Dr. Fischer fully explained the treatments that were available to us, guided us on the probability of conception through IUI vs IVF, and never pushed us towards a specific treatment. (we decided on IVF due to the higher probability that we would conceive...[she] was able to perform both my egg retrieval and embryo transfer. She also performed my last 2 ultrasounds at RMA after I was pregnant
There were only a handful of times that I had to wait for my appointments. I think RMA does a great job of prioritizing the patients who come in regularly for morning monitoring (for blood work and/or ultrasounds) which is great because you have to go so frequently! Most of the doctors were great as well- I did not see my assigned doctor at every visit- I would see the doctor who was performing the ultrasounds that morning
How was your experience with Catha Fischer at RMA of New Jersey?
Since my first consultation with Dr. Fischer, which was virtual due to the COVID pandemic, I immediately liked her and felt I could trust her 100%. Her knowledge and compassion were extremely evident. She was very reassuring and she was the first doctor who diagnosed me with PCOS at the age of 34. For most of my adult life, I tried to tell my doctors that I felt that something was "off," but I felt that my doctors never really listened to me and brushed aside my symptoms. Within the first 5 minutes of my first conversation with Dr. Fischer, she was able to diagnose me with PCOS, which was one of the factors of our infertility. It was both reassuring and upsetting for me, and Dr. Fischer displayed so much compassion and gave my husband and me hope that we could conceive with fertility treatments. Dr. Fischer fully explained the treatments that were available to us, guided us on the probability of conception through IUI vs IVF, and never pushed us towards a specific treatment. (we decided on IVF due to the higher probability that we would conceive.) I was also so happy that Dr. Fischer was able to perform both my egg retrieval and embryo transfer. She also performed my last 2 ultrasounds at RMA after I was pregnant, which I was also happy about! I would definitely recommend Dr. Fischer- she is warm, compassionate, funny, and very knowledgeable.
What's one piece of advice would you give a prospective patient of Catha Fischer at RMA of New Jersey?
While RMA tries to help the patient with exploring treatment options and costs involved, make sure you do your own research and contact your insurance company to find out what is covered!
During treatment, were you treated like a number or a human with Catha Fischer at RMA of New Jersey?
Dr. Fischer absolutely treated me as a human, but at times, the clinic itself felt like a "baby factory." I have absolutely zero criticisms of Dr. Fischer though! She is wonderful.
Describe the protocols Catha Fischer used in your cycles at RMA of New Jersey and their degree of success.
My husband and I decided to pursue IVF rather than try IUI first. The success rate of IVF was much higher for us, and we didn't want to wait any longer! I have PCOS and my husband also has an infertility factor having to do with his sperm (low morphology and motility,) and Dr. Fischer felt that we would be very successful with IVF. I did one cycle of ovarian stimulation injections for IVF. The embryos were biopsied and tested for genetic abnormalities (PGS testing.) Turns out my IVF cycle was very successful- we created 25 embryos and we decided to test 12. Amazingly, 11 of the 12 embryos were viable! The embryos were then frozen, and I had my embryo transfer a little over a month after my egg retrieval. I am currently 12 weeks pregnant!
Describe your experience with your nurse at RMA of New Jersey. (Assigned nurse: Adrienne)
The nurse assigned to me was always prompt with returning my phone calls and calling me to give medication instructions during my cycles. I really can't criticize too much, however, I felt that she didn't always communicate certain things to me. I felt that I had to ask a lot of questions in order to get all of the information I needed. For example, there are certain restrictions you have before and after egg retrieval as well as after the embryo transfer (i.e. what to avoid doing, such as exercising.) I felt that my nurse wasn't fully forthcoming with some of that information, so I researched a lot online, then asked her questions to confirm. At times I felt a little rushed during our calls as well. Also, when I spoke with other nurses that covered for my nurse when she was off, I felt that they spent more time with me on the phone, I didn't feel rushed, and they were more detailed about my treatments, what to expect, side effects, what to avoid, etc. So I think it really depends on which nurse is assigned to you and whether you will have a more positive experience.
Describe your experience with RMA of New Jersey.
There were only a handful of times that I had to wait for my appointments. I think RMA does a great job of prioritizing the patients who come in regularly for morning monitoring (for blood work and/or ultrasounds) which is great because you have to go so frequently! Most of the doctors were great as well- I did not see my assigned doctor at every visit- I would see the doctor who was performing the ultrasounds that morning. (Dr. Margolis and Dr. Maguire were great!) I only had 2 bad experiences during ultrasounds- one doctor was kind of aggressive during an US during egg stimulation which was very painful, and another nurse practitioner was very insensitive to me when she found a sub-chorionic bump on my first US after I was pregnant, which scared me. There are times when you feel like "just a number," but overall, I had a good experience at RMA.
Describe your experience with your monitoring appointments at RMA of New Jersey.
The hours for monitoring are very early in the morning, which was fine with me because it worked well with my work schedule. I barely ever had to wait for blood work or ultrasound. I think there were maybe 3-4 times when I had to wait longer than usual.
Describe the costs associated with your care under Catha Fischer at RMA of New Jersey.
I was fortunate that my insurance covered all of the IVF procedures and most of my medications (or I had a small co-pay.) However, we still had out of pocket costs. If you pursue IVF, insurance does not cover embryo biopsy or genetic testing. You also have to pay a fee for each embryo you decide to test (I believe it was $200 per embryo.) You also have to pay out of pocket for cryopreservation, and you have to continue to pay an annual fee to keep them stored. I had a couple of other bills for one of my test procedures and for anesthesia during egg retrieval. In all, we spent a little over $6,000 for IVF.
Describe Catha Fischer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of New Jersey.
RMA highly recommends single embryo transfer, which we were 100% fine with.