Sigal Klipstein

You will not be able to get a new consult immediately but I do feel like the wait time for new consult with Invia/Dr. Klipstein is less than at a other fertility clinics. Dr. Klipstein is always prompt but does spent adequate time reviewing your records as well and reviewing your options with you. I felt she was compassionate and approachable. I am currently deciding what treatment course I would like to take and do hesitate to reach out to the office to ask questions for fear of being a bother.

Be prepared to get recommended testing done quickly.

During your initial consult you will discuss your prior health history and fertility workup/treatments. After this, your workup will include a slew of lab work and ultrasounds. You will need to complete everything prior to having a "re-consultation" with the physician. All of this can take 2-3 weeks so do not expect to be started on any treatments right off the bat. I am currently deciding between IVF and IUI. Unfortunately we do not have fertility insurance coverage so this is our limiting factor.

Our costs are out of pocket. IVF starts at 11k and IUI starts at 2k. This is not including any medications, monitoring, additional testing, etc.

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Dr Klipstein was a breath of fresh air coming to after a terrible experience with a previous doctor. She has brought children to many of my acquaintances which have us so much hope. Even when things didn't go the way we hoped, she always had another plan in her pocket and I never felt pressured or rushed to make decisions. The day she called to tell me I was finally pregnant, the joy in her voice was so genuine and I knew and was really truly happy for us!

Be patient. She is very busy but 100% worth waiting for.

We did low doses of stims to prevent OHSS which I had experienced in the past and was carefully monitored with adjusted trigger shots of needed to prevent overstimming. She had is freeze all and PGS test, we tried frozen transfers, fresh transfers, and lastly on our 6tg transfer, a natural cycle which was successful. She plans on doing the same for a hopeful second baby. She also prescribed antibiotics to rule out any infections preventing implantation and did an endometrial scratch at my request before our last transfer.

Most of my treatments were covered by our insurance. I only had to pay out of pocket for my co pays and deductible which we were fully communicated with by the staff. Amounts were determined by our insurance company, but 1 round of IVF was $10,000 not including any extras like PGS testing or embryo freezing/storage.

Dr Klipstein always preferred to do single embryo transfers, glebe she did let us do a 2 embryo transfer during a fresh cycle since it was something we had never tried on the past. It did come with warning and education on the risks of multiples in pregnancy.

I think the best thing about Dr. Klipstein is her caring nature - she really takes the time to listen and clearly cares about her patients. A weakness could be described as maybe being too optimistic at times? I feel like a couple times she gave me a little bit of false hope, though that's generally not the case.

Come prepared with questions because she'll answer them. She's very resourceful!

Initially we weren't sure why we were having infertility issues, so we decided to start off very conservatively. Dr. Klipstein was totally fine with that and we began with a medicated cycle. No dice. After that, we upped things to an IUI. No dice. We took a break of maybe 6 weeks and then did IVF. She monitored me super carefully and the retrieval went really well. I did have OHS, which she was VERY responsive to and I felt like I received excellent care (in the end, the OHS wasn't serious and it passed within 2-3 days). The first embryo transfer ended in a chemical pregnancy; the second ended up being a miscarriage. They were not certain why we lost the second pregnancy. On the second retrieval, Dr. Klipstein did slightly modify my medication to try to avoid OHS and we were successful. We were also able to do a fresh transfer, though that didn't take. The second transfer was successful, but I lost the baby @ 14 weeks due to complications from Downs/T21. We still have two frozen embryos and are planning to do PGS/PGD to hopefully end up with a healthy child.

IVF isn't cheap, there's no question. Our insurance covered a great deal of the costs, but after everything, we've probably spent around $8,000-$10,000. A lot of that was from medications because we ran out of coverage on that. The medications are REALLY pricey, but that's not determined by the clinic.

Dr. Klipstein is pretty conservative, so while she entertained me hemming and hawing about transferring more than one embryo, she definitely wasn't in favor of it. Considering that we only have 2 embryos left, I'm not sure how we'll proceed. However, based on what we've already been through, I'm GUESSING I could convince her to transfer both. But I'd have to have a pretty solid argument ready. She's definitely looking out for the well-being of her patients, first and foremost.

Dr. Klipstein is easily the best doctor I have ever worked with. She is confident, yet completely grounded and real. She is incredibly kind and genuinely cheers you on and celebrates your successes. Luckily I never had to hear bad news while working with her, but if I did, I am totally confident that she would help me work through anything.

Trust her. Surrender and have faith. She will completely take care of you. The process is so relaxing compared to other places.

We went in for a FET. We were open to transferring 2 but she suggested only one- said that one would do the trick. And it did. I was on Estrace, Endometrin and PIO. Very easy protocol that wasn’t at all hard on my body or my mind. My procedure day was a ton of fun- and went perfectly. 10 days later I got a call from Dr. Klipstein on a Sunday afternoon saying “ok, we’re in business. It’s positive!”

The medications were easily the most expensive part. Out of pocket to the dr for an FET with monitoring was not at all expensive. I spent about $500 total.

She made the right call only transferring one. She said one will do the trick, and she was right. She’s able to have high success rates while doing what’s best for her patients.

She was very welcoming and open minded. She didn't focus on my health challenges or the negatives--she made whatever came just seem like it was the next thing to do on the road to my inevitable pregnancy. She did sometimes confuse my case with others when not looking right at the chart (like when she would pop in for a quick consult at the ultrasound and would say things that didn't apply to me). She was always present and available.

Ask lots of questions and be very up front with her.

Lupron

I had insurance which was supposed to cover 90%. They "miscoded" a few of the parts of my retrieval and transfer and as a result these were not covered by insurance, even though they should have been. I ended up paying thousands and they were in no way intersted in discussing the issue. This time around I have HMO and they have been good so far at communicating with the insurance and getting things approved.

Because of my particular family situation, she stated that she would be transferring only one embryo. I felt the same, but if I hadn't I'm sure she would have gone along with my wishes to transfer more than one.

Dr. Klipstein is by far the most compassionate fertility doctor. She gave me her phone number and personal email address when we first met and this was very telling of her availability and willingness to make her patients feel cared for, important, and “human”. Every detail was always explained as far as treatments and procedures so I never felt lost. If I had any questions I would send her a portal message and she would respond in such a timely manner. In my previous experience there was almost no possible to contact the doctor himself, just the nurses. I would recommend Dr. Klipstein to every friend, family member, and anyone looking for a compassionate, smart, and detail oriented doctor.

You are in the best hands. Never hesitate to reach out to her because she makes it her priority to speak with you. Even if you think your question is “simple”.

I had a pretty standard IVF cycle and this was the protocol we followed, which was beneficial for me.

Insurance luckily covered mostly everything.

Dr. Klipstein was a major supporter of using one embryo for transfer. She definitely took into consideration the quality of the embryos and everything else. My other doctor was a big supporter of two every time, but Dr. Klipstein was the opposite. She explained all of her reasoning clearly and we followed her guidance which luckily ended in a successful pregnancy.

From the moment we met Dr. Klipstein we knew she was our doctor. Her calm voice and bedside manner are just the beginning of how wonderful everything about her is. She would always schedule enough time to have conversations with us for our 2 appts that we needed to talk. She never made us feel rushed, in fact, she made us feel like we were her only patients. When we wanted to transfer 2 embryos she did a lot of research and told us why she recommends only 1 for us and it was the best decision. I recommend everybody that asks me about infertility to go to her. She is one of a kind!

Get to her ASAP.....she will do anything and everything to help you create your family!

We did a cycle based on my cycle. I did estrace, follistim and menopur for ER and added Ganirelix last two days to suppress ovulation. Triggers with hCG and Lupron. We got 38 eggs, 13 fertilized and 8 made it to day 5 and we did a freeze all. A month later we did the frozen transfer with 1 embryo graded 4AA- again Estrace and then we used Crinone and PIO . Today we are 21+6!

It was $30K for a n retrieval with TESE for my husband and transfer. Embryo freezing was another $1K and $9K in medication

Nothing

She was very caring and passionate. She showed interest in my health and met my needs and expectations as a patient. Her staff are all very friendly and shared the same goal of having their patients understand and obtain the knowledge and information needed.

If you have questions, do not be afraid to ask. Dr. Klipstein is very knowledgeable and informative and wants to make sure you have the information you need and want.

I only have done a consultation appointment, followed by doing blood work with the nurses.

No more than $300. This includes consultation and administering blood work

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She got us to a point where other said it could not be done! She was realistic but also used her knowledge to get me pregnant. I am currently 16 weeks with a little girl! She was there every step of the way and helped me get through our failed transfer with a new plan of action.

Come with questions. She is very knowledgeable and will take the time to answer them.

She placed me on a course of medication that would prepare my uterus for pregnancy. They monitored me very closely to make sure they did the transfer at the most optimal time.

I do not remember since it was covered by my insurance.

I did want two embryos transferred, but after hearing the risk to the babies and myself I did agree transferring only one would be best.

She was kind, compassionate and very well informed in the field of fertility. She took her time with every step and made sure we understood everything that would be happening. She also understood the emotional side of what we were going through and made sure that we were well taken care of.

Don't hold back - the more she knows about you and your partner, the better she will be able to help you.

My employer insurance covered 100% so the costs to me were nothing

She’s very personable, gives facts and doesn’t sugar coat. Almost motherly. It isn’t hard to talk to her. Developed a plan and explained risks and benefits. Not afraid to be blunt when it’s appropriate. I’d recommend her to anyone.

Don’t be afraid to ask questions

I’m still in the process of treatment

I am currently going through treatment.

She’s said she would only transfer one and I’m ok with that

Dr Klipstein was quite caring and I felt very comfortable in speaking with her about this very sensitive topic.

Make sure that you are completely honest.