RMA of New York

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. 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.

Dr. Kimberley A. Thornton is caring and kind. She answered all my questions and gave us suggestions for our treatments. She thought we had a good chance during our consultation. We had 2 IUIs and 4 IVFs with her for 10 months. My embryos didn't last until day 5 and I never had a transferred with total 50 eggs retrieved as RMA doesn't do day 3 transfer. We tried differnt protocols for my IVFs but still no good news. I feel she is supportive and responsive. I wished we tranferred to another clinic sooner.

If you're going to RMA, I would find a more experienced doctor.

I had 4 cycles. 1st one we used antagonist protocol and Lupron flare protocol for rest of the cycles. I responded to better to Lupron flare and retrieved more eggs as well.

Monitoring hours are easy and efficient.

The billing department is nice to work with.

We also used ICsI for all cycles.

I would've appreciated a more thorough consultation. My case isn't a particularly complicated one, but I felt that I was brushed off rather than engaged for what my concerns were. I also felt that my concerns were met with a don't-worry-about-it sort of response rather than answered more directly and thoroughly. I'm detailed oriented and felt that the response was a bit disconcerting.

To not be afraid to act direct questions and follow up if the answers aren't as thorough as you'd like them to be.

I went in only for an initial consultation for possible egg freezing.

I encountered only the initial consultation, which was covered by my insurance.

Was very thorough during my initial consultation & pointed me towards exploring endometriosis (which was a blessing & I am eternally grateful for that conversation as it was the first time it was brought up) but seems out of touch with me personally & relies on numerous coordinators.

Be your own patient advocate

First recommended I meet with a speciality obgyn to explore endometriosis & then also address a previously undiagnosed thyroid. Then 4 cycles of IUI before IVF

We only did a consultation and ended up going somewhere else because we wanted a doctor with stronger bed side manner. However, he did answer all of our endless questions and was very blunt so I knew if I went with him he would not have sugarcoated anything.

If you’re looking for bluntness and don’t care as much about bedside manner, he is for you.

We only went to him for a consultation. He did say we would have to be aggressive. I only had a few follicles.

My insurance covered it fully.

Said he preferred single. Also said that they would not transfer mosaic but you could ship them to someone else outside their clinic to do it if you wanted.

I found it very comforting that she was sympathetic with my apprehension regarding the ultrasound exam, and even had her nurse hold my hand during the procedure. I think that she was able to explain the realistic expectations that I could have regarding potential success of a cycle.

Be prepared to hear honest feedback about the potential that you have for success in a future cycle.

I was only seen for a consult, did not yet begin a cycle.

So far, I have only been seen for a consult. For the consult, I was covered by my insurance with only a small copay. However, I am not covered for a cycle or medications, and those will be full cost out of pocket.

We did not discuss, as I am only looking to freeze my eggs at this stage.

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

Ask questions. She can be very technical.

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

Approximately $35,000

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

I only saw him for my consultation. Another doctor gave me conflicting information than he did so unsure on trust level thus far but still mid way through treatment but getting another opinion before continuing

He suggested natural cycle with trigger shot for 3 cycles then clomid for 3 cycles before trying iui and then ivf.

Co-pays per ultrasound and blood work as per usual schedule. Right now about $150 per cycle with medications.

Dr. Stein is very straightforward. He doesn't sugar-coat anything and will give you straight answers. I absolutely trusted his medical advice. He will advocate for you and is open to changing treatment options based on your preference.

Don't take it personally if he doesn't remember you, he has a ton of patients. But he has a ton of patients for a reason!

Covered by insurance (so grateful!)

Dr Stein will not transfer more than one embryo. He told me this is "non-negotable."

The treatment was not successful but I do feel like she gave me all the facts. She’s a realist, never emotional. I felt I could trust her and will be continuing on the next phase of my treatment with her.

Ask lots of questions.

3 iui were not successful. We did 100 mg of clomid for all 3. My 3rd cycle I am not even sure it was working. First cycle I responded well, got pregnant, but miscarried.

Around 1300

I was 39.5 at the time of retrieval after a failed IVF with another doctor and many failed IUIs. Dr. Thornton adjusted my protocol and then adjusted again when by body wouldn't cooperate; she explained everything along the way and she cared about me as a person. I highly recommend working with Dr. Thornton.

We tried a few approaches but ended up with a protocol to help improve egg quality

weekends were a bit of a challenge but overall fine and better compared to the other very large clinic in NYC.

we had one healthy embryo to transfer after our cycle with Dr. Thornton which was great.

Dr. Sekhon was very informative and easy to talk to. She was very blunt and straight to the point. She made sure to answer all of my questions and never made me feel stupid for asking them. I felt as though I was receiving quality care throughout the entire experience.

don't expect to see the doctor for more than three minutes at a time as this practice is extremely busy. if you don't mind minimal interaction with your doctor, then this is the correct avenue, however, if you want to spend a substantial amount of time with your doctor at each visit and constantly need explanation as to each step then go with a doctor in a smaller practice

Dr. Sekhon was very careful to ensure that everything went according to plan and may have been overly cautious, sometimes requiring that I come in daily for monitoring. I prefer to be overly cautious and I did not mind this one bit. I like the fact that the treatment plan was so comprehensive and created after hundreds of patients - Dr. Sekhon knows exactly what needs to be done

you had to arrive before 9 am or they literally would make you leave and return the next day. sometimes you need to know what your blood levels are that day and you cannot wait one more day to do so - that was really annoying. sometimes I had to run there to make it to the 9 am cutoff. Also, it was about an hour wait every time.

20k

We were blessed with our miracle baby on our 1st IVF attempt, so I am very grateful for the expertise of RMA and Dr.Sandler. However, I feel if this would've been a 3rd or 4th attempt which often is the reality for fertility patients I would've felt neglected and just like one of many. Maybe Dr. Sandler's involvement would've been more present if the 1st round of IVF would've been unsuccessful, but luckily I will never know.

Be prepared to not see him much :-)

On our initial consult he told me I was the ideal candidate for IVF and that I will leave his office pregnant in a matter of couple of weeks. He was right. We started with the medication to prepare for egg retrieval which I was on for about 10 days, on the first cycle day after my initial visit (talk about not wasting any time). I was put on progesterone as well to make sure the lining was prepared to keep the pregnancy.

We paid roughly $5,000(mainly for medication) the rest was covered by insurance.

He told me to try with a single embryo transfer because he was confident it would be successful.

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.

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.

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.

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

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.

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

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.