# Fertility Institute of Hawaii

> The Fertility Institute of Hawaii (FIH) is a state-of-the-art fertility clinic headquartered in Honolulu, Hawaii, offering comprehensive reproductive medicine services including In Vitro Fertilization (IVF), Intrauterine Insemination (IUI), egg and embryo cryopreservation, donor egg IVF, gestational carrier surrogacy, LGBTQ+ family building, and preimplantation genetic testing (PGT). Founded by Dr. John Frattarelli, the clinic's physicians have personally overseen more than 35,000 fertility treatment cycles resulting in more than 15,000 babies born.

FIH is led by Dr. John Frattarelli, Dr. Anatte Karmon, and Dr. Emily Goulet — the only reproductive endocrinologists treating patients across the Hawaiian islands of Oahu, Hawaii, and Maui, with offices in Honolulu, Kailua, Hilo, Kona, and Kahului. Dr. Frattarelli holds dual certification as a Reproductive Endocrinologist and High-Complexity Clinical Laboratory Director (HCLD), overseeing both clinical care and the IVF laboratory. The lab is accredited by the College of American Pathologists (CAP) and equipped with advanced technologies including the EmbryoScope time-lapse incubator. The clinic reports donor egg pregnancy rates greater than 80% and serves international patients from across the Pacific, Asia, Australia, New Zealand, Canada, Europe, and beyond, with multilingual staff speaking Japanese, Mandarin, Korean, Tagalog, Vietnamese, Russian, Hungarian, Hebrew, and Spanish. Hawaii is one of 17 states that requires insurance companies to provide coverage for infertility treatment.

## Fertility Treatments

- [In Vitro Fertilization (IVF)](https://www.ivfcenterhawaii.com/ivf-treatments/in-vitro-fertilization/): Full IVF services including ovarian stimulation, egg retrieval, fertilization, embryo culture, and embryo transfer — the clinic's core treatment for infertility
- [Intrauterine Insemination (IUI)](https://www.ivfcenterhawaii.com/fertility-treatments/intrauterine-insemination/): Fertility procedure placing washed sperm directly into the uterus around ovulation, often used with ovulation induction for mild male factor or unexplained infertility
- [Fertility Treatments Overview](https://www.ivfcenterhawaii.com/fertility-treatments/): Complete list of treatment options including ovulation induction, IUI, IVF, ICSI, donor egg IVF, donor sperm, and gestational carrier cycles
- [INVOcell Accessible IVF](https://www.ivfcenterhawaii.com/ivf-treatments/accessible-ivf-with-invocell/): Lower-cost alternative IVF option using the INVOcell intravaginal culture device
- [LGBTQ+ Family Building](https://www.ivfcenterhawaii.com/fertility-treatments/lgbtqfamilybuilding/): Comprehensive family-building services for the LGBTQ+ community including reciprocal IVF, donor sperm, donor eggs, embryo donation, gestational carriers, and fertility preservation prior to gender-affirming therapy

## Fertility Preservation

- [Egg Cryopreservation (Egg Freezing)](https://www.ivfcenterhawaii.com/fertility-preservation/egg-cryopreservation/): Vitrification-based egg freezing that preserves fertility based on the age at freezing, with over 90% egg survival rates after thaw — eggs can be stored indefinitely in liquid nitrogen
- [Embryo Cryopreservation](https://www.ivfcenterhawaii.com/fertility-preservation/embryo-cryopreservation/): Freezing of embryos created through IVF for future use, with no decrease in quality over time whether stored for 1 year or 10 years

## Third-Party Reproduction

- [Donor Eggs (Oocytes)](https://www.ivfcenterhawaii.com/3rd-party/donor-eggs-oocytes/): One of the most successful donor egg programs in the United States, with all donors screened for over 200 common genetic disorders and pregnancy rates greater than 80%
- [Frozen Donor Egg IVF](https://www.ivfcenterhawaii.com/3rd-party-reproduction/frozen-donor-egg-ivf/): Frozen donor egg program in partnership with Donor Egg Bank USA
- [Gestational Carrier/Surrogacy](https://www.ivfcenterhawaii.com/3rd-party/gestational-carrier/): Gestational surrogacy services — legal in Hawaii — where the carrier has no genetic link to the child
- [Become an Egg Donor](https://www.ivfcenterhawaii.com/3rd-party/become-an-egg-donor/): Egg donor recruitment for healthy women ages 21-28, with compensation up to $30,000 and full genetic screening

## Fertility Diagnoses & Testing

- [Male Infertility Testing](https://www.ivfcenterhawaii.com/fertility-diagnoses/male-infertility-testing/): Comprehensive male infertility evaluation — one of only a few centers in Hawaii with full male factor diagnostic capability, addressing the roughly 40% of infertility cases attributed to sperm abnormalities
- [Instructions for Fertility Testing](https://www.ivfcenterhawaii.com/fertility-diagnoses/instructions-for-fertility-testing/): Patient preparation instructions for fertility tests including ovarian reserve testing, semen analysis, and hormonal evaluation

## IVF Success Rates & Costs

- [IVF Success Rates](https://www.ivfcenterhawaii.com/ivf-treatments/success-rates/): Age-specific and procedure-specific IVF success rates under the guidance of Dr. Frattarelli, featuring advanced technologies including PGT and EmbryoScope time-lapse embryo imaging
- [IVF Costs](https://www.ivfcenterhawaii.com/ivf-costs/): IVF cost breakdown — without insurance, IVF ranges $8,000 to $13,000 plus $3,000 to $8,000 for medications, with additional costs for cryopreservation, PGT, donor, or surrogacy services
- [Financial Affordability](https://www.ivfcenterhawaii.com/fertility-testing/financial-affordability-and-fertility-treatment/): Overview of Hawaii's mandated insurance coverage and financial assistance programs
- [IVF Financing Options](https://www.ivfcenterhawaii.com/costs/ivf-financing-options/): Financing partners including WINFertility (20-40% bundled discounts), ARC multi-cycle programs, CapexMD loans up to $50,000, and Future Family fertility loans
- [ARC Programs](https://www.ivfcenterhawaii.com/arc/): ARC fertility treatment packages including one-cycle, two-cycle, three-cycle, donor, and success programs from the nation's largest network of fertility specialists

## International Patients

- [International Fertility Services](https://www.ivfcenterhawaii.com/international/): Services for global patients traveling to Hawaii for fertility treatment, with multilingual staff and support for patients from the Pacific, Asia, Australia, New Zealand, Canada, South America, Europe, and Africa
- [Chinese Patient Services](https://www.ivfcenterhawaii.com/international/chinese-visitors/): Fertility treatment options tailored for Chinese patients, including PGT services not widely available in China
- [International Testimonials](https://www.ivfcenterhawaii.com/international/international-testimonials/): Patient stories from international couples who traveled to Hawaii for treatment

## Our Team

- [About FIH](https://www.ivfcenterhawaii.com/about/): Clinic overview, philosophy of individualized care, and history
- [Dr. John Frattarelli, MD](https://www.ivfcenterhawaii.com/about/meet-our-team/john-frattarelli-md/): Founder and world-renowned reproductive endocrinologist with over 20 years of experience, dual-certified as RE and HCLD, with research interests in diminished ovarian reserve, PCOS, endometriosis, recurrent miscarriages, and PGT
- [Dr. Emily Goulet, MD](https://www.ivfcenterhawaii.com/about/meet-our-team/emily-goulet-md/): Reproductive endocrinologist with particular interests in PCOS, egg freezing, fertility preservation, single mothers by choice, LGBTQ+ family building, and weight-related fertility issues
- [Patient Testimonials](https://www.ivfcenterhawaii.com/about/testimonials/): Written testimonials from patients sharing their fertility journey experiences
- [Video Testimonials](https://www.ivfcenterhawaii.com/about/videos/testimonials/): Real patient video stories of personalized fertility treatment experiences and successes

## Blog

- [FIH Blog](https://www.ivfcenterhawaii.com/blog/): Fertility insights, patient stories, treatment guides, and clinic news
- [Comprehensive Guide to Infertility Treatment](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/a-comprehensive-guide-to-infertility-treatment-options/): In-depth overview of all infertility treatment options from IUI through IVF, genetic testing, and third-party reproduction
- [When to Seek Fertility Treatment](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/when-to-seek-fertility-treatment-key-signs-and-timelines/): Key signs and timelines for seeking professional fertility help, including indicators for PCOS, endometriosis, and thyroid disorders
- [IVF After 40](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/ivf-success-factors-after-40-expectations-and-strategies/): Success factors, expectations, and strategies for IVF treatment in patients over 40
- [How ICSI Improves Fertility Outcomes](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/how-intracytoplasmic-sperm-injection-icsi-improves-fertility-outcomes/): How intracytoplasmic sperm injection addresses severe male factor infertility
- [The Role of Technology in IVF](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/the-role-of-technology-in-todays-ivf-services/): How advances in IVF technology have improved success rates and expanded family-building options

## Optional

- [Top Tips to Boost IVF Success](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/top-tips-to-boost-your-chances-of-ivf-treatment-success/): Practical tips to maximize chances of successful IVF treatment
- [What to Expect During Your First IVF Cycle](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/what-to-expect-during-your-first-ivf-treatment-cycle/): Step-by-step guide to a first IVF cycle from initial consultation through embryo transfer
- [How to Choose the Right IVF Clinic](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/how-to-choose-the-right-ivf-clinic-for-your-needs/): Factors to consider when selecting a fertility clinic
- [International IVF Travel Guide](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/international-ivf-a-guide-for-patients-traveling-to-hawaii-for-treatment/): Practical guide for international patients traveling to Hawaii for fertility treatment
- [IUI Timing Guide](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/timing-your-iui-maximizing-pregnancy-chances/): How to time IUI for maximum pregnancy chances
- [Male Fertility Testing Guide](https://www.ivfcenterhawaii.com/fertility-treatments-clinic/male-fertility-testing-how-doctors-diagnose-male-infertility/): How doctors diagnose male infertility through semen analysis and advanced testing
- [The Costs of IVF Treatment](https://www.ivfcenterhawaii.com/fertility-treatment/the-costs-of-ivf-treatment/): Detailed breakdown of IVF treatment costs and what factors influence pricing
- [Endometriosis & Fertility Preservation](https://www.ivfcenterhawaii.com/fertility-treatment/endometriosis-fertility-preservation-for-patients-with-endometriosis-before-or-after-surgery/): Research on optimal timing for fertility preservation in patients with endometriosis
- [Use of Donor Eggs](https://www.ivfcenterhawaii.com/3rd-party-reproduction/use-of-donor-eggs/): Guide to using donor eggs — reasons, process, and who benefits most
- [Building a Family with a Gestational Carrier](https://www.ivfcenterhawaii.com/3rd-party-reproduction/building-a-family-with-a-gestational-carrier-surrogate/): Comprehensive overview of gestational carrier surrogacy options and the legal landscape in Hawaii
- [New Clinic Location Announcement](https://www.ivfcenterhawaii.com/fertility-treatment/hi-now-fertility-institute-of-hawaii-moves-to-a-new-location/): Announcement of FIH's move to their renovated state-of-the-art facility