Dr. Philip Chenette

Fertility Medicine
San Francisco, CA
40 years experience male

Locations

Pacific Fertility Center

San Francisco, CA

Address

55 Francisco Street, Suite 500, San Francisco, CA
Directions

My office hours

Thursday: 7:00am - 5:00pm
Show more

About

Bio

Dr. Chenette is a Medical Director at Pacific Fertility Center in San Francisco. Dr. Chenette is rated as one of the “Best Doctors in America” by his peers and is a recognized "Top Doctor" in the national Consumers’ Checkbook “Guide to Top Doctors” and “America’s Guide to Top Obstetricians and Gynecologists”. Dr. Chenette is a past recipient of the American Fertility Association’s (AFA) prestigious Family Building Award. The University of California San Francisco (UCSF) appointed Dr. Chenette to Assistant Clinical Professor with the Volunteer Clinical Faculty (VCF) in Obstetrics, Gynecology, and Reproductive Sciences. Dr. Chenette’s compassion and experienced approach to treating complex infertility conditions places him among the very best fertility doctors in the nation. A native of the Chicago area, Dr. Chenette is an internationally recognized Board Certified specialist in Reproductive Endocrinology and Infertility that trained under the pioneers of oocyte donation. His work on ovarian stimulation techniques and preparation of the uterus for oocyte donation has been internationally quoted. He obtained his MD degree from Indiana University Medical School in 1983 and was selected to participate in the National Institutes of Health (NIH) Clinical Scholars Program. After completing residency training at Magee-Women’s Hospital of the University of Pittsburgh in 1987, Dr. Chenette completed fellowship in Reproductive Endocrinology and Infertility at the University of Southern California (USC) in 1989. After fellowship, he was appointed to the teaching faculty at Northwestern University in Chicago. Dr. Philip Chenette has spent the last twenty years specializing in the treatment of patients with complex infertility diagnoses, especially in women with decreased ovarian reserve, and women over 40. Throughout his career, Dr. Chenette has dedicated himself to the pursuit of excellence in medicine. In his free time, Dr. Chenette enjoys photography and videography, playing the piano, oboe, and guitar, piloting a plane, bicycling, and skiing with his three daughters and lovely wife. Look for him at Shirley Lake!

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Fertility Medicine

Obstetrics and Gynecology

Reproductive Endocrinology and Infertility

Languages spoken

English

Doctor Q&A

304 Answers
33 Agrees
The number of answers this doctor has agreed with.
A 18-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Varies: Many reasons for spotting after ovulation. It can be normal, could come from the cervix, be related to intercourse, occur with implantation (rare), r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
6-12 months: If you believe you have a fertility problem, you should seek out an expert in fertility diagnosis and treatment. In women under 35, common guidance i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
27 mg per day: In pregnancy a woman needs 50 % more iron. 27 mg is more than most diets supply. Good idea to supplement iron in pregnancy.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Yes: Hcg, a pregnancy hormone, stimulates the thyroid gland mildly, and some of the steroid hormones, like estradiol, increase thyroid binding proteins. B... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Yes: Clomiphene and HCG are both used to treat some forms of male infertility.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Detergents: Spermicides are detergents that disrupt the sperm membranes.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
A few minutes: Ovulation is an event that lasts a few minutes, as the egg is released from the ovary. Preparation for ovulation and for pregnancy takes quite a bit ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Clinical: The signs the a clinician would see with multiples are a uterus that is enlarged beyond dates, symptoms of pregnancy that are stronger than average, a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Pituitary and ovary: The pituitary hormones FSH and LH help the egg sac, or follicle grow and mature. A sudden surge of LH induces ovulation. The ovary produces estradio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Hormone detection: Ovulation kits detect a surge in lh, luteinizing hormone associated with ovulation. The more expensive kits also test for estrogen, which rises a few... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Stress release: A therapist can help relieve feelings of pressure and stress, and help address problems with anorgasmia, erectile dysfunction, lack of interest, and s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
No effect: Multiple pregnancy happens naturally in two ways, ovulation of more than one egg, or an embryo split. Neither of these is affected by diet.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
1-10 years: Tubal ligation is very effective, but not foolproof. Conception after tubal ligation occurs in less than 1 percent of women. Tubes can come untie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
POF is low eggs: Premature ovarian failure is the loss of the eggs the ovary before age 35. Eggs are a limited and valuable resource. The number is set at birth at ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
One day: Ovulation is a one-day, one time event each month. A woman's fertile period, on the other hand, lasts 3-7 days, or more, since sperm can remain viabl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
20-80 %: Younger women, given time, can achieve very good pregnancy rates after tubal reversal. Over age 40, successes are rare.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
TSH above 2.5: For women that are pregnant, studies indicate an increase in miscarriage rates in women with TSH of 2.5-4.5. http://bit.ly/xfcrsy this data is prel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Yes: Good treatment is available!
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Egg production: Dhea might help improve egg yield. While data remains limited, it seems clear that androgens, male hormone, help sensitize follicles to stimulation. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Basal Body Temp, BBT: Bbt, basal body temperature, is a woman's temperature at baseline, first thing in the morning, before arising out of bed. Bbt tends to be low in th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
No: Not really, not reliably enough to depend on it.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Diverse diet: Progesterone is formed internally from cholesterol in the ovary. Progesterone levels depend on effective ovulation. Low fat diets can lower Progeste... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Progesterone varies: Progesterone levels bounce around throughout the day, depending on day of the cycle and pituitary stimulating hormones. While a Progesterone level... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Yes: Stress is a factor in sperm production and delivery. Stress centers in the brain reduce FSH and lh, the hormones that trigger sperm production. Stre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
A dying art: Tubal reanastomosis is a dying art. The lab procedures of ivf have improved so much that a tubal reanastomosis is not often performed. Check with an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Day 12-15: A woman's fertilite period begins about the 10th day after the start of the menstrual cycle. Ovulation, release of the egg, usually happens about day... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Depends on age: A young woman will often conceive within 3-4 months of starting fertility pills. In older age groups it can take quite a bit longer.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Multiple eggs: The gonadotropins are relatively free of symptomatic side effects, the most being ovarian enlargement from follicle growth. This can lead to feelings... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Yes: Yes, though Prometrium (micronized progesterone) is usually taken after ovulation, to support pregnancy.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
When you are ready: Ivf offers the best chance of conception for most couples with fertility problems. In general pregnancy rates are 5-10 times the natural conception r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
1-2 weeks: Most women are up and about in 1-3 days after reversal of a tubal ligation. Full recovery takes 6 weeks.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
By injection: Gonadotropins are fertility hormones used to stimulate ovulation. They are taken by subcutaneous injection.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Side effects: Side effects of Progesterone are usually mild, such as fatigue, sleep disturbance, and delayed menses. More serious side effects are rare.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Yes: As long as one fallopian tube is open, pregnancy is possible.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Yes: There is a big difference between the hormone induced changes in the uterine lining that induce a period and the mechanical act of releasing an egg, o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Semen analysis: The most common tests are the sperm count, motility and volume. Multiplying these together givens the total motile count (tmc). Other important para... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Talk with your REI: Pain can be minimized with careful management. Talk to your doctor about reduced stimulation, managing the procedure of egg retrieval, and post-retri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
2-4 weeks: Everyone is a little different, but ovulation usually resumes quickly after a miscarriage. Expect 2-4 weeks with a menstrual flow in 4-6 weeks.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Yes: Pregnyl is hcg, the pregnancy hormone. Yes, it can occasionally cause symptoms that duplicate a pregnancy. Since it is most often used near ovulatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Happens all the time: Eggs are picked up by the fallopian tube and if not fertilized melt away. A fertilized egg, or embryo, can get caught in a blind cul de sac in the fa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Embryo into tube: Zygote intrafallopian transfer (zift) is placement of an embryo into the fallopian tube, usually under laparoscopic guidance. Zift is now rare, sin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Find a reason why: Treatment of heavy bleeding, menorrhagia, depends on the cause. Some women simply have a thick uterine lining, others have fibroids or polyps. Ovulati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
IUI: Most inseminations are by iui, intrauterine insemination. Iui usually feels about like a pap smear. The sperm sample is prepared by spinning and was... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Let your doctor know: Men can usually collect a sample on the net day after a nocturnal emission. The sperm counts may be lower than expected, but the quality and performa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Yes: Yes, most women can conceive after removal of an iud. Age, tubal status, and sperm quality all affect success rates, so check in with your fertility ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Check in the AM: Check your temperature every morning before getting out of bed. Look for a temperature drop, usually around d12-13, and then a half degree temperatur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Full evaluation: The most common problem is not getting your questions answered. If you are under 35 and have tried for a year, or over 35 and 6 months, or anytime... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Apoptosis: If not fertilized, the egg melts away.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
Risks of multiples: The risks of multiples are sobering. There is a higher risk of preterm labor and birth defects. Cerebral palsy is 6 times more common with multiples... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Philip Chenette
Fertility Medicine 40 years experience
No: Removal of the fallopian tube, salpingectomy, is a separate procedure from an oophorectomy, removal of the ovary. A diseased fallopian tube can be tr... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
714
Thank you notes
Nov 1, 2012
Dr. Chenette appears very knowledgeable and I like his answers. He's spot on with his comments, very easy to agree with.
HealthTap member
Mar 30, 2015
Dr. Chenette is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Chenette is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! Dr. Philip I'm in my lated 40's and I missed my period last month but got it this month. Been experiencing pregnancy symptoms like crazy. The nausea, tender brests, freq...Read More
HealthTap member
Thank you, your answer was very helpful! Thank you doctor, I feel I may need a hysteroscopy next just to rule out endometriosis ect. As the embryos seem high quality??
HealthTap member
Thanks for your quick reply! This happened b4 got BFP to but mnth conceived I didnt get any dark discharge. Wonder low progestesterone?

Education & Training

Medical/Graduate school

Indiana University School of Medicine, IN
Graduated 1983MD

Residency

MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM

Awards

Family Building Award (AFA)
Fertility Doctor of the Month (Fertility Authority)
Top Doctor in Consumers' Checkbook Guide to Top Doctors

Affiliations

Pacific Fertility Center
California Pacific Medical Center
University of California San Francisco
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