Lori Homa

When I first met Dr. Homa, I was very pleased! She took the time to listen to our struggles & concerns. When I mentioned my miscarriages she was sympathetic. The part that I loved the most was she was eager to get us the help we need! We’ve been waiting for someone to help us do something about our issue and she’s the one who had answers! She was very good at explaining everything we needed to know.

To just be honest and open with her and she will help you!

We have only done one round of IUI under the supervision of Dr. Homa, future cycles have been put on hold because of Covid19. She put me on 5mg of Letrozole on cycle days 3-7, then I did the Ovidrel trigger shot on my cycle day 16. On cycle day 18 I had the IUI procedure done. She did not perform my IUI, it was a different nurse. I did not end up pregnant that round, not yet!

I have pretty good insurance thankfully! The IUI procedure itself was $400, my Ovidrel shot had a copay of $20 and my Letrozole had a copay of $5. My ultrasounds were covered under my insurance. My copay to see the specialist was $30.

Only saw the doctor once for initial consultation and treatment plan. All communication was done by the RN and IUI procedure performed by RN. Since multiple IUI’s failed, we will have follow up with the doctor. She was very textbook and to the point, not very warm but I would prefer to not have medical information “candy coated”

Be prepared with questions. She will answer all questions very matter of fact. Also prepare for little communication with the doctor, as most of it goes through the RN. But if you have questions for the doctor the nurse will ask and call you back.

We started with Clomid and timed intercourse for the first cycle with the RE as we were repeating labs. When we had the results, she recommended Medicated IUI with Clomid and Ovidrel due to diagnosis of low morphology and history of mild endometriosis. Endometriosis was previously diagnosed. We went through 4 total rounds of Clomid, 3 Of those with IUI and Ovidrel injection. All failed, now awaiting a follow up appointment

Clomid- $16 with GoodRX coupon Ovidrel- $107 with freedom fertility rebate Mid cycle ultrasound- $291cash IUI- $369 cash SA- $15 after insurance

N/A

Dr. Homa pushes more for ivf. If your not an ivf patient then your pushed off the the nurses for your treatment. She has NO compassion for her patients. She's a new mother during a procedure with her she sat there in front of me talking with a nurse about he son and her soon to arrive daughter. As someone going thru ferility and having 2 miscarriages and an eptopic it was very unprofessional and insensitive of her to do that. During eptopic treatments she had called me on the phone since she wasn't in office for weeks due to doing ivf at hospital and she was holding her baby who was making noises in the phone while trying to talk to me about the eptopic and the medicine that was used for stop growth of my baby and the next steps during the miscarriage as to what to expect and that going forward ivf is only option which we can't afford being its $16,000 plus medicine and other testing.

If your not doing ivf try another doctor in the office first.

Letrozol was used qith trigger every month. I have always had low progesterone i had to fight to get that with my last pregnancy that endes in an eptopic. Eptopic that almost busted my tube due to dr. Homa not wanted to do a ultrasound earlier.

My insurance pays for non-associated fertilization but for 1 cycle of ivf is $16000.00 plus the cost of medicine.

She was unprofessional. She walked into our second appointment, which was her first of the day after coming back from vacation, 30-45 mins late in a spaghetti strap sun dress with her bra straps hanging out. This appointment was to review the blood work that confirmed my diagnosis. After she finally came in the room she said something along the lines of “yep looks like we have confirmation, you have premature ovarian failure, your only option for getting pregnant is using donor eggs, sorry” and in the next minute said “ I’ll send the girls in to talk to you about our options and send you to the finance office, have a nice day.” I was not only shattered from the confirmation of being basically in menopause at age 30 but she didn’t even act like we would need time to grieve or .come to terms with the information. She Just shuffled us off to the next person to move forward with treatment.

If you are looking for any compassion or support from your physician look elsewhere. Her demeanor made me feel like I was a distraction or annoyance. She was unprofessionally dressed which may not be deal breaker for some But a certain level of professional attire is required and black bra straps in pink sundress doesn’t cut it for me.

I never received treatment. I found a different physician.

$1000

I felt my experience with Dr Homa as a patient was both positive and negative. She was very knowledgeable, but when giving information or answers it felt as though she was reading from a text book. When we first started seeing dr homa, she was pregnant and had gone through fertility treament herself so we felt that she would empathize us. This made us feel more comfortable. After deciding to move forward with the IVF, there was a lack of communication the morning of the Embryo transfer. The last time we were notified we had 7 fertilized embryos only to find out only 1 had made it to day 5. We found this out in the procedure room minutes before the transfer occurred. This was very disheartening to hear and we left there feeling already defeated.

Ask several questions and make sure you feel 100% comfortable before moving forward with any treatment or procedures.

Our first 13 cycles was timed intercourse with letrozole and ovidrel trigger shot. Those all were unsuccessful. We then decided to move forward with ivf. We used my eggs and my husbands semen. There were a total of 16 eggs retrieved and 7 fertilized. Only one made it to blastocyst stage and had a fresh transfer. This ivf cycle was also unsuccessful.

We had to pay the medicine out of pocket which totaled around 200 a time for timed intercourse. The total for the IVF was around 15,000.

No comments as we only had one embryo that made it to blastocyst stage to transfer

My experience as a patient with dr homa was okay. Just okay. I left her office feeling overwhelmed. My husband and i waited almost an hour to see her, and after she came in and talked with us, it was very fast and impersonal. There was no talk of a plan B, if the iui didn’t work out. This was my only experience with dr homa personally.

Dr homa kept me on the same protocol as my gynecologist. She didn’t change anything, and kept me at the highest dosage of femara, but added in a trigger shot, an ultrasound and an iui. I assume her rationale was because the femara was making me ovulate in my previous cycles, it would be good to try again with the added trigger and iui. The result was not pregnancy. We never discussed a plan B, so after the failed round my husband and i decided on taking a break from treatment.

The trigger shot for IUI was a bit expensive, but i was able to get it for less. I was unsure of the cost of the iui until the day of, and was a bit overwhelmed having to pay all upfront.

During miscarriage we had seen the other doctor in the practice. His bedside manner was awful and was not caring in the matter. Our next appointment was an ultrasound with Dr. Homa to further check the progress. We walked into the room and didn't say a thing she just hugged me. Infertility is already hard as it is, but to become pregnant and have it swept out from underneath is an unfathomable experience. Dr. Homa made our experience a little less heart wrenching in walking us through what was to come. I appreciate her and thank God very day we have her to guide us!

Be patient. She is a very knowledgeable person and is great at what she does; keep in mind though that there may be other factors that contribute to her not helping you reach your goals. Just keep the faith!

I honestly don't remember exactly amounts but we upped my dosages with some of my medications during my second cycle.

The IVF cycle itself was $9,500 to be paid at once. I had to write two checks: one check for $450 which went towards my anesthesia and another check for $1250 in the event that we had embyros to freeze. Depending on the protocol will determine the amount you pay for medications. Ours were around $3,400. Insurance covered nothing. Our ultrasounds had a $30 co-pay EVERY visit.

Dr. Homa had a strong preference for a two embryo transfer the first time due to the quality of my embryos. Because only one took during that cycle we opted ourselves, without question, to do two for our second cycle.

Saw her at initial appointment then dealt with nurses. I had no negative issues with her at the appointment personally. I do think that she prescribes the treatments the clinic recommends for all patients.

Go into the appointment informed. Stress you want your specific problem dealt with and not the standard course of treatment the clinic does for almost everyone no matter the issue is.

Dr. Homa acknowledge the male factor was causing our problems. Her predecessor at Jones insisted everything was fine. She claimed IUIs would solve the inadequate sperm quality issue. However, I believe the problem was far worse than anyone at the clinic would admit.

I believe including drugs for each IUI, we spent $1,000 each time. The total we spent at Jones was around $7,000.

Dr. Homa diagnosed me with Diminished Ovarian Reserve based on low AMH (.73) I had normal AFC and FSH. I was not happy with my experience at this clinic. I complained about having pain with sex and that I think I might have endometriosis. She said to talk to my gyno about the pain, but she would not perform surgery for endometriosis for infertility. The reason I left this clinic was that I had a huge cyst at my baseline cycle and she still let me proceed with Femara. On CD 14, the cyst doubled in size and I had 1 17mm follicle. She told me to trigger the next morning and do the IUI on Friday. I didn't feel comfortable wasting a $100 trigger or spending $375 on the IUI on a cycle with the cyst so I canceled. The next day on CD 15, I got AF estrogen break through bleeding. I went back in on CD 3 and she said it wasn't my period and I had ovulated since I had a high progesterone. This was wrong. My progesterone was pre ovulation and my other numbers indicated that I was in a new cycle. IN fact, my u/s from 3 days before showed that uterine lining was already in the process of shedding. Something that I was not informed with. After this incident, I made an appointment at another clinic and didn't look back. My gyno ended up doing a lap surgery on me and diagnosed me with endometriosis. After my surgery, my AMH was 1.73 indicating my reserve for my age was not LOW.

Please do your own research. Do not just follow the doctor's orders.

At our first consultation, Dr. Homa suggested hybrid cycles for me (femara plus gonal F). She suggested this protocol because I had a short luteal phase. She said that since I was DOR I had poor quality eggs and she wanted to fix the eggs at the beginning of the cycle so my luteal phase would extend. I wasn't comfortable jumping into injectables, so we stuck with femara and trigger for 3 cycles. Didn't get pregnant. Then we moved on to femara plus gonal f for one cycle. I responded well to all cycles but never got pregnant. We added an IUI for the hybrid cycle.

Most of my costs were covered under insurance. My IUI itself was not covered and was reasonably priced. The ultrasounds and bloodwork associated with the IUI were covered.

Does not apply to me.

We went for our initial consultation after waiting several weeks for an appointment with Dr. Homa. We waited two hours to see her. She barely reviewed our medical history and threw options at us without explaining much. The time we did get with her felt rushed.

Ask to see a different doctor if she has other appointments that will take priority (like egg retrievals).

Letrozole, Follistim, and Ovidrel. We decided to do a cycle with injections and timed intercourse. I produced 5 follicles, three of which were 15mm or larger. We were not successful this cycle.

My IUIs are covered by insurance, so we haven’t paid anything but the copays on medication.

She is blunt and to the point but you can tell and feel she knows what she is doing and that she wants to help. She does her job well, researches you and your past, answers questions fully and makes sure you understand the next steps, risks, etc.

You won’t always see her, but don’t be alarmed at that.

She suggested that due to our diagnosis that we try IUI along with Clomid for a few cycles. We had the option to do IUIs without medication, but with medication slightly increased our chances. She explained that if after a few rounds nothing works, we will discuss other options and next steps.

So far we have had two IUIs, in the process of our third. Each IUI is $369; $299 for the ultrasound and bloodwork.

She was ready to start me right where I had left off with my previous protocol. I saw her day 10 of my cycle and in day 14 had an ultrasound, gave my trigger and iui then next day. 2 weeks later I had a positive pregnancy test.

Schedule ahead of time as her schedule fills quickly. They also do not work around work schedules so expect to take time off work. She is only in Wexford.

We did the previous protocol which worked but ended is miscarriage. I had already taken 5mg letrozole days 3-7 and then had ultrasound day 14, gave myself my trigger shot that night and iui the next day.

None, my insurance covered everything except $35 inj medication copay

Lori homa was very positive from our first visit and helped us beat our secondary infertility on the first cycle! She was very thorough and upbeat the entire process. She also was very knowledgeable and answered every question we had.

Trust. Trust what she says and take a deep breath. Infertility is the hardest thing I have ever dealt with, but know you are in good hands.

I'm not sure if the rationale for any of our treatments but what worked for us was: Letrozole cycle days 3-7 Trigger shot- day 13

Our insurance has a pretty high deductible. Because of our high deductible one month of blood work, meds, and ultrasound was around 700$.

None

I like Dr Homa. I feel that she was very thorough with us from the moment she met us. We did not have to wait a long time for testing & she was very upfront about results & our next plans. During HSG test, she was very informative & compassionate about the discomfort I experienced. She walked me through the entire procedure very kindly.

We waited a long time after our scheduled appointment to be seen for our initial treatment. This does not bother me- working in healthcare, i know that unexpected things come up & people run behind. But i would definitely warn someone so they don’t have plans around the appointment!

Our first step in treatment was Letrozole cycles. I ovulate naturally on my own, so this was described as trying to provoke the release of multiple eggs at once to increase our chances. This was advised with IUI, but we chose to begin with timed intercourse. We have not been successful yet at 3 cycles in. I have Mittelschmerz & very painful ovulation, & Dr Homa did address that this may not be tolerable after 1 cycle. We appreciated that she addressed the issue of pain instead of telling us just to try it.

Expensive, but our insurance did cover portions of it. We were unsure of fertility coverage before seeing the clinic & we expected none

She seems uninterested in my fertility. I don't feel like she cares if my husband and I become pregnant or not. After appointments I feel like. Always left with more questions then answers. I don't feel like she actually listens to me as a patient.

Do your research and be your own advocate.

I started out on 2.5mg of letrozole day 3 through 7 of my cycle. After 3 months, the dosage was increased to 5mg letrozole day 3 through 7 of my cycle. I was also offered that I could come in to confirm ovulation through ultrasound which I did. After 2 months of the 5mg they added a trigger shot injection. So once ovulation was confirmed via ultrasound I would give myself an injection 10,000 mg pregnyl at home. With each of these strategies I have never become pregnant.

Dr Homa is very easy to work with, she cares about her patients and is knowledgeable. My somewhat less positive experience is around simply blaming the failure of a cycle on embryo quality and not willing to test further and try to figure out how to adjust meds etc to raise the potential for success the second time around.

FET with 14 days of 3x2mg of vaginal estrogen then after lining check 4.5 days of 3x200mg of vaginal progesterone, 5 days of prednisone (16mg) and doxycycline (500mg) Baby aspirin daily the whole cycle.

Dr Homa said if embryos are PGS-tested, she will only transfer one - with non-tested, it was up to us to transfer one or two.