RMA of New York

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.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

She recently moved

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

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

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

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

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

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

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

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

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

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

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

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

Direct but honest and caring

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

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

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

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

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

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

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

RMA of New York definitely has a system down. It's easy to feel like a number at this clinic, but they ARE pretty organized. While I got used to seeing a different doctor every time I went in for monitoring, one thing I did not like about RMA was that the actual procedures (IUI and IVF egg retrieval) were also performed by whatever doctor was on duty that day. There was one doctor at RMA that I didn't particularly care for (his bedside manner was not a match for me) that did one of my IUI's, and I would never have actually chosen him to do it. At RMA, you are very limited when it comes to choice in that sense. I didn't even SEE the doctor who did my IVF egg retrieval. I was already under anesthesia before he even came into the room. Overall, I've had a good experience at RMA (despite my treatment failures).

Dr. McAvey is kind, optimistic, and has a great bedside manner. Even when I am feeling down about the process, she is encouraging and hopeful. She has been willing to answer all of my questions both by email and phone. At RMA, it's easy to feel like a number, because there are so many women being treated there every day. Even when I felt like "just a number" on my monitoring days, Dr. McAvey never made me feel that way during any of our interactions.

The nurses at RMA of New York ranged from pretty nice to very nice. All of the questions I had throughout my IVF cycle were answered by the nurses vs. the doctors. Whenever I asked, they would sit down with me to walk me through the process and help me figure out my "medication ordering plan" (since I found the process of ordering the meds to be more stressful than actually taking them).

My experience with Dr. McAvey has been fine. Whenever we speak she is kind and hopeful. I haven't actually interacted with her very much throughout the course of my treatment. I had an initial consultation with her before I started the IUI process (3 rounds), and then one more before starting my IVF retrieval cycle. Other than that, aside from one or two emails to answer a question, I didn't have any contact with her until she called to let me know my IVF failed to produce any normal embryos. It was only then that she let me know about taking CoQ10 to improve egg quality and to pursue acupuncture (which I had pursued on my own and told RMA I was doing). If you have questions, Dr. McAvey will absolutely answer them, via email or phone. But it's really up to the patient to proactively ask (and research/figure out WHAT to ask). When we found out there would be no transfer cycle for us, Dr. McAvey was optimistic and encouraged us to try again as IVF is really just "a numbers game".

Do your own research and ask as many questions as you can at your initial consultation and all throughout the process. You have to be your own advocate.

3 cycles of IUI: five days of Clomid, Ovidrel trigger shot, IUI I cycle IVF (retrieval only, no normal embryos to transfer): Gonal F / Menopur / Cetrotide / Dual Trigger Lupron + hCG I was not given a rationale for following this protocol. I have a good ovarian reserve for my age, so based on this IVF cycle my issue appears to be egg quality.

Monitoring appointments at RMA of New York are well organized. I typically never waited longer than 15 minutes to be called and was typically always in and out within 45 minutes.

My health insurance covered my IUIs in full and one cycle of IVF (up to $10,000), however it did not cover most of the expensive IVF medications. For my IVF retrieval cycle, out of pocket I paid ~$4,500 for my medications, $2,000 for the embryo biopsy, $750 for anesthesia, and $750 for PGS testing of 4 embryos plus all office co-pays ($40 each). Billing for my IVF egg retrieval procedure hasn't gone through my insurance yet, so I don't know if I will owe anything additional.

Having worked with another clinic and doctor before I switched to RMA I. Genuinely can't think of many or any weaknesses - after my first APPT I told my friend and family that it was a totally different ( positive ) experience . You are in good hands ! And it's great that all the whiteplains, nyc and Long Island offices all work in conjunction with each other

I had seen a doctor before who I really didn't like her bedside manner for a variety of reasons so I went to de lederman instead. I feel so much better in his hands ! I can contact him via email all the time with questions , he is warm and understanding and gives his honest and professional opinion . He made me feel like I mattered and I'm not just a number walking into the office

All the staff at RMA and dr ledermans office are smart , warm and compassionate

I think dr lederman is very warm and honest , extremely smart and really dedicates himself to his patients . He can't make pregnancy happen but he always makes me leave feeling hopeful and positive . He cares and the thing I like most is that I can always directly email him with questions or concerns

You are in good hands with dr lederman- id say to remain positive and hopeful that the process no matter how long or disappointing or frustrating it may be will work

I used clomid with a previous doctor -50 mg didn't work - 100 did work but didn't result in pregnancy. Under the care of dr lederman I have taken letrozol twice and done the ovidrel shot twice and an IUI twice

It really depends on what your insurance covers- mine didn't cover IUI ($500+) or the ovidrel shot ($99) but thus far the sonograms and office visits and blood work were covered . I really like that RMA has a financial consultant to discuss all your financial options available and will answer all or any questions

N/a

RMA is a cattle call. Appointments are never on time and trying to get through on the phone is just as stressful - you're guaranteed to listen to a lot of hold music. They are also very shady about billing practices. My husband was going somewhere with Zika before an egg retrieval, so we had him freeze sperm in advance, just in case. When he returned, Zika-free, and we proceeded with the transfers with fresh sperm, we assumed the frozen sperm had been thrown out, since no one told us otherwise. Six months after we stopped going to RMA, we received a $500 bill for the storage of the sperm. We are still trying to untangle this mess, both in terms of paying the bill and also making sure they stop storing his sperm, and it's now been 8 months since we left the practice. The finance team has been nothing but rude and lacking in compassion this entire process.

RMA is a cattle call. The office is always packed and appointments never take place on time.

I was assigned a coordinator of Dr. Copperman. She was lovely and very helpful and communicative, but because I was never given contact info for Dr. Copperman, she was a poor substitute in the moments when I really needed to speak to my doctor. Also, the nursing team in general had terrible bedside manner. When all our embryos failed after an egg retrieval, a nurse left me a voicemail on a Saturday morning to inform me. When I called back, I was told she didn't think Dr. Copperman could speak to me until Monday. I only got a call back from Dr. Copperman after expressing the fact that that was an unacceptable response. There's a real lack of care towards patients here that is felt especially when the news is bad.

My husband and I came to see Dr. Copperman because we had both tested as carriers for a genetic disease. In June, he told us we would be pregnant by Thanksgiving. We then went through two rounds of egg retrievals, neither of which resulted in any viable embryos to test for the genetic disease and freeze. His only change between round 1 and 2 was to bump up the hormones - no additional testing for any unknown factors that caused the issues. When the 2nd egg retrieval didn't work, he treated us like we were the problem and left me wondering if I had unknown fertility issues. We switched to another doctor and I'm now pregnant after one very successful round of IVF, with four frozen embryos to spare. So clearly, the problem wasn't with me. I recognize this is all a bit magic, a bit of a crapshoot, but to have my IVF doctor treat me like an annoyance for not performing the way he assumed I would is really the icing on the cake of an already extremely rough experience.

I would get a second opinion.

It was a cattle call. Getting there really early was the best way to avoid a very long wait.

RMA seemed pretty organized and well run, most of appointments are on schedule. I wish they give me more clear answer on the state run grant's availability. I follow up many times on the status and I always get respond that they do not have a contract signed with the grant yet.

Dr. Beth McAvey is personal and warm. She is direct and reply to emails.

I always get different nurse on each blood work result and call back. They are give clear instructions and answer my questions.

As this is my first IVF, I wish Dr. McAvey explained to me which treatment is choose for me and educate me a little bit more on what to expect. I did most of my learning through reading and google online. I wish I have more options available to me for me to consider if the 1st treatment failed.

Educated yourself more on the IVF topic. I was abit overwhelmed and clueless.

Lupron protocol was used for me, don't know the rationale of why using Lupron. That was exactly my previous comments that I wish Dr. McAvey explained to me more on the treatment strategies. I didn't know how many protocols are available and options before my treatment. All the blood work seemed normal as progressed. As a result of this Protocol, 2 matured size, 2 mid size and 1 small one. Dr. MaAvey did push 1 more day before the trigger shot to give more time for the small one to grow. Result: 5 retried and only 1 inseminated. And the only 1 inseminated one didn't grow after few days.

the overall experience is good. 95% of time are pretty quick and standard. wish I get less bruise from the blood drawing. There are 2 nurses's technique are bite harsh.

3 times of IUI - $2,000 1 IVF - $20,000

I didn't get to that stage of process yet, so I don't have good and valuable comments on this topic that I can provide.

Strengths are efficiency. I was VERY surprised for NYC and how busy they were that I never waited more than 10-15 minutes in the waiting room, a lot better than my OB's office ! Also they were very friendly. The nurses called back very quickly and were good about getting any questions I had answered. I also liked that I had a way to communicate with Dr. Kudesia over email. I found that very personal. The weaknesses were that it has a feeling of being a business and that they almost hope you have to jump to IVF. In our case we do have to jump to IVF because of my age and my husbands sperm motility, and I just wished from day one they would have made him get tested.

I felt like a human because I could really tell she cared. I had a full term still birth in 2016, I was 39 weeks pregnant and I lost my son to an umbilical cord accident. When I started seeing her she was nothing but human, and caring and understood my fears and anxieties after such a huge loss.

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.

RMA is a strong clinic and well organized. It is huge, and they do a good job of managing individual cases. They always return phone calls within the hour. It does feel like a bit of a factory given the size. They are also fairly conservative/traditional. They do not believe in immunology issues and are not particularly open/imaginative about understanding RPL. They are very evidence-based, which is not a bad thing, but I do wonder since other places are more open to experimental treatments!

There were so so many patients in and out of RMA - there would often be at least 20 other women in the waiting room while I was there. Dr Stein did not seem to remember my case well (I had had a horrible miscarriage with gushing blood for 12 days, came to see him to make sure I wasn't hemorrhaging and he helped break up the clots, and then had no memory a short time later as to why I would be anemic. Also didn't seem to check my chart). I found him dismissive and not patient with my questions. Having said that, despite the huge amount of patients at RMA, overall I thought they did a good job in making patients feel heard - I just didn't necessarily feel that with Dr Stein.

Eliza is amazing!! There was another nurse too who comforted me when I cried about starting PIO. I wish I remember her name. Overall, the nurses are amazing there.

Dr Stein is smart, experienced and knows his stuff. He explains things well and is a realist - a described pessimist. I think he did a good job with our egg retrieval, as he was very exacting about my timing and when to trigger. We got good results from the retrieval (though a lot of that is because of my eggs). I found the transfer VERY uncomfortable (I am not a great gyno patient) and he was incredibly impatient and unsupportive in the moment. My transfer took, but then I miscarried at 5.5 weeks, exactly the same time I had miscarried with my two natural pregnancies. Despite the fact that he had pushed for IVF to control for embryo quality, and then the embryo quality didn't seem to make a difference (they were PGD tested), he had no explanation for why I might have miscarried. He also was not overly sensitive and wanted to just 'try again.' he said it's a numbers game. He was very dismissive of my suggestions (other women in my family had a bicornuate uterus, but he immediately said I didn't have that). When I went to get a second opinion from another clinic, they suggested a different protocol. I brought that suggestion back to him and he was immediately dismissive, judgmental and unprofessional. He told me that clinic had a 'terrible reputation' (despite the fact that he had trained the doctor) and that their suggestions were off-base. This was a phone call, after not responding to my email for a few weeks. He claimed he had. Overall, he left a very bad taste in my mouth and I felt unsafe/uncared for in his care. I think he is very smart and knows his stuff but is very arrogant and not open-minded. While I think he likely provides good care overall and helps a lot of women have success, I would not recommend him to a close friend.

Be your own advocate, and push him hard if you disagree.

I believe it was a standard protocol, with menapur, gonal F, and the trigger. for the transfer, we used PIO and estrace. When I wanted to add lovenox for low grade anticardiolipin levels, he was not supportive. Said it was risky (for bleeding) and wouldn't help.

I liked that the hours were early and I could go before work, and the window of time was substantial. However, it is such a huge place that sometimes I would wait an entire hour. And there was no way to predict it! So I'd have to go much earlier than I wanted just in case. It did feel a bit like cattle call.

For me, Dr Stein believed strongly in transferring one embryo, because multiples bring higher risks. I agree with this assessment and appreciated it. (He also has twins himself, so that may bias him).

Having now gone to another practice, I see that RMA is a fertility factory. In retrospect, I feel that we didn't truly receive any personalized treatment. There is a standard set of tools that RMA uses without going deep on what the underlying issue might be. After 2 failed IVF cycles based on getting no PGC testing embryos, a panel of the RMA doctors didn't have any other suggestions beyond a different IVF protocol. They are not open to day 3 transfers. Since transferring to a different practice, we've done secondary tests for genetics, a biopsy identifying an infection, sperm fragmentation test and uncovered issues with each of these. These tests just were not available at RMA. We now think of RMA as a place to go to have certain procedures administered to you, but I don't think about it as a place where your doctor can truly "treat" you by offering individualized care and service.

Dr. Kudesia was very understanding of our situation. We were grieving from the loss of our daughter who died shortly after she was born and found ourselves faced with infertility. Dr. Kudesia was incredibly sympathetic and available to meet with us on a regular basis to patiently answer all of our questions about medicated cycles, IUI and IVF.

I saw numerous nurses over the course of my year at RMA. The quality of the staff differed, but they were available to answer questions when I called RMA.

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.

Only negative is financial coordinator, Hera or Hema or something like that, was not easy to get in touch with and was quite unclear in her communication. Everyone else was lovely and compassionate, especially nurses who educate you on trigger shots and Kristen, Sandler’s IVF coordinator.

Dr. Sandler was thorough and quite knowledgeable. As he got to know me he certainly warmed up. He spoke quickly and sometimes at length, needing to be redirected to my questions or reason for the visit.

Most nurses were patient and compassionate on the phone. They have the hardest work, I think, in delivering news of monitoring and successes or failures. They were generally great. The three women who took blood were marvelous. Toward the end of my time there were new women to take blood and they needed more practice but I’m sure would improve quickly given the high volume of the practice. Monitoring hours were first-come, first-served and they were efficent and honest with the time.

Dr. Sandler is very frank and honest about his anxieties, which is wonderful but also doesn’t help a patient stay positive when we may already be feeling despondent. However, he knows his stuff and takes very seriously his duty to get women pregnant. I trustes he was doing his best. When his business office completely miscommunicated what the cost of our experiences would be, he gave us ‘professional courtesy’ (my husband was a PGY1 in the Mount Sinai system and had gotten an MD/PhD at Mount Sinai as I well), generously taking care of basically one frozen transfer cycle. He was adamant that he didn’t want the unclear finances to be the stressor. I will never forget that.

Ask questions and ask him to slow down if he is speaking too quickly.

I had good ovarian reserve and was 30, almost 31 years old, so we began with med to make me get a period, then letrozole with monitoeing, a trigger shot and timed intercourse. Because I had previously had a miscarriage at 10.5 weeks, he thought I could get pregnant again on my own. Letrozole was because it has less risk of multiples and less hormonal side effects. I got pregnant on our second round - a blighted ovum that we terminated with cytotec at 8 weeks. Because of this second loss, he suggested we do a immunology work up and we found that I heterozygous for factor v lieden with positive antibodies. I wish he could have recommended a hematologist who took insurance but he couldn’t. I found one and she was fine though didn’t think I needed blood thinners. I appreciated that Dr. Sandler insisted. We did an egg harvest, genetic testing, and FET to control as many variables as possible. I loved that he insisted the progesterone suppositories were just as effective and less stressful, and so I used those and estrace of course. First fet was a chemical positive. Second resulted in our daughter! I used blood thinners the entire pregnancy and will again next time as well. Folgard too!

Monitoring hours were 7-8:30am, I believe. They were first-come, first-served. During the week I would arrive at 6:45 and never waited longer than 45 min. Weekends would be a longer wait because I would get there between 7:30-8. I was usually out by 9 or 9:30, though.

Insurance covered most of us so I’m not sure. When they didn’t communicate clearly what our insurance would cover, we went directly to Dr. Sandler who provided us with a one-time ‘professional courtesy’ (my husband is also an MD) because he didn’t want stress over financials to deter us from focusing on the positive of a successful fet.

Given my age and history; Sandler recommended single embryo transfer. I am an identical twin and my mother was in the hospital for months with high blood pressure while pregnant. I 100% was thankful for Sandler’s honesty, thought, and opinion.

The clinic usually responds quickly to questions. They typically contact by phone, which could be tough while I was at work and involved a lot of phone tag. I asked to be emailed and that made things much easier. There are several locations that you can go to for monitoring hours, but this was not always clear, so just ask.

Most of the nurses and doctors at RMA were kind, friendly, and sensitive

there were several nurses and I never knew who to contact. This was where problems arose with each nurse not knowing my care plan. I had to explain it repeatedly.

During the few times where I saw Dr. Davis I really liked him, but most of the time I was interacting with nurses, staff, and other doctors. My case is a bit different from most and I had to regularly remind each person I was in contact with. There was miscommunication between those people and it seemed that the staff/nurses/doctors did not read my chart. My big issue is with RMA as a practice. I don't think I realized how much of a problem it was until I left the practice upon moving.

As Dr. Davis to ensure that you care is known across all members of the RMA team.

I was not quite ready to do IVF and wanted to try other options, using letrizol, ovidrel, and progesterone with timed intercourse. I liked that Dr. Davis was open to this and never pushed me to move forward before I was ready. It was difficult that it never felt like we were trying to figure out what is wrong, but just trying solutions. None of these treatments ended in pregnancy. When IVF was a next step, I was moving out of state and did not continue at RMA for that reason.