Brigham & Women's Hospital

There really were no weaknesses to her treatment or bedside manner- she was exactly what I was hoping to find in a fertility doctor. Because of her (and her staff) I was SO much calmer, happier and confident than with my previous cycle with another doctor. She advocated for what she believed was best for me while also listening to me and taking my opinion and feelings into consideration.

CALL HER NOW! And see her at the Newton- Wellesley location- SO much better than the Brigham. Appointments on time, better nurses and no more super early morning ultrasounds/ bloodwork.

She's amazing! She gave us hope and made us feel at ease with our course of treatment. She's very compassionate but tells the facts and hard truths as well. I appreciate that, I want to know everything good or bad. Wouldn't want to do this with any other doctor.

Be open and honest with your wants, needs and struggles. She's there to help!

She came highly recommended & I recommend her highly. She is a gem.

Be ready for straight (yet compassionate) talk about fertility.

Dr issacson and his staff were wonderful. After surgeries I was able to have a baby through IVF. Then three years later had another baby on our own. He is incredibly knowledgeable and a wonderful doctor for women with Ashermans Syndrome

I first saw Dr. Gargiulo when my regular OBGYN referred me to his office for suspected endometriosis. When I first met Dr. Gargiulo, I was scared and in a lot of pain. He explained very patiently that I needed surgery and communicated very patiently with me through the exams I had with him prior to scheduling my surgery. He performed my laparoscopic excision procedure and confirmed I did indeed have endometriosis (stage 3), but that the surgery had been a success and that I could always reach out to him in the future if I needed reproductive help due to the endo. When I did in fact need help years later, Dr. Gargiulo remembered me when I returned to his office and approached my care the same way he had before: with care and with hope. He was honest about what would likely be easy and what would likely be difficult with IVF based on what he knew about my medical history. It is common to have a million questions when considering IVF, and he listened and answered all of my questions, not making me feel as though I was taking up too much of his time. Dr. Gargiulo cares about his patients and wants them to be successful, and it shows in the way he interacts with his patients.

If you have concerns or questions, definitely bring them up with Dr. Gargiulo. He listens and takes what his patients say into consideration, and is very patient while doing so.

When I began my IVF cycle, we were planning on doing a fresh transfer shortly after my egg retrieval. However, my estrogen levels were very high, so my cycle was changed to a freeze-all cycle and I triggered with Lupron only. Dr. Gargiulo let me move directly into a frozen transfer cycle a month later, and my lining was thickening very slowly. I took 3 estrogen pills in the morning and three in the evening. We kept following the protocol he had in place and waited for my lining to thicken, but unfortunately not much was happening. At one of my ultrasounds, Dr. Gargiulo came in to look at the ultrasound and check my lining levels himself (instead of reviewing the images later), and determined that we needed to cancel the transfer cycle and schedule a biopsy instead to make sure nothing was going on in my uterus that shouldn't be. The biopsy came back normal so he determined that we would use the same protocol again and as long as my lining got to where it was last time, we could try to transfer. I went into another transfer cycle the following month, and while my lining was slow to thicken again, Dr. Gargiulo allowed me to transfer with a thin lining, and the transfer was successful.

Our health insurance didn't cover any infertility-related treatment, so we paid completely out of pocket for everything. Since this is the only clinic we worked with, I don't know how cost compares with other clinics.

Dr. Gargiulo told me that we would be transferring a single embryo for my transfers. If we had two unsuccessful transfers then he would possibly look into transferring multiple embryos, but he was hesitant to do that because of the risks that come with carrying multiples.

She was very professional, explained the plan she had in mind for my treatments, answered all our questions every time we had any concerns. We executed the plan she had for us accordingly and It was successful. I’m very happy with my result! I got exactly what I expected to get.

Dr. Ginsburg is a very straightforward type of doctor. If you’re looking for a deeper connection and a doctor that’s touchy-feely she is not going to be your doctor. Aside from that, she is a serious professional who does her job well and if it’s meant for your treatment to work believe me, she’ll make it work and make it reality.

They made my appointments very convenient for me and my schedule

Our insurance did not cover anything in our IVF journey. We’ve spent around $60K with everything included in our IVF journey for 3 rounds.

I only had two normal embryos so a single transfer was the ideal for me. Multiple embryo transfer comes with risks and we didn’t want to take a risk of possibly losing the only two eggs we had. Single transfer was the best decision for us.

Dr. Gargiulo is a warm, kind and friendly doctor. He makes you feel comfortable enough to ask questions and does his best to answer them in a very factual and informed way. He is very knowledgeable and uses research and statistics to help you gain understanding. During procedures he is patient, kind and gentle, explaining the process every step of the way. Dr. Gargiulo seems to be very skilled in IVF as well as endometriosis.

Advocate for yourself, don’t be afraid to speak up and ask questions - he is very receptive to that.

Dr. Gargiulo had me call on the first day of my cycle. On day two I started 5 days of birth control. I was told this is to make sure only a certain number of people are cycling at the same time. I was then put on the antagonist protocol. I was put on a high dose on meds. I was told this was because I wanted to test my embryos, so Dr. Gargiulo wanted to get as many eggs as possible. Unfortunately I was a low responder to the meds and only had 7 follicles (only 4 of those mature) on egg retrieval day. They were able to retrieve four eggs. We used natural fertilization due to no male factor. Only two eggs fertilized (one didn’t fertilize at all and one fertilized abnormally). The two fertilized eggs made it to blast and were sent for testing. Unfortunately they both came back as abnormal and were not viable for transfer.

My insurance covers IVF under a state mandate after the deductible has been met. I have a $5000 deductible. Embryo testing is not covered and costs $2500 plus an additional cost to ship the embryos and test each one. To test my two embryos it cost $3000 total.

Dr. Gargiulo only ever recommended transferring one embryo at a time in order to have a healthy pregnancy with the least amount of risks and one healthy baby.

Dr. Gargiulo was extremely trustworthy and respectful when treating my stage IV endometriosis. He doesn't dumb things down, make things seem better or worse than they are, and is honest with his thoughts process for diagnosis. He is also very talented and precise during surgery, as he was able to save both my ovaries and fallopian tubes. I really like his conservative approach to treatment, where he aims to leave all fertility options open to the patient.

Definitely ask all the questions you need. Dr. Gargiulo is extremely knowledgable and if he doesn't know something, he will know how to find out.

Dr. Garguilo first had me do a 3D ultrasound down in Boston as the first step to follow up on an ovarian cyst (later to be confirmed as endometrioma), a polyp, and fibroids as diagnosed by my previous OB-GYN. Dr. Garguilo had me get an MRI to check for adenomyosis, which is very hard to detect on ultrasound. With previous OB-GYNs, my adenomyosis was misdiagnosed as fibroids, but Dr. Garguilo has ample experience to note a subtle difference and then went and confirmed via MRI. Knowing that I have adeno is useful for the surgery. He also had me get bloodwork for cancer markers (CA-125 and HE-4), because this would affect how to operate on my 6.3cm ovarian cyst. Most doctors don't look at HE-4, but it's a very important and useful tool. If I had cancer, and he spilled my ovarian cyst contents, the results could have been disastrous.

MRI came out to $200 after insurance. Each office visit was $20 after insurance.

He was warm and compassionate. He understood our deep desire to have a child and was willing to think outside the box which we appreciated as standard approaches were not going to work; which we knew from the first appointment. He never had to look back at my notes to reference previous cycles, he always seemed so well prepared for our visits and did not spend our time flipping through a chart. He is one of the best physicians I have ever met and I work for the best hospital in Boston.

Understand that as much as you want a positive outcome it is not always possible. You have to go in with an open mind and remember that Dr. Gargiulo will do anything possible to give you the best possible outcome.

I was referred to Dr. Gargiulo with a tough diagnosis. During the first appointment he was very frank with my husband and myself to explain the low percentage of having a child with my own eggs. After the first appointment he recommended a large volume of tests to understand why I had diminished ovarian reserve at such a young age. At our second appointment we were told that I had an undiagnosed thyroid antibody that attacked my reproductive system. Dr. Gargiulo understood our deep desire to try anything we could. We started an IVF cycle immediately with the highest dose of medications he could give me. We got to cycle day 24 and my eggs died on their own without maturing. Four months later we tried a different IVF cycle; Lupron Microflare and this cycle only got to day 7 and my hormones were unchanged. After 2 failed cycles Dr. Gargiulo recommended to use Donor eggs. Even through this entire time he was understanding and warm with his approach even with such devastating news. After 2 additional second opinions in Boston from other top IVF providers; we have started the Donor egg process. Both of the second opinions agreed completely with Dr. Gargiulos approach

Copays for Office Visits and Failed IVF procedures.

Dr. Gargiulo based the embryo transfer on the patients age and diagnosis. On our first cycle he suggested only 1 embryo transfer. With our second IVF cycle he was going to recommend to the insurance company a 2 embryo transfer due to the rapid decline in my ovarian reserve. We never got to the embryo transfer state though for either cycle.

Extremely knowledgeable with regard to the latest research. Answered all questions thoroughly and knew what gaps to fill in on our testing before starting treatment. Came highly recommended from a friend and lived up to what we had heard!

Have all of your questions written down in advance and don’t be afraid to ask them all.

We used Letrozole with timed intercourse followed by progesterone supplementation. I had a blighted ovum with my first pregnancy and have PCOS. I am now 15 weeks pregnant from our first cycle on that protocol.

Minimal on Letrozole cycle... two ultrasounds, consult, follow up, and meds.

Dr. Gargiulo is extremely competent, smart, friendly and compassionate. He spent enough time to answer my questions and listen to my concerns. I always left my appointments with a game plan that I was confident in. I highly recommend him and his practice.

Make a list of questions and concerns that you have because there is so much that you will learn from the visits that you may forget things.

I started with cycle dependent IUI, and switched to IVF when those didn’t work. The staff was very accommodating with appointment times and availability for teachings and answering questions

My insurance covered 100 percent of all costs, I was very fortunate.

Due to the small size of my uterus, it was recommended to me that I do a single embryo transfer to avoid complications and or having to possibly make the gut wrenching decision of aborting a multiple. They really had my best interest in mind.

Dr Gargiulo is an extremely experienced and competent fertility doctor, but with a warm and caring genuiness. It took us almost 3 years to have our twins, and Dr Gargiulo kept adjusting our plans as new results occurred. He is wonderful.

Make sure to discuss genetic testing of embryos. Because it is not paid for by insurance, Dr Gargiulo does not recommend it universally. We had to ask to test ours, which he was more than willing to support, but if we did not ask, if could have take us much longer to have children.

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Most of mine was covered by insurance with the exception of genetic testing of embryos, of which I paid about $8000 out of pocket.

His philosophy of transferring only one genetically normal embryo at a time is the right one. I willingly transferred two, which he supported, but only after 2 prior failed FETs.

I "saw" Dr. Gargiulo for my IVF consult this week. He made sure I was ready to discuss IVF before delving into the details then very thoroughly covered potential complications and FAQs. When I raised concern about my thyroid, he thanked me for bringing it up and discussed what we will do before starting any cycle. When I asked about lifestyle/diet/supplement recommendations, he said to continue just being healthy.

Be sure to ask your questions!

He's prescribed a classic antagonist IVF cycle for me. This is our first cycle together after clomid/letrezole TI and 4 IUIs with clomid. Cycle to start when clinics reopen after covid.

I plan to pay $8000 for IVF cycle, $800 for egg freezing, $234 for self pay insurance -- meds were quoted $4-$5k.

He said for my age (36) he would only transfer 1 egg at a time.

Dr Gargulio is very knowledgeable, trustworthy, and compassionate. He shared his expertise and also took into consideration, my preferences and needs as an individual. As someone who has a lot of questions and likes to understand things thoroughly, he was a great fit for me.

You are in great hands! Trust that Dr Gargulio knows what he is talking about

Dr. Fox is more clinical than warm, which my OBGYN had previously warned me about. However, she is very knowledgeable and is ready with a treatment plan once all the tests are completed. She is flexible to the patient's wants/needs and didn't force any treatment.

Be prepared with questions and speak up if you prefer one treatment or drug over another.

I started on the lowest dose of letrozole, with intention of doing 3 IUIs and then moving onto IVF. Due to travel, my first two IUIs had to be cancelled. The 1st completed IUI worked much to my and Dr. Fox's surprise.

My insurance covered fertility treatment.

She was a great doctor and I would recommend her. She sometimes wavered on decision making, but I always felt she was very clear. I had an overall good experience, even though I did not have a successful pregnancy under her care.

Be prepared to wait. She runs behind often because she is willing to give each and every patient the time that they need. I never felt rushed and she was always willing to answer my questions!

I did multiple protocols with Dr. Fox including the antagonist protocol, VLD lupron protocol, and ULD lupron protocol. She definitely had a rationale for each. The cases are discussed in a IVF committee at Brigham before finalizing your treatment plan. This gave my confidence that there was expert consensus on my plan.

Efficient smaller clinic. Overall very well run. No complaints!

Covered by insurance mostly.

They have an algorithm for the number to transfer based on age and number retrieved. This also determines whether you proceed with a day 3 or day 5 transfer.

Dr Ginsburg knows her stuff! For that reason alone I would recommend her. She will tell you how it is, explain whatever you need explaining. She is very professional and won't sugar coat news. I needed that because I knew I could trust her. She always had a plan for me and our visits were productive. She advocated for me with my insurance company and listened to my concerns. I never felt pressured into trying medication or doing the next step. I cannot say enough positive things about her!!!

Expect honest answers that are not sugar coated.

Leterzole- 3times, 3 different doses. This was supposed to get my body to ovulate. It failed Leterzole (7.5mg) with trigger shot. This made me ovulate but no successful pregnancy IUI- we did not do this because once on injectable medication my response could not be controlled. I would produce more than a few eggs even on a small dose based on my AMH level (15). iVF- we used various injectable medication. I had an egg retrieval that got 28 mature eggs. 16 lasted to day 5. However I had to freeze all because even with my modified trigger shot, I developed a slight case of hyper stimulation. Frozen Egg Transfer- after pills and pio shots, we had a successful transfer. I am currently pregnant from this procedure.

I paid whatever was not covered by insurance. Billing was through an app or in office. It was easy to pay but difficult to understand what you were excatly paying for

My doctor prefer to do a SET for my safety. We agreed as that was what was covered by insurance and in our best interest.

It’s hard for me to separate my feelings for her from the frustration I felt during the whole process. Sometimes I was angry with her but other times I thought she was knowledgeable. One time my protocol had changed but I still had the instruction sheet from the original protocol. Sometimes I felt like things were missed or I had to remind her of things.

She’s good but all business.

I had no reason for not conceiving other than my age. So she chose protocols to match my diminished ovarian reserve. When the first cycle resulted in all negative test results, she changed it up for next time. She acted surprised each time I didn’t get pregnant because my embryos looked so good.

Didn’t have insurance for the consult, so we had to pay that out of pocket. I forget what it was. $500-$750 maybe? After that it was all about meeting my insurance deductible and huge copays for the medications.

She was very caring for circumstances I underwent. Was very thorough and sat and explained things to my husband and I. I felt very comfortable asking questions to her and what was next. She was apologetic to our situation during miscarriage and procedure.

A piece of advice would be ask questions if you don’t understand she will gladly answer them!

6 rounds of medication cycles with timed intercourse and 1 round of intrauterine insemination. Insurance required 6 rounds before ivf.

Costs for medication copays were high. Was sent to a nearby hospital for excessive bleeding and miscarriage d&c copay was very high unfortunately.

I had visited 2 other reproductive endocrinologists prior to Dr Yanushpolsky and I found them to have "better" bedside manner but they were not as results oriented as Dr Y. Although she wasn't as chatty or warm as others I had seen she was very nice and very to the point. I felt very confident in her understanding and her care plan for me.

Don't expect hugs, but expect results.

I had been on clomid for months and had experienced 3 miscarriages. Dr Yanushpolsky ran a new set of blood tests and arranged several tests to check my ovaries, eggs and fallopian tubes. As soon as the results of these tests were available she met with me and explained clomid was not what was needed and I tried one round of Ovidrel as she prescribed and was pregnant that month and had my son.

The tests and Ovidrel were covered by my insurance

NA

Dr. Ginsburg was straight forward and warm without giving a false sense of hope. She will listen to all of your concerns and explain things completely. She is incredibly smart and diligent. She will help you push forward until you get your miracle baby!

She is very straightforward

I did a single transfer which failed so she allowed me to do a double transfer the next time around (also failed).