Thalia Segal

UCSF

Rated 9.2
Strongly recommend: 83%Neutral: 10%Don't recommend: 7%9.2
83% strongly recommend
19 reviews
Humanity
8.9
8.9
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
9.7
9.7
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
5.9
5.9
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
6.8
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
Albert Einstein College of Medicine
Residency
Northwell Health
Fellowship
University Hospitals

How Doctor Communicates

doctor, nurse available by email
nurse available by directline
nurse available by directline
not available by personal cell phone
not available by personal cell phone
Thalia Segal works at

UCSF
Rated 8.5
Strongly recommend: 68%Neutral: 18%Don't recommend: 14%8.5

Explore Clinic
San Francisco
499 Illinois Street
San Francisco, CA 94158

19 patient reviews

Verified

This patient has provided documentation of treatment at this clinic.

2022, Successful
NPS
10
NPS
7
Age 38
1 Embryo Freezing
Only Doc Seen
Strongly Recommends
Neutral
Successful
Dr. Segal made me feel much more comfortable about the whole thing. It was like talking to a friend that happened to be an expert in fertility...conversations never felt stuffy, disconnected, or judgmental - she was super supportive, compassionate, and kindly direct...The only bummer is that she wasn't a consistent contact point the entire way through. But this is less about her as a Dr., and more about the way UCSF operates.
when I felt some extreme pain during the process, the nurses and staff [at UCSF] took me seriously and aired on the side of caution - I never felt dismissed, brushed off, or like a nuisance...One thing to note is that their billing department is a real pain to work with...If I hadn't been asking questions up front (i.e - how do I perform the injections?), I wouldn't have known that I could get 1:1 training because nobody told me that was an option.
How was your experience with Thalia Segal at UCSF?
I really enjoyed having Dr. Segal as my fertility Dr. While this was a delicate, and somewhat nerve-racking decision and procedure to undergo, Dr. Segal made me feel much more comfortable about the whole thing. It was like talking to a friend that happened to be an expert in fertility. Since we were freezing embryos for fertility preservation, and are not choosing to get pregnant at this time, I can only speak for that portion of treatment - but we got great results and I didn't have any significant setbacks during the priming/ injection period. The only bummer is that she wasn't a consistent contact point the entire way through. But this is less about her as a Dr., and more about the way UCSF operates.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Be an advocate for yourself. Since you only meet with Dr. Segal once or twice prior to the actual treatment - you HAVE to put yourself in front of the support staff and message them with any questions. If I hadn't been asking questions up front (i.e - how do I perform the injections?), I wouldn't have known that I could get 1:1 training because nobody told me that was an option.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
What I really appreciated about Dr. Segal is that it felt like talking to a friend. Our conversations never felt stuffy, disconnected, or judgmental - she was super supportive, compassionate, and kindly direct. I was able to gather the information I needed, but also gained even more confidence with our plan to freeze embryos for fertility preservation than before we met with Dr. Segal. She took the time to get to know me as a person, and I really appreciated that. I also found the support staff to be very helpful along the way. I want to make particular note that when I felt some extreme pain during the process, the nurses and staff took me seriously and aired on the side of caution - I never felt dismissed, brushed off, or like a nuisance. This made a great impact on my experience as a whole, and helped me gain trust throughout the process.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
2mg estrace to start, then menopur+ ganal for 4-5 days, then the addition of cetrocide for another 4ish days, then the trigger injections. (I might have this wrong - it was a whirlwind...)
Describe your experience with your nurse at UCSF. (Assigned nurse: Kali, Rae, Eugene)
Overall, the nursing staff was great - although some were more approachable than others (I enjoyed working with Kali and Rae for the regular correspondence). I never had a message or call go unreturned, and they were often quick with their responses. Since there wasn't much face time with the Dr., I think it would have been nice to have one main designated nurse, and one backup nurse, to allow for some form of consistency. Throughout the procedure, I never got to see them in the office, and at times would end up speaking with other nursing staff that I was unfamiliar with. That being said, everyone I saw for my in person check-ins (blood draws, ultrasounds) were always incredibly kind and helpful.
Describe your experience with UCSF.
I went with UCSF as they were the best fit for our insurance, and a couple friends had also recommended them. They both had the same forewarnings: you won't have one consistent Dr, and you have to be your own advocate when it comes to billing and the overall logistics. That being said, I would definitely return to UCSF for any future treatments, as I felt that everyone there was very knowledgeable and I trusted turning my body over to them (which I can have a lot of barriers around). One thing to note is that their billing department is a real pain to work with. I kept receiving bills to pay hundreds of dollars, but when I called to question why I was receiving the bill (as it should have been covered by Progyny, they told me I didn't have to actually pay it.) I'm still not 100% confident that we're in the clear in terms of money owed.
Describe the costs associated with your care under Thalia Segal at UCSF.
Unknown at this time
10
Doctor
Thalia Segal
NPS
Humanity
4 of 5
Communication
5 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
5 of 5
7
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
1 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.

2022, Successful
NPS
10
NPS
9
Age 39
1 IVF
Unexplained
Latinx
Income $200K - $499K
Nurse or HC Services
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
She [Dr. Segal] was extremely patient and reassured me when I had numerous questions. I never felt rushed and she gave me her full attention during each visit. She made me feel safe and comfortable during the uncertain times...was prompt in getting back to me, great communicator and reassured us through every step. I appreciate her willingness to listen to all my concerns without judgment...
She [nurse at UCSF] was informative and made sure I had all the information I needed before making any decisions. She reiterated the plan to ensure I understood it and was readily available for any other questions I had...The one weakness I identified is when I did not see Dr Segal I never knew which NP I would get for my visit and not all had good bedside manner and did not communicate well...
How was your experience with Thalia Segal at UCSF?
I wholeheartedly recommend Dr Segal because of her genuine and warm bedside manner. I drove 1 hr for every appointment to see her and would absolutely do it again if we do IVF in the future. She was prompt in getting back to me, great communicator and reassured us through every step. I appreciate her willingness to listen to all my concerns without judgment and I am so grateful that she has been guiding me through this. I felt like she truly cared about my well-being throughout the process and celebrated our milestones with us. Without a doubt would encourage others to see her.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Be yourself, don’t be afraid to ask questions. She will take the time to answer them no question is too small.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
She was extremely patient and reassured me when I had numerous questions. I never felt rushed and she gave me her full attention during each visit. She made me feel safe and comfortable during the uncertain times .
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
Removal of polyps in uterus before initiation of IVF to promote better results. Injectable hormones before egg retrieval. Retrieved 8 eggs, 6 of which were injected (ICSI) and 2 discarded. 4 were good quality and viable to freeze. 1 fresh transfer and 2 eventually frozen.
Describe your experience with your nurse at UCSF. (Assigned nurse: Anne )
She was informative and made sure I had all the information I needed before making any decisions. She reiterated the plan to ensure I understood it and was readily available for any other questions I had.
Describe your experience with UCSF.
Overall they provided information in several different words which was helpful to remember the numerous appointments. The one weakness I identified is when I did not see Dr Segal I never knew which NP I would get for my visit and not all had good bedside manner and did not communicate well.
Describe the costs associated with your care under Thalia Segal at UCSF.
Approximately $25,000 because insurance did not cover most of it
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
She recommended eSET considering my age and potential complications.
What specific things went wrong at UCSF?
  • Provided conflicting information
Describe the specific things that went wrong at UCSF.
Poor bedside manner from one particular NP who made me feel bad because I had questions and was nervous and spoke to me in an unprofessional way.
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
9
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2021 - 2022, Successful
NPS
10
NPS
10
Age 34 - 35
1 IUI
Tubal Blockage
Recurrent Pregnancy Loss
Unexplained
Latinx
Income $100K - $199K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
I saw Dr. Segal for unexplained secondary infertility. She did all the necessary testing and and performed a hysteroscopy on me before we moved forward with fertility treatments...very supportive, listened to me, answered all my questions and guided me in my decisions with her knowledge and experience...wish that I could continue my regular OB care with her and her team due to how well they took care of me.
UCSF Fertility has its own patient portal where you can send messages directly to your care team and the staff. They are quick to respond and make your appointments, send you documents and even had modules for each treatment I received that showed what to expect and how things would work...[nurse] even called me on one of her days off to make sure everything was ok.
How was your experience with Thalia Segal at UCSF?
I saw Dr. Segal for unexplained secondary infertility. She did all the necessary testing and and performed a hysteroscopy on me before we moved forward with fertility treatments. She was very supportive, listened to me, answered all my questions and guided me in my decisions with her knowledge and experience. I loved working with Dr. Segal and wish that I could continue my regular OB care with her and her team due to how well they took care of me.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
My only advice to prospective patients is to get on the list to see her ASAP.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
Dr. Segal and her team personally reached out to me on every occasion necessary. I had 2 procedures and they called me each day and the day after to check on me and how I was doing. I was able to speak with someone on her direct team each time I asked.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
First I had a hysterosalpingography (HSG) to assess the status of my uterus and tubes after 2 years of infertility and an ectopic pregnancy. Then there was some irregularities on my initial ultrasound and I underwent a hysteroscopy to remove some tissue and scarring in my uterus. Next, together, we opted to attempt 1 IUI cycle before proceeding with IVF. I did 5 days on Clomid 100mg, had an ultrasound to count follicles. on Day 10 I did 1 trigger injection of Ovidrel 250mcg. Had the IUI on day 12. On day 14 I began using Endometrin 100mg vaginal inserts. 2 weeks after my IUI I received a positive pregnancy test and used Endometrin until my 10th week.
Describe your experience with your nurse at UCSF. (Assigned nurse: Anne)
Anne is the best! She contacted me personally on many occasions to check on me after procedures, after a little bleeding scare I had. She even called me on one of her days off to make sure everything was ok.
Describe your experience with UCSF.
UCSF Fertility has its own patient portal where you can send messages directly to your care team and the staff. They are quick to respond and make your appointments, send you documents and even had modules for each treatment I received that showed what to expect and how things would work.
Describe the costs associated with your care under Thalia Segal at UCSF.
UCSF sent me an estimated amount for my IUI with my insurance we paid a considerably lower amount than estimated.
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2020 - 2022, Unknown Success
NPS
8
NPS
8
Age 33 - 35
4 IUI
2 IVF
Uterine Fibroids
Unexplained
East Asian
Income $200K - $499K
Engineer
Only Doc Seen
Fertility Medications With Other Docs
Neutral
Neutral
Success w/ Doc Too early to know
Dr. Segal was very patient with our concerns, and we never felt rushed through our many questions. She also, once we had the failed transfer, added a stitch + string to make future transfers easier, which was very effective. She tends on the optimistic / "don't worry about it" side of things, but was also very sympathetic when we experienced setbacks. There was a lot of authenticity...
two distinct phases of our treatment with UCSF. For the first half, we ended up just seeing whoever was available, which was quite frustrating since my partner had some anatomical irregularities that served as fresh challenges over and over...had to abort (and re-freeze) an embryo transfer because the (non-Dr. Segal) doctor couldn't get the catheter in, Dr. Segal started coordinating our visits with her working days, and the quality and personal care level went up by quite a bit.
How was your experience with Thalia Segal at UCSF?
Dr. Segal was very patient with our concerns, and we never felt rushed through our many questions. She also, once we had the failed transfer, added a stitch + string to make future transfers easier, which was very effective. She tends on the optimistic / "don't worry about it" side of things, but was also very sympathetic when we experienced setbacks. There was a lot of authenticity and Dr. Segal is up-to-date on research.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Same advice to give anybody with UCSF -- try to coordinate your visits with your primary doctor's shifts.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
There were two distinct phases of our treatment with UCSF. For the first half, we ended up just seeing whoever was available, which was quite frustrating since my partner had some anatomical irregularities that served as fresh challenges over and over. After we had to abort (and re-freeze) an embryo transfer because the (non-Dr. Segal) doctor couldn't get the catheter in, Dr. Segal started coordinating our visits with her working days, and the quality and personal care level went up by quite a bit. At the same time, we also started getting a much better nurse (Laurel Poole) and coordinating team. As mentioned in other reviews, the "default" nursing team is hard to work with -- poor communicators.
Describe your experience with UCSF.
UCSF has top-quality doctors and extremely high-variance support from the coordinating team. I felt confident in the answers to my medical questions. UCSF also has a lot of supporting materials and resources if you know how to find them. For examples, when we moved to PIO, we were assigned an "injection coach" nurse who was great.
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr. Segal prefers single embryo transfer, but we did do a multiple embryo transfer after our first egg retrieval, which only yielded two embryos, one of which went through an unnecessary thaw-refreeze cycle.
8
Doctor
Thalia Segal
NPS
Humanity
4 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
4 of 5
Compassion
5 of 5
Explained risks
3 of 5
Adaptability
4 of 5
8
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
2 of 5
Billing Department
5 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
4 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2021 - 2022, Successful
NPS
10
NPS
10
Age 39 - 40
1 IUI
2 IVF
Unexplained
European
Income $100K - $199K
1st of 2 Docs
1 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Successful
I genuinely felt like Dr. Segal cared about me as a person and was rooting for my success...kind, caring, highly knowledgeable provider. I was diagnosed with unexplained infertility in 2020 and got pregnant within a year and a half. I underwent two rounds of IVF with a successful pregnancy. I still have plenty of embryos in the bank for future pregnancies. I will definitely return to this provider for my second.
The fertility clinic [UCSF] is very well organized...You will not likely see your primary RE when you go in for appointments. Nurse practitioners perform IUIs and most of the monitoring appointments...MDs rotate for procedures...[nurse] always explained the protocols to me and was very empathetic...genuinely felt like Dr. Segal cared about me as a person and was rooting for my success.
How was your experience with Thalia Segal at UCSF?
Dr. Segal is a kind, caring, highly knowledgeable provider. I was diagnosed with unexplained infertility in 2020 and got pregnant within a year and a half. I underwent two rounds of IVF with a successful pregnancy. I still have plenty of embryos in the bank for future pregnancies. I will definitely return to this provider for my second.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Understand that fertility treatments are not guaranteed. It's not the provider's fault when the result is unsuccessful.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
I genuinely felt like Dr. Segal cared about me as a person and was rooting for my success.
Describe your experience with your nurse at UCSF. (Assigned nurse: Kali)
Kali was an excellent nurse. She always explained the protocols to me and was very empathetic.
Describe your experience with UCSF.
MDs rotate for procedures. You will not likely see your primary RE when you go in for appointments. Nurse practitioners perform IUIs and most of the monitoring appointments. All providers at UCSF are excellent. The fertility clinic is very well organized.
Describe the costs associated with your care under Thalia Segal at UCSF.
Covered by insurance.
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Fresh transfer with two embryos worked for me!
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
2018 - 2022, Successful
NPS
10
NPS
7
Age 32 - 36
1 IUI
Unexplained
Only Doc Seen
IVF With Other Docs
Egg Freezing With Other Docs
Embryo Freezing With Other Docs
Strongly Recommends
Neutral
Successful
Dr. Segal is very compassionate...She came up with a detailed plan and always explained the choices and potential options. I liked to ask a lot of specific questions and she always explained things in person or in follow up emails...[new patient advice] Ask questions and advocate for what you want. She will find a plan that works for you.
UCSF has a deep bench of doctors. They rotate care for procedures. Everyone I interacted with was kind. The nursing staff can be a little disorganzied, so sometimes you have to follow up, but they are responsive once you follow up...[Dr. Segal] came up with a detailed plan and always explained the choices and potential options. I liked to ask a lot of specific questions and she always explained things in person or in follow up emails
How was your experience with Thalia Segal at UCSF?
Dr. Segal is fantastic. I would recommend her to anyone. She came up with a detailed plan and always explained the choices and potential options. I liked to ask a lot of specific questions and she always explained things in person or in follow up emails. I highly recommend her.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Ask questions and advocate for what you want. She will find a plan that works for you.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
Dr. Segal is very compassionate. Always follows up and provides answers to all question.
Describe your experience with the nursing staff at UCSF.
Very friendly in person, but you often have to follow up on specific issues.
Describe your experience with UCSF.
UCSF has a deep bench of doctors. They rotate care for procedures. Everyone I interacted with was kind. The nursing staff can be a little disorganzied, so sometimes you have to follow up, but they are responsive once you follow up.
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
7
Clinic
UCSF
San Francisco
NPS
Operations
3 of 5
Scheduling
4 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2020 - 2021, Successful
NPS
10
NPS
10
Age 36 - 37
1 Fertility Medications
Diminished Ovarian Reserve
Unexplained
South Asian
Income $200K - $499K
1st of 5 Docs
3 IUI With Other Docs
2 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
She [Dr. Segal] is very compassionate and really explains things well. She respected that I was a scientist and came armed with data. Also took time to explain the emotional side of things...She can be short when she is busy. But she really means well and if she is short, follow-up with her at a better time and she will respond compassionately...
Very robust evidence based clinic [UCSF]...I felt very safe here. It is a busy university hospital though and feels like a public hospital. If you want a boutique experience, this is not for you...was treated so compassionately by Dr Segal and most of her team. They were understanding, non-judgemental and yet very pragmatic...3 IUIs appr $15000 2 IVFs appr $55000...
How was your experience with Thalia Segal at UCSF?
She is very compassionate and really explains things well. She respected that I was a scientist and came armed with data. Also took time to explain the emotional side of things. I mean let's face it, this is an emotional process.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
She can be short when she is busy. But she really means well and if she is short, follow-up with her at a better time and she will respond compassionately.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
I was treated so compassionately by Dr Segal and most of her team. They were understanding, non-judgemental and yet very pragmatic.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
Estrace priming for low AMH. for IVF. Second one worked when she upped the dose of estrace and we have a gorgeous baby girl from that. She started off with the standard 3 IUIs, which were a complete waste of time in hindsight, but at that stage I was also not ready to go to IVF. If I did it again I would skip the IUIs.
Describe your experience with your nurse at UCSF. (Assigned nurse: Anna)
Very sweet but not the brightest bulb in the room. She couldn't figure out my period days and almost had me start on a wrong day until I kicked it up to the doctor. Also when I did not conceive with my first IVF, she was robotic in her response ' these are questions for your doctor. Luckily I called the clinic and the nurse on call was so compassionate and helpful about not conceiving the first time, it really helped me at that time.
Describe your experience with UCSF.
Very robust evidence based clinic. The incentive here is not monetary gain - see Vice article on Dr Danielle Lane's clinic to learn more. I felt very safe here. It is a busy university hospital though and feels like a public hospital. If you want a boutique experience, this is not for you. But if you want a child and want the most evidence based way to get there, this is for you.
Describe the costs associated with your care under Thalia Segal at UCSF.
3 IUIs appr $15000 2 IVFs appr $55000 I had progyny so only had to pay my out of pocket which was around $6k
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
I had a strong preference for eSET and she respected that.
What specific things went wrong at UCSF?
  • Failed to call in prescriptions to pharmacy
  • Failed to call with results
Describe the specific things that went wrong at UCSF.
They got the pharmacy wrong. I didn't know what to do but they should have asked me to call my health insurance and figure out what pharmacy. I actually did that and they said optum but the clinic coordinator said optum is a helpline not a pharmacy. That wasn't true. Luckily all these were IUI problems. For IVF, i had the process down.
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
3 of 5
Billing Department
3 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
3 of 5
Educational Resources
7 of 5
2021, Successful
NPS
10
NPS
10
Age 39
Unexplained
Operations
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Thalia explained every step and future plans with me and my partner very clearly. She is very approachable and was very positive. I remember she told me every pregnancy is a miracle and I would believe that always. She had the right plan for me. I had a small surgery and she is such an expert that I recovered very fast and it was pretty smooth.
Great clinic. They communicated very well and they were approachable. I would recommend them always. UCSF has big infrastructure and they have experienced doctors and equipments. The nurses and coordinators are well knowledgeable and communicate well...Dr. Thalia was understanding and made sure she explained everything well
How was your experience with Thalia Segal at UCSF?
Dr. Thalia was understanding and made sure she explained everything well. I recovered very fast from a surgery because she is such an expert. She was positive and I will never forget that she told me on my first visit that every pregnancy is a miracle.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Any fertility journey is difficult but have patience along with the doctor. Trust her and her plans. There is light at the end of the tunnel.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
Dr. Thalia explained every step and future plans with me and my partner very clearly. She is very approachable and was very positive. I remember she told me very pregnancy is a miracle and I would believe that always. She had the right plan for me. I had a small surgery and she is such an expert that I recovered very fast and it was pretty smooth.
Describe your experience with UCSF.
Great clinic. They communicated very well and they were approachable. I would recommend them always. UCSF has big infrastructure and they have experienced doctors and equipments. The nurses and coordinators are well knowledgeable and communicate well.
What specific things went wrong at UCSF?
  • Failed to call with results
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2021, Successful
NPS
10
NPS
10
Age 30 - 32
Uterine Fibroids
European
Income $200K - $499K
Business Executive
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
UCSF definitely sees a lot of patients but I always felt like I had the full attention of my doctor [Dr. Thalia Segal]. I appreciate her taking the time to get to know my perspective and explain concepts to me. She even called me directly multiple times to clarify asks...I had complete trust in her expertise and competence and felt heard in my concerns and questions. I never felt rushed or dismissed.
UCSF is a top research hospital. They’re on the cutting edge of fertility and genetics research, which is why I sought them out. The trade off of that is that their staff are all researchers in addition to practitioners. This means potential for less consistency in care, or more requirement for you to navigate a big system. Almost every person I encountered at UCSF was kind, professional, and extremely competent.
How was your experience with Thalia Segal at UCSF?
I have only fantastic things to say about Dr. Segal. I had complete trust in her expertise and competence and felt heard in my concerns and questions. I never felt rushed or dismissed. UCSF does have an on call model, but I knew this going in. I expected to see multiple physicians— all of whom were of top caliber and very warm— but Dr. Segal always followed up with me directly.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Not sure.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
UCSF definitely sees a lot of patients but I always felt like I had the full attention of my doctor. I appreciate her taking the time to get to know my perspective and explain concepts to me. She even called me directly multiple times to clarify asks.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
Saline sonogram revealed a polyp, which was removed via out patient procedure. Elevated hormones revealed potential thyroid issue now managed with medication. My husband and I naturally conceived the cycle after polypectomy, so we assume that was a major contributor. Unfortunately that pregnancy ended in a missed miscarriage. Because of the time sensitive nature (fear of ectopic), another on call doctor performed the procedure, but Dr Segal called me multiple times that weekend to check in. I then conceived again the next cycle. Between the thyroid and the polyp, I believe Dr. Segal has helped me resolve my fertility issues.
Describe your experience with your nurse at UCSF. (Assigned nurse: Kali )
Kali was an amazing support during my two back to back pregnancies (first one non viable). She and I checked in nearly every day while going through the confusion of a possible ectopic and ultimate MMC.
Describe your experience with UCSF.
UCSF is a top research hospital. They’re on the cutting edge of fertility and genetics research, which is why I sought them out. The trade off of that is that their staff are all researchers in addition to practitioners. This means potential for less consistency in care, or more requirement for you to navigate a big system. Almost every person I encountered at UCSF was kind, professional, and extremely competent.
Describe the costs associated with your care under Thalia Segal at UCSF.
I am very fortunate that my insurance covered all of my treatment and would have covered any IVF cycles had we taken that path. There is a billing coordinator you can talk to about all the details.
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
It’s my understanding UCSF recommends single transfer as it is safer. I didn’t push for more details.
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
4 of 5
Billing Department
5 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
2020 - 2021, Successful
NPS
8
NPS
8
Age 41 - 42
5 IUI
1 IVF
Diminished Ovarian Reserve
East Asian
Income $200K - $499K
Accountant
Only Doc Seen
Neutral
Neutral
Successful
Dr. Segal was very respectful and genuine...We mostly had video calls and [she] would listen to my concerns and answer my questions. I never felt rushed...During [the two months the clinic was closed during Covid], Dr. Segal prescribed me clomid so we can keep trying on our own. Later my protocol switched to only menopur for 5 days then IUI at the clinic...[she] treated my husband and I as her patients the moment we met her
When you do self pay, you pay the entire cycle upfront but UCSF would only charge you the stage you go through. If the cycle stops at a certain point before egg retrieval, you can have the remainder applied to the next cycle...Everyone at the fertility clinic was very nice but I can tell that they were very busy. There were a few times where we had to sign the same paperwork multiple times because it got lost. Eventually we learned to take a picture of it so that we can quickly send it off in case that couldn’t find it
How was your experience with Thalia Segal at UCSF?
I had consulted with 3 not-so-nice doctors/clinics before meeting with Dr.Segal at UCSF. The 3 doctors/clinics either talked to me like a sales pitch or brushed me off insinuating that I would lower their success rate. Therefore by that point, aside from seeking for help, I also just wanted someone to be kind to us. Dr. Segal treated my husband and I as her patients the moment we met her. She was so compassionate, explained the process to us clearly, was easy to talk to, and most importantly— I can tell that she wanted to help us achieve our baby goals. She got the ball rolling the day of consultation. Nurses drew blood and listed out the medication I’ll need. Dr. Segal gave us the cliff notes on how to navigate and follow up with their clinic. Essentially, she also told us to be patient but yet follow up with the staff. Additionally, she told us that it was usually the people who stayed persistent who saw success. That really helped set expectations for us — and when things got tough, we reminded each other to stay persistent.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Be mindful that everyone at the clinic is very busy. Be patient with the staff but also stay organized. I was constantly on top of scheduling my appointments, making sure I don’t have any payments outstanding with finance dept (it can delay your treatment), and make sure the nurses have sent the medication authorization to your pharmacy. Also, Dr.Segal is busy. When I don’t hear back in 1-2 days (pending the urgency), I’ve had to follow up and ask someone to check if Dr. Segal has seen my request.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
Dr. Segal was very respectful and genuine. It always felt like I talking to a friend. We mostly had video calls and Dr. Segal would listen to my concerns and answer my questions. I never felt rushed.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
My protocol was lead in with estrace then gonal-f + menopur injections each night for about 5 days. The clinic shut down for 2 months during the beginning of the pandemic in 2020. During this time, Dr. Segal prescribed me clomid so we can keep trying on our own. Later my protocol switched to only menopur for 5 days then IUI at the clinic.
Describe your experience with your nurse at UCSF. (Assigned nurse: Anne Garcillano and Eugenia Gonzalez)
Everyone at the fertility clinic was very nice but I can tell that they were very busy. There were a few times where we had to sign the same paperwork multiple times because it got lost. Eventually we learned to take a picture of it so that we can quickly send it off in case that couldn’t find it. Other than that, all the nurses were always professional and very pleasant. Anne would take the time out to chat with me when she calls to schedule my next appointment. Going through fertility treatment can get emotionally exhausting. Anne was very sweet in cheering me on and kept me motivated.
Describe your experience with UCSF.
Our insurance doesn’t cover IVF so I feel very fortunate to have UCSF offer lower cost treatments. When you do self pay, you pay the entire cycle upfront but UCSF would only charge you the stage you go through. If the cycle stops at a certain point before egg retrieval, you can have the remainder applied to the next cycle. UCSF is also my primary hospital and overall my experience has been very positive.
Describe the costs associated with your care under Thalia Segal at UCSF.
Our insurance allowed up to 6 IUI treatments but didn’t cover IVF and medication. Unfortunately I don’t remember the exact cost but I do remember that UCSF IVF were the lowest compared to the other clinics. You pay the entire cycle upfront but UCSF would only charge you the stage you go through. If the cycle stops at a certain point before egg retrieval, you can have the remainder applied to the next cycle. Fertility medication is in addition to the cycle cost. My medication for IVF and stimulated IUI cost around $7-9k each cycle. We did 2 IVF cycles and 5 IUI cycles.
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
We didn’t have this discussion.
What specific things went wrong at UCSF?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Canceled a cycle due to clinic error
Describe the specific things that went wrong at UCSF.
I had to follow up a few times to get someone to send my medication to my pharmacy. There are a few times when the timing was very tight. Luckily my pharmacy (which my nurse recommended) does same day delivery.
8
Doctor
Thalia Segal
NPS
Humanity
4 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
8
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
3 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
5 of 5
2020 - 2021, Successful
NPS
10
NPS
10
Age 34 - 35
1 Embryo Freezing
Surrogacy
South Asian
Income $200K - $499K
Engineer
Only Doc Seen
IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
It felt like she [Dr. Thalia Segal] understood our concerns, explained the treatment and process, and gave us detailed answers for our questions. She never dismissed our concerns, and promptly as well. We felt heard...She gave us hope, but also explained the risks in the process...Our doc recommended single embryo transfer because of the risks involved with multiple embryo transfer. We agreed with that assessment, and we didn't want to transfer multiple embryos either.
I loved UCSF. They were (relatively) inexpensive, doctors were great, staff was friendly, the clinic was neat. They took us in as patients immediately, and didn't delay the process unnecessarily. They treated us with warmth and care. I would whole-heartedly recommend it to everyone...Our coordinator was prompt, and kept us on the loop. It did feel sometimes that they could've contacted me sooner, but in hindsight, they probably called me as soon as they could.
How was your experience with Thalia Segal at UCSF?
She heard us out, explained the treatment and the process in detail and answered all our questions honestly. She understood our concerns and did not dismiss them. She gave us hope, but also explained the risks in the process.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Share your concerns, and get an informed opinion.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
It felt like she understood our concerns, explained the treatment and process, and gave us detailed answers for our questions. She never dismissed our concerns, and promptly as well. We felt heard.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
I had the standard protocol for egg retrieval, and our GC also had the standard protocol for embryo transfer.
Describe your experience with your nurse at UCSF.
Our coordinator was prompt, and kept us on the loop. It did feel sometimes that they could've contacted me sooner, but in hindsight, they probably called me as soon as they could.
Describe your experience with UCSF.
I loved UCSF. They were (relatively) inexpensive, doctors were great, staff was friendly, the clinic was neat. They took us in as patients immediately, and didn't delay the process unnecessarily. They treated us with warmth and care. I would whole-heartedly recommend it to everyone!
Describe the costs associated with your care under Thalia Segal at UCSF.
I believe the total treatment cost us between 10-15K
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Our doc recommended single embryo transfer because of the risks involved with multiple embryo transfer. We agreed with that assessment, and we didn't want to transfer multiple embryos either.
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2021, Successful
NPS
10
NPS
10
Age 38 - 40
4 IUI
1 IVF
Unexplained
South Asian
Income $100K - $199K
1st of 2 Docs
1 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
The first time we met Dr Segal, we know that we are in good hands. She was very patient with us and explained to my husband and I our options and a good plan to on how to move forward with our situation...We may have some set backs during the egg retrieval, but those are uncontrolled set backs. I was already losing hope, but [she] was very supportive and she gave us hope...
Everyone [at UCSF] is so nice, accomodating despite the busy schedules (at times) and they were all pleasant. From the front desk, to the nurses, np's and doctors, everyone is nice and friendly. I did not have any issues at all. We were very well accomodated and assisted. Even the answering service during after hours was very good. Overall we had a great experience with our clinic.
How was your experience with Thalia Segal at UCSF?
As a patient of Dr Segal, I would say I am lucky to have her as my fertility doctor. We may have some set backs during the egg retrieval, but those are uncontrolled set backs. I was already losing hope, but Dr segal was very supportive and she gave us hope, she was one of those people who encouraged us not to loose hope and to give it another try.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Just prepare yourself, and be ready for anything, yet stay hopeful since you have a great doctor.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
The first time we met Dr Segal, we know that we are in good hands. She was very patient with us and explained to my husband and I our options and a good plan to on how to move forward with our situation. She was understanding and very helpful as well, we were at ease and confident she will take good care of us.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
Sorry, I cannot remember thoroughly all the specifics of my treatments that were done. The first egg retrieval took longer than expected since most of my eggs were behind. 9 eggs were retrieved, 2 were tested but were not viable. Second egg retrieval had to be halted midway, since my eggs were not responding and I did not produce much eggs. The 3rd egg retrieval resulted to 9 eggs, 4 tested and 3 were viable.
Describe your experience with your nurse at UCSF. (Assigned nurse: Anne)
Our primary nurse was the best. During this ivf journey, she was with us all the way. She was very compassionate, understanding, and she would try to get back to me as soon as she can whenever I have queries and concern. I could have not asked for a better nurse since we were lucky to have her.
Describe your experience with UCSF.
I had a wonderful experience at my clinic. Everyone is so nice, accomodating despite the busy schedules (at times) and they were all pleasant. From the front desk, to the nurses, np's and doctors, everyone is nice and friendly. I did not have any issues at all. We were very well accomodated and assisted. Even the answering service during after hours was very good. Overall we had a great experience with our clinic.
Describe the costs associated with your care under Thalia Segal at UCSF.
I was under Arc Financing
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unsuccessful
NPS
2
NPS
0
Age 35 - 36
1 Fertility Medications
PCOS
East Asian
Income $200K - $499K
2nd of 2 Docs
2 IVF With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
[Dr. Segal] was helpful in explaining my infertility diagnosis. She was compassionate and helpful with a polyp removal surgery and subsequent biopsy. However, early on it seemed like she had too many patients and did not know about my specific case until the meeting itself...She mostly provided me personal attention, but let my case slip through the cracks causing professional team miscommunications...
UCSF treats you like a number. It's a volume shop that will batch you up, meaning you need to take birth control and go through the gates of generalized infection classes and another class that may not have much to do with your own care...The care team is awful - they will not talk on the phone with you, make you use their electronic portal, which they don't respond until 2-3 days later often not answering at all the questions at hand and super quickly.
How was your experience with Thalia Segal at UCSF?
She was helpful in explaining my infertility diagnosis. She was compassionate and helpful with a polyp removal surgery and subsequent biopsy. However, early on it seemed like she had too many patients and did not know about my specific case until the meeting itself. Because of her error, she greenlighted my injections without coordinating with the anesthesiologist who ultimately was extremely alarmist about my baseline health and she decided to cancel my cycle instead of working with him towards a solution.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Make sure that any abnormal health history from your labwork is thoroughly reviewed and discussed prior to proceeding with the cost and effort of IVF.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
Her support staff was extremely rude and callous, even making me cry during a procedure confirmation of the legal documents. She mostly provided me personal attention, but let my case slip through the cracks causing professional team miscommunications and poor teamwork with the anesthesiologist which caused my cycle to be canceled after months of working with her and over a week of wasted injections and appointments.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
Gonal F 125 IU + Menopur 75 IU SQ ; Cetrotide
Describe your experience with your nurse at UCSF. (Assigned nurse: Eugenia Gonzalez; Anne Garcillano)
The care team is awful - they will not talk on the phone with you, make you use their electronic portal, which they don't respond until 2-3 days later often not answering at all the questions at hand and super quickly. Eugenia is particularly uncaring and bad, she was so unclear about consents that she claimed that 99% of the patients mess it up with no sense of self-awareness that it because of her poor communication. My previous care coordinator had been fired due to incompetence as well.
Describe your experience with UCSF.
UCSF treats you like a number. It's a volume shop that will batch you up, meaning you need to take birth control and go through the gates of generalized infection classes and another class that may not have much to do with your own care.
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Would only do elective single embryo transfer
What specific things went wrong at UCSF?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Failed to call with results
  • Failed to order appropriate test
  • Failed to send your chart to another clinic
  • Failed to inform you of changes in protocol
  • Lost results
  • Provided conflicting information
  • Failed to convey critical information
  • Canceled a cycle due to clinic error
2
Doctor
Thalia Segal
NPS
Humanity
2 of 5
Communication
2 of 5
Frequency Seen
2 of 5
Trustworthiness
2 of 5
Compassion
3 of 5
Explained risks
1 of 5
Adaptability
1 of 5
0
Clinic
UCSF
San Francisco
NPS
Operations
1 of 5
Scheduling
2 of 5
Billing Department
1 of 5
Nursing Staff
1 of 5
Clinic Atmosphere
1 of 5
Educational Resources
4 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Successful
NPS
9
NPS
7
Age 35 - 36
2 IUI
1 IVF
Unexplained
European
Income $500K+
Only Doc Seen
Strongly Recommends
Neutral
Successful
[Dr. Thalia Segal] listened, explained everything (even multiple times when needed), and had a very thoughtful and clear communication style...called me personally later in the day when we found out our first positive pregnancy had a no heartbeat. Two years on, I still remember that phone call...She and the rest of the UCSF nursing team made what was one of the hardest days of my life bearable.
because UCSF is a large organization with its own silos there can be misses in the experience...we had to delay one procedure because someone in the back-office did not do what they said they would do to send an authorization request to my health insurance. It took active program management on my end keeping things on track and moving forward.
How was your experience with Thalia Segal at UCSF?
Dr. Segal helped us through one of the hardest experiences of our lives -- trying to get and stay pregnant. After we miscarried, we were set for the next transfer as I had just received my medications, but then Covid hit, and everything was put on hold, indefinitely. She called and emailed to check-in with us as time went by. She also helped navigate some of the challenges within the UCSF system. We now have an amazing daughter that I am so thankful for. I could not imagine going through this process without a doctor like Dr. Segal.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Dr. Segal is amazing but make sure she is/you are fully supported staff wise (nurse and coordinator).
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
Dr. Segal was amazing throughout the entire process. She listened, explained everything (even multiple times when needed), and had a very thoughtful and clear communication style. She also called me personally later in the day when we found out our first positive pregnancy had a no heartbeat. Two years on, I still remember that phone call. And while the scheduling wizards were on our side, she was the doctor who performed the D&C procedure, and I would not have wanted anyone else to do it. She and the rest of the UCSF nursing team made what was one of the hardest days of my life bearable.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
We attempted two rounds of IUI. Both were not successful. We advanced to IVF. For egg retrieval, stimulation phase we used Estrace, Gonal F, Menopur and Ganirelix. The trigger was HCG. After live transfer, I was on Medrol, Endometrin, Estrace and then a Valium (one-time). For our second transfer (FET), originally, we were going to do the "gold standard" which included progesterone in oil. But then Covid hit, and everything was put on hold. When we re-engaged with Dr. Segal a few months later as things were opening back up, we decided to forgo the progesterone protocol as we had two embryos frozen in the same tube and opted to transfer both. I cannot recall the specifics of the protocol the second round, but it was much lighter. Thankfully, one embryo took.
Describe your experience with your nurse at UCSF.
I think because Dr. Segal was a newer doctor, in the beginning she did not have a dedicated nurse, just a coordinator. So, it was a rocky start. Things improved once she had a dedicated nurse, although there were two nurses helping at times, which sometimes complicated things.
Describe your experience with UCSF.
UCSF does feel as though it's at the forefront of medical advancement. But because UCSF is a large organization with its own silos there can be misses in the experience. UCSF was the only clinic that was covered by my work's fertility benefit, so we made it work. But we had to delay one procedure because someone in the back-office did not do what they said they would do to send an authorization request to my health insurance. It took active program management on my end keeping things on track and moving forward. I imagine if you are self-paying, it is a much easier experience. But being covered by a fertility benefit made the experience at times extremely hard. The unseen benefit was my insurance provider (Aetna) had a nurse that I eventually discovered who helped me navigate the whole insurance filing process for both infertility and then for pregnancy.
Describe the costs associated with your care under Thalia Segal at UCSF.
Unfortunately, I do not. My work provided an infertility benefit that we were able to leverage. We did have to pay our deductible and then 10% of the costs. I believe we paid somewhere between $5k and $10k but cannot be more specific at this time.
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
I am thankful we decided to do multiple embryos the second time. We were a little worried about the idea of twins but also it helped us get going again after the Covid halt.
What specific things went wrong at UCSF?
  • Canceled a cycle due to clinic error
Describe the specific things that went wrong at UCSF.
I mentioned this earlier but we had to delay a procedure because we needed insurance authorization and the coordinator's coordinator (no one I had access to) did not fax paperwork when they said they would and a week later when I emailed my insurance provider to confirm everything, I discovered it had not been done. It took an escalation to the managing staff to get things back on track but by then, we had to delay the process a month. At the time, I was devastated.
9
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
7
Clinic
UCSF
San Francisco
NPS
Operations
3 of 5
Scheduling
4 of 5
Billing Department
3 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Successful
NPS
10
NPS
10
Age 36 - 37
2 Egg Freezing
Diminished Ovarian Reserve
Endometriosis
Tubal Blockage
South Asian
Income $100K - $199K
3rd of 3 Docs
IVF With Other Docs
1 Egg Freezing With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Segal treated me as she would treat herself...listened to me, my problems, and what i was hoping to get from the IVF process...extremely compassionate and has empathy...For me, I understood with IVF there was 50/50 chance of conceiving and [she] was transparent about that...trusted her for two of my cycles and i conceived in both, one cycle ended in miscarriage and the other to a beautiful baby boy.
Clinic [UCSF] itself is good. I dont like the accounting team, i was double charged for a surgery that i paid out of pocket and they continue to harass me for payment. After multiple back and forth and supervisor calls they admitted it was a mistake on their end. Not what an IVF patient needs...The nurse changed a few times, all were nice, however it was hard communicating...
How was your experience with Thalia Segal at UCSF?
Dr. Segal is a very nice person & a very competent provider. She is compassionate, has empathy towards her patients and treats her patient with respect and dignity. She treated me as if she would treat herself. I trusted her for two of my cycles and i conceived in both, one cycle ended in miscarriage and the other to a beautiful baby boy. I would recommend her to anyone who is having difficulty conceiving.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
IVF is not easy, it takes time, patience, energy and resources - take it one day at a time and keep a positive attitude. Do your research. Be transparent with your provider about your expectations and ask a lot of questions.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
Dr. Segal treated me as she would treat herself. She listened to me, my problems, and what i was hoping to get from the IVF process. She is extremely compassionate and has empathy. I trusted her whole heartedly. For me, I understood with IVF there was 50/50 chance of conceiving and Dr Segal was transparent about that. However, she has such a positive energy, i felt i was going to conceive on each of my cycles with her, which I did.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
FET with estrogen patches with agonist
Describe your experience with your nurse at UCSF. (Assigned nurse: Changed a few times)
The nurse changed a few times, all were nice, however it was hard communicating with the because i would hear back quick enough. Maybe don’t change nurses often and don’t overwork them.
Describe your experience with UCSF.
Clinic itself is good. I dont like the accounting team, i was double charged for a surgery that i paid out of pocket and they continue to harass me for payment. After multiple back and forth and supervisor calls they admitted it was a mistake on their end. Not what an IVF patient needs.
Describe the costs associated with your care under Thalia Segal at UCSF.
Most were covered by my health insurance. One surgery was not and i paid out of pocket onsite; however they billed my heath insurance again and my health insurance to me. I was charged twice. It was really annoying that they messed up my charges, after multiple calls and talk with supervisor, they fixed the problem. IVF patient already have a lot going on and this mistake on their end was a nuisance
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr. Segal knew my medical history and suggested no multiple embryo trasfer even though i would have wanted that. She was right, i ended up having a cerclage with a singleton, so i am grateful she helped me make the right choice.
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
1 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
7
NPS
6
Age 34
1 IVF
Unexplained
East Asian
Income $200K - $499K
Only Doc Seen
Neutral
Doesn't Recommend
Success w/ Doc Too early to know
16 eggs retrieved, 9 mature eggs, 7 fertilized, 6 grew to day 6 for biopsy + PGS, 1 euploid embryo [protocol with Dr. Thalia Segal]...While our diagnosis is unexplained infertility, Dr. Segal seemed to create a plan that made sense and explained anything I had questions about...The only complaints I had was that she wasn't aware of the conversation topic for a couple phone consults that were scheduled. Not sure if this was an issue with her team, but it didn't make for a great experience for those calls.
My understanding is that UCSF has very good technology, research and reputation. Their equipment is state of the art and we were able to be a part of a study that had low risks but saved us about $2500 that we would have spent anyways. That is why we chose UCSF. The issue here seems to be process and perhaps that they have WAY too many patients to manage. For instance, there are multiple forms that you must sign with a witness and no one makes sure that you have all of them at once and gets every single item signed at the same time. They are very disorganized and seemingly quite unaware of the issues. They are supposed to be fixing it and I hope they will so other people don't waste time and money. Make sure to advocate for yourself. Try your best to get an understanding of the bigger process and deadlines if you're on a tight timeline. Self pay medications with them are extremely affordable. I think friends that went to private clinics paid a lot more.
How was your experience with Thalia Segal at UCSF?
While I didn't see Dr. Segal much, every encounter in person or on the phone was pleasant. She answered every question I had, made sure I knew the benefits and the risks and was empathetic and informative. Overall really professional. The only complaints I had was that she wasn't aware of the conversation topic for a couple phone consults that were scheduled. Not sure if this was an issue with her team, but it didn't make for a great experience for those calls.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Be clear about your goals, ask a lot of questions.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
In person and on the phone, Dr. Segal (and every other person at UCSF CRH that I've been in contact with) is kind, informative and very helpful. While our diagnosis is unexplained infertility, Dr. Segal seemed to create a plan that made sense and explained anything I had questions about. The process at UCSF, however, is very flawed. It's not clear where you are in the process, who you are supposed to be in touch with, it takes on average 3 calls to get a phone call/email back. Expect for this to take longer than you think it will. I had my first appointment early April and was planning to do my first egg retrieval starting end of May and one day before cycle day 1, they called to tell me that they had to push to the next cycle. Needless to say I was quite unhappy about this as we were trying to get all this done as my insurance plan year is coming to a close. Apparently UCSF is working to fix some serious issues, but be warned - you must be an advocate for yourself and push them along. Maybe other teams are more organized but it really sounds like it's a UCSF thing not a team/Dr. specific issue.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
Skipped estrace priming, 4 days Menopur 150 IU/ Gonal F 150 IU, 5 days Ganirelix 250 mcg and Menopur 150 IU / Gonal F 75, cotrigger with 4mg Lupron/2500 units HCG. I had 2 lead follicles early in the process so skipping the estrace priming was probably a mistake and will be added to the next egg retrieval cycle. My estrogen level was a bit high so changed to cotrigger Lupron with HCG instead of only HCG. 16 eggs retrieved, 9 mature eggs, 7 fertilized, 6 grew to day 6 for biopsy + PGS, 1 euploid embryo
Describe your experience with your nurse at UCSF. (Assigned nurse: Teona)
I spoke to the nurse very rarely. Two issues happened - the nursing team couldn't call in my prescriptions in time for the first scheduled egg retrieval in early June. This was the reason my cycle was pushed out. Second issue, is that no one called with my 2nd blood draw numbers and so I didn't change my dosage. It's unknown whether a dosage change would have been needed but I was instructed after my 3rd blood draw that if I hadn't heard from anyone that day to call (even to ER line after hours) the day of a blood draw to confirm the dosage amounts.
Describe your experience with UCSF.
My understanding is that UCSF has very good technology, research and reputation. Their equipment is state of the art and we were able to be a part of a study that had low risks but saved us about $2500 that we would have spent anyways. That is why we chose UCSF. The issue here seems to be process and perhaps that they have WAY too many patients to manage. For instance, there are multiple forms that you must sign with a witness and no one makes sure that you have all of them at once and gets every single item signed at the same time. They are very disorganized and seemingly quite unaware of the issues. They are supposed to be fixing it and I hope they will so other people don't waste time and money. Make sure to advocate for yourself. Try your best to get an understanding of the bigger process and deadlines if you're on a tight timeline. Self pay medications with them are extremely affordable. I think friends that went to private clinics paid a lot more.
Describe the costs associated with your care under Thalia Segal at UCSF.
$15k fertility services charged to BCBS insurance, paid $8k out of pocket. $5k fertility prescriptions charged to BCBS insurance, paid $2500 out of pocket
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
UCSF always talks about the goal being a singleton pregnancy so I believe they will only implant 1 at a time. I'm also high risk due to autoimmune conditions so implanting 1 has been my expectation from the beginning.
What specific things went wrong at UCSF?
  • Lost paperwork
  • Failed to call with results
  • Failed to inform you of changes in protocol
  • Lost results
  • Failed to convey critical information
  • Canceled a cycle due to clinic error
7
Doctor
Thalia Segal
NPS
Humanity
2 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
3 of 5
6
Clinic
UCSF
San Francisco
NPS
Operations
2 of 5
Scheduling
3 of 5
Billing Department
3 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
10
NPS
10
Age 31
1 IVF
Male Factor
Unexplained
European
Income $50K - $99K
1st of 2 Docs
6 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr . Segal is extremely personable and down to earth . I felt an immediate connection with her as a human being . ... But always very straight forward in expectations and results. It was a great experience with her and I’m great til we are under her care . ... I was on a mini stimulation protocol. Unfortunately I still over responded to the medication
I honestly had a great experience with UCSF , they also offer a pharmacy discount program which helped us tremendously with the high cost of fertility medication. They are always friendly and in positive moods. I would highly recommend UCSF to anyone looking for infertility treatments. ... [Nursing Staff] Very friendly and Compassionate, always gets back to me in a timely manner.
How was your experience with Thalia Segal at UCSF?
Dr Segal is very down to earth and Compassionate. But always very straight forward in expectations and results. It was a great experience with her and I’m great til we are under her care . I would recommend her and UCSF to anyone needing infertility treatment .
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Nothing really other then to try and stay positive.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
Dr . Segal is extremely personable and down to earth . I felt an immediate connection with her as a human being .
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
I was on a mini stimulation protocol. Unfortunately I still over responded to the medication and had to cancel my gray embryo transfer and go to a frozen cycle . But I’m glad they were safe with me and my body .
Describe your experience with your nurse at UCSF. (Assigned nurse: Suvonne )
Very friendly and Compassionate, always gets back to me in a timely manner.
Describe your experience with UCSF.
I honestly had a great experience with UCSF , they also offer a pharmacy discount program which helped us tremendously with the high cost of fertility medication. They are always friendly and in positive moods. I would highly recommend UCSF to anyone looking for infertility treatments.
Describe the costs associated with your care under Thalia Segal at UCSF.
About $9,000
Describe Thalia Segal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Yes they are very into single embryo transfers with the high risk involved in multiple
10
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
2019, Consult
NPS
6
NPS
8
Age 29
Anovulation
PCOS
East Asian
Income $100K - $199K
2nd of 2 Docs
Doesn't Recommend
Neutral
Success w/ Doc Too early to know
Since I have PCOS which is her [Dr. Thalia Segal's] study direction, I think she provided me and explained some key findings to me clearly...for certain concerns she may not be able to answer and need consult other doctors...mini stimulation IVF, but so far I haven’t received my protocol or calendar...I had an initial consultation with Dr. Segal. She is a very nice person and answered my long list of questions one by one. I don’t think she is that experienced compared with other doctors in UCSF. But she will try to find the answer or consult Dr Cedars if necessary.
Ruth [nurse at UCSF] is nice however I don’t feel she follow up everything on a timely manner. Normally when u call them, it will be transferred to voicemail. You may get a call back within 2 days...Mini IVF costs around 6-7k, IVF one around is around 16k...is fully packed with tech and good staffs. The only thing is it’s a big hospital, so as a patient, you need know to keep track everything and push for the results. Otherwise you will be at loss and don’t know what’s your next step. So far, I haven’t experienced any billing issues. Just cannot get in touch with my care team made me but frustrated, already tried both patient portal and phone call.
How was your experience with Thalia Segal at UCSF?
Since I have PCOS which is her study direction, I think she provided me and explained some key findings to me clearly. The only thing is she is young and not that experienced, for certain concerns she may not be able to answer and need consult other doctors.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
Be prepared before your visit and know what do you really want to do.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
I had an initial consultation with Dr. Segal. She is a very nice person and answered my long list of questions one by one. I don’t think she is that experienced compared with other doctors in UCSF. But she will try to find the answer or consult Dr Cedars if necessary.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
I will go ahead with mini stimulation IVF, but so far I haven’t received my protocol or calendar.
Describe your experience with your nurse at UCSF. (Assigned nurse: Ruth)
Ruth is nice however I don’t feel she follow up everything on a timely manner. Normally when u call them, it will be transferred to voicemail. You may get a call back within 2 days. Or....you need call and push again...like what’s happening on me now.
Describe your experience with UCSF.
UCSF is fully packed with tech and good staffs. The only thing is it’s a big hospital, so as a patient, you need know to keep track everything and push for the results. Otherwise you will be at loss and don’t know what’s your next step. So far, I haven’t experienced any billing issues. Just cannot get in touch with my care team made me but frustrated, already tried both patient portal and phone call.
Describe the costs associated with your care under Thalia Segal at UCSF.
Mini IVF costs around 6-7k, IVF one around is around 16k.
6
Doctor
Thalia Segal
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
4 of 5
Compassion
4 of 5
Explained risks
3 of 5
Adaptability
3 of 5
8
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
2 of 5
Billing Department
4 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2019, Successful
NPS
10
NPS
10
Age 32 - 34
3 IUI
1 IVF
Unexplained
Ashkenazi Jewish
Income $100K - $199K
Doctor
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Segal was very communicative and warm...has also kept in touch over the years, which I really appreciate...hard not to feel like a number sometimes in a big system like UCSF, but those times were few and far between...took the time to provide relevant education and walk us through, step by step, what would happen. I even remember a time she drew a diagram for us, which I loved!...collaborative and respectful.
It's hard not to feel like a number sometimes in a big system like UCSF, but those times were few and far between...Great space, easy to get to with transit. Parking was sometimes annoying. The people drawing blood were great....I liked that the waiting area had little books and notes from other women struggling with infertility...
How was your experience with Thalia Segal at UCSF?
She was great. I really appreciated how she took the time to provide relevant education and walk us through, step by step, what would happen. I even remember a time she drew a diagram for us, which I loved! She was collaborative and respectful.
What's one piece of advice would you give a prospective patient of Thalia Segal at UCSF?
To not be afraid to talk openly about concerns. She is very collaborative. For example - I didn't want to use Clomid bs I was worried about the risk for multiples, and we talked in depth about the risks and benefits.
During treatment, were you treated like a number or a human with Thalia Segal at UCSF?
Dr. Segal was very communicative and warm. She has also kept in touch over the years, which I really appreciate. It's hard not to feel like a number sometimes in a big system like UCSF, but those times were few and far between.
Describe the protocols Thalia Segal used in your cycles at UCSF and their degree of success.
I don't remember!
Describe your experience with your nurse at UCSF.
They were great. I appreciated the financial navigator. The only thing missing was better access to mental health support
Describe your experience with UCSF.
Great space, easy to get to with transit. Parking was sometimes annoying. The people drawing blood were great. Nothing else I can think of! I liked that the waiting area had little books and notes from other women struggling with infertility
Describe the costs associated with your care under Thalia Segal at UCSF.
It was about $40k in total - we paid out of pocket for everything
10
Doctor
Thalia Segal
NPS
Humanity
4 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
7 of 5