今天我在RMA做了宫腔镜检查，我真心想对Kort医生和全体医护人员表达我的感激之情。Kort医生非常细心、和蔼、专业。他多次进出我的房间，耐心解答我的每一个问题，让我在整个过程中都感到非常舒适和安心。 所有的护士和工作人员也都非常棒——热情、耐心、细心、体贴。每个人都以真诚的善意和同情心对待我，让原本紧张的一天变得轻松许多。 我非常感谢RMA给予我的悉心照料，并强烈推荐给所有正在寻找真正关心患者的医疗团队的人。

We had such an amazing experience with RMA and Dr. Noel. I wish we could stay with them throughout our whole journey. I really loved the all female staff, the communication, and the appointment availability. They made a difficult process and situation as easy as possible. Thank you again to Dr. Noel and team - we'll miss you!!

The worst experience I've had yet. The staff need basic training, the nursing team has no idea what is going on. I have to continually do extra research and parts of other peoples jobs at this clinic to get them to do anything for me at RMA SF, all while paying thousands and thousands of dollars and their ignorance keeps delaying our processes. Despicable and incompetent.

一颗星是给Dana McQueen的。 这家诊所忘记给我订购治疗方案中的一种药物，今天却告诉我需要立即开始治疗方案，服用他们根本没订购的药物。我打了他们的紧急热线，发了无数条信息，还打电话给药房寻求帮助。RMA竟然花了一个半小时才回复——这算什么紧急热线？更糟糕的是，他们之前还为了把胚胎转移到另一个储存库而百般推诿，耗时两个多月，因为RMA总是在签字和授权方面拖延不决。 而且，我的药物订单因为两周以来一直无法获得医生的确认而被延误，我的护士竟然还指望我继续提供药房号码等信息来解决问题，而不是尽职尽责地处理。千万别去这家烂诊所！ 我知道RMA会用他们那套“我们不能讨论”的模板回复。我只是想提醒大家，来这里到底会遇到什么。

我在RMA完成了三次冻卵疗程，强烈建议任何考虑冻卵的人选择Spring而不是RMA。（我的保险不涵盖Spring。） 需要注意的一点是：在RMA，你只能保证在首次预约时由指定的医生主刀。实际进行取卵手术的医生只是当天值班的医生。在我三次冻卵疗程中，我的指定医生只为我做了一次手术。 第三次冻卵疗程最令人担忧。取卵量只有前两次的20%左右。主刀医生表示，他很惊讶我的促排卵药物没有调整，我的卵子还没有成熟到可以取卵的程度。我之前就提出过这个问题——我的超声医生表示我可能需要额外注射一天——但这个调整始终没有进行。 那天的就诊体验也很糟糕。一位护士（瑞秋）在我还没准备好的时候就催促我赶紧恢复，她的态度显得很不耐烦，缺乏同理心——这与其他护理人员形成了鲜明的对比，他们全程都非常出色。手术本身比我之前的几次都更痛苦，因为医生尝试多次取卵，但那些卵子都不成熟。回家的路上我一直头晕目眩，甚至一度失去意识。 第二次手术期间，我长了一个囊肿，但在不同的就诊过程中，医生给出的信息却前后矛盾——有的说是囊肿，有的说不是。每次就诊之间缺乏一致性，让我很难对自己的治疗感到放心。 我曾四次尝试向诊所反映我的情况。他们告诉我办公室经理英格丽德会给我回电话，但她始终没有回复。最终，我通过医生的财务助理联系到了相关人员，助理帮我把问题上报了——但当我的医生打电话过来时，我觉得直接向负责医疗质量的团队反映问题不太合适。反馈机制完全缺失。 对于如此私密且耗费身心精力的体验而言，这次的医疗服务体验令人极其失望。如果不是因为需要使用保险，我绝不会选择RMA。

The scheduling team is a complete mess. I will update this review if they resolve their issues.

They are somewhat unreliable and missed a test, so I had to drive back. I did not find out until I got home and asked them on Spruce. Be sure to confirm your appointment plan with them rather than relying entirely on their scheduling. When I returned for the test, the nurse performing it told me I should have asked her... Well, if I had known another test was needed, of course I would have asked. It was very unprofessional, and I would never use that tone with someone who had gone through so much trouble.

I sincerely hope RMA SF improves (RMA Paloalto is much better organized). If possible, I recommend choosing Paloalto. Facility hygiene: Cotton swabs were scattered on the floor in the blood-draw area. This creates a serious cross-contamination risk and threatens medical safety. Restroom cleanliness: The restroom was extremely dirty and clearly poorly maintained. Nursing care: I found the clinical nursing care insufficiently attentive. My assigned nurse seemed distracted and dismissive. Clinical accuracy: Most concerning, the calculations provided by the nurse contained major errors. The discrepancies were large enough to raise serious concerns about their accuracy!

Thank you to Dr. McQueen and the entire RMA staff for their support and for helping me complete IVF successfully. They are amazing!

Dr. Noel sets a high standard. Before joining RMA, I went to another clinic, and the difference was night and day. At RMA, Dr. Noel and his colleagues closely monitor hormone levels, checking daily or as needed. The previous clinic felt more like an IUI/IVF assembly line and never checked my hormone levels, even when I raised issues that I believed could affect fertility. At RMA, they took my concerns seriously, tested me, confirmed them, and resolved the issue within a week or two of my initial consultation. I feel very fortunate to work with this team and Dr. Noel!

Although I ultimately did not receive treatment at RMA, I have nothing but praise for the RMA team and Dr. Noel. I was recently diagnosed with cancer and advised to consult a fertility specialist before starting chemotherapy. I called several clinics on a Saturday to get an appointment as quickly as possible. RMA answered and scheduled me within three days. Before the appointment, Dr. Noel called and recommended UCSF based on my circumstances. Within hours, she contacted several doctors and arranged for me to see one the next day. Even though I did not become her patient, she stayed in touch and kept me informed throughout the process. I was extremely pleased with the experience.

I do not recommend this clinic if you are self-paying. I was incorrectly charged, the front desk refused to update my visit receipt, and the billing and administrative staff were extremely rude. Although the medical care seemed excellent and I liked my doctor, I can no longer trust this clinic because of the terrible billing and administrative experience. Details: They offered a $250 telemedicine consultation for my initial visit. I completed it and gave my doctor a detailed medical history. I then went to the clinic and completed diagnostic testing. After the visit, another $450 “new patient consultation fee” was added to my receipt. I told the staff I had not received this consultation because I had already completed it online, but they said the $450 charge was “non-negotiable” and “applies to all first-time clinic patients.” My diagnostic testing receipt also listed three items I had declined during the visit. Even while I was still in the exam room and they could have confirmed this with the nurse, the staff refused to update the receipt. When I asked about the bill, I found the staff arrogant and hostile. The experience was deeply upsetting, and I left in tears.

We recently froze embryos at RMA Northern California with Dr. Noel. We retrieved 30 eggs, 26 were mature, 24 fertilized, and ultimately produced 7 mature embryos. Six met PGT-A criteria, and 6 embryos were frozen. Pros: - We are very happy with the results! I am 29 and had 30 follicles at my initial assessment, so the number of eggs and embryos was generally what I expected. - We were able to choose a doctor and schedule an initial fertility consultation quickly. Dr. Noel was excellent during the consultation, which lasted nearly an hour, and she was very attentive and thorough. - I liked being able to view the follicle-size distribution in the Artemis app after every ultrasound. - It was also great to receive regular blood test results, most within 2-3 hours, and nurse feedback through the Artemis and Spruce apps. - The egg retrieval was smooth and pleasant. - All our interactions with RMA staff were positive, including my favorite ultrasound technician, who performed most of my scans. - Collecting medication from Alto Pharmacy was convenient and easy, with free same-day delivery. - I was relieved that I only needed to stop running for two weeks to freeze my eggs. RMA’s injection instructions were also clear and helpful. Cons: - Financial approval took several days, which was frustrating because it delayed my cycle and extended the time I had to take progesterone pills and avoid certain things before the cycle, including alcohol, sex, cold medicine, ibuprofen, sushi, and more. - Some aspects between the initial consultation and the final decision to freeze eggs required guesswork or were unclear. I had to research online and learned that egg freezing commonly starts on the first day of the menstrual cycle. Because my cycles are irregular and I had many travel plans, I was unsure whether I could proceed. It appeared that taking progesterone when menstruation began could delay the start of the egg-freezing cycle, which is ultimately what we did while awaiting financial approval. However, this was not explained clearly, leaving me uncertain about whether I could proceed. My irregular cycles and busy travel schedule made this especially frustrating. At one point, I asked, “Can I freeze my eggs if my period is delayed by one week?” They replied, “Of course, we’ll schedule you!” I thought, “How can I guarantee my period will be exactly one week late???” Then they stopped responding. In the end, I was glad I replied promptly when my period was exactly one week late. They prescribed progesterone that day, and I began IVF injections 8 days later. —The doctor could have communicated more throughout the process. I did not see Dr. Noel again after the first ultrasound. However, one night when I felt dizzy during an injection, I messaged her through Spruce and she responded, even though it was already late at night. Because I received daily messages from the nurses on Spruce, I do not feel this negatively affected my experience.

Their communication with patients and clinics when coordinating treatment is very poor. They often fail to send lab results, images, and other records automatically as they should, so patients have to follow up themselves. Sometimes the records still do not arrive even when they say they sent them. It is extremely frustrating.

Absolutely terrible service. You cannot reach anyone. You are either left on hold or forced to leave a message. Completely awful and unacceptable. It caused my wife tremendous stress. Communication was terrible, with none of the patient advocacy RSC provided. They could not even be bothered to prescribe Valium in advance for the transfer procedure, then mishandled it when asked. You cannot reach anyone through their pretentious, useless app or by phone or voicemail because they cannot be bothered to answer. Do not come here. No one should. The doctors say the right things, but the quality of the procedures and service is absolutely inadequate.

Working with the entire RMA team was a pleasure. They truly are a bright light in a struggling healthcare system. Kaiser told us it would take six months just to enter their fertility clinic, while RMA scheduled us immediately. RMA’s physicians are among the most caring and compassionate you will find. Dr. Daniel Kaiser and Dr. Scott Morin have excellent bedside manners and always listened patiently to every question, fear, and concern. They clearly explained proposed treatment plans, giving intended parents a clear path forward through this emotionally challenging journey. The nurses also deserve special recognition. They were exceptionally attentive, caring, and responsive. Whether we had a simple question or an anxious moment, they always went above and beyond to make us feel supported. The entire RMA team was also available around the clock through the Spruce app, providing reassurance and answers whenever needed. After working with RMA for more than four years, we were overjoyed to welcome our first child. Dr. Kaiser is meticulous, and every recommendation is carefully considered. With RMA’s support, my wife and I successfully navigated egg freezing, IVF, and surrogacy. Dr. Kaiser set extremely high standards in matching us with the best surrogate, giving us confidence in the best possible outcome. We are deeply grateful that RMA accompanied us throughout the journey and highly recommend them to anyone pursuing this path.

I waited two years to post this review so I could gather more information and ensure my assessment was fair. I completed a 23-week IVF cycle with RMA. From 15 mature eggs, I had no healthy embryos. Incredibly, they told me one embryo dissolved during thawing. :) Three months later, I completed two cycles with Spring and now have 6 healthy embryos. My diet and sleep schedule did not change, and I took no supplements during any of the three cycles. Two stars for the nurses because everyone was kind. But if outcomes matter to you, stay away.

Everyone was friendly, and my doctor, Dr. Shapiro, was wonderful. My only complaint is that there is no parking, so I had to use a paid garage and then walk five minutes after driving for five hours. Perhaps that is normal in San Francisco, but the lack of parking is very inconvenient.

I am currently completing an IVF cycle with Dr. Kort and highly recommend him. From the beginning, he was kind, caring, attentive, and knowledgeable. The process can be overwhelming, but his thorough communication and compassionate approach made it manageable. I especially appreciate how approachable he and his team are. I can always ask questions through Spruce and receive quick responses. Whether from Dr. Kort or the nursing team, support is excellent and replies prompt and thoughtful. Most importantly, I never felt like just another patient or number. IVF is emotional and challenging, and a doctor who truly cares makes all the difference. Dr. Kort and his team made me feel seen, heard, and supported at every step. I am very grateful I chose RMA and cannot imagine this IVF journey without Dr. Kort. If you want a fertility specialist with expertise and genuine compassion, I highly recommend him!

I was an RMA patient last fall and had a wonderful experience. The clinic was organized, punctual, and used a messaging platform for seamless communication. I had already scheduled a consultation elsewhere and am glad I changed, because RMA was a major improvement. More importantly, everyone was professional and kind. My nurse Laura was approachable and an excellent source of support. Dr. Noel was also outstanding—talented, personable, warm, reassuring, with a lovely bedside manner and genuine commitment to patient outcomes. I highly recommend this location. :) Thank you, RMA, for making a potentially intimidating experience easy and pleasant. 🙏💕

I wanted to rate RMA 4.5, but after two cycles, the second experience was poor. Perhaps they were too busy, but I felt neglected 😅 On my scheduled first medication day, my nurse forgot to request the medication, so I drove to the pharmacy before closing instead of receiving the usual delivery. She forgot many other things during the cycle; when I was flying to another state, they were supposed to call a clinic there for monitoring but called one in a different state 😅. I never met my doctor in person. Retrieval and freezing can be significant, and the assigned doctor could reassure patients and ensure things go smoothly. All communication was through chat, which felt impersonal. They retrieved fewer than half as many eggs as in my first cycle, so I cannot call it successful and was very disappointed. The team did not seem thoughtful about my second cycle; it felt as though we proceeded merely because it was convenient. I understand cycles and bodies vary, but they could have cared for me better. I was very stressed throughout.

Avoid this clinic at all costs!!! Endless refund nightmares. Since my August 2024 visit, this clinic has been a nightmare, and I am posting to warn others. I paid out of pocket rather than billing insurance. The clinic owed me a difference of over $100, but nearly a year later I am still pursuing the refund. Billing and finance are in another state and nearly impossible to reach; I am in California. After many calls and follow-ups, they blamed my insurer, UHC. I called both the clinic and UHC repeatedly between September and December 2024. Still no refund. I contacted the clinic again in January 2025. Months later, I received a new bill for over $200 without explanation or notice—another charge after going in circles. Is this legal five months after service? What provider treats patients this way—overcharging to avoid a refund, delaying it, evading responsibility, then adding charges without explanation? If you are considering this clinic, do not go. Save yourself stress, time, and financial trouble.