Janet Bouknight

Dr. Bouknight is a true professional who cares about her patients. She works tirelessly to find answers. She is honest, but shares hard information in a thoughtful way. My husband and I believe she cares about us and wants us to have a baby as badly as we want to have one. When we finally got pregnant, we lost the baby at 8 weeks. She cried with us and did everything she could to make our painful situation better. She is a wonderful doctor.

Be honest with her. Share openly your feelings and emotions, she can take it and will help you work through any problems you encounter.

Fresh IVF cycle #1- resulted in no fertilization due to inconsistent estrogen levels Fresh IVF cycle #2- used ICSI and no Lupron. Estrogen level plateaued, eggs retrieved, took 10, 6 were healthy on day 5. Transferred 1 embryo, started bleeding 4 days later. Frozen IVF cycle1: Lupron, estradiol, progesterone protocol- transferred 1 embryo- bled on day 4. Tests run, progesterone low. Frozen cycle 2: progesterone increased, no bleeding- transferred 1 embryo- no pregnancy Frozen cycle 3- same protocol, chemical pregnancy. Performed hysteroscopy- removed polyps Frozen cycle 4- lost 1 frozen embryo. same protocol, transferred 1- negative test Fresh cycle 3: worked with Dr. Hill to get second opinion, did a new protocol with different shots and Lupron. Retrieved 14, 3 were okay on day 5. Genetic testing done on one due to viability- testing abnormal . Frozen cycle 5: same Lupron, estradiol, progesterone protocol, put in 2 embryos- negative test. Received donor eggs with Dr. Bouknight guidance. 6 were fertilized, 5 viable on day 5. Hysteroscopy #2 - clear. IVF transfer #7- same frozen protocol, transferred one, got pregnant with monochorionic twins, both had strong heartbeats at 6weeks, we lost them at 8 weeks. D&C done the next day. Currently started my 8th IVF cycle for frozen transfer with donor eggs. Adding a micro dose steroid and baby aspirin to the mix due to my thyroid antibody level being 205. We pray we have success!

IUI- covered by insurance Fresh IVF- $10k Fresh with ICSI- $12k Frozen- $2500

Bouknight definitely prefers single embryo transfers due to the risk of multiples. Whenever she changed a variable she kept it at one embryo. When we had our last 2 embryos in our last cycle with my eggs, we put in 2 due to their low quality.

I have seen her every single visit to the clinic. She is so sweet and attentive. I completely trust her with our fertility plan. We have not had any success yet, but I know if she can't help us get it done then it can't be done. She is very informed and stays up to date in her field. I would recommend her to anyone with any kind of fertility issues

Just show up and do what she says!

I have had a surgery to remove fibroids from my uterus and heparin injections and low dose aspirin for a blood clotting disorder and Levothyroxine for hypothyroidism. We talked about wanting to cover all our bases and be extra cautious to avoid another miscarriage. We are still working on it but I feel confident that her treatment plan is the best plan for me.

My insurance covers most of what I pay so I'm not really sure.

Dr Boughknight isn’t there for the number of babies she can help create. She is concerned with us as a family rather than just a number to add to her count. She’s very conservative with treatment because she’s worried about the patients overall well-being. We want one healthy baby is her go to line. She’s not there to play God, but to do her best to make our dream come true in a healthy way. I’ve seen several websites that state they don’t care your age, BMI, etc that they will perform IVF to make it happen for you. Speaking with her I know she wants me to have a fun healthy pregnancy and enjoy this time of life. Not have so many medical concerns the whole time. I wouldn’t go to anyone else

She will look out for you. Speak up with any questions or concerns you may have

We’ve swapped insurance during the process but this year I’ve only had my co pay of $25 each visit with the doc Ultrasound monitoring is $30 a visit. IUI has been $324 each cycle. The sperm wash was $50 for my husband after the IUI. it all depends on your insurance though. We have BCBS of Alabama

Dr. Bouknight is obviously one of the smartest individuals I have ever communicated with, yet she can explain things to us in an understandable manner. Over the course of this journey, she has become more like family than our doctor. She still exemplifies the pinnacle of fertility care, but also exhibits compassion, which is so important when facing infertility. She is the first one to hug us at every visit, and ask about our entire family. She is conservative and methodical when it comes to selecting a treatment plan; she will never subject your body to more than it can handle. I have no doubt she wants us to leave this experience with a baby as much as we do.

Prepare to be cared for by one of the best in the business. She is on the conservative side when it comes to treatments options, so if you want to be more aggressive, I would seek a different path. She genuinely cares for her patients, spending time with them and being completely honest with them. You will probably have to wait a few months for an appointment, as the practice has grown tremendously over the past few years.

Clomid was prescribed to me several months in advance before trying to get pregnant. I took this for several months before even attempting an IUI. Treatment #1: IUI with Clomid=negative (Steinkampf) Treatment #2: IUI with Clomid=negative (Steinkampf) Treatment #3: IUI with Clomid=negative (Steinkampf) Treatment #4: IUI with Gonal-F/Pregnyl=negative (Steinkampf) Treatment #5: IUI with Gonal-F/Pregnyl (increased dose)=negative (Bouknight) Treatment #6: IUI with Gonal-F/Pregnyl (increased dose)=negative (Bouknight) Treatment #7: IUI with Gonal-F/Pregnyl (increased dose)=negative (Bouknight) Treatment #8: IVF/Antagonist Protocol: Estrace, Gonal-F, Cetrotide, Menopur, Pregnyl, PIO (after transfer)=2 embryos created, frozen, transferred-positive pregnancy test/Chemical pregnancy Treatment #9: IVF/Flare Protocol: Lupron, Gonal-F, Menopur, Pregnyl -this cycle was changed to an IUI after ultrasounds showed fewer follicles than anticipated-PIO shots continued after procedure until a negative pregnancy test. Treatment #10: IVF/Antagonist Protocol: Estrace, Gonal-F, Menopur, Cetrotide, Novarel: 1 embryo created and frozen-planning to transfer in June

IUI=$324 each Monitoring visits=$30 each Egg retrieval procedure=$9,000 Frozen embryo transfer=$2,000 Sperm sample refreeze=$400 Various surgical procedures (copay)=$250-$400 Medications=around $4,000-$5,000 for IVF rounds

Dr. Bouknight discussed with us the fact that she does not perform selective reduction. She informed us we would not be transferring more than 2 embryos at a time. This hasn't been an issue for us since each IVF cycle has produced 2 or less embryos.

Dr. Bouknight is not just a fertility doctor. She is a fertility wizard. Anyone I know who is having fertility issues, I send to her. She is willing to try anything, even if the odds are low. She will tell you the odds are low, and she will manage your expectations appropriately. She is positive and optimistic, yet pragmatic and real at the same time. As I mentioned before, she actually cares if her patients conceive and carry to term. She also attracts great talent and has a great team. You can see she truly loves what she does, and her work speaks for itself.

Be honest and candid with her. Trust the process and the science.

As a preface, my husband had a fertility tanking brain tumor. He had an extremely low count and low mobility. We were told by previous doctors that our only option was IVF with ICSI. We wanted to try IUI because it was the cheaper option, just to see. We changed over to Dr. Bouknight, who also wanted to try IUI first. She told us the odds were low, but there was about a 10-20% chance it would work. We tried it, and it did not work. We then went to the egg harvest and ICSI process producing four embryos. We genetically tested them because it increased the chances of getting and staying pregnant from 50% to 75%. All four of them came back healthy. We implanted in October 2016, and I tested positive for pregnancy 2 weeks later. We had our first child, a healthy, adorable boy (our preference), in June 2017.

I don't remember the costs associated.

Due to my age at the time of implantation (mid 30's), the high quality of the embryo, and the fact that we had them genetically tested, she preferred to do one the first round. I was happy with that decision.

She is very personable and doesn't rush either of us. She focuses on both me and my husband and tries to accommodate both of our fears and concerns. She will joke around with us to keep things from getting too emotional. My only negative would be that I feel, for my own sanity, the access to responses and answers aren't fast enough. I wish I had an email address to ask simple questions instead of having to wait for a call back or an appointment.

Don't compare yourself to others and come in with all your questions. She doesn't mind a type A personality.

We started with just letrozole and timed intercourse. Then, after three months, we started IUI's with letrozole moving onto injections with letrozole for the last two IUI's. Three total IUIs. The first was just meds and the uterine lining wasn't enough. The second, things looked better (2 follicles). The third, injections of the FSH stayed the same at 75 iui's and results were even better (4 follicles). However, it failed. Dr. is suggesting IVF next.

So far, we've spent about 5k on medications and IUI's

no comments. She said she prefers single because of our age.

My GYN recommended that I go to AFS because I had been trying for 5 years to get pregnant and I had a cyst that was causing extreme pain. Dr. Bouknight was immediate to address the problem and put together a time line of what’s next. The first thing she addressed was all the pain I was having. She pays attention to detail and is an excellent communicator. Every time I go to the office I feel like she truly cares about me and about helping me get pregnant.

If your scared or on the fence about going, I highly suggest seeing Dr. Bouknight. She makes you feel comfortable and can give you good next steps that are manageable. As someone whose insurance does not cover fertility, she always make sure I’m not given something I don’t need. I appreciate that.

First I had surgery to remove a bad cyst that wouldn’t go away and was causing extreme pain. While in surgery she found that I had stage 3 endometriosis and she burnt it away. Second we planned two IUI and I was taking 5mg of Letrozole for 5 days. Neither of those worked. We just finished a third IUI, this time we added Gonal-F injections as well as the Letrozole. Waiting to see the outcome of that.

Surgery - $1,700 (with insurance) IUI - $400 per procedure (done 3) (no insurance) Injections - $400 (no insurance coverage)

Dr. Bouknight is an amazing doctor and person! She always listens to our concerns and our ideas regarding our treatment. Also due to our commute (4 hours to clinic), she always adjusted her schedule/our appointments to accommodate. By far the best bedside manor I have ever experienced. She truly care.

The best way to communicate is through the patient portal. She will always answer within a few hours or the following day.

My husband and I are considered unexplained infertility. We started treatments with clomid and timed intercourse. Which resulted in negative pregnancy tests. From there we moved onto clomid with IUIs (3). All resulted in negative pregnancy tests. Finally we tried injections with timed intercourse through ultrasound monitoring. This proved to be unsuccessful also. In June 2017, we will complete our first IVF cycle.

Up until this point we have paid our regular co-pays ($12 each), medication costs, and IUI costs ($300 each). This summer will will have to pay for a full cycle of IVF with medications out of pocket ($17,000 roughly).

Strengths- sweet person, genuinely wants what's best for you, will do everything she can to get you pregnant, excellent listener weaknesses- sometimes is hard to read, isn't the "warmest" at first but will open up more the more you work with her, doesn't always call with results or get back to you when she says she will (very frustrating especially during a IVF cycle)

Make sure you feel confident in talking to her, staying on top of your own treatments and goals, standing up for yourself and calling/bugging the clinic when you want something done. If you don't feel like you can do that, I'd find another clinic.

monitoring appointments were super quick and easy to schedule. definitely a plus!

I want to say IVF was around 12-15K for all the meds and retrieval cycle w/ ICSI, IUIs were a couple hundred $, and frozen transfers were around 2500 + medication.

She was recommended to me by a friend that had gone through infertility. I had been seen at another fertility clinic before, but I was not satisfied. From the first consult I felt heard, and felt the sense of relief that a plan was in place. While going through the process - we had some setbacks, we had to cancel a transfer cycle. This allowed for further testing and modifications to the regimen. Overall my experience was great, I would recommend her as a fertility specialist.

Ask questions, maybe have some written down for your consult.

Dr Bouknight really listens to my concerns and does everything she can to help us grow our family. If I have questions she answers them well. She calls to check on me and see how I'm doing when she does not have to. I wouldn't want to go anywhere else.

Ask questions if you need to because she doesn't mind.

IVF cycles cost around 15k. We have done 2. IUI is 1300. We have done 2.

We used a single embryo transfer. She feels this is the healthiest way to go and we do too.

She was very relatable and comforting during the process.. she opened up to me and my husband about her fertility issues and what all she had to do in order to conceive so we felt comfortable with her being our dr for this issue we are having..

Listen to her advice in the beginning.. if she say loose weight do it! If she says something she knows her stuff. She did 2 surgeries on me and couldn’t find one issue stopping me from getting pregnant. So she told me not to give up and I’m not.

She did 2 surgeries on me to see what was going on inside. She even flushed my tubes an they looked fine she said.. she did both surgeries herself also.

My insurance use to cover iui bf Obama care. After that they took it away so we had to pay for IUI that was $300.00 each time. On top of the injections that was $150. So 450-500 per month just for IUI. We did a few rounds wo iui an jus meds and sex but it didn’t work .

I’ve never had this done before