Extend Fertility

Dr. Klein is fantastic. I was nervous about this process and came into the clinic for a second opinion after a not so great experience at what is considered the "top" fertility clinic in New York. I was hesitant about the whole process, and also came prepared with lots of questions, and felt completely comfortable moving forward by the time I left. He is honest and straightforward so as not to get your hopes up, but communicates information in a kind and empathetic way. I had a disappointing result after my first cycle and was devastated (my body just didn't respond to the meds as well as we had anticipated). Dr. Klein called and gave me the news himself and I could tell he was just as disappointed. He made himself available every time I asked him to speak again to ask more questions about what went wrong and made suggestions on what changes he would make to the protocol for the next round (while also letting me know we may not get better results the next time). He never gave me false hope, but I felt confident in his plan and decided to do two more rounds a year later. When I came back to the office, he remembered everything from our last round, we moved forward with the new protocol. I was stressed throughout the process but he was always available to answer questions (and I always had a lot of questions) and I always felt like he truly cared about the outcome. All of the changes he made to the protocol worked and I had two more retrievals with great results :)

If you are unsure of anything or have questions, just ask! I had questions about my diet, different protocols, and a million other things. He was always open to listening to me and providing thorough explanations that helped to make me feel more at ease.

All 3 rounds we used follistim and menopur at varying doses, as well as cetrotide. The first round used a lupron-only trigger. For the second round, I primed with estrogen patches with the rationale that it would help the follicles grow in cohort. I also started at a higher dose of follistim and used a dual-trigger to help the eggs mature. Third round we did the same as the second.

Each cycle was between $5k-6500. I know their prices have changed since the first time I was there, but each time I paid I was fully aware of the payment, and that was the only payment I had to make to the clinic which I appreciated. I know other clinics charge additional fees for blood work, consults, anesthesiologist, etc. I had to pay for my medications separately, which is standard. I paid out of pocket, and appreciated knowing this fee covered everything as it was one less thing to worry about during treatment.

Though there are plenty good doctors on the West Coast, there are none I found as caring and skilled as Dr. Klein. There is nothing like the peace-of-mind and reassurance that comes with fully trusting that your doctor has your best interest in mind. Personally, if I had to choose between a doctor who was extremely skilled, had great success rates, professional etc. vs a doctor who is kind caring and gentle - I would opt for the former, a doctor whose expertise I can rely on completely. But the greatest gift for me was that I didn't have to choose. He excels in both areas. I was comfortable to bring up any questions that I had and always received a clear and thorough response. He's fully present when he's with you and takes his time to explain things thoroughly.

Although I do not remember the specific medications, I do remember feeling pretty decent throughout stimulation. I am especially appreciative for a specific out-of-the-box decision he made during my treatment that I believe contributed to the success of my first IVF cycle with him. I didn't feel like there were cookie-cutter protocols, but rather that each patient's success was given adequate thought.

Compared to other clinics they are significantly cheaper - and very transparent about costs. No surprises. Medications cost me even less than they projected.

I explained at the outset of my first consultation that I'm not the average patient, given my conditions, but Dr. Guarnaccia launched into the general statistics for egg freezing/fertility by age, the relevance of AMH, potential side effects--the standard dog and pony show (Extend was not the first clinic I visited--I also went to NYU, but the doctor there acknowledged me and handed me a packet and told me to schedule an appointment). My experience with Dr. Guarnaccia wasn't negative--he was nice and friendly, but the treatment felt rote, and his medication recommendations were very standard combinations of medications for me that had also been recommended to other women at the follow-up experience where you're taught how to inject yourself. I had specifically asked if he'd be willing to consult my endocrinologist and rheumatologist and my pain management doctor who manages my MCAS diagnosis, and he demurred. It's such an enormous investment of time, money, physical pain, psychological pain (I'm terrified of blood draws) that I wasn't satisfied I'd get the tailored treatment a patient like me probably needs, which was disappointing.

If you're young and healthy, he'd likely be a good choice for you. I think I'd heard he's not known for his bedside manner, but I found him to be likeable enough. I actually cared less about those metrics and much more about my doctor's commitment to tailoring my care/medications to fit my needs, and I didn't have enough confidence that my concerns about that were being heard.

I have them written down somewhere, but I don't have access to them at the moment--basically, Extend has four medication packages they offer in conjunction with the pharmacies they partner with, with varying strengths/dosages of medications. On a scale of 1 (being the least intense) and 5 being the most intense, he recommended dosages of Gonal-F and Menopur (I believe) at the 4 level/amount/dosage. I wish I could be more specific.

At the time, with a promotion, a single egg freezing cycle was $5500, not including medications. My medications (the ones/dosages recommended to me) were in the $4500 range. So, about $10,000. I believe the costs now are about $12,000.

I was not enquiring about IVF at the time so this was not applicable to me.

Dr. Klein is a great communicator. As I mentioned before, it’s necessary to provide the patient with statistics; however, he never left me without hope. I had my frozen eggs fertilized and it resulted in 5 embryos. I sent it out for PGS testing with 4 coming back abnormal and 1 inconclusive. He was willing to transfer the inconclusive as that is what I wanted- which did not lead to pregnancy. I then went through an IVF cycle and he was able to retrieve 10 eggs. Again, we had 5 embryos. This time I did not want to have PGS testing done- which Dr. Klein respected. He transferred two and now I’m pregnant with twins!

Have your questions ready because Dr. Klein is very thorough and ready to answer any questions.

In 2017, I went through 2 egg freezing cycles which I had a total of 16 eggs frozen. In 2019, I started the IUI process. After 4 failed IUI attempts we decided to try for IVF cycle. My body didn’t take to the IVF medication so we fertilized my frozen eggs. 5 embryos were created using ICSI and then PGS tested. We transferred one which didn’t result in a pregnancy. I tried another round of IVF which this time my body took to the medications. Dr. Klein retrieved 10 eggs and 5 embryos were created using ICSI. I did not get PGS testing done. He transferred 2 and now I’m pregnant with twins.

Early mornings when they first open would result in less patients in the waiting room. They would be more women as it got later in the morning. Though, even with a lot of women waiting- the staff were very efficient. They would get your blood work and shortly after you would have your ultrasound.

I remember $5k for 2 egg freezing cycles (doesn’t include medications). I can’t remember IUI or IVF.

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I found Dr. Abittan very personable, comforting, and competent during a difficult time. At our first meeting (consultation), I was concerned that he was not taking the difficulty of my personal medical situation seriously enough -- he seemed a little flippant. However, I found him to be a dedicated and caring clinician. I think he just has a more upbeat attitude. Other doctors may be more cautionary when discussing expectations. He has kindly and clearly answered all of my panicked questions. When I ask technical questions, he provides a solid, clear, evidence-based answer. I transferred to Extend Fertility from another clinic and did have to push a little for Extend to speak with my prior provider (beyond reading my medical chart) -- but I think this was a logistics issue. Once they connected, the providers were able to share helpful information with each other.

Dr. Abittan is a very upbeat person. Depending on your personality and given the uncertainties inherent to all fertility procedures, it may be helpful to remind yourself periodically of the possibility of negative outcomes, just to help maintain realistic expectations. Dr. Abittan will not lie or exaggerate, but he seems more likely to emphasize the positives -- actually usually very helpful during these stressful procedures.

I felt that Dr. Maslow was definitely educated and intelligent and when I did get to speak with her, she was very willing to explain everything. However, after the initial consultation, I did not see her once. She was not at any of my monitoring appointments and did not perform my egg retrieval. After the retrieval, she did call me with the results, even though they were worse than we hoped. It took two weeks to get a phone call with her after my cycle. I felt that this was completely unacceptable. She did not encourage me to email or call her with any questions and overall I did not feel supported at all.

Advocate for yourself and ask questions

I had two vials of menopur and gonal. At a certain point the menopur was increased the three vials and cetrotide was added. My cycle was not nearly as successful as we had hoped it would be.

We did not get to that point as we had no healthy embryos

Dr. G has a good bedside manner--straightforward but warm. He is decisive about the treatments he pursues but makes sure you feel on board with each stage of treatment. He definitely seems like he knows his stuff and answers questions thoroughly and explains the science behind his decisions without being dismissive.

The monitoring sessions can be brief, so if you have questions make sure to have a list ahead of time. Contact him by email if needed.

$6000 per retrieval, $3000 per thaw/fertilization, PGT $300 per embryo.

They prefer eSET and PGT. This was what I planned to do anyway...not sure if they require it.

Dr. Klein truly cares about the patient. Optimal results is an individualized thing and it cannot be compared to others. This was explained to me and thank God he did help me obtain those results! The process is not an easy one but choosing Dr. Klein should be.

I started with his standard protocol for my initial lab results. About half way through the dosage was adjusted. The results were very positive.

I don't know the exact cost but it was certainly more reasonable than another clinic I had inquired about. Not only are they less expensive but I would make the choice to use Extend even if the cost was more.

We are so happy we decided to go with Dr Klein and Extend Fertility. Dr Klein is extremely knowledgeable with years of experience in the field. He took the time to walk us through expectations, addressing our fears and concerns. He is very data driven, which as a data nerd I loved. He was very straight forward and gave us realistic expectations for our particular case. He was always available by email for questions & made us feel really confident throughout the entire process.

Don’t be afraid to ask questions & to reach out. Dr Klein is a wealth of knowledge.

For our egg retrieval process we utilized the following drugs - menopur, follistim and ganirelix. I was on high dosages for all drugs due to my low AMH levels. We only had to do 1 egg retrieval process as this resulted in 6 genetically normal embryos. Given mine & my husbands age (late 20s early 30s) Dr Klein gave us a high confidence rating that 6 genetically normal embryos will yield in 2 children, potentially even 3. We were always on board for genetic testing so there was no persuasion needed by the clinic. They also did ICSI. For the frozen embryo transfer I did oral estrogen, progesterone suppositories and progesterone in oil shots. My progesterone levels were border line low hence the need for both suppositories and intramuscular shots. I was weaned off at about 10 weeks gestation. The first (and only) frozen embryo transfer worked and we now have a son.

The egg retrieval process not including medication or genetic testing was $11,000. Genetic testing was an additional cost of about $2000 (done by an outside lab) Medication costs were roughy $4000 for the egg retrieval. The frozen embryo transfer not including medication was $3000. Medication for the transfer was covered by insurance.

Dr Klein does not transfer more than one embryo at a time. He told us the goal is to have a healthy full term pregnancy, and transferring multiple embryos increases the chances of multiples which are usually higher risk pregnancies. We believe he does what’s best for his patients.

Fertility is unique, where everything is so tailored to the individual person - What works for some, may not work well for another, and therefore, having a great doctor, who tailors treatment to you, the individual, is so important. Additionally, fertility treatment has an immense emotional and psychological component to it, thats crucial for your doctor/care team to address and be conscientious of. As a patient of Dr. Klein, you get the best of both worlds - You receive the most incredible medical care available, tailored to you and your specific needs/bodily responses, in addition to having the most caring and compassionate doctor imaginable. Dr. Klein not only provided the utmost medical care, regarding all treatments performed, but he always made sure to address the psychological aspect of all that I was going through, and always suggested ways to help me cope and to not feel alone. There's truly not enough words/ways for me sing my praises to Dr. Klein. He is one of kind, incredibly knowledgeable, skilled, and so compassionate - Anyone going through fertility treatment/preservation would be lucky to be a patient of his.

Don't hesitate to see him! You will not regret it! Whether its for fertility preservation or treatment, he is the best of the best, and you will be so taken care of and feel so happy under his care.

I originally started seeing Dr. Klein due to recurrent pregnancy loss. During my last pregnancy, before starting IVF w/ PGT-A, Dr. Klein thought out of the box, and prescribed me progesterone and lovenox, in the hopes that those medications would help sustain the pregnancy. When my pregnancy resulted in a miscarriage, we decided to pursue IVF with PGT-A testing, in hopes of transferring a genetically normal embryo and subsequently achieving a healthy, viable pregnancy. Since I am relatively young, with a normal ovarian reserve, I responded well to the stimulation medications, and had, what I believe to be a pretty normal stim's cycle protocol (the same protocol was used for both of my egg retrieval cycles) - Menopur, Follistim, Ganirelix, and a Luprolide Trigger. Both cycles yielded over 35 eggs, majority of which fertilized.

I don't remember the specifics of my costs, but I do remember it being highly affordable, especially compared to other Manhattan clinics.

Dr. Klein strongly recommended transferring only 1 embryo, especially since my embryo's had PGT-A testing and only genetically normal embryo's were being transferred. I completely agree with this approach, and was a big proponent of transferring 1 embryo as well. When, after 2 of my transfers/FET's failed/did not result in a pregnancy, before moving on to another transfer cycle, Dr. Klein recommended a short break, and he performed the Endometrio test/biopsy as well. When the biopsy results came back as receptive, I suggested/asked if transferring 2 embryo's could be done the next time around, in hopes of increasing the chances that at least 1 would implant - Dr. Klein still suggested that I transfer only 1, but said he was willing to transfer 2, since he understood the logic/reasoning behind my request. Needless to say, that transfer was, thank God, successful. At the end of the day however, had Dr. Klein been adamant about still transferring only 1 embryo, I would have happily went along with it - I completely trust him, and know he has his reasonings for doing things certain ways.

Dr. Guarnaccia is amazing. He performed my medical exam as well as my egg retrieval. He was so professional, but personable. I felt very comfortable asking questions and he was very clear with expectations. I truly felt like I was in great hands with Dr. Guarnaccia and I was. After the retrieval, I had almost no pain and the procedure went very smooth. I would highly recommend Dr. Guarnaccia to anyone considering egg retrieval. Dr. Maslow was great. I met with Dr. Maslow for my initial consultation and she reached out to follow up a few days after my procedure. It was nice to start and end with Dr. Maslow, because of the familiarity. Also, she was very clear about expectations and had no problem answering all of my questions. I would highly recommend Dr. Maslow to anyone considering egg retrieval.

Feel comfortable asking questions, because they both do a wonderful job making the patient feel comfortable and outlining clear expectations.

I never experienced any anxiety or questioning with Dr. Guarnaccia because anytime something would happen, i.e., unexpected spotting I would email him and get a response back immediately.  I never had to sit there wondering if something was wrong or am I doing the right thing.  I am not an easy patient. Every Dr. visit I  would come in with a list of questions I found on forums or the internet. Dr. G patiently listened and provided detailed answers to my questions, never brushing it off or telling me to stay off the internet.  

Estrogen patch before my period Follistim 300 units Menopur 225 IU

Dr. Guarnaccia is a knowledgeable and experienced doctor who is more old fashioned in the way he acts with his patients. He answered every question with patience and understanding, and I think he gets what his patients are going through because he's done this for so many years.

Do the research before you start the process and be as informed as possible. It goes by fast and a lot of information will be thrown your way. If you know the questions to ask you'll always get an informed response.

Microdose Lupron 10 units 2x a day Gonal-F 450 units 1x a day Menopur 2 vials 1x a day Estrdiol patches

It was a well oiled machine even on the busiest of days. When I first started at Extend they had appointments during morning monitoring hours but for my last cycle they had changed that to just showing up anytime between 7-9:30 am which I didn't like. Busy days were harder but everyone was always kind and worked very hard.

Cycles were $5200 for the first and $4000 for any cycles performed after that. I don't recall the costs of all the medications but that differs for everyone.

I only did egg freezing

He seems well-informed and willing to answer my questions and spend time with me going over information. I felt comfortable in his hands and believe he is good at his job. I liked him and appreciate him.

I would go in with an open mind and understand that he is a busy man but he is present with you! He goes over all pertinent information and makes you feel well-informed. He is not going to add fluff but I think that is a good thing. He knows what he is talking about and has a lot of education and experience to back it up.

Dr. Guarnaccia used a chart to determine the correct dosage for my egg retrieval medications based on my blood test and ultra sound results. He assured me that I was in the 95 percentile for my age so I am getting the lowest dose of hormones, which I appreciate.

approx. $6.5 k for the procedure, $4.5K for ten years of storage. $2.5K goes directly to pharmacy (this is the lowest dosage of hormones. They get more expensive as the amounts go up).... Overall, I think this is cheaper than the big NYC hospitals.

Dr. Klein is fully present by each appointment and really listens to his patients and their concerns. He takes the time to explain all the information and answer any questions to make his patients as comfortable with the process as possible

Feel free to ask as many questions as you would like. Dr. Klein is very knowledgeable and patiently explains the process and everything about it

Their monitoring window was for a couple of hours in the morning. I was able to go in and still be at work on time. It is a first come first serve basis yet they were quick and professional. This method worked well for me since there was no pressure for a specific appointment time and there was a lower wait time as well since they took you in as you came

Dr. Klein does lean towards single embryo transfer since there is always the chance it may split and result in twins he rather not take the chance of then possibly having triplets or more

Dr. G was very straightforward and detailed, which is an approach I really appreciated. I felt that he was able to express care and concern while also being direct (warmth in a doctor is not a requirement for me in treatment). I would definitely recommend Dr. G to my friends who are interested in egg freezing.

Come with your questions prepared--your anxiety will lessen as he gives you concrete information.

Dr. G explained my bloodwork and ultrasound results, and showed me data comparing my results to others my age. He was specific about his recommendations regarding getting genetic testing done for my family's history of breast cancer.

The window for the monitoring appointments was large enough that I never felt rushed or that it was an inconvenience. As I mentioned, at times the waiting area was very crowded, but the staff is so efficient that it moved fast.

Freezing = 5500 Storage = 2000 Meds = 2169 (I was able to use my friend's leftover hormone meds so saved around $400) Total = $9669

NA

She answered all of my questions, I asked about many issues concerning my case as well as research and upcoming treatments. She was very understanding, knowledgeable and accommodating. I felt very safe with her regarding my treatment and that she did everything to improve my outcome.

Ask all questions you have and let her know your wishes, she solved a lot of issues that I thought could not be changed.

I had a short agonist protocol which was closely monitored and had frequent dose adaptions and an lupron trigger. The retrieval date was determined based on the monitoring. She did everything to ensure a good numebr and quality of eggs and the results with her were excellent and a lot better than in my previous treatments. She was able to retrieve a large number of eggs, almost all of them were mature. On my request the MIs were also frozen.

Very well organized, quick and efficient. Staff is well trained and very kind and respectful.

I had one fee that paid for the whole cycle, I thought it was very affordable.

Dr. G was alway honest and realistic during my treatment. There were many times where my body was not responding to the course of treatment and instead of pressing me to go forward he would always give me the choice of wether I wanted to continue going forward knowing that the chances of an optimal result were low or to stop for this cycle and then try again next cycle. It made me feel good knowing he was more concerned with the result as opposed to just completing the cycle.

My work schedule forced me to come into the clinic very early when they opened at 7am and sometimes I would miss having him scan me. If its important to you to be always seen by the doctor I recommend coming in a little later (8am)

A year prior I had to have my right ovary removed due to a dermoid cyst. Due to my age I had a diminished ovarian reserve and had to take the maximum amount of hormones to see good results. For my first cycle we did a Follistim and Menopur protocol. But my body didn't respond and the cycle had to be cancelled early on. I did an estrogen patch for the days leading up to day 1 of my cycle and then. Then the next two successful cycles I did a micro-flare protocol where I took Follistim (once a day), Menopur (twice a day) and Lupron. (twice a day) and a Pregnyl trigger. For my third and most successful cycle I took Follistim and Menopur once a day and then also Ganarelyx for about 5 days towards the end of my cycle and was triggered with Pregnyl. Please keep in mind that in order to even do the 3 full cycles and retrievals I had about 3 cancelled cycles.

their monitoring hours were perfect because they started at 7am which allowed me to go before work. This was important for me so that I did not have to explain anything to my workplace

The costs to consider were the medications, the procedure fees and the storage fees.

I had an excellent experience with Dr. Klein and Extend Fertility. Even as a low performer and a low AMH, they were able to provide affordable rates that allowed me to meet my egg banking goals. I traveled from the west coast 5 times to freeze eggs at this clicic because of the affordable and comprehensive fertility care.

Your business is growing so fast! Add a phlebotomist to decrease morning wait times, or schedule actual appointment instead of a window. (This last trip, I waited over an hour for every monitoring visit).

The monitoring experience has changed over time. As the business is growing, there are more women in the waiting room, so you should plan to be there for an hour. The front desk is extremely kind and helpful and the appointments are quick and informative. If you have a question or want to talk to a doctor instead of an ultrasound technician, you can.

The most affordable I could find, without reducing quality. Conservatively estimating, I saved $10k per cycle, or $50k over the course of five cycles compared to my local options.

Dr. Maslow was extremely helpful in explaining the complicated elements of a pleasing to me. She was easy to talk to you even when my results were not so great in the beginning stages. She was encouraging but honest throughout the process, which I really appreciated.

I would come with a list of questions for her. There’s a lot of basic information that needs to be told every single patient but beyond that it really is up to you to do your research and make sure you ask the right questions so that you get the answers you need to feel comfortable with your personal care.

I’m still in the process of my treatment so I haven’t had any protocols performed yet.

I haven’t had ultrasound monitoring performed yet, but I do know that it is a general window.

There is a $6000 cycle fee, plus the cost of medications and long-term storage.

This does not apply to me. I am seeing Dr. Maslow for egg freezing.

He was very knowledgeable and intelligent, and inspired confidence in his decisions. While this approach may not be comforting to everyone, I appreciated his analytical perspective and focus on the data and statistics. I like information and expertise, and I never felt as if I was lacking in either of those during the course of my treatment.

Expect to see a wide variety of doctors and nurses in the course of your treatment.

IVF -- Menopur & Follistim.

They are about half as much as other clinics, and they are also very clear in advance. I previously did IUI cycles at another clinic and they ended up costing about three times what I was told to expect. There were no surprises with Expect.

I only have one embryo to transfer, but he said he did not like to risk losing multiple embryos in one shot, along with the risk of multiples.

When you go to Extend Fertility, it feels more like you are a patient of the clinic then any patient of a specific doctor. I only met her once during a consultation and was once seen by a different doctor during the routine visits. She did not do my retrieval. She was really nice and knowledgeable and patiently answered my questions.

It was a standard egg retrieval process. They told me to add more hormones based on the growth of my follicles.

It was a well run machine. Sometimes it took 15 min and other times it was 30

$6500 for retrieval, $2000 for 5 years of freezing and approx $2000 in hormones

Dr. Guarnaccia came in as a tourist to perform surgery on me. It was the first time I saw him, ever, he was the per diem who came in to cover for my actual doctor that Saturday. Unlucky me. He asked me if I had any medical concerns. This was the first bad sign. When I said heart disease, history of fibroids, cysts and a clotting disorder, he started scrolling through his stack of papers. I was a little nervous at that point. He also asked me who "Jane Doe" was and I said she works here. I got alarmed then. He proceeded to go to the computer to get acquainted with my record as this was not necessarily going to be a walk in the park as he had expected. I took that moment to asked the nurse who that was. They explained my doc who I was confident in and choose to care for me, was away for Sabbath and this was the per diem who was going to perform the surgery. No one informed me of this ahead of time and I almost felt obliged to accept it. All I could think of as a patient was, I don't even know him, I just meet him and he doesn't seem competent; as well as all the money, injections, time off that it took to get to that day to freeze my eggs. I told myself it will all be fine, although I almost wanted to call my boyfriend who was sitting in the waiting room. However, the anesthesiologist came in, he knew exactly what he was doing and I thought it would be ok. A day after my surgery, I had intense pain at work ( i have a high pain tolerance) and my boss sent me home. I called my actual fertility doctor who said everyone reacts differently, if pain persists come for a visit. As far as the results, I am young with no ferlility issues whatsoever, but from the expected 12 eggs to be frozen, we only got 5. My actual doctor admitted it was very unusual. Unfortunately, the pain came back stronger a few weeks later. Basically, I was rushed to the ER from work - they said I had a cyst. Went home, still in pain for a week so I went to my actual doctor and he prescribed me medications. One more week of pain, I am rushed to the ER from my obgyn's office! She tells me this is bad and that I might lose my ovary. I got emergency surgery as the doctors at the hospital feared me losing my ovary due to an hemorraghic cyst. I was crushed. They said consent to have your ovary removed and I just felt numb at that point. When I woke up from surgery, my boyfriend tells me, you still have both your ovaries, instead I had been carrying a 6-week old infection that spread puss to my ovaries, uterus, abdomen, colon/rectum. You can imagine how I felt, emotionally and physically, all this pain. Infections are extremely rare and this was a very bad one. Because of all of this, my fallopian tubes are scared and I will probably need IVF to conceive as is will not happen spontaneously. I was just freezing my eggs as an option because of my heart and fibroid history. Basically, I have reduced my options when I thought I was being smart. And I wonder if this is what killed half of my eggs at retrieval. When I found this site and saw his reviews, I cried, I knew I had been screwed by this doctor. I had to be out recovering for about 3 months, not working. Ended up having to move upstate due to my precarious situation. My living condition is good but very stressful. I got the flu and to top it all, my second heart attack now. I will stop here but you get the point, my entire life has been hanged for the worst. I am thankful to this site and the other reviewers for sharing their story. I am not one to leave a review ever but I felt like a responsibility for anyone debating Dr. G’s care. With such a low review rate, I wonder why he’s even practicing and those hiring him to still be out there are to do their due diligence and be responsible.

Save yourself a bad ending. In my opinion, he should not be practicing and not hired as a per diem. You would think he is qualified and that you should trust him. I fell victim of an unprepared doctor with overwhelmingly bad reviews. Perhaps he has a calling in another field but not fertility.

Dr. Guarnaccia was the per diem performing my retrieval, the most crucial part of the process. He was not part of that process. I was unaware he would perform the surgery on me. 12 eggs were retrieve and only 5 were frozen. All I know is that this was an unexpected result and that I got infected under his care. Also, had extra anti-coagulant shots to take during the hormone treatment because of my blood disorder.

8,500 total

He was knowledgable, kind, and was willing to explain every detail and possible outcome. I appreciated his candor and felt very comfortable speaking with him. And that I was in good care. My procedure went as expected and I felt like he was honest about my odds of retrieving healthy eggs. Which turned out even better than i expected. I was very comfortable in his care.

You won't see him too much, but i was not too concerned about that. Overall the clinic sets a style of working with patients that I appreciated.

It was well under the rates at other clinics.

I only saw him once or twice for each of my two cycles but always made me feel comfortable and told me everything I needed to know- answering all questions. He did my second retrieval and made me feel at ease.

Ask him any questions you have to make sure you understand all steps and feel comfortable about the procedure

Follistim 375 iu Menopur 2-3 vials/day cetrotide 4-5 shots, and ovidril trigger shot

They were very flexible with appointment times- able to go in really early (7am) when needed to go to work. But was also able to do later around 9 when didn’t have to rush in. Appointments were quick and usually less than 30 minutes. I would get my blood taken then have an ultrasound then would be done.

They had plans based on your blood work and age. I paid $8050 for 3 cycles or 15 eggs whichever came first. I then had to pay $450 for storage and for medications. I got lucky and only had to pay for copays since my insurance covered most of the meds. My total medication cost for 2 cycles was $900