Dr. Wiltshire is truly exceptional—smart, kind, and incredibly thorough. She has a calm and reassuring presence that immediately puts you at ease...was empathetic, kind, and incredibly patient...always answered my questions via email or phone and was very accessible...Retrieval: 23 eggs retrieved, 17 mature
[Columbia University] was very organized, clean and transparent...care coordinator communicated with me to schedule and provided information about the entire team...billing/insurance department did a pre-authorization and sent me a breakdown...All expenses from the clinic were clearly outlined...morning monitoring visits, the clinic was efficient and well-run
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is truly exceptional—smart, kind, and incredibly thorough. She has a calm and reassuring presence that immediately puts you at ease. I started with a virtual consultation, went into the office for my baseline testing, and then met with her again virtually to discuss my baseline results. She clearly communicated my options and realistic expectations. I had originally planned to meet with multiple doctors, but after meeting with her, in combination with the price, location, and her reviews, I chose to proceed with my cycle with her and I am so glad I did.
After the virtual consultations and starting my cycle, I went into the office for ultrasounds and bloodwork a total of eight times. Dr. Wiltshire performed two of my visits and two other doctors performed a visit each as well. It was very reassuring to see her in person at my appointments! Between appointments, she always answered my questions via email or phone and was very accessible.
Towards the end of my cycle, my retrieval date was set for a Saturday and I became very nervous that another doctor was going to do my retrieval. She spent time reassuring me on the phone when she found out I was nervous and looked into all possibilities. Although my retrieval was scheduled with another doctor because of the weekend schedule, Dr. Wiltshire came in on her day off to do my retrieval and be there for me. I have never heard of this type of patient care before and shows just how much Dr. Wiltshire cares about her patients.
Throughout the process, Dr. Wiltshire kept my goals and best interest in mind. I am unsure if I want kids in the future, but I wanted to do everything I could now to solidify the option of having kids in the future if that is what I choose. I explained this to her and since I paid out of pocket, I also communicated that I was only going to be able to do this once. She made adjustments throughout my cycle to get the best possible results based on my ultrasounds and I was very happy with the outcome! I’m grateful to have had her guidance every step of the way.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
If you are upfront and communicate your goals and expectations, Dr. Wiltshire will most definitely keep them in mind and do everything she can to help you achieve them. Additionally, be prepared to not only have a truly smart and capable doctor but also a genuinely kind human being supporting you through the process.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is not only a great doctor but is also a really kind person. She was empathetic, kind, and incredibly patient throughout my entire egg freezing process. I was especially nervous about my retrieval because it turned out it was going to be on the weekend. When I found out another doctor was scheduled for that weekend day and was going to be doing the retrieval (which is very common in the egg freezing process), I became anxious because it is an emotional, high-stakes process and someone new was now becoming involved. Dr. Wiltshire went above and beyond to make sure I felt comfortable including reassuring me while I was crying on the phone and exploring every possibility to see if I could have my retrieval a day earlier. Ultimately she communicated that she recommended my Saturday retrieval for optimal results. On the day of the retrieval, she surprised me and came in on her day off over the weekend to personally perform the retrieval, just so I wouldn’t feel anxious about having a new doctor do it. I have never had a doctor or even heard of a doctor doing that before. Although I never expected her to do that because doctors are people who need breaks and time off, it was incredibly thoughtful and shows just how much she cares about her patients. I was really touched and even now writing this am so incredibly grateful for her kindness.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
Baseline Tests:
- AFC on three different days: 18, 18 and 14
- AMH: 2.90 ng/mL
I was unable to start on my initial day due to a high estrogen level, but started the next day.
Protocol:
Days 1-9: 150 Follistim + 150 menopur every evening
Days 4-9: Ganirelix added in addition at night
Days 8-9: 2nd Ganirelix added at a different time
Day 10: Ganirelix in the morning, 200 Follistim in the afternoon, Lupron trigger at night
Measurements:
Days 9-10: 18 follicles measured, tracking approximately 8 medium/large follicles
Day 10 estrogen level: 4301.2 pg/mL
Day 12 Retrieval: 23 eggs retrieved, 17 mature
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn (Kate) Klinger)
My nurse was Kate Klinger and just like Dr. Wiltshire, she was amazing. Her communication was clear and organized and she shared all information in a timely manner. She called me when necessary and was so supportive and helpful when I was nervous about my upcoming retrieval with a different doctor. She provided clear, explicit instructions, video supports and answers to all of my questions.
The nursing staff at the clinic was also great! Every single person was kind, cheerful and compassionate.
Describe your experience with Columbia University.
The clinic was very organized, clean and transparent. When I started the process, the care coordinator communicated with me to schedule and provided information about the entire team. The billing/insurance department did a pre-authorization and sent me a breakdown of what would or would not be covered by my insurance. All expenses from the clinic were clearly outlined. For my morning monitoring visits, the clinic was efficient and well-run. I was there every day for the last week, and every day everything ran smoothly!
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Two virtual consultations and initial baseline visit(covered by insurance): $30 copay each
Egg Freezing Cycle including all morning monitoring: $8,000
Anesthesia: $600
Medicine (had some medicine already): $1385
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
Dr. Wiltshire is brilliant and kind. She went above and beyond in providing me with the best care possible...She remembered the little things (small life details that I shared during our visits) as well as the big things (both my partner and I’s blood type)...strategy was very specific to my needs as a patient
CUMC is always busy, but I never felt rushed and always left feeling empowered and ready for what was next...was nothing short of exceptional...never experienced long waits for appointments, and the facility was impeccably clean, boasting state-of-the-art equipment that instilled confidence in their capabilities
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is brilliant and kind. She went above and beyond in providing me with the best care possible. CUMC is always busy, but I never felt rushed and always left feeling empowered and ready for what was next. I fully trusted Dr. Wiltshire with my care. She remembered the little things (small life details that I shared during our visits) as well as the big things (both my partner and I’s blood type). Graduating from CUMC was bittersweet- exciting because I left pregnant with my first child and sad because I was leaving the most incredible care team that made me feel so well cared for during one of the most difficult seasons of my life.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Almost 1 year ago, I was reading the answers that people had provided for this question on Dr. Wiltshire. Shortly after, I made my first appointment with her and I truly believe it was one of the best decisions I’ve made in my life. My piece of advice would be just be yourself. The reason why my care was so phenomenal was because Dr. Wiltshire tailored her care to fit my specific needs. She is brilliant but she is also incredibly caring and will go above and beyond to ensure your comfort.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire was quick to pick up that I’m a patient that likes to be very involved in the process. I ask questions, I do research and I need to feel informed. She came to every appointment prepared to explain a procedure or test result and made sure all of my questions were answered before seeing her next patient. It was evident that she cared about me as a patient, but also as a human. I trusted her fully throughout my time at CUFC and after (my current OB was recommended by Dr. Wiltshire).
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
My strategy was very specific to my needs as a patient. The first month or so was labs and ultrasound to help build a game plan. Once we had those results, Dr. Wiltshire walked me through the benefits and risks of each option. Once we determined the best path for me and my husband, I was given a thorough explanation of what was to come. Dr. Wiltshire explained every lab/ultrasound, making me feel involved in the process. When it came time for the transfer she introduced the entire team and explained every step of the process. After my pregnancy was confirmed, I had mentioned I’d had very mild spotting and while many doctors would’ve said it’s common to have spotting early on, she was able to identify that due to my blood type (along with my partners blood type) that I come in for a Rhogam shot. To this day, I’m incredibly thankful that instead of dismissing a common symptom she reviewed my file and acted quickly to lower my risk for potential issues.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
I had the privilege of being under the care of Nurse Kate, and I can confidently say she is exceptional. Kate kept me informed, listened attentively, and demonstrated a genuine passion for patient care. Her meticulous organization, clear communication, and unwavering dedication make her stand out. With her and Dr. Wiltshire, I truly felt like I was working with the Dream Team.
Describe your experience with Columbia University.
My journey with CUFC was nothing short of exceptional. From the moment I walked in, it was evident that this fertility center operated like a well-oiled machine. I never experienced long waits for appointments, and the facility was impeccably clean, boasting state-of-the-art equipment that instilled confidence in their capabilities.
What truly sets CUFC apart is its dedication to fertility research. As a leader in the field, I felt reassured knowing that I was working with some of the brightest minds in the industry. The doctors at CUFC not only provided expert medical care but also offered innovative solutions backed by the latest research, giving me hope and confidence throughout my journey.
I wholeheartedly recommend CUFC to anyone seeking fertility treatment. Their seamless operation, commitment to excellence, and pioneering research make them a top choice for anyone navigating the challenges of infertility.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Most of my care was partially covered by insurance. I hit my deductible early on after all of the preliminary work (labs/ultrasounds/erc.). All in - I probably paid around $5k - $7k out of pocket.
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
I expressed an interest in a multiple embryo transfer. I valued Dr. Wiltshire’s opinion and trusted her care and genuinely wanted to hear her advice. She recommended an eSET and based on her feedback I was aligned with her approach and didn't feel the need to push back.
Dr. Wiltshire is one of the most humane, empathetic, and kind doctors I've ever had. I always felt very secure under her care and trust her judgment completely. She continually reminded me of my autonomy as a patient and went through all the possible options and outcomes with me in terms of my situation (diminished ovarian reserve). She was always very respectful and left room for patient questions. She was also cognizant of my financial limitations, which I really appreciated. I won't forget her kindness and I look forward to working with her in the future for another freezing cycle.
Dr. Wiltshire is exceptional and everyone at Columbia Fertility has a wonderful bedside manner. The only difficulty I encountered was in administering some of the medications...and the video provided wasn't the best at clarifying this. After getting the hang of it everything went smoothly, however, and Columbia does have 24-7 on-call nurses and doctors who are available to speak after hours...Nurse Kate was very compassionate and kind throughout the whole process. She was reassuring and responsive and answered all my questions, both over email and over the phone. I hope to work with her again in my next cycle.
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire has the rare quality of being deeply compassionate without ever being condescending. She was there from start to finish of the egg freezing cycle and is extremely prompt over email, even writing after hours and calling personally to give updates about cycle developments. She also has a great sense of humor, which I really appreciated during such a stressful and emotional time. I felt entirely at ease with her and trust her entirely.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Whenever I met with Dr. Wiltshire she made sure I knew that there was time for me to ask questions, and I would recommend doing this if you have questions; Dr. Wiltshire and her team are incredibly responsive and caring and I found it very helpful to get her insight on the questions I had.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is one of the most humane, empathetic, and kind doctors I've ever had. I always felt very secure under her care and trust her judgment completely. She continually reminded me of my autonomy as a patient and went through all the possible options and outcomes with me in terms of my situation (diminished ovarian reserve). She was always very respectful and left room for patient questions. She was also cognizant of my financial limitations, which I really appreciated. I won't forget her kindness and I look forward to working with her in the future for another freezing cycle.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
I did one cycle of egg freezing with Dr. Wiltshire and was on around nine days of injections before retrieval. I was placed on Clomid, Menopur, Gonal, Cetrotide, and ultimately Pregnyl and HCG for the trigger shot (I was placed on higher doses because I have a low AMH level and diminished ovarian reserve). At one point in the cycle it looked like only about 25% of my follicles were responding to treatment, so Dr. Wiltshire increased my Gonal and we ended up getting almost twice as many eggs to respond with this adjustment. I appreciate how conscientious Dr. Wiltshire was in her assessments of my treatment plan.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Nurse Kathryn Klinger)
Nurse Kate was very compassionate and kind throughout the whole process. She was reassuring and responsive and answered all my questions, both over email and over the phone. I hope to work with her again in my next cycle.
Describe your experience with Columbia University.
Dr. Wiltshire is exceptional and everyone at Columbia Fertility has a wonderful bedside manner. The only difficulty I encountered was in administering some of the medications; during the first couple uses it was hard to figure out how Gonal worked, and the video provided wasn't the best at clarifying this. After getting the hang of it everything went smoothly, however, and Columbia does have 24-7 on-call nurses and doctors who are available to speak after hours.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Fully out-of-pocket: $8000 for the freezing cycle, $600 for anesthesia, and $3,500 for medications from an outside pharmacy. $1,200 for each year of storage after the first year, during which there is no charge.
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
Dr. Wiltshire was very kind and helpful throughout this process...explained what the process would look like to the plan of action...addressed all of my concerns and answered every question...2 powder vials of Menopur and 150 units of Gonal. Don't quote me, but I believe 1 Ganirelix was added to the rotation close to the start of week 2, all to stimulate follicle growth. Lupron 4 mg 2 nights before my retrieval
[Columbia University] was efficient regarding time...I feel that something that could be worked on is the scheduling of doctors to their patients...Kate was really great as she was the one primarily giving me my medication instructions everyday...Lauren was my care coordinator and she was helpful from the start. Always pleasant to talk to and super patient
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire was very kind and helpful throughout this process. She explained what the process would look like to the plan of action and was happy to take more time to discuss. She addressed all of my concerns and answered every question I had. She had a very positive take on all of it and that eased my nerves for sure. My experience as a patient was good. Going into this I was nervous because I didn't totally know what to expect, but I felt that I was being taken care of. Getting blood drawn every other day can be irritating, but it is a part of the process so I was not mad at it. I was very supported at home, but also felt equipped with resources at the clinic that could support me as well. It was a great experience for me.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
She's pushing for your success!
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
I very much felt like a human because Dr. Wiltshire and her team always answered when I asked. Going into this process, I had A LOT of questions, even had questions that I didn't think I would have. This wasn't an issue because whenever I needed separate time with Dr. Wiltshire or a quick call with my nurse, it wasn't a problem and I didn't feel like a bother. There was also a situation where I wanted to pause the process and I was assured that however and when I wanted to start, was totally up to me. That was super important because an egg freezing cycle has the potential to become high pressure, but I felt very comfortable. Dr. Wiltshire has a very pleasant bedside manner and is super helpful and accommodating and I would recommend her and her team again and again!
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
To start, I was on 2 powder vials of Menopur and 150 units of Gonal. Don't quote me, but I believe 1 Ganirelix was added to the rotation close to the start of week 2, all to stimulate follicle growth. Lupron 4 mg 2 nights before my retrieval.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Katherine Klinger/Lauren Rosero)
Kate was really great as she was the one primarily giving me my medication instructions everyday. She was very detailed and made sure I understood everything before I needed to take my dosage. Lauren was my care coordinator and she was helpful from the start. Always pleasant to talk to and super patient.
Describe your experience with Columbia University.
I believe that the clinic was efficient regarding time. I had to come in pretty frequently for monitoring and I hardly waited more than 5-10 minutes and when I was seen, I was in and out. I think that part is down to a science. I feel that something that could be worked on is the scheduling of doctors to their patients. I understand it isn't able to happen every time, but think it could be more frequently.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Because this was not covered under my insurance, but a reimbursement program, I had to pay the out of pocket package cost of $8K. Anesthesia and medication was an additional $4K.
Dr. Wiltshire’s experience & knowledge combined with her bedside manner makes her the ideal professional to navigate a mentally and physically daunting journey...extremely knowledgeable and reached out via phone and email to clearly communicate the meaning of results, nexts steps and the resources available throughout the process...Dr. Wiltshire’s attention to my case and quality of care did not waiver
The experience was top tier and I would recommend CU’s medical care to anyone. Personally, a key reassuring component of my care was knowing that I had a network of doctors with various specialties available as needed. Being bounced around to navigating different offices and insurance protocols is one of the most stressful things about seeking healthcare— CU’s system provided a seamless patient experience that gave me the space to focus on my health.
How was your experience with Ashley Wiltshire at Columbia University?
Words cannot express how grateful & I am to have had Dr. Wiltshire as my doctor, but I will surely try! I emphatically recommend selecting Dr. Wiltshire for your fertility journey. I began my journey nervous, overwhelmed and with many questions. Yet, all nervousness dissipated in lieu of the extremely knowledgeable, empathetic and professional bedside manner of Dr. Wiltshire. During our initial consultation, she took my personal history with care, answered every question I had -no matter how small, and laid out a clear plan of care.
During the hormone cycle, the nursing/ medication staff becomes your main contact, but Dr. Wiltshire’s attention to my case and quality of care did not waiver. When I had questions about my treatment, symptoms etc. via email or voice message, Dr. Wiltshire swiftly responded, with an attention to detail I’ve never experienced under any doctor’s care. Dr. Wiltshire and the supporting staff acted so synchronously that I was never concerned about falling through the cracks.
Day of my egg retrieval, Dr. Wiltshire was literally the last confident & reassuring voice I heard (responding to my last nervous procedural question) before the anesthesia kicked in, and the first staff person I remember speaking to in post-op recovery.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Breathe easy, because you are in good hands! Additionally, do not feel nervous to ask questions. Dr. Wiltshire’s experience & knowledge combined with her bedside manner makes her the ideal professional to navigate a mentally and physically daunting journey.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
I was treated with care and compassion throughout the process. Dr. Wiltshire was extremely knowledgeable and reached out via phone and email to clearly communicate the meaning of results, nexts steps and the resources available throughout the process.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
We initially requested a consultation via email/ the CU website and the initial consultation was promptly scheduled by her team. During our initial consultation via video chat, Dr. Wiltshire took a thorough personal and family medical history. We also discussed what the motivations and desired outcomes were for our fertility treatment. Lastly, Dr. Wiltshire walked us through the next steps and answered any additional questions we had.
Our next steps included blood panels to tests, currently fertility, health status, and any pre-existing genetic conditions. After the needed tests were complete & explained, we began the fertility medications. The medication treatment plan and administration was explained in great detail and had videos to provide step by step instructions. The staff checked in with me regularly and often and Dr. Wiltshire swiftly returned insight to any questions I had.
As retrieval day got closer, check-ins and blood work became near daily and the team was amazing the whole time. In the days leading up to extraction, pre & post-care operation was clearly walked through.
Lastly, Dr. Wiltshire provided day by day updates and the final results of our egg retrieval cycle.
Describe your experience with your nurse at Columbia University. (Assigned nurse: First Daniella, then Martha )
The team was personable, courteous, proactive and extremely professional. Navigating fertility treatment can be mentally daunting, but knowing that you have The Avengers League of healthcare professionals at your side puts all fears to rest.
Describe your experience with Columbia University.
The experience was top tier and I would recommend CU’s medical care to anyone. Personally, a key reassuring component of my care was knowing that I had a network of doctors with various specialties available as needed. Being bounced around to navigating different offices and insurance protocols is one of the most stressful things about seeking healthcare— CU’s system provided a seamless patient experience that gave me the space to focus on my health.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
I don't ,in full ,remember the total costs, but have a ball park of $12-25k all in. I am unsure since the billing department did an amazing job of checking/ running everything through insurance. From the costs that were paid out of pocket, since we do have a robust healthcare plan, we spent an estimate of $4-8k.
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
I'm so thankful I had Dr. Wiltshire as my physician. She is smart and knowledgeable, answer all my questions, and most importantly she talked me through all my options at each step of the process and supported my decisions around treatment. I did two cycles of egg freezing due to cancer. The first cycle was unsuccessful, and I was somewhat unsure about trying a second time. Dr. Wiltshire met with me twice before I made a final decision. I never felt pressure from her either way, she was completely supportive of whatever decision I choose to make. Ultimately, I decided to do a second cycle, and Dr. Wiltshire carefully walked me through the adjustments in protocol and answered all my questions.
Columbia Fertility is extremely well organized from their website and ability to see available doctors and services, to patient care with clear throughout instructions throughout your treatment. They have coordinators for different areas, and each provides you with a wealth of information and are prompt to respond to inquiries about medication, insurance, cost, etc...I can't recommend Dr. Wiltshire enough as a physician who is both intelligent and has a great caring bedside manner.
How was your experience with Ashley Wiltshire at Columbia University?
I'm so thankful I had Dr. Wiltshire as my physician. She is smart and knowledgeable, answer all my questions, and most importantly she talked me through all my options at each step of the process and supported my decisions around treatment. I did two cycles of egg freezing due to cancer. The first cycle was unsuccessful, and I was somewhat unsure about trying a second time. Dr. Wiltshire met with me twice before I made a final decision. I never felt pressure from her either way, she was completely supportive of whatever decision I choose to make. Ultimately, I decided to do a second cycle, and Dr. Wiltshire carefully walked me through the adjustments in protocol and answered all my questions. I made it to the egg revival stage the second time and felt so safe in Dr. Wiltshire's hands. Sometimes it's hard to find a doctor attentive to the patient experience, even when you are dealing with cancer and fertility, but Dr. Wiltshire is the rare combination of excellent physician and bedside manner.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
With Dr. Wiltshire you are safe to ask the questions you may be hesitating about. The things that worry you and you are not sure about. You will be heard and respected!
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
I was impressed how Dr. Wiltshire treated me with the utmost respect throughout my treatment. From beginning to end she answered all my questions and never rushed me. Dr. Wiltshire explained the complexities of my situation and was willing to do research to thoroughly answer my questions and formulate a plan that would give me a fighting chance. She check-in via email, phone, and zoom, before and during treatment to see how I was doing and talk through how to proceed. I can't recommend Dr. Wiltshire enough as a physician who is both intelligent and has a great caring bedside manner.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
The first cycle was ten days of injections. I started with six follicles, three of which grew, but by the end of the cycle only one for possible retrieval so the cycle was ended with retrieval. The second cycle consisted of nine days of injections, this time I was able to proceed to retrieval and had two eggs retrieved and frozen.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
Kate was great. She provided me with an email with an overview of how treatment schedule could go. Links to videos to prepare for injections and an FAQ from the center. She also did a practice injection session over zoom so I could be comfortable with giving myself injections. Kate responded promptly to my questions. She gave me clear instructions throughout and after egg retrieval for medication and restrictions.
Describe your experience with Columbia University.
Columbia Fertility is extremely well organized from their website and ability to see available doctors and services, to patient care with clear throughout instructions throughout your treatment. They have coordinators for different areas, and each provides you with a wealth of information and are prompt to respond to inquiries about medication, insurance, cost, etc.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Most of my care was covered by insurance, but co-pays for visits including morning monitoring, blood work, ultrasounds, and medication was between $1000 - $1200
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
I had an egg freezing cycle. She [Dr. Ashley Wiltshire] monitored my hormones and my follicle size and adjusted the levels day by day and I responded appropriately. She has the medical expertise to get you to achieve your goal. It was nerve wracking for me since I have to pay out of pocket but I only had successful experiences with her...She was very kind, answered all my medical questions, was never inpatient with me...I was very afraid of how I would manage with my busy schedule but she accommodated every question I had an maneuvered my cycle so I would do it before my vacation and an important exam. I gladly did a second cycle with her because of how easy she made it the first time and because she explained to me the percentage of success with my first cycle. I like that she involved me with the process. She is incredibly smart and I’m so glad I got to experience her care as a patient.
[Columbia University's] strength was that there was 2 locations so I did my ultrasound in one location and the egg retrieval somewhere else which went smoothly with my job schedule. They also allowed me to meet with the doctors virtually. Also they gave me information on how to qualify for the medications with a discount program which was not done at the other fertility center I visited before this one. Basically everything that was initially going to be a barrier was resolved in this clinic (location, visits, and medications).First cycle $10,450. Second cycle $9700...
How was your experience with Ashley Wiltshire at Columbia University?
I was very afraid of how I would manage with my busy schedule but she accommodated every question I had an maneuvered my cycle so I would do it before my vacation and an important exam. I gladly did a second cycle with her because of how easy she made it the first time and because she explained to me the percentage of success with my first cycle. I like that she involved me with the process. She is incredibly smart and I’m so glad I got to experience her care as a patient.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Rest easy because you are in safe, knowledgeable, and kind hands. Any worries you have, she will tell you the truth and use her medical reasoning while being understanding. You lucked out as did I!
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
She was very kind, answered all my medical questions, was never inpatient with me.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
I had an egg freezing cycle. She monitored my hormones and my follicle size and adjusted the levels day by day and I responded appropriately. She has the medical expertise to get you to achieve your goal. It was nerve wracking for me since I have to pay out of pocket but I only had successful experiences with her.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Sakari Joseph)
I had many nurses but the main nurse always responded quickly and would reach out to Dr. Wiltshire if she needed to or to the Medication Coordinator or Appointment Coordinator in a timely manner
Describe your experience with Columbia University.
The clinic’s strength was that there was 2 locations so I did my ultrasound in one location and the egg retrieval somewhere else which went smoothly with my job schedule. They also allowed me to meet with the doctors virtually. Also they gave me information on how to qualify for the medications with a discount program which was not done at the other fertility center I visited before this one. Basically everything that was initially going to be a barrier was resolved in this clinic (location, visits, and medications).
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
First cycle $10,450. Second cycle $9700
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
I could not have had a better experience. Dr. Ashley always made herself available when I needed, she listened to my hesitations and requests, and worked with me with a lot of care! As a Black woman, it was reassuring to work with someone who looked like me and made sure I was always treated with respect and cared for... She developed a treatment plan that worked with my schedule, optimized to leverage my insurance and have 2 cycles. She answered all of the questions I had
They [Columbia University] were prompt for your assigned time which was great, I did not have to wait long. There was even I time I signed in for the wrong day and they corrected it so I could still be seen. The only unpleasant experience I had was one of the visits, I was late due to waiting for the elevator and they asked me to come back after lunch (I live in Brooklyn), luckily my doctor was there and I was able to meet with her that morning.
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Ashley is a phenomenal doctor! I could not have had a better experience. I was very nervous coming into the treatments and also had a tight deadline due to switching jobs. She developed a treatment plan that worked with my schedule, optimized to leverage my insurance and have 2 cycles. She answered all of the questions I had, listened to my requests with wanting abdominal ultrasounds if possible, and allowed an alternative for drawing blood that eased the process a bit for me personally. She made sure to be there for both of my retrievals which made me feel as though I was truly in great hands.
Can't recommend her enough!
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Be honest about your questions or concerns, no matter how trivial you think they are! Dr. Ashley will answer :)
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
I could not have had a better experience. Dr. Ashley always made herself available when I needed, she listened to my hesitations and requests, and worked with me with a lot of care! As a Black woman, it was reassuring to work with someone who looked like me and made sure I was always treated with respect and cared for.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
The 1st cycle I went through about 10 days of injections, 3 follicles grew quickly (faster than the rest), so she modified the treatment. We were able to retrieve 8 and freeze 3.
I did a 2nd cycle immediately after the 1st. This time, Dr. Ashley adjusted my treatment plan starting with estrogen tablets & clomid at the outset, then I went through about 11/12 days of injections. The adjustments worked and we were able to retrieve 14 and freeze 12!
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn "Kate" Klinger)
My primary nurse, Kate, was great! I had lots of questions around mixing the medications myself and she hopped on a few different video calls with me just to ensure I was doing it correctly.
Describe your experience with Columbia University.
Even though I live in Brooklyn, the clinic was easy to get to, right off the A line which was helpful. They were prompt for your assigned time which was great, I did not have to wait long. There was even I time I signed in for the wrong day and they corrected it so I could still be seen. The only unpleasant experience I had was one of the visits, I was late due to waiting for the elevator and they asked me to come back after lunch (I live in Brooklyn), luckily my doctor was there and I was able to meet with her that morning.
Describe your experience with your monitoring appointments at Columbia University.
Very efficient, when I came in, they saw you within 10 minutes of your appointment time, sometimes sooner.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
90% of my treatment was covered with my Progyny insurance
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
Dr. Wiltshire was super thorough and conscientious with my care...Dr. Wiltshire really pushed me to have as many mature follicles as possible while closely monitoring me for hyperstimulation. Several ultrasound techs/providers commented that I might be ready for triggering based on my ultrasounds, but she was super patient and wanted to keep going. I'm at a stage in my career/training where the egg retrieval was a big financial commitment for me, and I really appreciate her careful care so that I could get the most out of this cycle as possible...
[Columbia University] Very efficient and high volume. Doctor was easily reachable and communicative over email. Saw her a handful of times throughout monitoring, which is not necessarily a problem. Morning monitoring appointments very efficient---they were always on time and ultrasounds/bloodwork were always complete within 15 minutes. All of the phlebotomists and techs were very available. I also broke a menopur vial at home once and they gave me a replacement that was lying around, which I really appreciated.
How was your experience with Ashley Wiltshire at Columbia University?
I would recommend Dr. Wiltshire to anyone! She was super communicative and available throughout the whole process, and was really patient and meticulous with my care. The entire clinic as well was well organized, and they offer very early morning monitoring appointments which was super helpful with my work schedule.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire was super thorough and conscientious with my care. I am a physician and am undergoing elective egg freezing, and Dr. Wiltshire really pushed me to have as many mature follicles as possible while closely monitoring me for hyperstimulation. Several ultrasound techs/providers commented that I might be ready for triggering based on my ultrasounds, but she was super patient and wanted to keep going. I'm at a stage in my career/training where the egg retrieval was a big financial commitment for me, and I really appreciate her careful care so that I could get the most out of this cycle as possible.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
Egg retrieval:
follistim + menopur days 1,2
follistim + menopur+ganirelix days 3-10
Trigger: lupron only
Extraction on day 12
Describe your experience with Columbia University.
Very efficient and high volume. Doctor was easily reachable and communicative over email. Saw her a handful of times throughout monitoring, which is not necessarily a problem. Morning monitoring appointments very efficient---they were always on time and ultrasounds/bloodwork were always complete within 15 minutes. All of the phlebotomists and techs were very available. I also broke a menopur vial at home once and they gave me a replacement that was lying around, which I really appreciated.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
cycle $8000
meds $2500
anethesia $600
storage first year free, then $1200 annually
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
Dr. Wiltshire makes herself very accessible...always replies promptly to emails and questions...does a great job of breaking things down the more scientific aspects of the treatment...made me feel very heard throughout the process...She will definitely listen and accommodate where it makes sense for the treatment plan.
Strengths [of Columbia University] Responsive, easy to schedule, punctual (esp. for morning monitoring.)...saw various doctors (e.g., for scans and monitoring) and all were great...Weaknesses...assigned various support coordinators (e.g., scheduling, medication, billing, etc.) - it can be confusing at times to understand who to reach out to for what
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire makes herself very accessible to patients. I really appreciated that she always replies promptly to emails and questions. Moreover she does a great job of breaking things down the more scientific aspects of the treatment into more digestible terms and always made me feel very heard throughout the process.
IVF / fertility treatment is a mentally, emotionally and physically tough process. However, I always felt that Dr. Wiltshire was there for me / on my team - this is especially impressive given the large size of the clinic!
For those working with Dr. Wiltshire, I would recommend that you do your research on the process and communicate clearly to her your questions, preferences, etc. She will definitely listen and accommodate where it makes sense for the treatment plan.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Do your own research on the process and come to her with clear questions, preferences, etc. so that she can help you figure out what would make sense to incorporate into your treatment plan.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is a skilled & patient friendly doctor. Throughout my treatment, she was very accessible (either by meeting or email) and showed great empathy in helping me manage some concerns and side effects. She also went out of her way to be on site to do my egg retrieval procedure herself (vs. having the on call doctor do it) which I really appreciated!
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
Kate was assigned to me as my nurse. She was absolutely amazing - super detailed, organized, responsive, etc. I hope to continue working with her throughout my treatment at Columbia
Describe your experience with Columbia University.
Strengths: Responsive, easy to schedule, punctual (esp. for morning monitoring.) I also saw various doctors (e.g., for scans and monitoring) and all were great!
Weaknesses: You will be assigned various support coordinators (e.g., scheduling, medication, billing, etc.) - it can be confusing at times to understand who to reach out to for what. Also, the clinic often sends very long and detailed emails which can be a bit challenging to digest - I would recommend distilling the information in a more easy to read manner (e.g., PDF document, FAQ docs, etc.)
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Dr Wiltshire is a phenomenal provider...From the first time we met to our most recent appointment a last month, she has been supportive, kind, compassionate and thorough every step of the way...made me feel so special and well taken care of...explains and delivers care and information with such comfort, ease, and respect
[Columbia University] staff was organized and thorough...front desk staff were warm and welcoming...check in process was easy...time slots available were perfect for a busy working professional like myself...lab techs were AMAZING! Sono techs made me feel safe and took good care of me
How was your experience with Ashley Wiltshire at Columbia University?
Dr Wiltshire is a phenomenal provider. As a patient, I was absolutely respected and taken care of. From the first time we met to our most recent appointment a last month, she has been supportive, kind, compassionate and thorough every step of the way. I honestly cannot say a single negative thing about Dr. Wilthire. She is the best I have experienced in the field of REI/Fertility.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
She is the best. Go!
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire was amazing. She made me feel so special and well taken care of. She is knowledgable in her speciality. She explains and delivers care and information with such comfort, ease, and respect. She is supportive and passionate about her field of work and it translates into how she took care of me. Some of the best care I have ever received in life.
Describe your experience with your nurse at Columbia University. (Assigned nurse: kate klinger)
Not a single complaint. Professional, communicative, and thorough.
Describe your experience with Columbia University.
The clinic staff was organized and thorough. The front desk staff were warm and welcoming. The check in process was easy. The time slots available were perfect for a busy working professional like myself. The lab techs were AMAZING! Sono techs made me feel safe and took good care of me.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
N/A
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
She was honest and informative. It was a question that I initially brought up. Her response mirrored my thoughts and was backed up with evidence based practice. Explained all the risk, benefits and rationales. She provided reasonings and left me feeling comfortable and confident in potential outcomes.
Dr. Wiltshire is knowledgeable and compassionate....felt like I was in good hands...never had to guess what the next step was in my journey...I felt like my well being mattered and therefore felt safe...then recommended IVF as we would have the ability to test the embryos that reached the appropriate stage
Strengths [of Columbia University[: Good communication, prompt service, friendly, knowledgable...Weaknesses...trying to use the operator service when calling the fertility center is nearly impossible...Kathryn Klinger is wonderful. Communication was always thorough and timely and I felt taken care of
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is knowledgeable and compassionate. I felt like I was in good hands. I would highly recommend choosing her for fertility treatments. I never had to guess what the next step was in my journey and I knew what to expect every step of the way. Most of all I felt like my well being mattered and therefore felt safe.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
The entire team was always ready and willing to answer any of my questions and concerns. I felt well taken care of and like I mattered.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
We tried IUI first because it made sense. That resulted in a miscarriage due to an abnormal number of chromosomes. Dr. Wiltshire then recommended IVF as we would have the ability to test the embryos that reached the appropriate stage. This plan was sound and resulted in implantation success.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
Kathryn Klinger is wonderful. Communication was always thorough and timely and I felt taken care of. I’d ask her a million questions but she answered each one with patience and compassion. I really enjoyed working with her.
Describe your experience with Columbia University.
Strengths: Good communication, prompt service, friendly, knowledgable.
Weaknesses: The only note I have is that trying to use the operator service when calling the fertility center is nearly impossible.
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
I felt Dr. Wiltshire made the right every step of the way.
What specific things went wrong at Columbia University?
Dr. Wiltshire's bedside manner was excellent, her responses were prompt and she carefully walked me through all my options. As a woman of color it was also comforting to work with someone who looked like me and who I felt understood my health needs and helped me properly assess any associated risks or fears I had...I really appreciated her candor and kindness as her patient. She also helped me identify my goals, which I had never thought about before, and readily answered any questions I had. I'd highly recommend her to anyone, I had a wonderful experience with her as her patient.
The [Columbia University] location is great and easy to get to, the clinic itself has a lovely environment and all the staff are professional and helpful. I don't think I spotted any major weaknesses. I would recommend to any of my friends...The nursing staff were great - prompt and helpful...Dr. Wiltshire's bedside manner was excellent, her responses were prompt and she carefully walked me through all my options. As a woman of color it was also comforting to work with someone who looked like me and who I felt understood my health needs and helped me properly assess any associated risks or fears I had.
How was your experience with Ashley Wiltshire at Columbia University?
This was my first time going through the egg freezing process and Dr. Wiltshire was very knowledgeable, caring and supportive throughout. I really appreciated her candor and kindness as her patient. She also helped me identify my goals, which I had never thought about before, and readily answered any questions I had. I'd highly recommend her to anyone, I had a wonderful experience with her as her patient.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Think through any questions you have in advance so you can make the most of your time with her. She's very thorough!
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire's bedside manner was excellent, her responses were prompt and she carefully walked me through all my options. As a woman of color it was also comforting to work with someone who looked like me and who I felt understood my health needs and helped me properly assess any associated risks or fears I had.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
N/A
Describe your experience with the nursing staff at Columbia University.
The nursing staff were great - prompt and helpful!
Describe your experience with Columbia University.
The location is great and easy to get to, the clinic itself has a lovely environment and all the staff are professional and helpful. I don't think I spotted any major weaknesses. I would recommend to any of my friends.
Dr. Wilshire created a personalize plan based on our personal reasoning for PGT and embryo freezing...took the time to explain everything...She was approachable, kind and I never felt rushed during our visits...traditional cycle of egg retrieval...20 oocytes retrieved...5 that made it to the blastocyst stage, 4 tested negative for MLH-2
[Columbia University] was inviting with friendly staff and excellent means of communication...testing done in a very timely manner, hardly waiting more than 15 minutes per visit for lab draws or ultrasound...easy to email any staff member...always had someone available on the weekends. Medication delivery and instructions were very clear and easy to follow
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire took the time to explain everything from the beginning stages of the IVF process with preimplantation genetic testing through the transfer. I always knew exactly what to expect during each stage. She was approachable, kind and I never felt rushed during our visits.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Do not hesitate to reach out to her clinical staff between visits with questions. They are always very responsible and approachable.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wilshire created a personalize plan based on our personal reasoning for PGT and embryo freezing. She took the time to understand our backstory and medical history and always made herself available for questions.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
I underwent preimplantation genetic testing as my husband is a carrier for Lynch syndrome. We went through a traditional cycle of egg retrieval over the course of about 14 days. We had 20 oocytes retrieved, 15 mature and 13 embryos that fertilized normally. Of the 5 that made it to the blastocyst stage, 4 tested negative for MLH-2.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Darbouze, Marsha and Klinger, Kathryn)
The nursing staff and care coordinator were extremely responsive and easy to communicate with throughout the entire IVF process. They responded to emails and phone calls in a timely manner and provided clear and concise detail with regards to every step.
Describe your experience with Columbia University.
The clinic was inviting with friendly staff and excellent means of communication. I always had my testing done in a very timely manner, hardly waiting more than 15 minutes per visit for lab draws or ultrasound. It was easy to email any staff member, and they always had someone available on the weekends. Medication delivery and instructions were very clear and easy to follow.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Copay for each monitoring visit $30.
PGT with Juno Labs - $3000 for probe development plus $400 per embryo tested
Retrieval process - $2300 after insurance coverage
Dr. Wiltshire is compassionate, clear, and understanding...walked me through my options and answered all my questions...able to contact her whenever I needed, and she was available for consultation...mostly had video visits...she personally saw me multiple times from 6-10 weeks before I was discharged to my OBGYN
[Columbia University] works like a machine, and I mean that in the best possible way. Everyone was professional and compassionate...felt like I was in fantastic care each time I visited...I could schedule my own appointments in the mornings (before 10:30am)...Everything is clean and sanitary, but if “new” or feelings of “luxury” are important to you, I’m not sure this is the place
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is compassionate, clear, and understanding. I was referred to her by my OBGYN after multiple miscarriages, and I am glad she is my physician.
She walked me through my options and answered all my questions. I was able to contact her whenever I needed, and she was available for consultation. (I mostly had video visits so am not sure if this level of availability would be as easy if someone wanted to see her in person.) Most of the scheduling and billing interaction I had was with my nurse, but - when I did have questions - Dr. Wiltshire responded quickly. I chose to connect with her these times via email.
I saw her once for a consultation and then after each set of tests we conducted. She was not the one conducting these tests (I would be referred to a specialist or see someone in the practice depending on who was working that day / shift).
I was lucky enough to get pregnant under Dr. Wiltshire’s care, and she personally saw me multiple times from 6-10 weeks before I was discharged to my OBGYN. She provided thorough care.
I couldn’t recommend her enough.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Feel free to ask your questions. Dr. Wiltshire is attentive and helpful. She will tell you what is happening - in a way that is easy to understand and with good bedside manner.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire and the entire practice were amazing. I felt cared for and prioritized.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kate Klinger)
I can’t say enough good things about Kate. She made me feel like I was her only patient. I had questions throughout the process, questions that I felt like we’re dumb questions, and she always took the time and care to make sure I felt comfortable with everything going on.
Describe your experience with Columbia University.
The clinic has two locations, and I went to the midtown location. The clinic works like a machine, and I mean that in the best possible way. Everyone was professional and compassionate, and I felt like I was in fantastic care each time I visited.
Most of my treatment was for IUI. I could schedule my own appointments in the mornings (before 10:30am). Multiple times I got to the practice early or late and they had no issues with getting me in and out quickly.
Blood draw was quick and relatively painless. There always seemed to be plenty of people on staff. I think the shortest time I spent (for blood draw and monitoring) was 15 minutes and the longest was 45 minutes. 15 minutes was much closer to the norm.
They are in the process of remodeling the location. Everything is clean and sanitary, but if “new” or feelings of “luxury” are important to you, I’m not sure this is the place. What was important to me was professionalism, ease, and level of care - and I would give the clinic 10/10 on each of these.
I would highly recommend Columbia to anyone thinking about seeking fertility treatment.
Dr. Wiltshire's professionalism, empathy, and expertise are truly unmatched...took the time to explain every detail...I felt confident and comfortable throughout the entire process...Morning Monitoring was key; the everyday check-up gave Dr. Wiltshire a full comprehensive review of exactly when would be the most beneficial time to trigger my ovulation and schedule my retrieval
[Columbia University] was amazing! Only a few times did I think the front desk staff could've been a bit more attentive and organized. Everyone else, literally everyone else, was exceptionally professional and beyond friendly and comforting...They turned what could have been an overwhelming experience into one filled with hope and positivity
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is genuinely the best in the field, and I wholeheartedly recommend her and the Columbia University Fertility Center to anyone navigating their fertility journey. She turned what could have been an overwhelming experience into one filled with hope, positivity, and an excellent outcome for me! She's a superstar in my eyes and I will forever sing her praises!
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Dr. Wiltshire, knows what she's talking about and will always keep your health and desired outcome top of mind during this entire process.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire's professionalism, empathy, and expertise are truly unmatched. She took the time to explain every detail and made sure I felt confident and comfortable throughout the entire process. The care I received from the whole team was exceptional, and I thought I was in the best possible hands.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
Morning Monitoring was key; the everyday check-up gave Dr. Wiltshire a full comprehensive review of exactly when would be the most beneficial time to trigger my ovulation and schedule my retrieval. I'm more than grateful to her for leaning into her expertise in scheduling my retrieval because I had initially asked her to wait a day. If she had decided on my schedule, I wonder if my outcome would have been as many as 25 of 31 mature eggs frozen.
Describe your experience with the nursing staff at Columbia University.
They turned what could have been an overwhelming experience into one filled with hope and positivity.
Describe your experience with Columbia University.
The clinic was amazing! Only a few times did I think the front desk staff could've been a bit more attentive and organized. Everyone else, literally everyone else, was exceptionally professional and beyond friendly and comforting.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Most of my costs were covered under my insurance
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
Dr. Wiltshire was very thorough...was truly dedicated to my case...regular emails checking in and giving me updates as well as her follow up and phone calls...had tubal blockage and hydrosalpinx, and endometriosis scarring...stressing the importance of embryo testing...more aggressive approach, given my condition
[Columbia University was] very organized and professional. I never had a long wait during an appointment visit...nursing staff worked as a team...always heard back from someone within 24 hrs or less depending on the level of urgency of my email...never felt like I was in limbo and I was always very well aware of what to expect
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire was very thorough throughout my journey. She knew that I previously underwent failed IUIs and other failed IVF cycles. She ensured I optimized all my options that would increase my success rate. Also stressing the importance of embryo testing was a game changer for me. I felt she knew taking a more aggressive approach, given my condition, is what I needed. And I truly valued her professional consultation and advice.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
I highly recommend PGT embryo testing to ensure you aren’t wasting time transferring abnormal embryos.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire took the time to thoroughly explain the process each step of the way. I loved that she was truly dedicated to my case. And it showed by her regular emails checking in and giving me updates as well as her follow up and phone calls, when the situation warranted. It made me feel that she wanted to ensure the everything went as planned and we were working to be successful.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
I had tubal blockage and hydrosalpinx, and endometriosis scarring. Another surgeon performed a tube removal surgery. As well as removal of cysts and endometriosis scarring.
I did PGT testing to ensure we transferred a normal embryo.
They also did assisted hatching for my frozen embryo transfer.
Describe your experience with the nursing staff at Columbia University.
The nursing staff worked as a team whenever I emailed someone and they happened to not be available, a secondary nurse responded. I always heard back from someone within 24 hrs or less depending on the level of urgency of my email. I never felt like I was in limbo and I was always very well aware of what to expect. It was very reassuring.
Describe your experience with Columbia University.
I have no complaints about the clinic. I like that they have 2 locations, which is convenient for days I am working from home or from work.
The clinics were very organized and professional. I never had a long wait during an appointment visit.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
My insurance covered a large portion of the IVF treatments. However PGT sampling and testing was extra because the sampling and testing was performed at a different lab. $2500 for sampling plus $300 per embryo for the results
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
I only transferred one embryo, it made sense to aim for a healthy lower risk single pregnancy
Dr. Wiltshire was very professional, knowledgeable, and responsive...adjusted my course of treatment expertly according to a tricky professional schedule and achieved great results with minimal discomfort...was sensitive to the procedure and medication cost
[At Columbia University] Information is usually not volunteered, although the doctor and nurses will respond to questions if asked. Everybody was friendly, professional, and timely, but in the future I would prefer if a little more information mid-retrieval was presented proactively
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire was very professional, knowledgeable, and responsive. She adjusted my course of treatment expertly according to a tricky professional schedule and achieved great results with minimal discomfort. I also appreciated that she was sensitive to the procedure and medication cost, as there was very little unused medication left over.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Dr. Wiltshire will respond to all your questions well--a good idea to prepare some in advance.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
150 Gonal-F, 75 Menopur, and 1 Ganirilex for the first cycle, Pregnyl trigger and canceled retrieval as only 7 viable eggs were estimated. Rested without hormones for a week waiting for hormone levels to normalize. Started Estradiol twice daily for a few days to prime the ovaries before resuming 225 Gonal-F, 150 Menopur, and 1 Ganirilex for the second cycle, with a 0.8 Luprong trigger. Retrieved 26 eggs and froze 22 mature ones.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
My main care coordinator Kathryn Klinger was excellent--very responsive and a great communicator. The nursing staff at the center were all also very friendly, which made morning monitoring as pleasant as it could be.
Describe your experience with Columbia University.
Information is usually not volunteered, although the doctor and nurses will respond to questions if asked. Everybody was friendly, professional, and timely, but in the future I would prefer if a little more information mid-retrieval was presented proactively. That said, I always trusted that I was in good hands and that my care team was on top of things.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
$8k for retrieval, around $5.6 for medication, $600 for anesthesia, $1200 for egg storage every year after first.
Dr. Wiltshire suggested I continue with the current cycle and do a Duostim, instead of cancelling the procedure...had way better results the second round of injections...doses were increased to 300 Follistim and 4 powder vials of Menopur...low ovarian reserve...able to retrieve more eggs through the duostim.
[Columbia University's] Strength: Well organized, clean, and easy to get to. Weaknesses: The monitoring for the bloodwork and ultrasound are only available from 7-10:30am...self pay bundle was $8000 which included all bloodwork and ultrasound as well as the procedure...Kathryn K...was amazing and answered all the questions I had
How was your experience with Ashley Wiltshire at Columbia University?
Overall, it was a positive experience. During the first 10-14 days of injections, the right side of my follicles were not responding to the drugs and on my left side, there were only 2 that were viable. It was a real bummer that those were the results after I spent all that time and money, but Dr. Wiltshire suggested I continue with the current cycle and do a Duostim, instead of cancelling the procedure. That meant I had to continue with another round of injections in the same cycle to see if there will be a better response. I am so glad I stuck with it because I had way better results the second round of injections.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Don't be afraid to ask a lot of questions!
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is very knowledgeable, kind, and compassionate. She also knows how to use humor to lighten the mood.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
I started with 225 Follistim and 2 powder vials of Menopur. When my body wasn't responding to the drugs, my doses were increased to 300 Follistim and 4 powder vials of Menopur. Because I have low ovarian reserve and I wasn't responding to the drugs, I did a duostim (Double stimulation in the same ovarian cycle). I was able to retrieve more eggs through the duostim.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
My nurse was Kathryn K. She was amazing and answered all the questions I had about administering the shots, and she called me clarify the procedures. The bloodwork and ultrasound technicians were also great.
Describe your experience with Columbia University.
Strength: Well organized, clean, and easy to get to.
Weaknesses: The monitoring for the bloodwork and ultrasound are only available from 7-10:30am.
Columbia is one of the best institutions for infertility treatment and research. You will be in good hands from start to finish!
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
My insurance did not cover the procedure, so the self pay bundle was $8000 which included all bloodwork and ultrasound as well as the procedure. The anesthesia was $600 out of pocket. My medications were covered by my insurance.
Dr Wilshire has a kind demeanor and is always very patient with the numerous questions that I have relating to the IVF process. She never over promises on results (which helps me manage my expectations) and is always calm during our sessions so that made me feel at ease. I have lupus so that was one of my primary concerns when I started on the IVF cycle given the many drugs needed for the cycle and she has helped me to achieve the results with minimal side effects in spite of my condition.
In general, all the care coordinators and nurses that I have encountered in Columbia are very nice and helpful. In particular, my primary IVF coordinator Kathryn Klinger is super-efficient and detail-oriented...The clinic itself is very modern and doesn't feel overcrowded on my appointment days as the scans and bloodwork are done in an efficient and timely manner so there are rarely backlogs in the queue. The whole experience has been very positive, and I would choose the same clinic and team if I need to do another cycle again.
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is always willing to listen and help clarify any doubts that I have relating to the IVF process. She is very approachable and explains any upcoming procedures clearly, which puts me at ease. This is my first time as an IVF patient, and I am extremely pleased to have met Dr. Wiltshire to guide me on the process. I always know that if there are issues that crop up in the process, she would respond back promptly.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Don't be afraid to ask questions when in doubt because Dr. Wiltshire is extremely helpful.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr Wilshire has a kind demeanor and is always very patient with the numerous questions that I have relating to the IVF process. She never over promises on results (which helps me manage my expectations) and is always calm during our sessions so that made me feel at ease. I have lupus so that was one of my primary concerns when I started on the IVF cycle given the many drugs needed for the cycle and she has helped me to achieve the results with minimal side effects in spite of my condition.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
Before each process stage, I always get a detailed overview of what is upcoming which is very helpful for me as I will have an idea of what to expect. For the egg retrieval, I was on 225 units of Gonal f, 1 powder of Menopur, and Cetrotide. There was close monitoring of the blood work almost every other day to ensure that the follicles were growing in line with the medications taken. I had an adjustment to 2 powders of Menopur as a result of these monitoring sessions. I have minimal reactions to the medication dosage which I am very happy with given my lupus condition.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
In general, all the care coordinators and nurses that I have encountered in Columbia are very nice and helpful. In particular, my primary IVF coordinator Kathryn Klinger is super-efficient and detail-oriented. She helps me to understand complex procedures in an easy and simple explanation and always gives me an overview of the processes that are upcoming and what to expect. She replies to emails promptly and I know that I am in good hands because she will always be there to address my queries relating to medications or side effects. Kathryn always sends back the test results as early as possible, so I never have issues which I need to chase her for updates or information. Marsha Darbouze (my care coordinator) arranges my scans and bloodwork appointments, and she is also very prompt in getting me the best appointment time that I need.
Describe your experience with Columbia University.
I like the clinic location as it is very accessible for me by bus but there is also a subway station nearby. The clinic itself is very modern and doesn't feel overcrowded on my appointment days as the scans and bloodwork are done in an efficient and timely manner so there are rarely backlogs in the queue. The whole experience has been very positive, and I would choose the same clinic and team if I need to do another cycle again.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
I used insurance to cover the bulk of costs for embryo retrieval and FET but the PGT biopsy testing and anesthesia for the embryo retrieval were paid separately.
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
No, I chose the number of embryos to transfer as per my own preference.
Dr. Wiltshire was always very patient with me and answered every question (even the very simple ones) with kindness and specificity. There were several times when she came into the room to do my ultrasounds to make sure she answered questions I had midway through the egg freezing process. She was thorough and was culturally competent with my fears and worries. I truly felt listened to and respected and as a Black woman, that often does not happen with physicians.
The [Columbia University] clinic was very efficient. I didn't stay longer than 15 mins per visit, which included bloodwork and the ultrasound. Every staff member introduced themselves and were very kind during my visits...The ultrasounds were also very fast and the team very clearly had an efficient process in place. As an employed person going through this, it was very important for me to have an efficient process so that I could get back to my office and that's exactly what happened. I was always impressed.
How was your experience with Ashley Wiltshire at Columbia University?
During my first round, Dr. Wiltshire found a cyst on my ovary and immediately shared her concern with me. I was very nervous about what that meant for my fertility treatment but she calmed my nerves and carefully walked me through her plans to watch the cyst over time and come up with another course of action (pausing the egg freezing process and wait for the cyst to shrink, which it did!).
Subsequently after the cyst concern, Dr. Wiltshire explained every step of the egg freezing process I was about to undertake, including the complicated injections I had to give myself every night. On the day of my egg retrieval, Dr. Wiltshire was professional and extremely prepared. I was nervous about the anesthesia but she made the operating room a very calm space. Once I came to, Dr. Wiltshire let me know my egg count and made sure I had everything I needed to recover. My mother picked me up after the retrieval and hugged and thanked Dr. Wiltshire for taking great care of her daughter :).
After the first retrieval, Dr. Wiltshire and I talked about plans for another cycle to increase the # of eggs we froze. She talked me through her plans to increase my dosage and push me a little further in order to retrieve more mature eggs. Her plan worked and we were able to retrieve and free more eggs the second time around!
It's been about a week and a half since my second retrieval and a few days ago, I had a follow up call with Dr. Wiltshire who wanted to check in and again, answer any questions I had. We talked in detail about options to use my frozen eggs in the future and this is where she really understood my concerns, specifically about fertilizing my eggs and transferring them...in other words, becoming a parent! She made me feel very comfortable sharing my fears and my nervousness about that process and assured me that the decision was mine and there was no wrong way to feel about this. I cannot thank Dr. Wiltshire enough for being so patient and kind throughout this process.
I've told several friends to consider seeing Dr. Wiltshire to freeze their eggs and start their fertility treatments. She is incredibly impressive and I am so grateful to have found her!
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
GO TO HER IMMEDIATELY! And ask all the questions - she literally has all of the answers and can walk you through everything with incredible precision.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire was always very patient with me and answered every question (even the very simple ones) with kindness and specificity. There were several times when she came into the room to do my ultrasounds to make sure she answered questions I had midway through the egg freezing process. She was thorough and was culturally competent with my fears and worries. I truly felt listened to and respected and as a Black woman, that often does not happen with physicians.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
Retrieval #1:
As mentioned, Dr. Wiltshire found a cyst on my ovary, which delayed my treatment but once it started, I started my injections and pills (Clomid pills, Gonal-F (300 units), and Menopur (2 power vials)) for about 4 days. During that time, I went to the Columbia Fertility Center to do bloodwork and an ultrasound every other day. Once my medication changed as we got closer to the trigger shot, I went in for bloodwork and the ultrasound everyday. For the trigger shot, I had to take HCG 10,000 IU and Leuprolide Acetate (40 units). Then it was time for the retrieval! Dr. Wiltshire retrieved 7 eggs but not many of them were mature (3/7). As a result, Dr. Wiltshire and I talked about a strategy for another cycle and pushing the days for how long I took my medication to try and retrieve more mature eggs.
Retrieval #2:
After a few months, I began my second cycle with slightly different dosages, as we discussed. I was on Clomid (100 mg), Gonal F (250 IU), and Menopur (150 IU). A few days later, I added Cetrotide 0.25 mg. I did all three injections for a few days until my ovaries grew to be much larger than they were during the first retrieval! Dr. Wiltshire was pleased with how I responded to the medication and she made an educated recommendation to add one more day to my process before the retrieval in an attempt to retrieve more mature eggs, which would hopefully be different than my last retrieval. The results were excellent! I still had a "small" number of eggs retrieved (6) but all except one were mature and were able to be frozen! I was so incredibly happy. Dr. Wiltshire's educated recommendation was spot on and after both retrievals, I ended up with a total number of 8 eggs, which may not seem like a lot but I was quite happy with the results.
Fertility treatments are not easy and honestly, I was praying for one or two eggs. So coming out with 8 is cause for celebration! At this point, I don' t think I will do another cycle but my employer does provide these cycles as part of our benefits so I may consider it next year. And if I do, I will immediately call Dr. Wiltshire!
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn (Kate) Klinger RN, BSN & Magda Cartveli, RN, BSN)
Kathryn (Kate) Klinger was excellent. She stayed in constant communication with me and gave detailed descriptions about my medications and injections. She also helped me navigate ordering more medication from Alto when I ran low. Kate very extremely helpful!
Describe your experience with Columbia University.
The clinic was very efficient. I didn't stay longer than 15 mins per visit, which included bloodwork and the ultrasound. Every staff member introduced themselves and were very kind during my visits. Thankfully I have "good" veins and drawing my blood was incredibly quick. The ultrasounds were also very fast and the team very clearly had an efficient process in place. As an employed person going through this, it was very important for me to have an efficient process so that I could get back to my office and that's exactly what happened. I was always impressed.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
My employer paid for 95% of the costs. I paid roughly $400 for the medication, which came from my HSA.
Dr. Wiltshire was fantastic to work with. She is personable, empathetic, compassionate, a cheerleader. She made the process seem so easy and effortless which reduced my anxiety and apprehension to the whole process. I keep saying if I knew it was this easy I would have done it sooner. I genuinely believe it felt this easy because of the care and attention I received from Dr. Wiltshire.
[Columbia University] Clinic is a well-oiled machine and I truly trust them. It's super busy which can be overwhelming. Everyone there is very accommodating. I do not do well with getting blood drawn and they were very compassionate towards me and never made me feel bad. I was very nervous during my egg retrieval appointment and they truly made me feel taken care of. I never felt like a number which you could easily think given the amount of people they are treating on a daily basis.
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire was fantastic to work with. She is personable, empathetic, compassionate, a cheerleader. She made the process seem so easy and effortless which reduced my anxiety and apprehension to the whole process. I keep saying if I knew it was this easy I would have done it sooner. I genuinely believe it felt this easy because of the care and attention I received from Dr. Wiltshire.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Everything moves very quickly so when you're ready to commit Dr. Wiltshire will make it happen.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Every interaction felt very personal not transactional. That office is very busy so to be able to achieve that is incredible.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
I went through the egg freezing process. Dr. Wiltshire asked me about my preference in timing and developed a strategy around that. I wanted to make this happen asap balancing that I was also expecting to travel and my cycles not falling ideally. I was placed on birth control temporarily and once I was ready, Dr. Wiltshire gave me my dosages for my ovary stimulation/follicle growth. That involved monitoring my follicle growth very carefully. Dr. Wiltshire adjusted my dosages according to progress. Growth was slower than expected so we steadily increased dosages. Growth started picking up but Dr. Wiltshire wanted to make sure the eggs were the ideal size for retrieval so we kept on with the injections until the eggs were in the high-teens mm in size. On the day of the retrieval they retrieved 25 eggs of which 24 were frozen.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
Nurse Kathryn Klinger was fantastic. She was an excellent communicator and very compassionate. She walked me through the medicines and helped calm my nerves of the preparation. She was available constantly for any questions and was super responsive. I felt at ease knowing I had her support during the whole process.
I had Sophie Clark as my care coordinator and she was very helpful in ensuring I had all the information necessary at the start of my egg freezing process.
Having the support team as a resource truly made all the difference.
Describe your experience with Columbia University.
Clinic is a well-oiled machine and I truly trust them. It's super busy which can be overwhelming. Everyone there is very accommodating. I do not do well with getting blood drawn and they were very compassionate towards me and never made me feel bad. I was very nervous during my egg retrieval appointment and they truly made me feel taken care of. I never felt like a number which you could easily think given the amount of people they are treating on a daily basis.
Describe your experience with your monitoring appointments at Columbia University.
This was a well-oiled machine. They held monitoring hours every morning which was convenient for people who work traditional office jobs from 9-5. They often ran on time, the most I waited was 10 minutes. They were very accommodating - I always request to get blood drawn laying down and that can often times disrupt their flow however they never let that phase them and always found a way to make it work for me.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
I was charged for my monitoring appointments and my initial consultation with Dr. Wiltshire. All was covered under insurance and was charged based on my plan. My insurance did not cover prescriptions but Columbia University is partnered with multiple specialized pharmacies that give patients reduced rates on medicines.
Dr. Wiltshire's empathetic nature is also worth mentioning. She demonstrates a deep understanding of the emotional and physical challenges her patients may be facing. This empathy enables her to provide not only medical treatment but also emotional support, which is invaluable in the healing process. In terms of knowledge, Dr. Wiltshire is undoubtedly highly skilled and knowledgeable in her field. She stays up to date with the latest research and medical advancements, ensuring that her patients receive the most accurate and effective care possible
[Columbia University is] a large fertility clinic, so dozens of patients move in and out constantly. Despite that, the clinic is very organized, which makes the flow of appointments go by smoothly. Unless you have an actual procedure that morning or afternoon, there is very little wait time from check-in to blood work (and potentially to ultrasound assessment). Since the clinic conveniently opens early in the morning, these visits never interfered with work.
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire's empathetic nature is also worth mentioning. She demonstrates a deep understanding of the emotional and physical challenges her patients may be facing. This empathy enables her to provide not only medical treatment but also emotional support, which is invaluable in the healing process.
In terms of knowledge, Dr. Wiltshire is undoubtedly highly skilled and knowledgeable in her field. She stays up to date with the latest research and medical advancements, ensuring that her patients receive the most accurate and effective care possible. Her expertise instills a sense of reassurance, knowing that you are in capable hands.
Furthermore, Dr. Wiltshire excels in communication. She has the ability to explain complex medical concepts in a clear and understandable manner. She actively listens to her patients, making sure they fully comprehend their diagnoses, treatment plans, and any necessary lifestyle changes. This clear communication fosters a collaborative relationship between the doctor and patient, promoting better health outcomes.
Regarding availability, Dr. Wiltshire has been quite accommodating. She promptly responds to inquiries and ensures that appointments are scheduled in a timely manner. Her commitment to being available for her patients demonstrates her dedication to their well-being and is greatly appreciated.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Dr. Wiltshire has a very thorough consultation during the 1st visit. She explains the various possibilities that could explain the infertility. However, it wouldn't be confirmed until the extensive workup is completed, which also occurs quickly. She and her team are quite knowledgeable and provided frequent updates (mostly by email, at times phone) for any laboratory data obtained that morning you visited the clinic. Therefore, you are pretty much not in the dark of your own medical care.
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is incredibly caring. She genuinely demonstrates a concern for her patients' well-being and takes the time to listen to their concerns. This caring nature creates a sense of trust and comfort, allowing patients to openly discuss their health issues without hesitation.
Another admirable quality of Dr. Wiltshire is her patience. She understands that each patient is unique and may require additional time and attention. She never rushes through appointments and makes sure to address all questions and concerns thoroughly. Her patience helps to alleviate any anxieties and fosters a sense of confidence in her patients.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
Initially it was suggested that we opted for IUI after the retrieval. However, once it was realized the sperm quality (mobility) was a bit limited, it was suggested to opt in for IVF. The option for IVF was never forced from the beginning. It was thought we could use a less benign treatment if possible.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
Ms. Klinger is a great addition to Dr. Wiltshire's team. She is very responsive to patients, providing thorough information for us to understand what our progress is going (for the retrieval and implantation) process. She also provided thorough instructions for the medications required for us (woman only) to take each day. Even if there were concerns of different, unusual symptoms, she was always patient and kind to explain what they were, which helped reassure us that we were going to be fine.
Describe your experience with Columbia University.
It's a large fertility clinic, so dozens of patients move in and out constantly. Despite that, the clinic is very organized, which makes the flow of appointments go by smoothly. Unless you have an actual procedure that morning or afternoon, there is very little wait time from check-in to blood work (and potentially to ultrasound assessment). Since the clinic conveniently opens early in the morning, these visits never interfered with work.
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Costs included co-pays for medications, ICSI, IVF. The latter two were covered by insurance.
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
No comment. It was self explanatory as to why a single embryo transfer was the only option (i.e. no female infertility factor, young age, healthy, and the need to avoid adding a risk of a pregnancy with multiples).
Dr. Wiltshire is highly skilled, knowledgeable, excellent communicator and very caring. She explained the entiire egg freezing process from start to finish. She was thorough, compassionate and always available if I had any question. She allowed me to work through my fears about this process and encourage me to make the best decision for myself. When I started the actual process, she was with me through every step and wanted to make sure that I got the maximum number of eggs. She is outstanding and goes above and beyond.
Everything [at Columbia University] was amazing- ease of getting appointments even on the weekends. The office is bright and vert welcoming. The staff are all very friendly and encouraging through the proces especially when getting your blood drawn, tips for not geting bruising morning monitoring appts .I bruise easily. Awesome staff all around...Dr. Wiltshire is highly skilled, knowledgeable, excellent communicator and very caring. She explained the entiire egg freezing process from start to finish. She was thorough, compassionate and always available if I had any question.
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire is highly skilled, knowledgeable, excellent communicator and very caring. She explained the entiire egg freezing process from start to finish. She was thorough, compassionate and always available if I had any question. She allowed me to work through my fears about this process and encourage me to make the best decision for myself. When I started the actual process, she was with me through every step and wanted to make sure that I got the maximum number of eggs. She is outstanding and goes above and beyond. Although she couldn't do my actual retrieval she kept in consistent contact with me the day before and after the retrieval. She also checked on me during the week for post recovery. She is absolutely amazing and I couldnt have had a better experience. She is truly a gem and her medical knowledge is outstanding. She is excellent.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
You get to meet someone who is caring, knowledgeable and is your personal cheerleader through the entire process
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire made me feel seen, no question I asked no matter how many times I may have asked she always gave me the answer with a bright smile and was very reassuring. She explained every detail and and was very thorough. I felt so comfortable discussing my options and concerns with her as if she was a sister or best friend. She has a very open and welcoming presence.
Describe the protocols Ashley Wiltshire used in your cycles at Columbia University and their degree of success.
1st time Egg Retrieval, 10 days of meds follutism, menopaur and then the trigger shot Lupron. Egg Retrieval 48 eggs and 28 were mature enough to be frozen
Describe your experience with your nurse at Columbia University. (Assigned nurse: Kathryn Klinger)
Kathryn Klinger was amazing, she had excellent communication and was very detailed regarding the meds. Sophie was great as well and had great follow up. She also helped me secure appointments timely. The medical assistant staff/ Ultrasould techs and phlebotomists were outstanding. They made the morning monitoring process seamless and easy. The entire office made me feel very comfortable and relax through out the entire process
Describe your experience with Columbia University.
Everything was amazing- ease of getting appointments even on the weekends. The office is bright and vert welcoming. The staff are all very friendly and encouraging through the proces especially when getting your blood drawn, tips for not geting bruising morning monitoring appts .I bruise easily. Awesome staff all around
Describe your experience with your monitoring appointments at Columbia University.
Very convenient and even when the subway delayed -typical NYC transit they accomodated me after being late over an hour. It was no hassle. This place was a breath of fresh air
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
Self pay for $8,000 for Egg retrieval process, $600 Anesthesia , $95 co pay for Meds they were covered under my insurance some how. First year of storage is free. Then $1200 annually for storage can be broken down into monthly payments
Describe Ashley Wiltshire's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.
Dr. Wiltshire took the utmost care to make sure that I was well taken care of during the entire process. She explained everything really clearly, answered all of my questions, never made me feel rushed. She went above and beyond to make sure that I understood what was going on in the process and that I felt supported and safe. I never felt like I was just a number, I felt like I was the most important patient each and every time I saw her.
The [Columbia University] clinic was great. It was clean, organized, and easy to communicate with. I was always able to get in touch with someone when I needed something and I was able to get my questions answered. The clinic was easy to get to at Columbus Circle and the building was nice. No complaints...Everyone was extremely kind and friendly. It felt like they went above and beyond to make sure I was supported throughout the process.
How was your experience with Ashley Wiltshire at Columbia University?
Dr. Wiltshire was an incredible doctor to support me during my egg freezing process. The process was rushed was I was a cancer patient, but she got me in right away and took excellent care of me throughout the process. She made sure to do some of my morning monitoring appointments so she could check-in and keep me up to date on the process and how things were going. She went above and beyond to make sure that I felt supported and safe throughout the egg freezing process and I cannot thank her enough for the excellent outcome.
What's one piece of advice would you give a prospective patient of Ashley Wiltshire at Columbia University?
Make sure you ask all your questions!
During treatment, were you treated like a number or a human with Ashley Wiltshire at Columbia University?
Dr. Wiltshire took the utmost care to make sure that I was well taken care of during the entire process. She explained everything really clearly, answered all of my questions, never made me feel rushed. She went above and beyond to make sure that I understood what was going on in the process and that I felt supported and safe. I never felt like I was just a number, I felt like I was the most important patient each and every time I saw her.
Describe your experience with your nurse at Columbia University.
Everyone was extremely kind and friendly. It felt like they went above and beyond to make sure I was supported throughout the process.
Describe your experience with Columbia University.
The clinic was great. It was clean, organized, and easy to communicate with. I was always able to get in touch with someone when I needed something and I was able to get my questions answered. The clinic was easy to get to at Columbus Circle and the building was nice. No complaints!
Describe the costs associated with your care under Ashley Wiltshire at Columbia University.
I had to pay a lot for the medication co-pays, but everything else was covered by my insurance