Joshua Hurwitz

My experience with dr Herwitz has always been wonderful. He always explains treatment options, which he would recommend most, but is behind you 100% whichever you decide. He was supportive through our miscarriage but continued to keep me thinking positive and understanding that he was going to do whatever it took to help us have a baby.

Trust the process. It can be a process, and I’m still in the middle of it, but it’s all worth it.

Dr Herwitz and my nurse know me by name, are interested in your personal life and hobbies outside of being their patient, have called me later after office hours to let me know important information or ask how I am doing, and are always welcoming, kind and willing to have any conversations to answer any of my questions and keep me calm throughout stressful situations.

-Clomid (no response) so added femara: IUI 1: negative test -Femara and follistim: IUI 2: positive test, miscarriage at 9 weeks (chromosome abnormality) -Femara and follistim: negative test - IVF with menopur, other injectables (names?) 19 eggs retrieved 7 normal embryos after PGS testing that are frozen Transferring one TOMORROW!

Every single nurse I have met in this practice has been wonderful. My specific nurse is so sweet, will answer all of my crazy questions (which happens often!) and sincerely wants the best for us.

You never expect to be in this position, but RMACT does a great job at making you feel comfortable and hopeful in making a family. I really don’t have anything negative to say about the practice except I wish they were located in my town! Lots of very early mornings gets tough, but I remind myself it’s worth it.

First come, first serve between 7-8 am. I always tried to be there first!

I wouldn’t mind transferring two embryos, however the office will only transfer one at a time due to success rates and high risk pregnancy.

Dr. Hurwitz is warm and compassionate. He’s thorough and takes time to answer your questions in sit down appointments. He only did one of my IUI’s which was disappointing. The other doctors were great but I felt more secure knowing that he knew all the details of our situation. They are very busy so he let me know he most likely wouldn’t be able to do all of our IUIs.

Be prepared with all of your questions because he will address them. Write them down in advance.

Dr. Hurwitz is very compassionate and aware of the details of our situation. He’s honest and warm. He gives you all of his attention when you meet with him.

I have one blocked tube due to unknown causes. 1st IUI, Letrozole followed by 75 IUs of Gonal-F completed with the trigger shot. I tested low for progesterone and estrogen and began supplements two days after IUI. IUI’s two and three followed the same protocol except Gonal F was increased to 100 IUs. One egg on each side for IUI Number one. Three on the open side for IUI numbers two and three and two eggs on closed side. The hope was to have matured eggs on the open side. All IUIs resulted in a negative pregnancy test.

My nurse was very good with calling me with pregnancy results and was compassionate. Her emails are short and brief and sometimes confusing. Once I ask for clarif

The clinic is clean, welcoming and efficient. It’s rare to have to wait a long time even during the busy monitoring hours in the morning. A weakness is that not all blood tests results are communicated.

$6,000 for three IUIs due to no fertility coverage through my insurance. IVF runs between $15,000-$20,000 for one out of pocket cycle. All blood tests covered under my health insurance except for genetic screening.

Dr. Hurwitz patiently answered all of my endless questions, as crazy as they could be. He also very frequently called to check in to see how i was feeling after receiving both good and bad news. He would call at night and even on his days off and weekends. I always felt amazingly supported and well taken care of by him. I've had several miscarriages, which i no one expected, but he never allowed my husband and I to give up hope, even after each loss and surgery that he had to perform. He always said we would be walking out of RMA with a baby, and we are...even if it's not the way we had pictured it to be!

Don't be afraid to ask him questions and be honest with him about how you're feeling. Always remember that he is an expert and he's there to help you. I've never met a doctor who cares about his patients as much as he does.

Dr. Hurwitz consistently went above and beyond for me time after time to make sure that was actively engaged in my care and was emotionally and physically doing OK and taken care of. I have had a very rocky road over the past 5 years and truly couldn't have made it through all of the ups and downs without him.

I did two clomid cycles, one injectable IUI cycle, two egg retrievals (both with ICSI and CCS) and two embryo transfers. I had two transfers cancelled due to thin lining (which is probably part of my issue related to my recurrent pregnancy loss). It only took one embryo transfer into our gestational carrier for her to become pregnant.

I started off with Kathleen as my nurse (she's no longer there), who was wonderful. Once we decided to go the gestational carrier route, I was transferred to the Third Party team. Being a long standing patient for years, I was nervous about changing teams and getting a new nurse, but my nurse Nora and I couldn't have been a better match! She is awesome - super organized, compassionate, responsive, knows her stuff and funny!

RMA CT is a well-oiled machine. Wait times are short, they are organized and their use of iPads makes it easy to go to different offices for monitoring and appointments, as I often did. The only weakness I can say is that their Finance department can use some work. There was a few times that my finance coordinator gave me incorrect information that caused a lot of back and forth and wasted time. For the most part, they were OK though.

Morning monitoring is run very efficiently. I would get there at 6:40 in order to hopefully be one of the first ultrasounds of the day as I had to directly to work afterwards.

My personal treatment was covered by my insurance, but all costs associated with using our gestational carrier were not (which is typical).

We transferred two embryos into me each of the two times and transferred one embryo into our gestational carrier (due to her preference). He was supportive of both but did clearly explain the risks of becoming pregnant with twins.

Dr Hurwitz made a great first impression. He also called us personally before and after the first IVF cycle to say he thought things looked great. It was nice to get that personal touch but we didn't hear from him much during our second round. i actually feel more connected to one of the other doctors who I see for about 95% of my monitoring appointments and who did my retrieval and transfer for this last cycle.

Don't take it personally if you never hear from or see him after your initial consult.

When we first met Dr. Hurwitz, we thought he was the greatest in terms of personality, demeanor, etc. After that initial appointment, however, we had a few experiences where we weren't sure if he was the same doctor with whom we had spoken. He was curt, seemed annoyed, and when my husband couldn't make an appointment, Dr. Hurwitz wouldn't "tie up a phone line" and call him. And while he is my doctor, I have never seen him for any procedure and have only happened to get him on a monitoring appointment twice. Maybe we caught him on some "off days".

For our first round of IVF, the protocol was similar if not identical to the one we had done at another clinic. When that cycle only resulted in one good embryo, Dr Hurwitz completely changed the protocol in hopes of yielding more. The new protocol seemed much longer but it did give us 9 embryos (4 of which were normal).

Linda is fantastic. I was even able to go to her when my financial coordinator dropped the ball and she made sure it got taken care of.

At the end of the day, they really need to evaluate their staff. The clinic wants to portray themselves as a warm and friendly place, but it really is just a well polished factory. I've had nurses who couldn't place IVs or left me with tremendous bruises. When I said something to another nurse about my bad experiences her response was "you must have been here on a weekend" (she was right). On the day of my first retrieval (a Sunday), I was called back and told to undress from the waist down and the doctor would be in with my specimen. She brought me back for an IUI instead of a retrieval. That same day, a nurse was about to get my IV ready, stopped because she forgot gloves, then couldn't place it (I don't have tricky veins). While that was going on, another woman in the bay next to me fell out of the bed and onto the floor - the whole morning was a total nightmare. When I went for the transfer, I checked in and was given financial papers to sign. After 30 minutes in the waiting room, I got a call from the nurses asking where I was since I was supposed to be there 20 minutes ago. The receptionist never actually checked me in. My second retrieval and transfer were much better, but I've had more bad experiences than good with the staff.

I go for monitoring at their Trumbull office which only has two ultrasound rooms. I've found that if I'm not one of the first ones there at 7am, I could be waiting for an hour if not longer to get into a room.

Thankfully our insurance fully covered all of our treatments except the PGD testing which was just under $4,000. We are responsible for meeting our deductible and coinsurance

We only did an eSET because we only had one embryo at the time.

Dr. Hurwitz was very kind and also used humor appropriately. He explained all our options and was honest about our expectations. He was very honest in helping me to stay focused and understand that fertility treatments take time and always explained the statistics to help us be realistic about our expectations. He also called us personally when we had questions.

Make your appointments in advance, he books up fast!

Tried Clomid first, I did not have good results and it took weeks to see any growth in follicles. He said Clomid was not a good fit for me, and that we would move on to injectibles next. It took months for my hormone levels to level out after Clomid, and then we started injectibles and they worked great. I saw growth in follicles right away, and we scheduled my IUI. Because the Follistim worked so well he said if we did no get a positive test from the first IUI we would stick with the Follistim for future cylces since my body responded so favorably to it.

My nurse was wonderful, she was patient and kind and very compassionate. She took the time to listen to my worries and always helped me understand options and procedures. She explained things in a way that made sense and was extremely supportive. I'm just sad that she wont be there if I return because she moved! All the techs were also very supportive and kind.

The clinic was very organized, I liked that you had a patient navigator to help coordinate things, felt like I had very personalized care. I also LOVED that they provided Fertile Yoga and support groups. I probably got the most help from Lisa Rosenthal who led the support groups and the Fertile Yoga, she is absolutely amazing. The only thing that I thought they could improve is to have more training for the techs who do blood draw. I can't even count how many times I had multiple techs sticking me. I always tried to go for blood draw when the one tech that could always successfully draw my blood was present.

Insurance covered much, but the injectible drugs were not covered and we had a high deductible plan. Between injections and our deductible it was around $6,000

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I appreciated his transparency about the treatment and success rates. I also appreciated his sense of humor which may not be for everyone. I also felt his enthusiasm to help me try to get pregnant was genuine. I did not feel judged about trying to get pregnant at a later age. He is direct and maybe for some it may be abrupt or non caring which may not work for every patient. If you are able to advocate for yourself then this should not be a problem.

If you aren’t feeling you are getting the kind of treatment you want, ask questions. Express your concerns.

Though I wasn’t the kind of patient who needed constant calling or support or hand holding, the one time I didn’t feel like a number was when the doctor called me personally after a negative pregnancy result after a failed 3rd IUI. It was unexpected and on a weekend and I was surprised and touched that he called to check in with me.

Femara, follistim, ovidrel trigger shot, and IUI. His first suggestion was IVF given the ages of me and my spouse. However our insurance did not cover it. He felt that the above protocol with femara and injections and IUI would help us improve our chances, as our diagnosis was unexplained fertility. (Though I wasn’t actually told this and thought to ask - actually another doctor who had done one of my IUIs - after the 2nd failed IUI attempt.) Despite that slightly annoying factor of having to ask, he was honest about our success rate. Though it was lower than IVF, we were still hopeful. We had 5 IUIs but no positive pregnancy result ever. We had hoped we would have been lucky...because when it comes down to it, even with as much science and technology, there is still a big amount that is chance. We were disappointed of course but we had never been “deceived” about our chances. Our expectations were managed well but I can’t say for sure that was all Dr. hurwitz or if it also has to do with the realistic perspective that my spouse and I had when we started this journey.

My nurse was great. Again, I don’t feel I was the type of patient that required a lot of communication or even a lot of support or “cheerleading” (a lot of reviews - the good ones - I have read about my doctor and the clinic in general have mentioned how attentive and how much communication with the team was.). However I suppose if I was the type of patient who needed that level of support AND asked for it, I would get it. My nurse always promptly answered my emails (that was the way most convenient to communicate.). Even when she was out of the office, which I was impressed with. I really appreciated that.

Strengths - clean facilities, seem to have most recent technology, seem to be well-staffed. Also seem to integrate services that complement the medical treatment like support groups and yoga and acupuncture. There are also informational events that they offer via social media. Early monitoring hours were appreciated. Weaknesses - in my experience, after all the preliminary testing, my IUI schedule started and I didn’t quite know what to expect - should my husband be at every scan, how often are the ultrasounds , how much time would I have to take off in the mornings from work for bloodwork and ultrasounds. I suppose I could’ve asked upfront but, being new to this process, I didn’t even know WHAT to ask. I feel like an orientation session would’ve been nice because the beginning part moved so fast as we started my first IUI cycle. I think they have info available on their social media to serve this purpose but I am not on Facebook or twitter or Instagram. At the time I was starting, this kind of info was not on their website either. I had to google a few things. And obviously by my 2nd and 3rd IUI, I knew what to expect. Another weakness is they say they have a Poughkeepsie office but I really think that’s misleading. While I went there only once for the initial consultation, I never went back and had all my treatment in CT. I believe they do very limited things in the NY office. Traveling out of state (although it wasn’t too far)added some stress for me which I hadn’t anticipated that I would feel, which I’m sure didn’t help my overall well being. Before I knew anything about the clinic, I had hoped most of my treatment would’ve been in NY. Though there are many reasons I didn’t get pregnant, I can’t help but wonder if this factor (traveling) played even a little part. In other words, if they don’t do treatment in their NY office, they should be more transparent about it.

My insurance covered the IUI procedures and meds. No issues for me in this department.

Very positive and upbeat. Talks to me like he's my coach and our team is going to win. Very sensitive to my loss. Set backs are treated like a learning experience and we find the right next steps together.

He is a very nice and caring guy. You are in good hands!

I always see a dr, and he calls me personally to discuss results the moment he gets them.

I had iui previously and my third resulted in a twin pregnancy. I carried to term and had a planned c section at 38 weeks. On day three in the hospital something went wrong and my son stopped breathing. It was a long and agonizing ordeal to watch my son die over the next 2 1/2 weeks. I came back to Rma CT to have another child, but hopefully with a better outcome. We discussed all of my options and together we decided IVF with elective single embryo transfer and PGS was our best option. My first round of IVF was very successful and the number of bags that I produced however quality was not good and none of them were transferred after PGS. For my next cycle we decided to do Lupron to downreg and hopefully get even more eggs. We did get more eggs. More of them fertilized. I am waiting for PGS results right now.

They have done a great job of answering any questions that I have by phone and email. I also get printed sheets with all of my medications and the times and dosages.

I think some of the biggest strengths of Rma CT are their out reach programs. In the past I have taken advantage of ladies night in peer support as well as fertile yoga. These have been a great outlet for me as well as allowing me to find others who are in the same circumstances and allowing me to de-stress.

I like to be the first person in for morning monitoring so that I can get out and get to work on time. They were always very respectful of my time. I also enjoyed the tea in the waiting room.

I was able to sit down with the finance person who reviewed my insurance coverage and gave me a realistic idea of what everything was going to cost. There were no huge surprises.

Given my unique circumstance of having twins via Iui and the subsequent loss of my son, the doctor did not want to put me through another twin pregnancy nor did I want to take a chance of another twin pregnancy.

Dr H always made us feel welcomed the second he walked into the patient room or even just passing in the hallway. We always felt he knew who we are and what we needed without looking at our medical chart. Dr H took into account our diagnosis and treated us exactly how he thought we would get the pregnancy result we were striving for while also keeping me safe and not forcing my body to over produce eggs. We were sad to leave RMA on our “graduation day” when our care was being transferred back to my OBGYN

Have patience. Fertility treatments is a long calculated process that drives around your cycle. You will have frustrating months where you need to wait another 4 weeks to cycle again. Fertility treatments are not quick.

Dr Hurwitz never made my husband or I feel rushed during morning monitoring, scheduled appointments, or phone calls delivering results. He always called the evening after we received results from our nurse during the day; no matter good or bad he always called to check in, see how we were, and inform us of next steps.

Our goal was to produce 10-15 eggs. My husband had a Mesa done and his vials were frozen at RMA. We were fortunate to retrieve 10 eggs. Unfortunately due to my husbands male factor infertility we do not have the strongest sperm to fertilize which caused us to only end up with 2 embryos. If we are lucky enough to go through this process again, Dr H said we will need to change my protocol from moderate to slightly higher in order to increase our chances for 2 or more embryos due to the sperm we will need to use to fertilize.

Jocelyn my nurse would answer my emails at all hours of the night. Sometimes I would email her with a question at 7 pm expecting an answer in the morning and by 8:30 that night she would be responding to me. The girls in the morning that took care of morning monitoring are Absolutely top notch. They make you feel as though you are the only patient in the practice even though the waiting room is full. They are companionate, motivating, sympathetic and kind.

I had never been to a fertility clinic before so I was surprised to find that I would have an assigned nurse, patient coordinator, and a financial advisor. Having direct contact with people who could answer my questions and help me was truly a blessing. I didn’t need to call 800 numbers and be transferred around to whomever could get to the phone. RMA makes you feel like a person and not just another patient. They have beautiful welcoming waiting rooms. The examining rooms and bathrooms have motivational quotes on the wall to empower and lift your spirit.

Morning monitoring took place between 7-830. Appointments are first come, first serve. Blood work moves pretty quickly and then you will go back into the waiting room if the examining room was still in use by another patient. I was usually one of the first patients in the morning so I rarely waited.

The upfront IVF package we had to pay for was $19,500. Our insurance does not cover IVF treatments. We did need to buy more meds at one point and some freezing/unfreezing of the sperm. We ended up spending about $25,000

We were told we had the option to implant 1 or 2 embryos. We went through all of the pros and cons with Dr H to each transfer. My husband and I decided to transfer both embryos that we had. At the day of transfer Dr H went through all of the grading for each of our embryos and explained if we had chosen to implant only 1 it would have been embryo A due to the grading.

Dr. Hurwitz is extremely knowledgeable and he cares about his patients. He would call randomly to check on me and was genuinely sad for us when we had our early miscarriages and failed cycles. He is a clear communicator and seems to have our best interest at heart.

Expect quality care and someone who will tell you exactly what is going on.

Dr. Hurwitz greeted me by name, seemed genuinely happy to see me each time, and genuinely seemed to care about me as a person.

IVF #1 April 2015 George TESE-March 30 Period March 30-begin BCP BCP until April 8 (CD 10) Begin baby aspirin April 8 April 12-19 Follistim 300 + Menopur 150 Dexamethosone .25 mg April 17 Add Ganarilex April 17 & 19 Discovered uterine polyp New plan Freeze all Day 1 begin BCP Hysteroscopy to remove polyp Prepare for Frozen Embryo Transfer if enough embryos made it to day 5 blasts and freeze Prepare for stim cycle if needed April 20 Trigger shot Follistim 450 + HCG 10,000 April 22- Egg retrieval 9 eggs April 23-Update 6 mature- 5 fertilized April 25-Update 4 3-day embryos April 28-Update 2 5-day blastocysts frozen 1 3bb 1 3cc (Still waiting for day 1) Plan Day 1 begin BCP Schedule hysteroscopy Begin stims Fresh transfer Need more sperm --will do TESE the day before or the day of my retrieval IVF #2 May 2015 Period May 4-begin BCP Hysteroscopy May 12 BCP until May 18 Begin baby aspirin May 18 May 22 Begin Microdose Lupron 20 units in evening May 23-May 31 Microdose Lupron 20 units am/pm Follistim 300 + Menopur 150 Dexamethosone .25 mg June 1 Trigger shot Follistim 450 + HCG 10,000 June 2-George's procedure MESA June 3-Egg retrieval 13 eggs June 4- Update 10 mature- 7 fertilized June 6- Update 7 ongoing embryos June 8- Transfer (EDD-February 24, 2016) 2 embryos 3AC 3CC June 9-Update 2 embryos frozen June 17- Beta 63 June 19- Beta 223 June 30- Beta 1083 Ultrasound July 7- Ultrasound Enlarged yolk sac July 10 D&C FET #1 9/23/15 (EDD-June 10, 2016) Oct 2- Beta 78.8 Oct 4-Beta 234.8 Oct 15- Bleeding/clots Beta 9,614 Oct 20- Beta 600 FET #2 Jan 29 (EDD-October 16, 2016) Feb 8- Beta 17 Feb 10- Beta 3 Feb 20 FSH 18 AMH level- 1.48 last year BCP pills? Low ovarian reserve bcp worst enemy shuts ovaries down quiets down ovaries- no bcp DHEA? Theralogix 75 mg per day Three vials of TESE sperm Two vials of MESA sperm Feb 21 AMH - 0.5 IVF #3 March 2016 March 7-bloodwork-begin Estrace 1 tablet 2x per day February 18-FSH results 18 March 14-CD1 March 15-bloodwork/ultrasound-AFC R-8 L-7 March 16 Begin Microdose Lupron 20 units in evening March 17 Microdose Lupron 20 units am/pm Follistim 300 + Menopur 150 March 20 Follicles R-4 L-5 March 21-AMH results from 3/15 0.5 March 23 Follicles R-3 L-4 1 leading each ovary-under 10 March 25 Follicles R-3 L-3 R-leading 12 L-leading 11 March 28 Follicles-5 Leading follicle 16, 15, 12 and two too small to measure Cancel cycle HCG trigger (10,000) IVF #4 Begin with day 1 Day 1 April 9-CD 1 April 11 Bloodwork/ultrasound AFC-R-3 L-4 + 1 cyst at 20 Leading follicle 11 Begin stims April 14 Bloodwork/ultrasound R-3 L-4 + 1 cyst at 18 collapsing Leading follicles on right-2 @ 12 April 15 Begin ganarelix April 16 Norwalk Bloodwork/ultrasound R-2 L-4 Leading follicles 19 & 17 April 17 Norwalk R-2 L-4 5 large follicles...19 the largest, 18, 15, 14, 12(?). Two smaller follicles, and a couple of really small ones that they're not really counting. The follicles are just plumping up! Lining is type 1, 9mm. Trigger tomorrow, retrieval Wednesday 😁 April 18 Trigger 10,000 HCG + 450 Follistim April 20- Egg Retrieval 6 eggs Anesthesia made me extremely tired this time. April 21-Update 3 mature-2 fertilized April 23-Update 2 ongoing grade A day 3 embryos April 25-Transfer (EDD-January 11, 2017) 2 embryos Grade 4bb and 3cb May 2 Began CoQ10 May 4- Beta Negative Waiting for day 1 to begin bcp Will do short course of bcp, then Microdose Lupron protocol Did not take progesterone or estrogen today Began DHEA IVF #5 May 2016 CD1-5/8/16 BCP until 5/17/16 Begin baby aspirin 5/19/16 Baseline Thin lining Follicles R-6 L-7 5/21/16 Begin Microdose Lupron 20 in evening 5/22/16 Microdose Lupron 20 in morning Begin Follistim 225/ Menopur 225/ Microdose Lupron 20 in evening 5/25/16 Bloodwork/ultrasound Follicles R-6 L-6 1 leading each ovary under 10 5/28/16 Bloodwork/ultrasound Follicles R-3 L-5 Leading R 17, 2 under 10 Leading L 2@15, 13, not sure about other 2, but small Lining-7 type 2 5/30/16 Bloodwork and ultrasound Follicles R-3 L-5 Leading 21 on right. Two 19 on left Lining 9 type 2 Trigger tonight 10:30 6/1/16 Retrieval 9:30/ arrive at 8:30 6 eggs Feel pretty good 6/2/16 6 eggs mature 4 fertilized normally 6/4/16 Update 4 ongoing 1-9 cell no fragmentation 1-8 cell no fragmentation 1-6 cell 10% fragmentation (grade 2) 1-4 cell-a little slow grower 6/6/16 Transfer (EDD-February 22, 2017) 1 4cb blastocyst Waiting for second embryo-a morula-to become blastocyst-will update tomorrow if cryopreserved 6/7/16 Morula did not make it 😢 6/15/16 Negative beta 😢 Waiting for period 6/19/16 Period begins Waiting for July 8 for bloodwork to see if I ovulated. If so, I will begin estrogen priming for next cycle. IVF # 6 7/8/16 Bloodwork-haven't ovulated-progesterone only 2.7, they like to see 3 or higher. 7/11/16 Bloodwork- begin estrace-1 tablet tonight, then twice a day thereafter. Call/email with day 1 7/20/16 Day 1 7/22/16 Baseline Bloodwork/ultrasound Lining-4.8 type 3 Follicles R-7, L-6 all less than 10 Begin Microdose Lupron 20 in evening 7/23/16 Microdose Lupron 20 morning Microdose Lupron 20 + Gonal F 225 + Menopur 225 evening 7/26/16 Bloodwork/ ultrasound Lining-5.8 type 2 Follicles R-8 L-7 All less than 10 7/28/16 Bloodwork/ultrasound Lining-7.8 type 1 Follicles R-8 L-6 R-one leading follicle at 11, 3-4 plumped up at about 10, and a few other smaller ones. L-had a few plumped up and a few smaller ones. 7/31/16 Bloodwork/ultrasound Lining-9.7 type 2 Follicles R-5 (16, 13, 11, 2 less than 10) L-7 (16, 16, 14, 14, 13, 13, 11) 10 follicles in the growing stage 8/2/16 Bloodwork/ultrasound Lining- 9 type 1 Follicles R-5 (19, 17, 15, 11, one less than 10) L-5 (21, 20, 20, 20, 18) Trigger tonight/retrieval Thursday 10,000 iu HCG and 450 gonal f 8/3/16 Bloodwork/ultrasound only 8/4/16 Retrieval 11 eggs 8/5/16 Update Mature- 9 Fertilized- 9 8/7/16 Update 9 ongoing embryos 7 of which look good 8/9/16 Transfer 1:25 pm 2 embryos 8/10/16 4 embryos frozen

Jocelyn is an amazing nurse...she is a great communicator, even answering phone calls and emails when out of the office. She is very organized and knew enough about me as a person and a patient to respond to calls and emails when not in the office, even if it was to tell me that she would check my chart when she returned. Jocelyn is a top-notch nurse and we are blessed to have her.

RMA CT is an excellent clinic and I would highly recommend that anyone go there. They are organized, caring, personal, and supportive from the beginning of your care.

The morning monitoring was a well-oiled machine. We were treated with privacy and respect and acknowledged in a pleasant manner each time.

My health insurance covered $50,000 at 100% because this is a center of excellence. I paid $780.00 out of pocket when my fertility insurance ran out. We are awaiting our next frozen transfer and the costs associated with that.

Dr. Hurwitz prefers single embryo transfer with PGS, however, we did not have the funds for PGS, and due to our ages, we transferred two embryos each time we were able to.

I could not have asked for a better experience throughout this ordeal. Dr.H has been so informative, kind & encouraging. After every procedure, he's called from home just to check up on me. I know I am not the only patient he's done this with. He has a way of gently breaking the not so good news, but always ending it on a positive note filled with hope.

Be open, be hopeful, do not have any expectations. Let the team guide you & have trust in them to take care of you.

Dr. Hurwitz & the rest of the RMA staff has become the strongest source of support throughout our infertility journey. From day 1, Dr. H has been honest & gentle. Each procedure was mutually decided upon by him and us. He was never too pushy about the appropriate next step but did guide us in the right direction. It has been a series of trial and error and I am somewhat of a tricky case but I have never lost faith or trust in him or the entire RMA team. I arrive to warm hugs & greetings. I attend the support groups, fertile yoga, nutritionist & acupuncture. The comprehensive approach takes my entire being into account, not just my medical issues.

When I arrived at RMA (June 2014) Dr. H found a cyst on my right ovary. He wasn't initially concerned but as he watched it grow over the first few weeks, he recommended an MRI & blood work. Sure enough, it was a large benign tumor that had to be removed. He referred me back to my regular OB for surgery. Unfortunately, my entire ovary had to be removed. 2 weeks after surgery, I got pregnant naturally but miscarried at 9 weeks. From here is where I started treatments with Dr. H. We did a bunch of IUIs, started with Clomid, then Femara, all with HCG trigger shots. We took a little break and decided to try "naturally" but still working with Dr. H. I thought that if I got pregnant once naturally, that it could happen again but we maybe needed help with the timing. So Dr. H agreed & we did 2 timed intercourse cycles, only with HCG trigger shots. Thus far, all treatment courses were resulting in negative pregnancy tests. We finally took the plunge to IVF in Feb 2016. Dr. H was very concerned about my weight so I worked hard to get that down since he does require pt's to be below a certain BMI to qualify for IVF. We used BCP, Follistim, Menopur, Ganirelix & HCG shot for our Feb 2016 cycle. It only resulted in 4 eggs being retrieved and only 2 fertilizing. We unfortunately lost both on Day 5, the morning of the transfer. I am starting my next cycle this weekend, and he switched my protocol to be a bit more aggressive. This time I have been on Estrace instead of BCP, since I was too suppressed last time. We are starting Microdose Lupron, Menopur & Follistim on Monday. I love that Dr. H is recognizing the issue, we have been on the same page throughout this whole process & he is very open about his rationale.

Kathleen & the rest of the nurses & lab techs have been amazing. I am greeted with smiles and warm hugs every time. I am only getting words of encouragement from them and they all know me by name. Kathleen is so informative, she always leaves clear & concise messages via VM or email so that I know what the next steps might be. Protocols are emailed which makes remembering meds very easy. She is so compassionate and really cares about what happens to me.

RMA has only brought us comfort, guidance, support & hope throughout the worst time in our life. The "extras" they offer, like fertile yoga, social workers, support groups, nutritional counseling, acupuncture & even an online forum for patients to connect.. has made me feel like my infertility matters. This has been a lonely ride in terms of family & friend support, so having RMA be there for us has meant the world. I hope for a good outcome of course, but no matter what, RMA has more than fulfilled my expectations.

Monitoring is between 7am & 8:15am which makes it easy to get to work on time. I've never had an issue with monitoring.

We used insurance.

I had a good experience with him. He was quite knowledgeable, and treated me with respect. I felt like he understood me. Explain the details of the treatment, and even a bit of the science behind it when I asked. I also felt like I had a good bit of personal attention from him, and even though they had many setbacks along the way, I was always satisfied with the quality of my treatment.

I always felt that I was treated with respect, that he was willing to answer my questions, and he surpassed my expectations for the amount of personal attention I received.

I don't remember the details anymore, I produced a lot of eggs, and had a very high fertilization rate, but the quality the embryos was poor. We went through four cycles with Dr. Hurwitz, and he tried different strategies. He always explained his reasoning, and he was always willing to answer my questions.

I thought Kathleen my nurse was great. She answered questions, was very organized, and a source of support.

I think the clinic as a whole put a great effort into giving top-notch medical care, but they also recognized this was emotionally difficult experience for their patients. They tried to show support in numerous ways, and I always felt that I was respected. All members of the team showed compassion and empathy.

I think the morning monitoring was run efficiently. The doctors rotated, so I got to meet the other doctors at the practice. Even when I didn't see my primary doctor for morning monitoring, I always felt that the other doctors were knowledgeable about my case, and they always answered my questions.

My experience with Dr Hurwitz was incredible. I went in there feeling very down and he brought light to my situation and when I left there I definitely felt better about everything when it came to doing IVF

There is nothing to worry about. Dr hurwitz is an amazing doctor in every aspect

Dr hurwitz is an amazing doctor he treats you as if he has known you for years. He is very supportive to each individual concern. He makes you feel at ease no matter what your situation is

I went for a consultation after I had two ectopic pregnancies and both tubes were removed. I felt very helpless going into my appointment but dr hurwitz assured me that everything will be okay. I left the office feeling so much better. He explained everything to me from beginning to end

The staff are very helpful after my consultation I told the office that I was not going to proceed with IVF because of financial situations but they still check on me and keep me updated with grants and any other information possible

I don't believe that the clinic has any weaknesses as crazy as that sounds. They are definitely an amazing group of people that love what they do and want to make sure that everyone is able to take a bundle of joy home. They are very generous and caring to every patient

The cost for IVF is about 15,000 including medications

I didn't get to the point where we spoke about the number of embryo transfers because my insurance doesn't cover IVF

He was very positive and energetic. He was very focused on our choices and a good cheerleader. At first I didn't understand why he wanted us to understand the science, but I appreciated it later. It felt like he really cared about what happened to us.

Try to absorb as much information in the beginning as you can.

I felt that the whole organization took the time to explain things to us and guide us through tough decisions. I felt like there was a general feeling of kindness and focus on the patient rather than just results. I was very pleased with the whole experience.

We did an egg retrieval that resulted in hyperstimulation. Then we did two frozen transfers of 5 day old embryos. I don't know the specifics of the drugs anymore.

We switched nurses in the middle, because our first nurse left. Both were very responsive to all of our questions, and no nonsense but kind.

I think that their strength is that they have such kind people working there that seem focused on the mental well-being of their patients. I have never felt more supported or listened to in a medical environment.

It was always early in the morning, which was tough because we were an hour drive away. But a few times when we couldn't make it, they did make a window later in the day for us.

We had insurance, but we had to pay about 2 or 3 thousand out of pocket because of a high deductible.

He is a very thorough dr, explains everything down to the detail so you clearly understand every possible thing that is going on , very very nice as well. Every consult and appointment I had he made sure I understood everything and that I wasn’t confused on any little detail , we makes sure all his patients go in knowing 100% what’s going on

Be open to all the possibilities

His office is so heartfelt they all are warm and caring , remember your face and treat you as a friend not just a patient , I have had nothing but the best from them all

We went straight to ivf with him so we did saline sonograms , ultrasounds and bloodwork to start. Then started off with follistim and menopur , then adding in ganirelix a few days later

His whole team is awesome, you get assigned a nurse, patient advocate and financial advisor so if I ever have any questions I contact them directly instead of having to call the office and ask for them

I’ve been to 3 of their clinics so far and they are all amazing , clean, bright , encouraging . Doesn’t feel like a dark doctors office, it feels like you’re walking into a meeting environment insteas

My insurance pretty much covered 100% just some copays here and there

I thought that I would feel uncomfortable with a male doctor, but Dr. Hurwitz really is one of the best doctors in the practice. He is sensitive, but honest, and very supportive. The only negative is that sometimes I felt they were not aggressive enough with my treatments.

He is a great doctor. Very supportive and takes time to explain the process to you

Dr. Hurwitz is especially sensitive. He seemed almost as upset about my miscarriage as I was. He also was very excited for my success

I only had one bad nurse at the practice. Otherwise I was happy with the staff. However, I've found turnover is frequent and I lost many of the nurses I bonded with. It was one of the biggest negatives

Most times, I was in and out. You would see whoever was on duty that day.

Very little as it was covered by insurance