RMA of New York

There are no weaknesses I detected from Dr. Tia Jackson-Bey during my experience. She displayed her strengths and that is first her expertise/knowledge in this area or field. She exhibit that she have mastered the skill of time management not allowing me wait long periods of time despite me arriving late to appointment. She is the fastest doctor I have seen in the health care system who knows where to begin when entering the treatment room and end it by asking if I have any questions for her. Her tone and delivery of information as well as the level of care made my experience a memorable one.

"You are in good hands" as Dr. Tia Jackson-Bey said to me on Friday September 2, 2022 before my egg retrieval procedure.

I did not have the funds and was waiting for the paperwork to be completed with the company RMA contracts to be approved for a loan. The strategy that Dr. Tia Jackson-Bey recommended was take birth control to hold off my cycle and give time for the paperwork to be completed for 10 days and then start my cycle. Or I could wait until the end of August to begin a new cycle. She gave me options to choose. Secondly, after choosing to take birth control and assessing that it did not work at time of appointment. She recommend that I return back to the clinic another week for assessment. By then I was recommend to take one of the injections medication before returning. The rationale for this was so that my paperwork can be completed within the time frame taking the birth control. Second, when the birth control did not work the injection medication was the next option. That did not work as only one follicle developed so waiting for my next cycle to come was the last option which was a success and started treatment.

It was a well-oil machine. I was given appointments for monitoring and the appointments time were convenient for me as I was scheduled to be at my work place a certain time.

I don't understand questions.

I do not have any comments for this question. I am pleased with what I intended to do and Dr. Tia Jackson-Bey assisted me achieving goal.

When I first met Dr. Jackson-Bey I was open and honest about my bad experience from the previous fertility clinic. Going through fertility issues is alot emotionally and mentally. I expressed to Dr. Jackson-Bey my desires to have a child of my own. She went over my previous cycle as well as expressed why the cycle option she selected for me would be beneficial. From my first visit, I immediately experienced positive variations from my first clinic. She gave me 3D sonogram because I had some fibrous. She also was able to explain in detail what additional test as well as prenatal vitamins to help support me with my cycle.

Be positive. I struggled a-lot with not being empathetic. I felt as though I was Dr. Jackson Bey only patient when I knew I wasn't. I would say to also be patient with how fast she responds back to your email. Other than that, in my experience I had a wonderful with Dr. Jackson-Bey and her amazing staff at RMANY

My first cycle that wasn't conducted at RMANY, I did a natural cycle. My first cycle didn't result in a pregnancy. After going over my results, it was discovered I had endometriosis and needed further treatment before going through another cycle. I also have PCOS and low thyroid issues. Dr. Jackson Bey suggested for this cycle I try a medicated cycle. I first started with injections to help me produce quality eggs. On the day of my egg retrieval, I could bailey walk and I didn't know why until my retrieval was over. Dr Jackson Bey was able to retrieve 40 eggs. From the 40, 30 eggs fertilized and 26 turned into embryos. At my previous clinic, my doctor was only able to retrieve 12 eggs and 7 fertilized and 4 turned into embryos . Me and my partner decided to do PGT testing to eliminate not having a successful cycle. We only tested 4 embryos and out of the 4, 1 came back abnormal. PGT wasn't covered by my insurance so it cost us about $2,400 and to have each embryo tested was $150 per embryo. Once we got the results back, we completed our Transfer in May and in 2 weeks we got the positive news that our prays have been answered and Dr. Jackson Bey confirmed that we were pregnant. I still cant believe it. Dr Jackson Bey was able to look at my medical history and determine the best cycle option for me and my partner.

Most appointments were in the am.

My medical insurance covered my cycle. My out of pocket cost were co-pays, cost of medication (varies by cycle), PGT testing ($2400) and embryo testing ($150 per embryo)

Dr. Jackson Bey suggested one embryo transfer due to my age as well as the risk factors that come with multiple pregnancy. Me and my partner did desire to have twins but we understood and respected her expertise.

I saw Dr. Jovana Lekovich in April 2021, and explained to her that I wanted to get a full workup so that I could get a better idea of the state of my fertility, given that I was almost 35. She was cordial (if not that warm) and seemed very knowledgeable about the topic of fertility. She ordered the full workup of hormone testing and also performed one ultrasound (during the 1st visit). She told me that my egg reserve appeared normal and suggested another ultrasound in a 2- 3 weeks because there was something blocking her view of one of the fallopian tubes. During the 1st visit, she also discussed my family history and explain that lab tests done in a doctor's office are generally more reliable than at- home lab tests, which I had a few of prior to making this visit. One area where my experience fell short was the recommendation by the doctor to have genetic testing performed. She said that I should have genetic testing done (and when I asked her wasn't that only for pregnant women, she said that it was a good idea for everyone). Dr. Lekovich didn't explain or provide much context for the genetic testing that she recommended - I would later learn that this was "expanded carrier testing" and considered elective/experimental by most health insurers, and thus not covered by insurance. The only other thing that was off was the doctor's comment that maybe I wasn't trying hard enough to conceive. I felt that this was a bit presumptive but maybe that was just me. I feel that my overall experience with Dr. Lekovich was positive, if brief. She obviously has expertise with fertility topics and the various types of infertility and related medical conditions. While her bedside manner is a bit lacking, she is very intelligent and knowledgeable in the field of reproductive endocrinology, and that is what matters to me.

I would say to ask as many questions as you can about recommended tests or procedures, before agreeing to have them done. I would also say to not expect Dr. Lekovich to hold your hand at any point during the process.

Not applicable in my case -- I only had a consultation and lab testing.

Overall, testing and clinic visits came to < $750. Genetic testing = 250.

Not applicable

Dr. Jackson-Bey was very compassionate and responsive. I had tons of random questions in between appointments and she was always quick to respond to emails. She took the time to call me when I got disappointing results (i.e. negative pregnancy test from an IUI). She really cares about her patients and about her work. She is active in advocacy around infertility issues and getting more people access to infertility care.

Be as specific as possible in asking questions. Make sure to be clear on your communication style - i.e. if you're someone who likes blunt direct communication, be upfront about that.

Dr. Jackson-Bey initially recommended IVF from the outset because of my history of anovulation and DOR. I was very resistant to IVF and so we agreed to try medicated IUIs first. She was understanding of my feelings and accomodated my wish for this other path even though she did make it clear that she thought IVF was the best path forward. I ended up doing 6 IUIs because I responded well to them and there was no obvious reason that an IUI wouldn't have worked for me. Eventually I felt very ready to try IVF and so we made the switch. My first protocol was one designed for women with DOR or poor responders. I didn't get many eggs but the results of blasts was very strong. We decided to do another cycle to bank embryos because of our desire to have two kids. The second cycle we used a different protocol that I did not respond as well to and we also had a male-factor issue so we ended up freezing eggs only. After that we took a break as we were pretty shaken up from that experience and decided to switch doctors within the practice purely for a psychological "reset." We are soon preparing to transfer the euploid embryos that we got from that first IVF cycle.

The major procedures were covered 100% by insurance (unlimited IUIs and up to 3 IVF cycles) but we decided to pay for ICSI ($2,000) and PGT testing ($2,500).

I have nothing but good things to say. In fact my husband and I wish she could be our GP. She is really good at explaining what's happening, makes time for questions and is responsive. I never felt rushed, pressured, or like I wasn't receiving the best advice. I always felt like I was her only patient even though I know that's not the case. Truly a gifted physician and gem of a person.

Bring a notebook and be prepared to take lots of notes. There's no such thing as a bad question.

Egg retrieval 1: antagonist protocol. I was a slow responder and stimmed for 14 days. I have slightly low amh and only had 5 eggs retrieved. one made it to blast and came back low mosaic. We changed my protocol for the second retrieval and did the microflare protocol with estrogen priming. I ended up with 6 eggs and 4 blasts. Three came back PGT normal. in between retrievals I had to have a laproscopic hysteroscopy to remove uterine adhesions and fix additional scarring/issues at the fundus. I had my FET two months after my second retrieval and three months after surgery. It was successful.

All in around $30k but we used WIN Fertility to pay. Most of our IVF was paid for out of pocket.

Will only transfer one embryo at a time. She outlined her reasons and we were on board.

Dr. Lekovich is straight forward but kind. She does not talk down to you and will explain everything going on. For all the major procedures (retrievals, transfers) she was the one doing it. Monitoring and IUI was done by rotating doctors.

Ask questions and advocate for yourself. This is a big clinic and there is no hand holding. Dr. Lekovich is smart and committed but it’s not a mom and pop shop so you need to be assertive at times.

I did 2 medicated timed intercourse cycles and 2 medicated IUI’s mainly for insurance purposes. These cycles resulted in negative pregnancy tests. I had two ICSI, PGT, freeze-all cycles. The first one only yielded 1 day-5 PGT normal embryo. She adjusted the medication for next Egg Retrieval and I ended up with 4 day-5 PGT normal embryos. I was happy to have an adjustment and better results. My first embryo transfer ended in chemical pregnancy. The second one she added Lupron and I have an ongoing pregnancy from that cycle.

Monitoring varied a great deal. Sometimes it was empty sometimes it was literally standing room only.

I lost track of how much money we spent. We had some insurance coverage but still paid around 15-20 thousand total.

Dr. Lekovich was a very strong proponent of aSET.

I was very blessed to have Dr. Lekovich as a doctor. From the beginning she diagnosed me with Vaginismus, she gave me a detailed plan to overcome it so that I could start to have fertility treatments. My ability to overcome this complicated illness is due to her help and guidance. She encouraged me to continue and now after one IVF Treatment with her, I am pregnant. She is very thorough and compassionate. She was easily accessible to me which was also very important. She also understood the religious laws that my religion has regarding fertility treatments, and she was sensitive to all of them. She had a great sense of humor, always listened to me, and she had a positive outlook on my treatment. She was very thorough during the treatment making sure that we did everything we needed to succeed. I followed her advice and now I am pregnant with my first child.

Make an appointment and then let her walk you through how to succeed in your treatment. You can be open with her about any issues that you think are hindering you from having children, and she will work with you closely to solve them.

IVF has two parts, an egg retrieval part in which as many eggs as possible are retrieved, and a Transfer part in which the Embryo is transferred into a woman's uterus. During the egg retrieval part of my treatment, I went for monitoring every day, and based on my blood levels and ultrasounds, Dr. Lekovich would make the necessary changes to the doses in my treatment. During the transfer stage, I had to go to monitoring a few times a week. Dr. Lekovich made sure to do everything possible to get optimal results.

Since RMA has many offices, we did our monitoring in Long Island, which was closer to us.

Dr. Lekovich's approach with regard to the amount of embryos transferred is based on a model that RMA follows. Since my wife was young, she only put in one embryo for the transfer.

Dr. Lekovich is always honest and clear in her approach, along with reasoning for why she implements specific treatment planning. She is available through email, is quick to respond, and always always makes us feel at ease after each communication.

Ask any question and express any concern you may have. Dr. Lekovich has a wealth of knowledge regarding infertility/fertility treatment. She will be able to provide you with research backing her decision making and treatment planning. She will also address all questions or concerns without making you feel overwhelmed by information or as if it is an inconvenience.

My first cycle began with birth-control, then Gonal-F and Cetritide and Menopur. My second round involved E2 patches, Clomid, Gonal-F, and Menopur, the most successful and resulting in 12 retrieved, 3 tested, 3 frozen embryos.

There are quite a few people in the waiting room on some day, but then no one other than my self others. I typically go first thing when the doors open and have found it to be very easy and smooth. The women who draw your blood are amazing. They never hurt me, always remember me and ask questions that make me feel at ease in the experience.

Insurance covered all but $7000 of each round, not including medications which came to approx $250/round.

We would definitely see Dr. Lekovich again in the future if we decide to expand our family. She was very confident and competent. We had a few issues trusting the process due to multiple unexplained losses that happened at another clinic, but Dr. Lekovich was very positive that we could carry to term and she was right.

Go to the Brooklyn office if possible. We did some monitoring at Madison because of a move and Covid, but the Brooklyn office is much more intimate and it's better to see your doctor regularly. For our last cycle, we ended up driving over to Brooklyn and it was worth it to see Dr. Lekovich and discuss our concerns with her directly.

After our first cycle failed, we went with a "kitchen sink" approach, just in case I had some sub-clinical endometritis. While it was intense in terms of a medicated cycle, it ultimately worked for us.

As a lesbian couple who were also experiencing unexplained infertility, we felt like we were in good hands with Dr. Lekovich. There were always other gay couples in the waiting room and we felt the doctor was very well versed in LGBT issues.

Appointments and monitoring in Brooklyn we're great. Even when crowded it was an easy process. At Madison it felt much more like a cattle call. Very full office and long waits.

For our first cycle we were out of pocket for 50% and the second was fully covered.

For our situation, Dr. Lekovich would not perform multiple embryo transfers though we did ask. However, having now gone through a pregnancy with a singleton, I'm glad for this policy.

We weren't thrilled with the communication for shipping sperm from our cryobank to RMA. They will not confirm receipt and not respond to the email you need to send them to let them know vials are on the way. We had to jump through hoops to make sure our materials arrived and it did not help us with entrusting the clinic. (We had a totally different experience at Weill Cornell where everything was communicated so clearly and signed off on and we were expecting something similar.)

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.

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

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

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

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

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

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

She recently moved

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

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

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

The only issue I really had is after 2 failed IUI's she never enforced my husband to do a sperm analyisis. Considering I had been pregnant 3 times naturally before coming to the clinic, I think they just assumed his sperm was healthy. It wasn't until I personally had to enforce it did my husband get his sperm analysis and now here we are 8 months later still not pregnant, but found out that my husband has 0% motility. My 40th birthday is this year, and we will have to make a big decision about IVF. I loved her bedside manner and how personal and sweet she was, but I felt like she would just increase my dosage of Clomid each month I didnt get pregnant and was chalking it up to unexplained infertility, and shouldn't have even allowed us to do IUI without him having a sperm analysis.

To make sure you ask every question you have, as she doesn't really give answers unless you come with questions.

First we tested my AMH and it was very good, and since I had been pregnant 3 times before we just did a non-medicated natural cycle that she monitored. I produced follicles on my own, ovulated according to the blood work, etc. Then when that didn't work she suggested we go right to IUI unmedicated and I did one unmedicated and it didn't work. Then we did one IUI cycle where I took 50mg of clomid, and then they gave me the trigger shot of ovidrel and that IUI also failed. Then I didn't have any more money for IUI's and my insurance covers NOTHING for fertility treatments. So then she decided to increase my dose of clomid to 100mg and then I gave myself the trigger at home, negative again. Then she increased me to 150mg clomid and I did the trigger shot again at home, negative. That following month she discovered a polyp on my uterus and I had read that was a side effect of clomid. On Feb, 14th 2017 I had the polyp surgically removed. Before we started trying again and while I was healing I had my husband go get his sperm analysis. Thats when we discovered his motility was 0%.

$75 per blood test $250 for monitoring, $1250 for IUI, $150 for sperm analysis, $125 for phone calls, $375 for in person meet ups. All in all I spent 10K in 2017.

Dr. Kudesia was available to answer questions in person when we made an appointment. She was clear, balanced and walked us through the available data on medicated cycles with IUI and IVF. We are a couple with a lot of questions and she took her time to answer everything. It never felt like she was trying to push us in a specific direction and she didn't get defensive when we questioned certain approaches based on our failed outcomes. She took time to call us over the weekend after we found out about all our embryos failing to reach day 5. It was devastating news, but we appreciated her call. She is upbeat, cheerful and encouraged me to stay positive while recognizing that was hard to do.

Schedule specific appointments if you want to have time to ask questions.

With our daughter who passed away, I got pregnant quickly so Dr. Kudesia expected that we would get pregnant again. We started with medicated cycles and IUI given there were no other signals that we had any issues. After that failed 6 times, we moved to IVF. I went through 3 IVF cycles with Dr. Kudesia, all with different protocols. The first led to 0 day 5 embyros, the second had 1 (but it was abnormal following PGS testing) and the 3rd we did a day 5 fresh transfer as a last ditch effort to see if that would work.

Monitoring was fine in the morning. I got there when it opened and there was often a couple people in front of me waiting to go in.

Covered by my insurance, but I've used up all my coverage and still am not pregnant.

When we did the day 5 fresh transfer, we agreed to transfer 2 embryos.

Dr. Kudesia is just nice and explains things in a way like you are talking to a friend. I had a good feeling about her since out 1st consultation in June 2016. I only saw her a few times, since I have not started IVF yet, but she is my main doctor.

I don't think I have advice, I would just recommend her to others.

we started with RMA about a year and a half after trying unsuccessfully to conceive. Dr. Kudesia checked my egg count which is normal for my age and hand me let them know when I came started my period so they can start me on clomid and do blood work on the given days of my cycle. Since I just started they sent me to get an HSG exam. On day 12 I would come in and they would check to make sure I had at least 1 mature egg follicle and they would give me Ovadril. I did the HSG once and it came back normal as well as all the blood work they did. I did the clomid and Ovadril for 3 cycles, July-September 2016. I decided to stop until my husband was tested. He was tested in November and it turns out the issue is on his end.

My co-pay was normally $40. However the sperm extraction done by Dr. Natan Bar Chama was $6,500. IVF I have not started yet but it will probably be in the $20, 000 range including PGD and medications.

From what the doctor said, they only plan on putting in 1 embryo at a time.

He was fine. He seemed honest and open and nice. But he wasn't involved much in my care that I could see. The facility is so big that he was a very small part of my care. I was always told that he was "reviewing" my data, but I never heard from him.

Ask how many times you'll have contact with him during the course of your care.

Can't remember exact protocols. But it was pretty standard IVF stuff.

Ugh. Different person every time. Phlebotomists were truly awful.

Covered by insurance

Dr. Lekovich was amazing. She was incredibly compassionate when I had a miscarriage (from a natural pregnancy) and helped me get a plan of action going right away with ivf so I could get pregnant as quickly as possible. She even went the extra mile to email late on Friday night to let me know that all three of my embryos came back chromosomally normal, news I had anxiously been awaiting. I felt she always genuinely cared how I was doing as her patient.

Go with her!!!

IVF with genetic testing and frozen transfer. I had had 3 miscarriages from spontaneous pregnancies as a result of chromosomal abnormalities so testing the embryos before transfer was a must.

$20k

Already higher success rate with genetically tested embryo transfer and less risk with single verse multiple pregnancy/birth.

Dr. Lekovich was great in terms of taking time to answer my questions and she was compassionate to my situation. I feel like what was not communicated to me was the possible outcomes after the retrieval in terms of what to expect regarding the number of eggs retrieved, embryos fertilized and how many may not be viable.

Ask what to expect.

Due to my situation, she tried to be as aggressive as possible while being safe to retrieve enough eggs to give us options.

Approximately $18,000 for the cycle including $750 for anesthesia. Medications ranged an additional $5000-6000.

Her strengths include her compassion and knowledge. She explains things very well. Her weakness so far is that I have not had a child yet. My treatment continues with her and am looking forward to the outcome.

Communicate with her directly if necessary. Her staff may not be as receptive as she is.

For my last treatment we used a Lupron protocol - the rationale was that she wanted to completely suppress my hormones due to the endometriosis found. By suppressing my hormones the goal was to closely regulate my hormones during my cycle.

I had no choice on the approach to eSet. During my last transfer I would have liked to have a multiple embryo transfer.

After having my miscarriage, I set an appointment to meet with her again. She was so compassionate and helpful with getting me to understand why. At the end of the conversation I told her I wish she could follow me to the end of any of my pregnancy (delivery room) and she laughed and said me too.

Follow her instructions and you will be successful.

I use clomid and then ovidrel when they told me I was ready to do IUI.

I cannot remember actual number but she did take my insurance. Some part I had to pay out of pocket for.

To me, Dr. Jackson-Bey felt transparent and patient. She spoke to me with respect and did not automatically assume I understood the medical terminology and treatments she was describing. I walked away feeling a sense of trust in her guidance.

Approximately $2,000 for initial consultation and diagnostics.

aside from initial visit, I have not seen dr kudesia again. i have undergone three cycles of medicated treatment (ovidrel + letrizol) and they have been unsuccessful - she did not follow up ever. furthermore, last treatment resulted in extreme adverse side effects to the ovidrel which I found out AFTER being in NY Downtown Presbyterian Hospital ER, again no call from Dr Kudesia. She increased the ovidrel mg after being notified that I wasn't successful but that increase in dosage likely led to the ER visit. The overall lack of concern for my health and lack of follow up is concerning.

Ask her questions, see if she's taking due care in fully addressing your concerns and clarifying medical jargon. Also ask how involved she will be in future visits and procedures.

He was a perfect doctor. He spent a lot of time with us from the hours long first meeting to the monitoring visits when he would discuss results, what to expect, and answer all of our questions. He was thoughtful about treatment options and recommendations.

He's the best doctor you'll ever have (now at Extend Fertility).

The major change was from a regular gonal f+menopur cycle to estrogen priming + gonal f + menopur

Cattle call -- wait wasn't too bad at Brooklyn.

Covered by insurance

Once we did PGD he strongly counseled against transferring more than one embryo.

She’s an extremely intelligent doctor with tons of knowledge. She’s published peer reviewed research papers and is ultra competent. I’m very excited to work with her, and she’s already been more thorough and proactive in 1 visit than my other doctor was through two retrievals and two transfers.

Have all your questions ready for her and make sure your medical history is already sent to her office before your appointment.

Most is covered by insurance. I’ve paid copay’s and a few out of pocked fees

She is very professional, which could be interpreted as being a little bit cold. She is courteous and explains everything in detail, with technical terms and “common”, more understandable terms. I didn’t have to wait too long to see her and she is also available over the phone.

Ask questions. She can be very technical.

I didn’t start the treatment yet. We are trying IVF. The chances are low but she is willing to try. She will take all the steps to try to make it happen.

Approximately $35,000

She will lab-test the embryo before the transfer, to ensure the embryo is good.