Robert Hunter II

Dr. Hunter is very professional, straightforward, and does not sugarcoat things. I am of advanced age, have been through years of treatment, and have an issue with my pituitary gland that makes conceiving without medication impossible. My previous reproductive endocrinologist happened to be moving out of the state right before we started our first IVF cycle, and she highly recommended Dr Hunter. He read my chart carefully and had his own ideas and suggestions for treatment and we immediately felt we were in very capable hands to start our first IVF cycle. Our cycle was underway and had to be postponed due to COVID-19. He kept in touch and sent detailed information about his ability to begin treatment for patients whose care should not be delayed. With careful precautions in place, we are fortunate to have the chance to begin treatment. Dr. Hunter's bedside manner is very direct, intelligent, calm and collected. He does not seem to be set in his ways, he is willing to adapt your treatment to what is right for your specific situation.

He does not have an overly warm bedside manner, but is very professional and will clearly and intelligently explain the treatment options.

We will be using an agonist protocol, Gonal-F, Menopur, and Ovidrel. We will do ICSI, and pre-implantation genetic testing (due to my previous losses), a single embryo transfer, and progesterone treatment, which we have done for all of my previous cycles.

Medications - $4,750 Anesthesia - $650 Retrieval and transfer - $1,060 Laboratory - $6,870 Pre-implantation genetic testing - $7,500

Dr. Hunter does both single embryo transfer and multiple embryo transfer, but recommended a single transfer for my specific situation. I like that he will adapt based on the specific circumstances of the patient.

We had nothing but a positive experience with Dr. Hunter. He made us feel confident in our course of care but never over confident. We appreciated his occasional bluntness and straight forward explanations. We trusted him and felt he knew what was best for us and our process.

Dr.Hunter is not a warm and fuzzy gives-you-hugs kind of guy, so if you’re looking for a doctor who will hug and cry with you, do not go to him. I typically want my doctors to be warm and fuzzy, but because the IVF process is so scientific and numbers based, I appreciated that Dr. Hunter was very numbers and science focused. I did not need him to be warm and fuzzy, I needed him to be all about the science and know what to do to help us get pregnant and he did!

We did and IVF freeze-all cycle. My egg count was lower than expected for my age as we were doing the injections for egg stimulation, so Dr.Hunter adjusted my medication plan to stimulate more eggs. I believe it helped some. We then did pre genetic screening on our embryos before embryo transfer so when we did embryo transfer it was with a frozen embryo.

I don’t think Dr. Hunter is best suited for the emotionally challenging field of reproductive endocrinology. He did not show adequate empathy, he reminded me frequently of how old I was in an callous way, he didn’t communicate treatment plans well, and when things were clearly not working he didn’t change the protocol or consider how the treatments would affect me cumulatively. The biggest problem was that he left most of the decision making up to me - a patient with zero medical training. We tried for 9 months with letrozole, gonal f, timed intercourse and IUI, without any positive results. Ultimately, I switched to IRH in Cincinnati and was told that for someone with my anatomical issues, IUI and natural pregnancy is highly unlikely to work and would more likely result in ectopic pregnancy than live birth. On top of that, my right ovary is so overstimulated from months of hormones that I’ll need to be on birth control for a while before we can even start the IVF process. The only time I had to ask questions during our visits was the five minutes right after the follicle scan when I was uncomfortable and not wearing pants or underwear, so that didn’t help the communication issues. Also - and this is more of a personal issue - but Dr Hunter has a vanity plate on his car that says “Eggman.” I get the Beatles reference, but it still seems distasteful and a little misogynist for a male fertility doctor.

Get a second opinion if it doesn’t feel right, and don’t wait as long as I did to take that step.

ultrasound monitoring for follicle growth, about 4-5 cycles of letrozole, ovidrel and timed intercourse, 6 or so cycles of letrozole, gonal f, ovidrel and IUI or timed intercourse depending on scan results.

175-225 for an ultrasound, 500 for IUI, medication was 300-600 most months. All self-pay and upfront.

Dr Hunter is direct, and to the point. But he does balance this with compassion and caring. He does not complicate issues and doesn't overwhelm you with too much info. But any question you do ask, he completes his response with, "what else can i answer for you." So, if you do like a lot of information you can ask as many questions as you want. I tend to want to know the basics but too much information/ alternate options can stress me out. So I do appreciate his balance of information without speculation. There is so much comfort in knowing everything, every part of your procedure, is kept under his roof and his eye.

I would say just know he is extremely intelligent & intellectual Doctor. He is very professional and measured when he speaks. He is confident in himself and his practice. If you trust him like I do, release the process to him. Don't get too bogged down in the details. Let him and his team handle that.

Because I had spend years with another fertility doctor doing 6 rounds of IUI, Laparoscopic surgery for Endo, and every drug combo you can image, I came to Dr Hunter knowing IVF was where we were heading. He told me he understood if I was done with those treatments and wanted to do IVF. He asked me if that was what I was wanting, and I explained I wanted a second opinion. I also wanted someone who could do everything in house. He said for my age and diagnosis IVF was the best course of action, and he would be happy to do everything in house. Even the egg retrieval.

$20,000 for a full round of IVF and one FET transfer. This included all labs and $4,000 for genetic testing. Each additional transfer is $4,000.

For my age (under 35) and relative health (Endometriosis / diagnosed) he recommended one egg. He feels it would have a better chance of developing. He said in the end its my choice. The day before my FET I received a call from the nurse confirming which embryo I wanted and if I wanted to stick with one egg. I appreciated the call and confirmation.

I have been trying to conceive for over 10 years with no answers. Dr Hunter took over my care after his partner left the practice. We did decide to do IvF after many failed IUI’s. He never forced this on me but felt is was my best option. We did one transfer one embryo that ended in a chemical pregnancy. We were getting ready for another transfer and something showed up on my ultrasound that made him suspicious. We did and HSG and found my tubes were blocked. I then had surgery and had to remove both my tubes and also found endometriosis. I’m thankful for Dr Hunter for finding answers I felt in the past I was blown off when I expressed I could have endometriosis. I fully trust him and think he is really here to help families conceive their dreams.

He is very smart. He is not the type to hold your hand but he is honest about all things and that is something I totally appreciate. He takes time with you? Never rushes and answers every question fully. You never leave there feeling like darn I should have asked that question!

I had a egg retrieval, one embryo transfer which resulted in a chemical pregnancy. Then a HSG which I also had a few years prior to Dr Hunter and surgery to remove endometriosis and hydrosalpinx

My cost of IVF was 13,500. I had to pay extra for a saline ultrasound and HSG after my first round was completed. This did not include medicine.

Dr hunter is focused on a safe pregnancy and delivery. He recommends one embryo transfer for me due to my age and I appreciate his honest opinion and getting a healthy baby to a healthy mommy.

Dr. Robert Hunter was a kind, firm, direct, straight to the point physician. We saw a nurse first in order to have my vitals taken, then we saw Dr.Hunter directly in his office away from everyone else to give us complete privacy. He looked us in the eye when he spoke, he asked if we had any questions and went over every possible thing he could as a first consult.

I give them the advice of just go into the appt with an open mind and heart. I would say to definitely not be nervous about anything, he is a very laid back but direct doctor and he knows his stuff.

So far we have not done any treatments. He has started me on medication to induce a period and ten days after that he will do an ultrasound to look at my uterine lining. He also did a full blood work panel on me that day as well. He started with this course of action because he wanted to see if there is anything missed on other ultrasounds that another doctor may not have seen. He also is sending my husband to a genetics counselor due to his karotype being slightly abnormal.

The costs for us are out of pocket due to the fact that we have insurance that they cover.

We have not discussed this at all yet.

Dr. Hunter is very knowledgeable, candid, straightforward and understanding. What we appreciated most was being treated like an individual case - not just a one-size fits all treatment plan that did not work for us on several prior years of treatment. Dr. Hunter gave us hope after two years of failed fertility treatments, without overpromising anything, and was willing to think outside the box when we did not respond "normally" to "traditional" IVF protocol and ended up making our trickiest IVF round the most successful in terms of the number of eupoloid embryos. The other great thing about Dr. Hunter is how accessible he is. I'd never before had a doctor who I could not only email directly, but who also responded - in depth, late at night, and almost always the same day if not within a couple hours - directly to me by phone and email to answer any questions and assuage concerns. It was such a relief to have that option during such a stressful and emotional time.

It did take us a while to get in for our initial patient consultation - I want to say 10 weeks, which is actually why we saw another fertility doctor first so I would say if you are considering using him, call to request the appointment sooner rather than later. However, once we were patients, we never had trouble getting an appointment or with scheduling, and in many ways this practice is way more flexible than others - they are open on Saturdays for appointments and have come in on Sundays for both appointments and procedures depending on when you/your body/baby needs it. I'd also say don't be afraid to email questions or concerns anytime. Their office is great about getting back to you quickly and thoughtfully, and this made a huge difference this made in my mental state while undergoing treatment.

Unlike other fertility clinics I've been to which hold patients to a strict or limited number of stimulation days and medicines, Dr. Hunter will work with you and change course based on your needs. For example, for our first two IVF rounds with another clinic, we did 12 days of stimulation and the retrieval on the 13th day (starting on a Sunday and a retrieval the following Friday), regardless of the fact that many of my eggs were not yet mature or were responding poorly. On our first round with Dr. Hunter (3rd overall), we did 15 days of stimulation and the retrieval on the 17th day (a Sunday!!), and on the second round with Dr. Hunter (4th overall), we did 16 days of stimulation and the retrieval on the 18th day, giving my body extra time to respond appropriately to the medicines. He takes this "we will go when you're body is ready" approach with all his patients, regardless of whether it's on a business day between 8-4.

It was between $25000-$30000 for a full IVF round, including all medications and PGS testing, and likely between $10000- $15000 for a banking round. It was cheaper than the same treatment at our first fertility clinic, and the pharmacy recommended by this office was the cheapest fertility pharmacy (and I called at least 7)

Dr. Hunter's preference was to do a single transfer here instead of multiple due to my age (30) and the fact that we'd had one successful eSET with another fertility doctor (miscarried). I did not get the sense he would have objected to transferring two, but we agreed with his recommendation.

As a patient of Dr Robert Hunter’s, I came to him scared, worried, and upset. He calmed me immediately and reassured me that I would be successfully pregnant soon enough. He ran tests and bloodwork and gave very prompt responses. He answered all of my questions with positivity and was very informative. I felt safe being advised by him versus an OB. His clinical advice calmed my nerves and I wound up having a successful pregnancy after four miscarriages. After child #1, I had more issues with fertility and chose to see him again. He did several procedures, pursued more aggressive approaches that I chose, and eventually, got to where I am currently...15 weeks pregnant. I am so fortunate to have found Dr Hunter. There is not a more bittersweet moment than graduating his practice at Kentucky Fertility Institute. Good thing he holds a reunion, so he can meet the babies he assists in getting here. I highly recommend seeing Dr Hunter for any fertility issues or concerns you may have.

I would advise a prospective patient to bring a list of questions and any medical history to the table. He will take care of the rest and will listen to you. After the first appointment, he will guide you completely. Although, he is very respectful to your wishes and ultimately, all decisions will be yours. He will provide your options, his recommendations, and all the knowledge you may need! He’s fantastic and so is the environment of the office.

Dr Hunter used aspirin and progesterone during my attempts to get pregnant. If I was successful, I would start progesterone when told until I was 10-12 weeks pregnant. I stopped aspirin at that point as well. I also used a couple of fertility medicines prior to injections, but can’t recall which ones. That was for an IUI.

The costs were not too overpriced for the circumstances. Insurance covered some at the beginning and when it wasn’t covered, an IUI was about $800 (including medicines, injection, and procedure). Visits varied on pricing depending on what we were doing. And lab work was very reasonable.

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I had my egg retrieval and first embryo transfer (which failed) with another doctor at KFI. I saw Dr. Hunter after my previous doctor left the practice. I had additional embryos frozen, so I saw Dr. Hunter for an ERA cycle and another FET cycle. Dr. Hunter was thorough and answered all my questions. He is very factual and realistic. He will be straightforward about your chances, but in a kind way. I liked that he called me with results and was supportive when my ERA results were disappointing. When I needed a break in treatment, I felt welcomed back to the practice when I was ready to try again. I felt Dr. Hunter listened to my concerns, gave me the facts, and let me have a voice in my treatment plan. Our FET with Dr. Hunter was successful and I am currently in my second trimester. After being released to my OB, I miss Dr. Hunter and the personalized care I received from him and his nurses.

Dr. Hunter is very direct, logical, and straightforward. He might strike some people as unemotional, but I think he really cares about his patients. It took me a little while to warm up to him but to be fair to him....I met him for the first time coming off of a failed embryo transfer with another doctor and was skeptical of the fertility industry. Advice: write down questions and bring them with you. Dr. Hunter will answer them all.

After my first failed embryo transfer with a different doctor who left the practice, I saw Dr. Hunter. Because my previous doctor had recommended an ERA, I asked Dr. Hunter about it and he agreed to do it. I had a horrible time (emotionally and physically) on the Lupron, Estrace, and progesterone, but just toughed it out. When my ERA came back non-receptive and it needed to be repeated with two more days of progesterone, I had a melt down. I did not want to do another HRT cycle. I took a few months off, saw another RE for a second opinion, and came back to Dr. Hunter with a request to do a natural cycle FET since I had such adverse side effects to a programmed cycle. He was willing to do it despite it being less predictable and convenient for the clinic. The transfer was successful and I SO appreciated that he listened to my concerns and worked with me on a protocol that reduced the amount of drugs I had to take. I went into the transfer feeling SO much better and it worked!

$170 office visit/consultation $13,500 for IVF cycle (not including meds, which were about $4500) $4250 for PGS testing $600 for ERA cycle biopsy (not including meds) $4500 for FET (not including meds)

He strongly recommended a single embryo transfer for me, and I agreed with him 100%.

Dr. Hunter can be very condescending and non sympathetic. He tends to roll his eyes and no more than you always even if it's not on the topic of fertility. The office also takes paymen the moment you walk in to even be seen, but then Bill's you anyways. When you try to get to the bottom of the billing AND bring in proof of payment receipts printed by their office they tell you to ignore them that it takes 2 billing cycles to correct and then they send you to collections. Very unprofessional. There is also ZERO FOLLOW UP after any procedure. You have to be the one to reach out which I extremely sad considering what your going through and what your paying. All in all this office was a terrible experience and I feel terrible I recommended them at all during my excitement the first few treatments. Reflecting now on my 9 months of unsuccessful treatments and procedures with zero explanation for why as well as the whole billing disaster I would Never recommend this office nor Dr Hunter.

Seek another doctor who is compassionate, follows up, listens to your medical history, changes up procedures when the same one fails multiple times(especially when there is nothing physically wrong with you).

We tried 5 rounds of timed intercourse with trigger shots and letrozole. He said since there is nothing he can see from ultrasound and imaging stopping me from getting pregnant this was the route to go. We had zero luck. We then tried 1 round of IUI with letrozole and yet again nothing. I then asked if we could try phamara instead of letrozole and do 1 more round of IUI. Once again we did not have a positive result and at that point sought treatment elsewhere since no other options were even mentioned.

Sperm isolation 225. Ultrasound 175. IUI 500. Inpatient imaging/scope 550.

Dr. Hunter clearly cares deeply about his patients. He listens and responds to his patients' concerns, and he is always available to answer questions. He gave me as much information as I needed to understand the process, which was comforting to me. My only "issue" with Dr. Hunter is that occasionally he seemed confused by a question I had and why it mattered, but I think that is because I was a little too google and message board happy. He still always answered my questions and explained why some of my questions did not need to be answered at that time.

Follow his advice--he knows what he's doing and has your best interests at heart. There were some days when I questioned whether I needed to go an extra day on stims given my follicle size, or whether I needed to have another ultrasound, but Dr. Hunter was always spot on in the end.

I did two rounds of IUI with Dr. Hunter first. In the first round, we did 50 mg(?) of clomid, and that didn't stimulate my follicles enough, so we did 150 the next round which made a huge difference. We got negative pregnancy tests both times, likely in part due to my husband's mild MFI (for morphology). For IVF, I stimmed for 8 days using follistem, menopur, and cetrotide. That resulted in 10 eggs retrieved, 8 fertilized normally, and 4 blasts, all of which were frozen. We transferred one embryo the next cycle, and that resulted in a singleton pregnancy.

My IVF package was $13500 not including medication but including ICSI and one transfer. Each IUI cost around $1000 total I think, including medication.

For my age and history, Dr. Hunter strongly suggested we do a single embryo transfer. Given my height, BMI, and fitness level, Dr. Hunter believed I could handle a twin pregnancy, so he did not completely rule out multiple embryo transfer for our situation. However, he explained that each embryo has a higher chance in resulting in pregnancy in my situation if you do a single embryo transfer.

Dr. Hunter takes the time to listen and thoroughly answer questions. He is direct with expectations but tempered with compassion. You feel totally in control throughout the process, just with a really smart guide to help plot your course.

Come with questions and listen to your gut.

Initially the treatment strategy was just to induce ovulation (I didn’t have regular cycles) and pair it with timed intercourse since my husband had no issues with sperm. We failed to get a positive result and in between cycles ended up with a large ovarian cyst that needed to be removed which was done so quickly and fairly easily with no complications via laparoscopic surgery by Dr. Hunter. Prior to the rounds of clomid and femara I underwent an HSG to make sure my tubes were clear and also had a polyp removed from my uterus. After the failed rounds of clomid and femara and cyst we decided to move on to IVF because I was nervous about more cysts recquiring surgery. We did an egg retrieval after a fairly aggressive stims cycle and planned for a frozen transfer of a day 5 embryo. We opted for frozen versus fresh cycle because of my age I was more at risk to be a high responder and develop OHSS. We retrieved 14 eggs and ended up with 3 day 5 embryos (2aa grade). We did two frozen transfers 1 resulting in a negative test and another where we transferred the remaining two and one implanted but didn’t make it past 6 weeks. We are now considering another round of IVF with PGS testing to ensure we have quality embryos and are doing a saline ultrasound to make sure my uterus still looks clean.

PGS was outsourced and runs about $5k A full IVF cycle— egg retrieval + fresh embryo transfer and all the monitoring, blood tests, labs, etc out of pocket is about $13k and split between the lab and the KY fertility institute. Plus and additional $600 for anesthesia for egg retrieval. A FET is about $4,500 Medication for an IVF cycle runs between $3,800 and 6k and is not included in the package price of 13k

To my knowledge KY Fertility Institute has never had a case of multiple gestation more than twins and would prefer to keep it that way. Their goal is a safe and healthy pregnancy, which generally means one. They present all the facts and figures and in most cases recommend a single embryo transfer but in certain cases will support transferring two as we did for our last frozen embryo transfer.

We absolutely loved Dr. Hunter. He took his time to review all of our information prior to meeting with us. He was very up front and prepared with all the information regarding us trying another IVF cycle. I am personally employed in women's health and not once did I feel like Dr. Hunter assumed I already knew something. He treated me with the utmost respect and explained everything as though it was the 1st time we had gone though treatments. He was always available and quickly returned after hours calls. He is a fantastic doctor and I would and even have referred one of my good friends to. If in the future my husband and I decide to further expand our family we will most definitely being going back to see Dr. Hunter.

As lots of questions and be involved in your care. Dr. Hunter is very knowledgeable in his field and can answer all questions.

We did a IVF cycle. It started with a sperm retrieval from my husband due to make infertility factor. The retrieval was done through a local urologist. Next we did a follicle stimulation cycle for me. This included 8 days of stimulation drugs with frequent ultrasounds to measure follicle growth. After the stimulation 7 eggs were retrieved, fertilized with my husband's sperm and incubated to grow for up to 6 days. We got daily calls with updates on the embryos progress. In the end we had 2 embryos that made it to the blast stage and were frozen. Next we waited to get my hormones and uterus regulated and in optimal condition to accept the frozen embryos. We then had both embryos transferred and followed up I believe a week later for a blood pregnancy test which was positive! We are now expecting twins due Nov 2018!

The total cost for retrievals, medications and transfers we spent around $15,000. This office accepts insurance and did file claims for consolations and some lab work with insurance. Many other procedures in IVF an non covered by insurance. They offered a military discount to us since my husband is active duty. They also had financing options as well as medication discount plans that were very beneficial in reducing costs on some of the high priced stimulation drugs.

Dr. Hunter recommended that we only transfer 1 of our 2 embryos, but after discussing with him the fact that we already had 1 failed cycle and only 2 embryos we all agreed that transferring 2 would be a good option for us. We did discuss all of the risks associated with a possible multiple order pregnancy resulting from this transfer and felt comfortable with our decision.

Dr Hunter is always available when I need to get in to see him. I have had to call the weekend on call team more than once and I have had to go in for weekend appointments. He has never seemed bothered by me bothering him on weekends. He is always patient and kind. He always asks if I have any questions or concerns to ensure that we are all on the same page. And, on more than one occasion he has offered to meet with me in his office to discuss future treatment.

Dr Hunter is very understanding and will not continue to do treatments that aren’t working. He will make appropriate changes to the plan of care to help reach the final goal of pregnancy.

My infertility is unexplained as no diagnosis could be found with either myself or my husband. My only issue was a short luteal phase. Dr Hunter felt that I would respond better with letrozole as opposed to clomid. We did 4 timed intercourse attempts with letrozole, ovidrel trigger shot for ovulation, and progesterone suppositories after ovulation. When those attempts failed we moved on to iui. Same medications, but iui as opposed to timed intercourse. I’ve now had 4 iui’s and am a week away from finding out if the 4th time was the charm.

IUI’s have been $500 per attempt. Monthly ultrasounds to assess follicle growth have sometimes been covered by insurance, but not always. When I have done self pay for those, they have been $175. Other than that, I have just had to pay prescription co pays for my medications.

I'm currently still in treatment, so I can't give too many specifics. However, so far Dr. Hunter has been very knowledgeable, friendly and patient. Sometimes his answers are too long and I'm worried to ask additional questions, as the visit may take longer than I have time for. He is very thorough. I have confidence I will be successful with Dr. Hunter

Be patient with the process because Dr. Hunter will not rush anything. (The treatment plan, the visits, the start of IVF, etc).

With my insurance, one round of IVF was approx $3,500, plus prescription meds, which is much more expensive than when I saw a doctor in a neighboring state.

Dr Hunter has always given a very clear outlook on what the plan was and what to expect. He has done everything he can to put our minds at ease and prepare us for treatment. His accessibility and casual yet perfessional demeanor puts him above all others on our list

Have a good list of questions and concerns. I would take notes as he will give a great deal of insight. He will always be available and is very much a man of his word

We used a standard IVF protocol. Dr Hunter, Nurse Powers and Dr Christiansen worked to get a schedule that work for use and a variety of pharmacys to get use the best deal.

Kentucky Fertility Institute work very well to meet our financial needs. They presxreenwd our insurance and worked through our options

Dr Hunter explained with our age and health single transfer would give us the best results

My experience with Dr. Hunter began with a consultation and a review of my reproductive/gynecological history to date. From there, we scheduled an hsg test, followed by a monthly drug regimen. Dr. Hunter is great at answering questions, showed compassion regarding the ectopic pregnancy I experience before beginning treatments with his office, and makes himself as available as possible to his patients.

Don't be afraid to ask questions. While he tries to be thorough, there can be a lot to cover during any given appointment. He is also great with email follow-up if you think of questions after your appointment.

I am still in treatment with Dr. Hunter. During any given cycle, I take Ovidrel on days 3 through 7 of my cycle. I go in for an ultrasound between days 11 and 13, followed by a trigger shot and a daily dose of Progesterone for the next two weeks or until the start of my next cycle. The rationale for this treatment is based on other testing I've had done - my hsg was normal, my thyroid levels are normal, my testosterone levels are a bit high, etc. I'd also noticed that I tend to ovulate a bit late in my cycle naturally. My husband also had a sperm analysis, which came back normal as well.

Ultrasounds are $175. Total cost of medications per month is about $110 - $115, with the trigger shot being the most expensive (about $80 per shot). We are considering IUI as our next step; the office quoted this treatment at $500 per cycle.

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Dr Hunter is patient and calmly answers all questions we have. He explains treatment options and potential risks. He is very easy to get in touch with and Is personable and supportive. He answers after hours when needed.

I would say come ready with you questions and he will be happy to answer them and to explain the process of treatment. I would suggest asking for details of bloodwork.

I came to the clinic with pcos and past treatment of clomid and Letrozole. Because I was unsure if I ever ovulated in the past (unable to be sure by home tests), it was decided we would do Letrozole with trigger shots and monitored ovulation and timed intercourse. First a hystroscopy was completed due to past hyperplasia. Then I came in monthly to get ultrasounds to check my lining and follicles before taking the trigger shot. After 5 to 6 months of negative pregnancy tests, I did a HSG test. It showed that I had both follopian tubes blocked from the center out. It was recommend that our current treatment stop and we move either to IVF or laparoscopy surgery. We plan to move to IVF soon

My consultation was free. I had a hysteopscopy and D&C so I owed for that to hit my insurance deductible. I paid for bloodwork. I paid what my insurance didn’t cover for ultrasounds and HSG. I paid out of pocket for trigger shot each month and paid copay for Letrozole

Have not experienced that yet

When I first met with Dr Hunter I was relieved to know that someone truly cared about what I was going through and took me seriously. He was great at spending time to understand my particular situation and what my overall goals are. He always fully explains all options and does not push me towards one or another. He explains risks and benefits of all options and allows me and my husband to make the choice on what works best for us. He is great about giving honest, direct feedback and suggestions. Some may see his directness as a negative; however, I appreciate that he does not try to sugar coat anything or give false hope. He is very knowledgeable about success rates and how each treatment is likely to respond to our particular situation. He responds very quickly to messages and will even call after hours if needed to make sure that I am not having to wait on test results any longer than I have to. So to sum up our journey so far....I was diagnosed with endometriosis by my obgyn and after 6 months of being unable to conceive, I decided to meet with Dr Hunter for a consultation. He immediately took all of my concerns into consideration. He began with lab work and a HSG. The lab work revealed some thyroid and vitamin imbalances that were easily treated as well as some genetic conditions that I was a carrier of. He thoroughly explained what each condition was, the prevalence of it, and what our odds were of passing it on to our child. He discussed this is great detail until we felt comfortable. In trying to do the HSG he discovered that I had cervical stenosis from scar tissue and he was not able to advance the catheter all the way through my cervix to perform the procedure. We then decided to proceed with a hysteroscopy to clear the scar tissue and examine the inside of my uterus. The procedure went well and we felt ready to move forward. Initially my husband also had a semen analysis done which showed poor sperm parameters across the board. It was repeated a couple months later and again it was poor. We decided to proceed with low dose Clomid and an IUI to see what would happen. When I went in for my follicle scan before the IUI we discovered that my body responded too well to the clomid (producing 6-8 mature follicles) and our IUI was cancelled for fear of multiple follicles being fertilized. He then switched me to low dose Letrozole. We had a much more controlled outcome with that, only 2 mature follicles. This time we decided to use the trigger shot Ovidrel to trigger ovulation. When we went to have the IUI done a few days later, my husbands sperm count was once again low and all parameters poor. We proceeded anyway after being cautioned by Dr Hunter that the chances of success were poor. We were unsuccessful and at that point we were referred to a reproductive urologist for my husband to be evaluated further. It was discovered that he has varicoceles and the doctor placed him on FertilAid vitamins to see if there were any improvements. About a month or two later, we decided to try to Letrozole and IUI again. Again I produced 2 mature follicles. I used ovulation test strips, ovulated on my own and when we went for our IUI we were surprised to find that his sperm count had improved significantly to 13 million. We were hopeful but unfortunately this too was unsuccessful. We decided to take a few months off from fertility treatments and are now currently working with Dr Hunter to determine what the best next step is for us as I feel as though my endometriosis has gotten worse due to spotting before starting my period and very painful ovulation. He validated my concerns and discussed multiple options for us. He explained why each once is reasonable and also the cons for each one. My husband and I are now currently discussing what we feel is best. He has been so great throughout this whole process and is very understanding of our concerns. He is very positive about our situation while maintaining realistic goals and expectations. I am so pleased by our care so far with Dr Hunter and would certinatly recommend him to anyone experiencing fertility related issues.

Keep an open mind. Dr Hunter is great about giving multiple options about treatments, testing, surgeries, etc and talking you through them step by step. There are things that I never thought would have been a part of my journey but after hearing the risks and benefits and all my options, I have learned that this process has a lot of ups and downs and a lot of surprises so be prepared to stand up for what you want, trust your doctor, but keep an open mind as well because there are things throughout this journey that you don’t consider or you need to think about it a different way and Dr Hunter is great at facilitating that.

The plan for my first treatment cycle was the lowest dose clomid to help produce more mature follicles with a trigger ovulation shot (Ovidrel) and IUI. When I went for my pre-IUI ultrasound, I had produced 6-8 mature follicles and the IUI was cancelled for fear of fertilizing multiple follicles. I was then switched to the lowest does Letrozole to try to control my ovaries’ response. I went in for a follicle scan and had produced 2 mature follicles but they were still a little small so a few days later we repeated the scan and it was determined that they were large enough to use the ovulation trigger shot and proceed with IUI a couple days later. When we went in for our IUI, my husband’s sperm parameters were very poor but we proceeded anyway although Dr Hunter cautioned us of the likely negative outcome. Unfortunately we were not successful and after seeking treatment for my husband’s low sperm count we decided to do the Letrozole and IUI again. This time at my follicle scan I had 2 mature follicles again and was told when to take my trigger shot unless I got a positive ovulation test before then which I did. So we did the IUI the next day with significantly improved sperm count and motility. We were able to use 13 million compared to the previous 1 million in our previous cycle. Unfortunately that cycle was unsuccessful as well and we are currently in the process of deciding how we want to proceed for our next cycle.

Unfortunately my insurance doesn’t cover any fertility treatments or appointments and only some medications. The Clomid and Letrozole were covered by insurance costing about $10 for each. Each IUI cost about $500 excluding medications and follicle scans. The trigger shot costs roughly $140. The hysteroscopy procedure costed about $900. I believe the semen analysis costs somewhere between $100-150. Once all this was paid for I believe I owe somewhere between $1200-2000 out of pocket for visits and ultrasounds.

Dr. Hunter understood my previous negative experiences with the other clinic and he completely changed my opinion of the process. He gave me clear options. He made us feel so at ease. He greeted me with a handshake at the start of each appointment. He always closed with a meeting in his office to answer any questions. He made you feel like he was really available for discussing next steps and questions. He always returned phone calls, never leaving that up to his staff.

Don't give up. He will explain your options and you should discuss with him what could work best for your situation. Don't go in assuming what you've been told before is what is best.

We used Clomid, opposed to Letrozole b/c he felt like that would be ideal for my case. I had been on Letrozole with former clinic. I came in for follicle ultrasound and he chose to wait an extra day for my IUI in order to grow more follicles.

$500 for IUI, $125-$150 for Semen Analysis, $150 for Ulrasound

Dr. Hunter is a numbers person and thus at first, it took time for us to establish rapport. However, as we moved forward with our process he really did warm up and was willing to give us the facts while treating us like people.

Give him a bit of time to warm up to you.

Dr. Hunter had me on CQ10, DHEA, and a prenatal the whole time. Then he added in menopur which he adjusted to double the original dose. I was also on Gonal F which in our second round he prescribed at a slightly lower does. He use lupron for both of our cycles and ovidril. Once we did the transfer I was on PIO which he adjusted because I was allergic to the first type prescribed. I was on doxycycline and medrol, estrace and crinone.

Dr. Hunter has a standard package rate that includes everything except pgs testing.

We appreciated that Dr. Hunter took the health and safety of the mother into account and only transferred one embryo per transfer cycle.

Dr. Hunter knew his stuff very well. He was able to talk to us in a way that both my husband and I could understand. He did not spare of us of any details, as he knows the importance of his patients being fully aware of all of their choices and risks that come with each choice. I do not like to be surprised by things that may happen, and Dr. H did not let that happen.

Ask if they have made changes to the billing department. Sasha was not very good at keeping up patients and properly explaining what billing they were to expect. We got one number, and it the final number was higher by a few thousand dollars. Dr. Hunter is great and I would not want anyone else to help us, but he needs to make sure that he has the same high standards for his Billing person as he does for the rest of his team.

My experience with Dr. Hunter was overall very good. He was clearly very knowledgable and honest about the pros and cons of all options presented to us. We really appreciated that he was honest about test we could get but that he didn't feel were necessary for us. That made us feel that he wasn't just trying to make an extra buck and was really suggesting what he thought was best. He is very kind. He is not chatty, but he is definitely not harsh or blunt. Definitely not bad, just more of a reserved personality, which doesn't bother me. There were a few times that I needed to get ahold of him or someone quickly regarding meds and we able to personally email him, which was great. I have also heard that he will go out of his way after hours to make sure people get what they need. Overall I feel very confident in the care that I received and have no hesitation going back for subsequent transfers or treatments in the future.

I think I was a pretty standard IVF egg retrieval followed by FET. At our first appointment Dr. Hunter advised us to go straight to IVF because with unexplained infertility IUI would only boost our chances or conception about 2%. He also advised that, although we are welcome to do PGS testing, he did not think it was necessary for us due to our age and history. My husband and I did do genetic panels ourselves to make sure we were carriers for things. We appreciated Dr. Hunter's honesty that saved us several thousand dollars. I had baseline labs and U/S, followed by stim meds (gonal and menopur). Several more U/S and labs over the next few weeks, and then finally a trigger shot (caberzoline) and egg retrieval. I didn't need med adjustments as I seemed to react fine to everything. I think I was at fairly low/standard doses. At egg retrieval 1 had 32 eggs, 28 mature. I didn't want a slew of excess embryos (we only plan on 2-3 kids for our family) so Dr. Hunter advised fertilizing 20 and freezing 8 eggs. I was nervous to fertilize that many but it turns out to have been the perfect number because we only ended up with 3 decent quality embryos to freeze. After that I waited to start a cycle, then went back on OCP for a bit, then started PIO, estradiol, and crinone (progesterone) in preparation for transfer. For the transfer, we were told that none of our embryos were great quality. Dr. Hunter gave us the option of transferring two, with the hopes of one taking. He did say the plenty of women get pregnant with 1 imperfect quality embryo, so he was just giving us the choice but didn't feel strongly either way. If we had a perfect quality embryo that would not have been offered to us, as it is not as safe to carry multiples. We decided to transfer 1 just the same. Turns out, after our embryo thawed some fragmentation moved out of the way and revealed a perfect little embryo, so I am glad we decided to transfer one. After transfer I had the dreaded TWW, which was more like 1.5 week wait. Then beta hcg, which was positive, followed by a second at 6 weeks and US (we heard the heartbeat!) I continued to see them every 2 weeks for U/S and continued PIO, estradiol, ASA, and crinone until 10 weeks. We were released to an OB at 8 weeks.

Dr. Hunter's preference from the beginning for our first transfer and no history of miscarriage was one embryo. He only mentioned the option of transferring two after learning that our embryos are not perfect quality. Even then he did not push a multiple transfer at all, stating that plenty of women get pregnant with one imperfect embryo, but he just wanted to present us the option.

Dr. Hunter is a very intelligent and highly educated man. You can clearly see all of his accomplishments by just looking at his wall of degrees, diplomas and awards in his office. It is almost intimidating to be in the presence of someone who has achieved so much. You are already feeling nervous and anxious and maybe even a little sad and disheartened that you even have to be there because how things have unfolded is so unbelievably different than what you had planned. You also might be afraid that you will say something wrong or make yourself look stupid infront of someone who could have the answers that could potinetally end your years of suffering and hold the solution to your broken heart. He was reassuring, calm and relatable. He gave me options. He didn’t order me around. He tailored our treatment around our needs and our schedule. He and his staff were so accommodating which meant so much to us as we live 3 hours from the clinic and travel and time off work were difficult barriers to work with. He and his staff made theirselves available to us for any questions or concernes that we had. Communication, feeling included and involved is very important to me. Dr. Hunter made sure those needs were his top priority.

I would tell a prospective patient to not let fear hold them back. To go ahead and make the first step or don’t let previous experiences hold you back from seeking out Dr. Hunter and his expertise. You can feel the passion they have for their field and their commitment to their patients.

Doctor Hunter did very in-depth labs and testing on my husband and I. He made sure we were healthy and our levels were normal to better increase our chances of success. He also gave us advise on vitamins and supplements that would benefit us best and he also got back with me immediately when a couple of my labs were abnormal. He also helped me find ways to improve them before the cycle. He also did a ultrasound to measure my follicles and uterine lining to make sure I was ready for the cycle and to determine exactly when I needed to administer my injection.