Genesis Fertility and Reproductive Medicine

I saw Dr. Chiware a couple of times before deciding on going with the clinic, due to its proximity to my residence and its designation as a center of excellence. I was asked to have a hysteroscopy, even though I had no intention of immediately using my embryos (if any were made), and told it was requied for insurance. This was very uncomfortable. I was started on stims, and concerned about the growth of my follicles and that there weren't very many, and discussed potentially cancelling before I used all of my meds, but was told growth was moving along so I decided to continue. Then, my round was cancelled, due to my ovulating over the weekend, when the clinic was not open. This means I used all of my medications, underwent 12 days of stims, monitoring, had 8 fully grown follicles, and ended up with nothing. Two days prior to my scheduled retrieval, at the time of my trigger, it was pretty apparently that the follicles were way to big - 5 of the 8 were well over the recommended 22 mm (28, 25, 25, 26 and 24). I feel that the surgery center being closed on the weekend fully contributed to this, but, I'm not sure why the call to conduct the retrieval wasn't made sooner. I believe the larger follicles were disregarded due to the slower growing follicles, even though the larger follicles were more in number than the smaller.

Advocate for yourself.

Day 1 - 4 of stims: 100 mg of Clomid, 150 mg of Follistim, 150 mg of Menopure Day 5: 100 mg of Clomid, 100 mg of Follistim, 150 Menopur, 250 mg of Ganirelix Day 6 - 8: 100 mg of Follistim, 150 Menopur, 250 mg of Ganirelix Day 9 - 10: 100 mg of Follistim, 150 Menopur, 250 mg of Ganirelix Day 11: Novarel trigger, 10,000

My round was covered by insurance, though I did entirely use up my medication maximum on a cancelled cycle.

N/A didn't get this far

My experience as a patient is that this has been an emotional and physically taxing experience for me. Not only that, I started the consultation process years ago, and have been through a lot to get to the point of doing IVF treatment. There are times I have experienced uncertainty and intense worry, over the quality of my eggs for example, and how my body would respond to IVF medications. Dr. Chiware has been my guiding light through it all She blends professionalism with her caring nature so it makes my experience more tolerable.

To listen as she guides you through what she thinks is an appropriate process for your situation.

After consistent blood work and ultrasounds after my period started, Dr. Chiware instructed me to begin taking the fertility medications. I officially began taking the medication on day 2 of my cycle. These were Gonal F, Menopur, Cetrotide, and finally a trigger shot at the end (Ovidrel). These medications were used with specific dosages over 13 days and administered at night time (9pm each night). Toward the end of the cycle, Dr. Chiware slightly reduced the dosage of Gonal F to avoid hyperstimulation of the ovaries. The end result was 10 follicles. During the process I was going for monitoring every other day.

My care has been partially covered by insurance (approvals and tests are needed for the claim) and I cover the rest out of pocket. It's been expensive as was expected. PGT-A testing and biopsy was not covered by my insurance and its cost over $5000 so far along with copays n

I have not yet transferred any embryos. They are in a frozen state.

Being that this is obviously a very sensitive subject and time for patients, you can feel this man's compassion and care for what he does. Every disappointment we faced and every hard decision was met with a realistic course of action and time to allow healing. Knowing how this was draining is emotionally and financially, Dr Grazi made sure every possible option was offered to comfort and support us. I have every confidence that with his assistance, we will be able to start our family. I also have to say that he is very blunt and very well spoken, he will tell you the good the bad the ugly in the same way and never tiptoe around what needs to be done. He is a brilliant doctor and a wonderful person.

Trust the process and take every peice of medical advice he gives verbatim. Dr. Grazi is no nonsense, he is a very honest doctor about what needs to be done, sometimes we don't want to hear the things that are being said, but they are necessary and he wouldn't say them if they weren't medically relevant

Although being advanced maternal age we wanted try iui before ivf because I have a very unusually high egg reserve. Our first 2 iui attempts were with clomid and trigger shot with in office insemination. Our 3rd iui was the same medication protocol but timing kept us from in office so we had intercourse at home as directed by Dr. Grazi, we conceived on that 3rd attempt. Sadly we miscarried at week 10 so we decided to move forward with ivf. We just did our first round of retrieval using gonal F, menopure, centrocide and dual trigger. We retrieved 9 eggs and created 4 embryos. 3 embryos made it to PGT testing and unfortunately all 3 were not compatible with life. We will be going for our second round of retreivals with Dr. Grazi this December.

Monitoring hours are 6am to 9am and they make every consession if you need it. It's a simple check in at the door with an electronic podium and a fairly short wait. Results and any update to protocol was called in to you by 12pm. It was all very very efficient

IUI was roughly 1500 and the ivf was about 19k with the medications. I would also like to point out that any bloodwork that could be done outside of the clinic, Dr Grazi personally sent me to my own doctor that took my insurance to avoid the additional costs. And his office visits were a nominal 145 dollars compared to other doctors we called that wanted 1000 just to do a first visit.

Dr. Grazi is generally against transferring more than 1 embryo at a time even though we want to put 2. He never said he wouldn't but he expressed how his goal is a healthy pregnancy and baby, and that multiples pose a higher risk to both myself and babies given my medical history.

I've always been a difficult patient--low pain tolerance, apt to pass out, squeamish. Dr. Chiware was the perfect person to ease my anxiety, and is so gentle in both word and deed that we wouldn't be surprised if she simply willed our now-fetus into existence. This is the opposite of our previous experience at a larger, more well-known fertility clinic where we felt overlooked and later learned that indeed some of the stats of our case weren't being fully monitored. Once we switched to Genesis, Dr. Chiware created such a comfortable atmosphere for us that we felt we'd known her from a previous life. We owe the growth of our family to her, and can never repay her for her unyielding devotion to our commitment to get pregnant. We literally miss her now that we've graduated from Genesis.

Get ready to never be able to let her go! We would've loved it if she could be our OB. Also, don't be afraid to push the envelope--if you are so unfortunate as to have a failed IUI or a failed embryo transfer, ask Dr. Chiware how you can supplement or change your treatment for the next cycle. She wants you to succeed, and won't blindly reassure you that what you're doing is enough.

We first did an egg retrieval using Gonal-F, Certrotide, Menopur, and an Ovidrel trigger. That yielded 15 eggs, 10 of which were mature, and all of which fertilized with ICSI. By Day 7, we had 6 remaining, which we sent off for PGT testing. 2 came back normal, 2 abnormal, and 1 low mosaic. Since we had 5 failed IUIs at our previous clinic, we did an ERA before our first transfer and then transferred 1 of the normal embryos. The cycle consisted of Estrace pills and Progesterone injections. Unfortunately the transfer wasn't successful. I took a few months off for acupuncture and a mental health reboot, then transferred our remaining normal embryo. For that cycle, Dr. Chiware offered to have us add Lupron, Lovenox, Prednisone and baby aspirin in addition to Estrace and Progesterone. (I'd been taking a prenatal multi and Metformin for PCOS all along.) We chose to go with all the 'extra' meds except Lovenox, whose side effects scared us. We were fortunate that this transfer yielded a pregnancy--we're over the moon to now be 18 weeks.

As a lesbian couple, we felt respected from start to finish in our every interaction with Dr. Chiware and with Genesis. Not once did any staff member (from receptionist to lab tech to nurse to doctor) inquire about a "husband"--we just showed up to Genesis as ourselves, and considering the extreme stress of IVF, that meant the world.

Retrieval, including 1st transfer: $12,225 Surgery Center fee (for retrieval): $1000 2nd transfer: $2800 PGT for 6 embryos (sent to Igenomix, a partner of Genesis): $1250 ERA: $700, but this will depend upon your insurance Sperm storage (6 months): $300, $50/mo refunded for any unused months Embryo storage: can't recall Monitoring: free on my insurance Copays for seeing Dr. Chiware: $40 copay on my insurance SHG: can't recall ;( Ultrasounds: $80 copay on my insurance IVF meds: would've been about $5000 had we not found ways to, err, circumvent some of the traditional purchasing avenues Trips to 7-11, across the street from morning monitoring: PRICELESS Keep in mind, these numbers aren't inclusive of everything, and certainly could vary widely depending upon whether you have fertility coverage.

She suggested that since our 2 normal embryos were both highly graded, we avoid transferring both at once in case they yielded quadruplets or triplets. We are infinitely grateful for this advice--since our first cycle failed, if we'd used both embryos on it, there's a strong possibility we could've lost both. It was out of the question financially for us to do another retrieval.

Gail was the one responsible for coordinating the move of our donor sperm from our first clinic to Genesis. The process was overwhelming on our first clinic's end, but Gail reassured us throughout, and met us with warmth and excitement when we finally dragged that ugly beige tank out of the elevator at Genesis. Our first clinic put up lots of red tape when it came to taking our sperm to another place; Gail was having none of that. ;)

Dr. Ross is straightforward and has a calm demeanor. She is realistic in her expectations and explains each step of the process, including answering my many and repeat questions. As my struggles with infertility continued, I felt that she became even more invested in my case.

Ask questions!

I started with unmedicated IUIs, then gradually increased the number of meds I used in my IUIs. Once I switched to IVF, I started on a high dose of Gonal-F because Dr. Ross already knew how my body responded to the drug from the IUI cycles. For my next round of IVF, which is to begin next month, we are trying different meds as well as higher doses of some of the ones we have tried.

I went to two of three locations for monitoring. At one, there was usually no wait but it was only open for 45 minutes. At the other, the window was longer (about 2 hours) but there was almost always a wait - though sometimes the wait was short.

Under my insurance, for 9 IUIs and 1 round of IVF we have spent around $25,000. However, at least $12,000 of that has been for donor sperm which is separate from the clinic.

For my first fresh transfer, Dr. Ross wanted to transfer only 1 on day 3. Since my other embryo from that retrieval had multiple abnormalities, Dr. Ross is willing to transfer 2 embryos from the next IVF cycle (assuming I get several).

She was extremely knowledgeable and professional. She took the time to explain each step and ask me to decide on how to proceed every time we made a decision. She was also very skilled. The ER was uneventful. She also conducted my uterine biopsy and the embryo transfer procedure.

Be ready to work with their schedule in terms of when retrieval happens.

A long antagonist high dose gonal and menopour. The other protocol was the short antagonist with high gonal 300 and menpour 300.

$1500 plus meds. It was covered by insurance. Without insurance it was $9960

They allow multiple embryo transfer, but only day 5.

Like with every doctor, Dr. Ross has her strengths and weaknesses. We will start with the good. We appreciated that she was sensitive to our financial limitations and that we were not covered by insurance. She often tried to do things to save us money. She wasn't careless with our one and only embryo and recommended that we do testing before the transfer to maximize potential success. However, doctor Ross was not good at counseling, educating, and informing us. She recommended some procedures without properly informing us of the risks involved and the statistics of success. We ended up making poor choices that lead to a waste of money and time. When we had bad news, she was very insensitive in how she delivered it to us and didn't seem to care how much it affected us. During our meetings she seemed bored and like she didn't care about us as a patient. She lacked empathy and passion and it felt more like she was just showing up to work because she had to. One time during a meeting (that we had to wait weeks until she was available) she took a personal call on her cell phone and spoke to the person about non-emergency topic for 5 minutes. In the middle our appointment with her! It made us very uncomfortable and feel like we didn't matter.

Make sure to do plenty of research before your meeting and then come in with a list of specific questions. She is very good at responding to email so if you have questions for her, don't hesitate to email her. Don't expect a warm and fuzzy doctor with a lot of compassion and empathy.

Natural IUIs. For IVF we did a straight start with Gonal-F, Menopur, Cetrotide, and Lupron trigger

For IUIs it was about $1500 a cycle. For IVF with ICSI and PGTa biopsy and FET it was about $15,000

We only had one embryo to transfer but based off of conversations before that I know that Dr. Ross isn't strict or stubborn about transferring more than one if it makes sense for the patient. She is flexible when it comes to things like that.

I first visited Dr. Chiware two months after deciding to stop seeing my previous fertility doctor. At that point, my partner and I were skeptical about fertility clinics and their motives. However, from the moment we walked into Dr. Chiware's office, my feelings of doubt were abated. She made us feel relaxed and reassured that we were in capable hands by being genuine and sincere. Whenever my partner and I meet with Dr. Chiware, we never feel rushed or disappointed. She takes her time to make sure we completely understand the treatment plan by going through charts and records; making sure to explain any risks involved and answering any questions that we may have about anything. We feel 100% confident in Dr. Chiware as our fertility doctor.

I would advise a prospective patient of Tendai Chiware, M.D. is to stay the course, and trust the process. She knows what she is doing.

Genesis has multiple locations across the city and Long Island with varying office hours which makes it convenient for work schedules. I only went to locations in Queens and Long Island and I was seen right away.

Dr. Ross speaks with no confidence. She does a poor job of explaining things to the patient. She does not give suggestions in her professional opinion of what the best course of action is for a specific patient. She just keeps trying the same thing with no results. She did not send us for additional testing or preform an exam herself. She was never once present for monitoring. And they had a nurse preform all of the IUI's. After going to a different IVF clinic I have learned that the generalized protocols, and procedures done without MD's present are simply substandard. If you see this leave! There are much better places out there.

My best advice is to seek another doctor. Don't waist your time in her office.

I was put on clomid each cycle, and side effects were never explained to me and when I asked about side effects was given no information.

These people are so unorganized that the woman from billing asked me how much I think I owed them. They are a mess

Dr. Grazi is an exceptional doctor. He went above and beyond with caring for us during our time doing IVF. I always felt cared for and never rushed during our appointments with him. Dr. Grazi would personally call me with both good and bad results and to check in with me to see how I was feeling after set backs or disappointments. He was always a ray of hope and encouragement, even when I felt the most doubt. He has truly been a blessing in our journey with trying to conceive,

Don't hesitate to see Dr. Grazi and book your appointment sooner than later for two reasons: 1. time is everything when it comes to fertility so with all of the tests and procedures you may need to go through prior to starting treatment, it's always better to start sooner than later. And 2. Dr. Grazi and the other doctors at Genesis book up quickly so setting an appt in advance is advisable.

My husband and I did IVF with ICSI and this was recommended due to male factor infertility (low count, poor motility and poor morphology). Because the count of sperm was so low plus quality and motility being an issue, ICSI was necessary to ensure the best results. I knew this would be advised and would yield the best outcome (based on my own research) so it was a good feeling when that was confirmed. It was recommended we freeze the sperm (which is something our previous IVF doctor outside of Genesis never informed us of as an option). Since my husband and I chose to do PGS genetic testing (it was discussed w us by Dr. Grazi but never forced on us and rather just presented as a personal choice of ours), this meant that we had to go with a frozen transfer instead of a fresh transfer. During the first egg retrieval in May, we retrieved 11 eggs, 9 of which fertilized initially but then only having one become a blastocyst on day 6. This embryo was tested and came back genetically abnormal (i.e.,VERY likely to result in a miscarriage if transferred). The second retrieval in July yielded better results with 11 eggs, 8 of which fertilized initially, and then 3 day 5 blastocysts and 1 day 7 embryo. Out of the 4 embryos tested all 4 came back as genetically normal. We transferred our best quality embryo (6AA) in August and I am now pregnant with our baby girl!

Monitoring was very early in the morning between 5:30-6:30am at the Queens location. This was great for me getting to work on time or actually very early on monitoring days, but I do wish that the monitoring hours there extended a little later. On weekends, it was always dreadful to wait around at the Bay Parkway location.

Luckily for us, GHI covered 75% of our IVF treatment. A small military discount was also applied, as my husband has served and is currently a reservist, which helped with the out of pocket expense.

I believe going with what the research shows is best practice which is why I agree with Genesis' approach to eSET.

Dr Ross is a very compassionate, caring doctor. My husband and I were very impressed with her from the start. My frustration though was that I never saw her ONCE after the initial consultations to start IVF. I did most of my monitoring at Genesis in Staten Island where I saw a nurse practitioner for ultrasound and bloodwork. I went to Brooklyn Surgery Center for 2 egg retrievals in which 2 different doctors performed them and not Dr Ross. Although I really liked Dr Ross, I felt like I never saw her for any of the treatment. I greatly appreciated her taking the time to respond to emails and call me but I would have liked to actually see her...particularly to perform the retrievals. If I did IVF again, I am not sure I would go to Genesis due to this. We live in NJ so we had to drive to Staten Island and Brooklyn for all the monitoring and retrievals. So not sure it was worth it in the long run for all that driving to never see the doctor we chose in the first place.

Don't expect her to do all your retrievals, if any. Not sure if she would be the one doing the transfer, as we sadly never made it to that step.

Dr Ross had me do mini IVF ( low stimulation) cycles. She chose this due to my age and diminished ovarian reserve along with us paying all of the IVF costs out of pocket. She had me on 100 mg of Clomid daily and 150 IU of Menopur every other day on the first cycle. After only getting 2 follicles, and ending up retrieving only 1 egg on the first cycle, she upped the Menopur to 150 IU daily for round 2.

Well oiled machine. First come, first serve. Went to Staten Island for all but one monitoring session that fell on the weekend.

Genesis offered a military discount of 25% which helped since we had no fertility coverage. Cost of an IVF w discount was approximately $3500. If we had at least 3 cycles, then one transfer was included. Retrieval was done at the Brooklyn Surgery Center in the same building as Genesis Bayside Parkway office. The cost to the Surgery Center was $1000 per retrieval. We also did PGS testing where there was a one time laboratory cost of $1875 (after discount) and the genetic lab charged $250 per embryo plus shipping

Dr Ross stated that she would only transfer one embryo if we PGS tested, which we did due to having recurrent miscarriage due to chromosonal abnormalities.

The extraordinary care we received under Dr. Grazi is hard to put into words. With his incredible medical knowledge and kind demeanor, Dr Grazi was determined that our dream become a reality. Infertility is physically and emotionally challenging in so many ways. Throughout our journey, Dr. Grazi was always there for us. We feel ever so blessed to have been cared for, by such a wonderful doctor.

Don't hesitate to ask questions, Dr. Grazi is happy to answer!

IUI: letrozole or clomid, frequent monitoring, Ovidrel trigger IVF: Stimulation-Gonal F, Menopur, Cetrotide, daily monitoring, Lupron trigger Fertilization- half my eggs were fertilized via conventional ivf, half were ICSI fertilized. We did a freeze all cycle so that the embryos could be PGS tested.

IVF is costly. Our insurance did not cover any fertility treatment. However, we worked together with the billing department who were very reasonable to deal with.

The topic was barely discussed as it was obvious from the doctor's end and from our end that we would only transfer one embryo.

Initial she was very encouraging and engaged. But I’ve the diagnosis was done she didn’t seem to care much about anything. The nurses did everything. From monitoring to calling and the IUI itself. Dr Ross was available by email but seemed annoyed with answering questions. In the end she didn’t seem to care about the outcome or adjusting my treatments although I had diminished ovarian reserve so clearly time was an issue.

Don’t expect to see your doctor during treatments. When you go for monitoring in that main office, make sure you know how many people are ahead of you. They are very unorganized and skipped me twice because the receptionist crossed me off the list before I was seen

Most of my cycles were without any treatment - just monitoring and then a canceled cycle. I did one Clomid cycle which resulted in a “maybe” mature enough follicle on the side that’s not blocked but that cycle did not work.

I think an IUI was about $700 My insurance covered the dr visits and monitoring

Dr. Grazi is the most intelligent, caring,compassionate doctor I’ve ever met. With every visit he gives you his undivided attention. He gives you his time and care and speaks to you with warmth. He understands what you’re going through and tries his hardest to help you in every way possible. he’s happy when you’re happy and sad when you’re sad. I did IVF with Dr. Grazi in 2015 and I saw him a few times during my cycle . Dr. Grazi did my retrieval because he was on call that day. He answered every question I had and every single email I sent. He was very gentle and encouraging. Dr. Grazi did my frozen embryo transfer and we were successful with a positive pregnancy. After i had my baby we found out we have a genetic mutation in the family, so I couldn’t use my stored embryos for future pregnancies. Dr. Grazi worked very hard to find the mutation. We had to use a lab in Ohio to test for the mutation. Not only did he work hard to figure out where to test for this mutation but he got many genetic specialists involved in my situation. It took up a lot of his time and effort but he never gave up and he was able to find the mutation. He even wrote a letter to my insurance to cover the cost of the genetic testing . Genetic testings can be very expensive. I did IVF again in 2017 and a different doctor did my retrieval . All the doctors are amazing and caring. They want what’s best for you. Dr. Grazi did my frozen transfer and we got a positive pregnancy but unfortunately i miscarried a few days later. Dr. Grazi called a few times to check up on me and held my hand and cried with me. If there’s anybody in the world that was born to be an infertility doctor, it’s Dr. Grazi. He is in it for the right reasons, to help couples fulfill their dreams of parenthood. Dr. Grazi did another transfer and it was successful. I’m now 10 weeks pregnant. Dr. Grazi knows what he’s doing just trust him and follow all his instructions. You can’t go wrong with this doctor. We are very grateful to him . He’s an angel sent from heaven!! Whether you’re successful with Dr. Grazi or not you have to understand that it’s all from god. Doctors are just god’s Helpers . In my opinion it’s rude to write a bad review just because you weren’t successful with a doctor and you want to let out your angry on him. Trust in Dr. Grazi and believe in him. He becomes your friend at the end and you’ll always have a special connection with him because he helped you have your baby.

Follow his instructions, trust him because he’s very experienced in his field

I did IVF twice with 2 successful pregnancies. We did hormone injections to stimulate eggs for retrieval. After I got pregnant, I took estrogen pills and progesterone injections everyday.

Not such a long wait. I went at 7 till I was done blood and sonogram it took an hour. You can go from 6 till 9 so it fits perfectly with your schedule

My insurance didn’t pay for anything. It costed me around $15,000 just for cycle and transfer around $3,000 and pregnancy scans $200 each scan

Single embryo transfer brings higher success rate for pregnancy.

We were under the direct care of Dr Kulak for nearly a year. In this time we we underwent several rounds each of clomid and injectable IUIs and a few rounds of IVF, all unsuccessful attempts. We had carefully chosen Genesis primary for the following reasons: they were in-network and they were less than a mile from our house. Our cousins had gone through IVF at another clinic and had mentioned the daunting treks they went through every morning and how their doctors had poor bedside manners. We hoped for the best and were pleasantly surprised when we found that not only was Dr Kulak tremendously patient and kind, he was also very supportive throughout the process. One IVF cycle had to be cancelled and he moved mountains to clear a room so we could convert it into an IUI same day. Another time he went out of his way for us was around the point of 6 failed attempts. My husband had trouble making a sample and it caused a huge fight between us since as everyone who goes through this process knows everything is timed exactly to the minute. When we hadn't shown up for our IUI due to my husband, the doctor called to mediate (yes, no joke) and help us find another solution. Dr Kulak is young, approachable, and generally very warm. After a year at this clinic we decided to leave to get a second opinion as he didn't haven't much experience with patients with unexplained infertility but we still have positive feelings toward the clinic.

He comes across as spaced out because his nature is to be very calm and relaxed. Don't fret, he's a genius. And don't be afraid to ask questions- he will even send you research and statistics if you request it.

We started at Genesis after 3 months of letrozole with timed intercourse and 12 months of unprotected relations. Gensis did extensive bloodwork on both me and my husband in the beginning, as well as a sonogram and a hysterosalpingogram. We went straight to 3 injectable IUI's using Follistim and Ovidrel. The first IUI cycle was stimmed for approximately 8 days using Follistim. Our dosage decreased overtime from 75, to 50, to 62.50 every other day. We triggered with Ovidrel 250 units on cycle day 12. The IUI was performed was on 8/17/17 using a fresh sample and we had 3 follicles, 19, 13, and 10.5. We then used 50mg progesterone bullet suppositories. Our second IUI was stimmed for 7 days using Follistim 75 units then triggered with Ovidrel 250 units on cycle day 12. The IUI was performed was performed on 9/13/17 using a fresh sample and we had one follicle at 17. We then used 50mg progesterone bullet suppositories. For our third IUI, the doctor tried adjusting our dosage, again using Follistim. Our dosages were 75, 87.5, and then 100. We triggered with 250 units of Ovidrel. The IUI was performed on 10/11/17 with a fresh sample and we had two follicles, one at 15.5 and one at 14. We then used 50mg progesterone bullet suppositories. The following month while prepping for IVF we leveraged Clomid (50 units) and practiced time intercourse. We got 4 follicles, 18, 13, 9.5, and 10.5. Our first round of Fresh Cycle IVF began on 11/15.The cycle started with 200 Follistim and consistent 75 units of Menopur. Our Follistim dosage increased every other day by 50 units of until we ended at 350. This cycle was cancelled due to generating only about just one follicle at 16 with several 10 or under. Needless to day, we converted to IUI. After approximately 12 days of Follistim, Menopur, and Citrotide, we triggered. Our dosage for Follistim began at 350ui, menopur 150 units. Almost every other day the doctor requested us to change our dosage. For example, 12/22 we started at 350 Follistim, on 12/24 we went down to 275, and then on 12/25 we jumped back to 300. We came in for blood work 3 times in the first week of stims and daily the week leading up to trigger. At the final scan, we generated 19 follicles, with 4 of them mature (18-21.5 size). Our retrieval produced 18 eggs and 11 fertilized. We did a 5 day freeze transfer and found out that they performed ICSI on 8 of the embryos. We put in two embryos (5AA and 5BA) and chose to froze the remaining which were 4AB, 4BA, 3BB, 3BB, and 2BB according to their grading system. Afterwards we used progesterone suppositories 200mg and took green estradiol until our blood test.

Monitoring appointments are mornings 7-8 AM and are literally a scene of herded cattle. Genesis does not have enough seating room for their patients which leads several patients to sit on the floor in the hallway until their name is called. Patients are called on a first-come basis.

Since fertility treatments are covered (somewhat) by my insurance, we luckily did not have to pay an-arm-and-a-leg. We did however get large bills of 500-1,000 dollars at a time. Genesis has a rule in place that prevents any patient from going into the clinic (for even monitoring) unless their full balance is paid.

Our doctor did not consult us prior to the day of the transfer regarding the number of embryos we would transfer. When the day came around we told them we'd like to put in 2 and he strongly advised against it due to potential complications. The clinic in general only allows 1 embryo transfer at a time as they are a proponent of singleton pregnancies, which I guess is where their greatest success comes from.

She was very kind, attentive, and personable. She is very knowledgeable and great at explaining things. She diagnosed an issue others had missed, and was flexible in her approach. Not a weakness of hers but while she was out on leave, her replacement was not my favorite doctor, and this doctor ended up performing significant portions of my treatment.

Just understand the schedule of all the offices, and despite the satellite offices, understand how much time you will be forced to go to the main office.

Did unmedicated IUI, did medicated IUI with letrozole and trigger, and eventually did one round of IVF.

Some days it was packed and others it was calm and just me. This could definitely be done better. It was also up to patients to track their place in line, ect - which works with some people and not with others.

IUIs ranged from 3000-5000 depending on protocol they quoted something like 12000 for a round of IVF (plus meds) but in reality it was way more out of pocket for the whole process

An issue for me was that I think two different doctors handling my care had different thoughts, Dr. Ross suggested multiple, while a doctor that actually did my transfer suggested only one. In the future, I plan to move forward with two, as was Ross's original advice.

She is honest and caring, tried to help us an any way she could. Easy to communicate with, responsive to emails, etc. She offered both medical and moral support through this tiring process. If you are looking for a doctor that's compassionate and trustworthy, I'd highly recommend her.

Bring all your questions, she will consider them and answer the ones that she can. She is extremely supportive and will take time with you each visit.If you have been down the IVF road before and still have not had success, and are interested in any "experimental" treatments or immunological testing, you will need to be referred elsewhere. She practices evidence-based medicine.

IUI- Used Letrozole and Clomid. Clomid produces several follicles, whereas letrozole produced one. IVF-Used antagonist protocol and agonist (lupron) protocol. Agonist produced more mature eggs. Medications were adjusted throughout cycle depending on blood work results.

Normally didn't have to wait too long. On weekends, the wait time was always much longer.

IVF cycles (without meds) around $10,000. They participated in the NYS IVF Grant program.

We went over the recommendations for number of embryos to be transferred based on age.

Success in overcoming our infertility issues did not come immediately for us. I have heard that for some people it does come quickly; however, for us, it had become a very grueling experience which, required a major effort from both of us. We had consulted and were treated by many fertility specialists prior to discovering Dr. Grazi. All of them were very skilled, extremely knowledgeable, highly recommended and reputable, but none of them were anything like Dr. Grazi. Unique and special are only two of the many adjectives that truly describe his key attributes. For us Dr. Grazi was the only weapon we had to combat the grueling experience that we had undergone while going through our “ART” experience. Even though we owe our success to a “Higher Authority” (God the Creator), without, Dr. Grazi our “ART” experience would have been vastly different. Whether we had succeeded or failed in accomplishing our objectives we would still recommend Dr. Grazi to be the doctor of your choosing since he was the only doctor that enabled us to get us through this most difficult crisis in our lives with the least amount of emotional, psychological, spiritual, ethical and financial stress that anyone has ever dream of. Dr. Grazi was God’s answer to our prayers!

Trust his judgement, heed his advice and seriously consider his recommendations for he is truly a very remarkable doctor to be under the care of.

We started with an IVF procedure that made use of the meds-- Menopur and Bravelle to stimulate egg production.

An efficient well oiled machine. I had to be there at 6:30 AM if I wanted to get out quickly. This did not ruin my schedule.

The costs were fair and reasonable. The billing department was very helpful. Cost is negotiated if it is too high for the consumer. Financially this clinic is operated in a very business-like manner. It is excellent! They are very flexible at costs. There isn't a service performed that is over-priced or out of reach for the consumer. Deals are made and results are obtained.

Dr. Grazi only transferred one embryo. Transferring multiple embryos was never recommended and was never performed.

Warm and friendly from the moment we met. Always available to us, whether in person, via phone or email. Checked in with me to see how I was doing. Was warm and supportive and sensitive when I was going through a D&C for a miscarriage after my first IVF cycle. Shared our joy when I finally became pregnant with the baby that is now my healthy, thriving son.

Be open, share your concerns, ask questions.

Started with 3 IUIs with clomid and ovidrel trigger. None successful. Moved right onto IVF - first cycle gave us 8 eggs retrieved, only 2 viable embryos -- two transferred, resulted in a pregnancy in which we lost the heartbeat by the 8 week sono. Went right into the next IVF cycle after D&C, adjusted protocol a bit - used Lupron, menopur, gonal f and then triggered. This ended up being a freeze all cycle since we retrieved 21 eggs and we were being cautious of overstimulation. The doc felt that my body wouldn't be ready for a fresh cycle and if I got pregnant, it could worsen symptoms of overstimulation. We froze 5 day 5 blastocysts. Went into our frozen cycle a month or two after retrieval and transferred two blasts. This resulted in a negative. Went right into our next frozen cycle and transferred two more blasts. This resulted in my healthy singleton pregnancy.

You have to get there early. Monitoring starts very early, at 6:45 am, and it's first come, first served. This was never a problem for me though as I'd get there very early since I had to go to work afterwards. These monitoring hours worked well with my work schedule.

My insurance covered quite a bit, so we were lucky. We did have some out of pocket expenses with procedures that were done, co pays, medications etc. Our total out of pocket for all of our treatment in total was under $15,000.

We transferred two embryos each time which worked well for us.

Dr Grazi was not only my physician but he became a trusted and valued friend. When I became his patient it was on the heels of my current doctor retiring. I was very confused and unsure about the future. I felt as though I had to reexplain our history and open up our lives to a new person once again. I was not excited about it at the time but it turned out to be the best thing to ever happen to us. Dr Grazi was always extremely involved, passionate and understanding of our journey. We had many, many, many set backs and he held our hand through each one. I have nothing but love and gratitude for all he did for us and our family.

Trust Dr Grazi's experience and advice-- he has been doing this a long time & has a true understanding of the science behind this process. He never wavered while helping us through our journey and when we did hit a road block he referred us to other specialists with the experience we needed. And after that, we stayed true and had faith in Dr.Grazi and kept our course with him. In the end he brought us to our final destination, our sweet baby girl.

Dr. Grazi had a strange communication style, which I found a bit creepy and inappropriate. I also got the impression that he didn't really listen to my questions all that well - he would often interrupt mid-sentence, which, as a professional woman fairly senior in my career, I found very irritating. Also, he did 3 rounds of IUI, and then only after that told me that because of my age, IUI is very unlikely to be successful -- he didn't have a good answer to why he had me do 3 rounds of IUI instead of going right to IVF.

See if you get the feeling that he's not listening, and if so, get the heck out of there.

I've tossed my notes already, but I remember the nurses telling me that the dose for the ovarian stimulation was lower than average (based on how the body reacted). One thing I noticed was the dose on the 2nd round was lower than on the first, and the number of eggs retrieved was much smaller, and there were no viable blastocysts from the 2nd retrieval.

It helped that they have two locations for monitoring, and you could go to either one. I never waited longer than 15 minutes for monitoring.

They have two different cost schedules - one is for patients covered by insurance, and the other is for self-pay. The self-pay is HIGHER, which we found out when we hit our maximum on the insurance coverage after only 1 round of IVF. 1 round, including medications, clocked in at $20k.

I had a strong preference for single embryo transfer and he seemed fine with that.

He’s so kind, thoughtful, and gentle. He seems very knowledgeable about medicine and caught 3/4 of my diagnoses right away on the first visit. Even when we went for 3 other opinions, everyone agreed with his course of treatment (even though it wasn’t successful).

Enjoy the best bedside manner you’ll ever receive! But advocate for yourself with the clinic!

The hours were increasingly early due to short staffing & running multiple monitoring satellite locations. Wait times in the satellite were typically short. Sometimes doors were locked and no one answered the phone, or I missed my chance for monitoring if I arrived too close to the end of the window. At one point, the monitoring hours changed but no one informed me. Sunday monitoring at the main office generally had a long wait time.

Approximately $12,000/ cycle, plus additional fees for medications, ICSI, PGS, and surgical center.

He generally preferred single transfers so that if something went wrong on the maternal end, more than one embryo would not be lost. Also because he didn’t prefer to put patients in the situation of carrying multiples.

Dr. Grazi made us comfortable throughout the process. He explained everything in great detail (at our request) and walked us through the back and forth of making decisions when there was no clear right answer (often the case in this process). He gave his opinion when we asked for it and always helped us weigh our options to make a decision we felt comfortable with.

First Gonol F, Progesterone, Ovidrel Switched to Lupron, Bravelle, Menopur with good results

It was fairly easy -- sometimes there was more of a wait than others, but never too long and if you get there early you can be first.

Completely covered by insurance

We did PGD testing on all our embryos so we only implanted those of high quality, one at a time. Totally worth the $ to get that test to get the highest quality embryos possible !

You only communicate with this doctor when your treatment has failed. He does not perform the IUIs, the nurses do which I really did not like. He did not adjust treatments at all and did the same thing over and over and recommended IVF after 3 failed IUIs instead of trying to find out why they failed.

Dont expect too much from this doctor. Dont expect to see him or be treated by him often. You need to be your own advocate.

I did 3 IUIs with this doctor. He recommended letrozole each time and was not open to trying clomid. He did not change up the next cycle after a failed one which I found disappointing. He recommended IVF instead of doing further testing.

We did 3 IUIs with this dr. We did back to back IUIs those cycles. Insurance covered one and we paid $400 for the second one. In total we probably paid around a few thousand for out of pocket IUIS, recombine testing, and copays.

Dr Grazi is an honest, kind, compassionate, smart man. He was patient and helped comfort me in my time of struggles with infertility. He always had a "plan" and kept me hopeful . He helped make my dream of becoming a mother come true! He became my friend along the way! I have nothing negative to say about him!

Be patient and trust this doctor!

After a year of ttc with no results and an HSG which showed a blocked left Tube I made my first appointment in December of 2010 at Genesis Fertility with DR GRAZI! I was able to get an appointment rather quickly which I was happy about. Dr. Grazi sat with me and my husband and we discussed our options. We started an IUI cycle when I ovulated from my right Fallopian tube as this was the unblocked tube! This resulted in an ectopic pregnancy which was taken care of with methotrexate at Genesis. We then processed to to IVF a few months after the ectopic and I transferred 2 embryos and got negative pt results. The next cycle we did a fresh ivf again and we changed my medicine and I conceived my son , who is now 5.

Convenient and worked ab

Dr Grazi was a very conservative doctor and his goal was for me to have a single healthy pregnancy . His goal was reached.