1. Female’s In Transition IVF Cycle™ FIT-IVF™ RMFC

2. What are Females in Transition?  Usually over age 35, mostly over 40  Have been told by physician that they have “Poor Ovarian Reserve”  In other words, they are heading toward menopause  Perimenopause usually starts about 10 years before True Menopause, which on average is when a Females is 50.5 years of age  So, at age 40 most Females show declining reproductive potential  May or may not have been rejected by IVF programs because they do not feel you are a good candidate for using your own eggs  Have been told directly, or indirectly, that you must use Donor Eggs  Are NOT ready to call it quits on their own eggs

3. What is RMFC’s FIT IVF?  Females in Transition(FIT) IVF is a program in parts  Part 1  Test to determine Egg/Ovarian Reserve  OAR, AMH, FSH  Part 2  Discuss with Females and partner their goals and attitudes towards creating a family  If a family is love, then using Donor Eggs is appropriate  If a family is love PLUS and ONLY their genetic contributions are to be used, then FIT IVF may be an option  Discuss the “poor prognosis” with the couple/Females  If they still want to try, then offer FIT IVF Program  Part 3… follows

4. FIT IVF Program  The IVF cycle will be broken down into three parts  Part 1  Patients will get a mock IVF cycle in which we stimulate the ovaries to see if they will respond  $ 2,000  Part 2  If the ovaries respond, then the cycle will be converted to a True FIT IVF cycle  Eggs will be retrieved  Embryos will be grown  Fee is $ 2000  Will be charged to a Credit Card on file  Part 3  Embryos will be transferred  Fee is $ 10000  Will be charged to a Credit Card on File

5. Overview US Bloodwork IVF training Mock IVF Embryology Andrology Procedure Egg Retrieval Embryology Procedure Embryo Transfer Part 1 Part 3 Part 2 US Bloodwork IVF training Mock IVF Embryology Andrology Procedure Egg Retrieval Embryology Procedure Embryo Transfer

6. Advantages: Cost and Closure US Bloodwork IVF training Mock IVF Embryology Andrology Procedure Egg Retrieval Embryology Procedure Embryo Transfer If only Part 1 done Fee is $ 2000 + Meds Total and Closure is achieved If Part 1 done and Part 2 done then an Additional Fee of $ 2000 due at Trigger Shot If no embryos grow, then cycle is complete and Closure is achieved If all three Parts are done Fee is an additional $ 1000 If cycle is complete (All Three Parts) then the fees are $ 5000 + Meds

7. Fees FeeIf complete only Part 1 (Total Paid without medication costs) If Part 1 and Part 2 complete(Total Paid without medication costs) If total FIT IVF completed(Total Paid without medication costs) Phone/In Person Fertility Consult with RMFC Doctors Free$ 2000$ 4000$ 5000 Testing Phase Usually Insurance Company or discounted Cash Pay Part 1 of FIT-IVF $ 2000XXX Part 2 of FIT-IVF $ 2000XX Part 3 of FIT-IVF $ 1000X