General Practitioners

• Primary Care
  If there are no concerns after all involved parties have met with our counselor, the next step is to have the prospective gestational carrier meet with one of our physicians for a new patient appointment. We will need the carrier’s medical records from her primary care physician and/or OB/GYN prior to this appointment. The carrier will need to undergo a sonohysterogram (SHG) to ensure that her uterus has a normal inner contour, which is needed for successful implantation and carrying a pregnancy. This test should be completed during cycle days 5-14 of the menstrual cycle. A practice embryo transfer (mock ET) will also be performed the same day as the SHG. This procedure enables the physician to determine how best to transfer the embryo(s) to the carrier’s uterus. The doctor will insert a tiny catheter through the cervix to measure the length of the uterine cavity. The carrier’s new patient appointment can be scheduled on the same day as these procedures to reduce the number of appointments, if desired.
• Emergency Care
  Emergency/After-hours care: In the event of a medical emergency. please contact your ordering physician’s office or go directly to your local emergency room. If your ordering physician would like you to be seen, they may contact our office or submit an order for an appointment during regular office hours. Please do not call our emergency/after-hours line.

Gynecologists

• Gynecology
  A medical specialist who has completed four years of college followed by four years of medical school. The physician then completes a residency in Obstetrics and Gynecology and a subsequent two to three year fellowship in Reproductive Endocrinology and Infertility.
• Female Infertility
• Obstetrics
  Emma Giuliani, MD is a board-eligible Reproductive Endocrinology and Infertility specialist. She completed her residency in Obstetrics and Gynecology at Michigan State University/Grand Rapids Medical Education Partners and her fellowship in Reproductive Endocrinology and Infertility at the University of Michigan. Joining The Fertility Center in September 2020, Dr. Giuliani brings with her a passion for caring for individuals with infertility. Some of her special interests include fertility preservation as it relates to oncology patients, recurrent pregnancy loss, and endometriosis.
• Endometriosis
  Endometriosis is when tissue that appears similar to the lining of the uterus grows on other organs inside your body (i.e., ovaries and fallopian tubes). Endometriosis can irritate the areas involved and cause pain, adhesions (scar tissue) and infertility. To learn more about endometriosis, please see below...
• Pelvic Pain
• Pregnancy
  Congratulations, your pregnancy test is positive! Now that you’re pregnant, we will monitor bHCG blood pregnancy levels to make sure that they are rising appropriately. We will then schedule two ultrasound appointments at approximately 6 weeks and 8 weeks gestational age. The first ultrasound will be an extended study to ensure the viability of the pregnancy. We will also determine the number of embryos that implanted (e.g. if you’re having twins) and confirm that the pregnancy is in your uterus and not elsewhere (e.g. an ectopic/tubal pregnancy). Your first ultrasound is typically performed by one of our experienced sonographers. Your 8 week ultrasound will evaluate the progression of the pregnancy – we will see how the baby is growing and measure the baby’s heart rate.  This ultrasound appointment is typically the last step in your journey with us. While we wish we could see you through your entire pregnancy, the time has come for you to graduate from our practice.

Internists

• Ovarian Cancer

Psychiatrists

• Mental Health
  After receiving her Bachelor’s Degree from Hope College, Amanda went on to pursue her Master’s Degree in Social Work at the University of Michigan. Following more than 15 years in medical and mental health practice, Amanda was drawn to infertility counseling and joined our TFC family in 2018. During her time with us, she has seen how infertility affects people on a deeply personal level and can impact all aspects of their lives. She loves helping patients navigate what this experience means to them, and helps them create new ways to be the best version of themselves, considering the lived experience of infertility. Her best advice for patients is to learn what gives you a mental break from infertility and do that regularly. Also, be kind and gracious to yourself. When not at the office, Amanda is an avid reader, loves backpacking and hiking trips to Canada, and traveling with her family.

Endocrinologist

• Endocrinology
  While helping our patients grow their families is a large focus of our practice, we also treat a variety of reproductive medical conditions that have (or may have) an impact on fertility. Our physicians have completed extensive training in infertility as well as reproductive endocrinology. For more information on some of the most common conditions that we treat, please see below. If you are seeking help in managing a condition that is not listed, please contact our office to learn more about how we can help you.
• Thyroid

Radiologist

• Ultrasound
  4. If you used Gonal F, Follistim, or Menopur during your last cycle and/or had IVF, do not engage in intercourse until after we have seen you for an ultrasound. This is to protect your ovaries, which will remain enlarged for the first 4-6 weeks of pregnancy.
• X-Rays

Surgeons

• Laparoscopy
  A laparoscopy is a surgical procedure that is performed through small incisions in the abdomen. A camera, called a laparoscope, is inserted through one of these incisions in order to evaluate the abdomen and pelvis. A laparoscopy is performed under anesthesia, so you are “asleep” and comfortable for the duration of the surgery.

Dermatologists

• Cyst