The Advanced Fertility Center of San Antonio

Available Resources

Genetic counseling: OfferedAcupuncture: OfferedMental health counseling: OfferedNutrition counseling: OfferedAdministration of shots: OfferedCoordinating at-home nursing is not offered: Not OfferedSelling medication: OfferedProviding backup medication is not offered: Not Offered
San Antonio
18707 Hardy Oak
San Antonio, TX 78258
(210) 616-0680
On a scale from 0-10, how likely are you to recommend The Advanced Fertility Center of San Antonio to a friend?
Strongly recommend: 3Neutral: 2Don't recommend: 17.8
6 assessments
  • 50% Strongly recommend (9-10)
  • 33% Neutral (7-8)
  • 17% 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
49
Annual Cycles National Avg.
344
8
Average Doctor Score
1 doctor
6 assessments
8
Age
35 - 36
Treated
2015 - 2016
Success with this Doc
?
Treatment
2 Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Anovulation, PCOS
8
...It can be very frustrating. If you have an appointment [at The Advanced Fertility Center of San Antonio] and have to see a nurse they are not good at explaining things and expect you to know everything they know. They have gotten frustrated with my persistence to have things explained but if you are paying them this much money you expect answers. I have left the nurses frustrated and in tears.
+ Read more
Age
35 - 36
Treated
2015 - 2016
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Anovulation, PCOS
8
Describe your experience with The Advanced Fertility Center of San Antonio.
The clinic is very clean, neat, and in a very nice area of town. You can get blood work done in the clinic which is very convenient.
During treatment, did you feel like you were treated like a number or a human?
Dr. Garza has a great bed side manner, he is caring, he takes his time, he gives plenty of opportunities to ask questions, he doesn't pressure me into expensive procedures, he talks to my husband and I like a friend, and is very kind and patient.
Describe your experience with the nursing staff.
The nurses prefer to have all patients use the "patient portal" to communicate and get results. The problem is that they take a really long time to enter test results, medication that has been called in, and to answer questions. The receptionist will urge you to use the portal first before letting you speak to a nurse. Your cycle is so time sensitive and the nurses get to you when they can I suppose. It can be very frustrating. If you have an appointment and have to see a nurse they are not good at explaining things and expect you to know everything they know. They have gotten frustrated with my persistence to have things explained but if you are paying them this much money you expect answers. I have left the nurses frustrated and in tears.
What specific things went wrong at this clinic?
  • Failed to call with results
  • Failed to convey critical information
How was your experience with Joseph Garza?
He laid out a clear plan and what should be expected. The only complaint is that I wish I could see him more often but I know he has a lot of patients to take care of. Overall, Dr. Garza has been amazing!
What one piece of advice would you give a prospective patient of Joseph Garza?
Always bring prepared questions with you to the appointments so you don't forget anything. You will probably only see him about once a month in the beginning and he explains things way better than the nurses. Your experience could be different depending on your course of treatment.
Describe the protocols Joseph Garza used in your cycles and their degree of success.
Before coming to Dr. Garza I had gone through 2 miscarriages and my OBGYN did not have an explanation. I was already 35 and knew a friend who had success with Dr. Garza. He started off with lots of blood work, for both me and my husband, and tests just to see if everything was okay with us and what he was dealing with. I was diagnosed a month ago with PCOD which is apparently just like PCOS. Two months ago I was given Clomid to raise my Progesterone levels and this past month was Metformin and Clomid. The hormones have affected me some and the Metfomin makes me sick to my stomach and dizzy. I'm supposed to take 2000mg of Metformin a day but I've only been able to work up to 1500mg so far. He advised me to start using an ovulation kit even though ovulation kits say that they don't work for people with PCOS. So after two months of trying we are about to start another month with no luck but I know my body has to adjust to the medication.. Right now I'm scared I won't be able to conceive without using more expensive treatments.
Describe the costs associated with your care under Joseph Garza.
This depends on your insurance and course of treatment. Personally we have spent a little over a thousand dollars. They do have financing options available for expensive treatments.
8
Doctor
Joseph Garza
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
The Advanced Fertility Center of San Antonio
San Antonio
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
Treated
Success with this Doc
?
Treatment
3 Fertility Medications
Diagnosis
Anovulation, PCOS, Uterine Fibroids, Unexplained
10
The whole nursing staff [at The Advanced Fertility Center of San Antonio] is awesome. They are understanding and helpful. They don't do unnecessary treatments and are helpful when it comes to financial situations.... Everyone in the clinic seemed to remember you from visit to visit. They remembered details not pertaining to treatment and always answer any questions I have...and it's a lot!
+ Read more
Age
Treated
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 Fertility Medications
Diagnosis
Anovulation, PCOS, Uterine Fibroids, Unexplained
10
Describe your experience with The Advanced Fertility Center of San Antonio.
The clinic is in a very nice facility. Easy to get to and very near the stone oak medical center.
During treatment, did you feel like you were treated like a number or a human?
Everyone in the clinic seemed to remember you from visit to visit. They remembered details not pertaining to treatment and always answer any questions I have...and it's a lot!
Describe your experience with your nurse.
The whole nursing staff is awesome. They are understanding and helpful. They don't do unnecessary treatments and are helpful when it comes to financial situations.
How was your experience with Joseph Garza?
Dr Garza has been doing this a long time. It shows in his knowledge. He can sometimes be soft spoken but always makes me feel comfortable. What I like best is his willingness to try the next thing when I didn't respond to treatments. I am awaiting a surgery to remove a cyst and fibrosis. Dr. Garza feels it is important to do this step and find out if there could be another reason I have not responding to treatments. Whenever I have questions he answers them in detail and without making me feel stupid.
What one piece of advice would you give a prospective patient of Joseph Garza?
Ask lots of questions. He tends to state the fact and be ready to move on. If you ask questions he will answer them.
Describe the protocols Joseph Garza used in your cycles and their degree of success.
I did 3 rounds of clomid. The first round I missed my progresterone test to tell if I ovulated. When I went in they did an ultrasound and found a few cysts. They recommended a month of birth control to clear the cysts. The next month I had to redo the loswest dosage of clomid Because it hadn't been confirmed with the day 21 test that I had ovulated. I got a 7.5 on my progresterone test that month. I was told it was ovulation but they wanted to see stronger number. They doubled the dosage (100mg) but my test showed a 0so absolutely no ovulation. My scan showed a very large (7cm) cyst on my left ovary and they became more concerned about a smallish fibroid on my uterus. Again another month of birth control and awaiting laparoscopic surgery to remove the problems and give a better idea of the next steps.
Describe the costs associated with your care under Joseph Garza.
Insurance did not cover any of our treatments after diagnosis. I felt it was more affordable than I imagined, around $150-200 per visit depending on if I had an ultasound or not. I felt they were very aware of the cost and did not do testing or labs if there was a more affordable way to do it. I have not yet gotten passed the clomid stage of treatment.
8
Doctor
Joseph Garza
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
The Advanced Fertility Center of San Antonio
San Antonio
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
– Read less
10
Age
40
Treated
2016
Success with this Doc
Yes
Treatment
3 IUI, 1 IVF
Diagnosis
Anovulation, PCOS
10
I felt like I had a connection with Dr Garza and all of his staff. I never felt like a number, my case was very complicated but I always felt like they all were invested as much as I was to be successful....Great communication Compassionate Dr and staff Not treated like a number Longer visits.. but worth it...They're [nurses] the best. Great communication skills , followed through every time- found programs to help that I had never even heard of - considering I had been at other clinics.
+ Read more
Age
40
Treated
2016
Success with this Doc
Yes
Race
Latino
Income
$50K - $99K
Occupation
Operations
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 IUI, 1 IVF
Diagnosis
Anovulation, PCOS
10
Describe your experience with The Advanced Fertility Center of San Antonio.
Great communication Compassionate Dr and staff Not treated like a number Longer visits.. but worth it
During treatment, did you feel like you were treated like a number or a human?
I felt like I had a connection with Dr Garza and all of his staff. I never felt like a number, my case was very complicated but I always felt like they all were invested as much as I was to be successful.
Describe your experience with your nurse.
They're the best. Great communication skills , followed through every time- found programs to help that I had never even heard of - considering I had been at other clinics.
How was your experience with Joseph Garza?
He's the most caring and well informed, compassionate and honestly took time to discuss results until we understood. Spoke with us after clinic hours when we needed it. I've seen other Dr fir fertility fir over 3 years and maybe saw the dr 2-3 times over 8 months of treatment and testing. Dr. Garza was a part of our treatment and was very available if we wanted to discuss our progress.
What one piece of advice would you give a prospective patient of Joseph Garza?
Your consult may take time but the amount of information and history he personally takes with you is so eye opening it's incredible. His staff is absolutely outstanding!!
Describe the protocols Joseph Garza used in your cycles and their degree of success.
I previously had seen a provider who made it seem as my treatment was cookie cutter and the same fir all patients. Dr. Garza's first words were there is no vanilla- each pt requires personalized stimulations to supplement their needs.
Describe the costs associated with your care under Joseph Garza.
I did 1 iui cycle and 1 IVF cycle. IVF was approx 11,000 plus meds and my PGS
10
Doctor
Joseph Garza
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
The Advanced Fertility Center of San Antonio
San Antonio
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
36
Treated
2016
Success with this Doc
Yes
Treatment
2 IUI
Diagnosis
Diminished Ovarian Reserve, PCOS, Unexplained
9
The clinic [Advanced Fert Ctr] overall is normally very nice and helpful. The sonographer, Veronica was always very sweet and encouraging!... The iui bundle with clomid was 1100 including costs of ultrasounds and associated labs.... Many of the nurses were very nice, sympathetic to my situation, and were able to answer some of my questions. Every once and awhile, I felt like I was just a number with them, but my experiences were mostly good ones overall.
+ Read more
Age
36
Treated
2016
Success with this Doc
Yes
Race
Latino
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 3 Docs
Treatment
2 IUI
Diagnosis
Diminished Ovarian Reserve, PCOS, Unexplained
9
Describe your experience with The Advanced Fertility Center of San Antonio.
I fell that Dr. Garza is a very good and experienced physician, and although there may be a wait to see him, it is worth it. The clinic overall is normally very nice and helpful. The sonographer, Veronica was always very sweet and encouraging!
During treatment, did you feel like you were treated like a number or a human?
He was very personal and took time explaining questions that I had thoroughly.
Describe your experience with the nursing staff.
Many of the nurses were very nice, sympathetic to my situation, and were able to answer some of my questions. Every once and awhile, I felt like I was just a number with them, but my experiences were mostly good ones overall.
How was your experience with Joseph Garza?
Dr. Garza is a very experienced physician in his specialty. He takes the time to explain procedures and the plan of care. When my husband was very skeptical about I've, he came in and sat with him and answered allof his questions and reassure ld him regarding the procedure. He was honest about the statistics regarding ivf.
What one piece of advice would you give a prospective patient of Joseph Garza?
The wait can be long in the office, but he really does take care of his patients when he is in the room.
Describe the protocols Joseph Garza used in your cycles and their degree of success.
He recommended ivf with clomid 50mg after an unsuccessful round of clomid with relations. It was unsuccessful, but I did produce two large follicles, which was promising. The next recommendation was IUI with injectables, which was 3,000, and out of our budget. We opted to try relations again with clomid 50mg, which was unsuccessful.
Describe the costs associated with your care under Joseph Garza.
The iui bundle with clomid was 1100 including costs of ultrasounds and associated labs.
9
Doctor
Joseph Garza
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
The Advanced Fertility Center of San Antonio
San Antonio
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
3
Age
34
Treated
2016
Success with this Doc
No
Treatment
12 Fertility Medications
Diagnosis
Anovulation, Unexplained
3
I had to postpone my IUI procedure because they [Advanced Fertility Center of San Antonio] failed to communicate my spouse was lacking bloodwork they forgot to ask for. I ended up leaving that clinic after that.... i had so much treatment done before any answers were given. I had months and months of hormone pills and injections without a complete bloodwork or diagnosis.
+ Read more
Age
34
Treated
2016
Success with this Doc
No
Race
Prefer not to answer
Income
Occupation
Teacher
Order & Number of Docs Seen
1st of 2 Docs
Treatment
12 Fertility Medications
Diagnosis
Anovulation, Unexplained
3
Describe your experience with The Advanced Fertility Center of San Antonio.
They were good at informing me of my insurance and billing questions
Describe your experience with the nursing staff.
I feel they did all the work. But I really wanted the doctor instead. It was a different nurse every time. I hate that.
What specific things went wrong at this clinic?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Failed to call with results
  • Failed to order appropriate test
  • Provided conflicting information
  • Failed to convey critical information
  • Canceled a cycle due to clinic error
How was your experience with Joseph Garza?
Sense of humor. Other than that, hardly talked to him. I didn't like the way he joked, like "Are you sure you want kids? They are a handful!" That was a very WRONG thing to say to me. I'm already vulnerable and you joke like that? Very long wait for each visit. The nurses seemed to take care of my treatment instead of him. Office was very bad at communicating.
What one piece of advice would you give a prospective patient of Joseph Garza?
Do your research. If you are spending all this money, you shouldn't feel like a number.
Describe the protocols Joseph Garza used in your cycles and their degree of success.
i had so much treatment done before any answers were given. I had months and months of hormone pills and injections without a complete bloodwork or diagnosis.
Describe the costs associated with your care under Joseph Garza.
Organized
3
Doctor
Joseph Garza
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
3
Clinic
The Advanced Fertility Center of San Antonio
San Antonio
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
7
Age
33 - 35
Treated
2013 - 2015
Success with this Doc
?
Treatment
3 IUI, 1 IVF, Egg Freezing
Diagnosis
Anovulation, Endometriosis, Uterine Fibroids
7
The communication between nurses and staff [at Advanced Fertility] needs improvement...Mainly for on call times. I would be given wrong info by some nurses.
+ Read more
Age
33 - 35
Treated
2013 - 2015
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 IUI, 1 IVF, Egg Freezing
Diagnosis
Anovulation, Endometriosis, Uterine Fibroids
7
During treatment, did you feel like you were treated like a number or a human?
Mainly for on call times. I would be given wrong info by some nurses.
Describe your experience with the nursing staff.
Cristina is very nice and listens. Michelle would say things that triggered anxiety.
What specific things went wrong at this clinic?
  • Failed to call in prescriptions to pharmacy
  • Failed to call with results
  • Failed to inform you of changes in protocol
  • Provided conflicting information
  • Failed to convey critical information
How was your experience with Joseph Garza?
Dr Garza seems to be experienced. He is compassionate and can make you smile. His nurse holds a little too much power.
What one piece of advice would you give a prospective patient of Joseph Garza?
Make a list of questions each time you go.
10
Doctor
Joseph Garza
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
The Advanced Fertility Center of San Antonio
San Antonio
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less