Acacio Fertility Center

Aside from Dr taking about my weight I was hardly treated as a patient and more so as a child to be talked down to. I was told I was so young and could take clomid to ovulate and I would likely end up pregnant. My irregular periods (2-4x a year at most), my ectopic pregnancy that led to surgery on my right tube, and trying to conceive for 6 years with no success was never a topic of discussion. I was made small and my husband who has motility issues (who is also overweight) was “perfect” and was told as long as you don’t smoke, drink, or bicycle is solid and motility is not a huge factor.

If you are not in the best shape of your life please find a doctor who will not push ideas of losing weight, taking medication you are not comfortable with. If you do decide to see this doctor be prepared for his lack of knowledge and disconnect

I went for a consultation and will not be going back

I paid a $100 consultation fee. I was given information about HSG and SONO testing but was given no cost about IUI or IVF

Dr. Acacio is a very confident doctor that seems to genuinely care for his patients. He always takes the time to make sure we understand what is going to happen and answer any questions we might have. He takes the time to get to know you as more than just a fertility patient and has always remained hopeful for us.

Make sure to do your research on options or risks of treatments. While Dr. Acacio has never hidden any information from us, it does sometimes feel sugar coated when discussing any potential risks. We have not minded this style because we always make sure to specifically ask about anything we are concerned about. I personally appreciate the positivity.

We underwent three IUI's with Dr. Acacio. Each one included 5 days of letrozole and a trigger shot. When we moved on to IVF, I was placed on a short protocol for stimming. I responded quickly. Dr. Acacio retrieved 28 eggs, 18 of which were mature. 5 made it to day 5 and were sent off got PGT-A testing. 2 came back normal, 1 inconclusive, and 2 abnormal.

I believe each IUI was roughly $1500 Our egg retrieval was about $13,000 plus medications and the frozen embryo transfer will be about $2500 plus medications

Dr. Acacio seems to be flexible in his approach to how many embryos to transfer. He goes over the risks and benefits to both and left the decision up to us.

It is difficult to write reviews for fertility clinics since there is so much inherent bias in terms of whether or not one recieves a positive outcome. My wife and I, both physicians, understand that online reviews are largely skewed in this regard and tend to focus on things like "customer service" and factors that are somewhat irrelevant to the quality of the medical care received. In our case, however, there is no choice but to give Dr. Acacio and his staff 5 stars. Briefly, my wife and I had been trying to build a family for about 5 years prior to seeing Dr. Acacio. We had gone through the diagnostics and treatments of 2 seperate fertility clinics with no positive results and only bad memories. After years of emotional rollercoasters, tears, false hope, exhaustion, and an increasing sense of resignation, we decided to switch clinics one more time before moving on with our lives. We had heard of Dr. Acacio through word of mouth and online publicity. Based out of Fresno and mainly working out of the Bakersfield office, committing to the time and logistics of arranging our care from hundreds of miles away was worth, in our opinion, the peace of mind knowing we were seeing someone so highly regarded in the reproductive endocrine field. We were "all in", one last time. Heading into our first appointment, our expectations were low given our prior experiences at other clinics. We could not have been more wrong. He thoroughly reviewed our medical history with us present, paying attention to every detail. Being physicians familiar with seeing new patients, the amount of time he spent developing a specific diagnostic and treatment plan to our case was striking. His bedside manner immediately struck us as exceptional and he went above and beyond all expectations we had heading in. As our case proceeded, changes and adjustments were made appropriately with his medical expertise. It was clear to both of us that he is passionate, attentive to details, and attune to the difficult emotional tolls that fertility treatments can levy. At our prior clinics, we had countless appointments where, walking out of the office, we would be holding back tears, only to break down in the parking lot while scrambling to the car. My wife and I were amazed that no matter what happened, we left every visit with Dr. Acacios office and staff feeling better, even when the news was less than stellar. Without getting into the details, 7 months have passed since that first appointment and we are blessed to be almost 12 weeks pregnant with our first child. The entire process was a 5 star experience. Even before our positive result, my wife and I marvelled at how different the process and experience was with Dr. Acacio compared to the other clinics. Without the positive result, there is no doubt in my mind that we would have at least taken comfort in the fact that Dr. Acacio offered us the latest, most advanced, and up-to-date medical care that fertility clinics have to offer. We would highly recommend Dr. Acacio to anyone struggling to build a family. We are blessed to have been able to afford the time, money, and effort, and couldn't be happier. Every case is different, and there are no guarantees in health care, but put us in the category of a couple who started with almost no hope, and now are blessed to have the experience of a pregnancy for the first time. Good luck to you all, and we hope that you will consider our experience in your decisions.

Trust the process and you will recieve the best medical care that there is to offer.

23k for "shared risk model", plus another 8-10k in meds and copays for certain procedures in our treatment plans

Shared decision making after discussing risks and benefits.

He was very straightforward and didn’t sugar coat anything. He was nice and welcoming. I went over my history of my 4 miscarriages and health. He told me that he will do further testing and figure out why I was miscarrying. He was going to do an immune lab work up and once we get the results go for another consult to see what’s the best approach and treatments.

Just know that he is very straightforward and don’t go in there thinking you know what treatments you need because the outcome may be different than what you expected.

He just went over my health history, labs from previous obgyn. Then he did a vaginal ultrasound. We are now just awaiting to get some more labs from him to go onto the next treatment plan

$100 for consultation and $250 for the vaginal ultrasound. Labs that are still pending to receive are $1200-1500.

I hardly saw Dr. Acacio. I only saw him at consultation, retrieval, and meetings are failed cycles. He gives his email during consultation and says you can contact him anytime. I emailed him with questions once and I had to follow-up with him as he didn’t respond the first time. Ultrasounds are done by Sylvia, the nurse manager; she’s the one running the place.

I would not recommend this clinic.

Dr. Acacio uses birth control and calendars so that patients are bunched together. He gives a good song and dance about the reason for using birth control, but for those over 40 or with diminished ovarian reserve, it doesn’t really make sense. Using birth control also means that you have to wait to start a new cycle.

About $30K (including meds).

He was very kind and understanding about this process. He did not push us into anything we were not comfortable doing and allowed us to think about everything. Like I said he cried with us during our loss and success.

Ask a lot of questions and recommendations and alternatives. Please be prepared to be shocked how much it’s going to cost out of pocket. It is not cheap and it’s not guaranteed it’s going to work.

Initially I had a laparoscopy to remove some of my endometriosis and adhesions. Has 3 failed iui. Went in for hysteroscopy. 3 failed embryo transfer with intralipids on the last one. 3rd transfer was a success but ended in an ectopic. Had another laparoscopic surgery. Noticed my Fallopian tubes were damaged. Had a bilateral salpingectomy before my 4th transfer with intralipids

First 3 rounds of IVF group plan was approximately 15K not including genetic testing after 6 embryos and a fee for storage of frozen embryos after 1 year. Medications were also not included in the 15K plan. I probably spent 1-2K in medications.

It was our choice. Whatever we were comfortable with. He did advise against 3 embryo transfers at once but willing to do it if you are adamant but understood the risk of multiples

Dr. Acacio is knowledgeable, personable, sensitive, and understanding. He always took as much time as we needed to explain any procedures we needed and to answers all of our questions. We never felt rushed when we were with him. When we were first diagnosed, Dr. Acacio called us after hours to go over our test results, answer our questions, and reassure us that we were all a team and that he was there to help us reach our dreams of becoming parents.

Don't be shy about asking questions- he's the type of doctor who shows mutual respect of your time and concerns.

Because of my PCOS, Dr. Acacio took measures to help reduce/prevent me from developing OHSS. My body reacted very quickly to the stims medication. He fully anticipated me developing OHSS. Inspite of everyone's best efforts, I did develop a mild case of OHSS and I was seen in his office immediately (which happened to be on a Sunday). I was given an ultrasound which showed fluid starting to build up in my uterus. After discussion with Dr. Acacio, we opted for fluids and bedrest. A day or two later, I required more fluids and a procedure to drain the fluid that had built up, which was also done in his office. Dr. Acacio and his nurses acted swiftly and with great care. We all knew going into retrieval that the possibility of developing OHSS was high and I felt well cared for the whole time.

We opted to purchase one of their IVF packages and believe that we saved some money by doing so.

We were given plenty of opportunity to discuss the risks and benefits of transferring 1 embryo versus 2 embryos. In the end, as a couple, we decided that we would transfer 2 embryos and we are very thankful that we did.

See previous comment. He was great at the beginning of our treatment but after 2 years of seeing him, he was no longer patient, empathetic or open to partnering with me on changes to my protocol. He is good at communicating in lay terms and seeking compassionate after a loss but is also very cocky and it’s clear now that his show of compassion wasn’t authentic.

His office and staff are wonderful but you will rarely see Dr Acacio unless you book a special appt with him and wait a few weeks or are having a complication.

I think he used a pretty standard protocol for me with birth control and Lupron and with each FET he would add additional meds like Heparin, viagara suppositories etc.

I believe it was approx $10k for the retrieval and I transfer, $4k for the PGS testing, $5k for the first round of meds, $3k for each FET plus meds. With surgeries, procedures, multiple transfer and meds I’m sure we spent over $30k there:

He will agree to transfer one of two embryos, he leaves it up to the patient.

He is so kind and he and his wife have gone through fertility treatments also so he is really understanding. He is very down to earth and understands how hard it is and expensive it is and is very upfront and clear about that!

Go to one of the open houses and bring all your information so you can talk strategy and figure out a treatment plan and get started!

So I super overstimulated... Which I will explain, but it started off as a fresh embryo cycle... So that's why my treatment plan is such: BC for 14 days 10 days in I started: Lupron 10U (for 5 days and then after that I just took 5U), prenatals, dexamethasone, and folic acid 19 days in I had my baseline ultrasound, blood work, and estradoil once a week. CD2 I started Follistim 150U and Menopur 1 vial and continued with Lupron, prenatal, dexamethasone 0.75mg, and folic acid. CD9 I had another ultrasound and blood work...I had my HCG shot that day too CD10 was my egg retrieval. They retrieved 105 eggs.... That's very abnormal. I really overstimulated. And as such my ovaries needed a break and to heal. So we had to cancel the fresh cycle and do a Frozen embryo transfer. So I drank a TON of Gatorade and water to help my ovaries so they wouldn't rupture... Thankfully they didn't. So after my cycle started again I started BC again, after 7 days I started Lupron 10U (for 5 days and then went down to 5U), dexamethasone, prenatal, folic acid, and metformin. After 10 days I had an ultrasound and blood work. Then I started delestrogen twice a week. CD14 I had another ultrasound and they told me to just take the Lupron for 5 more days but continue with the rest. Then CD15 I started a z-pack and progesterone shots. On CD20 I had the transfer. We transferred 2. I continued taking dexamethasone, prenatal, folic acid, progesterone oils, delestrogen (twice a week), and started progesterone suppositories. 12 says after transfer I had a blood draw and they called and told me the results and then two days later I had another and they called told me the results and we found out that it way more than doubled. At 7 weeks we had an ultrasound and found out we were expecting twins! I started bleeding that night and I kind of freaked out and called the nurse and she really talked me down and the next day she performed another ultrasound and they were still completely fine and they were born healthy and are growing well!

Base price was $9500 plus medication. And then Frozen embryo cycle is normally $4500. We had little confusion about stopping the fresh cycle and starting the Frozen that he really discounted the Frozen and we were so grateful and in awe that he was understanding and helpful!

I really liked him as a doctor because he was very confident about what was going to happen. He told me that we are going to make it possible for me to have a baby. He was always on time and I never had a long wait to see him

Have all your medical history sent to him before your consultation because then he can tell you more about what would be the best plan for you and be prepared because he is a straight to the point kind of person and very confident about his work

I have ovarian cysts so he gave me a certain amount of egg stimulating hormones to make sure I didn't get overstimulated. We did genetic testing to make sure the embryos were chromosomally normal. We then transferred two embryos but I miscarried at 7 weeks. I had a blighted ovum.

I have paid 31,000 dollars in total for all procedures done

Dr. Acacio informed me of the success rate of each and told me that he would recommend transferring two embryos

We have used Dr. Acacio twice for 2 rounds of IVF. We were successful each time. The minute we met in our first consultation, I was immediately comforted by his knowledge, care, and genuine concern. I knew he was the right doctor for us. He covered every concern, told us exactly what to expect, and never led us in with false hope. He was honest and trustworthy and exact in what he said and did. We love everything about Dr Acacio!

Don’t be afraid to ask questions because you might be afraid of the answers. Dr. Acacio is very knowledgeable and very open and eager to address any questions or concerns.

We used donor eggs for our IVF cycle. I basically had to trick my body in to thinking it was pregnant with a series of injections. The most memorable injections were the progesterone injections twice a week. Best advice would be to relax and breathe with each injection.

In our first IVF cycle we wanted to implant 3 embryos with the hopes of at least having twins. We talked with Dr. Acacio about what we wanted to do and our reasoning and Dr. Acacio explained that he felt very positive we would get pregnant and that he would suggest only using 2 embryos and freezing what we could for a later use. We trusted his advice and implanted 2 embryos. We had a successful transfer and we’re blessed with twins. Our second cycle we thawed and transferred our remaining 2 embryos and had a successful Singleton birth.

We came to Dr Acacio after a poor experience with another well known OC fertility doctor and we noticed the difference immediately. Dr Acacio spent the time to review all my medical records prior to our initial meeting and always remembered every aspect of my history which is much more than I can say about our previous doctor. I never felt like a number and since he has had experience with fertility firsthand, he is very compassionate with what his patients are going through. As a type A personality, he is one of the people who really knew how to calm me down. To say he "got me" is an understatement. I truly couldnt havent asked for a more perfect fit when it came to a fertility doctor.

Patience. He may not have the answers on cycle 1 but he will do everything he can to help his patients. Also expect to wait for appointments but he is worth the wait.

Due to recurrent miscarriages, he suggested intrapid treatment which our previous doctor never mentioned. After our first IVF failed, he suggested testing for autoimmune disorders and while the testing wasn't cheap it certainly paid off since they discovered i had some autoimmune disorders that I was unaware of. Fortunately they knew how to work with it and with additional medication (heparin injections, extra folic acid and baby aspirin) we achieved pregnancy on our next FET.

My insurance covered up to 40k of our costs so our out of pocket was minimal.

He is in over his head and overly concerned with image over substance. Over promises and under delivers. Never stops selling.

Run! Your time and money are better spent elsewhere.

He hyperstimulated me resulting in 65 eggs during one cycle. That's poor medicine. We had 3 transfers and 0 positive pregnancy test. The doctor I saw after Acacio went one for one with me and I'm sitting with my daughter right now. Acacio never followed up with us after the third failed cycle.

I think we spent close to $50k there.

Doctor Acacio was super helpful in the beginning. We did an ultrasound to find out exactly what was wrong, a few months later we did the surgery. After that? We didn’t see him again, it was just his nurses.

Demand he be at every appointment.

He put me on Letrozole for 7 days to build my eggs followed by 10,000 HCG trigger shot. The side effects were terrible. I grew a mustache and random hairs on my chin all while losing hair on my head.

Appointments were $250 with ultrasound. Consultation was $100. My surgery to remove polyps was $3,500.. I can remember the total for all my cycles and medications. Somewhere near $50,000?

I appreciated his candidness, eye contact and the time he was willing to spend during my consult. He made sure I understood what the steps would be and was not pushy. I really liked his realistic approach as well.

Appreciate his honesty. It’s worth a consult. He seemed much more educated than the first doctor I went to and his resume matched his knowledge.

The reason Dr. Acacio is my 2nd fertility specialist is because my first had hidden prices and attempting to gouge/mislead my husband and I. I’ve called around and he was totally in the normal zone. I actually am happy to pay him based on his experience and conception rate.

Doctor Brian Acacio was a friendly upfront doctor who we really liked, but never saw after consultation. He made us feel positive about the experience. He came highly recommended, and has a high success rate

Have a flexible schedule and assume you have to travel for procedures

We used clomid day 3-7 2.5 dosage. Followed by ultrasounds to measure follicle size, once the follicle reached right size I had todo a trigger shot in the hip muscle with the iui coming 36 hours after the shot two weeks later take pregnancy test

Rough estimate for iui cycle was about 2500$ not counting purchased sperm that's another $1200

Brian Acacio is very detailed with every step you take to go through fertility. He is kind and compassionate which is what you need when going through something like this. I felt at ease every time I was in office for any kind of test or treatment and also treated my family and husband like they were family.

Don't give up cause Dr. Acacio is very educated and will make this happen for you

25,000

Brian Acacio is a consummate professional and I am truly grateful for all the he did for me and for my two children! He supported me and was realistic. I feel that he went above and beyond as my physician.

Trust him, he knows what he's doing.

I had a clotting disorder and he identified it and placed me on blood thinners after my first miscarriage.

He is very friendly and tells you all the steps to your process. He explains in detail. He suggested IVF first but we cannot afford it, since my husband has very low sperm count. We decided to try IUI

Save money if your insurance doesnt cover like our case. We are paying cash. We are making payments.

They prescribe me letrozole on each cycle. Then the trigger shot too.

Im paying cash my insurance doesnot cover the cost. I am making payments.

Dr. Acacio has always been a pleasure to see when I do see him. His main office is in Laguna Niguel and I'm in Bakersfield. I wish he did come to Bakersfield sometimes. I think I only saw him in Bakersfield during the consultation time which was twice. However, I am still very grateful he extends his work to Bakersfield. He's been very pleasant and up front. He makes you feel relaxed and like you can trust him.

If you are in Bakersfield you will only see him in Laguna Niguel however his main nurse Viridiana Durazo in Bakersfield has been nothing but amazing.

My case was pretty simple, or so we thought. This first cycle with one egg retrieval and one transfer was due to my husband's low sperm count. After we did a transfer we realized I have some obstacles myself and Dr. Acacio and team are currently working on new protocols for me after some testing.

So far we have spent around $33k on two cycles. We still have one cycle left to go and will need to spend additional money for medications, etc.

Dr, Acacio really leaves it up to you on how many embryos to transfer but he will only do up to two.

Dr. Acacio is knowledge. I did not see him at every visit. Perhaps it is because he has 2 offices in different counties. However he offered to attend via telephone. He seems genuine and knowledgeable but my outcome was not as he guessed which did not allow us to proceed to a transfer.

Make sure to complete your own research and Provide your medical history to allow him to make the best choice for your family

Dr. Costco felt I would have a really good chance of retreating eggs due to my age however he was wrong and we were not able to proceed to transfer. Moving forward he recommended we change my medication that was not equal to clarify to what degree my medication would be different

About $17,000 before Medication. Medication was projected for $4,000

I was not able to move forward with a transfer due to my lack of viable embryos

He is there for you and explains the process in detail. He tells you whats your best option for IVF. He suggests what vitamins you should take to help with your journey. He is very understanding and tries to help you.

That he also suffered from infertility. He will try to help you as much as possible

I was placed on the short protocol for my IVF.

$15,000

We have been with Dr Acacio and the team for a few years. He helped with our 1st miracle baby and now we are working on baby #2! Infertility is very personal, Dr Acacio has always made us feel comfortable, any question we had has always been answered, our end goal is his end goal for us.

Don’t hesitate asking any question

I went into fertility treatment with plans of becoming a single mother. Dr. Acacio supported my decision from the beginning and still continues to do so. He always showed confidence in my treatment and explained every test result and procedure in detail when every time I needed him to.

You will not see Dr. Acacio often unless you are doing a big procedure like IVF; however, he is available to answer any questions you may have. Do not hesitate to ask to meet with him.

For my IVF treatment I was placed on a few medications. For egg retrieval I was placed on various shots. Centrotide to prevent early ovulation, Lupron to trigger ovulation when ready, and menopur to stimulate follicles. Before and after egg transfer I was placed on Heparin shots and baby aspirin to increase blood flow. Estradiol valerate and estrogen shots to thicken my uterus. Matanx pills that contain vitamin B12 B6 and follicles acid because my body wouldn’t absorb follicles acid from prenatal vitamins. Taking prenatal vitamins as well. Was placed on lavothyroxin at beginning of treatment to lower thyroid levels.

My two IUIs costs about $8000 IVF costs about $25000 Maybe an additional couple of few thousand more

It was my choice weather it was one or two. I’m 37 so not sure if age was a factor. Wasn’t discussed.

He doesn’t care about specific needs of each patient. They batch patients meaning everyone starts birth controls at the same time and everyone will have one day of retrieval which is horrible. I didn’t know it back then but I know how horrible is to put a patient with DOR on birth controls just to delay their ovulation. He did it and he ruined my only chance of becoming a mother for ever. I will never ever forgive him for that. When I started with him I had 9 follicles to start with. His treatments caused me to have almost none now. There are way better doctors out there. Don’t go to him! Do yourself a favor

Do NOT go to him. If you are like me and don’t have that much reserved eggs don’t have him kill your only remaining ones!!

There was no rationale he put me on short protocol with birth control pills although my ovarian reserve was very low. After his failure he put me on a disastrous long protocol which killed every reserve that I had. When I talked to my current doctor I realized those birth controls and that long protocol suppressed me so much and was not a smart move (I spoke to two other doctors after him and they all agreed)

Over $40000

He wouldn’t know which one is appropriate for you. Get e second opinion!!