Sandy Chuan

She is a very caring person. She really wants to be able to give patients a baby and is very good about explaining every aspect of your treatment

Go here first. Don't bother with anywhere else. It doesn't get better than this

We did 2 rounds of clomid and IUI. After the second round I was pregnant with triplets!

Not sure

Sandy Chuan is very knowledgeable about the field. She focuses a lot on IVF and really explained statistics to us and outcomes. She was very professional but at the same time because it was a free consult not a lot of time was spent on us. It felt a bit rushed.

Have a list of questions ready to ask so that you don’t feel rushed and forget

Treatment protocol was to go straight to ivf. We however have not been able to proceed because it’s roughly 25k to do it and we just don’t have the finances right now.

Cost were really frustrating. For one single round it was roughly $12,500 which includes monitoring, add $850 for PGS testing. And roughly 10k for meds. Other option was 25k and you got 3 try’s. Plus meds and PGS testing

Dr. Chuan is an incredible doctor that can present information to you that is honest and accurate but also kind at the same time. With fertility, sometimes it can feel really harsh hearing the cards you're dealt and I think Dr. Chuan walked the line of being upfront and honest with you but also knowing how to wrap the details with compassion and kindness. One thing I didn't realize going into it was that I would not see Dr. Chuan for every appointment. That didn't end up being a big deal for me since her staff was incredible and supportive BUT I know for some families, that is important and I think it should be shared if that is a concern for you as a patient.

I don't really have any. I don't think you need advice to see her. She was honest and factual with my husband and I and that was most important to me.

I don't remember the specifics BUT I do remember we skipped trying IUI with Dr. Chuan specifically. We had been working with a "natural" fertility specialist for the year leading up to deciding to go to Dr. Chuan. I had done exploratory surgeries and medications with the prior doctor that Dr. Chuan explained basically acted like IUI treatments even though they hadn't been presented that way. For that reason, Dr. Chuan recommended jumping into IVF because we had been unsuccessful thus far with the other interventions and essentially had unexplained infertility. I am dumbing this down a lot but we jumped in fast and I appreciated that because we had been trying for multiple years before that point and I was ready for answers and actions and that is what Dr. Chuan provided.

I don't remember the exact dollar amounts but we did not qualify for the success guarantee package which means that you pay a one time price for treatments (medication is never included in the cost-you pay that on your own) that I think was around $25k and you can have as many transfers as it takes to get a successful pregnancy. We ended up having to do a pay as we go program where we paid $15k which included a retrieval and transfer but since out first transfer didn't take we had to pay for a second one which I think was around $5k. Medications were probably between $6k-10k total for the retrieval and two transfers.

Dr. Chuan recommended single embryo transfer for us because of the rate of success and the fact that it is typically safer for both mom and baby. We had really wanted to do a multiple embryo transfer but we are not fertility specialists and are not well read on how the technology has changed. When she explained how much everything has improved and how much higher the chances are for implantation with a single embryo transfer, we followed her lead and guidance because we trusted her and it logically made sense.

I did not see my Dr as much as I expected, but I learned quickly that this was the norm and you see your Dr for the really important stuff. She was always straight forward with the information and answered all of my questions. She was compassionate and was never rude or hard to communicate with. She understood exactly why we were doing IVF and allowed us to make our own path.

Go in being open and honest, the more information you give her the better the feedback and treatment options you will have.

My egg retrieval was standard, towards the end my medication was reduced due to high estrogen levels and the risk of OHSS. The outcome was no OHSS. For my first transfer, I also think it was standard protocol. It failed. Before my next transfer I requested an ERA, she told me they usually don't do those until multiple failed transfers but honored my request and I had ERA/Receptiva completed. After my 2nd failed transfer, she offered to use the same protocol but also offered me a more medicated process similar to the process of someone who had endometriosis since my ERA/Receptiva results were borderline and the option for blood thinners, more steroids, and intralipids. I opted for this method because I wanted to do all we could and not wait for another failed transfer to try these things.

Most of it was covered by insurance, out of pocket I think we paid close to maybe 10K including prescriptions.

My insurance only covered single embryo transfer, but my Dr said we could discuss multiples at a later time if needed.

Dr. Chuan cares. She cares about you as her patient and is very understanding of what you're going through. She was great with providing statistical data to manage your expectations while providing these facts in a very gentle manner. With each IVF protocal I went through, she would tweak the medication or the protocal I was to under go based on how the prior protocal went. I had poor egg quality and a low ovarian reserve but after 4 rounds of IVF, we were able to get one PGS normal embryo! Dr. Chuan knew how important this one embryo was to me and would often personally do my ultrasounds, check ups and hysteroscopy herself. I remember she wanted everything to be perfect before we went through with the embryo transfer. I did have several cancelled transfers due to my lining not being thick enough and each time Dr. Chuan would apologize and change my protocal slightly to get me the best results. I fondly remember her saying "we only have one", and I knew how important this was to her as it was to me. Her taking her time and waiting until the perfect moment paid off as I had my baby girl in November 2020. She was right when she told me, "it only takes one".

As it pertains to purchasing the fertility medication, it's very pricey. I wish I had known I didn't need to purchase everything they noted on the order sheet all at once. As the cycle progresses, Dr. Chuan may increase or decrease certain medications. The order sheet tends to have an oversupply of what to purchase and sometimes you're left with pricey medication that you've paid for but haven't used. I learned you can order just enough to cover you for a couple days at a time and keep calling the pharmacy for a certain amount to last a couple days or through the weekend to ensure you only purchase what you need. It takes extra time and you have to be very organized with what your dosage is and also have to make extra trips to the pharmacy but it ended up saving us thousands of dollars in medication that otherwise would have been leftover.

My first IVF cycle, I was a "sandwich" protocol that resulted in low retrieved eggs and 0 embryos. My second IVF cycle was an Antagonist protocol that resulted in more retrieved eggs and 2 embryos however the embryos were not normal. My third protocol used estrace and testosterone gel that resulted in low retrieved eggs however the eggs were better quality. This was the cycle that we had our daughter out of. My last cycle was the antagonist protocol again that resulted in one embryo that was abnormal.

I paid approximately $85,000 for 4 rounds of IVF including medication.

Dr. Chuan from the moment my husband and I met her for our initial consultation showed us kindness and empathy. It was clear to us she was very invested in her patients and their success. My case was complicated as I had uterine fibroids and Dr Chuan was very honest and said I needed to have a myomectomy before she can do an egg retrieval due to large size of my fibroids. After having my myomectomy I waited 6 weeks before doing my first egg retrieval and only got 2 PgS normal embryos and Dr chuan took time to explain to me and my husband why another retrieval was a good idea. We did another retrieval back to back with much more success and got 5 PGS normal embryos. I had to wait 6 months post myomectomy to do a transfer and with covid was more. When I was finally ready to do a transfer My first transfer failed and was a chemical pregnancy but Dr chuan really encouraged us and changed my protocol and felt hope that we would be pregnant even when I was losing hope and down and second transfer with single embryo was successful and I’m currently Pregnant in my second trimester. I feel Dr chuan was invested in my Success and I trusted her every step of the way and it paid off. She was never too busy for me and always made me and my husband feel she would do whatever it took within her capacity to get us a baby. I absolutely love Dr Chuan and as a doctor myself was so impressed with her skill, her bedside manner and her knowledge. She gets the best recommendation from Me

Trust her! She knows what she is doing and she wants her patients to succeed.

When my first transfer was a chemical I felt very sad and I didn’t expect it to fail since was a pgs normal embryo and I had a hysteroscopy before and uterine cavity looked ok. Dr chuan gave me option to Do receptiva test only cause she said due to my fibroids I may have andenomyosis or endometriosis and also did ERA. My receptiva was normal and ERA mildly Prereceptive. She ultimately felt the first transfer failed due to embryo. Next transfer she changed my protocol to Lupron and It was successful. She never gave up even when I wanted to.

I did 2 egg retrieval’s back to back which worked out to be about $28k in that cost included a transfer. My second transfer was $4200 around there. Also had a hysteroscopy for $2500. The medications for stimulation were expensive and added an extra $7k to total costs. But to me was all worth it.

Dr chuan felt strongly about just doing a elective single embryo transfer as we didn’t want twins due to the stress of my job and we had PGS normal embryos. After first transfer failed I asked her if we should do 2 embryos instead as this would increase my chances and she suggested doing one this time since I had a lot of embryos and if this didn’t work then we can do 2! So glad I listened to her cause now I’m pregnant with one embryo and twins would have been very stressful for me and my husband

Very professional and knowledgeable. The staff in her office was the best. Her NP, Monica, and the other assistants, both Jenns included made me and my spouse feel very welcomed. I would recommend her to anyone who is trying to conceive. She went with the best program for me, not immediately to IVF.

Be patient of any setbacks and stay positive! She has your best interest at heart.

I was initially told to try IUI first as I've never tried to conceive. I had a HSG performed along with genetic testing to make it easier to find a sperm donor who wouldn't share a genetic abnormality. I had donor sperm shipped to main facility and it was ready for use for insemination. I did one normal unassisted cycle but ovulated prematurely. For my next cycle I used Clomid to increase the odds of healthy follicles. After the second cycle I had a positive pregnancy result.

I paid out of pocket for my expenses. For my HSG it was between $100-175. I had my lab work done for free. For my first cycle it was $700, it was cancelled before insemination. For the next cycle it was $250 and was fully completed. I paid $80 for the Clomid and trigger shot, as it was partially covered by insurance. I also paid for genetic testing of my blood which was $250.00.

Dr. Chuan clearly explained our options to us from the first visit. She set realistic expectations - discussing the changes of success, specific to my diagnosis and age group. She was genuine at each visit, and always caring, supportive, and enthusiastic. I would not hesitate to recommend her to anyone.

Trust the process and ask any questions you may have.

Stimulation protocols for egg retrieval included Menopur and Gonal-F, with increased doses of Menopur as we got closer to egg retrieval. We used cetrotide for ~5 days, and then Ovidrel (preferred to Pregnyl by insurance) to stimulate ovulation. With both cycles, follicles grew as expected, though a little slower the second time around. Each time I had ~8 follicles available. We retrieved 6 on cycle one, resulting in 4 embryos, of which 2 were good quality after PGS. The second cycle was even more successful than expected, retrieving 7 eggs, 4 embryos making it to the blastocyst stage, and all 4 with positive PGS results.

Prepaid cash price for 2 egg retrievals (with PGS for 8 embryos) and one embryo transfer: $31,556 Total out of pocket cost was lower due to services covered by insurance

Dr. Chuan was knowledgeable and caring. I felt that we were in the best hands possible. We had a lot of decisions along the way and she was great at communicating all sides of the story so we could make the right decision for us. We never felt rushed or pushed.

This is the doctor you want on your fertility journey. She's simply the best!

We did 3 egg retrieval cycles following standard protocol as I understood it. I also had a polyp removed before my 1st embryo transfer. Dr. Chuan has a high standard of the markers she wants to see through each cycle. I trusted that any decisions she made had my best intentions in mind.

I don't recall the specific numbers. It is an investment but you are investing with the best team.

She preferred to start with 1 unless we wanted more. We agreed with her. With our limited amount of embryos, we wanted to be frugal with using a lot at once.

We loved every chance we got to see and interact with Dr. Chuan. She was so empathetic, comforting, and calm with myself and my husband regarding our diagnosis and treatment (including the loss of our first daughter when she was stillborn). I loved her informative and truthful but compassionate manner. I highly recommend her & the entire clinic whenever anyone asks!

To be understanding that she has a lot of patients who need her time, but that her assistant and office are wonderful as she is.

We had 4 embryo transfers and out of all 4, three resulted in a pregnancy.

I believe my cost for a "success guarantee" cycle was $17,000.

Dr.Chuan is hands down an amazing Dr. She is compassionate, happy, trustworthy, honest, sweet, and very caring. My husband and I felt 100% comfortable with her being our Fertility Specialist and very happy we chose her as our Dr.

This process may not be as easy as you think. Things may not go the way you had planned. Along the way, there’s stuff/issues you may find out about yourself and your body that you weren’t prepared for. Try to go in with an open mind and trust the process and trust the path Dr.Chuan takes you down. She has learned your body and she’s the best person to get you to your goal of having a baby.

Dr Chuan is very personable and friendly. She communicates well and make you feel like a friend. She takes her time to explain everything to you. She would take additional calls when I needed to speak with her about things. I love everything about her!

Trust her!

We probably spent a total of almost 100k

She was great at explaining to you risks vs benefits of multiple embryo transfer.