Marcus Jurema

I really like Dr. Jurema, he's kind and patient - he's never hesitated to answer one of my questions and has been considerate of my emotions throughout the process. He's also done a great job communicating with my jokester husband during our consults as well! I have struggled with his availability a couple times, but it hasn't been anything that's deterred me significantly.

I was told that I likely had PCOS so there needed to be regulation around my ovulation. We agreed that I would go through a few rounds of IUI as I was not comfortable skipping right to IVF (even though I could have), so I had 2 Letrazole + trigger shot IUI cycles and then 1 Follistim injectable + trigger shot IUI cycle. Letrazole was truly awful in terms of mood swings and not feeling like myself. Follistim was even moreso. I shared symptoms for all of this and Dr. Jurema and I agreed that I was likely just very sensitive to the medications. The pill IUIs only resulted in 1ish follicles each, so the goal of the injectible round was to aim for more follicles - I ended up reacting really well and had 3ish follicles that round (there was discussion that I may have 3-4 and I was cautioned that Dr. Jurema may have decided to cancel but he did not). We've agreed that IVF is the best next step following 3 failed IUIs.

Pill IUI was $1000-1500, injectable IUI was $3000+ (which was not communicated effectively nor explained effectively because frankly, it wasn't more effort for them so I didn't understand why I was paying more - same number of monitoring appts). Consults charged separately.

Dr. Jurema was very caring, but RMA is huge so I only saw/talked with him a few times and was assigned a nurse who I spoke to much more frequently. Dr. Jurema was willing to try a few options my previous doctor wasn't such as ERA test which showed I needed more exposure to progesterone. Unfortunately even those additional things didn't prevent us from having another miscarriage and we moved on to a reproductive immunologist who could help us with recurrent losses.

Positive attitude and compassionate care go a long way to making you feel comfortable so if they are what you are looking for Dr. Juerma will be a good doctor for you. His protocols, however, were to maximize number of eggs retrieved without much of a focus on quality.

Menpur, Follistim, ganirelix, lupron trigger 49 eggs, 46 were mature", 33 fertilized, 14 made it to blast, and 7 were genetically normal 1 FET - miscarried a little over 6 weeks

Monitoring hours start at 6am and I usually arrived at 5:45. Even still there were sometimes 2-3 people ahead of me and the few times I arrived later than that there was a very long wait.

Insurance paid for some of our care and we had a family friend help with the remaining amount

Recommened eSET as we had 7 genetically normal embryos though several were lower graded. Said grades didn't matter due to testing normal

Dr. Jurema is an exceptional doctor! Prior to choosing RMA, I went to another IVF clinic that gave me my first child, which I think was by luck. They had difficultly pinpointing the appropriate protocol for baby #2. After four unsuccessful IVF rounds, I met with Dr. Jurema. We discussed open communication between doctor and patient. I stressed timely responsiveness to any medical follow-ups, such as PDG results and any findings from any medical procedures. He drew me a road map for our vision of the IVF cycle. Along with my nurse Melissa M., I was educated throughout the entire process and my protocol was adjusted to fit my medical needs. He was able to exactly pinpoint my window of implantation. In a short time, Dr. Jurema took me off the IVF hamster wheel. As I sit and write this review, my eyes are filled with tears of joy staring at my beautiful baby laying in her crib! Dr. Jurema, my nurse, and the Springfield office were truly professional and responsive!

He will educate you through the entire process and check for your understanding! Also, always ask questions if you're unsure of anything. Lastly, be patient, be open and always act nicely to your doctor, nurse and the office staff. Everyone is very helpful!

Dr. Jurema is friendly and compassionate. During monitoring meetings he always started by asking how I was feeling, which I appreciated. He's very straightforward - I found his descriptions of what we could expect from various procedures to be detailed and realistic, while also optimistic. It never seemed like he was trying to push me toward a particular procedure. I very much felt like I played a role in my care and was able to get all my questions answered.

Let him know what questions and concerns you have. He is always happy to respond and provide more info.

We started with two IUI cycles, mostly because that was all my insurance would cover at the time. With a diagnosis of diminished ovarian reserve (my AMH level was 0.82), we thought it was worth trying, but we knew the odds of success were low. Both times I was prescribed 75mL of Gonal F per day. The first time I continued the Gonal F shots for 7 days; the second time for 8 days before taking a 750 mcg/0.5mL syringe of Ovidrel as my trigger shot. I was also taking 600mg per day of CoQ10 (a supplement) during both cycles. Dr. Jurema was willing to try another IUI cycle, but my insurance had changed to provide some coverage for IVF, so we decided to move on. During my egg retrieval cycle I took Alyacen birth control pills for 8 days leading up to the cycle, then I took 300 units of Follistim and 75 unit vials of Menopur for 10 days along with 250 mcg/0.5mL syringes of Ganirelix for the last 6 days. I used two Lupron trigger shots at the end. My egg retrieval took place 2 days later resulting in 22 eggs of which 18 were mature. From there we were able to get 12 embryos, which were fertilized via ICSI, and 8 made it on to Day 5 blastocysts. We froze and genetically tested all 8 of those embyros and found 5 were normal, 1 was abnormal, and 1 was unclear. During my whole retrieval cycle I had about 8 monitoring visits. I'm currently in the middle of my transfer cycle and haven't started medications yet, but we plan to transfer 1 of the normal embryos. We transferred one embryo. During my transfer cycle I took 2mg of Estrace (2-3 times per day) for three weeks before the transfer and then five weeks after. I also injected 1 - 1.5 mL of progesterone in oil daily for a week before the transfer and five weeks after. And I used Metronidazole the day before transfer and Endometrin 100mg inserts around weeks 5-8 of my pregnancy. In total I had about 8 monitoring visits leading up to the transfer and through week 8 of my pregnancy.

I mostly did my monitoring at the Springfield office of RMA. I found the team there to be incredibly efficient. There were one or two instances in which things seemed to be running behind, but for the most part I was in and out with blood work and ultrasound within 15-20 minutes. The team was always kind and professional. The hours were early enough that I could get in and still make my regular commute to work. Occasionally I had to go to the Basking Ridge office during holidays or on weekends and it was often a different story. My monitoring appointments there sometimes took 1-1.5 hours, but I appreciated that I had a weekend option that wasn't much farther than my regular office, and that the monitoring hours were longer at that office.

Initially my insurance fully covered IUI but not IVF, so for my two IUI cycles I paid about $650 for initial diagnostic blood work, an HSG, and co-pays for two visits and medications. All my monitoring visits and the IUI procedure itself were fully covered. For my IVF cycle I had a $10,000 lifetime maximum. Total costs from RMA for the cycle were: $7,977 for the egg retrieval procedure; $1,963 for ICSI; $700 for anesthesia; $1,000 for embryo freezing for up to one year; $1,700 for embryo biopsy; $2,500 for genetic testing; and $4,475 for the embryo transfer. So I paid about $10,315 out of pocket for those expenses. I also paid about $5,500 out of pocket for medications for both the egg retrieval and transfer cycles. And I paid about $400 in co-pays for monitoring visits during both cycles. I ended up receiving a $4,300 reimbursement from RMA and about $5,000 in reimbursements for medications from my insurance company, so total out of pocket costs were ~$7,000.

My doctor suggested single embryo transfer, and from what I had read I strongly agreed with this approach. We weighed the risks of multiple pregnancies with the costs of performing procedures (ICSI, embryo freezing, genetic testing) that would help us ensure our single embryo was genetically normal. Ultimately we decided the costs were worth the benefits of an increased likelihood of a normal embryo and healthy pregnancy.

Dr. Jurema is very knowledgeable in his field and took the time to make sure that all of our questions were answered to our satisfaction. Dr. Jurema is very compassionate and empathetic towards his patients. We were most appreciative of the fact that he took the time to contact us directly, instead of through a nurse, to provide us updates on the results of retrieval, fertilization, and embryo progression. We wish all of our doctors, in any profession, were as caring as Dr. Jurema and truly can not say enough positive things about him.

Be prepared for the fact that you will not always see him during monitoring or for procedures, but trust that you are still in caring hands and that he will be following your treatment. Be prepared to receive a lot of information if you seek it.

micro flare with HGH

co-pays, testing fees, embryo freezing fees

N/A

RMA is expensive, and they are not compassionate when it comes to multiple cycle costs, not necessarily the Doctor but they don't get involved and honestly they should know. They recommend IVF straight away, and in my case that was not the best course of action. I had more testing that should have been done, to realize it was a waste of $28K. I asked Dr. Jurema if there were more tests we could do after my 3rd miscarriage, and he recommended we do another cycle and just pay for the new advanced testing. I had already done testing and had 1 embryo, this recommendation did not make me feel confident and I changed direction after much research.

Don't be afraid to ask questions, and trust your gut.

3 IUI's, 1st round with clomid then switched brands to Letrozole 1 IVF round after unsuccessful IUIs, were doing fresh transfer and was told 1 day before that they were freezing them instead to give them 1 more day to advance After miscarrying with IVF, insurance only covered IUIs. Although they were not successful, they were covered by insurance and we did 4 cycles. First round with Letrozole and developed vertigo like symptoms, we switched to injectables. Unsuccessful 4 IUIs to follow.

Always busy and would often take an hour before it was your turn.

IUI's: around 8K total IVF with medication: 28K

They recommended eSET, and did not feel multiple transfer would be as safe.

In our first meeting with Dr. Jurema we felt confident and comfortable with an IUI approach after learning that we had unexplained infertility. Dr. Jurema was smart, polite and attentive during that meeting. At that time the facility was IVF NJ and at the beginning of our cycle I had one appointment at Dr. Jurema's office where I saw him and discussed day-to-day actions. After that, the facility merged with RMA. From that time on we were not able to speak to Dr. Jurema, nor were our appointments with him. We were given the doctor of the moment or the nursing staff for the rest of cycle 1 and cycle 2. During cycle 2, we requested that Dr. Jurema call us after we were given incorrect information by his colleague. When we did receive his call he was cold and short, providing very little understanding. We asked for more personalized care, which he was not able to provide. We emailed Dr. Jurema when we left the facility explaining that we were unable to continue due to the lack of attentiveness and personalization. Unfortunately it appears that Dr. Jurema is handcuffed by RMA, but we can't say for sure as we were only with him a short time before the facility transitioned.

Be prepared for very little interaction with him.

We agreed to move forward with an IUI strategy. Through Dr. Jurema and RMA we completed one Hysterosalpingogram, which revealed that my left fallopian tube was stretched and taught, but otherwise fine. Dr. Jurema explained that we could complete further testing to determine if it was endometriosis or we could move ahead with the IUI as sometimes it's possible that a woman's natural anatomy can be a cause. We opted to move forward with IUI only, no further testing. We completed two IUIs, each with a round of Letrozole (alternative to Clomid) and a trigger shot (hcg). On the second IUI cycle we also had to take a second trigger shot. Unfortunately I do not remember the doses. Both cycles resulted in negative pregnancy tests.

Covered by insurance. Co-pay was our only out of pocket outside of medication.

Dr Jurema was so patient, always answered all of my questions. i never felt rushed or felt like i was being overly cautious of emotional. In addition, my nurse Christine was so kind and always VERY responsive. If i made a mistake in medications, she never made me feel bad, but rather always supported. I have to mention the Springfield office as well-- the receptionists and nurses on site, new me by name and always made such an emotional experience, easier and I always felt welcomed. Seeing them and Dr. Jurema made the whole experience easier and pleasant. I would recommend him and that office to anyone trying.

Listen to Dr. Jurema, and don't give up.

Dr. Jurema is without a doubt a skilled practitioner. However, based on my experience, I do think he tends to overpromise without sharing possible realities. I was told that based on the quality of my embryos, chance of implation was 80% which seemed like a done deal in my mind. However but transfers resulted in loss and heartache. I know that at a certain point, he has no control over the outcome but I wish I had been better prepared for failure.

Ask a lot of questions.

For IVF including 1 egg retrieval and 2 transfers plus all the meds, cost was about $25000

He advised against multiple embryo transfer saying that it could harm the chances of a successful transfer.

Dr. Jurema has a very kind and gentle demeanor and I trust his recommendations in regards to my treatment protocol. He is also a compassionate person, which is invaluable to a patient going through this process. Dr. Jurema delivers the good and the bad with a warm touch and always makes sure to answer any questions throughout the process.

Wonderful to interact with Dr. Jurema, however, you will see a variety of different practitioners throughout the process.

Recommended medicated IUI due to progressing age, low AMH, and low morphology

$50 copays each visit and OOP expenses for medications.

Not there quite yet.

He was very thorough in his explanation and never suggested which we should take as he was very respectful that we needed to make the choice best for us, but he gave us all the info to do so based off our situation.

Ask a lot of questions, he takes time to answer them

Don’t remember sorry

$20,000 for one round of IVF and $4000 for one round of IUI.

N/a

I appreciated that every time I left an appointment with Dr. Jurema, we had a plan for moving forward. I never felt unsure or in the dark. He never made my chances of achieving pregnancy seem impossible or improbable.

GO! And ask questions -- he's really knowledgeable and will put you at ease.

I did 4 IUI cycles in total. 3 were medicated orally coupled with a trigger shot; 3 were unsuccessful. The fourth cycle we injected Follistim and GonalFD and it was a success!