Salli Tazuke

During the first meeting with Dr. Tazuke, she didn't push me to IVF but patiently answered my questions. She didn't exaggerate the IVF success rate considering my case. Later on I decided to do IVF with PGT/CCS to minimize any future miscarriage as much as possible, she prescribed the comprehensive tests in order to find out any potential cause of my RPL. I went through 3 egg retrievals. Luckily, the first transfer succeeded and I am now pregnant. Dr. Tazuke didn't do these egg retrievals for me (the other two doctors in the same clinic did them due to their schedules). After the bad outcomes of my first egg retrievals and potential bad results of the second one, she called me and encouraged me not to lose hope, that I could also keep trying naturally if I didn't want to continue the IVF treatment. She also provided options for me to try next. Luckily, we eventually have normal embryos to transfer. Dr. Tazuke did the hysteroscopy and frozen embryo transfer. She was gentle and careful during the procedure. Before the transfer, she had the mock transfer to make sure that everything will go well during the transfer. She is usually busy and has tight schedules. If there was any urgency, she was able to squeeze her time to see me. When we discussed about the transfer plan, she insisted that Lovenox wouldn't bring much benefit to me and it's painful to inject. I am glad that she made this decision rather than letting me inject Lovenox just in case. If there is anything that could make my IVF journey less emotional, I wish that Dr. Tazuke could have explicitly warned me that I might go through multiple retrievals due to egg quality issues. Again, there are many factors that may impact the outcome and doctors may not know for sure before the treatments. As the treatments went on, I also learned more things about RPL and watched some videos from other IVF doctors online who explained RPL in detail. It's a surprise to know that there are two extreme solutions: one is to keep trying naturally and the other is to do IVF with PGT testing. Dr. Tazuke did mention that persistent is important for IVF. I would encourage people to advocate for yourself and prepare yourself with questions.

I would encourage people to advocate for yourself and prepare yourself with questions. If you are like me who tends to understand the whole process and why the doctor chooses this protocol not others, please don't be shy and ask questions.

I am covered by the insurance.

I am currently in the process of treatment (IVF, stimulating for egg retrieval) so I cannot comment on any results. However, I have always felt comfortable with Dr. Tazuke in our visits and feel like I can ask my questions. Sometimes our telehealth visits have felt a bit rushed (when we are discussing test results) but I know that she is very busy.

Be ready with your questions and know that you can also ask follow up questions later in the portal. Use your time with her wisely.

I'm currently in stimulation for IVF, prepping for egg retrieval. I believe I am on an antagonist protocol. Priming was several estrogen patches and 3 Ganirelix shots about a week before my period. Current dosage is 75 IUs of Menopur and 225 IUs of Follistim per day, and I will be adding Ganirelix in a few days. Trigger is set to be a mix of HCG and Lupron. We have briefly discussed approaches to prep for the frozen transfer. Since I have endometriosis, Dr. Tazuke recommended either laparoscopic surgery or Lupron shots prior to transfer; I have not decided yet on which treatment strategy to pursue.

IVF cycle ($18,992) - includes CCS testing of 3-4 embryos (will be more if testing more embryos) and 1 year of frozen storage, $5000-$6000 for medication, $5392 for frozen embryo transfer, will be additional costs for hysteroscopy

I believe only eSET is allowed at the clinic, which I am fine with.

I had my first cycle at other clinic but failed. My amh is 2.0-2.3 and AFC is around 18. The first cycle I did at other clinic ended up with zero embryo. Then I went to see Dr. Tazuke at CCRM. The protocol she planned for me is very perfect and eventually I retrieved 19 eggs, 14 matured, 10 fertilized, 7 fertilized eggs turned to be blast and 4 embryos with high quality passed the genetic test. The four embryos are 5AA,5AA,5BA,5BB. I very appreciate Dr. Tazuke's help! She is very professional and knowledgable. Also, she takes care of her patients very much and always thinking of patient's needs first. She is the best doctor I have ever seen! I have a hyman tissue outside of vagina since I was born. I went to see many doctors and they all think it is fine. But I was very worried about this tissue could give my delivery a hard time. After vagina exam, Dr. Tazuke suggested me to do a small surgery to correct the position of this hyman tissue otherwise I would have a blood bleeding issue after delivery. She does not want me to suffer a painful during the vagina delivery and this hyman tissue makes my sexual life for a long hard time. Finally, she asked Dr. Salem who was on duty of my egg retrieval did the surgery on my hyman tissue. I was very grateful of Dr. Tazuke and Dr. Salem. Both of them have a very advanced surgical skills. After egg retrieval and uterine polyps removal surgeries, I even did not have any spotting on my underwear! The doctors at CCRM are amazing!

Trust your doctor and express all your thoughts and needs with Dr. Tazuke. She will help you a lot.

The protocol I used is called microdose lupron protocol. I had four days vivelle patch and changed each one every other day. Then on day 4, I had the cetrotide injection. The first four days are priming treatment. The purpose of it is to suppress the eggs to the same baseline so they could grow up at the same pace. Then every morning I had 20 iu micro dose lupron injection and took one tablet of Dexamethasone. Every night I had 225 gonal F and 0.3 ml Omnitrope and 20iu micro dose lupron. I had the blood work and ultrasound exam every other day at CCRM. I was triggered at day 10 of stimulation. Finally I retrieved 19 eggs, 14 matured, 10 fertilzied, 7 embryos and 4 passed genetic test.

I have fertility insurance so only cost me hundred of dollars.

single embryo transfer

She is smart. She recommended unblocking a tube and I found a surgeon to do that. I trust her and we are now 5 weeks pregnant. I am 42, had diminished ovarian reserves, a blocked tube. It took 4 retrieval’s. First three had no viable embryos. The fourth resulted in two 5AA. I felt I hit the lottery. I then went and got the surgery to unblock the tube. I came back and we had two cancelled FETs - one due to a mistakenly late progesterone dose on my part, 2nd due to ovulation. She made the calls to cancel - they were good calls as disappointed as I was. We transferred this month and I am 5 weeks pregnant and hoping we are on the path.

Hang in there. If your egg quality is bad, try Coq10 and make sure you handle your stress (do acupuncture, massage, meditation).

I wanted single only. We did not want twins - I have two other children and also do not want to manage an even higher risk pregnancy at my age.

Although I was with Dr. Salli Tazuke from an initial consult until before the first IUI (at which point we moved to another country), I felt that Dr. Salli Tazuke was very considerate and intelligent, and gave me a very accurate picture of the road ahead. She fully informed me of my diminished ovarian reserve, and said that we should do only 3-4 IUIs instead of the recommended 6. She also recommended starting IUIs directly, instead of timed intercourse with Clomid/injectables. She gave me plenty of reading material and was always available to meet me, and to answer my questions directly or via email. She was up to date with my test results and sent me notes on what the results meant, through the hospital's web interface.

Book an appointment well in advance. All the doctors at PAMF's fertility practice were booked solid for 4-8 weeks at any given time.

I did not get to the treatment stage with Dr. Tazuke (I moved before then) - but she recommended 3-4 rounds of IUI with injectables, which is what my next doctor started me on.

None. Our insurance covered all of it.

Dr. Tazuke was almost a non entity during the course of my IVF cycle. She did not perform any of my prep and never met me face to face during the course of my care. When my IVF cycle resulted in results that skewed negatively to range of results (Eggs retrieved to Eggs fertilized to Embryos), Dr. Tazuke's only guidance was to begin Acai supplements (through an affiliate link to purchase). She was either unwilling or unable to provide any guidance on what or how to adjust treatment in a subsequent cycle. We left the call with her saying "who knows you might just be pregnant now!"

Do you research on CCRM's results. They are sub industry standard.

They used an Antagonist protocol.

Dr. Tazuki was very nice and caring, but I do not think she is on the leading edge of fertility treatments. After my third IUI she realized she had not tested my husband's morphology which was less than 1%. Had we known this we would've gone straight to IVF. Next, she explained the differences between natural IVF and ICSI but did not steer us down the right path given my husband's morphology. I wish she would've been more authoritative in suggesting we do ICSI since she is the expert. Finally, there was no mention of any sort of genetic /chromosome testing which we would've absolutely done the first time around had we know it was an option.

Please look up her statistics on sart.org before moving forward. Yes, she is a very nice doctor, but given that you were are spending tens of thousands of dollars, I would rather have someone with much better statistics.

Upon meeting Dr. Tazuke, my husband and I felt very comfortable and confident pursing our care with her. She was well prepared for our appointments and showed compassion at the appropriate times. In addition, she was very responsive to any messages and/or questions that we had during the appointment and during non-office hours.

Keep an open mind and as hard as it is to do, don't stress!

In our particular case, we only did cycle monitoring with Dr. Tazuke. She ended up giving me progesterone supplements to take.

Dr Tazuke is very compassionate and thorough. She is very knowledgeable and feel she is providing the best possible treatment for my situation. My husband and I have complete confidence and trust in her and all the staff at CCRM.

Luteal Patch with Antagonist Protocal Priming Cycle with Estrogen Patch and growth hormone to try and grow embryos at same rate. Menapure AM GH/Clomid/Dexa/Folistim PM

~$17k for retrieval with PGS ~$5k for frozen transfer

She was absolutely amazing. On the one hand, knowledgeable and professional, and on the other, sensitive and caring. I can’t say a bad word. She always took the time to explain everything, listen to my concerns, and answer my gazillion questions.

Come prepared with any questions you may have so you can make the most of your time with her. Don’t be shy to ask anything.

Dr. Tazuke was great at explaining the process and all the research that backs each and every decision. I felt confident in trusting her completely. I had some bleeding early on in my pregnancy and called the office sobbing since I thought the worst had happened. Dr. Tazuke saw me that day after the center had closed for an ultrasound. I was so grateful to not have to wait to confirm everything was still ok.

Egg retrieval and embryo transfer were billed as separate procedures.

Dr. Tazuke recommended single embryo transfer based on my age and quality of the embryos.

Dr. Tazuke's general demeanor makes her extremely approachable - there wasn't anything I was afraid to ask her or talk to her about. She is easy to talk to, she answers all questions, and makes sure you understand the answers. She maintained our working relationship throughout the process by running some of my my quick, routine ultrasounds herself, so I was able to see her a few times between my preliminary appointment and my retrieval surgery. I would work with Dr. Tazuke again in a heartbeat!

If you're nervous about the process of egg freezing, just do it - and just do it with Dr. Tazuke. If I had known what my experience would actually be like, I would have done it sooner!

I am extremely lucky and had insurance cover all but my annual deductible. I know this isn't the norm for most!

I am so happy we found Dr. Tazuke. Not only is she compassionate and knowledgeable, but she really worked with us to explore different options and was willing to pursue a more aggressive treatment than my past doctor was--which resulted in the birth of my daughter. I only regret not coming to Dr. Tazuke earlier.

Divulge all of your questions and concerns to Dr. Tazuke and she will help guide you

Dr. Tazuke suggested the use of a priming cycle and a growth hormone as part of the egg retrieval workup, which past IVF centers did not offer up. I believe this is what helped me get 3x more viable eggs than previous cylcles. She also. recommended taking an endometriosis test that helped diagnose the possibility of endometriosis even though I had no history or symptoms. The test came back positive which led us to treatment with Lupron to calm the ovaries to prepare for a transfer, which I also believe helped with a successful cycle.

Dr. Tazuke and staff worked their magic once again. We went back for our second transfer early last fall (first transfer resulted in our 2year old son) and I just gave birth to a beautiful baby girl. We would never have been able to make such high quality embryos outside the expertise of Dr. tazuke and CCRM labs. We owe both our children to the hard work and skill of CCRM San Francisco. Would highly recommend to anyone battling infertility.

To trust in her expertise and recommendations.

I was on menopue and gonal f for retrieval. Retrieval yielded 26 eggs, 19 mature, 17 fertilized with ICSI, and 7 day 5 embryos made. PGS testing came back with 5 normals, 1 inconclusive, and 1abnormal. Transfer protocol was modified stim as my uterine lining responds best. Two transfers resulted in my two children.

Not sure exact, but around 25,000 for retrieval and 5,000 for transfer

Dr. Tazuke recommended transferring one embryo at a time due to risks, and we happily agreed.

Dr Tazuke was easy to communicate with and very responsive to any concerns or questions I had. She is not the most talkative, but she managed my expectations well and was straightforward about the process I was about to take part in.

As with any doctor, it is good to do some reading and research beforehand to prepare specific questions and make sure you make the most out of the precious appointment time. Going through the patients' Facebook group is also helpful.

Egg retrieval: Protocol 3 Luteal patch - antagonist 23 oocytes, 18 mature, 15 fertilized, 6 embryos, 3 CCS normal Frozen Embryo Transfer: Day 5, Grade 5AA -> currently 32 weeks pregnant

Egg retrieval: 22 000$ FET: 2 275$

Dr. Tazuke treated me for infertility last year and I had a wonderful experience with her. She alwasy took her time with me during my visits, I never felt rushed and always was heard. She answered every single question I had thoroughly and most of all she was very supportive during this different process. I once had a terrible experience with a HSG at another client in the past, Dr Tazuke remembered this and when she performed a HSG on her, she was gentle, checked in with me at every step and also explained what she was going. We had a successful IVF experience and was able to conceive on the first transfer. We are forever grateful to Dr. Tazuke for our son and couldn't have been more than happy with her bedside manner and support!

Dr. Tazuke was amazing. Very thorough; helpful with explanations and what to expect. She was also gentle and had tricks to help with physical issues. She did the IUIs herself and she was careful with every step, making sure the sperm had the best chances. My second IUI with no medications led to a healthy, uncomplicated pregnancy and birth.

Co pay for the IUIs.