Matthew Lederman

Dr, Lederman is down to earth, easy to speak with and most importantly, he listens to me. He always ask how I am doing, feeling and even responded to me via emails when I reached out to him. He explains the process and what to expect during each step.

Ask questions! Be realistic and own the process! both you and the doctors want positive outcomes but you have to ask questions and take care of yourself. Know the pros and cons. Not everyone is the same and your body may have different reactions.

I requested to use my own eggs so Dr. Lederman ran tests to check my egg reserves which was very low. The next step was to get clearance from my doctors to start pregnancy with donor eggs. We had PGT testing done on the blastocyst. Implanting the egg took a few minutes and was seemless. I didn’t encounter issues except my TSH level was a bit high and I am under supervision of an endocrinologist.

Most of my cost were covered by insurance. I had deductibles for office visits and procedures that added to a few hundred dollars. The egg donor cost was comparable to egg banks except that I had more eggs from a fresh donor.

I am all for single embryo transfer.

Dr. Lederman has been optimistic about our success. He is thorough during our appointments and notices small details. When I had a chemical pregnancy just prior to starting treatments he called me personally to discuss it.

No advice needed.

For my three IUI cycles I took letrozole and the trigger shot without any negative side effects. For IVF, when preparing for egg retrieval, I was on Antagonist protocol. I took 225 units of Gonal F in the morning and 2 vials of Menopur at night. Then we increased the dosage to 3 vials of Menopur plus Cetrotide. Then I took a dual trigger shot. The only rationale I remember was my AMH was a little low so we wanted to go a little more aggressive with the stims.

One injectable medication was not covered by my insurance and was about $400, genetic testing was a couple thousand, anesthesia for egg retrieval was $450 and there were copay's for some visits but not others and I'm not sure what determined that.

I know we are going for a single embryo transfer. My husband and I are worried about the risk of multiples.

When I initially consulted with Dr. Lederman, I had no idea what to expect. He was helpful in providing education to my husband and I around fertility procedures, etc. We did several diagnostic tests, and ultimately had the diagnosis of unexplained infertility. We proceeded with 3 rounds of IUI; none of which resulted in a positive pregnancy test. Then, we moved toward IVF. For my first egg retrieval, we learned that my egg quality seemed somewhat compromised, and I had challenges with retrieving mature eggs. We ended up with two embryos from the first retrieval, both of which unfortunately were chromosomally abnormal (we had them PGT tested). I was devastated, and Dr. Lederman was extremely helpful in making me feel like I wasn't the only person who has experienced this, and he shared that even though it was not the outcome we hoped for, the retrieval round provided us with good information moving forward. We did another egg retrieval, with altered protocol to hopefully get more eggs, and ended up with 2 normal PGT tested embryos. We transferred one, which resulted in a chemical pregnancy. Again, I felt so defeated. Dr. Lederman called me throughout each stage of the process to provide me with updated on embryo growth, next steps, and encouragement. We went to go transfer the other embryo we had, and right before the procedure, learned that it had not survived being thawed (this was a day-7 embryo). Yet again, I was crushed. Dr. Lederman provided as much reassurance as he could, given how sad I was. We took a break after that, as mentally I was feeling hopeless about the process. A few months later, we did 2 more rounds of egg retrievals, both times getting 2 chromosomally normal embryos - leaving us with 4 total. We transferred one, which resulted in a negative pregnancy test. Transferred another, which resulted in a chemical pregnancy. Transferred a third, and finally we had our strong, positive pregnancy test. After nearly 2 years of working with Dr. Lederman, I am in my second trimester of pregnancy. I cannot express enough how his dedication, warmth, and encouragement meant to my husband and I. Stick with it, and Dr. Lederman will certainly stick with you.

Ask questions, express any concerns you have. He is reassuring and knowledgeable.

Insurance covered some, but out of pocket we spent around $25,000

At my clinic, they only do single embryo transfers, as far as I know. The primary reason being that singleton pregnancies are safest.

Dr. Lederman is knowledgeable in his field and the type of physician who is direct and straight to the point which I greatly appreciated. He always got back to you for any concerns you had and was easy to reach if you had any questions. He made it a point to do the embryo transfers himself which was reassuring.

Come prepared as he will help you in your fertility goals. Also although rare there is a chance you can have identical twins with ivf! I’m happy his clinic only performs one embryo transfer at a time.

My husband and I had “unexplained infertility.” We tried to get pregnant but after one year got restless and decided to proceed with ivf after failing with clomid and later iui’s given my advancing age. We completed 2 egg retrievals and made several viable embryos. We did the genetic testing and proceeded with our first frozen embryo transplant which resulted in a healthy bouncing baby boy. After 6 months we decided to do transfer #2. Not knowing if it would work or not, we were delightfully surprised that we were pregnant with baby # 2 AND #3. Our embryo split randomly and we are a few weeks away from meeting our twins.

Monitoring appointments were BUSY. If you needed an ultrasound expect to wait as they were often delayed. Giving blood work was quick and efficient.

We were cash patients as my Insurance only gave $5k for the lifetime of fertility treatments

I think it’s essential they only do a single embryo transfer. Our embryo randomly split and we have identical twins. I can’t imagine having the possibility of carrying more than 2 babies given the risks associated with multiples.

When we first met with Dr. Lederman, I explained my symptoms and shortly thereafter we went into another room to look at my ovaries on ultrasound. Immediately, he told us that my egg count was low but not to worry, we had options that could work for us. He told us it might take a few egg retrievals based on my diagnosis, but that he was confident that he could help us have a baby of our own. Throughout the process, Dr. Lederman was to the point with good and bad news, but delivered news in such a caring manner. I really felt like he was always on my team, and routing for our success.

Trust that he is trying to find the right protocol for your body. Everyone is different and one protocol will not produce the same results for two different people.

We used a few protocols, but the one that worked for me was estrogen priming (patches). This produced the most amount of follicles for me, and resulted in two PGS normal embryos. Previously we had used birth control before cycle starts but that seemed to suppress me too much.

Insurance covered most treatments for us other than anesthesia and embryo testing.

Dr. Lederman is extremely thorough, at our first appointment he went through so much it was a bit overwhelming. He talked so fast I tried to take it all in but once he started talking to me about my history, he was very personable. I became very confident in his abilities.

Ask him all the questions you want so that you can fully understand him and the process.

I was 39 and hypertensive when I met with Dr. Lederman at the time. He came up with a medication regimen based on that and my reproductive history.

My insurance covered 100% the ivf process but there were a few out of pocket expenses. A few of the expenses were things my husband and I opted for to insure a positive result.

He said right away because of my hypertension he was only transferring one embryo at a time.

On our first visit with Dr Lederman he fully explained all the testing we were going to do due to our circumstances. We sort of knew what our prognosis was before going to the fertility clinic but he explained it in more detail and what further testing should be done. He was very patient with me and the multitude of questions i had. Because of a hearing disability I have I had the doctor repeat himself multiple times and to speak slowly when asked so i can write his answers down on a notebook. After the initial consultation we saw him during the egg retrieval process and he conducted both the egg retrieval and transfer.

Make sure to have a notebook ready with questions you have for the initial consultation.

After the initial consultation in February the Dr prescribed birth control pills for 3 months for my wife. I had to take Clomid for 3+ months to raise my testosterone (Prescribed by another doctor at RMA) After 3 months my wife started the injections for about 2 weeks and used 2-3 different types a day. The injections were usually 1 in the morning and 2 or 3 at night (depending how she responded through bloodwork and ultrasound). At the 2 egg retrievals we did my wife produced upwards of 20 eggs for each one but my low quality sperm (through a genetic condition) was used and ICSI and PGS was needed. 1st Egg retrieval: 22 Eggs retrieved, 16 were matured, 14 fertilized, 7 blasts but only 2 were normal. 2nd retrieval: 26 Eggs retrieved, 20 were mature, only 4 fertilized (used my frozen sperm) but all made it to blast. Only one was genetically normal. The first egg retrieval ended up with 2 genetically normal 6AA blastocysts and the second ended with 1 genetically normal AC blast. We did a FET with one of the 6AA in August and my wife is currently 5 months pregnant.

Monitoring was from 7-8:30 AM and was easy for me since I worked 9-5 and worked half an hour away by train. Me and my wife go the there before 7 and usually on the first there to be seen. At 7 bloodwork was taken then went in for ultrasound right away. We usually left between 7:15- 7:30 AM.

I had insurance and it covered 75% of some of the cost. Initial Consultation was $500. IVF-$1500, normally 6000 Embryo transfer with insurance $500. Anesthesiologist was 750. Embryo freezing 500 every 6 months Meds- Thanks to insurance I paid less than 1000. Maybe 500-800. Copays and everything else about 2000-3500

Dr Lederman strongly encouraged single embryo transfer. They do not do Multiple.

This was the 3rd clinic we came to and it really makes the biggest difference to feel in good hands and at a clinic you like. Dr Lederman was professional, friendly and able to answer all the questions we had during our first visit. We decided to proceed with the clinic for IVF and we did one egg retrieval that unfortunately didn't result in any viable embryos. Dr Lederman called me immediately when these results came through and was very compassionate in delivering this obviously disappointing news. We are discussing a next retrieval with Dr Lederman for which he has suggested increasing the medication dosages during stimulation to try for more mature eggs. We feel in very good hands with Dr Lederman and the whole team and would highly recommend him to anyone.

I was on Gonal and Menopur for stimulation and lupron and pregnyl for trigger before retrieval. They retrieved 8 eggs, 2 of which produced embryos. After pgs neither embryo was determined viable for transfer. Dr Lederman has said he would increase medications on the next retrieval in the aim to get more mature eggs.

Well oiled machine. In and out within 20-30 mins. Even though our doctor is at the Westside clinic, we were able to do monitoring at the Brooklyn clinic which was much more convenient.

15k per cycle +5k on meds. Around 2k more on ultrasounds/blood work/ visits outside of cycle

Dr. Lederman was recommended to me by my OBGYN, and I could not have been more pleased with him and of course - with the end result - my daughter!! From the start, Dr. Lederman made my husband and I feel comfortable and at ease about the fertility process. Of course, we were nervous walking into our first appointment. (We were in unchartered territory and were surprised by the fact that we even needed fertility support to begin with.) After our initial appointment, we left feeling confident that we would be able to expand our family, and less than a year later, we did! Dr. Lederman talks fast, he has a lot to say and he is very well versed in this process. He was eager to help us and made us feel like we had known him forever. He took the time to get to know us as a couple, answered all of our questions, eased our concerns and even had time for a few jokes/moments of laughter. My husband and I left feeling relaxed, calm and confident that our baby would be coming in the near future!! (And she did - we visited Dr. Lederman in October 2019 and had our daughter in August 2020!) During our consultation, Dr. Lederman reviewed all of the options with both my husband and I, including IUI, medicated IUI and IVF. I was able to confide in Dr. Lederman about my family history and the circumstances surrounding our journey. Not only did he listen and provide options, but he gave us all of the information needed to make an informed decision about how to proceed. Although I was a bit weary of an IUI working (from talking to my friends and their experiences), my husband and I decided to proceed with an IUI as it was less invasive. I did not expect that it would work, especially on our first try, but it did and we are forever grateful! In the weeks following our positive pregnancy test, Dr. Lederman met with me to perform ultrasounds and check the status of our baby. He was genuinely so happy for us, and I cannot thank him enough for his support, encouragement and positivity along the way. Although my time with Dr. Lederman was short, (which is a good thing!), I would highly recommend him as someone to take this fertility journey with. In fact, when the time comes for us to expand our family again, we will most certainly be going back to Dr. Lederman.

One piece of advice I would suggest is to write down all of your questions. Dr. Lederman is patient and well informed. He will take the time to answer any questions you have and even twice if you don't initially understand. Writing everything down is important so that you leave your consultation having all of the facts and information you need! (If you forget, don't worry - Dr. Lederman quickly replies to emails!)

Dr. Lederman suggested that we start with a medicated IUI. I was prescribed Letrozole in the days leading up to my IUI. Due to an insurance mix up at the pharmacy, I had to get Clomid instead. (They both do the same thing and in the end it worked for me!) I also did one trigger shot the night before the IUI. While on the table getting my IUI, I was talking to Dr. Lederman about scheduling my next IUI because I was going away for winter break and wanted to find out whether or not I could squeeze it in before my trip. He looked at me and said, "Let's give this one a chance and then we'll talk." Well - he was right!! I ended up pregnant and my next visit with him was to have an ultrasound to check for a sac. I went to Dr. Lederman for ten weeks, then graduated and went to a new OBGYN (recommended by Dr. Lederman). In those ten weeks, I had a million more questions than I had during my initial consultation. Dr. Lederman and his team were there to support me during this time. All of my questions were answered and I was extremely pleased with the close monitoring of my baby. **I didn't write a review until after my daughter was born as I was superstitious - but I am forever grateful to Dr. Lederman for helping me expand my family. He made this difficult process, extremely positive and calming. **

Every insurance is different. I suggest making sure that you call your insurance provider prior to your visit to find out what is covered. Luckily, I only had to pay a co-pay for each visit/ultrasound.

Dr. Lederman is a great doctor. He's relatively warm and compassionate, but he's also realistic. He always sets expectations. I had (have) a difficult road, and even switched doctors at one point to see if there was another doctor who would do a better job. I ended up coming back. He does need a lot of pushing and convincing to try tests/protocols outside of his standard method. But there are some procedures he will not buy into, and he will share the evidence and explanation as to why (even if you don't agree).

Write everything down, and ask him to repeat himself - he talks fast! Ask lots of questions.

Retrieval #1: Gonal-F in the morning, Menopur in evening. Cetrotide added 5 days before trigger. Dual trigger shot (HCG and lupron). 14 days of stims. Resulted in 20 eggs, 5 mature, 5 fertilized, 4 made it to day 5, 4 PGS normal. Before first transfer: hysteroscopy - 2 small polyps and small adhesion removed. Transfer #1: BCP, estrodiol 2x day at day 3, increased to 3x a few days later. Progesterone (1mL) 5.5 days before transfer, medrol for 7 days starting 5 days before transfer, baby aspirin day of transfer. Resulted in CP. Transfer #2: Next cycle after. Estrodiol 2x day at day 3, increased to 3x a few days later. Progesterone (1mL) 5.5 days before transfer, medrol for 7 days starting 5 days before transfer, baby aspirin day of transfer. Resulted in CP. Transfer #3. RPL panel (negative), karyotyping (negative), saline sonogram (negative) biopsy (positive for endometritis). 2 weeks of antibiotics. Estrodiol 2x day at day 3 of following cycle, increased to 3x a few days later. Baby aspirin on day 3. Progesterone (1mL) 5.5 days before transfer, medrol for 7 days starting 5 days before transfer. Resulted in negative. Transfer #4: 3 weeks of antibiotics. Estrodiol 2x day at day 3 of following cycle, increased to 3x a few days later. Baby aspirin on day 3. Progesterone (1mL) 5.5 days before transfer, prometrin (2x day) and endometrin (2x day) starting day after transfer, medrol for 7 days starting 5 days before transfer. Resulted in CP. Retrieval #2: Gonal-F in the morning, higher dose (than last time) or Menopur in the evening. Cetrotide added 6 days before trigger. Lupron trigger only. 15 days of stims. 19 eggs, 18 mature, 16 fertilized, 9 made it to day 5/6/7, 5 PGS normal, 1 inconclusive. Transfer #5: 12 days of birth control pills, 5 days overlapping with 10 units of lupron. Continued 10 units of lupron until light period arrived, reduced to 5 units. 3.5 weeks of lupron total. Estrodiol added 2x day, increased to 3x a few days later. Baby aspirin on day 3. Progesterone (1mL) 5.5 days before transfer, prometrin (2x day) and endometrin (2x day) starting day after transfer, medrol for 7 days starting 5 days before transfer. Resulted in pregnancy starting with very low beta (37 at 9dp5dt) - currently 9+2 weeks.

Efficient on weekdays at the Westchester location. Terrible cattle-call on the weekends at the Madison Ave location.

Insurance covered our IUIs and $10K or IVF, plus $10K of medications. RMA charged us the remainder. First 2 transfers were included in insurance cost. Each transfer after was $3500. Costs included bloodwork, ultrasounds, and monitoring appointments. Once we were paying out of pocket for IVF #2, the total cost included all appointments, bloodwork, ultrasounds, and 1 transfer. PGS is private pay, and any procedure (saline sonogram, biopsy) is charged to your insurance.

Dr. Lederman firmly believes in only transferring 1 embryo at a time. He also insists on only transferring PGS/PGD tested embryos.

Dr. Lederman is a wonderful, kind and understanding Dr. who focused solely on our infertility issues at hand and remained positive and provided encouragement when outcomes didn't go in our favor. He was always available for a phone call and always responded to my emails at all times of the day and on weekends. I always had a lot of questions and concerns and he was always there to calm me down and assure me that everything was ok. His communication skills and ability to make you feel like a person and not another infertility statistic is his top strengths as a doctor. Through his positive support and perseverance we were able to achieve a favorable outcome and a successful transfer in October 2018. Our miracle baby Girl was born in July 2019 and we owe all our success to him!

Trust his plan of action! I was skeptical at first, but he knows what is best for every individual case!

As a Breast cancer survivor and a patient diagnosed with Diminsihed Ovarian Reserve, Dr. Lederman focused on quality not quantity. My treatment strategy focused on the use of Letrozole, Gonal F and Menopur. Letrozole was used to suppress estrogen due to my Breast Cancer History and the Gonal F and Menopur was used to help stimulate my follicles and eggs. Dr. Lederman increased the use of Menopur and Gonal F after the first round yielded only a few eggs. On my third round I produced 2x the amount of eggs from my first round and two of the embryo's made it to the blast/frozen stage and were sent for PGD/PGS testing.

Monitoring was from 7am-9:30am. I was able to go in before work and complete monitoring before my work day started.

Costs were covered by our Insurance plan.

Due to only getting two embryo's to blast after being PGD/PGS tested both embryo's came back normal and without the genetic factor. eSET was recommended due to the limited amount of PGS/PGD normal blasts we had and we did not want to potentially loose both of them in a multiple embryo transfer and be left with nothing.

Dr. Lederman was clearly a very knowledgeable doctor. He was very professional and demonstrated good bedside manner. The reason I decided to change clinics was because I was still hopeful that I could be successful with pregnancy through IUI's and there seemed to be no other treatment plan then the same four IUI's he performed. I took a small dose of letrozole, was monitored, used a trigger shot, then my IUI was performed. He never recommended any type of surgery such as a laparoscopy, hysteroscopy or any other research to try and figure out how else to help my husband and I. It seemed as if IVF was our only route. At time time, IUI's were covered by my insurance 100% so I really wanted to try injectables with IUI and he explained that there was not enough research to support that it helped increase our chances. As much as I wanted to trust him and continue seeing him, the distance from my house to the office was a factor as well as Dr. Lederman not in agreement to try a different treatment plan before IVF.

We first began with "timed intercourse" which consisted of trigger shots and monitoring. It was a little under a year of my husband and I TTC, which was still a little early, but he seemed understanding and very willing to assist us. We did two of those, followed by a round with letrozole. Followed by 3 rounds of "timed intercourse" we moved on to 4 IUI's with letrozole, trigger shots, and of course monitoring.

Co-pay each time

First meeting, was good. But there were so many steps to take and it wasn't as clear as I would have liked, it felt quite scattered. He also seemed to want to create a total separation between himself and the finance/expense side. Like, you would sit with him and he would describe an endless list of tests and diagnostics, without any indication of what was necessary vs. lightly recommended, what was expensive and covered by insurance vs. what was typically out of pocket. He acted like he preferred to bury his head in the sand.

Take detailed notes, and ask for crystal clear steps / timelines.

When we first found out we had to do IVF, following the results from our first meeting with him, he was very human and caring. We went to see him, a bit devastated to the news, and he was very reassuring in providing us all the info we needed, all the steps, etc. He would answer every email, be okay to meet if need be, and always ready to give advice, always being very rational. We're still in the process of our first IVF, and having the transfer next week - hoping it will all go fine. So far, I'm very happy in working with Dr. Lederman.

Be ready to learn a lot about it. He is very into genetics/diseases and will always push you to do as much testing as possible. He is available, professional and rational.

We are doing our first IVF, due to male factor so I don't have any infertility diagnosis. I was put on birth control, then did menopur and gonal f for a bit more than 1 week, and then trigger shots for the retrieval. Since we did PGS testing, I was off meds for a bit more than 1 month and now just started the transfer meds including estrace and just started progesterone in oil shot.

Dr. Lederman is against, and will not allow multiple embryo transfer. He will push you to do PGS testing if you can afford it.

Dr. Lederman explained my options and tried to give me the pros/cons for each based on my health history and age. He has excellent beside manner and was very responsive to questions I had throughout the cycles in person while in monitoring, via email and through his coordinator. Due to the way the cycles work, I didn't always get to see Dr. Lederman for monitoring but he was always reviewing the cycle details. For the transfer and subsequent monitoring after positive pregnancy test, he was the only doctor I saw during the monitoring hours. Overall, I am very satisfied with his service.

I would say, do some research before going to the first appointment so you can ask all the questions you may have. Also, note that you may not see him during monitoring since the doctors rotate days to perform monitoring and retrieval but he is available if needed through the process.

Based on my personal health and situation, it was decided to do IVF with freeze all cycle. I have some eggs frozen for future use and then added two cycles to fertilize the eggs and transfer embryos. I had two cycles and after having three healthy embryos (after performing PGS testing), I got pregnant after the first transfer.

The system worked and it was pretty quick. Only on weekends when everyone needs to go to one clinic located on the East side the wait would be a little longer but never more than 20-30 minutes.

Egg freezing was out of pocket but the IVF cycles were covered by insurance and I was responsible for the regular copayments.

Based on my age, it was not recommended to have more than one embryo transferred. I believe it is RMA's policy to transfer only one embryo which I agree to, multiples can result in a high risk pregnancy and my age already pushes me towards that.

I think dr lederman is very warm and honest , extremely smart and really dedicates himself to his patients . He can't make pregnancy happen but he always makes me leave feeling hopeful and positive . He cares and the thing I like most is that I can always directly email him with questions or concerns

You are in good hands with dr lederman- id say to remain positive and hopeful that the process no matter how long or disappointing or frustrating it may be will work

I used clomid with a previous doctor -50 mg didn't work - 100 did work but didn't result in pregnancy. Under the care of dr lederman I have taken letrozol twice and done the ovidrel shot twice and an IUI twice

It really depends on what your insurance covers- mine didn't cover IUI ($500+) or the ovidrel shot ($99) but thus far the sonograms and office visits and blood work were covered . I really like that RMA has a financial consultant to discuss all your financial options available and will answer all or any questions

N/a

This was my second time using Dr. Lederman and we couldn't be happier. He did his research before I came in and discussed things from our previous fertility treatments. He always asked about how I was doing and was always wiling to answer any questions. He also made it a point to say he is always available through email or if you call the office. During my retrieval and transfer, I could see he cared by the way he spoke to myself and my husband.

I would give the same advice for someone seeing any doctor and that would be write all your questions and concerns down. This way you are prepared when you see him.

I know this IVF cycle was a little more aggressive then my first cycle because we were trying to get more eggs, so we could freeze some in case we want more children. I was happy with how Dr. Lederman handled all my procedures and medication.

I found the monitoring appointments to go fine. It was on a first come, first serve basis. I tried to get there early and was always seen in a timely manner. I liked how they did their monitoring hours.

I am not sure of the costs

Dr Lederman is competent, trustworthy, kind, and got the results we wanted. I did 2 cycles of injections and IUI, which did not result in a pregnancy. We then decided to move to IVF, which was successful on the first try with a frozen cycle. We now have a beautiful, healthy daughter. We have 3 embryos in the freezer to use in the future as well, which is wonderful. I will go back to Dr. Lederman when its time for baby #2.

make sure to ask questions; he is open to answering any questions that may arise.

I did clomid without IUI at another fertility clinic. I had a chemical pregnancy as a result. I ended up changing providers to Dr Lederman at RMA because of the higher success rates. We did 2 rounds of femara with IUI (negative pregnancy test) and then decided to be more aggressive and move to IVF. We used lupron and Ganirelix to suppress the LH surge and ovulation, then follistim and menopur to mature multiple eggs, then HCG for the maturation of the egg. I had 9 eggs retrieved. Of the 9 eggs, 7 were fertilized. 6 made it to the blastocyst stage. Of those 6, four of the embryos were viable (2 were aneuploid). I had 1 frozen embryo transferred 2 months later and it successfully implanted. We now have a beautiful daughter!

Monitoring was during convenient times (early morning) before I had to go to work. I never had to wait very long. It was an efficient process. I have heard horror stories about wait times at other clinics and I didn't experience more than a 20 min wait here.

$15,000-$16,000

We chose to implant 1 embryo because we did PGS and determined that the embryo was healthy. The goal was one healthy pregnancy at a time. Because of factors such as my age and the fact that the embryo was biopsied and shown to be normal, eSET was determined to be the best option. eSET enables patients to have the same success rates when transferring one or two embryos but with a greatly reduced risk of multiples.

He is thorough, but this can also be to his detriment. He spends a lot of time spouting facts and figures that don't necessarily apply to you (for example I'm 32, I don't particularly care about the success rates for women 40+ or risks for them). We were also very under-prepared for a lot of things that happened along the way-- stopping our first cycle (nobody had ever mentioned that might happen), transferring more than one embryo (we had only ever been told, for years, that one embryo would be transferred due to my age), an ectopic outcome.

This is hard. You don't know what you don't know, so it's impossible to tell someone to ask a lot of questions, etc. when you don't know what to ask and you feel like you're getting thorough information.

1) IVF-- my husband had testicular cancer and so his sperm count was low. Our first cycle was stopped as I was told my eggs weren't developing as a "cohort". Two eggs were "racing ahead of the pack" and Dr. Lederman felt like due to my age and health, we could do better. It was converted to an IUI where I had a negative home pregnancy test and the dr's office had a low positive (chemical pregnancy most likely). 2) Once I got my period I was put on birth control (pill) for about 2.5 weeks and then started hormone injections again. It took longer than anticipated before they did the egg retrieval (we were told about 10 days, it was 14 before my retrieval). My egg retrieval was extremely painful and I couldn't move and was in the worst pain of my life for several days. Nobody would prescribe me anything for the pain (various other materials I read online said other patients at other clinics were always sent home with an rx painkiller). I had also been told this procedure is "painless". They got 12 eggs, 10 were mature enough to fertilize (ICSI), 8 were successful, 6 grew, and we wound up with 2 the day-of. The doctor who did our transfer, literally as they were wheeling me out of the waiting area and into the transfer room, said "oh we want to put both back" so my husband and I didn't really have time to even think about it. We had been told, for years, that only ONE egg would ever be transferred. 3) This resulted in an ectopic pregnancy and the most difficult time of our lives. The pregnancy test came back low positive (hcg about 8) so they told me it didn't work. Then my numbers continued to triple every 2-3 days and make huge jumps. This whole time I was in for monitoring every 2-3 days where various doctors, who were not my doctor, would tell me they didn't know what was wrong but something definitely was even though my numbers were in the normal range. I was repeatedly told they "couldn't find it" (the sac). After a couple weeks of this (getting good new the numbers were rising and then terrible news that they were convinced something was terribly wrong because they couldn't see anything) I was sent to an ultrasound clinic with higher tech machines as, after weeks of torture, my doctors office finally informed me that their machines aren't good enough to see anything that early anyway (!!!!). This place found an ectopic pregnancy in my left tube. I had two shots of methotrexate that evening and we had to stop trying for three months. 4) After three months, we went back to Dr. Lederman and said at this time we are only willing to try IUI (something less invasive). We are in the middle of our first cycle with Clomid.

The weekend had one location open across the entire city and it was a cattle call. It is a nightmare to go there with waits lasting over an hour, nowhere to sit, etc.

Our insurance covers this. I just have an occasional co-pay.

Dr. Lederman was great with me. He was willing to sit with me and explain things. He would always answer any questions that I had. If I called, he would call me back personally and not have a nurse call me. I truly felt like he was vested in helping me get pregnant. Not once did he encourage me to give up. He always let me feel like I had control over what was happening in my treatments.

I found Dr. Ledderman to be just the kind of fertility doctor that I needed. I think that if you are up front with him and tell him what you are looking for, he will be honest with you and try and help you achieve your goals.

We used a few protocols. Dr. Lederman worked with my natural cycle, instead of using birth control pills with me. He didn't like the reaction that I would have while take the pills and didn't want me to take them. The medications that I used in the cycles were: Menopur - used in all cycles Follistim - used in all cycles Lupron - used in all cycles Ganirelix - used after first cycle due to not using birth control pills ( I have an adverse reaction to birth control pills) PIO Shots - Used after first 2 cycles due to having better results Progesterone Suppositories - used in first 2 cycles Doxycycline - used in all cycles Medrol - used in all cycles Metformin - Used after 1st cycle to help with my PCO tendencies I also suggested taking a baby aspirin and Dr. Lederman included that in my regimen. Our first cycle produced very few embryos, due to the eggs be polyspermy. Dr. Lederman suggested that we use ICSI to eliminate this happening again. I was able to get pregnant with a singleton on my second cycle and I gave birth to my son. When my son was 6 months old I started trying again to get pregnant. I had a very hard time. I had 2 chemical pregnancies. Dr. Lederman suggested that we have the embryos tested with PGS after that so that we could ensure that the embryos were were using were viable. We did one last cycle with Dr. Lederman to retrieve eggs and do a fresh transfer. Dr. Lederman's group had just been bough by RMA at the time and they had a different protocol for the embryos that was having better results. We were able to get 5 embryos from that retrieval that were viable after the PGS testing on the 5th day. We did 3 transfers that didn't work, with single embryos. Our last transfer we put back the 2 remaining embryos and I was pregnant with twins. They were born at 34 weeks.

Dr. Lederman and his staff would open the office early to accommodate people's work schedules. He would see me at 7 or 7:30am most days, so that I could get to work by 8am.

My insurance covered almost all my costs. I had to pay for the first 2 IUIs that I did, because I didn't check to see if fertility treatments were covered. We also had to pay for the last frozen transfer and the PGS testing. The PGS testing was not covered by the insurance. The last frozen transfer was done after I started a new job and we had used all the fertility coverage on my husbands insurance with the first 2 rounds.

From consult to procedures, Dr. Lederman was always very informative, while also being very encouraging. It was very easy to trust him from the start. He has a very comforting demeanor, and always made sure to explain what was going on, and what he was seeing during scans.

We went right to IVF after being diagnosed with MFI. We did ICSI and I was under the antagonist protocol. We saw success with this first round

If I remember correctly, without the medication and without insurance the procedure was around $18,000

I love Dr. Lederman and his nurse Martha. The finance staff is terrible and the phone system is frustrating, but Dr. Lederman really gives 100%.

He can be very clinical, so you may have to ask him to explain things in a more simple way. Just know that you can ask him anything at anytime and he will get back to you, even when he is on vacation.

I used the "standard" protocol for my first IVF and did not respond well, resulting in only 4 eggs and 2 making it for PGD testing. He now changed the protocol and I'm hoping to start again. He has also done a lot of testing to find out why I miscarried at PGD/PGS tested embryo.

We have insurance, thank god! So it has costs us about 7K with medication.

We were pretty defeated when we switched to Dr. Lederman. He was patient and understanding. 2 frozen embryos has lead to our 18 month old daughter and another baby on the way. I would highly recommend him!

Don’t be afraid to ask questions, he is patient and understanding.

Meds and timing were adjusted for optimal results before the retrieval. Transfer was pushed back a week for optimal hormone levels.

I believe when did retrieval and transfer was about $17k.

I like that they enforced embryo testing before transfer.

Dr. Lederman is compassionate and empathic. Even something as small as him following up with my husband and I's recent trip to Texas, shows how attentive he is. From day 1, he was optimistic that he'd be able to help us conceive. He reassured us and walked us through the grueling steps of IVF. Luckily, it worked on the first try. I am wholeheartedly grateful for the care I have received with Dr. Lederman and I would recommend him to anyone and everyone. I also love the fact that he performs his own transfers. His nurse, Tatiana, is outstanding. She's very sweet, knowledgeable, and caring. Although, I am happy to be graduating to my Ob, I am also sad to leave RMA.

Majority of the costs were covered by insurance, other than the PGS testing and anesthesia for the egg retrieval. We spent approximately $4-5000.

I only saw him for my consultation. Another doctor gave me conflicting information than he did so unsure on trust level thus far but still mid way through treatment but getting another opinion before continuing

He suggested natural cycle with trigger shot for 3 cycles then clomid for 3 cycles before trying iui and then ivf.

Co-pays per ultrasound and blood work as per usual schedule. Right now about $150 per cycle with medications.