

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.


As you navigate the final weeks of the first trimester, you're approaching a significant turning point in your pregnancy journey. The most intense period of foundational development is complete, and you're heading towards some exciting and reassuring milestones.
Sometime between weeks 9 and 13, you will likely have your first ultrasound. This is an incredibly emotional and significant moment for many expectant parents. The primary purpose of this scan is to confirm the pregnancy is viable, date the pregnancy accurately by measuring the baby, and check that it is located correctly within the uterus.
During this scan, you may see your baby for the very first time. By now, the embryo has transitioned to being called a fetus. It has a more distinctly human shape, with arms, legs, and a defined head. The highlight for many is hearing the baby's heartbeat. That strong, rapid sound is powerful, tangible proof of the new life growing inside you.
This appointment is also when your healthcare provider may discuss optional genetic screenings. One common option is the nuchal translucency (NT) scan, an ultrasound that measures the fluid at the back of the fetus's neck. When combined with a blood test, it can help assess the probability of certain chromosomal conditions. This is a personal choice, and your provider can give you the information you need to decide what's right for you.
For you, the mother, these weeks can bring a welcome shift. As the placenta begins to take over hormone production from the corpus luteum, many women find that the intense nausea and fatigue finally start to subside. You may also notice your clothes feeling a bit snug as your uterus, now about the size of a grapefruit, begins to rise out of your pelvis. You might even feel occasional twinges or pulls in your lower abdomen, often called "round ligament pain," which is simply your body making space for your growing baby.
Crossing the 13-week mark feels like a major accomplishment—and it is! You've successfully navigated the most delicate stage of pregnancy, and you're about to enter the "golden trimester."
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.