This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
Dr. Leondires is a very good communicator, he's approachable and always keen to answer questions. He's very knowledgeable about LGBTQ patients' specific needs and you feel supported in your desire to build a family without judgment. He went through it himself, he's a gay dad and I liked that. He's also quite conservative when talking about IVF (SET vs. twins etc.), and I relate to it.
[RMACT's] Strength: - The facility is modern, have good results and to me the lab has high standards, which was the most important for me when selecting a clinic. - They have a lof staff and you feel you're in good hands - LGBT friendly - Easy to reach for New-York residents - Good doctors! Weaknesses: - Might be more pricey than other clinics when considering inclusive plans (watch for additional fees for consults) - The billing department is the weakest part of that clinic. It seems communication could be improved within the clinic staff to avoid mistakes and misunderstanding regarding billing. They could be more friendly and more transparent. Getting itemized bills wasn't automatic and it's sometimes hard to know towards which procedure your money is going.
How was your experience with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Dr. Leondires is a very good communicator, he's approachable and always keen to answer questions. He's very knowledgeable about LGBTQ patients' specific needs and you feel supported in your desire to build a family without judgment. He went through it himself, he's a gay dad and I liked that. He's also quite conservative when talking about IVF (SET vs. twins etc.), and I relate to it.
What's one piece of advice would you give a prospective patient of Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Ask all the questions, even the ones that sound stupid. He can sometimes get carried away and do all the talking. The clinic he's built seems up to high standards and that will prove very important when making quality embryos.
During treatment, were you treated like a number or a human with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Dr. Leondires has a warm bedside manner and, even if he's busy, always takes his time with his patients. I never felt rushed. He likes to talk and during my initial visit, spent over on hour getting to know my personal situation, my goals and explained every step that I would have to go through to achieve them. I felt I was in good hands with him, and that he was very knowledgeable about the process. He also called me personally to let me know about results when needed.
Describe the protocols Mark Leondires used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
Going through egg donation and surrogacy, the process has been pretty straight forward:
- I got tested for any STI's, got cleared, then gave my sperm specimen. It was analyzed then cryopreserved.
- I chose a donor through the clinic bank. Attorneys (outside RMACT) drafted an agreement, which took about one month.
- My egg donor followed her treatment for about 10 days then eggs were retrieved, fertilized, PGS testes, then cryopreserved. From 17 eggs retrieved, I ended up with 5 PGS tested high quality ones. (3 embryos didn't pass the genetic test).
- I am now waiting to match with a surrogate to continue my journey.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Rachel Leto)
Most of my communication with my assigned Nurse were through emails. Though I didn't feel a lot of compassion from her, I found her efficient, knowledgeable, and I was able to reach her through email easily. Getting in touch by phone wasn't as easy (which is the case with all the staff in this practice).
When I visited RMACT, the nursing staff was very friendly, and I felt well cared after.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
Strength:
- The facility is modern, have good results and to me the lab has high standards, which was the most important for me when selecting a clinic.
- They have a lof staff and you feel you're in good hands
- LGBT friendly
- Easy to reach for New-York residents
- Good doctors!
Weaknesses:
- Might be more pricey than other clinics when considering inclusive plans (watch for additional fees for consults)
- The billing department is the weakest part of that clinic. It seems communication could be improved within the clinic staff to avoid mistakes and misunderstanding regarding billing. They could be more friendly and more transparent. Getting itemized bills wasn't automatic and it's sometimes hard to know towards which procedure your money is going.
Describe the costs associated with your care under Mark Leondires at Illume Fertility (formerly RMA of Connecticut).
Describe Mark Leondires's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
Dr. Leondires is a strong advocate for eSET. I am not sure whether he would accept to transfer more than one embryo.
We had a very difficult case, with so many failures trying to have our children prior to coming to RMA of Connecticut...Dr. Leondires agreed to try to help us and came up with a different protocol specific to our needs...After having 1 child through 15 transfers elsewhere prior to RMA, Dr. Leondires helped us get our 2nd and 3rd children in 1 transfer each, 2 for 2!...The lab is second to none, the staff is amazing and supportive, and the results speak for themselves
Throughout the process the whole team at RMA was in constant communication, explained everything thoroughly and clearly, and helped us get through our most difficult times. After having 1 child through 15 transfers elsewhere prior to RMA, Dr. Leondires helped us get our 2nd and 3rd children in 1 transfer each, 2 for 2! The lab is second to none, the staff is amazing and supportive, and the results speak for themselves...There are multiple locations to choose from for monitoring so you can choose where is closest to you
How was your experience with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Dr. Mark Leondires and the team at RMA of Connecticut truly made our dreams come true. We had a very difficult case, with so many failures trying to have our children prior to coming to RMA of Connecticut. Dr. Leondires agreed to try to help us and came up with a different protocol specific to our needs. Throughout the process the whole team at RMA was in constant communication, explained everything thoroughly and clearly, and helped us get through our most difficult times. After having 1 child through 15 transfers elsewhere prior to RMA, Dr. Leondires helped us get our 2nd and 3rd children in 1 transfer each, 2 for 2! The lab is second to none, the staff is amazing and supportive, and the results speak for themselves. We are still in awe that it worked both times after so much difficulty, and cannot express our gratitude enough to Dr. Leondires and RMA of Connecticut. They really did make our dreams come true!
What's one piece of advice would you give a prospective patient of Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Please go see him if you want to be successful in your fertility journey. The results are amazing and we only wish we saw him sooner.
During treatment, were you treated like a number or a human with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Dr. Leondires knew our case well, tailored care specifically to us, and was really rooting for us to be successful after many years without success.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Nora Bolger)
The team at RMA of Connecticut truly made our dreams come true. We had a very difficult case, with so many failures trying to have our children prior to coming to RMA of Connecticut. Throughout the process the whole team at RMA was in constant communication, explained everything thoroughly and clearly, and helped us get through our most difficult times. The lab is second to none, the staff is amazing and supportive, and the results speak for themselves.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
The strengths are the quality of the lab, the exceptional physicians, fantastic staff and top of the line facilities. There are multiple locations to choose from for monitoring so you can choose where is closest to you. We drove an hour each way from NJ to CT just to see them, sometimes 3x a week for monitoring, but it was so worth it.
Describe the costs associated with your care under Mark Leondires at Illume Fertility (formerly RMA of Connecticut).
The costs were very manageable and lower than other places we went to.
Dr. Ressler is very kind and very soft spoken. It always felt like she was trying to be compassionate. I just never felt like a true connection formed. I’m also not sure that the protocols she selected were the right path for us...for the next 3 cycles no changes were made. And I had 3 more unsuccessful cycles...It’s important to find a doctor you trust and connect with. Not all doctors personalities are a match.
The [RMA of Connecticut] clinic presents itself really well. It is well run, everyone is friendly, kind and compassionate. They have so many great resources available and lots of awesome social media content...such a big practice you feel like you're lost in the mix of everyone. Everyone is referring you to someone else and there is no follow up or follow through. So many times I've had to follow up on emails I sent that went unanswered.
How was your experience with Ilana Ressler at Illume Fertility (formerly RMA of Connecticut)?
Dr. Ressler is very kind and very soft spoken. It always felt like she was trying to be compassionate. I just never felt like a true connection formed. I’m also not sure that the protocols she selected were the right path for us.
What's one piece of advice would you give a prospective patient of Ilana Ressler at Illume Fertility (formerly RMA of Connecticut)?
It’s important to find a doctor you trust and connect with. Not all doctors personalities are a match.
During treatment, were you treated like a number or a human with Ilana Ressler at Illume Fertility (formerly RMA of Connecticut)?
RMA is a very large practice. I see multiple doctors, tons of different nurses, and went to three different locations.
Describe the protocols Ilana Ressler used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
When doing IUI's we started with Clomid for the first cycle and my lining wasn't as thick as she wanted it to be, so when that cycle didn't work we switched to Letrozole. After that for the next 3 cycles no changes were made. And I had 3 more unsuccessful cycles.
When doing IVF, I had a pretty successful retrieval, starting with 23 eggs. For our first transfer we did the standard protocol. Which was unsuccessful. Before the second transfer we were told I should do an ERA test which showed that my first shot of progesterone should be 12 hour earlier. I also had a procedure to dilate my Cervix due to a curve in my uterus that was difficult to navigate during transfers. With all of this, my cycle was still unsuccessful.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Cathie)
Cathie was great as my primary nurse. The problem I had was that, while Cathie was my main point of contact, I saw so many different nurses and also heard from many different nurses in Cathie's absence.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
The clinic presents itself really well. It is well run, everyone is friendly, kind and compassionate. They have so many great resources available and lots of awesome social media content. The issue is that because it's such a big practice you feel like you're lost in the mix of everyone. Everyone is referring you to someone else and there is no follow up or follow through. So many times I've had to follow up on emails I sent that went unanswered. This was not from my nurse, but from the other support staff (patient navigator and financial team)
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
Monitoring was fine. Again, just felt like I saw someone different every time
Describe the costs associated with your care under Ilana Ressler at Illume Fertility (formerly RMA of Connecticut).
Most was covered by insurance, but some things weren't. Overall we've probably paid close to $10k even though so much was covered.
Describe Ilana Ressler's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
We were told only 1 embryo would ever be transferred given my age.
Dr. Leondires never had a good handle on our names or the circumstances of our situation. Further, while he was present for the "consultations," he performed none of the medical procedures (ultrasounds, check ups, egg retrieval) for our donor...we chose Dr. Leondires due to the passion he purports to have for gay family building and the desire to use a facility in a state where surrogacy is legal. Dr. Leondires was arrogant and distracted. I am a physician, and I assured my husband, “it doesn’t matter how arrogant he is; if he gets good results, that’s all that matters.” My sister’s stim was a disaster. They could not figure out how to coordinate monitoring closer to her home at Northwell, though they had promised that would not be an issue. They would only even communicate with Northwell after we called multiple times saying that my sister was having trouble getting in. She ended up having to go to RMA-CT for her monitoring, but saw Dr. Leondires zero times. He was apparently monitoring her stim, though did not seem to have a good grasp on it. Initially he thought she would have plenty of eggs,
Coordination between RMA and our donor's monitoring clinic was non-existent and required a lot of involvement from us (something we were assured wouldn't happen). Getting our doctor to call us was like pulling teeth, and he'd always call with results at 10pm instead of during business hours...We were told monitoring appointments could be performed in Brooklyn. Not the case. We ended up making three trips to Connecticut during the nine day stim cycle.
How was your experience with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Our experience with Dr. Leondires and RMA-CT was a horror show. My 30-year-old sister offered to donate an egg to me and my husband so that we could make a family with genetic linkage to both of us. We live in NYC where there are many great fertility practices, but we chose Dr. Leondires due to the passion he purports to have for gay family building and the desire to use a facility in a state where surrogacy is legal. Dr. Leondires was arrogant and distracted. I am a physician, and I assured my husband, “it doesn’t matter how arrogant he is; if he gets good results, that’s all that matters.”
My sister’s stim was a disaster. They could not figure out how to coordinate monitoring closer to her home at Northwell, though they had promised that would not be an issue. They would only even communicate with Northwell after we called multiple times saying that my sister was having trouble getting in. She ended up having to go to RMA-CT for her monitoring, but saw Dr. Leondires zero times. He was apparently monitoring her stim, though did not seem to have a good grasp on it. Initially he thought she would have plenty of eggs, then a few days later feared that she would only get 8. A couple days later at her retrieval, she got 30. After this roller coaster of a stim, ALL OF THE EGGS died at one stage or another. Of the 30, 21 eggs were mature; 15 were fertilized and 6 were put aside for her to keep. Of the fertilized eggs, 13 of 15 died before they reached blast stage. One had abnormal PGS testing and the other was inconclusive. They thawed the second embryo for rebiopsy and it died. He called my sister to tell her and said, “have you heard the diagnosis of PCOS?” She said, “yes I told you I had PCOS in our first consultation.”
My sister then offered to let us fertilize the remaining 6 eggs. On thaw, 4 of 6 died. The remaining two fertilized. Neither made it to blast stage. We had to practically beg for communication during this time. RMA-CT would not return emails and Dr. Leondires would be impossible to get on the phone. He gave us his cell phone number to assure us he was invested and then would not text back. When he did call, it would be at 9 pm, of course with bad news. He would robotically tell us about the statistics again: “If you start with 10 eggs, 8 of them might fertilize, right? And then of those 8…” (as if we were supposed to believe that what happened was run of the mill) and we would have to stop him and say, “We KNOW about the statistics. Can you tell us what exactly happened IN THIS CASE?” And he would say, “Well we don’t really know.” Meanwhile, a second opinion suggested that it was a poor stim. Of course, he would not admit that.
Then, because of this heavy handed stim, my sister got hyperstimulation syndrome. She had 7 extra lbs of ascites. She called the office to tell them. She was scared and uncomfortable and called me every day saying she was not sure what to do. He returned her call FIVE days later. By then it was already starting to get better. Because of the terrible experience, she is reluctant to cycle again and anxious about her own fertility.
Please – save yourself from the heartbreak, the difficulty, the begging for communication, and stay away from this man and this clinic.
What's one piece of advice would you give a prospective patient of Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Choose a different doctor. There is a great deal of emotion involved in this process: you want someone who gives you realistic expectations and feels trustworthy. Dr. Leondires fulfills neither of these requirements.
During treatment, were you treated like a number or a human with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Dr. Leondires never had a good handle on our names or the circumstances of our situation. Further, while he was present for the "consultations," he performed none of the medical procedures (ultrasounds, check ups, egg retrieval) for our donor.
Describe the protocols Mark Leondires used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
We had Dr. Leondires's stim cycles reviewed by two other prominent fertility doctors, and both disagreed with his approach. He seemingly forgot that our donor had PCOS, something he mentioned to her only after.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Nora Bolger)
Nora was very responsive and was great.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
RMA's facilities are clean and well kept, but you will become a number in their system. It's not a personalized place for something that is such an emotional and vulnerable process. The nursing and administrative staff is great, and some of the doctors are compassionate, but overall our experience was pretty awful.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
We were told monitoring appointments could be performed in Brooklyn. Not the case. We ended up making three trips to Connecticut during the nine day stim cycle.
Describe the costs associated with your care under Mark Leondires at Illume Fertility (formerly RMA of Connecticut).
As a gay couple, the cost was largely not covered by insurance and was about the expected cost of an IVF cycle.
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Lost paperwork
Failed to call with results
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information
Lost or damaged samples
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
Coordination between RMA and our donor's monitoring clinic was non-existent and required a lot of involvement from us (something we were assured wouldn't happen). Getting our doctor to call us was like pulling teeth, and he'd always call with results at 10pm instead of during business hours.
Dr. Richlin was willing to perform a double embryo transfer since I have DOR...I'm able to easily communicate with my physician...is a knowledgeable RE. His optimism has been helpful while going through this journey. However, he is inconsistent with email communication and sometimes dosen't follow up on essential procedures...He speaks fast so take notes and ask questions...For my IUI cycles I was prescribed Letrozole, Gonal F, and Femara. On my 1st IVF round I was prescribed Gonal F, Menopur, and MD Lupron. Unfortunately I didn't have a good response and I cancelled the cycle. I had a better response on my 2nd IVF round with Femara, Ganirelix, Gonal F, and Menopur.
Christina [nurse at RMA of Connecticut] is great with communication and shows empathy...I was incorrectly charged for sperm thawing when my insurance covered this procedure. I had to wait 3 months for a refund... They are open seven days a week. They are LGBTQIA friendly. They offer lots of events for patients. Some of the events they provide are fertile yoga, and support groups...I'm able to easily communicate with my physician and nurse. I'm treated with respect by everyone in the clinic.
How was your experience with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr. Richlin is a knowledgeable RE. His optimism has been helpful while going through this journey. However, he is inconsistent with email communication and sometimes dosen't follow up on essential procedures.
What's one piece of advice would you give a prospective patient of Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
He speaks fast so take notes and ask questions.
During treatment, were you treated like a number or a human with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
I'm able to easily communicate with my physician and nurse. I'm treated with respect by everyone in the clinic.
Describe the protocols Spencer Richlin used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
For my IUI cycles I was prescribed Letrozole, Gonal F, and Femara. On my 1st IVF round I was prescribed Gonal F, Menopur, and MD Lupron. Unfortunately I didn't have a good response and I cancelled the cycle. I had a better response on my 2nd IVF round with Femara, Ganirelix, Gonal F, and Menopur.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Christina )
Christina is great with communication and shows empathy.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
RMA performs a lot of IVFs and has a good lab. They are open seven days a week. They are LGBTQIA friendly. They offer lots of events for patients. Some of the events they provide are fertile yoga, and support groups.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
Before Covid-19 morning monitoring was between 7-8am. Since Covid-19 appointments are given for morning monitoring.
Describe the costs associated with your care under Spencer Richlin at Illume Fertility (formerly RMA of Connecticut).
Insurance covered a large portion of my care. However I was incorrectly charged for sperm thawing when my insurance covered this procedure. I had to wait 3 months for a refund.
Describe Spencer Richlin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
Dr. Richlin was willing to perform a double embryo transfer since I have DOR.
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Failed to order appropriate test
Failed to convey critical information
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
I had a saline sonogram completed and polyps were found. However, I was told by the RE that performed the procedure that the polyps will leave my system on my next menstrual cycle. Unfortunately my RE said a month later that the polyps need to be removed.
Dr. Murdock was very thorough in her work up with us and referred me for other appointments as needed (nutrition, additional bloodwork). Every step of the process was explained clearly and she spent a great deal of time in consultation with us making sure we understood all the diagnostics and treatment plan. While she did not shy away from the facts with us, she was always positive and re-assuring...results from my egg retrieval were as expected given my age and diminished ovarian reserve. Our FET is currently on hold due to COVID-19.
Everyone I have come in contact with at RMA has been nothing short of wonderful. They truly want the best for their patients. I primarily saw Dr. Murdock at most of my appointments but did see other doctors as well and it felt seamless. The clinic is modern with a comfortable surgical suite and is extremely clean...mostly communicated with [nurse] via email as that seemed to be the easiest way to reach her. She answered all my questions relatively quickly and took care of ordering medications
How was your experience with Cynthia Murdock at Illume Fertility (formerly RMA of Connecticut)?
Dr. Murdock was very thorough in her work up with us and referred me for other appointments as needed (nutrition, additional bloodwork). Every step of the process was explained clearly and she spent a great deal of time in consultation with us making sure we understood all the diagnostics and treatment plan. While she did not shy away from the facts with us, she was always positive and re-assuring. Our egg retrieval went smoothly but our FET is currently on hold due to covid-19.
What's one piece of advice would you give a prospective patient of Cynthia Murdock at Illume Fertility (formerly RMA of Connecticut)?
Ask her a lot of questions! She absolutely wants you to know and understand everything that is going on with regards to your diagnosis and treatment.
During treatment, were you treated like a number or a human with Cynthia Murdock at Illume Fertility (formerly RMA of Connecticut)?
Dr. Murdock is always positive and has a very calming demeanor. She explains everything (good and bad) but always made us feel she had our best interest at heart.
Describe the protocols Cynthia Murdock used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
I did a luteal start beginning with oral medication (estrace) and moved onto injections consisting of micro dose Lupron, Menopur and Gonal F. I stimmed for about 12 days before the trigger shot. I ended up with 5 eggs retrieved, 4 fertilized and 2 made it to blastocyst. We opted to do PGT testing due to my age and 1 embryo came back genetically normal. The results from my egg retrieval were as expected given my age and diminished ovarian reserve. Our FET is currently on hold due to COVID-19.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Vanessa)
I mostly communicated with Vanessa via email as that seemed to be the easiest way to reach her. She answered all my questions relatively quickly and took care of ordering medications
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
Everyone I have come in contact with at RMA has been nothing short of wonderful. They truly want the best for their patients. I primarily saw Dr. Murdock at most of my appointments but did see other doctors as well and it felt seamless. The clinic is modern with a comfortable surgical suite and is extremely clean.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
It was run very efficiently. I never waited more than 15 minutes
Describe the costs associated with your care under Cynthia Murdock at Illume Fertility (formerly RMA of Connecticut).
Insurance covered a good portion of our work up and IVF. We did have some out of pocket expenses with genetic testing and some medications
Describe Cynthia Murdock's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
We will be having one embryo transferred
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Failed to convey critical information
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
Our results from the genetic counselor during our initial work up were sent to the wrong email address. It was quickly corrected and never happened again.
Dr. Richlin was always professional but very caring. He always asked if you had questions, was thorough in explaining things. Always showed visuals and data to show what was happening...he always guided me with all options that were available, and would tell me what he thought was best course of action, but always allowed it to be my decision in the end..
Monitoring appointments were really convenient because they occurred early in the morning so it didn't interfere with getting to work...She [our RMA of Connecticut nurse] was patient with me and always helped explain details of protocols and best times to take meds and etc. Even on days she was off, she responded to my emails..
How was your experience with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr. Richlin was always professional but very caring. He always asked if you had questions, was thorough in explaining things. Always showed visuals and data to show what was happening. He always asked how I felt and how I was doing, made sure if I had any concerns he would discuss them, he always guided me with all options that were available, and would tell me what he thought was best course of action, but always allowed it to be my decision in the end. He supported me with not doing more testing, and understood financial restrictions and would do things within what was feasible.
What's one piece of advice would you give a prospective patient of Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Ask lots of questions, don't be shy, because he will answer everything happily!
During treatment, were you treated like a number or a human with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr. Richlin was always very informative, very caring always asking how I was, how I felt, and what I was thinking. Also always allowed me to make my own decisions, and would tell me all possible paths, what he would recommend, but allowed everything to be our choice, which I highly appreciated. He provided his knowledge but never imposed or forced decisions. He was patient and always willing to talk and discuss any thoughts or feelings about moving forward.
Describe the protocols Spencer Richlin used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
My protocols were on the basic side. I took the typical medications prescribed for IVF cycles, menopur estrogen, progesterone suppositories for retrieval and for frozen transfers. If anything needed to be changed, he always adjusted medications for me based on bloodwork and numbers. And he always showed me my numbers and where I need to be. My first fresh transfer was not successful. Then COVID hit and I had to take a break from any transfers. In May we started again and I did 2 frozen transfers in May and July. July was successful, but unfortunately ended in a chemical pregnancy. My 4th frozen transfer, was successful and I transferred my last 2 remaining embryos. And I am currently still pregnant!
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Christina Dias)
My nurse was amazing! She would always answer my emails, always answer my random questions or constant worrying that I was doing something wrong. She was patient with me and always helped explain details of protocols and best times to take meds and etc. Even on days she was off, she responded to my emails, which I appreciated SO MUCH!
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
With COVID being a big deal, RMA took all precautions to make sure everyone was safe. They put in safety protocols and did measures to keep things limited. They were always supportive, helpful and caring during the whole process. They are informative and everyone knows your name.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
Monitoring appointments were really convenient because they occurred early in the morning so it didn't interfere with getting to work, and it was very helpful to go in quick and be out quick and on my way.
Describe the costs associated with your care under Spencer Richlin at Illume Fertility (formerly RMA of Connecticut).
Most of my insurance covered the costs, some out of pocket expenses for medications.
Describe Spencer Richlin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
With my age being older, my doctor advised me to only do one, but again always left it up to me. My last transfer, it was our last shot, and I said I wanted to do 2 and he agreed with no problem.
As a sufferer of diminished ovarian reserve we tried a mixture if high dosages and low dosages of meds [with Dr. Joshua Hurwitz] to see what work best...He's a straight shooter and can be blunt but he's empathetic. Usually those that are blunt are perceived as jerks but you just like him. He made it his business to speak with both me and my husband after a failed retrieval when i didn't want to speak with anyone but he kept on calling and leaving messages until I finally picked up.
Morning monitoring [at RMA of Connecticut] was a well oiled machine. Was able to get in and out and be to work in time.... Staff is top notch. As a long term patient I started to have personal rappers with many staff members. Enjoy my visits for the most part. However the Phlebotomy team in Stamford is not strong. Great people but always a problem with blood draws...My care coordinator was amazing. Compassionate, friendly, sweet and quick to respond. The nurses were efficient, some more people friendly than others but totally on point with providing requested information.
How was your experience with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
Dr. Hurwitz is a great doctor. He's a strategist meaning I know he was going home and thinking about my case and how to produce better results. He was willing to try different things for the end result. He always gave his professional opinion, but I think at times he went along with me at times because I'm extremely strong willed. I think patients that are sensitive wouldn't like his delivery.
What's one piece of advice would you give a prospective patient of Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
He's the real deal. You can tell he truly cares about his patients.
During treatment, were you treated like a number or a human with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
He's a straight shooter and can be blunt but he's empathetic. Usually those that are blunt are perceived as jerks but you just like him. He made it his business to speak with both me and my husband after a failed retrieval when i didn't want to speak with anyone but he kept on calling and leaving messages until I finally picked up.
Describe the protocols Joshua Hurwitz used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
As a sufferer of diminished ovarian reserve we tried a mixture if high dosages and low dosages of meds to see what work best.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut).
My care coordinator was amazing. Compassionate, friendly, sweet and quick to respond. The nurses were efficient, some more people friendly than others but totally on point with providing requested information.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
RMA CT is a well oiled machine. Staff is top notch. As a long term patient I started to have personal rappers with many staff members. Enjoy my visits for the most part.
However the Phlebotomy team in Stamford is not strong. Great people but always a problem with blood draws.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
Morning monitoring was a well oiled machine. Was able to get in and out and be to work in time.
Describe the costs associated with your care under Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut).
we had great results from our egg donor's retrieval [with Dr. Leondires], the PGS testing was crucial, our surrogate responded well to the medications to get her ready, and our first transfer (albeit of a high-grade embryo) was successful. No qualms about the strategies or their rationale...is best described as mildly anti-twin. He is realistic about the additional risks posed by a multiple embryo pregnancy. Of course he's willing to transfer multiple embryos, but we did not want to pursue that course, and with results as good as his, it thus made little sense to transfer more than one embryo.
At times our surrogate had trouble scheduling with the clinic [RMA of Connecticut]. In terms of the medical care (or our experience as intended parents), however, I have nothing negative to say. We would highly recommend RMA-CT...we had great results from our egg donor's retrieval, the PGS testing was crucial, our surrogate responded well to the medications to get her ready, and our first transfer (albeit of a high-grade embryo) was successful. No qualms about the strategies or their rationale...is best described as mildly anti-twin. He is realistic about the additional risks posed by a multiple embryo pregnancy. Of course he's willing to transfer multiple embryos, but we did not want to pursue that course, and with results as good as his, it thus made little sense to transfer more than one embryo.
How was your experience with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Can't recommend Dr. Leondires highly enough. His results are fantastic and he's always striving to do better. He is very professional and trustworthy. While he can be blunt (which many doctors are), we appreciated his straightforward presentation and willingness to joke around.
What's one piece of advice would you give a prospective patient of Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Although Dr. Leondires can seem very sure of himself, you should still feel free to voice any concerns or ask any questions you have. You're your own best advocate!
During treatment, were you treated like a number or a human with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Dr. Leondires is fantastic. He can be blunt, but he clearly cares about his patients and is responsive to all questions and concerns. These journeys are personally meaningful to him and it shows.
Describe the protocols Mark Leondires used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
I do not remember particulars, but we had great results from our egg donor's retrieval, the PGS testing was crucial, our surrogate responded well to the medications to get her ready, and our first transfer (albeit of a high-grade embryo) was successful. No qualms about the strategies or their rationale.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
At times our surrogate had trouble scheduling with the clinic. In terms of the medical care (or our experience as intended parents), however, I have nothing negative to say. We would highly recommend RMA-CT and Dr. Leondires.
Describe Mark Leondires's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
Dr. Leondires is best described as mildly anti-twin. He is realistic about the additional risks posed by a multiple embryo pregnancy. Of course he's willing to transfer multiple embryos, but we did not want to pursue that course, and with results as good as his, it thus made little sense to transfer more than one embryo.
The doctor [Dr. Leondires] is both knowledgeable and practical. When we were getting close to transfer time, He presented us with pamphlets on ERA testing, as well as websites we could use to learn more about it. When we told him that we would require a gestational carrier, he provided us guidance on that as well.... For our Gestational Carrier, we began with an ERA cycle. During the first attempt at an ERA cycle she began with Estrace 2mgs for a week, increased to 4mgs by week two, then began progesterone in oil injections and prometrium suppositories.
Our Nurse [RMA of CT] is compassionate and informative. She’s not always the easiest to get in touch with, but will return an email within a day or two. She’s remained positive and supportive and has taken the time to explain each new step along our journey....Because we are using a carrier, many payments had to be made out of pocket. (All of the fees associated with her monitor care at her own clinic are not included) $3,819 - Gestational carrier medical Screening $1000 - ERA testing $5,000 - transfer fee
How was your experience with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
The doctor is both knowledgeable and practical. When we were getting close to transfer time, He presented us with pamphlets on ERA testing, as well as websites we could use to learn more about it.
When we told him that we would require a gestational carrier, he provided us guidance on that as well. Stating the pros and cons of going independent v. With an agency.
He himself has used a gestational carrier, so we appreciated his insight and support.
Through out or process so far, he has remained as objective as possible while presenting us with facts and it genuinely feels as if he has our best interests at heart.
What's one piece of advice would you give a prospective patient of Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Take the time to research all of the information he provides you with. Some Doctors will make decisions for you or try to lead you in a certain direction. It’s your life, do the legwork!
During treatment, were you treated like a number or a human with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
The Dr. is extremely personable and made us feel welcomed. He is positive, yet presents you with all scenarios. With such heartache at our last clinics, we needed someone to see us for who we are.
Describe the protocols Mark Leondires used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
For our Gestational Carrier, we began with an ERA cycle. During the first attempt at an ERA cycle she began with Estrace 2mgs for a week, increased to 4mgs by week two, then began progesterone in oil injections and prometrium suppositories. Unfortunately, the progesterone in oil caused spotting and her lining was not thick enough for the first biopsy to be done.
Second ERA attempt: used estradiol valerate injections instead of estrace pills. Switched out the progesterone oil for an olive oil base for less irritation and incorporated the same suppositories with baby aspirin. This Cycle resulted in a successful biopsy.
We are currently in our first transfer attempt cycle. Protocol from the last ERA cycle is being replicated with a slight adjustment on the timing of progesterone injections. The biopsy showed that she was slightly Pre-receptive.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Nora Bolger)
Our Nurse is compassionate and informative. She’s not always the easiest to get in touch with, but will return an email within a day or two. She’s remained positive and supportive and has taken the time to explain each new step along our journey.
Our patient coordinator, Courtney, was AMAZING. She responded to emails within hours of being sent. She was one of the reasons we loved Our clinic from the start. Unfortunately she no longer works there, but our communication with the clinic is still good overall.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
Strengths- supportive, informative, efficient
Weakness- they have a longer wait for medical screening than some other clinics we had worked with. Getting a calendar for transfers and ERA took longer than expected.
Describe the costs associated with your care under Mark Leondires at Illume Fertility (formerly RMA of Connecticut).
Because we are using a carrier, many payments had to be made out of pocket. (All of the fees associated with her monitor care at her own clinic are not included)
$3,819 - Gestational carrier medical Screening
$1000 - ERA testing
$5,000 - transfer fee
Describe Mark Leondires's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
Though we would love twins, the Dr. has a strong stance on SET. He, again, presented us with the data on SET v. DET. And explained the risks associated with multiples.
With Multiples, each baby is completing with the other for nutrients. With only one embryo developing in the womb, it is able to keep all of the focus on itself. He also stressed how a woman’s body was made to carry one baby at a time and multiples pregnancy put the carrier at a higher risk as well.
I was feeling particularly hopeless and over the phone he [Dr. Richlin] switched gears from medical doctor to checking on my mental health. He then adjusted our protocol in response. ... When it was time for us to come back for baby #2, he welcomed us with open arms as though we'd never left. ... Knowing I have his support and that he is walking with me on my journey makes it so much easier to walk back through those doors.
I give Kirsten lots of credit for our successful transfer. She noticed that my saline sonogram was about to expire and got me to squeeze in one before starting meds for a transfer. During the SS it was determined that I needed a hysteroscopy at which time they cleaned out a bunch of "webbing" in my uterus. ... The strength of RMA-CT is 100% its people. They are professional and they care. I'll say it 100 times - they truly care - everyone from the person at the front desk to the fantastic blood draw ladies to the doctors and nurses. A close second strength is the holistic approach to healthcare. I have taken advantage of the nutritionist, social worker, acupuncturists and especially Fertile Yoga and Ladies Night In support sessions.
How was your experience with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr. Richlin is fantastic. He knows his stuff as well as he cares about his patients. I worked with him for 2 years prior to our first RMA baby and we have been at it again for the last 14 months. When my husband and I first met with him, we were eager and optimistic. Dr. Richlin connected with my husband (as well as me) and made us both feel comfortable being in the unfamiliar office, with unfamiliar technology (the vaginal ultrasound wand is no joke!). As we progressed through diagnostic procedures without unveiling answers, I got more frustrated, but Dr. Richlin stayed with me, motivating me and explaining what "unexplained" means. He also gave insight into what we were finding and helped us understand our options.
After the required (by insurance) 3 IUI's, we headed into IVF. When we had no embryos on day 5 after our first retrieval, Dr. Richlin called me in shock. Hearing the surprise in his voice made me feel better. I was not a number, I was a future success story, but he was as frustrated as me by our roadblock. After another failed retrieval, he took our chart to "case review" to get his colleague's opinions. I love that he was humble enough to do this and that the others cared enough to help. What is better than 1 amazing brain? 5 of them! We kept tweaking the protocol and ended up with something that worked. When it was time for us to come back for baby #2, he welcomed us with open arms as though we'd never left. When I more recently had a miscarriage, he followed up via phone and email to see how I was doing. Knowing I have his support and that he is walking with me on my journey makes it so much easier to walk back through those doors.
What's one piece of advice would you give a prospective patient of Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Don't be afraid to ask questions! He will gladly take the time to explain something to you, or work through a scenario with you. He is a great listener and wants to know your concerns.
During treatment, were you treated like a number or a human with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr. Richlin knows me and emails and calls me directly after good and bad news. When I first worked with him, I was feeling particularly hopeless and over the phone he switched gears from medical doctor to checking on my mental health. He then adjusted our protocol in response.
When I recently had a miscarriage, he squeezed me in on a Saturday in between other scheduled appointments to check on my unexplained bleeding. He saw me again the next day (Sunday) and had a very in depth conversation with a partner who saw me on Monday. On Monday, it was decided I needed to go to the hospital for emergency surgery (I was having an heterotopic miscarriage which resulted in a ruptured tube and several days later a D&C.). Dr. Richlin called the hospital and worked closely with the head of surgery to make sure the director would be doing the (tubal) procedure. He also shared my file (with my permission) so that I was able to bypass many pokes and prods in the ED. Later in the week, it was decided that I needed a D&C. The office facility was booked, so Dr Richlin scheduled the OR at the hospital and again worked with the Director of Surgery so that they both did the procedure (after hours).
Dr. Richlin also celebrates our successes (they are his as well!) and always welcomes our 2 year old when she comes with me for an appointment (our first RMA baby). When I brought her in as a baby, he stepped away from his desk and chatted with us for 30 or so minutes in the middle of the day. He truly cares and his passion for what he does is evident in how he treats his patients.
Describe the protocols Spencer Richlin used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
3 IUI's - standard protocol
1st retrieval - standard protocol, nothing made it to day 5. PROTOCOL: 1/15/15 - baseline ultrasound and bloodwork; 1/17/15 - Dexamethasone 1/2 tablet in AM, Gonal F 300 + Menopur 75 at night; 1/20/15 - ultrasound and bloodwork; 1/21/15 - dexamethasone continues, start Doxycycline 2x daily, Gonal F 300 + Menopur 75 x2 + Ganirelix; 1/22/15 - Ultrasound and bloodwork; 1/24 - ultrasound and bloodwork, 1/25 - ultrasound and bloodwork, last dexamethasone, HCG trigger, Gonal F 300 last time; 1/26/15 - bloodwork; 1/27/15 - retrieval
2nd retrieval - Luteal Estrace/Antagonist. 2 blasts on day 5 (very very low quality) (untested); PROTOCOL: 3/2/15 - bloodwork; 3/2/15 - start estrace 2mg twice daily, start baby aspirin; 3/12/15 0 ultrasound and bloodwork; 3/14/15 - Gonal F 300 + Menopur 75 at night; 3/14/15 - start dexamethasone 0.5mg 1/2 dab orally every am until taking HCG; 3/15/15 - last dose of estrace; 3/17/15 - ultrasound and bloodwork; 3/19 (or around then) start ganirelix (.25 prefilled syringe) and possibly started menopur; take HCG 10,000 units or Ovidrel 250 (mcg) 36 hrs before retrieval; The night of the retrieval take Medrol 16mg for 5 days, also start Doxycycline 100mg 2x/daily for 5 days. Start Estrace 2mg 2x/daily after retrieval and begin Crinone 90mg the morning after retrieval (prep for fresh transfer)
1st transfer (FRESH) resulted in a negative pregnancy test (PROTOCOL - see above)
3rd retrieval - IVF with Luteal Estrace/Antagonist - resulted in 1 embryo on day 6 (untested); PROTOCOL: 4/27/15 bloodwork; 4/27/15 start estrace 2mg 2x daily, start baby Aspirin; 5/11/15 - ultrasound and bloodwork; 5/12/15 - Gonal F 300 + Menopur 150 every evening also Dexamethasone 0.5mg, 1/2 tablet orally every morning until HCG; 5/13/15 - last dose of Estrace; 5/15/15 - ultrasound and bloodwork; 5/17/15 (or around then) - begin Ganirelix and likely Menopur; HCG 10,000 units 36 hrs before retrieval
4th retrieval - Luteal Estrace/Antagonist - resulted in 1 embryo on day 6 (untested)
2nd transfer (frozen, used 2 blasts) resulted in a positive pregnancy test. One fetus was lost at week 7, other is a precious 2 year old :) Used estrace valerate to support my estrogen numbers.
--break due to pregnancy and nursing--
5th retrieval - did luteal phase priming - resulted in 4 high quality embryos on day 5. None were tested. (at this point, I've been on NeoQ10 for almost 5 years, otherwise the result was a surprise) PROTOCOL: 2/19/18 - bloodwork to confirm ovulation; 2/19/18 - start estrace 2mg orally twice daily, start taking baby aspirin; 3/5/18 - return for ultrasound and bloodwork; 3/6/18 - Gonal F 300iu + Menopur 150iu every evening; 3/7/18 - last dose of estrace; 3/9 - ultrasound and bloodwork; 3/11/18 (or around then) started ganirelix and may have increased menopur
3rd transfer (frozen, using 2 blasts)- used estradiol valerate and copied the protocol from transfer #2 - negative pregnancy test. PROTOCOL: 4/10/18 Start Estradiol Valerate (0.2ml (4 mg) injections. One injection every 3 to 4 days so that you are doing them 2x a week. Start baby aspirin daily. 4/20/18 - REturn to office for bloodwork and ultrasound. 4/21/18 - Start Progesterone 50mg (one cc) IM @ 12pm alternating every other day with Crinone one vaginal insert 2x daily. Continue Estradiol Valerate at the same dose and schedule. 4/26/18 - Transfer day. Use Crinone, one insert vaginally in the morning. 5/4/18 - Pregnancy blood test
4th transfer (frozen, using 2 blasts) - used estradiol valerate and copied protocol from transfer #2 - positive pregnancy test, week 6 demise of both pregnancies. I had a heterotopic pregnancy/miscarriage, resulting in a ruptured right tube and a D&C. PROTOCOL: 8/9/18 Start Estradiol Valerate (0.2ml (4 mg) injections. One injection every 3 to 4 days so that you are doing them 2x a week. Start baby aspirin daily. 8/22/18 - REturn to office for bloodwork and ultrasound. 8/25/18 - Start Progesterone 50mg (one cc) IM @ 12pm alternating every other day with Crinone one vaginal insert 2x daily. Continue Estradiol Valerate at the same dose and schedule. 8/30/18 - Transfer day. Use Crinone, one insert vaginally in the morning. 9/7/18 - Pregnancy blood test
6th retrieval - this was rushed due to squeezing it in before the end of our insurance cycle, we didn't want to "leave money on the table" - resulted in no embryos on Day 3 - quite a shock to have none
* I also do acupuncture 2x a week when in cycle, whether it be a retrieval cycle or a transfer cycle. I do laser acupuncture before and after the transfer.
** I take a prenatal, DHA supplement, NeoQ10 and folic acid regularly
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Kirsten, and now Kaylen)
The nurses are all amazing. I feel very fortunate to have had two of the best. They respond promptly to both email and phone calls and answer my endless questions without a hint of frustration. They explain things as many times as I need it explained and in as many ways. They are great at sending reminders and following up. I give Kirsten lots of credit for our successful transfer. She noticed that my saline sonogram was about to expire and got me to squeeze in one before starting meds for a transfer. During the SS it was determined that I needed a hysteroscopy at which time they cleaned out a bunch of "webbing" in my uterus. The nurses absolutely go the extra mile. They greet me with a smile in the morning and followed up with genuine emails and calls following our miscarriage.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
The strength of RMA-CT is 100% its people. They are professional and they care. I'll say it 100 times - they truly care - everyone from the person at the front desk to the fantastic blood draw ladies to the doctors and nurses. A close second strength is the holistic approach to healthcare. I have taken advantage of the nutritionist, social worker, acupuncturists and especially Fertile Yoga and Ladies Night In support sessions. Fertile Yoga and Ladies Night In are unique peer-led support groups which have given me an outlet and also a place to grow in this and with this diagnosis. Lisa Rosenthal (the leader) is a tireless advocate for all of us, and for fertility, and inspires me to get back up and try again. Through these support groups, I have developed strong friendships with others going through this process and also with new moms as we mutually emerge from the diagnosis. The clinic treats the whole person - the whole FAMILY - and I am so glad my OB recommended I "go straight there."
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
Morning monitoring is not awesome, but the waiting room is well-stocked with coffee, tea, TV and on the weekends, bagels. It is first come, first served, but we sit waiting for our name to be called in a very comfortable place. Once your name is called, you go do bloodwork and from there they take you to an exam room. About 15% of the time, the exam rooms are all full and you go back to the waiting room and have your name called again for the exam room. The exam rooms are pleasantly decorated in peaceful tones, but are otherwise exam rooms. The primary facility (where I go) was opened in 2015, so it still feels fresh, clean and new.
Describe the costs associated with your care under Spencer Richlin at Illume Fertility (formerly RMA of Connecticut).
We are very fortunate to have had many of our procedures covered by insurance. I believe we paid a total of about $30,000 out of pocket for our first child ($20,000 was covered by insurance). We've now paid approximately $10,000 (in deductibles) for our second go-round.
Describe Spencer Richlin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
Yes. I did not know what to do and felt very comfortable asking him to make that decision.
Transfer #1 - fresh transfer, 2 embryos very low quality - it wasn't discussed too much. I think the doctors knew there was a slim chance either would work.
Transfer #2 - I was mentally exhausted and questioning whether I should even do the transfer. I wanted to only transfer 1 and possibly have the second for a second baby, but I also barely had it in me to go through one transfer cycle. Dr. Richlin talked to me about the consequences of transferring 2, and then said he thought I should do 2 based on my mental state. I needed to get on with things (we were talking egg donor if it didn't work). My husband and I discussed the possibility of having twins and we were excited about it. I was 35 at the time.
Transfer #3 - I was 37 and we discussed it, but transferring 2 seemed like the right thing to do.
Transfer #4 - There was a brief discussion, but we were comfortable transferring 2.
**After the miscarriages from transfer #4, we will now get any embryos tested and only transfer 1.
Dr. Ritchlin always a has such a positive attitude. It is very clear that his end goal is to get us pregnant. It is evident that he is passionate about our goals and is our biggest cheerleader. He wants success for us and that is evident. ... Dr. Ritchlin always takes the time to call and discuss any protocol, procedure, outcome or plans with us in details and uses specific data to relate information.
I have always had a super short wait period for bloodwork and morning monitoring. I have never waited more than 5-7 minutes. ... I think the biggest strength of RMA [of Connecticut] is their expansive resources. They are such a well equipped team of staff and doctors and every time I am there I feel welcomed and comforted. The office is extremely clean and uplifting. Everyone is always happy and outgoing. ...
How was your experience with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr. Ritchlin always a has such a positive attitude. It is very clear that his end goal is to get us pregnant. It is evident that he is passionate about our goals and is our biggest cheerleader. He wants success for us and that is evident.
What's one piece of advice would you give a prospective patient of Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Make sure to ask questions specific to outcomes so that he can further explain the rationale and reasonings.
During treatment, were you treated like a number or a human with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr. Ritchlin always takes the time to call and discuss any protocol, procedure, outcome or plans with us in details and uses specific data to relate information.
Describe the protocols Spencer Richlin used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
We first started in April 2018 with clomid and timed intercourse. That did not work. We then went into doing 2 cycles of IUI which neither worked. It was our choice to proceed with an IVF cycle instead of waiting one more round of IUI. IVF started in August with stims and a retrieval followed by 3 frozen transfers: September, October, December. We are currently prepping for our second IVF cycle.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Judit )
Our nurse has been the stepping stone to our IVF journey. She is constantly in communication with us, and always giving us up to date information. We work primarily with our nurse because she has the quickest turn around time and we have the best relationship with her.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
I think the biggest strength of RMA is their expansive resources. They are such a well equipped team of staff and doctors and every time I am there I feel welcomed and comforted. The office is extremely clean and uplifting. Everyone is always happy and outgoing.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
I have always had a super short wait period for bloodwork and morning monitoring. I have never waited more than 5-7 minutes.
Describe the costs associated with your care under Spencer Richlin at Illume Fertility (formerly RMA of Connecticut).
So far, we have paid roughly $25,000 - $30,000 for our cycles and medications. This also includes roughly $1,000 for acupuncture appointments, $175 mental health appointment and the rest is what insurance did not cover.
Describe Spencer Richlin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
Dr. Ritchlin shared the concerns about doing multiple embryo transfers and we agreed that single embryo transfers were the best option for our cycles.
Dr. Williams provides a lot of information, and tends to stay on the more positive side of statistics. Whenever a treatment didn't work, the next time I saw him, he always made sure to ask if I was ok. He also seemed very concerned with things we were concerned about.... He was very reluctant to even consider transferring two embryos. I am positive though, it is because we have a very high chance of success.
They [RMA of CT] initially told us our insurance wouldn't cover infertility treatments and we would have to pay out of pocket. So we took out a loan. When my wife decided to take over, they ran the insurance again and found out we actually did have coverage for everything. This has cost us thousands in interest from loans, and would have significantly impacted the treatments options we selected if we had known certain things were covered.
How was your experience with Shaun Williams at Illume Fertility (formerly RMA of Connecticut)?
Dr. Williams provides a lot of information, and tends to stay on the more positive side of statistics. Whenever a treatment didn't work, the next time I saw him, he always made sure to ask if I was ok. He also seemed very concerned with things we were concerned about.
What's one piece of advice would you give a prospective patient of Shaun Williams at Illume Fertility (formerly RMA of Connecticut)?
Ask questions. Keep in mind, he tells you the most positive statistics he can, and even if everything is perfect, it can still be difficult to conceive.
During treatment, were you treated like a number or a human with Shaun Williams at Illume Fertility (formerly RMA of Connecticut)?
Dr. Williams is very sweet and gentle. I feel like he genuinely has our best interests at heart.
Describe the protocols Shaun Williams used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
I did three IUI cycles with 100mg Clomid, which worked about as good as could be expected. The IUIs did not take. After that, he suggested injectables or Letrazole, but my wife and I decided we would rather try reciprocal IVF instead,since she is about 6 years younger, and we could not know for sure why IUI wasn't working. We are going through that process now.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Judit)
Judit answered all my emails within the same day. When I had issues getting my medicine because my pharmacy ran out, she put it through to another pharmacy the same day.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
2 huge things.
1. We ended up getting an email from our sperm bank letting us know they did not approve our request for reimbursement (which we never requested). Come to find out, the sperm bank mislabeled the vials, and gave me an ICI vial instead of an IUI vial. They used the vial in my first IUI attempt, but never disclosed if they washed the sperm before putting it inside me, and I had pretty bad cramps that time. They did not tell us ANY of this had occured. Had we not received the email from the sperm bank, we would have never known anything was wrong.
2. They initially told us our insurance wouldn't cover infertility treatments and we would have to pay out of pocket. So we took out a loan. When my wife decided to take over, they ran the insurance again and found out we actually did have coverage for everything. This has cost us thousands in interest from loans, and would have significantly impacted the treatments options we selected if we had known certain things were covered.
Describe the costs associated with your care under Shaun Williams at Illume Fertility (formerly RMA of Connecticut).
The out of pocket rate for IUI was 1200 per cycle with no medication included (medication costed about $120 total for Clomid and Ovidrel).
Testing was covered by my insurance for the most part. Genetic test was $250.
If you did a 3 pack it was $6000 and included 2 injectable cycles if needed.
For Reciprocal IVF, I'm pretty sure we will hit our out of pocket max, and our insurance will cover the rest.
Describe Shaun Williams's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
He was very reluctant to even consider transferring two embryos. I am positive though, it is because we have a very high chance of success. He said there would be 60 percent chance of multiples of we transferred 2 embryos.
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
He [Dr. Hurwitz] treats me like he would his own family member. He has been there for us every step of the way, during all the ups and downs that come with infertility. He remains positive we will get the outcome we desire. ... He has always taken his time to make sure I understand all options available to me. He is always ready and willing to answer any questions I have. He has held our hand and cried with us during our losses and has been a constant support during this difficult process.
Everything RMA does is to make the patient experience the best it can be during such a stressful journey. From the start, you are provided with an entire team of people whose primary goal is to support you and help you the best way they possibly can. Whether it's to answer your question on how to mix your medication to a supportive hug before drawing blood.
How was your experience with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
He is amazing. I wish all my doctors were like him. He treats me like he would his own family member. He has been there for us every step of the way, during all the ups and downs that come with infertility. He remains positive we will get the outcome we desire.
What's one piece of advice would you give a prospective patient of Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
Don't think twice about if you should see him. I only wish I had heard of him sooner and started working with him earlier in our journey towards having a family.
During treatment, were you treated like a number or a human with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
Dr. Hurwitz is an amazing doctor. He has always taken his time to make sure I understand all options available to me. He is always ready and willing to answer any questions I have. He has held our hand and cried with us during our losses and has been a constant support during this difficult process. We are currently taking a break after our last loss but look forward to continuing the process with him when we're ready. I only wish I had met him sooner.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Kirsten)
The nursing staff, in general, is amazing. They are super supportive and are always waiting with a hug and smile to cheer you on in your journey.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
Everything RMA does is to make the patient experience the best it can be during such a stressful journey. From the start, you are provided with an entire team of people whose primary goal is to support you and help you the best way they possibly can. Whether it's to answer your question on how to mix your medication to a supportive hug before drawing blood.
Describe Joshua Hurwitz's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
His primary concern was that we have a healthy pregnancy which resulted in a live birth of a healthy baby and mother. He always leaned towards a single embryo transfer but was supportive of our choice to put 2 back.
Ask which office he [Dr. Richlin] is currently rotating at to ensure you can see more of him!...Did a birth control start into a Lupron microflair protocol with gonal f and Menopur and a hsg trigger. This was due to my age factor. Next protocol will be similar but with an estrace priming due to low number of mature eggs in last round...He is a good communicator and made you feel at ease and cared about.
There was an error made on my protocol paperwork [at RMA of Connecticut] but it was fixed and compensated for but it was a slight worry if it effected anything. All other communications and answering all my questions were very helpful!...Morning monitoring was from 7-8am and this generally worked out well. As long as you got there near 8 they would still see you. There was a wait at times for bloodwork depending on how many people there were but it was usually fairly quick to be seen.
How was your experience with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
He is very helpful and caring. He gives good detailed explainations of everything that is going on, but in a simplified condensed manner that really brings the most important things to light while allievating fears.
What's one piece of advice would you give a prospective patient of Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Ask which office he is currently rotating at to ensure you can see more of him!
During treatment, were you treated like a number or a human with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
He is a good communicator and made you feel at ease and cared about.
Describe the protocols Spencer Richlin used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
Did a birth control start into a Lupron microflair protocol with gonal f and Menopur and a hsg trigger. This was due to my age factor. Next protocol will be similar but with an estrace priming due to low number of mature eggs in last round.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Kaylyn)
There was an error made on my protocol paperwork but it was fixed and compensated for but it was a slight worry if it effected anything. All other communications and answering all my questions were very helpful!
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
You can feel like a number at times but all the staff is really very helpful and caring so it more than makes up for it. All my visits went well and they all put me at ease through the whole process.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
Morning monitoring was from 7-8am and this generally worked out well. As long as you got there near 8 they would still see you. There was a wait at times for bloodwork depending on how many people there were but it was usually fairly quick to be seen.
Describe the costs associated with your care under Spencer Richlin at Illume Fertility (formerly RMA of Connecticut).
Insurance was denied so out of pocket Opportunity Plan was $20,000 for PGS and one round of IVF with 10 days of medications included. We paid for one additional day of meds for $500. Diagnostics and genetics testing were covered under insurance since we got our max out of pocket.
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Failed to inform you of changes in protocol
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
There was a slight protocol amount change that was not told to us till wee were already thru most of the cycle. This caused a shortage of meds for a day but this was given to us at no charge to make up for the error.
He [Dr. Leondires] is compassionate and kind and took his time with us. He once called me on his weekend off because the nurse told him I was upset. He made me feel like he had our best interests in mind. He was very up front about our chances of success... I believe he told us he would have moved on to IVF sooner, but our insurance covered 6 IUI cycles and no IVF so he wanted to exhaust the covered services before subjecting us to a fully self-pay service.
In all communication with anyone in the office [RMA], I felt like they knew who I was and what my general and/or recent history was. Everyone including the receptionists, lab techs, nurses and practioners were friendly and helpful...my financial advisor had moved to a new position and I had difficulty getting accurate information from the several financial advisors I was assigned to over the next couple of years.
How was your experience with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
He is compassionate and kind and took his time with us. He once called me on his weekend off because the nurse told him I was upset. He made me feel like he had our best interests in mind. He was very up front about our chances of success.
What's one piece of advice would you give a prospective patient of Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
His office is quite far from where we live and he does not usually have office hours closer.
During treatment, were you treated like a number or a human with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
In all communication with anyone in the office, I felt like they knew who I was and what my general and/or recent history was. Everyone including the receptionists, lab techs, nurses and practioners were friendly and helpful.
Describe the protocols Mark Leondires used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
We did 6 IUI cycles - 2 with Clomid, 2 or 3 with combined Clomid and injectables and 1 or 2 with injectables alone. I believe he told us he would have moved on to IVF sooner, but our insurance covered 6 IUI cycles and no IVF so he wanted to exhaust the covered services before subjecting us to a fully self-pay service. We finally did one IVF cycle and transferred 2 of 14 embryos and froze 4 more. We had 1 full term singleton birth from the first IVF cycle. The remaining embryos were genetically tested but 3 of the 4 didn't survive the thaw. We later attempted 2 FET cycles with the last remaining embryo (delayed for more than a year due to complications, need for further testing and travel to a Zika zone). The first was cancelled before transfer for unfavorable uterine lining. The second resulted in an early miscarriage.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Jocelyn Crespo and Mary ?)
They were all very good
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
Overall very organized and compassionate group of people who really know what they're doing. There was 1 physician that I did not like at all, but the others were fantastic. When we returned to the clinic for a FET after our successful pregnancy, my financial advisor had moved to a new position and I had difficulty getting accurate information from the several financial advisors I was assigned to over the next couple of years. Despite having frozen embryos, I also wished I had been told sooner that I likely had DOR
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
Usually very quick and organized. On weekdays, I could go to any of the 4 offices for monitoring. Even on weekends when all patients were at the same office, it was never too long of a wait, nor did the practitioners seem rushed
Describe the costs associated with your care under Mark Leondires at Illume Fertility (formerly RMA of Connecticut).
About $30000 total for copays & deductibles, IVF, genetic testing of embryos and FET
Describe Mark Leondires's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
He briefly mentioned eSET for our 2nd cycle but it became irrelevant when 3 of the 4 frozen embryos were lost
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Provided conflicting information
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
The financial people gave conflicting and/or innacurate information. This was immediately addressed by the clinic
As a single mom to be I feel like there are definitely things that should've been discussed. As I'm entering my first IVF cycle with donor sperm, it hit me 2 days before my retrieval that I would like to also freeze eggs (in addition to embryos) if I have a good enough response. This was never recommended by my doctor [Dr. Williams]! ..Strengths include a calm, relaxing demeanor. If you're an anxious patient you would do well with him. But he's very impersonal and I felt like just a number.
Strengths are that it is a top of the line clinic [RMA - Norwalk] with it's cleanliness, technology, and capabilities. They also focus on the whole body and offer yoga, acupuncture, and support groups! Weaknesses are with the lack of compassion in some of the staff...Also would say communication is sometimes lacking...I'm also unhappy and disheartened that there was also a mistake when information that I relayed to a doctor was put into the wrong patient's file. This ultimately caused the lab to not freeze the last bit of donor sperm that I had.
How was your experience with Shaun Williams at Illume Fertility (formerly RMA of Connecticut)?
Strengths include a calm, relaxing demeanor. If you're an anxious patient you would do well with him. But he's very impersonal and I felt like just a number. I am a single mom to be and did not feel well taken care of on an emotional level.
What's one piece of advice would you give a prospective patient of Shaun Williams at Illume Fertility (formerly RMA of Connecticut)?
If you need a calm, reassuring demeanor, you'll like him. If you want a doctor that treats you as a person with a life and feelings you might want to go with someone else.
During treatment, were you treated like a number or a human with Shaun Williams at Illume Fertility (formerly RMA of Connecticut)?
All talk was robotic and clinical. Have seen him for over a year and don't think he even knows what I do professionally. Whereas another doctor knew asked and learned more about me during one monitoring session
Describe the protocols Shaun Williams used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
No "infertility" issues per say. Just a single female that wants a baby. So started with a clomid/trigger IUI. 2nd IUI clomid was upped and follistim added. Resulted in a chemical pregnancy. 3rd IUI was follistim and trigger and was negative. Just had my first egg retrieval for IVF #1 and used follistim, menopur, ganirelix and hCG trigger. Resulted in 20 eggs retrieved.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Linda)
My primary nurse was very knowledgeable and organized. But lacked in tenderness and compassion. The blood draw nurses were sweet. And the nurses in the egg retrieval section were amazing!!
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
Strengths are that it is a top of the line clinic with it's cleanliness, technology, and capabilities. They also focus on the whole body and offer yoga, acupuncture, and support groups! Weaknesses are with the lack of compassion in some of the staff. I know they do this for a living but I think it's critical for them to remember the patients they are dealing with. Also would say communication is sometimes lacking. If I didn't do research and ask a million questions there are some things that would've never been revealed. I'm also unhappy and disheartened that there was also a mistake when information that I relayed to a doctor was put into the wrong patient's file. This ultimately caused the lab to not freeze the last bit of donor sperm that I had.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
They were pretty organized as long as you got there at 7 am on the dot. The closest office is about 30 minutes away and in order to get seen and get out and get to work on time I needed to be there the minute they opened.
Describe the costs associated with your care under Shaun Williams at Illume Fertility (formerly RMA of Connecticut).
After 3 IUIs using donor sperm I've charged about $7,000 for sperm, deductibles, and meds.
Describe Shaun Williams's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
Doctor originally recommended transferring 2 due to my age (38). After retrieval, he stated that my embryo development was above average for someone my age and he now recommends 1. So I'm confused and overwhelmed at the decision.
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
As a single mom to be I feel like there are definitely things that should've been discussed. As I'm entering my first IVF cycle with donor sperm, it hit me 2 days before my retrieval that I would like to also freeze eggs (in addition to embryos) if I have a good enough response. This was never recommended by my doctor! Thank goodness I was able to relay my desire in time and they were able to adjust the plans. Additionally, I mentioned several times how anxious I was because I only have 2 lifetime IVS and literally bought the last vial for my donor. He is no longer donating. I mentioned it again during one of my monitoring sessions with a different doctor. He said they could separate the vial and freeze the extra. Again, I didn't know this was an option! I said of course I'd like to do that. The information was not put in my chart; only verbally discussed with my doctor. My doctor then put those notes into the wrong patient's file. After my egg retrieval, the extra sperm was not refrozen.
Dr. Richlin took the time to get to know my situation and my husband's situation and made sure we understood everything that was going on. He answered our questions thoughtfully and I never felt rushed. He was very helpful and encouraging.... Dr. Richlin recommended I try timed intercourse with Clomid. The first dose of clomid was too little and follicles did not grow large enough for the trigger shot. He gave me a higher dose of clomid immediately, which did the trick as my follicles were large enough for a trigger shot.
This clinic [RMA of Connecticut] is beautiful, clean, and well organized. The staff is excellent. The clinic is bright and welcoming, and I always feel comfortable when I am there. It does not feel like a 'sterile' environment.... Most of the nurses I encountered were warm and friendly. My nurse coordinator sometimes seemed a bit cold, but besides that I never had a negative experience.
How was your experience with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
My experience with Dr. Richlin was very positive. The first time I met with him, I met with him on my own and he was very reassuring and helpful. Each staff member that I encountered was friendly and welcoming and made sure I was comfortable. Questions were always answered promptly if I was unable to get in contact with someone right away.
What's one piece of advice would you give a prospective patient of Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
He is very reassuring, almost to the point that I felt there was no way my treatments wouldn't work. Unfortunately, I have not gotten pregnant yet and felt very disappointed each time, which is to be expected. The advice I would give is to remember that nothing is guaranteed, a doctor can't possibly know for sure if something will work for you so...I would say be cautiously optimistic.
During treatment, were you treated like a number or a human with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr. Richlin took the time to get to know my situation and my husband's situation and made sure we understood everything that was going on. He answered our questions thoughtfully and I never felt rushed. He was very helpful and encouraging.
Describe the protocols Spencer Richlin used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
Dr. Richlin recommended I try timed intercourse with Clomid. The first dose of clomid was too little and follicles did not grow large enough for the trigger shot. He gave me a higher dose of clomid immediately, which did the trick as my follicles were large enough for a trigger shot. I gave myself the trigger shot as directed, ovulated, and had timed intercourse as directed. I went in for a blood test about two weeks later and it was negative. I then began my next cycle with the larger dose of Clomid and did the whole thing all over again the same way with the same results. For the third round it was recommended that I switch to letrozole, but I declined to go for another round because there was some factors in my life that caused me to need to put things on hold.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Kirsten)
Most of the nurses I encountered were warm and friendly. My nurse coordinator sometimes seemed a bit cold, but besides that I never had a negative experience.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
This clinic is beautiful, clean, and well organized. The staff is excellent. The clinic is bright and welcoming, and I always feel comfortable when I am there. It does not feel like a 'sterile' environment. I cannot think of any weaknesses.
Describe the costs associated with your care under Spencer Richlin at Illume Fertility (formerly RMA of Connecticut).
My insurance covered everything.
Describe Spencer Richlin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
N/A
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Failed to call in prescriptions to pharmacy
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
My insurance only covers infertility treatments after you have been actively trying for one year. Dr. Richlin mistakenly reported me as trying for only a few months so the insurance would not cover infertility treatment. The financial adviser tried to rectify the situation, but my insurance company is not very helpful and never returned any of the phone calls made by the counselor. Due to this error, I was unable to qualify for an IUI and was told to do timed intercourse in the meantime, which never worked.
When we first met Dr. Hurwitz, we thought he was the greatest in terms of personality, demeanor, etc. After that initial appointment, however, we had a few experiences where we weren't sure if he was the same doctor with whom we had spoken. He was curt, seemed annoyed, and when my husband couldn't make an appointment, Dr. Hurwitz wouldn't "tie up a phone line" and call him. And while he is my doctor, I have never seen him for any procedure and have only happened to get him on a monitoring appointment twice.
I go for monitoring at their [RMA] Trumbull office which only has two ultrasound rooms. I've found that if I'm not one of the first ones there at 7am, I could be waiting for an hour if not longer to get into a room...The clinic wants to portray themselves as a warm and friendly place, but it really is just a well polished factory. I've had nurses who couldn't place IVs or left me with tremendous bruises...I've had more bad experiences than good with the staff.
How was your experience with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
Dr Hurwitz made a great first impression. He also called us personally before and after the first IVF cycle to say he thought things looked great. It was nice to get that personal touch but we didn't hear from him much during our second round. i actually feel more connected to one of the other doctors who I see for about 95% of my monitoring appointments and who did my retrieval and transfer for this last cycle.
What's one piece of advice would you give a prospective patient of Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
Don't take it personally if you never hear from or see him after your initial consult.
During treatment, were you treated like a number or a human with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
When we first met Dr. Hurwitz, we thought he was the greatest in terms of personality, demeanor, etc. After that initial appointment, however, we had a few experiences where we weren't sure if he was the same doctor with whom we had spoken. He was curt, seemed annoyed, and when my husband couldn't make an appointment, Dr. Hurwitz wouldn't "tie up a phone line" and call him. And while he is my doctor, I have never seen him for any procedure and have only happened to get him on a monitoring appointment twice.
Maybe we caught him on some "off days".
Describe the protocols Joshua Hurwitz used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
For our first round of IVF, the protocol was similar if not identical to the one we had done at another clinic. When that cycle only resulted in one good embryo, Dr Hurwitz completely changed the protocol in hopes of yielding more. The new protocol seemed much longer but it did give us 9 embryos (4 of which were normal).
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Linda)
Linda is fantastic. I was even able to go to her when my financial coordinator dropped the ball and she made sure it got taken care of.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
At the end of the day, they really need to evaluate their staff. The clinic wants to portray themselves as a warm and friendly place, but it really is just a well polished factory. I've had nurses who couldn't place IVs or left me with tremendous bruises. When I said something to another nurse about my bad experiences her response was "you must have been here on a weekend" (she was right).
On the day of my first retrieval (a Sunday), I was called back and told to undress from the waist down and the doctor would be in with my specimen. She brought me back for an IUI instead of a retrieval. That same day, a nurse was about to get my IV ready, stopped because she forgot gloves, then couldn't place it (I don't have tricky veins). While that was going on, another woman in the bay next to me fell out of the bed and onto the floor - the whole morning was a total nightmare.
When I went for the transfer, I checked in and was given financial papers to sign. After 30 minutes in the waiting room, I got a call from the nurses asking where I was since I was supposed to be there 20 minutes ago. The receptionist never actually checked me in.
My second retrieval and transfer were much better, but I've had more bad experiences than good with the staff.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
I go for monitoring at their Trumbull office which only has two ultrasound rooms. I've found that if I'm not one of the first ones there at 7am, I could be waiting for an hour if not longer to get into a room.
Describe the costs associated with your care under Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut).
Thankfully our insurance fully covered all of our treatments except the PGD testing which was just under $4,000.
We are responsible for meeting our deductible and coinsurance
Describe Joshua Hurwitz's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
We only did an eSET because we only had one embryo at the time.
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Lost paperwork
Provided conflicting information
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
At the end of the day, they really need to evaluate their staff. The clinic wants to portray themselves as a warm and friendly place, but it really is just a well polished factory. I've had nurses who couldn't place IVs or left me with tremendous bruises. When I said something to another nurse about my bad experiences her response was "you must have been here on a weekend" (she was right).
On the day of my first retrieval (a Sunday), I was called back and told to undress from the waist down and the doctor would be in with my specimen. She brought me back for an IUI instead of a retrieval. That same day, a nurse was about to get my IV ready, stopped because she forgot gloves, then couldn't place it (I don't have tricky veins). While that was going on, another woman in the bay next to me fell out of the bed and onto the floor - the whole morning was a total nightmare.
When I went for the transfer, I checked in and was given financial papers to sign. After 30 minutes in the waiting room, I got a call from the nurses asking where I was since I was supposed to be there 20 minutes ago. The receptionist never actually checked me in.
My second retrieval and transfer were much better, but I've had more bad experiences than good with the staff.
Dr Richlin was, from the beginning, extremely open, honest, compassionate, and took a deep interest in our situation...He never hesitates to check in, answer questions, go into more detail, and make sure that we're comfortable with where we are and the next steps. He takes the time to point out everything he's looking at during ultrasounds and explain what he sees. He's so thorough and caring in everything he does.
RMA is phenomenal. Not only do they have amazing doctors and nurses, but their support services are second to none. Yoga, acupuncture, support groups, nutritionists all come together to give patients a comprehensive treatment plan. It would have been much more difficult for me to deal with the stresses of my infertility if I hadn't taken advantage of these services. The facilities are amazing - modern, clean, top-end. The multiple locations make it easy to schedule appointments.
How was your experience with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr Richlin was, from the beginning, extremely open, honest, compassionate, and took a deep interest in our situation. Unfortunately, our first pregnancy ended in a loss due to chromosomal issues. Dr. Richlin called me personally to extend his sympathies and stress that he and the team were there for us whenever we were ready to move forward. He never hesitates to check in, answer questions, go into more detail, and make sure that we're comfortable with where we are and the next steps. He takes the time to point out everything he's looking at during ultrasounds and explain what he sees. He's so thorough and caring in everything he does.
What's one piece of advice would you give a prospective patient of Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
He's chatty! I like that, because I'm chatty as well, but if you're looking for a doctor who just presents the facts with nothing else, Dr. Richlin isn't the one for you. But if you want a doctor who is more than willing to go into tiny details and talk about anything with you, he's the one!
During treatment, were you treated like a number or a human with Spencer Richlin at Illume Fertility (formerly RMA of Connecticut)?
Dr. Richlin is amazing. He is warm, compassionate, and always takes as much time as needed to answer questions and go over plans. He is genuinely excited with successes and genuinely upset with setbacks. He also takes the time to chat about non-fertility topics and really get to know his patients and their partners, which made me feel at ease with him very quickly. I've never felt so comfortable with a doctor.
Describe the protocols Spencer Richlin used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
I have annovulatory PCOS, but no other fertility issues, so we started with Femara and a trigger shot for ovulation induction and a timed intercourse cycle. Our first cycle was successful in that we conceived, but we lost that pregnancy at 15 weeks due to chromosomal abnormalities. Our second cycle we followed the same protocol and were successful as well. We are awaiting genetic testing on this pregnancy.
Usually patients start with Clomid, but due to my history of depression as well as the risks of non-ideal cercival mucus and uterine linings, plus the slightly higher risk of multiples, I asked if Femara would be an option. He was immediately on board. I liked that he was willing to brainstorm different possibilities with me.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Christina)
Christina is a wonderful nurse, but admittedly, she is busy since she's the nursing manager, and I often spoke with other nurses when I was called with test results. However, Christina always responded to emails very quickly and even on weekends/after hours.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
RMA is phenomenal. Not only do they have amazing doctors and nurses, but their support services are second to none. Yoga, acupuncture, support groups, nutritionists all come together to give patients a comprehensive treatment plan. It would have been much more difficult for me to deal with the stresses of my infertility if I hadn't taken advantage of these services.
The facilities are amazing - modern, clean, top-end. The multiple locations make it easy to schedule appointments.
Describe the costs associated with your care under Spencer Richlin at Illume Fertility (formerly RMA of Connecticut).
Ovulation induction was covered under our regular health benefits, with the exception of the trigger shot which came out of our fertility benefits. We had very few out of pocket costs other than the prescriptions and some copays for office visits.
Dr. L [Leondires] seemed nice enough at first....He originally diagnosed me with unexplained. Then after tests came back he said I had DOR. He was still confident we had a 66% chance of success and was confident that we would be parents. After my first retrieval I only had one viable egg to transfer. He changed the protocol for my 2nd attempt and I got 3 eggs but none were viable. After that he gave me the donor egg speech. I was totally shocked since he had shown me all these fancy charts that said I at first had and 85% chance and then 66% chance.
[RMA - Norwalk] Large clinic, very clean, acupuncture, nutrition and counseling available, morning monitoring at decent hours...had a policy you were not to wait longer than 20 minutes...I requested records and they never wrote me back. I had a terrible time with them ordering my meds. I had tons of billing issues....My nurse was great except she was one vacation a lot during my cycles...which I wasn't aware of ahead of time. It made it quite difficult to get information while she was away.
How was your experience with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
Dr. L seemed nice enough at first. This was my first fertility doctor and I didn't really know what to expect. He originally diagnosed me with unexplained. Then after tests came back he said I had DOR. He was still confident we had a 66% chance of success and was confident that we would be parents. After my first retrieval I only had one viable egg to transfer. He changed the protocol for my 2nd attempt and I got 3 eggs but none were viable. After that he gave me the donor egg speech. I was totally shocked since he had shown me all these fancy charts that said I at first had and 85% chance and then 66% chance. Then he just gave up so I left.
What's one piece of advice would you give a prospective patient of Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
ask his familiarity with your condition
During treatment, were you treated like a number or a human with Mark Leondires at Illume Fertility (formerly RMA of Connecticut)?
He kept wanting to call me by a different name (really makes you feel good).
Describe the protocols Mark Leondires used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
IVF 1-Antagonist protocol
IVF 2- Estrogen priming with microdose lupron
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Kiersten)
My nurse was great except she was one vacation a lot during my cycles...which I wasn't aware of ahead of time. It made it quite difficult to get information while she was away.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
Large clinic, very clean, acupuncture, nutrition and counseling available, morning monitoring at decent hours...had a policy you were not to wait longer than 20 minutes
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
I would say mix between cattle call and well oiled machine. Large group of people waiting but usually in and out within 30 minutes
Describe the costs associated with your care under Mark Leondires at Illume Fertility (formerly RMA of Connecticut).
I had insurance coverage so copay only.
Describe Mark Leondires's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
Multiple for greater chance
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Failed to call in prescriptions to pharmacy
Lost paperwork
Failed to send your chart to another clinic
Provided conflicting information
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
I requested records and they never wrote me back. I had a terrible time with them ordering my meds. I had tons of billing issues.
Dr Williams was very compassionate throughout the entire process. He explains in detail what is going on. He works closely with the other doctors on the team and they seem to communicate well with each other as I often saw his partners at the morning appointments, but he was always up to date on what happened....He always took the time to explain what he was thinking and what he was recommending. He would call me directly after the retrievals and transfers to let me know the results
They [RMA - Norwalk] have an incredibly supportive single mothers program which put me at ease, helped me understand the process better, provided emotional support, and led me to meet other single mothers to be....Monitoring was 7-8 every morning. The early you got there the faster it was to get in and out so I was usually the first one there and never had to wait. The nurses drawing blood were great, all kept your spirits up. Then went to ultra sound room to wait for doctor, sometimes this could be a while if issues with a patient.
How was your experience with Shaun Williams at Illume Fertility (formerly RMA of Connecticut)?
Dr Williams was very compassionate throughout the entire process. He explains in detail what is going on. He works closely with the other doctors on the team and they seem to communicate well with each other as I often saw his partners at the morning appointments, but he was always up to date on what happened.
What's one piece of advice would you give a prospective patient of Shaun Williams at Illume Fertility (formerly RMA of Connecticut)?
Understand that you will see other members of the practice for procedures and appointments depending on times and locations you choose to go to.
During treatment, were you treated like a number or a human with Shaun Williams at Illume Fertility (formerly RMA of Connecticut)?
He always took the time to explain what he was thinking and what he was recommending. He would call me directly after the retrievals and transfers to let me know the results
Describe the protocols Shaun Williams used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
Dr Williams had me do the 3 IUIs and when those weren't successful move to IVF. One cycle produced a viable embryo that passed chromosome testing but when implanted stopped growing. The second cycle the embryos stopped developing after day 3, Dr Williams was very up front with me about his reservations with doing another IVF with my own eggs. He suggested I could do another IUI if I really wanted to keep trying with my own eggs to reduce costs since I wasn't getting a lot of eggs at retrieval anyways. I did this but was unsuccessful so moved to donor eggs which resulted in a baby!
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Kristen Hennigan)
Kristin was fantastic. Very responsive to calls or emails. Helped determine best place to get meds from for lowest cost too.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
They have an incredibly supportive single mothers program which put me at ease, helped me understand the process better, provided emotional support, and led me to meet other single mothers to be.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
Monitoring was 7-8 every morning. The early you got there the faster it was to get in and out so I was usually the first one there and never had to wait. The nurses drawing blood were great, all kept your spirits up. Then went to ultra sound room to wait for doctor, sometimes this could be a while if issues with a patient.
Describe the costs associated with your care under Shaun Williams at Illume Fertility (formerly RMA of Connecticut).
Have opportunity plans for a lump sum payment if your insurance doesn't cover, this was around 10k for IVF cycle. Donor eggs were 22k for 2 lots.
Describe Shaun Williams's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
Only supported single transfer with my own eggs. By time I got to donor eggs he allowed 2 in the transfer but only 1 took.
What specific things went wrong at Illume Fertility (formerly RMA of Connecticut)?
Lost appointments
Describe the specific things that went wrong at Illume Fertility (formerly RMA of Connecticut).
One patient coordinator did not schedule an appointment with the doctor even though I had emailed requesting it, she said she would schedule, but then she decided I didn't need the appointment but didn't inform me.
Dr. Hurwitz, was very good about making me feel comfortable.... He explained the whole process in a simple and clear way and was very honest. I did IUI and after a few negative results he recommend IVF. I was nervous about it but he made me feel confident. I always remember how he made sure he was the doctor to do our last ultrasound at the clinic. To our surprise he gave us the news that we were having identical twins.
I have no negative to say, it [RMA of Connecticut] was a comfortable environment. The waiting room is big in case you want your space. They have plenty of reading material and coffee, tea for your enjoyment. Your privacy is very important for them. The decor makes you feel like you are at a fancy hotel. They offer many resources from yoga, acupuncture, group meeting. There is calendar with all the events going on for their patients.
How was your experience with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
Dr. Hurwitz, was very good about making me feel comfortable. We happen to had a friend in common and at no point I felt uncomfortable with him keeping my information confidential. He explained the whole process in a simple and clear way and was very honest. I did IUI and after a few negative results he recommend IVF. I was nervous about it but he made me feel confident. I always remember how he made sure he was the doctor to do our last ultrasound at the clinic. To our surprise he gave us the news that we were having identical twins. He congratulated us and reminded us that multiples are not a walked in the park staring with the pregnancy. They are now 3 and he was right!
What's one piece of advice would you give a prospective patient of Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
Trust him and have patience
During treatment, were you treated like a number or a human with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
Dr. Hurwitz always remember our last conversation it was like having a friend.
Describe the protocols Joshua Hurwitz used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
He always suggested the less invasive procedure first, he is looking for the best option.
Describe your experience with the nursing staff at Illume Fertility (formerly RMA of Connecticut).
The nursing staff was outstanding! They treated me like family and made feel very comfortable.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
I have no negative to say, it was a comfortable environment. The waiting room is big in case you want your space. They have plenty of reading material and coffee, tea for your enjoyment. Your privacy is very important for them. The decor makes you feel like you are at a fancy hotel. They offer many resources from yoga, acupuncture, group meeting. There is calendar with all the events going on for their patients. Also the place is really clean.
Describe the costs associated with your care under Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut).
Insurance cover most of it
Describe Joshua Hurwitz's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
He was open to our plan get 2 embryo transfer, at the end only one took and split!
I produced a lot of eggs, and had a very high fertilization rate, but the quality the embryos was poor. We went through four cycles with Dr. Hurwitz, and he tried different strategies. He always explained his reasoning, and he was always willing to answer my questions...I had a good experience with him. He was quite knowledgeable, and treated me with respect. I felt like he understood me. Explain the details of the treatment, and even a bit of the science behind it when I asked. I also felt like I had a good bit of personal attention from him, and even though they had many setbacks along the way, I was always satisfied with the quality of my treatment.
I think the clinic [RMA of Connecticut] as a whole put a great effort into giving top-notch medical care, but they also recognized this was emotionally difficult experience for their patients. They tried to show support in numerous ways, and I always felt that I was respected. All members of the team showed compassion and empathy.
How was your experience with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
I had a good experience with him. He was quite knowledgeable, and treated me with respect. I felt like he understood me. Explain the details of the treatment, and even a bit of the science behind it when I asked. I also felt like I had a good bit of personal attention from him, and even though they had many setbacks along the way, I was always satisfied with the quality of my treatment.
During treatment, were you treated like a number or a human with Joshua Hurwitz at Illume Fertility (formerly RMA of Connecticut)?
I always felt that I was treated with respect, that he was willing to answer my questions, and he surpassed my expectations for the amount of personal attention I received.
Describe the protocols Joshua Hurwitz used in your cycles at Illume Fertility (formerly RMA of Connecticut) and their degree of success.
I don't remember the details anymore, I produced a lot of eggs, and had a very high fertilization rate, but the quality the embryos was poor. We went through four cycles with Dr. Hurwitz, and he tried different strategies. He always explained his reasoning, and he was always willing to answer my questions.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Kathleen)
I thought Kathleen my nurse was great. She answered questions, was very organized, and a source of support.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
I think the clinic as a whole put a great effort into giving top-notch medical care, but they also recognized this was emotionally difficult experience for their patients. They tried to show support in numerous ways, and I always felt that I was respected. All members of the team showed compassion and empathy.
Describe your experience with your monitoring appointments at Illume Fertility (formerly RMA of Connecticut).
I think the morning monitoring was run efficiently. The doctors rotated, so I got to meet the other doctors at the practice. Even when I didn't see my primary doctor for morning monitoring, I always felt that the other doctors were knowledgeable about my case, and they always answered my questions.
He [Dr. Alexander Kucherov] was kind, patient, cooperative, good bedside manner, knowledgeable regarding recent research, a good listener, worked to understand your individual goals, took a vested interest in your success. Offered strong guidance but also respected your autonomy in making clinical decisions... took the time to review pertinent data and studies so I could make informed decisions. When I got a poor outcome he was very considerate in discussing it with me.
The [RMA of Connecticut - Norwalk] clinic was clean, neat and had an overall good environment. They were orderly and timely. Booking appointments and tracking financials was easy. Phlebotomy department is horrible, they need to be retrained, they need to take off their fake nails and they need to be provided with a vein finder for difficult cases. Surgical suite and equipment seem brand new. Some doctors have a better bedside manner than others.
How was your experience with Alexander Kucherov at Illume Fertility (formerly RMA of Connecticut)?
He was kind, patient, cooperative, good bedside manner, knowledgeable regarding recent research, a good listener, worked to understand your individual goals, took a vested interest in your success. Offered strong guidance but also respected your autonomy in making clinical decisions.
What's one piece of advice would you give a prospective patient of Alexander Kucherov at Illume Fertility (formerly RMA of Connecticut)?
Utilize his knowledge in making clinical decisions and take the time to review the data.
During treatment, were you treated like a number or a human with Alexander Kucherov at Illume Fertility (formerly RMA of Connecticut)?
Dr. K was very kind and patient in answering all my questions. He also took the time to review pertinent data and studies so I could make informed decisions. When I got a poor outcome he was very considerate in discussing it with me.
Describe your experience with your nurse at Illume Fertility (formerly RMA of Connecticut). (Assigned nurse: Amy)
My care coordinator was excellent and the nurses who assisted the doctors were kind and professional. The phlebotomy nurses were some of the worst I have come across.
Describe your experience with Illume Fertility (formerly RMA of Connecticut).
The clinic was clean, neat and had an overall good environment. They were orderly and timely. Booking appointments and tracking financials was easy. Phlebotomy department is horrible, they need to be retrained, they need to take off their fake nails and they need to be provided with a vein finder for difficult cases. Surgical suite and equipment seem brand new. Some doctors have a better bedside manner than others.
Describe the costs associated with your care under Alexander Kucherov at Illume Fertility (formerly RMA of Connecticut).
10k after insurance.
Describe Alexander Kucherov's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Illume Fertility (formerly RMA of Connecticut).
I only had one euploid embryo to transfer, I now wish I took advantage of my time and did embryo banking.