They truly made me feel safe, informed and taken care of!!! I’ll be traveling to them for all of my reproductive needs and absolutely referring them to anyone in need of any…They truly made me feel safe, informed and taken care of!!! I’ll be traveling to them for all of my reproductive needs and absolutely referring them to anyone in need of any services they provide. I am so graceful to have been in their care!!!Fertility clinic
North Carolina Center for Reproductive Medicine
Cary, NC · (919) 233-1680
- Website
- nccrm.com
- Phone
- (919) 233-1680
- Location
- Cary, NC

Patient reviews
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74 excerpts on this page498 Google reviews
Avoid this clinic if you are in need of trauma informed care or personalized care. If you are looking for a provider that will listen to you and tailor your care to your…Avoid this clinic if you are in need of trauma informed care or personalized care. If you are looking for a provider that will listen to you and tailor your care to your situation, find another clinic. NCCRM will pressure you to accept any solution that will keep their statistics high without regard for your family building goals.The medical director (Dr. Toma) speaks condescendingly to patients, if he deigns to meet with them at all.Dr Toma is a horrible "doctor". I feel horrible for suggesting this place to my wife. When they did a biopsy on my wife, they found a lescion in her uterus. We are older as far as…Dr Toma is a horrible "doctor". I feel horrible for suggesting this place to my wife. When they did a biopsy on my wife, they found a lescion in her uterus. We are older as far as wanting to be parents...so we know the risks. If you feel it's impossible ( "Dr."Toma) then don't waste our time, but your greedy behibd wants the money. This male told my wife to have a hysterectomy. My wife said what about a procedure to remove it and allow the uterus to heal? Nope, hysterectomy!!! Luckily real caring people became involved and my wife was able to get good care. Not some grandstanding jerk who thinks he's god.A void Dr Toma....please!!!!!Update: Shortly after my original review, I developed a severe infection beneath my incision. Unfortunately, no one was able to identify the problem until the sutures came off.…Update: Shortly after my original review, I developed a severe infection beneath my incision. Unfortunately, no one was able to identify the problem until the sutures came off. Throughout this time, I stayed in contact with the office, and my family also kept them informed about what was happening. The pain was absolutely unbearable. It was so severe that it frightened our youngest son to see his mother suffering that much and resulted him having to go to therapy. I could not walk for over a month. Darcy and another doctor I saw were very kind and compassionate. However, when I went in to see Dr. Toma in person, my experience was extremely disappointing. I was in the worst pain of my life and had to have my husband drive over two hours to get me there, only to be told that there was essentially nothing that could be done. I received no empathy or concern. He was very mean and cold as I was in tears. To make matters worse, Dr. Toma prescribed two medications that i was told to take together that my pharmacist later warned my husband should never be taken together and would have had very serious consequences( Death) for me. It ultimately took visits to two additional doctors before I was finally prescribed an antibiotic that helped treat the infection. As a result, my recovery took much longer than it should have, and we incurred significantly more medical expenses. I have still not become pregnant, which has made this experience even more painful for our family. Reading the positive outcomes in other reviews has been difficult because that was not our experience. I will update once I get pregnant! As for NCCRM, I can’t recommend this office enough for tubal reversal. When I had my tubal ligation back in 2020, I regretted it just a couple of months later. I felt like I had lost a piece of myself that God designed me to have. NCCRM has truly given me a second chance, and this reversal made me feel whole again—like I was always meant to be. Yesterday, I underwent my tubal reversal, and I am beyond pleased with the care I received. Everyone at the facility was incredibly kind. The anesthesiologist was such a character—he had me laughing even when I was terrified of going under. Dr. Toma is extremely professional, straightforward, and I appreciate how clearly he explains everything without sugarcoating. Spencer was outstanding with her upbeat, reassuring personality, and Darcy was absolutely amazing—she made the process seamless and was so helpful every step of the way.I cannot say enough positive things about my experience with Dr. Toma and Dr. Easton following my tubal reversal procedure. From start to finish, they and their entire medical…I cannot say enough positive things about my experience with Dr. Toma and Dr. Easton following my tubal reversal procedure. From start to finish, they and their entire medical staff were incredibly professional, attentive, and informative. They took the time to thoroughly explain every step of the process, answer all of my questions, and ensure I felt comfortable and confident in my care. Their attention to detail and genuine compassion made a stressful and emotional situation feel much more manageable. The staff was equally supportive, always kind, responsive, and organized, which made the overall experience smooth and reassuring. I truly felt like I was in capable hands the entire time, and I’m very grateful for the level of care I received.I have no complaints. Surgery went well. Dr.Toma did a wonderful job!!! Olivia the nurse amazing and so gentle . Everything was perfect and I can’t ask for anything more than…I have no complaints. Surgery went well. Dr.Toma did a wonderful job!!! Olivia the nurse amazing and so gentle . Everything was perfect and I can’t ask for anything more than that. The entire office did well and the Communication through the entire process was amazing.🤩 …NCCRM is AMAZING! My entire experience was so easy and stress free. My nurse, Olivia, eased my anxiety. She was so sweet, funny and easy going! All staff members were super nice…NCCRM is AMAZING! My entire experience was so easy and stress free. My nurse, Olivia, eased my anxiety. She was so sweet, funny and easy going! All staff members were super nice and were very clear about what would be happening during my procedure. They answered all questions, and made sure I understood.HORRIBLE CLINIC! - The doctor is NOT REI BOARD CERTIFIED! Be sure to used an REI board certified doctor for your fertility treatments! - Used this clinic for 3 IUIs and 1 round of…HORRIBLE CLINIC! - The doctor is NOT REI BOARD CERTIFIED! Be sure to used an REI board certified doctor for your fertility treatments! - Used this clinic for 3 IUIs and 1 round of IVF and NEVER ONCE saw the doctor after repeatedly asking when I’d see him. - When I woke up from my egg retrieval they told me the PA did it, NOT THE DOCTOR! - I had to request a follow up call with the doctor after hearing none of my embryos made it where the doctor proceeded to tell me I should use my sister’s embryos (I was 31 years old and this was my first egg retrieval)! - You cannot ever get ahold of ANYONE at the office. - Their billing team is absolutely horrible and essentially gave up getting my claims processed by my insurance and left me with the bill. They also won’t answer the phone, agree to get on a call with my insurance, or respond to emails in a timely manner to help resolve the problem. I wish I NEVER wasted my time or money at the place. I changed clinics to another clinic in Raleigh and got pregnant my first round of IVF and now pregnant with my 2nd. There are WAAAAAY better clinics out there. DO NOT WASTE YOUR TIME OR MONEY HERE!10 out of 10 recommend NCCRM. Every staff member I came in contact with was phenomenal from Day 1. So thankful I found this place.Absolutely love NCCRM. The staff is amazing. Everyone makes you feel welcomed. IVF can be overwhelming but everyone reassures you that things will be okay and that they are with…Absolutely love NCCRM. The staff is amazing. Everyone makes you feel welcomed. IVF can be overwhelming but everyone reassures you that things will be okay and that they are with you every step of the way. I have called so many times with questions and IVF nurses Carla has been patient with me and answers all my questions. Dr. Toma and Dr. Easton are awesome and has a sense of humor. Laughter during these times are needed. 10/10 recommend!This place has the most amazing staff!!! Dr Toma truly has been a blessing for my family. Mrs Brenda truly goes above and beyond for patients to make their dreams come true. I…This place has the most amazing staff!!! Dr Toma truly has been a blessing for my family. Mrs Brenda truly goes above and beyond for patients to make their dreams come true. I would recommend them 110%After a lot of research, my wife and I chose NCCRM for my tubal reversal and we couldn't be happier with how smooth the surgery went and the hope they've given our family. The…After a lot of research, my wife and I chose NCCRM for my tubal reversal and we couldn't be happier with how smooth the surgery went and the hope they've given our family. The staff provided us clear guidance and they've been nothing but supportive during my recovery, especially Dr. Rice who have made sure all of our questions have been answered throughout our journey. We feel very confident in the work the surgeons did and highly recommend NCCRM to anyone looking to start this journey.Had my tubal reversal done 01/06/2025 surgery went great. Still recovering, Only negative thing I have to say is the nurse that took care of me Bailey …I originally planned to wait until I had the results I was hoping for, but I couldn’t hold back from sharing my experience at NCCRM If you’re considering coming here, I truly…I originally planned to wait until I had the results I was hoping for, but I couldn’t hold back from sharing my experience at NCCRM If you’re considering coming here, I truly can’t recommend it enough. The staff is incredible. From my first phone calls with Darcy in the tubal ligation reversal department (the procedure I had done), to several conversations with Olivia, everyone was such a pleasure to speak with—friendly, knowledgeable, and genuinely kind. They made me feel excited and confident about starting this journey, even traveling all the way from Florida. Easton Rice, was extremely knowledgeable and helped me feel completely comfortable and confident going into surgery. My nurse, Olivia, is truly an angel. Her professionalism, expertise, and bedside manner during post-op care made me feel supported and well cared for every step of the way. A heartfelt thank you to Dr. Toma and the entire amazing team for giving me the opportunity and hope to expand my family. I’m so grateful for the care and compassion you all provide.I underwent my first IVF cycle at this clinic, which ended in a missed miscarriage at 7 weeks. After prolonged monitoring of what was borderline a failing pregnancy, a repeat…I underwent my first IVF cycle at this clinic, which ended in a missed miscarriage at 7 weeks. After prolonged monitoring of what was borderline a failing pregnancy, a repeat ultrasound confirmed there was no heartbeat and no embryo growth. I received a phone call instructing me to take medication to end the pregnancy. I made it very clear how severe my anxiety was about taking the medication and about going through the miscarriage process. I even requested anxiety medication to help me manage it. This was one of the most devastating experiences of my life. After I completed the medication process, I received absolutely no follow-up from the clinic. No one checked on me. No one confirmed that the miscarriage was complete.No one instructed me to schedule a follow-up ultrasound to ensure everything had cleared. No one discussed next steps. No one reached out at all. Not even to discuss how to try again. After a failed cycle and pregnancy loss, I was completely ignored. I had fully intended to move forward with another IVF cycle at this clinic. That was my plan. But the total lack of medical follow-up and basic human compassion made it clear that continuing care there would not be in my best interest. Regardless of outcome, patients deserve continuity of care, proactive follow-up after a miscarriage, and some degree of empathy. Instead, I felt abandoned at the lowest point of the entire process. Because of this experience, I chose to pursue treatment elsewhere. I strongly encourage anyone considering this clinic to ask very specific questions about how they handle pregnancy loss and post-miscarriage follow-up before committing to treatment.I had my tubal ligation since 2009 and finally was able to get tubal reversal in 2023. I noticed my weight changed and my confidence level changed after the surgery. The whole…I had my tubal ligation since 2009 and finally was able to get tubal reversal in 2023. I noticed my weight changed and my confidence level changed after the surgery. The whole process was great. I had a wonderful experience and the staff was excellent. Recovery time did not take long at all. I followed all the steps and made sure I got plenty of rest and stayed hydrated. If you are a smoker it's best that you stop smoking months ahead of time cause it will hinder the recovery process. I once was a smoker and quit 6 months ahead and have not went back. I gave not started trying to conceive just yet. I am a mother of 4 with 3 older sons and a daughter who just started high school. My husband and I have no children and would like to try soon. I'm 45 as of now and would like to have at least one more or two. Lol. I will keep you posted once I conceive. Good luck and don't give up on getting that reversal for it's worth it. Today is July 4th 2025 and I have wonderful news to share. I had a physical done at my clinic and found out im pregnant!!!! It's still early to know anything further but I was shocked to find out so I had my nurse test me again. Test came back positive again. I later went to my local hospital to be absolutely sure and tested positive there as well. My HCG is 1182 as of now and the ultrasound didn't show an ectopic pregnancy. I have a follow up visit with my OBGYN in 2 weeks and find out more then. This came at a surprise and shock because I just started trying a month ago. Keep me and my fetus in prayer. I will definitely keep you all updated. Keep trying and dont give up hope. The surgery is worth it!! Thank you to the center and staff for giving me a chance to experience this all over again. May your company stay blessed to continue to give hope and life to families like me. Update to my positive test. I ended up having a miscarriage. It was the first one I ever had. Everyone was so excited to hear i was pregnant. The loss was very hard for me and I wanted to not try again. Baby A is the name I gave it. I lost it July 10th 2025. I had counseling and found out my sister had lost hers as well a month after me, and the sweet nurse who drew my blood each week checking to be sure my HCG levels were going down had lost hers same time I did. So I had people I could talk to and didn't feel so alone in it. It is now February 24,2026 and I am ready to try again. I will keep you all updated on the journey. Dont give up because the surgery works with getting them reversed. Having a few miscarriages is part of it frok what I heard but a live birth is very possible so I will keep trying and keep believing and I wish you all the best in your TRYING TO CONCEIVE ERAS. Stay blessed everyone.Excellent Customer service everyone was pleasant and helpful Professional and experience from my OR Nurse Folita very sweet and empathetic and informative. my Provider Easton Rice…Excellent Customer service everyone was pleasant and helpful Professional and experience from my OR Nurse Folita very sweet and empathetic and informative. my Provider Easton Rice very informative great bed side manner and Surgeon Dr. Toma very professional had great bed side manner especially Ms.Darcy who was very informative and kept me updated on each step of the way. I had a tubal reversal and myomectomy it was a successful surgery!! I got a great pain management prescription that pain level is just a 5 after 1 day post surgery. Looking forward to having a family. I Highly recommend NCCRM wish I can give them 10 stars definitely angels on earth.NCCRM is amazing….Laura has always greeted me every time I come in with a smile….Ms. Carla is the sweetest and is so responsive and quick to reach back out when needed….Easton is…NCCRM is amazing….Laura has always greeted me every time I come in with a smile….Ms. Carla is the sweetest and is so responsive and quick to reach back out when needed….Easton is a goofball but great at what he does…and everyone is so down to earth…I love this place and I’m so appreciative of all they’ve done for us!!!The front desk was initially off putting and not very friendly - no welcome, good morning, etc- but I later brought it up to Dr Easton and he addressed it. Amber Lynn came out to…The front desk was initially off putting and not very friendly - no welcome, good morning, etc- but I later brought it up to Dr Easton and he addressed it. Amber Lynn came out to take me back for my vitals and she turned everything around! The ultrasound with Dr Easton Rice was quick and the most comfortable wand ultrasound I’ve ever experienced. I’m usually stressed and in a panic with those procedures but he talked the whole time, was quick and professional and I felt completely at ease the whole time. Then we wen to his office and he went over the procedure and what to expect along with covering all possible risks and such. Dr Rice gave a brief history for him and Dr Sameh Toma and I found out how truly skilled and known Dr Toma is for this procedure. Dr Toma has over 30 years experience and Dr Rice moved down from NY to work with Dr Toma; highly regarded team for sure! I felt very solid in my choice of provider for my tubal reversal. Pre-op was smooth and Spencer was my right hand lady the rest of the day; she was so friendly, professional, comforting and kept a fun lighthearted atmosphere. The anesthesiologist Fritz and his assistant Kerry were knowledgeable and thorough in all aspects and when I asked for the needle to be placed on a certain spot on one arm to avoid soreness on my hand he was able to accommodate and I felt heard and respected. The entire team works so well together and I felt like I was with a friend group that loves what they do and enjoy working with each other. Lots of conversations and an overall family feel. The surgery went as perfectly as it could have and I am able to manage the minimal pain well with the prescribed pain medication and only had slight nausea afterwards but it has since passed. There was no rush in post-op and Spencer was patient and very attentive while I worked to sit up and come out of the fog of post anesthesia. I cannot recommend this place enough for anyone looking to have this surgery performed!!I got my tubes untied here at the end of February 2022 even I still lived in NC. I'm very very pregnant! Less than 4 years later. I'm 40 and didn't use any fertility drugs nor did…I got my tubes untied here at the end of February 2022 even I still lived in NC. I'm very very pregnant! Less than 4 years later. I'm 40 and didn't use any fertility drugs nor did we use any method to try. We weren't trying to prevent it either. I've suggested my friend get her tubes untied here as well. We live in Texas now. I'm thankful for them and their work. THANK YOU!!!!My name is actually Ashley Jeter. I had a tubal reversal a year ago today. One of the best decisions I ever made. I waited on today to make this review. The nurse and doctors were…My name is actually Ashley Jeter. I had a tubal reversal a year ago today. One of the best decisions I ever made. I waited on today to make this review. The nurse and doctors were awesome. They made me feel very comfortable throughout my whole procedure. I was worried that I wouldn’t have much fallopian tube after the procedure and I ended up having plenty. I tried getting pregnant as soon as I was cleared to do so. Months went by and I was not coming up pregnant. I was stressing really bad. Scared that my tubes may have closed or my PCOS was keeping me from getting pregnant. I finally decided not to track my ovulation nor have planned sex anymore. Once I did that, I became pregnant almost 9 months post operation. I am currently 14 weeks and 4 days pregnant with a baby boy. I just want to say thank you! My kids and my partner are all excited and so am I. I am very grateful that I found you all and had the reversal done. Thank you!!!If I could give NCCRM 10 stars, I absolutely would! My experience has been nothing short of exceptional. I am now two weeks post-op from my tubal reversal and I’m healing…If I could give NCCRM 10 stars, I absolutely would! My experience has been nothing short of exceptional. I am now two weeks post-op from my tubal reversal and I’m healing wonderfully. 🥰 My nurse, Olivia, was absolutely amazing—she ensured I was comfortable from start to finish. My pre-op prep, including the ultrasound, was completed by a very kind and knowledgeable African American technician who answered every question my husband and I had (I’m so sorry I don’t recall her name, but she was wonderful!). Darcy has also been incredibly sweet and responsive since day one, and I truly appreciate her warmth. The anesthesiologist was fantastic and made sure I felt relaxed and at ease throughout the process. And of course, Dr. Toma and Dr. Toma Jr. were both straightforward, highly knowledgeable, and exceptionally kind. I’m honestly a little sad this part of the journey is over, but I’m so excited for what’s ahead. I will update this review once I’m pregnant! If you’re considering NCCRM, you will not be disappointed. BEST OF LUCK to all the future parents! 💞💞I had a great experience at NCCRM. ALL the staff were great! From the time I entered the facility, until the time I was helped into my vehicle at discharge. Everyone was so…I had a great experience at NCCRM. ALL the staff were great! From the time I entered the facility, until the time I was helped into my vehicle at discharge. Everyone was so welcoming and eased a lot of my fears, going into the procedure. If you're considering NCCRM, give them a call! Ms. Layne is very helpful and will take great care of you!We received mediocre care from the beginning. We were going to go with 1 of 2 other places but we finally met one female physician here who we clicked with. So much so that we…We received mediocre care from the beginning. We were going to go with 1 of 2 other places but we finally met one female physician here who we clicked with. So much so that we stayed. Upon getting ready to start the cycle she was gone. No answer as to why and no notification of it happening. The nurse we worked with we had to hunt down to question constantly what our next moves were supposed to be. We have been treated almost like an afterthought. The girls at the front desk are great! It’s all down hill from there. We didn’t receive good advice from anyone except the female physician that left. Honestly that should have been a sign that we should leave as well. If I could I’d give this establishment zero stars. They are just at work here. Didn’t feel like anyone was invested in our success and they weren’t on top of their game. Should feel like a priority especially for the price. We should have left and wish we would have. Please spare us the “heartfelt” response as that’s nice for show but it isn’t an accurate display of how this establishment actually treats its patients. Toma is grossly unprofessional. Talking politics during a transfer. Offered zero information and then left the room. Felita has terrible communication skills and never let us know when to take certain meds or when to start what without us calling 5 times and leaving messages and then we get an attitude like we should just know.This office is a complete non sense and at par on unprofessionalism in health care services. They never contact you back and have you miss critical milestones in your procedure by…This office is a complete non sense and at par on unprofessionalism in health care services. They never contact you back and have you miss critical milestones in your procedure by simply saying sorry without any meaning to what they said it after messing up your planned schedule. Nurse coordinators Folita & Carla are complete disgrace to this field and should learn more sincerity towards their work. If you want mental relief as well as most importantly financial security of your hard earned money don’t visit this office!! They have zero clarity on what’s covered and what’s not and they will leave you on your own to deal with creepy insurance on top of already stressed procedures! And they have tones of out of pocket expenses without making any sense of those sky rocketing prices!! Beware of this facility!Had tube reversal surgery today. The doctors was wonderful. Dr. Rice and Dr. Toma really made sure to explain everything and are very nice. The nurse Ms Olivia made me feel right…Had tube reversal surgery today. The doctors was wonderful. Dr. Rice and Dr. Toma really made sure to explain everything and are very nice. The nurse Ms Olivia made me feel right at home she talked me through everything and they all …I can not say enough about my experience with NCCRM. I just had my tubal reversal surgery here on Monday. The communication was great throughout the entire process. Darcy the…I can not say enough about my experience with NCCRM. I just had my tubal reversal surgery here on Monday. The communication was great throughout the entire process. Darcy the coordinator answered all my questions and told me everything I needed to do prior to surgery and they took care of my FMLA paperwork quickly. When I got to the office for my preop and surgery which were both on the same day, I met with Spencer who did my ultrasound and vitals. She explained the surgery risks and process thoroughly and her personality put me at ease. Once I went back for surgery, I met the anesthesiologist who was super friendly and made me feel relaxed. I met Easton Rice and Dr. Toma came to talk to me about the surgery. Despite what I have read about some people saying he is too blunt and rude, I did not have that experience with him at all. He was informative and explained potential problems that can happen and what the surgery process was. He even laughed with me and told me he’d take good care of me. I thought he was wonderful. My nurse Olivia was also fantastic. She made sure I was comfortable before and after surgery. I have nothing but good things to say about everyone at NCCRM. This place is fantastic and they have given me a chance to conceive again. I appreciate them and would recommend them to anyone looking for a great group of specialists!I had my tubal reversal by Dr toma in April 2024 and got pregnant in June. I had a healthy baby girl 2/14/2025NCCRM has been a god send for my husband and I. We have been trying to conceive for a little over 5 years with no luck. The staff at NCCRM is incredibly caring and understanding!…NCCRM has been a god send for my husband and I. We have been trying to conceive for a little over 5 years with no luck. The staff at NCCRM is incredibly caring and understanding! They have been nothing but amazing to us. Dr. Toma is an …Their tubal reversal coordinator Darcy provided great communication and was great providing information via email. The front desk didn’t seem too welcoming but it was first thing…Their tubal reversal coordinator Darcy provided great communication and was great providing information via email. The front desk didn’t seem too welcoming but it was first thing in the morning. For the pre op appointment they do the same morning dr rice helped me be less nervous and was quick with the exam then provided all the information my fiancé and I needed. From there I was sent with a nurse named Olivia; she’s awesome and very kind. She stuck by my side the whole time until I was released. Dr. Toma was great as well. He made sure I understand everything and is one of the best and most honest doctors I’ve ever been to. Thank you everyone!I had my tubal reversal after having them clipped for 12 years in March 2025. Well going there the process Dr Toma found a fibroid the size of my fit on my cervix. Which he remove…I had my tubal reversal after having them clipped for 12 years in March 2025. Well going there the process Dr Toma found a fibroid the size of my fit on my cervix. Which he remove without damaging my cervix. We were told to wait 3 months …My fiance had her tubal reversal here. They were all kind, supportive, and caring. They made us feel like we were family. Definitely recommend coming here. We are very thankful…My fiance had her tubal reversal here. They were all kind, supportive, and caring. They made us feel like we were family. Definitely recommend coming here. We are very thankful for Darcy, Olivia, Dr.Toma and the kind anesthesiologist.Last week I went for my first and last fertility appointment with NCCRM and I would never refer anyone to this clinic. I actually had a miscarriage earlier in the year and I also…Last week I went for my first and last fertility appointment with NCCRM and I would never refer anyone to this clinic. I actually had a miscarriage earlier in the year and I also have a history of PCOS so I was looking to get a better …I am very pleased with NCCRM. The nurses and front desk ladies were amazing. From the very beginning of this journey. Although I'm still recovery I'm sure we will get that…I am very pleased with NCCRM. The nurses and front desk ladies were amazing. From the very beginning of this journey. Although I'm still recovery I'm sure we will get that positive soon. I highly recommend going to NCCRM for your Tubal Reversal.I cannot tell you how happy I am with this clinic. The staff is very professional. I just had my tubal reversal surgery today, and everyone that I came in contact there was…I cannot tell you how happy I am with this clinic. The staff is very professional. I just had my tubal reversal surgery today, and everyone that I came in contact there was wonderful, my nurse, Olivia,the anesthesiologist, Dr. Toma was great. Even Darcy, the scheduler was great. I was very nervous, and they made my mind at ease.NCCRM was able to do my surgery at the peak of Covid when a closer facility fell through and put me off for months. I didn't have any records from my tubal, but Dr. Toma was able…NCCRM was able to do my surgery at the peak of Covid when a closer facility fell through and put me off for months. I didn't have any records from my tubal, but Dr. Toma was able to fly blind and have an extremely successful procedure. Everyone on the staff was absolutely amazing. We got pregnant within the first 2 months and just welcomed our baby girl into the world 2 weeks ago.I had a tubal reversal in 02/2022 after having my tubes tied for 7 years. Dr. Toma and the staff made our experience as reassuring as possible. My husband and i are now expecting…I had a tubal reversal in 02/2022 after having my tubes tied for 7 years. Dr. Toma and the staff made our experience as reassuring as possible. My husband and i are now expecting our son exactly one year later due 02/23. We found out we were expecting 3 months after my surgery. The Dr.’s and nurses, staff were great so friendly and caring we traveled from maryland and they were so welcoming and nice. Surgeon was very good also surgery went very well and scar is hardly noticeable. Would definitely recommend. We also used pre-seed fertility lubricant and one a day pre pregnancy vitamins for men and women to assist with conceiving which helped speed up the process very quickly, highly recommended. Overall wonderful experience. grateful we are able to experience a new joy!Everyone was very friendly! Spencer was the best nurse I've ever had! They all make you feel welcomed and comfortable! I spoke with the surgeon briefly because the surgery before…Everyone was very friendly! Spencer was the best nurse I've ever had! They all make you feel welcomed and comfortable! I spoke with the surgeon briefly because the surgery before mine took a bit longer than expected they went over …I had my tubal reversal on 8/17/2021 and the staff was amazing . If you get to meet Mrs.Kelly make sure you tell her she is the best assuring you. I loved my Experience there, my…I had my tubal reversal on 8/17/2021 and the staff was amazing . If you get to meet Mrs.Kelly make sure you tell her she is the best assuring you. I loved my Experience there, my surgery went great and now me and my husband are on the TTC journey . Thanks so much and Toma and the whole staff. The even called to check on me once I made it home . I drive 3 hours and a half to go here and it was worth itPraying that everyone gets the successful life of love and joy they are praying for. Someone let the doctor he should't rush people out after their surgey. Slow down Doctor, give…Praying that everyone gets the successful life of love and joy they are praying for. Someone let the doctor he should't rush people out after their surgey. Slow down Doctor, give them a few minutes to gather their senses.I have been a patient for a year and I have only seen Dr. Toma one time. My impression of him was he was cold. I felt like he really didn't want to be in the room with me and…I have been a patient for a year and I have only seen Dr. Toma one time. My impression of him was he was cold. I felt like he really didn't want to be in the room with me and couldn't wait to be finished with my exam. I don't have negative feelings towards him, but I didn't feel like he particularly cared about me...you are not going to get a whole lot of emotional support, time, or personalized attention from this physician.[Dr. Sameh Toma] is not present whatsoever with his patients. I went to this clinic for several months doing 3 rounds of IUI and 1 IVF egg retrieval. During this entire time I…[Dr. Sameh Toma] is not present whatsoever with his patients. I went to this clinic for several months doing 3 rounds of IUI and 1 IVF egg retrieval. During this entire time I never saw or spoke with this doctor. After 1 unsuccessful egg retrieval at the age of 31, the doctor gave up and told me to consider donor eggs. I’m so happy I learned he is not board certified in RE, so I can take his words as a grain of saltWe never saw him [Sameh Toma]. We only saw the nurses and other clinic staff. We felt like we weren’t taken seriously and like we were just a number because of this...It felt like…We never saw him [Sameh Toma]. We only saw the nurses and other clinic staff. We felt like we weren’t taken seriously and like we were just a number because of this...It felt like they didn’t really care to find what was going on with our case other than a sperm countDr Toma was a breath of fresh air from the first conversation we had. They was no beating around the bush, he told me exactly how we wanted to proceed and answered all my…Dr Toma was a breath of fresh air from the first conversation we had. They was no beating around the bush, he told me exactly how we wanted to proceed and answered all my questions about other options...He is straight to the point, which I appreciate. Some might want to ease in to conversation a bit more but I liked that he was so direct...He advised me not to go for IUI any longer. That IVF and creating embryos at this stage of my journey would be the best option and would give me the results I’m looking for.Dr. Toma was very thorough. I didn't wait long to see him at each visit...I understood everything he had to say about the procedure and I felt very comfortable!... He isn't a hold…Dr. Toma was very thorough. I didn't wait long to see him at each visit...I understood everything he had to say about the procedure and I felt very comfortable!... He isn't a hold your hand, stroke your hair kinda Dr. He lays out what is going on with you and the path or paths of treatment...he describes all of his treatment plans and procedures he offers on his website...I'm sure at times they can get busy and have extended wait times. I was blessed to be there on a non busy day. I[Dr. Toma] listened to my medical history, and asked me how aggressive I wanted to be with my treatment. We decided on IVF, and he explained (with visuals) the IVF process from…[Dr. Toma] listened to my medical history, and asked me how aggressive I wanted to be with my treatment. We decided on IVF, and he explained (with visuals) the IVF process from start to finish. I appreciated the fact that he will allow me to be monitored at my local ob/gyn office due to the fact that I live a few hours away...told me that we will transfer one embryo when the time comes.Dr. Hoffman was very personable. As the partner that is carrying, I thought it was great he seemed to take extra Interest to make sure my wife felt important and included.…Dr. Hoffman was very personable. As the partner that is carrying, I thought it was great he seemed to take extra Interest to make sure my wife felt important and included. Remembered our faces and details, like her occupation, upon later visits and continued conversations from previous months...My wife and I never felt that he was uncomfortable treating a lesbian couple. He seemed very hopeful and positive. Made it all seem rather simple- Maybe too simple and could’ve found it helpful to go in to a little more detail to cover some parts more thoroughlyI think he [Dr. Toma] is a great Dr just kind of rushed through... I think he may not have a great sense of compassion but he keeps it real. I think he has great reviews and we…I think he [Dr. Toma] is a great Dr just kind of rushed through... I think he may not have a great sense of compassion but he keeps it real. I think he has great reviews and we will never get everything we expect but he has done great so far. Still in the early stages....he reccomend that we start as soon as possible due to age and fibroids. We started put treatmeant with vitimans and CoQ10 prenatal fish oil vitamin D, C & E oval vit[Dr. Toma was] very caring, observant, quick response with any questions i had...treatment for embryo transfer PIO shots, estrogen blood work...He asked alot of questions from my…[Dr. Toma was] very caring, observant, quick response with any questions i had...treatment for embryo transfer PIO shots, estrogen blood work...He asked alot of questions from my past IVF cycles. Dr. Toma is also a funnydoctor which is a good thing. some times going to a appt could be depressing but he would change your moodDr. Toma was very informative during our initial consult. He's not extremely nice or loving but I didnt really need that anyway. He did my egg retrieval all though I never saw…Dr. Toma was very informative during our initial consult. He's not extremely nice or loving but I didnt really need that anyway. He did my egg retrieval all though I never saw him. When I had a specific question, the nurse would get it answered by him. He was great at making adjustments to meds as needed and when my cycle got canceled, made big adjustments for the next time...Don't expect much compassion or wonderful bedside manner. Just expect knowledge and facts!...My first cycle, I started off with 225 Gonal-F and 2 Menopur powders. The foses were upped when my e2 wasn't rising enough. But then my e2 dropped significantly and the cycle was canceled. My second cycle, I started off with 300 Gonal-F and 2 Menopur but that quickly got moved up again to 3 Menopur. He also uses cetrotitde and lupron to trigger.[Dr. Sameh Toma] was very clear about what we should expect They were very polite and helpful and communicated everything very clearly and made sure we understood everything we…[Dr. Sameh Toma] was very clear about what we should expect They were very polite and helpful and communicated everything very clearly and made sure we understood everything we may need and need to do including medications and cost...I had a tube reversal and it went very well and he explained afterwards that it was my husband that had the issue my husband did not know and he explained what we would need to do as far as IVFdo your research, know what your diagnoses are, and advocate for yourself [with Dr. Toma]...Telling a patient their result is normal when the pathology report states otherwise is…do your research, know what your diagnoses are, and advocate for yourself [with Dr. Toma]...Telling a patient their result is normal when the pathology report states otherwise is unbecoming and upset me greatly. I am currently 2 weeks post op from a laparoscopy and hysterscopy that was done at another clinic where they had found an endometrial polyp the size of a grape plus endometriosis in my pelvis. I requested for my medical record to pass on to my current fertility doctor and found a few errors- some as impactful as missing medication allergies, diagnosis, and medical history...Be prepared for long wait times [with Dr. Toma], but I think he knows what he is doing...He only does frozen transfers. First transfer - estring, baby aspirin, estradiol,…Be prepared for long wait times [with Dr. Toma], but I think he knows what he is doing...He only does frozen transfers. First transfer - estring, baby aspirin, estradiol, progesterone 5 days before transfer, prednisone and antibiotic around transfer. transferred one embryo. Resulted in chemical pregnancy. Second transfer - same strategy, tried Viagra (oral tablets, not specially compounded). Transferred one embryo. Failed. Third transfer - same as above, but used specially compounded viagra to improve lining. Also did intralipids before and after transfer. Transferred two embryos. Pregnant with one, but miscarried at 9 weeks. CurrentlHe is very impersonal. A little like a robot. He is, however, extremely good at his job. If you want a very personal doctor we spoke with another within the clinic we liked, but…He is very impersonal. A little like a robot. He is, however, extremely good at his job. If you want a very personal doctor we spoke with another within the clinic we liked, but dr Toma is obviously in charge and calls all the shots. He was always thorough and I appreciated how straight forward he was with medical details. ... As Dr. Toma was doing my embryo transfer he kept referring to himself as "the best", which was slightly off putting.He [Dr. Toma] was to the point, which is great I am an adult and I prefer not to have anything sugar coated. We knew our risks and chances before we even started the process. ...…He [Dr. Toma] was to the point, which is great I am an adult and I prefer not to have anything sugar coated. We knew our risks and chances before we even started the process. ... Hes a brilliant man and I trust his decisions fully. ... He took the time to walk us through the process. ... My treatment consisted of gonal f and menopur. Then ganerillix shot leading up to egg retrieval. ...If you need someone to be subtle in their words Dr. Toma is not the right person for you. His approach works well for some people, but if you need a softer touch or more hand…If you need someone to be subtle in their words Dr. Toma is not the right person for you. His approach works well for some people, but if you need a softer touch or more hand holding he is not the one. I love that he is blunt without being rude or dismissive...was very responsive to any and every question. He was available with funny stories to get me to calm down during transfer and scans. He made sure that I understood the entire process and that there are no guarantees but he would do is best and that’s exactly what I wanted. I didn’t want anyone to sell me any fairytale and I be devastated, and he was very honest about his expectations.He [Dr. Sameh Toma] would only do a frozen embryo transfer, because statistically that is your best chance of becoming pregnant...We had three embryos that made it to the freezing…He [Dr. Sameh Toma] would only do a frozen embryo transfer, because statistically that is your best chance of becoming pregnant...We had three embryos that made it to the freezing stage. He requested that we only do a single transfer, but we decided to do two the first time in hopes that one would stick, because twins did not scare us. He accepted our request to do a multiple embryo transfer, but unfortunately neither embryo survived.Some said Toma was a tough Doc. I absolutely loved him from day 1. He listed to what I wanted to do offered suggestions but then let me make the final decision. That meant a lot…Some said Toma was a tough Doc. I absolutely loved him from day 1. He listed to what I wanted to do offered suggestions but then let me make the final decision. That meant a lot to me to have a doc on my side willing to try what I wanted. At the past two doctors they basically suggested egg donation and didn’t want to entertain me using my own eggs. Toma suggested some supplements to improve the egg quality and then we moved forward with what I desiredI like how direct he [Dr. Sameh Toma] was as well as thorough with everything he did to make sure you have the best possible outcome. When we were asking certain questions that…I like how direct he [Dr. Sameh Toma] was as well as thorough with everything he did to make sure you have the best possible outcome. When we were asking certain questions that pertain to the embryos he was upfront and honest in saying that there are people smarter than him that make the decisions for the best possible outcomes which proved to be true . His personality is pretty straightforward which to me is a positive because I want somebody that is not going to dance around when you’re trying to get answersI’ve had to advocate for my own healthcare on numerous occasions [with Dr. Sameh Toma]. Most notably with a stalled hcg after a pregnancy before the initiation of IVF (with femara…I’ve had to advocate for my own healthcare on numerous occasions [with Dr. Sameh Toma]. Most notably with a stalled hcg after a pregnancy before the initiation of IVF (with femara prescribed by my obgyn). It was stalled for 8 weeks, I would never receive a callback from nccrm. I had to seek care elsewhere with my obgyn, only to find a “structure” in my left tube d/t ectopic. I was then treated with methotrexate...He’s very blunt and not delicate in communication, which is ok for me. I have RPL and question doses on my treatment, we started lovenox and steroids for second FET, no change. Miscarried at the same gestational age as first FET.Dr. Toma was very knowledgeable and also blunt, which I appreciated. His bedside manner is good but he also doesn’t sugar coat the information he is intending to convey. He…Dr. Toma was very knowledgeable and also blunt, which I appreciated. His bedside manner is good but he also doesn’t sugar coat the information he is intending to convey. He micromanaged my cycle which I also appreciate to ensure the best quality care.... We were using follistim 225 and Menopur 75 daily. We also did estradiol and had an ultrasound on days 2, 5, 7, 9, and 11. We introduced Ganirelix on day 6 and used daily until day 11. We triggered with lupron (hcg) on day 12 and had our retrieval on day 14.Dr Toma’s personality is straight and to the point, a little blunt. He can sometimes come off as a little cold, but he doesn’t sugar coat anything, just what you need to know. Be…Dr Toma’s personality is straight and to the point, a little blunt. He can sometimes come off as a little cold, but he doesn’t sugar coat anything, just what you need to know. Be prepared ahead of time with questions to ask because he is busy and will leave quickly if you hesitate with any questions after the visit is over.... [Protocols] All embryo transfers are freeze all cycles FET1 progesterone in oil injections, estradiol in oil injections, estring, antibiotic(around transfer), steriod(around transfer), baby aspirin, progesterone capsule vaginally(morning of transfer).He [Dr. Sameh Toma] is a serious doctor, very professional, he gave me confidence and hope...I did surgery and everything went very well...We managed to make 4 embryos of good…He [Dr. Sameh Toma] is a serious doctor, very professional, he gave me confidence and hope...I did surgery and everything went very well...We managed to make 4 embryos of good quality and 4 of lower quality. In the transfer they gave me 2 embryos, but it does not result in a positive pregnancy...The doctor explained how many and because he was going to transfer 2. He said that for my case it was the best, since I have a bicornuate uterus.Dr. Toma presents the facts and is very frank with his patients. He is very thorough and takes into account all of your medical history, diet, etc. He also shares about his own…Dr. Toma presents the facts and is very frank with his patients. He is very thorough and takes into account all of your medical history, diet, etc. He also shares about his own family and tries to help you understand the process so that you can make an informed decision based on what is best for your family. Dr. Toma understands that finances are a huge reason why people are not able to do fertility treatments and tries to make procedures affordable for everyone.Dr. Toma was good at giving a lot of information with data, always explained everything he had to tell us and always made us feel comfortable. We traveled 12 hours to see Dr.…Dr. Toma was good at giving a lot of information with data, always explained everything he had to tell us and always made us feel comfortable. We traveled 12 hours to see Dr. Toma. He cared for us and made sure to pack as much into our appointments as possible to where we weren't making unnecessary trips in between treatment. ...His [Ddr. Toma's] 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…His [Ddr. Toma's] 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...He [Dr. Toma] 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…He [Dr. Toma] 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 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... I trusted that he is good at what he does but his communication with patients or at least with me could have been better.The team was great. Dr. Toma was straightforward and very knowledgeable and thorough.... He does not treat his patients like a number. He is very knowledgeable and thorough and…The team was great. Dr. Toma was straightforward and very knowledgeable and thorough.... He does not treat his patients like a number. He is very knowledgeable and thorough and makes sure that his patients understand the procedures. I was having some complications early in my pregnancy. He was truly encouraging, but also explained to me how this could play out. I would highly recommend this... Our nurse is always available via email.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 [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.[Dr. Sameh Toma's] Bedside manner leaves much to be desired but he is knowledgeable and confident in his treatment plan and manner of approach. He does not sugar coat or coddle…[Dr. Sameh Toma's] Bedside manner leaves much to be desired but he is knowledgeable and confident in his treatment plan and manner of approach. He does not sugar coat or coddle patients but is very upfront and businesslike.... Utlized gonadotropins Gonal-F and Menopur with deltoid injections versus stomach placement for egg retrieval. It was indicated they had better results with medicine objected into arm versus stomach. Beginning of IVF cycle with 2 weeks birth control then Baseline ultrasound with estrogen levels checked and then ultrasound every 2 days to check follicles/along with labs to check estrogenHe [Dr. Sameh Toma] did my tubal reserval and he did the HSG test which resulted that everything was still good...He was very kind and he cared about my feelings, he was very…He [Dr. Sameh Toma] did my tubal reserval and he did the HSG test which resulted that everything was still good...He was very kind and he cared about my feelings, he was very helpful and he wanted but the best treatment for me and he never gave up on me and he still hasn't, also he has a big heart... treats his patients with the up most respect. He made me feel comfortable with any procedure and he is trustworthy and stands by his words he was great with me and my partner.Dr. [Samhe] 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…Dr. [Samhe] 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.[Dr. Sameh Toma] had a very gruff bedside manner...often kept us waiting and never apologized for the long wait times...kept going to him because I felt like we were in too deep…[Dr. Sameh Toma] had a very gruff bedside manner...often kept us waiting and never apologized for the long wait times...kept going to him because I felt like we were in too deep with him financially to transfer to another clinic...he was very rough with the speculum...rough bedside manner and his lack of empathy.Candid, direct. Honest. I prefer direct over bedside manner, but if you are a patient who requires a lot of warmth, he [Dr. Samhe Toma] may not be the greatest choice. His…Candid, direct. Honest. I prefer direct over bedside manner, but if you are a patient who requires a lot of warmth, he [Dr. Samhe Toma] 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...He was candid, direct, concerned. Recommended treatment aimed at desired resultsWho you would meet
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North Carolina Center for Reproductive Medicine
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North Carolina
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