in Reproductive Medicine & Surgery, P.A.
(SRMS) is a private reproductive endocrinology, infertility,
gynecology and reproductive genetics practice located
in Fort Myers, Florida.
Dr. Craig Sweet founded the practice as Women's Health
Care & Reproductive Services in 1991. In July
1998, the practice was renamed Specialists in Reproductive
Medicine & Surgery, P.A. (SRMS).
Reproductive Endocrinology, Infertility & Gynecology
• Comprehensive Male & Female Infertility
• Polycystic Ovarian Syndrome (PCOS)
• Ovulation Induction
• Recurrent Pregnancy Loss
• Intra-Uterine Insemination (IUI)
• Donor Insemination
• Advanced Transvaginal Sonography
• General Gynecology
note that comprehensive obstetrical services are not
available through this practice. Accordingly, a patient
referred by an Obstetrician will be encouraged to
return for prenatal care and delivery while others
will be referred to the physician of her choice.
Dr. Sweet also evaluates and cares for the male partner.
His experience in male-factor infertility is current
and extensive. By caring for both partners simultaneously,
he is able to offer a comprehensive and cohesive care
plan for the infertile or sub-fertile couple.
Reproductive Technologies (ART)
• In Vitro Fertilization (IVF)
• Egg Donation
• Oocyte Aspiration for Cryopreservation*
• Conventional & Gestational Surrogacy
• Embryo Donation
• Frozen Embryo Transfer (FET)
• Surgically Aspirated Sperm Procedures
• Intra-Cytoplasmic Sperm Injection (ICSI)
• In Vitro Maturation (IVM)
• Assisted Hatching of Embryos
• Advanced Embryo Culture Techniques with Blastocyst
Our practice established the first IVF/ART program in
Southwest Florida in 1991. Since its inception, our
pregnancy rates have been on par with those of many
of the nation's most successful programs. Because
of this, patients come to SRMS from throughout the
US, as well as overseas.
SRMS has completed
and published pioneering work in the transfer of advanced
embryos. By utilizing special culture techniques we
have been able to grow the embryos to a later sate,
reduce the number of embryos transferred, and maintain
high pregnancy rates all while trying to reduce the
number of multiple pregnancies.
In the past, male-factor problems were difficult to
overcome. Micromanipulation techniques are now commonly
used to inject a single sperm into the human egg to
produce embryos and viable offspring.
SRMS is proud to announce the regions first and only three-phase oocyte cryopreservation study. This study is being overseen by an Institutional Review Committee for human experimentation in compliance with the American Society for Reproductive Medicine (ASRM) guidelines. For information about this exciting study, click here.
The reproductive options available to couples and
individuals have tremendously increased over the years
and SRMS is proud to offer these technologies.
* These procedures
are considered investigational.
& Gynecologic Surgery
• Laser & Microscopic Pelvic Surgery
• Advanced Laparoscopic Surgery
• Tubal & Pelvic Reconstructive Surgery
• Trans-Cervical Tubal Cannulation
• Intra-Uterine Surgery
• Conservative Gynecologic Surgery
• Female Sterilization Reversal
• Office-Based Hysteroscopy
When surgery is necessary,
numerous options are available both in our office
and at nearby hospitals.
SRMS owns and operates a Florida
Board of Medicine certified surgical facility, which
is used for many reproductive and gynecologic procedures.
Nearby hospitals have the latest equipment enabling
us to perform advanced surgical procedures. Dr. Sweet
is extensively trained and experienced in open (laparotomy)
procedures as well as minimally invasive procedures
such as laparoscopy and intra-uterine, outpatient
surgery. Dr. Sweet also has surgical privileges at
multiple hospitals in the Lee County region.
Gynecologic surgery including hysterectomies and gynecologic
cancer care are not routinely performed here at SRMS.
Patients needing this type of surgery will be referred
to the physician of their choice.
Surgery is not always necessary but when it is deemed
appropriate, in-patient and outpatient alternatives
will be made available to the patient.
Genetic Diagnosis (PGD)
• Preconception Genetic
• Screening Embryos For:
• Chromosome Number (i.e.,
• Single Gene Mutations (i.e., Cystic Fibrosis)
• Inheritable Cancers
• Gender For Family Balancing, Gender Preference
& Gender Variety
• Chromosome Translocations
• Single Embryo Transfer
The amazing process of Pre-implantation
Genetic Diagnosis (PGD) allows a single embryo tobe screened for genetic disease prior to embryo transfer.
We are able to screen embryos for numerous reasons
including inheritable disease, genetic defects and
PGD improves the
chances of embryo implantation and growth while reducing
the rates of spontaneous loss. With PGD, fewer embryos
may be transferred with a reduction of multiple pregnancy
rates. PGD also seems to reduce the number of genetically
impaired children delivered including such problems
as Down’s syndrome.
Through the cooperation of other laboratories across
the country, we are able to provide screening of embryos
for hundreds of genetic diseases.
SRMS was the first reproductive facility in the area
to offer this amazing re
productive technology. We
have a strong background of study and research in
medical and molecular genetics. This provides our
staff with a unique perspective from which to offer
& Female Hormone and Endocrine Imbalances
• Polycystic Ovarian Syndrome (PCOS)
• Menstrual Abnormalities
• Premature Menopause
• Menopause & Osteoporosis Treatment
• Bioequivalent Hormone Replacement Therapy
• Hormone Pellet Insertion
SRMS is not
just a fertility clinic. We are a full service reproductive
men and women seek care for their reproductive hormone
imbalances with numerous conventional and contemporary
treatment plans individualized for each patient’s
specific medical needs.
As an example, women who suffer
from Polycystic Ovarian Syndrome (PCOS) have a number
of special medical concerns, which include an increased
risk of obesity, growth of abnormal facial and body
hair, acne, menstrual abnormalities, ovarian cysts,
infertility, pre-diabetes, diabetes, heart disease,
high blood pressure and uterine cancer. SRMS has developed
a comprehensive program, which addresses the cause
of the disease and provides the PCOS patient with
specialized treatment for her specific medical needs.
• Semen Analysis and Other Andrology Testing
• Sperm Antibody Testing
• Semen Preparation for Intra-Uterine Insemination
• Semen, Embryo, Oocyte Cryopreservation &
• Ovarian/Testicular Tissue Cryopreservation
• Embryology Laboratory with Advanced Culture
and Embryo Growth Techniques
• Fully Certified Lab (CLIA & JCAHO Certifications)
Joint Commission on Accreditation of Healthcare Organization
(JCAHO) certifies the SRMS laboratory. We also hold
an Advanced Laboratory Certification through the Clinical
Laboratory Improvements Amendments (CLIA). The lab
has received national recognition for its work in
embryo transfer and laboratory procedures.
addition to serving the internal needs of the SRMS
patients, the laboratory also serves as the largest
referral facility in the Southwest Florida region
for andrology (semen) testing ordered by area clinicians.
SRMS has the first Computer Assisted Semen Analysis
(CASA) machine, which helps to speed up results and
expand the research abilities of the practice.
The laboratory also offers special services for cancer
patients whose disease and/or treatment may potentially
affect their future fertility. In the male, the patient’s
semen can be cryopreserved prior to chemotherapy or
radiation procedures. Women can have embryos frozen
prior to their therapy.
Cryopreservation of ovarian & testicular tissue
as well as oocytes is available, but may be considered
investigational. Both cryopreservation procedures
are utilized in an attempt to ensure that the patient
will be able to reproductive and raise a family after
recovery from the cancer.
* These procedures
are considered investigational.
& Adolescent Services
& Adolescent Gynecology
• Ambiguous Genitalia and Other Congenital Pelvic
• Disorders of Puberty (Early & Delayed)
• Menstrual Disorders
• Pelvic Pain
Dr. Sweet is the
founder and director of the Southwest Florida Intersex
Disorder Team. The IDT diagnoses and treats children
born with genital malformations. This medical team,
originated in 1994, brings new options and a cohesive
level of care to patients and their families in the
Southwest Florida region.
published experience of the SRMS staff in the area of
congenital malformations provides them with the experience
necessary to evaluate and treat unusual pediatric/adolescent
gynecologic and reproductive endocrine disorders of
the pediatric and adolescent patient.
We understand that our patients
may have some difficulty dealing with the emotional
stress of infertility and other medical conditions.
If you feel you would benefit from psychological counseling,
please mention this to us and we will make an appropriate
referral to a professional experienced in the specific
areas of concern. We recognize the importance of caring
for the whole patient and that brief psychological
counseling may be an important aspect of treatment.