Reproductive Science Center

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

The clinic is amazing from the moment you email them about with an inquiry. They are kind, professional, and calming. They are punctual and do what they, when they say they will. All of the staff have been kind and welcoming and professional. No weaknesses. Even their Orinda location is perfectly located to Bart so it’s an easy walk to appointments.

Dr Rosebluth (and his whole office) treated us with compassion from the moment we walked in, but was also candid and gave us a lot of information, and then was always happy to review that information over again with us, and answer any questions. He has personally called me to give me good and not so good news, and really has taken the time to care for our feelings, but also understands that we want to know the details and the ins and out of everything. He is the perfect balance of information and understanding that this is a hard and emotional time.

Laura B has been there every step of the way and has taken time to call and email me regularly, has kept me very up to date with progress, and has repeatedly answered my questions and clarified things when I am confused. She has advocated for me with getting prescriptions and other blood work done and for lowered prices. She has also taken time to arrange for special classes for us when there was not availability in the scheduled classes. She also is very funny and warm and caring.

Dr Rosenbluth met us on our first appointment and from the get go got down to business, he knew our history and information which I appreciated- he did his homework before we arrived. He spoke easily and made it all understandable, not confusing doctor talk. He made us feel comfortable to ask questions and reviewed anything we asked over again. He has also called me a number of times to discuss outcomes and treatment changes which has been really personal and greatly appreciated. He never seems rushed or wanting to move to the next person.

Go to your appointments with questions and ask anything you are confused about- he is happy to answer them and obviously knows what he is doing. His end goal is to help you and it’s very obvious he’s a wonderful person.

We haven’t delved into the actual treatments yet but I have a very detailed calendar and plan laid out which I appreciate. I know Dr Rosenbluth will be very communicative throughout the whole process.

Some costs were upfront: $250 for initial visit, and $590-700 for other visits and sonograms/tests. All reasonable fees. They use Natera for genetic testing and you don’t pay till after and receive a significant discount for being an RSC patient. They also have financial a resource officer on site in the office.

I appreciate that Dr Rosenbluth and RSC are honest about not doing multiple transfers due to the heightened pregnancy risks. They care that we take one baby home and have high standards of practice.

The office environment is great, clean and well decorated. Everyone on the staff is very nice. They are mostly pretty well organized, although they could improve at that sometimes. For example, one time, one of the nurses gave me a blood test, and then the other one called me later and recommended that I get the same blood test, not realizing that I'd already had it done that morning at the clinic. But for the most part, they are on top of things.

My nurse is great. Very warm, likeable, and communicative.

She seems very competent. She is very good at explaining things in detail. She is thorough. She is very focused on genetic testing. I felt like she is slightly overly cautious. I tested as a carrier for a very rare genetic condition and I didn't want to pay to have my sperm donor tested for it because I was comfortable with the very small risk; she was a bit heavy handed in trying to talk me into doing further genetic testing. Similarly, she wanted to do an HSG test for blocked tubes right out of the gate, whereas other fertility doctors with which I consulted suggested doing 3 rounds of IUI before jumping to HSG. So, she likes tests. I think she knows what she is doing. Her bedside manner is mostly matter of fact, but she is not cold. She is nice.

Let her know if you don't want all of the tests she is recommending. For example, I told her I wanted to try 3 rounds of IUI before getting an HSG test, and she was okay with that plan. I just had to be assertive about it.

IUI $880 per cycle (including untra-sound monitoring)

This clinic is amazing. Every single staff member I encountered was amazing. The location itself was convenient, with ample parking. The facility was clean, comfortable, and all the equipment was in great condition. I honestly don't have a single bad thing to say.

Dr. Homer was absolutely amazing! He was frank, honest, kind, warm, and always gave me time. He never rushed me, always listened to all my questions and concerns, and never disregarded any of my feelings, concerns or instincts. I am actually a little sad to have to graduate from the fertility center back to my OB just because I would have loved to see him and the wonderful staff at the RSC throughout my pregnancy.

Lindsay was just amazing! She was so responsive. Always there to answer my questions via the patient portal. And on days that she was on leave, someone else always got back to me in her stead, always within the same day. I loved knowing that I could reach out to her and she would be patient and willing to answer any and all questions, as silly as they may have seemed to her.

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.

The clinic is great! They have multiple locations throughout the bay area and make it convenient to do your cycle wherever it is closest to you. The main clinic is open on the weekends, so you aren't worried about something happening on the weekend.

From the moment I shook Dr. Wecksteins hand, I knew he was the doctor for me. Kind, compassionate, friendly, calm, and candid. He has genuine in his answers to me. Listened to what I didn't like in my past protocols, assured me that he would do what made the most sense and made me comfortable.

The nurses are amazing. Always happy, seem to love their jobs, and seem to really want their patients to succeed.

I found Dr. Weckstein to be extremely patient, knowledgeable, and candid. I explained that I thought I had an issue with my progesterone, he then explained that we would do POI shots and would monitor how my progesterone was doing. Every other doctor either scoffed at the idea that progesterone was an issue or said they would give me supplements. Dr. Weckstein referred to different research that pointed to carrying a baby to full term. I've been searching for a doctor to be on the forefront of this. I'm pregnant now, although very early, I've never been pregnant through infertility treatments and I've never had my progesterone tested. Well, it's a 56 and we are very happy about it. Also, I told him I react poorly to Lupron which he said no problem, we can do a cycle with the minimum and see how it works, and it worked great! positive test 3 days early. Every time I've mentioned something about my process he would find another solution, which every other clinic told me it was "their" protocol that I was paying for and that they wouldn't modify it.

I did a Donor cycle, so I was put on minimum drugs. Estradiol patches, 2 every 3 days, and progesterone suppositories, and progesterone oil shots once a night.

Dr. Weckstein highly advised us to only do a single embryo transfer. We went through 5 failed cycles, so I had no hesitation to do a multiple transfers, which he reluctantly agreed to. We ended up with only two blasts and we put two blasts in. I'm luckily pregnant, my betas aren't crazy so we think it's just a singleton.

Be on time. Be respectful and kind to the employees. They are here to help you on this journey. Be honest, open and most of all patient. The journey of infertility and IUI/IVF is an emotional one.

Dr. Reid is very personable and when I speak with her she always makes me feel like she has my care in her hands.

Laura made all of my appointments fit my work schedule. I had a favorite sonographer (I can’t remember her name) but she was the best! She took the time to explain what she saw in my ultrasounds. I loved every time I had her and would ask to have her for each ultrasound if she was at my location and on schedule.

Dr Reid works with a great te if doctors and they all took great care of me through both of my retrievals. I appreciate Dr. Reid and her guidance throughout the IVF process and our journey to have a baby.

Ask a lot of questions. Ask about the different options. Be open to Dr. Reid’s advice. Be sure to weigh out your options before making any decisions.

The very first cycle started with bcp protocol before starting stimulating hormones but that didn’t work because I developed an ovarian cyst and so we skipped a cycle until cyst disappeared. The 2nd cycle I started with estrogen priming. I was on stimulating hormones for 14 days. My first retrieval yielded 14 follicles, 8 fertilized, 5 made it to blastocyst, 5 sent for PGS testing, all came back abnormal. The 3rd cycle was exactly the same as the 2nd except I I had 17 follicles, 10 fertilized, 5 made it blastocyst, 3 sent for PGS testing, 1 embryo came back normal. After retrieval I had myectomy to remove fibroids and hysteroscopy to removed scarring. Next step is mock transfer then FET transfer.

We applied for a double retrieval and paid $36k. We opted for PGS testing which was a separate cost of about $4k. Medicine/hormones were also an additional cost of about $10k.

Dr Reid will only do a single embryo transfer because of the removal uterine fibroids.

The clinic is very far away (2.5 hour drive) away from me but that isn't their fault. They did change their computer system last year and that was quite the hassle for patients and there new online system is confusing. Otherwise the equipment, people and lab is amazing. A lab onsite makes a huge difference.

Somedays like a number and some like a human. Just depended on the day and where we were at with cycles.

Laura is absolutely amazing! She truly cares about me and our outcomes. I dealt with other staff there (I don't remember names) and they were not as good as her.

Dr. Weckstein cares a lot about what he does and cares about his patients. He is knowledgable and helpful. He likes to use numbers and statistics which I love. Only downfall was because we are "young" we did not do testing in the beginning and had 2 failed transfers because of it. Wish we had pushed for more testing earlier.

Don't be afraid to ask questions and request testing even if he says it isn't "necessary."

1st was Egg Retrieval and Fresh Embryo Transfer-I don't remember much about this one. SubQ shots and vaginal suppositories. This ended up in Ectopic Pregnancy-not anyones fault. 2nd was FET-vaginal estrogen and then ended up on IM estrogen because my lining was not thickening. Then when uterine lining was 8mm started in vaginal progesterone and IM progesterone (had low progesterone before). This turned out to be a BFN. 3rd FET-Same as before but started IM estrogen way earlier and lining was perfect at first ultrasound.

25,000 for Egg Retrieval and Embryo Transfer (not including medication) 5,000 for FET-not including medication

They have suggested for us only single embryo transfer because we are young and have good embryos (as far as we know).

I like RSC. I didn't feel like a number, and I appreciated their multiple convenient locations. I interacted with many of the doctors and found them all easy to communicate with and seemingly very competent.

Dr. Hinckley very quickly understood that I wanted a lot of very detailed information, and she worked hard to answer my many questions. She often made time for a quick phone call with me. She was always so warm and cheerful!

Devronne was so on the ball! Her communication was crystal clear, and she always responded to my questions right away.

Dr. Hinckley is extremely knowledgeable, and she's very good at explaining complex medical information in a way that's easy to understand. She is very patient, and she's willing to go above and beyond to answer even the smallest of questions. She has even rearranged her schedule for me a few times. She's also upbeat, optimistic, and fun to talk to. I've now seen three REs, and she's by far my favorite.

You're in good hands!

I was diagnosed with diminished ovarian reserve at age 34, so we did two back-to-back IVFs to bank embryos. We transferred one high quality embryo, and that became my son. I had an additional three frozen embryos left over, and we tried two more times. The first try, a single embryo transfer, resulted in a miscarriage at 9 weeks that was later determined to be because of trisomy 15. The second try, we were planning to transfer the remaining two, but only one survived the thaw. That one resulted in a chemical pregnancy.

Dr. Hinckley strongly recommended that we do eSET based on our embryo quality and my age.

I think RSC is a great choice if you are in the Bay Area. Look at their SART success rates. Definitely read up on which doctor you pick, because there are many and they all have their own styles. The financial department is very unhelpful. If you have insurance coverage for infertility, it is very difficult to understand how much you will actually pay out of pocket until they are asking for a payment. Next to the anguish of a failed cycle, the confusion and frustration I felt when dealing with the financial department was the worst part of going through IVF.

For the most part, I liked Dr. Willman's "bedside manner." She was matter of fact without being cold, and went into the medical details in a way that I appreciated. In terms of her treatment plans, however, I do feel that she relies on numbers and statistics with less outside-the-box intuitive thinking, which means her treatment plans are somewhat less tailored to each individual. In my case she weighed lab results more than my medical history, so prescribed a medication protocol that looked good "on paper" but didn't take into account that I had tried something similar in the past with a poor outcome.

I had no complaints about the nursing staff or case manager. I felt well-taken care of.

For straightforward cases, I expect Dr. Willman could be great. But in my experience, as soon as anything deviated from the norm, it all started to fall apart. She's well-respected in the Bay Area and that's got to be for a reason, but I now doubt her medical opinion based on feedback from two other REs on her protocol. For example, she told me that blastocycsts from a rescue ICSI are no less likely to be viable than from regular ICSI or just IVF. She also told me that breastfeeding would have no effect on my IVF cycle. I have spoken to other doctors who feel the opposite on both those counts. She also tends to get defensive when challenged on some of the calls she's made, which while understandable, doesn't sit right with me. Despite some major setbacks, I did get pregnant and gave birth to my kid, though trying for #2 with this doctor was a complete failure.

Trust your gut.

My first IVF cycle was an antagonist protocol and canceled for a lead follicle. My 2nd cycle was a Lupron microdose flare protocol and ultimately did lead to a pregnancy and live birth. However, we were advised to use ICSI, agreed and paid for it, and then it was not done. We had an almost total fertilization failure--out of 15 eggs only 2 fertilized. Dr. Willman said that since the sperm had looked good, she decided against ICSI. We were livid and upset. The lab did "rescue ICSI" at this point, which ultimately led to 1 frozen blastocyst. I have heard since that rescue ICSI almost never works and that the blasts that result from it are almost always nonviable. Indeed, the FET cycle we did with that blast was a failure. For our last cycle, in an attempt to conceive a 2nd child, Dr. Willman prescribed another antagonist cycle despite the fact that in the past that had led to a canceled cycle for me. It was coupled with estrogen priming, FSH and Menopur. She also prescribed human growth hormone, but not beginning till stim day 5. In speaking with other doctors, the HGH should be started far earlier in the cycle. I had poor response to the drugs and my estrogen never reached above 900, even with 12 follicles. My estrogen dipped on the day of trigger. I asked Dr. Willman if we should cancel the cycle and she recommended going ahead to retrieval because this might be as good as I would be able to get. They got 7 mature eggs. Four fertilized, and only 1 made it to day 3. On day 6 it was deemed poor quality and not frozen or transferred. I really wish we had canceled the cycle. Now she recommends donor eggs.

It's far too much effort for me to try to quantify this unfortunately, between insurance coverage, canceled cycles, etc. It's all a blur. As I said previously, the financial and billing aspect of this process was a nightmare and it is here that the clinic has its biggest weakness.

Dr. Willman is a strong believer in the advantages of a healthy singleton pregnancy, and would likely recommend an eSET if the patient were on the younger side, or at any age if the embryos were normal as determined by genetic testing.

The clinic was in a good location, clean and pleasant to visit. there were some weaknesses we discovered once we left and went to our OB at Los Olivos with getting our paperwork sent over. We confirmed to have it sent over at our last RSC appointment and i called the day before my OB appt to make sure paperwork was sent. Then at my first OB appointment they were still missing all my blood work.

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. He was a partner throughout the entire process and never shyed away from the tough stuff, we had to go through some hard times and he was always thorough and supportive with us, telling us exactly what we needed and wanted to know, respectfully and politely. I cannot say enough good things about our experience with Dr. Homer. I met with one other Dr while Dr Homer was out, she did my follicle scan and she was absolutely delightful and encouraging as well. The support staff was also pretty outstanding, always trying to be supportive and prompt, it was much appreciated.

I didn't have a ton of exposure to the nursing team, unless Judi is part of that team? She was outstanding and generally supported me over the phone and through the portal. I did see a nurse for one of my follicle scans and she was outstanding as well, sorry I dont know her name.

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.

You don't get a ton of face time with your doctor. You may or not see them at all once your cycle starts. However, every physician with whom I've interacted has been kind, reassuring, and competent.

She's kind, thoughtful, and funny. It feels as though she cares if you're pregnant-- not just for her success rates but because she wants to help grow families.

Sandra is prompt on responses, and gives great updates. Sometimes it's frustrating to have questions be filtered through her-- it's hard to get an answer "straight from the horse's mouth", but Sandra does a great job interpreting answers.

She's very thoughtful and comprehensive in her thinking. She tries to set expectations and gives some rationales when things don't go as plan. She's willing to think outside the box and incorporate ideas from other physicians within her practice as well as from her previous clinics and any research you bring in. She may not always follow or endorse things, but she's willing to consider it and give a rationale why she thinks it will or won't be beneficial in this scenario.

Become friends with your nurse, who will be your primary point of contact.

We started with an estrogen priming antagonist with hgh protocol and that cycle was converted to iui due to lack of synchronization. Then we went to micro dose Lupron with hgh and had a chemical pregnancy (11R, 8M, 4F, transferred 2 at day 3, nothing to freeze). We did some further work up to make sure we weren't missing anything. Our next cycle would be a micros dose Lupron with hgh again, but was canceled at baseline due to a cyst. Final cycle was exactly like the second (MDL with HGH). We had 8 retrieved, 7 mature, 7 fertilize, 7 fabulous at day 3, all gone by day 5. Nothing to transfer or freeze. While she does not know why we don't make blasts, she's not pushing us to cycle again. She assumes it's poor egg quality as all sperm tests came back completely normal (including DNA frag). She's now recommending donor eggs or donor sperm.

12k for ivf (not including meds) 17k for freeze all with PGS (not including meds)

They prefer eSET, but we transferred 2 day 3 embryos. I'm not sure what they would have said if we had gotten to day 5 blasts or had any left to freeze in our case.

Professional & friendly staff. Clean premises, & peaceful environment. Sometime besides doctor's help we need to have patience, and determination. You are at the right place. RSC-SJ team is dedicated & devoted towards their patients (this based on our experience).

My experience with Dr Wachs has been amazing so far. Since day1 we had this connection about my situation. Each time if we have to do any procedure she will discuss that in details with us. Thank you for being an awesome Doctor.

My Team at RSC-San Jose is " Team of Superwomen". They are awesome in each & every thing. I am proud & trust my team.

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.

RSC is very welcoming, with a comfortable atmosphere and highly competent staff. The message portal they use for communication makes getting questions answered very easy. The only negative has been in dealing with the scheduling center. In scheduling my HSG, both my case manager and nurse had contacted the scheduling center to get in touch with me several times, and it was several days before they finally contacted me. When they did, I had only three days left to schedule the HSG and they had only one day available, which did not work with my schedule. They informed me that I could have it done at another facility and they would reach out to them to get it scheduled. I assumed they meant another RSC office, but I received a message through the communication portal directing me to an Imaging Facility or the local hospital, along with the phone numbers/contact info. I was told to let them know once I had scheduled the procedure and they would send over the paperwork. I spent close to an hour on the phone trying to get an appointment at another facility. While this is certainly not the fault of RSC, it would have been helpful to have known up front what to expect.

Dr. Rosenbluth has been very caring, kind and thorough. At the same time, he is very honest and straightforward. He was honest about the potential challenges of my treatment and the odds of success, due to my age. I feel very comfortable with him and appreciate his attention to my care on a personal level. I also appreciate that all the doctors in the practice discussed my test results and conferred with Dr. Rosenbluth's diagnoses.

The nurses have been wonderful. They are very caring and compassionate and make you feel at ease. My case manager, Jennifer, has been very easy to communicate with and very thorough, answering all of my questions quickly and completely.

Dr. Rosenbluth was welcoming and detailed in his explanations. He quickly put us at ease and made us feel as if we could trust him to navigate the procedures, testing, etc. We met with him during our initial consultation and ultrasound. I had my testing (blood work, HSG) at different facilities due to insurance coverage (blood work) and scheduling (HSG), but Dr. Rosenbluth followed up with me personally with the results of my testing and conferred with the other doctors at the clinic regarding my HSG results. We will soon be undergoing the remainder of treatment (MESA/TESE, IVF, ICSI, PGS, FET) and I'm very confident in the remaining care I'll receive from Dr. Rosenbluth and RSC.

Trust his knowledge, experience and suggestions. Know that he is giving you the best and worse case scenario and that he has your best interests in mind.

I have yet to undergo treatment and protocols with Dr. Rosenbluth. I had an initial consultation with him and an ultrasound to count the number of follicles and determine ovarian reserve, as that would help determine whether I was a viable candidate and potential success of treatment. He was pleasantly surprised by the number of follicles present (high for my age) which was followed by positive results from blood work, suggesting a normal to high ovarian reserve. He suggested an HSG because he saw a small paratubal cyst on the ultrasound, and wanted to confirm its diagnosis. Because my partner previously had a vasectomy many years ago, we knew he would need to undergo MESA/TESE, and we decided to have the procedure done at RSC rather than with his current urologist because we felt very comfortable and confident with Dr. Rosenbluth and RSC. Following his procedure, planned protocol/treatment is IVF, ICSI, PGS (because of my age), and FET. I have not been given an exact list of medications yet, just a probable list to contact my insurance company with.

The majority of my treatment will be covered by my insurance. The exceptions are MESA/TESE ($2935), PGS ($2300, plus $1750-3000 due to the genetic testing lab directly). My medications are also covered by my insurance.

We have not discussed the number of embryos to transfer yet, it is dependent on the number of eggs they're able to retrieve, number of embryos created, and results of PGS. I know that Dr. Rosenbluth is very supportive of eSET, however, my age may make a determination for multiple embryo transfer. I trust Dr. Rosenbluth to suggest the best option in my circumstance.