Board Certified and Trusted Reproductive Medicine Specialist

Dr. Bradley Miller is a Reproductive Endocrinologist who has been in practice for 18 years. Throughout his career over 2,000 babies have been born as a result of his care. He is the Managing Partner at Reproductive Medicine Associates of Michigan, one of the leading fertility centers in Michigan. Learn more about Dr. Miller and follow his blog to discover more answers to your infertility needs and questions.

Archive for the ‘Fertility’ Category

Support Group for Infertility Patients

Tuesday, April 30th, 2013

A wonderful resource for patients who are experiencing infertility is RESOLVE, the national infertility association. RESOLVE is a non-profit organization that promotes reproductive health and ensures equal access to all family building options for men and women experiencing reproductive issues. I have personally been involved with the organization for over 17 years. The local chapter hosts monthly meetings at Beaumont Hospital, Royal Oak, which is run by volunteers. These meetings allow patients to meet and discuss their feelings, experiences, etc. with others who have been through similar situations. RESOLVE also hosts an annual spring meeting at Beaumont Hospital, Royal Oak where there is a keynote speaker and an “Ask the Expert” panel of professionals. The event is usually free or a small fee is charged for admission.

I hear from a lot of patients that they wish there were support groups for people struggling with infertility. Patients want to know that they are not the only ones that are struggling to conceive. RESOLVE is a great resource for patients and I recommend anyone interested in learning more to check out their website at http://www.resolve.org/.

 

Family Act of 2011 – Dr. Brad Miller

Thursday, November 29th, 2012

The Family Act of 2011 was recently introduced in Congress. If passed it will establish a credit to improve access to medical treatment for infertility, which affects millions of people in the United States. Tax payers who have been diagnosed as infertile by a licensed physician and for whom the indicated course of treatment is to undergo IVF treatment would be able to claim a tax credit. Eligible treatments include medical procedures, laboratory procedures, professional charges and othe necessary costs when patients undergoe IVF treatments. The maximun lifetime credit amount available to eligible tax payers would be $13,360. Visit the Family Act 2011 on Facebook to voice your support. You can also visit RESOLVE’s website to learn more about the act.

 

Freezing Your Biological Clock – Dr. Bradley Miller

Wednesday, November 14th, 2012

Lately, there has been more and more interest out there in regards to women in their mid to late 30s desiring to freeze their eggs. We have routinely offered egg freezing to those women that are about to under chemotherapy, radiation or surgery to preserve their future fertility, but now healthy women are also considering this option. Why are women doing this? These women typically are single and aren’t sure when they may find their “Prince Charming” before it is too late. The one thing they know for sure is that they want to have a family in the future. In order to preserve their fertility and give themselves better chances at having a family some women are turning to egg freezing. Research has show that the number of eggs a woman has starts to decline in her 20’s and then significantly declines in their late 30’s. By freezing their eggs they are essentially stopping the clock so that those eggs do not age any further. For example, if the woman is 35 years old and doesn’t decide she wants to have a family until she is 40 years old her eggs will still be the quality they were at 35 years old. However, there is no guarantee that the quality of her eggs were good at age 35 making it still potentially difficult to get pregnant with this option.

Egg freezing is not for all women. Another big factor for women considering egg freezing is the cost associated with it. Fertility treatment is not cheap and most patients pay out-of-pocket. Women who choose this route must have IVF in order to conceive and that procedure can run up to $12,000 or more in addition to storage fees. Research has shown many of these women still do not need to use these frozen “back-ups” once they are married at a later date.

Egg freezing does give women who aren’t ready to start a family the ability to possibly have a better chance at conceiving in the future. Just know that there are no guarantees with any fertility treatment. If you are interested in egg freezing please contact my office.

Cancer and Fertility Preservation

Friday, August 31st, 2012

There are approximately 800,000 reproductive-aged men and women who have been diagnosed with cancer and over 60% are expected to survive.  The lifetime probability of developing cancer is 50% for men and 30% for women.  The first concern of any cancer patient is curing the cancer, but once they have achieved that goal quality of life issues like fertility become a concern. Unfortunately, the life-saving cancer treatments can affect future fertility by destroying the sperm or eggs and the uterus in some cases. The most severe damage comes from high dose radiation to the ovaries or testicles. Also, chemotherapeutic cancer drugs like cyclophosphamide, mechlorethamine and melphalan can be destructive depending on dose and number of cycles. In some cases it is possible for sperm and egg production to return to near normal levels.  For men new sperm is produced every day while on the other hand women were born with a set number of eggs that cannot regenerate. The bottom line is a certain percentage of men and women will become sterile after having their cancer treatment. The good news is that there are several options that may help preserve fertility before treatment.

Men can have semen samples frozen at a sperm bank or a local fertility center before they start treatment. If sperm counts are normal inseminations can be done or if they are low or very low either in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) can be done. Women can undergo an IVF cycle if time allows. Embryos created by IVF are frozen and can be stored for years. If radiation will be localized to the pelvis then the ovaries can be surgically repositioned so they are out of the field of radiation or placed behind the uterus for protection. Of course, factors such as time, expense, availability of sperm and delay due to cancer treatment can limit options.We always encourage Oncologists/Radiologists to talk to their patients who are of reproductive age before they begin treatment so that they know ahead of time what their options are. The patient can always contact a reproductive endocrinologist on their own as well. When a cancer patient contacts our office for an appointment they are considered an emergent patient and are seen within a day or two.

If you would like to schedule an appointment with Dr. Bradley Miller, please visit the contact section of his blog.