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.

Intracytoplasmic Sperm Injection Can Assist Male Factor Infertility

Intracytoplasmic sperm injection (ICSI) at our Omaha, NE, practice is a technique used during in vitro fertilization (IVF). During the process, a single sperm is directly injected into an egg to induce fertilization rather than combining multiple sperm all at once. At Heartland Center for Reproductive Medicine, this procedure is beneficial for patients who have experienced a failed first round of IVF or for patients with severe male factor fertility issues. During your initial consultation, one of our fertility specialists will help you determine if this treatment is suitable for your infertility concerns.

ICSI
During intracytoplasmic sperm injection (ICSI), a single sperm is injected into the egg to induce fertilization.

Candidacy for Intracytoplasmic Sperm Injection

This procedure is recommended for couples who wish to test the embryo for genetic diseases and disorders. It is also suggested for patients who have experienced failed fertilization in a previous IVF cycle, or have been diagnosed with male factor infertility issues such as:

  • Low sperm count
  • Low fertilizing capacity 


  • Poor sperm mobility 

  • Poor sperm morphology
  • Dysfunctional ejaculation
Although risks are possible, having your procedure performed by our team of experts will dramatically reduce your risk for complications and increase your chances for pregnancy by 70 – 80%.

The Steps Involved in Intracytoplasmic Sperm Injection

During ICSI, a fertility specialist will use modern technology and advanced techniques to select a single sperm with a delicate needle. The specialist will then use the needle to insert the sperm directly into the center of the mature egg to increase chances for fertilization and a successful pregnancy.

  • Egg and Sperm Retrieval: Eggs are retrieved during a minimally invasive surgical procedure, with the healthiest and most mature eggs chosen to undergo ICSI. Sperm is collected from a donor bank or from the partner via ejaculation or a minimally invasive surgical procedure. The sperm is then carefully processed to remove any impurities to help enhance fertilization.
  • Mobilizing the Egg: Once the egg and sperm are adequately prepared, the mature egg is carefully held in place using a specialized pipette.
  • Mobilizing the Sperm: A small, hollow needle is then used to immobilize and pick up a single sperm.
  • Needle Insertion: The specialist will insert the needle through the outer shell of the egg so the sperm can be released into the cytoplasm (center of the egg). The needle is then removed very carefully so as not to disrupt fertilization.
  • Monitoring the Egg: Over the next 24 hours, the egg is monitored for evidence of fertilization. Healthy embryos will then be transferred to the uterus.


What Are the Risks?

Although risks are possible, having your procedure performed by our team of experts will dramatically reduce your risk for complications and increase your chances for pregnancy by 70 – 80%. Issues related to ICSI can include:

  • Egg damage during retrieval and mobilization
  • Ovarian hyperstimulation syndrome during egg retrieval
  • A multiple pregnancy if more than one embryo is implanted

Improve Your Chances for Pregnancy

If you have been diagnosed with male factor infertility issues, you and your partner may benefit from intracytoplasmic sperm injection in order to expand your family. Contact our practice today to meet with one of our fertility specialists.

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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Omaha Office

7308 S 142nd St
Omaha, NE 68138

Open Today 7:00am - 3:30pm

Closed for Lunch from 12:00-1:00

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