Emily Evans-Hoeker

I think that she is very knowledgeable in the field of reoccurring pregnancy loss. She made me feel that I was not alone and that it is very common. She made me feel like it wasn’t my fault which was huge for me. She has awesome bedside manner and she is easy to talk to.

The only piece of advice that I could give someone would be to brush up on your fertility journey before your initial consultation. There are LOTS of questions and dates that are involved.

Initially there was many different types of bloodwork that she ran. They all came back normal for my husband and I. I did an HSG that came back normal as well. I was diagnosed with unexplained reoccurring pregnancy loss. I did a medicated cycle with trigger shot and progesterone. Cycle failed. I could not do another cycle due to COVID restrictions.

Since we have only done 1 medicated cycle in this clinic so far, our cost has not been high. However, after the COVID restrictions are lifted I imagine our cost will significantly increase.

I was told if we chose IVF, due to my age (33), there would only be 1 embryo transferred which was a little disappointing.

She makes me feel like I have value, that I am not broken. I can feel her passion for her job and truest wants us to be successful. She explains everything in a way that’s easy to understand and answers all of my silly little questions.

Go in with an open mind and don’t be afraid to ask any questions. She is very honest with her answers but only because she wants wants best for her patients.

We used Clomid the very first cycle but I overstimulated so we cancelled. She adjusted my medication and put me on Letrozole. We then completed 3 IUIs. During that time she noticed my husband’s sperm count was not great, and she referred us to a fertility urologist. From there we learned he had a varicocele and he had surgery after that. By a miracle we got pregnant before we were told we would see a difference in my husband’s sperm, but our pregnancy was ectopic. Dr. Evans-Hoeker was very honest and direct with us about our options. She explained we could use methotrexate or go right for surgery, but she recommended the medication first as my turn had not ruptured at that time. Unfortunately though it did rupture a day later. In the emergency room she was talking to the doctors on her personal cell phone which made me feel very safe in their hands, knowing she had talked to them specifically about me. After surgery and I was home recovering, she called me to check on me which made me feel very cared for. At follow up appointments she was very gentle with both me and my husband as we talked about next steps. Several months went by and we were able to start trying again. We were able to conceive again but it was a chemical pregnancy. We have started IUIs again since them and she has been very supportive the entire process.

Everything has been paid for out of pocket, my insurance does not cover fertility treatments. However, when we had the ectopic pregnancy everything was filed under insurance immediately and there were no problems.

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Dr. Evans-Hoeker knows her stuff which is what is most important to me as a patient. She is careful to provide accurate information and doesn't over promise; she manages expectations appropriately. I think other patients may perceive this as a lack of warmth, but I felt it was appropriate.

Don't misconstrue her factual nature as a lack of caring. She cares. The other comments about her not giving a direct answer -- she gives you the information she can without creating false expectations or false hope. Not everything about fertility is known. She provides the information that she can. I also think some patients want to be told what to do. Dr. EH gives you the options and the facts and allows you to make your own decision. I think that frustrates people.

I went through two IUI treatments and one round of IVF. The IUI treatments were unsuccessful. We were told due to low sperm count at the time of IUI that we had a very small chance of success. At that point we decided to pursue IVF. I had 31 eggs retrieved, 15 fertilized and we had 9 high quality embryos after day 5. I froze all of my embryos after my retrieval which was my choice. I did a frozen embryo transfer and I am currently 8 weeks pregnant with my first child.

My insurance didn't cover most of my visits. All-in-all I didn't think the prices for any of the services were unrealistic. You have to have multiple visits to track progress so that's where it adds up.

My husband and I jokingly asked if they would put more than one embryo in so we could have two at once. Dr. EH followed the guidelines prescribed based on my age and risk factors and only transferred one embryo. She advised us that a 1:1 ratio is the healthiest.

When asking questions, at times, Emily would not give a concrete answer. It seemed she would recommend one option, and then turn around and recommend a different option as best. This left the patient confused and feeling as though an expert, professional opinion was not given on which way to continue treatment. Often, it felt as though she were just reciting book facts or giving generalized statements, and not focusing and relating information on you as the individualized patient. Lastly, it seemed that she had too many commitments and was pulled in too many different directions. I did have an appointment have to be rescheduled by the office due to it conflicting with a lecture commitment she had. Last treatment cycle, I also called on the day of my cycle to continue with another round of an IUI with injectables. The scheduler tried to schedule me too late in my cycle than what is recommended for injectables. I questioned this, and the scheduler put me on hold to verify. I was correct, and the scheduler confirmed this, but informed me that I would not be able to continue with this, as Emily was going to be out on vacation and the provider filling in was not qualified to perform monitoring and IUI with injectables. I was told I would have to sit this month out due to this and wait and continue next month. I was devastated and felt this was not acceptable treatment and was very insensitive to those battling infertility, as timing each month is crucial and patients count down to this obsessively. I finished the phone call, barely holding back the tears. I was later called and told Emily had been contacted and said I could go back to oral medication this cycle and continue injectables next time. However, this was not my treatment plan or optimal for me, as this treatment option had been unsuccessful many times and oral medications caused cysts for me. She recommended moving on from this, as it was not best for me, but when was not available wanted to revert back to something that was not working for me.

Ask many questions and continue asking until you get a definite answer/one you are comfortable with, and be sure you are alright with seeing an RE at a clinic with only one RE. So, when she is out of the office different providers may have to see you, often times one who is just an OBGYN and not an RE.

I tried Clomiphene Citrate with plans of following with an IUI. However, at my midcycle scan, she stated that I ovulated early and it was too late for an IUI to be completed. After that, I moved on from Clomid to Letrozole with plans for IUI. Many cycles I tried 2 Letrozole pills (2.5 mg each) with IUI. No positive pregnancy test resulted. I then tried Tamoxifen, which did not result in a positive result either. I then tried Letrozole (2.5 mg) 3 pills a day. No positive result achieved either. Many times the oral medication caused cysts to form; many treatment cycles had to be cancelled and no fertility medications taken due to cyst formation. I also had to take birth control many months to try to get rid of the cysts. I tried one cycle with Gonal-F and IUI. This also resulted in a negative pregnancy test.

My insurance did not cover fertility related costs. Each scan was $163. Each IUI was $260. My last round of injectable medications cost almost $800.

Dr. Emily A. Evans-Hoeker was good at explaining the general processes of each procedure and the risks. However, I would have been more comfortable if she tailored the information and advice to my specific situation and details. I felt like my inquiries were often answered with vague generalizations rather than related to my own individual issues. Often, I felt like she was not entirely open to questions from me. She seemed hesitant to guide my husband and I on next steps for treatment. This entire process is very overwhelming, and I feel like her professional input based on experience could be beneficial. Her method is practical and generally matter of fact. For baseline and mid cycle scans, I would have felt more informed if she had turned the monitor and pointed out my uterus lining, follicles, etc. to my husband and I. Dr. Evans-Hoeker performed a laparoscopy on me to remedy a blocked fallopian tube, uterine fibroids, and uterine polyps. The surgery was successful, and I healed very quickly. Either my twin sister or husband came to every appointment for support and Dr. Evans-Hoeker always acknowledged them. Dr. Evans-Hoeker seems very educated in her field.

I would advise prospective patients of Dr. Emily Evans-Hoeker to always listen to your gut instincts, ask as many questions as you need to, and determine at the consultation if her manner is what you prefer.

For my first cycle of expected IUI, I was prescribed Clomid 50 mg and Ovidrel trigger shot. However, follicles developed on the side of a blocked fallopian tube, so we proceeded this cycle with only timed intercourse. Following, I underwent a laparoscopy to correct the blocked fallopian tube and remove uterine fibroids and polyps. I tried the next cycle of IUI after surgery with Letrozole 2.5 mg (2 pills at a time) paired with Ovidrel trigger shot, followed by the insemination. For the second cycle of IUI, Dr. Evans-Hoeker increased the Letrozole 2.5 mg to 3 pills at a time followed by Ovidrel trigger shot and insemination. My last cycle of IUI consisted of Letrozole 2.5 mg/4 pills at a time this round followed by Ovidrel trigger shot and insemination. Also, on my last two cycles of IUI Dr. Evans-Hoeker added Progesterone 200 mg capsule vaginally. Sadly, all cycles ended with a negative pregnancy test precisely two weeks after the insemination.

Each baseline scan and mid cycle scan cost $163. Each IUI cost $260. Ovidrel trigger shot cost approximately $150. Medication (Clomid, Letrozole, and Progesterone) ranged from $5 to around $15 each. Also, I had a CAT Scan for diagnosis purposes that cost $500 out of pocket and a hysterosalpingogram. Laparoscopic surgery to unblock fallopian tube and remove uterine fibroids and polyps cost $2500 out of pocket.

Dr. Evans-Hoeker diagnosed us with "unexplained infertility" after checking my blood work and my husband's sperm, and did not recommend any other tests before pushing us through 7 IUI's (3 with only medication). Once we moved to a new clinic we found out that I had a low AMH, which was from the blood test Dr. Evans-Hoeker performed) which should have given me a diagnosis of diminished ovarian reserve. After additional tests I was also found to have a blocked tube from endometriosis, and IUI's never should have been recommended as a course of treatment, and 7 of them was an absurd amount to do without changing course of treatment or performing additional tests to find out what was wrong. We were continually told, "we don't know why this isn't working" or, "there's no reason why this won't work if we keep on trying...the odds are in your favor!" We were mislead, had our money taken, and treated like just another patient giving them money for treatment.

Find another doctor. We didn't realize how bad the doctor and clinic were until we found a new clinic. Once we saw how great we could be treated at a fertility clinic we couldn't believe we stayed at Dr. Evans-Hoeker's practice for so long.

After bloodwork and a semen analysis we were given a diagnosis of "unexplained infertility" and told that we should proceed with IUI treatments. We were told it would only take 2-3 IUI's to be successful. When they didn't work, we were told there was no reason why it shouldn't work, and to try again. It made us feel like failures, like there wasn't an explanation, and that continuing to put money into additional IUI's would result in a baby eventually. We were misdiagnosed, neglected, and out thousands of dollars by the time we left Dr. Evans-Hoeker's care.

We spent about $1000 for each cycle of IUI to the clinic, not including medications (which were around $150 each cycle).

I think Dr. Evans-Hoeker was a fresh face when we were using her. She had big plans for IVF collaboration with UNC, which is amazing for those who are going that route. Since we were doing IUI's, i felt like she was not as interested in helping us unless we chose to do IVF (which we did not). She spent little time with me and was typically either talking about my weight, or something similar. My last appointment with her included some students shadowing in which she harshly discussed my weight and I came to the conclusion that she saw me as less of a person because I was bigger and it felt like I did not deserve children unless I lost weight.

I'd tell them to stick to their plan and follow the path they choose. Do not go blindly in and let her talk you into IVF from the start. If you feel like you're being pushed get a second opinion.

I don't remember exact costs, but i do remember that they were double the price before the clinic moved from the previous location. Things that were covered were now not covered and payment was demanded at the time of service (which i understand is typical, just confusing as to why all the insurance changes when they were working the previous bill).

Dr. Evans-Hoeker is extremely knowledgable and explained both the issues we were facing and the treatment options thoroughly. She answered all questions, communicated well through the patient portal, and made sure we had all the information we needed to proceed.

Come prepared with questions. It's easy to go blank when you are sitting there!

We were facing unexplained male factor infertility. My husband had been tossed from doctor to doctor when we finally made the decision to visit Dr. Evans-Hoeker. She continued my husband on Clomid while beginning an IUI cycle. She had me in for saline ultrasounds and an HSG and I passed on all needed bloodwork. I went on Clomid for the IUI cycle along with a trigger shot. We did double inseminations. It worked!

Costs were very reasonable. My insurance did not cover the costs, but they do bill for insurance if yours covers. Hospital procedures, not in the clinic, were covered and I only paid copay on those.

She was thorough and professional but I didn’t feel assured or comforted when going through the whole process. I felt I was overlooked a little bit because she kept mentioning how young I am which made me feel like she wasn’t as invested as she would’ve been with her older patients.

She is very knowledgeable but prepare yourself for the unexpected during the process.

3 separate IUI’s, 50 milligrams of Clomid and trigger shot with each attempt

$165 for baseline and midline scan, $260 for IUI, about $90 for clomid and trigger shot, and about $820 for donor sperm. Insurance did not cover any of this.

My doctors strength is that she is very open and truthful she tells you as it is and very compassionate. For weaknesses, I don’t really have any weakness I can point out because my experience has been awesome. The entire team at Carilion are very friendly and accommodating

Be prepared to hear the truth because she will not lie to you

Lab works, blood works, birth control to calm my hormones, progesterone as well

My transfer was done at UNC Fertility under Dr Evans-Hoeker and I paid 3283 for each embryo transfer and currently paying 45 dollars monthly for embryo preservation. 163 dollars each time I visit my doctor at Carilion clinic

Yes that only one can be transferred at a time. Multiple transfers is only when they have been 4 failed ET

Dr. Evans-Hoeker is an amazing doctor. She understands that fertility is a hard thing to deal with but remains honest with you. She never let me feel alone but allowed me to have feelings. Dr. Evans-Hoeker explained everything treatment and diagnostic work up fully and made sure my husband and I understood everything.

To ask questions because she gives amazing answers.

So far we’ve only done diagnostic work ups for my husband and I, which have resulted in needed IVF. She has given me tons of information and answered my millions of questions.

My insurance does not cover fertility treatment, only some diagnostic work up. I have to pay $50 each visit and the two treatments I’ve had so far we’re together over $500. I’m probably (90%) going to have to do IVF, which will cost over $25,000.

She was amazing throughout the surgery that I had to remove my fibroids and helped me track my early pregnancy to make sure I was where I needed to be before I was turned back over to my OBGyn. I have been absolutely thrilled with everything she has done to help me.

Easy to talk with, always a smile on her face. Relatable. Open with her own infertility struggles. Realistic. Very well versed and knowledgeable. Thorough in all explanations. Clearly passionate about her field and science.

She’s a doctor, references studies and research frequently but I found that very beneficial and helpful.