Jacksonville Center for Reproductive Medicine

03/07/2026

Dr. Fox discussing endometriosis and hormones.

03/06/2026

Many many prayers answered with this little bundle of joy!
Hold on to hope miracles do happen!

03/05/2026

Dr. Lipari talking about endometriosis.

03/03/2026

Dr. Fox talking about endometriosis.

03/03/2026

You know what’s wild?

How many women had to fight harder for a diagnosis than they ever did for pain relief.

Years.

Average diagnosis time? 7 to 10 years.

Seven to ten years of:
• ER visits
• being sent home
• normal ultrasounds
• “everything looks fine”
• being told it’s anxiety

Endometriosis often doesn’t show up on basic imaging.

So you can be in debilitating pain
and still be told nothing is wrong.

Let that sink in.

You can be suffering
and still be dismissed.

March is Endometriosis Awareness Month.

If you had to self advocate.
If you had to switch doctors.
If you had to research your own symptoms at 2 am.

You were never crazy.

You were unheard.

And you deserved better.

03/01/2026

Endometriosis is TREATABLE!

Endometriosis is one of the most misunderstood (and mistreated) diseases in Gynecology and maybe medicine in general. The following discussion aims to explain our professional experience with this disease over the last 20 years where we took a special interest in the disease and its management. Our perspective is very different than what is conventionally believed.

Our surgical treatment method is complete excision that still, even today, is very unusual. There are few gynecologists in the US that do extensive excision surgery for endometriosis. The reasons for this relates very much to history and the advent of laparoscopic technology. From 1900 – 1975, all surgery for endometriosis was through an open incision like that for a hysterectomy. The treatment technique, though, was excision. There are numerous studies during that time period that showed 80+ % long term success for pain relief. This is compared to many laparoscopic cautery studies where long term relief is much less than 50%. There were also many studies that demonstrated an increase in fertility after excision treatment.

Recurrence: In contrast to what patients read on the internet, or told by physicians, endometriosis is most likely NOT a recurrent disease. We have re-operated on many patients in 18 years for other reasons with rare findings of recurrent disease. Most, >99% of gynecologists in the US, use destructive methods at surgery (cautery and laser) in an attempt to “destroy” visible lesions. In most cases, there are numerous lesions present, making this spot treatment very difficult. Microscopic lesions can be missed, and the tissue changes color with cautery and it is impossible to know if the entire lesion has been destroyed, especially for deeper lesions. With excision, the entire area including all the lesions extending out to normal peritoneum is removed. If lesions are deep, we recognize it as we undermine the peritoneum and can completely remove it. We believe a person gets all the endometriosis they are going to have by the mid teens and from there lesions go through their life-cycle and if removed are gone forever. No new disease is forming. What has been observed though by other physicians over time is recurrent pain in patients with endometriosis and when re-operated after a prior cautery procedure, lesions are seen. We see this also in nearly all patients after cautery and laser procedures and there is disease present but it is obvious that some of the disease has been treated before, just not completely. The appropriate word therefore is persistence not recurrence. We therefore feel that excision is curative for endometriosis. Pain could recur but endometriosis would be an unlikely cause of the problem. Hence pain does not equal endometriosis.

Call our office to schedule a consultation.

Advanced Reproductive Specialists
Jacksonville Center for Reproductive Medicine
904-493-2229

02/27/2026

Another 5 star review for Dr. Paschall!
She is a great listener!

02/25/2026

Another 5 star ⭐️ review for Dr. Yoo!

Dr. Sonja Yoo carefully evaluated my symptoms and explained that I am beginning menopause. What I appreciated most was the way everything was explained clearly and with compassion. I never felt dismissed or rushed.

02/24/2026

To know her is to love her. She is passionate about our mission.

02/21/2026

Approximately 85% of couples achieve a pregnancy within one year of regular unprotected in*******se. This means about 12-15% of couples seek some form of fertility treatment at some point during their lifetime.

If you fall into any of these categories, call for an evaluation:

Women
• Age 35 and under who have been trying to conceive for 1 year without success
• Over the age of 35 who have been trying to conceive for 6 months without success
• Who have irregular periods or an absence of periods
• Who have other known problems that may affect fertility; ovulation problems, fibroids, endometriosis, blocked fallopian tubes, history of pelvic or abdominal surgeries or sexually transmitted infections

• Who have successfully become pregnant in the past, but are now unable to achieve a pregnancy

• Who have had multiple miscarriages

• Who desire to electively preserve their fertility

• Who know they will be having chemotherapy, radiation, an/or pelvic surgery due to a cancer diagnosis and want to preserve their fertility for the future

Men
• With an abnormal semen analysis

• With hormonal abnormalities; varicocele, a blockage, or absence of the duct that transports s***m from the duct, and/or difficulty with ej*******on

• Who have undergone a vasectomy

• Who know they will be having chemotherapy, radiation, and/or pelvic surgery due to a cancer diagnosis and want to preserve their fertility for the future

We understand how a diagnosis of subfertility is extremely anxiety provoking and stressful.
At ARS/JCRM, we have extensive experience, not only with diagnosing and the surgical/medical management of subfertility, but also in managing the stress that this diagnosis may bring. We take a comprehensive approach that provides a couple with all possible treatment options. You have a choice and it should be a well-informed and knowledgeable one, made only after understanding the underlying diagnosis and individualized fertility paths that are available to you.

Please call our office to schedule an appointment.

Should I See a Fertility Specialist? Approximately 85% of couples achieve a pregnancy within one year of regular unprotected in*******se. This means about 12-15% of couples seek some form of fertility treatment at some point during their lifetime. If you fall into any of these categories, call JCRM....

02/20/2026

Dr. Fox sharing a heartfelt message regarding miscarriage.
We see you and we understand.

02/19/2026

In 2020 after years of infertility and 4 miscarriages we found Advanced reproductive specialists! We live in Gainesville so it was so nice they have a clinic there. With my advanced age Dr Lipari was still so encouraging! I went through some medicated cycles and IUI's but ultimately we decided IVf would be best! Dr Lipari suggested endometriosis surgery that went so successfully! Dr Fox did our 2nd transfer and now we have our miracle girl! Jessica at the Gainesville clinic was such a blessing to us! Today Kare got to meet her and rock her Advanced Reproductive shirt!! We wouldn't have our miracle without everyone from the Gainesville and Jacksonville branch! Forever grateful! 💞