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.

Getting Pregnant with Hypothalamic Dysfunction By HCRM on April 13, 2020

Baby hand grasping an adult’s fingerThere are many conditions that can impact a woman’s fertility and make it more difficult for her to conceive. Some conditions are fairly common while others are rare. Hypothalamic dysfunction, or hypothalamic amenorrhea, is not a common cause of infertility, but it can have a big impact on women with the condition.

At our fertility clinic, the Heartland Center for Reproductive Medicine, we can diagnose causes of infertility so that women can receive appropriate treatment. Our fertility specialists are happy to help our Omaha, NE, patients explore how it may be possible to get pregnant with hypothalamic dysfunction.

What Is Hypothalamic Dysfunction?

Hypothalamic dysfunction is a condition that affects a part of the brain called the hypothalamus. The hypothalamus controls reproduction by producing the gonadotropin-releasing hormone, or GnRh.

GnRh signals the production of the follicle stimulation hormone (FSH) and luteinizing hormone (LH), both of which are necessary for egg production and ovulation. These hormones then stimulate the production of estrogen, which thins the cervical mucus and helps prepare the lining of the uterus so it can support the implantation of a fertilized egg.

If a woman suffers from hypothalamic dysfunction, the hypothalamus stops producing GnRh. In turn, the body produces lower levels of FSH, LH, and estrogen. Hypothalamic dysfunction is most often the result of some combination of:

  • Over-exercising
  • Under-eating
  • Low weight, or extreme weight loss
  • Stress
  • Genetics

How Does Hypothalamic Dysfunction Affect Fertility?

Hypothalamic dysfunction can have a significant impact on female fertility. Without the production of GnRh, reduced levels of FSH, LH, and estrogen can diminish the quality of the eggs that the body produces or cause them to stop releasing altogether. As a result, patients with hypothalamic dysfunction may not menstruate at all. Without a healthy and regular menstrual cycle, women will be unable to conceive.

Treatments for Hypothalamic Dysfunction

The good news for women who suffer from hypothalamic dysfunction is that it is a treatable condition. Many women are able to restore the regularity of their menstrual cycle by making healthy lifestyle changes. By eating a nutritious diet, reducing exercise levels, limiting stress, and obtaining a healthy weight, many women can restart their menstrual cycle and improve their chances of conceiving.

Despite making lifestyle changes, some of our Omaha patients may find that their cycle does not return to normal, or that it is still difficult to conceive. If lifestyle changes alone do not help a woman become pregnant, we can provide fertility treatment. Fertility treatments that are most effective in enabling women with hypothalamic dysfunction to become pregnant are ovarian stimulation and IVF.

Ovarian stimulation involves the use of fertility medication to stimulate the ovaries so that they produce and release multiple mature eggs. Ovarian stimulation may involve the use of oral fertility drugs, injectables, or both. If a woman is already making lifestyle changes to address hypothalamic dysfunction, ovarian stimulation alone may be enough to allow a woman to become pregnant.

If ovarian stimulation alone does not result in pregnancy, we offer IVF treatment. IVF is a multi-step treatment process that involves stimulating the ovaries, collecting mature eggs, fertilizing them in a laboratory setting, and then transferring healthy embryos directly to the uterus. This assisted-reproductive technique is highly successful for individuals dealing with a wide range of fertility issues.

Contact Us

At the Heartland Center for Reproductive Medicine, we offer a comprehensive range of fertility services for those people who are struggling to conceive. To learn how we can help you overcome fertility issues and experience the joys of parenthood, send us a message online at your earliest convenience or call (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 (877) 831-3227 to schedule a consultation.

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