Pacific Fertility Center

Available Resources

Genetic counseling: OfferedAcupuncture: OfferedMental health counseling: OfferedNutrition counseling: OfferedAdministration of shots: OfferedCoordinating at-home nursing: OfferedSelling medication: OfferedProviding backup medication: Offered
San Francisco
55 Francisco Street
San Francisco, CA 94133
415-834-3095
On a scale from 0-10, how likely are you to recommend Pacific Fertility Center to a friend?
Strongly recommend: 29Neutral: 10Don't recommend: 68.4
45 assessments
  • 64% Strongly recommend (9-10)
  • 22% Neutral (7-8)
  • 13% Don't recommend (0-6)
Operations
Poorly operated
Operated well
Scheduling
Difficult scheduling
Easy scheduling
Billing Department
Incompetent billing dept.
Competent billing dept.
Nursing Team
Poor nursing team
Excellent nursing team
Attention to Detail
Low attention to detail
High attention to detail
2013 CDC Success Rates
Live births per fresh IVF cycle by age range
10%
20%
30%
40%
50%
60%
<35
35-37
38-40
41-42
43-44
This Clinic
National Average
Annual Cycles for this Clinic
1,331
Annual Cycles National Avg.
344
View all doctors
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45 assessments
10
Age
39 - 41
Treated
2014 - 2016
Success with this Doc
22 Eggs Frozen
Treatment
1 Egg Freezing
Diagnosis
10
You are going almost daily if not daily for a week when your eggs are growing and I think I saw a different dr [at Pacific Fertility Center] each day for the sonogram. I liked all but one. Her bedside manner was nonexistent and I think she laughed at one of my questions in a scoffing manner. I already felt like an alien growing eggs and full of hormone shots so I didn't need this dr I had never met acting that way. I gave that feedback during my "exit interview" after my eggs were frozen. T
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Age
39 - 41
Treated
2014 - 2016
Success with this Doc
22 Eggs Frozen
Race
European
Income
$100K - $199K
Occupation
Sales Representative
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 Egg Freezing
Diagnosis
10
Describe your experience with Pacific Fertility Center.
Strengths: professional, discreet, convenient location to get in and out of, highly qualified doctors, the office feels brand new, fancy fertility lab onsite surrounded by glass so you can see them when leaving, their own egg donation center across the hall from their offices, very responsive when you are an active patient, nice nurses and doctors, your own financial contact who handles your payments and answers any questions you may have.
During treatment, did you feel like you were treated like a number or a human?
PFC does a lot of business. That's just a fact and it's obvious when you're in the office and when you call in. This is not really your friendly neighborhood doctors office with just your Dr or a couple docs, it's a practice and a center with a lot going on. I like that it was this way. It feels both high end (makes you think modern and successful in producing live births) and super professional.
Describe your experience with your nurse.
I don't think I had a specific nurse, but I did have a coordinator and team assigned to me. I was able to email my team specifically so the best person could always pick up my question and respond. When you are in your cycle, you are always able to reach someone and get really fast service. I think they work weekends. When I called after hours, a dr called me right back to answer my question.
How was your experience with Carolyn Givens?
During an egg retrieval cycle, you see one of the doctors that's available when you go into the office. You are going almost daily if not daily for a week when your eggs are growing and I think I saw a different dr each day for the sonogram. I liked all but one. Her bedside manner was nonexistent and I think she laughed at one of my questions in a scoffing manner. I already felt like an alien growing eggs and full of hormone shots so I didn't need this dr I had never met acting that way. I gave that feedback during my "exit interview" after my eggs were frozen. They seemed genuinely interested in knowing how I felt about my interaction with that dr. Everyone else was great. I can't rem if Dr Givens or another dr harvested my eggs. I had such great results and felt so comfortable overall there that it didn't matter. I've met with her twice recently to discuss next steps (turning my frozen eggs into embryos and implantation to become pregnant) and she is open to answering any and all questions I have and new information I may have read up on that she hasn't heard about yet...things are happening quickly in this field.
What one piece of advice would you give a prospective patient of Carolyn Givens?
Ask a lot of questions and do your research. For the egg retrieval portion, it's pretty straightforward and takes up a month of your life. I've found that it's better to talk to as many people as possible when moving forward with the rest of the IVF process. There are many more moving parts and things to know.
Describe the protocols Carolyn Givens used in your cycles and their degree of success.
The drugs I took were Follistim, Menopur, Ganirelix and HCG. I ended up going for a couple more days to let the eggs get even bigger so I needed more Menopur which I was able to pick up at the office (PFC). They keep drugs on hand for this last minute purpose as the rest comes in the mail ahead of your cycle. I ended up with 28 eggs retrieved and 22 were frozen. Given my age at the time of 39.5, I would have to think her protocol worked well.
Describe the costs associated with your care under Carolyn Givens.
I think my total fees for egg retrieval in 2014 was $12,000. That included all of my drugs. I think the finance person grossly underestimated how much my drugs would be. The dr. Also added more at the end to let my eggs "cook" a bit more. On their price sheet in 2014, they list X-Cycle Fee as $8,345. They say this includes 4 of each of the following---office visits, ultrasounds, Estradiol as well as one of each of the following---anesthesia, egg retrieval, facility, lab, cryo preservation & one yr of storage ($600). Blood testing, ultrasound and at least one office visit were covered by my insurance as they will not cover fertility treatments, but do pay for "diagnostic procedures and tests provided in connection with infertility evaluation. Office visits and consultation used to diagnose infertility."
10
Doctor
Carolyn Givens
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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7
Age
45 - 47
Treated
2014 - 2016
Success with this Doc
?
Treatment
IVF, Donor Eggs
Diagnosis
Poor Egg Quality
7
Biggest weakness [at Pacific Fertility Center] is the egg donor agency. I would never recommend them. So much hardship was felt as we went through 2 donors who were discharged during my cycles for undisclosed medical reasons and the third declined to participate, causing us to lose one full year. The clinics response was that we had a bad stroke of luck. After investing $30k, you can imagine how poorly this went over with us, but we felt stuck. They had our money, so we had to keep working with them. Fortunately in the end ourfinal donor worjed out and we had 13 embryos frozen. The clinic side us top notch, frim the Dr's, nurses, staff, hours, i only wish all healthcare could br this good.
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Age
45 - 47
Treated
2014 - 2016
Success with this Doc
?
Race
Other
Income
$200K - $499K
Occupation
Marketer or PR
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF, Donor Eggs
Diagnosis
Poor Egg Quality
7
Describe your experience with Pacific Fertility Center.
Biggest weekness is the egg donor agency. I would never recommend them. So much hardship was felt as we went through 2 donors who were discharged during my cycles for undisclosed medical reasons and the third declibed to oarticipate, causing us to lose one full year. The clinics response was that we had a bad stroke of luck. After investing $30k, you can imagine how poorly this went over with us, but we felt stuck. They had our money, so we had to keep working with them. Fortunately in the end ourfinal donor worjed out and we had 13 embryos frozen. The clinic side us top notch, frim the Dr's, nurses, staff, hours, i only wish all healthcare could br this good.
During treatment, did you feel like you were treated like a number or a human?
She was always available to answer questions, in person, over the phone or email. She was aware of my personal situation beyond fertility and was friendly and conversational. She was good at explaining on my level along with science and statistics and was honest about "chance/luck" pkaying a role, for better or worse.
Describe your experience with your nurse.
Very kind, sweet, attentive, and knowledgeable.
What specific things went wrong at this clinic?
  • Failed to order appropriate test
  • Failed to send your chart to another clinic
How was your experience with Liyun Li?
Please refer to my previous response
What one piece of advice would you give a prospective patient of Liyun Li?
Ask questions and probe, don't hesitate to call or email with follow-ups.
Describe the protocols Liyun Li used in your cycles and their degree of success.
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.
Describe the costs associated with your care under Liyun Li.
I believe the total with drugs was approx $18k
10
Doctor
Liyun Li
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
Age
37 - 38
Treated
2015 - 2016
Success with this Doc
?
Treatment
2 IUI, 1 IVF
Diagnosis
Anovulation, PCOS
10
Communication with the nurses [at Pacific Fertility Center] was also easy over email and the online portal kept everything very organized. At times fertility treatment can be overwhelming but the staff, nurses and doctors all make it as easy as it can be....It's a nice space with kind people. They were always on time. The cost were always straightforward. I just wish I had had more assistance coordinating with my insurance company.
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Age
37 - 38
Treated
2015 - 2016
Success with this Doc
?
Race
European
Income
$200K - $499K
Occupation
Professor
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI, 1 IVF
Diagnosis
Anovulation, PCOS
10
Describe your experience with Pacific Fertility Center.
It's a nice space with kind people. They were always on time. The cost were always straightforward. I just wish I had had more assistance coordinating with my insurance company.
During treatment, did you feel like you were treated like a number or a human?
Dr. Ryan was very encouraging even when it felt like a long never ending road, but in the end she was right on and set clear expectations and met them.
Describe your experience with your nurse.
They were always very clear on what to do next with calendars and always took time to explain all the injections and procedures. They were also very responsive by email and phone.
How was your experience with Isabelle Ryan?
Dr. Ryan was excellent. Although her fist impression on the phone was not the best, in person she explained everything clearly. She proceeded to be very caring, very thorough and I trust her immensely. I would highly recommend her. Communication with the nurses was also easy over email and the online portal kept everything very organized. At times fertility treatment can be overwhelming but the staff, nurses and doctors all make it as easy as it can be.
What one piece of advice would you give a prospective patient of Isabelle Ryan?
Although she may not make small talk, she is always there to answer questions and never rushes you.
Describe the protocols Isabelle Ryan used in your cycles and their degree of success.
I was diagnosed with annovulation a and possible PCOS. I had tried letrozole for several months prior to seeing Dr. Ryan (with my ob/gyn). We tried IUI with letrozole twice without any success. I then had a very successful egg retrieval (34) and had the eggs tested and then frozen (20). We then did the first transfer with only a brief chemical pregnancy, but the second time it worked and I'm now 10 Weeks pregnant.
Describe the costs associated with your care under Isabelle Ryan.
I don't remember this off hand but it is all clear on the website. It was straightforward.
10
Doctor
Isabelle Ryan
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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6
Age
25
Treated
2015
Success with this Doc
?
Treatment
2 Egg Freezing, 1 Embryo Freezing
Diagnosis
Diminished Ovarian Reserve, Unexplained
6
During the process I felt the communication between the doctors office [Pacific Fertility Center] and myself was very poor and i often felt confused about what was going on....I thought my coordinator was very good. She walked me through all of the steps and always kept in touch with me when things changed and provided me with a detailed calendar after each visit. My experience with the nurses was not as great. There were several instances where there was a miscommunication and I always left my conversations with them feeling uncertain. I also had a terrible experience on the day of my retrieval. The nurse that got me set up and did my IV was obviously new and very nervous. She was vocal to me about how nervous she was and was literally shaking as she was trying to put my IV in. After the procedure she told me how many eggs they got my failed to tell me what they didnt know yet how many they could freeze. She also didnt tell me that a nurse would call me the next day to tell me how successful it was.
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Age
25
Treated
2015
Success with this Doc
?
Race
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 Egg Freezing, 1 Embryo Freezing
Diagnosis
Diminished Ovarian Reserve, Unexplained
6
Describe your experience with Pacific Fertility Center.
The clinic itself is beautiful! Very quiet, clean and has amazing views. It is never too crowded so it is a nice place to sit and wait to be seen. All the staff in the office are professional and dress professionally.
During treatment, did you feel like you were treated like a number or a human?
His bedside manner is not ideal, but also not terrible. During the process I felt the communication between the doctors office and myself was very poor and i often felt confused about what was going on. When I was one on one with Dr. Herbert during an appointment it was a bit better.
Describe your experience with your nurse.
I thought my coordinator was very good. She walked me through all of the steps and always kept in touch with me when things changed and provided me with a detailed calendar after each visit. My experience with the nurses was not as great. There were several instances where there was a miscommunication and I always left my conversations with them feeling uncertain. I also had a terrible experience on the day of my retrieval. The nurse that got me set up and did my IV was obviously new and very nervous. She was vocal to me about how nervous she was and was literally shaking as she was trying to put my IV in. After the procedure she told me how many eggs they got my failed to tell me what they didnt know yet how many they could freeze. She also didnt tell me that a nurse would call me the next day to tell me how successful it was.
What specific things went wrong at this clinic?
  • Provided conflicting information
  • Failed to convey critical information
How was your experience with Carl Herbert?
He has been in the field a long time and seems to know his stuff. I wish he would have been better at talking me through things and showing a bit more compassion throughout the process. Compared to other doctors, I think he did a good job during the ultrasounds. He didn't rush through them like many of the other doctors I saw and he was sure to show me each follicle and tell me how it was doing - this I really appreciated.
What one piece of advice would you give a prospective patient of Carl Herbert?
Don't go into it expecting him to cushion the blow. He is up front and realistic which can be good, but also hard for someone who may be emotional and having a hard time.
Describe the protocols Carl Herbert used in your cycles and their degree of success.
I wasn't given much explanation for the protocol used. I now now (only since I have been to another doctor) that he used the long protocol. I took estrogen pills before my cycle and then went on to menopur, follistim and ganirelix for about 9 days. My menopur was 150/night and follistim was around 350/night. He didn't explain there were different options so I assumed this was the only one. During my cycle he also upped my dosage and it wasn't clear why he did that.
Describe the costs associated with your care under Carl Herbert.
my insurance didn't cover anything besides the initial visit so I paid for all ultrasounds as well as the procedure cost, Anastasia, and meds.
6
Doctor
Carl Herbert
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
6
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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5
Age
36 - 41
Treated
2010 - 2015
Success with this Doc
No
Treatment
2 IUI, 3 IVF, Donor Eggs
Diagnosis
Endometriosis, Unexplained
5
[Nurse Marris] was always responsive, never left me hanging or waiting for important results. I had other nurses where I had to check their work and make sure they got my prescriptions right, for example. I could really trust Marris.
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Age
36 - 41
Treated
2010 - 2015
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 IUI, 3 IVF, Donor Eggs
Diagnosis
Endometriosis, Unexplained
5
During treatment, did you feel like you were treated like a number or a human?
When I first started at PFC, they weren't very patient-centric. I was learning all of this new terminology and how everything worked - and had to be the translater between their different departments (that didn't talk to one another). This was a tremendous stress and burdent on me as a new patients - to check their work and keep them on track, when there was no way for me to know their process or even the fertility process for that matter. I made suggestions, and others must have complained too - b/c they then established teams for each doctor. So you would work with the same group who knew you and your treatment plan. This was a big improvement. And once I got a great nurse, it was much, much better. Though I am no longer with PFC, I have still had occasion to reach out to my nurse at PFC for updates and very rarely, some advice. That tipped the scales to feeling more "human".
Describe your experience with your nurse.
As mentioned before, once they established teams, things were WAY better. Then you had one person managing and overseeing the whole process. Marris was my primary contact and I think she went above and beyond for me many times. She advocated for me, she showed tremendous compassion during the tough times and losses. She became almost a friend and I feel she shared things with me about personal experiences to help me on my journey. I felt extremely luck to have her. She was always responsive, never left me hanging or waiting for important results. I had other nurses where I had to check their work and make sure they got my prescriptions right, for example. I could really trust Marris. She is no longer in the same role, as far as I know, she is now a retrieval nurse. I'm sure she is wonderful there too, but is no longer the day-to-day contact for patients, which is a loss for PFC patients!
What specific things went wrong at this clinic?
  • Lost paperwork
  • Provided conflicting information
  • Failed to convey critical information
How was your experience with Carl Herbert?
I liked Dr. Herbert in general, he was kind and friendly enough. But I would say the warmest/most compassionate doctor in the practice is Schrioc. He proably has the best bedside manner/warmth. Over the course of the many years I was at PFC, I had appointments with all of the doctors, as they cover for each other for u/s and all the way to retrievals and transfers. Dr. Herbert would get on the phone and answer questions and was responsive. It's looking back that I'm not sure he was as creative with treating my infertility. I had 3 retrievals and many transfers there - and don't think there were very many changes to my protocol. That being said, when I asked for some things, for example, for them to let all of my embryos "have a chance" and grow them out and freeze them, even if they were low quality, he let me. He let me transfer them too. Those "bad" embryos at least got me pregnant, though I did miscarry. My current clinic would not have frozen or transferred those low quality embryos. The fact that Dr. Herbert did and I got pregnant, gave me hope to continue - as that was my first pregnancy ever. Had my 1st round of IVF not produced a pregnancy at all, I think we would have quit. So bottom line, I found him more open to listening to my wishes, in that sense and letting me decide. I think that was a good thing. On the other hand, I did bring up a concern with transferring fresh embryos when I am an endometrios patient (a disease that flares up with hormones). He wasn't very open to exploring this and we continued to transfer my best embryos in fresh transfers. My current clinic said they would not have done this with me, full of stim meds. In fact, the trend overall now, is to mostly do FETs. I always wonder if we wasted by best embryos at PFC doing those fresh transfers. I wish he would have taken more time to consider what I was saying.
What one piece of advice would you give a prospective patient of Carl Herbert?
I think if you are not successful with a protocal or a doctor, ask them to change things. They should learn from the data they have on your cycles. I would also ask them for their success rates with people similar to you. PFC is a big enough clinic now that nothing should be completely new to them. If it is - I would find another clinic. You don't want to be any clinic's guinea pig.
Describe the protocols Carl Herbert used in your cycles and their degree of success.
Too long ago and too many to remember specifically. I know I used Follistim, Menopur, Cetrotide. My FETs were (mostly) unmedicated. I got 15 eggs on two rounds, 17 on another. So not a lot of variance there. We tended to have about an 80% fertilization rate. My embryos didn't do well between day 3 and 5 in the lab, so for my 2nd and 3rd round we froze on day 3. I had a few pregnancies, and all ended in m/c - some early and one 2nd trimester. No living children to date.
Describe the costs associated with your care under Carl Herbert.
In 2010, I think IUIs were roughly $2,000 plus meds. For our second & third ERs we did a plan that allowed you to do two ERs if you didn't get pregnant, at a slight discount. That was in the mid-$20,000 range - drugs, monitoring and additional transfers were all in addition to that.
5
Doctor
Carl Herbert
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
5
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
41 - 43
Treated
2014 - 2016
Success with this Doc
Yes
Treatment
2 IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids
10
At Pacific fertility center you always do talk to a human being and to make the first consultation appointment as well as any other appointment with your Doctor, Counselor etc. I am very impressed of how efficient the Clinic is 2. The Clinic is very clean and have an amazing decoration, you don't feel you are in the middle of a hospital. 3. While wait in the reception to be called, the view of the pier is incredible, there are lots of magazines for you to pick one and read, the music is very relaxing and you can get a hot beverage as well...
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Age
41 - 43
Treated
2014 - 2016
Success with this Doc
Yes
Race
East Asian
Income
$100K - $199K
Occupation
Engineer
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
2 IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids
10
Describe your experience with Pacific Fertility Center.
I had to do research while I lived in Texas and here in the San Francisco area and i have to say that Pacific Fertility clinic is really a top on the service. Find below my points. 1. When you choose a new Infertility clinic and you are a new patient, usually you have to talk to a central office or a different number of the clinic. I experienced that i had to answer a questionnaire and leave a detail message on the answering machine, lots of clinics don't answer and you never talk to a human being to make the first consultation, HOWEVER at Pacific fertility center you always do talk to a human being and to make the first consultation appointment as well as any other appointment with your Doctor, Counselor etc. I am very impressed of how efficient the Clinic is 2. The Clinic is very clean and have an amazing decoration, you don't feel you are in the middle of a hospital. 3. While wait in the reception to be called, the view of the pier is incredible, there are lots of magazines for you to pick one and read, the music is very relaxing and you can get a hot beverage as well 4. I had to change the clinic and i need to send historical data , letter from the Counselor etc, i am still sending emails to PFC requesting documents and they are always in contact with me sending me what i need to proceed to the other clinic
During treatment, did you feel like you were treated like a number or a human?
In 2014, we decided to choose another Infertility clinic because we were going to move out from Texas and relocate to the Bay Area. After doing some research online, I liked the reviews of Pacific Fertility Center in San Francisco. I had no idea which doctor to pick and when i called to make an appointment on the day that we were available in SF it was Dr Liyun Li who was available. My husband and I were so pleased with the first consultation. Dr Li listened to our journey, made suggestions and always respect our feelings. My husband likes to have an analytical response on the probability outcomes and Dr. Li always gave him great answers. For instance , i had tried for the second time to retrieve my own eggs and check whether we could have a day 5 blastocyst, i knew that being over 40 it would be difficult but we wanted to try. We had a long conversation with Dr. Li about the results. Dr Li. explained every detail and always answered any question we had. When Dr. Li told us that we could still continue to try to retrieve my own eggs because we could get a good quality egg but it would take around 10 or more egg retrievals, she spoke my husbands language, giving us an explanation in the statistic way. We love Dr. Li and we will always be grateful that we had an opportunity to have her as our RE doctor.
Describe your experience with the nursing staff.
I don't know how i would survived without the Dr Lis Care team. When I had just a random question, i would send them an email and i always got a response on the same day. When i started to bleed when i was pregnant the nurse would call me in less than an hour and I could make an appointment if I felt something was wrong. I will always be grateful for a special nurse : Lindsay. She is my hero. She used to send me cards by mail, I used to cry with a smile on my face and felt so much happiness when reading her words. She was always checking on me after a negative HCG or a miscarriage and i felt a lot of comfort by having her there at PFC
How was your experience with Liyun Li?
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.
What one piece of advice would you give a prospective patient of Liyun Li?
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.
Describe the protocols Liyun Li used in your cycles and their degree of success.
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
Describe the costs associated with your care under Liyun Li.
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
10
Doctor
Liyun Li
Communication
Trustworthiness
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
38 - 42
Treated
2012 - 2016
Success with this Doc
?
Treatment
2 IVF, Donor Eggs, Donor Sperm
Diagnosis
Other
9
I've dealt with several coordinators [at Pacific Fertility] (cycle coordinators and sperm donor coordinator) and all were very good with communication, answering questions and providing all info needed (with patience)...The front office seems well coordinated with check-in, check-out and processing paperwork...Insurance claims are processed by the office even though for me they are out of network. Questions about my contract or financial/payment info has been handled professionally and promptly. Possible weakness: there seems to be a somewhat high turnover of medical assistants.
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Age
38 - 42
Treated
2012 - 2016
Success with this Doc
?
Race
European
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 IVF, Donor Eggs, Donor Sperm
Diagnosis
Other
9
Describe your experience with Pacific Fertility Center.
The front office seems well coordinated with check-in, check-out and processing paperwork. I always get prompt service when calling in and getting directed to the appropriate person or coordinating a call back. Insurance claims are processed by the office even though for me they are out of network. Questions about my contract or financial/payment info has been handled professionally and promptly. I've dealt with several coordinators (cycle coordinators and sperm donor coordinator) and all were very good with communication, answering questions and providing all info needed (with patience). Possible weakness: there seems to be a somewhat high turnover of medical assistants. This can be somewhat frustrating. Other concerns: This clinic is likely not in your insurance plan. For me, they are out of network. Payment has to be made upfront, leaving you to figure out how to come up with the funds ahead of time (loans, credit cards, etc). It is important to consider what the cost will be to go with someone in network, vs out of network. Looking back on my process, Dr. Schriock was highly recommended to me so I decided to go there, but financially it would have been better to go to an in-network facility.
During treatment, did you feel like you were treated like a number or a human?
We have been through a very difficult and painful journey with male infertility and poor egg quality due to my age (after two rounds of IVF). We've had 3 miscarriages, one of which at 15 weeks. The doctors and staff at PFC have gotten to know us and care about what we've been through. Dr. Schriock continues to support us with realism but a sense of hope and is always open to talking to us and trying to figure out what to do next. He's been with us to see two twin pregnancies at the moment we discovered the heartbeats had stopped. We've been going to PFC for about 4.5 years so it is a place that has become part of our journey in addition to being our doctor's office.
Describe your experience with your nurse.
Since I have been going to PFC since 2012, I have met and interacted with many nurses and my main nurse contact has changed a few times. However, I have been very pleased with the nursing staff. Especially under times of emotional stress/trauma, there were a couple that stood out in particular with their support and compassion. I have always been pleased with my cycle coordinators, especially when I got to work with someone consistently who knew my history. Joanna in particular has been my main nurse contact for a while and she has been very quick to respond to questions and concerns especially with use of email. The front office has done very well getting me in touch with her over the phone. She has been very open to being a resource to me for questions and to reach out to when I have negative outcomes to my transfers. She's always been patient with me in appointments when I ask for explanations or extra help with coordinating my schedule with appointments.
How was your experience with Eldon Schriock?
Dr Schriock has been very open to our questions, to trying slightly different approaches to our cycles, takes our feedback and input seriously and continues to apply current research to our situation. He has been open to trying things that may not be scientifically proven, but seem to make a difference for me in getting a positive pregnancy result. He has listened to us and while he gives us his medical opinion, there are decisions we are able to make based on the info he provides (rather than being told what to do). He's very open to collaborating with others and when we realized we were dealing with recurrent pregnancy loss, he created the path for me of what doctors/specialists to see (outside of the clinic) so that we could all come back together with all the info gathered to create a next step forward. He brings a wealth of knowledge and expertise to the table and when I feel all hope is lost, he brings some hope back to us.
What one piece of advice would you give a prospective patient of Eldon Schriock?
Don't be afraid to ask questions. Even though you are the patient, be your own advocate. Speak up for what feels right for you and your situation. Dr. Schriock will answer your questions and listen to your concerns and ideas, so speak up! He tends to talk quickly so make sure if you are not done talking, or still trying to process what has been said, ask him to repeat it. Utilize Dr. Schriock's care team for asking questions during your cycle.
Describe the protocols Eldon Schriock used in your cycles and their degree of success.
My IVF cycles were in 2012 and 2013 so I don't recall the precise protocols. For embryo transfers post-IVF I did a few natural cycles but then had to cancel a cycle as my body was not cooperating. For the majority of my embryo transfer cycles, I have done "controlled" cycles with Delestrogen (20mg/ml) and Progesterone in Ethyl Oleate (50mg/ml). Delestrogen is a twice a week IM injection, then Progesterone is added in 6 days prior to FET and is a daily IM injection and would continue through 10 weeks of pregnancy. One of our treatment strategies we have tried several times is to do an endometrial scratch the cycle prior to the FET cycle. While there is no conclusive evidence that this will increase the chances of pregnancy, my last two pregnancies followed this plan. (these pregnancies ended in miscarriage). Results: IVF#1: pregnant but lost at 15 weeks IVF#2: negative 1 more FET with own eggs - negative Donor egg IVF Results: (I believe these were all controlled cycles) Donor FET#1-not pregnant Donor FET#2 - pregnant twins/lost pregnancy (did endometrial scratch prior to FET) Donor FET#3 - chemical pregnancy Donor FET #4 and #5 - negative Donor FET #6 - pregnant twins/lost pregnancy (did endometrial scratch prior to FET) Donor FET #7 - negative (did endometrial scratch prior to FET)
Describe the costs associated with your care under Eldon Schriock.
IVF #1 and #2 approx $12,000 each (2012, 2013) FET #3 approx $3,000 (2013) All further FETs were part of a contract for the Donor egg IVF. Our entire out of pocket cost for DEIVF with one year contract for unlimited FETs was approx $50,000. Contract was extended for further FETs until March 2017. Frozen Embryo storage fee per year: $600 Sperm storage fee: $300 per year (as I recall)
10
Doctor
Eldon Schriock
Communication
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
Age
33
Treated
2016
Success with this Doc
No
Treatment
1 IVF
Diagnosis
Poor Egg Quality, Unexplained
10
The clinic [Pacific Fert] is extremely organized. The facility is really nice and the nursing staff is great. One weakness is the clinical coordinator I was partnered with...The nurse was very helpful in answering all my questions. The nursing staff was great-- extremely friendly, helpful, and kind. I did not like my care coordinator, Laura Begay. She was always busy, all conversations felt rushed and she was not compassionate at all. There were numerous times I was at the office and wanted to meet her face to face, but she never once introduced herself to me in person and every time I asked the staff if she was available, she was too busy. Once her part is complete, she is quick to pass off other issues to other staff. She is very to the point and blunt and I wished many times she showed a little compassion to me.
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Age
33
Treated
2016
Success with this Doc
No
Race
Prefer not to answer
Income
Occupation
Consultant
Order & Number of Docs Seen
1st of 3 Docs
Treatment
1 IVF
Diagnosis
Poor Egg Quality, Unexplained
10
Describe your experience with Pacific Fertility Center.
The clinic is extremely organized. The facility is really nice and the nursing staff is great. One weakness is the clinical coordinator I was partnered with. Her name is Laura Begay and she was not compassionate at all.
During treatment, did you feel like you were treated like a number or a human?
Doctor Chenette is very caring and genuine. He speaks softly, remains calm and he spends times to explain things and answer questions.
Describe your experience with your nurse.
The nurse was very helpful in answering all my questions. The nursing staff was great-- extremely friendly, helpful, and kind. I did not like my care coordinator, Laura Begay. She was always busy, all conversations felt rushed and she was not compassionate at all. There were numerous times I was at the office and wanted to meet her face to face, but she never once introduced herself to me in person and every time I asked the staff if she was available, she was too busy. Once her part is complete, she is quick to pass off other issues to other staff. She is very to the point and blunt and I wished many times she showed a little compassion to me.
How was your experience with Philip Chenette?
Dr. Chenette is very caring, genuine and sympathetic. He spends time going over the procedure, what he is doing or will do and answers any and all questions. He is open to setting up 30 minute phone consults to answer questions. He is extremely thorough. There was only two times where I felt he could have been more sympathetic-- both times involved him explaining about men's sperm quality vs women's egg quality. He seemed very pro-male, stating that the majority of the time the issue is in the women. Even if that is true, and I trust him, it doesn't sound great coming out. Also, after our first retrieval, he mentioned that my husband did a "great job" and made it seem like I didn't. I was overly sensitive at the time (extra hormones) and wished that he didn't say it like that but rather, be more sensitive in the way he phrased that comment. I know he means well. He is extremely genuine and overall a great doctor.
What one piece of advice would you give a prospective patient of Philip Chenette?
Don't expect that he will be the one doing your procedure; it may be another doctor at the same clinic. Ask a lot of questions because he is great at answering them.
Describe the protocols Philip Chenette used in your cycles and their degree of success.
First retrieval: 200 IU of Follistim; 150IU of Menopur; prenatal vitamin, HCG trigger shot and lupron two nights(?) before retrieval. Baseline ultrasound day 2 of cycle and Ultrasounds during the stim process. Second retrieval (in process): 200 IU of Follistim, Morning and evening 10 units of Lupron, .2ml LD hCG, prenatal vitamin and CoQ10 and DHEA.
Describe the costs associated with your care under Philip Chenette.
roughly $22K for the retrieval and around $3K for medication (1st time) second time: roughly $15K for retrieval and around $1500 for medication
10
Doctor
Philip Chenette
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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2
Age
38 - 41
Treated
2012 - 2015
Success with this Doc
No
Treatment
IUI, 1 IVF
Diagnosis
Endometriosis, Unexplained
2
I think 25K for IVF plus meds plus another 3K to natera for genetics testing, implant 3K each times 2... My case was different that most, because I could get pregnant easily but would miscarry so I think my case required more investigative work and I don't think this PFC is the place for you if you have a complicated history of pregnancies/miscarriages etc...First impressions are great at pfc, everyone is always prompt and informed, I think the nurse to patient ration always felt like 4 to 1. You can reach anyone at any time which is great for your first cycle, you have so many questions and concerns, calls/emails are always promptly returned. I loved the whole acupuncture option there as well, great to have. The docs do feel a bit rushed during the monitoring appointments and it's rare that your doctor performs your transfer or extraction, but i didn't think of this as a negative, the more docs I was exposed to and could ask questions I thought the better. My case was different that most, because I could get pregnant easily but would miscarry so I think my case required more investigative work and I don't think this PFC is the place for you if you have a complicated history of pregnancies/miscarriages etc
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Age
38 - 41
Treated
2012 - 2015
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
IUI, 1 IVF
Diagnosis
Endometriosis, Unexplained
2
Describe your experience with Pacific Fertility Center.
First impressions are great at pfc, everyone is always prompt and informed, I think the nurse to patient ration always felt like 4 to 1. You can reach anyone at any time which is great for your first cycle, you have so many questions and concerns, calls/emails are always promptly returned. I loved the whole acupuncture option there as well, great to have. The docs do feel a bit rushed during the monitoring appointments and it's rare that your doctor performs your transfer or extraction, but i didn't think of this as a negative, the more docs I was exposed to and could ask questions I thought the better. My case was different that most, because I could get pregnant easily but would miscarry so I think my case required more investigative work and I don't think this PFC is the place for you if you have a complicated history of pregnancies/miscarriages etc
During treatment, did you feel like you were treated like a number or a human?
dr. herbert has a great bed side manner, he is very likable and charming, a great salesman if you will. I had 5 natural pregnancies in 3 years, including only one live birth and one down's syndrome termination, so he and I both felt that IVF would be very successful and it was it terms of egg's retrieved.
Describe your experience with the nursing staff.
Nurses were all great, compassionate and communicated everything very well.
What specific things went wrong at this clinic?
  • Lost paperwork
  • Failed to send your chart to another clinic
How was your experience with Carl Herbert?
Again, mentioning his affability, he is very likable and an easy communicator. After a successful round of ivf with ccs, I had three frozen chromosomally normal eggs. We implanted one, I became pregnant, but no heartbeat at 7 weeks - having a dnc at week 8 - a few months later I implanted the next one, similar outcome. At this point, I had had 5 miscarriages, 7 pregnancies in 4 years.....with one naturally conceived easy live birth so I knew that I could carry to term. I had every blood test under the sun, always normal. I kept asking dr. herbert, 'is there anything that you can think of that would be causing these miscarriages?',...'should we check for anything else before we implant my last frozen egg?', His answer was fair for sure, 'could be anything, we never really know..let's do a medicated implantation this time' (more costly and time consuming for me) Before implanting my last egg, I sought a second option with ucsf, within one hour of meeting me they did a sonogram of my uterus and determined that I had a significant amount of scar tissue in my uterus due to all the pregnancies and dnc's over the last few years. Since I always miscarried around week 8, they determined that this was the most likely cause, the embryo simply couldn't grow any bigger. On one hand I was relieved that I finally had a potential answer for all my recurrent miscarriages, but on the other hand I was astonished that I had seen almost every doctor at PFC (pacific fertility center) over the course of two years and not one of them thought to investigate my uterine cavity. During my sonogram at ucsf, she pointed out all the scar tissue on the screen, it's white and very easy to see even with my untrained eye. A hysteroscopy was performed at ucsf a few weeks after the initial diganosis and a post-op sonogram revealed virtually no scar tissue, again very easy to see the difference with my untrained eye. It seems that an easy routine test in the form of a thorough sonogram could have prevented so much heartbreak, let alone time and money.
What one piece of advice would you give a prospective patient of Carl Herbert?
Be your own advocate
Describe the protocols Carl Herbert used in your cycles and their degree of success.
basic IVF, 12 days on meds, I responded well to meds and 17 eggs were retrieved. I should mention I was 41 at the time and exceeds all stats etc.
Describe the costs associated with your care under Carl Herbert.
I think 25K for IVF plus meds plus another 3K to natera for genetics testing, implant 3K each times 2
1
Doctor
Carl Herbert
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
2
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
Age
32 - 34
Treated
2014 - 2016
Success with this Doc
Yes
Treatment
2 IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis
10
With drugs a cycle was about $15,000 [at Pacific Fertility Center] but that did not include genetic testing...PFC is very professional, organized and efficient. I loved my whole experience there! Everyone from the ladies who check you in, to the financial coordinators to the lab staff was excellent. They all went out of their way to help me...Both Kat and Marris went above and beyond to care for me by checking in, offering emotional support, emails, phone calls, getting me free stim drugs bc my stim cycles were so long.
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Age
32 - 34
Treated
2014 - 2016
Success with this Doc
Yes
Race
European, Latino
Income
$100K - $199K
Occupation
Consultant
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis
10
Describe your experience with Pacific Fertility Center.
PFC is very professional, organized and efficient. I loved my whole experience there! Everyone from the ladies who check you in, to the financial coordinators to the lab staff was excellent. They all went out of their way to help me.
During treatment, did you feel like you were treated like a number or a human?
Because he connected with me, wanted me to be successful, was completely honest about my odds and yet was rooting for me the entire time.
Describe your experience with your nurse.
Both Kat and Marris went above and beyond to care for me by checking in, offering emotional support, emails, phone calls, getting me free stim drugs bc my stim cycles were so long.
How was your experience with Carl Herbert?
Dr. Herbert is direct and to the pony. This may not be for everyone. I personally really liked it. He was also very compassionate and caring. He also thought outside of the box, learned from my first canceled cycle and was successful the second time. Where other doctors would have stopped he kept going and tried.
What one piece of advice would you give a prospective patient of Carl Herbert?
To be honest and to know that he will try his absolute best for you.
Describe the protocols Carl Herbert used in your cycles and their degree of success.
below were drugs for my first cycle where I had a positive pregnancy, second cycle was the same minus the Letrozole. Both cycles we did extended stim an additional 7 days for a total of 20 days bc of my endometriosis. Medication SIG Quantity Refill Substitution Lupron MD (1:10 dilution) 50 mcg/0.1mL - Vial 1:10 Dilution (1mg/0.2mL), final conc 50 mcg/0.1 mL) Dispense 4 mL vial. Sig: Take 10 units BID as directed. 1 1 DAW Syringe 1/2 cc (U100) Insulin - - - - As directed. 22 1 DAW Follistim AQ Cartridge 300 IU - Injection As directed. 8 1 DAW Menopur w/ Q-cap vial adapters 75 IU - Vial As directed. 13 1 DAW Syringe 3cc 20g 1.5 in - - - - As directed. 14 1 DAW Needle 27g or 29g 0.5 in - - - - As directed. 12 1 DAW Needle 25g 1.5 in - - - - As directed. 2 1 DAW Sharps Container - - - - As directed. 1 0 DAW Letrozole 2.5 mg - Tablets 2 tab po on CD3 - 7 10 1
Describe the costs associated with your care under Carl Herbert.
With drugs a cycle was about $15,000 but that did not include genetic testing.
10
Doctor
Carl Herbert
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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3
Age
28
Treated
2013
Success with this Doc
?
Treatment
2 Embryo Freezing
Diagnosis
Diminished Ovarian Reserve
3
The clinic definitely feels like a spa, so physically it’s a nice place to be considering the number of appointments involved in a cycle. I didn’t feel that people at the clinic were on the same page or coordinated in an organized way. They have different coordinators for everything (e.g. clinical nurse coordinator, financial coordinator), which made me assume there would be a lot of individual subject matter expertise, but the reality was they were rarely in sync and I found myself repeating a lot.
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Age
28
Treated
2013
Success with this Doc
?
Race
Ashkenazi Jewish
Income
$500K
Occupation
Order & Number of Docs Seen
1st of 3 Docs
Treatment
2 Embryo Freezing
Diagnosis
Diminished Ovarian Reserve
3
Describe your experience with Pacific Fertility Center.
The clinic definitely feels like a spa, so physically it’s a nice place to be considering the number of appointments involved in a cycle. I didn’t feel that people at the clinic were on the same page or coordinated in an organized way. They have different coordinators for everything (e.g. clinical nurse coordinator, financial coordinator), which made me assume there would be a lot of individual subject matter expertise, but the reality was they were rarely in sync and I found myself repeating a lot.
During treatment, did you feel like you were treated like a number or a human?
It was somewhere in the middle. The clinic is not an over-crowded factory type atmosphere, but I sometimes felt like a number because important details of my care often slipped through the cracks. I felt that Dr. Ryan’s care team, in particular nurse coordinator Doris Dalida at the time, didn’t do a good communicating clearly about my specific case, but would speak more generically meaning important details were left out.
Describe your experience with your nurse.
I found Doris, Dr. Ryan’s nurse coordinator to be very underwhelming. She wasn’t very helpful in providing the information I needed and was not helpful in organizing my overall care. There were other nurses who was nice, but I never felt that I had someone really competent, who cared, who was on top of things for me.
What specific things went wrong at this clinic?
  • Lost results
  • Provided conflicting information
  • Failed to convey critical information
  • Failed to consider drug intolerance
  • Canceled a cycle due to clinic error
How was your experience with Isabelle Ryan?
Isabelle Ryan has a very direct, succinct, blunt manner. That didn’t bother me at first, but at a later stage in my care I realized that many crisply communicated statements really glossed over important nuances, and areas of uncertainty. Our meetings were always very quick, and I left thinking I had gotten all the information I needed, but it’s hard to know what you don’t know. As a small example, I was a first-time patient, and it was never communicated to me that at PFC my doctor likely wouldn’t be performing my retrieval surgery. I now know this is very common, but this shouldn’t be communicated to a patient the first time in the middle of a stimulation cycle. Most importantly, I feel she handled my case poorly from a medical standpoint, and made critical errors which, subsequent doctors pointed out, introduced unnecessary risk. She and her care team overlooked disturbing symptoms that I had and, in retrospect, gave me a treatment which was dangerous rather than helpful. This aspect of my case would not apply to most patients, but I think it speaks to a lax attitude about complications, and an unwillingness to take the time to think beyond the obvious norms. Finally, she was coordinating care with an outside specialist, and the communication about the status of this coordination was bad -- I realized months later that the tests from the outside specialist had actually given me the opposite results that Dr. Ryan had used in her assumptions and care.
What one piece of advice would you give a prospective patient of Isabelle Ryan?
I probably would see a different doctor unless you are ready to go home and independently fact check what you hear, and almost act as your own secondary doctor.
Describe the protocols Isabelle Ryan used in your cycles and their degree of success.
Before cycling she had my husband and I do prophylactic antibiotics (zithromax and cipro). First cycle (which ended in a cycle cancellation with no retrieval): 3 weeks birth control pills, started 200 IU Follistim & 75 IU Menopur, this was increased but not sure to what levels. Never triggered because cycle was canceled for poor response. Second cycle: Removed IUD; no birth control pills. Estrace priming before cycle start (4 mg daily). At baseline ultrasound start micro-dose lupron (10 units, twice per day); then starting dose 300 IU Follistim and 150 IU Menopur. Trigger 10,000 IU hCG. Resulted in 19 eggs retrieved.
Describe the costs associated with your care under Isabelle Ryan.
Not sure how much we paid for the first canceled cycle. Second cycle where we did a retrieval was about $12,000, though they gave us a $1,500 discount because of issues in our first cycle, and because we were self-pay patients. This did NOT include all of the lab tests and drugs, which added several thousand dollars, or the $1500 to Natera which is the outside reference lab used for PGS testing.
3
Doctor
Isabelle Ryan
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
3
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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9
Age
Treated
Success with this Doc
?
Treatment
1 IVF
Diagnosis
9
They [Pacific Fert Ctr] have really early morning appointments for most things, so I didn't have to miss that much work. I feel the staff all works well together as a team. They have been very kind and pleasant all the way from doctors to receptionists....The only criticism I have is that there were a few questions I asked that if they didn't know the answer they would say information I had already heard from them. But they also always talked to a doctor and got back to me when I pressed a bit.
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Age
Treated
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Teacher
Order & Number of Docs Seen
1st of 3 Docs
Treatment
1 IVF
Diagnosis
9
Describe your experience with Pacific Fertility Center.
I have only been through half of a cycle so far, so this is hard for me to answer. They have really early morning appointments for most things, so I didn't have to miss that much work. I feel the staff all works well together as a team. They have been very kind and pleasant all the way from doctors to receptionists.
During treatment, did you feel like you were treated like a number or a human?
Dr. Schriock always listens to my concerns and addresses them in a gentle manner. When I was super nervous and shaking before my egg retrieval he held my hand in his and told me that this was a perfectly normal reaction and that I was doing great and would be fine. I felt very understood and cared for.
Describe your experience with your nurse.
The nursing staff has been great. Very gentle, comforting, and good at painless blood draws! For my IV for my egg retrieval they even numbed my arm a bit so I wouldn't feel it, and they had a heating pad on top of my hospital gown so it was warm when I got there. They explain everything clearly. The only criticism I have is that there were a few questions I asked that if they didn't know the answer they would say information I had already heard from them. But they also always talked to a doctor and got back to me when I pressed a bit.
How was your experience with Eldon Schriock?
I have only been through the first half of one cycle so far: stimulation drugs and egg retrieval. Dr. Schriock. However my husband and I have already been unusual patients because my husband was hospitalized and had a few procedures to determine if he had lymphoma right before and during my cycle. Dr. Schriock spoke with us personally when this came up, listened well and gave advice. In our first meeting with Dr. Schriock I was a little overwhelmed by the pace of his information delivery, but every meeting after that I felt he listened well and responded to me as an individual.
What one piece of advice would you give a prospective patient of Eldon Schriock?
If you take some time to think of questions make a list before your appointment, and be prepared to ask him to slow down if necessary .
9
Doctor
Eldon Schriock
Communication
Trustworthiness
Compassion
Explained risks
Frequency seen during appointments
9
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
5
Age
Treated
Success with this Doc
No
Treatment
3 IVF
Diagnosis
Unexplained
5
PFC is fancy. Very nice, clean and huge for SF. They have appointments before work hours (8:30am) and there is plenty of parking in the area. Office tends to be crowded but I never felt that it lacked privacy...The PFC staff was organized, compassionate, friendly, and available. Embryologists were great too...During a transfer I was lead to a room that hadn't been cleaned from the previous procedure because they were so jam packed with procedures on the same day. It was chaos.
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Age
Treated
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Marketer or PR
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IVF
Diagnosis
Unexplained
5
Describe your experience with Pacific Fertility Center.
PFC is fancy. Very nice, clean and huge for SF. They have appointments before work hours (8:30am) and there is plenty of parking in the area. Office tends to be crowded but I never felt that it lacked privacy.
During treatment, did you feel like you were treated like a number or a human?
From 2011 to 2012 the PFC experience seemed boutique and custom. Dr's had reviewed charts prior to entering the room and came to the table with a plan. When I returned to begin transfers for a second child in 2014 the clinic was different. Much more crowded, rushed and even one of the nurses said to me that they were now so busy she had to remind the Dr's about each patient. During a transfer I was lead to a room that hadn't been cleaned from the previous procedure because they were so jam packed with procedures on the same day. It was chaos.
Describe your experience with your nurse.
The PFC staff was organized, compassionate, friendly, and available. Embryologists were great too.
How was your experience with Carolyn Givens?
Dr Givens was a good communicator, empathetic and professional. She has a conservative approach. She recommended the same protocol 9 times, all which failed, and when I asked multiple times if there was anything experimental I could try she said no, you should think about using a surrogate. Come to find out there are experimental things located within 2 hours of her office. She wrote a paper in 2010 around immunology and IVIG. Her paper was not supporting this treatment, but that's not what I asked. So, if you have a typical case I would recommend her. If you don't and would like to think more outside the box with your treatment, I would recommend you go to another clinic.
What one piece of advice would you give a prospective patient of Carolyn Givens?
If you have a typical case and do not need a touchy feeling Dr, she is a good fit. She is quick, direct and to the point which I actually appreciate. I don't want to hang out at the clinic any more then I have to. If you want a doctor that is going to think outside the box, do research on your behalf and bring you all the latest information available whether she agrees with the treatment or not, she is not the right fit for you.
Describe the protocols Carolyn Givens used in your cycles and their degree of success.
Round 1: age 36; retrieval using Follistim, Ganarelix, Menapure; great results; recommended against genetic testing as I had never been pregnant before; 29 eggs; 15 embroys (all excellent grade); Fresh transfer of 2 embryos; negative pregnancy test (Dr Given's said it was because I hyper stimulated but I had so many embroys she decided to move forward. Round 2: Frozen natural cycle; cancelled due to lining being too thin Round 3: Frozen cycle using stim drugs to help with lining; cancelled due to me ovulating Round 4: Frozen cycle using progesterone and estrogen injections (Dr Given's called this the gold standard to help with thin lining) Lining only got to a 6. Dr Chenet told me I "needed to buy a uterus" at a lining check but that it was Dr Given's call. I requested NOT to see Dr Chenet at future appointments. Dr Given's decided to give it a shot. Transfered 2 embryos; resulted in birth of 1 baby 9 months later: Rounds 5 & 6: Used same protocol as Round 4 both ending in chemical pregnancies Endometrial biopsy - Dr Given's didn't get enough tissue the first time so I had to do this twice. It's painful and delays the process. Biopsy came back fine meaning we were doing transfers on the correct day Went through the rest of the embroys using the same protocol as round 4 with negative pregnancy tests each time. Now out of of embryos Dr Given's reason was that they were not genetically tested. Retrieval #2: 15 eggs; 6 embryos; 3 genetically normal 2 transfers using the same protocol as round 4. Negative pregnancies both times. Thin lining continued through out each round (between 6 and 7) - reco is a 10 With 1 embro left Dr Given's recommended another retrieval and using a surrogate. I did the research and decided that route was not for me. Moved embryo to a new clinic and started from scratch.
Describe the costs associated with your care under Carolyn Givens.
My first cycles were on a special value plan. I can't remember the exact costs but because I was only 36 and using my own eggs I qualified. Everything outside of that was a la carte. My insurance didn't provide coverage so everything was out of pocket. There were no payment plans offered.
2
Doctor
Carolyn Givens
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
5
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
7
Age
Treated
Success with this Doc
?
Treatment
Egg Freezing
Diagnosis
Diminished Ovarian Reserve
7
It's a lovely facility [Pacific Fertility Ctr- San Fran]. Clean and responsive. I did go for a weekend ultrasound and wasn't necessarily as impressed with some of the support staff but that might just be because I wasn't with my familiar nurse and medical assistant. I went to 3 injection classes (seriously) and thought Iris was awesome. I also really appreciated that I got one free session with a therapist on staff. Had Laura my clinical coordinator not mentioned that I wouldn't have known.
+ Read more
Age
Treated
Success with this Doc
?
Race
Ashkenazi Jewish
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
Egg Freezing
Diagnosis
Diminished Ovarian Reserve
7
Describe your experience with Pacific Fertility Center.
It's a lovely facility. Clean and responsive. I did go for a weekend ultrasound and wasn't necessarily as impressed with some of the support staff but that might just be because I wasn't with my familiar nurse and medical assistant. I went to 3 injection classes (seriously) and thought Iris was awesome. I also really appreciated that I got one free session with a therapist on staff. Had Laura my clinical coordinator not mentioned that I wouldn't have known. I felt good information was provided at each step of the way, but I think I would have preferred or benefited from a thorough overview class too about what was going to happen along the way. I read the binder they give you and highlighted it but still there were some steps along the way I don't think I really understood (like that my follicle count could go down from baseline to next ultrasound).
During treatment, did you feel like you were treated like a number or a human?
Dr. Herbert has a very straightforward manner but I don't mind it. I still felt I could joke or cry with him. Anytime I had a question and arranged a phone call I felt he took time to answer my questions. Most notably, the month I was set to begin I was extremely sick and at my baseline ultrasound pretty upset because my follicle count was lower than it had been at my consult ultrasound. He explained my options to me (go for it or wait a month to see if the count would be better). As I became increasingly upset, I think he could see how devastated I was and suggested I wait/get better. It was most definitely a human moment.
Describe your experience with your nurse.
Again, it's early for me .. but I can 100% speak confidently about Katherine Porras (RN) and Christina Johnson (MA). Both of these women have shown me extreme compassion and answered all my questions (I have a lot). As for Clinical Coordinator, Letty Semana is actually Dr. Herbert's Clinical Coordinator but I'm sorry to say I had a terrible experience with her and switched coordinators after just one phone call. Letty was not only terse with me, I truly felt as though my questions were a complete inconvenience to her. After hanging up the call, I cried. I remember thinking I am about to give them thousands and thousands of dollars, doesn't that give me the right to ask questions. I recall also thinking, perhaps if I went in person, the experience would be different (there are many steps along the way that can happen in person vs. on the phone). It was actually during my payment consult that I gently shared this experience and my disappointment. That's when I found out I could request a different coordinator. I asked who would be the kindest and most sensitive to the fact that I was doing this 100% alone as a single person. Laura Begay was suggested and I switched. Laura came through for me in some pretty big ways. After a fiasco with ordering meds and prices changing, she got permission to give me a couple of nights of donated meds. When I had to postpone my start because I was sick and was sobbing, she came and talked to me. Other times she helped arrange for me to come in when Dr. Herbert wasn't necessarily available but she helped squeeze me in. I'm glad I made the switch.
How was your experience with Carl Herbert?
Dr. Herbert has a very straightforward manner but I don't mind it. I still felt I could joke or cry with him. Anytime I had a question and arranged a phone call I felt he took time to answer my questions. Most notably, the month I was set to begin I was extremely sick and at my baseline ultrasound pretty upset because my follicle count was lower than it had been at my consult ultrasound. He explained my options to me (go for it or wait a month to see if the count would be better). As I became increasingly upset, I think he could see how devastated I was and suggested I wait/get better. It was most definitely a human moment. There was one instance that stung just a tad, but in the moment I called him on it and I truly believe there was no ill intention. During my consult when discussing options, he assumed and suggested at some point I would pick a sperm donor. I joked and reminded him that finding a future partner was still an option. I did sort of feel just in that initial consult that some added sensitivity around me being there alone as a single person would have been nice. I only felt that way during the first appointment. In my subsequent calls or ultrasound appointments I don't recall feeling that way.
What one piece of advice would you give a prospective patient of Carl Herbert?
It's a piece of advice I plan to use myself which is to understand more what my blood test numbers mean/meant. During my consult, my mid-cycle ultrasound provided a surprising number of follicles as compared to my blood tests. However once I began treatment it seems what I'm seeing is more in line with those test results. I now feel I have more questions and want a better understanding of all my options. Additionally, I would say if warm and fuzzy is what you're looking for as a patient this may not be the best fit.
Describe the protocols Carl Herbert used in your cycles and their degree of success.
It was suggested I take Vitamin D, a prenatal and Co-Q-10. I had a very bad reaction to Co-Q-10 and after playing with the dosage and timing, we just sort of agreed I was done with it. I was put on 300 Follistim and 150 Menopur. After an injection class, once I realized everyone was on different meds, I did call to inquire how these decisions get made. I would say I was not super clear on the answer and now that I'm in the cycle again wondering if different meds or doses would work better (questions I now plan to ask). It's too soon for me to comment on results.
Describe the costs associated with your care under Carl Herbert.
More than $10,000 when you factor in medication. Between 8-9k not counting medication.
8
Doctor
Carl Herbert
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
32 - 33
Treated
2014 - 2015
Success with this Doc
Yes
Treatment
IVF, Egg Freezing, Donor Sperm
Diagnosis
PCOS
9
I definitely have some small quibbles with the overall Pacific Fertility Center process, particularly with the handoff to non-primary doctors late in the process.
+ Read more
Age
32 - 33
Treated
2014 - 2015
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF, Egg Freezing, Donor Sperm
Diagnosis
PCOS
9
During treatment, did you feel like you were treated like a number or a human?
I felt that Dr Schriock was very good about remembering me and treating me as an individual, however this wasn't the case with the assorted nurses, admin staff and non-primary doctors (when I wasn't able to see Dr Schriock) that I saw during the process. They were all warm and caring, but didn't know me as an individual at all.
Describe your experience with your nurse.
While I was assigned a care co-ordinator, I almost never saw that person during in person visits, and I believe that person actually moved on during my treatment period as suddenly someone else was answering my emails. All the nurses were generally kind and good at explaining, but because I saw so many different people there wasn't a sense of continuity and a few things got missed/were suboptimal along the way.
How was your experience with Eldon Schriock?
Dr Schriock was a good doctor and I would recommend him. In general he was very willing to answer questions and explain information. He is kind and caring. Fertility treatment is stressful and time sensitive, and I definitely have some small quibbles with the overall Pacific Fertility Center process, particularly with the handoff to non-primary doctors late in the process, although I do understand why they need to rotate doctors on call on weekends etc. However overall I would definitely recommend Dr Schriock and PFC.
What one piece of advice would you give a prospective patient of Eldon Schriock?
Make sure to proactively set up telephone consults if you need anything explained during the process rather than expecting detailed responses via email (which is primarily used for urgent/transactional communication only).
9
Doctor
Eldon Schriock
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Educational Resources
– Read less
7
Age
33
Treated
2013
Success with this Doc
Yes
Treatment
2 Fertility Medications
Diagnosis
7
...The rest of the staff was quite frustrating to work with. Our information was not passed correctly from one team member to the next and I found myself having to repeat myself in the same appointment and in one appointment after another.
+ Read more
Age
33
Treated
2013
Success with this Doc
Yes
Race
European
Income
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 Fertility Medications
Diagnosis
7
During treatment, did you feel like you were treated like a number or a human?
I didn't feel like he adapted the conversation to me... as someone who didn't really want to go this route in the first place and was willing to take a bit more time to forgo taking drastic action, I don't think that changed Dr. Chenette's pitch.
Describe your experience with your nurse.
She was the only one on top of it. She emailed and called me often, apologized when the rest of the staff made mistakes and was generally a fantastic person to work with.
What specific things went wrong at this clinic?
  • Lost paperwork
  • Failed to call with results
  • Provided conflicting information
  • Canceled a cycle due to clinic error
How was your experience with Philip Chenette?
Dr. Chenette came highly recommended to me, so I had high hopes. In our initial meeting, he reassured us that our situation was common and there were lots of avenues we could go down to increase our chances of getting pregnant. I did want to try to be as "natural" as possible and not take drastic measures unless we had to, and I'm not sure that was totally respected. His team made a mistake putting together my schedule for when to take the Clomid, so the first time it didn't work. The second time was a slam dunk, so we were lucky enough not to have to take more extreme measures. The nurse assigned to our case was absolutely fantastic, but other than that I'd say Dr Chenette was just ok, and the rest of the staff was quite frustrating to work with. Our information was not passed correctly from one team member to the next and I found myself having to repeat myself in the same appointment and in one appointment after another.
What one piece of advice would you give a prospective patient of Philip Chenette?
Get a feel for the whole staff you'd be working with, not just Dr. Chenette.
7
Doctor
Philip Chenette
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Educational Resources
– Read less
7
Age
37 - 40
Treated
2013 - 2016
Success with this Doc
Yes
Treatment
IVF
Diagnosis
Male Factor, Unexplained
7
The clinic [Pacific Fert Ctr SF] is busy. The embryologist and labs are top notch. The surgery center was well maintained. Some issues with record keeping and billing...Just make sure that you don't want to feel as if you're being pushed to IVF. You want to understand the risks as best as possible and want them to spend the time educating you as a patient as to the best treatments that give you the best possible chances of a healthy, single child with minimal risks to mother and child...
+ Read more
Age
37 - 40
Treated
2013 - 2016
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF
Diagnosis
Male Factor, Unexplained
7
Describe your experience with Pacific Fertility Center.
The clinic is busy. The embryologist and labs are top notch. The surgery center was well maintained. Some issues with record keeping and billing.
During treatment, did you feel like you were treated like a number or a human?
He was confident and competent.
What specific things went wrong at this clinic?
  • Lost paperwork
  • Provided conflicting information
How was your experience with Philip Chenette?
Dr. Chenette is very competent. The clinic generally tends to do single embryo transfers and counselled us against multi-embryo transfers. There were some billing issues, the counselor was a bit pushy for IVF, and we did feel like we were signed up for IVF before we had made the decision ourselves. But overall, the clinic provided adequate service.
What one piece of advice would you give a prospective patient of Philip Chenette?
Just make sure that you don't want to feel as if you're being pushed to IVF. You want to understand the risks as best as possible and want them to spend the time educating you as a patient as to the best treatments that give you the best possible chances of a healthy, single child with minimal risks to mother and child.
Describe the protocols Philip Chenette used in your cycles and their degree of success.
Menopur, Follistim, single embryo transfers
Describe the costs associated with your care under Philip Chenette.
Spent around $30K. IVF covered, additional costs include semen analysis, fertility drugs, embryo storage, genetic testing.
7
Doctor
Philip Chenette
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
47 - 48
Treated
2007 - 2008
Success with this Doc
Yes
Treatment
IUI, IVF, Donor Eggs
Diagnosis
10
Really liked working with the donor coordinator [at Pacific Fertility Center] at the time and she helped us arrange a meeting with the donor which she facilitated. Process was seamless. Cannot remember any problems that stand out.... If you are using a donor egg ask him about approaching it using suppositories vs injections!!!... t was gratifying that he was willing to use a new procedure that limited or most injections and relies instead on vaginal suppositories and oral meds to prep me as the recipient of the donor egg. This was an approach that has been very successful in the UK and I wanted to try it and avoid all the injections.
+ Read more
Age
47 - 48
Treated
2007 - 2008
Success with this Doc
Yes
Race
Ashkenazi Jewish
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
IUI, IVF, Donor Eggs
Diagnosis
10
Describe your experience with Pacific Fertility Center.
Really liked working with the donor coordinator at the time and she helped us arrange a meeting with the donor which she facilitated. Process was seamless. Cannot remember any problems that stand out.
During treatment, did you feel like you were treated like a number or a human?
He listened closely to my concerns and worked with me to develop a new protocol and approach based on research I did. He was willing to do it my way and was flexible and open .
Describe your experience with the nursing staff.
Don’t remember
How was your experience with Carl Herbert?
Open minded, kind and professional are qualities I would ascrbe to Dr Herbert. He was recommended to us by a very happy former patient and her faith in him was borne out. We were very happy with him. It was gratifying that he was willing to use a new procedure that limited or most injections and relies instead on vaginal suppositories and oral meds to prep me as the recipient of the donor egg. This was an approach that has been very successful in the UK and I wanted to try it and avoid all the injections. It worked! Herbert had no ego around holding on to his own approach but did his own research and went forward with me in this novel approach with great success.
What one piece of advice would you give a prospective patient of Carl Herbert?
If you are using a donor egg ask him about approaching it using suppositories vs injections!!!
Describe the protocols Carl Herbert used in your cycles and their degree of success.
See previous comments and implant one embryo only.
Describe the costs associated with your care under Carl Herbert.
I don’t recall in detail. It’s been a while!
10
Doctor
Carl Herbert
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
41 - 42
Treated
2015 - 2016
Success with this Doc
Yes
Treatment
5 IUI, 2 IVF, Donor Eggs
Diagnosis
Uterine Fibroids, Unexplained
10
PFC is a well oiled machine. They take pride in every aspect of your care and it shows! From the front desk staff to the nurses and doctors, everyone was professional and well informed to do a good job.... Dr Givens and her staff were always responsive to my needs, timely and we felt well informed during a stressful and oftentimes complicated process. My husband and I have high standards and we felt like PFC in general exceeded our expectations in almost every area!
+ Read more
Age
41 - 42
Treated
2015 - 2016
Success with this Doc
Yes
Race
Prefer not to answer
Income
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
5 IUI, 2 IVF, Donor Eggs
Diagnosis
Uterine Fibroids, Unexplained
10
Describe your experience with Pacific Fertility Center.
PFC is a well oiled machine. They take pride in every aspect of your care and it shows! From the front desk staff to the nurses and doctors, everyone was professional and well informed to do a good job.
During treatment, did you feel like you were treated like a number or a human?
Dr Givens and her staff were always responsive to my needs, timely and we felt well informed during a stressful and oftentimes complicated process. My husband and I have high standards and we felt like PFC in general exceeded our expectations in almost every area!
Describe your experience with your nurse.
Always responsive, caring and informative.
How was your experience with Carolyn Givens?
Dr Givens was always patient through all our questions, explained things clearly during uncertain situations and was kind and always professional. She never pressured us into IVF or using donor eggs, even when that was the most logical next steps. She always gave her opinion during appropriate times but really acted almost like a trusted counselor.
What one piece of advice would you give a prospective patient of Carolyn Givens?
To ask as many questions you deem necessary and Dr Givens will gladly answer and help you come to a decision you're comfortable with. Read up, do your research but have realistic expectations based on your age, situation etc.
10
Doctor
Carolyn Givens
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
7
Age
34
Treated
2016
Success with this Doc
No
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
7
[Pacific Fertility Center is] mostly a well organized system. Needed documentation should be checked well before beginning a cycle and documents needing witnessing could have been done while I was there for other appointments but was not planned for convenience of patient. They recently adjusted this to online signatures which they should have done a long time ago. Dumb that they make you make an appointment to speak with a financial advisor and all the financial advisor does is tell you in two sentences how much it will cost. They could just email this information, make you sign it that you understand and give you a number to call if you have questions instead of wasting your time.
+ Read more
Age
34
Treated
2016
Success with this Doc
No
Race
South Asian
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
7
Describe your experience with Pacific Fertility Center.
mostly a well organized system. Needed documentation should be checked well before beginning a cycle and documents needing witnessing could have been done while I was there for other appointments but was not planned for convenience of patient. They recently adjusted this to online signatures which they should have done a long time ago. Dumb that they make you make an appointment to speak with a financial advisor and all the financial advisor does is tell you in two sentences how much it will cost. They could just email this information, make you sign it that you understand and give you a number to call if you have questions instead of wasting your time.
During treatment, did you feel like you were treated like a number or a human?
Dr. Li seemed to sincerely care.
Describe your experience with your nurse.
Patient
What specific things went wrong at this clinic?
  • Failed to call in prescriptions to pharmacy
  • Failed to convey critical information
How was your experience with Liyun Li?
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.
What one piece of advice would you give a prospective patient of Liyun Li?
Not sure
Describe the protocols Liyun Li used in your cycles and their degree of success.
Unsure
Describe your experience with your monitoring appointments.
Appointments were not made to be very convenient
Describe the costs associated with your care under Liyun Li.
$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.
8
Doctor
Liyun Li
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
30 - 31
Treated
2014 - 2015
Success with this Doc
Yes
Treatment
IVF, Egg Freezing
Diagnosis
Unexplained
10
The nurses that work for him [Dr. Schriock] are fantastic! The monitoring appointments were very well organized. There were several time slots I could pick on the day I needed to come in so i could make them work with my schedule.
+ Read more
Age
30 - 31
Treated
2014 - 2015
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Operations
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF, Egg Freezing
Diagnosis
Unexplained
10
During treatment, did you feel like you were treated like a number or a human?
The care team always knew my name when I came in. He always asked how I was doing and if I had any questions. He clearly explained the next step in the process. The nurses that work for him are fantastic! They are extremely sensitive to the fact that this is an emotional process.
Describe your experience with the nursing staff.
They remembered my name and were always very caring. The nurses that took my blood each time were very sweet. When explaining how to perform the last injections they were great and very understanding that it is a hard and emotional process.
How was your experience with Eldon Schriock?
Hey was great! He clearly explained all my options to my in my initial consultation. He provided me with clear overview of the what the process would look like from start to finish. Myself and my husband were both extremely happy with him. We always felt like we could ask him questions and reach out at anytime. I would highly recommend him to anyone.
What one piece of advice would you give a prospective patient of Eldon Schriock?
The initial consultation he gives you is extremely helpful. Come to that consultation prepared with all of your questions.
Describe your experience with your monitoring appointments.
The monitoring appointments were very well organized. There were several time slots I could pick on the day I needed to come in so i could make them work with my schedule.
10
Doctor
Eldon Schriock
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Educational Resources
– Read less
10
Age
37 - 38
Treated
2015 - 2016
Success with this Doc
Yes
Treatment
2 IUI, 1 IVF, Donor Sperm
Diagnosis
10
She [Dr. Carolyn Givens] is very no-nonsense and not super warm-and-fuzzy. But that was fine with me. All of the doctors at PFC had different personalities, some I liked better and some I liked less - but it was the overall competency of the center that was most important to me...One small thing - when Dr Givens called to share my PGS results, she said the male embryo had a slightly less promising Chromosome 21 result. It was actually one of the female embryos. Simple confusion, but could have changed my choice of embryo to transfer if I hadn't read the results myself.
+ Read more
Age
37 - 38
Treated
2015 - 2016
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Consultant
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 IUI, 1 IVF, Donor Sperm
Diagnosis
10
Describe your experience with Pacific Fertility Center.
PFC is a smooth operation. I like their facilities and appreciated how competently they executed on my care.
During treatment, did you feel like you were treated like a number or a human?
She is very no-nonsense and not super warm-and-fuzzy. But that was fine with me. All of the doctors at PFC had different personalities, some I liked better and some I liked less - but it was the overall competency of the center that was most important to me.
Describe your experience with the nursing staff.
AMAZING. Can't speak highly enough of the nurses and care coordinators.
What specific things went wrong at this clinic?
  • Provided conflicting information
How was your experience with Carolyn Givens?
She is candid, no-nonsense, not super warm-and-fuzzy but very competent and was genuinely happy with the positive outcome. Some PFC physicians I liked more and some I liked less, but it was the overall competence of the center that was important to me.
Describe the protocols Carolyn Givens used in your cycles and their degree of success.
I went in with very good numbers and was doing IVF because it was the straightest route to pregnancy as a single woman. My cycle involved Follistim, Menpur, Ganirelix, and a bit of Lupron late in the cycle. It was a straight-forward stimulation and retrieval. Upon embryo transfer I was on progesterone and HCG.
Describe the costs associated with your care under Carolyn Givens.
Roughly $22,000
6
Doctor
Carolyn Givens
Communication
Compassion
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
34
Treated
2016
Success with this Doc
Yes
Treatment
1 IUI, 2 IVF, 2 Embryo Freezing
Diagnosis
Endometriosis, Male Factor
10
All of the staff at PFC was absolutely amazing. Caring, professional, friendly, organized, I don't have a single bad thing to say about them, only praise....Pros: clean, organized, easy to reach, friendly and compassionate staff, most of the procedures are done in-house including blood draws if needed, can be reached 24 hours. No weaknesses, really great...[Cost Of Treatment] $30000.... Don't hesitate to ask any questions until you feel you understand it all.
+ Read more
Age
34
Treated
2016
Success with this Doc
Yes
Race
Ashkenazi Jewish
Income
$100K - $199K
Occupation
Marketer or PR
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
1 IUI, 2 IVF, 2 Embryo Freezing
Diagnosis
Endometriosis, Male Factor
10
Describe your experience with Pacific Fertility Center.
Pros: clean, organized, easy to reach, friendly and compassionate staff, most of the procedures are done in-house including blood draws if needed, can be reached 24 hours. No weaknesses, really great.
During treatment, did you feel like you were treated like a number or a human?
Dr. Herbert know me and my husband personally, he truly cared about us and remembered our history (personal and medical), he even helped us with postnatal questions regarding post-pregnancy complications.
Describe your experience with your nurse.
All of the staff at PFC was absolutely amazing. Caring, professional, friendly, organized, I don't have a single bad thing to say about them, only praise.
How was your experience with Carl Herbert?
Pros: Very experienced doctor cares about his patients, knows all the most modern techniques. Dr. Herbert answers all the questions and concerns, even if you have tons of them. He is physically very respectful and doesn't make you feel physically embarrassed. Cons: Can be arrogant, his jokes don't always come at a good moment and can be insensitive.
What one piece of advice would you give a prospective patient of Carl Herbert?
He is old school in his style so bare with him. Don't hesitate to ask any questions until you feel you understand it all.
Describe the protocols Carl Herbert used in your cycles and their degree of success.
ICSI was suggested due to low sperm count. I had an endo cyst in my ovary so we went for 5 days genetically tested embryos to increase chances of conceiving quickly.
Describe the costs associated with your care under Carl Herbert.
$30000
7
Doctor
Carl Herbert
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
Treated
Success with this Doc
No
Treatment
1 IUI, 2 IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis, Poor Egg Quality
9
The care team at PFC is quite empathetic and doctors are all nice...Pros: Clean, fancy equipment, professional, beautiful location, allows phone appts, offers some mind-body services...overall the place is a bit of a factory and seem to minimize time with doctor as much as possible....they definitely push donor eggs and IVF early...Nurses respond quickly to emails, and in person all are very nice and helpful....you will rarely see your own doctor - it's whoever is on duty.
+ Read more
Age
Treated
Success with this Doc
No
Race
European
Income
$500K
Occupation
Professor
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI, 2 IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis, Poor Egg Quality
9
Describe your experience with Pacific Fertility Center.
Pros: Clean, fancy equipment, professional, beautiful location, allows phone appts, offers some mind-body services (but not by default), fairly good service-wise, pretty on-time and easy to get appts when you want them Cons: expensive, it is most definitely a factory and doctors stay on time by spending very little time with each appt, sticking to standard protocols with little customization, they definitely push donor eggs and IVF early Pro or Con: you will rarely see your own doctor - it's whoever is on duty.
During treatment, did you feel like you were treated like a number or a human?
The care team at PFC is quite empathetic and doctors are all nice, though overall the place is a bit of a factory and seem to minimize time with doctor as much as possible.
Describe your experience with your nurse.
Nurses respond quickly to emails, and in person all are very nice and helpful. Coordinator was a bit annoying - kept getting mixed up with what our treatment plan was and forced a bunch of extra appointments.
How was your experience with Eldon Schriock?
He is straightforward and still compassionate, reviews our file before every appointment so he is up to date. Sometimes I wish I could get more answers or even speculation out of him, or more ideas of alternative things we could try.
What one piece of advice would you give a prospective patient of Eldon Schriock?
We were ok with it, but he does push IVF and donor eggs quickly, so push back if you're not ready.
Describe the costs associated with your care under Eldon Schriock.
IVF with genetic testing full cycle (stims w ICSI + transfer) is around $25k IUI around $2k, but i'm not sure about these numbers
8
Doctor
Eldon Schriock
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
41 - 43
Treated
2010 - 2012
Success with this Doc
Yes
Treatment
2 IUI, IVF
Diagnosis
10
The entire staff, both Dr Givens and the nurses always had smiles on their faces, and made you feel like they knew exactly who you were. Even when Dr. Givens had to give us bad news, she was sensitive but direct, giving the facts, but in a kind manner.
+ Read more
Age
41 - 43
Treated
2010 - 2012
Success with this Doc
Yes
Race
Other
Income
$200K - $499K
Occupation
Business Executive
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI, IVF
Diagnosis
10
During treatment, did you feel like you were treated like a number or a human?
The entire staff, both dr givens and the nurses always had smiles on their faces, and made you feel like they knew exactly who you were. even when dr givens had to give us bad news, she was sensitive but direct, giving the facts, but in a kind manner. when the news was good you felt like she was your biggest cheerleader.
Describe your experience with the nursing staff.
always friendly, made you feel like they knew you. very informative.
How was your experience with Carolyn Givens?
She was wonderful!! Very knowledgeable. We did IVF 2 times, the first we were pregnant with twins, but there were problems.... the sack never formed correctly and we miscarried around 9 weeks. She was sensitive with the details of the problems, but also direct. she knew we needed to understand the severity of what was happening. when we did miscarry, we were due to leave for Hawaii for vacation in two days. she organized the procedure to be done on the next day (a Sunday!) so we could keep our plans to go. She also kept in touch to make sure there were no complications while we were gone. Our next IVF we had a successful pregnancy, and she was amazing during that one as well.
What one piece of advice would you give a prospective patient of Carolyn Givens?
Ask a lot of questions. She will be honest.
10
Doctor
Carolyn Givens
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Educational Resources
– Read less
8
Age
36 - 39
Treated
2006 - 2009
Success with this Doc
No
Treatment
4 IVF
Diagnosis
Diminished Ovarian Reserve
8
I really liked most of the staff at PFC. They were efficient and kind. There was one nurse who gave us incorrect medical information, which I reported to Dr. Ryan.
+ Read more
Age
36 - 39
Treated
2006 - 2009
Success with this Doc
No
Race
European
Income
$500K
Occupation
Lawyer
Order & Number of Docs Seen
1st of 2 Docs
Treatment
4 IVF
Diagnosis
Diminished Ovarian Reserve
8
Describe your experience with Pacific Fertility Center.
Although I only had one pregnancy at PFC and it was an ectopic pregnancy, i can't help but think that the fact that I was able to get pregnant at all, led me to be able to get pregnant again.
During treatment, did you feel like you were treated like a number or a human?
i really liked most of the staff at PFC. They were efficient and kind. There was one nurse who gave us incorrect medical information, which i reported to Dr. Ryan.
Describe your experience with your nurse.
She was very good and patient. I asked a lot of questions to make sure I got everything right and she answered all of my questions with great compassion. Also, if I remember correctly, think the scheduling sheet (for my IVF cycles) was much easier to follow and understand than the one I had at Cornell.
What specific things went wrong at this clinic?
  • Failed to order appropriate test
How was your experience with Isabelle Ryan?
i would say that she was blunt, but i didn't mind blunt. some people might be put off by her somewhat cold bedside manner but i didn't mind. she was very thorough in describing the processes involved in IVF and i appreciated that. my only complaint was her failure to warn me of all the risks with the ectopic pregnancy. perhaps she thought i knew how dangerous they are, but i did not. i had no idea.
What one piece of advice would you give a prospective patient of Isabelle Ryan?
If you want Dr. Ryan to be very thorough in how much information she gives you, ask for it, and i think she will oblige.
8
Doctor
Isabelle Ryan
Communication
Trustworthiness
Compassion
Frequency seen during appointments
8
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Educational Resources
– Read less
8
Age
43 - 50
Treated
2003 - 2010
Success with this Doc
Yes
Treatment
3 IVF, Donor Eggs
Diagnosis
Endometriosis, Poor Egg Quality, Immunological, Unexplained
8
The staff was excellent. They were always ready for you on time. Answered all questions and were committed to keeping your spirits up...there was a discount plan that covered 3 attempts, everything except the meds. Meds could be purchased through the clinic, at a pharmacy or out of the country...the clinic was very convenient. modern. had separate areas for patients and donors. clean and very cheerful.
+ Read more
Age
43 - 50
Treated
2003 - 2010
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IVF, Donor Eggs
Diagnosis
Endometriosis, Poor Egg Quality, Immunological, Unexplained
8
Describe your experience with Pacific Fertility Center.
the clinic was very convenient. modern. had separate areas for patients and donors. clean and very cheerful.
During treatment, did you feel like you were treated like a number or a human?
Dr Zouves took the time to get to know us. He cheered us on during our adoption process (In between IVFs 2 and 3). He was very honest with us regarding our chances and made the right recommendations.
Describe your experience with your nurse.
the staff was excellent. They were always ready for you on time. Answered all questions and were committed to keeping your spirits up.
How was your experience with Christo Zouves?
Dr. Zouves biggest asset is his kindness. He always seemed to be genuinely happy to see us and he was sad at our failed attempts and happy with our successes. He was very honest when he thought it was time to try donor eggs.
What one piece of advice would you give a prospective patient of Christo Zouves?
Trust him. He wants you to succeed and take home a baby.
Describe the protocols Christo Zouves used in your cycles and their degree of success.
cannot remember the protocols but after 2 failures we back off on the drugs to try and get a better quality egg/embryo and even though there were fewer eggs, one of them took :)
Describe the costs associated with your care under Christo Zouves.
there was a discount plan that covered 3 attempts, everything except the meds. Meds could be purchased through the clinic, at a pharmacy or out of the country.
10
Doctor
Christo Zouves
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
8
Age
42 - 43
Treated
2009 - 2010
Success with this Doc
No
Treatment
13 IUI, 1 IVF, Donor Eggs, Donor Sperm
Diagnosis
Poor Egg Quality
8
At my first appointment, the receptionist [at Pacific Fertility Center] asked if my partner would be joining me. I was single. That was agony and hard to get past. Otherwise, I remember feeling pretty welcome.... I had one cancelled cycle for damaged sample, but I do not think it was the clinic's fault. It happened during shipping. I also had some miscommunication between me, the clinic and my OBGYN about when to restart treatment after recovering from a D & C. As a result, I "wasted" treatment on a cycle. I wish I had had a written protocol or direct communication between the 2 doctors. Relying on me to convey information to each doctor wasn't foolproof.
+ Read more
Age
42 - 43
Treated
2009 - 2010
Success with this Doc
No
Race
European
Income
$0 - $49K
Occupation
Entrepreneur
Order & Number of Docs Seen
1st of 3 Docs
Treatment
13 IUI, 1 IVF, Donor Eggs, Donor Sperm
Diagnosis
Poor Egg Quality
8
Describe your experience with Pacific Fertility Center.
At my first appointment, the receptionist asked if my partner would be joining me. I was single. That was agony and hard to get past. Otherwise, I remember feeling pretty welcome.
During treatment, did you feel like you were treated like a number or a human?
She showed compassion and support. I really felt like she was rooting for me.
What specific things went wrong at this clinic?
  • Failed to convey critical information
  • Lost or damaged samples
How was your experience with Isabelle Ryan?
I did feel certain Dr. Ryan was on my team through the process. She was supportive and kind and professional. I didn't want to hear the news she was ultimately able to convince me of (that my lack of success was "120% due to egg quality") so I think I continued too long with attempting each method of treatment. Not sure what else she could have done to get through to me, but I do wish I hadn't put my body through so many medicated IUIs, for example.
What one piece of advice would you give a prospective patient of Isabelle Ryan?
Really listen and ask questions to make sure you aren't just hearing what you want to hear. She will help you make a plan.
Describe the protocols Isabelle Ryan used in your cycles and their degree of success.
My treatments were so long ago ... I don't remember specifics. I did 10+ IUI. #7 resulted in a pregnancy that was not viable. 1 IVF and 1 cancelled IVF.
Describe the costs associated with your care under Isabelle Ryan.
I've blocked out the specifics - the costs were high.
8
Doctor
Isabelle Ryan
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
33
Treated
2016
Success with this Doc
?
Treatment
3 IUI, IVF
Diagnosis
Unexplained
10
The nursing staff [at Pacific Fert Ctr SF] is excellent! I have felt very comfortable with all the nurses. They always wait and make sure you don't have anymore questions and explain things in detail...It is easy to get an appointment once you are under a doctor's care. You never wait long for your appointment. The facilities are well kept and comfortable with beautiful views of the bay...
+ Read more
Age
33
Treated
2016
Success with this Doc
?
Race
European, Black or African-American
Income
$200K - $499K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, IVF
Diagnosis
Unexplained
10
Describe your experience with Pacific Fertility Center.
It is easy to get an appointment once you are under a doctor's care. You never wait long for your appointment. The facilities are well kept and comfortable with beautiful views of the bay.
During treatment, did you feel like you were treated like a number or a human?
He is kind, humorous, and comforting each time I see him. He is clear and straightforward in his responses and explains things in detail.
Describe your experience with your nurse.
The nursing staff is excellent! I have felt very comfortable with all the nurses. They always wait and make sure you don't have anymore questions and explain things in detail.
How was your experience with Carl Herbert?
I think he has excellent bedside manner. I've felt his compassion for my situation and his desire to help. He is a very clear communicator. However, during some of my appointments I have felt rushed at times, like there isn't enough time for me to ask questions.
What one piece of advice would you give a prospective patient of Carl Herbert?
Don't be afraid to ask questions even if they seem obvious. It's the doctors job to explain things thoroughly and in a way you can understand.
Describe the costs associated with your care under Carl Herbert.
approximately 20,000
10
Doctor
Carl Herbert
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
44 - 45
Treated
2015 - 2016
Success with this Doc
No
Treatment
IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
9
The doctor and all the people at PFC were phenomenal. Straight-forward which I personally prefer. They all always knew exactly what was going on with us, never had to look at a chart. Very reassuring that you were in good hands...Beautiful surroundings which feel private and soothing. Helpful staff that always were up-to-date on our case. They will NOT accept egg donors who are less than 21 years old. That was an issue for us (even though the donor had donated twice before.)
+ Read more
Age
44 - 45
Treated
2015 - 2016
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Entrepreneur
Order & Number of Docs Seen
1st of 2 Docs
Treatment
IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
9
Describe your experience with Pacific Fertility Center.
Beautiful surroundings which feel private and soothing. Helpful staff that always were up-to-date on our case. They will NOT accept egg donors who are less than 21 years old. That was an issue for us (even though the donor had donated twice before.)
During treatment, did you feel like you were treated like a number or a human?
The doctor and all the people at PFC were phenomenal. Straight-forward which I personally prefer. They all always knew exactly what was going on with us, never had to look at a chart. Very reassuring that you were in good hands.
How was your experience with Eldon Schriock?
He just seems to know cutting-edge technology, and how to get results. He isn't the warmest and fuzziest - but I think that is good.
What one piece of advice would you give a prospective patient of Eldon Schriock?
Have a list of questions, and don't hesitate to ask. But I would give that with any doctor
Describe the protocols Eldon Schriock used in your cycles and their degree of success.
For reasons that are not Schriock/ PFC's fault, didn't ultimately use them. We had lots of testing, counseling, but not procedures.
9
Doctor
Eldon Schriock
Communication
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
34 - 35
Treated
2015 - 2016
Success with this Doc
Yes
Treatment
2 Egg Freezing
Diagnosis
Diminished Ovarian Reserve
10
15,000 per cycle [for egg freezing at Pacific Fertility]...Dr Schriock is incredible. Took the time to speak to me about my options, years after the retrieval he talked to me about how to ship the eggs to NY, etc. He will explain everything to you in full detail, while also being compassionate. Highly recommended...He took time to explain my options to me and even helped me years after the egg freezing to help determine blood tests taken from a different doctor, in a different state. I now live in a different state and oftentimes consider going back to SF for another egg freezing round because I trust him so much.
+ Read more
Age
34 - 35
Treated
2015 - 2016
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 Egg Freezing
Diagnosis
Diminished Ovarian Reserve
10
Describe your experience with Pacific Fertility Center.
Wish I had seen Dr Schriock everytime.
During treatment, did you feel like you were treated like a number or a human?
Dr Schriock is amazing. He took time to explain my options to me and even helped me years after the egg freezing to help determine blood tests taken from a different doctor, in a different state. I now live in a different state and oftentimes consider going back to SF for another egg freezing round because I trust him so much.
How was your experience with Eldon Schriock?
Dr Schriock is incredible. Took the time to speak to me about my options, years after the retrieval he talked to me about how to ship the eggs to NY, etc. He will explain everything to you in full detail, while also being compassionate. Highly recommended.
What one piece of advice would you give a prospective patient of Eldon Schriock?
Ask to make ultrasound appoints/daily appoints during the cycle with him. His schedule is busy, so be flexible during that week or two, if possible!
Describe the costs associated with your care under Eldon Schriock.
15,000 per cycle
10
Doctor
Eldon Schriock
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
38
Treated
2013
Success with this Doc
Yes
Treatment
7 IUI, 1 IVF, Donor Sperm
Diagnosis
PCOS
10
Eldon [Schriock] was extremely kind and compassionate. He is an expert in PCOS and was extremely thorough and detail oriented in tailoring my protocol to my response. His reasoning was always sound and I always felt he had my best interests at heart...I can't remember [protocols] sepcifixally other than every other day monitoring and extremely low dose injections due to my history of extreme response. He ultimately did use an HcG trigger after discussing with me the real risks of OHSS - which did occur.
+ Read more
Age
38
Treated
2013
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Doctor
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
7 IUI, 1 IVF, Donor Sperm
Diagnosis
PCOS
10
Describe your experience with Pacific Fertility Center.
It was expensive. But worth it.
During treatment, did you feel like you were treated like a number or a human?
I was greeted warmly by all staff, treated with compassion and warmth even in the worst situations.
Describe your experience with your nurse.
They were always available. I got great calendars of my timelines, they were helpful with my crazy schedule and always prompt with results.
How was your experience with Eldon Schriock?
Eldon was extremely kind and compassionate. He is an expert in PCOS and was extremely thorough and detail oriented in tailoring my protocol to my response. His reasoning was always sound and I always felt he had my best interests at heart.
Describe the protocols Eldon Schriock used in your cycles and their degree of success.
I can't remember sepcifixally other than every other day monitoring and extremely low dose injections due to my history of extreme response. He ultimately did use an HcG trigger after discussing with me the real risks of OHSS - which did occur.
Describe the costs associated with your care under Eldon Schriock.
IVF with PGS- 15k FET- can't remember. 1k or more
10
Doctor
Eldon Schriock
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
3
Age
37
Treated
2012
Success with this Doc
5 Eggs Frozen
Treatment
3 IUI, 5 IVF, 1 Egg Freezing, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
3
He [Dr. Philip Chenette at Pacific Fertility Center] started with very negative and scary data on our first visit (That has turned out to be debunked) And, one of the protocols ended in a cancelled cycle and I never had that happen on the 5 following ones. Also, the doctors after that were not impressed with the protocol he suggested for the 2nd round after the first one didn't meet his expectations. So, that concerned me too
+ Read more
Age
37
Treated
2012
Success with this Doc
5 Eggs Frozen
Race
Ashkenazi Jewish
Income
$200K - $499K
Occupation
Investor
Order & Number of Docs Seen
1st of 4 Docs
Treatment
3 IUI, 5 IVF, 1 Egg Freezing, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
3
Describe your experience with Pacific Fertility Center.
High-end feel but I didn't get to see the same people a lot, and I still didn't felt a bit like a number
During treatment, did you feel like you were treated like a number or a human?
He knew who I was, so it wasn't quite like a number, but I didn't have the best rapport with him
What specific things went wrong at this clinic?
  • Provided conflicting information
How was your experience with Philip Chenette?
He started with very negative and scary data on our first visit (That has turned out to be debunked) And, one of the protocols ended in a cancelled cycle and I never had that happen on the 5 following ones. Also, the doctors after that were not impressed with the protocol he suggested for the 2nd round after the first one didn't meet his expectations. So, that concerned me too
Describe the protocols Philip Chenette used in your cycles and their degree of success.
FSH 240 and ganirelix for the first one. 7 eggs retrieved and 5 were frozen. (This was the best result I had from any protocol, but every doctor after that did more 'complex' ones.) Then a lupron pill for the 2nd attempt, which failed.
3
Doctor
Philip Chenette
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
3
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
7
Age
35 - 41
Treated
2004 - 2010
Success with this Doc
No
Treatment
8 IUI, 4 IVF
Diagnosis
Unexplained
7
[Pacific Fertility Center's] weakness: If felt like a machine at times. When I left no one ever followed up to see how things turned out. They were on to someone else. After 2+ years I would have thought they would be more interested in how they could still help me. Strengths: Their retrieval process and nursing staff was excellent...$13k for two cycles
+ Read more
Age
35 - 41
Treated
2004 - 2010
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Graphic Designer
Order & Number of Docs Seen
1st of 3 Docs
Treatment
8 IUI, 4 IVF
Diagnosis
Unexplained
7
Describe your experience with Pacific Fertility Center.
Weakness: If felt like a machine at times. When I left no one ever followed up to see how things turned out. They were on to someone else. After 2+ years I would have thought they would be more interested in how they could still help me. Strengths: Their retrieval process and nursing staff was excellent.
During treatment, did you feel like you were treated like a number or a human?
He was very accessible. He took his time and cared about the outcome.
Describe your experience with the nursing staff.
Engaged. Passionate. They understood how much was invested—monetarily and emotionally.
How was your experience with Eldon Schriock?
He was thoughtful and easy to talk to. I felt like when things weren't happening he wasn't able to help me figure out a next course of action. At the end I left feeling lost and without hope.
What one piece of advice would you give a prospective patient of Eldon Schriock?
Ask about the plan he has for you as well as what he might do if pregnancy doesn't happen. If you fall under unexplained infertility like I do, ask if there are other ways to give a more explained diagnosis.
Describe the costs associated with your care under Eldon Schriock.
$13k for two cycles
7
Doctor
Eldon Schriock
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
37
Treated
2015
Success with this Doc
Yes
Treatment
1 Egg Freezing
Diagnosis
Uterine Fibroids
10
I travel a lot for work so we [Pacific Fertility Center] worked around my travel schedule and insurance company policies. That was perfect for my situation. We did egg counts, several rounds of blood work, diet recommendation, in order to prepare. 13 eggs harvested and 9 healthy viable eggs frozen. Great numbers for a 37 yr old.
+ Read more
Age
37
Treated
2015
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Business Executive
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 Egg Freezing
Diagnosis
Uterine Fibroids
10
Describe your experience with Pacific Fertility Center.
State of the Art. Clean. Accommodating
During treatment, did you feel like you were treated like a number or a human?
Very thorough with explanation and situation. Went thru all possibilities
Describe your experience with your nurse.
They always answered my questions quickly
How was your experience with Isabelle Ryan?
She is great and explains all details, science and probabilities. I like data and stats - so it was what I was looking for.
What one piece of advice would you give a prospective patient of Isabelle Ryan?
She's very thorough - and great with details and data
Describe the protocols Isabelle Ryan used in your cycles and their degree of success.
I travel a lot for work so we worked around my travel schedule and insurance company policies. That was perfect for my situation. We did egg counts, several rounds of blood work, diet recommendation, in order to prepare. 13 eggs harvested and 9 healthy viable eggs frozen. Great numbers for a 37 yr old.
Describe the costs associated with your care under Isabelle Ryan.
$2500 retrieval $100 per visit $800 all meds $300 blood work $9000 total
8
Doctor
Isabelle Ryan
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
Treated
Success with this Doc
Yes
Treatment
1 Embryo Freezing, Donor Sperm
Diagnosis
10
Clinic [Pacific Fertility Center] is well run and organized. They are open on weekends and easy to communicate with. Everything is well explained and the process went very smoothly for me from my visit visit to subsequent ones. I had zero problems getting appointments when I needed them...Smooth process, quick response to questions and easy scheduling...Full cost with all visits was approximately 21k... he [Dr. Chenette] is available for questions and the other doctors on staff are also fantastic.
+ Read more
Age
Treated
Success with this Doc
Yes
Race
European, Latino, Other
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 Embryo Freezing, Donor Sperm
Diagnosis
10
Describe your experience with Pacific Fertility Center.
Clinic is well run and organized. They are open on weekends and easy to communicate with. Everything is well explained and the process went very smoothly for me from my visit visit to subsequent ones. I had zero problems getting appointments when I needed them.
During treatment, did you feel like you were treated like a number or a human?
Smooth process, quick response to questions and easy scheduling
How was your experience with Philip Chenette?
Set a great treatment plan that gave me 400 times better than expected results. Explained the process throroughly and provided a good summary of results at the end. The Dr was available through nurses to answer questions and was key to making my experience a good one.
What one piece of advice would you give a prospective patient of Philip Chenette?
Don’t expect to see him on every visit, but know that he is available for questions and the other doctors on staff are also fantastic.
Describe the protocols Philip Chenette used in your cycles and their degree of success.
I was on a moderate dose of menopur and follistim for 11 days. My trigger was a mixed lupron/hcg due to having a large number of follicles.
Describe the costs associated with your care under Philip Chenette.
Full cost with all visits was approximately 21k.
8
Doctor
Philip Chenette
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
8
Age
Treated
Success with this Doc
?
Treatment
3 IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Tubal Blockage
8
The clinic [Pacific Fertility Center- San Francisco] is. Lean and everyone is friendly. The weaknesses would be trying to get a quick appointment is a little difficult. You would need to wait at least 2 weeks to get in all of your appointments in.... Everyone was nice and understood that we were there because of something difficult that was happening.... Just going in to see the doctor is $350 every time. We have the cost for the genetic counselor any medications from $10-500 any blood work is around $200 and so much more
+ Read more
Age
Treated
Success with this Doc
?
Race
Middle Eastern
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
3 IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Tubal Blockage
8
Describe your experience with Pacific Fertility Center.
The clinic is. Lean and everyone is friendly. The weaknesses would be trying to get a quick appointment is a little difficult. You would need to wait at least 2 weeks to get in all of your appointments in.
During treatment, did you feel like you were treated like a number or a human?
She informed me that with previous doctors results she does not see me naturally using my own eggs
Describe your experience with your nurse.
Everyone was nice and understood that we were there because of something difficult that was happening.
How was your experience with Isabelle Ryan?
Dr Isabel Ryan is smart and patient she knows that this is a difficult situation and clarified any questions we had. She was open about what the next steps would be and did not sugar coat anything. She asked us to call her anytime we had any questions and when my husband needed further clarification we received it by talking to dr Ryan.
What one piece of advice would you give a prospective patient of Isabelle Ryan?
To ask lots of questions and write down anything you may forget.
Describe the costs associated with your care under Isabelle Ryan.
Just going in to see the doctor is $350 every time. We have the cost for the genetic counselor any medications from $10-500 any blood work is around $200 and so much more
8
Doctor
Isabelle Ryan
Communication
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
44 - 45
Treated
2011 - 2012
Success with this Doc
Yes
Treatment
IVF, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve
10
he doctor, front desk staff and nurses were always very professional and knew my name. When I was called to discuss pregnancy results the nurses were very thoughtful. When I had two embryo transfers that ended unsuccessfully Dr. Chenette called me to follow up and address any concerns.
+ Read more
Age
44 - 45
Treated
2011 - 2012
Success with this Doc
Yes
Race
East Asian
Income
$200K - $499K
Occupation
Investor
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve
10
During treatment, did you feel like you were treated like a number or a human?
The doctor, front desk staff and nurses were always very professional and knew my name. When I was called to discuss pregnancy results the nurses were very thoughtful. When I had two embryo transfers that ended unsuccessfully Dr. Chenette called me to follow up and address any concerns.
Describe your experience with the nursing staff.
It is a very well run practice and they were all professional.
How was your experience with Philip Chenette?
He gave me a candid assessment of my chances due to my age. He did not discourage me to pursue using my own eggs but he was very pragmatic about the statistical outcome.
What one piece of advice would you give a prospective patient of Philip Chenette?
Concentrate on the end goal - having a baby, and let him suggest the best route to do obtain this given your history.
10
Doctor
Philip Chenette
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
37 - 38
Treated
2013 - 2014
Success with this Doc
Yes
Treatment
3 IUI, IVF, Egg Freezing
Diagnosis
Unexplained
9
Dr. Herbert's nursing staff was outstanding. [Dr.] Ryan's was working out some kinks but still good...When I had a chemical pregnancy, a rookie nurse [at Pacific Fertility Center] told me to keep taking the progesterone when I didn't need to.
+ Read more
Age
37 - 38
Treated
2013 - 2014
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Business Executive
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
3 IUI, IVF, Egg Freezing
Diagnosis
Unexplained
9
During treatment, did you feel like you were treated like a number or a human?
Dr Ryan was clear, warm and the right combo of optimistic/realistic
Describe your experience with the nursing staff.
Dr. Herbert's nursing staff was outsanding. Ryan's was working out some kinks but still good
What specific things went wrong at this clinic?
  • Provided conflicting information
What one piece of advice would you give a prospective patient of Isabelle Ryan?
know that she operates in a team environment so even if she's your preferred doc, you won't always get her
9
Doctor
Isabelle Ryan
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Educational Resources
– Read less
10
Age
36
Treated
2013
Success with this Doc
18 Eggs Frozen
Treatment
1 Egg Freezing
Diagnosis
10
I never felt as though the doctor was rushing through my appointment to get to another patient [at Pacific Fertility Center]. I was very pleased as a patient of Dr. Schriock.
+ Read more
Age
36
Treated
2013
Success with this Doc
18 Eggs Frozen
Race
Ashkenazi Jewish
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 Egg Freezing
Diagnosis
10
During treatment, did you feel like you were treated like a number or a human?
I never felt as though the doctor was rushing through my appointment to get to another patient.
How was your experience with Eldon Schriock?
I was very pleased as a patient of Dr. Schriock. He had an extremely warm bedside manner which was important for me. I never felt as though my fears or trepidation I had in the process was insignificant.
10
Doctor
Eldon Schriock
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
Treated
Success with this Doc
No
Treatment
Diagnosis
9
Gorgeous facility [Pacific Fert Ctr], in a beautiful location right on the bay. The staff was always so happy and welcoming. I especially loved the fairy mobiles they had hanging in each exam room. It was soothing and very relaxing....She [Dr. Ryan] is professional and very kind. It's obvious she knows what she is doing and you trust her for that. She is wonderful and very reassuring. She is always gentle and explains things completely. I saw her every visit and she always made time for me.
+ Read more
Age
Treated
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
Diagnosis
9
Describe your experience with Pacific Fertility Center.
Gorgeous facility, in a beautiful location right on the bay. The staff was always so happy and welcoming. I especially loved the fairy mobiles they had hanging in each exam room. It was soothing and very relaxing.
How was your experience with Isabelle Ryan?
She is professional and very kind. It's obvious she knows what she is doing and you trust her for that. She is wonderful and very reassuring. She is always gentle and explains things completely. I saw her every visit and she always made time for me.
What one piece of advice would you give a prospective patient of Isabelle Ryan?
You're in good hands.
Describe the protocols Isabelle Ryan used in your cycles and their degree of success.
I found the drugs and dosage prescribed and used very effective.
9
Doctor
Isabelle Ryan
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
Treated
Success with this Doc
Yes
Treatment
3 IVF
Diagnosis
Male Factor
9
[At PFC] Egg Retrieval costs were close to 9K; Making the embyro's were about 6K; transfer was 2,500; and icsi was about 2K...She [Dr. Isabelle Ryan] is a great doctor; smart, conservative, and compassionate. I would recommend her to my friends. Only thing you won't get from her is non-traditional medical advice. She is strictly by the book...DR. Ryan is a perfect mix of a doctor that will give it to you straight and be compassionate at the same time.
+ Read more
Age
Treated
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1st of 6 Docs
Treatment
3 IVF
Diagnosis
Male Factor
9
During treatment, did you feel like you were treated like a number or a human?
DR. Ryan is a perfect mix of a doctor that will give it to you straight and be compassionate at the same time.
Describe your experience with your nurse.
N/A
How was your experience with Isabelle Ryan?
She is a great doctor; smart, conservative, and compassionate. I would recommend her to my friends. Only thing you won't get from her is non-traditional medical advice. She is strictly by the book.
What one piece of advice would you give a prospective patient of Isabelle Ryan?
She is great and will answer all your questions. Bring everything you want to the table, she'll get you the answers.
Describe the protocols Isabelle Ryan used in your cycles and their degree of success.
N/A
Describe your experience with your monitoring appointments.
N/A
Describe the costs associated with your care under Isabelle Ryan.
Egg Retrieval costs were close to 9K; Making the embyro's were about 6K; transfer was 2,500; and icsi was about 2K.
10
Doctor
Isabelle Ryan
Communication
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
39 - 40
Treated
2011 - 2012
Success with this Doc
No
Treatment
3 IUI, IVF, Egg Freezing
Diagnosis
Endometriosis
9
Very warm staff, calling you by your first name and understanding the challenges of my situation
+ Read more
Age
39 - 40
Treated
2011 - 2012
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Business Executive
Order & Number of Docs Seen
1st of 3 Docs
Treatment
3 IUI, IVF, Egg Freezing
Diagnosis
Endometriosis
9
During treatment, did you feel like you were treated like a number or a human?
Very warm staff, calling you by your first name and understanding the challenges of my situation. Dr. Ryan although colder at first warmed up as we got to know her better. She delivers the news very matter of fact which may not be everyone's preference. I appreciated that,
Describe your experience with the nursing staff.
Very compassionate and very nice. Good understanding of the procedures you are going through.
What one piece of advice would you give a prospective patient of Isabelle Ryan?
Ask dr. Ryan all the questions you need answers to.
9
Doctor
Isabelle Ryan
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Educational Resources
– Read less
10
Age
35
Treated
2012
Success with this Doc
Yes
Treatment
2 IUI
Diagnosis
Anovulation
10
[Pacific Fertility Center - SF is a]...Beautiful clinic, organized, friendly and encouraging...
+ Read more
Age
35
Treated
2012
Success with this Doc
Yes
Race
European
Income
Occupation
Business Executive
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI
Diagnosis
Anovulation
10
Describe your experience with Pacific Fertility Center.
Beautiful clinic, organized, friendly and encouraging.
During treatment, did you feel like you were treated like a number or a human?
He was very kind, friendly and compassionate.
How was your experience with Eldon Schriock?
PFC is beautiful and provide great car. Eldon was top-notch and got us pregnant with IUI when he thought the chances were less than 5%
What one piece of advice would you give a prospective patient of Eldon Schriock?
Explore all the options and make your own educated decisions.
Describe the protocols Eldon Schriock used in your cycles and their degree of success.
Too much detail, not comfortable sharing
10
Doctor
Eldon Schriock
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
Treated
Success with this Doc
No
Treatment
IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
He [Dr Herbert] was genuine and caring. Strengths: efficient, kind, excellent education Weakness: IVF doesn't work for everyone!
+ Read more
Age
Treated
Success with this Doc
No
Race
European
Income
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
During treatment, did you feel like you were treated like a number or a human?
He was genuine and caring. Strengths: efficient, kind, excellent education Weakness: IVF doesn't work for everyone!
10
Doctor
Carl Herbert
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific Fertility Center
San Francisco
Nursing
Operations
Scheduling
Billing
Educational Resources
– Read less