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OB/GYN with fertility expertise

June 2009

hi there, Can anyone recommend an OB/GYN in the east bay that specializes in fertility issues? I recently had a missed abortion and also have been diagnosed w/ hypothyroidism. I'm a little concerned that my current OB/GYN thinks my thyroid levels are ''normal'' especially given the fact that I've been trying to conceive for a year and had a miscarriage in March. My acupuncturist was actually the one who suggested I have my thyroid checked out and has been more helpful with fertility information than my OB/GYN. Thanks in advance for your recommendations!


If you have fertility concerns, head straight to a reproductive endocronologist. Most ob/gyns have some fertility knowledge and will try to be helpful, but what they can do is quite limited. On the other hand, there are many great doctors in the Bay Area associated with fertility clinics who can answer the questions you have, suggest other things to look into, can go as far as you need/or want to go, and save you a lot of time in the process. I found Drs. Willman and Weckstein very helpful, but the best thing to do is to interview someone and if it doesn't feel like a fit...interview someone else. Hopefully everything will resolve quickly and easily for you. Good luck
While not in the East Bay, if fertility concerns are primary and you can travel, I highly recommend Valerie Baker at Stanford Fertility and Reproductive Medicine Center clinic (http://www.stanfordivf.com/). I spent about a year trying to get pregnant at a clinic in another state, and when I moved to the East Bay, decided to go to the Stanford clinic (despite the drive). I've never regretted the decision. I found the entire office incredibly thoughtful and well-managed, down to providing free coffee and wireless in the waiting room. I found that Dr. Baker was very careful, and thorough, as well as being a positive person who just made me feel at ease. I always felt like my questions and concerns were respected and received helpful responses. It was clear she was thinking about my case in particular, and while the diagnostic tests she recommended in my case did not reveal a problem, it was good to know that, and I was disappointed that my previous office was not nearly as thorough. I felt listened to, and liked that (except on weekends) I generally saw my assigned doctor. That said, the other doctor I interacted with there on occasion, Dr. Lathi, was also excellent. It's a first-rate facility, and after only a few months trying under Dr. Baker's care, I'm pregnant (and thrilled). Even though I'm sure she sees success stories frequently, I was touched at how excited Dr. Baker was with me and for me when the pregnancy ''took.'' I'm not at all convinced that I would have gotten pregnant if my standard of care had remained what it was at the fertility clinic where I went previously.

Note that this is not a full service OB/GYN office; now that I'm nearly 10 wks. pregnant, I'm transitioning to another provider in the East Bay for prenatal care and delivery. However, I would absolutely do it again despite the hour each way to get there. If you can time appointments so you miss rush hour (and I usually could), you can get there with minimal hassle, and you will have some of the best care that's available. Happily Pregnant at Long Last


I am sorry to hear about your recent miscarriage. You should check out Dr. Henry ''Hank'' Streitfeld in Berkeley. I think I actually found him through BPN. We went through something similar and he was incredibly kind and warm and took great care of me through the miscarriage, subsequent pregnancy and post-partum. His sense of humor isn't for everyone, but he is an excellent physician and has been helping couples with fertility issues for years. Good luck! anon
Run, don't walk to a fertility specialist. There are a lot of great clinics and fertility doctors in the Bay Area. Maybe someone will be able to steer you towards a good OB GYN, but I have heard too many bad stories about wasted time with GYN's. I used UCSF Fertility Center. been there

Seeking information on local fertility clinics

Oct 2007

I'm looking at past posts to the BPN site and wondered if there was more up to date information on local fertility clinics. I just had a horrible IVF experience at Stanford and am looking at other options. I'm considering either Dr. Chetkowski at Alta Bates, or the Zouves Fertility Clinic in Daly City. Does anyone have any recent experience with either? Zouves has higher statistics of live births, but I've also read many positive posts about Chetkowski on this site. Any advice would be really appreciated. K


So sorry that you have had such a bad experience with IVF. We also had a terrible first experience with a fertility doctor in San Francisco. After that we shopped around for another doctor very carefully. We even looked out of state. We decided on Dr. Victor Fujimoto at UCSF's Center for Reproductive Health. He was very informative and supportive. I also saw other doctors there and felt they were excellent as well. We were in it for the long haul and did eight cycles. I felt Dr. Fujimoto and all of the staff at UCSF monitored my medical care carefully and handled my seesawing emotions with amazing patience. If I had to go through it all over again I would without hesitation go to UCSF.

I think that statistics are very important but that they can also be misleading. One clinic may have a higher number of live births simply because they only treated those patients who had a high chance of success. A frequent use of donor eggs could also make the numbers higher. There are a lot of factors that go into these statistics and they all need to be separated out to be accurate. The first fertility doctor I saw had great numbers. After seeing her a few times she told me (very coldly and over the phone) that because of my high FSH it was impossble for me to get pregnant (wrong!). Devastated I went back for another appointment where I was told (again very coldly) of my options. After I declined the use of donor eggs she refused to try IVF with my own eggs and said if that is what I wanted to try I needed to go somewhere else. At UCSF there was none of this arrogance. They gave me the information I needed to make informed decisions and then supported me. Best Wishes from Someone Whose Been There


I did IVF with a clinic based in Marin, www.marinreproductive.com, and worked with Dr. SAE H. SOHN, M.D. He was recommended to me by the fertility Dr. I was seeing at the time at SF Kaiser, who wasn't able to offer IVF at that time (3 years ago). I believe Dr. Sohn's office has recently joined to become an extension office of the UCSF reproductive clinics. Dr. Sohn was incredibly gentle and calm. His office and staff were very available and supportive. In our case, the problem was male factor. IVF with ICSI worked for us - we did one cycle of harvesting eggs and one cycle of implantation that resulted in a very healthy baby girl. I was 38 at the time of pregnancy. I did have an over reaction to the hormones for harvesting the eggs, but he was able to slow down the treatments to complete the cycle without having to start all over again. All the procedures were done in his quiet, private office. A very serene location. I traveled to Marin from Oakland via the ferry and walking, but it was worth it. I recommend him highly. Feel free to email if you want to discuss further. maxine
We initially used Pacific Fertility Clinic in SF. They made mistakes, were difficult to reach and had higher prices than UCSF. They actually made a very egregious mistake in our cases by giving us the wrong form, hence wrong instructions and medical schedule, thus aborting a good pregnancy. And I know of two other couples with negative experiences with them.

We ended up using UCSF, which was fabulous. UCSF is a non-profit as compared to many fertility centers, their prices are lower, their staff is top notch - on the cutting edge of research, they are very pleasant, and very accessible. I couldn't recommend UCSF more highly!


I know you asked for local clinics but I'd look at Portland, OR. I know it sounds far, and yes it adds to the cost, but they have great success rates - I would definately consider travelling. I don't reccomend Pacific Fertility in SF - had a bad expereince there before starting a cycle & was mislead by doctors - well, lied to really. I cycled at Stanford with Manchi about 3 years ago & did not get pregnant but it was not a bad experience (needed PGD and they were the place to go for that). Sorry you had a bad experience there. Consider Colorado too. good luck
we worked with Pacific Fertility in the city, and were happy enough with them to go to them again recently to try for another (we work with Dr Schriock). they are quite professional, caring and competent, if busy. I would also highly recommend getting acupuncture starting a few months before you try to get your bod in a receptive condition. worked for us
I would highly recommend that you check out Dr. Schriock and Dr. Givens at Pacific Fertility Center in San Francisco. After seeing another local highly regarded RE who missed a basic condition I had and was never available for phone calls, I changed to PFC and after 4 IVF's (I have a rare problem) we are due with our first child in 5 weeks. Dr. Schriock is smart and compassionate and worth the cost and commute. Wishing you GOOD luck!! IF is hell. Anon
We used Zouves on the recommendation of our acupuncturist, Angela Wu. Dr Zouves was warm, hard working and very supporting. When he heard Angela Wu had reffered us he said to continue taking her herbs and following her guidelines, and was supportive of eastern pratices. I also liked that he looked at immune system issues in regards to fertility. Every doctor I had seen said I'd get pregnant no problem based on my blood tests etc, to no avail, but Zouves looked more deeply. And now I'm the mama to twins! Another thing I liked was that he worked with my schedule- didn't put me on birth control to sync into his schedule. He works weekends too! I was very happy with Zouves. Stephanie
Best fertility clinic in the Bay area is actually in a Denver, Colorado suburb called Englewood. It's called The Colorado Center for Reproductive Medicine. They are the best in the country. I'm currently pregnant at age 44 from a cycle there with my own eggs. Almost any other IVF lab in the country would have killed my embryos at this age, but on day three they were all 8-cell grade 4 or 4- (4 is best at CCRM). They also tested the eggs' polar bodies so they could discard genetically abnormal embryos (aneuploidy), thereby decreasing my potential miscarriage rate.

The way to become their patient is: 1) schedule a 1-hour telephone consultation ($250) 2) fly to Denver for your one-day workup, in which they will repeat all testing including hysteroscopy and sperm analysis 3) cycle with local monitoring until you fly to Denver for 4-14 days, depending on the protocol. You can see all the clinic outcomes on www.sart.org or get them as a downloadable excel spreadsheet from http://www.cdc.gov/art/

This may not show up niceley in the BPN newsletter but I took the excel spreadsheet, deleted all the clinics except California and CCRM (I had previously figured out CCRM was the best), deleted non-Bay Area clinics, deleted clinics that were too small to have any statistically significant results, and sorted the outcomes by the live birth rate for the youngest patients (see key at the bottom). The youngest are the easiest to get right.

good luck! A tough case, I wouldn't go anywhere else


I would like to strongly endorse Dr. Zouves. I found his bedside manner to be impeccable, and his thoroughness to be unmatched. Yes, you will probably have to undergo more pre-cycle testing than at other clinics which can be more expensive and perhaps annoying, but he leaves nothing to chance, and no stone unturned in heading off at the pass any potential problem with a cycle.

I had a negative experience at UCSF, where I felt like I barely had a relationship with my primary physician there. I saw whoever was on call. Dr. Zouves is unique in that he's a one man show. It may take a little longer to get in to see him, but I really think the quality of care is worth the wait. I don't know anyone who has done IVF at Alta Bates, so I can't speak to that, but you have a ringing endorsement for Zouves Fertility Center here. Rebecca


We were so underwhelmed with PFC (Pacific Fertility Center) and their statistics ''less than 8% chance'' of a pregnancy that we also traveled to Colorado for our first IVF at CCRM and had the best experience possible. Dr. Schoolcraft is the very best! Finally a Mother at 42
I missed the original post on this, but read the responses. I saw one person recommended highly against Pacific Fertility Clinic in San Francisco, and I couldn't disagree more. I went to another clinic (RSC) and didn't think they were aggressive enough, and got discouraged with insurance run-arounds and the inability to ever see my doctor. So I switched to PFC and saw Dr. Eldon Schriock. He is amazing, empathetic and encouraging - yet realistic. I never had a problem scheduling, their fees are comparable to any other in the Bay Area (it's not a regulated field, so everyone's prices are high, quite frankly) and they are extremely professional and compassionate. After 4 miscarriages and one failed IVF (the first failed IVF was at PFC, for the sake of honest reporting), I am now 5 weeks from my due date (a singleton).

Speaking of which -- PFC is also not SO aggressive (at least Dr. Schriock isn't) that you'll end up with a scary number of multiples, which is something to consider. I wouldn't necessarily go on pregnancy rates provided by clinics, either. Technically, a twin pregnancy I had that only reached implantation and no heartbeats, goes down in the stats as a pregnancy. It's more important you go with a place that makes you feel comfortable and confident - because that will help you conceive as well. -- Anon.


I underwent two procedures at Reproductive Science Center (RSC). The first was using a donor (from which I believe 24 eggs were harvested but the lab was only able to produce a small number of embryos.) Despite being told that the procedure was perfectly executed, that procedure was unsuccessful. The second procedure was an FET (frozen embryo transfer).

The day before I was to go in for the FET, a nurse called to confirm the medication I was taking. It turned out that one of the necessary medications had not been prescribed, after a brief silence on the phone, the nurse said that she would call me back. When she did she said it was still okay to proceed. The next day, I asked the staff if not having that medication made a difference. All assured me it would be fine. Well, that cycle also failed, maybe because of the medication or not, who knows.

I decided that after spending thousands of dollars and having nothing to show for it, I wouldn't proceed any further. I told RSC to either discard or use the remaining embryos for research. Several months later they billed me for several months of storage saying that I needed a notarized document to discard. Of course, it would have been nice if they had told me that originally instead of waiting several months and racking up more fees of $250/quarter.

To add to the already pleasant experience of two unsuccessful procedures, shooting needles in my legs for months, and spending thousands of dollars for failed treatments, they then disputed a $500 discount that had been offered for 2nd cycles and threatened collections. Happy Mom Of Beautiful Adopted Son


NOVA in vitro fertilization?

Nov 2006

I am trying to find out if anyone has had a good experiece with NOVA. I am 39 and they seem to be the only program in the area that offers the guarantee or multi-try packages for women over 38, but I haven't seen any postings about them. Also, if people know of other places in the bay area that offer this to people over 38, I'd love to know that as well. I also heard that Kaiser Walnut Creek and Hayward do IVF, but can't find success rates anywhere, so would be interested to get feedback on them too. You can also email me at rebdwlng@yahoo.com. Thanks


I was 39 when I enrolled with Pacific Fertility Center in SF. If you are under 40, and after a couple of basic hormone tests, you pass their screening, an MD may approve you for their ''shared risk'' program. Essentially you can pay for several IVF cycles at once, for a lot less than the cost of two separate ones, and the cost includes any frozen cycles with extra embryos left from a cycle. Of course, if you get pregnant the first cycle, you've paid for a second cycle that you didn't need. Cost excludes meds and a few other things I can't remember but the main costs are included. It worked in the end for me (on second cycle) and I gave birth at 41. You may want to check them out. Good luck. kate
You can get stats on IVF success rates at various infertility clinics on the CDC website at: http://apps.nccd.cdc.gov/ART2003/clinics03.asp Unfortunately they run a few years behind and so 2003 is the latest, but 2004 statistics should be coming out soon.

My advice to you would be to look beyond whether a clinic offers a guarantee/discount plan and instead focus your efforts on the clinic that will give you the very best chance of success. Surprisingly, while the Bay Area has so much to offer in so many areas, our infertility clinics do not have the highest success rates. I ended up going to Portland Center for Reproductive Medicine in Oregon, and it was surprisingly easy, with comparable costs and very little travel necessary. The Colorado Center for Reproductive Medicine also has excellent stats for older women.

Good luck to you Anon


Blue Shield HMO-Ob/Gyn-fertility issues

Aug 2006

Hello: I am thinking of switching to Blue Shield HMO from Kaiser. I am just starting to be seen at the Kaiser fertility clinic, and both my Kaiser and potential Blue Shield only pay for 50% of treatment. I am wondering what current recommendations might be for a Blue Shield OB/gyn in the area who also deals with fertility issues. I'm also wondering if more simple fertility issues (non-IVF)could be addressed as a regular office visit to an Ob/gyn, and not a fertility specialist, which would be covered in full as opposed to 50%. At Kaiser you are automatically transferred to the fertility clinic so everything is only covered at 50%, even though I would imagine some of the tests could be done by a regular ob/gyn. So, I guess I'm trying to find a good ob/gyn who is good with fertility issues and might also be willing to see patients for this as part of a regular office visit. Thanks, Rebecca


I have heard that some primary care docs and OB's will give Clomid without asking a patient to see a fertility doc first. I'm not sure who they are, but you'd best just be direct and ask them. If you are uncomfortable with it, just first say ''I am trying to optimize my insurance coverage for fertility treatment, which can be very, very costly.'' By the way, lucky you that your insurance pays 50%! JM
Hello Rebecca, I don't know about Ob's who also deal with fertility issues, but I do have some advice. My husband and I have a 17 month old son who was conceived using injectible medications combined with IUI. (I'm hoping you know about the infertilty lingo...) This was while we lived on the East Coast. We moved to Walnut Creek about 8 months ago and have recently been thinking of trying to have a second baby. My husband is a physician who knows the Ob/gyns and Infertility docs in the area. Through his work and personal connections, he decided that Reproductive Science Center would be a good place for us to start. We have seen Dr. Willman and Dr. Hinckley and have been very happy with them so far. We have yet to embark on any actual treatment, but I have a few friends who had success at this clinic.

We recently switched to Blue Shield HMO. As you know the fertility coverage is not great in California. So I completely understand why you are trying to find an Ob/Gyn rather than a Reproductive Endocrinologist (RE). However, speaking strictly from a medical point of view, I would urge you to go straight to an RE if at all possible. Though some Obs do have an interest and experience in fertility, I don't think it can compare with that of a specialist in this field. I have read countless books and articles on the topic. The consensus in the infertility community is that it's best to go straight to an RE if you have been trying to have a baby for 12 months or more and have been unsuccessful. The number of months goes down to 6 if you're 35 years or older.

So I guess I would answer your second question by saying that yes, it may be possible to address ''simple'' fertility isses at a regular office visit with an Ob.(I'm not sure there is such a thing...) I realize I am speaking without any knowledge of your fertility problems. Even so, if you truly do have infertility, your very best bet would be to see an RE at least once. Hope this helps, and best of luck to you. Anon


I had fertility issues too and I would recommend going to see a fertility specialst if you're serious about conceiving. If you have a medical spending account at work, the copays for doctor's visits (even IUI) are covered been there
Hi- I can't speak for certain on the fertility issues part of your question. But I can recommend an OB that might fit your bill. I've seen Dr. Kanwit at East Bay Physicians Medical group (formerly known as OB/GN Fertility Specialists)for my first pregnancy, and now ongoing for my second. I had Blue Shield HMO with my first pregnancy (and subsequent visits) and now we have Blue Shield PPO. Once my OB gave the thumbs up after my first child, we spoke of fertility (1st one was unplanned), but we didn't go too into depth, since we weren't quite ready for a second yet. I believe she (or really any of the doctor's in the group) could handle what you are asking for. You can always call them and speak to their office staff, they are friendly. Their phone number is (510) 845-8047. They are located in Berkely on Telegraph, just above Ashby Ave. Goodluck! I hope you find what you need! Oh, and you can always contact me directly if you need more info. kukana

Experience with Bay Area Fertility clinics?

June 2005

I'd like to hear from women who've done IUI or IVF recently at some of the Bay Area clinics and to get feedback on their experience. My husband and I recently tried Reproductive Science Center in Orinda and I'm not sure how we feel about the experience, and would like to compare to other people's experiences. If you're reading this and have recent (2004 and after) and relevant experience, or know someone who does, we'd really like to get some feedback. thanks.
Re: Experience with Bay Area Fertility clinics? (June 2005)
Recommended:

  • Pacific Fertility Center
  • Reproductive Science Center
  • Stanford Reproductive Endocrinology and Infertility Center
  • UCSF Center for Reproductive Health (4)

    Buying IVF meds online from Europe?

    May 2005

    Does anyone have experience (good or bad) buying IVF medications online from European (or other overseas) pharmacies, such as www.ivfmeds.com? The prices are considerably cheaper than even the cheapest U.S. based online pharmacies, and appears to be the exact same products (Gonal-F). They say they account for the time customs takes in their estimated shipping time. Other than the additional time shipping, does anyone know of any reason NOT to order from overseas? Thanks for any advice.


    Hi, I bought Gonal F and Antagon from ivfmeds.com a couple of years ago for IVF #1 and would highly recommend. It was a very easy process, the order arrived within a few days (sent from a London pharmacy) and I saved a ton of money - we were completely self funding. As an aside, there's a website called freegaragesale.com which, in its medical category, lists private sales of IVF drugs. I had a good experience with a seller for my 2nd (successful) IVF cycle, but it's obviously a little risky. Good luck!

    Reproductive Endocrinologist - Blue Shield

    Nov 2004

    I have Blue Shield PPO and am absolutely amazed and frustrated to find that there is not a single RE listed on my plan within 100+ mile radius! I have called my insurance provider already...this is how I know about the 100+ mile radius. Arrrrgghhhh. Any of you have any experience with a local East Bay RE AND have Blue Shield as your insurance and would be willing to share your little secret??! Prefer someone in the East Bay. Many thanks, Lauri


    I highly reccomend travelling down to Stanford if you can manage it. Incredible staff, doctors, nurses etc -- and they take just about any insurance (from what I gather). I did IVF down there and was able to schedule all my app'ts to avoid traffic. Parking is easy too. Good luck
    I know this might sound nutty, but since most companies have open enrollment in December, you should immediately change your insurance if you can. We had really horrible coverage with Blue Shield/Cross for infertility. We had expensive co-pays for everything. If you are beginning this journey, you are much better off with Kaiser or another plan that covers way more of the testing and procedures. That said, we ended up having to pay for our IVF out of pocket, but at least we had all the other things that we tried paid for first. Sorry that I can't help you find someone local. Annie

    Endocrinologist John Linfoot?

    August 2003

    I've had trouble keeping early term pregnancies and was advised to see an Endocrinologist. Does anyone have experience with Dr.John Linfoot or with other area endocrinologists for dealing with potential reproductive issues? seeking answers


    I went through 4 years of infertility and did a ton of research. While you can go to any basic endocrinologist for your basic testing (fsh, etc.), I'd recommend Dr. Zouves for being the absolute best in the area. His email is: http://www.goivf.com/ Also, if you're 40 or over, there is a wonderful email list called ''fortility'' which is for women of this age trying to conceive. I found it to contain some of the smartest, most upbeat, well-researched people I've ever met. Go to www.surrogacy.org for info. good luck, cat
    Rachelle Halpern in Berkeley 843.5000 is a great endocrinologist. I'm sure she'd be happy to talk to you about fertility issues and whether or not she can help. Good luck! peggy
    I understand your request is in regard to reproductive issues but I thought you might like to have any comment regarding Linfoot's office. My husband is currently seeing Dr. Linfoot for thyroid problems. We recently moved to the Bay Area and had not even seen a GP when my husband woke up recently with a very large growth on his throat. We found a GP who immediately sent us to an ear, nose and throat specialist and he, in turn, sent us to Dr. Linfoot. This all happened within 5 days. Dr. Linfoot had no appointments available but he stayed after hours to see my husband. I am very particular about doctors and believe in taking a proactive role in health care. Prior to our visit with Dr. Linfoot, I spent hours and hours on the internet comparing information as well as talking to several doctor friends from the Houston Medical Center in Houston. (We just moved here from Houston.) Dr. Linfoot was excellent. He answered our multitude of questions. He was current on all different types of procedures. He was patient and kind, never rushing us in any way. I was very impressed. We are down to a decision regarding surgery to remove the thyroid and Dr. Linfoot is working with us to make the decision. I highly recommend him as an endrocrinologist. PJ
    I saw John Linfoot for a thyroid problem a few years ago, and I wasn't thrilled with the practice. While I liked him and the other doctor I saw, I thought their follow-up was not very good or very thorough. I got the impression that the specialty of the practice was diabetes. I suggest you find someone who specializes in reproductive endocrinology specifically. Not only do you want someone who knows all the latest developments in this area, but someone with at least an inkling of the emotional issues involved with these problems as well. RESOLVE of Northern California used to have a referral list of fertility specialists, you might contact them. Mary

    Online Resources

    Nov. 2003

    Re: IVF
    Please check out http://207.44.160.141/board/forumdisplay.php?s=&forumid=108 or http://207.44.160.141/board/allboards.html You will find tons of information on IVF in California at the link above. Several people have been have listed recommendations, or experiences at the clinics you have mentioned. If you have trouble with these links please let me know. Good Luck! Mary


    RESOLVE

    May 2000

    Resolve of Northern California is a group that helps people with fertility problems in a number of ways. I received their helpful, informative newsletters and joined one of their support groups during our struggle with fertility. (I don't know if this is more than lucky coincidence, but everyone in my support group ended up having a child or children one way or another.) The phone number is (415) 788-6772. It's in San Francisco, but our support group was in the East Bay and the annual conference we went to was at Mills College. Your friend should call them and find out what is going on in San Jose, and about other large scale events she could attend. www.resolve.org


    I would also recommend a support network for fertility Resolve. They have a web site and have a good deal of information and terrific volunteer support. Here is the northern California chapter web site http//www.ihr.com/resolve/nchome.html Best of luck!! Molly (5/00)
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