RMA of New York

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.

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.

The interactions with the office were handled by distinct functional role - dr, nurse, front desk, billing, finance / insurance - yet they all seemed to be playing a cruel and unprofessional game of broken telephone with one another - especially the billing/finance/insurance team. The dr. would schedule a saline sonogram, and the finance person would reach out to confirm that I was coming in for IVF (no!!). The dr. would invite me for the next round of diagnostics (with no concluded diagnosis yet), and the billing person would send me paperwork to file claims of "Infertility" with my insurance company. It created a real sense of unease, and I ultimately stopped seeing this clinic as a result.

The interactions with the office were handled by distinct functional role - dr, nurse, front desk, billing, finance / insurance - yet they all seemed to be playing a cruel and unprofessional game of broken telephone with one another - especially the billing/finance/insurance team. The dr. would schedule a saline sonogram, and the finance person would reach out to confirm that I was coming in for IVF (no!!). The dr. would invite me for the next round of diagnostics (with no concluded diagnosis yet), and the billing person would send me paperwork to file claims of "Infertility" with my insurance company. It created a real sense of unease, and I ultimately stopped seeing this clinic as a result.

First meeting, was good. But there were so many steps to take and it wasn't as clear as I would have liked, it felt quite scattered. He also seemed to want to create a total separation between himself and the finance/expense side. Like, you would sit with him and he would describe an endless list of tests and diagnostics, without any indication of what was necessary vs. lightly recommended, what was expensive and covered by insurance vs. what was typically out of pocket. He acted like he preferred to bury his head in the sand.

Take detailed notes, and ask for crystal clear steps / timelines.

It is a high-traffic, impersonal clinic. I changed to the RMA Brooklyn clinic as soon as I possibly could, as it is much smaller and the nurses/employees were much more warm and actually remembered me between monitoring appointments.

A good friend referred me to Dr. Grunfeld after she successfully became pregnant after IUI. We only met him twice for consultations- meetings were rushed, he constantly interrupted our questions and concerns, made me feel very uneasy about the process because we were not listened to. I felt as if he has a one-size-fits-all approach, and he wasn't even there for my IUIs- other doctors always performed them. There was no communication or interaction with him outside of brief consultations. His nurses were also clearly dealing with dozens of patients constantly- they had no idea who I was ever, and sometimes this lack of personal connection led them to making some well-meaning but insensitive comments during appointments. I had a much better, more personal experience at RMA Brooklyn, where I have switched to after our 3 IUIs failed. We are now with Dr. Lekovich and about to start IVF... She took her time in consult to listen and answer all of our questions and we feel much more secure in her hands. RMA Eastside has a faceless factory atmosphere, you must advocate for yourself constantly, make sure they are billing you correctly (they once gave me a bill for another patient whose name was similar) and always remember that you are a customer at the end of the day- we were initially denied when we asked to transfer to another doctor in the practice, but when I made it clear I was considering treatment elsewhere, I was immediately given what I asked for. Keep your guard up and be ready to go to battle for yourself at RMA Eastside and with Dr. Grunfeld.

At the Eastside clinic, they wouldn't have recognized me out of a crowd as a patient. They were just doing their jobs, but they remembered nothing about my past experiences (miscarriage, the fact that I was depressed about failed IUIs, etc.) and would sometimes make insensitive comments during appointments. I reached my limit when I tried to look at my partner's semen analysis pre-IUI and the nurse purposely covered it with her hand and moved it away from me for no apparent reason (perhaps because we didn't pay for a standalone SA?). I complained about this experience and RMA reached out to apologize.

He is clearly intelligent and experienced, but he is a terrible listener and does not customize your treatment. I only met him twice, even though I had at least a dozen appointments under his care. He was not present for any of my actual treatments- they were done by other doctors. When our treatments (IUI) were unsuccessful, nothing was changed or investigated. We were pushed hard towards IVF, and he did not feel we needed to do any sort of investigation into our undiagnosed infertility.

Do your homework, interrupt HIM- don't let him talk over you. You must establish dominance or you will never be heard. He will downplay your concerns about medication side effects. He talks extremely quickly, gives you no time to process, and you'll be lucky if you even get to finish a sentence with him.

IUI with Letrozole, Ovidrel. Always same dosage, no success (3 tries). Felt like we were just wasting time before IVF.

Costs were covered under insurance, but at the end of the day, each IUI cycle cost about $200 out of pocket, and meds cost about $100 out of pocket after coverage.

He is for eSET, against multiple embryo transfer.

Strengths: Great doctors and staff Psychologist on staff to meet with you about the process and also screen donors On site donor matching program Responsive and caring staff Good morning office hours Weaknesses: The office could use an update I was surprised they didn't offer more holistic services or talk about that more

Dr Flisser listened to us from the very beginning. He was able to explain his recommended approach in ways that worked for both me and my husband who process things differently. And he showed empathy, enthusiasm and authentic support throughout the process. I appreciated him always answering my questions in a way that made me feel like nothing was too small or dumb to ask and when I felt anxious, he responded with empathy.

We loved the whole staff at RMA. Dara in particular was so helpful. She was responsive and no question was too small. She got on the phone one weekend to talk to me about the donor process when we had concerns and when there was a small issue with how something was handled, she not only quickly put at us at ease, but she apologized which goes a long way. There was no defensiveness which I really appreciated. the whole staff was great. From the women taking blood in the morning to every person we interacted with throughout the process, they were helpful, empathetic, well-informed and enthusiastic. We felt very well cared for.

We really liked Dr Flisser's approach to patient care. We didn't need a lot of "kumbai-ya" but we felt that he really listened, he explained things in ways that made sense to us and offered practical, results-oriented advice. I knew going in we'd need to use a donor egg, but my husband wasn't quite there. Dr. Flisser talked to my husband in a manner that clarified things for him and made him feel comfortable with the path forward. And throughout the whole process, he answered questions and talked about the process in a way that was reassuring. We were lucky in that we had a very smooth process to getting pregnant (great egg donor result, all of our embryos had great genetic testing results, we got pregnant from the first transfer) but I feel confident that if that hadn't been the case, Dr. Flisser would have been great in less than ideal circumstances.

Tell him up front where your head is at with the process. By being honest with him about how I felt and where my husband was with things, he was able to provide the appropriate information in a way that made us both feel really comfortable. He's more soft spoken and not a huge "talker" but I always felt that I got what I needed from every appointment.

We went straight to donor egg because of my age and very low ovarian reserve. Due to the timing of things with our donor, we did a frozen cycle. We did the highest level of PGD testing available (with all the mosaic testing.) I took Estradol (2 and then 3 times per day), thyroid medication once a day (I was not on it previously but he likes your numbers low) and progesterone shots once a day starting four days before the transfer. We didn't want to choose the sex so they picked what they thought was the best embryo. I had a positive pregnancy from the first transfer. Post transfer, I stayed on all the medication throughout the ten weeks I was at RMA, tapering off the meds the last week.

$15.5K for egg donor and retrieval (shared cycle) $10,350 for recipient treatment psych orientation $300 $1.5K for genetic testing $40 copay per visit Medications - not sure exactly but around $1,000 with my coverage

The facility is clean and well taken care of. They seem to have top of the line equipment. The monitoring hours are ideal. I often came at 7:30 am for monitoring and never had to wait long at all. I often arrive to work earlier than when I didn't have monitoring. The entire staff is friendly and helpful.

Dr. Stein has great bedside manner and a great sense of humor. He is great at making you feel comfortable and addresses any concerns you might have in a real way. He doesn't always sugar coat it, but at the same time he puts you at ease when worrying is not necessary.

My primary nurse was always extremely detailed and thorough when she provided me with any updates and next steps. Although I didn't get all of the information on what comes next from Dr. Stein, I knew I can count on a follow up from my nurse to do so. All of my interactions with the nursing staff were positive.

Dr. Stein has great bedside manner and makes you feel comfortable yet taken care of. Although he may make lighthearted comments these were only when completely appropriate and he never acted unprofessionally. He obviously is a true expert in his field and knows exactly how to handle every situation in the best way possible.

If you are extremely easily offended, I wouldn't go to Dr. Stein. He can make comments that are 100% appropriate, but I could see how somebody with thin skin may misinterpret them. I know that fertility treatment is a time of high emotions, so there is a chance they could be misinterpreted.

I started on the lowest dose of letrozole to stimulate my eggs to mature, after my body wasn't responding after a few days, the dose was then increased. After responding minimally to the increased dose, we decided to move to an inject-able. I took the lowest dose possible of an inject-able for a few days before triggering with ovidrel. I had 3 mature eggs when the ovidrel was administered. After timed intercourse, this resulting in a positive pregnancy test. A few weeks later, I was discharged from the clinic.

My insurance covered up to $12,000 since they were considered a center of excellence. Luckily, since I only had one cycle before becoming pregnant, I only had to pay a few hundred out of pocket.

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.

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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.

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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.