Category: Services

Obstetrics

Every Mom and Baby Are Special

Even though Dr. Miller has helped moms deliver more than 7,000 precious babies over his career, he hasn’t forgotten the importance of compassionate care and listening to every mother’s concerns.

One of the advantages of choosing a solo practitioner is that each time you come for your visit, you’ll be seeing the same doctor who is familiar with your pregnancy. It’s especially comforting to have a closer relationship and continuity of care with your doctor when things don’t go exactly as planned.

Dr. Miller will follow you throughout your pregnancy and birth, providing:

• Preconception counseling
• Pregnancy care
• Postpartum care
• Midwifery
• Doula services

Weight Loss

It is true that the aging process can interrupt your body’s delicate balance which was in place before you entered menopause. Dr. Miller can help you restore that balance.

To get you back to your goal weight, Dr. Miller’s approach is more scientific than most weight loss programs. First, he will explore the possible reasons underlying your weight gain:

• Difficulty in stopping eating even when you feel full
• Eating foods loaded with sugar or refined flour and with little nutritional value
• Hormone imbalance caused by birth control pills or an under-active thyroid
• Excess cortisol, the stress hormone
• Use of synthetic hormones
• Use of anti-depressant medications
• Lack of exercise

If any medications or hormones you are taking are preventing weight loss, Dr. Miller may suggest alternatives. Together, you will discuss the benefits and disadvantages of each before going forward with any changes.

Dr. Miller welcomes the addition of Aynsley Miller Fisher to his practice. She is a health and nutrition counselor. She will complement Dr Miller’s weight loss and healthy living philosophy.

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“When my patients reach menopause, I hear a great deal of frustration about not being able to lose weight.”

Masterclass Nutrition and Health

Dr. Miller is excited to partner with Masterclass Nutrition and Health to bring nutrition and wellness programs to his patients with a holistic solution to improved and vibrant health.

Our specialties include programs for:

• Weight Loss
• Natural Hormone Management
• Gluten Intolerance
• Healthy Nutrition From Conception Through Pregnancy and Breastfeeding
• Nutrition For Heart Health and Disease Prevention
• Nutrition For Kids

Your health is your greatest resource. Work with us to learn how to protect your most valuable asset.

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Our Plans

Health Assessment and Strategy Session (60 minutes)

• Personal Health Assessment- We will discuss your medical history, your concerns, your goals.
• Personalized Plan- You will leave with a plan of action customized to your needs and goals.
• Nutrition and Health Kit- Our kit includes reference materials and resources that will help you implement your plan.

Prior to our one-hour session, you will fill out and return to us via email a questionnaire detailing your health goals, any concerns and medical history. This way we can maximize our time together. You will leave our session excited to get started and on the path to looking and feeling great!

4-Week Challenge

• Health Assessment
• Strategy Session and Personalized Plan
• Nutrition and Health Kit
• Weekly One-on-One Coaching Calls

In addition to a personalized diet and fitness plan and customized resource materials, participants in the four-week challenge will benefit from weekly 30 minute one-on-one coaching calls via Skype, email or in person. We will work on strengths-based goal setting for optimum and lasting results.

Call the office for additional information or to book your appointment today! (804) 282-2848

Masterclass Nutrition & Health

Incontinence, a Very Common and Treatable Condition

If you’re experiencing a few isolated incidents of urinary incontinence or are getting up at night to pass your urine, there’s no need to be concerned. As you age, these conditions are to be expected.

But when the problem causes you to refrain from being with friends for fear you’ll have an embarrassing accident, or you’re avoiding physical activity or intimacy, it’s time to have your symptoms evaluated. Other complaints can include the feeling that you can’t empty your bladder well or you sense the need to urinate but can’t.

Making time to see your doctor is the right choice because sometimes diabetes or kidney disease lurk underneath your symptoms.

The rates of urinary incontinence increase with age 20-30% of young women, 30-40% of middle-aged women, and up to 50% of older women.

Gynecology

Gentle Gynecological Care

Dr. Miller puts his patients at ease by spending adequate time with each person and respectfully listening to her concerns.

He provides:

• Well-woman exams, including pelvic exams, breast exams, and pap smears
• Contraception management, including the pill, IUD, implant, vaginal ring, permanent contraception and other methods
• STD testing & treatment
• Treatments for premenstrual disorders

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“When my patients come to my office, I realize that they are trusting me to care for them in the most personal of ways.”

Mona Lisa Touch

Vaginal Dryness Is Common in Menopausal Women

Vulvo Vaginal Atrophy (VVA), thinning of the vaginal wall, often occurs after menopause when your estrogen levels decrease. This condition can often lead to painful sex, itchiness, frequent urination and infections. Some studies estimate VVA affects up to 60% of postmenopausal women, yet only 20 to 25% seek help.

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A New VVA Treatment Restores Vaginal Health

If lubricants or moisturizers haven’t produced results, he may suggest using the MonaLisa Touch®, a non-invasive, therapeutic laser to restore health to the vaginal canal. It creates new collagen and blood vessels, restores moisture and elasticity to the tissue, and stimulates a healing response.

Unlike other providers without experience in laser surgery, Dr. Miller’s counseling and technique takes into account the breadth of knowledge and experience that he has amassed over many years.

Available in Italy for several years, the MonaLisa Touch® was recently approved by the U.S. Food and Drug Administration (FDA). The MonaLisa Touch® offers some breast cancer survivors, for whom estrogen replacement therapy is unsafe, a welcome alternative.

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How does the MonaLisa Touch Work?

The MonaLisa Touch® is performed as an office procedure, takes about five minutes, and requires no anesthesia. Patients say that when the probe is inserted, it feels similar to a pap smear. But once the laser probe is inserted it releases nearly painless photon energy to the skin to stimulate collagen production.

Patients often notice an improvement in symptoms after the first treatment. Patients receive three laser sessions spaced six weeks apart and once yearly afterward. After treatment, some patients see improvement in bladder control and no longer need hormones or lubricants.

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Trust an Experienced Surgeon

Dr. Miller is an experienced laser surgeon and can assess whether new types of laser treatments are both safe and effective for his patients. With over 20 years of experience in laser surgery, positive outcomes are associated with Dr. Miller’s specific surgical and laser training and experience.

Functional Medicine

Gynecological Surgery

Experience with Thousands of Gynecology Patients

Dr. Miller is a Gynecologic Surgeon with over 30 years experience and performs the following procedures:

• Endometrial ablation for heavy periods
• Bladder sling for urinary incontinence
• Laparoscopy for minimally invasive evaluation and management of pelvic pain, including endometriosis
• Da Vinci robotic hysterectomy for uterine bleeding and other abnormalities
• Pelvic floor reconstruction for pelvic organ prolapse
• MonaLisa Touch® laser rejuvenation for vaginal atrophy and painful sex