Robert Kiltz

I have only spoken to Dr. Kiltz once on the phone. I had a follow up call with him after several failed IUIs and before going to IVF. The call was early in the morning (7 or 7:15) and he was exactly on time, which was impressive. The call was good, and he agreed that IVF was a good next step. He was friendly and knowledgable. He was compassionate, but didn't really ask me too much about my history or seem to have reviewed my file. He spent a good portion of the call talking about the keto diet and that plants are killers. You can tell that he really cares about his patients and is passionate about what he does. I feel like there are some people who are lucky to see him often and get to know him, and then there are others who only interact with him once, if at all.

Expect to hear about keto, the bebbi diet, Kiltz's keto, and that plants are out to kill us. I'd also say that he seems to be super dedicated to his work and is very passionate. He regularly gives out his cell phone number, he does weekly fb/instagram live videos (daily during COVID19 pandemic), he starts his calls early in the morning. He must always be working! I wonder when he sleeps!

I first planned to do three IUIs then move to IVF. My IUI cycles included a z-pak, prednisone, letrozol, ovidrel, and endometrin. I did not have any adverse reactions to the medication. I think I produced 1-3 follicles. The third IUI changed to a timed intercourse cycle, as my bloodwork indicated that I had either just ovulated or was about to. They said I could have still done the IUI, but there was an increased chance that the timing would be off. For IVF, I started with a z-pak and prednisone, and stimmed with compound HCG and Follistim. I then used cetrotide and triggered with leuprolide acetate. I was supposed to trigger with HCG as well, but there was an error with the script and I never got it. I didn't realize I was supposed to have it. Apparently it wasn't signed and CVS Specialty sent it back to the clinic for signature, but never got it. Only four eggs were retrieved, 2 matured, and 1 fertilized and made it to blast. Genetic testing indicated it was abnormal. I'm waiting for my second retrieval and the meds I have this time are follistim and menopur to stim, then cetrotide, followed by HCG and leuprolide acetate to trigger. During a follow up call with a nurse, she said that I responded as though I have a low ovarian reserve, even though my blood work does not indicate that. This was the protocol that she designed...I believe she called it the 450/150 protocol.

I'm still waiting for some billing to come through. My insurance covered my IUIs, so I only had to pay two copays at each visit, one for the appointment and one for bloodwork. My medications for my three IUIs cost several hundred dollars. Since I live in NY and work for a company with more than 100 staff, my IVF cycles are now partially covered. Unfortunately they do not cover the techniques used to fertilize the eggs (assisted hatching and something else that escapes me at the moment) and I believe that will cost $1000. It was $700 for the embryologist to sample the blastocyst, and I believe another $700 for the genetic testing (would be higher if I had more than one embryo). I have not gotten a bill from CNY for the fertilization and the embryologist. My medications have probably cost around $1,000. I need to follow up with the financial team to make sure that my next retrieval is covered. Dr. Kiltz mentioned last night in his fb live video that some insurances are tricky with what they mean by three rounds. If it is not covered, then I will have to go to out of pocket pay with a financed payment plan, and I believe that is around $5,000. I know that I am fortunate to have insurance cover a lot of this, but it is still more than what my husband and I can really afford to pay at this time.

I have not gotten to transfer yet. I have one frozen day 5/6 embryo that came back as abnormal after genetic testing. Eager to have my second retrieval and will hopefully get more embryos and move to transfer.

Dr. Kiltz called my husband personally and set up a new plan for us when our cycle did not work. He changed my meds and had us freeze our embryos on day 3. He answered all of our questions and was very helpful.

You have to be you’re on advocate when it comes to CNY. There are not enough nurses for the amount of patients and you need to fight sometimes to get your questions answered.

The first cycle we used Menopur and Follistim. My husband gave a fresh sperm sample and we used ICSI. We only had one embryo survive to day 5. We did a 5 day fresh transfer and it did not work. The second time, Dr. Kiltz put me on Menopur only. They did a sperm extraction on my husband and ICSI. They decided to freeze our embryos on day 3. They froze 4 embryos. One is rated good and 3 are rated fair. We did not transfer them yet.

It’s very affordable, but we did have one issue where they misquoted a procedure for my husband and now are making him pay the new price.

Dr. Kiltz suggested one embryo for our fresh day 5 transfer and 2 embryos for our frozen day 3 transfer.

I never actually met Dr. Robert Kiltz through my treatment, so I'm not sure. In that way I did feel a bit like another person shuffling through a baby factory. But I am looking to have a baby as quickly and cheaply as possible and appreciate his commitment to lowering the costs of fertility care.

To have another more reliable way to get in contact with his staff than by calling and waiting on hold. I very rarely got answers to my messages on his electronic medical portal and wasn't able to update information there once it was entered (like address, etc.).

We did an egg retrieval and did regular monitoring via transvaginal ultrasounds at our local facility and injectable medications.

Dr. Kiltz is committed to making fertility care more accessible and lowering the cost, which I appreciated a lot.

I am glad that he prefers eSET!

You don't speak to him until you are ready for treatment. It's very odd. I know he's very busy but it's odd to not have communication with your doctor. You mostly interact with nurses. With that being said I've heard great things about him and appreciate his weekly chats on social media.

You need to be very very organized because the clinic has a lot going on.

All of the information is online. My situation was a bit more complicated.

Did not have a conversation about this.

We watch Dr. K every Sunday on his chats, here we see him as a human and he gives great FREE advice and answers patient questions. He is a busy man so he moves quickly. I am still in the consultation process but he has given me great things to try while waiting for our stims to begin.

Be prepared to take notes, do KETO, and have an idea of what you would like to have for an outcome.

Still in consult phase, but Dr. K is very willing to do full immune protocol, RPL, and highly suggests KETO for the anti-inflammatory effects

The clinic is very open about their cost. Many items can be found online without having to speak to someone directly. A cycle without medication for retrieval and transfer with icsi is less than $4,000. Because I do not have any fertility coverage they are not charging me for my consultation!

Dr. Recommends single transfer unless there are factors to suggest a multiple would be better : age, AMH, # of embryos, etc.

Positives: Dr. Kiltz is very passionate. He is honest about the structure of the clinic (more patients enable lower costs) and pricing. He seems very knowledgeable about treatments. I do have faith he will be able to get me pregnant. He gives out his phone number and email address and will respond to you. He is also very progressive and open to trying new medications/treatments. I am doing platelet rich plasma (PRP) uterine washes this cycle. Based on the research I've read, this sounds very promising. Negatives: Dr. Kiltz has very strong beliefs about infertility being related to diet, which I do not agree with. After a failed cycle he spent the entire telephone consult (which took 2 1/2 weeks to schedule) telling me that my tube is blocked because I eat lean meats, fresh vegetables, and fruits. He believes in the Keto diet (high fat, moderate protein, low carb). He flat out told me he was an expert with tons of experience and that my tube was blocked directly as a result of inflammation in my body, due to my diet. He then prescribed a ton of additional anti-inflammatory medications. I have chosen not to take most of the extras (prednisone, prograf [used to suppress the immune system in transplant patients], intralipids, and hydroxychloroquine [used to treat Lupus and autoimmune diseases]. I had an ANA test (for autoimmune disease) after my failed cycle and it was negative. I did a lot of research on my own to decide which medications I wanted to use (aside from the standard meds like estrace, progesterone, etc). Thankfully I am a nurse and feel comfortable researching these things myself. It would still be nice to be able to have a partnership with my doctor and not feel like it is all on my shoulders, as I am certainly not a fertility expert.

Be your own advocate, do your own research, and do what you are comfortable with. Realize you will not get a lot of time with any doctor at CNYF, but you can reach out to them by email and you should if it is something time sensitive that is important to you. Otherwise you will be waiting a looooong time for a phone consult.

An "auto-immune" protocol was prescribed: prednisone, prograf, hydroxychloroquine, intralipids, low dose naltrexone, baby aspirin, lovenox. Most of these are immunosuppressants. The aspirin and lovenox thin the blood, which is supposed to increase blood flow to the placenta and prevent clots for those with clotting disorders. Low dose naltrexone is actually a very interesting drug used to treat autoimmune diseases as well as clinically low endorphins. It has very few side effects. It also boosts your immune system, which has helped me avoid getting sick. It also helps me sleep better. The only extra I took my first cycle was the baby aspirin. That cycle failed. I transfer again in five days. This cycle I have been taking LDN, baby aspirin, and start lovenox tonight. I did not find sufficient evidence that lovenox will increase my odds, but it has relatively few side effects, so I am trying it. I also took estrace vaginally, progesterone in oil and endometrium vaginal suppositories, and Cleocin (clindamycin - a vaginal suppository antibiotic) both cycles. Also, azithromycin orally at the very beginning of each cycle.

Most costs are posted on the website. $3900 for IVF cycle. $850 for monitoring. $250 for FET. All meds are separate. HCG wash $50. PRP $500 for once/$900 for two times in the same cycle. This was without insurance coverage. There were no hidden fees.

My clinic wanted me to transfer one 5 day embryo based on my age and recommendations/guidelines from professional organizations. I am 36. I had my heart set on transferring two and actually want to have twins. The risks were explained to me and I have been allowed to transfer two both cycles.

Dr Kiltz is very knowledgeable and a good communicator. He is also very personable. I have only met with him a couple of times. Last time we spoke was on the phone. Dr Kiltz also did my IVF cycles and my exploratory surgery. He made me feel very comfortable each time he performed a procedure.

Ask as many questions as possible and don’t be afraid to get aggressive with your treatment.

After finding out at my husband is infertile, we decided to try IUI with donated sperm. I have tried 7 IUIs. The first was natural, and the others I used prespcriptions. Some to help me produce more eggs. I have been on prednisone, low dose naltrexone, endometrin, novarel, low dose aspirin, CoEnzyme Q10, Synthroid, Distinex, Levothyoxine, Estrace, Neupogen, Prograf, Lovenox, progesterone in oil, etc. Most of the transfers had a chemical pregnancy that only lasted a few weeks. Dr. Kiltz suggested exploratory surgery to see if I had endometriosis. During the surgery he did remove some endometriosis and diagnosed me with chronic inflammation. He told me to try the Keto Diet and go on LDN.The Keto diet turned out not to be compatible with my body, so I tried Paleo instead. I then tried IVF... they were only able to get 5 eggs, and only 2 were successfully inseminated. We transferred one egg at a time. Both resulted in a low chemical pregnancy that only lasted about 2 weeks. My tubes are fine, but Dr. Kiltz said there’s no way of knowing for sure if its the environment or egg quality. This last egg transfer Dr. Kiltz had me try Neupogen which is not covered by insurance and is quite pricy. I guess there had been good results with it for people with PCOS especially. I also have a low hormone level concerning egg production. Now that I don’t have any frozen eggs left, I would like to meet with Dr. Kiltz again, this time in person instead of over the phone and see what he suggests next. We have already spent quite a bit of money and are not feeling very positive.

IUI and doctors visits were covered under insurance, and some mediations were covered, such as prednisone. But everything else was out of pocket.

I would rather transfer only one egg at a time just in case the cycle does not work out. That way I only lose one egg instead of multiple.

I was a patient at the Buffalo office which meant my treatment was mostly managed by the amazing NP in Buffalo, Kris Ziegler. Dr. Kiltz was available to me to ask any additional questions I had during my cycle, and performed my frozen transfer.

Ask questions!

My blood tests indicated that my ovarian reserve was normal, and my "only" issue was stage IV endometriosis. I had excision surgery, and wanted to get pregnant as quickly as I could. IVF was that for me. I stimmed for 9 days using 300 units of gonal-F, and used cetrotide to prevent ovulation. I was on a few anti-inflammatory drugs as well (prednisone and LDN). I triggered with lupron due to my elevated estrogen at the time of trigger to prevent OHSS.

I was fortunate to have my monitoring appointments and testing covered by insurance. In addition to those appointments, I paid for IVF/ICSI/Embryo Freezing ($3900), FET ($250), and acupuncture at transfer ($70). In total I paid about $200 in copays over the course of my treatment. My meds were generally not covered by insurance, and I paid $2400 at Integrity pharmacy for my retrieval meds.

Based on my age, and number of embryos, my doctor strongly recommended a single embryo transfer. I did not want to risk a high-risk pregnancy, so I knew a single transfer was the right decision for me.

My consultation with Dr. Kiltz was a bit rocky. Again, the office is very busy, so he is pressed for time and I felt the call was a bit rushed/blunt. But once in Syracuse, my husband and I felt he spent quality time with us - he was warm and attentive. Just know, you are interacting the majority time with the nurse staff. Dr. Kiltz performed my retrieval and transfer.

Dr. Kiltz really does care. Don't be overwhelmed by the keto recommendations, and build a relationship with a particular nurse.

One key part of this process we really appreciated, and one of the main reasons we chose Dr. Kiltz and team, is their inclusion of the immunology protocol/medications. This was greatly appreciated! And of course, they always keep budget in mind. Besides the added immuno drugs, I was on the standard antagonist protocol.

I had to monitor locally (travel patient), so I organized my own local office and appointment times.

This is the biggest draw, so amazing! I was able to undergo IVF here for a fraction of the cost I have spent locally. And they try to work with your budget, even on medication recommendations. Plus, they offer wonderful packages. Much appreciated!

Dr. Kiltz likes Day 3 Fresh Transfers for mature women, like myself. We wanted to give this a try, after FETs. He did transfer 3 embryos in my case. I hear he is now transferring 2 at a time (based on feedback/restrictions). He allowed us to be involved in the decision - he recommended 2-3.

Dr Robert kiltz is a very loving and caring man who really seems to want what's best for his patients and he really wants to help them make a baby however with that said, I feel like he is extremely overwhelmed and takes on too many clients and because of that I feel like he is just spread too thin. there have been times when I have sent him a text message and he responds immediately and other times when he never responds. I am assuming this because so many people contact him and he's just overwhelmed trying to help everyone. He's only one person. But he does have the biggest heart and he seems very genuine about helping people and making it affordable!

He's a great man but you have to stay right on him because he is so busy!

He's very big on keto and the immune protocol!

$9,000 for six donor embryos And of course other fees

Dr. Kiltz is amazingly positive and encourages us to have faith, while acknowledging that this process is difficult. He listens to all of our concerns and always offers his opinion. While some of his methods and philosophies are unconventional, I find that I can take away some nuggets of truth from his advice and recommendations, even though not all of it (i.e. his extreme Keto diet) is for me. I have seen Dr. Kiltz at every visit to CNY (three to date), and he spent significant time with us on two of the three visits. Dr. Klitz and CNY Fertility is well-known for offering affordable fertility treatments, as well as cutting-edge approaches. I feel fortunate to have found CNY fertility, as some of these new and innovative approaches are not available in my home state. I also believe that Dr. Kiltz works very hard to keep treatment affordable and accessible for as many patients as possible.

Pay attention to your treatment plan. Do your own research. Read about the treatment options. Be prepared to advocate for yourself. CNY Fertility is really busy as the volume of patients continues to grow. Don't hesitate to call and ask questions.

Primed with Omnitrope and Low Dose Naltrexone; First stim/retrieval: 450 IU Gonal/150 IU Menopur; DuoStim/Second stim/retrieval: 150 Gonal/150 Menopur/10 mg Letrozole Rationale: DOR, Fragile X carrier, low AMH/high FSH, poor responder to first round, so the meds/approach was adjusted for second retrieval. First retrieval resulted in 0 eggs/second retrieval resulted in 3 eggs, 1 frozen day 6 4AA embryo.

Egg retrieval: $4050.00 (includes 150.00 fee for outside monitoring for travel patients); Intra-ovarian prp injections: 300.00 as an add-on to egg retrieval procedure; meds - approximately $5,000.00

n/a

Dr kiltz is knowledgeable and he cares about the patient. He offered discounts and another round of ivf only having to pay anesthesia fee for retrieval due to getting not mature eggs. However knowing that we got over 25 eggs between 2 retrieval sand different protocols donor eggs would be the best option. He gave us his cell number to call him or message him. It does take a while sometimes to hear back as he has a lot of patients. It can be confusing as the nurses run most of the show but nurse kris in buffalo is amazing lines can get crossed especially if your a travel patient but they are pretty good at accommodating all questions and needs. I did feel like I had to be an avocation for myself as my situation was rare. Overall dr kiltz cares I wish he had less patients so he had more time with patients, but then again I'm glad he is helping so many people.

Be an advocate for yourself ask questions especially if you are going to the clinic after a previous ivf failure.

We had no mature eggs our first round with another doctor so when we went to dr kiltz I had done some research about Lipton down regulated protocol being used in poor responders and with immature eggs. He agreed and also put us on a hgh prime for a month prior and during stims to help eggs. Also double triggered to help with immature eggs

It's very affordable even with the exchange rate. When we got not mature eggs he offered to do a free ivf retrieval only paying for the anesthesia

I haven't got to transfer as we had no embryos so moving to donor eggs this is something to dicuss

Dr. Kiltz is very nice and an amazing doctor. He called my husband and me after our second embryo transfer cycle failed. He showed compassion towards us. He fully explained the process during the call, but at that point it was too late. My husband and I were extremely hurt and had so many unanswered questions. We asked if tests could be ran to see why the cycles failed. I recommended fertility patients need to go through counseling prior to starting treatment because no one can prepare patients for any mental effects it may cause. This process affected me mentally. Months later I was diagnosed with Major Depressive Disorder.

PLEASE SEEK COUNSELING!!! This is an extremely hard process!

o Desogen 1 Pack, Take 1 tablet by mouth daily until instructed to stop. o Estrace (Estradiol) 2 mg, One tablet by mouth twice daily o Z Pak - -, Take 2 tablets by mouth the first day, then 1 tablet by mouth daily until all the medication is gone. o Prednisone 5 mg, 1 tablet by mouth twice daily o LDN (Low Dose Naltrexone) 4.5 mg, Take 1 tablet by mouth daily at bed time o Aspirin, low dose 81 mg, One tablet by mouth daily o Prenatal Vitamin one qd -, Take one by mouth daily o Prograf (Tacrolimus) 0.5 mg, Take 1 tablet by mouth twice daily o Cleocin Vaginal Ovules 100 mg, Insert 1 suppository vaginally at bedtime o Endometrin 100 mg, 1 tablet vaginally twice daily o Progesterone In Oil 50 mg, Inject 1 ml (50 mg) daily intramuscularly once daily Before starting second cycle: 1) When you start your period, have an HSG (hysterosalpingogram) sometime between CD 5-12. An order for this has been uploaded fo your patient portal. 2) Complete an endometrial scratch between cycle days CD# 20-22. An order for this has been uploaded to your patient portal. 3) Call the office when you start your period AFTER the HSG and scratch are done. At this time, we will give you an order for baselines, call you once the results are received, and provide instructions on when to start the FET preparation medications (estrace, etc.) 4) Complete an Intralipid Infusion when you start your estrace, then repeat the day prior to FET with an HCG wash, then weekly. I have ordered the Intralipids and the HCG wash to Integrity for you. We will provide you orders for the Intralipid Infusion once we have dates (which we'll know once you start the period after the HSG and scratch.) 5) Start Neupogen injections when you start your estrace--this medication and the appropriate syringes have been ordered to Integrity for you and we'll provide you further instructions after your baseline. 6) Start Prograf 2 days prior to your FET. This has been ordered to Integrity for you. 7) Start Lovenox and Baby Aspirin when you start your estrace. The Lovenox has been ordered to Integrity and the Baby Aspirin (81mg) can be purchased over the counter. 6) Start plaquenil 200mg twice daily now. Then, stop it once you start estrace so that you can switch to Prograf. 7) Continue LDN 4.5 mg each night at bedtime. o Neupogen 300 mcg, Inject 60 mcg (0.2ml) subcutaneously once daily as directed o Lovenox 30 mg, Inject (1) prefilled 30 mg syringe subcutaneously once daily o hCG- Uterine Wash 500 IU, Intrauterine wash- in office as directed AT 10AM o Intralipids 20 %, 100 ml bag- Infuse 100ml as directed- 10AM

Affordable

Yes, we were educated. Five eggs were retrieved but only four embryos were formed. We had one embryo to be transferred for the first cycle. "Something happened" to one of the embryos during the freezing process, so we were left with two. After the first cycle failed, the doctor advised us to transfer the last two embryos for the second cycle.

Before meeting Dr. Kiltz I would watch his "fireside chats" that he has on facebook live every Sunday. I immediately gathered that he really cares about the work he is doing as most doctors do not give up an hour of their Sunday to answer questions from patients. When finally meeting Dr. Kiltz in person for my first embryo transfer he was very warm and pleasant. A right down to business kind of man. He seemed very confident and it comforted me how confident he was. The transfer that he did failed, but I believe it was not attributed to anything with Dr. Kiltz. My experience with his has been good, and I believe he puts his heart into making people's dreams come true.

I would tell prospective patients to not be afraid to speak up. Dr. Kiltz will listen to you and take into account your feelings and opinion. It is your body and he respects that. If you do not speak up he will continue to make the decisions he feels are best. Don't fear being judged or scolded, use your voice!

My egg retrieval with Dr. kiltz was handled with caution as to not cause ovarian hyperstimulation syndrome due to my Polycystic ovarian syndrome. He prescribed Gonal-F 150IU daily, hCG-LH 10IU daily, Z Pak, Prednisone 5mg twice daily, Low Dose Naltrexone 4.5mg daily, Metformin 1500mg daily. I was on an auto-immune protocol so that is the reason for the antibiotic, steroid, and Naltrexone. The Metformin in for my PCOS. I triggered with Lupron to also avoid OHSS. This protocol did not stimulate my ovaries as hoped and only 8 eggs were retrieved, with 5 embryos being produced, and 2 embryos making it to blasts. I did a fresh embryo transfer after the retrieval, producing a chemical pregnancy. We transferred our last embryo 11 days ago, and I received the negative hCG today. My protocol for the frozen transfer was Estrace 2mg twice daily, Prednisone 10mg twice daily, LDN 3mg daily, Neupogen 60mcg daily, Aspirin 81mg daily, Prograf 0,5mg daily, Lovenox 60mg daily, Endometrin 300mg vaginal daily, Progesterone in oil 50mg IM daily. This transfer was not successful.

The egg retrieval is $3900, on site monitoring is $825. Fresh transfer is included and frozen transfer is $250 with $700 on site monitoring fee. Intralipid infusion $100+meds. hCG intrauterine wash per transfer $100+meds. All medications are a separate cost through a specialty pharmacy.

Due to my age and no previous failed transfers we only had the option of doing a single embryo transfer. I intend to push for a multiple embryo transfer if our next retrieval yields enough embryos.

I think he gave me the best options that I was ready for right now, will most likely be moving on to more advanced treatment in the next couple months if we have no luck. I believe it will be easier to tell his involvement then as now there’s not a lot he can do with us trying the fertility medications along with monitoring.

Gather all of your questions for the consultation so he can give you the most informed options for you.

Unfortunately our insurance doesn’t cover anything towards fertility or the testing. We haven’t gone to far in to the advanced treatments yet but they did offer a financial team to help if needed.

He had great bedside manner, but I rarely saw him and almost never actually spoke to him. And at one transfer he kept us waiting for nearly 2 hours after acupuncture, which seemed to negate the purpose of the acupuncture

Don’t be afraid to call a lot and ask a ton of questions. Ask for things to be over-explained and write it down.

The first transfer was very straight forward with most meds typical for IVF. The second transfer after the miscarriage they added provera when my lining was too thick for 5 months. Then they added low dose naltrexone when I finally went for the transfer and they added intralipids prior to transfer. This pregnancy lasted longer, but still ended in miscarriage.

You have to schedule them with your doctor in your area. They just provided the orders

3,900 for the IVF including the fresh transfer and the first year of storage. $250 for each transfer in the first year. Meds not covered at all, for the retrieval and first transfer meds were $3,500 for me. Storage fees are $350/yr after the first year.

When I chose to do a single transfer he was very encouraged and told me that I had a higher chance for success with one. But he would have done either way if I had chosen.

My Doctors are Doctor Kiltz and Corley. They are great. They explain everything in detail. They answer any questions I have, and are very kind and caring. They allow me to make decisions about my treatment after arming me with the knowledge that they have. We have been able to learn a great deal and in just a couple months. I do not like that I have to make contact with the clinic after my procedures to have a follow up. I feel that they should contact me with results and next steps after they have the results. I had to wait a month because I had to call and schedule an appointment. Other than that, it has been great.

Follow up, call them. You have to be the one to keep the ball rolling.

I do not have that yet.

They are cheaper than average. Out of pocket are 3900 not including meds and monitoring. I am being charged more though, because I have some insurance coverage. It’s still expensive.

We have not talked about this yet. I want to transfer two, but I want to discuss the risks with having pcos and having multiple transferred, vs. ESet.

He a great dr. I appreciate him. I wish he didnt base everything off my age which made me want to seek other care but he is affordable so i continue to stay. I want my sitaution taken care of as an individual and not oh your young so your fine when plenty of drs say otherwise. And i have proof to show I'm doing ivf for a reason not by choice.

Make sure you feel your needs and care are being met in any way shape or form.

I used gonal f 350iu, cetrotide, lupron for trigger shot, and many more others for retrieval. I use prograf, estrogen, prenantals, baby aspirin, prednisone, progesterone in oil, endometrin, zpak, cleocin, low dose naltrexone for transfer. My first transfer failed using best embryo graded and now on to my 2nd transfer. Each transfer contains 1 embryo only.

Egg retrieval was 3900.00. Very affordable. Each transfer is 250$. And my meds for retrieval and transfer came to 3000$.

He recommended 2 embryos during consultation then changed to 1 when i got there. And he now doesnt agree to do more than 1 because im young. I feel 2 embryos gives me a better chance as per my sitaution and diagnosis.

He’s a good doctor but he seems spread too thin. He’s compassionate and full of knowledge and he’s always pleasant face to face. His suggestions are valid and valued. He’s always been respectful but most recent conversations he was very short. I am healthy and have never even had an abnormal Pap smear. I am going through ivf because my significant other has a vascectomy. It wasn’t until my third failed transfer (2 fresh , 1 frozen) that he suggest we do a laparoscopy and hysteroscopy. Why wasn’t this protocol after the first failed crash transfer. Those are the types of procedures my insurance will pay for.

Do research, do reading, look up common practice. I didn’t get individualized treatment, I got protocol which seems to go for every woman that walks through the door! It would be nice if instead of protocol they would examine you personally and take the steps you may need for care instead of standardized practices they would use for anyone

I do not remember the exact protocols used all I know is that they used the term protocol often. Giving dosage as average and so on. After the first fail we added a few things like omnitrope during stim and it worked well.

I transferred 2 eggs each time and never had a problem

He is very nice and competent, however, since we are out of town I have only met him twice when he was performing my egg retrevials. A different doctor did my frozen embryo transfer. I have had a phone consultation with another doctor after our failed frozen embryo transfer and he was very helpful. He suggested adding new medications . He also went over a plan of our second transfer fails.

If you are out of town know that you can schedule free phone consultations with the doctors at CNY and I would recommend it

I was on a high doses of Gonal and menopur since I have a low ovarian reserve at 33. They also had me take human growth hormone the month before and during my ivf cycles to boost my egg production. They are suggesting raising the amount of gonal if we do a third IVF cycle. My partner had two PESAs

3,900 for one ivf cycle including free transfers for a year. Doesn’t include monitoring which is approximately 800 for IVF. (Not sure for FET) and doesn’t include meds. 1100 for PESA. We did not do monitoring with them because we live out of state

They let us transfer 2 high grade embryos the first time and for our second transfer we are going to transfer 3 three day embryos ( 2 good and one fair)

Dr. Kiltz is a brilliant and compassionate man. It's rare to see a person, especially a doctor, who feels so strongly about their work. If I had any complain about him, it would be that he's a little rough with the ultrasound wand.

Always make sure of your appointments and that they have you scheduled for the right kind of testing.

My first 2 IUI cycles, I took letrozole(days 3-7),10mg of prednisone to combat inflamation, and 1 baby aspirin, for a healthy uterine lining, each day, and triggered with hcg on cycle day 13 IUI on day 14. Progesterone suppostories were started 2 days after the IUIs. The first resulting in a late implanting chemical pregnancy and the second with an unconfirmed ectopic. A D&C, hyteroscopy and shot of methotrexate were necessary. The next 2 IUIs were done with 150 of Gonal F daily on days 3-8 to increase egg quality. I also took the prednisone and aspirin (same dosage) and progesterone following the HCG triggered IUIs again. These times Lovenox was added to my list of meds. incase of a possible clotting issue. My insurance company wouldn't cover the blood test, so Dr. Kiltz decided it would be no harm to treat me as if I had a clotting disorder. Again, both ended in a late chemical pregnancy where my HCG would be negative for my scheduled pregnancy test, but when I would get my period, and come in for my bloodwork to start a new cycle, I would have a positive HCG that would slowly decline.

Telephone conversations feel rushed. Do not seem him as often as I would like. He is there if we have questions as well as very compassionate when I see him. Dr Kiltz makes each experience a positive and makes it feel like"this is the one"

He is always there to support your dream.

Iui we used letrozol which produced much better results than previous clinic using chlomid. Also using Prednisone and asprin. Medicated IUI was cancelled due to levels not responding appropriately. Egg retrieval used gonal f, menopur, asprin, Prednisone, centrotide. Fresh transfer used progesterone in oil and endometrin, estrace, prograf, cleocin, asprin, Prednisone.

Ivf package was very reasonable. $3900 for egg retrieval and fresh transfer and$250 each fet for a year

First/fresh transfer we wanted to and we're strongly advised to do one which failed. This round we will do two and that was considered acceptable.

Dr Kiltz is quite personable and is happy to discuss his plans/goals/ideas. He is a bit over confident I feel but can’t deny he is doing what he can. He’s a bit hard to track down since he’s so busy but we liked speaking with him.

Be patient. He’s a great doctor and very helpful but is difficult to schedule and track down. His bedside manner is absolutely worth it.

We came from 2 other clinics and he agreed to a complete change. We used different injections and transferred 3 embryos instead of 1 and on day 3 vs day 5. We are planning another cycle and hoping to hear any more suggestions from him.

The $6k it cost us for an IVF cycle included everything except monitoring. It was way less than our previous cycles and even the added items (acupuncture, HCG wash etc) weren’t as expensive as elsewhere. Plus their financing options are very appealing.

Dr Kiltz agrees single embryos are the safer option for most people but he’s also more than willing to discuss options and make a plan per person/cycle.

Out of the box thinker, kind and fun to be around. He made me feel comfortable with the process. He did my lapro surgery and after explained very thoroughly what is going on. He didn’t seem rushed at all to get to the next patient. He went in and visited with my family while I was recovering. He was willing to treat things proactively which I really appreciated. Too often with fertility doctors want you to fail first. They wouldn’t do that with any other disease. They wouldn’t wait till you get pneumonia to give you antibiotics. They wouldn’t make you break your arm twice before putting a cast on. Kilts did all the testing that they usually wait until you have 2 miscarriages. We only had one but he wanted to do everything. I wish we went to him sooner is my only regret. So many other doctors I’ve consulted with said they wouldn’t even have done the testing it’s so insulting.

Just do your research. He doesn’t recommend PGS testing but if you want it then make it happen.

My first protocol was the standard antagonist protocol. Stimmed with cetrotide and gonalf only. We were on a budget so he let us skip the menopur.

Self pay $7000 including bare bones meds and a surgery. Not including airfare, etc. That is for 1 retrieval and 2 transfers

Kiltz is a strong advocate for single transfer which is good. However it should be more strictly enforced. It was fairly easy for us to get as many as we wanted transferred because if Kiltz isn’t available another doctor stands in for him and the other doctors aren’t as strict

Dr. Kiltz is great! He is very smart and knowledgeable and he is also really confident in his job and positive about treatments. He does great work when he is the one providing the treatment. The only drawback to being his patient is that he is not someone you see often. Only on big treatment days. I cant complain about his work as a doctor though. He's a great surgeon and doctor. He works quickly and has great bedside manner.

Advocate for yourself. Dr. Kiltz won't force a treatment plan and he will let you be in the drivers seat. This means you need to ask lots of questions so that you have all the info possible to make your treatment plan. He has lots of techniques and methods and is always open to ideas but you have to be the one to ask.

Dr Kiltz is really big about diet! He goes on and on about Keto diet and how it matters. It's an extra step in treatment but hopefully helps make the most of what your body does with all of the medicines you are putting in it. Dr. Kiltz is also really big on Holistic treatment using Eastern and Western medicine. He has an accupuncturist on staff and a yoga and meditation studio attached to his office. He truly believes in the benefits of these techniques so expect to hear about them. Also you get a free weekly yoga class at the studio as one of his patients. Dr. Kiltz is also all about LDN for his patients. He believes in a balanced immune system and uses this drug to try to achieve that for his patients.

The finance department at this office is great at working with you to code procedures and treatments in a way so that the insurance will cover them. The pricing for IVF is lower than the national average its $3900 and includes retrieval, ICSI, PGS testing, freezing of embryos, and transfers and storage for up to a year. You are responsible for monitoring costs and medication costs.

I haven't done either of these with him yet but I know he typically does a single embryo transfer for women under 35.