Joseph Pena

Dr. Pena has provided patient-centered care throughout my IVF journey. From my first consultation with him, I felt comfortable and confident that I was making the right decision choosing him as my fertility specialist. He is extremely knowledgeable in this field and will take the time out to listen to your concerns. He never makes you feel rushed during the office visits and is great in explaining what is shown/being looked for on the sonogram screens. Dr. Pena is truly the best at what he does!!

Trust him!!!

I began my IVF protocol with birth control pills to begin controlling the stimulation of my ovaries. My stims began with menopur and Gonal-F to stimulate my ovaries and to increase follicle production. I also was on ganirelix to suppress ovulation. After 10 days of stims, I triggered using the leuprolide and novarel. These two assisted my ovaries in preparation for ovulation for an egg retrieval. The day before the egg retrieval I took an antibiotic as a precaution for risk of infection. The day after egg retrieval, I began the progesterone in oil shots intramuscularly as well as 1mg of estradiol twice a day. I worked my way up to maintaining the 1mL of progesterone in oil daily, 2mg of estradiol twice a day, and progesterone suppositories (Endometrin) 3x a day. I am currently on the same dosage.

Monitoring appointments are first come, first serve and you are given a window of time that you may be seen. Upon arriving to the facility, you call from your car and they will let you know when to come up to the office (due to COVID-19). The wait long was typically no longer than 10-15 minutes on average.

Most of my IVF was covered under my health insurance. I did have to pay copayments for medications as well as copayments once deemed pregnant.

Dr. Pena is a strong believer of transferring one embryo to reduce risk factors associated with a multiple pregnancy.

Dr. Pena was caring, compassionate, and very knowledgeable. He's very straight forward when describing treatment options and recommendations. I always felt like I could reach out directly to him at any point, and he answered all of my emails within hours. He personally called me after egg retrieval and fertilization to check in, and also with pregnancy tests results.

Do not hold back on questions. If you don't understand something, ask, he'll explain everything

It was very efficient. Between 7-8 am so I always had plenty of time to go into work. And you can go into the most convenient office location. Compared to my previous experience where we did have scheduled appointments, which would ultimately run late, and I was always late for work, this was way better

The doctor explained the statistics with multiple embryo transfers and we chose to do single embryo transfers. At no point did we feel pressure to go one way or another.

I met Dr. Pena after losing my first IVF specialist after he left his practice and for insurance reasons. This was at a very vulnerable time where I felt abandoned by my first physician and rejected by another physician on the island who would only suggest an egg donor. I discussed my condition and the previous encounter with the refusing physician and Dr. Pena reassured me that I should continue with traditional IVF and never faltered on that decision. He was always encouraging and assured me he'd tell me when it was time to seek other options. In essence, he never gave up on me. That has spoken volumes to me, confirming his reputation of being a compassionate, successful, fertility physician. After five IVF cycles, I'm now pregnant with a viable pregnancy. I owe a lot to Dr. Pena. Without his confidence in me, I'm not sure I would've continued on with fertility treatments. I will forever be grateful.

I was initially hesitant to consult with Long Island IVF (now RMA Long Island IVF) because of the size of the practice. I was afraid that I would just be a number in a sea of patients. But that is not at all what I encountered with Dr. Pena. My advice would be make a consult and you will see that he is knowledgable, down to earth and cares for his patients wholeheartedly.

I have a condition which affects all of my eggs and causes them to have an abnormal, extremely thin/frail zona ("shell"). Because of this we required very "gentle" ICSI for successful fertilization. This was done and we had great fertilization results for both IVF cycles with Dr. Pena.

I always arrived at least a half hour before the office opened in the AM and I was either first or third in line. For the most part, things ran smoothly and quickly and I always made it to work on time.

I was responsible for copays only. These were charged for office visits and sonograms.

Dr. Pena followed the general guidelines based on my age and embryo quality.

My husband and I both loved him as our doctor through this long process. Every step of the way he has been honest and forthcoming about our treatment and plan. He has been compassionate during downfalls and understanding and thorough in answering every question each time we come to the office. I would definitely recommend him to any friends in need of a fertility doctor.

Make sure you leave time in the mornings for his pregnancy sonograms because he is very thorough and takes his time answering everyone’s questions and concerns. This obviously takes time! :)

Ivf for freeze all cycles for genetic testing with 5 day embryo transfers after test results came back. We did this as my husband and I are both carriers of genetic disease.

Monitoring appointments were done in the morning between seven to 8 o’clock. They included blood work and sometimes bloodwork and sonograms. Sometimes he would meet with a sono tech and sometimes you would meet with the doctor himself for your sonogram. Everyone has been wonderful!

Our consultation was great. He gave me the recommended course of action. I came off 2 rounds of clomid (1 ending in an early miscarriage and 1 failed). I was not happy with the monitoring at my obgyn so was very happy with the plan dr Pena put together.

Don’t wait too long before switching to a fertility clinic.

I had a lot of standard testing that took several weeks... was frustrating but essential. Then once we finally started treatment I did IUI with letrozole and a trigger shot. First round failed, then second round was a success. After my BFP testing showed my progesterone was low so I immediately started taking suppositories twice a day. I do feel this made all the difference...

My insurance had great fertility coverage so I didn’t pay much out of pocket at all.

N/a

When my husband and I found out we needed IVF we were heart broken but Doctor Pena honestly turned an unfortunate situation into a pleasant one. He never promised but always delivered. He was honest , considerate and set my expectations exactly where they should have been. He made me feel calm and comfortable, he put me and my husband at ease throughout this entire process. I can honestly say that I wouldn't have made it through this without him . And I am so thrilled to say I am now 7 weeks pregnant with Baby #1!! Dr. Pena will not disappoint, anyone looking for the best should look no further.

Trust him. I questioned everything, and I shouldnt have. Dr.Pena was right and knew exactly what needed to be done every step of the way. He has alot of patients, but he is on top of everything I promise you.

Dr. Pena tried one protocol for our first transfer which unfortunately failed, we did a similar one with a few adjustments the second time which also failed and the third time he made numerous changes , which resulted in my positive!

Monitoring was always super quick! Honestly to knew patients you may go in there and see 10-12 girls waiting ahead of you but dont panic. The nurses there were SO quick. I would get there at 630am , and with an average on I girls ahead of me I was seen by 640am and home at 7.

I do not know my exact costs as part of it was covered through my insurance but what I can say is that midge in billing is extremely on top of everything. I knew what would be owed by me before a procedure was even done, I was never surprised with a bill I didnt expect.

Dr.Pena suggested we do 1 embryo each time as I didnt want to risk twins and he was exactly right.

Dr. Pena is direct and to the point. He listened to my concerns and took them into consideration for my plan of care. He is attentive. He is friendly. He was always available for any questions or concerns I had.

It may sound overwhelming at first , which it is, but to not give up and just ask questions. He is very easy to speak with and really cares that you understand the treatment plan.

I had unexplained fertility. It only took two tries to conceive. There was slight medication changes that were made on the second round that may have played a part in conceiving.

$15,000

I am glad we did multiple embryo transfer because out of the 2 that were transferred only one took. It increased my odds and it was a success.

Dr. Pena is a very smart and compassionate Dr. He has walked me through my procedures step by step and even held my hand for my egg retrieval before I was put under anesthesia. He is truly caring. He even took the time to call me numerous times while he was out of the country on vacation. Most doctors wouldn't do that. That showed me just how much he cares about his patients.

I would highly recommend Dr. Pena. I would tell them to ask him any questions they may have, because he will explain everything they will need to know.

I first had a FEMVUE and water Sonogram to rule out if my tubes were open or not and to have a map of my uterus. I also had a endometrial biopsy to help increase chances of the embryo implanting.

I would usually go to the Melville office for my monitoring, they were a very well oiled machine~!

Everything except the PGS testing was covered by my insurance. I only have Co-payments now.

Doctor was great, very professional and was open to any questions. He was very detailed in everything. Doctor made us feel very comfortable and confident that they would do everything possible to help us.

If you are having trouble getting pregnant, you definitely need to give him a try, at least go for a consultation, you have nothing to loose, it's totally worth it. This doctor was recommended to us by my husbands Endocrinologist specialist he sees.

I used progesterone in oil injections, prenatals and prior to getting pregnant we used vitamins (can't remember the name, to help with egg quality) My husband used something similar to help with sperm quality, and we used other forms of injectionable med's to produce eggs /sperm. reason for using these were to make sure we got the best possible chance of pregnancy.

I do not remember it exactly but it was covered under my insurance, the difference i had to pay but was not that much, they offer payment plans to assist you in case you need it.

Doctor was very clear, to reduce any unnecessary risk, we had 2 tries, 1 transfer for each try. We did ask the doctor for multiple transfers because we were desperate, but doctor said if the 2nd try was not successful then we could discuss the possibility of multiple transfers. We're glad we did only single transfers because later on during my pregnancy the due date for my baby was June 9th, he was born May 21st mainly due to low fluid in placenta (even though i was drinking a lot of water). So looking back if we did multiple transfers and had twins there could have been a complication or a very early birth, at the end though only God knows how things would end up. I'm extremely happy to say the least.

He appears knowledgeable and experienced, but very remote. I felt like he follows a check list of procedures (similar to the one you walk away with from the first visit) and cares very little about your individual case.

Do your research ahead of time, he will not bother spelling things out or even explaining what certain acronyms stand for.

We have chosen Dr. Pena based on the reviews although the Patchogue office was not the most convenient for us location-wise. It turned out that Dr. Pena is in summary the Go-To Doctor for infertility treatment in Long Island. Dr. Pena is very knowledgeable (we've been elsewhere, and we now know the difference). He has always been available whenever we had an issue. He listened to our concerns and found the best solutions to our circumstances. In detail, we had only one last cycle covered by insurance. Dr. Pena planned to do a fresh embryo transfer although we had 2 frozen embryos left and to test the embryos genetically (the new and the old ones) so to maximize our chances for this last cycle. But the insurance denied our request for a fresh cycle because we had 2 embryos left. Then Dr. Pena requested a PGS to the frozen embryos to maximize our success rate. But again our request was denied by the insurance because our pre-conceptual carrier screening tests came free of genetic diseases. Then Dr. Pena was left with one option to transfer both embryos, something that we really wanted. He had warned us of the complications of twin pregnancy and we happily accepted the challenge. In brief, we are now 9 week pregnant with twins, thanks to Dr. Pena. Furthermore, because we did not have an OB/GYN at the time of pregnancy, Dr. Pena kept monitoring us weekly until we transitioned to our OB/GYN.

Do not hesitate to discuss your socioeconomic situation with Dr. Pena.

Dr. Pena had changed the estradiol pills frequency depending on the levels. from 1 a day, to 2 a day, to 1 a day, to finally stopping it. All based on the weekly blood levels. Dr. Pena prescribed Ovasitol twice a day for PCOS treatment.

$20 copay for seeing Dr. Pena and $20 copay for ultrasound

After 2 miscarriages, Dr. Pena's preference was for a third single FET. But depending on our specific circumstances, Dr. Pena decided to go for a two embryo transfer, something that we really wanted. He had repeatedly warned us about the complications down the road, and we happily accepted the challenge

Dr. Pena was truly amazing and I am 16 weeks along and attribute it completely to him. I came to him from another clinic with a folder thicker than a dictionary. He spent 2 hours talking with my husband and I on our first meeting. I believe he spent the time necessary to truly get to know my case. He was thorough, pleasant, funny, caring, and intelligent.

If you had bad experiences in the past like I did, it is okay to trust him. I came in hesitantly and, within one visit, felt that I knew I was in the right place.

I never once had an issue with the monitoring window, nor was I any later to work than I had planned. Depending on what time you have to be at work, being late may just have to happen, but I was never held up longer than anticipated. If I needed to be at work earlier I just arrived at the start of the monitoring window time and if I didn't, then I just arrived before the window ended. Ironically, at my previous clinic I would have an appointment time which always took longer than the monitoring window at Dr. Pena's! They do an awesome job getting everything through quickly and efficiently.

I have insurance coverage, so I only paid a co-pay for certain visits. Since it is a center of excellence many of my co-pays were covered.

Dr. Pena was willing to transfer 2 embryos for me since I had miscarried a genetically tested embryo in the past. I elected not to do the testing and transfer one, and to transfer 2 and see what happened. I ended up with a singleton pregnancy.

Dr. Pena was warm and guided us at each step of the way. We always felt that we were getting the complete story each visit - both the pros and cons of each step. We will not hesitate to return to Dr. Pena in the future.

Dr. Pena will lay out all the facts for you and will allow you to reach an independent decision.

We went for IVF with ICSI. For stimulation, I took Gonal F (225 U) and 2 x Menopur for Days 1-6; Gonal F 225, 2x Menopur, and 1 cc Ganirelix Days 7-9; Gonal F 300, 2x Menopur, and 1 cc Ganirelix Day 10; and 1cc Ganirelix and HCG trigger on Day 11, with retrieval on Day 13. For transfer, I took progesterone in oil, followed by Endometrin, Estrace, Aspirin, Medrol, and Doxycycline. This protocol maximized the number of mature eggs collected, and I had one egg transferred successfully.

Monitoring appointments were efficient, with no more than 10 minutes of waiting if bloodwork only, or no more than 30 minutes if I needed an ultrasound.

We paid about $9,000 out of pocket. The rest was covered by insurance.

Based on my age and fertility, Dr. Pena strongly suggested transferring a single embryo

Dr. Pena was a great doctor. The practice is big so it's not always easy to receive personalized service, however he was always available to answer any questions I had, calling me to discuss my concerns. I have a beautiful baby boy and am pregnant again thanks to Dr. Pena.

Don't doubt him. Discuss your concerns with him but trust he will do everything he can to help you achieve a successful pregnancy.

If you went to the LI IVF West Islip office, there may have been a short wait in the morning, but as soon as they started seeing patients, things progressed very quickly.

about average

I wanted to transfer two embryos but Dr.Pena felt strongly I should only transfer one. I am now pregnant with that single transfer!

Dr Pena was honest from the beginning. I wish i would have listened and not wasted as much time. He stated the obvious about my ovary and egg count. Instead of jumping into IVF i wanted to try IUI. Against his suggestion we tried. Even though it didn't work out he never once said i told you so . He in a kind and nurturing manner suggested IVF with ICSI. Again against his suggestion we only tried IVF. Despite all my failures he was always kind and supportive. I finally listened to him and got pregnant twice. First time i miscarried at 10 weeks 5 days due to stress from my commute and work. This time i'm pregnant and am extremely hopeful for a live birth. Recently i freaked out because i had some vaginal bleeding. I called the emergency hotline and a nurse returned my call , then Dr. Pena reached out to me and told me to come in to see him for peace of mind. He said me stressing will not do anything good. I wasn't scheduled to see him until Thursday but he took me in on Tuesday. When i saw him i was in tears . He was kind and speaking positive . He mentioned that the progesterone suppositories may cause bleeding. He performed the sono and everything is perfect. baby is growing and has a healthy heartbeat. He also mentioned that the sono might cause some bleeding , and not to panic. He mentioned that if i bleed heavily , like soaking 2 pads an hour i need to call him right away and go to the ER. I couldn't have asked for a more understanding , caring and a person who actually gets me and can foresee any issues i might have . He really pays attention and made me feel safe and comfortable.

Be yourself , he doesn't judge and is actually very funny himself. He will always give you his best medical advise . Don't be a hard head like myself. In this case the Dr. does know best.

Due to my low egg reserve had to be aggressive , he took extra care to ensure i was not hyper stimulating my ovaries . He always asked me if i was having any side effects. He did modify one of my meds because my ovaries were not responding.

When Dr Pena was performing the monitoring it took longer , as i'm sure others had questions and took up more of his time . When he was not in the West Islip office and we had a tech, it was in and out. The tech was always professional and told you your progress if any.

Luckily for me i was covered under my insurance. The only thing i had to pay out of pocket was ICSI, which was reasonable.

Due to my egg quality and count he preferred multiple embryo transfer for my fresh cycle. He did explain the consequences. For my frozen transfer he did explain he preferred just 1 embryo , only 1 made it.

Dr Pena is very forthcoming with information. He's not warm and fuzzy but that doesn't mean he's not kind. I liked how straightforward he was with information and I liked that he had a good sense of humor when dealing with the trials of infertility. Overall I liked his way of handling things and his demeanor. He was real and nothing felt ingenuine or fake.

To really listen to what he has to say and trust that he has a lot of experience to back up his advice

I started with Dr Pena back in 2013 with IUI bc I was optimistic that I could get pregnant without too much intervention. Dr. Pena was willing to work with what I wanted but also let me know the statistics and success rates of IUI with no meds vs IUI with meds and then of course the success rate of IVF. So after failed IUI with no meds then I did a couple rounds with meds and still no luck so I went to IVF. Dr. Pena felt more confident that given my age and the fact that the problem was mainly with my husband that we'd ave a better chance with IVF. The first round I didn't get a ton of eggs at retrieval and only 2 survived so that's what they transferred but had a chemical pregnancy. Then I started a whole new fresh cycle a couple months later and had a much better retrieval and had I believe 4, 5 day embryos and they transferred 2 and I got pregnant! They froze the 2 remaining. I had a ealthy single baby girl in 2014. Now in 2017 I went back for a FET and had a chemical pregnancy and then did my 2nd FET about a month ago and I am currently pregnant.

I already mentiond this earlier but monitoring on certain days can be a nightmare at this office and other days its easy breezy. When its busy it can be a little crazy but overall you can tell their really trying to get everyone in and out in a timely fashion

I am very fortunate to have very good insurance so I had zero co-pays til I had a positive pregnancy test

From start to finish he is very clear and candid about all procedures and expectations. He answered all questions I had and made me feel very comfortable. After the IVF procedure, I had several questions. He responded to my emails almost immediately, did not leave me hanging in the unknown. I highly recommend Dr. Pena and I would definitely use him again if need be.

This process is not an easy one. If you want a true experienced professional who is going to be upfront and candid about procedures and results, he’s the doctor for you!

I do not have any known fertility issues. My partner and I used donor sperm. My partner became pregnant through IVF in 2016 using Dr. Pena and it was very important for us to use the same reserved sperm. We only had a certain amount of viles and I made this clear to Dr. Pena. He completely understood our concerns. We decided to start with IUI. Although, clomid wasn’t necessary, I opted to take it. Dr. Pena was clear on the pros and cons of taking it. I did 4 single iui cycles, all resulting in negative pregnancies. The last cycle I will mention the sperm count was below normal. With Dr. Pena’s support, I decided to try IVF the next cycle. All instructions and risks were clearly cut out for me and I was completely comfortable going through with it. The retrieval and transfer were all a success and resulted in pregnancy. He is closely monitoring hormone levels and the babies growth and once I will soon be sent off to the OBGYN.

Very efficient process. Weekends tend to be a little busier but they really do a great job getting people in and out. Very organized.

I have very good insurance, fortantely with no copays.

I really did not want multiples and because of my age and quality of embryos it was only necessary to transfer one embryo.

Dr. Pena is the most knowledgable doctor i've ever met. Dr. Pena truly knows how to do his job. Since the first visit at his office, I felt completely confident in his abilities to get us pregnant. During my treatment I started to show signs of hyperstimulation, Dr. Pena changed my medication, and I truly believe because of this I did not develop OHSS. I read horror stories on the internet about OHSS and their doctors not knowing how to prevent it. But I was fully confident Dr. Pena knew what to do and he did.

One piece of advice I would give a prospective patient would be to trust in Dr. Pena to make your dreams come true. He is professional, knowledgeable and compassionate.

On the first day of my period I began taking estrace for 4 days. One the 5th day I went to Dr. Pena's office for my baseline bloods and sono. That afternoon I received my phone call with instructions. I was told to take Follistim and Menopur for 3 nights and return to the office the next day for blood and sono. That afternoon I received my phone call with instructions. I was told to continue the same treatment, Follistim and menopur. for two nights and return the next day for blood and sono. I was told to continue same treatment and return to the in two days. On that day, was when Dr. Pena saw that I had MANY follicles. I returned to the office everyday after that until egg retrieval. Once Dr. Pena saw that I had many follicles, he changed my medication to 2 menopur each night and to discontinue to follistim. I also took ganirelix to prevent ovulation. On Sunday night I was told to take a small dose of HCG alone with a lupron shot. 36 hours later I arrived for my egg retrieval. Dr. Pena retrieved 37 follicles, 29 mature, 23 fertilized, 1 successful fresh transfer and 15 embryos frozen!

I always arrived 15 minutes before the monitoring window, so I was always the first to be seen and was in and out in 10 minutes.

I was fortunate enough that insurance paid for my entire IVF treatment. I did not even have any co-pays until I was pregnant.

Dr. Pena did a single embryo transfer, I am 29 years old and we both felt that a healthy 9 months of pregnancy was more important than multiples. Especially because multiples can cause a high risk pregnancy.

Our initial consultation with Dr Pena was very good and he explained the general process very thoroughly. After that point we received little to no communication on our situation, next steps, test results, etc. Dr Pena did not perform the IUIs, our retrieval or our transfer (not exactly sure why he is even labeled as our doctor?). One of the only times I did speak to him on the phone (when I was upset at the number of blastocysts we ended up with), he gave me partial (and arguably inaccurate information) about embryo quality. I also felt Dr Pena did not communicate process or potential options in treatment to us at all. We are left feeling much money was “wasted” just being pushed through a cattle herding process...

Communicate after key results and give reasons for why treatment plans/directions were chosen. Give options to patients but provide recommendations where necessary. Make sure your patients are clear on next steps and ensure there are no surprises for them.

IUI 1 (2 follicles) & 2(8 follicles - cycle canceled): Clomid IUI 3 (1 follicle): letrozole IVF 1: gonal-f & menopur for stimulation, lupeon, hcg (ovidrel) trigger, Estrace and POI prior to transfer

If you are the first person in the office there is very little wait. However, if you are late you have to wait at least 45minutes to an hour. Generally, appointments at the West’s a Islip office are short and Dr Pena is present most days.

Insurance covered most but general costs without insurance are $6000 for IVF cycle, $3500 meds, $4000 PGS

Dr Pena said he would only do single embryo transfer for our first IVF since I am under 41 years old.

Dr. Pena is an amazing doctor. I felt comfortable from the day I stepped foot into his office. He took his time to explain treatments and procedures. He answered my questions quickly and efficiently. I trust Dr.Pena 100 percent and would recommend him to anyone struggling with fertility issues.

The only advice I would give is to trust him 100 percent with whatever course of treatment he thinks is best.

I underwent 3 iui's. All of them were similar in treatment plan of action. I was given clomid on day 3 for five days. After that I went in multiple times to check follicles and hormone levels. Wheb the follicles were ready I was Instructed to do one shot of ovidrel and than two days later I would undergo an iui. The first was negative, second was a chemical and third I am pregnant with twins!

Thankfully I have insurance that covers most of my treatment. I had co pays and had to pay for medication.

It's hard for me to pin down Dr. Pena's strengths since I feel that he is just such a great doctor overall. For me, his biggest strength, was his ability to connect with me as a person. He did not make me feel intimidated but instead almost made me feel like we were going through this together. He explained procedures as we were going through them and took the time to make me laugh which I desperately needed at times. He is so skilled as a doctor knowing my body and was able to access my uterus repeatedly when other doctors were unable to. At times, I encountered setbacks like a polyp and Dr. Pena was immediately prepared to direct me in the right direction so I didn't feel lost. When we had times of disappointment, he took a few moments to remind me that sometimes this was part of the journey but we could still move forward. Most of all, he went out of his way to be there for my most recent transfer even though he was not on the schedule. A few of the previous doctors had much difficulty entering my uterus and left me in pain and bleeding. Knowing this, Dr. Pena made himself available to me, missed his daughter's soccer game on a Saturday morning, and successfully completed a perfect transfer for me. I am currently now pregnant for the first time in my life. I will be forever grateful to him. Dr. Pena is a great doctor and amazing person. I can't say enough good things about him.

Be sure to speak from your heart and be as open as you can with your intentions and wishes in building your family. Also, don't hesitate to ask him for recommendations when needed for other doctors. He has a great network! If something doesn't feel right, trust your instincts.

We pursued donor embryo's and since we have male factor infertility, I assumed that everything would be super easy - boy was I wrong! Prior to first transfer, Dr. Pena performed a mock transfer where he found an endometrial polyp. He directed me to have this removed in order to improve my chances for a successful transfer. My first attempt to have this removed was unsuccessful due to cervical stenosis and the surgeon (NOT DR. PENA) ruptured my uterus. We decided to move forward with the polyp in place. The LIIVF team suggested that I get a quick endometrial biopsy to increase my chances of success. However, Dr. Kreiner was unable to access my uterus, it was excruciatingly painful and he decided to cancel the procedure halfway through. Dr. Pena felt it wasn't necessary and simply installed a cervical stitch then we had two transfer attempts but both were not successful. Dr. Pena suggested that I see another surgeon for polyp removal and recommended an amazing doctor who ultimately was able to remove the polyp successfully. Following the removal, I had an unsuccessful transfer which Dr. Pena felt was due to embryo quality. The team suggested that I move forward with a hysterosalpingogram to make sure that my tubes were ok and not leaking fluid which may destroy the embryo. All checked out perfectly fine. I had a fourth transfer with Kr. Keningsburg and it was very difficult, took numerous attempts to access my uterus and was a failure from the start. I left bleeding and in pain. Finally, my fifth transfer with Dr. Pena was perfect and resulted in a successful pregnancy.

Medications - less than $1,000 Co-pays - approx. $1,000 Transfer/Donor Embryo Fees - $2,000.00 per transfer

Dr. Pena was fully supportive of my choice immediately from the start. I was insistent on SET since I am almost 40 and felt it would be too risky. He understood my concerns and explain the advantages and disadvantages thoroughly.

From our first appointment we instantly felt comfortable with Dr. Pena. He thoroughly explained our options and each procedure. He was straight to the point, which I appreciate, and has a great sense of humor that always put me at ease. I have already recommended friends who are struggling with infertility to meet with Dr. Pena.

I feel that Dr. Pena is very compassionate but he is also very direct when answering questions or explaining certain things. Although I definitely prefer this form of communication and found it to be extremely helpful throughout this process, I know that some patients may feel like they need a little more "hand holding."

IVF - egg retrieval and Day 5 transfer (singleton) Medications: Follistim (Pen) varying dosage (mostly 200iu) Menopur 75iu (eventually increased dosage) Cetrotide .25mg Chorionic Gonad Progesterone in Oil 1ml Estradiol 2mg (2x daily) Methylprednisolone 4mg Endometrine 100mg (3x daily) Baby Aspirin (1x daily)

Monitoring appointments always went very smoothly. Patients were given a time frame (usually 7am-9am) to come in for monitoring. It was first come, first serve and always appeared to be well organized.

We were fortunate enough to have all of our procedures fully covered by our insurance. We only had copays for the medications and a $20 copay for all appointments after a confirmed pregnancy.

Dr. Pena strongly recommended eSET due to my age, history and potential risks with multiples. I definitely feel that eSET was the right decision for us.

Always professional, compassionate & informative. Every step we have taken under his direction and changes in my care has brought us a step closer to better results, and quickly ruled out options that weren't working. I recall one time at an egg retrieval about to go under anesthesia he even held my hand. It gave me a sense of comfort and that he views his patients as more than just a number :)

Be patient...it's a timely process, but your in good hands w Dr Pena

My treatment I think is probably typical of someone over 40. IUI, IVF's and frozen cycles. But we recently did PGS and it has worked so far, but equally as important it's more efficient and saves time when you're racing against the biological clock, as well as limits miscarriages. Dr Pena suggested PGS and gave us great peace of mind when considering another round of IVF which seemed overwhelming at the time (after a miscarriage).

Efficient & professional...always upbeat. 7am isn't an easy time for anyone, and the whole staff made it less stressful

We paid out of pocket and have paid appx $100K over a 2 year period. A portion of our IUI and meds the first year were covered under insurance but we met the lifetime cap rather quickly and have paid out of pocket majority of the time