Robert Homm (retired)

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. 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. 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.

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.

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.

My expierence with Dr Homm was always great. We sat down in our first meeting together for hours talking about history. At first I was a little hurt with him discussing my weight as an issue but came to the conclusion he was only trying to help me get the results I wanted. Being as healthy as possible to have the a healthy pregnancy. He was willing to listen to my concerns and take them in to consideration.

He is very knowledgeable. He will be very honest but don’t take offense he is just trying to help. He knows what he is doing

Dr homm used times intercourse at first with the use of femara. I responded well but no success with IUI. I decided to take a break and focus on my health and weight loss. Now after losing 50lbs I’m ready to begin more aggressive treatment

$300 for IUI procedure not counting the cost of medicine

Dr. Homm is very patient and explanatory of every aspect of the fertility process. He treats me as if I matter and speaks with pronouns that shows that he is in this process with us, no matter what. When we have had results that weren't what we wanted, he consoled us and then adapted our plans to hope for the next round.

Be open and honest with him regarding your fears and he will help you slay them.

Due to my weight, Dr. Homm has advised me to lose weight, but since that is not a quick fix, he adapted the amount of meds used to work well with my current weight.

The costs were not as high as I was expecting . Also, the office informed me that they were not the cheapest place to get the HCG shot, and set me up with Glenrock pharmacy to help save me some money.

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Dr. Homm was warm, friendly, and very caring. He paid attention to the details of my case and was upfront about my chances and odds. I valued my experience with him and felt very cared for. He always took his time in conversations with me, which was greatly appreciated.

Be sure to ask lots of questions! Fertility doctors, including Dr. Homm, can only answer what you ask.

Most visits were covered by insurance.

He is very knowledgeable he cared about me and my husband and tried everything to give us a live birth

Listen to what he tells you and ty your best to follow his instructions

It was more expensive then others in this area but he can so highly recommended to us it was worth it

The next step is to start the IVF cycle as it seems to be the only reasonable solution. I cannot comment on the future, but this far he is explained everything very thoroughly. Maybe too throughly. Everyone is nice at this office. I will say that it is not as warm and inviting as it could be. Very old out dated clinic; however, the results will matter in the end.

Do what he recommends.

I think 175 for 2nd opinions.