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 Medications and Fatigue: What to Know Beforehand By HCRM on October 15, 2017

Pretty blond woman reading book on couchUndergoing IVF (in vitro fertilization) is considered a big medical and financial decision for many couples. Knowing what to expect beforehand can help you in making your decision and provide clarity throughout the process. Our doctors at Heartland Center for Reproductive Medicine in Omaha, NE will take the time to explain IVF treatment, medications required, and side effects you may experience.

IVF medications and fatigue tend to go hand-in-hand and are a normal part of the process. Explained below is how to combat the fatigue and any other side effects you may experience when taking IVF medications.

Why IVF Medications Are Necessary

At the beginning of treatment, you will be placed on specific hormone inducing medications to assist your body in producing viable eggs for the retrieval process, as well as to create a balanced uterine environment for implantation. Some of the most common medications include:

  • FSH and Luteinizing Hormone (LH): To stimulate the ovaries in producing a healthy number of eggs for the retrieval process.
  • Ganirelix: To prevent the body from releasing the eggs before the retrieval process.
  • Human Chorionic Gonadotropin (hCG) or Leuprolide-Acetate: To trigger egg maturation for the egg retrieval.
  • Progesterone and Estrogen: To create a healthy uterine lining and support embryo implantation.

Each of these medications will assist your body and are necessary to the IVF process. Dosages will differ for each patient, but will be carefully calculated to your unique situation. Throughout the duration of receiving these medications, your doctor will be carefully monitoring your body and side effects to make sure it is responding as it should.

Fatigue and Other IVF Side Effects

As with any medications, there are certain side effects that can occur when taking IVF medications. Fatigue is often the number one complaint, but is completely normal. We encourage our patients to rest as much as possible during the IVF cycle so their body is well rested for implantation and pregnancy. Other side effects are similar to PMS or menstruation and can include:

  • Cramping
  • Moodiness
  • Hot flashes
  • Bloating
  • Breast tenderness
  • Headaches

While it may be tempting to take over-the-counter medications and supplements to ease your side effects, it is imperative that you speak to your fertility specialist before taking anything. Certain medications and supplements can interfere negatively with your IVF cycle and result in complications.

Tips for Managing Your Fatigue

Following the below tips may help with managing your fatigue and lack of energy:

  • Rest: Get plenty of sleep each night. Some patients find that taking naps during the day can help combat midday fatigue.
  • Prepare: The total IVF cycle is only a few weeks long. We advise our patients to prepare their home by doing as much laundry, major housework, and grocery shopping in advance while they feel good.
  • Ask for Help: Don’t be afraid to have a friend or loved one come over and assist with housework and other tasks if you are unable to do so. It’s important that you don’t overdo it on the activity.

Your doctor will be available to answer any questions you may have throughout the process and provide tips for handling your side effects.

Learn More

If you are interested in learning more about IVF and how it may benefit your family, we invite you to meet with one of our fertility specialists. Please contact our office online or give us a call at 877-831-3227.

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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 (877) 831-3227 to schedule a consultation.

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