Describe your experience with 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.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine and Gynecology of Hawaii?
Dr Fratterelli is patient, kind, and thorough in answering all of mine and my husband’s questions.
Describe your experience with your nurse at Advanced Reproductive Medicine and Gynecology of Hawaii. (Assigned nurse: Aisling Globig)
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.
How was your experience with John Frattarelli at Advanced Reproductive Medicine and Gynecology of Hawaii?
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.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine and Gynecology of Hawaii?
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.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine and Gynecology of Hawaii and their degree of success.
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.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine and Gynecology of Hawaii.
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.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine and Gynecology of Hawaii.
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.