Arkansas Fertility Center

The clinic is very sterile and not very warm/welcoming. The strengths are it keeps you up-to-date on all your matters through their patient portal. I have really liked this process of being able to find out on my own instead of having to call repeatedly. My appointments are usually pretty on time. They do not make you wait for too long. The weaknesses are just not very welcoming and warm. It just seems like we are numbers just getting pushed in and out. Wish there was more of a connection among the staff and patients since it is such a delicate matter.

The nursing staff really has not had much interaction with me. They walk in for the ultrasound or procedure, don't speak and then walk out when over. When taking my blood they don't speak to me either.

I have enjoyed the experience so far with him. He does speak very fast and is not the best at pronouncing words. Sometimes I have to ask him to slow down, repeat or ask clarifying questions. He does meet with you in his office after every visit to explain what results were and the next step. It is a very fast visit, but thorough.

Make sure you ask as many questions as possible. Bring a notebook and write everything down. Do not be afraid to ask him to slow down or repeat again. He is very nice and very knowledgeable.

I have unexplained fertility. Every test i have had as well as my husband has come back clear. I have had 2 HSGs, laparoscopy, now on our 2nd IUI. We do not know a cause of why it has taken 2 years so far. All we can do is trial and error. We will do 3 IUIs then move to IVF. My first IUI we used letrozole and the trigger shot Ovidrel. Result was no pregnancy. Second IUI my body did not respond to the letrozole. Ended up doubling the dosage for the next week. My body responded. Had the procedure two weeks ago. Prescribed progesterone for the two weeks. Will take pregnancy test Friday if have not started my period by then.

So far we have been billed for two IUIs. After insurance it has only costed me about $100 for both. The ovidrel shots are $170 which are expensive. The letrozole has cost me maybe $20. The costs have not been outrageous yet, but we have not gotten to IVF. Each co-pay is different every time I go. Usually ranges from $30-$70.

Just like any attending any new facility, it’s hard not to feel nervous or to compare. Initially I was very nervous, but after getting to know the clinic’s staff I began to feel at home. Their strengths outweigh their weaknesses. I honestly feel as if strengths and weaknesses of this clinic depend on the patient behind them. I appreciated their help and need to make things right if you had a problem. So far during our time with them they have continued to help out in any way possible. The only weakness I can think of is billing. But I honestly think that is because they are a busy clinic and in the middle of changes. But if we ever had a problem they would take care of it the right way and quickly!

I feel as if he took the time to discuss my situation with the other doctors in the clinic to get the best results as possible. He was very knowledgeable about my past history before coming to him. He was honest and real with us about our treatments and our progress throughout the first failed attempt and failed IVF.

I fell in love with the nursing staff. Because I was there regularly and often I was able to form a relationship with a majority of them. They all made you feel welcomed, cared for, and important. Hugs, hand holds, smiles, and tears were just what I needed from them at times and they never let me down.

Initially I was a little overwhelmed due to his knowledge. I’m a little first grade teacher and explain big things to little ones every day... at times I felt like I needed him to be a little more specific and explain a little more in depth. Anytime I had questions he was quick to answer. I do feel that as a patient and a determined mother to be, it’s so important for you to educate yourself with as much as possible. That way you are able to understand what all you are doing. I really valued his expertise. He was very forward with what he thought our best option would be regarding our medical history and issues. I appreciated the fact that he took the time to do additional testing to make sure we were on the right track to becoming parents. In this clinic you both doctors. At first I wasn’t sure about the idea, but later on learned that they use their strengths depending on what the patient’s case intells and they both discuss the best treatment plans. Two heads are better than one, right? I honestly felt and still feel he and the other doctor do everything possible to help you hold your sweet little blessing. Just because I’m not there yet doesn’t mean we are finished. They are still learning new things about my body and for that I am greatful.

Not to let the initial consultation scare you. He gives you the facts and they can seem kind of scary, I get it. Also, he is so smart that you might seem a little impersonal. But I promise you he’s not. It’s just like any other relationship, the more you see him the more you understand his personality and the same for you. He knows what he’s doing, and as a patient you just have to trust him.

My first I started birth control for a month with the routine ultra sounds to make sure I was suppressed enough to continue. I was on Gonal F and Menapor injection one time a day. This cycle was cancelled after 6 days of STIMs due to a dominate follicle. He saw it initially and immediately tried to treat it cetracide. Our next cycle we began with 2 months of birth control to suppress. I then began taking Lupron injections 2 times a day along with gonal F and Menapor. These dosages were higher. We had to extend STIMs for 13 days. We then used a trigger shot was given before the retrieval. After retrieval we did a 3 day transfer of 2 excellent grade eggs. During this time I took progesterone inserts, medrol, and estradiol patches.

This clinic does a flat fee of $11,000 and does except some insurances. Unfortunately, we were self pay so had to pay the $11,000 upfront and then they ordered our medicine and we had to pay for it separately. Although it was a lot of money upfront, it was nice to not have to worry with all the payments during the cycle.

Before all of this I had to pray for trust. To know that I came to them for their gifts and talents and that I needed to try and focus on their strengths and not question their suggestions. Therefore, doing a 3 day transfer of 2 embryos in hopes that they take was what we did. The idea of loosing in hopes that they last for a five day blast was nerve wracking and the idea that being back in their natural environment made it easier to understand their decision. My doctors all explained their decision and it was appreciated.

Sometimes you will wait in the room to be seen for close to an hour. They are very busy.! But they are also really flexible with your schedule and open practically every day of the year. I never felt like I was being pressured to begin a cycle to “batch” me in with other ladies b/c they don’t do this. Once or twice, dr Batres was not there and I saw Dr. M instead. It was not the same as having my own doc but I trusted that he knows what he is doing. I had to ask a lot more questions though since he does not have the same communication style as Dr B

Dr. Batres has always put my husband and I at ease. He remembers us and takes time at each visit to speak to us in his office and answer questions. I can call him or his nurse any time and they always listen and get back with me promptly. I felt like he really cares about us and wants to help us have a family.

The nurses were all really sweet. I called all the time with questions and was never made to feel bad. They took good care of me during all the procedures, including a surgery. They are organized and have taken cRe of billing issues for me. The only thing I wish was that they called you with beta results instead of posting on the portal. In one way it is good. It to hear bad news over the phone but it is such a personal process up until that point and then I sort of ended up feeling left alone with the sad news. However, they don’t all to you after at the follow up. The nurse reassured me that it was not my fault.

I never felt like a number at this clinic. Dr Batres has called me after hours and has always allowed us the time that we need to process information and schedule our treatments around that. The schedules t the clinic is very flexible and he even let me do remote monitoring since I live 3 hours away from the clinic.

Ask a lot of questions. He will answer them.

We had insurance coverage so I am not sure of the cost without that.

Dr. Batres recommended that we transfer 2 embryos both times, due to my age. Neither cycle resulted in a pregnancy (so far) but he encouraged us to transfer 2. I believe that he would have listened and followed our wishes if we had only wanted to transfer one, though. On our second fresh transfer, he allowed us to decide if we should transfer on day 3 or try to wait until day 5.

Strengths- smart doctors. I really do think they care. Weaknesses- too busy. Too many patients. Not enough time to spend with each patient. Maybe should scale back on the amount of active patients so that they can focus on the ones they have and their success rates. As well as, time to schedule. The nursing staff are medical assistants and not nurses. They are sweet though. Just I’m not sure they are allowed to perform as many duties as a nurse would be and therefore the doctors are stretched thinner with all the patients and procedures. Wait time USB’s y’all an hour.

He did talk to me in his office several times and I didn’t feel rushed.

Debbie, ivf coordinator, very organized but in a hurry. Make you feel like you can’t ask questions. Not big communicator. No compassion at all hardly.

He’s strength is very smart. Weakness is too busy. Too many patients I think. Staff are medical assistants and not nurses. Ivf coordinator is lpn. She always seems in a hurry. Not as compassionate as I would have liked. Dr Moutos probably has too many patients at one time to really focus on individuals. He does try tho. Also Arkansas has only two reproductive endocrinologist so they are real busy. Usually runs an hour behind schedule. Not always but might count on it if you’ve got an appt

Try to ask questions and make him make time for you.

Antagonist protocol for ivf. I had almost hyperstimulated. Probably should have been given less dosage but that’s always hindsight. I did have issues and he tried to keep monitoring me. I think he did his best with what he had to work with - my body.

Had to be first thing in th morning typically. Had to wait an hour sometimes just for these appts once I got to the clinic.

I forgot the costs. My husband dealt with this. Too stressful for me. We actually took out additional insurance policy that helped with some of the costs. Also there are rebates on medication online on each medications website.

More risks for twins. I had uterine septum so higher risk for rupture.

The clinic is very prompt with scheduling, works with you on billing, and works you into the schedule as needed for emergency. Sometimes the clinic can run behind due to immediate need for egg retrieval (understandable) and does not let patients know that they are running behind having them wait in room for increased. If making payments make sure you keep up with receipts and total for your records because sometimes errors can occur. The clinic is very good.

On most appointments I felt that Dr.Moutos was very kind and worked me into his schedule if I had concerns about my cycles especially when one attempt with an iui resulted in an ectopic pregnancy requiring prompt surgery for removal. He continued to remain very optimistic about my treatments. Sometimes it was difficult to have time at the end of the appointment to ask any follow-up questions without being ushered on.

I like the nurses at the clinic. They are very kind and promptly respond to questions on portal and perform lab work without killing my arm.

Doctor Moutos provided a good detailed course of treatment with initial consultation with my husband and providing frequent follow up questions. He always went over procedures, medications, and follow-ups that I had concerns with. He would answer questions honestly if I asked. Dr Moutos was quick to act when it was discovered I had an ectopic pregnancy and handled the situation professionally and compassionately, reassuring me that there was still a chance for the family we wanted. Sometimes I felt that Moutos did not deliver as much information as I wanted/needed including giving information on appropriate follicle amount, lining levels, or additional treatment options (supplements, acupunture, etc) that could be beneficial to add to treatment.

always come prepared with questions and don't be afraid to say "Hey Dr. Moutos I need to talk to you. I have some questions." Don't leave the clinic with things unclear

Unexplained infertility. no factors noted female or male. trying over a year with no success. started with clomid with iui. resulted in ectopic pregnancy with need for laparoscopic surgery with tube removal due to damage. no sign of endo with surgery. second iui with clomid resulted in no pregnancy with thin lining (presumably due to clomid). switched to letrozole and estrogen suppository but no iui due to oppsite side ovulation. cycle resulted in no pregnancy.

iui cycles were around 1200 each. surgery costs total 3000. doppler ultrasound 350 for possible dvt.

not applicable

The front desk is not knowledgeable, friendly, or easy to communicate with. The clinic is open on weekends and most holidays so that they can always get you in when you need to be seen for procedures.

I felt like I was not always informed. The office didn't treat me like a human until I started IVF. To me, it seemed like it was all about the money spent. IUIs seemed so insignificant to them that they didn't give me hardly any information unless I asked. When we started IVF it's like their demeanor changed to treat me more like a human.

The nurses were very nice and compassionate. However, when going through IUI I had to call the general nurses phone number and always had to leave a message. I felt like we played a lot of phone tag. I also don't feel that the doctors always communicated well with the nurses. When I went through IVF, I would call the IVF nurse directly and had much better communication with her.

Dr. Moutos was very knowledgeable but he didn't always have the best bedside manner. He was very blunt and direct. I appreciate the directness however I felt like he could have had better delivery when communicating with me.

Be your own advocate, do your research, and ask questions. Each time I would go in for a visit I would tell Dr. Moutos that I had some questions whether I did at the time or not. That way after he performed the ultrasound he would give me and my husband some time alone while I got dressed. We used that time to get our thoughts together to determine what questions we had (we always ended up having questions.) He would come back in a few minutes later to answer my questions. However, if you don't tell him that you have questions he will leave after the ultrasound not to be seen again.

IUI- 1 round letrozole with ovidrel (Dr. Batres said letrozole was better for unexplained infertility) IUI- 3 rounds clomid with ovidrel (Dr. Moutos said we needed to produce more than the one egg letrozole would produce) IVF- Cetrotide (used instead of Lupron for cycle 2) Lupron (caused cycle to be cancelled because it caused me to produce an egg and not supress production) Gonal-F Menopur Ovidrel Follistim

I believe that IUIs were around $1500 each. I think IVF was around $18,000 but they did offer a discount if the 1st round wasn't successful and you needed to do a 2nd round.

Our doctor recommended eSET but let us choose. We chose to transfer 2 embryos. He said that was our choice and he was ok with our decision. He felt that it would still be safe to transfer 2 embryos but of course would not let us transfer more.

I think the doctors and nurses are the clinic’s primary strength. Dr. Moutos was our primary doctor but we also saw his partner Dr. Batres during monitoring. Both are very smart. Dr. Batres will take more time with you. But we loved Dr. Moutos and trusted him. The nurses are also great. We found them to be compassionate and helpful when we needed questions answered in person or in the patient portal. We personally think the lab could be a weakness to this clinic. If you are interested in PGS or PGD testing you may want to find a clinic that performs a lot of embryo biopsies as this clinic does not.

This practice is small and I got to see Dr. Moutos frequently. I also developed positive relationships with the nurses and support staff. They all knew our story and seemed to care about our outcome which made me feel more like a human and not a number.

Overall we loved the nursing staff. Even though it’s a smaller clinic they do see a lot of patients as it is the only IVF clinic in the entire state. So as a patient you must stay on top of your own care to ensure nothing slips through the cracks. The IVF coordinator, Debby, took an interest in our lives and we felt she was rooting for us. We loved some of the nurses who joined us for ultrasound monitoring and performed our blood draws. We became especially close to some of them. We found the nurses on the surgical side to be highly compassionate. Once you get to egg retrieval and transfer time you might be stressed out. We found the nurses on that side to be calming and knowledgeable.

My husband and I both found Dr. Moutos to be very smart and knowledgeable. We tend to ask a lot of questions and he always took the time to answer them and gave us answers we were satisfied with. We also appreciated that he did not sugarcoat anything. He gave us clear instructions and expectations. We did 2 egg retrievals with Dr. Moutos. Both under the same protocol. Our results were average to poor for my age but each time we produced 1 viable PGS tested embryo. Dr. Moutos performed both of our frozen embryo transfers and they went smoothly. He is very skilled in my opinion. Sadly neither resulted in a pregnancy despite all conditions being “perfect.” I would recommend Dr. Moutos to anyone who wants a doctor that is straightforward and knowledgeable. He may not hug you or show much emotion but he is there to help you get results.

Have clear questions prepared for Dr. Moutos when you see and talk to him. He tends to move quickly but if you have specific questions he will take the time to answer them.

For both of my IVF cycles we used an antogonist protocol. Dr. Moutos thought this would give us the best chance at high quality eggs on a shorter medication protocol. The doses were high for my age. After the first cycle yielded slightly fewer eggs than average for my age we upped the doses for the second cycle. That second cycle was worse overall than the first and produced even fewer eggs of poorer quality. We still managed to get 1 PGS normal blastocyst from each cycle though.

I believe the first round of IVF was about $11-$12K. The second round was about $7K I believe. We felt the prices were very fair. I believe a frozen embryo transfer cycle was $3K. These costs do not include medications or PGS testing.

Dr. Moutos very strongly encouraged us to do eSET. We were doing PGS testing so we felt comfortable only transferring 1 embryo each time.

Strength: knowledgeable physicians, centrally located in the state, variety of fertility treatments available Weakness: reception staff and nurses are not friendly, communication, no completion so no need to be patient centered or caring,

In the beginning, it felt indivualized, like our case mattered. After 3 failed IUIs, we decided to stop wasting money on IUI and start saving for IVF. That’s when the care stopped. I requested some forms to be filled out for grant applications, and the nurse didn’t do it. I was in the process of changing gynecologist and had requested my records sent to the new doctor, so the nurse refused to fill out the form. I actually won a grant a few months later and needed a medical letter from Dr Batres stating my diagnosis and need for IVF. Again, no one did anything. Messages through the portal were ignored, phone calls not returned. Three days before the deadline, I called and asked for the office manager to leave a complaint on staff. And FINALLY got my medical letter. When IVF is 15-20K, and a patient wins a grant, WHY do the nurses not want to help finialze the financial help! We realized then, that AR Fertility only wants your money and if you get pregnant, then it’s like a bonus to them.

Awful. Uncaring. Incompetent. Unfriendly.

He was very upfront with potential success rates, I only felt slightly pushed straight to IVF, which we declined. I have declined cyst aspiration but when I asked questions about risk vs benefit of aspiration, i never got a clear answer. He carefully monitors me and i feel confident he will eventually get me pregnant.

Go somewhere else. But, since they’re the only IVF clinic in the state, you basically have no choice. So, if you do go; Ask questions. If you don't understand, keep asking. Advocate for yourself. Don’t be afraid to get confrontational if needed.

I have DOR diagnosis. He told me success rates are better with IVF but i wasn't ready to get into that. We started IUI with 100mg clomid and ovidrel trigger. We are about to start cycle 3 doing the same since I respond well to the clomid for a DOR patient.

Cost for IUI cycle $1200 includes all appointments, monitoring, and procedure After 1 IUI cycle, we opted to pay for appointments as we went. I had only needed 1 monitoring appointment before trigger. The billing lady told us paying as we went would cost us more, but it didn’t. Total was $200 less for us. Not everyone would save, maybe, but we did. Run the numbers yourself, don’t take their word for it. I asked for an itemized cost for IVF, which the person responding to my message, refused to give. She said 15-20K Plus Meds.

Debby and all the nursing staff were absolutely wonderful! They listened to my concerns, helped me keep track of all my medications, & were compassionate towards my needs. They always returned my calls in a timely manner.

Dr. Moutos is a wonderful doctor! He's very knowledgeable and is very good at what he does! Dr Moutos sees a ton of patients, so wait time is sometimes long. But, he always gives each patient the time he/she needs & answers any questions. Dr. Moutos is a compassionate and caring doctor who truly cares about his patient's needs. I am currently 9 1/2 weeks pregnant with twins thanks to Dr. Moutos! We will be forever grateful!

Trust him & his plan. He is a very good doctor!

When I first saw Dr. Moutos in April 2015, he diagnosed me with hypothalamic amenorrhea/anovulatory disorder. He started with the least expensive treatment - 3 rounds of Clomid. When this did not make me ovulate, he switched to injectables - Follistim & low dose HCG. My first cycle with these drugs, we did timed intercourse. I did indeed ovulate but did not become pregnant. My next cycle, I switched to Gonal-F instead of Follistim because of the huge price difference (Dr. Moutos was always great about finding us the least expensive option). This time I got overstimulated for a timed intercourse cycle, so Dr M gave us the option of converting to IVF or aborting the cycle. We chose to convert to IVF. We continued with the Gonal F, low dose HCG, & triggered with Ovidrel for our last minute IVF cycle. This was very overwhelming as we did not have time to think about it. Dr Moutos was very reassuring and walked us through all the steps. We had our egg retrieval in August 2015 & retrieved 7 eggs, 3 of which fertilized. Dr Moutos assured us this was pretty good considering we did not start out aggressive like a typical IVF cycle. We ended up with 1 embryo to transfer on day 5 & ended up getting pregnant! Unfortunately, we miscarried at 6 1/2 weeks due to blighted ovum. We were devastated, but Dr M again gave us our options & said that he would not give up. It took my body 7 weeks to recover from the miscarriage. We ended up using medication to progress it along. We opted out of a D&C. In November 2015 we did IVF cycle 2. This time we started aggressive with the Gonal F & low dose HCG. I also used Cetrotide & triggered with Ovidrel. On November 22, 2015 we had our egg retrieval. This time we retrieved 13 eggs & 7 fertilized! Unfortunately, we ended up doing a freeze all cycle due to OHSS- I had a lot of fluid in my abdomen & my lining was really thin. Dr M walked us through this telling us the best option was to do a frozen cycle later on when my uterus was ready to take them. We froze 3 grade 1 excellent embryos. We planned on doing our FET in January 2017 but it ended up getting pushed back bc my lining would not thicken on estrogen alone. So Dr Moutos gave us another option - to try a vaginal Viagra suppository (he was able to find this at s very good price for us, thank goodness). This along with the estrogen patches did the trick! My lining was thicker than it's ever been! In March 2027, we did our FET. We transferred 2 embryos & both took. We are currently 8 1/2 weeks pregnant with twins! Dr. Moutos has released us but is still monitoring my estrogen & progesterone levels (I will continue estrogen patches & progesterone in oil injections until 12 weeks). We are beyond grateful for Dr Moutos & his staff!

Full IVF cycle cost $12,000 not including mess. Mess ranged from $1,500 - $2,500 total per cycle.

He told us the risks/benefits of both & ultimately left the decision up to us.

The strengths of the clinic for us is the doctors bedside manner and the location of the clinic. A weakness is not everyone in that clinic is friendly and we understand a difference in personalities but when your going through infertility and spending lots of money it is nice to come in contact with people who are empathetic.

He took time to answer questions and was honest up front with us

Some are not so friendly and don't take in consideration how emotional infertility is

Dr Batres takes time with his patients and helps them to understand each step along the way. He is honest and up front. Answers all questions we have. Even when we have just wanted to move forward and just go through with IVF to have a baby, if there was something that needed to be done or if we needed to wait three months and then repeat testing that's what he would suggest we do before doing it how we just want to do it. After all he is the doctor and has been doing it for awhile. He is very personable and will actually talk to you in his office one on one at each visit versus and exam room. We see everything he puts in our office visit notes.

It may take awhile to go through testing and there may be set backs but it will work out in the long run. Just trust him

We are going to be starting IVF soon. Don't know all of the specifics just yet but I have started on birth control and will be going for our class next Monday

1) 10,000 for IVF 2) 3,000-5,000 for medications 3) we recently learned that we have to be checked for hiv, hepatitis etc and any ultrasounds we have there once were pregnant will not be covered because they are not our obgyn. 4) labs and other testing not covered by insurance (screening) amounts vary

the least amount of embryos transferred based on quality. No more than two

Communication and scheduling can be difficult. Nobody answers the phone, you always have to leave a message. Appointments are always running behind and although they schedule appointments at 7:30, you rarely get seen before 8. Be patient

In the beginning Dr Moutos could not remember our previous course of treatment and would constantly have to ask me what we had done last time etc. But as time went on, this did get better

The nursing staff as a whole was very polite and friendly at appointments. However, it was/is next to impossible to get anyone on the phone. The IVF coordinator is very direct, shows very little compassion and does not give much information. She knew I was having a chemical pregnancy and did not tell me, lead me to think I had more hope than was realistic.

Dr Moutos is very informed and up to date on latest techniques and data. He isn't always as thourough as I'd like and requires you to ask questions....assuming you know what questions to ask. He does answer questions but inform yourself before you go so that you know enough to ask. He allows students to work with him so be prepared to have students observe and possibly exam you.

Inform yourself enough to ask questions before you go.

His first treatment recommendation was IUI based on diagnosis of unexplained Infertility and us TTC for over a year. After 3 unsuccessful IUIs we met with other Dr in clinic and he discovered that my husbands semen analysis showed abnormal morphology and thus gave us a male factor diagnosis and recommended IVF. We have had one fresh IVF cycle and I recently had a polyp removed from my uterus and we will begin our first FET this month. I was a little frustrated with not having a diagnosis earlier and then finding the polyp after all these unsuccessful attempts.

In the beginning everything was 100% out of pocket and had to be paid in full day of service. I was lucky enough to change jobs thus insurances and IVF was covered 80/20. I had to pay my 20% up front before protocol began. All IVF medications were out of pocket. I used Walgreens specialty pharmacy although the IVF coordinator tried telling me what pharmacy I had to use.

We have done eSET and will continue to do so with our next FET. Dr. Moutos recommended this based on excellent quality embryos and we trust him fully

The doctors are skilled, the nurses are sweet and attentive, lab techs are great and very fast, the only issues I could see someone having are with possible personality quirks of Dr. Batres himself, although he is an extremely good doctor, and the front desk staff are honestly pretty rude. Which can be difficult to deal with when you’re facing fertility issues. But it was worth overlooking that for me to have a doctor as skilled as Dr. Batres

His personality is not as some may expect, he is not from America and has some social quirks but is clearly passionate about getting results and doing well at his job. He is brilliant as a doctor. You just have to be willing to overlook his communication skills

The nurses here were wonderful. The front desk leaves something to be desired with their poor attitudes, but nurses were great!

If you can see past his quirks and recognize that he is an excellent doctor who is passionate about helping people start a family, you will love him. He knows what he’s doing 100%. He helped us get our baby. If warm and fuzzy bedside manor is your needs as a pateint, he may not be for you.

Trust him and let him know your preferences. He is different but his plans are solid and successful. I communicated that I didn’t want Clomid and he gave me an alternative with lower risk of multiples and less harsh side effects.

Dr. Batres placed me on a medication to start my cycle, did ultrasound and labs to evaluate ovulation and follicles, placed me on Letrozole, and then once I was ovulating he instructed us to have intercourse every other day. This protocol worked within 2 months.

I do not recall. It was very expensive and we continued to pay on these bills up until these last couple months (our son is almost 2) but it was worth it.

The front desk staff and billing are so frustrating to work with. If you're trying to call and talk to a human, you won't. You'll have to leave a message and they will call you back. If you're in the middle of a cycle, the nursing staff is good at calling you back, but I had a billing issue and was call to PAY THEM and it took 2 weeks in order to get someone to call me back and get it all worked out.

Dr Moutos isn't one to sit down and explain what is happening with you. He simply wants to get through the process and get things done. He's very competent and very good at what he does, but isn't typically going to look to the patient for insight or additional information.

Debbie Stewart was the nurse that did the counseling and coordinated medications and dosages with me. I found her very informative, but very cold and businesslike. I flat out told her, "I understand that this is your job. You see women like me every single day and you deal with us all hopped up on hormones and depressed and crazy because we just got to have a baby. Today is just another day at work for you, but this (the IVF cycle) is all my dreams, all my savings and all my strength and I need to know you're taking it seriously and considering what I need specifically as an individual patient. The nurse who was there for the retrieval and transfer (I don't remember her name and I really wish I did) was AMAZING. She was caring and considerate and had great bedside manner. She was exactly what I needed for a very stressful procedure (where, again, you're hopped up on hormones and not really thinking rationally).

Dr. Moutos will do what he can in order to get the patient pregnant, but he doesn't take additional time to sit down with the patient and explain what the plan is or options in courses of action. I had to argue with him when he wanted to put me back on Clomid for an IUI when I had previously tried Clomid and didn't respond to it. He did finally check my records and move on to injectable medications (which worked), but not without me putting up a fight. Be confident and assertive around him and he will work for you. When we did the IVF, he was much more receptive.

Learn about your procedures. Ask lots of questions and if you're unsure about something, ask for clarification. This is your body, your dreams and (if insurance isn't covering procedures, like my situation) your money.

We did 3 cycles on Femera with timed intercourse, 3 cycles on injectable medications with timed intercourse, 3 IUIs (with injectables) and finally IVF (with ICSI). Each time I was producing follicles, but no fertilization was happening. Sperm was testing off the charts great and nothing could be found wrong with me, so after all that we finally moved on to IVF and were successful.

My doctor's office kindly offered a military discount for IVF at $10,000 (plus meds). This could increase if there were complications, but included start to finish of one cycle. Normally this cost is $12,500 for not military. They charged a flat rate of $1,000 per IUI. They did not offer any bundling services or shared responsibility promises. All my medications were acquired through Freedom Pharmacy and paid directly to them.

Dr. Moutos originally was only going to allow us to transfer 2 embryos max, but our remaining embryo was finally catching up in development and the morning of the transfer, he said he'd let us transfer all 3. He said he didn't have much hope for the third embryo, but that it would do better in the body than out (as we were hoping to freeze some, but ended up not having any available). Out of the 3 transferred, we ended up with a singleton birth.

It was clean, pleasant looking, well-organized. I never waited less than 75 minutes in the waiting room and never less than 30 minutes in an exam room. The billing department was knowledgeable but completely disorganized. They seemed offended when I wanted a copy of my records and tried to discourage me from getting them.

It was rare that I saw him and he seemed to know any of my history, despite seeing him fairly regularly as one does during treatment. He performed a hysteroscopy and laparoscopy on me and did not explain the results to me or my husband well after the surgery on the day of the surgery so I had questions during the post-op check up. He told me that he would never answer questions like the ones I had so I checked with some physicians I know to see if my questions were out of line, they said the questions were totally appropriate. Dr. Motous raised his voice to me during the post-op check up and told me to leave. When I went back two weeks later to start treatment he didn't remember my name or that he had performed surgery on me.

They were nice enough, all seemed fresh out of nursing school, many were not RNs but were either LPNs or aides with some medical training. It was clear they were not the ones to answer questions and none of them seemed particularly fond of Dr. Motous.

Dr. Moutos was brash and difficult. He is known to not have a good bedside manner but for a while that seemed ok until it was clear he was not explaining the process to us completely at each step. He initially told us that I could start medication whenever I wanted, but when we came in to start medication he said we should do a test and then we could start medication. We did that test, came back, and it had not been made clear to us that the test results may result in surgery. So I had surgery and were told after that we could start medication as soon as we wanted. We came back after surgery and were told that while the surgery went fine that we would need to wait two months and that was always the case, no one could start without a two month wait. He also talked me into a laparoscopy that I did not necessarily need. He claimed that insurance would not pay for the procedure if we found I needed it later in treatment and while he was nearly certain there was nothing to find it made sense to cut now and know for sure. It was a shock when he said very nonchalantly that he found stage 2 endometriosis "all over the place" (he never specified what that meant) and seemed to be irritated by my shock and dismay. After going into treatment with a different doctor at a different clinic later I asked her if it was a concern and she said no, and that she was surprised I had a laparoscopy in the first place given my history and records from Dr. Moutos's office (which were entirely complete). I also had a hysterosalpingogram (HSG) prescribed by Dr. Motous but performed by his partner Dr. Batres. I was not told that Dr. Motous would not be performing the procedure and was not given an option on what day to do the procedure. After that procedure I developed mild chronic uterine pain and GI issues that Dr. Motous discounted. I was not given antibiotics after the HSG or the surgery by Dr. Motous. I ovulated spontaneously and became pregnant 2 months after the surgery and subsequently miscarried. The chronic pain and GI issues never abated but they were the least of my worries at that point. During a second hysteroscopy by a different physician/clinic 6 months later it was discovered that I had endometritis, which is common after having a uterine procedure or surgery without prophylactic antibiotics. Some of the symptoms are mild chronic uterine pain and GI issues. Endometritis is also a cause for miscarriages. Ultimately I left Dr. Motous because I felt bullied generally, pushed into surgery I did not need, and that he was irritated and appalled when I asked questions. I know many women have given him good reviews elsewhere but those women have also gotten pregnant and had children while being treated by him. I try to be objective and avoid bias in my reviews of him as a result, but ultimately it comes back to the fact that I felt bullied and he was mean to me. Given how hard fertility treatments are to begin with to have your physician be mean to you is the exact opposite of how any woman and couple should be treated. Kid gloves aren't always necessary or appropriate but being a decent human being and nice to your patient is necessary.

If you are going to see him, don't let him bully you into anything and don't expect him to know who you are, what your history is, or your name. And don't bother asking questions, it just pisses him off.

HSG to find out if tubes were blocked, then hysteroscopy to examine uterine obstruction (determined to be large polyp) and laparoscopy to determine if there was endometriosis, then Clomid. It was never clear how much monitoring/how many ultrasounds I would receive while on Clomid to make sure that I wasn't at risk for Ovarian Hyperstimulation Syndrome (OHSS) and OHSS was never mentioned as a risk of Clomid despite it being a high likelihood given my medical history. Ultimately I left his practice before treatment started because I felt bullied and worried that his treatment protocol would not be individualized to me or necessarily safe.

I paid up front for the HSG and surgery without knowing at the time that it is a practice that is discouraged by insurance companies because negotiated rates change the billing amount so the patient is expected to pay a co-pay up front and then whatever is owed after the negotiated rate on the back end. At Dr. Moutos clinic it is a flat fee up front and then they will ask you for more money if it is owed. Ultimately, they owed me money and it was incredibly difficult getting a refund from them. I was also never told that I would owe money for any appointments beyond the co-pay for a specialist before I started treatment. I only found out when I received a late notice without having received an original invoice. When I questioned it and asked them to submit it to insurance anyway they stated they had told me about it, given me a rate sheet (I never saw one and I'm completely OCD about keeping things like that for budgeting), and insurance would not pay for it. I submitted it to insurance myself and insurance paid for it because it was considered diagnostic and not treatment.

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Dr. Batres was very kind and always called me himself after the clinic had closed, rather than pass that job off to a nurse.

One of the nurses, frankly, was not friendly. I don't remember her name but she had her own office and was in charge of educating on injectables. The other nurses were very nice, if a little quiet at times.

Dr. Batres is from another country (guatemala I believe) so the biggest drawback is that his accent is a bit heavy, but he overcomes that easily by explaining everything in detail and drawing diagrams to help you understand. He doesn't mind repeating things and doesn't get offended by this. He is very cheerful but also honest and won't sugar coat the truth. I had a wonderful experience with him and after three years of trying I got pregnant within four months of his care.

Be patient-sometimes you'll have to see Dr. Moutos and he is just not full of good bedside manner, but Dr. Batres is great.

First we started doing Letrozole with IUI and that did not result in a pregnancy. The next cycle we tried doing letrozole again because I had at least ovulated on it before (and before seeing dr. batres I had done many letrozole and clomid cycles that most of the time at least led to ovulation) but that failed to produce an egg, so that cycle failed and did not proceed. After that we moved to Gonal-F with a trigger shot and an IUI, which resulted in my pregnancy. We had to adjust the dose of Gonal-F as we went and it was a late ovulation, but it worked!

The IUI package cost was around $950, but that didn't include drugs, so drugs could really make or break your finances. For the Gonal-F I spent another $1000 which was only 50% because I qualified for an income contingent program through EMD serono that the clinic informed me of.

Billing was always a disaster. Trying to schedule appointments was difficult as you could only do certain days in the mornings. Wait time is ridiculous, and they didn’t ask if I was ok with having students come in and do procedures or observe

Dr. Batres spent time talking to us anytime we had questions

Extremely sweet and helpful. Always compassionate and understanding and would answer any questions in a timely manner

His accent is very thick and he speaks quickly so he is hard to understand. While he does thoroughly explain things, he uses medical terms and speaks fast opposed to “dumbing it down” for you to understand.

Ask lots of questions and tell him when you don’t understand something

Started off with letrozole and then switched to clomid while doing “intercourse cycle” before switching to iui.Each month I was told there were good results to the medication but there would be no explanation to why I wasn’t getting pregnant. Then I was told the only way we could move forward was to do ivf, which we could not afford. They stopped treatments altogether and said when we were financially ready to start ivf to let them know.

My insurance covered most appointments and treatments. Just had a copay, and it would not cover certain injections I was prescribed. It did not cover xrays or the surgery I had. Also, when we reached where they wanted us to do IVF, my insurance did not cover medications needed and I was told I needed $8,000 to even begin the process

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Only weakness is the rude staff (the ones who work the desks ) And their phone system to do anything you have to leave a message and they have to return it to you. Or you email them on the portal - i understand they are busy but you want to feel like more than a number

Such a wonderful man! Bed side manner was so wonderful but his staff on the other hand (desk staff) not so much.

Some were okay. Some were rude and I believe in this line of work dealing with hormonal women who struggle to get pregnant you should be extra kind. The nurses on the IVF side prepping you ect were wonderful but the ladies who took blood (regular ones you see) were awful.

Sometimes he was hard to understand since he is from Guatemala. But overall he is a 10 in my book. Wonderful wonderful doctor!! I would not see another doctor because he is the best. My experience was great and I’ve actually missed him since getting pregnant and having my two miracles.

Bear with him and take his medical advice.

I wanted to try IUI before IVF Dr.Batres wanted me to skip IUI but i didn’t listen to him so because of my decision i had to have surgery for endometriosis and two months of fertility drugs for two rounds of IUI AND two negitive pregnancy tests later we went on to IVF and 1st round I was pregnant with twin girls!!

I would say reasonable considering what i was going for there is no price to be put on a child.

He wasn’t pushy and I wanted to do multiple transfer and he was ok with my choice after 10 years of infertility i was happy to make that decision

Don't expect anyone to call you back. Your follow-up will be key. Know you patient files better than them.

Dr. Batres did personally complete his assessment and fill out the forms himself instead of the nurse. I did like that. He made took his time and made sure to answer all my questions. I never felt rushed.

The entire staff was terrible. There was a lack of responsiveness. No one returned phone calls. No one did any follow-through with things they said they would do. My first appointment was delayed by 3 hours and didn't begin until about 30mins before closing. Everyone was rude, didn't care if I was there or not, and seem to simply hate their jobs.

Overall good experience with the Dr. Batres. He was patient and thorough. He does have an accent that makes it a little hard to understand. He also draws upside down while he's discussing your assessment which was distracting for my husband. Poor experience with the clinic and nurses.

I would ensure that you're educated on your diagnosis and very well researched. He does talk quickly so you have to keep up.

Dr. Batres works at the only clinic in Arkansas so if you want to pursue IVF in AR, you don't have any other options. We never moved passed the assessment stage with Dr. Batres. Things were progressing much too slowly. At every step, the would request information from past treatments that we'd already shared over. We eventually switched to Tulsa.

I only paid for the initial visit and I don't remember the exact amount.

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The woman at the front desk could kind of seem rude some days, but some days she was friendly.

Dr Batres always remembered our names and told us funny stories to keep our spirits up. Someone had catered for the clinic and my husband could smell BBQ and Dr Batres went to the staff lounge and made my husband a plate of food! Then (as we were leaving the clinic) Dr Batres called my cell phone to remind my husband that now he had to take me anywhere I wanted to eat for lunch! He was just an overall very friendly person. He was a joy to be around during such a difficult time.

I always enjoyed visiting with the nurses. They were very friendly and helpful!

I always felt like Dr Batres cared about us as a couple and wanted our treatments to be successful. When we finally got a positive pregnancy test (after one failed round of IVF) he gave us both a big hug and told us to bring him a baby to see.

His accent is a little bit hard to understand so it made it easier (for me) to watch his lips moving

Dr Batres did change medication doses after our first failed attempt. He increased certain medications and made sure to keep an eye on developing follicles.

Our insurance covered 80% of our treatments (excluding medications) We ended up spending about $5,000

During the first round of IVF, Dr Batres suggested transferring 1 embryo, but he said he would support us if we chose to transfer 2. We chose to go with 2. After that round failed, the next round he did suggest trying 2 embryos again, and both of them took. However, early on one of the embryos stopped growing and eventually disappeared on ultrasounds.

Learn the ins and outs of what your insurance will pay and not pay. I was not told that after my IUI, I could no longer have tests run unless I wanted to pay for them out of pocket. The doctors office should have told me prior to my IUI.

I feel like in a sense he cared, but he didn't run enough diagnostics to see what was wrong. He did a Hysterosalpingogram - HSG, but didn't do a Laparoscopy to see if I have endometriosis. My OB/GYN will be testing me next month to see. I feel like he could have done more.

I explained this in a previous comment section. I guess I jumped the gun. I do feel like he could have done more to see what was wrong. I was not told that Batres would do my IUI. I was expecting to see Moutos.

To make sure you have all the tests you want run told to him, otherwise he will jump right into doing an IUI without running all the tests.

He ran blood tests on me and my husband. A sperm analysis on my husband and performed a HSG on me. He then prescribed me clomid. Told me to come back when I was ovulating. I never saw or was able to speak to him again.

It was around 1500-1800. We were told my insurance would cover some of my husband's test, but they didn't. We received a bill for more than 800. Then about $800 for the IUI and injectable hormone to cause me to release an egg that I didn't need.

Weakness: communication before you are an IVF patient. Even the billing dept was hard to contact. It took a day or two or more to ever hear back from a nurse. That was frustrating in time sensitive cycling situations. Strengths: once I was IVF, I was handled with care and attention and compassion. Dr. Moutos spent extra time with me after I developed OHSS and even monitored me until 10 weeks pregnant with bi-weekly ultrasounds and scans. I was sad to graduate to an OB!

I felt like a number *until* we decided to move to IVF. Before IVF, I had a hard time contacting anyone in the office. That includes nurses and billing dept. Once I was IVF, I had an IVF nurse with a direct number and never had an issue. They were patient and kind and caring and made sure all my needs were met.

She was a no-nonsense kind of woman and came off kind of harsh but you could tell she cared. She heard we were successful and it was twins and even stopped us in the hallway to congratulate us.

Dr. Moutos is a numbers guy. He give you the exact stats and figures he expects from all procedure. I liked that. He's not quite as warm and comforting as Dr. Batres but I was ok with that. He will give you all the time you need in your appointments and answer all your questions. I never felt rushed.

Insurance covered nothing before IVF. Each IUI cycle cost around $2000. We spent about $10,000 before we got to IVF.

I really have nothing bad to say about this clinic. They were so clean and had plenty of parking. Their waiting room is a little small but there’s hardly ever a wait. The bathrooms were nice and clean as well.

He was very kind. He listened to our wants and needs. He seemed like he wanted us to be pregnant almost as much as we do.

The nursing staff was wonderful. They never made me feel awkward or uneasy. They were always so kind and called and reminded me of my appointments and if I needed to reschedule they were so very helpful.

He was very hands on and told us exactly what to expect. I never left his clinic confused or not knowing what was next. No matter what he always had another plan to fall back on. He was always so gental and made me feel heard. I’ve never been to a clinic like this.

I would say for them to be prepared for a lot of paper work but know it is 100% worth it. He’s amazing and I have faith with him that we will get pregnant.

My insurance has not paid for anything. Out of pocket I’ve spent over 1100 just the first visit and the initial testing.

The front office staff is very cold. They are not overly frequently until they know you, once you have started coming more regularly. The nurse are great!

At the beginning I felt like a number but towards the end when they started knowing a face to the name I felt like more than a number to them.

My main concern was answering phone messages. They did very well answering emails on the portal but returning phone calls did not happen very quickly.

Dr Moutos was very friendly and tried very hard to focus on us and explaining the steps of infertility each visit. But I always got the vibe that he was already on to the next patient in his mind. Very busy man!

Just know that it takes a awhile for him to warm up to you. He won't focus on you and your name/face until you have been there SEVERAL times.

My first IVF cycle was cancelled because I did not respond to the meds properly. I had one follicle jump out and grow very quickly and the rest did not catch up. For my second IVF cycle Dr M changed my meds and I responded much better!

We had a family pay so I'm not sure on cost.

They suggestions with my age to transfer at least two but could go up to three embryos. Our choice.