Reproductive Medicine & Infertility Associates

Aside from how expensive fertility treatments are, this clinic is a great place for treatment. The original intake does take a while so plan on a wait before your first appointment. But once you have a treatment plan it’s easy to make appointments and reschedule things. They also wash sperm at their facility and guarantee motility so we were able to use ICI vials for an IUI procedure.

All the appointments went really quickly and it was other nurses who would do inseminations. We would only meet with Dr. Leonard when we needed to consult with positive or negative results and complications. But when we would meet with her she would provide us all our options in a respectful manner.

Their online intake packet is extensive and I think initially there was some confusion about what nurse was assigned to us. But if I had questions I could call that nurse directly and it was the same nurse doing the IUI procedures. They were all nice and helpful.

Dr. Leonard was always open to communication. She was aware of our financial situation and being in a LGBTQ+ relationship she was very competent and aware of resources and procedures available. She also works closely with our primary OB/GYN and they both would answer questions in regards to our treatments. Dr. Leonard was also compassionate when we had pregnancy loss and never pressured us to start trying again. She always let us pick our timelines of our procedures with what we felt comfortable with.

Ask lots of questions. She’s brilliant but at times I wasn’t sure if she already expected patients to have fertility 101 knowledge under their belt because sometimes I’d have to go back because I didn’t understand everything. She wants her patients to get pregnant and use a method that fits within your means. Although we had pregnancy loss she never pressured IVF because she knows our financial barriers.

Due to my age and previous chemical pregnancy, Dr. Leonard didn’t waste time and prescribed Clomid right way for our first IUI. I would go back for blood work occasionally to monitor my progesterone levels and she also prescribed progesterone for my low levels. My first IUI was a negative pregnancy test. So the second IUI she increased the Clomid because I wasn’t producing enough follicles that she wanted. Then again with progesterone. This resulted in a positive pregnancy but unfortunately had a D&C because due to miscarriage around week 9.

$3,000 each round of IUI (ultrasounds, blood work, monitoring, etc) $30 copay for Clomid each round $200 out of pocket for Ovidrel shot $10 copay for progesterone

We did not use this procedure, so no comment.

Clinic overall seems very well organized. They promptly return phone calls, including front office staff, schedulers and business office. They use secure emailing, which is a great and they use a patient portal to post the clinic notes that can be accessed at any time. Every staff member we've encountered has been friendly and compassionate.

She tries to get to know us personally, not just our medical history or reason for treatment. She remembers personal details about us. She tries to tailor our treatment to our individual situation and preferences. She welcomes our thoughts and opinions.

Primary nurse and other nursing staff have been great. They promptly return all my phone calls and emails. I love that the clinic uses secure email to communicate too. I work full time so this makes communication much easier. Nurses are very thorough in explaining directions and protocols. Our primary nurse also went through fertility treatment so she understands what we're going through.

Dr. Leonard tries to get to know us as individuals, not just another patient. She went through fertility treatment herself, so she is able to relate to her patients. She encouraged us to start treatment with IUI and didn't push IVF. She listens and is open to our thoughts and preferences. She is practical and doesn't seem to order a lot of unnecessary tests. She explains things thoroughly.

Don't be afraid to ask questions and make sure you understand everything

Clomid (5-7 days?, can't recall dose), Ovidrel to induce ovulation, then IUI with partner specimen. Clomid thinned my uterus too much. Only 1 follicle developed. Sperm count in specimen was also very low. Cycle was unsuccessful.

Our health insurance doesn't cover fertility treatment so most costs are incurred by us. Part of the office visits and part of some labs were covered, otherwise nothing else associated with IUI. Per the pricing sheet provided by the clinic, these are some of the costs of an IUI (not factoring in any insurance): Baseline ultrasound $255 Follicle study ultrasound $510/each Clinic visits $160 Insemination $437 Sperm prep $100 LH $83 Estradiol $375

They work hard to schedule in accommodation with your needs but one negative I would say is the early before work appointments seem to fill up fast and with the nature of my work that can make it a little challenging. The office is always clean and neat and they are welcoming when you walk in the door, one of the front desk girls always greets me with my first name and it’s just little touches like that that makes my choice to drive over an hour from my house to get there worth it. They get you in on time and out in a reasonable amount of time so you can move on with your day, only time I’ve had to wait is if I need lab work after my ultrasounds.

We have actually only met with dr Leonard once at our intial consultation and for the follow up of our blood work, the rest of our treatment has been with the awesome nurses at RMIA. I felt at our first appointment with Dr. Leonard she was kind but also straight forward on what we needed to do in order for us to have the best chances at getting pregnant and finally having our rainbow baby.

Overall my experience with the nursing staff has been great, only one occasion (out of many appointments) can I recall that I felt the nurse didn’t review my chart enough before coming in for my appointment. They have all been very nice and treat with respect and my feelings with the highs and lows that come with this rollercoaster.

Dr. Leonard was very patient in answering all of my questions and with dealing with my extreme anxiety when it comes to medical procedures. She really broke down what I needed to understand about my body and my PCOS and what I needed to change in order to have the best chance of having a baby. She was frank in informing us that nothing was guaranteed but she was going to do her best at helping us get there. Again, we have only met with her the first couple of appointments for setting up the plan but they nurses are always informing me she reviews every time I am there and every step of the process.

Go into your meeting with her knowing she is going to be straight forward and honest and won’t sugar coat and get your hopes up. She very honest which I really appreciated.

I had a natural pregnancy previously that unfortunately ended in a miscarriage so Dr. Leonard wanted us to start with letrozole (preferred that over clomid for me due to my PCOS) and since I haven’t been ovulating on my own, did a ovidrel injection to induced ovulation. Along the way I had multiple ultrasounds to monitor the growth of my follicles. We did timed intercourse at home only for these three cycles. I did that for three cycles but they all ended with negative pregnancy tests. We moved on the the next phase of treatment which all starts the same way but instead of timed intercourse at home we just did our first IUI, too soon to know if it worked or not yet! She also had me do baby aspirin daily and increased folic acid supplement with my prenatal.

My insurance doesn’t cover my visits at RMIA so everything is out of pocket. I called around and did research and their costs are right in line with other clinics.

N/a

The clinic is cleanly and organized. The waiting rooms prior to the egg retrieval were quite small and separated by curtains only. This made it quite easy to hear the conversations of other patients and doctors. It was hard to hear other patients come out of egg retrieval and get more eggs then we did. I wish that this area would be more personal and private.

Jani acknowledged our pain when the cycles failed. She spoke with us about our treatments, but also asked about our lives in general.

We communicated with several different nurses. At times, some not knowing the full story about our procedures and even put wrong information on our medication protocol. If I would not have questioned the nurses, I would have taken medications that were not supposed to have been prescribed to me for some cycles. One of the nurses apologized saying that the information is auto-populated and they forgot to delete it when giving me my medication schedule. That caused me undue stress when this procedure is already so stressful.

Jani Jensen is a compassionate and intelligent doctor. She was open with us after each procedure did not go as planned, or failed completely. Having done 3 cycles of IVF without good results, I wish that the clinic would be more upfront ahead of time on some of the things that could go wrong. I appreciate the optimism, but it was so much more difficult when things did not go as planned.

Ask questions, she will tell you the answers. She will not make you feel uncomfortable for asking. She is caring.

The first 2 protocols used were the usual. I did not respond well to stims, and they needed to be increased greatly. After my second cycle it was noted that I have poor egg quality and another protocol was tried to increase the quality of my eggs. I cannot recall the name. Though it required more prep time. That cycle caused more eggs to be retrieved, but I got OHSS and my lining was not ready so we have to do a freeze all on day one in November, 2018 and wait to transfer January, 2019. Sadly, this did not seem to increase the quality of the eggs and we lost the majority of our embryos. None making it to freeze, outside of the 1-day freeze all that was done in November.

We did not do monitoring at this clinic as we live 1.5 hours from them. We did them at our local clinic instead and had results faxed.

We did the 3 cycle IVF warranty program which was approximately $30,000 for procedures only.

Our doctor, due to my age (just turned 40) elected to transfer multiple embryos, which is something we were comfortable with doing.

There was a sign on the door requesting no children in the clinic. While it wouldn’t have bothered us , but we are almost 11 years out on this journey .our second son lived two months and babies used to be such a huge trigger for me. I thought that was a very considerate move by the clinic.

This man is amazing . We have done preliminary labs, genetic samples, and met with him. He was so kind and detailed about what to expect. I am so comforted by his many years of experience. We also know another family currently pregnant who utilized this genius of a doctor.

She was so quick to respond to my questions. She was very professional and kind.

He is great at communicating, kind, and patient with myself and my husband. We have mutated pex genes and create terminal babies. He listened to our wishes and didn’t just dismiss things that I felt were important.

You will feel right at home. He made me feel like his own daughter at our first appointment. He made me feel like we were the focus of his entire day. It was great and not rushed.

We are still in the beginning phases. We have sent out samples for genetic testing to Natera. I just started birth control, aspirin, and 2000 unit QD if vit D.

Active now Amount due at program start : $19,160 ($15,860 IVF + $2,500 monitoring retainer for your retrieval + $800 monitoring retainer for your frozen transfer) Ferring Care program- If you do not have an insurance benefits for the stimulation medications (Menopur, Follistim or Gonal-F), you may purchase Menopur from RMIA at a reduced rate ($77/vial). The average cost is from $4,000-$6,500 depending on how much is needed. Please let me know if you have further questions regarding programs or prepayment requirements. Plus we will do the pgs and pgd .

My doctor advises one embryo to be transferred but since I have carried 3 pregnancies to full term & delivered my first child who was 9.5 lbs he feels that my uterus could support 2 embryos if that’s our wish. He said after pgs and pgd there will be an 80% chance of a live birth if we place one embryo & 90% chance of a live birth of one embryo if we place 2 after reviewing my history and all the testing our embryos will have done.

Clinic is very modern. Different departments for different procedures. The colors are welcoming and decor was beautiful. The main office was spacious and rounded area. We were able to see other couples which was nice. At Midwest everyone would be staring at the floor, never making eye contact in that small, dark office space. Here at RMIA, patients would see each other so we felt less alone. The rooms were modern and clean. Everything was done at RMIA. I didn't have to go somewhere else to get the pregnancy blood test covered by insurance like at Midwest.

Dr. Leonard treated us so well. She asked us questions and listened. She is so smart and highly educated. Listening to our needs and challenges was so important. And she did that!

They were amazing! I was a signed to a nurse who I could email whenever. I forgot to mention- Midwest had NO email communication. That was the worst! You had to call in, leave a voice message, and someone would call you by end of day. So annoying. Dr Leonard's nurse was so nice too. Always helpful and smiling. So professional.

She is absolutely amazing! Intelligent, and modern with her medical approach. She would educate us. She read through our entire medical records. She was honest about transferring 1 or 2 embryos. She provided what the research was for success in IVF. No negative comments about her.

Go to RMIA and Dr. Leonard!!

I'm comparing to my med protocol to Midwest... RMIA added lovenox shots, baby aspirin, and prometrin vaginal inserts. At Midwest I had compounded inserts made- weird. I took prenatal plus 8 extra folic acid pills. I really can't remember the other meds. The basic IVF ones I suppose. She went by research studies and what seemed to be working for her patients as well as in the IVF world for unexplained infertility. She encouraged PGS testing and to only do frozen transfers.

They had a great process. I did early morning or over the lunch hour appointments.

Online- I can't remember without looking at records. It was more expensive than Midwest, but way better care. I wish I would have gone here when we started this journey in 2016!

She was focused on 1 PGS embryo at a time. First transfer resulted in a miscarriage due to a subchorionic hematoma. Second transfer she was out on maternity leave for the consultation, so her colleague at RMIA covered. That doctor advised transferring two. Dr Leonard did the transfer. We lost a twin but the other baby is thriving at 17 weeks pregnant.

Besides CRM, RMIA is the top clinic in the Minnesota metropolitan area. They aren't perfect, but I would still go to them again if I decided on having a second child. Either that, or I would look to travel out of state for care.

Much of the care was pushed off to coordinators. Dr. Leonard was very competent, but not very warm.

The nursing staff were given clear protocols to follow, but communication among a large group of nurses was lacking and so details regarding my individual care were often missed. In one case, a miscommunication from one of my nurses regarding my medication resulted in me having to start that cycle over. It felt like the nurses were secretive about my long-term plan and only wanted to give me the minimal information needed to complete my protocol. Had I been given a complete overview from the beginning, it would have been easier for me to verify the instructions I received every week were correct for my individual needs. I also didn't have a coordinator, which I think would have been helpful. Some of the nurses were new and not very good, while others were experienced and excellent at what they do. It was really hit or miss and I had no control over this aspect of my care. Since no one person was serving as coordinator, I was also made to feel that I was more of a number than a patient.

Very competent, but so-so bedside manner. I wish she would have spent more time with me instead of pushing everything through staff coordinators, who were hit or miss. I did feel like I received competent care, but I didn't feel like she cared that much about me as a person.

She has an impressive background and she delivered results. However, I would consider also meeting with Dr Stassart at RMIA who has a reputation for genuinely connecting with clients and caring about their outcomes, beyond the initial diagnosis and treatment plan. If given the choice, I would work with her again, because I value competence.

At 40yrs old, I had a low chance of conceiving with my own eggs, but she was still willing to work with me if I wanted to go that route. Given the stats, I ultimately decided to use donor eggs, but I would have trusted her protocol with either course. She used empirical evidence and professional experience to inform her protocols. She also had access to a team of consultants at both the clinic and within a competitive academic setting. While I would have preferred she gave me more details of her rationale and plan instead of just implementing the plan via coordinators, her plan did ultimately result in a live singleton.

Very typical of other clinics. There was the cost of meds, the cost of care with RMIA, and then the cost of donor eggs and sperm. I paid everything upfront, so I can't comment on whether they allow for delayed payment. They were very clear about charges upfront and I didn't have any unexpected costs.

I didn't want to risk having multiples, so I opted for a single transfer. She also recommend a single transfer due to higher risks associated with giving birth to multiples.

The clinic is clean and is expanding. I really enjoyed people up at the front Because they called me by name. I especially liked the phlebotomists. There was coffee and drinks. The bathrooms were clean. I liked how I never had to wait long to be taken in for my appointments.

I was done. I was so done trying to get pregnant after my second failed pregnancy - my second d&c. But because I bought into the warranty program, I had one more cycle left. I was miserable. I was beyond angry. I felt defeated. My husband was already living in Seattle. But, I knew I needed to push myself through the motions and complete the third cycle. At my consultation before my third and final cycle was to begin, Dr Stassart surprisingly went through all three pages of typed questions I had written to him. I wrote the questions and sent them off, almost positive De Stassart would t read my questions. But, he did - and so much more. He not only answered all my questions and gave me a new protocol. He also delivered hope - something I lost after the second d&c. But In the consultation room, I sat alone crying, defeated. He told me, there is no guarantee this new protocol will work. I’m fact, it may be worse. But, if for some reason this final retrieval and transfer fail, I will give you a fourth and final transfer without fee. This promise - this act of kindness - gave me the strength to help me muster the faith needed to get through one more round of treatment - one in which I basically went through alone because I was in Minnesota and my husband was in Seattle, WA. I can only help but think that in that moment, seeing me alone and crying, allowed him to feel a bit of my pain and offer another round of treatment that would otherwise cost thousands.

I thought the nurses were mostly good. However, I felt like I had to be extra nice Becaise I called a lot and asked a lot of questions and didn’t want to be a pest. The service here though was 100x better than at my last clinic, CRM

Please see my last narrative about why and how Dr Stassart treatment me like a human being, rather than just a number. The only things I wished: Inwished I got to see more of Dr Stassart. He did all three of my transfers but I had nurses for all my visits and I had different doctors for my retrieval’s.

Listen to what he has to say, but don’t be afraid to advocate for yourself.

I stimmed with only menopur. I used close to 300 vials of menopur. For the final treatment, I was on the Sher protocol.

The warranty program was about 22k. I had to pay for medicine. I also had to pay for the trial transfer and saline sonogram, Including disgnostic testing.

Dr. Stassart preferred only transferring one embryo but I fought for two.

They were very informative with the whole process. The IVF seminar they presented included a lot of information and four different people within the clinic to answer questions. They did a great job then giving us information, but every other interaction left us feeling like we were just a source of income to them.

We were not at all a priority when calling to get information. Lab results took two weeks to get back and we had to request them twice to get them. When the nurse sent us the results, she sent only the numbers. She didn’t explain what the levels meant or what was the desired range. I had to google that information to find out that I have a severely diminished ovarian reserve for my age.

She was extremely bad at communicating. Never returned phone calls, emails required several attempts and were met with excuses and blame-shifting.

She was critical of the first fertility doctor we saw, saying that wasn’t going to win any congeniality awards. But she did say she trusted his medicine. I’m not sure if she assumed we needed less explanation because we had seen another doctor already, but she certainly didn’t offer up more details unless we asked (lucky for us we had an idea of what types of questions to ask).

Do your research on your own and be patient because they’re not in any hurry to answer your questions or respond to emails or voicemails.

We didn’t go through any cycles with Dr. Leonard. She ordered labs drawn immediately for each of us and then day 3 labs. We had to request the results after two weeks of no word from the clinic, and when they finally sent them there was no explanation of what the numbers meant. She wanted to do another genetic test and schedule a follow up two weeks later. We are going to cancel the follow up and go back to our previous doctor (my wife is writing a glowing review for him).

$9200 up front for IVF, total cost $22k-$25k, not including meds.

She made sure to emphasize that their goal wasn’t as many babies as possible. It was one healthy baby. They wanted successful births, not necessarily high numbers.

This clinic is very clean, quiet and comfortable. There is usually no wait to see a nurse or for treatment and the nurses are fast and reliable. Someone is always available to answer the phone and I felt that communication was very quick. However, this clinic is split between two locations which are extremely far apart from each other. One is in Minneapolis and the other in St. Paul. One would think the two locations would actually be more convenient for those who live on the other side of town. Unfortunately, the two clinics have the same nurses and doctors and the staff is forced to commute back and forth between them. This means that making an appointment for something simple like blood work or an ultrasound is actually difficult if you are not flexible with the hours that you can come in. I found myself driving over an hour just to get a blood draw or to have a baseline ultrasound because one clinic would be closed or the nurse I needed to see was not available at that location on that day. With IUI being extremely dependent on where you are in your cycle, there is not much room for flexibility and driving back and forth while working a full-time job was extremely stressful for me. Furthermore, IUIs were only performed at the clinic farthest away from me on the days I needed to have my procedure so I ended up actually driving to the farther clinic 75% of the time. I initially went with Dr. Jensen because of the two doctors at RMIA, she was the one available in the closer location. But, in the end I drove farther so it was not worth it. Overall, this clinic has the basics you would look for in a fertility clinic, but it's lacking in customer service, patient communication, and personalized treatment.

When I came to the clinic, I saw a new nurse every time I was there. I never had a chance to build a relationship with any person that made me feel as though my treatment was customized or personal in any way. It felt like a cattle call -- like I was a room of many women just going through the motions of the same procedures with no real reasoning or feedback throughout treatment.

Many of the nurses I met with were incredibly kind, warm, and informative about the process. However, many other nurses were cold, direct, and impersonal. Some nurses would ask for me to record my own measurements during ultrasounds which I found to be odd and uncomfortable. Although I had many nurses I truly liked working with, I never felt a connection or close to any one in particular because I saw a different nurse each time I went. I never felt that I had a specific contact to reach out to or that anyone could answer my questions directly.

After my initial consultation with Dr. Jensen I felt confident that she knew what she was doing and that there was a real chance that IUI would work for us. However, as treatment progressed, I never heard from Dr. Jensen (only via email in a templated letter that stated the same thing every cycle). I felt after each IUI I was never given feedback about my progress or my cycle and reasoning for increasing my clomid dosage. I felt like just another person on her list of patients to review each month and that my treatment was not at all tailored to my personal situation.

Ask every single question you can think of at your consultation. This is literally the only time you will ever have a conversation with your actual doctor so even small questions like diet, exercise, be sure to ask her up front because she will not be available to meet with you after your consultation. Be prepared to work only with your nurses and to be in charge of your own treatment. Ask LOTS of questions every time you visit the clinic and make sure you understand what is happening each time you go. Barely any information is ever given at appointments so if you are unsure of something you need to be sure you ask -- the nurses will not provide you with any more than the bare minimum unless you ask. This clinic loves to do a blood draw even if you have a negative pregnancy test so be prepared to pay for your beta test every, single, cycle regardless of the outcome.

When I met with Dr. Jensen, I had already had all of the basic workup done for my infertility diagnosis by my OB-GYN. My blood work, HSG, pap results, and even my husband's semen analysis had all been provided to Dr. Jensen prior to my appointment and all results led to an unexplained infertility diagnosis. While meeting with her, I asked if further testing could be done or would be required, and I was told that no further testing would be needed and that moving on to treatment was my best option as I had a 3% chance of conceiving naturally each month at this point. The overall strategy from Dr. Jensen was to try three medicated cycles of IUI with HCG Trigger shot before moving on to IVF. The first cycle, I was prescribed 50 milligrams of Clomid for 5 days beginning on cycle day 5, with ultrasound on cycle day 10. After analyzing the size of my two follicles, I was then instructed to use the trigger shot on day 13 and come back for IUI on day 14. This cycle was unsuccessful and on day 28 I came in for a beta test to confirm negative results. I was told everything looked normal and to try again for IUI #2. The next cycle I was told to follow the same steps as the previous cycle. When I came in for my baseline ultrasound on day 10, I was told that I had one cyst and one follicle that was almost ready. I did the trigger shot on day 13 and came in day 14 for IUI when I was told the cyst was actually just a small follicle that never matured fully but that the other follicle was adequate in size. This was another unsuccessful cycle and my beta test on day 28 confirmed the negative results. The next cycle I was told to follow the same steps as before, but my Clomid dosage was increased from 50 milligrams to 100. On day 10 I was told that I did in fact have a cyst (not a small follicle as previously determined), but also had a very large follicle that was ready to go. My body was naturally surging on its own, so I triggered that night and came back on day 12 for IUI. This was another unsuccessful cycle. I was then told to come back for round 4 of IUI with another increase of clomid to 150 milligrams. It was at this point that I decided to stop coming back to RMIA. I was initially told by Dr. Jensen that after three failed IUIs, the likelihood that more attempts would work decreased dramatically. So, I was very confused when I received yet another, templated letter from the doctor stating to try again with just an increase in medication. I felt extremely frustrated that in 3 months I hadn't had any face time with my doctor and even after the strategy we had mapped out was complete, I still got no further feedback from her and the reasoning for another attempt was extremely unclear.

I only went to Dr. Jensen for IUI. Overall, I felt that her pricing was steep compared to others I had spoken to. Each aspect of treatment was priced differently, but overall for insemination, blood work, ultrasounds, each cycle totaled to about $1,200. Medications were separate from this cost. This is higher than I have heard others have paid ($800), and I did always feel pressured to have blood work done even if I knew I was not pregnant (negative pregnancy test on day 28 of my cycle, or spotting). This cost me almost $300 each time I had blood drawn, and I felt that was a cost that could have been cut if the clinic had personalized my treatment more, or had been more aware of saving their patients money.

For the most part, we've been happy with our clinic and haven't had many complaints until recently. We had no problems during our IUIs or getting IVF scheduled, but post-egg retrieval communication in trying to schedule our FET has been spotty at best.

Dr. Jensen is very personable. She cares about you as a patient and truly wants to help you achieve a successful pregnancy. She takes the time to sit down and have conversations about the intricate details of infertility, procedures, and anticipated results.

The nursing staff has been hit or miss. Some are great - very thorough, communicative, empathic. And others are just okay.

We've really enjoyed having Dr. Jensen as our RE. She is very personable and truly cares about her patients. She has been open and honest about each step in the process - detailing information on infertility, procedures, and the anticipated results.

For each of our 4 IUIs, we did 5 days of Clomid 50mg, taking each dose at night in-between days 3-7 and a single insemination taking place around CD 12-15. While we had 3-4 large follicles and good sperm counts, none of these resulted in a positive pregnancy test. In-between IUIs 2 and 3, we had to wait for cysts to go away and I was on birth control for 40 days. After failed IUI 4, we moved to IVF. I took birth control for a month before starting stims including a week of Estrace. This was followed by a week of Ganirelix due to high estrogen. I started stims (2 vials of Menopur and 75iu of Follistim daily in the morning). A week in, I dropped Follistim and added Ganirelix at night. For a trigger, I used both a Lupron and an HCG trigger. 48 hours later, 13 eggs were retrieved, 11 mature, 10 fertilized, 4 made it to blast, and 3 were tested normal.

If embryos are PGS tested as normal, they recommend one embryo transfer.

Getting to know the patients is definitely a strength at RMIA. From the support staff to the lab to the nurses and doctors, I felt a sense of belonging and comfort. This was a wonderful feeling to have in the midst of something that can feel very lonely.

I was always greeted by name at RMIA which was immediately different than previous experiences where I, not only felt like a number but, was a number.

I saw the nurses and assistants more than anyone and, just like Dr. Leonard, they made me feel incredibly comfortable. Their responses via phone and email were fast and their commitment to me as a patient was so authentic.

Dr. Leonard is like no other. I've never felt more comfortable in such an uncomfortable and stressful situation. She's incredibly intelligent and professional yet personable with perfect balance. It was often easy to forget she was my doctor because it sometimes felt like she was sitting on my side of the table as a friend. I will miss Dr. Leonard and her staff.

Trust her - it's on her mind just as much as it is on yours.

FIRST: Antagonist Protocol- total dose of FSH of 6+0 for 14 days, preceded by pre-treatment with BC pills and high dose GnRH agonist. 4 retrieved, 4 mature, 1 fertilized & transferred (negative) SECOND: Birth control and Co-Flare Cycle - 8400 IU of FSH, trigger 10K HCG on day 14 2 retrieved, 2 mature, 1 fertilized & transferred - Negative THIRD: No birth control! 7425 IU of FSH, trigger was 10K HCG on day 12. E2 day of trigger was 2368 10 retrieved, 8 mature, 6 fertilized – 2 transferred day 5 (one blastocyst and one morula) Remaining embryos did not develop past morula stage Negative

We did a warranty program for $28K that refunded 80% after three failed cycles. Each cycle was about $10K extra in medication so that was an additional $30K.

She was very objective and all decisions were mutual.

Everything with this clinic went very smoothly all the way up through our transfer. Scheduling was easy and they often were able to get me in for ultrasounds when we showed up early for our appts. I do wish we had more updates on our embryos as they were growing.

During the first appointment she spent quite a bit of time just getting to know us. She asked about our families, our occupations, and what our hopes were for our family someday. She talked a lot on the phone and in writing with our previous Dr in order to really get to know us and our situation.

Most of the nurses were great! Very friendly and willing to answer any questions we had.

She was so nice and very informative. She made sure my husband understood every step as he doesn’t know much about medical information, which made him feel very comfortable. She even talked about farming with him! She made sure to listen to and answer every question we had. And when things didn’t turn out as planned, she personally called me to talk about our negative results and express her feelings of sadness with us. She seemed just as disappointed as we were. She is very knowledgeable, but does also ask for advice from her colleagues as well so that we can have the best possible outcome.

Don’t be nervous for your first appointment! Your nerves will be put to rest the minute she walks in the room! She is very nice and has a bubbly personality!

I was put on birth control pills until starting the cycle. We did 3 vials of menopur and 275 units of follistim. After our first scan they increased the dosage of follistim to 375 units. There was concern at one point that I had developed a dominant follicle, but they gave me an opportunity to return after the weekend to see how things had progressed. My next scan was great! I cycled for 12 days as I had slow growing follicles. We ended up with 10 eggs and 6 of them were mature. This was the number we were hoping for.

We did a cost warranty program that cost $19,500. It included up to three fresh cycles and unlimited frozen cycles in a year. Medications and ultrasounds were not included in this price.

Dr. Jensen follows the guidelines with embryo transfer. She did offer elective single embryo transfer if we preferred. We went with whatever recommendations she had based on the guidelines.

Coming in, do your research. Make sure they tell you what you want to know. If you did a test you should get the results good or bad. I only got my bad results. They ultimately seem to care and want to be successful but just know, with this or any clinics, no matter the success rate, because you may want to be pregnant and have that bundle of baby more than anything, it's about your body (and hubs) and how it reacts. I didn't always like the business office staff-- I've paid everything but if I was a little late it didn't see a bill it was an issue. Also submitting to insurance, I had to ask itto be done..because I had to pre pay. I do have some...minimal but some coverage and a couple hundred dollars is a big deal to me. I also didn't like that the money was sent to the clinic for my pre paid procedure and then they deducted what they wanted from that.

He took the time to meet with me and tell me not to give up hope.

I had a primary nurse for 3 cycles but for the second one I have no clue who that was. I saw different staff pretty much everytime I was there for all cycles. Some were nice, some were more distant. To be clear I'm not a super open person so this is on me as well. The staff does this everyday and I feel like thought I should just know things which I didn't and sometimes didn't know enough to ask. Eg. needed a different bc for frozen vs fresh. Or not talking me about how to use new drugs-- I'm not a nurse, mixing meds and giving shots is not a normal thing for me. Also getting my medication ordered was always a struggle, it takes awhile to get the med. getting that done so I didn't have to stress was important to me but I was usually stressed trying to get things last minute. The answer was there's always the 1 pharmacy in downtown that you can go to... Yes but I have ZERO coverage if it's not through the specialty mail order And that pharmacy doesn't carry everything. Also I felt like they would tell me the minimal amount possible despite asking questions there was no elaborations or reassurances or warnings... It was often very 'flat'

Jacques wants his patients to get pregnant but he doesn't make choices for you. He will inform and answer questions but not make your decisions. He will take the time to explain and answer questions but what is lacking, on occasion, is giving a full picture of everything going on, meaning if I'm not informed enough to ask I might not know something I probably should in terms of treatments, risks, or expectations. I don't have a lot of money and he was also good about telling me what tests he'd recommend vs is probably 'extra' and based on my beliefs probably wouldn't change what I do or could cause me to do the wrong thing...eg testing embryos could result in terminating a healthy embryo.

Be informed and all questions. Do research, read blogs, and ask about it all.

Doses of Folistim were very heavy--doses increased because of my reaction to it. I can't remember the protocol used but I believe it was his own. First cycle 3 eggs result 3 3 day embryos that looked high quality. No pregnancy. Sending cycle 6 eggs, 5 embryos. 2 transferred, miscarriage around 9/10 weeks. Frozen transfer, first attempt cancelled, uterus wasn't thickening, medication used this cycle. 2 attempt natural, transferred remaining 3. Miscarriage at a few weeks.

$9000 for fresh but then add all the monitoring on to of that.

It was my choice. My situation it makes sense for multiple.

Great clinic. Like that it’s not huge and you don’t just feel like a number. Like that they offer early morning appointments for lab and ultrasound and that you actually are able to schedule a time! Very easy to call and get questions answered with nursing!

Our experience with RMIA and Dr. Leonard was wonderful. They always greet you and they take chances on their patients. We didn’t qualify for the warranty program anywhere else, but under the approval of Dr. Stassart they made an exception for us. They were confident they had what it took to make us be successful, yet were willing to take most of the financial risk so that we had a chance at having a baby.

Nursing staff was great. They are all wonderful. You aren’t assigned a single nurse at this clinic. However, it’s small enough that you get to know them all very well so it’s not a big deal.

Dr. Leonard is extremely compassionate about what she does and it shows. She takes the time to explain everything in detail. She is very honest, and communicates sometimes difficult information in a very compassionate manner.

She has great bedside manner!

We were extremely fortunate that Dr. Stassart allowed us into the warranty program. We paid $23,000 plus meds for program. Had we not been successful, we would have been refunded $18,000. Can’t put a pricetag on a baby, but we were so grateful that they gave us a chance to be part of the warranty program after other clinics had denied us. Thank you so much RMIA! Had you not allowed us to enter the warranty program, we would have had to stop our fertility journey and wouldn’t have had our precious babies!

We REALLY appreciated the free IVF seminar that we attended. This definitely helped us realize we are not alone in this process. We were amazed at how many people were at the seminar. Attending this really helped us solidify our decision. They really find a plan that works for each couple/person and what their individual situation is. The atmosphere is comfortable and the staff is always very friendly.

I felt like she took the time to sit with us an we never felt rushed, we felt like we were the only ones at that moment - not that she had to rush off. She was very honest about what to expect.

They were all very helpful and always quick to get back to me. I really appreciated the quick email replies. I work at a job where taking/making calls can't always be confidential and so the emails were great!

I felt very comfortable with her at every visit, we could laugh and joke and felt like an individual not just the next person coming through. She was very relaxed and seemed very positive about our situation.

All personalities are different, everyone just has to find the right DR for them and Dr Leonard was the right one for us - it was a great fit!!!!

I did injections for egg retrieval with blood work and ultrasounds. They were very helpful in allowing me to do satellite care closer to where I live/work so it was very convenient for my schedule and job. They adjusted things as necessary and had us come back at one point to do an extra ultrasound when things weren't matching up to what they had expected. Any time I had a question they would be happy to explain/answer.

We did a warranty plan - so there was a base price but we had to follow certain protocol and agree to certain terms of our care. We were very pleased with all of this and the warranty program is partially why we chose the clinic.

The Woodbury clinic is updated, clean, comfortable, great location. The recovery room is a bit tight and didn't care to be separated from other patients by I curtain but we weren't there too long. Again, we did our monitoring at home so we weren't at the clinic but a few times. They have an ultrasound machine that shows everything on a big screen so you can see your baby instead of a tiny blob on a 6x6 screen.

We did out monitoring close to home so I only saw Dr. Leonard 3-4 times. I don't expect her to remember me when I am not physically there.

We had one very poor experience with an oncall nurse. I was told to "figure it out". Other than that the nurses we very helpful and detailed. The process can be very confusing and with the cost of it and your emotions on overload its very stressful. The team is great about giving you clear instructions verbally and written.

She took the time to talk with us and answer questions. She did not speak over our heads. While going through the process I was disappointing that I didn't see her more but looking back at, off hormones, it I am ok with it. She wasn't always prompt for her appointments. I would/will go back to her again.

Go into meetings prepared with questions and take notes. It's a lot to take in no matter what doctor you are seeing. Give yourself time.

I started on birth control to regulate cycle. Was then put on menopur for 10 days. They were hoping to reduce my dosage of menopur after 3 days but ended up having to use 6 vials each day. I had ultrasounds every other day and blood work each day. I administered one shot of lupron and the HCG on day ten. 12 follicles retrieved, 7 embryos created, transferred 1 on day 5 led to no pregnancy, one embryo was frozen and transferred 2 months later for a birth of a healthy baby boy. Was also on baby asprin, vitatmins, and antibiotics.

$19,500 100% refund if didn't work after 3 cycles. Monitoring and medications were extra.

I wanted to transfer two however she mentioned with twins in our families she was nervous about 3 babies. We opted to transfer one after that discussion.

The clinic is beautiful and my husband loved the chocolates! The conference room we met in to go over everything was comfortable. Each room we got placed in was clean and nicely decorated. The nurses was always making sure to get anything we needed. We were well taken care of.

Dr. really looked into my lab results along with ultrasounds to make a sound decision on what I personally needed to have a successful IVF treatment. That's how I feel I was truly treated like a human! And it all worked beautifully. I have a wonderful baby girl!

Everyone for the most part was very sweet and friendly. Most everyone was great to work with. Beth seemed a little rough around the edges. I'm sure she meant well. Just wasn't as nice as the others.

Dr. Stassart was very thorough in everything he did. He made us feel confident he knew what he was doing and that IVF would work for us! We would absolutely recommend him to anyone with infertility. He's personal able, kind and wonderful at what he does. We had infertility clinics there were closer to us be we chose he based on personality and success rate!

Put your faith in him because he can make miracles happen!

I took 4 vials of Menopur per shot for the first 4 days and then 3 vials per day thereafter. I took 1/2 tablet dexamethasone at bedtime. I took Flagyl and doxycycline as well. I was prescribed Leuprolide acetate generic to Lupron. Ganirelix Acetate x3. Novarel was my HCG shot. I started Endometrin the day after my embryo transfer. I did that 3 times a day. (54 tablets in total I took). Instead of the "shot in the butt".

I was so nice that I was able to go to a clinic closer to home for monitoring. Woodbury is 3 hours from home and the clinic I was able to get monitored at was only an hour away. It just made the whole process a bit easier.

The procedures, lab test, everything done at RMIA not including any medication was $21,945. This is something our insurance didn't cover.

My Dr. really only wanted to do a single embryo transfer. But I pushed for 2. I really wanted to increase my chances. And I am so glad I did. They put 2 in and only one worked. Which one... who knows. But it worked!!!

Clean clinic facilities in a convenient location. The billing department charges your card on file for meds before you even pick them up, so be sure you have the right card on file. They will not back out the charges and re-do it.

I Did not see the doctor often, but when I did he gave me adequate attention and was very warm.

They were nice and efficient. It sometimes felt like a factory, but they deal with a lot of patients.

He seemed very experienced and gave me a lot of information about my treatment including studies to read on my own. He was warm and encouraging but very professional. He met with me twice to discuss my treatment plan and performed the embryo transfers. Another doctor performed the egg retrievals.

Have a list of all your questions ready at your first visit. You likely will not see him again until embryo transfer.

The first treatment I did resulted in only a few poor quality eggs. Dr. Stassart then changed my treatment plan drastically for the next round and the result was 8 high quality eggs followed by 5 high quality embryos. We used 1 and froze the other 4. The treatment that worked was longer and involved a lot more shots than the first round. Dr. Stassart explained that he usually did not start with this protocol because it was so complicated, but that it was very effective.

The warranty program was approximately $24,500 not including medications or PGS. Medications were an additional $3500 per cycle. Warranty included 3 cycles and retrievals but we only needed 2.

I thought that the clinic itself was fine - no complaints, really. It had a welcoming lobby with friendly receptionists. Also, there were snacks, coffee and water that you could enjoy while waiting. All of our appointments were on time and went as scheduled. The exam/procedure rooms were clean and comfortable and didn't have that "hospital/sterile feel".

In our initial phone consult, she stated that she does what she does because she wants to help couples who deserve to be parents become parents.

We did not work a primary nurse - which would have been extremely beneficial in our situation (as we live 4 hours away from the clinic - so we did A LOT of phone communication). If I did have an issue or a question, I felt like I always had to re-explain my situation to every new person I spoke with. On our day of transfer, there was one nurse specifically - Stacey who was WONDERFUL. So calm, accommodating and sweet. Exactly what you need when you're undergoing fertility treatment. Also, the front desk staff were great.

Strengths: intelligent, good reputation, she came highly recommended, sweet, good sense of humor, able to explain things in lay terms. Weaknesses: we had to undergo our treatments from a location 4 hours away from our home - so we only saw our doctor 3 times. Every other communication or order was given to us in a phone call from the nurses - the problem with that is things throughout the process weren’t always explained to what we were expecting. (ie: why did you change my med dose? What does it mean that my estrogen level is what it is? Etc) As a nurse myself....I always wanted to know what and why. She did explain all of these things to us thoroughly after our completed (failed) IVF round, which was appreciated, but I didn’t like feeling like I was just going through the motions throughout the treatment not quite understanding numbers and changes made. It was very hard undergoing tm from far away. I do not recommend.

Do your research before you start. Don’t rush into it. Explain to your Doctor how you prefer to be informed. Ask all the questions.

Dr. Leonard had me stimulate with Follistim. She carefully monitored my labs to make sure my body was responding correctly. She did have to increase my dosage to get my Estrogen levels to respond as she was anticipating. Then, due to that increase, my Estrogen levels did peak very high - I had to supplement with Carbergoline for 2 weeks to prevent OHSS. My stimulation resulted in 23 mature follicles (by ultrasound). Dr. Leonard was able to retrieve 13 mature and size-specific follicles. We then waited for a phone call to tell us if we had to return at 3 or 5 days after fertilization for a fresh transfer.

The baseline cost for IVF with ICSI was $8,800 and we had to pay for that up front. That did not include the monitoring, medications or lab fees.

She explained that the risks for producing multiples are higher with IVF even with a single embryo transfer and there aren't exact reasonings for why. She encouraged us to only transfer one embryo, because I was under 35 and "healthy"

The lobby was very peaceful, nice design and artwork, music, coffee and Dove chocolate! The procedure rooms were also nicely laid out, I felt like the flow was very efficient for both the retrieval and transfer procedures.

Dr. Stassart was so very thorough, but always explained things in an easy to understand manner, made sure we understood the process at every step, and took the time to answer all of our questions. His compassion through the whole process was incredible. We experienced two miscarriages with our first two rounds of IVF due to common genetic abnormalities. He called each time to express his condolences, and kept a positive attitude for future success. It helped us stay positive through the whole process.

We had the most incredible nursing staff. The compassion and empathy expressed by all of them was second to none. They get to share in some of the happiest days of people's lives and some of the saddest, and I could tell that they just genuinely shared our sadness and our happiness! They were also instrumental in keeping us uplifted and focusing on the positive in each situation.

I was incredibly impressed with Dr. Stassart. He had us talk to a genetic counselor to help us understand the miscarriages we experienced with our first two rounds of IVF, and that these genetic abnormalities can occur with IVF, just as they do with regular pregnancies. For our third round, he did talk to us about trying a slightly different protocol to possibly help decrease the risk of a maternal trisomy, and we decided to try that protocol, which ended up leading to our successful pregnancy and birth of our son. We recently attended a reunion that RMIA puts on for their patients and we got to see Dr. Stassart again and introduce him to our son. He said that after our success with the protocol, he has used it with other patients in similar situations. It was great to see all of the little miracles getting to meet the doctor that made it all possible. We felt like we knew the plan all along the way, when we would expect to meet with Dr. Stassart and when we would be treated by his colleagues. I honestly can't think of one time where I felt I wasn't getting the best treatment and the best, most considerate care.

Dr. Stassart does have an accent, but he speaks slowly and will reiterate any points by writing things down and drawing diagrams/pictures. Do not hesitate to ask him to repeat himself as needed, he is more than happy to!

It is hard to remember all the exact details, but we did use Menopur and Ganirelix (sp?) with each cycle, along with a variety of other oral meds to take at certain times before and after the retrieval and transfer. Menopur was used to stimulate the follicles with the hope of getting as many mature follicles at retrieval. However, that counteracts the natural development of the uterus lining which is needed to support the embryo after transfer, so many of the other medications given were to help the uterine lining develop and just have the most ideal conditions for the embryo to attach and develop. They kept a close eye on everything and tweaked things as needed. For example, with my third round, my follicles were developing as well, so we did a couple extra days of menopur in hopes of not having to cancel the cycle. We were so happy that those couple extra days worked and led to a successful pregnancy and birth.

We did the warranty program, $24,500 for three rounds of IVF. It is a gamble, if the first round is successful, you pay more than you would for just one round. But if the first round isn't successful, it is definitely worth it. The medication costs were all separate, but they did have a program for purchasing Menopur that was very helpful during my third round.

Dr. Stassart showed us their recommended transfer, based on age, egg quality, etc., and discussed the science behind the recommendations. At my age, the recommendation was to transfer 2, with the hope of a singleton. First round, transferred two, one took, but we had a miscarriage due to genetic abnormality. Second round, transferred two, both took, but we had a miscarriage due to genetic abnormalities (different from each other and different from the first). Third round, transferred two and one took and resulted in a healthy baby. I completely trusted Dr. Stassart's recommendations with each round, and I felt like he took into account all of the data available from the previous rounds in making his recommendations.

RMIA was, hands down, the best clinic for us. All of the nurses and doctors made us feel as if they were on our "journey" along with us! They cried with us when we had disappointing cycles, and cheered from the mountaintops when we finally became pregnant!

Dr. Stassart gave my husband and me HOPE when a doctor at another clinic had flatly given up on us. Dr. Stassart explained *all* of our options in a truly kind and dignified manner, instead of cherry-picking regimens as the other doctor had done. Dr. Stassart did not sugarcoat things--we were fully informed of the odds regarding our outcome--and yet he did so in a gentle, human way that gave us HOPE for our future as parents.

I cried with the nurses caring for me...they truly, sincerely cared for both my husband and myself, and wanted us to get pregnant just as much (if not more!) than we did!

We simply cannot adequately explain how thankful we are that we found Dr. Stassart. He is warm, kind, and gentle...I only wish all doctors had his bedside manner! In the emotional whirlwind that comes with the infertility journey, it's reassuring to have a calm, knowledgeable, KIND doctor on your side that's looking out for your best interests.

Bring a pen and paper to your first meeting...Dr. Stassart knows his stuff and you'll want to glean every tidbit of information you can from him!

I can't recall off-hand, but I feel like IVF rounds with our own eggs was about $15K. I "think" the last round, with donor eggs, was something like $28K.

The clinic seems to be well organized and supportive of current patients. My only negative rating refers to the time before we started the treatment when we were looking for a diagnosis and potential answers. We got this attitude from the scheduling and business reps, as well as from the NP who initially saw us. We had requested an initial appointment with Dr. Stassart who had been highly recommend to us, but we felt prevented from accessing him by the scheduling staff who assigned us to the NP in spite of repeated requests.

Dr. Stassart and the nurses we saw while in treatment were very warm, kind and personable. However, before we got to the treatment stage, we had had a very difficult time getting an initial appointment with Dr. Stassart to discuss a potential infertility diagnosis that we were initially unsure about. We could not get through to Dr. Stassart, the clinic scheduling reps kept telling us we needed to schedule treatment appointments when we were at first just looking for answers about what, if any infertility issues existed. We felt pressured to decide starting treatment before we were sure that this was the way to go. We could only get an appointment with a NP who coldly and bluntly confirmed an infertility diagnosis that we would have wanted to hear from a doctor. From that perspective, we felt like numbers and that this was mainly a business transaction. After we started the treatment, we felt more warmth and compassion from the staff.

Once we started the treatment, everyone was wonderful to us, from front desk people, to business reps, to nurses. Before we started the treatment, we felt treated coldly by the scheduling and business reps, and by a the NP who diagnosed the male infertility issue.

Dr. Stassart had a very warm approach. He explained the procedures clearly and compassionately. We were impressed with how personable and modest he was. He was correct in his methods, and we were successful on our first try. We are very grateful to Dr. Stassart for our miracle baby!

Getting started with appointments may be difficult, but once you’re in the door, you can expect a high quality service from Dr. Stassart and his team.

We saw Dr. Stassart due to male infertility issues. He explained the Icsi procedure and estimated that based on my medical history and age, the process should be successful with one embryo transfer. He was correct. We achieved pregnancy from yhour first try, and had a healthy baby.

Costs were higher than expected.

Based on my good medical record and relatively young age, Dr. Stassart estimated we would only need one embryo to be successful, and he was correct. We full trusted him and went with his recommendation.