IVF — In vitro fertilization

Matched for age, AMH and clinical history, our outcomes are comparable to those of any clinic in the city. Our physicians bring 80 years of combined experience in assisted reproduction and have directed IVF programs at several major centers in the United States.

Cycle length depends on what you're doing. An IUI cycle, and an IVF cycle ending in a fresh transfer, both track roughly a full menstrual cycle — about a month. A freeze-all IVF cycle or an egg freezing cycle runs about two to three weeks, depending on your protocol. Most patients continue their normal activities throughout.

Many patients achieve pregnancy in one or two cycles with the best prognosis, but the outcomes depend on age, diagnosis, ovarian reserve, and embryo quality. Most patients do not do more than 2.5 cycles because of financial or personal issues rather than medical prognosis. After your workup we can give you a realistic per-cycle and cumulative expectation. If a cycle doesn't succeed, we do not simply repeat the same protocol — we review what we learned and adjust.

Embryos can be transferred fresh, or frozen and then thawed for transfer in a later cycle. Neither is universally better. Some patients do better separating egg retrieval and transfer into two cycles; others don't. It depends on your history and on what has and hasn't worked before. Your physician will go through the advantages and trade-offs of each during your consultation so your cycle can be planned around your situation. Our clinic is boutique rather than factory-oriented, unlike large clinics where one size fits all.

Most protocols use injectable follicle-stimulating hormone (FSH) and often a luteinizing hormone (LH) component to grow eggs, plus a second medication to prevent premature ovulation. A trigger injection finalizes egg maturation before retrieval. After transfer, progesterone supports the uterine lining. Your nurse walks you through mixing, timing, and injection technique before you start.

Our self-pay IVF cycle fees are $8,900 for a Natural Cycle or Minimal Stimulation IVF cycle and $13,900 for a Standard Stimulation IVF cycle, each of which includes ICSI. A separate $1,000 facility fee covers the retrieval room and anesthesia. A frozen embryo transfer (FET) is $4,000. Multi-cycle packages are available — two IVF cycles for $24,000 (used within six months) or three cycles for $35,000 (used within eight months). Medications, PGT, and long-term embryo storage are billed separately. Our financial coordinator verifies your insurance benefits and gives you a written estimate before you start. We offer a free consultation for new patients — call 212-685-2229.

The retrieval itself is done under short IV sedation, so you feel nothing during the procedure. Most patients feel bloated and crampy for a day or two afterward, similar to strong menstrual cramps, and return to normal activity within 24–48 hours. You need someone to escort you home from the procedure.

For good-prognosis patients — younger, with PGT-A-tested embryos — we transfer a single embryo, which minimizes the risk of a multiple pregnancy. For older patients or those with a poorer prognosis, transferring more than one embryo may be appropriate. Your physician will discuss which applies to you.

PGT is optional and not right for every patient. It can reduce miscarriage risk and time to pregnancy for patients over 35, those with recurrent pregnancy loss, or known genetic conditions. For younger patients with good embryo quality, the added cost and small biopsy risk may not be justified. We give you a straight recommendation based on your situation.

Almost all patients continue working during stimulation. Monitoring appointments are early morning and typically take 20–30 minutes. You'll need to take the retrieval day off and can generally return to work the next day. Transfer takes about 30 minutes and requires no meaningful downtime — most patients go back to their day.