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 after Tubal Ligation By HCRM on August 13, 2019

Illustration of the female reproductive systemTubal ligation surgery can be performed to prevent a woman from being able to get pregnant. Unfortunately, some women find that they may have made the decision to undergo the procedure too soon.

In vitro fertilization, or IVF, can help women get pregnant after undergoing tubal ligation. At Heartland Center for Reproductive Medicine, PC, in Omaha, NE, we can determine if IVF after tubal ligation is the right choice for you.

Benefits of IVF vs. Tubal Reversal

After tubal ligation surgery, women can undergo tubal reversal surgery or IVF if they decide they want to try to get pregnant. In many cases, IVF offers a number of benefits over tubal reversal surgery, including:

  • You have a higher chance of achieving pregnancy: Women that have had children before and are still of childbearing age have a good chance of becoming pregnant with IVF.
  • You can become pregnant in a shorter amount of time: IVF takes about two months. It takes one menstrual cycle to prepare for IVF, and then patients can undergo IVF during their next menstrual cycle. After tubal reversal surgery, patients must undergo a three-month recovery period, after which they can undergo testing to see if the procedure was a success.
  • You can avoid undergoing a more invasive surgical procedure: Tubal ligation surgery involves the separation of the fallopian tubes. To reverse the procedure, the two ends of the fallopian tubes must be surgically re-attached.
  • There is a reduced risk of ectopic pregnancy: Women that undergo tubal ligation reversal surgery are at an increased risk of experiencing ectopic pregnancy, in which the embryo implants in the fallopian tubes.

The IVF Process

Prior to undergoing IVF, we will have you attend an appointment at our Omaha office to undergo a fertility evaluation. This will include a discussion of your medical history and ovarian reserve testing to see if you are a good candidate for IVF. If you are approved for IVF, we may have you take birth control pills so we can suppress your hormones and control your cycle.

Fertility Medications

When your IVF cycle begins, we will advise you exactly when and how to take your fertility medications. We will also have you come in for ultrasounds and blood tests every couple of days so we can monitor your follicles. This phase of IVF takes about 10 to 14 days.

Egg Retrieval

When the follicles are ready, we will have you administer your trigger shot at a specific time, and we will schedule a time to retrieve your eggs. The egg retrieval is a minimally invasive procedure, but patients are sedated to keep them calm and comfortable.


Once your eggs have been retrieved, we will introduce the sperm and allow the fertilization process to take place in the lab. Over the period of the next three to five days, we will allow embryos to grow and monitor their development.

Embryo Transfer

One or more of the most viable embryos will be transferred to the uterus, completely bypassing the fallopian tubes. Over the next several days, the embryo or embryos may implant in the uterus, resulting in pregnancy.

Contact Our Practice

If you have undergone tubal ligation surgery and want to know more about your options to get pregnant, contact our practice online or call us in Omaha at (402) 717-4200.

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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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