when I left and I felt very confident. I still do even though we’ve hit a few bumps in the road. He’s always available to message and gets back to me pretty quickly. He’s very approachable and professional. He understands that this is a process, not just another number.

Be ready to go! They do not dilly dally. Him and his office are on top of everything. So if you go in just know you’ll be starting ASAP!

I’m not sure what it’s called but I used follistim 150 and menopur 75, then ganirelix was added. I used hcg 1500U and lupron 2mg 34hrs before my retrieval. For the first attempt to transfer I was on ocp’s for 10 days, then I was on Estrace 2mg bid for 4 days, then 2mg tid for 4 more days. At that point my endometrial lining was still too thin so 2mg vaginal suppository of Estrace at night was added to my oral dose for 2 days, then increased to 4mg suppository plus oral Estrace tid. My lining was still too thin so we had to cancel. For my next attempt we will be using lupron to shut off my hormones and then adding back what we need via pills and injections.

Sometimes there’s a wait but they do their best. No one wants to be rushed during these visits.

About $3000 for the polypectomy before we could even start ivf. My insurance did not cover the procedures or medications. That cost about $20,000. Each monitoring visit was free but an actual appointment was a $45 copay.

He recommended single embryo transfer and his reasoning made perfect sense- the embryos tested normal and I’m at a higher risk for complications w multiple gestations bc I’m overweight.

Dr. Lieman explains the whole process in a way that’s easy to understand. He’s calm and patient. I tend to get very anxious and cry at consults, and he was very caring. He has a great sense of humor and my husband liked him instantly as well.he is also the lead Dr at this clinic and is very professional and knowledgeable.

He may seem slightly intimidating and serious at first but deep down I think he’s a teddy bear. He tells it to you straight but also has a caring side. He’s a good balance for the medical field.

We jumped right to IVF with Dr. Lieman and this clinic. Right away at our consult, he explained the entire process clearly. He also explained options for different forms of estrogen and progesterone, and gave his opinion on each when I asked which was best/most effective. I ended up doing a mix of hormone injections for my egg retrieval (which went very well!! We got 25 eggs, but I think in part that’s because we are only dealing with male factor infertility). I ended up using estrogen injections and progesterone in oil (pio) injections, as he felt they were most effective. Even though I am afraid of needles I trusted his opinion!

First come, first serve. Office opens at 7 but building opens at 6. I would try to arrive just before 6, be one of first in buildinf and wait in the hallway to try and be spots 1-3 to know I could get our faster. If you’re on a time crunch, prepare to arrive early.

Unfortunately my insurance covers ZERO percent of IVF. We were lucky enough to get into their IVF grant program so we got *some* assistance, but otherwise it was as follows: IVF cycle (procedures, meds, tests): about $15K, FET cycle: about $4K per cycle (if out of pocket)

Dr. Lieman and the lab wanted us to play it safe for the first transfer and we did just 1 embryo. When It didn’t work, he gave us the option for 1 or 2 embryos on the next transfer cycle. He did that again with our most recent one since we had a loss with 1, and we had 2 embryos take but lost 1 in the second cycle. He offers opinions and risks and makes it very clear. He takes patients case by case rather than a 1-size-fits-all approach which I like.

Dr. Lieman was compassionate, would explain the procedures and what to expect. Called to follow up when things didn't go as planned. I put myself in his hands and as he was my first doctor, I didn't ask a lot of questions. I do wish the course of action was a explained a bit more in depth.

There is a barrier put up by the nursing staff to get to Dr. Lieman. You really have to push to talk with him directly.

He had recommended starting IVF from the start, I hesitated and asked to start with an IUI. Quite frankly, I was so new to the process and had not done a lot of research at that point that I didn't know the questions to ask and he did not really give me any rationale for the protocol that was used. I did a standard hyper-stimulation protocol with gonal-f menopur, ovidrel, cetrotide for trigger. I had a 3 day embryo transfer after my first IVF cycle. Negative at pregnancy test.

The phlebotomists were very friendly, however the monitoring patients were not always streamlined through. I once had to wait an hour before someone asked what I was there to do, although, I had signed myself in specifically for monitoring.

The costs were high but mostly covered under my personal insurance. The medication is mostly what I had to pay for out of pocket. It is very expensive, and has the least coverage under most insurance plans. I had no idea there were alternative avenues-nor was I told to even try, even though I asked my nurse. I had asked about IVFmeds.com, my nurse told me she didn't know who they were and asked the other nurses if they knew what I was talking about. She then proceeded to tell me that I should be careful because you never know what you're getting. I can say they were just fine and at 1/3 the cost, a great alternative. Also, this clinic WOULD not send me a copy of the prescriptions to my email (NY). My second clinic provided me with an email of the prescriptions I needed before I started my cycle and I was able to get them in Europe for a fraction of the cost.

The doctor is very willing to listen, and professional in his voice. He spends the time to listen to your concerns and ensures to answer any questions you have. I felt very comfortable in bringing up topics and questions. He has never made me feel silly or uncomfortable for asking .

He is a professional and he has been doing this for many, many years. I feel 100% confident and comfortable deferring to his medical expertise

I am a unique case. He was able to identify a diagnosis I had yet to receive. I went through abdominal ultrasounds, a hsg exam, MRI and this week I am scheduled for a laparoscopic hysteroscopy. I went through 1 round of iui with Dr Lieman.

It's all about your health insurance. My health insurance provides for a $0 copay. 100% coverage for iuis. My out of pocket expenses were lab copays and medications.

We didn't get that far yet

I fully trust in his expertise. He was friendly and thorough. He listened to our concerns and we had an honest conversation about our plan. He was very positive that we'd get pregnant. It took some time, but we got there.

Ask questions. Don't be afraid to be thorough. If you want to be more aggressive with treatment, bring it up. If you have concerns about your reamtnet, discuss it with him. He is very open to suggestions and your opinions.

We started with clomid to seeniffitnwould help menovukaye more regularly. When they didn't work we moved on to clomid with IUI. When they didn't work after 2 rounds, I asked to try femara and IUI. When they did t work I wanted to get more aggressive with my treatment and he suggested trying injectable medications with IUI. We got pregnant using the injectables and IUI.

My insurance covered most procedures and medication this far.

Clearly very knowledgeable as a clinician. Not sure I'd have another surgery with him. I was left with significant scar tissue and felt my questions about complications post surgery were dismissed without consideration.

Educate yourself about all options and be an advocate for yourself.

Clomid and ovadrell for iui

Just standard co-pays, except weekend monitoring was extra. I had no IVF coverage and was quoted over $16000 with meds

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