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.

The Risks of Intracytoplasmic Sperm Injection (ICSI) By HCRM on August 15, 2017

ICSI during IVFMany patients have benefited from in vitro fertilization (IVF) at our Omaha practice. Sometimes, though, IVF alone will not be able to address the issues a patient or a couple faces. That's why our team of fertility specialists offer many other procedures that can increase the chances of successful pregnancy. Intracytoplasmic sperm injection (ICSI) is one such treatment that can improve the success rates of IVF.

While ICSI has a number of benefits, there are risks involved that are important to consider. Let's cover the basics of ICSI and then look into the risks.

What Is Intracytoplasmic Sperm Injection (ICSI)?

ICSI can be used as part of an IVF procedure when there is severe male-factor infertility. Essentially, the ICSI procedure involves injecting an individual sperm into an egg during the IVF procedure. This ensures fertilization occurs in the lab.

ICSI is recommended when male partners have problems with sperm count, sperm motility, sperm morphology, and other matters.

Is Intracytoplasmic Sperm Injection (ICSI) Effective?

Yes, it can be. When ICSI is performed as part of the IVF process, the fertilization rate can be as high as 50 percent to 80 percent. This greatly boosts the chances of successful pregnancy.

Yet despsite these benefits, there are important risks to consider.

Risk of Damaged Eggs and Embryos

Since the egg is pierced in order to inject a sperm into it, there is a risk of damage to the egg and the resulting embryo. This could reduce the chances of pregnancy.

Risk of Poor Sperm Health

There's some suggestion that ICSI may mean an unhealthy sperm may fertilize an egg. In essence, if a sperm cannot fertilize an egg naturally, perhaps it is not of ideal health, and hence should not have fertilized an egg.

Fertility specialists must take care to properly screen sperm before they proceed with the ICSI process.

Risk of Birth Defects to the Child

These issues with sperm health and egg/embryo condition mean there's a risk of a child developing birth defects. The age of the parents and a host of genetic factors must also be considered in these cases.

While the risk is very low (roughly 1 percent or less), it's important that patients know of even a small fraction of risk involved with any procedure.

Risk of Twins and Triplets

As with IVF in general, people who undergo professional fertility treatment face an increased risk of multiple births. The chances of twins and triplets is much higher because of IVF.

Do the Benefits of ICSI Outweigh the Risks?

For many patients and couples, the benefits of ICSI far outweigh the risks. Since ICSI can increase the chances of having a child, that may supersede any other issues they may face.

Is ICSI Right for Me?

The best way to find out if ICSI and IVF are right for you is to schedule a consultation at our practice. We can go over all of your options for treatment in much greater detail and help you make the right choices with regard to fertility treatment given your situation.

Contact Our Fertility Specialists

For more information about ICSI, IVF, and other fertility treatment options, we encourage you to speak with our experienced fertility treatment specialists today. The team at our practice looks forward to your visit and discussing these matters in much greater detail.

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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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