Fertility Institute of Hawaii

Dr. Goulet has been the most wonderful RE I have ever seen. I underwent IVF from 2016-2018 in another city, and again from 2022-2024 at Fertility Institute of Hawaii. I have seen multiple RE physicians over the years and can confidently say that Dr. Goulet is the best physician I have worked with. She is extremely knowledgeable, understanding and kind, willing to spend time with her patients to help them understand each situation, and uses her knowledge and creative thinking to devise the best plan for each individual and their needs. She was gracious when I had concerns and willing to re-think plans or protocols if something wasn't working well. And most of all, she was supportive and optimistic through both good and bad times. I have a long and complicated fertility journey and credit Dr. Goulet with my successful pregnancy after years of unsuccessful IVF attempts.

Ask anything, she is happy to answer and never judgemental

We tried a standard natural FET protocol which did not work well enough to get my uterine lining thick enough. Previous doctors simply repeated the same protocol multiple tries but Dr Goulet was willing to completely rethink the protocol and medications, and the result was very successful.

FET costs were approximately $4000 / cycle and included all ultrasounds and many of the medications. If repeat cycles were needed because of failed transfers, a discount was given for subsequent FET.

Dr. Goulet was compassionate and clear with me from the very first conversation, where she spent more than an hour with us educating us about donor eggs and financial options. I think because she’s been in my shoes, she is extra compassionate towards patients. When we “graduated” she wanted us to keep in touch and bring in our little one to meet her.

Trust in the process even when things don’t work out. Just keep going.

I did only donor cycles with Dr. Goulet, so no egg retrievals. She recommended a fresh donor, but we had concerns about ID disclosure and so we chose a frozen donor. She still supported us in this decision. Our first cycle resulted in a negative, and so we chose to get EMMA ERA testing. The second cycle resulted in a chemical, and so she suggested sterioids and lovenox. We got pregnant with our third cycle.

Donor egg cycles are about 45k and that includes PGS testing, zymot, and one transfer. Each subsequent transfer was 4k. They gave me a discount on my third transfer.

She recommended transferring one, and we agreed because we didn’t want twins.

Dr. Goulet has a warm demeanor and immediately makes you feel comfortable. She is a wealth of information and is invested in each of her patients. I specifically appreciated that Dr. Goulet knows the literature and research and when the classic approach to a frozen embryo transfer wasn't working, she created a protocol unique to my needs that is backed by science. I also underwent procedures outside the typical egg retrieval and embryo transfer that were performed by Dr. Goulet and those other procedures went smoothly and as well as they could have. In fact, those other procedures helped my fertility and I'm so thankful Dr. Goulet informed me about them. There is nothing I would change about the treatment protocol I received from Dr. Goulet. It is also invaluable to me that Dr. Goulet is patient and compassionate and allowed me the space to grieve when setbacks occurred. Knowing that Dr. Goulet remained hopeful for me and wasn’t giving up on me gave me the courage to continue, ultimately leading to the best possible outcome. I can't thank Dr. Goulet enough. She is a blessing to the IVF community and she is truly gifted as a fertility doctor and human.

Make an appointment to see Dr. Goulet - you will not regret it. Dr. Goulet was the second IVF doctor I saw. The first was someone from a different clinic and I did two IUIs with this other doctor who has a very good reputation in our IVF community but I felt this other doctor was condescending and was always walking out the door before I could ask any questions. I was nervous to switch doctors after having invested a lot of time and money with the first doctor, but I'm so so thankful I did. From my first appointment with Dr. Goulet it was obvious how different my experience would be with her. It was like night and day. I have never looked back after my first appointment with Dr. Goulet! I hope she never retires, because I plan on going back to Dr. Goulet to grow our family even more. A small note is that my first appointment was a consultation by video, then each subsequent appointment was in person. Even by video, Dr. Goulet greatly exceeded my expectations. I would be open with her about your concerns and she is more than willing to have a dialogue with you about your treatment.

In order to qualify for IVF coverage, my insurance requires three IUIs. I did two IUIs with a previous doctor and clinic. I then saw Dr. Goulet who discovered a uterine polyp and removed it. I then did the third IUI with Dr. Goulet (Clomid and Ovidrel trigger shot). Then we moved to IVF and due to my age and my preferences, I chose to do PGT testing (paid extra). We paid extra for Zymot (our choice) and ICSI (strongly recommended). For my age, our total oocytes retrieved and the attrition rate were normal, and in the end we only had one PGT-normal embryo. Knowing that one embryo does not always equal one baby, I opted to do a second egg retrieval with same protocol and got two PGT-normal embryos. We then did one unsuccessful frozen embryo transfer - my body responded well to the standard FET meds, my lining was beautiful, it just didn't take. It took several attempts at a second FET, but my lining wasn't getting there and I decided to take a break for a few months - which Dr. Goulet fully supported. When I came back she informed me of what looked like a uterine fibroid and explained my options. I chose to go forward with the transfer. The transfer took but later ended in a miscarriage. Dr. Goulet then discussed again my option of having surgery which I opted for this time. The surgery was successful and she also discovered adenomyosis which I had never heard of. It was a scary diagnosis but in the end it was helpful to know and I believe the surgery helped tremendously. I healed well and the surgery helped my menstrual cycle. After healing, we attempted a third FET which took a few attempts to get there due to lining issues. I'm glad Dr. Goulet was patient with me. We added Prednisone and Lovenox and did a semi-natural cycle and it worked! I appreciate that Dr. Goulet reviewed my chart and asked me about my experiences and she created a protocol that worked for me. It's been a journey, but looking back, there's nothing I could have changed or done differently, because I didn't know how my body would react to each protocol. Also, each cycle is different and what worked for me for the first FET did not work for the second.

My insurance covered part of the first IVF cycle and because we opted for some extras (PGT, ZyMot, ICSI) the first IVF cycle was under $9k (it includes one frozen embryo transfer). The meds for the first IVF cycle and each subsequent was under $3k. The second through fourth IVF cycles were out of pocket and with extras (PGT, ZyMot, ICSI) they were each around $20k (this is just by memory, not exact) (each IVF cycle includes one FET). I received a small discount for the third and fourth IVF cycles which I was grateful for.

Dr. Goulet recommends eSET and I agree.

Dr. Karmon was kind and answered my questions when I had them. Overall I trusted her expertise and felt safe doing the procedure with her. I do wish she or her team would have given me a little more information throughout the process. I sensed she was seeing a very large amount of patients each day and so even though I saw her at each visit it was always for less than 10 minutes. Because of how busy this clinic is I got the feeling that they take for granted that this is something they do every day and so it can feel like they are very casual about it all, when for the patient it is usually a very big deal and so I wish there was a little more emphasis on holding the weight of these visits in a more serious manner. On one hand the casualness of it all made me feel like I had nothing to worry about, but I also caught myself putting on a brave so that I didn’t take up more of the doctors time.

Ask as many questions as you need to and don’t feel pressed for time. You are paying for the time to gather all the information you need to.

Egg retrieval $8900 Prescriptions $4500

Being a patient of Anatte Karmon has made my hopes go higher. I felt more encouraged as her patient because of the sincere love kindness and patience she shows towards me and my partner. She has never once showed that something will not work and if pregnancy wasnt a result she showed complete care and simplicity. She is the best!!!

To continue to trudt the plan, follow all instructions but also do extra on what your told to keep up with. To never lose hope because some doctors dont care and some like Anatte Karmon does. I get more anxious to see her then stress about anything i feel might not happen.

Anatte Karmon has first consulted with me on what steps to take first. Upon consulting she then moved on to step 1 that was an option for me to take, she encouraged that every women sometimes will go through the entire process just to possibly find their tubes was blocked. So its an extra procedure to do just to be safe that it wont be the cause of any egg being stopped from traveling. Its called an HSG OR SIS. Basically a procedure involving an xray to show dye that they shoot into your uterus to see how far it travels. As long as it goes all the way through, it shows that your tubes and lining are perfectly clear to go. It relieves the stress from future news you dont want to hear. After that step and getting all information about your cycle how ofteb it is blood work to show levels of where your at for your menstrual. You can now move foward to your next step which is waiting till your menstrual shows. If you dont get your menstrual at the time your supposed to from when Dr karmon had asked of you for your last dated cycle, she then had helped me take pills to start my menstrual so i can now start my process to growing my follicles. Day 1 i called Dr Karmon to notify her that i started my menstrual. She then brought me in on day 3 which is when the ultrasound can now detect growth size of follicle (like a egg shell) . I was giving stims which is a liquid you refrigerate and put into a pen that you can shoot in the left or right side of your stomach which is a more effective way to boost chances of egg growth and pregnancy. Because im diagnosed with PCOS my eggs grow amot slower which then took me almost 2 weeks to get to a normal 16-88 mm in size for full growth or mature eggs. After reaching the size she needed me to get to , she now can give me another shot to help increase ovulation (follicles releasing eggs to be fertilized by sperm) 2 days counting after that Dr Karmon could do insemination day to finally see if the sperm will fertilize my egg doing iui treatment! I also ordered my sperm vials from Seattle spermbank who is by far the best since you pay a flat rate of $50 to view unlimited of every info possible for each donor. They also extended their genetic testing on top of everything the sperm donors has to test for to be a safe donor. So the test extends to 100+ more screening they can detect for anything donor carries. It makes the search so much more easier, they also work with fertility institute of hawaii as well so shipment is a piece of cake! All in aml even if it failed, it happens and we have to keep our hopes up that there is help out there and praying that even help financially will make the stress easier and may help the body to decrease stress opening a window for a positive pregnancy test.

The cost wasnt to bad at all for all the services i was given. I was allowed to pay small portiond at a time. They never rushed me or called me constantly to harrass me for payment. They never did call for payment at all. They were very understanding and if i needed any info on balance i could just give them a call.

Im trying for an iui at the moment so im hoping that it works, if not ill be trying my first ivf cycle but im hoping ill have the funds by then to do it or be able ro pay whatever out of pocket i need to pay with financial help. As far as ivf we havent got to speak about that since shes so positive that iui can save me money and that this cycle may work! But i do hope that this cycle works so i can give other people a chance and getti g any financial help out there they need. I do need the help but this last cycle i pray it goes through. If not i will gladly need the help as i also just relocated since owners had to sell our home we were renting. My hours got cut at my job as well.

Dr. Frattarelli is very knowledgeable about fertility and that sometimes can feel intimidating when talking with him about treatment options. However when asked to clarify things he is always willing and open to discuss. Our conversations always seem to be genuine. I truly feels that he cares about each patient and wants to see them succeed. Our last in person procedure was a D&C after our miscarriage in November. It was a tough time for us but he made me feel comforted and seen. He reassured me that the miscarriage was not my fault and provided authentic empathy. I also appreciate his honesty regarding if he believes something isn't worth looking into or not. It is refreshing to hear both his medical and personal opinion on different strategies to try.

My advice would be to ask all the questions because Dr. Frattarelli will answer them and if he isn't able to he will do research on it and provide you with his opinion.

I don't recall exactly what protocol I was on. What I do recall is taking that max dose recommended during the stimulation process. I was also give Growth Hormone sooner in my second IVF cycle to hopefully help boost my egg quantity and quality. We also did Zymot the second cycle and added in Femara I believe. All medications recommended were to support ideal stimulation results. During our first cycle 9 eggs were retrieved. 8 were mature and fertilized. 4 made it to the blastocyst stage. 2 were genetically normal. Both embryos were unsuccessful transfers. Our second IVF round resulted in 4 eggs. 1 embryo. We decided not to genetically test. Our transfer protocol had me on extended does of birth control to combat possible endometriosis and he added a vaginal probiotic. We had a successful transfer but unfortunately lost the pregnancy at 8 weeks. We are gearing up for our third cycle. We are hoping to get additional testing done to determine any endometrial infections.

Over the last 3 years we have spent well over $40,000 on treatment.

Dr. Frattarelli has suggested that common practice is to transfer one embryo at a time. He provided us with all the information needed to back up his practice.

He isn’t warm or have good bedside manner. I did a consult only and knew from that first visit that I would not continue treatment from him. With this type of situation you want someone who is understanding and warm from the very start.

If you only care about results he’s known to be good but don’t expect any warm bedside manner

They could not even tell me the cost of anything! The nurses and doctor kept saying things like, “it depends,” or, “it shouldn’t cost too much.”

Dr. John is wonderful doctor. I trust him 100%. He always explains clearly make me comfortable during the treatment. I had no doubt. He is the best doctor I could ever found. Even though he is full of appointments, being super busy, he always do all the check ups and tell me what’s going on and what’s going to do next. I was actually enjoy all the procedures. Even the hormone shot and medications. It was amazing how my body changed. I really appreciate Dr. John to guide me through this wonderful experience.

He is the best.

Multiple embryo transfer

Dr. Frattarelli has a good knowledge of fertility. He was patient and kind. He wanted me to make the choices I wanted based on my options. He wanted me to have safe and effective treatment and had aggressive and less aggressive routes for me choose. He also took all my questions, and I had a lot. I mean a lot. He also did my surgery to help disconnect a blocked tube that could not be saved. He said this would help conceive and keep an embryo safe instead of possibly being washed out by fluid. I trusted him and am glad I did the surgery although I have yet to conceive but I feel better knowing it’s taken care of.

To give some options and good payment options.

I did consultation with him at his office. First we tried timed intercourse using an app for fertility. Afterwards I was tested for Tubal blockage and that result was that my right tube is blocked. With that information I scheduled and underwent a surgery to look at my tubes and only one was blocked that was a repairable tubal blockage and that result was that my right tube is blocked. With that information I scheduled and underwent a surgery to look at my tubes and only one was blocked that was not repairable, so it was severed and now I only have one presumably working tube. Subsequently after the surgery, I stopped getting my periods which was concerning, but Dr. Frattarellis said that was most likely my PCOS that was affecting my cycles. That resulted in my need to take ovulation prescriptions for each IUI. So far, I have not conceived.

I went to see the doctor for a initial visit and counseling. The nurses directed me Dr. John Frattarelli's office after waiting for a few minutes. I had a good consultation with him.

No comment

He has been easy to understand and he has been kind as well. He seems like a skilled doctor. I had surgery with him and it was successful. I will soon be moving onto ivf. The surgery was painless as well.

You are in good hands. He and the clinic are great. If you have any questions, the Klara app is great and they are quick to respond.

I have had a hysteroscopy so far as I had uterine scarring. Follow up saline us showed that the surgery was successful. I will start ivf soon.

They billed to my insurance. Only cost so far has been for the genetic carrier screen I think.

She was always willing to answer my questions and was always willing to listen to my thoughts and ideas. She was very knowledgeable and always open about the risks and probabilities of what may happen moving forward. I always felt like she had my desires in the forefront and proceeded accordingly.

Sometimes things just take time

The doctor was willing to adjust things accordingly based on me being older and knowing that I was trying to conceive as soon as possible.

15,000-20,000