Paul Kuneck

I only checked in with Dr. Kuneck when developing my initial treatment plan and when adjustments needed to be made, but I felt that Dr. Kuneck was compassionate and informative during our interactions. He was extremely knowledgeable and took the time to answer all of my questions and make me feel comfortable with the process.

Dr. Kuneck is a very knowledgeable, experienced provider who will make sure you understand your treatment options, but if you are looking for a personal connection with your provider you may be happier with someone else.

I came in on my first letrozole cycle under the direction of my regular OB/GYN. He recommended a different dosage cycle for the next round. After two cycles with timed intercourse (TI) it was clear that I was not having the desired response to the letrozole so he recommended injectables for the next cycle. I inquired about IUI and he advised that based on my husband's test results, he didn't think doing IUI would have any additional benefit for us over TI. He was correct in this, as I got pregnant on my first cycle with injectables/TI.

My insurance covered assessment and monitoring, so I had no out of pocket costs for my monitoring ultrasounds. My insurance also covered a portion of my medication costs. The injectables had the most out of pocket costs for me and amounted to about $420 for one cycle. The total med costs (including what insurance paid) were over $2000.

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He is very direct and information focused. There isn't a lot of "touchy-feely" stuff with him, just facts. This was helpful for us because we didn't want to feel like we were being coddled, we wanted to know the facts of our situation even if the facts were difficult to hear.

He is great at what he does but don't expect a lot of emotion.

I did 5 cycles of Femara with trigger shots. The first cycle required 5 mg femara on cycle days 5-9 and 20-24 then a trigger on day 29 of novarel; this was unsuccessful. The second cycle was 7.5 mg of femara on cycle day 3-7 then a trigger shot with novarel on day 16; this was unsuccessful. Cycle 3 was 7.5 mg of femara on cycle day 3-9 and ovidrel trigger on day 14; this was unsuccessful. Cycle 4 was 7.5 mg of femara on cycle day 3-9 and ovidrel trigger on day 13; this was unsuccessful. Cycle 5 was 7.5 mg of femara on cycle day 3-10 the ovidrel trigger on day 12; this was also unsuccessful. I also used progesterone suppositories during all these cycles between the expected ovulation date svc the date of a negative pregnancy test. We then moved on to our first IVF cycle with menopur and gonal-f on cycle day 2-9, added Ganirelix on day 8-9, triggered with hcg on day 9, egg retrieval on day 11, and day 3 embryo transfer on day 14. I had 3 eggs at the time of retrieval which I was told was unexpected (I'd had 12+ mature follicles at the ultrasound immediately prior to retrieval. Two of the eggs fertilized and were transferred. I then used minivelle patches and endometrin inserts. This IVF cycle was successful and I am currently 11 weeks pregnant.

Oral medications with triggers were around $150 per cycle. IVF medications were $2000. Ultrasounds were around $50 after my insurance (needed 3-7 per cycle). We chose to use the Attain program for our IVF cycles which was $20,000 (in the end we only needed one cycle so this wouldn't have been necessary).

They transferred 2 embryos because that was all we had. Had there been more we would have been able to decide whether we wanted to transfer one or two.

Dr. Kuneck is clearly is an expert in his field. He sees a large volume of patients which has at times made me feel like a number, but also provides him with a lot of experience. I am a person that likes to know the "why's" of he treaments and know the impacts of my body beyond attempting pregnancy. I felt that I had to advocate for myself to get through answers to these questions, at times.

Write down and ask any questions you may have.

I utilized letrozole and ovidrel for 2 IUI cycles. I did ovulate, but pregnancy was not achieved. I will be attempting IVF with a low dose protocol.

Basic IVF procedures are roughly $9000, with additional costs for freezing, genetic testing​, etc. Monitoring appointments are charged separately. Shared risk plans are offered.

Dr. Kuneck seemed to favor single embryo transfer due to my age and predicted success. We were in agreement on this. He also provided education verbally and in written form regarding risks of multiples.

Dr. Kuneck is very direct and upfront with his recommendations. He did a lovely job of balancing giving his opinion with also giving space for my husband and I to make decisions. I am still in the course of my first IVF treatment, but I really appreciate his honesty and optimism. Dr. Kuneck also was quite comfortable with moving straight to IVF rather than spending time on IUIs that would only marginally increase my chances of success.

I would say be open to any option. Dr. Kuneck wants you to achieve success but will also defer to your decisions.

This is my first IVF cycle, so we decided to go with the typical course knowing that it might take a cycle or two to figure out how my body responds. I am still in my cycle. I did 22 days of bcp, on day 19 on bcp I started Lupron. Then I began menopur and gonal f on day 11 of lupron. On day 3 of STIMS I went in for bloodwork and then had my dosages adjusted. My next step is an ultrasound and blood work on day 5 of STIMS.

I have a strong insurance package but this requires reimbursement. Medications cost $2000 so far (after insurance reimbursement) and I needed to pay up-front $10000 for the IVF cycle.

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I trust Dr. Kuneck completely. He was willing to adjust the treatment plan to what I felt like my body needed and he was genuinely disappointed along with us when our transfer didn't work. He was optimistic but also direct, and I appreciate his candor. He's very experienced and I value his insight.

You won't see him very much! Take the opportunities to have consults with him even if you don't think you need them. Know that he is making all of your care decisions.

First cycle: standard Lupron cycle, cancelled after only one large follicle developed. Diagnosed with diminished ovarian reserve. Second cycle: microdose lupron flare cycle, retrieved five mature eggs from three follicles, one fertilized, transferred three day embryo. Negative pregnancy test. Third cycle (in progress): natural antagonist cycle (no birth control per my request).

Approximately $10k out of pocket for IVF itself, which you can submit to insurance for reimbursement (I got some dollars back). My insurance covers monitoring and bloodwork as well as medications.

Dr Kuneck talked to us about the risks and rewards of multiple embryo transfer, and shared with us that at my age, the risks of a multiples pregnancy (bedrest, prematurity, etc) were about equivalent to the increased rate of success. My husband and I are both not interested in twins, and appreciated his frank feedback and advice.

Dr. Kuneck is very intelligent and was thorough when we actually saw him. However, that was not often. We mostly communicated with the nurses and other staff. Our only embryo transfer (which failed) was not performed by him, but rather a doctor I had never even met. My egg retrieval also was performed by another doctor in the clinic. The lack of presence was something I did not anticipate when we initially chose him as our RE. I had hoped for a doctor who was more hands on and who was more directly involved with us throughout the entire process.

You really need to be our own advocate. Do your research and question any and everything you are doubting or concerned about.

For my retrieval, I initially was put on BCPs for 2-3 weeks, then lupron for 10 days, menopur, and Gonal F. This seems to be their go-to protocol. Fortunately, I responded well to the meds and didn't need any tweaking. They retrieved 19 eggs, 12 mature. For my FET cycle, again did BCPs for over a month. Once stopped, started lupron, then added estrace orally 3 times a day. Also 1 low dose aspirin. I started Progesterone in oil 5 days before transfer. This time I didn't respond well to the protocol, as my lining wasn't getting thick enough. I only measured 6.1 mm on day 14, so my transfer date was pushed out a week. They increased my estrace to 3 2mg tablets orally and 1 vaginally at night. On day 21, I measured 7.6 mm which they seemed to be satisfied with. I was very concerned that my lining wasn't thick enough, and suggested that maybe we cancel. We only had one embryo, so I wanted every precaution to be taken. I was told not to worry, that my lining was just fine. We went ahead and transferred our only beautiful, hatching embie, which resulted in a negative pregnancy.

We did 1 cycle of IVF with ICSI, 1 MicroTESE surgery and 1TESE surgery for my husband, egg freezing, embryo freezing, and 1 Frozen Embryo Transfer. Total our costs were upward of $30,000.

Dr Kuneck has been doing these treatments since the 1980's. He is very professional, and he seems to stay up to date on current literature. I liked that he had such an extensive background in the field. While he doesn't show a lot of emotion, I was happy to have someone that I could trust due to his years of experience.

He knows what he is doing and has seen a lot in his career. He's not really warm and fuzzy, but you can trust that he will be direct with you.

I have endometriosis, so he didn't want to do any injectibles with IUI for me. I did 1 timed intercourse with clomid, 1 IUI with clomid, and then 2 IUIs with femara, as the side effects with clomid were rough. I did 1 IVF treament with a fresh day 5 transfer. I'm not sure of the name, but I started with BCP, then lupron, then injectibles. Due to painful IUI's, he decided I should be under anesthesia for the IVF transfer, which was very compassionate, in my opinion.

IUI covered by insurance. IVF shared risk program---$24,000

i was instructed last minute to only transfer 1 embryo. I'm so glad that I did.

Dr Kuneck was very honest and could be blunt but always delivered everything with compassion. He explained everything very thoroughly and in easy to understand terms. He was always very busy and his appointments offer ran very late when meeting with him.

If you are looking for someone for to sugar coat news Dr Kuneck may not be the best Dr for you.

I don’t remember specifics of my IVF cycles using my own eggs. I was a slow responder to meds and my cycles were extended by 3-4 days each time. After my second cycle resulted in no embryos he did have an honest conversation about turning to donor eggs along which I appericated. But I did use Lupron on all 4 cycles.

We spent about $30k for donor cycle and $5000 for FET.

Dr. Kuneck is a smart, caring physician. He seems to be on his way to retirement so availability was not always great and he does not make himself very accessible to patients- it always felt like you have to go through an army of nurses and blocks to get any direct access to him.

Schedule regular face to face appointments with him in advance- you can cancel if you need to but otherwise you won't see him for months.

agonist, antagonist protocols- we failed almost every cycle so I'm not sure what would be useful for others. We did go to ICSI on the 2nd IVF and I would not wait to do this.

My insurance covered much of this but the costs were still enormous, but expected.

Paul is a really good guy, who cares a lot about his patients. Even though I didnt see him most of the time I went in, he reviewed my chart every single time I went in. I would hear from him or his nurse later that day if there was any change in my treatment or medications based on his review. And I did see him every time I went in for an ultrasound after my pregnancy was confirmed!

Trust him

I chose Dr. Kuneck after another clinic because I felt confident in his abilities. He is very experienced and understood my treatment goals. He was always direct which I appreciated and at the end of the day, I got my healthy singleton.

Don't go in expecting hand holding or warm and fuzzy. If you like direct and come in informed about your own treatment, you will have a better experience.

Dr. Kuneck is very kind, caring and thorough but he gets to the point. He doesn’t sugarcoat anything or leave anything out. He explains things appropriately and gives you time to ask questions as needed.

Make a list of questions and take notes when you talk to him

We did IUI with Letrozole 2.5 x 2 for days 3-12 and used an Ovidrel trigger.

He's a kind man but very to the point. He explained things in good details to understand. I only met with him in the beginning and then to review the next steps. He was very thorough with explaining everything and procedures to me.

He's to the point

I had ultrasound on cd 2/3. I took femara cd 3-7. Follow up ultrasound on cd 10 w trigger shot. Then iui on day 12 w starting progesterone the next day. He said do 4 cycles and come back.

I'm not sure, my insurance pays a lot