

In vitro fertilization (IVF) involves a series of complex clinical steps that can be difficult for patients to fully understand while undergoing treatment. This guide provides a clear overview of the physiologic principles, treatment protocols, laboratory processes, and clinical decision points involved in modern IVF care. By translating reproductive endocrinology concepts into accessible language, the book helps patients better understand the procedures and discussions taking place throughout their treatment. It is designed to serve as an educational companion to the care provided by fertility specialists..
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Please Call True Health Acupuncture at 702-475-0870
You can also book online on the True Health Acupuncture website.
1535 W Warm Springs, Ste 135
Henderson, Nevada 89014

Michelle A.
My name is Michelle Aukerman. And I just have to say that Joyce at True Health Acupuncture is probably the best ultrasound technician I have ever had in my life and I’ve been through several. She’s very personal and talks through everything and if something goes wrong, she says OK how do we make this right? What’s the next step we need to take? You don’t hear that from any other ultrasound tech, they're so jaded. The comfort environment at True Health Acupuncture is unmatchable. It does not feel like a doctor's office and everybody is so warm but when it comes to Joyce, she is completely unmatched. It’s like having your own mother right there with you. I highly highly recommend her.
Thank you, the Aukerman’s
This is the second pregnancy that I came to Joyce for my outside monitoring. I have been very nervous about the whole process, but Joyce guided me through each and every ultrasound. Although the monitoring went smoothly, upon achieving pregnancy I developed some bleeding. Of course, I panicked. Joyce explained everything that was going on with my bleeding and helped me through this anxious time. I don’t know what I would have done without Joyce’s calm demeanor. And the added bonus is having acupuncture treatment right there at True Health Acupuncture, the office Joyce works out of. I will always be truly thankful for the amazing experience that I received from both Joyce and True Health to be a part of my fertility journey.

Joyce is an exceptional individual who made a significant impact during my IVF journey. I had the privilege of meeting her when I needed support, and she was able to perform ultrasounds when our IVF Dr was unable to accommodate us. Her ability to confirm our twin pregnancy was incredibly reassuring. Joyce took the time to explain everything she was observing, which not only made the experience more memorable but also helped alleviate my anxiety. Her compassionate approach truly made a difference in my experience.


Welcome to the third trimester! You've entered the final leg of your pregnancy journey. From now until delivery, your baby's main job is to gain weight and mature, while your body begins its final preparations for birth.
During these weeks, your baby is growing rapidly, putting on layers of fat that will help them regulate their body temperature after birth. Their brain is developing at an incredible pace, and they are even starting to exhibit sleep-wake cycles. You might notice distinct periods of activity followed by quiet times when they are likely sleeping.
A fascinating development during this stage is that your baby is "practice breathing." They aren't taking in air, of course, but are rhythmically moving their chest and diaphragm, strengthening the muscles they will need for their first real breath.
For you, this is a time of more frequent check-ups. Your healthcare provider will likely want to see you every two weeks. One of the key tests during this period (usually between 24-28 weeks) is the glucose screening test for gestational diabetes. This routine test checks how your body is processing sugar to ensure both you and the baby stay healthy.
You will also be encouraged to start paying attention to your baby's movements through "kick counts." This involves setting aside time each day to count how long it takes to feel a certain number of movements (often 10). It's a simple yet effective way to monitor your baby's well-being.
You may also begin to experience Braxton Hicks contractions. These are often called "practice contractions" and are your body's way of toning the uterine muscle in preparation for labor. They usually feel like a tightening or hardening of your abdomen, are irregular, and typically go away if you change positions or drink some water. They are different from true labor contractions, which will become stronger, longer, and more frequent over time.
Starting your cycle
Starting an IVF cycle is stressful enough, doing it with an out-of-state provider just increases that stress. That is why we have developed an out-of state monitoring program to help women that need ultrasound monitoring without having to travel to their provider. We follow your physicians instructions and with be able to accommodate your schedule. Most all cycles, whether retrievals or transfers, will need 2-3 ultrasounds during that cycle. All reports can be faxed or emailed to your physician within 2-3 hours after the exam is finished.