Carolinas Fertility Institute

So basically we had tried for well over a year and went to the doctor. They did blood work on me and turns out I had an extremely low egg count. My husbands numbers were fine, better than fine actually. His numbers were thru the roof, but mine were awful. We were given less than 1% chance of conceiving on our own. They immediately suggested IVF. The first round, we got a genetically normal embryo (we did genetic testing on all of ours) They asked us if we would want a sibling in the future, if so, to go ahead and ‘bank’ embryos before transferring. So we tried multiple times, changing medications around etc that cycle failed. The next cycle we tried and again changed meds with terrible results The next, the nurse overdosed me in medications and actually I caught it. Turns out my ovaries were overstimulated and put to sleep for 6 weeks and we weren’t even sure if they would wake up, but thank heavens they did. The next cycle we went back to the same Med cocktail we used the first time ( Bc that had been the only time we had gotten good results). We did get embryos from this cycle, and had them genetically tested thru Wake Forest, Reproductive Medicine, only to find out they were all “nonviable, incompatible with life”. We tried one more time, and had zero results. We were devastated. Took 5 months off Bc I was drained in every way shape and form. Physically mentally etc.. Wake Forest Reproductive Medicine suggested adoption or buying eggs, Asheville PREG said adoption/eggs And Charlotte REACH said adoption. I had a friend randomly mention CFI (Dr. Yalcinkayas practice) and I thought, “why not”. I went, and he said before we do anything Can I please retest your embryos that Wake Forest Reproductive Medicine said were “nonviable, incompatible with life”. CFI retested them, and turns out we had two genetically perfect embryos, and they are our girls today. who are absolutely PERFECT. We owe everything to Dr. Yalcinkaya and Jesus.

You are in THE best hands. He is phenomenal.

He retested our embryos for a second time, after we had previously been told they were “nonviable, incompatible with life”. His embryologist rechecked them, and they were indeed genetically perfect. We then transferred at the first available time and both took. Our babies are currently 14 mo old and perfect.

$7000

We had two genetically perfect embryos and of course were concerned with them splitting into triplets or quadruplets. He told us, he didn’t think this would happen, of course couldn’t guarantee it. But he felt comfortable putting both embryos in me and us hopefully having twins. He was right!

Dr. Y made my experience more manageable even though we were feeling defeated. He gave us hope and compassion and worked with us all the way to the end and we got the most beautiful 2 little girls I have always dreamed of. I will always be thankful for his expertise and his help, he gave me a purpose in life again.

Everything about Dr. Y is wonderful, I have nothing bad to say about his at all. Please go see him, he will give you hope when you are feeling defeated.

I was placed on drugs to help ovulate and a estrogen pill. Injections in the stomach, and buttocks. I really can't remember all that I took, it was a lot of hormones. He also did two surgeries on my fallopian tubes having blockage and scar tissue. I also had endometriosis he had to remove twice. A surgery before each child I had.

The first child with Dr. Y was with Wake Forest Med Center was around $30,0000 with the one IUI and the meds and the first IVF and one frozen embryo. The 2 nd child was with CFI with Dr. Y he got his own clinic. 2 nd child around $6,000.00. I would say around $36,000.00 all together out of pocket, my insurance did not cover any infertility issues.

I wish I would have only one embryo transferred the first time instead of two, because one only took. I went back three years later and had the last one transferred, but if I would have had only one transferred the first time, maybe I would have had one left and could have three now. I always wonder about that.

My first visit with him I did not fully believe he was the doctor for us. He seemed nice enough but did seem a little distant. However, after moving to his clinic and transferring our remaining embryo there, I loved him. He was very personable and gave us a lot of hope that it would be a successful treatment. He was right. He was so kind. Above all else, I feel his knowledge and abilities as an RE is amazing. Being in the medical field myself, I truly appreciate statistics and accurate medical knowledge.

If you don’t connect with him on the first visit, give him another shot. The more you are around him the more you will understand his compassion and knowledge.

I do not recall.

It wasn’t the cheapest but not the most expensive I researched. I would say median for our area.

He was caring and took time with every single patient (I understand I may need to wait a little longer because he is taking time with another patient, I appreciate it when he does that with me). He is completely on-board with moving as slowly or quickly we want to move with treatments and isn't afraid to take an aggressive approach, but seems to try to be as realistic as he can along the way. I also appreciate that he was available off hours if there was an emergency, I didn't have to go through a nurse to speak to him.

Don't forget to do your own research as well and be your own advocate (I would give this advice for any doctor), but there is only so much he can remember with how many patients he is seeing and it is up to you do ask questions and advocate for yourself.

I'm not sure what protocol, but seemed standard. He preferred to go off of my natural cycle instead of starting me on birth control. My IVF meds were gonal-f, cetrotide, and menopur for retrieval, I also started my cycle using estrogen patches and estradiol pills. For FET I started on the patches and pills and started PIO shots 5 days before transfer.

It was around $14,000 for the IVF cycle (with ICSI), that included 1 FET. Each FET after that was $2900. PGS testing was around $4000 for 8 embryos, but I might be off on that amount though, but it was around that.

He didn't have a preference, answered our questions about it, but left it completely up to us, which I appreciated.

Tamer M Yalcinkaya was always very honest and informative. Also, he was very friendly. The only problem i had with Tamer was that he told us that they would not bill my insurance for any IUI treatments even though we had the code and spoke to the insurace company prior.

To make sure you will be seen at the time of your appointment, and be firm with the support staff. It seems like the support staff does not care about why you are there. its stressful enough to have trouble getting pregnant, so you should not have to deal with bad service.

First he wanted to do an ultra-sound to make sure everything was clear. He wanted to do an HCG, however i didnt need to at the time, because i had just recently had one done. After that he started me on Chlomid on the 3rd to 5th day of my cycle. Around day 10 of my cycle he did another ultra-sound to check the size of my folicles and egg quantity. After a second positive ovulation test i went for the IUI treatment. My husband went that morning to drop off his sample, then i showed up 30 minutes after he was done. Once the IUI was completed i was instructed to test for pegnancy 2 weeks after. This was not successful.

1000 dollars up front

He’s very knowledgeable and explained treatment in a way I could understand. I didn’t ask a lot of questions because IUI was simple to understand, but I appreciated his willingness to break down what was going to happen.

Manage expectations since IUI has a much lower success rate than IVF. I thought IUI would be successful even though Dr. Yalcinkaya told me it was only about a 40-45% cumulative success rate, and I was surprised that I did not get pregnant because the procedures went well- I responded well to Femara and my husband produced good samples.

After tests revealed our only problem was his motility initially he was given a vitamin regimen and we tried on our own for 3 months following my normal HSG test. We then tried IUI 3 times in back to back cycles because at that point his sperm was looking normal. The protocol included 7.5 mg of Femara CD 3-7, an ultrasound day 10-12 to check follicles, and a trigger shot 36 hours prior to IUI with my husband’s samples at about 20 million each time. We took a break for 7 months and tried IUI one more time last month and it failed again.

I paid 480 out of pocket for the first three IUIs when my insurance was in network and offered partial coverage- my Ovidrel trigger shot was 50 dollars at that time and Femara was covered as well as bloodwork, HSG, and ultrasounds. We switched insurance last summer and are now out of network so my 4th IUI was a 1000 dollar package for the ultrasound and wash/insemination.

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He is very talented, highly skilled and tenured in fertility treatments and ob gyn matters. He was able to successfully perform a uterine check, quickly and without pain or drugs, this was a procedure that even my long term ob gyn doctor was never able to do with me, without me being under. After that, I knew I had the very best.

if you want the absolute, very best fertility specialist out there - this is the doctor for you. I am in my mid 40's. It only took one round of IVF, just one transfer....and everything went successfully.

I was placed on bc pills, then estrogen patches and progesterone shots. This is all part of the IVF process. It gets your body ready for the most optimal time to conceive.

expected. A little on the high side, but worth it.

It was his belief that a single embryo transfer was best for me. And, it was.

Dr Yalcinkaya gave us all of our available options to try, and then gave his opinion on the best course of option for us. His prices were very reasonable and competitive. He really went the extra mile making sure I understood how to properly take my medication and gave me his contact information letting me know to call him at 2am if I needed to! He personally performed all of my ultrasounds with the exception of two when he was out of town. I felt he was always very honest and forthcoming. He can be a little difficult to understand as he has a Turkish accent. I found him to be very compassionate and really took his time with me and my situation. He is extremely knowledgable I felt like I was in good hands the entire time.

Listen to his suggestions on what course of action will work for you and take his advice, he really is great at what he does!

I remember taking menopur 75 once daily and gonal f 150 twice daily for about two weeks or so. I was also on an estrogen patch for two weeks in addition to estrogen pills. I then took my trigger shot two days prior to my retrieval. We were trying to overstimulate me in a since to obtain additional eggs as we were attempting to avoid a genetic condition that occurs in half of embryos, so we were hoping for many. I produced 20 eggs, 11 were mature, 9 fertilized and 4 made it to day 5 and were PGD and PGS tested and frozen. At transfer I was taking PIO, estrogen, aspirin and a steroid.

I felt his costs were very competitive for the area. Around $10,000 for a cycle and $3900 for a frozen embryo transfer. They also have promise program available for those who qualify through a separate company. I chose this option and it was about $19000 for the cycle in addition to medications and PGD and PGS testing.

For a first time transfer he recommended a single embryo transfer.

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.

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

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

unknown

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.

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.

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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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 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.

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!

During my last round of IUI, Dr. Yalcinkaya did not see me at any point. His partner saw me and read my chart incorrectly, announcing that he was sure this would work because they had just cleared up some blockage in my tubes during the HSG test. Well, that test was a year prior to this visit. To have a different doctor who doesn’t even read the chart thoroughly before entering the room definitely left me feeling less than happy about the doctor or the clinic.

Ask if he will be providing your treatments at all appointments and if not to meet who will support him in your journey.

We used timed intercourse with fertility meds to try and get more mature eggs during my fertile period. When that was unsuccessful, we tried 3 rounds of IUI to increase chances. I took fertility meds and ovulation shots. With an unexplained infertility diagnosis this was an appropriate medical plan.

$450 per IUI and $80 for visits

I can't say enough good things about Dr. Mesen. He is easy to reach, kind, patient, and ready to explain all the minute details. On the few occasions I had a misunderstanding with a nurse or other issue, he always fixed the problem personally. His work ethic is impeccable.

Don't be afraid to ask lots of questions.

IVF with long lupron protocol, with a fresh 5d transfer, for unexplained infertility. I responded well to the protocol. Fresh transfer resulted in a CP, so an FET was scheduled. Due to failure of the first transfer, he recommended transferring 2 embryos, but I wasn't ready yet, and we transferred just one. Upcoming FET will transfer 2 embryos. FETs are done with medicated prep (estrace and vivelle).

$15,000 for IVF, which included ICSI, ER, all ultrasounds and monitoring, fresh transfer, freezing of all embryos for 1 year, unlimited FET of all embryos retrieved until viable pregnancy. If this does not result in a pregnancy, I will be refunded $12,000, which would pay for another IVF cycle.

We reviewed the statistics several times. He recommended a single transfer the first time due to my age, but 2 embryos for the 2nd transfer, though he allowed me to override that decision.

He drew pictures to fully explain what was happening in my uterus, which was really helpful. He was always available-patients are given his person cell phone numbers for after hours questions/concerns.

Ask to see him on day 1.

He prescribed gonal, Menopur, and ganarelix for my stuns process. I went every other day- sometimes daily- for an ultrasound and blood work. He would adjust my medicines accordingly. I could tell they were working by the ultrasounds/watching me eggs continue to grow and egg count increase!

The monitoring appointments for me were every other day- sometimes daily due to my blood work or ultrasound results. These appointments were morning only.

For us and due to the fact that we had already met our insurance deductible, it was around $5,000. The medications were $2,000+ and we were build additionally for lab costs.

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I did not personally get to interact with the doctor much which didn't bother me but could be a problem for some people if they are expecting that. I had the initial consultation with him and that was it. He was supposedly behind the scenes making decisions but I did not get to personally discuss them with him. In the consultation I had with him which was my only real interaction with him, he did seem a bit rushed but overall I felt like he listened to me and was willing to tailor a plan to meet my needs.

Don't be expecting to see the doctor at every visit, but trust that he is doing things behind the scenes and has your best interest in mind

I took gonal f and letrozole along with a Novarel trigger. This was used with timed intercourse. The rationale was based on my own personal preferences and his recommendations.

cannot remember

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We were told that IVF was our only option. He gave us hope that IUI could be attempted. He was realistic about our chances, but still remained optimistic. I always felt at ease going to see him. I loved how he took the time to explain everything to us. I never felt as though I was being rushed out the door.

He’s absolutely fantastic!

I took 5 days of Clomid and went in for follicle measurements. Our first IUI was done naturally instead of using a trigger shot of Ovidrel due to a positive OPK the day before insemination. This one resulted in a negative pregnancy test. The second one we did with 5 days of Clomid and a trigger shot. Due to my ovulation from the first cycle, they adjusted the days of my ultrasounds to a day or two earlier. I got pregnant off my second round with only 4 mil sperm post wash.

I paid $200 for genetic testing on myself. Each IUI cost $1,000.

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

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

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.

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.

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

Dr. Yalcinkaya listened to me, determined the cause of my prior infertility problems, and helped me have my beautiful baby girl on the first try. He was involved in every phase of my treatment and adjusted the treatment if my body did not respond as expected.

Opt for genetic testing.

Dr. Yalcinkaya performed one cycle of drug-stimulated, embryo transfer using donor sperm. Dr. Yalcinkaya was especially concerned with making sure my uterus was ready to accept the implanted egg and adjusted medication and delayed the cycle several times for that reason. This resulted in a successful pregnancy.

Dr. Yalcinkaya offered a guaranteed live birth IVF cycle for $15,000.

Dr. Yalcinkaya assured me we would only need to implant one embryo to get the one baby I wanted. He was correct.

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

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

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.

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

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.

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

He didn’t rush us or our visits with him. He would give us his opinion on the course he thought was best but allowed us to make our decisions. He was compassionate and I trusted his recommendations for the best outcome.

Ask questions. Don’t be afraid to be an advocate for yourself.

We had a very basic protocol. Our issue was with chromosomes not so much getting pregnant. I am under 30 and had good egg quality.

I live in a different state. They were great about ordering testing I needed to make it more convenient for me!

We spend almost $30,000 on meds, testing, and retrieval/implementation.

He recommended one, which was also what we wanted. We did genetic testing and didn’t believe there was a reason to implant more than one.

I felt like he really cared. He proved that in so many ways without giving false hope. I started this process at 40 yrs old and as a physician myself knew my chances were not great. I have the world's best 4 yr old now. A true gift and I'll never stop appreciating Dr Yalcinkaya's role in that.

Listen to him and follow his expert advice to a T! He knows what he's doing.

I honestly don't recall but they were all very well backed by the latest research and evidence based medicine.

The costs were competitive with regard to market values. This us why we chose NC over VA.

Dr Y is fantastic in all ways. He is very knowledgable, compassionate and you can tell he loves his job. He has fantastic bedside manner. I had the best experience with him both rounds of IUI. Even though my cycles failed, I could tell he was just as sad as I was.

Tell him everything, even how you aren’t feeling. He will talk you through any and all information.

I had 2 rounds of IUI. I used Clomid and also injections. I then had the IUI procedure

I believe each IUI treatment was around $3,000 each.

He was very nice and informative. Although he was not into giving me follicle numbers. I realized going through this that I should have never stressed out about follicle numbers. He always went the right course of action. Even thought there were setbacks he also wanted this to work as bad as I did.

Do not care about follicle numbers and try not to get stress to overcome you.

I was on gonal-f 375 units, menopur 75 units a night and cetrotide starting day 6 of stims. Did this for 9 days and then trigger on day 10.

13000$