Joie Guner

UCSF

Rated 8
Neutral: 100%8
0% strongly recommend
1 review
Humanity
10
10
Humanity

Ratings of 1 mean patients felt this doctor treated them as "a number."

Ratings of 10 mean patients felt this doctor treated them as "a human."

Communication
10
10
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
8
8
Frequency Seen

Ratings of 1 mean patients only saw this doctor once or twice during treatment.

Ratings of 10 mean patients saw this doctor at every appointment.

Responsiveness
8
Good
Responsiveness

Scale is "poor, ok, good, excellent" and measures how responsive a care team was when patients needed to speak to them.

Education

Medical School
University of Arizona
Residency
Baylor
Fellowship
Baylor

How Doctor Communicates

doctor, nurse available by email
not available by directline
not available by directline
not available by personal cell phone
not available by personal cell phone
Joie Guner works at

UCSF
Rated 8.3
Strongly recommend: 66%Neutral: 17%Don't recommend: 18%8.3

Explore Clinic
San Francisco
499 Illinois Street, 6th Floor
San Francisco, CA 94158
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2020 - 2023, Unknown Success
NPS
8
NPS
7
Age 31 - 34
3 IVF
Donor Sperm
Diminished Ovarian Reserve
Male Factor
European
Income $100K - $199K
Nurse or HC Services
Only Doc Seen
Neutral
Neutral
Success w/ Doc Too early to know
My experience with Dr. Guner was overall good, despite not having achieved pregnancy yet. She has always been kind and forthcoming with information and answering questions. She always takes the time to answer my emails thoughtfully and completely. She has good bedside manner without being overly (toxically) positive. She's realistic and very knowledgeable. She is, however, very research and evidence driven, which can sometimes feel like she will only get on board with or suggest something if it is research backed.
It's [HRC Fertility] a beautiful clinic. Aesthetically, it's lovely. Everyone is pretty friendly and works quickly. It is a very busy clinic...Desiree was my care coordinator and she was wonderful. She was prompt, helpful, responded quickly and always provided all the information I needed. I didn't really interact with any other nurses at HRC, aside from during the retrievals at the affiliated surgical center, whom were all wonderful. The phlebotomists was also great, very quick and efficient.
How was your experience with Joie Guner at HRC Fertility?
My experience with Dr. Guner was overall good, despite not having achieved pregnancy yet. She has always been kind and forthcoming with information and answering questions. She always takes the time to answer my emails thoughtfully and completely. She has good bedside manner without being overly (toxically) positive. She's realistic and very knowledgeable. She is, however, very research and evidence driven, which can sometimes feel like she will only get on board with or suggest something if it is research backed.
What's one piece of advice would you give a prospective patient of Joie Guner at HRC Fertility?
Know that she will always make recommendations based on research so if you want to think outside of the box or do a "throw everything at it" approach, she may not be the right doctor for you.
During treatment, were you treated like a number or a human with Joie Guner at HRC Fertility?
She is always very responsive to emails, she takes time to answer all my questions and explain things. She is realistic in setting expectations. She consulted with other doctors to help make a plan.
Describe the protocols Joie Guner used in your cycles at HRC Fertility and their degree of success.
Overall for my IVF cycles we used a "mini IVF" type of protocol because I have DOR. I did 3 cycles, the first 2 of which were almost the same. We started with Clomid x 5 days and then added in GnRH like Follistim and then medication to prevent ovulation. We did some additional mini hcg during the second cycle to help things along. Then triggered with Hcg. For the last cycle, since my AMH had dropped, she suggested a protocol that was presented at the ASRM that showed "non inferior" results and had much fewer injections/was more cost effective. This included taking Clomid for the entire stims period, and adding in only Follistim about 5 days into Clomid. No need for medicaiton to prevent ovulation as the Clomid did that. I did have a problem with "disappearing follicles", although unknown if that was in any way related to the change in protocol or just my body/low AFC to begin with. With each cycle, I ended up getting about what would be expected given my AFC/AMH and ultimately ended up with 1 euploid embryo that passed PGT-M for my genetic disorder each cycle.
Describe your experience with your nurse at HRC Fertility. (Assigned nurse: Desiree)
Desiree was my care coordinator and she was wonderful. She was prompt, helpful, responded quickly and always provided all the information I needed. I didn't really interact with any other nurses at HRC, aside from during the retrievals at the affiliated surgical center, whom were all wonderful. The phlebotomists was also great, very quick and efficient.
Describe your experience with HRC Fertility.
It's a beautiful clinic. Aesthetically, it's lovely. Everyone is pretty friendly and works quickly. It is a very busy clinic which seems to have a huge Chinese population, it appears they have a specific program for this patient population with a specific coordinator for them. It can get very busy in the mornings with all of these patients. It seems like there may be some days that are designated for them to see their doctor, so there's a full waiting room on these days. My doctor works with USC (affiliated with HRC) so she sometimes has fellows that are working with her, so I've had a few different people do my scans under her supervision. I think this is only with the USC affiliated doctors, not all HRC.
Describe the costs associated with your care under Joie Guner at HRC Fertility.
2 cycles of IVF with egg retrievals and 1 embryo transfer (this excludes money not paid to HRC for medications, PGT testing, sperm vials, etc) was about 30k. The last cycle I had insurance coverage from work and haven't determined my out of pocket cost yet, but it will be a few thousand dollars, likely.
Describe Joie Guner's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at HRC Fertility.
Only ever had 1 embryo per cycle to transfer
What specific things went wrong at HRC Fertility?
  • Lost or damaged samples
Describe the specific things that went wrong at HRC Fertility.
I guess this could happen anywhere and is likely just me falling on the wrong side of the statistics (as I frequently have), but I did lose an embryo to thaw when I asked them the re-biospy one of my embryos that was euploid but wasn't able to be PGT-M tested. It did not survive the thaw, thus I never got to know if it was a carrier/could be potentially transferred.
8
Doctor
Joie Guner
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
3 of 5
7
Clinic
HRC Fertility
Pasadena
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
5 of 5