RMA of New York

strengths: they are well practiced, and well coordinated in terms of how they work - it's a pretty well oiled machine but this also is their biggest weakness: they are a machine. It was really easy to feel like a number vs. a patient who's heart is on the line.

I saw Dr stein once during my most recent cycle. Once. Things were clearly not going great but I never got analysis or felt like a pivot was being made.

the nurses were really human, compassionate, and clear communicators. I really liked them and felt like they knew me. my ivf coordinator was lovely - but young - because she was there to help with scheduling and not medical advice, the role she could play was pretty limited.

Dr. Stein is relatively blunt, which i appreciate, but I never felt like he was analyzing me or putting together plans/recos specific to me while in the midst of my cycle. the fact that i saw him once, and that we never had ANY discussions throughout my cycle made me feel like a number.

he is a grown up and won't give you false hope, but you REALLY need to push hard and advocate for yourself if you want time and input from him.

My first cycle was antagonist protocol, where I was on gonal f, menopur, and cetrotide. I was a slow responder to the medications, so was on stims for a full 14 days. the retrieval yielded 12 eggs, 9 mature all of which fertilized.. but nothing made it to blastocyst and all remaining embryos arrested on day 6 before making it to blast (most had died off around day 3). The second cycle i was shifted to microflare protocol, using lupron, follistim, menopur. Again I was a slow responder, requiring 14 days of stims. Retrieval led to only 9 eggs, 7 mature, 5 fertilized, and zero making it to blatocyst. All arrested between days 3 and 5. Heartbreak city.

It was pretty well oiled of a machine, but it did impact my day - I had to be there 7 - 8:30 am every day, which was challenging with daycare drop off and work, but i made it work. it was easier to just have a window that I could communicate to others than have to make individual appts for me.

All in all, i spent about $25K on 2 cycles of IVF, and that's AFTER some insurance coverage. It breaks down as follows: $7K on doctors visits, procedural fees, etc. $16K on prescriptions $2K on a separate procedure (hysteroscopy) my insurance covered (so in ADDITION to what I spent): $K on prescriptions (this was my lifetime max, and i burned through it immediately) $5K on doctors visits/care which was about half of my fertility coverage

we did not make it here, but I know he was a proponent of single embryo transfer.

RMA NY was very organized! I've been to other large clinics that operate in a similar way (eg factory style monitoring hours), but never felt the others were as organized and on top of things as RMA. They called my prescriptions in in a timely manner, were very detailed in their daily instructions and blood work results. I felt like I was taken care of. The only downside (which didn't bother me) is that it can get quite busy during monitoring hours. But because they are so organized, and have the s$!t together, it didn't bother me.

I felt like Dr. Grunfeld tailored my treatment protocol to me and my unique chemistry/makeup. He was on top of my cycle and was willing to make tweaks mid-cycle increase my success

The nursing staff was amazing at RMA NY. They were organized, on the ball, and compassionate. I felt like they were on the top of their game and like I wasn't going to fall through the cracks

Dr. Grunfeld is kind but not overly warm. He gets straight to the point, which I appreciate. He's direct and no nonsense. I felt that he was closely watching my progression on the stimulation medications, and toward the end, he had me come in every day for monitoring and blood work to see if they could push me a little farther. it was reassuring to know that he was constantly reviewing my case, rather than applying a generic protocol

If you're looking for someone who is overly emotive or compassionate, he may not be for you. But he is a kind person and I felt that he was paying attention to me as a patient. Which is what mattered to me.

Dr. Grunfeld had me prime with estrogren patches and Ganirelix before my cycle began, then I did 14 days of 300 Gonal -F and Menopure once my cycle started. He started me out on 2 amps of Menopure but eventually upped my dose to 3 in hopes of getting a better response. I also took Ganirelix for 4 days toward the end. I triggered with lupron and novarell. I'm 41 and developed 9 follicles between my two ovaries. He was happy with this.

They are a well-oiled machine. Monitoring hours can get quite busy, but they are organized and it goes pretty quickly. They also have several other locations throughout NYC and you can go to any of those locations for monitoring during the week, which is nice.

The total cost of treatment (not including meds) is about $15,000 for IVF plus ICSI

We haven't gotten this far yet.

The clinic in White Plains does not have rooms for male partners to provide samples. They expect you to provide a sample at home and then bring it with you to the clinic. It was awkward to say the least to go through that since we live almost 50 minutes away from the clinic. Otherwise, the space is fine. RMA overall gives military discounts, which I appreciate so much. Tricare (military insurance) does not cover IVF or any IVF medications, so it was a huge financial strain on us to do it. But with the discount, it made it much more affordable, and I appreciate them giving it.

Dr. Klein was very open and kind. He gave us his email address on the day of our consultation and told us to contact him anytime with questions.

We had an interesting time with coordinators because our first went out on medical leave in the middle of our retrieval cycle and no one told us. I had to email Dr. Klein to figure out why she hadn't emailed me back. I do not know the details of her leave, so I empathize that emergencies do happen, but I wish there had been better communication about it. The nursing staff overall were very nice. Because of my personal history with disordered eating and weight preoccupation, I do not like to know my weight when it is taken at the clinic. I asked to not be told, but the nurse thought it was a joke and was very lighthearted about it. I wish they had been a little more sensitive to what I was asking.

Dr. Klein was a wonderful physician. He listened to our concerns, and answered all our questions without being condescending or rushed. He gave us his email after our first appointment, and any time I emailed him with questions, he responded promptly. He was very kind and supportive of our decisions throughout our fertility journey.

Utilize his email. The process of infertility treatments can mess with your head, so use his email when you have questions or concerns about any aspect of what's going on.

Dr. Klein and his team are very concerned about success rates for people trying to conceive as well as doing it in the safest way possible. They follow the newest and best protocols from research (and some of the research they do themselves at RMA). He started us with IUI with Clomid and a trigger shot because my last fertility clinic only used OPK for IUI (obviously without success). After 2 of those, he was willing to do 1-2 more, but we were ready for IVF. He was supportive of this.

Monitoring hours were quick and efficient, even when there were 30 people in the waiting room.

Our insurance does not cover IUI or IVF, so it would have been close to $20,000 (including medications), but military personnel get a discount, so the cost was lower.

He does not support doing multiple embryo transfers because of the risk of multiple gestation. This may not be the case for people with low quality embryos, but when we discussed it, he flat out said no. Only one embryo at a time.

RMA has very good doctors--but the entire approach of the clinic is to do large numbers of IVF and egg freezing cycles without little care for the patient. It is very difficult to arrange for a one-on-one conversation with the doctor or nursing staff. I felt like a number during my egg freezing cycle and when I returned to the clinic to use my frozen eggs -- which did not yield any usable embryos. The clinic is also very challenging to work with concerning billing. Even though my insurance provider covers IVF, RMA required me to pay the clinic directly for certain procedures, which forced me to seek reimbursement from my insurance company. On one occasion, the doctor recommended that I take a certain test; the RMA billing staff indicated that because they could not guarantee that my insurance company (CIGNA) would cover it, I would just have to pay for the cost directly I was disappointed that RMA, as a clinic that works on a daily basis with CIGNA, would not facilitate my access to IVF coverage by discussing my need for this test with the insurance provider. This was just one example of many by which the clinic conveys that all it cares about is your money, rather than whether the services provided yield the patient the best chance at having a healthy, live baby.

Dr. Grunfeld barely spoke to me. In 2013, I froze 24 eggs through one cycle of egg freezing with Dr. Grunfeld. The doctor was pleased with the result and informed me that there was no need to do another freezing cycle. In 2018, my husband and I sought to use the eggs after experiencing two first trimester miscarriages. The egg thawing and fertilization process was largely unsuccessful with only 1 embryo surviving to the 5-day blastocyst stage. That embryo was deemed abnormal through PGS testing. An RMA nurse called me with the results. I was shocked. The nurse was rushed and said that we lost a lot of eggs in the thawing process and the fertilization process, and that we also lost more than normal during the stage of growing embryos to the 5-day blastocyst stage. She offered no explanation why our results were so bad. My husband and I were so upset that we called the clinic three times to arrange for a conversation with Dr. Grunfeld. When we finally spoke to him, the doctor was flip. He said that my eggs (and our resulting embryos) did not do as well as planned, but that these results were statistically possibly and essentially no big deal. Dr. Grunfeld then suggested we simply do another IVF cycle--as if it were no big deal financially, physically, or emotionally. I was disappointed, particularly because Dr. Grunfeld had been so optimistic that securing 24 eggs through a freezing cycle would yield good results. Dr. Grunfeld spoke to me and my husband for only around five minutes. The casualness of his reaction to the fact that my husband and I had two miscarriages (conceived without IVF) and a failure egg freezing/fertilization cycle shocked us. We indicated that we would seek another opinion before determining how to proceed. Neither Dr. Gurnfeld nor his office ever called us back to ask what we wanted to do. The entire interaction with Dr. Grunfeld and RMA left us feeling that the doctor and clinic as a whole only cared about our money--not about delivering health care that would help us conceive.

The nurses had little interaction with me. They would call each day with my dosage of stimulation drugs. But they did not get to know me or even engage in friendly conversation. I felt like a step in the factory assembly line.

Although Dr. Grunfeld is clearly knowledgable and an expert in the field, he does not spend time with his patients or adequately explain risks or even the possibility of success with a procedure. Dr. Grunfeld was overly optimistic that my 2013 egg freezing cycle would yield good results. When the use of those eggs in 2018 was a total failure, he showed little compassion or concern and did not follow up with me and my husband to advice us on next steps. I was shocked that Dr. Grunfeld showed little concern after my husband and I experienced two miscarriages from spontaneous pregnancy *and* a failed egg fertilization cycle in which my 24 eggs yielded 0 embryos that tested PGS normal. It was disheartening that we had to call his office numerous times to get even a short (5-minute) conversation with him and that his response was to simply suggest that we do another fresh IVF cycle. I felt like a number and had no confidence that Dr. Grunfeld really cared whether my husband and I were able to conceive.

I would not recommend that any prospective patients seek treatment with Dr. Grunfeld at RMA. I would recommend going to a different clinic. I now see Dr. Samantha Pfeifer at Weil Cornel, and am having a much better experience.

Dr. Grunfeld gave me gonal F and Follistum for egg stimulation. He also added ganirelex later in the cycle and Ovidrel for trigger.

I paid approximately $11K for egg freezing, $4K in storage fees, $3K in genetic testing for me and my husband, and $3K for egg thawing and PGS testing.

Dr. Grunfeld prefers SET, which is fine. My husband and I had no normal embryos to transfer.

Yes, a lot of people will tell you RMA is a factory. But the truth is, that's a good thing in the sense that it moves quickly and they're efficient. Despite all that, the staff is amazing. They're always smiling, caring, ready to help, listen and all. As weird as it sounds, I always enjoy going there. You'll see many different doctors during the monitoring, and they're all very nice and professional. However, every step will be provided by your doctor and his team.

We first went to see Dr. Lederman not knowing we had any issues and just because we had been trying to conceive for 7+ months and were getting impatient. We went there just to get more info, not thinking we even had any infertility problems or so. He was very approachable and very welcoming. He asked us to do a few tests to ensure everything was good and he was very knowledgable given us tons of advice.

Everyone at RMA of NY has always been very friendly and caring. The main nurse I communicate with is Eliza and she's been amazing! Answering every question, email, calls, ready to see me anytime. She has great advice and genially cares. The IVF coordinator was Julia and she was also great in helping me get set-up and organize the meds process, and payment etc.

When we first found out we had to do IVF, following the results from our first meeting with him, he was very human and caring. We went to see him, a bit devastated to the news, and he was very reassuring in providing us all the info we needed, all the steps, etc. He would answer every email, be okay to meet if need be, and always ready to give advice, always being very rational. We're still in the process of our first IVF, and having the transfer next week - hoping it will all go fine. So far, I'm very happy in working with Dr. Lederman.

Be ready to learn a lot about it. He is very into genetics/diseases and will always push you to do as much testing as possible. He is available, professional and rational.

We are doing our first IVF, due to male factor so I don't have any infertility diagnosis. I was put on birth control, then did menopur and gonal f for a bit more than 1 week, and then trigger shots for the retrieval. Since we did PGS testing, I was off meds for a bit more than 1 month and now just started the transfer meds including estrace and just started progesterone in oil shot.

Dr. Lederman is against, and will not allow multiple embryo transfer. He will push you to do PGS testing if you can afford it.

Strengths: Very efficient and polite. Not sure on the weakness. Perhaps it would be nicer if they responded to messages in a more timely manner. Or at least try to be available immediately to converse with the patient.

The treatment and care felt very sincere.

They were very polite and professional. Not once did I feel like just a number. The care and patient they provided made me feel human.

It was such a pleasure being Dr. Stein's patient. I felt like he really understood my unique I initially thought there was no hope in me getting pregnant again. But at the very last minute Dr. Daniel Stein came out to see me one more time in the waiting room and said let's try something different this time. That sudden encounter gave me the hope I needed to push through. And here I am now....writing this review with my daughter snuggly attached to me (via wrap) sleeping. I would highly recommend Dr. Stein to everybody....even my worse enemy (if I had one). condition and went above and beyond to help us get pregnant.

Trust Dr. Stein. And do not be afraid to ask questions. You have to be your own advocate.

I had previously had eggs retrieved from a different doctor. After two failed attempts we decided to go with another Dr. and that's when we met Dr. Stein. He performed transfer the first time with me an it resulted in a successful pregnancy.

it was well oiled machine. The operation was very efficient.

The cost is obviously expensive. But the two loans we took out to finance our fertility goals made it well worth it.

My husband and I were eager to try transferring two embryos. Dr. Stein did not object initially....but he eventually expressed his concerns and advised the risk that involves multiple births We were disappointed and thought he knew best.

Sometimes it feels like a factory, but they get you through the process and are caring and compassionate, especially if you reach out for support. Advocate for yourself, ask as many questions as you can think of, try to stay ahead of what's coming up for you and make sure you have what you need (meds ordered in time, etc.).

Sometimes I felt like a number, when I wasn't sure if they were paying attention to my cycle and upcoming start dates and the needs attached to it (e.g. getting meds delivered around travel schedules). But overall, the nurses were very friendly and available - by email, phone, and in person. And when I did need to ask Dr. Copperman questions or have him give me extra time and attention, he gave it to me upon asked, with wisdom, but also kindness and sincerity.

Nurses were all great. Sometimes it did feel like there were a lot of cooks in the kitchen and I wasn't sure who was paying attention to my upcoming cycles. But once my cycles were underway, all was smooth and nurses responded very quickly to all of my questions and concerns (even the insane ones).

Dr. Copperman brings all of his experience and expertise to helping you get what you want. Sometimes I had to ask him to be more forthcoming about his opinion, since the tendency can be to let you take charge, but he did this when asked, and ultimately helped me not waste time and get pregnant in less than 6 months! I felt especially attended to during my FET cycle and during the weekly visits with him after my positive pregnancy test. He confidently told me everything looked perfect as we went along. I felt reassured and like I was in great hands. By the end I was so comfortable, that it was hard to leave and switch to an OB.

Don't be afraid to advocate for yourself and ask for what you need, while trusting you are in expert hands.

I had low AMH levels and was a low responder during my two egg freezing cycles. During my one IVF cycle where we retrieved fresh eggs, he used a micro flare protocol. I think they retrieved 5 eggs, 4 of which were mature and fertilized. However only one embryo survived a week of growth to be PGS tested and frozen. Luckily it was normal, and this was the embryo that was transferred two cycles later and stuck. I did two IUI cycles before IVF. Each was with Letrozole and a trigger shot.

Once I got used to it, it was easy. I knew the latest I could show up in the morning (I'm not a morning person), and when I would usually be done by. The staff who drew my blood were almost all warm and skilled. Doctors who did ultrasounds were friendly and patient and would stop to answer any questions I had as needed.

For my egg freezing cycles, insurance covered about half of the costs by covering almost all meds, ultrasounds, and testing. So I paid about $10,000 total for two cycles. My final IUI and IVF costs have yet to be fully sorted out, but I think insurance is covering it. I paid copays of $20 or $40 for many but not all visits. I had one visit with Dr. Copperman where he was out of network with my insurance at the time and I paid $100 for an office visit.

My doctor only transfers one embryo at a time to minimize the chance of multiples.

Most of my monitoring is done remotely as I live of out state, however when I have gone to appointments at RMA the offices are always clean and staff are friendly. The Manhattan – Eastside office is particularly busy and can be a bit overwhelming during monitoring hours but their process is very efficient which helps.

Dr. Davis clearly explains all of our treatment options and makes time to answer all of our questions. He is kind and approachable and seems to truly care about about the outcome of our treatment.

Strengths: Staff are very prompt in responding to questions via email or phone. Weaknesses: Lack of coordination and multiple follow up emails/calls needed for the same question. Not always supportive/compassionate.

Dr Davis has an excellent bedside manner and does a great job thoroughly explaining different methods and approaches to treatment. He is very prompt in responding to emails and addresses any concerns. Communicating with Dr. Davis feels like a dialogue between two equal partners instead of a one-sided conversation.

You are your best advocate. Speak up if you have questions/concerns and educate yourself on your treatment options.

freeze all - antagonist protocol with birth control bills

Most of my monitoring is done remotely, but when I have gone to monitoring hours it's been at the Manhattan – Eastside office which is quite busy. That being said they are very efficient and if you get there early you can get in and out rather quickly.

Insurance did not cover any of my treatment. Both freeze-all cycles were approx. $15K + $2-4K for medications. Transfers were approx. $2,500 + medications.

Dr. Davis was a strong advocate for transferring a single embryo for all of our transfer cycles. Given my age there wasn't a real reason to transfer multiple embryos and the risk associated with multiples was not one we felt we needed to take at this point.

The Brooklyn office is warm, faster, and generally smaller - making it a more ideal location. The main office on Madision Ave of RMA is a giant cog machine that routes people through as numbers not faces and it is a factory.

While the clinic is definitely a 'by the number' clinic - Dr. Lekovich herself was warm, interested, and responsive.

While there was some lapses in communication, overall they were responsive, fast to respond to inquiry - and if they needed to check with the doctor they got back to me as soon as possible. This is at the RMA of BK. The staff and nursing staff at the main RMA - were less helpful.

The doctor's strength and weaknesses cannot be conflated with the weaknesses of the clinic. The Doctor checked in, followed up, and kept me informed throughout the process. During one cycle of retrieval I barely saw her and she made sure to reach out.

Email is a good way to get ahold of her - the nurse can always connect you as well. She is forthright and will not sugar coat it - but does it warmly and with compassion.

I used Gonal F, Menopure and Cetrocide towards the end of the retrieval. I was also on Lovonox 60mg to prevent blood clots due to Factor 5. I can try to look back and provide more information but it was approx 2 menopure vials at night, 300mg gonal f in the mornings and that increased towards the end.

It was morningtime before work. I was lucky enough to live walkable to the location. The phlebotomist at this location was the BEST - pain free, didn't leave marks, always quick. It took longer for the ultrasounds depending on what time you arrived, but never TOO long. The weekend hours were at the Madision Avenue location were a cluster and cattle call. Jam packed, call out your name large system. It was disappointing there were no hours at the BK location.

This is tricky, insurance initially denied. So the costs of that were 15,000 for the first round of retrieval. 6,000 for PGD/PGS. But then that got discounted because I did not do transfer, so the second round cost less. With insurance finally being fought and won. The PGD was not covered, but the co-insurance was only 1,500 per retrieval round. So for three rounds 4,500.

The systems and daily operations are very straight forward and easy to navigate. I am an RMA west side patient. However, procedures bad weekend monitoring is done at the east side location. It's very busy!. Staff is always willing to help. Finance, check in, phone calls, after hours service. All very easy to navigate.

Most of my contact had been with the nurses, who are amazing. Most of them very knowledgeable and patient. Take the time to answer my questions and call the same day. My contact with Dr. Stein has been much less. I expected to be more in direct contact with him throughout the process, however, the option of scheduling phone or in person appt is always open.

AMAZING! Very patient, compassionate, caring. They took the time to answer my questions, no matter how many times I asked.

Dr. Stein is very knowledgeable and realistic. I appreciate his management of expectations, while also providing hope. I thought he would be the one doing all my procedures and that I would be in direct contact with at all times. But this is not how RMA operates. So I've been mostly in contact with nurses and his staff. All very nice. I appreciate that he is available via phone or in person relatively easy.

Come prepared with questions and push for more details. I am someone who needs to know understand every bit of the process. Dr. Stein is very concise and gives just enough information. However, if you push a bit he gives more information.

Hours are 7-8:30 at West Side office. It's a much smaller office than the East side, so it feel more intimate. Technicians are very efficient and quick. It's a well run operation. If you go only for bloodwork, it's pretty quick. If you also have ultrasound it's a bit more time but not too much more.

Approx: $7000 for each IVF cycle, including insurance co-pays, ICSI, PGS, meds.

This is a big place that takes insurance. The coordinator who I worked with was very attentive and helpful. But the size and cookie-cutter nature make this clinic a poor place for older women with egg quality issues.

Dr. Sandler met with me ahead of the IVF and he had reviewed my file. During the cycle, I never saw him nor spoke to him. After a failed IVF, I had to make an appointment and waited two weeks to see him. There was little communication.

I had to call continually because nurses often failed to respond before 3pm. Which is stressful if you're doing an IVF the first time. They offered little information. In fact, my FSH was very high during the cycle. I told the nurse it seemed wrong and she dismissed my concerns. There was little personal attention.

I came with questions and he answered all of them. But I had very little interaction with Dr Sandler - except for my first consultation and retrieval. He seemed to have little time for me and didn't answer my questions. I went to him because an acquaintance recommended him, but I would not have chosen him on my own - I should have listened to my gut.

Don't go to him if you're older and have poor egg quality. He is of the philosophy that the more medicine, the better.

It was very cookie cutter Gonal F and Menopur, with higher and higher doses as my body didn't react well. There was no preparation of my body for the IVF, no estrogen patch. In fact, my FSH was very high during the cycle. So high that I told the nurse this seems wrong, but they insisted everything was fine.

It was a cattle call line, but I rarely waited more than 15 minutes. I was one of the first to enter, though.

My insurance covered most of the costs, except for a small co-pay.

N/A

They are amazingly efficient! If you go in the morning, you'll be out in less than 30 minutes! Mondays are a little hectic, but otherwise, it's great. When I started, they didn't take my insurance, but that changed about a month in. I was a little apprehensive when I went for the first time since all of the reviews were from people who were a little further along in their fertility journey. Everyone at the clinic is friendly and efficient, and I also recommend it to someone who may be earlier in the process or have unexplained infertility.

I expected to see a different doctor every time I went to the office based on the review that I saw. I did see a few others, but Dr Copperman did my IUI, and saw me for 1-2 monitoring appointments as well as my last visit during which I was discharged. The nurses and staff are so friendly - Leyla and Jordyn (his nurses) are always available over email - they are friendly, informative and their responses are personalized.

Leyla and Jordyn were awesome! I think they both sensed how nervous I was so they always called w/ my results within a few hours of my morning visits. I often wrote them emails with questions about my results or symptoms I was experiencing, and they both wrote back immediately everything - they were very helpful and reassuring. Both were a really calming influence and amazing resource during my time at RMA.

Dr Copperman was extremely warm and understanding when I met with him during my initial consult. He was happy to answer all of my questions and address my concerns. He was realistic but not an alarmist. He also understood my mental and emotional state. I had come to him after my second chemical pregnancy in the 10 months I had been trying. He didn't initially propose the most aggressive course of treatment, but set my expectations as to when I should pursue those options. He did my IUI, and saw me during what was apparently a more critical monitoring session, and then was there to discharge me on my last visit.

Come in prepared to ask questions! He is really smart and moves quickly, but if you have questions, he is really patient, thorough and informative. I never felt like he was rushing me out the door.

I came in after 2 chemical pregnancies in 10 months. He suggested "time sex" with the option for an IUI if my husband was out of town. He thought that based on my bloodwork, I might be ovulating at an unexpected time. They would monitor me till I was about to ovulate, then give me ovidrel, which would guarantee ovulation within 36 hours so that I would know when to "try." My husband ended up being out of town that week, so we did an IUI with frozen sperm, and I got pregnant on my first one.

Including the frozen sperm, the IUI cost less than $1000. Each visit with bloodwork and an ultrasound would be about $40 after insurance.

n/a

I think the clinic is designed as a well oiled machine. They have a process that allows you to go in early in the morning for monitoring and you will get the responses later in the afternoon. The clinic where you have the procedures it's ok, not impressive but has everything that they need to perform the job.

Dr. Lederman made me feel like a person and less like a number, considering the amount of patients he sees. He has excellent beside manner and answered all of my questions to ensure I understood my options, the treatment and the process.

Julia, the coordinator was great. Always available and an excellent main point of contact for questions or to reach out to other members of the team. Erin and Martha are two of Dr. Lederman's nurses and they were always kind, answered any questions and gave you a call with your lab results and medication instructions.

Dr. Lederman explained my options and tried to give me the pros/cons for each based on my health history and age. He has excellent beside manner and was very responsive to questions I had throughout the cycles in person while in monitoring, via email and through his coordinator. Due to the way the cycles work, I didn't always get to see Dr. Lederman for monitoring but he was always reviewing the cycle details. For the transfer and subsequent monitoring after positive pregnancy test, he was the only doctor I saw during the monitoring hours. Overall, I am very satisfied with his service.

I would say, do some research before going to the first appointment so you can ask all the questions you may have. Also, note that you may not see him during monitoring since the doctors rotate days to perform monitoring and retrieval but he is available if needed through the process.

Based on my personal health and situation, it was decided to do IVF with freeze all cycle. I have some eggs frozen for future use and then added two cycles to fertilize the eggs and transfer embryos. I had two cycles and after having three healthy embryos (after performing PGS testing), I got pregnant after the first transfer.

The system worked and it was pretty quick. Only on weekends when everyone needs to go to one clinic located on the East side the wait would be a little longer but never more than 20-30 minutes.

Egg freezing was out of pocket but the IVF cycles were covered by insurance and I was responsible for the regular copayments.

Based on my age, it was not recommended to have more than one embryo transferred. I believe it is RMA's policy to transfer only one embryo which I agree to, multiples can result in a high risk pregnancy and my age already pushes me towards that.

Strengths - thorough, efficient, multiple locations, everyone works together, very clear financial information Weaknesses - everything is done at the Madison Avenue location on weekends and it can be very busy with a bit of a wait

Always addressed by name. Always saw a doctor during my visits. Emails and phone calls addressed rapidly.

My care coordinator Nicole was amazing. She was constantly available by phone or email and ensured that all of my questions or concerns were answered. They called when they said they would and all verbal instructions were backed up with an email. Everyone was friendly and gentle and nothing was ambiguous.

Dr. Stein is not the most "warm and fuzzy", but he is very compassionate and very direct. It is obvious that he cares about every patient that walks into his office. He is efficient and he is one of the most knowledgeable doctors I've met. He diagnosed conditions no one mentioned before and gave me clear feedback on how we were going to address various things. He listened to all of my concerns about going through IVF multiple times and made sure that I felt safe.

He is very direct...if that is off-putting, you may want to reconsider. I loved his blunt approach and his honesty. He also has a great sense of humor.

1. He diagnosed me with PCOS (first time anyone said this to me fyi) and put me on metformin to improve my egg quality and my response to my drugs. 2. He said that my ovaries were very responsive and used lower doses of stimulation drugs for my IVF so I'd be more comfortable would have fewer side effects. 3. He set me up with a nutritionist so that I could lose weight and learn how to eat better for a person with PCOS (and I lost 60 pounds!). 4. He tested me for bacterial endometritis (which can happen in women that have had IVF and IUI and can prevent implantation during FET) and I definitely had it. We treated it for 2 weeks and then re-biopsied to confirm I was clear.

Monitoring hours are in the morning. However, it runs very smoothly and I was never sitting around waiting for more than 20 to 30 minutes...and those waits were usually on the weekend. On weekdays, I hardly waited at all and could go to monitoring and still be on time for work.

My costs were predominantly covered by our insurance. However, we spent approximately $700 to $800 in lab fee copays and office copays and our medications cost us roughly $2000 to $3000.

Dr. Stein ONLY does single embryo transfers. We discussed the trade-offs and I was comfortable given my age and the higher risks of complications and pre-term labor with multiples.

RMA is a factory - again, this isn’t necessarily a bad thing but it does mean you won’t get personalized care and you MUST stay on top of your own treatment and be your own advocate. There were multiple oversights in terms of my care and I was tested for things (that could have negatively impacted treatment success and turns out I had) only because I insisted on doing so.

RMA is a factory, simply put. This isn’t entirely bad, as they seem to know what they are doing (for the most part) - but you will not be treated as an individual really in any way.

As is the case with large practices, nurse staff quality ranges. We’ve had some very positive interactions and help from nurses, and then some major major oversights and multiple miscommunications in terms of medication instructions that we had to catch ourselves.

Dr. Copperman is very knowledgeable in the field and seems to be on top of trends in the industry. In terms of personality, he is very robotic and difficult to engage. Over the course of treatment (including 3 transfers), he was seen only for the first.

Dr. Copperman is exceedingly more of a researcher than a warm and caring doctor. If you want warmth, compassion and a relationship, I’d go elsewhere.

Treatment protocols for egg retrievals were never changed or personalized, despite diminishing number of eggs retrieved each cycle as age increased. Dr. Copperman also would not consider natural cycle for FET.

Monitoring hours were typically smoothly run. They could get be crowded depending on the day, but most of all it was as positive an experience as possible.

IVF was not covered by insurance so costs were high - around $20,000 for egg retrivel and $4,000 for FET.

I think like most clinics there is a wait during monitoring hours. It could be as little as few minutes and as long as 30/45 minutes. If you come very early then usually there are no issue with the wait. I personally was not bothered by this so the best advise that I would give to a new patient is to expect it or at least try to work around it by coming in very early. At the end of the day its worth it and if you have many good books on your "to read list" this would be a good opportunity to catch up.

Dr. Stein was always honest about what to expect. This was helpful especially during the times when things did not go as I wanted them to go. I also really appreciated the fact that I could email Dr. Stein at any point with any question and he would answer promptly. I was a worrier throughout the process and he definitely eased my mind on multiple occasions. This is not an easy process for anyone but I always felt that I was in good hands and that Dr. Stein knew exactly how to achieve the best possible result given my situation.

Eliza was great. She guided me through every treatment. He attitude was always so positive and she always seemed like she was happy to see me and genuinely wished me well. The coordinators are good but not great. The main reason is that they are not as organized as some of the other staff. You really have to be on top of them to ensure that you get the right medication and everything is received timely.

I was treated by Dr. Stein in 2014/2015 and then again in 2017/2018. He was recommended to me by my ObGyn who is absolutely fantastic. Throughout the treatment I felt very confident that I was in good hands and that Dr. Stein will achieve the best possible outcome. He was always honest with me and, most importantly, was available to answer any questions via email.

Focus on what's important which is being treated by a knowledgeable doctor who has a wealth of experience and knows what he is doing.

We started with IUI. I got pregnant on the second try but unfortunately miscarried at 7 weeks. We tried two more IUIs and then switched to IVF. The first egg retrieval was not successful as only 1 embryo survived and it did not pass the genetic testing. The second try was successful and we ended up with 3 healthy embryos. We did 3 transfers. 1 resulted in our beautiful son. The second resulted in a miscarriage. And the third one resulted in a healthy pregnancy. Due date is in September 2018.

The monitoring hours are every day from 7am until 8:30am (plus minus 30 minutes as I do not remember exactly). The later you come the more people are waiting. For the most part, the wait was not long. If you arrive early then there might not even be a wait.

Most of the treatments were covered by my insurance. However, the genetic testing was out of pocket.

I am not exactly sure if there is a preference but all of my transfers were single embryo transfers and we never really discussed it to be anything else.

You should be aware that this is a very large practice and there will be times when you might feel like a number rather than a patient. However, a crowded waiting room does not mean that you are part of a conveyor belt, once you are behind the scenes, our treatment always seemed very personal. A large practice gives many pluses and minuses, and you should think about what you are comfortable.

Dr Flisser is a very kind, very warm man who really cared when speaking to us and always took as much time as was necessary to explain his thoughts on our treatment and why we were doing what we were doing.

Olga was our local coordinator, she handled our paperwork and telling us our lab results and what was expected for the following day or week, whichever was appropriate. (We had a different financial coordinator). Olga was not in charge of the day to day blood testing, that was Chrisi, who was always fantastic.

Dr Flisser is a great doctor, but is also part of a larger group of doctors. The group seems to help set the overall standards of what is considered appropriate treatments and Flisser must work within those standards. He cares, he is very human and humane, but ultimately works in a system that is designed for what works for the most number of people and can only tailor a specific treatment for our needs within certain limitations.

Speak as much as possible, the more he knows the better he is able to treat you. Be an active participant in your medical care.

We completed seven IVF cycles with Dr Flisser. In broad strokes, the cycles were similar not not identical. The cycles all started with differing levels of Follistim and Menopur, followed by Ganirelix. We shifted from a Lupron trigger to a larger HCG trigger as our treatments progressed. We went in to the Garden City office for monitoring (blood and sono) during weekdays (we needed to run to the main Manhattan office on weekends). We would do a retrieval in Manhattan, followed by a fresh transfer on Day 5 (RMA only offers Day 5 transfers) and we always forewent PGS genetic testing. Our second cycle did produce a positive pregnancy result, but only lasted seven weeks until a miscarriage occurred. As we progressed in our cycles, we also decided to explore other, complimentary, options to our medical treatment. These ranged from added vitamins and antioxidants to thrice weekly acupuncture to more experimental methods involving immune-therapy. Dr Flisser was mostly receptive to our concerns, but did tell us when he thought these alternative methods would interfere with our regular regimen.

This is a large practice and it has a first come, first served policy. Once you get a handle on when things are busy and how long they last, it is very easy to work around the monitoring hours. However, my wife and I had a great deal of flexibility in our morning schedules, which allowed us to handle the monitoring quite easily, your results may vary.

The costs were considerable, but we were fortunate enough to have very good insurance and our insurance company classified this place as a "center of excellence" which offered it's own significant advantages. We also had a finance coordinator who took care of our billing for us.

In general, Dr Flisser is open to lots of different approaches, but does work from the overall statistics about what works best for the most people. This is a great overall approach, but may not work for everyone by definition, so it is important to be active in your own care.

RMA is a bit of a factory but it is convenient with quick monitoring hours available all over the city. And I have found the other doctors at RMA that I have seen during monitoring, egg retrieval, and FET transfer to be overwhelming competent and warm which is nice because you don't always get to do procedures with your doctor. It is also great that they call you with results / directions and then email them as well so you don't have to be worried if you didn't catch everything.

RMA is very effecient and is able to see alot of patients at same time. Some of the nurses that you get to know are quite generous and warm and then you feel like a human. However, you rarely speak with your doctor unless you catch him during monitoring hours - so that makes you feel like a number.

There were a few nurses that worked with Dr Copperman that would connect with you re results or directions for special procedures. They were all very upbeat, positive, warm, and excellent communicators. I really enjoy speaking with them. The rest of the nursing staff that took your blood is also very warm, efficient at taking your blood quickly.

Dr. Copperman is an exceptional doctor and knows what he is doing. I trust hime with my medical care and although it has taken us awhile he is always ready to keep trying. However, he is not warm and fuzzy and this has been hard for us at times when we needed a bit of encouragement. He is very much a scientist reflecting on data and analysis to determine best course of treatment. I can't complain because we have so far gotten the results we wanted. So his system must work. It can also be hard to get an appt with him as he is VERY busy so sometimes it seems that you speak via the nurses to him versus hearing your plan straight from your doctor. RMA is a bit of a factory but it is convenient with quick monitoring hours available all over the city. And I have found the other doctors at RMA that I have seen during monitoring, egg retrieval, and FET transfer to be overwhelming competent and warm.

Ask a lot of questions so that you feel informed of what the next steps are. Dr Copperman has alot of statistics and that helped me make decisions as to do IUI or IVF. In that way he is super helpful on what success rate of each procedure is.

Egg retrievals worked best for me when I took birth control pill for 1 month and then started menopur, follistum, and lupron. For FET I was on estradial pills, vaginal e-ring, and estrogen patch, and progesterone in oil via injection.

Monitoring was a well oiled machine. If we got there early enough it didn't ruin our day. And since there are locations all over the city it felt quite easy. And then we would treat ourselves for a nice breakfast before work.

About $13000 per egg retrieval / $3500 for FET transfer. $2000 PGSD for testing

Dr Copperman would only transfer 1 embryo. He said statistically 1 embryo transfer is more successful and is safer for baby and mother. We went in originally wanting to transfer two embryos so we were a bit disappointed to hear he would only transfer one. However, we only have a few embryos so I think this route is much better for us health wise and strategically.

I am thrilled with Dr.Davis, his receptionist, nurse, and all of the staff who draw blood during monitoring hours. These are the people I see most often on my visits. I have not been as happy with the coordinators, but I deal with them a lot less.

I feel doctor Davis cares deeply about my case, but he is not the type of doctor to get extremely personal or send follow up texts after a failed cycle. He is very straight forward and matter of fact. For me it works, because it gives me great confidence in him. He has a warm personality and has never made a consultation feel rushed.

I am very happy with the care I have received from doctor Davis. For me he is a great fit. I have a lot of questions and he answers them thoughtfully and thoroughly. During my procedures I have always felt I was in the most capable hands. I only once felt unsatisfied. I was prescribed a medication before a procedure that had pretty bad side effects (extreme cramping and a lot of bleeding). I was not told about the side effects by my doctor, nurse, or pharmacy. I am assuming Dr. Davis thought I would be told about the side effects by the nurse, or that they would atleast be included in the booklet that comes with the medication. It was very upsetting at the time, but I don't even know who is to blame. That is my only negative experience thus far, and I believe it was an honest mistake.

Dr Davis is a wonderful doctor with a great personality. At times I feel like a number, but that is due to the high number of patients that visit his office. There are only 2 doctors at his location, and at times there are a 10 or more patients in the waiting room during monitoring hours. I think that is just a testament to what a good practice it is, and it does not hinder me in any way from going there. I believe I am receiving the best care at RMA. I think if you want to be educated about your care by a doctor that you like as a person, than Dr. Davis is a good fit for you.

I have done 2 IUIs with Dr. Davis, both with clomid and ovidrel. I did not have success with either cycle, but I was fully educated about my likelyhood of a pregnancy before proceeding. I intended on doing a third IUI, but the doctor saw a uterine polyp on my last ultrasound that needs to be removed. I am turning 37 and feel I don't want to delay any longer, so I will do an egg retrieval this month, remove the polyp the following month, and then do a frozen transfer after I recover from the polyp surgery.

Including meds I think I paid around 850-900 per IUI cycle. Including meds, ICSI & PGS testing I expect to pay somewhere around 32K for my upcoming IVF cycle

RMA is run efficiently . There are several locations in Manhattan , Brooklyn and Westchester so it’s convenient for people in various locations in the city . However the monitoring hours should be a bit more flexible . The strict monitoring hours makes it difficult to rearrange your schedule depending on the type of job you have .

Dr. Lekovich was friendly and answered questions that I had regarding my care .

Warm , compassionate and caring are some words that come to mind when thinking of the nursing staff . I was told at the last minute that I needed another medication exhausted od my bloodwork and I was panicking because I didn’t k ow how I’d get it in such a short space of time . Unfortunately , I don’t recall her name but she ended up giving me the medication and tried to calm me down . I was so appreciative of the kind gesture that was shown to me .

Dr. Lekovich was able to answer questions that I had in a kind and professional way . I love that she seems to know her patients by name even when she’s not in the examining room . My only gripe would be that she doesn’t answer emails when it’s sent . I ended up asking my question in person but it works have been nice to get a reply via email .

Have your questions ready to ask her . She is very quick to answer questions .

The antagonist protocal was used for my treatment . I used Gonal F, Menopur , Cetrotide along with trigger shots Lupton and Oviidrel. The idea was to increase the amount of eggs for a successful cycle . It worked ! Just hoping that a healthy embryo will be the result .

Monitoring hours were a pain because of my work schedule . I wished that the monitoring hours were more flexible .

My insurance covered some of my costs . The outstanding costs were mostly the ICSI ,PGS anesthesia and genetic testing .

When you enter RMA , the clinic seems to be run like a well oiled machine . Everyone is seen efficiently and that’s wonderful when you are in a rush to go to work at then end of your appointment. However with that being said , it feels like a factory with a lack of compassion from the doctors responsible for your care . Return callls from the nurses take place within a few hours or by the end of the day . There are so many doctors on staff so getting in touch with your doctor may be difficult . My wish would be for a direct line to your doctor’s officers prevent going through the message answering protocol .

Dr. Kudesia was friendly and answered questions related to my procedure . However , our sessions did feel rushed.

When I had to meet with the nursing staff to discuss medication or had additional questions related to treatment the ladies were very compassionate and patient . They empathized with my situation and made attempts to keep me calm .

She was warm, friendly and compassionate . She answers questions when asked . However when I asked questions after an ultrasound , at times I felt like she was in a rush to leave the room the minute ultra sounds were completed . I felt as if I had a question it would be almost impossible to get them answered . I know she had other patients but it made the care given by her very rushed .

She recently moved

I completed three rounds of IUI because my insurance didn’t allow for IVF until I had three rounds of the IUI. No pregnancy resulted from the IUI. Dr. Kudesia then started the IVF cycle but unfortunately had to move towards the end of my treatment.

Monitoring occurred very early in the morning . There was no flexibility which made it stressful and difficult to arrange times with work and getting to the appointment on time . I would prefer if they had afternoon hours to accommodate people with a different time schedule .

Thankfully my IUI was covered with my insurance . my insurance paid for some of the cost associated with the IVF. I was responsible for paying my co insurance , medication , anesthesia , ICSI and PGS testing .The medical coordinator was good at informing me when payment was due. After insurance , the cost for the above was around $9,000.

RMA is a baby factor. It is often highly difficult to get someone on the phone, and even harder to get a call back. While my doctor treated me as an individual, the clinic absolutely makes you feel like an impersonal number. It can be very frustrating and upsetting not to feel valued. Specifically regarding the Long Island office, I have always had a pleasant experience.

Dr. Flisser always makes me feel like I have his full attention both when I’m in his office talking or while undergoing treatment. Although the office is hectic and the office staff are often difficult to reach, Dr. Flisser always returns phone calls and provides his full attention. He is compassionate and informative, always making sure that my husband and I have full understanding of all of our treatment options before leaving his office. Although I have not yet gotten my positive test, I am confident that Dr. Flisser will get us there.

I have dealt with many nurses who have all been helpful to varying degrees. Courtney, my IVF coordinator, has been absolutely wonderful and accessible.

Dr. Flisser is an asset to the RMA community. He is a kind, caring, and well informed doctor who has helped me to navigate through an awful and emotional process in a compassionate and meaningful manner. Although he did not personally perform each of my IUIs, he was always involved with the treatment protocol. During a particularly difficult time for me, Dr. Flisser sat on the phone with me for 45 minutes reassuring me and helping me to understand what was going to happen. As I’m about to begin my ivf journey, I am absolutely confident in Dr. flisser’s abilities to get me my desired outcome.

Be a partner in your care; ask questions and be informed about your care.

Due to my diagnosis of PCOS and hypothyroidism, I was prescribed Clomid, ovidrel, and endometrin for my IUis. Going forward, I will be doing IVF with ICSI. I’m unsure of the specific protocol being used at this time.

IUI was covered by insurance, IVF will cost approximately 16,000.

Dr. Flisser does recommend eSET and while I would like to do multiple embryo transfers, I understand his rationale.

Clinical strength of the team and also having a patient coordinator gave me 100% confidence and took the stress away. Weakness is you always see different Drs and the weekend waits are bad, plus the men can take the patients chairs! That needs sorting out.

Direct but honest and caring

The organisation at the clinic is first rate and really makes a difference as the questions and pressure is taken off

Very knowledge and I felt 100% confident in his abilities. He is very fixed on his way which seems to work. He is not open to transferring mosaics as he not only wants you to conceive a baby but a healthy baby. He never performed any procedures which was a shame, he always promised me he'd do my transfer but wasn't available on the week it took place.

Talk about the risks of multiple cycles to your body? Having had 8 cycles I do worry that I'd doing long term damage to myself. Also PGS - is it really really worth it? What if you're throwing away good embryos - what is the risk of that?

Antagonist for 2 cycles. I was slightly over suppressed on BCP for first cycle so we did less time on that for the second. Also I had less menopur and more follistim on the second. For the first cycle I got 4 blastocysts but when PGS tested, none were normal. For the second cycle I got 5 and 1 normal

Efficient but it is a cattle call and horrible on the weekend when everyone decends on this clinic. I hated that

$15K a cycle ex meds and PGS external cost (which is actually $150 per embryo which is very reasonable)

1 as we only had 1 at this clinic so wasn't an option to transfer more