RMA Florida

He is amazing. When we finished all of our diagnostic testing he went over each of our conditions in detail and helped us decide on a plan. Even during the diagnostics which are invasive and uncomfortable he always made you feel comfortable and respectful. The tests turned out to be not as bad as I thought they would be.

He really cares about his patients and wants them to be successful in starting a family. He will listen to you and go in with all your questions he will answer them.

We haven’t been able to start treatment just yet. He said with my septate uterus I could have surgery or I could not. He described the risks involved with both scenario. And we made an educated decision with him on whether or not to have surgery. He went over of family building options since my husband has male factor infertility. He referred us to a reproductive urologist in the area he trusts and have been treating with him for 2 months. My husband is on clomid and anastrazole to help increase his sperm count. Dr P office calls us after every appointment with the urologist to ensure it’s going smoothly. We currently have 1 more appointment with the urologist and then a semen analysis next month so we can start iui hopefully in May or June.if it doesn’t work after about 3 tries, Dr p said we will move onto ivf.

The diagnostics have been covered under insurance. With everything done after insurance we’ve spent around $3,000

Yes he will only transfer one embryo at a time.

Dr. P is extremely knowledgeable about all things IVF. He took special care to ensure that everything was explained thoroughly to me. He is extremely meticulous which can be a good and a bad thing. He takes close care to how you are progressing, but then is also a bit of a control freak when it comes to his practice, success rates, and working with other clinics or GCs. For example, when I got my GC she was not based in Florida. He wanted her to fly to Florida for two weeks during the transfer so she could do ALL of her local monitoring with him, all the blood work, etc. because he wanted to have complete control over the experience. This is not common for GCs, who typically do local monitoring where they live. My GC has kids, she can't really be away for weeks at a time because Dr. P wants total control. Then, when I needed to transfer the embryos to a clinic up in Chicago (since she couldn't travel down here), he called me many times to try and keep the embryos in his clinic and also tried to plant doubt in my head regarding my GC and her willingness since she didn't want to fly down to FL for two weeks. So I'm not sure that I would work with him in a GC program if your GC does not live in Florida. His bedside manner is very kind, but I wouldn't necessarily say warm. He's a little awkward, so he is very clear in his explanations but isn't going to chat about emotions and feelings.

He is very detailed and knowledgeable but may not be the person to go to if you want someone really warm and personable. I would also ensure if you are using a GC that you try to get one local or in FL because he wants to have a lot of control over the process.

We used typical treatment. I have PCOS so we had to take special care to ensure my ovaries did not get too inflamed but everything was pretty normal, no specific treatment strategy was used.

They had hours in the morning that you could schedule. I always scheduled them in the morning, first thing. It was easy to go in and do monitoring and then leave.

They worked with Progyny so I paid nothing because I had that insurance. Sorry!

Dr. P would only do SET with GCs. Not sure what his stance is if you are transferring to yourself.

Dr. Patounakis is very knowledgeable and experienced in the area of fertility treatments (you can tell by reading his bio and work history on their website), so his passion for this field has been a strength of his. Even more importantly, he is very good at what he does and is so approachable and caring that my husband and I are very happy and grateful patients/clients. We are still in the beginning phase of our fertility journey, but he has already proven accurate, thorough, communicative, and successful in getting us on the right track. Of note is his excellent and quick work diagnosing my uterine polyp and getting it removed asap, fitting me into his already packed schedule on short notice. My husband also says that Dr. Patounakis instilled confidence in him. My husband sat by my side and watched the doctor through every test, consultation, and procedure we've had so far. My husband's semen analyses were all done on-site in comfortable surroundings and he was informed of his results the same day, which was very helpful from a man's perspective.

Just give his office a call and go in for a consultation! You'll know after one conversation with him whether you'll want to proceed or not. I know that for us, we felt good after our first meeting and started with bloodwork that very same day. It was a bit of a drive for us (almost an hour each way) but totally worth it for the care we have been getting and hope for success we have in our future IUI procedure through him.

We are in the beginning phases of our fertility journey and I've gotten: all the preliminary bloodwork done, uterine sonogram, saline test and HSG (dye test), recommended vitamins and ways to communicate with nurses when my cycle begins and ends, successful uterine polyp removal surgery, and plan to proceed with IUI due to our financial budget constraints (can't do IVF) and my age (41 yrs old).

My husband and I both have differing insurance: I have BCBS, he has Cigna. Copay for each visit was usually about $40 for me and $45 for my husband. Bloodwork was covered by insurance for my husband, but not for me so for several lab draws it did end up costing me money but I'm waiting on the bills now. My husband's two semen analyses were covered completely by insurance (other than copays). My saline test, HSG dye test, and polyp removal surgery were covered by insurance because it's categorized as potential cause for infertility. Costs incurred for the surgery came because it was done at the Florida Hospitals and we had to pay for use of facilities (around $620) and anesthesia ($97). Dr. Patounakis has a surgery room at his practice but to get me the surgery asap, he was able to fit me in at the hospital, which was preferable to us. When the time comes for us to do the IUI procedure, we were quoted a total cost of $1500 for all that comes with it, and potentially around $500 for anesthesia. We also did genetic testing through Genescreen, a company the clinic uses, and haven't been billed yet but it should cost about $350 if out of pocket versus going through our insurance.

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Dr. Patounakis is an amazing doctor and human. He never made me feel dumb for not understanding and always took the time to answer all my questions and explain everything to me. We saw him every single time we went in and he was always knowledgeable of my history and my plan.

You will not regret going to this practice. Ask all the questions you might have, he will answer them. If he suggests something you don’t agree with don’t be scared to tell him. He will explain his thoughts and listen to yours.

We went there from another clinic that we were not happy with. After doing his own exams and tests he suggested a surgery to remove small polyps and then to try a medicated IUI. My cycles were regular and an IUI worked for us with my first pregnancy 4 years prior so he was confident we should try again even with 4 failed at the prior clinic, mostly because of the polyps. The first IUI after surgery I ovulated early and with small follicles so he changed my medication for the next cycle and we were successful. I am now 24 weeks pregnant.

Luckily our treatments were covered by our insurance so I only paid out copay but they went over our insurance coverage with us before we started anything.

We did not get this far since IUI worked but we did talk about single embryo transfer and he explained why he prefers that given the risks of a multiple pregnancy.

Dr Patounakis is extremely thorough in his explanation of diagnosis and proposed treatment. He's very patient when answering questions and is as available as necessary to address patient concerns. He is at every single one of my appointments, even ultrasound monitoring. He also took over personally doing my blood draws every morning. I couldn't recommend him as a doctor more!

Ask lots of questions! He's great at explaining

Egg retrieval cycle: antagonist protocol - Started at 300IU gonal-f and ultrasound monitoring every 2 days. Jumped to 450IU gonal-f after first u/s and added low-dose hcg to aid follicle growth. My follicle growth is erratic and unpredictable, so there were a few days where Dr. Patounakis considered cancelling the retrieval due to lack of response to medication. Growth picked back up and ganirellix was added to delay natural ovulation. Hcg trigger was taken 14 days after beginning injections. 9 eggs were retrieved, only 2 were mature enough to be fertilized. One arrested after day 3, the other arrested before day 6. Dr Patounakis only transfers day 6-7 embryos that have been frozen and pgs tested. For a second retrieval cycle he suggested a long lupron protocol. A second retrieval cycle has been postponed due to COVID-19

Co-pay as directed by insurance for regular appointments and consultations. One sum out-of-pocket amount for egg retrieval cycle that included all monitoring, blood work, retrieval surgery, and embryo freezing (did not include medication).

As far as I'm aware, he does eSET only.

Dr. Patounakis is an amazing doctor. When I went in to see him from the very first visit he made me feel at ease. After looking at my chart he predicted that I had PCOS, and told me what my ovaries would look like in an ultrasound... we did the ultrasound and bloodwork and he was spot on. He explained the process and our best options. I loved knowing that he would be at every visit.

Absolutely go with RMA of Lake Mary you will not regret it. They are wonderful and he really knows what he’s doing.

We used letrozole, a trigger shot of pregnyl, and progesterone once I was pregnant.

Our insurance covered all testing and diagnosis but not treatment. We did IUI and it cost $1,000 with all appointments, treatment, and medication

He is a very straight forward person. He is to the point but not callous. He works with facts and has a great capacity to deduce things and make fast decisions. He is confident and sure of what he is telling you. He is humble yet has a no nonsense attitude. He is a gentle person and has a warm demeanor about him. He shows compassion. He is gentle as well. He has a sharp mind and conveys that when he talks to you. He is honest. He prepares you for every aspect of things up front. He doesn’t surprise me with anything. He prepares me very well for tests and procedures so I know what to expect. He is a great phlebotomist! He drew my blood and i did not even feel it!

Understand that he is very straight forward. He has a sense of humor but his work and facts are very important to him. He takes the process seriously and will tell you if you do not follow the prescribed steps he will not work with you. His expectations are set and must be met for him to ensure his best results. He is not one to take chances on his end with your treatment.

He wanted to do IUI because my husbands sperm analysis from another doctor had some findings. He ordered me to take extra folic acid with a prenatal pill for st least three months before we started, which I have been doing. He then did two separate Sperm analysis of my husbands sperm, and a few tests on me. The deciding factor was the findings of the sperm analysis which made us change course. He told us we have to do IVF because there is very low likelihood of us getting pregnant. He has laid out the plan and made it very clear why we have not been able to get pregnant since our loss in 2015. He doesn’t give false hopes and he lets me know that nothing is guaranteed. No empty promises come from him so far.

From what I understand IVF cost about $10.000, genetic testing was $350, the medications run about $6,000, and it cost extra to test embryos.

He would prefer to do a single embryo because his goal is to get me pregnant with a healthy baby. He explained that múltiples come with higher risk.

Dr. P tells you like it is. He doesn’t sugar coat things and is very honest. He has always treated us with the utmost respect. He checks in his patients often and you see him at every visit. He calls you with every result and doesn’t hand it off to a nurse.

Trust him!

The most Efficient. Never waited more than 10 minutes!

Awesome knowledgeable doctor with respect for each patient! He was at each visit and took time to make sure I and my husband were aware of the next steps. I truly felt like he cared. I would recommend him to anyone looking for fertility care. Personally I just knew my husband and myself had male factor infertility and I needed more information on what this meant after two failed IUIs.

Trust the process pay attention to yourself and your feelings getting those in check is so important!

We did IUI in order to get the sperm closer to egg since my husband has low morphology.

Expensive but isn’t it always

Single

Dr P is the best doctor I have EVER had. He called once when I reported starting my period to the after hours Line on a Sunday. He called on a Saturday after I sent photos of my positive pregnancy test post transfer. He was sensitive to my trauma from a previous loss not related to IVF. I couldn’t have asked for a better doctor.

Be patient because every step is a step closer to getting your baby

I’d did two retrievals to bank embryos then a hysteroscopy to deal with scar tissue from a previous d&c prior to transfer. It was a longer journey but getting my uterus perfect before transfer was what made the difference

It was so easy. No waiting around and no time wasted. It was great being between 6-8 because of work hours. Also one Saturday Dr p came 30 min early for me because of my job.

I’m not sure because my insurance covered it

He only does single and as someone who lost a set of twins, I wasn’t interested in multiple.