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.

Procedures

Dr. Bradley Miller performs the following procedures:

Natural Cycle Monitoring – In some cases patients do not become pregnant because of difficulties related to ovulation timing. With natural cycle monitoring you monitor patients to determine when ovulation occurs, for timed intercourse or assists the patient by performing intrauterine insemination (IUI).

Ovulation Induction – Ovulation induction is one of the most common treatments for many causes of infertility. This process involves the stimulation of a woman’s ovaries through the use of ovulation induction medications or fertility drugs. Ovulation induction is frequently used with Intrauterine Insemination (IUI).

In Vitro Fertilization (IVF) -  In Vitro Fertilization (IVF) is the most widely used form of treatment for infertility. IVF is the process of collecting the eggs from a woman and the sperm from a man and combining them in a dish in the lab for fertilization to occur. Once fertilization has occurred the embryos are transferred back into the woman and hopefully implantation and a pregnancy will occur.

Intrauterine Insemination (IUI) – Intrauterine Insemination (IUI) is a procedure used to assist patients in their efforts to achieve a pregnancy. This procedure involves placing a known quantity of “washed” sperm into the uterus with a fine catheter. At least one fallopian tube must be open because after being placed into the uterus the sperm must swim the length of the fallopian tube and fertilize the egg at the distal end of the fallopian tube. The goal of the IUI procedure is to present a high concentration of motile sperm into the uterus to facilitate the union of an egg with a sperm in the fallopian tubes

Intrauterine Insemination (ICSI) – In the case of the male factor infertility, standard insemination techniques may not be successful. In cases where sperm counts are very low or where fertilization has failed to occur with a prior IVF attempt, special egg insemination techniques may be used to help the sperm fertilize the eggs. Intracytoplasmic sperm injection (ICSI) is the most common specialized insemination technique.

The use of ICSI represents a major advance in reproductive medicine. From the patient’s perspective, the process is similar to a regular IVF cycle, while the difference is in the laboratory handling of the sperm and eggs. The scientist takes a single sperm and, using sophisticated instrumentation, places the sperm directly into the center of the egg. In many cases, ICSI offers couples the hope of conceiving a child without the use of donated sperm. ICSI is not for everyone, however. Your physician will determine if ICSI is appropriate for you.

Minimally Invasive Surgery (Laparoscopy or Hysteroscopy) – A hysteroscopy is a surgical procedure that allows the physician to look at the lining of your uterus by using a tool called a hysteroscope. The tip of the hysteroscope inserted into the vagina and gently moved through the cervix into the uterus. The hysteroscope is equipped with a light and camera so the physician can see the lining (endometrium) on a video screen. A hysteroscopy is performed to identify if there are any abnormalities in your uterus such as:

  • Uterine Fibroids
  • Polyps
  • Adhesions
  • Congenital Malformations

Laparoscopy is a surgical procedure that allows the physician to look at the female pelvic organs. The physician uses a thin, lighted tube through an incision in the belly to look at the female pelvic organs.

A laparoscopy is used to find and treat problems such as:

  • Cysts
  • Endometriosis
  • Uterine Fibroids
  • Adhesions
  • Infection 

Preimplantation Genetic Diagnosis (PGD) – PGD is a form of genetic testing that allows couples at risk for single gene disorders to have embryos tested before a pregnancy is established. PGD is preformed in conjunction with IVF.

Oocyte Cryopreservation (Egg Freezing) – Oocyte cryopreservation or egg freezing is a technique that allows women to freeze and store their eggs until they want to start or expand their families.

Hysterosalpingogram (HSG) Testing – An HSG is an outpatient procedure that involves placing an iodine-based dye through the cervix and taking x-rays to help evaluate the shape of the uterus and whether or not the fallopian tubes are open or blocked.

Saline Sonogram – A saline sonogram is a test that can show uterine abnormalities such as polyps or cysts. During the test, saline (salt water) is injected through the cervix to outline the inside of the uterus. This test uses ultrasound, not an X-ray, to let the physician watch the movement of the saline. The sonogram allows the physician to see the inside cavity of the uterus, and the wall of the uterus at the same time to detect polyps or fibroids.