Arkansas Fertility Center

In order to get IVF treatment, we were told we need an initial consultation with Dr. Moutos, which we came in with the expectation that everything will be scheduled that day, but we were wrong. We first waited for 1.5 hours and a resident took some medical history. Waited another 45mins then Dr. Moutos came in and reviews our chart, and says that he thinks IVF is the right course of treatment for us (which we already knew since our OBGYN referred us to him after 3 failed IUI). And he proceed to explain how IVF works, and at that point we already read up so much that nothing new was offered. We were scheduled to come back in a month for an ultrasound and semen analysis. That was our first visit. We took off an entire day of work and spent $250 just for that. I felt that we could have easily done this over the phone. Second appointment I had an hysterosonogram, which is an ultrasound with saline injected into the uterus. Dr. Moutos performed the ultrasound himself. Prior to that, I've had numerous ultrasound done from IUI, and I also had another hysterosonogram done at my hospital after, so when I say Dr. Moutos's ultrasound is quite uncomfortable, I have some point of reference. I've noticed at that point that Dr Moutos is more of a numbers guy, so if you value bedside manner with a warm personality a lot, he will likely disappoint you. Another example is after my first cycle was cancelled, Dr Moutos adjusted the treatment protocol, but I was still not responding well. He was honesty with his feedback that he's not sure why, but did not offer reassurance or alternative treatment plan. He's not one to sugar coat things and he spends very little time in his visits. I suspect it's because the clinic is very busy since the waiting room is always full and each time I go in the wait time is always more than an hour unless it's timed like retrieval or transfer. I'm sharing this not because I don't think he's a good doctor, but I want people to be able to manage their expectations, so they're not frustrated like I was.

Expect a long wait time, and have all your questions prepared before he rushes out of the room. If he won't answer them in detail, the nurses usually will. You will also likely see Dr. Batres even though your primary doctor is Dr. Moutos.

Prior to each cycle starting, I was on birth control pull for about 2 months. The first cycle he started with 150 IU Gonal-F and 150 IU (2 vials) Menopur for 3 days. The fourth day ultrasound and lab work showed a minimum estradiol increase so he increased the injection to 225 IU Gonal-F 150 IU Menopur for another 5 days, and my cycle was cancelled on day 8 since the estrodial level and follicular development wasn't as high as they had expected. The second cycle added 1 pump of 1% Androgel each day for 22 days prior to the injection. He started me at the higher dose of 225 IU Gonal-F and 150 IU Menopur, which continued with frequent ultrasound and blood for 8 days. On the 9th day, they added 250 mcg of Ganirelix in addition to 225 IU Gonal-F and 150 IU Menopur for the following 5 days. On day 14, I injected 250 mcg Ovidrel in the evening for my scheduled morning retrieval 2 days later.

Initial consultation: $250 IVF flat rate for monitoring, egg retrieval, and transfer: $11,000 (also including the initial blood work, HCG blood work, and semen analysis). If you're doing distant monitoring at Parkhill Fayetteville, the case flat rate is $8000. Any additional ultrasound and blood work done in the office: $585 on the weekend, $490 on a weekday. Ultrasound and blood work at Parkhill (cash rate): $402, insurance rate (about $90/visit depending on your insurance). Standard medication from freedom pharmacy: $4700 Frozen cycle: $3000 Embryo cryopreservation, billed annually: $250

During my initial consultation, Dr. Moutos indicated with my age (34 at the time) and a high AMH level, he'd recommend eSET. After my egg retrieval, he let me choose to transfer either 1 or 2 embryo since we had 5 fertilized and surviving embryos on day 3 transfer. We chose to transfer 2.

I think Dr. Batres is a wonderful doctor. He truly cares about his patients. I also like how he is very thorough and explains everything, including writing it down and giving you a copy. He also explains everything while doing the ultrasounds. I will say my only negative, and it's not really negative, is that he has a chuckle while he talks that can be off putting if someone doesnt tell you before you meet him.

Just be honest and share any of your concerns or questions.

With my history we we started on a higher dose of letrazole, then went to tamoxifen, and back to letrazole. We did them back to back and I didn't respond, but had a good uterine lining . We are now moving on to injectables.

My 1st appointment was around $500 but that included my insurance paying for some of it. Most of my appointments cost around 250 also because my insurance does pay for a small portion of the ultra sounds. When I eventually get to IUI it will cost around $900 plus medication costs. Since I am movie on to injectables the cost of medication to go up to $2500.

He is caring and interested in our journey. He listens to my concerns and talks through any questions I might have. He has on occasion been busy and I felt rushed or like I was frustrating him and he prefers I talk details of the cycle with Debbie. Overall though I believe he is on our team and wants a positive outcome for us.

Come prepared with questions. He is pretty strait to the point and while he will do what you want treatment wise he also will try to offer other plans.

For our first planned cycle we did birth control, and a baseline ultrasound. I then injured myself so that cycle was canceled. He then wanted me to ovulate, use an OPK and a progesterone rest 6 days later. We will then start estrogen until we start the stims. We are in the middle of this process now.

The appointments up until IVF treatment were covered by insurance, but we still had a copay and paid 20%. The clinic was $11,000 and meds were $3,700.

The clinic uses ESET unless there is a reason to do 2.

Horrible experience. He has an accent and is very hard to understand. He does not go in to detail on anything and left us in the dark on most things. He has a nervous laugh that he does that always came at the most inopportune time. I have no doubt that he was very smart and capable. But he did not give us the experience we needed and we are switching doctors.

Don't let his nervous laugh get to you. Just know he isn't meaning to be insensitive. Do your own research because you're not going to get any detailed information out of him.

He did not give us any details as to strategies or why he chose them. Part of the reason for our horrible experience.

I don't remember. Tried to block that out of my memory.

He has an accent that has a side effect of sounding a little cold at first but that impression passed quickly. For better or worse, he is extremely informative and descriptive as the procedure is taking place. My wife and I both agreed it was more comforting than not but I could understand if someone else was put off by it. I definitely felt that he was doing out of concern for the patient as an attempt to make them feel somewhat in control of a vulnerable situation. He is very particular about how full your bladder is during the procedure and I appreciated the attention to detail.

Don’t be thrown off by your first impression of his concern for your situation.

We used patches and injections for donor egg IVF cycles. It seemed pretty standard. After 2 failed cycles, as we prepared for our last embryo, he suggested a biopsy and a scrape which we went for.

$20,000 + medications for initial retrieval and cycle. $3,000+ meds for each additional transfer cycle.

He has an overload of patients, he had a hard time recalling what treatment he had already done. I kept having to remind him of certain things. As the patient I found I had to be my own advocate in this clinic.

Know your diagnosis, research information and don’t be afraid to ask questions because information is not readily available for you.

I had all of my initial information at another facility, the first thing Dr. Moutos wanted was a progesterone level, it came back low, I was assured I would ovulate with fertility meds so we proceded to my first IUI. My first protocol was 50mg clomid, CD 3-7. I would call with I got a positive OPK. Which I did. Because I lived 4 hours away they told me I would get an ultrasound the day of, which they forgot about, and I reminded them on the day of, I had 1 15mm follicle, they proceeded with IUI anyway, and my progesterone that cycle showed I still didn’t ovulate. So a negative result. Because I “didn’t respond” to clomid, next cycle was Letrozole 5 mg CD3-7. CD 12 ultrasound showed no follicle growth, so I was put on Letrozole 7.5 mg a second time in the same cycle, on CD 22 had another ultrasound and no follicles, so IUI was cancelled. For the next cycle I’m trying 100 mg of Clomid, despite the fact that I asked to be on injectable medication.

My insurance covered most of pre-treatment and my copay each visit was only $40. After “treatment” insurance covered nothing, IUI cost $450, ultrasounds costs $300. We even froze 2 of my husbands semen samples in case he was unable to take off work for IUI, $150 each and able to be frozen up to 3 months.

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.

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.

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.

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.

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

He is not a good communicator which is partly due to a language barrier. He also laughs at inappropriate times and made me feel like he really wasn’t interested in my issues. I was seen in this clinic for 2-3 years and also felt uncomfortable as a patient. Dr Batres and his partner are not patient advocates at all. They give the impression that they are in it for the money and do not care about their patients feeling or emotions.

Do not expect good communication.

I had multiple blood draws to check for thyroid issues, ANA, lupus anticoagulant, etc. Also had an HSG done and multiple rounds with fertility drugs. Received multiple vaginal US’s to look at uterus and uterine lining. Achieved pregnancy twice but miscarried both times.

About 70% of my care was covered by insurance.

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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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.

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.

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.

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.

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

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

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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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

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.

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.

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.

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.