Education
Medical School
U. of Louisville
Residency
U. of Louisville
Fellowship
U. of Louisville
How Doctor Communicates
doctor, nurse available by email
doctor, nurse available by directline
doctor available by personal cell phone
Tiffany D. Justice works at
Fertility and Endocrine Associates
At 1 office
Louisville
4123 Dutchmans Parkway
Louisville, KY 40207
502-897-2144
53 patient reviews
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I could not speak more highly of a doctor than Dr. Justice. She was a smiling face at every single visit. She maintained a unmatched level of optimism, while still staying realistic. I never felt rushed at appointments and she listened to me, answering every question and explaining each step of the process....She still made sure to detail all the options I had available, drawing pictures for me to get a more clear understanding. I was never pushed into any decisions.
The clinic [KY Fertility Inst] was able to work with my schedule and give me appointment times that worked well for me. The office is clean and organized, with refreshments in the waiting room. They were always friendly and were right on time with appointments typically....IVF was roughly $13,500 with $600 for anesthesia. This included monitoring appointments, retrieval, transfer, first blood beta, 1 year of storage for the embryos. Medications were about $5000.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
I could not speak more highly of a doctor than Dr. Justice. She was a smiling face at every single visit. She maintained a unmatched level of optimism, while still staying realistic. I never felt rushed at appointments and she listened to me, answering every question and explaining each step of the process. I always knew she had my best interests in mind when making any decisions about my care. I came into the initial consult requesting IVF. She still made sure to detail all the options I had available, drawing pictures for me to get a more clear understanding. I was never pushed into any decisions. She has a way of making people feel like her most important patient, always asking about my day to day life while at visits (remembering things we discussed before) and personally calling with the blood beta hcg levels after transfer. I will definitely trust her with my future care.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Trust her expertise. You're in good hands.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice has fantastic bedside manner while making sure you're clear on everything that's going on. She always makes you feel like you're her most important patient, never seeming rushed or stressed.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
Birth control for 19 days.
Gonal-F 225 and Menopur 75 for 8 days (Cetrotide for 3 days)
Triggered on Day 9 with Lupron for retrieval the morning of day 11. Cabergoline started on day of trigger.
Egg retrieval and freeze-all cycle. Chose to do no testing on the embryos.
Couple weeks on birth control before starting 2mg Estrace 3x a day orally. Lining was thin at ultrasound, so added 2mg vaginally. Lining developed a fluid pocket, which did not resolve after the next period.
Hysteroscopy, polyp removal, d&c. New cycle with 2mg estrace 3x a day plus 1 vaginally. Tranfer about 3 weeks later.
Describe your experience with Kentucky Fertility Institute.
The clinic was able to work with my schedule and give me appointment times that worked well for me. The office is clean and organized, with refreshments in the waiting room. They were always friendly and were right on time with appointments typically.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
IVF was roughly $13,500 with $600 for anesthesia. This included monitoring appointments, retrieval, transfer, first blood beta, 1 year of storage for the embryos. Medications were about $5000.
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
She prefers to transfer 1 embryo. Fully educated us on the tradeoffs of transferring 2.
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Dr. Justice always was kind, easy to talk to and never rushed me. She was always very open and honest and encouraging... is extremely knowledgeable about all things Fertility. She was always available, even coming in early and staying late to fit my schedule. She knew financing was a challenge and did all she could to make my experience as affordable as possible. She was calm, caring and treated my family like family (not patients). She gradually went through a course of treatment and did not rush us to make rash or expensive decisions. She was amazing! I would recommend her to anyone.
Carol [nurse at Kentucky was easy to access, knowledgeable and kind. She wanted the best care for me and always was reassuring...Costs were expensive - about $14000 for the ivf plus medications (another $8,000-10,000) the IUIs were about $500 each, the ultrasounds were about $100 each...The clinic is friendly, everyone knows your name and your backstory and goes above and beyond to meet your needs. They are a plethora of information for anyone who is going through an infertility journey. The only weakness we saw was in the billing department. They overlooked many bills and sent us lots of bills years after the service that we did not know existed.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice is extremely knowledgeable about all things Fertility. She was always available, even coming in early and staying late to fit my schedule. She knew financing was a challenge and did all she could to make my experience as affordable as possible. She was calm, caring and treated my family like family (not patients). She gradually went through a course of treatment and did not rush us to make rash or expensive decisions. She was amazing! I would recommend her to anyone.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Go in with questions and explain your expectations. Let Dr. Justice have all the information so she can create a plan.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice always was kind, easy to talk to and never rushed me. She was always very open and honest and encouraging.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol Powers)
Carol was easy to access, knowledgeable and kind. She wanted the best care for me and always was reassuring.
Describe your experience with Kentucky Fertility Institute.
The clinic is friendly, everyone knows your name and your backstory and goes above and beyond to meet your needs. They are a plethora of information for anyone who is going through an infertility journey. The only weakness we saw was in the billing department. They overlooked many bills and sent us lots of bills years after the service that we did not know existed.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
Costs were expensive - about $14000 for the ivf plus medications (another $8,000-10,000) the IUIs were about $500 each, the ultrasounds were about $100 each
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
Since I have two children already, Dr. Justice was firm in her choice to transfer one embryo. We wanted one child. She was fairly confident that if we transferred multiples we would conceive multiples.
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Dr Justice is very kind and has a gentle demeanor. She is realistic and honest. Her personality is laid back and almost feels shy at first, so it initially took me a couple of visits to warm up to her. She is wonderful... We had 4 failed IUIs. The first 2 using letrozole only. After the first 2 failed, we did a Hysterosalpingogram with normal results. My husbands initial count was great however morphology was quite low. Throughout the course of attempts his count was between 6 and 15 million, with morphology improving somewhat. After the fourth failed IUI she recommended IVF as the best way to get a positive pregnancy test.
Very kind staff [at Kentucky Fertility Institute], beautiful facility. Organized throughout the entire process. The phlebotomist was incredible with the most amazing personality. Very quick to return phone calls. The clinic is fairly new so no reported data exists that i was able to find and when I asked in an email, i never got an answer. Pricing is fair, although we left the clinic to go with a more experienced one near by that offered a self pay discount as my insurance does not cover any of the procedure.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
As stated already, her personality seems shy at first and it took me a few visits to warm up to her. She is gentle, very calming, and explains everything in the plan of care in great detail, as well as during the procedure. She is compassionate but not a warm and fuzzy kind of person. She sets realistic expectations.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
That she is fairly new to RE but is very knowledgeable
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr Justice is very kind and has a gentle demeanor. She is realistic and honest. Her personality is laid back and almost feels shy at first, so it initially took me a couple of visits to warm up to her. She is wonderful.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
We had 4 failed IUIs. The first 2 using letrozole only. After the first 2 failed, we did a Hysterosalpingogram with normal results. My husbands initial count was great however morphology was quite low. Throughout the course of attempts his count was between 6 and 15 million, with morphology improving somewhat. After the fourth failed IUI she recommended IVF as the best way to get a positive pregnancy test.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Stacy)
Stacy was great. She did 2 of my IUI transfers. Explained everything, very helpful answering questions, calming and kind.
Describe your experience with Kentucky Fertility Institute.
Very kind staff, beautiful facility. Organized throughout the entire process. The phlebotomist was incredible with the most amazing personality. Very quick to return phone calls. The clinic is fairly new so no reported data exists that i was able to find and when I asked in an email, i never got an answer. Pricing is fair, although we left the clinic to go with a more experienced one near by that offered a self pay discount as my insurance does not cover any of the procedure.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
IUIs were around $500 each, with the bill split between a lab cost and procedure cost. My labs and the hsg was covered by insurance. One round of IVF with genetic testing was around $28,000. I do not recall if this included ICSI. This included 1 year of freezing any available embryos.
What specific things went wrong at Kentucky Fertility Institute?
- Failed to convey critical information
Describe the specific things that went wrong at Kentucky Fertility Institute.
The first sperm count given to us was pre-washing, and this was not conveyed to us. Both my husband and I thought his count had dropped dramatically with the first 3 IUIs because we were then being told the count post wash. It was an easy miscommunication, but would have been nice to know and not worry as much!
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During our first visit Dr.Justice sat down with my husband and I and went through our history. It didn’t feel rushed or impersonal, which I was expecting. From that meeting she gave us a specific plan on how she wanted to approach treatment. She wrote every step down for us so that we understood what we would be doing and when.... The only weakness I can think of was explanation of side effects. Even then she does explain what the medication does and why I am taking it. I am beyond thankful for Dr.Justice and would recommended her to anyone struggling to conceive.
Everyone [Kentucky Fertility Institute] makes every effort to make sure you are comfortable and create an environment that is welcoming and calm. From the nurses, front staff, and my doctor I have been thoroughly impressed with everything.... Our nurse is fantastic! I have called her many time asking questions I have forgotten and she responds quickly and with as much information as she can! She is always compassionate when I call to tell her that we need to start again.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
During our first visit Dr.Justice sat down with my husband and I and went through our history. It didn’t feel rushed or impersonal, which I was expecting. From that meeting she gave us a specific plan on how she wanted to approach treatment. She wrote every step down for us so that we understood what we would be doing and when. Coming from someone who likes a plan it was my first inclination that I was in the right place! At each appointment we were treated with respect and friendliness. Dr.Justice personally does the ultrasounds and every procedure that we have been through and each time she treats the procedure with hope. Always telling me first what happens WHEN I get pregnant not if I get pregnant. It gives me hope after seven years of infertility!!! Dr. Justice’s strength is in her compassion, her demeanor during visits keeps me from losing hope. The only weakness I can think of was explanation of side effects. Even then she does explain what the medication does and why I am taking it. I am beyond thankful for Dr.Justice and would recommended her to anyone struggling to conceive.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
I would say to ask questions. She is open to questions and answers them in a way that helps you to understand. So if your confused but afraid to ask questions, don’t be!
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Every time I see Dr.Justice she is warm and friendly and her and her staff treat me wonderfully at every appointment.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
We began with just using progesterone since I was later in my cycle on our first meeting with Dr.Justice. The second month I came in for a baseline ultrasound. I was then put on Letrozole, two per day for five days. Then I came in for another ultrasound to determine how many eggs were mature.After that I was to self administer Ovidril on day twelve of my cycle. After 36 hours the IUI was performed. Two days after the IUI I started progesterone for 12 days. A negative pregnancies test was the result of the first IUI. We did the same procedure for the second but my progesterone was increased to twice a day instead of once a day. Still waiting on the results of the second IUI.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Candy)
Our nurse is fantastic! I have called her many time asking questions I have forgotten and she responds quickly and with as much information as she can! She is always compassionate when I call to tell her that we need to start again. During appointment she makes sure I am comfortable and talks about our families in order to make it a little less nerve wracking.
Describe your experience with Kentucky Fertility Institute.
I have only been with this clinic for three months but it has been a wonderful experience, as least as far as it can be when dealing with infertility. Everyone makes every effort to make sure you are comfortable and create an environment that is welcoming and calm. From the nurses, front staff, and my doctor I have been thoroughly impressed with everything. I know it sounds cliche but I have really no complaints nor have a seen any obvious weaknesses! I would recommend this clinic to anyone and everyone who is experiencing infertility.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
Letrozole- 25.00
Ultrasound (2)- 350
IUI- 500
Progesterone- 45.00
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She [Dr. Justice] has a very good bed side manner. She makes sure you are comfortable with the whole treatment plan. She is very kind and thoughtful. She even came in on Thanksgiving to do our 2nd IUI.... I would like her to maybe be open to adjusing timing after a few negative cycles. We just seem to keep trying the same things.... We have been trying Letrizol cycle days 3-7. Ultrasound on day 10 to measure folicles. Then depending on the size of the folive we usually do the shot to induce ovulation on day 10-11.
Very friendly front desk [Kentucky Fertility Institute]. Normally greets us by our first name. We don't normally have to wait very long. Usually very descreat about everything. On the negative side. Billing is a mess! Did not receive a bill for the first 6 months I was there.... [Nurse] Usually calls back after leaving a message in about 30min-1hr. Very compassionate on the phone (normally I'm calling to tell her the test was negative).
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Very friendly. Answered all my questions throughly. Seems to be very knowledgeable with infertility. Doesn't push more on you than you can handle. I would like her to maybe be open to adjusing timing after a few negative cycles. We just seem to keep trying the same things.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Ask questions and make suggestions about your treatment and what you want.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
She has a very good bed side manner. She makes sure you are comfortable with the whole treatment plan. She is very kind and thoughtful. She even came in on Thanksgiving to do our 2nd IUI.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
We have been trying Letrizol cycle days 3-7. Ultrasound on day 10 to measure folicles. Then depending on the size of the folive we usually do the shot to induce ovulation on day 10-11. If we choose IUI that month we will do that on day 12. Otherwise its just planed intercourse. 2 days after ovulation we start progesterone suppositories. We do those for 2 weeks and then test for pregnancy. If the test is positive we would continue progesterone, if negative we stop it. We have not had a positive cycle with this treatment plan.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Candy)
She's excellent. Answering all my questions. Usually calls back after leaving a message in about 30min-1hr. Very compassionate on the phone (normally I'm calling to tell her the test was negative).
Describe your experience with Kentucky Fertility Institute.
Very friendly front desk. Normally greets us by our first name. We don't normally have to wait very long. Usually very descreat about everything. On the negative side. Billing is a mess! Did not receive a bill for the first 6 months I was there. I have amazing insurance so I figured things were taken care of. Then received a big bill on one of the days we were supposed to do an IUI, and was told they switched billing systems. Now my bill doesnt match up with my EOB . Talked to the office manager but didn't get anywhere.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
IUI was typically about $500.
Ultrasounds- $175.
Ovidrill- $107
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We tried a couple of medicated cycles on our own with times ovulation [with Dr. Tiffany Justice]. Then we moved to IUIs each time it didn’t work we increased our medication. Still with no success we are saving for IVF...She really explains everything and makes sure your comfortable with the plan. Even when I am upset and frustrated the treatment is not helping. She stays and just talks and comforts me. She gives a hug every visit and tells me she loves me and we are going find something that works. I love Dr. Justice and her office so much!
From the moment you walk in the office [Kentucky Fertility Institute] they great you by name. You can call or email with your question and I always get a quick response...It’s a beautiful office! Very clean and modern! The staff really treat each patient like a human and not like a number! They always available if you need anything or have questions regarding your treatment. They have hours on Saturday and Sunday as well.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr Justice is the nicest most personable doctor I have ever had. I truly wish I could see Dr Justice for every medical problem I have. I trust her so much and she truly cares! She will sit and explain everything to you. She always makes sure I am ok with everything and really cares about her patients. She is an amazing doctor!
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Don’t give up! I have wanted to give up so much! I know Dr Justice is going to help me become a mom and I can’t wait. She is amazing!!
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice is amazing! From the moment you walk in her office they greet you by your first name. Dr Justice is so kind and caring. She really explains everything and makes sure your comfortable with the plan. Even when I am upset and frustrated the treatment is not helping. She stays and just talks and comforts me. She gives a hug every visit and tells me she loves me and we are going find something that works. I love Dr. Justice and her office so much!
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
We tried a couple of medicated cycles on our own with times ovulation. Then we moved to IUIs each time it didn’t work we increased our medication. Still with no success we are saving for IVF
Describe your experience with the nursing staff at Kentucky Fertility Institute.
From the moment you walk in the office they great you by name. You can call or email with your question and I always get a quick response
Describe your experience with Kentucky Fertility Institute.
It’s a beautiful office! Very clean and modern! The staff really treat each patient like a human and not like a number! They always available if you need anything or have questions regarding your treatment. They have hours on Saturday and Sunday as well.
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Dr. Justice makes sure you understand everything you are going through and taking. She is always available to help you with questions whenever you need her. She is flexible with scheduled. Her personality is always positive and she provide much comfort knowing I have her as my doctor.... Dr. Justice started me out on times intercourse and progesterone supplements. After 3 cycles of negatives we moved on to IUI with the HCG shot and progesterone supplements. After 3 negatives with that we began IVF treatment.
All staff on Kentucky Fertility Institute is welcoming, knowledgeable and helpful. Carol is always available for questions at all times of the day which is very helpful since things can arise at any moment when going through fertility treatments. She is wonderful!...Costs were typical for any infertility treatment... Kentucky Fertility Institute is very warm and welcoming with all the latest technology for your treatment. Going through this process is very uncomfortable so the fact that this office is so welcoming and warm really helps ease the nerves.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice makes sure you understand everything you are going through and taking. She is always available to help you with questions whenever you need her. She is flexible with scheduled. Her personality is always positive and she provide much comfort knowing I have her as my doctor.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
To definitely have her as your doctor because she is amazing.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice takes time to explain everything you are about to go through. She takes your treatment personally and follows up with you as well. I felt like she was personally invested in the outcomes and having her as my doctor has given me a feeling of comfort through it all.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
Dr. Justice started me out on times intercourse and progesterone supplements. After 3 cycles of negatives we moved on to IUI with the HCG shot and progesterone supplements. After 3 negatives with that we began IVF treatment. We went on all injections to start egg retrieval process. Began taking estrogen and PIO and Crinone. I have had 2 transfers from this cycle. The first did not take so she scheduled an ERA finding I needed one more day of progesterone. The second transfer has been successful so far.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol Powers)
All staff on Kentucky Fertility Institute is welcoming, knowledgeable and helpful. Carol is always available for questions at all times of the day which is very helpful since things can arise at any moment when going through fertility treatments. She is wonderful!
Describe your experience with Kentucky Fertility Institute.
Kentucky Fertility Institute is organized and clean. I always feel comfortable there. Kentucky Fertility Institute is very warm and welcoming with all the latest technology for your treatment. Going through this process is very uncomfortable so the fact that this office is so welcoming and warm really helps ease the nerves.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
Costs were typical for any infertility treatment
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Dr Justice makes me feel like she truly cares. She never rushes me out and always takes the time to answer all of my questions....I am completely satisfied with the service and care that I am receiving with Doctor Justice....During my consultation she laid out a plan immediately to used fertility pills called femara and IUI. Dr. Justice was extremely honest with me and let me know that the success rate for each IUI... I have completed two IUI cycles so far using 7.5 mg of femara and a trigger shot.
The nursing staff at Kentucky fertility Institute are wonderful. They are professional, kind and courteous....This Clinic is wonderful and I would definitely recommend it to anyone having trouble getting pregnant. The only negative that I can think of is the waitlist for new patients can sometimes be a few months.... The consultation visit was $50. Each of my IUI Cycles, including my ultrasounds, are roughly $450. The trigger shot was about $120 each time....
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
I am completely satisfied with the service and care that I am receiving with Doctor Justice. I have been trying to get pregnant for almost a year and cannot. During my consultation she laid out a plan immediately to used fertility pills called femara and IUI. Dr. Justice was extremely honest with me and let me know that the success rate for each IUI is only about 20%, and that it doesn't always work on the first try. She warned me that I may need to do this a few times to get a successful outcome. I have finished two cycles of IUI so far and unfortunately, have not gotten pregnant yet. I recently finished my third IUI procedure and am awaiting the two-week wait to find out if I am pregnant this time. Although I am not pregnant yet I'm confident that Dr Justice will do everything she can to help me in this journey of getting pregnant.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
I would tell the prospective patient that doctor Justice is amazing and you will not find a better doctor out there!
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr Justice makes me feel like she truly cares. She never rushes me out and always takes the time to answer all of my questions.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
I have completed two IUI cycles so far using 7.5 mg of femara and a trigger shot. Both of these cycled did not end with a pregnancy. I'm currently on my third cycle and I'm awaiting the two weeks to find out if I am pregnant this time.
Describe your experience with the nursing staff at Kentucky Fertility Institute.
The nursing staff at Kentucky fertility Institute are wonderful. They are professional, kind and courteous.
Describe your experience with Kentucky Fertility Institute.
This Clinic is wonderful and I would definitely recommend it to anyone having trouble getting pregnant. The only negative that I can think of is the waitlist for new patients can sometimes be a few months.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
The consultation visit was $50. Each of my IUI Cycles, including my ultrasounds, are roughly $450. The trigger shot was about $120 each time.
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Dr justice has the most compassion for her patients. I trusted her 100% although we didnt receive the results we had hoped for, I know everyone did everything as possible to make it happen...no question or concern was too small. She explained the process and the possibilities with us completely...I have pcos, which does present certain issues, but with the use if femara we were able to try 3 rounds of iui. At the time my husband as well had sperm quality issues, and all agreed going forward IVF would be the best option. We proceeded with egg retrieval we had 10 eggs. 5 of which were mature enough to fertilize of the 5 1 went in to fertilize normally. So we had 1 to transfer. And we did , unfortunately for us it didn't implant
She [nurse at Kentucky Fertility Institute] is so amazing. Always there to answers my questions and with the warmest laugh made it all comfortable. Took great care in showing my husband how to administer the injections...biggest issue was with insurance and billing. There were a few mishaps and misquotes that made it hard for us...I was scheduled to go in specific times of my cycle [during monitoring], and would always see my dr who would fully discuss what she was looking for, what it looked like, and what that meant
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr justice is the most compassionate dr I have ever met. She was there for us 100%, no question or concern was too small. She explained the process and the possibilities with us completely. She is so gifted in her practice. I cannot imagine having gone thru this journey with any other dr.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Breath a little easier, because you are going to be in the best of hands with the gentlest of care
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr justice has the most compassion for her patients. I trusted her 100% although we didnt receive the results we had hoped for, I know everyone did everything as possible to make it happen. She is so gifted in her practice. I cannot imagine having gone in this journey with anyone else
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
I have pcos, which does present certain issues, but with the use if femara we were able to try 3 rounds of iui. At the time my husband as well had sperm quality issues, and all agreed going forward IVF would be the best option. We proceeded with egg retrieval we had 10 eggs. 5 of which were mature enough to fertilize of the 5 1 went in to fertilize normally. So we had 1 to transfer. And we did , unfortunately for us it didn't implant
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carole powers)
She is so amazing. Always there to answers my questions and with the warmest laugh made it all comfortable. Took great care in showing my husband how to administer the injections
Describe your experience with Kentucky Fertility Institute.
Kfi started out amazing everyone was really warm and friendly. Over the years of treatment I have noticed some changes. We kinna got a crummy deal do an issue with our insurance, and I do understand it is a business, but a little more care would have been appreciated
Describe your experience with your monitoring appointments at Kentucky Fertility Institute.
I was scheduled to go in specific times of my cycle, and would always see my dr who would fully discuss what she was looking for, what it looked like, and what that meant
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
Well. So our insurance was a bit confusing and may have been filled incorrectly at the beginning...in the end we had to pay roughly $4k more than we had been quoted or budgeted for. I understand everyone's hands were tied, but it did kinna stink
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
For me we were ever only going to transfer 1 due to my age, but we only had 1 to transfer so it wasnt an issue
What specific things went wrong at Kentucky Fertility Institute?
- Lost paperwork
Describe the specific things that went wrong at Kentucky Fertility Institute.
Honestly out biggest issue was with insurance and billing. There were a few mishaps and misquotes that made it hard for us, but I loved our drs so much we were willing to just suck it up. what can you do
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I have PCOS and I am also overweight. I have a thyroid concern as well. Dr. Justice had me do 3-5 days of letrizole and then 3-4 days of Gonale (fsh injections). After that I did a trigger shot and then an IUI. Before my first cycle with her she had me complete an HSG. She was able to see that my right tube was blocked. I had a previous surgery to try to unblock that tube. She didn't think the surgery would be a success a second time so we didn't waste time on it. I have only been with her for two cycles. The first was unsuccessful, but the second one was a success. While this one ended in a miscarriage, the positive part is that we are able to get pregnant. She is now running a bunch of blood tests to attempt to figure out why I lost this lost recent one and what we might need to do moving forward to attempt to keep the pregnancy.
The clinic [Kentucky Fertility Institute] is very well organized, the furniture it comfortable. They have a fridge up front full of drinks and a Keurig for coffee. I rarely have to wait very long in the waiting room. This place is basically a one stop shop. They do most of their procedures there in the office (including HSG, IUI, D&C) which is helpful because you really get to know and trust the staff and it's more personal. Also you don't have to worry about paying those big hospital prices just to use their facility because they have all of their own equipment. There are honestly too many strengths to name them all. The only weakness of this clinic is that they are so busy they never answer the phone during the day. You have to leave a message and wait for then to call you back. On a positive side, I have never waited longer than an hour or so for a call back.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice is very informative, but in a sensitive way. We went to her for a second opinion after i had a horrible miscarriage. My previous doctor was giving up hope on us and was ready to say that we just needed to do IVF. We went to Dr. Justice to see if that was the case and she was so positive that it really helped me get passed the previous miscarriage and begin to hope again. While we didn't get pregnant on our first try, we did get pregnant on our second. Unfortunately, that pregnancy ended in a miscarriage, but we haven't given up hope and that is all due to the positivity of dr. Justice. Without her, I would have given up by now.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Unfortunately, she is leaving KFI soon and won't be practicing for a year due to a none compete clause. Once she comes back, find out where she is and go to her! You won't regret it.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
No matter how busy this office was, if I had a concern somebody would always call me back that day and answers my questions. I am currently having a miscarriage and they have taken care of me, even calling me at night to check in on how I am feeling.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
I have PCOS and I am also overweight. I have a thyroid concern as well. Dr. Justice had me do 3-5 days of letrizole and then 3-4 days of Gonale (fsh injections). After that I did a trigger shot and then an IUI. Before my first cycle with her she had me complete an HSG. She was able to see that my right tube was blocked. I had a previous surgery to try to unblock that tube. She didn't think the surgery would be a success a second time so we didn't waste time on it. I have only been with her for two cycles. The first was unsuccessful, but the second one was a success. While this one ended in a miscarriage, the positive part is that we are able to get pregnant. She is now running a bunch of blood tests to attempt to figure out why I lost this lost recent one and what we might need to do moving forward to attempt to keep the pregnancy.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Candi (nurse) Tara (nurse practitioner) Kathy (lab tech))
Everyone is very informative and helpful. I am a huge baby as it pertains to pain and I am also very emotional with all of the hormones and disappointment of not having been able to carry a baby to term yet. They are so caring. I couldn't ask for a better team.
Describe your experience with Kentucky Fertility Institute.
The clinic is very well organized, the furniture it comfortable. They have a fridge up front full of drinks and a Keurig for coffee. I rarely have to wait very long in the waiting room. This place is basically a one stop shop. They do most of their procedures there in the office (including HSG, IUI, D&C) which is helpful because you really get to know and trust the staff and it's more personal. Also you don't have to worry about paying those big hospital prices just to use their facility because they have all of their own equipment. There are honestly too many strengths to name them all. The only weakness of this clinic is that they are so busy they never answer the phone during the day. You have to leave a message and wait for then to call you back. On a positive side, I have never waited longer than an hour or so for a call back.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
Like with any fertility process in KY, hardly any if it is covered by insurance so we pay out of pocket for a lot of things. They do their best to see you money where they can. The biggest cost saver is the fact that they have their own facility and can do most procedures in house.
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
NA
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As soon as our first consultation with Tiffany [Justice] was over I felt so much confidence in her, relief in a sense, in our situation. She was very positive from the jump. My husband had to have micro TESE she explained all options should it go well or should it produce no sperm. I do remember thinking at one point, is she too optimistic? Should we not be as confident as she isn’t making us feel? Low and behold we are 12 weeks pregnant and just graduated from our fertility clinic
Dr. Tiffany and her team went above and beyond to make our cycle and stay at KFI as care-free and simple to us as possible.... I have no weaknesses to admit. It’s a one stop shop from consultation, sperm analysis, retrieval, lab, and transfer. Convenience was very important for my husband and I. Location is ideal not a lot of traffic around this clinic. It’s a clean, modern office with friendly front-office personnel to greet you each morning. The hours are flexible and the receptionist is usually very quick to return phone calls.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
As soon as our first consultation with Tiffany was over I felt so much confidence in her, relief in a sense, in our situation. She was very positive from the jump. My husband had to have micro TESE she explained all options should it go well or should it produce no sperm. I do remember thinking at one point, is she too optimistic? Should we not be as confident as she isn’t making us feel? Low and behold we are 12 weeks pregnant and just graduated from our fertility clinic. We will without hesitation start seeing Tiffany for our second transfer when ready!
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Go for it, I have no regrets or hesitation in referring to her. I know not everyone will be as fortunate as we were but, she and her team are there every step of the way good and bad.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
From start to finish all of our questions were answered in a timely manner. My husband and I never felt like a burden. Dr. Tiffany and her team went above and beyond to make our cycle and stay at KFI as care-free and simple to us as possible.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
Our treatment overall was average I would think?
After my husband’s TESE and frozen sperm, I had a baseline scan. There Dr. Justice found a mass on my right ovary she then explained we would have to wait on results from an MRI, I had already started on birth control prescribed by her as well as low-dose levothroxine. My thyroid was a little hyper for the ideal conception-pregnancy standards, fine otherwise she explained. After the MRI was cleared we were straight sailing. Started on Gonal-F, cetrotide, trigger shot, egg retrieval. About a week, if I recall correctly, prior to transfer I started low-dose aspirin, estrogen 3x a day, progesterone in oil injections 1x a day, Crinone 2x a day and continued until 10 weeks of pregnancy.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol Powers)
I absolutely loved the nurse(s) at KFI. Carol in particular was there for me day or night, week night or weekend. She knows her stuff and I only hope she is there when we go back. She is organized and seems to keep things running smoothly around the office. I never felt I was a burden to her with the countless emails and phone calls.
Describe your experience with Kentucky Fertility Institute.
I have no weaknesses to admit. It’s a one stop shop from consultation, sperm analysis, retrieval, lab, and transfer. Convenience was very important for my husband and I. Location is ideal not a lot of traffic around this clinic. It’s a clean, modern office with friendly front-office personnel to greet you each morning. The hours are flexible and the receptionist is usually very quick to return phone calls.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
We applied for CapexMD. Their package was $13,500 which does not include medicine, anesthesia and frozen embryo storage after the first year. The medicine anesthesia together were roughly an additional $7000. Then my husband TESE surgery was through an urologist who works with kentucky’s Fertility Institute
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
Dr. Justice thoroughly explained to us the possible results of transferring multiple embryo’s. She explained we had the option to up her choice by 1 embryo but she felt very confident in only transferring 1 the first time. Her expertise did not disappoint.
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Dr. Justice has been with us through out this entire process. She has cried, been frustrated, and has never strung us along with incorrect data or her assumptions. She is always providing us stats and facts and is straight with us on how to proceed.... I truly believe she has our best interest at heart. She is however, extremely busy and allows her IVF coordinator to order meds/ make decisions, which I don't always agree with.
Great/ knowledgeable physicians, understaffed or disorganized staff [Kentucky Fertility Institute]... She [Dr. Justice] is always providing us stats and facts and is straight with us on how to proceed. Her assistants/ co-workers/ facility (some nurses, financial coordinator) are a bit different, I feel sometimes as just a number.... IUI - $500/ each+ meds + donor sperm IVF #1- $12500 + $4250 embryo genetic testing- (outside vendor) + meds, + donor sperm, anesthesia $525 (outside vendor) (Each transfer after 1 cost $4,000 (one more was needed) IVF# 2 - $13,500 (we had $5000 financial assistance) so cost us $8500, plus meds, plus donor sperm, anesthesia $625
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice is an amazing physician. She is incredibly knowledgeable in her field and is always listing facts/data/statistics. I truly believe she has our best interest at heart. She is however, extremely busy and allows her IVF coordinator to order meds/ make decisions, which I don't always agree with. In my experience with Dr. Justice, she is one to go with the odds and treat a patient as protocol calls for, however, in my case things happened that typically wouldn't (I.E: later receptivity window - 7.5 days, miscarriage after genetic testing) - I wish she had prepped us and allowed us to decide if we wanted to test for things before we started (I.E.- receptivity window, miscarriage blood panel testing). We may have proceeded with treatment prior to this testing but would have liked to have been advised of what could be done so we could weigh the pros and cons.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Do research, ask lots of questions. Ask whether your physician is one who treats the visible problem (2 failed IVF's so now test for receptivity window) or allows you to discuss what could happen (most women have receptive window of day 6, but some may differ up to day 8), whether you wish to test for it (weigh options/discuss with doctor), then treat per your discussion. Keep track of your meds, what insurance covers, and who to contact in certain situations.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice has been with us through out this entire process. She has cried, been frustrated, and has never strung us along with incorrect data or her assumptions. She is always providing us stats and facts and is straight with us on how to proceed. Her assistants/ co-workers/ facility (some nurses, financial coordinator) are a bit different, I feel sometimes as just a number.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
IUI 1- (8/20/16) / Letrozole 5mg, CD 3-7, OPK
IUI 2- (9/14/16) / Letrozole 5 mg, CD 3-7, OPK, prometrium
IUI 3- (10/25/16) / Letrozole 5 mg, CD 3-7, Ovidrel Trigger
IUI 4- (12/15/16) / Letrozole 7.5 mg, CD 3-7, Ovidrel Trigger, prometrium
IUI 5- (1/25/17) / Letrozole 7.5 mg, CD 3-7, Ovidrel Trigger, prometrium
IVF 1- (3/6/17) / Days 1-6 estradiol 2mg/ 3 daily; STIM - Day 1-4: Gonal-F (300 units/daily) Menopur (75 units); Day 5-6 Gonal-F (375 units/daily) Menopur (75 units)/ Cetrotide (0.25 mg) / day 7-8 Menopur (75 units)/ Cetrotide (0.25 mg) / Trigger shot day 9; retreival day 11, doxycycline starting day of trigger shot/ 100 mg twice daily for 5 days
IVF #1/Transfer #1 - (4/10)17) - Estrace (2 mg/ 3 daily), Aspirin (baby), Progesterone in oil (5 days -evening between hrs 6-9), crinone twice daily (morning/ night)
IVF #1/ Transfer #2 (6/16/17) - same protocol as prior FET
IVF #2 - Days 1-6 estradiol 2mg/ 3 daily STIM: Day 1: Gonal F (225 units in evening), Menopur (75 units in evening) / day 2-5: Gonal F (225 units in evening & morning), Menopur (75 units in evening) / Day 6-11: Gonal F (225 units in evening & morning), Menopur (75 units in evening), Cetrotide (syringe in evening), trigger shot day 9, retrieval day 11 - doxycycline starting day of trigger shot/ 100 mg twice daily for 5 days
IVF#2 transfer (1 embryo) - Estrace (2 mg/ 3 daily), Aspirin (baby), Progesterone in oil (morning @ 9 AM sharp) for 7.5 (based on hours), crinone twice daily (morning/ night)
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol Powers)
Carol Powers- IVF coordinator - she is sweet, extremely responsive (on off days via phone) HOWEVER, somewhat disorganized and has forgot to order important meds, called for wrong amounts of meds, and sometimes seems annoyed (I don't believe she is, more so overwhelmed)
Stacey Nalley- no longer there, was my go to for EVERYTHING. She was amazing and extremely compassionate.
Sasha Bjork- do not enjoy speaking with her, has little bedside manner, and is slow in getting things done or responding to emails/ phone calls
Describe your experience with Kentucky Fertility Institute.
Great/ knowledgeable physicians, understaffed or disorganized staff (EXCEPT for front desk coordinator Angie, I really don't know how she manages to keep up with everything when everyone else seems a bit disorganized/ overwhelmed and in house LabCorp employee, Cathy - she is another that is amazing and extremely helpful in other areas).
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
IUI - $500/ each+ meds + donor sperm
IVF #1- $12500 + $4250 embryo genetic testing- (outside vendor) + meds, + donor sperm, anesthesia $525 (outside vendor)
(Each transfer after 1 cost $4,000 (one more was needed)
IVF# 2 - $13,500 (we had $5000 financial assistance) so cost us $8500, plus meds, plus donor sperm, anesthesia $625
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
Dr. Justice has made it very clear that she will allow us to transfer 1 more than the recommended amount she suggests. She's always suggested 1.
What specific things went wrong at Kentucky Fertility Institute?
- Failed to call in prescriptions to pharmacy
- Failed to call with results
- Provided conflicting information
Describe the specific things that went wrong at Kentucky Fertility Institute.
IVF#1 retrieval - IVF coordinator forgot to order Cetrotide
Receptivity window RD #2 - IVF coordinator called for same treatment plan as Rd # 1, when another day of oil should have been added
Miscarriage blood results - had to follow up with office regarding the last result (all but 1 had come back when we met with Dr. Justice to go over future plan)
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We [Dr. Tiffany Justice and I] found a uterine polyp from those test and then moved on to IUI. First IUI beautiful follicle. Nice sperm count. IUI done and nothing. Same thing for the second but then we moved on to injectables. Several follicles and that were beautiful and still no positive. At this point we talked again and after that many IUI she believes there is some sort of issue with sperm not penetrating the egg and we met about IVF. We talked for a very long time and she explained everything to me thoroughly and never mentioned cost. That made me feel like she was not just worried about the money.
Honestly I know this may be cliche but I have nothing bad to say about this office [Kentucky Fertility Institute]. It's clean, professional and comfortable. There are always beverages if your thirsty or nauseas and the staff is amazing.... All of the nurses at the office are professional and make you feel as comfortable as possible. They know you by name as soon as you walk in and are not afraid to hug you or treat you just like family.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
From the first day I walked in to KFI was treated like family. The time I spent with Dr. Justice she never once rushed me with questions. It was like sitting in a room with your best friend and just talking and giving advice. When my treatments did not work she didn't make me feel like I was hopeless and there was nothing more. She gave more options and acted like she was hurting just as much as I was when we didn't have answers. I was more scared of an IVF cycle not working to even try. But she gave me some hope to try.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Compassionate. She is very compassionate in one of the hardest times in your life and truly cares for her patients.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr Justice is an amazing doctor. She Really cares about her patients and is compassionate. I appreciate that she did not want to keep collecting my money for something that was not going to work.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
My first appointment with Dr Justice was a consultation since I had 5 IUI cycles at s different office. She believed my IUI was a timing issue. The previous office I was in did not do treatments on the weekends. You almost felt like you were just another number there and not another person. So we started with femara and IUI but before my IUI she also ran a couple more test the previous office didn't do. We found a uterine polyp from those test and then moved on to IUI. First IUI beautiful follicle. Nice sperm count. IUI done and nothing. Same thing for the second but then we moved on to injectables. Several follicles and that were beautiful and still no positive. At this point we talked again and after that many IUI she believes there is some sort of issue with sperm not penetrating the egg and we met about IVF. We talked for a very long time and she explained everything to me thoroughly and never mentioned cost. That made me feel like she was not just worried about the money.
Describe your experience with the nursing staff at Kentucky Fertility Institute.
All of the nurses at the office are professional and make you feel as comfortable as possible. They know you by name as soon as you walk in and are not afraid to hug you or treat you just like family.
Describe your experience with Kentucky Fertility Institute.
Honestly I know this may be cliche but I have nothing bad to say about this office. It's clean, professional and comfortable. There are always beverages if your thirsty or nauseas and the staff is amazing.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
Not totally sure of cost l. IUI was about $300. My U/s was covered by insurance but I had to pay for meds
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
We have not started that process yet. My husband and I are still trying to figure out how we are going to pay for IVF
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She [Dr. Justice] is nice and sweet. Very knowledgeable. From one cycle to the next though she would want to leave things the same that didn’t work the cycle before...She gave me and 80% chance with IVF...my lining would not get to where it needed to be before the IUI’s so we tried viagra vaginally and it helped. Now that I’m getting ready to start the IVF process, she is not getting me to take the viagra and I am confused.
When you call to talk to someone on the phone [at Kentucky Fertility Institute] it’s hard to get an answer. But when you are at the office they are very nice!...All in all [the nurses are] nice, but when I called one time to tell them that my pregnancy test negative and wanted to go the IVF process. I started to ask questions and I was not impressed by how the nurse handle them. It made me a little upset.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
She is nice and sweet. Very knowledgeable. From one cycle to the next though she would want to leave things the same that didn’t work the cycle before. I’m currently getting ready to start IVF. I’m excited yet scared that it might not work. In Dr Justice’s office I would have to pay for each IVF and if it doesn’t work you don’t get any money back. She gave me and 80% chance with IVF.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Write down all the questions that you think of, she will answer all your questions.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
When you call to talk to someone on the phone it’s hard to get an answer. But when you are at the office they are very nice!
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
Well my lining would not get to where it needed to be before the IUI’s so we tried viagra vaginally and it helped. Now that I’m getting ready to start the IVF process, she is not getting me to take the viagra and I am confused.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol)
All in all nice, but when I called one time to tell them that my pregnancy test negative and wanted to go the IVF process. I started to ask questions and I was not impressed by how the nurse handle them. It made me a little upset.
Describe your experience with Kentucky Fertility Institute.
They are good at giving you the results, but you don’t get them explained until you’re in the office with the doctor. I google the results and get most of the answers but I would prefer to get it from the staff. They are very nice though.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
The IUI’s was about 300 dollars a piece. I’m not sure how much I have spend on all the meds. The ultrasounds are 50 a piece. The blood draw varies. My initial blood test was around 100 but after that they are around 30. The IVF process the meds are around $1,000 and my insurance gave me $5,000 for the actual IVF so I owed $5,000. I filled out online to freeze my embryos but not sure how much that will be.
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
Not to that process yet
What specific things went wrong at Kentucky Fertility Institute?
- Provided conflicting information
Describe the specific things that went wrong at Kentucky Fertility Institute.
They are nice but if I ask a question and they are not 100% on the answer they need to ask the doctor and call me back.
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Verified
This patient has provided documentation of treatment at this clinic.
Dr. Justice was excellent from the start with being prepared for our first visit with a detailed review of my previous treatments with another physician. She thought “outside the box” and gave alternative options for medication than I had previously used.... Dr. Justice recommended use of estrogen patches as opposed to oral pills when resulted in improved growth of my uterine lining. After a few months of limited success, she recommended a hysteroscopy to further evaluate the state of my uterine cavity, during which excessive scar tissue was found and removed.
Very organized and responsive. All calls returned within a timely manner. Great with being flexible with my schedule for appointments. Very organized and professional with all financial matters. Convenient to be able to have labs drawn at the clinic [Kentucky Fertility Institute].... Great with communicating plans and very fast response time with any questions I had. Sweet and truly cared about the success of my treatment.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice was excellent from the start with being prepared for our first visit with a detailed review of my previous treatments with another physician. She thought “outside the box” and gave alternative options for medication than I had previously used. She continued to work with us with adjustments in treatment for several months before we were finally able to attempt implantation. She recommended another exploratory procedure after several months of limited success in growing my uterine lining during which excessive scar tissue was identified from a previous procedure with another physician. She was very thorough with evaluation of our situation and took the time to determine an appropriate course of care since we only had 1 embryo to implant. In the end it was success and we now have a beautiful, perfect baby boy!
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Be patient and willing to try whatever treatment is recommended.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice sat and talked with me about all aspects of my care at every visit. She gave me hugs when things got emotional, and consoled me when things were not going well.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
Dr. Justice recommended use of estrogen patches as opposed to oral pills when resulted in improved growth of my uterine lining. After a few months of limited success, she recommended a hysteroscopy to further evaluate the state of my uterine cavity, during which excessive scar tissue was found and removed. Dr. Justice was then careful with taking one month to ensure that the scar tissue had not returned with an US procedure and to look at my natural cycle to determine my lining growth with no intervention prior to attempting implantation. Implantation was a success!
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol Powers)
She was excellent with coordinating all aspects of our care. Great with communicating plans and very fast response time with any questions I had. Sweet and truly cared about the success of my treatment.
Describe your experience with Kentucky Fertility Institute.
Very organized and responsive. All calls returned within a timely manner. Great with being flexible with my schedule for appointments. Very organized and professional with all financial matters. Convenient to be able to have labs drawn at the clinic.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
$4200 to the clinic for all services up through implantation since retrieval had already be completed. $2000-$3000 to pharmacy in medications. Other insurance determined costs for hysteroscopy and other procedures.
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
None. We only had one embryo to implant.
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This patient has provided documentation of treatment at this clinic.
Dr. Justice has the best bedside manner and shows the most compassion of any physician of I have seen. She makes you feel as though you are the only appointment of the day, not ever rushing you or failing to make sure you fully understand what is going on. She offers her opinion but also listens to the patient's preferences and concerns. She is very respectful, kind, caring, patient, and invested in obtaining the most favorable outcome possible for the patient and their family. She is always available to answer questions, and goes out of her way to be accommodating.
They [Kentucky Fertility Institute] don't force patients to be on certain schedules for IVF or IUI. They base schedules on each individual person. Even if this means the doctors and staff come in on weekends, that's what they do if best for the patient. You are treated like a person, not a number. Always greeted by name upon arriving for appointments. Office is very nice and clean. You won't find a friendlier team...Did everything she could to make me comfortable during my treatments. Very responsive to questions and prompt with answers even when questions were emailed after hours. She was always very personable and friendly.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice has the best bedside manner and shows the most compassion of any physician of I have seen. She makes you feel as though you are the only appointment of the day, not ever rushing you or failing to make sure you fully understand what is going on. She offers her opinion but also listens to the patient's preferences and concerns. She is very respectful, kind, caring, patient, and invested in obtaining the most favorable outcome possible for the patient and their family. She is always available to answer questions, and goes out of her way to be accommodating.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Don't bother looking anywhere else. You will not find any better or more caring physician than Dr.Justice. She's amazing.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Saw her every appointment and took time to sit down and see if there were any questions each time. Fully explained everything. Never felt rushed. Was extremely compassionate and felt as though she was truly invested in the outcome and my family.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
3 IUI with oral medication.
3 IUI that included injetible medication.
1 Ivf cycle using ICIS and then doing a freeze-all and later frozen embryo transfer - positive singleton pregnancy! Despite having perfect labs, tests, and responses to medications during IUI, poor egg quality was discovered during IVF. Yet, Dr. Justice still got me to a healthy pregnancy from that IVF cycle :)
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol Powers)
Did everything she could to make me comfortable during my treatments. Very responsive to questions and prompt with answers even when questions were emailed after hours. She was always very personable and friendly.
Describe your experience with Kentucky Fertility Institute.
They don't force patients to be on certain schedules for IVF or IUI. They base schedules on each individual person. Even if this means the doctors and staff come in on weekends, that's what they do if best for the patient. You are treated like a person, not a number. Always greeted by name upon arriving for appointments. Office is very nice and clean. You won't find a friendlier team.
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
Dr. Justice is great about explaining her opinion but also listening to patent concerns and preferences, trying to ultimately do what is best for the patient and their family.
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Verified
This patient has provided documentation of treatment at this clinic.
Dr. Justice is one of a kind doctor. She 's awesome. She is the only doctor who returned my call when i have questions for her even at night. My husband and I were so comfortable with her. She is very compassionate, dedicated and always make sure that I get the best care. I never felt so scared when i had my surgeries with her because I know she will take care of me and always making sure that i will be okay. No words can describe how greatful we (me and my husband) are to be her patients.
Dr. Justice is one of a kind doctor. She 's awesome. She is the only doctor who returned my call when i have questions for her even at night. My husband and I were so comfortable with her. She is very compassionate, dedicated and always make sure that I get the best care. I never felt so scared when i had my surgeries with her because I know she will take care of me and always making sure that i will be okay. No words can describe how greatful we (me and my husband) are to be her patients.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice is one of a kind doctor. She 's awesome. She is the only doctor who returned my call when i have questions for her even at night. My husband and I were so comfortable with her. She is very compassionate, dedicated and always make sure that I get the best care. I never felt so scared when i had my surgeries with her because I know she will take care of me and always making sure that i will be okay. No words can describe how greatful we (me and my husband) are to be her patients.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
just relax she will take care of you
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr Justice treats you so well like a family to her. She is so compassionate and dedicated and treats me and my husband good. I never felt that I was just a patient to her. She treated me with care
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
I had some health issues that she treated me. I had a irregular period. I had to take birth control pills. When i first took clomid and it didnt work the first time she did an dye xray (hsg) i think to make sure my tube doesn't have a blockage and it showed that something in there and another X-ray (SIS)to confirm it. I had a hysteroscopy last August and when the result came out i had another one last December because of the aplasia. In between i have been taking agestin i think. My period is now every month. Before she gave me treatment usually i wont have it for 6 months or more.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Stacy )
She's the sweetest and always gives me a warm welcome and always return my call right away and never had any problem of not returning my call
Describe your experience with Kentucky Fertility Institute.
Its the only clinic i have seen that you can get whatever drinks you want 😀, clean restroom and beautiful clinic
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
Dr.Justice made sure that when she goves prescription making sure that she its has a lowest price and will ask you how was the pharmacy treated me and she said she always make sure that we can get lower price. And she makes sure that she always check any other pharmacy. With cost i had with her i never expected that its much cheaper in her clinic
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Dr. Justice reviewed records from our previous fertility doctor and then sat down with us to review everything during our consultation. She has was thorough and blunt about her opinion and our options. She never pushed us to do or try treatments we didn't want. She did explain all of our treatment options thoroughly and realistic outcomes for each of them, so that we could make an informed decision that was right for us. She is always warm and friendly and soft spoken. She is also empathetic and comforting which has made this lengthy process much more bearable.
We had to pay out of pocket for everything. Our IVF package was $13,500.00. Anesthesia services for the egg retrieval was $525.00. Medications were covered by my insurance and cost approximately $80.00...The clinic [Kentucky Fertility INstitute] is clean, organized, and welcoming. I felt very comfortable receiving care at this office because not only the people but the environment is welcoming...Everyone at her office is extremely busy but they always take the time to talk to us, discuss things with us and help us. They are also very nice and personable.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice reviewed records from our previous fertility doctor and then sat down with us to review everything during our consultation. She has was thorough and blunt about her opinion and our options. She never pushed us to do or try treatments we didn't want. She did explain all of our treatment options thoroughly and realistic outcomes for each of them, so that we could make an informed decision that was right for us. She is always warm and friendly and soft spoken. She is also empathetic and comforting which has made this lengthy process much more bearable.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Be prepared for honesty, she is very kind but she is also honest. Don't expect her to only tell you what you want to hear or to sugar coat anything.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice has a great bedside manner, she always takes time to thoroughly explain what is going on. She also makes sure to answer any questions we have so that I am comfortable with procedures and so that we are informed and able to make educated decisions.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
Initially I had to have surgery to remove a large fibroid tumor. Once I healed Dr Justice let us try one round of Clomid but we were unsuccessful, this was at our request. We then started injections in preparation of our egg retrieval. We used Good nap-f 250 units twice a day, menopur 75 in the evening, cetrotide in the evenings and then ovidrel to trigger. My body responded well and she was able to retrieve 8 eggs!
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol is our IVF Coordinator )
Everyone at her office is extremely busy but they always take the time to talk to us, discuss things with us and help us. They are also very nice and personable.
Describe your experience with Kentucky Fertility Institute.
The clinic is clean, organized, and welcoming. I felt very comfortable receiving care at this office because not only the people but the environment is welcoming.
Describe your experience with your monitoring appointments at Kentucky Fertility Institute.
The first appointment I arrived early and had a short wait (maybe 15 mins). The subsequent appointments were efficient with little or no wait.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
We had to pay out of pocket for everything. Our IVF package was $13,500.00. Anesthesia services for the egg retrieval was $525.00. Medications were covered by my insurance and cost approximately $80.00
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Dr. Justice is very compassionate and sympathetic during what is, naturally, a very stressful time. When my IUI attempts failed, she spoke to me like a concerned friend and shared my disappointment...During each procedure, she always makes me feel so at ease. She is thorough and wants to make sure we always understand all treatments and medications and any risks they may pose...We never had a question go unanswered.
Stacey [a nurse at Kentucky Fertility Institute] is amazing. I've probably called her more times in the last few months than I've called my own mother! She always calls back promptly and answers all questions. When we are called back, she always greets us with a smile on her face...Each round [of IUI] cost us around $400-$500, and that includes the cost of medications...The doctors and staff are all very personable and friendly. They never make us feel like a number and are always willing to help if we need it. I also am very happy with all of the pre-tests that were completed prior to our treatments
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice is very compassionate and sympathetic during what is, naturally, a very stressful time. When my IUI attempts failed, she spoke to me like a concerned friend and shared my disappointment. That was so comforting, more so than she might even realize. During each procedure, she always makes me feel so at ease. She is thorough and wants to make sure we always understand all treatments and medications and any risks they may pose. We never had a question go unanswered. We will resume our treatments in a few months and I am confident that Dr. Justice will do all that she can to see that we get pregnant. And if, for some reason, those cards just aren't in our favor, I know that I'll have her comfort and support.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Be patient. Dr. Justice has explained that it may take a few tries. They run all the tests. They do all of the ultrasounds. They are doing what they can to give you the best chance possible to become pregnant. So, just be patient.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
She was so sympathetic and comforting each time our IUI failed. She explains each procedure and medication thoroughly, ensuring we fully understand the expectations.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
Due to hypothyroidism, I was put on Levothyroxine prior to any procedure. We did IUI #1 with just Letrozole (days 3-7) and we used the OPK. However, I started my cycle just a few days post IUI. This resulted in IUI #2 being monitored with ultrasound. Again, we did Letrozole, and we also added Ovidrel as the ultrasound results were great with 2 follicles ready to go, and Progesterone inserts each night. IUI #2 failed, and I started my cycle on 13 days post IUI. For IUI #3, all treatments were the same, however we increased Progesterone to twice a day, once in the morning and once at night. IUI #3 failed. We will start again in 2 months and, as I understand, we will follow the same treatment plan as we did in IUI#3.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Stacey)
Stacey is amazing. I've probably called her more times in the last few months than I've called my own mother! She always calls back promptly and answers all questions. When we are called back, she always greets us with a smile on her face. I'm very happy with the care Stacey provides.
Describe your experience with Kentucky Fertility Institute.
I love this clinic. The doctors and staff are all very personable and friendly. They never make us feel like a number and are always willing to help if we need it. I also am very happy with all of the pre-tests that were completed prior to our treatments. I've heard that not all clinics follow that protocol and so I'm very thankful for that.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
Very managable. Each round cost us around $400-$500, and that includes the cost of medications.
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She [Dr. Justice] calls me after-hours, and I truly feel like she is 100% invested in my care, not just fertility-wise, but long-term...She's open, honest, and gives you all the facts and knowledge. She doesn't sugarcoat things, but she also doesn't make you feel like this is "it...the end of the road." I know I am in the best hands possible for fertility treatment...
Every person I have interacted with [at Kentucky Fertility Institute] has your best interest at heart. It starts with the front office director, Angie. She also personally greets me every time. All phone call messages are promptly returned. I honestly cannot say a single negative thing about Kentucky Fertility Institute. It "feels" small and intimate, but don't let that deter you into thinking they are lacking in any way, shape, or form. I even feel a personal connection with Kathy, the phlebotomist. She is genuinely rooting for us infertility warriors. I also must highlight Sasha Bjork-Mayer who is the billing coordinator. I can only imagine how many people view her as "the bad guy" since she's explaining all of the financial aspects to you. She is anything but that. She reached out to us to help us find a way to save costs. I feel like she has gone above and beyond her normal job duties to help us.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
I know where I am supposed to be. I've dealt with a myriad of reproductive issues over the years, and many times I felt "pushed along". In fact, there is an ER visit that will stand out in my mind where the physician made me feel like I was making up symptoms in my mind. For the first time, I feel like a doctor is truly listening to me and my concerns. In my opinion, Dr. Justice makes you feel like you're the most important patient when she walks in the room, but she is very unassuming. Her demeanor and strength are qualities I admire because I feel I possess those same qualities. She's open, honest, and gives you all the facts and knowledge. She doesn't sugarcoat things, but she also doesn't make you feel like this is "it...the end of the road." I know I am in the best hands possible for fertility treatment.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
I would give this advice to any prospective patient. Speak up and be an advocate for your health and body. Not to badmouth past physicians, but I've let medical professionals steamroll me in the past. Dr. Tiffany Justice will always listen with an open mind. Don't be afraid to say what's on yours.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Meeting Dr. Justice has made me feel like for the first time someone is truly listening to my concerns and needs. I have not once felt like just another patient or number to her. She calls me after-hours, and I truly feel like she is 100% invested in my care, not just fertility-wise, but long-term.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
I'm a "unique" case. Since beginning treatment with Dr. Justice since last March 2016, we've unearthed I regularly make ovarian cysts and that my hormones have been completely out of whack. I'm now currently on thyroid medication to help balance hormones. To help reduce/diminish the cysts, for multiple cycles I've been on continuous birth control. Once the cysts have diminished or decreased enough in size, then we've taken that small window of opportunity to try Clomid and then one round of IUI. These windows of opportunity were far and few between cycles. It's been a rollercoaster. You can't take Clomid with the ovarian cysts because they may increase or duplicate, but then if you're taking continuous birth control, you can't move forward with treatment basically.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Stacey Nalley)
Stacey is the nurse practitioner at the Institute. She always has a smile on her face and greets me personally every time I go in, even if she is not involved with my care that day. She's very compassionate. During a recent SIS ultrasound (that I basically had to have twice since the first round did not go well), her calming presence made it bearable. She was very understanding.
Describe your experience with Kentucky Fertility Institute.
Every person I have interacted with has your best interest at heart. It starts with the front office director, Angie. She also personally greets me every time. All phone call messages are promptly returned. I honestly cannot say a single negative thing about Kentucky Fertility Institute. It "feels" small and intimate, but don't let that deter you into thinking they are lacking in any way, shape, or form. I even feel a personal connection with Kathy, the phlebotomist. She is genuinely rooting for us infertility warriors. I also must highlight Sasha Bjork-Mayer who is the billing coordinator. I can only imagine how many people view her as "the bad guy" since she's explaining all of the financial aspects to you. She is anything but that. She reached out to us to help us find a way to save costs. I feel like she has gone above and beyond her normal job duties to help us.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
To be honest, I haven't completely totaled them. Over 1,000 at this point.
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When my husband and I walked into Dr. Justice's office we could tell that she had spent time reviewing our lengthy file. She spent almost two hours with us that day asking questions, listening to us talk about our journey, and developing a treatment plan. She made us feel very comfortable in her office and we never felt like she was rushing us out...Dr. Justice offers free second opinion consultations. I would recommend taking advantage of that to any prospective patient because it can't hurt!
The clinic [KY Fertility Institute] is very clean and well maintained. Since the clinic is newer, it is equipped with the newest technology. In the ultrasound room there is a flat screen TV on the wall that you can easily see while the ultrasound is taking place. Also, the clinic offers IVF treatments there in the office...The nurse practitioner is very friendly and welcoming. Whenever I leave a question on her answering machine, she is always quick to call me back with an answer.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
I recently started seeing Dr. Justice after a year at another specialist. Immediately I could tell that we made the right decision switching. I could tell that Dr. Justice had spent time before our appointment reviewing our lengthy file of failed cycles. Although her appointments were running behind that day due to an emergency situation and it was her lunch, she spent nearly two hours with us asking questions, listening to us, and developing a treatment plan. We never felt like she was in a hurry. She made us feel very comfortable.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice offers free second opinion consultations. I would recommend taking advantage of that to any prospective patient because it can't hurt!
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
When my husband and I walked into Dr. Justice's office we could tell that she had spent time reviewing our lengthy file. She spent almost two hours with us that day asking questions, listening to us talk about our journey, and developing a treatment plan. She made us feel very comfortable in her office and we never felt like she was rushing us out.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
After over a years worth of failed treatments with our first specialist, we decided to seek a second opinion. In my previous cycles I would usually take a combination of Clomid and Letrozole to stimulate follicle growth. Our goal was to try and get 2-3 follicles. Majority of the time I was lucky to get one mature follicle. Very rarely was I able to ovulate two. Since this wasn't producing the results we were hoping for, we moved onto injections. We did two cycles of injections and didn't have any luck getting at least 2 follicles with those either. Dr. Justice reviewed our records and devised a plan. The plan is to try and go back to the basics (pills), but increasing the doses to try and stimulate at least 2-4 follicles. If we are able to get more than one, then Dr. Justice wants us to do another IUI. We've had three failed IUI's in the past. Dr. Justice wants us to do at least 2-3 IUI's with at least 2-4 follicles each time. If they all fail, she recommends IVF.
Describe your experience with the nursing staff at Kentucky Fertility Institute.
The nurse practitioner is very friendly and welcoming. Whenever I leave a question on her answering machine, she is always quick to call me back with an answer.
Describe your experience with Kentucky Fertility Institute.
When you walk into the clinic there is a comfortable seating area with couches and chairs. They have a refrigerator with complimentary drinks. There is also a TV to watch while you're waiting. The clinic is very clean and well maintained. Since the clinic is newer, it is equipped with the newest technology. In the ultrasound room there is a flat screen TV on the wall that you can easily see while the ultrasound is taking place. Also, the clinic offers IVF treatments there in the office. The is a strength because it doesn't require you to have to travel far, or even out of state to another clinic.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
Ovulation shots cost $120 (through outside pharmacy). Fertility pills are usually around $60 (Walgreens Pharmacy). Cycles with injections cost roughly $400. Dr. Justice charges $350 for an IUI cycle. I was told that worst case scenario for IVF would be $15-20,000. Since we are doing few rounds of IUI's first, we haven't sat down and looked at the exact costs of IVF with her.
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
My doctor recommended only transferring one embryo, mainly due to my age. I believe they will do up to two if you are comfortable with the risk of multiples.
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She [Dr. Justice] is very patient and takes her time to make sure that I understand all of my procedures and what will come next. She makes me feel comfortable with all of my issues...She takes her time to explain every step of what is going on and when it is time to move on to the next step when a procedure is not working...Listen to what she has to say. She is fabulous and knows what works best!..We started with simple testing such as my husband completing a semen analysis, me completing a test known as HSG to see if I had any blocked tubes
All of the clinic [KY Fertility Institute] makes you feel very welcome and valuable. The clinic is always clean and it is very up to date. They have all of the latest technology and information ready at hand...All of the staff at KFI are phenomenal. When you walk into the door you just feel like you are meeting with old family and friends. They all know my name as soon as I walk in the door. Anytime I have a question I know I am able to call or ask the staff and they respond very quickly with a lot of information.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Throughout this whole process I have felt like I'm on a emotional roller coaster. She is very patient and takes her time to make sure that I understand all of my procedures and what will come next. She makes me feel comfortable with all of my issues.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Listen to what she has to say. She is fabulous and knows what works best!
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
She takes her time to explain every step of what is going on and when it is time to move on to the next step when a procedure is not working.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
We started with simple testing such as my husband completing a semen analysis, me completing a test known as HSG to see if I had any blocked tubes (found out my right tube is blocked). My next options were surgery or to start clomid, we opted to start clomid and actually conceived on the first dose, unfortunately it ended in miscarriage. We gave me a month off and started clomid again and again I became pregnant and miscarried. We now decided to check me for any blood clotting disorders (My aunt has factor V with leiden) well and behold that test came back positive for Factor V with Leiden. I started taking a 81 mg aspirin and was given a prescription for Lovenox to start when I got a positive pregnancy test. We tried for 9 more months after with clomid and ultrasound monitoring and I was unable to conceive. She informed me that it is time to move on to IUI with clomid and injectables. I completed my first IUI in March and it was unsuccessful.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Stacey)
All of the staff at KFI are phenomenal. When you walk into the door you just feel like you are meeting with old family and friends. They all know my name as soon as I walk in the door. Anytime I have a question I know I am able to call or ask the staff and they respond very quickly with a lot of information.
Describe your experience with Kentucky Fertility Institute.
All of the clinic makes you feel very welcome and valuable. The clinic is always clean and it is very up to date. They have all of the latest technology and information ready at hand.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
We have had to pay for every ultrasound and any type of other testing since my insurance did not cover anything. They are very accommodating on not ordering unnecessary scans.
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Dr. Justice sits with me after my IUI and holds my hand and talks to me.She knows my name and my face as soon as she sees me in the office...Dr.Justice is very passionate about her patients and their care. I personally have not seen anything negative about her or her practice... The only downside to her practice could be that you may have to see her partner. Dr. Hunter has been wonderful to me also. So personally I have no complaints. But if you only wanted to see a female, it may be a problem for some.
The only weakness [at Kentucky Fertility Institute] in my eyes is that they are growing at rapid rate and it causes the wait time to be longer. The office is peaceful and a relaxing environment. They set you up to have a consult with the doctor and a consult with Sasha, the billing coordinator for the office. Everything is done in the offcie except for surgery, beyond egg retrieval.There is a lab, andrologist, and ultrasound all in one place. The ultrasound room has a screen on the wall for the patient can see...
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr.Justice is very passionate about her patients and their care. I personally have not seen anything negative about her or her practice. The only downside to her practice could be that you may have to see her partner. Dr. Hunter has been wonderful to me also. So personally I have no complaints. But if you only wanted to see a female, it may be a problem for some.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Be patient. They are a busy practice, but totally worth any wait you may have.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice sits with me after my IUI and holds my hand and talks to me.She knows my name and my face as soon as she sees me in the office.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
IUI- 150 Clomid and dexamethasone 1 mg twice a day. Ultrasound day 10. The ovidrel shot for trigger shot and IUI after 36 hours. My body needed the 150 to respond and the dexamethasone helped with inflammation because of my endometriosis and pcos. We are now getting ready to start ivf (pending finances) because I feel that I am 38 and running out of time.
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol)
Carol for IVF. She was very quick to respond to every question I had and always has dealt with my craziness.
Stacy is the APRN. She is so wonderful. She has helped me through two miscarriages and is so kind and patient.
Describe your experience with Kentucky Fertility Institute.
The only weakness in my eyes is that they are growing at rapid rate and it causes the wait time to be longer. The office is peaceful and a relaxing environment. They set you up to have a consult with the doctor and a consult with Sasha, the billing coordinator for the office. Everything is done in the offcie except for surgery, beyond egg retrieval.There is a lab, andrologist, and ultrasound all in one place. The ultrasound room has a screen on the wall for the patient can see.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
13000 for ivf and 3500 for meds
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
I personally thought that we would transfer 2 embryos due to my age (38). But after speaking with Dr. Justice, she suggested only transferring one since we are doing pre genetic screening on the embryos. I am overweight and have high blood pressure, so she really doesn't want me to end up with a higher risk twin pregnancy. She told me I could transfer two if I was set on it,but she suggests one
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My husband and I both felt as if she actually care about the safety of me and our future child. And she was Blunt but in a nice way... she has been pleasant to work with. Our first initial consult we went through the ins and outs of all the steps. And what we do and don't want and things to expect or not expect. We are very excited to continue our feeltikty journey with Dr. Tiffany Justice... I'm on birth control pills now so she can track my periods as well.
Very nice office [Kentucky Fertility Institute] with a great staff. Just starting to get to know the staff more...The nursing staff was very friendly and answered any and all my questions. I'm looking forward to my fertility journey with Kentucky Fertility Institute ...ask all the questions you want and if you forget then just call the office or use the patient portal and they get back to you relatively quickly...Roughly $35,000-$40,000 for fertility, medications, and pre implantation genetic testing.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
We actually have just started our fertility with Dr. Tiffany Justice and can already say she has been pleasant to work with. Our first initial consult we went through the ins and outs of all the steps. And what we do and don't want and things to expect or not expect. We are very excited to continue our feeltikty journey with Dr. Tiffany Justice.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
To make sure you ask all the questions you want and if you forget then just call the office or use the patient portal and they get back to you relatively quickly.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
My husband and I both felt as if she actually care about the safety of me and our future child. And she was Blunt but in a nice way.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
Like I said before we just started our journey with Dr. Tiffany Justice so far we've both done blood work and she did a vaginal ultra sound to look at my ovaries And follicles. I'm on birth control pills now so she can track my periods as well. We're trying to figure out finances and get them In line since my health insurance doesn't cover any part of my fertility treatments.
Describe your experience with the nursing staff at Kentucky Fertility Institute.
The nursing staff was very friendly and answered any and all my questions. I'm looking forward to my fertility journey with Kentucky Fertility Institute and Dr. Tiffany Justice.
Describe your experience with Kentucky Fertility Institute.
Very nice office with a great staff. Just starting to get to know the staff more.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
For me since I have to do pre implantation genetic testing it's going to cost more. Roughly $35,000-$40,000 for fertility, medications, and pre implantation genetic testing.
My insurance doesn't cover any aspect of it.
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
She recommends for the safety of me and our future baby she just recommended transferring one egg but said we can always one up her.
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Dr. Justice has such a kind, loving manner about her and gives you her undivided attention. She didn't care that we were gay, just a sincere desire to be of help to create a miracle... I truly felt like Dr. Justice is in it for the long haul with us...The first step was complete bloodwork for myself and my partner after a thorough discussion of what we had done thus far...The only weakness is that she looks tired sometimes ;) but hence that's the life of a doctor. I really don't have anything bad about her.
It's [Kentucky Fertility Institute] a very clean and decorated beautifully. That is the first thing you see and I know that it is a safe serene environment. They are very organized and as my dad would say, "A well oiled machine!" I really don't have anything bad to say about the office or the staff. Sometimes it's a little chilly but the were more than happy to give me a heated blanket...t's always the same staff members and for me that's a great safe feeling.
How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
She is a wonderful doctor that I truly value in my life and I have been to several trying to figure out if something was wrong with me. She cares from the heart and it shows and felt. The only weakness is that she looks tired sometimes ;) but hence that's the life of a doctor. I really don't have anything bad about her.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Keep the faith
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
When I was referred to Dr. Tiffany Justice by my OBGYN I was desperate. I was in my late 30's and I had already had 2 miscarriages and had been thoroughly checked for endometriosis and blood disorders. All tests came back normal and as a lesbian woman with my fiancee in tow, we came to Dr. Justice with an open heart and mind. I have wanted children for a very long time and with a 4 bedroom home, we have the room. Dr. Justice has such a kind, loving manner about her and gives you her undivided attention. She didn't care that we were gay, just a sincere desire to be of help to create a miracle. No one really knows what it feels like as a woman to think you can't do something that's so natural and easy for others. I truly felt like Dr. Justice is in it for the long haul with us. I have my next appointment soon to discuss the next steps on this journey. We have done 3 rounds of Cloumid and Progesterone with no success. I have faith that if my God sees fit then a child will come into our life.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
The first step was complete bloodwork for myself and my partner after a thorough discussion of what we had done thus far. I have hypothyroidism that I was diagnosed with in my late 20's by my primary care physician and fibromyalgia. I only take synthyroid for that at .05 mcg once a day. We started on Cloumid after my bloodwork was clear and I had my first period. We had purchased 3 vials of frozen sperm that was shipped and stored at Dr. Justice's office and after IUI I started on Progesterone nightly. It's crazy sometimes the lengths we go through to bring life into this world. We have finished all 3 vials of frozen sperm with no success and are ready to go to the next step and climb the mountain of uncertainty.
Describe your experience with the nursing staff at Kentucky Fertility Institute.
I'm terrible with names but it's always the same staff members and for me that's a great safe feeling. When you are there, you are going through so many different emotions and the staff is great at adjusting accordingly depending on the patient. I'm a people watcher and you can see it in others eyes...the hope, fear, pain.
Describe your experience with Kentucky Fertility Institute.
It's very clean and decorated beautifully. That is the first thing you see and I know that it is a safe serene environment. They are very organized and as my dad would say, "A well oiled machine!" I really don't have anything bad to say about the office or the staff. Sometimes it's a little chilly but the were more than happy to give me a heated blanket. It could have just been my nerves, anxiety or feelings.
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
I don't remember everything of bloodwork because insurance covered some of the costs but it was roughly $400 each time IUI was done. We paid the sperm bank directly for the vials and shipping.
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
Not applicable
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