North Carolina Center for Reproductive Medicine

Available Resources

Genetic counseling is not offered: Not OfferedAcupuncture: OfferedMental health counseling: OfferedNutrition counseling is not offered: Not OfferedAdministration of shots: OfferedCoordinating at-home nursing is not offered: Not OfferedSelling medication is not offered: Not OfferedProviding backup medication: Offered
Cary
400 Ashville Ave
Cary, NC 27518
919-233-1680
Greensboro
1517 North Church Street
Greensboro, NC 27405
336-273-4490
On a scale from 0-10, how likely are you to recommend North Carolina Center for Reproductive Medicine to a friend?
Strongly recommend: 3Don't recommend: 26.8
5 assessments
  • 60% Strongly recommend (9-10)
  • 0% Neutral (7-8)
  • 40% Don't recommend (0-6)
Operations
Poorly operated
Operated well
Scheduling
Difficult scheduling
Easy scheduling
Billing Department
Incompetent billing dept.
Competent billing dept.
Nursing Team
Poor nursing team
Excellent nursing team
Attention to Detail
Low attention to detail
High attention to detail
2013 CDC Success Rates
Live births per fresh IVF cycle by age range
10%
20%
30%
40%
50%
60%
<35
35-37
38-40
41-42
43-44
This Clinic
National Average
Annual Cycles for this Clinic
200
Annual Cycles National Avg.
344
6
Average Doctor Score
2 doctors
5 assessments
0
Age
49
Treated
2016
Success with this Doc
No
Treatment
IVF
Diagnosis
Other
0
If you don't get a call back within 3 hours of leaving a message [at NC Ctr Repro Med - Cary] call again until you get someone. They are sometimes lax in returning calls, depending on what the call was for. The reception staff, particularly Brenda, are awesome! The nurses and nurse practitioners are mostly (with one notable exception) wonderful caring people who truly listen...
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Age
49
Treated
2016
Success with this Doc
No
Race
European
Income
$0 - $49K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF
Diagnosis
Other
0
Describe your experience with North Carolina Center for Reproductive Medicine.
If you don't get a call back within 3 hours of leaving a message call again until you get someone. They are sometimes lax in returning calls, depending on what the call was for. The reception staff, particularly Brenda, are awesome! The nurses and nurse practitioners are mostly (with one notable exception) wonderful caring people who truly listen. Such a shame their doctor doesn't do likewise.
During treatment, did you feel like you were treated like a number or a human?
His PA took one look at my age, said that she thought I was too old and that he would refuse treatment. He came in and started to list all the reasons a woman of my age couldn't carry a pregnancy without taking into account my family history of older women as mothers, or the fact of my wife being my donor. He simply ploughed ahead with his own agenda, and in the end, despite us jumping through all his hoops, passing his tests and a cardiological exam, he still pulled the plug a week or so before our cycle was due to begin - this /after/ we had paid out of pocket for all his diagnostic testing.
Describe your experience with your nurse.
Folita was very open and a good communicator on the few occasions we saw her, during our 'class' and when we asked questions of her. It was wrong that it was given to her to pass on Dr Toma's decision. He should have made that call himself, rather than expect her to make that telephone call.
What specific things went wrong at this clinic?
  • Lost paperwork
  • Failed to call with results
  • Lost results
  • Provided conflicting information
  • Failed to convey critical information
How was your experience with Sameh Toma?
Our first impression of him was that he was rude, dismissive and sarcastic. We are a same sex couple and planned on co-pregnancy, using my (younger) wife's eggs, with me carrying the pregnancy. He took no notice of this at first - not really until we practically 'beat him round the head' with the information. He walked into the room and his first words to us were, "Well I guess you've heard the bad news?" in an overly cheery voice completely lacking in anything even approaching compassion. When we finally got him to 'listen' to us, he relented slightly and listed all the tests that we would have to have/pass before we could proceed. The first of those was for me to be seen by a cardiologist to ensure my heart was strong enough to carry a pregnancy. I was referred to a local cardiologist (of his choice) where I had a stress echo test which revealed that my heart/condition of my heart was normal. The cardiologist said we could go ahead and she would inform Dr Toma. On the assumption that NCCRM would inform us whether that clearance had been received, we made (and were allowed to make) appointments for a) psych eval, b) Donor eval/sonogram for my wife (who is technically my donor), c) education classes regarding medication and administration of medication and d) saline ultrasound for me. He then said he had not seen the cardiologist report and he would 'need to.' but still sent us from the office with prescription for birth control, to synchronize my cycle with my wife's so we could have simultaneous procedures. I had to chase the cardiology report - there was no follow up on the part of NCCRM - and a week, perhaps 2 after I know the report was sent to them (the receptionist called me to tell me they had it), I had a call AT WORK from one of the clinical staff who told me that he had 'advised against' proceeding with the cycle. No one could or would give me more information than to tell me that it was due to the words 'high risk pregnancy' being a part of the cardiologist report, (I've since spoken with her, and she informed me she was basically quoting statistics in that part of her report not referencing me personally). Dr Toma wanted us to come into the office (and presumably pay another almost $200 consultation fee) just for him to tell us no to our faces. We declined/refused that appointment, as we feel that based on our previous experiences with him (numbering 2 occasions we had seen him), he would just continue to be uncompassionate, obstructive, dismissive and rude. When I went in for my Saline Ultrasound, and he came into the room, he did not knock at all, (and could have potentially exposed me to others in the facility had I not been covered), almost knocked my wife over with the door, he opened it so abruptly, and was terse, asking questions to which he had already received the answers, all while conducting the ultrasound. He was not at all gentle... inserting the speculum without warning, manipulating the internal ultrasound want roughly, and generally demonstrating little care or compassion. I felt like a piece of meat. We paid out of pocket for all of this testing, and feel that he knew very well he was going to say no, from the outset, no matter the outcome of the tests, so as well as feeling emotionally brutalized, we also feel financially cheated, and taken advantage of.
What one piece of advice would you give a prospective patient of Sameh Toma?
Seek another doctor, do not use him.
Describe the protocols Sameh Toma used in your cycles and their degree of success.
We did not get so far as to begin any cycles, just the 'diagnostic' testing. Donor ultrasound, and saline ultrasound for the recipient.
Describe the costs associated with your care under Sameh Toma.
It was all out of pocket for us. Initial consult $165, a whole day of testing, psych evaluation and class $465 and Saline ultrasound $450
0
Doctor
Sameh Toma
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
0
Clinic
North Carolina Center for Reproductive Medicine
Cary
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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9
Age
29 - 30
Treated
2013 - 2014
Success with this Doc
No
Treatment
4 IUI, 1 IVF
Diagnosis
Endometriosis, Uterine Fibroids
9
Dr. Toma really took the time to listen and was no nonsense...The nursing staff was for sure a great strength for this clinic [North Carolina Center for Reproductive Medicine]. Everyone I interacted with was so kind and compassionate. I felt like I had my very own cheerleaders. The facility had everything you needed as well, so it was nice to be able to go to the clinic for the IVF procedure. I was a bit odd that it shared space with a plastic surgery office as well. I felt more vulnerable knowing that people there were not all there for the same reason.
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Age
29 - 30
Treated
2013 - 2014
Success with this Doc
No
Race
Latino
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
4 IUI, 1 IVF
Diagnosis
Endometriosis, Uterine Fibroids
9
Describe your experience with North Carolina Center for Reproductive Medicine.
The nursing staff was for sure a great strength for this clinic. Everyone I interacted with was so kind and compassionate. I felt like I had my very own cheerleaders. The facility had everything you needed as well, so it was nice to be able to go to the clinic for the IVF procedure. I was a bit odd that it shared space with a plastic surgery office as well. I felt more vulnerable knowing that people there were not all there for the same reason.
During treatment, did you feel like you were treated like a number or a human?
Dr. Toma really took the time to listen and was no nonsense. I had done my research and work by this time and so I had a lot of questions and he was willing to answer all of them. I always saw Dr. Toma anytime I came in for a check-up or procedure, even if it was just to say hi how are you feeling? That meant a lot to me. I also had an amazing dedicated nurse that was so kind and compassionate.
Describe your experience with your nurse.
My assigned nurse was amazing! Carla was compassionate, kind, cheerful, and always willing to answer my questions. She saw me after every visit even if to say hi and sat down with me if I wanted to talk about the procedures, or side effects or anything like that. She was the best medical staff I have ever had.
What specific things went wrong at this clinic?
  • Failed to call in prescriptions to pharmacy
How was your experience with Sameh Toma?
Dr. Toma was very honest and straight forward, he was not afraid to give me all of the information, risks and all. He was willing to answer all of my questions and hear my concerns. Sometimes I did feel like he thought I wasn't aggressive enough with my treatment because he would try to push me toward trying something more each time but we had our financial situation and our sanity to consider. In the end, he was supportive of our decision.
What one piece of advice would you give a prospective patient of Sameh Toma?
Do your research, ask the questions that you need to ask. Don't feel like you have to agree to all treatments presented, they are options and if you don't feel comfortable doing them yet, then take your time.
Describe the protocols Sameh Toma used in your cycles and their degree of success.
First month was on Clomid because Dr. Toma wanted to see what baseline looked like for me. Dr. Toma also insisted I go back on metformin at 1500 mg/day because that was the highest dose I tolerated. Second month he suggested IVF or ovarian drilling because he said I couldn't take anymore Clomid. I had reached the max I could take before I significantly increased my risk of ovarian/uterine cancer. We decided on IVF. After IVF failed, we assessed what might have gone wrong and Dr. Toma suspected endometriosis so he recommended the ovarian drilling procedure and diagnostic laparascopy and hysteroscopy. The procedure confirmed endometriosis diagnosis as well as uterine fibroids. Dr. Toma suggested another round of IVF but we declined due to financial reasons. We decided to try IUI + femara instead, and another negative pregnancy result. After that we were emotionally spent and did two more months on Femera with successful ovulation and no positive pregnancy results. Then we stopped treatment all together.
Describe your experience with your monitoring appointments.
We were given slots in the early morning for ultrasounds that made it convenient to schedule work around and they were usually on time. Only once or twice I was delayed for work by 45 minutes. Blood work was also convenient and quick. I was never delayed for blood draws.
Describe the costs associated with your care under Sameh Toma.
Doctor visits, ultrasounds, and labwork were covered. the IVF procedure was out of pocket and was $5000. The injectables were covered 80% so we ended up paying close to $2000 for those. IUI was not covered and we paid $600/cycle. The surgery was not entirely covered and we had to pay close to $2800.
9
Doctor
Sameh Toma
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
North Carolina Center for Reproductive Medicine
Cary
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
6
Age
31
Treated
2016
Success with this Doc
No
Treatment
Diagnosis
Diminished Ovarian Reserve
6
He [Dr. Gerald Mulvaney] was very sweet and direct. But would have preferred to have him more involved. After canceling IVF, he did not provide many options afterwards. I thought he was great, but I was much more pleased getting other opinions and options elsewhere.... IVF was postponed a month due to my AMH results. I was told to take 75mg of DHEA for a month. Then we started IVF at max dosages and injecting in the arm muscles. With not much affect in the beginning, they added days to my cycle to extend it to try and produce follicles. Day 8/9 they cancelled my cycle with 1 follicle only growing.
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Age
31
Treated
2016
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1st of 2 Docs
Treatment
Diagnosis
Diminished Ovarian Reserve
6
Describe your experience with North Carolina Center for Reproductive Medicine.
Front desk staff and office staff are only sometimes polite and efficient. At other times they are rude and disorganized.
During treatment, did you feel like you were treated like a number or a human?
Not much communication directly through him.
What specific things went wrong at this clinic?
  • Failed to call in prescriptions to pharmacy
  • Lost appointments
  • Failed to call with results
  • Failed to send your chart to another clinic
  • Failed to inform you of changes in protocol
  • Provided conflicting information
  • Scheduled the wrong procedure
How was your experience with Gerald Mulvaney?
He was very sweet and direct. But would have preferred to have him more involved. After canceling IVF, he did not provide many options afterwards. I thought he was great, but I was much more pleased getting other opinions and options elsewhere.
What one piece of advice would you give a prospective patient of Gerald Mulvaney?
Ask questions
Describe the protocols Gerald Mulvaney used in your cycles and their degree of success.
IVF was postponed a month due to my AMH results. I was told to take 75mg of DHEA for a month. Then we started IVF at max dosages and injecting in the arm muscles. With not much affect in the beginning, they added days to my cycle to extend it to try and produce follicles. Day 8/9 they cancelled my cycle with 1 follicle only growing.
Describe the costs associated with your care under Gerald Mulvaney.
$5,000 ivf not including meds
6
Doctor
Gerald Mulvaney
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
6
Clinic
North Carolina Center for Reproductive Medicine
Cary
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
Age
44 - 45
Treated
2012 - 2013
Success with this Doc
Yes
Treatment
2 IUI, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids
10
Easy to work with and friendly. The clinic [North Carolina Center for Reproductive Medicine] is well-run and accommodating. Very organized. Flexible hours. Knowledgeable nurses. No billing problems....[Nurses were] Very good. Knowledgeable... His [Dr. Toma] treatment plan didn't waste time or money in my opinion. It was a great experience. Dr. [Toma] advised the method with the highest probability of success....Recommended treatment aimed at desired results
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Age
44 - 45
Treated
2012 - 2013
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Business Executive
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids
10
Describe your experience with North Carolina Center for Reproductive Medicine.
Easy to work with and friendly. The clinic is well-run and accommodating. Very organized. Flexible hours. Knowledgeable nurses. No billing problems.
During treatment, did you feel like you were treated like a number or a human?
He was candid, direct, concerned. Recommended treatment aimed at desired results
Describe your experience with your nurse.
Very good. Knowledgeable
How was your experience with Sameh Toma?
Candid, direct. Honest. I prefer direct over bedside manner, but if you are a patient who requires a lot of warmth, he may not be the greatest choice. His treatment plan didn't waste time or money in my opinion. It was a great experience. Dr. [Toma] advised the method with the highest probability of success. I appreciated his insight and his direct manner. I was seeking results. We tried a few Hail Mary IUI and Cloud attempts before going all in with in vitro. After the first unsuccessful round of IVF, Dr. Toma removed uterine fibroids and we tried again. This time with success.
What one piece of advice would you give a prospective patient of Sameh Toma?
Trust him
Describe the protocols Sameh Toma used in your cycles and their degree of success.
I don't recall specifics
Describe the costs associated with your care under Sameh Toma.
Cost of egg donor, men's, embryo transfer
10
Doctor
Sameh Toma
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
North Carolina Center for Reproductive Medicine
Cary
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
26
Treated
2016
Success with this Doc
No
Treatment
1 IVF
Diagnosis
Other
9
I loved Brenda, the front desk lady. She was so helpful and very nice. The facility [NC CRM] itself was great! Well kept and made you feel welcomed...The monitoring process was first come first serve within certain hours which worked for me since i had to drive 2.5 hours to get there...[Nurse] Carla was great! She answered every question and made sure to repeat instructions to make sure i understood. She always called me back and was very nice and caring. She showed my husband a good technique to give me the shots...
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Age
26
Treated
2016
Success with this Doc
No
Race
Latino
Income
$0 - $49K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Other
9
Describe your experience with North Carolina Center for Reproductive Medicine.
I loved Brenda, the front desk lady. She was so helpful and very nice. The facility itself was great! Well kept and made you feel welcomed
During treatment, did you feel like you were treated like a number or a human?
I understand he sees a lot of patients but while he was doing my saline ultrasound he started asking me questions that he already asked me before. He should have known all that information already.
Describe your experience with your nurse.
Carla was great! She answered every question and made sure to repeat instructions to make sure i understood. She always called me back and was very nice and caring. She showed my husband a good technique to give me the shots.
How was your experience with Sameh Toma?
He wasn't very involved, he communicated with me through the Medical Assistant. I never really sat down with him and talked about my care, it was all through her and the nurses. I was referred to him by a friend and I trusted that he is good at what he does but his communication with patients or at least with me could have been better.
What one piece of advice would you give a prospective patient of Sameh Toma?
To demand to talk to him instead of the medical assistant
Describe the protocols Sameh Toma used in your cycles and their degree of success.
I don't remember exact dosages but i did have to increase my usage at one point
Describe your experience with your monitoring appointments.
The monitoring process was first come first serve within certain hours which worked for me since i had to drive 2.5 hours to get there
Describe the costs associated with your care under Sameh Toma.
I paid about $4000 for the cycle plus $800 for cyst aspiration plus $600 for sperm analysis $60 for medicine class $165 for initial counseling and the medicine i paid about $4000 to the pharmacy Carla sent my prescription to.
5
Doctor
Sameh Toma
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
North Carolina Center for Reproductive Medicine
Greensboro
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less