

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.


You've passed the 20-week mark—congratulations, you're officially more than halfway through your pregnancy! As you move through these later weeks of the second trimester, your baby is continuing to grow and mature at an amazing pace, and you'll notice more significant changes in your own body.
A major milestone during this period is the development of your baby's senses. Their hearing is now well-established. They can hear your voice, your heartbeat, and other sounds from the outside world. Talking, singing, or reading to your baby is a wonderful way to bond, as they begin to recognize the sound and rhythm of your voice.
Inside the womb, your baby is also practicing for life on the outside. They are swallowing amniotic fluid, which helps their digestive system mature, and their taste buds are developing. Their movements are becoming stronger and more coordinated than the gentle flutters you first felt. You'll now likely feel distinct kicks, punches, and rolls.
This period also contains the point of viability, which typically falls around week 24. This is the earliest stage at which a baby could potentially survive outside the womb with intensive medical care. While this is a significant medical milestone, the goal is for the baby to continue developing safely inside the womb for many more weeks.
For you, the pregnancy is now undeniable. Your baby bump is growing daily, and with it come common physical changes. You may notice stretch marks appearing on your abdomen, hips, or breasts. These are a normal result of your skin stretching to accommodate your growing baby. Keeping your skin well-moisturized can help with any itching or discomfort.
As your center of gravity shifts, you might also begin to experience backaches. Paying attention to your posture and avoiding heavy lifting can help. When you sleep, it's best to lie on your side (especially your left side, which improves circulation) with pillows supporting your back and between your knees. Embracing comfortable, stretchy clothing and supportive shoes will make a world of difference during this stage.
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.