Rated 8.2
Strongly recommend: 65%Neutral: 17%Don't recommend: 18%8.2
65% strongly recommend
183 reviews
Operations
8.6
8.6
Operations

Ratings of 1 indicate that a clinic was poorly operated.

Ratings of 10 indicate that a clinic operated very well.

Scheduling
8.6
8.6
Scheduling

Ratings of 1 mean it was difficult to schedule appointments with this clinic.

Ratings of 10 mean it was easy to schedule appointments.

Billing Department
6.4
6.4
Billing Department

Ratings of 1 indicate an unsatisfactory billing department.

Ratings of 10 indicate an excellent billing department.

Nursing Team
8.6
8.6
Nursing Team

Ratings of 1 indicate an unsatisfactory nursing team.

Ratings of 10 indicate an excellent nursing team.

LGBTQ+ Care
9.2
9.2
LGBTQ+ Care

Ratings of 1 indicate an unsatisfactory LGBTQ+ care.

Ratings of 10 indicate an excellent LGBTQ+ care.

Attention to Detail
7.7
7.7
Attention to Detail

Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.

For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.

CDC Success Rates

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.

Annual Cycles
3,074
National Avg
738
This Clinic
National Avg
00%
20%
40%
60%
<35
35-37
38-40
>40

Available Resources

Genetic counseling
Genetic counseling
Acupuncture
Acupuncture
Mental health counseling
Mental health counseling
Nutrition counseling
Nutrition counseling
Administration of shots
Administration of shots
Coordinating at-home nursing
Coordinating at-home nursing
Selling medication
Selling medication
Providing backup medication
Providing backup medication

This clinic has 1 office

San Francisco
499 Illinois Street
San Francisco, CA 94158

183 patient reviews

Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unsuccessful
NPS
5
NPS
6
Age 34 - 35
4 Fertility Medications
Unexplained
European
Ashkenazi Jewish
Income $500K+
Marketer or PR
1st of 2 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
Dr Noel was very warm during our initial consultation. She also called me personally when we needed to cancel my first IUI cycle because I "over responded" to the Letrazole...I don't think she was aggressive enough in my first set of treatments given my age and how many children I wanted. When I got a second option, the new Dr (who I prefer) told me she never would have started with fertility meds only without including IUI. I also had to cancel a cycle which I disagreed with (and the new Dr did also)
Communication was slow and difficult [at UCSF]. I had to write multiple portal messages to get an answer. When I had to cancel a cycle because of "over responding" to the medication and was asked to take a Plan B (which was devastating), I had to call/write multiple times to get through with advise on what to do and it was timely...is a big practice, associated with a university. They most certainly have quality doctors and nurses but because it was large didn't feel I got the dedicated, close care compared with the new clinic I am at now. For example, the nurse at my new clinic knows me by name and immediately answers my emails.
How was your experience with Martha Noel at UCSF?
I don't think she was aggressive enough in my first set of treatments given my age and how many children I wanted. When I got a second option, the new Dr (who I prefer) told me she never would have started with fertility meds only without including IUI. I also had to cancel a cycle which I disagreed with (and the new Dr did also)
What's one piece of advice would you give a prospective patient of Martha Noel at UCSF?
Dr Martha Noel is lovely and great at explaining things but for me she was too conservative/risk averse.
During treatment, were you treated like a number or a human with Martha Noel at UCSF?
Dr Noel was very warm during our initial consultation. She also called me personally when we needed to cancel my first IUI cycle because I "over responded" to the Letrazole
Describe the protocols Martha Noel used in your cycles at UCSF and their degree of success.
Letrazole 2.5mg for 3 months, then increase Letrazole + IUI
Describe your experience with the nursing staff at UCSF.
Communication was slow and difficult. I had to write multiple portal messages to get an answer. When I had to cancel a cycle because of "over responding" to the medication and was asked to take a Plan B (which was devastating), I had to call/write multiple times to get through with advise on what to do and it was timely.
Describe your experience with UCSF.
UCSF CRH is a big practice, associated with a university. They most certainly have quality doctors and nurses but because it was large didn't feel I got the dedicated, close care compared with the new clinic I am at now. For example, the nurse at my new clinic knows me by name and immediately answers my emails.
Describe the costs associated with your care under Martha Noel at UCSF.
1st Letrazole + TIC w/ monitoring - $1800! (through Progyny and I hadn't met my deductible so I paid the crazy insurance rate) 2nd and 3rd Letrazole + TIC w/ monitoring - $450 each b/c I paid out of pocket - basically paid for one ultrasound appointment
Describe Martha Noel's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
n/a
What specific things went wrong at UCSF?
  • Failed to call in prescriptions to pharmacy
  • Failed to call with results
  • Failed to convey critical information
Describe the specific things that went wrong at UCSF.
1) I had a progesterone blood test to confirm ovulation and came back as 0 (did not ovulate) when I know I had. I demanded they run it again and it came back 26 (did ovulate) 2) I've had to call/email to get results of tests and/or inquire about my next protocol 3) I've had to call/email multiple times to get Rx's phoned in
5
Doctor
Martha Noel
NPS
Humanity
4 of 5
Communication
3 of 5
Frequency Seen
1 of 5
Trustworthiness
4 of 5
Compassion
4 of 5
Explained risks
5 of 5
Adaptability
3 of 5
6
Clinic
UCSF
San Francisco
NPS
Operations
3 of 5
Scheduling
4 of 5
Billing Department
2 of 5
Nursing Staff
2 of 5
Clinic Atmosphere
5 of 5
Educational Resources
5 of 5
2015 - 2020, Successful
NPS
10
NPS
10
Age 37 - 42
4 IUI
1 IVF
Unexplained
European
Latinx
Income $200K - $499K
Only Doc Seen
Fertility Medications With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Due to the anatomy of my uterus and my age, Dr. Mok-Lin will only do a single embryo transfer...There is no option for me to risk having multiples...is a great listener. She has never made me feel she’s in a rush trying to get to the next patient. Additionally, she takes her time to explain the process and her suggestions. My husband is super analytical and always has many more questions for her and she always happily answers every single one. I love my relationship with her.
Maria [nurse at UCSF] is amazing!! I email her with questions all the time. She is very compassionate and friendly and she will spend all the time needed on the phone explaining the next steps and she will also email all the details...Very nice clinic and friendly staff with easy parking. The check in process is easy and they have several people to do it so you hardly ever wait in line. However, certain women at the check in counter take so long reviewing all the details to make sure they have your insurance, your correct address etc etc. I get it if it is the first time there, but for me, especially during treatment you go in multiple times a week and if I get this person to check me in, she’ll go through it all over again even when I say I was there a day ago, it is annoying.
How was your experience with Evelyn Mok-Lin at UCSF?
I have been seeing Dr. Mok-Lin for several reasons since 2015. If it wasn’t for her I wouldn’t have had my boy, period. He is a toddler now and I will be forever grateful to her and her team. Dr. Mok-Lin performed surgery on me to remove a septate uterus. It was a long and complicated process but she finally fixed it all and I became pregnant naturally. Now, due to unexplained infertility I completed 4 IUI’s and I got pregnant twice with a miscarriage and a cervical ectopic pregnancy. With this last one, which I found out during a routine ultrasound, I had to go through the embryo removal procedure that same moment. I was alone and terrified and my husband on a work trip. When Dr. Mok-Lin showed up in the room I was relieved and knew she would take care of me and everything would be fine. And it was! Now, I am in the process of IVF with FET. Dr. Mok-Lin has said she plans to do the transfer and I’m very excited for that. Because of the time she’s spent with me explaining the process I know what to expect but when I have questions, I send her an email and she responds clearly. Dr. Evelyn Mok-Lin is smart and knowledgeable, she listens and tries to please but only if she knows it is the best option for her patient. I have 100% confidence in her.
What's one piece of advice would you give a prospective patient of Evelyn Mok-Lin at UCSF?
That they may not always see her during appointments but she will be behind every decision concerning the patient.
During treatment, were you treated like a number or a human with Evelyn Mok-Lin at UCSF?
Dr. Mok-Lin is a great listener. She has never made me feel she’s in a rush trying to get to the next patient. Additionally, she takes her time to explain the process and her suggestions. My husband is super analytical and always has many more questions for her and she always happily answers every single one. I love my relationship with her.
Describe the protocols Evelyn Mok-Lin used in your cycles at UCSF and their degree of success.
On the first round of IUI I took 100mg of clomid. I produced too many eggs so the procedure had to be cancelled. The other 4 rounds, 50mg of clomid and got pregnant twice but miscarried and had an cervical ectopic pregnancy. For egg retrieval, I only did it once using Cetrotide, Gonal F and Lupron. I can’t remember dosage :/
Describe your experience with your nurse at UCSF. (Assigned nurse: Maria)
Maria is amazing!! I email her with questions all the time. She is very compassionate and friendly and she will spend all the time needed on the phone explaining the next steps and she will also email all the details. I absolutely love Maria.
Describe your experience with UCSF.
Very nice clinic and friendly staff with easy parking. The check in process is easy and they have several people to do it so you hardly ever wait in line. However, certain women at the check in counter take so long reviewing all the details to make sure they have your insurance, your correct address etc etc. I get it if it is the first time there, but for me, especially during treatment you go in multiple times a week and if I get this person to check me in, she’ll go through it all over again even when I say I was there a day ago, it is annoying.
Describe Evelyn Mok-Lin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Due to the anatomy of my uterus and my age, Dr. Mok-Lin will only do a single embryo transfer and I am okay with that. There is no option for me to risk having multiples.
10
Doctor
Evelyn Mok-Lin
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
4 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
2019 - 2020, Unknown Success
NPS
7
NPS
7
Age 47 - 48
Donor Eggs
Ashkenazi Jewish
Income $100K - $199K
2nd of 2 Docs
IVF With Other Docs
1 Embryo Freezing With Other Docs
Donor Sperm
Neutral
Neutral
Success w/ Doc Too early to know
Dr. Noel has a warm manner during consultations, offers good explanations and recommendations, while treating me like an intelligent partner. I'm not yet sure if she is adapting her treatment recommendations appropriately for me to get results, as I am still in the midst of treatment. Her coordinating staff and nurses, however, were always very rushed, and created additional stress in the process as they often seemed more focused on checking everything off their list than supporting me or providing information to me through the process.
I chose UCSF in large part because their donor egg program offered options that met my criteria - including some open donors (open to varying degrees to future contact with a child), and they seemed to follow relatively strong ethical practices in terms of the donor recruitment and screening. I was also attracted to their relatively strong outcomes data, and their research-based orientation. Their key weakness for me has been the support staff.
How was your experience with Martha Noel at UCSF?
Dr. Noel seemed to pay close attention to my case, read my history thoroughly before my first visit, reviewed donor history in depth, and took the time to answer my many questions. She seemed to be well-informed about the latest research and thoughtful about how it applied to me. However, we have encountered some unexpected challenges in my case and it's too early to say whether she will be able to adapt her approach to those to get a successful pregnancy.
What's one piece of advice would you give a prospective patient of Martha Noel at UCSF?
Ask to be in touch with her by email directly, as her coordinating staff is fairly unhelpful, and then reach out to her sparingly with key medical questions. She is responsive by email, but very briefly, so use that channel only to get information on a clear, specific question.
During treatment, were you treated like a number or a human with Martha Noel at UCSF?
Dr. Noel has a warm manner during consultations, offers good explanations and recommendations, while treating me like an intelligent partner. I'm not yet sure if she is adapting her treatment recommendations appropriately for me to get results, as I am still in the midst of treatment. Her coordinating staff and nurses, however, were always very rushed, and created additional stress in the process as they often seemed more focused on checking everything off their list than supporting me or providing information to me through the process.
Describe the protocols Martha Noel used in your cycles at UCSF and their degree of success.
Standard embryo transfer protocol: birth control pill for timing, Lupron, estradiol patches, and progesterone in oil shots in preparation for the transfer, with Medrol for a few days just before the transfer and Valium day of transfer. I responded well to the standard protocol, other than strong mood reactions to the birth control pill. UCSF's drug program is significantly discounted from other clinics.
Describe your experience with your nurse at UCSF. (Assigned nurse: Olga)
Olga, the nurse I worked with for two cycles, was extremely rushed every single time I spoke with her, and I grew to dread calls with her as I was always stressed after getting off of them. She shared unnecessary information that created additional stress, like telling me that there was going to be a lot of competition for transfer appointments in a certain timeframe. She also sometimes gave unclear instructions and was defensive about it when I asked for clarification on details (i.e. telling me to use estrogen patches at a certain time of day, and then when I asked a related question, telling me that she never told me that and giving a long explanation for how I couldn't possibly have heard what I heard). This same issue happened on both cycles, and I was careful in taking notes from our calls, so it was extremely frustrating to both have poor information and to then have her argue with me when I asked a non-confrontational question. Unlike a previous experience at another clinic, I never felt actual emotional support from the nursing staff at UCSF. When calling with a negative pregnancy test result, they clearly have been trained to say some of the right things, but it felt like a script. When I didn't want to schedule an embryo transfer for the day before one of my biggest work days of the year, and was feeling pressured by the nurse, she didn't show any understanding of my wanting to take my work commitments into consideration and by the end of the call, I was crying, frustrated, and anxious about the choices I'd made very quickly about scheduling such an important procedure. Thuy, Dr. Noel's coordinator, is a bit scattered and required a lot of follow-up to get my labs straight, as she would request labs she had received again, and fail to notice other missing labs. She also often seemed rushed, but was kind and responsive.
Describe your experience with UCSF.
I chose UCSF in large part because their donor egg program offered options that met my criteria - including some open donors (open to varying degrees to future contact with a child), and they seemed to follow relatively strong ethical practices in terms of the donor recruitment and screening. I was also attracted to their relatively strong outcomes data, and their research-based orientation. Their key weakness for me has been the support staff.
Describe Martha Noel's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Strong preference for eSET but would have considered multiple embryo transfer after multiple unsuccessful cycles.
What specific things went wrong at UCSF?
  • Lost paperwork
  • Lost appointments
  • Provided conflicting information
Describe the specific things that went wrong at UCSF.
I had trouble getting all of my initial diagnostic lab results into my records. I had one phone appointment incorrectly cancelled.
7
Doctor
Martha Noel
NPS
Humanity
4 of 5
Communication
4 of 5
Frequency Seen
4 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
3 of 5
7
Clinic
UCSF
San Francisco
NPS
Operations
3 of 5
Scheduling
3 of 5
Billing Department
4 of 5
Nursing Staff
1 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2019, Successful
NPS
10
NPS
10
Age 40 - 44
4 IVF
Donor Eggs
Diminished Ovarian Reserve
Poor Egg Quality
Uterine Fibroids
East Asian
Income $200K - $499K
Only Doc Seen
Egg Freezing With Other Docs
Strongly Recommends
Strongly Recommends
Successful
I would always ask Dr. Mok-Lin a million questions. And she would always answer them with a lot of insight and expertise. Every time she would explain to me how things would go or her feelings on something, she was always spot on. There were never any surprises, and I always felt very prepared mentally for what was to come...Her explanation for why they did multiple with my own eggs and only one with the donor made sense. And both times she was right!
I LOVE SHEM [nurse at UCSF]. She walked me through so many disappointing cycles and always always was so sweet and supportive. I couldn't have done that many cycles without her...At first I felt it was hard to see different doctor each time I would come in. It felt a little like moving through an assembly line. But each doctor was so nice and attentive, that I quickly became use to it. Also, I understand why they do that. With as often as you need to go in, it is nearly impossible to see the same doctor each time.
How was your experience with Evelyn Mok-Lin at UCSF?
Dr. Mok-Lin has been my doctor for years, and I think that in itself says something. She always gave me the detailed facts and her advice when I would ask for her opinion. I am a detailed oriented person, and she would always help me understand the processes as they were happening. I couldn't be happier with her as a doctor and will hopefully return soon to see her again!
What's one piece of advice would you give a prospective patient of Evelyn Mok-Lin at UCSF?
A close friend of mine did become a patient of hers and I didn't feel I needed to give her any advise.
During treatment, were you treated like a number or a human with Evelyn Mok-Lin at UCSF?
Dr. Mok-Lin was always very aware and sensitive to my situation, but also was very honest with me, which I asked for and very much appreciate. She was always very professional, and very responsive to any questions I had. When there was bad news she made sure to call me herself, which I have always appreciated.
Describe the protocols Evelyn Mok-Lin used in your cycles at UCSF and their degree of success.
I would always ask Dr. Mok-Lin a million questions. And she would always answer them with a lot of insight and expertise. Every time she would explain to me how things would go or her feelings on something, she was always spot on. There were never any surprises, and I always felt very prepared mentally for what was to come.
Describe your experience with the nursing staff at UCSF.
I LOVE SHEM. She walked me through so many disappointing cycles and always always was so sweet and supportive. I couldn't have done that many cycles without her.
Describe your experience with UCSF.
At first I felt it was hard to see different doctor each time I would come in. It felt a little like moving through an assembly line. But each doctor was so nice and attentive, that I quickly became use to it. Also, I understand why they do that. With as often as you need to go in, it is nearly impossible to see the same doctor each time.
Describe the costs associated with your care under Evelyn Mok-Lin at UCSF.
I went through so many cycles and different treatments over the course of 4-5 years, I honestly couldn't start to remember
Describe Evelyn Mok-Lin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Her explanation for why they did multiple with my own eggs and only one with the donor made sense. And both times she was right!
10
Doctor
Evelyn Mok-Lin
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
8
NPS
7
Age 33
1 IUI
Unexplained
Consultant
Only Doc Seen
Neutral
Neutral
Success w/ Doc Not sure
[Dr. Huddleston] took the time to answer any questions we have. But I’m pretty sure she will not remember me if I were to speak with her today...never felt like she was rushing us out the door...set a plan for us in place that was easy to follow. I don’t think she made us do anything too extreme or unnecessary as she knew we were paying out of pocket...recommended that we keep trying naturally or can do an IUI...
It’s [UCSF] a huge clinic. Without the coordinator, one can get lost quite easily...expensive if you have to pay out of pocket...answer questions promptly thought email...able to book appointments quickly...[staff] made my husband wait while her “computer loads” so he can pay - while he was holding a specimen cup...had doctors tell me that this is a world class facility/doctors...But I’m still not pregnant yet...
How was your experience with Heather Huddleston at UCSF?
She answered any questions we had and stated that she has high hopes for us, but still no success yet. I never felt like she was rushing us out the door. She set a plan for us in place that was easy to follow. I don’t think she made us do anything too extreme or unnecessary as she knew we were paying out of pocket. I think she has good bedside manner and overall a good fertility doctor. I will continue to see her.
What's one piece of advice would you give a prospective patient of Heather Huddleston at UCSF?
My advice would be to prepare any questions ahead of time - write them down.
During treatment, were you treated like a number or a human with Heather Huddleston at UCSF?
Huddleston took the time to answer any questions we have. But I’m pretty sure she will not remember me if I were to speak with her today.
Describe the protocols Heather Huddleston used in your cycles at UCSF and their degree of success.
We first did a consultation. She then recommended my partner to do a sperm analysis and I do multiple labwork and hsg. We then had another consultation with her and she gave us the results. She recommended that we keep trying naturally or can do an IUI. A few months later, we tried our first cycle of IUI but it was negative. Then this covid thing happened and my partner and I decided to hold off for now. Huddleston never pushed any procedures on us and I really appreciate that.
Describe your experience with your nurse at UCSF. (Assigned nurse: Janlyn)
I really like Huddleston’s staff. They answer questions promptly thought email. They are able to book appointments quickly. I never had any issues with the coordinating team. However, there was one lady who works front desk that both me and my partner do not like. Every time I get her, she has me standing 5-10 mins to check me in. Other front desk staff had me checked in within 1 minute. Another time, she made my husband wait while her “computer loads” so he can pay - while he was holding a specimen cup. Couldn’t we just pay after the drop off? Yes, it may be a policy issue but her slow pace work style didn’t help the situation.
Describe your experience with UCSF.
It’s a huge clinic. Without the coordinator, one can get lost quite easily. It is also very expensive if you have to pay out of pocket as we do. I have had doctors tell me that this is a world class facility/doctors and it’s literally the best place to go for treatment. But I’m still not pregnant yet.
Describe the costs associated with your care under Heather Huddleston at UCSF.
$290 for each consultation/clinic visit, $29 for semen analysis, $1200+ for HSG, $1566 for the basic IUI package (ultrasound and insemination), bloodwork was covered by my insurance.
8
Doctor
Heather Huddleston
NPS
Humanity
4 of 5
Communication
4 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
3 of 5
7
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
1 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
4 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unsuccessful
NPS
8
NPS
10
Age 30
1 IVF
PCOS
Income $50K - $99K
Only Doc Seen
Neutral
Strongly Recommends
Unsuccessful
Dr. Cedars will strongly encourage an elective single embryo transfer...is very intelligent and is very busy. More times than not you will be seeing others doctors on her time, all of which who are very friendly and have good bedside manner...the medications she prescribed for my egg retrieval were spot on. I was at risk for Hyper Ovarian Stimulation and she wanted to keep my dosage pretty low, we got a FANTASTIC result, of 31 eggs retrieved, 14 of which turned into 5-6 day blastocysts. When it came to my first transfer, we did a transfer without antagonist. The first transfer did not result in pregnancy, and now we are awaiting an appointment to change our protocol.
We did Two Round Success Plan with ARC Financing [at UCSF]. It was around $40k for that...the meds here are significantly discounted...meaning you maybe pay a few hundred for all the meds here versus 5-6k. The PGS testing we had done on our embryos was somewhere around 2-3k...It can sometimes feel like you get lost in the shuffle, as there's not a lot of support like you might receive from smaller clinics. For example, when we were waiting to see what embryos made it to blastocyst, while some clinics would call you on Day 1, 3, 5, 6... we didn't get a call until Day 7 with the results. So its definitely less personal that way.. but I find the knowledge of the doctors far outweighs the support I may receive during the process. This is however something they could majorly improve on.
How was your experience with Marcelle Cedars at UCSF?
While I didn't see Dr. Cedars very often, the medications she prescribed for my egg retrieval were spot on. I was at risk for Hyper Ovarian Stimulation and she wanted to keep my dosage pretty low, we got a FANTASTIC result, of 31 eggs retrieved, 14 of which turned into 5-6 day blastocysts. When it came to my first transfer, we did a transfer without antagonist. The first transfer did not result in pregnancy, and now we are awaiting an appointment to change our protocol.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Ask as many questions as you like, she's very knowledgeable and understanding.
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
Dr. Cedars is very intelligent and is very busy. More times than not you will be seeing others doctors on her time, all of which who are very friendly and have good bedside manner.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
The treatment strategy for my egg retrieval was very successful. The treatment strategy for my first transfer didn't result in pregnancy, although my lining was really good (14 mm), so will be looking to change the protocol.
Describe your experience with your nurse at UCSF. (Assigned nurse: Katherine Porras)
The nursing staff at UCSF is very kind and compassionate. I found if I need an immediate response to select their immediate care line, otherwise emailing my care team, they were usually responsive within 24 hours.
Describe your experience with UCSF.
It can sometimes feel like you get lost in the shuffle, as there's not a lot of support like you might receive from smaller clinics. For example, when we were waiting to see what embryos made it to blastocyst, while some clinics would call you on Day 1, 3, 5, 6... we didn't get a call until Day 7 with the results. So its definitely less personal that way.. but I find the knowledge of the doctors far outweighs the support I may receive during the process. This is however something they could majorly improve on.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
We did Two Round Success Plan with ARC Financing. It was around $40k for that... the meds here are significantly discounted... meaning you maybe pay a few hundred for all the meds here versus 5-6k. The PGS testing we had done on our embryos was somewhere around 2-3k.
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr. Cedars will strongly encourage an elective single embryo transfer.
What specific things went wrong at UCSF?
  • Failed to call with results
Describe the specific things that went wrong at UCSF.
Regarding the embryos that made it to blastocyst, I didn't feel as supported as I would have maybe preferred. Calling on Day 7 isn't the greatest when its already an anxiety ridden process. Also when I got my embryo transfer there were zero calls or emails of support wondering how I was doing, which I think a clinic should implement as it is a very hard (and seems like long), and emotional waiting period.
8
Doctor
Marcelle Cedars
NPS
Humanity
4 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
4 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
4 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
5 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
6
NPS
7
Age 30
1 IUI
Diminished Ovarian Reserve
Poor Egg Quality
East Asian
Income $200K - $499K
Consultant
Only Doc Seen
Doesn't Recommend
Neutral
Success w/ Doc Too early to know
Saw him [Dr. Mitch Rosen] once and all subsequent visits were with nurses and attending physicians...After my first cycle it was clear adjustments needed to be made, but I was told the next cycle would proceed exactly as before. It wasn't until after 2 cycles that a nurse called to get detailed feedback for her rounds with Dr Rosen and my treatment was adjusted for cycle 3...Switched to letrazole because Clomid caused thin uterine lining on cycle 1. Moving ultrasound up to day 9.
$2000 per cycle of IUI billed to my insurance. Breakdown not provided...Be aware that UCSF is a big hospital and doctors do not review results as frequently as they should...Needed to take care into my own hands, or else major mistakes would have been made: cycle 1 - was told no need to use OPKs, ended up using them anyway and found out I was ovulating naturally ahead of schedule, needed to move up insemination date. cycle 2 - unexpected business travel for husband meant we could miss our insemination window. Was told we can make last minute appointment in case timing worked out. Nurse did not realize / failed to tell me additional insurance approval was needed and was not requested for this cycle, ended up missing opportunity to do full IUI.
How was your experience with Mitch Rosen at UCSF?
After my first cycle it was clear adjustments needed to be made, but I was told the next cycle would proceed exactly as before. It wasn't until after 2 cycles that a nurse called to get detailed feedback for her rounds with Dr Rosen and my treatment was adjusted for cycle 3.
What's one piece of advice would you give a prospective patient of Mitch Rosen at UCSF?
Be aware that UCSF is a big hospital and doctors do not review results as frequently as they should.
During treatment, were you treated like a number or a human with Mitch Rosen at UCSF?
Saw him once and all subsequent visits were with nurses and attending physicians. My treatment was not adjusted until 2 cycles in.
Describe the protocols Mitch Rosen used in your cycles at UCSF and their degree of success.
IUI cycle 1: Clomid 50 mg for days 2-7, ultrasound on day 10, trigger shot on day 11, insemination planned for day 13 but moved up to day 12 because I observed LH surge on OPK test on day 11. IUI cycle 2: same as cycle 1. Cancelled ultrasound & insemination because of timing conflict with husband's work travel, still took Clomid + timed intercourse. IUI cycle 3 (in progress): Adjusted treatment based on result from cycle 1. Switched to letrazole because Clomid caused thin uterine lining on cycle 1. Moving ultrasound up to day 9.
Describe your experience with your nurse at UCSF. (Assigned nurse: Cathy)
Needed to take care into my own hands, or else major mistakes would have been made: cycle 1 - was told no need to use OPKs, ended up using them anyway and found out I was ovulating naturally ahead of schedule, needed to move up insemination date. cycle 2 - unexpected business travel for husband meant we could miss our insemination window. Was told we can make last minute appointment in case timing worked out. Nurse did not realize / failed to tell me additional insurance approval was needed and was not requested for this cycle, ended up missing opportunity to do full IUI.
Describe your experience with UCSF.
Seems to be experienced and reputable, but I was prepared to be very involved in my own care going into it based on reviews I read - and I was right to do so because staff and nurses made erros. Is probably cheaper than private clinics but don't know for sure.
Describe the costs associated with your care under Mitch Rosen at UCSF.
$2000 per cycle of IUI billed to my insurance. Breakdown not provided
What specific things went wrong at UCSF?
  • Failed to call in prescriptions to pharmacy
  • Provided conflicting information
  • Failed to convey critical information
  • Canceled a cycle due to clinic error
Describe the specific things that went wrong at UCSF.
Communication between billing team and nurse = nonexistant. Nurse was not aware of my insurance pre-approval requirements which resulted in cancelled cycle. Also had trouble sending prescriptions to my insurer's pharmacy and required intervention from my end.
6
Doctor
Mitch Rosen
NPS
Humanity
3 of 5
Communication
4 of 5
Frequency Seen
1 of 5
Trustworthiness
4 of 5
Compassion
4 of 5
Explained risks
4 of 5
Adaptability
2 of 5
7
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
5 of 5
Educational Resources
5 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2019, Unknown Success
NPS
8
NPS
8
Age 43 - 45
Diminished Ovarian Reserve
Poor Egg Quality
European
Latinx
Income $100K - $199K
Consultant
2nd of 2 Docs
1 IVF With Other Docs
1 Embryo Freezing With Other Docs
Donor Eggs With Other Docs
Donor Sperm
Neutral
Neutral
Success w/ Doc Too early to know
It's disheartening when you have invested a ton of emotional energy -- not to mention money -- and the doctor and/or staff get things wrong or forget you have already completed steps. I know it's a busy clinic and that Dr. Cedars is a leader in her field, but when you're investing so many resources, you want to feel like people have taken time to look at your chart or to gather the correct information before meeting with you.
Everyone I encounter [at UCSF]is very nice. I work with Ruth, mainly. She can seem very overwhelmed, but she's always been responsive. It's hard to get her live on the phone, so it's a great deal of listening to each other's voicemails or reading messages in the portal....The actual clinic is in a very newly constructed, modern facility. Everything feels new and clean....It's disheartening when you have invested a ton of emotional energy -- not to mention money -- and the doctor and/or staff get things wrong or forget you have already completed steps.
How was your experience with Marcelle Cedars at UCSF?
She clearly knows what she's doing and her reputation precedes her. She sees so many patients -- like all fertility doctors -- so I don't expect a touchy feely connection with her, but it does feel like this is a transaction. There was another doctor I was interested in--outside of UCSF-- but I couldn't afford him, unfortunately.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Just know this is a very western, clinical, transactional experience, but you should be in good hands.
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
It's disheartening when you have invested a ton of emotional energy -- not to mention money -- and the doctor and/or staff get things wrong or forget you have already completed steps. I know it's a busy clinic and that Dr. Cedars is a leader in her field, but when you're investing so many resources, you want to feel like people have taken time to look at your chart or to gather the correct information before meeting with you.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
Right now, I'm just increasing estrogen intake and taking progesterone to force a period. We haven't moved into the actual IVF protocol yet.
Describe your experience with your nurse at UCSF. (Assigned nurse: Ruth)
Everyone I encounter is very nice. I work with Ruth, mainly. She can seem very overwhelmed, but she's always been responsive. It's hard to get her live on the phone, so it's a great deal of listening to each other's voicemails or reading messages in the portal.
Describe your experience with UCSF.
A huge strength is that it's near my house. The previous clinic was in Irvine (I'm in the bay area). The actual clinic is in a very newly constructed, modern facility. Everything feels new and clean. I haven't done very much other than meet with Dr. Cedars and the care team, so I cannot speak to the treatment rooms as much. I will say that I would strongly advise against meeting with Dr. Laurie Pasch, the clinic psychologist, and meet with Dr. Holley instead.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
All in, to have donor eggs, using a known sperm donor (we froze his sperm at UCSF) and one transfer (no testing, no ICSI -- all of those costs are extra), it will be a little over $30,000.
8
Doctor
Marcelle Cedars
NPS
Humanity
4 of 5
Communication
3 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
4 of 5
Explained risks
3 of 5
Adaptability
5 of 5
8
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
3 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
10
NPS
10
Age 41
1 IVF
Income $200K - $499K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Not sure
I did appreciate his [Dr. Mitchell Rosen's] vast knowledge about infertility and he put a great plan in motion for me and far as my protocol. I was nervous when I found out he wasn’t able to perform my egg retrieval or transfer...be patient if you want to get on his schedule. He rarely has openings...We opted for a mini cycle and I was very pleased with the outcome. I responded well and after taking clomid for 5 days, a couple shots of ganarelix and I think one or 2 shots of gonal I was ready to trigger. It happened very quickly.
The finance dept [at UCSF] never answers the phone tho so expect a lot of emails going back and forth. Most team members are prompt with their email responses and call backs. They do close rather early though so you have to get your calls and emails in early. Sometimes I had to ask questions to my care coordinator more than once. They were short staffed at the time though so I tried to be patient. But when you’re spending so much money on such a personal journey you’re often anxious to get questions answered and the wait can feel like forever.
How was your experience with Mitch Rosen at UCSF?
Overall I had a good experience. Except for what I mentioned previously in that I allowed myself to be put in the “infertility box” and didn’t trust my gut instincts, and I know my body very well. I should have been more sure of myself and only transferred one embryo as I knew my body couldn’t handle a twin pregnancy. However, I did appreciate his vast knowledge about infertility and he put a great plan in motion for me and far as my protocol. I was nervous when I found out he wasn’t able to perform my egg retrieval or transfer. But the staff was top notch and I was very comfortable with everyone who helped me.
What's one piece of advice would you give a prospective patient of Mitch Rosen at UCSF?
He’s one of the best, If not the best doctors at the clinic so be patient if you want to get on his schedule. He rarely has openings.
During treatment, were you treated like a number or a human with Mitch Rosen at UCSF?
It’s not that I felt like a number but I felt like a statistic. I’ve always been very fertile but my tunes are tied. In This field the dr’s tend to go on statistics and research and I was talked in to transferring 2 embryos against my gut instinct to transfer just one. I was assured I’d likely only have one stick, if any. But both stuck and I was unable to carry 2 (that’s a long complicated story) and ended up having to terminate both.
Describe the protocols Mitch Rosen used in your cycles at UCSF and their degree of success.
We opted for a mini cycle and I was very pleased with the outcome. I responded well and after taking clomid for 5 days, a couple shots of ganarelix and I think one or 2 shots of gonal I was ready to trigger. It happened very quickly.
Describe your experience with your nurse at UCSF. (Assigned nurse: Cathy)
My nurse was extremely smart I just wish she’d taken a little more time to explain things. I always felt rushed.
Describe your experience with UCSF.
Overall they run a well oiled machine. The finance dept never answers the phone tho so expect a lot of emails going back and forth. Most team members are prompt with their email responses and call backs. They do close rather early though so you have to get your calls and emails in early. Sometimes I had to ask questions to my care coordinator more than once. They were short staffed at the time though so I tried to be patient. But when you’re spending so much money on such a personal journey you’re often anxious to get questions answered and the wait can feel like forever.
Describe the costs associated with your care under Mitch Rosen at UCSF.
All in we paid about $8,500. This included meds, anesthesia, appts, ultrasounds, etc.
Describe Mitch Rosen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
I shouldn’t comment bc I don’t have fertility issues, my tubes are tied and I’m super fertile.
10
Doctor
Mitch Rosen
NPS
Humanity
3 of 5
Communication
5 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
3 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unsuccessful
NPS
8
NPS
8
Age 26
1 IUI
Unexplained
European
Income $0 - $49K
2nd of 2 Docs
3 IUI With Other Docs
Neutral
Neutral
Unsuccessful
I felt that Dr.Cedars actively listened to our history and clearly had read over our records prior to the consultation. She explained her reasonings for the desired treatment plan in a way that I was able to understand. ... She had a calmness to her presence which was very important to us. ... Our treatment cycle consisted of Letrozole 5mg starting CD2 x 5 days.*We had previously done 3 IUIs with clomid
The office [UCSF] has separatewaiting areas depending on what procedure you're there fkr (u/s, specimen collection, IUI). The "checkout" process was sort of confusing having to back to the front desk staff anticipating they know what your next schedule will be. When paying for services (we decided to pay cash) they staff was somewhat unprepared to handle that process. They do not have a cash register and are unable to give change.
How was your experience with Marcelle Cedars at UCSF?
She had a calmness to her presence which was very important to us. When explaining her treatment plans, she provided credible sources (studies/journals) to further ensure us the information was up to date.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Be prepared to see other providers for most of the visits, who may not fully understand your specific case as well as Dr. Cedars. All questions which that require detailed responses she be directed to her nurses who can give direct messages to Dr. Cedars.
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
I felt that Dr.Cedars actively listened to our history and clearly had read over our records prior to the consultation. She explained her reasonings for the desired treatment plan in a way that I was able to understand.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
Our treatment cycle consisted of Letrozole 5mg starting CD2 x 5 days.*We had previously done 3 IUIs with clomid 100mg with our 1st clinic.* U/S follicle check on CD 12 showed 2 follicles; 21mm and 13mm. With a lining of 11.4mm. *We did not see Dr.Cedars at this visit* Was told to trigger shot the following night CD 13. And returned to clinic on CD14 for "specimen collection" and IUI. *We did not see Dr.Cedars for this procedure visit*
Describe your experience with your nurse at UCSF. (Assigned nurse: Jill and Ruth)
Ruth was great with communication. She was very sweet each time we spoke, answered my questions quickly and even set up a call with Dr.Cedars when my questions were beyond her knowledge of advice.
Describe your experience with UCSF.
Very clean and upscale/modern feels. The office has separatewaiting areas depending on what procedure you're there fkr (u/s, specimen collection, IUI). The "checkout" process was sort of confusing having to back to the front desk staff anticipating they know what your next schedule will be. When paying for services (we decided to pay cash) they staff was somewhat unprepared to handle that process. They do not have a cash register and are unable to give change.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
Consult including u/s $250. The medication protocol at discount pharmacy was $30. The follicle scan, sperm wash and IUI - $1566.00
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
We were not at the IVF stage yet. But when i did ask her approach to single vs multiple embryo transfer she advised that in for personal case that a single would be plenty as multiple can increase health risks for mom and baby(s)
8
Doctor
Marcelle Cedars
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
1 of 5
Trustworthiness
4 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
2 of 5
8
Clinic
UCSF
San Francisco
NPS
Operations
3 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unknown Success
NPS
9
NPS
8
Age 34 - 35
3 IUI
2 IVF
Unexplained
European
East Asian
Income $200K - $499K
Only Doc Seen
Egg Freezing With Other Docs
Strongly Recommends
Neutral
Success w/ Doc Too early to know
Dr. Anaya is thoughtful and supportive. ... There have been several complications (discovery of Hashimoto's disease and a septate uterus) and poor outcomes to procedures ... Whenever I expressed concern or doubt about the route we were taking, Dr. Anaya explains all the options, the pros and cons of the options, and the studies/or lack of studies supporting it. She is detailed and blunt but done in a compassionate and caring way.
I think they need a more robust financial advisor program. Due to some unclear instructions on both the part of UCSF and our insurance company we blew $12K (out of only $20K) on IVF medication. We were not informed of UCSF's community program with Walgreens until our second round. ... Instead we spent ~$18,000 out of pocket. ... The entire care team including the phlebotomists and rotating fellows are all kind and friendly.
How was your experience with Yanett Anaya at UCSF?
Dr. Anaya is thoughtful and supportive. My IVF journey has been a very twisted path. There have been several complications (discovery of Hashimoto's disease and a septate uterus) and poor outcomes to procedures (first IVF we retrieved 32 eggs but only 1 passed PGS testing). Whenever I expressed concern or doubt about the route we were taking, Dr. Anaya explains all the options, the pros and cons of the options, and the studies/or lack of studies supporting it. She is detailed and blunt but done in a compassionate and caring way. She understands its a hard road and practices patience with patients. However, she is very busy and splits her time between two clinics. Sometimes she is not available when you wish she was. But if you ask to talk to her, the care team always gets in contact with her and schedules a time for you. When you are talking to Dr. Anaya, you have her full attention and she never rushes a conversation.
What's one piece of advice would you give a prospective patient of Yanett Anaya at UCSF?
The one piece of advice I would give a prospective patient is to speak up, ask questions and advocate for yourself. However, I would probably give this advice to anyone talking to any medical provider.
During treatment, were you treated like a number or a human with Yanett Anaya at UCSF?
UCSF is a HUGE clinic, if you aren't careful you may feel like a number. But the desk staff, nurses, and Dr, Anaya all try very hard to make each interaction as informative, thorough, and reassuring as possible. You may need to use the messaging portal to ask questions to your nurse. Or ask the nurse if you can set up a call with Dr. Anaya. But as long as you advocate for what you need, Dr. Anaya and her care team will be responsive and compassionate in taking you through the very long IVF journey!
Describe the protocols Yanett Anaya used in your cycles at UCSF and their degree of success.
IUI #1 = Clomid, 2 folicles, no pregnancy IUI #2 = Clomid, 4 folicles, no pregnancy IUI #3 = Letrozole, 2 folicles, no pregnancy - switched to see if outcome would change IVF retrieval #1 = BC primer, 150 menopur, 225 gonal-F, later added ganerelix, used lupron during trigger shot ==&gt; resulted in 32 eggs retrieved, 24 fertilized, 17 Day 3 embryos, 6 blastocyst sent to PGS testing, ONLY ONE NORMAL My husband, myself, and Dr. Anaya were all disappointed. We talked about doing another IVF round with the same protocol or with a changed protocol. I pushed for a more mild protocol and Dr. Anaya worked with me. IVF retrieval #2 = Estrace & lupron injection primer, 150 menopur, 150 gonal-F, stimed longer, used an HCG trigger ==&gt; resulted in 33 eggs retrieved, 24 fertilized, 17 Day 3 embryos, 6 blastocyst sent to PGS testing, 4 tested normal FET #1 = First embryo died in thawing process; Estrace patches (1,1,2,4,4,3,2,1) and progesterone injections, 1 embryo transferred ==&gt; no pregnancy UCSF and Dr. Anaya prefer playing it conservatively, only transferring 1 embryo at a time. I agree and prefer this approach. Three embryos remaining and I am currently doing an ERA test. Story is to be continued
Describe your experience with your nurse at UCSF. (Assigned nurse: first 9 months Gianna, now Cheryl)
The entire care team including the phlebotomists and rotating fellows are all kind and friendly. Some are more knowledgeable than others, but if a person doesn't know the answer to a question they will go look for the answer for you.
Describe your experience with UCSF.
UCSF is a HUGE clinic. They have a lot of patients and a lot of staff. Sometimes it takes minute to find the right person to talk to via phone or email, but someone always answers questions within a 12 to 48 hour window. And when interacting with me everyone is friendly and compassionate. I think they need a more robust financial advisor program. Due to some unclear instructions on both the part of UCSF and our insurance company we blew $12K (out of only $20K) on IVF medication. We were not informed of UCSF's community program with Walgreens until our second round.
Describe Yanett Anaya's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
UCSF and Dr. Anaya prefer playing it conservatively, only transferring 1 embryo at a time. I agree and prefer this approach. I think this is particularly a good approach for my situation, no previous pregnancies (even in miscarriage) and 35+.
What specific things went wrong at UCSF?
  • Failed to convey critical information
Describe the specific things that went wrong at UCSF.
I think they need a more robust financial advisor program. Due to some unclear instructions on both the part of UCSF and our insurance company we blew $12K (out of only $20K) on IVF medication. We were not informed of UCSF's community program with Walgreens until our second round. If the program had been communicated appropriately and we were advised to self pay medications, we would have enough money left to have covered both rounds of IVF retrieval. Instead we spent ~$18,000 out of pocket.
9
Doctor
Yanett Anaya
NPS
Humanity
4 of 5
Communication
4 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
3 of 5
8
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
3 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
10
NPS
10
Age 38
4 IUI
1 IVF
1 Embryo Freezing
Unexplained
East Asian
Investor
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr. Noel was measured and didn’t try to pressure me into IVF vs other doctors I had consulted. ... Dr. Noel is compassionate and thoughtful about each patient’s case. ... Strengths: Dr. Noel is thoughtful about her recommendations and fertility plan. She also takes the time to explain and answer questions. She’s responsive over email.
Strengths: wide range of time slots, both early morning and weekends. Very professional staff [UCSF], punctual and high quality of care. Weaknesses: hard to get into the system initially but go above and beyond once you’re a patient. ... Weekend staff didn’t update me on status of embryos as planned. ... Care coordinator: Thuy - she is very responsive and helpful with getting all of the paperwork and necessary appointments set up. Very organized. Main nurse: Olga - she is very organized and is the main point of contact for updates.
How was your experience with Martha Noel at UCSF?
Strengths: Dr. Noel is thoughtful about her recommendations and fertility plan. She also takes the time to explain and answer questions. She’s responsive over email. Weaknesses: Dr. Noel hasn’t been as always to access since the email system got updated. Now you can only email the care team and a nurse usually responds. At least the responses are within the day.
What's one piece of advice would you give a prospective patient of Martha Noel at UCSF?
Dr. Noel is compassionate and thoughtful about each patient’s case. UCSF is structured to rotate doctors and nurses for each visit. Even though you won’t have that much contact with Dr. Noel, she is making the final decisions and recommendations for you.
During treatment, were you treated like a number or a human with Martha Noel at UCSF?
Dr. Noel is thoughtful about my case and take the time to explain everything simply, draw diagrams, provide important details and answer all of my questions. She is also realistic and kind at the same time.
Describe the protocols Martha Noel used in your cycles at UCSF and their degree of success.
We started conservatively with progesterone treatments, then moved to IUI (4 rounds) then IVF when previous methods were unsuccessful. Dr. Noel was measured and didn’t try to pressure me into IVF vs other doctors I had consulted. So far no pregnancy but Dr. Noel mentioned it could take a few tries due to age and lower egg count.
Describe your experience with your nurse at UCSF. (Assigned nurse: Olga)
Care coordinator: Thuy - she is very responsive and helpful with getting all of the paperwork and necessary appointments set up. Very organized. Main nurse: Olga - she is very organized and is the main point of contact for updates. Very efficient and explains processes well. Can sometimes be curt but don’t think she means it negatively. General nursing team: all wonderful, well-informed, professional and kind.
Describe your experience with UCSF.
Strengths: wide range of time slots, both early morning and weekends. Very professional staff, punctual and high quality of care. Weaknesses: hard to get into the system initially but go above and beyond once you’re a patient.
Describe the costs associated with your care under Martha Noel at UCSF.
IUI costs $3-5k depending on monitoring and insurance coverage. IVF costs about $20-30k depending on specific procedures performed/elected.
Describe Martha Noel's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
The approach is meant to optimize for saving the embryos that I can produce due to lower egg count. So day of transfer and # transferred depends on how many eggs and embryos in that cycle.
What specific things went wrong at UCSF?
  • Failed to call with results
Describe the specific things that went wrong at UCSF.
Weekend staff didn’t update me on status of embryos as planned.
10
Doctor
Martha Noel
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unknown Success
NPS
10
NPS
10
Age 37 - 38
3 IUI
Diminished Ovarian Reserve
Male Factor
Poor Egg Quality
European
Ashkenazi Jewish
Income $100K - $199K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
At start of consultation I was 38 with low ovarian reserve (3 follicles barely 4mm each, FSH 11.2) My husband was 35 and with history of chemo due pancreatic cancer. He [Dr. Rinaudo] said IUI would be the less aggressive route since we wanted to avoid IVF ... Dr. Rinaudo it's one of the most compassionate and caring doctors ice ever dealt with. He was candid, expressed concern and helped with decision making applying evidence based expected outcomes specific to our case
The rooms could be a little "less medical" feeling but honestly I didn't care about going to a foofy clinic. I cared about the expertise and everyone at RHC has been wonderful! ... Both Kat and Norma [nurses] are so fast in responding and so organized. They're always communicating with each other and made every step of the process seamless! They're absolutely the best supporting team I'm ever worked with!
How was your experience with Paolo Rinaudo at UCSF?
Dr. Rinaudo made this difficult and scary process just the opposite. He explained everything very clearly and set realistic expectations. My husband was just a couple of years post pancreatic cancer treatment when we first saw Dr. Rinaudo and we assumed the issue was just a male factor but when I got tested and discovered that I had a very low ovarian reserve (only 3 follicles and barely 4mm each during pelvic US) we realized our situation just became tenfold more complex. I was 38 at the time so it wasn't statistically surprising but it was definitely emotionally shocking to find out nevertheless, considering I've always been healthy. After 3 cycles of IUI didn't work Dr. Rinaudo recommended IVF. Having lost my childhood best friend to breast cancer at the age of 33 shortly after IVF, the thought of it was terrifying. Though the statistics aren't clear that IVF causes cancer, I've personally witnessed too many cases. We discussed this with Dr. Rinaudo and he explained that it is important to consider that it's not just IVF but the ongoing hormone surges throughout pregnancy that could trigger cancer. This shed more light on the subject but didn't make going through IVF more enticing. We agreed with my husband that if we came to the point where IVF was the only option we'd get further genetic testing for cancer. This is the ONLY weakness that I would say Dr. Rinaudo has. Neither HE nor ANY medical professional was the one to suggest this test, despite my husband's history of cancer and my Ashkenazi background. Once we told him we want to do the genetic testing, Dr. Rinaudo very quickly arranged for us to meet with a wonderful generic counselor who performed the saliva test. After a few weeks we were contacted by the same genetic counselor who gave us the terrific news that my husband was clear of any genetic cancers (which was my biggest fear) and followed the news my revealing that I have the BRCA2 gene (a fear we didn't anticipate). Now I was even more glad we did the test but even more confused by why NOBODY ever suggests to get this test done considering 1 in 40 people of Jewish descent have some form of the BRCA gene. We decided for me do a double mastectomy and reconstruction and put IVF on hold until I recovered. Now I'm recovered and less fearful of going through IVF. Now I'm ready to get back on track to starting a family.
What's one piece of advice would you give a prospective patient of Paolo Rinaudo at UCSF?
Pick his brain. He's brilliant. But do your research and be your own advocate in the process. This would apply to any doctor as well.
During treatment, were you treated like a number or a human with Paolo Rinaudo at UCSF?
Dr. Rinaudo it's one of the most compassionate and caring doctors ice ever dealt with. He was candid, expressed concern and helped with decision making applying evidence based expected outcomes specific to our case.
Describe the protocols Paolo Rinaudo used in your cycles at UCSF and their degree of success.
At start of consultation I was 38 with low ovarian reserve (3 follicles barely 4mm each, FSH 11.2) My husband was 35 and with history of chemo due pancreatic cancer. Double whammy! He said IUI would be the less aggressive route since we wanted to avoid IVF possible so he said we'd give no more than 3 cycles a try then move on to IVF. 3 cycles of IUI resulted in 0 pregnancies.
Describe your experience with your nurse at UCSF. (Assigned nurse: Kat and Norma)
Both Kat and Norma are so fast in responding and so organized. They're always communicating with each other and made every step of the process seamless! They're absolutely the best supporting team I'm ever worked with!
Describe your experience with UCSF.
The clinic is started off the art and overall beautiful. The rooms could be a little "less medical" feeling but honestly I didn't care about going to a foofy clinic. I cared about the expertise and everyone at RHC has been wonderful!
Describe the costs associated with your care under Paolo Rinaudo at UCSF.
We were fortunate to have Cobra insurance coverage under my husband's previous employer in Massachusetts which covered all fertility treatment. We no longer have this coverage and were quoted about $15,000 not including medications per cycle for out of pocket cost.
Describe Paolo Rinaudo's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr. Rinaudo suggested single embryo transfer to avoid potential risks associated with potentialof multiples based on our situation and my age
10
Doctor
Paolo Rinaudo
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
2 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
4 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
4 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
10
NPS
10
Age 35
1 IVF
Male Factor
European
Income $100K - $199K
Operations
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
She was the first doctor in our process to outline our options and give us hope. Her attention and knowledge were outstanding. ... Due to high risk of OHSS -I had 33 follicles during the initial consult-, Dr. Cedars treated me with an antagonist protocol. ... Doctor Cedars took the time to explain our diagnosis and options. She answers many questions during the course of treatment
I worked with Katharine and Ruthie [nurses at UCSF] and they were both outstanding. They would follow up with me within minutes of me sending them messages, they were on top of the schedule and reacted quickly when we had to make changes (i.e. initiating stimulation a week earlier due to my menses being early). ... I never had to wait more than 5 minutes for any of my appointments and I loved finding a book of notes for patients by patients that made me feel understood and less lonely going through the process.
How was your experience with Marcelle Cedars at UCSF?
After a year of trying and getting no answers from Kaiser we transferred our case to UCSF and Dr. Cedars saw us immediately, used the battery of tests we had done through Kaiser to diagnose us and gave us a path forward. She was the first doctor in our process to outline our options and give us hope. Her attention and knowledge were outstanding. To date (we are awaiting to see if the Fresh transfer worked), we joke that we may call any future daughters of ours Marcelle after the doctor.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Trust the doctor
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
Doctor Cedars took the time to explain our diagnosis and options. She answers many questions during the course of treatment and she worked with Dr. Smith who was treating my husband. She was extremely positive and even conducted some procedures like the saline sonogram herself.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
Due to high risk of OHSS -I had 33 follicles during the initial consult-, Dr. Cedars treated me with an antagonist protocol. We started with 75 Menopur and 150 Gonal-F. After 10 days, my estradiol levels went down (one big follicle collapsed) and we increased the dose of Menopur to two vials. Two days later we triggered and we got 19 eggs (all 19 mature).
Describe your experience with your nurse at UCSF. (Assigned nurse: Katharine Porras)
I worked with Katharine and Ruthie and they were both outstanding. They would follow up with me within minutes of me sending them messages, they were on top of the schedule and reacted quickly when we had to make changes (i.e. initiating stimulation a week earlier due to my menses being early). I have really enjoyed working with them and I have felt very cared for.
Describe your experience with UCSF.
The facilities have to be the best in the country. The Mission Bay Campus is incredible. I never had to wait more than 5 minutes for any of my appointments and I loved finding a book of notes for patients by patients that made me feel understood and less lonely going through the process.
Describe your experience with your monitoring appointments at UCSF.
Monitoring was done in the mornings and it was very convenient as it was from 7 AM until 9 AM which meant not having to miss work. It was extremely easy to get appointments and I was always able to get them at my preferred time.
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
The doctor strongly recommended eSET due to my egg, hormonal levels and health history. She also recommended a fresh transfer after monitoring me daily from day 5 of stims.
10
Doctor
Marcelle Cedars
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

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

This patient has provided documentation of treatment at this clinic.

2019, Consult
NPS
8
NPS
10
Age 26
Latinx
Native American
Income $50K - $99K
3rd of 3 Docs
7 Fertility Medications With Other Docs
Neutral
Strongly Recommends
Success w/ Doc Too early to know
My husband was concerned about me becoming the new Octomom and our doctor [Dr. Huddleston] reassured us that she would only be transferring one embryo because multiple embryos means more chance for complications...was very kind and understanding . She answered all of my husband and my questions with great care...was very intelligent and broke down the whole process of IVF even drew pictures so we completely understood what was going on she was very empathetic to our situation and also offered to enroll us into a case study if we wanted to because it could possibly be a little less expensive route . She was very patient and gave detailed explanations to us and asked if we had questions along the way.
Parking was a little expensive [at UCSF]...it is a beautiful facility very clean and warming...you are instantly greeted when you walk in . We didn’t have to wait to be seen we were seen exactly on time!!...Our care coordinator was awesome explained everything answered all my what if questions and worked with our schedule ...My husband was concerned about me becoming the new Octomom and our doctor [Dr. Huddleston] reassured us that she would only be transferring one embryo because multiple embryos means more chance for complications
How was your experience with Heather Huddleston at UCSF?
Dr.Huddleston was very intelligent and broke down the whole process of IVF even drew pictures so we completely understood what was going on she was very empathetic to our situation and also offered to enroll us into a case study if we wanted to because it could possibly be a little less expensive route . She was very patient and gave detailed explanations to us and asked if we had questions along the way.
What's one piece of advice would you give a prospective patient of Heather Huddleston at UCSF?
To be open and honest with her and due to her willingness to explain come in with a list of questions prepared.
During treatment, were you treated like a number or a human with Heather Huddleston at UCSF?
Heather was very kind and understanding . She answered all of my husband and my questions with great care.
Describe the protocols Heather Huddleston used in your cycles at UCSF and their degree of success.
I am currently undergoing treatment with Dr.Huddleston. She did explain in our first appointment why we needed to do the sonogram because my husband and I were hesitant due to us not having coverage for it and did not want to pay for something that was unnecessary at the time but she explained the reasoning why we needed it which was Because she needed to get an initial look at the female reproductive System as well as a current egg count to know an approximation of how many eggs could be produced in retrieval and to see if there were any anatomical abnormalities.
Describe your experience with your nurse at UCSF. (Assigned nurse: Janlyn kong)
Our care coordinator was awesome explained everything answered all my what if questions and worked with our schedule .
Describe your experience with UCSF.
Parking was a little expensive and there is construction around the area currently so it was a little difficult getting there but the contractors were very nice and gave directions but other than that it is a beautiful facility very clean and warming the security helped us find what floor to get to and you are instantly greeted when you walk in . We didn’t have to wait to be seen we were seen exactly on time!!
Describe the costs associated with your care under Heather Huddleston at UCSF.
So far nothing yet but looking over the bill it’s going to be +$10,000
Describe Heather Huddleston's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
My husband was concerned about me becoming the new Octomom and our doctor reassured us that she would only be transferring one embryo because multiple embryos means more chance for complications and she wants us to have a healthy pregnancy so she transfers only one embryo at a time. Unless your over 40 and your egg quality is lower she only does o e embryo.
8
Doctor
Heather Huddleston
NPS
Humanity
4 of 5
Communication
4 of 5
Frequency Seen
2 of 5
Trustworthiness
4 of 5
Compassion
4 of 5
Explained risks
3 of 5
Adaptability
4 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
NPS
9
NPS
10
Age 44
Donor Eggs
Diminished Ovarian Reserve
Male Factor
Uterine Fibroids
Black or African-American
Income $200K - $499K
Business Executive
1st of 3 Docs
4 IUI With Other Docs
IVF With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
She [Dr. Cedars] is kind, forthright, and thoughtful, and takes the time to explain treatment options....She’s amazing but busy. She takes the time to call and speak with you directly with positive or negative news. I’ve advocated for myself and I think that has paid off in getting the care I deserve. Her ability to lay out all of the options clearly and address all of my concerns is why I continue to pursue treatment with her and UCSF.
This is my fourth fertility clinic (third one for treatment) and I love everything about UCSF. Yes it’s a huge research institution and there can be a lot of patients in the waiting areas and treatment lounges, but I feel like each interaction with me directly is personalized for my protocol....The biggest issue with Dr Cedars is the continued revolving door of the staff. As soon as you build rapport with one, they leave. There are other permanent staff but they are not as diligent on details as previous coordinators were.
How was your experience with Marcelle Cedars at UCSF?
She’s amazing but busy. She takes the time to call and speak with you directly with positive or negative news. I’ve advocated for myself and I think that has paid off in getting the care I deserve. Her ability to lay out all of the options clearly and address all of my concerns is why I continue to pursue treatment with her and UCSF.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
Do your research and advocate for yourself. Ask questions if anything is unclear. She is super busy, so determine the answers you can get from your care team and those you need from Dr Cedars.
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
She is kind, forthright, and thoughtful, and takes the time to explain treatment options.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
I’ve only done one donor egg IVF cycle with Dr Cedars but two transfers. The first protocol was Lupron, then estrogen patches, then progesterone, medrol five days before the transfer and Valium for the transfer. I was also taking a huge amount of supplements (Vitamins B,C,D,E, iron, baby aspirin, ubiquinol, metafolinic). Unfortunately my lining was insufficient for my transfer so Dr Cedars ordered an ERA and I had a mock transfer to see if my uterus was receptive. Once the data came back that I am pre-receptive, she removed Lupron from my protocol during my next cycle and kept everything else. Although the transfer was smooth, that round was unsuccessful. I’m waiting for the sign off for my next DEIVF round.
Describe your experience with your nurse at UCSF. (Assigned nurse: Teona, Julie, Anne, Ruth)
The biggest issue with Dr Cedars is the continued revolving door of the staff. As soon as you build rapport with one, they leave. There are other permanent staff but they are not as diligent on details as previous coordinators were.
Describe your experience with UCSF.
This is my fourth fertility clinic (third one for treatment) and I love everything about UCSF. Yes it’s a huge research institution and there can be a lot of patients in the waiting areas and treatment lounges, but I feel like each interaction with me directly is personalized for my protocol.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
I’m pretty privileged in that I received a gift from a family member to pay for costs not covered by insurance, and that my insurance at first covered 50 percent (and has increased to 85 percent) for my treatment. So my costs are variable but I think we probably paid out of pocket for procedures less than $5K (donor-related items are not covered by insurance and for a frozen round the cost is over $13K).
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr Cedars is complete pro-eSET. For the first round I agreed; as I face my second round I am leaning toward a multiple embryo transfer.
What specific things went wrong at UCSF?
  • Provided conflicting information
Describe the specific things that went wrong at UCSF.
This is in reference to the challenges with Dr Cedars’s care team. One staff called me with completely incorrect information regarding my protocol and I was frustrated to have to correct them when I know they have access to my file. Just seemed lazy.
9
Doctor
Marcelle Cedars
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Unsuccessful
NPS
7
NPS
8
Age 36 - 37
1 IVF
Poor Egg Quality
Unexplained
European
Income $100K - $199K
Teacher
3rd of 3 Docs
6 IUI With Other Docs
Neutral
Neutral
Unsuccessful
The one thing about Dr. Cakmak that I think someone should know is that he can be a bit aggressive/stuck on his treatment plan. ... He does argue his points with me, but will give me the information and his opinion and will defer to my choices. ... We are in the middle of our second cycle and I would actually say I probably feel like more of a number now, oddly enough as I feel like we were sort of thrown into our second cycle with much less guidance and hand-holding.
Know that you will see whoever is on call for that day [UCSF], but it is your doctor who is going to be making the treatment plans and making the big decisions for you. ... about 5 days before the first monitoring appointment (when we'd have to pay), we got notice that to use our insurance, they were going to charge $32,000, and given that we had a lifetime max of $15,000 (and not taking into account we had already used some of that for the visits, ultrasounds, and meds), we would have to pay $17,000.
How was your experience with Hakan Cakmak at UCSF?
The one thing about Dr. Cakmak that I think someone should know is that he can be a bit aggressive/stuck on his treatment plan. I am undecided so far if this is a good or bad thing. I typically see whoever is on call when coming in for my monitoring visits. Last year, they found fluid in the ultrasound that appeared to be in my right fallopian tube. This would have canceled the plans to complete a fresh transfer. Dr. Cakmak was not convinced that it was in my tube. At the retrieval, there was fluid in my uterus, on the right side. All indications that there likely was fluid in my right tube. He left it up to me, but we had so few embryos, I didn't want to risk doing a transfer with a potential hydrosalpinx. He ordered another HSG, and the report stated that the left tube was "clearly patent" and the right was "likely patent". To me, this was not a clear answer that the tubes were clear, but to him it was. We are in our second round gearing up for another retrieval, and I noticed the fluid again. We just saw him today, and he is still not convinced that it is in the tube. When we were going through it last year, we were so emotionally invested in it all going "well" and were so hard hit by any deviation from the plan, that it was comforting when he wanted to barge ahead and not deviate from the plan. But looking back, it seemed that all of the other doctors we saw on call were more hesitant and cautious than he is. I trust him as a physician. I know he knows his stuff and I have seen his published research and studies. However, this "gung ho-ness" (can't think of a better word, feel free to edit that if necessary :) ) is the thing that has made me consider switching physicians. Simply because I am not sure this is the best fit for me. However, knowing this, I have made an effort to be more knowledgeable about options and vocal about my choices for my treatment plan. He does argue his points with me, but will give me the information and his opinion and will defer to my choices.
What's one piece of advice would you give a prospective patient of Hakan Cakmak at UCSF?
As discussed in the previous question: Do your research on your options, listen to his points and ask questions, but don't be afraid to advocate for your treatment choices. Be prepared for how rigid he can be in the treatment plan. As we learn when we start treatment, things change CONSTANTLY as there is no way of knowing what your body will do. Know your options, and be flexible, as in my experience, he is not as flexible.
During treatment, were you treated like a number or a human with Hakan Cakmak at UCSF?
Dr. Cakmak sat at our first appointment and stated that he had reviewed all of my medical records, and I had sent over quite a few releases so that they may have all the info needed. He then verbally reviewed all of my info to verify that he had a good understanding of everything. He then gave his recommendations and why he thought each step was the one we needed to take. It wasn't until our failed cycle that I understood that the first IVF is kind of a crap-shoot because they have no way of knowing until then what your issues are or what kind of cycle you really need. We are in the middle of our second cycle and I would actually say I probably feel like more of a number now, oddly enough as I feel like we were sort of thrown into our second cycle with much less guidance and hand-holding. However, it is hard to say if this is because it is my second time around or if it is because my nurse resigned prior to me starting my second round, so the nurse I have now is a nurse for another doctor on staff.
Describe the protocols Hakan Cakmak used in your cycles at UCSF and their degree of success.
1 IVF: Antagonist, planned to be a fresh transfer. Can't remember the dosing, but I was on birth control in the prep month (and estrace? can't recall), then menopur, gonal F during the cycle, cetrotide to suppress, and had planned on using an HCG/Lupron trigger, but my estrogen levels indicated that I should not do the Lupron trigger, so it was just HCG. High number of eggs retrieved and my estrogen levels put me at risk for OHSS, but luckily did not develop this. Due to potential hydrosalpinx and low number of embryos at day 5, I elected to change it to a freeze-all. Then FET with 1 embryo (only one left on day 6 that was also euploid). 2. (current cycle) Long agonist (doctor decision based on poor quality embryos at last cycle--25 retrieved, 18 mature, 16 ferilized, 8 embryos on day 3, 4 on day 5, 2 made it to blastocyst on day 6, one euploid, one anuploid). 10 units Lupron during prep month. 150 Gonal F, 150 Menopur (decreased to 75 on last day of stims), 25 units Omnitrope (human growth hormaone- to address egg quality thought to be the reason fro poor embryo quality). I will be triggering tonight with 5000 HCG. Planned to be a fresh transfer (day 3 if not at blastocyst criteria, day 5 if they do meet blastocyst criteria), but I will request they look for fluid in my uterus at the egg retrieval.
Describe your experience with your nurse at UCSF. (Assigned nurse: Audra during my first cycle, Maria during my second)
I was glad to have an assigned nurse at this clinic. My first nurse was attentive and responsive. She had joked that she was a "stalker nurse" and would be calling me all the time, but really this was helpful and appreciated. She was a bit clinical during my miscarriage (not at all insensitive though). My second nurse is on loan from another doctor in the practice as Audra left. The day I called to say I wanted to get started and report my day one of the cycle, was her last day. My second nurse, Maria, has also been out of the office for parts of my cycle. When I have called her directly and emailed her, she has always called back or emailed and has let me know when she would be out of the office. I appreciate that she works later hours as it was frustrating trying to make sure I called Audra before 3 or 3:30 as she typically left for the day then and inevitably something would come up a 3:45. Maria has been friendly and personable. I generally have had no issue getting in touch with anyone on the care team. However, there was a day during this cycle that I had significant cramping throughout the day on a day I did not have to go to the clinic for monitoring. I was concerned that I was developing an issue, possibly ovarian torsion as it was localized to one side. I called the care team line as I knew Maria was out of the office and never received a call back. This was unusual as this had not happened before and of course happened on the day I was concerned about a serious side effect of the treatments.
Describe your experience with UCSF.
I don't know if people can request certain doctors. I just called and was sent to the first available, I think, but it'd be worth it to ask and to check out all the doctors who have been reviewed to see who is a good fit for you. Know that you will see whoever is on call for that day, but it is your doctor who is going to be making the treatment plans and making the big decisions for you. I did not mind seeing other doctors. I felt like it gave me perspective about my own doctor. I was appreciative that my care was not passed off to a nurse practitioner like at other clinics. However, it may be important to others that you see your doctor at each visit, in which case another clinic may be a better fit. The billing department is a nightmare.
Describe the costs associated with your care under Hakan Cakmak at UCSF.
My visits were covered. Follow-ups are free if you are on the self-pay. We initially went to this clinic due to insurance coveraage. The only clinics that were "in-network" for my insurance were in San Francisco. So we billed insurance for office visits and my water ultrasound. However, once we got ready for the cycle, about 5 days before the first monitoring appointment (when we'd have to pay), we got notice that to use our insurance, they were going to charge $32,000, and given that we had a lifetime max of $15,000 (and not taking into account we had already used some of that for the visits, ultrasounds, and meds), we would have to pay $17,000. Or we could chose the self-pay option, bill none to our insurance and pay $16,000. Insurance was the whole reason we went to this clinic, and in the end, it was cheaper not to use it. Our second cycle, when I informed my nurse we only had $4,500 left and we'd be using it for meds, she said we should utilize the 340B medication program. What Freedom pharmacy had charged my insurance $6000+ only cost me $250 through this program. She stated that we could then use the $4500 left on my cycle. I knew this was likely not the case, but I figured we could save that money for something else since I didn't like that Freedom wasn't transparent in what they were charging my insurance, so ordering through them with a limited amount of funds left meant I didn't have any way of knowing what I would be charged in overage after the $4500 was gone. Our first monitoring appointment was on a Saturday, and the billing department sent me a letter of financial obligation on Friday at 3PM. Turns out, I was right and we can't partial-bill, so there's no way to use that $4500 toward a cycle. They were gracious and understanding and are letting us pay at a later date rather than at the first monitoring appointment. We are still looking at about $16000 for a fresh transfer cycle with monitoring and egg retrieval. $4000 for a FET. Plus medications.
Describe Hakan Cakmak's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
My doctor and the geneticist I met with at UCSF both really wanted me to implant one, but are allowing me to implant two. They educated me on the risks of implanting two and the risks of carrying twins.
7
Doctor
Hakan Cakmak
NPS
Humanity
4 of 5
Communication
3 of 5
Frequency Seen
4 of 5
Trustworthiness
4 of 5
Compassion
3 of 5
Explained risks
5 of 5
Adaptability
4 of 5
8
Clinic
UCSF
San Francisco
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
1 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Successful
NPS
10
NPS
10
Age 37
1 IVF
Diminished Ovarian Reserve
Poor Egg Quality
European
Black or African-American
Income $200K - $499K
Lawyer
2nd of 2 Docs
2 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Rosen is not necessarily the "warm and fuzzy" type. But neither are we, so he is the prefect match for us. He also took the time to connect with my husband to make him feel more comfortable about the process....Dr. Rosen was fantastic and kept it real and was straight forward with us, but also understood the human factor and concerns and anxieties we had going through the process. He used the right amount of humor, but also was always very clear about the process, what he expected, and how we were going to get there.
UCSF is top of the line. I love everything about it. I would say that if you want specialized care where you see your doctor every visit and are able to reach out to talk to him directly, this is not the place for you. During my stimming and follow up appts, I have seen tons of other docs and NPs. After each appt, they would review my hormone level and U/S with my doctor and then I would receive a call from the Nurse.
How was your experience with Mitch Rosen at UCSF?
Dr. Rosen is not necessarily the "warm and fuzzy" type. But neither are we, so he is the prefect match for us. He also took the time to connect with my husband to make him feel more comfortable about the process. After coming from a previous RE where I did not feel as comfortable, every single time I see or talk to Dr. Rosen I walk out of the clinic feeling more positive and hopeful than before. Even with setbacks out of any of our control. We really love Dr. Rosen.
What's one piece of advice would you give a prospective patient of Mitch Rosen at UCSF?
Some people need a warmer demeanor. And I think setting up those expectations from the beginning would be helpful. For us, he is perfect. But he may not be a match for everyone. So laying out his personality/"bedside manner" type during introductions before going into treatment plan would be helpful for people to decide if he is the right doctor for the long haul.
During treatment, were you treated like a number or a human with Mitch Rosen at UCSF?
Dr. Rosen was fantastic and kept it real and was straight forward with us, but also understood the human factor and concerns and anxieties we had going through the process. He used the right amount of humor, but also was always very clear about the process, what he expected, and how we were going to get there.
Describe the protocols Mitch Rosen used in your cycles at UCSF and their degree of success.
First cycle: estrogen priming, gonal F, menapur, started ganorelix around day 6, stimmed for 9 days, egg retrieval on day 11. Had done IUIs with that combination and it worked well, so he decided to try that. Second cycle: about to start. Doing a random start time with no priming (due to there being a cyst that is delaying ovulation). Not sure yet what medications we will use to stim this cycle, but believe it will be around the same.
Describe your experience with your nurse at UCSF. (Assigned nurse: Cathy)
Cathy and the entire staff at UCSF is fantastic. They call every day that they say they will. They call around the same time and are very clear with their instructions on what the next steps are.
Describe your experience with UCSF.
UCSF is top of the line. I love everything about it. I would say that if you want specialized care where you see your doctor every visit and are able to reach out to talk to him directly, this is not the place for you. During my stimming and follow up appts, I have seen tons of other docs and NPs. After each appt, they would review my hormone level and U/S with my doctor and then I would receive a call from the Nurse. They were like clock work, but it was never Dr. Rosen. So if you want to see the same person every time, its not the place. I call this more of a "well oiled machine" (that is very big). I love UCSF though!
Describe the costs associated with your care under Mitch Rosen at UCSF.
One retrieval round for us, with insurance, was around $9100. We anticipating one more retrieval. And then we will also have to pay for transfer (around $4000). Other expenses were sent to my other provider.
Describe Mitch Rosen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr. Rosen is very clear that if you do PGS testing, he will only transfer one back. He said that at the beginning and even when we (Husband and I) were toying with the idea of 2 after all of the delays. But he did not waiver and said only 1 an option. Which we actually were good with, and he had stayed consistent with that position, which I appreciated.
10
Doctor
Mitch Rosen
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
4 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
4 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2019, Successful
NPS
10
NPS
10
Age 29
1 IVF
Diminished Ovarian Reserve
European
Income $100K - $199K
1st of 4 Docs
2 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Cedars came across as friendly, kind, and thoughtful. She is a very busy person, but when she's with you, she really gives you all her focus and never makes you feel rushed or like a burden. I felt like I could put a lot of trust in her ... I did a "mini stim" protocol due to my young age, my fertility being unexplained, and the fact that this was my first time doing IVF.
They [UCSF] won't be pushing any treatment you don't actually need. They offer mini-stim IVF for a fraction of the price of IVF at most places, which is a big reason I traveled from MT for my treatment. ... The one thing I will say they fall short of is communicating and getting the ball rolling quickly with starting your care. It can take months to get your first appointment, and we had to be persistent and annoying to get things going in our treatment.
How was your experience with Marcelle Cedars at UCSF?
Dr. Cedars came across as friendly, kind, and thoughtful. She is a very busy person, but when she's with you, she really gives you all her focus and never makes you feel rushed or like a burden. I felt like I could put a lot of trust in her, and that she was doing everything she could to ensure the best outcome for me.
What's one piece of advice would you give a prospective patient of Marcelle Cedars at UCSF?
She can be hard to get ahold of, and you likely won't see her much during your treatment
During treatment, were you treated like a number or a human with Marcelle Cedars at UCSF?
In the few interactions with Dr. Cedars I had, she was very nice and friendly, and made me feel comfortable in conversation.
Describe the protocols Marcelle Cedars used in your cycles at UCSF and their degree of success.
I did a "mini stim" protocol due to my young age, my fertility being unexplained, and the fact that this was my first time doing IVF. It aims for quality over quantity, and results in fewer eggs maturing at once, but increases the likely hood that they will fertilize, and also increases the odds of a fresh transfer. This protocol involved taking clomid day 2-6, then starting injections on day 6 (150 iu of gonal-f, ganirelix, and 75 IU Menopur until trigger). We found out around trigger day that my uterine lining was too thin for a fresh transfer most likely a side effect of the clomid. I also had a low follicle count, and it took some finessing to get a few to maturity at the same time, and by trigger day, it looked like we had 3 good ones, and 5 small ones. We were able to retrieve 6, but given the maturity level, it wasn't much of a surprise that only 2 fertilized. Luckily, of those 2, they both made it to day 3, and were frozen for a later transfer. They were rated well, both grade 2, one was an 8 cell, one was a 6. I participated in a study for my treatment, comparing IVF to Invocell, and was chosen for IVF. The study was a mini-stim protocol, and compares day 3 embryos, so my treatment was tailored to my needs within the parameters of the study. However they wouldn't have accepted me for the study if I hadn't been a good candidate, so I trust that it was right for me.
Describe your experience with your nurse at UCSF. (Assigned nurse: Jill Ford)
Jill was great, she responded quickly to my emails and calls, and helped me understand what I needed to do and when.
Describe your experience with UCSF.
UCSF is amazing because its a not for profit fertility center, with a large volume of patients, meaning lots of experience, and motivation to learn more and be at the forefront of research and new treatment, while also not trying to necessarily make money, like many fertility centers do. Knowing this makes you feel very assured that they are looking out for your best interests, and not their own! They won't be pushing any treatment you don't actually need. They offer mini-stim IVF for a fraction of the price of IVF at most places, which is a big reason I traveled from MT for my treatment. Also, everyone I dealt with there was so nice. Even the people who were way overworked made me feel like they really cared about me in our interactions. The one thing I will say they fall short of is communicating and getting the ball rolling quickly with starting your care. It can take months to get your first appointment, and we had to be persistent and annoying to get things going in our treatment. Once things start though, it's a pretty smooth engine.
Describe the costs associated with your care under Marcelle Cedars at UCSF.
We had no insurance coverage, and Mini Stim IVF is normally around $5500, but we were able to participate in a study that made it $4816 (that includes anesthesia, but also is only for a set amount of appointments, so it can go up a little depending on if you need more monitoring) and then an additional $700 for a year of embryo storage. They refund you for whatever is left over, if you have to stop at any point in the process. They also have a pharmacy next door, that is discounted and it easily saved us thousands of dollars. All in we paid around $300 for all my meds combined!
Describe Marcelle Cedars's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
She originally suggested I transfer both, just out of convenience since I have to travel for my care. However I felt strongly that I only wanted to transfer 1, and not take on the risk of multiples. She was completely on board with that and supported my choice!
10
Doctor
Marcelle Cedars
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
1 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2016 - 2019, Successful
NPS
8
NPS
10
Age 36 - 39
Anovulation
European
Income $200K - $499K
Lawyer
2nd of 2 Docs
IVF With Other Docs
Neutral
Strongly Recommends
Successful
He [Dr. Fujimoto] was honest about what the research supported, and what aspects of diagnosis and treatment he simply couldn't answer (based on the research). Sometimes I had to be more proactive than I would have liked to raise different options (such as an ERA test). He also put me in the driver's seat more than I would have expected - for example, one time he asked what dose of a medication I thought I should take. ... He did, however, recommend transferring a single embryo.
The initial calendars/case schedules I was sent by the nursing staff did not always reflect my correct protocol. ... The clinic is absolutely top of the line and has the latest research. The staff was warm and caring - even staff members you might see only once. They also are able to help patients get medications at low prices - I saved thousands of dollars. Wait times for an initial appointment can be months. ...
How was your experience with Victor Fujimoto at UCSF?
Dr. Fujimoto is very down to earth and warm and has access to the latest research. He was honest about what the research supported, and what aspects of diagnosis and treatment he simply couldn't answer (based on the research). Sometimes I had to be more proactive than I would have liked to raise different options (such as an ERA test). He also put me in the driver's seat more than I would have expected - for example, one time he asked what dose of a medication I thought I should take.
What's one piece of advice would you give a prospective patient of Victor Fujimoto at UCSF?
Do your own research and be prepared to ask questions -- he may not raise all issues you should consider, and he may not fully talk through issues unless you push him.
During treatment, were you treated like a number or a human with Victor Fujimoto at UCSF?
All doctors and nurses were very warm and compassionate. However, sometimes they had to be reminded multiple times of my unique circumstances.
Describe your experience with your nurse at UCSF. (Assigned nurse: Deidre Koeb)
Nursing staff and coordinator were very warm and compassionate and responsive. However, they sometimes had to be reminded of my specific situation -- for example, the calendars I received were often incorrect or reflected the wrong protocol.
Describe your experience with UCSF.
The clinic is absolutely top of the line and has the latest research. The staff was warm and caring - even staff members you might see only once. They also are able to help patients get medications at low prices - I saved thousands of dollars. Wait times for an initial appointment can be months.
Describe the costs associated with your care under Victor Fujimoto at UCSF.
I purchased a package that cost $15,000 for one retrieval (including ICSI) and two transfers. PGS was $2775 more, and I paid about $2600 for additional tests and services. So, about $20,000 total.
Describe Victor Fujimoto's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
I was surprised that the doctor made it sound like more of an open-ended decision -- I would have expected him to recommend eSET and educate me on the risks of multiples more strongly than he did. He did, however, recommend transferring a single embryo.
What specific things went wrong at UCSF?
  • Provided conflicting information
  • Failed to consider drug intolerance
Describe the specific things that went wrong at UCSF.
The initial calendars/case schedules I was sent by the nursing staff did not always reflect my correct protocol. It seemed like they were sending something generic that did not take into account the modifications the doctor and I had discussed. This was promptly fixed once I identified the error.
8
Doctor
Victor Fujimoto
NPS
Humanity
4 of 5
Communication
3 of 5
Frequency Seen
3 of 5
Trustworthiness
4 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
3 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
LGBTQ+
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Successful
NPS
7
NPS
6
Age 38 - 39
1 IVF
European
Income $100K - $199K
Only Doc Seen
Donor Sperm
LGBTQ+
Neutral
Doesn't Recommend
Successful
Generally when I saw Dr. Huddleston I was treated very well. However, I often saw other doctors or residents and sometimes they were not aware of my specific situation until I brought them up to speed. ... Almost all of my interactions with Dr. Huddleston were excellent. She is a good listener, is calm and explained things in great detail when I asked. ... she presented pros and cons of both and I elected to transfer one embryo
UCSF CRH is a big clinic. People won't remember you from visit to visit and you are essentially moved through the process without many personal touches. ... The financial coordinators are very difficult to reach, and I was not told that I could have an in person meeting with them until after I'd already started treatment. ... My first nurse was Anne who I had several negative experiences with. My second nurse (I asked to be switched) was Olga and she was great and a very good communicator.
How was your experience with Heather Huddleston at UCSF?
Almost all of my interactions with Dr. Huddleston were excellent. She is a good listener, is calm and explained things in great detail when I asked. She was also fairly responsive when I asked my nurse or coordinator to ask her questions between visits. She was also willing to work with me to accommodate my disability.
What's one piece of advice would you give a prospective patient of Heather Huddleston at UCSF?
Go with a list of questions prepared ahead of time. Advocate for yourself - you are your own best advocate and you have the most invested in your treatment.
During treatment, were you treated like a number or a human with Heather Huddleston at UCSF?
Generally when I saw Dr. Huddleston I was treated very well. However, I often saw other doctors or residents and sometimes they were not aware of my specific situation until I brought them up to speed. That made me feel more like a number. Also my interactions with the front desk staff and clerical staff and some of the nurses and coordinators made it obvious that I was more of a number to them.
Describe the protocols Heather Huddleston used in your cycles at UCSF and their degree of success.
Dr. Huddleston treated my DOR and recommended ICSI since I was using donor sperm (not related to infertility but because I do not have a partner with sperm). We also did PGS testing on the embryos that were created.
Describe your experience with your nurse at UCSF. (Assigned nurse: Janlyn, Anne, Olga)
My coordinator was Janlyn. She got more responsive as my treatment progressed. My first nurse was Anne who I had several negative experiences with. My second nurse (I asked to be switched) was Olga and she was great and a very good communicator. I should note that Dr. Huddleston's main nurse (I think her name is Brittany) was out while I was in treatment.
Describe your experience with UCSF.
I was paying out of pocket and I looked at UCSF's statistics and prices and compared to other local clinics they are impressive. The clinic is also near my office and I was able to get early morning and lunchtime visits for monitoring. UCSF CRH is a big clinic. People won't remember you from visit to visit and you are essentially moved through the process without many personal touches. I was able to participate in a few interesting research studies (two of which that saved me a bit of money). The financial coordinators are very difficult to reach, and I was not told that I could have an in person meeting with them until after I'd already started treatment.
Describe the costs associated with your care under Heather Huddleston at UCSF.
I paid about $25,000 for one retrieval and one transfer. I had two PGS normal embryos, transferred one, it split, and am pregnant with twins.
Describe Heather Huddleston's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
I did not get the sense that Dr. Huddleston had a strong preference. She presented pros and cons of both and I elected to transfer one embryo (that split into twins). She supported me in transferring one.
What specific things went wrong at UCSF?
  • Failed to call with results
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at UCSF.
For each of my three betas, the lab results were released in the morning in the online portal (10-11am). I would call the clinic multiple times to try and speak to a nurse or doctor about the results, but wouldn't hear back until 4-6pm in the evening. This was very frustrating for me. There were a couple of times that I was billed extra costs unexpectedly, which I think was more about my not being able to meet with the financial counselors ahead of time than any sort of shady business practices. I also had one nurse who had terrible communication skills. I was switched to progesterone in ethyl oleate after getting pregnant because I became allergic to the sesame oil, and I still haven't been able to get reimbursed because I was "self pay" at UCSF and so they did not submit a prior authorization to my insurance. (I do not have infertility coverage but do have coverage after getting pregnant.)
7
Doctor
Heather Huddleston
NPS
Humanity
3 of 5
Communication
3 of 5
Frequency Seen
3 of 5
Trustworthiness
4 of 5
Compassion
4 of 5
Explained risks
4 of 5
Adaptability
3 of 5
6
Clinic
UCSF
San Francisco
NPS
Operations
3 of 5
Scheduling
4 of 5
Billing Department
3 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
4 of 5
Educational Resources
5 of 5
2018 - 2019, Successful
NPS
10
NPS
10
Age 37 - 38
4 IUI
2 IVF
Unexplained
East Asian
Income $100K - $199K
Architect
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr.Noel is very warm and empathetic yet very straightforward and realistic in her answers. She also remembers details of my case and things I’d mentioned months ago...My case was diagnosed as unexplained infertility, so she made suggestions for changes in protocol that covered both egg and sperm quality, which alleviated quite a bit of emotional burden on my part that I may be the sole source of the problem. She also never pushed for IVF and was gentle and systematic in the progression and escalation of treatment.
Both nurses and coordinator [at UCSF] were excellent and extremely helpful. I could tell that they were very busy and usually rushed in their answers, but they were effective and efficient...Every nurse and doctor I encountered was very capable and empathetic. The appointment times are plentiful and start very early in the day. I could be monitored in the morning and be at work on time in downtown SF, which was an enormous advantage for me.
How was your experience with Martha Noel at UCSF?
Dr. Noel is warm and empathetic yet manages to give all of the information—the good and the bad—in a clear and direct manner. My case was diagnosed as unexplained infertility, so she made suggestions for changes in protocol that covered both egg and sperm quality, which alleviated quite a bit of emotional burden on my part that I may be the sole source of the problem. She also never pushed for IVF and was gentle and systematic in the progression and escalation of treatment.
What's one piece of advice would you give a prospective patient of Martha Noel at UCSF?
As UCSF is a group practice, I didn’t see Dr. Noel very often; however, it was clear that she was following my progress through comments from the nurses. When I did check in with her, she was aware of the details of my cycle. My two retrievals and transfers were with Dr. Rosen and Dr.Siegal, both of whom were wonderful doctors as well. I wouldn’t be put off by the fact that you see quite a few doctors and nurses as they were all very knowledgeable and kind.
During treatment, were you treated like a number or a human with Martha Noel at UCSF?
Dr.Noel is very warm and empathetic yet very straightforward and realistic in her answers. She also remembers details of my case and things I’d mentioned months ago.
Describe the protocols Martha Noel used in your cycles at UCSF and their degree of success.
For my first round of egg retrieval, Dr. Noel recommended using ICSI for fertilization due to my unexplained infertility. She explained that sometimes a round can result in no fertilized eggs which can be emotionally devastating. Her suggestion was spot on as I lost many eggs at fertilization, and the round ended with three day 3 embryos which did not result in a pregnancy. At least going through the motions of an embryo transfer gave me some hope, whereas ending in zero embryos and no transfer might’ve emotionally discouraged me from another round of stimulation and retrieval. For the second round she suggested escalating to PICSI fertilization and adding growth hormones to my stimulation protocol due to low estrogen levels. That second round resulted in my current pregnancy as well as one frozen PGS tested embryo.
Describe your experience with your nurse at UCSF. (Assigned nurse: Olga)
I worked with Thuy, Olga, and Gianna. Both nurses and coordinator were excellent and extremely helpful. I could tell that they were very busy and usually rushed in their answers, but they were effective and efficient. The bills, paperwork, and email security was the most annoying part of the process, which indicates how well UCSF runs the medical aspects.
Describe your experience with UCSF.
The facilities are brand new and beautiful. Every nurse and doctor I encountered was very capable and empathetic. The appointment times are plentiful and start very early in the day. I could be monitored in the morning and be at work on time in downtown SF, which was an enormous advantage for me. They also separate waiting rooms and appointment times such that new patients, mid cycle patients, male partners coming in for sperm collection, patients scanning for a successful embryo transfer don’t wait next to one another. Parking is also easy. They took care to alleviate all of the small stressors that can compound to an already high stress situation.
Describe the costs associated with your care under Martha Noel at UCSF.
Medical procedures came to about $20,000 per round.
Describe Martha Noel's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Dr. Noel was very clear that her recommended goal is for a singleton pregnancy given the risks associated with multiple pregnancies. Due to my failed multiple IUIs, she recommended the transfer of two embryos and explained that that would likely result in a singleton pregnancy.
10
Doctor
Martha Noel
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
LGBTQ+
Verified

This patient has provided documentation of treatment at this clinic.

2016 - 2018, Successful
NPS
10
NPS
10
Age 44 - 46
2 Egg Freezing
Uterine Fibroids
European
Income $200K - $499K
Business Executive
Only Doc Seen
IVF With Other Docs
Donor Sperm
Surrogacy With Other Docs
LGBTQ+
Strongly Recommends
Strongly Recommends
Successful
Dr. Mok-Lin is a very warm person who speaks directly and candidly but also with a lot of empathy and understanding. As a lesbian couple, we felt heard and understood as well as respected...She keenly understood our desire to pursue reciprocal IVF especially as we contemplated our long-term plans for two children with each of us carrying one of them..When we were ready to begin the process again for our second child, we returned to UCSF (despite having moved to the East Coast) because we felt so confident and comfortable with Dr. Mok-Lin and her team
As a lesbian couple looking to start our family, we sought out a fertility practice that would not only respect us, but also would be knowledgeable about our desired path, specifically reciprocal IVF. Their team [at UCSF] clearly has experience working with same-sex couples and other than discussions about reciprocal IVF, we felt like we were treated as any other patient...evidence-based approach thanks to being a preeminent research and clinical practice
How was your experience with Evelyn Mok-Lin at UCSF?
As a lesbian couple looking to start our family, we sought out a fertility practice that would not only respect us, but also would be knowledgeable about our desired path, specifically reciprocal IVF. Their team clearly has experience working with same-sex couples and other than discussions about reciprocal IVF, we felt like we were treated as any other patient. Dr. Mok-Lin and the entire team at UCSF Center for Reproductive Health (Mission Bay) was extraordinary and we could not speak more highly of our experience. From the outset, Dr. Mok-Lin took the time to review with us our options, was candid and forthright about the challenges of IVF, and was willing to talk in-depth about genetic testing. She keenly understood our desire to pursue reciprocal IVF especially as we contemplated our long-term plans for two children with each of us carrying one of them. She explained things in a way that was easy to understand, but never once over-simplified or glossed over anything. We felt free to ask any question and to dive into any of the details. We never felt rushed in any of our conversations and she made time to engage with us both in-person as well as over email and the phone. And while our conversations with Dr. Mok-Lin included all kinds of information and data, they were also filled with so much warmth and compassion and genuine interest in us. When we were ready to begin the process again for our second child, we returned to UCSF (despite having moved to the East Coast) because we felt so confident and comfortable with Dr. Mok-Lin and her team. And once again, our experience was outstanding. And this time around, Dr. Mok-Lin and her team corresponded both before our transfer and after our transfer with our East Coast doctors, creating a seamless experience for us. When our second son was born, one of the first pictures went to Dr. Mok-Lin.
What's one piece of advice would you give a prospective patient of Evelyn Mok-Lin at UCSF?
With any first appointment in a fertility setting, bring your questions and concerns and be willing to have an open and transparent conversation. You'll find Dr. Mok-Lin will listen carefully and be willing to answer your questions directly.
During treatment, were you treated like a number or a human with Evelyn Mok-Lin at UCSF?
Dr. Mok-Lin is a very warm person who speaks directly and candidly but also with a lot of empathy and understanding. As a lesbian couple, we felt heard and understood as well as respected.
How competent was Evelyn Mok-Lin at LGBTQ+ care?
Dr. Mok-Lin was extremely welcoming & respectful of us -- and even more importantly really understood our desire to pursue reciprocal IVF so that our (hopeful at the time) two children would share a 100% genetic bond and especially that their genetic bond would not just be from an anonymous sperm donor.
Describe your experience with your nurse at UCSF. (Assigned nurse: Shem Lewis)
Dr. Mok-Lin’s team, especially Shem Lewis, was available to us any time we had questions or concerns. At the beginning, Shem led a hands-on medication and injection clinic was extremely helpful. On one night when we missed our injection time, we phoned the 24 hour line and the attending nurse was able to immediately answer our questions and get us back on track, with Shem following up in the morning to assure us. Shem was warm, supportive and responsive throughout the entire process.
Describe your experience with UCSF.
One of the reasons we chose UCSF over other fertility clinics was their evidence-based approach thanks to being a preeminent research and clinical practice. The level of data and corresponding transparency they provided was exactly what we were looking for – and proved to be a big part of why we felt so confident and cared for throughout our experience. In addition to all the information that our doctor, Dr. Mok-Lin, shared with us we attended an extensive IVF Orientation session at UCSF that went through all of the details from start to finish. A hands-on medication and injection clinic was also helpful. And we took advantage of UCSF’s genetic counseling services both at the outset and during pregnancy.
How competent was UCSF at LGBTQ+ care?
As a lesbian couple looking to start our family, we sought out a fertility practice that would not only respect us, but also would be knowledgeable about our desired path, specifically reciprocal IVF. Their team clearly has experience working with same-sex couples and other than discussions about reciprocal IVF, we felt like we were treated as any other patient. Dr. Mok-Lin and the entire team at UCSF Center for Reproductive Health (Mission Bay) was extraordinary and we could not speak more highly of our experience.
Describe your experience using 3rd party reproduction (donor eggs, donor sperm, or gestational carrier) at UCSF.
Sperm purchased via California Cryobank, shipped directly to UCSF and the process was seamless.
10
Doctor
Evelyn Mok-Lin
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
LGBTQ+ Care
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
LGBTQ+ Care
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified

This patient has provided documentation of treatment at this clinic.

2018, Successful
NPS
8
NPS
10
Age 42
Donor Eggs
Diminished Ovarian Reserve
Poor Egg Quality
Latinx
Income $100K - $199K
2nd of 2 Docs
1 IUI With Other Docs
1 IVF With Other Docs
Neutral
Strongly Recommends
Successful
He l[Doctor Sauer] leaved the clinic [UCSF] in the middle of the process but we continue with doctor Heather Huddleston and she was very professional too, the change was not an issue for us. ... Please bring her all questions and discuss possible scenarios with her. She is very professional, once she did her assessment her team will handle your case, trust them, they are awesome!
Appointments were ON TIME in ALL cases. Nurses, admin and rest of professional were very professional and yet nice. Facilities are top-notch. The only cons is financial services, I know it is the same in all clinics...in my case I am still following up charges more than one year later, it is impossible to contact financial coordinators, etc... There were several nurses during the whole process, one for diagnosis, another for treatment, another at the end...quite confusing but all of them answered or refer to proper contact.
How was your experience with Heather Huddleston at UCSF?
Doctor Sauer was very professional, understood our situation and explained our options dedicating necessary time. There was not much detail of the process, nurses were later very explicative about that. He leaved the clinic in the middle of the process but we continue with doctor Heather Huddleston and she was very professional too, the change was not an issue for us.
What's one piece of advice would you give a prospective patient of Heather Huddleston at UCSF?
Please bring her all questions and discuss possible scenarios with her. She is very professional, once she did her assessment her team will handle your case, trust them, they are awesome!
During treatment, were you treated like a number or a human with Heather Huddleston at UCSF?
During my whole journey in UCSF we felt very comfortable knowing 1) experts were handling our case 2) procedures and protocols were very clear 3) Drs were taking into account our specific case. Although I never met the same person twice (except for the nurse coordinator) everyone was very polite, understanding and explain in detail every step.
Describe your experience with your nurse at UCSF. (Assigned nurse: Brittney Bates)
The nurse staff was very professional, they explained all details and answered all my questions. It was easy to find them and they responded by email or phone within hours. There were several nurses during the whole process, one for diagnosis, another for treatment, another at the end...quite confusing but all of them answered or refer to proper contact.
Describe your experience with UCSF.
The clinic is amazing! Appointments were ON TIME in ALL cases. Nurses, admin and rest of professional were very professional and yet nice. Facilities are top-notch. The only cons is financial services, I know it is the same in all clinics...in my case I am still following up charges more than one year later, it is impossible to contact financial coordinators, etc...
Describe the costs associated with your care under Heather Huddleston at UCSF.
Around 30k USD
Describe Heather Huddleston's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
Doctors preferred and suggested elective single embryo transfer.
8
Doctor
Heather Huddleston
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
3 of 5
Adaptability
5 of 5
10
Clinic
UCSF
San Francisco
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
1 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5