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.
Dr. Harris is thorough in his explanations for the current status of his treatments -- why a change in the medications he prescribes, the statuses of the follicles, and setting expectations for the numbers of eggs to be frozen...have set the expectation that I should have 7-8 mature eggs...cycle has been smooth, with the only major side effect I've felt from the drugs being bloating.
[Reproductive Science Center] was good. The front desk staff, the tech who drew my blood, and the nurse practitioner who did my ultrasounds were all friendly and pleasant to deal with...makes it a point to please avoid bringing one's children to the clinic as that might be sensitive for other patients
How was your experience with Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
I am nearing the end of my treatment, having gone through retrieval earlier today. Dr. Harris is thorough in his explanations for the current status of his treatments -- why a change in the medications he prescribes, the statuses of the follicles, and setting expectations for the numbers of eggs to be frozen. He is reassuring when I would like to be reassured. I appreciate talking to him as he is super outgoing and positive.
What's one piece of advice would you give a prospective patient of Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
Not sure. I can't think of any watch-outs or items that would be helpful to know before going in. Dr. Harris is thorough in answering your questions and explaining the "whys" behind your treatment.
During treatment, were you treated like a number or a human with Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
Dr. Harris was always incredibly warm in his communications with me. He has a very upbeat personality, and he always starts his interactions with me by asking a very "human" question -- how I am feeling (especially right after the retrieval), how many children I'd like to have (in our initial conversation), etc. He always makes sure to answer all of my questions when we are talking on the phone.
Describe the protocols Isiah Harris used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
I'm in my early 30s and undergoing egg freezing. I underwent 4 days where every night, I did two injections, one each, of two common FSH meds. Then, I did 6 nights of those two FSH meds, plus a third injection of a drug whose purpose was to suppress ovulation. This brings me to my trigger day, where in the afternoon, I did my normal dosage of that third drug, plus my normal dosage of one of the FSH meds. Dr. Harris explained to me that the purpose of the extra dosage of the FSH med was a "booster" to get my smaller follicles to grow. That evening, I did my two trigger shots. Retrieval yielded 10 eggs, and of those, Dr. Harris and the ultrasound techs have set the expectation that I should have 7-8 mature eggs. This cycle has been smooth, with the only major side effect I've felt from the drugs being bloating.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Laura Appeling)
My doctor was Dr. Harris, but I mainly communicated with Laura and Carla. They were both super responsive to me and did a good job of clearly communicating when they would be out of office, when they would be done with their shift, etc. so I would know to either leave a message in the portal or call the main line if I had any questions. They did a great job of making sure I knew my timelines for care. When I had an issue right after I did my trigger shots, they weren't online (I called the doctor on call, so that was fine) and they called me and messaged me first thing the next morning. In general, I felt comfortable asking them all sorts of "dumb questions" about treatment.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
The clinic was good. The front desk staff, the tech who drew my blood, and the nurse practitioner who did my ultrasounds were all friendly and pleasant to deal with. The physical locations I went to, San Mateo and San Ramon, were all clean and nice environments with music playing, candy jars, and wifi in the lobby. The clinic also makes it a point to please avoid bringing one's children to the clinic as that might be sensitive for other patients, which I thought was good practice. The clinic also does a good job of making sure that in the video modules you're required to watch before and during the process, you have a good understanding of the process and know what to expect on the day of retrieval. I also liked the 90 minute injection class I took because it made me feel a lot more prepared to do the injections.
In general, communications with the clinic were smooth since they took place over the patient portal and over the phone. After every phone call, Laura or Carla would leave a summary of the call in the portal so I could reference it later. Also, all of the instructions for doing the injections are very clear. Likewise, you can tell that the clinic really has all of the procedures, scheduling, etc. down to a science.
Describe the costs associated with your care under Isiah Harris at Reproductive Science Center (US Fertility Network clinic).
My insurance covered most of the costs. However, from the quote I got in the beginning of the process, the cycle fee for one round of egg freezing is about $9,000. I know I just barely hit my health insurance max of $10,000 for Rx fertility drugs. So, the cost of one cycle for me would have cost about $19k without insurance.
Dr. Homer is very human and caring for his patients. He is very warm and considerate. He always listens to the patients and explains about the treatment...professional, helpful and caring..a good sense of humor...as a very good bedside manner and always listens to his patients...unexplained reasons for infertility, but with his help, my first IVF baby is 2-year-old now and I'm pregnant with my second IVF...had 9 eggs retrieval, 7 were mature, 5 embryos and they all past the PGA test!
[Reproductive Science Center's] strength:good doctors, good nurses and good lab. RSC has a long history and is very professional in the Bay Area. the doctors are professional and experienced. The medical team is a strong team. weakness: billing team...my nurse Mei is responsible, caring and compassionate...monitoring appointments are efficient. There are a wide time slots for me to choose. Some monitoring scheduled on weekends
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr. Homer is professional, helpful and caring. He is very human and has a good sense of humor. He has a very good bedside manner and always listens to his patients. He tries his best to make the IVF process easier for his patients. I'm very lucky to choose him as my doctor on my IVF journey. Dr. Home did the egg retrieval (1 time) , hysteroscopic surgery (twice) and natural-cycle transfer (twice) for me. All of these are successful. I was diagnosed with unexplained reasons for infertility, but with his help, my first IVF baby is 2-year-old now and I'm pregnant with my second IVF baby at the moment. I certainly recommend Dr. Homer to other patients!
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Do your homework, learn some IVF information , get to know your body so that when you communicate to your doctor, you're more prepared and it will benefit your treatment.
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr. Homer is very human and caring for his patients. He is very warm and considerate. He always listens to the patients and explains about the treatment.
Describe the protocols Michael Vance Homer used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
I didn't remember the detain, I had 9 eggs retrieval, 7 were mature, 5 embryos and they all past the PGA test!
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Yes)
my nurse Mei is responsible, caring and compassionate. She helps me a lot during my IVF journey.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
strength:good doctors, good nurses and good lab.
RSC has a long history and is very professional in the Bay Area. the doctors are professional and experienced. The medical team is a strong team.
weakness: billing team
Describe your experience with your monitoring appointments at Reproductive Science Center (US Fertility Network clinic).
My monitoring appointments are efficient. There are a wide time slots for me to choose. Some monitoring scheduled on weekends I need to go San Ramon office which is a little far away for me but it's OK.
Describe the costs associated with your care under Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic).
I have very good fertility insurance and it cost me around $4000 in total.
Describe Michael Vance Homer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
Dr. Harris is a very kind doctor who made us feel comfortable...great attitude and excellent bedside manner...good at listening, explaining, and making you feel better...will often personally call you to relay information...very quick at getting back to us...willing to incorporate your suggestions.
[Reproductive Science Center] is fine...billing is not very clear. But overall it’s a good clinic. The after-hours line and on-call doctors are responsive and helpful...Sharon was a very nice nurse. She has a great attitude and is very friendly and helpful...$47,000 for 3 egg retrieval cycles with all the transfers needed
How was your experience with Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
Dr. Harris is a very kind doctor who made us feel comfortable. He has a great attitude and excellent bedside manner. It really feels like he cares. He is good at listening, explaining, and making you feel better. He will listen to your concerns and incorporate your suggestions. He makes you a part of the care team. He will often personally call you to relay information. He is very quick at getting back to us when we had concerns.
What's one piece of advice would you give a prospective patient of Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
Don’t hesitate on asking questions or expressing your concerns.
During treatment, were you treated like a number or a human with Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
Dr. Harris is a very kind, positive, patient and friendly guy. He treats you like a friend and he never makes you feel like you are an annoyance or bother. He has a very good attitude. He listens to your concerns, relieves your anxiety, and is willing to incorporate your suggestions.
Describe the protocols Isiah Harris used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
Egg retrieval: letrozole, gonal-F, menopur, trigger.
25 eggs
20 retrieved
16 mature
16 fertilized
12 blastocysts
11 PGT-A euploid
FET 1: modified natural (5 days letrozole, prometrium, hcg trigger) didn’t implant
FET 2: modified natural (moved transfer date to 6 days after trigger instead of 7). Chemical pregnancy
FET 3: 2 months of lupron depot and letrozole for endometriosis suppression before programmed FET. Doxycycline for empirical treatment of endometritis prior to FET. Vivelle patches, PIO 1ml daily, prometrium 200mg twice a day. Currently 8 weeks pregnant.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Sharon)
Sharon was a very nice nurse. She has a great attitude and is very friendly and helpful. She is very quick at responding to messages, relaying messages to the doctor, and is good at explaining things.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
The clinic is fine. It is kind of a long drive to go all the way to San Ramon for procedures. The billing is not very clear. But overall it’s a good clinic. The after-hours line and on-call doctors are responsive and helpful.
Describe the costs associated with your care under Isiah Harris at Reproductive Science Center (US Fertility Network clinic).
$47,000 for 3 egg retrieval cycles with all the transfers needed to use up the embryos from 3 cycles. I got pregnant in the first cycle. It’s a full refund program if it fails. I had to pay for meds, some labs, and ultrasound after I got pregnant out of pocket.
Describe Isiah Harris's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
Dr. Lee really impressed me with her intelligence and capability...agonist protocol. Adjust dosage during stimulation...understood my fears and arranged weekly ultrasound checks until graduation, which reassured me by showing my baby's healthy development
From what I know, the success rates of fertility treatments at RSC are very high, regardless of which doctor is involved; the outcomes are very good. Most people succeed in having a healthy baby after just one IVF cycle. Moreover, RSC operates on a shift system, which I think is more efficient.
How was your experience with Malinda Lee at Reproductive Science Center (US Fertility Network clinic)?
Dr. Lee really impressed me with her intelligence and capability. After three unsuccessful IUIs and one IVF with other doctors, where I only retrieved 7 eggs and ended up with just one PGT-passed embryo for implantation, I felt doubtful about its success due to my thin endometrium, which wasn't addressed by the previous doctors. That implantation ended in a biochemical pregnancy, leaving me deeply frustrated. I discovered Dr. Lee online and decided to contact RSC, even though there was a wait of over four months to see her. Fortunately, I got the chance to have a video consultation with Dr. Lee earlier than expected. After that, I promptly started treatment with her and soon became pregnant, with many healthy embryos frozen for future use, a far better outcome than my initial IVF experience.
I was still scared during the implantation because my first experience, where the only embryo retrieved resulted in a biochemical pregnancy, had left me with many anxieties. Dr. Lee understood my fears and arranged weekly ultrasound checks until graduation, which reassured me by showing my baby's healthy development. Her understanding and adjustments to address my concerns made me feel truly cared for, not just as a patient looking to conceive, but also emotionally supported.
I'm so glad I found Dr. Lee, and now I feel confident about my pregnancy.
What's one piece of advice would you give a prospective patient of Malinda Lee at Reproductive Science Center (US Fertility Network clinic)?
Dr. Lee is very professional and kind. Whenever I have questions, she answers all of them in detail. Her explanations are not only from a medical professional's perspective but also logically reasoned, which always makes it clear to me the purpose of the medications at each stage of the treatment. She makes me feel very trusted and reassured. I am so glad to have met Dr. Lee.
During treatment, were you treated like a number or a human with Malinda Lee at Reproductive Science Center (US Fertility Network clinic)?
Dr. Lee made me feel both kind and professional. She is very intelligent. When I was 32 and had a failed IVF cycle, I was quite discouraged and doubted myself. However, Dr. Lee not only encouraged me, but she also used logical and professional analysis to explain why I needed to proceed as advised. Whenever I hesitated, she patiently explained her reasons for choosing specific treatments. Following her protocol, I successfully became pregnant and had many healthy PGT embryos.
Describe the protocols Malinda Lee used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
agonist protocol. Adjust dosage during stimulation.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
From what I know, the success rates of fertility treatments at RSC are very high, regardless of which doctor is involved; the outcomes are very good. Most people succeed in having a healthy baby after just one IVF cycle. Moreover, RSC operates on a shift system, which I think is more efficient.
Describe Malinda Lee's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
I felt that Dr. Harris went above and beyond to personalize both my various treatment protocols, as well as delivery of updates and information. Everyone who meets him can attest to his infectious cheerful attitude - I’ve never felt more uplifted and relieved of my anxiety before a surgery than before my egg retrievals with Dr. Harris...personalized his approach to delivering updates for me. I wanted as much information as possible and he took time to explain in detail - which was comforting to me.
They [Reproductive Science Center] are very up to date with the latest research and I always felt they were making the best possible clinical decisions for me. Sometimes I got anxious waiting for updates that came a little later than I hoped, but it always eventually came and eventually I learned that a slightly delayed update did not imply bad news...They [RSC nurses] kept the process running smoothly and answered questions. They were very knowledgeable, kind and compassionate.
How was your experience with Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
Throughout my IVF experience, I was so grateful to have such an outstanding reproductive endocrinologist who not only showed me compassion and kindness but helped to ease my anxieties as best as they could be by providing me with a wealth of information about my process, even if it wasn’t always positive news. I felt that Dr. Harris went above and beyond to personalize both my various treatment protocols, as well as delivery of updates and information. Everyone who meets him can attest to his infectious cheerful attitude - I’ve never felt more uplifted and relieved of my anxiety before a surgery than before my egg retrievals with Dr. Harris.
What's one piece of advice would you give a prospective patient of Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
IVF treatment is so so hard under the best of circumstances and rest assured that you’re getting some of the best possible care with Dr. Harris and RSC (CDC reported success rates confirm this).
During treatment, were you treated like a number or a human with Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
Dr. Harris personalized his approach to delivering updates for me. I wanted as much information as possible and he took time to explain in detail - which was comforting to me.
Describe the protocols Isiah Harris used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
Primed with estrogen/progesterone oral birth control due to dominant follicle in first failed IVF cycle. Ovarian stimulation started at Menopur 150 units, Gonal F 225 units, cetrotide after day 5, Omnitrope to improve egg quality in both egg retrieval cycles under Dr. Harris. Dual HcG GnRH agonist trigger.
Results:
ER 2: 8 eggs retrieved, 5 fertilized, 2 day 6 2BB embryos that tested euploid were frozen.
ER 3: 19 eggs retrieved, 10 fertilized, 3 day 6 embryos, 1 5AA euploid, 1 6AB inconclusive PGT-A, 1 6BB aneuploid.
For my transfer I did a modified natural protocol with Letrozole, HcG trigger and progesterone suppositories 2x a day with a 2BB euploid. This transfer was successful and I’m currently pregnant (10 weeks 5 days).
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Carla, Laura, Jenny)
They kept the process running smoothly and answered questions. They were very knowledgeable, kind and compassionate.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
The biggest strength of this clinic is their success rates being a good deal higher than the national average, particularly for women of advanced age or with issues like ovulatory disorders or diminished ovarian reserve. They are very up to date with the latest research and I always felt they were making the best possible clinical decisions for me.
Sometimes I got anxious waiting for updates that came a little later than I hoped, but it always eventually came and eventually I learned that a slightly delayed update did not imply bad news.
Describe the costs associated with your care under Isiah Harris at Reproductive Science Center (US Fertility Network clinic).
Monitoring appts, consultations, egg retrieval procedure: $18.5k (2x)
Stimulation/trigger drugs: $5k (2x)
Transfer procedure: $4.5k (1x so far)
Describe Isiah Harris's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
Since my embryo was euploid the clinic mandates eSET.
Dr. Lee is kind and supportive. She answers your questions thoroughly without any judgment and ensures you have a clear understanding of your treatment. She has a good sense of humor and is highly competent. She genuinely cares about the well-being of her patients. She is reliable and responsive. She takes time to respond to emails...she genuinely wants to help and provide high-quality care tailored to your needs.
RSC clinic provides high-quality, compassionate care to patients and strives to meet their unique needs. The clinic is easily accessible, responds promptly to inquiries, and all staff members are warm and welcoming...The RSC team members I have communicated with have all been incredible thus far, with each of them being kind, helpful, and accessible...I cannot imagine going through this process without being in the care of Dr. Lee. She is gifted in creating a safe space where her patients feel heard, seen and supported.
How was your experience with Malinda Lee at Reproductive Science Center (US Fertility Network clinic)?
Dr. Lee is kind and supportive. She answers your questions thoroughly without any judgment and ensures you have a clear understanding of your treatment. She has a good sense of humor and is highly competent. She genuinely cares about the well-being of her patients. She is reliable and responsive. She takes time to respond to emails.
What's one piece of advice would you give a prospective patient of Malinda Lee at Reproductive Science Center (US Fertility Network clinic)?
Please do not be afraid to ask questions; she genuinely wants to help and provide high-quality care tailored to your needs.
During treatment, were you treated like a number or a human with Malinda Lee at Reproductive Science Center (US Fertility Network clinic)?
Dr. Lee is kind and thorough when answering questions and takes the time to get to know your unique needs as a patient, to understand your reproductive story and family-building goals.
Describe the protocols Malinda Lee used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
In the process of beginning treatment. Dr. Lee continues to be helpful and to keep me and my partner informed about the IVF process (which we will be beginning next week!). I cannot imagine going through this process without being in the care of Dr. Lee. She is gifted in creating a safe space where her patients feel heard, seen and supported.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Shannon)
My nurse, Shannon, is compassionate and knowledgeable. She genuinely cares for your well-being by ensuring all your questions are answered or relayed to Dr. Lee, checking in on you, and providing education on procedures, which shows through her attentive and supportive nature. The RSC team members I have communicated with have all been incredible thus far, with each of them being kind, helpful, and accessible.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
RSC clinic provides high-quality, compassionate care to patients and strives to meet their unique needs. The clinic is easily accessible, responds promptly to inquiries, and all staff members are warm and welcoming!
Describe the costs associated with your care under Malinda Lee at Reproductive Science Center (US Fertility Network clinic).
The cost of IVF is roughly about $19,000, with first visit with vaginal ultrasound costing roughly $375.
Dr. Harris always presented with warm bedside manners...very patient in answering a lot of my questions...would call me after my ultrasound and lab work results to let me know how I am doing and propose next steps...Follistim 150, Menopur started with 150, dropped to 75 after 3 days. Ganirelix started on day 6. Lupron trigger and pregnyl 36 hours before retrieval.
RSC has been a great clinic. Never any wait for monitoring appointments and well run. Contacting, scheduling, and payments were easy...only do egg retrievals in the San Ramon office...recently started having an on-site egg storage facility...Sharon was an absolute delight to have by my side as I went through the difficult and uncertain process
How was your experience with Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
Overall I felt well cared for, monitored, and promptly communicated on the plans. There was not much follow up after the retrieval process, I imagined there would be a follow up blood work or doctor appointment but there wasn't any. I was messaging with the nurse on the symptoms anyway and was starting to recover well, so perhaps there wasn't a need for any follow ups in my case. And I feel confident that if there was, it would have been easy to reach the doctor and the clinic. During the process, I felt like I could easily reach Dr. Harris if I had any questions or concerns. I tend to tread carefully and am a skeptic but throughout the process, the doctor understood me well and helped ease my concerns and explain the reason for choosing certain protocol or doses.
What's one piece of advice would you give a prospective patient of Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
If you are on the verge of egg-freezing decision, I highly encourage you set up an initial appointment with Dr. Harris and go through your situation. Ask as many questions as you like. Explain your needs and priorities and let the doctor know if you have any concerns and he can help suggest a direction for your case.
During treatment, were you treated like a number or a human with Isiah Harris at Reproductive Science Center (US Fertility Network clinic)?
Dr. Harris always presented with warm bedside manners and was very patient in answering a lot of my questions. Our initial consultation ran over time but he still answered my questions and explained my process and set the right expectations. During the cycle, he would call me after my ultrasound and lab work results to let me know how I am doing and propose next steps.
Describe the protocols Isiah Harris used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
Follistim 150, Menopur started with 150, dropped to 75 after 3 days. Ganirelix started on day 6. Lupron trigger and pregnyl 36 hours before retrieval.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Sharon Le)
Sharon was an absolute delight to have by my side as I went through the difficult and uncertain process. She never skips a beat, is always on top of communicating with me and reaching out to me with the lab results and next steps. Her emails are extremely detailed with links to videos for injections, and details on administering doses. She never left anything to vague communication. Also, she was very easily available on the phone. I never had a time when I wanted to reach out to Sharon and could not reach her. She is extremely prompt in replying to the messages on the portal too. Most cases, she replies within an hour, and I am always guaranteed to hear from her before she leaves for the day. She would also call me after every monitoring appointment to walk me through the medication plan that she emailed earlier to make sure I understood everything. Very compassionate, and caring throughout the process. I felt very lucky to be assigned her as a nurse case manager.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
Overall RSC has been a great clinic. Never any wait for monitoring appointments and well run. Contacting, scheduling, and payments were easy. They only do egg retrievals in the San Ramon office which was an hour long drive on the day of the retrieval but given this is a one-time activity, I didn't mind. The facilities on the clinic during the retrieval procedure felt great. They recently started having an on-site egg storage facility it seems in case you do not want to transport eggs.
Describe the costs associated with your care under Isiah Harris at Reproductive Science Center (US Fertility Network clinic).
From the beginning till the end, he [Dr. Michael Homer] never sent me message or called me to tell me anything about treatment, medications and risks. 2. The day after my surgery, he told me I only got two mature eggs, which is completely difference from which he said (he always said 10). He complained my ovary function is not good, never gave me a reasonable explanation. He told me go to another clinic find another doctor. He said to call me back, but he never called me back...before starting treatment, he didn't tell me any information related to the protocol, including the options, medications and risks. The case manager just started. Just pills and shots, no communication. I ended up being told an outcome that was complete different from what the doctor had described to me, and with no explanation.
Before my surgery [at Reproductive Science Center], nursing staff was good. But I was very disappointed at the end. After surgery, no one contacted me for days, no one asked how my body was recovering, no one told me should I take a follow-up exam. Although I told the case manager I felt pain, and my period something wrong, no one answered me...I don't think this is a tightly managed clinic that can improve quality care. They refused to give me details of my bill. When things go wrong, clinic dose not do much about it. They don't seem to care about patient satisfaction.
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
He is an inexperienced and irresponsible doctor, both in selecting treatment and communicating.
For treatment, I got second and third opinion from other experienced doctors, they all have different opinions compared with his. I was misdiagnosed as DOR.
For communication, before starting treatment, he didn't tell me any information related to the protocol, including the options, medications and risks. The case manager just started. Just pills and shots, no communication. I ended up being told an outcome that was complete different from what the doctor had described to me, and with no explanation.
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
I recommend that patients check reviews on line before choosing a doctor, and try to choose a doctor who has many years of experience in this field. See two more doctors and ask everything about protocol, medications and success rate.
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
1. From the beginning till the end, he never sent me message or called me to tell me anything about treatment, medications and risks.
2. The day after my surgery, he told me I only got two mature eggs, which is completely difference from which he said (he always said 10). He complained my ovary function is not good, never gave me a reasonable explanation. He told me go to another clinic find another doctor. He said to call me back, but he never called me back.
Describe the protocols Michael Vance Homer used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
Antognist protocol; Gonal-f 300iu; Menopur 150iu; Cetrotide; two weeks birth control pills as pre-cycle; Lupron trigger
Describe your experience with the nursing staff at Reproductive Science Center (US Fertility Network clinic).
Before my surgery, nursing staff was good. But I was very disappointed at the end. After surgery, no one contacted me for days, no one asked how my body was recovering, no one told me should I take a follow-up exam. Although I told the case manager I felt pain, and my period something wrong, no one answered me.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
As a fertility clinic, success rates and fees are important. I don't think this is a tightly managed clinic that can improve quality care. They refused to give me details of my bill. When things go wrong, clinic dose not do much about it. They don't seem to care about patient satisfaction.
Describe the costs associated with your care under Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic).
Dr Wachs was thorough. She explained everything in detail but also in a way that is easy to understand during this hard and overwhelming time. I really appreciated her still giving me autonomy to make decisions while also making sure my husband and I were completely educated on all routes before making a decision...She took the time to thoroughly explain all options including potential risk/benefits so my husband and I felt confident to make the right decision for us. She also did the same when we made the decision to go from IUI and IVF. She is smart, kind, and a great doctor.
The [Reproductive Science Center] facility is clean and staff is always friendly. Scheduling was easy, I never had an issue with scheduling or wait times. All techs and phlebotomists were friendly and care was excellent. The staff during egg retrieval were professional and kind, I felt safe...Dr Wachs and staff were friendly and compassionate. Every question or concern I had was answered in a timely manner. Bedside manner was excellent for all staff we came across
How was your experience with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Dr Wachs was thorough. She explained everything in detail but also in a way that is easy to understand during this hard and overwhelming time. I really appreciated her still giving me autonomy to make decisions while also making sure my husband and I were completely educated on all routes before making a decision. For example, my lining was a little thin before embryo transfer. She took the time to thoroughly explain all options including potential risk/benefits so my husband and I felt confident to make the right decision for us. She also did the same when we made the decision to go from IUI and IVF. She is smart, kind, and a great doctor.
What's one piece of advice would you give a prospective patient of Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Don’t be afraid to ask questions - even ones you might think are silly. There is no judgment from Dr. Wachs and she is here to help you.
During treatment, were you treated like a number or a human with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Dr Wachs and staff were friendly and compassionate. Every question or concern I had was answered in a timely manner. Bedside manner was excellent for all staff we came across
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Judi mecchella )
My care coordinated was excellent. She was thorough, compassionate and organized. All my questions were answered in a timely manner. Scheduling was easy, there was never any issues.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
The facility is clean and staff is always friendly. Scheduling was easy, I never had an issue with scheduling or wait times. All techs and phlebotomists were friendly and care was excellent. The staff during egg retrieval were professional and kind, I felt safe.
Describe your experience with your monitoring appointments at Reproductive Science Center (US Fertility Network clinic).
We had a 2.5 hour drive to the clinic. They were accommodating. Scheduling was easy which took a big stress off is during this already stressful time.
I never actually met Dr. Homer until he performed my ultrasound to see the baby, but still, he was the man with the plan behind the scenes and I owe everything to him. He is a warm person and I highly recommend him...Despite my chances of success being rather low with IUI, he made it possible...Though he can speak quickly, he takes the time to ensure all of your questions and concerns are addressed.
RSC has great staff and is overall great. My only issues were with billing...I can not say enough about [nurse] Lindsay! She was everything you’d ever want. She is so beyond helpful, understanding, organized, patient, communicative and warm. She is a gem to work with and my absolute favorite part of working with this clinic!
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
After reading good reviews about Dr Homer on this website, I decided to give fertility treatments a shot. I previously tried to conceive unsuccessfully for about 5 years. During my initial consultation with Dr. Homer, all of my questions and concerns were addressed. He gave me an understanding if my options and the potential success rate per procedure, as best as he could at that point. After careful consideration, my husband and I decided to start with IUI treatments. Over the course of my first treatment, I was given Clomid. My ultrasound showed that I developed an ideal amount of follicles to proceed with the iui, but the Clomid did cause my lining to thin so I was prescribed a medicine to help thicken my lining before my iui. That iui was unsuccessful. We opted to try again and the second time, Dr. Homer changed my medicine to Letrozole/Femara. That ultrasound showed that I developed an ideal amount of follicles and the new medicine did not cause my lining to thin so I did not need to take anything to thicken it before my IUI. I had my second IUI in mid-January 2022 and later discovered that I was pregnant! My first ultrasound confirmed that it was a singleton pregnancy. I graduated from the fertility clinic at around 6 weeks, right after the initial ultrasound and have since been seeing my OB. As of late April, I am currently 16 weeks pregnant and all has been going very well! I am 40 years old and have never previously had a positive pregnancy test besides the one I had after my 2nd iui. Despite my chances of success being rather low with IUI, he made it possible! I’m not sure if the change of the medication helped or what, but I owe it all to Dr. Homer and the rest of the staff! Of note, Dr. Homer was my primary fertility specialist, but both of my iui treatments were with different doctors, both were wonderful. I never actually met Dr. Homer until he performed my ultrasound to see the baby, but still, he was the man with the plan behind the scenes and I owe everything to him. He is a warm person and I highly recommend him!
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Write out all of your questions before the initial consultation. Be understanding if he is not the doctor who will perform your treatments.
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr Vance has a warm personality. Though he can speak quickly, he takes the time to ensure all of your questions and concerns are addressed.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Lindsay )
Oh my goodness, I can not say enough about Lindsay! She was everything you’d ever want. She is so beyond helpful, understanding, organized, patient, communicative and warm. She is a gem to work with and my absolute favorite part of working with this clinic!
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
RSC has great staff and is overall great. My only issues were with billing. I received some bills where I was overcharged, but luckily after I followed up, all of the billing issues were promptly corrected. I recommend writing down quoted costs along with the date the cost was quoted and the person you spoke with since that can help clear up matters.
Describe the costs associated with your care under Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic).
I spent approximately $1300 per IUI cycle with meds.
He [Dr. Homer] was very transparent about the process and expectations and always answered all my questions - which I always had a lot of! After my first transfer, which resulted in a chemical pregnancy, I appreciate that he wanted to leave no stone unturned before trying another transfer (we tried different forms of estrogen for priming to see how my lining responded, an ERA/Receptiva test, hysteroscopy, and repeated pregnancy loss lab-work since I have a history of chemical pregnancies). He was always optimistic that we would find the solution and gave me hope throughout the entire process....
Kacey [nurse at Reproductive Science Center] - she was friendly, compassionate, organized, direct, and always hopeful...the initial breakdown of costs was confusing because I did not understand what as covered by insurance and what was not. I wish the financial advisor would help make these distinctions clear. Also, the software they use for billing is very outdated- there is no way to see if there is an outstanding balance on your account or to see what bills you have paid in the past....
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr. Homer is the best. I was fortunate enough to be referred to him specifically through a RE I consulted with on Maven. Initially the RE recommended I find a young female doctor, however when she learned I live in the Bay Area, she told me to forget everything she just said and go see Dr. Homer at RSC. I am so thankful I took her advice! He was very transparent about the process and expectations and always answered all my questions - which I always had a lot of! After my first transfer, which resulted in a chemical pregnancy, I appreciate that he wanted to leave no stone unturned before trying another transfer (we tried different forms of estrogen for priming to see how my lining responded, an ERA/Receptiva test, hysteroscopy, and repeated pregnancy loss lab-work since I have a history of chemical pregnancies). He was always optimistic that we would find the solution and gave me hope throughout the entire process.
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Trust Dr. Homer because he truly has your best interests at heart.
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr. Homer was absolutely amazing! I appreciate how Dr. Homer really got to know my husband and I. He understood not only my concerns but what was important to me throughout the entire process. He had an excellent communication style - he does not sugar coat the process and results, yet he still came off as kind and warm.
Describe the protocols Michael Vance Homer used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
We did 2 egg retrievals with the same medications, but different doses. My 2nd cycle yielded a higher number of mature eggs which I contribute to the dosage change. The medications we used were Gonal F, Menopur, and Cetrotide. We used a Lupron trigger for the first retrieval since it as a freeze-all and an HCG trigger for the second retrieval since it was a fresh transfer.
We did 2 FET cycles with different forms of estrogen. My first FET resulted in a CP most likely because my lining only reached 7.4mm using oral and vaginal estrogen. For the next FET cycle, we tried estrogen patches and then injectable estrogen but unfortunately neither produced a thicker lining.
Dr. Homer recommended a hysteroscopy to investigate why my lining was not thickening. He was able to remove adhesions and compacted tissue and my next transfer was successful.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Kacey)
Kacey is the best! I cannot say enough good things about Kacey - she was friendly, compassionate, organized, direct, and always hopeful.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
Overall the medical treatment at RSC was an A+. However, as many other reviewers have noted, the finance and billing department brings down their overall rating. We were fortunate to have infertility insurance coverage, and once we met our out-of-pocket maximum the billing seemed to flow seamlessly. However, the initial breakdown of costs was confusing because I did not understand what as covered by insurance and what was not. I wish the financial advisor would help make these distinctions clear. Also, the software they use for billing is very outdated- there is no way to see if there is an outstanding balance on your account or to see what bills you have paid in the past.
Homer constantly referred me to the unfriendly case manager. Our transfer resulted in miscarriage and Homer has not contacted us to say anything...No personalized treatment plan...He did not perform my mock transfer or transfer. He only performed surgery to remove polyps. I don’t believe he read my previous medical records and just prescribed a standard protocol. He also over prescribed antibiotics which I questioned. No discussion was had just told me through case manager to not take. Very impersonal...
Twice the ultrasound technician [at Reproductive Science Center] did not know how to use the wand and put it in the wrong area which was embarrassing and uncomfortable...appointments are on time and i never had to wait. Billing was an uphill battle so be prepared to work hard at being a mediator between your insurance and rsc...They are understaffed and have too many clients...they schedule your blood draws at 7:30am, transfer and surgery are in San Ramon not Los Gatos...
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
He did not perform my mock transfer or transfer. He only performed surgery to remove polyps. I don’t believe he read my previous medical records and just prescribed a standard protocol. He also over prescribed antibiotics which I questioned. No discussion was had just told me through case manager to not take. Very impersonal. Bed side manner was ok but not note worthy.
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Question everything he prescribes. Double check and make sure he reviews your previous medical records. Push him to explain everything to you. Make him tell you the odds of success. He made us think this was going to be a guaranteed success. Or simply ask for another doctor with more experience.
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
No phone calls with case manager, only email communication. Homer constantly referred me to the unfriendly case manager. Our transfer resulted in miscarriage and Homer has not contacted us to say anything. He got our money and we got a miscarriage. He has not contacted us at it’s been over a week. We feel like a number and not treated humanely. No personalized treatment plan. We got a blanket treatment plan without my previous medical records being considered.
Describe the protocols Michael Vance Homer used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
Pio once a day, vaginal inserts x2day, estrodol 4X a day. No explanation or rationale explained just do it attitude from case manager. Prescribed 5 days of antibiotics before and after transfer just in case infection. I argued rationale and they just said nevermind. I had successfully transfer bit six week scan showed no development. I had to induce a miscarriage
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Rachel )
3rd party new hire case manager. Never spoke to her on the phone. Made inappropriate jokes (insensitive)when trying to start my cycle. She made mistakes with my prescription which sent me to my friends asking if anyone had Lupron to spare. She did the bare minimum and showed no care for me as a human being. Never contacted me when i had a panic attack and never contacted me to see how i was doing at any point in the process.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
The only strength is that appointments are on time and i never had to wait. Billing was an uphill battle so be prepared to work hard at being a mediator between your insurance and rsc. The toilet doesn’t always flush in LG and the chairs in waiting area are uncomfortable, they schedule your blood draws at 7:30am, transfer and surgery are in San Ramon not Los Gatos. This is a mentally difficult process and rsc did not help alleviate this but added to our stress. They are understaffed and have too many clients. We did not get the quality service we were expecting.
Describe the costs associated with your care under Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic).
Total around 15k for one transfer
Describe Michael Vance Homer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
Due to my age they only do single transfer
What specific things went wrong at Reproductive Science Center (US Fertility Network clinic)?
Failed to call in prescriptions to pharmacy
Failed to inform you of changes in protocol
Provided conflicting information
Describe the specific things that went wrong at Reproductive Science Center (US Fertility Network clinic).
Case manager called in my prescription a week too late and i had to borrow meds from a friend. She blamed me for the error because I rescheduled my surgery. Dr. Homer told me to stop BC when I should not have stopped. He caught his error and apologized. Toilet dident flush which was embarrassing. Twice the ultrasound technician did not know how to use the wand and put it in the wrong area which was embarrassing and uncomfortable. Day of transfer the doctor did not look at my mock transfer notes and used the wrong size speculum. During a lining check they had me lay on a torn up damaged table which was cutting into my skin during the exam. Fighting billing telling us our insurance does not cover certain things when it did.
[Dr. Deborah Wachs] seemed to understand how taxing the process was for our family...is straightforward, kind, and quite professional (even as I got irritated with our lack of initial success). She has of way of making the unpleasant a little bearable. Her tendency toward tried and true evidence based medicine is mostly an asset, but when that doesn’t work it takes a bit but she will adjust. I found myself pushing for out-of-the-box ideas and finally found success in when listening to her once we got off into less familiar cookie cutter territory. The things that should have worked didn’t but she found something that did.
I was so upset at our luck at IVF I was considering leaving the clinic [Reproductive Science Center]. Seeing other clinic’s caliber of nursing staff immediately drove me back to RSC, especially Judi my nurse. So capable and experienced (over 20 in fertility medicine) she was a joy and comfort to be around in a very sad and painful time...Strengths - communication- the online portal system is nice, nurses and doctors get back to you the same day. Clean and beautiful office that looks new in Los Gatos and San Ramon. Great nurses and sonographers. Ran 90 percent on time, rarely had to wait more than 15 minutes.
How was your experience with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Dr. Wachs is straightforward, kind, and quite professional (even as I got irritated with our lack of initial success). She has of way of making the unpleasant a little bearable. Her tendency toward tried and true evidence based medicine is mostly an asset, but when that doesn’t work it takes a bit but she will adjust. I found myself pushing for out-of-the-box ideas and finally found success in when listening to her once we got off into less familiar cookie cutter territory. The things that should have worked didn’t but she found something that did.
What's one piece of advice would you give a prospective patient of Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Come with questions written down, she’ll have a plan already based on initial evaluation.
During treatment, were you treated like a number or a human with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Human, because she seemed to understand how taxing the process was for our family.
Describe the protocols Deborah Wachs used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
Two identical 450 fsh cycles, 3 lupron 450 fsh cycle, and one mini. 3 with hgh.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Judi)
I was so upset at our luck at IVF I was considering leaving the clinic. Seeing other clinic’s caliber of nursing staff immediately drove me back to RSC, especially Judi my nurse. So capable and experienced (over 20 in fertility medicine) she was a joy and comfort to be around in a very sad and painful time.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
Weakness - financial department - there’s no way around it. No matter how you pay they make it uncomprehendingly difficult. It’s not because of the cost either just confusing invoices....really late bills. I guess one perk is that they don’t do late fees and have never lost our payments.
The main surgical center is an hour away in traffic from the satellite clinic I went to.
I didn’t always get Dr. Wachs for my procedures. The second doctor left me way more painful than she did, third was fine... but I really wanted Dr. Wachs for all of my procedures. Really liked Dr. Homer for the office visits, but once again who wouldn’t prefer their doctor they had already developed a rapport with?
Strengths - communication- the online portal system is nice, nurses and doctors get back to you the same day.
Clean and beautiful office that looks new in Los Gatos and San Ramon.
Great nurses and sonographers.
Ran 90 percent on time, rarely had to wait more than 15 minutes.
Describe your experience with your monitoring appointments at Reproductive Science Center (US Fertility Network clinic).
Quick, in and out appointments. Printed amounts, get your next appointment and out the door.
Describe the costs associated with your care under Deborah Wachs at Reproductive Science Center (US Fertility Network clinic).
Very expensive but insurance help cover all of ours.
Describe Deborah Wachs's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
Did multiple for us, transferred 3 days...I would guess she’s a eSET doctor as she goes for what’s successful.
He [Dr. Homer] recommended eSET (with normal PGS tested embryos)...really got to know us, what we care about, what we fear, what is important to us. He adapted his advice and communication style to match our particular case, personalities and needs which was very special and appreciated. It's clear that he truly cares...All through the process he was patient, responded to our 1000 questions (we learned a lot about the topic) and was open to adjusting treatment according to outcomes and our preferences. I really couldn't have asked for anything better from him and feel so lucky we choose him. I'd give him 10/10 regardless, but the outcomes were also amazing - we have the coolest awesome daughter from our first round with doctor Homer, are now expecting our second child (the second normal embryo from our first cycle), and have 5 more normal frozen embryos from cycles 2&3.
One downside [at Reproductive Science Center] is that the procedures themselves are done in the San Ramon office which was far away for us...Everyone was always very friendly from the receptionist to the ultrasound technicians. Other doctors I've seen also seemed great. The online portal is convenient and the communication is speedy and efficient. I didn't get to experience the billing department as I had great insurance that covers everything. If that wasn't the case I'd check that to make sure they are okay (don't know).
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
We came to see doctor Homer after 1.5 years of trying to conceive. From the beginning he was positive yet direct (which we liked and I believe he recognized that at therefore made a point of doing that). He was very knowledgeable, personable and made the whole process feel much easier and even fun. All through the process he was patient, responded to our 1000 questions (we learned a lot about the topic) and was open to adjusting treatment according to outcomes and our preferences. I really couldn't have asked for anything better from him and feel so lucky we choose him. I'd give him 10/10 regardless, but the outcomes were also amazing - we have the coolest awesome daughter from our first round with doctor Homer, are now expecting our second child (the second normal embryo from our first cycle), and have 5 more normal frozen embryos from cycles 2&3.
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
You won't regret it!
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Doctor Homer really got to know us, what we care about, what we fear, what is important to us. He adapted his advice and communication style to match our particular case, personalities and needs which was very special and appreciated. It's clear that he truly cares.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Lindsay)
Lindsay was amazing. Great communicator, patient, knowledgeable and caring. Before that we had Judy that was also very knowledgeable and professional but her communication style didn't fit ours.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
Everyone was always very friendly from the receptionist to the ultrasound technicians. Other doctors I've seen also seemed great. The online portal is convenient and the communication is speedy and efficient. I didn't get to experience the billing department as I had great insurance that covers everything. If that wasn't the case I'd check that to make sure they are okay (don't know). One downside is that the procedures themselves are done in the San Ramon office which was far away for us.
Describe the costs associated with your care under Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic).
All covered by the insurance
Describe Michael Vance Homer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
He recommended eSET (with normal PGS tested embryos)
What specific things went wrong at Reproductive Science Center (US Fertility Network clinic)?
Failed to inform you of changes in protocol
Provided conflicting information
Describe the specific things that went wrong at Reproductive Science Center (US Fertility Network clinic).
It was mainly with our first case manager that didn't proactively inform us of the next steps so we were sometimes surprised. When we asked doctor Homer about it he responded right away and provided all the information. We then requested another case manager (Lindsey) and never had any issues with her!
Dr Homer is naturally warm and friendly. He always remembers details about my history and care, and also makes sure to explain everything clearly so I am confortable with the course of action taken...He never pushed me to go beyond my comfort level, and unlike some doctors he is not too aggressive in his treatment method. I came in ready for IVF, but he convinced me to try IUI 1 more time, with a different medication than I was using with my previous doctor. We were successful at the first try.
About $600 per IUI cycle [at Reproductive Science Center]...Nice warm environment, quality staff, good support online and offline, well connected technology-wise. I also like that they are connected with natural practitioners such as acupuncturists. Nice warm environment, quality staff, good support online and offline, well connected technology-wise. I also like that they are connected with natural practitioners such as acupuncturists.
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
I am very satisfied with my experience with Dr. Homer. He never pushed me to go beyond my comfort level, and unlike some doctors he is not too aggressive in his treatment method. I came in ready for IVF, but he convinced me to try IUI 1 more time, with a different medication than I was using with my previous doctor. We were successful at the first try.
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Definitely do your homework before you see him. He explains everything in detail but it's always best to be educated in the subject prior to seeing any doctor.
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr Homer is naturally warm and friendly. He always remembers details about my history and care, and also makes sure to explain everything clearly so I am confortable with the course of action taken.
Describe the protocols Michael Vance Homer used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
He switched me from Clomid to Femara. I have PCOS and had previously had 4 IUIs with another doctor (not from RSC) that failed. He had me and my husband do the genetic testing to make sure there were no other underlying issues, then did a sperm count for my husband. After the IUI, I was using progesterone supplements until I got my positive result.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Lindsay Smith)
Lindsay my case manager is fenomenal. She is very responsive, knowledgeable and friendly. The rest of the staff at the los Gatos office is very professional and friendly as well. I had a negative experience at the San Ramon office because the nurse gave me the wrong timing to administer my trigger shot. This possible caused that cycle to fail. I can never know for sure.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
Nice warm environment, quality staff, good support online and offline, well connected technology-wise. I also like that they are connected with natural practitioners such as acupuncturists.
Nice warm environment, quality staff, good support online and offline, well connected technology-wise. I also like that they are connected with natural practitioners such as acupuncturists.
Describe the costs associated with your care under Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic).
Dr. Wachs is very compassionate and completely transparent. Dr. Wachs is very forthcoming, but also positive when the situation allows her to be. She spends all the time you need when she is with you. ... Antagonist approach based off of ERA testing we did. Changing protocol for next round. Will had a hormone to improve egg quality. ... Dr. Wachs is very empathetic and available when needed.
There is a lack of communication with billing department [RSC]. I was misinformed about PGS testing. The billing dept. told me my nurse should have told me, which does not make sense since that's not her area of expertise. You must request to sit down with billing person to go over everything and make sure you ask about each line item so you understand what you are paying for.
How was your experience with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
A wonderful, knowledgable doctor who truly cares for her patients. Dr. Wachs is very empathetic and available when needed. Dr. Wachs is honest and open with her patients, so you know she is doing everything she can to help you conceive a child.
What's one piece of advice would you give a prospective patient of Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
I would push to get extra tests done. Ask her to turn over every rock until we find the answer. Sometimes, fertility clinics and doctors wait to do something after a few tries. I want answers after first miscarriage, not after 2 or 3.
During treatment, were you treated like a number or a human with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Dr. Wachs is very compassionate and completely transparent. Dr. Wachs is very forthcoming, but also positive when the situation allows her to be. She spends all the time you need when she is with you.
Describe the protocols Deborah Wachs used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
Antagonist approach based off of ERA testing we did. Changing protocol for next round. Will had a hormone to improve egg quality.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Judi)
Judi is beyond fantastic! Judi always got back to me promptly. All my questions and concerns were handles efficiently. Judi has a lot of patience and is very caring.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
There is a lack of communication with billing department. I was misinformed about PGS testing. The billing dept. told me my nurse should have told me, which does not make sense since that's not her area of expertise. You must request to sit down with billing person to go over everything and make sure you ask about each line item so you understand what you are paying for.
What specific things went wrong at Reproductive Science Center (US Fertility Network clinic)?
Failed to convey critical information
Describe the specific things that went wrong at Reproductive Science Center (US Fertility Network clinic).
I was unaware of additional costs for PGS. They did not explain the cost for a set amount of embryos or how PGS works on their end, nor did they set me up to have a conversation with the company doing the test.
Dr. Wachs was so kind. She was understanding, and warm. ... She was very warm and welcoming. She seemed to be very empathetic about our situation, and always had a smile on her face. She explained everything thoroughly, and seemed optimistic about our treatments. ... My first and second IUI's had exactly the same protocol. ... I don't believe that our negative outcome had anything to do with the care we received.
They [Reproductive Science Center] were always warm and understanding whenever I got bad news, and they always had chocolate and tissues waiting. ... The clinic's phone number goes to the main office in San Ramon, so sometimes communication was a bit difficult. But the office staff was ALWAYS kind. ...Selina [nurse] was excellent with her communication. If I emailed her in the portal, I could expect a prompt response every time. She was very thorough and I appreciated that.
How was your experience with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
She was very warm and welcoming. She seemed to be very empathetic about our situation, and always had a smile on her face. She explained everything thoroughly, and seemed optimistic about our treatments.
What's one piece of advice would you give a prospective patient of Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
If you want a kind, warm doctor, she is the one to go to.
During treatment, were you treated like a number or a human with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Dr. Wachs was so kind. She was understanding, and warm. I don't believe that our negative outcome had anything to do with the care we received.
Describe the protocols Deborah Wachs used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
My first and second IUI's had exactly the same protocol. My lining thinned out for the third one, so they added Estrace into the mix. It was explained to me that it helped thicken the lining, but then the lining was never rechecked. The 4th IUI I used progesterone suppositories but I never knew why. I understand it was to aid in implantation, but they never drew my progesterone levels to see if that was necessary. None of my IUI's resulted in any kind of pregnancy.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Selina)
Selina was excellent with her communication. If I emailed her in the portal, I could expect a prompt response every time. She was very thorough and I appreciated that.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
The clinic's phone number goes to the main office in San Ramon, so sometimes communication was a bit difficult. But the office staff was ALWAYS kind. They were always warm and understanding whenever I got bad news, and they always had chocolate and tissues waiting.
Describe the costs associated with your care under Deborah Wachs at Reproductive Science Center (US Fertility Network clinic).
None of our treatments were covered by insurance so it was rather expensive. Every IUI was $1200 out of pocket. Our IVF quote was quite high as well, but that could also be the Bay Area.
What specific things went wrong at Reproductive Science Center (US Fertility Network clinic)?
Failed to send your chart to another clinic
Describe the specific things that went wrong at Reproductive Science Center (US Fertility Network clinic).
Nothing major at all, I just had to request records 3 times to be sent to my new clinic before they were sent.
I really loved working with Dr. Wachs. The only issue is since she was out of the Los Gatos office, there were times my iui fell on a day where she wasn’t there to do the procedure or with IVF, I had to wait an extra week for transfer for her to be in the San Ramon office if I wanted her to be the one to do it... She is very kind, remembers details, and is always available to chat or ask questions as needed. I didn’t feel like we followed a “this is what everyone gets” protocol but took the time to figure out our exact situation and how to change things to obtain a successful outcome.
The biggest thing I would say is that it is very very convenient that there are multiple locations so that I wasn’t constantly having to drive an hour each way to every appointment. I was so grateful for this. However, this meant we did have to drive to the main facility [Reproductive Science Center] in San Ramon (an hour away for us) for any major procedures as that is where the surgery suite was.... (Iui could be done in the Los Gatos office, but egg retrieval and transfers were done in San Ramon).
How was your experience with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
I really loved working with Dr. Wachs. The only issue is since she was out of the Los Gatos office, there were times my iui fell on a day where she wasn’t there to do the procedure or with IVF, I had to wait an extra week for transfer for her to be in the San Ramon office if I wanted her to be the one to do it (which I did). I trusted her implicitly and believe she had our best interest at heart and was rooting for us and wanted it as much as we did. She was always smiling and always encouraging and there if needed. She paid attention to our emotions and feelings, and made sure we always had all the information to make the best decisions and that we were okay with our course of treatment. She empowered us to know that we were in control of our treatment and we could change course at any time if we felt we wanted to do anything different.
What's one piece of advice would you give a prospective patient of Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Trust her. She knows what she is doing and she will lay out every option for you and what it means. Don’t be afraid to ask questions to understand the process. She is wonderful at being patient and explaining things so that you know what you are going through and what to expect.
During treatment, were you treated like a number or a human with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
She is very kind, remembers details, and is always available to chat or ask questions as needed. I didn’t feel like we followed a “this is what everyone gets” protocol but took the time to figure out our exact situation and how to change things to obtain a successful outcome. She was very positive and reassuring the entire way
Describe the protocols Deborah Wachs used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
For our iui cycles, I took letrozole days 3-7 and then started going in for ultrasounds around day 12. Once the follicles were appropriate size, I was instructed to give myself the ovidrel shot to trigger ovulation, and iui was performed 36 hours later. My husband would go in 2 hours before the procedure to give his sample and then we would go together for the IuI. After, I would lay on the table for 10 min or so then leave and go about my day. 2 weeks later I was given a blood test to determine if we were successful. We attempted this 3 months in a row with no success. We decided at this point to take a break, then switch to IVF. I took gonal-F and menopur, then added cetrotide 5 days later. I also started monitoring appointments on day 5 and went every other day. At my third appointment I was found to have 24 follicles growing and my dr sat me down and explained that while this is a great response, it increased my risk of OHSS and I wasn’t a good candid for a fresh transfer anymore. Afterthat appointment I switched to daily monitoring for a day or two and then triggered with Lupron on a Saturday night for a Monday morning egg retrieval. 15 eggs were retrieved, 13 were mature, 9 fertilized with icsi. We chose icsi since we had secondary unexplained infertility and were unsure what was causing this - so wanted the best option for fertilization to occur. Of the 9, we ended up with 3 day 5 blastocysts and 3 day 6 to go into the freezer. We opted out of pgs testing as we’ve had a previous successful pregnancy and no known genetic issues. We performed one 5 day FET the following month. I took estrace 2mg 3x/day starting on day 2 or 3 of my cycle, and then started progesterone shots and vaginal progesterone 2x/day 6 days before transfer. I had my blood test 9 days later which revealed we were unsuccessful and the transfer failed. Dr wachs then believed we had a timing issue, so we did ERA testing the following month - medication all the same as the previous month. The test found I was more receptive for transfer on day 7. The following month we did everything the same except I started progesterone 7 days before transfer. We opted to transfer two embryos this time to give ourselves a higher chance at success. We had multiple conversations with dr wachs about the pros and cons of a dual embryo transfer and she agreed to go ahead with it once she knew we had thoughtfully considered the outcomes. We found out 8 days after transfer that we were successful (hcg 71) then another blood test 11dpt (hcg 314) and was told it was probably only one embryo that took. We just had our first ultrasound at 6 weeks 3 days and saw one perfect embryo with a flickering heartbeat. I am continuing all my medication until my next appointment 2 weeks later (at 8 weeks, 3 days) at which point I hope to be able to stop the injections and wean off all other meds and “graduate” back to my normal OB for the duration of my pregnancy.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Lindsay Smith)
There will never be enough words to describe Lindsay. She was always so attentive, so positive and so helpful through this process. We wouldn’t have made it through without her. She was a source of information, and always available for crazy questions or just someone to talk to when everything became too much, or when I was feeling frustrated and emotional about the process. She became a confidant, someone who even talked to me late one evening after a failed iui and just let me cry and reassured me they were committed to getting us our baby. She was so very wonderful and Always quick to respond and happy. It made me feel so comfortable and confident in my treatment team
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
The biggest thing I would say is that it is very very convenient that there are multiple locations so that I wasn’t constantly having to drive an hour each way to every appointment. I was so grateful for this. However, this meant we did have to drive to the main facility in San Ramon (an hour away for us) for any major procedures as that is where the surgery suite was. (Iui could be done in the Los Gatos office, but egg retrieval and transfers were done in San Ramon). Also anything that occurred on the weekend had to be done in San Ramon - it was the only 365 days open clinic. The other thing was that, in order to have my doctor be the one to do my transfers (which I wanted and chose) - she was only in San Ramon every other Thursday, which meant my cycles were longer as I had to time things to wait until she could be at that office for the procedures. In the end, it was totally worth it and I am grateful for everyone. Everyone at both facilities (Los Gatos and San Ramon) were so friendly and you felt comfortable going there. You truly get a sense that everyone is rooting for you and will do anything they can to help you along the way and try to make this process less painful
Describe the costs associated with your care under Deborah Wachs at Reproductive Science Center (US Fertility Network clinic).
Around $1200 per iui
$14,100 for IVF with icsi
$4062 per frozen transfer
$2000 ish for ERA testing (half to clinic, half to lab where testing was sent)
Describe Deborah Wachs's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
So for the first transfer, my doctor only ever transfers one - especially in my case of secondary unexplained infertility as she was confident the transfer would work. After the first didn’t take, and we did the ERA testing, we had a conversation where I brought up the prospect of transferring two as I read it increases your odds of success. My doctor stated she usually didn’t go to multiple until she was doing the same treatment that hadn’t worked prior, but if we wanted it and were ok with the possibility of having twins , and if having twins was better to us than having zero, she was okay with us transferring two. I appreciated her honesty and candor and I felt like she really listened to us and heard our perspective and agreed
Immediately he [Dr. Homer] said our chances of conceiving naturally were 1%. This was a very quick diagnosis. He thought if we wanted to do IUIs to try three on clomid. We pushed back and asked for 3 natural with HCG and he was willing only to do 3. After that he wanted to start us on clomid. During the time there were no other blood tests performed, which I hoped to get some more answers. We took 5 months off to give ourselves a break and just started up again and requested the HSG test.
$500-800 for initial visit and sonogram [at Reproductive Science Center], $1000 per IUI, $300 HSG, acupuncture done outside of clinic.... They care about getting pregnant results fast. They don’t always take the time to trust the patient knowing their body and come up with some wholistic approaches...They [nurses] were friendly. I always had someone else helping me and often would meet the doctor performing my IUI that same day. They were all kind but I never had Dr. Homer doing the procedures.
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
He was helpful at taking time with us and understanding where we were at. I appreciated his expertise and his reputation.
I wished he would have worked with me a little better on non-medicated treatments and look more into blood work. I’ve had many friends have way more blood work done than me, a day 3 cycle test which I have not had done, nor hormone testing on certain days of my cycle or during IUIs.
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
If you are ready to jump all in and haven’t done too much research on your own or know much about your body and just are ready to get pregnant no matter what, he is a great doctor. I want to get pregnant while doing it in the most natural and healthy way for how my body is currently responding.
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
He was kind and took time with me. Though he wanted me to do full medication, after some advocating for myself he allowed me to try only HCG injections without clomid. They weren’t positive or encouraging about me doing it this way which made me feel a little unsupported, but at least were will to try 3.
Describe the protocols Michael Vance Homer used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
Immediately he said our chances of conceiving naturally were 1%. This was a very quick diagnosis. He thought if we wanted to do IUIs to try three on clomid. We pushed back and asked for 3 natural with HCG and he was willing only to do 3. After that he wanted to start us on clomid. During the time there were no other blood tests performed, which I hoped to get some more answers. We took 5 months off to give ourselves a break and just started up again and requested the HSG test.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Lindsay )
They were friendly. I always had someone else helping me and often would meet the doctor performing my IUI that same day. They were all kind but I never had Dr. Homer doing the procedures.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
Very expensive. I wish insurance covered more. They have good success rates and quality doctors. They care about getting pregnant results fast. They don’t always take the time to trust the patient knowing their body and come up with some wholistic approaches.
Describe the costs associated with your care under Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic).
$500-800 for initial visit and sonogram, $1000 per IUI, $300 HSG, acupuncture done outside of clinic but for my treatments
What specific things went wrong at Reproductive Science Center (US Fertility Network clinic)?
Provided conflicting information
Failed to convey critical information
Canceled a cycle due to clinic error
Describe the specific things that went wrong at Reproductive Science Center (US Fertility Network clinic).
I was told that there were no appointments left that morning and wouldn’t arrive in time so needed to administer the shot on my own without them doing a sonogram. So i was told to go ahead and give myself the HCG shot for the procedure the next day. 30 min after I did the shot and they left a message saying they were canceling my appointment because they didn’t realize my blood work hadn’t come through and hadn’t been sent to them. So I took the shot ready for my appointment the next day and it got cancelled on me through a voicemail message. It was overwhelming and shocking as my first experience.
Dr. Homer was just great. He gave me time, patience and respect. He always listened. I never once felt like I didn't know what was happening, or why. He never rushed me, and answered all of my thousands of questions...He was frank, honest, kind, warm, and always gave me time...never disregarded any of my feelings, concerns or instincts. I am actually a little sad to have to graduate from the fertility center back to my OB just because I would have loved to see him and the wonderful staff at the RSC throughout my pregnancy.
This clinic [Reproductive Science Center] is amazing. Every single staff member I encountered was amazing. The location itself was convenient, with ample parking. The facility was clean, comfortable, and all the equipment was in great condition. I honestly don't have a single bad thing to say...Lindsay [nurse] was just amazing! She was so responsive. Always there to answer my questions via the patient portal. And on days that she was on leave, someone else always got back to me in her stead, always within the same day. I loved knowing that I could reach out to her and she would be patient and willing to answer any and all questions, as silly as they may have seemed to her.
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr. Homer was just great. He gave me time, patience and respect. He always listened. I never once felt like I didn't know what was happening, or why. He never rushed me, and answered all of my thousands of questions.
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Don't be shy to ask all the questions you may have.
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr. Homer was absolutely amazing! He was frank, honest, kind, warm, and always gave me time. He never rushed me, always listened to all my questions and concerns, and never disregarded any of my feelings, concerns or instincts. I am actually a little sad to have to graduate from the fertility center back to my OB just because I would have loved to see him and the wonderful staff at the RSC throughout my pregnancy.
Describe the protocols Michael Vance Homer used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
I was diagnosed with unexplained infertility, and also really long, irregular cycles. After having tried to conceive naturally for a year and a half, Dr. Homer recommended we move forward with a medicated (Letrozole) IUI treatment.
In the days leading up to this cycle, we did blood-work and discovered elevated TSH levels, for which he prescribed me some medication. It must have been this medication that did the trick, for I ended up naturally conceiving in that final natural cycle leading up to my scheduled IUI cycle. It was a wonderful surprise!
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Lindsay Smith)
Lindsay was just amazing! She was so responsive. Always there to answer my questions via the patient portal. And on days that she was on leave, someone else always got back to me in her stead, always within the same day. I loved knowing that I could reach out to her and she would be patient and willing to answer any and all questions, as silly as they may have seemed to her.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
This clinic is amazing. Every single staff member I encountered was amazing. The location itself was convenient, with ample parking. The facility was clean, comfortable, and all the equipment was in great condition. I honestly don't have a single bad thing to say.
Describe the costs associated with your care under Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic).
As I never ended up needing fertility treatment, I was just charged for the initial diagnosis appointment, and a followup ultrasound appointment after I became pregnant.
Due to my diagnosis with PCOS Dr Homer prescribed Femera, not Clomid that my previous Dr had me on. It worked our first two cycles on it and I'm so grateful that he customized our treatment for my condition... I got pregnant the first cycle. It was a tough experience as we learned that I miscarried at our first appointment, but Dr Homer was right there for us, helping me through the medication to have the miscarriage at home, no DNC required thankfully. He even called me the next day, On a Saturday, to check in on me, it meant the world to me.
I didn't have a ton of exposure to the nursing team [at Reproductive Science Center]...I did see a nurse for one of my follicle scans and she was outstanding ...We had a pretty substantial cost for the ultrasounds each month... there were some weaknesses we discovered once we left and went to our OB at Los Olivos with getting our paperwork sent over. We confirmed to have it sent over at our last RSC appointment and i called the day before my OB appt to make sure paperwork was sent. Then at my first OB appointment they were still missing all my blood work.
How was your experience with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr Homer was incredible throughout our entire experience, start to finish. In the first meeting we immediately bonded with him, he experience medically and personally helped us instill trust in him pretty much right away. We enjoyed meeting with him and he took so much time with us to explain the whole process and what he could do for us. I had previously visited another Dr who prescribed Clomid and incorrectly told me I did not have PCOS, she was prepared to up my prescription of Clomid to 100mg after 3 failed cycles. At that point I chose to move to see Dr. Homer and I look back all the time and am grateful we made that decision. At my first ultrasound with Dr. Homer he immediately confirmed I was a classic case of PCOS. From there he made the decision to not go forward with Clomid but to switch to Femera. I got pregnant the first cycle. It was a tough experience as we learned that I miscarried at our first appointment, but Dr Homer was right there for us, helping me through the medication to have the miscarriage at home, no DNC required thankfully. He even called me the next day, On a Saturday, to check in on me, it meant the world to me. He was a partner throughout the entire process and never shyed away from the tough stuff.
After that, I had many weeks with blood appointments to check my Hcg, which took it's sweet time in going down. I think I tested 3-4 weeks in a row before we gave it a rest for a couple weeks and tested again. It took about 2 months to get it completely gone so we could start trying again. Dr Homer put me on my second cycle with Femera and sure enough we got pregnant on the first try again, I simply couldn't believe it. the first few months were pretty grueling, always expecting something to go wrong. I was terrified for my first ultrasound. Dr Homer was perfectly matching my optimism but also completely respecting and mirroring my cautious excitement. Once he got in there and saw the heartbeat he took a minute to confirm before he gave me the good news. My husband and I were ecstatic and so was he. We had the best appointment and were so endlessly grateful for his partnership and guidance. After that we had a 2 week trip to Ireland and I couldnt wait to come home to get another hopefully good screen. We could have switched to an OB at that time, but we werent ready to leave Dr Homer. We came back from the trip and got to see the baby grown quite a bit, arms and legs and most importantly a strong heartbeat. Dr Homer gave us hugs of congratulations and his staff gave us so many well wishes on our way out the door. Dr Homer even helped me find a new OB which was a big deal for us and we've now met her and absolutely love her! I of course would prefer to stay with Dr Homer if it were a possibility, but because it's not we're thrilled to have her. I can't say enough good things about Dr Homer, without him I dont think this experience ever could have worked as quickly and certainly wouldn't have been so pleasant.
What's one piece of advice would you give a prospective patient of Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Don't wait to get engaged with Reproductive Science Center, you need to get care from a Dr and a clinic who know what they're talking about with Fertility.
During treatment, were you treated like a number or a human with Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic)?
Dr Homer was incredible throughout our entire experience, start to finish. In the first meeting we immediately bonded with him, he experience medically and personally helped us instill trust in him pretty much right away. We enjoyed meeting with him and he took so much time with us to explain the whole process and what he could do for us. He was a partner throughout the entire process and never shyed away from the tough stuff, we had to go through some hard times and he was always thorough and supportive with us, telling us exactly what we needed and wanted to know, respectfully and politely. I cannot say enough good things about our experience with Dr. Homer. I met with one other Dr while Dr Homer was out, she did my follicle scan and she was absolutely delightful and encouraging as well. The support staff was also pretty outstanding, always trying to be supportive and prompt, it was much appreciated.
Describe the protocols Michael Vance Homer used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
Due to my diagnosis with PCOS Dr Homer prescribed Femera, not Clomid that my previous Dr had me on. It worked our first two cycles on it and I'm so grateful that he customized our treatment for my condition.
Describe your experience with the nursing staff at Reproductive Science Center (US Fertility Network clinic).
I didn't have a ton of exposure to the nursing team, unless Judi is part of that team? She was outstanding and generally supported me over the phone and through the portal. I did see a nurse for one of my follicle scans and she was outstanding as well, sorry I dont know her name.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
The clinic was in a good location, clean and pleasant to visit. there were some weaknesses we discovered once we left and went to our OB at Los Olivos with getting our paperwork sent over. We confirmed to have it sent over at our last RSC appointment and i called the day before my OB appt to make sure paperwork was sent. Then at my first OB appointment they were still missing all my blood work.
Describe the costs associated with your care under Michael Vance Homer at Reproductive Science Center (US Fertility Network clinic).
We had a pretty substantial cost for the ultrasounds each month. Also the only thing I was really caught off guard by was when I needed to come in for weekly blood draws for my Hcg levels, I was anxious to hear results so it was recommended that I do the draws at RSC so i could get same day results. Unfortunately after a few draws I found out that my coverage didnt extend to those blood draws and i needed to go to a LabCorp, so I got charged way more than expected for those visits and that was really disappointing.
After our first consultation visit with Dr. Wachs. We had a strategic plan to proceed further. - Reviewed my situation - Did some labs (MRI SCAN, Ultrasounds) - Discusses all the labs with us - We had to do Hysterectomy to remove uterus fibroids. Then she purposed all the possible treatments for us IUI, IVF So far our journey is been hopeful & we are looking forward for the day to be blessed with a baby. It will be only possible because of Dr. Wachs & her team.
Well the fertility treatment is expensive. But the clinic finance-counselor Monica [at Reproductive Science Center] provided us all the details about the cost for our treatment. Also, wish that our medical insurance could cover majority of the labs & treatment fees but unfortunately that's not the case...Professional & friendly staff. Clean premises, & peaceful environment. Sometime besides doctor's help we need to have patience, and determination. You are at the right place. RSC-SJ team is dedicated & devoted towards their patients (this based on our experience).
How was your experience with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Dr Wachs is a god-send angel for me. I wouldn't have known my conditions if it would not have been via Dr Wachs explanation. She has been with me in all the stages. Checking-up on me emotionally & medically.
It's rare to find a good doctor.
What's one piece of advice would you give a prospective patient of Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Be patient. Not everything is under medical/Doctor's control.
It can take a while before you get what you are looking for.
You are in good hands. Dr. Wachs will take good care of you.
During treatment, were you treated like a number or a human with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
My experience with Dr Wachs has been amazing so far.
Since day1 we had this connection about my situation. Each time if we have to do any procedure she will discuss that in details with us.
Thank you for being an awesome Doctor.
Describe the protocols Deborah Wachs used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
After our first consultation visit with Dr. Wachs. We had a strategic plan to proceed further.
- Reviewed my situation
- Did some labs (MRI SCAN, Ultrasounds)
- Discusses all the labs with us
- We had to do Hysterectomy to remove uterus fibroids.
Then she purposed all the possible treatments for us
IUI, IVF
So far our journey is been hopeful & we are looking forward for the day to be blessed with a baby. It will be only possible because of Dr. Wachs & her team.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Lindsay Smith)
My Team at RSC-San Jose is " Team of Superwomen".
They are awesome in each & every thing.
I am proud & trust my team.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
Professional & friendly staff.
Clean premises, & peaceful environment.
Sometime besides doctor's help we need to have patience, and determination. You are at the right place. RSC-SJ team is dedicated & devoted towards their patients (this based on our experience).
Describe the costs associated with your care under Deborah Wachs at Reproductive Science Center (US Fertility Network clinic).
Well the fertility treatment is expensive. But the clinic finance-counselor Monica provided us all the details about the cost for our treatment.
Also, wish that our medical insurance could cover majority of the labs & treatment fees but unfortunately that's not the case.
Describe Deborah Wachs's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
Absolutely Dr Wachs clearly defined the singleton transfer & multiple transfer differences to us.
She strongly put her views about it.
What specific things went wrong at Reproductive Science Center (US Fertility Network clinic)?
Canceled a cycle due to clinic error
Describe the specific things that went wrong at Reproductive Science Center (US Fertility Network clinic).
It was just one time a clinical error which was based on my lab work.
But it was immediately fixed & i was returned by money back.
As a patient of Deborah Wachs, I feel we came to a better understanding of each other after the devastation of not having any embryos to transfer after gone through the first cycle. The only part I was a little frustrated with was that the multi cycle plan was not given to me as an option in the initial consultation, however I also understand that with my age and my blood work, I was considered a slam dunk to walk out with a baby through IVF. I think Dr. Wachs is a great Dr. and she is doing the best she can with the information she has.
My case manager was Judi Machella and she is amazing. Very efficient and very communicative. She always was there for me when I needed her and also was able to give me the information I needed whether it was emotional support or medical advise. She was so great and I would definitely recommend her as a case manager!!!...The clinics strengths is that they have really great nurses, ultrasound technicians, front desk admin help and overall good communication. Weaknesses were more in the procedure part during the egg retrieval. I felt rushed to get out of there and there could of been a little bit more compassion for what these women are going through. I understand they see so many patients a day but also it is very taxing for the patient and emotionally draining.
How was your experience with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
As a patient of Deborah Wachs, I feel we came to a better understanding of each other after the devastation of not having any embryos to transfer after gone through the first cycle. The only part I was a little frustrated with was that the multi cycle plan was not given to me as an option in the initial consultation, however I also understand that with my age and my blood work, I was considered a slam dunk to walk out with a baby through IVF. I think Dr. Wachs is a great Dr. and she is doing the best she can with the information she has.
What's one piece of advice would you give a prospective patient of Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Make sure you ask every question you can think of even if it sounds silly.
During treatment, were you treated like a number or a human with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
With Dr. Wachs I felt like a human. After discovering the unfortunate events of no embryos to transfer, Dr. Wachs and I had a conversation and she really shared with me a professional medical side and also a compassionate side as though she was a friend at the same time. It was nice and I felt comfortable with the the fact that she was knowledgable medically about what had happened but also felt my pain and was able to emphasize with me as well.
Describe the protocols Deborah Wachs used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
I was on menepur and folistim for the first 4 days or so and then ganerelix for the next 4 days. These are all injectables (excuse me for the spelling of them, they may not be correct) The menepur and folistim was a shot of each every night and then a shot of the ganerelix making it a total of 3 shots a night for approx 8-10 days. It was uncomfortable starting after day 4. The egg retrieval was very painful for me a few days after. Some people are fine but I experienced major discomfort and had to take it easy for a couple weeks afterward. I did have good results with the medication and responded well. My overall egg quality could be better so for the next cycle, the Dr. wants to put me on a growth hormone.
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Judi )
My case manager was Judi Machella and she is amazing. Very efficient and very communicative. She always was there for me when I needed her and also was able to give me the information I needed whether it was emotional support or medical advise. She was so great and I would definitely recommend her as a case manager!!!
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
The clinics strengths is that they have really great nurses, ultrasound technicians, front desk admin help and overall good communication. Weaknesses were more in the procedure part during the egg retrieval. I felt rushed to get out of there and there could of been a little bit more compassion for what these women are going through. I understand they see so many patients a day but also it is very taxing for the patient and emotionally draining.
Describe the costs associated with your care under Deborah Wachs at Reproductive Science Center (US Fertility Network clinic).
$14,000 for the IVF cycle, $2500 for PGS testing, $3710 for transfer, $4000 for medication
Describe Deborah Wachs's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
My Dr. strongly recommended only doing a single embryo transfer because I am still young and will be able to have multiple children. She also did give me the risks for multiple embryo transfer and advised against it for the first cycle.
She [Dr. Wachs] never gave up on me and always had more ideas of new techniques to try and tweak. As a patient I would always come in emotional and frantic and she would always manage to calm me down and keep my goals realistic, while comforting me in the fact that we still had several options. I would do my own research and bring her pages of notes and questions and she was knowledgeable on each of the studies I had found and explained why or why not each one would or would not work for my case.
I loved everything about this office [Reproductive Science Center] ! The receptionist Suzi would always greet me in the lobby and make sure I was all checked in. The lab staff who drew my blood were fast and efficient and took time to get to know me, and make me comfortable. All of the nurses are so friendly and helpful and all of the doctors are amazing! They are organized, compassionate, and great at what they do!...Judi [nurse] was AWESOME! She would respond to my emails within minutes! She was so patient with all of my questions, and cared deeply about each of her patients!
How was your experience with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Dr. Wach's was everything I wanted in my fertility doctor. She was patient, kind, caring, compassionate and knowledgeable. She never gave up on me and always had more ideas of new techniques to try and tweak. As a patient I would always come in emotional and frantic and she would always manage to calm me down and keep my goals realistic, while comforting me in the fact that we still had several options. I would do my own research and bring her pages of notes and questions and she was knowledgeable on each of the studies I had found and explained why or why not each one would or would not work for my case. She was always put together well and her love for her job showed always, even through the holidays where you would expect her to be taking time off to spend with family, she was in the office, taking care of me. I have and will continue to recommend her to anyone who is going through infertility and I will definitely use her again for baby number two!
What's one piece of advice would you give a prospective patient of Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Be positive and don't give up!
During treatment, were you treated like a number or a human with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Dr. Wach's was so sweet and greeted us with a warm smile and a hug on each visit. We had to try several different approaches to my treatment but she never gave up and was very understanding of what an emotional and frustrating process this could be. She was realistic in helping us make decisions and very kind through the whole process.
Describe the protocols Deborah Wachs used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
My first cycle we used gonal and menopur and triggered 72 hours before my transfer. My second cycle we added Lupron in hopes of growing more eggs to be fully mature. I had an endometrial receptivity test which showed us we were doing our transfer after my personal window so we adjusted my transfers after that. She ended up putting me on progesterone and the blood thinner injections in order to increase my chances of implantation. Finally on our fourth try we combined everything and had success!
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Judi mecchella)
Judi was AWESOME! She would respond to my emails within minutes! She was so patient with all of my questions, and cared deeply about each of her patients!
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
I loved everything about this office! The receptionist Suzi would always greet me in the lobby and make sure I was all checked in. The lab staff who drew my blood were fast and efficient and took time to get to know me, and make me comfortable. All of the nurses are so friendly and helpful and all of the doctors are amazing! They are organized, compassionate, and great at what they do!
Describe the costs associated with your care under Deborah Wachs at Reproductive Science Center (US Fertility Network clinic).
We used the attain package which I believe was about 25k, we used a company called capex md to finance it. Our medications and other procedures totaled around 18k so in total we spent around 43k
Describe Deborah Wachs's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
In the beginning while we were still learning how my body would react she encouraged a single embryo transfer and showed us that the reason they encourage that is it is lower risk than carrying multiples. Once we realized I wasn't a fertile mertile, she was more open to us transferring two embryo's at a time, which we tried for one cycle and were not successful.
My experience with Dr. Wachs has been good so far. Like I said before, she's a straight shooter and will be there if you need her. I have had only 1 IVF cycle and though she didn't perform the retrieval I understand these clinics "share" patients. I am still hopeful IVF with RSC will work for me...I used BCP, Gonal, Menopur and Cetrotide for first IVF cycle. No eggs passed PGS. This time I used BCP again but Dr. Wachs changed the allocation of Gonal and Menopur, and added Omnitrope. Hopefully this will be the one that works!
Strengths [of Reproductive Science Center] are the nursing staff, the weakness might be that they don't use the latest technology but not entirely sure about that...The case manager and nurses are great. Very good communicators, excellent at providing info, polite and will definitely reply asap. I don't always communicate with the same person each time, but it looks like they are organized but I am getting things done and that's all I really need in the end.
How was your experience with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
My experience with Dr. Wachs has been good so far. Like I said before, she's a straight shooter and will be there if you need her. I have had only 1 IVF cycle and though she didn't perform the retrieval I understand these clinics "share" patients. I am still hopeful IVF with RSC will work for me.
What's one piece of advice would you give a prospective patient of Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
Be patient and don't expect to be coddled, she will give it to you straight. She's not cold or has a poor bedside manner but she is a person and I can tell she does want to help!
During treatment, were you treated like a number or a human with Deborah Wachs at Reproductive Science Center (US Fertility Network clinic)?
I felt human bc I did meet with the Doctor when it mattered most. Only doctors performed my IUI, egg retrievals and consultations. I understand my doctor does not need to be available to me 24/7 and I certainly don't need her to be measuring my follicles. She called me at the appropriate times and when I needed to get in contact with her, she was available. I also don't need to be coddled during this process, I just need the doctor to know what she's doing and just give it to me straight so I can move forward or move on. I think Dr. Wachs is a straight shooter and for those who need a more delicate touch, I think Dr. Wachs could be more personable but in the end, results are what matter.
Describe the protocols Deborah Wachs used in your cycles at Reproductive Science Center (US Fertility Network clinic) and their degree of success.
I used BCP, Gonal, Menopur and Cetrotide for first IVF cycle. No eggs passed PGS. This time I used BCP again but Dr. Wachs changed the allocation of Gonal and Menopur, and added Omnitrope. Hopefully this will be the one that works!
Describe your experience with your nurse at Reproductive Science Center (US Fertility Network clinic). (Assigned nurse: Carla Roa)
The case manager and nurses are great. Very good communicators, excellent at providing info, polite and will definitely reply asap. I don't always communicate with the same person each time, but it looks like they are organized but I am getting things done and that's all I really need in the end.
Describe your experience with Reproductive Science Center (US Fertility Network clinic).
Strengths are the nursing staff, the weakness might be that they don't use the latest technology but not entirely sure about that.
Describe the costs associated with your care under Deborah Wachs at Reproductive Science Center (US Fertility Network clinic).
I have help with insurance so it wasn't too bad. They paid about 50% of treatment and part of the medications.
Describe Deborah Wachs's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Science Center (US Fertility Network clinic).
No comments bc I'm doing PGS.
What specific things went wrong at Reproductive Science Center (US Fertility Network clinic)?
Provided conflicting information
Describe the specific things that went wrong at Reproductive Science Center (US Fertility Network clinic).
I thought I said nothing went wrong w this clinic? However I think maybe once during an IUI cycle there was a mix up with the case managers about when to take a medication or something, it wasn't a big deal and was resolved very quickly. Since then nothing has gone wrong, I don't even remember exactly what went wrong so it wasn't a big deal.