Easton Rice, DHSc, MPAS, PA-C

06/09/2026

05/17/2026

Good morning everyone! I recently had a question regarding BMI (Body Mass Index). I wanted to give a brief review of the BMI requirements and why it matters:

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At NCCRM, patient safety and success rates are always our top priorities. One important factor that can affect both fertility treatment outcomes and surgical safety is BMI (Body Mass Index).

IVF BMI Guidelines

While there is no universal national cutoff, many fertility centers use BMI guidelines to help optimize outcomes and reduce anesthesia and pregnancy-related risks.

At higher BMIs, patients may experience:
• Lower response to fertility medications
• More difficult egg retrievals
• Increased anesthesia risk
• Lower implantation and pregnancy rates
• Higher miscarriage risk
• Increased pregnancy complications

Many IVF programs begin recommending weight optimization when BMI is above 35–40.

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Tubal Reversal Surgery BMI Guidelines

Tubal reversal is major abdominal surgery and becomes technically more difficult and higher risk at elevated BMIs.

Higher BMI may increase:
• Surgical difficulty
• Anesthesia complications
• Wound healing issues
• Infection risk
• Blood clot risk
• Recovery time

Many surgeons prefer BMI below 35–40 prior to elective tubal reversal surgery, although every patient is evaluated individually. Typically at NCCRM, BMI should be less than 37 and if you have had 3 or more C/Sections, the BMI should be less than 32.

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Our Approach at NCCRM

We understand that fertility struggles are deeply personal, and we never want patients to feel discouraged. Our goal is to:
• Maximize safety
• Improve success rates
• Reduce complications
• Help patients achieve the healthiest pregnancy possible

We work closely with patients on:
• Weight optimization plans
• Nutrition guidance
• Hormonal evaluation
• PCOS management
• Individualized fertility treatment planning

Every patient’s situation is unique, and treatment decisions are made on a case-by-case basis.

12/21/2025

So grateful for moments like these — celebrating the holidays with an incredible team that feels more like family. 🎄✨

Our recent Christmas party was filled with laughter, great food, and time together outside the clinic. Seeing Dr. Toma and our team enjoying the season is a reminder that behind the work we do every day are people who genuinely care about one another — and about our patients.

Thankful for this team and all that we accomplish together. 🤍

12/21/2025

So grateful for our incredible team and the heart they bring to our patients every day.
Darcy, our Tubal Reversal Coordinator, pictured at our office Christmas party — compassionate, dedicated, and an essential part of so many success stories. 🎄✨

12/01/2025

An embryo transfer is one of the most gentle and meaningful steps in IVF.
Here’s Dr. Toma guiding an embryo exactly where it needs to be.
You’re never alone on this journey. 💛

12/01/2025

A legacy of healing, side by side.
Dr. Toma and his daughter, Dr. Nadia Toma, working together in the OR — skill, precision, and compassion passed from one generation to the next.
Proud to have this level of expertise and dedication at NCCRM.

11/27/2025

This Thanksgiving, I’m reminded that great clinics are built by great people.
Jenny, now in PA school, and Anna, now in medical school, were an important part of our NCCRM team — caring for patients with heart, skill, and compassion.

I’m incredibly grateful for their time with us and honored to watch them grow into the next generation of healthcare providers. 🍁✨

11/27/2025

Feeling grateful today—for family, for friends, for the incredible team at NCCRM, and for the patients who trust us with their care.
Wishing everyone a safe, peaceful, and joyful Thanksgiving. 🧡🍁

11/26/2025

This picture, taken about 17 months ago, captures one of my favorite parts of the job—standing beside our IVF coordinator Carla and witnessing the joy of Victoria and Matthew after their successful IVF cycle.
Their little one is a reminder that hope, perseverance, and good medicine can create miracles. 💙✨

11/25/2025

Behind every successful procedure is a surgeon fully invested in his patients’ future.
Dr. Toma in surgery this morning — purpose in every move, hope in every outcome.