Liyun Li

Dr. Li is kind and smart. She has a good bed side manner. She took an impressive amount of time studying my past retrievals from other clinics to try to look for patterns and to help me potentially get more mature eggs with my rounds. I wish Dr. Li and PFC overall were a little more willing to pivot and be more flexible for cycles that are not going as well as hoped.

Using the portal to message her nursing team is helpful.

We did a Demi halt protocol - I started with lupron everyday for like 10 days. I also used omnitrope every other day. Then added in 300 gonal + 150 menopur during stims. I get a lot of eggs but not a lot of mature eggs. This helped some of them to catch up. I still for some reason get a low ratio after they take them out of their follicles but it was better than in past cycles.

Thankfully my Progyny benefits covered a lot of it. Think an egg freezing cycle was $9k payable to PFC then about $6k in meds.

transfer will be in December

It seemed to me that Dr. Li adjusts her tone and demeanor to her patients' needs and personality. She was sensitive to the feelings in the room on any given day and that is an important quality for me when looking for a doctor. I would recommend coming prepared with multiple questions to appointments so Dr. Li can address all your concerns adequately. While I don't think appointments were rushed, it is a very busy clinic...Dr. Li offers phone follow-ups should questions come up and we did do that quite a few times.

Come prepared with questions. I'd also recommend doing your research before appointments to ask about her reasoning behind her recommendations. It helped us understand more about the process of IVF and our particular case and made us feel more at ease knowing that decisions were made based on our individual medical history - not clinic statistics.

We came to Dr. Li after three cycles of clomid - one resulting in an early miscarriage - and an initial consult with Kaiser Permanente Fertility. She recommended IVF from the start as the more effective treatment to achieve our family goals, but also said we were good candidates for IUI (based on age and the fact that we've gotten pregnant before, all our testing looked normal, no tube blockages). We did two Letrozole IUI cycles - both times the sperm count and motility was very good. After that, we moved on the an Antagonist IVF cycle - Follistim/Menopur/Ganirellix and about 5 monitoring appointments during the cycle. The procedure doctor on the day of my egg retrieval was Dr. Givens, who also did a hysteroscopy a few weeks later to remove some small uterine polyps. Out of 22 eggs, 12 embryos developed and 7 were deemed normal after PGT-A testing. We proceeded with a rest month and a frozen transfer of one embryo - the transfer was done by Dr. Li.

We spent about $30,000 total on all treatments and medications, incl. FET, hysteroscopy and PGT-A testing of 12 embryos.

Dr. Li had a strong preference for eSET due to the potential risks connected to a multiples pregnancy.

She is a wonderful doctor and we couldn’t be any happier with the results. I trust her completely and if I could do it all over again, I would still choose her as my doctor. I saw her over the course of 5 years. We originally went in just to do embryo cryopreservation, but along the way, I found out that I had a genetic kidney condition, adenomyosis, and only 1 working ovary. So we went through the whole process with her (3 cycles with PGD and PGS testing) and transferred when we were ready. The only reason we had to do 3 cycles was because I only had 1 working ovary (50% less follicles), and then PGD testing would cut that number by 50%. So we did several cycles and batch tested them all at once, rather than testing after every cycle. We ended up with 6 PGD/PGS tested embryos. When we were ready to transfer, 8 months later, our first transfer woth her was textbook. We ended up with a very healthy baby boy. We came back a year and a half later to try it again for a second, and Dr. Li started my treatment by trying to prevent my Adenomyosis from growing in preparation for another transfer, but that transfer ended up in a chemical. When it didn’t work, Dr. Li immediately did her best to give us all of our options and added a few changes to my treatment (such as adding an ERA cycle to give us more information) to help with the next transfer. I ended up pregnant at the next transfer, which was just a couple months later. So out of 3 single embryo transfers, we ended up with 2 pregnancies (I have a 2 year old and am currently 5 months pregnant)! So we are very happy with the results. I saw her on most of my visits, she did 2 retrievals out of 3, and she transferred all 3 times. Throughout all of this, I was always able to either schedule a call with her or contact her nurses and get an immediate response with any questions. They often follow up with me, even through my pregnancy, though I’m now under the care of my OB. I have been very satisfied under her care and under her team’s care. I know every circumstance is different, but Dr. Li is an exceptional results driven doctor who is very caring and compassionate, and I would absolutely recommend her.

Don’t be afraid to ask any questions or reach out to her team. She is very nice, and her team is very responsive!

I don’t remember specifics, but I do know that all of her strategies were effective, and she was very on top of monitoring me in case any changes needed to be made. I did not feel disappointed at any time, or feel like we should have done something different.

- Cycle Fees: Approx 13K - PGD and PGS Fees paid to Lab: Approx 6K - Medication paid to Pharmacy: Approx 3-4K - FET: Approx 3K

I was very confident in elective single embryo transfer at this clinic because they have very high standards when it comes to which embryos make the cut. They only choose the highest quality top grade embryos, and I am confident with that method. The process of transfer can be very exhausting, both physically and mentally, and I would only want to go through with it with high quality embryos for a higher success rate. Aside from that, there are a lot of risks associated with multiple embryo transfer, both to the mother and babies. So I’m happy that PFC only does single embryo transfer.

Dr. Li has been a great partner through this journey. She seems to truly care about her patients but is still very honest about the situation. I appreciated how she showed me all my options in a delicate but clear way. She gave her educated advice but never pushed me in one direction or another.

While Dr. Li is a great doctor. You may not always get her as your doctor for each check up. She does her best to be there for critical decision time appointments,... but if she is not working that day or is already booked and you happen to need to do an ultrasound checkup, you might get someone else. And the other doctors that I have had have been dismissive and not helpful.

Dr. Li showed a genuine interest in us and was open to new things that we wanted to try the second time around. She always wrote very clear instructions on our charts so that when a new doctor picked it up on a weekend (when she wasn't working), they were able to understand it without any confusion. She was always on time, yet never rushed an appointment. There were times when I would be crying in her office, and she kept it together yet showed sympathy and care all at the same time.

Ask a lot of questions because she will answer all of them.

We found out my husband suffers from azoospermia due to varicocele veins in the testes. He had the veins repaired, but sperm counts are still too low to conceive naturally. For my first egg retrieval, we used Menopur and Follistim, then Ganirelix and Lupron. They retrieved 38 eggs, 29 of which were mature. We had to do ICSI due to low sperm counts. We ended up having zero fertilization, meaning no eggs were fertilized. We aren't 100% sure why, but all parties assume it was due to my my husbands poor sperm quality. We then decided to try it again, and the second time to add Human Growth Hormone into the mix, and kept all other injections the same. We also tried oocyte activation the second time around to give the fertilization process an extra boost. They retrieved 47 eggs this time, and 39 were mature. We decided to inject 20 eggs with the best sperm we could, and freeze the other 19 eggs. This was my decision, and Dr. Li supported me in that. I just didn't want to have to do another egg retrieval if we experienced failed fertilization again on all eggs. We ended up having 11 eggs fertilize, and 4 made it to blastocyst. We sent all 4 for genetic testing, and all 4 are now frozen. We are getting ready to begin the transfer stage where we will transfer 1 embryo.

This stuff isn't cheap! But, the financial coordinator explained what you were being charged and for what. They also tried to help you get coupons for injections. They also told me when I could get blood drawn at other labs that my insurance covered.

Because the underlying issue is on my husband's side, and we have 4 good embryos, my doctor suggests only transferring a single embryo.

As a patient, I always felt that Dr. Li was there for me. We could schedule a phone call with her anytime we wanted to discuss something important, and the most difficult times, when i had the miscarriages she always took time to talk to us. She respected that i wanted to have a little time until i would feel better but at the time she would talk to her I felt the comfort that she knew what i was going thru and she cared for me. We would talk about what happened, and we would do other test like Endometrial Receptivity Array and other blood test to check Immune system issue etc. I always felt so much better after talking to Dr Li. After the transfer of my last embryo and an unsuccessful pregnancy, we had to think what to do. For my surprise, my company announced that our insurance plan added the Infertility treatment but unfortunately PFC is not in the insurance list clinics. The last call that we had with Dr. Li i was in tears and Dr Li said that my dream is the first priority that she will support me and understood that i have to choose another clinic because of the insurance coverage. Dr. Li is an amazing professional but also a wonderful human being. We always had her support and compassion in the years of our journey at PFC.

Dr. Li has lots of knowledge about the infertility issues. Make sure to schedule the appointments either in person or via phone. Make a list of all your questions because she will answer all of them.

I had 4 embryos - day 5 blastocyst and the protocol used was : 1. Ultrasound and blood test on the 2nd or 3rd day of the cycle 2. Start Delestrogene shots -every 2 or 3 days -0.2 ml 3. after 10 days ultrasound and blood test 4. Start Progesterone - Ethyl oleate 1 ml - 5 days prior to Embryo transfer 5. Emnbryo transfer after 5 days of Progesterone shots 6. Continue shots of progesterone every day, and delestrogene 2 x week 7 . after 9 days, blood test HCG Beta 8. if positive continue with progesterone and delestrogene until reach week 9

I went thru the following procedures: 1. Egg retrieval : Medication around $4000 , each ultrasound $255 , each blood test $150 , hcg test $135 2. frozen Egg donor - total $21000 each embryo transfer : $2900 Embryo Transfer 950.00 US Guidance for Embryo Transfer 315.00 Assisted Hatching 685.00 Prep Embryos 575.00 Thaw Embryos 375.00 Progesterone - $360 3 vials Delestrogene - $230 each vial each ultrasound $255 , each blood test $150 , hcg test $135

I hear a lot of debates regarding to eSET and multiple, but my reaction about just do a eSET was positive, since the goal of the treatment is to have a health baby and a health mom, which for me it's sufficient to approve the eSET

Please refer to my previous response

Ask questions and probe, don't hesitate to call or email with follow-ups.

My first cycle was a fresh donor egg cycle requring 3 Rx of shots. In the second and 3rd cycle she recomended Prometrium via vaginal inserts, which i did not care fir and requested shots fir the 3rd round. She urged me to continue w/Prometrium vaginally due to the potentcy and proximity to the uterus it is applied. I took her suggestion hesitantly, however the 3rd round was a success, so worth it.

I believe the total with drugs was approx $18k

Dr Li is very kind and smart - I felt like I was in trustworthy and knowledgable hands. She doesn't rush conversations - and makes herself available whenever needed. She's very approachable - I didn't feel uncomfortable asking any questions.

Be prepared to be given a lot of data - which is obviously important. But also make sure you fully understand the process. And ask lots of questions - Dr. Li is more than happy to answer any and all.

My treatment was pretty standard- it was my first retrieval.

$16k for monitoring, retrieval, testing, and storage. About another $1k for consultations and bloodwork.

Dr. Li thoroughly answered any questions I had. She is not intimidating and is very patient. She is very kind and I felt she is very empathetic. Also, she smiles but is not overly professional like some doctors I've encountered.

Not sure

Unsure

Appointments were not made to be very convenient

$2000 for IUI, $25,000 to $30,000 approx for egg retrieval. $3,500 approx for each frozen embryo transfer. All approximations based on memory.

I believe the facility's policy is based on age and they are strict on one embryo per cycle because of the health risk involved with multiples.

As I said before Dr Li was warm, efficient and candid. She explained why we would proceed with an IUI as a first step after a number of failed Clomid only cycles with my gynecologist. She answered all our questions and I learned a lot from her.

Do your research on possible treatments before your appointment so you can ask more informed questions.

We used approximately $2500 of our Carrot fertility benefit for our IUI, including genetic testing and initial bloodwork. Each ultrasound was about $330.

Dr. Li is very knowledgable and competent. She is friendly and compassionate. She treats patients as individuals. I highly recommend her. She also sets up phone consultations so that you don't always have to pay for office visits, which is nice.

Ask about an HSG test (for blocked tubes). She didn't bring it up until I inquired about it.

Letrozole IUI

IUI $475. Ultrasound $330 each. Ovidrel $92.

I had 30 frozen eggs and this resulted in zero viable embryos. There was only one day-7 blast, and it came back aneuploid after testing. This was completely shocking, not at all in line with the expectations had set. Dr. Li and the clinic were unhelpful in processing this shock, and defensive when we asked questions about what could have possibly happened in the lab that day. It was not a collaboration at all, I was made to feel like a very annoying patient for asking so many questions. There was zero support for the trauma of it, mainly a 'we don't give a F about it' attitude.

Do not.