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About Center for Reproductive Medicine and Robotic Surgery
GoFertility — officially the Center for Reproductive Medicine and Robotic Surgery (CRMRS) — is a nationally recognized IVF facility located in Creve Coeur, Missouri, about a 15-minute drive from St. Louis Lambert International Airport. The center was founded in 2011 by Dr. Saji Jacob, MD, FACOG, HCLD (ABB), one of only a handful of dual board-certified infertility specialists in the United States who holds both OB/GYN board certification and a high-complexity clinical laboratory director credential.
According to CDC 2022 ART data, the center reported 64 ART cycles; because most cycles are embryo banking cycles, CDC did not publish age-specific live birth rates (data suppressed). The center publishes its own pregnancy rate per embryo transfer — 76% in 2015, 81% in 2017 and 88% in 2019 — but those are clinic-reported figures on a per-transfer basis. With the center’s CDC 2022 age brackets suppressed, this page carries no national per-transfer benchmark to compare them against, and no CDC outcome rows of its own. Newsweek placed the center in its top-50 America’s Best Fertility Clinics list in 2023, 2024 and 2025; our source records no rank for any of those years, and the clinic’s own banner claims a top-50 spot “for 4 years in a row” without naming a fourth year. The clinic states it is one of only two Missouri fertility centers on that list.
Accreditations & Awards
- Newsweek Top 50 IVF Center: named to the top-50 list in 2023, 2024 and 2025. Our source records no numeric rank for those years and no 2026 placement; the “4 years in a row” figure is the clinic’s own unranked banner claim
- Dual board-certified leadership: Dr. Saji Jacob holds ABOG (Obstetrics & Gynecology) and ABB (High Complexity Clinical Laboratory Director) certifications, with trained embryologist credentials (Source: GoFertility website)
- CDC 2022 reporting and clinic-published figures: 64 ART cycles in the CDC 2022 extract, with age-specific live birth rates suppressed because most cycles were embryo banking; the per-transfer pregnancy rates quoted on this page (76%, 81%, 88% for 2015-2019) are the center’s own website figures (Source: CDC NASS 2022; GoFertility website)
- CAP-accredited embryology laboratory: the lab holds accreditation from the College of American Pathologists (CAP) and meets CLIA clinical laboratory standards
- National robotic surgery proctor: Dr. Jacob is a certified robotic surgeon and national proctor who trains physicians across the U.S. in robotic gynecological surgery
Why Choose GoFertility (CRMRS)
- One-on-one care with the physician: Dr. Jacob sees every patient at every appointment, ensuring highly personalized care — “You are not just a number to us.”
- Clinical and laboratory expertise in one physician: as both a clinician and a trained embryologist, Dr. Jacob understands infertility from both the clinical and laboratory perspectives.
- Clinic-reported outcomes: 88% pregnancy rate per embryo transfer in 2019 (76% in 2015, 81% in 2017), published on the center’s own website; the clinic’s CDC 2022 age-bracket live birth rates were suppressed, so there is no like-for-like national comparison on this page.
- Robotic microsurgery specialty: a certified robotic surgeon with more than 1,000 complex robotic surgeries completed, specializing in stage IV endometriosis, myomectomy, and tubal reanastomosis.
- Comprehensive fertility services: from basic fertility assessment to IVF/ICSI, PGT-A, donor egg, surrogacy support, egg freezing, and male infertility treatment.
IVF & Fertility Services
- IVF (In Vitro Fertilization): conventional IVF and ICSI with blastocyst culture using complex tri-gas incubators that precisely control pH, CO₂, and O₂ levels.
- PGT-A (Preimplantation Genetic Testing for Aneuploidy): chromosome screening to select euploid embryos and improve implantation success.
- Egg Freezing & Fertility Preservation: for medical indications (e.g., before cancer treatment) or elective deferral of childbearing.
- Donor Egg Program: actively recruiting young donors (compensation up to $30,000) for patients needing donor oocytes.
- Surrogacy Program: medical support for gestational carrier arrangements.
- Male Infertility Treatment: ICSI, PESA (percutaneous epididymal sperm aspiration), and TESA (testicular sperm aspiration).
- IUI (Intrauterine Insemination): ovulation induction combined with IUI.
- Embryo Banking / Split Cycle IVF: multiple retrieval cycles to accumulate embryos before transfer, designed for patients with low ovarian reserve.
- Robotic Minimally Invasive Surgery: robotic-assisted endometriosis excision, myomectomy, and tubal microsurgical reanastomosis.
- Gynecological Services: annual well-woman exams, hormone replacement therapy, and menopause management.
Fees & Packages
GoFertility accepts most major insurance plans, including United Healthcare and Cigna. A financial counselor helps patients understand insurance coverage and self-pay options. Specific fees vary by treatment plan and insurance coverage; patients are encouraged to discuss costs with the finance team before treatment. Online payment is available. The clinic does not publish fixed package prices on its website.
Patient Journey
- Initial consultation: schedule via online booking or phone; new patients typically receive an appointment within one week.
- Fertility assessment: comprehensive workup including hormone panel, AMH, transvaginal ultrasound, and semen analysis — completed within 14 days, with Dr. Jacob performing ultrasounds personally.
- Personalized treatment plan: the physician develops an individualized protocol and the financial counselor reviews coverage and self-pay options.
- Cycle treatment: ovarian stimulation → egg retrieval → IVF/ICSI fertilization → embryo culture → PGT testing (if applicable) → embryo transfer (fresh or frozen).
- Pregnancy confirmation and follow-up: blood β-hCG testing about 10-14 days after transfer, with continued support after confirmation.
- Patient portal: manage appointments, view medical records, and check lab results through the Prognocis patient portal.
Local Legal Framework
- Egg/sperm donation: legal in Missouri with a written agreement; donors relinquish parental rights.
- Surrogacy: commercial surrogacy agreements are restricted under Missouri law — consult an attorney for current rules.
- PGT-A/PGT-M: no special legal restrictions; standard medical informed consent and CLIA laboratory standards apply.
- LGBTQ+ family building: Missouri offers limited legal protections for LGBTQ+ family-building rights; professional legal advice is recommended.
- Embryo legal status: Missouri law does not clearly define embryo status; disposition is governed by reproductive agreements.
Location
- Address: 844 N New Ballas Ct Ste 300, Creve Coeur, MO 63141, USA
- Phone: +1 314-473-1285
