Kentucky Fertility Institute

Very clean and organized. One of the most popular clinics in town, so trying to get an initial appointment is hard. I made one in July and got an appt for October, so don’t plan on getting in right away. Once you have your initial appt, everything happens quickly.

He is easy to get in touch with regarding prescription refills, next steps etc. you don’t have to go into the office everytime you want to talk to him about small things like side effects, etc.

Nice and patient

Everyone says he is socially awkward. He is not bad, sometimes blunt, but I like that because I work in healthcare. He is easy to talk to and always available through email if you have any questions or concerns. He basically has told me that the ball is in my court and we can move on to the next step to be more aggressive whenever I want to.

Go into your appointment with all your cycle info, symptoms you have monthly, etc. good to be prepared and to tell him everything so you don’t forget.

My husband and I have been trying for over a year now. We have lost two, about 10 months in between. We had a workup done on both and nothing is wrong of course. I was told I’m just an unlucky healthy 28 year old. We are still having trouble getting pregnant again. We had an shg done and everything looked fine. I was put on progesterone and baby aspirin for a few months and now we are trying Femara, this month is our second on Femara. Our next step will be injections and tracking ovulation through ultrasound. Will probably do that within the next few months if we don’t get BFP.

My insurance covered more than I thought. My initial appt after insurance was about $100. My initial blood work up, which included 16 vials was only about $230 after insurance. Couldn’t tell you about the pricing on the other procedures yet.

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I have nothing but positive things to say! Everyone is amazing! They know me as soon as I arrive and treat me like family. The office has recently been through some different management and it was rocky at first while they figured things out but everything with my treatment went smoothly and I know they are on the upswing of things.

Dr Hunter always made me feel like a person who cared about. In the beginning of my IVF cycle I was waiting to receive 2 checks from my husbands and mine 401k plan to start the treatment. I was told it needed to be paid in full before treatment started. I did have an appointment for a Monday and on Saturday the mail was delayed and the check was not going to be delivered until Monday. I didn’t want to show up empty handed so I emailed Dr Hunter to cancel. He then wrote me back saying this did not need to interrupt my care and to kee my appointment. I knew then he truly cared about me.

Carol is great! She is always available to answer questions and will hold your hand and hug you through all of this! Candi is wonderful to! They always keep a great attitude! I am happy with all the staff! From nurses to phlebotomists Kathy!

Dr Hunter is very smart and very passionate about what he does. He never makes you feel rushed and will always answer any questions you have. He also will give you his personal email for anytime you have questions and will respond within 24 hours. I’m so thankful I found him and he took me on as a patient. I always felt super comfortable.

Dr hunter is great! He is not the type to hold your hand and cry but he is very knowledgeable and wants to help you succeed and I appreciate that.

After several years of secondary infertility I met with Dr Hunter after his partner Dr Justice left so he could take on my care. I was not sold on IvF but I was tired of being let down. He did not push me into IVf and said we could try some more IUI’s but my chances were higher with IVF. I took his advice and am currently waiting to see if my first IVf worked.

The cost of Iva is 13,500

He recommend single embryo transfer with my age and I was ok with that

Not to sound like a broken record, but they go above and beyond! They always answered our questions, calmed our nerves and even knew us by name when we walked in the door. When we had a complication early in our pregnancy, Carol came in early on a Sunday morning with the on-call doctor to do an ultrasound and reassure us that they baby was fine.

Dr Hunter was patient, kind and thorough at every appointment from the very beginning. We never felt rushed through any appointments and he always answered our questions honestly and concisely.

Everyone at KFI was kind, compassionate and felt like family by the time we left. Some of our appointments were more nerve wracking than others and they were quick to offer comforting words, hugs and hands to hold when I needed them. They were prompt in responding to questions via phone/email and very thorough with explanations of treatment plans, directions for medications, etc. We loved the staff at KFI and will always remember how much they helped us.

Dr Hunter treated me like a human, not just a patient. He was understanding of our concerns and addressed all of them with patience and honesty. When I had a small reaction to the anesthesia (not the clinic’s nor Dr Hunter’s fault at all) he saw me right away and even called me at home that night to check on me. He went above and beyond as a doctor and we trust him wholeheartedly. We would highly recommend him to anyone seeking fertility treatments.

Do your research and speak up at appointments. He is extremely knowledgeable, open-minded and is one of those rare doctors that takes time with each patient. I always felt reassured when I left the office because he took the time to answer my questions thoroughly.

I was diagnosed with endometriosis and PCOS, but neither were so severe that they should have prevented a natural pregnancy so we were put in the “unexplained” category. Previous doctors put us through unsuccessful and possibly unnecessary treatments. Dr Hunter was honest from the very beginning and explained that IVF would be our best option, being one of the most direct approaches when battling unexplained infertility. We were successful on our very first IVF cycle.

The billing department is a nightmare. HORRIBLE. I have been overbilled numerous times. The communication from billing is a joke. I was grossly underquoted a number of times then told I had to pay like 3k more than my quote before theyd allow me to continue with treatment. I have had to pull ledgers and go through it with a fine tooth comb numerous times. The nurse staff is fantastic though and they are so compassionate. I absolutely loved them and miss them. There are a good number of patients who see success at KFI but I was not one of them. My protocol never really changed even though I was seeing horrible results. I have since left for another RE.

Dr Hunter is very respectful. He is a bit dry at times and doesnt show compassion like some of the other doctors I have seen. He is more clinical but he is very kind.

The nursing staff at KFI are wonderful though. Candy and Carol are godsends. I absolutely loved them and I miss them. I have moved on to another clinic now since KFI couldnt help me but I wish I couldve taken the nurses with me.

I like him as a person and I feel he is knowledgeable but he was not the right fit for me. I trusted that he would be able to help me so I stayed through 3 cycles. I should have left earlier. I think he had the best intentions for me but he was very reluctant to try anything different and when I suggested various things that I thought could possibly help me he would always say research shows that wont help, I dont think it would benefit you and so on. It was like I was given a cookie cutter approach that is used for everyone and there was a lot of reluctance to do something different for me.

Ask a lot of questions.

All three of my cycle protocols were EXACTLY the same pretty much. 150iu gonal, 150iu menopur every single cycle. The last cycle we did add HGH and ICSI and it actually was my worst cycle of all. I asked for a lower dose as I am a high responder which was met with some unwillingness to try that kind of protocol. I have retrieved about 75 eggs in my 3 cycles and have basically nothing to show for it. I was told that my eggs are of poor quality and I was given an option to try an egg donor next. I have since moved on to another RE who has told me I was overstimulated every cycle which could have made my egg quality greatly suffer and he wants my medicine cut in half. He said less eggs and higher quality is what we want. He basically disagreed with everything that Dr Hunter did for me which was very upsetting but I feel I am in the right place now.

This clinic is not cheap. 4500 for FET, like 13-14k for retrieval cycle not including your meds. I have since moved on to IRH where IVF cycle with fresh transfer is 8200

I transferred one embryo with both of my FETs but after one failed FET I was given the option to transfer 2 on my second FET. I still chose to transfer one because I had a limited number of embryos.

The clinic is clean, comfortable, and welcoming. We have rarely ever had to wait more than 15-20 minutes to go back for labs or ultrasound or to see the doctor. Overall it is a very nice facility and easy to navigate and get to.

Calls you directly to discuss results, quick to respond to email questions, personalized care, etc

Carol is everything you need in an ivf care coordinator— efficient, warm and compassionate, encouraging and an amazing advocate and cheerleader.

Dr. Hunter takes the time to listen and thoroughly answer questions. He is direct with expectations but tempered with compassion. You feel totally in control throughout the process, just with a really smart guide to help plot your course.

Come with questions and listen to your gut.

Initially the treatment strategy was just to induce ovulation (I didn’t have regular cycles) and pair it with timed intercourse since my husband had no issues with sperm. We failed to get a positive result and in between cycles ended up with a large ovarian cyst that needed to be removed which was done so quickly and fairly easily with no complications via laparoscopic surgery by Dr. Hunter. Prior to the rounds of clomid and femara I underwent an HSG to make sure my tubes were clear and also had a polyp removed from my uterus. After the failed rounds of clomid and femara and cyst we decided to move on to IVF because I was nervous about more cysts recquiring surgery. We did an egg retrieval after a fairly aggressive stims cycle and planned for a frozen transfer of a day 5 embryo. We opted for frozen versus fresh cycle because of my age I was more at risk to be a high responder and develop OHSS. We retrieved 14 eggs and ended up with 3 day 5 embryos (2aa grade). We did two frozen transfers 1 resulting in a negative test and another where we transferred the remaining two and one implanted but didn’t make it past 6 weeks. We are now considering another round of IVF with PGS testing to ensure we have quality embryos and are doing a saline ultrasound to make sure my uterus still looks clean.

PGS was outsourced and runs about $5k A full IVF cycle— egg retrieval + fresh embryo transfer and all the monitoring, blood tests, labs, etc out of pocket is about $13k and split between the lab and the KY fertility institute. Plus and additional $600 for anesthesia for egg retrieval. A FET is about $4,500 Medication for an IVF cycle runs between $3,800 and 6k and is not included in the package price of 13k

To my knowledge KY Fertility Institute has never had a case of multiple gestation more than twins and would prefer to keep it that way. Their goal is a safe and healthy pregnancy, which generally means one. They present all the facts and figures and in most cases recommend a single embryo transfer but in certain cases will support transferring two as we did for our last frozen embryo transfer.

This is a very strong practice that is up and coming. They really have it all in 1 place. Male and female infertility testing, lab, diagnostics, embryology lab, frozen storage, just everything. It is nice and gives you peace of mind knowing everything is in 1 place

After coming from a different office that resulted in a failed IVF cycle, Dr. Hunter made sure to make us feel confident in trying again to achieve our dream of starting a family. He presented us with all the information, talked to us specifically about our situation and was always available to conference with if any new questions arose. He made us feel very welcome at his practice and comfortable with our decision to try again after a failed cycle.

The nurse coordinator was more involved in my care behind the scene. She would send me email updates with lab results and medication changes. She also scheduled all of my follow up appointments based on what we needed to do next in the process. I didn't speak with her much in person, but when I did she was very helpful

We absolutely loved Dr. Hunter. He took his time to review all of our information prior to meeting with us. He was very up front and prepared with all the information regarding us trying another IVF cycle. I am personally employed in women's health and not once did I feel like Dr. Hunter assumed I already knew something. He treated me with the utmost respect and explained everything as though it was the 1st time we had gone though treatments. He was always available and quickly returned after hours calls. He is a fantastic doctor and I would and even have referred one of my good friends to. If in the future my husband and I decide to further expand our family we will most definitely being going back to see Dr. Hunter.

As lots of questions and be involved in your care. Dr. Hunter is very knowledgeable in his field and can answer all questions.

We did a IVF cycle. It started with a sperm retrieval from my husband due to make infertility factor. The retrieval was done through a local urologist. Next we did a follicle stimulation cycle for me. This included 8 days of stimulation drugs with frequent ultrasounds to measure follicle growth. After the stimulation 7 eggs were retrieved, fertilized with my husband's sperm and incubated to grow for up to 6 days. We got daily calls with updates on the embryos progress. In the end we had 2 embryos that made it to the blast stage and were frozen. Next we waited to get my hormones and uterus regulated and in optimal condition to accept the frozen embryos. We then had both embryos transferred and followed up I believe a week later for a blood pregnancy test which was positive! We are now expecting twins due Nov 2018!

The total cost for retrievals, medications and transfers we spent around $15,000. This office accepts insurance and did file claims for consolations and some lab work with insurance. Many other procedures in IVF an non covered by insurance. They offered a military discount to us since my husband is active duty. They also had financing options as well as medication discount plans that were very beneficial in reducing costs on some of the high priced stimulation drugs.

Dr. Hunter recommended that we only transfer 1 of our 2 embryos, but after discussing with him the fact that we already had 1 failed cycle and only 2 embryos we all agreed that transferring 2 would be a good option for us. We did discuss all of the risks associated with a possible multiple order pregnancy resulting from this transfer and felt comfortable with our decision.

Billing is the only downfall of this clinic. They have had quite a bit of turnover recently, so hoping that gets resolved. But, dealing with billing has been the most painful part of the process. The office staff are so friendly and always make you feel welcome and at home.

Dr. Justice took time to get to know us personally. We felt more like friends than patients. She has so much compassion and shares both pain and joy with us.

Carol and Candy are amazing!!!!! They are so helpful and always available to answer questions. Carol sends out my schedules promptly and I'm never left waiting in the dark. At my retrieval, even at 5am, they both were so cheerful and kept my spirits high and nerves low.

Dr. Justice is an amazing physician. She is not only extremely knowledgeable in her field, but her bedside manner is exactly what we've needed in going through this process. Emotions run high, and she is very aware of and sensitive to that. She is honest and transparent all the while maintaining a positive attitude that is nothing short of contagious. We always felt like valued patients with hearts and feelings and emotions, and not once did we feel like a number or an inconvenience. We are so grateful for every she has done and continues to do for us.

Reach out with questions. She is always willing and eager to answer any of my questions.

We tried 7 IUIs with Letrozole and trigger shot. 6 were monitored after we discovered my ovulation predictor might have been off in round 1. Since we have male factor and are using a donor, we felt that we should try as many IUIs as possible before moving to IVF. Once we hit the IVF stage, we discovered early on that the Lupron was not effective. So, we cancelled that cycle and started again using Cetrotide. This resulted in 7 eggs retrieved and 2 surviving embryos. One day 5 blast was transferred fresh. That resulted in a chemical pregnancy in week 1-2. We will do our 2nd trasfer this month.

We had insurance coverage for all 7 iuis and the IVF through the 1st transfer, so costs were relatively low. The bulk of the costs were our medications and the donor sperm. But procedures seemed to be within the norm.

Very kind staff, beautiful facility. Organized throughout the entire process. The phlebotomist was incredible with the most amazing personality. Very quick to return phone calls. The clinic is fairly new so no reported data exists that i was able to find and when I asked in an email, i never got an answer. Pricing is fair, although we left the clinic to go with a more experienced one near by that offered a self pay discount as my insurance does not cover any of the procedure.

Dr Justice is very kind and has a gentle demeanor. She is realistic and honest. Her personality is laid back and almost feels shy at first, so it initially took me a couple of visits to warm up to her. She is wonderful.

Stacy was great. She did 2 of my IUI transfers. Explained everything, very helpful answering questions, calming and kind.

As stated already, her personality seems shy at first and it took me a few visits to warm up to her. She is gentle, very calming, and explains everything in the plan of care in great detail, as well as during the procedure. She is compassionate but not a warm and fuzzy kind of person. She sets realistic expectations.

That she is fairly new to RE but is very knowledgeable

We had 4 failed IUIs. The first 2 using letrozole only. After the first 2 failed, we did a Hysterosalpingogram with normal results. My husbands initial count was great however morphology was quite low. Throughout the course of attempts his count was between 6 and 15 million, with morphology improving somewhat. After the fourth failed IUI she recommended IVF as the best way to get a positive pregnancy test.

IUIs were around $500 each, with the bill split between a lab cost and procedure cost. My labs and the hsg was covered by insurance. One round of IVF with genetic testing was around $28,000. I do not recall if this included ICSI. This included 1 year of freezing any available embryos.

The clinic is very clean and welcoming. They are also very prompt with care as I have rarely had to wait long to be called back for an appointment. After a couple visits the staff knew me by name when I would arrive for an appointment, giving that extra personal feel.

I feel like Dr Hunter and his staff really care about me. Everyone in the office is kind and every time I’m in for an appointment or procedure I feel as if I were to want to discuss where I am in my treatment or make any changes it would be welcome.

Nursing is very caring and understanding. Whenever I have had to leave messages for nursing staff to inquire about my care they are always prompt to respond and willing to answer any questions or address any concerns.

Dr Hunter is always available when I need to get in to see him. I have had to call the weekend on call team more than once and I have had to go in for weekend appointments. He has never seemed bothered by me bothering him on weekends. He is always patient and kind. He always asks if I have any questions or concerns to ensure that we are all on the same page. And, on more than one occasion he has offered to meet with me in his office to discuss future treatment.

Dr Hunter is very understanding and will not continue to do treatments that aren’t working. He will make appropriate changes to the plan of care to help reach the final goal of pregnancy.

My infertility is unexplained as no diagnosis could be found with either myself or my husband. My only issue was a short luteal phase. Dr Hunter felt that I would respond better with letrozole as opposed to clomid. We did 4 timed intercourse attempts with letrozole, ovidrel trigger shot for ovulation, and progesterone suppositories after ovulation. When those attempts failed we moved on to iui. Same medications, but iui as opposed to timed intercourse. I’ve now had 4 iui’s and am a week away from finding out if the 4th time was the charm.

IUI’s have been $500 per attempt. Monthly ultrasounds to assess follicle growth have sometimes been covered by insurance, but not always. When I have done self pay for those, they have been $175. Other than that, I have just had to pay prescription co pays for my medications.

The wait time at this clinic is outrageous. Every visit I have been to so far (approx 6) I have waited 30 min in the waiting room. I have started showing up 15 min late for appointments so I only have to wait 15 min. The scheduling should be adjusted so patients are not scheduled so close together to correct this wait time. Dr. Hunter is very thorough and takes the time to answer all your questions, which I appreciate, but this should be taken into consideration when scheduling patients.

He takes a lot of time to explain his treatment plan to make sure you understand everything. He always asks if you have questions and will take as much time as needed to answer your questions. I have emailed him directly on one occasion and he responded within 2 minutes, which was incredibly impressive. There are only two doctors at the practice, but one is always on call and will answer phone calls to ensure you get the answers you need.

I am at the beginning of treatment, but so far, the nurse has been very responsive to emails/phone calls. She is organized and made sure I understood the injection calendar.

I'm currently still in treatment, so I can't give too many specifics. However, so far Dr. Hunter has been very knowledgeable, friendly and patient. Sometimes his answers are too long and I'm worried to ask additional questions, as the visit may take longer than I have time for. He is very thorough. I have confidence I will be successful with Dr. Hunter

Be patient with the process because Dr. Hunter will not rush anything. (The treatment plan, the visits, the start of IVF, etc).

With my insurance, one round of IVF was approx $3,500, plus prescription meds, which is much more expensive than when I saw a doctor in a neighboring state.

The clinic is clean, comfortable, and welcoming. The administrative side of the clinic is usually efficient, and I've never had issues scheduling an appointment. The only downside for me is their location (not exactly close to my home or office), but the clinic's pros far outweigh this minor inconvenience.

At Kentucky Fertility Institute, I am greeted by name when I walk through the door. The nurses and Dr. Hunter are incredibly kind, patient, and supportive. I feel listened to, and I feel they go above and beyond to answer my questions and address my concerns.

The nursing staff are incredibly kind, friendly, and compassionate. They are also knowledgeable and helpful with questions.

My experience with Dr. Hunter began with a consultation and a review of my reproductive/gynecological history to date. From there, we scheduled an hsg test, followed by a monthly drug regimen. Dr. Hunter is great at answering questions, showed compassion regarding the ectopic pregnancy I experience before beginning treatments with his office, and makes himself as available as possible to his patients.

Don't be afraid to ask questions. While he tries to be thorough, there can be a lot to cover during any given appointment. He is also great with email follow-up if you think of questions after your appointment.

I am still in treatment with Dr. Hunter. During any given cycle, I take Ovidrel on days 3 through 7 of my cycle. I go in for an ultrasound between days 11 and 13, followed by a trigger shot and a daily dose of Progesterone for the next two weeks or until the start of my next cycle. The rationale for this treatment is based on other testing I've had done - my hsg was normal, my thyroid levels are normal, my testosterone levels are a bit high, etc. I'd also noticed that I tend to ovulate a bit late in my cycle naturally. My husband also had a sperm analysis, which came back normal as well.

Ultrasounds are $175. Total cost of medications per month is about $110 - $115, with the trigger shot being the most expensive (about $80 per shot). We are considering IUI as our next step; the office quoted this treatment at $500 per cycle.

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I have only been with this clinic for three months but it has been a wonderful experience, as least as far as it can be when dealing with infertility. Everyone makes every effort to make sure you are comfortable and create an environment that is welcoming and calm. From the nurses, front staff, and my doctor I have been thoroughly impressed with everything. I know it sounds cliche but I have really no complaints nor have a seen any obvious weaknesses! I would recommend this clinic to anyone and everyone who is experiencing infertility.

Every time I see Dr.Justice she is warm and friendly and her and her staff treat me wonderfully at every appointment.

Our nurse is fantastic! I have called her many time asking questions I have forgotten and she responds quickly and with as much information as she can! She is always compassionate when I call to tell her that we need to start again. During appointment she makes sure I am comfortable and talks about our families in order to make it a little less nerve wracking.

During our first visit Dr.Justice sat down with my husband and I and went through our history. It didn’t feel rushed or impersonal, which I was expecting. From that meeting she gave us a specific plan on how she wanted to approach treatment. She wrote every step down for us so that we understood what we would be doing and when. Coming from someone who likes a plan it was my first inclination that I was in the right place! At each appointment we were treated with respect and friendliness. Dr.Justice personally does the ultrasounds and every procedure that we have been through and each time she treats the procedure with hope. Always telling me first what happens WHEN I get pregnant not if I get pregnant. It gives me hope after seven years of infertility!!! Dr. Justice’s strength is in her compassion, her demeanor during visits keeps me from losing hope. The only weakness I can think of was explanation of side effects. Even then she does explain what the medication does and why I am taking it. I am beyond thankful for Dr.Justice and would recommended her to anyone struggling to conceive.

I would say to ask questions. She is open to questions and answers them in a way that helps you to understand. So if your confused but afraid to ask questions, don’t be!

We began with just using progesterone since I was later in my cycle on our first meeting with Dr.Justice. The second month I came in for a baseline ultrasound. I was then put on Letrozole, two per day for five days. Then I came in for another ultrasound to determine how many eggs were mature.After that I was to self administer Ovidril on day twelve of my cycle. After 36 hours the IUI was performed. Two days after the IUI I started progesterone for 12 days. A negative pregnancies test was the result of the first IUI. We did the same procedure for the second but my progesterone was increased to twice a day instead of once a day. Still waiting on the results of the second IUI.

Letrozole- 25.00 Ultrasound (2)- 350 IUI- 500 Progesterone- 45.00

KFI is great. Everyone at the clinic is caring and kind. They always remember my name and give great, personalized care. Angie at the front desk is always great and is discreet and kind about any billing or Lyme my needed. All the staff put the patients first

Dr Hunter treated my husband and I like humans. He is very personable, explains everything thoroughly and answers all our questions in a respectful and understanding manner.

The nursing staff at KFI are very compassionate. They are personable and answer questions.

Dr Hunter is patient and calmly answers all questions we have. He explains treatment options and potential risks. He is very easy to get in touch with and Is personable and supportive. He answers after hours when needed.

I would say come ready with you questions and he will be happy to answer them and to explain the process of treatment. I would suggest asking for details of bloodwork.

I came to the clinic with pcos and past treatment of clomid and Letrozole. Because I was unsure if I ever ovulated in the past (unable to be sure by home tests), it was decided we would do Letrozole with trigger shots and monitored ovulation and timed intercourse. First a hystroscopy was completed due to past hyperplasia. Then I came in monthly to get ultrasounds to check my lining and follicles before taking the trigger shot. After 5 to 6 months of negative pregnancy tests, I did a HSG test. It showed that I had both follopian tubes blocked from the center out. It was recommend that our current treatment stop and we move either to IVF or laparoscopy surgery. We plan to move to IVF soon

My consultation was free. I had a hysteopscopy and D&C so I owed for that to hit my insurance deductible. I paid for bloodwork. I paid what my insurance didn’t cover for ultrasounds and HSG. I paid out of pocket for trigger shot each month and paid copay for Letrozole

Have not experienced that yet

Very friendly front desk. Normally greets us by our first name. We don't normally have to wait very long. Usually very descreat about everything. On the negative side. Billing is a mess! Did not receive a bill for the first 6 months I was there. I have amazing insurance so I figured things were taken care of. Then received a big bill on one of the days we were supposed to do an IUI, and was told they switched billing systems. Now my bill doesnt match up with my EOB . Talked to the office manager but didn't get anywhere.

She has a very good bed side manner. She makes sure you are comfortable with the whole treatment plan. She is very kind and thoughtful. She even came in on Thanksgiving to do our 2nd IUI.

She's excellent. Answering all my questions. Usually calls back after leaving a message in about 30min-1hr. Very compassionate on the phone (normally I'm calling to tell her the test was negative).

Very friendly. Answered all my questions throughly. Seems to be very knowledgeable with infertility. Doesn't push more on you than you can handle. I would like her to maybe be open to adjusing timing after a few negative cycles. We just seem to keep trying the same things.

Ask questions and make suggestions about your treatment and what you want.

We have been trying Letrizol cycle days 3-7. Ultrasound on day 10 to measure folicles. Then depending on the size of the folive we usually do the shot to induce ovulation on day 10-11. If we choose IUI that month we will do that on day 12. Otherwise its just planed intercourse. 2 days after ovulation we start progesterone suppositories. We do those for 2 weeks and then test for pregnancy. If the test is positive we would continue progesterone, if negative we stop it. We have not had a positive cycle with this treatment plan.

IUI was typically about $500. Ultrasounds- $175. Ovidrill- $107

It’s a beautiful office! Very clean and modern! The staff really treat each patient like a human and not like a number! They always available if you need anything or have questions regarding your treatment. They have hours on Saturday and Sunday as well.

Dr. Justice is amazing! From the moment you walk in her office they greet you by your first name. Dr Justice is so kind and caring. She really explains everything and makes sure your comfortable with the plan. Even when I am upset and frustrated the treatment is not helping. She stays and just talks and comforts me. She gives a hug every visit and tells me she loves me and we are going find something that works. I love Dr. Justice and her office so much!

From the moment you walk in the office they great you by name. You can call or email with your question and I always get a quick response

Dr Justice is the nicest most personable doctor I have ever had. I truly wish I could see Dr Justice for every medical problem I have. I trust her so much and she truly cares! She will sit and explain everything to you. She always makes sure I am ok with everything and really cares about her patients. She is an amazing doctor!

Don’t give up! I have wanted to give up so much! I know Dr Justice is going to help me become a mom and I can’t wait. She is amazing!!

We tried a couple of medicated cycles on our own with times ovulation. Then we moved to IUIs each time it didn’t work we increased our medication. Still with no success we are saving for IVF

Kentucky Fertility Institute is organized and clean. I always feel comfortable there. Kentucky Fertility Institute is very warm and welcoming with all the latest technology for your treatment. Going through this process is very uncomfortable so the fact that this office is so welcoming and warm really helps ease the nerves.

Dr. Justice takes time to explain everything you are about to go through. She takes your treatment personally and follows up with you as well. I felt like she was personally invested in the outcomes and having her as my doctor has given me a feeling of comfort through it all.

All staff on Kentucky Fertility Institute is welcoming, knowledgeable and helpful. Carol is always available for questions at all times of the day which is very helpful since things can arise at any moment when going through fertility treatments. She is wonderful!

Dr. Justice makes sure you understand everything you are going through and taking. She is always available to help you with questions whenever you need her. She is flexible with scheduled. Her personality is always positive and she provide much comfort knowing I have her as my doctor.

To definitely have her as your doctor because she is amazing.

Dr. Justice started me out on times intercourse and progesterone supplements. After 3 cycles of negatives we moved on to IUI with the HCG shot and progesterone supplements. After 3 negatives with that we began IVF treatment. We went on all injections to start egg retrieval process. Began taking estrogen and PIO and Crinone. I have had 2 transfers from this cycle. The first did not take so she scheduled an ERA finding I needed one more day of progesterone. The second transfer has been successful so far.

Costs were typical for any infertility treatment

The KFI clinic is brand new, very clean, with nice furnishings and decorations. It feels welcoming and peaceful. The offer complimentary drinks (water, coffee, tea) in the waiting room. It has a private location in the office building with an almost-private entrance (shares the front door with an dental office). The building is conveniently located across the street from a large local hospital/doctor's offices and near the expressway.

On my first visit, Dr Justice spent above and beyond the required time to get to know me personally instead of just my chart. She reminded me multiple times that we were a team and my opinion was just as important in the treatment plan as hers. On subsequent visits, it was not uncommon for her to take extra time to evaluate my emotional state in addition to the objective hormonal/ultrasound findings. Additionally, both Dr Justice and her staff were always warm, receptive to questions, patient with explanations, comforting in event of negative outcomes, and overall supportive.

From my first visit, Candy was always the staff member triaging me or returning my phone calls and discussing net steps. She was always very supportive and compassionate. If I had a question she could not answer, she would get an answer from Dr Justice and respond promptly. She even stayed late one day waiting for my return call to be sure the medications were sent to the right pharmacy for me to pick up the right day!

Dr Justice is very warm, compassionate, receptive to questions, thorough with explanations (but not too much to overwhelm you). She is concerned with supporting her patients with both the emotional size of infertility and the medical side. She is very knowledgable about infertility and each specific treatment modality/medication. She is very patient with explanations of treatment plans, writing out instructions to assuage confusion. She works very hard to be an available resource for her patients.

If you have any questions at all, ASK them! She is very open to questions, will respond honestly and kindly, and then you will leave without a doubt in your mind about the diagnosis/plan.

We were dealing with male factor infertility primarily. Having used Clomid for 3 cycles before seeing Dr Justice, we started doing timed intercourse with Letrozole for 2 cycles (increasing dose the second cycle), monitoring follicle counts via ultrasound mid cycle, triggering ovulation at designated time based upon follicle scan. When I didn't respond as predicted to the Letrozole, we then transitioned to Clomid for 3 cycles with otherwise similar protocol while my husband's sperm production was maximized. She did not rush us to adjust treatment plans to IUI/IVF while his potential was being maximized, but was open to advancing treatments as we desired.

Costs were not astronomical. Dr Justice and the KFI staff, I feel, try to make fertility treatments as affordable as possible in the current environment. They are very transparent about costs and patient with payments.

I have no experience with this

I have enjoyed every aspect of this clinic. The front desk coordinator Angie is so positive and helpful. She is always smiling and is very knowledgeable. The staff as a whole are all so friendly and welcoming, always smiling, and calling me by name as soon as I walk through the door. The facility is clean, quiet, comforting, and you can tell the equipment is state of the art. I like that Dr Hunter meets with me in his office when we need to have a lengthy conversation instead of in an exam room. The staff is great at respecting privacy. They offer free coffee and drinks in the waiting room which sometimes is the little pick-me-up that you need. I appreciate how organized they are and how everything seems to run smoothly. Overall I am very pleased with KFI.

From the moment I walked in to the office, I was greeted by name and with a smile and made to feel very welcomed. Dr. Hunter refers to both me and my husband by name (rather than just “your husband”) and always greets us with a hand shake. He remembers details such as treatment/outcomes that we have had in the past and what I do for a living. It is very refreshing to feel like the staff in general truly care about you as a person and not just you as the patient.

Stacey has welcomed me at every appointment with the exception of one. She is the one who always takes me to my room and assists Dr Hunter or is present with him during exams. She is always smiling and has such a positive attitude. She remembers little details about me such as if I do something different with my hair or asks how school is going. That makes me feel like she truly cares about me as a person. She cheers me on, comforts me, and provides tissues when I need them. I appreciate all that she does and I think she is a great partner to Dr Hunter.

When I first met with Dr Hunter I was relieved to know that someone truly cared about what I was going through and took me seriously. He was great at spending time to understand my particular situation and what my overall goals are. He always fully explains all options and does not push me towards one or another. He explains risks and benefits of all options and allows me and my husband to make the choice on what works best for us. He is great about giving honest, direct feedback and suggestions. Some may see his directness as a negative; however, I appreciate that he does not try to sugar coat anything or give false hope. He is very knowledgeable about success rates and how each treatment is likely to respond to our particular situation. He responds very quickly to messages and will even call after hours if needed to make sure that I am not having to wait on test results any longer than I have to. So to sum up our journey so far....I was diagnosed with endometriosis by my obgyn and after 6 months of being unable to conceive, I decided to meet with Dr Hunter for a consultation. He immediately took all of my concerns into consideration. He began with lab work and a HSG. The lab work revealed some thyroid and vitamin imbalances that were easily treated as well as some genetic conditions that I was a carrier of. He thoroughly explained what each condition was, the prevalence of it, and what our odds were of passing it on to our child. He discussed this is great detail until we felt comfortable. In trying to do the HSG he discovered that I had cervical stenosis from scar tissue and he was not able to advance the catheter all the way through my cervix to perform the procedure. We then decided to proceed with a hysteroscopy to clear the scar tissue and examine the inside of my uterus. The procedure went well and we felt ready to move forward. Initially my husband also had a semen analysis done which showed poor sperm parameters across the board. It was repeated a couple months later and again it was poor. We decided to proceed with low dose Clomid and an IUI to see what would happen. When I went in for my follicle scan before the IUI we discovered that my body responded too well to the clomid (producing 6-8 mature follicles) and our IUI was cancelled for fear of multiple follicles being fertilized. He then switched me to low dose Letrozole. We had a much more controlled outcome with that, only 2 mature follicles. This time we decided to use the trigger shot Ovidrel to trigger ovulation. When we went to have the IUI done a few days later, my husbands sperm count was once again low and all parameters poor. We proceeded anyway after being cautioned by Dr Hunter that the chances of success were poor. We were unsuccessful and at that point we were referred to a reproductive urologist for my husband to be evaluated further. It was discovered that he has varicoceles and the doctor placed him on FertilAid vitamins to see if there were any improvements. About a month or two later, we decided to try to Letrozole and IUI again. Again I produced 2 mature follicles. I used ovulation test strips, ovulated on my own and when we went for our IUI we were surprised to find that his sperm count had improved significantly to 13 million. We were hopeful but unfortunately this too was unsuccessful. We decided to take a few months off from fertility treatments and are now currently working with Dr Hunter to determine what the best next step is for us as I feel as though my endometriosis has gotten worse due to spotting before starting my period and very painful ovulation. He validated my concerns and discussed multiple options for us. He explained why each once is reasonable and also the cons for each one. My husband and I are now currently discussing what we feel is best. He has been so great throughout this whole process and is very understanding of our concerns. He is very positive about our situation while maintaining realistic goals and expectations. I am so pleased by our care so far with Dr Hunter and would certinatly recommend him to anyone experiencing fertility related issues.

Keep an open mind. Dr Hunter is great about giving multiple options about treatments, testing, surgeries, etc and talking you through them step by step. There are things that I never thought would have been a part of my journey but after hearing the risks and benefits and all my options, I have learned that this process has a lot of ups and downs and a lot of surprises so be prepared to stand up for what you want, trust your doctor, but keep an open mind as well because there are things throughout this journey that you don’t consider or you need to think about it a different way and Dr Hunter is great at facilitating that.

The plan for my first treatment cycle was the lowest dose clomid to help produce more mature follicles with a trigger ovulation shot (Ovidrel) and IUI. When I went for my pre-IUI ultrasound, I had produced 6-8 mature follicles and the IUI was cancelled for fear of fertilizing multiple follicles. I was then switched to the lowest does Letrozole to try to control my ovaries’ response. I went in for a follicle scan and had produced 2 mature follicles but they were still a little small so a few days later we repeated the scan and it was determined that they were large enough to use the ovulation trigger shot and proceed with IUI a couple days later. When we went in for our IUI, my husband’s sperm parameters were very poor but we proceeded anyway although Dr Hunter cautioned us of the likely negative outcome. Unfortunately we were not successful and after seeking treatment for my husband’s low sperm count we decided to do the Letrozole and IUI again. This time at my follicle scan I had 2 mature follicles again and was told when to take my trigger shot unless I got a positive ovulation test before then which I did. So we did the IUI the next day with significantly improved sperm count and motility. We were able to use 13 million compared to the previous 1 million in our previous cycle. Unfortunately that cycle was unsuccessful as well and we are currently in the process of deciding how we want to proceed for our next cycle.

Unfortunately my insurance doesn’t cover any fertility treatments or appointments and only some medications. The Clomid and Letrozole were covered by insurance costing about $10 for each. Each IUI cost about $500 excluding medications and follicle scans. The trigger shot costs roughly $140. The hysteroscopy procedure costed about $900. I believe the semen analysis costs somewhere between $100-150. Once all this was paid for I believe I owe somewhere between $1200-2000 out of pocket for visits and ultrasounds.

This Clinic is wonderful and I would definitely recommend it to anyone having trouble getting pregnant. The only negative that I can think of is the waitlist for new patients can sometimes be a few months.

Dr Justice makes me feel like she truly cares. She never rushes me out and always takes the time to answer all of my questions.

The nursing staff at Kentucky fertility Institute are wonderful. They are professional, kind and courteous.

I am completely satisfied with the service and care that I am receiving with Doctor Justice. I have been trying to get pregnant for almost a year and cannot. During my consultation she laid out a plan immediately to used fertility pills called femara and IUI. Dr. Justice was extremely honest with me and let me know that the success rate for each IUI is only about 20%, and that it doesn't always work on the first try. She warned me that I may need to do this a few times to get a successful outcome. I have finished two cycles of IUI so far and unfortunately, have not gotten pregnant yet. I recently finished my third IUI procedure and am awaiting the two-week wait to find out if I am pregnant this time. Although I am not pregnant yet I'm confident that Dr Justice will do everything she can to help me in this journey of getting pregnant.

I would tell the prospective patient that doctor Justice is amazing and you will not find a better doctor out there!

I have completed two IUI cycles so far using 7.5 mg of femara and a trigger shot. Both of these cycled did not end with a pregnancy. I'm currently on my third cycle and I'm awaiting the two weeks to find out if I am pregnant this time.

The consultation visit was $50. Each of my IUI Cycles, including my ultrasounds, are roughly $450. The trigger shot was about $120 each time.

Convenient location, clean, modern, wonderful amenities like good reading materials, beverages, etc.. You are almost always greeted by name and if they were delayed you were alerted to this. They were all so friendly.

Dr. Hunter explained our options really clearly. He was very easy to reach with questions and gave honest, direct answers. He made my husband and me feel like we made the best choice in working with him.

I loved Stacy! She is so warm and makes you feel so relaxed. She remembers things about who you are as a person which always makes you feel like a "human" and "not a number". I loved that Stacy was always with Dr. Hunter, I felt like both were a steady presence during this journey.

Dr. Hunter understood my previous negative experiences with the other clinic and he completely changed my opinion of the process. He gave me clear options. He made us feel so at ease. He greeted me with a handshake at the start of each appointment. He always closed with a meeting in his office to answer any questions. He made you feel like he was really available for discussing next steps and questions. He always returned phone calls, never leaving that up to his staff.

Don't give up. He will explain your options and you should discuss with him what could work best for your situation. Don't go in assuming what you've been told before is what is best.

We used Clomid, opposed to Letrozole b/c he felt like that would be ideal for my case. I had been on Letrozole with former clinic. I came in for follicle ultrasound and he chose to wait an extra day for my IUI in order to grow more follicles.

$500 for IUI, $125-$150 for Semen Analysis, $150 for Ulrasound

The clinic is very well organized, the furniture it comfortable. They have a fridge up front full of drinks and a Keurig for coffee. I rarely have to wait very long in the waiting room. This place is basically a one stop shop. They do most of their procedures there in the office (including HSG, IUI, D&C) which is helpful because you really get to know and trust the staff and it's more personal. Also you don't have to worry about paying those big hospital prices just to use their facility because they have all of their own equipment. There are honestly too many strengths to name them all. The only weakness of this clinic is that they are so busy they never answer the phone during the day. You have to leave a message and wait for then to call you back. On a positive side, I have never waited longer than an hour or so for a call back.

No matter how busy this office was, if I had a concern somebody would always call me back that day and answers my questions. I am currently having a miscarriage and they have taken care of me, even calling me at night to check in on how I am feeling.

Everyone is very informative and helpful. I am a huge baby as it pertains to pain and I am also very emotional with all of the hormones and disappointment of not having been able to carry a baby to term yet. They are so caring. I couldn't ask for a better team.

Dr. Justice is very informative, but in a sensitive way. We went to her for a second opinion after i had a horrible miscarriage. My previous doctor was giving up hope on us and was ready to say that we just needed to do IVF. We went to Dr. Justice to see if that was the case and she was so positive that it really helped me get passed the previous miscarriage and begin to hope again. While we didn't get pregnant on our first try, we did get pregnant on our second. Unfortunately, that pregnancy ended in a miscarriage, but we haven't given up hope and that is all due to the positivity of dr. Justice. Without her, I would have given up by now.

Unfortunately, she is leaving KFI soon and won't be practicing for a year due to a none compete clause. Once she comes back, find out where she is and go to her! You won't regret it.

I have PCOS and I am also overweight. I have a thyroid concern as well. Dr. Justice had me do 3-5 days of letrizole and then 3-4 days of Gonale (fsh injections). After that I did a trigger shot and then an IUI. Before my first cycle with her she had me complete an HSG. She was able to see that my right tube was blocked. I had a previous surgery to try to unblock that tube. She didn't think the surgery would be a success a second time so we didn't waste time on it. I have only been with her for two cycles. The first was unsuccessful, but the second one was a success. While this one ended in a miscarriage, the positive part is that we are able to get pregnant. She is now running a bunch of blood tests to attempt to figure out why I lost this lost recent one and what we might need to do moving forward to attempt to keep the pregnancy.

Like with any fertility process in KY, hardly any if it is covered by insurance so we pay out of pocket for a lot of things. They do their best to see you money where they can. The biggest cost saver is the fact that they have their own facility and can do most procedures in house.

NA

Great/ knowledgeable physicians, understaffed or disorganized staff (EXCEPT for front desk coordinator Angie, I really don't know how she manages to keep up with everything when everyone else seems a bit disorganized/ overwhelmed and in house LabCorp employee, Cathy - she is another that is amazing and extremely helpful in other areas).

Dr. Justice has been with us through out this entire process. She has cried, been frustrated, and has never strung us along with incorrect data or her assumptions. She is always providing us stats and facts and is straight with us on how to proceed. Her assistants/ co-workers/ facility (some nurses, financial coordinator) are a bit different, I feel sometimes as just a number.

Carol Powers- IVF coordinator - she is sweet, extremely responsive (on off days via phone) HOWEVER, somewhat disorganized and has forgot to order important meds, called for wrong amounts of meds, and sometimes seems annoyed (I don't believe she is, more so overwhelmed) Stacey Nalley- no longer there, was my go to for EVERYTHING. She was amazing and extremely compassionate. Sasha Bjork- do not enjoy speaking with her, has little bedside manner, and is slow in getting things done or responding to emails/ phone calls

Dr. Justice is an amazing physician. She is incredibly knowledgeable in her field and is always listing facts/data/statistics. I truly believe she has our best interest at heart. She is however, extremely busy and allows her IVF coordinator to order meds/ make decisions, which I don't always agree with. In my experience with Dr. Justice, she is one to go with the odds and treat a patient as protocol calls for, however, in my case things happened that typically wouldn't (I.E: later receptivity window - 7.5 days, miscarriage after genetic testing) - I wish she had prepped us and allowed us to decide if we wanted to test for things before we started (I.E.- receptivity window, miscarriage blood panel testing). We may have proceeded with treatment prior to this testing but would have liked to have been advised of what could be done so we could weigh the pros and cons.

Do research, ask lots of questions. Ask whether your physician is one who treats the visible problem (2 failed IVF's so now test for receptivity window) or allows you to discuss what could happen (most women have receptive window of day 6, but some may differ up to day 8), whether you wish to test for it (weigh options/discuss with doctor), then treat per your discussion. Keep track of your meds, what insurance covers, and who to contact in certain situations.

IUI 1- (8/20/16) / Letrozole 5mg, CD 3-7, OPK IUI 2- (9/14/16) / Letrozole 5 mg, CD 3-7, OPK, prometrium IUI 3- (10/25/16) / Letrozole 5 mg, CD 3-7, Ovidrel Trigger IUI 4- (12/15/16) / Letrozole 7.5 mg, CD 3-7, Ovidrel Trigger, prometrium IUI 5- (1/25/17) / Letrozole 7.5 mg, CD 3-7, Ovidrel Trigger, prometrium IVF 1- (3/6/17) / Days 1-6 estradiol 2mg/ 3 daily; STIM - Day 1-4: Gonal-F (300 units/daily) Menopur (75 units); Day 5-6 Gonal-F (375 units/daily) Menopur (75 units)/ Cetrotide (0.25 mg) / day 7-8 Menopur (75 units)/ Cetrotide (0.25 mg) / Trigger shot day 9; retreival day 11, doxycycline starting day of trigger shot/ 100 mg twice daily for 5 days IVF #1/Transfer #1 - (4/10)17) - Estrace (2 mg/ 3 daily), Aspirin (baby), Progesterone in oil (5 days -evening between hrs 6-9), crinone twice daily (morning/ night) IVF #1/ Transfer #2 (6/16/17) - same protocol as prior FET IVF #2 - Days 1-6 estradiol 2mg/ 3 daily STIM: Day 1: Gonal F (225 units in evening), Menopur (75 units in evening) / day 2-5: Gonal F (225 units in evening & morning), Menopur (75 units in evening) / Day 6-11: Gonal F (225 units in evening & morning), Menopur (75 units in evening), Cetrotide (syringe in evening), trigger shot day 9, retrieval day 11 - doxycycline starting day of trigger shot/ 100 mg twice daily for 5 days IVF#2 transfer (1 embryo) - Estrace (2 mg/ 3 daily), Aspirin (baby), Progesterone in oil (morning @ 9 AM sharp) for 7.5 (based on hours), crinone twice daily (morning/ night)

IUI - $500/ each+ meds + donor sperm IVF #1- $12500 + $4250 embryo genetic testing- (outside vendor) + meds, + donor sperm, anesthesia $525 (outside vendor) (Each transfer after 1 cost $4,000 (one more was needed) IVF# 2 - $13,500 (we had $5000 financial assistance) so cost us $8500, plus meds, plus donor sperm, anesthesia $625

Dr. Justice has made it very clear that she will allow us to transfer 1 more than the recommended amount she suggests. She's always suggested 1.

Honestly I know this may be cliche but I have nothing bad to say about this office. It's clean, professional and comfortable. There are always beverages if your thirsty or nauseas and the staff is amazing.

Dr Justice is an amazing doctor. She Really cares about her patients and is compassionate. I appreciate that she did not want to keep collecting my money for something that was not going to work.

All of the nurses at the office are professional and make you feel as comfortable as possible. They know you by name as soon as you walk in and are not afraid to hug you or treat you just like family.

From the first day I walked in to KFI was treated like family. The time I spent with Dr. Justice she never once rushed me with questions. It was like sitting in a room with your best friend and just talking and giving advice. When my treatments did not work she didn't make me feel like I was hopeless and there was nothing more. She gave more options and acted like she was hurting just as much as I was when we didn't have answers. I was more scared of an IVF cycle not working to even try. But she gave me some hope to try.

Compassionate. She is very compassionate in one of the hardest times in your life and truly cares for her patients.

My first appointment with Dr Justice was a consultation since I had 5 IUI cycles at s different office. She believed my IUI was a timing issue. The previous office I was in did not do treatments on the weekends. You almost felt like you were just another number there and not another person. So we started with femara and IUI but before my IUI she also ran a couple more test the previous office didn't do. We found a uterine polyp from those test and then moved on to IUI. First IUI beautiful follicle. Nice sperm count. IUI done and nothing. Same thing for the second but then we moved on to injectables. Several follicles and that were beautiful and still no positive. At this point we talked again and after that many IUI she believes there is some sort of issue with sperm not penetrating the egg and we met about IVF. We talked for a very long time and she explained everything to me thoroughly and never mentioned cost. That made me feel like she was not just worried about the money.

Not totally sure of cost l. IUI was about $300. My U/s was covered by insurance but I had to pay for meds

We have not started that process yet. My husband and I are still trying to figure out how we are going to pay for IVF