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.Fertility clinics
North Carolina Center for Reproductive Medicine
Cary, NC · (919) 233-1680
- Phone
- (919) 233-1680
- Website
- nccrm.com ↗
- Location
- 400 Ashville Ave, Suite 200A, Cary, NC 27518
Doctors
Doctor

6.5/10 · 32 reviews · Oct 2026
Patient reviews
Excerpts come from public listings. Show more reveals the excerpt stored here; the original source has the full review.
34 excerpts on this page
[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 resultsClinic route
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Provider
North Carolina Center for Reproductive Medicine
Role
Fertility clinics
State
North Carolina
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