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.
Please Call True Health Acupuncture at 702-475-0870
You can also book online on the True Health Acupuncture website.
1481 W Warm Spring Rd #129
Henderson, Nevada 89014
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
Michelle A.
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.
You’ve probably heard of sperm count, motility, and morphology — but there’s another factor that plays a huge role in male fertility: sperm DNA fragmentation. Even if a semen analysis looks normal, damage to the DNA inside the sperm head can reduce the chances of fertilization, lead to early embryo arrest, or increase the risk of miscarriage.
Every sperm carries half the genetic material needed to create a healthy embryo. When that DNA is damaged, broken, or improperly packaged, it’s called fragmentation. If the sperm’s genetic blueprint is faulty, the egg may struggle to repair it — and this can result in:
Failed fertilization
Poor embryo development
Implantation failure
Early pregnancy loss
Sperm DNA fragmentation is not tested in a standard semen analysis. It requires specialized tests, such as:
SCSA (Sperm Chromatin Structure Assay)
TUNEL assay
COMET assay
These tests measure the percentage of sperm with fragmented or damaged DNA.
Normal range:
<15% = good
15–30% = moderate concern
30% = high fragmentation, may impact fertility
Oxidative stress (free radicals that damage cells)
High fever or illness
Advanced paternal age
Smoking, alcohol, recreational drugs
Environmental toxins (pesticides, air pollution)
Obesity and poor diet
Varicocele (dilated scrotal veins)
Frequent ejaculation or prolonged abstinence
Stop smoking and reduce alcohol
Avoid high heat (hot tubs, laptops on lap)
Get enough sleep and manage stress
Exercise moderately, not excessively
CoQ10
Vitamin C + E
Zinc
L-carnitine
N-acetyl cysteine (NAC)
Ashwagandha
Note: Supplements may need 2–3 months to show improvement (sperm takes ~74 days to regenerate).
In some cases, embryologists may recommend retrieving sperm directly from the testicle (via TESE) for ICSI, since testicular sperm has less DNA damage than ejaculated sperm.
After repeated IVF or ICSI failure
Recurrent miscarriage (with unexplained cause)
When semen analysis is borderline but not “bad enough” for concern
Male partner >40 years old
Sperm DNA fragmentation is one of the most overlooked causes of infertility — especially in couples labeled as “unexplained.” If you’ve been trying for a while or facing IVF setbacks, this test may offer answers you haven’t heard before — and a clearer path forward.