Ratings of 1 indicate that a clinic was poorly operated.
Ratings of 10 indicate that a clinic operated very well.
Scheduling
9.1
9.1
Scheduling
Ratings of 1 mean it was difficult to schedule appointments with this clinic.
Ratings of 10 mean it was easy to schedule appointments.
Billing Department
8.4
8.4
Billing Department
Ratings of 1 indicate an unsatisfactory billing department.
Ratings of 10 indicate an excellent billing department.
Nursing Team
8.9
8.9
Nursing Team
Ratings of 1 indicate an unsatisfactory nursing team.
Ratings of 10 indicate an excellent nursing team.
Attention to Detail
8
8
Attention to Detail
Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.
For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.
CDC Success Rates
This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
Dr. Mesen is "no nonsense", which can be hard for patients who care a lot about their doctor being warm. He always makes sure he listens and explains everything in detail. He always responds to my emails and has called me back to go through questions I had several times...He recommended 3 IUI cycles before considering IVF, as the overall success rate of IUI for women with endometriosis is around 40%
[nurses of Carolinas Fertility Institute] They are responsive (more by email than phone) and explain everything. Some of them are no nonsense, similar to Dr. Mesen, and some are very warm...clinic's strength is its high success rate and being a little more affordable for out-of-pocket patients than other providers in Charlotte...We're planning on doing a laparoscopy with a specialist next and then up to two more cycles of IUI ($1,000 each) before moving on to IVF ($13,000 per cycle plus genetic testing, $4,000).
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen is "no nonsense", which can be hard for patients who care a lot about their doctor being warm. He always makes sure he listens and explains everything in detail. He always responds to my emails and has called me back to go through questions I had several times. I trust that he knows what he's doing.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
If you're looking for someone warm and fuzzy, Dr. Mesen is not the right doctor for you, but if you like straightforward information and a no nonsense attitude, he's the right guy. I appreciate the direct approach, but I know not everyone is in the same boat.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
The team takes a little bit to warm up to new patients I feel, but once we started treatment, they were very nice and explained everything in detail. Dr. Mesen and his staff have always been easy to reach and answer all my questions.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
We're in the early stages of treatment with having attempted 2 IUIs (one was canceled as the ultrasound only showed one ripe follicle). The second IUI went ahead but was unsuccessful. We then moved to a medicated cycle because the COVID-19 pandemic started and we weren't able to start a new IUI cycle. He recommended 3 IUI cycles before considering IVF, as the overall success rate of IUI for women with endometriosis is around 40%. We are paying out of pocket, so he was very cognizant of using the more affordable types of treatments first before moving to IVF. So far, I have not gotten pregnant on two medicated cycles (the canceled IUI turned into a medicated cycle with timed intercourse) and one IUI cycle.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
The nursing staff is great. They are responsive (more by email than phone) and explain everything. Some of them are no nonsense, similar to Dr. Mesen, and some are very warm. Overall, they're a great team.
Describe your experience with Carolinas Fertility Institute.
I think the clinic's strength is its high success rate and being a little more affordable for out-of-pocket patients than other providers in Charlotte. I know they see a lot of patients, but during my first appointment, I felt a little "under-appreciated" as a patient, maybe because they weren't sure if I would continue to do treatment, or maybe it was just an "off" day, because this all changed once I started treatments. Everyone has been very nice since.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
So far, I've had diagnostic procedures that were covered by my insurance, a diagnostic test for my husband ($150), medication ($150), and one cycle of IUI ($1,000).
We're planning on doing a laparoscopy with a specialist next and then up to two more cycles of IUI ($1,000 each) before moving on to IVF ($13,000 per cycle plus genetic testing, $4,000).
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
As someone with endometriosis, I have a much higher risk of unsuccessful implantation as well as miscarriage. Accordingly, I'd absolutely prefer a multiple embryo transfer. I know this is more risky, as it could lead to multiples, but it should be the patient's decision ultimately.
He [Dr. Mesen] is very educated and stays up to date on the most up to date research and treatment for infertility...He has a good bed side manor and was able to offer comfort when needed. He was willing to think outside the box and never once gave us any indication to give up hope...There were times where he was very blunt...but over time I really appreciated and looked forward to the bluntness because I felt like I was getting accurate advice and information
be patient with [Carolinas Fertility Institute] staff who may not always have the best communication and bedside manner, and to give Dr. Messen and chance as a provider...over all they were friendly, welcoming, and helpful. The facility is easy to access and very clean and organized...[cost] was significantly more reasonable than other options in our area, which is why we chose CFI in the beginning.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
There were times where he was very blunt about what we were going through, but over time I really appreciated and looked forward to the bluntness because I felt like I was getting accurate advice and information. He has a good bed side manor and was able to offer comfort when needed. He was willing to think outside the box and never once gave us any indication to give up hope. He kept us going and hopeful throughout the whole process. He is very educated and stays up to date on the most up to date research and treatment for infertility.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
To be patient with his staff who may not always have the best communication and bedside manner, and to give Dr. Messen and chance as a provider. Also, don't get taken aback if he is really blunt, it's not always, but when it is, it's to make sure you're aware of the risks/limitations of a situation or treatment.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
He was very compassionate, took his time every appointment to talk about my concerns and answer my questions. He had a good sense of humor in appropriate times, and also offered comfort and heart to heart talks with myself and my husband when we were emotionally struggling with the process.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
In the beginning it looked like we were faced with unexplained infertility. So we were doing 3 cycles (if needed) of clomid, trigger shot, and IUI. We became pregnant on the first IUI, but miscarried at 9 weeks. He had us do a D&C and test the fetus to gain insights to the loss. Too many of my cells were pulled with the sample so the results were inconclusive. Prior to starting treatment with Dr. Messen I had fibroids and one hysteroscopy. With Dr. Messen I ended up needing several other hysterocopy procedures spaced out between all of our IUI attempts. Our second IUI protocol had no positive pregnancy, we got pregnant again on the 3rd IUI and miscarried again at 7 weeks. Once again we tested the fetus, the cells determined it was normal, so he order genetic testing. Found out I had a blood clotting issue only when pregnant so wanted me to do do heparin injections when I did get pregnant. We did a 4th IUI with no pregnancy and on the 5th IUI I had a positive pregnancy. I'm at 28 weeks and still on blood thinners, also discovered a thyroid issue and am treated for that.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
There was one nurse in particular that I felt was rude and dismissive at times. She wasn't the best at communication and I often felt like she was lying about following through with requests. At one time I thought about changing clinics because of her, but I started working with her less, and I really didn't want to stop my treatment with Dr. Messen
Describe your experience with Carolinas Fertility Institute.
At times communication and follow through were poor from the staff, but over all they were friendly, welcoming, and helpful. The facility is easy to access and very clean and organized. If you're wanting to do IVF the retrieval and transplantation is done at another location about an hour away. However, IUI's and other procedures are done in office.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
it was significantly more reasonable than other options in our area, which is why we chose CFI in the beginning.
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
N/A
What specific things went wrong at Carolinas Fertility Institute?
Failed to call in prescriptions to pharmacy
Failed to call with results
Describe the specific things that went wrong at Carolinas Fertility Institute.
I missed a cycle or two because I didn't get a call back in time to instruct me on how to do something, and another time because a refill wasn't called in on time.
Mesen has not been in communication since the initial consult or exam. The initial consult he explained stats show woman my age cannot bear children and that he repeated asked if I still have a period. I expressed every 26 days faithfully. He was then asked if I was sure, implying I'm lying. It was very uncomfortable to be challenged by my responses...Visiting mesen was a horrible experience.
The intake process was slow. There's was a 3 month waiting period for an appointment [at Carolinas Fertility Institute]. Then the email sent expressed online form completion after such the staff threatened to cancel my appointment if I did not provide partners medical history after expressing a donor may be used. Then once initial consult was completed I have not received any information for next steps. Just visit over
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Mesen has not been in communication since the initial consult or exam. The initial consult he explained stats show woman my age cannot bear children and that he repeated asked if I still have a period. I expressed every 26 days faithfully. He was then asked if I was sure, implying I'm lying. It was very uncomfortable to be challenged by my responses. Then he expressed that my obgyn doctor did not leave notes in my file and he could not find any information on me. However, I was able to login to my portal and share her findings stating that 5 small fibroids were found not prohibiting pregnancy or implantation . Then he expressed during the exam he found a fibroid on my uterus and inside and no explanation of lab results, no follow up. Since then my new fertility specialist has identified the same fibroids my obgyn did and expressed that they were not in a detrimental location and inside the uterus which is common Visiting mesen was a horrible experience.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Don't go if over 40 and black
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
He emphasize that I am too old for him to assist in fertility and that I am unsure if I still have a period
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
I was never contacted back by anyone. My visit was April 5th and today is April 26. I sent my lab results to another facility to get an explanation and followup appointment.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
When drawing blood the nurse stuck me 3 times in one arm then quit when I expressed it hurt. She then quit and called for help. The other nurses came in stuck my other arm first try and told me look into portal for results. I asked about a follow up appointment. She said she didn't know just wait for results. When I called two weeks later the staff said doctor is unavailable and on vacation.
Describe your experience with Carolinas Fertility Institute.
The intake process was slow. There's was a 3 month waiting period for an appointment. Then the email sent expressed online form completion after such the staff threatened to cancel my appointment if I did not provide partners medical history after expressing a donor may be used. Then once initial consult was completed I have not received any information for next steps. Just visit over
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
N/A
What specific things went wrong at Carolinas Fertility Institute?
Failed to call with results
Failed to inform you of changes in protocol
Failed to convey critical information
Describe the specific things that went wrong at Carolinas Fertility Institute.
As previously expressed I have been contacting the clinic and received no information
I never met Dr Mesen I worked with his nurse practitioner each time. They were all different each time. I wish I would have at least spoken with him at my consultation but he was in another city...I only dealt with the nurse practitioner. Each time there was a different nurse practitioner and they were not familiar with my plan or with which tube was blocked. They were all very friendly and answered all my questions and addressed my concerns each time.
The nursing staff [at Carolinas Fertility Institute] was nice. They answered all my questions in a way I could understand. They also addressed all my concerns. They could have done a better job of reading up on the history of the patient before seeing them...New patient consult has a long wait. Staff is friendly. They are all helpful. They do a good job of fitting you in for your needed appointments. When you call them you usually have to leave a message and they pretty good about calling you back.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
I never met Dr Mesen I worked with his nurse practitioner each time. They were all different each time. I wish I would have at least spoken with him at my consultation but he was in another city. I believe the Charlotte office just had the nurses running it.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Make sure you ask a lot of questions and you are able to advocate for yourself.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
I only dealt with the nurse practitioner. Each time there was a different nurse practitioner and they were not familiar with my plan or with which tube was blocked. They were all very friendly and answered all my questions and addressed my concerns each time.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
We did timed intercourse because my husbands sperm numbers were excellent. I took letrozal on cycle days 3-7 and then was checked mid cycle. One of the 4 times we did a trigger shot. This was because if I was ovulating on my blocked side we didn’t want to spend the money on that.
Describe your experience with your nurse at Carolinas Fertility Institute. (Assigned nurse: Beverly Huegel )
The nursing staff was nice. They answered all my questions in a way I could understand. They also addressed all my concerns. They could have done a better job of reading up on the history of the patient before seeing them.
Describe your experience with Carolinas Fertility Institute.
New patient consult has a long wait. Staff is friendly. They are all helpful. They do a good job of fitting you in for your needed appointments. When you call them you usually have to leave a message and they pretty good about calling you back.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
For each mid cycle ultrasound after insurance I paid around 160. I also had an HSG which after insurance was around 300. My trigger shot was $100 and the letrozal was $5 after insurance at CVS
What I liked about Dr. Mesen is that he would do any testing that would be needed to make sure there isn’t an issue. He would also be very honest in everything I asked or had concerns about. He is very knowledgeable in his work. Since he doesn’t do the actually egg retrievals and embryo transfers, I sometimes wonder if that can cause any drift in the whole process from start to finish...I felt like I was treated like a human but I also know how extremely busy the clinic was with all the patients they were seeing daily so at times my appointment seemed rushed.
The nurses [at Carolinas Fertility Institute] were very compassionate abs helpful. If I had any questions or concerns they would get back to me at the earliest convenience even if it was after work hours or on a weekend...The clinics strengths is making appointments that best suits your schedule. CFI was always clean and approachable. One of the weaknesses I think in my opinion was the turn around rate for the employees at the front desk. They seem to always have new employees so often.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
What I liked about Dr. Mesen is that he would do any testing that would be needed to make sure there isn’t an issue. He would also be very honest in everything I asked or had concerns about. He is very knowledgeable in his work. Since he doesn’t do the actually egg retrievals and embryo transfers, I sometimes wonder if that can cause any drift in the whole process from start to finish.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
I would let the prospective patient know that there are thousands of other people in the same situation and as much as you’d want that outcome to be in your favor, every individual has their own timing and plans that will happen according to how it should.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
I felt like I was treated like a human but I also know how extremely busy the clinic was with all the patients they were seeing daily so at times my appointment seemed rushed.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
07/11/18 - CFI Appt. - 1st Cons/US/Bloodwork
08/17/18 - BloodTest for my spouse (Alpha Thalsemia)
08/31/18 - CFI Appt. - Saline US
09/10/18 - Started Vivelle Patches till 9/18
09/18/18 - CFI Appt. - Baseline US/Med Cons
09/19/19 - Start STEM meds
09/21/18 - CFI Appt. - Blood work 4 both & US
09/24/18 - CFI Appt. - US/Sample/Bloodwork
09/24/18 - Increase Gonal to 300
09/25/18 - Start Cetrotide Meds
09/26/18 - CFI Appt. - US & Bloodwork
09/26/18 - Decrease Gonal to 262
09/27/19 - Take Trigger shot & stop STEM med
09/29/18 - Egg Retrieval
10/12/18 - Start Patch & Estradiol Pill
10/22/18 - CFI Appt. - US & Bloodwork
10/25/18 - Start Progesterone Shots
10/28/18 - Start Methlyprednisolone Pill (4)
10/30/18 - Embryo Transfer
11/7/18 - CFI Appt. - 1st Pregnancy Test🚫
11/13/18 - Start Patch & Estradiol Pills
11/20/18 - CFI Appt. US
11/28/18 - CFI Appt. - ERA Biopsy (normal)
1/7/19 - Start Birth Control Pills
1/16/19 - CFI Appt. - SHG US
1/30/19 - Hysteroscopy Surgery
1/31/19 - Stop taking B.C Pills
1/31/19 - Start taking Estradiol Pills (30 days)
2/7/19 - HSG X-Ray on Follicle Tubes
2/21/19 - Start taking Provera Pills (10 days)
3/2/19 - Last day to take Estradiol & Provera
3/3-3/9: Accidentally took 1 week of Estradiol do it the nurse not notifying me when to stop.
3/10/19 - Stopped Estradiol pills
3/11/19 - Start Estradiol pills & Patch
3/13/19 - CFI Appt. - Follow up US on uterus
3/20/19 - Hysteroscopy @9am
3/21/19 - Start Provera Pills (5 days)
3/22/19 - Stopped Estradiol pills & Patches
3/28/19 - Start Estradiol pills & Patches
4/8/19 - CFI Appt. - Follow up US on uterus
4/12/19 - Start Progesterone Shots @8am
4/15/19 - Start Medrol pills (2x/day for 4 days)
4/17/19 - Embryo Transfer @11am
4/25/19 - Pregnancy Test😊 (40)
4/29/19 - Pregnancy Test😞 (17)
4/30/19 - Stopped all meds
4/6/22 - Consultation Appt. to do IVF again.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
The nurses were very compassionate abs helpful. If I had any questions or concerns they would get back to me at the earliest convenience even if it was after work hours or on a weekend.
Describe your experience with Carolinas Fertility Institute.
The clinics strengths is making appointments that best suits your schedule. CFI was always clean and approachable. One of the weaknesses I think in my opinion was the turn around rate for the employees at the front desk. They seem to always have new employees so often.
Describe your experience with your monitoring appointments at Carolinas Fertility Institute.
I could go for monitoring as long as it was during business hours they were open.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
Since this was covered under my husbands insurance, I paid around $3K to $3,500 out of pocket. Every time I was told to do any type of testing, I would get a prior authorization.
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
The first time I did IVF, I wanted twins. I didn’t do the genetic testing because I was younger at the time so they transferred two embryos for the first abs second transfer. Now that I’m going to do IVF again I will definitely do the genetic testing and if I have any good quality embryos out if that, I plan to inky have one embryo transferred at a time since the health risk and pregnancy is lower than transferring multiples.
What specific things went wrong at Carolinas Fertility Institute?
Failed to convey critical information
Describe the specific things that went wrong at Carolinas Fertility Institute.
I took an extra week of estradiol because the nurses never told me when to stop taking it.
Dr. Cain had a clear and cognitive plan for us...At the end of the consultation, she provided me her email, after hours phone number...I feel I can reach her anytime...she answers in a timely matter....She rec'd to immediately begin treatment, as long as I was ready. I loved that...made sure to reach out to me personally by phone to make sure I was mentally fine, and to walk me through any process or concern I had...She has given my husband and I HOPE that we CAN get pregnant
nurse practitioner [at Carolina Fertility Institute - Charlotte] Ashley showed tremendous amount of care and sympathy. Ashley would call me with my blood results and provide me with next steps. She was clear and precise. I always knew what my next steps were...I chose the Charlotte location, which does NOT have many doctors like their Winston Salem location...clinical staff knew who I was before I signed in. I loved the fact that at each visit the waiting room was not full. I liked the privacy
How was your experience with Kristen Cain at Carolinas Fertility Institute?
Dr Cain has exceeded our expectations! After 2 failed IUI's, within 2 years; at another fertility institute, I felt pretty defeated. At my initial consultation with Dr. Cain, I thought she expressed sympathy and listened to what I had to say, and took my feelings and frustrations to heart. My Journey has been 3 years in the process, and she definitely took that into consideration, I feel like now I have options. We both basically got down to it, and she expressed a clear and cognitive plan. At the end of the consultation, she provided me her email, after hours phone number, and I feel she has done more at her first initial visit than what was done for 2 years at another fertility office.
I have unexplained infertility. I had an HSG, both tubes were good. I had a hysteroscopy to remove 2 polyps at my first fertility clinic. Dr Cain and I decided to move forward with an IUI w/ femara 5 mg and trigger shot, all which I was pretty familiar with. She rec'd to immediately begin treatment, as long as I was ready. I loved that. Why waste time?
Dr Cain did all my ultrasounds to measure my follicle size and
to determine when I will ovulate, and trigger. I saw the same lab tech that drew my blood. At each appointment I left pretty content, encouraged, and pretty realistic that my time will come.
On the day of my last ultrasound on cycle day 16, I had a pretty good follicle size on my right side, she instructed me to go ahead and trigger and than come in 36 hrs later for my IUI. My husband and I were pretty happy as we have never achieved a follicle size that big!
On the day of my IUI, my husband provided his sperm and my IUI was performed an hour later. Dr Cain was very encouraging, while leaving the office everyone expressed positive vibes.
Two weeks later I had a positive test result! we were ecstatic, but also optimistic due to failed IUI's. I had blood work done my hcg #'s were pretty low, and I would go in every 2-4 days for blood work, and than on my 6 week pregnant mark, I went in for my ultrasound, and sadly a sac was not visible, Dr Cain was very upfront about her concerns with the pregnancy, she expressed such sympathy, I felt she was very concerned with my mental, and physical well being, as I will be experiencing my first miscarriage. I knew she was going to do whatever she can to help us get pregnant! I was told it was a biochemical pregnancy. She followed up with e-mails, and called me personally to walk me through what I may experience in the days ahead.
With this being said, Dr Cain is not just my fertility Dr, she is my friend. I know I can always e-mail or call her anytime of the day and she answers in a timely matter. She has given my husband and I HOPE that we CAN get pregnant, as we did! even though it ended in a miscarriage, we developed new connections with people that I know are on our side. We are definitely going to continue with treatments at CFI and I know one day, our Journey will be reached.
What's one piece of advice would you give a prospective patient of Kristen Cain at Carolinas Fertility Institute?
She is not only going to be your Dr, you will also gain a friend.
Very easily accessible, and willing to listen and help.
During treatment, were you treated like a number or a human with Kristen Cain at Carolinas Fertility Institute?
Hello,
My experience with Dr. Cain has exceeded my expectations.
The first day My Husband and I visited CFI, and had a consultation; Dr. Cain
had a clear and cognitive plan for us. Dr. Cain
listened first and foremost to our individual journey. I immediately had a sense of a warm, and welcoming introduction to CFI. Therefore; My husband and I felt like family, instead of a "number". Through-out Our Journey with our first IUI with Dr Cain, she personally gave us her phone number where we can reach her after hours. When we had our first ultrasound at 6 weeks, it was determined that I would be experiencing my first bio-chemical miscarriage, as the ultrasound did not show a Sac. Dr . Cain made sure to reach out to me personally by phone to make sure I was mentally fine, and to walk me through any process or concern I had. Till this day, I feel I can reach her anytime.
Describe the protocols Kristen Cain used in your cycles at Carolinas Fertility Institute and their degree of success.
With my IUI, she prescribed femara 5 mg. The rationale for using femara is I was previously on Clomid and had a bad experience (with my 2 IUIS).. I had hot flashes, acne, and over stimulated ovaries. With Femara I had little to no side affects.
Describe your experience with your nurse at Carolinas Fertility Institute. (Assigned nurse: Ashley)
Dr Cain's nurse practitioner Ashley showed tremendous amount of care and sympathy. Ashley would call me with my blood results and provide me with next steps. She was clear and precise. I always knew what my next steps were.
Describe your experience with Carolinas Fertility Institute.
CFI has 2 locations. When i called to make a consultation appointment I was given the option to choose location and doctor. I did my research prior and knew who I wanted to see. I chose the Charlotte location, which does NOT have many doctors like their Winston Salem location, so when I booked my consultation appt, it was pushed pretty far out. A highlight of my visits to the office is they clinical staff knew who I was before I signed in. I loved the fact that at each visit the waiting room was not full. I liked the privacy. The waiting room has a restroom, and also a coffee/ water bar. Their examinaton rooms were clean.
Describe the costs associated with your care under Kristen Cain at Carolinas Fertility Institute.
My insurance did not cover my IUI, or ultrasounds. So my out of pocket cost was $1000, which also covered my husbands sperm analysis, bloodwork, and medication.
Describe Kristen Cain's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
Dr. Mesen has always made it clear to us that he cares about us and cares that we get pregnant. He has always done everything possible to ensure the best results for us. When we lost our baby at 9 weeks in February, I could visibly see the impact it had on him and he was upset for us...He even provided me with his cell phone number so I could reach him after hours. This was a Godsend when I was roughly 6 weeks pregnant and began spotting. I reached out to him for assurance and he was there to tell me what to do. It was determined that I had an SCH and he moni
Our clinic [Carolinas Fertility Institute] does ICSI for all of their IVF protocol options. After the retrieval, they gave us the results of our 5 day embryos, then sent the best 8 off for genetic testing. (Our package only included payment for 8 embryos to be tested, but we could have done more if we wanted). We had retrieved 28 total embryos and had 21 make it to day 5. Of our 8 that were tested, we had 5 come back normal, 2 were mosaic and one was abnormal.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen has gone above and beyond to provide excellent care to my husband and I. He even provided me with his cell phone number so I could reach him after hours. This was a Godsend when I was roughly 6 weeks pregnant and began spotting. I reached out to him for assurance and he was there to tell me what to do. It was determined that I had an SCH and he monitored us every week until we ultimately lost our baby at 9 weeks. The compassion he showed during this time was amazing. He scheduled me for a D&C and when he assured me he would be performing it himself, I was so relieved. I have come to trust him more than any other provider I've seen and even somewhat dread the day we "graduate" from his clinic and I have to begin seeing someone else for prenatal care. Of course it will be very bittersweet because it will mean we finally have our miracle baby on the way.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
I would advise them to be open and honest about questions that you have and what your goals are. He is easy to talk to and if there is something you don't understand, he will make sure you do before he leaves the room.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen has always made it clear to us that he cares about us and cares that we get pregnant. He has always done everything possible to ensure the best results for us. When we lost our baby at 9 weeks in February, I could visibly see the impact it had on him and he was upset for us. Even at our follow up appointment, he said again how upset he is that it hadn't worked for us. He genuinely wants this for us and it's apparent in the care he provides.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
Our first 2 attempts were with IUI with Letrozole. We had originally planned to do a third course of IUI in which he had prescribed Clomid, to see if we could get better results. At this point, my husband and I inquired whether we could move forward with IVF instead, which we ended up doing, so we only did the 2 IUI's. For my retrieval, I was on Leuprolide, Menopur and Gonal-F which I understood was a pretty normal treatment protocol. I also had a dose of HGH for a trigger shot before retrieval. Leading up to retrieval, my husband and I were both on an antibiotic for roughly 4 days to ensure we remained healthy. We had decided on genetic testing and freeze-all. Our clinic does ICSI for all of their IVF protocol options. After the retrieval, they gave us the results of our 5 day embryos, then sent the best 8 off for genetic testing. (Our package only included payment for 8 embryos to be tested, but we could have done more if we wanted). We had retrieved 28 total embryos and had 21 make it to day 5. Of our 8 that were tested, we had 5 come back normal, 2 were mosaic and one was abnormal. Once we were ready for transfer, we moved forward with a genetically normal male 5AB graded embryo. 8 days after transfer, I went in to have the beta test done. My levels came back at 85. I went back 2 days later and they were 163 so I was officially pregnant.
Describe your experience with your nurse at Carolinas Fertility Institute. (Assigned nurse: Ashley Slifka)
The entire nursing staff at CFI has been phenomenal. Everyone from the girls at reception (Courtney and Kaitlyn) all the way to primary care coordinators (Ashley and Rachel) were amazing. They are friendly, know us by name when we walk in to the clinic, answer any questions we may have, return phone calls promptly and just provide amazing care 100% of the time. I really can't praise them enough. When we found out at our 9 week ultrasound that there was no heartbeat, the first person to hug me was the nurse who was in the room (and I can't for the life of me remember her name). When she wrapped her arms around me, it wasn't just a half-hearted hug from a random person, but it was a strong, heartfelt hug which was just what I needed in that moment. I could tell that the staff was impacted by our loss just as we were. I really love each and every one of the staff members there. And although Ashley was originally technically appointed as our "primary care coordinator", every person there has had an equal hand in our treatment and has meant just as much to us.
Describe your experience with Carolinas Fertility Institute.
The clinic itself is very welcoming, clean, professional and warm. I wouldn't say there are any weaknesses because although sometimes there are lengthy wait times, I would expect nothing less of a doctor's visit. Most of the times that we arrive, we are taken back in less than 10 minutes.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
Each round of IUI was $1,000 plus the cost of the Letrozole which I believe was minimal. The cost of our IVF which included retrieval, freezing embryos, a year of storage and genetic testing of 8 embryos was $14,025. They did end up giving us a discount since we wrote a check so it ended up being about $200 cheaper. The total cost of the stimulation meds was about $4,600. All labs that we had done prior to retrieval were not included in our package so we had to pay for them separately. We also did a screening for Cystic Fibrosis which was about $250. My results came back and stated I was a carrier so my husband then had to be tested for another $250. When it came time for transfer, that cost was $3,000. There have been many many lab appointments which usually run anywhere from $20-$60 each.
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
Because our embryos were genetically tested, we understood that there really was no need to transfer more than one embryo. I think it was as much our decision as it was Dr. Mesen's because we did not want a multiples pregnancy and with genetically tested embryos, we felt sure that transferring only one would yield the results we wanted.
What specific things went wrong at Carolinas Fertility Institute?
Failed to call with results
Describe the specific things that went wrong at Carolinas Fertility Institute.
When I went in for my first beta test, I was told I would receive a phone call the same day with the results. I never got the call and the next morning, I called them to see if the results were in and they were. However, I don't hold this against them for 2 reasons. The first being that we got the results we wanted, so I was over the moon excited. The second was that it was the first and only mistake they've made and we are all human and I'm not going to hold that against them.
I felt this MD [Dr. Mesen] has a "cookie cutter" approach to fertility. I was given instructions that literally didn't even apply to me...I felt this MD was treating me based on my insurance. during our first consultation, he literally insulted my insurance in front of me! Called them "such a pain". I don't think he was invested in me as a patient because my insurance was not the VA...Infertility is heartbreaking enough without having to deal with MD's worried about insurance compensations determining level of treatment.
weakness [at Carolinas Fertility Institute]: treating patients based on their insurance status...strengths: nurses were very nice, compassionate. MD could spend more time learning about the patient and their infertility issues BEFORE prescribing a method...the nurse that drew my blood was absolutely awesome. At the end of my last visit, I was so upset and unsatisfied. She talked to me while drawing blood and I didn't even notice the needle or the draw. Anytime I had a questions, the nurses called me back promptly.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
I felt this MD was treating me based on my insurance. during our first consultation, he literally insulted my insurance in front of me! Called them "such a pain". I don't think he was invested in me as a patient because my insurance was not the VA. To all Veterans, when the VA recommends this office first, please ask for their second. If he doesn't think he can treat veterans fairly or want to deal with the VA, he should have himself removed from their list. Infertility is heartbreaking enough without having to deal with MD's worried about insurance compensations determining level of treatment.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Veterans, when the VA recommends this MD to you. Please ask for second on their list. To him, dealing with the VA is a pain. So who wants a MD that sees you as "a pain" to them. Also, you will be in a billing battle. They put me down as self pay and I have received all the bills for outside facilities (labs and ultrasounds). Ironically, his office visit bills made their way to the VA for processing and not to me and collections.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
I felt this MD has a "cookie cutter" approach to fertility. I was given instructions that literally didn't even apply to me. When that didn't work, I asked him were we still on that paper, he nonchalantly said, "oh, we're way off that." I felt like he was backtracking and treating me after his first solution didn't work. When my condition and unique situation could have been talked about and treated properly the first time.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
the nurse that drew my blood was absolutely awesome. At the end of my last visit, I was so upset and unsatisfied. She talked to me while drawing blood and I didn't even notice the needle or the draw. Anytime I had a questions, the nurses called me back promptly.
Describe your experience with Carolinas Fertility Institute.
weakness: treating patients based on their insurance status. Simply stated: VETERANS AVOID THIS CLINIC. its not worth the added headache.
strengths: nurses were very nice, compassionate.
MD could spend more time learning about the patient and their infertility issues BEFORE prescribing a method.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
I am in collections because of this office. This MD cost me my first experience with a fertility specialist. I'll never get it back.
What specific things went wrong at Carolinas Fertility Institute?
Provided conflicting information
Describe the specific things that went wrong at Carolinas Fertility Institute.
Billing - on my fist appointment, I made sure they had a copy of my VA referral. the referral was extended for my second cycle of treatment. I started receiving multiple bills (not his office visit). I called the billing dept and they said I was marked as SELF PAY! They sent me to collections. I still have debt collectors calling me and bills being mailed to my address. I talked to the billing office and they said they would resolve the issue, yet I am still receiving bills. He has stopped my fertility journey at his one stop.
medication - He didn't want to wait on the VA to send me the medication. He seemed in such a rush to get me pregnant as if he could do it himself. He wanted everything filled the same day and started the same day. I feel a better approach would have been to check with me and my timeline. or at least ask my input. He gave me the cookie cutter fix without knowing if it applied to me. Yet it seemed as though he didn't care or had confidence that since it worked for others, it should work for everyone.
that's how I felt. Maybe your experience will be different.
Every single appointment I get to see Dr. Mesen (rather than just a nurse) and while he is not particularly warm he always makes me feel like he has all the time in the world to discuss my concerns. I have never felt rushed during appointments with him. I ask a lot of questions and like to really understand my treatment options and he has always discussed them thoroughly with me and never talked down to me or made me think my questions were stupid.
The clinic [Carolinas Fertility Institute] is very individual, small, personable staff, top notch lab. Appointments generally run on time with the exception of the initial new patient appointment. No weaknesses yet that I have seen.... There was one result they forgot to call me about and I had to call in when I realized I still hadn't received the information. It would not have changed the course of treatment however.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Strengths: articulate, descriptive, considers preferences of patient rather than just what he professionally thinks, quick to answer questions via phone or email, available at each appointment, realistic
Weaknesses: not particularly warm, hasn't shown much compassion, doesn't have a bad bedside manner but also doesn't have the greatest, sometimes have to ask specific questions to get the information you want
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
He will give you as much information as you ask for but isn't always forthcoming so be prepared with questions.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
Every single appointment I get to see Dr. Mesen (rather than just a nurse) and while he is not particularly warm he always makes me feel like he has all the time in the world to discuss my concerns. I have never felt rushed during appointments with him. I ask a lot of questions and like to really understand my treatment options and he has always discussed them thoroughly with me and never talked down to me or made me think my questions were stupid.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
IUI- Letrozole- 3 pills of 2.5 mg each 1x/day for days 3-7, ultrasound on day 11 or 12 of cycle, trigger shot based on ultrasound and then IUI (done by him).
IVF- agonist protocol I believe, Estrogen patch after ovulation of prior cycle until day 2 of current cycle, ultrasound day 2 or 3 for baseline, menopur mixed with gonal F 262 units for 2 days then 225 for 1 day then ultrasound, then 225 one day and then reduced to 187 the next day with followup ultrasound the day after. That's as far as I've gotten but I know at some point Cetrotide will be added and then HCG will be used as trigger prior to egg retrieval.
Describe your experience with your nurse at Carolinas Fertility Institute. (Assigned nurse: Mandy)
Very thorough, friendly and compassionate, communicated quickly via phone or email even on the weekends, gave me her cellphone number over a holiday, very clearly and thoroughly explained medications
Describe your experience with Carolinas Fertility Institute.
The clinic is very individual, small, personable staff, top notch lab. Appointments generally run on time with the exception of the initial new patient appointment. No weaknesses yet that I have seen.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
1,000 per IUI, 13,095 for IVF, and then other fees associated with procedures like a hysteroscopy and bloodwork which I can't remember the totals for
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
He highly recommends 1 embryo for my age (31) and health but says in the end the decision is ours to make.
What specific things went wrong at Carolinas Fertility Institute?
Failed to call with results
Describe the specific things that went wrong at Carolinas Fertility Institute.
There was one result they forgot to call me about and I had to call in when I realized I still hadn't received the information. It would not have changed the course of treatment however.
He [Dr. Mesen] sat us down in his office to have one on one talk with us, he had my chart open in front of him constantly taking notes. I also get to see him and speak to him directly at every monitoring visit.... Don’t take his quietness for rudeness., also be ready to got for whatever treatment, he wastes no time....I am on 7.5 mg of femara because clomid doesn’t work as well in patients with PCOS. I also do an ovidrel trigger shot when my follicles are mature enough
I love that the clinic [Carolinas Fertility Institute] is so small, it definitely helps you feel like a human and not a number. But the smallness is kind of an issue also, it was hard to get in for a new patient appointment but it’s so worth it.... Self pay ultrasounds are $165 you’re not required to have blood work done as part of your monitoring. I know IUI self pay package is $1000.... There is one nurse that is kind of stand off ish. But she gets better, other than that they are all wonderful and will answer any questions you have.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen is great. His bedside manner can use some work, but I think it’s because he’s just somewhat of an awkward person. The more times I’ve got to see him and talk to him he has warmed up a lot. He’s very straightforward, and he gives you the facts and tells you exactly what is best. He try’s to also explain to you why something might work better than something else. I felt relief when I walked out of his office in the consultation, I felt like I was taken seriously and that if anyone could get me pregnant it would be him. You just have to give him a little time to warm up to you.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Don’t take his quietness for rudeness., also be ready to got for whatever treatment, he wastes no time.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
He sat us down in his office to have one on one talk with us, he had my chart open in front of him constantly taking notes. I also get to see him and speak to him directly at every monitoring visit.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
I am on 7.5 mg of femara because clomid doesn’t work as well in patients with PCOS. I also do an ovidrel trigger shot when my follicles are mature enough, then 4 days after I take the shot I start with progesterone. Because I’ve had two miscarriages. This is only my second cycle on this protocol and I haven’t got to test to see if I’m pregnant yet, fingers crossed.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
There is one nurse that is kind of stand off ish. But she gets better, other than that they are all wonderful and will answer any questions you have.
Describe your experience with Carolinas Fertility Institute.
I love that the clinic is so small, it definitely helps you feel like a human and not a number. But the smallness is kind of an issue also, it was hard to get in for a new patient appointment but it’s so worth it.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
Self pay ultrasounds are $165 you’re not required to have blood work done as part of your monitoring. I know IUI self pay package is $1000.
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
Dr. Mesen is very detailed and treats each patient differently according to what their diagnosis is. He was very hands on during our treatments and made sure we understood what to expect. If there was a problem we were able to get answers in a quick and timely manner... We were able to transfer two embryos on our first transfer because we had a history of pregnancy loss. They do let most couples decide which they would like to transfer but it does depend on the history and diagnosis of the couple.
The Charlotte office of CFI is small and you are seen in a timely manner. The staff is friendly and accommodating. Everyone is knowledgable about Reproductive Endocrinology and very helpful. When you have questions they are quick to help you and get answers... They have a specific IVF nurse at CFI that deals with all of the IVF patients at each location. She is the one that communicated with me the most through email. They also have a set nurse who takes your blood and does all the labs. They always responded in a timely manner and made sure you understood the results they were giving you.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen is very detailed and treats each patient differently according to what their diagnosis is. He was very hands on during our treatments and made sure we understood what to expect. If there was a problem we were able to get answers in a quick and timely manner.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Expect to get started on treatment right away. At CFI they want to help you get pregnant so they will cover all bases before moving forward. They will do blood tests to rule out any issues and come up with an individualized plan to help you succeed. Dr. Mesen gives you direct and clinical answers in a way to help you understand possible reasons why you may be struggling with infertility.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
When we went for each appointment I always saw Dr. Mesen. He was the one who did my ultrasounds and at each appointment discussed our protocol and what I could expect in a very detailed way.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
For our IVF cycle we had a specific plan that worked with my PCOS. We stimmed with Menopur and Gonal F for about 8 days before retrieval. We did do a freeze all because of my estrogen level and then the next month we transferred two embryos.
Describe your experience with your nurse at Carolinas Fertility Institute.
They have a specific IVF nurse at CFI that deals with all of the IVF patients at each location. She is the one that communicated with me the most through email. They also have a set nurse who takes your blood and does all the labs. They always responded in a timely manner and made sure you understood the results they were giving you.
Describe your experience with Carolinas Fertility Institute.
The Charlotte office of CFI is small and you are seen in a timely manner. The staff is friendly and accommodating. Everyone is knowledgable about Reproductive Endocrinology and very helpful. When you have questions they are quick to help you and get answers.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
We did mini IVF and it was around $6,500
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
We were able to transfer two embryos on our first transfer because we had a history of pregnancy loss. They do let most couples decide which they would like to transfer but it does depend on the history and diagnosis of the couple.
Dr. Mesen was kind and explained why IVF is our best option. He was clear that he did not want to waste time and money on IUI. Honesty from your doctor is vital. He looked to get us started asap and scheduled us immediately. He asked me if I had any other concerns and listened to our questions. He understands fertility and my diagnosis of infertility. He explained what my endometriosis could be causing and why IVF is the best option moving forward.
[Carolinas Fertility Institute] Strengths: success rates, experienced doctors and kind office staff. Cleanliness of the office. Weaknesses: financial department needs more fluidity for patients to get a grasp on what expectations and options are available. There should be take home folders full of all information for new patients...They [nursing staff] were kind, compassionate and understanding when we asked questions.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
He is knowledgeable, and understanding of my diagnosis. He was honest by giving us the best treatment plan. He explained what IVF looks like by drawing things out for us. Very helpful. He understood that my endometriosis causes pain during ultrasound. He was kind and forthcoming when first meeting. We appreciated that he listened ti our concerns and gave us honest recommendations and statistics on success.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Have questions ready for all possible treatment options and your diagnosis.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen was kind and explained why IVF is our best option. He was clear that he did not want to waste time and money on IUI. Honesty from your doctor is vital. He looked to get us started asap and scheduled us immediately. He asked me if I had any other concerns and listened to our questions. He understands fertility and my diagnosis of infertility. He explained what my endometriosis could be causing and why IVF is the best option moving forward.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
I have not started any of this yet.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
They were kind, compassionate and understanding when we asked questions.
Describe your experience with Carolinas Fertility Institute.
Strengths: success rates, experienced doctors and kind office staff. Cleanliness of the office.
Weaknesses: financial department needs more fluidity for patients to get a grasp on what expectations and options are available. There should be take home folders full of all information for new patients.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
We have an estimate of 20,400 without medication and extra labs.
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
Dr. Mesen is a doctor who truly cares about giving you the baby you’ve longed for. He’s very matter-of-fact but to me it was more important to have someone tell the truth and state facts rather than sugar coat things. I fully trusted him with my care after just going through a very traumatic experience with another clinic. He made me feel so comfortable and I think the world of him. I am eternally grateful to him.
The [Carolinas Fertility Institute] clinic is well organized and I never had any issues getting appointments. Sometimes appointments ran a few minutes behind but that was fine because they take the time to answer questions and don’t rush you out the door. Everyone works well together...The nurses were very helpful and caring...Dr. Mesen is a doctor who truly cares about giving you the baby you’ve longed for. He’s very matter-of-fact but to me it was more important to have someone tell the truth and state facts rather than sugar coat things. I fully trusted him with my care after just going through a very traumatic experience with another clinic. He made me feel so comfortable and I think the world of him. I am eternally grateful to him.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen is a doctor who truly cares about giving you the baby you’ve longed for. He’s very matter-of-fact but to me it was more important to have someone tell the truth and state facts rather than sugar coat things. I fully trusted him with my care after just going through a very traumatic experience with another clinic. He made me feel so comfortable and I think the world of him. I am eternally grateful to him.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
I would tell them that they’re in really good hands and to trust him. He really knows what he is doing and has your best interests in mind. This is a passion for him and not about the money.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen took the time to sit in his office and have an hour long conversation during our consultation. He comforted me while I was still dealing from the trauma at the last clinic. He assured that we were given misinformation and he would do everything to give us a baby. He checked on me when he saw me in the office even when I didn’t have an appointment with him which meant the world to me.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
The nurses were very helpful and caring.
Describe your experience with Carolinas Fertility Institute.
The clinic is well organized and I never had any issues getting appointments. Sometimes appointments ran a few minutes behind but that was fine because they take the time to answer questions and don’t rush you out the door. Everyone works well together.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
It was around $13,000
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
My experience with Dr. Mesen has been great. He had to perform a surgery, and he knew my insurance wouldn't cover it at his coincidentally, so he reserves time at a local hospital. He doesn't sugarcoat things, which I appreciate. While he gives his professional input, he also let's you decide your next steps!... Dr. Mesen mentioned that he does not prefer multiple embryo transfer.
The clinic atmosphere [at Carolinas Fertility Institute] is very welcoming, which is important when you go to appointments that can be very nerve-wracking. The office personnel are professional and kind, and will always return your call if you have any questions. Dr. Mesen is very professional, yet, was able to make small talk, and crack jokes with my spouse, which was very comforting. So far, with this clinic being the second clinic I've attended, I feel confident in my choice to switch.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
My experience with Dr. Mesen has been great. He had to perform a surgery, and he knew my insurance wouldn't cover it at his coincidentally, so he reserves time at a local hospital. He doesn't sugarcoat things, which I appreciate. While he gives his professional input, he also let's you decide your next steps!
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
I would suggest to get your preliminary paperwork in quickly, so that you will be put on a wait-list, otherwise, your initial appointment could take months.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen took his time to review my charts from another clinic, and explain what makes CFI different than my previous clinic. During the consultation he took the time to perform a procedure, and I didn't at all feel rushed! While perhaps the next scheduled client was delayed, I feel like it is worth it to feel like someone is there to help while you're already there, vs. stay so strictly to his schedule.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
The nursing staff were helpful, yet quiet.
Describe your experience with Carolinas Fertility Institute.
The clinic atmosphere is very welcoming, which is important when you go to appointments that can be very nerve-wracking. The office personnel are professional and kind, and will always return your call if you have any questions. Dr. Mesen is very professional, yet, was able to make small talk, and crack jokes with my spouse, which was very comforting. So far, with this clinic being the second clinic I've attended, I feel confident in my choice to switch.
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
Dr. Mesen mentioned that he does not prefer multiple embryo transfer.
[Dr. Tamer Yalcinkaya] listened to our concerns and desires and built a plan for us that fit our needs...He explained the risks, showed us charts/studies we could refer to...He was able to relate to our emotional concerns...we had someone in our corner actively working with us to help improve our chances of success.
[Nurse at Carolinas Fertility Institute] went above and beyond to answer questions, arrange for tests, and ensure we knew exactly what was expected of us. Her compassion was welcomed and we felt that she was invested in our success...Boutique clinic- there was never a time I felt overcrowded or rushed. I saw the doctor on every visit.
How was your experience with Tamer Yalcinkaya at Carolinas Fertility Institute?
Dr. Y was brilliant. He was able to relate to our emotional concerns and my fragility at the time we met with him. This was very important after a very poor experience with another clinic. He explained the risks, showed us charts/studies we could refer to, and let us know that he would do his best to provide us with the outcome that we desired. At no time did we feel like we didn't know the challenges that we were facing but we did know we had someone in our corner actively working with us to help improve our chances of success.
What's one piece of advice would you give a prospective patient of Tamer Yalcinkaya at Carolinas Fertility Institute?
Be open and honest about your challenges and concerns. Be prepared to follow the protocol to a T.
During treatment, were you treated like a number or a human with Tamer Yalcinkaya at Carolinas Fertility Institute?
Dr. Y listened to our concerns and desires and built a plan for us that fit our needs. He was kind, compassionate, and gave us a realistic view of our chances at success.
Describe your experience with your nurse at Carolinas Fertility Institute. (Assigned nurse: Mandy)
Mandy went above and beyond to answer questions, arrange for tests, and ensure we knew exactly what was expected of us. Her compassion was welcomed and we felt that she was invested in our success.
Describe your experience with Carolinas Fertility Institute.
Boutique clinic- there was never a time I felt overcrowded or rushed. I saw the doctor on every visit.
This was a stark comparison to the first clinic we had gone to. We felt like everyone at CFI were part of our story.
Describe Tamer Yalcinkaya's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
I only ended up with one genetically sound embryo to transfer.
I would speak with him [Dr. Tolga Messen] about the iui's not working and it's like he was asking me obvious questions about myself. It felt like he didn't care because I didn't even matter enough for him to have my chart up when I came in for an appointment. I think a doctor should know the basics about his patients; not saying it should be memorized, but at least read up a few moments before they walk in to the appointment.
The clinic [Carolinas Fertility Institute- Charlotte] itself is very clean. Appointments can run a little behind sometimes, but overall I like it. Sometimes I would see 1 particular nurse with braids touch the "vaginal instruments " without gloves so be careful with that. I wish I would have spoke up when she did that because after she put her hands all on it they used it for my ultrasound. She was putting the condom like rubber thing over it barehanded not sanitary at all
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
He just didn't seem too interested and nonchalant, but he is polite. I never felt rushed when asking a question. He made the procedure quick and I was comfortable throughout both intrauterine inseminations.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
I would not go to him for iui's
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
I would speak with him about the iui's not working and it's like he was asking me obvious questions about myself. It felt like he didn't care because I didn't even matter enough for him to have my chart up when I came in for an appointment. I think a doctor should know the basics about his patients; not saying it should be memorized, but at least read up a few moments before they walk in to the appointment.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
I would take femara 2.5mg twice a day cycle days 3-7 and ovidrel trigger around cycle day 14.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
Priscilla is amazing!! Very empathetic and goes above and beyond. I wish she could be my doctor.
Describe your experience with Carolinas Fertility Institute.
The clinic itself is very clean. Appointments can run a little behind sometimes, but overall I like it. Sometimes I would see 1 particular nurse with braids touch the "vaginal instruments " without gloves so be careful with that. I wish I would have spoke up when she did that because after she put her hands all on it they used it for my ultrasound. She was putting the condom like rubber thing over it barehanded not sanitary at all
What specific things went wrong at Carolinas Fertility Institute?
Dr. Mesen is very practical and not very talkative, but will take the time to answer any questions you have and is very caring towards his patients.... Very candid and straightforward, which I appreciated. Felt comfortable with him and he took the time to answer any questions or concerns each visit and would also check in on my emotional health. Felt like there wasn't enough of an explanation the first visit that we would start with IUI before completing any testing (HSG, semen analysis, etc).
Great clinic [Carolinas Fertility Institute] with very straightforward approach. I loved that it was small and everyone was very helpful and made you feel like a person and not just a number....Dr and staff were very kind and took the time to answer all questions...Dr. Mesen is very practical and not very talkative, but will take the time to answer any questions you have and is very caring towards his patients.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Very candid and straightforward, which I appreciated. Felt comfortable with him and he took the time to answer any questions or concerns each visit and would also check in on my emotional health. Felt like there wasn't enough of an explanation the first visit that we would start with IUI before completing any testing (HSG, semen analysis, etc).
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Ask any questions you have and make sure you fully understand what will happen when you leave.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
Dr and staff were very kind and took the time to answer all questions
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
50 mg of Clomid and IUI 36 hrs after trigger. Performed twice as both times I had a good response to Clomid with 2-3 follicles and sperm count was high. Third IUI was scheduled, but I opted to move on to IVF instead.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
Nursing staff was wonderful, very kind and attentive.
Describe your experience with Carolinas Fertility Institute.
Great clinic with very straightforward approach. I loved that it was small and everyone was very helpful and made you feel like a person and not just a number. Dr. Mesen is very practical and not very talkative, but will take the time to answer any questions you have and is very caring towards his patients.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
He[Dr.Tolga Mesen] spoke to us like a caring friend...Weve suffered through 3 miscarriages now. All 3 he has been there for. He showed compassion with each one and offered a plan moving forward...I wanted to transfer 2 but was told the chances of 1 was very good. I am thankful we only transferred one...He remained optimistic for us
[nurse of Carolinas Fertility Institue are]Kind and welcoming. [they] Remember your name when you come in...My husbands sperm sample was accidentally contaminated. They called us when it happened and explained the situation...Be prepared for a lot of tests before a treatment plan is made...He [Dr. Mesen] showed compassion...and offered a plan moving forward
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Weve suffered through 3 miscarriages now. All 3 he has been there for. He showed compassion with each one and offered a plan moving forward. He remained optimistic for us even when I had given up hope.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Listen to his advice and follow through.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
He spoke to us like a caring friend. He wanted us to have a bay as much as we did.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
I don’t remember the specifics but whatever they were they worked on our first round of ivf.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
Kind and welcoming. Remember your name when you come in. Other places I’ve been they had no idea who I was nor did they seem to care.
Describe your experience with Carolinas Fertility Institute.
Wonderful, personal and successful. Be prepared for a lot of tests before a treatment plan is made. We went through several tests before suggested plans were made. I believe this is what makes their success rate so high.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
Our insurance was actually quite helpful so I don’t know much about the costs.
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
I wanted to transfer 2 but was told the chances of 1 was very good. I am thankful we only transferred one.
What specific things went wrong at Carolinas Fertility Institute?
Lost or damaged samples
Describe the specific things that went wrong at Carolinas Fertility Institute.
My husbands sperm sample was accidentally contaminated. They called us when it happened and explained the situation. They did all they could to make up for my husband having to produce another sample.
Dr. Mesen is very candid in how he presents you the available options and diagnosis. I originally was very concerned with how harsh he seemed, but the longer I've been a patient, the more he has softened and made the appointments feel more personable...Give him a chance. [He] definitely takes several appointments to warm-up to you, and your situation, but once he does I have really appreciated the way my care has been provided.
The clinic [at Carolinas Fertility Institute] sees a lot of patients, so I think the biggest thing is to be realistic in the time frame you are expecting a call back or appointment. As hard as it may be when you are going through infertility, it's important to remember they are dealing with hundreds of patients going through the same thing and trying to manage their care the best they can.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
Dr. Mesen is very candid in how he presents you the available options and diagnosis. I originally was very concerned with how harsh he seemed, but the longer I've been a patient, the more he has softened and made the appointments feel more personable.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Give him a chance. Dr. Mesen definitely takes several appointments to warm-up to you, and your situation, but once he does I have really appreciated the way my care has been provided.
Describe your experience with Carolinas Fertility Institute.
The clinic sees a lot of patients, so I think the biggest thing is to be realistic in the time frame you are expecting a call back or appointment. As hard as it may be when you are going through infertility, it's important to remember they are dealing with hundreds of patients going through the same thing and trying to manage their care the best they can.
We started seeing Dr. Mesen in January of 2019 after working with 2 other clinics. Knowing our history, he got started with a plan immediately and took the time to discuss each step with us. After 2 IUIs we moved right to IVF. He performed every ultrasound himself...He has called me personally with all of my beta results...primary recommendation is single embryo transfer
Everyone at the [Carolinas Fertility Institute] Charlotte clinic is friendly and remembers my face if not my name. They show empathy and discretion, and take the time I need to help me understand my options, my status, our protocol and finances...One of the best things about CFI, other than Dr. Mesen's care is the front office staff...The nursing staff at CFI Charlotte are great. They are quick to respond and compassionate in their communication
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
We started seeing Dr. Mesen in January of 2019 after working with 2 other clinics. Knowing our history, he got started with a plan immediately and took the time to discuss each step with us. After 2 IUIs we moved right to IVF. He performed every ultrasound himself and is cautious in his recommendations. I've had many setbacks all in the interest of setting us up for success. We've developed a relationship and he's given me his personal cell phone number for questions. He has called me personally with all of my beta results and I appreciate the personal attention.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Be prepared for a longer journey than you may have anticipated. Come to the table with questions and research. Dr. Mesen will answer all of your questions, but may not offer them up without asking.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
Everyone at the Charlotte clinic is friendly and remembers my face if not my name. They show empathy and discretion, and take the time I need to help me understand my options, my status, our protocol and finances.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
For IUI, we did medicated cycles with Clomid. For stims we did Follistim and Menopur with estrogen patches and Ganorelix. For transfer protocol we did oral estrogen, estrogen patches, 1ml daily of progesterone in oil (IM), and 2x daily Heparin (for blood clotting disorder). Two IUIs were unsuccessful. Egg retrieval produced 23 eggs retrieved, 9 5-day blasts, 5 PGT normal frozen embryos. We've had 1 FET and it resulted in a miscarriage at 6 weeks. COVID-19 has postponed our second FET.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
The nursing staff at CFI Charlotte are great. They are quick to respond and compassionate in their communication.
Describe your experience with Carolinas Fertility Institute.
I love the size of this clinic. If you're in Charlotte, be advised that any procedures beyond IUI will have to be done in Winston Salem (egg retrieval and transfer) and by Dr. Y, not Dr. Mesen. Both are wonderful.
One of the best things about CFI, other than Dr. Mesen's care is the front office staff. Courtney who deals with finance and insurance is absolutely wonderful. She is dedicated to helping you understand your financial options and making sure that everything is handled on the insurance side of things. She is sweet and funny and a friendly face at every visit. Caitlin is also wonderful. Anita is shy, but friendly and dedicated to her job. Priscilla is a firecracker. She has an attitude, but once you get to know her, you find it endearing.
Describe your experience with your monitoring appointments at Carolinas Fertility Institute.
I have only had to wait more than 30 min for my appt once or twice. Once I started IVF with CFI, I felt like I was seen almost immediately at every visit (sometimes wait 15 min for Dr. Mesen in the ultrasound room). Dr. Mesen always performed the monitoring and I never felt like he was rushing me.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
I believe an IUI cycle was around $1,200-1,400 (no insurance coverage). Our IVF plan was about $23,000 - but was part of a program that included all bloodwork and ultrasounds, egg retrieval, genetic testing of embryos, and as many frozen embryo transfers required to achieve a live birth.
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
The primary recommendation is single embryo transfer and we haven't really explored other options yet.
Each time I saw Dr. Tamer Yalcinkaya, I felt comfortable around him and confident in the decisions he made for my protocol. From office visits, to the retrieval, and transfer, he was always professional and optimistic...went over my health history and the process began. I left feeling like I was in much better hands and had hope...treated me with compassion...but waiting for an appointment with Dr. Tamer Yalcinkaya at CFI was worth it.
At the [Carolina Fertility Institute] Asheville location that I visited, Caitlyn Coates, PA was my contact and provider for most of the process...Caitlyn Coates quickly earned my trust with her kind bedside manner, and willingness to take her time with me during my appointments...The Asheville location is comfortable and intimate...Both Dr. Yalcinkaya and Caitlyn Coates treated me with compassion.
How was your experience with Tamer Yalcinkaya at Carolinas Fertility Institute?
Going through this journey, I learned that trust is one of the most important aspects of choosing the right doctor and clinic. After feeling like I'd wasted a year of precious time under the wrong doctor's care, I was relieved to learn of a new option in my area. I called and made an appointment, the first available being a couple of months away. In the meantime, I attended an educational presentation that CFI and Dr. Tamer Yalcinkaya hosted. I was able to meet Dr. Tamer Yalcinkaya personally, and my husband and I learned about how CFI performs IVF, the benefits to their chosen methods, and an overall understanding of what IVF would look like for us. At my initial appointment, I met with Dr. Tamer Yalcinkaya and Caitlyn Coates. They went over my health history and the process began. I left feeling like I was in much better hands and had hope. Each time I saw Dr. Tamer Yalcinkaya, I felt comfortable around him and confident in the decisions he made for my protocol. From office visits, to the retrieval, and transfer, he was always professional and optimistic.
What's one piece of advice would you give a prospective patient of Tamer Yalcinkaya at Carolinas Fertility Institute?
Every additional month that passed by on the calendar felt like we were getting farther and farther from our dream, but waiting for an appointment with Dr. Tamer Yalcinkaya at CFI was worth it. My advice is to trust him.
During treatment, were you treated like a number or a human with Tamer Yalcinkaya at Carolinas Fertility Institute?
I'm confidently able to say that I was treated like a human by both Dr. Yalcinkaya and his PA, Caitlyn Coates, because I am able to compare my experience from the first three doctors that I started my infertility journey with. At my initial clinic, I was treated like a number and badgered for payments upon entering the door. Payments for services that had been misfiled and I repeatedly had to stay on top of and correct. It may not sound like much, but this was on top of holding back tears just going in for my appointments. Having someone know your name when you walk in the clinic door, handle your paperwork correctly, and familiarize themselves with your health history was a game changer for the way I felt going in for appointments. Both Dr. Yalcinkaya and Caitlyn Coates treated me with compassion.
Describe the protocols Tamer Yalcinkaya used in your cycles at Carolinas Fertility Institute and their degree of success.
The first IVF protocol that I tried was the Lupron protocol. Two of my follicles "soaked up" the medications, causing them to develop faster than my other follicles. My retrieval was cancelled two days prior to the projected date, due to only have the chance of retrieving two eggs. Since we paid out of pocket, Dr. Yalcinkaya told us he believed I was capable of producing more than two mature follicles, and to wait and try again another cycle. The next attempt, I tried the Antagonist protocol. My follicles developed at an even rate, and I had a successful egg retrieval with 9 eggs. During both cycles, I had minimal symptoms from the medications and recovered quickly after the egg retrieval.
Describe your experience with your nurse at Carolinas Fertility Institute. (Assigned nurse: Caitlyn Coates)
I live one hour away from the clinic that I went to regularly, and three hours away from the clinic that Dr. Yalcinkaya is primarily at. At the Asheville location that I visited, Caitlyn Coates, PA was my contact and provider for most of the process. She would share my results with Dr. Yalcinkaya and follow up with me promptly regarding his decisions. I couldn't have asked for a better support during this stressful, emotional process. Caitlyn educated me, comforted me, and made sure I always had all of my questions answered before walking out the door. If I ever had additional questions, she made sure I knew it was fine to reach out to her at anytime. When I started my stim medication and my husband was out of town, she face timed me to make sure I felt comfortable mixing and injecting my medications for the first time. My experience with Caitlyn compared to my experience at the other clinic that I started my fertility journey at, was night and day. Caitlyn Coates quickly earned my trust with her kind bedside manner, and willingness to take her time with me during my appointments.
Describe your experience with Carolinas Fertility Institute.
The location that I visited regularly, Carolinas Fertility Institute of Asheville, was "opening soon" when I reached out to made an appointment. I had been a patient at the only other clinic in the area, and was THRILLED to learn of a new option available. I waited months for them to open and begin the IVF process under new care. Since they were new, they had a few things to work out upon opening as far as the computer system and stocking the office with everything that they needed. (i.e rubber balls to squeeze when you give blood, electronic prescriptions) Financial questions were directed to the Winston-Salem location, which I only visited twice for the egg retrieval and transfer. The Winston-Salem location is much larger and busier. The Asheville location is comfortable and intimate.
Describe the costs associated with your care under Tamer Yalcinkaya at Carolinas Fertility Institute.
We started the IVF portion of my infertility journey in 2019 at CFI Asheville and paid the clinic $14,358. This did not include some lab work that wasn't covered in the package ($86.55), and all medications. My medications in 2019 totaled $5047. Because I had to do two stim cycles, my journey continued into 2020. The FET procedure was $2900, and medications in 2020 are currently up to $700.
(Total paid so far - $23,092) Our insurance, United Healthcare, does not offer infertility coverage.
Describe Tamer Yalcinkaya's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
My age qualifies for a multiple embryo transfer, however, since we chose to do genetic testing, we were told that single embryo transfer is protocol. We were educated on the why behind this reasoning and comfortable with this decision. We also ended up with only one genetically normal embryo, so a single embryo transfer was our only option.
I could always contact him [Dr. Yalcinkaya] if needed - he makes himself available to his patients well after office hours. He is very kind and he will give his professional opinion and respect your ideas and plans as well. I never felt like I was being pushed into a decision that I was not comfortable with. ... My husband and I wanted to exhaust our other options before moving into IVF and Dr. Y has allowed us that time but is now suggesting that we start considering it more seriously.
Staff is great just be patient as you wait. They are very flexible when it comes to scheduling me or fitting me in last minute - this happens more times then it should but they are always wonderful and get me in there. ... Crystal and Emma [nurses at Carolinas Fertility Inst] are so sweet and helpful! Crystal has returned every phone call and answered every question that I have every asked, sometimes there have been multiple questions in a day. ...
How was your experience with Tamer Yalcinkaya at Carolinas Fertility Institute?
I have not seen Dr. Yalcinkaya at every appointment because there have been several months that I just go in for additional bloodwork or in many cases an ultrasound for an IUI or timed intercourse. I scheduled many of those appointment on days he is at his other clinic. Every time I needed to talk to him or there was an issue with my treatment, I was scheduled on a Monday or Wednesday so that I could see him. He has a staff that is very knowledgable and I did not feel like I had to see him each and every time. I could always contact him if needed - he makes himself available to his patients well after office hours. He is very kind and he will give his professional opinion and respect your ideas and plans as well. I never felt like I was being pushed into a decision that I was not comfortable with.
What's one piece of advice would you give a prospective patient of Tamer Yalcinkaya at Carolinas Fertility Institute?
Please be patient when you are waiting to be seen. Dr. Y takes his time with each of his patients and sometimes that means that appointments get a bit delayed. Also, ask questions, don't be afraid to ask questions, he will answer all of your questions!
During treatment, were you treated like a number or a human with Tamer Yalcinkaya at Carolinas Fertility Institute?
Dr. Y is in the Greensboro office on Mondays and Wednesdays. Each time that I had an appointment on those days, I met with him. I was able to ask him questions and talk about current and future treatment options. I never felt rushed at all. Sometime this meant that I stayed after closing to talk to him and there was a time or two that he gave me and my husband his number to talk so that we could talk to him via phone conferencing when we could not get off of work. Also, the ladies that work in the office are amazing! Crystal and Emma are so sweet and helpful! Crystal has returned every phone call and answered every question that I have every asked, sometimes there have been multiple questions in a day. They are so kind and patient!
Describe the protocols Tamer Yalcinkaya used in your cycles at Carolinas Fertility Institute and their degree of success.
I started with timed intercourse with Letrozole and Metformin. I have PCOS so this is a very typical pathway. The Letrozole helps ovulation and the Metformin helps get a period - both of these are very hard to accomplish with PCOS without medication. My perscriptions were increased in strength when I started at Carolinas Fertility Insitute. After a couple of months, he suggested having a sperm analysis done on my husband. After the sperm analysis it was found that my husband had lower than perferred sperm motility so we talked about options. My husband was perscribed medicine that helps with sperm molitity which did help. We continued with timed intercourse and added Ovidrel shots to help mature follicles during ovulation. We then did 3 cycles of IUI within 5 months, using medication, and Ovidrel injections. Those were not successful for us. My husband and I decided to keep trying the timed intercourse with medication route because it was the most affordable route for us. We did get pregnant after about 12 cycles. However, he miscarried so after. Dr. Yalcinkaya talked to my husband and I about our thoughts on IVF. We had talked about IVF off and on throughout the year with and with Dr. Y but I am overweight and was trying to lose weight to give IVF more of a chance and it is also expensive and we will need to get it financed. My husband and I wanted to exhaust our other options before moving into IVF and Dr. Y has allowed us that time but is now suggesting that we start considering it more seriously. We were able to met with the anesthesiologist and get cleared to egg retrieval despite still being a bit over the BMI requirements. Once my cycle returns we will be able to start the journey down the IVF pathway. We are hopeful that this avenue will work for us. Dr. Y has said that our chances on success increases to 60-70% with IVF and that prior to implanting the fetus into the uterus they will be able to do gentic testing and see which eggs have the highest chances of success and by doing this we are hoping to avoid another miscarriage.
Describe your experience with your nurse at Carolinas Fertility Institute. (Assigned nurse: Crystal (Hepburn?) )
The nursing staff at Carolinas Fertility Institute in Greensboro is awesome! They are so very kind and helpful. I can't remember everyone's name but Emma is really sweet; she often checks me in and occasionally helps with my bloodwork - I have tiny, impossibly small veins. Crystal is AMAZING! She has done a lot of my ultrasounds and answers a lot of my questions both in the office and on the phone. I feel like I am always asking her questions, sometimes multiple questions in a day, and she always returns my calls and is kind and patient with me.
Describe your experience with Carolinas Fertility Institute.
Staff is great just be patient as you wait. They are very flexible when it comes to scheduling me or fitting me in last minute - this happens more times then it should but they are always wonderful and get me in there.
Describe the costs associated with your care under Tamer Yalcinkaya at Carolinas Fertility Institute.
I paid for visiting a specialist at the first appointment, $80 after insurance. I had to pay for the sperm analysis $250 (not covered by insurance). Each month my Metformin and Letrozole is about $10 together, after insurance. Each month when I take Ovidrel, I order that through a fertility medication company for $107, I don't believe insurance covers any of it. When we did the IUIs, those cost $1,000 each and we did 3 cycles of IUIs. I had genetic testing on my bloodwork in the beginning which is sent to another company, Natera, I had to pay $250 for that but some insurances cover that but mine did not - depends of medical history according to my insurance company. I also had an after clinic hours phone conference with Dr. Y one evening beforewe started IUI to talk about the procedure then again to talk about IVF; I was only charged $45 for a lengthy phone conference at 6:30pm.
I have not paid anything additional for each of my monthly visits or additional bloodwork. I have had approximately 12 ultrasounds and the dye test on my fallopian tubes and those most all be covered fully by my insurance company because I never saw a bill for those and I have asked for an update on my account; currently $0 balance.
We are about to start IVF. I met with the anesthesiologist last weekfor a consultation and I was not charged for that meeting. I have been given some rough estimations for IVF but nothing concrete yet as we are just not starting this process. IVF does not appear to be something my insurance covers, at all so here are some estimations I have been given. The process is estimated to be $13,000 - $15,000; medication will be $3,000 - $6,000; implantation of embryo is about $2,800; genetic testing on embryos - know sure yet but national average is around $3,500 (this is a number I found online because I fotgot to ask during our consultation but I will). There is a program to help pay for medications that aren't cover by insurance; Compassionate Care Program - it is a quick process, I heard back within 3 days. This program covers between 10 - 75% of medication costs. Please keep in mind that these are just estimations that I was given at the end of last week - I am still in the beginning stages.
I have absolutely nothing negative to say about Dr. Y. Without him and his team we would not have the best 8 month old sweet baby girl we could ever have prayed for. He is extremely knowledgeable about reproductive medicine and wants to help as many families as he can. You could literally text Dr. Y at all times and he will reply, he is extremely personable and an excellent Doctor.
At CFI I never felt like we were just a number. Getting our baby was our number one priority and we knew we would do anything and sacrifice anything just for the chance to have her. It was the most important thing to us and we had complete tunnel vision for our goal and so did CFI, you can see they want you to get your baby almost as much as the families they help do. They are truthful and honest, good or bad with you.
How was your experience with Tamer Yalcinkaya at Carolinas Fertility Institute?
I have absolutely nothing negative to say about Dr. Y. Without him and his team we would not have the best 8 month old sweet baby girl we could ever have prayed for. He is extremely knowledgeable about reproductive medicine and wants to help as many families as he can. You could literally text Dr. Y at all times and he will reply, he is extremely personable and an excellent Doctor.
What's one piece of advice would you give a prospective patient of Tamer Yalcinkaya at Carolinas Fertility Institute?
Ask questions, he explains very well when he is discussing procedures but ask any and all questions you think are silly and irrelevant ( no question is it it is important to you and your health and reproductive journey) he will always answer truthfully!
During treatment, were you treated like a number or a human with Tamer Yalcinkaya at Carolinas Fertility Institute?
At CFI I never felt like we were just a number. Getting our baby was our number one priority and we knew we would do anything and sacrifice anything just for the chance to have her. It was the most important thing to us and we had complete tunnel vision for our goal and so did CFI, you can see they want you to get your baby almost as much as the families they help do. They are truthful and honest, good or bad with you. We were never just a number to them and still as I call now to check on our em babies we have frozen and talk about another transfer they respond so quick and are always up to explain and answer any questions I have!
Describe the protocols Tamer Yalcinkaya used in your cycles at Carolinas Fertility Institute and their degree of success.
For our infertility diagnosis of pcos and annovulation I ended up needing to do a full ivf cycle with icsi and freezing 5 eggs, with a successful transfer of one baby girl.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
Nurses were very helpful, I was nervous having to do the pio injections on my bottom and the nurse literally drew circles for me on my bottom to help me makes sure I was in the right area for them- so helpful and sweet.
Describe your experience with Carolinas Fertility Institute.
Very professional and want you to get the baby/ babies you have always wanted. As a new patient I would try your best to plan ahead, long waiting list for new patients. Sometimes it may seem like it’s hard to get a hold of a nurse to speak with but you have to keep in mind they are helping so many patients everyday in office and over the phone.
Describe the costs associated with your care under Tamer Yalcinkaya at Carolinas Fertility Institute.
[Dr. Yalcinkaya] looked over my pictures from my laparoscopic surgery due to ectopic pregnancy...carefully explained to us that I indeed had tubal blockage...did not throw the idea of having to do IVF immediately, instead he suggested a procedure to open the remaining tube...procedure was unsuccessful, he then suggested we try mini Ivf...has been supportive and understanding.
Carolina Fertility Institute has a calm and warm environment. The atmosphere is peaceful and you a treated like a human not a number. When having to come for multiple visits, it doesn’t feel as dreadful as you may think...[nurses] are so kind and do not rush you. At the initial visit, they can tell the nervousness so they make sure you are comfortable...You may have to wait a while to see Dr. Y, but he is definitely worth the wait.
How was your experience with Tamer Yalcinkaya at Carolinas Fertility Institute?
When my husband and I came for a consult we knew we would have to wait a while to be seen. Dr. Y met us in his office and looked over my pictures from my laparoscopic surgery due to ectopic pregnancy. He carefully explained to us that I indeed had tubal blockage. Dr. Y did not throw the idea of having to do IVF immediately, instead he suggested a procedure to open the remaining tube. Although that procedure was unsuccessful, he then suggested we try mini Ivf. Throughout this process, Dr. Y has been supportive and understanding.
What's one piece of advice would you give a prospective patient of Tamer Yalcinkaya at Carolinas Fertility Institute?
You may have to wait a while to see Dr. Y, but he is definitely worth the wait. He takes his time with all of his patients, which is definitely appreciated.
During treatment, were you treated like a number or a human with Tamer Yalcinkaya at Carolinas Fertility Institute?
Dr. Y made my husband and I feel like a human because he took the time to explain our situation in great detail. He was patient and kind during the entire consult.
Describe the protocols Tamer Yalcinkaya used in your cycles at Carolinas Fertility Institute and their degree of success.
Dr. Y felt like my remaining left tube could be open, so he recommended a procedure called tubal cannulation. During the procedure he made sure I was comfortable and relaxed. Unfortunately the wire was not able to get through the tube due to the blockage. He then recommended IVF.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
All of the nurses at Carolina Fertility are great! They are so kind and do not rush you. At the initial visit, they can tell the nervousness so they make sure you are comfortable.
Describe your experience with Carolinas Fertility Institute.
Carolina Fertility Institute has a calm and warm environment. The atmosphere is peaceful and you a treated like a human not a number. When having to come for multiple visits, it doesn’t feel as dreadful as you may think.
Describe the costs associated with your care under Tamer Yalcinkaya at Carolinas Fertility Institute.
Tubal Cannulation:$600
HSG: insurance covered
Consultation: less than $200
With all of the other doctors, I would tell them that I was not ovulating and they just brushed it off...felt better since Dr. Mesen was monitoring my ovulation...he is sincere and wants a positive result for you...don’t like the wait time to see him and his treatment plans are sometimes a little unclear. However, I trust his treatments so I don’t ask much questions...
I feel like they [nurses at Carolinas Fertility Institute] never got to know me. I have probably been to the clinic over 10 times. Each time they would call me back, pronouncing my name incorrectly...always super busy. Sometimes the wait time to see Dr. Mesen is 30 minutes plus pass your appointment time. Once I had to wait 1 hour and 30 minutes for my ultrasound.
How was your experience with Tolga Mesen at Carolinas Fertility Institute?
He is really nice and gentile. I feel like he is sincere and wants a positive result for you. I don’t like the wait time to see him and his treatment plans are sometimes a little unclear. However, I trust his treatments so I don’t ask much questions.
What's one piece of advice would you give a prospective patient of Tolga Mesen at Carolinas Fertility Institute?
Be prepared to wait.
During treatment, were you treated like a number or a human with Tolga Mesen at Carolinas Fertility Institute?
The clinic is always super busy. Sometimes the wait time to see Dr. Mesen is 30 minutes plus pass your appointment time. Once I had to wait 1 hour and 30 minutes for my ultrasound. There are times when you get to see Dr. Mesen in 15 minutes, but it’s rare.
Describe the protocols Tolga Mesen used in your cycles at Carolinas Fertility Institute and their degree of success.
I started seeing Dr. Mesen in a mid cycle while taking Letrozole 2.5mg. The last doctor never check if I was to ovulate that cycle or not. So thank goodness I started seeing Dr. Mesen. We did like 3 ultrasounds and days pass by on the day I was supposed to ovulate. So he finally added another dose of Letrozole 5.0mg to that cycle. I finally ovulated. After that initial cycle, I would take Letrozole 7.5mg starting at CD3 and coming in for an ultrasound at CD12. I felt better since Dr. Mesen was monitoring my ovulation. With all of the other doctors, I would tell them that I was not ovulating and they just brushed it off. 15 months went by and I finally switched to see Dr. Mesen. On my 2nd and 3rd cycle with Dr. Mesen we did the IUI procedure on CD 14 with a trigger shot the night of CD12. We had a consultation IVF after the 2 failed IUI cycles. Now we are just waiting for this pandemic to be over with.
Describe your experience with the nursing staff at Carolinas Fertility Institute.
I feel like they never got to know me. I have probably been to the clinic over 10 times. Each time they would call me back, pronouncing my name incorrectly and just bringing me in the room. Never really have a conversation with me. They just ask the basic question “are you allergic to latex” and tell me that Dr. Mesen will be in shortly. I feel like I only come to the clinic just to see and talk to Dr. Mesen.
Describe your experience with Carolinas Fertility Institute.
I feel that overall the clinic does have a few weaknesses. The biggest one is the wait time past your appointment time. It’s hard to schedule appointments while working full time. Not knowing how long you will be at the office and how long to schedule time off away from your job. Another weakness would be some of the staff members, not all of them. Some of them lack compassion and friendliness. They’re just there to work and get you in and out. The clinic strengths would be the caring doctor and that they well equipped with machines to do testing. There are some communication issues, but it’s not too bad.
Describe the costs associated with your care under Tolga Mesen at Carolinas Fertility Institute.
Each ultrasound appt with my insurance was about $300 and each IUI treatment is around $1,000. The trigger shot was about $107.
Describe Tolga Mesen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Carolinas Fertility Institute.
At our ivf consultation, he said he prefers single embryo transfer.