David Hoffman

Dr. Hoffman is accessible when you make an appointment. During consultations he is warm and hopeful. When there are challenges or setbacks in treatment he delivers the message blunt quick and in a manner as if he is ready to move on. You must advocate for yourself to have discussions on other options you may have. As such, you need to keep yourself self informed on the fertility process and options out there.

Be sure to engage him with questions to ensure you are exploring all of your options.

Micro dose Lupron protocol for two egg retrievals for PCOS and diminished ovarian reserve.

Cattle call so you had to find the times that were less busy. Overall you don’t know how long you will be

33.6 for the retrievals and unlimited transfers (not including medication or PGS testing)

Single embryo transfer. Okay with this approach

Dr. Hoffman follows the science and is both compassion and direct with what he thinks is necessary for your protocol. He takes into account your full situation and is very forthright and encouraging during the process.

While he can be very direct, believe in his process and guidance.

While I had good AMH and FSH levels, my follicle count was low, and therefore potentially put me in the DOR category. As such, Dr. Hoffman believed that a lower dose protocol was the best way to go to achieve the best results. He put me on a Microdose Lupron Protocol with daily 225 mg Menopur and 225 mg Gonal.

The egg retrieval was about $7,900. The medications were between $4,000-5,000

NA

We used this clinic to attempt to get pregnant on and off for many years. This clinic made me feel like a number—like I was waiting to place my order at the deli counter. There was one phlebotomist who took my blood (and cut my arm and made me bruise every time) and one ultrasound tech (who honestly was so forceful and impersonal) every visit. And even when you had an appointment, it felt like it was still first come first served. I never saw or spoke to the same nurse more than once. When we communicated through the portal, I felt belittled and like I wasn’t given adequate information regarding my treatment. They cancelled my first cycle and didn’t explain why. The nurses said that Dr. Hoffman was recommended IVF after my third unsuccessful IUI even though my treatment hadn’t changed course from the first one, and I was later diagnosed with PCOS from another doctor which Dr. Hoffman failed to diagnose even though it was glaringly obvious in my blood work and on ultrasounds.

If you want to be a number, this is the place to be. And if you don’t mind waiting in the office for sometimes hours just for an ultrasound, this is the place for you.

I was given unmedicated cycles for IUI, and I was treated with femara and Clomid on different cycles. I was not given a trigger shot. I had no success. Because I don’t ovulate naturally.

Monitor appointments and IUIs cost between $250-$300 each. This clinic also requires back to back IUIs which research says does not result in higher pregnancy rates, so I felt like they were doing it for money.

Dr Hoffman, from day one, made us feel that he would help us create our family. He was open about which tests he wanted to run and which medical procedures we should start with. He was open about the odds of success and gave us a full understanding of the entire IVF process at the beginning as well as went over each step as we reached it. He met with us at the office that worked best for us and he always told us to call or he would call us to follow up.

Listen to him! Dr Hoffman knows what he's talking about and will be upfront and honest with you about what he feels your next steps are.

Dr Hoffman felt that with my PCOS there was no reason to try IUI, since we agreed, we to go straight to IVF. I took Menupor and Gobal-F, 75 units if each 2 times a day for about 10 days. After 6 days we were told to take Cetrotide at .25mg. Lupron was given as my trigger for both retrievals, 40 units each time. We did 3 FETs with 2 ERAs. One before the second and third FET. Our FET protocol was 10 days of Lupron followed by Estrogen patches and then PIO (progesterone in (sesame) oil). We did the ERA because after our first FET we miscarried around 6 weeks. After our first ERA we found I needed 12 extra hours of PIO which resulted in our first IVF miracle, a healthy son! After our second ERS we found I needed 12 less hours of PIO and that resulted in a healthy daughter! We asked to be surprised by the gender and let the clinic chose the healthiest embryo to try at each FET.

We went with one of the Attain programs and were able to cut costs by doing so. We paid just over $28,000. The whole package included 2 retrievals, unlimited FETs (frozen embryo transfer), ICSY (if needed), PGS testing, and all the monitoring associated.

IVF Florida has a 1 embryo policy. They prefer to transfer only 1 embryo since it is the safest for both the woman carrying (Mom or surrogate) and for the baby.

He was very passionate. After my first failed transfer, I was so upset but he talked me through it and made me feel so much better. He knew what the next steps we were going to take was. He Communicated very well. I followed all of his instructions on what to come next and I’m now 32 weeks pregnant. If it weren’t for him, I wouldn’t be where I am today.

Follow everything he tells you to do. That’s what I did and I’m pregnant!!!

He put me on the lowest dose of stimulation medications because he knew I would respond quickly. I did respond quickly. We had to increase the medications halfway through and I responded even faster. He was VERY impressed with how many eggs were retrieved and how many made it to be frozen. He gave us the option to start with IUI but told us the success rates of IUI vs IVF for us. We chose IVF with him as he thought that was the better option. I wish he could deliver my baby.

They were typically in the mornings. I, being a teacher, could only go in the afternoons and they were more than willing to work with me. Dr. Hoffman did my ultrasounds in the afternoons.

It was $22,500 but with my husband being law enforcement, we got a discount. Paid $20,000.

He only wanted to transfer 1 embryo because of my age. I am 25 years old. He knew it would work and I had 6 embryos. He said the risks with multiple babies isn’t worth transferring 2 embryos as some embryos can split once transferred.

Dr. Hoffman is very warm and caring. He has a great bedside manner and I find him to be very patient and reassuring. I think his greatest strength is his experience and how long he's been doing this. He will tell you he is "old school," which I was worried at first would be a weakness and that he'd be stuck in his ways, but he is very current on all the research that's out there, and I truly feel he wants to see us succeed and become pregnant.

I have two: 1) Ask all of the questions you can think of and make sure you understand everything - he will definitely take the time to explain. 2) Trust what he tells you. We're still in the middle of treatment, but so far he's been accurate in his assessments and I feel good about our treatment plan.

I have low AMH and my husband has abnormal morphology. He put my husband on Conception XR with motility support, which helped his sperm a great deal. We did two rounds of IUI with clomid, gonal F and trigger. Dr. Hoffman is not a huge fan of IUI and he will tell you that. But he has not once pushed us in any one direction. He likes to give you all the options and let you make the decision you're most comfortable with. Both our IUIs failed and we are starting our first round of IVF next month on the microdose protocol.

I believe each IUI came out to a little under $2,000 with meds and visits. IVF will be $20k+

IVF Florida only does single embryo transfer to avoid the risk of multiples and that fit with what we wanted.

Dr. Hoffman came recommended due to his success rate. However, I ended up switching treatment to another doctor because of his lack of communication. Dr Hoffman has terrible communication, never had time to discuss treatment or options and never listened. I had blocked tubes and surgery corrected the issue. Right after dr. Hoffman continuously pushed me to do IVF even though my insurance covered most of the IUI process. I insisted on 1 IUI which resulted in an ectopic pregnancy and I lost my tube. We then got pregnant on our own which was another ectopic and I lost my other tube. Then IVF was our only option so we refinanced our house to come up with the money. After 2 retrievals we only has 3 viable eggs. Dr. Hoffman made us feel that the egg retrieval numbers would be higher with our 2nd cycle, we were worried of low egg count and wanted to cancel the cycle but we're reassured we'd get more than the 2 we got with the 1st round. We got 3 eggs out of our 2nd cycle. Only 2 fertilized and so we asked if 1 or both were not looking great we wanted to fresh transfer on day 5. It was all set up and I started progesterone and estrogen just in case then on day 5 (a Saturday) no one called me or would call me back until a nurse called at 1pm and said everyone had gone home for the day. I called repeatedly on Sunday, spoke to another doctor who told me we lost 1 egg overnight Saturday and froze 1. That somehow there must have been miscommunication with Dr Hoffman and I about doing a fresh transfer. I immediately switched care to another doctor. I now believe communication during this is more important that the doctors success rate and wish I had seen another doctor.

If you feel communication is important, I'd suggest Dr. G with this practice. If you don't care about communication or getting as much information as possible during this practice then go with Dr. Hoffman

Split protocol with birth control suppression. 75 iu gonal-f and 75 menopur for 1st cycle. I was considered a low responder to the meds to we increased to 150iu gonal-f and 150iu menopur for the 2nd cycle However we retrieval 3 eggs in both cycles.

They had a 2 cycle package that we got which was 27k, it included monitoring, retrieval, icsi if needed and cryo storage for 6 months. We had to pay for the 1st monitoring visit which was $350, anesthesia for retrieval which was $500 and all meds which were 5k first cycle and 9k 2nd cycle

My Dr strongly recommend that we only transfer 1 embryo and that frozen was a better option. We tried fresh the 1st cycle which failed then the frozen took however resulted in miscarriage due to chromosomal abnormalities. I agree with single transfers however. My goal was to have one healthy baby and i felt the risks associated with twins was too high.

Dr. Hoffman was my doctor and he is amazing. He will not sugar coat anything and will tell you how it is. He is very upfront with you and does not want there to be any surprises, and he will not get your hopes up unnecessarily. I really appreciated his honesty.

Do not let his "to the point" take on things fool you. He cares a lot and only wants you to succeed. Once you get to know him a bit better he ends up feeling like family.

My ovarian reserve looked good and our main issue was male factor. We used the agonist protocol using Ganirelix to supress ovulation. Dr. Hoffman also had me trigger using Lupron to reduce the changes that I would have OHSS. The protocol worked beautifully. I have 9 eggs retrieved, 8 were mature, 6 fertilized and all 6 made it to freeze. We did an all freeze cycle because I had to have surgery to remove a uterine fibroid.

SIS costs $975.00, HSG cost $595. I don't remember specifically the other costs. IVF is not cheap though (no matter where you go)

Dr. Hoffman was very adamant that we should only transfer 1 embryo. Due to my age and the fact that I had never been pregnant or miscarried he said my chances didn't change with multiple embryos, only my chances of having multiples. IVF Florida is very careful - their main goal is to get your pregnant with 1 baby.

Dr. Hoffman is old school, he'll tell you like it is and make sure you understand what your options are. I think that he knows that main goal is to get pregnant, and he does not want to waste your time with treatment options that don't have a high chance of being successful. He told us exactly what to expect, exactly what his expectations were, and called himself with any important updates. He was real and genuine, I appreciate the care he gave us and his honesty with what needed to happen to get pregnant.

Trust his suggestions. When he told us we would need to do IVF we thought he might be jumping the gun, going with the most expensive and invasive procedure right off the bat. I know now that the other options had such a smaller likelihood of resulting in a pregnancy, and although we tried Clomid and a trigger injection (without success), we ultimately trusted him and it worked!

Our first cycle was using Clomid to see if my hormone levels would increase to the point of ovulating (I was not ovulating, that was why I would not get pregnant). I took the Clomid and a trigger shot, however, my hormones plateued and I was not able to reach the level needed to ovulate and undergo IUI. The next cycle was IVF. We injected one hormone for about a week morning and the same hormone and another at night, for the second week we did the same injections and added another injection in the evening (Menopur and Gonal-F, then another one I can't remember). I went into the office once or twice a week for bloodwork to check that my hormones were responding to the medications. My cycle went exactly as planned, my husband gave me my trigger shot and then we went in for the retrieval. Dr. Hoffman thought I may have a frozen embryo transfer due to concerns that I may over-stimulate, however, after the retrieval I was slated for a day 5 fresh transfer and went back in to have my embryo implanted. It all happened so fast, we were so lucky.

$20,000

We only really discussed transferring one embryo, due to my age and the expectation that my embryos would be of good quality, he was confident that one embryo would result in a pregnancy.

Dr.hoffman was the right doctor for me. I needed someone that showed compassion and that I felt was as invested in expanding my family as I was while also being medically innovative and on top of their game. Dr.Hoffman was aggressive with my treatment and that indicated to me that he wanted me to have a baby as much as my husband and I. He always presented all options and never pressured us to make big decisions without thinking about it and he was readily available to answer questions and walk us through our treatment.

Trust him

As a coping mechanism I have blocked a lot of this part of the journey out and my husband gave me every single injection. Prior to becoming a patient of Dr.Hoffman I had a laporscopy. Dr. Hoffman performed a polypectomy to remove 2 polyps from uterus which were detected by a saline sonogram. I had an HSG test and my ovarian reserve and other hormone levels were measured. During ivf I was on a regimen of menapur, gonal f and lupron. The doses did not need to be changed throughout treatment and I had daily sonograms and blood tests to monitor. After retrieval I used progesterone suppositories.

Around 27,000

Dr. Hoffman is very straight forward, which I appreciated. I felt at times though that because he has so many patients he was often rushing. I like that he was thorough with pre testing and he is very good at surgical procedures, ie hysteroscopy.. I did not like that after none of our eggs made it to blast he didn't call us. Instead we heard from someone we never had contact with prior and we had to call and ask for a follow up appointment to speak with Dr. Hoffman about the particulars. I did not feel reassured that the protocol a 2nd time around wld be changed to yield a better outcome. Instead it felt like Dr. Hoffman had no real answers as to why none made it to blast for a transfer and it would be a try again and see what happens.

Go in with specific questions and don't be afraid to ask about the pros and cons of alternatives.

We did the lupron, gonal protocol. It spanned close to 10 days . I think due to my age i was put on an aggressive course, but while it yielded a lot of eggs, the quality was not good after fertilization and i had mild over stimulation.

The costs were abt $12,000 not including medication. We had icsi and storage costs

We did not get to the point of transfer so cannot comment.

He spoke about his knowledge and experience, which I liked, even though I had done my research. He had a relaxed attitude and I felt welcomed. I did not feel rushed the 2 times I met with him. He even went on to talk about more personal things, like family and vacation trips. I did not like the fact that he did not go into great detail explaining the procedure. I did not care much at this time as he was the third doctor I was "interviewing" before choosing to go with him. I had most of my questions answered by then, but if he was the first one I was seeing, I'm not so sure I would have enjoyed it as much. Overall, it was a good experience.

Have all your questions on paper so you won't forget a thing. He will not give so much detail and you might miss something you really needed to know or ask.

Dr. Hoffman is very thorough and takes time to explain things. At no time did I not feel like a valued patient. He was always kind and spoke with my husband and I with compassion, knowledge, and optimism. He was the only doctor who was able to correctly diagnose my issue and help us go on to build our family--without help from any additional assisted reproductive technologies. We actually got pregnant the 'old fashioned way' thanks to his treatment, diagnosis, and solution.

Ask questions if you don't understand something fully. He will take the time to ensure you leave his office understanding.

Dr. Hoffman opted for IUI with injectables (ovidrel I think we used). I responded well and we had 5 eggs develop that were potentially 'the one.' I did not get pregnant on the first injectable cycle with him. He tweaked dosage, etc., for the second cycle and I did get a positive pregnancy test. Sadly, I lost that pregnancy at 7 weeks. Dr. Hoffman recommended I have a D&C so he could send the embryo off for testing. Turns out my body did what it was supposed to do and miscarried a genetically-flawed embryo that was chromosomally abnormal.

I had very good health insurance coverage that covered a good amount of my care. I paid just a few hundred dollars out of pocket for each IUI. We were preparing to move on to IVF and the clinic had a shared risk program where you got several 'tries' at a successful IVF cycle for one flat rate (not including medications). I seem to recall it was around $20,000 for 3 attempts at that time.

He is an excellent communicator. He’s very well read. His scope of practice is vast as one of his specialties being laparoscopic surgery. He performed two of these for me. Ivf of FL is a big practice with a lot of staff and a lot of patients. Sometimes it was difficult to get a hold of him but mostly I could.

Be open and honest about your fertility goals and be patient as this can be a lengthy process. Dr. Hoffman will not rush to get you pregnant. He does things when the timing is right.

I had medical insurance which covered two rounds

He did not want to transfer 2 as I was under 40. He gave me all the negative possibilities with can come with a twin pregnancy. Ivf of FL no longer transfers 2 embryos unless the patient is 40 or older

He introduced himself and background, had a great bedside manner and explained everything to myself and my husband in great detail until we understood exactly what would happen. During each procedure he would explain as he was going and once completed would sit down with me and go over everything again. He is a great doctor and would recommend him to anyone, the office he works in on the other hand is huge and not the friendliest when trying to reach the doctor and/or nurse

Have all your questions ready to ask cause once you leave it is pretty hard to get in touch with him or his nurse due to the front desk of the office

He put me on clomid 50 mg first round, ovulated late, second round - 4th round 100mg ovulated every month but did not conceive, currently on letrozole now and using estrogen to thicken lining and ovidril trigger when eggs are mature enough

Insurance only covered diagnosis no treatment had a 60 co pay each visit

We came to clinic with all pre-conception testings done. We started with my ObGyn and another fertility clinic. We were ready to start the cycle. Dr. Hoffman decided he wants to re-do testing from scratch which made no sense as all our tests were done 2 months before we saw him. I agreed to some tests provided he will take me into cycle the next month. After our initial appointment he decided he wants more tests done which have to be done during menstrual cycle only. My results did not change. He only delayed treatment. In our situation time was of an essence as Im 39 but he did not care. Clinics gets paid regardless of the success. Whatsmore, the older you are the more cycles you need. I felt he delayed treatment so we spend more money.

If you are of an advance maternal age and time is of an essence seek out a clinic that would not waste your time. Dr. Hoffman will make you re-do tests even if yours have just been done including pap smear. Mine was 3 weeks old and he only wanted to do a new one and only at his lab. He also does not accommodate with sedation for tests like SIS/HSG. He would not prescribe pain killer or anything. I had to seek a doctor who agreed to offer sedation and IVF Florida was not much fond as they did not have a chance to make money.

We never got there as he kept wasting time re-testing.

Estimate for one cycle was $13,986 for monitoring and egg retrieval only. Anesthesia $600; PGT testing and biopsy $5k; medicine 4-8k; frozen transfer (clinic does not offer fresh transfers at all) $5k plus additional medicine of $2k. If you buy more than one cycle and pay everything in full and upfront, they offer discount on potential transfer.

We never went into treatment

The treatment had a lot of mistakes: they didn’t know my DNA result, they made me start the blood work and ultrasound and then figure out that I couldn’t start, but they didn’t refund me for that; the Dr. said that he should increase my hormones, but he didn’t; and to finally this terrible experience he said that I should go to his office before, not with my age and he pushed me to buy eggs even knowing that I didn’t want that. All he could say was that I was old and that I needed to buy eggs from a donor

If you have around 40 years old, don’t go there. They should say that they treat only women between 20-30, where you have higher probability to have your healthy eggs. The clinic is a mess for the bilking department, xerox all your checks, so you have proof of payment

Ivf around 14k and meds around 4k

Dr. Hoffman explained everything in detail to me. He’s compassionate and made me feel as if I had nothing to worry about. He’s very knowledgeable. He treated me for scar tissues. I always feel safe when I talk to Dr. Hoffman. I really wish I could afford to have him as my doctor though Out this journey.

Trust him because he’s extremely knowledgeable. If you have Dr. Hoffman as your doctor you should feel very lucky.

I haven’t gotten this far because after I was told how much it would cost for treatment I knew I couldn’t afford it.

Well I had two surgeries to remove scar tissues and a pallet. And after many visits to the clinic it surely added up. But when I met with the finance team to start the ivf process. I was told it would cost some where about $40,000 and that I 100% could not afford. So I stop going and found another facility.

Dr. Hoffman told me that he would do multiple embryo transfer. He said my health was first in his book and he wanted me and the baby to be healthy. He informed me about the risk. Yes I would love twins and even asked me to please do multiple but he said no it’s too risky. And for that I know Dr. Hoffman had my best interest at heart.

He's very experienced and realistic. Dr. Hoffman is kind and respectful and attentive. He has always been honest and upfront with me. Hopefully in the future he will able to help me meet my goals of becoming a mother.

Do your research and know what you are getting into. Be prepared to have moments of joy and moments of sadness. This process is a roller coaster ride no matter which doctor you see.

I have had polyps removed, Sema4 genetic testing, numerous ultrasounds to check my follicles. I was on Menopur and Gona F for about 10 days and did an HCG trigger shot before retrieval which resulted in 4 eggs that were not viable.

so far we are out of pocket 37k

not applicable

I like he is personable and on one and one very nice and straight forward. The only thing I didn’t like is that sometimes he said one thing and the nurses said they can’t do it as far as scheduling goes.

Take everything he says with a grain of salt as pertains to your schedule

We are in the process of a low hormone stimulus to see how many eggs I can get

$22k with before tests for diagnosing and monitoring and my meds were only $1900

I’m just getting older and I’d rather have the risk of a double pregnancy than do one and a time