Fertility Institute of Hawaii

Being a patient of Anatte Karmon has made my hopes go higher. I felt more encouraged as her patient because of the sincere love kindness and patience she shows towards me and my partner. She has never once showed that something will not work and if pregnancy wasnt a result she showed complete care and simplicity. She is the best!!!

To continue to trudt the plan, follow all instructions but also do extra on what your told to keep up with. To never lose hope because some doctors dont care and some like Anatte Karmon does. I get more anxious to see her then stress about anything i feel might not happen.

Anatte Karmon has first consulted with me on what steps to take first. Upon consulting she then moved on to step 1 that was an option for me to take, she encouraged that every women sometimes will go through the entire process just to possibly find their tubes was blocked. So its an extra procedure to do just to be safe that it wont be the cause of any egg being stopped from traveling. Its called an HSG OR SIS. Basically a procedure involving an xray to show dye that they shoot into your uterus to see how far it travels. As long as it goes all the way through, it shows that your tubes and lining are perfectly clear to go. It relieves the stress from future news you dont want to hear. After that step and getting all information about your cycle how ofteb it is blood work to show levels of where your at for your menstrual. You can now move foward to your next step which is waiting till your menstrual shows. If you dont get your menstrual at the time your supposed to from when Dr karmon had asked of you for your last dated cycle, she then had helped me take pills to start my menstrual so i can now start my process to growing my follicles. Day 1 i called Dr Karmon to notify her that i started my menstrual. She then brought me in on day 3 which is when the ultrasound can now detect growth size of follicle (like a egg shell) . I was giving stims which is a liquid you refrigerate and put into a pen that you can shoot in the left or right side of your stomach which is a more effective way to boost chances of egg growth and pregnancy. Because im diagnosed with PCOS my eggs grow amot slower which then took me almost 2 weeks to get to a normal 16-88 mm in size for full growth or mature eggs. After reaching the size she needed me to get to , she now can give me another shot to help increase ovulation (follicles releasing eggs to be fertilized by sperm) 2 days counting after that Dr Karmon could do insemination day to finally see if the sperm will fertilize my egg doing iui treatment! I also ordered my sperm vials from Seattle spermbank who is by far the best since you pay a flat rate of $50 to view unlimited of every info possible for each donor. They also extended their genetic testing on top of everything the sperm donors has to test for to be a safe donor. So the test extends to 100+ more screening they can detect for anything donor carries. It makes the search so much more easier, they also work with fertility institute of hawaii as well so shipment is a piece of cake! All in aml even if it failed, it happens and we have to keep our hopes up that there is help out there and praying that even help financially will make the stress easier and may help the body to decrease stress opening a window for a positive pregnancy test.

The cost wasnt to bad at all for all the services i was given. I was allowed to pay small portiond at a time. They never rushed me or called me constantly to harrass me for payment. They never did call for payment at all. They were very understanding and if i needed any info on balance i could just give them a call.

Im trying for an iui at the moment so im hoping that it works, if not ill be trying my first ivf cycle but im hoping ill have the funds by then to do it or be able ro pay whatever out of pocket i need to pay with financial help. As far as ivf we havent got to speak about that since shes so positive that iui can save me money and that this cycle may work! But i do hope that this cycle works so i can give other people a chance and getti g any financial help out there they need. I do need the help but this last cycle i pray it goes through. If not i will gladly need the help as i also just relocated since owners had to sell our home we were renting. My hours got cut at my job as well.

Dr. Frattarelli is very knowledgeable about fertility and that sometimes can feel intimidating when talking with him about treatment options. However when asked to clarify things he is always willing and open to discuss. Our conversations always seem to be genuine. I truly feels that he cares about each patient and wants to see them succeed. Our last in person procedure was a D&C after our miscarriage in November. It was a tough time for us but he made me feel comforted and seen. He reassured me that the miscarriage was not my fault and provided authentic empathy. I also appreciate his honesty regarding if he believes something isn't worth looking into or not. It is refreshing to hear both his medical and personal opinion on different strategies to try.

My advice would be to ask all the questions because Dr. Frattarelli will answer them and if he isn't able to he will do research on it and provide you with his opinion.

I don't recall exactly what protocol I was on. What I do recall is taking that max dose recommended during the stimulation process. I was also give Growth Hormone sooner in my second IVF cycle to hopefully help boost my egg quantity and quality. We also did Zymot the second cycle and added in Femara I believe. All medications recommended were to support ideal stimulation results. During our first cycle 9 eggs were retrieved. 8 were mature and fertilized. 4 made it to the blastocyst stage. 2 were genetically normal. Both embryos were unsuccessful transfers. Our second IVF round resulted in 4 eggs. 1 embryo. We decided not to genetically test. Our transfer protocol had me on extended does of birth control to combat possible endometriosis and he added a vaginal probiotic. We had a successful transfer but unfortunately lost the pregnancy at 8 weeks. We are gearing up for our third cycle. We are hoping to get additional testing done to determine any endometrial infections.

Over the last 3 years we have spent well over $40,000 on treatment.

Dr. Frattarelli has suggested that common practice is to transfer one embryo at a time. He provided us with all the information needed to back up his practice.

He isn’t warm or have good bedside manner. I did a consult only and knew from that first visit that I would not continue treatment from him. With this type of situation you want someone who is understanding and warm from the very start.

If you only care about results he’s known to be good but don’t expect any warm bedside manner

They could not even tell me the cost of anything! The nurses and doctor kept saying things like, “it depends,” or, “it shouldn’t cost too much.”

He has been easy to understand and he has been kind as well. He seems like a skilled doctor. I had surgery with him and it was successful. I will soon be moving onto ivf. The surgery was painless as well.

You are in good hands. He and the clinic are great. If you have any questions, the Klara app is great and they are quick to respond.

I have had a hysteroscopy so far as I had uterine scarring. Follow up saline us showed that the surgery was successful. I will start ivf soon.

They billed to my insurance. Only cost so far has been for the genetic carrier screen I think.