RMA of New York

The biggest strength is that they know what they're doing.The doctors and nurses are very professional, and they will recommend a treatment that will help you with your specific fertility issue. Although not necessarily a weakness, but just mostly a reality of life, they're there to provide a service and might not always give you the emotional support that an excited and anxious potentially mom-to-be is expecting.

I enjoyed how quickly the RMA team dealt with patients, however, sometimes I felt like my doctor didn't even remember who I was. I asked things as follow up to questions from the previous weekly visit and he had no idea that he had seen me before. It wasn't ideal, but it also didn't bother me much. I understand he has lots of patients and my main concern was the end goal, which worked out in just two cycles of the treatment.

The nurse was my least favorite part of the treatment. I had an accident while I was on the treatment and called her with a concern of having lost the baby, but she showed zero emotions. I wasn't expecting her to support me as if I was her best friend, but I would've appreciated more reassurance that my baby could be fine... enough reassurance to calm me up until my next doctor visit.

Dr. Stein is an amazing doctor and I would highly recommend him to anyone looking for answers to their fertility problems. The first time I visited him, he evaluated me and told me that my issue was very simple and that I shouldn't do a treatment that was too invasive. I appreciated this feedback because I've heard of stories where the doctors go straight for IVF even though simpler treatments would work just as well. Dr. Stein prescribed me Letrozole for 5 days and a trigger shot midway through my cycle, and in two months I was pregnant! I appreciate his professional recommendation and his honesty when it came to the right treatment for me. The nurses and staff were also very nice and I never had to wait too long during monitoring hours.

Just know that the clinic is very busy so don't expect the doctor or nurses to spend a lot of time with you. They will answer questions, but they will mostly go through their general activities and inform you if everything is ok or not.

$50 copay for visits, plus $60-$80 for letrozole pills and trigger shot.

RMA has a lot of patients overall but I found the third party experience to be very personalized, which it should be, given the financial investment. I didn't pay too much attention to what the waiting room looked like as far as physical bodies waiting for monitoring by the time I reached this point and was more concerned about the actual level of care.

Dr. Copperman has always given me his honest expert opinion -- many times in person -- even when the news was not what I necessarily wanted to hear. During the period of 4 years, from the time I underwent and completed an elective egg freezing cycle to ultimately using donor eggs to conceive a daughter with my now-husband, I've always found Dr. Copperman and his team accessible, concerned and deeply committed my success.

The third party team at RMA New York is exceptional. Everyone who touched our case was super organized, compassionate and truly rooting for our success.

I first worked with Dr. Copperman for my elective egg freezing cycle while still single. Only 2 eggs were retrieved and he informed me that he felt the peak of my fertility was likely several years earlier, in my 20s, which I felt was a little harsh at the time (I was 34 at the time of retrieval). Four years later, now married and with many disappointments on the fertility journey already under my belt, Dr.Copperman was exactly the doctor I needed. He gave me his expert opinion about my prognosis and best next steps for achieving a live birth (donor eggs). With his recommendation corroborated by another doctor at a different top NYC facility, we decided to move forward, with Dr. Copperman leading the charge. I was ready to stop chasing unicorns and wanted the outcome I was looking for, basically, to be a mom and to be able to carry our child.

If you're truly ready for the outcome that you've been pushing for, whether the end result is exactly what you envisioned at the start, a little or even a lot different, Dr. Copperman is your guy.

I saw Dr. Copperman at nearly every monitoring appointment and once pregnant, he did my first ultrasound and released me personally several weeks later. When we had a scare midway through the pregnancy (unrelated to RMA), he saw us immediately to discuss and offer his opinion even though I was technically no longer under his care and hadn't been for several weeks.

$24k shared donor egg cycle + additional transfer required to achieve pregnancy ($3k) + pregnancy visits ($1k) + frozen embryo storage ($1k/year) + required psych eval (few hundred) + meds.

We transferred one embryo at a time (I did 2 transfers in total) to reduce chance of multiples and limit overall risk.

RMA is, for the most part, extremely organized. I felt well-cared for 99% of the time - nurses always called when the said they would, I never had to wait longer than 10 minutes for monitoring (and that would be when the waiting room was packed!), and everyone really seems to know what they're doing. Every fellow/doctor I saw while monitoring was incredible, and the people who performed my retrieval seemed great. Very pleased with the outcome of the cycle, and I'm sure I have to credit the clinic and the doctors/embryologists for their great work. That said - it is a big place. As I mentioned earlier, if your situation is slightly out of the ordinary and you need to work across a few teams, it sometimes feels like you need to stay on top of everyone. I was a little surprised that it took nurses/coordinators a while to realize that I was waiting for their next steps, only to learn they all thought I was in touch with one of them the whole time. You do need to be organized with multiple teams. If you're just working with one coordinator though, I think RMA has it fully in hand.

Dr. Stein is very direct and to the point. I wouldn't ever describe him as warm, but he listened to my concerns and answered all my questions, spoke with me on the phone when I asked for a call, and has been quick responding to my emails (I am undergoing a second round with him this spring). He'll tell it like it is without sugarcoating, but honestly that's the type of person I want in charge of my care.

The IVF coordinator I worked with - Kiran - is/was lovely. She's quick to respond over email, call, etc, and always had a great disposition, even when unmatched by mine. My only frustration came from the coordination between Kiran, the nurses, doctor, and 3rd party reproduction team a few times. Because there are so many cooks in the kitchen, communication failed a few times. IE, I was told that I'd be starting another cycle in April this spring, and learned (quite late) that it wouldn't be able to take place until May. This wouldn't have bothered me except that no one really told me - I had to find out myself. All a result of each team member thinking that someone else was going to tell me. I don't think this would be a problem for most, but if you're using a GC, you'll have to work with 3rd party repro and IVF, and those two need to communicate just a little bit better.

He can certainly be very candid - I have a uterine factor issues which precludes me from carrying a child, and he was quite blase to say "you are super healthy, except for the bad uterus!". This really didn't hurt my feelings - I've known about my condition for a long time, but if a patient were more sensitive, I suppose this could be a weakness of his. His pros outweigh the "con" in my mind - he's thorough, aggressive in treatment, and does listen to questions and walk you through next steps. My first cycle was fine - I ended up getting 12 eggs, 7 mature, 6 fertilized. Of those 6, 3 made it to blast and all 3 were "chromosomally" normal. That's a great yield, but for this next round, we're taking a different approach to try and get more mature eggs and hopefully have more embryos to work with.

Be prepared with a list of questions and paper/pen. He can be quick when he walks you through problems/next steps/etc. Very open to answering questions, but if you don't have any prepared, the meeting might be over before you had time to think of them.

We used an antagonist protocol. Because we'll be using a GC, I was basically treated like an egg donor. Had to undergo FDA testing, genetic testing, etc before starting. I'm only 30, but egg quality/quantity was seemingly not an issue to begin with - we just wanted to retrieve eggs, make embryos, and freeze them for future use. It turned out my reserve is more diminished than AMH originally indicated, so I was put on doses more commonly used with 40 year olds. Can't remember specific doses, but all were quite high - 225 Gonal H, 3 or 4 menopurs a day in the beginning. Given that 5/12 eggs were immature, we're changing it a little this time to try and get more mature eggs. I was not put on birth control the first cycle, which apparently can promote consistency in follicular growth, so less of a chance of some follicles beating others.

Monitoring hours are from 7 - 8:30 am, but they definitely saw people after the end time (I'd always see women running in super late). The good thing about RMA is they have locations all over the city, so it's pretty convenient (ie, I had a meeting one morning on the east side. RMA UES is not my primary location, but I could be monitored there and then went right to my work meeting after). Sometimes the waiting room was crowded (usually on weekends, when only one location is open), but honestly there were always chairs and you always got in and out very quickly. I still felt like I had time to talk to the doctors and nurses on busy days, too. Overall a pretty easy experience.

The total cost of embryo freezing was about $17,000. Embryo testing was about $150/embryo plus a fee. We had 3 embryos tested and it was $600. I've heard others with much higher expenses (RMA uses a third party company). Most of my regular visits were covered by insurance, but I have had to pay about...$500 or so (maybe more) in testing, which was partially covered by insurance.

We haven't crossed this bridge, but my doctor and the clinic do not believe in multiple embryo transfers unless the mother is over a certain age or there's another medical reason to do so.

The finance dept was the weakest, but after switching coordinators we got the info we needed. They were prompt with my insurance company with getting the preapprovals. The locations of the offices are very convenient. We found better care in the West side office than the Soho office.

I highly recommend Dr Stein. I appreciated while RMA is a busy practice, I always received very hands on, meticulous care from Dr Stein. From retrieval, to monitoring, to transfer he was personally there at each step. RMA does not stop after you become pregnant. It was post "positive pregnancy test" that I found my most valuable care navigating the delicate weeks after. We definitely attribute the medication protocol and weekly monitoring to our successful "graduation" to my OBGYN at 9 weeks.

They are the best! I had my blood drawn 52 times and it never hurt. :)

We successfully conceived after 3 IVF cycles at the age of 39. I'm 11 weeks and we are doing great! I appreciated while RMA is a busy practice, I always received very hands on, meticulous care from Dr Stein. From retrieval, to monitoring, to transfer he was personally there at each step. RMA does not stop after you become pregnant. It was post "positive pregnancy test" that I found my most valuable care navigating the delicate weeks after. We definitely attribute the medication protocol and weekly monitoring to our successful "graduation" to my OBGYN at 9 weeks.

Monitoring hours are amazing and helped me not have to take time off of work.

Total $27K for 1 IUI, 3 IVF, 1 retrieval

He was very helpful recommending the right scenario for us.

The phlebatomist is the only pleasant person who knows what she is doing and does it well. The receptionist is awful. She's cosntantly scowling and rude to patients. Her temperament would be better suited for someone who didn't have to interact with people. During my treatment here, I have seen 5-6 different doctors. I understand it takes a team, but the number of people that I was bounced around to led to a horrible patient experience and low quality of care. When I had questions - people didn't have the answers because they didn't know my case and it took 3-5 phone calls to ever get a knowledgeable person on the phone.

At RMA, expect to feel like a one of thousands of patients that are pushed through the system. You won't be allowed to speak to someone when you call. You won't actually see your doctor when you have an appointment. When you do manage to see your doctor, they will not follow through on what they said in previous appointments. If you have thoughts on your treatment, they won't listen.

The nursing staff... Seems like there were a dozen and I spoke to a different person on the hotline every time. The nurse coordinating medications was so disorganized. If I wasn't an organized intelligent and highly educated person... I wouldn't have had the medication I needed to continue with treatment.

Dr. Thornton is great at following standard operating procedures, but doesn't provide a high quality of care. She is incredibly risk averse. I often felt I knew more about my course of treatment through internet research then what she was able to tell me. She doesn't seem to care about her patients and doesn't always follow through on what she describes as "next steps" in course of treatment. After 3 years, I feel like I can't trust her and have little confidence in what she says.

Don't bother... find another doctor.

Monitoring was awful. A room full of dozens of women waiting to be seen. Wait times were erratic. Sometimes it was 10 minutes, sometimes it was an hour and 10 minutes.

At times in the process you can definitely feel that RMA is more concerned with their own stats than your individual patient case. They are rigid in their standards (which are top notch) but sometimes to a fault.

Dr. Sekhon treated me on a very ‘need to know’ basis. I felt often I didn’t have all the information and that she didn’t take into account the emotional toll of fertility treatments and the overwhelming waterfall of decision making that comes with if.

The phlebotomist is really great at RMA! Also shoutout to Nurse Melissa who is lovely and often went above and beyond. I felt she explained things to me in a way doctor Sekhon was not capable of and always showed compassion. The coordinator, Jennifer, is sweet and was helpful but definitely inexperienced.

At the end of the day, my IVF procedure worked and I am pregnant. I transitioned to Dr. Sekhon from a doctor who left the clinic and the transition was messy and often fraught with bad communication and lack of compassion.

Ask all the questions- she’s not going to offer up the info if you don’t. Push back if something doesn’t feel right or clear to you. She is better over the phone than via email.

I believe I did the antagonist protocol and had to do 13 days of shoes because my follicles took awhile to develop.

It was a cattle call and often created conflicts with work because they were completely inflexible. The front desk admin sent out bloodwork for the day multiple times before monitoring hours were over, leading to issues with same day results.

I had insurance coverage that was capped at $10k for lifetime maximum so paid a few thousand out of pocket at least . I was ultimately able to get my medications covered but only because someone from Glow suggested I fight for it.

RMA doesn’t really allow the conversation of having more than one egg transferred OR discounting subsequent transfer cycles for patients under 35.

Very busy clinic, lines and wait time can get long especially on the weekend when other RMA's office are closed. get there early for monitoring and be patient. Numbers bring strength too they get to see a lot of people and a lot of experiences, yet for DOR/AMA they have the same approach.IF you're new to this, get info before your first visit so you can ask questions that matter. Their admin staff has been excellent with me, especially finance and clinical coordinator.

It is a very efficient office that processes a lot more women you'd think need help - that has todo with personal expectations and it may be an indicator of RMA's success, but it does contribute to everything (calls, procedures, visits) being part of a schedule and always hurried.

RMA uses a lot of staff to get in touch with their many patients - they do calls in the afternoon and leave voice mail messages and emails with instructions. Nurses are nice and very diligent; they follow up with the doctor and the coordinator if needed. Some are better (Katrina?) than the others, but overall they are nice,

Since I have not seen another doctor is hard to compare. Dr. Sandler to another one. He is very busy yet always professional, he will explain procedures in technical details if you ask or care, and answer your questions in a satisfactory manner, he is very straight forward and not "a warm" person but that didn't bother me. What did bother me is that he only changed treatment once and it didn't work as well (not his fault) and the fact that he did not consider that other results maybe possible to attain due to my age. I am seeing another doctor for a second consult, but I do believe that Sandler and RMA do things by "the book", especially for AMA /DOR and don't like to take risks, or try new things. He is knowledgeable and will make decisions based on facts (ie blood tests to confirm if ovidrel shot is needed and such) but that is also a very cookie-cutter approach, one size fits all. Not sure if the results would have differed if one of the variables were changed, since that didn't happen. I wish he was more open to trying new things or Ill ask if he has a reason for sticking to the method he thinks works best (which is the medically expected program for DOR). My advice is to not be intimidated and ask as many questions along the way as you need.

see previous, ask questions, ask why not.

I've done the standard DOR antagonist protocol, gonal f 300, menopur 2 vials for 4 days than increased to 3, with ganirelix once the leading follicle reached 16 mm, and ovidrel shot- Once we tried luptondown regulator that suppressed me too much so went back to antagonist with no birth control. out of 4 cycles, we are left with 2 pgs normal out of a total 12 embroys in 4 cycles. no changes to regimen was based on the fact that antagonist works best for DOR, estrogen has risen, and follicles were produced, yet the low results are to be expected due to aging

efficient, busy, could be really bad on the weekends- they are open almost 360 days out of 365 so thats a plus, but they are busy. location super convenient for me, and staff is helpful but busy

insurance paid some costs, and I ended up with most of it. it averages to $11-$12K when self pay and all included (isci,pgs etc)

RMA only does ESet for ama

The main strength is that this clinic was open on weekends and holidays which was a huge advantage because most of my IUIs ended up falling on weekends. They take the time sensitivity of these procedures seriously. However you see a different doctor every time as a result. Their success rates are also high but so are their prices.

RMA is a super organized clinic that has very clear processes in place to meet all patients’ needs. However they see huge volume of patients. What that actually means is you get your needs met but it is not by the same team, you see a different doctor each time, and sometimes this results in what feels like less personal care.

There are all different nurses each day and at each clinic. They are all really nice and helpful. Some were more helpful in answering questions than others. I really liked the nurses at the Brooklyn clinic where I was receiving most of my monitoring.

Dr. Sandler seems to be very knowledgeable about his field and really cares about his patients. But his communication skills are a bit lacking. He seems to run the appointments with a clear formula in mind, most prominently considering what he thinks you need rather than answer your questions or listening to what your concerns are. We wouldn’t focus on the things that I wanted to talk about or I was concerned with but rather the things he thought we should be discussing.

Do research on your own and come with specific questions you want answered, and don’t be shy to jump in and ask them. Otherwise he will just do his spiel. Don’t expect to see him more than once or twice, but the whole team at RMA is nice and supportive so you’re in good hands!

We did six IUI cycles over all. The first one was unmedicated and failed. The second one was unmedicated with the ovidrel trigger shot and failed. The third through sixth attempts were medicated with letrozole and ovidrel trigger shot, all of which failed as well. We are now in conversation about moving to IVF. Dr Sandler has suggested not doing PGT testing since he doesn’t think I’ll have enough embryos given my low AMH level.

I paid out of pocket because I don’t have coverage (really, because my insurance plan is homophobic!). I paid $305 for each IUI and sonograms and bloodwork was additional but my insurance covered those. Medications were not covered (about $60/month) and neither was donor sperm ($950/vial). We are now discussing costs of IVF.

I did not do IVF yet.

I think some of the nurses who take blood tests need to be better trained - I've had a few instances where the blood draws have been painful/difficult. While it does have a "factory" feel it is SO efficient and I rarely wait more than 15 minutes for any appointment, which says a lot in New York City. Everyone is kind, smiles when you walk in, and I truly believe they try to make you feel as comfortable as possible.

Dr. Copperman and his team of nurses were always available to me via email or phone. I never felt badly reaching out with extra questions and I always feel like they really care and are "in it" with me.

Every single nurse on Dr. Copperman's team has been fantastic. Jordyn Banks was the first person we met with and has been there at every step of the way - even giving me her cellphone number in case we had any urgent questions/concerns after hours. Samantha McGuire is our IVF coordinator and was so detailed and organized from the get go and responds to e-mails immediately. I always felt like they were on top of everything at every turn.

He is extremely data driven and clearly makes his decisions based on my specific case and takes great care in reviewing my charts at every turn. He's very precise in how he does this. I also felt like during the more difficult appointments he made a point to spend more time with me and answer all my questions and make sure I was feeling as good as possible about our plan of action. He also has called me in response to an email I sent him once just to make me feel better. He clearly cares about his patients and wants them to succeed at having a healthy pregnancy.

Ask questions if he speaks too quickly or goes too fast -- I think sometimes he forgets it's new information to his patients but any time I've asked him to clarify or re-explain it's been no problem.

We did three IUI cycles with Femera, which he said was better than Clomid for patients like me with PCOS. We were also briefly on an antagonist protocol for IVF before it was cancelled due to a lead follicle. During that IVF treatment I was monitored every 2 days also because of my PCOS.

Dr. Copperman has said he will only transfer 1 embryo at a time and that is fine with us.

The clinic runs very well. From the outset of treatment we were assigned a team which consisted of doctor/co-ordinator/finance/nursing. Our co-ordinator Norma is the best. She is very thorough and organized and put us at ease with everything leading up to our first cycle. She has been a great point of contact throughout our process and has made everything seamless.

Dr Lederman took the time to answer all our questions, was friendly and compassionate

The nursing staff is amazing. They kept in touch regularly and followed up promptly after every visit. The communication of all the nursing staff wonderful. They are very friendly and helpful with any questions. If I ever needed to speak to a nurse I could easily call and talk to someone quickly.

This was the 3rd clinic we came to and it really makes the biggest difference to feel in good hands and at a clinic you like. Dr Lederman was professional, friendly and able to answer all the questions we had during our first visit. We decided to proceed with the clinic for IVF and we did one egg retrieval that unfortunately didn't result in any viable embryos. Dr Lederman called me immediately when these results came through and was very compassionate in delivering this obviously disappointing news. We are discussing a next retrieval with Dr Lederman for which he has suggested increasing the medication dosages during stimulation to try for more mature eggs. We feel in very good hands with Dr Lederman and the whole team and would highly recommend him to anyone.

I was on Gonal and Menopur for stimulation and lupron and pregnyl for trigger before retrieval. They retrieved 8 eggs, 2 of which produced embryos. After pgs neither embryo was determined viable for transfer. Dr Lederman has said he would increase medications on the next retrieval in the aim to get more mature eggs.

Well oiled machine. In and out within 20-30 mins. Even though our doctor is at the Westside clinic, we were able to do monitoring at the Brooklyn clinic which was much more convenient.

15k per cycle +5k on meds. Around 2k more on ultrasounds/blood work/ visits outside of cycle

The strengths - RMA clinical team includes financial resources (if you have insurance, they will do all of the calls for your benefits, bills, authorization for medications). All you have to do is call to authorize your insurance for the IVF benefit. They do have an organized system. However, at times that same organization is a detriment. RMA treats you like a number. On one of my retrieval cycles, a new Dr (I had never met before) did my retrieval. He barely introduced himself to me. Then after the procedure was done, I had to ask multiple times for Tylenol to treat the pain and for the oocyte count. In addition, the nurses rushed me out while I still felt groggy and confused from the anesthesia. On another visit, a transfer cycle - I requested to transfer 2 embryos. The dr. nearly bit my head off, he was nasty/short. It made the rest of the transfer an uncomfortable experience and hard to relax after.

At times, it was difficult to get a straight answer from the clinic. It is a well-oiled machine. Yet sometimes, you feel rushed during appointments (monitoring or consultations), phone calls, or other interactions. There was one week I had to call every day to get a call back regarding the IVF plan and ordering appropriate medications. Medications were ordered last minute before a trip and I nearly missed a cycle due to the poor response. I never got an apology for their carelessness/disorganization/lack of responsiveness.

Olga is cold, disorganized, provides inconsistent instructions to Dr. McAvey and Anna (for instance, she will say you have to take a HPT on Thursday instead of on Wednesday, she sometimes says incorrect medication dosage, she's not personable). In contrast, I saw Anna less frequently but she was always much more friendly and her instructions were more in line with Dr. McAvey.

Dr. McAvey is a fast talker. She is warm and friendly. If you come in with a list of questions (you can prepare in advance and email her), she will respond to almost all of them. She listens to your ideas about protocol changes and will work with you to try to find the best results.

Do some research - as people what questions you should ask her. Have all of your questions listed in advance. Do not be afraid to speak up for yourself (by asking questions and advocating for what you want).

We did 4 cycles with Clomid (some where cancelled due to cysts). Due to my response to Clomid (and my concerns about elevated risks for breast/ovarian cancers), we changed to Letrozole for IUI. We did 3 cycles of IUI. Since research does not show additional benefit after 3 cycles of IUI, we discussed moving on to IVF. We did 2 cycles, first using an antagonist-protocol, the second using an estrogen-priming antagonist protocol (which adjusts for my high estrogen levels early in the cycle). Both had a high number of oocytes retrieved, but poor egg maturation/embryo blastulation rates. After 2 retrievals, we did 2 transfers. Neither resulted in a pregnancy, so we did additional testing and I sought additional opinions to make sure we were not overlooking anything. The testing revealed my husband had a balanced translocation. To potentially improve my embryo quality for the 3rd retrieval we changed to back to an antagonist protocol using an additional Letrozole flair during treatment. However, that cycle was the least successful - 2 embryos after 1 week but PGS testing showed they were both abnormal. Dr. McAvey then had a frank conversation about what to consider going forward and encouraged me to seek other opinions.

First come, first serve. The LI office was usually quiet. There was a wait only a couple of times.

Insurance covered most. Copays for medications ranged from $20-$190

RMA's standard is to do single ET, but we requested to do 2 embryos during one of our transfer cycles. They reluctantly complied with our request. Regardless, the result was negative anyway.

strength: doesn't make you feel like just a number, overall the employees are pleasant. weakness: if you need to do monitoring on the weekend, you'd need to travel into Manhattan. Egg retrieval and transfers are in Manhattan as well which can be inconvenient.

Dr. McAvey has had great bedside manners, has taken the time to discuss next steps with me and go into detail answering the questions that I've had.

The nurse was fine. Doesn't give me as much detail on the follicle growth as the doctors do and isn't as personable, but she's fine otherwise. The IVF coordinator has been patient with me and answers all my questions in a timely manner. The ladies at the front desk have all been pleasant. The nurse who does my blood draws has been very pleasant with me.

Dr. McAvey has been great to work with. The only thing I wish was that she was the one doing the retrievals and available during all of my monitoring appointments instead of sometimes the nurse doing the ultrasounds instead.

Not to expect to see her at every appointment.

I think they were the antagonist protocol. 1st retrieval was priming with birth control, and then 300iu Gonal F in the AM and 2 vials of menopur at night with a dose of micro dose lupron in the AM and PM. Menopur was adjusted during the cycle. Plus a trigger shot. 2nd retrieval was priming with estrogen patch and cetrotide, then was 200iu Gonal F in the AM and 2 vials of Menopur in the PM with cetrotide and two different trigger shots. 2nd retrieval was better, but embryo tested abnormal.

IUI was about $1500 with monitoring (no insurance coverage) and IVF I believe was $23-28K with no insurance coverage.

The clinic is located in an accessible location, has staff that is easy to talk to - from the nurses, billing, to the lab and doctors. The waiting room could sometimes feel crowded but they have recently made significant improvements in the environment and also in the speed of service.

Dr. Mukherjee is extremely client-oriented, pays attention to the individual patient and kindly explains the reasoning for suggested treatment. Provides options, discussed details and really wants to have his patient on board, feeling comfortable with the treatment decision.

All the nurses and care coordinators were truly. I mostly worked with Julie, who is wonderful - always responsive, compassionate, understanding, always had time for an extra chat and was ready to share additional views and advice.

As mentioned earlier, Dr. Mukherjee offers a wonderful experience to his patients, as much as this is possible under circumstances. He works in concert with his nursing staff and I feel he tailors treatment to the specific and unique needs of every patient.

You'll have a wonderful experience with this doctor!

Dr. Mukherjee tried different protocols in my case (very light/mini, conventional, agonist and antagonist) and adjusted as we went along. Every change made sense, and I felt I was with a doctor who sincerely only had my best interest at heart. It was with his help and open, innovative approach, that I actually had a pregnancy for the first time in 3 years of trying (it was unfortunately lost to a miscarriage, but there was a pregnancy with my own eggs).

It was efficient, at times felt crowded but was manageable. The staff were always helpful and one could see everyone was trying their best and communicating really with each other, which can give a lot of confidence to patients.

Some of the treatments were covered by my insurance but this had quickly run out. The costs were reasonable compared to other clinics fo the same category.

n/a - this doctor did what was best for the individual patient with an intention to achieve positive results

I see Dr Sekhon at the Downtown location. Its small and never overcrowded. I get in and out of the office quickly. Monitoring hours could be a little earlier. 7:30 is a little late. I have heard the midtown east location can be a bit of a cattle call, but I think that is true for just about every practice at the larger locations. The receptionist at the downtown location could brush up on her people skills a little. She's not the best and could be friendlier.

Dr Sekhon really takes the time to talk to you and work with you on your treatments. She always responds to emails or calls in a super timely manner. She never makes you feel silly for asking questions and always respects when you advocate for yourself. She just really gets it and understands its not just the infertility that needs to be treated, its also the anxiety that goes along with it. She works really hard to set your mind at ease. She doesn't sugarcoat, but she is also not cold and matter of fact like many RE's are.

The nurses on Dr Sekhon's staff are great. They always call you right back. They are very informed and answers questions with ease.

Dr Sekhon is such a breath of fresh air compare to my last RE. She is kind, respectful, detailed in her responses and generally seems to care. She never makes you feel like you are a number. She really knows what she is talking about and is on top of all the latest studies and treatment options. She never just does something because that is just what is typically done. She really seems to tailor her conversations and treatments to the specific patient and really goes out of her way to make sure that she answers all your questions and makes you feel comfortable. She has also been through IVF herself so she actually knows what her patients are going through physically and mentally. I cannot recommend her more.

Be completely open and honest with her. Tell her all the supplements you are taking, she will tell you which ones you actually need, unlike many who say you don't need to take anything. Ask her lots of questions in general. She will answer them all even if they seem ridiculous.

We have only done one clomid iui cycle with her that was unsuccessful. We are currently on our second cycle of clomid and waiting for the iui. The first cycle Dr Sekhon prescribed clomid to us after blood work on CD3 then had me come back on cycle day 10 for a scan trigger shot and iui the next day. I did feel it was a little early, but I was seeing another dr in her practice that morning so didn't have a chance to discuss. I voiced my concerns and this round we are doing scans and blood work to make absolutely sure its the the right time to trigger. Dr Sekhon had absolutely no problem at all with tailoring the treatment.

I haven't done IVF yet so I am not sure what the total cost is, but iui was $350.

She said because we already had one child she recommends one embryo transfer since we do not want to have more than 2 kids.

They have several offices that are clean and well maintained, which is a strength. They do not have a good communication system, there is no where to speak with the doctor directly. The nurses always call back if you have a question, which is fine for some things but sometimes you just need to talk to your doctor. And when the nurse calls back, it may not be the same nurse each time. I have met with my "primary nurse" about once since 2016 and when speaking to her on the phone, she comes off as very dismissive. Another strength are the women that sit in the front, as they seem much more personable and help with the ease of checking out of the office after your visit.

Dr. Mukherjee conducted one out of 5 IUIs. I mostly speak with whichever nurse gets my message, although I have been assigned one. I have spoken with Dr. Mukherjee once every 6 months or so.

I felt like the entire office runs more like a factory than a doctor's office. When being contacted by phone, it just is a list of things for me to do. Most of the time, things that did not work out, such as where to pick up my medication or timeliness of them putting the medication into the pharmacy. Some of the nurses seemed ok but you don't get an opportunity to know any of them well enough to build a trusting relationship.

Dr. Muhkerjee, when I did get a chance to meet with him has been very nice. When having phone consultations, things seem very rushed and he gave more directives than an opportunity to figure out what wasn't working.

One piece of advice, don't expect him to be the only doctor that you meet with at RMA of NY. I have had at least 4 different doctors perform my IUIs (I've had 5 to-date).

I was informed that my BMI was too high so I met with the nutritionist, who helped bring that down so I could take Clomid and have less of a risk of a heart attack with the lower BMI. That's about all that I could remember.

My insurance does not cover IUI treatments and they quoted me a bundle cost of $700 per cycle. I had to call my insurance for clarification, as the "financial coordinator" that I was assigned provided my inaccurate information.

N/A at this time.

RMA is a great place. It has a good energy, there is never a long wait time, there is always tons of patients there. I think because it is a franchise, it definitely has more of a one size fits all approach. So if your case is complicated in anyway, I am not sure if this is the place.

I am confident that RMA is a top-notch facility and Dr. Grunfeld is a great doctor. My questions were always answered and everyone, the nurses, staff and doctors all work together smoothly. I felt in good hands. I just felt like the process of what happens post egg retrieval was not discussed at all. I had two embryos reach blastocyst and they discarded them based on their quality. I feel like a frozen transfer with PGS testing should not be a one size fits all approach and Dr. Grunfeld doesn't believe in any other way.

Organized, readily available, always returned calls, followed up after morning monitoring with emails to re-confirm the results of your monitoring and thus what dosages/meds to take.

As other reviews have stated, Dr. Grunfeld speaks quickly. But if you have read up on medication for IVF, embryo stages, PGS testing, etc., it's easy to follow and not confusing. That said, I definitely think he doesn't go into all of the details and is talented at making you just trust the process. I wish more was discussed about the fertilization process of the actual egg, the growth of the embryo, the different embryo qualities and then what happens before PGS testing.

Be prepared before your consult, but I think that applies to all doctor consults in this process. There are so many talented doctors in NY, you have to trust your intuition.

Day 2 I began 5ml Lupron and 300 Follistim in the AM and 5ml Lupron and 150mg Menopur in the PM . I did that for 10 days until my trigger shot. My trigger was Ovidrel.

It was efficient. No waiting, no stress, bloodwork, then ultrasound and then you are out the door and on to the rest of your day.

15,500 for a complete frozen cycle. My embryos did not qualify for transfer, so that was cancelled. So I received a 5,400 credit. Medication ranged about $3000-4000. I did one IUI and that was $700 plus $150 cost for trigger shot. They do offer package deals for multiple cycles.

Dr. Grunfeld believes in frozen transfers with single embryo post PGS testing.

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.

The Westchester location is excellent, with only 2 doctors during monitoring hours. Warm staff, easy communication, questions always answered. However, RMANY is a large company. If you need monitoring on a weekend or holiday, you are stuck with a random doctor and a huge waiting room filled to the max with people and names being yelled from every direction. It is far from pleasant.

Primary PA was easy to reach and quick to answer questions when she was at work. If she was out, I got calls with results from nursing staff I had never met.

Dr. Lederman is a great doctor. He's relatively warm and compassionate, but he's also realistic. He always sets expectations. I had (have) a difficult road, and even switched doctors at one point to see if there was another doctor who would do a better job. I ended up coming back. He does need a lot of pushing and convincing to try tests/protocols outside of his standard method. But there are some procedures he will not buy into, and he will share the evidence and explanation as to why (even if you don't agree).

Write everything down, and ask him to repeat himself - he talks fast! Ask lots of questions.

Retrieval #1: Gonal-F in the morning, Menopur in evening. Cetrotide added 5 days before trigger. Dual trigger shot (HCG and lupron). 14 days of stims. Resulted in 20 eggs, 5 mature, 5 fertilized, 4 made it to day 5, 4 PGS normal. Before first transfer: hysteroscopy - 2 small polyps and small adhesion removed. Transfer #1: BCP, estrodiol 2x day at day 3, increased to 3x a few days later. Progesterone (1mL) 5.5 days before transfer, medrol for 7 days starting 5 days before transfer, baby aspirin day of transfer. Resulted in CP. Transfer #2: Next cycle after. Estrodiol 2x day at day 3, increased to 3x a few days later. Progesterone (1mL) 5.5 days before transfer, medrol for 7 days starting 5 days before transfer, baby aspirin day of transfer. Resulted in CP. Transfer #3. RPL panel (negative), karyotyping (negative), saline sonogram (negative) biopsy (positive for endometritis). 2 weeks of antibiotics. Estrodiol 2x day at day 3 of following cycle, increased to 3x a few days later. Baby aspirin on day 3. Progesterone (1mL) 5.5 days before transfer, medrol for 7 days starting 5 days before transfer. Resulted in negative. Transfer #4: 3 weeks of antibiotics. Estrodiol 2x day at day 3 of following cycle, increased to 3x a few days later. Baby aspirin on day 3. Progesterone (1mL) 5.5 days before transfer, prometrin (2x day) and endometrin (2x day) starting day after transfer, medrol for 7 days starting 5 days before transfer. Resulted in CP. Retrieval #2: Gonal-F in the morning, higher dose (than last time) or Menopur in the evening. Cetrotide added 6 days before trigger. Lupron trigger only. 15 days of stims. 19 eggs, 18 mature, 16 fertilized, 9 made it to day 5/6/7, 5 PGS normal, 1 inconclusive. Transfer #5: 12 days of birth control pills, 5 days overlapping with 10 units of lupron. Continued 10 units of lupron until light period arrived, reduced to 5 units. 3.5 weeks of lupron total. Estrodiol added 2x day, increased to 3x a few days later. Baby aspirin on day 3. Progesterone (1mL) 5.5 days before transfer, prometrin (2x day) and endometrin (2x day) starting day after transfer, medrol for 7 days starting 5 days before transfer. Resulted in pregnancy starting with very low beta (37 at 9dp5dt) - currently 9+2 weeks.

Efficient on weekdays at the Westchester location. Terrible cattle-call on the weekends at the Madison Ave location.

Insurance covered our IUIs and $10K or IVF, plus $10K of medications. RMA charged us the remainder. First 2 transfers were included in insurance cost. Each transfer after was $3500. Costs included bloodwork, ultrasounds, and monitoring appointments. Once we were paying out of pocket for IVF #2, the total cost included all appointments, bloodwork, ultrasounds, and 1 transfer. PGS is private pay, and any procedure (saline sonogram, biopsy) is charged to your insurance.

Dr. Lederman firmly believes in only transferring 1 embryo at a time. He also insists on only transferring PGS/PGD tested embryos.

RMA has a great selection of Dr's and great team of personnel who is personable and caring during your Infertility treatments. I was treated like a person and not a number at all the stages of my IVF journey and at each clinic I visited for monitoring/retrieval/transfer.

Dr. Lederman was very personable and caring during my IVF treatment. He was always available to talk and emailed me back promptly with any questions or concerns that I had. He was extremely supportive of my infertility case and due to being a genetic carrier and undergoing PGD/PGS embryo testing, he was very positive that we would achieve a favorable outcome!

Martha was very caring and supportive during my IVF journey. She was very motherly to me and showed a great deal of compassion during the good and trying times during the IVF process. She provided a lot of encouragement and valuable information!

Dr. Lederman is a wonderful, kind and understanding Dr. who focused solely on our infertility issues at hand and remained positive and provided encouragement when outcomes didn't go in our favor. He was always available for a phone call and always responded to my emails at all times of the day and on weekends. I always had a lot of questions and concerns and he was always there to calm me down and assure me that everything was ok. His communication skills and ability to make you feel like a person and not another infertility statistic is his top strengths as a doctor. Through his positive support and perseverance we were able to achieve a favorable outcome and a successful transfer in October 2018. Our miracle baby Girl was born in July 2019 and we owe all our success to him!

Trust his plan of action! I was skeptical at first, but he knows what is best for every individual case!

As a Breast cancer survivor and a patient diagnosed with Diminsihed Ovarian Reserve, Dr. Lederman focused on quality not quantity. My treatment strategy focused on the use of Letrozole, Gonal F and Menopur. Letrozole was used to suppress estrogen due to my Breast Cancer History and the Gonal F and Menopur was used to help stimulate my follicles and eggs. Dr. Lederman increased the use of Menopur and Gonal F after the first round yielded only a few eggs. On my third round I produced 2x the amount of eggs from my first round and two of the embryo's made it to the blast/frozen stage and were sent for PGD/PGS testing.

Monitoring was from 7am-9:30am. I was able to go in before work and complete monitoring before my work day started.

Costs were covered by our Insurance plan.

Due to only getting two embryo's to blast after being PGD/PGS tested both embryo's came back normal and without the genetic factor. eSET was recommended due to the limited amount of PGS/PGD normal blasts we had and we did not want to potentially loose both of them in a multiple embryo transfer and be left with nothing.

Strengths: always on time for appointments and doctors perform ultrasounds Weakness: monitoring hours should've began earlier and sometimes there was too much of a push for IVF, the clinic seemed very numbers driven

I would say it was in between. He was very caring and seemed empathetic to such as sensitive manner, he even rubbed my shoulders a few times and said "you will get there, it just takes time." I also appreciated how we had access to his e-mail and he would return my phone call in a timely manner. However, although I appreciated the fast past during morning monitoring hours, because I understood everyone needed to get to work, I did feel rushed at times. I liked how the doctors performed the ultrasounds instead of techs. but, I felt if I had extra questions that day, they didn't really want to be bothered.

Very professional and caring

Dr. Lederman was clearly a very knowledgeable doctor. He was very professional and demonstrated good bedside manner. The reason I decided to change clinics was because I was still hopeful that I could be successful with pregnancy through IUI's and there seemed to be no other treatment plan then the same four IUI's he performed. I took a small dose of letrozole, was monitored, used a trigger shot, then my IUI was performed. He never recommended any type of surgery such as a laparoscopy, hysteroscopy or any other research to try and figure out how else to help my husband and I. It seemed as if IVF was our only route. At time time, IUI's were covered by my insurance 100% so I really wanted to try injectables with IUI and he explained that there was not enough research to support that it helped increase our chances. As much as I wanted to trust him and continue seeing him, the distance from my house to the office was a factor as well as Dr. Lederman not in agreement to try a different treatment plan before IVF.

We first began with "timed intercourse" which consisted of trigger shots and monitoring. It was a little under a year of my husband and I TTC, which was still a little early, but he seemed understanding and very willing to assist us. We did two of those, followed by a round with letrozole. Followed by 3 rounds of "timed intercourse" we moved on to 4 IUI's with letrozole, trigger shots, and of course monitoring.

Co-pay each time

I was not a "typical" patient of this clinic because I was being seen as a professional favor to my OBGYN. However, the staff was very helpful and friendly. I'm unsure if it was the case with all patients but I think the hours were a bit limited. The earliest I could get there was 7am, which wasn't always convenient.

Dr Klein was very personable and easy to talk to. He provided me with his email and direct phone number and was quick to respond with any questions I had. He squeezed me in for both cycles before I had to go to work in the morning.

I did not have much interaction with the nurses because I was monitored by my OBGYN and just saw Dr Klein for the IUIs. The nurses who I did have contact with were always very nice and informative.

Dr Klein was very approachable and easy to talk to. He explained the IUI process in a simple manner and answered questions we had in lay terms, even though he knew I was a nurse and understood the process. He was easy to get in touch with via text or email.

Don't be afraid to ask any questions. He is very open to answering questions and doesn't make you feel dumb.

Dr Klein did my first two IUIs. He pretty much saw me as a professional favor to my OBGYN since I am a labor and delivery RN. He reviewed all my labs and diagnostics and did a phone consult. I took clomid 50mg, as I had been for the last two cycles, and I tracked my cycle with OPK and called him when I got a positive. We came in the next day for an IUI but after performing an ultrasound discovered that I had already ovulated. We did the IUI that day anyway but it was not successful. The next month he increased my clomid to 75mg and I was monitored by ultrasound until my follicles were the appropriate size. I received a trigger shot of ovidrel in his office and went to his office for an IUI the next morning. Unfortunately, this was also unsuccessful.

I received a bill for our second IUI but not the first. He did not take my insurance.