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.

Causes of Recurrent Miscarriages By HCRM on December 12, 2019

Female reproductive systemMiscarriages are tragic situations that are, unfortunately, much more common than most people realize. Many women who suffer a miscarriage go on to carry a pregnancy full-term. However, for some, recurrent miscarriage is a problem.

Recurrent miscarriage is defined as two or more pregnancy losses. The American College of Obstetricians and Gynecologists report that just one percent of women suffer from repeat miscarriages. Understanding recurrent miscarriage causes can help the fertility specialists at Heartland Center for Reproductive Medicine, PC customize a treatment plan that is best for each of our Omaha, NE, patients.

Genetic Problems

The most common cause of recurrent miscarriage is genetic problems. If an embryo has an abnormal number of chromosomes, it can cause the pregnancy to terminate. In most cases, chromosomal abnormalities are completely random and have no real cause. However, there are cases when one partner has a translocation, meaning that a piece of one of their chromosomes has attached to another chromosome. Translocation does not result in any noticeable symptoms, but it may cause the person’s sperm or eggs to have abnormal chromosomes, which could affect a developing embryo. Advanced age is another factor that increases the risk of chromosomal abnormalities and recurrent miscarriage.

Abnormal Hormone Levels

Abnormal hormone levels are another condition that may cause recurrent miscarriage for our Omaha patients. If hormone levels are off, the lining of the uterus may not thicken or develop sufficiently, which makes it difficult for an embryo to get the support and nourishment it needs. Some medical conditions that could cause abnormal hormone levels include thyroid disease and uncontrolled diabetes.

Physiological Conditions

There are a number of physiological conditions that can contribute to recurrent miscarriage. A septate uterus is one of the most common. A septate uterus is one that is divided in two by a wall of tissues. A septate uterus makes it difficult for an embryo to thrive.

Asherman Syndrome has also been linked to recurrent miscarriage. Asherman Syndrome is a condition that may develop after uterine surgery, or after suffering a pelvic infection. Asherman Syndrome causes scar tissue to form within the uterus, which can lead to the rejection of an embryo.

Other physiological conditions that may cause recurrent miscarriage include polyps or fibroids within the uterus. These are non-cancerous growths that can make the uterus an inhospitable environment for embryos.

Medical Conditions

Certain pre-existing medical conditions can also cause recurrent miscarriage for our Omaha patients. Antiphospholipid syndrome, or APS, is an autoimmune disorder that can significantly increase the risk of recurrent miscarriage. In people who suffer from APS, the immune system mistakenly attacks substances in the body that are responsible for blood clotting. This increases the risk of miscarriage and still birth.

Another medical condition known to increase the risk of recurrent miscarriage is polycystic ovarian syndrome, or PCOS. PCOS disrupts ovarian functions and can make it more difficult to become pregnant or to carry a pregnancy full-term.

Contact Us

At Heartland Center for Reproductive Medicine, PC, we offer a comprehensive range of fertility treatments to address the various causes of recurrent miscarriage. Our doctors can also help when the cause of recurrent miscarriage is unknown. If you’d like more information about our fertility treatments, send us a message at your earliest convenience or call our practice 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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