Due to male factor infertility, [Dr. Adam Fechner] cautioned us that less invasive techniques such as IUIs may not be successful, but he was willing to try prior to moving onto IVF. He put me on letrozole as opposed to Clomid for all 3 IUI cycles as he noticed I have a tendency to make a lot of eggs...He also recommended we seek out a second opinion for my husband with a reproductive urologist...
The clinic [University Reproductive Associates] doesn’t have the same factory feel that other larger clinics do. Monitoring doesn’t take forever and you don't have to travel far from your home clinic on a weekend or holiday. You’re almost always monitored by a doctor, and being that there aren’t many in the practice, you can develop a rapport with them. The downside to it being a smaller practice is monitoring hours are only from 7-8am.
How was your experience with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Dr. Fechner is a personable and empathetic provider whose goal is to ultimately help couples build their family. He’s respectful of the overall timeline of fertility treatments and works in a way to make sure there’s no “wasted” time between cycles/treatment planning, etc.
What's one piece of advice would you give a prospective patient of Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Understand that his goal is to help you build your family in the quickest and safest way possible.
During treatment, were you treated like a number or a human with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Dr. Fechner always greets ANY patients he walks past in the clinic (even before 7am when coming in for morning monitoring). He is punctual and respectful of my time, and is empathetic. During office visits he not only discusses treatment/planning but expresses interest in your life outside of trying to make a baby.
Describe the protocols Adam Fechner used in your cycles at University Reproductive Associates (New Jersey Medical School) and their degree of success.
Due to male factor infertility, Dr. Fechner cautioned us that less invasive techniques such as IUIs may not be successful, but he was willing to try prior to moving onto IVF. He put me on letrozole as opposed to Clomid for all 3 IUI cycles as he noticed I have a tendency to make a lot of eggs. He was concerned the clomid would result in me making too many, forcing us to cancel a cycle and putting me at risk for developing cysts. Being on the letrozole I developed 1-2 mature follicles each cycle with no side effects. He also recommended we seek out a second opinion for my husband with a reproductive urologist. My husband’s first urologist wanted to remove a varicocele, which Dr. Fechner believed may not help improve his sperm quality. The reproductive urologist agreed and we are currently awaiting a follow up visit to discuss our options moving forward
Describe your experience with your nurse at University Reproductive Associates (New Jersey Medical School). (Assigned nurse: Vickie)
Vickie is empathetic and thorough in her explanations of testing/treatments. She’s also relatable having gone through fertility treatments herself. The rest of the nursing staff is also approachable and willing to answer any questions
Describe your experience with University Reproductive Associates (New Jersey Medical School).
The clinic doesn’t have the same factory feel that other larger clinics do. Monitoring doesn’t take forever and you don't have to travel far from your home clinic on a weekend or holiday. You’re almost always monitored by a doctor, and being that there aren’t many in the practice, you can develop a rapport with them. The downside to it being a smaller practice is monitoring hours are only from 7-8am
Describe the costs associated with your care under Adam Fechner at University Reproductive Associates (New Jersey Medical School).
I am still undergoing treatment and haven’t had to pay out of pocket yet. So far everything has been covered by insurance and I’ve only been responsible for my copay
Describe Adam Fechner's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at University Reproductive Associates (New Jersey Medical School).
I was provided with thorough, research-backed evidence as to the benefits/risks of single vs multiple transfer. I feel comfortable with the approach and am appreciative of the literature I was provided with
Dr. Fechner covered all the treatment options in details and was very honest about my chances of conceiving. Having that information helped me prepare for the ups and downs of the process. I was able to reach him with any questions I had about my treatment...All of my questions were answered and different treatment options were highly suggested to maximize my chances of conceiving.
Overall the clinic [University Reproductive Associates] is great but morning monitoring was not the best due to the long wait. I think morning monitoring should start earlier since it gets crowded and most people have to go to work afterwards...She [nurse] was always reachable either by phone or email. She always make sure that my medications were called weeks prior of me starting my treatment which allowed me time to get to know all the medications that I will be starting. The nurses would provide details instructions on the portal or voicemail were you would not need to call for clarification.
How was your experience with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Dr. Fechner covered all the treatment options in details and was very honest about my chances of conceiving. Having that information helped me prepare for the ups and downs of the process. I was able to reach him with any questions I had about my treatment.
What's one piece of advice would you give a prospective patient of Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Don’t hesitate to ask him questions.
During treatment, were you treated like a number or a human with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
All of my questions were answered and different treatment options were highly suggested to maximize my chances of conceiving.
Describe the protocols Adam Fechner used in your cycles at University Reproductive Associates (New Jersey Medical School) and their degree of success.
Not sure since I did multiple Ivf cycles ( four)
Describe your experience with your nurse at University Reproductive Associates (New Jersey Medical School). (Assigned nurse: Vicki )
All the nurses were great but the nurse I was assigned to was great. She was always reachable either by phone or email. She always make sure that my medications were called weeks prior of me starting my treatment which allowed me time to get to know all the medications that I will be starting. The nurses would provide details instructions on the portal or voicemail were you would not need to call for clarification.
Describe your experience with University Reproductive Associates (New Jersey Medical School).
Overall the clinic is great but morning monitoring was not the best due to the long wait. I think morning monitoring should start earlier since it gets crowded and most people have to go to work afterwards.
Describe your experience with your monitoring appointments at University Reproductive Associates (New Jersey Medical School).
First come, first serve but patients who need only bloodwork tend to go first compare to those who need bloodwork and ultrasound.
Describe the costs associated with your care under Adam Fechner at University Reproductive Associates (New Jersey Medical School).
Insurance and out-of-pocket
Describe Adam Fechner's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at University Reproductive Associates (New Jersey Medical School).
I only had one embryo that was considered to be viable after Preimplantation Genetic Screening( PGS). So I had no choice but to have single embryo transfer.
Dr Fechner listened to our history of challenges we faced through our IVF journey. He took that into consideration along the way. We put our trust in his clinical judgement and never felt uncomfortable with decisions that were made. We have nothing negative to say...He talks fast, but he covers a lot of necessary information.
Morning monitoring was easy and went smoothly [at University Reproductive Associates]. Rarely had to wait long. All the instructions left on voicemail could also be found via their portal which is very easy to use. With this clinical as with all Clinics you need to stay on top of your checklist...We participated in the assured refund plan with the donor bank. We paid the bank and the bank reimbursement the clinic. Morning monitor was standard fees
How was your experience with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Dr Fechner listened to our history of challenges we faced through our IVF journey. He took that into consideration along the way. We put our trust in his clinical judgement and never felt uncomfortable with decisions that were made. We have nothing negative to say.
What's one piece of advice would you give a prospective patient of Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Listen carefully. He talks fast, but he covers a lot of necessary information.
During treatment, were you treated like a number or a human with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Dr Fechner knew our history of challenges with IVF and took that into consideration every step of the way
Describe the protocols Adam Fechner used in your cycles at University Reproductive Associates (New Jersey Medical School) and their degree of success.
We used frozen donor eggs. Lupron was used, estrace, progesterone. We had one embryo that made it to day 7. We repeated the cycle to transfer the embryo on day 5 (as we had a successful transfer from on day 5 in the past) and we had a positive pregnancy test.
Describe your experience with your nurse at University Reproductive Associates (New Jersey Medical School). (Assigned nurse: Simona )
Simona was very responsive to all emails and phone calls
Describe your experience with University Reproductive Associates (New Jersey Medical School).
Morning monitoring was easy and went smoothly. Rarely had to wait long. All the instructions left on voicemail could also be found via their portal which is very easy to use. With this clinical as with all
Clinics you need to stay on top of your checklist.
Describe the costs associated with your care under Adam Fechner at University Reproductive Associates (New Jersey Medical School).
We participated in the assured refund plan with the donor bank. We paid the bank and the bank reimbursement the clinic. Morning monitor was standard fees
Describe Adam Fechner's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at University Reproductive Associates (New Jersey Medical School).
Dr. Fechner is absolutely a great doctor. Only downside is we see the doctor on call for morning ultrasound and blood work. It's difficult to explain to every doctor what is going on and how to proceed with procedures...treats me with respect. He makes you feel comfortable and makes sure you understands everything you need to know...you'll only see your primary doctor only if they are on call that day or you schedule your appointment specifically with them.
[University Reproductive Associates clinic] Strength- very organized and have great time management. The clinic is very clean and comfortable. Weakness- their elevator gives me high anxiety because it makes loud noises when moving. But other then that clinic is great...[nursing staff] They are very nice but when doing follow up calls they aren't consistent with information received from doctor.
How was your experience with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Dr. Fechner is absolutely a great doctor. Only downside is we see the doctor on call for morning ultrasound and blood work. It's difficult to explain to every doctor what is going on and how to proceed with procedures.
What's one piece of advice would you give a prospective patient of Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Know that you'll only see your primary doctor only if they are on call that day or you schedule your appointment specifically with them.
During treatment, were you treated like a number or a human with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
He is very respectful and treats me with respect. He makes you feel comfortable and makes sure you understands everything you need to know.
Describe the protocols Adam Fechner used in your cycles at University Reproductive Associates (New Jersey Medical School) and their degree of success.
Everything so far has been on protocol. Just have not gotten pregnant yet.
Describe your experience with the nursing staff at University Reproductive Associates (New Jersey Medical School).
They are very nice but when doing follow up calls they aren't consistent with information received from doctor.
Describe your experience with University Reproductive Associates (New Jersey Medical School).
Strength- very organized and have great time management. The clinic is very clean and comfortable.
Weakness- their elevator gives me high anxiety because it makes loud noises when moving. But other then that clinic is great.
Describe the costs associated with your care under Adam Fechner at University Reproductive Associates (New Jersey Medical School).
Insurance paid for ultrasound but everything else was paid out of pocket.
Describe Adam Fechner's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at University Reproductive Associates (New Jersey Medical School).
N/a
What specific things went wrong at University Reproductive Associates (New Jersey Medical School)?
Provided conflicting information
Describe the specific things that went wrong at University Reproductive Associates (New Jersey Medical School).
After morning ultrasound I received a follow up call from the nurse. There were conflicting results and procedures. But the nurse followed up with the doctor and called back. Every thing was settled after.
Fechner is very flexible and considerate. At the same time , he appears to be little less experienced... He has good bed side manner. Very polite. He does consider your issues and He’s flexible to change the treatment plan. I haven’t seen a better communicator like him. Very respectful as well. He is very competent in the work he does.... We Did two transfers but both failed. He considered doing iui as we requested
Doctors [at U Repro Associates] are good. Nurses are not very knowledgeable in comparison to other clinics.... Nurses seems more like technician and not RN.... They do rush in giving instructions and not full explaining the results of blood work... Finance does need to be reviewed carefully... Fechner is very flexible and considerate.... He does consider your issues and He’s flexible to change the treatment plan
How was your experience with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
He has good bed side manner. Very polite. He does consider your issues and He’s flexible to change the treatment plan.
I haven’t seen a better communicator like him. Very respectful as well. He is very competent in the work he does.
During treatment, were you treated like a number or a human with Adam Fechner at University Reproductive Associates (New Jersey Medical School)?
Fechner is very flexible and considerate. At the same time , he appears to be little less experienced
Describe the protocols Adam Fechner used in your cycles at University Reproductive Associates (New Jersey Medical School) and their degree of success.
IVF . We Did two transfers but both failed. He considered doing iui as we requested
Describe your experience with the nursing staff at University Reproductive Associates (New Jersey Medical School).
Some nurses are good.
Describe your experience with University Reproductive Associates (New Jersey Medical School).
Doctors are good. Nurses are not very knowledgeable in comparison to other clinics like rmanj. Nurses seems more like technician and not RN.......,,.,,,......
They do rush in giving instructions and not full explaining the results of blood work
Describe the costs associated with your care under Adam Fechner at University Reproductive Associates (New Jersey Medical School).
Finance does need to be reviewed carefully
Describe Adam Fechner's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at University Reproductive Associates (New Jersey Medical School).
Once pt is recognized to failed embryo transfer. They should encourage transferring 2 eggs
What specific things went wrong at University Reproductive Associates (New Jersey Medical School)?
Failed to call with results
Failed to inform you of changes in protocol
Provided conflicting information
Failed to consider drug intolerance
Describe the specific things that went wrong at University Reproductive Associates (New Jersey Medical School).