Jacqueline Gutmann

Dr. Gutmann knew her stuff. That gave me so much confidence as I went down this scary path--scary because of the chance for failure, scary because I was doing this on my own, scary because of my advanced age, scary because of how much I wanted it to work. She is not all warm and fuzzy, but she is an absolute master of the science (to the extent it is a science and not partially an art!). That made me feel like I was in superbly good hands. She was also funny; we joked about my socks and about the news, which put me at ease during otherwise vulnerable situations (ie when I was getting a vaginal ultrasound). She did not hold back on explaining my chances of this not working, and I really appreciate that. It made me rejoice all the more when it did work (and not be so let down at the disappointments along the way). She made sure that the details of each visit were communciated to me by the staff. I would have appreciated/welcomed more calls from her rather than from nurses but I also understand how busy and in demand she is. (She's a rockstar in the Philly area). I also never felt judged--not for a nanosecond--that I was doing this as a single woman. She acted like it was the most natural thing in the world. She was also good at answering questions: as I noted above, she wasn't the most warm and fuzzy but she ALWAYS took the time to answer whatever questions I had and to do so thoroughly so I never felt unmoored. I now have a health 10 month old baby and have her to thank for it.

Don't be put off just because she isn't the most effusive or bubbly. She's the doc you want if you're struggling to make a family. She'll be in your corner throughout the process. Be sure to ask her about anything unclear.

I really don't remember too much. I used letrazole for my three IUIs. Those were not successful. And I used follitsim and menapur for my egg retrieval. I don't remember the dosage. My egg retrieval was wildly successful. I received more mature eggs than I expected and I got more genetically normal embyros than I expected. One doctor at the clinic said I hit the magic jackpot.

I had insurance coverage so I only paid 20% plus the cost of sperm, PGT, and a few other things. I think that for 2021--when I did three IUIs and an egg retrieval--I ended up spending around $10,000 total, including medication and the cost of sperm.

My doctor and her clinic STRONGLY favor single embyro transfer. They might make exceptions for frequent transfer failures, but not sure. I just know they highly emphasized single embyro transfer as being the best supported by the science.

Dr. Gutman is very patient, caring and experienced. While you can tell she is very busy with many patients, the appointments never felt rushed. If questions aren't asked, she won't got into much detail. However when questions are asked, she will tell you what she is was thinking. Overall I would say her methods are on the traditional/conservative side. While I appreciate her not pushing any products or treatments that don't have proven success rates, I do wish we would explore more out of the box options. Overall, I feel a sense of trust working with Dr. Gutman and feel like she truly cares about my outcome.

If you have a question, ask it. Don't assume. She doesn't give much detail if you don't ask for it. If you want to try something new, you need to start that conversation as well.

I have been through 2 IVF cycles with Dr. Gutman. The first cycle we used BC for a week prior to starting stims. We then followed the agonist protocol with an aggressive med list. We did 300 follistim iu and 75iu menopur for twelve nights. About a week into stims, we realized I wasn't responding to the meds as we would expect for someone my age. I was producing fewer eggs than normal. The word "cancel" was tossed around once or twice, however we went through with the retrieval. 8 follicles were retrieved, 6 were mature, 4 fertilized and made it to day 5, however only 1 was able to transferred. That round ended in a negative beta. We took a month off, and then started another round of stims. This time instead of BC, we primed with estrogen ( we thought the BC may have suppressed me too much). We then did the same agonist protocol with the same dosages. We stimmed another twelve nights and all monitoring appointments showed more follicles than the first round. However, retrieval yielded only 7 follicles, and none fertilized. We haven't done another IVF cycle since then. We have done 4 IUI's with follistim and follistim/clomid. The first IUI resulted in a chemical pregnancy. The other three ended in negative betas. Each IUI showed at least 3 mature follicles.

Early morning monitoring appointments were hit or miss. Some days I would be in and out very quickly, other days I would be there for almost an hour. I would say they were usually on the quicker side for the most part, however there were still a handful of times that took way longer than needed. The days that did take long however, once I got into the monitoring room, I did not feel rushed out.

My insurance covered monitoring and bloodwork for IUI cycles. Nothing was covered for IVF. RMA prices are high and they don't offer any bundled packages which is the main reason I am holding back on moving forward with another cycle. If they offered better more affordable options, I would have started another retrieval already because I do feel comfortable and trust them. They did offer a tiny discount however with my next cycle being my third round, I was hoping for a deeper discount than offered.

We never had the option to transfer more than one embryo. However for our IUI with injections, Dr. Gutman was ok with proceeding with 3 or 4 mature follicles.

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.

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!

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.

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.

Not applicable for our treament

I appreciate that Dr. Gutmann is very candid and forthright during the process. She is able to be blunt while still showing compassion. Fertility treatment can be overwhelming. Sometimes, I wish she would tell me what to do so that I wouldn't have to weigh the decision myself, but it is ultimately my decision, so I understand. However, in the cases where it mattered, she was very decisive, and I appreciated that. For example, I had one cycle where the risk of multiples was too high for her comfort, and she canceled it.

If you are the kind of person who needs a more delicate touch during this process, consider a different doctor. For me, I prefer a "straight shooter."

I began my fertility treatment with unmedicated IUI. After a chemical pregnancy in my second cycle, I did one more unmedicated cycle before doing a Clomid cycle for my 4th. I had two more attempts at a 5th IUI cycle before moving on to IVF. One, I canceled because of my mental health, and the second, Dr. Gutmann canceled because of the risk of multiples. Dr. Gutmann began suggesting IVF after the third IUI cycle, but I was not ready at that time and was primarily concerned about the expense. Having now undergone IVF, I wish I would have done it sooner. It is seemingly much more expensive, but donor sperm vials and IUI cycles quickly add up. Considering how much higher the success rates are, I would recommend going straight to IVF if possible.

Monitoring hours are great. They are scheduled for a convenient time for most (typically before the workday starts). They are quick 15-minute appointments and are scheduled back to back. While these are clearly not consult hours, there is always time to ask questions and I've never felt rushed.

Each IUI cycle is about $500; Donor sperm is about $1k per vial. IVF is about $20k (inclusive of anesthesia and one embryo transfer); fertility medications are about $4k; diagnostic testing has been covered by insurance.

The policy at my clinic is to do a single embryo transfer and I agree with that policy, especially if PGT-A testing is done.

Dr G was our choice with RMA without a doubt, since we had friends who had used her previously. She’s straight to the point which is really helpful in situations like this that could be really scary with the unknown. The more you know the better and she helped us be the most informed that we could be. However, she did so with a delicate balance of humor and reality. My wife, being 43, created some risks, and we went into the process fully aware and understanding of what those were. And she made a comment us that helped us in our journey immensely, which has to do with making a decision to do a second retrieval for my wife, or for myself (age 31) to do one. She said “you both need to make a decision separately and come together with it because your answers will persuade each other. I suggest that you take a moment individually and then reconvene together”. That changed the course of our treatment, and I will forever be grateful.

She loves dogs! But no, seriously: she is one of the most intelligent doctors I’ve ever worked with in my life, and if you want the best possible outcome, hands-down, she is who you need.

So far only my partner has used medication. She took 10 days of pills (estradiol) and then did about 12 days of injections which included Follistim galorelix and Menopur. After her trigger shot, we did our retrieval on August 24. We resulted in 29 eggs that created 12 embryos and only six survived the process but out of the six all of them had genetic abnormalities so we were left with zero. It was an unbelievable loss for us especially since this is a process that we are paying for out-of-pocket even though we are both fully insured. We had no assistance from insurance, but that didn’t stop Dr. G from prescribing us exactly what she knew was going to lead us to the best outcome. She didn’t let that sway her treatment plan. She is with us every step of the way and even help to take apart an hour and “12 days of IVF my true love gave to me” game where my wife was given a present for each night of her injectables with a soundtrack of a song that had to do with shots (hello Hamilton and LMFAO and Lil John). I told Dr. G that Tami my wife was doing amazing on the injectables and she was in such a great spirit and even joked if she could do the injectables the rest of our lives and without hesitation Dr G responded “it’s not the injectables it’s your 12 days of IVF game” It was such a reality check for us, and we were cracking up in the operatory with her

Absolutely. She also was the doctor in charge of conceiving one of our best friends’ baby , another lesbian couple. She was super respectful and understood the plan that we made for ourselves in the process (Which was not like everyone else’s, because it wasn’t typical reciprocal, IVF). My wife did her retrieval first but unfortunately, we lost all six of the embryos because they all had too many mutations. But Dr G was there for us throughout the entire journey, and made sure that we had all of our questions answered. Shout out to the nurses at RMA as well who make the scariest moments of my life so-far a little more enjoyable, and not as scary as it could be.

They can usually always get us in at the 8 AM appointment. Several times they were 15 minutes late, which resulted in us being late for work, but we understand that the clinics see a lot of people. My wife reached age 43 without knowing she was allergic to latex so they also were very good and correct in the system to make sure that she had a plastic cover on ultrasound machine.

We are spending $45,000 out of pocket with some financed through Ally Lending.

I’m only 31 and I am the one that will be carrying the child so Dr. G told me that they will only do a single embryo transfer on me since it is likely that I will successfully carry one embryo. I wish that I could place more, but she told me that it creates more of a risk.

We bought four vials of sperm from Xytex, a sperm donation site and Georgia. They worked very well with RMA to send the sperm to the King of Prussia lab. I think there were some snafus initially, but we connected the right people and it worked. Our frustration came from the financing team

Dr. Gutmann was always direct and professional during consult appointments and during treatment or monitoring visits when she was the doctor in that day. I've liked her dry sense of humor and she explains how things look during appointments.

Expect a very direct, dry personality from her, but she's extremely knowledgeable, always catches up on the latest science and studies, and is open to discussing your questions or ideas for what treatment path to pursue.

3 unmedicated, monitored IUIs (because I have no underlying fertility issues) first. Then switching to adding 5mg of letrozole per cycle, monitoring, and an Ovidrel trigger shot for a few additional cycles - two of those cycles are done, and they also did not work. I responded well to the medications. Proceeding with one or two more IUIs with the same protocols before switching to IVF.

Self-pay, monitored IUI cycles were $1500 each, plus meds separately.

I think I explained most of it in my response to the preceding question, so I won't duplicate here. Bottom line is that she is a no-nonsense, data-driven, but exceedingly compassionate physician. I didn't have the outcome I wanted after an egg retrieval and two embryo transfers, and was devasted. I took some time to heal a bit from my losses and intend to have one final attempt with her in the next few months.

Don't be afraid to ask questions. Don't be offended by her demeanor.

I believe an IUI package was about $1500 plus donor sperm and medication; and a full egg retrieval and transfer were in the range of $15K-18K plus donor sperm and medication.

We elected to only transfer one embryo at a time because of my age and because success rates with one embryo are higher.

Dr. Guttman has been a perfect balance of no-nonsense and compassion. She doesn't sugar coat and gets right to the point (which I greatly appreciate), but when I had my miscarriage she was gentle, compassionate, and sympathetic. She has always answered and addressed my questions (even the crazier ones), and I feel very comfortable and confident continuing treatment with her.

See her.

When I first went in, Dr. Guttman immediately suggested a medicated cycle with IUI. I wasn't mentally prepared to start treatment right away, so she suggested trying Ovasitol and prescribed a thyroid medication. Over the next few months, RMA checked in on me periodically and Dr. Guttman continued to monitor my thyroid levels and adjust my medication accordingly. Once my husband and I were ready to begin treatment, his sperm was tested and I went in for baseline monitoring and an HSG. I was prescribed Clomid, and once my follicles were the appropriate size, Ovidrel. I had an IUI 36 hours later. I got pregnant on the first try, but unfortunately miscarried at 7 weeks and subsequently had a D&C. I am currently waiting for my HCG levels to return to 0. Once my period returns (and assuming "elective procedures" are possible given COVID-19), I'll be undergoing a hysteroscopy to help determine our next steps.

My insurance has covered most of my treatment so far, with the obvious exception of copays. The billing department gave me a vey clear break-down: if my pants come off, it's considered a specialist visit and I have a copay. If I'm just coming in for bloodwork, I don't have a copay. I've only had to pay for one medication out-of-pocket (Ovidrel), but the clinic referred me to a specialty pharmacy where I was able to get it for a low price.

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I saw Dr. Gutmann 4-5 times initially, during the various exploratory & diagnostic phases (consultation, a monitored clomid cycle, HSG, blood and semen tests, etc.) that led to unexplained fertility diagnosis. While not stereotypically warm and fuzzy, she has a great style that really clicked for us: remembering personal details and preferences/goals, informed by the latest science, with a bit of dry humor thrown in there.

1. First semen analysis showed slightly low sperm count and motility. She recommended supplements. My husband also decided to cut from ~3-6 beers a week to 1. Three mos later Dr. Gutmann said test results had rebounded so well that she thought one of the tests was inaccurate, and the answer was most likely somewhere in between. 2. We weren't ready to fully dive into IVF yet so our first step was a Clomid + timed intercourse cycle. 1 ultrasound monitoring appt showed 5 eggs. Negative test. 3. Dr. Gutmann informed us of a research opportunity that would pay for the entire IVF cycle except medication. This sort of kick-started our commitment, but I got busy for 2 months and put off the diagnostic tests. Study was closed to my age bracket by then but we decided to go ahead anyway. 4. IVF cycle with injectables. Started at 400iu Follistim, but as my estrogen levels climbed sky high they switched me to daily monitoring & bloodwork, and tweaked dosage every day. Inconvenient, but great care. On trigger day I screwed up a medication pickup and did not have the prescribed trigger med at home. The doctor on call was great about prescribing an alternative w that I could do within the hour. He explained this alternative would put me at higher risk for OHSS, but they would monitor me closely.

Yes, doctor had strong preference to transfer 1 for goal of healthy singleton pregnancy.

Dr. Gutman’s balance of bedside manner and intellectual prowess were so good that, as dreaded as the process could be (and it was since I had a miscarriage at first), We still always looked forward to seeing her.

Prepare questions. She will answer them, but as others have said, your time is limited. She will always answer questions though. I read these docs often do over 50 monitoring appointments from 7-9, for context. So she wouldn’t go into a monologue about my treatment plan, but always more than happy to explain my treatment plan.

First 9 weeks was just monitoring because, against all odds, my first appt revealed my first natural pregnancy. We lost this baby and Dr. G was great, and suggested a slightly more aggressive approach of letrizol, progesterone, trigger shot, and IUI which we did. I ended up bleeding and having low hcg levels, which made me very anxious and I asked to terminate the pregnancy rather than finish what I thought was a miscarriage. From there, doc monitored me for 9 weeks, even answering my questions by phone immediately before the holidays. At week 9 Dr. G graduated me because against the odds, this pregnancy looks viable. Nurse still did follow up after final appt. it was a great process- wish I could stay w dr. G a couple more weeks because of my anxiety, but I understand that a reproductive specialist has to draw a clear line of time to move on to OB.

I have great insurance so costs we’re $40 copays, trigger shot was $100, other meds $60....total costs under $1,000.

Dr. Gutman is very knowledgeable, compassionate and has a great sense of humor. During our first consultation and workup she was completely upfront and honest with what my test results revealed and the potential difficulties that could lie ahead. However, she was always very empathetic and made it known that she was confident in her abilities and was going to work very hard to achieve my desired results. I felt very comfortable in her presence and confident in the treatment decisions that she made throughout my care. She understood how crazy the back and forth almost daily visits at times for monitoring could be and did her best to take my life/work schedule into consideration. I don't know that I could have had a better experience. She truly made this very stressful process go much smoother than I ever anticipated. I am blessed to have found such an amazing fertility Dr.

Dr. Gutmann is straight forward when it comes to describing your care, potential issues, all of your potential options. She doesn't sugar coat the facts, but she also lets you know she is here to help and fight with you through the entire process. My percentages for a successful pregnancy were extremely low and she was up front with that, but also had a thorough game plan in place to beat those odds. She is determined and very skilled at what she does.

My first cycle began with Clomid and Ovedril leading to my IUI. My second cycle we used Letrozole to regulate my ovulation and Ovedril prior to the IUI. Throughout both cycles there was constant blood work and ultrasound monitoring to track my ovulation.

With each visit I had a $30 copay. All other treatment was covered except the cost of my donor sperm. I had to pay out of pocket for two rounds of donor sperm which ran around $2000.

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Dr. Gutman seems to be a no-nonsense doctor. While my partner and I have been having fertility problems she said our outlook is optimistic. I don’t think she would have said this if she didn’t believe it. We went to her for a second opinion and she discussed different ways she would change our current fertility regimen. This was helpful in that we were able to discuss these suggestions with our primary fertility doctor. Dr. Gutman also offered us the single best piece of advice we have received in our fertility journey. After 2 years, multiple IUIs, a cycle of IVF we were unsure of how to proceed on this journey. Dr. Gutman stated that whatever we decide we should be able to look back and be comfortable with the decisions we made. In this painstaking, emotional journey those words ring very true as we proceed in trying to make our family.

No non-sense, not the warmest person but very knowledgeable and willing to try different regimens.

Having one failed IVF cycle Dr. Gutman stated that If I did more IVF treatment cycles she would add Menopur in addition to Follistim. Also, having had one chemical pregnancy she suggested doing a hysteroscopy and ERA testing.

I thought I would be eligible for a clinical trial which would cut my expenses but Dr. Gutman quickly informed me that I would not be eligible. Other than that, they did set up an appointment for us to speak with the financial team which we have not followed up with because at this point we only went to Dr. Gutman for a second opinion.

She would elect for in the future doing PGS testing and then transfer one embryo. She said, ultimately it would be our decision on transferring one or two embryos.

I saw Dr. Gutmann primarily for our diagnostic work up as we then moved out of state. The clinic has you complete a through form outlining your medical history and history trying to conceive. During my initial appointment with her, Dr. Gutmann reviewed my answers with me and asked follow up questions when needed. My husband had to participate by phone and she answered his questions as well as mine. She explained the benefit of getting a HSG completed. I ended up getting my HSG done by her a few weeks later. I was very nervous and found the procedure to be painful She was kind and compassionate throughout.

She will be direct and very scientific about what your chances are of conceiving.

I saw Dr. Gutmann for diagnostic workup.

My diagnostic tests were covered by my insurance.

NA

Dr. Gutmann is very candid and thorough. She is very blunt and straightforward, but underneath there is a wicked sense of humor, which both my husband and I appreciate. Her personality fits well with us and we appreciate her ongoing collaboration in our treatment.

She is very thorough and knowledgeable. She is a straightshooter and is very clinical in her assessments. Some people not like or appreciate that, but I do.

We started with clomid and timed intercourse. I did not like clomid and the side effects that occurred with it and we quickly moved on to injectable meds with timed intercourse. She was very candid about her treatment plan and why she recommended moving on to IVF when she did.

It was very smooth, they take patients for sonograms on a first come, first serve basis. Bloodwork can take a bit more time since it is done in the outpatient lab but is not usually too long of a wait. RMA patients are expedited in the outpatient center.

Our treatment leading up to IVF was covered under insurance. I appreciate that she did not recommend IUIs (which would not be covered under my insurance). Stating that they don't produce good outcomes and we would most likely end up needing IVF. Total cost of IVF cycle with medication cost approximately $16k

She prefers to transfer one embryo at a time due to the risks multiples create. I wanted to have a discussion about transferring two, which she happily obliged.

None supportive, None caring. She sent most of her messages through her nurse. Spoke to me via phone one time because it was protocol. If the process was successful or unsuccessful. You still expect your doctor to show some tact and not be so cold. Dr. Gutman was very knowledgeable but very, very cold in her delivery of any news. I guess it makes it easier to give people info. that way, but it's very weird none the less. Poor bedside manner overall.

Don't let them(the RMA Team) push you into purchasing medication right away so that you still have the option of getting out of there and finding another Doctor.

I paid $16,000 for IVF treatment which was never received

I feel like I did this a few questions ago... I like her, she answers questions, treats me as an individual, good sense of humor, seems to know what she's talking about, etc. I wish I could see her for all of my appointments for continuity, but I usually end up seeing a different Dr due to my cycle and the schedules of the Drs on call.

That FYI, you won't be dealing with just her, you get whichever Dr is in. Which isn't bad, they're all good. It would just be nice for continuity and questions.

I started out the first cycle without drugs because I got pregnant easily the first time. Second cycle I used Letrosol because there is supposedly a slightly lower risk of multiples than Clomid. Didn't like the side effects of Letrosol. Next 3 cycles with Clomid and Ovedril. 5 cycles total of IUI. About to start trying with IVF.

$1200 per cycle for IUI, then additional cost of buying donor sperm online.

We haven't really dealt with this yet.

Dr. Gutmann is a wonderful physician. She is knowledgeable, compassionate, understanding and patient. She is very empathic. She always explained what to expect. If there were any complications or concerns, she would explain what they were and the best course of action. She didn't hesitate to ask her colleagues for their opinion in my care, when needed which I respect and consider a sign of confidence in her abilities. She doesn't allow pride to keep her from getting answers for her patients to obtain the best care possible for them.

Understanding that she may be a bit conservative in her approach.

She had me undergo a hysteroscopy prior to beginning the cycle. A fibroid was found and surgery was advisedly. On repeat scope, another possible fibroid was found which wasn't clear and so an MRI was recommended and showed that there were two small fibroids which wouldn't interfere in pregnancy given their location. Even though this delayed the cycle it gave me the beatbox chance of having success and peace of mind. I did become pregnant with that first cycle

Last year, I had a different insurance which covered most of my expenses. However, this year, my insurance isn't willing to cover more than 1 IVF cycle and only if done before April 29th. So, I'm not sure of out of pocket costs

I completely agreed with her reasoning for single embryo transfer given the increased risk to me and any potential fetus with multiples. MFM agreed as well.

Dr. Gutmann was very clear, thorough, and extremely knowledgeable. She was instantly able to answer every question we asked with specifics. Was is a bit blunt and will absolutely "tell it like it is" but I felt complete trust in her and felt very respected and 100% included as the non-gestational partner (my wife carried our child). Dr. Gutmann made herself very available to us over email at any time. We had a difficult situation regarding a non-viable pregnancy through the course of our journey, and though Dr. Gutmann was aware early on that it would almost certainly end up as non-viable, she gave us the information but didn't pressure us at all in making our own decision as to how to proceed. She is very, very queer-competent, and was super respectful in her language. I could not be happier in our choice to work with her, and hope to do so again when the time is right to try for a sibling!

I would strongly advise people to work with her, particularly if you are queer or trans!

We used Letrozole to regularize ovulation, plus bloodwork and ultrasound monitoring to track the process of ovulation. Then, when the follicles looked good, we would use an HCG trigger shot to trigger ovulation, followed by an IUI. After the IUI we used progesterone suppositories.

Bloodwork only monitoring visits were free, ultrasound monitoring visits, IUIs, and longer personal meetings with Dr. Gutmann were a $35 copay.

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She's just the best! Really knows her stuff, explains it well, doesn't sugar coat, but isn't harsh. Personable without being unprofessional. I was at RMA 219 times in my time there and everytime i knew she was in the office I felt relived and happy to know i was under her care and that I got the chance to talk with her.

If you want someone with the education and experience of a true fertility leader, she's your doc. She tells it like it is..never ambiguous, never harsh, but doesn't sugar coat either. She is so intelligent without making her patients seem dumb. Always has your best interest in mind and I'm pretty sure sheworks 23/7

23 cycles too many too list but she always explained her rationale and I always tusted her

IUIs the most expensive part was teh donor sperm. copays each visit and my shots weren't covered. they were $99 a cycle. during IVF i got into a package deal that was roughly $20,000 and meds were close to $5,000 each cycle. No insurance coverage with IVF. My Wife started IVF and her meds were mostly covered with a small copay. We received grants from Hasidah and JFCS. that helped. overall we spent about $80,000 for 3 years of infertility

Dr. Guttman is very knowledgeable and up to date on latest research. I trust her medical advice but her communication is not good. She does not explain things in detail. For example, she just says "looks good". Other REs that I have seen in the same practice actually explain to you the ultrasound, what they see on the screen, not just "looks good". It is important to know for yourself what is going on because how else will you be able to make a decision.

If you need hand holding find another doctor. If you go, you'll need to be a very strong advocate of your options.

Strong preference for eSET not multiple.

Dr. Gutmann is clearly very knowledgeable and skilled in this area. She helped us make a plan that fit our lives and was very honest with us. I appreciated this because I just wanted to know what to expect. I was really thankful for her honesty when we hit an unexpected delay with our sperm donor. She let us know what to expect, and then gave us space to make some decisions. At times, her blunt responses were initially shocking, but it doesn't take you long to realize that she truly cares and also is quite funny!

Be prepared to be told the absolute truth. If you're somebody that needs any potentially tough information given "sugar-coated," you may be surprised by Dr. Gutmann's blunt repsonses; just remember it comes from a caring and knowledgeable place.

We are still in process with Dr. Gutmann and needed to have a change of course, so I don't have current specifics.

Dr. Gutman has a dry sense of humor and can be very brusque. I found this to be a positive about her personality - she never made the fertility treatments feel precious. Her personality demystified treatments and made the whole fertility process seem more "normal." She's honest about what to expect and what statistics around pregnancy are for each treatment type. When planning your treatment she takes multiple factors into consideration including your fertility Heath, of course, but also your finances, your reaction to drugs, and your access to sperm, for example. I've always felt very taken care of by the doctor. I have no complaints - I wish she were my primary physician, too.

Don't be turned off by her brusque-ness! She's actually a really warm and caring person.

Dr. Gutman first worked with me to identify if I could ovulate normally on fertility drugs since my PCOS kept me from ovulating normally naturally. She proscribed me Letrozole (after explaining the risks, giving me literature about the risks, and having me sign a consent form​ for the drug). I took two 5mg tablets (I think) of Letrozole on cycle days 4-9. After coming in for monitoring it was clear that I responded well to the Letrozole, so we started IUI cycles thereafter. I've been through 4 IUI cycles so far. I start with Letrozole, I'm monitored throughout the cycle, I take a trigger shot of Ovidrel when I have mature follicles and come in for insemination ~36 hours later. After 3 unsuccessful cycles I had a consultation with Dr. Gutman where we went over my body's responses to each cycle according to the monitoring. After reviewing each cycle she gave me multiple options for moving ahead which included more expensive and less expensive options - at no point did I feel pushed toward one option over another. I decided to continue with the Letrozole IUI cycles for the time being. We're still trying at the moment.

$1200 per monitored IUI cycle

Please visit question number one about being treated as human. My experience as a patient of hers was amazing. When she noticed my health taking a turn for the worse, she asked me to come in for weekly checkups, consulted with an oncologist, and worked with another clinical team to figure out how to help me get better.

Trying to understand that during the initial steps, Dr. Gutmann is very candid about the process and expectations of treatment. She will soften during the process. If you would to like to only see Dr. Gutmann, request appointments with Dr. Gutmann only when scheduling.

After receiving my history from my previous doctors, Dr. Gutmann performed an ultrasound and HSG to decide which route to take, medication or injectionables. My disease had not progressed, therefore, I started with Clomid. Unfortunately, I developed Ovarian Hypersensitivity, and wasn't able to continue with the Clomid. We allowed my system to calm down for awhile. After an MRI, Dr. Gutmann noticed my disease had began to progress very rapidly, and we decided the best course of action was surgical intervention. After the post-surgical/pre-fertility treatment MRI, my disease had progressed further, and I was referred to an oncologist. Dr. Gutman was apart of my team through my crisis.

Because Dr. Gutmann was treating both, my endometriosis, and fertility, my insurance was charged for each visit. My insurance didn't could IUI and IVF, though.

We met wth Dr. Gutmann on a handful of occasions, although we rarely saw her for monitoring appointments or heard from her otherwise (all communication is through the nursing staff). Dr. Gutmann is an intelligent physician with exceptional training and expertise in the field. Unfortunately, she lacks a warm bedside manner. Her reaction to our miscarriages at the practices was robotic and jarring. Ultimately, we decided to switch practices because of this. As our case became more complicated, we needed someone with a more gentle touch and we wanted to have more contact with a single physician.

Dr. Guttman is a highly trained and experienced physician. She would be a good fit for couples or individuals trying to conceive who are interested in simply receiving clinical care and who do not need additional support.

We did Clomid + IUI cylcles with Dr. Gutmann and one Clomid alone cycle. Neither the dosage was ever changed nor was the protocol. Our result was multiple miscarriages and we ultimately switched practices and doctors after searching for a second opinion.

We incurred few costs with this practice as IUI was covered under our insurance. We did pay out pocket for medications, but these were inexpensive.

My husband and I went through over two years of fertility treatment before welcoming our daughter. This included an IUI cycle that resulted in the premature birth and loss of a son at 22 weeks of pregnancy, three ectopic pregnancies during subsequent monitored and/or IUI cycles, removal of my Fallopian tubes, and one cycle of IVF. Through it all, Dr. Gutmann was patient, caring, compassionate, and encouraging. Her wet sense of humor helped us through even the darkest of days, and her clear and concise communication style helped us understand our current plan. There aren't words to express how thankful we are to have had her guidance and expertise as we worked through each failure and ultimately found success.

Don't be afraid to take notes. You will have questions, and Dr. Gutmann will have a lot of answers and information...sometimes all at once, and it won't always be easy to remember everything that was said. That's ok. She's also open to your suggestions and will guide you...don't be afraid to advocate for yourself! In a best-case scenario, you'll feel an active part of the "team" at RMA.

For my IUI cycles, I took 5 mg of Femara on days 4-8 and was monitored via bloodwork and ultrasound before IUI. For my IVF cycle, I underwent an antagonist protocol with follistim and menopur before freezing my embryos and surgically removing my tubes. My FET cycle involved orsl and vaginal estrace, as well as baby aspirin, estrogen patches, and eventually both progesterone in oil injections and Crinone. Adjustments were made after each monitoring appointment as we went.

Monitoring innthe mornings was well-run. Rarely would I wait more than 15 minutes, and rarely were patients overscheduled, but if I required and early-morning appointment they were always able to squeeze me in during a convenient time. The clinic strikes a great balance between giving patients their time and making sure everyone is seen.

The clinic offers various treatment package, including a shared-risk program for IVF. For us, we were lucky that insurance covered most of our testing and procedures. We only paid co-pays and coinsurance.

Due to my age and history of pregnancy loss due to cervical insufficiency, Dr. Gutmann and I both agreed to transfer only one embryo at a time.