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.

Fertility and Ejaculation Problems By HCRM on April 20, 2020

A man sitting on a doctor's examination tableBecoming pregnant is a struggle that many couples face today. Our fertility clinic provides a wide range of treatments to help couples overcome fertility issues and successfully conceive.

For some couples who have fertility problems, the issue may actually stem from ejaculation problems. At Heartland Center for Reproductive Medicine, PC, our doctors work with patients to identify and treat fertility issues and ejaculation problems at their Omaha, NE, fertility clinic. If you and your partner are struggling to conceive, we welcome you to schedule a consultation to see how we can help you.

Ejaculation Problems Can Prevent Pregnancy

Ejaculation is the mechanism through which semen is delivered to the egg during sexual intercourse; it is essential for natural conception.

When problems with ejaculation occur, it can prevent couples from conceiving, even if there are no issues with the number or quality of sperm.

Identifying ejaculation problems can help with the treatment of fertility problems and increase the chances for couples to become pregnant. The following are types of ejaculation problems that can impact fertility but may be overcome with treatment at our Omaha clinic.

Premature Ejaculation

Premature ejaculation is when a man ejaculates, or releases semen, sooner than he or his partner would like.

Just because a man may consistently ejaculate prematurely doesn't necessarily mean something is wrong. Sometimes premature ejaculation happens due to heightened sensitivity or even sexual inexperience. Other times, psychological factors, like depression or anxiety, can cause premature ejaculation.

Some men who struggle with premature ejaculation learn to delay ejaculation through relaxation techniques, psychological counseling when associated with depression or anxiety, or medication.

Retrograde Ejaculation

Retrograde ejaculation is a condition in which ejaculate discharges into the bladder instead of the penis. Retrograde ejaculation happens when muscles near the bladder that prevent semen from entering the bladder don't function properly. This can cause all or some semen to enter the bladder rather than exit through the penis.

Retrograde ejaculation can be caused by surgery, such as prostrate surgery, or nerve damage from medical conditions including diabetes and multiple sclerosis. Medications used to treat high blood pressure, prostate enlargement, or depression can also have side effects that cause retrograde ejaculation.

Retrograde ejaculation is not harmful but it can cause infertility because little or no sperm exits the penis. Retrograde ejaculation may be treated with medication or fertility treatments including intrauterine insemination (IUI) or in vitro fertilization (IVF).

Delayed Ejaculation

Delayed ejaculation is when ejaculation takes an extended period of time to occur during sexual stimulation.

Delayed ejaculation may be caused by several different factors, including certain medications, psychological issues, birth defects, alcohol use, hormonal issues, or infections.

Delayed ejaculation may be treated through counseling when psychological issues are believed to be the cause or with medications when other factors may be the issue.


Anejaculation refers to an inability to ejaculate. Anejaculation may be situational, meaning a man can ejaculate in certain circumstances, or anejaculation may occur with all sexual stimulation.

Certain medications, surgical procedures, and damage to the nervous system can all cause anejaculation. When anejaculation is situational, it is often caused by psychological factors or stress.

Even without ejaculating, many men still develop sperm, which can be obtained through a minor procedure called sperm retrieval. Sperm retrieval can then be combined with IVF or IUI to help couples conceive.

Discover Your Treatment Options

At Heartland Center for Reproductive Medicine, PC, we offer a wide range of diagnostic tests and fertility treatments to help couples and individuals of all walks of life grow their families. If you live in or around Omaha and would like to learn more about fertility treatment, we invite you to call (877) 831-3227 to schedule a consultation.

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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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