WHAT TO EXPECT...If after one year of having sexual intercourse without the use of birth control a woman is unable to get pregnant, infertility is suspected. Some of the reasons for

336-448-9100 | 1-844-GO-TO-CFIwww.carolinasfertilityinstitute.com

WINSTON SALEM: 3821 Forrestgate Dr. | Winston Salem, NC 27103GREENSBORO: 311 W. Wendover Ave. | Greensboro, NC 27408

WHAT TO EXPECTLearning, Coping and Taking Action

Infertility has many factors and considerations that differ for each couple. At Carolinas Fertility Institute, we realize you should be informed to make the right decision to help build your family. We will guide you -- and join you on this journey.

TAILORED FERTILITY SOLUTIONSOnce we fully understand your history and previous medical testing relating to your fertility, we will arrange for further testing to help select the proper treatment plan. Often, this involves a semen analysis and blood work to assess the female’s egg quality. We may also arrange medical imaging such as an ultrasound or dye study on the fallopian tubes.

After your initial consultation with CFI, we can arrange a meeting with a financial specialist who can explain insurance benefits and financing options for out of pocket expenses.

When your testing results are back, we will have a consultation to discuss various options for treatment. It’s out goal to create a fertility plan that’s tailored to you exact needs. Options may simply require the use of mild fertility medications with ultrasound monitoring and timed intercourse, or may necessitate intrauterine insemination (IUI) or in vitro fertilization (IVF).

• IUIinvolvesplacingspermintheuterusatthetimeofovulation.

• IVFentailsextractingeggsthroughasimpleprocessandinjectingthemwith spermtodevelopembryosthatarecultivatedinthelaboratoryforabout 5daysbeforeplacingthembackintotheuterus.

We suggest beginning the process with a relaxed, positive attitude. We are known for our personalized care, and we will be with you every step of the way to achieve your parenting dreams.

Call us at 336-448-9100 or visit www.carolinasfertilityinstitute.com for more information and to arrange a consultation meeting.

COPING WITHINFERTILITY

We understand the thought of not being able to have children can be difficult. Here are some coping suggestions developed by our CFI team as you deal with your fertility issues:RECOGNIZEYOURSITUATION:A fertility problem may be one of the most difficult challenges you’ll ever face. Acknowledging your situation while dealing with and accepting your emotions is the best way to move forward towards a solution.DON’T PLAY THE BLAME GAME: Avoid anger at yourself and negative thoughts about why you face fertility challenges. Your fertility problem is not your fault and the sooner you move towards the solution, the better you will feel. Focus on a positive future.

TEAMUPTODEALWITHYOURISSUE:You and your partner are the greatest resource through this emotional time. Rather than blame each other for fertility issues, become stronger in your resolve to move forward to building a family. Unite and prioritize tasks for each partner. Perhaps one person can deal with financing and insurance while the other partner undergoes testing and treatment.GETEDUCATED:Read up on fertility problems, visit the CFI Web site, and ask questions of our staff at CFI. You can also rely on other couples dealing with similar fertility issues. Today’s treatments are technical, complicated, and are evolving rapidly. The more informed you become makes the decision on the best plan for treatment easier.DISCUSSYOURFINANCIALABILITIES: The financial obligation of fertility solutions can cause anxiety, especially since women often require multiple cycles before becoming pregnant. We suggest you develop a financial plan. First, find out exactly what your insurance covers. Have a plan to deal with the paperwork and negotiate with the insurance company. Next, evaluate your assets and determine how much you can spend and on treatments. EMBRACESUPPORTGROUPSANDPROFESSIONALS:Seek therapy from a professional that under-stands reproductive medicine or find a support group of others with fertility challenges. You can face the grief and sorrow caused by infertility and avoid shame and isolation.BE OPTIMISTIC AND REALISTIC: It’s important that you manage your expectations through your fertility journey. You should be hopeful but also avoid the setup for a big disappointment. Remaining realistic can help you make smart choices as you work your way through the emotional challenges of treatment.

Dealing with the Issuesand Seeking a Solution



FINANCINGSOLUTIONS

Carolinas Fertility Institute takes pride in offering flexible payment programs that make treatment more accessible to patients requiring payment options. To make advanced fertility treatment more accessible, CFI has developed a competitive fee schedule that gives patients access to leading edge technology and expertise for less than you’ll find at most other clinics. Our practice is pleased to offer budget-friendly, responsible payment plans through Lending Club. When you choose Lending Club, you’re not just getting a way to pay for fertility treatment. There’s actually a whole team of caring and committed people working behind the scenes – just for you. You’ll find a fast and easy online application and low, fixed rate payment plans. • The monthly payment is only $181 for a $10,000 treatment plan with a 8.99% APR Extended Plan over 72 months.* • The monthly payment is only $834 for a $50,000 treatment plan with a 9.99% APR Extended Plan over 84 months.* We also offer financing options through Truliant Federal Credit Union®. You can take advantage of Convenience Loans through Truliant to help pay your bills at lower interest rates. Truliant Convenience Loan Offers:

• Loan amounts from $500 – $15,000• Low, fixed rates• Terms between 12 and 60 months• Easy application process• No pre-payment penalty• May have more than one Convenience loan, but the total of PC loans may not exceed $15,000.00• First payment may be deferred up to 90 days (adds up to 3 months to term but does not change rate)

Note: VA residents can become members for a $5.00 fee. WV residents can pay $25.00 to a local connected credit club to get the same loan options.

For more information on these great financial options, ask our CFI team.

Affordable Optionsfor Your Treatment



PRESERVING YOURFERTILITY

Recent advances in the ability to successfully freeze human eggs extends the fertility potential of women well into the future. Patients concerned about their future fertility usually choose the option of fertility preservation. Fertility preservation is the cryopreservation (freezing) of human reproductive tissue to be used later forIVF therapies or intra uterine insemination (IUI). With the use of liquid nitrogen, human tissues such as semen, eggs, and embryos are frozen at temperatures exceeding 350 degrees below freezing and stored in specially designed tanks.

When the patient is ready to begin a family, the tissues will be shipped to CFI, thawed, and used in a procedure to impregnate the woman. Regardless of the causes of infertility, cryopreservation and cryostorage are advances in the medical field that allow patients another attempt at having a family.

At CFI, we also support women in need of donor eggs. They can select from a choice of frozen and available prescreened frozen eggs donated by young, fertile women.

Here are a few preservation facts:

•Theaverageageofwomeninterestedineggfreezingis36.

•Whilethebiologicalclockneverstops,eggfreezingcanextendfuturepregnancypotential.

•Eggqualityremainsrelativelyhighintoawoman’s30s,butdeclinesrapidlyafterthat.

•13%ofwomenreach20matureeggsafter1eggfreezingcycle.

•Eggsarefrozeninliquidnitrogenandarebelievedtobeabletoremainfrozenindefinitely,suspendingeggqualityintime.

Egg and EmbryoPreservation



IVFAbout the Amazing Advancesand Increased Success RatesIn Vitro Fertilization (IVF) is one of our main methods for success at CFI. IVF combines a man’s sperm with a woman’s egg in a laboratory dish, and the resulting embryo (fertilized egg) is implanted in the woman’s uterus. IVF is an effective way to overcome multiple infertility issues to achieve pregnancy. It is one of the more popular and most recommended infertility treatments because of its high success rates.Our practice has carefully created a state-of-the-art lab with the latest equipment available to enhance treatment success rates. The CFI Lab includes the EmbryoScope™, an IVF incubator with a built-in camera for automated time-lapse imaging of fertilized oocytes in a safe incubation environment. The system provides detailed information about development of embryos up to Day 5. This enhances the selection process and increases the chance for success. This revolutionary system has been used in more than 150,000 patient treatments worldwide in the past five years. Reports show EmbryoScope improves pregnancy outcomes by 20% or more. The CFI Lab will also utilize LifeAire, an air purification system designed specifically for IVF. LifeAire was designed by engineers and physicists to minimize the potentially devastating variable of ambient air and maximize the in vitro culture environment, laboratory potential, and clinical outcomes.The EmbryoScope technology, combined with the LifeAire air purification system, provides patients with the best possible embryo culture conditions and highest chance for success.HEREARESOMEFACTSABOUTIVF:• IVF is one of several treatments used to help infertile couples to conceive a child. If after one year of having sexual intercourse without the use of birth control a woman is unable to get pregnant, infertility is suspected. Some of the reasons for infertility are damaged or blocked fallopian tubes, hormonal imbalance, or endometriosis in the woman. In the man, low sperm count or poor quality sperm can cause infertility.• IVF is one of several methods used to increase the chance of pregnancy for an infertile couple. IVF may be an option if there is a blockage in the fallopian tube or endometriosis in the woman or low sperm count or poor quality sperm in the man. • IVF will not work for a woman who is not capable of ovulating or a man who is not able to produce at least a few healthy sperm.• The success rates for IVF have increased dramatically in recent years.



ABOUT DR. YRenowned Expert

in Fertility TreatmentsDr. Tamer Yalcinkaya (Dr. Y) has practiced Reproductive Endocrinology and Infertility for over 24 years. After completing his fellowship training at the University of California at San Francisco, he started two IVF programs for West Virginia University Health Sciences. Most recently he served as Director of REI at Wake Forest Baptist Health for 9 years.

The doctor provides care in all aspects of infertility and reproduction and is an expert in endometriosis, polycystic ovarian syndrome disorders, menstrual disorders, hormonal imbalances, conditions such as fibroids, and birth defects of the reproductive tract. He attended Istanbul University, Istanbul Faculty of Medicine for medical school and subsequently trained at Harlem Hospital Center for Ob/Gyn.

Nationwide, Dr. Y is considered a primary expert in the field of infertility.

Dr. Y founded Carolinas Fertility Institute to establish the predominant practice in the area. He carefully assembled the most qualified staff and invested in the latest technology to provide a high level of personalized service and success rates.

“Over the years, I’ve found a simple combination for success,” said the doctor. “Stay on the front-edge of technology, surround yourself with the most qualified personnel and provide personalized service.”

“That’s exactly what we offer at CFI,” he said. “We are looking forward to helping couples in need achieve their dream of becoming parents.”

To speak to Dr. Y direct, call CFI at 336-448-9100. You can also ask the doctor a question by visiting our Web site

www.carolinasfertilityinstitute.com.



OUR STAFFIndividualized Care,

Backed Up by Experience.At Carolinas Fertility Institute, we’ve assembled a team of seasoned professionals to provide top service and personalized care. Each member of the CFI staff is an expert in their field. You will receive the finest care and work with our staff members on financial options and planning.

ANURADHAKODURUShe holds an M.D. degree in medicine from one of the prestigious medical schools in Ukraine. She serves as embry-ologist and andrologist for CFI. She has 4+ years of experience working as OB/GYN dealing with patients with infertility.

FRANKPEPLOWSKI,JR.,MBAFrank has over 30 years experience as administrator and consultant for several medical practices in Winston-Salem. He is responsible for financial operations and all practice management oversight at CFI.

KERILIPEKeri benefits from 14 years as a phlebotomist and laboratory technician. She specializes in blood draw and coordina-tion of the laboratory – clinic interface and provides these services for CFI.

SHEILADRISKILL,RDMSSheila has 12 years’ experience working with high-risk OB ultrasound and performing complex fetal ultrasounds. She is the clinical manager and sonographer for CFI and has been working with Dr. Y for the past 6 years.

LORIMARION,RN,BSNLori is a registered nurse with over 14 years of experience in OB/GYN women’s health and over 6 years with Dr. Y as an infertility nurse specialist. She is a nursing school graduate of UNC at Chapel Hill.

JENNIFERHOWELL,CMAJennifer serves as CFIs CMA Coordinator and oversees in-office procedures. She benefits from 2.5 years experience in reproductive medicine and 1 year OB/GYN experience.

MELISSACOCKERHAMMelissa has 14 years of front office customer service and will serve as office coordinator for CFI. She specializes in scheduling, customer service, insurance verification and financial assistance.



Dr. Halicigil,Chief Embryologist

Prominent Fertility Specialist and Technology Expert

Dr. Halicigil, CFI’s Chief Embryologist, has vast experience with EmbryoScope™, an IVF incubator with a built-in camera for automated time-lapse imaging of fertilized oocytes in a safe incubation environment. Reports show EmbryoScope improves pregnancy outcomes by 20% or more. He also specializes in embryo biopsy for chromosomal screening and IMSI (beyond ICSI, for male factor), all increasing live-birth rate and decreasing twin rate and birth defects, such as Down syndrome. Since 2001, Dr. Halicigil has built or refurbished 11 IVF labs.

Dr. Halicigil has:

• Over13yearsoffertilityexperience.• ExpertisewithEmbryoScope,aground-breakingtechnology.• ExperiencewithembryobiopsyforchromosomalscreeningandIMSI,allincreasing livebirthrateanddecreasingtwinrateandbirthdefects,suchasDownSyndrome.• CompletedofthousandsofIVFcycles.• Builtorrefurbished11IVFlabs.• Participatedinthe13thWorldCongressonInVitroFertilizationAssistedReproduction &Genetics2005(NationalAdvisoryCommittee.)

The doctor holds a Master of Science degree in clinical embryology from Leeds University in the United Kingdom and has furthered his education with additional study into IVF, IeSI, cryobiology, cryopreservation and vitrification, and other procedures vital to fertility treatments.

Dr. Halicigil’s knowledge and expertise will keep CFI at the forefront of innovation and new technologies to increase procedure success rates.



FOR NEW PATIENTSWhat You Need

to KnowWe are always excited to welcome new CFI patients. Our highly-trained team is proud to support you with the highest level of fertility care.

Prior to your first appointment, please visit our Web site where you’ll find important forms to expedite your first consultation.

FORYOURFIRSTVISIT

MEDICAL RECORDS: When visiting one of our offices for the first time, it is beneficial to have medical records sent to CFI in advance. You can request that your records from other providers be sent to us by mail, or we also give you the option of filling out your patient registration and medical histories in advance.

INSURANCE AND FINANCING: It’s always a great idea to review your insurance plan and financial resources prior to your first visit to CFI. We are willing and able to help you explain the cost involved with various treatments. We can also point you towards financing options for your fertility treatment.

BECOME INFORMED: You may want to visit our Web site for a wealth of useful information on our fertility treatments. This will improve your comprehension of what we offer. While on our Web site, you can also send a question directly to Dr. Y.

ASK QUESTIONS: We welcome any questions about the services we provide. We will give you the information you need to understand every aspect that’s involved with your treatment. We make ourselves readily available to you through the entire process.

RELAX: We understand that the process of your infertility treatment can be stressful. Trust that we will work closely with you to keep you informed and comfortable



TESTIMONIALSWhat our patients

say about CFI

“Dr. Y was a Godsend, as we had almost given up on having a child together. The odds were against us and he believed in us when no one else did. Because of our life situation, this was

our last chance, and Dr. Y created a treatment plan specifically for us. I will always remember when Dr. Y did our ultrasound and we saw his little heartbeat... that took our breath away,

our dream came true. None of this would have been possible without God and Dr. Y.”

Missy Beck, Clemmons, NC

“Throughout the entire treatment process, we felt

very close to Dr. Y and extremely well cared for.”

Matt and Jenny BiagiottiGreensboro, NC

“My husband and I had some fairly significant concerns about my fertility due to the fact that I was 45 years old and had undergone a prior tubal ligation. In reviewing our options, Dr. Yalcinkaya gently suggested we consider using an ovum donor as well as IVF. The donor

would provide the genetic map, but biologically the child would be ours.”

“As we went through the process of finding a donor, we were extremely confident in Dr Y’s advice and greatly appreciated his patience in educating us. After one round of IVF, we welcomed our baby boy into the world. We’re thankful for him every day, just as we are

thankful for Dr. Y’s expertise in this field, his professionalism, his kindness, and – most importantly – his helping to make our dreams come true.”

Kristen Solis, Winston-Salem, NC



OUR COUNSELINGSERVICES

At CFI, we recognize that treating the mind can be just as important as treating the body during the fertility process. Few situations are as emotionally challenging, and patients often experience varying levels of stress, anxiety and shame during this time in their lives.

In order to provide a comprehensive approach, and guide our patients and their families though emotional challenges, we have an on-staff counselor available at CFI. Leigh Ann Plemmons is a Licensed Professional Counselor (LPC) with almost 15 years of experience counseling people in a variety of settings. Leigh Ann provides counseling services to CFI patients

during the fertility process. She has a B.A. from UNC-Chapel Hill, and an M.A. in Counseling from UNC-Charlotte.

Having been through parts of the fertility process herself, she has a unique perspective to offer to patients who are experiencing the stresses and difficulties of trying to add to their family.

If you are experiencing difficulty going through the fertility process, seeing a counselor one-on-one can help you identify the issues that need to be addressed and provide you with methods of support.

Our goal is to keep you as peaceful and positive as possible during your treatment, and to identify helpful coping strategies. We firmly believe that a peaceful, positive attitude helps achieve a successful outcome.

As with all of our patients and families, the staff at CFI joins you on this journey to provide the highest level of support.

To contact Leigh Ann Plemmons, call 336.448.9100.

LeighAnnPlemmons,MA,LPC



Documents

WHAT TO EXPECT...If after one year of having sexual intercourse without the use of birth control a woman is unable to get pregnant, infertility is suspected. Some of the reasons for