Rated 9.4
Strongly recommend: 90%Neutral: 7%Don't recommend: 3%9.4
90% strongly recommend
26 reviews
Humanity
9.5
9.5
Humanity

Ratings of 1 mean patients felt this doctor treated them as "a number."

Ratings of 10 mean patients felt this doctor treated them as "a human."

Communication
9.5
9.5
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
8.6
8.6
Frequency Seen

Ratings of 1 mean patients only saw this doctor once or twice during treatment.

Ratings of 10 mean patients saw this doctor at every appointment.

LGBTQ Care
10
10
LGBTQ Care

Ratings of 1 indicate an unsatisfactory LGBTQ care.

Ratings of 10 indicate an excellent LGBTQ care.

Responsiveness
7.5
Good
Responsiveness

Scale is "poor, ok, good, excellent" and measures how responsive a care team was when patients needed to speak to them.

Education

Medical School
Loyola U.
Residency
U. of North Carolina
Fellowship
U. of North Carolina

How Doctor Communicates

doctor, nurse available by email
doctor, nurse available by directline
doctor, nurse available by directline
doctor available by personal cell phone
doctor available by personal cell phone
Ursula Balthazar works at

Aspire Fertility (formerly RMA of Texas)
Rated 9.2
Strongly recommend: 82%Neutral: 13%Don't recommend: 5%9.2

At 1 office

San Antonio - Stone Oak
19296 Stone Oak Pkwy
San Antonio, TX 78258
210.337.845
Explore Clinic

26 patient reviews

Verified

This patient has provided documentation of treatment at this clinic.

2022, Unknown Success
NPS
9
NPS
10
Age 36
Diminished Ovarian Reserve
Ashkenazi Jewish
Income $200K - $499K
Doctor
2nd of 2 Docs
1 Fertility Medications With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr. B is friendly cheerful and knowledgeable. She will listen to your concerns and address them. She seems confident and competent. The only thing I would say is that she seems so cheerful and positive that I don’t know if she is giving me false hope! Ha! That is yet to be determined. I’d rather someone be blunt and honest with me than give me false hope. But that’s a personal choice...She addressed my concerns. I felt heard and encouraged.
The [Aspire Fertility] clinic is for the most part well organized. The layout of the office is clean and private. The equipment in the facility are nice and I love the warmed wet wipes after invasive procedures. I love that the doctor lets me get dressed before sitting and talking. It’s a big difference talking face to face compared to naked with my probs tree parts on display. The clinic has done A phenomenal of making me feel comfortable and less anxious
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. B is friendly cheerful and knowledgeable. She will listen to your concerns and address them. She seems confident and competent. The only thing I would say is that she seems so cheerful and positive that I don’t know if she is giving me false hope! Ha! That is yet to be determined. I’d rather someone be blunt and honest with me than give me false hope. But that’s a personal choice.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Ask her ALL the questions that come up. Write them down and bring to the office. She will answer them all and not rush you through them and never make you feel like any of the questions are stupid. She is fantadtic
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar was very cheerful and friendly and answered all my questions. She addressed my concerns. I felt heard and encouraged.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
We are in the midst of my first IVF cycle right now. I am on suppression currently.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy)
Amy is fantastic and answers all my questions. It would be helpful to be given a handout of a timeline to expect for IVF. There are a lot of components and it gets very confusing and anxiety producing not knowing what comes next.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
The clinic is for the most part well organized. The layout of the office is clean and private. The equipment in the facility are nice and I love the warmed wet wipes after invasive procedures. I love that the doctor lets me get dressed before sitting and talking. It’s a big difference talking face to face compared to naked with my probs tree parts on display. The clinic has done A phenomenal of making me feel comfortable and less anxious
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
The IVF cycle is very expensive. But that’s true everywhere.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
For my case, she prefers single embryo transfer
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Failed to call in prescriptions to pharmacy
  • Failed to order appropriate test
  • Failed to consider drug intolerance
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
There were a few non major hiccups that can happen anywhere but they were fixed immediately and appropriately. I don’t hold this against the clinic at all. Just being honest.
9
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
3 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
LGBTQ
2018 - 2022, Successful
NPS
10
NPS
10
Age 28 - 32
1 IVF
Donor Sperm
Latinx
Income $50K - $99K
Teacher
Donor Eggs With Other Docs
Surrogacy With Other Docs
LGBTQ
Strongly Recommends
Strongly Recommends
Successful
Dr. Balthazar was always chipper and easy to connect with. Referred to us by name and encouraged and explained every step. She was always gentle and would talk you through each procedure or ultrasound so you were comfortable and aware. I never felt any pain with pelvic exams and felt safe in the environment she created.
The biggest struggle [with Aspire Fertility] was in the patient portal you cannot directly reply to a message so it makes it hard when communicating because you can only message with a doctors team not a specific person. This I found difficult when messaging the embryologist or financial dept...Wonderful and quick to respond to questions. Before the days of patient portal she would respond to emails at 1/2 AM when we woke up before retrieval with issues. Always there to reassure and educate us.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar was always chipper and easy to connect with. Referred to us by name and encouraged and explained every step. She was always gentle and would talk you through each procedure or ultrasound so you were comfortable and aware. I never felt any pain with pelvic exams and felt safe in the environment she created.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
She talks fast but is always willing to answer questions so don’t be afraid to just ask and she will spend as much time as needed to make sure you understand every
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. B always referred to us by name, knew our case specifically prior to walking in the room and was easy and enjoyable to talk with.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
With our course of treatment everything was by the book for frozen embryo transfer I started with birth control then went to estrogen orally after an increase in this I started progesterone shots right before transfer and increased from 1 ml to 2 ml since my levels were low. When this was causing too much pain she switched me to 1 ml and a vaginal progesterone that helped with injection pain.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy )
Wonderful and quick to respond to questions. Before the days of patient portal she would respond to emails at 1/2 AM when we woke up before retrieval with issues. Always there to reassure and educate us.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
The biggest struggle was in the patient portal you cannot directly reply to a message so it makes it hard when communicating because you can only message with a doctors team not a specific person. This I found difficult when messaging the embryologist or financial dept.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
RIVF 25,000 FET 4,000
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
I trust her implicitly and value her expertise on how many embryos to implant
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
LGBTQ Care
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
3 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
LGBTQ Care
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unsuccessful
NPS
10
NPS
10
Age 41 - 42
2 IVF
Tubal Blockage
Other
Latinx
Income $50K - $99K
2nd of 2 Docs
3 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Unsuccessful
Dr Balthazar was very warm and understanding in how much I have gone through in my journey to have a baby. She is determined to achieve that goal for me. She called me not only from the clinic but her personal phone when we did not have success...had a lengthy medical record. On my first appointment with Dr B she let me know she read all 100+ pages and was determined to get a positive outcome. She was always companionate, calming and caring. She answered all my questions and tried to ease my worries. She let me know she has a plan and we will continually adjust it so we can have a successful pregnancy. From the very first visit she made me feel comfortable and confident in her abilities.
I loved my nurse Amy [at Aspire Fertility/ RMA of Texas]. She is very compassionate and understanding. She was alway quick to answer my questions, even when she was off from work...After insurance I paid about $6000 out of pocket for the first round. Then an additional 1500 for the second round...I love the overall positive feeling in the office. They all want to help in achieving the ultimate goal of finally having a baby. They are all friendly and understand how sensitive and stressful the whole process is
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
I had gone to a different clinic previously and had a lengthy medical record. On my first appointment with Dr B she let me know she read all 100+ pages and was determined to get a positive outcome. She was always companionate, calming and caring. She answered all my questions and tried to ease my worries. She let me know she has a plan and we will continually adjust it so we can have a successful pregnancy. From the very first visit she made me feel comfortable and confident in her abilities.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Be open , honest and listen to what she has to say. She knows what she is doing and wants a happy outcome for every patient.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr Balthazar was very warm and understanding in how much I have gone through in my journey to have a baby. She is determined to achieve that goal for me. She called me not only from the clinic but her personal phone when we did not have success.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
The first round of retrieval I was put on gonal f Lupolide Lupron Omintrope The second round we did not use omintrope Her goal was to get the best quality eggs without putting a huge amount of debt on top of the already stressful procedures.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy Altamirano )
I loved my nurse Amy. She is very compassionate and understanding. She was alway quick to answer my questions, even when she was off from work. I told her she did not need to answer my emails if it was her day off, she told me she wanted me to have answers without delay
Describe your experience with Aspire Fertility (formerly RMA of Texas).
I love the overall positive feeling in the office. They all want to help in achieving the ultimate goal of finally having a baby. They are all friendly and understand how sensitive and stressful the whole process is
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
After insurance I paid about $6000 out of pocket for the first round. Then an additional 1500 for the second round. I want to do a third round but need help financially
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Successful
NPS
10
NPS
10
Age 33 - 34
3 IVF
Donor Sperm
Diminished Ovarian Reserve
Male Factor
Poor Egg Quality
Recurrent Pregnancy Loss
Unexplained
European
Income $100K - $199K
Nurse or HC Services
Egg Freezing With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Balthazar was extremely competent in her practice. She was able to explain procedures and decisions to us in a way that we could understand. If things went differently than expected, we adjusted course and the rationale was always explained to us in a way that we understood...Nothing felt sugar coated or watered down, but there was so much compassion and understanding. She was also always sincerely hopeful and engaged in our care.
The cost of our cycle was always explained to us in detail. We met with someone specifically about the cost and financing...She [our nurse] always took the time to answer all of our questions and make sure we understood everything...The [Aspire Fertility] clinic is full of caring and compassionate staff. Everyone is willing to help however they can. It is easy to get reach your fertility team and easy to schedule appointments.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar was extremely competent in her practice. She was able to explain procedures and decisions to us in a way that we could understand. If things went differently than expected, we adjusted course and the rationale was always explained to us in a way that we understood. She also had a very positive energy but blended it perfectly with complete honesty. We had a couple miscarriages in our first cycle, and she was extremely compassionate with us while still being honest with us. Nothing felt sugar coated or watered down, but there was so much compassion and understanding. She was also always sincerely hopeful and engaged in our care. You didn’t feel like she was rushing in or out. Dr. Balthazar took the time with us to make sure we understood and were comfortable with our plan of care. She was truly one of the few reasons we were emotionally able to continue through our treatment until we were able to become pregnant.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
The healthcare team was wonderful at treating you like a patient. They were invested in giving us the best care and the best outcomes. All of the members of the team gave us as much time as we needed to understand, and at times with unexpected outcomes, accept the information before trying to move forward. The care was truly patient centered.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy)
Amy was wonderful and supportive throughout the process. She was extremely compassionate and competent as our nurse. She always took the time to answer all of our questions and make sure we understood everything. Amy always went above and beyond to help us. She was even kind enough to come in one of the days the clinic was closed to help me with a progesterone injection.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
The clinic is full of caring and compassionate staff. Everyone is willing to help however they can. It is easy to get reach your fertility team and easy to schedule appointments. I have not been to their new facility, so I cannot speak to that, but the clinic always appeared clean and organized.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
The cost of our cycle was always explained to us in detail. We met with someone specifically about the cost and financing. She always answered all of our questions in detail and followed up with us if any questions or concerns came up.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unknown Success
NPS
10
NPS
10
Age 36 - 37
3 IUI
Diminished Ovarian Reserve
Unexplained
European
Income $100K - $199K
Nurse or HC Services
2nd of 2 Docs
4 Fertility Medications With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
She [Dr. Balthazar] takes her time to explain and makes sure you understand and are comfortable with what is going on. ... She asks "How are you doing?" and actually wants to know! She has such a positive attitude and demeanor, that is contagious, and I'm sure it positively affects her success rates. Her positive outlook really has made a difference in my outlook, my mood, and experience. At the same time she is realistic with you about what YOU can specifically expect with your situation
Small waiting room [Aspire Fertility/RMA of TX] but never have to wait very long, so that is fine with me! All staff is very attentive and courteous. You can tell they like their jobs and are happy to be there, which makes a difference. Everyone has a positive attitude and so willing to help. ... Lisa was truly amazing. So caring, personable and efficient. Great with communication by phone or email with prompt responses to all questions asked. I always felt comfortable and taken care of, which I think speaks volumes considering I'm a RN myself.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
She takes her time to explain and makes sure you understand and are comfortable with what is going on. She is kind and genuine. She asks "How are you doing?" and actually wants to know! She has such a positive attitude and demeanor, that is contagious, and I'm sure it positively affects her success rates. Her positive outlook really has made a difference in my outlook, my mood, and experience. At the same time she is realistic with you about what YOU can specifically expect with your situation.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Don't wait to see her. Don't see anyone else first. Just go!
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
She has great bedside manner and you can tell she genuinely cares about you. She is warm, kind, personal, and takes her time. You feel like her only patient when she is with you. She is so positive, yet realistic, which I think makes a huge impact on her success rates.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
I was offered to try IUI first or start IVF. We wanted to start least invasive and most natural first. We did 3 cycles of IUI with Clomid, injectables and progesterone for the first 2 and same for last with Femara instead of Clomid. No pregnancies resulted from any of them. I have low AMH (low egg reserve), but she was very pleased that I was making more eggs than expected with each cycle.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Lisa)
Lisa was truly amazing. So caring, personable and efficient. Great with communication by phone or email with prompt responses to all questions asked. I always felt comfortable and taken care of, which I think speaks volumes considering I'm a RN myself. I completely trust her. Literally wish she could be cloned to work at all my doctor's offices! She is fantastic.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Small waiting room but never have to wait very long, so that is fine with me! All staff is very attentive and courteous. You can tell they like their jobs and are happy to be there, which makes a difference. Everyone has a positive attitude and so willing to help.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
IUI about $1200/cycle with meds ranging from $300-1000. Office visits w/ultrasounds $200-300.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
NA
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Failed to call with results
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
Nurse Amy did my blood draw for my 3rd IUI pregnancy results and failed to call me same day, as is standard; and did not call at all. I still had not heard anything the next day and had to call to reach someone else for my results. Definitely disappointed, but have not had any other complaints at all. I will gladly return still. Just wish they had a double check system before leaving office each day- it was a big deal sitting and waiting and waiting.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
4 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unsuccessful
NPS
10
NPS
10
Age 30 - 31
1 IVF
Male Factor
Tubal Blockage
Recurrent Pregnancy Loss
Unexplained
European
Income $50K - $99K
Strongly Recommends
Strongly Recommends
Unsuccessful
[Dr. Balthazar] is empathetic to understand the pain some have gone through before even getting to a fertility clinic in the first place, like in our situation. Additionally, later in the process, when our first IVF baby died at 10 weeks she stayed behind in our appointment after the nurse (kindly and subtly) encouraged her to keep moving on to the next, and she reached out and held my hand as we faced the next step to have a D&C. That meant a lot to me.
Our clinic [Aspire Fertility/RMA] is overall great. The staff is helpful and cheery and it feels like everyone knows our name! The one downfall to the clinic is the small waiting room. You cannot hide from anyone if you are trying to keep your journey to yourself!...Amy [nurse] is great, and shared with us her cell so we could be in touch after hours if needed. She’s helpful with quick questions and responds quickly...IVF right off the bat was near $30,000, and that got you to your first pregnancy test. Everything after that has been piece-by-piece, and has probably cost near another $10,000, and we’re still going with lots of appointments and meds to go.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar is extremely efficient and positive, at all times. Sometimes a little too quick and you might walk out of an appointment wondering what just happened, until it all soaks in. She is good to communicate between office visits via email if questions arise. She does have a heart and is empathetic to understand the pain some have gone through before even getting to a fertility clinic in the first place, like in our situation. Additionally, later in the process, when our first IVF baby died at 10 weeks she stayed behind in our appointment after the nurse (kindly and subtly) encouraged her to keep moving on to the next, and she reached out and held my hand as we faced the next step to have a D&C. That meant a lot to me.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Ask questions! And say how you feel! She will talk a lot during your appointments but loves to have a conversation with her patients and wants to understand what YOU feel. Sometimes a gut instinct from the patient is the best guidance, and she will listen to, appreciate, and consider your input to creating your plan.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar has a way of making you feel like you’re her only patient. She has excellent bedside manners and remembers each person by name. She makes you feel like you are her #1 priority.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
I have completely blocked tubes so we immediately went to IVF. Dr. Balthazar put us on a programmed cycle with PIO and estrogen via Estrace pills. The embryo implanted but miscarried for unknown reasons at 10 weeks. The second transfer did was a more natural cycle with progesterone inserts and my own estrogen. It looked a lot like an IVF retrieval cycle. This cycle ended as a chemical.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy Altamirano )
Amy is great, and shared with us her cell so we could be in touch after hours if needed. She’s helpful with quick questions and responds quickly.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Our clinic is overall great. The staff is helpful and cheery and it feels like everyone knows our name! The one downfall to the clinic is the small waiting room. You cannot hide from anyone if you are trying to keep your journey to yourself!
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
IVF right off the bat was near $30,000, and that got you to your first pregnancy test. Everything after that has been piece-by-piece, and has probably cost near another $10,000, and we’re still going with lots of appointments and meds to go.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
Dr. Balthazar told us from the start that she prefers not to transfer multiple embryos because of the health risk. If we had more embryos left than one, I would probably ask for more than one at the next transfer!
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
3 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unsuccessful
NPS
10
NPS
10
Age 36 - 37
1 IVF
Donor Sperm
European
Income $50K - $99K
Consultant
3rd of 3 Docs
Strongly Recommends
Strongly Recommends
Unsuccessful
I decided to pursue single motherhood shortly before my 36th birthday and Dr. Balthazar has been so encouraging and supportive. As a former surrogate I have worked with top R.E.'s in Los Angeles/Beverly Hills and my experience with Dr. Balthazar is above and beyond. She is so welcoming and upbeat, but also very knowledgeable and capable of delivering the hard facts in a human way without diminishing the accuracy. I am so happy with Dr. Balthazar as a doctor and a person and would recommend her to anyone with the utmost confidence and enthusiasm.
I have no diagnosed or suspected reproductive issues and am using donor sperm from a sperm bank [at Aspire Fertility]. At this time I have 12 follicles and am waiting for ultrasound tomorrow to get my bearings on relative growth and comparative size of follicles... Every e-mail was responded to within 3-4 hours and no phone call went unreturned [by nurse]...I was given a 2nd cycle discount for my Full IVF cycle and opted out of PGS testing which made the expense comparatively reasonable. With meds included I would say the estimated cost for full-IVF with no PGS is around $15K with meds. I will say my workup to determine fertility options before my INVOcell cycle was about $5K out of pocket.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar is exactly the doctor I needed and never knew. I decided to pursue single motherhood shortly before my 36th birthday and Dr. Balthazar has been so encouraging and supportive. As a former surrogate I have worked with top R.E.'s in Los Angeles/Beverly Hills and my experience with Dr. Balthazar is above and beyond. She is so welcoming and upbeat, but also very knowledgeable and capable of delivering the hard facts in a human way without diminishing the accuracy. I am so happy with Dr. Balthazar as a doctor and a person and would recommend her to anyone with the utmost confidence and enthusiasm.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar is exactly the doctor I needed and never knew. I decided to pursue single motherhood shortly before my 36th birthday and Dr. Balthazar has been so encouraging and supportive. As a former surrogate I have worked with top R.E.'s in Los Angeles/Beverly Hills and my experience with Dr. Balthazar is above and beyond. She is so welcoming and upbeat, but also very knowledgeable and capable of delivering the hard facts in a human way without diminishing the accuracy. I am so happy with Dr. Balthazar as a doctor and a person and would recommend her to anyone with the utmost confidence and enthusiasm.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
I am currently in the stim protocol of my 2nd IVF attempt. I did an INVOcell (mini-IVF) attempt with Balthazar initially and had great results, 3 embryos made it to blastocyst, transferred 2, became pregnant with 1 and then miscarried at 6 weeks. I still have 1 frozen, but would ideally like to have 2-3 children so decided to continue on to full-IVF for which I am on the long agonist protocol, with estrogen priming, since I am a bit older, which should yield great results. I have no diagnosed or suspected reproductive issues and am using donor sperm from a sperm bank. At this time I have 12 follicles and am waiting for ultrasound tomorrow to get my bearings on relative growth and comparative size of follicles. Dr. Blathazar is encouraged by the initial appearance and size at baseline so I am very hopeful that this will be my cycle.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy Altamarino)
Amy Altamarino was a very good conduit. Every e-mail was responded to within 3-4 hours and no phone call went unreturned.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Everyone from the front door receptionist to billing is so friendly and I felt connected to each of them and like they were personally invested in my case. I was also familiar with other nurses and felt their attentiveness and sense of duty. I have no negative feedback for this clinic. I do think that each individual pursuing fertility options need to do their own research especially re: PGS testing, ICSI, etc., because as a for-profit clinic there is a bottom line and doctors are going take you at your word without question. If you say you want PGS testing the doctor is going to do PGS testing even though they may not see a need or think it is not the best choice for your specific case. You are best to fully research any and all methods and protocols you are electing and then discuss your personal findings with your doctor to see if it is medically in your best interest. Your doctor is there to meet your requests and offer guidance, not to make your decisions, so just keep that in mind.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
I was given a 2nd cycle discount for my Full IVF cycle and opted out of PGS testing which made the expense comparatively reasonable. With meds included I would say the estimated cost for full-IVF with no PGS is around $15K with meds. I will say my workup to determine fertility options before my INVOcell cycle was about $5K out of pocket.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
I want to transfer 2 embryos and my clinic is not questioning or fighting back on that decision which is appreciated. I have carried twins as a surrogate and a singleton and have have 4 embryo transfers with top fertility centers and have only ever had 2 embryos transferred with very mixed results from singleton miscarriage to a healthy live birth of twins, so am willing to accept any associated risks. I am sure my age has a lot to do with it, but I am glad that fighting with the clinic over number of embryos is not something I have encountered.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
4 of 5
Educational Resources
5 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Consult
NPS
10
NPS
10
Age 32
Male Factor
Tubal Blockage
East Asian
Income $0 - $49K
3rd of 3 Docs
3 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
this first meeting [with Dr. Balthazar] went much differently than those of my other two REs and I feel that is noteworthy. She is incredibly knowledgeable and well-spoken and listened to my husband and me in a way that made us feel comfortable. She asked questions to get to know us better and genuinely seemed like she saw us as her friends that she was helping and not just clients. Dr. Balthazar was very candid and straightforward about what she saw, what we could expect, and any risks that we might encounter. We did not feel rushed at all and that was the greatest feeling.
Amy [nurse at Aspire Fertility/RMA of Texas] was very welcoming from the beginning. She knew what she was talking about and my husband and I felt confident asking her questions...The waiting area is a bit small, especially if seen during a busy time. We weren't seen right at our appointment time but it was explained to us why. The staff are all very welcoming and try to help you feel less nervous, especially if it's your first time. I feel that everyone was very knowledgeable in what they did for the clinic.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
I have only seen Dr. Balthazar for an initial consultation so far. However, this first meeting went much differently than those of my other two REs and I feel that is noteworthy. She is incredibly knowledgeable and well-spoken and listened to my husband and me in a way that made us feel comfortable. She asked questions to get to know us better and genuinely seemed like she saw us as her friends that she was helping and not just clients. Dr. Balthazar was very candid and straightforward about what she saw, what we could expect, and any risks that we might encounter. We did not feel rushed at all and that was the greatest feeling.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Go in knowing what you want to talk to her about or ask.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Before we had entered the room, she had read our background and knew what she wanted to discuss with us beforehand. Though it was our first time speaking to her it felt like she had been aware of our issues and past treatments from the very beginning. Dr. Balthazar was incredibly warm and welcoming and was very open to answering our questions.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy)
Amy was very welcoming from the beginning. She knew what she was talking about and my husband and I felt confident asking her questions.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
The waiting area is a bit small, especially if seen during a busy time. We weren't seen right at our appointment time but it was explained to us why. The staff are all very welcoming and try to help you feel less nervous, especially if it's your first time. I feel that everyone was very knowledgeable in what they did for the clinic.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unsuccessful
NPS
10
NPS
8
Age 42
Poor Egg Quality
Black or African-American
Strongly Recommends
Neutral
Unsuccessful
Dr. Balthazar, made me and my husband feel hopeful of the entire IVF process even when things went wrong she still mananged to support us and has a plan for the second cycle. At every appointment, Dr. Balthazar, always showed compassion and respect to us and answered every questions...Birthcontrol: Oral Meds (AM): Letrozole, Dexamethasone IVF injections (PM):Follistim, Lupron,Menopur,Omintrope result: increased egg quality, result 2 matured 0 fertilization :(
[Aspire Fertility has] Excellent providers, nurse, and admin. Weakness: The Aspire SanAntonio, TX on Stone Oak, has a terrible phone system, not enough staff to answer the phones and when they do you get transfered to voicemail with no return calls. Patients have to keep calling, if your local it's best to walk in and out of town patients, good luck. A major problem is the billing department and supervisor is terrible. They don't pay attention to detail nor the patients insurance and authorizations.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar, made me and my husband feel hopeful of the entire IVF process even when things went wrong she still mananged to support us and has a plan for the second cycle. At every appointment, Dr. Balthazar, always showed compassion and respect to us and answered every questions.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Be organized and have your questions ready. :)
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
We felt like a human, Dr. Balthazar and her nurse Amy, are an amazing team and they explained every detail of the IVF process and answered every question througout our first IVF cycle. Unfortunately, the Aspire Billing department at Stone Oak is not on board as the other staff, has made numerous billing errors inluding not billing the correct insurance that's located on our authorizations. We've sent countless of emails to Aspire billing supervisor and nothing has been fixed X 3 months- now we feel like a number .
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
Birthcontrol: Oral Meds (AM): Letrozole, Dexamethasone IVF injections (PM):Follistim, Lupron,Menopur,Omintrope result: increased egg quality, result 2 matured 0 fertilization :(
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy)
The nurse, Amy and admin consultant, Breanna are deffiantly the staff you want at Aspire, San Antonio Tx, to help you through an IVF process. These members take care of patients and have good communication skills. We wish the billing team would get on the same level, so we can make future appointments.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Strenght: Excellent providers, nurse, and admin. Weakness: The Aspire SanAntonio, TX on Stone Oak, has a terrible phone system, not enough staff to answer the phones and when they do you get transfered to voicemail with no return calls. Patients have to keep calling, if your local it's best to walk in and out of town patients, good luck. A major problem is the billing department and supervisor is terrible. They don't pay attention to detail nor the patients insurance and authorizations. They have caused me and my husband major insurance problems becuase Aspire made several billing mistakes: It's been 3 months and Aspire billing on- Stone Oak, still hasn't corrected billing errors nor return emails, phone calls, will keep calling until we get a response and its resolved 100%. Billing should be the last of any patients worries when going through a time sensitve fertility process. Recommend, Aspire -Stone Oak gain a better billing team.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
If Aspire billing department would pay attention to our insurance company and authorization , they will receive the correct pay
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
n/a
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Failed to call with results
  • Failed to convey critical information
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
Aspire is suppose to be the best fertility clinic in TX but their billing department will definitely make them lose patients instead of gaining. This department has made several billing errors on our insurance policy from AUG-SEP and still haven't fixed the problem are provide any updates.
10
Doctor
Ursula Balthazar
NPS
Humanity
4 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
8
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
3 of 5
Scheduling
3 of 5
Billing Department
1 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unsuccessful
NPS
7
NPS
7
Age 32
1 IVF
Diminished Ovarian Reserve
Endometriosis
Male Factor
European
Income $50K - $99K
Nurse or HC Services
2nd of 3 Docs
2 IVF With Other Docs
Neutral
Neutral
Unsuccessful
[Dr. Balthazar] has a specific protocol she uses for many of her patients-one she developed and has had success with. It's a lower dosage of medications with estrogen priming before, and including letrozole and HGH. We were open to trying this protocol with my diminished ovarian reserve, and had decent success retrieval wise...We only saw her at one or two monitoring appointments and for transfer. It would have meant more as a patient to be able to see your assigned physician with each appointment a doctor is involved, not the other doctors in the practice.
As a whole the staff here [at Aspire Fertility] are very friendly and welcoming. We did not care for the entire team of doctors approach to cycles where doctors are assigned days for retrievals, transfers, monitoring, etc. We would prefer being able to see our assigned doctor with each visit requiring a doctor...They had packages for IVF cycles depending on what all you wanted (PGS testing or not, frozen transfer, etc)
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. B is very energetic and has such a positive energy with her patients. That positive energy was appreciated at our consultation and getting started with our IVF cycle. We only saw her at one or two monitoring appointments and for transfer. It would have meant more as a patient to be able to see your assigned physician with each appointment a doctor is involved, not the other doctors in the practice. She has a protocol that has worked for many patients, and we had decent success with it retrieval wise with my diminished ovarian reserve, however have had no success in transfer of either of the 2 embryos from that retrieval cycle. She feels strongly about fresh transfers and recommended that, rather than perform an ERA biopsy prior to doing a frozen transfer. We have later found that an ERA showed a shift window of receptivity and additional progesterone needed with a new RE. Overall, Dr. B is a wonderful person and doctor with a great attitude. I would hope she would be more open to including her patient's requests in their treatment especially those who have already had unsuccessful treatment elsewhere. To someone who is just starting out, Dr. B is a wonderful place to begin treatment. For any cases that need further personalization, I would recommend seeking treatment elsewhere.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Be prepared to see multiple physicians during the course of your treatment. We loved getting to see Dr. B, but only saw her a few times during our IVF cycle. You end up meeting all of the physicians at the practice through this process, however, I feel this makes the experience less individualized and less personal with your doctor. Something that is key in my opinion during infertility treatment. Dr. B has a warm energetic personality-she was encouraging and always positive.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Staff at the clinic were warm and friendly. The front desk staff were always helpful with questions and scheduling appointments.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
Dr. B has a specific protocol she uses for many of her patients-one she developed and has had success with. It's a lower dosage of medications with estrogen priming before, and including letrozole and HGH. We were open to trying this protocol with my diminished ovarian reserve, and had decent success retrieval wise with 2 blasts out of 5 mature eggs retrieved and 3 fertilized. We did not PGS test, and unfortunately both embryos resulted in a failed transfer (2 separate transfers)
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy)
Amy was very responsive via email, friendly, and very organized. Even when needing to call for medications not going through to pharmacies she was patient and flexible. She made the process smooth and less stressful.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
As a whole the staff here are very friendly and welcoming. We did not care for the entire team of doctors approach to cycles where doctors are assigned days for retrievals, transfers, monitoring, etc. We would prefer being able to see our assigned doctor with each visit requiring a doctor. Our retrieval was performed by another doctor at the practice and many monitoring appointments as well. This made the experience less personable and makes you feel a bit more like a number. Everyone was always friendly, that's just my personal opinion after already going through 2 previous IVF cycles at another clinic. Also, your spouse or partner will not be allowed back with you during transfer. This was a big dissatisfier for my husband and I, as this moment is something very special in the IVF process. Most clinics make this possible, providing the required PPE for them to wear while in the transfer area. Overall, I feel this clinic is a higher rated clinic than others, and would continue to be sought out by incorporating some of these changes. We had a an overall pleasant experience, all things considered, and even though our cycle was not successful.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
They had packages for IVF cycles depending on what all you wanted (PGS testing or not, frozen transfer, etc)
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
The lab here has very high standards for transferring embryos and freezing them. We had an early blast on day 5 that they would not allow us to transfer, and did not continue growing on day 6, so was discarded. This clinic is pretty adamant on elective single embryo transfers.
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Lost or damaged samples
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
There was a mixup when transferring embryos to another clinic. One embryo was "lost" briefly and not shipped with the other, due to being stored in a separate location. This was recognized quickly by the embryologist staff once I contacted them and inquired. There were no further issues and they were very receptive and helpful when the problem arose.
7
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
2 of 5
Trustworthiness
4 of 5
Compassion
5 of 5
Explained risks
3 of 5
Adaptability
4 of 5
7
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
6 of 5
2018 - 2019, Unknown Success
NPS
10
NPS
10
Age 34 - 35
PCOS
Unexplained
European
Income $200K - $499K
Consultant
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
While we are still in the middle of our treatment I know without a doubt that Dr Balthazar is doing what she feels is the absolute best for my husband and I as we seek to grow our family. I have appreciated her openness, her hopefulness, but more than anything I have appreciated her honesty. ... She really encouraged us to talk about our options and to grieve the loss when we had a miscarriage as well as the very hopeful for the future.
My husband and I have really enjoyed, which is a lot to say during this time the staff Aspire. They know what people are going through and I’ve felt like their priority when I’m there. They are kind, informative and always smiling. ... [Nurse] Amy was wonderful and very through in explanations. ... All the medications that we used she [Dr. Balthazar] walked us through them and had her nurse and fertility Coach Amy give us a class on how to use and when to use as well as the calendar.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
While we are still in the middle of our treatment I know without a doubt that Dr Balthazar is doing what she feels is the absolute best for my husband and I as we seek to grow our family. I have appreciated her openness, her hopefulness, but more than anything I have appreciated her honesty.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
To not be afraid to ask Questions, to advocate for your needs and what you feel might be best for you and your family. She really likes to hear your perspective and your thoughts so be prepared to have thoughtful discussions.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
I truly felt from the moment I met Dr. Balthazar that she cared about my husband and I. She really encouraged us to talk about our options and to grieve the loss when we had a miscarriage as well as the very hopeful for the future.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
We are still in the process of stims. All the medications that we used she walked us through them and had her nurse and fertility Coach Amy give us a class on how to use and when to use as well as the calendar.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy )
Amy was wonderful and very through in explanations.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
My husband and I have really enjoyed, which is a lot to say during this time the staff. They know what people are going through and I’ve felt like their priority when I’m there. They are kind, informative and always smiling.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
20,000 for premium IVF.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
No comment yet.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
4 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, Unsuccessful
NPS
10
NPS
10
Age 31 - 32
2 Fertility Medications
Recurrent Pregnancy Loss
Unexplained
European
Income $0 - $49K
Strongly Recommends
Strongly Recommends
Unsuccessful
Dr. Balthazar is friendly and kind. You can tell that she really does want to help you grow your family.... When we came to Dr. Balthazar we had recently had our second miscarriage with no live births. After testing she found I had MTHFR gene mutation, and a high egg count. She addresses the MTHFR with a prescribed prenatal with folate and a baby aspirin a day. She choose a timed intercourse cycle with Clomid
I think my clinic [RMA of Texas] does a great job of making you feel valued. I never feel like a number when I'm there. They call me by my name and they give all the time I need to have my questions answered. They are all very patient and kind. They never make me feel like I'm asking a dumb question or too many questions.... Their one weakness in my opinion is that they do not let you know if you will be seeing another doctor that isn't your doctor.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar is friendly and kind. You can tell that she really does want to help you grow your family. She does give you all the options and she is honest with you about your chances with each of them. She is smart and experienced, so she’s seen a lot of cases and knows what to do with each of them. She is compassionate as well. When I had my third loss she let my husband and I sit in her office and cry and ask all the questions we had. She never rushed us out or said she needed to go. She just listened and answered. She just makes you feel like you’ve got the champ in your corner that you need in a time like this.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
To ask anything you want to know. Don’t walk away wishing you had asked one more thing. And know that she will be honest with her answers.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
She always knew everything going on with me. I never had to re-explain my situation or my history as I had with my OB. She always took as much time as I needed to answer my questions and explain everything in depth to me. I never felt like she was rushing to get me to leave. You can tell she cares about you as an individual.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
When we came to Dr. Balthazar we had recently had our second miscarriage with no live births. After testing she found I had MTHFR gene mutation, and a high egg count. She addresses the MTHFR with a prescribed prenatal with folate and a baby aspirin a day. She choose a timed intercourse cycle with Clomid (25mg the first round and 50mg the second) with an Ovidrel trigger shot each time. She said because of my high egg count the signal from my brain to my eggs may be causing my eggs to go too soon or too late causing them to not be timed correctly and thus the miscarriages. With Clomid we could help one to mature at the correct pace and the trigger shot would tell that egg exactly when to go and that would help address that issue. The first month with this cycle we received a negative pregnancy test. The second cycle we received a positive pregnancy test but my HCG didn’t rise as needed and we lost the pregnancy.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy Altamirano)
The entire staff is very patient and kind. From the intake staff to the billing. Everyone explains everything fully and takes the time to make sure you understand it all. My specific nurse is new to me as we won’t start our IVF until May but from what I’ve asked so far she has been very ready and willing to talk with me and answer my questions. I’m looking forward to having her through this cycle.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
I think my clinic does a great job of making you feel valued. I never feel like a number when I'm there. They call me by my name and they give all the time I need to have my questions answered. They are all very patient and kind. They never make me feel like I'm asking a dumb question or too many questions. They know my history and I don't have to remind them at any point. Their one weakness in my opinion is that they do not let you know if you will be seeing another doctor that isn't your doctor. They assumed I knew it was my doctor's day off (had go in for a scan during a timed intercourse cycle), and I didn't know I wasn't seeing my doctor until the other doctor walked into my room to do the scan.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
I completed all of my fertility testing at this office, which estimated $2000 out of pocket. I also completed two timed intercourse cycles which totaled about $1300 with medications. I have IVF with PGS & an FET scheduled for this summer which will be approximately $26,000 total, with no insurance coverage.
10
Doctor
Ursula Balthazar
NPS
Humanity
4 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Med Drive
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016 - 2018, Unsuccessful
NPS
10
NPS
10
Age 37 - 39
2 IVF
Diminished Ovarian Reserve
European
Income $200K - $499K
2nd of 2 Docs
2 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Unsuccessful
All the doctors at the RMA clinic discuss all of their cases, so it was our preference to interact with Dr. Balthazar more than other doctors there. Dr. Balthazar brings a lot of energy to your case. While being realistic with outcomes (she doesn't promise it will work), she is very upbeat and a huge cheerleader for you. She'll let you know if something doesn't look right and explains why she is suggesting a certain protocol. She will know you and your partner by name and does a great job communicating in person and over email.
I went through a lot of procedures with RMA. With each new procedure there was a "discount" that was applied. Once or twice, when I ran out of medication and needed a very small amount to finish my protocol, they were able to provide me with the medication.... Erica [a nurse] was a good communicator and answered our questions during our first procedure. Her communication, management and follow through of our case and protocols steadily declined with each procedure. By the end, I felt like I was managing my own case. Guess she assumed we knew what we were doing, which should never be the case. The fact that we were working with Dr. Balthazar may have also been an issue.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
We initially worked with Dr. Arredondo at RMA-Stone Oak, but had interactions with Dr. Balthazar during some of our visits. After a few procedures with Dr. Arredondo, I asked to be switched to Dr. Balthazar as our main doctor to interact with because she had a much more friendly and positive bedside manner. All the doctors at the RMA clinic discuss all of their cases, so it was our preference to interact with Dr. Balthazar more than other doctors there. Dr. Balthazar brings a lot of energy to your case. While being realistic with outcomes (she doesn't promise it will work), she is very upbeat and a huge cheerleader for you. She'll let you know if something doesn't look right and explains why she is suggesting a certain protocol. She will know you and your partner by name and does a great job communicating in person and over email.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Some people may find Dr. Balthazar's energy overwhelming. She can be loud. However, she is extremely knowledgeable and friendly and will be a champion for you. I highly recommend her.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar is a very warm, friendly and enthusiastic doctor. She will call you and your partner by name - and actually knows it, not just from a chart. She knew our case well, indicated that she thought about our case often, and even walked us through her thought process for each procedure. She has a warm, energetic and upbeat bedside manner and is willing to answer any question you have of her. She is also very good at responding to emails.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
We went through three rounds of frozen embryo transfer. I do remember that after our first unsuccessful round, my husband and I saw a news report on ERA testing, which determines an individual's implantation window. We brought it up with Dr. Balthazar at the time and we discussed it. It was a very new test at the time. After discussing it, however, it was determined to not do ERA testing because the protocol recommended was different than the first round. After our failed second frozen embryo transfer, it was decided we should go through the ERA testing. We did the ERA test and it turns out my implantation window was different than when we had been transferring in the past. The third frozen embryo attempt failed as well, so I don't know if the ERA test would have worked in round 2 or not. However, I know that ERA testing is being used quite a bit now at RMA. My understanding is that doctors don't want patients to go through every single test out there because a lot of the tests may not be needed. Doctors seem to have a process in place for most cases: Try protocol 1 and that works on x% of people. If it doesn't work for you, try protocol 2 and that works for another x% of people. If that doesn't work, try the next protocol...and so on. This is just my observation and from talking to other women going through infertility treatments.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Erica)
I think Erica generally supports Dr. Arredondo, but she continued to support us when we switched to Dr. Balthazar. Erica was a good communicator and answered our questions during our first procedure. Her communication, management and follow through of our case and protocols steadily declined with each procedure. By the end, I felt like I was managing my own case. Guess she assumed we knew what we were doing, which should never be the case. The fact that we were working with Dr. Balthazar may have also been an issue.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
In my opinion, RMA at Stone Oak is the best fertility clinic in San Antonio, based on my experience and talking with other women about their experiences. They are very organized, well-educated, and run a successful clinic. They will be able to answer your questions and give you an honest assessment of potential issues and solutions. With that said, I feel like lately they are very focused on increasing their volume of patients. They have started running advertisements on television for their clinic and promoting INVOcell. The positive in this is that INVOcell is less expensive and less invasive than other forms of IVF so if you are a candidate, that is great news. But again, it feels like it's becoming more of a competition for largest volume of patients at the clinic.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
I went through a lot of procedures with RMA. With each new procedure there was a "discount" that was applied. Once or twice, when I ran out of medication and needed a very small amount to finish my protocol, they were able to provide me with the medication.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
RMA promotes a single birth as the best possible outcome. They will show you statistics of issues with mom and baby for multiple births. However, at the end of the day, they say that they act as a coach and you as the patient have the final say in how many embryos are transferred. But, I think they limit it to 2 embryos transferred at one time.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
4 of 5
Explained risks
3 of 5
Adaptability
4 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
LGBTQ
Verified

This patient has provided documentation of treatment at this clinic.

2016 - 2018, Unsuccessful
NPS
10
NPS
10
Age 35 - 37
Donor Eggs
Donor Sperm
Diminished Ovarian Reserve
Poor Egg Quality
Uterine Fibroids
Latinx
Income $50K - $99K
IVF With Other Docs
Surrogacy With Other Docs
LGBTQ
Strongly Recommends
Strongly Recommends
Unsuccessful
Dr [Balthazar] was always very enthusiastic when she spoke to us. She was always positive but never gave us false hope. She always explained every step of the process. She always made me feel like she knew me personally and was hoping for the best for us. Very friendly....I’m in a same sex relationship. Our choice was for me to carry using my wife’s embryos. We used donor sperm....
[RMA] Strengths-friendly organized clean warm inviting. The only thing I can say was in the beginning they did not explain much to us and we would leave wondering what was next...One thing I greatly appreciated was response time. They always promptly returned emails or phone calls. They always knew what was next and even helped me obtain medication I was not prepared to pay for. Great staff!.. Otherwise I love this clinic, staff and drs. I never felt uncomfortable here and I loved the whole experience.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr was always very enthusiastic when she spoke to us. She was always positive but never gave us false hope. She always explained every step of the process. She always made me feel like she knew me personally and was hoping for the best for us. Very friendly. Best dr I’ve ever encountered.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Trust in the process and the doctors orders. She will do what’s best and not any less. Asking questions is ok. She will will be honest.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Going to this clinic they always knew our story and were always on top of where we were in the process. They are honest and made us feel like they want the best for us. Always felt comfortable.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
I’m in a same sex relationship. Our choice was for me to carry using my wife’s embryos. We used donor sperm. My wife had a fibroid that had to be removed first in March 2017. The fibroid was blocking one of her ovaries. Once removed the ovary was visible and not so high up. She started estradiol and CoQ10 to help her egg quality since her AMH was low; that was started in June. Dr said the CoQ10 would help with egg quality and the longer she was on it the better. She then started birth control to control her cycle in July. Fertility meds started in August were Lupron, Follistim and Menopur. That was for about 11 days before egg retrieval. We retrieved 3 mature eggs and only one made it to day five for freezing. I started birth control in September and Lupron injections. I started Estrace in October and my baseline showed that my lining was too thick I believe it was at a 18-19. So we canceled the protocol. I restarted birth control in Nov this time without the Lupron. I did start the Estrace again and continued with progesterone injections, Endometrin doxycycline and Medrol. However in the beginning of Nov I went in to have a hysteroscopy with Dr Balthazar since my lining was so thick and I have heavy cycles. She removed polyps that lined my uterus. Having this done my lining looked a lot better. However the day of the transfer it was still very thick at about 17 or around there. Dr Balthazar advised since we’ve done everything we could do we would move forward with the transfer. Transfer day was Dec 4th and I tested negative Dec 14th. We have a follow up next week.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Rebecca, Inthira and Amy)
One thing I greatly appreciated was response time. They always promptly returned emails or phone calls. They always knew what was next and even helped me obtain medication I was not prepared to pay for. Great staff!
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Strengths-friendly organized clean warm inviting. The only thing I can say was in the beginning they did not explain much to us and we would leave wondering what was next. I understand it’s a process but maybe they should somehow explain that everything will be done in steps and explained as we go. Otherwise I love this clinic, staff and drs. I never felt uncomfortable here and I loved the whole experience.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
The reciprocal ivf cycle cost was $15,950. Mental health counseling was about $150. Medications costs about $7,000.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
If we would have had more than one embryo to transfer we would have chosen two.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, Unsuccessful
NPS
0
NPS
0
Age 34 - 35
1 IUI
Diminished Ovarian Reserve
Male Factor
Unexplained
Latinx
Income $200K - $499K
1st of 2 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
She [Dr. Balthazar] failed to inform me of key information through out my experience. She was abrupt and cut me and my husband off multiple times when we were in the process of asking questions or explaining something. She failed to inform me of my carrier status of a genetic disorder... The treatment she utilized was oral FSH stimulation through the use of Clomiphene, 100mg daily for 5 days, starting on day 5 of the cycle. Her staff did not start me until day 6 of the cycle though.
Some of the staff [RMA of Texas] are very friendly. Amanda C. is very nice and understanding. So is Brianna. The rest of the staff mainly treats you as a number. They perform these tasks on a daily basis and have gone through them thousands of times. It was my FIRST time, and no one took the time to be patient or inform me of all the steps in the process.... $1200 for the IUI without the cost of medication or frozen sperm.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
She failed to inform me of key information through out my experience. She was abrupt and cut me and my husband off multiple times when we were in the process of asking questions or explaining something. She failed to inform me of my carrier status of a genetic disorder and I believe she did no mention it because she didn't want to have an extensive conversation about the results. She never asked to test my husband, she never brought it up once. I discovered the medical error of omission upon receiving a copy of my laboratory results from the staff.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Take your time. Explain everything. Go through all the options for that particular person. It would have been nice if you would have told me what the reasons are for having a low AMH. And you mentioned that my egg reserve, although low, was still 'good' because I am only 34 yo. That is not entirely the truth, is it? Because there are conditions where the egg quality can reflect the egg reserve. This was never explained to me, therefore I had to go and spend more money on someone else who would.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
THEY FAILED TO INFORM ME I WAS A CARRIER FOR A GENETIC DISORDER. The quality of staff reflects the standards of the doctors running the facility. That’s where their problems begin. I felt very rushed through the entire process, like everyone else knew what was going on, but since this was my first time discovering that my husband and I had fertility issues, no one really took the time to really explain the process at each visit. On several visits my husband or I were cut off by Dr. B when we were asking questions or explaining something. By the time we actually got to performing the IUI, I had already had an uncomfortable feeling, but since I had nothing to compare it to, I tried to push it out of my mind. On the day of my IUI, as you can imagine, I was very nervous. The procedure went well enough, and the MA told me to lay there for 10 minutes to allow the sperm to enter the fallopian tubes. I tried to cover my eyes and I didn’t pay attention to the time because she put an alarm and it would let me know when to get up. I heard the beep and I thought it was early, but I got up and started getting dressed. I was almost finished when I heard another beep and looked at the wall, it flashed 3 minutes and was counting backwards! Apparently, it had a warning bell at 5 min and 7 min. I got scared and went back to lay down on the table, then the 10 min alarm sounded off, and I finally got up. I wish someone had informed me about this, but as with the rest of my experience it had been rushed and there was little attention to detail. I left the room and went to check-out, everything had already been paid for, but I wanted to get a copy of all my lab work to show my PCP. I took the copy and went to my car and looked it over quickly. Right on the first page, there it was, “Carrier For Cystic Fibrosis and CFTR-Related Disorders.” I got a sinking feeling in the pit of my stomach. I was in my car, so I called the office right away on my way home. Perhaps I was misreading the results. I was transferred to the nurse, but she didn’t answer and so I left a message at around 10 in the morning. I finally got home and I emailed a few people in the office to see if any of them would respond. Dr. B didn’t call me back until after 1 pm. Over 3 hours of hell. I was a wreck. Why had no one told me about my carrier status, why had my husband not been asked to get tested as well?? Why did I have to find out about this on the DAY OF MY IUI. The risk of both of us being carriers was very very low, but the risk was still there. I felt like it was going to be a failed attempt due to all the stress right away, and it eventually was. All Dr. B could say was she was sorry and that the Genetic Counselor was supposed to call me 3 months ago when they had the results. Apparently, they tried to call “me” 3 times, but that was incorrect. They had my husband’s phone number because he was the first one to have an appointment at the office. My husband did receive a call and he told me about it, but we had an appointment with the doctor in a few days, so I didn’t think much of it. Dr. B would tell me about whatever they were calling about. WRONG. Why did she tell me about my low Vit D and not the carrier status? All I can think of was she didn’t want to spend the time talking about it because it would have been an extensive conversation. She had treated me nicely through the process, but was not thorough, and that’s what you’re getting with this facility. There were several instances where I felt like I was just being pushed through the system. From the gaps of information and lack of attention to detail. My IUI was not successful and as we all know, stress is a huge factor. They CREATED the stress I endured after the procedure. I refused to go back to get my blood test because I got my period. It was a very painful situation to go through, and I truly believe that I’m not the only one that his happens to, I was just unfortunate to find out. I had my first meeting today with my new fertility specialist, and she had informed me that starting the clomiphene on day 6 really didn’t do anything to improve my chances. So, when I asked the MA to inform me about the repercussions, and her stating that ‘it’s fine’ was very misleading. I did ask for my money back because I felt like it was all a waste. Of course, they only gave me back the 160 dollars for the blood test and nothing else. This place would probably be an acceptable place to go if you have experience with infertility or have already been through the process. If you’re new to it though, you will leave with many gaps in knowledge. I would never go back, nor would I recommend this facility to anyone.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
She never mentioned a particular protocol. The treatment she utilized was oral FSH stimulation through the use of Clomiphene, 100mg daily for 5 days, starting on day 5 of the cycle. Her staff did not start me until day 6 of the cycle though. Three ultrasounds, beginning, middle, after IUI. IUI with frozen sperm after Ovidrel injection.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Lisa Ayala)
She was very short with me and did not give me the full information about procedures. I feel that her attitude and attention to detail is reflected by the standard the Dr. Balthazar sets. She had me starting clomiphene on the wrong day and brushed it off without providing sufficient detail about what the repercussions were. Her only answer to my question was "It's fine."
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Some of the staff are very friendly. Amanda C. is very nice and understanding. So is Brianna. The rest of the staff mainly treats you as a number. They perform these tasks on a daily basis and have gone through them thousands of times. It was my FIRST time, and no one took the time to be patient or inform me of all the steps in the process. I was very disappointed and feel cheated.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
$1200 for the IUI without the cost of medication or frozen sperm.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
I have none.
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Lost paperwork
  • Failed to call with results
  • Lost results
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
My genetic testing results were only partially provided to me. Dr. Balthazar informed me of my low vitamin d, and my AMH, but failed to inform me that I was a carrier for Cystic Fibrosis. She failed to inform me that my husband should be tested as well. She performed the IUI without providing this information to me, and left me to find out about it on my own on the very day that I had the procedure performed. Her reason for NOT informing me was that she wanted to protect my privacy. There is no privacy between a patient and their doctor.
0
Doctor
Ursula Balthazar
NPS
Humanity
1 of 5
Communication
1 of 5
Frequency Seen
5 of 5
Trustworthiness
1 of 5
Compassion
1 of 5
Explained risks
1 of 5
Adaptability
1 of 5
0
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
1 of 5
Scheduling
3 of 5
Billing Department
1 of 5
Nursing Staff
1 of 5
Clinic Atmosphere
5 of 5
Educational Resources
1 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, Unknown Success
NPS
10
NPS
9
Age 36 - 37
Diminished Ovarian Reserve
Male Factor
European
Income $100K - $199K
Nurse or HC Services
2nd of 2 Docs
2 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Not sure
Dr. Balthazar takes her time with us. She listens and answers all questions. She is warm and humorous and definitely puts thought into her patients’ care even when they are not directly in front of her.... She explained the protocol she game me and why she selected it based on my diagnosis of DOR. I responded poorly to the first cycle and was oversupressed. The second cycle, I had cysts and was still suppressed from the birth control . Third cycle, everything cleared up and we are attempting an egg retrieval.
Strengths: Schedulers and billing staff [RMA of Texas] are communicative, timely, and so nice. Good hours for working people Weaknesses: Sometimes it hard to get a scheduler on the phone for that initial consult- I played phone tag . But if you leave a message they return it. Once you are an established patient it is much easier.... Amy is very communicative WHEN it is important and/or when she is at the office. Sometimes I would wonder if she got my email but now she acknowledges them and let’s me know that she is not in the office
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Again- Dr. B is warm, humorous, upbeat and able to answer all questions. She explained the protocol she game me and why she selected it based on my diagnosis of DOR. I responded poorly to the first cycle and was oversupressed. The second cycle, I had cysts and was still suppressed from the birth control . Third cycle, everything cleared up and we are attempting an egg retrieval.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Go in with a list of questions. She loves it!
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar takes her time with us. She listens and answers all questions. She is warm and humorous and definitely puts thought into her patients’ care even when they are not directly in front of her.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
Cycle 1 Estrogen priming 10-12 days 2 weeks BCP Stims: 75 Menopur 150 follistim Letrozole 2.5 Dexamethason Micro dose Lupron 10 units 2/day Omnitrope Pregnyll Cycle 2 - cancelled Cycle 3 - same stims but no estrogen priming or BCP
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy)
Amy is very communicative WHEN it is important and/or when she is at the office. Sometimes I would wonder if she got my email but now she acknowledges them and let’s me know that she is not in the office . She sometimes says that she will send in a ( non urgent) script right away, but that doesn’t happen as soon as she made it sound . Over all she is a million times more helpful than the nursing staff at our last clinic.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Strengths: Schedulers and billing staff are communicative, timely, and so nice. Good hours for working people Weaknesses: Sometimes it hard to get a scheduler on the phone for that initial consult- I played phone tag . But if you leave a message they return it. Once you are an established patient it is much easier.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
IVF with ICSI, hatching and PGS $19,000
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
We have not really discussed this yet- decided to discuss when we see what grade of embryos we are working with.
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Failed to call in prescriptions to pharmacy
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
3 of 5
Adaptability
3 of 5
9
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
4 of 5
Billing Department
5 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
LGBTQ
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unknown Success
NPS
10
NPS
10
Age 32
1 IUI
Donor Sperm
PCOS
European
Native American
Income $50K - $99K
Operations
Fertility Medications With Other Docs
LGBTQ
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr. Balthazar always makes you feel comfortable and remembers things that you have asked or said previously. She makes you feel like she truly cares... I was a bit nervous about the HSG test but with Dr. Balthazar explaining everything I was much more at ease. My wife and I have never felt uncomfortable with Dr. Balthazar, she does not treat us any differently than I feel she would treat a heterosexual couple. Choosing Dr. Balthazar as our RE was the best decision that we have made for our TTC journey.
Lisa [nurse at RMA of Texas] is awesome! She makes sure that she explains everything to us when a new medication is prescribed or when a medication is to be taken. She gives us a schedule for the process and goes over it with us to ensure that we understand everything. She shows compassion and is very easy to talk to...Email seems to be the best way to reach the coordinator. Trying to reach anyone by phone is difficult. I believe sometimes they take longer than I feel they should to return calls. (I do understand that I am not their only patient and that I can sometimes be a little impatient) The staff are all very friendly and helpful!
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar is kind and shows excitement and empathy where and when needed. Dr. Balthazar gives me a lot of hope when it comes to treatments and options. She explains every step of the process when she is performing procedures, such as with my HSG test, she explained what she was doing, why she was doing it and what she saw. I was a bit nervous about the HSG test but with Dr. Balthazar explaining everything I was much more at ease. My wife and I have never felt uncomfortable with Dr. Balthazar, she does not treat us any differently than I feel she would treat a heterosexual couple. Choosing Dr. Balthazar as our RE was the best decision that we have made for our TTC journey.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Trust her! She is very good at what she does.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar always makes you feel comfortable and remembers things that you have asked or said previously. She makes you feel like she truly cares.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
We went in for a consultation, had a uterine ultrasound performed so that she could be introduced to my uterus and ovaries. Because I have PCOS and my periods are not regular she prescribed me medroxyprogestrone 10 mg twice daily for 5 days to force my period to start. Once my cycle started I came in on day 3-4 to have the HSG test done. She wanted to verify that my uterus was good and that my Fallopian tubes are open. I was instructed to call back once I began my cycle again so that we could began the first IUI cycle. I started my period on my own that month but much sooner than expected, we had not chosen a donor by that time and did not want to rush that process so my wife and I opted to hold off until the following month so that we could get that taken care of. Once again, my cycle did not start when it should have so I was prescribed the same medication as before after a negative pregnancy test was acquired. Once the medicine was complete and my period came we went in for base line testing where an ultrasound was performed to verify that I was in the proper stage to move forward. Dr. Balthazar prescribed me 5 mg of letrozole to be taken at night for 5 nights and scheduled a follow up ultrasound. On the day of the follow up ultrasound she verified that with the help of the letrozole I had one follicle that would be mature enough to move forward with. Dr. Balthazar prescribed me a trigger shot of Ovidrel to be given by my wife at 9:30pm on Wednesday night and IUI was scheduled for 9:30am Friday morning. That was on August 31st. On September 17th I went back in for blood work to see if the procedure resulted in a pregnancy. Unfortunately it did not, but my wife and I were aware of the chances that it would not work.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Lisa Ayala )
Lisa is awesome! She makes sure that she explains everything to us when a new medication is prescribed or when a medication is to be taken. She gives us a schedule for the process and goes over it with us to ensure that we understand everything. She shows compassion and is very easy to talk to.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Email seems to be the best way to reach the coordinator. Trying to reach anyone by phone is difficult. I believe sometimes they take longer than I feel they should to return calls. (I do understand that I am not their only patient and that I can sometimes be a little impatient) The staff are all very friendly and helpful!
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
I was told that I would have to pay my co pay plus additional cost not covered by insurance each visit. The first 2 appointments I paid my copay plus $96, the first visit and then my copay plus $256 the second visit. Once I received my EOB from the insurance company it showed that I should have only paid the copay. My wife and I figured that they had us pay additional amounts that most insurance companies do not cover. The additional amounts were put back onto our account as a credit. So far we have only had to pay the copay.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unsuccessful
NPS
10
NPS
9
Age 35
1 IVF
Diminished Ovarian Reserve
Latinx
Income $0 - $49K
2nd of 2 Docs
2 Fertility Medications With Other Docs
Strongly Recommends
Strongly Recommends
Unsuccessful
With our cycle [with Dr. Balthazar] we did a two embryo transfer due to endometriosis and low ovarian reserves...is so kind and has a great bed side manner. Very encouraging and positive through our whole experience. Through our whole process she’s was very straight forward with expectations... With our outcome from our last and from my lab result she did not give us any false hope for a future cycle with my eggs. She answered all our questions for a future cycle and other options we can look into to built a family and still experience the possibility of pregnancy.
While in Amy’s [nurse at RMA of Texas] care she alway went above and beyond for our first cycle. Responds to emails with in 24 hours or less. Very compassionate and listens when there is an issue with medication or even insurance. For our second cycle Rebecca is our nurse and she is also very good with communicating about our care and makes sure all our questions are answered... One weakness I think would be to communication between the staff, sticking with one nurse is best so there familiar with your issues and treatment.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
While in doctor Balthazar’s care she gave us complete honest care. I never felt like we were being steered in the wrong direction, she gave us a lot of hope but at the same time let us know what we may be expecting. Our cycle did end in a chemical pregnancy, when we went in for a follow up her compassionate care ment a lot to us. With our outcome from our last and from my lab result she did not give us any false hope for a future cycle with my eggs. She answered all our questions for a future cycle and other options we can look into to built a family and still experience the possibility of pregnancy.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Expect wonderful care
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Doctor Balthazar is so kind and has a great bed side manner. Very encouraging and positive through our whole experience. Through our whole process she’s was very straight forward with expectations.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
I already started with diminished ovarian reserves so we started out with 4 shots twic daily, at the end prior to retrieval doctor Balthazar adjust and increase of injection doses. At egg retrieval we only got to eggs as we expect, both fertilized and did a three day transfer ending in a chemical pregnancy.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy for my first cycle and Rebecca for my second)
While in Amy’s care she alway went above and beyond for our first cycle. Responds to emails with in 24 hours or less. Very compassionate and listens when there is an issue with medication or even insurance. For our second cycle Rebecca is our nurse and she is also very good with communicating about our care and makes sure all our questions are answered.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Nurses are great with communication, recommendation sticking with one or two nurses if the other isn’t there. One weakness I think would be to communication between the staff, sticking with one nurse is best so there familiar with your issues and treatment.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
Diagnostic’s, fresh ivf cycle cost,medication cost, acupuncture
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
With our cycle we did a two embryo transfer due to endometriosis and low ovarian reserves.
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Lost or damaged samples
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
Labwork on vials from my husband we not identified properly so had to go back and get his samples redrawn as well as my labwork was not fully completed.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
9
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
5 of 5
2016 - 2018, Successful
NPS
10
NPS
10
Age 36 - 38
2 IVF
Endometriosis
Poor Egg Quality
European
Income $50K - $99K
Nurse or HC Services
2nd of 2 Docs
3 IUI With Other Docs
1 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Balthazar made going through the most difficult thing, bearable. She was very nurturing, knowledgeable, and genuinely cares for her patients. She got excited with every good news we got and followed me through the pregnancy and after. She was so warm to me and my family. She was very prepared at every visit. She is not only the best fertility doctor, but the best doctor I’ve ever had.... She takes lots of time to make you feel comfortable
The billing department [RMA of Texas] takes too long to get back with you. Sometimes they don’t answer the phone. Just keep calling. They have recently expanded their hours, which is nice. They offer acupuncture there as well.... May was always great to work with. She would be able to reach the doctor with questions I had very quickly. She was very kind and warm.... First retrieval was $25k Second retrieval was $12,500
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar made going through the most difficult thing, bearable. She was very nurturing, knowledgeable, and genuinely cares for her patients. She got excited with every good news we got and followed me through the pregnancy and after. She was so warm to me and my family. She was very prepared at every visit. She is not only the best fertility doctor, but the best doctor I’ve ever had.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Give her a chance. Everyone I know who has seen her has gotten pregnant, even a girl who was told she needs a hysterectomy by another doctor.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
She takes lots of time to make you feel comfortable, to know your individual care, and she is very warm. She went out of her way many times in the process.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
I cannot remember
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy)
May was always great to work with. She would be able to reach the doctor with questions I had very quickly. She was very kind and warm.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
The billing department takes too long to get back with you. Sometimes they don’t answer the phone. Just keep calling. They have recently expanded their hours, which is nice. They offer acupuncture there as well.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
First retrieval was $25k Second retrieval was $12,500
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
She chose one because I was pre-diabetic and it is easier to regulate one placenta versus two
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016 - 2018, Successful
NPS
10
NPS
10
Age 28 - 30
Tubal Blockage
European
Income $50K - $99K
Teacher
IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Balthazar is very direct and positive. She explains the reason behind everything, and assured you that you will do treatments on your time. She is incredibly knowledgeable. She listens to you and gives you options.... I had many tests done my first few appointments. I had the tube test, in which she found out my right tube was completely blocked. Following that test, I had my right tube removed under her care. Since then, I've had tests done to check my egg reserve and my genetics.
[Aspire of Texas'] Weakness: Getting an initial appointment is the hardest part. I was constantly on hold and calling repeatedly to get an appointment. Strengths: The facility is very clean. There is not a huge staff, and they are loyal, so you will he dealing with the same nurse for each visit.... Each visit with tests and blood work was around $300. My surgery was around $1500.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar is very direct and positive. She explains the reason behind everything, and assured you that you will do treatments on your time. She is incredibly knowledgeable. She listens to you and gives you options.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar listens to your concerns and will help you, even if she doesn't believe it's best.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar listened to my concerns and did not try to push me into anything. She presented us with options, and said we will look at these when you're ready.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
I had many tests done my first few appointments. I had the tube test, in which she found out my right tube was completely blocked. Following that test, I had my right tube removed under her care. Since then, I've had tests done to check my egg reserve and my genetics.
Describe your experience with the nursing staff at Aspire Fertility (formerly RMA of Texas).
The nursing staff respects Dr. Balthazar, and listens to her orders.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Weakness: Getting an initial appointment is the hardest part. I was constantly on hold and calling repeatedly to get an appointment. Strengths: The facility is very clean. There is not a huge staff, and they are loyal, so you will he dealing with the same nurse for each visit.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
Each visit with tests and blood work was around $300. My surgery was around $1500.
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Failed to call with results
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
Once you schedule an appointment or procedure, it is up to you to call and check in, follow up, or check results.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
3 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017, Successful
NPS
10
NPS
10
Age 39
1 IVF
Diminished Ovarian Reserve
European
Ashkenazi Jewish
Latinx
Native American
Income $100K - $199K
Lawyer
1st of 5 Docs
2 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
I can't say enough good things. She [Dr. Balthazar] was so positive & upbeat. After 2 failed cycles at another clinic in NYC, with no resulting viable eggs and several consultations with other doctors, I had very lottle hope left. Dr. Balthazar believed from the beginning that we could get blasts, even after seeing my previous results. She said there was no reason to believe otherwise & she was right! I got the most eggs I had ever gotten (4- which was great for my diagnosis). She wasn't focused on how few follicles I had, unlike the other doctors. She was focused on the quality of the 4 I had. And we got all 4 & all 4 were mature & all 4 fertilized.
They [RMA]are very friendly and welcoming and warm. The nurses remember you and ask how you are, even if you are like me, not a very outgoing friendly person...[Nurse] Amy was pretty good. When she wasn't out of the office, she got back to me right away and answered the majority of my questions....I think one time my instructions said 1 thing different from what I was supposed to do, I don't remember what it was though & I'm sure it got cleared up right away.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
I can't say enough good things. She was so positive & upbeat. After 2 failed cycles at another clinic in NYC, with no resulting viable eggs and several consultations with other doctors, I had very lottle hope left. Dr. Balthazar believed from the beginning that we could get blasts, even after seeing my previous results. She said there was no reason to believe otherwise & she was right! I got the most eggs I had ever gotten (4- which was great for my diagnosis). She wasn't focused on how few follicles I had, unlike the other doctors. She was focused on the quality of the 4 I had. And we got all 4 & all 4 were mature & all 4 fertilized. Every step of the way was an amazing accomplishment. She was always smiling & saying we were going to succeed. No other doctors that I saw were so positive and nice.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
To not waste time with anyone else and go straight to her!
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
I received the best treatment from Dr. Balthazar out of all the doctors I actually saw and all the others I spoke to on the phone. She was the only woman, I don't know if that had anything to do with it. She was more positive & upbeat than any other doctor, by far!
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
I don't know the name of the protocol, but it is their diminished ovarian reserve protocol. I think I started with estrogen priming, I know I used birth control after that. I then used Menopur, Follistim and Lupron. Growth Hormone was added later. It was a long protocol, and it worked!
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy Altimaro)
Amy was pretty good. When she wasn't out of the office, she got back to me right away and answered the majority of my questions.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
They are very friendly and welcoming and warm. The nurses remember you and ask how you are, even if you are like me, not a very outgoing friendly person.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
It was a little over $13,000 for the entire cycle, including anesthesia, ICSI, retrieval, transfer and a follow up ultrasound or two. Then they started billing insurance for follow ups and I paid my co-pay.
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Provided conflicting information
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
I think one time my instructions said 1 thing different from what I was supposed to do, I don't remember what it was though & I'm sure it got cleared up right away.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2017, Unknown Success
NPS
10
NPS
10
Age 29 - 31
1 IVF
Male Factor
Other
Latinx
Income $100K - $199K
Teacher
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
My husband & I have been trying to conceive for a total of about 5 years, and the road to starting that family has not been easy. Dr. Balthazar from the start was an extraordinary RE. Our first fresh IVF round took and we were pregnant! Unfortunately at my 8 week sonogram Dr. Balthazar had concerns of our pregnancy being a cornual ectopic. Dr. Balthazar went above and beyond to find the top specialists in San Antonio to give their expertise opinions. When each of them concluded her worst fears, Dr. Balthazar set me up with a world renown surgeon to preform a laparoscopic robotic surgery to remove our pregnancy.
Amy [nurse at RMA of Texas] is an amazing nurse & fertility coach. If I ever have any questions or concerns, Amy is more than willing to help in any way that she can. Amy is an excellent nurse with outstanding bedside manner and excellent patient care...Everyone at RMA is extremely kind and caring...The facility is extremely clean and is in the best of condition! RMA has a comfort feel that isn't found elsewhere. RMA sets the bar for excellent fertility care.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar is an amazing RE. She has a wonderful bedside manner, prestigious professional input in all protocols, quick to answer any questions or concerns, open to patients desires, and she always puts you as her number one priority. Dr. Balthazar always makes me feel like I am more to her than a patient. She is always so open to understanding your life outside of reproductive medicine. My husband is a frequent international traveler throughout the year, and she always makes sure to find ways to include him in scans, meetings, or appointments. She is always concerned of how I am handling things without him here, especially after the cornual pregnancy and each of our failed FET'S. Dr. Balthazar has become so much more to me than just my RE, she has grown to hold such a special place in my heart. I trust her and know without a doubt she will help get us to where we need to be to get that BFP!!
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
The one piece of advice I would give to any future fertility patient (regardless of the doctor) is to go in with questions. Do not rely on Google to answer them.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
My husband & I have been trying to conceive for a total of about 5 years, and the road to starting that family has not been easy. Dr. Balthazar from the start was an extraordinary RE. Our first fresh IVF round took and we were pregnant! Unfortunately at my 8 week sonogram Dr. Balthazar had concerns of our pregnancy being a cornual ectopic. Dr. Balthazar went above and beyond to find the top specialists in San Antonio to give their expertise opinions. When each of them concluded her worst fears, Dr. Balthazar set me up with a world renown surgeon to preform a laparoscopic robotic surgery to remove our pregnancy. Dr. Balthazar was beside me every step of the way. Dr. Balthazar visited me in my room prior to my procedure, explained what was going to happen and why. Dr. Balthazar sat in the surgical room with me, and promised they me they wouldn't take the one thing we had prayed so hard for, without being 100% sure that scans were accurate and termination was in fact the right course of action. After the procedure Dr. Balthazar went with the surgeon to talk to my family and explain how the procedure went. After the procedure she followed up with me extremely closely and showed genuine concern for me as not only as a human being, but as a woman. Upon my first set of testings after the removal of our cornual pregnancy, Dr. Balthazar showed as much as enthusiasm as we had to try to get us that BFP! And after both our FET'S ended in negative betas, & our final embryo was used Dr. Balthazar gave me her sincerest of pep talks. Dr. Balthazar is an extraordinary RE, whom saved my life and has given me a fighting chance at motherhood. There are no words that will ever be able to describe my gratitude for Dr. Balthazar and her staff, I have always felt like my husband and I are their number one priority.
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
For my fresh cycle Dr. Balthazar placed me on Lupron, Follistim , Menopur, and PIO (I can't remember if I was on Esterase or not). Baseline scans showed 12 follicles. My IVF cycle resulted in 12 eggs retrieved, 11 mature, 11 fertilized, 9 made it to day 3, and 3 made it to day 5 expanding BB blastocysts. For my FET 1 I was on Lupron, Esterase, Doxycycline, Medrol, and PIO. For FET2 I was on Esterase, Doxycycline, Medrol, and PIO. Due to my husbands international travel we used a frozen sample from him. Throughout it all I have taken 2000IU of Vitamin D3 and a prenatal. Prior to egg retrieval I was placed on CoQ10 600mg.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy Altamirano)
Amy is an amazing nurse & fertility coach. If I ever have any questions or concerns, Amy is more than willing to help in any way that she can. Amy is an excellent nurse with outstanding bedside manner and excellent patient care.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Everyone at RMA is extremely kind and caring. Employers always ensure that you have the absolute best care. The facility is extremely clean and is in the best of condition! RMA has a comfort feel that isn't found elsewhere. RMA sets the bar for excellent fertility care.
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
Roughly $30,000 for everything. Insurance did not cover any testings, cycle or prescriptions.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
N/A
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016 - 2017, Successful
NPS
10
NPS
10
Age 30 - 31
1 IVF
1 Egg Freezing
Male Factor
Other
Other
Income $50K - $99K
Operations
Strongly Recommends
Strongly Recommends
Successful
She [Dr. Ursula Balthazar] has the best bedside manner and makes it feel like you are a friend or family member that she is treating... Pretty standard big treatment for egg retrieval. Lining was too thick so fresh transfer was cancelled and did a frozen. After the first failed transfer I had a surgery to check my uterus for any abnormalities as well as switched to estrogen patches which resulted in a positive pregnancy test
Amy [a nurse at RMA of TX-San Antonio] was amazing! She gave me her personal cell phone number so that if I had any crazy questions about injections or medication. I could get a hold of her after hours... The one thing about the clinic that I would change is the waiting room it just seems a little dated and unorganized but behind the scenes it is opposite. The staff is beyond amazing and once you start you injection etc you rarely have to wait for blood work and appointments
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
The sweetest doctor she has a way of making this difficult experience seem so easy and has a way of getting you excited for each step. She has the best bedside manner and makes it feel like you are a friend or family member that she is treating
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Ask questions she will be very upfront with the answers and any potential complications or setbacks
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
The one thing that made me felt like a human was when the first cycle failed Dr. Bahltazar called me directly to give me the news and y’all through what her plan was
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
Pretty standard big treatment for egg retrieval. Lining was too thick so fresh transfer was cancelled and did a frozen. After the first failed transfer I had a surgery to check my uterus for any abnormalities as well as switched to estrogen patches which resulted in a positive pregnancy test
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy)
Amy was amazing! She gave me her personal cell phone number so that if I had any crazy questions about injections or medication. I could get a hold of her after hours
Describe your experience with Aspire Fertility (formerly RMA of Texas).
The one thing about the clinic that I would change is the waiting room it just seems a little dated and unorganized but behind the scenes it is opposite. The staff is beyond amazing and once you start you injection etc you rarely have to wait for blood work and appointments
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
I was very lucky to have amazing insurance coverage but out of pocket medications and all it is close to 5k
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
I was only able to transfer one embryo due to having a unicornuate uterus and insurance coverage
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Provided conflicting information
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
One thing that happened was the scheduler for my surgery failed to call me about a change in time for my surgery at an off site facility. It resulted in me waiting for a while but Dr Balthazar came running (literally ran in) as soon as she could make it over and explained there was another patient emergency and she apologized many many times
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016 - 2017, Successful
NPS
10
NPS
10
Age 36 - 37
Unexplained
Latinx
Income $50K - $99K
2nd of 2 Docs
7 IUI With Other Docs
1 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
If I had any questions, I was able to email her [Dr. Ursula Balthazar] directly. When I had my chemical pregnancy, she was the one who gave me hope and convinced me to keep trying. When I got pregnant during my 3rd FET and my first beta came back at only 18, she was honest about the chances of a successful pregnancy. During those first few scary weeks of not knowing if I would miscarry, she was with me every step of the way.
I had a lot of problems with my insurance [while being treated at RMA of Texas], mainly because I had 2 policies. Claims were being sent to both companies and coming back as rejected. I had to get into a few heated phone conversations, and I felt at times like things weren't explained to me fully. I'm not sure if this was the fault of the clinic or the insurance company. I was told from the clinic that certain things had been done, but when I talked to the insurance company they claimed the opposite.
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
I liked Dr. Balthazar from the moment I met her. She is smart, caring and truly makes you feel like she cares about you. I had just about given up hope of ever getting pregnant and she gave me that hope back. She was honest and explained all aspects of the treatment protocol, including any changes that were made. If I had any questions, I was able to email her directly. When I had my chemical pregnancy, she was the one who gave me hope and convinced me to keep trying. When I got pregnant during my 3rd FET and my first beta came back at only 18, she was honest about the chances of a successful pregnancy. During those first few scary weeks of not knowing if I would miscarry, she was with me every step of the way. She had the perfect balance of being honest and giving me hope.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Don't be afraid to ask questions. She will take the time to answer them and to explain anything you don't understand.
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Dr. Balthazar truly went above and beyond to make me feel like she truly cared about me and wanted my treatment to succeed. She made the effort to get to know me and to make sure that I felt comfortable with every aspect of my treatment.
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Amy )
My nurse was just as amazing as Dr. Balthazar. She got my schedules to me on time, she was always proactive regarding my prescriptions and my insurance. She explained the injections and answered any questions I had. She also made me feel like she truly cared about me.
Describe your experience with Aspire Fertility (formerly RMA of Texas).
Overall, I am very happy with the clinic. The staff always made me feel like more than just a number. They knew my name and always greeted me with a smile. I did have a few problems with the insurance coordinator. I had 2 insurance plans, one through my employer and one through my husband's employer. I had to fight multiple times with them to ensure that the claims were processed through the correct insurance. I would suggest to any new patient to make sure you are familiar with your insurance plan. Ask questions. Make sure someone explains things to you. Ask more questions. Do not be afraid to be your own advocate.
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
I was always advised that single embryo transfer was the best option for me.
What specific things went wrong at Aspire Fertility (formerly RMA of Texas)?
  • Failed to call in prescriptions to pharmacy
  • Provided conflicting information
Describe the specific things that went wrong at Aspire Fertility (formerly RMA of Texas).
I had a lot of problems with my insurance, mainly because I had 2 policies. Claims were being sent to both companies and coming back as rejected. I had to get into a few heated phone conversations, and I felt at times like things weren't explained to me fully. I'm not sure if this was the fault of the clinic or the insurance company. I was told from the clinic that certain things had been done, but when I talked to the insurance company they claimed the opposite.
10
Doctor
Ursula Balthazar
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2014 - 2017, Unsuccessful
NPS
8
NPS
8
Age 33 - 36
3 IUI
1 IVF
1 Egg Freezing
1 Embryo Freezing
Poor Egg Quality
Uterine Fibroids
Unexplained
Income $100K - $199K
Marketer or PR
Neutral
Neutral
Unsuccessful
The Doctor [Dr. Ursula Balthazar] picked up on my reactions/questions and really got to know me...She is very positive, kind person. She knows how to sell her product and convince you it is the right thing. She is very accessible. Once she was on vacation and she emailed me back. She will sit down with you and explain for as long as you need it....Progesterone levels was an issue with me. with IUI it was vaginal pink pills with IVF it started to be progesterone shots and after looking at the levels we switched to a vaginal white pill twice a day. Now with the second IVF it will be the same white pills 3 times a day
[RMA of Texas - SA Stone Oak] nice, clean place. they have an acupuncturist at the office. the office is very busy. [Nurse] Amy has been available through text message at any time of the day. She doesn't always respond quickly but it is very convenient since they don't answer the phones...There was a charge everything i went in except for when we purchased the IVF package we paid upfront...The Doctor [Dr. Ursula Balthazar] picked up on my reactions/questions and really got to know me
How was your experience with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
She is very positive, kind person. She knows how to sell her product and convince you it is the right thing. She is very accessible. Once she was on vacation and she emailed me back. She will sit down with you and explain for as long as you need it.
What's one piece of advice would you give a prospective patient of Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
Even though it seems like she is going to get you a baby she is not God
During treatment, were you treated like a number or a human with Ursula Balthazar at Aspire Fertility (formerly RMA of Texas)?
The Doctor picked up on my reactions/questions and really got to know me
Describe the protocols Ursula Balthazar used in your cycles at Aspire Fertility (formerly RMA of Texas) and their degree of success.
Birth control during the IVF process. Progesterone levels was an issue with me. with IUI it was vaginal pink pills with IVF it started to be progesterone shots and after looking at the levels we switched to a vaginal white pill twice a day. Now with the second IVF it will be the same white pills 3 times a day
Describe your experience with your nurse at Aspire Fertility (formerly RMA of Texas). (Assigned nurse: Lisa and Amy)
Amy has been available through text message at any time of the day. She doesn't always respond quickly but it is very convenient since they don't answer the phones
Describe your experience with Aspire Fertility (formerly RMA of Texas).
nice, clean place. they have an acupuncturist at the office. the office is very busy
Describe the costs associated with your care under Ursula Balthazar at Aspire Fertility (formerly RMA of Texas).
There was a charge everything i went in except for when we purchased the IVF package we paid upfront
Describe Ursula Balthazar's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Aspire Fertility (formerly RMA of Texas).
She was happy to transfer 2 embryos one being perfect and the other being not fully ready but with 2 good day 3 frozen embryos she wants to only transfer 1 and 2 really wasnt an option
8
Doctor
Ursula Balthazar
NPS
Humanity
4 of 5
Communication
4 of 5
Frequency Seen
4 of 5
Trustworthiness
4 of 5
Compassion
4 of 5
Explained risks
3 of 5
Adaptability
2 of 5
8
Clinic
Aspire Fertility (formerly RMA of Texas)
San Antonio - Stone Oak
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5