u/Environmental-Soft-3

Hi, I have a consult with the following doctors and just want some thoughts on them or recommendations for other doctors at RMA-NY, Columbia, or Spring Fertility.

Dr. Karipcin

Dr. Romanski

Dr. Klatsky

Hi everyone,

I’ve been reading Reddit and FertilityIQ nonstop and I’m honestly getting overwhelmed trying to decide where and with whom to move forward for IVF.

I would really appreciate hearing from anyone who has experience with these clinics/doctors, especially if you had diminished ovarian reserve, needed PGT-M, or were trying to maximize embryos from very few eggs.

Our background:

• Age 39
• AMH: 0.0842
• Need PGT-M for a known genetic mutation (so embryo attrition is a huge concern for us)
• Likely only realistically able to do 2 retrievals because of insurance/lifetime cycle limitations and finances
• Goal is to maximize embryo yield in a single cycle (2 max) as much as possible due to insurance constraints (can't afford on our own financially).
• We would ideally like more than one transferable embryo because we know PGT-M + PGT-A can drastically reduce numbers
• Concerned about clinics using “one size fits all” protocols for DOR patients
• I’m specifically looking for a doctor willing to be appropriately aggressive/creative with stimulation protocols if warranted

Clinics/Doctors we are considering:

RMA NY- Had a consult with Dr. Jackson-Bey, wasn't a fan of her or the Brooklyn RMA clinic -- they seemed a hot mess tbh. Switched to Dr. Romanski, am awaiting my consult.
Spring Fertility NYC- Have a consult with Dr. Klatsky coming up.
Columbia Fertility- Have a consult with Dr. Karipcin

*but I am open to other doctors** though no other clinics because of insurance constraints

Big concerns/questions:

• Which clinic has the strongest embryology lab for patients expected to get very few eggs?
• Which clinic is best with severe DOR / low AMH patients?
• Which doctors are known for individualized protocols instead of standard protocols?
• Is there a meaningful difference between the labs at Columbia, RMA, and Spring, or are outcomes more doctor/protocol dependent?
• For people who needed PGT-M, did your clinic proactively discuss embryo attrition and embryo banking?
• Did anyone feel pushed into conservative protocols when they wanted a more aggressive approach?
• Has anyone with AMH this low actually had success getting euploid and/or PGT-M unaffected embryos in one retrieval?
• How important was protocol choice versus lab quality in your experience?
• Did any clinic strongly recommend Omnitrope/HGH, DuoStim, luteal stim, estrogen priming, microdose Lupron flare, etc. for low reserve patients?
• If you consulted at multiple clinics, what questions ended up being the most revealing in helping you choose?

I’m especially interested in hearing from people who felt their doctor really tailored treatment to their specific situation rather than treating them like a standard IVF patient. Also, very interested in moving fast given my age and diminished ovarian reserve -- was hoping to be pregnant by November 2026.

Any experiences — good or bad — with Columbia, RMA, or Spring and/or any of these doctors would really help. Thank you so much.