Rated 7.5
Strongly recommend: 60%Neutral: 13%Don't recommend: 27%7.5
60% strongly recommend
35 reviews
Humanity
8.5
8.5
Humanity

Ratings of 1 mean patients felt this doctor treated them as "a number."

Ratings of 10 mean patients felt this doctor treated them as "a human."

Communication
8.2
8.2
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
5.8
5.8
Frequency Seen

Ratings of 1 mean patients only saw this doctor once or twice during treatment.

Ratings of 10 mean patients saw this doctor at every appointment.

Responsiveness
7.5
Good
Responsiveness

Scale is "poor, ok, good, excellent" and measures how responsive a care team was when patients needed to speak to them.

Education

Medical School
George Washington
Residency
USC
Fellowship
USC

How Doctor Communicates

doctor, nurse available by email
doctor, nurse available by directline
doctor, nurse available by directline
doctor available by personal cell phone
doctor available by personal cell phone
Brian Acacio works at

Acacio Fertility Center
Rated 7.6
Strongly recommend: 66%Neutral: 10%Don't recommend: 24%7.6

Explore Clinic
Bakersfield
2205 19th Street
Bakersfield, CA 93301
Laguna Niguel
27882 Forbes Road
Laguna Niguel, CA 92677
Mission Viejo
26800 Crown Valley Parkway
Mission Viejo, CA 92690
Show 1 more

35 patient reviews

Verified

This patient has provided documentation of treatment at this clinic.

2022, Unsuccessful
NPS
0
NPS
0
Age 38
2 IVF
Diminished Ovarian Reserve
Male Factor
Middle Eastern
Income $200K - $499K
Doctor
Only Doc Seen
Doesn't Recommend
Doesn't Recommend
Unsuccessful
He [Dr. Acacio] is very blunt and can be very rude...When I asked him to have a more specialized plan for me and not use birth controls he said he did’nt have time and resource for all that...There was no rationale he put me on short protocol with birth control pills although my ovarian reserve was very low. After his failure he put me on a disastrous long protocol which killed every reserve that I had. When I talked to my current doctor I realized those birth controls and that long protocol suppressed me so much and was not a smart move (I spoke to two other doctors after him and they all agreed)...
They [Acacio Fertility Center] batch patients meaning everyone starts birth controls at the same time and everyone will have one day of retrieval...They were very warm in the beginning but if you ask questions they will make fun of you...When I asked him [Dr. Acacio] to have a more specialized plan for me and not use birth controls he said he did’nt have time and resource for all that...
How was your experience with Brian Acacio at Acacio Fertility Center?
He doesn’t care about specific needs of each patient. They batch patients meaning everyone starts birth controls at the same time and everyone will have one day of retrieval which is horrible. I didn’t know it back then but I know how horrible is to put a patient with DOR on birth controls just to delay their ovulation. He did it and he ruined my only chance of becoming a mother for ever. I will never ever forgive him for that. When I started with him I had 9 follicles to start with. His treatments caused me to have almost none now. There are way better doctors out there. Don’t go to him! Do yourself a favor
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Do NOT go to him. If you are like me and don’t have that much reserved eggs don’t have him kill your only remaining ones!!
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
They were very warm in the beginning but if you ask questions they will make fun of you IN FRONT OF YOU! Also they do batching meaning there is no patient specification which is a death sentence for eggs in a DOR person!
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
There was no rationale he put me on short protocol with birth control pills although my ovarian reserve was very low. After his failure he put me on a disastrous long protocol which killed every reserve that I had. When I talked to my current doctor I realized those birth controls and that long protocol suppressed me so much and was not a smart move (I spoke to two other doctors after him and they all agreed)
Describe your experience with Acacio Fertility Center.
There is no benefit. If you want to regret for the rest of your life see him. When he is clueless as what to do and how to treat you he puts all the blame on you, your age and ovarian reserve. Well if all was well I wouldn’t go to him at all! He is very blunt and can be very rude. He obviously make fun of you and raise his voice at you especially the times that he knows he is at fault. If the case is very easy and no especial thinking is required he might be an ok doctor but if you have DOR or have a especial case don’t waste your time and money with him. When I asked him to have a more specialized plan for me and not use birth controls he said he did’nt have time and resource for all that. So when he admits this go to a doctor who cares for you and not just your money. I have a doctor now who answer to all of my questions via text messages and cares enough for me to make a very special and researched plan for me
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
Over $40000
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
He wouldn’t know which one is appropriate for you. Get e second opinion!!
What specific things went wrong at Acacio Fertility Center?
  • Failed to convey critical information
  • Canceled a cycle due to clinic error
0
Doctor
Brian Acacio
NPS
Humanity
3 of 5
Communication
1 of 5
Frequency Seen
1 of 5
Trustworthiness
1 of 5
Compassion
1 of 5
Explained risks
1 of 5
Adaptability
1 of 5
0
Clinic
Acacio Fertility Center
Laguna Niguel
NPS
Operations
1 of 5
Scheduling
5 of 5
Billing Department
1 of 5
Nursing Staff
2 of 5
Clinic Atmosphere
4 of 5
Educational Resources
1 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2022, Consult
NPS
0
NPS
0
Age 24
PCOS
Income $100K - $199K
1st of 3 Docs
Doesn't Recommend
Doesn't Recommend
Success w/ Doc Too early to know
I went for a consultation [with Dr. Brian Acacio] and will not be going back...I am overweight and my weight was made a focus during my consultation...If you are not in the best shape of your life please find a doctor who will not push ideas of losing weight, taking medication you are not comfortable with. If you do decide to see this doctor be prepared for his lack of knowledge and disconnect
[Acacio Fertility Center was] Unorganized, Failed to share information, Not sympathetic, Nurses are rude and unprofessional, Doctor was not on time to the appointment showed up 45 min late...If you are not in the best shape of your life please find a doctor who will not push ideas of losing weight, taking medication you are not comfortable with. If you do decide to see this doctor be prepared for his lack of knowledge and disconnect
How was your experience with Brian Acacio at Acacio Fertility Center?
Aside from Dr taking about my weight I was hardly treated as a patient and more so as a child to be talked down to. I was told I was so young and could take clomid to ovulate and I would likely end up pregnant. My irregular periods (2-4x a year at most), my ectopic pregnancy that led to surgery on my right tube, and trying to conceive for 6 years with no success was never a topic of discussion. I was made small and my husband who has motility issues (who is also overweight) was “perfect” and was told as long as you don’t smoke, drink, or bicycle is solid and motility is not a huge factor.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
If you are not in the best shape of your life please find a doctor who will not push ideas of losing weight, taking medication you are not comfortable with. If you do decide to see this doctor be prepared for his lack of knowledge and disconnect
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
It’s hard to say what I felt more but I can definitely tell you I left very confused. I am overweight and my weight was made a focus during my consultation. I was told my “weight” was not a big deal, just a topic of conversation as if I wasn’t aware I was over weight. I was told to try medicine regimen of injections that could help lose weight if combined with metformin. Doctor didn’t really say much other than my weight, the benefits of losing weight and a potential PCOS diagnosis.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
I went for a consultation and will not be going back
Describe your experience with the nursing staff at Acacio Fertility Center.
All of my information, history, insurance was sent to the office and somehow nobody knew who I was or what I sent it. Mind you they make you fax over everything before even receiving a consultation. Nurses were running back and fourth to figure out when my LMP was and fiddling through paperwork. I was told I did not have coverage at all and I had to pay for everything out of pocket. I have two insurances and a benefit package for infertility through my work so this was false and told me I had to call HR to figure it out
Describe your experience with Acacio Fertility Center.
Unorganized, Failed to share information, Not sympathetic, Nurses are rude and unprofessional, Doctor was not on time to the appointment showed up 45 min late and apologies even after claiming he has been coming to town for over 10 years
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
I paid a $100 consultation fee. I was given information about HSG and SONO testing but was given no cost about IUI or IVF
What specific things went wrong at Acacio Fertility Center?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Failed to call with results
  • Provided conflicting information
  • Failed to convey critical information
  • Failed to consider drug intolerance
Describe the specific things that went wrong at Acacio Fertility Center.
I was told about an injection with combination of metformin and I would be receiving a call from pharmacy and from the clinic to tell me how much treatment would cost. I have yet to receive any calls or updates or follow ups
0
Doctor
Brian Acacio
NPS
Humanity
2 of 5
Communication
2 of 5
Frequency Seen
1 of 5
Trustworthiness
2 of 5
Compassion
3 of 5
Explained risks
1 of 5
Adaptability
1 of 5
0
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
2 of 5
Scheduling
3 of 5
Billing Department
1 of 5
Nursing Staff
2 of 5
Clinic Atmosphere
1 of 5
Educational Resources
1 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2020 - 2021, Unknown Success
NPS
10
NPS
9
Age 26 - 27
2 IVF
Endometriosis
Male Factor
Recurrent Pregnancy Loss
European
Income $50K - $99K
Accountant
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
I have had a really good experience, despite not having the results I was hoping for. He [Dr. Brian Acacio] genuinely cares about me as a human and with every miscarriage that I have had, you can tell that it breaks his heart just as much as it does mine and my husband. I feel like since his clinic has gotten larger, he has not been as hands on, but still is very involved in treatment.
For the most part the [Acacio Fertility Center] clinic is very friendly and rooting for you. It is a small clinic so they give you lots of attention and are always there to answer your questions. If you aren’t going through active treatment, sometimes it is hard to get ahold of them, but continue to call/email and they will answer your questions though.
How was your experience with Brian Acacio at Acacio Fertility Center?
I have had a really good experience, despite not having the results I was hoping for. He genuinely cares about me as a human and with every miscarriage that I have had, you can tell that it breaks his heart just as much as it does mine and my husband. I feel like since his clinic has gotten larger, he has not been as hands on, but still is very involved in treatment.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
If you have a question about your treatment, don’t be afraid to ask him or a nurse
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio cares so much about his patients and is rooting for you like no other. He listens to your concerns and questions and wants you to feel confident in the treatment you are doing.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
I had an intense protocol of Gonal-F, Cetrotide, Menopur, and trigger for retrieval to get as many mature eggs as possible. For transfers, I had injections of estradiol Tuesdays and Fridays and injections of progesterone daily. I also had intralipids a week before transfer to deactivate my natural killer cells to help with implantation/prevent my body of rejecting the embryos transferred
Describe your experience with the nursing staff at Acacio Fertility Center.
The nurses are great, but you don’t have a specific nurse to contact/will contact you which makes things a bit harder. Some of the nurses during busier times, don’t have as much sympathy for you
Describe your experience with Acacio Fertility Center.
For the most part the clinic is very friendly and rooting for you. It is a small clinic so they give you lots of attention and are always there to answer your questions. If you aren’t going through active treatment, sometimes it is hard to get ahold of them, but continue to call/email and they will answer your questions though.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
Egg retrieval: $11,800 Meds for egg retrieval: $3,500 FET: $2,200 Meds for FET: $500
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
I got to choose if I transferred one or two embryos, but Dr. A was very upfront with the potential of having multiples if transferring two embryos
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
9
Clinic
Acacio Fertility Center
Laguna Niguel
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unknown Success
NPS
8
NPS
9
Age 29 - 30
3 IUI
1 IVF
Unexplained
European
Income $100K - $199K
Only Doc Seen
Neutral
Strongly Recommends
Success w/ Doc Too early to know
Dr. Acacio is a very confident doctor that seems to genuinely care for his patients. He always takes the time to make sure we understand what is going to happen and answer any questions we might have. He takes the time to get to know you as more than just a fertility patient and has always remained hopeful for us...We underwent three IUI's with Dr. Acacio. Each one included 5 days of letrozole and a trigger shot. When we moved on to IVF, I was placed on a short protocol for stimming
Acacio Fertility Center is a very comfortable and easy to access facility. Everything is done on site and it is almost always a quick visit...retrieved 28 eggs, 18 of which were mature. 5 made it to day 5 and were sent off got PGT-A testing...I believe each IUI was roughly $1500 Our egg retrieval was about $13,000 plus medications and the frozen embryo transfer will be about $2500 plus medications...
How was your experience with Brian Acacio at Acacio Fertility Center?
Dr. Acacio is a very confident doctor that seems to genuinely care for his patients. He always takes the time to make sure we understand what is going to happen and answer any questions we might have. He takes the time to get to know you as more than just a fertility patient and has always remained hopeful for us.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Make sure to do your research on options or risks of treatments. While Dr. Acacio has never hidden any information from us, it does sometimes feel sugar coated when discussing any potential risks. We have not minded this style because we always make sure to specifically ask about anything we are concerned about. I personally appreciate the positivity.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio always takes the time to make sure we understand all the steps of our procedures and what expect. He shows a genuine interest in our lives and well being.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
We underwent three IUI's with Dr. Acacio. Each one included 5 days of letrozole and a trigger shot. When we moved on to IVF, I was placed on a short protocol for stimming. I responded quickly. Dr. Acacio retrieved 28 eggs, 18 of which were mature. 5 made it to day 5 and were sent off got PGT-A testing. 2 came back normal, 1 inconclusive, and 2 abnormal.
Describe your experience with the nursing staff at Acacio Fertility Center.
The nursing staff is always a joy to be around. They are always available to answer my questions and provide any help needed.
Describe your experience with Acacio Fertility Center.
Acacio Fertility Center is a very comfortable and easy to access facility. Everything is done on site and it is almost always a quick visit. I have never had any issues with the clinic and cannot think of any weaknesses
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
I believe each IUI was roughly $1500 Our egg retrieval was about $13,000 plus medications and the frozen embryo transfer will be about $2500 plus medications
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
Dr. Acacio seems to be flexible in his approach to how many embryos to transfer. He goes over the risks and benefits to both and left the decision up to us.
8
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
4 of 5
Compassion
5 of 5
Explained risks
3 of 5
Adaptability
4 of 5
9
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
2019 - 2020, Successful
NPS
10
NPS
10
Age 37 - 38
1 IVF
Endometriosis
Male Factor
Immunological
Recurrent Pregnancy Loss
Unexplained
South Asian
Income $200K - $499K
Doctor
3rd of 3 Docs
4 IUI With Other Docs
3 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
my wife and I had been trying to build a family for about 5 years prior to seeing Dr. Acacio. We had gone through the diagnostics and treatments of 2 seperate fertility clinics with no positive results and only bad memories...We were "all in", one last time. Heading into our first appointment, our expectations were low given our prior experiences at other clinics. We could not have been more wrong. He thoroughly reviewed our medical history with us present, paying attention to every detail. Being physicians familiar with seeing new patients, the amount of time he spent developing a specific diagnostic and treatment plan to our case was striking. His bedside manner immediately struck us as exceptional and he went above and beyond all expectations we had heading in. As our case proceeded, changes and adjustments were made appropriately with his medical expertise. It
Have experienced that "number" feeling at prior clinics. Total opposite experience with Dr. Acacio [at Acacio Fertility Center]...At our prior clinics, we had countless appointments where, walking out of the office, we would be holding back tears, only to break down in the parking lot while scrambling to the car. My wife and I were amazed that no matter what happened, we left every visit with Dr. Acacios office and staff feeling better, even when the news was less than stellar. Without getting into the details, 7 months have passed since that first appointment and we are blessed to be almost 12 weeks pregnant with our first child. The entire process was a 5 star experience. Even before our positive result, my wife and I marvelled at how different the process and experience was with Dr. Acacio compared to the other clinics. Without the positive result, there is no doubt in my mind that we would have at least taken comfort in the fact that Dr. Acacio offered us the latest, most advanced, and up-to-date medical care that fertility clinics have to offer. We wou
How was your experience with Brian Acacio at Acacio Fertility Center?
It is difficult to write reviews for fertility clinics since there is so much inherent bias in terms of whether or not one recieves a positive outcome. My wife and I, both physicians, understand that online reviews are largely skewed in this regard and tend to focus on things like "customer service" and factors that are somewhat irrelevant to the quality of the medical care received. In our case, however, there is no choice but to give Dr. Acacio and his staff 5 stars. Briefly, my wife and I had been trying to build a family for about 5 years prior to seeing Dr. Acacio. We had gone through the diagnostics and treatments of 2 seperate fertility clinics with no positive results and only bad memories. After years of emotional rollercoasters, tears, false hope, exhaustion, and an increasing sense of resignation, we decided to switch clinics one more time before moving on with our lives. We had heard of Dr. Acacio through word of mouth and online publicity. Based out of Fresno and mainly working out of the Bakersfield office, committing to the time and logistics of arranging our care from hundreds of miles away was worth, in our opinion, the peace of mind knowing we were seeing someone so highly regarded in the reproductive endocrine field. We were "all in", one last time. Heading into our first appointment, our expectations were low given our prior experiences at other clinics. We could not have been more wrong. He thoroughly reviewed our medical history with us present, paying attention to every detail. Being physicians familiar with seeing new patients, the amount of time he spent developing a specific diagnostic and treatment plan to our case was striking. His bedside manner immediately struck us as exceptional and he went above and beyond all expectations we had heading in. As our case proceeded, changes and adjustments were made appropriately with his medical expertise. It was clear to both of us that he is passionate, attentive to details, and attune to the difficult emotional tolls that fertility treatments can levy. At our prior clinics, we had countless appointments where, walking out of the office, we would be holding back tears, only to break down in the parking lot while scrambling to the car. My wife and I were amazed that no matter what happened, we left every visit with Dr. Acacios office and staff feeling better, even when the news was less than stellar. Without getting into the details, 7 months have passed since that first appointment and we are blessed to be almost 12 weeks pregnant with our first child. The entire process was a 5 star experience. Even before our positive result, my wife and I marvelled at how different the process and experience was with Dr. Acacio compared to the other clinics. Without the positive result, there is no doubt in my mind that we would have at least taken comfort in the fact that Dr. Acacio offered us the latest, most advanced, and up-to-date medical care that fertility clinics have to offer. We would highly recommend Dr. Acacio to anyone struggling to build a family. We are blessed to have been able to afford the time, money, and effort, and couldn't be happier. Every case is different, and there are no guarantees in health care, but put us in the category of a couple who started with almost no hope, and now are blessed to have the experience of a pregnancy for the first time. Good luck to you all, and we hope that you will consider our experience in your decisions.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Trust the process and you will recieve the best medical care that there is to offer.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Have experienced that "number" feeling at prior clinics. Total opposite experience with Dr. Acacio.
Describe your experience with the nursing staff at Acacio Fertility Center.
Knowledgable, friendly, and attentive to details. Multiple modes of communication.
Describe your experience with Acacio Fertility Center.
Everything was smooth from the beginning. Your case will be reviewed in detail and a specific diagnostic and treatment plan will be developed for you. It is very important to trust the process and let hiim guide the treatment plan!
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
23k for "shared risk model", plus another 8-10k in meds and copays for certain procedures in our treatment plans
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
Shared decision making after discussing risks and benefits.
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unsuccessful
NPS
3
NPS
1
Age 41
2 IVF
European
South Asian
Income $200K - $499K
2nd of 2 Docs
2 IVF With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
I hardly saw Dr. Acacio. I only saw him at consultation, retrieval, and meetings are failed cycles. He gives his email during consultation and says you can contact him anytime. I emailed him with questions once and I had to follow-up with him as he didn’t respond the first time...uses birth control and calendars so that patients are bunched together. He gives a good song and dance about the reason for using birth control, but for those over 40 or with diminished ovarian reserve, it doesn’t really make sense. Using birth control also means that you have to wait to start a new cycle.
I never felt really comfortable at this clinic [Acacio Fertility Center]. I didn't feel like my questions or concerns were really addressed, but instead felt like Dr. Acacio and Sylvia were condescending. I unfortunately chose a 2-cycle plan, which I seriously regret, because I would have left after the first cycle if I hadn't already paid for the second...Long waits in the waiting room; nurses who didn’t know my history; no contact with Dr. Acacio.
How was your experience with Brian Acacio at Acacio Fertility Center?
I hardly saw Dr. Acacio. I only saw him at consultation, retrieval, and meetings are failed cycles. He gives his email during consultation and says you can contact him anytime. I emailed him with questions once and I had to follow-up with him as he didn’t respond the first time. Ultrasounds are done by Sylvia, the nurse manager; she’s the one running the place.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
I would not recommend this clinic.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Long waits in the waiting room; nurses who didn’t know my history; no contact with Dr. Acacio.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
Dr. Acacio uses birth control and calendars so that patients are bunched together. He gives a good song and dance about the reason for using birth control, but for those over 40 or with diminished ovarian reserve, it doesn’t really make sense. Using birth control also means that you have to wait to start a new cycle.
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Sylvia)
Communication is mainly via email. I would get calls with fertilization results from nurses. One nurse who called me didn’t even seem to really understand what she was telling me, and could not answer my questions since she didn’t understand them. The main nurse, Sylvia, is overworked as she does practically everything, so she is always rushed.
Describe your experience with Acacio Fertility Center.
I never felt really comfortable at this clinic. I didn't feel like my questions or concerns were really addressed, but instead felt like Dr. Acacio and Sylvia were condescending. I unfortunately chose a 2-cycle plan, which I seriously regret, because I would have left after the first cycle if I hadn't already paid for the second.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
About $30K (including meds).
What specific things went wrong at Acacio Fertility Center?
  • Lost paperwork
  • Lost appointments
  • Failed to call with results
  • Provided conflicting information
  • Failed to convey critical information
3
Doctor
Brian Acacio
NPS
Humanity
2 of 5
Communication
2 of 5
Frequency Seen
1 of 5
Trustworthiness
2 of 5
Compassion
2 of 5
Explained risks
3 of 5
Adaptability
3 of 5
1
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
1 of 5
Scheduling
3 of 5
Billing Department
1 of 5
Nursing Staff
2 of 5
Clinic Atmosphere
3 of 5
Educational Resources
5 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unknown Success
NPS
9
NPS
9
Age 29
2 IVF
PCOS
Immunological
European
Ashkenazi Jewish
Income $100K - $199K
Sales Representative
Only Doc Seen
IUI With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr. Acacio does a wonderful job of not just assessing the situation and coming up with a plan, but takes the time to discuss and explain the process. His answers are not sugar coated, but allows you to feel like you have an informational and real understanding of everything.... During our first cycle we did go through all the questions and assessments, they all came back perfectly normal. So based on my PCOS he created a customized plan. Now that we had a miscarriage we had more in depth testing done and discovered that I have MTHFR and a high count of Negative Killer Cell’s. So our plan has been adjusted to accommodate my needs.
For the most part the team [Acacio Fertility Center] would come together to correct any issues. The nursing team has been really friendly, and invested in our program. They are amazing!... they have an ability to not make you feel like a number, their office is friendly and everyone is involved in your journey. Weakness I would say is that some times communication styles are not the same, and their paperwork could be updated. (I come from a marketing background so that may just be me.)
How was your experience with Brian Acacio at Acacio Fertility Center?
Dr. Acacio does a wonderful job of not just assessing the situation and coming up with a plan, but takes the time to discuss and explain the process. His answers are not sugar coated, but allows you to feel like you have an informational and real understanding of everything.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Make sure to bring your list of questions. Dr. Acacio generally will answer all your questions before you even start asking, but it’s helpful to make sure you don’t forget anything.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
We’ve been able to work with the same nursing team, and have had the ability to contact our main nurse at any time with questions.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
During our first cycle we did go through all the questions and assessments, they all came back perfectly normal. So based on my PCOS he created a customized plan. Now that we had a miscarriage we had more in depth testing done and discovered that I have MTHFR and a high count of Negative Killer Cell’s. So our plan has been adjusted to accommodate my needs.
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Sylvia )
Sylvia is amazing, she takes care of so many patients but always has the time to sit with you and answer any questions you have. We’ve had some issues with our care coordinator regarding our medication orders and calendars. For the most part the team would come together to correct any issues. The nursing team has been really friendly, and invested in our program. They are amazing!
Describe your experience with Acacio Fertility Center.
they have an ability to not make you feel like a number, their office is friendly and everyone is involved in your journey. Weakness I would say is that some times communication styles are not the same, and their paperwork could be updated. (I come from a marketing background so that may just be me.)
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
$25,000.00
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
Dr. Acacio has been very supportive with either option, and has left the decision to us. He has made a point at each discussion to highlight the positives and negatives.
What specific things went wrong at Acacio Fertility Center?
  • Failed to call in prescriptions to pharmacy
  • Failed to convey critical information
Describe the specific things that went wrong at Acacio Fertility Center.
With our blood results that were ordered to understand if I have MTHFR and Negative Killer Cells, there was not call for results and we had to call in later on to schedule an appointment to review. They ended up ordering our medications for our transfer cycle before we met with the doctor, and expected us to have contacted out health insurance for information we didn’t know they needed (since we didn’t have the meeting yet.)
9
Doctor
Brian Acacio
NPS
Humanity
4 of 5
Communication
5 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
9
Clinic
Acacio Fertility Center
Mission Viejo
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018, Successful
NPS
10
NPS
10
Age 38
3 IUI
2 IVF
Endometriosis
South Asian
Income $100K - $199K
Nurse or HC Services
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
He [Dr. Acacio] was never pushy on any procedures and sat down with us before and after all the failed attempts. He was very sensitive and allowed us to take breaks in between treatments. He showed that he really and cried with us during a loss and when we finally had success.... Initially I had a laparoscopy to remove some of my endometriosis and adhesions. Has 3 failed iui. Went in for hysteroscopy. 3 failed embryo transfer with intralipids on the last one. 3rd transfer was a success but ended in an ectopic. Had another laparoscopic surgery. Noticed my Fallopian tubes were damaged. Had a bilateral salpingectomy before my 4th transfer with intralipids
Very busy [Acacio Fertility Ctr] but always answered the phone. Bakersfield location is open 5 days but the doctor is only there 2-3 days out of the week and do major procedures in Laguna Nigel. Labs and basic ultrasounds can be done in the Bakersfield location.... All the staff was very helpful. Sylvia was available at all times even after hours. Atiffa was also very kind every time we went in for any minor visir
How was your experience with Brian Acacio at Acacio Fertility Center?
He was very kind and understanding about this process. He did not push us into anything we were not comfortable doing and allowed us to think about everything. Like I said he cried with us during our loss and success.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Ask a lot of questions and recommendations and alternatives. Please be prepared to be shocked how much it’s going to cost out of pocket. It is not cheap and it’s not guaranteed it’s going to work.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
He was never pushy on any procedures and sat down with us before and after all the failed attempts. He was very sensitive and allowed us to take breaks in between treatments. He showed that he really and cried with us during a loss and when we finally had success.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
Initially I had a laparoscopy to remove some of my endometriosis and adhesions. Has 3 failed iui. Went in for hysteroscopy. 3 failed embryo transfer with intralipids on the last one. 3rd transfer was a success but ended in an ectopic. Had another laparoscopic surgery. Noticed my Fallopian tubes were damaged. Had a bilateral salpingectomy before my 4th transfer with intralipids
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Sylvia Pratt)
All the staff was very helpful. Sylvia was available at all times even after hours. Atiffa was also very kind every time we went in for any minor visir
Describe your experience with Acacio Fertility Center.
Very busy but always answered the phone. Bakersfield location is open 5 days but the doctor is only there 2-3 days out of the week and do major procedures in Laguna Nigel. Labs and basic ultrasounds can be done in the Bakersfield location.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
First 3 rounds of IVF group plan was approximately 15K not including genetic testing after 6 embryos and a fee for storage of frozen embryos after 1 year. Medications were also not included in the 15K plan. I probably spent 1-2K in medications.
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
It was our choice. Whatever we were comfortable with. He did advise against 3 embryo transfers at once but willing to do it if you are adamant but understood the risk of multiples
What specific things went wrong at Acacio Fertility Center?
  • Lost paperwork
Describe the specific things that went wrong at Acacio Fertility Center.
I had signed some consent forms in the Bakersfield office prior to one of my transfers. The Bakersfield office failed to send it to the Laguna Nigel office prior to our appointment which meant we had to sign all the consent forms all over again (which was a thick packet).
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2017, Successful
NPS
10
NPS
10
Age 28 - 30
1 IVF
1 Egg Freezing
Male Factor
PCOS
Uterine Fibroids
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Because of my PCOS, Dr. Acacio took measures to help reduce/prevent me from developing OHSS. My body reacted very quickly to the stims medication. He fully anticipated me developing OHSS. Inspite of everyone's best efforts, I did develop a mild case of OHSS and I was seen in his office immediately (which happened to be on a Sunday). I was given an ultrasound which showed fluid starting to build up in my uterus
There are two offices [for Acacio Fertility Center] and we visited both on many occasions. Both offices are warm and inviting. Everyone is well organized and knows you by name and face. I always got the sense that everyone works well together, like a well oiled machine. Their equipment is new and well cared for and they are prepared for any situation that may arise during treatment.
How was your experience with Brian Acacio at Acacio Fertility Center?
Dr. Acacio is knowledgeable, personable, sensitive, and understanding. He always took as much time as we needed to explain any procedures we needed and to answers all of our questions. We never felt rushed when we were with him. When we were first diagnosed, Dr. Acacio called us after hours to go over our test results, answer our questions, and reassure us that we were all a team and that he was there to help us reach our dreams of becoming parents.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Don't be shy about asking questions- he's the type of doctor who shows mutual respect of your time and concerns.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio and his whole staff always went above and beyond to get to know us personally. We were always greeted with a smile and inquiries on how we were doing. The whole staff knew our faces and made us feel like family.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
Because of my PCOS, Dr. Acacio took measures to help reduce/prevent me from developing OHSS. My body reacted very quickly to the stims medication. He fully anticipated me developing OHSS. Inspite of everyone's best efforts, I did develop a mild case of OHSS and I was seen in his office immediately (which happened to be on a Sunday). I was given an ultrasound which showed fluid starting to build up in my uterus. After discussion with Dr. Acacio, we opted for fluids and bedrest. A day or two later, I required more fluids and a procedure to drain the fluid that had built up, which was also done in his office. Dr. Acacio and his nurses acted swiftly and with great care. We all knew going into retrieval that the possibility of developing OHSS was high and I felt well cared for the whole time.
Describe your experience with the nursing staff at Acacio Fertility Center.
The nursing staff is completely amazing. They were all prompt in returning my calls and always sensitive to our situation. They were always encouraging, delighted in our successes, and consoled us when something didn't go according to plan.
Describe your experience with Acacio Fertility Center.
There are two offices and we visited both on many occasions. Both offices are warm and inviting. Everyone is well organized and knows you by name and face. I always got the sense that everyone works well together, like a well oiled machine. Their equipment is new and well cared for and they are prepared for any situation that may arise during treatment.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
We opted to purchase one of their IVF packages and believe that we saved some money by doing so.
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
We were given plenty of opportunity to discuss the risks and benefits of transferring 1 embryo versus 2 embryos. In the end, as a couple, we decided that we would transfer 2 embryos and we are very thankful that we did.
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016 - 2017, Unsuccessful
NPS
3
NPS
3
Age 37 - 38
1 IVF
Endometriosis
Male Factor
Uterine Fibroids
European
Income $100K - $199K
Nurse or HC Services
2nd of 3 Docs
1 IVF With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
He [Dr. Acacio] was great at the beginning of our treatment but after 2 years of seeing him, he was no longer patient, empathetic or open to partnering with me on changes to my protocol. He is good at communicating in lay terms and seeking compassionate after a loss but is also very cocky...His office and staff are wonderful but you will rarely see Dr Acacio unless you book a special appt with him and wait a few weeks or are having a complication.
The clinic [Acacio Fertility Center] is nice and clean with a comfortable lobby and modern equipment. Parking is easy and they have weekend availability during cycles....They [the nurses] were all wonderful under the direction of Sylvia the manager who you can reach on her cell phone after hours. They also do all ultrasounds, call with results and adjust protocols....I believe it was approx $10k for the retrieval and I transfer, $4k for the PGS testing, $5k for the first round of meds, $3k for each FET plus meds.
How was your experience with Brian Acacio at Acacio Fertility Center?
See previous comment. He was great at the beginning of our treatment but after 2 years of seeing him, he was no longer patient, empathetic or open to partnering with me on changes to my protocol. He is good at communicating in lay terms and seeking compassionate after a loss but is also very cocky and it’s clear now that his show of compassion wasn’t authentic.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
His office and staff are wonderful but you will rarely see Dr Acacio unless you book a special appt with him and wait a few weeks or are having a complication.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
We were treated very well by the nurses and staff but not by the doctor. He talked down to us, got defensive when asked questions and was very rude to us at our last appt and we have never gone back.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
I think he used a pretty standard protocol for me with birth control and Lupron and with each FET he would add additional meds like Heparin, viagara suppositories etc.
Describe your experience with the nursing staff at Acacio Fertility Center.
They were all wonderful under the direction of Sylvia the manager who you can reach on her cell phone after hours. They also do all ultrasounds, call with results and adjust protocols.
Describe your experience with Acacio Fertility Center.
The clinic is nice and clean with a comfortable lobby and modern equipment. Parking is easy and they have weekend availability during cycles. I have no complaints about the facility but it does take awhile to get a consultation.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
I believe it was approx $10k for the retrieval and I transfer, $4k for the PGS testing, $5k for the first round of meds, $3k for each FET plus meds. With surgeries, procedures, multiple transfer and meds I’m sure we spent over $30k there:
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
He will agree to transfer one of two embryos, he leaves it up to the patient.
3
Doctor
Brian Acacio
NPS
Humanity
3 of 5
Communication
2 of 5
Frequency Seen
2 of 5
Trustworthiness
2 of 5
Compassion
2 of 5
Explained risks
3 of 5
Adaptability
3 of 5
3
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
4 of 5
Educational Resources
5 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2017, Successful
NPS
8
NPS
8
Age 39 - 41
2 Embryo Freezing
Diminished Ovarian Reserve
Immunological
Income $100K - $199K
Operations
3rd of 3 Docs
Egg Freezing With Other Docs
4 Embryo Freezing With Other Docs
Donor Eggs With Other Docs
Neutral
Neutral
Successful
Ego aside I think he's [Dr. Acaio] a really good doctor who is immune treatment friendly, which is hard to find!...I liked him for the most part....Good bedside manner and he explained all the steps of the process when he was doing it (like ultrasound scans and embryo transfer)....2 embryo banking cycles using Antagonist protocol with plans to do PGS testing... we changed from Bravelle to Gonal-F and Menopur( Per my request and previous positive experience with Gonal-F ). Dr. Acacio wanted to stim an extra 2 days in hopes to get all follicles up to speed.
Cost was one of the reasons we chose this clinic [Aacio Fertility]. $20k for 2 stim cycles with PGS testing including as many transfers as it may take for a positive result....Kate is blunt and seems very overwhelmed and busy. No time for sweet talk. She's not overly friendly or compassionate although she will do what she can to help you out. I was in a bind with my insurance expiring the day that I needed to order medications and she expedited the prescription call in which saved me hundreds of dollars. The other nurses in the office are nice but again, not overly friendly.
How was your experience with Brian Acacio at Acacio Fertility Center?
I liked him for the most part. He's got a bit of an ego, but every RE I've come across does. Our 1st retrieval with him was our first ever success so I do appreciate him. Good bedside manner and he explained all the steps of the process when he was doing it (like ultrasound scans and embryo transfer).
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Ego aside I think he's a really good doctor who is immune treatment friendly, which is hard to find!
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Nurses are not overly friendly or welcoming (mostly back in 2015). Felt like a number to some degree. They're not necessarily rude just not happy to see to us.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
2 embryo banking cycles using Antagonist protocol with plans to do PGS testing and a FET with "normal" embryo. 1st cycle we used Bravelle and Menopur as stims. We got 8 eggs -3 blasts for PGS testing. 2nd cycle we changed from Bravelle to Gonal-F and Menopur( Per my request and previous positive experience with Gonal-F ). Dr. Acacio wanted to stim an extra 2 days in hopes to get all follicles up to speed. We ended up getting 10 eggs - all 10 were mature and fertilized and made it to blast for testing! Having DOR, this was a HUGE success already!! So, out of 13 embryos tested 3 came back PGS normal.
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Kate)
Kate is blunt and seems very overwhelmed and busy. No time for sweet talk. She's not overly friendly or compassionate although she will do what she can to help you out. I was in a bind with my insurance expiring the day that I needed to order medications and she expedited the prescription call in which saved me hundreds of dollars. The other nurses in the office are nice but again, not overly friendly.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
Cost was one of the reasons we chose this clinic. $20k for 2 stim cycles with PGS testing including as many transfers as it may take for a positive result.
8
Doctor
Brian Acacio
NPS
Humanity
2 of 5
Communication
4 of 5
Frequency Seen
1 of 5
Trustworthiness
3 of 5
Compassion
3 of 5
Explained risks
3 of 5
8
Clinic
Acacio Fertility Center
Mission Viejo
NPS
Operations
4 of 5
Scheduling
3 of 5
Billing Department
4 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2014 - 2017, Unknown Success
NPS
10
NPS
10
Age 26 - 29
4 IVF
Anovulation
Diminished Ovarian Reserve
Poor Egg Quality
Recurrent Pregnancy Loss
Latinx
Income $0 - $49K
Only Doc Seen
IUI With Other Docs
Donor Eggs With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Not sure
Dr. Acacio is an amazing doctor, definitely one of a kind. He knows so much and is always trying to figure out the next step before we get there. He treats his patients like family and is very sympathetic during the most difficult times...He knows his stuff, try not to be intimidated. He really cares for his patients...Dr. Acacio is very thorough and detailed when explaining things. Always making sure we understand. He's also very kind and warm with his patients. Treats us like family.
Both locations [at Acacio Fert. Center] are very welcoming and very attentive to your needs. They try to be as flexible as they can with appointment times, especially with the out of town patients. I have never been disappointed in the way they run things...They has a few different IVF packages with various pricing...They also offer payment plans as well...[Nurses] They're all very caring and helpful. You can call anytime during the day and even the evening incase of emergency. They have an office cell phone that the nurse practitioner always has and they're usually quick to answer back as well.
How was your experience with Brian Acacio at Acacio Fertility Center?
Dr. Acacio is an amazing doctor, definitely one of a kind. He knows so much and is always trying to figure out the next step before we get there. He treats his patients like family and is very sympathetic during the most difficult times. Although we haven't been able to get pregnant and continue to a live birth, we still have complete faith that Dr. Acacio will help us achieve our life long dream of becoming parents.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
He knows his stuff, try not to be intimidated. He really cares for his patients.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio is very thorough and detailed when explaining things. Always making sure we understand. He's also very kind and warm with his patients. Treats us like family.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
We first tried the regular protocol (long) to start but my ovaries weren't responding well and my follicles wouldn't grow, so we resulted in using short protocols. Although I have I diminished ovarian reserve my body was able to respond well most of the time and produce a fairly decent amount of follicles. But there were a couple cycles where I just wouldn't respond at all which then resulted in cancelled cycles. I also have PCOS so I'm sure that was partly an issue.
Describe your experience with the nursing staff at Acacio Fertility Center.
They're all very caring and helpful. You can call anytime during the day and even the evening incase of emergency. They have an office cell phone that the nurse practitioner always has and they're usually quick to answer back as well.
Describe your experience with Acacio Fertility Center.
Both locations are very welcoming and very attentive to your needs. They try to be as flexible as they can with appointment times, especially with the out of town patients. I have never been disappointed in the way they run things.
Describe your experience with your monitoring appointments at Acacio Fertility Center.
Never a wait for ultrasound monitoring. Always when it was most convenient for patients but it was usually scheduled during the mornings incase lab work needed to be done as well.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
They has a few different IVF packages with various pricing. And they also have broken down prices if you don't want to go with a complete package. They also offer payment plans as well.
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
Dr. Acacio has never pushed for a single embryo transfer over a multiple embryo transfer. He let us decide on how many we preferred to transfer, but I do know he does not feel comfortable transferring more than 4 at a time. Usually bases the embryo transfer count on age and how well he feels one will respond.
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Laguna Niguel
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016, Successful
NPS
10
NPS
10
Age 30
1 IVF
European
Income $100K - $199K
3rd of 3 Docs
7 IUI With Other Docs
1 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
He [Dr. Acacio] is so kind and he and his wife have gone through fertility treatments also so he is really understanding. He is very down to earth and understands how hard it is and expensive it is and is very upfront and clear about that!... He is such a caring doctor and really involved in the process. He has FREE consultations and open houses so you can meet him, talk with him and figure out what you would do, and meet the staff... Which is amazing because nothing about infertility is free!
Strengths: so organized, they [Acacio Fertility Ctr] are very scheduled because they only do cycles two weeks of the month and then clean everything the next two weeks. Big strength was that they had places we could go for ultrasounds and everything but the procedures at an office close to us. Weaknesses: it was really far away for the procedures. But they are fantastic and I highly recommend them!... Base price was $9500 plus medication.
How was your experience with Brian Acacio at Acacio Fertility Center?
He is so kind and he and his wife have gone through fertility treatments also so he is really understanding. He is very down to earth and understands how hard it is and expensive it is and is very upfront and clear about that!
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Go to one of the open houses and bring all your information so you can talk strategy and figure out a treatment plan and get started!
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
He is such a caring doctor and really involved in the process. He has FREE consultations and open houses so you can meet him, talk with him and figure out what you would do, and meet the staff... Which is amazing because nothing about infertility is free!
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
So I super overstimulated... Which I will explain, but it started off as a fresh embryo cycle... So that's why my treatment plan is such: BC for 14 days 10 days in I started: Lupron 10U (for 5 days and then after that I just took 5U), prenatals, dexamethasone, and folic acid 19 days in I had my baseline ultrasound, blood work, and estradoil once a week. CD2 I started Follistim 150U and Menopur 1 vial and continued with Lupron, prenatal, dexamethasone 0.75mg, and folic acid. CD9 I had another ultrasound and blood work...I had my HCG shot that day too CD10 was my egg retrieval. They retrieved 105 eggs.... That's very abnormal. I really overstimulated. And as such my ovaries needed a break and to heal. So we had to cancel the fresh cycle and do a Frozen embryo transfer. So I drank a TON of Gatorade and water to help my ovaries so they wouldn't rupture... Thankfully they didn't. So after my cycle started again I started BC again, after 7 days I started Lupron 10U (for 5 days and then went down to 5U), dexamethasone, prenatal, folic acid, and metformin. After 10 days I had an ultrasound and blood work. Then I started delestrogen twice a week. CD14 I had another ultrasound and they told me to just take the Lupron for 5 more days but continue with the rest. Then CD15 I started a z-pack and progesterone shots. On CD20 I had the transfer. We transferred 2. I continued taking dexamethasone, prenatal, folic acid, progesterone oils, delestrogen (twice a week), and started progesterone suppositories. 12 says after transfer I had a blood draw and they called and told me the results and then two days later I had another and they called told me the results and we found out that it way more than doubled. At 7 weeks we had an ultrasound and found out we were expecting twins! I started bleeding that night and I kind of freaked out and called the nurse and she really talked me down and the next day she performed another ultrasound and they were still completely fine and they were born healthy and are growing well!
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Yes, I think her name was Sandy)
They were fantastic and were so good at answering my questions and helping me stay calm.
Describe your experience with Acacio Fertility Center.
Strengths: so organized, they are very scheduled because they only do cycles two weeks of the month and then clean everything the next two weeks. Big strength was that they had places we could go for ultrasounds and everything but the procedures at an office close to us. Weaknesses: it was really far away for the procedures. But they are fantastic and I highly recommend them!
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
Base price was $9500 plus medication. And then Frozen embryo cycle is normally $4500. We had little confusion about stopping the fresh cycle and starting the Frozen that he really discounted the Frozen and we were so grateful and in awe that he was understanding and helpful!
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2016, Unsuccessful
NPS
1
NPS
1
Age 40 - 41
2 IVF
Diminished Ovarian Reserve
Male Factor
Poor Egg Quality
European
Income $100K - $199K
Sales Representative
2nd of 2 Docs
4 IVF With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
[Dr. Brian Acacio's] rationale was that this protocol which was used by my previous Dr seemed to work so we should stick with the same protocol. The only thing he changed was adding more gonal-F in the beginning and the Delegestrogen shots. For the first round we got 5 embryos that made it to day 6 and were frozen but all were chromosomally bad. The second round we got one embryo which did not make it to day 6.
More than once she [the nurse at Acacio Fertility Center] asked me to take notes during my ultrasound. I always felt like she had other things to get to and was always rushed. However, she always called me back if I had questions, even late at night...The staff at this clinic is disorganized and seem overwhelmed...nurse tried to give me an intralipid infusion (which this clinic will probably want you to do as well) but I was doing a frozen transfer and so it was not needed. It was confusing because I kept telling her that I was not supposed to have it and she insisted that I was until sylvia finally came and agreed with me. One of the nurses clearly smokes, as she smells like cigarette smoke, which I found strange in this environment. Also, I mentioned befo
How was your experience with Brian Acacio at Acacio Fertility Center?
He is very smart and has a lot of experience. He uses other patient stories as examples of what you might experience, which is helpful. He also comes out into the waiting room to greet you at your first appointment. On the weaker side- we agreed for our second cycle to repeat the same long protocol that we did for the first. I was surprised when the nurse sent me my calendar and it was different with different medications. That should have alerted me to schedule a follow up but I trusted that he knew what he was doing. That ended in a cancelled cycle, after which they charged me a fee. I was furious and I scheduled a phone call with him. He agreed with me that we were going to repeat the same protocol and did not have an answer to why the protocol was changed. He waived the fee and we went back to the original protocol and started over. It was clearly a mistake but I had already spent $3,000 on the drugs. Beware of mistakes like this with his staff- they are disorganized. He also prescribed expensive prenatal vitamins to my husband and had him do multiple Halo semen analyses...the vitamins did not change anything and I've since learned that the halo tests do not make a big difference if you use ICSI, which we did with all of our IVF cycles.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Though Dr. Acacio is clearly intelligent and seems to be a great Doctor, in my opinion he has too many patients to handle and mistakes happen. He has a disorganized staff which make the overall experience at this clinic less than ok.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio was very good at treating us like a human but the rest of the clinic and staff make you feel more like a number. We had good appointments with Dr. Acacio- he is smart and explains thing well. But we only saw him for the consult and the egg retrieval. The rest of the time was with the staff and they were not great.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
We did a long protocol with birth control pills, followed by Lupron and Folgard, followed by Cetrotide, followed by Gonol F (600 IU backing off to 300 IU) and Menopur (1vial throughout) and E2V Delegestrogen shots 2x/week. His rationale was that this protocol which was used by my previous Dr seemed to work so we should stick with the same protocol. The only thing he changed was adding more gonal-F in the beginning and the Delegestrogen shots. For the first round we got 5 embryos that made it to day 6 and were frozen but all were chromosomally bad. The second round we got one embryo which did not make it to day 6.
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Sylvia)
Sylvia is kind and compassionate but seems to be working non-stop and is always in a hurry. More than once she asked me to take notes during my ultrasound. I always felt like she had other things to get to and was always rushed. However, she always called me back if I had questions, even late at night.
Describe your experience with Acacio Fertility Center.
The staff at this clinic is disorganized and seem overwhelmed. Poor sylvia seems to have to do everything herself and more than once she asked me to take notes for her during my ultrasound while I was having it. Another nurse tried to give me an intralipid infusion (which this clinic will probably want you to do as well) but I was doing a frozen transfer and so it was not needed. It was confusing because I kept telling her that I was not supposed to have it and she insisted that I was until sylvia finally came and agreed with me. One of the nurses clearly smokes, as she smells like cigarette smoke, which I found strange in this environment. Also, I mentioned before that a mistake was made in my protocol which ended up in a cancelled cycle, after which they tried to charge me. Also, one of the nurses tried 4 times to get my IV in for our first egg retrieval without success, which was stressful. Also, a nurse who ordered my medications (I think her name is Stephanie) in the beginning was clearly annoyed that I asked her to resend the medication list to a different pharmacy so that I could take part in a rebate. She said that normally they wouldn't do something like that but she would make an exception. Doing this saved me thousands of dollars. There are long wait times in the office as well. The list goes on and on!
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
We did the 2 cycle shared risk package with CGH testing (up to 8 embryos) which includes 2 egg retrievals and unlimited transfers. The package was $20,000 but they gave me a discount of $18,000.
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
He recommended that we transfer only one embryo- he is not for trying for multiples.
What specific things went wrong at Acacio Fertility Center?
  • Lost paperwork
  • Failed to inform you of changes in protocol
  • Provided conflicting information
  • Canceled a cycle due to clinic error
  • Scheduled the wrong procedure
Describe the specific things that went wrong at Acacio Fertility Center.
The staff at this clinic is disorganized and seem overwhelmed. Poor sylvia seems to have to do everything herself and more than once she asked me to take notes for her during my ultrasound while I was having it. Another nurse tried to give me an intralipid infusion (which this clinic will probably want you to do as well) but I was doing a frozen transfer and so it was not needed. It was confusing because I kept telling her that I was not supposed to have it and she insisted that I was until sylvia finally came and agreed with me. One of the nurses clearly smokes, as she smells like cigarette smoke, which I found strange in this environment. Also, I mentioned before that a mistake was made in my protocol which ended up in a cancelled cycle, after which they tried to charge me. Also, one of the nurses tried 4 times to get my IV in for our first egg retrieval without success, which was stressful. Also, a nurse who ordered my medications (I think her name is Stephanie) in the beginning was clearly annoyed that I asked her to resend the medication list to a different pharmacy so that I could take part in a rebate. She said that normally they wouldn't do something like that but she would make an exception. Doing this saved me thousands of dollars. There are long wait times in the office as well. The list goes on and on!
1
Doctor
Brian Acacio
NPS
Humanity
2 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
3 of 5
Compassion
3 of 5
Explained risks
5 of 5
Adaptability
4 of 5
1
Clinic
Acacio Fertility Center
Mission Viejo
NPS
Operations
2 of 5
Scheduling
3 of 5
Billing Department
4 of 5
Nursing Staff
2 of 5
Clinic Atmosphere
1 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016, Unknown Success
NPS
8
NPS
8
Age 32
1 IVF
Teacher
Only Doc Seen
IUI With Other Docs
Neutral
Neutral
Success w/ Doc Not sure
I really liked him [Dr. Acacio] as a doctor because he was very confident about what was going to happen. He told me that we are going to make it possible for me to have a baby. He was always on time and I never had a long wait to see him...I really liked him as a doctor because he was very confident about what was going to happen. He told me that we are going to make it possible for me to have a baby. He was always on time and I never had a long wait to see him
All of the nurses [at Acacio] were excellent they called back quickly if I had a question. Sylvia answered her cellphone 24 hours a day 7 days a week. I really appreciated that. All had excellent bed side manner..I loved the clinic they were very organized and I never had to wait very little long for any treatments I was having done...I have paid 31,000 dollars in total for all procedures done..He [Dr. Acacio] listened to everything I had to say and listened to all my concerns no matter how small they were.
How was your experience with Brian Acacio at Acacio Fertility Center?
I really liked him as a doctor because he was very confident about what was going to happen. He told me that we are going to make it possible for me to have a baby. He was always on time and I never had a long wait to see him
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Have all your medical history sent to him before your consultation because then he can tell you more about what would be the best plan for you and be prepared because he is a straight to the point kind of person and very confident about his work
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
I really felt like he treated me like a human because he was very simpathetic to my want to have a child. He listened to everything I had to say and listened to all my concerns no matter how small they were.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
I have ovarian cysts so he gave me a certain amount of egg stimulating hormones to make sure I didn't get overstimulated. We did genetic testing to make sure the embryos were chromosomally normal. We then transferred two embryos but I miscarried at 7 weeks. I had a blighted ovum.
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Sylvia Parret)
All of the nurses were excellent they called back quickly if I had a question. Sylvia answered her cellphone 24 hours a day 7 days a week. I really appreciated that. All had excellent bed side manner
Describe your experience with Acacio Fertility Center.
I loved the clinic they were very organized and I never had to wait very little long for any treatments I was having done. I liked that he has an office in my hometown and an office in OC so I didn't have to travel every time I had an appointment
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
I have paid 31,000 dollars in total for all procedures done
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
Dr. Acacio informed me of the success rate of each and told me that he would recommend transferring two embryos
8
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
3 of 5
Trustworthiness
4 of 5
Compassion
4 of 5
Explained risks
4 of 5
8
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2010 - 2015, Successful
NPS
10
NPS
10
Age 27 - 32
Donor Eggs
Income $50K - $99K
Sales Representative
Only Doc Seen
IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
We have used Dr. Acacio twice for 2 rounds of IVF. We were successful each time. The minute we met in our first consultation, I was immediately comforted by his knowledge, care, and genuine concern. I knew he was the right doctor for us. He covered every concern, told us exactly what to expect, and never led us in with false hope. He was honest and trustworthy and exact in what he said and did. We love everything about Dr Acacio!
The best thing about the clinic [Acacio Fertility Center] is that everything is pretty much done on their site. Because I lived more than 60 miles from them during our second cycle, they would allow me to have blood work done at a location near me instead of having to drive to their office. Dr. Acacio does each major procedure himself and everything is kept onsite. Which means the chances for error or a lot lower than other clinics where “too many hands” are involved.
How was your experience with Brian Acacio at Acacio Fertility Center?
We have used Dr. Acacio twice for 2 rounds of IVF. We were successful each time. The minute we met in our first consultation, I was immediately comforted by his knowledge, care, and genuine concern. I knew he was the right doctor for us. He covered every concern, told us exactly what to expect, and never led us in with false hope. He was honest and trustworthy and exact in what he said and did. We love everything about Dr Acacio!
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Don’t be afraid to ask questions because you might be afraid of the answers. Dr. Acacio is very knowledgeable and very open and eager to address any questions or concerns.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio and his staff were warm and welcoming from the start. Each visit I felt more and more like a family member and not just a patient or number. Dr. Acacio goes above and beyond to make you feel comfortable and cared for in this trying time.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
We used donor eggs for our IVF cycle. I basically had to trick my body in to thinking it was pregnant with a series of injections. The most memorable injections were the progesterone injections twice a week. Best advice would be to relax and breathe with each injection.
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Sylvia)
Every person on Dr. Acacio’s staff was excellent! From the girls at the front desk to the nurses in the back. Each one is always smiling and makes you feel like a part of their family. They truly make you feel like a priority and are genuinely concerned about you as a patient.
Describe your experience with Acacio Fertility Center.
The best thing about the clinic is that everything is pretty much done on their site. Because I lived more than 60 miles from them during our second cycle, they would allow me to have blood work done at a location near me instead of having to drive to their office. Dr. Acacio does each major procedure himself and everything is kept onsite. Which means the chances for error or a lot lower than other clinics where “too many hands” are involved.
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
In our first IVF cycle we wanted to implant 3 embryos with the hopes of at least having twins. We talked with Dr. Acacio about what we wanted to do and our reasoning and Dr. Acacio explained that he felt very positive we would get pregnant and that he would suggest only using 2 embryos and freezing what we could for a later use. We trusted his advice and implanted 2 embryos. We had a successful transfer and we’re blessed with twins. Our second cycle we thawed and transferred our remaining 2 embryos and had a successful Singleton birth.
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2014, Unsuccessful
NPS
5
NPS
7
Age 31
1 IVF
European
Income $50K - $99K
Lawyer
3rd of 4 Docs
4 IUI With Other Docs
1 IVF With Other Docs
Donor Sperm
Doesn't Recommend
Neutral
Unsuccessful
Dr. Acacio took my concerns seriously, as well as what I was hoping to get out of IVF. He answered my questions, he was involved in the process, including monitoring, all along...He wasn't blithe about the failure of my IVF cycle and understood how much it had cost me (at that time, all of my funds for TTC), particularly given my aims. I do wish he'd explained the protocol a bit better, and what to expect and what the source was..
I felt like they [Acacio Fert Center] went well beyond what was necessary to make it work for me, and genuinely seemed to care about the poor result, and me...prices are also reasonable, relatively speaking...[Nurses] Generally good. Communication wasn't always solid or timely, but they cared and assisted with meds, etc, including when I had to go longer before retrieval than anticipated. I think I got more information without asking from them than I had from staff at other places.
How was your experience with Brian Acacio at Acacio Fertility Center?
Dr. Acacio was relatable, without the arrogance of other doctors. He wasn't blithe about the failure of my IVF cycle and understood how much it had cost me (at that time, all of my funds for TTC), particularly given my aims. I do wish he'd explained the protocol a bit better, and what to expect and what the source was, but I didn't know it was an unusual one until well into it, so I hadn't asked anything at the beginning. I think his assumptions about my likely success were wholly understandable, but I wish more information had been given about the realities of what we found at retrieval (a large number of immature eggs) and fertilization (not great). Perhaps it wasn't known, but I felt like the post retrieval communication was a bit lacking.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio took my concerns seriously, as well as what I was hoping to get out of IVF. He answered my questions, he was involved in the process, including monitoring, all along.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
Started with femara, added Follistim, and menopur, and then ganirelix until trigger. Triggered at a few over 18, with a bunch behind, and one giant lead. I technically met trigger criteria. However, the result was nearly half immature eggs (10 of 24 plus 2 dead), poor fertilization (12, including cultured immature eggs), and no blasts (2 or 3 stopped at the stage just before). Based on later results with a different doctor, which weren't substantially better, though produced 1 early blast and 1 freezable, it seems likely it was me, primarily - though nothing in my numbers indicated that would be the case.
Describe your experience with your nurse at Acacio Fertility Center.
Generally good. Communication wasn't always solid or timely, but they cared and assisted with meds, etc, including when I had to go longer before retrieval than anticipated. I think I got more information without asking from them than I had from staff at other places.
Describe your experience with Acacio Fertility Center.
Dr. Acacio will keep plugging away. I did both IUI and an IVF with him, none successful. I decided not to do another cycle with him (and ultimately moved so it didn't matter) because I was not confident the failure wasn't due to a lab issue or some error in judgment. Given later results, I believe that the bulk of the issue was me, or at least my experience was not a result of a bad lab or protocol issue. But it was hard to shake that concern. That said, I felt like they went well beyond what was necessary to make it work for me, and genuinely seemed to care about the poor result, and me. I think Dr. Acacio's willingness to take patient concerns seriously is a huge strength, given the number of dismissive doctors you will find, and I know others who have had success with him after long arduous journeys when there have been failure elsewhere. His prices are also reasonable, relatively speaking.
Describe your experience with your monitoring appointments at Acacio Fertility Center.
There was definitely some waiting, but also sufficient flexibility for me to be able to make it work around my schedule.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
I can't entirely recall. I believe roughly in the realm of 9500 for the IVF?
5
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
4 of 5
Trustworthiness
4 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
3 of 5
7
Clinic
Acacio Fertility Center
Laguna Niguel
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
4 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
4 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2011 - 2014, Successful
NPS
10
NPS
10
Age 29 - 32
1 IUI
1 IVF
1 Egg Freezing
Endometriosis
Recurrent Pregnancy Loss
Middle Eastern
Income $100K - $199K
Operations
2nd of 2 Docs
3 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr Acacio spends as much time as you need to help you feel comfortable with everything that is going on with your treatment plan. As someone who needs to know all the details, I appreciated his honesty, availability, and time. I never felt rushed and since he does do this with all his patients, it does mean he runs late frequently but I would rather wait for someone who gives me the time of day than someone who just wants to rush me out the door.
We came to Dr Acacio after a poor experience with another well known OC fertility doctor and we noticed the difference immediately. Dr Acacio spent the time to review all my medical records prior to our initial meeting and always remembered every aspect of my history which is much more than I can say about our previous doctor. I never felt like a number and since he has had experience with fertility firsthand, he is very compassionate with what his patients are going through. As a type A personality, he is one of the people who really knew how to calm me down. To say he "got me" is an understatement. I truly couldnt havent asked for a more perfect fit when it came to a fertility doctor.
How was your experience with Brian Acacio at Acacio Fertility Center?
We came to Dr Acacio after a poor experience with another well known OC fertility doctor and we noticed the difference immediately. Dr Acacio spent the time to review all my medical records prior to our initial meeting and always remembered every aspect of my history which is much more than I can say about our previous doctor. I never felt like a number and since he has had experience with fertility firsthand, he is very compassionate with what his patients are going through. As a type A personality, he is one of the people who really knew how to calm me down. To say he "got me" is an understatement. I truly couldnt havent asked for a more perfect fit when it came to a fertility doctor.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Patience. He may not have the answers on cycle 1 but he will do everything he can to help his patients. Also expect to wait for appointments but he is worth the wait.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr Acacio spends as much time as you need to help you feel comfortable with everything that is going on with your treatment plan. As someone who needs to know all the details, I appreciated his honesty, availability, and time. I never felt rushed and since he does do this with all his patients, it does mean he runs late frequently but I would rather wait for someone who gives me the time of day than someone who just wants to rush me out the door.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
Due to recurrent miscarriages, he suggested intrapid treatment which our previous doctor never mentioned. After our first IVF failed, he suggested testing for autoimmune disorders and while the testing wasn't cheap it certainly paid off since they discovered i had some autoimmune disorders that I was unaware of. Fortunately they knew how to work with it and with additional medication (heparin injections, extra folic acid and baby aspirin) we achieved pregnancy on our next FET.
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Sylvia)
The nursing staff is amazing and Sylvia was a godsend. Shes available any time day or night and while she comes off a little strong sometimes, her intentions are always positive.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
My insurance covered up to 40k of our costs so our out of pocket was minimal.
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
4 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2011 - 2012, Unsuccessful
NPS
0
NPS
0
Age 30 - 31
3 IVF
Anovulation
Unexplained
European
Income $100K - $199K
1st of 2 Docs
1 IVF With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
The reason that I was stuck there [at Acacio Fertility Center] for three cycles was because he had us buy the three package deal--RED FLAG. His [Dr. Acacio] lab is run in a manner where it is over extended. Appointments were hours late. And phone call follow ups after negative betas--when he made them--were never the times set up. This was disheartening and maddening for working professionals.
The reason that I was stuck there [at Acacio Fertility Center] for three cycles was because he had us buy the three package deal--RED FLAG. His [Dr. Acacio] lab is run in a manner where it is over extended. Appointments were hours late. And phone call follow ups after negative betas--when he made them--were never the times set up. This was disheartening and maddening for working professionals.
How was your experience with Brian Acacio at Acacio Fertility Center?
He is in over his head and overly concerned with image over substance. Over promises and under delivers. Never stops selling.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Run! Your time and money are better spent elsewhere.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio practiced unethical medicine. The reason that I was stuck there for three cycles was because he had us buy the three package deal--RED FLAG. His lab is run in a manner where it is over extended. Appointments were hours late. And phone call follow ups after negative betas--when he made them--were never the times set up. This was disheartening and maddening for working professionals. Without getting into too much detail one of my cycles was managed so poorly that my psychologist diagnosed me with PTSD when he transferred five embryos at 29 years old. We later found out that the embryos were already arrested. Completely unethical medicine.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
He hyperstimulated me resulting in 65 eggs during one cycle. That's poor medicine. We had 3 transfers and 0 positive pregnancy test. The doctor I saw after Acacio went one for one with me and I'm sitting with my daughter right now. Acacio never followed up with us after the third failed cycle.
Describe your experience with the nursing staff at Acacio Fertility Center.
Sylvia is the nurse in charge. She communicates in a condescending manner and does not respect the father's role.
Describe your experience with Acacio Fertility Center.
This clinic over promises and under delivers with chaotic Managment of care and very little precision and detail. It also practices cattle cycling. This is cycling that puts the I wonder of the doctor ahead of the calendar of your body.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
I think we spent close to $50k there.
What specific things went wrong at Acacio Fertility Center?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Lost appointments
  • Failed to call with results
  • Failed to send your chart to another clinic
  • Failed to inform you of changes in protocol
  • Lost results
  • Failed to convey critical information
  • Failed to consider drug intolerance
  • Lost or damaged samples
  • Canceled a cycle due to clinic error
Describe the specific things that went wrong at Acacio Fertility Center.
I was on the table ready for transfer and Acacio comes in to tell me all the embryos arrested and we had nothing to transfer. Through my heaving sobs, I asked him to go get my husband and he said he would after he saw another patient. The concern for my feelings had left the building as soon as my money came in.
0
Doctor
Brian Acacio
NPS
Humanity
1 of 5
Communication
1 of 5
Frequency Seen
3 of 5
Trustworthiness
1 of 5
Compassion
1 of 5
Explained risks
1 of 5
Adaptability
2 of 5
0
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
1 of 5
Scheduling
3 of 5
Billing Department
1 of 5
Nursing Staff
1 of 5
Clinic Atmosphere
1 of 5
Educational Resources
4 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2021 - 2022, Successful
NPS
10
NPS
10
Age 36 - 37
3 IVF
Male Factor
Income $200K - $499K
Sales Representative
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Acacio is the man. We had some very tough times before experiencing success at his clinic and his care during these sad and painful times really mattered and helped us fight forward. He and his whole team would meet with us within a week or two of a failed cycle....[he] educated us on all the options for transfer...[he] did adjust the cycle after the first failed cycle and we experienced better results afterward.
Acacio Fertility has many strenths and few weaknesses(I can't think of any)...Dr. Acacio and his staff go out of their way to make you feel comfortable. They always answer on time. I even had some random concerns during a blastcocyst testing wait on a Friday afternoon and their Embryologist talked me through my concerns and worries on an impromptu call in. Top-notch service...[the nursing staff] were attentive and caring during the whole process
How was your experience with Brian Acacio at Acacio Fertility Center?
Dr. Acacio is the man. We had some very tough times before experiencing success at his clinic and his care during these sad and painful times really mattered and helped us fight forward. He and his whole team would meet with us within a week or two of a failed cycle. They were there for us in the hard times.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
It may not all work right away and is a process. Each step of the IVF cycle is a hurdle and just getting to the embryo transfer is a battle in itself. Be prepared to be patient and strong throughout the whole process and don't give up.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio and his staff go out of their way to make you feel comfortable. They always answer on time. I even had some random concerns during a blastcocyst testing wait on a Friday afternoon and their Embryologist talked me through my concerns and worries on an impromptu call in. Top-notch service.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
I really don't know all the specifics of the treatment protocol but Dr. Acacio did adjust the cycle after the first failed cycle and we experienced better results afterward.
Describe your experience with the nursing staff at Acacio Fertility Center.
They were attentive and caring during the whole process.
Describe your experience with Acacio Fertility Center.
Acacio Fertility has many strenths and few weaknesses(I can't think of any). The only thing I would want a new patient to know is that it may not all work right away and it may take more than one try.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
About $13k for one cycle. Medication is expensive. $3k+
Describe Brian Acacio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Acacio Fertility Center.
Dr. Acacio educated us on all the options for transfer.
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Laguna Niguel
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unknown Success
NPS
10
NPS
10
Age 36 - 37
Income $100K - $199K
1st of 2 Docs
2 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
He [Dr. Brian Acacio] takes the time to explain things thoroughly. He breaks things down so anyone could understand. He lets us ask as many questions as we need to. He makes us feel comfortable and welcomed. He even did a call for us when California was on stay at home orders. Him and his office go above and beyond...I felt like a human because they took the time to do things right and make us feel welcomed...
They [Acacio Fertility Center] make sure they are as prepared as possible for your appointment so that you can focus on the necessary items when there. They are always great with time and very helpful with any questions I have...never forgets me, always knows who I am...is very up front with all costs. And they did consult free fo charge...They take the time to know you and take the time to explain everything.
How was your experience with Brian Acacio at Acacio Fertility Center?
We are very thankful for this doctor. He takes the time to explain things thoroughly. He breaks things down so anyone could understand. He lets us ask as many questions as we need to. He makes us feel comfortable and welcomed. He even did a call for us when California was on stay at home orders. Him and his office go above and beyond.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
This doctor is the best. I have been to another clinic and nothing compares to this office!
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
I felt like a human because they took the time to do things right and make us feel welcomed. Unlike a past fertility clinic!
Describe your experience with the nursing staff at Acacio Fertility Center.
Everyone at this office has been very welcoming! They make sure they are as prepared as possible for your appointment so that you can focus on the necessary items when there. They are always great with time and very helpful with any questions I have.
Describe your experience with Acacio Fertility Center.
This clinic never forgets me, always knows who I am. They really care about their patients. They take the time to know you and take the time to explain everything. When going through fertility treatments there is nothing better! I haven’t found any weaknesses to date. I have only had wonderful experiences with all staff members!
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
Costs seem very fair. This clinic is very up front with all costs. And they did consult free fo charge.
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Mission Viejo
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unsuccessful
NPS
2
NPS
4
Age 24 - 25
Anovulation
Male Factor
PCOS
Uterine Fibroids
Unexplained
European
Income $50K - $99K
2nd of 2 Docs
2 IUI With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
Doctor Acacio was super helpful in the beginning. We did an ultrasound to find out exactly what was wrong, a few months later we did the surgery. After that? We didn’t see him again, it was just his nurses ... Out of all the times we had an appointment, we maybe saw him twice. ... He put me on Letrozole for 7 days to build my eggs followed by 10,000 HCG trigger shot. The side effects were terrible.
We’ve been to both offices [Acacio Fertility Center] of his his [Dr. Acacio], Laguna Niguel and Bakersfield. I would definitely choose the Laguna Niguel office any day for the atmosphere but Bakersfield over the nurses hospitality. The one upside of LN is that if you need surgery or anything, they do it there on the other side of the hospital ... They would never call me with my results. I would call over and over again to find out the results of a test and never really get an answer/ ...
How was your experience with Brian Acacio at Acacio Fertility Center?
Doctor Acacio was super helpful in the beginning. We did an ultrasound to find out exactly what was wrong, a few months later we did the surgery. After that? We didn’t see him again, it was just his nurses.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Demand he be at every appointment.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
His nurses were more caring than he was. Out of all the times we had an appointment, we maybe saw him twice.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
He put me on Letrozole for 7 days to build my eggs followed by 10,000 HCG trigger shot. The side effects were terrible. I grew a mustache and random hairs on my chin all while losing hair on my head.
Describe your experience with the nursing staff at Acacio Fertility Center.
They were just all around great.
Describe your experience with Acacio Fertility Center.
We’ve been to both offices of his his, Laguna Niguel and Bakersfield. I would definitely choose the Laguna Niguel office any day for the atmosphere but Bakersfield over the nurses hospitality. The one upside of LN is that if you need surgery or anything, they do it there on the other side of the hospital.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
Appointments were $250 with ultrasound. Consultation was $100. My surgery to remove polyps was $3,500.. I can remember the total for all my cycles and medications. Somewhere near $50,000?
What specific things went wrong at Acacio Fertility Center?
  • Failed to call with results
Describe the specific things that went wrong at Acacio Fertility Center.
They would never call me with my results. I would call over and over again to find out the results of a test and never really get an answer/
2
Doctor
Brian Acacio
NPS
Humanity
2 of 5
Communication
2 of 5
Frequency Seen
4 of 5
Trustworthiness
3 of 5
Compassion
2 of 5
Explained risks
3 of 5
Adaptability
3 of 5
4
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
2 of 5
Scheduling
4 of 5
Billing Department
2 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
4 of 5
Educational Resources
5 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018, Successful
NPS
10
NPS
10
Age 38
Uterine Fibroids
Income $50K - $99K
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
I appreciated his [Dr. Brian Acacio] candidness, eye contact and the time he was willing to spend during my consult. He made sure I understood what the steps would be and was not pushy. I really liked his realistic approach as well.... He was warm, calming, and concerned about my fears in this journey. He know so much and really took the time to let me and my partner know what are options were and what to expect.
It was a nice, clean office [Acacio Fertility Center]. The staff and doctor seemed to get along very well and that was reassuring. Very flexible schedule. They are open late and on weekends and that is great for me since I work.... They were great, and I really appreciated my time with Dr. Acacio. I will be spending more time with nurses in coming appts.
How was your experience with Brian Acacio at Acacio Fertility Center?
I appreciated his candidness, eye contact and the time he was willing to spend during my consult. He made sure I understood what the steps would be and was not pushy. I really liked his realistic approach as well.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Appreciate his honesty. It’s worth a consult. He seemed much more educated than the first doctor I went to and his resume matched his knowledge.
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Dr. Acacio was my 2nd fertility doctor. I just didn’t mesh well with the 1st. He was warm, calming, and concerned about my fears in this journey. He know so much and really took the time to let me and my partner know what are options were and what to expect.
Describe your experience with your nurse at Acacio Fertility Center. (Assigned nurse: Terry)
They were great, and I really appreciated my time with Dr. Acacio. I will be spending more time with nurses in coming appts.
Describe your experience with Acacio Fertility Center.
It was a nice, clean office. The staff and doctor seemed to get along very well and that was reassuring. Very flexible schedule. They are open late and on weekends and that is great for me since I work.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
The reason Dr. Acacio is my 2nd fertility specialist is because my first had hidden prices and attempting to gouge/mislead my husband and I. I’ve called around and he was totally in the normal zone. I actually am happy to pay him based on his experience and conception rate.
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
LGBTQ
2014 - 2017, Unsuccessful
NPS
3
NPS
5
Age 24 - 27
2 IUI
Black or African-American
Income $50K - $99K
1st of 3 Docs
5 IUI With Other Docs
Donor Sperm
LGBTQ
Doesn't Recommend
Doesn't Recommend
Unsuccessful
Doctor Brian Acacio was a friendly upfront doctor who we really liked, but never saw after consultation. He made us feel positive about the experience. He came highly recommended, and has a high success rate...The nursing staff is friendly but they don't call back and different offices aren't on the same page and scheduling isn't communicated... Friendly service but not fast, don't call back or make appointments in a timely matter. Will forget to schedule your next appt and expect you to be able to come the next day around their schedule. Sometimes have to drive 3 hours to other office for appts
Doctor Brian Acacio was a friendly upfront doctor who we really liked, but never saw after consultation. He made us feel positive about the experience. He came highly recommended, and has a high success rate...The nursing staff is friendly but they don't call back and different offices aren't on the same page and scheduling isn't communicated... Friendly service but not fast, don't call back or make appointments in a timely matter. Will forget to schedule your next appt and expect you to be able to come the next day around their schedule. Sometimes have to drive 3 hours to other office for appts
How was your experience with Brian Acacio at Acacio Fertility Center?
Doctor Brian Acacio was a friendly upfront doctor who we really liked, but never saw after consultation. He made us feel positive about the experience. He came highly recommended, and has a high success rate
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Have a flexible schedule and assume you have to travel for procedures
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Wouldn't get calls back, had to work around their schedule.
Describe the protocols Brian Acacio used in your cycles at Acacio Fertility Center and their degree of success.
We used clomid day 3-7 2.5 dosage. Followed by ultrasounds to measure follicle size, once the follicle reached right size I had todo a trigger shot in the hip muscle with the iui coming 36 hours after the shot two weeks later take pregnancy test
Describe your experience with the nursing staff at Acacio Fertility Center.
The nursing staff is friendly but they don't call back and different offices aren't on the same page and scheduling isn't communicated
Describe your experience with Acacio Fertility Center.
Friendly service but not fast, don't call back or make appointments in a timely matter. Will forget to schedule your next appt and expect you to be able to come the next day around their schedule. Sometimes have to drive 3 hours to other office for appts
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
Rough estimate for iui cycle was about 2500$ not counting purchased sperm that's another $1200
What specific things went wrong at Acacio Fertility Center?
  • Failed to call with results
  • Failed to order appropriate test
  • Provided conflicting information
  • Failed to convey critical information
3
Doctor
Brian Acacio
NPS
Humanity
2 of 5
Communication
3 of 5
Frequency Seen
1 of 5
Trustworthiness
4 of 5
Compassion
3 of 5
Explained risks
4 of 5
Adaptability
4 of 5
5
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
3 of 5
Scheduling
1 of 5
Billing Department
3 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
4 of 5
Educational Resources
6 of 5
2017 - 2018, Successful
NPS
10
NPS
10
Age 34 - 35
2 IVF
Recurrent Pregnancy Loss
Unexplained
Income $0 - $49K
2nd of 2 Docs
1 IUI With Other Docs
1 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
[Dr. Acacio is] patient and personal. Knew every patient that walked through his door...very detailed with every step you take to go through fertility. He is kind and compassionate which is what you need when going through something like this. I felt at ease every time I was in office for any kind of test or treatment and also treated my family and husband like they were family...
[Acacio Fertility Center] Always made sure your appointments were kept and always gave you great reminders of those appointments. Sometimes it was hard to get them on the phone due to having two offices so the clinic is very busy...A nurse forgot to call me with blood results and I had to call. But my nurse was very apologetic and told me I could call her cellphone with anything I needed.
How was your experience with Brian Acacio at Acacio Fertility Center?
Brian Acacio is very detailed with every step you take to go through fertility. He is kind and compassionate which is what you need when going through something like this. I felt at ease every time I was in office for any kind of test or treatment and also treated my family and husband like they were family.
What's one piece of advice would you give a prospective patient of Brian Acacio at Acacio Fertility Center?
Don't give up cause Dr. Acacio is very educated and will make this happen for you
During treatment, were you treated like a number or a human with Brian Acacio at Acacio Fertility Center?
Very sympatric, patient and personal. Knew every patient that walked through his door
Describe your experience with Acacio Fertility Center.
Always made sure your appointments were kept and always gave you great reminders of those appointments. Sometimes it was hard to get them on the phone due to having two offices so the clinic is very busy.
Describe the costs associated with your care under Brian Acacio at Acacio Fertility Center.
25,000
What specific things went wrong at Acacio Fertility Center?
  • Failed to call with results
Describe the specific things that went wrong at Acacio Fertility Center.
A nurse forgot to call me with blood results and I had to call. But my nurse was very apologetic and told me I could call her cellphone with anything I needed.
10
Doctor
Brian Acacio
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
Acacio Fertility Center
Bakersfield
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5