Pacific Fertility Center

Dr. Agard was always so warm and made me feel so comfortable! I am a bit of an overthinker and always had so many questions (and anxieties) yet she was patient with me wanting to understand all the details and ask all the what ifs, and reassured me without being dismissive of my concerns - I really got the sense that she's got you. She also has the BEST laugh that just puts you at ease.

Don't be afraid to ask questions!

For egg retrieval we did menopur, follistim, ganirelix and she was great at tracking and adjusting as needed. A different Dr at PFC did my retrieval, and we ended up with more eggs than we thought we were going to get, and were really lucky with how many PGS embryos we ended up with. We then did a partially natural/medicated frozen embryo transfer (with Letrozole and natural ovulation) that was unsuccessful. Then she encouraged me to do an ERA so we could have as much data as possible, and we did in fact need an extra 12 hours of progesterone. Then we did another fully medicated FET with estrogen and progesterone shots, which was successful!

Most of our cycles and medications were covered by insurance, but we paid for the embryo biopsy (~$4000) and genetic testing (~$150 per embryo) out of pocket.

As I said before Dr Li was warm, efficient and candid. She explained why we would proceed with an IUI as a first step after a number of failed Clomid only cycles with my gynecologist. She answered all our questions and I learned a lot from her.

Do your research on possible treatments before your appointment so you can ask more informed questions.

We used approximately $2500 of our Carrot fertility benefit for our IUI, including genetic testing and initial bloodwork. Each ultrasound was about $330.

Dr. Givens was the first Reproductive Endocrinologist that we met with nearly 10 years ago. After being told by many doctors that my case was too complicated and highly unlikely that I would ever get pregnant, Dr. Givens was forthcoming and honest, yet hopeful and willing to try to help us. She has never promised the impossible, always staying honest and upfront. Despite our odds, she still offered us hope and optimism, finding a way through where there has been one. Our case has certainly had it's ups and downs, yet Dr. Givens has helped us feel like valuable humans, and not just another patient. We started our journey at PFC with 4 IUI's, prior to moving on to an IVF cycle. She has always presented our options honestly, helping us make the best call, all while being conscious of our financial means. These procedures were very tricky for us, as I only have a tiny piece of one ovary left. Additionally, I have severe endometriosis, one tube left, a history of PCOS, and a complicated multiple abdominal surgical history. Our journey has been an uphill battle. After moving out of the Bay Area, we sought care at a different clinic due to living hours away from PFC. We attempted another IVF, but it was a bust after no eggs were retrieved during that cycle. We were devastated. Though the RE at the other clinic was nice, it was such a different experience. There, we felt like the doctor/patient connection was just lacking. Gratefully, the opportunity to return to Dr. Givens presented itself and we jumped on it! Being back under her care reminds us that we don't have to feel like we are just a number. This time moving on to FET with donor embryos, we now travel 3 hours away to see her, because she is worth it! In an amazing, yet heartbreaking development, she was able to do what felt like the impossible. After 12 years of infertility, she helped us get pregnant through the gift of embryo donation! Unfortunately, we lost our baby girl a day shy of 14 weeks due to a developmental abnormality. This loss was purely a rare phenomenon, having nothing to do with fertility treatments, genetics, etc. Through our heartbreak and pain, Dr. Givens personally called me to check in, and has provided support like we could not have expected. This kindness from her during our time of grief has only grown our appreciation for the amazing woman that she is. She truly has a heart of gold! It feels like Dr. Givens truly wants us to have a baby just as much as we do, and she is alongside us in this complicated journey. Always professional, and still she has come to feel like family, and that is rare in my experience with other doctors. Our journey is yet to be finished, as we are in the process of another FET with our donor embryos. Regardless of where this journey takes us, we wouldn't want any other doctor by our side, directing and advising us. Dr. Givens will always hold a special place in our hearts! Her care is irreplaceable!

Come prepared with questions, and be open and willing to listen. As a patient, I like to be informed and have always been prepared with my list of questions. Dr. Givens is very intelligent and also willing to explain when you need it. If you are a patient that advocates for yourself, Dr. Givens seems to value that.

Our first course of action years ago began with IUI's. At the time, financially, IVF was out of the question, so opted to try IUI's before moving on to the more expensive options. As time went on, I had a few more surgeries for my severe endometriosis. This likely being the reason for the unsuccessful IUI's, we had to move on. Our first IVF cycle, we learned that my body took longer to respond to the medications that the average patient. Knowing that I have DOR with a very small piece of one ovary left, Dr. Givens stayed the course. Despite the odds, 7 eggs were able to be retrieved, which was practically a miracle in my case. This IVF resulted in a chemical pregnancy. Since moving on to FET with donor embryos, Dr. Givens chose to do a controlled cycle, working with the fact that I have not been having regular cycles these days. Our first FET was a success using this controlled cycle. Though we are now on to our second FET due to a second trimester miscarriage (unrelated to this fertility process), Dr. Givens has us sticking with the controlled cycle again since it worked for us the last time.

Dr. Givens has always been very helpful and conscious of our financial means over the years. She lays out all of our options and has been honest when things are necessary and also unnecessary.

It seemed to me that Dr. Li adjusts her tone and demeanor to her patients' needs and personality. She was sensitive to the feelings in the room on any given day and that is an important quality for me when looking for a doctor. I would recommend coming prepared with multiple questions to appointments so Dr. Li can address all your concerns adequately. While I don't think appointments were rushed, it is a very busy clinic...Dr. Li offers phone follow-ups should questions come up and we did do that quite a few times.

Come prepared with questions. I'd also recommend doing your research before appointments to ask about her reasoning behind her recommendations. It helped us understand more about the process of IVF and our particular case and made us feel more at ease knowing that decisions were made based on our individual medical history - not clinic statistics.

We came to Dr. Li after three cycles of clomid - one resulting in an early miscarriage - and an initial consult with Kaiser Permanente Fertility. She recommended IVF from the start as the more effective treatment to achieve our family goals, but also said we were good candidates for IUI (based on age and the fact that we've gotten pregnant before, all our testing looked normal, no tube blockages). We did two Letrozole IUI cycles - both times the sperm count and motility was very good. After that, we moved on the an Antagonist IVF cycle - Follistim/Menopur/Ganirellix and about 5 monitoring appointments during the cycle. The procedure doctor on the day of my egg retrieval was Dr. Givens, who also did a hysteroscopy a few weeks later to remove some small uterine polyps. Out of 22 eggs, 12 embryos developed and 7 were deemed normal after PGT-A testing. We proceeded with a rest month and a frozen transfer of one embryo - the transfer was done by Dr. Li.

We spent about $30,000 total on all treatments and medications, incl. FET, hysteroscopy and PGT-A testing of 12 embryos.

Dr. Li had a strong preference for eSET due to the potential risks connected to a multiples pregnancy.

I felt respected. I fellt she had enough time for me. I never felt rushed. She answered all my questions earnestly and revealed when she diden't know something. I the clinic is extremely well organized.

Ask questions

I have low ovarian reserve and she wanted to used the highest dose of medictaion for stimulation because of my age. She felt it was our best shot. My cycle is currently postponed due to COVID.

21,000 for the IVF cycle

She does not typically do multiple embryo transfer due to the risks associated with twins. I support this completely.

Dr Li is very kind and smart - I felt like I was in trustworthy and knowledgable hands. She doesn't rush conversations - and makes herself available whenever needed. She's very approachable - I didn't feel uncomfortable asking any questions.

Be prepared to be given a lot of data - which is obviously important. But also make sure you fully understand the process. And ask lots of questions - Dr. Li is more than happy to answer any and all.

My treatment was pretty standard- it was my first retrieval.

$16k for monitoring, retrieval, testing, and storage. About another $1k for consultations and bloodwork.

Strengths: laying out all treatment options. Being available for additional consultations when we wanted them Weaknesses: very quickly jumped to egg donation (which was at odds with what other providers recommended)

He is candid and is not afraid to give you information you may not want to hear, so it's important to bring your own positive attitude about treatment potential

First tried an agonist for IVF cycle #1 The tried antagonist (with growth hormone and supplements) for IVF cycle #2

Per cycle was around $16490 (medications separate)

Strongly prefer multiple embryo transfer

Dr. Ryan is a clear and direct communicator, without sacrificing warmth. She managed my expectations about my retrieval, and my results met/exceeded those expectations. I am a very skittish patient and she provided the right level of detail for me to understand the process without being overwhelmed.

Dr. Ryan is very direct and matter of fact, which I appreciated. Be prepared to ask questions and discuss data, especially during later appointments.

All costs were covered by my insurance

Dr. Chenette is unequivocally the best fertility specialist. From his personal deamenor to his experience as a fertility specialist we believe there is no one better. We would go to him time and time again. We did extensive research and interviews with other fertility specialists before choosing to go with him and we are so grateful we did.

The clinic (PFC) is busy and you may not get Dr. Chenette for every appointment if your schedule is not flexible. You will not regret choosing him.

I had a say in all my treatments. I was given options, along with their strengths and weaknesses. Dr.Chenette was my advocate, he gave me the options and essentially let me chose what I wanted. I chose injectable cycles for both egg retrieval and FET due to the discussion my husband and I had with Dr. Chenette. He (Dr. Chenette) believed it would be the most likely to succeed. And it did.

Roughly 25k for all treatment and medication.

We did an eSET FET. Our embryos were extensively tested, genetically. Once again Dr. Chenette went over the risks, pros and cons of eSET and multiple embryo transfer. He highly suggested for an eSET and we agreed.

She is a wonderful doctor and we couldn’t be any happier with the results. I trust her completely and if I could do it all over again, I would still choose her as my doctor. I saw her over the course of 5 years. We originally went in just to do embryo cryopreservation, but along the way, I found out that I had a genetic kidney condition, adenomyosis, and only 1 working ovary. So we went through the whole process with her (3 cycles with PGD and PGS testing) and transferred when we were ready. The only reason we had to do 3 cycles was because I only had 1 working ovary (50% less follicles), and then PGD testing would cut that number by 50%. So we did several cycles and batch tested them all at once, rather than testing after every cycle. We ended up with 6 PGD/PGS tested embryos. When we were ready to transfer, 8 months later, our first transfer woth her was textbook. We ended up with a very healthy baby boy. We came back a year and a half later to try it again for a second, and Dr. Li started my treatment by trying to prevent my Adenomyosis from growing in preparation for another transfer, but that transfer ended up in a chemical. When it didn’t work, Dr. Li immediately did her best to give us all of our options and added a few changes to my treatment (such as adding an ERA cycle to give us more information) to help with the next transfer. I ended up pregnant at the next transfer, which was just a couple months later. So out of 3 single embryo transfers, we ended up with 2 pregnancies (I have a 2 year old and am currently 5 months pregnant)! So we are very happy with the results. I saw her on most of my visits, she did 2 retrievals out of 3, and she transferred all 3 times. Throughout all of this, I was always able to either schedule a call with her or contact her nurses and get an immediate response with any questions. They often follow up with me, even through my pregnancy, though I’m now under the care of my OB. I have been very satisfied under her care and under her team’s care. I know every circumstance is different, but Dr. Li is an exceptional results driven doctor who is very caring and compassionate, and I would absolutely recommend her.

Don’t be afraid to ask any questions or reach out to her team. She is very nice, and her team is very responsive!

I don’t remember specifics, but I do know that all of her strategies were effective, and she was very on top of monitoring me in case any changes needed to be made. I did not feel disappointed at any time, or feel like we should have done something different.

- Cycle Fees: Approx 13K - PGD and PGS Fees paid to Lab: Approx 6K - Medication paid to Pharmacy: Approx 3-4K - FET: Approx 3K

I was very confident in elective single embryo transfer at this clinic because they have very high standards when it comes to which embryos make the cut. They only choose the highest quality top grade embryos, and I am confident with that method. The process of transfer can be very exhausting, both physically and mentally, and I would only want to go through with it with high quality embryos for a higher success rate. Aside from that, there are a lot of risks associated with multiple embryo transfer, both to the mother and babies. So I’m happy that PFC only does single embryo transfer.

Dr. Ryan was very professional and compassionate during all of my appointments. She took the time to answer all of my questions and always kept me updated on where I stood in the process of my egg retrieval, embryo transfer, and post care. She is very blunt and that may turn some patients off, but I do enjoy that style because it helped me truly make realistic expectations for our treatment and make informed decisions regarding my care. This was a big help to me emotionally because it helped me stay grounded for whatever the results would be after all of our processes that include egg retrieval, genetic testing of the embryos, our own genetic testing, and chances for success with the embryo transfers and preparation of the lining. She even went as far to recommend an ERA test prior to our actual embryo transfer due to my medical history and we were allowed to do our own research and make the decision to proceed or not on our own. She did not pressure us either way. That proved that she was really paying attention to my health history and was doing all that she can to increase our chances of a successful transfer. Overall, I really enjoyed working with Dr. Ryan and her approach to care really meshed with my expectations and made me feel confident with every decision along the way.

One piece of advice to those prospective patients of Dr. Isabelle Ryan is to do your research prior to your first consultation. Come prepared with questions you may have and really use that time to dig in and have a deep conversation about your possible treatment, areas of concern, and get her opinion on your overall chances for success given your medical history and reasons for infertility. When you come prepared, that will instantly make your appointments more meaningful and keep you more informed to make decisions regarding your own care.

Egg Retrieval Treatment included daily dosages of follistim and menopur, and later included ganirelix. This was successful and resulted in 43 eggs retrieved. ICSI was used to combine my eggs with my spouses semen to produce embryos. We then proceeded with PGS testing for the resulting 9 embryos that made it to day 5. Of those 9 embryos, we had 3 healthy embryos with no chromosomal abnormalities. We also did ERA testing to make sure my lining would be receptive prior to the actual embryo transfer. Once the ERA testing came back, we proceeded with the Frozen Embryo Transfer based on the timing listed in the ERA report. Due to my age, we did ESET and implanted one embryo which has resulted in a pregnancy.

Genetic Consult - $395 Horizon Screening - $199 Medications - $2500 Single Cycle Fee which includes Office Visits, Ultrasound, Estradiol, Anesthesia, Egg Retrieval, Facility, Lab, Embryo Freezing and one year Storage, Embryo Biopsy - $13,915 PGS Testing on up to 8 embryos - $2170 ($325 for each additional embryo) Frozen Embryo Transfer - $3175 ERA Testing - $1000 + $600 for actual test at Natera

I appreciate Dr. Ryan suggesting we go with eSET instead of multiple embryo transfers because of my age and high risk pregnancy if we were to have multiples. I agree with her approach and it showed that she was not only focused on doing everything she could to increase our chances of success, but also was looking out for my own health. She took the time to explain her reasoning and I was confident with this approach given all of the facts.

I had read that she was not the most warm of doctors. But I really appreciate information, and I know she had the latest facts and was very up front with my husband and I on what to expect and I appreciate that.

Be willing to hear the hard truth, this is not a doctor that will sugar coat it for you.

She advised starting with IVF, but due to financial my husband and I did IUI to start with Letrozole. She adjusted my dosage as we went. Then we switched to IVF, with 300 Folistim and 150 menopur, I just had a canceled cycle due to poor responding (3 folicles- 1 mature), so we did another IUI. I am currently in 2ww

Ultrasounds cost $330 iui cost $495 IVF round without medications about 19,000

He was professional but warm, knowledgeable but not condescending. Confident and calm. We are still in progress with our treatment but I would recommend him. He made himself available for scheduled calls to go over questions we had. He sets all those around him at ease. He conducts his own ultrasounds personally.

Be yourself. Come prepared with whatever questions you might have because he will answer the openly. Bring as much of your family history As you can.

We are mid-treatment, so I can’t go into great detail here

We are mid treatment so I can’t fully say.

Not yet.

Dr Ryan was very to the point, but compassionate at the same time. I appreciate being treated as an intelligent person while also having each detail described at the same time. We have not yet completed our IVF cycle, but I feel very comfortable under the care of Dr Ryan.

Don’t hesitate to ask all of your questions!

Dr. Li showed a genuine interest in us and was open to new things that we wanted to try the second time around. She always wrote very clear instructions on our charts so that when a new doctor picked it up on a weekend (when she wasn't working), they were able to understand it without any confusion. She was always on time, yet never rushed an appointment. There were times when I would be crying in her office, and she kept it together yet showed sympathy and care all at the same time.

Ask a lot of questions because she will answer all of them.

We found out my husband suffers from azoospermia due to varicocele veins in the testes. He had the veins repaired, but sperm counts are still too low to conceive naturally. For my first egg retrieval, we used Menopur and Follistim, then Ganirelix and Lupron. They retrieved 38 eggs, 29 of which were mature. We had to do ICSI due to low sperm counts. We ended up having zero fertilization, meaning no eggs were fertilized. We aren't 100% sure why, but all parties assume it was due to my my husbands poor sperm quality. We then decided to try it again, and the second time to add Human Growth Hormone into the mix, and kept all other injections the same. We also tried oocyte activation the second time around to give the fertilization process an extra boost. They retrieved 47 eggs this time, and 39 were mature. We decided to inject 20 eggs with the best sperm we could, and freeze the other 19 eggs. This was my decision, and Dr. Li supported me in that. I just didn't want to have to do another egg retrieval if we experienced failed fertilization again on all eggs. We ended up having 11 eggs fertilize, and 4 made it to blastocyst. We sent all 4 for genetic testing, and all 4 are now frozen. We are getting ready to begin the transfer stage where we will transfer 1 embryo.

This stuff isn't cheap! But, the financial coordinator explained what you were being charged and for what. They also tried to help you get coupons for injections. They also told me when I could get blood drawn at other labs that my insurance covered.

Because the underlying issue is on my husband's side, and we have 4 good embryos, my doctor suggests only transferring a single embryo.

Dr. Ryan is very direct but I appreciated her frankness. It allowed us both to have open and authentic communication about expectations, treatments, and procedures. I felt very confident in her treatment decisions. We felt like she was our strongest advocate.

Have open and authentic communication. Feel confident in taking her advise as well as making the decisions that are best for your family, she will support whatever is the best decision for you.

I feel like Dr. Ryan nailed my medication dosages perfectly. I once saw another doctor at the practice for an ultrasound and he changed my medication dosage. After reviewing the doctor's recommendations Dr. Ryan's team called me shortly after my appointment to negate the other doctors recommendations and to stick to Dr. Ryan's protocol. I got excellent numbers for my retrieval and I think Dr. Ryan's medication dosage is one of the contributing factors to that.

$25,000

Dr. Ryan encouraged elective single embryo transfer over multiple embryo transfers, which was on the same page as us. But I also feel confident Dr. Ryan would of supported our decision even if it differed from her recommendation as long as it was safe.

Dr. Li is very knowledgable and competent. She is friendly and compassionate. She treats patients as individuals. I highly recommend her. She also sets up phone consultations so that you don't always have to pay for office visits, which is nice.

Ask about an HSG test (for blocked tubes). She didn't bring it up until I inquired about it.

Letrozole IUI

IUI $475. Ultrasound $330 each. Ovidrel $92.

Set a great treatment plan that gave me 400 times better than expected results. Explained the process throroughly and provided a good summary of results at the end. The Dr was available through nurses to answer questions and was key to making my experience a good one.

Don’t expect to see him on every visit, but know that he is available for questions and the other doctors on staff are also fantastic.

I was on a moderate dose of menopur and follistim for 11 days. My trigger was a mixed lupron/hcg due to having a large number of follicles.

Full cost with all visits was approximately 21k.

Dr. Chenette is very caring, genuine and sympathetic. He spends time going over the procedure, what he is doing or will do and answers any and all questions. He is open to setting up 30 minute phone consults to answer questions. He is extremely thorough. There was only two times where I felt he could have been more sympathetic-- both times involved him explaining about men's sperm quality vs women's egg quality. He seemed very pro-male, stating that the majority of the time the issue is in the women. Even if that is true, and I trust him, it doesn't sound great coming out. Also, after our first retrieval, he mentioned that my husband did a "great job" and made it seem like I didn't. I was overly sensitive at the time (extra hormones) and wished that he didn't say it like that but rather, be more sensitive in the way he phrased that comment. I know he means well. He is extremely genuine and overall a great doctor.

Don't expect that he will be the one doing your procedure; it may be another doctor at the same clinic. Ask a lot of questions because he is great at answering them.

First retrieval: 200 IU of Follistim; 150IU of Menopur; prenatal vitamin, HCG trigger shot and lupron two nights(?) before retrieval. Baseline ultrasound day 2 of cycle and Ultrasounds during the stim process. Second retrieval (in process): 200 IU of Follistim, Morning and evening 10 units of Lupron, .2ml LD hCG, prenatal vitamin and CoQ10 and DHEA.

roughly $22K for the retrieval and around $3K for medication (1st time) second time: roughly $15K for retrieval and around $1500 for medication

Dr. Chenette is an advocate for single embryo transfer. He strongly discourages multiple embryo transfer

Dr Givens was always patient through all our questions, explained things clearly during uncertain situations and was kind and always professional. She never pressured us into IVF or using donor eggs, even when that was the most logical next steps. She always gave her opinion during appropriate times but really acted almost like a trusted counselor.

To ask as many questions you deem necessary and Dr Givens will gladly answer and help you come to a decision you're comfortable with. Read up, do your research but have realistic expectations based on your age, situation etc.

She is a great doctor; smart, conservative, and compassionate. I would recommend her to my friends. Only thing you won't get from her is non-traditional medical advice. She is strictly by the book.

She is great and will answer all your questions. Bring everything you want to the table, she'll get you the answers.

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Egg Retrieval costs were close to 9K; Making the embyro's were about 6K; transfer was 2,500; and icsi was about 2K.

We were highly recommended to only put in one single embryo for our transfer because we did chromosomal testing.

During an egg retrieval cycle, you see one of the doctors that's available when you go into the office. You are going almost daily if not daily for a week when your eggs are growing and I think I saw a different dr each day for the sonogram. I liked all but one. Her bedside manner was nonexistent and I think she laughed at one of my questions in a scoffing manner. I already felt like an alien growing eggs and full of hormone shots so I didn't need this dr I had never met acting that way. I gave that feedback during my "exit interview" after my eggs were frozen. They seemed genuinely interested in knowing how I felt about my interaction with that dr. Everyone else was great. I can't rem if Dr Givens or another dr harvested my eggs. I had such great results and felt so comfortable overall there that it didn't matter. I've met with her twice recently to discuss next steps (turning my frozen eggs into embryos and implantation to become pregnant) and she is open to answering any and all questions I have and new information I may have read up on that she hasn't heard about yet...things are happening quickly in this field.

Ask a lot of questions and do your research. For the egg retrieval portion, it's pretty straightforward and takes up a month of your life. I've found that it's better to talk to as many people as possible when moving forward with the rest of the IVF process. There are many more moving parts and things to know.

The drugs I took were Follistim, Menopur, Ganirelix and HCG. I ended up going for a couple more days to let the eggs get even bigger so I needed more Menopur which I was able to pick up at the office (PFC). They keep drugs on hand for this last minute purpose as the rest comes in the mail ahead of your cycle. I ended up with 28 eggs retrieved and 22 were frozen. Given my age at the time of 39.5, I would have to think her protocol worked well.

I think my total fees for egg retrieval in 2014 was $12,000. That included all of my drugs. I think the finance person grossly underestimated how much my drugs would be. The dr. Also added more at the end to let my eggs "cook" a bit more. On their price sheet in 2014, they list X-Cycle Fee as $8,345. They say this includes 4 of each of the following---office visits, ultrasounds, Estradiol as well as one of each of the following---anesthesia, egg retrieval, facility, lab, cryo preservation & one yr of storage ($600). Blood testing, ultrasound and at least one office visit were covered by my insurance as they will not cover fertility treatments, but do pay for "diagnostic procedures and tests provided in connection with infertility evaluation. Office visits and consultation used to diagnose infertility."

Dr. Ryan was excellent. Although her fist impression on the phone was not the best, in person she explained everything clearly. She proceeded to be very caring, very thorough and I trust her immensely. I would highly recommend her. Communication with the nurses was also easy over email and the online portal kept everything very organized. At times fertility treatment can be overwhelming but the staff, nurses and doctors all make it as easy as it can be.

Although she may not make small talk, she is always there to answer questions and never rushes you.

I was diagnosed with annovulation a and possible PCOS. I had tried letrozole for several months prior to seeing Dr. Ryan (with my ob/gyn). We tried IUI with letrozole twice without any success. I then had a very successful egg retrieval (34) and had the eggs tested and then frozen (20). We then did the first transfer with only a brief chemical pregnancy, but the second time it worked and I'm now 10 Weeks pregnant.

I don't remember this off hand but it is all clear on the website. It was straightforward.

As a patient, I always felt that Dr. Li was there for me. We could schedule a phone call with her anytime we wanted to discuss something important, and the most difficult times, when i had the miscarriages she always took time to talk to us. She respected that i wanted to have a little time until i would feel better but at the time she would talk to her I felt the comfort that she knew what i was going thru and she cared for me. We would talk about what happened, and we would do other test like Endometrial Receptivity Array and other blood test to check Immune system issue etc. I always felt so much better after talking to Dr Li. After the transfer of my last embryo and an unsuccessful pregnancy, we had to think what to do. For my surprise, my company announced that our insurance plan added the Infertility treatment but unfortunately PFC is not in the insurance list clinics. The last call that we had with Dr. Li i was in tears and Dr Li said that my dream is the first priority that she will support me and understood that i have to choose another clinic because of the insurance coverage. Dr. Li is an amazing professional but also a wonderful human being. We always had her support and compassion in the years of our journey at PFC.

Dr. Li has lots of knowledge about the infertility issues. Make sure to schedule the appointments either in person or via phone. Make a list of all your questions because she will answer all of them.

I had 4 embryos - day 5 blastocyst and the protocol used was : 1. Ultrasound and blood test on the 2nd or 3rd day of the cycle 2. Start Delestrogene shots -every 2 or 3 days -0.2 ml 3. after 10 days ultrasound and blood test 4. Start Progesterone - Ethyl oleate 1 ml - 5 days prior to Embryo transfer 5. Emnbryo transfer after 5 days of Progesterone shots 6. Continue shots of progesterone every day, and delestrogene 2 x week 7 . after 9 days, blood test HCG Beta 8. if positive continue with progesterone and delestrogene until reach week 9

I went thru the following procedures: 1. Egg retrieval : Medication around $4000 , each ultrasound $255 , each blood test $150 , hcg test $135 2. frozen Egg donor - total $21000 each embryo transfer : $2900 Embryo Transfer 950.00 US Guidance for Embryo Transfer 315.00 Assisted Hatching 685.00 Prep Embryos 575.00 Thaw Embryos 375.00 Progesterone - $360 3 vials Delestrogene - $230 each vial each ultrasound $255 , each blood test $150 , hcg test $135

I hear a lot of debates regarding to eSET and multiple, but my reaction about just do a eSET was positive, since the goal of the treatment is to have a health baby and a health mom, which for me it's sufficient to approve the eSET

Dr. Chenette was very forward but also compassionate when we first met with him during our initial consultation. My partner and I were both young and that point and were not necessarily ready to start treatment right away. We explained that to the Dr. and he was not aggressive towards us at all. We decided to start treatment about 6 months after our initial visit and he was there to greet us and explained everything in detail. Being that it was our first time going through fertility treatment we had so many questions and he never hesitated to answer any of them. Our first round of IUI treatment did not work and he changed my dosage of medication to have a better chance next time. When we experienced the pre term/stillbirth of our son we were heart broken. Dr. Chenette reached out to us and let us know how sorry he was for us. When we decided we wanted to try again he made sure that we were ready not only physically but mentally as well.

If you have any questions beforehand, make sure to write them down and bring them with you to your appointment to get as much information as you can before starting treatment.

I was first prescribed progesterone to jumpstart my period. I was than given letrozole to take on cd 3 to 7, went in for ultrasounds about twice during my ovulation phase and than gave myself the ovation trigger shot. During my two week wait I was given a progesterone suppository to take nightly. This first cycle ended in a negative test and the Dr. increased my dosage for letrozole for the next cycle. Same procedure was followed and this cycle resulted in a positive pregnancy test. I unfortunately lost my son at 21 weeks this cycle. After about 3 months of my son passing, we began trying again with the same procedure. The first cycle was a negative test and the next 2 cycles were positive but not ended in early miscarriages.

I was fortunate to have some of my expenses covered through my insurance. For each ultrasound appointment I believe I paid about $300. Most of my medication was a covered by insurance as well. I did have to pay out of pocket for the trigger shot which cost about $150. The team was very helpful in coordinating with my insurance and explaining the costs and also helped me find the best deal for out of pocket expenses.