Anna Chan Nackley

Dr. Nackley is kind, smart and has good bedside manner. We had a really great experience overall and I feel that her treatment protocol for us was perfect. When I did get pregnant and had complications early on she was attentive and helpful.

Don't expect to see her much. Most of your visits will be with nurses, etc. But that is very normal in this context.

We have male factor infertility. She did not make me repeat any of the invasive/painful procedures I had done in the past to determine my fertility status, but was thorough in ruling anything remaining out for me. She tested my husband for additional issues and found something that a previous doctor had not, giving us an explanation that we never had before. We did IVF with some ICSI embryos. I was on multiple medications leading up to egg retrieval (I can't remember them all how, I'm sorry) but they were low doses. I had no crazy adverse side effects. I got through my egg retrieval without issues which I was very afraid of. My egg retrieval and recovery were very smooth (though Dr. Nackley did not do it, another doctor did). We got 6 embryos! We froze them all and did a FET the next month. I had bleeding early on which was awful, but the clinic was really tentative and gave me several early additional ultrasounds to check on things. I'm now 36 weeks pregnant.

I believe we paid somewhere around 7000 for our entire IVF process, but we had great insurance coverage

Dr. Nackley was very adamant that we only transfer one. We didn't have a strong desire to transfer more than one so the conversation stopped there.

While Dr. Nackley came off very personable, sweet, caring, and knowledgeable when you first meet with her, good luck having her involved again in your care!!! We went through a whole IVF cycle and she was almost not involved whatsoever after the "sell" to commit to a cycle. We had to track her down on the day to make a decision if we were moving forward with retrieval or not - she wasn't even working and the staff seemed inconvenienced to call her. She was never around for any visits and made ZERO adjustments to our regimen even though our numbers were low and the stim response not to what all the staff and US people seemed to expect. Yet Nackley was not involved and never altered anything. After our retrieval and failed fertilization of the embryos, we never even heard from Dr. Nackley to express any sorrow or apology or even to consider moving forward with a plan on another round. As much money as they get from you and how they treat you, you'd think they'd be all for getting you for another round but they didn't seem to care.... While we have not been successful with a different clinic and doctor yet the actual experience with both doctor and staff has been night and day!!!

Don't go to this clinic! Very pricey, staff is too busy or just doesn't seem to care or be invested in you or your outcome, and the doctor will go MIA after getting you hooked.

IVF - what we later found out from our next doctor was a low dose of estrogen stim and our new doctor was EXTREMELY surprised the dose was never adjusted based on our lab results and progression. Even they acknowledged it seemed Nackley was not involved and should have made adjustments.

$17000 + Pre-workup costs (approx $2000)

Given our age (40), they preferred single embryo transfer to optimize fetal outcome, which we did not have a problem with.

She warm and caring. She gives you time to ask questions, but I felt like she just goes with a certain standard protocol of care without deviating much based on individual circumstances. I’m ok with a dr getting a little more creative with my care.

Keep advocating for yourself. Do your research on all procedures and ask questions about your care. You may come across something that’s not standard that you could apply to your situation.

My treatment strategy was standard for the clinic. I would have liked to explore Effortless IVF, but it was not presented to me.

Due to amazing insurance, my costs were minimal and I feel irrelevant to this question.

As someone over 30, I would’ve liked the option of multiple embryo transfer. This center goes by the SART standard of single transfer only.

I loved Dr. Nackley, but I do feel that she did not reveal l the clinics or her success rates with egg freezing (vitrification) and thawing. Only after, our horrible outcome of trying in unthaw my eggs, (none survived the thaw), I had to ask the lab manager these numbers, who said, we will have to get back to you, I dont know. And only when we had a meeting with Dr. Kevin Doody, 2.5 weeks later, did we learn that this clinic does not have much success with those that come back to unthaw their eggs and use them to create an embryo.

I loved Dr. Nackley, but do not have any confidence in the lab at CARE, for fertility preservation. Also, I feel that Dr. Nackely was almost too positive about egg freezing and thawing to make embryos. Only when we talked to an embryologist, did we realize that it egg freezing and later thaw to create embryos, was a very delicate process compared to embryo freeze/thaw

I dont remember much from egg freeze (stim) other that I think I took, memopur and Gonal F and did ultrasounds and blood work leading up to retrieval. 17 retrieved, 12 viable, 10 frozen. Dr. Nackley did not suggest another egg retrieval. She felt we had enough. When I went back 5 years later to unthaw eggs to create embryos, we did meds for 6 weeks leading up to possible fresh transfer.

She has a chart that she used to determine how many to transfer based on age. She was only going to transfer 1

I like that Nackley understood our time constraints and was able to get us tested for numerous things while we were there. She has a plan of action in mind as soon as you visit her. However, we ended up proceeding with IUI as she recommended. It was unsuccessful, and we did not see our RE during the whole process. It felt like the procedure wasn't regarded in a high manner because it wasn't as costly as IVF. The nurses made a mistake during our IUI, and did not offer to combine 2 samples as my husband's count was lower than normal. At this clinic, protocol is to offer this. They did not offer this to us, and did not even tell us my husbands counts until right before I was inseminated. They were supposed to do both those things before our IUI. When we were finally able to get ahold of Nackley, she did listen to our concerns. She promised to get us in contact with the Dr. Doody (owner of clinic) so that we could find resolution and hopefully get a refund or another IUI for free. She also promised that she would look into clinical trials for IVF for us. She DID NOT follow through with either of these promises. I called the clinic MULTIPLE times. She knows we are leaving this state soon, so I believe they are avoiding us until we move. In addition, she refused to test my progesterone as she doesn’t believe it really will show anything until your pregnant. She also refused to test for the MTHFR and a thyroid panel. Both are things I would have like to be tested for. I had to go elsewhere to get my progesterone tested and receive progesterone to take after ovulation. I felt like the doctor rushed us into having our only options be IUI or IVF. She would not give us the option of doing medicated cycles before jumping into these procedures. With our history of conceiving, it didn’t feel right and I couldn’t help but wonder if she was doing this for our best interest, or if there were different motives.

I would not recommend doing IVF or IUI here. With the amount of mistakes made during our IUI, I wouldn't trust them with IVF. Trust your gut, ask questions and be afraid to advocate for yourself.

IUI with 50mg of clomid, 4 dominant follicles, ultrasounds for monitoring cycle day 3, 9, 12, and 16 (confirming ovulation). Day 16 we had our insemination. Anna Nackley was not around for any of the IUI procedures. Multiple blood tests for: clotting disorders, AMH, insulin/diabetes, karyotype (both), thyroid (TSH), hormones (husband) Everything came back normal except for a blood clotting issue, referred to hematologists. Semen Analysis (husband): Count was low, not real treatments except for the option of IUI/IVF HSG and Hysteroscopy-to see if uterus was normal, it was

We were covered for most of the testing by insurance. We had to pay 200 out of pocket for an additional test. We paid 1,000 for our IUI (that is because we also paid for the trigger shot and clomid). For everything additional, it’ll be out of pocket. 1,000 for IUI.

Not sure what they do for that. I'm pretty sure they only transfer one embryo at a time if you're under 35.

I enjoyed working with Dr. Nackley. She showed compassion and understanding at every turn. I have medical knowledge and she always spoke to me as if I did but never left thing unexplained. She seems very knowledgeable in her profession and therefore exudes a confidence that helps me feel at ease as her patient. She was gentle during procedures and tried to help me stay comfortable while they were performed.

Write down your question so you don’t forget to ask them. There is so much to think aboiy and that is covered during consults it’s easy to forget your questions.

during my initial consult a ovarian cyst was found therefore I was scheduled to have it removed right away. A couple months after that we started my first timed IUI cycle which went as expected but did not end in pregnancy. 1 or 2 more timed IUI cycles were attempted but I did not ovulate. Another timed IUI. Yale was attempted with a round of provera and clomid. This cycle was also anovulatory. Dr. Nackley evaluated thyroid levels, hormone levels, and ultrasounds during theses procedures. She recommended time off and weight loss after the last anovulatory cycle. We are now in talks to start IVF because I am not ovulating normally.

Timed IUI was ~$850. Medicated IUI ~$950. Consultation fee ~$90.

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I really liked seeing Dr. Nackley. The testing didn’t go as well as I’d hoped for as far as results. I was offered 2 choices for treatment, and felt that there weren’t any other possibilities for even discussing other options. That is the thing that truly disappointed me.

She is very thorough and concise. She doesn’t waste any time. Make sure you have a list of questions ready so you don’t forget them, because the appointment will move along very quickly.

Dr. Nackley recommended IUI with clomid, and IVF. She didn’t seem to have much faith in my doing IUI because of my low egg count/quality. She recommended IVF more strongly because the embryos can be tested for quality. I would’ve liked to discuss more options. She did listen to me ask about supplements for egg quality, and she gave me printouts about Ubiquinol and DHEA. My husband and I weren’t comfortable proceeding with IUI or IVF from a financial standpoint.

I think the forst appointment was $50 copay, then I paid $100 for the AMH bloodtest, and the other bloodtests were run through my insurance. I had already met my copay, so the HSG and hysteroscopy were under $200. That’s as far as I went. If I would have done IUI the cost was $1000 per cycle, and IVF was $13,000. My insurance does not cover infertility treatment, but it did help cover the initial testing.

I liked Dr. Nackley. I think she did a good job explaining things and talked to me in terms I could understand. She also speaks in a very calm and comforting manner. But... I saw the actual doctor few times. Only when something went wrong or the last appointment before the retrieval (did not see her on retrieval day) and then on transfer day. When you’re going to the doctor multiple times a week, I was assuming I’d develop a close relationship with my doctor, but I didn’t get that at all.

Don’t expect to see her at every appointment. Or even every other.

My Fallopian tubes were completely blocked. Due to them being swollen and infected (a result of a ruptured appendix) Dr. Nackley suggested we remove them. That all went great. Dr. Nackley did the surgery and we were pleased. IVF was our only option. We began that process last year. Apparently my eggs are slow growers so my retrieval was pushed back a week and my stimulation medications were upped to maximum dosage. We retrieved 16 eggs, but half of them were not mature. Of the 8 that fertilized, half were very fragmented. We only got 3 embryos from 16 eggs. We did a 5 day fresh transfer with 1 embryo (this particular clinic prefers to do single embryo transfers). The embryo did not take. We waited for a bit to jump into our next transfer. Dr. Nackley decided to let us transfer both of our remaining embryos since one was poorer quality. We went through shots and multiple appointments again and found out on the morning of our second embryo transfer that neither of our remaining embryos survived the thawing process even though we were given an 85-90% chance of a successful thaw. We were (still are) absolutely devastated that we have zero embryos left. And were told that there is no rhyme or reason as to why our two embryos failed to thaw properly.

I don’t remember everything we paid before we got to the IVF process. I know it was several hundred dollars. We pain $12,800 upfront for IVF. We had to pay $250 (approximately) for both my husband and I to do genetic testing bloodwork prior to the egg retrieval (this was self pay, we denied insurance coverage because the cost would have been $800+). Then we paid around $5,000 for the stimulation meds for our first round. Our costs for the frozen embryo transfer was $2,600 up front. And about $1,300 for medications.

Our doctor/clinic only does single embryo transfers unless there are special circumstances. I will always wonder if we would have transferred two on our first transfer if 1 would have stuck. But we weren’t given the option.

Dr. Nackley has a great bedside manner, she's patient and is willing to answer any question that may come up. She is also ready to be as aggressive as you want to be in your treatment, understanding that it's your time and money at stake.

Understand that she does everything in her power to help you with a positive outcome, and that it may not happen on the first time. Just be cautiously optimistic!

We were dealing with male factor infertility, so we started out with an IUI cycle with Clomid. After two IUIs and no positive result, we moved onto IVF with ICSI. I was on Menopur, GonalF, and Follistim I believe. We retrieved 11 eggs of which about 7 fertilized. 4 made it to day 5 and we transferred 2, which resulted in our beautiful baby girl! We are now on our second FET cycle. The first resulted in a chemical pregnancy.

Each IUI was about $1,000 (not including medication). The IVF/ICSI was about $9,000 and medicine was almost $5,000 (most insurance companies do not cover Fertility Treatments). The FET was about $2,500 and medicine was about $200.

Dr. Nackley has a warm bed side manner while not sugar coating what she feels is best for your family while getting the baby you want asap. She met with my husband and I at a time in our journey when we didn't want to hear we needed to jump to IVF but that is what she recommended. Nevertheless, she took our case and went as slow or fast as we were comfortable with.

Be open to her recommendations. Talk it through with your partner and know that her recommendation is to get you to your end goal as soon as possible, even if it wasn't the path you thought you needed to take.

Given low AMH we started off with a few weeks of testosterone before starting IV meds. IVF meds were 75 mg menopur (2 vials); 300 gonal-f; lupron (forgot dosage) daily. Ganirlex and HCG were given before retrieval. For transfer I started on progesterone in oil and estrace for a FET. Day of retrieval I was given Valium to help with calming me and avoiding uterine contractions during the transfer.

We did PGS and transferred normal embryos so Dr. Nackley recommended transferring only one for a safer pregnancy.

Dr. Nackley was friendly and really showed that she cared. I felt that she really wanted everything to work out for my husband and I. I knew right away that she would be a great doctor by the way she explained treatments/surgeries to me and how compassionate she was.

Go in positive and know that you are in good hands.

I haven't undergone IVF yet but hope to soon. The finances has been rough lately but i saw Dr. Nackley after clomid was. It working with my OBGYN. Come to find out that my right tube was blocked due to an ectopic pregnancy and the damage was already done. She scheduled a laparoscopy to remove my right tube. She advised that I would be a great candidate for IVF but will need to lose some weight and lower my A1C levels since I have type 2 diabetes. Since then, I have been working on that.

I don't recall my surgery cost but I was quoted around $13,000 for IVF. We haven't not started yet due to the cost, my weight loss, and other factors. We hope to start this year.

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My doctor is wonderful! She is extremely helpful, educational and most of all supportive. I know she cares about us as her patients and wants to help us become parents! I absolutely love dr. Nackley.

Be patient and have faith, this is a difficult process but Dr. Nackley will everything she can to help you!

I have PCOS and do not ovulate regularly. I also found out through my care with Dr. Nackley that I had uterine polyps. Those were removed by Dr. Nackley. We did a couple of rounds of clomid and timed intercourse. They monitored my ovaries during the cycles and helped time it appropriately. At that point Dr. Nackley suggested IUI, to help get the sperm where it needed to go. After the second round was not successful, Dr. Nackley determined that our next steps were IVF. At this time, we are working on starting our first round.

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Dr.Nackley is great at what she does. She’s so sweet, gentle, fast, a good communicator, compassionate and overall a really nice person. Other than that, she will help guide you into the right direction. Unfortunately we had no luck with our FET, but I don’t think it had anything to do with her. She wanted us pregnant, too!

Definitely choose her as s Dr. if you considering CARE as your clinic

Just birth control, Lipton, progesterone shots and estrogen tablets

Cost about 8,000

She insisted on one, we want two, but wasn’t an option

I am so grateful to have Dr. Nackley as my fertility doctor. She really cares about you as a person, she goes above and beyond to ensure you are comfortable and have all the information you need. There has been times she has even called me directly to ensure I understand my results or treatment. She is caring and always remembers personal details I am amazed about. I only wish she could be my doctor for everything! :)

My advice would be to ask questions and follow all instructions she gives. I am confident in her advice.

She is straight forward and created a treatment plan that would maximize a positive result. I would have preferred having more conversation about medications and the pros/cons. I was presented with a medicated treatment plan without any discussion about it.

Ask questions. She is open to talk but you may need to prompt further discussion where you need it.

Medications (clomid) were recommended to increase the chances of a successful positive result. It appears that was a standard treatment plan. I elected to move forward with unmedicated IUIs to begin with.

Dr nackly is a passionate caring patient provider. I highly recommend her to anyone that has or us struggling with fertility. She explained her plan of care and gave plenty of time for questions. Dr. NAackley made sure all my question were answered.

Be patient with some of the staff because the result are worth some of the hoops you have to jump through

There was a list of test that u have to complete before you can began a cycle. I was able to do these test locally since I live out of state. I did do the lining check and mock transfer in her office. After those were complete we did the transfer. The meds were BC pills then estrogen orally and vaginally. Oh and the lovely POI injections. I did not use Lupron with my cycle

8500

With such a high success rate they only transfer one which I think is a wise choice

Dr Nackley is a terrific doctor with a very sweet bed side. She always took more than enough time,answered any questions my husband or I might have, explained everything so we could understand, simply put she's an incredible doctor who's very compassionate!

I don't have any honestly!

Baseline sonogram, daily blood work and monitoring would base how my daily medications would be dosed.

I was monitored in our hometown because CARE fertility was 6 hours from our home.

It was around 10,000 I believe for retrieval storage etc this did not include medications

They will not transfer more than 2 embryos if you are under the age of 35

Dr Nackley is one of the sweetest doctor Ive ever met. She is very knowledgeable and kind. I was very scared before my surgery and she answered all my questions without hesitation, my mom was with me that day and she even allowed my mom to share any questions or concerns. That definitely touched our hearts and made me felt so confident and ready for my surgery.

Write down all the questions before the appo, Dr Anna will be happy to answer them. Take notes during your app. There is a lot information to learn.

I have met my deductible that year due to a previous surgery. So I believed the surgery with Dr Nackley was at no cost.

Dr Nackley is a very caring and personable doctor! She was very friendly and easy to talk to. She seems to be very smart and good at what she does! Had a very positive attitude every time I talked to her which helped me feel better about my situation. Several of my colleagues referred me to her and I can see why!

Make sure you advocate for yourself! Ask questions!

My insurance didn’t cover infertility treatment so I paid $12000.00 for the failed egg retrieval and about $3000.00 in IVF medications.

Dr. Nackley cares about her patients and listens without judgment or reservation. I truly appreciate her bedside manner and she proposes the best course of action and uses patient education to ensure your understanding of what comes next.

You’re in good hands

Dr. Nackley needed to determine the full picture of our fertility and utilized diagnostic tests. We had a semen analysis, hysterosalpingogram and genetic testing prior to IVF.

Dr Nackley is incredibly knowledgeable and terrific with the anatomical portion of treatment. She was quick to assess and diagnose my fertility issues. Cons: she’s a popular dr and it’s rare to see her at appointments.

Do your research. Dr Nackley is super knowledgeable but in the end this is your treatment. If you want to try something don’t hesitate to ask. There are numerous ivf protocols and some work better for different people.

Two ivf cycles. New protocol introduced for rd 2 that had a higher success rate. She performed polypectomy and DNC with compassion and care

Costs are what you’d expect for ivf