CCRM San Francisco

I am currently in the process of treatment (IVF, stimulating for egg retrieval) so I cannot comment on any results. However, I have always felt comfortable with Dr. Tazuke in our visits and feel like I can ask my questions. Sometimes our telehealth visits have felt a bit rushed (when we are discussing test results) but I know that she is very busy.

Be ready with your questions and know that you can also ask follow up questions later in the portal. Use your time with her wisely.

I'm currently in stimulation for IVF, prepping for egg retrieval. I believe I am on an antagonist protocol. Priming was several estrogen patches and 3 Ganirelix shots about a week before my period. Current dosage is 75 IUs of Menopur and 225 IUs of Follistim per day, and I will be adding Ganirelix in a few days. Trigger is set to be a mix of HCG and Lupron. We have briefly discussed approaches to prep for the frozen transfer. Since I have endometriosis, Dr. Tazuke recommended either laparoscopic surgery or Lupron shots prior to transfer; I have not decided yet on which treatment strategy to pursue.

IVF cycle ($18,992) - includes CCS testing of 3-4 embryos (will be more if testing more embryos) and 1 year of frozen storage, $5000-$6000 for medication, $5392 for frozen embryo transfer, will be additional costs for hysteroscopy

I believe only eSET is allowed at the clinic, which I am fine with.

I had my first cycle at other clinic but failed. My amh is 2.0-2.3 and AFC is around 18. The first cycle I did at other clinic ended up with zero embryo. Then I went to see Dr. Tazuke at CCRM. The protocol she planned for me is very perfect and eventually I retrieved 19 eggs, 14 matured, 10 fertilized, 7 fertilized eggs turned to be blast and 4 embryos with high quality passed the genetic test. The four embryos are 5AA,5AA,5BA,5BB. I very appreciate Dr. Tazuke's help! She is very professional and knowledgable. Also, she takes care of her patients very much and always thinking of patient's needs first. She is the best doctor I have ever seen! I have a hyman tissue outside of vagina since I was born. I went to see many doctors and they all think it is fine. But I was very worried about this tissue could give my delivery a hard time. After vagina exam, Dr. Tazuke suggested me to do a small surgery to correct the position of this hyman tissue otherwise I would have a blood bleeding issue after delivery. She does not want me to suffer a painful during the vagina delivery and this hyman tissue makes my sexual life for a long hard time. Finally, she asked Dr. Salem who was on duty of my egg retrieval did the surgery on my hyman tissue. I was very grateful of Dr. Tazuke and Dr. Salem. Both of them have a very advanced surgical skills. After egg retrieval and uterine polyps removal surgeries, I even did not have any spotting on my underwear! The doctors at CCRM are amazing!

Trust your doctor and express all your thoughts and needs with Dr. Tazuke. She will help you a lot.

The protocol I used is called microdose lupron protocol. I had four days vivelle patch and changed each one every other day. Then on day 4, I had the cetrotide injection. The first four days are priming treatment. The purpose of it is to suppress the eggs to the same baseline so they could grow up at the same pace. Then every morning I had 20 iu micro dose lupron injection and took one tablet of Dexamethasone. Every night I had 225 gonal F and 0.3 ml Omnitrope and 20iu micro dose lupron. I had the blood work and ultrasound exam every other day at CCRM. I was triggered at day 10 of stimulation. Finally I retrieved 19 eggs, 14 matured, 10 fertilzied, 7 embryos and 4 passed genetic test.

I have fertility insurance so only cost me hundred of dollars.

single embryo transfer

She's definitely an expert in her field. However, she tends to get easily defensive when questioned about reasoning or benefits of certain treatments. At times, her recommendations seemed driven more by business acumen than medical profession. She seems to approach the overall IVF journey as matter of fact rather than showing empathy and compassion. She rarely took responsibility nor apologized for her staff's mistakes although some of them were more serious. In the end we just referred to her as Dr Robot as she seemed so unemotional and purely operational.

She'll most likely get the job done. Just remember to keep advocating for yourself and don't expect any warmth or compassion.

First retrieval: standard CCRM protocol Second retrieval: lower dosage Transfer: antihistamine protocol

~$20k per retrieval, ~$8k per transfer excl. medications

CCRM doesn't support multiple embryo transfer unless there's a minimal chance for twins.

Very poor experience. I wish I could have known this before engaging with Sunny Jun.I would not recommend anyone to go there except for the state of the art labs She lacks empathy, her conclusions to run tests without a need seems to be a pattern/ exploitative with questionable practices as OBGYNs and 8 other fertility clinics wouldnt see a need to run the tests that she recommended. Impossible to reach for any questions/ instructions. If you forget to ask in your apt, good luck getting your answer. She does not explain her plan/protocol clearly. Most of the times why "X" is recommended is not clear. She does not follow up nor conclude the diagnosis. Multiple follow ups are required to get answers from patient co-ordinators. Overall, a TERRIBLE experience.

Please have empathy and try to position yourself in patient's shoes. If you cannot handle patient volumes, either add more docs or reduce your patient intake. Try to give the care the patients deserve!

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N/A I had insurance

I have completed 2 egg retrievals so far and frozen a few genetically normal embryos. There are a few things in particularly that makes me really appreciate Dr. Jun's approach: 1) I think she laid out a good strategy that works for me and my partner. At my age and with my already diminished ovarian reserve, she suggested that we figure out how many children we potentially want to have and work on creating enough embryos to be able to realize our goals. This way, I am currently only focused on the success of each IVF cycle based on the results from each retrieval. I have not done implantation yet and don't have to deal with the disappointments from any unsuccessful attempts. Emotionally, this keeps me much more focused and balanced. Once I have collected a sufficient number of embryos, I would move on to the next phase. While this approach is designed to collect my eggs sooner rather than later to ensure higher quality, it has the added benefit of avoiding that feeling of having to start all over from square one if there is a failed implantation. 2) Dr Jun suggested that I get tested for endometriosis after the completion of the first retrieval. I appreciated that she waited to see the results from 1 cycle before suggesting this, especially given that the test was not covered by insurance. This made me feel like Dr. Jun is also sensitive to how much the patient has to spend on this process. Dr. Jun makes it clear that the body is slightly different every cycle, so it is not an exact science when trying out different protocols from one cycle to the next. I have been put on different protocols each time, presumably based on prior cycle's results and additional diagnostic information obtained regarding my endometrial condition. However, it would be helpful to hear from Dr. Jun or my nurse coordinator what is being considered to arrive at the decisions behind the changes to each cycle's protocol, medication changes, dosage changes, etc. Providing a little more insight and helping the patient understand the protocol better would help ease the suspicion that the whole process might be based on random guesswork.

Be as prepared as possible with all the questions you have. Dr. Jun will cover the basics and answer all the questions you have, but it is up to the patient to drill into the details. If you're the type of person that cares about the details, it is best to come prepared to each scheduled meeting, given that you would probably only interact with Dr. Jun once, maybe twice, throughout each cycle.

I don't feel like I have a good understanding of the rationale behind my treatment strategies and protocols used in each cycle. This is an area where I think Dr. Jun could spend some time with the patient to explain at the beginning of each cycle.

My costs are covered by insurance, so I am responsible for my annual deductible up to the out of pocket maximum. The only cost that was not covered was the Receptiva test to diagnosis the possibility of endometriosis. However, the clinic was very upfront about communicating that this would not be covered by my insurance.

We have not reached this stage nor discussed the approach to embryo transfer.

Dr.Jun is an incredible physician and I say this as someone who knows they are a demanding patient. We did our own research and asked a lot of questions, pushed back a few times, and even assembled a panel of outside physicians to have in our back pocket. Dr.Jun answered all our questions with the most recent and up to date data, she worked with us every time we had a concern or constraint, and we ditched the other doctors very quickly. We had *insane* outcomes for our age/histories but that's not what drives this feedback - it was the process of working with her. We knew with full conviction that she did everything to optimize our outcomes before we even had them (and I'm serious, we had bonkers good results....)

To trust that she is an actual legend who is fully invested in your case. Which is hard to do for such an intimate and vulnerable thing. She is there to work with you, and trusting her/letting her is the best thing you can do for yourself.

I believe it is on the higher end. We opted for everything and spent ~$20k at CCRM not including meds.

From my understanding, CCRM only does single embryo transfers (that's what we did)

We moved to CCRM after two failed cycles at another clinic. One of the reasons we switched was at the previous clinic it was never a guarantee that we would see our doctor. My retrievals and transfers were scheduled with other doctors so we were thrilled to find a clinic where we would always see Dr Jun for all important appointments and procedures. She always made time for me and understood our situation. A previous clinic did not refer to my chart more than once when deciding next steps and gave us poor advice, but Dr Jun has always been on top of everything. She makes me feel like I’m her only patient.

She’s caring, experienced, and knowledgeable. I previously thought all doctors were the same, some just had better bedside manners than other, but Dr Jun showed me that she will take the time to learn about us, our situation, and provide scientific research backing her decisions for us.

Dr Jun recommended mini-IVF for me and explained that research has shown older women do not respond well to high doses of stim meds. With minimal stim, I had the exact same number of eggs retrieved (5) as I did with a high dose of medication. She also recommended we try PICSI and not just ICSI to increase our odds. And after 3 cycles with low fertilization rates, she recommended we try calcium ionophore with our next cycle.

We did a 3-cycle mini IVF protocol including ICSI and PGS. They told me it was a special package available for women 43 and older and I had just turned 43. The package was $27,000 for 3 retrievals with early embryo banking, ICSI and PGS. Transfers were an extra cost (we’re not there yet)

Our clinic focuses on a healthy pregnancy and will only transfer one embryo if it has been PGS tested.

She is smart. She recommended unblocking a tube and I found a surgeon to do that. I trust her and we are now 5 weeks pregnant. I am 42, had diminished ovarian reserves, a blocked tube. It took 4 retrieval’s. First three had no viable embryos. The fourth resulted in two 5AA. I felt I hit the lottery. I then went and got the surgery to unblock the tube. I came back and we had two cancelled FETs - one due to a mistakenly late progesterone dose on my part, 2nd due to ovulation. She made the calls to cancel - they were good calls as disappointed as I was. We transferred this month and I am 5 weeks pregnant and hoping we are on the path.

Hang in there. If your egg quality is bad, try Coq10 and make sure you handle your stress (do acupuncture, massage, meditation).

I wanted single only. We did not want twins - I have two other children and also do not want to manage an even higher risk pregnancy at my age.

Dr. Jun is personable and I was very comfortable with her as my doctor. She is passionate about helping her patients achieve their goal of having a baby and treats you like a person (as opposed to just a number). I always felt like she had my best interest at heart. Also, she is extremely knowledgeable, is very experienced, and is up to date on all of the current studies regarding fertility and pregnancy. She custom adjusted my dosage based on how my body was reacting to the medication and followed daily bloodwork closely.

I would urge all prospective patients to make an appointment for an initial consultation sooner rather than later (even if they are only sort of thinking about pursuing treatment). The initial consultation provides a ton of useful information and gives you all the facts to make the best decision on how to move forward.

The majority of my costs were covered by Progyny insurance

I had all of my embryos genetically tested and Dr. Jun transferred one embryo.

Dr Jun is a very competent doctor. Though I didn't see her much during appointments, she reviewed all of my bloodwork and ultrasounds results every day and recommended the right treatment for the next day. The highly personalized treatment resulted in a very successful egg retrieval (they were able to freeze 22 eggs in one cycle), and almost no side effects. During the times I saw her, Dr Jun made me feel very comfortable and I always felt like I was in good hands. She was also very transparent about answering any of my questions. I would highly recommend her.

Dr Jun decreased my Gonal-F dose from 150U to 125U for most of the injection period, after reviewing my bloodwork consistently. She also provided the green light for triggering ovulation at the sweet spot between when I would have a lot of eggs to be retrieved and not being too prone to OHSS.

I was fortunate to be mostly covered by my insurance, so I wasn't that familiar with the cost of this treatment.

Dr. Jun is professional and knowledgeable. I never doubted her expertise during treatment and I absolutely recommend her (I felt the same way about her co-medical director, Dr. Tsuzuki who I saw, albeit rarely, if Dr. Jun was in an operation or out of office). Dr. Jun is skilled at boiling down what you need to know and delivering that information to you. If you are someone who needs more info, be sure to ask the questions. I did find that I tended to have questions as soon as I processed the information and had already left the office — but I was able to adjust and ensure I got the amount of info I wanted.

Trust the process, ask questions, be patient.

$7000 + prescriptions ($2,000?) for embryo transfer $17,000 for egg retrieval $500 anesthesia $5,500 prescriptions A few miscellaneous expenses Total +\- $35,000

CCRM focuses on successfully giving you what you want: a healthy pregnancy. To that end, they do not allow a double embryo transfer as that is automatically a higher risk pregnancy and could endanger both embryos. On your 2nd or later pregnancies, they may reconsider this, but for the 1st pregnancy, they do not take unnecessary risks.

Dr. Jun is an incredibly thorough and seasoned Doctor. She is compassionate, empathetic, and incredibly hard working. She takes each step of your process with extreme consideration and precision. Though there were times we felt like maybe she was being a little too cautious in our particular case, we trust her whole heartedly and chose her because of her skill and knowledge. We are forever grateful for Dr. Jun and all of her passion for her field and amazing skill. Everyone at CCRM is absolutely phenomenal and striving beside you for the same dream!

Trust her! She without a doubt has your best interest at heart.

We have male factor infertility so my protocol was pretty straight forward. Even though I had previously had a successful pregnancy with a different clinic, they still wanted to do a thorough assessment and I had a HSG and hysteroscopy along with my retrieval and frozen transfer. My egg retrieval was almost 14 days long with a more slow and steady approach with frequent check -ins. My first transfer was cancelled as my lining became way too thick and Dr. Jun changed my protocol and switched to a natural cycle for my transfer. I am so thankful that CCRM offers natural cycles as this protocol worked and seemed to really do well with my body!

We were so thankful to have Progyny health coverage. However, even with this coverage there were some meds that were not covered and we still ended up paying around $3,000 out of pocket. Nothing to complain about!

Dr. Jun and CCRM has amazing transfer rates so she highly recommended a single embryo transfer and we agreed!

As I detailed in my previous description, Dr Jun is extremely patient and compassionate and surely knows what she’s doing. We are so thankful for her. She has been so thorough and her approach to our treatment has been such a refreshing change from our previous experience. She diagnosed me with endometriosis and suggested we do PICSI to be better our chances and it worked for us!

Listen to her advice and your Nurse practitioner! And don’t rush into anything take your time like Dr Jun says!

Dr Jun explained the risks with multiples and given the grade of our euploid embryos was very particular about using a single embryo to transfer. We trusted her decision and it worked for us.

Dr Jun was simply amazing. Working with her felt like having a very dear friend manage your care. She operated with the empathy and tenderness needed and was able to deliver bad news in a really honest and considerate way.

Use her kindness and accessory her knowledge. If you see something during your google searches, she will take the time to answer all those questions.

Not sure of the details Round 1: CCRM level 1 protocol Round 2: CCRM level 5 protocol

It was a general fee for each Ivf round -15K approximately Ccrm has other plans for multiple rounds but we elected to go round by round.

prefer single embryo transfer and I agreed completely

I cannot say enough positive things about Dr. Jun. She was the only doctor I saw that required a mammogram before starting IVF and because she did I was lucky to find pre-cancerous cells that were removed just in time. My Oncologist told me that she saved my life so I am forever grateful to her. I will be starting my cycle in January and I wish I had gone to her sooner.

I think it's worth the drive to Menlo Park to go to Dr. Jun's practice.

Definitely higher than the other clinics in the area. With meds maybe $20K per cycle.

Dr. Jun and I agreed to transfer one at a time in my case.

I feel like Dr. Jun was creative and willing to work with more difficult cases. We had one round of IVF that failed and she suggested a new approach that gave us some early good results (though it's too soon to know if we'll have a successful pregnancy). She celebrated success with us while also keeping expectations realistic.

CCRM SF will move quickly if you are efficient and get all of the tests and documents completed on time. Don't wait for anyone to tell you what to do. Instead, ask questions and be your own advocate.

We have a long history with IVF. Once we started working with Dr. Jun, we did one round of traditional IVF that failed followed by a two-round embryo banking package with mini-IVF, which gave us two normal blastocysts.

A typical round of IVF cost around $15,000 plus the cost of meds. This was all inclusive of everything except FET.

CCRM SF advocates for eSET, which I support as well.

Dr Jun was fantastic, she was always available when I needed her. She suggested tests that identified issues that were not previously identified, which is a testament to her expertise in fertility. She was supportive throughout the process and we are so lucky to have her

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Dr. Jun is a wonderful physician. She takes time to answer questions, deliver results, and is invested in your process and outcome. She is very knowledgeable and discusses all options realistically.

I would think about all of your expectations and questions beforehand and she discusses them thoroughly.

Dr. Jun uses the protocols generally prescribed by the main CCRM, although she tailors it to you as an individual.

Upon meeting Dr. Tazuke, my husband and I felt very comfortable and confident pursing our care with her. She was well prepared for our appointments and showed compassion at the appropriate times. In addition, she was very responsive to any messages and/or questions that we had during the appointment and during non-office hours.

Keep an open mind and as hard as it is to do, don't stress!

In our particular case, we only did cycle monitoring with Dr. Tazuke. She ended up giving me progesterone supplements to take.

Dr Tazuke is very compassionate and thorough. She is very knowledgeable and feel she is providing the best possible treatment for my situation. My husband and I have complete confidence and trust in her and all the staff at CCRM.

Luteal Patch with Antagonist Protocal Priming Cycle with Estrogen Patch and growth hormone to try and grow embryos at same rate. Menapure AM GH/Clomid/Dexa/Folistim PM

~$17k for retrieval with PGS ~$5k for frozen transfer

My husband and I are so incredibly grateful to Dr. Jun who helped make our dream of becoming parents a reality! Our son is 3 1/2 months old and wouldn't be here today without her help. Our experience from start to finish was amazing and we will absolutely be back to give our son a sibling down the road. Dr. Jun is extremely knowledgeable and she and Dr. Tazuke make an awesome team! I truly feel that Dr. Jun comes to work each day eager to help make a difference in people's lives. From the moment we met with Dr. Jun, we knew we were in good hands. She spent time explaining our options in depth, validated our feelings, and showed genuine care for us. During each visit with her, she always made an effort to personally connect with me (she is soooo great at remembering even the smallest details which made me feel like I was not just another patient passing through the system). She went above and beyond to make sure my husband and I felt connected and supported during our journey!

Don't be afraid to ask the hard questions and push for what you want! Dr. Jun is so incredibly knowledgeable and will explain her reasoning behind all of the decisions she makes for your care.

Average costs compared to other clinics

Dr. Salem is among the very best of the best. I come to him with an incredibly complex history in attempts of creating a family of my own for nearly 8 years. I am beyond grateful for his expertise and have a new found hope of having a healthy baby in the very near future. I highly recommend Dr. Salem as most importantly, he is an incredible listener, who will go above and beyond to find solutions. I have not found a solutions oriented specialist in years and I work in healthcare! If you are wanting a solutions oriented REI who truly delivers personalized care, look no further! Thank you, Dr.Salem!

You’re truly in great hands!

We went to Dr Jun after some dissatisfying experiences with other doctors. Dr Jun educated us, made us aware of our options and helped us through a really rough time. Dr Jun makes herself available at any time to help address patient concerns. Given the nature of the issues, Dr Jun and CCRM try to make a really stressful situation less worrisome.

She was very helpful and patient. Took her time and always made sure all my concerns and questions were answered. She always made me feel safe and secure and ways available whenever I had any questions. I would recommend her to anyone going through a similar experience.

20K or so maybe more or less

I would have loved to transfer two but understand the safety of doing just one.

She was absolutely amazing. On the one hand, knowledgeable and professional, and on the other, sensitive and caring. I can’t say a bad word. She always took the time to explain everything, listen to my concerns, and answer my gazillion questions.

Come prepared with any questions you may have so you can make the most of your time with her. Don’t be shy to ask anything.