Arizona Center for Fertility Studies (CCRM Network Clinic)

Dr. Shane is the doctor that you wish was your friend. He is so smart, charismatic, caring, honest, and so dedicated to your success. I'll never forget when he opened the office for us just to see how close we were to needing a trigger shot for an egg retrieval. Above and beyond. This is a doctor who truly invests in his client's success and cares about your well being. He is beyond amazing!

Call now and meet with Dr.Shane. Trust his guidance. Accept the love of this really special place.

Things I remember: a consult, bloodwork, semen analysis, lots of 'wand' appointments, procedure at SMIL, picking up medications, schedules the the office gave, and egg retrieval. Then the embryologist (ALSO INCREDIBLE) Drew filled us in with how many eggs made it to day 5, how many were sent for testing, how many were frozen. Then more drugs and bloodwork, and checking out the uterus until it was ready for the actual IVF. We went in for bloodwork after the 'two week wait' and then I waited for the call to know if I was pregnant. Then we were in the office every other week or so to monitor development until it was time to head to our 'regular' OBGYN.

Dr. Shane has all of the ACFS pricing on the website. It is clear to understand. Since our insurance doesn't cover any of this, we also had to pay for any lab work outside of the lab and we also paid out of pocket for the medications/supplements.

Dr.Shane was really articulate and caring when explaining why eSET was a better fit for our scenario. I trusted every direction and am glad that I did because I'm now a happy mother.

He’s extremely knowledgeable and explains all your testing and procedures in great detail that’s digestible for you to understand. He adjusts course as necessary for best success rates. I have already recommended him to several friends.

Book the consult.

We started after our testing on a specific vitamin regime for my husband and I. The vitamins for my husband were to help the sperm, and mine to help egg quality. He actually diagnosed me with MTHFR gene and prescribed me meditation to help. During our IUI, we used Letrozole and a trigger shot. Our first IUI was unsuccessful and our second just occurred so still too early to tell.

My testing cost roughly $600 for my HSG, ultrasound and bloodwork. My husbands Sperm Analysis was $500, and our genetic testing was $395 I believe. To my knowledge they run everything through insurance when available and that may change someone else’s cost. My insurance does cover fertility treatment once deductible is met. My IUIs were $100 out of pocket + $100 for trigger shot (cash pay). However, the total was around $1100 that got sent to insurance. That covered the whole cycle.

I was first referred to ACFS after experiencing a ruptured ectopic pregnancy and loss of my left tube in my first ever pregnancy. I wanted an HSG done to confirm my right tube was open before I felt comfortable trying again. Fortunately my right tube was completely clear but I found the test to be extremely painful, to no fault of Dr Lipskind’s. He was comforting throughout the procedure and made sure I was okay afterwards. After another miscarriage I was referred back to ACFS for additional testing and options. Dr Lipskind remembered me from nearly 10 months prior (probably hard to forget me screaming during the HSG) and jumped right in to assess our case and present us with options. After mentioning the need to perform a saline sonogram, he noticed my unease and assured me that this time I would have the proper pain management to make the exam more comfortable. And that’s exactly what happened! I was slightly worried when becoming a patient that I would be just a number shuffling in and out to see nurses and staff but I see Dr Lipskind every time I visit the office. He takes the time to address my concerns and never seems rushed.

Don’t be afraid to ask questions and utilize the time that is rightfully yours! He is always more than willing to spell everything out for you.

We are currently in our first IVF cycle leading up to an egg retrieval. I am currently on a 375ml injection of Follistim each day + Ganirelix and ultimately PregNyl. Because of the follicle progression seen in my first scan, Dr Lipskind modified the course of treatment and started Ganirelix two days earlier. That is currently as far as we have come.

We have minimal insurance coverage for fertility so our first round of treatment was $4k. This included a $1k deposit for the surgery center for hysteroscopy/egg retrieval. Luckily all our medications/injections were fully covered by insurance.

He always spoke to me like we were friends and I appreciated that, because I was always so nervous and humor helped the situation. He performed every single procedure and I saw him for every visit, even if it was a quick ultrasound. I loved that I knew I’d see him each time in case I had any questions, he’d always be there to answer. He would explain everything he was about to do prior to doing it and that eased my nerves every time. He never failed to explain things to me and took the time to answer all my questions. It’s just unfortunate my body never wanted to respond properly and each procedure failed. One negative I didn’t like was that he let me pick my iui dates both times. I wish he would’ve told me which date he recommended versus letting me pick because now that they both failed I feel like if I would’ve picked the other date maybe they would’ve worked.

Don’t be offended if he asks you to remind him of your brief history each time you visit. Meet him with compassion, because he means well and is just very busy (which is a good problem to have)! Expect him to hit you with stats and facts and to not sugar coat anything. Go into your appt expecting to have a little laugh here and there and it will go more smoothly than a serious visit.

I over produced eggs with clomid & Dr. Patel was quick to switch me to femara and I responded great both times to it. Unfortunately, my iuis were both unsuccessful.

I believe each iui was $850 and HSG and SHG were around $200-$350

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From the first virtual consultation I could sense his warmth and compassion. He and his wife went through fertility struggles and it is clear that he “gets it”. He is conscientious when conducting procedures and always checks in to make sure you are comfortable.

Communicate all of your concerns with him and make sure you leave with all the information you need.

Since all of my lab work has come back normal except for an autoimmune condition, he suggested we do three rounds of IUI. The first cycle we did a standard 50 mg of clomid for five days. It resulted in one follicle and we did a trigger shot and IUI. That didn’t work so he doubled the amount of clomid to try to increase the number of follicles produced, explaining that if there were more than 2-3 follicles he would likely cancel for risk of multiples. At our first ultrasound it showed that I had numerous follicles and so he suggested I come back in a few days to see if they naturally reduced. They did and I have 1-2 dominant follicles so we proceeded with the IUI. It did not work and I decided to take a couple of months off to address my autoimmune disorder before attempting our final IUI.

The IUI procedure was around $850 for three ultrasounds, semen wash, and insemination. Clomid was very cheap, maybe $20-30 and the trigger shot was around $90. They estimated that it would cost around $1000 per IUI and it has been pretty much that.

I was impressed by his knowledge of the newest treatments and his skill. I appreciated his willingness to take into account my entire history and create a plan that best fit my body and treatment needs. He’s gentle in his manner, but clear on what he’s saying. Answered all of my questions, and took time to explain things. Most importantly, each visit he was very reassuring - that we are going to work together to create a healthy baby!!!

Give all the detail you can about yourself and history. He cares and can use the information to customize your treatment, and get you the best results.

Still in process. Medically stimulated IVF with all testing.

Not including medications my treatment will be roughly $10k. This was broken up into two payments. Medications were through the pharmacy. I was given information through the clinic to apply for a discount program for medications, and I was able to get 70% off stimulation medications.

Yes, I’m my case one because of my age. He prefers eSET.

Dr. Lipskind was very thorough during our consultation. He reviewed all our medical history and told us frankly that he would only recommend IUI for up to 3 months before recommending IVF. I felt like his main goal was to help me get pregnant. He was very up front that my current diagnosis of PCOS might not be accurate. Dr. Lipskind wants more testing to determine if there are any other factors contributing to me not being able to get pregnant. Right after our consultation, COVID-19 hit and the ASRM recommended postponing all fertility treatments. We have not been able to be back to see him yet, but I am confident that once we can, I will have further testing to determine the best course of action.

The only advice I can think of is to be prepared with questions for your consultation. My husband and I thought of a lot of questions, however, Dr. Lipskind answered many of them before we even asked.

We have not had treatment with Dr. Lipskind yet. I did 3 cycles of letrozole (2.5 mg the 1st cycle and 5mg the next 2) along with ovidrel trigger shot with my OBGYN before seeking out Dr. Lipskind.

The only cost so far with Dr. Lipskind has been the consultation fee. It is $300, which is then applied to your account to use on further treatments.

Dr Lipskind is a fantastic doctor. I had no idea why I wasn’t getting pregnant. We were with another fertility doctor and did everything but IVF with no success or answers. When we saw Dr Lipskind he diagnosed me with endometriosis and a uterine septum. We did surgery to correct the septum. We did IVF, I had 2 tested frozen embryos. We did our first transfer and are now pregnant for the first time ever!! Dr Lipskind made my husband and I feel comfortable and listened to throughout the entire process. He is an awesome doctor but also has great bedside manner, I find that rare.

It’s a little warm in the office so wear summer clothes ;)

We were lucky, our insurance covers part of our treatment. We have not completed the process yet, we are pregnant but only 5 weeks. I think it will end up being close to 15k. But I also had to have uterine surgery that added to the cost

We only had 2 embryos and had never been pregnant so we wanted to do 1 embryo at a time.

We've so far only seen Dr. Lipskind once for our initial consultation. He came as a personal recommendation from my OB and I felt very confident in her trust in him. He was on time for our appointment and reviewed our paperwork in detail with each of us (my husband and I). He never seemed rushed. He was careful to explain everything in simple terms with support and compassion. He was optimistic and hopeful for us, which I appreciated. He explained a few options in detail about what the procedures and process entailed, gave us his thoughts on next steps and WHY, and seemed very open to either direction and didn't push us. I appreciated his suggestion to take a more conservative approach to see how my body responds to the fertility medications before jumping straight in to IVF. I felt heard, cared for and ready to move forward with confidence.

Do your own research ahead of time. Come to the appointment informed about different treatment options. I realized later that he talked about an IUI, which I knew all about, but didn't fully explain what that was to my husband. I filled him in after. :)

We've only just started, this is our first cycle with Dr. Lipskind. Our treatment protocol will be to start with at least one IUI cycle. While I assumed we'd jump straight into IVG, the rationale to start with IUI is to see how my ovaries respond initially to the fertility drugs. That will give us a better course of action before we move to IVF, if necessary. We will know on day 3 after ultrasound which drugs and dosage. His initial thought is likely Clomid.

Approx $950 for an IUI with Clomid or Femara (including ultrasounds, sperm prep and insemination) but not including cost of drugs)

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The doctor is an excellent communicator and caring. He explains all the procedures and always supports us in all the choices we make. He is patient and explains everything so that we fully understand what is going on giving us our best chances to conceive.

Be honest and tell the doctor about any concerns he is very knowledgeable and will help answer any questions you have.

We had an IUI with out first child and used a natural cycle. Even though we did not use fertility medication we still used vitamins and supplements that the doctor prescribes (prenatal, vitamin D, COQ10 and baby aspirin). These were used to help maintain a healthy chance for pregnancy. We also had routine bloodwork for both myself and spouse in order to rule out any illness or other concerns. The doctor suggested we have an HSG procedure that was done at an imaging location. This was done to check for any blockages or issues with the uterus and tubes. Lastly we had a series of ultrasounds done in office to check the follicle count and growth before using a trigger shot to trigger ovulation and attempt the IUI.

Vitamins and supplements approximately $100 a month while trying to conceive HSG rest approximately $200 Ultrasound services approximately $360 IUI approximately $900 Consultation fee $300

Dr. Nemiro was awesome! He was kind, honest, and committed to success and safety! He was frank even when it was hard and helped me make decisions that aligned with my values and not just my heart. He always spent the necessary time with me. He often was running behind, due to the time he spent with other patients. That was difficult at times, but I also appreciated and benefitted from his extra time.

Give yourself extra time to spend when you see him. He is thorough and will take time with you, but he often runs late.

He let me lead and do what I felt would be best for me. We tried multiple protocols. Including use of FSH and HMG. My successful protocol was Letrozole days 3-7, 75iu HMG from day 8-17, 10000iu HCG trigger on day 18 (when follicles were 18-21mm), IUI 42 hours after trigger, 5000iu HCG booster 5days post IUI.

Medication costs were between $150-400 per medicated cycle. IUI was $300, $150 for sperm thaw and wash, $400 for all ultrasounds in a cycle.

Dr. Nemiro is very intelligent, but he was not at all involved in my treatment aside from assigning medications. He was not open to changing my dosage throughout a cycle (so if you're on 150 Follistim, you will stay on 150 Follistim, it won't increase or decrease according to your response). I felt like he was not flexible and treated me according to a pre-set formula of how a woman my age should respond, rather than recognizing I wasn't responding (6 times) and my treatment was never aggressive enough due to my age and high AFC.

Ask questions and demand to see him if you're doing IUIs. You can get a lot of valuable information from him and explanations, but you have to call him yourself or ask to see him specifically, otherwise you will likely never see him. He is a nice man, but the lack of flexibility in medications and lack of communication was not for me.

I started with 50 mg Clomid with IUI, then second cycle 5 mg Femara with IUI, then 5 mg Femara with home insemination, then 5 mg Femara with IUI, then 75IU Follistim and finally 150IU Follistim.

There is a difference in cost for IUI cycles with injectibles and IUIs with oral medication. The IUI itself is only $248 regardless of injectibles or oral meds. Sperm thaw is $100. Sperm wash is $256. Monitoring for oral med cycles is $327. Monitoring for injectible cycles is $540. So IUI costs can range from $931-$1144, which doesn't include the cost of medications.

I like how analytical Dr Nemiro is. He really give me the realistic numbers when we were trying to decide what was next for us. His expert advise is what we need to make an educated decision and not waste our time, emotions or our money.

Do your own research and ask questions. As educated and wonderful a doctor may be, asking smart questions will always be in your best interest. It also allows the Doctor or staff to help you better when they know what you are thinking.

I can't recall the protocols used for my IUIs other than that the first one only one vial was used for my injections and the second we used two vials per injection. for the egg retrieval we did an ovarian stimulation protocol with viagra suppositories 25 mp 4x day for 2 wks, growth hormone 1/2 cc once day for 2 wks, luprion 20 units for 10 days and then 10 units for 2 wks, estrace 2mg tab once a day for 2 wks, cetrotide 50 units for 2 wks & FSH 10 vials once a day for 2 wks. I also had to take cabergoline .5 mg after the retrieval & more luprion 20 units once a day until my next mense. This was because my estrogen levels were at 6400 after the retrieval.

IUI's were around $1500 to $2000. The egg retrieval was about $10,000 or so which includes a 20% discount on provider services because our infertility was due to my husband's cancer treatments. medications were an additional $5,00 to $6,000.

I don't know his approach just yet but I do know that he has advised that we transfer no more than two embryos.

It’s very crazy there and they follow old processes for paperwork and such that has too many fingers in the pot and things get missed. He offered a discount after I politely confronted about some mistakes they’d made on my cycle and He offered a 20% discount but didn’t clarify that was only a discount on his portion of the bill which was, I felt, deceptive and I may not have cycled again w them had I know the discount would be next to nothing. After spending almost 100k with them, that discount should have been more fair.

I would look twice and consider practices because some things are very expensive there and consider an office w more nurses to handle cases and one w more fair transfer pricing.

For transfer, I had to have prednisone perhaps due to all my prior losses and was supposed to have intralipids also but couldn’t get them wher I lived. I think many things he does (treating for immune) is excellent.

Regular cycles for retrieval and egg banking/freezing we’re 11k a cycle. When everything was fertilized on the last cycle, it was probably around 15K. Donor cycle was very expensive. PGS is reasonable there at $2000,00 for up to 8 embryos, but transfers of any embryos are $4,400 which I found to be very very high.

My doctor is progressive on this - he believes over say 43 & up the incidence of twins is low so why not put two in. I put two in both times and by the 2nd transfer, one did stick so it supported his theory.

I saw Dr Nemiro maybe twice throughout the many IUI’s I did with the practice. He has a canned speech he gives everyone and pushes for high tech procedures. He runs very late and the waiting room is packed.

If you are ready to jump straight to IVF then he may be the Dr for you. Just be prepared for long waits.

He put me on oral meds for 2 cycles and then to daily HMG injections. The thinking being more eggs giving higher chance of pregnancy. I produced 4 follicles each time and did IUI’s.

Each IUI was around $1500-2000 They charged more for cycles using injectables due to more ultrasound appts.

I had a wonderful experience with Dr. Lipskind. My specific problem had to do with thin uterine lining. Shane tried everything to try and thicken up my lining. We had a lot of setbacks, but he worked so hard to try and find a solution so that we could do an embryo transfer. He called clinics all over the country and developed a protocol that ended up working for me. We got pregnant on our first transfer. My husband and I could not have been happier with Shane. He was so friendly and truly cared about us. I personally saw him at all of my appointments unless he was out of town. One time when he was out of town, he spoke with me on the phone after I checked in with the nurse. Not only is he a wonderful doctor, but he truly cared about us.

Just be patient if things aren't going your way. It took us some time to get pregnant, but Shane worked tirelessly to try and found a solution for us.

We tried a few different protocols, but the one that worked was a Lupron prep cycle with heparin, Trentnal (to try and boost blood flow for lining) and estrogen patches.

After conversations with Dr. Lipskind, we decided to transfer two embryos based on my age and what the success rates were transferring two. We ended up transferring two and got pregnant with one.

He is an excellent doctor. We love Dr. Lipskind and he was so great with us especially when fertility issues can be difficult especially when you are desperately trying to conceive. We will never forget Dr. Lipskind. He is the sole reason we have our little one and we are so grateful for his help in helping us conceive him.

Don't wait and go see Dr. Lipskind. I will definitely be referring people I know to Dr. Lipskind. Hands down he is the best doctor I have gone to and very nice. I never had any issues.

We did two egg retrievals as I was borderline for having enough eggs for genetic testing. We did lupron for 14 days which quiet my whole system down. I was also on birth control to help with the cycle to fit into the retrieval cycle. The fertility drugs I was taking was FSH (10 vials mixed with one water vial for about 12 to 14 days) and Centurion one vial mixed but split into two 50 ml doses on a 29 gauge needle. The doctor and nurse monitored the cycle through ultrasound and assessed when the eggs were ready to be retrieved. I was around a 12 day cycle for retrieval. First cycle the eggs were frozen and during second cycle the eggs were fertilized and genetically tested. I then had a normal period and waited for my next cycle to do the lupron again. I did lupron for 40 days. Then we did the histogram to check my uterus to make sure no obstruction before transfer. I had some small polyps that Dr Lipskind removed. Once that was done, I moved onto Heparin at 20 days into the cycle. I did labs one time and then agian 2 days later to make sure the dose was right. If not I had to readjust and redo labs. I then did a infusion at the lab that treated me for immunodeficiency. I then started my progesterone oil shots about 2 or 3 days before my transfer. I had to continue Heprin, lupron and progesterone shots twice a day for the next 14 days along with Estrace and another drug until pregnancy test. I also had to take a lot of vitamins during my whole IVF journey. This was the most aggressive IVF plan I have gone through.

It was a bit more then we expected but well worth it for statistical rate of success we wanted to acquire

Dr. Lipskind suggested two embryos to transfer to get us the success rate we needed and it worked for us.

He is very compassionate and direct. I always felt respected, even though I obviously did not have his level of training and experience. I always felt he very strongly wanted to get me pregnant . (& then he did. And did again).

Don't be afraid to ask questions and realize he is pretty direct; tjat os a good thing IMHO, but some people don't care for it.

Most of this I have forgotten, but I do remember we switched IBF stim meds when the first didn't get us to retrieval.

Like a BMW purchase maybe? IVF three times isn't cheap. I don't remember all the actual numbers...

I feel like he is very honest and candid, along with very knowledgeable. My first RE was apathetic and dishonest and I was not given the benefit of someone fighting to get me pregnant. I felt listened to, respected, and like he was personally rooting for me. Prior to getting pregnant, I needed surgery on my uterus and he called results at 6:30 on a Friday night so I wouldn't have to be in limbo all weekend. He spoke to a friend of mine who liveswho lives across the country over the phone who had suffered RPL and was near giving up. (She's a Mom now, too)!

He is very direct, and will lay all his cards out on the table. It can be a bit of anshock at first, but he will fight to get you pregnant.

Dr. Lipskind reversed my tubal ligation back in March of 2015. I am now holding our newest addition, a healthy 10 week old little boy. He helped us through the entire journey and made us feel so comfortable. Even when we miscarried back in 2016 he was a great support. I tell everyone I know that is looking for a fertility doctor to go see him. He gave us what we thought we could never have...another baby. He is amazing.

Ask all the questions you have. He will never make you feel rushed and unimportant. He gives you all the answers you need even if it is something you do not want to hear.

We had a reversal so it was one surgery. He did walk us through every step of the procedure beforehand and on the day of surgery. After I got pregnant he monitored me until I was 12 weeks to make sure the baby was where is needed to be.

I paid 9200.00 for everything including after care like follow ups, pregnancy tests, blood tests, and ultrasounds.

none, keep doing what you are doing.

Dr. Nemiro has been in the field for a long time and knows his material. His treatments however were to the book. He did what worked for most people. Jay was very compassionate and explained everything to us. He was very late to most appointments but made up for it as he would spend as much time with you during the appointment as needed. Never felt rushed with him.

That he talks a lot and jokes. He loves what he does and wants you to have a baby just as much as you do.

HMG and HCG for timed intercourse, heparin 2x a day for MTHFR, prednisone (steroid), and intralipid infusion

they did not ever bill insurance everything was out of pocket

Dr Lipskind is very compassionate and thorough. His goal is for you to have a baby. Our cycle did not go as planned/hoped for and Dr Lipskind has been wonderful with knowing what to adjust for our next cycle.

Be open to his suggestions and treatment so that you may have the best outcome possible.

We did a very high dose of menopur because Dr Lipskind wanted to approach our cycle more aggressively. We also did cetrotide and gonal f.

ACFS does price matching for other local clinics. Our IVF cycle was $8500. That did not include anesthesia, uterine polyp exploration or meds.

We did not make it to transfer

He was very personable and very thorough. He made every effort to do as much as possible with my long travel to his office. He coordinated outside lab work and HSG testing to be on the same day as my appointments with him. He went above and beyond what he had to do. When it was time to discuss our results he spent as much time as we needed and answered every question. He did not rush or make us feel rushed and uncomfortable.

He is a very good and knowledgeable doctor. He will make you feel like a person not just another number coming into the office.

with the results he got of my HSG testing he wanted to do a surgery before we started the fertility treatments. At the time I did not have insurance and it was going to be around another $40,000 due to it needing to be done at a hospital and not in office. Due to financial reasons, this is the only reason we have not proceeded.

Dr Lipskind is super amicable. Very smart and excellent at what he does. He was very very throrough- he noticed things my previous dr missed. I am forever grateful to him. He is very warm and while fertility treatment can be isolating he makes you feel very comfortable and connected.

Book now!

It was very thorough- things that other clinics do as add ins was part of the standard of care.

The cost seemed high because it was all inclusive- whereas where I was previously nickel and dimed you. Apples to apples it was $400 more and they price matched for me.

We were advised on the new recommendation of transferring one- and given the option to do up to two but this was based on our desire to have a large family- and our ability and willingness to care for multiples.

Dr Nemiro is very responsive to any questions or concerns you might have. He’s upfront and honest but very good bedside mannered. He really does care about getting you the ultimate outcome which is a baby. I’ve seen 4 different Fertility Drs some in different states. And hands down no questions asked Dr Nemiro is the best of the best.

Expect upfront honesty from Dr Nemiro. but not in a mean way :) he’s great!

He will not transfer more than 2. And leaves the decision up to you if you want to transfer 1 vs 2 and goes over the pros and cons.