Heartland Center for Reproductive Medicine:

Our Response to COVID-19 (Coronavirus)

HCRM is dedicated to keep our patients and staff safe and healthy during the coronavirus (COVID-19) outbreak. HCRM has policies and guidelines in place aligned with recommendations from the Centers for Disease Control (CDC) and local and state health authorities to help prevent the spread of illness. We are also adhering to recent guidelines that have been published by the American Society of Reproductive Medicine (ASRM) regarding the treatment of current and new patients.

Please review the new procedures we have put into place at HCRM:

1. All patients will receive a phone call 24-48 hours prior to the appointment and complete a prescreening questionnaire with questions regarding their travel history in the past 14 days and the presence of respiratory symptoms (fever of 100.4 or higher, cough, sore throat, shortness of breath) within the past 14 days.

2. All patients and visitors will complete the same prescreening questionnaire with a HCRM staff member prior to entering the clinic on the day of the appointment. Please allow for an extra 5 minutes prior to your appointment to complete the prescreening. It is possible that a patient may need to reschedule his/her appointment based on symptoms or travel history.

3. HCRM requests that patients come to the clinic unaccompanied, leaving their partners/support waiting for them at home or in their vehicles when feasible. We request that patients do not bring children to their appointment.

4. With the use of Telemedicine, we hope to continue to provide care to our new and current patients.

5. HCRM will reduce the frequency of clinic appointments during treatment cycle monitoring.

6. HCRM will frequently enforce infection control processes within the clinic, including good hand washing hygiene, frequent disinfecting of patient rooms and surfaces, and social distancing.

We at HCRM appreciate your ongoing support as we work together and do our part to "flatten the curve." Please contact our office at (402) 717-4200 for more information or any questions.

For current travel advisories and up-to-date information on COVID-19, please visit the CDC’s COVID-19 website.

Fertility Testing at Day 3 and Day 21 By HCRM on May 21, 2013

Omaha Day 3 and Day 21 Fertility TestingThe specialists at Heartland Center for Reproductive Medicine, PC, a leading Omaha fertility center, understand that dealing with infertility is a very personal experience. This is why they take a personal approach to diagnosing and treating infertility. Rather than being driven by medical statistics alone, the doctors take great care to offer reproductive and infertility care that best meets the specific needs of each patient. In order to do this, a doctor must first diagnose the cause of infertility. When a couple is having difficulty conceiving, each partner should be evaluated. For patients in Omaha, female infertility testing is likely to include Day 3 and Day 21 fertility testing.

The beginning of any patient evaluation will begin with a discussion about the patient’s medical history. Once this information has been collected, the next step in female infertility testing is to determine if the woman is ovulating. If the woman has been experiencing periods on a somewhat regular basis, the patient can proceed with Day 3 fertility testing. Day 3 fertility testing is done on the third day of the patient’s period. When conducting Day 3 fertility testing (which is a simple blood test), lab technicians are measuring three important substances:

  • Follicle stimulating hormone (FSH): During the first half of the menstrual cycle, FSH stimulates the production of estrogen and eggs. High levels of FSH can indicate that the quality or quantity of the patient’s eggs is low, which can make it difficult to become pregnant. The FSH test can also help diagnose ovarian cysts.
  • Luteinizing hormone (LH): LH levels should rise at mid-cycle, about 24 to 36 hours before ovulation occurs. High levels of LH on day 3 may indicate disorders such as polycystic ovary disease or ovarian failure.
  • Estradiol: Day 3 testing will also measure the level of estradiol, one of the most important forms of estrogen.

On day 21 of the patient’s cycle, another blood test will be given. Day 21 fertility testing is used to measure the levels of progesterone and to again check the levels of estradiol.

  • Progesterone: On day 21 the progesterone level is checked to determine if ovulation has occurred. A low level of progesterone suggests that no egg was produced and pregnancy cannot be achieved.

Depending on the information that is gathered from Day 3 and Day 21 fertility testing, a variety of fertility treatment options may be recommended. For many patients in Omaha, in vitro fertilization is a viable treatment option. Hormone treatment can stimulate the production of several eggs that can then be extracted and fertilized in the lab before being transferred to the uterus. Day 21 testing is actually a useful tool in testing the levels of estradiol during IVF treatment.

Schedule a Consultation

Patients that are interested in learning more about the fertility testing and reproductive treatment options available at Heartland Center for Reproductive Medicine can schedule a consultation today. The physicians at Heartland Center for Reproductive Medicine look forward to helping patients on their journey to become pregnant.

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Heartland Center for Reproductive Medicine

Heartland Center for Reproductive Medicine

Dr. Stephanie L.F. Gustin, Dr. Elizabeth Constance, and Dr. Elizabeth Weedin are skilled reproductive endocrinologists who offer state-of-the-art fertility treatments. An open and inclusive environment, the Heartland Center for Reproductive Medicine can address different causes of infertility and help LGBTQ couples build loving families.

Contact our practice online or call us at (402) 717-4200 to schedule a consultation.

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