Advanced Fertility Associates

Available Resources

Genetic counseling: OfferedAcupuncture is not offered: Not OfferedMental health counseling is not offered: Not OfferedNutrition counseling is not offered: Not OfferedAdministration of shots: OfferedCoordinating at-home nursing is not offered: Not OfferedSelling medication: OfferedProviding backup medication: Offered
Santa Rosa
1111 Sonoma Avenue
Santa Rosa, CA 95405
(707) 575-5831
On a scale from 0-10, how likely are you to recommend Advanced Fertility Associates to a friend?
Strongly recommend: 2Neutral: 1Don't recommend: 45
7 assessments
  • 29% Strongly recommend (9-10)
  • 14% Neutral (7-8)
  • 57% 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
147
Annual Cycles National Avg.
344
5.1
Average Doctor Score
1 doctor
7 assessments
7
Age
30 - 31
Treated
2014 - 2015
Success with this Doc
?
Treatment
4 IUI, 3 IVF
Diagnosis
PCOS, Poor Egg Quality
7
I think we ended up spending around 10,000 including all the meds for a full cycle. For the frozen cycle it was around 5,000...I loved the nursing staff!! They were all so great. Really nice and sensitive to your situation...Jennifer Ratcliffe is a very good doctor. She is smart and knows what she is doing and is good at it. But, she's not the nicest and does not have good bedside manner. I left appointments with her many times in tears. I was seeing another Fertility doctor but moved away so needed to see her. She talked bad about everything my prior doctor had done for me. She is very cocky and is rude to her staff. Many times I felt uncomfortable being in the room and hearing how she treated her staff. I would go to her again because she did get me pregnant but I just have to try and ignore her personality and not let her get to me.
+ Read more
Age
30 - 31
Treated
2014 - 2015
Success with this Doc
?
Race
Other
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
4 IUI, 3 IVF
Diagnosis
PCOS, Poor Egg Quality
7
Describe your experience with Advanced Fertility Associates.
I think that the clinic was okay. It wasn't super nice or anything but it was clean and comfortable.
During treatment, did you feel like you were treated like a number or a human?
She is known to not be the nicest and she does not have good bedside manner. She talked bad about the doctor I was seeing before.
Describe your experience with the nursing staff.
I loved the nursing staff!! They were all so great. Really nice and sensitive to your situation.
How was your experience with Jennifer Ratcliffe?
Jennifer Ratcliffe is a very good doctor. She is smart and knows what she is doing and is good at it. But, she's not the nicest and does not have good bedside manner. I left appointments with her many times in tears. I was seeing another Fertility doctor but moved away so needed to see her. She talked bad about everything my prior doctor had done for me. She is very cocky and is rude to her staff. Many times I felt uncomfortable being in the room and hearing how she treated her staff. I would go to her again because she did get me pregnant but I just have to try and ignore her personality and not let her get to me.
What one piece of advice would you give a prospective patient of Jennifer Ratcliffe?
Don't expect her to be sympathetic at all to you and what you are going through. She is a good doctor and knows what she is doing.
Describe the protocols Jennifer Ratcliffe used in your cycles and their degree of success.
I have PCOS and I usually produce way too many eggs and they aren't very good quality. She decided to lower my dose of meds to try and not make so many follicles. She wanted less so that hopefully the quality of the eggs would be better. I do think it was a good decision and I did produce the best quality eggs that I had ever done before.
Describe the costs associated with your care under Jennifer Ratcliffe.
I think we ended up spending around 10,000 including all the meds for a full cycle. For the frozen cycle it was around 5,000.
7
Doctor
Jennifer Ratcliffe
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Advanced Fertility Associates
Santa Rosa
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
1
Age
35 - 36
Treated
2013 - 2014
Success with this Doc
No
Treatment
3 IUI, IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Unexplained
1
She [Dr. Ratcliffe of Advanced Fertility Associates] never encouraged and was always annoyed by me educating myself outside of her office. I became scared of even sending her emails asking questions because she would tell me to "stop reading out-of-date articles on the Internet."
+ Read more
Age
35 - 36
Treated
2013 - 2014
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Graphic Designer
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, IVF, Donor Eggs
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Unexplained
1
During treatment, did you feel like you were treated like a number or a human?
My husband made the initial phone call and spoke to the doctor about a consultation. During that call she diagnosed my issue, and never wavered from it. I felt like there was no way she could make a diagnosis without a full medical history - and without speaking to me directly at least! And even if she had a hunch what was keeping us from conceiving, it seemed unprofessional to make that statement over the phone to my husband. It made me question her thoroughness and curiosity to find the real issue.
How was your experience with Jennifer Ratcliffe?
During our initial consult, I was giving her my medical history and mentioned three very early miscarriages. She waved her hand and said, "Oh, those don't count." If she doesn't believe they're important to my fertility struggles, I trust her, but I was just trying to give her the complete picture and her careless attitude really turned me off. She never encouraged and was always annoyed by me educating myself outside of her office. I became scared of even sending her emails asking questions because she would tell me to "stop reading out-of-date articles on the Internet." I was always asking about things that other current fertility patients I was in touch with were going through, so my information wasn't out of date. These questions could have been handled with more tact and care to say the least.
What one piece of advice would you give a prospective patient of Jennifer Ratcliffe?
Don't expect a warm bedside manner.
Describe the costs associated with your care under Jennifer Ratcliffe.
Definitely on the expensive side compared with patients at other clinics I spoke with.
0
Doctor
Jennifer Ratcliffe
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
1
Clinic
Advanced Fertility Associates
Santa Rosa
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
32
Treated
2015
Success with this Doc
No
Treatment
IVF
Diagnosis
Male Factor
9
Like everyone says, Dr. Ratcliffe [at Advanced Fertility Associates] is blunt and does not sugar-coat. She is also very smart, gives a lot of information, and covers the black-and-white detail. I appreciated this as I'd rather have a doctor be a master of their craft than a master of personal skills. That being said, her assistant, Bonnie, was very kind and compassionate and offered a nice balance.
+ Read more
Age
32
Treated
2015
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Accountant
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF
Diagnosis
Male Factor
9
During treatment, did you feel like you were treated like a number or a human?
Like everyone says, Dr. Ratcliffe is blunt and does not sugar-coat. She is also very smart, gives a lot of information, and covers the black-and-white detail. I appreciated this as I'd rather have a doctor be a master of their craft than a master of personal skills. That being said, her assistant, Bonnie, was very kind and compassionate and offered a nice balance.
Describe your experience with your nurse.
Bonnie was great, responded to emails promptly and in detail. There were minor miscommunications at first but nothing out of the ordinary
What specific things went wrong at this clinic?
  • Failed to order appropriate test
How was your experience with Jennifer Ratcliffe?
Dr. Ratcliffe was not able to get us pregnant, but we were an usual case. I have no doubt that she did all that was in her power to educate herself on our situation and advise accordingly. She was clear, informative, and always left the decision making up to us. She probably could have sold us on all kinds of treatments to try and improve our situation, but did not. In the end we were not successful with pregnancy, but also had a pretty minimal financial investment.
What one piece of advice would you give a prospective patient of Jennifer Ratcliffe?
She's not warm and fuzzy and talks fast, so be sure to listen, not take it personally, and ask her to repeat things if necessary.
Describe the costs associated with your care under Jennifer Ratcliffe.
A round of IVF goes for about $12K, Meds another $3.5K
10
Doctor
Jennifer Ratcliffe
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Advanced Fertility Associates
Santa Rosa
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
10
Age
Treated
Success with this Doc
Yes
Treatment
1 IUI
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Uterine Fibroids
10
[The staff at Advanced Fertility Associates] is well-verses in the ups and downs of fertility treatment. There were times that I was sure that my treatment failed, but they were really good in providing information on what could happen without giving me the sense of doom of a worst-case scenario that I often got with other doctors’ offices...There are two primary nurse coordinators, Natasha and Ashley. They are great.
+ Read more
Age
Treated
Success with this Doc
Yes
Race
East Asian
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Uterine Fibroids
10
Describe your experience with Advanced Fertility Associates.
It’s a small clinic with Dr Ratcliffe. I highly recommend it as she changed our protocol and helped us achieve our pregnancy on the first cycle, after 8 failed ivfs elsewhere. She knows what she is doing, and the office is also great. They also have different pharmacies they can use for meds, so that the costs are better with those options.
During treatment, did you feel like you were treated like a number or a human?
Dr Ratcliffe’s office is well-verses in the ups and downs of fertility treatment. There were times that I was sure that my treatment failed, but they were really good in providing information on what could happen without giving me the sense of doom of a worst-case scenario that I often got with other doctors’ offices.
Describe your experience with your nurse.
There are two primary nurse coordinators, Natasha and Ashley. They are great.
How was your experience with Jennifer Ratcliffe?
We are very happy with our experience with Dr.Ratcliffe - she is a knowledgeable Reproductive Specialist who got us pregnant on our first iui. Before her, we had eight IVFs with clomid or natural cycle with doctors in Europe and in SoCal and 3 miscarriages. She changed our treatment, as the clomid seems to work against you at a certain age (another doctor also confirmed it). She changed our protocol, and we were successful - I’m now 14 weeks along. She is extremely precise, although you will find out that it’s a small office and very busy. We are so grateful we found Dr Ratcliffe.
What one piece of advice would you give a prospective patient of Jennifer Ratcliffe?
She is very honest and direct.
Describe the protocols Jennifer Ratcliffe used in your cycles and their degree of success.
Lupron down regulation with gonadotropins
Describe the costs associated with your care under Jennifer Ratcliffe.
$400 per visit, approximately $2000 for IUi plus $1200 in meds
10
Doctor
Jennifer Ratcliffe
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Advanced Fertility Associates
Santa Rosa
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
0
Age
31 - 33
Treated
2012 - 2014
Success with this Doc
No
Treatment
4 IVF, 3 Egg Freezing
Diagnosis
0
I wasn't told that my protocol dosage had changed on two separate injectables. For 2 days I was injecting my self with the wrong hormone and wrong amount
+ Read more
Age
31 - 33
Treated
2012 - 2014
Success with this Doc
No
Race
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 2 Docs
Treatment
4 IVF, 3 Egg Freezing
Diagnosis
0
During treatment, did you feel like you were treated like a number or a human?
My husband and I were treated like a number. We felt like cattle and as if we were entering the tunnel of doom everytime we went to that office.
Describe your experience with your nurse.
Bonnie talks at you makes you feel incompetent. Poor communication skills and not patient at all.
What specific things went wrong at this clinic?
  • Failed to inform you of changes in protocol
  • Provided conflicting information
How was your experience with Jennifer Ratcliffe?
When your struggling with infertility your extremely sensitive and once your in cycle times that by 10! This woman never showed empathy or good bed side manner. Very short with us. Seemed annoyed when questions were asked. I always felt uncomfortable but we felt stuck since she was the only local fertility doctor. My husband and I couldn't afford a commute. She made our experience so much worse then it needed to me. Certain interactions I remember with her still make my stomach churn.
What one piece of advice would you give a prospective patient of Jennifer Ratcliffe?
Please don't give this Doctor your money. She treats her patients so badly. There are other choices in S.F.
0
Doctor
Jennifer Ratcliffe
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
0
Clinic
Advanced Fertility Associates
Santa Rosa
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
4
Age
31 - 32
Treated
2010 - 2011
Success with this Doc
No
Treatment
6 IUI, 1 IVF, Egg Freezing, Donor Eggs, Surrogacy
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Tubal Blockage, Unexplained
4
They didn't put me down for one of my appointments. I have had to hound them for a copy of my file and pay for it.
+ Read more
Age
31 - 32
Treated
2010 - 2011
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Accountant
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
6 IUI, 1 IVF, Egg Freezing, Donor Eggs, Surrogacy
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Tubal Blockage, Unexplained
4
During treatment, did you feel like you were treated like a number or a human?
Dr. Ratcliff pushed her own agenda and disregarded our wishes for our treatment. Once we needed egg donors, she became disinterested in our treatment, ignoring emails or blowing us off. She is very blunt. So if you are an easy case that doesn't need much help and don't mind very blunt conversations, she is ok. Otherwise, go elsewhere.
Describe your experience with the nursing staff.
They were all really kind, but terrible at blood draws.
What specific things went wrong at this clinic?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Lost appointments
  • Failed to call with results
  • Lost results
  • Provided conflicting information
  • Failed to convey critical information
How was your experience with Jennifer Ratcliffe?
Very blunt. Funny. Prefers easier cases that won't hurt her numbers. Good communicator if she thinks you are worth her time.
What one piece of advice would you give a prospective patient of Jennifer Ratcliffe?
Don't take the bluntness personally and if you don't get pregnant quickly, find a bigger clinic.
4
Doctor
Jennifer Ratcliffe
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
4
Clinic
Advanced Fertility Associates
Santa Rosa
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
4
Age
31 - 32
Treated
2010 - 2011
Success with this Doc
No
Treatment
4 IUI, 1 IVF, Egg Freezing, Donor Eggs, Surrogacy
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Unexplained
4
Some of the staff [at Advanced Fertility Associates] had organization issues. They were also terrible at blood draws. The average number of sticks per draw was 4. They failed to provide a pain killer for a procedure that they admitted they normally provide. It was one of the most painful experiences of my life and it was dismissed with a laugh. This after the doctor forgot I had just come from the procedure.
+ Read more
Age
31 - 32
Treated
2010 - 2011
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Accountant
Order & Number of Docs Seen
1st of 2 Docs
Treatment
4 IUI, 1 IVF, Egg Freezing, Donor Eggs, Surrogacy
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Unexplained
4
During treatment, did you feel like you were treated like a number or a human?
It is a small group, so they treat you like a human. She doesn't candy coat things though, which can be off putting.
What specific things went wrong at this clinic?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Lost appointments
  • Failed to call with results
How was your experience with Jennifer Ratcliffe?
She is very straight forward, doesn't sugar coat. She also pressured us to try treatments we had no interest in, at which point she seemed to lose interest in helping us. She offered to help vet egg donor candidates, but when it came time, she blew us off.
What one piece of advice would you give a prospective patient of Jennifer Ratcliffe?
She is good if you have simple issues, otherwise, go elsewhere.
5
Doctor
Jennifer Ratcliffe
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
4
Clinic
Advanced Fertility Associates
Santa Rosa
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less