I expected there to be one go-to person (i.e. Dr. Pena) to go over my treatment plan with me based on my unique situation (bloodwork, semen analysis, age, etc.). That doesn’t really happen...I did email Dr. Pena a couple times with questions and he seemed annoyed. All that being said, he is clearly a knowledgeable doctor and I did end up getting pregnant. It just wasn't really a positive experience.
RMA’s business model is very impersonal, i.e. you are just a number...almost no interaction with Dr. Pena between my initial consult and my pregnancy test five months later. Another doctor did my egg retrieval and then a third one did my transfer. Saw a host of nurses, PAs, phlebotomists, and technicians in between. Everyone was very nice but I don’t think a single person (including the doctor) even knew my name.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I expected there to be one go-to person (i.e. Dr. Pena) to go over my treatment plan with me based on my unique situation (bloodwork, semen analysis, age, etc.). That doesn’t really happen. It’s up to you to choose IUI vs. IVF, etc. and then you’re just pushed through the machine. No one really explains anything to you, i.e. it’s up to you to follow up on bloodwork, ask questions, and figure out next steps. I did email Dr. Pena a couple times with questions and he seemed annoyed. All that being said, he is clearly a knowledgeable doctor and I did end up getting pregnant. It just wasn't really a positive experience.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Be proactive.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
RMA’s business model is very impersonal, i.e. you are just a number. I had almost no interaction with Dr. Pena between my initial consult and my pregnancy test five months later. Another doctor did my egg retrieval and then a third one did my transfer. Saw a host of nurses, PAs, phlebotomists, and technicians in between. Everyone was very nice but I don’t think a single person (including the doctor) even knew my name.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
150IU Gonal-F and 150IU Menopur for the first 7 days. Added 0.25 Cetrotide starting day 8. Triggered with Lupron and Novarel on day 11. Retrieval day 13.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jess and Alexis)
The nursing staff and IVF coordinator did all the heavy lifting when it comes to patient care/interaction. Give them a raise!
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
RMA’s business model is very impersonal, i.e. you are just a number. I had almost no interaction with Dr. Pena between my initial consult and my pregnancy test five months later. Another doctor did my egg retrieval and then a third one did my transfer. Saw a host of nurses, PAs, phlebotomists, and technicians in between. Everyone was very nice but I don’t think a single person (including the doctor) even knew my name. - I expected there to be one go-to person (i.e. Dr. Pena) to go over my treatment plan with me based on my unique situation (bloodwork, semen analysis, age, etc.). That doesn’t really happen. It’s up to you to choose IUI vs. IVF, etc. and then you’re just pushed through the machine. No one really explains anything to you, i.e. it’s up to you to follow up on bloodwork, ask questions, and figure out next steps.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
The Melville location was very smooth and well-run. Patchogue was always packed. They did their best but it's a very small office.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
IVF cycle: around $16K
Meds: around $5K but mostly covered by insurance
Anesthesia: $600
PGT testing: $1.5K plus extra per $150 embryo
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
I wanted to transfer only one embryo and didn't get any pushback on this.
What specific things went wrong at RMA Long Island IVF (formerly Long Island IVF)?
Lost appointments
Scheduled the wrong procedure
Describe the specific things that went wrong at RMA Long Island IVF (formerly Long Island IVF).
Front desk forgot to schedule my water sono. Otherwise, scheduling was pretty smooth.
Dr. Pena always takes the time to answer any question that you have timely and is very responsive...He explained to me once when asked if I should transfer two embryos for the next round (after my first two single embryo transfers failed) that his goal was to have a healthy pregnancy for me, not to just get pregnant. Considering my age at the time was less than 35, transferring a single embryo would be a better option.
the nurses that I worked with [at RMA Long Island IVF], Jessica and Alexis, always took the time to explain the exact steps that I needed to take and the amount of dosage each day. This really made the process less overwhelming for me...Morning monitoring hours were run very efficiently. I was able to go to their office that was closest to my home/work...The receptionists and admin team that I worked with were always responsive and helpful with any scheduling or billing questions that I had. At times there were long wait times, mostly when I set up my first consultation and initial scans
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
My husband and I met Dr. Pena when we decided to pursue IVF after being diagnosed with a chromosome translocation. We met with him during our first consultation to discuss the options related to chromosome translocations. I had several procedures done with him including an egg retrieval, three transfers, and an ERA test. Through each procedure, Dr. Pena always explained the steps of each procedure and what I could expect. He was always honest with us in the results that we could expect. I would highly recommend Dr. Pena and we are glad we chose RMA Long Island IVF.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Ask a lot of questions during your fertility treatment if you have them, as Dr. Pena always takes the time to answer any question that you have timely and is very responsive.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Throughout my time here as a patient, Dr. Pena, the nurses, and the administrative staff, have been nothing but professional, kind, and welcoming. They always kept positive and provided encouragement through the ups and downs. They truly know how to put the patient first and were so responsive with any questions that we had for them.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
Successful Transfer:
1.5 cc's progesterone in oil
Estradiol taken 3x a day
Endometrin taken 3x a day starting day after transfer
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jessica and Alexis)
Fertility treatment and the number of medications and dosages that you need to take can be complicated. However, the nurses that I worked with, Jessica and Alexis, always took the time to explain the exact steps that I needed to take and the amount of dosage each day. This really made the process less overwhelming for me. If I had a question and called the office, I always received a call or an email back timely. After receiving bloodwork during morning monitoring hours, I always received a call with my results that afternoon on the same day.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
RMA Long Island IVF has multiple offices on Long Island that you can go to. For example Dr. Pena's main office was East Patchogue. However, I often went to the West Islip or Melville offices for monitoring as they were closer to where I lived.
Morning monitoring was always quick and efficient and I never waited long to be seen.
The receptionists and admin team that I worked with were always responsive and helpful with any scheduling or billing questions that I had.
At times there were long wait times, mostly when I set up my first consultation and initial scans prior to my egg retrieval but they always went in order of when the patient arrived.
Facilities were clean and safe even during COVID 19. I never felt at risk of contracting COVID 19 while attending their facilities.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
Morning monitoring hours were run very efficiently. I was able to go to their office that was closest to my home/work which made it very accomodating. I never waited long to be seen and patients were called in the order they arrived. During COVID, appointment times were given to handle capacity issues. I was very happy with morning monitoring appointments.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
My insurance covered most of my treatment costs. I found the treatment costs to be reasonable/inline with other clinics.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Dr. Pena had a strong perference transfering one embryo at a time. Age was factored into his preference. He explained to me once when asked if I should transfer two embryos for the next round (after my first two single embryo transfers failed) that his goal was to have a healthy pregnancy for me, not to just get pregnant. Considering my age at the time was less than 35, transferring a single embryo would be a better option.
Dr Pena was always very quick to respond to any questions regardless of how late he was contacted. He was compassionate on all interactions. He called during his vacation when my results came back to make sure I received them because he knew I was worried about the result. I felt very closely monitored and felt like he took the time to look at me as an individual and make modifications during the cycle.
[the RMA Long Island IVF nurses] were always thorough with instructions as well. When my local pharmacy didn’t have my rhogam shot, they both called around to multiple pharmacies to help me get it sooner without me asking just to make sure I got it that day...I would tell a new patient that sonograms were done by sonogram techs, nurses, or a doctor so sometimes you needed to wait until your call later that day to get all your questions answered but you always heard back the same day.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr Pena was very thorough and always put my health and safety first. I was very closely monitored during every cycle. He was always available for questions regardless of the day or hour. He always took the time to make sure all my questions were answered. He was always compassionate and caring. He was easy to approach and ask questions to.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr Pena puts safety first, he makes sure you are very closely monitored throughout the process. I would say to make sure you reach out with any questions because he is always more than happy to make sure you understand each step of the process.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr Pena was always very quick to respond to any questions regardless of how late he was contacted. He was compassionate on all interactions. He called during his vacation when my results came back to make sure I received them because he knew I was worried about the result. I felt very closely monitored and felt like he took the time to look at me as an individual and make modifications during the cycle.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
On my IUI cycles I was on letrazole and then I was given a trigger shot. On my second IUI I was slower to respond and Dr Pena increased my letrazole dose.
On my first egg retrieval cycle I was on gonal-f and one vial of menopur and as the cycle progressed my menopur was increased to two vials and my gonal-f was decreased. As the cycle progressed cetrotide was added in. Then I did trigger shots of pregnyl and Luprolide.
On my next two retrievals I started taking metformin a few weeks prior to my injections. This time I was on 3 vials of menopur and no gonal-f. Then the rest of the protocol of cetrotide and triggers occurred.
The only difference between my last 2 retrievals was that a few days into it my bloodwork showed high estrogen levels and my menopur was decreased and I started cetrotide a few days earlier.
For transfers I started by taking 2 pills orally of estrace, after a few days that increased to 1 pill taken 3x a day. Then progesterone in oil was added. After my transfers those continued and endometrin 3x a day was added.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jessica Castro and Alexis Rogers )
Jessica and Alexis were so easy to talk to and always took the time to answer any questions. They were kind, compassionate, and very knowledgeable. They were always thorough with instructions as well. When my local pharmacy didn’t have my rhogam shot, they both called around to multiple pharmacies to help me get it sooner without me asking just to make sure I got it that day (even though I had 72 hours)
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
It was very easy to get in touch with the office and call backs always occurred the same day. Sometimes wait times were long for monitoring. I would tell a new patient that sonograms were done by sonogram techs, nurses, or a doctor so sometimes you needed to wait until your call later that day to get all your questions answered but you always heard back the same day.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
Monitoring was run pretty smoothly. On most days I was out in under 45 minutes when I had bloodwork and a sonogram. On some days it was very crowded. It was organized and not overwhelming. Everyone was friendly and I never felt rushed.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
We paid for PGT testing and once pregnant I had $25 copays, the rest was covered by my insurance.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Dr Pena mentioned transferring one because it is the safest and poses the least risk to myself and the baby being transferred. He did mention if there were a few failed transfers we could discuss transferring 2.
Dr. Pena is very easy to talk to and presents information very clearly...Because I have PCOS Dr. Pena was very careful to develop a protocol that would develop quality eggs while minimizing the risk of OHSS. He started me on a low dose of medications and adjusted my trigger shot (lupron instead of hcg) and timing of my retrieval in order to maximize our outcome while minimizing potential risk. He explained this entire rationale and we ended up with the results he planned for.
The entire staff [at RMA Long Island IVF] was wonderful. Jess and Alexis are both extremely knowledgable and so supportive during the difficult parts of IVF...The office manager, Peggy was always incredibly helpful and was always a friendly face and another source of support throughout this journey. I have never experienced medical care where I truly felt so strongly about how wonderful the entire staff was as I do here.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena is an exceptional physician. He is very professional and provided information in a way that easy to understand. He is always available by phone and email. There were many times I have emailed Dr. Pena and received a phone call shortly after. He never made me feel like my many questions were too much and I never ended a conversation with Dr. Pena unclear on any information. I appreciate his direct manner and ability to convey difficult information in a very matter of fact yet sensitive way. Most importantly, Dr. Pena is incredible at what he does. There were many times in our journey where it would have been easy to lose hope but I truly trusted Dr. Pena and his process. I am fortunate enough to be pregnant now and it is a direct result of the care I received from Dr. Pena.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Don't be afraid to ask questions. Dr. Pena is very easy to talk to and presents information very clearly.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena is a wonderful physician and treats every patient like they are his top priority. I have sent many emails to Dr. Pena, to which he responded to via phone almost immediately-even while he was on vacation. He explains everything thoroughly and takes every questioned asked seriously, making the patient feel respected. Dr. Pena made the entire process feel like a partnership, always providing all of the information and medical background, while still including the patient in decisions.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
Because I have PCOS Dr. Pena was very careful to develop a protocol that would develop quality eggs while minimizing the risk of OHSS. He started me on a low dose of medications and adjusted my trigger shot (lupron instead of hcg) and timing of my retrieval in order to maximize our outcome while minimizing potential risk. He explained this entire rationale and we ended up with the results he planned for.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jess and Alexis )
The entire staff was wonderful. Jess and Alexis are both extremely knowledgable and so supportive during the difficult parts of IVF. They were both always available by phone or email and presented information very clearly. They were always careful to be direct, yet warm, which was much appreciated. I felt very fortunate to have such a strong team around me throughout my treatment. I always felt like I was in good hands with both nurses and I am very thankful for not only their medical care, but also for their support.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
The entire clinic is a well oiled machine. The med techs are all great and become part of your journey. I need to lie down for blood work and I was never made to feel like I was inconveniencing anyone despite a busy practice. The office manager, Peggy was always incredibly helpful and was always a friendly face and another source of support throughout this journey. I have never experienced medical care where I truly felt so strongly about how wonderful the entire staff was as I do here.
Dr. Pena is extremely thorough in his approach and execution. He was very honest with me from the start and we discussed all options. His expertise and genuine care was the combination I needed from a fertility doctor...write down Dr. Pena's email so you may ask him questions directly as things come up. He is very responsive to both emails and phone calls...did a single embryo transfer and considering that I am already high risk bc of my age I was in agreement with this.
I can't say anything negative about this clinic [RMA Long Island]. They were on top of things when it came to my insurance, financial responsibilities, appts, etc And everyone greets you with a friendly face. The clinic is excellent with communicating as well...The whole office has been so kind and wonderful to work with. It has really made all the difference. I will never forget any of them or their kindness...Dr. Pena treated me with the utmost respect and care from the very start. Sadly that was not the case with a previous dr from a different practice. Dr. Pena was honest and thoughtful and was extremely thorough in everything he did. I would trust no one else as my fertility doctor.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena is extremely thorough in his approach and execution. He was very honest with me from the start and we discussed all options. His expertise and genuine care was the combination I needed from a fertility doctor.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I would suggest bringing a notebook to take down notes on that first visit. It's a lot of information and yes they send everything in an email afterwards. But I feel like taking notes helps you process things better. Also, write down Dr. Pena's email so you may ask him questions directly as things come up. He is very responsive to both emails and phone calls.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena treated me with the utmost respect and care from the very start. Sadly that was not the case with a previous dr from a different practice. Dr. Pena was honest and thoughtful and was extremely thorough in everything he did. I would trust no one else as my fertility doctor.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
It's hard for me to recall the specifics of treatment. First round, we tried with my own eggs. I started with birth control followed by stimulation meds and ovul suppressants. The success rate was 5 % and based on the stimulation meds, I only generated 2 eggs. Unfortunately I ovulated even on meds that were there to help prevent it. Dr Pena and I had a good conversation about donor eggs and he explained to me that I had a much higher chance of getting pregnant and having a child with donor eggs. It was a no brainer to me. I didn't want to go through heartbreak again and I wanted a real chance at becoming a mother. So second round started with birth control followed by estrace and progesterone injections. We used donor eggs and the result was three good quality embryos. I am starting to wean off my meds now and I am currently 9 wks, 6 days pregnant after a five day embryo transfer on July 26th, 2023.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis (nurse) )
Alexis is very knowledgeable and caring and always gave me the attention and validation I needed. She was there for me through the highs and lows and definitely went above and beyond. I also need to mention Rosie, the phlebotomist as well. She is such a kind and caring soul who brought me Tweety Bird bandaids bc I didn't like wrapping my arm after giving blood. The whole office has been so kind and wonderful to work with. It has really made all the difference. I will never forget any of them or their kindness.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
I can't say anything negative about this clinic. They were on top of things when it came to my insurance, financial responsibilities, appts, etc And everyone greets you with a friendly face. The clinic is excellent with communicating as well.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
My health insurance covered most of it except donor eggs. Assisted hatching was also not covered
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Dr. Pena did a single embryo transfer and considering that I am already high risk bc of my age I was in agreement with this.
Dr. Joseph Peña has always treated me with the best bed side manner. He always asks what questions I have and makes sure I feel comfortable with all aspects of my process. He is very personable and treats me like his number one priority. I have always appreciated that about him...When I do ask questions he answers them fully and completely until I feel comfortable and until I understand everything...makes me feel extremely comfortable at every visit and procedure.
RMA LI of East Patchogue is a wonderful clinic. They are timely, professional, and all very caring and compassionate. My appointments have always gone smoothly and all of my questions are always answered...They run a “well oiled machine” at this location...Alexis Rogers is THE BEST nurse I could have been paired with. She is the best communicator, so caring and compassionate, and always makes me feel comfortable after speaking about my results and updates.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Joseph Peña is the best of the best. He always describes everything in full detail for me and is always asking if I have any questions. When I do ask questions he answers them fully and completely until I feel comfortable and until I understand everything. He is extremely personable and makes me feel extremely comfortable at every visit and procedure.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Ask any and all questions because they will be answered in full detail.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Joseph Peña has always treated me with the best bed side manner. He always asks what questions I have and makes sure I feel comfortable with all aspects of my process. He is very personable and treats me like his number one priority. I have always appreciated that about him.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis Rogers )
Alexis Rogers is THE BEST nurse I could have been paired with. She is the best communicator, so caring and compassionate, and always makes me feel comfortable after speaking about my results and updates.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
RMA LI of East Patchogue is a wonderful clinic. They are timely, professional, and all very caring and compassionate. My appointments have always gone smoothly and all of my questions are always answered.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
My monitoring appointments I was always seen within a timely manner. I never had to wait longer than I anticipated. They run a “well oiled machine” at this location.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
My insurance covers all of my care with Dr. Peña. I only have to pay for copays each visit once pregnant and $5 for medications. I did have to pay for genetic testing which was about 3,000 and that was not covered by insurance.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Dr. Peña explained that most women over 35 choose to transfer 2 embryos but women my age, under 35, who are healthy like me, usually transfer 1. If was ultimately my decision in the end.
Dr. Pena is one of the most amazing Drs I have ever seen. From day 1 he has be completely honest and so transparent. He genuinely shows interest in your case and give his full attention to you during your time with him. Dr. Pena explains every option you have and the best outcome. He is very knowledgeable, and you can tell he takes pride in his job. I truly had an amazing expirence having Dr. Pena as my Doctor.
One of the major strengths RMA has is the ability to make you feel like you're not alone. They give you hope. You have an amazing team by your side every step of the way that pour there knowledge and guidance into your journey. They treat you like you matter, they care and show you they care. I have never felt rushed during an appointment or felt like I was a bother if I called with a question or concern.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena is one of the most amazing Drs I have ever seen. From day 1 he has be completely honest and so transparent. He genuinely shows interest in your case and give his full attention to you during your time with him. Dr. Pena explains every option you have and the best outcome. He is very knowledgeable, and you can tell he takes pride in his job. I truly had an amazing expirence having Dr. Pena as my Doctor.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Trust the process and believe in your body and most importantly yourself. Dr Pena will give you all the tools and guidance to be successful.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
From the moment I sat in my first consultation I knew that I was being handled with care. Dr.Pena was so genuine and honest. Every question and concern I had he answered. Through out the entire process I felt so comfortable and at ease.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
Treatment 1:
Gonal F in the morning, Menopur in the evening as well as Cetrotide
trigger shot of novel and leuprolide night before retrieval after retrieval azithromax
Treatment 2:
Gonal F and Lupron in the morning, Menopur in the evening trigger shot of novel night before retrieval after retrieval azithromax
successful retrieval and embryo transfer also taking progesterone in oil, Endometrin, Estrace
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis / Melissa)
Every staff member reception, financial, coordinators, Nurse, MA is so extremely professional and just makes you feel welcomed. With a process like IVF they helped ease my nerves and fully understand the process.They were truly there every step of the way. They answered any concern I had even if I wasn't in the office they are very prompt about getting back to you. During retrieval and transfer they were absolutely amazing. every morning monitoring and appointments they were so genuine and caring. I never felt rushed or uncomfortable they explained everything and make you feel so comfortable.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
One of the major strengths RMA has is the ability to make you feel like you're not alone. They give you hope. You have an amazing team by your side every step of the way that pour there knowledge and guidance into your journey. They treat you like you matter, they care and show you they care. I have never felt rushed during an appointment or felt like I was a bother if I called with a question or concern.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
Generally done in the morning. Never a long wait.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
First and Foremost they take insurance! My insurance coved most of the treatment plan but not all. Going into my process I knew i was going to have to pay a bit of money and I was ok with that. They also sit with you and explain all the cost and what you will have to cover so nothing comes as a surprise.Also if you have any questions about cost they are very good at braking everything down for you and even giving you a hard copy brake down.
At each appointment with Dr. Pena, he was well aware of the details of my specific case and I always felt as though he was fully focused on my medical needs. He provided his undivided attention during my appointments, patiently answered any questions that I had, explained everything that I needed to know thoroughly, and also answered e-mails promptly. I never felt rushed during my appointments with Dr. Pena and he always actively listened to my concerns.
This clinic [RMA Long Island IVF] is the best healthcare facility I have ever been to. The work so efficiently as a team to create a seamless experience for their patients. There is strong communication amongst the staff members...
Melissa coordinated my cycles and ordered my initial round of medications. She was beyond impressive. She was incredibly responsive to my emails, quickly and efficiently set up my cycle, and explained each aspect of the process clearly. She corrected any issues that arose and was kind and compassionate during the process.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
After experiencing 3 miscarriages from spontaneous pregnancies, I became one of Dr. Peña’s patients with the hopes that undergoing IVF would help me achieve my goals. After my first consultation, I found Dr. Pena to be intelligent, patient, honest, thorough, informative, and trustworthy. He presented all facts to me and I felt that I totally understood the risks and benefits of IVF treatment. Although learning of the risks was not comforting, I appreciated Dr. Peña’s honesty and was not blindsided by any of my experiences throughout the process. Dr. Pena was my metronome in this roller coaster experience. He provided me with reassurance after I had a 4th miscarriage after my first IVF cycle and explained the reasons why that possibly occurred with justified facts and statistics. I felt secure under his care.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Place your trust in Dr. Pena. He is so knowledgeable, factual, and on the cutting edge of his field. He is detail oriented and rest assured that he is fully paying attention to your case and is present. He truly cares about what he does.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
At each appointment with Dr. Pena, he was well aware of the details of my specific case and I always felt as though he was fully focused on my medical needs. He provided his undivided attention during my appointments, patiently answered any questions that I had, explained everything that I needed to know thoroughly, and also answered e-mails promptly. I never felt rushed during my appointments with Dr. Pena and he always actively listened to my concerns.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
Due to my diminished ovarian reserve and advanced age, I was on the higher dose of Gonal F (300 units) and Menopur 150 units (which increased to 225-300 units variably throughout the retrieval process based on my clinical presentation) for my first egg retrieval. This resulted in 16 eggs retrieved. For my second egg retrieval, I used Follistim AQ (300 units) due to diminished ovarian reserve and Menopur 150 units (increased to 225 units throughout the cycle based on my clinical presentation). This resulted in 11 eggs retrieved.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jess Castro, Alexis Rogers, and Melissa Britz)
Melissa coordinated my cycles and ordered my initial round of medications. She was beyond impressive. She was incredibly responsive to my emails, quickly and efficiently set up my cycle, and explained each aspect of the process clearly. She corrected any issues that arose and was kind and compassionate during the process. I could not have asked for a better person to help me in that regard. Jess was one of the nurses who monitored my bloodwork, progress during my cycle, and reported my instructions after each appointment. She was kind, compassionate, and knowledgeable. She patiently answered all of my questions, went above and beyond and offered to give me a tutorial on how to properly use my medications. She gave me comfort and humor when I needed it and I trusted that she was attentively taking care of me. Alexis was my nurse practitioner and was was amazing. She was intelligent, empathetic, kind, and very detail oriented. I trusted that she had a watchful eye on my case and always patiently listened to my concerns and provided sound answers to my questions. Rosi was the phlebotomist and she was such an asset to the process. Not only is she a flawless phlebotomist, but she offered emotional support during this grueling process. She was kind, gracious, and encouraging.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
This clinic is the best healthcare facility I have ever been to. The work so efficiently as a team to create a seamless experience for their patients. There is strong communication amongst the staff members.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
They used a first come first serve method which I find to be fair. The team always moved efficiently and I felt well taken care of with a reasonable wait. Often times, I experienced wait times of less than 10 minutes.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
My first cycle, I paid out of pocket as my insurance at the time did not cover any IVF services. I would say that my total costs including medications and monitoring costs was around $25,000. I had IVF insurance coverage during my second cycle and the cost was much lower. Since I had a deductible, my costs were probably around $6,000 in total.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Because I had my embryos genetically tested, I was informed that the safest option for me was to transfer one normal embryo per transfer.
Dr. Pena has been the most supportive, informative, and compassionate fertility doctor. Throughout our IVF process, we felt confident and comfortable that we were in the best hands. I thank him for helping my partner and I conceive our beautiful daughter in 2021. We are currently undergoing the process again...Throughout the entire IVF process Dr. Pena made himself available to speak with whenever we had questions or concerns
RMA Long Island IVF cares about their patients and partners. Every step of the way someone is there to help guide you, From the front desk, nurses, sonogram technicians, and Dr. Pena. Beginning with my initial consultation, I felt like everyone was on my team, cheering for me along the way. When we got a positive pregnancy test it was a long awaited dream come true for my partner and I. We can not thank our ivf team enough.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena has been the most supportive, informative, and compassionate fertility doctor. Throughout our IVF process, we felt confident and comfortable that we were in the best hands. I thank him for helping my partner and I conceive our beautiful daughter in 2021. We are currently undergoing the process again.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Go into your consultation ready to listen to every piece of information and know that Dr. Pena has your best interest at heart. Trying to have a child is such a stressful time in a person’s life especially for men and women who are struggling with their fertility. I trusted Dr. Pena and allowed the process to pan out the way it was intended.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena made me and my partner feel like there was hope for us starting our family. Our initial consultation gave us all of the information that we needed to make the choice to undergo IVF. Throughout the entire IVF process Dr. Pena made himself available to speak with whenever we had questions or concerns. When our daughter was born, we gave him a picture to display in the office.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
We were diagnosed with unexplained infertility. My partners semen analysis came back fine as well as my egg quality and quantity. The best approach was IVF with having the highest percentage of a positive pregnancy and live birth. We decided to test our embryos due to our age. We opted for a frozen embryo transfer. The first transfer resulted in a chemical pregnancy, the 2nd time we conceived our daughter. She was born in 2021. We are currently in our 3 rd week post transfer with a positive beta HCG and sono!
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jessica Castro)
Jess was always available, including weekends to return my calls and answer any of my questions and concerns. She’s compassionate and informative. Jessica is always willing to go the extra mile.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
RMA Long Island IVF cares about their patients and partners. Every step of the way someone is there to help guide you, From the front desk, nurses, sonogram technicians, and Dr. Pena. Beginning with my initial consultation, I felt like everyone was on my team, cheering for me along the way. When we got a positive pregnancy test it was a long awaited dream come true for my partner and I. We can not thank our ivf team enough.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
It was a very simple process. Sign in, wait in a comfortable chair, and get bloodwork and ultrasound done.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
I felt respected, comfortable, and safe whenever I had questions, routine checks with Dr. Peña. He gave me every level of his attention, listened to my questions and concerns. Moreover, He always conversed with kindness and compassion...he directly pointed out the key to our plans, which changed my mind and led us on an unbelievable journey. He took responsibility and care of every single step we took.
[RMA Long Island IVF] is well organized and detail oriented. Especially in the morning rush time, you never wait so long to finish your routine checkup...I always got my results back on the same day...My journey started right after our initial consultation with Dr. Peña and his team. They are all professionals combining responsibility and care...I felt delighted, peaceful, and safe because I knew that I had great company with me through this journey.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I am so glad to receive my diploma today from Dr. Peña. When I look back on our journey with Dr. Peña and his team, my husband and I are full of gratitude to them. Dr. Peña is not only a physician but also a professor to us. He fulfilled the desires of our heart and guided us to the straight path. Dating back to 2021, when we had our initial consultation meeting with Dr. Peña at his office, he directly pointed out the key to our plans, which changed my mind and led us on an unbelievable journey. He took responsibility and care of every single step we took. Whenever we had questions or concerns, he was always the first person to ease us by using his knowledge and professionalism. We are so blessed to have him through this journey.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Please trust him with all your heart and enjoy your journey as much as the destination.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I felt respected, comfortable, and safe whenever I had questions, routine checks with Dr. Peña. He gave me every level of his attention, listened to my questions and concerns. Moreover, He always conversed with kindness and compassion.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis Rogers-Fulton )
My journey started right after our initial consultation with Dr. Peña and his team. They are all professionals combining responsibility and care. Here they are … Alexis is always full of passion and kindness. She gave us many calls with explanations and detailed instructions. Rosie and Sarah’s smiling faces, cheerful voice and happy laughing and small talk with them; and Jessi, she has much more patience with whatever we ask about. I remembered she instructed my husband and I how to inject my medications again and again; many instructions for ordering medications and preparing documents from Melissa; and every time I went to the office, Keren and Liz were the first seen person there, and so on (Sorry, there are many people I have not had a chance to remember their names.) … Anyways, I have to say that when I saw them and talked to them, I felt delighted, peaceful, and safe because I knew that I had great company with me through this journey.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
Dr. Peña 's clinic is well organized and detail oriented. Especially in the morning rush time, you never wait so long to finish your routine checkup. Besides, they sacrificed their family breakfast time, but put the patients’ needs first. I never need to ask a sick leave to finish my routine checkup because after I finished my checkup and I still have enough time for breakfast and work on time. In addition, I always got my results back on the same day.
I think Dr. Peña fully explains each patients scenario while giving realistic expectations. I think he always took the best course of treatment for me. If something did not goes as planned, he personally called me and explained the scenario and what we were going to do moving forward. The focus was always on getting to the positive outcome of a healthy pregnancy...I never felt "rushed" out of an appointment.
I think the [RMA Long Island IVF] clinic is nice and clean, it is very busy but they do a good job of moving patients along and I have never had an experience where I have waiting a long time, unlike other doctor offices. Morning monitoring runs smoothly and I'm grateful that they open so early because I need to be at work before 8:00AM...The nurses are unbelievable. They are friendly, funny, and extremely personable. Felt like talking to an old friend when they called. They never rushed a phone call or left an email unanswered.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I think Dr. Peña fully explains each patients scenario while giving realistic expectations. I think he always took the best course of treatment for me. If something did not goes as planned, he personally called me and explained the scenario and what we were going to do moving forward. The focus was always on getting to the positive outcome of a healthy pregnancy.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Educate yourself on how to get your meds and deal with CVS Specialty Pharmacy. Trust the process and know that it can take some time!
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I felt like a human because the staff was always attentive, even though there is a large quantity of patients. I never felt "rushed" out of an appointment.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
In my first treatment in 2020, I had one successful IUI. The nurses were very candid that another IUI was probably not the best course of treatment for me, which saved me time in moving forward with IVF. Unfortunately the embryos from my first egg retrieval did not continue past day 5, so I did another cycle of stimulation and egg retrieval. I was able to get 3 healthy embryos, 2 of which have resulted in transfers and pregnancies.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jess and Alexis)
The nurses are unbelievable. They are friendly, funny, and extremely personable. Felt like talking to an old friend when they called. They never rushed a phone call or left an email unanswered.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
I think the clinic is nice and clean, it is very busy but they do a good job of moving patients along and I have never had an experience where I have waiting a long time, unlike other doctor offices. Morning monitoring runs smoothly and I'm grateful that they open so early because I need to be at work before 8:00AM.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
Monitoring goes smoothly, even though there are so many patients. The phlebotomy staff is great also. I like that the clinic is open at 6:30 AM and I would even show up early if they let me.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
I only paid my copay and about $60 a month for medications.
Dr. Peña is very professional and attentive to details. He is very serious and blunt. While he tries to interact with patients in a friendly manner, this is not his strong suit. He is clearly more comfortable sticking with the facts and science rather than small talk...advised when he recommended one versus two embryo transfers and honored my decision...Don’t expect an overly friendly bedside manner - expect straight talk.
This clinic [RMA Long Island IVF] requires you to obtain all necessary records from your other physicians. They are extremely disorganized in this regards and somehow always “never received” anything any of my other doctors sent over. Finally I had to demand that they deal with obtaining my records or I had records sent to me directly and I would forward them myself. Try to deal Alexis over Jess whenever possible.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Peña is very professional and attentive to details. He is very serious and blunt. While he tries to interact with patients in a friendly manner, this is not his strong suit. He is clearly more comfortable sticking with the facts and science rather than small talk.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena and his staff were very attentive. Dr. Peña does have a bit of a rough bedside manner.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
I believe I went through typical treatment and protocol for both egg retrievals and transfers.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis)
Alexis is amazing. She is extremely caring and helpful. She is always available for questions or concerns.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
This clinic requires you to obtain all necessary records from your other physicians. They are extremely disorganized in this regards and somehow always “never received” anything any of my other doctors sent over. Finally I had to demand that they deal with obtaining my records or I had records sent to me directly and I would forward them myself. Try to deal Alexis over Jess whenever possible.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
Monitoring appointments were usually very timely. If another clinic was closed and this one was covering both patients that day, it would result in lengthy delays, but this was a rare occurrence.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
Most of my costs were covered by insurance with the exception of genetic testing and ICMI
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Dr. Peña advised when he recommended one versus two embryo transfers and honored my decision.
What specific things went wrong at RMA Long Island IVF (formerly Long Island IVF)?
Lost paperwork
Failed to convey critical information
Describe the specific things that went wrong at RMA Long Island IVF (formerly Long Island IVF).
When I was scheduled to begin my first cycle, they failed to tell me that the donor sperm needed to be in their possession until the 11th hour. Also, after my first transfer, they failed to tell me to start a necessary medication.
He [Dr. Joseph Pena] has been honest and direct with us since our very first meeting. We are an older couple and have fewer options than younger couples might have. Dr. Pena has been very straight forward about our chances throughout this entire process. No sugar-coating, no BS. And when we’ve had questions (and there have been many) he responds immediately.
every time I come in [to RMA Long Island IVF] for an appointment or procedure, the staff seem to know a lot about me. They always address me by name and really sounded and acted like they remember everything about my case. the conversations we had always felt personal and intimate. I walk in feeling that they are rooting for my success...We started our fertility journey with a different provider and are so unbelievably happy that we later chose Dr. Pena.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Choosing a fertility specialist is a big decision. We spent countless hours looking at reviews, gathering input from friends, etc …and are blessed that we chose Dr. Pena. Our drive to his office is extensive (there are many other fertility specialists much closer) and every single minute of every single trip has been worth it. He has been honest and direct with us since our very first meeting. We are an older couple and have fewer options than younger couples might have. Dr. Pena has been very straight forward about our chances throughout this entire process. No sugar-coating, no BS. And when we’ve had questions (and there have been many) he responds immediately. In one case, he was on vacation in Mexico and returned our e-mail question, in only several minutes, with a phone call. His attention to our concerns, and promptness with responses, has provided us with a peace of mind that no other doctor (or any kind) has ever provided. We started our fertility journey with a different provider and are so unbelievably happy that we later chose Dr. Pena.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
just trust his process and know that he's very much aware of each individual case
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
every time I come in for an appointment or procedure, the staff seem to know a lot about me. They always address me by name and really sounded and acted like they remember everything about my case. the conversations we had always felt personal and intimate. I walk in feeling that they are rooting for my success.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
my first ER was an antagonist protocol. i was on high dosage of Gonal F and Menopur. Cetrotide was introduced a few days after followed by 2 trigger shots. They retrieved 3 eggs, 2 fetilized but did not produce any blastocyst. second ER was a Microdose Lupron Flare Protocol. i was on 5 units of Lupron shots twice a day partnered with Gonal F and Menopur, triggered with one HCG shot. They got 4 eggs, 3 fertilized and 2 blastocysts. Dr. Pena advised us to get it PGT-A tested but I was worried it won't survived and we won't have anything to transfer (i regret this decision to this day). for our 3rd ER, there was a shortage of menopur so Dr. Pena had me take Gonal F, 5 units of lupron twice a day and 4 units of novarel everyday. i triggered with novarel as well. This cycle gave us 7 eggs retrieved and 4 fertilized. 2 made it to blast and 1 euploid.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis Fulton)
Everyone who i had in contact with was kind, compassionate and accommodating yet till very professional. No matter what time of the day you show up at the clinic, they all seem happy, ready and willing to help.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
the strength would be their knowledge of fertility in all. the organization level they have is beyond any place i have ever been and I've seen a lot of doctors and clinics. they're so reliable on following up with results, next appointment or just by checking on me after every procedure.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
The monitoring would be from 6.30am-7.45am, i believe. I had to drive an hour each way to get to the Patchogue clinic so it was helpful that i could just go to a closer location for just bloodwork and sonograms and Dr. Pena or Alexis/Jessica would call in the afternoon with the results. wherever location i go, the wait is very minimal.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
Our insurance did not cover IVF so my husband and i paid for all the cycles, FET and PGT-A testing. The total cost of 3 ER and 1 frozen transfer was $40,310 (this include the CooperGenomics testing cost of $2700). Medications was $13, 450. third party Anesthesia was $1800. and additional $310 for 2 embryos sent for testing.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
i didn't have this option as i only produced one euploid.
I was a precious patient of Doctor Peña in 2020. During this time he was able to help me conceive our daughter and carry full term. I returned back to Dr. Peña in 2022 for a consolation and began IUI in January of 2023. By my second cycle of IUI I had a positive pregnancy test. I am currently almost 5 weeks pregnant. I couldn’t be happier with the treatment I received from Dr. Peña helping us conceive our two blessings.
The [RMA Long Island IVF] clinic is very organized and has multiple locations which makes it easier on the patient to visit any location for monitoring. The staff was always friendly and made you comfortable. The phlebotomist were great and never had an issue drawing my blood...[nurses] Jess and Alexis were always very friendly and took their time to explain everything and what next steps would be. When I received a positive pregnancy test, both Jess and Alexis truly showed happiness.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I was a precious patient of Doctor Peña in 2020. During this time he was able to help me conceive our daughter and carry full term. I returned back to Dr. Peña in 2022 for a consolation and began IUI in January of 2023. By my second cycle of IUI I had a positive pregnancy test. I am currently almost 5 weeks pregnant. I couldn’t be happier with the treatment I received from Dr. Peña helping us conceive our two blessings.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Be patient and trust the process. Doctor Peña is a fabulous doctor who will succeed in helping you conceive.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
The nurses would call you every day after morning monitoring and would explain next steps in detail. They were always very patient and would answer any questions you may have. Everything was closely monitored by Dr. Peña and I always felt like I was in good hands
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
Before beginning IUI doctor Peña had my husband complete a seman analysis, I had to complete a HSG to confirm the was no blockages in my tubes. From there, we were able to proceed onto IUI. On cycle day 3 I began 50mg of Clomid and was closely monitored throughout my cycle with blood work and sonograms. Prior to ovulation I would use the trigger shot and then come in 1-2 days later for IUI.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: I had two nurses I worked with closely, Jessica and Alexis who were both fabulous )
I worked closely with Jessica and Alexis. Both Jessica and Alexis were very caring, compassionate and truly cared about you. Jess and Alexis were always very friendly and took their time to explain everything and what next steps would be. When I received a positive pregnancy test, both Jess and Alexis truly showed happiness.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
The clinic is very organized and has multiple locations which makes it easier on the patient to visit any location for monitoring. The staff was always friendly and made you comfortable. The phlebotomist were great and never had an issue drawing my blood.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
Most of my cost were covered through ProgNy which was a huge help. Overall I paid approx $1,000 total out of pocket
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Doctor Pena is absolutely amazing...he immediately put my husband and I at ease...He always listened to my concerns and was quick to get back to me if I had a question or issue. I always felt heard and taken care of...Stims was about 11 days which consisted of 2 to 3 different shots. I went in for blood work and Sono every few days during it to monitor hormone levels and follicle growth. We did our trigger shot and did our retrieval shortly after. We did PGT testing on our embryos which took about 2 weeks to get the results...
The entire staff at RMA was absolutely amazing. My two nurses Alexis and Jess always made me feel so comfortable and we’re always quick to call me with results and instructions...The front desk staff always remembered my name when I walking in and we’re always so kind...Rosie, who took my blood frequently was always such a pleasure I was actually excited to see her in the mornings, coming from a person who used to be terrified of getting blood taken...
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Doctor Pena is absolutely amazing. Going to a fertility clinic can be overwhelming but he immediately put my husband and I at ease. I couldn’t have asked for a better doctor. He always listened to my concerns and was quick to get back to me if I had a question or issue. I always felt heard and taken care of. I would recommend him to anyone struggling to conceive.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
No advice, you are in amazing hands.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Walking into RMA everyone knew my name. They were so welcoming and always. I felt like everyone understood my individual treatment plan and never confused me with anyone else.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
Before starting any treatment I had to do some fertility testing ( blood work, water sono etc…) and my husband had to do a semen analysis. When we got our diagnosis we started prepping for my egg retrieval. Stims was about 11 days which consisted of 2 to 3 different shots. I went in for blood work and Sono every few days during it to monitor hormone levels and follicle growth. We did our trigger shot and did our retrieval shortly after. We did PGT testing on our embryos which took about 2 weeks to get the results. When I started my next cycle we prepped for a frozen embryo transfer. I was put on estrogen to get my lining nice and thick for transfer. I also started progesterone injections. Transfer was quick and painless, the only uncomfortable thing is having to have a full bladder. 9 days after transfer I did my Beta pregnancy blood test to confirm pregnancy. During that time and after confirmed I was on Estrace 3x daily, progesterone suppositories 3x a day and 1 ml Progesterone injections. I went in for weekly blood and sono to make sure baby was growing and healthy and graduated around week 7
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: nurse: Alexis. Coordinator: Melissa)
The entire staff at RMA was absolutely amazing. My two nurses Alexis and Jess always made me feel so comfortable and we’re always quick to call me with results and instructions. Whenever I had an issue or question they were fast to return my call. The front desk staff always remembered my name when I walking in and we’re always so kind. The medical assistants were also amazing. Rosie, who took my blood frequently was always such a pleasure I was actually excited to see her in the mornings, coming from a person who used to be terrified of getting blood taken. Kelly, who often came into the room with Dr. Pena was so sweet and caring. She always made me feel comfortable. Melissa my coordinator was the best. She always made sure I was well informed and always knew next steps. I felt like everyone at RMA genuinely cared about me and my success.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
My clinic was amazing. They were extremely organized and always quick to answer questions and review treatment plans. I never felt like I didn’t know what was next. loved that monitoring hours were before work. You were taken in the order you came and it always went extremely fast. When you do achieve pregnancy I appreciate the fact that they have you come in after the morning monitoring hours for Stims. I personally don’t see any weaknesses. Everyone at RMA communicates clearly, gets back to you quickly, makes you feel extremely comfortable and are overall amazing people.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
Monitoring hours were convenient and quick. I don’t think I was ever there for more then 30-40 minutes.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
Our actually IVF Cycle was covered by insurance. We paid out of pocket for meds.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Due to my age Dr Pena recommended transferring 1 embryo
Pena is extremely knowledgeable. Unfortunately I had many issues with medications to which I had completely awful reactions. He did not at first want to believe the reactions I had were to the prescribed medications because my reactions were never seen by him or anyone on the staff. He insisted I keep at it...Transfer 7 was no medication and I am pregnant with baby 2. Once he realized I really did not want meds, I wasn’t forced, but it was quite an emotional and physical battle to get there. I am very pleased now.
The monitoring hours [at RMA Long Island IVF] are grueling in the morning. Sometimes the wait is extremely long for blood or sono in the morning before work. You will never see the same person regularly. My blood and sono were by different people almost every time. Some were repeats but it was rare. The people I did latch on to were wonderful and supportive...The nurses will be your best friends and know your case.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Pena is extremely knowledgeable. Unfortunately I had many issues with medications to which I had completely awful reactions. He did not at first want to believe the reactions I had were to the prescribed medications because my reactions were never seen by him or anyone on the staff. He insisted I keep at it and only after my husband stepped in and insisted to him that we continue with a natural cycle did I conceive on transfer 4. Transfers 5 and 6 we also used meds to stimulate ovulation- resulted in chemical pregnancy and then a false positive. Transfer 7 was no medication and I am pregnant with baby 2. Once he realized I really did not want meds, I wasn’t forced, but it was quite an emotional and physical battle to get there. I am very pleased now.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Know that you will get good care with great medical expertise, but you will only see or have contact with him a handful of times. The nurses will be your best friends and know your case. Dr. Pena only performed one of my 7 transfers, and that transfer was negative.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
My nurses are great. They know my name my issues and are always available. I see Dr. Pena less, but when I need to speak with him or have a question he gets back to me immediately via phone or email.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
I was hyper stimulated for my first retrieval, to do PGT, the nurses helped me with my pain. I had an adverse reaction to progesterone in oil and Dr Pena refused to take me off of it until my husband insisted I do a natural cycle- at which point we became pregnant with my first child.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis Fulton and Jessica Castro)
Love love love them. They are always available, provide lots of details and are caring for the situations I am in!
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
The monitoring hours are grueling in the morning. Sometimes the wait is extremely long for blood or sono in the morning before work. You will never see the same person regularly. My blood and sono were by different people almost every time. Some were repeats but it was rare. The people I did latch on to were wonderful and supportive
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
Co pays were for a regular visit every time I got blood. Sonograms were an addition. Reasonable!
What specific things went wrong at RMA Long Island IVF (formerly Long Island IVF)?
Failed to call in prescriptions to pharmacy
Lost paperwork
Failed to call with results
Failed to inform you of changes in protocol
Failed to consider drug intolerance
Canceled a cycle due to clinic error
Describe the specific things that went wrong at RMA Long Island IVF (formerly Long Island IVF).
Apparently some doctors use antibiotics before a transfer and some do not. Dr. Pena does, but the doctor who called me before my transfer did not instruct me to take it although my Judas provided me it. There were times when I’d have to wait and wait and wait for hours for results from morning blood. There were also times where I would not have an appointment made and there was no record of me supposed to have come in for blood.
Dr. Pena from our first initial visit really listened to all of my concerns and answered all questions. After my failed frozen embryo transfer, he adjusted my treatment plan which resulted in additional eggs for my 2nd egg retrieval and also more embryos as well...I was always given updates whether it be Dr.Pena or his staff. Every phone call or in-person visit, I had the Dr or staff attention fully and they took the time to fully answer any questions or clarify anything that I did not understand...
[at RMA Long Island IVF] 6:30-8am are bloodwork appointments so you are seen very quickly and aren’t waiting too long. All regular appointments or procedures start after 8am. Availability of RMA having multiple offices and they will ask which location you would like to go to for bloodwork...Nurse Jess and Alexis were very helpful and made sure to answer any questions or clarify any concerns or issues that I had in detail. They would provide a follow up call after every bloodwork appointment. IVF coordinator: Melissa was very detailed and always provided such great and knowledgeable information...
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena from our first initial visit really listened to all of my concerns and answered all questions. After my failed frozen embryo transfer, he adjusted my treatment plan which resulted in additional eggs for my 2nd egg retrieval and also more embryos as well. We have a successful transfer and currently pregnant.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
To fully trust Dr. Pena because he does have the patient’s best interest in mind and will adjust treatment plan accordingly but to not give up hope!
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I was always given updates whether it be Dr.Pena or his staff. Every phone call or in-person visit, I had the Dr or staff attention fully and they took the time to fully answer any questions or clarify anything that I did not understand.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
For our 2nd retrieval and 2nd transfer, my medication dosage was increased which produced more eggs/embryos. After my 2nd transfer, bloodwork was able to confirm pregnancy. Repeated bloodwork was preformed and medication levels were also monitored.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Nurse Jess & Alexis. IVF Coordinator: Melissa )
Nurse Jess and Alexis were very helpful and made sure to answer any questions or clarify any concerns or issues that I had in detail. They would provide a follow up call after every bloodwork appointment. IVF coordinator: Melissa was very detailed and always provided such great and knowledgeable information.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
Strengths: communication, friendly, compassionate, kept up to date on all test/results/procedures, 6:30-8am are bloodwork appointments so you are seen very quickly and aren’t waiting too long. All regular appointments or procedures start after 8am. Availability of RMA having multiple offices and they will ask which location you would like to go to for bloodwork. This was convenient since the Melville location was only 10mins from my house, whereas the East Patchogue location was 30 mins away. Now that I am pregnant, I go to East Patchogue but all of my previous bloodwork/sono’s was the location of my choosing.
Weakness: anesthesiologist for the egg retrieval could be better. For my first retrieval the woman anesthesiologist was great! For my 2nd retrieval, he was very quick to go to my hands for the anesthesia but I did suggest that he try my arms instead. He complied and went in my left arm. I don’t think if I wouldn’t have spoken up that he would have done things differently. I’m glad I did and in the end everything went great!
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
It was very convenient their monitoring hours. It was from 6:30am-8am. I was able to go right before work and not miss any time. The appointments were fairly quick and having the availability of multiple bloodwork stations and sonogram rooms was a huge plus. From the time I walked into the building, check-in, bloodwork, sonogram and back outside to the parking lot, it was a total of 20-30 minutes. Very well organized!
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
My medication coverage did not go very far especially using CVS specialty. I did have to pay out of pocket for medications but did go through a pharmacy about 35 miles away from my house but they offered next day courier service delivery which was very convenient. My total cost including deductible, co-insurance, medication co-pay and out of pocket medication it was a total approximately $8,000-12,000.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Dr. Pena went above and beyond to make my husband and I comfortable...He was easy to speak with, informative, and quickly gave us a diagnosis explaining why conceiving naturally had been difficult for us. I felt supported and heard each and every step of the way...He was very thorough in his explanation of everything we were going through and is very caring with his patients....
The staff [at RMA Long Island IVF ] is hard working, sensitive to patient’s needs, and professional each and every step of the way. They truly care about your well being and make sure to communicate instructions very specifically...Well oiled machine. Never waited long [monitoring appointments]...[nursing staff] So warm and informative. Always made me comfortable and handled me with great care...
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena is a calm, nurturing, honest and brilliant doctor. He diagnosed me with PCOS very quickly and put us on a treatment plan to get pregnant though IVF. He was very thorough in his explanation of everything we were going through and is very caring with his patients.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Don't walk to his office, RUN! They are amazing.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena went above and beyond to make my husband and I comfortable and helped us achieve our dream of getting pregnant through IVF! He was easy to speak with, informative, and quickly gave us a diagnosis explaining why conceiving naturally had been difficult for us. I felt supported and heard each and every step of the way. He truly cares for his patients and is a very supportive, honest and wonderful doctor.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
Once I was approved for IVF, they put me on a controlled cycle through birth control. Then I did a water sonogram. Then, I started injections for my egg retrieval. After the egg retrieval, my embryos were tested and then frozen. Once we got the results, they prepared me for the embryo transfer.
Describe your experience with the nursing staff at RMA Long Island IVF (formerly Long Island IVF).
So warm and informative. Always made me comfortable and handled me with great care.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
The staff is hard working, sensitive to patient’s needs, and professional each and every step of the way. They truly care about your well being and make sure to communicate instructions very specifically. I cannot recommend Dr. Pena and RMA IVF more!
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
Well oiled machine. Never waited long!
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
We paid $2,700 for genetic testing and one $25 copay.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
He recommended single embryo transfer as it was more likely to be successful. Any multiples pregnancy increases chance of miscarriage.
Dr. Pena gave me his email and if I ever really needed to reach him, I could send and email. One night I had an emergency after an egg retrieval and emailed him after 8pm. He called me back personally within five minutes and gave me his recommendation. That is above and beyond...He makes this whole process seem doable and not impossible...We only transferred one embryo at a time...
the clinic [RMA Long Island IVF] is open at early and convenient times in the morning for before work visits. It is very clean and easy to get to and there is always parking...It [monitoring appointments] was very organized. Blood work first and then back into the waiting room and Sono second. I just went on my phone while I waited. I was always out in time for work... Alexis [nurse] is amazing and very clear and organized...
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr Pena is very honest and down to earth. He makes this whole process seem doable and not impossible. Our process was longer than most because we had to do genetic testing first and he guided us every step of the way. My husband and I have learned so much and couldn't have done it without him. We have a beautiful baby now and are pregnant again! I trust him 110%.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Buy a baby Yankees jersey ahead of time because once you have a baby he will ask you for a picture of the baby in that jersey as a success story!!
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena gave me his email and if I ever really needed to reach him, I could send and email. One night I had an emergency after an egg retrieval and emailed him after 8pm. He called me back personally within five minutes and gave me his recommendation. That is above and beyond.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
Genetic testing to learn the genetic markers of my husband's inheritable disease, egg retrieval, IVF to make embryos and rule out the embryos with the genetic mutation,
embryo transfer-1 embryo at a time for the most healthy outcome.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis)
Alexis is amazing and very clear and organized. If I ever have a question I go to her . The girl who takes my blood is so sweet and happy even at 6:45am!
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
I like that the clinic is open at early and convenient times in the morning for before work visits. It is very clean and easy to get to and there is always parking. I am in looking forward to west Islip clinic opening again soon as that would be a lot more convenient for me to travel to.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
It was very organized. Blood work first and then back into the waiting room and Sono second. I just went on my phone while I waited. I was always out in time for work.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
It was all covered under my husband's insurance. I will only start paying copay for visits once pregnant
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
At first we asked for multiple embryo transfer, thinking one and done. We had no idea that multiple Transfer is only done when necessary and is riskier. Dr. Pena taught us that. We only transferred one embryo at a time
Dr. Peña is a knowledgeable, patient and compassionate provider. He is always readily available to answer any questions his patients may have. His compassion is apparent from the moment you walk into the office. My family can not thank him and his staff enough for the miracle he has assisted with. Highly recommend...Come with questions. Dr. Peña will present you with plenty of options but having some background knowledge will make the initial consultation not so overwhelming.
they have multiple [RMA Long Island IVF] offices for patients that live and work around the island. One weakness is staffing. From what I gathered waiting on the waiting room, sounded like on multiple occasions the phlebotomist or ultrasound tech were not appropriately scheduled which let to increased wait times...Jessica, Dr. Peña’s nurse and Alexis the NP were both wonderful assets to the team. They were knowledgeable and compassionate. They called regularly to update my status and returned my phone calls promptly.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Peña is a knowledgeable, patient and compassionate provider. He is always readily available to answer any questions his patients may have. His compassion is apparent from the moment you walk into the office. My family can not thank him and his staff enough for the miracle he has assisted with. Highly recommend.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Come with questions. Dr. Peña will present you with plenty of options but having some background knowledge will make the initial consultation not so overwhelming.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Peña approaches his patients with compassion and dignity. He lays out all available treatment options and explains the probability of success with each option. He is always available to answer questions. He mild manner makes him easily approachable.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
Multiple injections for egg retrieval. Then birth control. Then after transfer, estradiol TID, vaginal suppositories TID and 1cc progesterone injections QD
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jessica )
Jessica, Dr. Peña’s nurse and Alexis the NP were both wonderful assets to the team. They were knowledgeable and compassionate. They called regularly to update my status and returned my phone calls promptly.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
Wonder that they have multiple offices for patients that live and work around the island. One weakness is staffing. From what I gathered waiting on the waiting room, sounded like on multiple occasions the phlebotomist or ultrasound tech were not appropriately scheduled which let to increased wait times.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
Mostly covered under insurance however we did pay out of pocket for genetic testing.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Dr. Peña was adamant about single egg transfers. He said given my age and diagnosis it was the best approach and I trusted his medical opinion
Dr. Pena was excellent at explaining my treatments and options as well as comforting me throughout the process. He had great bedside manner and made me feel comfortable each visit. His knowledge was always transferred to me and his guidance was always given if I had any questions...I was explained my personalized treatment every time. He was matter of fact while comforting and knew my circumstances each time...
From the phlebotomists to the nurses the staff [at RMA Long Island IVF] was amazing. Alexis walked me through every procedure step by step and was ready and willing to answer my millions of questions that I had. Rosie took my blood every morning (most of which before the 7am hour.) She was always so cheerful and made my mornings spent there joyful...Organized, timely and communicative. They always will do what’s best for each individual and will walk you through your procedures one step at a time...
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena was excellent at explaining my treatments and options as well as comforting me throughout the process. He had great bedside manner and made me feel comfortable each visit. His knowledge was always transferred to me and his guidance was always given if I had any questions.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Listen to what Dr Peña’s guidance is. Always ask questions if you are unsure of a procedure and create open communication. He has your best interest at heart and you want to be involved in it as much as possible.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I was explained my personalized treatment every time. He was matter of fact while comforting and knew my circumstances each time.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
We did 3 IUI cycles first. This was because it was a less invasive approach to my unexplained infertility. Once they were unsuccessful he suggested we do IVF since at my age of 34 at the time and my condition the iui’s were only 10% chance of being successful and after the 3rd one, chances decline. IVF on the other hand, he explained would have a 40% chance of being successful. We started the IVF cycle with all of the injections. Since my body responded well to the medications, many follicles were produced. Before the retrieval, he called me directly and discussed that since I was so stimulated during this process, we should hold off on a fresh transfer and do a frozen transfer which would give me body time to recover and not risk ovarian hyperstimulation syndrome. I did my retrieval and there were 33 eggs retrieved, 11 that were made into usable embryos. We froze them and waited one cycle in between before the transfer. My transfer was done on 9/7/22 and I am now 7 weeks pregnant. His rationale and guidance was key.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis )
From the phlebotomists to the nurses the staff was amazing. Alexis walked me through every procedure step by step and was ready and willing to answer my millions of questions that I had.
Rosie took my blood every morning (most of which before the 7am hour.) She was always so cheerful and made my mornings spent there joyful. I am so thankful to have had them work on my case.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
Organized, timely and communicative. They always will do what’s best for each individual and will walk you through your procedures one step at a time. They are extremely comforting and more than anything, knowledgeable at their specialty.
Dr. Pena is very good at establishing a plan that will work for his patients. He is not afraid to adjust the plan as needed. He is very real and to the point. It was very easy to get in touch with him and he answered every question I had...is more realistic than warm and fuzzy, but he is very good at what he does... I felt like my treatment was specific to me and my condition and adjusted as needed...
They [nurses at RMA Long Island IVF] all gave clear instructions and were available whenever I had questions. They were extremely kind and understanding...They called with information and instructions when they said they would, but I was also able to call and follow up when I needed to. They are like a well oiled machine! Everyone knows their job and they do it well...
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena is very good at establishing a plan that will work for his patients. He is not afraid to adjust the plan as needed. He is very real and to the point. It was very easy to get in touch with him and he answered every question I had.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena is more realistic than warm and fuzzy, but he is very good at what he does. He truly cares about his paitients. Trust the process.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
I didn't feel like I was treated generically. I felt like my treatment was specific to me and my condition and adjusted as needed.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
For my first experience with Dr. Pena (2019), after completing genetic testing, water Sonos, sperm analysis and other standard tests, he started me on progesterone because I wasn't getting my cycle naturally. Then, I was given a low dose of Letrozole because I have PCOS. Unfortunately it didn't result in a follicle. The following month, Dr. Pena increased the dosage of Letrozole which resulted in 2 follicles. After being closely monitored multiple times a week. I completed a cycle of IUI, which resulted in having a baby boy!
For my second experience with Dr. Pena (end of 2021-beginning of 2022) , we started with some of the same standard testing. Dr. Pena started me on the same plan as last time since it was successful. I again started Letrozole. I was monitored regularly again with bloodwork and sonos. I had 1 follicle. We did one round of IUI which resulted in a negative pregnancy test. We tried again the following month, following the same procedure. I had two follicles. I did a round of IUI and I am currently pregnant with boy and girl twins!
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Alexis and Jess)
They all gave clear instructions and were available whenever I had questions. They were extremely kind and understanding.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
I felt so comfortable in the Patchogue office. Everyone made me feel welcome and relaxed. Getting bloodwork was so easy thanks to their awesome phlebotomist. They called with information and instructions when they said they would, but I was also able to call and follow up when I needed to. They are like a well oiled machine! Everyone knows their job and they do it well. When you go got monitoring it can be time consuming because everyone getting monitored goes at the same time, but they try to treat you in a timely manner. I think it's important for the patient to trust the process, but also stay on top of your process. It is important to ask questions and be knowledgeable about what is happening.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
My insurance covered my costs. I didn't pay a copay until I was pregnant.
It's not easy hearing all kinds of terms, procedures and medical tests that need to be done, however, Dr. Pena explains everything so well and answers all questions you may have. He always has a smile and makes you feel comfortable...Dr. Pena took the time to explain the various options and procedures along with the risks involved. During each of my transfers, he always said "I put a good word with the man upstairs"--made me feel like he really was on my team and hoping for us to be successful...
I always found the office [RMA Long Island IVF] to be clean and the rooms are private. During the times when I needed bloodwork done, the nursing staff was there early which was great for me to get to work with no issues...We could not have asked for better nurses especially Jessica and Melissa. They were literally a phone call away! All the nurses that we have had the pleasure of meeting at RMA are friendly, compassionate, caring, thoughtful and most of all helpful...
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena is in your corner every step of this journey. He is invested in helping you become parents. I always left his office knowing that my dreams of becoming a mother would be happening one day thanks to Dr. Pena and his staff. It's not easy hearing all kinds of terms, procedures and medical tests that need to be done, however, Dr. Pena explains everything so well and answers all questions you may have. He always has a smile and makes you feel comfortable. He truly is our hero! We are so grateful to have contacted his office after being referred by my GYN. He made our dreams of becoming parents and expanding our family a reality. IVF is not easy, but when you have a doctor like Dr. Pena, you will be in great hands every step of this amazing journey.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
It is important to ask lots of questions, get options and most of all know that Dr. Pena and his staff are there on your team.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena and his staff have been so supportive during this journey of becoming parents. Dr. Pena took the time to explain the various options and procedures along with the risks involved. During each of my transfers, he always said "I put a good word with the man upstairs"--made me feel like he really was on my team and hoping for us to be successful. We couldn't have asked for better nurses, especially Jessica and Melissa--life savers!-- both were always willing to go above and beyond to make me feel at ease and comfortable with all the medications, answer all kinds of questions and explain directions on how to administer injections. Each individual from Dr. Pena to the Nurses to the Front desk Staff at RMA Long Island IVF have played a vital part in our story. We truly are so grateful to have them be part of our family.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jessica and Melissa)
We could not have asked for better nurses especially Jessica and Melissa. They were literally a phone call away! All the nurses that we have had the pleasure of meeting at RMA are friendly, compassionate, caring, thoughtful and most of all helpful!
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
I always found the office to be clean and the rooms are private. During the times when I needed bloodwork done, the nursing staff was there early which was great for me to get to work with no issues.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
Morning monitoring started at 6:30am and the nurse was ready to do bloodwork which was great for working patients.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
I am truly blessed to have great insurance coverage. I had copayments, lab tests, and medications to pay for each of my treatments.
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Dr. Pena explained the risks involved with multiple embryo transfers during our first IVF treatment.
Dr Pena was very clear about realistic objectives given my age and the nature of fertility treatment. He was always very responsive to any of my questions...He is definitely more blunt and realistic with what to expect. He definitely does not sugar-coat anything or give you false hope. He was extremely thorough with a lot of blood work and exams, and changed dosage as needed when the first IUI did not work. I was pleasantly surprised to have my IUI work on the second time...
The nursing staff [at RMA Long Island IVF] was great, very compassionate, extremely responsive with whatever concern or question I had...Morning monitoring can sometimes feel like a cog in a train, since it is first come, first served, but they did move people very quickly, and I never felt like I had to wait very long to be seen. The fact that they have multiple offices was great if I was working and had to use a different location.
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr Pena is very knowledgeable and informative. He is definitely more blunt and realistic with what to expect. He definitely does not sugar-coat anything or give you false hope. He was extremely thorough with a lot of blood work and exams, and changed dosage as needed when the first IUI did not work. I was pleasantly surprised to have my IUI work on the second time.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Expect to have a doctor that is really knowledgable and intelligent, that you can really trust is doing everything in his power to get you what you want But do not expect a doctor who will coddle you.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr Pena was very clear about realistic objectives given my age and the nature of fertility treatment. He was always very responsive to any of my questions
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
I began with a blood test and sonogram to gauge my ovarian reserve. They also did a full genetics panel since I was using donor sperm. I was sent for an HSG exam before we even attempted a cycle. For both cycles I was put on Clomid, and had weekly blood tests and sonograms to watch the progression of my follicles. I also was given an injectable trigger shot with both cycles. The second cycle I was on a slightly higher dose of Clomid, and it resulted in 2 prefect size follicles that I triggered on.
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jess or Alexis)
The nursing staff was great, very compassionate, extremely responsive with whatever concern or question I had.
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
Morning monitoring can sometimes feel like a cog in a train, since it is first come, first served, but they did move people very quickly, and I never felt like I had to wait very long to be seen. The fact that they have multiple offices was great if I was working and had to use a different location.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
I only paid for my donor sperm and co-pays once I was confirmed to be pregnant.
Dr. Pena has always taken the time to explain our diagnosis and treatment plan. He gives recommendations without us feeling pressured...Due to my age (29 yrs), [he] recommended only one embryo [transfer]...If you are confused about anything, ask questions. Dr. Pena is always willing to explain even if its at 10pm at night.
The [RMA Long Island IVF] front desk could be a little kinder. This process is stressful to begin so I don't like when I am in the waiting room and I can hear them on the phone giving someone an attitude. This has happened a few times so I know its common...[monitoring appointments] are pretty easy going. I am usually in and out within an hour or so...
How was your experience with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena has gotten many of my friends pregnant. Unfortunately I am not in that group - however I do trust his treatment plan and I do think he will get me pregnant in the future. I've had three untested embryo transfers so I'm not sure if my embryos are not strong enough or if it was my protocol.
What's one piece of advice would you give a prospective patient of Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
If you are confused about anything, ask questions. Dr. Pena is always willing to explain even if its at 10pm at night.
During treatment, were you treated like a number or a human with Joseph Pena at RMA Long Island IVF (formerly Long Island IVF)?
Dr. Pena has always taken the time to explain our diagnosis and treatment plan.
He gives recommendations without us feeling pressured.
Describe the protocols Joseph Pena used in your cycles at RMA Long Island IVF (formerly Long Island IVF) and their degree of success.
IVF:
Cycle Day 3-7 :- 1CC Menpour, 150ml Gonal F
Cycle Day 10-8: Ganirelix, 1CC Menpour, 150ml Gonal F
Cycle Day 11: Ganirelix, 1,000 units HCG, Lupalide 40 IU
Cycle Day 12: No Meds
Cycle Day 13: Protonix 40mg, Reglan 10MG
Cycle Day 14: Egg Retrieval - 28 Eggs, 10 Fertilized, 4 Untested Embryos
Frozen Transfer:
Cycle Day 3-6: Estrace x2 day
Cycle Day 7-15: Estrace x3 day
Cycle Day 16-20: Estrace x3, 1ml PIO
Cycle 21: Transfer, Estrace x3, 1ml PIO
Cycle day 22-29: Estrace x3, 1ml PIO
Cycle Day 30: Pregnancy test
Describe your experience with your nurse at RMA Long Island IVF (formerly Long Island IVF). (Assigned nurse: Jess & Alexis)
Jess and Alexis are awesome. They always are so informative and willing to explain things to me.
Even though I will emails many questions, they are always good about getting me the info I requested ASAP
Describe your experience with RMA Long Island IVF (formerly Long Island IVF).
The front desk could be a little kinder. This process is stressful to begin so I don't like when I am in the waiting room and I can hear them on the phone giving someone an attitude. This has happened a few times so I know its common.
Describe your experience with your monitoring appointments at RMA Long Island IVF (formerly Long Island IVF).
These are pretty easy going. I am usually in and out within an hour or so.
Describe the costs associated with your care under Joseph Pena at RMA Long Island IVF (formerly Long Island IVF).
Thankfully my insurance covered my IVF and my 3 embyro transfers.
My meds for IVF with insurance was around $1,000 and my meds for FET for around $200.
Now that I have to do a FET out of pocket, it is $4,500 + meds (Idk what that is yet)
Describe Joseph Pena's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA Long Island IVF (formerly Long Island IVF).
Due to my age (29 yrs), Dr. Pena recommended only one embryo