RMA of Northern California

I was really impressed with Dr. Shapiro's ability to customize my treatment to my needs and goals. I was a difficult case, someone with very severe diminished ovarian reserve and a genetic issue. I came to Dr. Shapiro after doing 6 cycles at another clinic (all failed). She was willing to take me on, was honest and upfront about our chances while still providing us with hope it could work for us. During the cycles led by Dr. Shapiro, she was at most of my appointments, was very caring and warm, and shifted my treatment plan with each appointment as needed. I could tell she kept up to date with the very most current research and was so knowledgeable on other things we could try, which I didn't see in my past clinic. Under her care, I am now pregnant with a healthy baby, something I was beginning to lose hope was ever possible.

One thing I learned in general going through IVF, find out as much information as you can upfront. Ask any and every question. Dr. Shapiro was always willing to meet with me to answer questions and talk through next steps, whether in the office or over Zoom. Take advantage of that so you don't get months down the line and wonder why you hadn't asked something / tried something / etc.

We tried a few different things, but in the cycle that worked best for us, we did a duo-stim cycle on lower-dose injectable meds. The reason for this was my very diminished ovarian reserve & my historical response in previous cycles.

I was lucky to have insurance coverage. Without it, it was quite expensive, I believe would be around $20-30K per cycle (which is typical in the Bay Area based on other clinics I've been to as well)

I am unsure, I believe the clinic prefers single embryo transfers.

Dr. Shapiro is knowledgeable about the latest research and treatments. If I heard of other treatment options, I felt comfortable filtering them thru her and trusted she would guide us in the right direction. Dr. Shapiro also took special care to let us know, which doctor would be on site for egg retrieval and transfer and assured us we would be in good hands. Additionally, she was always responsive via Spruce and was the main doctor that followed up with us on all our results.

Expect to be actively involved in the decisions made during your treatment. Dr. Shapiro provides you with background about all the options available, but never forces a direction. I always made a point to ask her what her preference was and that helped me gauge what to do.

We committed to IVF and during our first month with Dr. Shapiro she advised that we put off our cycle for a month given the fact that I had a few cysts that could reduce the number of eggs retrieved. We are so glad we waited, because when we did start we retrieved 27 eggs. Dr. Shapiro also advised us to go thru with ICSI for th best results. Dr. Shapiro also did a great job adjusting our meds based on follicle checks and blood tests and always explained why. She also recognized that progesterone injections can be rough for some people, so leading up to and post transfer she had me on progesterone suppositories.

I loved that the monitoring appointments were in the early mornings hours, which prevented me from having to over explain things at work or take time off.

About $30K give or take

RMA only does single embryo transfers.

Dr. Alice Shapiro took extra care and was very attentive to my concerns and was there at every step of the way. Helping and discussing our best next steps during our whole IVF journey. We had a very positive experience with Dr. Shapiro and I highly recommend her for anyone who's ready to start the IVF process.

Trust the process and ask questions at every step of your treatment to get a better understanding.

Every individual's fertility journey is unique, and my situation was no exception. I'm definitely the "worried" patient with plenty of "what if" questions and Dr Shapiro always had an answer or a plan of action for every step of the process. One of the most comforting aspects of the experience was learning that Dr. Shapiro herself would be performing the egg retrieval. It was heartening to know that the person overseeing my fertility treatment and who was already familiar with my medical history would be the one carrying out the procedure. This added a sense of ease and trust that is invaluable in such a delicate process.

Don't be afraid to ask questions!

Initially, we had to postpone the medication cycle due to an unexpected large cyst in one of my ovaries. Interestingly, it was Dr. Shapiro who discovered the cyst before my medical provider could. While this news could have been unsettling, Dr. Shapiro's feedback and guidance immediately put me at ease. Her ability to communicate complex medical information in a reassuring manner made the situation feel less scary and overwhelming.She skillfully timed the process to ensure that the cyst did not interfere with the subsequent medication cycle. Her precise planning and careful monitoring allowed me to grow the follicles without any harm to my ovaries, which was a tremendous relief.

15k +-

You really couldn't ask for a more kind, compassionate, thoughtful physician than Dr. Kaser. He was truly engaged in my care and invested in my outcome. Dr. Kaser is thoughtful in his communication and really takes his time to explain every detail of treatment so I always knew what to expect next. He never rushed me in my appointments and gave me ample time to ask questions. Part of my treatment plan included a procedure that was both physically painful and emotionally distressing for me. Dr. Kaser took his time before, after, and during the procedure to make sure I was ready, to check-in with me, and to support me as I recovered my composure after. He gave me choices ("do you want to keep going or stop?") and respected my autonomy and decision making. He gave me the information I needed to make informed choices & was willing to listen to my ideas as we made treatment decisions. I will never forget the day he called me with positive pregnancy test results! I'm pretty sure he was even more excited than I was! (I was still shocked!) I am so grateful for Dr. Kaser!

Don't be afraid to ask questions, he is more than happy to explain his thought-process. He'll take his time to make sure you fully understand and are comfortable moving forward.

I came to Dr. Morin with a lot of physical & emotional baggage from past failed IVF attempts at other clinics - he knew my full history and wasn't intimated at all by my persistent questions, tears, and need for reassurance. He stayed highly involved in my care throughout the course of treatment and I spoke with him more than any of the nurses or other clinic staff (a big difference from past clinics for me). One thing I really appreciate about Dr. Morin is his ability and willingness to explain the clinical decisions he's making or recommending. He'll explain that "this has really good research behind it and I feel confident it will help" OR "hey, this idea doesn't have the best studies behind it, but there's a chance it may help" - which was really empowering to me to make informed decisions and didn't offer me false hope. He's very upfront with chances of success and potential risks, but approaches the hard conversations with so much compassion it makes the tough pills easier to swallow. When I wasn't having the response I was hoping for in an IVF retrieval cycle, he spent significant time with me going over the pros and cons of moving forward with a retrieval vs converting to an IUI. I was super emotional about the decision, but he brought so much clarity to the situation and helped me make a choice I felt comfortable with. I've gone through multiple egg retrievals with other doctors and, by far, my favorite retrieval was with Dr. Morin. In the past, I've had a nurse walk me into the OR and get me set up and the Doc just whizzes in at the last minute when I'm already getting sleepy - not with Dr. Morin, he was completely engaged from pre-op to falling asleep and was one of the first people I remember when waking up. He walked me from pre-op to the OR, talked me through getting positioned, what I would be feeling as they start to gave me medicine - and had a great music selection going (Hamilton!). 10/10- would highly recommend an egg retrieval with Dr. Morin. During my second retrieval, Dr. Morin was at their other office and my retrieval was performed by Dr. Kaser - who was also stellar in every way. I saw Dr. Morin at the majority of my monitoring appointments, but when I didn't the other docs were just as superb. Dr. Kort performed several of my monitoring ultrasounds and he always brought a very calming energy with him, which I appreciated. Overall, Dr. Morin is a phenomenal physician. He is extremely well-qualified, an excellent communicator, and understands the importance of his work. I have not undergone an embryo transfer at this point with Dr. Morin, but know that even if I do not have success with a transfer, I would not hesitate to recommend him to friends & family.

Ask lots of questions - he's willing to answer. Take a close look at your medication protocol before ordering meds and ask about which meds you'll need on which days and if there is a chance you won't need any of them. I saved a lot of money by not ordering all of my meds up front - turned out I stimmed faster that anticipated and didn't end up needing all of them.

We used an antagonist protocol for my retrievals. The first retrieval we tried adding in a clomid for a few days at the start, which ended up not being as obviously helpful as we hoped and we skipped it on the second try.

Strong preference for single embryo transfer, with a solid rationale for his opinion.

Dr.Morin is by far the best doctor I've ever had--I'm honestly sad to be leaving RMA next week to graduate to an OB. He is very clear and crisp with his communication while being empathetic. He is SUPER responsive--I honestly don't know how he gets back to everyone so quickly on the spruce app. I know this is a wild example, but one time I didn't have a med for the trigger shot and he met me on a Saturday to give me a dose they had at the clinic so I could have a good outcome (I believe this trigger shot led to our insanely positive outcome of 17 embryos--10 of which were PGS normal). Dr. Morin performed by egg retrieval and transfer--he's a master at what he does and we're lucky to have him in the Bay Area. You'll be lucky if you get to work with him! Could not recommend more highly!!!

Come with your questions--he's very communicative and will go through all your questions/concerns at your visit. I was a very proactive patient and had a lot of questions but I think he gave the appropriate level of information for any patient that doesn't want to get into the science behind every med/decision being taken.

We did an antagonist protocol because I was an OHSS risk. We triggered with a Lupron + Ovidrel trigger. We ended up retrieving 37 eggs, 27 were mature, 21 fertilized, 17 embryos and 10 were PGS normal. We did two transfers--we first tried an unmedicated cycle which was unsuccessful. We then tried a medicated cycle and I'm currently 7 weeks pregnant.

I unfortunately didn't have insurance coverage and it cost ~$15K for the egg retrieval + IVF monitoring etc and then ~$4K for the transfer cycle. Overall, the prices were comparable with the other two clinics I was looking into but went with RMA because the doctors seemed better.

Strong preference for single embryo transfer (candidly, I wanted to do two but he talked me out of it for the high risk issues)

I have nothing but the highest praise for Dr. Kort. From the minute my husband and I walked into his office, we knew we were in the most capable hands. Dr. Kort spent so much time, more than should be expected of a doctor, explaining every single part of IVF to us—even going so far as to draw scientific diagrams on a whiteboard, which my husband (a scientist) appreciated. He personally called me several times throughout IVF just to ask me how I was feeling. He was available to directly to every single day, either through phone call or text. It actually made me worry about his work/life balance—I've never met anyone so completely dedicated to his work. One of the things I appreciated most about him was that he listens to and believes women about their experiences; when I told him my fears about pain and trauma from all the parts of IVF (the needles, the egg retrieval, the HSG test, etc.) he listened with compassion and ensured I wouldn't ever be too uncomfortable—and I wasn't! I had a relatively pain-free IVF if you can believe it. He was there for us, really and truly there for us, every step of the way, from consultation to the creation of our embryos, and the eternal wait for the results from the genetic testing of our embryos. We ended up getting over 40 eggs, 3 of which turned into healthy high-grade embryos that are now frozen for implantation post-pandemic. We can't wait to continue our parenthood journey with Dr. Kort once it's safe again.

Know you are in the best hands possible. Trust, relax, and rejoice about the path you're about to embark on. IVF doesn't have to be scary and stressful.

For both egg retrievals, I was on around 450 units of Gonal F, 20 units of low dose HCG and 1 vial of Centrotide for around 9 days before my trigger shot, which was Lupron both times. We used ICSI to inject sperm into the eggs. I had 40 eggs total (from two egg retrievals), 37 of which were mature, 34 were fertilized, and 12 made it to the blastocyst stage. Of those, we ended up with 3 healthy (determined by genetic testing) high-grade embryos to freeze for implantation. I'm very happy with these results!

Monitoring appointments at RMA were an efficient well-oiled machine—easy in, easy out.

My insurance covered nearly everything except for egg freezing, ICSI, and genetic testing. We paid about $10k out of pocket for each retrieval.

I have not had embryo transfer yet; it was canceled due to COVID-19.

Dr. Noel understood us, she was accommodating to our questions, ideas and always provided us with advice and guidance. She welcomed the dialogue about different treatment strategies so that together we could come up with the right path for our needs. She also seems to be invested in our journey, showing sympathy in the down moments and cheering us on in the up moments. We also like her professionalism and believe she is very capable and experienced and applies that in her practice. We certainly believe we found the best doctor to help us on our fertility journey.

We tried different protocols along the way Cycle 1: Estradiol before cycle start (2xday), 300 Folistim, 150 Menopur, Ganirelix (1/day), result: 6 eggs retrieved, 5 matured, 1 embryo that passed PGT test Cycle 2: Estradiol before cycle start (2xday),300 Folistim, 150 Menopur, Ganirelix (1/day), Omnitrope 50units - alternate days during stim, result: premature ovulation, no eggs retrieved Cycle 3: Estradiol before cycle start (2xday),300 Folistim, 150 Menopur, Ganirelix (2/day), Omnitrope 50units - alternate days during stim result: 6 eggs retrieved, 6 matured, 0 embryos reached Blastocyst Cycle 4: Estradiol before cycle start (2xday),150 Folistim, 300 Menopur, Ganirelix (2/day), no Omnitrope result: 5 eggs retrieved, 5 matured, 3 embryos reached Blastocyst, all 3 abnormal after PGT test Cycle 5: Estradiol before cycle start (2xday)150 Folistim, 300 Menopur, Ganirelix (2/day), no Omnitrope, Metformin 500mg result: 4 eggs retrieved, 4 matured, 1 embryos reached Blastocyst, all 1 abnormal after PGT test Cycle 6: Estradiol before cycle start (2xday),150 Folistim, 300 Menopur, Ganirelix (2/day), Omnitrope 25 units every day of stims. Metformin 500mg result: 8 eggs retrieved, 7 matured, 2 embryos reached Blastocyst, 1 normal embryo after PGT test Cycle 7: Estradiol before cycle start (2xday),150 Folistim, 300 Menopur, Ganirelix (2/day), Omnitrope 25 units 10 dyas before start of meds, Metformin 1500mg result: 8 eggs retrieved, 8 matured, 2 embryos reached Blastocyst, all 2 abnormal after PGT test

Each cycle is around 17000USD excluding the medication and PGT testing.

RMA has a policy to transfer one embryo at a time.

I had the privilege of visiting Dr. Morin for two cycles. He possesses an exceptionally calm demeanor that immediately put me at ease from the moment I walked into his office. During my first visit, Dr. Morin exhibited an admirable level of patience, dedicating ample time to thoroughly explain every aspect of the process. His explanations were clear, concise, and delivered in a way that was easy to understand, alleviating any concerns I had. I felt genuinely listened to and respected throughout the entire consultation. Moreover, Dr. Morin's emphasis on ensuring my understanding of the medical information showcased his commitment to patient education and empowerment. This approach fostered a sense of trust and confidence in his care, making me feel safe and reassured about my health journey under his guidance.

I absolutely love Dr. Kort. From the moment we started working with him he's been kind, supportive, and compassionate. He clearly explained everything and I was never left with unanswered questions. I have my beautiful, healthy, and amazing, 6-month-old because of Dr. Kort and RMA and I'll forever be grateful!

He’s always happy to answer questions so don’t be afraid to ask questions and get answers

We did an antagonist protocol for my retrieval: - 300 iu of follistim - 150 iu of menopur - 1 prefilled syringe of ganirelix - pregnyl for trigger Embryo Transfer: PIO Estrace

An egg retrieval is around $15k Frozen transfer is around $4k

Dr. Kort had a strong preference for single embryo transfer because there was no reason for us to transfer more than one. We completely agreed with this approach.

Dr. Kort was very compassionate and very knowledgeable. The first consultation appointment was very informative and he explained to us about the whole procedure and was very optimistic on our situation. He answered all of questions and has very good bedside manners.

Ask a lot of questions and also ask for blood results. I noticed they don't have a portal to look at blood results where you can refer back to.

150 IU of Menopur, 150 IU of Follistim, added Garnirelix on the 5th day. And then triggered with Leuprolide.

I had insurance coverage for IVF and medications so I paid around maybe 7k. and also 3k for PGT testing.

Dr. Kort only recommends eSet because of the complication of transferring two embryos at the same time.

Dr Kort is a fantastic. He is knowledgeable, professional, genuine and super kind. He will go above and beyond to ensure the best care is given to you! I love the fact that he does not recommend unnecessary tests. He did NOT push me towards moving forward with any services at my consultation and truly felt that he wants the best for patients. He is AVAILABLE ALWAYS for you - which made me feel super secure. Exceptional bedside manner. I wish i could give him more than 10/10!

Just trust him. He will take care of you! Don't hesitate to ask questions!

Antagonist protocol. 150 Gonal F, 150 Menopur, Cetrotide, Lupron trigger.

I had insurance coverage. I spent roughly 1000 bucks out of pocket

Dr. Morin was recommended to me by a co-worker and I switched doctors, I do not regret my decision at all. For all practical sense the other doctor was fine but I often felt rushed. We had one particular incident where we found ourselves at a fork in the road and needed to make a decision regarding our next step given new information. We felt overwhelmed and wanted some time to decide and honestly some guidance. She left the office to give my husband and I some time to decide. When she came back, we had additional questions for her, she instead of answering she rushed us which made us feel like an inconvenience. That was the last straw with her. In contrast, Dr. Morin speaks with a very calm demeanor, never seems like he is in a hurry. Even with my medical background, the information often given to us is a lot to process and he takes the time to answer all our questions without feeling rushed. Even with random questions we come up with after our appointments, his team is available to respond via the text app.

They have a "sister" clinics in northern California, one is San Francisco the other is Palo Alto. If you don't enjoy the parking availability and prices that going SF provides I recommend going to the Palo Alto clinic. You might see another doc but they are both great and I have nothing bad to say about either one.

I'm sorry I do not remember my IVF meds I had to use or the specific doses, it was over a year ago. But remember, Dr. Morin was willing to try a different treatment strategy even if it didn't look like it would make a difference. It did not, same response, no ovary response, no egg(s) to retrieve. But he was instrumental is guiding me to use a donor egg and are currently in the process of getting out first retrieval from our known donor.

An estimated patient responsibility for "Donor IVF Freeze - All for PGT-A" bundle package is $18,650 with some outside organization charges of the following: Pharmacy $5K-7K Anesthesia $650 Embryo testing PGT-A $300 per sample Embryo testing PGT-M $400 per sample ($3000 probe development)

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I feel like Dr. Kaser went out of his way to check on me as a patient. When think didn't go as expected, he had a new plan and reasoning behind it. He followed up with phone calls and it always felt that he cared. My only criticism is really not a bad one. Due to scheduling, I wasn't an to see Dr. Kaser from all of my procedures. That allowed me to see a team of 3 doctors, Dr. Morin and Dr. Kort as well.

Listen, but also ask questions. He's great at answering.

My first cycle was a moderate to high dose antagonist protocol of 300 FSH, 2 vials of Menopur, Cetrotide antagonist, and Pregnyl trigger. Cycle 2 was a letrozole flare with a lower dose of FSH. These two protocols did not work well for me, so the next cycle I did a clomid flare with a ovidrel and Lupron trigger. Some people respond differently to the medication than others. He also recommended an ERA before transfer since I have only a few embryos.

They recommend a single embryo transfer for PGT normal embryo. They informed me of the risks related to multiple transferred and that single people transfer has just as good results.

We were expecting to get pregnant, we weren't expecting to have our lives deeply impacted-and possibly forever changed- by his care. He is completely revolutionizing doctor-patient care with his deep level of involvement, commitment to and passion for having you feel both cared for AND achieving a desired outcome. He is the therapist of REs: empathic, attuned, warm, calm but also direct, honest and firm when needed. Like his colleagues, he is smart, but there is something unique about him-he knows reproductive endocrinology as if it's in his DNA. He was born to do this work. Endlessly patient, he will explain a difficult concept so clearly, with such precision, really offering an experience of true collaboration....however, he is always many steps ahead. We were a bit hesitant at first because he doesn't have the same experience as some of the other REs we had worked with (perhaps a strength) but that was put to rest right away--clearly an expert, possibly a genius. Even before starting a cycle with him, he was offering ideas that other REs hadn't thought of or taken the time to notice (Using a trigger shot to stop an estrogen producing cyst vs. staying on suppression meds for months that weren't effective). He is quick to think of solutions when cases get difficult, like running an RPL panel while still pregnant to see if levels are elevated (when levels weren't elevated previously) so he can use those results to make improvements for the next transfer cycle. My OBGYN refused to run the panel stating "we never run those while still pregnant" One level came back slightly elevated-to my surprise- and that small detail changes the next transfer protocol. Most importantly, he stressed a re-biopsy before transfer when my previous RE didn't think it was necessary and it turned up positive requiring a lot more treatment before we could move forward with our transfer.This is a testament to his thoroughness. As I write this, Dr. Kort is still communicating with me--extremely responsive-- (even though I am not in an active treatment cycle) really offering support during a difficult time. There were countless times when he would call me directly to answer the many questions I had sometimes off hours when we weren't flexible to accommodate his schedule. He consistently fit us in for consultations generously often literally answering questions before asked and easing anxiety-he remembered parts of the treatment plan that even I had forgotten-clearly on top of our plan and giving us such confidence in his expertise. At some point, I was very frustrated that we couldn't move on with our transfer and he was equally frustrated-so in it with us. Once I called in to speak with a nurse, as I was used to doing in my last clinic-where I never spoke with my RE directly, the nurse wasn't available and within two minutes Dr. Kort had called me back and asked if there was anything HE could do to help. He asked with such authentic humility. This is one of many examples that illustrate his responsiveness and availability. Our case is a bit complex and we haven't been the easiest patients to work with-a bit over-reactive in moments-emotions (and hormones) running high but Dr. Kort has been so patient, containing, grounding and extremely present when things have fallen apart--going beyond what any other RE would provide. He will also take into account what other REs have done/said (if in agreement) in order to get the best results-more concerned with your success than his ego. I have had multiple uterine biopsies and he is very skilled and gentle making that process a little less painful. When it came down to making very difficult decisions about how to proceed, Dr. Kort was so compassionate while letting us know honestly what he thought was the most efficient way forward. He is not perfect, still human, you need to, in moments, ask him to be direct. He can get caught with his involvement and passion and say things prematurely (That are still accurate). All that being said, he will likely be the most incredible physician you will work with in your lifetime and like us, you may end up feeling permanently inspired and changed by his deep humanity-a role model for all of us.

Don't worry about burdening him with your questions or concerns, he can handle it. He will match you and can pick up quickly on your style; if you want him to be direct, give an opinion he will do that.

Estrogen priming HGH (50 every other day) Menopur (150) Gonal-F (300) I really wanted to add HGH to the protocol. Resulted in one euploid embryo (age almost 41)

Insurance covered most-we paid 10%. I think the total including transfer was $22,000 (not including additional ultrasounds and testing).

I think he prefers single embryo transfer but this was not relevant for us.

I was very worried at the beginning about OHSS. Dr. Morin eliminated this risk completely by using a leuprolide trigger shot. As such, my whole experience was seamless. He answered my many worried questions in the beginning with a lot of patience and knowledge, and explaining all the science behind the process when I asked, which was what I was hoping for and gave me peace of mind. My egg freezing process was very clearly explained, and I knew after every appointment what were the next steps and as such felt very safe and cared for. I had the same type of excellent experience during my egg retrieval, and again was very grateful for the level of care and professionalism with which such an important dream of mine was handled.

Work with him!

Leuprolide trigger shot to avoid OHSS during the egg freezing process.

Dr Morin seemed professional if a bit abrupt/hurried sometimes. It seemed like the Spruce messaging system didn’t allow for much in-depth consultation about our protocol. Towards the end, after two failed egg retrieval cycles, they said they would only do one more egg retrieval with us and after that it would be donor eggs.

Be prepared with all your questions if you get to see him at your appointment. Also try to book calls if you can if you have a lot of questions during your cycle or to follow up about changes to protocols.

We tried Clomid for 5 days first +150IU of Menopur, the second cycle we suggested a long lupron. This was due to DOR. Both didn't end up working well for us. I think mainly ICSI isn't good for DOR and the egg wouldn't fertilize.

about $10,000 for our cycles, but we didn't get any fertilized embryos from them.

They didn't really have any strong suggestions on changes to protocols, nor did they suggest using conventional IVF fertilization

Dr. Morin was always warm and welcoming when I would see him. He was great at breaking down information to ensure complete understanding, and always took the time to answer my (very long) list of questions.

Ask whatever is on your mind! He is an amazing resource and was always so kind when answering even the most basic of questions.

Note: I did this for fertility preservation and not due to infertility, so results may be triggering to those struggling to conceive. I went through 3 rounds with Dr. Morin, all following a very similar protocol. I had no complications or risk factors, and was seeing him for fertility preservation (not actively trying to conceive) so my protocol was fairly straightforward. For each of my three cycles I started out with Gonal F (FSH) 225 units and Menopur (1 vial). In my first cycle they added a second vial of Menopur on the 5th day based on bloodwork. Each cycle I used Cetrotide, beginning on the 7th day of the first cycle, 5th day of the second cycle, and 6th day of the final cycle. On my second cycle they actually instructed me to take a dose of Cetrotide immediately after my appointment and then again with my nightly routine due to the quick growth rate. I had near daily bloodwork and follicle count appointments, and used Lupron 40 mg for my trigger, and these were taken on the 11th, 10th and 12th day of my three cycles respectively. Cycle one: (all embryos round) - 13 days of injections including trigger - 26 eggs retrieved, 8 healthy embryos Cycle two: (eggs only round) - 11 days of injections including trigger - 21 eggs retrieved, 18 mature Cycle three: (eggs only round) - 13 days of injections including trigger - 36 retrieved, 32 mature

RMA was in-network with Progyny and Blue Cross insurance, so while I hit my out of pocket maximum for the year, all of my tests and procedures were covered.

I cannot recommend Dr. Kaser highly enough. I started seeing him with a diagnosis of diminished ovarian reserve, and he took the time to evaluate whether that diagnosis was appropriate, explain what that really meant, and offer me hope. Any time we were waiting for results, he called me personally (even on his vacation/after hours). I never felt like a number, and I always felt like he really cared about me and our family goals.

When he starts white-boarding the math around egg retrieval, take pictures!

Round 1: menopur, gonal f then cetrotide, dual trigger— 7 eggs retrieved, 7 mature & fertilized, 5 blasts (2 day 6, 3 day 7), 4 pgs normal Round 2: clomid, menopur, gonal f then cetrotide, dual trigger— 15 eggs, 15 mature, 14 fertilized, 6 blasts (1 day 5, 2 day 6, 3 day 7), 3 pgs normal Frozen transfer: natural cycle with dual trigger

$15K for first retrieval, second was discounted, then $4K for embryo transfer

The opportunity for a multiple embryo transfer was never discussed

I was initially hesitant to work with a fertility clinic with male providers, but went for it given the rave reviews I'd heard about RMA. After working with Dr. Morin, I can confirm that all of the positive feedback is completely warranted. Dr. Morin has an exceptional bedside manner, is patient, gentle, and thorough. I completely trusted his treatment plan, and judgment, so much so that I found the injection and retrieval process significantly easier than friends who have gone through the process with other doctors. I had several risk factors for OHSS, and he and the team customized my protocol to reduce that risk essentially down to zero. The day of my retrieval, I felt essentially no anxiety because I felt so confident in his care. I wish all clinics provided the level of care RMA and Dr. Morin provide!

No advice except make the appointment and get started! RMA and Dr. Morin provide such compassionate care, I'm so thankful to have found them and recommend them to everyone I know!

My protocol was menopur and Gonal-F only days 1-4 of stimulation, and then adding in cetrotide on day 5. This continued through day 9. On day 10 of stimulation I went in for my final ultrasound, and triggered that evening with Lupron, and then a second Lupron trigger the next morning. 36 hours after the first trigger was when my retrieval was scheduled for. I was at higher risk for OHSS, so they amended my protocol accordingly to avoid overstimulation, and then used a Lupron trigger instead of a traditional hCG injection to minimize my risk.

My care was covered by my employer, but all insurance and billing was handled quickly and with no follow-up required on my part.

I went to see Dr. Morin after two failed cycles with another clinic who could not provide me answers or a path forward (all embroys failed PGT testing). Dr. Morin acted with urgency to create a plan to move forward and leveraged both scientific literature as well as his own experience develop a treatment plan. When we had a failed third cycle using ICSI, Dr. Morin was the one who gave us the motivation, confidence, and clinical rationale to try one more time with a different protocol - resulting in a successful embryo transfer. I do not believe we would have had success with another clinic.

Talk through what your goals, expectations and tolerance for treatment is at the first visit - RMA will customize a plan that works best for you.

Third IVF cycle: used ICSI, retrieved 8 eggs, 6 fertilized, and only 1 made it to blast. PGT abnormal (I believe both of these were the flare protocol) Fourth cycle: used omnitrope (for first time), 8 eggs, 6 fertilized, 3 to blast, and 1 normal, which was transferred and resulted in an active current pregnancy

Insurance covered my IVF cycles. Transfer was about $4200

I did not want multiple embryo transfers. We did not discuss.

I normally don’t post many reviews, but I felt compelled to review Dr. Kort (the positive reviews aren’t too good to be true!) Dr. Kort feels like a trusted friend with my best interests at heart. He provides concierge-level care and his thoughtful nature soothes any nerves or anxiety you may have. I’m someone who doesn’t do okay with foreign objects in my private area (truly, like I disliked Pap smears so much I *accidentally* went 7 years between them) but Dr. Kort is kind, communicative and compassionate with ultrasounds and all communications. I felt very lucky he did my egg retrieval and I saw him for all but one appointment.

Make sure you have your prescription and insurance squared away before your cycle starts so you aren’t panicked about meds arriving in time like I was. When my period started earlier than expected, the RMA team didn’t hesitate to quickly take action and make sure I was set.

FSH, Menopur, Cetrotide followed by Lupron trigger

~$8k but was a (taxable) reimbursement from work

Dr Morin makes this time in your life and this difficult experience and makes it more than tolerable. I always looked forward to my appointments because I always left feeling informed, cared for, and as though he was really making a difference in my process. Every step was thoroughly explained to me and I never felt as if I was just a number or that any part of the process was just to make money.

Ask all of your questions. Don't feel as if any question is stupid. Dr Morin never made me feel that way, and he always seems more than willing to sit and talk your questions and concerns out with you.

Our only diagnosis was male factor infertility, so my process was a fairly straight-forward IVF egg retrieval, ICSI, and frozen embryo transfer. All of my procedures went seamlessly and I had few hiccups once in his care. The only issue we had was a blood marker that arose in my husband's bloodwork that we needed to see a different specialist for. But even then- Dr Morin worked to get that taken care of in a timely manner and made sure my cycle was not disrupted or delayed for this reason.

My insurance, luckily, covered 50% of some of the procedures and most of my medications. The finance team worked diligently with me to make sure all parts of my treatment were billed through my insurance and for my payments as well.

I asked about this and Dr Morin explained to me the additional risks involved with multiple embryo transfer. And given my already advanced age, my husband and I decided on single embryo transfer.

Dr. Kaser seemed so genuinely sweet when my husband and I met him over video visit for our initial consult. He was very caring and seemed so invested in us having the family that we wanted. After my initial ultrasound he was thrilled with my antral follicle count and thought we would be very successful with IVF. I definitely wish he spent more time telling us the truth about the potential steps in the IVF process (he oversimplified the process and never mentioned certain procedures like saline ultrasound, hysteroscopy, birth control, etc.) in our consult, as well as the potential outcomes after an embryo transfer in more realistic terms (he gave us a 70% success rate with our first embryo transfer which was not successful). I am a physician myself (not an Ob) so I expected him to be very thorough in his explanation of all the procedures. He was so generous with his time and sometimes didn't charge us for certain procedures, but once we were in the throws of IVF, I felt completely bewildered by our experience - it was not at all how he had presented IVF to us. During our first frozen embryo transfer, we did get a positive pregnancy test, but there was no yolk sac visible during the initial ultrasound. My HCG level had started really low, but it doubled quickly as expected. Instead of explaining why there was nothing on the initial scan, he ran out of the room looking panicked and said "you need blood work" over his shoulder before heading out the door. My husband and I totally freaked out and started sobbing when he left. We didn't sleep well until our follow up ultrasound 5 days later where thankfully we saw a yolk sac, but unfortunately this transfer ended in a blighted ovum (I had no idea what a blighted ovum was or that it was a potential outcome of a transfer). I had lots of issues with my insurance so I decided to do a D&C outside of RMA. My colleague also went to RMA where she was charged almost $5K for a D&C (she was not told this cost upfront) that was not covered with our insurance so I decided to get the procedure done in my hospital system. I had told Dr. Kaser that I needed a break because I was so devastated by this outcome. I did not feel properly prepared for the potential of a loss after a successful implantation. He never called me afterwards to check in on me after this devastating loss. I was so distressed that I might have put myself at risk for breast cancer (I have a strong family history of breast cancer and was rightly concerned about taking high potency hormone injections for IVF). When my husband called Dr. Kaser crying that I was inconsolable after the loss because of my fear of having increased my chances of breast cancer by doing IVF Dr. Kaser immediately became defensive and said "our drugs don't cause cancer!". I felt completely abandoned, invalidated and betrayed by Dr. Kaser. I could not see him as my provider afterwards even though we still had 3 remaining embryos at that time. I lost my respect for him and no longer felt safe in his care. I think Dr. Kaser is a great doctor if everything goes smoothly in your case and there are no setbacks. As soon as we hit rough waters, he completely abandoned us and left us completely lost as to what to do next. I think he lacks maturity and will hopefully learn to be a more steadfast guide on this very scary, tumultuous and personal journey for couples.

Make sure you ask detailed questions about the process. This process costs tens of thousands of dollars, has many risks, and is a LONG journey - you deserve his time. Do not feel rushed to make any decisions while you are in his presence (we did). Think things over and make sure you have all the information you need to make an informed decision. Hold Dr. Kaser accountable when mistakes are made.

I overreacted to the medications so I underwent less medications than I was supposed to do. I believe I did 3 days of gonal F and menopur, then they added Ganirelix until I was ready to do the trigger shot (0.25 of 10,000 units HCG). I was told I was ready for retrieval on my first ultrasound which made me so overwhelmed because I was expecting to do the medications for 2 weeks.

Monitoring appointments were so overwhelming. We would get an appointment slot but the doctor would be doing an egg retrieval or something else in an entirely different area so you were often asked if you wouldn't mind seeing the NP instead. I am not sure why they offered appointments when the doctor was not available. I found this very frustrating.

IUI was around $650; egg retrieval cost around $14K, drugs for IVF cost around $4.5K; transfer was supposed to cost $4200, but ended up being $4500-7000+ for each transfer not including medications.

I agree with only transferring one embryo at a time. It did not seem like RMA promoted multiple embryo transfers.