RMA is NOT known for being high FSH friendly. Neither is St. Barnabus. With your wife's age and FSH, you need to be seeing an RE who is much more sophisticated and knowledgable about DOR than most REs are. I think I've posted to you before, but I highly recommend SIRM - I got pg with Dr. Sher at age 39.5 with FSH of 18+ on the 1st try (3rd IVF overall). Dr. Sher is opening a clinic in NYC early next year. Other alternatives in the NE are Dr. Check (somewhat controversial - read the high FSH board), Dr. Owen Davis at Cornell and Dr. Liccardi at NYU. There may be others, please post around and educate yourself before giving up. I would give up on RMA right now.