Adrienne Gentry

My wife and I (same sex couple) went in for a consult with Dr. Gentry. We haven't tried to conceive before and have no diagnosed infertility. I am planning to be the carrier. Dr. Gentry explained the basics of conception to us fairly well and then outlined the treatment plan. Only then did she tell me that I was ineligible for care from her practice unless I lost enough weight to lower my BMI to the BMI cutoff of 40. Her justification was that above 40 I would be less likely to conceive and more likely to miscarry -- both true, but the difference in risk is marginal. I understand the risks and am fully willing to try to conceive at this weight. Throughout the whole process she made me feel like my weight was dangerous and all my fault (even thought I have a pretty significant diagnosed disorder that contributes to it), and basically said that if we weren't able to get pregnant or if we experienced a miscarriage I would be responsible for it simply because I'm overweight. She basically said that I didn't deserve to have a baby unless I lost weight and got "healthy." I am trying not to believe her but honestly this took a huge toll on my mental health. Another note for LGBTQ+ folks, she gave us a very long, disingenuous speech about how she personally was fighting for LGBTQ rights and told us about a protest she went to. It felt very fake and like the treatment we often get from people who are trying so hard to prove that they aren't homophobic that they forget they're talking to real people and not the whole of the LBGBTQ community.

She seems like she would be a perfectly fine doctor for a straight couple with conventional bodies -- which I don't think is a very big section of the fertility community.

We were planning to do IUI. The practice lets you select your own donor sperm from any bank you choose. We were directed to base most of our decision of which donor to choose on how many successful live births the donor had produced. She recommended we buy at least three vials at a time. The practice has cryo storage on-site. She does use Clomid for all couples, even if there are no known fertility issues. She does a hysterosalpingography on every patient, along with the FDA-required testing, along with a baseline ultrasound and one at ovulation each month.

The cost of one IUI cycle was about $500 before the cost of sperm, which is entirely dependent on which bank you use. For us, the cost was going to be about $1,500 per cycle.

Dr. Gentry is incredibly open and honest about treatment, rates of success, side effects, etc. I didn't experience a single thing during treatment that I wasn't advised about beforehand. She is knowledgeable in all things fertility related and I absolutely trust her judgement. She never made me feel as though I was just a number, and never belittled any of my concerns.

You will receive a lot of information at your consultation, take notes.

My consultation was in December. I had a Saline Ultrasound the following week, and in January my first IUI was scheduled. I had my baseline ultrasound around CD3, took Clomid on CD5-9, had my mid-cycle ultrasound to check my follicles on CD11, trigger shot on CD12, and the IUI procedure on CD13. For this cycle, I had three follicles. Unfortunately the IUI failed. In February when my next cycle started, I scheduled my baseline ultrasound to set up IUI #2. At that appointment I learned that the Clomid caused me to produce two cysts on my ovaries. I wouldn't be able to proceed with an IUI that cycle and would have to try again in March. Dr. Gentry advised that since the Clomid made me produce cysts, we wouldn't be trying that medication again. My next IUI would be paired with Letrozole. Her rationale was that if I had that reaction to the Clomid, I probably wouldn't have it with the Letrozole. When my cycle began in March, I went in for my baseline ultrasound, and everything was clear. This time I took Letrozole on CD5-9, had my mid-cycle ultrasound on CD10, trigger shot on CD13, and IUI on CD15. For this cycle I had four follicles. Unfortunately, that IUI also failed. When my next cycle started I called the clinic to set up my next baseline ultrasound, but due to COVID-19 all new cycles have been postponed. I was advised to call back in April once my cycle began again to see if the clinic was back up and running. I completely understood why the clinic wasn't starting new cycles, I just wish I could've gone in for a baseline ultrasound to see if I had the same reaction to the Letrozole that I had with the Clomid.

The entire IUI (Medications, Ultrasounds, IUI procedure) was about $700.

My wife and I (same-sex couple) started seeing Dr. Gentry in January of 2019 to consult about IUI with donor sperm. We were referred to this clinic by another LGBTQ+ couple in the area and feel like we were so lucky to have found Dr. Gentry on our journey to becoming parents. Dr. Gentry has been respectful, welcoming, very informative, and has always made us feel 100% comfortable throughout out treatment - at every appointment. When we first started, we were a bit naive to just how long our journey could possibly end up taking - we thought, okay, we just need to come to this clinic to have them perform the IUI with donor sperm for us and that's that. At our consultation, Dr. Gentry asked me to lose a certain amount of weight before my first treatment cycle and said that we could continue with our pre-treatment labs and work-ups in the mean time. I successfully did this and we continued on. After my first baseline, we realized I needed surgery to remove a benign but problematic cyst that was blocking access to my uterus. Dr. Gentry performed the surgery herself and truly eased my nervousness about having my first surgery ever - I was so thankful to know I had a brilliant, compassionate doctor to get me through this. Since then, we have completed 3 medicated IUI cycles (using Letrozole and Ovidrel), an HSG "tube test", and we are continuing treatment as I have not yet become pregnant. Although I have no gotten pregnant yet, and we have had setbacks (solely because of naturally occuring circumstances/PCOS/etc) - I am still so grateful to have Dr. Gentry doing everything she can to get us the results we all want. It is always important to my wife and I to find doctors that are welcoming and affirming to the LGBTQ+ Community - and naturally, we were nervous going into our first appointment with Dr. Gentry; however, once we were in the door we quickly realized we were in good, safe, company. Dr. Gentry has never treated us differently or as "others"; she has never made us feel discriminated against or judged by any means. Dr. Gentry, from the beginning and throughout, has thoroughly explained each step of the processes we are doing, why we are doing each step, and has made sure we understand everything before and during treatment...and she is always checking in during your appointments/procedures to make sure you are comfortable. Don't be afraid to ask questions; better yet - ask ALL the questions! No question is silly or too small - even if they are basic reproductive questions, Dr. Gentry is happy to make sure you are not in the dark for any part of your treatment. We never feel like we are being rushed out of the room or that we don't have time to address all of our needs and questions. Aside from Dr. Gentry's professional knowledge and and skills - she is also a great "people person"... she will always be direct and truthful, as that is always important to your medical care, but she always deliver information/results/etc with compassion and will almost certainly make you laugh in the process. 10/10 would recommend Dr. Gentry - she is an amazing doctor and person.

Come prepared with questions, an open mind, and relax! Dr. Gentry will walk you through everything each step of the way.

For each medicated cycle, once my period started - that counts as Cycle Day 1. On CD1, I call the clinic and schedule an appointment to have my Baseline ultrasound done - this is the ultrasound to take a look at my uterus lining, check to see if there are any problematic cysts, and generally to see if I am ready to begin fertility drugs (in my case, letrozole). If all is well at my baseline then I start Letrozole for 5 days to encourage growth of follicles before ovulating. Around day 14 of my cycle I will go back into the clinic for my Midcycle scan which is the ultrasound to see if I have any follicles, how many, and to measure them. The number of follicles that I have and their size will determine how soon after that I will administer my trigger shot (ovidrel) at home. (If there are too many follicles, typically more than 3 - then the cycle will be cancelled to prevent a possibility of high order pregnancy) After my trigger shot, I will go in to the clinic for my IUI typically between 30-36 hours later. The IUI is performed by Dr. Gentry's fertility nurse (who is wonderful!). After IUI, you enter the "2 week wait" - proceed as if you are pregnant (no drinking, smoking, no tylenol, etc - a do/don't list is given to you). At the end of your 2 week wait, if you have no gotten your period yet, take a pregnancy test - if it is positive, call the clinic to schedule a blood test; if it is negative - you will be directed to call the clinic once your period starts to schedule your next baseline, assuming you are proceeding with treatment.

Baseline ultrasound - $163, Letrozole - no cost with my insurance; otherwise, I believe it's under $20, "trigger shot" (ovidrel) about $100, Midcycle scan $163, Insemination $260

Honestly, I cannot think of anything bad about Dr. Gentry. I fully trust her in our infertility journey and this is why. She has been completely open and straightforward about how she approaches infertility as a whole, I went through three tests, HSG, water ultrasound, and sperm analysis, then she determines what the root cause of the problem. I feel like she is on our team to finding out the problem and reaching the goal of having a baby. My husband and I have been trying for 2.5 years and finally searched for a fertility doctor in our area. Now we will be moving forward towards an IVF cycle later this year. Dr. Gentry is willing to know her limits, or rather experience, and ask for help when needed. This is admirable in my opinion! I recently underwent surgery and she had a fellow doctor help out who specialized in the type of surgery I needed for tubal blockage with a rare uterine anomaly, unicornuate uterus. Dr.Gentry is able to relate in most instances, but can still keep boundaries between her patients and isn't overbearing or conceited. Dr. Gentry encourages for questions to be asked at any time, whether in person or online, and she takes personal time to answer them. Like I said, I am extremely satisfied with my care as a patient of going to Dr. Adrienne Gentry. I have no reason to find another fertility doctor and receive a second opinion. If you are in the Roanoke area, I would highly recommend seeing Dr. Gentry!

Don't be afraid to ask questions! Any question is a good question, even if it's re-learning the basic of female anatomy! :)

I find that my story is a little different than most. I haven't been on any fertility drugs on any cycle. I don't know if this is the place to share it all of why that is the case, so I will give a brief overview. My husband and I have been trying to conceive for 2 years with no luck. With this fertility doctor, I met with her and went through two tests, Hysterosalpingography (HSG) and Sonohysterography (Water Ultrasound) and my husband went through a Sperm Analysis. These three tests results should identify if there is a problem and what the cause of it is. Sperm results came back and they were great. In the middle of the Water Ultrasound, Dr. Gentry shared a concern with me. Though, wanted to get the HSG before confirming anything. I had the HSG and boy was it PAINFUL. I opted not to take a pain reliever beforehand, but took one afterwards. Again, Dr. Gentry shared her thoughts of what I might have, a unicornuate uterus, but wanted to do an MRI before confirming the diagnosis. I had the MRI and received the results back in a timely manner. The diagnosis was confirmed and was told I had a blocked tube as well. I was given three options and the risks of all of them. I decided to go through with a tubal removal procedure and IVF. I just had surgery and have recovered mostly. I will do an IVF cycle with Dr. Gentry in a few months.

My insurance covered the basic infertility diagnosis and tests of underlying medical treatment. (Them 80% and me 20%). I am grateful for that. I don't remember the details of the costs with that. Moving forward with IVF in the state of Virginia will be a headache. It is currently not covered through insurance, to my knowledge. It would be nice if there was something, anything, covered for the IVF process.

With my current diagnosis of having a unicornuate uterus, I will be considered high risk pregnancy as is and so my doctor's approach will be doing a single embryo transfer. I will not be able to have a multiple embryo transfer due to my uterus not being full sized.

Dr. Gentry was the best doctor we could have ever hoped for when my wife and I decided it was time to expand our family. From our first consultation to our last ultrasound with her, she was communicative, helpful, professional and incredibly kind. She explained everything that was going to happen and made sure we understood the process. The fact that my wife and I were a same-sex couple made no difference in her treatment of us as patients and human beings. She was genuinely excited for us and we’ve told so many of our LGBTQ+ friends to visit her when they are ready. We couldn’t recommend Dr. Gentry more to anyone who needs a fertility doctor.

Ask questions! She is extremely knowledgeable and can answer the questions you have!

We started with a consultation and then after we purchased our donor sperm and had our initial FDA blood work done, we started ultrasounds to track my cycle. If I remember correctly, we had 3 ultrasounds before our IUI procedure. After our IUI and then getting pregnant, we had one follow-up ultrasound before we graduated to our OB.

It was a little over $1000 for services.

Dr. Gentry is friendly. Responds quick to messages when sent through MyChart or telephone messages. She stays on top of treatment. She keeps me in the know when test results come back or when we need to take a different course of action and she explains everything for us where we can understand. And I fully feel like I know what is going on when I leave the visit!

Don't delay. Go see Dr. Gentry today. She is jumps right in and helps you make a plan for next steos in treatment

I have not started timed intercourse I will be starting at the beginning of May. This will be my first round of treatment overall. Newly diagnosed.

I have a copay. That has to be paid at the time of visit. I can not bill it. First visit is around $500. Ultrasounds vary. Meds vary. HSG unsure of cost. MRI was right at $5,000. I do have insurance through my job so that has helped

Adrienne was willing to work us into her schedule on short notice, which was helpful. She was thorough in the explanation of her recommendations. After we left the office we had some follow up questions and she was quick to respond even though it was a Friday afternoon.

Go for it! Don’t be afraid to ask her questions.

My partner and I were seen for a fertility consult. We expected to be cleared, as there were no known fertility issues other than us being a same-sex couple who would need assistance with creating a family. After some tests and chart review we found out that we could potentially be facing some fertility issues after all. Adrienne recommended an HSG, an ultrasound and some blood work before she would move forward with IUI.

~400 for initial consultation including ultrasound ~700 per IUI cycle including two ultrasounds, trigger shot and IUI

The doctor seems very knowledgeable and attentive. She sometimes speaks to fast which made me feel like I was taking too much of her time and she was trying to finish the appointment quicker. She was careful and compassionate during procedures.

Ask the doctor to slow down when she talks to you

Water ultrasound, MRI, Tube test. Some tests seemed redundant at first but proven to be necessary. They helped to determine the course of action.

Consultation $130 Ultrasound $170

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