RMA of New Jersey

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.

Absolutely predatory, careless, checked out, cold, no compassion. A factory farm for IVF clinics. He said he would check in with my OBGYN and other doctors and he did not. Infect they were unable to be in touch with him too. - I understand fertility IQ only checks negative reviews. Which is very upsetting because I feel after this I’ve found other negative experiences with him from other sources. I wish that negative reviews were as welcomes as the positive reviews . I wouldn’t have waisted a round of IVF with them.

RUN

It was supposed to be a slow grow of my eggs. It was supposed to be a different result from the first cycle. When the results seemed to be similar the week of the retrieval I asked if they’d suggest canceling the cycle and they did not agree and I felt their professional opinion would be better than mine. This cycle had worse results than the first.

The monitoring appointments were fine. The nursing staff and staff that took blood were lovely. The doctors for monitoring were different everyday. One being the one I felt very uncomfortable with. No consistency at all

Very expensive. Our cycles were covered by our Insurance however we had to pay a very large sum for our genetic testing. The day before we started our second cycle at about 2:30 in the afternoon we received a call from Jenna in finance telling me that we had no IVF coverage which was not true. We spoke with our insurance provider who also assured us our insurance was in place. My husband and I both had to leave our work early to spend over three hours on the phone with Jenna and our insurance yo convince them that we have coverage. The insurance agent even put us on a three way call to tell her we have been approved for the cycle. The insurance agent was even irritated by their issues. The mistake in the end was on their part. Surprise surprise. They tell you don’t be stressed and then tell you the day before a cycle you have no insurance. Absolutely incompetent.

Dr Costantini is not the physician you want as a partner on your fertility journey. She is unavailable for questions during treatment and if you do get her to actually do your u/s don't expect more than three words from her "it's still early". You will get to know her nurse very well and it will be made clear to you, that she is not available for direct communication.

Do not invest with Dr. emotionally or financially, especially if you have low chances of IVF success based on your circumstances. We knew that our chances for success were low due to low ovarian reserve, but it did not help my stress level to have no contact with my physician about my care.

I remember them, but I don't feel that it matters in the context of this review. I am writing this review because this Dr. will not provide quality care in terms of treating you as a human being that is trusting her to care about your emotional well being during your cycle.

Including meds +/-$20K

I only saw him once for an initial appointment. He was very clear in explaining the reproductive process and how fertility treatments work. It was very science based, and I found it helpful. He discussed different options and identified potential areas that may impact the fertility journey.

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.

I really wanted to like Dr Shastri as she came recommended by a friend who had success and her sister is close friends with Dr Shastri. Dr. Shastri and I even discussed the chocolate thali at a restaurant in Goa, India. Out of all the five doctors I have consulted for ivd, she is the worst in terms of her knowledge and her willingness to seek the best solution for a patient. When I had my initial consult, she would rattle off stats and claim that RMA’s lab was better than Cornell’s based on the SART data. When I later pressed her since she did her fellowship there, she admitted with agitation that Cornell and RMA have different philosophies. When I asked about whether a low dose protocol of Menopur and Gonal F was better, she confidently stated that the higher dosage was better. Dr Davis at Weill Cornell believes that it’s a 50/50 shot whether a high/ low dose protocol would work for DOR, and after many rounds, the low dose protocol worked better for me. Also, Dr Shastri ordered liquid HCG to replace Menopur (despite having a ton) and the HCG only had a 30 day shelf life. Right before the pandemic, I was about to start stim medications because RMA did not shut down during the pandemic. For reasons I found rather dubious, I was not cleared by anesthesia, and Dr Shastri dropped me as a patient and told me I could not cycle at RMA. However, thanks to my nurse, another Dr at the same Somerset office took me as a patient and said I could do an egg retrieval without anesthesia. So either Dr Shastri was incompetent or she was clearly too lazy to determine a solution for a patient.

If I was paying out of pocket or had a difficult fertility case, I would steer clear of Dr Shastri. If I had to see Dr Shastri, I would make sure I would get a second or even a third opinion. With her, you definitely need to verify everything she says.

I would prep with estrogen patches first before my period, then 300 or more of gonal F because I would do liquid HCG instead of Menopur. No clomid priming.

Luckily I had insurance coverage that RMA took. However, Dr Shastri’s financial coordinator was terrible Noelia Woeldin. She told me 3x that I didnt have coverage on ICSI and embryo freezing, which Weill Cornell said I did. I verified with my insurance 2x and then when I talked to someone else at the financial office at RMA, I was told Noelia didnt even verify my benefits. I hate to be nasty but I told her to do her job. Her response after verification was “”I had good benefits.”

Single embryo transfer genetically tested

Dr Chu ultimately recommended that I have my fibroid surgically removed before doing any embryo transfer. She does not perform this surgery herself, so she referred me to another provider for this. I did not feel comfortable undergoing this surgery therefore I decided to get a second opinion.

Be prepared for her to speak very quickly and give you a lot of information. Bring a notepad and write things down since there is too much to remember at once. If she (or anyone else) recommends surgery, get a second opinion to be sure.

She recommended doing a cycle of IVF for egg retrieval and PGS testing first to make sure I even have good embryos first, then proceeding with fibroid removal prior to doing any transfers. Because I was very hesitant to have fibroid removal surgery, she did give me an alternate option to do egg retrieval and transfer one embryo to try, but told me that if it fails she would not recommend doing any additional transfers until the fibroid is removed. I choose not to proceed with Dr Chu and went elsewhere.

There was no fee for the consultation. I paid several hundred dollars for the HSG procedure to evaluate for tubal blockage (which indeed there was). The bloodwork was covered by insurance so I only paid the co-pay for that part.

I did not get this far, but she told me she does eSET.

He was good one on one and made me feel like I was in good hands whenever I saw him. The clinic makes it hard to get in touch with him on the phone which was very frustrating but once he was made aware of the situation he took care of me.

He is a caring doctor if you want a successful retreival.

I used a few different injections to stimulate my ovaries as much as possible. Went in for morning monitoring very often.

If you went early enough you could get in and out quickly enough.

1 cycle for a frozen embryo retreival cost around 5200 including genetic testing.

He likes to only transfer one if possible. If the eggs are good quality and there is no reason for the uterus to not take the implantation then he will only want to transfer one.

Dr Chu was very informative but not always the most compassionate. After my 1st failed IUI with her (3rd failed overall at that point) I asked about changing medications or protocols and she did not find it necessary. After my next IUI with her failed, I again asked from a change or if we could do some more diagnostics and was finally heard and repeat labs were drawn. We increased my dose of gonal-f the next round but still were not successful. I do not have IVF coverage but still after each failed IUI, I was asked if I wanted to move forward with IVF. I felt this was a little insensitive. I was not offered any other diagnostics or protocols other than just moving on to IVF.

She is very educated and informative but doesn't always have a lot of compassion so do not take it personally. Also, dont be afraid to advocate for yourself and things you may want explored further.

When seeing Dr Chu I was still considered "unexplained infertility". I did 3 rounds of IUI with gonal-f. First round, I did gonal-f 50mg with blood work and ultrasound monitoring every few days, followed by 2 days of IUI once follicles were deemed "mature." Second round, we followed the same protocol and dose of gonal-f. After our second round failed, I was begging for more diagnostics to try and see why it hasnt worked. They redrew the same day 3 labs as when we first started and we moved forward with another IUI. This round we did increase the gonal-f to 75mg followed by 2 back to back IUIs but again it failed.

I have insurance coverage for unlimited IUIs and diagnostics and just had to pay co-pays for my visits.

She is knowledgeable but very absent in the process. She did not perform my retrieval, polyp removal or any other appt but was there for the transfer. Just more interaction with Dr Treiser and occasional phone call would have fostered a better connection.

Her frontline involvement in your process is minimal. Not to say she isn’t working behind the scene but you will not get a personal connection with her.

Retrieval follistim, and menopur 150 II for egg stimulation every night for 8 days and Pregnyl 10,000 USA for trigger. Blood work and UA every other day. 8 eggs retrieved 4 to blastocyst and 1 genetically normal and frozen for reciprocal ivf

A lot of money!!!!! Total paid to RMA was approximately 16000 with insurance coverage for certain medical procedures

Dr. Drews was very knowledgeable and was kind even though he did not have a great bedside manner. He was confident which made me feel positive. However, he also didn't seem to have time for me and did not do any follow up. I basically didn't see or hear from him after my initial visit, one subsequent visit and the HSG.

Call early and follow up more frequently. You have to be proactive if you want to see him or hear from him.

We were going to try a few rounds of IUI since my test results were great and I seem to have an unexplained infertility. Dr. Drews suggested that I use something other than Clomid because of my age (I was 37 at the time). He said that Clomid doesn't work as well for people my age - I later used Clomid and responded well to it. We did not get to the first IUI because a week before I would have started the process, my assigned nurse called to say that I had to lose weight. I was not even given the option of proceeding.

It was mostly co-pays with some additional costs for the HSG. Around $2,000 total.

Strengths: She is very compassionate and takes time to answer questions when you see her in person. Weaknesses: She was difficult to get in touch with due to schedule. Ex: in office Monday and Tuesday, can't get her by phone other days. Not very involved in IVF process.

You should know that once you begin the process of IVF you don't see your actual doctor very much.

For IVF we started with menopur and gonal F in the morning (75 of menopur and 150 of gonal F pen) and at night. On the 3rd morning I had to start the ganarelix one injection and did that as well for the next 5 mornings along with the other meds. After the 3rd morning I went to monitoring the 5th day, 6th, and 8th day of meds. Then I did a trigger shot that night of hcg 5,000units and lupron that twice that day. These meds produced 7 eggs, only 3 were mature and only 1 made it to blast.

See previous response about clinic. Do not do monitoring at west orange there are too many patients and not enough staff, go to basking ridge if you can. Also I understand patients want to have their significant other there but then they are not enough seats for actual patients. They need to have a bigger waiting area.

I did the careshare program and we spent 32,000, 600 for anesthesia, 1,500 for meds. Then copays leading up to treatment $60 each time I went.

Well we only had 1 to transfer but I like the rationale as the risks for me would have been much higher with a multiple birth (small body frame)

RMA is expensive, and they are not compassionate when it comes to multiple cycle costs, not necessarily the Doctor but they don't get involved and honestly they should know. They recommend IVF straight away, and in my case that was not the best course of action. I had more testing that should have been done, to realize it was a waste of $28K. I asked Dr. Jurema if there were more tests we could do after my 3rd miscarriage, and he recommended we do another cycle and just pay for the new advanced testing. I had already done testing and had 1 embryo, this recommendation did not make me feel confident and I changed direction after much research.

Don't be afraid to ask questions, and trust your gut.

3 IUI's, 1st round with clomid then switched brands to Letrozole 1 IVF round after unsuccessful IUIs, were doing fresh transfer and was told 1 day before that they were freezing them instead to give them 1 more day to advance After miscarrying with IVF, insurance only covered IUIs. Although they were not successful, they were covered by insurance and we did 4 cycles. First round with Letrozole and developed vertigo like symptoms, we switched to injectables. Unsuccessful 4 IUIs to follow.

Always busy and would often take an hour before it was your turn.

IUI's: around 8K total IVF with medication: 28K

They recommended eSET, and did not feel multiple transfer would be as safe.

Dr Treiser was more than satisfactory as my RE during my time with IVF NJ. I really can't complain about the care I received then. Each time a cycle failed, she had a plan going forward. She was flexible and allowed me to participate in planning the next steps.She can come across as a bit cool at times but like I mentioned previously, I didn't need hand holding, I needed results.

My experience with Dr. Hong and RMA was overall very negative. I barely ever had a nurse (they kept leaving the practice!). I was out through the same two retrieval protocols they basically give to everyone and I had a cyst on my ovary that she misdiagnosed as a dermoid and my only option would be to remove that ovary (my second opinion clinic did surgery and confirmed it was an endometrioma and was able to ablate it without losing my ovary). I wish I knew so much more when I was there to be able to advocate for myself better. We found out right away my husband had severe male factor and we had to go right to ivf. After my second failed retrieval yielded 0 embryos - I was told that I had “unexplained poor egg quality” and that I needed donor eggs. When I asked for a diagnosis (specifically about potential endometriosis) I was dismissed and told that “endometriosis is a difficult surgery and doesn’t really impact fertility anyway”. We were then told it was likely we’d never make children together. I was distraught and still wanted a child, so I went through the donor egg consultation (where I found out yet again the nurse was leaving). I then left to get another opinion and I’m so thankful I did. I got a copy of my records at this point and learned what Hong wrote about me in her notes: a basic summation of how desperate I was to get pregnant as quickly as possible- and zero mentions of my requests for why this was happening. Severely disappointing - of course I wanted to be pregnant already - why else would I be at a clinic? But I didn’t want to go through an incredibly expensive donor egg process without knowing why my body was now failing me. I found a dr who specializes in women with endometriosis, which he found severe endo all over, along with not only my misdiagnosed endometrioma but another one Hong missed entirely on the other ovary. I then got an egg to blast and conceived my son through my next retrieval.

If you are an easy case you will likely have success. If not, or if you know you have endometriosis, leave. You will not get answers as she does not believe in a leading disease of the female reproductive system.

Retrieval 1: antagonist protocol (450 follistim and ganirelix) Retrieval 2: microflare protocol (450 follistim and a micro dose lupron) I was told I was on “max” doses. My response to both was pretty poor.

There were times when it was so insanely busy they couldn’t fit all of the women in the room. No better way to feel like a number than that! Change QUICKLY. My first morning monitoring I made the mistake of wearing an outfit that required a little extra (was wearing a skit with tights) - plus I was on day 3 of my period and the dr left me kind of messy that am. As I was leaving the room the dr on monitoring made a snide comment about how long I took in the room. I left there sobbing. It was awful.

I only had to pay about $100 for the outside genetic counseling, then it was about $5200 upfront for embryo testing and cryopreservation with my insurance through the NJ State mandate. I think they saw the money with my good insurance, unfortunately. It was a hassle to get my 5200 back when my retrievals failed since those services were prepay.

Dr. Foreman is an awkward communicator, evasive and never grasped the accountability and commitment of the process. We couldn't get a clear path forward or a plan - in many cycles. I wouldn't recommend him to an enemy if I had one.

Go elsewhere!

He ow;d not even put me on Clomid - the standard beginning drug of IVF. (I later had good results with it)

who knows? we were always paying even after cancelled cycles. over 18 months later, they sent a mystery bill for 4k. no one there knows why but we called for months to resolve.

In our first meeting with Dr. Jurema we felt confident and comfortable with an IUI approach after learning that we had unexplained infertility. Dr. Jurema was smart, polite and attentive during that meeting. At that time the facility was IVF NJ and at the beginning of our cycle I had one appointment at Dr. Jurema's office where I saw him and discussed day-to-day actions. After that, the facility merged with RMA. From that time on we were not able to speak to Dr. Jurema, nor were our appointments with him. We were given the doctor of the moment or the nursing staff for the rest of cycle 1 and cycle 2. During cycle 2, we requested that Dr. Jurema call us after we were given incorrect information by his colleague. When we did receive his call he was cold and short, providing very little understanding. We asked for more personalized care, which he was not able to provide. We emailed Dr. Jurema when we left the facility explaining that we were unable to continue due to the lack of attentiveness and personalization. Unfortunately it appears that Dr. Jurema is handcuffed by RMA, but we can't say for sure as we were only with him a short time before the facility transitioned.

Be prepared for very little interaction with him.

We agreed to move forward with an IUI strategy. Through Dr. Jurema and RMA we completed one Hysterosalpingogram, which revealed that my left fallopian tube was stretched and taught, but otherwise fine. Dr. Jurema explained that we could complete further testing to determine if it was endometriosis or we could move ahead with the IUI as sometimes it's possible that a woman's natural anatomy can be a cause. We opted to move forward with IUI only, no further testing. We completed two IUIs, each with a round of Letrozole (alternative to Clomid) and a trigger shot (hcg). On the second IUI cycle we also had to take a second trigger shot. Unfortunately I do not remember the doses. Both cycles resulted in negative pregnancy tests.

Covered by insurance. Co-pay was our only out of pocket outside of medication.

She was professional, I just felt like she didn’t care that much if I actually got pregnant. She told me she was “really surprised,” when she heard I got pregnant via ivf. I ended up having a miscarriage and she never reached out after that.

Just expect her not to be overly warm or joyous for you. I think she’s very knowledgeable, but I just didn’t connect with her.

It was the whole team that came up with the protocol, not just her. It was a short protocol, I stimmed for 9 days before the egg retrieval. I got 17 eggs, 10 fertilized, only two made it to day 5, transferred two, got pregnant with one, ended in 6.5 week miscarriage

I could go in between certain hours in the morning, it worked well with my work schedule.

Our insurance covered 100%

They left it up to us, but encouraged transferring twi because of the grade of the embryos and that I have stage 4 endo.

Dr. Morris talks to you as if she is not speaking with a patient but a business person. I did not feel comfortable and her time is precious. We are timed! Each time you see or speak with her either on the phone or face to face it is $300 for 15 minutes. It is all about the money! She was never there 100% of the time. Whenever I do my sonogram, it is always different doctors. Dr. Morris was not the one who did my retrievals. But I do love that doctor cause she is more sympathetic. I would not recommend her.

Research! Research! Research! Do you your research well about Dr. Morris. Do not settle for one doctor for consultation. At the end of the day, it is your decision to make but, in honestly, please do not pick her!

Dr. Morris prescribed high dosages of pills, extra supplements including prenatal and high dosages of follistem. She wanted to get my follicles grow faster. I was lucky to have ten growing but during retrievals, they were all zero eggs retrieved. It is rare they say. I hear this all the time....if you stimulate high dosage, risks are no eggs will be retrieved. I just found out lately.

I remembered just getting blood work first and then ultrasound second. Who does the sonogram I remembered for me was another doctor (male) so it was a sonographers. The doctor was respectful and he would tell us what he sees and tell us how big the follicles were and how many. That's about it.

Oh boy! So, we took out a loan for medical loan that they have at that clinic. So, we never saw the money, it was sent straight to the clinic. All I remembered, if we needed to speak with Dr. Morris, it will cost us each time $300 for 15 minutes of her time.

I did not get this far when I was under the care of Dr. Morris.

He was fine I guess. We only saw him once but spoke on the phone a couple of times. He pursued more testing to try to figure out our unexplained infertility but without any luck. Not sure if some of the add-ons to the IVF procedure were necessary, but I'm not sure that they weren't.

Keep your own detailed records so that you have any questions ready to go when you speak with him.

Was not as aggressive with the stims as our other doctor. Pushed us to do the ICSI but that turned out not to show anything.

Monitoring appointments were definitely a cattle call, but that didn't bother me.

Costs were definitely much higher than at our other clinic.

Dr Fischer takes her time and is thorough. There were some times I did not feel we were talking about the same thing but that was fixed. Everything felt very methodical and I sometimes wished it was more personal along the way

Gonal F with ganirelix for egg retrieval. There was no further testing of my husband's sperm or efforts to correct the morphology. We ended up with only one normal embryo to use. They did ICSI and PGS testing. Transferred one embryo during a medicated cycle my lining was over 16.

We have a lifetime max on our insurance. After one cycle, it is exhausted.

Dr. Treisser called me a handful of times to personally provide lab results and discuss further plans. She was available when I had unexpected problems. She failed to see if I knew my blood type and had me go to the emergency room for bleeding.

Review your records for accuracy.

After a chemical pregnancy of two embryos, an ERA was performed which provided helpful data about the protocol. Double embryo transfer was done twice resulting in one healthy baby.

My doctor was fairly adamant about transferring two embryos to increase the chances of a baby for the parents. She did not really discuss the risks with me, but the risks were in my records.

Dr Hong is excellent but the setup at RMA of NJ is very impersonal and doesn't make for optimal patient experience.

You must be very proactive in managing your care. Dr Hong is great but you need to fight to get to her through the nursing staff, which can be difficult to deal with.

Really crowded on weekends - 90+ min wait even just for bloodwork. Weekdays better but you have to go really early.

She is personable and I like her. She has good training and I trust her.

It is difficult and you have to remain positive.

$250

I only went to Dr Drews for a consultation. During that consultation - I was impressed by how thoroughly he memorized my patient history (I sent a lot of records from previous doctors). However - I felt that he just lectured me about his proposed path for our fertility, and did not try to understand my husband and I's approach towards family building. He forced us towards the donor egg route - saying we could only start treatment at RMA if we started going down the donor eggs concurrently to trying with my own eggs. As a result we decided not to go with RMA.

Definitely come prepared with your questions, and don't be afraid to speak up for yourself. Dr Drews has the tendency to ramble on, given that he has so much experience and knowledge.

I only went for a consultation, and paid the entire thing out of pocket. That's $450 for the consultation and over $100 for bloodwork.