Fertility and Endocrine Associates

Dr. Krause was very helpful in the beginning. As we furthered along in the treatment, I felt like I was always rushed along. I lived 2 hours away from the clinic. I would drive to the clinic to wait around 45 minutes and for Dr. Krause to come in and out within 10 minutes of the appointment. It was difficult to ask questions without feeling like I should already understand the concept of the treatment. Although she seemed very knowledgeable, it was hard to talk to her as a human sometimes.

Explore your options. Although you are so eager to become a mommy, make sure you get second opinions and go with your gut feeling. If you feel the doctor isn’t a match with you and your spouse, don’t be afraid to take the time to look into different clinics.

I was taking Menopur through injections. In the beginning of the treatment we started at half a vile a night. We did this for a few days. Meanwhile I was visiting the clinic which was 2 hours away around twice a week. The Menopur was not growing my eggs as Dr. Krause would have liked. She slowly raised my dosage even though it wasn’t making much progress with my eggs. After one month of slowly raising the dosage I was told to stop treatment and start over. Due to this I was forced to pay again for the treatment at the clinic. I felt all along I should have been advised to raise the dose a little higher than I was told. I had to pay for the treatment twice before the correct dosage to mature my eggs was discovered. It was very frustrating and money consuming when I was under the impression this treatment would only last around 2-3 weeks. After trying the treatment once more, it did result in a negative pregnancy test.

For the super ovulation treatment as timed intercourse it was $1,200.00 which only included 4 ultrasounds and bloodwork visits. I paid this amount twice due to my medicine dosage not being increased frequent. The Menopur and HSG shot was around $4,000.00.

This did not apply to my treatment, however once I had a few eggs matured, Dr. Krause implied that I had too many eggs matured which would result in multiple births. She implied she was against this.

Dr Justice offered to see us during her lunch as there was a scheduling mishap that had nothing to do with her. She talked with us and listened to our concerns and answers all of our questions for as long as it took. Because I was about mid cycle she offered to do an ultrasound at our consultation to see if I currently had any viable follicles. When she saw that I did she offered to start trigger shots in 2 days! She gave us all the info for the mail order fertility pharmacy, cost information and instructions on when and how to administer, as this was something we had never done before. She was extremely down to earth, kind, and very knowledgeable.

She’s worth the wait to get an appointment to see her!

I have PCOS and was already on letrozole 5mg, but at my consultation appointment she increased it to 7.5mg for next cycle if I do not get pregnant and will monitor with ultrasound. She also started a trigger shot of Ovidrel for current cycle and future cycles if needed. I will continue on metformin for PCOS and insulin resistance and extra folic acid for the MTHFR gene mutation. She also started me on progesterone suppositories to help support the uterine lining for implantation!

Dr Homm was the doctor that I needed during a very difficult time. He was calm and assured in his treatment plans. Due to that, I felt more assured and ready to tackle what was next. He took the time to explain what I needed to better understand anytime I asked.

Trust your gut and ask questions when you are unsure. The process can be tedious but it is worth it.

I started out by taking letrozole. I took this for 3 cycles with no success. We decided to move on to IUI. After 3 failed cycles, it was explained that my endometriosis could be impacting my path to motherhood. We elected to have laparoscopic surgery to remove the endometriosis and he was able to confirm that it was severe. From there we waited a cycle and tried 2 more rounds of IUI which ultimately were unsuccessful. We then decided to move to ivf. I took medicine to stimulate egg growth and was able yo retrieve 31 eggs. Of those 13 made it to day 5 as embryos. 8 of those embryos were tested, resulting in 6 genetically normal embryos. These 6 and the additional 5 were frozen. I began medicine again to prepare for a transfer and transferred my first embryo (a girl). This transfer was unsuccessful. We followed the same procedure, this time with a boy embryo and we’re successful. I am currently 25 weeks pregnant.

About 1,000 for IUI About 5,000 for laparoscopic surgery About 20,000 for IVF meds, treatment, and transfers

I was told that multiple embryo transfer was not the better option because the high quality of my embryos made it likely that they would “stick” and that multiples pregnancies were inherently more complicated.

Dr. Krause has been so very patient with me, and my body. Things haven't always gone smoothly, but Dr. Krause was honest about what was going on with my body, and adjusted her course of treatment. She took every step/ precaution to ensure a favorable outcome with every attempt at pregnancy.

Trust her.

I attempted two rounds of IUI, with no success. So, I moved onto IVF. After reviewing my history, Dr. Krause prescribed my injections throughout stimulation for favorable outcomes. She really knew how to utilize the different injections/ patches/ oral medications for my specific issues. Specifically, I was having issues with my uterine lining being too thin for FET, so I was prescribed estrodial & estrogen patches to address the issue. My first (fresh) transfer resulted in a blighted ovum. Also, after my 2nd FET didn't result in a pregnancy, Dr. Krause recommended an Endometrial Receptivity Analysis, which provided valuable information in regards to how many days of progesterone my body needed before the FET.

FEA accepts insurance, so it depends on you fertility benefits. Though, the clinic, Louisville Reproductive Center does not. That is all out of pocket. One round of IVF, plus 2 FETs has cost $14K, plus medications.

While Dr. Krause seemed prepared to advise me on the risks of carrying multiples, I already knew that I'm considered to be of 'advanced maternal age', and I knew that going into the situation. With that being said, I know a pregnancy with multiples can be risky, and had already decided to transfer one embryo at a time. Dr. Krause agreed.

She is straightforward with the treatment plan, which I very much appreciate. Dr Krause is also kind and understanding that infertility can be emotional. She has comforted me while crying and laughed with me on other occasions. She is very passionate about what she does and her dedication to her patients shows.

Make sure to do your research ahead of time so you are prepared with questions to ask. She will happily take the time to answer anything you ask.

I had already done 6 rounds of letrozole under the care of my OB/GYN. After my consultation with Dr Krause, she suggested 3 cycles of letrozole + HCG trigger shot. After two of these cycles my eggs were not developing as she would have liked, so she increased the dose of letrozole for the remainder of my treatments. After 3 unsuccessful cycles, she indicated that we could try IUI.

Unsure

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Dr. Krause is a great doctor to have in your side during this difficult time. She is open and caring and understand the emotional needs of her patients. She does an amazing job of explaining the procedures before and during the process so there are no surprises.

If you are looking for someone with a gentle personality to guide you through this process, Dr. Krause is a great choice!

Per our request and Dr. Krause's advice we started with the least invasive and least expensive options. As those options were unsuccessful, Dr. Krause was open with us about when to move to the next step and ultimately left the decision up to us. We felt very informed of our options throughout the entire process.

Since I don't have insurance coverage, we took advantage of the packages offered. I researched costs of these procedures at other clinics and found the package prices to be very reasonable for infertility treatments.

We started seeing Dr. Krause in January. After having bloodwork and different tests done, we decided to try Letrozole for 3 rounds. She left every decision up to us and offered an IUI should we want to proceed down that road. We are currently at the end of our 2nd cycle with Letrozole. Results are TBD. We are really happy with how she has given us options and hasn’t tried to push us down one road or another and if letting us take baby steps.

Do your research in different types of treatments before hand so you will be able to have a more informed discussion with Dr. Krause, that way you can come up with a good plan together.

My husbands sperm was assessed and was great. My labs all came back normal except for my vitamin D was low. My husband and I have a history of a miscarriage and 2 chemical pregnancies so we decided that progesterone suppositories were a good idea just in case that was the cause of my miscarriage. I began taking vitamin D and started on Letrozole 5 mg for days 3-7 to see if it would increase egg quantity and increase our chances of a successful pregnancy. We are on round 2 now. Cycle 1 failed, waiting to test for cycle 2.

Insurance covered some of the costs. Our Saline ultrasound was $110 with insurance. Blood work was around $50 uncovered.

Dr. Krause is lovely. There’s not anything negative I can say. She strives to achieve the best outcome. She’s patient and I never feel rushed. Her education in fertility is superb. Excellent bedside manners. Overall just a great doctor.

See her! You will feel that she has your best interest at heart and that you’re not just another infertility case.

I’ve struggled with infertility for 5 years. During that time I’ve seen 4 fertility clinics. 2 of them made me feel like a number. Another outside of Dr. Krause was good but out of town. With Dr. Krause she carefully looked over my medical history and thought it would be best for 3 more IUIs which we did but they were positive outcomes. The rationale for this is that I should do a total of 6 before moving on to IVF, which I had already done 3 with another doctor.

About $500-700 for IUIs and approx $15k-$20k for IVF. My insurance paid for some on the IUIs so I can be exact.

It’s impossible to talk to her if I’m not physically in the office, but she’s very easy to talk to and takes time to answer all my questions when I am there. She is always positive and upbeat and doesn’t seem rushed / annoyed when I keep throwing questions at her. I’ve felt comfortable with her from the beginning. When I finally got pregnant, she seems genuinely happy and wanted to be updated. She just seems like she truly cares about her patients and it’s not about the paycheck or the job for her.

Come to your appointments with any questions you may have.

We started with just letrozole + trigger shot+ TI for a couple cycles (after TTC for about 20 months). She felt confident this would get me pregnant since I ovulate on my own already and don’t have any other issues that have been indicated by testing. After a few cycles, we added in the IUI. She increased my dose of letrozole and I ended up growing more follicles than expected. She explained the different strategies we could follow and explained the risks very well so that we could make an informed decision on how to proceed.

Letrozole was about $5-15 with my insurance, trigger shot about $80, ultrasound and IUI about $250 (before insurance), sperm wash $160 (separate)

I have not gone through this

Dr. Homm has been a great doctor. I feel like he is personally invested. I do think he expected by case to be way easier and had used words like “curve ball” and “unexpected” - I did feel discouraged when he started suggesting that we didn’t have options beyond surrogacy. My biggest complaint is I felt like all the attention has been on getting me pregnant and less focus on my being healthy to get pregnant- doing so we missed some issues. I wish I would’ve asked more questions about why my body was doing what it was. We’ve stayed with him because of his honesty and compassion and we felt like he would keep trying to learn more to help us.

Ask lots of questions and inquire into underlying causes as he gives good explanations.

I tried clomid but just made cysts, then went to letrozole with estrogen, moved then to IUI with super ovulation and menopur, oral estrogen and progesterone. With IUI I made a lining and had eggs but never got pregnant. I’ve continually struggled to make a lining and have tried all different types of estrogen. Did menopur for IVF with oral estrogen, estrogen shots, and estrogen gel. I still haven’t made a lining over 5 mm in order to do FET.

Not 100% I remember but an emergency retrieval was $10,000. Frozen embryo storage is $120 a quarter.

We can only transfer 2 embryos if we ask after not succeeding with one

Dr Homm doesnt sugar coat anything- which I appreciate it. He has always been candid about the treatments and success rates. He never pushed more aggressive treatments and let us decide when we were ready to take the next steps. Although our journey is taking longer than expected, Dr. Homm has outlined and explained everything well.

Be your own advocate no matter which Dr you choose. If you go with Dr. Homm, be prepared to also see the other Drs on staff.

We came to Dr. Homm after ttc for 1.5 years and having 2 chemical pregnancies. Since we were able to get pregnant before, we started with genetic testing, amh, semen analysis, and karotyping - just to rule out some common RPL issues. All came back normal. We started with letrozole, trigger and TI (also progesterone and estradiol support). We had a chemical pregnancy the first TI cycle. We then tried another 3 TI with no luck. Moved onto IUI (same meds) for 4 cycles (one was cancelled due to thin lining). No luck with the IUIs. All TI and IUI cycles were monitored to make sure follicles were growing appropriately. After those failed I had a laparoscopy and hysteroscopy (all looked good). IVF is our next step.

Indurance covered testing and regular visits. Each IUI cucle (less meds) cost about $500 (including sperm prep). TI cost was just the office visit copay.

Dr. Krause is a fantastic doctor. She has always been so sweet and caring and supportive. She explains everything in terms you can understand and will cover all questions before you even ask. She makes us feel like we aren’t alone in this horrible struggle to conceive.

Always feel free to ask what ever questions you have. She will never make you feel like it’s a stupid question.

We started out with IUI with clomid. Started the clomid on day 3 and continued to day 5. We had three attempted IUI’s. The second cycle we missed ovulation by less then 12 hours so she did not do the insemination. My husband was also seeing a male fertility doctor and was on clomid and vitamins. After the three failed attempts and no improvement in sperm quality we moved on to IVF with ICSI. We had 11 eggs retrieved 6 fertilized and 5 survived. We transferred 1 day 5 embryo fresh and then froze the remaining. After that transfer failed we transferred two embryos. That transfer was also unsuccessful. With only two remaining embryos we decided to transfer one which resulted in a chemical pregnancy. We still have one embryo frozen.

IUI cycles were around $300 to $500. Our IVF cycle we bought a package through a financing company. It was close to $15000

She suggested to transfer one embryo for the first transfer stating that frozen embryos have giving better results.

Great communicator. Very kind person. She has gone through infertility herself and thus knows how hard and emotional it can be. Her staff can be a little difficult to communicate with sometimes. Some staff members are wonderful, others don't seem to listen to you which leads to some minor and annoying misunderstandings (like not relaying the correct question to the doctor).

Make sure to ask lots of questions. Make sure you have a full understanding of the process and what treatments she thinks is best.

For 4 months we were prescribed Letrozole. I took it days 4-7 of my cycle. Then on day 10 or 11 of my cycle I went into the office for an ovulation check. During this last cycle, I was also given a HCG trigger shot on the same day of the ovulation check to cause ovulation to occur within 24 hours. We were instructed to do timed intercourse, which mean having intercourse once every 24 hours for the next 72 hours.

I don't know her approach.

Dr. Homm has been great with explaining different options for our fertility journey. He doesn't waste time when it's time to move on to the next step of treatments. I recently had surgery to remove my right fallopian tube and he was amazing. He is very warm and welcoming with his patients and it really feels like he cares and wants to help. He doesn't make you feel like just another number walking in. He's compassionate and hopeful, therefore helping me to be less anxious and more confident.

Don't hesitate, he is the best around and you will not regret choosing him to be your specialist for your fertility journey!

We have recently just started seeing Dr. Homm a few months ago after finding out from my OBGYN that I have a unicornuate uterus. The first step with Dr. Homm was to remove the right fallopian tube, which was closed on one end. Doing so, it will prevent me from having a tubal/ectopic pregnancy. So far, that is the only thing I have done with him is the surgery a few days ago, which went great by the way. Before hand, he also recommended doing some genetic testing, we followed up with that to make sure we were healthy and there wouldn't be any potential risks. I'm glad we did that because it helped us to decide on treatments in the future.

Insurance has covered most of my visits thus far. I usually just have a copay. I just had surgery a few days ago so that was the first step in our journey. We will be deciding what's next and that's when the costs will be evaluated.

We haven't gotten to this part of our journey yet, but with my condition it is recommended that I only have a single embryo transfer, due to the smaller size of my uterus.

She is not pushy, she lets me make an informed decision. She calls to check on me, and was very caring during my miscarriage. I feel like she is really rooting for me, and is understanding of my losses and infertility.

Chose her. She is caring and compassionate.

I was referred to Dr. Krause after my 2nd missed miscarriage in a row. She ran additional repeat loss labs that me OB didn’t. She performed a saline US. She had me take birth control pills prior to my hysteroscopy to help thin my lining. She performed my hysterectomy, I wore a foley catch in my uterus for 5 days, and took estrogen for weeks after my surgery. I took probers to get my cycle back. I had another Saline US and we were cleared to TTC. I had an annovulatory cycle followed by a very long cycle, so we did 50mg clomid, Trigger shot and timed intercourse, that cycle didn’t work so I tried 100mg clomid, Trigger shot of pregnyl and timed intercouse, that cycle was negative do I had an hsg then I took a 4 month break from the RE, after the break she called to check on me, and we decided my husband needed a Sperm analysis. It was fine. We did 100mg of clomid, Trigger shot and timed intercourse and got a BFP. She check 2 betas, and an US at 6w4d, baby did not have a heartbeat. She rechecked US 1 week later baby still did not have a heartbeat. I stopped my progesterone, and she gave me a prescription for cytotec and pain meds to induce the mc if I desired. I miscarried at home naturally and she wrote orders to have to baby genetically tested. Baby had an extra chromosome. We took 5 months off from medicated cycles continued to try on our own. I did 2 more clomid cycles with trigger and timed intercourse, and I am now on my first Femara cycle with a trigger and timed intercourse. Dr. Krause has given us the option of ivf with pgs, donor eggs, or donor embryos, but we have no infertility coverage so she is willing to let us go as little or as much as we want.

Clomid $30, Trigger shot $90, insurance covered US and visits bc of how the coded them. I had to pay my deductabile and 10% after for my hysteroscopy. My HSG was covered bc I had met my deductible. The sperm Analysis was $150.

From the very first appointment that I had with Dr. Krause she made eye contact, sat beside me not in front me, and made an entire written care plan that went from best case scenario to worst case scenario. We immediately started with blood work and she started working on my diagnosis and just like that the care plan was implemented. I have always felt very comfortable telling her the good, bad, and ugly of my emotions, side effects, and both me and my husband's feelings about where we were in the care plan. During the almost two years I've been with Dr. Krause, we have had ups and downs including delays, accidentally dropped very expensive medication, surgery, extremely uncomfortable procedures but all in all I feel most comfortable with her.

This is a funny question because unfortunately I know many women who have difficulties conceiving and I highly recommend Dr. Krauss every time. I explained that I've been to other doctors, and she is the only one that makes me feel relaxed, comfortable and has fought so hard for a diagnosis for me. She's really the whole package! My advice is always for them to find somebody that you're comfortable with, at least have a consultation and you'll know then.

Since I had already started fertility medications with another physician that did not turned out to be successful, Dr. Krause immediately explained her rationale for a different medication and planof attack. I was convinced so we started on femara. She explained that it was not FDA-approved for the route that we were going to be taking, but in her experience had seen a lot of success. She explained that she understood if we were uncomfortable moving forward since it was not FDA-approved. I truly believe she would have altered the plan of care she was not trying to persuade me out of my comfort zone at all. She also ensured she would check for ovulation with ultrasound technique versus blood work which was what I had previously been doing. When after several months of treatments, positive follicle growth, and positive ovulation, she decided to become more invasive with finding out the reason as to why I had not been conceiving. This is when she order the hsg test to check for blocked tubes. In discovering that my right tube was completely blocked we scheduled surgery. The surgery was successful and that my tube is now open, we (myself, her, and my husband) decided that we would try timed intercourse 2 months on our own before we would move to IUI. After two failed rounds of IUI my husband and I decided to take a break. Dr. Krause explained that she thinks that we are good candidates for IVF and during this break we are saving money so we can hopefully afford IVF one day.

All of the costs for specimen cleaning and IUI were relatively appropriate. I was never sucker punched into expensive cost. I remember sitting down with the Financial Coordinator for IVF and walking away kind of surprised that there were so many Financial options and that it was a little cheaper than I thought it was going to be.

Dr. Krause said that she is not comfortable doing more than a 2 Embryo transfer for IVF due to complications that might arise. At first I was a little disappointed because of my age (32) and I have been wanting a baby for many years so I wanted as many babies as I possibly could, as fast as I could. But I understand her success rate is higher with these numbers which means my success rate would be higher if I take her advice and only transfer one or two embryos at a time. When talking with her about all of the options she is very knowledgeable about the latest methods and her comfort level which is refreshing.

Dr Homm was very kind and positive. He also was very flexible and willing to change his schedule around to accommodate whatever would increase chances of success. Initially I was scheduled for one date for retrieval, however, my body responded super quick so he rearranged to move my surgery up by a week. This would result in a weekend transfer which he was willing to do despite the fact they would be closed.

Ask questions. He is more than willing to answer, so don’t shy away from doing so.

My first cycle: I was placed on 3 vials of menopur per night but later decreased to 2. I was prescribed estrogen tablets as well as estrogen gel. This was a frozen cycle so i began progesterone suppositories prior to transfer. Second cycle: i was prescribed 3 vials of Menopur per night. My body responded well but I did not decrease this time. My follies were growing extremely fast so my retrieval had to be moved up. I was a tad concerned I did not decrease (due to the growth rate) and unfortunately during retrieval, many had overmatured. I began progesterone in oil injections the night of retrieval. I was not prescribed estrogen tabs this time, but was prescribed the gel. However, i began the gel 3 days prior to retrieval so with the retrieval being pushed up, I am not sure if my body had enough time to respond before transfer. This part was out of anyone’s control.

Monitoring appointments were easily scheduled. They were able to work with our schedules.

My fresh transfer cost a little over $4000 and my frozen cost a bit over $10000. They do a “Heros Discount” for servicmen/women, so we took advantage of that. I remember ICSI cost appx $1K, thawing (for frozen embryos) cost appx $250, assisted hatching cost appx $450.

After trying to conceive for a year under the guidance of my OB-GYN and knowing there were some irregularities and obstacles, my husband and I took the leap and scheduled an appointment with Fertility and Endocrine Associates. I had a friend that had seen Dr. Homm and had success with their three boys! I remember calling and asking for an appointment with Dr. Homm and I was told his schedule was super packed and it would be quite a while until there was an opening. It turned out that there was a newer doctor who had recently joined the office and her schedule was not quite as full (yet!) and could see us much sooner. I decided, we wanted to get started as soon as possible and Dr. Krause turned out to be unbelievably amazing!!!!! Dr Krause walked us through each procedure and made sure we understood even if we weren’t asking questions. After our loss, she was honestly more emotional than me which allowed me to feel my heartache instead of being tough for the sake of procedures.

Listen. Listen to her ideas and weigh the options. She will always let you decide but she has so much information and insight to share.

We chose to use ovulation medication before we considered IVF. I used letrazol/femera for 6 rounds (months) before IVF was our solution. The ovulation medication was the financially safe way to try controlling some variables.

Louisville Repeodictive was $10,000 Medication was around $3000 And Fertility&Endocrine was $7,000

Dr Krause gave us lots of information on single vs multiple embryo transfers. The embryo I used had a 50 percent chance of working and using another would raise our percent of success to 55 but could also lead to twins. My husband was not a fan of the idea of twins and Dr Krause was sure to be honest about the risks.

The first time we met Dr. Krause I felt that she Was very patient with us. We did not feel rushed and she answered all of our questions. Although we have only completed 3 IUI due to my husbands inability to provide a sample each time due to a spinal cord injury we have waned to try severe more times. Dr. Krause and her office staff was always so understanding when we would call can cancel 30 minuets before our appointment because of this issue and never made us feel like it was our fault even though it was. She would always call and let me know that she was there if we needed anything and that we could change our course of action at any time. Dr. Krause is awesome and I would recommend any of my friends or family to her.

You will love her. She is very personable and she does not act like she knows more than you. You would not know she is a doctor because she talks to you like a friend would and is very passionate about her profession and patients.

On our first visit she discussed our treatment options. She suggested we start with IUI because my lab results was great and nothing indicated differently at this time. The issue we have is my husband has a spinal cord injury and has a low sperm count. We tried IUI without medications and then IUI with medication and still no success at this time.

The cost for iui is expensive and I was able to pay on a month to month basis

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She is intelligent, gifted at her profession, compassionate, and patient. Dr. Krause never talked down to me, was never rushed, and provided wonderful care. I looked forward to my visits because she was always able to calm me while providing me with correct information and realistic expectations. I knew she was great, but after talking to other infertile couples, I learned that not all REs were nearly as wonderful.

Be yourself and ask any question. But really don't they need my advice, she will take care of them.

It is hard to remember all of this. I used Letrozole with an HCG IM trigger shot each of my IUIs and progesterone suppositories to follow. My follicle growth was on track with each. I did a single IVF retrieval and while there was a time I could tell you ever med, it is all a fog now. I did not transfer fresh due to a blood test that sugggested my uterus was not in time with the embryos. I later transferred a single embryo after BC pill suppression, Estrodial, Estrogel, progesterone suppositories and IM. I had a successful pregnancy. Most recent FET was a noncarriage (negative pregnancy test). Will increase estrogen on next cycle to address uterine lining being slightly thinner than preferred.

I think within average. They billed insurance as much as possible. Even though my insurance won't cover infertility they did cover a few services.

Due to my medical condition eSET is the only option. Dr. Krause would not allow anything else as it would put me and children at very high risk.

He was very nice and easy to talk to he explained everything to me and went over everything and suggesed we do ivf or a tubul reversal and to speak to the financial department. We went through all my results together explain each thing to me we went over my hCG test that show that my flesh and clips were off and that they were close so either have to do IVF or tubal reversal and he explained everything to me including the risk and the benefits of each one it was very understanding and very helpful in us making our decision I would definitely recommend him to any number of people

To come prepared with any test results that you already have any kind of testing that you have done and he would explain everything to you and write down all your questions that you would have for him so you can get everything answered while you're there

The only thing I've had done so far is an hsg test which shows if your fallopian tubes are open or blocked mine are blocked so they have to be reopened with a tubal reversal or try IVF to conceive another child he was very understanding and helping us decide between which one would like to do and I understand the cost of everything and tell us what the risk and benefits

How to pay a $50 consultation fee upfront I don't have insurance that covers fertility treatment I'm so for IVF it was $14,000 up front plus whatever medications and stuff you had to have and then my tubal reversal would be 4000 to $5,000 it plus I have facility in hospital fees

Dr Archer speaks quickly, so she can be hard to follow at times. However, she takes her time with you and explains things thoroughly. Your success is her goal and she will do the research and make any changes necessary to adjust to your needs. She's also proactive with the latest studies. We love her and will go to her again when we are ready to use our frozen embryos!

Ask questions! She's super open and a wealth of knowledge.

Dr Archer found I had scar tissue that had damaged my tubes from and appendectomy 15 years prior to seeing her. (Something my obgyn missed in the laporoscopy she preformed for what she had merely diagnosed endometriosis). Dr Archer did another laporoscopy with the help of another doctor who she felt would greatly assist in "fixing" my tubes and with ovarian drilling. We took a year off but dr Archer never gave up on us!

Our insurance covers nothing for fertility. Dr Archer adjusts for this.

Statistics showed that with 2 transfer, we had a 65% chance of success with 45% chance of twins, vs 1 transfer at only 45% chance of success. She gave us the statistics and left it completely up to us.

One thing that I greatly enjoyed about the care given to me by Dr.Krause was her explanation of what I was seeing during the ultrasound. Sure, a patient just sees a grainy image but she pointed out every little thing and if I had a question she was quick to answer and explained it in a way that I could easily understand. It is often that patients get textbook responses to questions and they walk away confused with more questions than they possibly had going in to see their physician. I left the office with little to no questions and I knew exactly what the next steps would be and I also had a good idea of what those steps would entail financially.

Don't be afraid to ask any questions. She thoroughly explains everything if you ask and she will explain it in a way that is easy for you to understand. It is better to be more informed. Something you might feel is a stupid question or something about your medical history that you might consider irrelevant can actually be mind opening!

Initially I saw Dr. Kit Devine and towards the end I was seen by Dr. Miriam Krause. Dr. Kit Devine initially did some bloodwork and ultrasounds and a thorough medical review. I had all of my records sent to them from my OBGYN, Dr. Jacqueline Riely of OBGYN and Associates and from my endocrinologist, Dr. Lohano at Joslin Diabetes Center. We reviewed my condition together, prolactinoma which included blood work, MRIs and more. She developed a plan to start me on Chlomid along with my current dosage of Bromocryptine (this medication prescribed by my endocrinologist works to lower my prolactin level. Normal range is in the teens and my level initially was 385). We tried a couple rounds of this medication along with some other medications which I believe were called Letrozol and femara. I can't recall dosages and instructions for the medications. After attempting two cycles of medication with no signs of ovulation on the pelvic ultrasound they decided to increase the dosage of medication. After my third pelvic ultrasound the findings were the same and there was still no signs of ovulation. It was concluded by Dr. Miriam Krause that the medication was not strong enough to induce ovulation and that I would have the most success moving on to injectables with IUI or IVF.

The pelvic ultrasounds were around $200 and I believe I had 3. My office visits were $22 and I believe I might have been seen around 4 or more times. The only other costs I incurred would have possibly been my consultation fee and my medication although my medication cost would have been from a local pharmacy and not their practice.

After a third unsuccessful attempt with medications I was information for IUI and IVF. I thoroughly reviewed the information given to me and I clearly understood the process. For the medications I was also given a list of a variety of pharmacies so that I could compare costs. I liked that in the explanation of embryo transfer they mentioned that sometimes they have to make the tough call to cancel a cycle if it doesn't appear to be working. They said unfortunately sometimes fertilization and implementation does not occur and they will cancel a cycle and hold a thorough review of that cycle. They review the cycles success and how it progressed so that modifications can be made to the next cycle if need be. It was even mentioned that IVF technology does change and that could even result in changes to a patients treatment.

Dr. Krause is very kind, but doesn't sugarcoat results or treatment plans. She has also never tried to push procedures on us, or put us through unnecessary treatments. This fits our personalities perfectly. We want someone who cares, but is upfront about our chances. She makes sure we leave with the knowledge we need to make decisions correctly for us.

She is compassionate and kind, but presents the facts based on the on the medical information. If you are looking for someone who will always tell you what you want to hear, she is not the doctor for you. She will do what is best for you and recommend treatment options based on your medical history, not pricey procedures.

I had already been under the care of endocrinologists before I saw her, so she had a lot of my medical history before she even saw me. She did some initial bloodwork, and made some changes to my medications based on the results. Because of my medical history, she really wanted to get a look inside to see what was going on. After laproscopic surgery, she gave us treatment options based on what she saw. We could go with IVF, which would give us the highest chance of pregnancy but is costly. Or we could do a few rounds of iui first, which is less expensive and gives us less of a chance of pregnancy. Again, she presented these options on a neutral basis, which left us to make a decision best for us. We chose to do 3 iui cycles, and then re-evaluate. In addition to iui, she also put me on letrozole and hcg trigger shot. The first iui went fine, but I started my period too soon for an unknown reason. The second iui went well, but Dr. Krause added progesterone to prevent premature bleeding. This worked, and we currently have an active pregnancy. It is still early, but she says everything looks great. We are hopeful.

Each iui procedure cost 500, with an additional 125 for semen analysis and prep. My insurance covered office visits and surgical procedures.

Dr Homm doesn't have the best bedside manor, but that's why I usually see Dr Divine in the office. Dr Homm does seem to be very knowledgeable and he did manage to give me the baby I wanted. I've not been as successful at having a second, though.

Know that though his demeanor can seem somewhat off putting, he's still a good doctor. If bedside manor is important to you, see Dr Divine for your visits.

I do not have a good memory for these types of things. I do not recall the specific meds that I was on for the original IVF cycle. I just know that there were injections and pills and creams. The retrieval surgery was done under general anesthesia. Then more meds to build my lining, and the transfer was done in the office. I also had a lap and D&C before we started, after a uterine fibroid was found. That was when I was also diagnosed with endometriosis. My two subsequent unsuccessful FETs included Lupron injections (I don't think that I used this for the original cycle), estrogen pills and gel, antibiotics, steroids, and crinone vaginal cream. The transfers both also took place in the office. They thawed the frozen embryos that morning I believe, made sure they expanded, and then implanted them. There were always ultrasounds done before each transfer was scheduled to check the uterus and ovaries, and then another one done a week before transfer to check the lining. Nothing was done after each failure. We still have one more embryo to transfer, and I was advised at my last appointment that they've started to also include a uterine "scrape" before each transfer now. It's a procedure done in the office that's like a mini D&C, to increase the likelihood that the embryo will stick. But I haven't had that procedure previously.

The original IVF cycle cost us around $20,000 including the meds and the ICSI procedure.