Yanett Anaya

Dr. Anaya has been very caring and open with us. She has adjusted treatments to make us more successful (I.e. adjusted hormone dosage during 2nd egg retrieval, had me do an endometrial biopsy to see if endometriosis was present to treat during COVID-19 pause). She could have been more thorough with getting to the endometriosis diagnosis in the front end and not after a failed embryo transfer.

Be very thorough with your symptoms and do your research before the meeting/call with her as she’s great about debunking info and creating a treatment plan that everyone is comfortable with.

For the 2 egg retrievals, we yielded 43 eggs that became 4 embryos. The first transfer was 21 to 1 embryo which is why we opted for a 2nd round in which she modified one of the hormone doses (increased, forgot which one) and we had 22 to 3 embryos. We’ve only had 1 transfer which was unsuccessful and we don’t really know why so, during this pause, I got an endometrial biopsy (which was incredibly painful) to determine if treatment for endometriosis was an option. A protein associated with endo was present so now I’m taking 2 monthly Lupron shots to slow down the endo and hopefully have a successful transfer in a few months.

My insurance through work has covered most of my treatments. I have paid for some medicines, the genetic testing for my husband and I and the endometrial biopsy out of pocket (under 5k).

From what I’ve gathered, at UCSF they prefer to do single embryo transfers since the likelihood of a live birth (our goal) is higher.

Dr. Anaya is thoughtful and supportive. My IVF journey has been a very twisted path. There have been several complications (discovery of Hashimoto's disease and a septate uterus) and poor outcomes to procedures (first IVF we retrieved 32 eggs but only 1 passed PGS testing). Whenever I expressed concern or doubt about the route we were taking, Dr. Anaya explains all the options, the pros and cons of the options, and the studies/or lack of studies supporting it. She is detailed and blunt but done in a compassionate and caring way. She understands its a hard road and practices patience with patients. However, she is very busy and splits her time between two clinics. Sometimes she is not available when you wish she was. But if you ask to talk to her, the care team always gets in contact with her and schedules a time for you. When you are talking to Dr. Anaya, you have her full attention and she never rushes a conversation.

The one piece of advice I would give a prospective patient is to speak up, ask questions and advocate for yourself. However, I would probably give this advice to anyone talking to any medical provider.

IUI #1 = Clomid, 2 folicles, no pregnancy IUI #2 = Clomid, 4 folicles, no pregnancy IUI #3 = Letrozole, 2 folicles, no pregnancy - switched to see if outcome would change IVF retrieval #1 = BC primer, 150 menopur, 225 gonal-F, later added ganerelix, used lupron during trigger shot ==> resulted in 32 eggs retrieved, 24 fertilized, 17 Day 3 embryos, 6 blastocyst sent to PGS testing, ONLY ONE NORMAL My husband, myself, and Dr. Anaya were all disappointed. We talked about doing another IVF round with the same protocol or with a changed protocol. I pushed for a more mild protocol and Dr. Anaya worked with me. IVF retrieval #2 = Estrace & lupron injection primer, 150 menopur, 150 gonal-F, stimed longer, used an HCG trigger ==> resulted in 33 eggs retrieved, 24 fertilized, 17 Day 3 embryos, 6 blastocyst sent to PGS testing, 4 tested normal FET #1 = First embryo died in thawing process; Estrace patches (1,1,2,4,4,3,2,1) and progesterone injections, 1 embryo transferred ==> no pregnancy UCSF and Dr. Anaya prefer playing it conservatively, only transferring 1 embryo at a time. I agree and prefer this approach. Three embryos remaining and I am currently doing an ERA test. Story is to be continued

UCSF and Dr. Anaya prefer playing it conservatively, only transferring 1 embryo at a time. I agree and prefer this approach. I think this is particularly a good approach for my situation, no previous pregnancies (even in miscarriage) and 35+.

Dr. Anaya is very positive, polite, thorough, and energetic. She understands the entire IVF process and wants it to be a comfortable and exciting experience for her patients. When I had concern about taking BC, she agreed to make a plan that would not use BC without hesitation. When I had concern about the IVF meds, she recommended the best way to order them at the cheapest price. When I had questions about coordinating my husbands sperm extraction, she took charge and contacted her boss as well as the urologist to coordinate the master plan (my previous doctor was not coordinating and there were too many contradicting plans from each provider). She makes me feel so much at ease, and I trust her completely!

You should want a provider who is completely involved, who uses all of her time with you in the appointment, and who involves the patient 100% in the process.

I myself do not have fertility issues, but my husband does. I do not know what my protocol was, but I remember that it was relatively basic. Cetrotide® 0.25 mg Follistim® 900 IU Menopur® 75 IU Ovidrel® 250 mcg

This was an efficient practice, and I only had to wait a little while. The window was only a few hours, so I was able to fit my scheduled around it.

my insurance only covered diagnostics (ovarian reserve analysis, ultrasounds, genetic testing, blood work, etc). I was offered a 20% discount for military service, so my estimated costs were $11,000 for egg retrieval + freezing and two cycles of implants, $1,950 for embryo genetic testing (up to 8) through contracted service, $6,000 for medications (egg retrieval cycle and implantation cycle, ordered overseas). My husband separately had to get a MESA which had an estimated cost of $10,000.

My provider's clinic promoted single embryo transfers, but I am choosing to get 2 implanted. Dr. Anaya is a bit hesitant due to the risks associated with a multiple pregnancy, and advises me it is safer to do just one. But, with our finances and timeline, my husband and I are going to do two which she will support. I know my doctor wants what is safest, and I truly appreciate her input for that.

Dr. Anaya is a dedicated, compassionate, and knowledgeable physician who we would recommend without hesitation. From the first moment she took over our care, she dedicated herself wholeheartedly to helping us surmount our infertility issues. She was always available to us for questions, explained courses of treatment and options thoroughly, researched and explored the latest scientific developments and options, respected our ethical boundaries, and, importantly, was kind, compassionate and supportive every step of the way. We had the resources and options to go to many practices but knew that the dedication she showed us as her patients would be difficult to beat.

Be proactive in your treatment and do not hesitate to ask questions. Dr. Anaya is a font of knowledge and helps her patients fully understand their treatment and options.

My treatment strategy involved a combination of an injectable competitive gonadotropin-releasing hormone antagonist and gonadotropin with oral steroids and human growth hormone.

I was double covered under my husband's and my health insurance so I am unsure about the exact cost to other patients. Our primary costs were the medications, which were purchased outside the clinic.

The practice strongly prefers single embryo transfer.

she listens to her patients. UCSF as a clinic is really good and trustworthy. It is sometimes difficult to get an appointment asap. However, if needed urgent care is available. She is a bit passive in approach - we had to also do our due deligence and ask her for additional tests. She would share her analysis and hypothesis. She would also share the facts and data supporting why next steps are taken.

Frozen embryo transfer - first with natural cycle and second with medicated. She diagnosed endometriosis and took very aggressive measures before second transfer.

It was covered by Progyny - however, we still paid like $10K out of pocket.

She prefers single and shared the risks and benefits.

While I did not see her for every visit (I expected this since it’s UCSF and they are a busy practice), the times I did see her she did not rush me and always answered every question I had and made me feel reassured. She even called me on my cell the evening of my trigger shot to make sure I understood everything that was to happen.

Ask a lot of questions as she is super patient and will give you clear expectations.

I remember it to be a mirror of my second protocol, antagonist w low dosage of stims.

My insurance covered $20k, I paid approx $7k out of pocket

She wanted to go with 5 since I produced quite a few this round and due to my age.