Sheeva Talebian

Dr. Talebian does not back down from a challenge. I came to her as a RIF patient (recurrent implantation failure). I had failed 5 FETs prior to coming to her. She did not hesitate when we asked her if she thought we should keep spending our time with fertility treatment. I appreciated that. Like all REs, regular appointments with her were brief but she never made me feel like I couldn't get my questions answered. I was very glad that she was able to do both my egg retrieval and transfer. The transfer experience was a really good one since I knew she would be doing it and since we had been working together a few months I knew she was really cheering for me.

Make sure you prepare your questions prior to any appointment.

I came to Dr. Talebian as an RIF patient (recurrent implantation failure). I was in this category because I previously failed 5 FETs before coming to Dr. Talebian, 3 of which were PGS normal. Dr. Talebian started out by doing additional screening on both myself and my husband. My husband had a DNA fragmentation analysis; I did a second ERA test with a new protocol (modified natural; led in with letrozole, added a few estrogen patches and progesterone before the mock transfer) as well as the ReceptivaDx test for silent endometriosis. The ERA came back as receptive which had not happened before so we were excited about that result. When it came time for my retrieval, she also did a hysteroscopy at the same time, so we could rule anything out there. I really appreciated this thoroughness. At CCRM, they PGS test all embryos; of the 8 day 5 and 6 embryos I got from my retrieval, 7 tested normal. For my first transfer, we followed the same protocol as we did for the mock transfer with the ERA. This included leading in with letrozole, adding in some estrogen patches pre-transfer and also starting progesterone inserts before the transfer. They also did a blood test on me a day or so before transfer and increased my estrogen patches. In addition to CCRM, I was also seen by Dr. Jonathan Scher who did an immune protocol on me. I took prednisone (a steroid) as well as did an infusion of intralipids prior to my transfer. This was to address my immune testing results, which included high natural killer cells.

The costs at CCRM were not all that different from at Cornell at the end of the day. They just recently started accepting insurance from Cigna, which I have. I think I paid about $20-25k for my retrieval, plus medications ($2-3k), plus anesthesia ($2k). I haven't yet paid for additional embryo freezing so not sure what that costs.

Dr. Talebian only recommended transferring one embryo. Because we had failed a few times before we asked for her thoughts on multiple embryo transfer and she said she would consider it if our first transfer failed. Thankfully our first transfer was successful.

She has a warm and enthusiastic personality and she’s very intelligent and caring. If you have questions, she calls and/or meets with you personally. She is upfront and honest. I enjoyed her energy. My husband and I both liked her personally and enjoyed working with her.

Ask questions and she will answer them.

antihistamine protocol.

I don't remember, but this place was expensive and I felt like I was working just to pay CCRM

multiple embryos transferred because they were untested. This doctor is really into testing.

Overall, Dr Talebian felt like she was in it for the money & lacked accountability & professionalism, as did her team. Her personality felt slick, like that of a strong saleswoman. My gut found her hard to trust. Yet since she was recommended by another doctor who I respect & trust, I regrettably decided to give her a chance. Her strengths included that seemed knowledgeable, competent & confident. Her weaknesses? After 6 weeks of working together, she regularly misquoted key details from my medical history, never assigned a nurse to my case, failed to address when her team was regularly getting things wrong (even concerning meds) & being unprofessional, didn't know the month of my retrieval - and tried to argue with me about it. She never apologized for any slight or mix up ever, which felt arrogant. Worst of all, after I endured this neglectful treatment from her and her staff for six weeks & wrote the clinic director to request to switch doctors, Dr Talebian blocked me from changing doctors. At 45 years old, with severely diminished ovarian reserve, I was forced to work with Dr Talebian or find a new clinic altogether just 3 weeks out from my cycle start. Given I no longer felt like I could trust her or her team with my care, I had to leave CCRM, request a refund for $29,000 and rush to find another clinic. I was appalled by the disrespect and so was my new doctor.

Be certain that she believes in your case and will be dedicated to supporting your journey (not just for "one round"/easy money) and be prepared to double check her and her team's work. Does she repeatedly only speak of committing to just "one round?" Does she get on the phone with you? Is your case being handled appropriately -- can you reach someone on the phone or via email? Have you been assigned a nurse (I never was)? Does she and her staff take time with you or do you feel rush or ignored? Answers to these questions can help you determine if you're receiving good care. Get everything in writing as well (via the patient portal is fine). This way, you have proof of your concerns should she decide to address them.

Didn't get this far but the strategy was consistent with what I heard from another doctor.

$33,000

Dr. Talebian is kind and an excellent listener and emotionally intelligent. I feel so fortunate to have had her as my doctor and would trust her judgment under any circumstances. I have an excellent ob/gyn, but any time I had to make a decision during my pregnancy (for example, whether to get an amniocentesis), my husband and I would both comment that we wanted to go back and ask Dr. Talebian. Again, my ob/gyn is a wonderful doctor, but Dr. Talebian's shoes are simply impossible to fill.

Congratulate yourself for finding her because you are in great hands! (And keep a list of questions to ask at each appointment.)

From day 1 Dr. Talebian was supportive, compassionate, communicative and made us feel supported, heard and well taken care of. Her care was truly 360 -- she was present at every visit, connected us with an acupuncturist, checked in with our therapist, and spoke with our OBGYN. With her, we really felt like we had a full team supporting us. Not only that, Dr. Talebian was very communicative, making herself available after hours to discuss our plan and address concerns. Aside from that, she is an expert and her approach was thorough, and we were thrilled with the results.

Keep doing what you're doing!

As a 41 year old patient looking to do a retrieval, I was confident in the protocol Dr. Talebian laid out for us. I don't recall all of the details, but the results were 24 retrieved, 12 mature, 12 fertilized and 1 normal.

I was fortunate to have generous fertility insurance at the time, so I can't speak to the actual costs.

n/a

Dr. Talebian has always been thorough and didn’t immediately go for a cycle. She made sure that my reproductive health was as healthy as can be. At my first ultrasound, she thought she saw a fibroid and referred me to an amazing OBGYN surgeon. It turned out to be ademyosis and I had hysteroscopy surgery to remove the extra tissue. After that, I had a HSG and it showed my right Fallopian tube may be blocked by the left over ademyosis. With this knowledge we focused on when we will do an IUI based on which side the follicles are growing. When my hormones seemed off at the start of my cycle, and I had a ovarian cyst from the first medicated cycle, and after I didn’t ovulate on a natural cycle, she put me on a month of birth control. This got rid of the cyst, and balanced my hormones for the next cycles and I finally started my IUI’s. Dr. Talebian always talks me through an ultrasound so I know what she sees, since it all looks like a dot matrix to me.

Tell her what you want, and she will give you options.

We decided to use letrozole for 5 days for ovulation. 0 cycle- my hormones were off in the beginning, so it was canceled 1st cycle - my hormones were off in the beg, but after a few days I started the letrozole. After the 1st week, follicles were small, so I did 5 more days. I also developed a small ovarian cyst. Things were going slow but well, but we missed the surge on day 21. I was ovulating late and the timing was off because I had weekend travel. 2nd cycle - Because of the cyst, we did a natural cycle. It took the same amount of time for the follicles to develop, but then I didn’t ovulate and my menstrual cycle started. I was put on birth control to get rid of the cyst and to prevent having follicles at the start of the cycle, which were throwing off my hormones. 3rd cycle - 5 days of letrozole, ultrasound, then 5 more days of letrozole, took Ovidrel trigger shot on night 18. Had 1st IUI on day 20 early morning. Was given luteal support to start 3 days after. Estradiol Estrogen patch 0.1mg every other day, and progesterone suppositories 100 mg twice a day. Pregnancy test was negative 4th cycle - only 5 days of letrozole, trigger shot on night 13 and IUI on Day 14 late morning. Same luteal support. Pregnancy test was negative

Cost are about $300 for bloodwork and per ultrasound. IUI with donor sperm is $925.

After 3 failed IVF cycles at Cornell including 2 FET of PGS normal embryos I looked into other clinics for one last attempt at IVF since Cornell said they wouldn’t do anything differently. I considered SIRM where I underwent further testing and learned I had elevated NK Cells, because of their experience treating immune issues but after seeing their low success rates for women over 40 I did not feel comfortable proceeding. I also considered NYU but they never called me back when I asked about their prices. Based on reviews for CCRM I thought this was definitely the best clinic in NYC. When I called to make an appointment Dr. Talebian and Dr. Knopman had appointments available soon. I chose Dr. Talebian based on her reviews. I enjoyed our consultation. She was smart, confident and prepared for our meeting. She took the time to explain what she would recommend that was different than Cornell. Based on my bloodwork she recommended the Microflare Lupron protocol which she expected to provide better quality than the antagonist protocol which I used 3 times at Cornell. Unfortunately, this protocol did not work as well as I had hoped. It took me much, much longer to produce follicles and eggs. I did not produce as many eggs (16 vs 11) and none were genetically normal. Frankly, I regret changing the protocol when the standard antagonist protocol had worked so well for me at Cornell. She also reviewed the long list of supplements I was taking. She said they were good but she recommended I lower the dosage of DHEA to 25mg a day since my levels were off the charts high after she tested my levels. I am not sure if lowering the DHEA dosage was the right call or not because I had a better result at Cornell when I was taking 75mg a day of DHEA. Because of my repeated IVF failures and miscarriage, Dr.Talebian said she would also recommend an immune protocol during the transfer including Lovenox and a steroid to suppress the immune system. She said she does not administer intralipids but if I wanted to, I could go to Dr. Jonathan Scher for further immune testing and she would work with him and incorporate his immune protocol into my plan. She said for some of her patients they have finally had success after treating immune issues. Dr. Talebian’s experience and success with hard cases gave me comfort and confidence. I like that she is open to treating immune issues. My RE at Cornell did not “believe” in immune issues at all. Unfortunately, I never had any embryos to transfer so I cannot really elaborate on the immune protocol. Another way CCRM differs from Cornell is that they recommend PGS for all blastocysts. At Cornell on my last cycle, I had a fresh transfer of my two best untested Day 5 embryos (3AB and 2.5AB). That transfer failed. Dr. Talebian would not transfer untested embryos. She says that it “tells us nothing.” In retrospect I wish we had tested all of my blastocysts at Cornell before transferring.

I found very few doctors that are willing to use alternative therapies for immune issues but Dr. Talebian was one of them. However, I personally regret doing a cycle with her and changing my protocol because my results were not as good as expected.

Started estrogen patch 6 days before injections. Started 20 units of Microdose Lupron on first night of injections, then 20 units in AM and 20 units PM after that. On day 3 of injections added 150 units Menopur in the AM and 300 units Gonal F at night. Took a combination of microdose Lupron, Menopur, Gonal-F and Dexamethasone for about 13 days before trigger shot. (In my previous IVF cycles, I took meds for about 10 days. I think my follicle growth was slowed down a bit by the Microdose Luprom.)

So far close to $29k out of pocket. $350 for consultation. $22,000 for IVF including CCS and FET which I have not done yet. $300 for sperm freeze. $5,000 for medication payable directly to pharmacy. There may be additional costs that could come up including $1,400 for anasthesia. Sometimes insurance covers anasthesia-waiting to find out. Less than $200 for lab work. Some of the lab work was covered by insurance. I exhausted my IVF insurance coverage so was paying out of pocket. I looked into the pricing at Cornell, NYU, RMA and SIRM as well and I think CCRM was about $7k more than the others. At the time I thought it was still worth it to go with CCRM. But in retrospect, I regret the decision.

I would recommend dr. Talebian to all my friends. I am still going through the IVF process but regardless of the outcome she has my full trust. I know I am in good hands with her. She is smart, dedicated, caring and kind. She makes me feel like I am not alone in this journey and is as vested as I am.

Describe your situation and history with details and Dr. Talebian will make sure to adjust the protocol accordingly.

I have done two cycles so far with Dr. Talebian. Based on my history, we did the lupron protocol combined with Menopur and Gonal F. I responded well the first time, less the second time. We suspect that it’s because the first time I was prep’d with estrogen patches, and with the contraceptive pill the second time. For my third cycle we will start w the patches, the Gonal F and Menopur combined with Clomid. I will be triggered w lupron and HCG.

Wait time was minimal and process very smooth.

Each retrieval cycle cost about $16k + injections paid separately. That does not include the embryo transfer.

Dr. Talebian suggested we may have to consider transferring two embryos when the time comes given my success so far.

Warm, thoughtful, an expert communicator who can synthesize complex medical terms into examples and language that were uniquely applicable to my personal situation. I've been singing Dr. T's praises all summer/fall and would refer her to ANYONE (friend or stranger) considering working with CCRM.

To come prepared with questions and thoughts because Dr. T will hold the space to answer EVERYTHING that comes across your mind.

N/A, unable to recall full specifics. I experienced a very straightforward egg retrieval.

SEAMLESS, I was able to arrive for my scheduled time, sit in a beautiful lobby with snacks, drinks, magazines and was always seen for my appointment within 5 minutes of arriving (even if I was early).

I cannot remember as much was covered by my employer.

N/A

I feel that she was very honest and compassionate about our case. We are on the older side, and she has been honest about when we should continue down a particular road, or when she thinks it's time to change course. She has been willing to talk me through tough choices on the phone and been available on weekends, which has been tremendously helpful through this process.

The team at CCRM and Dr Talabian are great. That said, the patient still really needs to be on top of her own meds, as well as be very clear with the insurance company. There are so many hoops that you have to go through. Be in charge of your meds, be in touch with the clinic, ask a lot of questions, and you will get the help you need. But you the patient need to be primarily responsible for the drugs, and there are a lot of them!

I did an estradiol patch post ovulation, then 2 weeks of dexathemsome tablets, menapur injectables, and Lupron. In the evening I injected Gonal F and Lupron. Then we did the egg retrieval. The first round gave 2 blasts but neither were successfull. We will try one more round of egg retrieval.

$18,000 injectables and retrieval. $10,000 freezing and transfer $400 in house blood work for ovulation test

We eSET. I feel the eSET makes a lot of sense, though I know that not all clinics feel that way. Dr Talabian explained the benefits of eSET and my partner and I agreed that it was the best option for us.

I am not someone that usually writes reviews, but Dr. Talebian was so amazing in our journey that I felt compelled to share my experience. I believe that Dr. Talebian was instrumental in our success and we would not be where we are today without her. From day one she looked at me as a person that she could help have success and she never wavered from that belief; even when I myself did. She never gave up on my case. She was reassuring and took time to explain things in person, on email, and on the phone every time I reached out and needed reassurance, encouragement or an explanation. She was beyond patient. Advice- don’t be afraid to ask questions and do that over googling. The internet is scary and often times wrong. Trust her and believe in her. She knows what she’s doing. She will tell your her POV and guide you- let her.

Trust in her and don't be afraid to ask questions or for an explanation of how things work. She is super knowledgeable and knowing the facts will help reassure you.

We started with letrozole and then moved to an IUI before doing IVF.

She and the entire clinic tends to only do single embryo transfer

We came to see Dr. Talebian after completing 3 failed cycles with another clinic. I wasn't sure if we would get turned away since we had some failures but instead she was pleasantly positive. She did not give false hope, just stated facts and let us know we aren't at the end of the road yet- which is what we were hoping to hear. She was relatable and empathized with all the life style changes we have had to make in the past year. She understood the need to keep life as normal as possible and gave the OK on things we had previously cut out because of IVF. I never felt rushed or that any question was silly.

Come with questions- she will answer all of them.

estrogren priming (about 1 week) oral steriod Clomid 10 days Menupor 150 Gonal 300 Centrotide HCG 10,000 iu trigger

CCRM was very detailed with billing. They shared a lined item list of each step of the cycle and cost. There was a list of extra services as well that you could add to the cost. Total IVF cost was 24k not including medication.

As I mentioned previously, we did not feel like a number with CCRM. Compared to a few other clinics, the Dr-patient interaction is amazing. Being diagnosed with Premature ovarian failure we knew our chances of a successful IVF round were low. At each failed cycle she was able to express her sympathy, while also guide us towards positive next steps to move forward. For a brief period (due to insurance coverage) we left CCRM and after a few months with a new dr, I had to return back to Dr. Talebian's care.

Give her all the details and be open and honest with your treatment expectations. She may not always say what you'd like to hear but you feel validated that she has reviewed your information and is giving you the best options to a possible new approach

Although odds were slim for me to have a successful IVF round using my own eggs she was willing to try two different attempts. Along the way we had multiple touch points and conversations regarding possible donor eggs - never a push - just a gentle suggestion for whenever we were ready to go down that path.

Have not had an embryo transfer, although she was pretty straightforward in her belief to transfer single

We had a great experience with Dr. Talebian, as she showed compassion balanced with her honest opinion about our chances for success. She was able to provide a course of treatment and additional testing that was different from our previous clinics. She is very response via email, even on the weekends.

Ensure you doing your own research and be your own advocate, this is for all infertility treatment and not just with Dr. Talebian

For egg retrieval, birth control and metformin prior to injectable drugs for PCOS, resulted in higher quality eggs. For transfer added 2 months of Lupron Depot for suspected Endometriosis, blood thinner for Factor IV and steroid for possible autoimmune response. Adding the blood thinner and steriod, plus the metformin prior to transfer helped me become pregnant.

$30K+

Dr. Talebian strongly encouraged that I transfer 2 PGD tested embryos during one cycle based on my long history of failures. This approach was not successful as I did not get pregnant on this cycle.

Dr. Talebian went out of her way to answer all of our questions, discuss the details of our protocol and what to expect and she was incredibly kind every step of the way. I also appreciated the fact that when the news she had to give wasn't the best, she was very rational and discussed all the options with us.

Be in the driver's seat. Dr. Talebian is fantastic, but ultimately, this is your journey and if you come with well researched questions, thoughts, ideas, Dr. Talebian will be receptive.

We are still in the process of a donor egg cycle.

I don't recall, we are very lucky to have incredible insurance.

We mutually decided on a single embryo transfer. The one thing I would have changed is to have opted out of PGS, but we made the best decision we could with the information we had at the time.

My experience was stellar with Dr. Talbien. She was confident and knowledge about IVF ...I never felt as if the transfer wouldn't work and if I did have doubts she had solutions and reassuring words that helped ease my worry. Dr. Talebian never once made me uncared for, she treated me like a VIP!

GO GO GO see her if you want a baby!

During my first visit, we discussed retrieval and donor she explained each protocol and allowed me and my husband to weigh out our options...I never felt rushed or pushed in either direction. The information she provided us helped make our decision and most importantly we never felt judged.

The costs seemed fair and at times were adjusted if money was tight.

My husband and I were referred to Dr. Talebian after several failed attempts at IUI and IVF. When we first met the Doc we were at a point of feeling broken and hopeless. My husband, who is trans, had already had 2 failed IVF attempts and I had several failed IUI attempts. The plan was for him to produce eggs that I would carry. As soon as we sat down with the Doc we knew we were in the right spot. She never lied or filled our hearts with false hopes, but she did make it clear that she wasn't willing to give up until we were holding our baby. As many who have traveled this road know it is not easy, it's an emotional rollercoaster and very personal. It is the most vulnerable who will ever feel. You sit there and discuss yourself in full detail and can't help but feel like you're a failure because you can't do what "normal" people do. The Doc never made us feel like failures, not even when outcomes beyond anyone's control weren't what we hoped or planned for. When it turned out that my husband just could not produce eggs that were viable the Doc shared in our tears, but never let us feel like that was the end. We discussed new options and directions at length and she was always willing to listen to all of our ideas no matter how crazy they were. She made herself available at all hours so that we could do conference calls, she even stepped out of a dinner party one time to call us because that was most convenient for us. She never left us in the dark and we never felt alone. She made us feel comfortable with every step, test and procedure. She was so dedicated to us that even after being dragged on the ground by a taxi, the morning of my retrieval, she got her head stitched up and walked into the room ready to make a baby for us. She said nothing was going to stop her from making this happen. I don't know any Dr. who would do that for their patients, so we really felt more like friends. Everyone who has done IVF treatments knows the daily testing that needs to happen, we happily drove from NJ into NYC, in stupid amounts of traffic every day to be a part of the Dr Talebian team. With her help and determination we were blessed to get pregnant with our daughter born this January. We still keep up with the Doc and send her pics and updates all the time. We could have never done this without her. And to think 2 years ago when we walked in her office we thought it was never going to happen and now we have a beautiful baby girl and 2 fertilized eggs still left to try for number 2!

I would say to be open and honest about everything, even if you don't think it makes any difference. Lay it all out on the table, the Doc will never judge you.

The Doc communicated with our previous Fertility Dr. so that she did not duplicate what did not work already. She then discussed it with other Dr's at CCRM to come up with the best course of action for us. Between the 2 of us we went thru 4 IVF cycles and I went thru many IUI's. I could tell you every drug protocol we used, but the truth is that we tried them all until one worked.

An IVF cycle ran about $21,000 and IUI cycle ran $3,000 to $5,000 depending on how long your cycle lasted.

Being that it took us so long to get to pregnancy we were always in the mindset that we wanted to just put 2 in and hopefully get a jump start. However, when it came down to it and we thoroughly discussed it with the Doc we all decided that it was safest and most effective to do one at a time.

This was our first clinic (of 3) so we weren't entirely sure what to expect from the process. Dr Talebian was very helpful in our first meeting and explained our options as a same sex couple, and was very inclusive to both my wife and myself. We decided to proceed with IUI. She was away for the first IUI and had another doctor cover. We were not successful and then decided I would go on letrozole for the next cycle. We tried 2 more IUI with Letrozole without success. Not once did we ever receive any follow up email from the doctor to check our progress or if we were successful or not. The communication was pretty terrible in general, and at one point when trying to clarify things Dr Talebian became quite rude and unprofessional over email. We didn't feel a great deal of sincerity from her and the communication made us feel uneasy about receiving full information and trust regarding care, at which point we decided to look at other clinics.

Figure out the best line of communication early on.

We did one natural cycle IUI then introduced Letrozole low dose for the 2nd IUI cycle which didn't produce any extra eggs. Then the doctor increased the dose for the last cycle and I got 2 mature eggs.

cost ended up being about 1500 per IUI cycle

I had gone through a bunch of FET's already that hadn't worked and had had a 2nd trimester loss so I really needed optimism. Dr. Talebian is full of optimism; but I really got my hopes up and they were dashed as we did not have success. Also now sense we're being directed to frozen donor eggs, not fresh, and there aren't many donors in the frozen egg database so it's discouraging. I think she really cares but maybe should be more realistic about options and about underlying issues that area already known. Really wish we could have seen all the implantation failure doctors before this latest cycle as they had great suggestions after 4 embryos didn't implant elsewhere. But we are out of money and CCRM is very pricey.

Take optimism with a grain of salt. Advocate for yourself a lot in terms of timing that you prefer for an FET and learn more about changes re the treatment of other existing conditions that are maybe being changed during course of a cycle.

I don't remember a lot about the retrieval except it was more medication than I had ever used in other retrievals and that it involved lots of estrogen patches that were very expensive; I did have lupron for weeks and ovulated through that (I think it was meant to suppress ovulation) -- and I was upset about that but we stayed almost on course. It was upsetting when numbers weren't going right and I wasn't comfortable ultimately with doing the transfer then if I'd ovulated but I really trusted her and was super optimistic at the time.

It came to almost $30,000 for the procedures and medications. Medications were particularly expensive. I ended up getting back less than 1/3 of that from my insurance. This was for egg retrieval cycle that included one FET.

I only had one that tested healthy so not an option for 2.

Dr. Talebian is the first doctor that has given me their direct email and made me feel that no question was too small. She's prompt in returning messages — even in the evenings. I just started my first IVF cycle with her. She's extremely knowledgeable, kind, and accessible.

Go for it!

I'm just starting my first IVF cycle. Dr. Talebian has me on an estrogen patch for about a week before my first suppression ultrasound and blood work. Then, I'll start on 300 units of Gonal-F and 2 vials of Menopur along with an oral steroid. My husband will start a round of antibiotics when I begin my injections. Depending on how the stimulation goes, I'll start the Centrotide and eventually do an HCG trigger shot and Lupron. They told me that after the embryo transfer (hopefully we will get some!), I'll be doing progesterone shots. She also said that a daily baby aspirin would be something advisable after an embryo transfer. As far as the fertilization, she told us we could do a mix of ICSI and PICSI. This helps give potentially damaged sperm the best shot at making a good embryo.

It's looking like a cycle of IVF will be around $21K — not including medication and some other things we may need.

Please see what i wrote under the question about feeling like a human. I have zero complaints. she is THE BEST. She thinks outside the box. She welcomes questions about chaining protocol instead of feeling threatened. She works with me instead of acting like the doctor at the other NYC clinic i went to who dictated decisions and seemed to find my questions about them annoying. I never get the "i am the expert so defer to me" vibe from Sheeva. She acts like a partner, not a dictator.

Not much needed. I say this for everyone undergoing IVF - be your own advocate. but that's not specific to sheeva

For my april retrieval i will be doing: Estrogen priming likely 250 combined menopur and gonal f cetrotide - tbd when lupron somewhere along the way - need to find out more

i expect it to be around $25k plus meds

No - she is a strong believe in single transfers at my age and since they PGS test My only outstanding question which i need to answer is how they handle mosaic embryos

Dr. Talebian was patient and caring with me from the start of treatment. Furthermore, she was never defensive and always willing to consider my thoughts and ideas. This is a rarity in doctors. I felt like she genuinely cared about me and my future baby. She provided incredible communication over email, the phone, and in person. Dr. Talebian went above and beyond during my miscarriage and subsequent successful pregnancy to help manage my emotional state and well as fertility plan.

Ask questions. Don’t hesitate to reach out and advocate for yourself.

I did not have low ovarian reserve so Dr. Talebian purposely did not overstimulate me during retrieval. I had 14 eggs retrieved, 13 mature, 12 fertilized, and 9 went out for PGS testing. 6 came back normal. During first FET, which was a natural transfer based on my ovulation due to negative effects from birth control, we transferred a 5 day 5AA embryo. This resulted in a pregnancy. We saw a heartbeat at 6 and 7 weeks, but during the 8 week ultrasound there was no heartbeat. I also had a SCH during the pregnancy, but ultimately the cause of m/c was undetermined. Repeat loss panel was performed. Only thing that came up was that I was homozygous for MTHFR. I changed my diet and used Lovenox with next natural FET. A 7-day 6BB was transferred. I stayed on Lovenox through 36 weeks. This pregnancy resulted in my daughter.

Including everything, such as medication, retrieval, transfers - about $40,000

Dr. Talebian is smart, kind, and efficient. I trusted her completely and got great results. She always explained things very thoroughly and answered my emails if I had questions between visits. I felt like my anxiety about this process was lower because of her care. I had initially gone to another clinic first, but felt a lot of anxiety during my testing. At CCRM NY and with Dr. Talebian I felt so comfortable and well cared for.

She's awesome and really tries to do what is best for her patients.

I primed with estrogen patch in my luteal phase then did the injections twice a day until trigger and retrieval. I triggered with HCG and lupron to protect me from OHSS, for which I was at risk because of high estrogen. I retrieved 17 eggs and 14 were mature and froze. My recovery was easy with no pain and just some bloating.

Dr Talebian was very caring and took extra time to talk to me and answer calls. She was not always there and not always the doctor on call to help me. It was hard to tell in my case because the results of the very expensive procedure were not what I wanted or had hoped for, so it was overall disappointing. She handled that well I think, though I never felt I had as much time as I wanted with her.

Push hard. They will whisk you through if you don't demand answers and work really hard to understand and push for the best treatment.

I started with the pill for 3 weeks, which was based on my low AMH numbers. Then I did a standard protocol for a long cycle (meds were very costly). I had 3 eggs we hoped to retrieve and we only got one.

Easy and pretty efficient...

$14k. They did give me a small discount to get started and they advised about med costs.

Dr Talebian was completely professional, smart, compassionate, knowledgable, caring and very kind. My experience with her was EXCELLENT! I am currently about to start another IVF cycle for a second child and I tracked her down at her new clinic (CCRM) just to make sure she was my doctor again. I recommend her highly!!!

Don't be afraid to ask anything! She is totally nonjudgmental and always responded to all my questions (some of which were kind of crazy!) with patience, compassion and clarity.

Honestly, I don't remember all the details. But she described everything well and I opted for the conservative choices and I paid extra expenses to try to maximize my potential success, including genetic testing and ICSI. My only regret (not her fault at all) is that I feel I spent too much time on IUIs and should have gone to IVF sooner. She had recommended this but was totally understanding of my choice not to.

This was a real pain at RMA! I had to go to Midtown Manhattan for certain procedures or on the weekends which was not as convenient and monitoring hours were only early in the morning and there were always tons of women waiting. At CCRM now, it's MUCH better. You can schedule monitoring any time!

IUIs were about $1000 each (plus the cost of sperm). The whole IVF cycle was about $15,000 plus $5k for genetic testing and $5k for meds.

She highly recommended single embryo transfer because I did genetic testing on the embryos.