Nicole Noyes

Dr. Noyes is intelligent, has a lot of expertise and experience and is very kind. I have no doubt that she is a skilled doctor and truly cares about her patients. However, ultimately the care provided under her supervision was not something I would recommend to anyone. I have never felt so confused and poorly informed, and have never met with such barriers to information. Even simple things were not explained. It was needlessly stressful.

Your care will primarily be provided by people other than Dr. Noyes. If you would like to speak to her directly, you will have to wait to a month. If a doctor says that you should speak to her, you'll have to explain that to her assistant because information is not communicated from doctors to staff (or vice versa), and so you'll be the party responsible for trying to explain something you may barely understand yourself.

Rationale or medication options were never discussed.

During my egg freezing in 2010, Dr. Noyes was warm and compassionate. I had no idea what to expect - I was 24, facing a serious cancer diagnosis, had never considered my fertility, and was simultaneously preparing for (and then recovering from) a bilateral mastectomy and preparing for chemotherapy. Dr. Noyes was reassuring and had a very good understanding of how to fit my treatments together. I had a condom break while preparing for egg retrieval (i.e. a time when I would be hyper-fertile) and Dr. Noyes handled it thoughtfully and sensitively, creatively suggesting an IUD which would be able to block any implantation without compromising my one chance at egg retrieval, and provide me with birth control during the 5-10 years I would need to be on cancer treatment.

Unfortunately, I would have to advise a prospective patient not to work with Dr. Noyes due to the terrible experience I had with her new clinic at Northwell.

At one point, I was told my consultation would be $125 (with my insurance), then was later told it would be $75, but that due to clinical errors, the coordinator would "cover it" (whatever that means). However, I was never able to actually be seen by Dr. Noyes despite spending hours of time over 6 weeks on hold with her admin staff. I'm still holding my breath to see if they'll send me a bill anyway.

Dr. Noyes is no nonesense, which I appreciate. She is clear and frank. She listened well to my goals, concerns and questions and adapted treatment accordingly. She was helpful in thinking through options that were best for my lifestyle, budget, insurance, age etc. She inspired confidence.

Advice for seeing any doctor - take time before going in to your appointments to organize your thoughts and list out your questions, then make sure to go through them systematically with the doctor.

IUI with donor sperm as a single mom. She perscriped chlomid for the second cycle to increase chance, which made sense. Based on factors like my age, insurance coverage and financial concerns, Dr. Noyes helped me determine a treatment course including 4-6 rounds of IUI with and then will consider IVF.

NA

She might not be characterized as overtly warm & friendly - her manner is more grounded, straightforward, blunt. I really appreciated this about her. Her direct manner and her honest, thoughtful input (as I made the decision to try this) was what I wanted and needed. I never felt rushed with her but also her directness cut to the heart of the matter so we were not wasting time in our meetings either. I found her to have an intelligent, dry sense of humor which I appreciated. She is very no-nonsense and can seem a bit distant as a result; however, she clearly cares about her work, her patients and helping them make a baby.

Don't expect warm & fuzzy, but you'll get so much more that this.

I am just about to have my retrieval (tomorrow) so unclear yet how things will go in terms of a successful cycle or not. This is my first IVF cycle but in talking with others, I think what I was on was very typical. Menopur 300, gonal-f 300 - daily for 8 days w/ antagonist Centrotide last 3-4 (?) days. Ovadril trigger shot. I am old to be trying this (45) but my hormones and all that can be tested leading up to this indicated it was still a possibility, though a long shot (Dr Noyes was clear about this but also not hopeless).

It was well orchestrated for sure. I was never there for longer than felt appropriate for what needed to happen that visit. It was not perfect (first couple times, it wasn't clear who I was seeing for the ultra sounds (a doctor, my doctor, a tech?) or what they were looking for with the first couple visits) but I advocated for myself and if asked for more info immediately got it & the nurse realized she had been too quick.

it is the same as far as i know for all the docs at nyu... nyu cycle is 11,700 because I'm doing PGS (PGS is another 2-3,000 i think it is ...plus the outside lab fees)...there are other fees too. If I make it to transfer that will be 2,000 i think

Her policy I assume is that of NYU's, which is single only - they wont do multiples. Higher risk of multiple pregnancies compromising heath and development of each other. I'd be a single mom if this works...so twins was not something I was eager to get out of this anyway.

I like a straightforward doctor, which Dr. Noyes is. That doesn't mean she lacks compassion, just that like me, she gets to the point and I feel confident that she understands my situation and is committed to helping me get the results I want. While I am only about a third of the way through my overall fertility plan, my interactions with her so far have made me feel heard and given me hope that this process will be successful. Dr. Noyes has created a plan that perfectly aligns with the desires I shared with her, and as we've hit bumps in the road (like a miscarriage after success with my first IUI treatment), she's been compassionate and adjusted our plan accordingly.

If you are comfortable with a straightforward/blunt doctor that you can count on to listen to you and help you shape a plan based on your individual needs, then she is for you. If you need someone to hand-hold you every step of the way, she might not be... but I've found her to be a caring and comforting doctor.

I felt she showed compassion on my initial visits. My first retrieval yielded 7 eggs. My second only 2. When I came out of moderate sedation, i was very tearful that only 2 eggs had been retrieved. In their make shift PACU she seemed rushed and didn't really console me. I guess she was busy, but it did put me off a bit with her. I also didn't feel like she really adjusted my hormone dosages the second time to yield more eggs. I felt like she kept the same protocol sh had for my first retrieval. I wish she would have altered it and maybe I would have gotten more eggs.

She is very open with sharing her own personal stories, but she isn't warm and fuzzy. If you are looking for warm and fuzzy, you won't get that from her.

She used Follistim, Menopur, Ganirelex

A cattle call. So many women there waiting for labs and sono. Very busy!

10k for the procedure/labs/sonograms (all those included under the number), about 10k for all the meds(depending on how your body responds to her treatment plan with meds can make cheaper or more expensive), 1200-1400 for anesthesiologist for egg retrieval

Dr Noyes is a competent doctor and is a good diagnostician. She was on target with her predictions. Her demeanor is not for everyone. She is blunt and some people take offense at her bluntness. I appreciated it and had no fertility issues (I froze and when I was ready I conceived) so it worked for me. But I am not sure if I were looking for hand holding that she would be the first doctor to whom I would go.

She is skilled doctor and knows her stuff. But do not expect a warm and fuzzy doctor.

I had one cycle and folistom was the primary medicine used. My trigger shot was changed at the end to Lupron to avoid overstimulation.

You had to go in between 7-9;00 am in the morning. I suppose if I had an issue, I could have asked for a special appointment. But I did not have occasion to.

My exams before the egg freezing cycle and before I decided to get pregnant were covered as were my visits after I became pregnant. My medications for the freezing cycle and for pregnancy were covered. The rest was not. For one IFV cycle, one icsi and one implementation cost me about $22,000. In addition, I paid another $3,000 for PGS testing.

I think my doctor's approach was dead on. She recommended PGS and after the results, she recommended a single embryo transfer. Given the problems, I have seen with twins, particularly with older women-I would highly recommend this approach.

She is a guru in the field and has special expertise around protecting women like myself who are also undergoing treatment for breast cancer. It was disappointing to me that I only saw Dr. Noyes though at the initial consultation and then at the egg retrievals.

Don't expect warm and fuzzy but a very experienced doctor who will get you good results.

I do not remember the entire regiment of medicine I took but I did take the follicle stimulating hormone Gonal F my first round and then switched to a different stimulating medicine the second round in an effort to produce more eggs; although, I produced about the same amount. I was also on Femara to protect me as I had hormone related breast cancer.

The clinic was open between 7am and 9am which made it very convenient with work. For the most part, the wait was about 15 minutes. The clinic ran fairly smoothly.

I received financial assistance from Live Strong so each cycle was discounted. My cost per cycle was $6750.

Our initial meeting with her lasted almost an hour. She spent a lot of time asking me questions about myself, family, job, education, social life etc. She really wanted to know who should could be working with. She made me feel like I was doing the right thing, and that I was light years ahead of my counterparts. It was obvious from this meeting that Dr. Noyes's compassion and bedside manner matched my needs. Once my cycles started I did not see Dr. Noyes very often. I saw her an average of 2 times per cycle, and Dr. Noyes did not do either of my two retrievals.

Be ready to have complete strangers give you internal ultrasounds at 7:05 am. If you this bothers you, than NYU, Cornell, or any big time center, is not the place. Talk to the person in the finance office that deals with medications and insurance. I was able to get my medication covered through Aenta Speciality Pharmacy. Aetna themselves did not tell me this, one of the patient coordinators at NYU told me to go through Aenta Speciality Pharmacy. The medications are brutal but you just need to power through it with your eye on the end result. Write everything down the doctors and nurses tell you during monitoring and nightly calls. Stay organized by inputting your medication doses and timing on the calendar on your phone. Keep track of your medication supplies daily, and check with the doctors/nurse weekly to be sure you have the correct supplies and enough medication to complete your cycle. Never give up. After having my first cycle cancelled I was devastated. I pushed through and ended up with 34 eggs...

Round 1: Non-Lupron Cycle (10/27/09-11/4/09) - Cycle Cancelled 10/27/09: Nothing 10/28/09: Blood work and Ultrasound- saw Dr. Noyes: 450 Follistim pm 10/29/09: 225 Follistim am & 225 Follistim am 10/30/09: 225 Follistim am & 225 Follistim am 10/31/09: Blood work and Ultrasound - did not see Dr. Noyes, saw a fellow: 450 Follistim pm 11/01/09: 450 Follistim pm 11/02/09: Blood work and Ultrasound - did not see Dr. Noyes, saw a fellow, only 4 eggs, was told by fellow that these were disappointing results. The fellow was also about 8 months pregnant, so that did not help the situation. Antagon injected at NYU, 450 Follistim pm 11/03/09: Antagon am & 450 Follistim pm 11/04/09: Blood work and Ultrasound- saw Dr. Noyes, only 2 eggs, cycle cancelled. HcG shot taken at home Round 2: Lupron Cycle (11/11/09-12/10/09) - 12 eggs 11/11/09-11/22/09 - .1 injection of Lupron 11/23/09 - Blood work and Ultrasound - did not see Dr. Noyes, saw a fellow, possibility of cysts 11/23/09 - 11/27/09 - .5 Lupron 11/25/09 - Blood work and Ultrasound - saw Dr. Noyes, possibility of cysts so may delay start 11/28/09 - ok'd to start - .5 Lupron, 450 Follistim, 150 Menpur 11/29/09 - .5 Lupron & 450 Follistim am, 150 Menpur pm 11/30/09 - .5 Lupron & 450 Follistim am, 150 Menpur pm 12/01/09 - Blood work - .5 Lupron am, 450 Follistim & 150 Menpur pm 12/02/09 - .5 Lupron am, 450 Follistim & 150 Menpur pm 12/03/09 - Blood work and Ultrasound - did not see Dr. Noyes, 9 eggs, .5 Lupron am, 450 Follistim & 150 Menpur pm 12/04/09 - .5 Lupron am, 450 Follistim & 150 Menpur pm 12/05/09 - Blood work and Ultrasound - did not see Dr. Noyes, 9 eggs, .5 Lupron am, 450 Follistim & 150 Menpur pm 12/06/09 - .5 Lupron am, 450 Follistim & 150 Menpur pm 12/07/09 - Blood work and Ultrasound - saw Dr. Noyes, 9 eggs, .5 Lupron am, 450 Follistim & 150 Menpur pm 12/08/09 - Blood work 0- HcG shot at 11pm 12/09/09 - nothing 12/10/09 - retrieval - 12 eggs Round 3: Lupron Cycle (01/08/10-02/20/10) - 22 eggs ( I didn't seem to write down when I saw Dr. Noyes at morning monitoring) 01/08/10 - 1/26/10 -Blood work and Ultrasounds every 3 days. Progesterone levels were low, ovulation was delayed, and there was a cyst on my ovary. 01/27/10 - Blood work and Ultrasound - saw Dr. Noyes - got the ok to start as ovulation had occurred. 01/28/ - 02/05/10 - .1 Lupron until period 02/05/10 - Day 1 of cycle. Called NYU to let them know that I had gotten my period and did not receive a call back 02/06/10 - continued the .1 of Lupron. Did not hear from NYU all day. Called at 5:30pm, got a call back at 7pm from a doctor I had never met. 02/07/10 - .1 Lupron 02/08/10 - Blood work and Ultrasound - ok'd to officially start stims - .1 of Lupron in the am, .5 Lupron, 450 Follistim & 150 Menpur in the pm 02/09/10 - .5 Lupron & 450 Follistim am, and 150 Menpur pm 02/10/10 - .5 Lupron & 450 Follistim am, and 150 Menpur pm 02/11/10 - Blood work - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/12/10 - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/13/10 - Blood work and Ultrasound - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/14/10 - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/15/10 - Blood work and Ultrasound - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/16/10 - .5 Lupron am, 450 Follistim & 150 Menpur pm 02/17/10 - Blood work and Ultrasound - .5 Lupron am, 150 Follistim & 150 Menpur pm 02/18/10 - Blood work and Ultrasound - .5 Lupron am, 11pm HcG 02/19/10 - Blood work 02/20/10 - Retrieval - 22 eggs

10k for Each egg retrieval and close to 2k for meds each round

I saw Dr. Noyes a long time ago -- 1999-2000. I was 42 years old and had failed a number of IUI and IVC rounds with injectable hormones, as well as two previous donor egg attempts at a different clinic. Dr. Noyes was straightforward, candid, warm but a bit brisk (I am OK with that), and made it clear that she would give you as much or as little detail as you wanted. She told me at the first visit that she thought she could get me pregnant "one way or another," and she did. She originally planned to go straight to a donor egg cycle, but while waiting for a donor I unexpectedly got pregnant the old fashioned way (courtesy of my husband) for about ten minutes, until I had an early miscarriage. Still, that was enough evidence to prompt Dr. Noyes to suggest one more cycle using my own eggs. We tried that, but it did not work. Next, a donor became available and we had a long talk about how many embryos to implant. I wanted to be aggressive, in light of my age and history. Dr. Noyes eventually agreed to 4, with all kinds of contingency plans if I ended up with too many. As it turned out, one took. Dr. Noyes discharged me from the fertility clinic at 3 months but sent a lovely note when my first daughter was born. Somewhat amazingly, I got pregnant again -- also the old-fashioned way -- when daughter #1 was 6 months old. Even though Dr. Noyes had nothing to do with that (except, perhaps, in the karmic sphere) and she sent another lovely note when my second daughter was born. Both girls are now in high school.

Don't be shy. She responds well to questions: ask them.

See above. I don't remember any of the names of the drugs.

Don't recall the details. It was a lot, and most was not covered by insurance.

She is smart, and tells it like it is. I appreciated her sense of humor. I didn't ask alot of questions, because I didn't feel the need to. I'm not a doctor, but I am smart, and I trusted her expertise. If you are older, she indicates that will work against you. She did follow up with me.

Be prepared that she will be honest. She is not going to sugar coat your chances.

I was prescribed the usual IVF protocols and each cycle produced eggs and embryos, but for some reason there was a failure to implant.

Depended on the day, I was taken in the order I got there. Sometimes there was a line, sometimes not. I tried to get there early and get in and out.

$8K per cycle

Dr. Noyes is a skilled and experienced clinician. I have personally had only good experiences as her patient. I have referred several other people to her and they did not have as positive experiences as I did.

To be personally on top of her own treatment cycle and insist on getting explanations if she notices any discrepencies or if something seems wrong.

Monitoring was done in the mornings and the wait times varied at different points.

I didn't feel that there was a definitive approach being recommended and I got some confusing advice when it came time for my embryo transfer. I also didn't feel that it was discussed fully and properly in advance.

She is extremely straight forward and was confident that her team would do what needed to get done to get the results we were looking for. After a couple years of trying, I was very skeptical of a new fertility doctor but she gave me an assurance when others would not. She looked me square in the face after I sat in her office sobbing that she would get me pregnant. And I believed her and 4 months later she did.

Be ready for the most direct doctor you have ever met.

My insurance covered the IVF process so the costs were minimal. If your company is willing, definitely speak to them about adding ART coverage to the health insurance plan. It is NOT considerably more expensive for the org.

I like and trust Dr Noyes but wish we had more one on one interaction. I only saw her in person for my intake appt before my first IUI and after two cancelled IVF cycles. All my communication was with the nurses and other Dr's who did my ultrasounds.

If you want to have lots of personal interaction with Dr Noyes she might not be the Dr for you. Also, if you have low ovarian reserve talk to her about aggressive vs non aggressive protocols in advance.

I was covered by insurance and hand minimal out of pocket costs.

Dr. Noyes enabled us to have our family, so she will always hold a very special place in my heart. We did get to know her perhaps a little more personally than most patients, which just made my husband and I respect her even more. I really can't say enough good things about Dr. Noyes. After our very long tenure at NYU, I missed her.

Dr. Noyes is very honest and straightforward. Sometimes the truth is pretty ugly, but the sooner you know what your situation is, the sooner you can figure out the best course of action.