RMA of New York

Dr. Stein knows what he's doing. He'll be the first to tell you that he has over 24 years of experience and that's important when you're trusting someone with so much money (and your sanity as well). Initially, he was very confident that we would be able to conceive. His confidence fell a little bit when we realized that I wasn't reacting to the injections the way I should have been. Our first IVF cycle ended up getting cancelled before retrieval as I was not producing enough eggs. During our second IVF cycle, Dr. Stein adjusted the protocol and we retrieved 8 eggs. 6 were mature and 3 made it to blast. Of those 3. 2 tested PGS normal and we transferred 1 embryo in late Spring. We were able to achieve pregnancy (despite being told that the embryo was B- to C grade). The IVF process was pretty difficult, but I'm thankful that RMA was able to help me.

Don't be afraid to ask questions or express concerns. He always did his best to respond. We had some issues that came up and he personally made sure they were resolved.

Our first cycle with Dr. Stein was supposed to be an IUI cycle. He decided to use injectable medications (Menopur) as we didn't have much luck with oral ones. The IUI ended up getting cancelled when I produced too many follicles. Dr. Stein didn't want to risk conceiving multiples and I was disappointed, but understood. Our second cycle with him was IVF. Unfortunately that cycle resulted in too few follicles growing, so we cancelled that one as well as we didn't see a point in doing a retrieval for only 2 eggs. It was devastating to know that I wasn't responding properly to the medications. We went ahead and did an IUI in the hopes that one of the 2 eggs would get fertilized. That cycle resulted in a chemical pregnancy. Prior to our final cycle with Dr. Stein, he decided to adjust the protocol since I was a poor responder. He added Lupron and took out Gonal F. I injected about 6 vials of Menopur per day which resulted in 8 eggs post retrieval. (6 of them mature).

Monitoring appointments were simple. It was on a first come-first serve basis. Now that Covid 19 is an issue, that's no longer a case. You can request a time to come in for monitoring hours and they will usually honor that time.

We were lucky that our insured covered most costs for all cycles. We had to pay out of pocket for ICSI and for PGS Testing which costs around $3,000 total.

Dr. Stein believes that elective single embryo transfer will yield the best results and reduce risks to mother and baby.

he's very direct. i never got a diagnosis, but i also never pushed him about why that might be. I'm not sure he could pick me out of a lineup, but I trusted he was making the right recommendations given our situation.

if you want a lot of handholding go elsewhere. If you're okay with no-nonsense, he's your guy.

IFV was $21K. IUIs were covered by my insurance, so copays were a couple hundred bucks for 4 cycles

Dr. Copperman was warm and personable, but also very direct and factual. I appreciated that he discussed data and probability to give us accurate expectations. He came across as very knowledgeable and trustworthy.

You will mostly interact with Dr. Copperman’s assistants, but they are all excellent. There were some times when Dr. Copperman did contact me directly, though, and that was appreciated.

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.

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.

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.

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.

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

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.

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

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.