UCSF

Available Resources

Genetic counseling: Offered
Genetic counseling
Acupuncture: Offered
Acupuncture
Mental health counseling: Offered
Mental health counseling
Nutrition counseling: Offered
Nutrition counseling
Administration of shots: Offered
Administration of shots
Coordinating at-home nursing: Offered
Coordinating at-home nursing
Selling medication: Offered
Selling medication
Providing backup medication: Offered
Providing backup medication
San Francisco
499 Illinois Street
San Francisco, CA 94158
(415) 353-7475
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On a scale from 0-10, how likely are you to recommend UCSF to a friend?
Strongly recommend: 68%Neutral: 17%Don't recommend: 15%8.7
136 assessments
  • 68% Strongly recommend (9-10)
  • 17% Neutral (7-8)
  • 15% Don't recommend (0-6)
Operations
Poorly operated
Operated well
8.8
Operations

Ratings of 1 indicate that a clinic was poorly operated.

Ratings of 10 indicate that a clinic operated very well.

Scheduling
Difficult scheduling
Easy scheduling
8.7
Scheduling

Ratings of 1 mean it was difficult to schedule appointments with this clinic.

Ratings of 10 mean it was easy to schedule appointments.

Billing Department
Incompetent billing dept.
Competent billing dept.
7
Billing Department

Ratings of 1 indicate an unsatisfactory billing department.

Ratings of 10 indicate an excellent billing department.

Nursing Team
Poor nursing team
Excellent nursing team
8.6
Nursing Team

Ratings of 1 indicate an unsatisfactory nursing team.

Ratings of 10 indicate an excellent nursing team.

Attention to Detail
Low attention to detail
High attention to detail
7.6
Attention to Detail

Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.

For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.

CDC Success Rates

This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics.

For more information please see our FAQs.

Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.

Live births per fresh IVF cycle by age range
10%
20%
30%
40%
50%
60%
<35
35-37
38-40
41-42
>42
This Clinic
National Average
Annual Cycles for this Clinic
2,822
Annual Cycles National Avg.
635
136 assessments
7
8
Age
41
Treated
2018
Success with this Doc
?
Treatment
2 IVF
Diagnosis
Poor Egg Quality, Other
7
8
Dr. Fujimoto is just the right combination (for me) of passionate and clinical. He took plenty of time to walk through all the options for us - as number of insurance cycles and age and timing were all of the essence. He had a number of suggestions for working around insurance which I thought was really keen of him to even discuss with us. His clinical approach is clear and concise. Every time I asked a question (why didn't I get my period...
UCSF is a very busy clinic. It is a teaching hospital and therefore you do not always see the same doctor or nurse and it's rare to have your actual doctor perform your monitoring or retrieval....I was always in and out quickly. But every person there is wonderful. The front desk, the phlebotomists, the nurses - so kind hearted....UCSF is VERY adamant that their goal is a singleton birth. They give you a chart up front that shows age and issue and number they will transfer.
Age
41
Treated
2018
Success with this Doc
?
Race
European
Income
$200K - $499K
Occupation
Consultant
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
2 IVF
Diagnosis
Poor Egg Quality, Other
7
8
How was your experience with Victor Fujimoto at UCSF?
Dr. Fujimoto is just the right combination (for me) of passionate and clinical. He took plenty of time to walk through all the options for us - as number of insurance cycles and age and timing were all of the essence. He had a number of suggestions for working around insurance which I thought was really keen of him to even discuss with us. His clinical approach is clear and concise. Every time I asked a question (why didn't I get my period, is my lining supposed to be that thick? what EXACTLY does it mean that you slowed down my medications) he answered it and did not rush, was not condescending and always followed up to ensure I really understood. He does not have what I would call a "delicate" bedside manner, but a warm pat on the leg and a smile and a let's get you a baby attitude when he leaves the room just always made me feel like he was totally on my team. Like a really great little league coach that you never forget. :)
What's one piece of advice would you give a prospective patient of Victor Fujimoto at UCSF?
Don't be discouraged if he talks over you. It might seem rude but it's not. He is just full of information and you can see it bubble over and he just wants to share his knowledge. Just be patient and repeat yourself. I said "hold on" a number of times and he was very receptive to that.
During treatment, were you treated like a number or a human with Victor Fujimoto at UCSF?
UCSF is a very busy clinic. It is a teaching hospital and therefore you do not always see the same doctor or nurse and it's rare to have your actual doctor perform your monitoring or retrieval. I got incredibly lucky and because of his on call schedule, Dr. Fujimoto ended up doing 3 of my monitoring appointments as well as my retrieval (therefore the question later on in this review re: the topic of how often I saw my doctor and did they perform the procedures should be taken into consideration - I got lucky).They run their clinic like clockwork. This can be a bit off putting if you were looking for a more personalized approach and can perhaps make you feel more like a "number". It worked for me because it is a highly emotional situation, and this approach made that easier for me to handle. It also is very great for work schedules, I was always in and out quickly. But every person there is wonderful. The front desk, the phlebotomists, the nurses - so kind hearted. Even with the busyness, I always felt like they aren't just treating a "fertility patient" - they taking care of ME and they SEE ME. They all truly show empathy and care with every interaction.
Describe the protocols Victor Fujimoto used in your cycles at UCSF and their degree of success.
OCP Antagonist Protocol 7/21: Cycle Day 2 - Eskyce (Birth control) 8/06: Cycle Day 17 - last active birth control pill 8/09: Baseline US 8/11: Gonal F 225, Menopur 2 vials (150 units) Continue all meds 8/15: First monitoring appointment. Reduced GF to 150 units 8/16: Start Centrotide before 11am, continue all other meds 8/21: Stopped all meds, HCG 5,000 trigger at 9:30pm 8/23: ER 19 eggs retrieved 14 fertilized 9 to PGS 1 PGS tested embryo waiting for FET October 2018. (My first cycle with a different doctor was less eggs and embryos, 2 fresh transferred that failed, and ultimately resulted in 1 PGS tested embryo frozen. Relatively same results, but who knows why those 2 fresh transfers failed.)
Describe your experience with your nurse at UCSF. (Assigned nurse: Danielle, Anna, Someone else who covered)
Danielle is the first person I spoke to when I expressed wanting a new Doctor (who ended up being Dr. Fujimoto). She spent a good 20 mins on the phone with me to understand who I am and what doctor would be a good fit for me. She works in partnership with Anna, who I never met. The two of them seem very overworked but still organized, and there were some vacations and days off that seemed like someone was always covering for someone else. They always apologize for any slowness or confusion (there rarely was any, I didn't even have to call for help with medication once they sent in the order). Don't get me wrong - this was actually never a problem for me. I worried it would be. But I got all the info I needed when I needed it and they were very kind hearted.
Describe your experience with UCSF.
I believe in teaching hospitals and think that is a strength in and of itself. If you are looking for someone to get super creative with how to make things happen for you, I'm not sure this is the right place but both of my protocols have been pretty "textbook" antagonist protocols, so hard for me to judge. It is not a boutique fertility clinic - understand that up front. It isn't a weakness, it just is what it is.
Describe the costs associated with your care under Victor Fujimoto at UCSF.
I paid $0 because I'm very lucky to have great insurance (at a job I hate, but hey, beggars can't be choosers). Overall: $5k FET ER: $15k Meds - depends on where you get them filled. They offer "self pay" which he said was "better than military rates".
Describe Victor Fujimoto's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
UCSF is VERY adamant that their goal is a singleton birth. They give you a chart up front that shows age and issue and number they will transfer. In my case, I have 2 PGS embryos and he was 100% willing to do both. (My last cycle with different doctor also transferred 2 fresh, which was their standard recommendation and also on the recommendation of the lab.)
7
Doctor
Victor Fujimoto
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

4
4
Age
33
Treated
2015
Success with this Doc
No
Treatment
2 IVF
Diagnosis
Recurrent Pregnancy Loss, Unexplained
4
4
Dr. Huddleston is extremely sympathetic and kind. ... But she is quite conservative in her treatment protocols. ... My greatest critique of Dr. Huddleston however, was her insistence that we did not need to test my husbands sperm before Femara cycles with timed intercourse ,because I had had 2 pregnancies (and miscarriages). As it turns out, his sperm motility and count were quite low, but we didn't find this out until much later, wasting a ton of time.
a few tests that were supposed to be ordered were left off of the lab request. And in one case the wrong test was ordered ... Overall the clinic [UCSF] seems to have decent, if conservative, doctors. ... The administration and nursing staff were chaotic. ... I would double check everything you are told, or you may end up wasting a lot of time. I only had medicated cycles with this clinic. When it came time to move on to IVF, I went elsewhere. There are just too many moving parts with IVF to risk administrative errors.
Age
33
Treated
2015
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Teacher
Order & Number of Docs Seen
1st of 3 Docs
Treatment
2 IVF
Diagnosis
Recurrent Pregnancy Loss, Unexplained
4
4
How was your experience with Heather Huddleston at UCSF?
Dr. Huddleston is extremely sympathetic and kind. She is also knowledgeable in the field of recurrent pregnancy loss. But she is quite conservative in her treatment protocols. For example, while other doctors might try metformin, a blood thinner or immune treatment speculatively, Dr. Huddleston strictly follows the research literature. This could be a good or a bad thing depending on your outlook. She was willing to try metformin for my mild case of PCOS, after I delivered her a bunch of my own research. My greatest critique of Dr. Huddleston however, was her insistence that we did not need to test my husbands sperm before Femara cycles with timed intercourse ,because I had had 2 pregnancies (and miscarriages). As it turns out, his sperm motility and count were quite low, but we didn't find this out until much later, wasting a ton of time.
What's one piece of advice would you give a prospective patient of Heather Huddleston at UCSF?
She is not likely to think very far outside of the box. So do your own research and advocate for yourself.
During treatment, were you treated like a number or a human with Heather Huddleston at UCSF?
Dr. Huddleston is very nice and has a good bedside manner. However, her nursing and administration team was a nightmare. It was difficult to get in touch with anyone. At one point they ordered the wrong tests for blood work, and left out other tests. If I wasn't constantly double checking their work major things would have been missed.
Describe the protocols Heather Huddleston used in your cycles at UCSF and their degree of success.
We did 2 cycles of Femara with timed intercourse. The second cycle we also had ultrasound monitoring, at my request. Dr. Huddleston believed that I could get pregnant on my own and that my 2 miscarriages were likely "bad luck." So, we just tried Femara to get a "stronger ovulation" which would hopefully trigger a more robust hormonal response. Neither cycle resulted in a pregnancy.
Describe your experience with the nursing staff.
The administration and nursing staff were chaotic. They are juggling a lot of patients, and things often seemed to fall through the cracks. I had to follow up with them constantly to clarify instructions. Once they ordered the wrongs tests, and I had to get blood drawn multiple times. If I hadn't been double checking things they never would have caught this on their own
Describe your experience with UCSF.
Overall the clinic seems to have decent, if conservative, doctors. But the administration needs a lot of improvement. I would double check everything you are told, or you may end up wasting a lot of time. I only had medicated cycles with this clinic. When it came time to move on to IVF, I went elsewhere. There are just too many moving parts with IVF to risk administrative errors.
What specific things went wrong at UCSF?
  • Lost paperwork
  • Failed to order appropriate test
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at UCSF.
I had a large number of tests ordered to try to get to the bottom of my recurrent pregnancy loss. However, a few tests that were supposed to be ordered were left off of the lab request. And in one case the wrong test was ordered (the name sounded similar to the correct test). If I didn't know exactly what tests I was supposed to be getting, I wouldn't have been able to catch all of this and correct it.
4
Doctor
Heather Huddleston
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
4
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
37 - 39
Treated
2018 - 2020
Success with this Doc
Yes
Treatment
4 IUI, 4 Egg Freezing, IVF
Diagnosis
Endometriosis, Unexplained
10
10
He [Dr. Mitch Rosen] was able to comprehensively assess our case & then fine tune our IVF protocol to produce results that we were not able to achieve until then. We went from feeling like we may very well not be able to conceive at all to having many healthy embryos now “in the bank” and will be attempting implantation for pregnancy soon. Dr. Rosen was very conscientious about answering all of our questions and also incorporated our own preferences and input. We are immensely grateful to Dr. Rosen and so very lucky to have been able to work with him. September 2020 UPDATE: Our fertility journey was very long and challenging, but Dr. Rosen guided us through and now we are pregnant!!! He and his clinical nurse manager Liz Gomes were extraordinary. They have been so smart, caring, patient, professional and supportive. We could not have been in better hands.
Be aware that while in-cycle, on weekends you might work with RE Fellows rather than directly with an Attending [at UCSF]...We also saw two Nurse Practitioners, Katrina and Stephanie, several times throughout the course of treatment. Both Katrina and Stephanie were fantastic. All of the nurses, techs and front desk staff at CRH (especially Maria!) have been really warm and kind. We have felt that they are genuinely rooting for us, which made all the difference while going through such an emotionally and physically taxing journey. We also worked with Annie, assistant to Dr. Rosen, at the beginning stages before starting our cycles. Annie was incredible. She was extremely organized, thorough, remarkable with follow through and had a great sense of humor throughout it all!
Age
37 - 39
Treated
2018 - 2020
Success with this Doc
Yes
Race
European
Income
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
4 IUI, 4 Egg Freezing, IVF
Diagnosis
Endometriosis, Unexplained
10
10
How was your experience with Mitch Rosen at UCSF?
We ended up going to several different fertility clinics in the Bay Area (we met with six different REs across five centers) as it was difficult to find a good match and our case turned out to be much more challenging than we expected. Without a doubt we can say that Dr. Rosen has been the best for us to work with and is a brilliant physician. While there are many exceptional centers & physicians offering IVF in the Bay Area, it is evident that Dr. Rosen is not only one of the most academically accomplished reproductive endocrinologists nationally but he is also an outstanding clinician. He was able to comprehensively assess our case & then fine tune our IVF protocol to produce results that we were not able to achieve until then. We went from feeling like we may very well not be able to conceive at all to having many healthy embryos now “in the bank” and will be attempting implantation for pregnancy soon. Dr. Rosen was very conscientious about answering all of our questions and also incorporated our own preferences and input. We are immensely grateful to Dr. Rosen and so very lucky to have been able to work with him. September 2020 UPDATE: Our fertility journey was very long and challenging, but Dr. Rosen guided us through and now we are pregnant!!! He and his clinical nurse manager Liz Gomes were extraordinary. They have been so smart, caring, patient, professional and supportive. We could not have been in better hands.
What's one piece of advice would you give a prospective patient of Mitch Rosen at UCSF?
Be aware that while in-cycle, on weekends you might work with RE Fellows rather than directly with an Attending.
Describe your experience with your nurse at UCSF. (Assigned nurse: Liz Gomes)
Liz Gomes has been our nurse and main clinical point person while working with Dr. Rosen. Liz has been outstanding and is a true gem. It was a gift to work with her. She is caring, extremely knowledgeable, professional, ever patient and super warm. We also saw two Nurse Practitioners, Katrina and Stephanie, several times throughout the course of treatment. Both Katrina and Stephanie were fantastic. All of the nurses, techs and front desk staff at CRH (especially Maria!) have been really warm and kind. We have felt that they are genuinely rooting for us, which made all the difference while going through such an emotionally and physically taxing journey. We also worked with Annie, assistant to Dr. Rosen, at the beginning stages before starting our cycles. Annie was incredible. She was extremely organized, thorough, remarkable with follow through and had a great sense of humor throughout it all!
Describe your experience with UCSF.
UCSF is unique from all of private fertility centers in that it is a public university and therefore intentions and motivations are very different. We started our fertility treatment at a private fertility center in San Francisco thinking there were numerous advantages over UCSF. After several second opinions, we eventually ended up back at UCSF because of Dr. Mitchell Rosen. We were surprised and thankful to find out that UCSF was superior in many ways to the private (MUCH more expensive - we paid out of pocket for all treatment!) fertility clinics.
Describe the costs associated with your care under Mitch Rosen at UCSF.
All out of pocket
10
Doctor
Mitch Rosen
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
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Verified

This patient has provided documentation of treatment at this clinic.

10
9
Age
39 - 40
Treated
2019 - 2020
Success with this Doc
Yes
Treatment
3 IVF, 3 Embryo Freezing
Diagnosis
Unexplained
10
9
[Dr. Mitch Rosen's] preference is eSET but given I had two failed ones, on my third transfer, doctor was ok putting in two...took the time to go through any questions my husband and I had. I would say though that you need to be prepared with questions and to advocate for yourself. He will not "handhold" you through the process so I can see where people may feel like a number. Do some of your own research and with that he will provide you with more information that you probably want/need.
She [nurse at UCSF] is on top of it! Extremely knowledgable, caring and accessible! UCSF is so lucky to have her!...Doctor's and UCSF preference is eSET but given I had two failed ones, on my third transfer, doctor was ok putting in two...Monitoring appointments are a well oiled machine. I was usually in and out within 15 minutes (bloodwork and ultrasound). I could always get in a time convenient for me...A full fresh cycle is around $16k, excluding medications. A frozen cycle is around $4k, excluding medications. My second and third retrievals were covered by insurance.
Age
39 - 40
Treated
2019 - 2020
Success with this Doc
Yes
Race
East Asian
Income
Occupation
Marketer or PR
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 IVF, 3 Embryo Freezing
Diagnosis
Unexplained
10
9
How was your experience with Mitch Rosen at UCSF?
Dr. Rosen is very direct and will tell provide you with pros/cons and options. He first tries to understand what your objectives are to provide better answers for you. If you are looking for someone warm and fuzzy, this may not be the right doctor for you, but if you are looking to achieve an outcome and care a little less about the bedside manner (not that it is bad at all), this is the doctor for you. He would keep us in our place when we tried to ask about a backup plan and would have us focus on Plan A only. Dr. Rosen is the best, if not one of the best at UCSF, and am so grateful to have had the opportunity to be his patient. I couldn't recommend him more and hope when we plan for a second child, he will still be there to guide us again through our journey.
What's one piece of advice would you give a prospective patient of Mitch Rosen at UCSF?
Be prepared with questions and do some of your own research. Advocate for yourself if something is important to you.
During treatment, were you treated like a number or a human with Mitch Rosen at UCSF?
Dr. Rosen took the time to go through any questions my husband and I had. I would say though that you need to be prepared with questions and to advocate for yourself. He will not "handhold" you through the process so I can see where people may feel like a number. Do some of your own research and with that he will provide you with more information that you probably want/need.
Describe the protocols Mitch Rosen used in your cycles at UCSF and their degree of success.
I did my first egg retrieval cycle with estrace priming and then gonal f/menopur. I was reacting quite well to the medication so my dosage changed quite a bit. Although I yielded a good number of eggs (I think around 26), only 2 made it through PGS testing. Had two single embryo transfers, using medicated cycle (given my periods are irregular). Both failed. Did an hysteroscopy and everything was fine. Did an ERA test and also came back normal. This was followed by a second egg retrieval cycle, primed with birth control so that the eggs would grow closer in size compared to the first cycle. Gonal f lower does and menopur. Went for 14 days vs 10 in first cycle. Worked well. Had 33 eggs of which 8 embryos were PGS normal. We did a third cycle insurance was helping to cover the 2nd and 3rd cycle and did the exact same protocol as second egg retrieval but had completely different results. 21 eggs of which only 2 PGS embryos resulted. I honestly think the difference in results was due to lifestyle (much more stressed during this cycle). So have 10 embryos banked. Given two failed FETs, transferred two embryos (one day 5 and one day 6 embryo) and success (at least for now)!
Describe your experience with your nurse at UCSF. (Assigned nurse: Liz Gomes)
Liz Gomes is the best nurse! She is on top of it! Extremely knowledgable, caring and accessible! UCSF is so lucky to have her!
Describe your experience with UCSF.
UCSF is a teaching hospital so you have to know that you will not see the same people during each visit. That being said, they seem to be well coordinated and any questions I had during a visit that wasn't with my primary team, was always answered well. The facility itself is nice and calm. I was living in NYC and went to another fertility clinic for IUI's and that was not calm at all and felt more like a sausage factory. I've heard some issues with billing at UCSF, but personally I haven't had any issues.
Describe your experience with your monitoring appointments at UCSF.
Monitoring appointments are a well oiled machine. I was usually in and out within 15 minutes (bloodwork and ultrasound). I could always get in a time convenient for me.
Describe the costs associated with your care under Mitch Rosen at UCSF.
I paid out of pocket my first cycle. A full fresh cycle is around $16k, excluding medications. A frozen cycle is around $4k, excluding medications. My second and third retrievals were covered by insurance.
Describe Mitch Rosen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Doctor's and UCSF preference is eSET but given I had two failed ones, on my third transfer, doctor was ok putting in two.
10
Doctor
Mitch Rosen
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
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Verified

This patient has provided documentation of treatment at this clinic.

5
6
Age
34 - 35
Treated
2019 - 2020
Success with this Doc
No
Treatment
4 Fertility Medications
Diagnosis
Unexplained
5
6
Dr Noel was very warm during our initial consultation. She also called me personally when we needed to cancel my first IUI cycle because I "over responded" to the Letrazole...I don't think she was aggressive enough in my first set of treatments given my age and how many children I wanted. When I got a second option, the new Dr (who I prefer) told me she never would have started with fertility meds only without including IUI. I also had to cancel a cycle which I disagreed with (and the new Dr did also)
Communication was slow and difficult [at UCSF]. I had to write multiple portal messages to get an answer. When I had to cancel a cycle because of "over responding" to the medication and was asked to take a Plan B (which was devastating), I had to call/write multiple times to get through with advise on what to do and it was timely...is a big practice, associated with a university. They most certainly have quality doctors and nurses but because it was large didn't feel I got the dedicated, close care compared with the new clinic I am at now. For example, the nurse at my new clinic knows me by name and immediately answers my emails.
Age
34 - 35
Treated
2019 - 2020
Success with this Doc
No
Race
European, Ashkenazi Jewish
Income
$500K+
Occupation
Marketer or PR
Order & Number of Docs Seen
1st of 2 Docs
Treatment
4 Fertility Medications
Diagnosis
Unexplained
5
6
How was your experience with Martha Noel at UCSF?
I don't think she was aggressive enough in my first set of treatments given my age and how many children I wanted. When I got a second option, the new Dr (who I prefer) told me she never would have started with fertility meds only without including IUI. I also had to cancel a cycle which I disagreed with (and the new Dr did also)
What's one piece of advice would you give a prospective patient of Martha Noel at UCSF?
Dr Martha Noel is lovely and great at explaining things but for me she was too conservative/risk averse.
During treatment, were you treated like a number or a human with Martha Noel at UCSF?
Dr Noel was very warm during our initial consultation. She also called me personally when we needed to cancel my first IUI cycle because I "over responded" to the Letrazole
Describe the protocols Martha Noel used in your cycles at UCSF and their degree of success.
Letrazole 2.5mg for 3 months, then increase Letrazole + IUI
Describe your experience with the nursing staff.
Communication was slow and difficult. I had to write multiple portal messages to get an answer. When I had to cancel a cycle because of "over responding" to the medication and was asked to take a Plan B (which was devastating), I had to call/write multiple times to get through with advise on what to do and it was timely.
Describe your experience with UCSF.
UCSF CRH is a big practice, associated with a university. They most certainly have quality doctors and nurses but because it was large didn't feel I got the dedicated, close care compared with the new clinic I am at now. For example, the nurse at my new clinic knows me by name and immediately answers my emails.
Describe the costs associated with your care under Martha Noel at UCSF.
1st Letrazole + TIC w/ monitoring - $1800! (through Progyny and I hadn't met my deductible so I paid the crazy insurance rate) 2nd and 3rd Letrazole + TIC w/ monitoring - $450 each b/c I paid out of pocket - basically paid for one ultrasound appointment
Describe Martha Noel's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
n/a
What specific things went wrong at UCSF?
  • Failed to call in prescriptions to pharmacy
  • Failed to call with results
  • Failed to convey critical information
Describe the specific things that went wrong at UCSF.
1) I had a progesterone blood test to confirm ovulation and came back as 0 (did not ovulate) when I know I had. I demanded they run it again and it came back 26 (did ovulate) 2) I've had to call/email to get results of tests and/or inquire about my next protocol 3) I've had to call/email multiple times to get Rx's phoned in
5
Doctor
Martha Noel
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
6
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

9
9
Age
35 - 36
Treated
2019 - 2020
Success with this Doc
?
Treatment
2 IVF
Diagnosis
Endometriosis, Unexplained
9
9
Dr. Anaya always followed up with us on all things IVF but also on procedures or events that were unrelated. She has been caring and honest...She has adjusted treatments to make us more successful (I.e. adjusted hormone dosage during 2nd egg retrieval, had me do an endometrial biopsy to see if endometriosis was present to treat during COVID-19 pause). She could have been more thorough with getting to the endometriosis diagnosis in the front end and not after a failed embryo transfer.
I got an endometrial biopsy [at UCSF] (which was incredibly painful) to determine if treatment for endometriosis was an option. A protein associated with endo was present so now I’m taking 2 monthly Lupron shots to slow down the endo and hopefully have a successful transfer in a few months...The staff really is top notch. Everyone from the receptionists, to the nurses to the MDs are great. I always feel very cared for when there. Your primary Dr will most likely not be the one doing the follicle ultrasounds or retrievals/transfers but we were always in excellent hands. We have seen our primary Dr in person once. Our approach as patients has been of trust so we’ve had a very decent experience.
Age
35 - 36
Treated
2019 - 2020
Success with this Doc
?
Race
Latino
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IVF
Diagnosis
Endometriosis, Unexplained
9
9
How was your experience with Yanett Anaya at UCSF?
Dr. Anaya has been very caring and open with us. She has adjusted treatments to make us more successful (I.e. adjusted hormone dosage during 2nd egg retrieval, had me do an endometrial biopsy to see if endometriosis was present to treat during COVID-19 pause). She could have been more thorough with getting to the endometriosis diagnosis in the front end and not after a failed embryo transfer.
What's one piece of advice would you give a prospective patient of Yanett Anaya at UCSF?
Be very thorough with your symptoms and do your research before the meeting/call with her as she’s great about debunking info and creating a treatment plan that everyone is comfortable with.
During treatment, were you treated like a number or a human with Yanett Anaya at UCSF?
Dr. Anaya always followed up with us on all things IVF but also on procedures or events that were unrelated. She has been caring and honest.
Describe the protocols Yanett Anaya used in your cycles at UCSF and their degree of success.
For the 2 egg retrievals, we yielded 43 eggs that became 4 embryos. The first transfer was 21 to 1 embryo which is why we opted for a 2nd round in which she modified one of the hormone doses (increased, forgot which one) and we had 22 to 3 embryos. We’ve only had 1 transfer which was unsuccessful and we don’t really know why so, during this pause, I got an endometrial biopsy (which was incredibly painful) to determine if treatment for endometriosis was an option. A protein associated with endo was present so now I’m taking 2 monthly Lupron shots to slow down the endo and hopefully have a successful transfer in a few months.
Describe your experience with your nurse at UCSF. (Assigned nurse: There have been a few: Kat and Cheryl are the ones I remember )
Cheryl is not the most organized (made us bring paperwork in unnecessarily once) but responds very promptly and was very compassionate when she had to call and let me know the embryo transfer had failed.
Describe your experience with UCSF.
The staff really is top notch. Everyone from the receptionists, to the nurses to the MDs are great. I always feel very cared for when there. Your primary Dr will most likely not be the one doing the follicle ultrasounds or retrievals/transfers but we were always in excellent hands. We have seen our primary Dr in person once. Our approach as patients has been of trust so we’ve had a very decent experience.
Describe the costs associated with your care under Yanett Anaya at UCSF.
My insurance through work has covered most of my treatments. I have paid for some medicines, the genetic testing for my husband and I and the endometrial biopsy out of pocket (under 5k).
Describe Yanett Anaya's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
From what I’ve gathered, at UCSF they prefer to do single embryo transfers since the likelihood of a live birth (our goal) is higher.
9
Doctor
Yanett Anaya
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
37 - 42
Treated
2015 - 2020
Success with this Doc
Yes
Treatment
4 IUI, 1 IVF
Diagnosis
Unexplained
10
10
Due to the anatomy of my uterus and my age, Dr. Mok-Lin will only do a single embryo transfer...There is no option for me to risk having multiples...is a great listener. She has never made me feel she’s in a rush trying to get to the next patient. Additionally, she takes her time to explain the process and her suggestions. My husband is super analytical and always has many more questions for her and she always happily answers every single one. I love my relationship with her.
Maria [nurse at UCSF] is amazing!! I email her with questions all the time. She is very compassionate and friendly and she will spend all the time needed on the phone explaining the next steps and she will also email all the details...Very nice clinic and friendly staff with easy parking. The check in process is easy and they have several people to do it so you hardly ever wait in line. However, certain women at the check in counter take so long reviewing all the details to make sure they have your insurance, your correct address etc etc. I get it if it is the first time there, but for me, especially during treatment you go in multiple times a week and if I get this person to check me in, she’ll go through it all over again even when I say I was there a day ago, it is annoying.
Age
37 - 42
Treated
2015 - 2020
Success with this Doc
Yes
Race
European, Latino
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
4 IUI, 1 IVF
Diagnosis
Unexplained
10
10
How was your experience with Evelyn Mok-Lin at UCSF?
I have been seeing Dr. Mok-Lin for several reasons since 2015. If it wasn’t for her I wouldn’t have had my boy, period. He is a toddler now and I will be forever grateful to her and her team. Dr. Mok-Lin performed surgery on me to remove a septate uterus. It was a long and complicated process but she finally fixed it all and I became pregnant naturally. Now, due to unexplained infertility I completed 4 IUI’s and I got pregnant twice with a miscarriage and a cervical ectopic pregnancy. With this last one, which I found out during a routine ultrasound, I had to go through the embryo removal procedure that same moment. I was alone and terrified and my husband on a work trip. When Dr. Mok-Lin showed up in the room I was relieved and knew she would take care of me and everything would be fine. And it was! Now, I am in the process of IVF with FET. Dr. Mok-Lin has said she plans to do the transfer and I’m very excited for that. Because of the time she’s spent with me explaining the process I know what to expect but when I have questions, I send her an email and she responds clearly. Dr. Evelyn Mok-Lin is smart and knowledgeable, she listens and tries to please but only if she knows it is the best option for her patient. I have 100% confidence in her.
What's one piece of advice would you give a prospective patient of Evelyn Mok-Lin at UCSF?
That they may not always see her during appointments but she will be behind every decision concerning the patient.
During treatment, were you treated like a number or a human with Evelyn Mok-Lin at UCSF?
Dr. Mok-Lin is a great listener. She has never made me feel she’s in a rush trying to get to the next patient. Additionally, she takes her time to explain the process and her suggestions. My husband is super analytical and always has many more questions for her and she always happily answers every single one. I love my relationship with her.
Describe the protocols Evelyn Mok-Lin used in your cycles at UCSF and their degree of success.
On the first round of IUI I took 100mg of clomid. I produced too many eggs so the procedure had to be cancelled. The other 4 rounds, 50mg of clomid and got pregnant twice but miscarried and had an cervical ectopic pregnancy. For egg retrieval, I only did it once using Cetrotide, Gonal F and Lupron. I can’t remember dosage :/
Describe your experience with your nurse at UCSF. (Assigned nurse: Maria)
Maria is amazing!! I email her with questions all the time. She is very compassionate and friendly and she will spend all the time needed on the phone explaining the next steps and she will also email all the details. I absolutely love Maria.
Describe your experience with UCSF.
Very nice clinic and friendly staff with easy parking. The check in process is easy and they have several people to do it so you hardly ever wait in line. However, certain women at the check in counter take so long reviewing all the details to make sure they have your insurance, your correct address etc etc. I get it if it is the first time there, but for me, especially during treatment you go in multiple times a week and if I get this person to check me in, she’ll go through it all over again even when I say I was there a day ago, it is annoying.
Describe Evelyn Mok-Lin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Due to the anatomy of my uterus and my age, Dr. Mok-Lin will only do a single embryo transfer and I am okay with that. There is no option for me to risk having multiples.
10
Doctor
Evelyn Mok-Lin
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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7
7
Age
47 - 48
Treated
2019 - 2020
Success with this Doc
?
Treatment
1 Embryo Freezing, IVF, Donor Eggs, Donor Sperm
Diagnosis
7
7
Dr. Noel has a warm manner during consultations, offers good explanations and recommendations, while treating me like an intelligent partner. I'm not yet sure if she is adapting her treatment recommendations appropriately for me to get results, as I am still in the midst of treatment. Her coordinating staff and nurses, however, were always very rushed, and created additional stress in the process as they often seemed more focused on checking everything off their list than supporting me or providing information to me through the process.
I chose UCSF in large part because their donor egg program offered options that met my criteria - including some open donors (open to varying degrees to future contact with a child), and they seemed to follow relatively strong ethical practices in terms of the donor recruitment and screening. I was also attracted to their relatively strong outcomes data, and their research-based orientation. Their key weakness for me has been the support staff.
Age
47 - 48
Treated
2019 - 2020
Success with this Doc
?
Race
Ashkenazi Jewish
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 Embryo Freezing, IVF, Donor Eggs, Donor Sperm
Diagnosis
7
7
How was your experience with Martha Noel at UCSF?
Dr. Noel seemed to pay close attention to my case, read my history thoroughly before my first visit, reviewed donor history in depth, and took the time to answer my many questions. She seemed to be well-informed about the latest research and thoughtful about how it applied to me. However, we have encountered some unexpected challenges in my case and it's too early to say whether she will be able to adapt her approach to those to get a successful pregnancy.
What's one piece of advice would you give a prospective patient of Martha Noel at UCSF?
Ask to be in touch with her by email directly, as her coordinating staff is fairly unhelpful, and then reach out to her sparingly with key medical questions. She is responsive by email, but very briefly, so use that channel only to get information on a clear, specific question.
During treatment, were you treated like a number or a human with Martha Noel at UCSF?
Dr. Noel has a warm manner during consultations, offers good explanations and recommendations, while treating me like an intelligent partner. I'm not yet sure if she is adapting her treatment recommendations appropriately for me to get results, as I am still in the midst of treatment. Her coordinating staff and nurses, however, were always very rushed, and created additional stress in the process as they often seemed more focused on checking everything off their list than supporting me or providing information to me through the process.
Describe the protocols Martha Noel used in your cycles at UCSF and their degree of success.
Standard embryo transfer protocol: birth control pill for timing, Lupron, estradiol patches, and progesterone in oil shots in preparation for the transfer, with Medrol for a few days just before the transfer and Valium day of transfer. I responded well to the standard protocol, other than strong mood reactions to the birth control pill. UCSF's drug program is significantly discounted from other clinics.
Describe your experience with your nurse at UCSF. (Assigned nurse: Olga)
Olga, the nurse I worked with for two cycles, was extremely rushed every single time I spoke with her, and I grew to dread calls with her as I was always stressed after getting off of them. She shared unnecessary information that created additional stress, like telling me that there was going to be a lot of competition for transfer appointments in a certain timeframe. She also sometimes gave unclear instructions and was defensive about it when I asked for clarification on details (i.e. telling me to use estrogen patches at a certain time of day, and then when I asked a related question, telling me that she never told me that and giving a long explanation for how I couldn't possibly have heard what I heard). This same issue happened on both cycles, and I was careful in taking notes from our calls, so it was extremely frustrating to both have poor information and to then have her argue with me when I asked a non-confrontational question. Unlike a previous experience at another clinic, I never felt actual emotional support from the nursing staff at UCSF. When calling with a negative pregnancy test result, they clearly have been trained to say some of the right things, but it felt like a script. When I didn't want to schedule an embryo transfer for the day before one of my biggest work days of the year, and was feeling pressured by the nurse, she didn't show any understanding of my wanting to take my work commitments into consideration and by the end of the call, I was crying, frustrated, and anxious about the choices I'd made very quickly about scheduling such an important procedure. Thuy, Dr. Noel's coordinator, is a bit scattered and required a lot of follow-up to get my labs straight, as she would request labs she had received again, and fail to notice other missing labs. She also often seemed rushed, but was kind and responsive.
Describe your experience with UCSF.
I chose UCSF in large part because their donor egg program offered options that met my criteria - including some open donors (open to varying degrees to future contact with a child), and they seemed to follow relatively strong ethical practices in terms of the donor recruitment and screening. I was also attracted to their relatively strong outcomes data, and their research-based orientation. Their key weakness for me has been the support staff.
Describe Martha Noel's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Strong preference for eSET but would have considered multiple embryo transfer after multiple unsuccessful cycles.
What specific things went wrong at UCSF?
  • Lost paperwork
  • Lost appointments
  • Provided conflicting information
Describe the specific things that went wrong at UCSF.
I had trouble getting all of my initial diagnostic lab results into my records. I had one phone appointment incorrectly cancelled.
7
Doctor
Martha Noel
Communication
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
10
Age
40 - 44
Treated
2015 - 2019
Success with this Doc
Yes
Treatment
4 IVF, Egg Freezing, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids
10
10
I would always ask Dr. Mok-Lin a million questions. And she would always answer them with a lot of insight and expertise. Every time she would explain to me how things would go or her feelings on something, she was always spot on. There were never any surprises, and I always felt very prepared mentally for what was to come...Her explanation for why they did multiple with my own eggs and only one with the donor made sense. And both times she was right!
I LOVE SHEM [nurse at UCSF]. She walked me through so many disappointing cycles and always always was so sweet and supportive. I couldn't have done that many cycles without her...At first I felt it was hard to see different doctor each time I would come in. It felt a little like moving through an assembly line. But each doctor was so nice and attentive, that I quickly became use to it. Also, I understand why they do that. With as often as you need to go in, it is nearly impossible to see the same doctor each time.
Age
40 - 44
Treated
2015 - 2019
Success with this Doc
Yes
Race
East Asian
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
4 IVF, Egg Freezing, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids
10
10
How was your experience with Evelyn Mok-Lin at UCSF?
Dr. Mok-Lin has been my doctor for years, and I think that in itself says something. She always gave me the detailed facts and her advice when I would ask for her opinion. I am a detailed oriented person, and she would always help me understand the processes as they were happening. I couldn't be happier with her as a doctor and will hopefully return soon to see her again!
What's one piece of advice would you give a prospective patient of Evelyn Mok-Lin at UCSF?
A close friend of mine did become a patient of hers and I didn't feel I needed to give her any advise.
During treatment, were you treated like a number or a human with Evelyn Mok-Lin at UCSF?
Dr. Mok-Lin was always very aware and sensitive to my situation, but also was very honest with me, which I asked for and very much appreciate. She was always very professional, and very responsive to any questions I had. When there was bad news she made sure to call me herself, which I have always appreciated.
Describe the protocols Evelyn Mok-Lin used in your cycles at UCSF and their degree of success.
I would always ask Dr. Mok-Lin a million questions. And she would always answer them with a lot of insight and expertise. Every time she would explain to me how things would go or her feelings on something, she was always spot on. There were never any surprises, and I always felt very prepared mentally for what was to come.
Describe your experience with the nursing staff.
I LOVE SHEM. She walked me through so many disappointing cycles and always always was so sweet and supportive. I couldn't have done that many cycles without her.
Describe your experience with UCSF.
At first I felt it was hard to see different doctor each time I would come in. It felt a little like moving through an assembly line. But each doctor was so nice and attentive, that I quickly became use to it. Also, I understand why they do that. With as often as you need to go in, it is nearly impossible to see the same doctor each time.
Describe the costs associated with your care under Evelyn Mok-Lin at UCSF.
I went through so many cycles and different treatments over the course of 4-5 years, I honestly couldn't start to remember
Describe Evelyn Mok-Lin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Her explanation for why they did multiple with my own eggs and only one with the donor made sense. And both times she was right!
10
Doctor
Evelyn Mok-Lin
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
10
Age
30
Treated
2019
Success with this Doc
No
Treatment
1 IVF
Diagnosis
PCOS
8
10
Dr. Cedars will strongly encourage an elective single embryo transfer...is very intelligent and is very busy. More times than not you will be seeing others doctors on her time, all of which who are very friendly and have good bedside manner...the medications she prescribed for my egg retrieval were spot on. I was at risk for Hyper Ovarian Stimulation and she wanted to keep my dosage pretty low, we got a FANTASTIC result, of 31 eggs retrieved, 14 of which turned into 5-6 day blastocysts. When it came to my first transfer, we did a transfer without antagonist. The first transfer did not result in pregnancy, and now we are awaiting an appointment to change our protocol.
We did Two Round Success Plan with ARC Financing [at UCSF]. It was around $40k for that...the meds here are significantly discounted...meaning you maybe pay a few hundred for all the meds here versus 5-6k. The PGS testing we had done on our embryos was somewhere around 2-3k...It can sometimes feel like you get lost in the shuffle, as there's not a lot of support like you might receive from smaller clinics. For example, when we were waiting to see what embryos made it to blastocyst, while some clinics would call you on Day 1, 3, 5, 6... we didn't get a call until Day 7 with the results. So its definitely less personal that way.. but I find the knowledge of the doctors far outweighs the support I may receive during the process. This is however something they could majorly improve on.
Age
30
Treated
2019
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
PCOS
8
10
How was your experience with Marcelle Cedars at UCSF?
While I didn't see Dr. Cedars very often, the medications she prescribed for my egg retrieval were spot on. I was at risk for Hyper Ovarian Stimulation and she wanted to keep my dosage pretty low, we got a FANTASTIC result, of 31 eggs retrieved, 14 of which turned into 5-6 day blastocysts. When it came to my first transfer, we did a transfer without antagonist. The first transfer did not result in pregnancy, and now we are awaiting an appointment to change our protocol.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Ask as many questions as you like, she's very knowledgeable and understanding.
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
Dr. Cedars is very intelligent and is very busy. More times than not you will be seeing others doctors on her time, all of which who are very friendly and have good bedside manner.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
The treatment strategy for my egg retrieval was very successful. The treatment strategy for my first transfer didn't result in pregnancy, although my lining was really good (14 mm), so will be looking to change the protocol.
Describe your experience with your nurse at UCSF. (Assigned nurse: Katherine Porras)
The nursing staff at UCSF is very kind and compassionate. I found if I need an immediate response to select their immediate care line, otherwise emailing my care team, they were usually responsive within 24 hours.
Describe your experience with UCSF.
It can sometimes feel like you get lost in the shuffle, as there's not a lot of support like you might receive from smaller clinics. For example, when we were waiting to see what embryos made it to blastocyst, while some clinics would call you on Day 1, 3, 5, 6... we didn't get a call until Day 7 with the results. So its definitely less personal that way.. but I find the knowledge of the doctors far outweighs the support I may receive during the process. This is however something they could majorly improve on.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
We did Two Round Success Plan with ARC Financing. It was around $40k for that... the meds here are significantly discounted... meaning you maybe pay a few hundred for all the meds here versus 5-6k. The PGS testing we had done on our embryos was somewhere around 2-3k.
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr. Cedars will strongly encourage an elective single embryo transfer.
What specific things went wrong at UCSF?
  • Failed to call with results
Describe the specific things that went wrong at UCSF.
Regarding the embryos that made it to blastocyst, I didn't feel as supported as I would have maybe preferred. Calling on Day 7 isn't the greatest when its already an anxiety ridden process. Also when I got my embryo transfer there were zero calls or emails of support wondering how I was doing, which I think a clinic should implement as it is a very hard (and seems like long), and emotional waiting period.
8
Doctor
Marcelle Cedars
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

6
7
Age
30
Treated
2019
Success with this Doc
?
Treatment
1 IUI
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
6
7
Saw him [Dr. Mitch Rosen] once and all subsequent visits were with nurses and attending physicians...After my first cycle it was clear adjustments needed to be made, but I was told the next cycle would proceed exactly as before. It wasn't until after 2 cycles that a nurse called to get detailed feedback for her rounds with Dr Rosen and my treatment was adjusted for cycle 3...Switched to letrazole because Clomid caused thin uterine lining on cycle 1. Moving ultrasound up to day 9.
$2000 per cycle of IUI billed to my insurance. Breakdown not provided...Be aware that UCSF is a big hospital and doctors do not review results as frequently as they should...Needed to take care into my own hands, or else major mistakes would have been made: cycle 1 - was told no need to use OPKs, ended up using them anyway and found out I was ovulating naturally ahead of schedule, needed to move up insemination date. cycle 2 - unexpected business travel for husband meant we could miss our insemination window. Was told we can make last minute appointment in case timing worked out. Nurse did not realize / failed to tell me additional insurance approval was needed and was not requested for this cycle, ended up missing opportunity to do full IUI.
Age
30
Treated
2019
Success with this Doc
?
Race
East Asian
Income
$200K - $499K
Occupation
Consultant
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
6
7
How was your experience with Mitch Rosen at UCSF?
After my first cycle it was clear adjustments needed to be made, but I was told the next cycle would proceed exactly as before. It wasn't until after 2 cycles that a nurse called to get detailed feedback for her rounds with Dr Rosen and my treatment was adjusted for cycle 3.
What's one piece of advice would you give a prospective patient of Mitch Rosen at UCSF?
Be aware that UCSF is a big hospital and doctors do not review results as frequently as they should.
During treatment, were you treated like a number or a human with Mitch Rosen at UCSF?
Saw him once and all subsequent visits were with nurses and attending physicians. My treatment was not adjusted until 2 cycles in.
Describe the protocols Mitch Rosen used in your cycles at UCSF and their degree of success.
IUI cycle 1: Clomid 50 mg for days 2-7, ultrasound on day 10, trigger shot on day 11, insemination planned for day 13 but moved up to day 12 because I observed LH surge on OPK test on day 11. IUI cycle 2: same as cycle 1. Cancelled ultrasound & insemination because of timing conflict with husband's work travel, still took Clomid + timed intercourse. IUI cycle 3 (in progress): Adjusted treatment based on result from cycle 1. Switched to letrazole because Clomid caused thin uterine lining on cycle 1. Moving ultrasound up to day 9.
Describe your experience with your nurse at UCSF. (Assigned nurse: Cathy)
Needed to take care into my own hands, or else major mistakes would have been made: cycle 1 - was told no need to use OPKs, ended up using them anyway and found out I was ovulating naturally ahead of schedule, needed to move up insemination date. cycle 2 - unexpected business travel for husband meant we could miss our insemination window. Was told we can make last minute appointment in case timing worked out. Nurse did not realize / failed to tell me additional insurance approval was needed and was not requested for this cycle, ended up missing opportunity to do full IUI.
Describe your experience with UCSF.
Seems to be experienced and reputable, but I was prepared to be very involved in my own care going into it based on reviews I read - and I was right to do so because staff and nurses made erros. Is probably cheaper than private clinics but don't know for sure.
Describe the costs associated with your care under Mitch Rosen at UCSF.
$2000 per cycle of IUI billed to my insurance. Breakdown not provided
What specific things went wrong at UCSF?
  • Failed to call in prescriptions to pharmacy
  • Provided conflicting information
  • Failed to convey critical information
  • Canceled a cycle due to clinic error
Describe the specific things that went wrong at UCSF.
Communication between billing team and nurse = nonexistant. Nurse was not aware of my insurance pre-approval requirements which resulted in cancelled cycle. Also had trouble sending prescriptions to my insurer's pharmacy and required intervention from my end.
6
Doctor
Mitch Rosen
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
8
Age
43 - 45
Treated
2017 - 2019
Success with this Doc
?
Treatment
1 IVF, 1 Embryo Freezing, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
8
8
It's disheartening when you have invested a ton of emotional energy -- not to mention money -- and the doctor and/or staff get things wrong or forget you have already completed steps. I know it's a busy clinic and that Dr. Cedars is a leader in her field, but when you're investing so many resources, you want to feel like people have taken time to look at your chart or to gather the correct information before meeting with you.
Everyone I encounter [at UCSF]is very nice. I work with Ruth, mainly. She can seem very overwhelmed, but she's always been responsive. It's hard to get her live on the phone, so it's a great deal of listening to each other's voicemails or reading messages in the portal....The actual clinic is in a very newly constructed, modern facility. Everything feels new and clean....It's disheartening when you have invested a ton of emotional energy -- not to mention money -- and the doctor and/or staff get things wrong or forget you have already completed steps.
Age
43 - 45
Treated
2017 - 2019
Success with this Doc
?
Race
European, Latino
Income
$100K - $199K
Occupation
Consultant
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IVF, 1 Embryo Freezing, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
8
8
How was your experience with Marcelle Cedars at UCSF?
She clearly knows what she's doing and her reputation precedes her. She sees so many patients -- like all fertility doctors -- so I don't expect a touchy feely connection with her, but it does feel like this is a transaction. There was another doctor I was interested in--outside of UCSF-- but I couldn't afford him, unfortunately.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Just know this is a very western, clinical, transactional experience, but you should be in good hands.
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
It's disheartening when you have invested a ton of emotional energy -- not to mention money -- and the doctor and/or staff get things wrong or forget you have already completed steps. I know it's a busy clinic and that Dr. Cedars is a leader in her field, but when you're investing so many resources, you want to feel like people have taken time to look at your chart or to gather the correct information before meeting with you.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
Right now, I'm just increasing estrogen intake and taking progesterone to force a period. We haven't moved into the actual IVF protocol yet.
Describe your experience with your nurse at UCSF. (Assigned nurse: Ruth)
Everyone I encounter is very nice. I work with Ruth, mainly. She can seem very overwhelmed, but she's always been responsive. It's hard to get her live on the phone, so it's a great deal of listening to each other's voicemails or reading messages in the portal.
Describe your experience with UCSF.
A huge strength is that it's near my house. The previous clinic was in Irvine (I'm in the bay area). The actual clinic is in a very newly constructed, modern facility. Everything feels new and clean. I haven't done very much other than meet with Dr. Cedars and the care team, so I cannot speak to the treatment rooms as much. I will say that I would strongly advise against meeting with Dr. Laurie Pasch, the clinic psychologist, and meet with Dr. Holley instead.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
All in, to have donor eggs, using a known sperm donor (we froze his sperm at UCSF) and one transfer (no testing, no ICSI -- all of those costs are extra), it will be a little over $30,000.
8
Doctor
Marcelle Cedars
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
41
Treated
2019
Success with this Doc
?
Treatment
1 IVF
Diagnosis
Other
10
10
I did appreciate his [Dr. Mitchell Rosen's] vast knowledge about infertility and he put a great plan in motion for me and far as my protocol. I was nervous when I found out he wasn’t able to perform my egg retrieval or transfer...be patient if you want to get on his schedule. He rarely has openings...We opted for a mini cycle and I was very pleased with the outcome. I responded well and after taking clomid for 5 days, a couple shots of ganarelix and I think one or 2 shots of gonal I was ready to trigger. It happened very quickly.
The finance dept [at UCSF] never answers the phone tho so expect a lot of emails going back and forth. Most team members are prompt with their email responses and call backs. They do close rather early though so you have to get your calls and emails in early. Sometimes I had to ask questions to my care coordinator more than once. They were short staffed at the time though so I tried to be patient. But when you’re spending so much money on such a personal journey you’re often anxious to get questions answered and the wait can feel like forever.
Age
41
Treated
2019
Success with this Doc
?
Race
Prefer not to answer
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Other
10
10
How was your experience with Mitch Rosen at UCSF?
Overall I had a good experience. Except for what I mentioned previously in that I allowed myself to be put in the “infertility box” and didn’t trust my gut instincts, and I know my body very well. I should have been more sure of myself and only transferred one embryo as I knew my body couldn’t handle a twin pregnancy. However, I did appreciate his vast knowledge about infertility and he put a great plan in motion for me and far as my protocol. I was nervous when I found out he wasn’t able to perform my egg retrieval or transfer. But the staff was top notch and I was very comfortable with everyone who helped me.
What's one piece of advice would you give a prospective patient of Mitch Rosen at UCSF?
He’s one of the best, If not the best doctors at the clinic so be patient if you want to get on his schedule. He rarely has openings.
During treatment, were you treated like a number or a human with Mitch Rosen at UCSF?
It’s not that I felt like a number but I felt like a statistic. I’ve always been very fertile but my tunes are tied. In This field the dr’s tend to go on statistics and research and I was talked in to transferring 2 embryos against my gut instinct to transfer just one. I was assured I’d likely only have one stick, if any. But both stuck and I was unable to carry 2 (that’s a long complicated story) and ended up having to terminate both.
Describe the protocols Mitch Rosen used in your cycles at UCSF and their degree of success.
We opted for a mini cycle and I was very pleased with the outcome. I responded well and after taking clomid for 5 days, a couple shots of ganarelix and I think one or 2 shots of gonal I was ready to trigger. It happened very quickly.
Describe your experience with your nurse at UCSF. (Assigned nurse: Cathy)
My nurse was extremely smart I just wish she’d taken a little more time to explain things. I always felt rushed.
Describe your experience with UCSF.
Overall they run a well oiled machine. The finance dept never answers the phone tho so expect a lot of emails going back and forth. Most team members are prompt with their email responses and call backs. They do close rather early though so you have to get your calls and emails in early. Sometimes I had to ask questions to my care coordinator more than once. They were short staffed at the time though so I tried to be patient. But when you’re spending so much money on such a personal journey you’re often anxious to get questions answered and the wait can feel like forever.
Describe the costs associated with your care under Mitch Rosen at UCSF.
All in we paid about $8,500. This included meds, anesthesia, appts, ultrasounds, etc.
Describe Mitch Rosen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
I shouldn’t comment bc I don’t have fertility issues, my tubes are tied and I’m super fertile.
10
Doctor
Mitch Rosen
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
8
Age
26
Treated
2019
Success with this Doc
No
Treatment
4 IUI
Diagnosis
Unexplained
8
8
I felt that Dr.Cedars actively listened to our history and clearly had read over our records prior to the consultation. She explained her reasonings for the desired treatment plan in a way that I was able to understand. ... She had a calmness to her presence which was very important to us. ... Our treatment cycle consisted of Letrozole 5mg starting CD2 x 5 days.*We had previously done 3 IUIs with clomid
The office [UCSF] has separatewaiting areas depending on what procedure you're there fkr (u/s, specimen collection, IUI). The "checkout" process was sort of confusing having to back to the front desk staff anticipating they know what your next schedule will be. When paying for services (we decided to pay cash) they staff was somewhat unprepared to handle that process. They do not have a cash register and are unable to give change.
Age
26
Treated
2019
Success with this Doc
No
Race
European
Income
$0 - $49K
Occupation
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
4 IUI
Diagnosis
Unexplained
8
8
How was your experience with Marcelle Cedars at UCSF?
She had a calmness to her presence which was very important to us. When explaining her treatment plans, she provided credible sources (studies/journals) to further ensure us the information was up to date.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Be prepared to see other providers for most of the visits, who may not fully understand your specific case as well as Dr. Cedars. All questions which that require detailed responses she be directed to her nurses who can give direct messages to Dr. Cedars.
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
I felt that Dr.Cedars actively listened to our history and clearly had read over our records prior to the consultation. She explained her reasonings for the desired treatment plan in a way that I was able to understand.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
Our treatment cycle consisted of Letrozole 5mg starting CD2 x 5 days.*We had previously done 3 IUIs with clomid 100mg with our 1st clinic.* U/S follicle check on CD 12 showed 2 follicles; 21mm and 13mm. With a lining of 11.4mm. *We did not see Dr.Cedars at this visit* Was told to trigger shot the following night CD 13. And returned to clinic on CD14 for "specimen collection" and IUI. *We did not see Dr.Cedars for this procedure visit*
Describe your experience with your nurse at UCSF. (Assigned nurse: Jill and Ruth)
Ruth was great with communication. She was very sweet each time we spoke, answered my questions quickly and even set up a call with Dr.Cedars when my questions were beyond her knowledge of advice.
Describe your experience with UCSF.
Very clean and upscale/modern feels. The office has separatewaiting areas depending on what procedure you're there fkr (u/s, specimen collection, IUI). The "checkout" process was sort of confusing having to back to the front desk staff anticipating they know what your next schedule will be. When paying for services (we decided to pay cash) they staff was somewhat unprepared to handle that process. They do not have a cash register and are unable to give change.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
Consult including u/s $250. The medication protocol at discount pharmacy was $30. The follicle scan, sperm wash and IUI - $1566.00
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
We were not at the IVF stage yet. But when i did ask her approach to single vs multiple embryo transfer she advised that in for personal case that a single would be plenty as multiple can increase health risks for mom and baby(s)
8
Doctor
Marcelle Cedars
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

9
8
Age
34 - 35
Treated
2018 - 2019
Success with this Doc
?
Treatment
3 IUI, 2 IVF, Egg Freezing
Diagnosis
Unexplained
9
8
Dr. Anaya is thoughtful and supportive. ... There have been several complications (discovery of Hashimoto's disease and a septate uterus) and poor outcomes to procedures ... Whenever I expressed concern or doubt about the route we were taking, Dr. Anaya explains all the options, the pros and cons of the options, and the studies/or lack of studies supporting it. She is detailed and blunt but done in a compassionate and caring way.
I think they need a more robust financial advisor program. Due to some unclear instructions on both the part of UCSF and our insurance company we blew $12K (out of only $20K) on IVF medication. We were not informed of UCSF's community program with Walgreens until our second round. ... Instead we spent ~$18,000 out of pocket. ... The entire care team including the phlebotomists and rotating fellows are all kind and friendly.
Age
34 - 35
Treated
2018 - 2019
Success with this Doc
?
Race
European, East Asian, Other
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, 2 IVF, Egg Freezing
Diagnosis
Unexplained
9
8
How was your experience with Yanett Anaya at UCSF?
Dr. Anaya is thoughtful and supportive. My IVF journey has been a very twisted path. There have been several complications (discovery of Hashimoto's disease and a septate uterus) and poor outcomes to procedures (first IVF we retrieved 32 eggs but only 1 passed PGS testing). Whenever I expressed concern or doubt about the route we were taking, Dr. Anaya explains all the options, the pros and cons of the options, and the studies/or lack of studies supporting it. She is detailed and blunt but done in a compassionate and caring way. She understands its a hard road and practices patience with patients. However, she is very busy and splits her time between two clinics. Sometimes she is not available when you wish she was. But if you ask to talk to her, the care team always gets in contact with her and schedules a time for you. When you are talking to Dr. Anaya, you have her full attention and she never rushes a conversation.
What's one piece of advice would you give a prospective patient of Yanett Anaya at UCSF?
The one piece of advice I would give a prospective patient is to speak up, ask questions and advocate for yourself. However, I would probably give this advice to anyone talking to any medical provider.
During treatment, were you treated like a number or a human with Yanett Anaya at UCSF?
UCSF is a HUGE clinic, if you aren't careful you may feel like a number. But the desk staff, nurses, and Dr, Anaya all try very hard to make each interaction as informative, thorough, and reassuring as possible. You may need to use the messaging portal to ask questions to your nurse. Or ask the nurse if you can set up a call with Dr. Anaya. But as long as you advocate for what you need, Dr. Anaya and her care team will be responsive and compassionate in taking you through the very long IVF journey!
Describe the protocols Yanett Anaya used in your cycles at UCSF and their degree of success.
IUI #1 = Clomid, 2 folicles, no pregnancy IUI #2 = Clomid, 4 folicles, no pregnancy IUI #3 = Letrozole, 2 folicles, no pregnancy - switched to see if outcome would change IVF retrieval #1 = BC primer, 150 menopur, 225 gonal-F, later added ganerelix, used lupron during trigger shot ==&gt; resulted in 32 eggs retrieved, 24 fertilized, 17 Day 3 embryos, 6 blastocyst sent to PGS testing, ONLY ONE NORMAL My husband, myself, and Dr. Anaya were all disappointed. We talked about doing another IVF round with the same protocol or with a changed protocol. I pushed for a more mild protocol and Dr. Anaya worked with me. IVF retrieval #2 = Estrace & lupron injection primer, 150 menopur, 150 gonal-F, stimed longer, used an HCG trigger ==&gt; resulted in 33 eggs retrieved, 24 fertilized, 17 Day 3 embryos, 6 blastocyst sent to PGS testing, 4 tested normal FET #1 = First embryo died in thawing process; Estrace patches (1,1,2,4,4,3,2,1) and progesterone injections, 1 embryo transferred ==&gt; no pregnancy UCSF and Dr. Anaya prefer playing it conservatively, only transferring 1 embryo at a time. I agree and prefer this approach. Three embryos remaining and I am currently doing an ERA test. Story is to be continued
Describe your experience with your nurse at UCSF. (Assigned nurse: first 9 months Gianna, now Cheryl)
The entire care team including the phlebotomists and rotating fellows are all kind and friendly. Some are more knowledgeable than others, but if a person doesn't know the answer to a question they will go look for the answer for you.
Describe your experience with UCSF.
UCSF is a HUGE clinic. They have a lot of patients and a lot of staff. Sometimes it takes minute to find the right person to talk to via phone or email, but someone always answers questions within a 12 to 48 hour window. And when interacting with me everyone is friendly and compassionate. I think they need a more robust financial advisor program. Due to some unclear instructions on both the part of UCSF and our insurance company we blew $12K (out of only $20K) on IVF medication. We were not informed of UCSF's community program with Walgreens until our second round.
Describe Yanett Anaya's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
UCSF and Dr. Anaya prefer playing it conservatively, only transferring 1 embryo at a time. I agree and prefer this approach. I think this is particularly a good approach for my situation, no previous pregnancies (even in miscarriage) and 35+.
What specific things went wrong at UCSF?
  • Failed to convey critical information
Describe the specific things that went wrong at UCSF.
I think they need a more robust financial advisor program. Due to some unclear instructions on both the part of UCSF and our insurance company we blew $12K (out of only $20K) on IVF medication. We were not informed of UCSF's community program with Walgreens until our second round. If the program had been communicated appropriately and we were advised to self pay medications, we would have enough money left to have covered both rounds of IVF retrieval. Instead we spent ~$18,000 out of pocket.
9
Doctor
Yanett Anaya
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
38
Treated
2019
Success with this Doc
?
Treatment
4 IUI, 1 IVF, 1 Embryo Freezing
Diagnosis
Unexplained
10
10
Dr. Noel was measured and didn’t try to pressure me into IVF vs other doctors I had consulted. ... Dr. Noel is compassionate and thoughtful about each patient’s case. ... Strengths: Dr. Noel is thoughtful about her recommendations and fertility plan. She also takes the time to explain and answer questions. She’s responsive over email.
Strengths: wide range of time slots, both early morning and weekends. Very professional staff [UCSF], punctual and high quality of care. Weaknesses: hard to get into the system initially but go above and beyond once you’re a patient. ... Weekend staff didn’t update me on status of embryos as planned. ... Care coordinator: Thuy - she is very responsive and helpful with getting all of the paperwork and necessary appointments set up. Very organized. Main nurse: Olga - she is very organized and is the main point of contact for updates.
Age
38
Treated
2019
Success with this Doc
?
Race
East Asian
Income
Occupation
Investor
Order & Number of Docs Seen
1 Doc Seen
Treatment
4 IUI, 1 IVF, 1 Embryo Freezing
Diagnosis
Unexplained
10
10
How was your experience with Martha Noel at UCSF?
Strengths: Dr. Noel is thoughtful about her recommendations and fertility plan. She also takes the time to explain and answer questions. She’s responsive over email. Weaknesses: Dr. Noel hasn’t been as always to access since the email system got updated. Now you can only email the care team and a nurse usually responds. At least the responses are within the day.
What's one piece of advice would you give a prospective patient of Martha Noel at UCSF?
Dr. Noel is compassionate and thoughtful about each patient’s case. UCSF is structured to rotate doctors and nurses for each visit. Even though you won’t have that much contact with Dr. Noel, she is making the final decisions and recommendations for you.
During treatment, were you treated like a number or a human with Martha Noel at UCSF?
Dr. Noel is thoughtful about my case and take the time to explain everything simply, draw diagrams, provide important details and answer all of my questions. She is also realistic and kind at the same time.
Describe the protocols Martha Noel used in your cycles at UCSF and their degree of success.
We started conservatively with progesterone treatments, then moved to IUI (4 rounds) then IVF when previous methods were unsuccessful. Dr. Noel was measured and didn’t try to pressure me into IVF vs other doctors I had consulted. So far no pregnancy but Dr. Noel mentioned it could take a few tries due to age and lower egg count.
Describe your experience with your nurse at UCSF. (Assigned nurse: Olga)
Care coordinator: Thuy - she is very responsive and helpful with getting all of the paperwork and necessary appointments set up. Very organized. Main nurse: Olga - she is very organized and is the main point of contact for updates. Very efficient and explains processes well. Can sometimes be curt but don’t think she means it negatively. General nursing team: all wonderful, well-informed, professional and kind.
Describe your experience with UCSF.
Strengths: wide range of time slots, both early morning and weekends. Very professional staff, punctual and high quality of care. Weaknesses: hard to get into the system initially but go above and beyond once you’re a patient.
Describe the costs associated with your care under Martha Noel at UCSF.
IUI costs $3-5k depending on monitoring and insurance coverage. IVF costs about $20-30k depending on specific procedures performed/elected.
Describe Martha Noel's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
The approach is meant to optimize for saving the embryos that I can produce due to lower egg count. So day of transfer and # transferred depends on how many eggs and embryos in that cycle.
What specific things went wrong at UCSF?
  • Failed to call with results
Describe the specific things that went wrong at UCSF.
Weekend staff didn’t update me on status of embryos as planned.
10
Doctor
Martha Noel
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
37 - 38
Treated
2018 - 2019
Success with this Doc
?
Treatment
3 IUI
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality
10
10
At start of consultation I was 38 with low ovarian reserve (3 follicles barely 4mm each, FSH 11.2) My husband was 35 and with history of chemo due pancreatic cancer. He [Dr. Rinaudo] said IUI would be the less aggressive route since we wanted to avoid IVF ... Dr. Rinaudo it's one of the most compassionate and caring doctors ice ever dealt with. He was candid, expressed concern and helped with decision making applying evidence based expected outcomes specific to our case
The rooms could be a little "less medical" feeling but honestly I didn't care about going to a foofy clinic. I cared about the expertise and everyone at RHC has been wonderful! ... Both Kat and Norma [nurses] are so fast in responding and so organized. They're always communicating with each other and made every step of the process seamless! They're absolutely the best supporting team I'm ever worked with!
Age
37 - 38
Treated
2018 - 2019
Success with this Doc
?
Race
European, Ashkenazi Jewish
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality
10
10
How was your experience with Paolo Rinaudo at UCSF?
Dr. Rinaudo made this difficult and scary process just the opposite. He explained everything very clearly and set realistic expectations. My husband was just a couple of years post pancreatic cancer treatment when we first saw Dr. Rinaudo and we assumed the issue was just a male factor but when I got tested and discovered that I had a very low ovarian reserve (only 3 follicles and barely 4mm each during pelvic US) we realized our situation just became tenfold more complex. I was 38 at the time so it wasn't statistically surprising but it was definitely emotionally shocking to find out nevertheless, considering I've always been healthy. After 3 cycles of IUI didn't work Dr. Rinaudo recommended IVF. Having lost my childhood best friend to breast cancer at the age of 33 shortly after IVF, the thought of it was terrifying. Though the statistics aren't clear that IVF causes cancer, I've personally witnessed too many cases. We discussed this with Dr. Rinaudo and he explained that it is important to consider that it's not just IVF but the ongoing hormone surges throughout pregnancy that could trigger cancer. This shed more light on the subject but didn't make going through IVF more enticing. We agreed with my husband that if we came to the point where IVF was the only option we'd get further genetic testing for cancer. This is the ONLY weakness that I would say Dr. Rinaudo has. Neither HE nor ANY medical professional was the one to suggest this test, despite my husband's history of cancer and my Ashkenazi background. Once we told him we want to do the genetic testing, Dr. Rinaudo very quickly arranged for us to meet with a wonderful generic counselor who performed the saliva test. After a few weeks we were contacted by the same genetic counselor who gave us the terrific news that my husband was clear of any genetic cancers (which was my biggest fear) and followed the news my revealing that I have the BRCA2 gene (a fear we didn't anticipate). Now I was even more glad we did the test but even more confused by why NOBODY ever suggests to get this test done considering 1 in 40 people of Jewish descent have some form of the BRCA gene. We decided for me do a double mastectomy and reconstruction and put IVF on hold until I recovered. Now I'm recovered and less fearful of going through IVF. Now I'm ready to get back on track to starting a family.
What's one piece of advice would you give a prospective patient of Paolo Rinaudo at UCSF?
Pick his brain. He's brilliant. But do your research and be your own advocate in the process. This would apply to any doctor as well.
During treatment, were you treated like a number or a human with Paolo Rinaudo at UCSF?
Dr. Rinaudo it's one of the most compassionate and caring doctors ice ever dealt with. He was candid, expressed concern and helped with decision making applying evidence based expected outcomes specific to our case.
Describe the protocols Paolo Rinaudo used in your cycles at UCSF and their degree of success.
At start of consultation I was 38 with low ovarian reserve (3 follicles barely 4mm each, FSH 11.2) My husband was 35 and with history of chemo due pancreatic cancer. Double whammy! He said IUI would be the less aggressive route since we wanted to avoid IVF possible so he said we'd give no more than 3 cycles a try then move on to IVF. 3 cycles of IUI resulted in 0 pregnancies.
Describe your experience with your nurse at UCSF. (Assigned nurse: Kat and Norma)
Both Kat and Norma are so fast in responding and so organized. They're always communicating with each other and made every step of the process seamless! They're absolutely the best supporting team I'm ever worked with!
Describe your experience with UCSF.
The clinic is started off the art and overall beautiful. The rooms could be a little "less medical" feeling but honestly I didn't care about going to a foofy clinic. I cared about the expertise and everyone at RHC has been wonderful!
Describe the costs associated with your care under Paolo Rinaudo at UCSF.
We were fortunate to have Cobra insurance coverage under my husband's previous employer in Massachusetts which covered all fertility treatment. We no longer have this coverage and were quoted about $15,000 not including medications per cycle for out of pocket cost.
Describe Paolo Rinaudo's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr. Rinaudo suggested single embryo transfer to avoid potential risks associated with potentialof multiples based on our situation and my age
10
Doctor
Paolo Rinaudo
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
35
Treated
2019
Success with this Doc
?
Treatment
1 IVF
Diagnosis
Male Factor
10
10
She was the first doctor in our process to outline our options and give us hope. Her attention and knowledge were outstanding. ... Due to high risk of OHSS -I had 33 follicles during the initial consult-, Dr. Cedars treated me with an antagonist protocol. ... Doctor Cedars took the time to explain our diagnosis and options. She answers many questions during the course of treatment
I worked with Katharine and Ruthie [nurses at UCSF] and they were both outstanding. They would follow up with me within minutes of me sending them messages, they were on top of the schedule and reacted quickly when we had to make changes (i.e. initiating stimulation a week earlier due to my menses being early). ... I never had to wait more than 5 minutes for any of my appointments and I loved finding a book of notes for patients by patients that made me feel understood and less lonely going through the process.
Age
35
Treated
2019
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Operations
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Male Factor
10
10
How was your experience with Marcelle Cedars at UCSF?
After a year of trying and getting no answers from Kaiser we transferred our case to UCSF and Dr. Cedars saw us immediately, used the battery of tests we had done through Kaiser to diagnose us and gave us a path forward. She was the first doctor in our process to outline our options and give us hope. Her attention and knowledge were outstanding. To date (we are awaiting to see if the Fresh transfer worked), we joke that we may call any future daughters of ours Marcelle after the doctor.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Trust the doctor
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
Doctor Cedars took the time to explain our diagnosis and options. She answers many questions during the course of treatment and she worked with Dr. Smith who was treating my husband. She was extremely positive and even conducted some procedures like the saline sonogram herself.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
Due to high risk of OHSS -I had 33 follicles during the initial consult-, Dr. Cedars treated me with an antagonist protocol. We started with 75 Menopur and 150 Gonal-F. After 10 days, my estradiol levels went down (one big follicle collapsed) and we increased the dose of Menopur to two vials. Two days later we triggered and we got 19 eggs (all 19 mature).
Describe your experience with your nurse at UCSF. (Assigned nurse: Katharine Porras)
I worked with Katharine and Ruthie and they were both outstanding. They would follow up with me within minutes of me sending them messages, they were on top of the schedule and reacted quickly when we had to make changes (i.e. initiating stimulation a week earlier due to my menses being early). I have really enjoyed working with them and I have felt very cared for.
Describe your experience with UCSF.
The facilities have to be the best in the country. The Mission Bay Campus is incredible. I never had to wait more than 5 minutes for any of my appointments and I loved finding a book of notes for patients by patients that made me feel understood and less lonely going through the process.
Describe your experience with your monitoring appointments at UCSF.
Monitoring was done in the mornings and it was very convenient as it was from 7 AM until 9 AM which meant not having to miss work. It was extremely easy to get appointments and I was always able to get them at my preferred time.
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
The doctor strongly recommended eSET due to my egg, hormonal levels and health history. She also recommended a fresh transfer after monitoring me daily from day 5 of stims.
10
Doctor
Marcelle Cedars
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Marcelle Cedars at UCSF.

Verified

This patient has provided documentation of treatment at this clinic.

7
6
Age
34
Treated
2019
Success with this Doc
?
Treatment
1 IVF
Diagnosis
Unexplained
7
6
16 eggs retrieved, 9 mature eggs, 7 fertilized, 6 grew to day 6 for biopsy + PGS, 1 euploid embryo [protocol with Dr. Thalia Segal]...While our diagnosis is unexplained infertility, Dr. Segal seemed to create a plan that made sense and explained anything I had questions about...The only complaints I had was that she wasn't aware of the conversation topic for a couple phone consults that were scheduled. Not sure if this was an issue with her team, but it didn't make for a great experience for those calls.
My understanding is that UCSF has very good technology, research and reputation. Their equipment is state of the art and we were able to be a part of a study that had low risks but saved us about $2500 that we would have spent anyways. That is why we chose UCSF. The issue here seems to be process and perhaps that they have WAY too many patients to manage. For instance, there are multiple forms that you must sign with a witness and no one makes sure that you have all of them at once and gets every single item signed at the same time. They are very disorganized and seemingly quite unaware of the issues. They are supposed to be fixing it and I hope they will so other people don't waste time and money. Make sure to advocate for yourself. Try your best to get an understanding of the bigger process and deadlines if you're on a tight timeline. Self pay medications with them are extremely affordable. I think friends that went to private clinics paid a lot more.
Age
34
Treated
2019
Success with this Doc
?
Race
East Asian
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Unexplained
7
6
How was your experience with Thalia Segal at UCSF?
While I didn't see Dr. Segal much, every encounter in person or on the phone was pleasant. She answered every question I had, made sure I knew the benefits and the risks and was empathetic and informative. Overall really professional. The only complaints I had was that she wasn't aware of the conversation topic for a couple phone consults that were scheduled. Not sure if this was an issue with her team, but it didn't make for a great experience for those calls.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Be clear about your goals, ask a lot of questions.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
In person and on the phone, Dr. Segal (and every other person at UCSF CRH that I've been in contact with) is kind, informative and very helpful. While our diagnosis is unexplained infertility, Dr. Segal seemed to create a plan that made sense and explained anything I had questions about. The process at UCSF, however, is very flawed. It's not clear where you are in the process, who you are supposed to be in touch with, it takes on average 3 calls to get a phone call/email back. Expect for this to take longer than you think it will. I had my first appointment early April and was planning to do my first egg retrieval starting end of May and one day before cycle day 1, they called to tell me that they had to push to the next cycle. Needless to say I was quite unhappy about this as we were trying to get all this done as my insurance plan year is coming to a close. Apparently UCSF is working to fix some serious issues, but be warned - you must be an advocate for yourself and push them along. Maybe other teams are more organized but it really sounds like it's a UCSF thing not a team/Dr. specific issue.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
Skipped estrace priming, 4 days Menopur 150 IU/ Gonal F 150 IU, 5 days Ganirelix 250 mcg and Menopur 150 IU / Gonal F 75, cotrigger with 4mg Lupron/2500 units HCG. I had 2 lead follicles early in the process so skipping the estrace priming was probably a mistake and will be added to the next egg retrieval cycle. My estrogen level was a bit high so changed to cotrigger Lupron with HCG instead of only HCG. 16 eggs retrieved, 9 mature eggs, 7 fertilized, 6 grew to day 6 for biopsy + PGS, 1 euploid embryo
Describe your experience with your nurse at UCSF. (Assigned nurse: Teona)
I spoke to the nurse very rarely. Two issues happened - the nursing team couldn't call in my prescriptions in time for the first scheduled egg retrieval in early June. This was the reason my cycle was pushed out. Second issue, is that no one called with my 2nd blood draw numbers and so I didn't change my dosage. It's unknown whether a dosage change would have been needed but I was instructed after my 3rd blood draw that if I hadn't heard from anyone that day to call (even to ER line after hours) the day of a blood draw to confirm the dosage amounts.
Describe your experience with UCSF.
My understanding is that UCSF has very good technology, research and reputation. Their equipment is state of the art and we were able to be a part of a study that had low risks but saved us about $2500 that we would have spent anyways. That is why we chose UCSF. The issue here seems to be process and perhaps that they have WAY too many patients to manage. For instance, there are multiple forms that you must sign with a witness and no one makes sure that you have all of them at once and gets every single item signed at the same time. They are very disorganized and seemingly quite unaware of the issues. They are supposed to be fixing it and I hope they will so other people don't waste time and money. Make sure to advocate for yourself. Try your best to get an understanding of the bigger process and deadlines if you're on a tight timeline. Self pay medications with them are extremely affordable. I think friends that went to private clinics paid a lot more.
Describe the costs associated with your care under Thalia Segal at UCSF.
$15k fertility services charged to BCBS insurance, paid $8k out of pocket. $5k fertility prescriptions charged to BCBS insurance, paid $2500 out of pocket
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
UCSF always talks about the goal being a singleton pregnancy so I believe they will only implant 1 at a time. I'm also high risk due to autoimmune conditions so implanting 1 has been my expectation from the beginning.
What specific things went wrong at UCSF?
  • Lost paperwork
  • Failed to call with results
  • Failed to inform you of changes in protocol
  • Lost results
  • Failed to convey critical information
  • Canceled a cycle due to clinic error
7
Doctor
Thalia Segal
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
6
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
10
Age
26
Treated
2019
Success with this Doc
?
Treatment
7 Fertility Medications
Diagnosis
8
10
My husband was concerned about me becoming the new Octomom and our doctor [Dr. Huddleston] reassured us that she would only be transferring one embryo because multiple embryos means more chance for complications...was very kind and understanding . She answered all of my husband and my questions with great care...was very intelligent and broke down the whole process of IVF even drew pictures so we completely understood what was going on she was very empathetic to our situation and also offered to enroll us into a case study if we wanted to because it could possibly be a little less expensive route . She was very patient and gave detailed explanations to us and asked if we had questions along the way.
Parking was a little expensive [at UCSF]...it is a beautiful facility very clean and warming...you are instantly greeted when you walk in . We didn’t have to wait to be seen we were seen exactly on time!!...Our care coordinator was awesome explained everything answered all my what if questions and worked with our schedule ...My husband was concerned about me becoming the new Octomom and our doctor [Dr. Huddleston] reassured us that she would only be transferring one embryo because multiple embryos means more chance for complications
Age
26
Treated
2019
Success with this Doc
?
Race
Latino, Native American
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
7 Fertility Medications
Diagnosis
8
10
How was your experience with Heather Huddleston at UCSF?
Dr.Huddleston was very intelligent and broke down the whole process of IVF even drew pictures so we completely understood what was going on she was very empathetic to our situation and also offered to enroll us into a case study if we wanted to because it could possibly be a little less expensive route . She was very patient and gave detailed explanations to us and asked if we had questions along the way.
What's one piece of advice would you give a prospective patient of Heather Huddleston at UCSF?
To be open and honest with her and due to her willingness to explain come in with a list of questions prepared.
During treatment, were you treated like a number or a human with Heather Huddleston at UCSF?
Heather was very kind and understanding . She answered all of my husband and my questions with great care.
Describe the protocols Heather Huddleston used in your cycles at UCSF and their degree of success.
I am currently undergoing treatment with Dr.Huddleston. She did explain in our first appointment why we needed to do the sonogram because my husband and I were hesitant due to us not having coverage for it and did not want to pay for something that was unnecessary at the time but she explained the reasoning why we needed it which was Because she needed to get an initial look at the female reproductive System as well as a current egg count to know an approximation of how many eggs could be produced in retrieval and to see if there were any anatomical abnormalities.
Describe your experience with your nurse at UCSF. (Assigned nurse: Janlyn kong)
Our care coordinator was awesome explained everything answered all my what if questions and worked with our schedule .
Describe your experience with UCSF.
Parking was a little expensive and there is construction around the area currently so it was a little difficult getting there but the contractors were very nice and gave directions but other than that it is a beautiful facility very clean and warming the security helped us find what floor to get to and you are instantly greeted when you walk in . We didn’t have to wait to be seen we were seen exactly on time!!
Describe the costs associated with your care under Heather Huddleston at UCSF.
So far nothing yet but looking over the bill it’s going to be +$10,000
Describe Heather Huddleston's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
My husband was concerned about me becoming the new Octomom and our doctor reassured us that she would only be transferring one embryo because multiple embryos means more chance for complications and she wants us to have a healthy pregnancy so she transfers only one embryo at a time. Unless your over 40 and your egg quality is lower she only does o e embryo.
8
Doctor
Heather Huddleston
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

9
10
Age
44
Treated
2019
Success with this Doc
?
Treatment
4 IUI, IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Male Factor, Uterine Fibroids
9
10
She [Dr. Cedars] is kind, forthright, and thoughtful, and takes the time to explain treatment options....She’s amazing but busy. She takes the time to call and speak with you directly with positive or negative news. I’ve advocated for myself and I think that has paid off in getting the care I deserve. Her ability to lay out all of the options clearly and address all of my concerns is why I continue to pursue treatment with her and UCSF.
This is my fourth fertility clinic (third one for treatment) and I love everything about UCSF. Yes it’s a huge research institution and there can be a lot of patients in the waiting areas and treatment lounges, but I feel like each interaction with me directly is personalized for my protocol....The biggest issue with Dr Cedars is the continued revolving door of the staff. As soon as you build rapport with one, they leave. There are other permanent staff but they are not as diligent on details as previous coordinators were.
Age
44
Treated
2019
Success with this Doc
?
Race
Black or African-American
Income
$200K - $499K
Occupation
Business Executive
Order & Number of Docs Seen
1st of 3 Docs
Treatment
4 IUI, IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Male Factor, Uterine Fibroids
9
10
How was your experience with Marcelle Cedars at UCSF?
She’s amazing but busy. She takes the time to call and speak with you directly with positive or negative news. I’ve advocated for myself and I think that has paid off in getting the care I deserve. Her ability to lay out all of the options clearly and address all of my concerns is why I continue to pursue treatment with her and UCSF.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Do your research and advocate for yourself. Ask questions if anything is unclear. She is super busy, so determine the answers you can get from your care team and those you need from Dr Cedars.
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
She is kind, forthright, and thoughtful, and takes the time to explain treatment options.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
I’ve only done one donor egg IVF cycle with Dr Cedars but two transfers. The first protocol was Lupron, then estrogen patches, then progesterone, medrol five days before the transfer and Valium for the transfer. I was also taking a huge amount of supplements (Vitamins B,C,D,E, iron, baby aspirin, ubiquinol, metafolinic). Unfortunately my lining was insufficient for my transfer so Dr Cedars ordered an ERA and I had a mock transfer to see if my uterus was receptive. Once the data came back that I am pre-receptive, she removed Lupron from my protocol during my next cycle and kept everything else. Although the transfer was smooth, that round was unsuccessful. I’m waiting for the sign off for my next DEIVF round.
Describe your experience with your nurse at UCSF. (Assigned nurse: Teona, Julie, Anne, Ruth)
The biggest issue with Dr Cedars is the continued revolving door of the staff. As soon as you build rapport with one, they leave. There are other permanent staff but they are not as diligent on details as previous coordinators were.
Describe your experience with UCSF.
This is my fourth fertility clinic (third one for treatment) and I love everything about UCSF. Yes it’s a huge research institution and there can be a lot of patients in the waiting areas and treatment lounges, but I feel like each interaction with me directly is personalized for my protocol.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
I’m pretty privileged in that I received a gift from a family member to pay for costs not covered by insurance, and that my insurance at first covered 50 percent (and has increased to 85 percent) for my treatment. So my costs are variable but I think we probably paid out of pocket for procedures less than $5K (donor-related items are not covered by insurance and for a frozen round the cost is over $13K).
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr Cedars is complete pro-eSET. For the first round I agreed; as I face my second round I am leaning toward a multiple embryo transfer.
What specific things went wrong at UCSF?
  • Provided conflicting information
Describe the specific things that went wrong at UCSF.
This is in reference to the challenges with Dr Cedars’s care team. One staff called me with completely incorrect information regarding my protocol and I was frustrated to have to correct them when I know they have access to my file. Just seemed lazy.
9
Doctor
Marcelle Cedars
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

7
8
Age
36 - 37
Treated
2018 - 2019
Success with this Doc
No
Treatment
6 IUI, 1 IVF
Diagnosis
Poor Egg Quality, Unexplained
7
8
The one thing about Dr. Cakmak that I think someone should know is that he can be a bit aggressive/stuck on his treatment plan. ... He does argue his points with me, but will give me the information and his opinion and will defer to my choices. ... We are in the middle of our second cycle and I would actually say I probably feel like more of a number now, oddly enough as I feel like we were sort of thrown into our second cycle with much less guidance and hand-holding.
Know that you will see whoever is on call for that day [UCSF], but it is your doctor who is going to be making the treatment plans and making the big decisions for you. ... about 5 days before the first monitoring appointment (when we'd have to pay), we got notice that to use our insurance, they were going to charge $32,000, and given that we had a lifetime max of $15,000 (and not taking into account we had already used some of that for the visits, ultrasounds, and meds), we would have to pay $17,000.
Age
36 - 37
Treated
2018 - 2019
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Teacher
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
6 IUI, 1 IVF
Diagnosis
Poor Egg Quality, Unexplained
7
8
How was your experience with Hakan Cakmak at UCSF?
The one thing about Dr. Cakmak that I think someone should know is that he can be a bit aggressive/stuck on his treatment plan. I am undecided so far if this is a good or bad thing. I typically see whoever is on call when coming in for my monitoring visits. Last year, they found fluid in the ultrasound that appeared to be in my right fallopian tube. This would have canceled the plans to complete a fresh transfer. Dr. Cakmak was not convinced that it was in my tube. At the retrieval, there was fluid in my uterus, on the right side. All indications that there likely was fluid in my right tube. He left it up to me, but we had so few embryos, I didn't want to risk doing a transfer with a potential hydrosalpinx. He ordered another HSG, and the report stated that the left tube was "clearly patent" and the right was "likely patent". To me, this was not a clear answer that the tubes were clear, but to him it was. We are in our second round gearing up for another retrieval, and I noticed the fluid again. We just saw him today, and he is still not convinced that it is in the tube. When we were going through it last year, we were so emotionally invested in it all going "well" and were so hard hit by any deviation from the plan, that it was comforting when he wanted to barge ahead and not deviate from the plan. But looking back, it seemed that all of the other doctors we saw on call were more hesitant and cautious than he is. I trust him as a physician. I know he knows his stuff and I have seen his published research and studies. However, this "gung ho-ness" (can't think of a better word, feel free to edit that if necessary :) ) is the thing that has made me consider switching physicians. Simply because I am not sure this is the best fit for me. However, knowing this, I have made an effort to be more knowledgeable about options and vocal about my choices for my treatment plan. He does argue his points with me, but will give me the information and his opinion and will defer to my choices.
What's one piece of advice would you give a prospective patient of Hakan Cakmak at UCSF?
As discussed in the previous question: Do your research on your options, listen to his points and ask questions, but don't be afraid to advocate for your treatment choices. Be prepared for how rigid he can be in the treatment plan. As we learn when we start treatment, things change CONSTANTLY as there is no way of knowing what your body will do. Know your options, and be flexible, as in my experience, he is not as flexible.
During treatment, were you treated like a number or a human with Hakan Cakmak at UCSF?
Dr. Cakmak sat at our first appointment and stated that he had reviewed all of my medical records, and I had sent over quite a few releases so that they may have all the info needed. He then verbally reviewed all of my info to verify that he had a good understanding of everything. He then gave his recommendations and why he thought each step was the one we needed to take. It wasn't until our failed cycle that I understood that the first IVF is kind of a crap-shoot because they have no way of knowing until then what your issues are or what kind of cycle you really need. We are in the middle of our second cycle and I would actually say I probably feel like more of a number now, oddly enough as I feel like we were sort of thrown into our second cycle with much less guidance and hand-holding. However, it is hard to say if this is because it is my second time around or if it is because my nurse resigned prior to me starting my second round, so the nurse I have now is a nurse for another doctor on staff.
Describe the protocols Hakan Cakmak used in your cycles at UCSF and their degree of success.
1 IVF: Antagonist, planned to be a fresh transfer. Can't remember the dosing, but I was on birth control in the prep month (and estrace? can't recall), then menopur, gonal F during the cycle, cetrotide to suppress, and had planned on using an HCG/Lupron trigger, but my estrogen levels indicated that I should not do the Lupron trigger, so it was just HCG. High number of eggs retrieved and my estrogen levels put me at risk for OHSS, but luckily did not develop this. Due to potential hydrosalpinx and low number of embryos at day 5, I elected to change it to a freeze-all. Then FET with 1 embryo (only one left on day 6 that was also euploid). 2. (current cycle) Long agonist (doctor decision based on poor quality embryos at last cycle--25 retrieved, 18 mature, 16 ferilized, 8 embryos on day 3, 4 on day 5, 2 made it to blastocyst on day 6, one euploid, one anuploid). 10 units Lupron during prep month. 150 Gonal F, 150 Menopur (decreased to 75 on last day of stims), 25 units Omnitrope (human growth hormaone- to address egg quality thought to be the reason fro poor embryo quality). I will be triggering tonight with 5000 HCG. Planned to be a fresh transfer (day 3 if not at blastocyst criteria, day 5 if they do meet blastocyst criteria), but I will request they look for fluid in my uterus at the egg retrieval.
Describe your experience with your nurse at UCSF. (Assigned nurse: Audra during my first cycle, Maria during my second)
I was glad to have an assigned nurse at this clinic. My first nurse was attentive and responsive. She had joked that she was a "stalker nurse" and would be calling me all the time, but really this was helpful and appreciated. She was a bit clinical during my miscarriage (not at all insensitive though). My second nurse is on loan from another doctor in the practice as Audra left. The day I called to say I wanted to get started and report my day one of the cycle, was her last day. My second nurse, Maria, has also been out of the office for parts of my cycle. When I have called her directly and emailed her, she has always called back or emailed and has let me know when she would be out of the office. I appreciate that she works later hours as it was frustrating trying to make sure I called Audra before 3 or 3:30 as she typically left for the day then and inevitably something would come up a 3:45. Maria has been friendly and personable. I generally have had no issue getting in touch with anyone on the care team. However, there was a day during this cycle that I had significant cramping throughout the day on a day I did not have to go to the clinic for monitoring. I was concerned that I was developing an issue, possibly ovarian torsion as it was localized to one side. I called the care team line as I knew Maria was out of the office and never received a call back. This was unusual as this had not happened before and of course happened on the day I was concerned about a serious side effect of the treatments.
Describe your experience with UCSF.
I don't know if people can request certain doctors. I just called and was sent to the first available, I think, but it'd be worth it to ask and to check out all the doctors who have been reviewed to see who is a good fit for you. Know that you will see whoever is on call for that day, but it is your doctor who is going to be making the treatment plans and making the big decisions for you. I did not mind seeing other doctors. I felt like it gave me perspective about my own doctor. I was appreciative that my care was not passed off to a nurse practitioner like at other clinics. However, it may be important to others that you see your doctor at each visit, in which case another clinic may be a better fit. The billing department is a nightmare.
Describe the costs associated with your care under Hakan Cakmak at UCSF.
My visits were covered. Follow-ups are free if you are on the self-pay. We initially went to this clinic due to insurance coveraage. The only clinics that were "in-network" for my insurance were in San Francisco. So we billed insurance for office visits and my water ultrasound. However, once we got ready for the cycle, about 5 days before the first monitoring appointment (when we'd have to pay), we got notice that to use our insurance, they were going to charge $32,000, and given that we had a lifetime max of $15,000 (and not taking into account we had already used some of that for the visits, ultrasounds, and meds), we would have to pay $17,000. Or we could chose the self-pay option, bill none to our insurance and pay $16,000. Insurance was the whole reason we went to this clinic, and in the end, it was cheaper not to use it. Our second cycle, when I informed my nurse we only had $4,500 left and we'd be using it for meds, she said we should utilize the 340B medication program. What Freedom pharmacy had charged my insurance $6000+ only cost me $250 through this program. She stated that we could then use the $4500 left on my cycle. I knew this was likely not the case, but I figured we could save that money for something else since I didn't like that Freedom wasn't transparent in what they were charging my insurance, so ordering through them with a limited amount of funds left meant I didn't have any way of knowing what I would be charged in overage after the $4500 was gone. Our first monitoring appointment was on a Saturday, and the billing department sent me a letter of financial obligation on Friday at 3PM. Turns out, I was right and we can't partial-bill, so there's no way to use that $4500 toward a cycle. They were gracious and understanding and are letting us pay at a later date rather than at the first monitoring appointment. We are still looking at about $16000 for a fresh transfer cycle with monitoring and egg retrieval. $4000 for a FET. Plus medications.
Describe Hakan Cakmak's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
My doctor and the geneticist I met with at UCSF both really wanted me to implant one, but are allowing me to implant two. They educated me on the risks of implanting two and the risks of carrying twins.
7
Doctor
Hakan Cakmak
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Hakan Cakmak at UCSF.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
37
Treated
2019
Success with this Doc
Yes
Treatment
2 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
Dr. Rosen is not necessarily the "warm and fuzzy" type. But neither are we, so he is the prefect match for us. He also took the time to connect with my husband to make him feel more comfortable about the process....Dr. Rosen was fantastic and kept it real and was straight forward with us, but also understood the human factor and concerns and anxieties we had going through the process. He used the right amount of humor, but also was always very clear about the process, what he expected, and how we were going to get there.
UCSF is top of the line. I love everything about it. I would say that if you want specialized care where you see your doctor every visit and are able to reach out to talk to him directly, this is not the place for you. During my stimming and follow up appts, I have seen tons of other docs and NPs. After each appt, they would review my hormone level and U/S with my doctor and then I would receive a call from the Nurse.
Age
37
Treated
2019
Success with this Doc
Yes
Race
European, Black or African-American
Income
$200K - $499K
Occupation
Lawyer
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
How was your experience with Mitch Rosen at UCSF?
Dr. Rosen is not necessarily the "warm and fuzzy" type. But neither are we, so he is the prefect match for us. He also took the time to connect with my husband to make him feel more comfortable about the process. After coming from a previous RE where I did not feel as comfortable, every single time I see or talk to Dr. Rosen I walk out of the clinic feeling more positive and hopeful than before. Even with setbacks out of any of our control. We really love Dr. Rosen.
What's one piece of advice would you give a prospective patient of Mitch Rosen at UCSF?
Some people need a warmer demeanor. And I think setting up those expectations from the beginning would be helpful. For us, he is perfect. But he may not be a match for everyone. So laying out his personality/"bedside manner" type during introductions before going into treatment plan would be helpful for people to decide if he is the right doctor for the long haul.
During treatment, were you treated like a number or a human with Mitch Rosen at UCSF?
Dr. Rosen was fantastic and kept it real and was straight forward with us, but also understood the human factor and concerns and anxieties we had going through the process. He used the right amount of humor, but also was always very clear about the process, what he expected, and how we were going to get there.
Describe the protocols Mitch Rosen used in your cycles at UCSF and their degree of success.
First cycle: estrogen priming, gonal F, menapur, started ganorelix around day 6, stimmed for 9 days, egg retrieval on day 11. Had done IUIs with that combination and it worked well, so he decided to try that. Second cycle: about to start. Doing a random start time with no priming (due to there being a cyst that is delaying ovulation). Not sure yet what medications we will use to stim this cycle, but believe it will be around the same.
Describe your experience with your nurse at UCSF. (Assigned nurse: Cathy)
Cathy and the entire staff at UCSF is fantastic. They call every day that they say they will. They call around the same time and are very clear with their instructions on what the next steps are.
Describe your experience with UCSF.
UCSF is top of the line. I love everything about it. I would say that if you want specialized care where you see your doctor every visit and are able to reach out to talk to him directly, this is not the place for you. During my stimming and follow up appts, I have seen tons of other docs and NPs. After each appt, they would review my hormone level and U/S with my doctor and then I would receive a call from the Nurse. They were like clock work, but it was never Dr. Rosen. So if you want to see the same person every time, its not the place. I call this more of a "well oiled machine" (that is very big). I love UCSF though!
Describe the costs associated with your care under Mitch Rosen at UCSF.
One retrieval round for us, with insurance, was around $9100. We anticipating one more retrieval. And then we will also have to pay for transfer (around $4000). Other expenses were sent to my other provider.
Describe Mitch Rosen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr. Rosen is very clear that if you do PGS testing, he will only transfer one back. He said that at the beginning and even when we (Husband and I) were toying with the idea of 2 after all of the delays. But he did not waiver and said only 1 an option. Which we actually were good with, and he had stayed consistent with that position, which I appreciated.
10
Doctor
Mitch Rosen
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
29
Treated
2019
Success with this Doc
Yes
Treatment
2 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve
10
10
Dr. Cedars came across as friendly, kind, and thoughtful. She is a very busy person, but when she's with you, she really gives you all her focus and never makes you feel rushed or like a burden. I felt like I could put a lot of trust in her ... I did a "mini stim" protocol due to my young age, my fertility being unexplained, and the fact that this was my first time doing IVF.
They [UCSF] won't be pushing any treatment you don't actually need. They offer mini-stim IVF for a fraction of the price of IVF at most places, which is a big reason I traveled from MT for my treatment. ... The one thing I will say they fall short of is communicating and getting the ball rolling quickly with starting your care. It can take months to get your first appointment, and we had to be persistent and annoying to get things going in our treatment.
Age
29
Treated
2019
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1st of 4 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve
10
10
How was your experience with Marcelle Cedars at UCSF?
Dr. Cedars came across as friendly, kind, and thoughtful. She is a very busy person, but when she's with you, she really gives you all her focus and never makes you feel rushed or like a burden. I felt like I could put a lot of trust in her, and that she was doing everything she could to ensure the best outcome for me.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
She can be hard to get ahold of, and you likely won't see her much during your treatment
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
In the few interactions with Dr. Cedars I had, she was very nice and friendly, and made me feel comfortable in conversation.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
I did a "mini stim" protocol due to my young age, my fertility being unexplained, and the fact that this was my first time doing IVF. It aims for quality over quantity, and results in fewer eggs maturing at once, but increases the likely hood that they will fertilize, and also increases the odds of a fresh transfer. This protocol involved taking clomid day 2-6, then starting injections on day 6 (150 iu of gonal-f, ganirelix, and 75 IU Menopur until trigger). We found out around trigger day that my uterine lining was too thin for a fresh transfer most likely a side effect of the clomid. I also had a low follicle count, and it took some finessing to get a few to maturity at the same time, and by trigger day, it looked like we had 3 good ones, and 5 small ones. We were able to retrieve 6, but given the maturity level, it wasn't much of a surprise that only 2 fertilized. Luckily, of those 2, they both made it to day 3, and were frozen for a later transfer. They were rated well, both grade 2, one was an 8 cell, one was a 6. I participated in a study for my treatment, comparing IVF to Invocell, and was chosen for IVF. The study was a mini-stim protocol, and compares day 3 embryos, so my treatment was tailored to my needs within the parameters of the study. However they wouldn't have accepted me for the study if I hadn't been a good candidate, so I trust that it was right for me.
Describe your experience with your nurse at UCSF. (Assigned nurse: Jill Ford)
Jill was great, she responded quickly to my emails and calls, and helped me understand what I needed to do and when.
Describe your experience with UCSF.
UCSF is amazing because its a not for profit fertility center, with a large volume of patients, meaning lots of experience, and motivation to learn more and be at the forefront of research and new treatment, while also not trying to necessarily make money, like many fertility centers do. Knowing this makes you feel very assured that they are looking out for your best interests, and not their own! They won't be pushing any treatment you don't actually need. They offer mini-stim IVF for a fraction of the price of IVF at most places, which is a big reason I traveled from MT for my treatment. Also, everyone I dealt with there was so nice. Even the people who were way overworked made me feel like they really cared about me in our interactions. The one thing I will say they fall short of is communicating and getting the ball rolling quickly with starting your care. It can take months to get your first appointment, and we had to be persistent and annoying to get things going in our treatment. Once things start though, it's a pretty smooth engine.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
We had no insurance coverage, and Mini Stim IVF is normally around $5500, but we were able to participate in a study that made it $4816 (that includes anesthesia, but also is only for a set amount of appointments, so it can go up a little depending on if you need more monitoring) and then an additional $700 for a year of embryo storage. They refund you for whatever is left over, if you have to stop at any point in the process. They also have a pharmacy next door, that is discounted and it easily saved us thousands of dollars. All in we paid around $300 for all my meds combined!
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
She originally suggested I transfer both, just out of convenience since I have to travel for my care. However I felt strongly that I only wanted to transfer 1, and not take on the risk of multiples. She was completely on board with that and supported my choice!
10
Doctor
Marcelle Cedars
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
10
Age
36 - 39
Treated
2016 - 2019
Success with this Doc
Yes
Treatment
IVF
Diagnosis
Anovulation, Other
8
10
He [Dr. Fujimoto] was honest about what the research supported, and what aspects of diagnosis and treatment he simply couldn't answer (based on the research). Sometimes I had to be more proactive than I would have liked to raise different options (such as an ERA test). He also put me in the driver's seat more than I would have expected - for example, one time he asked what dose of a medication I thought I should take. ... He did, however, recommend transferring a single embryo.
The initial calendars/case schedules I was sent by the nursing staff did not always reflect my correct protocol. ... The clinic is absolutely top of the line and has the latest research. The staff was warm and caring - even staff members you might see only once. They also are able to help patients get medications at low prices - I saved thousands of dollars. Wait times for an initial appointment can be months. ...
Age
36 - 39
Treated
2016 - 2019
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Lawyer
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
IVF
Diagnosis
Anovulation, Other
8
10
How was your experience with Victor Fujimoto at UCSF?
Dr. Fujimoto is very down to earth and warm and has access to the latest research. He was honest about what the research supported, and what aspects of diagnosis and treatment he simply couldn't answer (based on the research). Sometimes I had to be more proactive than I would have liked to raise different options (such as an ERA test). He also put me in the driver's seat more than I would have expected - for example, one time he asked what dose of a medication I thought I should take.
What's one piece of advice would you give a prospective patient of Victor Fujimoto at UCSF?
Do your own research and be prepared to ask questions -- he may not raise all issues you should consider, and he may not fully talk through issues unless you push him.
During treatment, were you treated like a number or a human with Victor Fujimoto at UCSF?
All doctors and nurses were very warm and compassionate. However, sometimes they had to be reminded multiple times of my unique circumstances.
Describe your experience with your nurse at UCSF. (Assigned nurse: Deidre Koeb)
Nursing staff and coordinator were very warm and compassionate and responsive. However, they sometimes had to be reminded of my specific situation -- for example, the calendars I received were often incorrect or reflected the wrong protocol.
Describe your experience with UCSF.
The clinic is absolutely top of the line and has the latest research. The staff was warm and caring - even staff members you might see only once. They also are able to help patients get medications at low prices - I saved thousands of dollars. Wait times for an initial appointment can be months.
Describe the costs associated with your care under Victor Fujimoto at UCSF.
I purchased a package that cost $15,000 for one retrieval (including ICSI) and two transfers. PGS was $2775 more, and I paid about $2600 for additional tests and services. So, about $20,000 total.
Describe Victor Fujimoto's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
I was surprised that the doctor made it sound like more of an open-ended decision -- I would have expected him to recommend eSET and educate me on the risks of multiples more strongly than he did. He did, however, recommend transferring a single embryo.
What specific things went wrong at UCSF?
  • Provided conflicting information
  • Failed to consider drug intolerance
Describe the specific things that went wrong at UCSF.
The initial calendars/case schedules I was sent by the nursing staff did not always reflect my correct protocol. It seemed like they were sending something generic that did not take into account the modifications the doctor and I had discussed. This was promptly fixed once I identified the error.
8
Doctor
Victor Fujimoto
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
UCSF
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.