Reproductive Science Center

Everyone was always very friendly from the receptionist to the ultrasound technicians. Other doctors I've seen also seemed great. The online portal is convenient and the communication is speedy and efficient. I didn't get to experience the billing department as I had great insurance that covers everything. If that wasn't the case I'd check that to make sure they are okay (don't know). One downside is that the procedures themselves are done in the San Ramon office which was far away for us.

Doctor Homer really got to know us, what we care about, what we fear, what is important to us. He adapted his advice and communication style to match our particular case, personalities and needs which was very special and appreciated. It's clear that he truly cares.

Lindsay was amazing. Great communicator, patient, knowledgeable and caring. Before that we had Judy that was also very knowledgeable and professional but her communication style didn't fit ours.

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)

Overall, extremely happy with the clinic, the staff, the communication, the treatment. Extremely professional. I can't recommend RSC enough. I have two other friends that have been there and have had nothing but great experiences. RSC is top of the line when it comes to fertility care.

Dr. Lewis made me feel like I was her only patient, even though I know she has many. She treated me and my desire to have a baby with the utmost care -- she was both direct, and hopeful, both of which I appreciated.

Amy was a GEM. Truly, a saint. She too made me feel like I was her only patient. She's the most wonderful, caring human on the planet and let me talk to her / ask her / call her any time. She is fantastic.

Dr. Lewis was exceptional. I feel so fortunate to have had her. From day one, she was upfront with me about my options -- she was both candid and hopeful, and didn't beat around the bush to help me achieve my goals. I appreciated her disposition -- I'm a facts kind of gal, and that's what she gave me.

Please choose her.

I have PCOS and we decided on IVF for me upfront. The only other option was injectables, but the risk of multiples was much higher and I wasn't interested in that. I was on birth control for 3 weeks before starting my stim meds; did the stim meds for about 12 days, going in every other day for monitoring; and then a retrieval. I was expecting ~ 15-20 eggs retrieved; however, I didn't respond well to the trigger shot. Dr. Lewis chose the trigger shot because I was at higher risk of OHSS (very dangerous) due to PCOS and this one was less intense. I was disappointed to have only had 9 eggs retrieved, but it seems the other eggs were just poor quality and never released from the follicles. But, it's quality over quantity and I ended up with 3 PGS-tested embryos and no major side effects from the retrieval. I took a few weeks break and then started treatment again to prep for the implantation. I took a combination of estradiol orally and vaginally and then continued it just orally while starting vaginal progesterone and the progesterone in oil shots ~ 6 days before my transfer. 9 days later I found out I was pregnant, and I am now 26 weeks along. I continued on the progesterone until ~ week 10.

My insurance covered 100% of my treatment, but I believe IVF would have been ~ $15,000

It wasn't even question that we would only do one.

Nice warm environment, quality staff, good support online and offline, well connected technology-wise. I also like that they are connected with natural practitioners such as acupuncturists. Nice warm environment, quality staff, good support online and offline, well connected technology-wise. I also like that they are connected with natural practitioners such as acupuncturists.

Dr Homer is naturally warm and friendly. He always remembers details about my history and care, and also makes sure to explain everything clearly so I am confortable with the course of action taken.

Lindsay my case manager is fenomenal. She is very responsive, knowledgeable and friendly. The rest of the staff at the los Gatos office is very professional and friendly as well. I had a negative experience at the San Ramon office because the nurse gave me the wrong timing to administer my trigger shot. This possible caused that cycle to fail. I can never know for sure.

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.

Overall the clinic is organized and folks are customer oriented. During monitoring, I wish I could have the same ultrasound tech as sometimes that part can feel very robotic and impersonal. The cost of IVF is insane and I wish my clinic provided more discounts to self-pay patients. I also wish they had told me that my first round could be a total fail and to treat it like part of my initial consultation and diagnosis. I didn't hear that until after the fact and wish they had better managed my expectations.

Jennifer Patterson is the best. She's quick to respond, empathetic and caring when you need an extra nudge to keep going and hang in there, and super organized. She's what's made this experience doable.

Dr. Rosenbluth was caring, compassionate, and a clear communicator. When our cycle was in jeopardy of being cancelled he made himself available to answer our questions and talk through potential options. Because Dr. Rosenbluth does this everyday sometimes I think he (and other providers) can forget that we've never done before and don't always know what to ask. We are relying on them to tell us what we need to know and consider.

Be prepared not to see or hear from him very often. You spend a lot more time communicating with your nurse case managers and others. Make sure you come with lots of questions.

typical low ovarian reserve (low AMH) protocol for first round - poor response, almost cancelled cycle and then Hail Mary retrieval after extra days of meds; retrieved 5 eggs, 2 fertilized; 1 made it to day 5 blast; was abnormal when PGS tested. :( Second round starts this month, mid-luteal estrace protocol to hopefully prime my system to respond better. fingers crossed.

Initial visit $260 (included initial consultation and genetic screen bloodwork; initial consultation fee was discounted 50% because we attended "meet the doctor" event; Initial round fees includes monitoring and egg retrieval = $16,098; genetic testing panel for husband and I = $250/pp; PGS testing fees (multi cycle plan) = $2575; stim medications all self pay = $5,000

Dr. Rosenbluth prefers to do single embryo transfer. We haven't had any to transfer yet but when we do, I believe he will advocate for one at a time.

We have had a great experience overall with this facility. Something I think would be super helpful would be if we, as patients, we could see our balance/payments etc. online. There doesn't seem to be anywhere that we can see this information. I have had issues with loan funds being delayed when they are distributed to the facility, thus making it look like I owe fees still at the time of appointment which is embarrassing because it appears I am not paying my bill but in turn it's just the loan funds were not "reconciled" by the facility by the day I went in for my first appointment. I do like that everyone knows us by name and is SO friendly and accommodating along the way!

Dr. Hinckley has always been very forthcoming with information, always makes an effort to listen to our thoughts and concerns and goes above and beyond to show compassion and help us to understand the entire process.

We had communication issues with our first case manager (Frankie), however as soon as Dr. Hinckley heard my concerns she offered to change me to another "more experienced" case manager right away. I now have Shanda and she has been nothing short of amazing. She called me THE day she was assigned to our case and has made us feel so comfortable and like we are her top priority all the time. She is very realistic and gives me honest answers to all questions and always gives extra details so we feel like we know the process inside and out the whole way through.

I wholeheartedly respect Dr. Hinckley and respect her medical advice 100%. She has been nothing but compassionate, caring & encouraging throughout our journey thus far. I greatly appreciate that she has not pushed us to move to a more aggressive treatment yet and that she is completely realistic with all medical advice she gives according to the situation my husband and I are in. She went above and beyond when we were unsatisfied with our case manager in order to make us feel supported and comfortable and was quick to change us to a different case manager as soon as she heard that we had concerns.

Don't be embarrassed to ask questions - she is a wealth of knowledge and will always work to get you the most thorough information in order to help you understand the situation you are in the and options that you have based on your personal health factors.

We are trying first of all to get pregnant with Letrozole (femara) pills + ovidrel trigger shot, then IUI. We have not chosen to get more aggressive as of yet. I currently am taking 5mg Letrozole once a day on cycle days 3-7. We have been flexible with the day of my first ultrasound as we are trying to find the correct timing of ovulation since my cycle has been so irregular in the past.

IUI is $1285 per cycle, then medications have been about $200 on top of that.

The clinic is efficient and quick. The front desk staff are super nice. The phlebotomists are hit or miss. I’m an easy stick too. The sonographers aren’t great with their bedside manner, except Casia (sp?). She’s the absolute best at imaging and patient care.

He calls with updates personally.

Kayla was very compassionate but didn’t seem knowledgeable. Her phone calls left a lot to be desired. Her emails were too long and it seemed like she may not be used to caring for someone that is brand new to IVF. Example of a phone call- I asked her what Estrace was and why I would be taking it. Her response was that it produces estrogen, like my body does at some point.

He’s very honest and open in all his communication. He explains every step thoroughly and allows my husband and I to make our own decisions with all the facts on the table. I have diminished ovarian reserve and Dr Weckstein has educated me on what that means for our journey. He also remains positive and encouraging even when delivering “bad” news. I appreciate his candor.

Bring a list of preprepared questions to the consultation. Take lots of notes on each phone call as well.

I’m still in my first cycle. He started me off with Estrace for two weeks and testosterone added on the second week. My cycle meds are Gonal F 300, Menopur 150 (first week) and added in Cetrotide and HGH on the second week. Triggering today for retrieval on Friday. Expecting 1-3 eggs total (6 follicles and I have diminished ovarian reserve).

10-20k

He proposed elective single transfers only. Multiples aren’t encouraged due to stress and complications with multiple pregnancies.

RSC is a well run machine. There won’t be too many blatantly unprofessional scenarios. But like most establishments, there is a patronizing undertone. I still haven’t seen bills from my past cycle. So I don’t know if I overpaid or have a balance going into cycle 2. I only get to see the doctor a view times. The vast majority of interactions is with the nurse coordinator.

I felt like a human when 1) the doctor made it a point to answer all my questions without hurrying me along. I felt like a number because 1) I’ve seen the doctor exactly 4 times for an entire cycle of Egg retrieval, frozen embryo transfer and anembryonic gestation leading to miscarriage. Both the FET and polyectomy were done with other doctors due to scheduling. 2) Chasing after bloodwork results. 3) the patronizing manner in which my meds were changed for the 2nd cycle without consulting me and the nurse coordinator using a decade old article to fob me off when I’d read NIH papers from the past few years that clearly refute the article.

I had to be on top of things. Otherwise, things, especially scheduling, would fall through the cracks.

Good communicator and very compassionate and delicate bedside manner, which is very much appreciated. Not rigorous in terms providing data to back up protocol adjustments. Had not read the latest NIH papers regarding one of the additions to my stim cycle.

Do your own homework. You won’t be told the ugly naked truth and unless you do your own homework, you won’t know what questions to ask and might be surprised by the outcome.

GonalF, Menopur, Cetrotide, Lupron trigger. About par in terms of result. 2nd cycle, up the GonalF dosage.

Egg retrieval $5,000 Frozen embryo transfer $3,000 Drugs: $3,800

eSET highly recommended.

Multiple locations and obviously very hardworking staff. I enjoyed the support staff, always. However, they're hard to get ahold of sometimes. Once, a nurse called me with instructions the day before my retrieval and when I called back with a follow-up question, no one returned my call. Emails to billing can languish for weeks before they actually get you the thing they said they would. FYI I have heard there are other, more 'pushy' doctors at RSC that I would probably have enjoyed more. One last thing: We found her indifference to doing a dna fragmentation test on my husband's sperm with a known varicocele ridiculous. Some other clinics say it's a freaking mandatory test, especially with a varicocele. An SA test only shows how the sperm *looks*, not how it is, and it was this general indifference and lack of knowledge about the grading of my eggs pre-ICSI (she hadn't even checked before our wtf conversation, had no idea if I had an egg quality issue) that sent us right out the door.

Dr. Reid is extremely personable and kind.

Marlen is a lovely and kind person, but her emails often rambled and left me confused. Again, we're a pretty Type A couple when in IVF, we've learned-- and her emails kind of wandered. Same with phone calls. At the end of them I was always like: wait, so what do you need again? Really all I wanted was a bulleted list of things to do. Later, Marlen was out on vacation and a super baller detailed nurse (I think named Lauren) filled in and she was much more my speed. If you go here, ask for Lauren!

Dr. Reid is wonderful to talk to and I bet makes a great friend. However, as a doctor, we found her to be almost lazy in her approach. She didn't know her own stats in terms of success, couldn't point us to specific reasons for decisions beyond "usually" and "probably fine..." My partner is a scientist and Dr. Reid made us realize what we wanted was an active, curious doctor who revels in data and is up on the latest research. If that's you, steer clear of Dr. Reid. However, if you're the sort who doesn't want to know reasons for things or dive into information, she'd be great.

I'd say I'd only go to her for IUI, and not if you're curious about potential diagnostic issues that haven't been discovered yet.

antagonist protocol with Gonal F and Menopur for stimming- and a fairly high does, I think Menopur was 450. Cetrotide for hanging onto eggs and a regular trigger.

A cycle was $15,000 plus $4000 for meds. They've just raised their prices.

She preferred single transfer, but we never got that far as our cycle resulted in just one embryo.

Strengths- I feel they are very welcoming & they knew me by my first name which made me feel special. I didn’t find I had any problems other than small technical things like with my medication order that my case manager was responsible for.

He has gentle warm ness & is very personable. He also talks with straightforward statistics & seems to give reasonable expectations.

I had a few case manager nurses on two separate cases during my time there . The first was trying for our first baby. The second was trying for our second baby. I have to say the staff there is excellent & welcoming. My coordinators communicated mostly by email which was convenient. There were a few organization issues I had involving my medications but I knew other people to involve to get it handled.

He’s very informative & thorough. I always felt hopeful but at the same time I was given reasonable expectations. He’s very easy to talk to & I never felt intimidated by him. Though I have to say that his father passed away & he had to leave town during my treatment & he made sure that he called me to tell me that another doctor will he managing me during this time. I wouldn’t expected anybody going through this to feel they have to call their patients during such a terrible time but he did. Even during such a difficult personal time, he was thinking about his patients. I’ll never forget that.

Be prepared to hear numbers & statistics. He knows a lot of those but for good reason.

I can’t remember all the drugs I got or protocols. But w/my daughter she was a first time , 5day blast fresh transfer. I think I was on Lupron . To conceive my son, I went through 2 egg retrieval’s & the last one I remember he said they were throwing the kitchen sink at me because the first egg retrieval I didn’t have success, I was older as well & low ovarian reserve. I remember having to take testosterone which I thought was strange. But it worked. I had 2 blastocysts & one was my son.

Pretty efficient. I hardly had to wait & I loved my ultrasound techs. They were so knowledgeable & nice.

We paid out of pocket except for a few meds.

I did one 2-embryo frozen transfer & he said that multiple embryo transfers doesn’t necessarily increase chances just increase chance of multiples. I appreciated his opinion that it was reasonable.

The clinic's phone number goes to the main office in San Ramon, so sometimes communication was a bit difficult. But the office staff was ALWAYS kind. They were always warm and understanding whenever I got bad news, and they always had chocolate and tissues waiting.

Dr. Wachs was so kind. She was understanding, and warm. I don't believe that our negative outcome had anything to do with the care we received.

Selina was excellent with her communication. If I emailed her in the portal, I could expect a prompt response every time. She was very thorough and I appreciated that.

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.

The front desk team is awesome! The gal at the desk always greeted me by first name. I was impressed! Every single person I ever encountered in that clinic was kind and sweet. Communication is on point at this clinic! Very organized. It was a breath of fresh air in comparison to our last clinic. I wouldn't change a thing. I love this clinic!

She was very kind and took her time explaining everything to us from day 1. She spoke to us in a manner that made us feel comfortable with her and we felt we could ask anything. Things were never rushed. It was honestly like talking to a friend which made this very stressful process a little easier. She encouraged us to call or email her anytime. She was very good about taking phone calls and returning phone calls. We loved her.

I LOVE THE NURSING STAFF! Valeri and Paula are best! They both went above and beyond with any and all requests. I had some spotting during early pregnancy and every time i called or emailed they reassured me it was normal. I worked a little more with Valeri. Both nurses are very efficient and quick to respond to any and all questions whether by phone or email. Both ladies called and checked on me when I informed them my pregnancy was coming to an end.

As mentioned before, from day 1 she made us feel comfortable. She is very kind and thorough when explaining things to us. Things are never rushed when its your time with her. Very easy to talk too!!! Helps you make hard decisions in terms of providing clarity.

Enjoy! She's great!

After my egg retrieval on May 2018 I was released to go home. The nurse in charge of me kept saying I was pale but let me go anyways. On our 3 hour drive back home we stopped mid way to use the bathroom. I was laying in the back seat the whole time since I left the clinic. The minute I got up I nearly fainted and started sweating profusely! My husband called the clinic and the doctor who did my egg retrieval recommended I go to the nearest ER. Turns out I was bleeding internally...my ovaries never cauterized not sure if that is the right term. The OB doctor in charge discussed emergency exploratory surgery to stop the bleeding. Dr. Erin Lewis immediately made contact with the hospital and soon after I got my own room. She was in contact with the OB on staff and recommended we leave me as is and wait it out a bit as sometimes these things happen after egg retrieval. She also called my husband and explained what was happening and what the next step was. She also called and checked on me a few times over that weekend and gave me her cell number to call or text if I needed. She was always very involved through out the entire process and we appreciated that so much!

Monitoring was my only issue with this clinic. Because we drove from so far away the appointments had to be early to avoid traffic or sometimes they scheduled me late. I understand they had to do daily monitoring but I wish it could've been done somewhere else close to home. Luckily, some of those days also fell on weekends and that was nice. Some of the ladies doing the ultrasounds were a little rough and I voiced that to someone.

We had insurance coverage with this cycle. Out of pocket costs with the clinic alone was maybe $3,500...not completely sure. All other costs and fees were associated with labs and meds etc...

no comments.

This clinic is large and the medical side is well organized. They have wonderful doctors (a few stood in to do my transfers when Dr. Hinckley was unavailable) and there is always one on call. I had to use the on-call service a couple times for emergency meds or questions and they always helped me quickly. Appointments and communication always ran very smoothly, thanks largely to their system of really great coordinators. The only downside is the billing department. I didn’t have much contact with them, but the few interactions I had were pretty disappointing. For example, I had to get my coordinator involved at one point in order to get a call back from them. Another time, without calling, they sent a letter threatening collections over a bill that was a few hundred dollars (because my card/autopay had been canceled without my realizing it), which was incredibly poor taste and insulting (after having spent tens of thousands of dollars, they didn’t have the courtesy to call). Apparently they were undergoing a system change and their policy is to call, so hopefully that won’t happen to anyone else. Still, the medical care was so good that I would tolerate the billing department.

In addition to having a caring and responsive case manager, Dr. Hinckley often called me personally to discuss results and treatment planning. She was detailed and matter-of-fact in her explanations while still being sensitive to my difficult situation.

My coordinator Shanda was kind, organized and knowledgeable. Great communication- she always responded quickly, and substitutes were arranged if she was out of the office. In addition, I received good care from the rest of the nursing staff.

My initial choosing of a clinician was random, and I am so glad I ended up with Dr. Hinckley. She is everything I want in a doctor: compassionate, a good communicator, and most importantly, smart as a whip and knows her research. My care under her practice continued for about 2 years before resulting in an almost-successful. In the end, it turns out that I have a rare immunological disorder that was only discovered due to stillbirth. There is no way anyone can have diagnosed it beforehand, and is likely related to my “unexplained” difficulty conceiving. All that is to say, I got to know Dr. Hinckley very well in that time and trust her without reservations. She was thoughtfully involved in my care every step of the way, respectfully took my ideas and opinions into account, and adjusted my care as we went along in what I thought was an appropriate and evidence-based manner. Overall a phenomenal doctor.

This would apply to any doctor, but questions ahead of time and write them down as you think of them. Knowledge is power.

I do not recall the protocol or exact dosages. However I do remember that during the first egg retrieval, I had an iffy response at first had to increase some dosages throughout the cycle. I was so grateful for the close monitoring because ultimately that cycle yielded 6 high quality embryos that we transferred one at a time. We did not PGS test them because they appeared high quality and I was still relatively young at the time (just turned 35). Unfortunately none of them stuck (besides one early miscarriage). At various times we tried adding in immunological/blood clotting testing, lovenox and an oral steroid. When we got down to the last two, Dr. Hinckley broached the topic of transferring both embryos, doing an era, or jumping right into another cycle and PGS testing the whole batch (all good ideas that we declined for various personal reasons). We did another retrieval on higher dose meds, got 5 high quality embryos, PGS tested them this time, which yielded 2 that wee chromosomally normal. This is pretty average for my age (36 at this point). The first one stuck! We speculated together that I had a hidden egg quality issue. Which is still possibly a contributor, there’s no way of knowing. Sadly this pregnancy ended in stillbirth due to placental incompetency (my immune system attacked it).

Very efficient. These were typically done in the morning, with the clinic opening very early, so I could often get in before work. I rarely had to wait more than a few minutes and the appointments were always done quickly.

I paid $35,000 to Attain for a refund program that included three retrievals and unlimited FETs. Meds and extra diagnostic testing (such as sonohysterograms, PGS, ERA) were not included. In addition to the Attain fee, I estimate we paid about $20,000 for tests and medication.

My doctor was a strong proponent of eSET.

I found Dr. Weckstein and the RSC staff overall to be great. The only weakness with my first IVF cycle was that it was difficult to get through to my original case manager/the staff via phone, but I'm currently going through the process again for baby #2 and have found that this issue seems to have been resolved.

Dr. Weckstein was genuine and took the time to explain what my test results meant and what our options were. He was very informed and he gave my husband and I his recommendations as well as all the information we needed to make an informed decision about our treatment.

My first case manager wasn't the best communicator, but she no longer works at the clinic and the case manager who took over my case, Sara R., is great. The nursing staff in general was and continues to be very friendly and helpful.

Our experience with Dr. Weckstein was great. We found him to be extremely knowledgeable, thorough in his review of our case, and also compassionate. We started our IVF journey with Dr. Weckstein after several unsuccessful Clomid/Menopur and IUI cycles at Kaiser, and we have no regrets. Prior to IVF, we lost our first baby (conceived naturally) due to a rare fetal condition and were unable to conceive naturally again. In reviewing my medical history, he went out of his way to write a letter to our insurance company to justify coverage of the PGS screening for our embryos so we could avoid experiencing another loss. Because of this, we learned one of our Day-5 blasts was abnormal and would have ended in a miscarriage had we transferred it. At Dr. Weckstein's recommendation, we transferred a single embryo and we now have a healthy, beautiful 20 month old daughter. We are getting ready to transfer one of our 2 remaining frozen embryos with Dr. Weckstein this month and are hopeful it will be a successful pregnancy.

I would say that you should trust him because he is experienced and knows what he's doing.

For my initial IVF cycle egg retrieval, I started on birth control pills on CD3 and stayed on them until CD14. On CD15 I had a baseline sonogram. I started stimulation 4 days later and was instructed to start daily baby Aspirin 81mg, FSH (Gonal f) 300 IU, and Menopur 150 IU for 10 days, adding Antagon (Ganirelix) (250mg) to the stimulation meds for the last 6 of those 10 days to prevent early ovulation. The next day I was instructed to discontinue FSH, Menopur, and Antagon, but continued baby aspirin. That evening I was instructed to give myself a trigger shot (Lupron 2mg) subcutaneiously. The following day I started my Azithromycin pack and had my retrieval 2 days later. I ended up with 11 mature eggs - more than anticipated. Fertilization report: 12 Mature eggs => 11 fertilized with ICSI • 6/19 Embryo progress update: 7 to 9 'Day 3' embryos • 6/22 Embryo progress update: 4 'Day 5' embryos - sent in for PGS - results due next Wednesday 6/29 PGS Results: 3 good embryos - 2 girls/1 boy 1 embryo with Trisomy 9

I had partial insurance coverage for the egg retrieval and first FET, so my out of pocket cost was about $12k for those 2 cycles. This included all the "extras" such as my share for the medication co-pays and opting for ICSI. I'm currently doing my 3rd FET (2nd FET ended in miscarriage) and the cost for the FET with no insurance coverage was approximately $5000 (medications included).

Dr. Weckstein encouraged eSET for us because he said I had good quality embryos and I was 36 at the time. He didn't want to create any unnecessary risks by transferring more embryos. Our highest priority was to have a healthy baby and give him/her the best chance possible for a full term delivery.

The clinic has great success rates and is fairly competitively priced for local clinics in the bay area. Sometimes there are issues with billing, but I've found they are able to talk through any questions or mis-steps that arise.

Dr. Rosenbluth is warm, caring, and personable. He explained his recommendations clearly each step of the way and was always available and willing to answer questions that arose. I always felt like he cared for us as a couple and was genuinely hoping for a good outcome for us, not just for clinic numbers.

The nursing staff were always friendly and comfortable to be with. I found the nurses I worked with to be encouraging and hopeful for us. My primary case management team was communicative, timely, and very helpful. They were also attuned to the emotionality of the process and genuinely warm and excited for us in our journey.

Dr. Rosenbluth is smart, attentive, friendly, warm, honest, and focused on the best outcomes each step of the way. He never seemed rushed when we had time together and had a good sense of humor. I appreciated that he seemed engaged in my treatment from start to finish, communicating next steps and any adjustments through the treatment team. He was sensitive to the stress and emotional aspects of treatment.

Ask lots of questions, he will review the hows and whys of your treatment recommendations or challenges until you are comfortable.

We followed a typical protocol for egg retrieval (injectables). We were planning on doing a fresh transfer, but had to freeze all embryos and wait to do a FET on the next cycle because my progesterone levels were off. For the FET we delayed the transfer by one week to get my lining up to par and had success with our first transfer.

IVF with ICSI ~ $12k FET ~$4k Meds $3-5k

He strongly recommended eSET due to my age, male factor diagnosis, and the difficulties of multiples in pregnancy.

- Local to Bay Area. They said I only needed to show up in person 1-2 twice, so I thought a local office was not that important. I've shown up numerous times so far, so I'm very glad that we picked a local clinic. - RSC was in Progyny, my insurance network. However Progyny coverage is unclear. - RSC had good reputation. A friend of mine had a baby thru RSC not long ago. Despite some hiccups, RSC so far hasn't majorly changed my opinion yet. - Foster City office had some hiccups, and they've changed my nurse without letting me know and I had to specifically ask. At least I think they quickly fix problems before the problems get out of hand.

We walked away both having positive impression of our initial chat with Dr Reid. She was elaborate and able to explain everything clearly. We felt free to ask any questions we planned to. She was on top of her material and able to answer every single question. Update: Our first transfer was not successful. Our second transfer was 2 days ago, so it's still too soon to tell. So far, she communicated well and everything is aligned with our expectation.

I liked her as a person. However, my blood sample was ruined and not explained properly. A few months later, my GC's sample was again ruined. Thankfully it happened in Foster City. If it had happened in San Ramon (their main site), I would've changed the clinic.

Our experience with Dr Reid was positive so far. We are about to start the 1st cycle in a few weeks, so it's too soon to rate further. However, I can provide something about office. RSC at San Ramon office was very well run (which is where all the major work is done), while Foster City office is only a satellite office to serve patients in the peninsula. Foster City office was not well run at all, my blood sample was bad and I had to redo at San Ramon; this happened again for my GC a few months later. It also looks like they have let go some of the staff in Foster City, and hopefully this office will improve.

Our cycle has not yet started, so I'd rather not giving feedbacks yet. I can have one feedback. Please see why the Foster City office ruined both my blood sample and my GC's sample, a few months apart. Update: our first transfer was not successful. Our second transfer was 2 days ago. Our positive impression on Dr Reid is still the same. Would still recommend her.

My GC would be a better person to answer this.

The first consultation with Dr Reid was $375 (I got this for free through Surrogacy conference). So far I've spent at least $40K on RSC-related services. I got 11 tested embryos, so I guess I'm happy so far.

Most doctors I've talked to were against multiple transfer, while Dr Reid was very well aware of IP motivation and explained this clearly and unbiasedly in my opinion. This is among reasons we like Dr Reid.

The RSC clinic is great. It is a well oiled machine and yet my doctors and nurses never made me feel "like a number." We had problems with the billing department one time but it was easily resolved. Given the number of times I needed to go in for a blood draw or sonogram, etc. I got to know the assistants on a first name basis. They were very friendly and professional. The office visits were quick and they did not over-schedule.

Dr. Lewis always made me feel confident in the specific treatment I was receiving. I felt as though she was taking my unique situation into account.

My clinical care team was amazing! I had two dedicated nurses who were sensitive and hands on.

I felt very confident in the care of Dr. Lewis. She was empathetic but not too much so. I did an egg retrieval with her (which was very successful in number of eggs retrieved) and fertilized many embryos successfully. I always understood my options and fertility treatment plan.

Expect Dr. Lewis to be very on top of your treatment plan. She is sensitive and you can call her whenever you need and ask her many questions. She is a younger doctor so expect that but she is highly qualified and eligible in my experience.

We went through 4 rounds of clomid. Then we did one IUI where I ended up being hyper stimulated so could not proceed with IUI. From there we started IVF. My first transfer was successful but ended in a miscarriage at 8 weeks. My second was not successful. We have another 6 embryos to transfer.

We elected an Attain program (a private company they partner with for eligible people). We elected a two egg retrieval cycle program. This cost us a flat fee of $25k without medicine. The medicine after one egg retrieval, one IUI, and two transfers cost us estimated $10k. My cycles were abnormally long and the medicine was more expensive (so I have been told by friends, doctors, etc.).

RSC of the Bay Area, my fertility treatment center, has a solid policy on eSET.

So far, I've found the clinic to be very organized, with reasonable appointment wait times, and a good online communication portal. They had all my records on file and referred to them before my initial visit. In terms of quickness and clarity about billing, this clinic has been the easiest to navigate thus far.

Dr. Weckstein took time and care in explaining his analysis of my initial diagnostic results. He was kind yet direct and thorough in his discussion. He made sure to understand and respond to our questions. He was very quick in responding to my concerns out of the office as well. I felt that he genuinely cared and empathized with us.

Nurse Romero has been fairly responsive and accommodating since our initial visit. I have asked several questions, and she responded to the first couple very quickly and helpfully. However, as I've continued to inquire about things (I'm very inquisitive!), she has become less responsive.

Dr. Weckstein shared his candid analysis of our diagnosis and prognosis. He communicated a difficult situation with compassion, and gave us the time we needed to process and come to our own conclusions. He has a wealth of experience, and gave us his perspective as well as possible other routes of action.

I am at the very beginning. I have diminished ovarian reserve, and Dr. Weckstein is re-testing some of my initial bloodwork to determine how aggressive the medications, approach, etc. should be. He is recommending IVF with an option for PGS (though not required).

The biggest thing I would say is that it is very very convenient that there are multiple locations so that I wasn’t constantly having to drive an hour each way to every appointment. I was so grateful for this. However, this meant we did have to drive to the main facility in San Ramon (an hour away for us) for any major procedures as that is where the surgery suite was. (Iui could be done in the Los Gatos office, but egg retrieval and transfers were done in San Ramon). Also anything that occurred on the weekend had to be done in San Ramon - it was the only 365 days open clinic. The other thing was that, in order to have my doctor be the one to do my transfers (which I wanted and chose) - she was only in San Ramon every other Thursday, which meant my cycles were longer as I had to time things to wait until she could be at that office for the procedures. In the end, it was totally worth it and I am grateful for everyone. Everyone at both facilities (Los Gatos and San Ramon) were so friendly and you felt comfortable going there. You truly get a sense that everyone is rooting for you and will do anything they can to help you along the way and try to make this process less painful

She is very kind, remembers details, and is always available to chat or ask questions as needed. I didn’t feel like we followed a “this is what everyone gets” protocol but took the time to figure out our exact situation and how to change things to obtain a successful outcome. She was very positive and reassuring the entire way

There will never be enough words to describe Lindsay. She was always so attentive, so positive and so helpful through this process. We wouldn’t have made it through without her. She was a source of information, and always available for crazy questions or just someone to talk to when everything became too much, or when I was feeling frustrated and emotional about the process. She became a confidant, someone who even talked to me late one evening after a failed iui and just let me cry and reassured me they were committed to getting us our baby. She was so very wonderful and Always quick to respond and happy. It made me feel so comfortable and confident in my treatment team

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

The office is very welcoming and clam. All nurses, and office staff are very nice and knowledgeable. They all show concern and care for you like you are the only one they see all day. You don't have to worry about waiting around

Dr Weckstien is very caring. He listens well and answers all questions. He is also very candid with you about your treatment. I know where I stand and where I am going if the directions we take don't work, I don't have to guess.

The whole office staff is amazing, I am so glad I was referred to them. They are all caring and very welcoming. I couldn't ask for a better clinic

I've been seeing dr Weckstien for a year. I am currently still in treatment. Dr Weckstien is very candid with you on all the issues, I love that I don't have to worry about know what is going on. I wish I could see more of him though, the phone apts are great though because I live pretty far away

Come with a list of questions a d wrote down the answers!

I was first given the supplement ovasitol to help regulate me. I then was told to lose weight (ugh) I had an ultrasound to confirm PCOS. A month later I was given letrozole, I responded great so i injected ovadril but there was a timing issue. I took letrozole again & did not respond. The 3rd time I took letrozole I didn't respond but was given 8 more to take at once and did respond great injected ovadril but did not fall pregnant. I just finished a round of provera due to no cycle for 90 days. I am scheduled for an HSG in a few days.

My insurance covers most of my treatment this far. I pay $209 for my timed intercourse with ovadril. IUI will be $408. IVF is not covered if it comes to that if I go through 2 IUIs with no baby

I was very happy with this clinic. Not only were the doctors and nurses warm and up to date on my care but the clinic also helped me find a way to get a lower cost treatment or procedure on multiple occasions (my insurance does not cover infertility treatments)

Dr. Rosenbluth was very sensitive to the stressful nature of infertility and did not get defensive or dismissive even when I was very skeptical or dismissive myself. He shared his personal experiences with infertility and very clearly explained all the details of our plan and costs and benefits of our options. I felt he listened to me and took my feelings and priorities into account when recommending options.

Our nurse was very organized and responsive and if she could not respond quickly she often had another nurse help answer my questions.

Dr. Rosenbluth had a caring demeanor and listened to my concerns. He was very serious, but he didn’t hesitate to share his personal experiences which helped me feel reassured that he understood how I felt.

Don’t be afraid to ask a lot of questions and speak up because Dr. Rosenbluth is a good listener and is open to hearing your concerns.

Due to our schedule and cost concerns, and lack of other complicating factors, Dr. Rosenbluth recommended a conservative approach to start and we first tried an unmonitored cycle of letrozole. It worked the first time and we didn’t have to spend a ton of time or money on monitoring that we would have otherwise had to spend. He was also flexible with our travel plans.

The consultation, HSG, and cycle were all expensive but the clinic helped us find the cheapest options.

Very expensive. I wish insurance covered more. They have good success rates and quality doctors. They care about getting pregnant results fast. They don’t always take the time to trust the patient knowing their body and come up with some wholistic approaches.

He was kind and took time with me. Though he wanted me to do full medication, after some advocating for myself he allowed me to try only HCG injections without clomid. They weren’t positive or encouraging about me doing it this way which made me feel a little unsupported, but at least were will to try 3.

They were friendly. I always had someone else helping me and often would meet the doctor performing my IUI that same day. They were all kind but I never had Dr. Homer doing the procedures.

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

Staff outside of finance and billing is great not complaints. At one point it seemed the Orinda office has a lot of turnaround and the front staff was not as knowledgeable on our account and journey. Being sent from location to location there needs to be better communication between clinics so that we are not told different information on each visit.

Our dr and his team are very interactive, responding when questions arose in a timely manner, very kind during the entire process all 3 times. And the staff was great all the way

Very authentic with her words and approach in passing along information, kept us informed with any Dr treatment changes and got all of our questions to the Dr and clear responses. And during our issue with the billing/finance department took a stand and stood up for us to remove some of the major stress they were causing us, and got us in contact with the decision makers. Heather was and is still a God send during our treatments.

Dr Rosenbluth is a great person, he has really great bedside manner and really treats you as a person and not just another dollar sign as we have seen with other clinics. His tone during discussions is great and he keeps it real when deciding next steps. And even when we believe we would like to extend shots or produce more eggs for better chances he adjust the treatment to give us what we would like and doesn't fight back but gives all the possibilities and outcomes. And he hasn't pressured us into IVF after each fail.

He is very busy and highly sought out so don't fear if he is unable to do all your procedures.

First was pills with no injectables which resulted in little growth. Then we moved to pills and injectables which lead to a positive result but ended in miscarriage, then another treatment with injectables which was extended out becasue of test needed which resulted in 1 very large egg but a negative test, then another round with injectables at a lower dosage to get more eggs which resulted in a low positive that we thought was chemical but started to double but ended in a miscarriage.

Our first cycle was a-la-cart but after packages were created which was the communication issue we had. I believe we have spent over 10k with treatments and meds.

The clinic is pretty warm in welcoming you, especially Ms. Loretta at the front desk. I adore her. She always greets me with a smile and I get the same when I'm leaving. The only thing to be on alert about is the financial coordinator Amy. We only worked with her for a short while but that was long enough to leave a really bad taste in our mouths. She gave us information that was not accurate, made our cycle extra stressful on top of the stress that already comes with TTC, and when asked to discuss the errors, she became very combative and was not willing to right her wrong. My advice, if you're assigned to her, make sure you do your due diligence. Double-check EVERYTHING. And if you want to be sure you're getting the best quality of care, ask for a different financial coordinator.

Even if the doctor is unavailable to talk to me directly, my case manager is usually able to get a hold of him to answer my questions and get back to me in a prompt manner. I like that a lot.

Heather is an amazing case manager. She is always available to answer our questions and she does so with such kindness and compassion. We've been on this TTC journey for almost 4 years and are on our 4th clinic and having a great nursing staff is KEY. I could not be more pleased with Heather on our team.

Dr. Rosenbluth is good at what he does. He can be warm in his delivery of not so good news, but I like that he is always willing to discuss next steps if the outcome isn't what we had hoped for. I'll be honest, I wasn't the biggest fan after our initial consultation, but he grew on me. I feel that he has a genuine interest in our success and I appreciate that a lot.

He talks pretty fast so make sure you ask questions if you don't understand something.

During our first cycle of injectables with IUI, I was started on a low dosage of medicine because he didn't want to overstimulate too many of my follicles. It took a while for me to respond so we ended up increasing the dose. I ended up with OHSS by the end of the cycle, but I got pregnant and that was all that mattered to me. I ended up miscarrying at 6 weeks so on the next cycle, we did not increase the injections nearly as much so as to avoid another OHSS situation. I didn't get pregnant but Dr. Rosenbluth said it was a better controlled cycle so he advised we try that again. The third cycle we did the same thing with the injectables and I got pregnant. Unfortunately, I am miscarrying again but the fact that I got pregnant again was somewhat good news, That first cycle was more of a trial and error IMO and we learned what my body could and could not handle.

Consultation $275-300, IUI cycle (with monitoring) $2525, Insemination/sperm washing $525, HCG test $65, Estrodiol test $100, Ultrasound $325-375, Saline Sonogram $665