Pacific Fertility Center

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.

As I mentioned before, he treats me like a human being with feelings that are valid. He also has a very calm manner, which puts me at ease.I also never feel rushed or as if he does not have time to speak with me, be it in person or via the phone.

Be upfront with him, and he will treat you the way you want to be treated. He will respect your wishes and will not let you do unnecessary treatments just to make the clinic more money. He told me I could still attempt IVF with my own eggs, but that I would most likely end up right back there 3 months down the road with no embryo's and out $30,000. I appreciate that in. a physician.

I haven't actually done any myself. My sister donated eggs for me and went through one round of IVF. As far as I know they were very good at adjusting and gaging when to up medicines during the stimulation cycle and about guiding her through the process. I am waiting on our SIP to be lifted, so that I can start my FET protocol. They want to do a medicated cycle with medication assistance. Estrogen and Progesterone.

$21,000 for my sisters IVF cycle. $4,300 for one FET, does not include meds $375 initial intake consult $395 meeting with Psychiatrist for working with third party (donor eggs) $275 for meeting with genetic counselor, all additional follow ups associated were included

At PFC they only transfer 1 embryo at a time. Which I agree with

Dr. Herbert offered to explain everything and will answer questions if I ever have them. The office staff are very prompt and responsive. Office is busy, so I didn't get to see Dr. Herbert at every visit, but that was okay. Although there is some setback and delay with my cycle, the clinic is always in touch to keep me updated.

It's just important to ask questions. He will not go into too much detail unless you ask him the questions. Make appointments ahead of time because he is busy.

We decided to have an egg donor , with a frozen embryo transfer cycle after viable embryos are retrieved. Because only 1 viable embryo was retrieved after PGT testing, Dr. Herbert offered ERA cycle as a diagnostic test to increase success of the transfer. He offered advice and information when we were disappointed with only 1 embryo retrieved. We have not gone through the frozen embryo transfer but the coordinators and staff are always ready to help us through it all

It was costly, mainly because it's in San francisco and is a very lovely, professional looking office that takes up the entire floor in a decent sized building. Compared to other couples undergoing same protocol, I believe we paid noticeably more. But it's a good group of doctors, nurses and coordinators.

The clinic strongly endorses eSET transfer, which is a safer approach and I agree after doing my own research.

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.

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.

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

He was always warm and patient with me. He also always told me how it will be and did not sugarcoat anything to make me feel better. He did that in a way that was patient and caring and I always felt in the best hands with him.

Ask all the questions. He's on your team, you might as well be motivating the team together by cheering each other on.

We decided to try IUI before going to any further measures. He and his team explained very well what will happen and answered all the questions. I did cycles with using Letrozole and then the trigger shot before procedure. It was all very straightforward and well explained. I was very lucky to produce a live birth after only one IUI. And conceived again using the same strategy 1.5 years later that resulted in another live birth.

It was around $1,135 for the IUI plus medications.

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.

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.

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. Li has been a great partner through this journey. She seems to truly care about her patients but is still very honest about the situation. I appreciated how she showed me all my options in a delicate but clear way. She gave her educated advice but never pushed me in one direction or another.

While Dr. Li is a great doctor. You may not always get her as your doctor for each check up. She does her best to be there for critical decision time appointments,... but if she is not working that day or is already booked and you happen to need to do an ultrasound checkup, you might get someone else. And the other doctors that I have had have been dismissive and not helpful.

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!

My partner and I love seeing Dr. Herbert. He is very warm and has shown compassion with each negative pregnancy test. From the start of treatment, I was clear about what our path would be. After 1 failed IUI, he adjusted medication dosage. After 3 failed IUI, he prepared us for the possibility of IVF and explained all pros and cons of the treatment process. During visits, Dr. Herbert moves quickly and I am sometimes left with some questions about the course of treatment, however, he's been consistently available for follow up via email, phone and in person. Overall, my partner and I have received clear guidance and realistic expectations throughout our process with Dr. Herbert.

I would review all of the information you receive after each visit. If any questions come up, email the staff and/or schedule a call with Dr. Herbert.

Dr. Herbert has a very straightforward manner but I don't mind it. I still felt I could joke or cry with him. Anytime I had a question and arranged a phone call I felt he took time to answer my questions. Most notably, the month I was set to begin I was extremely sick and at my baseline ultrasound pretty upset because my follicle count was lower than it had been at my consult ultrasound. He explained my options to me (go for it or wait a month to see if the count would be better). As I became increasingly upset, I think he could see how devastated I was and suggested I wait/get better. It was most definitely a human moment. There was one instance that stung just a tad, but in the moment I called him on it and I truly believe there was no ill intention. During my consult when discussing options, he assumed and suggested at some point I would pick a sperm donor. I joked and reminded him that finding a future partner was still an option. I did sort of feel just in that initial consult that some added sensitivity around me being there alone as a single person would have been nice. I only felt that way during the first appointment. In my subsequent calls or ultrasound appointments I don't recall feeling that way.

It's a piece of advice I plan to use myself which is to understand more what my blood test numbers mean/meant. During my consult, my mid-cycle ultrasound provided a surprising number of follicles as compared to my blood tests. However once I began treatment it seems what I'm seeing is more in line with those test results. I now feel I have more questions and want a better understanding of all my options. Additionally, I would say if warm and fuzzy is what you're looking for as a patient this may not be the best fit.

It was suggested I take Vitamin D, a prenatal and Co-Q-10. I had a very bad reaction to Co-Q-10 and after playing with the dosage and timing, we just sort of agreed I was done with it. I was put on 300 Follistim and 150 Menopur. After an injection class, once I realized everyone was on different meds, I did call to inquire how these decisions get made. I would say I was not super clear on the answer and now that I'm in the cycle again wondering if different meds or doses would work better (questions I now plan to ask). It's too soon for me to comment on results.

More than $10,000 when you factor in medication. Between 8-9k not counting medication.

NA

Strengths: Set realistic expectations on number of eggs expected; explained what he was observing during the ultrasounds and when he was reviewing blood work in a clear way Weaknesses: Not warm and fuzzy, if that is important to you

He is objective and clear, but not a cheerleader if that is what you need

My protocol was the following: Follistim 200 IU for first 4 days Menopur 75 IU for first 4 days -- Ultrasound & estradiol test; medication adjusted Menopur 75 IU for 3 days Ganirelix Acetate 250 mcg for 3 days Follistim 225 IU for 3 days -- Ultrasound & estradiol test; medication continued Follistim 225 IU for 2 days Menopur 75 IU for 2 days Ganirelix Acetate 250 mcg for 2 days Retrieval injection for retrieval 36 hrs later

Medication costs were $2000-2500; doctor's services were $9000

NA

I like Dr. Ryan a lot. I've read some reviews critiquing her "bedside manner" but I only experienced her positively. My partner and I were trying a second transfer with an embryo created using his sperm and a donor's egg. Unfortunately, it resulted in a negative pregnancy result, which was deeply disappointing, as it was our final option at PFC for transfer. Dr. Ryan was very caring, however when I pressed her about next steps and diagnostics, she stated that she did not think anything was "wrong" with me, and that she would want to do 4-6 more transfers before doing any diagnostic procedures. This, of course, sounded crazy to us - from both an emotional and financial point of view.

Even though we did not get the desired result, she seems like an excellent doctor and was very caring.

We did one IVF transfer, with a tested, euploid embyro created with my partner's sperm and a donor egg. I took estrogen and progesterone leading up to, and for a couple weeks after, the transfer. There was no pregnancy.

$25,000

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. Schriock is thorough, sharing the right level of detail and thoughtfully answering all of my questions. His demeanor is friendly, patient, and calm. He was realistic with me about my potential outcomes and was proactive about tuning my protocol to try to improve outcomes. He found a protocol that was ultimately very effective for me, and I was able to achieve better results (egg freezing) than I was expecting.

Do your research and ask the questions that are important to you. He will take the time to answer them and work with you on the right path for you.

For egg freezing, I did: - 1 cycle with follistim + menopur protocol, with a HCG trigger, which led to average results. - 2nd cycle with lupron, follistim, menopur protocol, with a HCG trigger with similar results. - Moved to a clomid, follistim, menopur protocol, with a HCG and Lupron trigger, which led to great results. I did 4 freezing cycles with this protocol.

Most of my costs were covered by insurance.

I have only been through the first half of one cycle so far: stimulation drugs and egg retrieval. Dr. Schriock. However my husband and I have already been unusual patients because my husband was hospitalized and had a few procedures to determine if he had lymphoma right before and during my cycle. Dr. Schriock spoke with us personally when this came up, listened well and gave advice. In our first meeting with Dr. Schriock I was a little overwhelmed by the pace of his information delivery, but every meeting after that I felt he listened well and responded to me as an individual.

If you take some time to think of questions make a list before your appointment, and be prepared to ask him to slow down if necessary .

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.

He is straightforward and still compassionate, reviews our file before every appointment so he is up to date. Sometimes I wish I could get more answers or even speculation out of him, or more ideas of alternative things we could try.

We were ok with it, but he does push IVF and donor eggs quickly, so push back if you're not ready.

IVF with genetic testing full cycle (stims w ICSI + transfer) is around $25k IUI around $2k, but i'm not sure about these numbers

promotes eSET, and i am good with that

Dr. Schriock is very knowledgeable and helped make a timeline and game plan for upcoming procedures. The office is kind and friendly. I’m still have treatment ongoing at the office and hopefully will lead to pregnancy soon

Do your research. Lots of info and details will come from meetings so it’s best to be prepared

I have PCOS and was encouraged to see how the IUI process goes while also getting a sample from my husband and being able to see how those counts were. It’s was a good way to test the waters and the medications without a lot of risk.

First appointment was approx $300. During IUI each ultrasound is approx $325 total IUI was $3500 or so. The facility is “out of network” for all coverage except 2 very rare providers.

Eset is encouraged “for the health of the baby”

Empathetic, caring and passionate. He is up on all the latest research as well as the way things were done in the past. He always made himself available to me and took every extra step and precaution possible.

Go in as soon as possible if you are 35 or older.

We only had one so there was no decision but PFC's materials made it very clear why they believe in eSET.