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.

Causes of a Failed In Vitro Fertilization (IVF) Cycle By HCRM on May 15, 2015

A woman holding an egg in front of her stomachHere at Heartland Center For Reproductive Medicine, we take great pride in helping patients throughout the greater Omaha area with their fertility treatment needs. This includes detailed information about in vitro fertilization (IVF) treatment, which is highly effective but can occasional be unsuccessful.

IVF is an involved process, and there are many reasons why a treatment may not work the first time. Let's consider the various reasons why an IVF cycle might fail.

Issues with Follicles

"Follicles" doesn't refer to the ones on your scalp. In this context, a follicle is a fluid-filled sac in which an egg matures. Fertility drugs are used to promote the maturation of multiple follicles that are of a good size. Sometimes not enough follicles are produced during this phase of treatment. In other instances, too many follicles are produced, and the IVF cycle needs to be avoided in order to prevent ovarian hyperstimulation syndrome (OHSS).

Issues with the Eggs and Sperm

Egg issues and sperm issues are another potential cause of an IVF cycle failure. The eggs that are produced for the process may not be viable for treatment, and the same goes with the sperm. Sometimes assisted reproduction procedures will be used to improve the potential for successful insemination, while other times the use of egg donors or sperm donors may be more ideal.

Issues with the Embryos

An embryo is an egg that has been fertilized and has begun the process of cellular division. Timing of placement is crucial for successful IVF. Sometimes an embryo may be placed too early or too late, though sometimes it helps to wait until the embryo has reached the blastocyst phase of division.

Problems During Embryo Transfer

Embryo transfer is the process during which the embryo is placed into the uterus via a catheter. It's possible for an embryo to become lost during this process or experience other issues that would result in an unsuccessful IVF procedure.

Embryo Implantation Failure

Embryo implantation is another crucial part of IVF, which involves the embryo attaching itself to the uterine lining so that it can develop fully. There are times when the embryo simply fails to attach to the uterine lining, or instead implants on another part of the woman's reproductive system, such as the fallopian tubes.

Potential for Lab or Technician Error

In addition to the above, it is possible for various lab errors and technician errors to occur, though modern techniques and advanced technology have helped reduce these kinds of issues when it comes to IVF treatments.

Is a second IVF cycle necessary?

If a first IVF cycle is unsuccessful, it's not uncommon for a repeat treatment to be performed. A number of patients do experience success with the second IVF treatment and are able to start families that way. All options for treatment can be discussed during the consultation and planning process.

Speak with the Fertility Specialists of the Heartland Center

To learn more about in vitro fertilization (IVF) and how it can help you start the family that you have always wanted to have, be sure to contact our fertility specialists today. The team at Heartland Center For Reproductive Medicine looks forward to your visit and helping you achieve your goals.

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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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