RMA of New Jersey

In addition to highly specific diagnosis and treatment program that Dr. Franasiak provided, he was realistic about what the outcomes could be at every stage, and was incredibly kind during every interaction. We always looked forward to seeing him. As far as specific outcomes with Dr. Franasiak and RMA Marlton, they were overwhelmingly positive. For example, with previous clinics, after multiple IVF retrievals, we were only able to produce one PGS normal embryo. For my age at the time (37), this was unusual. Prior clinics gave no explanation, they would just tell us to keep doing retrievals, which was emotionally and financially exhausting. We only needed one round of IVF with Dr. Franasiak, as he made our protocol highly personalized. After just one round, we had FOUR PGS normal embryos. I still remember getting the call, I was in shock and cried about the good news. Similarly, treatment from previous clinics - including years of IUI, IVF, and random surgeries - had never resulted in a clinical pregnancy (only a life threatening ectopic). Previous doctors said I had "implantation failure" and never tested me or gave a reason why. Dr. Franasiak looked into the reasons why I hadn't had implantation in my uterus, and tested me for both endometriosis and chronic endometritus. My results were positive for both. After treating the endometriosis and endometritus, we did our first frozen embryo transfer with Dr. Franasiak, and now I'm overjoyed to be 18-weeks pregnant with our first child due in June. We have recommended Dr. Franasiak and RMA Marlton to all of our friends with fertility issues, and we'll be returning for baby #2 when we're ready.

Start with Dr. Franasiak and RMA Marlton and don't waste your time going anywhere else.

There were several changes to our treatment strategy that were recommended by Dr. Franasiak. On the diet and nutrition side, in getting ready for our retrieval, his office recommended going dairy and gluten free to cut down on inflammation. They also recommended a microbiome protocol which included high potency pre- and pro-biotics, and vaginal probiotic when we got to the transfer stage. Both my husband and I also tested positive for MTHFR mutations, and as a precaution, we were recommended to take 5g of methylfolate per day (people with MTHFR have a higher likelihood of aneuploid embryos). On the medication side, I did about two weeks of estrogen priming with estradiol, and then eventually took about 450 IUs of Gonal-F or Follistim and about 50 IUs of low-dose HGC. I went in every few days for the ultrasound. One big difference I noticed from other clinics, is that I was triggered earlier with Dr. Franasiak's office. All of this resulted in our highest number of eggs (18), which made five embryos, of which an astounding four were chromosomally normal. Dr. Franasiak diagnosed me with endometriosis, which was 60-days of lupron prior to the frozen embryo transfer. During this time, I was also treated for chronic endometritus, which was about 2-weeks of antibiotics. The transfer was seamless, professional, and now I'm pregnant with a baby boy.

Super efficient, minimal wait-time (5-10 minutes at most), and I was usually out within 10-15 minutes after being brought back. It was all very easy, seamless, and professional.

We are very fortunate in that my health insurance covered the cost of diagnosis, IVF, and related care. I only paid the co-pay and a percentage of the medication costs.

Dr. Franasiak explained to us what the pros and cons were of single vs. multiple embryo transfers, and recommended doing a single. We were comfortable with this, and are very happy with the outcome.

I felt heard and supported under is care. I felt that my case was important and urgent and i felt my concerns were heard and validated. I can recall at least two phone calls where Dr Kaser spent a long time going in to detail with me about specifics of my case and the procedures I had to undergo.

Don’t be afraid to ask questions about treatment options and possible scenarios. You will be heard.

Our protocol was egg retrieval with injectable atoms, ICSI fertilization, day 5 blastocysts then PSG testing which the clinic mandates. All of these options while being more expensive are to maximize the likelihood of quality embryos for transfer. I then had a polyp removal to ensure my uterus was optimal for transfer. Our transfer was FET.

Morning hours were well run. I never waited long. Process was efficient and well organized.

We have great insurance and most what what we had done was covered. The PSG testing was not covered but was mandatory from the clinic and cost us about 2,000 dollars. We had to pay about 275 for genetic counseling and then with meds and co-pays we paid approx. an additional 1,000-2,000 for IVF.

The doctors at this office only do single embryo transfers to reduce the likelihood of a high risk multiples pregnancy. I would have liked the option to transfer multiples but I trusted that the doctors had my best interest at heart with their policy. It was not a deal breaker for us.

Dr. Maguire is completely trustworthy in her explanations and changes to treatment plans. I know I’m in good hands and there is this unspoken sense that she wants me to be successful as much as I do.

She will respond to emails. Don’t hesitate to reach out.

My first cycle was an antagonist protocol. It was unsuccessful. We changed to a microburst protocol for the second retrieval to allow for better quality eggs and that’s exactly what we got. She also recommended adding a specific folate supplement during the second ER.

The wait time and experience varied, depending on the day. Some days, it was quiet and all moved quickly. On days when they were short staffed or there was a large crowd, it went more slowly.

I can covered by insurance. My OPCs are related to acupuncture, medication copays, embryo genetic testing, cryopreservation

RMA will only transfer a single embryo.

From our first visit, Dr. Fischer was very supportive and caring. She listened to all our issues and concerns and answered every single question we had. Dr. Fischer then proposed a treatment route and made sure we understood and were on board with it. We always felt that she had our best interest in mind, knowing that this is a very expensive treatment and she always offered the best alternative to us. She understands the stress and rollercoaster of emotions of going under fertility treatments. Though, to me the process was definitely easier just knowing that Dr. Fisher was there for us. Dr. Fischer also explained the risks of each decision and cautioned us about all the outcomes. We went to her office a few times before starting the treatment and she was always very patient and caring towards us, she would always call back when we needed to ask some specific questions. We were under her care for about two years, and I’m finally 14 weeks pregnant through IVF. We certainly wouldn’t be able to go through all the process if it wasn’t for Dr. Fisher personalized care and expertise. We still have one embryo left at the clinic and I couldn’t imagine going through all the process again without Dr. Fisher.

Don't be afraid of asking any questions you have regarding the treatment and all the little details, no matter how simplistic you might think your questions are. Dr. Fisher is there to help you.

For my second egg stimulation, Dr. Fischer changed the dose of Follistim which resulted in a significant higher number of eggs and consequently more fertilized eggs. For my second egg transfer, Dr. Fischer decided to do a synthetic cycle, opposed to a natural cycle, where she could control my ovulation period and resulted in my current pregnancy.

Morning monitoring was always very efficient. At RMA the monitoring hours were between 6am-7:30am, but if something had to be changed they would accommodate something for me. At times, morning monitoring could get very busy, but I never had to wait more than 15 minutes to be seen.

Fertility treatment is not cheap, but we were confident we were under the best care we could get and that justified all the cost. We had two IUI and two IVF round, that all cost us around $65,000.00 including medication.

Dr. Fischer had my health as a priority, she was not concerned about numbers. She decided to transfer one embryo to avoid preterm labor and other complications and I think that was the best call.

The very short answer is Dr. Chu is smart and friendly, IF and when you get to speak with her. But don't count on the warm and fuzzies or feeling like someone cares about you. She has great schooling and credentials. I didn't feel a sincere concern from her. I don't want to be mean but she was very detached from my care. I didn't feel she was creative and curtailing therapy specifically to me. I felt RMANJ had therapy protocols and I fell into one bucket and was prescribed the meds for that bucket. She didn't take genuine interest in me as an individual and curtailing therapy to me specifically. I was a number. I felt a little bit of care after a few failed cycles but I honestly don't know if it was "me" as an individual that she cared about or that she was disappointed she wasn't successful in her care.

Challenge her. Do your research and be your own advocate. Ask her for different treatment options and her opinion on them. She won't think outside the box for your care so you have to seek it yourself and maybe she will agree on your thoughts and implement it. Set appointments and have her speak with you. Schedule the time otherwise she will be in a rush to get off the phone. I can't stress enough to ask questions and be your own advocate for creative care and testing otherwise you will fall into a protocol bucket and be successful or not.

My first protocol I don't remember the name of but I will say that I did not get a whole lot of big follicles. Rather than cancel the protocol I was pushed through. Knowing what I know now I think that round should have been cancelled. We could have cancelled and tried again with another round of medications to see if the follicles would have come out bigger. I didn't and the cycle was a bit of a dud. The following two retrievals I pushed for different medications and I had much better success than the first. The second cycle I was on a microflare protocol and the third on a microflare protocol with clomid. I had the best cycle with the third.

Monitoring is done at certain times in the morning. Everyone shows up and the office runs through the cattle call. To be honest they are efficient and organized and it doesn't take too long. The nurses are friendly. The ultrasound may be a doctor or a PA. But it all goes quickly and efficiently.

I paid cash and it's not cheap.

Chu doesn't like transfering multiple embryos, at least for my age group. She said there is more risk.

Dr. Fischer was personable and friendly. She explained everything clearly and was willing to answer and clarify any and all questions. During cycles, Dr. Fischer checked in on how I was doing and feeling and always made herself available to speak to me personally if I was concerned. She helped me stay positive with her positive energy and determination to make this work. She is truly amazing and would not hesitate to recommend her to someone seeking fertility options!

She will give you hope but is also realistic about the chances of success for each individual and their specific situation. She is very receptive to any questions and concerns.

Procedures included daily injections, oral medications as needed, and additional medications for specific timeframes. Gonal-F and ovidrel for IUI’s, Gonal-F and 2 additional medications for retrieval preparation. One FET using progesterone injections and the second (successful) natural cycle with progesterone suppositories.

Dr. C truly has my best interests at heart and really takes my opinions into consideration. She is compassionate and empathetic. I trust her opinion in what treatment options she suggests. I know she works her hardest for me to have the best possible outcome.

At first she can seem blunt about the success rate, but she will do everything she can to get you a baby

My first cycle I did a micro-flare protocol. I was on 40 units of lupron daily with 450 gonal F. I was a poor responder and only retrieved one egg. It did become a blast though. My second cycle i was on 300 gonal F and 75 menopur. I retrieved 2 eggs and one made it to blast. My third cycle I am doing the same menopur cycle.

Monitoring hours are between six and 7:30 AM. I suggest getting there right at six as it does fill up quickly and it’s first come first serve

I am not entirely sure because I have insurance.

I haven’t gotten to transfer yet bur I know she favors one embryo due to possible complications with multiple

Dr. Shastri is hopeful but realistic. She was honest with us from the beginning and makes you feel like she is going to do everything in her power to get us to where we want to be. Throughout our journey (which we are still on) she would take the time to explain all of our options, answer questions and give us her option.

Do your research and go to your consultation with questions. She will take the time to answer all of them and not make you feel rushed.

We were going to start with an IUI but my insurance decided not to cover it when they saw I had a partially dilated tube. Dr. Shastri did a peer to peer with my insurance provider to try to justify the coverage but they wouldn’t budge. We decided to move forward with IVF. We started with the protagonist protocol taking the highest dose of Gonal f and low does HCG. I wasn’t reacting to the medication but we decided to keep going as my estrogen was slowly rising. After 15 days we had one follicle that was looking good and we were planning on doing the retrieval since I have DOR and didn’t want to waste a good egg. Unfortunately at my last appointment my estrogen had gone down and Dr. Shastri didn’t want to put me under for just one egg that she didn’t think was viable anymore. She also was considerate of my insurance situation and didn’t want to use all of my coverage on the surgery that she wasn’t confident would yield the results we wanted. We took a break and are now in the process of trying the Lupron Flair protocol.

Dr Rauch was extremely patient and understanding. She was empathetic and celebrated my successes as if they were her own. She was gracious and caring. I felt like I could ask her anything and she always gave me an honest response. Dr Rauch was hopeful that i would become Pregnant and deliver a healthy baby. We did an egg retrieval, PGS testing, and transferred 1 normal embryo. I’m currently 24 weeks pregnant and having a great experience thus far.

Trust the process.

I don’t entirely remember the exact protocol. We did injections of gonal f, menapur, ganirelix, along with a trigger shot. Once retrieval ended, we did estradiol 2x a day until transfer along with pio shots starting 5 days prior to transfer.

It was efficient and well oiled machine. Never had to wait more than 20 mins even with a line of women in front of me.

10k. My insurance covered up to 20k lifetime fertility coverage. But I paid co-insurance and the meds out of pocket so I could preserve some of the 20k max.

We did single embryo transfer Bc my embryos were tested.

She’s super nice and funny. She’s very thorough and happy to answer all questions. I didn’t get that experience from another doctor I consulted with at another clinic at all. I’ve always had full trust in Dr. Chu and her decisions during the IVF process.

Just trust her. She knows what she’s doing.

I did an antagonist protocol with max doses of each medication. We did this because my ovarian reserve is diminishing rapidly. We also did ICSI because my husband has a very low sperm count.

They were quick and efficient overall. There’s a lot of people there, but it’s not that bad. I was always out in less than 30 minutes.

First cycle was covered by insurance aside from deductible. Our insurance changed and they did not cover our second egg retrieval cycle. It was around $20,000 out of pocket for everything. Transfer will be around $5,000.

Initially, I wanted to transfer 2 embryos at a time. Dr. Chu talked us out of this because of all the potential complications. I’m very young and healthy so it’s not worth the risk.

After having 3 consecutive miscarriages, my husband and I chose to do IVF to check for chromosomal abnormalities in our embryos. We've now have a 3 yr old, a 1 year old and a 3rd one on the way. Dr. M was very helpful and accessible throughout the whole process. He has such a calming and positive presence. It was so reassuring to get to see him and talk to him throughout the entire journey and know that he was just an email or call away if I had questions. I would definitely recommend him to anyone seeking treatment.

If you are going to see Dr. M you've probably had a long journey already. Dr. M and his team know this and are very compassionate. They help you to feel comfortable and stay positive through the remainder of your journey. It always felt like they truly cared.

My case was pretty straightforward- the biggest issue was the chromosomal abnormalities leading to my miscarriages. That said we did chromosome testing on the embryos before implanting. We only implanted one embryo at a time and had success. I saw Dr. M one-two times per week once my cycle started.

I loved the monitoring schedule window of time. Typically I waited less than 10 minutes and I was one who needed to lay down for bloodwork in a room. There were days with longer waits but overall it was very efficient.

My insurance did not cover costs

Dr. M encouraged a single embryo transfer for my case and I 100% agreed with his plan.

Dr. C has an excellent bedside manner; she’s compassionate and obviously cares a lot about her patients, but she also doesn’t blow smoke up your ass! She’s been very blunt about her opinions regarding our treatment outcome, and didn’t hesitate to say she wasn’t sure about some things. She also didn’t oversell RMA’s capabilities vs our old clinic, which made me trust her even more.

Come prepared with your questions, and what you want out your appointment. She can hold your hand, but you’ll get more out of her time and expertise if you come to the table with expectations and questions.

The first thing she said to us (after seeing our disastrous-for-my-age IVF results) was: why are you still using this donor? He’s not your husband! Love the bluntness. We did indeed switch donors, and did an antagonist protocol (instead of MDLF); the rationale was that I’m not a poor responder, but we had a mysteriously awful blastocyst rate — she thought the Lupron and/or long stim time could be compromising egg quality. There was also a possibility that the donor sperm was not good. She also immediately tested my thyroid, because my day 3 values were weird — and I was hypothyroid, so she put me on synthroid. We tested my fasting insulin on a whim, and discovered I had severe insulin resistance (no PCOS), so she started me on metformin. My most recent egg retrieval was fewer eggs than prior, but from 12 eggs we tested 4 embryos (PGS and PGD) and have 3 PGS normal unaffected!

We commute in from NY, and then work in NYC — so it was a pleasant surprise that RMA had extra early monitoring hours! It didn’t mess with our schedules except that we had to leave the house earlier (it’s a 45 minute drive). The wait times weren’t excessive, and we generally saw the same NP for ultrasound (sometimes Dr. C was there instead!)

We have insurance coverage and have already met our OOP maximum, but I believe our insurance cost is about 10k

My husband and I couldn't have asked for a better doctor for this journey! We always felt fully informed and that she had our best interests in mind. If there were hesitations to make a decision, Dr. Fischer called us to talk everything through until we felt confident in the next steps. I liked that she didn't put my body through more than necessary with her medication plan and transfer.

Definitely book an appointment with her! She may be a newer doctor but she's extremely knowledgeable with an array of fertility options and has great communication skills to make all parties feel comfortable and informed but any treatments performed.

Since I didn't have any hormone issues, Dr. Fischer did a moderate medicine protocol for the egg retrieval and found the perfect balance of quality and quantity. We had 13 eggs and were left with 5 embryos frozen. For the transfer, she decided not to put my body through more than necessary and went with a natural transfer. This followed my body's natural cycle. It can be frustrating when your body takes longer than expected to ovulate following a retrieval but I'm glad we did that because all I took was a trigger shot followed by progesterone suppositories. That transfer took and currently 14 weeks pregnant!

Efficient, well-oiled machine. I didn't feel like it was a cattle call and I never waited more than 30 minutes. The earlier you got there the better and sometimes I was in and out in 20 minutes for BW & US.

Our total IVF cycle cost was about $26K plus meds and luckily I had good insurance coverage and paid $300 for meds and $3200 for the entire cycle.

Dr. Fischer's standard is single embryo transfer unless certain circumstances are better suited to multiple.

I was told a gestational carrier would be my best option to have my first child, but here I am, with a one year old, and one on the way. I was determined to become a mom. I wasn't going to give up until my doctor told me it wasn't going to happen -then I was going to get a new doctor- but I didn't have to. Dr. Molinaro kept adjusting the protocol and trying something new. He never have up on me.

There is comfort in knowing you are in the best hands.

I was on a very high dose of one medication for two egg retrievals in a previous office, with limited results. Dr. Molinaro put me on a lower dosage of a combination of medicines, and we saw much better results.

They try to make it as convenient as possible. The office staff is kind and gentle.

I have great insurance but we had to pay for freezing and genetic testing. Fees were aligned with other office prices.

None

I only saw her twice during my treatment she was nice. She gave me hope but things didn't turn out how she thought they would. I was given no explanation as to why most of my embryos didn't make it. Just simply that they didn't.

Do your research ask questions.

We did ivf because of low morphology. I was on Gonal-F amongst other injections for egg retrieval. We used ICSI and did pgs testing recommended by the doctor because of my husbands genes.

It worked out for me because I tried to be one of the first ones there when it opened so it always went pretty quick. I went one time maybe an hour or so later and there were a lot of people there but even so didn't have to wait in the waiting room for too long.

Our insurance covered $15,000 but on top of that we paid $15,300 out of pocket including medicines (over $8,000 one time and the rest was split up) up front before we could continue.

I was told they only transfer one embryo at a time because its safer and less risks.

Dr. Molinaro came highly recommended from several women I knew that had gone to him and had success. However all of them had insurance coverage. He had much more compassion and better bedside manner than the doctor I saw prior to him, but he was almost twice the cost for me without insurance. He did explain, in a way he can’t work miracles and can only work with what I bring him and given the 3 cycles I had at dr before him being a low responder, he couldn’t guarantee anything. He advised us that our money might be better spent with donor eggs, but we wanted to try one cycle with my own eggs with him. And he said he was willing to help us do that, but we didn’t have very high odds. About 15% chance. Verses 60% chance with donor eggs.

They are quick to recommend donor eggs. I think it is because they want to help you have success, but it’s then very daunting to look into the egg donor process. So much more complicated than IVF with your own eggs. Ask him any questions you have. He will give you a compassionate and honest answer.

For my case where I had been unexplained infertility, but now DOR. (Low AMH and high FSH) Primed with estrace pill at end of my natural cycle leading up to IVF cycle. Gonal F and lupron and low dose HSG stims. Trigger shot Novarel.

6am to 8/8:30 I believe. I stuck to earlier times (6-7) so I could get home before my husband left for work and to get my child ready for school. The waiting room in Eatontown was often very full but it did move pretty quickly; Freehold there was hardly ever a wait for ultrasound or bloodwork.

$15,300 for retrieval ICSI and genetic testing, for their agreement with Aetna which does not cover IVF. Transfer would have been $4,500 more. My medications were covered, minimal copay.

They strongly encourage genetic testing and single embryo transfer. Of our three embryos all fertilized and 2 made it to day six blastocyst and then were sent to testing; both were found to be abnormal. So we never moved onto transfer.

I have had a wonderful experience with Dr. Costantini thus far. She’s extremely thorough, knowledgeable, and patient. My husband and i had a lot of questions and she never made us feel rushed and was very patient even when we may have repeated ourselves. I admire her confidence when telling us what approach she believe would be best for us. She doesn’t sugar coat things but at the same time has excellent bedside manner. I truly believe that she is the best at what she does.

Make sure you ask her to outline every possible option for you. She explained all the procedures to me at length.

Dr. Costantini was very honest in her advice for us. IVF would be our best option. My husband and I weren’t ready to do that right away as our insurance does not cover any cost. She was extremely understanding and patient. We decided to try clomid and TI in the meantime but are now ready to move on to IVF with her help.

So far, everything has been covered. IUI and IVF are not though and it will be about $4,000 for IUI and $28,000 for IVF

I very much admire the fact that she prefers eSET. I understand the risks of multiples and the strain it could have on my body and trust her completely.

Dr. Kaser is very patient and kind.l had a lot of questions for him and he was able to answer all of them during our appointment. He performed my saline sonogram and my initial consult sonogram. He walked me through the whole IVF process then circled back to my immediate next steps.

Educate yourself too, while Dr Kaser will answer your questions, make sure you know all of your questions.

IVF- saline sonogram to confirm presence of fibroids, scar tissue,etc. Sema4 genetic testing to confirm my partner and I are not carriers for the same diseases. Nutritional consult for healthy lifestyle. IVF egg retrieval medications: Gonal F, lodose HCG, cetrotide. Pregnyl and lupron trigger. 13 eggs retrieved, 11 mature. PCOS treatment- blood test and sonogram, confirmed and prescribed me metformin.

Monitoring would be in the early morning hours, everyone who arrives gets seen in the order they arrive. It was never a long wait. I needed to lay down for blood draw they always put me in a room for this. Some of the monitoring doctors would be a little rushed and not explain the measurements or calculations in the sonogram

Insurance covered most of my treatment. Embro cryopreservation and genetic testing were not covered ($5k). And probably another $1-2k for copays, medication, etc.

RMA does single embryo transfer for younger patients who have not undergone a cycle before

He’s calm and positive and very respectful of the patient. He genuinely cares about your situation and takes the time to talk you through each step. When things don’t turn out as expected he calls to console the patient and help plan for the future cycles and discusses how he will adjust for next round. He doesn’t have an ego which many doctors do have he listens to the patients requests and makes sure you feel 100% comfortable with each step of the process.

Ask any question you have because he’s willing to answer even the most mundane ones so take advantage of his knowledge.

Monitoring hours are early morning and it’s first come first serve. The wait can be long at times but generally it’s before a holiday weekend or a Friday. Only once I had a pa do my ultrasound and she didn’t know what she was doing and I cried on the table in pain (during stims for retrieval) the doctor had to redo the test. From then on I made a point to tell them only a doctor can go near me. The staff was understanding and never sent that pa in again.

Full price of ivf

Dr. Werner was kind and compassionate. When we first started we thought we would be in and out in a month or two, then when that did not happen. We were disappointed and needed to talk about options and receive more education. Once this occurred and we took a few months off of care, we were all fully in together and the results came out positive!

Ask questions up front

We began with clomid and ovidrel for our first two IUI cycles, once the doctor realized that it was not working, she switched us to follistim injections which was showing better results, but still not successful. Endometrium was added and things looked better but still did not stick. I underwent a procedure for polyp removal, then re-tried the follistim, ovidrel, endometrium combination and the very next IUI was a success!

I had to pay out of pocket for a lot in order to reach my deductible, but the team was willing to work with me to pay what I could each month

Starting with our initial consult, Dr. Franasiak made us feel like more than a number, and like actual people. He had great bed-side manner, yet was always up front with us in regards to what we were facing with Secondary Unexplained Infertility. He was always understanding of our feelings, and justified our frustrations with the lack of answers the tests/treatments/results were able to provide. When we decided it was best for me to take a break from treatments, we had a discussion with Dr. Frasnasiak about same. He reassured us that everything was done by all parties in an effort to conceive a baby, and that all progressed "as it should." He also stated that if we felt it was in my best interest to take some time to ourselves, it was understandable and that if we ever decide to continue with treatment, he will be there to assist us. Although the three treatment (IUI) cycles we went through did not result in a pregnancy, my husband and I were very glad that we chose Dr. Franasiak at RMA, and that they were a part of our journey. We highly recommend him to anyone in the area trying to conceive a baby!

Dr. Franasiak was extremely knowledgable about infertility and the procedures and treatments of same. Although it was initially difficult for me to remain calm during the treatment cycle, I quickly learned how educated he is and that I needed to put my full trust in him. He is very smart and was aware of our case in great detail. Let the doctors do their job, and in doing so it is (or was for us) easier to remain more calm throughout the treatment cycle.

We previously completed four treatment cycles at another clinic, to no avail. Three of which I was prescribed Clomid, and the final one we used Gonal-F. Dr. Franasiak started my first treatment cycle with Gonal-F and had increased my dosage to 100 mL, which was higher than we had previously been prescribed. My follicles developed at different rates each time however, Dr. Franasiak kept a close eye on same. That being said, I did not use Gonal-F for the same number of days each cycle. A few times we were asked to come in a couple days in a row, rather than every other day. This was for Dr. Franasiak's reassurance that all was happening as planned, and to prevent over development of my follicles and any other potential issues.

My husband and I have very good insurance. Although our specialist copay is $5, when reviewing the EOBs/claims, RMA had comparable charges to the previous clinic we went to.

He is very compassionate, well educated, and has great bed side manner. He made me feel so comfortable with everything and gave me a sense of confidence that everything was going to work out well. He explained everything to great extent and made sure I understood each process.

You will not regret it. I was so nervous before hand and once we sat with him it all went away.

I have been on letrozole for 3 cycles with my OBGYN and he wants me to do one or two with him so he can monitor me. He explained the difference with IUI/injections and IVF with PCOS.