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.

Learn More about the Causes of Miscarriage By HCRM on November 16, 2016

MiscarriageMiscarriages are an unfortunately common occurrence in the reproductive process. So common, in fact, that women who are not trying to have a child may not even know that they have had a miscarriage. If you are trying to conceive, however, a miscarriage can seem devastating. You may immediately wonder if there is something wrong or if you did something wrong. In a majority of cases, there is no one particular cause for a miscarriage. Most women who miscarry are able to conceive and have natural and healthy births later on.

However, if you have had multiple or recurrent miscarriages, you may want to seek fertility treatment to determine the causes of miscarriage and improve your chances of conception. At our Omaha, NE fertility center, our doctors will help determine the cause and help you overcome it so you can begin growing your family.

Chromosomal Abnormalities

A mismatch of chromosomes accounts for more than half of all miscarriages. When this mismatch of chromosomes between the egg and the sperm occurs, the embryo suffers an abnormality that typically results in miscarriage. One miscarriage does not mean you cannot have children, but if you have multiple recurring miscarriages, it is important to get tested for any abnormalities that might inhibit your ability to conceive.

Uterine or Cervical Abnormalities

Uterine abnormalities are another common cause of miscarriages. An abnormally sized or shaped uterus can hinder the embryo’s ability to implant or develop. Our doctors can correct certain uterine abnormalities with surgery.

In other cases, patients may have a cervical abnormality, referred to as an “incompetent cervix”. When this occurs, as the fetus begins to develop, the cervix is unable to retain the fetus, resulting in miscarriage. To prevent future miscarriages, a surgical procedure can help strengthen the cervix. After conceiving, your doctors may also require bed rest to prevent miscarriage or other complications.

Immunologic Disorders

Certain immunologic disorders can cause a woman’s immune system to attack her body’s own healthy tissues, including embryos, which can result in a miscarriage. In most cases, treatment with medications can help resolve the issue and allow a woman to conceive.

Polycystic Ovarian Syndrome (PCOS)

Women with abnormally high levels of testosterone often experience irregular ovulation and menstruation. It can also cause insulin resistance, which inhibits maturation of the endometrial lining, preventing embryo implantation. To prevent future miscarriages, your doctor may recommend an anti-diabetic drug.


Certain bacterial infections can result in recurrent miscarriages. Unfortunately, these types of infections rarely present problematic symptoms until you begin trying to conceive. These bacterial infections can occur in both women and men and can inhibit your ability to get pregnant. A simple test and treatment with antibiotics can eliminate the infection and prevent future miscarriage.


Your lifestyle can greatly impact your ability to get pregnant. Use of tobacco, alcohol, and drugs can seriously hinder your ability to conceive. Your diet, weight, and environment can also play a role. To minimize your risk of miscarriage, you should eliminate tobacco and alcohol and improve your diet. Your doctor may make other recommendations based on environmental factors.

Learn More about Our Fertility Treatments

If you have suffered through two or more miscarriages when attempting to get pregnant, contact the Heartland Center for Reproductive Medicine to schedule your consultation.

Related to This

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 (877) 831-3227 to schedule a consultation.

Contact Us Today

Rate, Review & Explore

Social Accounts Sprite
Google map image of our location in 7308 S 142nd St  Omaha, NE

Omaha Office

7308 S 142nd St
Omaha, NE 68138

Open Today 7:00am - 3:30pm

Closed for Lunch from 12:00-1:00

What is the best time for you?

Add additional time

Tell us a bit about yourself...

(402) 717-4200 Send a message