Joseph Garza
The Advanced Fertility Center of San Antonio
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Medical SchoolU. of Texas Southwestern
ResidencyJohns Hopkins
San Antonio
18707 Hardy Oak
San Antonio, TX 78258
(210) 616-0680
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13 assessments
1
1
Age
36
Treated
2018
Success with this Doc
No
Treatment
3 IUI
Diagnosis
Anovulation, Unexplained
1
1
I didn't always understand his [Dr. Garza] treatment plan nor could I get an explanation on specifics of my treatment plan. Felt rushed during visits. ... he tested my AMH and knew it was low, but he never really addressed it much or explained how much it is likely affecting my struggle to get pregnant. He also said I would start IUI almost immediately after work-up, but never did.
Lack of and/or delay of treatment for unknown reasons for 3 cycles. ... The billing/insurance [Advanced Fertility] girl refused to send certain days of office records/visits/notes to my insurance because she said "They won't cover it," ... My insurance did cover part of some visits. ... Staff booked my appointment earlier than dr in office, had me see nurse only, still charge same as if saw dr, then would not have dr answer question regarding med unless I made another appointment to ask 1 question about med.
Age
36
Treated
2018
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IUI
Diagnosis
Anovulation, Unexplained
1
1
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
Poor communication. I almost always left the office with more questions than answers. Flat affect. I never got the impression he really cared for me as a patient, except the day I was crying in the office. Visits felt rushed. He did a big work-up to diagnose me, but missed a HUGE part of my fertility issues, which is my low AMH. Let me clarify: he tested my AMH and knew it was low, but he never really addressed it much or explained how much it is likely affecting my struggle to get pregnant. He also said I would start IUI almost immediately after work-up, but never did. I felt like he was stringing me along for as many visits as possible. All I ever did was 4 rounds of oral pills, that is all. Then got cysts and had to stop fertility meds. I know this is a possible side effect, but prior to cysts could have done IUI and he wouldn't; he just kept saying "next time." I had already done 3 rounds of oral pills for fertility (by my regular ObGyn) prior to coming to him. Other than the work-up, I feel like I lost time and wasted time here that I cannot get back, not to mention thousands of dollars.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Don't go unless he is your last option. Really. He is a nice person, but not a good doctor.
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
Didn't even get to see him my last visit. He has a pretty flat affect overall with a few jokes to tell. Never asked how I was doing except for once, when I was crying in his office. I didn't always understand his treatment plan nor could I get an explanation on specifics of my treatment plan. Felt rushed during visits. Had to do very frequent urine pregnancy tests, even when not indicated or required- this felt like I was getting nickeled and dimed on top of paying out-of-pocket for visits. I truly felt like cattle in a herd and not a real person with infertility issues.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
Femara (oral pills). That is all. He kept saying he would do IUI next cycle (x3) but never did. He did say he wanted my progesterone higher, like 15 or more, but I was never low. He also said he would supplement me if needed, but never did even when I wasn't where he wanted me to be. He said they would supplement me once a positive pregnancy test and low. Why wait until then to see if low? Contradicting. I ended up with cysts after 4 cycles of oral meds only then had to be treated for those.
Describe your experience with your nurse at The Advanced Fertility Center of San Antonio. (Assigned nurse: Priscilla)
Poor communication with all office staff. I usually felt like a burden and rushed. If I asked more than a few questions they acted like I was inconveniencing them. Frequently communication took multiple attempts on my end to reach someone. Only time I truly felt like they cared was the day I was crying in the office and the nurse asked how I was and gave me card for a counselor, but never asked again. My last visit- I didn't even get to see the dr, only saw a nurse, but still charged the same amount of money and was not able to get my question answered by him after the visit unless I made another appointment with him. The question was regarding a med to treat the cysts and whether the med was safe for me to take with my diagnosis of clotting disorders. I had to play phone tag and patient portal messenger for 4 days to get a response and when I did the response was, "All meds have side effects" when I questioned the med label that warned stroke or death if I took the med with a known clotting disorder. That was my last straw and I never returned.
Describe your experience with The Advanced Fertility Center of San Antonio.
Nice big waiting room with coffee and water- and you will need it, because you will frequently have long waits. Poor communication throughout entire office. Patient portal is nice and convenient tool. Be prepared to give urine every single visit, regardless of home test negative or what the visit is even about- and don't question it unless you want dirty looks. The billing/insurance girl refused to send certain days of office records/visits/notes to my insurance because she said "They won't cover it," even at my request knowing it MAY be denied, but I wanted to try. My insurance did cover part of some visits. They also didn't send my records to insurance for my cyst visits, which should be covered. I had to call for over a month for them to be sent. I would only recommend this office as a last resort :(
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
Over the course of 6 months, I spent thousands of dollars. Visits ranged from $200 to over 350.
Describe Joseph Garza's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at The Advanced Fertility Center of San Antonio.
NA
What specific things went wrong at The Advanced Fertility Center of San Antonio?
- Failed to call with results
- Provided conflicting information
- Failed to convey critical information
Describe the specific things that went wrong at The Advanced Fertility Center of San Antonio.
Multiple things, see previous comments on strengths and weaknesses. Poor communication, felt rushed, refusal to send records to insurance, frequently did not answer questions in office or by patient portal messages or voicemail. Staff booked my appointment earlier than dr in office, had me see nurse only, still charge same as if saw dr, then would not have dr answer question regarding med unless I made another appointment to ask 1 question about med. Lack of and/or delay of treatment for unknown reasons for 3 cycles. Did not relay importance of critical test result, nor ever treat for such.
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Verified
This patient has provided documentation of treatment at this clinic.
9
8
Age
32 - 34
Treated
2016 - 2018
Success with this Doc
?
Treatment
1 Fertility Medications
Diagnosis
Unexplained
9
8
I felt like a human because Dr Garza sat down and listened to my concerns and answered my questions thoroughly. ... Dr Garza is an intelligent physician with years of experience in RE. He takes the time to listen to your concerns and answer them to the best of his ability. He has a great way of making the situation as comfortable as possible, light-hearted, and has a great sense of humor. At times, he does seem a little rushed, but as a person who also works in medicine, I know where he is coming from.
Weaknesses: long wait times; if you call and ask a question, sometimes they [The Advanced Fertility Center of San Antonio] don’t respond or respond 1-2 weeks later. ... Strengths: friendly staff, great doctor, nice facilities, free coffee/water while you wait, great ultrasound tech, nice lab ... I sent a message to the nurse to make sure my medication was sent that day as I had called the pharmacy two hours after I left the clinic and it still had not been received.
Age
32 - 34
Treated
2016 - 2018
Success with this Doc
?
Race
Latino
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 Fertility Medications
Diagnosis
Unexplained
9
8
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
Dr Garza is an intelligent physician with years of experience in RE. He takes the time to listen to your concerns and answer them to the best of his ability. He has a great way of making the situation as comfortable as possible, light-hearted, and has a great sense of humor. At times, he does seem a little rushed, but as a person who also works in medicine, I know where he is coming from.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Write your questions down and don’t be afraid to ask!
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
I felt like a human because Dr Garza sat down and listened to my concerns and answered my questions thoroughly.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
Dr Garza put me on Clomid days 5-10 for the first cycle to induce ovulation and instructed us to have timed intercourse during our ovulation week. The result was that the medication made me ovulate, but in the end we received a negative pregnancy test. I am currently on my second round of Clomid, cycle day 8 and will be taking my fourth day of Clomid today. Will have an IUI this coming week with Ovidrel as a trigger shot before the procedure.
Describe your experience with the nursing staff at The Advanced Fertility Center of San Antonio.
Nice people, seem rushed at times.
Describe your experience with The Advanced Fertility Center of San Antonio.
Strengths: friendly staff, great doctor, nice facilities, free coffee/water while you wait, great ultrasound tech, nice lab
Weaknesses: long wait times; if you call and ask a question, sometimes they don’t respond or respond 1-2 weeks later.
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
Each visit ranges from $150- $250 as my insurance does not cover fertility. A cycle of IUI costs around $1200.
Describe Joseph Garza's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at The Advanced Fertility Center of San Antonio.
I have not discussed this with Dr Garza
What specific things went wrong at The Advanced Fertility Center of San Antonio?
- Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at The Advanced Fertility Center of San Antonio.
I sent a message to the nurse to make sure my medication was sent that day as I had called the pharmacy two hours after I left the clinic and it still had not been received. The nurse didn’t respond until almost two weeks later! Luckily, the medication had been sent that day and I was able to start it on the day I was supposed to.
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Verified
This patient has provided documentation of treatment at this clinic.
5
6
Age
38 - 39
Treated
2017 - 2018
Success with this Doc
No
Treatment
1 IUI
Diagnosis
Anovulation, Diminished Ovarian Reserve, Endometriosis, Unexplained
5
6
I've talked to the officer manager more than anyone else... I very rarely see the doctor [Dr. Joseph Garza]. Ive also stated several times the hcg shot they've administered isn't working properly. And it didn't 1 month, because I had 2 cysts from the previous months follicles. But they were trying to move me on to injectables. Not happy about this...First treatment was clomid with hcg and iui. I was very hopeful but it didn't pan out. Next few cycles we tried clomid with hcg and relations.
Some days they [nurses at The Advanced Fertility Center of San Antonio] are pre-occupied, other days they are very supportive and understanding...I'm okay with paying the money for my services but I feel I should have better communication with the doctor. If I'm telling you the trigger shot isn't working, you should take this into consideration and look further into this... I very rarely see the doctor.
Age
38 - 39
Treated
2017 - 2018
Success with this Doc
No
Race
Other
Income
$0 - $49K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI
Diagnosis
Anovulation, Diminished Ovarian Reserve, Endometriosis, Unexplained
5
6
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
I've talked to the officer manager more than anyone else. I feel like she passivity me instead of getting to the root of my issues. Overall, the office staff is helpful but I feel like a number. I suffer with endometriosis, low ovarian reserve and annovulation. I also had exploratory surgery because I had a several tumors that I carried for years. I have had one successful birth but this was over 20 yeas ago. I'm coming close to the age where I cant have children so I'm ready to do this. Also, I just found out this doctors ivf is so much more than other doctors. I recently also learned that there are other options for ivf not just the standard procedure. I've heard about the invocell. Thought this might be something to look into
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Going thro
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
At times I feel like a number. I very rarely see the doctor. Ive also stated several times the hcg shot they've administered isn't working properly. And it didn't 1 month, because I had 2 cysts from the previous months follicles. But they were trying to move me on to injectables. Not happy about this
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
First treatment was clomid with hcg and iui. I was very hopeful but it didn't pan out. Next few cycles we tried clomid with hcg and relations.
Describe your experience with the nursing staff at The Advanced Fertility Center of San Antonio.
Some days they are pre-occupied, other days they are very supportive and understanding. I'm okay with this sometimes.
Describe your experience with The Advanced Fertility Center of San Antonio.
I'm okay with paying the money for my services but I feel I should have better communication with the doctor. If I'm telling you the trigger shot isn't working, you should take this into consideration and look further into this
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
I've paid for most services out of pocket besides the surgery. Most of this was covered by insurance. I've been seeing this doctor close to 9 months I've spent up to $7000.
Describe Joseph Garza's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at The Advanced Fertility Center of San Antonio.
Honestly, I'm okay with either. My husband wants more than 1 child so if I were to have multiple births, I'm okay with this. I want the best chance of having a baby. Over the years I've seen woman become pregnant like hot cakes. I've fought hard to get where I'm at.
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Verified
This patient has provided documentation of treatment at this clinic.
8
10
Age
34
Treated
2017
Success with this Doc
?
Treatment
3 Fertility Medications
Diagnosis
Anovulation, PCOS, Uterine Fibroids, Unexplained
8
10
Dr Garza has been doing this a long time. It shows in his knowledge. He can sometimes be soft spoken but always makes me feel comfortable. What I like best is his willingness to try the next thing when I didn't respond to treatments....
I did 3 rounds of clomid. The first round I missed my progresterone test to tell if I ovulated. When I went in they did an ultrasound and found a few cysts. They recommended a month of birth control to clear the cysts. The next month I had to redo the loswest dosage of clomid Because it hadn't been confirmed with the day 21 test that I had ovulated. I got a 7.5 on my progresterone test that month. I was told it was ovulation but they wanted to see stronger number. They doubled the dosage (100mg) but my test showed a 0so absolutely no ovulation. My scan showed a very large (7cm) cyst on my left ovary and they became more concerned about a smallish fibroid on my uterus. Again another month of birth control and awaiting laparoscopic surgery to remove the problems and give a better idea of the next steps.
The whole nursing staff [at The Advanced Fertility Center of San Antonio] is awesome. They are understanding and helpful. They don't do unnecessary treatments and are helpful when it comes to financial situations.... Everyone in the clinic seemed to remember you from visit to visit. They remembered details not pertaining to treatment and always answer any questions I have...and it's a lot!
Age
34
Treated
2017
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 Fertility Medications
Diagnosis
Anovulation, PCOS, Uterine Fibroids, Unexplained
8
10
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
Dr Garza has been doing this a long time. It shows in his knowledge. He can sometimes be soft spoken but always makes me feel comfortable. What I like best is his willingness to try the next thing when I didn't respond to treatments. I am awaiting a surgery to remove a cyst and fibrosis. Dr. Garza feels it is important to do this step and find out if there could be another reason I have not responding to treatments. Whenever I have questions he answers them in detail and without making me feel stupid.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Ask lots of questions. He tends to state the fact and be ready to move on. If you ask questions he will answer them.
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
Everyone in the clinic seemed to remember you from visit to visit. They remembered details not pertaining to treatment and always answer any questions I have...and it's a lot!
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
I did 3 rounds of clomid. The first round I missed my progresterone test to tell if I ovulated. When I went in they did an ultrasound and found a few cysts. They recommended a month of birth control to clear the cysts. The next month I had to redo the loswest dosage of clomid Because it hadn't been confirmed with the day 21 test that I had ovulated. I got a 7.5 on my progresterone test that month. I was told it was ovulation but they wanted to see stronger number. They doubled the dosage (100mg) but my test showed a 0so absolutely no ovulation. My scan showed a very large (7cm) cyst on my left ovary and they became more concerned about a smallish fibroid on my uterus. Again another month of birth control and awaiting laparoscopic surgery to remove the problems and give a better idea of the next steps.
Describe your experience with your nurse at The Advanced Fertility Center of San Antonio. (Assigned nurse: Pricilla )
The whole nursing staff is awesome. They are understanding and helpful. They don't do unnecessary treatments and are helpful when it comes to financial situations.
Describe your experience with The Advanced Fertility Center of San Antonio.
The clinic is in a very nice facility. Easy to get to and very near the stone oak medical center.
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
Insurance did not cover any of our treatments after diagnosis. I felt it was more affordable than I imagined, around $150-200 per visit depending on if I had an ultasound or not. I felt they were very aware of the cost and did not do testing or labs if there was a more affordable way to do it. I have not yet gotten passed the clomid stage of treatment.
Describe Joseph Garza's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at The Advanced Fertility Center of San Antonio.
None
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Ask this reviewer a question about their experience with Joseph Garza at The Advanced Fertility Center of San Antonio.
8
8
Age
35 - 36
Treated
2015 - 2016
Success with this Doc
?
Treatment
2 Fertility Medications
Diagnosis
Anovulation, PCOS, Recurrent Pregnancy Loss
8
8
He laid out a clear plan and what should be expected. The only complaint is that I wish I could see him more often but I know he has a lot of patients to take care of. Overall, Dr. Garza has been amazing! Dr. Garza has a great bed side manner, he is caring, he takes his time, he gives plenty of opportunities to ask questions, he doesn't pressure me into expensive procedures, he talks to my husband and I like a friend, and is very kind and patient.
...It can be very frustrating. If you have an appointment [at The Advanced Fertility Center of San Antonio] and have to see a nurse they are not good at explaining things and expect you to know everything they know. They have gotten frustrated with my persistence to have things explained but if you are paying them this much money you expect answers. I have left the nurses frustrated and in tears.
Age
35 - 36
Treated
2015 - 2016
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 Fertility Medications
Diagnosis
Anovulation, PCOS, Recurrent Pregnancy Loss
8
8
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
He laid out a clear plan and what should be expected. The only complaint is that I wish I could see him more often but I know he has a lot of patients to take care of. Overall, Dr. Garza has been amazing!
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Always bring prepared questions with you to the appointments so you don't forget anything. You will probably only see him about once a month in the beginning and he explains things way better than the nurses. Your experience could be different depending on your course of treatment.
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
Dr. Garza has a great bed side manner, he is caring, he takes his time, he gives plenty of opportunities to ask questions, he doesn't pressure me into expensive procedures, he talks to my husband and I like a friend, and is very kind and patient.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
Before coming to Dr. Garza I had gone through 2 miscarriages and my OBGYN did not have an explanation. I was already 35 and knew a friend who had success with Dr. Garza. He started off with lots of blood work, for both me and my husband, and tests just to see if everything was okay with us and what he was dealing with. I was diagnosed a month ago with PCOD which is apparently just like PCOS. Two months ago I was given Clomid to raise my Progesterone levels and this past month was Metformin and Clomid. The hormones have affected me some and the Metfomin makes me sick to my stomach and dizzy. I'm supposed to take 2000mg of Metformin a day but I've only been able to work up to 1500mg so far. He advised me to start using an ovulation kit even though ovulation kits say that they don't work for people with PCOS. So after two months of trying we are about to start another month with no luck but I know my body has to adjust to the medication.. Right now I'm scared I won't be able to conceive without using more expensive treatments.
Describe your experience with the nursing staff at The Advanced Fertility Center of San Antonio.
The nurses prefer to have all patients use the "patient portal" to communicate and get results. The problem is that they take a really long time to enter test results, medication that has been called in, and to answer questions. The receptionist will urge you to use the portal first before letting you speak to a nurse. Your cycle is so time sensitive and the nurses get to you when they can I suppose. It can be very frustrating. If you have an appointment and have to see a nurse they are not good at explaining things and expect you to know everything they know. They have gotten frustrated with my persistence to have things explained but if you are paying them this much money you expect answers. I have left the nurses frustrated and in tears.
Describe your experience with The Advanced Fertility Center of San Antonio.
The clinic is very clean, neat, and in a very nice area of town. You can get blood work done in the clinic which is very convenient.
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
This depends on your insurance and course of treatment. Personally we have spent a little over a thousand dollars. They do have financing options available for expensive treatments.
What specific things went wrong at The Advanced Fertility Center of San Antonio?
- Failed to call with results
- Failed to convey critical information
Describe the specific things that went wrong at The Advanced Fertility Center of San Antonio.
I know blood work results should be in within 24 hours but since they have to enter the information into each patients "portal" it takes about a week to get results. I would just advise you to be persistent about getting the information you need.
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7
0
Age
32 - 35
Treated
2012 - 2015
Success with this Doc
No
Treatment
3 IUI, 3 IVF
Diagnosis
Anovulation, Endometriosis, Uterine Fibroids, Recurrent Pregnancy Loss, Unexplained
7
0
Dr Garza was very nice and experienced. He might not have been as forthcoming as I would have liked. He told me wrong results one time but he made me feel comfortable most of the time. He should have canceled my cycle but didn’t so we got poor results. He does a lot of surgeries or procedures on patients. He was good at answering questions.... My first IUI has nothing but clomid. I had too many follicles so we cancelled cycle, cut it in half, then did the next cycle.
Dr Garza was good but the nursing staff [Advanced Fertility of Center of San Antonio] was terrible. As a patient, you need a warm environment who welcome questions.... One nurse, Cristina, was great. The other nurses were very cold and didn’t smile much.... The nurses gave me conflicting results and information than the doctor. I was having to constantly follow up to verify. They also didn’t put down my appointment one time.
Age
32 - 35
Treated
2012 - 2015
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IUI, 3 IVF
Diagnosis
Anovulation, Endometriosis, Uterine Fibroids, Recurrent Pregnancy Loss, Unexplained
7
0
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
Dr Garza was very nice and experienced. He might not have been as forthcoming as I would have liked. He told me wrong results one time but he made me feel comfortable most of the time. He should have canceled my cycle but didn’t so we got poor results. He does a lot of surgeries or procedures on patients. He was good at answering questions.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Ask many questions
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
Dr Garza was very nice and a nurse who is no longer there was very sweet. The rest of the office staff made you feel bad for asking questions and were cold. They told me wrong information on several occasions.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
My first IUI has nothing but clomid. I had too many follicles so we cancelled cycle, cut it in half, then did the next cycle. I resulted in an ovarian ectopic pregnancy and a miscarriage. My next iui cycle was with clomid and resulted in a chemical pregnancy. The third iui resulted in no pregnancy. My Ivf we used bravelle and menopur. I wasn’t responding to the meds so the cycle should have been cancelled. It wasn’t so we only got 4 eggs and two bad quality embryos.
Describe your experience with the nursing staff at The Advanced Fertility Center of San Antonio.
One nurse, Cristina, was great. The other nurses were very cold and didn’t smile much. They made it uncomfortable for you to ask questions and would actually make me leave holding back tears.
Describe your experience with The Advanced Fertility Center of San Antonio.
Dr Garza was good but the nursing staff was terrible. As a patient, you need a warm environment who welcome questions. I would try other doctors and see where you find comfort while going through this difficult process. I moved to a different clinic and got a baby boy my first round with them. I felt free to email the doctor directly and she went out of her way to help us.
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
30k for ivf
2500 for each iui
What specific things went wrong at The Advanced Fertility Center of San Antonio?
- Failed to call in prescriptions to pharmacy
- Lost appointments
- Failed to call with results
- Failed to send your chart to another clinic
- Provided conflicting information
- Failed to convey critical information
Describe the specific things that went wrong at The Advanced Fertility Center of San Antonio.
The nurses gave me conflicting results and information than the doctor. I was having to constantly follow up to verify. They also didn’t put down my appointment one time.
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Ask this reviewer a question about their experience with Joseph Garza at The Advanced Fertility Center of San Antonio.
Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
30 - 32
Treated
2017 - 2019
Success with this Doc
?
Treatment
1 IVF, Surrogacy
Diagnosis
Anovulation, Endometriosis, PCOS, Tubal Blockage, Unexplained
10
10
Constantly present for your treatment and excellent bedside manner! Love the way he [Dr. Garza] explains everything to you in detail and will fun and funny jokes! Participates in all aspect of the procedure and care! I would recommend to anyone!... Used a artificial FET and a artificial with cetrotide FET to increase my chances the second transfer. Waited about 2 months after retrieval for first FET
They [Advanced Fertility Ctr] planned everything around my demanding work schedule, that helped me communicate better with both side to make sure everything stayed on target and track for the retrieval or transfer! I appreciate their flexible and weekend hours once you are already going through IVF treatment... We had an early appointment each day scheduled and it was quick, in and out. Sonogram, medications/weight check, blood work, and then call by 3 pm with results otherwise it was all according to your calendar.
Age
30 - 32
Treated
2017 - 2019
Success with this Doc
?
Race
Latino
Income
$0 - $49K
Occupation
Operations
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, Surrogacy
Diagnosis
Anovulation, Endometriosis, PCOS, Tubal Blockage, Unexplained
10
10
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
Constantly present for your treatment and excellent bedside manner! Love the way he explains everything to you in detail and will fun and funny jokes! Participates in all aspect of the procedure and care! I would recommend to anyone!
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Stay calm and follow all the directions! If you don't then that is on you! They guide you through every step!
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
I know the staff and Dr. very well now and know that they will answer any questions. Any time of the day, I am able to get a hold of them!
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
Used a artificial FET and a artificial with cetrotide FET to increase my chances the second transfer. Waited about 2 months after retrieval for first FET
Describe your experience with The Advanced Fertility Center of San Antonio.
They planned everything around my demanding work schedule, that helped me communicate better with both side to make sure everything stayed on target and track for the retrieval or transfer! I appreciate their flexible and weekend hours once you are already going through IVF treatment
Describe your experience with your monitoring appointments at The Advanced Fertility Center of San Antonio.
We had an early appointment each day scheduled and it was quick, in and out. Sonogram, medications/weight check, blood work, and then call by 3 pm with results otherwise it was all according to your calendar.
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
There were 3-4 facilities that received payment for your treatment and several part to the treatment plan as well. I was not aware that there were separate parts to consider. I thought the IVF cost included everything but price quoted was just the retrieval at the time. I had no idea that there were additional prices for transfer.
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10
10
Age
40 - 41
Treated
2016 - 2017
Success with this Doc
Yes
Treatment
3 IUI, 1 IVF
Diagnosis
Anovulation, PCOS
10
10
Dr. Garza's first words were there is no vanilla- each pt requires personalized stimulations to supplement their needs...He's the most caring and well informed, compassionate and honestly took time to discuss results until we understood. Spoke with us after clinic hours when we needed it. I've seen other Dr fir fertility fir over 3 years and maybe saw the dr 2-3 times over 8 months of treatment and testing. Dr. Garza was a part of our treatment and was very available if we wanted to discuss our progress.
I felt like I had a connection with Dr Garza and all of his staff. I never felt like a number, my case was very complicated but I always felt like they all were invested as much as I was to be successful....Great communication Compassionate Dr and staff Not treated like a number Longer visits.. but worth it...They're [nurses] the best. Great communication skills , followed through every time- found programs to help that I had never even heard of - considering I had been at other clinics.
Age
40 - 41
Treated
2016 - 2017
Success with this Doc
Yes
Race
Latino
Income
$50K - $99K
Occupation
Operations
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 IUI, 1 IVF
Diagnosis
Anovulation, PCOS
10
10
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
He's the most caring and well informed, compassionate and honestly took time to discuss results until we understood. Spoke with us after clinic hours when we needed it. I've seen other Dr fir fertility fir over 3 years and maybe saw the dr 2-3 times over 8 months of treatment and testing. Dr. Garza was a part of our treatment and was very available if we wanted to discuss our progress.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Your consult may take time but the amount of information and history he personally takes with you is so eye opening it's incredible. His staff is absolutely outstanding!!
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
I felt like I had a connection with Dr Garza and all of his staff. I never felt like a number, my case was very complicated but I always felt like they all were invested as much as I was to be successful.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
I previously had seen a provider who made it seem as my treatment was cookie cutter and the same fir all patients. Dr. Garza's first words were there is no vanilla- each pt requires personalized stimulations to supplement their needs.
Describe your experience with your nurse at The Advanced Fertility Center of San Antonio. (Assigned nurse: Arena and michelle )
They're the best. Great communication skills , followed through every time- found programs to help that I had never even heard of - considering I had been at other clinics.
Describe your experience with The Advanced Fertility Center of San Antonio.
Great communication
Compassionate Dr and staff
Not treated like a number
Longer visits.. but worth it
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
I did 1 iui cycle and 1 IVF cycle.
IVF was approx 11,000 plus meds and my PGS
Describe Joseph Garza's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at The Advanced Fertility Center of San Antonio.
It was a scary thought but the information provided made us completely comfortable with our decision.
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9
9
Age
36
Treated
2016
Success with this Doc
Yes
Treatment
2 IUI
Diagnosis
Diminished Ovarian Reserve, PCOS, Unexplained
9
9
Dr. Garza is a very experienced physician in his specialty. He takes the time to explain procedures and the plan of care. When my husband was very skeptical about I've, he came in and sat with him and answered allof his questions and reassure ld him regarding the procedure. He was honest about the statistics regarding ivf.... He recommended ivf with clomid 50mg after an unsuccessful round of clomid with relations. It was unsuccessful, but I did produce two large follicles, which was promising. The next recommendation was IUI with injectables, which was 3,000, and out of our budget.
The clinic [Advanced Fert Ctr] overall is normally very nice and helpful. The sonographer, Veronica was always very sweet and encouraging!... The iui bundle with clomid was 1100 including costs of ultrasounds and associated labs.... Many of the nurses were very nice, sympathetic to my situation, and were able to answer some of my questions. Every once and awhile, I felt like I was just a number with them, but my experiences were mostly good ones overall.
Age
36
Treated
2016
Success with this Doc
Yes
Race
Latino
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 3 Docs
Treatment
2 IUI
Diagnosis
Diminished Ovarian Reserve, PCOS, Unexplained
9
9
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
Dr. Garza is a very experienced physician in his specialty. He takes the time to explain procedures and the plan of care. When my husband was very skeptical about I've, he came in and sat with him and answered allof his questions and reassure ld him regarding the procedure. He was honest about the statistics regarding ivf.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
The wait can be long in the office, but he really does take care of his patients when he is in the room.
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
He was very personal and took time explaining questions that I had thoroughly.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
He recommended ivf with clomid 50mg after an unsuccessful round of clomid with relations. It was unsuccessful, but I did produce two large follicles, which was promising. The next recommendation was IUI with injectables, which was 3,000, and out of our budget. We opted to try relations again with clomid 50mg, which was unsuccessful.
Describe your experience with the nursing staff at The Advanced Fertility Center of San Antonio.
Many of the nurses were very nice, sympathetic to my situation, and were able to answer some of my questions. Every once and awhile, I felt like I was just a number with them, but my experiences were mostly good ones overall.
Describe your experience with The Advanced Fertility Center of San Antonio.
I fell that Dr. Garza is a very good and experienced physician, and although there may be a wait to see him, it is worth it. The clinic overall is normally very nice and helpful. The sonographer, Veronica was always very sweet and encouraging!
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
The iui bundle with clomid was 1100 including costs of ultrasounds and associated labs.
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Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
31 - 35
Treated
2012 - 2016
Success with this Doc
Yes
Treatment
6 IUI, 1 IVF
Diagnosis
Anovulation, Endometriosis, PCOS, Unexplained
10
10
dr. garza was very thorough and explained everything to me in detail. never seemed rushed, had a sense of humor. Always gave me benefit of the doubt and made sure I was always ok. Dr. Garza was very sensitive when it came to letting me know the side effects or risks...suggested we do one embryo but we decided on 2. He said they were good quality eggs but we just wanted to make sure at least one stuck.
Advanced Fertility if very organized, clean, pretty quiet. Sometimes its very busy but they don't rush you. They are very friendly and care for their patients. I enjoy their office just wish they would have more comfortable chairs...they always referred to me by my first name not last name and always friendly and laughed with me...All the nurses were very organized. During the time of my IVF journey I was in and out of my 7am appt in 30 mins. They were always well prepared, fast and efficient. I came to know everyone really well.
Age
31 - 35
Treated
2012 - 2016
Success with this Doc
Yes
Race
Latino
Income
$0 - $49K
Occupation
—
Order & Number of Docs Seen
1st of 2 Docs
Treatment
6 IUI, 1 IVF
Diagnosis
Anovulation, Endometriosis, PCOS, Unexplained
10
10
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
dr. garza was very thorough and explained everything to me in detail. never seemed rushed, had a sense of humor. Always gave me benefit of the doubt and made sure I was always ok. Dr. Garza was very sensitive when it came to letting me know the side effects or risks.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Be patient and it will be worth it in the end. Dr. Garza is one of the best at what he does and glad I didn't give up on him just like he didn't give up on me.
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
they always referred to me by my first name not last name and always friendly and laughed with me.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
i do not remember
Describe your experience with your nurse at The Advanced Fertility Center of San Antonio. (Assigned nurse: Michelle)
All the nurses were very organized. During the time of my IVF journey I was in and out of my 7am appt in 30 mins. They were always well prepared, fast and efficient. I came to know everyone really well.
Describe your experience with The Advanced Fertility Center of San Antonio.
Advanced Fertility if very organized, clean, pretty quiet. Sometimes its very busy but they don't rush you. They are very friendly and care for their patients. I enjoy their office just wish they would have more comfortable chairs.
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
$25,000
Describe Joseph Garza's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at The Advanced Fertility Center of San Antonio.
Dr. Garza suggested we do one embryo but we decided on 2. He said they were good quality eggs but we just wanted to make sure at least one stuck.
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Ask a Question
Ask this reviewer a question about their experience with Joseph Garza at The Advanced Fertility Center of San Antonio.
3
3
Age
34
Treated
2016
Success with this Doc
No
Treatment
12 Fertility Medications
Diagnosis
Anovulation, Unexplained
3
3
Sense of humor. Other than that, hardly talked to him [Dr. Joseph Garza]. I didn't like the way he joked, like "Are you sure you want kids? They are a handful!" That was a very WRONG thing to say to me. I'm already vulnerable and you joke like that? Very long wait for each visit. The nurses seemed to take care of my treatment instead of him. Office was very bad at communicating.
I had to postpone my IUI procedure because they [Advanced Fertility Center of San Antonio] failed to communicate my spouse was lacking bloodwork they forgot to ask for. I ended up leaving that clinic after that.... i had so much treatment done before any answers were given. I had months and months of hormone pills and injections without a complete bloodwork or diagnosis.
Age
34
Treated
2016
Success with this Doc
No
Race
Prefer not to answer
Income
—
Occupation
Teacher
Order & Number of Docs Seen
1st of 2 Docs
Treatment
12 Fertility Medications
Diagnosis
Anovulation, Unexplained
3
3
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
Sense of humor. Other than that, hardly talked to him. I didn't like the way he joked, like "Are you sure you want kids? They are a handful!" That was a very WRONG thing to say to me. I'm already vulnerable and you joke like that? Very long wait for each visit. The nurses seemed to take care of my treatment instead of him. Office was very bad at communicating.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Do your research. If you are spending all this money, you shouldn't feel like a number.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
i had so much treatment done before any answers were given. I had months and months of hormone pills and injections without a complete bloodwork or diagnosis.
Describe your experience with the nursing staff at The Advanced Fertility Center of San Antonio.
I feel they did all the work. But I really wanted the doctor instead. It was a different nurse every time. I hate that.
Describe your experience with The Advanced Fertility Center of San Antonio.
They were good at informing me of my insurance and billing questions
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
Organized
What specific things went wrong at The Advanced Fertility Center of San Antonio?
- Failed to call in prescriptions to pharmacy
- Lost paperwork
- Failed to call with results
- Failed to order appropriate test
- Provided conflicting information
- Failed to convey critical information
- Canceled a cycle due to clinic error
Describe the specific things that went wrong at The Advanced Fertility Center of San Antonio.
I had to postpone my IUI procedure because they failed to communicate my spouse was lacking bloodwork they forgot to ask for. I ended up leaving that clinic after that.
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10
10
Age
25 - 38
Treated
2006 - 2019
Success with this Doc
No
Treatment
5 IUI
Diagnosis
Anovulation, Endometriosis, Tubal Blockage, Other
10
10
Dr.Joseph Garza said he would only implant 2-3 embryos at most per cycle due to high possibility of multiples...took the time to get to know our situation and has been honest with us from the beginning. He has compassion for me & has been trying to help us conceive...always asks about what’s going on in our lives not just about treatments...He’s not only an amazing & caring physician he’s like a friend of ours...
The clinic [The Advanced Fertility Center of San Antonio] is always clean & feels inviting. Nurses explain thoroughly every detail of each process. We also never wait too long in waiting room to be seen. Everything is there in the office like bloodwork, semen analysis, sonograms etc...We have done many treatments with clomid & ttc naturally in the beginning but Dr. Joseph Garza learned then that I don’t produce the chemical to pop the follicles in order to release the eggs. They turned into cysts & that’s when he realized I needed Ovidrel every cycle in order to be successful in conceiving.
Age
25 - 38
Treated
2006 - 2019
Success with this Doc
No
Race
Latino
Income
$0 - $49K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
5 IUI
Diagnosis
Anovulation, Endometriosis, Tubal Blockage, Other
10
10
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
Dr. Joseph Garza always asks about what’s going on in our lives not just about treatments. He’s always asking about our only child & how she’s doing in school. He gives us parental advice on what he’s gone through with his own children. He’s not only an amazing & caring physician he’s like a friend of ours.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
Be honest with him & he will in return be completely honest with you even if he has to tell you bad news.
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
Dr.Joseph took the time to get to know our situation and has been honest with us from the beginning. He has compassion for me & has been trying to help us conceive but our insurance doesn’t cover fertility treatments so it’s been difficult.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
We have done many treatments with clomid & ttc naturally in the beginning but Dr. Joseph Garza learned then that I don’t produce the chemical to pop the follicles in order to release the eggs. They turned into cysts & that’s when he realized I needed Ovidrel every cycle in order to be successful in conceiving.
Describe your experience with the nursing staff at The Advanced Fertility Center of San Antonio.
The nurses are very caring & compassionate. I feel I’m among friends & family and not just a patient. They know our situation & are always trying to help us in every way they can.
Describe your experience with The Advanced Fertility Center of San Antonio.
The clinic is always clean & feels inviting. Nurses explain thoroughly every detail of each process. We also never wait too long in waiting room to be seen. Everything is there in the office like bloodwork, semen analysis, sonograms etc.
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
Our iui was around $1000 dollars, the ovidrel injection was $100 out of pocket. Semen analysis was $140. Our sonogram was $250.
Describe Joseph Garza's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at The Advanced Fertility Center of San Antonio.
Dr.Joseph Garza said he would only implant 2-3 embryos at most per cycle due to high possibility of multiples.
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Ask a Question
Ask this reviewer a question about their experience with Joseph Garza at The Advanced Fertility Center of San Antonio.
10
10
Age
42
Treated
2018
Success with this Doc
Yes
Treatment
1 IUI
Diagnosis
Anovulation, Diminished Ovarian Reserve, Recurrent Pregnancy Loss
10
10
He [Dr. Joseph Garza] listens to you...is very respectful and listens all my worries about pregnancy loss. This year he recommended IVF as the best treatment to me...Very professional and compassionate about my loss history and recommended a treatment for me. He listens and has realized several tests to determine what is the best course of treatment. I have decided to go to IVF and I'm very positive that we will have a successful outcome under Dr. Garza treatment.
[The nurses at The Advanced Fertility Center of San Antonio are] Very educated and explain very well about treatment...IVF treatment costs would be about $23,000...Very professional and compassionate about my loss history and recommended a treatment for me. He [Dr. Garza] listens and has realized several tests to determine what is the best course of treatment. I have decided to go to IVF and I'm very positive that we will have a successful outcome under Dr. Garza treatment.
Age
42
Treated
2018
Success with this Doc
Yes
Race
—
Income
$50K - $99K
Occupation
Engineer
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI
Diagnosis
Anovulation, Diminished Ovarian Reserve, Recurrent Pregnancy Loss
10
10
How was your experience with Joseph Garza at The Advanced Fertility Center of San Antonio?
Very professional and compassionate about my loss history and recommended a treatment for me. He listens and has realized several tests to determine what is the best course of treatment. I have decided to go to IVF and I'm very positive that we will have a successful outcome under Dr. Garza treatment.
What's one piece of advice would you give a prospective patient of Joseph Garza at The Advanced Fertility Center of San Antonio?
He listens to you
During treatment, were you treated like a number or a human with Joseph Garza at The Advanced Fertility Center of San Antonio?
Dr. Garza is very respectful and listens all my worries about pregnancy loss. This year he recommended IVF as the best treatment to me. His staff has provided me all the information to decide going through treatment.
Describe the protocols Joseph Garza used in your cycles at The Advanced Fertility Center of San Antonio and their degree of success.
I'm scheduled to start treatment on April 2018. Sorry.
Describe your experience with the nursing staff at The Advanced Fertility Center of San Antonio.
Very educated and explain very well about treatment.
Describe your experience with The Advanced Fertility Center of San Antonio.
Very professional and compassionate about my loss history and recommended a treatment for me. He listens and has realized several tests to determine what is the best course of treatment. I have decided to go to IVF and I'm very positive that we will have a successful outcome under Dr. Garza treatment.
Describe the costs associated with your care under Joseph Garza at The Advanced Fertility Center of San Antonio.
IVF treatment costs would be about $23,000
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Verified
This patient has provided documentation of treatment at this clinic.