Institute for Human Reproduction (Pinnacle Network Clinic)

He was very personable and talked to you in terms you understand. Really took the time to get to know you and make you feel comfortable. It’s just a scary and exciting time. We always felt like he truly cared about us and you can tell he loves what he does.

Definitely go see him and see what he has to say because he will do everything it takes for you to have a family.

We did ivf with our embryos genetically tested. I did injections daily and sometimes twice a day during my cycle for the retrieval and also before the transfer.

It was always in the morning so it was nice that it didn’t take up your whole day. But when you are going through this it’s all you think about so it didn’t really matter to me. You just have the mindset of the end result.

I believe we spent around $28,000 for everything including one retrieval, genetic testing, two transfers and all medications.

We choose to do one embryo during our first transfer since we only had two good embryos.

The doctor certainly seemed very informed and on the ball. But as I look back on my notes, I feel a little misled about his live birth rate success. He convinced me if we did PGS testing that I would have a 60-70% chance of getting pregnant because I'm under 35. His SART data, though, does not show that high of a percentage at all. At one point he told me I should be pregnant by now. He doesn't know why I'm not. It's either really bad luck or a uterine issue and we don't have enough data yet. But then month after month he'd basically pump me up with estrogen and put me through hell with no change and no success. He traveled frequently without giving me a heads up, and at one point I had to ask to be put on an extra week of estrogen just to coordinate with his travel plans so he could do my transfer (which was cancelled anyway). Your body is expected to work around his schedule, and I wish I had known how big of a deal that would be when I chose the clinic. He can be incredibly compassionate and funny. I really liked him personally, but at the end I wasn't pregnant and I felt like he wasn't taking responsibility. He is also very aware of issues within his nursing staff, and he doesn't take active steps to make it better. When I started with him in 2016 we discussed his poor Yelp reviews, mostly based on the staff. He said the problems had been taken care of. Let me tell you -- they weren't.

Go somewhere else! But if you stay, take detailed notes and always confirm in writing, via email, what he told you. If you don't understand something because of his accent, ask until you do. If you feel like you are starting to dictate your treatment because he isn't coming up with a plan of action -- run. Do not rely on the nurses to give you correct information abut protocol or meds. Be your own advocate. You can't trust them to get it right.

He triggered me with Lupron and we had 7 frozen, tested embryos. I thought I'd never have to do IVF again. I was wrong. One implanted, but was a pregnancy of unknown origin and they had to give me two doses of methotrexate to get "unpregnant." Each month my lining wouldn't get above a 8, so he would cancel my frozen transfer. I got to transfer one more, but it didn't stick. To get my lining to thicken, he pumped me full of ungodly amounts of estrogen (my serum levels were 2200+). I suggested patches, so we tried those. They didn't work either. I often got to a 7, but not when I needed to be for the purpose of his Thursday-only transfer schedule. I was told my embryos were perfect, but after the 2nd didn't stick I consulted with other clinics. I'm not sure how good IHR's outsourced lab is. And there are studies that triggering with Lupron makes eggs that are not high quality. He only used vaginal progesterone. Everyone else I know uses PIO injections, or both. So he finally relented and said I too could do PIO. But we never got that far.

They were the least offensive thing about this place.

Here is where we saw eye to eye. He refused to put in two quality embryos and fully explained all the risks of twins.

Dr. Cohen had made himself available if we have had any questions in the process. He did not trust my hsg results from my local hospital and completed an hsn in office. He felt that my previous diagnosis of blocked tubes was wrong based on his testing. At his recommendation we are trying IUI when I had previously been told my tubes needed to be taken out and ivf was my only option.

If possible I would recommend you have an initial consult at his office in Chicago. I live in another state and Dr. Cohen comes to my OB/GYN office once a month to see new referrals from that office. He did not have any office staff with him and even called us back from the waiting room. While there is nothing wrong with that, I felt I may have gotten more handouts or material to take home had we been seen in Chicago. It also may have allowed us time to meet with their financial coordinator. Dr. Cohen didn't leave a lot of time for questions in the first appointment. So if you have them, make sure to be upfront and ask at the beginning of the appointment. While he met with us for an hour and a half a majority of the time was reviewing my history, previous testing results, and discussing types/outcomes of ART.

After my hsn Dr. Cohen recommended IUI as he felt my tubes were clear and uterus fine. My first IUI was 50 mg if clomid says 5-9 of my cycle. I had baseline monitoring cycle days 5, 12, and 14. I had an ovidrel trigger shot on cycle day 15.My IUI was completed on cycle day 16. I was given progesterone and estrogen supplements to take untill my blood test.

There is a self-pay discount for treatment services as my insurance has no fertility coverage.

Dr. Tur-Kaspa performed a hysteroscopy, an egg retrieval, and a transfer. I never experience any discomfort or pain, not even after the hysteroscopy, which I thought was amazing. (I had another hysteroscopy earlier on, and that was performed by Dr. Cohen of IHR.) One egg retrieval plus PGS resulted in 9 embryos down from 16 (which is a really great number), and after just one transfer, I was pregnant. While the IUIs were very frustrating, I don't know if I can complain much now that I had such great IVF results.

Do you as much as your own independent research as possible and ask a lot of questions so that you understand the process and timeline, whether IUI or IVF. For example, with my partner and my busy work/travel schedule, I had to understand the timelines very well to be able to plan or postpone certain treatment.

For the IUIs, I took one or two doses of clomid for five days, then ovidrel trigger after b/w and u/s monitoring, and a couple days after IUI, started progesterone support. Sometimes also included estrace/estradiol. For IVF, injections of menopur, follistim (adjusted as necessary based on ultrasounds), and then ganarellix, and finally, before the retrieval, leuprolide injection. In prep for the transfer, I was on estrace, progesterone, and medrol. Also, always lots of antibiotics. On estrace and progesterone until week 10. As far as I know, there was nothing particular about this protocol tailored to me as there weren't any special circumstances. This retrieval resulted in 34 eggs though I never had any symptoms at all; I felt perfectly normal the whole time, no discomfort whatsoever.

The PGS testing (which was outsourced to a lab) was $4,500 for up to 8 embryos and $250 for each additional.

Because we did PGS testing, it wasn't a question for him whether we would take the risk of multiple because doctor said he had a 70% success rate with single embryo transfers after PGS testing.

Dr. Cohen is very caring, straightforward, but also optimistic about treatment options. I never felt like he gave me false hope. Has has always been honest about potential outcomes and realistic success rates. To be honest, I wish I was able to work with him more frequently than other members of office staff. My only qualm is about a diagnosis. I was initally referred for bilaterally blocked tubes. He completed an hsn and stated all was clear and that my tubes were fine. I am not sure this test is as specific for blocked tubes as my hsg. He seemed to completely trust his results and we are proceeding with his recommended treatment of IUI at this time.

If possible try to complete your initial consult visit at his main office. He came to my OB/GYN's office for my initial visit. He had no staff with him and was doing everything by himself. While this isn't necessarily a problem, I feel like we would have had more material like handouts to take home and review if the visit had been at his main office. He doesn't leave a lot of time in the first appointment for questions. So make sure you are upfront with those early in the appointment to get your answers.

I was referred to Dr. Cohen by a friend who had just delivered a perfectly healthy baby and shared her experiences with me along the way. He was compassionate and easy to talk to, very understanding, reassuring and experienced. I felt very comfortable and positive with him.

Be patient with the frequent appointments, multiple times a week. They do have a lot of patients, but I appreciated that it was "first come first served" - on days that I needed to get to the airport for a 9am flight, I was able to come in at 6:30 and get my ultrasound and blood work done efficiently.

I started with Dr. Cohen in January after switching insurance so it would cover the procedures- I had been 6 months with another doctor on drugs and timed intercourse with no results. He gave me the option of doing IUI or going straight to IVF, which is what we chose due to my age (39, now 40) and everything was straightforward. I went through 3 retrievals - 4, 2 and then 7 5 day embryos resulted and were frozen to go through PGS, with 9 recommended for transfer. In retrospect I appreciate that he was conservative and I have enough embryos to potentially have additional children, but hind sight being 20 20 I could've stopped after 2 retrieval cycles and likely had plenty.

They had monitoring hours in the morning, so as I stated previously, it was very convenient for me to be able to go in early and still get to work on time (or occasionally to the airport for a flight!).

Ugh! I had to go on an Exchange Blue Cross Blue Shield plan because neither mine nor my husband's employers companies covered the treatments because they were "self insured". That out of pocket max was around $6,000 which I hit with my first order of drugs, plus a $400/month premium. However, everything else was covered except for the genetic testing, and each retrieval cycle was a few thousand dollars, and then because I had more than the average (7) embryos go through PGS, there was an additional charge for that as well (but I suppose that's a good problem to have).

Because we went through PGS, Dr. Cohen only transferred a single embryo, which made sense to me.

Dr Tur Kaspa is extermely direct. His directness took getting used to - but he cares and is invested. I might not always like what he says but he spends as much time with me as I need, is compassionate and doesn't give up.

Don't let his directness turn you off. Underneath he is kind and compassionate and he will try his hardest to get you pregnant.

EPP on estradiol, 400-450 Gonal F, 150 menopur, 1/2 vial omnitrope (hgh), ganirelex, lupron trigger. EPP, MD Lupron 10iu/2x daily, omnitrope 1/2 vial daily (2 days), add in, menopur 150 am, gonal f 450 pm (continue with MD Lupron and omnitrope) tried lupron cycle when my follicles didn't respond one cycle

Monitoring takes place from 6:45-9:30am. Women begin showing up at 6am. The US tech is quick and efficient and begins taking patients early. From start to finish, I am usually there 1 hr.

My OOP cycle was $10,500 plus meds. Embryo biopsy and freeze cost approximately $3000. I was charged a batching fee of $500 per cycle, which I did not like - why does it matter how many cycles I am doing? I tried to argue this charge and lost. Genetic testing is $4750 which is the highest of any clinic I have been to - which was disappointing to learn. Most of my cycles have been covered by insurance thankfully. For insurance covered cycles, I paid deductibles for meds, I paid cost of meds not covered by insurance, the batching cost, embryo biopsies and freezing and genetic testing (one test for all batched embryos).

Dr. Cohen is incredible. He is brilliant and up to date on all of the latest trends. He is experienced and looks at you as individual, opposed to just another patient. During his initial consult with him, we probably spent about 45 minutes together, and that was the first of many one on one consults. He is willing to try new things, but will always refer to the real statistics and scientifically proven data. He is down to earth, kind, trustworthy, good humored, and very available. I found his level to of care to be exceptional. Another thing I appreciated about him was that he didn't take advantage of us in terms of requiring procedures that were not necessary. I was desperate to have a child, and would have paid for every test under the sun, but he was confident that he had the information we needed, given our circumstances, and that with time we would have success. Even when I tried to convince him otherwise, he would remind me that he really thought we would have success, but he would tell me if after time, his thoughts changed, which I appreciated. I am forever grateful for his care, and respect him immensely.

Be direct and honest with Dr. Cohen. Ask him for his thoughts and reasoning behind doing things a certain way. He is a great blend of warm, but honest.

Given I have PCOS - we used Menopur and Follistm. I believe the dosage was between 75 - 150, so very minimal. He also recommended ICSI as my husband has sperm issues. His protocols resulted in tons of day 5 embryos. We initially did transfers without testing the embryos, but after no success, he recommended testing the embryos, which we did. My next transfer worked. We just had to find the right one, which he was saying all along.

The clinic is busy, and they typically run IVF cycles every other week. I would advise to get there early. They open at 6:30am, but you can typically arrive as early as 6:15am. That's how you will get in asap.

I do not know the cost. Thankfully we had good infertility coverage.

Dr. Cohen and our assigned Nurse Coordinator were kind and patient. Dr. Cohen explained what his recommended treatments were, listening to what questions and concerns we had. Our NC responded quickly to my emails with questions and was patient in explaining things. The only thing that was sometimes a drag was the early morning monitoring appointments. They are first come first serve so you never knew whather you'd be out in an hour or in 5 minutes. But never too bad and always quick once you were called. We're really pleased with the thoughtful care from Dr. Cohen and the Nurses we worked with during the IUI's, as well as our NC.

May be silly, but parking is very easy for the early morning monitoring appointments and is very easy to get to. There also seem to be some days that have less wait times for the monitoring visits-I would ask what those are and go those days, if possible.

I was on Clomid 50mg (increased after first failed cycle I think), Ovidrel, Estrace (3x/day vaginal) and Crinone 8% 1x/day, combined with IUI. The second cycle was when the estrace was added (due to a thin lining, found during the first cycle), which is when we became pregnant!

Covered by BCBS HMO, except for HSG co-pay and cost of estrace co pay.

Strength: compassion, care , concern Weakness : not easy to reach via phone or email

Be choosy about the coordinator they assign you - they are not all equal. Ask for email or how to contact after hours. I often had to scramble when things came up on weekends or evenings

I have low egg quality and diminished reserve. He used the "max dose " of gonal F and certrotide. They also suggested prenatal vitamins

Go early and get out early. I liked that Monitoring was always MWF the first week - easier to plan my schedule.

Insurance paid for all except genetic testing which came to around 20k with batching fees etc

Dr Cohen himself was nice, appeared competent and experienced. He is personable. The actual clinic is a mess and then the surgical center he uses for all of his procedures is also not the best (difficult parking, EXPENSIVE even with insurance and flighty staff).

You correspond with your nurse more than the MD so if the nurse/ancillary staff are not strong it will be difficult to get through. Even with he best MD recommendations and prescriptions you need a good nurse to guide you.

Not too sure- most billed to insurance and then couldn't get additional costs from the financial lady.

Dr. Cohen was very proactive with our care. When things didn't work he would suggest what next steps and tests we could do to find out answers. He wasn't pushy with these options (PGS, ERA, etc) since some cost extra money, but giving us the options right away was helpful rather than going through more failed cycles before trying. From the beginning he was wonderful and informative to meet with, however I don't think he set up our expectations on the time and emotional and physical toll everything can take, as well as about potential delays that can happen. Once we started to understand all of these items over time, on our own we were able to deal with them better. I just wish I had understood more about how long and taxing the whole journey could be earlier on.

Don't be afraid to reach out to him with questions or concerns. He is caring and willing to explain things, but also busy so you also need to be your own advocate if you have questions or concerns.

Since we didn't have any other issues other than unexplained infertility, we followed fairly regular protocols with the addition of estrace to increase lining. Dr. Cohen didn't require birth control between each cycle which I preferred because of the added delay and birth control sometimes hurt more than helped my cycle. When we did have to use birth control in preparation for a test or getting to the next cycle, I often didn't have to go through the whole cycle before we could move ahead. Since the waiting can feel like forever, these small adjustments made a big difference in feeling like we were moving forward.

Monitoring was only in the morning between 6:30 am - 9 am, first come, first serve, where you would have to go in and wait. At a minimum it would take 30 min if it was empty, other times I was there for close to 2 hours. You could not schedule time and you never knew how long it would take, so adjusting for work was difficult.

IUI's were $1,500 (before insurance), 2 cycles of IVF + PGS (not including medicine) $10,000 (after insurance), ERA test $900

On Dr. Tur-Kaspa himself, he was very kind and professional. He told my husband and me all about our odds and what our procedures might look like. At our initial consultation he mentioned that I was overweight and that I would have a better chance of getting pregnant if I lost weight (this was not a problem but in retrospect I felt he did not stress this enough and that I was given no tips based on any of my test results). We decided to wait a cycle before getting into medications due to a uterine polyp removal. After the cycle wait, we put together a plan and I started on the medications for IVF and egg retrieval. Almost immediately he left the county for a couple weeks which meant he himself would not do my retrieval or my transfer and that I was handed off to the other office doctor. At our follow up appointment after our transfer failed, he reiterated that I was overweight and that was a huge problem which made me wonder if he should not have suggested we wait until I was able to lose an X amount of weight before we tried. I also had to ask him if he knew what might be causing our infertility and he told me that I had PCOS and poor egg quality in a very conversational way that sounded like I should have known that. After we had time to recover from the emotions of a failed IVF transfer and had time to really think about our whole process, I feel like I was just a number being pushed through the system instead of an actual patient that needed personalized care.

Make sure that you ask him about his potential travel plans so that you will be aware if he plans to leave during your treatment.

I was very lucky to be given a discount. The total payment was due before the cycle started. The cost breakdown on my sheet was: Pre-IVF Labs Male/Female/HSN: $3500 ($1500 for us) IVF Cycle and Anesthesia and Surgical Facility Fees: $11935 ($6020 for us) Cryopreservation of Embryo(s): $1250 ($980 for us which was refunded due to no surviving embryos)

He was not for multiple embryo transfer in my case based on my age and how he thought I would do.

His bedside manner left a LOT to be desired. When setbacks did occur, he would often answer tough questions with "It's just biology!", and during each of my four retrievals he 'personally thanked' my husband for his service and sacrifice. Funny the first time, but after months of exhaustive fertility treatments, by retrieval #3 and #4, I wanted to scream "WE GET IT." A little pushy with the 'sales front', but I do feel like he was extremely attentive, and always willing to adjust protocol to get desired results. Overall I'm torn over the entire experience as a patient with him, we were happy with results, but felt like he could be insensitive.

Stay on top of the clinic, and try not to take his 'jokes' personally.

Hard to remember all of the protocols, but he adjusted as necessary.

Completely unpredictable Waiting anywhere from 15 min - 1.5 hours. Ultrasound tech was very fast, kind, and took patients in early.

mostly covered by insurance. PGD previously paid for through insurance, but separate PGD clinic recently changed policies and no longer takes any insurance except Aetna.

He strongly preferred one transfer since we were using PGD, which we were happy with

I thought he was very demeaning and had terrible bedside manner. Always made it sound like as a woman I wasn't qualified to make decisions without my husband - even though I'm very knowledgable. I felt like he just did the same thing over and over again expecting different results and was never around when things went wrong.

I think he is used to "easy cases" and has a huge ego being that he is "well known" and people come all the way from Israel to see him (his words). He doesn't dig deep enough or think outside of the box. I don't need to be Molly-coddled; but, a little bit of compassion after a miscarriage would be nice. Ie: the first call shouldn't be about when you will schedule your next transfer.

He was pretty good at adjusting my meds consistently; but never explained the protocol clearly. We used bravelle and Menopur - I was very successful in terms of #'s retrieved; but, none of the blasts stuck for a successful pregnancy (and we never changed protocols for FETs)

If you get there right when they open, it's not terrible; but if you get there after 7, good luck! You can't make appts.... First come first serve

Dr. Cohen said I had a 15% chance of getting pregnant, yet I did. Twice. Dr. Cohen always explained everything extremely well, he was considerate, kind, and even funny. I truly felt like I was treated like an individual.

Come prepared and ask as many questions as you have. Dr. Cohen will be honest, and he will not sugarcoat the answers, but he will try his hardest for you.

I went to see Dr. Cohen due to genetic issues, but ended up being a "poor responder" to treatment. Dr. Cohen personalized my treatment and, guess what, success!

Monitoring appointments were first-come, first-serve, first thing in the morning, but that worked fine with my work schedule. There was one ultrasound technician, Deb!, who was kind and funny. There were two changing rooms to get changed in and the procedures were quick and easy.

Luckily, our insurance covered most of the service and medications (though we still had considerable expenses). Billing was mostly clear and handled through the University. I never felt pressure to pay before services.

When we had a bump in the road dr. Cohen always talked it over with the other doctor to find a solution and to have a what is next plan. He was very knowledgeable and honest with everything we have gone through this far.

Trust him, if he doesn't have a solution he will find the research and talk to who he has to, to find the best solution for you.

the first ivf was your typical protocol when that wasn't successful dr cohen changed my protocol. He did my medicine different in order to get good eggs.

they were great in getting people in and out and on their way.

I am an out of pocket patient and then Dr cohen gave me a discount on top that

With my age and history of never being pregnant he suggested 1 embryo

Dr. Cohen is extremely personable, compassionate, and knowledgable in the medical field. He always offers an explanation and does so in a manner that does not feel as if he is belittling you. He also has a great sense of humor, which definitely lightens the mood during times which can be stressful.

Dr. Cohen was regularly available to discuss treatments and our plan. He is very knowledgeable and shared his knowledge in a way that we were able to understand. He is extremely trustworthy and comforting, and I could not imagine having gone through such a difficult process with any other doctor.

Let him guide the way with your input. Ask questions and be informed!

Our first cycle was natural. After a negative test following the first IUI, we tried Clomid, then Letrizole, then back to a stronger dose of Clomid. I did a trigger shot before each IUI, followed by Estrace and Progesterone following each attempt (and for 12 weeks once pregnant).

We paid for everything out of pocket, 100%. However, Dr. Cohen was able to provide some discounts when we paid with credit card.

Dr. Tur-Kaspa is a terrific and knowledgeable Dr. The first live birth took me 7 transfers (3 miscarriages followed by 3 non pregnancies but he stayed positive and tweeted my meds until we got our baby. Then with 1 embryo left 2 years later, he told us about a test that made sure they were transferring at my most receptive window. The ERA test told us that I needed 12 more hours of progesterone so we went for it with just the 1 embryo and I am now 14 weeks pregnant!

Ask him about the ERA test. And choose him as your dr. He is excellent.

We could always go in at our convenience from 6:45 am-9:30 am Monday -Friday sometimes it was very quick and sometimes it took an hour at the most before completed but not too bad. I didn't have to take off work which was really nice. Never felt like a cattle call.

Insurance covered most. Frozen transfers were $3000 something (covered) ERA TEST $800 (not covered) Embryo freezing $1300? Hen $800 a year (not covered)

Dr. Tur-Kaspa explained everything, and when delivering bad news or dismal statistics, he do so with compassion and kindness. He answered everything I asked, even when I asked the same question over and over again. He made his email available for any question I thought of and wanted to ask before an appointment. He was on vacation in Israel when I miscarried twins, and he called me personally to convey his condolences.

If you don't understand what he says, ask again. And again. Occasionally his accent gets in the way of complete understanding the first time around.

Dr. Cohen was great. He returned phone calls right away. He even called once when he was on a plane, just to answer a couple of questions I had. I was very impressed by him. He never made me feel rushed out like he had somewhere else to be. I was always his #1 focus when I was with him ie speaking with him.

You're going to love him.

He wanted me to go directly to IVF and we were working with my insurance company to be able to skip the IUI treatments.

I thought the cost of the consultation appointment was ridiculously expensive. The charge was over $500 for a 45 minute conversation.

Dr. Cohen’s demeanor is very soothing. He explains every step when doing procedures in calm, comsise way that’s very reassuring to me. He is a excellent communicator. He listens to my concerns and reassures me in realistic way.

Ask questions he will be happy to answer them!

He suggested we do Genetic Testing on ourselves and our embryos. Also we are doing a “ freeze all” Protocol, since I had one fresh failed ivf cycle previously with other Doctor. This protocol puts odds in my favor for success.

Dr Cohen is a very straight forward guy. He is also very thorough in explaining what happens biologically in every step of the process with every different drug I take. While moat of the visit is strictly down to business, he also takes time to talk with us about our jobs and share bits about his life with us as well. Dr Cohen is very professional and seems to know every obscure question you ask to him and will even have historical information to back it up! He's a very smart guy but also down to earth.

Just make sufe you leave knowing exactly what your next steps will be. Dr. Cohen will make you feel comfortable.

Weve only done IUI so far, and are starting IVF now after the three standard failed attempts.

Covered by insurance

He prefers to do just one embryo for the FET, but will do 2 for the frozen embryo transfer.

If you know of another kind of treatment that you think might be useful in your situation, bring it up. I've done that a few times, and we've added those to our protocol.

IHR runs well during monitoring hours. I have only had to wait as long as an hour once. I'm usually done with bloodwork and ultrasound in about 45 minutes or less.