In-vitro fertilization for endometriosis, myomectomies and metabolic syndrome surgery are just some of our offerings to resolve a patient’s needs.

The Center for Reproductive Medicine and Robotic Surgery (CRMRS) in St. Louis — conveniently located in Creve Coeur, about a
15-minute drive from Lambert International Airport — provides an array of procedures for couples seeking to have a baby. Ranked as one of the 50 best fertility clinics in the U.S. by Newsweek in 2023, CRMRS, or GoFertility, offers the following services to
St. Louis-located individuals and patients around the country.

High-Tech Fertility Treatments

GoFertility’s Dr. Saji Jacob — one of a select few dual
board-certified OB/GYNs and high-complexity clinical lab directors in America — is a reproductive endocrinologist, embryologist and infertility specialist. One of the most popular and well-known procedures he guides patients through is in-vitro fertilization with ICSI.

During IVF-ICSI, a female patient’s mature egg is injected with the male patient’s single sperm. The injected eggs are then placed into incubators to allow for fertilization before moving to the cryo tank for freezing. The female’s uterine lining is built up with medication during this cycle before the frozen embryo is transferred into the uterus for ongoing growth. In some cases, sperm needs to be gathered via a minimally invasive process known as PESA or TESA.

Family Balancing & Laboratory Services

GoFertility offers family balancing, or sex selection of embryos, when patients meet a set of criteria during their in-office appointment with Dr. Jacob. Through this service, couples have the capability of choosing whether to have a boy or girl prior to becoming pregnant. This is done through a cutting-edge technology that screens all 23 sets of chromosomes for gender and any abnormalities.

Additionally, GoFertility’s state-of-the-art in-house laboratory features a cryo bank for sperm, embryo and oocyte preservation as well as storage for donor eggs. We can perform male infertility testing as well as egg retrieval and culture of embryos for positive pregnancy outcomes. Additionally, we conduct embryo biopsies in-house for pre-implantation genetic testing before a genetics lab conducts tests on the cells.

Surgical Correction of Infertility

Up to 60 percent of women dealing with infertility issues have endometriosis, which is why treating patients afflicted with this disease is one of GoFertility’s top concentrations. Endometriosis often results in debilitating pelvic pain during menstrual cycles. It is caused by the uterus’s inner lining growing outside the uterus.

Once an endometriosis diagnosis is confirmed, Dr. Jacob will perform minimally invasive robotic surgery to remove all lesions before IVF-ICSI cycles begin. In addition to surgically resolving endometriosis, Dr. Jacob and his team perform myomectomies (fibroid removal surgery), ovarian cyst removal and tubal microsurgical reanastomosis.

Metabolic Syndrome/Polycystic Ovary Syndrome

Women with metabolic syndrome — or polycystic ovary syndrome (PCOS) — do not ovulate or ovulate infrequently, resulting in absent, irregular or longer-lasting periods. This makes pregnancy more difficult and increases the risk of additional health problems forming. The ovaries produce high amounts of androgens, causing an imbalance, and fluid-filled cysts containing poor eggs form.

Up to 15 percent of women in their reproductive years have metabolic syndrome but may not realize it until they are attempting to get pregnant. With home remedies or
over-the-counter medications not netting productive results, GoFertility often recommends in-vitro fertilization (IVF) as the proper next step.

Since our opening in 2011, GoFertility has bested the national pregnancy rate per embryo transfer every single year. Our
top-notch equipment and skilled team combine to ensure you receive exemplary, compassionate care. Get in touch with us at
314-473-1285 or We are always welcoming new patients and can typically book appointments for you to meet with Dr. Jacob within a week.