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.

woman looking at a pregnancy test

Tubal Ligation Reversal

Have you received a tubal ligation in the past but have since decided you would like to have children?

Depending on the method used in your tubal ligation, our doctors may be able to perform a tubal ligation reversal to restore your fertility.

See how Heartland Center for Reproductive Medicine in Omaha, NE, can help you grow your family.

Reversing a Tubal Ligation

A tubal ligation, often called tubal sterilization, female sterilization, or "getting your tubes tied," can prevent eggs from traveling through the fallopian tubes and into the uterus and prevent sperm from meeting the eggs.

However, women sometimes change their minds about pregnancy. Though a tubal ligation is often seen as a way to permanently prevent pregnancy, it can sometimes be reversed. This can be a viable solution for women who aren't candidates for in vitro fertilization (IVF).

A reversal can be performed to restore fertility, depending on the type of tubal ligation that was initially performed. Our doctors in Omaha, NE, may be able to reconnect your fallopian tubes to allow for pregnancy.

illustration of tubal ligation

Exploring Candidacy for Tubal Reversal

If you want to reverse your tubal ligation, your doctor will consider
many factors, including:


Your doctor will have to first decide if you're young enough to both undergo this procedure and bear children. Generally, women under the age of 40 are the best candidates for this surgery.

Overall and Reproductive Health

Since this is a surgical procedure, you will have to be in good overall health to ensure you can heal properly following the procedure. Your reproductive health will also be considered before you can undergo this procedure.

Type of Tubal Ligation

Our doctors can typically remove clips or rings that were used in your tubal ligation to improve your chances of conception. If your tubes were tied and only a small part of the tubes was removed, we can potentially reverse this kind of tubal ligation, as well. Unfortunately, if your tubes have been seared, you're not a good candidate for a tubal reversal.

If you're not a good candidate for reversal, you may still qualify for IVF.

The Reversal Procedure

Tubal ligation reversal typically takes two to three hours.
Tubal ligation reversal typically takes two to three hours.


General anesthesia is first administered so the patient is sedated and comfortable for the duration of the surgery.


A laparoscope is then inserted through the patient's naval so the doctor can determine the best way to perform the tubal ligation reversal to reconnect the fallopian tubes.


The doctor then creates another incision near the pubic hair, where another laparoscope will be inserted with surgical instruments attached. These instruments will allow the doctor to remove any clips or rings and reconnect the fallopian tubes.


The fallopian tubes are then carefully sutured back together, and any external incisions are sutured closed.
The reversal surgery is typically an outpatient procedure that takes two to three hours to complete.


Released From Care

If there are no complications, you are released and free to go home two to four hours after the procedure. Our Nebraska doctors provide you with pain medication and postoperative instructions to allow for a smoother recovery.

Returning to Normal

You should arrange to have someone spend the first night with you to help with simple daily tasks. Most patients can return to work in one to two weeks, though it can take two or more weeks to return to normal activities.

Follow-Up Visit

In about three months, you will return to our office in Omaha, NE, so that we can reevaluate the function of your fallopian tubes. Success rates for conception vary, but our team is here to support you through your journey.

"They are a great support system."


Sara Cooper


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Our family is beyond thankful for everything Heartland has done for us over the last 9 months. They have been such a blessing to us! Without them, we’d have likely given up on the dream of growing our family. We always felt heard, known, and always received the most thorough explanation of any and all treatments, lab work, and scans. We felt very involved every step of the way.

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kimberly jensen


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My experience with Heartland has been fantastic. We are so lucky to have two successful pregnancies. It was always sad to leave the team at Heartland but for the best reasons, we were pregnant! I would and have recommended Heartland to anyone trying to start a family. They are a great support system.

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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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Omaha Office

7308 S 142nd St
Omaha, NE 68138

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Lincoln Office

8560 Foxtail Dr
Lincoln, NE 68526

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