Todd Deutch (retired)

Dr. Deutsch always seemed like he had something better to do than truly solve the issues at hand. I have had 3 recurrent miscarriages, 2 of which were chemical pregnancies. Every time we asked the potential cause, we were always met with an "I don't really know" or "there is no known cause". Dr Deutsch requested after 2-3 years of infertility that we get an A1C, as well as clotting labs. Never explaining that we would need to stop the cycle or would be in danger (during the middle of frozen cycle protocol, mind you) of stopping the cycle if the results of the a1c were abnormal. When my a1c came back high, I was excused from the practice and stopped mid-cycle from lupron, progesterone, estrodial "cold turkey" with no chance to re-test - my 4th frozen cycle was ripped from our hands without explanation or chance for re-testing when results were so absurdly abnormal. We were devastated. This was never a possibility explained to us, and as a nurse myself I was heartbroken to learn his true demeanor and practicing behavior as I had never so much had a high blood glucose. My 2nd viper-venom clotting lab also came back normal, within 48 hours of testing, when processing time is 2 weeks minimum. It became apparent to me that I had rec'd a fellow patient's blood work. I immediately called the clinic stating my concerns (and had gone to my general provider in the meantime to get a re-check of my A1C WHICH WAS NORMAL!!!!) and was quickly brushed off - still enouraged to see an endocrinologist for my diabetes that I do not, still not, and did not ever have. Let me be very clear, Dr Deutsch and his staff are not interested in helping those of us who are not "cookie cutter" fertility cases. If you at all have any challenging fertility issues, I would beg anyone as a healthcare provider myself to never seek care from this physician or his clinic.

Seek fertility care elsewhere.

He advised that we start with IUI - when we had asked due to my recent history of fibroids do to IVF - so we did two cycles. The first of which ended in a chemical pregnancy. When asked what we could do different for the next cycle, nothing different was accomplished. IVF cycle with a fresh transfer resulted in negative pregnancy test. No changes made to seconf IVF transfer, which was frozen, resulting in another negative pregnancy test. Dr Deutsch then placed me on lupron, an alternative medication from another I cannot recall, and that frozen transfer ended with a chemical pregnancy. I then had a natural pregnancy during a break from treatment, which ended at 7 weeks in traumatic miscarriage. When we reached out for a consultation with Dr Deutsch to discuss possible cause of reoccurent miscarriages/chemical pregnancies, this is when testing was ordered for clotting factors and A1C. No explanation for these orders was offered.

Probably 10K

I am not eligible, per Dr Deutsch, to have a multiple embryo transfer due to past surgical history of open myomectomy.

Dr Deutch is very nice and personable, but you will barely see him. Most appointments are spent with the nurses. During our meetings, I did feel like some of my concerns were waived away and not really listened to. My protocol also never changed, even when the results weren’t the best, it never changed which I questioned. He is the on-call provider and is super quick to call back when paged and is always nice, even when I had to call him late at night. His politeness helped a lot.

Advocate for yourself. It seems like he sees a lot of patients but make sure you are getting the attention you need and deserve.

We are still in treatment and have done multiple egg retrievals. We did a pretty typical protocol each time using a mix of menopur, follistim, and ganirelix. The protocol was simple enough to follow and they provide tips on how to adminster the meds which is helpful. I produced a lot of follicles and eggs, partly due to PCOS, however we typically didn’t end up with many blastocysts each round compared to what we started with.

I have good insurance coverage so a lot was covered, but I still have paid over $15,000 out-of-pocket. However, most of this was for embryo testing and not paid directly to our clinic

We have not done a transfer yet, but for our diagnosis he recommends single embryo transfer, and I agree with this recommendation.

He is very intelligent and experienced in this field with a high success rate. He is honest and compassionate. I feel prepared to move forward and I fully trust him. I had so many fears and now I’m fearless because of the excellent care he has given me.

He is knowledgeable, practical and straight forward. He is compassionate and listens to the patients needs and concerns. Trust the process and know that you are in good hands.

We haven’t started a cycle yet but we will be doing stim for about ten days then egg retrieval and transfer if all goes well 3-5 days later.

12,200 mock transfer, monitoring, egg retrieval and fresh transfer and egg freezing for one year 5000 for meds

He recommends 1 embryo although he does explain the risks and gives the patient a choice.

Strengths: Well informed and showed me research to back up claims. Very concerned with my overall health not just my infertility. Caring Great bedside manner Pleasant I felt comfortable with him and was able to be open and honest

I'm not sure because I haven't seen him for treatment yet

Consultation only so far. I have had 3 IUIs at another clinic with no pregnancy. He recommended we try one more IUI of we wanted but chances of pregnancy for the fourth one are slim and next step for us is IVF. We are currently in the process of saving our money and I'm waiting for day 1 of cycle to fall on a day I have off of work so I can come in for bloodwork panel

The consultation was covered majority by insurance. Quoted $1400 for IUI and $12,000 for IVF and $15,000 for IVF with IPSY. All Ultrasounds and bloodwork included in this pricing. I can't remember if meds were included in the IVF costs but I believe so

N/A

As a patient Dr Deutsch treated me with great respect, patience and kindness. He actually listened to me and partnered with me in my care! He had a great sense of humor which was appreciated. Dr Deutsch really cares about his patients! At every appointment he made me feel like he was there just for me. He ordered all of the scans and bloodwork I needed but not dozens like other clinics have. He was always on time. I truly highly recommend Dr Deutsch if you like to feel like a person and not just a number.

This is hard but I would say trust that Dr Deutsch has your best interests at heart (because he does!) and trust his expertise/advice because he really knows what he’s doing.

Because I had done 8 fresh cycles myself over the years and because of “advanced age”and recurrent miscarriage, we chose to proceed with an egg donor and my husband’s sperm. I don’t know the protocol used with the donor. He agreed to freeze the embryos and teturn 1 at a time at a later date. Meanwhile he agreed on a strategy to prevent miscarriage and improve implantation. This included massages, accupuncture, and treatment for my MTHFR I did not take Birth Control pills to regulate my cycle (they drive down B9/Folate) so he carefully monitored and worked with my body’s own cycle. I took certain doses of B9/Folate (not Folic Acid!) as well as B12 and B6. I also took the other Bs, fish oil, Ubiquinol (methylated CoQ10), a very high quality prenatal, an easily absorbable Iron Supplement (I have very low Iron without it), 20,000-25,000 IU vitamin D per day, probiotics (as many high quality strains as I could) and timed release vitamin c. Some of these were my idea from my previous successful pregnancy with his ok. I felt so good even my lifelong tinnitus went away! Our goal was to reduce inflammation, avoid miscarriage and support implantation in any way we could to achieve a healthy pregnancy and baby.

I love that I only had 2 “monitoring appts” after I achieved pregnancy! I didn’t need more and they were actually done on my follow up appts. One to confirm pregnancy, the other to confirm everything for discharge! The other clinics I went to had me come in every day and sometimes twice a day! I don’t think it’s needed and I don’t think it’s good for the baby. What a relief!

I’m sorry but I don’t remember.

I liked doing a single embryo transfer because it was safer for me and the baby. I was glad he agreed!

Dr. Deutch is extremely knowledgeable in the area of reproductive medicine. He treats his patients like people and takes his time to explain everything. His own children were conceived by IVF so he is very understanding and compassionate. If we paged him with a question even on a weekend he returned our call immediately and was very patient and kind. We could not have had a better experience and have recommended him to a close family member.

If you live in the area, go see him! Even if you don’t! We drove an hour and a half to see him and would do it again.

We did reciprocal IVF so Mr wife underwent stimulation and retrieval and the resulting embryo was transferred to me. We started on birth control to sync our cycles. I then did lupron injections for about a month before my wife started her stims. I eventually added estrance tablets and then progesterone in oil injections. I triggered with a pregnyl trigger. My wife was monitored very closely for ohss because she had many follicles to start with. She started with follistim and eventually added menopur and cetrotide. She had very frequent monitoring. She only had to stim for 8 days and triggered with lupron. At retrieval she had 23 eggs. 16 were mature and 13 fertilized normally. We ended up with 5 very high quality embryos. One was transferred and four were frozen. We did a five day transfer to me and are currently 16 weeks pregnant with our son after the first try. I continued with estrace and progesterone in oil injections until 12 weeks. We tapered the dosage from ten weeks on.

Egg retrieval with monitoring cost us $12,500. Fresh embryo transfer with monitoring was $3,500. Our medications cost about $6,000

Our doctor would only transfer one embryo to me because I have chronic hypertension. He was very clear that his goal was not just to get us pregnant but to give us the most healthy pregnancy he could. He did say that if we had a couple of unsuccessful attempts that he would transfer two embryos. It did not seem like he was against transferring multiple embryos in general but did not feel it was the best plan for us.

From our very first consult, Dr. Deutch listened to our concerns and answered every question that we had. He never rushed us or made us feel as if we were wasting his time. He was caring and knowledgeable and made us feel welcome and comfortable in his office. He made us feel optimistic while at the same time being realistic about the outcomes. The only reason we didn't pursue further treatments till pregnancy was achieved was because of financial reasons. We will absolutely be going back to Dr. Deutch though should we decide to pursue IVF! I would recommend him to anyone!

You won't be disappointed! There isn't anything I can think of "to warn" someone of under his care.

Dr. Deutch started me on Clomid with IUI's, but the medication wasn't giving us the desired effect. It wasn't producing the eggs needed and was causing me to ovulate early. After 3 failed cycles, he switched me to Letrozole and that was working! We did 7 cycles of that medicine with 5 IUI's. Unfortunately, I suffered two chemical pregnancies. Our diagnosis of unexplained infertility was frustrating but Dr. Deutch was optimistic that one round of IVF would be successful for us. Once we are able to, we plan on pursuing that form of treatment.

Our insurance covered 80% of our IUI's, so that was extremely helpful! We had to pay out of pocket for my medication, but it was never very much money. The most expensive thing was the trigger shots, but even those were $100 a piece, which in the grand scheme of things, is not that bad.

This is not applicable to our situation.

We are very grateful that we went for Dr. Deutch. I was referred to him by the Obstetrician Gynecologist doctor for infertility after some blood test and ultrasound. He is very caring, compassionate. We felt very comfortable with him. He explained my options in detail and always makes sure that you understood him. I went to him for infertility and did he necessary tests, infect conducted ultrasound again because he was not satisfied by the result of the ultrasound done by Obstetrician Gynecologist doctor to make sure proper checkup/diagnosis and felt, I had a Great doctor. He was so supportive and his knowledge and care is excellent. He makes sure that I am doing well all the way. If we needed some answers, I received call back quickly even in off duty hours to address our concerns.

Ask as many question as you want. you will get answer.

IUI with Clomid included blood work and ultrasounds / Cycle- $2000.00

Dr. Deutch was very thorough and factual about our outcomes. he never led us to believe we would get more than we did. I appreciate his honesty and level of accuracy. He took the time to listen to all of our questions and answers our concerns. I would highly recommend his service.

Research webmd or similar sites so you come prepared with questions. Don't be afraid of asking the tough, sensitive, awkward questions. chance are the have heard it all. prepare mentally because the treatment may change part way though.

micro dose lupron morning amd. night 450 gonal f 150 menopu pregnyl trigger ICSI low dor and male factor 6 RETRIEVED AND 2 FERTILIZED AND FAILED TRANSFER

costs for different plans are available on his website.

option of 1 or 2

He had great bedside manner. As did anll of his office staff. All of our “meetings” were Webex. He made us feel at ease and that we would get the most out of treatment as we could. He gave us a heads up that insurances wouldn’t cover some of the tests, so when we paid $250 out of pocket for a blood draw, I figured that was the amount not being covered. However, we found out that this was just the bill for them collecting the blood. The over $4,000 lab statement had the blood work on it. Not one single thing covered. Not sure if they even try for coverage. Either way. That was a shot to the gut, but was not the issue. Husband gave his sample which was 100% (no surprise as we used kits from Amazon to test before with same results). I had a hysteroscopy and he checked my follicles (on the day an average woman would be coming up to ovulation, but about a week prior to when I would be). A week later a webex call again. We went into this hoping to use medications to get pregnant or even IUI with meds. I had repeated pregnancy losses. 7 pregnancies and 1 live birth. In fact when I started seeing him, I was having a miscarriage. On the webex he stated that the hysteroscopy showed only 4 follicles when at my age (40) there should be 10. Also just barely mentioned my AMH was low and kind of buzzed past that re-affirming that meant low ovarian reserve. Then he went straight for the jugular at this point and said “the only real options here are donor eggs or adoption.” He gave his sympathy and asked if my husband was still going to get more tests, but at that point with our bank account and hearts being drained, we saw it pointless. No suggestions of medications. No other information like if there were any cysts in my ovaries or uterus. No asking where we would like to start or if we wanted to consider anything other than those 2 options. It was basically just a flat out-you are never going to have kids. My husband doesn’t believe in IVF due to the risk of “reducing” and the financial cost although adopting has never been off the table. I brought the AMH number to a different reproductive specialist and he said that could point to another issue all together with your immune system and that just one round of tests (both AMH and follicle count) will never give you a true look as one cycle can be vastly different from another. And that if I have the syndrome that causes the irregular AMH, then all I need to do is take a baby Aspirin everyday. None of this was ever uttered by the doctor I paid thousands to, yet this advice came to me free. I would be happy today to test that theory. However, ever since the hysteroscopy, I have not been able to conceive. Remember my problem coming in was always miscarrying. Getting pregnant was never an issue. It’s been almost a year and a half since I saw this doctor that I am reviewing and I have not had even one faint line on a pregnancy test. Not one. My OB said that nothing would have happened to make this an issue, so it has to be a coincidence. But it seems to be a VERY big coincidence. I’ve been waiting to test out the theory of aspirin, but something has happened now that I cannot get pregnant to even try it out. I will leave your guess up to you how much of a coincidence it is. My conclusion: I wish I never would have gone. Or found someone else who was at least willing to try meds or IUI. If you want 100% bedside manner, this is your guy. If you want any results, this might not be your guy.

Tell him your plan and what your limits are. Tell him before you start testing and paying thousands if you do not want IVF. Tell him I don’t want to hear “there’s no hope”. There should always be an option. If AMH is off, ask for a re-draw and to consider the implications the number has besides low egg counts. If I HAD to do it again, I would not do an internal anything at the risk of not being able to conceive if something happened to go wrong. I went off of the recommendation of my friend who had 2 successful IUIs, but would have been able to conceive and carry on her own. I think it was just a timing thing. He had awards hanging all over his walls, but there aren’t too many reproductive endocrinologists to choose from around here. Also, try to find a doctor that works with your insurance to get things covered, not one that just “accepts” the card you hand them. And I genuinely wish you luck.

He did a “full work up” for blood. The phlebotomist was actually worried about me getting so much blood taken and asked repeatedly if I was okay ( I was heading back to work after, so I had to be). Genetic testing, Sperm testing, amh test, hysterosalpingogram (forgive me if that’s the wrong spelling but I know it was a bit more than a hysterogram. This is where he pushes an instrument into your uterus and looks around at the follicles and I would assume would also be looking for irregularities. It took less than 5 minutes, but I did get a yeast infection after it and never got pregnant again after it. That’s all I can remember. About a month in his care and was then told that there was no hope unless I adopted or bought donor eggs.

I think for testing alone and consultation, it was between $7,00-$10,000. They should let you know that the “lab” and “tests” are two different things. Tests are the $250 they charge you to draw the blood and labs are where they send the blood “labcorp” so they also bill too. There was one test in particular that was $4,000 with no coverage or assistance.

We never got to that point as he would only use donor eggs. My husband and I found that pointless. Might as well adopt.

The doctor was always upfront and honest about risks and what he would recommend he was very caring about my specific situation and took the time to explain all the details of treatment and what to expect during the process

Trust his process and don’t be impatient

I had ivf I don’t remember every aspect but it did involve me and my husband getting a full work up ,egg retrieval after injections I did at home, my husband sperm and then the transfer in the end it resulted in a healthy pregnancy

He’s the cheapest in my area

My doctor was not willing to do any more than 2 embryos in a cycle