Tamer Yalcinkaya

We are at the beginning of fertility treatments. After our initial meeting it was discussed that we would monitor my cycles, use ovidrel, and time intercourse for a few cycles before moving forward. My husband and I decided to do this one time because we had a sperm analysis done and his numbers needed improvement before we moved forward. He is now on medication that is suppose to increase his quality and morphology. He will be retested once he finishes the medicine and we will finalize our decision on our next steps based on those numbers. After having a phone conference with Dr. Yalcinkaya and expressing my worries and concerns we have made a tentative plan, again depending on husband's numbers, to do 1-3 cycles of IUI with medication then IVF if needed. I have had recurrent miscarriages so if husband's number have not improved much we will skip IUI and go straight to IVF. Dr. Y has been very helpful, informative, and sincere about helping us find the correct pathway to parenthood.

I would tell all patients to ask questions, lots of questions. This is a big, and expensive, step to make so you need to be well informed.

After our initial consultation, bloodwork, and testing, it was a whirlwind of information and decisions to be made. My husband and I decided to take some time to process the information. Once we processed it, I called the office and asked if we could make an appointment to see our doctor because we had a lot of questions before moving forward with a particular fertility option. I expressed that I just started a new teaching job and this appointment would be a the start of a new year so I would need an appointment as late as possible. They mentioned that I could be scheduled for a conference call after hours one day which worked perfect since we really just had a lot of questions about our options given. We were called after work hours on a Friday evening, during a hurricane, and he answered all of our questions, listened to our opinion, gave his opinion, and answered some more questions. He was not in a hurry to rush off the phone with me! He then followed up with me and sent me his email if I had any further questions over the weekend. This is one specific incident but I don't feel rushed when I am at his clinic. Everyone is very nice and helpful!

I have PCOS so Dr. Y increased my Metformin and my Letrozole when I came in for a consultation because the dosage my previous doctor prescribed were no longer beneficial and had stopped having the desired side effects. I was producing a good number of follicles so we tried Ovidrel injection and time intercourse for a month. After finding out that my husband's sperm analysis was overall lower than preferred, my husband and I took a few months off. This break helped give my husband time to take medication to increase his numbers. He is nearly finished with the prescription and will have another analysis done to see if there has been a big enough change to justify us continuing with Ovidrel and/or IUI. As of right now, after consulting with Dr. Y, I believe that we will try 1-3 cycles of IUI and then move forward with IVF if needed.

The nursing staff has been kind enough to return all of my questions and address all of my concerns from certain medications I can and cannot time, to concerns, to countless what ifs, to purpose behind certain tests and their results. They are very kind each time and show tremendous patience with me.

Strengths: Compassionate people working diligently to help you become at parent. The staff is very patient with you and your needs. Dr. Y and his staff with work with you, treat you like a person, and answer all questions you may have along the way. Weaknesses: It took several months to get an initial consultation.

We haven't very had too many costs yet because we haven't tried IUI or IVF yet. But, the Metformin and Letrozole costs about $5 total each month due to insurance. The Ovidrel shot was not covered by my insurance and costs $200 per cycle. My husband had a sperm analysis completed and it was $250, up front, again not covered by insurance. The prescription given to my husband to increase his numbers in $50 for a 3 month supply, insurance will not cover. Lastly, the doctor visits are $85 with insurance.

Dr. Y mentioned that we would transfer one embryo at a time. I am fine with that because we can freeze the other embryos and use them at a later time if the first procedure is not successful.

I felt Dr. Yalcinkaya was very educated in his field. He is very knowledgeable and has up to date research to back up his recommendations. I do however feel that sometimes I was leading my own care, and would have liked some stronger opinions from Dr. Yalcinkaya, however on the same token I liked that he would allow me to have blood tests and procedures performed that I thought necessary for my treatment.

Be open minded. Also be prepared to wait to see Dr. Y, but know that when it is your turn he will spend the same amount of time with you as he does with every other patient.

I felt Dr. Y was caring and had my best interest in mind. It is hard to feel exactly like a human and not a number when a doctor is dealing with multiple patients each day, but I felt he tried his best to keep my situation separate, and unique to me.

Hysteroscopy to help remove scar tissue. Blood work for recurrent miscarriage. Femara and "trigger shot" for IUI.

Nursing staff was very kind during my procedures with Dr. Y. They were also very attentive to my needs when I would email or call regarding treatment protocol. The only negative comment I would say is that I was not always aware of what steps to take next, and would have to ask myself instead of it being explained to me before leaving the office

Strengths- New, up to date technology. Nice, clean environment. Responsive to calls and emails Weakness- long wait times. Treatment was not described before leaving the office and you were sometimes left unaware of what was to come next. Also, billing was messed up at one point during my treatment, but since has been fixed with a new billing provider

Appointments & US- around $400. Hysteroscopy- around 2,000 IVF cycle around 24,000

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Dr. Yalcinkaya is a wonderful doctor. It was very clear from our first meeting that he cares deeply about his patients and his work. He is very intelligent and is a leader in his field but can explain complex scientific techniques in a way that is easy to understand. He always made me feel comfortable with my treatment and made sure to tell us at every appointment that we could call him anytime if we had any questions or concerns. He is a little quirky and for a couple times during our first appointments we had to remind him of our situation (I think this comes from the clinic having a TON of patients), but once he got to know us, he could remember small things we had said or asked about months prior.

I would say be prepared to be patient not only with Dr. Yalcinkaya but also with the process itself.

Dr. Yalcinkaya always made time for my husband and I. After our egg retrieval, our results were much different than what we were expecting. Even though we had 29 eggs retrieved, we only had 3 embryos make it to freeze and they struggled to get there. My husband and I were upset and worried and Dr. Y made himself available after hours to speak with us on the phone for as long as we needed. He is always very thorough in his explanations and offered as much advice as to what our next steps would be as he was able. It is obvious that he cares for his patients and wants the best outcomes for them.

I did an agonist IVF protocol. We began with a uterine biopsy (endometrial scratch), bloodwork and mock transfer (same as a SHG) about a week prior to my protocol starting. All of Dr. Y's IVF patients start this way and it is to rule out any potential problems (and to treat them if they are found) prior to the start of IVF. I began my protocol with Synarel instead of Lupron because Synarel also helps control endometriosis flare ups which I do have a history of. I did Synarel twice a day for 14 days and then continued with Menopur (1 vial), Gonal F (225), Doxycline (twice a day) and baby aspirin for another 9 days. During that time I had 4 ultrasounds. At my last ultrasound before retrieval, I had 29 mature follicles (and several more immature). Because of the number of follicles I had and because my estrogen level was elevated, Dr. Y recommend that we do a frozen transfer instead of a fresh because he was concerned about overstimulation. At first I was disappointed but later was thankful because I was somewhat overstimulated after my retrieval and I wasn't in a condition to successfully transfer at that time. The procedure itself went smoothly and I felt very comfortable. We retrieved 29 eggs, of that 12 were mature and 9 fertilized normally. We ended up with 3 day 6 blasts that were frozen. Dr. Y was a little concerned with my numbers since we had expected a lot more higher quality blasts based on my AMH/blood work and age. Before moving on to our transfer he recommend more extensive genetic testing for my husband and I. We are currently awaiting those results.

Marcey is absolutely wonderful. She is warm and caring but also has a sense of humor. She always made me feel at ease and answered any question I had regardless of how silly it sounded.

While the level of care, the doctors and nurses are amazing, the clinic is VERY busy and obviously somewhat understaffed. I have had wait times for appointments last just a few minutes to over an hour. I will also say that sometimes the costs of things are not made clear - this was more so my experience when I was doing IUIs, but also somewhat during my IVF treatment. You really need to be your own advocate and ask a lot of questions.

For a single IVF cycle including retrieval, monitoring and a fresh transfer my cost with insurance coverage was $5500. I paid an additional $800 or so for meds. This did not include any additional testing/procedures prior to the start of my cycle or additional non-routine blood work requested during my cycle.

Dr.Yalcinkaya is a compassionate doctor who goes out of his way to help his patients. He really wants what is best and is positive in nature while also explaining what may realistically happen. He has never given up on us and continues to remind us every visit that we WILL have our miracle baby. I have secondary infertility and he immediately tackled my personal needs at the pace that we were comfortable with.

Ask questions! He is very open to answer all questions you have. Be honest and candid with what is realistic for your family.

Dr.Yalcinkaya and his nurses almost automatically knew me by name. They understanded our circumstances and talked us through each step.

We started out by getting the diagnosis of PCOS and secondary infertility. He put me on metformin (2,000 mg per day). After 2 cycles of timed intercourse with the use of femara, we began IUI treatments. I did 2 of those without injections (Menopur and Ovidrel) and one with injections. I then developed an ovarian cyst that needed to be treated with Sprintec birth control for 2 weeks. We will be having our 4th IUI next week using menopur and Ovidrel along with femara.

Marci was so excellent! She always called me back to answer any questions I had and never pushed me into anything I wasn’t comfortable with.

The staff are super friendly and helpful. They do everything in their power to help meet your individual needs and do not pressure you into anything. They show compassion and care and I feel like they are there for me 24/7. They are fully invested and really care about each need.

I set up a payment plan from the beginning. The IUI was roughly $500 not including the cost for my husbands sample analysis and medications needed.

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I think Dr Yalcinkaya is fanstastic. He has an amazing ability to calm my nerves when I see him. He is also confident and gives me hope during my visits. When the first IVF cycle was canceled he immediately had a plan to change my protocol. I can easily reach him by text or phone with questions. Where else can you find that ?!

Have a list of questions you want to ask. Ask about your plan of care (protocol). Ask him his thoughts on any other factors (male factor, endometriosis, etc). Be prepared to leave hopeful that you have a plan in place :)

The first cycle we did miniIVF: Gonal F 150 Units, Menopur 75 Units, Lupron, micronized: 2 injections daily. Also took Doxycycline 100mg twice daily, aspirin, extra folic acid and a prenatal vitamin. He used this rationale for lower dosing based on my DOR - he felt I would produce the same amount of follicles regardless so opted for lower doses. This time he added Cetrotide instead of Lupron, and increased the Gonal to 225Units.

There is only one staff member that I have issues with. She completed my med order incorrectly twice. I had to take the bull by the horns and facilitate fixing the error to ensure I got my medicine in a timely fashion. She does not communicate well and it often takes her several hours to respond to emails or calls

Strengths: accessible docs, nice facility, friendly. You get test results very quickly. Weaknesses: mostly growing pains, poor communication sometimes with nurses. I think a new patient would want to know that I did not feel like another number there and felt very well cared for. I have never been rushed at my appointments and had all my questions answered before leaving.

The cost for miniIVF with meds was around 10k. This is far less than traditional IVF and less than most clinics

Dr Y said we could transfer 2-3 embryos and we are ok with that. He thinks at my age 1 in 3 will be normal

Dr. Y is such a down to earth person who happens to be a fertility genius. You can tell off the bat he is passionate about his work. He brings you in his personal office to discuss your options and you don't leave until all your questions are answered. He always offers up a story of hope and you leave feeling like he wants a baby for you as bad as you do.

Don't be afraid to ask questions and don't let money stop you from going. I am a cash pay patient as my insurance doesn't cover fertility treatments and I have always been well informed of cost in advance and shared with opportunities to save money. They empathize that my family has saved for a long time to make this a reality. They have never treated me like I can't afford their treatments.

Dr Y sits down with you in his personal office to discuss your options, not in a room while you are draped in a paper gown. He tells you every piece of information about the why's and how's and always offers hope and success stories.

Well firstly he was listening to my history and he said I want to see your ovaries today if that's ok with you. This was surpring to me but I was overjoyed that something was going to happen that day and the ball would begin rolling. I had follicles that looked perfect and he was excited about that which also made me excited. He said go home and have intercourse and maybe you won't even need to come back. I was shocked that he had hope and it sent me home walking on clouds. He said if this doesn't work, I have back up options. He told me my body does what it needs to do by making eggs and that he would like to perform an hsg to make sure the eggs have a way to release. He told me in detail what that consisted of including out the door cost. He shared even some success stories about hsg tests resulting in pregnancy in other patients. He answered my questions and talked with my until 15 mins after the office closed. That just doesn't exist in the world of medicine these days.

The nurses are amazing at CFI. They call and remind me of appointments and give me blood results and plans of action. They will talk with me on the phone as long as it takes to get my questions answered. It is obvious by talking with them they have so much confidence in Dr. Y and are also passionate about what they do.

This clinic is extremely welcoming. You will never be shuffled around like a number on a paper. Every single person that works there makes you feel like they work FOR YOU. They will laugh with you and cry with you. Their offices are located so that they are easy to find and available to people all around NC. CFI is worth a drive, let me tell ya!

As I said earlier my costs are strictly out of pocket, from savings that have been a long process to get/keep. They knew that going in and kept me informed of all my fees before any services were decided on. They told me ways to cut costs and what to do if any hidden fees appeared and who to call directly if I got any bills in the mail that I didn't understand. People hear fertility treatments and think 10s of thousands of dollars but don't let that intimidate you. It's very affordable to sit down with Dr. Y and hear your options.

Dr. Yalcinkaya is an excellent listener, he put my husband and I at ease and gave us confidence in the process. He made himself available, so if I left an appointment and had a follow-up question, I could send him an email and he was prompt to respond. He was very understanding of the emotions surrounding infertility and gave me the time I needed to ask many questions or even cry if I needed to (and did).

Be knowledgeable about the process and ask as many questions as you need to.

Dr. Yalcinkaya took the time to go through all details of the process with me, both in person and via email.

I don’t remember in detail (I took a break from treatments but will be going back this month). He performed the HSG test & ultrasound. I continued to take femara (prescribed initially by my gyno) and before the IUI I gave myself a shot of Ovidrel in my abdomen.

The staff did not always know who I was, why I was coming into the clinic or basic answers to questions (mainly when I called), until they finally asked around. I felt like I constantly had to restate where I was in the process and ask for details regarding the procedure. There seemed to be a disconnect, not an effort to get to know my as a patient.

The clinic, overall, was very professional and anytime I had an issue or a question, I could touch base with Dr. Yalcinkaya (who was understanding and receptive). The staff, at times, seemed busy or a bit disconnected, but Dr. Yalcinkaya addressed these issues and listened to my concerns.

I don’t remember the exact costs but the one IUI procedure (including the sperm wash, IUI, doctor visit, Ovidrel shot) was a bit over $800.

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He is very knowledgeable on what he is doing and does it specifically to meet my medical needs and takes time to explain everything to where I can understand! My husband was diagnosed with azoospermia and after testing they could not determine the reason of his infetility and they suggested sperm donation but I really wanted a child that was mine and his. That is when Dr Yalcinkaya trialed him in Clomid for about three months sure enough he had about 18 sperm! He never gave up on us and respected my wishes! I will forever be thankful that because of him I have my sweet munchkin!

You have to be very patient and trust his recommendations!

He remembers every detail of my medical history and knows me as a patient!

He prescribed metformin on me as I was diagnosed with PCOS. This would help with the insemination and he kept me on this medication until about 10-12 weeks of pregnancy to maintain the pregnancy.

Lori is very patient and is for the most part always available. She will repeat anything that doesnt make sense as many times as you need her to. She was compassionate and patient!

The only thing that I think should improve is the billing aspect as the young lady is not super helpful. I requested a bill be sent to me and I never received it! An ultrasound was done and apparently my part to pay was over 200 dollars but I never received a bill explaining this or am still not sure why this was not covered by my insurance.

At the time I had Cigna insurance and honestly my insurance took care and covered most of my costs but they did have an option of financing.

At the time he suggested I only transfer one embryo because of my young age at the time but we ended up using transferring two embryos. Only on stayed!

Dr. Yalcinkaya is a very good doctor. He takes the time to explain what he thinks is wrong and what he believes the best course of action is. He is flexible and gives options if you are not ready for a certain treatment. He is sympathetic to patients. He gives patients a way to reach him after hours for any questions or issues. He is often late to appointments and procedures, however, and it is hard to tell whether it is because he has a lot of responsibilities or whether it is because he is poor at time management.

Be prepared with questions you want to ask before your appointment. Be prepared to wait a long time for your appointments.

Doctor was kind and sympathetic during appointments and reachable after hours as well. Provided thorough explanations and reasoning for his recommendations. The only issue with his care is that he was often late to appointments. We were often kept waiting for hours.

After determining that I was ovulating, that my tubes were open and that sperm counts were slightly low but within normal parameters, Dr Yalcinakya recommended IUI as our first course of treatment. He said I likely had endometriosis but he could not diagnose it for sure without surgery. We started with letrozole 7.5 mg on days 5-9 of my cycle. An ultrasound was done after completing the letrozole to check my response. Then IUI was scheduled. I was instructed to use Ovidrel trigger ~36 hours before the IUI. My first cycle resulted in a chemical pregnancy, so the doctor said we should try again. After 2 additional failed cycles with the same protocol, he recommended a change of strategy. He said he was sure I would get pregnant with IVF, but other options would be to do a laparoscopy to check for and remove endometriosis or to do IUI with injectable medications. Since we were reluctant to do IVF, we went with the surgery. Endometriosis was confirmed and the doctor removed what he found. We then did a 4th cycle of IUI. Letrozole 7.5 mg was used again but Menopur was added as well. I had an ultrasound after completing the meds to determine the response, and then IUI was scheduled. I was instructed to use a trigger shot ~24 hours before the IUI. This IUI was successful.

The nursing staff was generally helpful but it was difficult to get someone on the phone right away. Usually you had to leave a message and wait for a call back. If you were to miss the call back it could result in fairly endless phone tag.

The biggest issue with the clinic is wait times for appointments. Often I would wait for over an hour in the waiting room. The waiting room was comfortable but obviously it is not ideal to be kept waiting so long.

ultrasounds - $150, IUI - ~$400, Consultation ~$90

He listens and is very thorough explaining procedures. I asked if my age will need me to use donor eggs and I felt he was honest and wants sucess for each patient. He texts and makes phone calls, he has called me back with questions. He reviewed my history and I think he is choosing the protocols that suit myself

Please be open minded and have hope but be realistic, he has great sucess rates but it may not work for everyone

Dr Yalcinkya was very professional, he was honest and open with all of my questions regarding ivf. He is very good at responding to phone calls and text, he uses other treatments that my other fertility Dr didn't Persue

1st full ivf, Menapor, cetrotide, estrogen patch, gonalf, 2 ivf same protocol 3 ivf current micro dose flare

They are very on top of things, they send emails and call if I have a questions. They gave me a calendar of protocol that helps because it is a stressful process

Everyone is nice and professional, I wish they shown more emotions as this is such a hard time for women who has hopes to conceive. I wish they offered payment plans. They do let you know up front the extra cost and how many visits you may need in office

I live 3 hours away from office, I am able to get office visits closer to home to save us a 3 hour drive

My insurance isn't taken there, we have paid out of pocket and are unable to finance any other treatments

My doctor suggested pgd, I cannot afford the extra expense

Good beside manner, well researched (he knows his stuff)! Seems to genuinely care about his patients and about making a difference in the world by helping women realize their dreams of becoming mothers.

Go in ready for some answers and to be proactive because he will hit the ground rolling with treatments.

Dr. Y takes the time to speak with you and explain every aspect of your care. I very much appreciate that. Infertility is a scary time and it was nice to feel like someone cares.

So far all I have done is oral medications with timed intercourse, which has not yet been effective. I did have an HSG that showed my left tube blocked by a mucus plug and Dr. Y was able to unblock it! I am doing my first IUI this week.

I usually just talk to them over the phone but they have all been nice, call back promptly and seem to really care about your plan.

Strengths are th staff, they also have all of the most up to date technology (including an embryoscope for IVF)-- I haven't yet observed weaknesses but I am not very far in my process yet. Hopefully I do not go much further and won't see any weaknesses!

So far I have only done oral medications covered by insurance so the cost has been very minimal (femara costs about $2)-- the monthly ultrasounds are $130 and I have done two ovidrel injections the first was $150 and the last was $96

I am very pleased so far with Dr. Y. He is very thorough and explains everything well and gives awesome recommendations. He also presents the best treatment possible for the best results. Only thing I will say is sometimes we have to wait a little bit for him to get started. But once he's begun, everything goes well and smoothly

Be open to his recommendations because he knows what he is talking about

He is very thorough and any questions I have about what's happening, he will answer.

We are in progress of our first IVF cycle, so too early to tell. But every lab, procedure, ultrasound has been handled with great care.

Very organized and very welcoming.

I think the entire staff works well together. They set great expectations on when my doctor will arrive and begin. They are very welcoming and open to answer any questions you may have. I also like that there's a clinic close but the other is not far away, so I don't have to travel far.

My insurance had pretty decent coverage, but we were responsible for roughly $5,000 out of pocket up front

Dr. Yalcinkaya is awesome! From the very beginning he helped us and explained to us what was going to happen and how to prepare ourselves. Our first IVF cycle went great and we had twins. The next time we did IVF, it didn't work but he has done everything he can to help make our next cycle successful. He even called and did a phone conference with us for over 30 minutes to help us understand what might have happened.

Sometimes it is hard to understand Dr. Ybwith his accent, but just keep asking him to repeat it!

Dr. Y was always personable and knew our situation. He always asks about our girls when we go! His office staff, not so much.

I had to use estrogen shots, pills and patches. All of the shots and pills helped regulate my hormones so that they could manipulate my body into thinking it was ovulating naturally.

Sometimes I felt like they weren't listening to what I was saying. They would take down what I say, but then tell me their answer and not converse with Dr. Y.

It is a brand new facility. It's amazing with state of the arc equipment and labs!

First cycle- $14,000 Second cycle- $3,500

Dr. Y left this decision up to us after giving us the pros and cons of each. I'm thankful for him respecting on wishes to transfer two embryos!

We had success with Dr. Y in getting PGS normal embryos. Also, each cycle resulted better and better results. Our first retrieval was at a different clinic and resulted in 0 embryos by day 5. Since then, our most recent retrieval resulted in all 4 of 4 day 5 embryos being PGS normal.

This is advice for a patient visiting any clinic is to be your own advocate. Do your research and ask lots of questions

Dr. Y treats me with compassion and I truly feel that he wants us to have success.

I was on a protocol of micro dose lupron, plus Gonal F and Menopur.

Very responsive to emails and shows compassion

Like most clinics, getting a hold of billing can be challenging. The nurses are great. Also, the embryology lab is one of the best on the state. I live in CLT and went to that office primarily. You will mostly see Dr. Mesen there. The embryology lab is in Winston-Salm, so you will go there for retrievals and transfers.

Mostly covered by insurance so I didn’t pay attention too much.

We are very encouraged to do eSET and that’s what we will be doing due to the risk to the mother and babies associated with multiples.

He has a great personality and a passion for infertility. He explained everything he was doing during treatments. During my initial consultation he explained everything in great details and the risks associated; if any.

He cares a lot about his patients and helping them to become parents.

A human to a certain extent. My AFC was never measured and other fertility options were never discussed. Also, when my levels were tested, they didn't go in depth about what those numbers meant and how I can improve my levels or what the next steps were.

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She gave me encouraging words when my tests came back not normal or my levels were still incredibly low. She advised some alternate supplements to take and not to give up

Very friendly staff convenient locations all the latest technology and equipment convenient office hours

Costs were reasonable and the self pay discount is helpful since insurance doesn't cover treatment.

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