Danielle Vitiello

Dr Vitiello is non-judgemental, smart, and direct. I felt comfortable explaining what I was looking for out of the experience and she was supportive along the way. It was challenging to get dedicated time with her, as appointments had to be made many weeks in advance, but I was happy that she called me right away a few times when we had testing/procedure results. I had full trust and confidence in her ability to create the right treatment plan for me.

There was a long line for blood work and ultrasound monitoring appointments. The blood work wasn't that bad (5-10 min wait max), but the ultrasound sometimes took 1-2 hours to be seen. It was a first come, first served sign up list. Overall it was one of the worst parts of the whole process - wake up at the crack of dawn then spend 1-2 hours waiting for an ultrasound, multiple times a week.

For each cycle, IVF Freeze all was $9835, and ICSI was $1400. The medications were a separate cost through my pharmacy.

We were initially very hopeful. Dr. Vitiello stated that she had full confidence in our success. We ended up completing 2 egg retrieval cycles. The first 8 eggs were retrieved, resulting in 2 viable embryos. One was transferred and one was frozen. The transfer failed. She then suggested we do another retrieval to get as many embryos as possible for future children. She changed our medications slightly. We ended up with 0 embryos. We then did a from embryo transfer with our last remaining embryo, which resulted in a chemical pregnancy. Dr. Vitiello never did a single one of our procedures, and wasn’t even the one to call with the results for the frozen transfer. We haven’t heard from her in weeks and have decided to switch to another doctor within the clinic because the trust is completely gone.

See someone else. She’s very unclear with her plan, and you have to really advocate for any face time with her. And then when you talk to her she doesn’t give you any clear information unless you ask for more explanation, she just assumes you know the entire process.

1st retrieval cycle- gonal 1x/day, cetrotide, menopur, progesterone in oil 2nd retrieval cycle- gonal 2x/day, cetrotide , progesterone in oil FET- estrace 2mg 2x/day orally and vaginally, 1mg progestrone in oil

6:30-7:15 first come first serve… you have to get there earlier because people start lining up by 6:15

Insurance covered a lot of it, but the 2 additional tests she recommended was uncovered and cost $2500 a piece

Our insurance only allowed for single for the first 3 and then can switch to multiple

It took me one year to be able to do IVF. Dr. Vitiello was aware of this and when I finally was able to do it, she made a mistake on my medication. I ended up with zero day-5 embryos. There was never an apology or an offer to try again on them with the appropriate medication. When I told her about my previous experiences, she was not willing to listen because it wasn't "her data". I may not be a doctor, but I definitely know my experiences personally. Leading up to the cycle, I had numerous consults with her, which were all very positive. The actual cycle was incredibly disappointing.

Double check your treatment protocol.

estrogen priming, 450 IU gonal, cetrotide, I have DOR and was supposed to use microdose lupron, but it was forgotten. I had no day-5 embryos.

Outsourced techs who could not answer any questions.

My insurance covered most of the treatment.

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She was awesome. She would always call with my results and always be so positive. She was really nice and I felt very comfortable with her. She did an amazing job with balancing out my medications so our results were perfect.

Don't rush the process. There are always lots of delays

For ivf I did gonal f, menopur, and cetrotide. Then finished with a trigger shot. I don't remember dosages. But I did go in every three days for follicle scans and blood work.

All ultrasounds and blood work appointments are only available Monday through Saturday 6:30am-7:15 am. This mades appointments difficult if you have young kids but convenient if you have to work

It all depends on your insurance coverage. If your insurance covers then you will have to pay what your out of pocket for the year is. Know your coverage with your insurance and you will know your costs

She wouldn't allow me to transfer more than one. But I am ok with that because it's the greatest chance to a healthy live birth

Danielle is optimistic but frank. She talks quickly and seems incredibly confident in how she thinks your treatment will go. While that was very reassuring at the time, it also set us up to expect thing to go well which led to extra disappointment when they didn't. She is happily willing to go over details multiple times if you need things explained again, and although she has a brusque manner we didn't in any way feel rushed.

Write down your questions in advance, so that you don't forget to ask them as things move quickly in an appointment. In our first appointment I was going to take notes, but she said I didn't need to as she'd be writing everything up. I wish I had taken notes anyway, as she talks quickly and I feel like I missed things.

After a semen analysis detected a 0 sperm count, my husband saw a urologist recommended by Danielle who diagnosed him with azoospermia, so we will be using donor sperm. We are currently researching sperm banks. Once we choose a donor, Danielle recommended two rounds of IUI, despite the low success rate, just to try before we move on to IVF if needed, for insurance and age purposes as I am almost 40.

N/A

Dr V informed my husband and I that we had "unexplained" infertility. She didn't think I had PCOS (previously diagnosed in 2011 by another doctor) and reported that my husband's sperm analysis was fine. I was informed that I needed to drop 15 pounds but not explained why. At later appointments with the nurses I was informed that I needed to be under a BMI of 38 in order for the anesthesiologist to be able to do his job. If I had been an inch taller this would not have been an issue. I was instructed to go on a Keto diet and I was unable to handle this due to previous bariatric surgery causing issues with high fat diets. When I researched and found another clinic who used Dr V's test results we were informed we actually have male factor infertility and I was taken off metformin and birth control (which Dr V's office did not have any record of having put me on).

Only go if you're already under a BMI of 38. There's no reasoning for this other than their anesthesiologist doesn't know how to handle obesity.

We only got through a testing round.

I was 100% insurance coverage after I hit my deductible. I had $30 copays and had to shell out for a few blood tests. My main issue was with Quest Diagnostics and their billing practices.

None

She makes you feel at home and equal. There is no I’m better than you or prissyness because she is a doctor. She loves when we bring our miracle daughter in with us and jokes that my husband and I are just along to bring our daughter to see her. She’s straight forward tells you how it is and explains in even more detail when you ask questions. She cares about your personal life and shares some of hers as well so that y’all can create a strong trusting relationship with her. She also has an amazing sense of humor! At my past clinic we felt like a number with Dr Vitiello we don’t.

Make sure you’re open with her and don’t be afraid to ask all your questions, she will happily answer and even go into more detail if that’s what you’re looking for!

We have done 5 letrizole cycles with no monitoring dosage was 5mg x 5 days. This was done because FCNE thought it was the only thing covered through TRIcare Then we explained what they (TRIcare) would cover at a follow up/ create a new plan appointment and switched to the protocol below. We have done 4 injectable cycles with Gonal f and letrizole with monitoring 3-4 times each cycle 1st cycle 75 iu days 2-7 triggered with ovidril on day 8 2nd the same as above 3rd cycle 75 iu days 2-4 150 iu days 5-7 triggered day 8 with ovidril Cycle 4 new protocol days 2-4 150 iu all follicles under 10mm, days 5-7 225 iu day 8 to many follicles no injection day 9 cycle canceled due to 9 mature follicles ranging in size from 14-18

We have a cost share with our insurance. Each injectable cycle with monitoring costs us around $100 and then $100 for medication. We however do not have any IVF coverage.

Dr. Vitiello is great. She is very blunt and tells your exactly how it is which is exactly what I want in my RE. Even though our first round failed, she was honest about our chances of succeeding in another round. I have DOR so we know that we won’t gets tons of eggs, but she did explain that that my body responded as we expected and that we do have potential for retrieving more eggs in future cycles. We are due to start our next cycle on October 2018.

Ask a lot of questsions. I think that sometimes she assumes you know more than you do, but she will break it all down for you when you ask.

First Cycle: Estrace Priming Protocol: - Menopure - Gonal-F - Cetrotide I don’t remember the exact doses, but they were quite high. I stunned for 14 days. We only retrieved one egg and it fertilized incorrectly. Second Cycle: Micro flare Protocol: - Lurton - Gonal-f - menopure Exact doses TBD as we haven’t started this cycle yet.

Clinic has early morning monitoring appointments which is convenient with my work schedule. I was able to get in and out and to work on time. It is a cattle call, but it is very well organized.

Medicine was unfortunately through CVS Caremark due to my insurance. I have a lifetime max if $10,000 for medication which we used 100% of during our first cycle.

Dr. Vitiello is willing to do multiple embryo transfers if we can get more than one fertilized embryo.

Dr. Vitiello can be very blunt which can be seen as a strength or a weakness depending on personal preference. First, time we met her...she told us she would not do IVF with my own eggs because it would be like stealing our money. That made us go to another clinic immediately. However, we then had got new insurance that had some fertility coverage which made us have to switch back to FCNE.

Do not expect compassion or individualized care. Educate yourself immensely so that you can be informed before making any final decisions.

We did one IVF with own eggs which was cancelled before transfer because the 3 embryos created did not make it to day 5. The next treatment was Donor Eggs. We were highly encouraged to do a fresh cycle which we trusted the doctors professional opinion seeing how donor eggs was whole new world to us. After paying a lot more for a fresh cycle we were then convinced to do additional testing on the embryos created which then had to be frozen. WE had 4 great embryos in the end and decided to transfer 2 the first time. Later discovering that the transfer day was wrong after ERA testing. So our first two embryos were literally thrown away. The next two cycles our transfer day was adjusted due to the ERA results.

It depended on the day. Sometimes monitoring went smoothly, other times it was over an hour waiting, or in proper orders in the system or no orders at all. Speaking of monitoring for all four years of services there was a lovely giant bug in the light fixture above the ultrasound table at the Bedford, NH location...I have numerous pictures of this disturbing focal point. The Reading facility was less than up to par as well with filthy bathrooms, extremely dirty rugs and chairs in the waiting room as well as curtains that were disgustingly stained in the retrieval and transfer section of the clinic.

The cost was somewhat typical, however almost all there costs are considered package deals and they will not individualize and will charge you for tests that have already been completed because it is part of the package deal. As Barry in finance rudely stated, "we are not some type of Medicaid clinic, we are for profit business."

When meeting with Dr. Vitiello, she broke down procedures and explained them with visuals and comparisons. She was very in her explanations; however, sometimes she spoke too quickly and covered a lot of information at once which was overwhelming. When performing procedures, she made me feel comfortable and relaxed. She was caring yet straightforward.

One piece of advice would be to arrive with a list of questions so you know what you want to cover when meeting with Dr. Vitiello. It is typical to only speak to the nurses once in a cycle.

I attempted three IVF cycles with Dr. Vitiello using my own eggs and my husbands sperm. We did two antagonist cycles and a microflare cycle, all with negative pregnancy results. The first cycle was very poor with one egg being retrieved and no opportunity for transfer. The subsequent two cycles were a little better. We transferred one embryo each time and neither implanted. We also used ICSI each time. After each cycle, Dr. Vitiello changed the protocol slightly in hopes of achieving success. She then recommended the use of donor eggs at which point I accepted but sought out a second opinion.

I was fortunate to have the majority of my care covered by insurance. We paid several hundred dollars for medication.

Very knowledgeable, but poor patient communication. Every time I met with her I left feeling like my concerns were discounted. For instance in my very first consult we discussed autoimmune issues and recurrent miscarriages. However after several months and no testing for autoimmune disorders when I asked about it again she did a complete 180° Telling me there was no factual evidence supporting that theory. It made me feel like initially she had just told me whatever I wanted to hear to get me through the door.

Be your own advocate. She is very smart, but if you are a patient of hers you will need to advocate for yourself and your concerns as well as do your own research and ask questions to understand her theories and thought process.

She ordered the typical RPL panel, did a sono hsg, ultrasounds and an endometrial biopsy. The only thing that was treated was my subclinical hypothyroidism.

Appointment and ultrasounds seemed very expensive while bloodworm was inexpensive. I found their IVF prices to be very inexpensive as well

Dr. Vitiello comes across very confident and knowledgeable in her field, which is reassuring. She tends to explain things very quickly, so if you don't know what to expect or what questions to ask, you may not always get that information. She never made us feel rushed and seems to genuinely care about her patients. Her answers can be vague at times, as if she doesn't want to give too much information, probably to not cause unnecessary worry or anxiety, but this can be frustrating and leave you with even more questions down the road.

Dr. Vitiello has a way of making you smile even in the most stressful situations. She made my husband and I feel relaxed and confident, after very stressful and frustrating experiences at other clinics. While she does take the time to explain things and answer questions, she does not seem to go into a lot of detail and just gives the basics, so you may need to ask very specific questions to get the answers you are looking for.

This is one area I feel that I would have liked a little more detail. I was given a chart showing the progression of my IVF cycle, but was never really given a reason why it was specifically chosen for me or the purpose of each medication. Also, directions are given through the online portal at different steps along the way, which made me feel like I never had a clear picture of the entire process until it was over since you don't know the next step until they send it to you. This can make it difficult to fully prepare yourself mentally and emotionally for what you are about to go through.

Monitoring appointments are done during a specific timeframe in the morning and are first come, first serve. Most of the time the waiting room is full.

We did not have insurance coverage, so everything was out-of-pocket. With doctor visits, ultrasounds, blood work, IUIs, IVF, and meds around $15,000+.

We chose the Fertility Centers of New England by default through what our insurance covered, therefore Dr. Vitiello was not someone who we had thoroughly researched prior to meeting her on our first visit. We were very nervous meeting her since infertility is such a sensitive subject we weren't sure how it was going to go. Immediately after meeting her and having her walk us through their process of how she goes about diagnosing infertility we felt as ease because she presented it in a way that was easy for us as non-doctors to understand. After getting the diagnosis of unexplained infertility she again walked us through all of our options (IUI, IVF, etc) and was very honest in what direction makes the most sense for us to spend our money that will give us the results we want. I appreciated the bluntness she gave when she told us IVF will give us the most bang for our buck. We ended up having to go through 2 rounds of IVF before getting pregnant and when our first round of IVF was unsuccessful she called me personally to tell me the results and let me cry it out on the phone with her. She was able to calm me down and reassured me that she will make sure that we get it right the next time. I have never had a doctor who delivers bad news and then will stay on the phone with you while you process the information and be a shoulder to cry on. On our second round of IVF we were successful and became pregnant - I will always remember answering the phone to a screaming YAY from Dr. Vitiello - not a hi, not a this is Dr. Vitiello - a YAY which showed that she was as excited as we were that it was successful and that she cared about us. I was lucky to have Dr. Vitiello perform both egg retrievals as well both embryo transfers and both times she made both my husband and I feel at ease during all of the these procedures. I highly recommend her to anyone who is struggling to get pregnant because she is not only a great doctor who will find the way to get to your desired results, but she also really cares about her patients.

Dr. Vitiello is a realist. I appreciate her opinion. She can be candid yet respects your wishes. She is not afraid to look outside the box, and is willing customize your treatment. Treats you fertility cycle as her own challenge. She definitely helps give you the confidence and positivity you need while going through treatments. She has personally called me if she had results, or concerns to share. The best fertility Dr. I have been to yet!

She is wonderful! Knowledgable yet personable. She isn't one to sugar coat things, however she is respectful of your feelings.

I came to Dr. Vitiello as a last hope. I had seen 2 other clinics in the US and even one in Canada. We were diagnosed with unexplained infertility. No one could give us a reason that standard treatments were not working. Dr. Vitiello wasn't afraid to look outside the box and try different meds and different treatment. Although our one cycle we did with her yielded a low number of eggs, we did find out that the egg retrieved was chromosomally abnormal. We also found my ovarian reserve was very low. She assured me we would find a way to make me a Mom. Right now we are in the process of a donor egg cycle with a gestational carrier. Not the path I ever expected but after talking with Dr. Vitiello I am completely comfortable and happy with our path to parenthood.

Monitoring appointments at the satellite are tough because it is a small window of time. Some mornings could be extremely busy.

Rather competitive IVF price. $7,800 (approx).

Dr. Vitiello is extremely smart, and a clear communicator. She explains treatments, options, and success rates clearly and openly. She is realistic, and cares about your journey, what you have put yourself through to start a family.

Do not get upset about hearing the facts. Facts are facts. Sometimes you need to hear them, and adjust your mindset to maybe take a different path than you expected to. The end result is what matters.

Antagonist - 2 cycles (1 chemical pregnancy), Long Lupron - 2 cycles (1 negative test, 1 nothing to transfer), Microflare - 4 cycles (1 pregnancy ended in miscarriage, 2 gathered for PGD, frozen transfer and negative test, 1 positive pregnancy with donor sperm, full term)

Monitoring appointments is done early in the morning - 6 - 7:30 am. It was first come, first served. Occasionally the computer system was down or the ultrasound machine wasn't working, and there were long waits. But most of the time, they moved things along. The phlebotomists and ultrasound techs were some of the nicest people I had contact with during a cycle.

My insurance plan covered fertility treatments up to $50,000. I had to pay copays for medications, and had a high deductible plan, so up to $3,000 out of pocket per year.

Dr Vitiello explains everything about the IVF process really well and keeps it real with patients about your chances of success and any risk factors. She also recommended the best course of action based on our personal situation, it’s not a cookie cutter approach. She’s very warm and personable and sensitive to patients needs

Monitoring appointments were provided during a certain window in the morning. They were very efficient, especially if you arrive during the earlier portion of the time window. I never waited too long to get in for either blood work or an ultrasound.

She does not have a warm bedside manner. She is straight forward and sometimes blunt. She said that her staff would be accommodating but most times they were not.

Don't expect a warm, fluffy personality. But I did get positive results.

Very inconvenient. It felt like a cattle call. Often sitting and waiting. Very early in the morning and no leniency. Sunday monitoring was an hours drive and the wait was often 30-60 minutes

I was lucky enough to have insurance cover both cycles of IVF. They paid about $11k per cycle with meds and monitoring.

Dr. Vitiello was very informative. She did not dumb things down for me. She gave clear information and clear answers to my questions. She was kind, pleasant, and pragmatically hopeful. I quite enjoyed talking to her, quite frankly.

Know that she has kind of a dry sense of humor. She is a sharp woman and you are in good hands.

Dr. Vitiello always respected and used my partner's pronouns. There were just a few times when she used the wrong pronoun and she always caught herself and apologized.

She makes the whole process a little less stressful. She is serious yet tries to lighten the mood which is much needed. She is also very truthful and does not tell you what you want to hear, instead the facts and opinions based on those facts.

Go in with an open mind

It’s hard because everyone is different. With our unexplained infertility she gave us the best course of action that she thought would work for us.

It’s a first come first serve basis. You sign in on a clipboard and they call you in order.

Costs were $10,000 for IVF. $1,800 for frozen transfer. Another $4,000 for meds but that’s different for everyone.

She has had twins herself and so she has insights on one vs. two. She makes it 100% your decision and stands behind it.

Dr. Vitiello is very intelligent, came up with a great plan that worked for us, presented us with options that other doctors weren’t sure were possible, but they totally were! She was confident in what she was doing, yet gave us the facts straight so that we felt optimistic, but knew there were no guarantees. She is blunt and to the point, but gave us all the information that we needed to know. We will definitely be going back to her in the future.

Monitoring is very early in the morning and is a first come, first serve basis. It can get long on a busy day, but the clinic got people in and out as quickly as possible, while still giving everyone thorough attention.

Dr. Vitiello did a great job treating me like a human rather than just a patient. She explained things so I could understand them without making me feel dumb and she never rushed our appointments. Her positive nature was also super helpful during the process. Her personality is a bit quirky, but I really enjoyed her.

The clinic itself was a bit far away so they coordinated with my local hospital to allow me to go to monitoring appointments there. This made a HUGE difference for me, it was an incredible help and time saver.

I really liked her. We had success with IVF, it wasn't until after the transfer that my body rejected the embryos. The only thing is that she was at times too busy. However her staff did a great job supporting this schedule.

Be ready for straight talk.

I felt she should have explained me the importance of taking blood sugar medications, healthy weight, nutrition, vitamins etc in more detail. I went to her at my prime age but felt that she wasted lot of my time without telling me everything clearly and guiding me in a holistic way.

Know what you want and don't even people that she will tell you everything you need.be your advocate

Her treatment protocols were good as theyou yielded more eggs - LupRon I think was best protocol but her way of handling the whole treatment was not right

Not sure as insurance paid

When I first met with Danielle Vitiello she seemed to truly care about my treatment. She talked about how anyone can have infertility and weight/other things aren’t the cause of it. I felt heard and not judged based on my weight. After that appointment, we were told we would do all the testing and then talk next steps. After unexplained infertility, Danielle had decided the best course of action was to go straight to IVF. After talking to her about the pros/cons she then informed me that I would have to lose 30 pounds before we could move forward. There was no specific explanation for why I had to lose the weight just that I needed to lose 30 pound and to reach back out in 3 months when the weight had been lost. As a woman who is “overweight” but consider myself healthy I didn’t think that I should need to lose that weight. After explaining to a nurse that I felt it was unacceptable to tell me to lose weight, the nurse explained I had to be under a certain BMI for anesthesia and that is why I couldn’t go straight to IVF. This was very frustrating because at the first appointment with Danielle, she made it clear my weight didn’t matter, she at no point said my BMI would have to be under a certain amount. I wish she would have been open with me from the beginning so I didn’t go through the process to be turned away. I also feel as if putting a time frame of losing 30 pounds in 3 months is unacceptable. What I think I struggled with the most with Danielle is there were no conversations about losing that weight in a healthy way. It was just an expectation to do so. Going through infertility is hard enough that there should be more support from the doctor who is supposed to make you feel heard and important.

Ask for all the information at the first visit, if you are plus size make sure you have a clear understanding