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Why Choose Us?

At JCRM, our goal is to provide our patients with a complete fertility investigation in a warm, supportive, and caring environment. Identification of the underlying fertility issues, along with an explanation of all possible options from most conservative to aggressive is the only way couples will be able to make a comfortable, well-informed decision during a very stressful time. surgeryOur IVF program is outstanding with one of the most experienced embryologists in the country, as well as the most advanced equipment available. Our success hinges on  comprehensive treatment of the couple and not simply “shuttling” couples into the IVF process. Without proper evaluation, important conditions are missed that may be the underlying reason for the problem in the first place, and lack of attention can result in lower overall IVF success. Many times we see patients with a history of failed IVF cycles from other centers that unfortunately never had their underlying condition diagnosed or treated while they went through IVF. If they had received a comprehensive approach from the outset, the emotional roller-coaster may have been avoided and a much shorter time to pregnancy could have been achieved. It is frustrating as physicians to see inadequate patient evaluations that often result in less optimal outcomes. Many diagnoses discovered in the fertility evaluation have long term health consequences and definitely should not be overlooked. Our IVF program is one of the most affordable in the nation. We strive to offer the most advanced therapies at the lowest cost possible. We know that money is tight during the current less favorable economic times. Our costs reflect our commitment to assist all couples in achieving pregnancy. We offer the most skilled surgical approach to infertility, endometriosis, and fibroids available in the country. We are ranked top in the nation in the treatment of endometriosis through advanced laparoscopic excision as determined by independent review. Very few surgeons in the country provide this type of therapy. These procedures may be performed with both traditional laparoscopy or robotic surgery. Our comprehensive metabolic approach to PCOS and ovulation disorders has more than doubled our pregnancy rates without requiring IVF. We have a highly specialized and skilled staff of nurses and female nurse practitioners incorporating mind & body and nutrition aspects into fertility care. In short, we consider it a privilege to serve you as a patient, we care about you, and we are focused and committed to your goal of attaining pregnancy. Choosing a Reproductive Medicine Practice is a very important and often confusing task. As the fertility consumer, there are some impediments to this choice. Reproductive medicine practices differ in their approach to diagnosis, treatment and the patient relationship. During the evolution of our specialty, the emphasis has become a more treatment focused approach. Fewer diagnostic studies and a more rapid move toward treatment which focuses financial resources on the endpoint, which is pregnancy. With that said diagnosis and treatment of underlying causes is still important.Our goal at JCRM is to diagnose and approach problems with targeted treatment. Although we utilize IVF as an important treatment modality for many couples, it is certainly not the first line of treatment offered to most patients. The majority of our patient couples achieve pregnancy without IVF. In addition, it is important to help couples become comfortable with their need for assistance with pregnancy and strive to become pregnant as close to the “old fashioned” way as possible. If you are a patient that requires IVF, we hope to help you come to this decision with comfort and the peace of mind that our stepwise approach to treatment helps achieve. We always want patients to feel like they have choices, and we strive to never push patients towards a treatment option they may not be ready for.

At JCRM, we have made great efforts to find ways of improving conservative therapies which are less expensive and less time intensive for our patients, while increasing our pregnancy rates. Our goal is to reduce the need for IVF in couples that may be good candidates for less aggressive treatments. Examples include a major focus on the metabolic aspects of PCOS and mind body / focus that helps with other subtle disorders of ovulation. This treatment approach has significantly reduced the need for IVF in our patients. In many cases, we see patients where a short trial of Clomid was used and if unsuccessful, recommendations were made for IVF. It has been our experience that many patients can achieve pregnancy with simple alterations to their non-IVF treatment plans.

There are controversial areas within our specialty and the internet has left patients with inappropriate information and confusion. ICSI, or intracytoplasmic sperm injection, is a great example. ICSI has been revolutionary for couples with severe male factor subfertility and can be the only successful treatment. It does however, have some theoretic concerns regarding sperm choice and egg damage during the procedure. Additionally, it adds significantly to the cost of IVF. ICSI is used by some programs in all or the large majority of patients. In our practice, we utilize ICSI in cases where it is necessary (20-30%), but have not applied this expensive therapy to all comers. Often offered as a rationale for this excessive use is the “fear” of fertilization failure. The concern amongst patients becomes revealed particularly when a semen analysis is abnormal. At JCRM, we find that in many of these instances, fertilization occurs normally and ICSI is not required.

The design of the office is unique in that it blends the function of our medical practice with a warm and soothing home like atmosphere. We have had many compliments on our new space and even ourselves find it a much more pleasant place to work. We have taken the time to introduce ourselves through our office. Each of our rooms is named after places we have visited and love. There is a certain sense of peace and comfort to us in the memories we find here and hope to share that sense with you. We have developed several different approaches to aid couples who struggle to afford IVF and other fertility treatments. Our novel oral and injectable cycles provide a blend of high pregnancy rates with relatively low cost compared to conventional injectable drug therapy. For IVF cost reduction, we have designed a minimal stimulation protocol that reduces cycle cost and dramatically reduces drug cost. While this may have a lower pregnancy rate than traditional IVF we believe that the results are very comparable. We are also proud to offer an IVF refund program. 

In conclusion, everyone at JCRM knows that we are here to serve the couple.  We strive to diagnose, educate and counsel couples on the underlying issues so they may make a well-informed decision, knowing all the options and the likelihood of pregnancy through each.  We have excellent pregnancy rates from conservative treatments to IVF.  If a comprehensive effective approach in a warm, caring environment is appealing, JCRM is the place to be. We look forward to assisting you in building your family! We hope you choose us!