Nicholas Spirtos

My experience with Dr. Spirtos has been nothing short of enjoyable. As tough as this journey can be, having him as a doctor is what gets me through. He is always honest and makes sure I have realistic expectations at each visit. I always feel prepared for whatever needs to happen, knowing I have his full support along the way. My relationship with Dr. Spirtos is unique in that I have been seeing him and his delightful office staff nearly daily for the past three years. The banter is great, the care and attention to us patients is lovely, and it is just a welcoming place to be. Good doctors are hard to come by, but if you want a doctor who is truly on your team…you’ll always find that with Dr. Spirtos.

A very honest piece of advice for new patients. Keep an open mind. Sometimes Dr. Spirtos may not appear to have the best bedside manner. Give him a chance and you’ll see that he is the right doctor to help aid your journey! He truly is smart, caring, and eager to help. You won’t be disappointed in getting to know him and his staff throughout the length of your journey no matter how long or short it may be!

I initially started seeing Dr. Spirtos after randomly getting my period in January 2021 after not having a single period in over three years!! My husband and I knew we would struggle getting pregnant due to my diagnosis of PCOS when I was younger. Right away we started pretty modestly and did a few cycles of clomid with timed intercourse. I believe we did a few that way, and quickly moved on to clomid with IUI and trigger shot. We used pregnyl 10,000iu for that. I struggled to get pregnant the entire first year with this protocol. Some cycles we would add estrogen supplements, or even progesterone suppositories, all to no avail. After about a year or so we decided to switch to letrozole instead of the clomid. While I did respond slightly better, in having multiple follicles, I still did not get pregnant. Last May 2022, I got pregnant on my first hybrid cycle of letrozole and follistim with IUI. I also took estrogen and progesterone suppositories starting the day after IUI continuing on until knowing if it was successful or not. I did end up pregnant then, but sadly miscarried a few weeks in. After that, due to my PCOS and a tough miscarriage my body refused to level out and I ended up on birth control for a few months. Once we were ready to begin again, I had lost 75lbs, hoping the lower BMI could potentially help my odds, we resumed injection cycles with IUI. I was not ready to move onto IVF quite yet after the loss. A few more failed cycles with the same protocol happened, and I ultimately recently progressed to doing IVF. A few months ago everything looked right in my body for me to move ahead with the IVF process. It is tough for me because with the PCOS there is a higher chance of OHSS. My injections were always starting with lupron, 10iu, followed by follistim when ready. For follistim I always started at either 75iu or 150iu. I never got higher than that. Earlier on, I would only produce 1-3 follicles, for IUI, and still did not have success. With this current and most recent cycle, I ended with only 2 mature follicles and around 6 juvenile follicles. My cycle for egg retrieval was cancelled and we switched to a double IUI. I currently have two days to find out if it was successful but due to my track record, it is looking highly unlikely. Pending outcome of this cycle, we will be taking birth control again to calm my ovaries, and starting IVF on a hybrid protocol with higher doses of follistim in the new year. We are hoping that the higher dose will increase my follicle count since my hormone levels do not indicate threats of OHSS at the doses used before.

I am a self pay patient. At this clinic, some bloodwork can be done on site for 95$/test, or can be sent out to a lab facility. I pay 495 per IUI, and IVF would be close to 10,000$ with the added costs of medications and potential embryo biopsies. Each appointment or ultrasound is 200$. My medication prices vary depending on what I need that particular month. Birth control - 17.00$ Folic acid - 9.00$ Folbic - 7.00$ Pre natal - 65.00$ Estrogen - 15.00$ Progesterone suppositories - 70.00$ Pregnyl - 85.00$ Letrozole - 18.00$ Clomid - 14.00$ Lupron - 190.00$ Follistim - 240.00$ I am sure I am missing some, but this is overall what I pay, subject to change depending on pharmacy it comes from. I also take supplements such as 81mg aspirin add estrogen when needed.

I know that Dr. Spirtos is practical with his patients in regards to transfers, both fresh and frozen and how many is safe and effective. There are a lot of factors that go into embryo selection and I know he will weigh pros and cons on whether he would suggest to transfer a single embryo or if multiples would potentially provide a different outcome.

Overall it's been a good experience. I do, however, wish he would've explained that the endometriosis he thinks I have should be treated first. I feel like we continued with 3 IUI attempts before he told us the endo was creating a "hostile environment." I think I would have approached treatment differently had I known it was such a huge issue. I was under the impression the IUIs would still work and give us as much a chance as a normal fertile couple. Overall, he has taken the time to explain what steps need to be done. Although I feel like IVF was pushed on us as "the best option" at each appointment, he did offer many other alternatives to help with our fertility issue. He CARES to get you pregnant, but leaves the option up to you to figure out what next steps you want to take. No pressure, except "IVF as the cure all for everything," which I don't think is necessarily true.

Be prepared to not be babied. He is direct with his approach, and he gives a "these are your options" and it's "up to you what you want to do" type of appointment. He doesn't sugarcoat. My best advice - break the ice with a joke. That really made my first couple appointments go better and really made me feel more comfortable with him.

We did a non-medicated, natural IUI during our first month. It was a failed cycle. Throughout the course of bloodwork, Dr. Spirtos found out I had an auto-immune disorder, Hashimoto's Disease and hypothyroidism. I would not have known otherwise if it wasn't for him. With that being said, I had already started my first medicated cycle with Clomid. We stopped that cycle's IUI because I needed to get an ultrasound on my thyroid to rule out any further issues. We still tried to conceive the "old fashioned way" with Clomid only, but it was a negative cycle in month 2. Month 3, we did a full Clomid, trigger shot, IUI cycle. It failed. I started taking supplements/vitamins for my thyroid (selenium, zinc, B1, magnesium) and I also went gluten-free and caffeine free. Month 4, we did a full Clomid, trigger shot, IUI cycle. It failed. I was devastated. Dr. Spirtos told me that I either needed to do IVF to get pregnant, or I needed to get a laparoscopy to diagnose and remove the possible endo. Month 5 I took off from treatment and am seeing an OB for a second opinion on the endo and potentially move forward with the surgery should the OB find the "nubs" Dr. Spirtos felt during my pelvic exam.

All out of pocket costs as my insurance only covered clomid: IUI: $395 each Trigger shot: $100 (single dose) Progesterone suppositories: $110 (couple months worth) Clomid: $11 (for 5 pills with insurance) IVF: $8,995 Injectables for IVF: $2,400 Each in-house blood draw was $95 My insurance covered ultrasounds.injec

If you are looking for a doctor who sugar coats things then he won’t be the right doctor for you. Having said that he is by no means cold hearted and just wants to be as clear as possible and his delivery is in a kind way. He has never had bad bedside manners he has always been very kind and professional. At the end of the day he is on you’re side and wants to help his patients make their dreams come true.

Don’t go by the bad reviews you see. Not every doctor is for everyone. Give him a chance. I seen some bad reviews and I took the chance and never once have I experienced any of the bad things that have been said about him.

Our first IUI he had me on menopur and bravelle and trigger shot that ended in a negative 2nd IUI he had me take birth control and then after that it was Lupron and then menopur and bravelle along with the trigger shot. That was Successful but ended in a miscarriage at 11 weeks five days. All my other IUIs he had me on was the same as the 2nd IUI minus the menopur and bravelle because he had me on Follistim all ended negative and the other treatments have been taking clomid days 4-7 I do believe plus trigger shot and all ended negative.

Every visit for co-pay is $96.00 plus whatever the ultrasound and blood work cost and that is billed later and as of now I owe them around 1,200. One IUI cost I do believe 375 and my injectables were about 1,400.

Dr. Spirtos is an amazing fertility doctor he knows what he’s doing he’s very knowledgeable that great bedside manner’s he’s very to the point but not in a rude way which I think is amazing because when you’re going through treatment for so long you just want to get to the point. He is very accommodating and at the end the day his goal is to make your dreams come true .

My piece of advice would be if you really want a child need to go see Dr. Spirtos .

We first tried medicated IUI. Or injectables were Menopourand, Bravelle and ovidrill I can’t remember what the dosage were but that cycle for IUIdid not work so He switched up the medication a little bit put me on birth control then I had you take shots of Lupron and the other medications that I listed above and it worked but unfortunately at 11 weeks and five days I had a missed miscarriage then our next round months and months later I decided I want to try in unmedicated IUI because of Financial reasons which did not work. So now we are back years later and we are on our journey again and we are doing medicated IUI and if that does not work our next step is IVF. And I have all the faith in the world and Dr. Spirtos.

I must say from everything that I have researched Dr. Spirtos is the cheapest around he has a package bundle for IVF for a little under $9000 and I think that’s amazing and when your bills come in for our I must say from everything that I have researched Dr. Spirtos is the cheapest around he has a package bundle for IVF for a little under $9000 and I think that’s amazing and For IUI it cost is 375 per IUI why I believe

I would trust him with any decision he makes

He is a straight shooter. He is not going to tell you what you want to hear. He is going to tell you the truth. He is very knowledgeable and through. He makes his decisions based on the progress of your specific cycle. He is confident.

He does have a sense of humor but he is a no BS type of Doctor.

I have tried other things before but Dr. Spirtos believed the previous doctors did not push my cycle enough. He used Lupron first. Then we began gonal-f. We had to increase that after nothing was happening on the first ultrasound. We used ovidrel to trigger. Them egg retrieval. 5 days later we completed embryo transfer with using progesterone in oil and endometrin suppositories.

Some waits were longer than others but for the most part we were in and out.

It was around 12,000 for everything for one cycle.

Dr. Spirtos definitely does not have the best “bedside manner” but it never really bothered me. He was straight forward and laid out exactly what was wrong and what he thought your chances of success were, which I appreciated. I did have a few miscarriages while seeing him and I can tell you in that situation he was nothing but compassionate and caring.

He has a dry sense of humor, so go in knowing that and you will be fine. He is very hands on, which is very rare with fertility doctors these days. I always felt that my case mattered and he was working on it

Donor cycle was $25,000

He explained the risks of a twin pregnancy but was okay proceeding with two embryos given my age and overall health.

He’s very rough when touching. He’s very disconnected, doesn’t really make eye contact. He recommends doctors for things those doctors don’t even specialize in. He told me I had a heart murmur and recommended a cardiologist. When I tried to book the appointment the cardiologist said I needed a printed referral, 6 months later I’m still waiting for Spirtos’ referral.

Make sure you know everything about your body and health or he’ll send you to a bunch of doctors in the area.

He drew blood and did lab work. I received all my results via mail. That’s all that was done.

The costs were very affordable. $329 for artificial insemination.

I felt at ease knowing the years of experience and wealth of knowledge Dr. Spirtos has. He is , understanding, truly cares about his patients, and extremely thorough. So thorough, in fact, one precautionary procedure he ordered discovered a potential life threatening condition for me that I otherwise would not have known. Fortunately, it was treatable and I was able to continue on with my fertility treatment.

Be patient and trust his knowledge, experience, and God-given talent. He will be upfront and honest with you and will design a personalized plan just for you.

My insurance covered a lot.