RMA of New Jersey

RMA is the best in NJ. They have the best birth rates and I know three people who have beautiful babies because of their care. RMA can feel like a cattle call. I do not find monitoring hours to be convenient since I still must travel a ways regardless of location. The AM time frames are exhaustingly early and strict. There is no wiggle room in their schedule because they see so many patients in a day. Just know you’ll be there 3+ times a week before dawn, and there will still be a line. I’m getting used to it though.

RMA can be very clinical - you do feel like a number there. Dr. Chu and the rest of the team at Englewood do their best to treat you like a “human”. Honestly, it depends on my mood. Many times I’m frustrated that I am there, dealing with this situation and there really is no amount of personable care that would make it feel less sterile. It’s the situation in itself that makes the process feel like this. I don’t believe Dr. Chu is responsible for my feelings though.

There were times I was frustrated by the nursing situation. Many times RMA runs like a well oiled Machine And you are expected to just trust your team. That is not my personality, and I like knowing the details and reasoning for each procedure/medicine adjustment. After explaining this and requesting my documented paperwork - I received more explicit detailed messages and feel happier about the situation. I also recently received a new nurse assignment and appreciate her style much more than my original assigned nurse.

Dr Chu, so far, has been great. I appreciate her candor. Although, I wish I could get ahold of her directly verses having to call my nurse, wait for a response then speak through the nurse. But, that’s RMA’s policy not the doctor’s.

If you don’t mind straight forward advice and no fluff - yes. She’s smart and to the point. You need to understand what type of doctor you need prior to joining RMA. If you need more emotional support Dr. Cosantini may be a better fit, and she’s in the same location.

I’ve done only medicated IUIs all according to our plan - but extended quantity wise due to Insurance requiring a “lesser vs. more” clause.

Insurance covered some, but I did hit my deductibles. I also suspect I will hit my next year deductible as well.

No experience here

In terms of strengths, all of the doctors who take part in monitoring are capable and communicative and seem familiar with our case. They are efficient I handling the number of cases that come in during morning hours. Also, they advertise top of the industry results in terms of success of live birth rates.

Dr. Molinaro’s bedside manner is better than any doctor I have ever seen. He is sensitive to the difficulties of treating infertility, while at the same time honest and open about treatment and expectations. He has personally called on a number of occasions to deliver results and has made himself available to meet whenever we request a meeting.

Sue has been wonderful throughout this process. She is always timely in her communications, thorough in her instructions, and sensitive to the process. I have not experienced any negatives under her care.

As mentioned previously, his bedside manner and approachability are two of Dr. Molinaro’s strengths. He is easily accessible for questions by phone, via email, and to meet when necessary. Furthermore, he takes ownership over his prescribed treatment and is willing to make adjustments when things don’t work as expected. The only setback is that we have not been pregnant just yet. He remains positive that we will be successful, so I’m optimistic to continue treatment and look forward to giving it another shot with my next transfer.

Request that he be the doctor doing the embryo transfer if you get to that point.

Dr. Molinar’s overall strategy was probably different than most others experience given I am going through CO-IVF and acting as the gestational carrier for my wife’s eggs. First we had to go through six rounds of IUI to prove infertility. The first three we did without medications and the second three with injections. After six failed IUI attempts with no positive results, my wife was diagnosed infertile which allowed us to advance to IVF. Because her health (back issues) deteriorated over the course of treatment, we decided to make me the carrier. We were able to retrieve 14 eggs from her first retrieval, of which 11 were mature, 9 fertilized, and 3 made it to day 5 blastocyst stage. We tested those three and ended up with 2 grade A embryos. My first transfer did not result in a pregnancy. I was taking 1 ml of progesterone shots nightly leading up to and after the transfer and estrace pills 2 times daily before and after the transfer. My second attempt following the same protocol with the exception of estrace 3 times daily after the transfer resulted in a low beta result which climbed for a few days only to fall about a week later. At first we thought that I was having an ectopic pregnancy, but it was later thought that it had either been an early miscarriage or a chemical pregnancy. We are about to do another retrieval round with my wife as we are out of embryos.

A line frequently develops at the very opening of monitoring hours, but RMA is efficient at getting through this slight back up. If you show up even 20 min shred after hours begin, there may be 1-3 people ahead of you. I have never waited longer than 20 minutes to be seen though even at the busiest hours.

We had to pay for each vial of sperm though that is not associated with the clinic at all. To date we have spent nearly $10,000 to that end. Because my wife and I have good insurance, RMA collected copays from us until our deductible was reached and then they collected nothing from us when monitoring. Because we ran out of money for fertility treatments under my wife’s insurance we were responsible for paying approximately $9000 for the remaining cost of our first retrieval which included ICSI and the testing of embryos. We decided to pay the cash rate for meds so to not take even more money out of that bucket; this cost us approximately $3500. We are still waiting to see how much my transfers will cost us as it’s possible her insurance will cover some of those expenses. If not each transfer will cost us about $4500.

We inquired about transferring multiple embryos and he was not in favor. He informed us of the increased chance of the eggs splitting in such a scenario.

This clinic's strengths include: excellent staff (from the receptionist, lab techs, nurses, doctors and administrative staff). The monitoring hours are excellent because it allows us to go in for monitoring before work so that we don't have to request time off. The team at RMANJ take pride in their work and it shows.

Dr. Rybak always made it a point to make sure I was comfortable. Even during morning monitoring he never rushed me and was empathetic to the circumstances and answered all questions. He has even called me in between treatments (even on the weekend) to make sure that I was "OK" and that we were progressing as expected.

Lisa knew that fully understanding results and treatments were important to me. She always returned my calls same day and addressed all questions and concerns before 5 PM every time I called. If she was not going to be in the office during when I would normally get results or updates from her, she would email or call to let me know and who would be covering for her. I never felt like a bother to Lisa and she was always extremely patient with me!

Dr. Rybak is compassionate, caring, loving and much more than just a doctor. He genuinely cares about me as a patient. He is always honest and never provides false hope or expectations. He cares about how I am doing along in the process and wants to ensure that his treatment plans are not just what he proposes but that we are in agreement.

If you want a knowledgeable, caring, and someone with an amazing bedside manner than Dr. Rybak is the best choice for you!

I started with Dr. Rybak back in 2013. Treatments varied from then to now as then we did co-ivf. I was on Lupron 2 week kit, Estrace 2 mg, Medrol, Antibiotic, and progesterone in oil for transfer. My wife was on other medications for retrieval. At the end of 2017 to the beginning of this year, we did 3 IUI cycles. I was on Gonal-F (dosage ranged from 75-100 units). Recently, for retrieval I was on Gonal-F (375-450 units), Ganirelix (250 mcg), low dose HCG (50 units), and Lupron for trigger. I had always responded well to treatments so the protocol was the same for all IUIs and for retrieval I responded well too.

Monitoring was super convenient! Super organized and for the most part you were seen fairly quickly.

Medications were almost fully covered for all cycles during co-IVF, IUIs, retrieval and upcoming transfer. I paid my copays for medications with the exception of Low dose HCG that was not covered and Endometrium. In total, I have paid around $1000.00 in copays. For our first retrieval and first two FET, we paid out of pocket as we were not covered under the NJ state mandate. We paid approximately $22,000. This year, the IUIs were covered under my insurance and we were only responsible for copays and coinsurance. Since we have now reached our lifetime fertility max, we paid $4.475 for the upcoming transfer cycle and about $3,800 for the retrieval. We are waiting for the claims to be processed by the insurance company to determine if we are still responsible for more. In addition to the costs of treatment, we have paid storage fees as well as donor sperm (totaling over $6,000).

RMA makes you feel like a human, not a number. They have always been extremely responsive. I do know they are a bit on the pricey side, but their success rates I suppose make up for it. IF you are unhappy with anything during your experience, speak up. This is your journey and if you are paying OOP for it, it's up to you to speak up. Do your research. Don't just go with the flow. Make sure you understand the protocols.

Dr. Shefali is the most caring, compassionate doctor I've ever had. I don't think I could've gone through these last two years with a different doctor.

I've had several nurses throughout my journey. My first, Kathy Giordano, was amazing. I still keep in contact with her. I had another one transfer and then I asked to have a new nurse after she gave me incorrect details. My current nurse is also fabulous. She answers quickly and is always on top of things.

Dr. Shastri (Mavani) has been my RE for the last two years. I've gone through three failed transfers after two hysteroscopies to get a fibroid and one laparascopy to remove my non functional tube. After going through all of the physical issues, we thought we were in the clear. Unfortunately, I had my third failed transfer at the end of June to no avail. The day of the beta, she left me a voicemail almost in tears and then the following Monday, sat with me for an hour and a half to discuss next steps. She hasnt been successful getting me pregnant just yet, but I have the absolute faith that it is coming.

She is a very fast talker, so if you dont understand something, speak up!

For the first three transfers, I was on estrogen twice a day and then PIO injections until the transfer. After the fails, we went a different route for a mock transfer and used Follistim to try to get my lining thicker and then triggered with Ovidrel and then PIO shots. The mock was to test my lining with an ERA test to see if the transfers were on the correct day.

Having a location near me definitely helped. Occasionally it was super swamped but for the most part I was in and out pretty quickly.

I was covered by my insurance for my first 3 transfers. I will be doing another one soon and I was informed the cost would be $6k.

RMA will only do 1 embryo transfer I believe (with the exception of rare cases) on the first transfer. My lining wasnt thick enough to transfer two. I am hoping the next one the lining will get thicker and we can transfer two. Dr. Shastri is okay with this.

Great hours, accommodating, great doctors and nurse staff, awesome people to draw blood. Friendly and considerate tot he emotional toll of this process. Helpful at answers my questions and making me feel Comfortable

Dr. Hock is wonderful. She is so kind, intelligent and truly treats me with such care. She knows how to communicate what is going on in a way that is understandable and clear. She has gone above and beyond for us. All the doctors we have experienced at RMA are that way. I cannot say enough good things about my experience with RMA and specifically Dr. Hock.

Amazing. On top of my care, kind, courteous, attentive, answers all my questions, works through every detail. We had a special case with our timing and they were always sensitive to that. Just awesome.

She’s is a great communicator, kind, compassionate, intelligent and very thorough. She always insisted that we give her a call whenever we had any questions. She didn’t take any risks and always made sure I was doing what was best for our chances and for me as an individual women going through this process.

Never hesitate to ask her questions or reach out, she really wants to help you.

IUI protocol - stims were Gonal - F, and ovidrel trigger Egg retrieval was stims - Gonal- F, certitude, ovidrel trigger. Did need to do Birth Control to delay period for IVF CYCLE

Streamline and always quick. They really have it figured out.

My insurance covers most everything. Have a small copay for some meds. A couple compounded meds I had to pay out of pocket for but could get reimbursement. When I had IUIs only my ultrasound days required a co pay, in IVF cycle I only paid a co pay one time. Nurses do complementary education for PIO shots the first time. CCS testing was out of pocket and included 10 Embryos. More than ten was $125 each to test and then none of the cryo was covered. $1000 to freeze embryos, $300 every time a sprem sample was frozen.

They always recommend single embryo transfer unless the women is older. They always stress the how high risk multiple pregnancies can be and try to avoid that.

RMA is a huge practice (and let's be honest, it's a big business, too) - you'll definitely sit in waiting rooms with dozens of other couples and realize you're one of a few thousand patients they see every year. That said, the size of the practice gave me lots of confidence that each procedure I underwent would follow best practices. I also felt confident that even if my primary doctor did not perform every procedure, I was in the hands of another highly qualified doctor. I was consistently impressed by the quality of care of nursing, reception, counseling, and financial support staff across multiple offices. And last but certainly not least, I'm impressed by everything I've learned about the quality of RMA's lab and the research that comes out of the practice. I felt like everything about my care was state-of-the-art, best-in-class, and holistic. Even though it's a large practice, I think they go through a lot of effort to consider the patient experience, though I think there are small things they could improve in this regard - like providing more info on your full care team (either on the website or as a packet of info when you first start care), streamlining the educational resources they provide, and/or creating a phone system that's a bit easier to navigate.

While I only had a few appointments in which I formally sat down to speak with Dr. Jurema, it was always clear he had carefully reviewed my files and was familiar with the details of my diagnosis and care. Through calls and appointments, he made time to answer any questions I had. Throughout multiple procedures he was always optimistic, yet realistic - giving me as clear a picture as possible of what I could expect without trying to oversell anything. I also appreciated Dr. Jurema's approach to monitoring visits - entering the room slowly (vs. barging in), taking the time to ask how I was feeling, etc.

Lynette was always on top of things - sending me detailed descriptions of care plans and medication plans and responding to my questions quickly and thoroughly. Overall I've found her to be extremely considerate, caring, and professional. The only downsides of the nursing care at RMA are 1) Lynette was my third nurse in about a 6 month time period, which made my experience feel a bit disjointed; 2) I'm not sure if this is more about RMA or individual nurses, but I don't think there's much of an effort to figure out patient's preferred communication styles, e.g. email, phone, time of day, etc. I found I was always missing phone messages and had to follow up via email and some of that could have been resolved if the info was emailed to me from the start or calls weren't always placed during my morning commute :)

Dr. Jurema is friendly and compassionate. During monitoring meetings he always started by asking how I was feeling, which I appreciated. He's very straightforward - I found his descriptions of what we could expect from various procedures to be detailed and realistic, while also optimistic. It never seemed like he was trying to push me toward a particular procedure. I very much felt like I played a role in my care and was able to get all my questions answered.

Let him know what questions and concerns you have. He is always happy to respond and provide more info.

We started with two IUI cycles, mostly because that was all my insurance would cover at the time. With a diagnosis of diminished ovarian reserve (my AMH level was 0.82), we thought it was worth trying, but we knew the odds of success were low. Both times I was prescribed 75mL of Gonal F per day. The first time I continued the Gonal F shots for 7 days; the second time for 8 days before taking a 750 mcg/0.5mL syringe of Ovidrel as my trigger shot. I was also taking 600mg per day of CoQ10 (a supplement) during both cycles. Dr. Jurema was willing to try another IUI cycle, but my insurance had changed to provide some coverage for IVF, so we decided to move on. During my egg retrieval cycle I took Alyacen birth control pills for 8 days leading up to the cycle, then I took 300 units of Follistim and 75 unit vials of Menopur for 10 days along with 250 mcg/0.5mL syringes of Ganirelix for the last 6 days. I used two Lupron trigger shots at the end. My egg retrieval took place 2 days later resulting in 22 eggs of which 18 were mature. From there we were able to get 12 embryos, which were fertilized via ICSI, and 8 made it on to Day 5 blastocysts. We froze and genetically tested all 8 of those embyros and found 5 were normal, 1 was abnormal, and 1 was unclear. During my whole retrieval cycle I had about 8 monitoring visits. I'm currently in the middle of my transfer cycle and haven't started medications yet, but we plan to transfer 1 of the normal embryos.

I mostly did my monitoring at the Springfield office of RMA. I found the team there to be incredibly efficient. There were one or two instances in which things seemed to be running behind, but for the most part I was in and out with blood work and ultrasound within 15-20 minutes. The team was always kind and professional. The hours were early enough that I could get in and still make my regular commute to work. Occasionally I had to go to the Basking Ridge office during holidays or on weekends and it was often a different story. My monitoring appointments there sometimes took 1-1.5 hours, but I appreciated that I had a weekend option that wasn't much farther than my regular office, and that the monitoring hours were longer at that office.

Initially my insurance fully covered IUI but not IVF, so for my two IUI cycles I paid about $650 for initial diagnostic blood work, an HSG, and co-pays for two visits and medications. All my monitoring visits and the IUI procedure itself were fully covered. For my IVF cycle I had a $10,000 lifetime maximum. Total costs from RMA for the cycle were: $7,977 for the egg retrieval procedure; $1,963 for ICSI; $700 for anesthesia; $1,000 for embryo freezing for up to one year; $1,700 for embryo biopsy; $2,500 for genetic testing; and $4,475 for the embryo transfer. So I paid about $10,315 out of pocket for those expenses. I also paid about $5,500 out of pocket for medications for both the egg retrieval and transfer cycles. And I paid about $400 in co-pays for monitoring visits during both cycles.

My doctor suggested single embryo transfer, and from what I had read I strongly agreed with this approach. We weighed the risks of multiple pregnancies with the costs of performing procedures (ICSI, embryo freezing, genetic testing) that would help us ensure our single embryo was genetically normal. Ultimately we decided the costs were worth the benefits of an increased likelihood of a normal embryo and healthy pregnancy.

I like the location because it is only about 15 minutes from home and work which to me is a positive thing especially when my husband had to take in a semen sample. The appointments seem to run right on time. I don't remember ever spending more than 10 minutes waiting in the waiting room. They also have a place on site that can draw blood or test semen right away. Another strength is that they have a nutritionist onsite several times a week too.

Dr Yih was very straight forward. She did explain things to us and did take the time we needed and were not rushed out of the office. However, there were some very critical things that were over looked by her at the time of our first meeting which ultimately impacted our journey financially.

My nurse did answer some questions if I called the clinic and she would call me back with the answer usually within a day. She would also email me if needed. She was nice but I still feel that we were not taken seriously because of our ages. when I would contact the clinic about having specific forms filled out I felt like I got the run around and one time we missed getting the forms to the Baby Quest grant people in time because of a miscommunication with either the nursing staff or the doctor

Dr Yih was very nice and knowledgeable. she always was forthcoming with information and answered our questions. She was usually easy to get a hold of if needed but sometimes I felt like she thought we were a lost cause and not given the same attention as younger patients. Time is not on our side and she pretty much told us that too. I am a very optimistic person and always kept telling myself that this is possible even though times she acted like we were out of our league.

Always stay optimistic even if she says there is little hope. Where this is life there is always hope. Ask a lot of questions and don't stop until you get the complete answer to your question even if it is not the answer you want to hear.

Dr Yih only did 2 chlomid cycles with us because my insurance would not pay for the ivf at the time. I did a few FSH blood test to see if I still had viable eggs. although my numbers were going up they were still in the range of having viable eggs even though I was 45 years old. I feel she should have tried to take some eggs to freeze and or test to see if they were of a good quality. now that I am 50 I know that my eggs are not a quality that I could use them for my own ivf. Neither of the rounds of chlomid were positive. I was glad to try them because it gave me hope that it definitely could happen for us because if you don't try you have 0 chance of getting pregnant.

my insurance at the time only paid for diagnostic tests and not the actual ivf or iui but it did cover the meds like cholmid. although the first initial visit was about $300 that I didn't have the money to pay for and my fiancée had to pay for it until I could reimburse him (we were not married yet) and now that I have a better job with better insurance it covers most of the office visits and meds but because of the age limit on the mandate it will not pay for the IVF.

Dr. Yih did discuss the eSET with us but didn't really comment if it was the best solution or not. I did a lot of research and found that the eSET was actually healthier for the mother not having the stress of carrying multiples and especially because my husband does not want twins.

As a new patient you should know that the doctor and clinical staff are fantastic. * Everyone is very responsive * Scheduling the first appointment if you are new to infertility can be a bit overwhelming as the front desk staff isn't the most compassionate. * The office is always open for morning monitoring even in inclement weather * It's easy to get an appointment

Dr. Franasiak and my nurse explained each step of the process from the first appointment and followed up regularly even between visits to check in and make sure that I was doing ok. Before we were able to start treatment we got pregnant on our own which turned out to be ectopic but my nurse and the doctor connected with me daily to see how I was feeling and as we get ready to move forward with treatment they have been very supportive, direct and detailed

Dayna is thorough and compassionate she has coordinated my care so far and gets back to all of my questions by end of day. When I learned that I would need surgery she was out on vacation and the nurse filling in was great, but what stood out to me is that she even called to check in on me when she returned from her vacation.

Dr. Franasiak has been pleasant, candid and thorough since my first visit. He explained the details of the treatment options, answered all of my questions and even provided guidance and support through the more emotional side of this journey.

Don't hesitate to reach out to him after an appointment if you have additional questions he is great at getting back to patients.

We first saw the doctor last summer and continued to try on our own while getting the work up which took a bit longer than usual due to work conflicts then in January we learned that we were pregnant and came in for a workup because of recurring miscarriages at this time we learned it was ectopic. Dr. Franasiaks initial recommendation was methotrexate with monitoring as it was early in the pregnancy and unfortunately that didn't work and I needed a salpingectomy. The methotrexate will be out of my system by May 1st and we will be moving forward with our first cycle

A huge strength is how organized they are. Everyone has a job to do and they do it flawlessly, following up with everyone to ensure their treatment moves forward as quickly and seamlessly as possible.

Dr. Treiser made me feel like a human, as she was very warm, listened to my concerns and answered all of my questions. She was great and so supportive.

Joyce Maloney is the most AMAZING nurse... I am SO lucky that I was assigned to her caseload. She is the best... so organized, detailed, compassionate and always followed through. She always called me in a timely fashion with my personal results and thorough directions of what to do next. I wish everyone would have the same experience with their nurse.

Dr. Treiser was very warm and compassionate, listened to my concerns and answered all of my questions. She was great and so supportive throughout the whole process. I started out with another doctor (who since retired) and worked with her moving forward. I chose her specifically because she was the one who ended up doing my transfer. I loved her and her personality, and just felt like she would be the right doctor moving forward.

Choose her! She has been doing this for so many years and has great experience!

I don't remember any protocols specifically.

The Somerset office has a smaller waiting room, so sometimes it was standing room only. With that said, they were very good about getting people in and out, so there really wasn't much waiting around. I usually had to be there by 7:30am, which were the monitoring hours. It wasn't a problem for me because it was on my way to work, but that will be challenging next time with a toddler that has to go to daycare (in the opposite direction).

We did owe co-pays during certain visits, but I was very lucky that insurance covered most of our treatment and medicine.

N/A

RMA has some of the best success rates around. This is the most important strength of the clinic. They also work with out of town/state patients such as myself and accommodate my travel schedule. The weakness would be that maybe there should be some kind of thorough orientation at the beginning of our treatment to better understand the process. Also I think there should have been a better understanding to the fact that maybe these treatments might not work in order to have a more realistic expectation.

Dr. Hong took the time to listen to me. She also was very sympathetic.

Both Adrienne and Michelle were responsive within one business day of emails and phone calls. They would seek answers to my questions through the doctor.

Dr. Hong is a very patient and sympathetic doctor. She always took the time to listen and answer my questions and concerns. I feel like I was always being heard and supported by her. When I didn’t get the results I was hoping for, she would aknowledge my struggles.

Make sure you take an escribe role as a patient and do your research. There may be some questions that you need to raise that the doctor may not raise

I started with two retrievals and each on produced few eggs which did

I did my morning monitoring from another clinic since I lived out of state. The few times I did morning monitoring it seemed pretty organized. In the basking ridge location it was fine. From the smaller statelite locations it was very crowded and stressful experience. I really disliked the experience at the smaller offices

35k for retrievals 40k for donor eggs+ transfers

The center is clean, modern and professional looking. Everyone is friendly and personal but also respect your privacy. You must come to the practice financially prepared. Deductibles and out-of-pocket fees (except copays) is collected up front in full before any cycle is started.

My name is always remembered by all involved. I am always greeted warmly and family is asked about. Nurses follow up with me and make sure all is understood.

My nurse and nursing staff are very friendly and understand the feeling involved in the process. They returned my calls quickly and was patient with any and all anxiety phone calls.

Doctor is very friendly, warm and compassionate. Patient in answering all questions. Balances patient needs and wants with what is safe from a medical standpoint. I saw her for my first IVF pregnancy and live birth and chose her in a heartbeat to start next IVF cycke for baby #2.

Stick with it! Don’t give up with negative pregnancy tests or losses. She and the entire practice will be with you to the end.

I started with 1 monitored intercourse cycle, 3 cycles of IUI and then went to IVF with success. Dr. Hock was willing to consider IVF without doing endless cycles of IVF. She recommended implantation of 1 embryo only to reduce the risk with multiples.

There is available monitoring 7 days a week. There is immediate notification to the lab team and ultrasound team when a patient arrives. The waiting room can be busy. A patient is usually sent first for labs and then returns to the waiting room to be called for the Ultrasound (if ordered for that day).

Payment of deductibles or any outstanding balances must be paid in full before a cycle is started. The billing team is willing to work with a patient to create a payment plan but then a cycle cannot be started until it is completed. They are readily available to speak to and check your benefits.

Dr. Hock feels very strongly for eSET to reduce the risk with multiples.

RMA NJ is excellent -very organized and yet still very compassionate. The best mix I have found of these 2 important qualities and I have been a patient at 3 clinics total. I think they are among the best in the world right now. They are evidence-based only , which as an MD myself I appreciate but sometimes when I feel desperate I do wish they did more experimental things a la CCRM.

Dr. Shastri is extremely kind and warm. She hugs me every time she sees me, which some people might not like, but I appreciate it as a single woman going through this process. She has been very sensitive and very available to me.

Josephine is great. Very clear, detailed, and responsive. And I always feel like she is totally familiar with my case and my history, which I appreciate.

I am so glad to have found her. I am really happy with Dr. Shastri's care. She is well-versed in the literature but does not treat me like a number. I was referred to her by one of the docs that had trained her as a fellow - someone that has an excellent reputation and to whom I would go for treatment if my insurance covered it.

ask all of your questions. She talks fast, so be ready to listen carefully and ask for things to be repeated if you need.

I really don't remember other than I did 2 FETs (so far, a third is planned). The first was a medicated protocol which I ovulated through. It ended up being an unsuccessful FET - negative beta with a PGS normal embryo. The second was a natural cycle, which I liked so much better. I wish we had discussed medicated vs. natural upfront because if we had, I would have chosen natural for the first FET. Of course, I'll never know if it would have made a difference. Second FET was a chemical, so at least we got a positive beta! Those were not PGS tested embryos so assume the chemical was due to abnormal embryos given my age of 42 when they were retrieved.

it was usually fine - in and out in an hour or less. much quicker if bloodwork only. phlebotomy is well staffed, efficient and friendly. on weekends you have to travel to the "mother ship" which is kind of a pain but i didn't really mind.

I had insurance coverage so had a $2500 annual out of pocket and then minimal costs. meds were a few hundred $ only for each cycle, also thanks to my insurance coverage.

she did, and I agreed with her.

Strengths: Almost every member of RMA's staff that I have encountered are super friendly and knowledgeable. They are a well-oiled machine and able to get you started on your treatment plan quickly. Weakness: They are a very large practice and you won't always see your primary doctor at every visit. The morning monitoring hours are great and usually move quickly but there were a couple times when I had to wait 20+ minutes for an ultrasound.

Jennifer is caring and very organized. I feel comfortable reaching out to her with any questions that I have and she always returns my calls or emails promptly. After learning about my negative pregnancy test, she called me just to see how I was doing.

Dr. Doherty is one of the best doctors I have ever had. I knew that I had found the right doctor after our initial consultation when he spent close to an hour walking me and my husband through the process of IVF from start to finish and answering all of our questions. Since then I have had several appointments and phone conversations with Dr. Doherty and he always takes the time to answer all of my questions without making me feel rushed. Dealing with an infertility diagnosis can be very stressful and overwhelming but Dr. Doherty made it much easier through his compassion and calming demeanor. It is clear that he cares about all of his patients and genuinely wants to help them succeed. For example, after learning that I had limited insurance coverage, he immediately helped me to get into programs that would cover part of my treatment.

Antagonist protocol with a Lupron trigger as I was at risk for OHSS

~$12,000 (one cycle of IVF with ICSI and one FET)

we travelled far from Brooklyn to RMA because of its lab success rate. Being a carrier for genetic Disease we wanted the best lab. And thank god we have baby and frozen embryos that are fragile x free. RMA was clean, professional. Never a long wait. Accommodating. Easy to deal with payment and bills. Warm staff. Extremely clean and sensitive to our needs

He prayed with us He laughed with us He personally called me after a negative pregnancy test He related to our religious needs He delt with compassion and honesty He was there for us every minute of our long journey And upon discharge he shook my husband hand firmly with a huge smile on his face. We will see you again for your next baby.

I spoke with my nurse Rhonda more than I spoke with my mom in a given week. No matter how many questions I had she was always patient and honest. She worked with me when I didn’t want to travel from Brooklyn to NJ for blood work. She was always making my religious concerns a priority. She was always upbeat and funny I always smiled when I spoke with her. She was so organized and made the whole process smooth and not overwhelming. Even though I saw her just once but spoke hundreds of times over the phone. I made a true friend.

I am a genetic carrier for fragile x syndrome. My ovarian reserve is extremely low. Going through three cycles in less than a year and a half was extremely emotionally and financially taxing. Dr rybak took away all the fears that comes along with IVF and PGD. He explained procedures well, during retrievals and transfers he was always calm warm and smiling. He made us feel comfortable by speaking to us not at us. A big plus was that he is also an Orthodox Jew and addressed all the complicated questions that come about with IVF. Wether a procedure fell out over the sabbath or holiday or how to get the proper supervision. He always was able to direct us properly. Something he did that really touched us before he transferred to of my frozen eggs he paused and said a meaningful prayer it meant the world to us. I see how he deals with patients of all religions and races and he treats us all the same. His compassion and love for helping bringing new souls into this world means everything to him

Dr rybak is there for you and not only his pay check. He really gives you the time you need to make sure you understand your treatment. He will spend time in office on the phone and really come up with the best plan of action

After each cycle the medications where adjusted each plan was sought through. When We saw after the first cycle I needed a very high dose of gonal-f . After I referred my older sister to dr rybak I told my sister to tell dr rybak we are sisters and if he could go straight to the highest dose of gonal-g because lower didn’t work for me. He listened and thank god they retrieved one 3 eggs . Only one fertilized and made it through PGD and she is joe pregnant

Monitoring hours where during the week from 545-730 even though every seat was filled in waiting room it really was quick and efficient. No extremely long waits.

60000-75000

His approach was single transfer which we agreed upon and was so happy he encouraged that

Receptionists are friendly, though aren’t the best with protecting privacy. The clinic’s secure email system is beyond annoying. Calls are generally returned quickly but there was at least one instance where I didn’t get a call back from a covering nurse on a holiday. They won’t take or dispense excess medication and charge for nurse administration.

Dr Hong was kind yet direct, and very adaptive. She carefully considered responses to questions and was honest when there wasn’t an answer she could provide.

Jill can be difficult. She showed compassion when my cycle was cancelled due to a cyst but was very frustrating to work with around weight, despite me being overweight due to the PCOS I am in treatment for. She can also be quite rigid, so push back if something doesn’t feel right and ask to speak to your MD if she tells you nothing can be done. She was vague in wording with drug instructions a few times as well.

Dr Hong was excellent. She had a good bedside manner but was direct which was appreciated. She took stances and explained what informed her decisions. She gave us excellent recommendations that really considered our circumstances. She informed us of risks but ultimately showed confident decision making.

Ask to speak with her if the nurses give you a hard time. She will almost always make time within a few hours.

Started with 7 days of Alyacen to raise estrogen. Follistim AQ + Menopur. Ganirelix to suppress ovulation and Pregnyl for trigger.

egg retrieval cycle with ICSI was 13k + drug costs (2.5k) including genetic testing with insurance covering 50%.

The strength of RMANJ is it's size, they don't batch patients, tests, egg retrievals and embryo transfer occur every day of the year, due to the size of the company. The embriology lab is amazing and gets results like no other. It can appear very impersonal, it runs like a well oiled machine, but if you need constant hand holding, it may not be for you.

She is very kind, the type of doctor that offers you a hug, always give eye contact, never lets you feel like a question is irrelevant or stupid. She has called me, while she was on vacation.

Nursing care was adequate but as a nirse myself I feel I needed less than others may

She appears to be very evidence based, in her thought process. Doesn't try many, what if approaches. So if you are looking for someone who will try the kitchen sink method, she is not for you. She is willing to try alternative approaches, but doesn't offer them. When I wanted to try something new, she was willing, but didn't think it would change my outcome.

If you want someone who will try every theoretical/ aggressive approach and not something well proven, choose a different physician. She is so kind though and may be better with someone who needs a lot of hand holding.

I had 4 egg retrieval with microdose Lupron flare protocol. The rationale was that I have DOR and it would be the most effective

I had insurance coverage, so not sure of all the costs but I payed approx $4000 on CCD of up to 10 embryos over multiple retrievals and approx $4000 on testing and procedures before my insurance covered at 100%

This clinic is clean, organized, friendly, easy to access, has excellent parking, is easy to schedule, and has been an overall pleasure. The receptionists are courteous and helpful both over the phone and in person. The appointments are staggered well so there is no awkward or inconvenient wait times. The nursing staff is positive, friendly, knowledgable, and outgoing. They explain each step and ensure complete understanding of each phase of diagnosis and treatment. The phlebotomists are capable and pleasant. I have had multiple blood draws and never have to wait and have not had any pain or brusing from any visit. The doctors are knowledgable and caring. They speak to us as humans in terminology we can understand and invite questions. They take their time with each appointment. We never feel like a number or that we are rushed through. We understand each stage and are looking forward to a successful conception under this team’s diligent and skilled care.

Dr. Franasiak does an excellent job explaining each step of our testing, diagnosis, and treatments. He utilizes his nursing staff to maintain excellent patient communication, instruction, and check-ins throughtout each stage. Looking forward to a successful IUI (hopefully this cycle) now that the likely cause of infertility has been identified and treated.

Maryellen is extremely knowledgable and caring. When I contact her, I always receive a promt and detailed response in easy to understand language. She is a rock for me in this very delicate process.

Exceptional communication and knowledge. Invites questions and even draws figures to explain in visual representation the issues we are encountering. Makes sure we are comfortable and understand each stage before we proceed. He is also an excellent, skilled surgeon and I had no complications from my hysteroscopic polypectomy.

Ask lots of questions. He is a good listener and does an excellent job explaining things in lay terms.

So far I have completed diagnostics and surgical correction. I’ve had Lab work, genetic testing and consultaion with a genetics councillor, I’ve had an uktrasound, and SIS, and HSG, and a hysteroscopic polypectomy. This cycle I will be using Clomid and will be monitored for ovulation and IUI.

I had a health care cost and billing explanation consultation with a team member before we bagan any treatments to explain my personal health benefits, what my personal responsibilities would include, what my deductible would be, and what treatments my insurance covers before we ever began diagnostics and treatments. Everything has been exactly as described at that meeting so I knew going into this treatment what to expect and was financially prepared for the costs associated with my treatment plan.

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The front desk is very friendly. My one criticism would be the phone system, it’s not easy to get someone on the phone. Typically you have to get a callback. You have to go through a lot of steps when you’re trying to leave a message and it always seems that you’re “in line” waiting for the next receptionist to pick up the call

She has a warm manner. The way she’s interacted with me made me feel like she really cared about the outcome of my treatment.

While be Breanna always had a very positive demeanor and tone of voice, I just felt like I was getting dribs and drabs of information. Just the immediate next step for the next morning or the next day. I always felt like I had to follow up and ask more questions about what the bigger picture next steps would be.

She is warm and personable as well as knowledgeable. Unfortunately after our first appointment I didn’t feel like we had an opportunity to talk strategy and most of the information I got seemed be on a “need to know” basis or I came with questions but the process is complicated and could use some more detailed explaining along the way.

Come prepared with your questions.

We used estradiol first. Then low-dose hCG, Cetrotide, and Gonal F. For the trigger it was Lupron and Pregnyl. I responded well to most. Gonal F gave me terrible headaches.

Monitoring hours are between six and 730 in the morning. It’s always crowded, but the blood work typically goes very quickly. Then you’ll go back out to the waiting room and wait for the ultrasound. Sometimes it takes a little longer for the doctor to make it into the room. But generally speaking your in and out within 30-45 minutes.

For an IVF cycle, insurance was charged $9500. I paid approximately $3000 out-of-pocket which covered the cryopreservation and the coinsurance portion.

Very nice staff overall, efficient check in process and morning monitoring that’s long enough to get to before work. Facilities are clean and all of the doctors are made up to speed on your records before meeting with you. It could feel factory like from time to time due to the size especially when visiting the basking ridge nj office. Overall it’s a good experience and really organized.

Dr Maguire’s bedside manner is kind and patient

My nurse support changed midway through my treatment. My support has been pretty good with the exception of some confusion once they had a new urologist start with them and had some issues with coordinating with this new doctor for my husband. Some tests slipped through the cracks but overall I have been well supported.

Dr. Maguire is kind, patient, and will spend the time talking out all the different recommendations. She shows compassion and hasn’t given up on me. When I first started I was deemed a really easy case and got pregnant the first round but it ended in a missed miscarriage just before the first trimester was about to end and it was with a chromosomally normal embryo. I then went on to have a failed transfer and then an ectopic (which no one ever explained was possible through IVF). The doctors also do not believe in reproductive immunology.

Ask for all prospective outcomes even if you CCS test an embryo know that it doesn’t guarantee a pregnancy and won’t aid against a miscarriage.

High levels of stims to get the most eggs (said I needed it even though I was 31). When asked about it affecting quality of eggs she does not think so, other doctors may disagree. Transfer protocol is pretty typical estradiol and progesterone. Ask about a natural transfer. All of mine have been medicated and just found out I didn’t necessarily need that. Hysteroscopy should be done for all patients not just saline sonogram. All testing for blood clotting disorders and other auto immune tests should be done before first transfer not after a failure or miscarriage.

I have no issues with morning monitoring hours. A hand full of times there were long wait times but I do think it’s run efficiently and worked well in the morning before work starting very early at 5:30 am to 7:30 am.

A full cycle from retrieval to transfer is approx 20k and meds 4K

My doctor selected the highest grade embryo each time. Makes sense.

The clinic was always very clean and organized, with light music making for a relaxed atmosphere. Coffee and water were also available. I appreciated that the clinic had signs indicating that children were not allowed, as I know this could cause sadness or anxiety for RMA patients. I was always able to check in very quickly, and never waited longer than my appointment time to be seen.

Jamie Morris has done a wonderful job of clearly and succinctly summarizing our options for fertility treatment (IUI, IVF), as well as explaining the IUI process once we decided to proceed with that. However, I would have appreciated/benefited from some more information regarding follow up. After the IUI procedure was performed, I didn't receive any further information on what I should be or could be doing to help boost our chances for success, she exited the room fairly quickly.

Dayna was absolutely wonderful to work with. She always provided a full report of my testing results, as well as explained in detail every step of our treatment process. She showed compassion as well when I was overly anxious.

Jamie Morris was very knowledgeable and did a good job with clearly and succinctly summarizing all of our treatment options, as well as summarized clearly all of the results of our fertility tests. When she performed my IUI procedure, she performed it very quickly and painlessly, which I appreciated. I think I could have benefitted from a little more time spent during our appointments, they always felt a bit rushed. After the IUI procedure, she walked out very quickly, with little explanation on next steps and instructions for me.

Come prepared to each of your appointments with all of your questions, so you can ask her at once.

I took Clomid for 5 days (cycle days 3-7) and had a trigger injection of Ovidrel on Day 16, after my blood-work and ultrasound showed that I was ready to ovulate. I went in on Day 17 and Day 18 for two back-to-back IUI procedures. I have follow up bloodwork on this Friday, Day 24, and an appointment scheduled for next Friday, Day 31, for a pregnancy test, unless the period comes sooner.

My husband and I paid for all costs out of pocket, this has been a very expensive process so far. We had some testing done in NYC prior to visiting RMA, but the RMA doctors asked that we re-do our testing in their offices, which has made this process very expensive for us. I believe we have spent somewhere around $5k-$7k out of pocket already, and might be looking at up to $32k in additional costs if we proceed with IVF.

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RMA is VERY expensive, but are the best in the area so after a lot of soul searching - I decided I would figure out a way to have an RMA baby. I would recommend sitting down with a financial coordinator and having everything priced out for you so there are no surprises!

Dr. Morris was very warm and friendly - she would call me directly if I had questions. If she was in the room when my nursed called me, she would say hello in the background.

Dayna is energetic, positive and fun. She didn't waste time with all the cliches - "it only takes one" etc - stuff like that. But instead said "hey if it doesn't work, we try again." And I liked feeling like she was going to be with me the entire time through this process.

The main issue I had with IVF was coming up with the money. Dr. Morris understood and never pressured me to start IVF. It took 2 years to be able to save enough for the egg retrieval and Dr. Morris answered my numerous questions over that entire time. She knew I liked to know every detail and every scenario possible and was patient and kind with me. Dr. Morris did a lot of my morning monitoring and always had a smile and often a hug if I needed one. I think if we met under different circumstances we could definitely be friends.

Ask a lot of questions! Dr. Morris is great and will answer all of them! sometimes even with a diagram.

I did "max protocol" for the meds - high dose of gonal. I got 12 eggs - which were more than expected but only 1 made it to day 5 - which was unexpected.

it was very efficient - the earlier the faster you were out of there!

35K

She promotes eSET. I don't have strong feelings on that either way.

It was very clean and never had to wait too long to get in for blood work. It was very supportive and nice that the provided treats on Saturday mornings. The people at the desk were helpful and I formative

Dr. Hong was the best doctor I have every worked with. I do not believe I would have gotten through my journey without her by my side. She was extremely caring and I felt like she was looking out for me. I truly felt that she was fighting the fight with me.

For most of my treatment I had an amazing nurse who I had a great repore with and felt that she totally knew her stuff and was always there for me. However, for my final Ivf cycle Kelly had to take a leave of absence and so I was given another nurse, she was horrible and basically it was a good thing that I had gone through so many previous rounds to know that muliple times she was giving me the wrong information.

I might not have seen her every time but she worked a long an amazing nurse who would call me all the time and at any point I felt that the nurse could not answer my question she would call me back within a few hours. She was there trying to figure out the best plan and the safest way to get me pregnant. She was able to explain in understandable terms what was happening as well as what the next steps would be. At the end of my treatment I loved her so much I made her come out of a meeting and we both hug as we said good bye!

She is an amazing doctor and you are lucky to have her on your side

I went through many treatments but basically when they were trying to retrieve eggs or I was going through iui I used gonal F and the highest dose because otherwise my folicals did not grow.

Well oiled machine with amazing nurses that I became friendly with because I was there all the time for so long

The 3 rounds of iui and 4 rounds of Ivf were covered under my insurance. The donor egg cycle was $48,000. It was about $2400 for genetic testing on the embryos which I did twice.

I only wanted eSET so it was never even a discussion we ever had

Very organized, very clean, very nice. One downside is billing/finance. I found them very hard to contact and a few times my calls went u answered. The staff that does morning monitoring is always happy even that early in the morning.

Dr M always took time to answer my questions. He also reached out via email or phone calls after each appointment/test.

My nurse was great in the beginning. She was helpful with testing. But anytime treatments changed she only gave me the new plan I never got the why answered. A few times I had to go directly to Dr M to get that answered. She also didn’t give warning when she went away the week I was about to start treatment. No other nurse picked up so I felt very out of the loop on what to expect when starting my mediciation. Luckily my pharmacy had a nurse call me and walk me through the meds. My nurse never did that. I brought this up and she was apologetic and if it worked no harm done but if it didn’t I will wonder if her offering tips and more instructions might have made a difference.

Dr M explains things very simply. He made sure me and my husband understood everything. He kept very positive but realistic expectations. He never got ahead of where we were in the process, but did outline possible treatment plans. I wish I got to see him more often, as I mostly see other doctors for my monitoring and even my first round of IUI.

Get ready to travel to Freehold and Eatontown. He does initial appointments in Freehodl but doesn’t do follow ups there.

We started with IUI with injections. We used Follistim and started with a very low dosage 50IU a day to start and upping to 75IU the last few days. I had a good response to the meds. I’m currently waiting for the results of the first treatment.

All covered by insurance. So far no treatments have not been covered.

Know that you can place/insert the ultrasound wand yourself if that is more comfortable for you. You are the one in control of your body and if that helps you individually, the doctors are more than happy to let you place it yourself to avoid discomfort.

The compassion and concern that Dr. Hong has for me cannot be overstated. She took her time to understand what I was going through as a cancer patient, was so caring, and even called to say Hi just to check on me and let me know she cared. A truly wonderful experience.

Josephine responded promptly to my calls and needs. A huge issue was with the Finance department, who forgot to include the embryo genetic testing in the price when we paid. This resulted in having to pay it later on the day of retrieval which was stressful and came with other conflicts.

The first visit, Dr. Hong took time to understand what cancer treatments I had going on, and helped figure out the timeline for my fertility preservation. She outlined a timeline for me and gave me all of the pertinent information with colorful coding, complete with drawings and explanations. She continued to follow up with me and reached out to me continuously to address my concerns.

I would advise a friend to put all their trust into Dr. Hong, as she is truly competent and skilled.

I only had a short window for egg retrieval between my surgery and the beginning of my chemotherapy treatments. Dr. Hong had me begin my retrieval shots outside of the typical timeline, and explained it was totally fine and wouldn't result in an inferior quality cycle. She was completely correct.

The appointments were organized and efficient. The facility is amazing. The staff at morning monitoring are professional and caring. The monitoring window of hours is pretty strict.

14,000 for Egg retrieval, Icsi, Genetic testing for couple and genetic testing of embryo, embryo and egg freezing. (Not including medication)