Reproductive Associates of Delaware

The portal system is helpful, they are very organized and systematic which puts me at ease. I wish the doctors had more availability but that's pretty common. The coordinators are very responsive to portal messages, they hardly ever answer the phone though

She is very compassionate and greets me warmly whenever we see her. She remembers details about us when I wouldn't expect. And she always calls within a day of when I ask the coordinators to speak to her and she answers my questions fully

They're caring and answer questions during your exams, I always felt like I knew what was going on after an exam except during my IVF monitoring. I often left with questions after my ultrasounds because the nurses wouldn't comment on how I was responding, they would just measure my follicles. But then I had an ultrasound with Dr. Neithardt on a Sunday and she was more willing to answer those questions

I think she has great bedside manner and cares a lot about the success of her patients. The doctors at RAD all consult with each other and it makes me feel reassured that I'm in good hands and getting good care

Dont have expectations of what your diagnosis will be, what your treatment plan will be, or when you may get pregnant. That's only setting yourself up for disappointment. And come to every appointment with questions written down since it's hard to get an appointment

We were diagnosed with male factor infertility, got referred to a urologist. And then started IVF with pgs/pgd. I was on follistim and clomid, and had a lot of follicles but only got 8 eggs, and 2 made it to the blastocyst stage. I'm waiting to talk to Dr. Bachman about how our 2nd cycle may be different

so far we've paid about 20,000 not including medications

She strongly believes in SET

The only weakness I have found is the hours of operation. With the amount of appointments the latest is 4:00 there should be one day where appointments can be made later. The one good thing is you are assigned to a couple coordinators depending your plan of action for treatment so you get familiar with who is coordinating your care.

Every time I have been greeted by Dr. Bachman I get greeted with a hug and by name. Dr.Bachman doesn’t even really have to reference the chart. Everything is well explained, and the sympathy and empathy are awesome.

Dr Bachman is both knowledgeable and kind hearted. Every step of the way she asks if you are okay and understand. Also she is compassionate. I have never met a doctor I trusted more. When something in my protocol changes she calls to explain and make sure I’m still okay with it. I’m about to start my first cycle in a couple weeks so their is so much I still can’t answer just yet but she is awesome. I’ll be upset when I do graduate to a regular obgyn after my treatment.

Be open and honest with her. Tell her your fears and concerns. Dr Bachman can’t do her job to the best of her ability if she doesn’t know what’s bugging you. Be honest and open. It’s a tough process as it is.

I honestly don’t know as I’m just getting ready to start a Ivf cyclein may

My cycle of invitro will cost 1,960 (with insurance) this doesn’t cover medications. Medications are 4,500 on top of co pay of 45.00 per visit. I also am currently paying off the surgery I had that diagnosed my tubal issue. It’ll be around roughly 7,000

My re only does single embryo transfer. It is safer for mom and baby

Strengths: there are two offices (Newark & Wilmington), Wilmington has hours starting as early as 6:30 AM, my doctor was very thorough in explaining any procedures, the financial team broke everything down for me in the beginning, they use an online portal to communicate and most responses were very quick. Weaknesses: Some nurses are a little cold, the doctor does not perform the IUI procedure.

Dr. Neithardt genuinely cares for me and my wife. She is concerned about the factors that apply to us. She is knowledgeable, compassionate, and emphatic during the entire process.

Some of them a great and compassionate and try to have a conversation, to others they just try to get you in and out.

Before seeking out help to get pregnant, I had never visited a gyno. I had major anxiety, but Dr. Neithardt put me at ease. I was thoroughly evaluated before going through any pregnancy planning. This was great because my wife and I were still on the fence about starting the journey to build a family, but knew that we needed more information before we could make a decision. It turns out that I have stage 3 endometriosis and had a 3.5 inch cyst on my ovary. Dr. Neithardt performed a laparoscopic surgery to help these issues. I was fully informed before, during, and after the surgery. Due to the severity of my endo, we all would have liked to move straight to IVF but we have to follow insurance guidelines. She was candid with my chances of conceiving doing IUI, but very hopeful and emphatic to our situation. The only downfall is that we don't get to see her during each appointment. We would have loved if she was the one doing our IUI.

You are in good hands!

IUI #1: low dose of letrozole, trigger shot, progesterone suppositories. Negative pregnancy test.

BCBS of Delaware Lab co-pay: $10 Ultrasound co-pay: $30 IUI: $48 Laparoscopic surgery co-pay: $50 Letrozole: $0 Trigger shot: $70ish Progesterone suppositories: $50ish

I believe RAD only does single embryo transfers.

Best thing about RAD is the appointments are on time, never any delay. Test results are reported the same days which means you get your results on the same day. This is useful especially when you are waiting to know whether you are pregnant or not.

She made me feel more like a human. She took the time to make me understand the various steps involved in IVF and Genetic testing even though she could have ordered it to be explained by her staff. After my miscarriage, she hugged me and felt sorry.

Nursing staff at RAD are great. They are prompt without any delays, compassionate in what they do. Lovely people

Dr Neithardt is always a welcoming and a positive doctor. She would explain the issues with transparency. She took time to explain the various steps of IVF and genetic testing. She is compassionate towards her patients. I received an email from her about my miscarriage. Usually doctors do not find the time to send emails to their patients but Dr Neithardt took time and thinks about her patients. Without the support of Dr Neithardt, I would not have my beautiful daughter and I am thankful to the doctor. Even during surgeries, she stops by before as well as after the surgery to explain things in detail. She is a warm and a caring person.

The only advice I can give is to trust her. She is the best doctor who has a very good knowledge and experience. She will make sure you get pregnant and have a baby.

My previous stimulation was a regular stimulation and she adjusted the dosage through out the stimulate which provided very good results. My current stmulation which is going on right now, she is using minimal medicines. I am taking 300 units of Gonal F, 100mg of Clomid, Doxycycline 100mg. This time I am very much comfortable with the amount of medication and hopefully the results.

I was always lucky to have my insurance cover IVF expenses. So we always ended up paying the deductibles which is around $3250 each for 2018 and 2019

Doctor always advices to get a single embryo transferred. I think this is very important as it reduces the risk of multiple births.

Sometime the click assumes you know something when you don't. for example no one told me they were ordering my medication and one day i got a call from a pharmacy asking me for $3,000. I was so confused and had to call RAD. once they explained what was going on i felt better, but i would have liked to been kept in the loop a little more.

Dr. Bachman always spoke to us openly and honestly. She never checked the clock while working whit us and spent as much time with us as we needed until we felt completely comfortable and confident in our next steps. when she saw us, it was always like she was welcoming a member of her family into her office. I felt that I could be frank and blunt with her, as is my nature. When she saw disappointment or fear in us, she always guided us toward the positive but kept expectation realistic.

They were always very kind and answered any questions i had. If they saw i was nervous they would talk to me and calm me by joking with me or distracting me. They took an interest in my husband and i by asking us questions about our hobbies and always remember them when we came back.

Dr. Bachman was a great doctor and did a great job of making me feel safe. she came in to see me before the procedure and talked to me about what to expect. she always made sure my husband and i were comfortable and kept in the loop.

Be sure to ask your questions. She is very good at answering or restating something that doesn't make sense to you. Sometime i was a bit overwhelmed and couldn't think of any questions at them time. I would later realize i was full of question and Dr Bachman was always willing to meet with us again to go over the information once more.

I underwent Mini Stem. She gave me a low does of injections and kept me under close watch.

$13,700 plus an additional $6,800 in medicine and additional fees

It is clean and beautiful. With a good atmosphere and tea and coffee that is suitable for the long waiting times you will spend to see the Dr. The staff, however, are friendly, respectful, and helpful.

She is very friendly and cares about her patients and their feelings. She suggests you to take care of your diet and recommends doing whole 30. She even shares her own receipe of an every day morning juice with you that can help your immunization system. The only issue is that sometimes you need to wait even an hour in the office to see her even though you have an appointment and no one cares about it. Moreover, the coordinator of Dr. McGuirk forgets to send my prescriptions and to set up appointments for me to do my blood works and this happened to me a couple of times. That makes me worried to miss something and I need to take notes to make sure I can follow up every thing by myself.

She is kind but she forgets almost 70% of what she needs to do and then I have to call her (and she never replies) and leave her messages (either online or by phone) and wait for her to reply and take action. This is inconveninet, beleive me.

She is very helpful and answers every single questions that you have. She is very professional and knows what she is doing. She explains every thing in an understandable manner and supports you if you feel down or worried. She never forces you to do something and always respects your personal choice as long as it does not risk your health. However, I sometines felt that she is suspicious on fertility issues in everyone because of her field of experties. She is insisting on the fact that I have an endometriosis but I do not buy this because I don’t have severe pain or something. We talked about it and I have never been convinced by her explanations.

Ask as much questions as you need to be clear about what’s going on, she won’t do it automatically. Be careful with the coordinator, she forgets lots of things.

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I had to pay a lot for some diagnostic procedures like HSG (~$300) even though I have never tried to get pregnant and I am not sure how neccesary was doing something like HSG for me. I pay a 20$ copay for each visit and overall I think I paid over $2k since 2016 for everything.

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Clinic is very professional, staff (some) is very nice, and welcoming.They make you feel like part of the family. Hardly ever much of a wait time to be seen, they are very prompt and attentive to your needs.

During my first appointment I did not know exactly what to expect. Once I was warmly welcomed by Dr. Neithardt the nervousness instantly disappeared. She was kind, gentle and sympathetic. I visited a clinic once before and left very unhappy, and sad, felt like a failure etc....That never happened with Dr. Neithardt is human, she understands, she listens and is there to help you. She has a very high patience level..she explains all treatment, services etc...all in full detail, so it does not leave you wondering if pregnancy is even possible for you, she makes you feel as if you have a strong chance. Visiting RAD is the best choice my spouse and I have made.

I was initially assigned to one coordinator, she was very short, and expressed no real interest in helping me...always pushing me off to someone else with questions. After sometime I became connected with my current coordinator, and I must say, she is hard to reach by phone, but she does respond to emails, and voicemails when she can. She got what I needed done to move forward with IVF. Others just didn't show as much interest.

Dr. Neithardt is so sweet, soft, gentle, and very aware of your feelings. All my experiences with her have been wonderful from day one through all my continued service with her now. I could not have made a better choice in picking a doctor that cares from the heart.

If you go in and you feel there is no hope for you to have a family. Dr. Neithardt will have you leaving with a huge smile letting you know it is hope. She is very genuine.

Working toward my first cycle now.

So far my out of pocket we have paid around $1,000.

The clinic really tries to accommodate as much as possible. They have multiple ways of reaching you to remind you of an appointment. They have a portal that makes it easy to get in touch with anyone in the practice who you need to speak with. And the billing department tries to work with your insurance as much as they can to reduce your out-of-pocket expenses.

Dr. Bachman is very conscious of how you feel. She understands the frustration of not being able to conceive, the pain you may be going through due to your medical history, and she tries to make you as comfortable as possible throughout your treatments.

They are all as compassionate and concerned as Dr. Bachman is with both my progress through the process as well as my contentment with my experience.

Dr. Bachman tries to ensure that every step of your process is as easy as she can make it. She tries to prepare you as best she can for the next steps. She stops to check how you and your partner are feeling. And she occasionally asks how things went when she wasn’t there to make sure everything is as good for you and your partner as it can be.

It might take a while to get your first appointment, but be patient. Once you get passed that first appointment, everything runs much smoother.

I didn’t ask specifically why I am on the protocol I am on, but I do know that based on my estrogen levels, Dr. Bachman recommended that my husband and I do a frozen transfer instead of a fresh transfer to minimize the risk of my getting sick after the embryo is implanted.

The lab work was expensive, but other costs that I thought would be expensive, he bulking team worked with my insurance to bring down the cost.

My Dr. will not do multiple embryo transfer because she feels if there is more than 1 embryo in the uterus, the embryos then compete for what they need reducing the chances of having a healthy baby

Fantastic staff and doctors. Very knowledgeable. Create such a caring environment. Weakness is that i through self search found a way to buy the medications much cheaper yet they did not guide me to that. Also i have a friend who went there and her 2nd retreival didnt go well and she never heard back from them and herself never contacted them again as she was in tears on the fact she couldnt move forward with that approach. It would have been nice if they made contact again just to check on her and remind her there were other options she could explore if she wanted to.

Dr Feinberg showed care and compassion for our journey. He was very to the point about our chances yet gave the information in a caring manner. He asked about our daughter once she was born and when we had appointment with him and she was in the room, he picked her up and held her and took time with her.

All of the staff involved in our treatments were incredible! Such compassion and caring was shown in each and every appointment. They became like family and we missed them when treatment was over and we were pregnant with our little girl! We took her back to meet them once we had her.

Dr Feinberg is extremely knowledgeable in his field. His discussions made it clear he stays on the cutting edge of research to help as many people as possible achieve their dream of becoming a parent. Even if he knew he or his clinic couldnt help, he would recommend someone who could. Dr Feinberg was compassionate yet very factual and erred on the side of caution. While we hung in there for 7 rounds to make our daughter lily, he spoke of the facts which were it was unlikely at my age (45) we would achieve this with our own egg. We did, but his facts were truthful. He was very gentle in always letting us know the statistics and alternative approaches yet still supported us when we kept going. When there was a small issue during one round of biopsys, Dr Feinberg called us himself to explain and heavily supported us to make sure we had a positive outcome. Dr Feinbergs teams treatment identified I had cervical cancer before our first embryo transfer, and that ultimately could have saved my life. Their quick action on what they saw led to diagnosis and treatment within a matter of months.

To know he will give all knowledge based on facts that could be overwhelming at times but he is very gentle and happy to go over it as many times as necessary to explain all options. Whilst his view may not be what you want it to be, it will be realistic and based on prior outcomes. He wont mislead nor hold punches.

The first round was on a low dose of stims and no follicles were triggered. Second round was even lower dose which works for some but didnt work for us. Third round much higher dose and for the remaining 4 we were at the top of the limit for the volume of drugs we were taking. Ultimately it was successful however our last round we did not get any eggs at retreival. We believe the one good embryo we got was around the middle of our 7 cycles

Approx $22,000 for two IVF cycles to retrieve and use own eggs. Approx $22,000 for egg donor (8 eggs) plus PGS

They only offer single embryo transfers. They explained why however i think it might be nice if they offered multiple transfers to patients if they understood the risks.

They are AMAZING! If I could go there instead of my regular OB, I would go every week! I LOVE them!!! They are very personable and genuine! They walk you through the whole process, share in your journey, and are just as excited when you finally get pregnant.

She was open and honest with me about my endometriosis, possibility of getting pregnant due to my age, she answered my mom’s questions, and prayed with me before my surgeries and after my miscarriage.

Mari is a great coordinator! She answers all my crazy questions, works hard to get me appointments that fit around teaching, and she was a patient at RAD. She knows exactly what you’re going through! There are so many great PA’s and nurses at RAD! Even on my worst day they stopped everything to make sure I was going to be okay. Love them!

She is a very holistic doctor. She doesn’t just treat the fertility issues. She also points out personal health ideas (juicing, whole 30) to help heal/treat the whole patient. She is honest and open. She’s a little dry at times but she knows her stuff!

Be open minded and trust in her process. This is a marathon, not a sprint! Dr. McGuirk will be with you the whole way.

My 1st time with Dr. McGuirk, I had surgery to remove my endometriosis and polyps. I did a round of clomid and was pregnant with timed intercourse. I waited a while after my daughter was born and went back to Dr. McGuirk to try again. Again, we did surgery to remove any endometriosis and polyps that I had. I did 2 rounds of clomid and timed intercourse to see if we could get pregnant on our own. Unfortunately, we weren’t as lucky as before. We moved on to IUI and had some success. My first IUI resulted in a chemical pregnancy. My second IUI resulted in pregnancy. Unfortunately, at my 11 week appointment there was no heartbeat and a growth was found on the baby. After the biopsy following the D&E , it was found to be a mutation of the Down syndrome gene. Once my body levels out again after a few months, we’ll meet with a genetics counselor before doing any further procedures. This will give us more information about the possibility of a healthy pregnancy.

As a state employee, most of my procedures were covered or mostly covered under my insurance. My IVF on the other hand will not be. Hoping they pass a bill to allow state employees better coverage before we move on to IVF.

There are no weaknesses! Expect to be treated like family! It is the only appointments I actually like going to. You will not meet a person who is anything but friendly. My first visit I was nervous considering I had went to a fertility doctor once prior and it was terrible they made me feel that it was hopeless. My first visit however at RAD was seriously what I needed. From the moment you walk in you feel like family.

Dr.McGuirk treats you like a human she is kind and compassionate and really wants to help you. It is not just a job for her she really wants to see you succeed.

Mari Esquilin is AMAZING! She is caring and so fun she makes you feel at home when you are there and when emailing through the portal she is quick to get back with you and always answers any question I have even if it sounds crazy! She makes this whole process so much easier but making your appointments setting up tests sending prescriptions literally the only thing you need to do Is show she does everything! She wants you to leave everything to her She insists.

Dr.McGuirk doesnt just start giving medicine she fully evaluates you. She wants to make sure you and your partner are both taking care of yourselves not just for you but for the future your child. I started out not knowing alot about fertility only that I have been unsuccessful and getting pregnant. I had seen a fertility doctor once prior to going to Reproductive associates of Delaware and I never went back I left that appointment crying and immediately got ahold of Reproductive associates of Delaware and set up an appointment there. My first visit with Dr. McGuirk was very informative she wasn't just going to give me medicine and start trying to see if that would work,she sent me to have tons of tests which I am so very thankful for because we found out I had polyps and set up surgery to have them removed which was also done by Dr.McGuirk. She has helped me to start losing weight for the sake of a healthier baby and life. She has been blunt about what needs to happen and she is very kind about it but doesn't sugar coat things which is what I wanted. Every visit we get closer to treatment, she takes her time with me she doesn't rush you out she listens and answers questions to the fullest she wants nothing left unexplained!

Be ready for honesty! she is blunt but in a good way so very kind

With my insurance the costs are very affordable

The clinic overall is great. I just wish they were more upfront about timelines. I need realistic expectations. For example I was told that after my retrieval that my FET would be 4-6 weeks later. And it ended up being a full 8 weeks later. Which is totally fine - but for someone who has been trying to conceive for a year and a half - setting realistic goals is important

She is so warm and inviting. Instantly made me feel at ease. She remembers everything about you and makes its feel like she’s an old friend

Dr. Bachman has been amazing since the moment I met her. She instantly made me feel calm - when all I was feeling before I first met her was frustration and disappointment. She helped reassure me that we would get to the bottom of my fertility issues. When diagnosed with stage 3 endo - she presented me facts in a simple straightforward manner that you can’t help but appreciate. We ended up needing IVf and had a second trimester loss. Dr. Bachman personally called me the day we found out we lost the baby to send her condolences and to help support us. I could go on for days about how truly empathetic and supporting Dr. Bachman has been to me in this journey In regards to recommending her to my best friend... I already have... twice. Two of my girlfriends were having fertility issues and are now also seeing dr. Bachman, and they love her as much as I do !

That if you want to get to the bottom of your fertility issues - Dr. Bachman is it !

I qualified for a “mini” atom cycle since my AMH level was so high. I was maintained on pretty low dose follistim and had a lupron trigger. We ended up being able to retrieve 28 eggs, 22 were mature and 20 were fertilized. I had considered being involved in a trial study - but the starting dose was double the dose of medication I remained on the entire time for my stims. I’m very thankful Dr. Bachman and I were able to talk about potential risks of doing the study and that we settled on the mini stim

We did a single embryo transfer which resulted in a positive pregnancy test

My only complaint about the office would be that, knowing my husband was the fertility issue, I still needed to go through a rigorous screening process before we could start the process of getting pregnant. I do realize that this is most likely fertility policy in general and not just their office. Their strengths far outweigh their weaknesses. I have never had a doctor whith such fast and efficient communication. I have never had a doctor greet me or my partner with such kindness and compassion. I have never had a doctor remember and ask about what I did over the weekend and seem genuinely interested in my response. I have never had a doctor that I would see in the community so frequently.

Every single person in the office knew our names, the activities outside of the doctors office, and would frequently see the team at community events.

I cannot highly enough for the entire staff at RAD. They were extremely non judgmental regarding our LGBT status. They worked with us on appointment times that could work within our busy schedules. Everyone in the office knew our names and would greet us while we were in the office. They were well organized and always on top of all of our case needs. I could expect to hear back from them within an hour or so of asking any question.

While we only saw her at a few visits, she was overwhelmingly cheerful and positive. She was extremely knowledgeable and was able to answer any and all questions we had. We always left the office confident that my care was in the right hands. She gave us the confidence that our treatment would work and that we would be building our family.

Don't expect to see her at every appointment, but rest assured that she has a good eye on your treatment plan at all times.

Once I was able to get my BMI in the correct range we started care immediately. Our first step was to wait for my first cycle to start and then came the many rounds of blood work and pelvic ultrasounds. While this was happening, we met with the genetics counselor to go over our donor pick to make sure he would be a viable donor for us. We were also set up with a speciality pharmacy for the ovidrel that we would need. Once the egg was the proper size, we were giving a tight window to administer the ovidrel at home. After that we were set up with our insemination day. Everyone in the office wished us luck. The two week wait seemed like forever, and unfortunately the first try didn't take for us. Dr. Neithardt reassured us that it is totally normal and gave us the specific stats on how likely we were to get pregnant the first time and how that statistically rises the second time around as we "dial in the numbers" so to say. We repeated the process the next month and were lucky to recieve the phone call that we were pregnant after the next two week wait.

It was expensive and while it was partially covered by insurance. While I dont remember the exact cost, I do remember that they were comparable to other locations. We also sat down with a financial staff member before starting to go over any and all associate costs.

This clinic was friendly, informative, sensitive and great at the procedures they were completing. The only thing I would mention is the large number of staff working at any given time. it's hard to build some relationships when you see so many different staff members throughout the process.

Dr. Neithardt took the time to explain the science of the process, but in a way that related to me and my situation. Additionally, she made both my partner and I feel at ease as we went through each stage.

The entire staff was helpful, friendly and handled my situation with care. I never felt uncomfortable or like the procedures being completed weren't necessary/for a purpose.

Dr. Neithardt made sure to be clear in her communication with me and my partner, and to take the time to explain in a way that made sense to us. She also had a way of making us feel at ease through the different stages of the process. The only criticism I have is that I didn't get to work with her directly in the later stages. This was all communicated and completed by clinic staff and nurses.

Ask any and all questions because she is always happy to answer and wants to ensure you have a good understanding of your individual situation.

This was over a year and a half ago at this point, but she did a variety of different tests to gauge the status of my eggs and cycle monitoring, as well as overall health of my body and liklihood of risks. She was able to determine that I did NOT need any medications to assist in my cycle or follicle growth, and was able to do the IUI unmedicated.

I personally spent approx. $5,000. This included co-pays, procedures, sperm donation, blood work, genetic testing and additional visits. That said, my insurance covered thousands more.

I cannot think of a weakness. From the front desk, to the lab, to the nurses, and everything and everyone in between, I had nothing but positive experiences. You get to know these people, and they all end up knowing you by name!

Doctor Neithardt is one of my favorite people on this planet. She set realistic expectations, and was extremely honest with myself and my husband, all while maintaining positive and engaging interactions. Even though we were at first categorized as "unexplained", she went over the benefits of a laparoscopy, without being pushy. She allowed us to make our own decisions, without feeling pressured or confused. She's amazing!

The nursing staff was amazing! Every single one of them were professional, extremely knowledgeable, positive, and fun. I'm 18 weeks now, so am no longer under their care, but I actually miss them!

From the moment we entered Reproductive Associates of Delaware, Doctor Neithardt was warm and welcoming. She was hands-on throughout, even drawing diagrams to explain the process to a non-medical person such as myself. She encouraged us to be comfortable with all of our decisions, with zero pressure to do or not do a procedure. There were times that I almost wanted a decision made for me, but in the end her approach was very empowering. Every question was answered clearly, and I was very comfortable just being myself with her in every situation. When in a situation such as this, I feel it is very important to be honest with patients (whether good or bad), but to also be positive and encouraging, which she was to the fullest. These feelings of being positive and encouraged go a LONG way when you're in the midst of a such a difficult time!

I would tell them that even though you're in a difficult situation, to keep an open-mind, to listen, and be ready to feel empowered!

Over the course of 4 IUIs, my treatment plan remained relatively the same. I don't remember exactly, but took Femara leading up to the IUI, and an ovulating-stimulating drug. We had much success each time, with 1 to 2 mature follicles. The timing was perfect, but just not successful in the end. We decided to pursue IVF with our own frozen embryos (after doing PGS). I honestly forget the protocol but again, I responded extremely, with 18 eggs being retrieved, 16 of which were mature, 8 of which were able to be frozen between days 5 and 6. Her professionalism during the embryo transfer was beyond my expectations, and again, it was an extremely positive experience. I would like to think that even if this first round hadn't been successful, that I'd still feel that she did everything she could, and I'd still have a positive outlook.

You could go in when it was most convenient for you, or you could choose to go in during the monitoring hours. It was busy on certain days (most likely egg retrieval days), but they ALWAYS told you in advance. Regardless, a few times I brought a book, and would be called back before I could really get lost in the book anyway. It was very convenient; I never had trouble getting an appointment or being seen during monitoring hours.

When I first came to the clinic I was very hopeful. However, there was a lot of miscommunication between the doctors, care coordinators, nurses, and billing. Whenever I had a question I never knew who I was supposed to contact. My doctor gave me 2 options of 2 different medication protocols. This information was not received by the care coordinator for an unknown reason. When I attempted to explain the protocol I wanted there was a lot of confusion, and I gave up and took the protocol that they had in mind. This is frustrating because the cycle failed, and when I start a new cycle they will be using the other protocol that was offered. They believe I will respond better to this other medication protocol. After my failed cycle I also felt alone. I do not feel as if I was fully explained my next options and the reason my cycle failed. I finally requested an appointment and was explained my next steps.

Dr. Kovelaskey was a very caring and well mannered doctor. He never made me feel hopeless or unworthy. This also was a downfall because I was very hopeful that my cycle would be successful and it failed. The one time I felt more like a number was when he moved out of state in the middle of my cycle, which I understood the reasoning however it was difficult having your doctor changed in the middle of an IVF cycle.

The nursing staff were very caring and gentle, however during my monitoring they did not provide much information on how things were progressing. I believe if I knew I was not responding to the medication like others responde I may have requested to cancel the cycle and start a new one the following month, rather then using up all my insurance benefits for a failed cycle.

Dr. Kovalevsky was very caring and explained my infertility very well. Everytime I seen Dr. Kovalevsky I left the office on a positive note and a lot of hope. Unforuntantly, he left in the middle of my cycle to relocate to another state to be with family. I then had to switch to another doctor in the facility, which was very difficult.

I would advice them that if they did not understand or were not clear on something that is said to them to ask for him to explain it differently. Understanding infertility is hard and I had to ask him to repeat and explain things over many times.

Once it was thought that I had endometriosis I was scheduled for surgery to check to see if there was endometriosis, and to remove some cyst that were found during ultrasound. The surgery went very well, and they made me very comfortable (this was my first time ever having surgery). After surgery I was diagnosed with stage 3/4 endometriosis. At that time Dr. Kovalevsky informed us that our best option would be to do IVF. We started an IVF treatment with a medication protocol including various different bills and injections. I was monitored by ultrasound about every other day. It was determined that we would do a fresh transfer. About half way through the monitoring hr left the practice.

I had insurance coverage when I started my IVF cycle. The insurance did not cover everything, and I maxed out my benefits. I had to take out a loan for 8,000 to cover the medication cost, as well as additional cost for IVF.

Dr. Kovalevsky would only do single embryo transfer.

Strengths- kind and caring people that treat you like family and always make you comfortable. Weaknesses- they have an on-site lab which is great, but sometimes the wait is lengthy because there is only one person drawing blood.

Dr. Neithardt was warm and kind. She knew that I had previously gone through fertility treatments, and that my first child died after being born prematurely. She was sensitive to my loss, and on the two visits when I had to bring my living daughter she was patient and kind. She is so positive about my chances of getting pregnant that even our failed cycle felt like another step in success. Fingers crossed!

Every PA, Nurse Practitioner, Care Coordinator, and Nurse I have interacted with has been kind and competent. My patient care coordinator responds to all of my questions in a timely manner and thoroughly.

I was nervous at first because I had previously been with a former doctor in this practice, but Dr. Neithardt greeted me with a warm smile and immediately put me at ease. She explained what she thought was the best treatment for me and what tests I would need to have re-done since it had been 4 years. When I had to have some fibroids removed she did my surgery and was thorough in explaining what she did and why she believed it necessary. She is compassionate and competent. I honestly have no complaints, she is positive that we will conceive again, and her positivity is contagious.

If you want someone with a warm bedside manner she is the person to see.

I am clomid resistant, so we de used to use Letrizol again (it worked to conceive my daughter.) We started at the same dose used to conceive my daughter, but with my recent weight loss I responded too well for IUI (6 follicles) so we cancelled that cycle. My most recent cycle with the lowest dose of Letrizol produced 2 follicles, we did two sessions of IUI after a trigger shot. Unfortunately we were not successful. I am starting the next round of baseline appointments and Letrizol (same low dose) in two days. Here’s hoping!

I have insurance that covers most fertility treatments, so I have a $20 copay per visit and an additional cost for each lab. So far I am probably in $480 in copays and lab payments since April.

I had only positive things to say about this clinic after my first experience with them (IVF stimulation & retrieval and one FET). They worked well as a team, tried to accommodate my needs as much as possible, were always friendly, etc. By the time I was working with them again 1.5 - 2 years later, there had been some changes in their internal structure and processes which unfortunately caused a few problems for me as a patient. They were still friendly and usually accommodating, but their internal communications had broken down at times. This caused me some frustrations trying to reconcile the plan my doctor and I had laid out with the actual steps being performed as well as some issues after my losses regarding medication decisions (due to other medical issues, I wasn't doing well with the "normal" protocol and needed my doctor to give personalized instructions). It was not a terrible experience, but when it happened twice in the span of a few months even after I discussed my concerns with everyone involved, I began to question how well I could work with them if we decide to try again in the future.

Dr. Neithardt always clearly remembered all relevant details of my history and treatment plan whenever we met. Additionally, she took every concern or question I had seriously and treated me as a partner in my care, not a subject under her rule.

Most of the nursing staff at this practice is very nice to work with. There are always the exceptions - a new nurse who told me to go to the bathroom before my appointment then found out I needed to provide a urine sample before we could perform my test that day which caused a delay, for example. My most frequent frustration was when a nurse would answer a question based on the typical protocol even when I knew there was an unusual factor in my case and I wanted to escalate the question to my doctor. I eventually was given instructions for how to handle those questions to my satisfaction. The staff was interested in my comfort, tried to answer my questions fully to the best of their knowledge, and tried to be as comforting as they could when we discovered my losses. That experience in particular stuck with me because my first loss had been when I was seeing a different provider and they had been very distant and clinical when I was completely disoriented and heartbroken.

Dr. Neithardt was the best thing about working with this clinic. It's rare that I've found a doctor so respectful and happy to work with her patient (participatory medicine) as her, even when I consider non-fertility related areas of medicine. It is very important to me to fully understand my treatment plans and how each piece works. I also want my own ideas to be fully considered and either incorporated into the plan, or to have someone explain why that idea does not apply. Furthermore, I have run into some complications which cannot be fully explained by any of the testing performed, and Dr. Neithardt had the experience as well as the common-sense approach to work with me on how to approach these things - most doctors, in my experience, will not do this if they cannot see conclusive objective proof (such as a lab test result).

Ask every question you can think of and keep asking until you get an answer that makes sense to you. Take advantage of working with a doctor who will make sure you understand and are on the same page.

I have done one retrieval cycle with Dr. Neithardt. This was a light stim, because I had some indicators that I would be a good responder (age and ovarian reserve were in my favor). On this protocol I only did about half the dosages, injections once a day instead of twice, etc. We wanted to avoid having a large number of "extra" embryos so this approach worked for us. In the end we still had a high number - 21 mature eggs, 19 fertilized, 15 made it to day 5/6 blastocyst. Having had a trisomy miscarriage in the past, we chose to freeze all embryos and do PGS testing. Due to cost, we could only afford to test 8 embryos at the time but had the remaining 7 biopsied for later testing if needed. Of the 8, 2 came back non-viable which is typical. I needed a hysteroscopy before transferring, so about 2 months after retrieval I was able to do my first FET. We used a Lupron protocol. I did have to push back the transfer by one week because my lining was not thick enough at the first check, but we added a half pill of estrogen vaginally (in addition to the oral doses) and it was ok a week later. That transfer resulted in my daughter. I went for weekly ultrasounds through week 10 or 11 at the clinic then fully transitioned to my OB. About a year and half after having my daughter we were ready to try again. We worked with Dr. Neithardt, repeating a saline sonogram and mock transfer. We agreed to follow the same protocol that worked the first time, the only change was adding the vaginal estrogen earlier since we knew I needed it before. I became pregnant but the numbers / trends were all over the place and I ultimately miscarried. We had a D&E done to test the fetal remains and unfortunately could not find a clear cause. The fetus was genetically normal and no physical causes could be found. This is where I really appreciated Dr. Neithardt - I have a complicated medical history including several autoimmune diseases. We retested for additional diseases that would be known to cause this type of problem, and the results were negative. However, Dr. Neithardt and I trusted our gut instincts that this is somehow related and discussed how we might change the protocol. We theorize that my body is rejecting the pregnancy and cutting off bloodflow, causing it to terminate. It took a few months for my body to be ready for another try but we eventually began another cycle. This time we added prednisone to further suppress my immune system. I again became pregnant and the numbers all appeared robust. Unfortunately, at my 6 week ultrasound we discovered the gestational sac had continued growing but the fetus had not. I had another D&E but this time I could not emotionally handle doing more testing on the fetal remains. Dr. Neithardt agreed with my husband and I that there wasn't likely any information to gain from testing any remains, if any could even be identified, which gave us a modicum of peace on the issue. She still feels that this may be an autoimmune response (as do I) and suggests another cycle include both the prednisone as well as Lovenox, a blood thinner to try to prevent clotting to the fetus. However, at that point I was relocated for work to another state and we have not yet decided if we or when we will pursue more transfers.

I was lucky to have excellent insurance so my only costs were for genetic screening, medications, freezing and thawing costs, and $10 visit copays. I paid about $450 plus copays for a frozen transfer cycle. I no longer have this insurance, and when I inquired about the out of pocket costs I was told that their fee is $4,500 for one FET cycle (not including retrieval which I had done previously).

I was only willing to transfer one embryo at a time anyway, as were my other care providers, so this was not an issue for me.

I have been to 2 fertility specialist in Delaware and of the 2 offices, Dr Bachmans office makes me feel like a person and not a number. The Reproductive Associates of Delaware genuinely care about you and your family goals.

Dr Bachman made me feel like I have known her forever. I genuinely feel that she wants to see me and my husband have another child. Her role is not without empathy, compassion and caring. She is trying to change the lives of her clients for the better. She loves her job and it’s obvious.

My care coordinator Mari is fantastic! She is always quick to respond to my calls and questions. She is caring and truly wants to help the patients she works with. I also appreciate that Mari communicates changes or information within the office immediately; changing appointments or calling with info regarding care.

I came to see Emelia Bachman after another doctor within the practice left. Dr Bachman is honest, caring and thorough. I value her opinion and truly believe she wants our family to have more children. When I first met Dr Bachman I was suppose to have surgery with the previous doctor, but due to him leaving I rescheduled with Dr Bachman. She discussed risks, benefits and possible outcomes of my diagnostic laparoscopy (previously I had a fimbrioplasty with another fertility specialist and wanted to see if my tube condition was still good). I feel grateful to have met Dr Bachman and I feel that when I finally get pregnant it will be because of her loving, caring and thorough approach.

The best advice is to write down any questions you have before your visit. The reasoning is because it’s very emotional experiencing infertility and sometimes we patients get lost in our emotions and forget to ask pertinent questions.

The costs under Dr Bachmans office were more reasonable than other offices in my area.

The clinic is large with many nurses, techs, doctors, and patients. I would tell people to not let that intimidate them. It’s large because they are the BEST! There is always someone there to take care of your needs. Smiles and friendly faces are around every corner. The practice does what is best for you; whatever will keep you and your fertility safe and sound. They can be conservative but in a good way. Whatever decisions are made, are done as a team and you know they have your best interests at heart.

I felt like a human. DR. Neithardt always used my first name when addressing me. She was always friendly and reassuring while still maintaining a realistic outlook. She remembered me, or at least took the time to review my chart, after not seeing her for about 6.5 years. There was no judgment or condescension. She was professional and respectful of my wishes to expand our family. I would highly recommend her to anyone I know.

They staff always talked to me as if we were old friends. They were upfront and honest and relied on medical information and team decisions to guide my treatment. My coordinator was fantastic and timely with all responses and scheduling. Being able to leave any member of the staff a message over their portal not only gave me reassurance but also confidence in the knowledge of the staff. They always responded in a timely manner with as much information as possible.

Dr. Neithardt was amazing. She took time to explain all procedures, including pictures, and answer any questions. She always came to the waiting room to greet us and was as honest as she could be knowing all that she did. With all of the appointments that we had, she could not be present for all of them, but the staff was sure to mention any discussions they had with the doctor in the meantime. It made me feel like she really cared and wanted to do right by us, whether she could see us face to face or not.

One piece of advice I would give would be to be upfront and honest with her about everything. Medical history, mental and emotional state, hopes and fears, they are all important. Dr. Neithardt wants to know these things in order to best care for people.

Dr. Neithardt was concerned about hyper stimulation during IVF. She used a mini stimulation protocol that started with clomid. It worked for us because we did not stimulate too much and were able to do a fresh transfer.

Honestly, we were concerned with cost about everything but it was manageable and comparable to other clinics. They were always good about trying to make connections and coverage happen with insurance or any possible discounts.

I understand why doctors perform single transfers rather than multiple. Our practice only did single transfers unless you completed multiple failed Trabsfer attempts. I appreciate the concern for me all while trying to help me get pregnant in the safest way possible.

They are great communicators! They will often get back to you immediately. At times though they can be not that sensitive to your situation. For example, I waS was told my pregnancy test was negative over a voicemail and the nurse yawned during the middle of the voicemail. As much as I am sure this is their norm it was devistating to me. So staff fall into the “this is our norm”, but other staff go above and beyond for your needs!

I felt like Dr. K treated me like a human however the clinic did not allow my body to naturally start a cycle. They would only allow my to start a cycle that would match up with all of the other patients. Therefore I would be pushed to the next month if my menstration period did not come in time. At that point I felt more like a number and did not feel the individual care.

Mari Esquillin was absolutely amazing! I cannot speak more highly of her. She was so quick to answer request and guenuinely cared for each patient. As for other IVF coordinators, some lacked good bed side manner. It seemed like they gave you a the standard message they give everyone. They were great about getting back to you it you had questions.

Dr. K always listened to my concerns and would adjust treatment accordingly. He also was amazing about getting back to me. He would often do phone conferences during the same day to ensure all my questions were answered.

Do not be afraid of discussing all of your options as Dr. K will weigh all the pros and cons regarding them.

Dr. K preformed a hysteroscopy and laparoscopy surgery for my endometriosis, which I felt was very helpful. I had a surgery only 3 months prior to that with my regular obgyn and it was a terrible recovery with no symptom relief. The surgery with Dr. K was the complete opposite!

Insurance covered a large percentage, but about $5000 out of pocket.

Although Dr. K did not prefer to use multiple embryo transfer after two failed cycles with unknown causes he allowed us to engage in multiple embryo transfer. He made his concerns known respectfully but did not deny us of our request.

Having come from another clinic, I can say that RAD is ten times better. The online portal is an amazingly easy way to keep in touch, ask those questions you think don’t quite warrant a call, and keep track of both your paperwork and your appointments. There are lots of faces, so my advice would be to prepare yourself to get adjusted to that. However, I have yet to come across a staff member I didn’t like.

Dr. Neithardt took the time to meet with me, go over my test results, and explain my options in detail. I truly felt as if she was determined to help me make the best treatment decisions in light of my needs and financial considerations. She has been extremely kind and professional throughout my treatment.

I have found all staff at RAD to be a pleasure to work with. All have been professional and friendly. There are so many of them, but they seem eager to help their patients succeed and seem to share in their pain when they do not.

I met with Dr. Neithardt on my first visit and met with her for quite awhile. We discussed my needs, concerns, and questions. Dr. Neithardt explained each of my options at length and never seemed as though she was in a rush. Following each unsuccessful IUI, we discussed options moving forward. I found her to be professional and kind during each visit. She truly seemed to care about finding the right treatment plan for me, and it seemed genuine. I would not hesitate to recommend Dr. Neithardt.

Bring a notepad and take notes. She gives you a lot of information to digest, which is good!

We began with a medicated iui cycle with donor sperm, as it seemed to be the most economical with no known fertility issues. When that was not successful, we tried two inseminations in one cycle, which resulted in a positive pregnancy test. Unfortunately, that did not work. Now, we are debating between ivf and iui. As always, cost is a major factor. Dr. Neithardt truly understands that and has been supportive throughout.

Self-pay iui cycle $1760 plus medication (including trigger and suppositories) and cost of donor sperm. Some copays/coinsurance related to some of the diagnostic procedures, which were covered by insurance.

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Our clinic is clean, modern, and very welcoming. The front desk staff are happy to see us and are attentive. The entire office works well together and we always feel that they are operating at a high level during our appts. We are not rushed through and after procedures they take time to mak sure we are ok. I cannot think of any weaknesses

Dr. Neidhart is wonderful! She too ample time to sit with us during scheduled appts as well as unscheduled ones when we just had questions. She is caring, honest, and has a positive outlook on our fertility journey. She never made us feel like we could not have a baby

Our coordinator is very helpful in answering questions and providing us answers to questions she does not have the answers to. She responds in a few hours and always in the same day. She explained the cost of IVF and offered ways for us to save money on the drugs

Dr. Neidhart took time to thoroughly explain our procedure and answered all of our questions. She even listened and allowed us to try things that we researched on our own. We felt like we were apart of the process and not just another source of income for the clinic

Make sure to ask the Dr. to further explain anything that you need more information on. Question why she is choosing certain treatments so you are more comfortable with the process

I had a hysteroscopy to remove a cyst in my ovary. I also have a fibroid pushing on my bladder and Dr. Neidhart did not wish to remove it now because it wasn't a priority for my fertility. I had a sonogram to check my tubes, my uterus, and to see how fertile I am to increase my chances of having a baby. My partner was given HCG treatments to increase his testosteron and sperm count because we did not want to use donor sperm. We also discussed waiting 3-6 months for his sperm count to increase so that we had a greater chance of havin a biological child. We did dna testing as well which eased our minds about our own bodies and possible genetic diseases that could be passed on to our child. The RAD clinic went over my drug protocol with us and said that it was an agressive approach due to my age and egg reserve but they felt that it was a good protocol to produce a live birth. I have not currently undergone an IVF cycle as we are waiting for my partner's sperm count to be at a level that Dr. Neidhart feels is acceptable for us to have the most success.

Genetic testing was $200 each. Office visits are covered under insurance so the copay is $45 My surger was $12,000 covered under insurance less my $1,400 deductible Blood test was $1,100

Our doctor believes in only 1 embryo transferred per ivf cycle as this will produce the highest success rates for a live birth. I agree 100%