Shady Grove Fertility in Roanoke

My Experience with Shady Grove Fertility I’m sharing this review because I believe patients deserve to have a clear understanding of their options before making such a significant physical, emotional, and financial investment in fertility treatment. In 2023, my husband had a semen analysis, and based on his sperm count, we were told that IVF would be our best option. I began the IVF process in 2024, including preparing for egg retrieval. Unfortunately, I developed a serious infection unrelated to fertility, which required surgery, and we had to put the process on hold. Once I recovered, we resumed the process in 2025. During the egg retrieval process, we learned that my husband’s sperm count had changed significantly. Based on his updated results, we were told that we actually could have been good candidates for IUI. This was extremely frustrating and upsetting. His original semen analysis was from 2023, and by the time we resumed treatment, approximately two years had passed. I strongly feel that updated testing should have been done before moving forward with IVF. Had his sperm count been reassessed earlier, we may have had the opportunity to consider IUI instead. The financial difference between IUI and IVF is substantial, not to mention the difference in medications, procedures, physical impact, and emotional stress. To my knowledge, there was also no identified fertility issue on my end that would have made IVF necessary. That made the situation even more difficult to understand. Ultimately, I left feeling like our care was more transactional than personal. I expected my fertility team to continually reassess our situation and make sure we were pursuing the most appropriate treatment based on our current circumstances—not simply continuing down the path that had been recommended years earlier. I understand that fertility treatment is complicated and that circumstances can change. I also understand that no one can guarantee a particular outcome. However, I believe updated testing and a thorough discussion of all available treatment options should be a fundamental part of that process. Because of this experience, I have decided to switch clinics and continue our fertility journey with Virginia Fertility. I hope sharing my experience encourages other patients to ask questions, request updated testing, understand all of their options, compare costs, and seek a second opinion when something doesn’t feel right. Fertility treatment is already incredibly emotional and expensive. Patients deserve to feel that their care is centered around what is medically appropriate for them—not simply moving forward with a predetermined treatment plan.

I wanted to wait until I had completed my experience before writing a review so I could look back on it objectively. My initial consultation with Dr Evans-Hoeker was positive. However, as I moved through the process, I felt like I had more questions than answers. Before making one of the biggest medical and financial decisions of my life, I spent a great deal of time researching and writing down questions. Rather than receiving the guidance I was hoping for, I was told I would need to schedule another appointment to discuss them. The question that mattered most to me was simple: "If I were your sister, what would you recommend?" I wasn't asking for guarantees. I understand fertility treatment is unpredictable. I wanted honest, individualized guidance based on my specific situation. Instead, I left feeling like I was given general statistics rather than a recommendation that helped me make an informed decision. I completely understand the importance of payment policies, but at times the experience felt more transactional than personal. Ultimately, I chose to continue my care at another clinic. Looking back, I'm grateful I explored more than one option. My biggest piece of advice to anyone considering treatment is this: don't assume the first clinic you visit is your only choice. Fertility treatment is an enormous emotional, medical, and financial commitment. Meet with more than one clinic, ask every question you have, and choose the team that makes you feel informed, supported, and confident in your care.

We started seeing Dr. Evans-Hoeker last year and took a break between IUIs and IVF. We just had a very successful first retrieval and I credit that to her knowledge, as well as the knowledge of her staff. The ladies at this office are magnificent and I always enjoy seeing them - even on the tough days. Cannot recommend SGF enough

On 12/30/25 I went into SGF for a Saline Sonogram. My provider Dr. Hoeker explained that there was a possibility for spotting/bleeding after this procedure and I understood that. Of course I began to spot on 12/30 but it continued to get super heavy. I contacted the staff multiple times Expressing my concerns. I was messaged back on 1/5/26 stating that cramping and Bleeding after a procedure was “normal” and if I was soaking a pad to be concerned. By 1/9/26 I was pouring blood, so bad to the point it was leaking on the carpet. I had to make an ER visit. I get a message back on 1/12/26 asking if I was okay and that they heard that I had “emergency surgery” which is the completely incorrect. I replied immediately to express that and still haven’t heard anything back. Today is 01/16/26 and still BLEEDING. It’s been 17 straight days of bleeding . That’s not normal. I haven’t got one single call, not an offer to come in and be checked, no report on lab results that I know have already came in. NOTHING. It’s a shame because I adore Dr.Hoeker. I loved her when she was at Carilion, she helped me with my daughter but I will never go back here! Ever! It’s completely unacceptable to leave a patient hanging for (now 17 days) + an ER visit. I will just have to move my fertility journey elsewhere. It makes me super sad. I’ve known Dr.H for YEARS but I’m done.