

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
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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.


For the past six posts, we've followed the intricate journey of the egg, from its initial development to the preparation of the uterus. But conception is a partnership, and the sperm's journey is equally remarkable and challenging. It's a marathon, not a sprint, where millions start but only one can finish.
While the female body prepares just one egg per month, the male body is constantly producing sperm through a process called spermatogenesis. This process takes about 74 days from start to finish, meaning the sperm involved in conception today began their development over two months ago.
During intercourse, anywhere from 40 million to 300 million sperm are deposited into the vagina. From the moment they arrive, their journey is a race against time and a battle against incredible odds. The first obstacle is the acidic environment of the vagina, which is hostile to sperm. Many don't survive this initial stage.
Those that do must then navigate their way through the cervix. Around the time of ovulation, this journey is made easier. As we learned earlier, high estrogen levels create fertile cervical mucus, which is thin, watery, and alkaline. This special fluid acts like a superhighway, helping to protect the sperm and guide them upward into the uterus.
Once inside the uterus, the sperm continue their journey toward the fallopian tubes. Muscular contractions of the uterus help propel them along, but it's still a long swim. They must choose the correct fallopian tube—the one containing the recently ovulated egg. It's a 50/50 chance, and many will travel up the empty tube.
The few thousand sperm that make it to the correct fallopian tube are the elite swimmers. There, they can wait for the egg for up to five days. When the egg is finally released during ovulation, the sperm undergo a final transformation called capacitation, which enables them to fertilize it. It's the final sprint in a journey that only the strongest and most resilient can complete.
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.