Performed by Sophi, our nurse practitioner, for care that feels calm and unhurried
Your well woman exam is performed by Sophi, our nurse practitioner.
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Laura Obermoeller
1/21/2026
I started my journey a little over four years ago at The Center for Reproductive Medicine and Robotic Surgery (CRMRS) with Dr. Jacobs, and I truly can’t say enough good things about my experience. From the very first appointment, you could tell that Dr. Jacobs is a doctor who genuinely cares about his patients. He always put my health and what was best for me first, never rushed appointments, and took the time to answer every single question. I felt supported, informed, and cared for throughout the entire journey. I was fortunate enough to get pregnant on the first round of IVF, and I am beyond grateful every single day for my little girl. I truly credit Dr. Jacobs and his team for making that possible. The entire staff was incredibly kind, but Ashley, his receptionist, deserves special recognition. She was absolutely amazing — always available to answer questions, help with medications, and guide us through the financial side of things in the most cost-efficient way possible. She went above and beyond to make a very overwhelming process feel manageable. The whole process from the beginning is an emotional and stressful journey, but the compassion, support, and dedication from Dr. Jacobs and his team made all the difference. I will always be grateful for the care I received and highly recommend CRMRS to anyone considering fertility treatment.
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Brittany Corn
4/26/2025
He’s been a wonderful experience with him so far We couldn’t ask for a better doctor. We started with a different clinic, but we couldn’t ask for a better doctor with Dr. Jacobs . He’s the best and the business. I definitely recommend if you’re gonna put out money for IVF to go to Dr. Jacobs. We’re not fully done with all the stuff we need to do with him but so far his staff has been wonderful and so is he. He’s gone above and beyond our expectations for IVF. We wish we would’ve started with him.
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Christine
2/14/2025
From the moment I entered Dr. Jacob’s office, I felt reassured that I was in capable hands. The first step was surgery to get rid of cysts, fibroids, scar tissue, and a fallopian tube. My husband and I appreciated Dr. Jacob for being so transparent and let us know that IVF would be our best bet to starting a family and to try immediately after surgery because the endometriosis will grow back in a matter of 6 months. We did not take Dr. Jacob’s advice right away and thus had to undergo a second surgery. We knew that after this second surgery it was go time and so thus our IVF journey began. Miraculously, on our first attempt, we were blessed with a healthy embryo. Now, as we celebrate our second trimester, we can hardly contain our excitement to meet our little one. We are incredibly grateful to Dr. Jacob for his dedication and support throughout our IVF process. He was straightforward and addressed all our concerns with patience, and his expertise ensured both surgeries went smoothly. I also want to give a special shout-out to Ashley, who uplifted our spirits during tough times, often without realizing how much we needed it. Her positivity, and willingness to answer my countless questions were invaluable. I really should get a shirt that says, “I have another question!” Lastly, I can’t forget the wonderful Kaitlyn and Callie, who always brought joy and appreciated my IVF shirts that I would wear to the office. This journey was challenging so coming into the office with cute outfits was always so fun! I looked forward to their calls reminding me of appointments and other important updates. They were also fantastic at teaching us how to administer the medications. We truly couldn’t have navigated this without the entire team, who have now become like family to us. As a first-time IVF patient, stepping into this process felt like a leap of faith, and we are deeply thankful to Dr. Jacob, Ashley, Kaitlyn, and Callie. You are all truly AMAZING!
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Alexandra Theisen
12/25/2024
My husband and I are extremely grateful for the care we received from Dr. Jacob and the staff at CRMRS. We had previously seen a separate fertility specialist who had not completed a thorough workup. Once we transferred care to Dr. Jacob, due to his due diligence he found the reason behind our infertility issues (stage 4 endometriosis) and treated appropriately. Throughout our fertility journey we had multiple episodes where we had to call after hours and we always received prompt and efficient care, even late in the night. CRMRS provided us with an appropriate amount of hope but also realistic expectations based on our personal situation, which is exactly what excellent medical care should provide.
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S G
6/10/2024
Everyone at CRMRS is absolutely amazing. Dr. Jacob and Ashley are incredibly passionate about giving families hope and guidance through their entire fertility journey. Knowing I had such an amazing team leading me along made the high parts that much better and the low parts bearable. No one will go to bat for you more than this team!! I first went to Dr. Jacob with a referral from my OB to help treat my endometriosis. Dr. Jacob was able to remove a lot of endometriosis and diagnose me with Stage 4. My end goal was to have a baby and he and Ashley went through all the steps, meds, outcome percentages, everything. I felt very informed through the entire process. Dr. Jacob ended up doing two robotic surgeries and I went through two rounds of IVF and got pregnant! After years of doctors telling me it couldn’t happen, Dr. Jacob gave me hope that it still could. Thank you thank you thank you for my sweet baby angel! 🌹
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Caryl M Anongos Dominguez
1/17/2024
I could not be any more happier and satisfied with the care I receive from Dr. Jacob and his team. It was a long journey, but I finally ended up pregnant with twins. They explained and educated me on the process very well which made the whole experience relatively stress free. They were very responsive to my questions and concerns and I could not ask for a better team. Ashley and Isabelle were kind and great! They always made me comfortable at every visit. I am eternally grateful for making our dreams of having a family come true.
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Honesty Hope
11/17/2023
I’m not even sure where to begin other than we are so thankful for Dr. Jacob’s and staff 5 stars is just not even enough, I’m thankful for his staff at Center for Reproductive Medicine and Robotic Surgery CRMRS of Missouri they are the most empathetic, caring individuals I’ve ever met! Very professional in every way possible!Myself and my husband gained another family through this office! I couldn’t recommend any other fertility clinic after being with this clinic! Going through fertility issues is so hard and to know you have a whole staff that will hold and hug you through the whole thing is so refreshing. This is literally about you and that’s exactly what they make it about! Dr. Jacob’s is the most kind hearted person I’ve ever met on our journey, he was very honest about what needed to be done and the best method to do it, he is literally there for YOU! And Ashley she is the best cheerleader a girl can ask for she even gave me her cell number for after hour stresses, we couldn’t have asked for better people to help us extend our family, and our first try at IVF through this clinic we are 3 months pregnant with twins on the way and we have been with this clinic for a year this month 10/19/23 WOW right we couldn’t be more blessed by this team! A little history we started our journey about 3 years ago in Dr. Silbers care he filled us up with all his famous stories took all of our money performed procedures come to find out he wasn’t licensed to do! Did egg retrievals he endlessly charged an arm and leg for with no intentions of it working, that he labeled cyst removals, he threw possible good embryos away I’ll never know! He never communicated with us other then at the procedure, his staff was rude disrespectful and also lied about the procedures taking place!Just please don’t ever go to Dr. Silber he is very fraudulent! Dr. Jacob’s office is literally the real deal and his staff is so amazing, if you want to start your family or extend your family Dr. Jacobs at CRMRS is were it’s gonna happen! Give them a call I promise you won’t regret it
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jay wilk
10/17/2023
Want to start off by saying thank you to Dr Jacobs !! I had a huge fibroid that was the size of an 32 week baby! My previous doctor told me that it had gotten so big that could no longer do the procedure i was recommended to Dr Jacobs right away. Nervous because i had never had any type of surgery’s , Dr Jacobs insured me that this would be a breeze for him(but not in those words lol) he is a man of few words but everything he says is powerful. He is very attentive and will make sure he does everything to help you. His staff is even great Ashley became my best friend(sweetest lady ever) and Cali help me out every time i needed her! Thank you Thank you Thank you. I’m still on bed rest but i couldn’t wait to do this review. Back to sleep i go! Jazz! ( i may add phots later)
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Tory Pope
9/17/2023
Dr. Jacob and his team, espically Ashley are amazing. I can’t thank them enough for giving me what I always wanted-a baby.
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Thorough, Comfortable Care From a Team That Knows You
What Is an Annual Well Woman Exam?
An annual well woman exam is a yearly check of your overall and reproductive health. It is a chance to screen early for potential issues, talk through anything on your mind, and stay ahead of your health year after year.
At GoFertility your exam is performed by Sophi, our nurse practitioner, so you are cared for in a way that feels comfortable from start to finish. Dr. Saji Jacob, our board certified OB/GYN, oversees your care at our Creve Coeur office.
Care Built Around Your Comfort
Two things we hear from patients again and again. They want to be seen by someone they feel at ease with, and they do not want to wait months for an appointment. We built our care around both.
Care With a Woman You Trust
Your well woman exam is performed by Sophi, our nurse practitioner. If you feel more comfortable being seen by a woman, you are in good hands from the first minute to the last.
More about your visit
Sophi takes the time to explain each step, answer your questions, and make sure you never feel rushed. Dr. Jacob, our board certified OB/GYN, oversees your care and is available for anything that needs a physician.
You should not have to wait months to be seen. We hold time for new patients and will offer an appointment typically within one week.
How scheduling works
Call our office or fill out the form on this page and our team will find a time that works for you. We will offer an appointment typically within one week.
Your annual visit covers more than one thing. Here is what Sophi and the team will look at during your time with us.
General physical exam
Breast exam
Pelvic exam
Pap smear
Review of your current health and family health history
Update on your current medications (please bring your list)
Medication refills if you need them
A look at whether you need added screenings, such as a mammogram or bone density screening
What to Expect During Your Exam
Here is how each part of your visit works, so nothing feels unexpected.
Getting Comfortable
One of our clinical staff starts by taking your weight, pulse, and blood pressure, and then takes you to the exam room. You are given a gown and as much time as you need to change and get ready in private before the exam begins.
Breast Exam
This gentle, painless check looks for any unusual lumps, cysts, rashes, or changes. You will be asked to move your arms into a few positions so both breasts can be compared. Sophi gently checks the breasts, underarms, and collarbone area for anything that feels out of the ordinary. Catching changes early is a big part of why this exam is done every year.
Pelvic Exam
After a gentle external check, a lubricated speculum is carefully placed so your provider can view the vagina and cervix. Light pressure on the abdomen helps check for any tenderness and to feel the shape and position of the uterus and ovaries. You are guided through each step at a pace that keeps you comfortable.
Pap Smear
Done at the same time as the pelvic exam, a Pap smear is a quick, gentle swipe of the cervix with a small brush to collect a few cells. Collecting the sample takes only a moment. We send it to our local laboratory, and results are available within a week or two.
Why Women Choose GoFertility
You are cared for by people who take the time to know you. From your very first visit, your comfort and your health come first.
You are seen by a woman
Sophi, our nurse practitioner, performs your well woman exam, so you can feel at ease from start to finish.
One consistent, caring team
You see the same familiar faces each year, not a rotating cast of strangers.
Timely appointments
We will offer an appointment typically within one week, so your care does not have to wait.
Backed by a board certified OB/GYN
Dr. Saji Jacob oversees your care, so a physician is always part of the picture.
Book Your Visit
Reach our team and we will find a time that works for you.
Yes. Your well woman exam is performed by Sophi, our nurse practitioner. If being seen by a woman matters to you, you are in the right place.
How soon can I be seen?
We hold time for new patients and will offer an appointment typically within one week. Call us or fill out the form and our team will find a time that works for you.
Does the exam hurt?
Most of the exam is painless. The pelvic exam and Pap smear may feel like brief pressure, and Sophi will go at a pace that keeps you comfortable and lets you ask questions along the way.
How often should I have a well woman exam?
Once a year is the general guidance for most women. Depending on your health, your provider may suggest a different schedule that is right for you.
Do I need one if I feel healthy?
Yes. Many issues have no symptoms early on, so a yearly exam helps catch things before they become a problem and keeps a record of your health over time.
What should I bring?
Bring a list of your current medications and any questions on your mind. That helps us make the most of your time together.
Why These Exams Matter
Your annual well woman exam is a simple visit that can make a real difference. Our team will make sure you feel comfortable and cared for, take as much time as you need, and answer every question. If you have any concerns about your health, reach us any time at 314-473-1285.