This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
Our Dr. [Dr. Clemens Grossinsky] Was thorough with all of our options and very personable even gave us some tips to save money. I felt like he cared and answered all of my questions. I think I have found you have to ask a lot of questions because it comes so natural to them dealing with it every day... We started with 50mg of Clomid and timed intercourse. It was our decision as to where we wanted to start and based on expense we chose this first. The 50mg of Clomid didn’t Produce any eggs so we moved right to 100mg and I have 2 follicles ready. We did timed intercourse with trigger shot. We were unsuccessful and when I went back in I had a 4cm cyst so I am Sitting this month out.
The clinic [Kaiser San Francisco] is friendly. You will only see Dr. G if that is the day he is working otherwise it’s another Dr or nurse practitioner and the 2 that I saw were fantastic.... We started with 50mg of Clomid and timed intercourse. It was our decision as to where we wanted to start and based on expense we chose this first. The 50mg of Clomid didn’t Produce any eggs so we moved right to 100mg and I have 2 follicles ready. We did timed intercourse with trigger shot. We were unsuccessful and when I went back in I had a 4cm cyst so I am Sitting this month out.
How was your experience with Clemens Grosskinsky at Kaiser Permanente NorCal?
Our Dr. Was thorough with all of our options and very personable even gave us some tips to save money. I felt like he cared and answered all of my questions. I think I have found you have to ask a lot of questions because it comes so natural to them dealing with it every day
What's one piece of advice would you give a prospective patient of Clemens Grosskinsky at Kaiser Permanente NorCal?
Ask a lot of questions to ensure you fully understand everything that is being explained to you.
During treatment, were you treated like a number or a human with Clemens Grosskinsky at Kaiser Permanente NorCal?
He was thorough in his exploration of everything and trued to relate
Describe the protocols Clemens Grosskinsky used in your cycles at Kaiser Permanente NorCal and their degree of success.
We started with 50mg of Clomid and timed intercourse. It was our decision as to where we wanted to start and based on expense we chose this first. The 50mg of Clomid didn’t Produce any eggs so we moved right to 100mg and I have 2 follicles ready. We did timed intercourse with trigger shot. We were unsuccessful and when I went back in I had a 4cm cyst so I am
Sitting this month out.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Friendly patient thorough
Describe your experience with Kaiser Permanente NorCal.
The clinic is friendly. You will only see Dr. G if that is the day he is working otherwise it’s another Dr or nurse practitioner and the 2 that I saw were fantastic. I was able to be billed for everything and that was nice for financial purposes
Dr Moy seemed sympathetic to some of the emotional pain of infertility and patiently answered all of our questions. Kaiser as a system is very procedure based, and progress can be slow if the system doesn't really work for you. Kaiser doctors generally seem to rely heavily on protocol, and less on their own observations and decision making...Still early in treatment, but recommended 3 IUI and then an IVF and then reevaluate.
Kaiser is highly regimented. It's very efficient and relies on protocol, which works most of the time. But it works less well in terms of listening to patients and responding to them....Pricing is clear and information is easy to find...Kaiser as a system is very procedure based, and progress can be slow if the system doesn't really work for you. Kaiser doctors generally seem to rely heavily on protocol, and less on their own observations and decision making.
How was your experience with Irene Moy at Kaiser Permanente NorCal?
We are still early stage in infertility, so we haven't actually undergone any treatment. Dr. Moy was efficient in treatment and took time to explain things. I already wrote a general impression in response to another answer.
What's one piece of advice would you give a prospective patient of Irene Moy at Kaiser Permanente NorCal?
Dr Moy is only as good as the kaiser system.
During treatment, were you treated like a number or a human with Irene Moy at Kaiser Permanente NorCal?
Dr Moy seemed sympathetic to some of the emotional pain of infertility and patiently answered all of our questions. However, Kaiser as a system is very procedure based, and progress can be slow if the system doesn't really work for you. Kaiser doctors generally seem to rely heavily on protocol, and less on their own observations and decision making.
Describe the protocols Irene Moy used in your cycles at Kaiser Permanente NorCal and their degree of success.
Still early in treatment, but recommended 3 IUI and then an IVF and then reevaluate.
Describe your experience with Kaiser Permanente NorCal.
Kaiser is highly regimented. It's very efficient and relies on protocol, which works most of the time. But it works less well in terms of listening to patients and responding to them.
Describe the costs associated with your care under Irene Moy at Kaiser Permanente NorCal.
I have an info sheet somewhere, but don't remember offhand. Pricing is clear and information is easy to find.
She is knowledgeable, has great bedside manner, and is honest without being cold... Dr. Moy has a lot of experience and will work with results/information obtained from the first cycle to make changes to subsequent cycles.
I apparently ran out of lab orders and so when I went to the lab one Saturday AM, I couldn't get my labs drawn before my ultrasound. It took about 30 mins to call the answering service so that they could take down ALL of my information and then have the on call nurse call me back so that she could do research on why I didn't have labs orders.
How was your experience with Irene Moy at Kaiser Permanente NorCal?
My husband and I loved Dr. Moy. We were very sad when after I got pregnant, she had to transfer my care to a general OBGYN. She is knowledgeable, has great bedside manner, and is honest without being cold. She made me feel very comfortable and had a lot of energy. She is easy to relate to. I didn't feel like I had to make small talk with her; the conversations came easily and that was important because you want to be as relaxed as you can during such a stressful time.
What's one piece of advice would you give a prospective patient of Irene Moy at Kaiser Permanente NorCal?
Don't get discouraged and change doctors/facility if the first cycle isn't successful. Dr. Moy has a lot of experience and will work with results/information obtained from the first cycle to make changes to subsequent cycles.
What specific things went wrong at Kaiser Permanente NorCal?
Failed to order appropriate test
Describe the specific things that went wrong at Kaiser Permanente NorCal.
Because I would have frequent labs done, the care team usually puts in multiple orders so that they don't have to do it every single time. I apparently ran out of lab orders and so when I went to the lab one Saturday AM, I couldn't get my labs drawn before my ultrasound. It took about 30 mins to call the answering service so that they could take down ALL of my information and then have the on call nurse call me back so that she could do research on why I didn't have labs orders. The problem was fixed and they finally put in lab orders for me.
He [Dr. Huang] spoke to me as an individual and not as a number. He gave me options and let me choose... He was a great communicator through the phone. I did not see him often inside the office. He let me decide what my next step could be and asked how I felt about it. He let me express myself and heard me when I had concerns...I did letrozole for 5 days and then tried clomid for 5 days. Two cycles were timed intercourse and the others were iui.
Some if the nurse practitioners or other doctors [at Kaiser] had a difficult time to show empathy and made me feel like it was my fault. There was one nurse practitioner in the Santa Rosa office who was the most amazing person who was completely compassionate and let me cry my eyes out for a moment.... IuI were covered 50% but IVF is NOT covered at all and will cost $20,000 for my time. IUI with medications and follicle scan came to $500
How was your experience with Ivan Huang at Kaiser Permanente NorCal?
He was a great communicator through the phone. I did not see him often inside the office. He let me decide what my next step could be and asked how I felt about it. He let me express myself and heard me when I had concerns
What's one piece of advice would you give a prospective patient of Ivan Huang at Kaiser Permanente NorCal?
Ask many questions.
During treatment, were you treated like a number or a human with Ivan Huang at Kaiser Permanente NorCal?
He spoke to me as an individual and not as a number. He gave me options and let me choose
Describe the protocols Ivan Huang used in your cycles at Kaiser Permanente NorCal and their degree of success.
I did letrozole for 5 days and then tried clomid for 5 days. Two cycles were timed intercourse and the others were iui.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
They had some empathy. This is a very emotional journey and they were able to be compassionate
Describe your experience with Kaiser Permanente NorCal.
Some if the nurse practitioners or other doctors had a difficult time to show empathy and made me feel like it was my fault. There was one nurse practitioner in the Santa Rosa office who was the most amazing person who was completely compassionate and let me cry my eyes out for a moment.
Describe the costs associated with your care under Ivan Huang at Kaiser Permanente NorCal.
IuI were covered 50% but IVF is NOT covered at all and will cost $20,000 for my time. IUI with medications and follicle scan came to $500
He’s [Dr. Huang] kind and can be a bit in a rush with you. Seems to treat each cycle as a new one not being informed by the last cycle to make adjustments. Very conservative on treatment options and not willing to think out of the box...Very conservative on treatments. Very hesitant to listen to patient needs. Kind and calm. Irritating to work with as he won’t get ‘cerative’ In his treatment ideas. Very much a protocol for all and if that doesn’t work then he can’t help
All staff [at Kaiser - San Francisco] take time with you sand are personable. Can be busy. Not open on Sunday’s...[Nursing Staff] Kind and hopeful with us. Very patient...10k total includes meds...[Dr. Huang] Very conservative on treatments. Very hesitant to listen to patient needs. Kind and calm. Irritating to work with as he won’t get ‘cerative’ In his treatment ideas. Very much a protocol for all and if that doesn’t work then he can’t help...
How was your experience with Ivan Huang at Kaiser Permanente NorCal?
He’s kind and can be a bit in a rush with you. Seems to treat each cycle as a new one not being informed by the last cycle to make adjustments. Very conservative on treatment options and not willing to think out of the box.
What's one piece of advice would you give a prospective patient of Ivan Huang at Kaiser Permanente NorCal?
If you don’t need some creative out of the box thinking kind of treatment, then he’s fine.
During treatment, were you treated like a number or a human with Ivan Huang at Kaiser Permanente NorCal?
Very conservative on treatments. Very hesitant to listen to patient needs. Kind and calm. Irritating to work with as he won’t get ‘cerative’ In his treatment ideas. Very much a protocol for all and if that doesn’t work then he can’t help
Describe the protocols Ivan Huang used in your cycles at Kaiser Permanente NorCal and their degree of success.
1st cycle was 7.5 mg letrozole, IUI
2nd cycle was 10.5 mg letrozole, IUI
3rd cycle was 10.5 mg letrozole , IUI
4th cycle was 150 mg Clomid, IUI
5th cycle was 150 mg Clomid, IUI
6th cycle was 150iu Gonal F, 75 Menapour, IUI- Over stim- bust
7th cycle, EPP, 150 Gonal F 75 Menapour, IUI.
Describe your experience with your nurse at Kaiser Permanente NorCal. (Assigned nurse: Peters)
Kind and hopeful with us. Very patient
Describe your experience with Kaiser Permanente NorCal.
All staff take time with you sand are personable. Can be busy. Not open on Sunday’s
Describe the costs associated with your care under Ivan Huang at Kaiser Permanente NorCal.
10k total includes meds
What specific things went wrong at Kaiser Permanente NorCal?
Direct and to the point, she [Dr. Irene Moy] gets the job done fairly efficiently. She was helpful in assisting us with our decision to do IVF instead of more IUIs. She was able to explain the evidence and also help us apply it to our situation.... Direct and to the point. Explained things well.... Didn't have too many interactions with the nurses other than the NP that did the actual IUI, who seemed nice enough....
Strengths - it's Kaiser, so if you're there, you probably have some kind of insurance coverage, which is always a good thing with infertility! Weaknesses - super expensive meds at the Kaiser pharmacy, I wish I had had some advanced notice so I could have shopped around earlier, but I needed the trigger that day, so no time to shop around or wait for meds to ship!
How was your experience with Irene Moy at Kaiser Permanente NorCal?
Direct and to the point, she gets the job done fairly efficiently. She was helpful in assisting us with our decision to do IVF instead of more IUIs. She was able to explain the evidence and also help us apply it to our situation.
What's one piece of advice would you give a prospective patient of Irene Moy at Kaiser Permanente NorCal?
No complaints.
During treatment, were you treated like a number or a human with Irene Moy at Kaiser Permanente NorCal?
Direct and to the point. Explained things well.
Describe the protocols Irene Moy used in your cycles at Kaiser Permanente NorCal and their degree of success.
IUI with letrozole.
Better side effect profile than clomid.
Lower risk of multiples compared to injectables.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Didn't have too many interactions with the nurses other than the NP that did the actual IUI, who seemed nice enough.
Describe your experience with Kaiser Permanente NorCal.
Strengths - it's Kaiser, so if you're there, you probably have some kind of insurance coverage, which is always a good thing with infertility!
Weaknesses - super expensive meds at the Kaiser pharmacy, I wish I had had some advanced notice so I could have shopped around earlier, but I needed the trigger that day, so no time to shop around or wait for meds to ship!
Describe the costs associated with your care under Irene Moy at Kaiser Permanente NorCal.
Don't remember, but we had 50% insurance coverage and I think it came out to $200-$300 each IUI?
Describe Irene Moy's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
She [Dr. Moy] treated us with care and kindness, but was also forthright about percentages and potential issues. Dr. Moy kept a positive attitude, while also being very clear.
One of our eggs did get lost in the fertilization process [at Kaiser]. Which sounds dramatic, but with tiny tiny cells seems bound to happen sometimes. It did not affect the procedure - we were still able to transfer the planned number of embryos.
How was your experience with Irene Moy at Kaiser Permanente NorCal?
Dr. Moy kept a positive attitude, while also being very clear. I felt taken care of and like the process was in good hands, even though I wasn't in charge of every aspect of it.
What's one piece of advice would you give a prospective patient of Irene Moy at Kaiser Permanente NorCal?
She is excellent at returning emails, so don't be afraid to ask questions or follow up on a test you thought was scheduled. Once a test wasn't at the lab, and she saw my email and put in the order again before I was done at the pharmacy.
During treatment, were you treated like a number or a human with Irene Moy at Kaiser Permanente NorCal?
Dr Moy was always on top of the details of our case. She treated us with care and kindness, but was also forthright about percentages and potential issues.
What specific things went wrong at Kaiser Permanente NorCal?
Failed to order appropriate test
Lost or damaged samples
Describe the specific things that went wrong at Kaiser Permanente NorCal.
One of our eggs did get lost in the fertilization process. Which sounds dramatic, but with tiny tiny cells seems bound to happen sometimes. It did not affect the procedure - we were still able to transfer the planned number of embryos.
There was also one time when a lab test wasn't properly ordered, but the clinic was able to respond promptly and I didn't have to make a second trip.
He [Dr. Grosskinsky] is blunt and to the point. Lacks compassion but not on purpose. He is old school md practicing old medicine. He is raw and unfiltered. He is up front and no sugar coating. But sometimes truth hurt....He means well...Lack of compassion....Too small, not enough doctors. I feel they [Kaiser Permanente NorCal] have too many patients on there case load. Difficult to get in when you need. It would be nice to have more options of doctors. But its nice love the nurses. I love maria
Too small, not enough doctors. I feel they [Kaiser Permanente NorCal] have too many patients on there case load. Difficult to get in when you need. It would be nice to have more options of doctors. But its nice love the nurses. I love maria...Love love love the nursing staff...He [Dr. Grosskinsky] is blunt and to the point. Lacks compassion but not on purpose. He is old school md practicing old medicine. He is raw and unfiltered. He is up front and no sugar coating. But sometimes truth hurt....
How was your experience with Clemens Grosskinsky at Kaiser Permanente NorCal?
He is blunt and to the point. Lacks compassion but not on purpose. He is old school md practicing old medicine. He is raw and unfiltered. He is up front and no sugar coating. But sometimes truth hurt.
What's one piece of advice would you give a prospective patient of Clemens Grosskinsky at Kaiser Permanente NorCal?
He means well
During treatment, were you treated like a number or a human with Clemens Grosskinsky at Kaiser Permanente NorCal?
Lack of compassion.
Describe the protocols Clemens Grosskinsky used in your cycles at Kaiser Permanente NorCal and their degree of success.
I do not recall
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Love love love the nursing staff
Describe your experience with Kaiser Permanente NorCal.
Too small, not enough doctors. I feel they have too many patients on there case load. Difficult to get in when you need. It would be nice to have more options of doctors. But its nice love the nurses. I love maria
Describe the costs associated with your care under Clemens Grosskinsky at Kaiser Permanente NorCal.
Covered under medical insurance
What specific things went wrong at Kaiser Permanente NorCal?
Failed to call with results
Describe the specific things that went wrong at Kaiser Permanente NorCal.
He [Clemens Grossinsky] is a little bit eclectic but helps keep things positive and light. I’m performing the IUI he was not the most gentle and my wife experienced a little more discomfort than with the other doctors. I would certainly trust him with further treatments....During treatment he was always very kind, personal and helped us maintain hope for our goal....
Being Kaiser they have requirements that other clinics may not. Like requiring trying without treatment for a year before they will consider you a candidate for treatment. If you have good insurance, the cost is low considering the number of appointments you end up going to and all the medications....Quality Kaiser staff...He [Clemens Grossinsky] is a little bit eclectic but helps keep things positive and light. I’m performing the IUI he was not the most gentle and my wife experienced a little more discomfort than with the other doctors.
How was your experience with Clemens Grosskinsky at Kaiser Permanente NorCal?
He is a little bit eclectic but helps keep things positive and light. I’m performing the IUI he was not the most gentle and my wife experienced a little more discomfort than with the other doctors. I would certainly trust him with further treatments.
What's one piece of advice would you give a prospective patient of Clemens Grosskinsky at Kaiser Permanente NorCal?
Have a sense of humor
During treatment, were you treated like a number or a human with Clemens Grosskinsky at Kaiser Permanente NorCal?
During treatment he was always very kind, personal and helped us maintain hope for our goal.
Describe the protocols Clemens Grosskinsky used in your cycles at Kaiser Permanente NorCal and their degree of success.
Standard
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Quality Kaiser staff
Describe your experience with Kaiser Permanente NorCal.
Being Kaiser they have requirements that other clinics may not. Like requiring trying without treatment for a year before they will consider you a candidate for treatment. If you have good insurance, the cost is low considering the number of appointments you end up going to and all the medications.
[Dr. Clemens Grosskinsky] will do ultrasound...prescribe me clomid and injection and set me up for another day and time of appt....then IUI...then blood works....He’s a very good Doctor maybe it wasn’t really my time yet. He understand and very patient with me...He had everything checked on me but nothing works. He knows and understand that IVF is something we cannot afford...Been his patient for almost 3 years now but nothing works for me.
They [staff at Kaiser Permanente NorCal] messed up with my appts. sometimes. And there are times that while doing the procedure I feel uncomfortable coz everytime there’s different Nurse or Nurse assistant around.But they’re all professionals...Very clean and welcoming clinic to go in. Receptionist are warm and friendly. Its just awkward that sometimes I would carry the sperm container while going inside since clinic is quit small so as soon as you walk in if there are other patient or couple sitting there they’ll definitely see what your up too.
How was your experience with Clemens Grosskinsky at Kaiser Permanente NorCal?
He’s very good in what he does. Very polite and understanding. Up to the point he even consider my insurance issues. I have been seeing him so many times and was seen by his other colleague Dr.Tan and Dr.Telles. He had everything checked on me but nothing works. He knows and understand that IVF is something we cannot afford.
What's one piece of advice would you give a prospective patient of Clemens Grosskinsky at Kaiser Permanente NorCal?
Be more aggressive interms of treatment especially in my case. Been his patient for almost 3 years now but nothing works for me.
During treatment, were you treated like a number or a human with Clemens Grosskinsky at Kaiser Permanente NorCal?
He’s a very good Doctor maybe it wasn’t really my time yet. He understand and very patient with me.
Describe the protocols Clemens Grosskinsky used in your cycles at Kaiser Permanente NorCal and their degree of success.
My full blast first day I call the clinic for appt. Dr. will do ultrasound prescribe me clomid and injection and set me up for another day and time of appt. then IUI then blood works.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
They messed up with my appts. sometimes. And there are times that while doing the procedure I feel uncomfortable coz everytime there’s different Nurse or Nurse assistant around.But they’re all professionals.
Describe your experience with Kaiser Permanente NorCal.
The clinic in Kaiser San Ramon is the nearest Infertility clinic from where we live. Very clean and welcoming clinic to go in.
Receptionist are warm and friendly. Its just awkward that sometimes I would carry the sperm container while going inside since clinic is quit small so as soon as you walk in if there are other patient or couple sitting there they’ll definitely see what your up too.
Describe the costs associated with your care under Clemens Grosskinsky at Kaiser Permanente NorCal.
My insurance is under my employer. I pay copays but interms of medications I already max out the lifetime amount my insurance can pay for my meds specifically for Infertility clinic. But procedures and doctors fee I pay copays only.
Describe Clemens Grosskinsky's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
No comment. I just did couple of IUI.
What specific things went wrong at Kaiser Permanente NorCal?
Lost appointments
Failed to order appropriate test
Scheduled the wrong procedure
Describe the specific things that went wrong at Kaiser Permanente NorCal.
It only happen twice they schedule wrong procedure and mistaken my appt.time
Dr Irene Moy was nice the few times I visited her at her office, but always seemed to be rushing which was not pleasant. I felt like I had no time and she couldn’t waster hers, so I was always a bit stressed I forgot questions to ask as my time slot was timed and limited...I had some examination but clearly not made properly and not enough to diagnose the real issue which was adenomyosis.
Nurses [of Kaiser Permanente NorCal] were super nice and warm...Very good, nothing to complain about clinic. I complain about the doctor approach and that she didn’t fought for us to reimburse us from her fail diagnosis which cost me 4 ivf for nothing. It is unfair that she didn’t understand... I felt like I had no time and she couldn’t waster hers, so I was always a bit stressed I forgot questions to ask as my time slot was timed and limited. Always felt time pressure.
How was your experience with Irene Moy at Kaiser Permanente NorCal?
Well we paid a lot of money for 4 ivf with Dr Moy that were all unsuccessful. The reason why was not found by Dr Moy. Why? Lack of experience or lack of proper diagnostic... I only rely on facts and we tried a 5th Ivf with another doctor which was successful because that other doctor found after making examination that I suffered adenomyosis (which affects my uterus lining preventing embryo’s implantation). So I was treated for 3 months before starting a cycle of ivf and I became pregnant (my son is 1 year old now). So Dr Moy kept making ivf and billing us, and failed to diagnose the adenomyosis. We waisted 4 cycles of good embryos, 2 years of our time, lots of emotion (after the 4th failure she suggested I should use a surrogate) and a lot of money. We asked Kaiser to refund us , they denied our request, saying the doctor has no results obligation but she had obligation of performing her job no? How come another experienced doctor found it right away and she didn’t after 4 failed ivf transfers? Very unprofessional and unfair we didn’t get a refund, even partially as we spent $30k.
What's one piece of advice would you give a prospective patient of Irene Moy at Kaiser Permanente NorCal?
Try and see then don’t over try, change doctor.
During treatment, were you treated like a number or a human with Irene Moy at Kaiser Permanente NorCal?
Dr Irene Moy was nice the few times I visited her at her office, but always seemed to be rushing which was not pleasant. I felt like I had no time and she couldn’t waster hers, so I was always a bit stressed I forgot questions to ask as my time slot was timed and limited. Always felt time pressure.
Describe the protocols Irene Moy used in your cycles at Kaiser Permanente NorCal and their degree of success.
The strategy was simple, I was young and had plenty of eggs, my husband was getting sperm retrieval, and we would do icsi and eggs retrieval then embryo transfer. I had some examination but clearly not made properly and not enough to diagnose the real issue which was adenomyosis. She kept transfering embryos which had no chance to implant since my lining was damaged by adenomyosis. A simple 3 month treatment would help and repair my lining for a transfer.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Nurses were super nice and warm.
Describe your experience with Kaiser Permanente NorCal.
Very good, nothing to complain about clinic. I complain about the doctor approach and that she didn’t fought for us to reimburse us from her fail diagnosis which cost me 4 ivf for nothing. It is unfair that she didn’t understand. We trusted her experience and skills. Then telling me I should now use a surrogate after my 4th failed ivf broke my heart.
Describe the costs associated with your care under Irene Moy at Kaiser Permanente NorCal.
Dr. Sundaram took my case seriously - I had two prior failed egg retrievals. From our first appointment, it was clear that she had done her research and had an idea about what to adjust in my case. She was a calm and centered force who would clearly explain her rationale, but also was open to my thoughts and opinions...ask questions about her approach, and trust her! If something doesn't feel right, advocate for yourself. Dr. Sundaram is responsive and open to feedback.
I was nervous about going to Kaiser for IVF services. I assumed that I'd be treated with a standard protocol and that everything would be based on the timing that was best for the medical team, rather than my body. On many occasions, it was clear that Dr. Sundaram had advocated for a different approach in my case, given that I had a history of two failed egg retrievals. I received a tailored protocol and my retrieval was timed when it was deemed best based on the data, not the clinic's schedules.
How was your experience with Viji Sundaram at Kaiser Permanente NorCal?
Dr. Sundaram took my case seriously - I had two prior failed egg retrievals. From our first appointment, it was clear that she had done her research and had an idea about what to adjust in my case. She was a calm and centered force who would clearly explain her rationale, but also was open to my thoughts and opinions.
What's one piece of advice would you give a prospective patient of Viji Sundaram at Kaiser Permanente NorCal?
Listen to her thoughts about your case, ask questions about her approach, and trust her! If something doesn't feel right, advocate for yourself. Dr. Sundaram is responsive and open to feedback.
During treatment, were you treated like a number or a human with Viji Sundaram at Kaiser Permanente NorCal?
Admittedly, I was nervous about going to Kaiser for IVF services. I assumed that I'd be treated with a standard protocol and that everything would be based on the timing that was best for the medical team, rather than my body. On many occasions, it was clear that Dr. Sundaram had advocated for a different approach in my case, given that I had a history of two failed egg retrievals. I received a tailored protocol and my retrieval was timed when it was deemed best based on the data, not the clinic's schedules.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
I was always able to reach someone and get a response the same day. They took time to answer my questions and I never felt rushed.
Describe your experience with Kaiser Permanente NorCal.
Kaiser SF's clinic is brand new and has great amenities. It's one of the nicest Kaiser facilities I've ever been in. Lots of space and privacy!
The waiting room is large but there are rarely more than 1-2 other people there.
Describe the costs associated with your care under Viji Sundaram at Kaiser Permanente NorCal.
My care was covered by my spouse's medical benefits plan
I appreciate Dr. Moy’s responsiveness via email. She’s a no-nonsense kind of doctor and states things as they are. It’s can be a little intimidating at first, but I appreciate the honesty...Using the mostly same protocol from a previous Kaiser doctor 2 years ago. She just upped the dosages. 200 Gonal F, and 150 Menopur for now...She’s very responsive via email/Kaiser app
Overall I think it [Kaiser Permanente NorCal] works great. You get in touch with your doctor via the Kaiser messaging app. You have to leave voicemails when you call the clinic and then a nurse will call you back...Great to work with! Call me back shortly after I leave voicemails...Using the mostly same protocol from a previous Kaiser doctor 2 years ago. 200 Gonal F, and 150 Menopur for now.
How was your experience with Irene Moy at Kaiser Permanente NorCal?
She’s a no-nonsense kinda of doctor and gives you the facts as they are, which can be intimidating for some but I also appreciate the honesty and forwardness. She’s very responsive via email/Kaiser app.
What's one piece of advice would you give a prospective patient of Irene Moy at Kaiser Permanente NorCal?
Ask questions!
During treatment, were you treated like a number or a human with Irene Moy at Kaiser Permanente NorCal?
I appreciate Dr. Moy’s responsiveness via email. She’s a no-nonsense kind of doctor and states things as they are. It’s can be a little intimidating at first, but I appreciate the honesty.
Describe the protocols Irene Moy used in your cycles at Kaiser Permanente NorCal and their degree of success.
Using the mostly same protocol from a previous Kaiser doctor 2 years ago. She just upped the dosages. 200 Gonal F, and 150 Menopur for now. Still in process.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Great to work with! Call me back shortly after I leave voicemails.
Describe your experience with Kaiser Permanente NorCal.
Overall I think it works great. You get in touch with your doctor via the Kaiser messaging app. You have to leave voicemails when you call the clinic and then a nurse will call you back. I imagine this is a way to filter calls by priority.
Describe the costs associated with your care under Irene Moy at Kaiser Permanente NorCal.
Dr. Huang was compassionate and a good communicator...We felt like he gave it to us straight and didn't waste our time exploring avenues that he knew weren't going to be an option for us...With hindsight, we wish he would have moved the process faster at certain points. It's hard to say whether that was in his control or just reflective of the pace at Kaiser.
We wish we could have moved to certain treatments faster, but that's one of the factors to consider at Kaiser -- depending on the urgency of your condition or need, you may be stuck waiting longer than you'd like for procedures to get scheduled...don't be afraid to follow up if the process is moving slower than you would like.
How was your experience with Ivan Huang at Kaiser Permanente NorCal?
Dr. Huang was compassionate and a good communicator. With hindsight, we wish he would have moved the process faster at certain points. It's hard to say whether that was in his control or just reflective of the pace at Kaiser.
What's one piece of advice would you give a prospective patient of Ivan Huang at Kaiser Permanente NorCal?
You should feel like you can trust him, but don't be afraid to follow up if the process is moving slower than you would like.
During treatment, were you treated like a number or a human with Ivan Huang at Kaiser Permanente NorCal?
We felt like he gave it to us straight and didn't waste our time exploring avenues that he knew weren't going to be an option for us.
Describe your experience with Kaiser Permanente NorCal.
We wish we could have moved to certain treatments faster, but that's one of the factors to consider at Kaiser -- depending on the urgency of your condition or need, you may be stuck waiting longer than you'd like for procedures to get scheduled.
Describe the costs associated with your care under Ivan Huang at Kaiser Permanente NorCal.
Dr. S. [Sundaram] is very thorough and very knowledgeable. I appreciated the fact that she always took the time to go through each option and present the pros and the cons...She took the time to go through my records and knew what I had already gone through at another clinic...Dr. S. always took the time to patiently work with us so that we felt like not only did she support us, but we were part of the decision making process. Each decision felt like we made as a team...
The nursing staff [at Kaiser Permanente NorCal] was ON IT. They followed up after every in-person visit with a phone call and took the time to make sure I didn't have any other questions. In addition, they were extremely reachable (Dr. S. included) through the email portal so I always felt like I had access to my care team. Every nurse I interacted with was nice and showed a lot of compassion...There is a whole cost sheet provided before treatment...You have a consult, you talk to billing, you move forward and get your calendar. For the "routine" procedures I was doing, they had everything covered and it was super clear what the process was. I always felt like I had ample notice for what was upcoming...
How was your experience with Viji Sundaram at Kaiser Permanente NorCal?
Dr. S. is very thorough and very knowledgeable. I appreciated the fact that she always took the time to go through each option and present the pros and the cons. In the beginning, we felt a little too much pressure to test the embryos from my retrieval, given that we had already expressed the desire not to. However, I understand that Dr. S was trying to set us up for the greatest chance of success. We had several points along the way where the direction was not clear. Dr. S. always took the time to patiently work with us so that we felt like not only did she support us, but we were part of the decision making process. Each decision felt like we made as a team.
In the instances where the outcome was not as expected, Dr. S. showed care, empathy, and disappointment alongside us as we worked towards a future plan.
What's one piece of advice would you give a prospective patient of Viji Sundaram at Kaiser Permanente NorCal?
Be clear and upfront with Dr. S. about any questions or concerns you have and talk through them with her. She's very open and supportive, but it isn't always clear how much experience someone has in their fertility journey and what support they need. When I first met Dr. S., I went through exactly what I did NOT receive at the last clinic, and Dr. S. made sure that those areas of concerns were addressed.
During treatment, were you treated like a number or a human with Viji Sundaram at Kaiser Permanente NorCal?
Dr. S. knew me and my partner. She took the time to go through my records and knew what I had already gone through at another clinic. She would ask about my partner when only I could attend appointments and seemed to thoroughly know and care about us as people, not just patients that come and go.
Describe the protocols Viji Sundaram used in your cycles at Kaiser Permanente NorCal and their degree of success.
We first did one fresh IVF cycle. On the day of transfer, only one of our two embryos was graded high enough to transfer and that did not yield a positive result. After that, we did a FET with embryos created at another clinic. There was a lot of back-and-forth about whether Kaiser would accept the embryos but one that was determined, we did a transfer and that resulted in a chemical pregnancy. We then stopped to re-evaluate and repeated a uterine ultrasound to confirm there were no polyps. From there we prepared for a 2nd FET with minimal changes to my medication and so far, that is progressing with a positive pregnancy.
How competent was Viji Sundaram at LGBTQ+ care?
I never had any issues or felt any microaggressions with Dr. S. She was very welcoming and inclusive, and showed a lot of care and empathy towards me and my wife. I always saw her as a huge advocate and ally and felt very comfortable with her given my family makeup.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
The nursing staff was ON IT. They followed up after every in-person visit with a phone call and took the time to make sure I didn't have any other questions. In addition, they were extremely reachable (Dr. S. included) through the email portal so I always felt like I had access to my care team. Every nurse I interacted with was nice and showed a lot of compassion. I did have one phone call with disappointing news that wasn't handled as best as it could have been and I discussed with Dr. S. and she was able to address. I've been super happy with these nurses and felt that they were all on the journey with me.
Describe your experience with Kaiser Permanente NorCal.
The clinic has a good process down. You have a consult, you talk to billing, you move forward and get your calendar. For the "routine" procedures I was doing, they had everything covered and it was super clear what the process was. I always felt like I had ample notice for what was upcoming.
Describe the costs associated with your care under Viji Sundaram at Kaiser Permanente NorCal.
There is a whole cost sheet provided before treatment. My IVF Fresh cycle was $16k and each FET was $4400 plus another $1100 processing fee for using embryos created elsewhere.
Describe Viji Sundaram's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
Kaiser has very strict protocols for what would qualify for multiple embryo transfer. We wanted to go this route but we did not qualify and ended up doing two single embryo transfers.
How competent was Kaiser Permanente NorCal at LGBTQ+ care?
Something as simple as a rainbow pin on a lanyard goes a long way. I always felt welcomed at this clinic and comfortable being myself.
Describe your experience using 3rd party reproduction (donor eggs, donor sperm, or gestational carrier) at Kaiser Permanente NorCal.
Worked out as well as it could given the process. It was fine.
My experiences with this clinic but specifically with Dr. Telles made me feel like a number: Dr. Telles was always at least 30 minutes late to every single appointment I had with her, long wait-list, poor follow-up for scheduling an appointment after "clearance". Once they make you aware of unsuccessful IVF and IUI, very little compassion. Feels like main goal is just to charge your insurance versus providing excellent fertility care. When procedure like IUI or IVF is unsuccessful, first comment is to blame the patient versus their (doctor's) ineptitude.
Clinic [Kaiser Permanente NorCal] could do better with scheduling appointments during the time when the doctor is actually available, not having you sit in the room for 30 minutes or more because the doctor is "running late". Clinic scheduling seemed to be overburdened. The wait-lists were very long and after receiving clearance, it took time to actually get an appointment on the calendar.
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles did not seem equipped or well prepared to advise me as her patient on the fertility process. She advised me on one occasion, to get hormone testing done so early in my cycle that when the results came back she was shocked at the high number, and almost made me skip a FET cycle. It wasn't until after she consulted with "the team" that she realized I tested too soon and had me retest which ultimately provided good results for me to move forward. If it wasn't for the other doctors on staff, I would have skipped another round of a FET cycle which could have been many months down the line. Dr. Telles, was always half an hour late to every appointment I had scheduled with her. The first cycle with her didn't even make it to an FET cycle because she informed me that after retrieval I had no viable embryos out of the 10 that were retrieved, she did not provide me with those results/documentation from the testing lab for my records. On the second failed FET cycle, she then went on to "explain" that maybe I have blocked tubes (even after my initial screening with her showed my tubes weren't blocked) and wanted me to undergo all kinds of unnecessary biopsies and surgeries on my uterus to see what can explain a second failed FET cycle. When I finally decided to go with another clinic after changing insurance and I informed her of this, she had no compassion towards me on my journey with her, she didn't wish me well or ask any questions. She scheduled me for so many additional appointments and lab tests that the costs became astronomical - I felt at this point, it was all about charging my insurance for as much as possible. As soon as I left to another outside (private) clinic, I did a natural FET cycle and got pregnant on the first attempt.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Show up to your appointments on time, don't treat patients like a number and have more compassion.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
My experiences with this clinic but specifically with Dr. Telles made me feel like a number: Dr. Telles was always at least 30 minutes late to every single appointment I had with her, long wait-list, poor follow-up for scheduling an appointment after "clearance". Once they make you aware of unsuccessful IVF and IUI, very little compassion. Feels like main goal is just to charge your insurance versus providing excellent fertility care. When procedure like IUI or IVF is unsuccessful, first comment is to blame the patient versus their (doctor's) ineptitude.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
The first FET cycle was a frozen embryo transfer (freeze-all). Birth control before starting FET cycle was for two months. Medications included: Ganirelix, Ovidrel, Follistim, Progesterone suppositories and injections, Estradiol patches. When this cycle failed, she wanted to basically do the same cycle after doing a biopsy on my uterus and include Lupron to the list of medications.
Describe your experience with your nurse at Kaiser Permanente NorCal.
The nursing staff for the most part were responsive and showed courtesy during office visits. They always made an excuse for Dr. Telles being late unfortunately but other than that, did not have a specific issue with the nursing staff. They were in general nice.
Describe your experience with Kaiser Permanente NorCal.
Clinic could do better with scheduling appointments during the time when the doctor is actually available, not having you sit in the room for 30 minutes or more because the doctor is "running late". Clinic scheduling seemed to be overburdened. The wait-lists were very long and after receiving clearance, it took time to actually get an appointment on the calendar.
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente NorCal.
Overall costs of total care for IVF resulted in $20,000+.
What specific things went wrong at Kaiser Permanente NorCal?
Dr. Telles was always familiar with my case prior to my appointments which made me feel followed closely. She responded promptly to my emails and was encouraging along the process despite having been given only 5-10% chance of conceiving...I had a lot of questions and she always took the time to answer them honestly even if it wasn’t what I wanted to hear
Kaiser REIS provides good care but be prepared because it takes awhile to get in for an initial consult (2+months). Be prepared to be your own advocate and ask for a different protocol if you don’t like the results you’re having. Ask about supplements and do your own research...Typical IUI cycle with injectable probably would’ve cost 4K-5K/cycle if had to pay out of pocket.
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles was always familiar with my case prior to my appointments which made me feel followed closely. She responded promptly to my emails and was encouraging along the process despite having been given only 5-10% chance of conceiving. Having hope during an already stressful time gave me something to hold on to.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Be your own advocate with ANY doctor. Do you research and ask questions. Much of our success I attribute to my own research and subsequent action.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles was very personable and knowledgeable. I had a lot of questions and she always took the time to answer them honestly even if it wasn’t what I wanted to hear. I would use her again in a heartbeat.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
I’ve done two medicated cycles with IUI and insemination. First cycle failed with just 150 Menopur and triggger. Only got 1 mature egg. Second cycle I advocated HARD for myself to do an atypical protocol. We did 225 Menopur starting on CD2-9, Omnitrope 1/2 vial/day CD 3-9, Ganirelix CD 6-9, and Ovidrel trigger on CD9. IUI 36 hours after trigger. We had 4 mature eggs at trigger and 2 took. My doctor said we did “IVF without the IVF”. Currently 12weeks, 5 days with twins.
Describe your experience with your nurse at Kaiser Permanente NorCal. (Assigned nurse: NP Cynthia Bellit and NP Rhea-Gomez)
NP Bellitt was delightful and pleasant. The bedside manner of Rhea-Gomez was less personable but her care was good. The rest of the nursing staff was very nice.
Describe your experience with Kaiser Permanente NorCal.
Kaiser REIS provides good care but be prepared because it takes awhile to get in for an initial consult (2+months). Be prepared to be your own advocate and ask for a different protocol if you don’t like the results you’re having. Ask about supplements and do your own research.
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente NorCal.
Copay first office visits and copay for meds. Typical IUI cycle with injectable probably would’ve cost 4K-5K/cycle if had to pay out of pocket.
Describe Tracey Telles's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
I believe Kaiser IVF prefers eSET but since I only did IUI, I’m not sure.
What specific things went wrong at Kaiser Permanente NorCal?
Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Kaiser Permanente NorCal.
The needles I needed for my injections were not ordered on a Friday and I had to run around on the weekend trying to get the correct ones ordered from another doctor that wasn’t a fertility specialist.
I feel so blessed that I got assigned Dr. Telles through Kaiser. She is extremely intelligent and very thorough when explaining procedures, risks, her recommendations and reasoning, etc. She was always happy to take extra time to answer all of our questions...no matter the situation I felt pretty happy leaving after I saw her...She wanted to minimize the amount of hormones she put me on due to the fact that they cause some pretty unpleasant side effects for me.
[The nursing staff at Kaiser] were very responsive when I would call with questions (sometimes of things I should've remembered). They were always pleasant and showed empathy. The nursing staff was also very thorough and went out of their way to ease a few of my worries...there are a lot of patients and it can sometimes be difficult to get an appointment that works with my teaching/school schedule.
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
I feel so blessed that I got assigned Dr. Telles through Kaiser. She is extremely intelligent and very thorough when explaining procedures, risks, her recommendations and reasoning, etc. She was always happy to take extra time to answer all of our questions. She connects with her patients on a personal level by asking questions and sharing her own stories. I always feel so much more at ease with this whole infertility journey after I leave Dr. Telles' office. I could not recommend her more.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Ask all the questions you have and she will most definitely answer them and explain them in ways that you can easily understand.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles spent time to answer all of my questions in detail and helped ease my fears and worries. She communicated with my husband and I well and on a consistent basis. She also connected with us on a personal level; asking questions and sharing stories. She was always pleasant to see and no matter the situation I felt pretty happy leaving after I saw her.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
We started with a natural cycle IUI. After that we added clomid. Then upped the dose of Clomid. This next cycle we were going to do an IUI with a different oral medication + injectibles (I can't remember the names). After looking at mine and my husband's numbers and test results, Dr. Telles didn't see anything to explain why we have had a hard time conceiving. She wanted to minimize the amount of hormones she put me on due to the fact that they cause some pretty unpleasant side effects for me. We did an IVF consultation and were about to get the tests for IVF approval before COVID19 crisis happened.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
They were very responsive when I would call with questions (sometimes of things I should've remembered). They were always pleasant and showed empathy. The nursing staff was also very thorough and went out of their way to ease a few of my worries.
Describe your experience with Kaiser Permanente NorCal.
I have had a very pleasant experience here, however, it seems there are a lot of patients and it can sometimes be difficult to get an appointment that works with my teaching/school schedule. The staff are very understanding though and always do their best to make it work. I'm very happy with Kaiser San Ramon!
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente NorCal.
All of my IUI and tests were covered 50% by my insurance. A general IUI cycle would cost us about 400$. I'm not sure how much our IVF consult was. IVF is not covered at all and we have been told it will cost us at least 30,000 when all is said and done.
Describe Tracey Telles's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
We discussed this during our IVF consult and she said she would recommend following the guidelines in place given my age.
Dr. Telles showed compassion and empathy for what I was going through. She agreed that it’s not fair for anyone to have fertility issues and she was very gentle during every ultrasound. She always asked how I was doing first but wasted no time coming up with a treatment plan for my partner and I. When it came time to move on rob IFV she explained the process in an easy to digest way but also reassured me that I was strong enough to handle it.
The clinic [Kaiser Permanente] was very clean and orderly. It was spacious and felt very private. It was occasionally hard to navigate because it was so big. There was something about it that felt cold and unfriendly, I would have preferred if the clinic had some type of interior decoration or anything to make it more cheerful and less clinical and dreadful. ...
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles showed compassion and empathy for what I was going through. She agreed that it’s not fair for anyone to have fertility issues and she was very gentle during every ultrasound. She always asked how I was doing first but wasted no time coming up with a treatment plan for my partner and I. When it came time to move on rob IFV she explained the process in an easy to digest way but also reassured me that I was strong enough to handle it.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Write down all your questions and ask them, because she will sit down and answer every single one.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles took her time explaining treatment to me, she didn’t rush me, and helped me feel hopeful without misguiding me through my treatment.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
Tracey Telles had me move on from using only injectables for IUI cycles to injectables and clomid for IUI cycles. Before this transition I developed too many follicles and the cycle was cancelled, she then had me move on to IVF.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
The nursing staff did their jobs and always told me what to expect but they often seemed annoyed if I had questions or concerns.
Describe your experience with Kaiser Permanente NorCal.
The clinic was very clean and orderly. It was spacious and felt very private. It was occasionally hard to navigate because it was so big. There was something about it that felt cold and unfriendly, I would have preferred if the clinic had some type of interior decoration or anything to make it more cheerful and less clinical and dreadful.
Describe Tracey Telles's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
Tracey Telles prefers women to transfer 1 embryo but is willing to listen to anyone who would like to try 2.
What specific things went wrong at Kaiser Permanente NorCal?
Failed to call with results
Describe the specific things that went wrong at Kaiser Permanente NorCal.
A different doctor, not Tracey Telles, misinformed me on how much bed rest I needed after developing too many follicles.
He [Dr. Grosskinsky] was always asking how we were doing before he get to the next step of our treatment. He suggested what he thought was best but would still let me choose in the end what I wanted to do. I ... His communication was great. He worked with us on what was most cost effective for us. Some times it treatments and medication prices were overwhelming. He let us know I could get medications to get to my next appt then we could do an ultrasound to see how my body was doing.
I do feel like with kaiser thy do not want to find out the root of your infertility. ... Some of the nurses were great. Other were cold and shouldn’t be working in an infertility clinic. Some appt after IUI they would rush back in because they forgot paperwork or something in the room ... They kept pushing IVF even though we let them know that our insurance wouldn’t cover any of IVF. ...
How was your experience with Clemens Grosskinsky at Kaiser Permanente NorCal?
His communication was great. He worked with us on what was most cost effective for us. Some times it treatments and medication prices were overwhelming. He let us know I could get medications to get to my next appt then we could do an ultrasound to see how my body was doing. If we needed more meds we would go over it then and not to stress about it.
What's one piece of advice would you give a prospective patient of Clemens Grosskinsky at Kaiser Permanente NorCal?
To go with him his has great bedside manners and is very easy to talk to about treatments
During treatment, were you treated like a number or a human with Clemens Grosskinsky at Kaiser Permanente NorCal?
He was always asking how we were doing before he get to the next step of our treatment. He suggested what he thought was best but would still let me choose in the end what I wanted to do. If it was within reason.
Describe the protocols Clemens Grosskinsky used in your cycles at Kaiser Permanente NorCal and their degree of success.
We started with low dose Femara because of my history of migraines. We went in for IUI 1 and my body responded fairly well to Femara. IUI 1 failed. Over the course of our next 4 IUIs we added injections. The last IUI was only injectables. All IUIs did fail. We asked for another opinion from a urologist on my husbands sperm count. We were denied by several kaiser doctors. We decided to look outside of kaiser for another doctor whom we will be seeing next month.
I did not have any major side effects from medication. I was a little sick and my body was sore. But that was about it.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Some of the nurses were great. Other were cold and shouldn’t be working in an infertility clinic. Some appt after IUI they would rush back in because they forgot paperwork or something in the room
Describe your experience with Kaiser Permanente NorCal.
I do feel like with kaiser thy do not want to find out the root of your infertility. They run some test to make sure you don’t have blockages and normal Bloodwork. That’s about it my husband has low motility. And they don’t care to find out the cause of it and also what his actual sperm count is.
Describe the costs associated with your care under Clemens Grosskinsky at Kaiser Permanente NorCal.
Our insurance only overs 50% of IUI and some medications. When we went to our consult. They kept pushing IVF even though we let them know that our insurance wouldn’t cover any of IVF. The doctor almost insisted that we did that without any further testing. I didn’t like that because we were still told IUI was still a good option for us.
What specific things went wrong at Kaiser Permanente NorCal?
Provided conflicting information
Describe the specific things that went wrong at Kaiser Permanente NorCal.
I did had an issue with injections so I had to run back to the clinic. The nurse was unable to give me more info. The injection nurse left before my appt was even over. So the clinic was trying to frantically call her.
Dr. Tan has good bedside manner. He is the only doctor that does IVF cycles at this clinic so he is very busy.... I had a good experience with Dr. Tan. He performed my most recent IUI. I only had 1 follicle so I knew the chances were slim, but he still made me feel good about it. We discussed my potential IVF protocol as well. He also did my saline ultrasound and my mock transfer which all went well.... In 2015 when I was receiving treatment I saw Dr. Tan on my follow up ultrasound after 5 days
Kaiser - San Ramon is a small office with 3 doctor's and quite a few nurses. They're organized and efficient, which I like. I do think the clinic could use a few more doctor's because I think the doctor's that are there are overworked....The nursing staff is excellent. They're compassionate and organized. They make the schedule work for you, even if they're busy because they know how important a well timed treatment plan is.
How was your experience with Orkun Tan at Kaiser Permanente NorCal?
I had a good experience with Dr. Tan. He performed my most recent IUI. I only had 1 follicle so I knew the chances were slim, but he still made me feel good about it. We discussed my potential IVF protocol as well. He also did my saline ultrasound and my mock transfer which all went well.
What's one piece of advice would you give a prospective patient of Orkun Tan at Kaiser Permanente NorCal?
I would advise them that the only way you'll see him is if you're doing IVF or potentially doing IVF, as he pretty much only does IVF cycles. I would suggest they go in armed with questions.
During treatment, were you treated like a number or a human with Orkun Tan at Kaiser Permanente NorCal?
Dr. Tan has good bedside manner. He is the only doctor that does IVF cycles at this clinic so he is very busy. He still knew my daughter's name and some of my medical background so that was impressive. He is easy to talk to.
Describe the protocols Orkun Tan used in your cycles at Kaiser Permanente NorCal and their degree of success.
In 2015 when I was receiving treatment I saw Dr. Tan on my follow up ultrasound after 5 days of 50 mg clomid. I didn't have any growing follicles so he suggested stair stepping me to 100 mg clomid and when I went back after that I had a ton of follicles. I was pleased he didn't give up and kept my cycle going, because that cycle was successful!
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
The nursing staff is excellent. They're compassionate and organized. They make the schedule work for you, even if they're busy because they know how important a well timed treatment plan is.
Describe your experience with Kaiser Permanente NorCal.
Kaiser - San Ramon is a small office with 3 doctor's and quite a few nurses. They're organized and efficient, which I like. I do think the clinic could use a few more doctor's because I think the doctor's that are there are overworked.
Describe the costs associated with your care under Orkun Tan at Kaiser Permanente NorCal.
My infertility coverage is excellent for IUI's. I only pay a $10 deductible for IUI, ultrasound's, hsg, saline ultrasound, etc. and my meds are covered as well. However, if I move onto IVF everything is out of pocket.
Describe Orkun Tan's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
He's for eSET. Kaiser does not agree with multiple embryo transfers.
Dr. Grosskinsky is a good doctor. He's getting close to retirement so I don't think he has the same passion and drive that he used to, but he's still aggressive and obviously wants the best for his patients. I do feel like I had to be my own advocate at times and wish he had been a little more thorough in my treatment.... I have done IUI's with donor sperm. Dr. Grosskinsky did not think a natural cycle would be beneficial but I did one back in 2015 that didn't work. We then did clomid and I produced a lot of follicles and that cycle worked.
I go to the Kaiser infertility clinic in San Ramon. It's a smaller office and there are only 3 doctor's. I think the doctor's are overworked, which is one of the clinic's weaknesses. I think things could be run more efficiently if there were a couple more doctor's.... The nursing staff is excellent. They're on top of their stuff and get back to voicemails very quickly. They're helpful and informative!... I have insurance through Kaiser where I only pay a $10 deductive for IUI's
How was your experience with Clemens Grosskinsky at Kaiser Permanente NorCal?
Dr. Grosskinsky is a good doctor. He's getting close to retirement so I don't think he has the same passion and drive that he used to, but he's still aggressive and obviously wants the best for his patients. I do feel like I had to be my own advocate at times and wish he had been a little more thorough in my treatment.
What's one piece of advice would you give a prospective patient of Clemens Grosskinsky at Kaiser Permanente NorCal?
Be your own advocate! Do your own research and suggest new things to try.
During treatment, were you treated like a number or a human with Clemens Grosskinsky at Kaiser Permanente NorCal?
Dr. Grosskinsky has very good bedside manner and he definitely remembers details about me, my fertility history, and my family which makes me feel like a human. However, there are times when I think he could be a little more thorough in my treatment.
Describe the protocols Clemens Grosskinsky used in your cycles at Kaiser Permanente NorCal and their degree of success.
I have done IUI's with donor sperm. Dr. Grosskinsky did not think a natural cycle would be beneficial but I did one back in 2015 that didn't work. We then did clomid and I produced a lot of follicles and that cycle worked. I have a 2 1/2 year old daughter. We're trying for number 2 and I've done 6 failed IUI's. We've tried natural, clomid, combo cycle (clomid + injectables), and injectables. We've added in ganirelix to help with the timing, and all negative. Most of my IUI's have been 36 hours post trigger shot, so I'm thinking about trying a back-to-back IUI next to help with timing.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
The nursing staff is excellent. They're on top of their stuff and get back to voicemails very quickly. They're helpful and informative!
Describe your experience with Kaiser Permanente NorCal.
I go to the Kaiser infertility clinic in San Ramon. It's a smaller office and there are only 3 doctor's. I think the doctor's are overworked, which is one of the clinic's weaknesses. I think things could be run more efficiently if there were a couple more doctor's. I also hate that you are either an IUI patient or IVF patient. You can convert an IUI cycle to IVF should there be too many follicles, and only one doctor does IVF. This clinic has a lot of strength's too though. The nurses keep the place organized and I feel like they really care. I believe they have a good success rate too.
Describe the costs associated with your care under Clemens Grosskinsky at Kaiser Permanente NorCal.
I have insurance through Kaiser where I only pay a $10 deductive for IUI's, ultrasound's, etc. Bloodwork is free. I only pay $25 for injectables, and $10 for trigger shot or oral drugs. My insurance is great until I move onto IVF, and then everything is out of pocket, including medications. IVF will be about 14k with only a fresh transfer, and another 4k for medications.
Describe Clemens Grosskinsky's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
I have not done IVF yet but I know Kaiser is very against multiples.
Although Dr. Telles was very compassionate, she gave me false hope. With my initial consult, she suggested just doing an IUI and practically guaranteed that would work. A year and a couple months later and I’m still not pregnant. After asking a second doctor to look over my lab results, I found out I have a mild form of PCOS. I should have gone straight to IVF without wasting time, money, or heartbreak on IUI.... She had me try both clinics and femara for different cycles with an ovidrel shot and IUI.
Strength is really only for if your insurance is through then specifically and covers some of the meds by them [Kaiser NorCal]. That’s why I went to them. I didn’t have coverage for any other facility. Weakness is that they are a corporation and don’t seem like they really care about getting you pregnant. They just follow standard protocols without really looking into you as an individual or your specific needs.... It was a $30 copay for any visit for the ultrasounds and procedure for iui.
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
Although Dr. Telles was very compassionate, she gave me false hope. With my initial consult, she suggested just doing an IUI and practically guaranteed that would work. A year and a couple months later and I’m still not pregnant. After asking a second doctor to look over my lab results, I found out I have a mild form of PCOS. I should have gone straight to IVF without wasting time, money, or heartbreak on IUI.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Get a second opinion if you’re not pregnant within three cycles.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles was very nice and compassionate, acknowledging this as a very emotional journey.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
She had me try both clinics and femara for different cycles with an ovidrel shot and IUI.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Very friendly and always try to give the patients hope.
Describe your experience with Kaiser Permanente NorCal.
Strength is really only for if your insurance is through then specifically and covers some of the meds by them. That’s why I went to them. I didn’t have coverage for any other facility. Weakness is that they are a corporation and don’t seem like they really care about getting you pregnant. They just follow standard protocols without really looking into you as an individual or your specific needs.
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente NorCal.
My insurance covered most of the meds and the appointments. It was a $30 copay for any visit for the ultrasounds and procedure for iui. Meds were about $200-300 a cycle.
What specific things went wrong at Kaiser Permanente NorCal?
Failed to order appropriate test
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Kaiser Permanente NorCal.
They missed my PCOS diagnoses. Had I known that, I wouldn’t have wasted a year and a couple months on IUI procedures. I would have gone straight to Ivf.
Dr. Grosskinsky was amazing. He always had a personal conversation before getting down to the actually appointment and always remembered what we talked about in the appointment before. I loved him as a doctor and always felt comfortable.... He was very straight forward and honest about our issues and chances of IUI working. While at the same time truly caring about us as people. He really cared about us and never rushed us in and out or pushed anything or procedures on us. He listened and made a plans based on our needs. A great doctor.
The only weakness this clinic [Kaiser San Raomon] has is that it is a drive from my house, and that they don’t perform the IVF procedure at their location. The are kind, welcoming staff and truly care about their patients and do not rush or make you feel like a number.... The staff are amazing. Always welcoming, caring, kind and responsive. They cared about us and our needs and were always willingly to listen.... Our insurance covered 50% of the IUI procedure.
How was your experience with Clemens Grosskinsky at Kaiser Permanente NorCal?
He was very straight forward and honest about our issues and chances of IUI working. While at the same time truly caring about us as people. He really cared about us and never rushed us in and out or pushed anything or procedures on us. He listened and made a plans based on our needs. A great doctor.
What's one piece of advice would you give a prospective patient of Clemens Grosskinsky at Kaiser Permanente NorCal?
That he is a good doctor. He is caring and he is honest. He is a funny person and likes to tell jokes to him ease the situation.
During treatment, were you treated like a number or a human with Clemens Grosskinsky at Kaiser Permanente NorCal?
Dr. Grosskinsky was amazing. He always had a personal conversation before getting down to the actually appointment and always remembered what we talked about in the appointment before. I loved him as a doctor and always felt comfortable.
Describe the protocols Clemens Grosskinsky used in your cycles at Kaiser Permanente NorCal and their degree of success.
I only had IUI done by Dr. G and for the first treatment he had me on clomid and the second time he adjusted to Fermara because with clomid my uterual lining was a little thin.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
The staff are amazing. Always welcoming, caring, kind and responsive. They cared about us and our needs and were always willingly to listen.
Describe your experience with Kaiser Permanente NorCal.
The only weakness this clinic has is that it is a drive from my house, and that they don’t perform the IVF procedure at their location. The are kind, welcoming staff and truly care about their patients and do not rush or make you feel like a number.
Describe the costs associated with your care under Clemens Grosskinsky at Kaiser Permanente NorCal.
Our insurance covered 50% of the IUI procedure. The ultra sounds out of pocket was around $100, the IUi itself I think was around $200 and the medication for each IUI was around $100 after insurance.
Dr. Tan was very upfront about the chances of our IUI procedures working and thoroughly explained why he suggested the different treatment options for my particular medical history and budget.When we decided to discuss IVF I appreciated that his recommendations were ethically based and focused on having one healthy child...I began using 100mg Clomid for our first cycle of IUI and after meager results we stepped it up to 150mg.
The wait to get into the Kaiser fertility clinic is long and it's important to advocate for yourself about beginning testing in order to book a consultation. Once I was accepted to the clinic it was fairly easy to book appointments and speak with nurses when I called...Our insurance did not cover any part of our treatment and per IUI cycle I believe we spent about $1000-$1200 depending on how many ultrasounds I had.
How was your experience with Orkun Tan at Kaiser Permanente NorCal?
Dr. Tan was very upfront about the chances of our IUI procedures working and thoroughly explained why he suggested the different treatment options for my particular medical history and budget. When we decided to discuss IVF I appreciated that his recommendations were ethically based and focused on having one healthy child.
What's one piece of advice would you give a prospective patient of Orkun Tan at Kaiser Permanente NorCal?
Come to visits prepared with questions and don't be afraid to speak up. Also, ask in your initial visit about any supplements that he may recommend for you.
Describe the protocols Orkun Tan used in your cycles at Kaiser Permanente NorCal and their degree of success.
I began using 100mg Clomid for our first cycle of IUI and after meager results we stepped it up to 150mg.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Very friendly and welcoming. They definitely put me at ease.
Describe your experience with Kaiser Permanente NorCal.
The wait to get into the Kaiser fertility clinic is long and it's important to advocate for yourself about beginning testing in order to book a consultation. Once I was accepted to the clinic it was fairly easy to book appointments and speak with nurses when I called.
Describe the costs associated with your care under Orkun Tan at Kaiser Permanente NorCal.
Our insurance did not cover any part of our treatment and per IUI cycle I believe we spent about $1000-$1200 depending on how many ultrasounds I had.
Describe Orkun Tan's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
Dr. Tan recommends eSET for the health of the mother and child.
What specific things went wrong at Kaiser Permanente NorCal?