Education
Medical School
U. of Tennessee
Residency
Walter Reed
Fellowship
National Inst of Health
How Doctor Communicates
doctor, nurse available by email
doctor, nurse available by directline
doctor available by personal cell phone
John Frattarelli works at
Advanced Reproductive Medicine & Gynecology of Hawaii
At 2 offices
Honolulu
1401 South Beretania St
Honolulu, HI 96814
808.262.0544
Kailua Medical Arts
407 Uluniu Street
Kailua, HI 96734
808.262.0544
John Frattarelli works at
Fertility Institute of Hawaii
At 1 office
Honolulu
1401 South Beretania St. Suite 250
Honolulu, HI 96814
(808) 545-2800
30 patient reviews
9
10
Verified
This patient has provided documentation of treatment at this clinic.
[Dr. John Frattarelli is] A very warm, understanding doctor, he was very informative and quick to reply to a late night phone call to reassure me of my questions or concerns and never made me feel bad for calling. Always smiling throughout the office and keeping a great atmosphere throughout the clinic...I started off with unexplained infertility after trying for 4 years with no pregnancy. Right before starting clomid found out I was naturally pregnant but found out 7 weeks in that it wasn’t viable so had a d&c by my choice. Did clomid next with ti, that didn’t work. Iui with injections and had an ectopic. Did a bunch of blood tests over a week or so then got the shot to eliminate it. Took a few months off to restore body then came back to do iui with folistim and had a chemical pregnancy. Was about to do ivf but got stalled for covid19 under their recommendation during this time. Hoping to start in next month or so.
Everyone there [Advanced Reproductive Medicine & Gynecology of Hawaii] is great. Super friendly and informative. After going there for over a year everyone pretty much recognizes me and is rooting me my next step whatever it may be. Carissa has been very good about communication through the beginning steps of ivf and I am still feeling very positive about everything although we have taken a little break.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
A very warm, understanding doctor, he was very informative and quick to reply to a late night phone call to reassure me of my questions or concerns and never made me feel bad for calling. Always smiling throughout the office and keeping a great atmosphere throughout the clinic.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Have a consultation to figure out what your path may be and trust your doctor no matter what happens in the process.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Warm care
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
I started off with unexplained infertility after trying for 4 years with no pregnancy. Right before starting clomid found out I was naturally pregnant but found out 7 weeks in that it wasn’t viable so had a d&c by my choice. Did clomid next with ti, that didn’t work. Iui with injections and had an ectopic. Did a bunch of blood tests over a week or so then got the shot to eliminate it. Took a few months off to restore body then came back to do iui with folistim and had a chemical pregnancy. Was about to do ivf but got stalled for covid19 under their recommendation during this time. Hoping to start in next month or so.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Carissa)
Everyone there is great. Super friendly and informative. After going there for over a year everyone pretty much recognizes me and is rooting me my next step whatever it may be. Carissa has been very good about communication through the beginning steps of ivf and I am still feeling very positive about everything although we have taken a little break.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Be on time for your appointments. Stay positive throughout the process and make decisions you are 100% about. Ask any and all questions so you always feel confident with your decision. Have a friend, spouse or someone you can talk to.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
Cost in beginning was great bc I had tricare only and they covered everything. Picked up hmsa as my primary just in case I decided to do ivf and a lot of things were out of pocket which was expensive. Now I am going to start ivf which is covered more by hmsa so it is worth it.
What specific things went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii?
- Failed to order appropriate test
Describe the specific things that went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii.
We had discussed starting injections for next cycle but it wasn’t ordered in time so I did clomid instead. It’s ok though, I’m not upset about it.
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8
Verified
This patient has provided documentation of treatment at this clinic.
He [Dr. Frattarelli] is methodical and knows what he’s doing. He has a large practice too. He also explains what’s going on for you so that you understand. He also makes a printout of your plan for you to take home. Lastly he creates a timeline for your initial testing for you to take home with you and then creates a tailored timeline after testing is complete
Strengths [of Fertiity Institute of Hawaii] are that they have almost everything you need from top to bottom inside the clinic itself. ... the phlebotomist is super super good.... They also have lab technicians, scientists nurses and PAs that work with you. ,,, My care coordinator called me up and introduced herself. She was very nice and sweet and explained in detail what was going to happen next. She also sent me an email of everything we discussed because again there is so much info.
How was your experience with John Frattarelli at Fertility Institute of Hawaii?
He is methodical and knows what he’s doing. He has a large practice too. He also explains what’s going on for you so that you understand. He also makes a printout of your plan for you to take home. Lastly he creates a timeline for your initial testing for you to take home with you and then creates a tailored timeline after testing is complete
What's one piece of advice would you give a prospective patient of John Frattarelli at Fertility Institute of Hawaii?
Make sure you bring a pen and pad for notes. It is very overwhelming with all the information but that’s the way it goes. You enter a fertility clinic already embarrassed and probably not in your best state of mind so it’s a good idea to bring a notepad with you to take a bunch of notes for you and maybe your partner.
During treatment, were you treated like a number or a human with John Frattarelli at Fertility Institute of Hawaii?
He answered all of my 25+ questions and I was also assigned a case worker to keep in close contact with.
Describe the protocols John Frattarelli used in your cycles at Fertility Institute of Hawaii and their degree of success.
Firstly dr. Fratarelli creates a testing timeline for you with the types of tests being conducted and where in your cycles you should time each one. Most are done in his practice and one is done at a hospital. I had a saline ultrasound first and it came back fine. Then I had an HSG test in the hospital which felt pretty terrible but that’s because I had tubal blockage. It was very painful for me but at least now I know my fertility problem.
Describe your experience with your nurse at Fertility Institute of Hawaii. (Assigned nurse: Myra)
My care coordinator called me up and introduced herself. She was very nice and sweet and explained in detail what was going to happen next. She also sent me an email of everything we discussed because again there is so much info. The nurses at the clinic are nice and the phlebotomist is super super good.
Describe your experience with Fertility Institute of Hawaii.
Strengths are that they have almost everything you need from top to bottom inside the clinic itself. They also have lab technicians, scientists nurses and PAs that work with you. You will see a lot of new faces every time you go but that’s just because there’s a lot of work to be done and also a lot of patients that go here.
Describe the costs associated with your care under John Frattarelli at Fertility Institute of Hawaii.
Each blood draw was about $100. Each lab result was anywhere from
$7-$100. The HSG was $375 not covered by insurance. The semen test was $157 also not covered by insurance.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Fertility Institute of Hawaii.
None
9
10
Verified
This patient has provided documentation of treatment at this clinic.
Dr. Frattarelli is kind and caring. He doesn't sugarcoat the limitations of fertility treatment or give you false hope. ... Before we knew that my we needed a sperm donor, my partner was put on clomid ... Once we found out why there was no sperm, we moved on to a sperm donor and began IUI treatments. ... I have since had a total of four medicated IUIs, none of these resulted in pregnancy. ...
The doctors, nurses and staff [at Advanced Reproductive Medicine & Gynecology of Hawaii] are caring and take the time to make sure you understand what is happening. They know my name when I visit and they remember me from visit to visit. ... The nursing staff is really great--kind and warm. The only issue I had was that when a nurse calls me sometimes they don't seem to have all the information needed. I did talk to the Doctor about that, and it hasn't come up in a long time.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. Frattarelli is kind and caring. He doesn't sugarcoat the limitations of fertility treatment or give you false hope. But he is positive and you can tell he really wants you to succeed. He seems to be very thoughtful about his approach.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Make a list of questions before you're appointments so that you don't forget to ask while you are being seen by the doctor.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
The doctors, nurses and staff are caring and take the time to make sure you understand what is happening. They know my name when I visit and they remember me from visit to visit.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Before we knew that my we needed a sperm donor, my partner was put on clomid (which was terrible for him). That didn't work. Once we found out why there was no sperm, we moved on to a sperm donor and began IUI treatments. Our first IUI, I was given clomid, which didn't support my lining, but we proceeded with that IUI attempt, which did not result in pregnancy. Following that I was given femara, and lining wasn't an issue. I have since had a total of four medicated IUIs, none of these resulted in pregnancy. I have also been through one IVF, which resulted in one high quality embryo (PGS tested, there were two other that were rated good, but when tested, showed chromosomal abnormalities). The IVF did not result in pregnancy. I'm now beginning another IVF cycle, which will probably be my last attempt because of finances.
Describe your experience with the nursing staff at Advanced Reproductive Medicine & Gynecology of Hawaii.
The nursing staff is really great--kind and warm. The only issue I had was that when a nurse calls me sometimes they don't seem to have all the information needed. I did talk to the Doctor about that, and it hasn't come up in a long time.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
The clinic is really beautiful and clean. The entryway feels like a spa. The receptionists are really nice and always greet me by name. The phlebotomist is also really kind and makes getting your blood drawn a little more bearable. They offer parking validation.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
With insurance coverage and PGS testing, and IVF cycle cost about $10,000. We received a small refund because we only ended up needing to test three embryos rather than the anticipated five.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
We only had one PGS normal embryo, so we only had the option to transfer one.
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Dr.Frattarelli cares for his patients and it really shows. He has a calming, kind demeanor and makes you feel at ease about a very stressful situation (IVF). We never felt rushed like we were just another number and he took his time to explain things in detail, although i'm sure he has a million other tasks or things to take care of...I felt he was always honest with us and didn't sugarcoat anything. He actually remembers his patients when they come in and knows their fertility history.
All of the medications and calendar [at Advanced Reproductive Medicine and Gynecology of Hawaii] were organized and easy to follow making it with one less thing to worry about. If I had a questions via email, she [nurse] always got back to me very promptly. You could tell she enjoys what she does and it shows through her patient care...Everyone we interacted with was very kind and you would see lots of smiling faces from the staff.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr.Frattarelli was amazing. I felt he was always honest with us and didn't sugarcoat anything. He actually remembers his patients when they come in and knows their fertility history. I absolutely hate when doctors come in that are unprepared and don't know a thing about you until they look at your chart during your appointment. Dr.Frattarelli cares for his patients and it really shows. He has a calming, kind demeanor and makes you feel at ease about a very stressful situation (IVF). We never felt rushed like we were just another number and he took his time to explain things in detail, although i'm sure he has a million other tasks or things to take care of.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
I would tell a prospective patient that although an IVF cycle can very very stressful, to remain as calm, and stress-free as possible because with Dr. Frattarelli because you're in good hands
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
My husband and I both felt like we were treated like humans because they were attentive to every need and questions we had.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Rachel Fluker)
Our nurse that helped us throughout our IVF cycle was Rachel and she was amazing. She was very nice and compassionate and helped ease the anxiety of going through such a stressful ordeal. Rachel was able to answer all of our questions and explain things thoroughly. All of the medications and calendar were organized and easy to follow making it with one less thing to worry about. If I had a questions via email, she always got back to me very promptly. You could tell she enjoys what she does and it shows through her patient care .
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
The office always seemed busy however they were always able to see you pretty quickly. We were always welcomed with a smiling face at the front desk and they would remember your name so you didn't feel like another number waiting to be called. If Dr Frattarelli was running behind, they'd let you know and get your labs done or get you prepped in the exam room ready to go. Zoe would do my lab draws and she was great. I'm usually a hard stick but she was always able to get me every time. She was also very, very nice which helped ease the fear of having to get another blood draw. Everyone we interacted with was very kind and you would see lots of smiling faces from the staff.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
The cost of our IVF medications was about $3000
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
If I remember correctly he recommended only one embryo due to my age (31 at the time) but since I had two embryos implanted with my first failed IVF (with another doctor), he was okay with our wishes to implant two embryos again for this IVF cycle
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[Dr. Frattarelli] offered us participation in an IVF drug study trial, so the protocol was very structured. He did explain to us that this study would not allow him to adjust the medication as he would like, but would provide us an “extra shot” that we could learn from if we needed to go through another cycle. He offered us many options that we could try (iui, clomid, traditional IVF etc since this is our first fertility treatment) but we felt confident that we had made the right choice.
100% of our IVF fees were covered by the drug trial [at Advanced Reproductive Medicine and Gynecology of Hawaii]. Initial consult fees, testing costs and other procedures (hysteroscopy) were as expected. They allowed us to do our blood work and ultrasounds at other clinics to avoid costs if we wanted...Their office is buzzing with tons of staff to keep the flow of patients moving. The wait time was always incredibly minimal and the facility is spacious, organized and efficient. The check in staff knew me by name and I always had positive interactions with all of the team members. The clinic is convenient, offers validated parking and is discreet.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
I had done a lot of research prior to our initial consultation. He answered every question I had with care and energy. We always left feeling hopeful and reassured that we were in good hands. He performed all of our treatments and explained what was happening at every turn. I would definitely recommend him!
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Do your research and know what options are available to you before arrival so that you can allow him to provide his knowledge on the treatments.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
From the very start, our doctor made us feel important. He made both my husband and I feel like neither of us were “the reason” we hadn’t been able to get pregnant. He offered us info and let us choose the path that fit our needs.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Our doctor offered us participation in an IVF drug study trial, so the protocol was very structured. He did explain to us that this study would not allow him to adjust the medication as he would like, but would provide us an “extra shot” that we could learn from if we needed to go through another cycle. He offered us many options that we could try (iui, clomid, traditional IVF etc since this is our first fertility treatment) but we felt confident that we had made the right choice.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Silivia, Tamara, Myra)
My husband is a doctor himself and he was thoroughly impressed with the efficiency of this clinic. My MANY MANY emails were always responded to promptly and with care. They took the time to ease my mind and make sure I understood all of the info I was provided. They have been great!
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Their office is buzzing with tons of staff to keep the flow of patients moving. The wait time was always incredibly minimal and the facility is spacious, organized and efficient. The check in staff knew me by name and I always had positive interactions with all of the team members. The clinic is convenient, offers validated parking and is discreet.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
100% of our IVF fees were covered by the drug trial. Initial consult fees, testing costs and other procedures (hysteroscopy) were as expected. They allowed us to do our blood work and ultrasounds at other clinics to avoid costs if we wanted.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
IN the drug study, we were required to only transfer one embryo n a fresh transfer.
10
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Dr. Frattarelli was very informative but I was also assigned to Dr. Karmon who is also very exceptional....They answered any questions that I have and also explained to me what to expect and the outcome being that I had very low ovarian reserves. But they did not discourage me in proceeding with my IVF even though my chances is very slim to conceive....I first went through counseling of what to expect throughout the IVF procedure, then went through a saline check to see if my uterus is good.
Our IVF coordinator [at ARMG] which is Taylor Shodahl was very informative, supportive, communicated very well, and was always there to answer any of my questions and made sure that I understand all medications and how to use it, and all the procedures that I will be going through. Also all the staff from the reception to the admin, blood work, and nurses were very nice, helpful, and compassionate throughout my procedure from the beginning to the end.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. Frattarelli was very informative but I was also assigned to Dr. Karmon who is also very exceptional. So was also very informative, supportive, and caring through out the whole IVF procedure. They explained to me every medication that I'll be taking, the procedures I'll be going through from check ups to egg retrieval, to embryo transfer. They answered any questions that I have and also explained to me what to expect and the outcome being that I had very low ovarian reserves. But they did not discourage me in proceeding with my IVF even though my chances is very slim to conceive.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
I would recommend Dr. Frattarelli and Dr. Karmon for them as their fertility doctors because they don't just make you feel like another patient they make you feel comfortable and that they are there to help you conceive a baby. Their whole staff are very friendly and supportive.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
They treated me like a human knowing how much I wanted to have a child. They were very informative on the procedures and what the outcome may be. They were caring, supportive, and sensitive towards my feelings when my IVF failed.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
I first went through counseling of what to expect throughout the IVF procedure, then went through a saline check to see if my uterus is good. There were also blood work for both me and my husband. Sperm check for my husband which results came back very good. I had couple of ultra sounds done. I was taking DHEA, C0Q10, and prenatal vitamins. I also did the T-Patch, Estrace, before starting to take the progesterone, Cetrotide, growth hormone, Follistim, Menopur, Gonal-F, Endometrin, Lupron, Ovidrel/Novarel/HCG. Then during egg retrival they harvested 4 follicles, out of 4 follicles, 2 became embryos which both was transferred to my uterus. End result the embryos did not attach to my uterus resulting in failed IVF.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Taylor Shodahl)
Our IVF coordinator which is Taylor Shodahl was very informative, supportive, communicated very well, and was always there to answer any of my questions and made sure that I understand all medications and how to use it, and all the procedures that I will be going through. Also all the staff from the reception to the admin, blood work, and nurses were very nice, helpful, and compassionate throughout my procedure from the beginning to the end.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Overall the clinic is by far the best. I was told about this clinic from one of my friends and also heard that they are really good and the best in Hawaii. Dr. Frattarelli was also recommended from my OBGYN. From the first day they were very friendly and cooperative.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
The cost for my IVF was covered by my insurance HMSA but my copay was $3200.00 but additional cost for recommended medications was around $1000.00 plus.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
Because of my situation of being a low ovarian reserve they elected in transferring 2 embryos which I felt very comfortable with it and had no objections. It was for the better chances of us to conceive.
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He [Dr. Frattarelli] is extremely professional and very knowledgeable. He may come off as a bit cold at first but I appreciate his honesty and forwardness and trust him. He is very thorough and on top of things. He is out every once and a while but makes sure to be there for the important times....I first met with Dr. F for a preliminary consultation and he took preliminary tests. Based off of that, he found that I had diminished ovarian reserve along with what I already was known to have, a unicornuate uterus with a left non-communicating horned ovary.
I've never been to anywhere that has had more painful blood draws and missed my veins multiple times as the phlebotomists here [ARMG of HI]. They are very nice, just very painful or they have to readjust the needle multiple times (the most was 7-8 times in one sitting). I'd appreciate less turnover in my IVF coordinator, as that would help me to feel more comfortable with the clinic....$3,815K for one IVF cycle with insurance and $1K per egg for genetic testing
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
He is extremely professional and very knowledgeable. He may come off as a bit cold at first but I appreciate his honesty and forwardness and trust him. He is very thorough and on top of things. He is out every once and a while but makes sure to be there for the important times.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Make sure to ask a lot of questions. I would recommend this with any doctor. Also, do your own research.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. F would be out at a conference or trip and sub doctors would often not remember me or forget that Dr.F was my primary doctor. Assigned to a new nurse coordinator at least 5 times.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
I first met with Dr. F for a preliminary consultation and he took preliminary tests. Based off of that, he found that I had diminished ovarian reserve along with what I already was known to have, a unicornuate uterus with a left non-communicating horned ovary. However, he found that the quality of my eggs was still good. We did a baseline check with saline and then I was trained to give myself injections to stimulate my ovaries to produce eggs. 6 eggs were taken out of me, 5 eggs were fertilized, 3 eggs made it to the 8-cell stage and after genetic testing, only 1 was genetically sound. I just finished my second cycle of 3 oral estrace a day (with 1 vaginal estrace at night in the last 3 days of cycle). In the first cycle of oral estrace, my lining only grew to 6.7mm, and then in the second cycle, only grew to 5.1mm. Dr. F said we need to try a different technique and now I'm on provera to induce a period and estrogen patches. I hope that my lining will grow enough in this cycle, but we'll see.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Myra Buenaluz)
This is my 5th nurse coordinator since I've been seeing Dr. F. I started seeing him in April. I would appreciate less turnover, although there hasn't been a lapse in communication.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Having been pregnant and having multiple miscarriages and scheduled d&c's, I've had my fair share of blood draws. I've never been to anywhere that has had more painful blood draws and missed my veins multiple times as the phlebotomists here. They are very nice, just very painful or they have to readjust the needle multiple times (the most was 7-8 times in one sitting). I'd appreciate less turnover in my IVF coordinator, as that would help me to feel more comfortable with the clinic. Other than that, Doctor F is very good and I trust him with what is happening.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
$3,815K for one IVF cycle with insurance and $1K per egg for genetic testing (since I had 3 or less) plus an additional $1,500 for cryoperservation. So in total, around $8,315.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
Since I have a smaller uterus, I can only hold one baby safely. Therefore, the only decision for me was to transfer a single embryo.
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Dr. Frattarelli is a great doctor but is busy. He did my 2 initial consultations but we never saw him again. Each appointment thereafter we saw different doctors and nurses and nobody knew our file.... He suggested single embryo due to my age. I would like multiple embryo transfer.... Clomid, HCG trigger injection and IUI. Pending IVF... Husband was sent back to a room for collection which was right next to the nurses station and bathroom. Names were called out like herding sheep and no information or explanation from doctors.
[ARMG is a] Newer facility but very busy. Nurses stations were in the halls. So, seemed a bit cold and unprofessional. More like a job and process. I had to ask questions to find out next steps and had to re-explain my history and background every appointment because we never knew who we would see. Very hard to get anyone on the phone.... I believe this may be a teaching clinic. So, there were SO MANY people working but nobody tending to patients
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. Frattarelli is a great doctor but is busy. He did my 2 initial consultations but we never saw him again. Each appointment thereafter we saw different doctors and nurses and
nobody knew our file.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Ask questions. Be vocal. Do your research and come prepared
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. Harmon did my US and IUI and didn't remember that she had seen me previously. Husband was sent back to a room for collection which was right next to the nurses station and bathroom. Names were called out like herding sheep and no information or explanation from doctors.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Clomid, HCG trigger injection and IUI.
Pending IVF
Describe your experience with the nursing staff at Advanced Reproductive Medicine & Gynecology of Hawaii.
Friendly and good bedside manner. Busy and on the go. I believe this may be a teaching clinic. So, there were SO MANY people working but nobody tending to patients
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Newer facility but very busy. Nurses stations were in the halls. So, seemed a bit cold and unprofessional. More like a job and process. I had to ask questions to find out next steps and had to re-explain my history and background every appointment because we never knew who we would see. Very hard to get anyone on the phone.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
$400
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
I asked questions about this. He suggested single embryo due to my age. I would like multiple embryo transfer.
What specific things went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii?
- Failed to call in prescriptions to pharmacy
- Lost paperwork
- Lost appointments
- Failed to call with results
- Failed to order appropriate test
- Failed to inform you of changes in protocol
- Lost results
- Provided conflicting information
- Failed to convey critical information
Describe the specific things that went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii.
1. I was not told before my IUI that I would need to start Clomid on Cycle Day 3 and have an US. So, I was traveling when AF arrived. Please note, I asked specifically for the timeline and steps,l and was just told to call when AF starts and the nurse will schedule my IUI.
2. Had clinic call in Clomid prescription to where I was traveling and they forgot. Ended up at the pharmacy in a sketchy area at 11pm.
3. Dr. Frattereli assigned me an IVF nurse but I was starting with IUI. She couldn't help me. So back to square 1 while they hunted down someone who could.
4. Flew over for US and told to trigger the next night without being shown how to inject. Hubby due to fly in the next night as well. Got a call that afternoon to inject and pushed the IUI for 1st thing in the morning. Hubby had to fly over quickly and change his flight. They should've ordered the blood test stat since they knew our flight schedules.
5. IUI day - no prep talk. 3 people walked in... someone (never met her before) did the IUI and they walked out. Apparently someone turned on a timer which I figured was for me to lay there. I did my own research to know that's what happens next. No instructions or recap.
6. No follow up after my procedure. I called when AF came and scheduled the next appointment.
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Dr Fratterelli is kind, patient, and thorough. He takes the time to make sure he has answered all of your questions and concerns. He has been open with us and has adjusted our course of treatment as needed including any/all pre-treatment testing/procedures. I feel very comfortable and safe under the treatment of Dr. Fratterelli.... During our first IVF cycle, we used Follistom and Menopur during the stimulation cycle. Doctor was able to retrieve 23 eggs, 19 were mature, 15 fertilized with ICSI and we obtained three blastocyst embryos.
Everyone I have encountered in this clinic [ARMG- HI] has been extremely pleasant and helpful. The staff is warm and compassionate and will try their best to help you feel comfortable or answer any questions that you may have. The clinic itself is beautiful, bright, clean, and inviting.... Insurance covered partial payment for our first IVF cycle. Out of pocket expenses were approximately $12,000 for the initial cycle and the second FET.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr Fratterelli is kind, patient, and thorough. He takes the time to make sure he has answered all of your questions and concerns. He has been open with us and has adjusted our course of treatment as needed including any/all pre-treatment testing/procedures. I feel very comfortable and safe under the treatment of Dr. Fratterelli.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
I have referred friends to Dr. Frattarelli and I tell them to just go in to this process with an open and positive mindset. They are in great hands.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr Fratterelli is patient, kind, and thorough in answering all of mine and my husband’s questions.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
This is to the best of my recollection. During our first IVF cycle, we used Follistom and Menopur during the stimulation cycle. Doctor was able to retrieve 23 eggs, 19 were mature, 15 fertilized with ICSI and we obtained three blastocyst embryos. We did two FET cycles, one with two embryos and one with one embryo. Both FETs resulted in miscarriage. We are currently in our second IVF cycle. This time we used Gonal-F and double the amount of Menopur. We also used HGH and testosterone this round. Prior to this cycle I prepped for months with DHEA supplements to hopefully improve egg quality. We did a hysteroscopy and a Hysterosalpingogram to check my Fallopian tubes. Both tests came back normal. We did an ERA biopsy and discovered I need an extra twelve hours of progesterone prior to the transfer. This cycle we got 19 eggs, 16 of which we’re mature, 12 fertilized with ICSI. We got three day 6 blastocyst embryos and opted to the PGS testing this time. We have one chromosomally normal embryo which will be transferred as a FET on April 17, tentatively.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Aisling Globig)
Aisling is the best! She is always available by email or phone for any questions or concerns I have, no matter how minute they are. Aisling has been my assigned nurse/coordinator from the beginning of our journey and knows me and my case very well.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Everyone I have encountered in this clinic has been extremely pleasant and helpful. The staff is warm and compassionate and will try their best to help you feel comfortable or answer any questions that you may have. The clinic itself is beautiful, bright, clean, and inviting.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
Insurance covered partial payment for our first IVF cycle. Out of pocket expenses were approximately $12,000 for the initial cycle and the second FET. Our second IVF cycle was not covered by insurance at all and out of pocket expenses have been approximately $23,000 including medications and travel expenses due to Dr. Frattarelli being on a different island, which is also why I would be unable to schedule a same day appointment unless absolutely necessary.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
My doctor was very clear about his approach of transferring no more than two embryos at a time. Dr. Frattarelli explained the health risks to both the mother and the babies if more are transferred, as the embryos still have the potential to split once transferred.
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Dr Frattarelli is really great at explaining the process and going over your plan for treatments. He is compassionate & very patient with questions galore that I threw out at him during our first meeting. I’m very comfortable being under his care with my infertility issues & woupdnt think of going anywhere else... My initial consult was to discuss my health, my husband’s health, treatment plans & options. We did a saline ultrasound of my uterus to check for any issues with my uterus. Next, I was put on injectable medications for ovulation stimulation on day 3 of my menstrual cycle.
There is nothing bad I can say about Fertility Institute if Hawaii. Everyone from front desk to billing to the PA’s, nurses & doctors have been extremely helpful, informative, compassionate, understanding & everything else one could look for when seeking fertility treatments... My Tricare copays for medications came out to $24. I believe each visit was about $30?... Tricia & Anna have both been very compassionate & informative with every visit along with the medical assistants/nurses/staff. All very friendly & comforting during my process of trying for a successful pregnancy.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr Frattarelli is really great at explaining the process and going over your plan for treatments. He is compassionate & very patient with questions galore that I threw out at him during our first meeting. I’m very comfortable being under his care with my infertility issues & woupdnt think of going anywhere else
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Expect amazing care from this provider
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr Fraterelli personally sits down with you to go over your plan. He’s very aware of lab results, cycles, etc. I also deal with his P.A’s & every time one walks into the exam room, it’s again a very personal exam with great bedside manner especially with starting new cycles. I’m assured that it’s ok that the last treatment didn’t turn into a positive pregnancy & that we can make a few changes to the last plan to see if that will work
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
My initial consult was to discuss my health, my husband’s health, treatment plans & options. We did a saline ultrasound of my uterus to check for any issues with my uterus. Next, I was put on injectable medications for ovulation stimulation on day 3 of my menstrual cycle. While on this medication, I went in for blood work & transvaginal ultrasounds to check the function of my ovaries & recrutment/size of follicles with instructions of timed intercourse. I went through about 5 rounds & moved into intrauterine insemination afterwards.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Tricia Wahl & Anna DeGolier)
Tricia & Anna have both been very compassionate & informative with every visit along with the medical assistants/nurses/staff. All very friendly & comforting during my process of trying for a successful pregnancy.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
There is nothing bad I can say about Fertility Institute if Hawaii. Everyone from front desk to billing to the PA’s, nurses & doctors have been extremely helpful, informative, compassionate, understanding & everything else one could look for when seeking fertility treatments
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
My Tricare copays for medications came out to $24. I believe each visit was about $30?
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
I have not been given this option yet
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As we progressed with the IVF treatment, Dr. [Frattarelli] was more open and warm. I then startesd to trust him more and our treatment plan. He always asked if we had questions and was willing to explain in depth if need be. I never felt like my appts were rushed with him.... Since our first IVF cycle only produced one mature follicle, we did an IUI instead to save our IVF benefit for the next cycle. The IUI was unsuccessful so we proceeded to another round of IVF (menopur and follistim injections) but Dr. Fratarelli added Androderm patches for 5 days and then Femara for 5 days .
Amy, Rachel and Taylor were very open and available 24/7. Especially since we live on another island, their organization and coordination was optimal. They always were encouraging and honest. I am very grateful for them.... The office [ARMG- HI] is very busy. It may seem like you are just a number but you arent. They are very caring and open. The only problem I had was when making my flight arrangements. My insurance had to call the office and verify my appt. Often my insurance would claim they werent able to get thru to verify the appt.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
As we progressed with the IVF treatment, Dr. was more open and warm. I then startesd to trust him more and our treatment plan. He always asked if we had questions and was willing to explain in depth if need be. I never felt like my appts were rushed with him.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Trust in his expertise and dont be afraid to ask questions, no question is ever too small or embarassing.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
The first couple MD visits that we tried to get pregnant with just pills, the office didnt really follow up or call to see how I was doing. Once we moved forward to try IUI and IVF, we were assigned a nurse and thats when it seemed that they cared. Im guessing they wanted to make sure we were serious
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Since our first IVF cycle only produced one mature follicle, we did an IUI instead to save our IVF benefit for the next cycle. The IUI was unsuccessful so we proceeded to another round of IVF (menopur and follistim injections) but Dr. Fratarelli added Androderm patches for 5 days and then Femara for 5 days . That yielded 6 maturing follicles. Our egg retrieval was 8 total, 6 of them were mature enough to fertilize and of those 3 became embryos for transplant
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Amy, Rachel and Taylor)
Amy, Rachel and Taylor were very open and available 24/7. Especially since we live on another island, their organization and coordination was optimal. They always were encouraging and honest. I am very grateful for them. I also am so impressed with Zoe, their phelbotomist? She always was cheerful and positive. It kept my spirits high
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
The office is very busy. It may seem like you are just a number but you arent. They are very caring and open. The only problem I had was when making my flight arrangements. My insurance had to call the office and verify my appt. Often my insurance would claim they werent able to get thru to verify the appt. So I would have to ask my nurse to call them. I think there should be a dedicated line or person for the insurance companies to call so that flight arrangements dont get delayed
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
Our copay 4,000
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Dr fratarelli has exceptional bedside manner. He’s kind, compassionate and very respectful. He explaines every procedure, medication, ultrasound thoroughly in a way that is easy to comprehend. He is truly compassionate about the work he does and I would have no reason to change my doctor unless I had to move to another state.... Dr fratarelli always transferred 2 embryos in each of my IVF cycles. That was my preference also.
The clinic [ARMG -Hawaii] is a very comfortable and warming environment. You walk in to be greeted at the desk and already feel at home. Zoe my phlebotomist was so friendly and always give a warm and friendly approach. FIH always strive to encourage clients to never give up hope of having their miracle family. I have zero complaints about Dr Fratarelli, his staff and his clinic.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr fratarelli has exceptional bedside manner. He’s kind, compassionate and very respectful. He explaines every procedure, medication, ultrasound thoroughly in a way that is easy to comprehend. He is truly compassionate about the work he does and I would have no reason to change my doctor unless I had to move to another state.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Trust Dr Fratarelli’s judgment and expertise regardless of the outcome of treatment - positive or negative.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr Fratarelli genuinely cares about every one of his clients. I never felt like a “number” during his care. His bedside manner is exceptional and he will go above and beyond every time to ensure everything possible has been done to help achieve pregnancy.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
I am unable to recall the specific drugs and dosages except for the progesterone injections which was 1ml every morning and endometrin vaginal tabs which where done either daily or BID to my knowledge.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Jae )
Every single employee at FIH were exceptional. Jae, my IVF coordinator was very compassionate. She provided medication teaching clearly and verified I understood. She was extremely empathetic and supportive when delivering my negative pregnancy test results.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
The clinic is a very comfortable and warming environment. You walk in to be greeted at the desk and already feel at home. Zoe my phlebotomist was so friendly and always give a warm and friendly approach. FIH always strive to encourage clients to never give up hope of having their miracle family. I have zero complaints about Dr Fratarelli, his staff and his clinic.
Describe your experience with your monitoring appointments at Advanced Reproductive Medicine & Gynecology of Hawaii.
FIH was very flexible with my appointment times as long as it was in the AM of a specific day.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
Dr fratarelli always transferred 2 embryos in each of my IVF cycles. That was my preference also. He explained the rationale for not transferring more which made total sense.
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DR JOHN Frattarelli is a well educated man that always welcomes you with a smile. when I first went to the clinic and was waiting in the waiting area he was passing by and unlike every other doctor where they just walk by makes eye contact and ignores you. DR frattarelli did just the complete opposite, he greeted me with a hello and a smile as he was just passing through the waiting room which made me feel extra comfortable and welcomed.
The nursing staffs [Advanced Reproductive Medicine & Gynecology] were just as awesome as DR john. they are all very helpful and so kind. they as well answers all your questions and concerns.... nothing for weakness because my experience was awesome with all the staffs. they always make sure you feel welcomed once you enter the clinic and on your way out. the clinic is very neat tidy and clean. lots of bathrooms which is awesome. they are fast and efficient.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
DR JOHN Frattarelli is a well educated man that always welcomes you with a smile. when I first went to the clinic and was waiting in the waiting area he was passing by and unlike every other doctor where they just walk by makes eye contact and ignores you. DR frattarelli did just the complete opposite, he greeted me with a hello and a smile as he was just passing through the waiting room which made me feel extra comfortable and welcomed. as I got called to the back to meet him for the first time he again greeted me told me who he was even though I already knew who he was :) he went through my chart explained everything I had to do and the medications that I would be starting and when to start taking them as well as the side effects. he has answered all my questions and concerns before we departed. all around DR john frattarelli is awesome, despite the negative reviews I came across before going to his clinic that still did not stop me from going and I am so happy I did decide to go ahead a go with his clinic because him and his staffs has been nothing but good to me. thank you DR john frattarelli for all that you do for us women.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
you wont regret it!
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
human because DR JOHN first of all is amazing. HE's a well educated man. he had answered all my questions and concerns. he welcomes you with a smile and asks how are you today, or how is your day going. he always listens and never turns you away. he's amazing and has an amazing staff as well. I wish my wife and I didn't have to put our fertility journey on hold because of the expense. but as for right now we are just praying and wishing we could go back soon and finally have a little blessing or blessings of our own. as for right now we are amazingly blessed that we have each other.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
I was getting treated for a IUI cycle. DR john wanted to do a mock cycle first to see how well ill respond with the medications such as clomid which was used to help me to ovulate and metformin which I had to take due to having PCOS. the mock cycle went very well my body was responding well to the medications and everything looked great which is what exactly doctor said. so he told me it was time to search for a donor for my next cycle the actual one where we would go ahead and do the IUI. unfortunately I did my next cycle with a different doctor. but over all my experience was great with DR JOHN FRATTARELLI!
Describe your experience with the nursing staff at Advanced Reproductive Medicine & Gynecology of Hawaii.
The nursing staffs were just as awesome as DR john. they are all very helpful and so kind. they as well answers all your questions and concerns.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
nothing for weakness because my experience was awesome with all the staffs. they always make sure you feel welcomed once you enter the clinic and on your way out. the clinic is very neat tidy and clean. lots of bathrooms which is awesome. they are fast and efficient.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
for test and blood work it roughly came out to $700 something the donor was around $1000.00 and medications around $120-$150
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Very professional, but almost too professional. Dr. F [Dr. Frattarelli] clearly knows what he is doing and instills a sense of confidence - I felt confident he was doing the most he could to help us conceive. However, he does not have the personal bedside manner some other doctors have. One downside was that sometimes the sessions with Dr. F were fairly short so sometimes we would have to ask questions in order to get information we felt was important to us.
The amount of staff available and the organization means the whole operation [Advanced Repro Med] is very smooth and wait times are usually small. Overall its a very professional clinic. That is both its strength and its weakness. I would recommend it for people who really want to conceive as fast and safely as possible. Maybe not so much for someone who wants the care providers to also be a shoulder to cry on/take a more personal approach.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Very professional, but almost too professional. Dr. F clearly knows what he is doing and instills a sense of confidence - I felt confident he was doing the most he could to help us conceive. However, he does not have the personal bedside manner some other doctors have. One downside was that sometimes the sessions with Dr. F were fairly short so sometimes we would have to ask questions in order to get information we felt was important to us.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Expect a very professional medical experience - don't expect the Dr. F to be your best friend and counselor.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Progesterone shots to stimulate egg growth before retrieval; estrogen pills and patch prior to embryo transfer to promote uterus lining growth.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Laine, Lisa, Myra)
the nursing staff were always attentive and organized. The only downside was that after being assigned a nurse coordinator, we were then assigned a new one after a couple of weeks, and then another one a couple of weeks later. IT would have been nice to keep the same nurse coordinator throughout the process.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
The amount of staff available and the organization means the whole operation is very smooth and wait times are usually small. Overall its a very professional clinic. That is both its strength and its weakness. I would recommend it for people who really want to conceive as fast and safely as possible. Maybe not so much for someone who wants the care providers to also be a shoulder to cry on/take a more personal approach.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
IVF cycle cost $3,800 after insurance payment, genetic testing cost $1,000 for one embryo, and initial cryo preservation cost $1,500
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I wished he [Dr. Frattarelli] showed a little more compassion given that this was my first round...has a state of the art office and all the frills but if you are looking for a doctor that is warm and fuzzy, he is not the one...He immediately recommended that I go with donor eggs and that was pretty much the end of the conversation bc I am not ready to move to that option...answered all of my questions prior to starting my treatment however, he is not the warmest so I never felt like I truly connected with him.
While the office [Advanced Reproductive Medicine and Gynecology of Hawaii] was always busy and there was always many patients waiting in the waiting area, the staff was very friendly and knew me by name...My favorite PA was Tricia who was always so thorough and had great bedside manner...Anna [nurse] did my 2nd IUI and I was not impressed. That round my husband has some kind of infection and they had to wash his sperm a second time which made the count less than 1 million.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. Frattarelli answered all of my questions prior to starting my treatment however, he is not the warmest so I never felt like I truly connected with him. Before I started my IVF treatment he found a mass in my uterus so we did a hysteroscopy to remove what turned out to be a polyp to insure that I had the best chance at success.
What did bother me is when the IVF treatment failed and I went in for my "discuss options" meeting with him. As you can imagine I was in a devastated and defeated state of mind. When I asked him what happened and why did the treatment not work, he immediately defaulted to my age (42) and the fact that I had endometriosis. The funny thing is that I never really knew that I had endometriosis and all of a sudden that was in my charts. I asked why he couldn't have done the surgery to remove the endometriosis prior to starting my IVF treatment and he said to me "I don't do that." No explanation, nothing. He immediately recommended that I go with donor eggs and that was pretty much the end of the conversation bc I am not ready to move to that option. I wished he showed a little more compassion given that this was my first round.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Do you due diligence and shop around. Dr. Frattarelli has a state of the art office and all the frills but if you are looking for a doctor that is warm and fuzzy, he is not the one.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
While the office was always busy and there was always many patients waiting in the waiting area, the staff was very friendly and knew me by name. I liked coming to the office because I always felt hope that Dr. Frattarelli and his team would be able to help me. My favorite PA was Tricia who was always so thorough and had great bedside manner.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Antagonist protocol
450/225 Gonal F
Menopur
Dexamethasone
Estradiol
Progesterone
Produced 3 eggs, two of which produced embryos (7C and 6C cells), both were implanted, failed.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Tricia, Ainsling, Anna)
Ainsling was my IVF Coordinator and she was very organized and had great follow through. I wouldn't say she was the most compassionate especially when she delivered the news that my IVF failed.
Tricia was the PA that did 2 out of 3 of my IUIs. She is AMAZING! Friendly, thorough, and caring. I wish she was my nurse for all treatments.
Anna did my 2nd IUI and I was not impressed. That round my husband has some kind of infection and they had to wash his sperm a second time which made the count less than 1 million. We had been told that normally they would like to see the sperm count to be over 4 million. Because the number was so low, I actually stopped Anna right before she did my procedure and asked her "Should we even do this today?" and she said "Well, it is a better chance than regular sex." She didn't even give us time to consult or discuss and proceeded with the IUI which failed. I asked the receptionist that going forward, I never wanted to be under her care. I did not feel like she cared about my well being and was just doing the procedures as it was her job duty.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Strengths - state of the art office, fancy collateral (ice bags for meds), friendly staff.
Weaknesses - when you call, it is hard to get through on your first try, doctor and some of the nurse staff did not feel warm, always crowded so it does seem a little like they are herding cattle.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
Insurance covered a round but I still had to pay for the co-pay and medication. I believe it was around $6,000 that I had to pay for IVF. For IUI it was approx $400 for the first round and $1,000 each round for the next two rounds.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
N/A
What specific things went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii?
- Canceled a cycle due to clinic error
- Scheduled the wrong procedure
Describe the specific things that went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii.
I was supposed to start my treatment on a certain date but I could not because the date of my hysteroscopy was miscalculated so it extended out the day I could start my IVF. That was frustrating because I was all set to start and had to wait a few more weeks.
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Dr. Frattarelli made our experience positive. He explained everything and answered all questions we had. Like all things with unexplained infertility there will always be unknowns, he never made us feel like a lost cause but was open about known statistics of success. I found him to be trustworthy and kind. I was comfortable with him through our whole journey...He is an up front physician and takes a few minutes to warm up but this does not mean he doesn’t care. He is an amazing clinician and hopes for success of all.
The costs were around what I had researched online [at Advanced Reproductive Medicine and Gynecology of Hawaii]. They were upfront with the costs during consultation and also discussed the cost of the medications. All were as expected...Very responsive, communicate well always friendly, clinic environment is warm and inviting. Lots of natural light in lobby. My husband was comfortable there too. If you have questions ask, be honest and open. If they ever don’t have the answer, they will find someone who does. Love it there!
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. Frattarelli made our experience positive. He explained everything and answered all questions we had. Like all things with unexplained infertility there will always be unknowns, he never made us feel like a lost cause but was open about known statistics of success. I found him to be trustworthy and kind. I was comfortable with him through our whole journey.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
He is an up front physician and takes a few minutes to warm up but this does not mean he doesn’t care. He is an amazing clinician and hopes for success of all.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr Frattarelli is kind, knowledgeable and straightforward. He didn’t talk down but spoke in terms I could understand. Though he is incredibly busy, he never made us feel like he was hurried.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii.
Everyone in the clinic was Amazing from care coordination, to lab, to nurses, to front desk and billing. All around fantastic. They were always so busy there but they always made you feel like they were taking time for you.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Very responsive, communicate well always friendly, clinic environment is warm and inviting. Lots of natural light in lobby. My husband was comfortable there too. If you have questions ask, be honest and open. If they ever don’t have the answer, they will find someone who does. Love it there!
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
The costs were around what I had researched online. They were upfront with the costs during consultation and also discussed the cost of the medications. All were as expected.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
Dr. Frattarelli presented all the facts, success statistics, clinical experiences and risks of both single or two embryo transfer. I knew the safest option was a single transfer. He was amazing at answering questions and open to discussion. At the end, It really ended up being a decision made by my husband and I with his inputs.
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The one thing I do know is that Dr. Frattarelli to add on to my egg stimulation medication to try and increase egg quality. Every step of the way Dr. Frattarelli order medications and treatment to increase my chances for a positive outcome.... Kind compassionate physician that truly cares. About his patients and their individual needs, and addresses the emotional roller Costner I felt that I was on. Answered all of my question, and also being there giving great advice as to the next step.
The clinic [ARMG] is very informative, and is very honest. I did not see any weakness. My coordinator help a lot. She recognized that due to my egg quality did not result in a viable embryo transfer that I would be reembursted part of my up front payment.... From nursing staff to the phyician they were a warm empathetic practice. Every step of the process they truly made sure that I was informed, and helped me understand the process. With complete honesty. The one ivf treatment was an emotional process that helped me understand that it had failed due to egg quality.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Kind compassionate physician that truly cares. About his patients and their individual needs, and addresses the emotional roller Costner I felt that I was on. Answered all of my question, and also being there giving great advice as to the next step.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
I would say Dr. John Frattarelli is the only phycian I would go to.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
From nursing staff to the phyician they were a warm empathetic practice. Every step of the process they truly made sure that I was informed, and helped me understand the process. With complete honesty. The one ivf treatment was an emotional process that helped me understand that it had failed due to egg quality. The physician was empatatic and informative in deciding to continue treatments and alternative options. At the time I chose to take a break, and emotional deal with how I felt. Now I'm both physically and emotionally stronger to take the step to try one more time using a donor egg.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
I can't remember most of it step by step. The one thing I do know is that Dr. Frattarelli to add on to my egg stimulation medication to try and increase egg quality. Every step of the way Dr. Frattarelli order medications and treatment to increase my chances for a positive outcome.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii.
Kind, compassionate and. Very informative. They truly cared about my well being.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
The clinic is very informative, and is very honest. I did not see any weakness. My coordinator help a lot. She recognized that due to my egg quality did not result in a viable embryo transfer that I would be reembursted part of my up front payment.
Describe your experience with your monitoring appointments at Advanced Reproductive Medicine & Gynecology of Hawaii.
Excellent
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
7,000.00
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
I trust Dr. Fratterelli empatically and would follow his recommendation for what is best for me.
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10
Dr. John Frattarelli always had a smile on his face at each appointment I had. He was honest, caring, and very compassionate. If I had a question he gave a honest answer. He explained at each visit what was going to happen next and I like that. As a patient I felt like I was a queen because I felt very comfortable at each appointment. I felt like I was more than a patient to then because the way they treat there patients.
The clinic [Advanced Reproductive Med and Gyn of HI] was always welcoming when you enter the door. The clinic is clean and all the staff has a smile on there face. They make you feel comfortable from the start. I recommend this clinic to anyone in a heartbeat.... Jae [a nurse] was always positive when I was communicating with her. Jae made sure that I understood what to do when I did my shots at home and always returned my call before the end of the day. Jae was always organized and educated.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. John Frattarelli always had a smile on his face at each appointment I had. He was honest, caring, and very compassionate. If I had a question he gave a honest answer. He explained at each visit what was going to happen next and I like that.
As a patient I felt like I was a queen because I felt very comfortable at each appointment. I felt like I was more than a patient to then because the way they treat there patients.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
You would not regret his services. He is so awesome!
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
All the staff was warm and welcoming to me and my family.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
I had to do hormone shots. That was uncomfortable at first but it got easier. I did not have any side affects from any medication that I took. I always asked questions about everything. I had to fly to Oahu to do the transfer and they egg retrieval. I did a lot of ultrasounds and at every appointment I had the doctor explained everything that was going to be done.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Jae lee)
Jae was always positive when I was communicating with her. Jae made sure that I understood what to do when I did my shots at home and always returned my call before the end of the day. Jae was always organized and educated.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
The clinic was always welcoming when you enter the door. The clinic is clean and all the staff has a smile on there face. They make you feel comfortable from the start. I recommend this clinic to anyone in a heartbeat.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
The total out of pocket cost that I spent was about $6,000
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
My doctor said that he will only transfer 2 embryos because of the chances of me getting multiples. I wanted 3 but the doctor said 2 is good. I trust him.
8
7
He [Dr. John Frattarelli] did advise against mutilple embryo transfers to avoid multiple child due to his own experiences. He explained what he was doing, but I felt that he was not that knowledged on endometriosis and appropriate treatment for someone with it. It felt that our treatment was the same as others and we were not advised to do anything different because of it.
She [nurse at Advanced Reproductive Medicine and Gynecology of Hawaii] rushed through explanations, did not provide timely follow ups and we did not feel that we were properly informed of all aspects of treatment and so forth. We went in not knowing much about fertility treatments and left the same. We learned more afterwards from others than we did while at the clinic and with our nurse.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
He was pleasant and friendly.
He did advise against mutilple embryo transfers to avoid multiple child due to his own experiences.
He explained what he was doing, but I felt that he was not that knowledged on endometriosis and appropriate treatment for someone with it. It felt that our treatment was the same as others and we were not advised to do anything different because of it.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Do your own research beforehand, so that you can understand all options available to you by mutilple doctors. Reach out to others with a similar situation as you, to help obtain guidance and suggestions on treatments that worked and those that didn't. Don't rely solely on the doctor to know your own body and how you may or may not react emotionally. Make sure you have a support system in place ahead of time and have reasonable expectations.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
The clinic was very busy each time we visited. Nurse assigned to us did not always follow up in a timely manner. When she explained injections and processes she rushed through them as if she was going through a script. We did not feel we got all of the proper information on what was happening and what we could/should do to help the process. (For example what over the counter medicines cannot be taken, the level of physical activity, foods etc.)
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Due to my endometriosis and very few follicles, I was given the maximum doses of stimulation drugs. This also caused my endometriosis and ovaries to swell, which also brought on a lot of pain and discomfort. My body was stressed and I do not feel it was in the best position to produce eggs. We only had one to retrieve, which we did and transferred, however it did not implant. It all happened so fast, and I feel the treatment options hurt my body and ultimately our chances of success.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii.
She rushed through explanations, did not provide timely follow ups and we did not feel that we were properly informed of all aspects of treatment and so forth.
We went in not knowing much about fertility treatments and left the same. We learned more afterwards from others than we did while at the clinic and with our nurse.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Very pleasant, peaceful environment. However it also had a look that felt very expensive and high tech, which made us feel they were professional but pricey.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
With insurance, around $5,000 out of pocket. However we also had travel expense, and it being Hawaii it was expensive staying overnight. We had about $5,000 additional in travel expenses as well.
What specific things went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii?
- Failed to call in prescriptions to pharmacy
- Failed to call with results
- Provided conflicting information
- Failed to convey critical information
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10
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This patient has provided documentation of treatment at this clinic.
Dr. Frattarelli was terrific. I always felt like I understood what was happening from his explanations. Everything about all my procedures went as it should have - it could not have gone more perfectly - we were successful on our first IVF cycle with a healthy baby - delivered at age 41!... I felt like he was knowledgeable - an expert in his field for sure! We have been back to visit afterwards with our daughter. Even years after the procedure I ran into him and he remembered me!
The clinic [ARMG] is beautiful, clean, a very calming place to be throughout a process like this. Every appointment was ON TIME! Everyone is very friendly and helpful. The lab is on the premises so everything is all done in one place.... She [nurse] was like a big sister to me during the whole process, holding my hand. I asked a million questions, emailed her a million questions and never made to feel like a bother at all. She was very supportive. I kept in touch with her throughout the pregnancy and when our baby was born.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. Frattarelli was terrific. I always felt like I understood what was happening from his explanations. Everything about all my procedures went as it should have - it could not have gone more perfectly - we were successful on our first IVF cycle with a healthy baby - delivered at age 41! Every appointment was on time - unheard of in most doctor’s offices. I felt like he was knowledgeable - an expert in his field for sure! We have been back to visit afterwards with our daughter. Even years after the procedure I ran into him and he remembered me!
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
You are in the best hands - just follow all their directions, do what they tell you - and be positive! You are being treated by someone who has been through this process himself!
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Everyone at the clinic was so personable, respectful, professional, and supportive.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
I first had a consult and my husband & I were sent fir tests. Upon review of those results it was determined IVF would be the best course of action. I began my visits and started my injections (it was a few years ago so I can’t recall the specific names of the medications off hand, but I believe it was aggressive. I visited the office several times to be monitored and everything was progressing as it was supposed to through every step. The day before my egg retrieval he predicted I would get 10 eggs and that’s exactly what we got! ICSI was used resulting in 6 embryos. On the day of the embryo transfer, I was shown a picture of 2 on the computer screen. Of one, he told me, “It doesn’t get to look any better than that,” and the other was pretty good too. We were going to give the other 4 embryos one more day to see if they would develop to a quality good enough to freeze (in case the embryo transfer did not result in a pregnancy/birth). The 2 embryos were transferred and we had a healthy baby girl. I was 41 when she was born.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Roisin)
She was like a big sister to me during the whole process, holding my hand. I asked a million questions, emailed her a million questions and never made to feel like a bother at all. She was very supportive. I kept in touch with her throughout the pregnancy and when our baby was born.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
The clinic is beautiful, clean, a very calming place to be throughout a process like this. Every appointment was ON TIME! Everyone is very friendly and helpful. The lab is on the premises so everything is all done in one place.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
My insurance paid almost everything, including flights to Honolulu (I lived on a neighbor island).
10
10
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Verified
This patient has provided documentation of treatment at this clinic.
He [Dr. Frattarelli] is patient, warm and kind. He makes you feel comfortable and clearly explains treatment options and his honest opinion on success. I trusted him throughout the process completely!... Due to our situation, husband low count, slow and questionable quality swimmers, dr. F suggested IVf. My husband and i wanted to instead try iui, our insurance, tricare, does not cover infertility treatment, due to cost. We tried two rounds of iui with myself being stimulated with no luck.
The staff [Advanced Repro Med] knew my name when i walked in and created me warmly.... Strengths: i feel they are very through and give very individualized treatment. They were expanding as i left so hope they have still kept the very personal care and touch i knew them to have. I honestly can not think of a weakness...my hubby said the tv in the men’s “room” did work so if it’s still out of order perhaps that... Our fresh cycle with out medications cost us roughly 11k. The following frozen cycle was around $5k
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
He is patient, warm and kind. He makes you feel comfortable and clearly explains treatment options and his honest opinion on success. I trusted him throughout the process completely! He seems to truly love his job and maleomg dreams come true. I felt like he was cheering us on and doing everything in his power to help us have a child.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Go on with an open mind. Ask tons of questions and trust the process and the dr...if it’s dr. John!
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
The staff knew my name when i walked in and created me warmly. I never felt rushed or uncomfortable with any of my treatment. Dr fraterelli takes the time to explain treatment options and what would be best for the individual. I genuinely feel like he loves his job of making families come true!
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Due to our situation, husband low count, slow and questionable quality swimmers, dr. F suggested IVf. My husband and i wanted to instead try iui, our insurance, tricare, does not cover infertility treatment, due to cost. We tried two rounds of iui with myself being stimulated with no luck. (Dr. F was right...:)) We we’re now ready to listen to put our treatment completely on his hands. Ivf. Stimmed on follistem with no complications. Retrieved 23 eggs 13 made it to embryos. We did a fresh 5 day transfer with no baby. Frozen transfer i don’t recall total portocall but know i took shots in my stomach i believe and the progesterone shots daily. We now have an amazing little boy from this cycle!
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Rosheen)
There are no words for this woman...she cried with me, she celebrated with me, she held my hand when my husband was deployed and wasn’t there for the transfer. This woman is an angel and will forever hold a special place in my heart!
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Strengths: i feel they are very through and give very individualized treatment. They were expanding as i left so hope they have still kept the very personal care and touch i knew them to have. I honestly can not think of a weakness...my hubby said the tv in the men’s “room” did work so if it’s still out of order perhaps that..lol
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
Our fresh cycle with out medications cost us roughly 11k. The following frozen cycle was around $5k
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
Due to my history for recurrent loss, our age, no other children, and acceptance of the possibility for multiples, dr f transferred two embryos on both the fresh and frozen transfers
10
10
Verified
This patient has provided documentation of treatment at this clinic.
[Dr. John Frattarelli] recommended transferring 2 of the untested embryos which resulted in both implanting but resulted in a vanishing twin. He educated us as to why that may have occured. The other embryo resulted in having trisomy 13 and severe abnormalities resulting in a loss after 18 weeks. My 2nd transfer was with 1 tested embryo but miscarried after 6 weeks. I was pleased with his approach but saddened that it didn’t succeed
[Advanced Reproductive Medicine and Gynecology of Hawaii is a] Very great clinic where everything throughout the process (ultrasounds, blood work, retrieval and transfer) was handled at which makes it more convenient. Environment is very nice and clean. Parking is also validated...They [nurses] are great communicators and very compassionate and helpful...He [Dr. Frattarelli] was understanding of our infertility struggle and very helpful throughout the process
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
He was a better communicator and very informative compared to my previous fertility doctor. He also detailed the risks and recommendations throughout the process so we had an understanding of what to expect and help us cope with our losses
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Remain hopeful and trust the process he recommends you follow
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
He was understanding of our infertility struggle and very helpful throughout the process
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Taylor S.)
They are great communicators and very compassionate and helpful
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Very great clinic where everything throughout the process (ultrasounds, blood work, retrieval and transfer) was handled at which makes it more convenient. Environment is very nice and clean. Parking is also validated
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
IVF retrieval was covered by my insurance. Th transfer was at a reasonable cost and included majority of the medications. Reasonable cost for the embryo cyropreservation and genetic screening as well
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
Dr recommended transferring 2 of the untested embryos which resulted in both implanting but resulted in a vanishing twin. He educated us as to why that may have occured. The other embryo resulted in having trisomy 13 and severe abnormalities resulting in a loss after 18 weeks. My 2nd transfer was with 1 tested embryo but miscarried after 6 weeks. I was pleased with his approach but saddened that it didn’t succeed
8
10
Not much empathy when transfers failed or lining wasn’t getting thick enough. Sometimes I felt like he was trying to redirect me to other options, ie surrogacy. ... Dr. Fratteralli is very educated about the ivf process. However sometimes I felt just like a number because all my embryo transferred have failed thus far. ... So far 4 embryo transferred with 1 bfp that resulted in miscarriage. Getting ready for my next cycle.
My coordinator had the wrong transfer dates on my calendar. ... I had no problems with monitoring appointments. Sometimes they were running late but that happens anywhere. ... Staff is very efficient and organized. They also have several offices throughout the state of Hawai’i. They respond via email or phone call. The only “weakness” would be their main clinic is on Oahu, so outer islanders still have to pay for travel expenses. But the clinic will try and accommodate your schedule.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. Fratteralli is very educated about the ivf process. However sometimes I felt just like a number because all my embryo transferred have failed thus far. But his support staff is great and very efficient.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Don’t be afraid to ask questions. If you’re still unclear, his support staff will help you.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Not much empathy when transfers failed or lining wasn’t getting thick enough. Sometimes I felt like he was trying to redirect me to other options, ie surrogacy.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Did ivf transfer with my own embryos that failed in 2015.
Currently doing ivf with donor eggs with the Assured Refund Plan. So far 4 embryo transferred with 1 bfp that resulted in miscarriage. Getting ready for my next cycle.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Tiare Browm)
Very efficient.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Staff is very efficient and organized. They also have several offices throughout the state of Hawai’i. They respond via email or phone call.
The only “weakness” would be their main clinic is on Oahu, so outer islanders still have to pay for travel expenses. But the clinic will try and accommodate your schedule.
Describe your experience with your monitoring appointments at Advanced Reproductive Medicine & Gynecology of Hawaii.
I had no problems with monitoring appointments. Sometimes they were running late but that happens anywhere.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
First round, my insurance covered 80%.
This time with the Assured Refund Plan, 100% out of pocket.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
Yes, because of my history of an incompetent cervix, he recommended transferring only 1 embryo.
What specific things went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii?
- Failed to convey critical information
Describe the specific things that went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii.
My coordinator had the wrong transfer dates on my calendar.
10
10
Dr. John and his staff were amazing.They were very responsive and easy to work with. I could tell they had our best interests at heart.... I saw 3 doctors over the course of 8 years of TTC. Dr. John was by far the best one. He was very warm, easy to talk to, and honest from the start. We trusted him implicitly with our care. His professionalism and bed side manner are top notch. I would highly recommend him to anyone dealing with fertility issues.
They [Fertility Institute of Hawaii] are very busy so the appointments are short and to the point. If you feel like you need to be coddled a lot, this may not be the clinic for you. Everyone who works there are is very nice. I did not have a problem with any one there. It was nice to have follow up appointments on Maui.... [nurse] Aisling always took the time to call us and check up on us even after I was released to my OBGYN....
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
I saw 3 doctors over the course of 8 years of TTC. Dr. John was by far the best one. He was very warm, easy to talk to, and honest from the start. We trusted him implicitly with our care.
His professionalism and bed side manner are top notch. I would highly recommend him to anyone dealing with fertility issues.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Do your research. Don't be afraid to ask lots of questions.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Dr. John and his staff were amazing.They were very responsive and easy to work with. I could tell they had our best interests at heart.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
We used an egg donor because Dr. Frattarelli knew that we would not be able to conceive with our own eggs due to previous failed cycles.
We used 7 donor eggs, 5 fertilized, 4 became blastocysts and we transferred 1. Our son was born in September 2016.
Describe your experience with your nurse at Advanced Reproductive Medicine & Gynecology of Hawaii. (Assigned nurse: Aisling)
Even though she was super busy, Aisling always took the time to call us and check up on us even after I was released to my OBGYN. She even sent my son a gift when he was born.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
They are very busy so the appointments are short and to the point. If you feel like you need to be coddled a lot, this may not be the clinic for you.
Everyone who works there are is very nice. I did not have a problem with any one there.
It was nice to have follow up appointments on Maui.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
They were high. We paid $42k for our egg donor cycle.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
We chose to trust the doctor's recommendation of a single embryo transfer.
9
10
Verified
This patient has provided documentation of treatment at this clinic.
My experience has been positive with Dr. Frattarelli although I haven’t had a successful pregnancy yet. He is very knowledgeable about infertility treatments. He is available for appointments or phone calls to discuss any concerns I had....Started with Clomid and TI for a few cycles then switched to Femara and iui with trigger shot. No successful pregnancy so far.... I was always given as much time as I needed to have my questions answered.
I was always given as much time as I needed to have my questions answered. I feel like all the staff [Advanced Repro Med and Gyn of HI] really care....Strengths are appointments are easy to get and they have validated parking. Weaknesses are that the phone isn’t always answered and your voicemail might not be returned so you have to call back another time.... I went to my pharmacy and my prescription wasn’t called in, so I had to call the doctors office to remind them to order it.
How was your experience with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
My experience has been positive with Dr. Frattarelli although I haven’t had a successful pregnancy yet. He is very knowledgeable about infertility treatments. He is available for appointments or phone calls to discuss any concerns I had.
What's one piece of advice would you give a prospective patient of John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
Don’t be afraid to ask questions or speak up if you have any concerns.
During treatment, were you treated like a number or a human with John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii?
I was always given as much time as I needed to have my questions answered. I feel like all the staff really care.
Describe the protocols John Frattarelli used in your cycles at Advanced Reproductive Medicine & Gynecology of Hawaii and their degree of success.
Started with Clomid and TI for a few cycles then switched to Femara and iui with trigger shot. No successful pregnancy so far.
Describe your experience with the nursing staff at Advanced Reproductive Medicine & Gynecology of Hawaii.
Strengths are they are very compassionate and informative. Weaknesses are sometimes they are very busy and you may have to wait before your appointment.
Describe your experience with Advanced Reproductive Medicine & Gynecology of Hawaii.
Strengths are appointments are easy to get and they have validated parking. Weaknesses are that the phone isn’t always answered and your voicemail might not be returned so you have to call back another time.
Describe the costs associated with your care under John Frattarelli at Advanced Reproductive Medicine & Gynecology of Hawaii.
My insurance covered almost everything so far.
Describe John Frattarelli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Advanced Reproductive Medicine & Gynecology of Hawaii.
We have not done ivf yet but we’re told that it would be our choice to transfer one or two embryos
What specific things went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii?
- Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Advanced Reproductive Medicine & Gynecology of Hawaii.
I went to my pharmacy and my prescription wasn’t called in, so I had to call the doctors office to remind them to order it.
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Fertility 101
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You took sex ed, but now you need to understand fertility. Data to answer your questions about natural conception and diagnosing what might be wrong.
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Mental Health & Fertility
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Breaking down every important topic relating to mental health & fertility. We cover data around anxiety, depression, and stress as they relate to fertility & fertility outcomes. Studies on relaxation techniques & SSRI antidepressants. Tools for managing relationships with your partner, family, friends, & co-workers
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Harvard, Cornell, +1 more