Spring Fertility

I appreciate that Spring really does try to provide a boutique fertility clinic experience that counters the experience of being "just a number" that I had at a larger fertility clinic. The atmosphere is welcoming and feels like a healing environment. I feel calmer there than I did at my previous clinic, and I've felt calmer and more cared for during the procedures. Everyone I've interacted with so far has been nothing but professional. The billing team has been very professional and proactive, giving me a much better sense of the financial commitment of each treatment up-front.

Compared to another fertility practice I've worked with, I feel like Dr. Tran understands and empathizes with the person behind the treatment. I think it's why he founded his own practice - to be able to offer a more caring environment to patients who are going through all the trials and tribulations of fertility treatment. He's candid about what results I can expect, but I personally find that more caring than a RE who is vague. He always remembers my name and status of treatment, and makes time to call me back personally when I call the on-call doctor line with a question.

Compared to my previous practice I've found the nursing team at Spring to be more compassionate, better communicators and more detail-oriented with the medication orders. I've enjoyed working with them. They seem to enjoy what they do.

I worked with Dr. Tran to conceive my son via IUI when he was at a different practice. It happened on the first try. I remember being impressed with how realistic and almost sober he was about the expected outcome, but how precise he was with my treatment. And it worked - we got pregnant on our first IUI and had a healthy child. Three years later, after several failed IVF cycles at that same practice in an effort to conceive a second child, I learned that Dr. Tran had actually founded his own practice in the city. I switched and began working with him. We are still in progress with the first IVF cycle at Spring, transferring the embryos from my first retrieval. Unfortunately we have had two frozen transfers that have been unsuccessful so far. I do understand that I have egg quality issues due to age that are limiting my chances of success. However, my previous fertility doctor offered no new ideas after each failure and only suggested that we repeat the same thing over and over. I trust Dr. Tran more to guide us through the process, taking into account each setback and adjusting the approach accordingly. He is very precise and seems to pay attention to each small detail of my hormone levels and responses to different medication, more so than my other doctor. Plus I somehow feel like he is more invested in the success of my outcome. I trust him to do the very best for me.

Dr. Tran is very candid about what a patient can expect from treatment based on age and other contributing factors. His approach is kind but verges on being blunt. I actually appreciate it and prefer it to the vague politeness of my former doctor. However I can see how very sensitive patients who may be new to the process could potentially not respond as well.

In my successful IUI cycle with Dr. Tran, we used Clomid and a trigger shot injection (can't remember which). I remember thinking that the Clomid dose sounded high and questioning it with the nurse, but obviously it was the right dose because it produced a successful outcome. In my current IVF cycle with Dr. Tran, we used Aygestin, Gonal-F, Menopur and Cetrotide with a Novel trigger shot for the retrieval. We did not do a fresh transfer the first time because my progesterone levels were too high for a successful outcome. With the embryos from that retrieval we've done two frozen transfers with a protocol of birth control pills, Lupron and Vivelle patches. Unfortunately neither have been successful. We have one more embryo to transfer to finish out this cycle.

My IVF retrieval was approximately $12,000, and each transfer has been approximately $3750 (with a self-pay discount).

When we were with our former practice, we insisted on transferring one embryo at a time because we want to avoid twins. Dr. Tran on the other hand educated us up-front on the statistical probabilities of different outcomes for me. It helped my husband and I see that due to our ages, transferring single embryos is unlikely to result in a successful outcome. When explained in terms of the statistics, this helped us get more comfortable with transferring several embryos at one time.

Spring has a lot going for it. Excellent doctors. Top-notch staff. Gorgeous clinics. Maybe the best lab in California, if not the entire west. I trust them with the most important medical care I've ever received in my life, and that is saying something. They're open seven days a week, and nearly always available (I honestly don't know how they do it!). My only complaint is that they seem almost too busy. Doctors are often rushed (for example, my doctor didn't have time to come back and check on me for even a second after my egg retrieval, which would have been a nice sign of compassion). Occasionally the waiting room is so crowded there is nowhere to sit. Non-urgent appointments can sometimes take a while to schedule. That said, once you're getting treatment from Spring, if you need an appointment, they will make it happen. I just hope they continue to add staff to meet demand, and that they don't take more patients than they can handle.

Tran is not a touchy-feely type, but I still always felt like he was giving me care directed at me, specifically. He is very aware of the extreme fertility hardships faced by me and and my husband (azoospermia), and is sensitive to that and tailors his recommendations to our specific situation. He remembered what it is I do for work, my thoughts on my particular diagnosis, and even that I like to see the follicle measurements on the screen after a scan-- small things that make me feel like he cares about me, even if he is very, very, very busy and moving very fast.

Spring has an excellent nursing staff. They are very communicative, and respond quickly to my calls and emails with the information I need. I sometimes worry they're a little overworked, because I've had a few completely inconsequential errors happen (calling the same birth control prescription into my local pharmacy twice because she forgot she did it the first time). However, anything that was important was handled flawlessly, and it seems like they've been adding staff to deal with demand.

Dr. Tran is an excellent clinician and scientist. He is well-informed in his craft, careful, and practices strong, evidence-based medicine. I trust him completely to get the best outcome for us, and I feel very secure that I'm getting the best treatment I can from him. I also think he is sensitive to patients' resources, and doesn't recommend a lot of extra bells and whistles if he doesn't think they're necessary. That said, he is lukewarm about newer treatments (ERA, HGH) because they don't have as much evidence behind them, and if you're looking for a kitchen-sink approach, he may not give you what you want (or he may only do so after you do some convincing of him yourself). He is not the strongest on bedside manner (which doesn't matter to me), but if you're looking for a warm-and-fuzzy doctor type, you might consider one of the other doctors at the practice. He is also incredibly busy, so don't expect him to spend a ton of time with you. That said, I felt like I got all the time I needed to have good care (just not one second more).

Go in to appointments with a list of questions ready. He will answer them, but you need to be prepared to know what you want out of the visit. I even went into monitoring appointments with a single question on a post-it so I could be ready to ask him as I was getting an ultrasound!

Dr. Tran started me with a mid-luteal start antagonist protocol, which he seems to really like, especially for DOR patients. This involves having a baseline 5 days after you ovulate, then you do a standard antagonist protocol (Gonal-F and Menopur, with Cetrotide added 5-7 days in). The rationale behind this protocol, as I understand it, is to catch the antral follicles before they start to develop at the beginning of your next cycle. I had expected results for my biology, and I am using the exact same protocol for my second cycle, but with a controlled start after a short course (10-day) of birth control.

Egg Cryo Cycle (2018 price) - $8,750; subsequent cycles are 10% off.

Dr. Tran strongly prefers a eSET for me, due to previous surgery on my cervix. He has encouraged us to do PGS testing and to transfer one embryo at a time, when we get there.

Spring SF is in a convenient location, a nice office building and they've created peaceful space. The front desk staff is considerate and organized. The lab is top notch (based on our retrieval results). All of the doctors I've seen there have been excellent - Dr. M, Dr. Klatsky and Ursula.

Dr Tran and his team are very attentive, he is thorough and empathetic. When both FETs failed (one chemical and one negative) he was understanding but upbeat about our potential to get pregnant eventually.

Allie is very responsive on email and phone. She's compassionate, patient with questions and knowledgeable. She seems to be very well-educated and sensitive to both Dr. Tran and his patients.

Dr. Tran is extremely experienced and well-respected. However, there are times when I didn't understand the drug protocol or certain choices he made and I felt like I had to really push him or the nurse to explain to me what the drugs were supposed to do, why I was being prescribed certain things, if there were risks or side effects with the drugs or procedures. It's important to be vocal with him in order to get questions answered.

Come to the appointment with a list of questions, be prepared to push to get your questions answered. He is respectful of questions but can come off as dismissive. This isn't personal, it's just his manner. He believes in evidence and facts, he isn't swayed by hearsay, paramedical advice and naturopathic solutions.

Prior to Spring, I had one live birth (10 yr old daughter) and two miscarriages (at approx 6 weeks). Spring put me through the normal regimen of tests and scans which revealed my right tube is blocked from an appendectomy when I was a teenager. Dr Tran's advice was to try IUI first. We did one IUI which resulted in a negative and another IUI was cancelled as I was ovulating on the side that was blocked. My husband and I decided to proceed more aggressively with IVF (I'm 39, he's 42). Our first retrieval was smooth, we got 6 mature eggs, all fertilized and grew to day 6. PGS, returned 3 normal embryos. We had the option to know the gender but decided not to find out. Dr Tran gave me a 70% chance of live birth. We did two FETs with one embryo each (Spring is firmly against transferring more than one Day 5 PGS tested embryo). Understandably, we were very very disappointed when both failed. One negative and one chemical pregnancy. I pressed Dr. Tran for answers. He didn't see any reason to change the FET protocol. I asked for an ERA, but he disagrees with this procedure. He offered to do an endometrium scratch, which I went through with but don't know that it helped much since the second FET also failed. With only one embryo left, we did some research and asked him to do another retrieval and FET at the same time (something they call a Switcheroo - not the medical term). We're currently heading into our second retrieval. He has prescribed Lupron, the Gonal F/Menopur and Omnitrope.

Retrieval is approximately $17,500 + $5,500 for medication. (Includes PGS testing). FET is approximately $4,500. IUI is approximately $1,500. Saline Ultrasound $950. HSG $900. Endometrium Scratch $300. Office visit $175 (if it's an additional visit)

Dr. Tran was very clear that multiple embryo transfer presents many risks and he'd prefer to only transfer one embryo. We agreed so we didn't ask for more specific information.

Strengths: modern and very nice and clean facility . No waiting time they call you in very soon after arrival. Weakness: you have to deal with many people so it gets confusing. You only see Dr Tran on the initial visit and then the rest is managed by coordinators, nurses and doctor assistans so if you are a person that like personal treatment this may not be the best place.

After our first IUI I didn't get my period for 2 months. I contacted the nurse that was assigned to me from Dr Tran's team at the time to let her know from the beginning that there was something wrong, but there was never a follow up from the nurse or doctor even afterwards after the IUI. After 2 months of us following up and asking what was wrong with us, we had to suggest for them to do test as I was very regular in my periods before the IUI. Then I had to let them know how disappointed and frustrated we were as as went to that clinic specifically as they advertise how they treat patients like human and we felt over the 2 month period. No follow up from Dr Tran or his team was done and we didn't hear from them unless we contacted them. They apologized and promised to be put more attention and follow closely our progress, that is why we decided to carry on with them.

I had to point out to the clinic coordinator how I was not feeling care by the nurse I was assigned as she didn't do any follow ups after contacting her couple of times due to my lack of period for 2 months after the first IUI. I asked to get another nurse assigned that could match our needs but they reassured us that in the future she will be more attentive. Dr Tran's Dr assistant , which performs the baseline and follow up ultrasounds was always very nice and attentive.

Dr Tran was very nice on the first visit. It went thoroughly with us on the treatment possibilities and we felt comfortable in proceeding with IUI treatments. He advised us for me to check the Fallopian tubes to check that was not a reason for infertility and also did an ultrasound to check that my uterus was well. The next time I saw him was during the Fallopian test, he was very kind and give me comfort knowing how uncomfortable and painful the test could be. The first IUI he wasn't available so his collegue performed the IUI, which he was nice, reassuring and careful. I am hoping to see Dr Tran on the next IUI.

Dr Tran was knowledgeable and honest on what to expect from the treatments and very nice to start with. However, if things go wrong as it happens to us, it seems like they have more patients than doctors in the clinic, so their follow up protocols lack in attention, so you have to make sure to follow up when you feel you need answers. Be prepared for the journey to be emotionally draining and don't expect emotional support from Spring.

IUI with Clomid. He decided to do IUI vs IVF as he thought it was a good point to start based on our history and the results from the blood and sperm test they run. The IUI was negative and I had a cyst , they told me that Clomid could produce cysts. I also didn't get my period for 2 months. I am in the middle of my 2nd IUI with Letrozole , which I suggested myself as to use something different from Clomid.

Initial Consultation $560 Blood test /Sperm $100 (with Insurance) Genetic test $1000 IUI $600/IUI Ultrasound $400/ ultrasound

I liked the clinic because its surgery center is state of the art. It’s waiting room and reception are comfortable and thoughtful without being over-the-top. In a previous clinic, a recent lobby renovation and the building itself - on the waterfront with sweeping views of the San Francisco Bay - was beautiful but made me feel as if my check was helping to fund their real estate rather than my service.

From our initial appointment forward, I was struck by Dr Tran’s humility. He seemed to genuinely care and I felt like he was not motivated by money, but actually respectful of my limited finances. I’m not certain of his background (I had been referred by a friend; I only knew he was a great doctor) but I felt that he had a strong work ethic, an empathy, and a consideration for others that I don’t typically associate with doctors.

There was a cadre of nurses— I saw a different one each time I camein for blood draws and ultrasounds. Still, I got the impression they all knew my chart and worked in concert. There were only two instances of disconnect/ miscommunication. It was mostly in the phone process. If I needed to call in to make an allotment change, or with a question, I was routed through a tortuous phone system of extensions. In one instance my voicemail message for a changed appointment was never received. Sometimes you just need a live person to pick up the phone— particularly if it’s during business hours. Emails fairedbetter, and I generally received a response within 12 hours of my request.

I sought to do one round of egg retrieval/ cryopreservatuon because my insurance doesn’t cover and it is all I can afford. I am 41 years old and have one child who is 1 years old. I am not in a relationship but I want to preserve my fertility for the chance to have a biological child with someone down the road. I was upfront with Dr Tran about my expectations, which are low due to my age. He was honest without being patronizing (as I’d maybe expected?) and he was even optimistic given my healthy prior AMA pregnancy. It should be mentioned that spring’s financing plan is what drew me to the clinic; but once there and after meeting Dr Tran I was very confident I was at the right place.

I think his bedside manner speaks for itself. He is approachable and kind.

Dr Tran did a mid-luteal retrieval— I began injections midway into my cycle, so my body was in a suspended state of ovulation when he did the retrieval. As I understand it, this is a new protocol that was previously used in extreme cases (I.e., cancer patients) but has had great results. We did, in fact, get good numbers (10 mature eggs retrieved).

$15k over three years. Financing plan with 0%apr including freezing.

N/a

Spring has such a great team. They are great at patient support when you're there with them. It has been tough to get ahold of the finance department when we need support, but eventually, we get in touch with them and they're amazing and give you all the information you need. We especially love the transparency of the pricing. There are clear costs up front that allow you to budget and make decisions based on your health and your financial situation up front without having to think about the extra costs that might come up. If we had any recommendations around that it would be to get the med package. It was fantastic to not have to think about how much each vial cost, and when we needed more they supported that process even when the vial costs went up during our cycle.

He takes the time to check in and see how we're doing at every appointment. He doesn't EVER seem rushed to move on to another client. He is funny yet also takes the time to explain everything to us.

Although I've only met Allie once at a difficult blood draw day, she was amazing and helpful then and every time I email/call. The rest of the nursing team, especially Susannah (she's who I see most of the mornings), is amazing! They're all there to support you and have a smile on their faces. They reassure you that everything's okay and help you understand when things are not.

With my other healthcare professionals, I call him my favorite nerd. He goes into so much detail if you ask questions and explains everything we want to know. He gets excited about how the numbers progress and even has little jokes about what is going on. I really appreciate his approach and expertise in the area. From our first meeting, I knew he was the right doctor for us. He is so knowledgeable and easy to talk to. There aren't many doctors that we interviewed that make you feel comfortable in an IVF clinic. Dr. Tran does that. He just sits back and listens when he needs to and asks probing questions when necessary. When our transfer didn't work, he called to check in and was sympathetic to our needs at that time. He took the time on a Friday night to explain what our next choices were and what we could do vs. what he suggests we do. I feel very well taken care of with Dr. Tran.

Be honest with him. He will, without a second thought, tell you what he thinks. I really appreciate his honesty.

Dr. Tran is a big believer in "less is more". We had a low dose of Menopur and Gonal-f for our stim cycle. He worked with my teaching schedule to plan our retrieval during my Christmas break. I felt less sick during my IVF cycle than I did on some of my IUI cycles. He would rather get 10 really great mature eggs and have all of them make it to freeze than 20 eggs, and an uncomfortable, broke patient, with similar results. We had a little set back when we began our cycle, I had two cysts and he immediately said it would impact our numbers and he was right. We were originally expecting 14-16 at retrieval. He explained to me how the cysts would impact the cycle and asked me how I would like to proceed. I always let him make the decisions as he's the expert we want to control our cycle. He went along with our cycle and we had 12 follicles, 10 mature, 8 fertilized-freeze. We transferred one at day 5. We still have 7 frozen and are going through a "natural" transfer cycle again on my timelines for spring break. He's amazing!

$14,500 for IVF then a $1000 teacher discount. They handled our medication package which was $3700 since I respond well to meds through Alto so it gets delivered same day. Our current FET costs $3250 with a discount because our previous failed fresh transfer.

Spring is a very new, modern and clean clinic. They offer free snacks, beverages, WiFi and they also have a water filling “station” so you could fill your thermos. All their staff is very friendly. Weakness is probably location since they are in downtown SF. They have a parking lot, but I haven’t parked in there. Metered street parking is not hard to find around there. If your appointment is early enough, street parking is free.

Dr. Klatsky asked me questions and valued my answers with complete understanding and validated my feelings. We chose to do IVF for the PGS/PGD testing and he understood that it wasn’t ideal to have to wait to start.

Helen is really friendly and very responsive to her emails. I had a lot of issues with getting my medications and Helen was very accommodating and quick with helping me call and send prescriptions to different pharmacies. I am extremely appreciative of her friendly can-do attitude and speedy responses!

Dr. Klatsky is very friendly and his calm personality always put me at ease. He explained the process simply and made sure I understood everything before I left his clinic. Since we have setbacks, he knew it wasn’t what either of us wanted so he was apologetic and ensured he’s trying everything he could so we can get started and get going. He informed me of what and when to expect to start our timeline and I felt more at ease.

Take all of his classes because they’re really informative and if they want to meet him then they should take their free IVF information session.

I’m not sure which specific protocol Dr. Klatsky put me on, but I had the saline sonogram and he saw that my uterus was healthy and smooth so I didn’t undergo a lot of testing. As I’m young, healthy and technically not infertile, I will be on menopur/Gonal-f/cetrotide/lupron. I have insulin injections as well. Dr. Klatsky said my injection amounts are a little more aggressive so they’re hoping I will produce more good quality eggs.

IVF is covered through my work, but I realized their retrieval and transfer facility is out of my network so I had to pay for their facility fee which is not bad. Dr. Klatsky knows PGS/PGD testing is pricey so he works with a company that if they diagnosis you then they offer $99 PGS/PGD testing (not including shipping/storage fees). With all those fees included, the testing would cost $600 which is way better than $5k+.

Because of my age he only agrees to do single embryo transfers, but I’m sure it’s case dependent.

It was a nice clinic, the equipment seemed new and up to date, and the staff was friendly. One slight downside, is they have a few locations - like one in Oakland - but some of the procedures they can only do in San Francisco. I ended up having to get up very early to go into SF for my egg retrieval despite usually seeing my doctor in Oakland.

She talked to me like an equal, took the time to listen to me about all of my concerns. She never rushed me, and answered all my questions in depth, and was nice when discussing personal matters that I was concerned may impact my egg freezing.

They were all very friendly, but I did not have a constant nurse, and saw a new person most times. They were also highly responsive over email, but I would just email whoever had contacted me last.

For the most part, I was very happy with Debra Minjarez. She was nice, and really seemed to know what she was doing. The only downside, is I believe she errs on the side of caution. My egg freezing ended up going significantly better than we had initially anticipated, as some of my earlier test results were not great, and I think she stated my initial results conservatively so I would be prepared if things didn't go as well as they did.

Be pretty open about your concerns, even if they seem embarrassing or silly. She was very respectful about everything that I asked.

I had a Gonal-F with Menopur protocol, starting with 225 iu of Gonal-F and 150 iu of Menopur, which were tapered down as treatment progressed/in response to my estrogen levels and ultrasounds. I think my dose was lowered towards the end, so I could take them longer while waiting for my follicles to mature. Overall, the results were very good, and I think they picked a great time to do my egg retrieval - we got a good number of eggs, but I didn't get sick afterwards (though, I didn't feel great the week after.)

It was, like, 4500 for meds and 8500 for all procedures related to the egg retrieval. There was an additional 400 up front for fertility testing, then an extra 200 at the end because I had 2 extra eggs that got frozen (they cover up to 20)

I didn't have embryos transferred

Strengths: brand new, state-of-the-art facility; new equipment and technology; clean and comfortable rooms; helpful and courteous staff; best-in-class embryologists; great video tutorials and supporting resources Weaknesses: understaffed; could use technology better for treatment calendars and management of process

Dr. Klatsky took time to understand our challenges with conception and ran all the appropriate tests before diagnosing the problem. He was patient, knowledgeable and assured us that our situation was normal. He was always available to answer questions and even proactively reached out to us during the process.

Helen was really supportive, responsive and showed great compassion. The only weakness we experienced was around proactive communication. There were multiple instances in which we had to email or call her to ask questions about the timing or process of the next stage of the treatment cycle instead of her reaching out to us. Furthermore, sometimes when she told us she would contact us with some update on X date, that date would pass with no contact requiring us to follow up. I think that much of this delay was due to the clinic being unexpectedly understaffed for the number of patients it treated so I think that Helen was just trying to stay afloat.

We were so happy with Dr. Klatsky as our doctor. The whole fertility process can be unnerving and overwhelming and Dr. Klatsky eased our anxiety/concerns at every juncture. He was patient, pleasant, explained the scientific jargon in layman's terms and made sure that we understood what the process would entail. Furthermore, he empowered us to make the treatment choices we decided to pursue by presenting all the information about the alternatives and giving us space to make the right decision for us. He never pressured us to choose a course of action or even undergo subsequent fertility treatments, which he could have because it meant more revenue for him. For example, he even told us that we were likely to get pregnant on our own at some point and it was up to us whether we wanted to wait for that outcome or pursue treatments if unwilling to wait. We really appreciated that.

Make sure that you understand the treatment calendar and the various steps of the process because that aspect can be really confusing!

We elected to undergo a natural transfer cycle to limit the amount of injections needed. Besides that, our treatment plan was typical for the IVF process.

He allowed us to make this choice and informed us that PGS would improve the odds of a successful single embryo transfer by understanding the genetic conditions of our embryos before the transfer.

I echo all the other reviewers’ sentiments. This place really is like a spa. It’s beautiful, tranquil, and truly up to date on all the latest equipment. I really cannot think of anything negative to say. They’re also open 365 days a year and always available. I trust spring fertility 100%. I’ve referred other friends here as well, and they all end up loving Spring just as much as I do.

The entire office treated me so well from the front office, the medical staff, the doctors, and the nurses. You never ever feel like you’re just a number. I really felt like they cared so much about me. They always did everything they could to accommodate me. I never waited more than 5 minutes for an appointment, even when I was super early.

Allie is such a wonderful and kind nurse. On top of that, she is super competent and organized. I really felt that she cared about me. She is on top of everything and is really great at communication.

Dr Tran is one of the most brilliant doctors I have ever met. He is truly gifted in his area of care. I have several other friends who have seen him and none of us have had the same protocol, yet we have all been successful with him! He is up to date on all the latest advances, and truly treats every patient as an individual. He really assesses each persons situation and comes up with the best protocol to suit them. I always felt that he really cared about me.

He’s super direct, and you should appreciate that about him. He always gives it to you straight. Also, be super straight with him too.

We did a straight start with no priming or any kind. For a dor patient like me, he didn’t think priming was necessary, and he was right! I did a cycle at a different clinic with estrogen priming and max meds, and only got 2 embryos. With dr tran, he started me off with medium doses of follistim and menopur, and slowly reduced them as the cycle went on. I ended up with 9 eggs, but got 7 High quality blastocysts!

Honestly, I still haven’t received my final bill yet.

Dr Tran strongly suggested single embryo transfers, which we agreed was he best option. However, I ended up having 3 failed embryo transfers. I sought immune treatment and also requested to have 2 embryos transferred for my 4th transfer. Although Dr tran still advised us to do a single, he listened to us and went with our decision to do 2. We wanted to do 2 because of the cost and chance of higher success.

I was a "weird" patient who was traveling from out of state and not going in for routine things like bloodwork and ultrasounds. As I mentioned, the clinic felt like a spa and everyone is really nice and respectful. Can't think of any weaknesses.

Dr. Tran is a wonderful person. I always felt like he remembered everything about my case and was very reassuring. He wrote personal emails to me right away and also was always available to talk. He is very good at being optimistic while also discussing risks and downsides. He gives wonderful patient-initiated hugs.

Everyone at Spring Fertility (and UCSF when Dr. Tran was there) is wonderful. Seriously. It feels like a spa. Everyone is so nice and respectful.

I first saw Dr. Tran when he was still practicing at UCSF and I was living in San Francisco. I went in to ask him if I had a fertility issue because I had had two miscarriages and was having very light periods. He assured me that I did not have recurrent pregnancy loss and that I had a lot of follicles so didn't have to worry about timing yet. I was subsequently diagnosed by another doctor in Dallas (where I moved to next) with Asherman's Syndrome (intrauterine scarring caused by a D&C after my first miscarriage). I flew back to San Francisco twice to have Dr. Tran perform hysteroscopies to remove the scarring. After I had my first child and was again diagnosed with Asherman's Syndrome (possibly recurring from a c-section or never fully resolved) and was living in DC at the time, I AGAIN went back to see Dr. Tran for yet another hysteroscopy because I love and trust him so much. I sometimes still wish I lived in San Francisco so I could go see him. He has also consulted with me over email and the phone about my thin uterine lining issues and saw me for an emergency ultrasound when I happened to be in San Francisco during my pregnancy and was having a lot of bleeding. He is my gold standard of doctoring. His office sent our family a holiday card and I put it up on my fridge because I like looking at him. He provided hope to me when a doctor in Dallas told me there was nothing he could do for me and I needed a gestational carrier (in a twist of fate, I am now pursuing the gestational carrier route for a second child!). I really cannot say enough good things about Dr. Tran.

If you don't understand what Dr. Tran is saying, ask him to repeat it or write it down. He actually made me a really cool diagram of what was going on once and I kept it for a long time. He's very patient so don't feel like you can't ask your questions.

I think I covered this previously. Dr. Tran has tried to help me over the years with my intrauterine scarring issues (Asherman's Syndrome) and my resulting abnormally thin lining issue. He performed three of the six total hysteroscopies that I have had to date. After the first three hysteroscopies (one from a doctor in Dallas and two from Dr. Tran), I actually conceived my first child (using a protocol set in place by another doctor). Dr. Tran was the doctor who said my lining looked good enough to try getting pregnant again and he was right because I did get pregnant on my first try using injectables and timed intercourse. For baby number two, I am pursuing a gestational carrier because after three more hysteroscopies (one of which was performed by Dr. Tran and two of which were performed by a doctor in New York) and two failed FETs, I am worn out by the whole process and my lining is both abnormally thin and fluid filled - both things that are hard to treat. Plus there are a number of other risk factors from the first pregnancy. In short, results are mixed because I had a successful pregnancy after two hysteroscopies plus estrogen therapy under Dr. Tran's care, BUT I am now pursuing a gestational carrier because I don't think anyone, including Dr. Tran, is able to fix my lining this time.

Most of my treatments with Dr. Tran were medical treatments covered by my insurance (as opposed to fertility treatments that are often capped or excluded). So the costs were not a big deal. I think my first two hysteroscopies with Dr. Tran were totally covered. My third one was out of network and I think I paid $1,000 for it.

I didn't see Dr. Tran for this issue, but I can tell you that he is pro eSET. My successful pregnancy was a triplet pregnancy resulting from taking injectables plus doing timed intercourse. It was a dichorionic triamniotic triplet pregnancy (identical twins sharing a placenta and a singleton) and Dr. Tran very strongly counseled me to have a multi-fetal pregnancy reduction of the identical twins due to the risks of multiples and particularly multiples in this configuration. So I cannot imagine him promoting multiples! Obviously these questions depend on age and quality of the embryos, but I'm pretty sure he would encourage singletons.

Strengths - they are organized! They had everything prepared before my first appointment. I never felt like my treatment or information fell through the cracks - they have a lot to keep track of with a busy patient load and fast changing information, and they stay on it. Clean facilities, beautiful office. Weaknesses - little slow delay for labs to be uploaded to account online but really, those would be emailed to me within hours of my appointments.

The entire staff at the office is personable and greets you by name. While undergoing fertility treatments could make one feel dehumanized, harvesting eggs and having invasive frequent visits, Dr. Klatsky always asked about other areas of my life. He made me feel valued as a person beyond a very personal journey I was on in freezing eggs.

They are great :) All super friendly, positive and upbeat, available, and quickly answer any questions via email. They really were a joy to work with and be around, and reason I had a good experience in this process.

Dr. Klatsky is knowledgeable in his field. He has a lot of experience. He was always personable, and cared about my life beyond being a patient in the clinic undergoing a process that could make one feel.. dehumanized. He made himself available to talk more if I had questions and once I had absorbed difficult information. He made me feel valued as a patient. He was attentive to fine tuning the nuances of medication dosages so that I would have the best outcome possible, which I appreciated - his attention to detail.

Don't be afraid to ask questions. The hard questions, like how many egg retrievals have they done and how many successful pregnancies from those retrievals.

I was on a demi hault my second cycle - got 3 eggs at retrieval. My first cycle was with Menopur and Follistim - no Lupron as in second cycle - which got 4 eggs at retrieval.

About $10-12 k per cycle

They're a boutique clinic with only two doctors, so you really get specialized care and feel like a VIP. I saw my doctor at every appointment except for one, but they have to have days off! I really doubt he takes very many. I've been to other clinics. To me, they just seem more knowledgeable and more compassionate than the others. They don't have weaknesses. The only issue I had is that the clinic is a 3 hour drive from where I live, but absolutely worth the commute

Everyone in their office is so friendly and professional! The nursing staff is top notch and always positive. Their office is beautiful and comfortable. Dr Tran will work with you, on your terms, in a way that makes you feel confident. He will let you trybwith your own eggs and not just push donor eggs to up his success rates. But the biggest thing- they sent flowers to me during the tww to send "good vibes during this time". Way different than my first clinic who basically told me my eggs were garbage!

She is so nice! Compassionate! Always responded to my emails and voice messages very quickly, and if there was ever an issue- with insurance etc, she handled it quickly

I was referred to him by my acupuncturists who said he deals with the "toughest cases." He is friendly, professional, patient, compassionate, and amazing at his job!!! I had two failed ivf cycles elsewhere. If I had come to him first, I would have saved a lot of time and money. My first cycle with him was a success!! I plan on going back when I'm ready for baby number 2.

They know what they're doing! They are open to your ideas if you have a certain plan in mind, but you can trust them!

I started letrozole after ovulation for 10 days and did a mini stim cycle to calm down my endometriosis. I was in way less stim meds this cycle and I think that helped my egg quality immensely. We did a fresh 3dt with 3 embryos. One stuck!

13,500

He will do one or more depending on the patient's wishes, the quality of the embryos, and the patient's age.

They were just getting started at the time so a tiny bit disorganized. However I have had friends use them since and think things have improved tremendously. The nurses are so incredibly kind and responsive and the doctors are just sharp as tacks. I trust them to get the absolute optimal outcome and are really invested in their patients. Also, lovely touches - no hospital atmosphere, nice little gifts (chocolates after my egg retrieval!) and amazing snacks in the waiting room. I also love that I had one doc and one nurse for the entire process so they KNEW me and my case.

Dr. Klatsky was great. He’s incredibly funny - it took a little getting used to especially at the beginning (his partner Dr. Tran has a much more mellow bedside manner), but I trusted Dr. K’s expertise thoroughly and he monitored my egg retrieval and freezing like an absolute pro.

Fantastic team. So friendly and REAL. Ihad 1:1 instruction for how to give myself injections which was so helpful. Plus great email responsiveness and video tutorials

He was great and a pro. Not super soft bedside manner but very smart and funny. He presented facts in a clear and accessible way and was very direct. I trusted him completely and though he could be a little flippant, I felt like he had my absolute best interests at heart.

Don’t expect kid gloves but he is a really kind and expert doctor.

Went on birth control to regulate predict my period. Then, I started on Menopur and Follistem for about 12 days. I was going in basically every other day while Dr. K monitored with ultrasound and blood draws. He adjusted the med levels accordingly and was very in tune. He explained why he made the choices he did and I was really impressed with how he calibrated.

8k for one round of egg freezing; 4K for associated meds. Annual $600 for storage of frozen eggs.

None

I worked with Dr. Tran at UCSF and it was a modern, friendly place; I know he's started his own clinic (Spring) and I imagine it's equally nice.

Dr. Tran explained our situation with clarity and compassion during the entire process (retrieval through first trimester, after which I was transferred to OBGYN). My hormone treatment felt very customized and I felt like he was invested in our success, e.g., didn't do a fresh transfer because my hormone levels weren't optimum; waiting was hard, but I trusted his judgement. After two failed transfers, he suggested a uterine scratch because it was worth a shot and wanted me to feel like we were "doing everything we could." When I felt like a failure, he reminded me of the probabilities and the role of genetics (versus what I did or didn't do during the cycle). He was always willing to work with us and we'll be using him again for sure!

Olga was very responsive. She answers lots of my questions about the protocol along the way and assured me I was doing things right.

I felt like I was in great hands. I knew he lectured around the world on fertility treatment, so it was clear he understood the science but also genuinely wanted to apply the science and help each patient. He never rushed us during visits and had a good sense of humor, which my husband really appreciated :) He was responsive to my needs, e.g., allowed me to talk to an IVF therapist free of charge after my second failed transfer. I can't recommend him highly enough -- it's hard to be an IVF patient because you're always wondering "will it work?!" but I had a great experience with him and never questioned his care.

Don't hesitate to ask questions; his answers are spot on!

Egg retrieval (birth control, Follistim + Menopur, Ganirelix) - 19 eggs --> 6 5-day embryos Frozen egg transfer (birth control, Lupron shots, Vivelle patch, progesterone shots)

Egg retrieval ~$13,000 Each frozen embryo transfer $3,000-4,000

We loved his approach - patience is a virtue! We really only wanted a singleton (otherwise we could have done hormones + IUIs), and it was tempting to want to transfer two embryos to have success more quickly, but because our embryos were of good enough quality, we stuck with one embryo per transfer and were glad we did -- one baby is plenty of work :)

The best thing about Spring was the care felt very personal. Everyone knew our names, and even the embryologist came to introduce himself before our egg retrieval. I felt very cared for throughout the entire process.

Dr. Tran and his staff always treated me like an individual. They all knew details of my case, and seeing a Dr at all of my monitoring visits made me feel like they took my cycle seriously and wanted to individualize the treatment course.

Allie was friendly, caring, and compassionate. She always responded very promptly to questions and was very clear in her instructions regarding medication dosing, etc.

Dr. Tran is a thoughtful and compassionate doctor. He explained things very clearly and was straightforward about the challenges he anticipated in our case, which I really appreciated. He updated us at every step so I never felt confused about what to expect. Overall he gave us very realistic expectations.

Ask all of your questions! He is well-informed on advances in fertility care and applying new data to individual patients.

I completed an egg retrieval using an antagonist protocol (Lupron followed by follistim/menopur) and day 5 fresh embryo transfer with 2 embryos. I am currently pregnant with one (due next month).

$16,000

Dr. Tran educated us thoroughly on the risks and benefits of multiple embryo transfer vs eSET and ultimately the decision was up to us.

Cleanliness, organization, fast response time, good communication. A few times there were miscommunications but these were all resolved quickly. One cycle I didn't have anyone to drive me home and one of the coordinators actually gave me a lift back, that was super nice of her.

Very clear explanations of treatment, very attentive, office is great, took a lot of time to check in on my personally. Nursing staff is great. Atmosphere is calming. Great communication. Gave me a very gentle treatment to make sure I didn't get OHSS.

Fast response time; very kind; attentive

Very clear explanations of treatment. Was very considerate in choosing a regimen that would be suitable for me and have a good/easy recovery time. Great communication and availability. He made sure that I had a gentle ramp-up of meds to avoid OHSS. He went out of his way to call after to make sure I was doing OK as well.

Ask questions, he'll take the time to answer them.

lupron only trigger and gentle/lighter hormone doses, because my AMH was a bit high and he wanted to avoid OHSS.

there was a minimal (maybe $300?) consultation fee, but luckily for me due to the nature of the program I participated in there was no other cost to me.

N/A

It is very easy to get appointments. All procedures are handled by the doctors. They are super responsive.

Everyone in the office knows my name. When I come in the receptionist greets me by name. Dr. Tran knows me, and talks to me honestly and compassionately. He was also really honest about conditions that others had dismissed and made really good referrals to other doctors.

They were attentive to my queries. I generally received a response immediately or within a few hours. They also seemed to be informed on me as a patient, and were very clear about the information that they were able to provide, and when they needed to consult the doctor.

Dr. Tran seemed to view me as an individual, and was willing to try unconventional protocols. He was also mindful of cost issues as I was self pay at his office. He was also very responsive to my requests, and was available for appointments with relatively short notice.

He is open to experimentation, and trying unconventional protocols.

$7500 +meds

Very patient-centered. They actually do work around your schedule!

Easy access to the doctor (e.g. by email or phone). Very caring doctor. He was very invested in our outcome and was genuinely disappointed when we had bad results. He has a wry sense of humor, which really helped us gel with him.

Allie is the best! I think she's a bit over-worked now as response times have gotten slower, but for anything time-sensitive, she's always been right on the ball.

He is clearly very dedicated to the clinic. Always available (e.g. by email or phone) to discuss any questions we might have. He may not be the hand-holding type, but it was obvious that he really cared about our outcomes. He also has a wicked dry sense of humor.

Don't expect to have your hand held, but do know that you are in great hands.

Demi-halt protocol (lupron, then FSH and Menopur). Results: about as expected.

$18000 with ICSI/PGD + meds

I was already very pro eSET, so no conflicts there.

Great clinic, fast, clean, organized. I paid out of pocket and it's pretty expensive, but worth it.

Dr Tran is very direct, but very straight to the point and will answer any questions you have. I'm not big on asking detailed questions, just want to know about next steps. I really liked his style and the best was the efficiency.

Dr. Tran is great, sharp, straight to the point and competent. He explained the treatment in detail and answered all questions I had. He tried a different protocol that worked really well for me and delivered a great outcome. He certainly exceeded my expectations.

He is not super warm and fuzzy, but he gets the job done. I'd still work with him.

don't know.

8,500 for egg freezing treatement

n/a

Strengths: Beautiful clinic and technologically advanced Weaknesses: Just didn't click with Dr. Tran so I switched clinics. However, another friend of mine really liked that Dr. Tran was not warm.

Dr. Tran is very straightforward and not warm at all.

On my first visit, I mentioned that endometriosis had been found inside me during a surgery I'd previously had. Dr. Tran dismissed this, saying I probably didn't have endometriosis. I quickly lost trust in his abilities, given he'd only seen me once and had no reason to make such statements.

$250 for sperm testing