RMA of New York

I found Dr. Mukherjee to be personable and trustworthy. He absolutely made time for us when we requested to review results and next steps. We never felt rushed out of the office. We had concerns and wanted clarification regarding treatment as Covid-19 cases started to stabilize in our area. He offered sound medical advice that made us feel confident in our decision.

Set expectations as to what kind of doctor you want to provide you care. There is no one size fits all doctor. We immediately felt comfortable with Dr. Mukherjee because he was referred to us by our OB who we trusted.

1st medicated IUI - negative 1 medicated cycle - chemical pregnancy 2nd medicated IUI - miscarriage IVF (freeze all, genetic testing) - upcoming first round; results not yet available

My husband’s insurance covered a certain “lifetime fertility” amount. Once those are exhausted, we will pay out of pocket.

N/A at this time

Dr Sandler is very blunt and to the point - he will go over expectations and crush them if you are aiming too high, but he is more often than not right. He is experienced, knowledgeable, and keeps informed of the latest development.

Stick to the facts, ask questions, asks if anything an be different - ie different treatment course, adding something else - do your research before meeting with any doctor.

very standard treatments, dosage based on age and regular antagonist (menopur, gonal, cetrotide with HCG trigger). Tried estrogen or the low-flare and it didnt work for me; adding chlomid worked better in increasing the number of eggs/embryos but not their quality. Results varied, not sure if any of the treatment "changes" made a real difference.

pre covid it was more than a cattle call - full to the brim! nowdays it is by appointment only making thins much easier.

when covered by insurance, at 3K per cycle (including PGS, w/o medications) when privately paid 6-8k for stimming and retrieval, anesthesia was additional + copays for visits

due to age, that not negotiable for this practice

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).

Dr. Stein did seem open and willing to go over the procedure. But he voiced his opinion early on about what he thought we should do. And being the doctor, the expert, that is probably a good thing. But it felt a bit like he was making the decision for us on what treatment we should do. I believe he did this because he truly felt that this was the best course of action for us and would give us the "best results." He is available at most visits and was very involved in my treatment.

From the beginning go in there saying you want to know all of your options and the expected results of each options, even if Dr. Stein doesn't agree all the options are the best course of action.

One of the first things we did after the initial consultation and tests was agree to a genetic test. Doing that test we found out that we are both carriers for hearing loss and that set our treatment off. We wanted to start slow, medications first and then IUI treatment, but because our kids have a 1 in 4 chance of having hearing loss Dr. Stein recommended starting right off with IVF, and we agreed. For the first part of the IVF treatment, I did two weeks of injections, going to my doctors office 10 times in those 14 days for blood work and ultrasounds. Once my hormone levels were up and my follicles were large enough I was scheduled for the egg retrieval. The results of the egg retrieval were 7 eggs, 6 were fertilized, 4 matured to the point that they could be biopsied. Of the 4 biopsied and tested 2 eggs are "perfect" and can go on to be implanted. I am now waiting to start the next phase for the egg transfer next.

For the amount of women that had to show up for monitoring hours that clinic worked really fast and efficiently to see everyone. They did a great job.

I'm only half way done, but so far about $6,000

My doctors office will only do the single embryo transfer on me because the embryos were tested for genetic and chromosome abnormalities, so the changes of the embryos taking are higher. I think that is a safe approach in my circumstance.

He go me pregnant with my IVF ever, but he is very strict with his regimen. I felt like at that time i was younger and probably didn't need PGD/PGS but it was not really explained to me. When I returned a few years later, I responded extremely well but had very poor fertilization results, which were surprising and i was left stumped and feeling like something had been missed.

Do your own research, ask questions, but know he is very strict with his regimen and won’t necessarily change things if they don’t work for you.

Antagonist with BC first retrieval and Estrogen priming antagonist protocol for second retrieval.

Insurance covered first retrieval/transfer. Next round was about 15k. We also did a FET before second retrieval which cost ~3500 (failed transfer)

He prefers eSET.

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.

Speaking of just Dr. Sekhon and not RMA, I couldn't be happier with the care she provided, specifically during the IVF process. From even before starting IVF, she demystified the process for me and shared many stories that made me feel more comfortable with the process. She was patient with me, going through the timeline of events and what to expect in detail along the way. Every time we spoke she eased my anxiety. I did not see her every visit but I would travel further from UES to downtown often because I always felt better seeing her than other providers. She was warm, yet straight to the point. Great bedside manner. I trusted the care she was giving me. I also appreciate how available she was over email when I had burning questions that I didn't want to wait until the next appointment- this is huge when going through something so emotional/time consuming. While I wish I did not have to do IVF of course, I feel lucky to have found Dr. Sekhon, and I could not recommend her more.

She is an incredibly busy clinician with lots of patients. If you need her REACH OUT and she will be there for you.

n/a

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I did not do IVF yet.

Please see prior answer. He is very caring and knowledgeable. He has remained responsive through the whole treatment process and even after. Gives realistic expectations. Would definitely recommend him

Trust him. If you have questions don’t hesitate to ask as he is very open and responsive to answering them.

We were diagnosed with unexplained infertility. We tried clomid with IUI for 3 cycles and then moved on to IVF which worked on the first cycle for us. Never did he push us to go one way or the other but rather always gave us our options and allowed us to chose

Cycles covered by insurance. Had to pay few thousand for medications and for anesthesiologist and genetic testing

Happy to have had single embryo transfer as multiples could have led to a complicated pregnancy

My first interaction with Dr. Flisser was for a consultation after 2 failed IVF cycle. He suggested to do another IVF with my eggs inspite of having failed cycles with my own eggs but after a through search and soul searching I have decided to do a donor egg IVF cycle which Dr. Flisser agreed. I will continue to meet him once in a while during monitoring hours (they have different doctors doing monitoring hours) but if I see him, he will answer my questions and I didn't feel rushed asking them.

Have your questions ready. Know and write your "infertility story/journey" so you have something to refer to during consultations and monitoring hours. Don't be afraid to discuss any suggestions or anything that might help success with your cycle.

We have used a shared donor egg and had a medicated embryo transfer (Estrace and Progresterone used). We had 2 normal PGD and 1 was transferred but was unsuccessful. Dr. Flisser discussed that we don't see everything with a biopsied embryo and this is most likely what happened here.

We will be using a shared donor cycle with ICSI and PGT; Frozen Embryo Transfer at a later date. total cost for the cycle is about $ 29,000.

Since this is a normal PGD embryo and with my age they choose only to put a single embryo transfer which I am okay here.

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

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

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

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

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

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

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.

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 .

He’s an expert in his field and has been doing this longer than most. At this point he knows my history and has given me my amazing child so it’s hard to have negative feelings, but I do which he were a little more aware of the psychological and emotional implications of this process.

Don’t expect sensitivity all the time - he is not the most socially aware person.

He always respects my wishes for treatment - eg he wanted to do genetic testing for embryos and I didn’t but was ok with my Choice

Like could get very long on the weekends but felt it was as efficient as possible. Sometimes I can’t a little after monitoring hours and was never an issue

About $10k for IVF cycle and $5k for meds

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.

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 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.

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

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

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

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

She’s very detailed during the paid visits. However, IVF Cycle for us was more of a disappointment since we didn’t get much of details of what is going on and what to expect next. Retrieved egg count was pretty low compared to the follicles were counted in the last visits.

Explicitly have her tell you the amount of eggs to be retrieved at every visit so you can have a chance to cancel before going in for retrieval.

First in first out. You dont know which doctor is on duty. Somewhat rushed.

More than 20K

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

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

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

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

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

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

Co-pay each time

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.