Moshe Peress

As first impression(and through extensive research), Dr.Peress seems like a genuinely nice and caring doctor. His lack of care and knowledge doesnt really show until you challenge or question him. I know this process is unique to every individual and takes time but its important for the doctor you are seeing to treat you as an individual and take the time to properly treat you rather than just put you on a generic protocol. In most, if not all, conversations with the dr, it was quite apparent that he hadnt taken the time to properly look into your information which was exhausting and defeating because in the IVF world, the doctor you are working with becomes your North Star. And if your North Star isnt shining bright, you get lost along the way.

Be your own advocate. Do your proper research because Dr Peress sure wont.

At first, we used a generic protocol as Dr.Peress was adamant thats how every new patient proceeds and we will learn from this first round. Which since we didnt know any better, we didnt question it. When the first round didnt result in any viable embryos, the dr put me on omnitrope for quality of eggs for next round but i had a couple cysts so we had to wait 2-3 months before we could proceed with another round. The dr then put me on lupron microdose without explaining the reasoning which resulted in one follicle growing much larger and faster than all other follicles which resulted in cancelling the round. When questioned on why we proceeded this way and not taken any DOR specific protocols into consideration, he just replied with “i dont do that”. First red flag noted there. We then tried an at home trigger and 5 day relations but that resulted in nothing. When i asked him why we didnt do an IUI, he said it wasn’t an ideal situation without much more explanation.

Since this clinic does not accept insurance, the cost of IVF was $15,900.

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I am a healthcare provider. Steer clear of this clinic. Unfortunately, they do not keep up with the latest science and do not do any extra research on your specific cause of infertility. He states he follows ASRM guidelines, but he doesn’t follow the new research. He kept me on BC for down regulation for 2 months, which yielded far less eggs than we should have gotten, he had us wait 4-5 days for abstinence with my husbands sperm prior to our ICSI, which we found out is a huge no no with MFI. He insisted that DNA FRAG is a moot point, which is not the case according to the MFI expert we saw after receiving care at this clinic. Every doc we’ve seen since has kind of laughed at this clinic— apologized that we wasted our time here and that they use outdated science and could be helping their patients more. I was heart broken by the way he handled my concerns over the way our cycle went. They slandered me in my medical record, it was a horrific and traumatizing experience. Please steer clear and seek care elsewhere.

Please seek care elsewhere if you want your absolute best chance at having a baby. Not up to date with the latest science.

IVF for severe MFI: OAT syndrome with high DNA frag husband was 31 at the time. Healthy female, 29 Normal AMH, and hormone panel for me. AFC 22, AMH ~4 Birth control down regulation FOR 2 MONTHS WHICH IS ANOTHER NO NO FOR ANYONE AND CAN CAUSE OVER-SUPPRESSION OF THE OVARIES. 12-13 day stims with menopur, gonal, and centreotide I believe. 4.5 day abstinence for my husband, ANOTHER HUGE NO NO IN MFI. 12 eggs, 11 mature, 7 fertilized, 2 poor quality blasts. 1st implant= CP Afterward, Saw a specialist we had been waiting for months to see who told us immediately to find a new doctor after hearing the protocol.

MORE EXPENSIVE THAN ANY OTHER CLINIC WHICH MAKES ABSOLUTELY NO SENSE. I don’t remember the exact numbers but I’m pretty sure we paid around $30k for our cycle, which was handled SO wrongly for our specific case of infertility. Then they wanted another $6k to implant our second embryo, which was made with bad sperm. AVOID THIS MONEY PIT.

They advised I do both embryos because the quality was so low. I elected to do one at a time.

I thought seeing a single doctor at each appointment would have been a positive thing, but I don’t feel that the treatment I received was personalized to my/my partner’s infertility needs. I also feel that he missed things that should have been diagnosed. He encouraged us to try to get pregnant without treatment despite the condition of my Fallopian Tubes and we experienced an ectopic pregnancy. We then moved onto IVF and had a miscarriage. In the months following my loss, I sought a second opinion and numerous problems (PCOS that affected egg quality, a TSH/Thyroid level triple of what it should be in a healthy pregnancy, my partner and I both being carriers for a genetic disorder) were discovered that Dr. Peress had missed.

Seek a second opinion before moving forward with treatment!

In my IVF cycle, my partner and I were not given any specifics for vitamins or supplements to improve egg and sperm quality. This was addressed at other practices. I injected Gonal F and Menopur during my IVF cycle and used Estrogen patches and Progesterone in oil to support the pregnancy after the embryo transfer.

Our IVF cycle cost $14,000. Medications were an additional $6,000.

We were encouraged to transfer a single embryo, and felt comfortable with that decision.

Dr. Moshe was very pleasant and very respectful. He explained everything and detail and was happy to do so. Sometimes it difficult to ask questions because you don't want to"bother" your doctor however with Dr. Moshe it was different. Even during my ultrasound he explained everything on the screen to me and the next step without even asking. I ended up having to have a procedure in the office done and Dr. Moshe walked me through the whole procedure which really helped ease my nerves. He is very understanding and very straight forward as well. He explained the chances and the risks etc.

Ask questions no matter how many they are or how stupid you may think it is. This is a huge decision and you should not feel like you are not allowed to ask questions.

Dr. Moshe told us that my husband had male factor. He recommended 2-3 IUI cycles since we are young but did tell us that our best to chance would probably be IVF. I ordered my medications and contacted Xiomara one day one of my menses. She reviewed the instructions I had received prior to the meds arriving. I had oral, vaginal suppositories and injections to take and followed the instructions. I also had to go in for monitoring which including blood work and ultrasounds at Dr. Moshe's office. Then after the last ultrasound they scheduled the first treatment of IUI which happened to fall on a weekend. The only thing I was not happy about was that Dr. Moshe himself did not do the IUI treatment and I was not made aware. One of his nurses did it that weekend and she was the only one there. Therefore she also did the the sperm washing and it made me feel uneasy to be honest.

I believe the cost of the IUI treatment was close to 1500, the medicine alone was about 1000. That does not include my specialist copay I had for every visit, ultrasound, blood work and other procedures.

Dr. Peress is not only a great doctor but also very compassionate and professional. He is honest and gives you a real sense that he cares. However, at first he will be more about the science and very factual. He covers all possibilities and aspects of your treatment very thoroughly.

Not to be discouraged at the facts and science - its just the nature of covering all the bases. Take what he recommends and asses and follow knowing that you are in great hands.

WE tried 2 or 3 IUI's at age 41-42 ; followed by two IVF's with own eggs, he did mention my thyroid was slightly elevated which may have been the cause for unsuccessful treatments -but at the time did not want to go on synthroid. Took a year off after last failed IVF , went to an integrative doctor that put me on armour thyroid and checked on nutritional panel etc, went back to Dr. Peress and did one frozen cycle with donor eggs due to advanced age. And was successful. Had my twins and could not be happier.

IUI $2,500-$3,500 IVF-$15,000-$20,000 Donor egg-$30K

Dr Moshe was very informative, friendly and direct with all information. He answered all of our questions and instilled confidence with his protocol. He had a lot of useful advice and information at every appointment. We are very happy we chose Boca Fertility.

Dont be afraid to ask questions

We had unexplained infertility. We began taking coq10 and DHEA to boost egg quality. We did one round of iui. Resulted in a negative test. We did one round of gonal f, lupron and cetrotide for an egg retrieval. Retrieved 20 eggs. 12 mature. 6 fertilized, 2 made it to day 5. Prepared for FET. First FET resulted in a chemical pregnancy. Second FET was positive - currently 10wks pregnant!

Our insurance has been nothing but a hassle to deal with. The staff has been helping us get to the bottom of it. Costs have been what we expected

We were advised to transfer one embryo based on complications I had with my last pregnancy that ended in premature rupture of the membranes.

Dr. Peress is smart, thoughtful, warm, and compassionate. He will tell you if he feels that the chances are slim, and give you ideas of what he thinks would be the best course of treatment without making you feel stupid or in the dark. He will always be honest - good or bad, and will always give you the care you need on a personal level. The fact that he tries to be at EVERY single ultrasound made me feel like a human being and reassured that he was doing everything he could to make my cycle successful.

He might be blunt, but he has seen everything and he wants you to be successful, not just to take your money and break your heart. He is caring and kind in a human way, but also very honest.

I came to Dr. Peress with a previous diagnosis of Diminished Ovarian Reserve and a horrible experience at a different clinic where I had 7 embryos dissolve before reaching the PGS stage. He recommended IVF with ICSI. I went through my stim cycle and he retrieved 8 eggs. There were 3 embryos formed, and by day 5, one had dissolved. They froze one embryo on Day 5, and one on Day 6. He did not recommend PGS because of my previous experience of the embryos dissolving. I had a thin lining, so we froze both embryos in order to build up my lining using estrogen and baby aspirin. Once he felt that my lining was adequate, he transferred one embryo. The embryo implanted, and I found out I was pregnant for the first time! We did progesterone injections intramuscularly for the week before the transfer, and throughout the entire pregnancy. At our 6 week ultrasound, we did hear a heartbeat, but Dr. Peress was unhappy with the size of the embryo and felt that it would stop growing. It did, and on week 7, the heartbeat was gone. Dr. Peress recommended a D&C, and sent the embryo for genetic testing. The lab came back that the embryo had Trisomy 16, and would most likely not have made it past birth if it did make it that far. We did see the miscarriage as a blessing. We took a break to try to relieve my body from the hormones and my brain from all of the stress. About 6 months later, we decided to transfer the second embryo. We did, and again, success! However, again at about 7 weeks, the embryo stopped growing, and at about 9 weeks, no heartbeat. We again had a D&C, but this time, the embryo came back NORMAL. My OBGYN sent me for a thrombophilia workup, and the blood tests all came back normal, except that I had low folic acid. That takes us to now. We have been trying on our own, and Dr. Peress recommended that if we do not experience a natural pregnancy within a few months, we will try IUI with extra folic acid and more estrogen. We plan to try that within the next few months.

I believe my IVF cycle cost around $18,000 plus some extra meds. The first transfer was included in that price. The second transfer was an additional $5,000 plus meds.

We asked for just one embryo to be transferred as we only had two, and Dr. Peress agreed.

I knew many people who loved Dr. Peress. I personally felt like he was very impatient with me after my initial visit. During my HSG I was all alone in the room because of radiation and he didn't even wait for me to be sitting up straight before he said, "You'll never get pregnant, you'll have to do IVF." (My tubes were blocked and diseased apparently) I was devastated and didn't have my support with me in the room and had the iodine oozing out of me as I tried not to cry. I wasn't expecting that news at all-it was a complete shock and he was not compassionate in the least. I came back and did my SIS and he found cysts and polyps but told me he would just "clean it up when we started IVF" and seemed impatient with my questions. My husband and I had a final 3rd appointment to talk about everything and ask questions. I asked why I still had regular periods if my eggs weren't going into my uterus and he was really short with me and just repeated, "You DON'T have regular periods." which didn't make sense to me because I got a period ever 28 days and previous bloodwork showed I 'ovulated' so I just didn't understand. He didn't have my egg quality or genetics tested and just said I would have to do IVF. Before we left he had an embryologist talk to my husband and I about changing our diet and losing weight and that maybe that would work 'miracles' for us. It was very awkward considering I had been told my tubes were blocked and diseased and there were cysts and polyps that would hinder pregnancy as well. We left feeling confused and hurt and we didn't go back.

I'm sure he's good at what he does but be prepared for bluntness and little compassion.

I didn't follow through with any treatments-just diagnosis tests with Dr. Peress.

We were told it was around $20,000 and that we should wait until we had insurance coverage with my husband's job because she "knew someone who worked there and had the insurance." She didn't actually look it up to give us accurate information.

I know there are embryologists in the clinic at Boca Fertility which is different than other clinics but I don't remember Dr. Peress's approach.

Dr. Peress is the only doctor in this clinic, which I thought would be a good thing. He is just too busy. I truly believe he uses the same protocol for every patient no matter what the diagnosis. He never explained the why just that I needed IVF and handed me a packet with billing information. When asking questions regarding tailoring the plan to my diminished ovarian reserve, he just said, “I don’t do that.” He never explained why, which left me feeling confused and not very confident.

Don’t be blinded by the beautiful office.

I was on clomid for 5 days followed by 4 injections of Gonal-F (I want to say 75mg). I only had 2 follicles.

Our IUI’s were about $400 each. I was on infectable meds so that increased the price as well. Total for our injectable IUI cycle was $3,500.

Dr. Peress is very intelligent and pragmatic while still being sensitive to his patients. He has alot of experience and has the tendency of most veteran physicians to not explain every single detail but convey the general course and purpose of treatment. You get the feeling that everything is being handled and you shouldn't over analyze every detail. He answers questions with great confidence and doesn't sugarcoat things -- but he's not cold either. He saw me through a natural m/c, 3 failed IUI's and a vanishing twin, and he was sensitive to all of those situations.

Ask questions if you have any! Some people might feel he doesn't explain what it's going on with the treatment in as great detail as they might like, but he's happy to provide more detailed insight if you ask questions. He just doesn't want the patient to stress out over the medical nuances and reasoning -- that's his job. He's much more of an old school physician who gives you the feeling everything is going to be handled.

He called the IUI cycles mini-stim/ovulation induction --- we did those first since we were unexplained. I only went through 1 IVF cycle and went with his basic protocol since there was no reason to think anything needed to be changed (I had responded well during the IUI cycles). We did a freeze-all cycle since he recommended frozen transfers over fresh; he feels they are providing better results to his patients. The medications used during the IVF cycle were pretty standard -- Gonal-F, follistim, pregnyl trigger shot, etc. Same for the FET cycle -- menopur, estrogen patches, progesterone oil, etc. I did end up being allergic to the progesterone oil and they quickly changed it to a special compounded one with ethyl oleate rather than sesame oils.

Each IUI cycle ended up to be around 3k with meds included; the IVF cycle was around 10k for the retrieval and transfer clinic fees (1 transfer) plus another 7k for the meds and another 1k or so for anesthesia during the transfer. I felt the costs were reasonable in comparison to other clinics. Additional transfers could be done at 2.6k.

Single transfer was recommended but I asked to do a double transfer and they agreed to it. I was given information of the risks of multiples, etc.

The doctor is so professional and personable at the same time. He upholds a zen, peaceful atmosphere for his patients and his staff.. where you really feel as comfortable as you would around your own family.

Remain hopeful and trusting as you go through your journey with Dr.Peress’s staff. Although infertility can be frustrating and heartbreaking, having a team like his in your corner to give you the best fertility care possible is a must.

Both cycles I used follistim and/or gonal-f injectables. I had to be monitored every other day (due to super high follicle count from PCOS) in order to avoid Ovarian hyper-stimulation syndrome. After about 10-14 days of injections, I was given an ovidrel trigger shot and brought in the next day for IUI. First round we had two strong matured follicles that did unfortunately not end in pregnancy, and the second round of IUI resulted in my only son and miracle child.

I had great insurance at the time, so I only had to pay $40 per visit toward my ultrasound and bloodwork for the day.

Dr. Peress is clearly a very experienced doctor. He can be a little quiet at times but answers all my questions with full explanations. He always shook my hand upon entering the room. He has excellent bedside manner.

Don't be afraid to ask questions. He will make sure that everything is answered and that you feel comfortable.

The costs at this office were less than my two previous doctors.

I was well informed of the pros and the cons of both. I was able to make my own decision about the transfer of one or two embryos.

My experience has been very positive so far. I am at the beginning in the testing stage, and he has been great. I feel supported and like I can call at any time. I was surprised at the way he encouraged questions from us, and he took his time explaining. He used a projection screen to show us things. He wants us to understand the process. He also is laid back in a very good way. He didn't make me feel stressed or anxious, his calm demeaner is one of the things I noticed first.

My advice would be to bring all of your history with you, or have it sent there first. It was very nice that he was able to read up on me first.

I am in the beginning phase. We will be having tests soon that look at the fallopian tubes, and test for genetic issues, among other things. We will be using IUI with donor sperm.

I am responsible for most of the cost because my insurance doesn't cover everything. For one cycle of IUI it will be $1,500.

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After being frustrated with many different doctors, tests, & unnecessary medication. I became discouraged and then started using my resources being in Medicine. People were saying to see him. I did a phone consult w/ Sharon & I told my husband “this is the one” The next day I was in. Started my process. Family Formers played a big part in my choosing as well. Amazing! Dr Malitsky who works in the lab was there every step of the process. Nurse Amy was a tremendous help.. love this place. IVF journey is a struggle, so finding a practice that makes u feel like ur not a number shouldn’t be.

He’s calm, so if you are a patient that’s all over the place mentally. Breathe and make a list. He will answer

We made a calendar with medication found my donor One hiccup and he and staff.. stayed on course

I think the fees for service were fair for what they do.. I was not reaching in my pockets all the time. I knew what I needed, I paid.. and it was done

He is not up to date with advanced science.

Dr. Peress does not think outside the box, he sticks to only things he knows and from our experience doesn't want to try and figure things out. He's cold and seems like he really doesn't care.

IVF $28,000

This office does not have compassion. For every interaction, I had to pull teeth to get an answer, and get explanations. No compassion. No knowledge of MFI at all. Seems like every patient here goes through the same process which is a old-school approach. I would bypass the rude employees if Peress used more up-to-date protocols. Glad I didn't proceed further. I'd rather wait a little more to find a better dr than to proceed and trust in them. I was told I needed to have a small polyp removal surgery before beginning any kind of treatment. This was before we even had an answer to the MFI. The main thing that really upset me was that when my husband did a tesa aspirate procedure with his urologist, the embryology team there said they couldnt find any sperm. The tissue pathology that was sent out to quest lab said "normal spermatogenesis". Our urologist, the next 2 urologists we consulted, and eventually the new IVF clinic we went to all said the same thing - something doesnt seem right about those result discrepancies. My gut told me something wasnt right so we never proceeded with care at this clinic.

Get more than 1 opinion and go from there.

Protocols seem to be basically the same for everyone

$100 out of pocket initial consult $3,000 out of pocket hysteroscopy polypectomy

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Doctor was always travelling and not available during all ultrasounds Did not explain why IVF failed Did not inform us of male factor until 3 months after test results and after polypectomy They wasted so much of our time and they referred us to a urologist to put us on clomid which messed everything up The egg retrieval recovery was painful I ended up in the ER because of hyperstimulation they did not dose my meds carefully according to estrogen level

Be careful do your own research

GNRH agonists 3 different medications GONAL F, menopur which was very painful and certotide also Lupron which was not needed as it puts your body in a menopause along with estrogen patches and progesterone shots

$20,000 for IVF $10,000 for polypectomy Medications $7000 Other $4000

Was totally against transferring more than one embryo

Doctor Peress is very professional with his work. I never knew what to expect before I went there (im happy I didn't). When we got there Dr. Peress make sure that you understand everything that is going on before you go on to the next step. He made everything very smooth with the procedures.

I did get educated about doing one embryo or 2 and everything made sense. My first try I did 1 and it didn't work but the next time I did 2 and one caught.

Had tea with us during consult and was straightforward and honest on his thoughts of our best way to achieve a pregnancy. Did not rush us and answered all of our questions. He performed all ultrasounds and procedures which was nice as we weren’t tossed around to other doctors.

Make a list of all your questions and concerns to be answered

Best treatment for me was donor eggs due to age and ovarian reserve bring diminished. I was able to get 9 great embryos and so far had one put in which did not work:

It was about 15k plus the cost of meds

The doctor advised one is safest but allowed us to do two if we chose too.

He is aging out of his career. My last embryo transfer he dropped the catheter multiple times, the embryo was stuck in the catheter 4 times, took 2 hours, he told me a white dot on the ultrasound screen was the embryo and in the catheter still. And after everything he shrugged and said “well I’m not god, we’ll just do it again if it did not work”

Compassion is key and knowing when it’s time to retire or bring in a younger doctor

I don’t remember

I don’t remember but they are in line with my current doctor so nothing out of the ordinary

Did you SETs was fine with that

Dr. Peress was very informative and tried to be as honest as he could through my whole preganacy. He made sure I felt comfortable and even gave us his cell number in case we needed it. He was at every appointment that I had and continued to make sure I was checked up on every week as things were progressing.

I was using him as my consultant so it was just a standard copay of 50.00 a visit

He was a very kind man that always spoke to me considering my end goal of a successful pregnancy. I was explained all the various tests I should complete as well as my partner so that we would have a thorough picture of what my or his deficits may be and to see if we could do anything prior to reaching the IVF stage.

Always go with you instinct. If you feel that you can and want to get pregnant don’t give up. If you want your hormones tested, etc. then insist!

HCG, bloodwork, SOMA-4 testing and a few other tests I can’t recall the names of. Finally when I did have a positive pregnancy test I would call them immediately and this finally (hopefully successful) pregnancy I had my progesterone checked and I was recommended progesterone supplements which I truly believe have allowed this pregnancy to successfully reach 10 weeks and I haven’t miscarried! I’m ecstatic!

Primarily it was specialist visit Copays and any ultrasounds and bloodwork copays.

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I have been a patient of Dr. Perress for a while now. I have had multiple setbacks in my fertility journey. Dr. Perress was there and continues to be there each step of the way. Each appointment he greets me with a smile and encourages me through the process.

Trust him and stay the course. He is amazing at what he does and will be there when/if you need him.

Dr. Perress did all my fertility testing before helping us reach our decision to choose IVF. He met with us and discussed the process. He is not in a rush to get you through the process, he takes his time with meds, freezing embryos, etc.

The cost of IVF includes one retrieval and a transfer. Everything is included in those fees. Any additional transfers are an additional fee.

Dr. Perress is agreeable to transferring up to two embryos.

My experience is wonderful i dont have words to describe my excitement for this understanding doctor and his team! He is excellent and so profesional! Thank you for making our dream come true every step of the way

Keep faith and always communicate with the whole team! They are great

He was very specific with my treatment i had inflamation which probably first transfer didnt work then next one he treated me and it did

Cost range ours was around 50k

He was aware and made everything possible