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.

Laparoscopic Surgery for Endometriosis By HCRM on May 17, 2018

Pregnant patient smiling at her partner in the hospitalEndometriosis is a painful condition in which pieces of the uterine lining can attach to other organs, such as the ovaries or fallopian tubes. This disease can result in extremely heavy menstrual periods, uncomfortable abdominal cramping, and infertility.

Unfortunately, there is no known cure for endometriosis, although there are treatments available that can help reduce symptoms and alleviate discomfort. Today, our team at Heartland Center for Reproductive Medicine in Omaha, NE discusses laparoscopic surgery for endometriosis and explains the details, risks, and benefits of the procedure.

Treatment Options for Endometriosis

When patients are first diagnosed with endometriosis, doctors often recommend non-surgical treatments first. This may involve hormone therapy, progesterone therapy, or danazol. Pain medication may also be prescribed to alleviate painful symptoms.

However, if these medications prove unsuccessful, surgery may be the only other option. Fortunately, surgery for endometriosis can be performed laparoscopically.

Laparoscopic Surgery Treatment Process

Laparoscopic surgery for endometriosis is typically performed under general anesthesia in a hospital or surgical center. To begin the procedure, your doctor will create a tiny incision near the navel.

Through this incision, he or she will carefully insert a laparoscope, a small tube with a camera attached. During this process, the abdomen will be filled with gas so that your surgeon can better visualize the internal organs. Once the laparoscope is inserted, your doctor will assess the uterus, fallopian tubes, ovaries, bladder, and other surrounding organs to look for signs of endometriosis.

Any evident scarring or lesions can be removed. Once this is complete, the incision will be closed with stitches. This procedure can take as little as 30 minutes or as long as several hours, depending on the severity of the condition and the amount of tissue that needs to be removed.  

Healing and Recovery

In most cases, patients can return home the same day, although there may be instances when individuals are asked to stay overnight.

As with any surgical procedure, some level of discomfort is to be expected. It is also normal to feel fatigued and tired following this procedure. However, your doctor will work with you to keep you as comfortable as possible during your recovery.

You will be provided with a detailed list of post-operative instructions, which should be followed closely for optimal healing and comfort.

Risks of Surgery

Any time surgery is performed, there are risks and complications. When undergoing laparoscopic surgery for endometriosis, risks include:

  • Infection
  • Internal bleeding
  • Hernia
  • Damaged blood vessels or organs

If you experience a high fever following your procedure, contact your surgeon or go to your local emergency room. In addition, your doctor should be informed immediately of any severe pain, swelling, or redness around the incision site.

Results following the Procedure

The majority of women who undergo laparoscopic surgery for endometriosis experience relief from their symptoms. However, about 20 percent of patients will not experience any improvement. In some cases, treatment can increase your chances of conceiving. Your doctor can let you know if this is a possibility for you.

Learn More about Laparoscopic Surgery for Endometriosis

If you are experiencing any symptoms of endometriosis, schedule a consultation at our practice right away. Our doctors can design a personalized treatment plan to meet your needs and reduce your discomfort. Contact us online anytime 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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