Rated 7.2
Strongly recommend: 48%Neutral: 23%Don't recommend: 29%7.2
48% strongly recommend
13 reviews
Humanity
7.7
7.7
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
7.8
7.8
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
7.9
7.9
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
6.9
OK
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
U. of Texas Southwestern
Residency
Johns Hopkins

How Doctor Communicates

doctor, nurse available by email
nurse available by directline
nurse available by directline
doctor available by personal cell phone
doctor available by personal cell phone
Joseph Garza works at

The Advanced Fertility Center of San Antonio
Rated 6.5
Strongly recommend: 42%Neutral: 17%Don't recommend: 41%6.5

At 1 office

San Antonio
18707 Hardy Oak
San Antonio, TX 78258
(210) 616-0680
Explore Clinic

3 patient reviews filtered by:

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Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, Unsuccessful
NPS
5
NPS
6
Age 38 - 39
1 IUI
Anovulation
Diminished Ovarian Reserve
Endometriosis
Unexplained
Other
Income $0 - $49K
Doesn't Recommend
Doesn't Recommend
Unsuccessful
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.
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.
5
Doctor
Joseph Garza
NPS
Humanity
5 of 5
Communication
3 of 5
Frequency Seen
3 of 5
Trustworthiness
3 of 5
Compassion
4 of 5
6
Clinic
The Advanced Fertility Center of San Antonio
San Antonio
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
5 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unsuccessful
NPS
1
NPS
1
Age 36
4 Fertility Medications
Anovulation
Unexplained
European
Income $100K - $199K
Nurse or HC Services
1st of 2 Docs
3 IUI With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
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.
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.
1
Doctor
Joseph Garza
NPS
Humanity
2 of 5
Communication
2 of 5
Frequency Seen
4 of 5
Trustworthiness
2 of 5
Compassion
2 of 5
Explained risks
2 of 5
Adaptability
2 of 5
1
Clinic
The Advanced Fertility Center of San Antonio
San Antonio
NPS
Operations
1 of 5
Scheduling
5 of 5
Billing Department
2 of 5
Nursing Staff
2 of 5
Clinic Atmosphere
5 of 5
Educational Resources
1 of 5
2016, Unsuccessful
NPS
3
NPS
3
Age 34
Anovulation
Unexplained
Prefer not to answer
Teacher
1st of 2 Docs
12 Fertility Medications With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
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.
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.
3
Doctor
Joseph Garza
NPS
Humanity
1 of 5
Communication
1 of 5
Frequency Seen
3 of 5
Trustworthiness
2 of 5
Compassion
3 of 5
Explained risks
3 of 5
Adaptability
2 of 5
3
Clinic
The Advanced Fertility Center of San Antonio
San Antonio
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
4 of 5