How was your experience with Arthur Castelbaum at RMA of Philadelphia?
We've been using RMA and Dr. C since 2014 and if you are seeking fertility treatments, you are also seeking expertise, compassion, and facts. In total, we've completed one IUI, one egg retrieval procedure, and five frozen embryo transfers. We had two births, one miscarriage, one unsuccessful transfer, and are currently expecting our third. It's a rollercoaster and Dr. C has always been informative and never gives false hope. Our first transfer was successful, but after a failed transfer and a miscarriage, we regrouped with Dr. C to discuss options for the remaining embryos because it was getting expensive and emotionally taxing. Dr. C provided us with the research, facts, and risks with genetic testing the remaining embryos and ultimately left the decision up to us. After we decided to move forward with testing, Dr. C supported it and it resulted in another birth and we are currently pregnant. He often talks about how enjoys his ongoing relationships with his patients, we are repeat customers over five years and despite our various journey with each transfer, Dr. C has guided us with the information we needed to make the best choice for us. He might appear too direct for some, but when you are making life decisions that are emotionally and financially taxing, you want truth, not someone pushing you in one direction or another, or providing a false sense of what might be.
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Philadelphia?
Dr. C is a mix of kindness, quirky, and direct. Don't be put off by his directness and appreciate the quirky.
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Philadelphia?
All the doctors at RMA have their own way of showing compassion while also being realistic. I never felt like a number.
Describe the protocols Arthur Castelbaum used in your cycles at RMA of Philadelphia and their degree of success.
I had unexplained infertility until our first consult with Dr. C. As soon as he did an ultrasound he diagnosed me with Endometriosis and we made the decision to try IVF. We proceeded with an egg stimulus process and egg retrieval. He suggested I wait one full cycle for my body to recover from the retrieval before doing our first transfer. Although I was excited to do our first transfer, I realized my body needed time to recuperate and heeded Dr. C's advice. A year after the birth of our son, we returned to RMA and the next two transfers were unsuccessful (one negative, one miscarriage) and Dr. C suggested genetic testing for the remaining embryos. We moved forward with genetic testing with resulted in two (out of the five remaining) viable embryos. The next transfer resulted in a successful pregnancy and birth. We returned to RMA this January to use our final remaining embryo. During my mock transfer, the doctor saw a fibroid in my uterus. Dr. C suggested I have it removed prior to our last embryo transfer, as he wanted to remove any risk of the transfer not working. Again, although I was excited to do our last transfer, we heeded his advice again, and are now pregnant with that embryo.
Describe your experience with the nursing staff.
The nurses are who see prior to the doctor and they always were kind and efficient. Any time I called with a question, the nursing staff would be quick with a reply after they consulted with my doctor (depending on the issue).
Describe your experience with RMA of Philadelphia.
All the doctors I have interacted with over the past five years have been knowledgeable, science driven, and compassionate. Of the two offices I used for appointments, both were mediocre with wait times for both blood work and ultrasounds because most women who want to fit in their appointment before work are all being "seen" at 7am...which is impossible.
Describe the costs associated with your care under Arthur Castelbaum at RMA of Philadelphia.
We were full pay out of pocket.
Describe Arthur Castelbaum's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Philadelphia.
From the beginning, Dr. C advised against multiple embryo transfer because of the risks associated.
What specific things went wrong at RMA of Philadelphia?