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.

IVF and Ovarian Hyperstimulation Syndrome: When to Seek Treatment By HCRM on February 15, 2017

IVF and Ovarian Hyperstimulation SyndromeWomen undergoing in vitro fertilization (IVF) typically need injectable fertility drugs to stimulate egg development within the ovaries. The excess of hormones in the body due to these medications can result in a condition called ovarian hyperstimulation syndrome. Although, for most women, this condition is not serious, for some, it can involve severe and painful symptoms and can even be life threatening. The team at Heartland Center for Reproductive Medicine in Omaha, NE, can explain the link between IVF and ovarian hyperstimulation syndrome (OHSS) before beginning treatments.

What Is OHSS?

Ovarian hyperstimulation syndrome is a condition in which the ovaries swell, causing pain. Fluids may also enter the abdominal or chest cavities, causing further discomfort and complications. This condition most frequently occurs in women undergoing IVF treatments with fertility drugs such as hCG, hMG, LH, and FSH. These drugs can over-stimulate the ovaries, causing OHSS.

OHSS Risk Factors

Certain patients are at a greater risk for OHSS than others, including women:

  • Who take multiple doses of hCG following ovulation and conceive during the IVF cycle
  • Under age 35
  • With low body weight
  • Who have polycystic ovarian syndrome (PCOS)
  • Who have previously experienced OHSS

Symptoms of OHSS

Symptoms of OHSS can range from mild to severe. Mild to moderate symptoms include:

  • Pain in the lower abdomen that comes and goes
  • Nausea or vomiting
  • Bloating
  • Diarrhea
  • Moderate weight gain

You may have a severe case of OHSS if you experience any of the following symptoms:

  • Severe pain in the abdomen
  • Rapid weight gain (several pounds over a day or two)
  • Severe nausea and vomiting
  • Dark urine
  • Infrequent need to urinate
  • Trouble breathing
  • Severe abdominal bloating
  • Dizziness

When to Contact Your Doctor

If you have mild symptoms that persist for longer than a couple days, you need to contact our office right away so we can monitor you. In most cases, OHSS symptoms subside with increased fluid intake and the start of menstruation. We can prescribe pain medication and anti-nausea medication to relieve some of your symptoms. We may also ask you to weigh yourself daily so we can monitor your weight gain.

If you have severe symptoms, you need to seek immediate medical treatment. Severe OHSS can be life threatening if not treated. In serious cases, it may require hospitalization. For serious OHSS, we may need to drain the fluid that has collected in the abdomen or chest. We may also need to use an IV to replenish fluids. Additional medications may be used to suppress the activity of your ovaries.

Learn More about IVF and Ovarian Hyperstimulation Syndrome

If you are considering IVF but have concerns about OHSS, contact our office to schedule a consultation with one of our fertility experts. They can evaluate your individual situation and assess your risk for OHSS. Our doctors can prepare you for what to expect and our team is always available to answer any questions you may have during the course of your IVF.

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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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