Advanced Reproductive Medicine and Gynecology of Hawaii

Everyone I have encountered in this clinic has been extremely pleasant and helpful. The staff is warm and compassionate and will try their best to help you feel comfortable or answer any questions that you may have. The clinic itself is beautiful, bright, clean, and inviting.

Dr Fratterelli is patient, kind, and thorough in answering all of mine and my husband’s questions.

Aisling is the best! She is always available by email or phone for any questions or concerns I have, no matter how minute they are. Aisling has been my assigned nurse/coordinator from the beginning of our journey and knows me and my case very well.

Dr Fratterelli is kind, patient, and thorough. He takes the time to make sure he has answered all of your questions and concerns. He has been open with us and has adjusted our course of treatment as needed including any/all pre-treatment testing/procedures. I feel very comfortable and safe under the treatment of Dr. Fratterelli.

I have referred friends to Dr. Frattarelli and I tell them to just go in to this process with an open and positive mindset. They are in great hands.

This is to the best of my recollection. During our first IVF cycle, we used Follistom and Menopur during the stimulation cycle. Doctor was able to retrieve 23 eggs, 19 were mature, 15 fertilized with ICSI and we obtained three blastocyst embryos. We did two FET cycles, one with two embryos and one with one embryo. Both FETs resulted in miscarriage. We are currently in our second IVF cycle. This time we used Gonal-F and double the amount of Menopur. We also used HGH and testosterone this round. Prior to this cycle I prepped for months with DHEA supplements to hopefully improve egg quality. We did a hysteroscopy and a Hysterosalpingogram to check my Fallopian tubes. Both tests came back normal. We did an ERA biopsy and discovered I need an extra twelve hours of progesterone prior to the transfer. This cycle we got 19 eggs, 16 of which we’re mature, 12 fertilized with ICSI. We got three day 6 blastocyst embryos and opted to the PGS testing this time. We have one chromosomally normal embryo which will be transferred as a FET on April 17, tentatively.

Insurance covered partial payment for our first IVF cycle. Out of pocket expenses were approximately $12,000 for the initial cycle and the second FET. Our second IVF cycle was not covered by insurance at all and out of pocket expenses have been approximately $23,000 including medications and travel expenses due to Dr. Frattarelli being on a different island, which is also why I would be unable to schedule a same day appointment unless absolutely necessary.

My doctor was very clear about his approach of transferring no more than two embryos at a time. Dr. Frattarelli explained the health risks to both the mother and the babies if more are transferred, as the embryos still have the potential to split once transferred.

There is nothing bad I can say about Fertility Institute if Hawaii. Everyone from front desk to billing to the PA’s, nurses & doctors have been extremely helpful, informative, compassionate, understanding & everything else one could look for when seeking fertility treatments

Dr Fraterelli personally sits down with you to go over your plan. He’s very aware of lab results, cycles, etc. I also deal with his P.A’s & every time one walks into the exam room, it’s again a very personal exam with great bedside manner especially with starting new cycles. I’m assured that it’s ok that the last treatment didn’t turn into a positive pregnancy & that we can make a few changes to the last plan to see if that will work

Tricia & Anna have both been very compassionate & informative with every visit along with the medical assistants/nurses/staff. All very friendly & comforting during my process of trying for a successful pregnancy.

Dr Frattarelli is really great at explaining the process and going over your plan for treatments. He is compassionate & very patient with questions galore that I threw out at him during our first meeting. I’m very comfortable being under his care with my infertility issues & woupdnt think of going anywhere else

Expect amazing care from this provider

My initial consult was to discuss my health, my husband’s health, treatment plans & options. We did a saline ultrasound of my uterus to check for any issues with my uterus. Next, I was put on injectable medications for ovulation stimulation on day 3 of my menstrual cycle. While on this medication, I went in for blood work & transvaginal ultrasounds to check the function of my ovaries & recrutment/size of follicles with instructions of timed intercourse. I went through about 5 rounds & moved into intrauterine insemination afterwards.

My Tricare copays for medications came out to $24. I believe each visit was about $30?

I have not been given this option yet

The office is very busy. It may seem like you are just a number but you arent. They are very caring and open. The only problem I had was when making my flight arrangements. My insurance had to call the office and verify my appt. Often my insurance would claim they werent able to get thru to verify the appt. So I would have to ask my nurse to call them. I think there should be a dedicated line or person for the insurance companies to call so that flight arrangements dont get delayed

The first couple MD visits that we tried to get pregnant with just pills, the office didnt really follow up or call to see how I was doing. Once we moved forward to try IUI and IVF, we were assigned a nurse and thats when it seemed that they cared. Im guessing they wanted to make sure we were serious

Amy, Rachel and Taylor were very open and available 24/7. Especially since we live on another island, their organization and coordination was optimal. They always were encouraging and honest. I am very grateful for them. I also am so impressed with Zoe, their phelbotomist? She always was cheerful and positive. It kept my spirits high

As we progressed with the IVF treatment, Dr. was more open and warm. I then startesd to trust him more and our treatment plan. He always asked if we had questions and was willing to explain in depth if need be. I never felt like my appts were rushed with him.

Trust in his expertise and dont be afraid to ask questions, no question is ever too small or embarassing.

Since our first IVF cycle only produced one mature follicle, we did an IUI instead to save our IVF benefit for the next cycle. The IUI was unsuccessful so we proceeded to another round of IVF (menopur and follistim injections) but Dr. Fratarelli added Androderm patches for 5 days and then Femara for 5 days . That yielded 6 maturing follicles. Our egg retrieval was 8 total, 6 of them were mature enough to fertilize and of those 3 became embryos for transplant

Our copay 4,000

The clinic is very informative, and is very honest. I did not see any weakness. My coordinator help a lot. She recognized that due to my egg quality did not result in a viable embryo transfer that I would be reembursted part of my up front payment.

From nursing staff to the phyician they were a warm empathetic practice. Every step of the process they truly made sure that I was informed, and helped me understand the process. With complete honesty. The one ivf treatment was an emotional process that helped me understand that it had failed due to egg quality. The physician was empatatic and informative in deciding to continue treatments and alternative options. At the time I chose to take a break, and emotional deal with how I felt. Now I'm both physically and emotionally stronger to take the step to try one more time using a donor egg.

Kind, compassionate and. Very informative. They truly cared about my well being.

Kind compassionate physician that truly cares. About his patients and their individual needs, and addresses the emotional roller Costner I felt that I was on. Answered all of my question, and also being there giving great advice as to the next step.

I would say Dr. John Frattarelli is the only phycian I would go to.

I can't remember most of it step by step. The one thing I do know is that Dr. Frattarelli to add on to my egg stimulation medication to try and increase egg quality. Every step of the way Dr. Frattarelli order medications and treatment to increase my chances for a positive outcome.

Excellent

7,000.00

I trust Dr. Fratterelli empatically and would follow his recommendation for what is best for me.

Very pleasant, peaceful environment. However it also had a look that felt very expensive and high tech, which made us feel they were professional but pricey.

The clinic was very busy each time we visited. Nurse assigned to us did not always follow up in a timely manner. When she explained injections and processes she rushed through them as if she was going through a script. We did not feel we got all of the proper information on what was happening and what we could/should do to help the process. (For example what over the counter medicines cannot be taken, the level of physical activity, foods etc.)

She rushed through explanations, did not provide timely follow ups and we did not feel that we were properly informed of all aspects of treatment and so forth. We went in not knowing much about fertility treatments and left the same. We learned more afterwards from others than we did while at the clinic and with our nurse.

He was pleasant and friendly. He did advise against mutilple embryo transfers to avoid multiple child due to his own experiences. He explained what he was doing, but I felt that he was not that knowledged on endometriosis and appropriate treatment for someone with it. It felt that our treatment was the same as others and we were not advised to do anything different because of it.

Do your own research beforehand, so that you can understand all options available to you by mutilple doctors. Reach out to others with a similar situation as you, to help obtain guidance and suggestions on treatments that worked and those that didn't. Don't rely solely on the doctor to know your own body and how you may or may not react emotionally. Make sure you have a support system in place ahead of time and have reasonable expectations.

Due to my endometriosis and very few follicles, I was given the maximum doses of stimulation drugs. This also caused my endometriosis and ovaries to swell, which also brought on a lot of pain and discomfort. My body was stressed and I do not feel it was in the best position to produce eggs. We only had one to retrieve, which we did and transferred, however it did not implant. It all happened so fast, and I feel the treatment options hurt my body and ultimately our chances of success.

With insurance, around $5,000 out of pocket. However we also had travel expense, and it being Hawaii it was expensive staying overnight. We had about $5,000 additional in travel expenses as well.

Strengths: i feel they are very through and give very individualized treatment. They were expanding as i left so hope they have still kept the very personal care and touch i knew them to have. I honestly can not think of a weakness...my hubby said the tv in the men’s “room” did work so if it’s still out of order perhaps that..lol

The staff knew my name when i walked in and created me warmly. I never felt rushed or uncomfortable with any of my treatment. Dr fraterelli takes the time to explain treatment options and what would be best for the individual. I genuinely feel like he loves his job of making families come true!

There are no words for this woman...she cried with me, she celebrated with me, she held my hand when my husband was deployed and wasn’t there for the transfer. This woman is an angel and will forever hold a special place in my heart!

He is patient, warm and kind. He makes you feel comfortable and clearly explains treatment options and his honest opinion on success. I trusted him throughout the process completely! He seems to truly love his job and maleomg dreams come true. I felt like he was cheering us on and doing everything in his power to help us have a child.

Go on with an open mind. Ask tons of questions and trust the process and the dr...if it’s dr. John!

Due to our situation, husband low count, slow and questionable quality swimmers, dr. F suggested IVf. My husband and i wanted to instead try iui, our insurance, tricare, does not cover infertility treatment, due to cost. We tried two rounds of iui with myself being stimulated with no luck. (Dr. F was right...:)) We we’re now ready to listen to put our treatment completely on his hands. Ivf. Stimmed on follistem with no complications. Retrieved 23 eggs 13 made it to embryos. We did a fresh 5 day transfer with no baby. Frozen transfer i don’t recall total portocall but know i took shots in my stomach i believe and the progesterone shots daily. We now have an amazing little boy from this cycle!

Our fresh cycle with out medications cost us roughly 11k. The following frozen cycle was around $5k

Due to my history for recurrent loss, our age, no other children, and acceptance of the possibility for multiples, dr f transferred two embryos on both the fresh and frozen transfers

The clinic was always welcoming when you enter the door. The clinic is clean and all the staff has a smile on there face. They make you feel comfortable from the start. I recommend this clinic to anyone in a heartbeat.

All the staff was warm and welcoming to me and my family.

Jae was always positive when I was communicating with her. Jae made sure that I understood what to do when I did my shots at home and always returned my call before the end of the day. Jae was always organized and educated.

Dr. John Frattarelli always had a smile on his face at each appointment I had. He was honest, caring, and very compassionate. If I had a question he gave a honest answer. He explained at each visit what was going to happen next and I like that. As a patient I felt like I was a queen because I felt very comfortable at each appointment. I felt like I was more than a patient to then because the way they treat there patients.

You would not regret his services. He is so awesome!

I had to do hormone shots. That was uncomfortable at first but it got easier. I did not have any side affects from any medication that I took. I always asked questions about everything. I had to fly to Oahu to do the transfer and they egg retrieval. I did a lot of ultrasounds and at every appointment I had the doctor explained everything that was going to be done.

The total out of pocket cost that I spent was about $6,000

My doctor said that he will only transfer 2 embryos because of the chances of me getting multiples. I wanted 3 but the doctor said 2 is good. I trust him.

They are very busy so the appointments are short and to the point. If you feel like you need to be coddled a lot, this may not be the clinic for you. Everyone who works there are is very nice. I did not have a problem with any one there. It was nice to have follow up appointments on Maui.

Dr. John and his staff were amazing.They were very responsive and easy to work with. I could tell they had our best interests at heart.

Even though she was super busy, Aisling always took the time to call us and check up on us even after I was released to my OBGYN. She even sent my son a gift when he was born.

I saw 3 doctors over the course of 8 years of TTC. Dr. John was by far the best one. He was very warm, easy to talk to, and honest from the start. We trusted him implicitly with our care. His professionalism and bed side manner are top notch. I would highly recommend him to anyone dealing with fertility issues.

Do your research. Don't be afraid to ask lots of questions.

We used an egg donor because Dr. Frattarelli knew that we would not be able to conceive with our own eggs due to previous failed cycles. We used 7 donor eggs, 5 fertilized, 4 became blastocysts and we transferred 1. Our son was born in September 2016.

They were high. We paid $42k for our egg donor cycle.

We chose to trust the doctor's recommendation of a single embryo transfer.

She did not really explain things to me in as much detail as I would have liked. She did not do all of my monitoring, just the egg retrieval. Her bedside manner was not the warmest.

My IVF coordinator nurse Jae was amazing. She was warm and compassionate. She answered all of my silly questions and made me feel like she really cared. I feel like she knew me better than my doctor and I spent far much time with her.

I rarely saw her, she only did one ultrasound and my egg retrieval. It was my first time doing IVF so I had a lot of questions. I didn't always feel like she had the time to explain things to me. She was a nice person but did not have the warmest bedside manner.

Other nurses will see you for most of your appointments so she doesn't really get to know you.

Since it was my first IVF she used a high dose of meds, as no one knew how my body would react.

Compassion and empathy

She always answered my questions. She was so prompt and caring. I miss her. I felt as if she was my friend.

Wonderful and professional. He listened to our concerns and answered all questions thoroughly. I highly recommend him. He was personable and understanding. I felt very comfortable with him. Great doctor

Have faith and stay positive.

Worth every penny plus more.

Very welcoming and organized

The nurse practitioner that I was assigned to did not take the time to really work with me. There were no follow ups with the procedures, no communications whatsoever

He took the time to explain procedures and course of action but because of being so busy, most time nurse practitioner took over cases.

He looks at all courses of action and what is the best treatment

Dr. F seemed to genuinely care about me and my husband's case. He never seemed to be in a rush and took as much time as necessary with us at every appointment.

Dr F. is a great communicator and skilled doctor. He was always professional and cordial.

When you are ready to proceed to IVF from IUI, tell him.

This clinic was willing to work with my clinic back home to make my IUI happen while on vacation. It was pretty simple as all of my monitoring was done at my home clinic. They were happy to help and took good care of me.

I was doing an IUI while on vacation which was unusual for them but they treated me like they would any other patient -- with care.

The nurses were kind, gentle and on top of things.

I wasn't assigned a doctor as we were just doing an IUI. But as a whole it was a good experience with everyone we came into contact with. I'm not sure the name of the person who performed the IUI; she was kind and informative.

No advice. As always, do your research first and pick a doctor that you feel will listen to you and will support you best.

This was an IUI cycle with monitoring, clomid and trigger shot.

approx. $230 for an IUI with sperm washing (not including monitoring)