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.

Day Three vs. Day Five Embryo Transfer: What Is the Difference? By HCRM on November 15, 2017

Microscopic image of embryoWhen you undergo IVF, an embryo can be transferred to your uterus on day three or day five. When you are trying to conceive with in vitro fertilization, your doctor will advise you on which option is best in your particular case.

At Heartland Center for Reproductive Medicine in Omaha, NE, our doctors offer day three and day five transfers. Here, we discuss the differences between the two, and explore whether or not one is better than the other.

Day Three Embryo Development

An embryo begins as a single cell, which divides every 12 to 24 hours. Around the third day, the embryo is typically made up of four to eight cells, and is commonly referred to as a multi-cell embryo. During its growth, the embryo utilizes chemicals and energy from the mother’s egg to perform necessary cell division.

Day Five Embryo Development

By the fifth day, the embryo is made up of approximately 70 to 100 cells, and is referred to as a blastocyst. Within a blastocyst, there are two different cell types that have developed. One is called the inner cell mass. These cells will eventually mature into fetal tissue. The other type of cell is the trophoblast. This group of cells will lead to part of the placenta.

Approximately one-third of all embryos are capable of growing into blastocysts. What sets an embryo apart is its ability to produce its own energy for cell division, which begins to occur at the blastocyst stage of development. Through a complex process known as genomic activation, the embryo will activate its own genes, producing energy for further cell division and differentiation.

Factors for Consideration

There are many benefits of day five transfers. First, the longer incubation period will allow healthier embryos to grow. Therefore, the high-quality embryos can be better identified before uterine implantation. This method will also allow fewer embryos to be implanted, minimizing the chances of multiple pregnancies.

Alternatively, in some cases, day three transfers are preferable, because the uterus provides the most ideal place for the embryo to grow. In cases where only one or two embryos develop following retrieval, some doctors find it is best to transfer earlier rather than waiting until day five.

However, it should be noted that in the majority of clinical studies and research trials, there really is no significant difference between day three and day five transfers.

Individualized Treatment for Optimal Outcome

The most important thing to consider is that every woman is entirely unique. Therefore, treatment can be different for each individual. One person may benefit from a day three transfer, while another may have better chances with a day five transfer. For this reason, our highly skilled doctors will take your specific situation into account. Often, we will closely monitor the embryos in the lab as they grow to determine the best course of action for each patient.

Learn More about In Vitro Fertilization

To learn more about your options, schedule a consultation with one of our doctors. Our team is here to walk with you on your journey. We will do everything in our power to help you conceive. Call our office at (877) 831-3227 or contact us online.

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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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