Dr. Edward Ramirez is the medical director of Monterey Bay IVF, a women's fertility & gynecology center located in Monterey, California. He hopes to provide those who read his infertility blog with insights into the latest advances in women's health & infertility issues. He respectfully shares his knowledge as a specialist with women and men from all over the world. Visit his center at www.montereybayivf.com
I am writing from Japan and want to ask that can big, crowded clinics be good or are small ones always
good? Which is a worst choice...I'm very confused actually....like the crowded one has all
the plus points, it is experienced, and cost is little bit lower than other. The big one has the
pioneer in begining the IVF (in vitro fertilization) in Japan, the other has good success rates but only
opened 6 yrs back...I'm totally confused!
How many cycles should a clinic do per year and what can I use to make my decision?
help ! H. from Tokyo Answer:
Hello H. from Tokyo,
I run a smaller, low
volume clinic and have better pregnancy rates that they large ones in my area,
including the ones at Stanford University and the University of California, San
Francisco.I feel that I give better
more personalized care because I am caring for them personally and completely.I don't have other people doing what I should
be doing.The biggest disadvantage of a
very large clinic is that it is a factory and depersonalized.IVF should be a personal and intimate
procedure, NOT a mechanical one.So, of
course I have a bias.I would not
recommend a small clinic that has a poor pregnancy rate, but if it has a good
pregnancy rate, I think that is the better place to go.I don't care how big and famous the larger
clinic is or how many cycles they do, if it were me and my wife doing this I would want a clinic where
the doctor is going to give us personalized attention the entire way, including
personally do the retrieval and transfer procedures. I know that at the larger clinic in Japan you will rarely if EVER get to see the
"famous" doctor, so what good is it to go there? The smaller clinic will probably give you a better experience even though it is at a slightly higher cost.
In the U.S., people prefer to go to
clinics where they get one on one personalized care, not where they are treated
as another number.
幸運 ... Good Luck!
Ramirez, M.D. Executive Medical
Director The Fertility And Gynecology
Center Monterey Bay