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.
I didn't feel like I got enough facetime with Dr.Castlebaum. I'm going in the office everyday but I only seen him twice during my egg retrieval cycle. Though if i had a concern, he would call me back after speaking to the nurse. But it always seemed rushed...i was told to get my eggs before my fibroid removal surgery because of my age. then after that was unsuccessful, he's now telling me I will have a better chance after the fibroid removal... why not do that 1st instead of making me waste thousands (meds and OOP to the clinic)
the [RMA of Philadelphia] Billing Dept is the worst! they do not communicate with the clinic staff. they send you bill after bill for services that were already paid for and when you question them about it, you can't get a straight answer or documentation...the nurses were nice and responsive. i honestly talked to them more than the doctor. that also felt weird to me...I didn't feel like I got enough facetime with Dr.Castlebaum. I'm going in the office everyday but I only seen him twice during my egg retrieval cycle. Though if i had a concern, he would call me back after speaking to the nurse. But it always seemed rushed
How was your experience with Arthur Castelbaum at RMA of Pennsylvania?
I really don't know how I feel about him. I had a weird situation with fibroids and it made it hard to see my ovaries during STIMS. multiple doctors in the practice had a hard time finding them. Dr Guttman even suggested that this round be cancelled due to this. But Dr Castlebaum told me to proceed and they had a hard time during the egg retrieval and could only reach 2 eggs. which only 1 survived. I feel like the cycle should have been cancelled , rather than have me waste my money. Now he's suggesting another round after i get fibroid removal surgery, this will only cost me thousands more, when this cycle should have been cancelled. that made me lose trust, it made me feel like its just all about the money
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Pennsylvania?
go with your gut, ask for a second opinion if necessary.
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Pennsylvania?
I didn't feel like I got enough facetime with Dr.Castlebaum. I'm going in the office everyday but I only seen him twice during my egg retrieval cycle. Though if i had a concern, he would call me back after speaking to the nurse. But it always seemed rushed
Describe the protocols Arthur Castelbaum used in your cycles at RMA of Pennsylvania and their degree of success.
i was told to get my eggs before my fibroid removal surgery because of my age. then after that was unsuccessful, he's now telling me I will have a better chance after the fibroid removal... why not do that 1st instead of making me waste thousands (meds and OOP to the clinic)
Describe your experience with the nursing staff at RMA of Pennsylvania.
the nurses were nice and responsive. i honestly talked to them more than the doctor. that also felt weird to me
Describe your experience with RMA of Pennsylvania.
the Billing Dept is the worst! they do not communicate with the clinic staff. they send you bill after bill for services that were already paid for and when you question them about it, you can't get a straight answer or documentation. they tell you an amount you must pay with insurance without even verifying the total amount that you will owe. I was told the figure is an estimate, if its less we will just credit your account. We are talking thousands of dollars not dollars. they won't even talk to you without notice from the finance dept that your payment is paid up in full upfront. And lets talk about getting a refund from them, this was really the worst part of my experience with them. So from my understanding RMA uses an outside finance company, that is located in NJ. to get a refund i was told it will take 3-4 weeks! why would a refund take this long, when they are constantly asking you for money that you have to pay immediately? so you call the central billing dept and the staff is rude and could care less, its just thousands of your dollars sitting in their account. i think RMA needs to get a new company for their finances, because i have read many reviews and it seems everyone is complaining about the same thing. having to deal with the finance office makes your experience at RMA horrible. It honestly made me want to continue my IVF journey elsewhere
Describe your experience with your monitoring appointments at RMA of Pennsylvania.
these were easy, just didnt care to have a different doctor each time and barely being able to see my actual dr
Describe the costs associated with your care under Arthur Castelbaum at RMA of Pennsylvania.
with insurance my OOP was over 5k and my meds were 3k OOP
What specific things went wrong at RMA of Pennsylvania?
Dr. Freedman is a very serious man who does not offer much compassion when tests show poor results. He does try to encourage you to stay positive, however whenever IUIs were unsuccessful, never took the time to discuss the outcome and what we could do different the next time. He also had me do the same protocol more than once, even though it was unsuccessful. I felt like I needed to do my own research to determine which drugs I wanted to use in order to be prescribed them.
[RMA of Philadelphia] Strengths: multiple offices, multiple physicians so there is always someone to see Weaknesses: not clear with medication results, little to no help with helping you to find best prices for drugs, do not take the time to discuss what did not work after unsuccessful IUIs...felt like my "worries" were brushed off by the doctor. I felt pushed into IVF without the opportunity to talk about a different protocol.
How was your experience with Martin Freedman at RMA of Pennsylvania?
Dr. Freedman is a very serious man who does not offer much compassion when tests show poor results. He does try to encourage you to stay positive, however whenever IUIs were unsuccessful, never took the time to discuss the outcome and what we could do different the next time. He also had me do the same protocol more than once, even though it was unsuccessful. I felt like I needed to do my own research to determine which drugs I wanted to use in order to be prescribed them.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Be prepared for "business only" and bring your own questions and they do not openly communicate the whats/whys of procedures and medications freely.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Dr. Freidman and his nursing staff tended to act "irritated" when asked to repeat steps/answers. They also did not offer any resources of where to find meds for different prices. It felt very much like a business, and phone calls were rushed. The doctor does not call with negative pregnancy blood tests, and instead sends a message through the portal.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Tina)
Tina was communicative via phone and portal when needed. I do wish she emailed the steps around medications etc instead of just reciting it off the top of her head.
Describe your experience with RMA of Pennsylvania.
Strengths: multiple offices, multiple physicians so there is always someone to see
Weaknesses: not clear with medication results, little to no help with helping you to find best prices for drugs, do not take the time to discuss what did not work after unsuccessful IUIs.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
IUI with meds: $1500 + meds
IUI with injectables: $2100 + meds
IVF: $17k per cycle + meds
Describe Martin Freedman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
RMA is a single embryo transfer clinic and will not transfer more than 1 per cycle.
What specific things went wrong at RMA of Pennsylvania?
Failed to call in prescriptions to pharmacy
Failed to order appropriate test
Describe the specific things that went wrong at RMA of Pennsylvania.
I felt the doctor did not communicate well, and rather it was the nurse. I also felt like my "worries" were brushed off by the doctor. I felt pushed into IVF without the opportunity to talk about a different protocol.
Dr Freedman has a very calm and warm demeanor...a man of few words, he delivers both good and bad news with a confidence that makes me trust his expertise. At my lowest, he simply stated “we will do what we have to to get you pregnant” and it was with enough confidence and warmth that I knew I could continue...planning on moving straight to ivf when my husbands analysis came back great. Dr Freedman shifted gears to try iui.
Every person I have interacted with [at RMA of Philadelphia] has been kind and understanding, from the front desk to the nurses and doctors...Scheduling has been easy with a lot of available hours and locations for you to go to is it’s more convenient for that specific day. My only issue so far has been the finance department. My original coordinator seemed to be overwhelmed and once they realized I didn’t have an fertility coverage, she just sent me to iui package and ivf without limited explanation.
How was your experience with Martin Freedman at RMA of Pennsylvania?
Dr Freedman has a very calm and warm demeanor which is what I’ve needed during this process. Although his is a man of few words, he delivers both good and bad news with a confidence that makes me trust his expertise. At my lowest, he simply stated “we will do what we have to to get you pregnant” and it was with enough confidence and warmth that I knew I could continue.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
For any patient, be your own advocate. If you don’t understand, ask questions. If you need clarity, ask questions. Whatever you need, just ask.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Every person I have interacted with has been kind and understanding, from the front desk to the nurses and doctors. It is a very busy office so there is a constant stream of patients which I think is a great sign but it also makes me a little nervous.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
We’ve been dealing with male infertility and were planning on moving straight to ivf when my husbands analysis came back great. Dr Freedman shifted gears to try iui. We did a medicated Letrozole IUI circle which was unsuccessful. We were planning to do our second but have been rescheduled due to a cyst on my ovary.
Describe your experience with the nursing staff at RMA of Pennsylvania.
Warm, welcoming and understanding. They may be the best last of the whole experience.
Describe your experience with RMA of Pennsylvania.
Scheduling has been easy with a lot of available hours and locations for you to go to is it’s more convenient for that specific day. My only issue so far has been the finance department. My original coordinator seemed to be overwhelmed and once they realized I didn’t have an fertility coverage, she just sent me to iui package and ivf without limited explanation. Everyone I have dealt with since the initial call has been great.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
Out of pocket medicated IUI: $1200 not including meds
Out of Pocket IVF: $15,000 not including meds
What specific things went wrong at RMA of Pennsylvania?
Provided conflicting information
Describe the specific things that went wrong at RMA of Pennsylvania.
Conflicting pricing for my IUI was initially given from a finance department. When questioned, they said they submitted it differently to my
Insurance company.
I naively thought I’d get pregnant immediately with IUI. By addressing my concerns, questions, and even frustrations with Dr. Freedman as my doctor, I felt heard, valued, and cared for by him. He is a doctor who really cares about his patients and wants to make their dreams come true...always reached out by phone and when I emailed him, he’d respond right away or even just pick up the phone. I didn’t always see Dr. Freedman because I lived closer to another office, but we were always in communication. He always knew when I was coming in and did really kind things like call to see how I was doing or call to wish me good luck. When the results of a positive pregnancy test came into the office, he called me immediately. Ther
Denise [nurse at RMA of Philadelphia] always called when she said she would, gave me detailed information and directions about what was happening, explained treatments and medications to me very carefully, and always did so with a smile, great warmth, and compassion...The front office staff was always very kind and helpful to me. I can’t say anything bad about anyone that I saw at Willow Grove (now Abington), Langhorne, or King of Prussia. After a while the staff knows your name, asks you questions, and become very friendly. They often know what you need or what you will ask before you do sometimes and if they cannot answer your questions, they are sure to find someone such as the nurse or doctor who can.
How was your experience with Martin Freedman at RMA of Pennsylvania?
I was feeling pretty hopeless after 4 IUIs (negative pregnancy test each time), one failed IVF cycle with a chromosomally abnormal embryo but I had an opportunity to try a second IVF cycle, which resulted in a positive pregnancy test. Despite numerous disappointments and other setbacks, Dr. Freedman always reached out by phone and when I emailed him, he’d respond right away or even just pick up the phone. I didn’t always see Dr. Freedman because I lived closer to another office, but we were always in communication. He always knew when I was coming in and did really kind things like call to see how I was doing or call to wish me good luck. When the results of a positive pregnancy test came into the office, he called me immediately. There are many more examples of Dr. Freedman’s care, but I always felt well taken care of by him.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
The most important advice I can give is to be patient. Your journey to conceive will rarely be how you anticipate. After setbacks, the Coronavirus pandemic, which impacted cycles, and other things I could not control, nor could RMA, I learned that the IUI/IVF process is not what you might expect it to be. I naively thought I’d get pregnant immediately with IUI. By addressing my concerns, questions, and even frustrations with Dr. Freedman as my doctor, I felt heard, valued, and cared for by him. He is a doctor who really cares about his patients and wants to make their dreams come true.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Dr. Freedman was very kind and compassionate, especially when delivering any kind of news, changing treatments, modifying cycles. He was patient and listened carefully to my needs and concerns.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Denise)
Denise was a fantastic nurse who was everything a patient could hope for when going through a process like this — repeatedly. In the midst of the COVID-19 pandemic I switched offices from the Willow Grove office to Langhorne since it was closer to my house. I would see Denise and Dr. Castelbaum there but they would both communicate with Dr. Freedman and relay messages back and forth. Aside from that, Denise always called when she said she would, gave me detailed information and directions about what was happening, explained treatments and medications to me very carefully, and always did so with a smile, great warmth, and compassion.
Describe your experience with RMA of Pennsylvania.
The front office staff was always very kind and helpful to me. I can’t say anything bad about anyone that I saw at Willow Grove (now Abington), Langhorne, or King of Prussia. After a while the staff knows your name, asks you questions, and become very friendly. They often know what you need or what you will ask before you do sometimes and if they cannot answer your questions, they are sure to find someone such as the nurse or doctor who can.
IVF was [Dr. Martin Freedman's] first suggestion, due to male fertility factor. Doctor freedman started with standard IVF protocol, however initial round I did not develop enough follicles. Second cycle, estrace priming was utilized along with increase dosage of gonal f. After slight tweak moved forward with successful egg retrieval which resulted in 5 fertilized embryos...is adamant on one embryo at a time. Due to my age and first IVF attempt, we opted not to have embryos tested. After 3 failed single embryo transfers, doctor freedman suggested putting 2 in. Which resulted in singleton pregnancy. If embryos were tested, we would still do one at a time.
RMA really knows what they're doing, and I never felt like I was a number. Information was always relayed to me the same day from the nurses, and if I had any specific questions my doctor would respond to me directly via email as well. All scheduling was always simple, and financing explained all the information for my insurance and then self pay options clearly...IVF was the first suggestion, due to male fertility factor. Doctor freedman started with standard IVF protocol, however initial round I did not develop enough follicles. Second cycle, estrace priming was utilized along with increase dosage of gonal f. After slight tweak moved forward with successful egg retrieval which resulted in 5 fertilized embryos.
How was your experience with Martin Freedman at RMA of Pennsylvania?
Doctor Freedman is one of the kindest and most empathetic doctors I have ever had. It was a long process, however from my first consult I knew I was in the right hands. Every set back we had, I never doubted my doctor and knew we would have the end result we had been waiting for. I can't recommend him enough.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
IVF is a long and sometimes confusing process, Doctor Freedman is at the top of his field. Trust the information he’s providing, but remember to ask plenty of questions.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Doctor Freedman was empathetic the entire process, and explained every step of the way with us. We had a few setbacks and he was always optimistic our end result would be pregnancy.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
IVF was the first suggestion, due to male fertility factor. Doctor freedman started with standard IVF protocol, however initial round I did not develop enough follicles. Second cycle, estrace priming was utilized along with increase dosage of gonal f. After slight tweak moved forward with successful egg retrieval which resulted in 5 fertilized embryos.
Describe your experience with RMA of Pennsylvania.
RMA really knows what they're doing, and I never felt like I was a number. Information was always relayed to me the same day from the nurses, and if I had any specific questions my doctor would respond to me directly via email as well. All scheduling was always simple, and financing explained all the information for my insurance and then self pay options clearly.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
Insurance lifetime max was utilized, after this was hit I paid the difference cash.
Describe Martin Freedman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
Doctor Freedman is adamant on one embryo at a time. Due to my age and first IVF attempt, we opted not to have embryos tested. After 3 failed single embryo transfers, doctor freedman suggested putting 2 in. Which resulted in singleton pregnancy. If embryos were tested, we would still do one at a time.
Dr. Castlebaum immediately suggested IVF after we had gotten pregnant with our most recent IVF. The manner in which he discussed it was very cavalier and detached. When we finally asked about IVF packages and what he suggested for our situation, his response was "I always like a money back plan, " as if we were purchasing material goods.... We tried 3 IUIs with progesterone as this had worked (though resulted in miscarriage) with our 4th IUI. On the final IUI ,I asked if there was anything else and he said we could perhaps try Follistim (no real explanation why).
We really felt like a number there [RMA of Phil]....Nurses provided basic information but didn't offer helpful suggestions or further explanation. Really just felt as though they read from a script.... We had a nurse call on our 2nd cycle to tell us to "come in for insemination " when it was never discussed or explained prior.... they seemed content to just "go through the motions," and when the typical methods didn't work, they went right to IVF as though it was no big deal.
How was your experience with Arthur Castelbaum at RMA of Pennsylvania?
As stated before, RMA is fine if you have an easily fixable problem. Otherwise, RMA, and especially Castlebaum are content to just go through the motions and then immediately move to IVF when the typical treatments don't work. Our least personal experience was with Castlebaum.
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Pennsylvania?
Expect blunt information and insensitive jokes if you are sensitive . Do your research beforehand and have questions prepared. Question the statistics of treatments.
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Pennsylvania?
Dr. Castlebaum immediately suggested IVF after we had gotten pregnant with our most recent IVF. The manner in which he discussed it was very cavalier and detached. When we finally asked about IVF packages and what he suggested for our situation, his response was "I always like a money back plan, " as if we were purchasing material goods. This was a huge turnoff and a big reason for leaving RMA altogether.
Describe the protocols Arthur Castelbaum used in your cycles at RMA of Pennsylvania and their degree of success.
Castlebaum basically told us to request what we wanted if we weren't going to do IVF. He did not think outside the box or offer alternate options. We tried 3 IUIs with progesterone as this had worked (though resulted in miscarriage) with our 4th IUI. On the final IUI ,I asked if there was anything else and he said we could perhaps try Follistim (no real explanation why). We also added Ovidrel, and he told us it was up to us which day we used it rather than monitoring and figuring out the most optimal time. All 3 IUIs resulted in negative tests.
Describe your experience with the nursing staff at RMA of Pennsylvania.
Nurses provided basic information but didn't offer helpful suggestions or further explanation. Really just felt as though they read from a script.
Describe your experience with RMA of Pennsylvania.
We really felt like a number there. This is something we've realized more as time goes on, especially with our current RE who is so specific and personal. A strength would be that overall,RMA is very successful. However, this is only true if you have an easily fixable issue. Friends have gotten pregnant there within only a few cycles. But with us, they seemed content to just "go through the motions," and when the typical methods didn't work, they went right to IVF as though it was no big deal. Everything seemed "scripted" in a way, without really trying to look for an issue and individualize our care.
Describe the costs associated with your care under Arthur Castelbaum at RMA of Pennsylvania.
Copays for office visits were $20.
Describe Arthur Castelbaum's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
No comment
What specific things went wrong at RMA of Pennsylvania?
Failed to call with results
Failed to inform you of changes in protocol
Failed to convey critical information
Describe the specific things that went wrong at RMA of Pennsylvania.
We had a nurse call on our 2nd cycle to tell us to "come in for insemination " when it was never discussed or explained prior.
My wife and I originally went for me to get inseminated and after many heartbreaks we turned to Dr. Castlebaum for my wife's insemination. After two iui procedures she became pregnant with our son. After the nurse called with the results he followed up with my wife to express his excitement.... To him it is not a job he genuinely wants you to have a baby and just wants to help you along your journey.
It [RMA of PA-Willow Grove] is bright and welcoming they have separate locations for consultations and where they tell you about billing so it is not all clinical. The rooms are warm and bright and the whole place is very clean. They have artist pictures on the wall a lot having to do with fertility that you can purchase if you like it.... From start to finish they were incredible with the loss and the BFP they were a great source of comfort and compassion I cannot say enough about the staff.
How was your experience with Arthur Castelbaum at RMA of Pennsylvania?
My wife and I originally went for me to get inseminated and after many heartbreaks we turned to Dr. Castlebaum for my wife's insemination. After two iui procedures she became pregnant with our son. After the nurse called with the results he followed up with my wife to express his excitement. After Tatum was born we sent Dr. Castlebaum a birth announcement he again called us to express his delight and tell us how adorable our son is. To him it is not a job he genuinely wants you to have a baby and just wants to help you along your journey. We had been to another place where all I can describe it as is being cattle herded we were literally just a number and a paycheck and with no fertility coverage that's not what you want. Dr. Castlebaum makes you feel like part of his family and when you're struggling to have a baby that is so important.
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Pennsylvania?
Ask him anything he loves questions and he loves to hatch the plan with you. He doesn't tell you what "his plan" is for you instead it's your collaboration.
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Pennsylvania?
I am in a same sex marriage and he listens to everything we have said along the way we even went to another doctor for Ivf and when we returned to him for my wife to get iui all he wanted to know was if we were successful at the other office. He's amazing and we will never seek care from anyone else again!
Describe the protocols Arthur Castelbaum used in your cycles at RMA of Pennsylvania and their degree of success.
Iui twice with me using letrezol and hcg trigger shot one was positive pregnancy that ended in mc the other did not work. With my wife he did two iui no med assist and the first did not work the second did!
Describe your experience with the nursing staff at RMA of Pennsylvania.
From start to finish they were incredible with the loss and the BFP they were a great source of comfort and compassion I cannot say enough about the staff.
Describe your experience with RMA of Pennsylvania.
It is bright and welcoming they have separate locations for consultations and where they tell you about billing so it is not all clinical. The rooms are warm and bright and the whole place is very clean. They have artist pictures on the wall a lot having to do with fertility that you can purchase if you like it.
Describe the costs associated with your care under Arthur Castelbaum at RMA of Pennsylvania.
I believe the iui was 1,000 plus the cost of meds but I'm not 100% sure I took a new job and it did have coverage for iui so with my wife there were specialist copay so 40.00 each visit. The sperm cost 890 per vial and we have purchased a total of 9 and if costs between 250-400 to ship.
At RMA, you are not always treated by the same doctor, although Freedman generally "oversaw" each cycle. Still, he often forgot how many cycles we'd done or which procedures we'd done.... In person, Dr. Freedman is great, answers your questions, and is very calming. However, as questions started to arise, it began to feel as though more information should have been shared and more options discussed. The communication was really our biggest issue, as we never really understood why certain treatments were being administered or what more could have been done.
Nurses [RMA of Phil] were average. They didn't really provide any extra information and at times were even too sympathetic.... Billing was the biggest disaster at RMA. we received many bills for hundreds of dollars for procedures that were covered by insurance.... I would speak to someone in billing who would tell me they'd "write it off" ( not correct it), only to receive the same bill again. We ultimately left because the billing issues became so stressful.
How was your experience with Martin Freedman at RMA of Pennsylvania?
In person, Dr. Freedman is great, answers your questions, and is very calming. However, as questions started to arise, it began to feel as though more information should have been shared and more options discussed. The communication was really our biggest issue, as we never really understood why certain treatments were being administered or what more could have been done.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Do your research beforehand and have questions prepared.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
At RMA, you are not always treated by the same doctor, although Freedman generally "oversaw" each cycle. Still, he often forgot how many cycles we'd done or which procedures we'd done. We never discussed IUI in detail at first but got the call to "come in for insemination." It felt like there was a lot missing in terms of communication.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
We began with Clomid only for a cycle. With the 2nd cycle, IUI was proposed by a nurse over the phone without any explanation or prior conversation. This was alarming since this was our first RE and we had no idea what to expect. We did Letrozole only for the next cycle, then 4 IUIs with Letrozole. On the last IUI, Dr. Freedman added progesterone (without any explanation, but again we didn't know any better amd just went with it). We got pregnant with this last IUI, but miscarried at 7 weeks with an empty gestational sac. I had a D&C, then once my levels returned to normal, we decided to take a break from ttc. Eventually, we decided to go with a new RE who might be more aggressive.
Describe your experience with the nursing staff at RMA of Pennsylvania.
Nurses were average. They didn't really provide any extra information and at times were even too sympathetic. By this I mean that they made us feel terrible coming in after our miscarriage because their demeanor was a little too "sad" rather than helping us to be optimistic (making sad faces, saying "I'm so sorry" repeatedly).
Describe your experience with RMA of Pennsylvania.
We really felt like a number there. This is something we've realized more as time goes on, especially with our current RE who is so specific and personal. A strength would be that overall,RMA is very successful. However, this is only true if you have an easily fixable issue. Friends have gotten pregnant there within only a few cycles. But with us, they seemed to just "go through the motions," and when the typical methods didn't work, they went right to IVF as though it was no big deal. Everything seemed "scripted" in a way, without really trying to look for an issue and individualize our care.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
We paid a copay each time except for blood only. Billing was the biggest disaster at RMA. we received many bills for hundreds of dollars for procedures that were covered by insurance. I would speak to someone in billing who would tell me they'd "write it off" ( not correct it), only to receive the same bill again. We ultimately left because the billing issues became so stressful. In the end, I resorted to crying to billing personnel on the phone saying that I was forced to leave and figure out something with another clinic because we couldn't continue to accrue unnecessary charges if we weren't even seeing results. The woman's response was to offer a 3 way call with my insurance company to "figure something out." They refused to look into the issue. Later, we received more bills months after leaving... for my D&C no less, which was a painful reminder. Also the bills were in my husband's name this time, for "tramsvaginal ultrasounds." He called and they again "wrote it off."
Describe Martin Freedman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
No comment
What specific things went wrong at RMA of Pennsylvania?
Failed to call with results
Failed to inform you of changes in protocol
Failed to convey critical information
Describe the specific things that went wrong at RMA of Pennsylvania.
The IUI was not discussed with us beforehand. We had a nurse call us to "come in for insemination" when we'd been given no explanation about what that meant or why it was being proposed.
He is a great doctor, always taking his time in assessing me and figuring out how we can approach my situation. [Dr. Freedman] took his time in communicating and explaining all his approaches. Anytime I would email him he would get back to me almost instantly. I feel very secure and trust his judgement on my treatments.
My [RMA of Philadelphia] nurse has been so helpful and guided me every step through the IVF process and always answers any questions I have...Every time I would go for bloodwork and ultrasound I would have a $40 co-pay my IVF treatment I had to pay $4000 out of pocket due to my deductible and a fee for the genetic testing..
How was your experience with Martin Freedman at RMA of Pennsylvania?
He is a great doctor, always taking his time in assessing me and figuring out how we can approach my situation. He took his time in communicating and explaining all his approaches. Anytime I would email him he would get back to me almost instantly. I feel very secure and trust his judgement on my treatments.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Ask him and questions you may have.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Very careful and empathetic. Knows what he’s talking about. Always responded quickly.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
When I started, we started out using letrozole (5mg) in order to induce my ovulation and then a trigger shot and timed intercourse. After a few months of that not working, he upped my dosage of letrozole to 7 mg and we moved onto IUI’s. We did 4 cycles to which none took and he told me My best bet would be IVF because of my condition (endometriosis).
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Laura hoey and Christina Mullen )
My first nurse Laura was very compassionate and a great communicator.
My nurse now, Christina, has been so helpful and guided me every step through the IVF process and always answers any questions I have.
Describe your experience with RMA of Pennsylvania.
The clinic is overall great. Appointments are always handled in a timely manner even if they are running late. The staff makes you feel comfortable and welcoming. I would recommend this clinic to anyone looking to start fertility treatments.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
Every time I would go for bloodwork and ultrasound I would have a $40 co-pay my IVF treatment I had to pay $4000 out of pocket due to my deductible and a fee for the genetic testing.
Dr Castelbaum was such a great doctor. He showed compassions and supportive during the entire process. He wants everything to go smoothly especially in times that is an uncomfortable phase in your life. He will help you and guide you all through out. Hes also comforting in times we had failed procedure but gave you assurance and very accomodating and knowledgeable in his practice...
The wait time during appointment is good. The [RMA of Philadelphia] staff bedside manner and promptness is excellent. From the staff to the nurse to the doctor they were all welcoming...The nursing staff were all friendly and accommodating. If you have questions you can call them and responds very well...My last IVF treatment cost is 14500$ and medications is 3500$
How was your experience with Arthur Castelbaum at RMA of Pennsylvania?
Dr Castelbaum was such a great doctor. He showed compassions and supportive during the entire process. He wants everything to go smoothly especially in times that is an uncomfortable phase in your life. He will help you and guide you all through out. Hes also comforting in times we had failed procedure but gave you assurance and very accomodating and knowledgeable in his practice. We are thankful for him and recommended him to several of my friends.
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Pennsylvania?
I highly recommend Dr Castelbaum to future client beacause his experitise and knowledgeable will help them in achieving their goals.
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Pennsylvania?
He listens very well to our concerns and respectively open suggestions to his expertise
Describe the protocols Arthur Castelbaum used in your cycles at RMA of Pennsylvania and their degree of success.
I did traditional IVf and mini round IVF protocols the difference is just the injectable dosage but other treatment protocol is the same
Describe your experience with the nursing staff at RMA of Pennsylvania.
The nursing staff were all friendly and accommodating. If you have questions you can call them and responds very well.
Describe your experience with RMA of Pennsylvania.
The overall clinics staff and doctors were highly recommended. The wait time during appointment is good. The staff bedside manner and promptness is excellent. From the staff to the nurse to the doctor they were all welcoming.
Describe your experience with your monitoring appointments at RMA of Pennsylvania.
You can go in for your monitoring for your convenient time
Describe the costs associated with your care under Arthur Castelbaum at RMA of Pennsylvania.
My last IVF treatment cost is 14500$ and medications is 3500$
Describe Arthur Castelbaum's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
The clinic preferred single transfer to avoid multiple birth and other gestational problems.
I generally had good interactions with Dr. Freedman. I rarely saw or spoke to him during my cycles, but I saw him each time at pregnancy ultrasounds. During ultrasound appointments it often seemed like he was busy, which I am sure he was...Be willing to do most of your interactions with the nurses at this practice...I did three IUIs with Letrozole. There wasn't really an explanation for the medication or dosages. When I asked the nurse about next steps after the second unsuccessful IUI, she pretty much conveyed that she wasn't sure, but probably the same thing. I asked for the dose to be increased and it was.
I almost exclusively interacted with the nursing staff [at RMA of Philadelphia] which was mostly fine, but I wish there was more debriefing after unsuccessful cycles and involvement in the "game plan." After experiencing a miscarriage, I was never contacted by the clinic and they didn't follow my beta hcg down to zero...You often see different nurses and doctors at your appointments...Some IUI cycles weren't covered by insurance and those were $1000, plus cost of medicine.
How was your experience with Martin Freedman at RMA of Pennsylvania?
I generally had good interactions with Dr. Freedman. I rarely saw or spoke to him during my cycles, but I saw him each time at pregnancy ultrasounds. During ultrasound appointments it often seemed like he was busy, which I am sure he was.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Be willing to do most of your interactions with the nurses at this practice.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
You often see different nurses and doctors at your appointments. Dr. Freeman returned my direct messages, but nurses communicated the majority of the time.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
I did three IUIs with Letrozole. There wasn't really an explanation for the medication or dosages. When I asked the nurse about next steps after the second unsuccessful IUI, she pretty much conveyed that she wasn't sure, but probably the same thing. I asked for the dose to be increased and it was.
Describe your experience with the nursing staff at RMA of Pennsylvania.
I had brief experiences with nurses at this practice during blood work, ultrasounds, IUIs and calls with results. They were fine.
Describe your experience with RMA of Pennsylvania.
I like that this office has early monitoring appointments starting at 7:00am. I was given Dr. Freedman's card with his email, which he responded to promptly. I almost exclusively interacted with the nursing staff which was mostly fine, but I wish there was more debriefing after unsuccessful cycles and involvement in the "game plan." After experiencing a miscarriage, I was never contacted by the clinic and they didn't follow my beta hcg down to zero.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
Some IUI cycles weren't covered by insurance and those were $1000, plus cost of medicine.
Dr. Freedman was totally invested in our success. He seemed to want things to go as well as we did at every stage of the process. He was always professional, super caring, knowledgeable, and always made sure we understood what was going on...Dr Freedman took the time to get to know us personally. He made personal phone calls to us at home, he was always a pleasure to interact with even when the news wasn't good...
I loved the personable nursing staff [at RMA of Phila] as much as I loved Dr. Freedman! After starting most of my days early in the morning in their office, I really appreciated how friendly and kind the nursing staff was...They have package offerings for multiple cycles, which was so helpful and they figure out all payment options for you...They can see you very early in the morning, and on the weekends. They also get you in and out as quickly as possible!
How was your experience with Martin Freedman at RMA of Pennsylvania?
Dr. Freedman was totally invested in our success. He seemed to want things to go as well as we did at every stage of the process. He was always professional, super caring, knowledgeable, and always made sure we understood what was going on.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Never be afraid to ask absolutely any questions!
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Dr Freedman took the time to get to know us personally. He made personal phone calls to us at home, he was always a pleasure to interact with even when the news wasn't good. We were so inspired we went back with our blessing and a gift for him.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
I would have to look back at my notes to remember the protocol. I do remember that after the first failed transfer, he knew exactly what to do. We did a "natural" frozen embryo transfer the second time. Both were single embryo transfers.
Describe your experience with your nurse at RMA of Pennsylvania.
I loved the personable nursing staff as much as I loved Dr. Freedman! After starting most of my days early in the morning in their office, I really appreciated how friendly and kind the nursing staff was.
Describe your experience with RMA of Pennsylvania.
They can see you very early in the morning, and on the weekends. They also get you in and out as quickly as possible! The weekend office and surgical office is in King of Prussia, which is far for some, but a good excuse to shop afterwards.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
They have package offerings for multiple cycles, which was so helpful and they figure out all payment options for you.
Describe Martin Freedman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
He strongly believes in single embryo transfers if at all possible.
The news we received after the transfer was not what we wanted. However, he [Dr. Freedman] was positive, optimistic and comforting... Not ever pushy... thorough with our first meeting about how the process worked, etc. He was kind... After our last failed transfer, he reached out to me with a plan for going forward that we could discuss when we were ready...We used icsi to fertilize our eggs.
The clinic [RMA of Philadelphia] was prompt with any questions or anything we needed. The clinic was clean, easily accessible, and timely...I loved the nursing staff! The main nurse I saw was amazing she showed me how to administer what I needed, she was awesome if I called and had a question, they just made a scary experience so comforting...I signed up for an embryo retrieval with icsi along with a fresh and frozen transfer. The cost for these procedures, along with all ultrasounds and blood work, and medicine came to about 17,000.
How was your experience with Martin Freedman at RMA of Pennsylvania?
Dr. Freedman was thorough with our first meeting about how the process worked, etc. He was kind and comforting and if we visited another doctor and he was unsure with the results or response he would reach out immediately and make any necessary changes. After our last failed transfer, he reached out to me with a plan for going forward that we could discuss when we were ready. Not ever pushy.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Do research before going in to the first appointment. Have questions prepared. Be aware there is no guarantee and that they are providing the best care they can. Ask as many questions as possible whenever feeling uncertain.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
The news we received after the transfer was not what we wanted. However, he was positive, optimistic and comforting.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
We used icsi to fertilize our eggs.
Describe your experience with your nurse at RMA of Pennsylvania.
I loved the nursing staff! The main nurse I saw was amazing she showed me how to administer what I needed, she was awesome if I called and had a question, they just made a scary experience so comforting.
Describe your experience with RMA of Pennsylvania.
The clinic was prompt with any questions or anything we needed. The clinic was clean, easily accessible, and timely.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
I signed up for an embryo retrieval with icsi along with a fresh and frozen transfer. The cost for these procedures, along with all ultrasounds and blood work, and medicine came to about 17,000.
Describe Martin Freedman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
When I received my fresh and frozen transfer, I was 31. He felt I was young and healthy enough with no reason to transfer more than one egg.
Dr castelbaum is extremely empathetic and caring. He explained thoroughly his concerns with my pcos and extreme follicle growths and the chance of many multiples. He gave me choices and his input which I appreciated... He played with dosage of medication and switched from oral to injectables. He monitored my follicles frequently by ultrasound. Ordered hsg to check for Fallopian tube blockage... As scary as it is, he wants the best for you and to do everybody he can for you he successful
Clean, many locations, quick service, team approach, quiet. The staff [RMA of Phila] are always available for questions and helpful in going over billing and procedures if need. The staff can make you smile even after the worst news and work with you over outrageous outstanding bills... Billing was very helpful. They explained the costs with you prior to procedures and go over insurance policy. They are willing to set up payment plans
How was your experience with Arthur Castelbaum at RMA of Pennsylvania?
Dr castelbaum is extremely empathetic and caring. He explained thoroughly his concerns with my pcos and extreme follicle growths and the chance of many multiples. He gave me choices and his input which I appreciated
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Pennsylvania?
Believe in him. As scary as it is, he wants the best for you and to do everybody he can for you he successful
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Pennsylvania?
Extremely compassionate. Took time to go over results and the effects of my PCOS
Describe the protocols Arthur Castelbaum used in your cycles at RMA of Pennsylvania and their degree of success.
He played with dosage of medication and switched from oral to injectables. He monitored my follicles frequently by ultrasound. Ordered hsg to check for Fallopian tube blockage
Describe your experience with the nursing staff at RMA of Pennsylvania.
Describe your experience with RMA of Pennsylvania.
Clean, many locations, quick service, team approach, quiet. The staff are always available for questions and helpful in going over billing and procedures if need. The staff can make you smile even after the worst news and work with you over outrageous outstanding bills
Describe the costs associated with your care under Arthur Castelbaum at RMA of Pennsylvania.
Billing was very helpful. They explained the costs with you prior to procedures and go over insurance policy. They are willing to set up payment plans
I'm glad that Dr. Freedman was my fertility Dr. He was understanding, informative, attentive and punctual. He spent adequate time with me during each visit . He tailored a plan that was great for my condition (PCOS)... was attentive, informative and honest. He made me feel as if my care was a priority and that i mattered...The information and test results i received were always available at the time that was communicated to me at my visit.
The information and test results i received [at RMA of Philadelphia] were always available at the time that was communicated to me at my visit. I received an explanation of all my levels and next course of action so that i was never left in the dark. Every time that i sent an email the nurse Ceil responded within the hour...The clinic staff were inviting and friendly. They knew my name when i walked in and immediately checked me in with ease. I never waited more than 10 minutes to be seen. The clinic was clean and organized.
How was your experience with Martin Freedman at RMA of Pennsylvania?
I'm glad that Dr. Freedman was my fertility Dr. He was understanding, informative, attentive and punctual. He spent adequate time with me during each visit . He tailored a plan that was great for my condition (PCOS).
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Don't hesitate make an appointment TODAY!
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Dr Freedman was attentive, informative and honest. He made me feel as if my care was a priority and that i mattered.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Ceil)
The information and test results i received were always available at the time that was communicated to me at my visit. I received an explanation of all my levels and next course of action so that i was never left in the dark. Every time that i sent an email the nurse Ceil responded within the hour.
Describe your experience with RMA of Pennsylvania.
The clinic staff were inviting and friendly. They knew my name when i walked in and immediately checked me in with ease. I never waited more than 10 minutes to be seen. The clinic was clean and organized.
I was very likely one of many, many patients he [Dr. Freedman] saw on a regular basis but with each encounter he made me feel like he knew me and he had a personal stake in our dream and our success. He was rooting for me. He personally called me at home the night I finally found out I was pregnant...He was an incredible doctor and empathetic human being. I could not say enough wonderful things about him...
The nurses [at RMA of Phila - Willow Grove] were wonderful. You received a personal call after all labs and provided with the specifics - whether you understood what it meant or not - that was above and beyond. They were compassionate and friendly...Trust him. Ask any question you have to put your mind at ease, but he will provide the best care...
How was your experience with Martin Freedman at RMA of Pennsylvania?
He was an incredible doctor and empathetic human being. I could not say enough wonderful things about him.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Trust him. Ask any question you have to put your mind at ease, but he will provide the best care.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
I was very likely one of many, many patients he saw on a regular basis but with each encounter he made me feel like he knew me and he had a personal stake in our dream and our success. He was rooting for me. He personally called me at home the night I finally found out I was pregnant.
Describe your experience with the nursing staff at RMA of Pennsylvania.
The nurses were wonderful. You received a personal call after all labs and provided with the specifics - whether you understood what it meant or not - that was above and beyond. They were compassionate and friendly.
Sometimes he [Dr. Martin Freedman] was quick to go to the next patient, but he always stayed and answered my questions and even set aside over an hour for consultations several times. He always answered my emails very quickly and even called to make sure I was doing ok...He said if I was to get pregnant with IUI it would happen within the first three tries. The first two attempts were unsuccessful for us. We knew there were no other factors causing the infertility so we went for an IVF cycle instead of the third IUI.
Tina [nurse at RMA of Philadelphia] was very nice and she was always very reassuring and showed a lot of patience...The cost was fair, there were discounts because we are low income family...The receptionists were very friendly and knew my name and we became friends throughout my visits...Sometimes he [Dr. Martin Freedman] was quick to go to the next patient, but he always stayed and answered my questions and even set aside over an hour for consultations several times. He always answered my emails very quickly and even called to make sure I was doing ok...He said if I was to get pregnant with IUI it would happen within the first three tries. The first two attempts were unsuccessful for us. We knew there were no other factors causing the infertility so we went for an IVF cycle instead of the third IUI.
How was your experience with Martin Freedman at RMA of Pennsylvania?
We feel really lucky we found this place, we wish we would have sooner! When I first saw Dr Freedman, I thought he was very nice and I felt comfortable trusting him with my pregnancy. Maybe if you don’t know him too well you will think he doesn’t talk too much but when you know him more after a while, he is very kind and really cares about the patient. I always like to make him smile and laugh haha. Sometimes becoming pregnant is very hard, but when you trust the doctor and believe in yourself, it becomes easier. Now I’m 3 months pregnant, but I had some spotting around 9 weeks and pain 10 weeks and I sent a message to Dr Freedman and he responded very quickly each time, one time he called me on Christmas morning to say I can come to the office for an ultrasound, but everything was fine. I really appreciate that he was worried about me as much as the health of the pregnancy. I hope I can come back for my second pregnancy!
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Don’t be afraid to ask questions, and do research online to ask more questions! The more you know the more comfortable you will feel.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Sometimes he was quick to go to the next patient, but he always stayed and answered my questions and even set aside over an hour for consultations several times. He always answered my emails very quickly and even called to make sure I was doing ok.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
He thought I was healthy and just hadn’t had good luck getting pregnant on my own so we tried IUI at first. He said if I was to get pregnant with IUI it would happen within the first three tries. The first two attempts were unsuccessful for us. We knew there were no other factors causing the infertility so we went for an IVF cycle instead of the third IUI. Now we are 3 months pregnant and we know that the baby is healthy from the genetic testing and all the screenings.
Describe your experience with the nursing staff at RMA of Pennsylvania.
Tina was very nice and she was always very reassuring and showed a lot of patience
Describe your experience with RMA of Pennsylvania.
The receptionists were very friendly and knew my name and we became friends throughout my visits. I wish the office was a little closer to my house. They are close to the mall so sometimes I went shopping after my visit
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
The cost was fair, there were discounts because we are low income family
He [Dr. Martin Freedman] strongly recommended single embryo only...He treated me like more than human- I couldn’t imagine one treating one’s own daughter with more genuine kindness, compassion, and warmth. He answered every question patiently and made me feel so personally cared for! He called me at home, responded to emails almost instantly, reassured me when things were rough, calmed my fears, and was there for me in every way conceivable. He personally called to share the news with so much joy in his voice when we got pregnant! I cried on the day we were discharged and my OB doesn’t hold a candle to Dr Freedman.
The staff [at RMA of Philadelphia] was warm, friendly, and knowledgeable...Excellent clinic overall. Try to request your same Dr if possible every visit. It may mean traveling. However, the other doctors I saw for monitoring were very good. But I still liked the continuity of having my Dr each time...3 iui’s, an egg retrieval, polyp removal, and one frozen embryo transfer IVF round...He [Dr. Martin Freedman] strongly recommended single embryo only...He treated me like more than human- I couldn’t imagine one treating one’s own daughter with more genuine kindness, compassion, and warmth. He answered every question patiently and made me feel so personally cared for! He called me at home, responded to emails almost instantly, reassured me when things were rough, calmed my fears, and was there for me in every way conceivable. He personally called to share the news with so much joy in his voice when we got pregnant! I cried on the day we were discharged and my OB doesn’t hold a candle to Dr Freedman.
How was your experience with Martin Freedman at RMA of Pennsylvania?
Between his amazingly prompt replies to questions by email/phone, his phenomenal breadth of knowledge and careful explanations, his sense of humor and warmth, and his gentle reassurance, I was so blessed to meet a Dr like Dr Freedman. I felt like he was a friend personally guiding me every step of the way.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Be prepared with questions and come ready for every appt.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Dr Freedman is the single greatest dr I’ve ever met. He treated me like more than human- I couldn’t imagine one treating one’s own daughter with more genuine kindness, compassion, and warmth. He answered every question patiently and made me feel so personally cared for! He called me at home, responded to emails almost instantly, reassured me when things were rough, calmed my fears, and was there for me in every way conceivable. He personally called to share the news with so much joy in his voice when we got pregnant! I cried on the day we were discharged and my OB doesn’t hold a candle to Dr Freedman.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
3 iui’s, an egg retrieval, polyp removal, and one frozen embryo transfer IVF round.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Ceil)
The staff was warm, friendly, and knowledgeable.
Describe your experience with RMA of Pennsylvania.
Excellent clinic overall. Try to request your same Dr if possible every visit. It may mean traveling. However, the other doctors I saw for monitoring were very good. But I still liked the continuity of having my Dr each time.
Describe Martin Freedman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
Dr. Freedman was kind, understanding, and always transparent with everything. He explained everything in depth and answered all my questions. He made me feel very comfortable with all the procedures. He helped me achieve my goal of being a mommy. I couldn’t have asked for a better doctor...always transparent with everything. He is kind and understanding...We tried IUI- that didn’t work 2x. We ended up doing IVF.
The [RMA of Philadelphia] practice is the best. They helped me achieve my long time goal of being a mommy. All the treatments and procedures were done with care and compassion. Everything is explained very well and organized...The nursing staff has great communication skills. They are very kind and show compassion through everything and all treatments...Martin Freedman was always transparent with everything. He is kind and understanding.
How was your experience with Martin Freedman at RMA of Pennsylvania?
Dr. Freedman was kind, understanding, and always transparent with everything. He explained everything in depth and answered all my questions. He made me feel very comfortable with all the procedures. He helped me achieve my goal of being a mommy. I couldn’t have asked for a better doctor or practice.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Martin Freedman was always transparent with everything. He is kind and understanding.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
We tried IUI- that didn’t work 2x. We ended up doing IVF. I had an egg retrieval done with injectable medications. My husband sperm was taken in order for the embryos to be created. They were frozen for future use. The transfer was the next step, I had mock transfer and hysteroscopy done before the transfer. For the transfer, I took estradiol, and progesterone in oil before the transfer. After the transfer continued with progesterone in oil and of course pre natal vitamins.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Nancy)
The nursing staff has great communication skills. They are very kind and show compassion through everything and all treatments
Describe your experience with RMA of Pennsylvania.
The practice is the best. They helped me achieve my long time goal of being a mommy. All the treatments and procedures were done with care and compassion. Everything is explained very well and organized.
Dr. Thorne took the time to answer my phone calls and review things with me in a manner that both helped me understand what was happening, and that made me feel like he cared...Dr. Thorne is a good communicator. He will take the time with you on the phone (or if you're lucky, in person) to explain and answer all of your questions...Just know that your assigned doctor is not always the doctor you will see for treatment.
[RMA of Philadelphia is] Organized, friendly front desk...Just know that your assigned doctor is not always the doctor you will see for treatment...Appointments were also very quick, especially trying to squeeze them in before racing to work for the day...I could always count on my nurse to help explain everything in layman's terms for me...
How was your experience with Jeffrey Thorne at RMA of Pennsylvania?
Dr. Thorne is a good communicator. He will take the time with you on the phone (or if you're lucky, in person) to explain and answer all of your questions. I would certainly use him again if needed.
What's one piece of advice would you give a prospective patient of Jeffrey Thorne at RMA of Pennsylvania?
Just know that your assigned doctor is not always the doctor you will see for treatment.
During treatment, were you treated like a number or a human with Jeffrey Thorne at RMA of Pennsylvania?
Being treated during Covid was a trying time. Consultations were virtual, and in-person appointments were alone without my partner. That is tough stuff! Appointments were also very quick, especially trying to squeeze them in before racing to work for the day. But with all of that said, I feel like Dr. Thorne took the time to answer my phone calls and review things with me in a manner that both helped me understand what was happening, and that made me feel like he cared.
Describe the protocols Jeffrey Thorne used in your cycles at RMA of Pennsylvania and their degree of success.
We used chlomid and injections, as well as IUI. We also discussed having a polyp removed if we did not see the results we wanted, but in the end we did not need to do that.
Describe your experience with your nurse at RMA of Pennsylvania.
I wish I could remember her name, but often I was completely confused and clueless as to what was going on, or what would be happening next. Fertility treatment is a real whirlwind, especially when going through it for the first time. I could always count on my nurse to help explain everything in layman's terms for me!
Describe your experience with RMA of Pennsylvania.
Dr. Freedman was compassionate and caring! He gave me hope during times that I wanted to give up. When I felt nervous about a few things during the course of treatments, he eased my fears and helped me feel comfortable as possible...He always answered my questions and allowed me to feel supported and cared for...4 IUI’s each for both pregnancies, and for both pregnancies, I ended up conceiving on the 4th IUI. Although statistics show chances decreasing after the third IUi, Dr. Freedman allowed me to stull try 4 IUI’s both times, which was my lucky number!
I dealt with Tina [nurse at RMA of Philadelphia] during both pregnancies. She was amazing, knowledgeable and really got to know me. She made me feel comfortable...I never had anything go wrong at this clinic...Try to get to the clinic as early as possibly, if you are going for bloodwork or treatment before work. Don’t be afraid to ask your doctor any questions you may have. Definitely research your options so your fully aware of your treatment and choices.
How was your experience with Martin Freedman at RMA of Pennsylvania?
Again, Dr. Freedman was compassionate and caring! He gave me hope during times that I wanted to give up. When I felt nervous about a few things during the course of treatments, he eased my fears and helped me feel comfortable as possible.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Ask him as many questions as you need to. He always answered my questions and allowed me to feel supported and cared for.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
Dr. Freedman was great! He was the doctor who helped me achieve both pregnancies. He treated me so compassionately and always cares about my well being. He always remembered my history and made me feel so at ease throughout the whole process. I actually went back to him to pursue a third pregnancy. Before I started treatment for that, I ended up miraculously getting pregnant in my own! He wa so caring that he still have me blood tests and early ultrasounds before discharging me to by OB, just to make sure everything was still okay! I recommend him to family and friends!
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
Clomid and Letrozole, along with Ovidrelinjeections. I also received 4 IUI’s each for both pregnancies, and for both pregnancies, I ended up conceiving on the 4th IUI. Although statistics show chances decreasing after the third IUi, Dr. Freedman allowed me to stull try 4 IUI’s both times, which was my lucky number!
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Tina)
I dealt with Tina during both pregnancies. She was amazing, knowledgeable and really got to know me. She made
me feel comfortable.
Describe your experience with RMA of Pennsylvania.
Try to get to the clinic as early as possibly, if you are going for bloodwork or treatment before work. Don’t be afraid to ask your doctor any questions you may have. Definitely research your options so your fully aware of your treatment and choices.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
My insurance covered most services, but I paid out of pocket for
Medications.
What specific things went wrong at RMA of Pennsylvania?
Failed to send your chart to another clinic
Describe the specific things that went wrong at RMA of Pennsylvania.
He [Dr. Freedman] took his time with me. He explained everything into detail and said he had a goal and he met his goal within two cycles. He always answered my questions and concerns. Never made me feel like just another person whom was trying to get pregnant...Cycle number one. I had taking letrozole 5mg for 5 days with a scheduled iui and I did not conceive that month. Cycle number two I repeated the same medicine only this cycle I used the ovidrel trigger shot and decided I wanted to do times intercourse and got my positive home pregnancy test.
The nursing [staff at RMA of Philadelphia] was amazing. I enjoyed my team and they always kept me in the loop...The front staff was great. This who did my blood work was excellent. The office was always clean and smelling great. The rooms are always cleaned and have good privacy...Cycle number one. I had taking letrozole 5mg for 5 days with a scheduled iui and I did not conceive that month. Cycle number two I repeated the same medicine only this cycle I used the ovidrel trigger shot and decided I wanted to do times intercourse and got my positive home pregnancy test.
How was your experience with Martin Freedman at RMA of Pennsylvania?
He was awesome. I can’t thank him enough for all the time and effort he has put into helping me. Dr Freedman is a man of his word. He let me know every option I had and got me the results I have been praying for. Would choose him all over again for the future if need be.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
He is Amazing. You will love having him. He will do whatever it takes to make your dreams come true.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
He took his time with me. He explained everything into detail and said he had a goal and he met his goal within two cycles. He always answered my questions and concerns. Never made me feel like just another person whom was trying to get pregnant.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
Cycle number one. I had taking letrozole 5mg for 5 days with a scheduled iui and I did not conceive that month. Cycle number two I repeated the same medicine only this cycle I used the ovidrel trigger shot and decided I wanted to do times intercourse and got my positive home pregnancy test.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Christina Mullen)
The nursing was amazing. I enjoyed my team and they always kept me in the loop.
Describe your experience with RMA of Pennsylvania.
The office I went to I can’t say anything bad about them. The front staff was great. This who did my blood work was excellent. The office was always clean and smelling great. The rooms are always cleaned and have good privacy.
Since we are an LGBT couple with no known fertility issues, Dr. Lange recommended starting with IUI using a sperm donor. I did 2 medicated cycles using Letrozole and Ovidrel as a trigger shot. The first round was unsuccessful. The second round resulted in an ectopic pregnancy. We will be moving towards IVF due to the concerns of a higher chance of another ectopic pregnancy...In our case due to age and egg reserve, Dr. Lange recommended when we proceed with IVF to do a single embryo transfer.
IUI cycles [at RMA of Philadelphia] were about 1,200 with monitoring but not including medications...IVF cycles range from 10,750-26,000 depending on need not including medication...The clinic starts you off with a visit with the doctor of your choice to discuss a potential treatment plan. They discuss any procedures or bloodwork you may need to get done to start the process. The clinic is made up of multiple offices so some doctors do travel between clinics. Therefore, you may not always get to meet with your specific doctor if you go in for bloodwork, ultrasounds, etc. If visits are not time sensitive, such as baseline, you can try to schedule with your specific doctor. You also have the option of scheduling appointments at different offices if you they are closer to you. The King of Prussia office is open 7 days a week. I live a distance away from my clinic so they work with me to get bloodwork done local to my house to try to help with travel. While you may not see your specific doctor, the other doctors are equally qualified and willing to help. My IUI procedures were done by a different doctor and I still felt
How was your experience with Allison Lange at RMA of Pennsylvania?
Dr. Allison Lange was very knowledgeable and thorough when she created our treatment plan. She was able to walk us through the plan and answer any questions regarding our specific case. When I had blood work or ultrasounds done, if she was not the doctor on call, she still reviewed all of the results and made the final decisions. When we went through our unfortunate ectopic pregnancy, she was there to tell me the next steps. Dr. Lange went out of her way to personally make arrangements for me and made sure that I understood everything fully. She was very compassionate and made me feel like I was important. After, she personally called to check in on how I was doing physically and emotionally. She set up another appointment to review our treatment plan and answer any questions we may have had.
What's one piece of advice would you give a prospective patient of Allison Lange at RMA of Pennsylvania?
One piece of advice would be to go in with an open mind. She will take the time to review your case and create a plan for you based on your specific needs or goals.
During treatment, were you treated like a number or a human with Allison Lange at RMA of Pennsylvania?
During our visits Dr. Lange was very welcoming and talked to us about our specific case. Our second IUI ended in an ectopic pregnancy. Dr. Lange sat with us and explained everything that was happening and comforted us. She also called after to check in on us following the procedure and creating a new plan.
Describe the protocols Allison Lange used in your cycles at RMA of Pennsylvania and their degree of success.
Since we are an LGBT couple with no known fertility issues, Dr. Lange recommended starting with IUI using a sperm donor. I did 2 medicated cycles using Letrozole and Ovidrel as a trigger shot. The first round was unsuccessful. The second round resulted in an ectopic pregnancy. We will be moving towards IVF due to the concerns of a higher chance of another ectopic pregnancy.
Describe your experience with the nursing staff at RMA of Pennsylvania.
The nurses were very compassionate, professional and willing to help. They called the same day with test results when applicable. If I sent an email via the secure portal, I always received an answer promptly.
Describe your experience with RMA of Pennsylvania.
The clinic starts you off with a visit with the doctor of your choice to discuss a potential treatment plan. They discuss any procedures or bloodwork you may need to get done to start the process. The clinic is made up of multiple offices so some doctors do travel between clinics. Therefore, you may not always get to meet with your specific doctor if you go in for bloodwork, ultrasounds, etc. If visits are not time sensitive, such as baseline, you can try to schedule with your specific doctor. You also have the option of scheduling appointments at different offices if you they are closer to you. The King of Prussia office is open 7 days a week. I live a distance away from my clinic so they work with me to get bloodwork done local to my house to try to help with travel. While you may not see your specific doctor, the other doctors are equally qualified and willing to help. My IUI procedures were done by a different doctor and I still felt as if I was treated as a person and they were still invested in my case.
Describe the costs associated with your care under Allison Lange at RMA of Pennsylvania.
IUI cycles were about 1,200 with monitoring but not including medications
IVF cycles range from 10,750-26,000 depending on need not including medication
Describe Allison Lange's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
In our case due to age and egg reserve, Dr. Lange recommended when we proceed with IVF to do a single embryo transfer. I am unsure of other cases.
Dr. Gutman[n] is brusk and and no-nonsense, but she is also incredibly intelligent and honest, which makes her very trustworthy. ... Her treatments are kind of drawn out, however that's because she requires constant consultations and re-evaluations to make sure that you are completely safe and avoid any potential risks during the treatment. She's funny and I never once felt judged or uncomfortable with her.
The one thing to be prepared for is that the nursing and patient services staff have absolutely nothing to do with finances or insurance. ... They have an entire financial team dedicated to finding the best options for you and take care when selecting medication, since we are paying 100% out of pocket. ... I was legitimately shocked at how well the nurses knew what was gong on, even if it was their first time meeting me. They were all funny and down to earth, which made the experience so much more managable. ...
How was your experience with Jacqueline Gutmann at RMA of Pennsylvania?
Dr. Gutman is brusk and and no-nonsense, but she is also incredibly intelligent and honest, which makes her very trustworthy. The way she casually talks about the procedure puts you at ease and makes you realize that she has done this a hundred times and knows what she is doing. Her treatments are kind of drawn out, however that's because she requires constant consultations and re-evaluations to make sure that you are completely safe and avoid any potential risks during the treatment. She's funny and I never once felt judged or uncomfortable with her. Once visit, I told her I was on my way to a baby shower and she said, "Well, if you need me to write you a doctor's note, I will absolutely do that." She understands how hard the journey is but doesn't dwell on it and always pushes forward.
What's one piece of advice would you give a prospective patient of Jacqueline Gutmann at RMA of Pennsylvania?
Trust the process. She is not a terribly warm individual, especially when you first meet her, but that's because she is still evaluating what the absolute best options are for you. Every time you talk to her, you will be reminded as to why you are in her care. She's great if you like someone who is straight and to the point - no sugarcoating bad news. It might be a long treatment, but she will be invested the entire time and is open to suggestions if you feel as though you'd like to try a different treatment which I appreciated!
During treatment, were you treated like a number or a human with Jacqueline Gutmann at RMA of Pennsylvania?
Not only Dr. Gutman, but her entire staff were gentle, but not so gentle that I felt they were incompetent. Dr. Gutman is so incredibly passionate about endocrinology and you can tell when you talk to her that she genuinely wants to see you succeed. I never once had to wait long for results and all of my questions were answered - they even didn't mind corresponding via email, which is my preferred method. They made sure I completely understood the entire process and the 'why' behind each step. They also were up front about the odds - no false promises about whether or not it would work. They have an entire financial team dedicated to finding the best options for you and take care when selecting medication, since we are paying 100% out of pocket.
Describe the protocols Jacqueline Gutmann used in your cycles at RMA of Pennsylvania and their degree of success.
After our initial consult, she scheduled me for an MRI of the pituitary, which showed a small tumor, meaning that I would very likely not respond to oral medications and advised we go straight to injectables. I began 75iu of Menopur for three days, then after my blood and ultrasound, continued for three more days. I was then bumped up to 150 iu after my estrogen was still <100. I had bloods and ultrasound every 3 days throughout the entire process. I triggered with Ovidrel after day 14 of Menopur and my IUI was performed 32 hours later. I received my period prior to the pregnancy test.
Our second IUI followed the same protocol, with 16 days of stims before trigger. This time, she started me at 75IU, but shortly bumped me back up to 150iu, as my estogren dropped after the first three injections. The second IUI resulted in a positive HCG test, but the level was 34 and quickly dropped to 6. I got my period shortly after.
Our next IUI baseline is scheduled for this week and will likely follow the same protocol.
Describe your experience with the nursing staff at RMA of Pennsylvania.
I was legitimately shocked at how well the nurses knew what was gong on, even if it was their first time meeting me. They were all funny and down to earth, which made the experience so much more managable. Every time they sent results, it felt as though they were experiencing the same emotions as you, whether it was excitement or disappointment. None of the emails they send were carbon copied - they were all completely individualized and answered very quickly. I think the only weakness would be that they sometimes assume that patients have a lot of prior knowledge, so when we had our first IUI, I was not sure exactly what all the terms and medications they were talking about. Now I understand them though.
Describe your experience with RMA of Pennsylvania.
They have fantastic hours and multiple locations that all work together, so you can go to whichever one they have an appointment at. The one thing to be prepared for is that the nursing and patient services staff have absolutely nothing to do with finances or insurance. They don't know how much medications will be, they don't know what your insurance company will cover - that is completely handled by the finance department, so they will often suggest procedures to you without mentioning the price.
The staff is amazing otherwise and the clinic is clean and welcoming. It might be a while to get an initial consult but it is worth it!
Describe the costs associated with your care under Jacqueline Gutmann at RMA of Pennsylvania.
The out of pocket IUI package was $1800 and included everything but medication for a full cycle. I paid an additional $1800 for Menopur and $200 for ovidrel. We have no insurance coverage for fertility treatments, monitoring or medication.
Total was about $3300 per IUI. We completed two unsuccessful cycles and are beginning our third.
Describe Jacqueline Gutmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
Dr. Castelbaum was honest, transparent, and trustworthy. He is an expert in his field but takes the time to explain things to you in ways that you fully and completely understand. He tailored my treatment plans based on my specific concerns and needs. He was warm and comforting but also very clear about data and statistics...I felt like my specific concerns were listened to and addressed. I wasn't given a one-sized-fits-all protocol but was actively involved in the decision making...
I really appreciated the efficiency of RMA. I felt like they did everything they could to respect your time and get you in and out of the office during morning monitoring appointments...My nurse, Heather, was very timely in her responses and made sure I fully understood everything. I can't say enough good things about my experience with Heather...This clinic strongly advocates for single embryo transfers up to a certain age...
How was your experience with Arthur Castelbaum at RMA of Pennsylvania?
I felt that Dr. Castelbaum was honest, transparent, and trustworthy. He is an expert in his field but takes the time to explain things to you in ways that you fully and completely understand. He tailored my treatment plans based on my specific concerns and needs. He was warm and comforting but also very clear about data and statistics.
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Pennsylvania?
Watch all of the available webinars and videos online before meeting with the Doctor and have a list of questions ready so that you can maximize your time with him and get all of your concerns addressed!
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Pennsylvania?
I felt like my specific concerns were listened to and addressed. I wasn't given a one-sized-fits-all protocol but was actively involved in the decision making.
Describe the protocols Arthur Castelbaum used in your cycles at RMA of Pennsylvania and their degree of success.
Antagonist protocol was used - ended up being on the meds for a shorter time period than expected, about 8 total days instead of 10-12.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Heather)
My nurse, Heather, was very timely in her responses and made sure I fully understood everything. I can't say enough good things about my experience with Heather. IVF sucks; it is emotionally/financially/physically taxing, and she made the entire process suck a little less.
Describe your experience with RMA of Pennsylvania.
I really appreciated the efficiency of RMA. I felt like they did everything they could to respect your time and get you in and out of the office during morning monitoring appointments. As someone who hates needles and giving blood, I definitely appreciated the care and compassion that the RMA clinical staff showed me.
Describe Arthur Castelbaum's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
This clinic strongly advocates for single embryo transfers up to a certain age.
What specific things went wrong at RMA of Pennsylvania?