Michael Vance Homer

Dr. Homer is a total pro, and is also fun to work with. This could be a stressful situation, but with his sense of humor and positive attitude, my husband and I felt informed and reassured. From the start, Dr. Homer was very optimistic about our odds of getting pregnant, and his predictions for everything from follicle count, how many eggs would fertilize, how many euploid embryos we would end up with, and transfer success were spot on. It's like he had a crystal ball. I'm a pessimist, but was consistently pleasantly surprised how things were going, and now have a baby to show for it! However, just because the end result was good in the end, that is not to say that he gives false hope. Dr. Homer was also honest about managing expectations. For example, he told us we weren't a good candidate for IUI due to my husband's sperm morphology. Then, when my hCG levels were wacky after my 2nd pregnancy test, he cautioned us that there was a good chance the embryo did not actually take. It was fine in the end, but he had mentally prepared us for either scenario, and he did it with calmness and compassion.

If you want to have a longer conversation, it's best to schedule time for that. There were times when he would call to give results and I had a bunch of questions (some related, some not, like next steps and possible scenarios) but the conversation felt rushed. This isn't entirely his fault- he's got other patients and a full schedule. But sometimes I did feel a little rushed and would recommend asking for a time to have a longer conversation, if you need it, so he can block out the time in his schedule.

For my egg retrieval I did Gonal F, Menopur, and Cetrotide injections, then a Leuprolide trigger. This produced 33 eggs (24 mature). They used ICSI for fertilization, and 23 of the 24 fertilized! 15 made it to Day 5 Blastocyst, and after PGT-A testing, 7 of the 15 turned out to be euploid. Dr. Homer transferred one, and it was successful. I did Progesterone injections before and after the transfer, and the pregnancy resulted in the birth of my healthy baby.

-For me and my husband: $1.3k initial diagnostics, $1.4k genetic testing. -HSG was $1.8k performed elsewhere. -$700 drugs for retrieval. -$1.4k for my retrieval ($1.1k), PGT-A biopsy ($186), and ICSI ($127). -$2.8k for the embryo transfer. These numbers are based on the bills we received. However, through work we had Progyny, which covered the expenses and grouped them together as "cycles" - a quarter cycle here, a half cycle there, etc. I think in the end we used 1 full cycle for the retrieval, transfer, and frozen embryo storage.

Since I was 33 at the time, we had done PGT-A testing, and this was my first transfer attempt with no indications that there would be any barriers, eSET was the clear choice. Dr. Homer didn't make it much of a conversation and we didn't push it either.

Dr. Homer is professional, helpful and caring. He is very human and has a good sense of humor. He has a very good bedside manner and always listens to his patients. He tries his best to make the IVF process easier for his patients. I'm very lucky to choose him as my doctor on my IVF journey. Dr. Home did the egg retrieval (1 time) , hysteroscopic surgery (twice) and natural-cycle transfer (twice) for me. All of these are successful. I was diagnosed with unexplained reasons for infertility, but with his help, my first IVF baby is 2-year-old now and I'm pregnant with my second IVF baby at the moment. I certainly recommend Dr. Homer to other patients!

Do your homework, learn some IVF information , get to know your body so that when you communicate to your doctor, you're more prepared and it will benefit your treatment.

I didn't remember the detain, I had 9 eggs retrieval, 7 were mature, 5 embryos and they all past the PGA test!

My monitoring appointments are efficient. There are a wide time slots for me to choose. Some monitoring scheduled on weekends I need to go San Ramon office which is a little far away for me but it's OK.

I have very good fertility insurance and it cost me around $4000 in total.

always listen to the Doctor.

He is an inexperienced and irresponsible doctor, both in selecting treatment and communicating. For treatment, I got second and third opinion from other experienced doctors, they all have different opinions compared with his. I was misdiagnosed as DOR. For communication, before starting treatment, he didn't tell me any information related to the protocol, including the options, medications and risks. The case manager just started. Just pills and shots, no communication. I ended up being told an outcome that was complete different from what the doctor had described to me, and with no explanation.

I recommend that patients check reviews on line before choosing a doctor, and try to choose a doctor who has many years of experience in this field. See two more doctors and ask everything about protocol, medications and success rate.

Antognist protocol; Gonal-f 300iu; Menopur 150iu; Cetrotide; two weeks birth control pills as pre-cycle; Lupron trigger

$9236.00

After reading good reviews about Dr Homer on this website, I decided to give fertility treatments a shot. I previously tried to conceive unsuccessfully for about 5 years. During my initial consultation with Dr. Homer, all of my questions and concerns were addressed. He gave me an understanding if my options and the potential success rate per procedure, as best as he could at that point. After careful consideration, my husband and I decided to start with IUI treatments. Over the course of my first treatment, I was given Clomid. My ultrasound showed that I developed an ideal amount of follicles to proceed with the iui, but the Clomid did cause my lining to thin so I was prescribed a medicine to help thicken my lining before my iui. That iui was unsuccessful. We opted to try again and the second time, Dr. Homer changed my medicine to Letrozole/Femara. That ultrasound showed that I developed an ideal amount of follicles and the new medicine did not cause my lining to thin so I did not need to take anything to thicken it before my IUI. I had my second IUI in mid-January 2022 and later discovered that I was pregnant! My first ultrasound confirmed that it was a singleton pregnancy. I graduated from the fertility clinic at around 6 weeks, right after the initial ultrasound and have since been seeing my OB. As of late April, I am currently 16 weeks pregnant and all has been going very well! I am 40 years old and have never previously had a positive pregnancy test besides the one I had after my 2nd iui. Despite my chances of success being rather low with IUI, he made it possible! I’m not sure if the change of the medication helped or what, but I owe it all to Dr. Homer and the rest of the staff! Of note, Dr. Homer was my primary fertility specialist, but both of my iui treatments were with different doctors, both were wonderful. I never actually met Dr. Homer until he performed my ultrasound to see the baby, but still, he was the man with the plan behind the scenes and I owe everything to him. He is a warm person and I highly recommend him!

Write out all of your questions before the initial consultation. Be understanding if he is not the doctor who will perform your treatments.

I spent approximately $1300 per IUI cycle with meds.

Dr. Homer is the best. I was fortunate enough to be referred to him specifically through a RE I consulted with on Maven. Initially the RE recommended I find a young female doctor, however when she learned I live in the Bay Area, she told me to forget everything she just said and go see Dr. Homer at RSC. I am so thankful I took her advice! He was very transparent about the process and expectations and always answered all my questions - which I always had a lot of! After my first transfer, which resulted in a chemical pregnancy, I appreciate that he wanted to leave no stone unturned before trying another transfer (we tried different forms of estrogen for priming to see how my lining responded, an ERA/Receptiva test, hysteroscopy, and repeated pregnancy loss lab-work since I have a history of chemical pregnancies). He was always optimistic that we would find the solution and gave me hope throughout the entire process.

Trust Dr. Homer because he truly has your best interests at heart.

We did 2 egg retrievals with the same medications, but different doses. My 2nd cycle yielded a higher number of mature eggs which I contribute to the dosage change. The medications we used were Gonal F, Menopur, and Cetrotide. We used a Lupron trigger for the first retrieval since it as a freeze-all and an HCG trigger for the second retrieval since it was a fresh transfer. We did 2 FET cycles with different forms of estrogen. My first FET resulted in a CP most likely because my lining only reached 7.4mm using oral and vaginal estrogen. For the next FET cycle, we tried estrogen patches and then injectable estrogen but unfortunately neither produced a thicker lining. Dr. Homer recommended a hysteroscopy to investigate why my lining was not thickening. He was able to remove adhesions and compacted tissue and my next transfer was successful.

He did not perform my mock transfer or transfer. He only performed surgery to remove polyps. I don’t believe he read my previous medical records and just prescribed a standard protocol. He also over prescribed antibiotics which I questioned. No discussion was had just told me through case manager to not take. Very impersonal. Bed side manner was ok but not note worthy.

Question everything he prescribes. Double check and make sure he reviews your previous medical records. Push him to explain everything to you. Make him tell you the odds of success. He made us think this was going to be a guaranteed success. Or simply ask for another doctor with more experience.

Pio once a day, vaginal inserts x2day, estrodol 4X a day. No explanation or rationale explained just do it attitude from case manager. Prescribed 5 days of antibiotics before and after transfer just in case infection. I argued rationale and they just said nevermind. I had successfully transfer bit six week scan showed no development. I had to induce a miscarriage

Total around 15k for one transfer

Due to my age they only do single transfer

We came to see doctor Homer after 1.5 years of trying to conceive. From the beginning he was positive yet direct (which we liked and I believe he recognized that at therefore made a point of doing that). He was very knowledgeable, personable and made the whole process feel much easier and even fun. All through the process he was patient, responded to our 1000 questions (we learned a lot about the topic) and was open to adjusting treatment according to outcomes and our preferences. I really couldn't have asked for anything better from him and feel so lucky we choose him. I'd give him 10/10 regardless, but the outcomes were also amazing - we have the coolest awesome daughter from our first round with doctor Homer, are now expecting our second child (the second normal embryo from our first cycle), and have 5 more normal frozen embryos from cycles 2&3.

You won't regret it!

All covered by the insurance

He recommended eSET (with normal PGS tested embryos)

I am very satisfied with my experience with Dr. Homer. He never pushed me to go beyond my comfort level, and unlike some doctors he is not too aggressive in his treatment method. I came in ready for IVF, but he convinced me to try IUI 1 more time, with a different medication than I was using with my previous doctor. We were successful at the first try.

Definitely do your homework before you see him. He explains everything in detail but it's always best to be educated in the subject prior to seeing any doctor.

He switched me from Clomid to Femara. I have PCOS and had previously had 4 IUIs with another doctor (not from RSC) that failed. He had me and my husband do the genetic testing to make sure there were no other underlying issues, then did a sperm count for my husband. After the IUI, I was using progesterone supplements until I got my positive result.

About $600 per IUI cycle.

He was helpful at taking time with us and understanding where we were at. I appreciated his expertise and his reputation. I wished he would have worked with me a little better on non-medicated treatments and look more into blood work. I’ve had many friends have way more blood work done than me, a day 3 cycle test which I have not had done, nor hormone testing on certain days of my cycle or during IUIs.

If you are ready to jump all in and haven’t done too much research on your own or know much about your body and just are ready to get pregnant no matter what, he is a great doctor. I want to get pregnant while doing it in the most natural and healthy way for how my body is currently responding.

Immediately he said our chances of conceiving naturally were 1%. This was a very quick diagnosis. He thought if we wanted to do IUIs to try three on clomid. We pushed back and asked for 3 natural with HCG and he was willing only to do 3. After that he wanted to start us on clomid. During the time there were no other blood tests performed, which I hoped to get some more answers. We took 5 months off to give ourselves a break and just started up again and requested the HSG test.

$500-800 for initial visit and sonogram, $1000 per IUI, $300 HSG, acupuncture done outside of clinic but for my treatments

Dr. Homer was just great. He gave me time, patience and respect. He always listened. I never once felt like I didn't know what was happening, or why. He never rushed me, and answered all of my thousands of questions.

Don't be shy to ask all the questions you may have.

I was diagnosed with unexplained infertility, and also really long, irregular cycles. After having tried to conceive naturally for a year and a half, Dr. Homer recommended we move forward with a medicated (Letrozole) IUI treatment. In the days leading up to this cycle, we did blood-work and discovered elevated TSH levels, for which he prescribed me some medication. It must have been this medication that did the trick, for I ended up naturally conceiving in that final natural cycle leading up to my scheduled IUI cycle. It was a wonderful surprise!

As I never ended up needing fertility treatment, I was just charged for the initial diagnosis appointment, and a followup ultrasound appointment after I became pregnant.

Dr Homer was incredible throughout our entire experience, start to finish. In the first meeting we immediately bonded with him, he experience medically and personally helped us instill trust in him pretty much right away. We enjoyed meeting with him and he took so much time with us to explain the whole process and what he could do for us. I had previously visited another Dr who prescribed Clomid and incorrectly told me I did not have PCOS, she was prepared to up my prescription of Clomid to 100mg after 3 failed cycles. At that point I chose to move to see Dr. Homer and I look back all the time and am grateful we made that decision. At my first ultrasound with Dr. Homer he immediately confirmed I was a classic case of PCOS. From there he made the decision to not go forward with Clomid but to switch to Femera. I got pregnant the first cycle. It was a tough experience as we learned that I miscarried at our first appointment, but Dr Homer was right there for us, helping me through the medication to have the miscarriage at home, no DNC required thankfully. He even called me the next day, On a Saturday, to check in on me, it meant the world to me. He was a partner throughout the entire process and never shyed away from the tough stuff. After that, I had many weeks with blood appointments to check my Hcg, which took it's sweet time in going down. I think I tested 3-4 weeks in a row before we gave it a rest for a couple weeks and tested again. It took about 2 months to get it completely gone so we could start trying again. Dr Homer put me on my second cycle with Femera and sure enough we got pregnant on the first try again, I simply couldn't believe it. the first few months were pretty grueling, always expecting something to go wrong. I was terrified for my first ultrasound. Dr Homer was perfectly matching my optimism but also completely respecting and mirroring my cautious excitement. Once he got in there and saw the heartbeat he took a minute to confirm before he gave me the good news. My husband and I were ecstatic and so was he. We had the best appointment and were so endlessly grateful for his partnership and guidance. After that we had a 2 week trip to Ireland and I couldnt wait to come home to get another hopefully good screen. We could have switched to an OB at that time, but we werent ready to leave Dr Homer. We came back from the trip and got to see the baby grown quite a bit, arms and legs and most importantly a strong heartbeat. Dr Homer gave us hugs of congratulations and his staff gave us so many well wishes on our way out the door. Dr Homer even helped me find a new OB which was a big deal for us and we've now met her and absolutely love her! I of course would prefer to stay with Dr Homer if it were a possibility, but because it's not we're thrilled to have her. I can't say enough good things about Dr Homer, without him I dont think this experience ever could have worked as quickly and certainly wouldn't have been so pleasant.

Don't wait to get engaged with Reproductive Science Center, you need to get care from a Dr and a clinic who know what they're talking about with Fertility.

Due to my diagnosis with PCOS Dr Homer prescribed Femera, not Clomid that my previous Dr had me on. It worked our first two cycles on it and I'm so grateful that he customized our treatment for my condition.

We had a pretty substantial cost for the ultrasounds each month. Also the only thing I was really caught off guard by was when I needed to come in for weekly blood draws for my Hcg levels, I was anxious to hear results so it was recommended that I do the draws at RSC so i could get same day results. Unfortunately after a few draws I found out that my coverage didnt extend to those blood draws and i needed to go to a LabCorp, so I got charged way more than expected for those visits and that was really disappointing.

Dr. Homer is the best. Me and my husband were fortunate that we found him. Since the very first appointment, we found him very considerate, professional and yet very friendly. He was very transparent,always answered all of questions(which i did ask a lot, thanks to google), understanding and honest. We knew all the risks and chances of success associated with the treatment yet we were never in doubt just because of Dr. Homer's positive attitude. With only 1 healthy embryo at hand, it was him who showed confidence in our confidence to move forward with the transfer cycle. We were lucky that it worked out for us but if it hadn't, our feedback about him wouldn't have changed. My message to everyone who is looking for an IVF treatment is that "Dr Homer is someone who you can rely on and he will do everything whats necessary and right for you and you would never feel that your efforts were for nothing." He is very considerate, spends time in understanding their patients, and has sense of humor which will light your bad day. He smiles at problems which gives you confidence that no matter what you can get through every problem.I believe doctors should know it all yet they should not be so overpowering that you can't confide in them with your silliest of things, your fears and your apprehensions which with Doctor Homer i never felt that way, all i can say he is the best thing that happened for my IVF journey.

Be honest and forthcoming with him and do let him know your expectations about the treatment so that he can have all the information and decide the best course of treatment for you

We met Dr. Homer after trying for more than 2 years without success. Before we met, I was skeptical. I worried that he was too young and inexperienced. But he quickly proved me wrong. He answered all our questions and concerns, explained to us all our options (IUI and IVF) with risk and success rate, and suggested us to go with IUI first. During our treatment, he found out that I had polyps in the uterus, which caused me to bleed in between periods and reduced my success rate. After a successful surgery performed by Dr. Homer and 2 failing IUI, we decided to move on to IVF. We got 3 healthy embryos and one of them got transferred successfully. Me and my husband were ecstatic. After trying for 3 years, our dream had finally come true, thanks to Dr. Homer. He was very professional, knowledgable, yet very friendly and funny. He also had wonderful bedside manner. I was very happy to graduate from RSC, yet was sad to leave Dr. Homer. Hopefully we will see him again for our next baby in about 2 years. I would recommend Dr. Homer to everyone who considers infertility treatment.

Don't wait, call Dr. Homer now.

Dr. Homer strong suggested us to do single embryo transfer due to the success rate being >60% and the risk of having twins with multiple embryo transfer.

I’m so thankful to Dr.Homer, and his entire team at RSC! The doc is very knowledgeable and the staff are extremely awesome, kind and reassuring. I have been trying to conceive for over 30 months over different clinics and I got pregnant on my first round of IVF with Dr.Homer!! It’s amazing!

Our experience with RSC and Dr.Homer was amazing, please give it a try :)

Dr Homer is very compassionate. He is a great communicator, able to explain details in full. He is also very honest with your chances and recommended treatments. He has also performed two surgeries in effort to determine the cause of my unexplained infertility.

Go see him!

We did 3 egg retrievals with different meds. The first 2 cycles were cancelled and the last didn’t result in any embryos on day 5. Meds used were gonal f, cetrotide, menopur, lupron, ovidrel, etc. Half the IUI cycles used clomid and the other half used letrazole. I also used progesterone suppositories.

For ivf we did a 2 treatment package through attain for ~$25k. Our IUIs were less than $300 each cycle.

N/A

Dr Homer made my experience great. I was so discouraged at many points in time and he helped me get through it. He never let me give up. We always had a plan when things didn’t go the way we thought. I never would have thought we would be able to have a baby and now we have our perfect son.

Be open and he will be honest.

I was not responding well to IUI and femara. We moved on to ivf. When the first set of medication was not getting us a good result, he immediately changed my protocol, went over options for supplements and took his time with getting us the best result.

He recommended one at a time because multiples become high risk and I had my own risk factors (fibroids, age).

Quick communication re: results, explained things in a way that was relatable. Would definitely recommend to others. I saw him for my initial fertility workup and for my saline sonogram. My IUI was performed at another clinic by another nurse, same with cycle monitoring ultrasounds.

Be prepared with questions, research potential treatments beforehand if possible so you can get the most out of your time with him.

My ultrasound and labs showed no fertility issues, other than a small fibroid. For fertility treatments, he recommended a natural cycle IUI which is what I was hoping to do. He did not oversell diagnostic procedures, and was able to proceed with treatment during my next cycle.

IUI w/ cycle monitoring - $880

NA

He was kind and compassionate but clearly didn’t want to treat me because he felt I wouldn’t be successful and look good for his “numbers” Didn’t listen to me, which resulted in me wasting money Would not recommend

Clomid+gonal f injectables

Average costs

Dr. Homer provided exceptional, evidence-based, compassionate care every step of the way through our infertility journey. He applied his expertise in PCOS to make the best recommendations for treatment, while including our personal family planning goals too. He explained all of the risks and benefits of IVF and communicated with us each step of the process to verify we understood. Dr. Homer always had a warm and compassionate bedside manner that I appreciated so much, especially when we received the news of a biochemical pregnancy with our second embryo transfer. During this time, he explained exactly what was happening and validated my feelings which was comforting. When we wanted to move forward with a third embryo transfer with my next cycle, Dr. Homer explained the risks and benefits and supported the decision based on his expert analysis of my clinical status. We are now 11 weeks pregnant with our second baby. We are so grateful to Dr. Homer for his expertise, and honest, caring support throughout our time at RSC.

Ask questions. Dr. Homer is an expert and will explain things to help you understand what is going on each step of your journey.

I was not very sure earlier if I really want to get treatment from Dr Homer as he was new and he had not that much experience but I got some trust after my first meeting when he could correctly explained the reason of my infertility. He has very good knowledge. He can take good decisions and will suggest the best option for his patient

Just trust Dr Homer

I do not remember much

My Dr approached eSET and I think it was best decision for us

From our very first appointment with Dr. Homer, my husband and I felt we were in good hands. He has a very effective communication style. And is clear in terms of what to expect. He has a very soothing demeanor and has been very methodical in answering our questions. Thanks to his medical and surgical expertise, I am now pregnant and really happy.

If you have any questions or concerns, be proactive.

I truly recommend Dr. Homer. I only see him by online at the very beginning, even though he tried to call me whenever I have concerns and explain all the test results and next treatment step carefully. Also his nurse was so kind and warmly supported me all the time! I love them soo much!

If you have any concerns, ask them and I’m sure they will help you.

blood work, spam test, taking medication before the egg retrieval surgery, muscular injection, egg transfer and check up after pregnancy.

almost $3,000

I just want to say THANK YOU!

After everything going so perfect with our first child through Rsc we came back to have our second child (last embryo). Dr homer attempted to explain to me nicely that maybe we should consider doing a whole new Ivf procedure instead of using the embryo we had because of the slightly less chances of this one making it but we insisted on taking our chances and boy was that a mistake. I wish I could go back in time and actually remember that I know nothing about reproduction and dr homer knows best. To any patients out there in a similar situation please listen and take dr Homer's suggestion. Nothing hurts more than a miscarriage after all the injections and medication and preparing for the baby.

He's awesome at what he does

expensive but understanding

I had an amazing IVF journey with Dr. Homer. His patience, expertise, and care truly stood out. He took time to explain every step clearly, and his attentive approach made me feel valued and understood. Dr. Homer's careful planning and attention to detail reassured me throughout the process.

no

I have nothing but good comments for Dr. Homer. He's very caring, thoughtful, and thorough. He walked us through steps by steps. He made sure we understand our risks and choices, how long the procedure might be. He cheered for us and sad for us when there was a hiccups.

Be positive, if there's a will, there's a way.