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 Medication Side Effects By HCRM on March 15, 2017

IVF Medication Side EffectsA variety of different medications are used during in vitro fertilization (IVF). These medications can serve different purposes depending on your individual needs. There are some IVF medication side effects you should be aware of so you know what to expect during treatment. The fertility experts at Heartland Center for Reproductive Medicine in Omaha, NE can tell you which medications you will be taking and what specific side effects you should expect.

Below is a list of the potential medications you may take during your IVF treatment and the side effects you may experience.

Clomiphene Citrate

Clomid® is the most common clomiphene citrate medication. The medication is primarily prescribed to stimulate ovulation in women with irregular periods, such as no period, infrequent periods, or lengthy cycles. Potential side effects may include:

  • Nausea
  • Hot flashes
  • Tender breasts
  • Headaches
  • Blurry vision
  • Depression or mood swings
  • Pelvic discomfort

These medications also carry a risk of ovarian cysts, miscarriage, and an increased risk for multiple births.

Follicle Stimulating Hormone

The FHS injection provides direct stimulation for ovarian follicle growth. Typical side effects include:

  • Rash or inflammation at the injection site
  • Tender breasts
  • Abdominal pain
  • Depression and mood swings

These injections may also increase the risk for ovarian hyper-stimulation syndrome (OHSS), miscarriage, premature birth, and multiple births.

Human Menopausal Gonadotropins

More commonly known as hMG, these injections contain FSH and leutinizing hormone (LH). They provide stimulation to encourage the release of multiple eggs during a single cycle. Potential side effects are the same as those listed for FSH.

Bromocriptine and Cabergoline

These are oral medications taken to reduce pituitary secretions. Side effects may include:

  • Nausea or vomiting
  • Nasal congestion
  • Dizziness or fainting
  • Headaches
  • Drop in blood pressure

Gonadotropin-releasing Hormone

These injections are used to stimulate pituitary secretions of FSH and LH. Side effects may include:

  • Bloating
  • Abdominal pain
  • Headaches
  • Nausea

Patients taking GnRH are at a risk of mild OHSS and multiple births.

GnRH Agonists

Available in injection form and nasal sprays, these are used to prevent premature ovulation, while also enabling the production of more quality eggs. Potential side effects may include:

  • Headache
  • Insomnia
  • Mood swings
  • Hot flashes
  • Decrease in breast size
  • Pain during intercourse
  • Loss of bone density

GnRH Antagonists

These injections also work to prevent premature ovulation and include many of the same side effects listed above for GnRH Agonists.

Preparing for IVF Medications

Talk with your doctor about the types of medications you will take during your IVF treatment. Ask about the potential side effects and if there are any other medications you can take to mitigate those effects. When you know what to expect, the IVF medication side effects are less worrisome. If you experience other serious symptoms not mentioned above, please contact your doctor right away to rule out any serious complications.

Schedule a Fertility Evaluation

If you are ready to consider IVF, contact our fertility center to schedule an appointment with one of our expert doctors. They can determine whether IVF is right for you and detail what you can expect during treatment.

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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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