Fertility and Endocrine Associates

Available Resources

Genetic counseling: OfferedAcupuncture: OfferedMental health counseling is not offered: Not OfferedNutrition counseling: OfferedAdministration of shots: OfferedCoordinating at-home nursing is not offered: Not OfferedSelling medication is not offered: Not OfferedProviding backup medication: Offered
Louisville
4123 Dutchmans Parkway
Louisville, KY 40207
502-897-2144
On a scale from 0-10, how likely are you to recommend Fertility and Endocrine Associates to a friend?
Strongly recommend: 8Neutral: 2Don't recommend: 19.2
12 assessments
  • 73% Strongly recommend (9-10)
  • 18% Neutral (7-8)
  • 9% Don't recommend (0-6)
Operations
Poorly operated
Operated well
Scheduling
Difficult scheduling
Easy scheduling
Billing Department
Incompetent billing dept.
Competent billing dept.
Nursing Team
Poor nursing team
Excellent nursing team
Attention to Detail
Low attention to detail
High attention to detail
2013 CDC Success Rates
Live births per fresh IVF cycle by age range
10%
20%
30%
40%
50%
60%
<35
35-37
38-40
41-42
43-44
This Clinic
National Average
Annual Cycles for this Clinic
146
Annual Cycles National Avg.
344
9.2
Average Doctor Score
2 doctors
12 assessments
10
Age
34 - 35
Treated
2015 - 2016
Success with this Doc
Yes
Treatment
2 IUI
Diagnosis
Diminished Ovarian Reserve, Unexplained
10
Dr. Krause always spends the amount of time we need for questions, even if the office is busy...The office staff [at Fertility and Endocrine Associates] is very kind and helpful. They always work super hard to get me in at convenient times for my schedule, even if it means squeezing me in between procedures. I am always back to see Dr. Krause within 15 - 20 minutes. They are very organized and efficient.
+ Read more
Age
34 - 35
Treated
2015 - 2016
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI
Diagnosis
Diminished Ovarian Reserve, Unexplained
10
Describe your experience with Fertility and Endocrine Associates.
The office staff is very kind and helpful. They always work super hard to get me in at convenient times for my schedule, even if it means squeezing me in between procedures. I am always back to see Dr. Krause within 15 - 20 minutes. They are very organized and efficient.
During treatment, did you feel like you were treated like a number or a human?
Dr. Krause always spends the amount of time we need for questions, even if the office is busy. She always calls me personally with test results and answers to my questions. She makes us feel at ease, and is always honest about the possible outcomes, which we appreciate very much.
Describe your experience with the nursing staff.
The nursing staff is small, so we always see the same nurses. They are very thorough and have great bedside manner.
How was your experience with Miriam Krause?
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.
What one piece of advice would you give a prospective patient of Miriam Krause?
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.
Describe the protocols Miriam Krause used in your cycles and their degree of success.
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.
Describe the costs associated with your care under Miriam Krause.
Each iui procedure cost 500, with an additional 125 for semen analysis and prep. My insurance covered office visits and surgical procedures.
10
Doctor
Miriam Krause
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
33 - 36
Treated
2013 - 2016
Success with this Doc
Yes
Treatment
1 IVF
Diagnosis
Endometriosis, Male Factor, Uterine Fibroids
9
The original IVF cycle [at Fertility and Endocrine Associates] cost us around $20,000 including the meds and the ICSI procedure...The only weakness I've found has to do with billing. They switched systems, and started sending me a bill for $120, when I know that I paid in full up front, because they required me to. They can't tell me what the bill is for, because it's from their old system and they can't look it up. Other than that, I've never had a problem with anyone there.
+ Read more
Age
33 - 36
Treated
2013 - 2016
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Endometriosis, Male Factor, Uterine Fibroids
9
Describe your experience with Fertility and Endocrine Associates.
The only weakness I've found has to do with billing. They switched systems, and started sending me a bill for $120, when I know that I paid in full up front, because they required me to. They can't tell me what the bill is for, because it's from their old system and they can't look it up. Other than that, I've never had a problem with anyone there.
During treatment, did you feel like you were treated like a number or a human?
I mostly saw Dr Divine while under the care of their office and I loved her. I really only dealt with Dr Homm during actual procedures. He did make me feel comfortable during those, though.
Describe your experience with the nursing staff.
They are all very friendly and compassionate, and they all seem to have a real connection with their patients, or at least with me.
How was your experience with Robert Homm?
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.
What one piece of advice would you give a prospective patient of Robert Homm?
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.
Describe the protocols Robert Homm used in your cycles and their degree of success.
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.
Describe the costs associated with your care under Robert Homm.
The original IVF cycle cost us around $20,000 including the meds and the ICSI procedure.
9
Doctor
Robert Homm
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
34 - 36
Treated
2014 - 2016
Success with this Doc
Yes
Treatment
4 IUI, 1 IVF
Diagnosis
Unexplained
10
I like them [Fertility and Endo Assoc] a lot. All the staff have been positive and supportive. I am on a first name basis with almost everyone there. I can feel how much they care...[nursing staff] Overall, very happy which is saying a lot since I wasn't always in the best mood. They worked to get to know me and helped keep me positive....They billed insurance as much as possible. Even though my insurance won't cover infertility they did cover a few services.
+ Read more
Age
34 - 36
Treated
2014 - 2016
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
4 IUI, 1 IVF
Diagnosis
Unexplained
10
Describe your experience with Fertility and Endocrine Associates.
I like them a lot. All the staff have been positive and supportive. I am on a first name basis with almost everyone there. I can feel how much they care.
During treatment, did you feel like you were treated like a number or a human?
Dr. Krause got to know me by taking the time to listen and show genuine concern for me as a person. She noticed when my mood changed and spent the time to be there to help. She has cried tears of joy with me when I finally got pregnant and hugged me when the results were negative. She remained in contact with me and my OB throughout my pregnancy because she truly cares about her patients.
Describe your experience with the nursing staff.
Overall, very happy which is saying a lot since I wasn't always in the best mood. They worked to get to know me and helped keep me positive.
How was your experience with Miriam Krause?
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.
What one piece of advice would you give a prospective patient of Miriam Krause?
Be yourself and ask any question. But really don't they need my advice, she will take care of them.
Describe the protocols Miriam Krause used in your cycles and their degree of success.
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.
Describe the costs associated with your care under Miriam Krause.
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.
10
Doctor
Miriam Krause
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
8
Age
28 - 29
Treated
2015 - 2016
Success with this Doc
No
Treatment
3 Fertility Medications
Diagnosis
Other
8
This was the first time I had ever visited a fertility clinic and the first impression for me was HUGE. The facility [Fertility and Endocrine Associates] was small and homely and the environment was friendly and pleasant. My first visit was a consultation and the room felt comfortable and the doctor sat right beside me. It was almost like I was visiting a friend. These visits are difficult. Its not quite like going to see a doctor for a stomach bug, it is far more personal than that. You share intimate details about your life, your partner, your goals and your future. They are sensitive to that and treat you like a human being with real concerns, real emotions and real goals. You are not a number to be forgotten.
+ Read more
Age
28 - 29
Treated
2015 - 2016
Success with this Doc
No
Race
European, Other
Income
$50K - $99K
Occupation
Graphic Designer
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 Fertility Medications
Diagnosis
Other
8
Describe your experience with Fertility and Endocrine Associates.
This was the first time I had ever visited a fertility clinic and the first impression for me was HUGE. The facility was small and homely and the environment was friendly and pleasant. My first visit was a consultation and the room felt comfortable and the doctor sat right beside me. It was almost like I was visiting a friend. These visits are difficult. Its not quite like going to see a doctor for a stomach bug, it is far more personal than that. You share intimate details about your life, your partner, your goals and your future. They are sensitive to that and treat you like a human being with real concerns, real emotions and real goals. You are not a number to be forgotten.
During treatment, did you feel like you were treated like a number or a human?
I was referred to Fertility & Endocrine Associates by my OBGYN in 2015. I first met with Dr.Kit Devine for a consultation. The facility and staff were very kind and accommodating. In the absence of Dr.Kit Devine I was seen by Dr.Miriam Krausse. Dr. Krausse took the time to review my history in the absence of Dr.Kit Devine and provided me with excellent service. She not only performed the ultrasounds to check for ovulation after rounds of medication, she took the time to explain everything as she did it. Sometimes it can be difficult to understand things a doctor is telling you, particularly in high stress and emotional situations such as infertility. She offered me reassurance and guidance towards the next steps on our infertility journey. I had some concerns that my primary physician Dr.Kit Devine was absent but Dr.Krausse quickly eased my concerns. I left that day feeling hopeful and determined.
Describe your experience with the nursing staff.
The nursing staff I saw primarily took my weight, blood pressure and some blood work. They were very friendly and clearly explained what they were doing and why. If they reviewed any medical history with me they were sure to note everything I told them. They were very thorough in collecting the needed information.
How was your experience with Miriam Krause?
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.
What one piece of advice would you give a prospective patient of Miriam Krause?
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!
Describe the protocols Miriam Krause used in your cycles and their degree of success.
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.
Describe the costs associated with your care under Miriam Krause.
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.
9
Doctor
Miriam Krause
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
25
Treated
2016
Success with this Doc
No
Treatment
3 IUI
Diagnosis
10
Everyone I have encountered at Dr. Krause office [Fertility and Endocrine Associates- Louisville] have always been very friendly and nice.... The cost for iui is expensive and I was able to pay on a month to month basis... Being able to get an appointment when needed and them getting back with you in a timely manner about results or after a voicemail. They have been patient with me on paying my bill because my insurance now does not cover any infertility treatment. The clinic is nice and clean and recently updated.
+ Read more
Age
25
Treated
2016
Success with this Doc
No
Race
Other
Income
$0 - $49K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI
Diagnosis
10
Describe your experience with Fertility and Endocrine Associates.
Being able to get an appointment when needed and them getting back with you in a timely manner about results or after a voicemail. They have been patient with me on paying my bill because my insurance now does not cover any infertility treatment. The clinic is nice and clean and recently updated.
During treatment, did you feel like you were treated like a number or a human?
She was always very welcoming in the office and on the phone. I never felt rushed she always took the time to answer all our questions. Very sweet person!
Describe your experience with the nursing staff.
Everyone I have encountered at Dr. Krause office have always been very friendly and nice.
How was your experience with Miriam Krause?
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.
What one piece of advice would you give a prospective patient of Miriam Krause?
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.
Describe the protocols Miriam Krause used in your cycles and their degree of success.
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.
Describe the costs associated with your care under Miriam Krause.
The cost for iui is expensive and I was able to pay on a month to month basis
10
Doctor
Miriam Krause
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
30 - 32
Treated
2014 - 2016
Success with this Doc
Yes
Treatment
4 IUI, 1 IVF
Diagnosis
Endometriosis, PCOS
10
Trish and amanda [nurses at Fertility and Endocrine Associates] knew us by name and our situation when we walked in the door. Yes they had our chart, but they know their patients as individuals. They even remember the personal details not related that you discuss in conversation...Our insurance covers nothing for fertility. Dr Archer adjusts for this...The clinic is made up of Dr Archer, Amanda, Trish and the nurse practitioner.
+ Read more
Age
30 - 32
Treated
2014 - 2016
Success with this Doc
Yes
Race
Other
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
4 IUI, 1 IVF
Diagnosis
Endometriosis, PCOS
10
Describe your experience with Fertility and Endocrine Associates.
The clinic is made up of Dr Archer, Amanda, Trish and the nurse practitioner. Everything I've shared previous to this describes it all! It's small and we loved that.
During treatment, did you feel like you were treated like a number or a human?
Dr Archer didn't speak with typical medical jargon. She spoke to us in terms we understood and explained everything in detail. My family has a history of ovarian/breast cancer and she has also encouraged me for the BRCA test. She's more than a doctor, she cares about her patients.
Describe your experience with your nurse.
Trish and amanda knew us by name and our situation when we walked in the door. Yes they had our chart, but they know their patients as individuals. They even remember the personal details not related that you discuss in conversation. Needless to say, they'll be getting lots of pictures and updates in our family future!
How was your experience with Johanna S. Archer?
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!
What one piece of advice would you give a prospective patient of Johanna S. Archer?
Ask questions! She's super open and a wealth of knowledge.
Describe the protocols Johanna S. Archer used in your cycles and their degree of success.
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!
Describe the costs associated with your care under Johanna S. Archer.
Our insurance covers nothing for fertility. Dr Archer adjusts for this.
10
Doctor
Johanna S. Archer
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
31
Treated
2016
Success with this Doc
No
Treatment
2 IUI
Diagnosis
Endometriosis, PCOS, Tubal Blockage, Unexplained
10
They [Fertility and Endocrine Associates] do have a rule of no children at the office to be sensitive to waiting patients. Also no scented perfume or lotion... 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.
+ Read more
Age
31
Treated
2016
Success with this Doc
No
Race
Other
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
2 IUI
Diagnosis
Endometriosis, PCOS, Tubal Blockage, Unexplained
10
Describe your experience with Fertility and Endocrine Associates.
They do have a rule of no children at the office to be sensitive to waiting patients. Also no scented perfume or lotion which I was originally a little bit weird but when it came time to drop off our specimen I didn't want anything to interfere with it! So I understand.
During treatment, did you feel like you were treated like a number or a human?
She is always polite. She explains herself during treatments and while discussing the plan of care. She has never made me feel uncomfortable.
Describe your experience with the nursing staff.
The majority of the time I saw Ray when I was at the office. She was awesome!!! we talked about everything! Her recent marriage, her nieces, my nephews, my dogs. Also, Mandy at the front desk always complimented me on my rings or nail polish or hair. Very sweet! Karen has also been very nice and helpful.
How was your experience with Miriam Krause?
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.
What one piece of advice would you give a prospective patient of Miriam Krause?
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.
Describe the protocols Miriam Krause used in your cycles and their degree of success.
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.
Describe the costs associated with your care under Miriam Krause.
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.
10
Doctor
Miriam Krause
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
36
Treated
2016
Success with this Doc
?
Treatment
2 Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Anovulation, Diminished Ovarian Reserve, Other, Unexplained
10
Easy to get an appointment. The staff is very friendly except one doctor at the clinic....My doctor was out of town and a doctor I had never seen or talked to called me to give me results from a test....He really sent me into a deep depression with the way he spoke to me and didn't know my situation at all....[Nursing Staff] Very nice and compassionate...Hysteroscopy around 1,500 out of pocket. HSG $800 none out of pocket, saline US $300 ish, trigger shot $75, clomid $30
+ Read more
Age
36
Treated
2016
Success with this Doc
?
Race
European, Native American
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Anovulation, Diminished Ovarian Reserve, Other, Unexplained
10
Describe your experience with Fertility and Endocrine Associates.
Easy to get an appointment. The staff is very friendly except one doctor at the clinic.
During treatment, did you feel like you were treated like a number or a human?
She has wonderful bedside manners, calls when she says she will, treats me like a person who is going through something rough.
Describe your experience with the nursing staff.
Very nice and compassionate
What specific things went wrong at this clinic?
  • Provided conflicting information
How was your experience with Miriam Krause?
She is willing to do as little or as much to help me achieve my goal. She hasn't written me off bc of my age, or recurrent loss, she gives me choices and doesn't push me into one kind of treatment or another, I believe she gives her honest opinion.
What one piece of advice would you give a prospective patient of Miriam Krause?
None really. I love seeing her.
Describe the protocols Miriam Krause used in your cycles and their degree of success.
I had a hysteroscopy with a gentle d&C to remove what we thought was scar tissue, but it turned out to be an old implantation site. That was after 2 losses, at 12 weeks and 14 weeks. Until this time I hadn't had trouble getting pregnant on my own, so we tried for 2 months on our own and my cycle was very long, and one annovulatory cycle. So we decided to try clomid with a trigger bc of my age and low AMH. She said this needs to happen sooner than later. We did 2 rounds then had to sit out bc I developed a cyst. I had an HSG on my 3rd cycle which showed I have either scar tissue or a polyp near my right tube. So now I'm waiting to figure out if I want to have surgery again. We've been trying on our own now for 4 months. I did have a saline US to confirm That something was seen on the HSG.
Describe the costs associated with your care under Miriam Krause.
Hysteroscopy around 1,500 out of pocket. HSG $800 none out of pocket, saline US $300 ish, trigger shot $75, clomid $30
10
Doctor
Miriam Krause
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
N/A
Age
Treated
Success with this Doc
Yes
Treatment
Fertility Medications
Diagnosis
Anovulation, Male Factor, Tubal Blockage, Other
N/A
They [Fert and Endo Associates] are all very helpful and caring. The only thing they could use is an extra hand with answering phones as they are quite busy...[Nursing staff] They are very helpful and caring anytime I enter the office. And they will do anything to answer questions. Even if they have to go get the answer for you from someone in the office....If plans change due to new details she [Dr. Justice] will start over and explain the plan to the patient and have their full understanding before moving forward and also let them make their own decision on which path to take.
+ Read more
Age
Treated
Success with this Doc
Yes
Race
Other
Income
$0 - $49K
Occupation
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
Fertility Medications
Diagnosis
Anovulation, Male Factor, Tubal Blockage, Other
N/A
Describe your experience with Fertility and Endocrine Associates.
They are all very helpful and caring. The only thing they could use is an extra hand with answering phones as they are quite busy.
During treatment, did you feel like you were treated like a number or a human?
She has sat down with me and written out a plan specifically for my husband and I. She has a personal focus on each case..
Describe your experience with the nursing staff.
They are very helpful and caring anytime I enter the office. And they will do anything to answer questions. Even if they have to go get the answer for you from someone in the office.
How was your experience with Tiffany D. Justice?
She takes her time and seeks out every option in her cases. Each one is special and unique to her and she goes the extra mile to reach the goal of the patient. If plans change due to new details she will start over and explain the plan to the patient and have their full understanding before moving forward and also let them make their own decision on which path to take.
What one piece of advice would you give a prospective patient of Tiffany D. Justice?
Enter your journey with dr. justice with thoughts of what you are aiming for. She will definitely help you get there with the best route!
Describe the protocols Tiffany D. Justice used in your cycles and their degree of success.
She looks at the whole picture. As with me and my husband she had Made certain that we are both on the correct track with no system issues. Before we move forward to using a fertility medication to help me ovulate during my cycles. I am very positive we will concieve with doctor justice's help in the next year.
10
Doctor
Tiffany D. Justice
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
Nursing
Scheduling
– Read less
6
Age
Treated
Success with this Doc
No
Treatment
1 IUI, 1 IVF
Diagnosis
Male Factor, Unexplained
6
It's a beautiful and up to date place. They have all the necessities for a fertility treatment facility. Great doctors and care. The secretary is on point knowing all the names of patients and being super helpful. Financial coordinators weren't great with helping insurance purposes....[Nursing Staff] They were not a huge part. Mostly in the room for Doctor hunter's needs. They are willing and able to answer any questions you have.
+ Read more
Age
Treated
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 2 Docs
Treatment
1 IUI, 1 IVF
Diagnosis
Male Factor, Unexplained
6
Describe your experience with Fertility and Endocrine Associates.
It's a beautiful and up to date place. They have all the necessities for a fertility treatment facility. Great doctors and care. The secretary is on point knowing all the names of patients and being super helpful. Financial coordinators weren't great with helping insurance purposes.
During treatment, did you feel like you were treated like a number or a human?
Dr. Hunter is a great fertility doctor when t comes to Patient care. He is compassionate and he truly wants you to get pregnant!
Describe your experience with the nursing staff.
They were not a huge part. Mostly in the room for Doctor hunter's needs. They are willing and able to answer any questions you have.
How was your experience with Robert K. Hunter II?
He is very involved in treatment and is ready to help you in whatever way. He is willing to help you go as fast or slow in fertility treatment that you are ready for. He is super professional and knowledgeable.
What one piece of advice would you give a prospective patient of Robert K. Hunter II?
Save your money for your services. Email him with any questions- he will get in touch with you ASAP. Ask him the opinions he has for treatments and not based on your wants.
Describe the protocols Robert K. Hunter II used in your cycles and their degree of success.
Clomid and ovidrel for medicated IUI. Progesterone suppositories after treatment. Ovidrel for cyst removal.
Describe the costs associated with your care under Robert K. Hunter II.
It wasn't expensive but they tried to Get certain stuff covered by insurance.
7
Doctor
Robert K. Hunter II
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
6
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
32
Treated
2016
Success with this Doc
?
Treatment
1 IVF, 1 Embryo Freezing
Diagnosis
Male Factor
10
The nursing staff [at Fertility and Endocrine Associates - Louisville] were always wonderful and patient no matter what the question or concern was...Prepare yourself it is not a quick process. We started this process in March we are now in October and still going through it. It takes time and patience...
+ Read more
Age
32
Treated
2016
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Entrepreneur
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, 1 Embryo Freezing
Diagnosis
Male Factor
10
During treatment, did you feel like you were treated like a number or a human?
Dr. Krause and her staff are Very caring people. The first transfer was a fresh transfer the second was frozen I go for my beta tomorrow, but thus far at home I've gotten a positive pregnancy test since 4dp5dt
Describe your experience with the nursing staff.
The nursing staff were always wonderful and patient no matter what the question or concern was.
How was your experience with Miriam Krause?
Dr. Krause was always at the appointment and throughly explained everything. We could call her anytime day or night if there was a question.
What one piece of advice would you give a prospective patient of Miriam Krause?
Prepare yourself it is not a quick process. We started this process in March we are now in October and still going through it. It takes time and patience
10
Doctor
Miriam Krause
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
8
Age
24 - 26
Treated
2008 - 2010
Success with this Doc
?
Treatment
2 IUI, 1 IVF
Diagnosis
Endometriosis, Male Factor, PCOS
8
It [Fertility and Endocrine Associates] was more expensive than others in this area but he can so highly recommended to us it was worth it...Everyone in the office treated me like I was the only person there. There cared about me and my husband's feelings and the feelings of other patients there....I really like how both the male and female offices are right beside each other so you can go to one location to get everything done that needs to be.
+ Read more
Age
24 - 26
Treated
2008 - 2010
Success with this Doc
?
Race
Other
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
Endometriosis, Male Factor, PCOS
8
Describe your experience with Fertility and Endocrine Associates.
I really like how both the male and female offices are right beside each other so you can go to one location to get everything done that needs to be.
During treatment, did you feel like you were treated like a number or a human?
Everyone in the office treated me like I was the only person there. There cared about me and my husbands feelings and the feelings of other patients there.
Describe your experience with your nurse.
I love everyone in this office they are all so caring and want the best outcome for all of their patients
How was your experience with Robert Homm?
He is very knowledgeable he cared about me and my husband and tried everything to give us a live birth
What one piece of advice would you give a prospective patient of Robert Homm?
Listen to what he tells you and ty your best to follow his instructions
Describe the costs associated with your care under Robert Homm.
It was more expensive then others in this area but he can so highly recommended to us it was worth it
8
Doctor
Robert Homm
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Fertility and Endocrine Associates
Louisville
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less