Jacksonville Center for Reproductive Medicine

09/23/2025

So many answered prayers right here!
She’s everything we aver wanted and more! Praise God!

09/22/2025

09/21/2025

PCOS is a hormonal disorder causing enlarged ovaries with small cysts on the outer edges.
The cause of polycystic o***y syndrome isn't well understood, but may involve a combination of genetic and environmental factors.
Symptoms include menstrual irregularity, excess hair growth, acne, infertility, weight-loss resistance and obesity.

What can you do about cravings during your cycle? How can you best lose weight if you have hypothyroidism? What treatment do you recommend to PCOS and endometriosis?

09/19/2025

Dr. Paschall joined the staff of Jacksonville Center for Reproductive Medicine in September 2011 in order to focus on advanced minimally invasive laparoscopic surgery and work side-by-side with her mentors, Dr. Fox and Dr. Lipari in the reproductive field. In addition to laparoscopic surgery, Dr. Paschall’s clinical interests also include the evaluation and management of PCOS as well as working with subfertile patients. In addition, she has taken a strong personal interest in familial cancer screening that focuses primarily in the area of breast, ovarian, endometrial and colon cancers. She is instrumental in offering the latest testing for those who are at high risk for genetic cancer syndromes.
Dr. Paschall is a member of numerous professional organizations including the American Society for Reproductive Medicine, the American Congress of Obstetricians and Gynecologists, the Society of Laparoendoscopic Surgeons, the Florida OB/GYN Society and the Duval County Medical Society.

Meet Sarah Paschall, M.D., a board-certified obstetrician and gynecologist at Jacksonville Center for Reproductive Medicine. Dr. Paschall is skilled in advan...

09/18/2025

Please help us welcome Kimberly Gallo APRN, Gainesville location to our ARS/JCRM family.

Kimberly was born and raised in West Palm Beach, Florida.

She began her nursing career in 2019 after graduating from the University of Florida with her Bachelor of Science in Nursing. She has worked in both inpatient and community health settings as a nurse. Since nursing school, she has always had an interest in Women’s Health.

In May 2023, she graduated from the University of Florida with her Doctorate of Nursing Practice and is Board Certified through American Nurses Credentialing Center as a Family Nurse Practitioner. She began her Nurse Practitioner career working in Otolaryngology. She is so excited to have this opportunity to pursue her interest in Fertility and Women’s Health.

In her free time, she enjoys spending time with her family and 2 dogs. She also enjoys going on the boat and Gator football!

09/17/2025

Dr. Fox discussing if menopause stops the progression or symptoms of endometriosis.

09/15/2025

We recognize that PCOS continues to be very poorly understood by the medical community. Unfortunately, birth control pills continues to be the primary treatment method supplemented in some cases by Metformin. Those with PCOS know all too well this approach has a very small effect on the overall process. Without a distinct focus on the treatment of insulin resistance (insulin elevation), patients will continue to worsen over time and ultimately most will suffer many of the listed complications of PCOS. A simple change in nutrition to dramatically reduce the insulin levels will make a dramatic difference to patients with this syndrome. This approach is the only way to truly treat PCOS and the associated problems that arise from elevated insulin. In addition to our aggressive treatment of PCOS, we do handle patients with type II diabetes and metabolic syndrome. There exists a large number of women who may not meet the strict criteria for PCOS but still have the same insulin resistance physiology and need similar treatment. Remember, PCOS is one of numerous major health concerns that result from Insulin Resistance. After being in practice for over 20 years, it is clear that patients don't "read the textbook," meaning that they don't always have the classic symptom pattern for particular diseases. Instead, we see a variety of presentations for a particular disease process such as PCOS.

We treat PCOS. Call today to schedule a consultation.

https://jcrm.org/treatment-options-for-pcos/


Michael D. Fox, MD
Advanced Reproductive Specialists
Jacksonville Center
Reproductive Medicine

09/13/2025

More praise for the keto diet!

Researchers report that the ketogenic diet decreased depression symptoms more effectively than traditional medications and counseling in a pilot study by Ohio State University.

09/11/2025

Happy Birthday to an incredible doctor!
Dr. Lipari, your dedication, expertise, and compassion have brought joy to countless families. You've changed lives in ways that go beyond words. We wish you another year filled with miracles! Wishing you a day filled with love, celebration, and all your favorite things! 🌟🥳🎉

09/09/2025

September is Ovarian Cancer Awareness
and PCOS Awareness Month

Ovarian cancer is a serious gynecological cancer that affects the ovaries. It is important to be aware of the signs and symptoms of ovarian cancer so that it can be detected and treated early.
Symptoms:
Persistent bloating
Pelvic pain or pressure
Changes in bowel habits (e.g., constipation, diarrhea)
Feeling full quickly after eating
Unexplained weight loss
Fatigue
Risk Factors:
Age (most cases occur in women over 50)
Family history of ovarian or breast cancer
Early menstruation
Late menopause
Infertility
Use of hormone replacement therapy
Diagnosis:
Pelvic exam
Blood tests
Imaging tests (e.g., ultrasound, CT scan, MRI)
Treatment:
Surgery (removal of the ovaries and uterus), Chemotherapy, and Targeted therapy.
Prevention:
Regular pelvic exams
Genetic testing (if family history is present)
Healthy lifestyle (diet, exercise, weight management)
Awareness Efforts:
September is Ovarian Cancer Awareness Month:
During this month, organizations raise awareness about ovarian cancer, promote early detection, and support research.
Wear Teal Day:
On the second Friday of September, people wear teal ribbons or clothing to show their support for ovarian cancer awareness

09/06/2025

We recognize that PCOS continues to be very poorly understood by the medical community. Unfortunately, birth control pills continues to be the primary treatment method supplemented in some cases by Metformin. Those with PCOS know all too well this approach has a very small effect on the overall process. Without a distinct focus on the treatment of insulin resistance (insulin elevation), patients will continue to worsen over time and ultimately most will suffer many of the listed complications of PCOS. A simple change in nutrition to dramatically reduce the insulin levels will make a dramatic difference to patients with this syndrome. This approach is the only way to truly treat PCOS and the associated problems that arise from elevated insulin. In addition to our aggressive treatment of PCOS, we do handle patients with type II diabetes and metabolic syndrome. There exists a large number of women who may not meet the strict criteria for PCOS but still have the same insulin resistance physiology and need similar treatment. Remember, PCOS is one of numerous major health concerns that result from Insulin Resistance. After being in practice for over 20 years, it is clear that patients don't "read the textbook," meaning that they don't always have the classic symptom pattern for particular diseases. Instead, we see a variety of presentations for a particular disease process such as PCOS.

We treat PCOS. Call today to schedule a consultation.

https://jcrm.org/treatment-options-for-pcos/


Michael D. Fox, MD
Advanced Reproductive Specialists
Jacksonville Center
Reproductive Medicine

What is PCOS? What are the symptoms of PCOS? What health complications does PCOS cause? How can PCOS be treated?

09/03/2025

PCOS is a hormonal disorder causing enlarged ovaries with small cysts on the outer edges.
The cause of polycystic o***y syndrome isn't well understood, but may involve a combination of genetic and environmental factors.
Symptoms include menstrual irregularity, excess hair growth, acne, infertility, weight-loss resistance and obesity.

https://www.dietdoctor.com/recommended-treatment-for-pcos-and-endometriosis

What can you do about cravings during your cycle? How can you best lose weight if you have hypothyroidism? What treatment do you recommend to PCOS and endometriosis?