WestMed Medical Group

While he seems very smart and very confident in the work, it seemed like he didn't think outside of the box for what could work- seemed to always follow the typical protocol. I don't feel like I got thorough care and didn't feel like he had a caring bedside manner.

If you are OK with your doctor being extremely busy and not having time for questions or calls with you, then go forward. Otherwise I wish I had shopped around more and explored other clinics.

I did 4 IUIs, 3 rounds of IVF and 1 round of IVF using donor eggs. Each round was a let down and very depressing. The drugs were excessive and I felt sick after ever retrieval. No one checked in on me and when my final round at the office of using donor eggs ended and failed I was so upset and no one cared to check in to invite me in to talk about it. Left a very bad impression for me.

Always early morning and always a wait.

IVF is so expensive- but I will say Dr. Keltz did try to make it affordable which is one good thing he did.

Dr Keltz as many of other reviews mention is not the most compassionate person in the world and that is true. He is sarcastic, pompous and has a very dry sense of humor which i personally did not like at all but i tried to look pass because i was just looking to become a mother not make a friend, but in hindsight this was a mistake because you should feel somewhat of a connection with your RE and i just did not. every single treatment i did with dr keltz and his office were a disaster. My IUI was an ectopic, dr keltz did not remove my damaged tube like i asked which caused me to have surgery AGAIN 8 months later when it showed to be blocked. My fresh transfer i question because i had no bloodwork done prior to the transfer to check hormone levels, dr keltz said no it doesnt matter and of course it was negative. My FET was a miscarriage because no one showed me to not use ice with progesterone shots and it dropped so low to where i miscarried before i even made it to my OB scan. My next FET my progesterone was extremely high prior to my FET i questioned it to dr keltz and his nurse and they both told me im overthinking and to relax and once again i was right cause it was a negative didnt even implant. Overall they dont listen to your concern they just want you to continue treatment and give them money

Go to another doctor who will actually listen to your concerns

Clomid for IUIs retrieval dont remember FET lupron and progesterone... wouldnt use anything different even though i felt i needed a different protocol

monitoring appointments were in the early mornings and always a 30+ minute wait... This office gets very backed up often and the wait is long most times

My procedures were covered by insurance but this office only uses CVS specialty pharmacy who are not the greatest or the most affordable pharmacy at all so the copays for the meds are so high and they give you a hard time to go to another pharmacy which im sure is because they have a deal with CVS specialty most likely

He really only like to transfer one embryo but because mines were not tested he transferred two

The process was challenging and intimidating but Dr. Keltz was honest throughout. I often felt like giving up because the chances of me carrying my own child is slim. He tried his best and was definitely an expert. I worked within the parameters he gave me as a single woman and believe the information I was given to be accurate. Towards the end of treatment I felt like the charts/readings became more important than my whole picture as a patient but I understood that this was a way of being efficient and giving me the best course of action. I had hoped for a more creative approach which I am now pursuing with holistic treatments in addition to the traditional treatments. However, I think the course of action at Dr. Keltz's office was appropriate for my case at the time. Although the situation with my fertility was not optimal I think Dr. Keltz tried to be positive and enthusiastic. The tough realism was hard to take but again I don't carry any resentment. I'm thankful for the knowledge I received in the treatment time and look forward to expanding my treatments to continue the hope of having a baby in the next couple of years.

It would be nice to have both the examine and an office consultation in ever visit. I know this is probably not possible in the current healthcare system and that offices are busy but I miss having conversations with my practitioners. Again I think sometimes appointments became procedural and lacked a sense of looking at my whole picture as a patient. Although I know the science dictates the course of action I believe that taking the patient's whole health picture into account can move results in a more positive direction.

When I went in to pursue IVF/IUI in March 2019 I got the news that my FSH #s were very high and that it would be difficult to get pregnant on my own. However Dr. Keltz was willing to do IUI with Clomid dosages and Ovidrel shots over a few cycles to see if there was a possibility. I did this procedure in July 2019 and September 2019. The Clomid seemed to trigger healthy follicles and each time the doctor's were positive about the size. In the 3 and 4 clomid cycles late December 2019 and February 2019 my FSH #s increased dramatically and I wasn't able to produce sizable follicles. In February Dr. Keltz felt that I should move to Egg Donation. I'm not opposed to this but I am now looking at doing IVF with a doctor that is willing to try before I move to Egg donation. I'm also working with an fertility acupuncturist and taking Chinese herbs.

Visits were $35-$45 copays under my MVP premiere insurance. I believe I saw him at least 15 times. The donor sperm cost me $2500

We did not do IVF.

Dr Keltz took over my care when his partner who I had originally co silted with went out on maternity leave. He treated me and my husband as if we were his own family and made us feel very comfortable. After thinking our infertility issue was only due to my PCOS we were devastated to find out that the semen analysis my husband had had done previously had been inaccurate and failed to diagnose him with an extremely low sperm count. Dr Keltz and his team were wonderful working with us to help us u defat and what our next options were and helped navigate insurance to find out what if anything would be covered for us.

Download the My WestMed app. The team is great at communicating through the app and answered all of my questions quickly.

I have done one IUI cycle with Dr Keltz. It was during the insemenation that Dr Keltz and PA Theresa found the very low spent count. We had a much higher number reported from the urologist who my husband initially saw before I started any treatments. The IUI cycle failed and we were told that our best option is IVF. We don’t have the finances for IVF yet so we are waiting but Dr Keltz and his team went through the whole process with us and laid out everything for us so that we know exactly what will happen (and what the cost will be) when we are ready.

They take my insurance so I paid a co-pay with my flexible spending card each time I went. Anything that was not going to be covered by insurance was explained to me so I was aware before hand.

Dr Keltz recommended single embryo transfer after genetic testing.

Dr. Keltz is a character at times he is a little different but I enjoyed working with him immensely. If you need someone to hold your hand throughout the process, you may need to speak up and say that to him because sometimes he will not. He is brilliant and he really knows what he is talking about. At times you may wonder, "Hey how does he know that, no one knows that." Yet he does. He is caring and compassionate and I will go back to him again in the future for fertility.

If you have a question, ask. If you are not sure about something, ask. If you do not feel comfortable with something - say something. Also, trust him. He is incredibly intelligent and knows what he is talking about and doing.

He first diagnosed me with endometriosis. I did surgery and after my recovery we tried clomid. However, I only produced 1 egg on one side and we found out that my husband had low motility and something else. IUI didn't look good and Dr. Keltz recommended we do IVF. I was on fertility medications and taking different shots, then we did an egg retrieval and got 9 eggs, 6 were mature, and 2 where fertilized. At day 5 we only had one, but much to our surprise days later out other one made it.

There was a great deal of monitoring appointments to say the least. I went in for monitoring usually Monday, Wednesday, and Friday. The appointments were early morning 7 am-8:30am. There would be an ultrasound and blood work. There were times that the appointments did run a little late but otherwise it was good.

IUI was covered under my insurance. I believe it costs around $600. As for IVF -- My prescriptions were only covered up to 5000, which was not enough. I paid another 3600+1800=5400 for prescriptions. If your speciality pharmacy is charging you a great deal, shop around. The PA Teresa will help you if you just speak to her. She saved us about $4000 in prescription costs. Then my insurance did cover the IVF. I did a fresh transfer. I believe the calculated cost was somewhere between 10000-13000. We did genetic testing on the embryo that took a little longer to make it, which was another $3000 for the biopsy and then about $700 for the test. Then the housing of the embryo cost us $1400 for the first year and then about 1000 for every year after that. So for us, the cost of IVF was 10500. However, keep in mind that is not considering all of our doctor visits. We did monitoring 3 times a week and a visit costs about $300 each time. We had reached our out of pocket maximum at this time so we paid nothing for the visits.

He liked to do a single embryo transfer even though I wanted a multiple embryo transfer. He did not recommend it and was highly against it because he thought a single transfer would be better for me.

Dr. Greene is young, intelligent, and extremely personable. I trust her cutting edge knowledge in ART and appreciate her ability to speak to me clearly about what our treatment plan will entail. I am currently having some issues getting my lining to be where it needs to be for our first frozen transfer and I fully trust Dr. Greene’s ability to change course and try different forms of medicine to create the best environment for our transfer.

To ask as many questions as they want! Dr Greene is extremely engaging when it comes to communicating with both me and my husband, and is always willing to clarify, explain, and discuss our concerns.

I first tried a few clomid cycles to try and overcome my pcos and to pinpoint left-ovary ovulation (I lost a tube to an ectopic pregnancy)— I was started on a very low dose which seemed to work well, but did not result in a pregnancy . However, the second cycle I had no response, and appreciated Dr. Greene’s suggestion to take another round of Clomid immediately. When that second cycle of pills still did not cause any follicles to grow, she immediately upped my dosage and I was able to continue with the cycle without canceling and starting over. After 3 failed clomid cycles (I only ever ovulated on my tubeless side), we started IVF. Dr. Greene was very informative about what to expect and was very supportive of PGS testing our embryos. She was also very cautious about handling my pcos and placed me on a very low protocol. In order to ward of any serious OHSS, I triggered with Lupron, was given Cabergoline, and even took several Cetrotide shots following retrieval. I was very pleased with how thorough she was with making sure to avoid any serious OHSS!

Each visit is generally billed for 3 services, Ultrasound, doctor visit, and lab work, totaling approximately $400-600 per visit. We have an IVF maximum benefit with our insurance, so it’s easy to eat up that amount if you require a lot of monitoring.

Dr Greene will only transfer a single PGS normal embryo, given my age. This seems to be standard among REs and I am supportive of this practice!

I really like Dr. Greene a lot. While IUI wasn't successful, she was very clear that the chances of success were not as high as other treatment options. But, from day 1, she was willing to speak with us at length about our options, set a plan, and review that plan periodically. She always made me feel comfortable.

Take notes. But that would be my advice to anyone in this situation.

My first consultation was a little late in the cycle, so we were too late for a medical IUI cycle. At the time, she indicated that her normal recommendation is 2-3 IUI cycles before IVF, so we decided to do one "natural IUI" (no clomid) cycle and 2 medicated (with clomid) cycles. We have done exactly that, without success, and are now about to start IVF.

My IUI cycles were mostly covered by insurance (except a very high ultrasound copay and also a normal visit copay), but my IVF is not covered by insurance at all. IVF (not including meds, genetic testing, anesthesia, and cryopreservation) is $14,250 (freeze all with PGS biopsy, plus frozen embryo transfer)

I do not believe that she would do multiple embryo transfer for me, given the cause of our infertility issues (male factor) and my relatively young age.

When I first met Dr. Keltz 9 months ago for a consultation, I was of course nervous and unsure of what to expect. This was my first time visiting an RE for infertility. After I met him, a huge weight lifted off of my shoulders. I was no longer nervous. Instead, I developed trust in Dr. Keltz. From day one, he has been warm, thorough, informative, always looking for a solution and overall he just wants the very best for all of his patients. He always greets me by name and treats me like a human. He will sit by your side and talk to you like a friend.

Don’t waste time, go see Dr. Keltz! You will not regret it and you will be in excellent hands from the time of your initial consultation until you become pregnant with your bundle of joy.

clomid 100mg and timed intercourse for 4 cycles secondary to PCOS diagnosis and no other issues found during initial workup. Due to failed cycles, we then proceeded with 2 clomid 100mg IUI cycles which were not successful. Since all clomid cycles were not successful, we then proceeded with letrozole 5mg IUI cycle which was not successful. We then proceeded with a lapraoscopy to remove mild endometriosis, uterine septum & mini laparotomy myomectomy

Not sure as everything was billed to my insurance. Westmed does not collect any payments or copays.

Strong preference on transferring one embryo vs multiple

Very knowledgeable about treatment especially endometriosis. Very personable over 20+ years experience and will answer any and all questions. Treats his patients very the upmost care and dignity. I would not change my Dr for the world

You must ask all questions you need and is very knowledgeable

Menopur Gonal-F Leuprolide Highest dosage allowed for myself and same protocol for donor at lower dose. For transfers: estradiol 2MG, progesterone 1cc for 1st embryo transfer (August 2018), 2cc for 2nd transfer (December 2018), 1.5cc for 3rd (March 2019)

Depending on the time of year, from April through December he was busy. For my last transfer its quieted down

My treatments for 2018 were all covered under insurance only paid copays. For donor was all out of pocket. FDA LABS $1000, PSYCHOLOGIST $1000, EGG RETRIEVAL $2500, ANESTHESIA $500, ALL BLOODS FOR CYCLING $110 FOR EACH BLOODDRAW, CYCLING APPOINTMENTS COST WERE ABOUT $1200. Medication was covered under my insurance because the same meds were administered as was to me. As for 2019, embryo transfer for March 2019 $4000, 6 vials of Progesterone $299, Leuprolide $450

Dr. Greene was always very thorough in mine and my husband's testing, results and procedures. I always felt well informed about the options and the process. I was able to get appointments when I needed them. I looked forward to meeting with her and felt calm during my visits. The only time I saw other practitioners was for my IUIs due to scheduling/timing. I absolutely loved one of the other practitioners and didn't care for the other.

She is absolutely wonderful to work with, but be aware due to scheduling that you may have other providers for your actual procedure, mainly if it falls during the weekend.

I had 2 IUIs with clomid for 5 days and ovidrel to stimulate ovulation both times. With unexplained infertility, the goal was to produce more mature eggs and use the trigger shot to optimize the timing of the IUIs. One IUI was unsuccessful and it's too early to know about the second.

I had copays for all my visits. Most appointments had additional costs that were my responsibility after it was processed by my insurance company. The medications from CVS were between $30-60 per cycle. The Ovidrel was just over $100 and the specialty pharmacy also provided a $10 rebate.

Dr. Keltz was quite impatient upon our initial office introduction with him. Initially, we were waiting some time in his office before he joined us. We saw that he had awards on his wall for his achievements as an RE, which gave us some reassurance. When he joined us, however he quickly fired off questions to us about our history of TTC. When he paused to answer, he was snappy and abrupt with us as if to insist we hurry with our responses. We had a few fertility test results with us that we shared with him as we had some free testing done at RMA in CT--an AMH test and an SA. Dr. Keltz shared that he used to work at Mt. Sinai for many years and had a lot of success--it seemed that he was bitter that he was no longer there. He bragged that he single handedly built their RE practice. Immediately after meeting with him, we experienced having to get a slew of blood work done within their lab. After we did the blood work, Dr. Keltz met with us again told us our only option would be IVF--based solely on the two test results er provided him and our conversation with him about our TTC history. He then took us to a treatment room did a transvaginal ultrasound--which I detailed earlier--and discovered that I had either a cyst or fibroid that he said needed to be removed. He indicated he would do the surgery himself. He made an appointment with me to see their in-house endocrinologist as I had a previous bout of hyperthyroidism and nodules. I was told to come back for my day 3 blood work as well. After the appointment with Dr. Keltz, I told my husband we would not do any fertility treatments with him. It took us a long time to find an RE that was in network with my insurance, so I suggested we get the basic fertility work up done with him (blood work, HSG, and SIS) plus the cyst/fibroid removal. I had a follow up appointment with Dr. Keltz two weeks after our initial appointment. During that appointment he reviewed all of our blood work with us plus my day 3 blood work results. He also performed the SIS on me while we met with him. He suggested we make an appointment for my husband to see a urologist that he recommended (one that charged $800 per visit and didn't take any insurance) and said he would likely put my husband on Clomid, to help his low sperm count. While we met with him, I told Dr. Keltz that my insurance company covers unlimited IUIs until I turn 44 years old. He snapped at me and told me to not waste his time. I told him he needed to dial it back as we are very sensitive people going though an extremely anxiety inducing process. He continued to tantrum that we weren't jumping at the chance for him to do IVF and said he wouldn't dare consider IUIs with us. When I mentioned concerns regarding the cost of IVF and that I saw that there are discounted IVF programs, he quickly changed his tune and said that he could do ours for $8500 with my husband's frozen sperm...which would cost $300. He proceeded to tell me that he has the most affordable IVF game in town. Dr. Keltz also said he could get the IVF injections covered by my insurance by claiming they are for an IUI. This entire conversation occurred while my feet was in stirrups due to the SIS. After that appointment, we followed up with a urologist and met with Dr. Keltz for follow up a couple of weeks later to discuss the surgery to removed the cyst/fibroid. He was indicated that he was annoyed that we didn't use his recommended urologist and we decided to use a local urologist instead. I had a hysterscopy with Dr. Keltz a few weeks later to remove what turned out to be a fibroid. I had one more follow up visit with him following the surgery and I then I discontinued any further treatment with him.

Run! Do not use him for fertility treatments. As a result of our mistreatment by Dr. Keltz, we didn't seek any further fertility treatment with another RE for a year out of fear of being mistreated again.

I only had blood work, SIS, and a myomectomy done with Dr. Keltz. I also had an HSG done, but it was with another MD in the practice.

I believe I had a $50 co-pay every time I met with him in person. I have a bill that covers blood work that totaled $255.71. Another bill covered a procedure that totaled $476.00.

n/a

He’s very busy. I could see him 3-4 times in a week and he of course knew who I was but occasionally seemed scattered about what our plan was. I liked him though. I found him personable, honest, and compassionate.

Ask all of your questions even if you feel like he’s ready to move on to the patient in the next room. Understand all of the scenarios and make plans for each.

We used Lupron as a suppressor for about a week. Then Gonal-F, Menopur, and Lupron. I went for blood work and ultrasounds every other day. Continued to increase the dosages each visit for about 10 days of stimulation injections. We ended up with 19 eggs retrieved, 10 mature which was what we expected. We were planning to freeze, PGS test, then frozen transfer later. We only ended up with 3 embryos, and 2 by day 5. We decided to forego PGS, transfer 1 and freeze the other. He thinks it was the sperm as the issue, but I suppose we’ll never know for sure.

Monitoring appointments were done in the morning typically between 7am-9am. I don’t recall having an issue getting the times I needed. It felt a little like he was going door to door throughout the office.

We paid a $30 specialist co-pay or $20 ultrasound co-pay, and a $20 lab co-pay for each visit depending on what I was there for. Our insurance covered 75% of our IVF cycle (retrieval, transfer) so we ended up paying $2500 out of pocket for this. PGS testing would have been $1000+ out of pocket if we had done it. My meds were fully covered by insurance.

He had strong preference of transferring only one because I was just 27 at the time. I’m not quite sure what his rationale was, but I had no interest in the possibility of a twin pregnancy so I didn’t ask much further. He just always referenced my age.

Dr. Keltz is smart, and he answers questions when you ask them. I like to make my decisions based on research and proven best practices. Dr. Keltz is well read on the latest information, so I trusted him to know best courses of action. One side note: after my transfers, he kissed my forehead. Both times. He asked if it was ok, and I said yes, but it definitely caught me off guard the first time.

Plan to be in the office a looooong time. Bring a book.

We did a high dose of Gonal-F, with Cetrotide to prevent ovulation too soon. I had a very low AMH result for my age, so we went in guns a-blazin’. I only stimmed for 8 days, and I ended up with 7 eggs retrieved, 5 mature, and 3 fertilized embryos. All made it to day 5. I used ICSI because I was using frozen sperm. I transferred one embryo in a fresh cycle, got a BFP, but the fetal pole never formed, so I had a D&C. Did a frozen transfer with the remaining two embryos, which resulted in a singleton pregnancy that I carried to term!

I paid out of pocket for the procedures, but insurance covered monitoring visits and meds. I had a high deductible, though, so the visits were still pricy. The IVF with ICSI (retrieval plus fresh transfer) was $8750. The FET was $3750. Freezing embryos was $1000.

Dr. Keltz tried very hard to convince me to transfer only one embryo for my FET. I pushed to transfer both, and still ended up with only one child, so it worked out for the best. There was a mix-up on the day of my transfer with the paperwork, but it got worked out (to the detriment of the doctor’s schedule.

I love working with Dr GReene. She’s very honest and open. Always answering any question I have. Takes her time with us, never felt rushed out of the clinic. Even though we have set backs with our insurance she always reminds me we have a plan in place and to stay focused on that no matter how discouraged I may get.

I would say to be patient trust the course. Ask questions and don’t be afraid to ask questions. No question is silly.

We have done 4 iui cycles with clomid and ovidrel. 5th cycle letrozole with ovidrel. Waiting for tomorrow’s appointment to see what we will do for the 6th treatment

Covered by my insurance

She really holds your hand through the whole process and provides all of the pertinent information. You feel like you are in great hands with her by your side. You can contact her at anytime and she always responds and answers all of my questions. All of the nurses and other staff are fantastic as well.

Go to her

My first IUI cycle we used clomid and my body didn't respond well to it. I loved that she changed the plan for the second IUI and we used letrozole instead which worked much better.

My insurance covered most of my costs

My doctor believes in eSET because of my young maternal age she said that it wouldn't change my odds significantly to do multiple embryo transfer.

Strengths: very intelligent and confident. Gentle and trustworthy. I feel Dr Keltz really cares about getting me pregnant and is doing what he think will gives us the best shot. Weakness: doesn't always explain things fully, I had to come with questions. Doesn't ask if I have questions.

Educate yourself beforehand and be prepared to ask questions. There are long wait times, plan accordingly.

First I was unexplained secondary infertility, likely pcos. We tried IUI with Clomid, 3 failed. Then I had a laparoscopy and discovered Endometriosis. Currently I am mid cycle for my first IVF with a frozen embryo transfer.

Not sure, most were covered by insurance.

Dr Keltz recommends single embryo transfer and I am comfortable with that.

From the moment we met Dr. Keltz, we were confident that though our journey could be long and hard, we’d end up with a baby. He is an industry expert, always increasing his knowledge of topics through research, attending conferences etc. Of all of my friends who had issues TTC, no one saw their doctor every time they went even if just for a scan, which is the opposite of our experience with Dr. Keltz. He is neurotically involved (a true perfectionist) with each of his patients, is incredibly inclusive of their partners and commits to being on your journey with you. Not sure how he keeps the energy after all of these years practicing and he’s not going anywhere anytime soon! Dr. Keltz was persistent in figuring out what our issues were with TTC (endometriosis, DOR, uterine septum, etc) and learned and iterated on each of our attempts through IUI and IVF. He never gave up on us and was respectful of when we needed pauses in treatment. His staff (Teresa, Lauren, Rochelle, Shayla, and more) are just incredible — sensitive, responsive and encouraging. He is 1000% to thank for our beautiful baby boy and we will be back to him as soon as possible for his guidance and support through future pregnancies

Be patient with the wait times in office. Every clinic has significant waits and there are so few places where you are seen by your doctor on every visit. The consistency that Dr Keltz follows in terms of physical seeing each of his patients each time is what allows him to iterate on each attempt and ultimately is why he’s so successful.

Uterine septum resected twice, laparoscopy for what was diagnosed as moderate to severe endometriosis, ivf with leupron to suppress endo symptoms

$20,000 - one cycle was not covered under our insurance (we were made aware of this and understood costs completely)

Very personable, treats patients with compassion. Has grown extremely fond of me because I have tolerated any in office procedure if cysts needed draining like a champ without medication for sedation. And even some procedures can become uncomfortable

You'll grow to love him just have to get use to his dry sense of humor sometimes

Lupron (20 units for flare; then 10 units), Gonal-F (300 units), Menopur (3 vials), Estrace, Progesterone (varied from 1cc to 2cc)

If you caught the first monitoring visits you are in and out, by 8am appointment sometime you wait longer because he can easily back up if a problem arise

My Ivf cycling for 2018 was covered under my insurance through work. Since my October transfer was canceled, dr recommended donor eggs. I was distraught because I recently found out none of the insurance offered for 2019 from employer had IVF coverage. My friend of only 2 years donated her eggs to me which had to be paid out of pocket but cheaper than egg bank. $450 donor consult $1000 donor bloodwork for FDA $1000 for cycling bloodwork $850 to see psychiatrist $550 anesthesia for donor egg retrieval $2500 egg retrieval My next transfer will be about $3500 out of pocket

Medically prefers 1 embryo transfer depending upon the comfort level if he feels the uterus cannot carry twins to healthy 35 week pregnancy

Dr. Greene was an excellent doctor and clearly explained the medical issues that caused my infertility. She clearly outlined all of the options and allowed us time to process what the next steps forward should be. She was an excellent listener and took my concerns seriously and thoroughly answered all of our questions.

Dr. Greene diagnosed my PCOS and we immediately began Clomid with timed intercourse. After a few months without success on Clomid, we began Letrozole. After two months on Letrozole, I conceived my now eight-month-old son!

co-pay with my insurance.

I would (and have) recommend Dr Keltz to anyone who is struggling to conceive. Not only is he brilliant and truly an expert in his field, but he is just all around an amazing care provider. He was always very candid with us, which I really appreciate in a doctor. When asked a question, he would give an honest answer which really helped to build trust. I also always really felt like he wanted us to have our baby. Another thing I really appreciated about him is that he was always ready to collaborate with me regarding treatment. Meaning that he would give his opinion but I never felt forced into doing anything I wasn't ready for. For example, when our IUI failed, he never said "okay, so on to IVF!" Instead, he brought the option of IVF to the table and said we could talk about it if I was inclined and that he realized how scary and intimidating IVF could be and he would be ready to answer all of my questions. Or, we could continue with IUI too. I really appreciated his willingness to have a conversation about it, whereas sometimes other doctors will just force their treatment opinion regardless of how the patient feels about it. Every step of the way he was checking in with me to make sure I agreed on treatment. I loved his direct but warm bedside manner. I also appreciated that he approached this intimidating treatment as normal. He never gave too much information that would stress me out at every single appointment and he didn't make it an emotional process while in the office. Anyone who has been through IVF knows how emotional it can be so I really appreciated being able to come to the office and just get the straightforward facts. And if I did bring him any specific questions or fears, he would answer them very straightforwardly, not beating around the bush. So I really appreciated our relationship and anyone who has met him or knows his resume knows that he is truly an expert in the field and Westmed is so lucky to have him!

I would say to go with lots of questions and knowing your stuff about fertility treatment. He does throw out words and phrases specific to the industry so knowing the terms is really helpful to keep up with him! He does not "dumb it down" for his patients :)

We initially started with a medicated IUI. I was on clomid for a few days and produced 3 eggs. However, at the IUI when Dr Keltz saw my partner's sample, he did not feel that it would result in a pregnancy due to the low quantity of washed sperm. We did proceed with the IUI anyway, since the eggs were ready and there were some sperm, but Dr Keltz's opinion proved correct and I did not become pregnant. At that point, we decided to move onto IVF because our insurance covered it and it would have been more expensive to see a reproductive urologist for my partner. I stimmed for about 9 days with Gonal-F and Menopur, all while taking Lupron. I responded very well to stims due to PCOS and we had a successful egg retrieval where embryos were formed and then using ICSI. We did a frozen transfer about 2 months later.

Once everything was said and done and billed by our insurance, our IUI, egg retrieval, and embryo transfer cost $14,000 (thankfully all paid by our insurance). We chose to pay for our meds out of pocket which were about $2,000 and we chose to do PGT-A testing, which we paid about $4,000 to Cooper Genomics (Westmed also charges a flat fee but our insurance did cover that fee).

Dr Keltz wanted me to do a single embryo transfer since I have never been pregnant before and there were no indicators that more than one embryo transfer would have been helpful to my case.