Reproductive Science Center

After reading good reviews about Dr Homer on this website, I decided to give fertility treatments a shot. I previously tried to conceive unsuccessfully for about 5 years. During my initial consultation with Dr. Homer, all of my questions and concerns were addressed. He gave me an understanding if my options and the potential success rate per procedure, as best as he could at that point. After careful consideration, my husband and I decided to start with IUI treatments. Over the course of my first treatment, I was given Clomid. My ultrasound showed that I developed an ideal amount of follicles to proceed with the iui, but the Clomid did cause my lining to thin so I was prescribed a medicine to help thicken my lining before my iui. That iui was unsuccessful. We opted to try again and the second time, Dr. Homer changed my medicine to Letrozole/Femara. That ultrasound showed that I developed an ideal amount of follicles and the new medicine did not cause my lining to thin so I did not need to take anything to thicken it before my IUI. I had my second IUI in mid-January 2022 and later discovered that I was pregnant! My first ultrasound confirmed that it was a singleton pregnancy. I graduated from the fertility clinic at around 6 weeks, right after the initial ultrasound and have since been seeing my OB. As of late April, I am currently 16 weeks pregnant and all has been going very well! I am 40 years old and have never previously had a positive pregnancy test besides the one I had after my 2nd iui. Despite my chances of success being rather low with IUI, he made it possible! I’m not sure if the change of the medication helped or what, but I owe it all to Dr. Homer and the rest of the staff! Of note, Dr. Homer was my primary fertility specialist, but both of my iui treatments were with different doctors, both were wonderful. I never actually met Dr. Homer until he performed my ultrasound to see the baby, but still, he was the man with the plan behind the scenes and I owe everything to him. He is a warm person and I highly recommend him!

Write out all of your questions before the initial consultation. Be understanding if he is not the doctor who will perform your treatments.

I spent approximately $1300 per IUI cycle with meds.

Dr. Homer is the best. I was fortunate enough to be referred to him specifically through a RE I consulted with on Maven. Initially the RE recommended I find a young female doctor, however when she learned I live in the Bay Area, she told me to forget everything she just said and go see Dr. Homer at RSC. I am so thankful I took her advice! He was very transparent about the process and expectations and always answered all my questions - which I always had a lot of! After my first transfer, which resulted in a chemical pregnancy, I appreciate that he wanted to leave no stone unturned before trying another transfer (we tried different forms of estrogen for priming to see how my lining responded, an ERA/Receptiva test, hysteroscopy, and repeated pregnancy loss lab-work since I have a history of chemical pregnancies). He was always optimistic that we would find the solution and gave me hope throughout the entire process.

Trust Dr. Homer because he truly has your best interests at heart.

We did 2 egg retrievals with the same medications, but different doses. My 2nd cycle yielded a higher number of mature eggs which I contribute to the dosage change. The medications we used were Gonal F, Menopur, and Cetrotide. We used a Lupron trigger for the first retrieval since it as a freeze-all and an HCG trigger for the second retrieval since it was a fresh transfer. We did 2 FET cycles with different forms of estrogen. My first FET resulted in a CP most likely because my lining only reached 7.4mm using oral and vaginal estrogen. For the next FET cycle, we tried estrogen patches and then injectable estrogen but unfortunately neither produced a thicker lining. Dr. Homer recommended a hysteroscopy to investigate why my lining was not thickening. He was able to remove adhesions and compacted tissue and my next transfer was successful.

He did not perform my mock transfer or transfer. He only performed surgery to remove polyps. I don’t believe he read my previous medical records and just prescribed a standard protocol. He also over prescribed antibiotics which I questioned. No discussion was had just told me through case manager to not take. Very impersonal. Bed side manner was ok but not note worthy.

Question everything he prescribes. Double check and make sure he reviews your previous medical records. Push him to explain everything to you. Make him tell you the odds of success. He made us think this was going to be a guaranteed success. Or simply ask for another doctor with more experience.

Pio once a day, vaginal inserts x2day, estrodol 4X a day. No explanation or rationale explained just do it attitude from case manager. Prescribed 5 days of antibiotics before and after transfer just in case infection. I argued rationale and they just said nevermind. I had successfully transfer bit six week scan showed no development. I had to induce a miscarriage

Total around 15k for one transfer

Due to my age they only do single transfer

Dr. Wachs is straightforward, kind, and quite professional (even as I got irritated with our lack of initial success). She has of way of making the unpleasant a little bearable. Her tendency toward tried and true evidence based medicine is mostly an asset, but when that doesn’t work it takes a bit but she will adjust. I found myself pushing for out-of-the-box ideas and finally found success in when listening to her once we got off into less familiar cookie cutter territory. The things that should have worked didn’t but she found something that did.

Come with questions written down, she’ll have a plan already based on initial evaluation.

Two identical 450 fsh cycles, 3 lupron 450 fsh cycle, and one mini. 3 with hgh.

Quick, in and out appointments. Printed amounts, get your next appointment and out the door.

Very expensive but insurance help cover all of ours.

Did multiple for us, transferred 3 days...I would guess she’s a eSET doctor as she goes for what’s successful.

We came to see doctor Homer after 1.5 years of trying to conceive. From the beginning he was positive yet direct (which we liked and I believe he recognized that at therefore made a point of doing that). He was very knowledgeable, personable and made the whole process feel much easier and even fun. All through the process he was patient, responded to our 1000 questions (we learned a lot about the topic) and was open to adjusting treatment according to outcomes and our preferences. I really couldn't have asked for anything better from him and feel so lucky we choose him. I'd give him 10/10 regardless, but the outcomes were also amazing - we have the coolest awesome daughter from our first round with doctor Homer, are now expecting our second child (the second normal embryo from our first cycle), and have 5 more normal frozen embryos from cycles 2&3.

You won't regret it!

All covered by the insurance

He recommended eSET (with normal PGS tested embryos)

I am very satisfied with my experience with Dr. Homer. He never pushed me to go beyond my comfort level, and unlike some doctors he is not too aggressive in his treatment method. I came in ready for IVF, but he convinced me to try IUI 1 more time, with a different medication than I was using with my previous doctor. We were successful at the first try.

Definitely do your homework before you see him. He explains everything in detail but it's always best to be educated in the subject prior to seeing any doctor.

He switched me from Clomid to Femara. I have PCOS and had previously had 4 IUIs with another doctor (not from RSC) that failed. He had me and my husband do the genetic testing to make sure there were no other underlying issues, then did a sperm count for my husband. After the IUI, I was using progesterone supplements until I got my positive result.

About $600 per IUI cycle.

A wonderful, knowledgable doctor who truly cares for her patients. Dr. Wachs is very empathetic and available when needed. Dr. Wachs is honest and open with her patients, so you know she is doing everything she can to help you conceive a child.

I would push to get extra tests done. Ask her to turn over every rock until we find the answer. Sometimes, fertility clinics and doctors wait to do something after a few tries. I want answers after first miscarriage, not after 2 or 3.

Antagonist approach based off of ERA testing we did. Changing protocol for next round. Will had a hormone to improve egg quality.

She was very warm and welcoming. She seemed to be very empathetic about our situation, and always had a smile on her face. She explained everything thoroughly, and seemed optimistic about our treatments.

If you want a kind, warm doctor, she is the one to go to.

My first and second IUI's had exactly the same protocol. My lining thinned out for the third one, so they added Estrace into the mix. It was explained to me that it helped thicken the lining, but then the lining was never rechecked. The 4th IUI I used progesterone suppositories but I never knew why. I understand it was to aid in implantation, but they never drew my progesterone levels to see if that was necessary. None of my IUI's resulted in any kind of pregnancy.

None of our treatments were covered by insurance so it was rather expensive. Every IUI was $1200 out of pocket. Our IVF quote was quite high as well, but that could also be the Bay Area.

I really loved working with Dr. Wachs. The only issue is since she was out of the Los Gatos office, there were times my iui fell on a day where she wasn’t there to do the procedure or with IVF, I had to wait an extra week for transfer for her to be in the San Ramon office if I wanted her to be the one to do it (which I did). I trusted her implicitly and believe she had our best interest at heart and was rooting for us and wanted it as much as we did. She was always smiling and always encouraging and there if needed. She paid attention to our emotions and feelings, and made sure we always had all the information to make the best decisions and that we were okay with our course of treatment. She empowered us to know that we were in control of our treatment and we could change course at any time if we felt we wanted to do anything different.

Trust her. She knows what she is doing and she will lay out every option for you and what it means. Don’t be afraid to ask questions to understand the process. She is wonderful at being patient and explaining things so that you know what you are going through and what to expect.

For our iui cycles, I took letrozole days 3-7 and then started going in for ultrasounds around day 12. Once the follicles were appropriate size, I was instructed to give myself the ovidrel shot to trigger ovulation, and iui was performed 36 hours later. My husband would go in 2 hours before the procedure to give his sample and then we would go together for the IuI. After, I would lay on the table for 10 min or so then leave and go about my day. 2 weeks later I was given a blood test to determine if we were successful. We attempted this 3 months in a row with no success. We decided at this point to take a break, then switch to IVF. I took gonal-F and menopur, then added cetrotide 5 days later. I also started monitoring appointments on day 5 and went every other day. At my third appointment I was found to have 24 follicles growing and my dr sat me down and explained that while this is a great response, it increased my risk of OHSS and I wasn’t a good candid for a fresh transfer anymore. Afterthat appointment I switched to daily monitoring for a day or two and then triggered with Lupron on a Saturday night for a Monday morning egg retrieval. 15 eggs were retrieved, 13 were mature, 9 fertilized with icsi. We chose icsi since we had secondary unexplained infertility and were unsure what was causing this - so wanted the best option for fertilization to occur. Of the 9, we ended up with 3 day 5 blastocysts and 3 day 6 to go into the freezer. We opted out of pgs testing as we’ve had a previous successful pregnancy and no known genetic issues. We performed one 5 day FET the following month. I took estrace 2mg 3x/day starting on day 2 or 3 of my cycle, and then started progesterone shots and vaginal progesterone 2x/day 6 days before transfer. I had my blood test 9 days later which revealed we were unsuccessful and the transfer failed. Dr wachs then believed we had a timing issue, so we did ERA testing the following month - medication all the same as the previous month. The test found I was more receptive for transfer on day 7. The following month we did everything the same except I started progesterone 7 days before transfer. We opted to transfer two embryos this time to give ourselves a higher chance at success. We had multiple conversations with dr wachs about the pros and cons of a dual embryo transfer and she agreed to go ahead with it once she knew we had thoughtfully considered the outcomes. We found out 8 days after transfer that we were successful (hcg 71) then another blood test 11dpt (hcg 314) and was told it was probably only one embryo that took. We just had our first ultrasound at 6 weeks 3 days and saw one perfect embryo with a flickering heartbeat. I am continuing all my medication until my next appointment 2 weeks later (at 8 weeks, 3 days) at which point I hope to be able to stop the injections and wean off all other meds and “graduate” back to my normal OB for the duration of my pregnancy.

Around $1200 per iui $14,100 for IVF with icsi $4062 per frozen transfer $2000 ish for ERA testing (half to clinic, half to lab where testing was sent)

So for the first transfer, my doctor only ever transfers one - especially in my case of secondary unexplained infertility as she was confident the transfer would work. After the first didn’t take, and we did the ERA testing, we had a conversation where I brought up the prospect of transferring two as I read it increases your odds of success. My doctor stated she usually didn’t go to multiple until she was doing the same treatment that hadn’t worked prior, but if we wanted it and were ok with the possibility of having twins , and if having twins was better to us than having zero, she was okay with us transferring two. I appreciated her honesty and candor and I felt like she really listened to us and heard our perspective and agreed

He was helpful at taking time with us and understanding where we were at. I appreciated his expertise and his reputation. I wished he would have worked with me a little better on non-medicated treatments and look more into blood work. I’ve had many friends have way more blood work done than me, a day 3 cycle test which I have not had done, nor hormone testing on certain days of my cycle or during IUIs.

If you are ready to jump all in and haven’t done too much research on your own or know much about your body and just are ready to get pregnant no matter what, he is a great doctor. I want to get pregnant while doing it in the most natural and healthy way for how my body is currently responding.

Immediately he said our chances of conceiving naturally were 1%. This was a very quick diagnosis. He thought if we wanted to do IUIs to try three on clomid. We pushed back and asked for 3 natural with HCG and he was willing only to do 3. After that he wanted to start us on clomid. During the time there were no other blood tests performed, which I hoped to get some more answers. We took 5 months off to give ourselves a break and just started up again and requested the HSG test.

$500-800 for initial visit and sonogram, $1000 per IUI, $300 HSG, acupuncture done outside of clinic but for my treatments

Dr. Homer was just great. He gave me time, patience and respect. He always listened. I never once felt like I didn't know what was happening, or why. He never rushed me, and answered all of my thousands of questions.

Don't be shy to ask all the questions you may have.

I was diagnosed with unexplained infertility, and also really long, irregular cycles. After having tried to conceive naturally for a year and a half, Dr. Homer recommended we move forward with a medicated (Letrozole) IUI treatment. In the days leading up to this cycle, we did blood-work and discovered elevated TSH levels, for which he prescribed me some medication. It must have been this medication that did the trick, for I ended up naturally conceiving in that final natural cycle leading up to my scheduled IUI cycle. It was a wonderful surprise!

As I never ended up needing fertility treatment, I was just charged for the initial diagnosis appointment, and a followup ultrasound appointment after I became pregnant.

Dr Homer was incredible throughout our entire experience, start to finish. In the first meeting we immediately bonded with him, he experience medically and personally helped us instill trust in him pretty much right away. We enjoyed meeting with him and he took so much time with us to explain the whole process and what he could do for us. I had previously visited another Dr who prescribed Clomid and incorrectly told me I did not have PCOS, she was prepared to up my prescription of Clomid to 100mg after 3 failed cycles. At that point I chose to move to see Dr. Homer and I look back all the time and am grateful we made that decision. At my first ultrasound with Dr. Homer he immediately confirmed I was a classic case of PCOS. From there he made the decision to not go forward with Clomid but to switch to Femera. I got pregnant the first cycle. It was a tough experience as we learned that I miscarried at our first appointment, but Dr Homer was right there for us, helping me through the medication to have the miscarriage at home, no DNC required thankfully. He even called me the next day, On a Saturday, to check in on me, it meant the world to me. He was a partner throughout the entire process and never shyed away from the tough stuff. After that, I had many weeks with blood appointments to check my Hcg, which took it's sweet time in going down. I think I tested 3-4 weeks in a row before we gave it a rest for a couple weeks and tested again. It took about 2 months to get it completely gone so we could start trying again. Dr Homer put me on my second cycle with Femera and sure enough we got pregnant on the first try again, I simply couldn't believe it. the first few months were pretty grueling, always expecting something to go wrong. I was terrified for my first ultrasound. Dr Homer was perfectly matching my optimism but also completely respecting and mirroring my cautious excitement. Once he got in there and saw the heartbeat he took a minute to confirm before he gave me the good news. My husband and I were ecstatic and so was he. We had the best appointment and were so endlessly grateful for his partnership and guidance. After that we had a 2 week trip to Ireland and I couldnt wait to come home to get another hopefully good screen. We could have switched to an OB at that time, but we werent ready to leave Dr Homer. We came back from the trip and got to see the baby grown quite a bit, arms and legs and most importantly a strong heartbeat. Dr Homer gave us hugs of congratulations and his staff gave us so many well wishes on our way out the door. Dr Homer even helped me find a new OB which was a big deal for us and we've now met her and absolutely love her! I of course would prefer to stay with Dr Homer if it were a possibility, but because it's not we're thrilled to have her. I can't say enough good things about Dr Homer, without him I dont think this experience ever could have worked as quickly and certainly wouldn't have been so pleasant.

Don't wait to get engaged with Reproductive Science Center, you need to get care from a Dr and a clinic who know what they're talking about with Fertility.

Due to my diagnosis with PCOS Dr Homer prescribed Femera, not Clomid that my previous Dr had me on. It worked our first two cycles on it and I'm so grateful that he customized our treatment for my condition.

We had a pretty substantial cost for the ultrasounds each month. Also the only thing I was really caught off guard by was when I needed to come in for weekly blood draws for my Hcg levels, I was anxious to hear results so it was recommended that I do the draws at RSC so i could get same day results. Unfortunately after a few draws I found out that my coverage didnt extend to those blood draws and i needed to go to a LabCorp, so I got charged way more than expected for those visits and that was really disappointing.

Dr Wachs is a god-send angel for me. I wouldn't have known my conditions if it would not have been via Dr Wachs explanation. She has been with me in all the stages. Checking-up on me emotionally & medically. It's rare to find a good doctor.

Be patient. Not everything is under medical/Doctor's control. It can take a while before you get what you are looking for. You are in good hands. Dr. Wachs will take good care of you.

After our first consultation visit with Dr. Wachs. We had a strategic plan to proceed further. - Reviewed my situation - Did some labs (MRI SCAN, Ultrasounds) - Discusses all the labs with us - We had to do Hysterectomy to remove uterus fibroids. Then she purposed all the possible treatments for us IUI, IVF So far our journey is been hopeful & we are looking forward for the day to be blessed with a baby. It will be only possible because of Dr. Wachs & her team.

Well the fertility treatment is expensive. But the clinic finance-counselor Monica provided us all the details about the cost for our treatment. Also, wish that our medical insurance could cover majority of the labs & treatment fees but unfortunately that's not the case.

Absolutely Dr Wachs clearly defined the singleton transfer & multiple transfer differences to us. She strongly put her views about it.

As a patient of Deborah Wachs, I feel we came to a better understanding of each other after the devastation of not having any embryos to transfer after gone through the first cycle. The only part I was a little frustrated with was that the multi cycle plan was not given to me as an option in the initial consultation, however I also understand that with my age and my blood work, I was considered a slam dunk to walk out with a baby through IVF. I think Dr. Wachs is a great Dr. and she is doing the best she can with the information she has.

Make sure you ask every question you can think of even if it sounds silly.

I was on menepur and folistim for the first 4 days or so and then ganerelix for the next 4 days. These are all injectables (excuse me for the spelling of them, they may not be correct) The menepur and folistim was a shot of each every night and then a shot of the ganerelix making it a total of 3 shots a night for approx 8-10 days. It was uncomfortable starting after day 4. The egg retrieval was very painful for me a few days after. Some people are fine but I experienced major discomfort and had to take it easy for a couple weeks afterward. I did have good results with the medication and responded well. My overall egg quality could be better so for the next cycle, the Dr. wants to put me on a growth hormone.

$14,000 for the IVF cycle, $2500 for PGS testing, $3710 for transfer, $4000 for medication

My Dr. strongly recommended only doing a single embryo transfer because I am still young and will be able to have multiple children. She also did give me the risks for multiple embryo transfer and advised against it for the first cycle.

Dr. Wach's was everything I wanted in my fertility doctor. She was patient, kind, caring, compassionate and knowledgeable. She never gave up on me and always had more ideas of new techniques to try and tweak. As a patient I would always come in emotional and frantic and she would always manage to calm me down and keep my goals realistic, while comforting me in the fact that we still had several options. I would do my own research and bring her pages of notes and questions and she was knowledgeable on each of the studies I had found and explained why or why not each one would or would not work for my case. She was always put together well and her love for her job showed always, even through the holidays where you would expect her to be taking time off to spend with family, she was in the office, taking care of me. I have and will continue to recommend her to anyone who is going through infertility and I will definitely use her again for baby number two!

Be positive and don't give up!

My first cycle we used gonal and menopur and triggered 72 hours before my transfer. My second cycle we added Lupron in hopes of growing more eggs to be fully mature. I had an endometrial receptivity test which showed us we were doing our transfer after my personal window so we adjusted my transfers after that. She ended up putting me on progesterone and the blood thinner injections in order to increase my chances of implantation. Finally on our fourth try we combined everything and had success!

We used the attain package which I believe was about 25k, we used a company called capex md to finance it. Our medications and other procedures totaled around 18k so in total we spent around 43k

In the beginning while we were still learning how my body would react she encouraged a single embryo transfer and showed us that the reason they encourage that is it is lower risk than carrying multiples. Once we realized I wasn't a fertile mertile, she was more open to us transferring two embryo's at a time, which we tried for one cycle and were not successful.

My experience with Dr. Wachs has been good so far. Like I said before, she's a straight shooter and will be there if you need her. I have had only 1 IVF cycle and though she didn't perform the retrieval I understand these clinics "share" patients. I am still hopeful IVF with RSC will work for me.

Be patient and don't expect to be coddled, she will give it to you straight. She's not cold or has a poor bedside manner but she is a person and I can tell she does want to help!

I used BCP, Gonal, Menopur and Cetrotide for first IVF cycle. No eggs passed PGS. This time I used BCP again but Dr. Wachs changed the allocation of Gonal and Menopur, and added Omnitrope. Hopefully this will be the one that works!

I have help with insurance so it wasn't too bad. They paid about 50% of treatment and part of the medications.

No comments bc I'm doing PGS.

In my experience Dr. Wachs is kind, compassionate, and very knowlegable. After the consultation with Dr. Wachs, we were able to get started with the process of IVF very soon after which is for me at age 42 very important. First round we had 2 eggs tested for chromosomal abnormalities, sadly neither came back normal. When Dr. Wachs called to convey the bad news her compassion really came through along with leaving me with a feeling of hope for success with future treatment. We are seeking further treatment with Dr. Wachs who will be adjusting accordingly.

Start preparing your body for IVF in at least 3 months in advance. You can do this by eating a well balanced diet consisting of healthy foods, exercising regularly, and taking a prenatal vitamin along with CO - Q10.

I was put on the Agonist protocol, 11 days of stimulation meds, we also used ICSI to fertilize the eggs. I was on the following medications: Micro-dose Lupron 10 units subcutaneously twice daily, once in AM and once in PM. FSH (Gonal F) 300 units subcutaneously in the AM. Please continue Menopur 150 units subcutaneously in the PM. and Prenatal vitamin daily. We sent the two embryos off for PGS testing and sadly both were abnormal. The treatment up to that point was going well and it would have been nice to have more then two embryos make it to PGS testing. The doctor will adjust treatment for the next round in hopes to have more embryos to be tested.

Total of $24,000.00 $17,450.00 IVF Cycle, ICSI, Retrieval, Biopsy, and Implantation. $2,200.00 PGS genetic testing $4,000.00 Medications

We have not made it to a transfer yet, but we were told by Dr. Wachs at the initial visit that the goal is to transfer one healthy PGS tested embryo.

Dr. Homer is the best. Me and my husband were fortunate that we found him. Since the very first appointment, we found him very considerate, professional and yet very friendly. He was very transparent,always answered all of questions(which i did ask a lot, thanks to google), understanding and honest. We knew all the risks and chances of success associated with the treatment yet we were never in doubt just because of Dr. Homer's positive attitude. With only 1 healthy embryo at hand, it was him who showed confidence in our confidence to move forward with the transfer cycle. We were lucky that it worked out for us but if it hadn't, our feedback about him wouldn't have changed. My message to everyone who is looking for an IVF treatment is that "Dr Homer is someone who you can rely on and he will do everything whats necessary and right for you and you would never feel that your efforts were for nothing." He is very considerate, spends time in understanding their patients, and has sense of humor which will light your bad day. He smiles at problems which gives you confidence that no matter what you can get through every problem.I believe doctors should know it all yet they should not be so overpowering that you can't confide in them with your silliest of things, your fears and your apprehensions which with Doctor Homer i never felt that way, all i can say he is the best thing that happened for my IVF journey.

Be honest and forthcoming with him and do let him know your expectations about the treatment so that he can have all the information and decide the best course of treatment for you

We met Dr. Homer after trying for more than 2 years without success. Before we met, I was skeptical. I worried that he was too young and inexperienced. But he quickly proved me wrong. He answered all our questions and concerns, explained to us all our options (IUI and IVF) with risk and success rate, and suggested us to go with IUI first. During our treatment, he found out that I had polyps in the uterus, which caused me to bleed in between periods and reduced my success rate. After a successful surgery performed by Dr. Homer and 2 failing IUI, we decided to move on to IVF. We got 3 healthy embryos and one of them got transferred successfully. Me and my husband were ecstatic. After trying for 3 years, our dream had finally come true, thanks to Dr. Homer. He was very professional, knowledgable, yet very friendly and funny. He also had wonderful bedside manner. I was very happy to graduate from RSC, yet was sad to leave Dr. Homer. Hopefully we will see him again for our next baby in about 2 years. I would recommend Dr. Homer to everyone who considers infertility treatment.

Don't wait, call Dr. Homer now.

Dr. Homer strong suggested us to do single embryo transfer due to the success rate being >60% and the risk of having twins with multiple embryo transfer.

She’s smart, to the point, but kind and caring. Perfect blend of compassion and professionalism. I would gladly work with her again, she made our whole process seem logical and never forced us or pushed us. We had a lot of say in our care

Recognize that it’s impossible not to be emotional but that Dr Wachs is doing everything she can to help you conceive

The one issue I had was I became hyper stimulated in prep for my egg retrieval and was unable to do a live transfer. This prompted us to have to freeze all the embryos instead. One thing I would have preferred in this situation was some discussion prior to ensimination of my retrieves eggs. I had a LOT of good eggs retrieved, and in hindsight, would have preferred we not ensiminate all of them. I would have liked some eggs alone in case we chose to donate them or use other sperm. Having 28 embryos didn’t help me too much... I mean, it was a good problem to have but I would have liked to discuss options. Nonetheless, Dr Wachs shifted us to the FET process and did a good job explaining it and also gave us an opportunity to do PGS. This turned out to be a big benifif for us due to a tight time line I was on to get pregnant. Overall i was really happy with this medical advice. Also- Dr Wachs was pretty blunt when she discovered that I had PCOS that IUI was probably not going to work. Making the choice to switch to IVF early (after 3 IUI) was good for us, also with our dwindling sperm supply. I was very happy with her candid advice and direction but I never felt pressured to do anything.

About 13,000

Super happy we did eSET. My eggs/embryos were high quality and I was young (28) so her advice for eSET was best for us. I’m glad the clinic was very clear on this policy because I think the desire to get pregnant immediately can cloud people’s judgement on the risk/burden of twins.

Dr. Reid is the best doctor I have ever worked with. Her care and concern for her patients is incredible. She has a great ability to connect with her patients and clearly understand things in a way that is easy to comprehend. I feel lucky to have been/continue to be in her care. I know she will always be routing for the best outcome for me and my family.

My piece of advice would be to request her directly. The RSC practice is set up to have patients see a number of care givers throughout the bay area - my advice would be to select Dr. Reid as your doctor, even if that means driving to Foster City to be her patient.

First Cycle was intended to be an egg preservation cycle. I used Menopor/Gonal F; by day 11 of injections my follicles were not growing anymore and the decision was made to cancel this cycle. Second Cycle was interned to be a fresh transfer/embryo freeze. I used Lupron Injections during the cycle and stimulated with Menopor/Gonal F and then added a growth hormone during the last 6 days of injections. Result - 11 eggs retrieved; 8 mature; 6 fertilized; 4 became embryos - 1 Fresh Transfer (Miscarried after 7 weeks), 3 embryos frozen. PGS done. Third Cycle; Frozen Transfer - haven't done yet.

Very easy - I was told up front that I would have to schedule between 7-9 AM and the calendar I was given by my nurse told me when you begin to block my personal calendar to prepare accordingly. Each time I needed to schedule, I was able to get the time I needed without a problem.

There were set fees for each process and I was set up with a financial counselor to discuss the fees/structure. She was very helpful.

I can't think of any weaknesses. I'd recommend her to anyone. She seemed very thoughtful and thorough while being very easy to relate to. I felt like she really cared about the outcome of our trial - and not just b/c good numbers make her look good but because she cared about us as wanna-be-parents!

Tell her all of your fears and all of your questions because she will take time to answer and explain everything.

I believe a bit above 15K

Dr. Reid has been a compassionate and trustworthy doctor. I always felt that she fully listened to me and my concerns, and took me seriously as an intelligent patient who wanted more information. She treated me as an individual and was willing to alter protocols based on my concerns if the research indicated it. She shared research with me and was willing to say that she needed time to think and research different methods to individualize my treatment and got back to me with results. She never rushed me out of my appointments (which means she often ran late with others, but I was ok with that). She was the one to call with any results and was available to answer questions and talk me through results. I appreciate her perspective as a female fertility specialist after seeing many male specialists who never quite answered my questions or wanted to explain things on a deeper level. I have not yet had a live birth but will stay with Dr. Reid until we decide to stop IVF treatments and change course.

The doctors at RSC are in different clinics on different days and rotate weekends. That meant that Dr. Reid was not necessarily the one to perform a retrieval or transfer if it fell on a day where she was not in the main clinic. However, all of the other doctors I have worked with at RSC so far (Dr. Wachs, Dr. Rosenbluth, Dr.HInckley) have been wonderful. If you only want to see one person for all appointments and procedures this may not be the place for you. I really appreciated that the doctors meet every afternoon to discuss results for each patient as a group, so you are getting the perspective and experience of many different doctors, not just one.

Monitoring appointments are only done in the mornings. I have to drive a ways in heavy traffic to reach the clinic, so the early morning appointments worked well for me as it helped me miss the worst traffic.

She was ok at explaining the medical stuff and answering my questions but I still felt like a number. She failed to ask certain questions or pay attention to details I mentioned that may have suggested a different course of action.

Don't use her.

At my first appointment, Dr Wachs performed a resting follicle test and reviewed my blood work and told me I needed to use donor eggs. She was compassionate about the fact that I would need to get closure on using my own eggs and said she supported me to do whatever I needed to get that closure--however she would not do an IVF cycle even if I had wanted to. At my request we tried a clomid and letrazole cycle. She failed to mention that Clomid was notorious for thinning one's lining and did not pay attention to notes in my file about having a thin lining, light periods etc. Next we moved to Letrazole and the techs mistakenly said I had a follicle maturing in two different ultrasounds that turned out to be a cyst. Finally, they gave me incorrect pregnancy results of another person, telling me I was pregnant even though many of the numbers in the labs would have been inconsistent with pregnancy.

About $300 for each surge sono --$3000 for medicated IUI $18000 for a frozen egg procedure

Dr Pittenger-Reid is a very positive Doctor, which I think is very helpful during fertility treatment. She always made me feel like things were going well. When they didn't during our first cycle, she was compassionate, but still very positive in looking ahead. She makes her decisions driven by science and is great at explaining everything. When I had extra questions she was quick to call to answer all of them.

The group is a large group and all procedures are done in San Ramon. Depending on your cycle and schedule, she may not do your procedures, but all of Doctors I met were great.

I had insurance so this is not relevant