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.

How Do I Start IVF? By HCRM on August 13, 2021

A woman talking with a doctorDifficulty becoming pregnant is a challenge many couples face. In vitro fertilization, or IVF, can help couples overcome fertility challenges and make their dreams of having children a reality.

For some, the idea of starting IVF can be overwhelming. It doesn’t have to be. Understanding where to begin is the first step to undergoing treatment. If you are wondering how to start IVF, the Omaha, NE, team at Heartland Center for Reproductive Medicine is here to guide you through the process. 

Begin with Fertility Evaluations 

The first step to starting IVF is to speak with a fertility doctor to determine if IVF is right for you. Part of the initial process is to get an understanding of what may be causing infertility through fertility evaluations. Undergoing fertility evaluations is essential to determining whether you’re a good candidate for IVF. 

Fertility evaluations should be performed on both partners and typically include:

  • Taking a medical history
  • Blood work
  • Semen analysis
  • Ultrasound of the reproductive system

Before Starting IVF

If fertility evaluations indicate IVF is a good option for your needs, there are some things you can do before starting IVF to prepare yourself, such as:

  • Stop smoking or using tobacco and nicotine products
  • Stop drinking alcohol
  • Limit caffeine
  • Start taking prenatal vitamins
  • Increase foods that are high in folate, Omega-3, vitamins C and E, as these are good for fertility

Starting IVF Treatment

Once it’s time to start IVF treatment, medications will be prescribed and taken daily to regulate the reproductive cycle, increase the number of mature eggs, and help with the timing of egg retrieval. 

IVF medications are typically injected over roughly four weeks prior to egg retrieval and include:

  • Suppressing the menstrual cycle: At the start of IVF, medications are injected daily for about two weeks to suppress the menstrual cycle so that there is no guessing about egg maturity and when egg retrieval should be scheduled. 
  • Follicle stimulating hormones: Follicle stimulating hormone (FSH) is started once the menstrual cycle is regulated. FSH injections encourage the follicles to produce multiple mature eggs rather than only one egg as they normally do. FSH injections are taken for about seven to ten days, sometimes longer or shorter, depending on how quickly the eggs develop. 
  • Preventing premature ovulation: Sometimes hormones are given to prevent premature ovulation and assist in the timing of egg retrieval. 
  • Triggering ovulation: Once the eggs have reached maturity, which is evaluated through ultrasound, an injection, often called the “trigger shot,” is given to signal the body to ovulate and release the eggs for retrieval. 

Completing IVF

After eggs are retrieved, they are combined with sperm in a lab. Fertilized eggs are incubated for several days. Resulting embryos may be evaluated to determine which are healthiest and most viable. 

Once sufficiently matured, an embryo can be placed into the uterus with the hopes that it will implant and lead to a successful pregnancy. Arrangements can be made at our Omaha practice to freeze remaining embryos for future pregnancy. 

Is IVF Right for You?

IVF has made it possible for many couples who have struggled with infertility to welcome children into the world. If you would like to find out if IVF is right for you or have more questions about starting IVF, please call our Omaha practice at (402) 717-4200 to schedule a consultation.

Related to This

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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