New Patient Forms

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You can come to us for annual exams, Pap smears, breast concerns, birth control, period problems, pelvic pain, painful sex, vaginal infections, urinary symptoms, menopause symptoms, hormone concerns, weight management, fertility concerns, sexual health, and questions about what is normal for your body.

No. If something is affecting your comfort, confidence, bleeding, sex life, mood, sleep, weight, or daily functioning, it is worth an appointment. Many women assume symptoms are “just part of being a woman,” but common symptoms are often treatable.

Heavy periods, leaking urine, painful sex, vaginal dryness, low libido, hot flashes, night sweats, mood changes before periods, severe PMS, irregular bleeding, pain with periods, recurrent yeast or BV, pelvic pressure, and feeling “off” hormonally are all common, but they are not things you simply have to tolerate.

Bleeding may be abnormal if your periods are very heavy, last longer than usual, happen more often than expected, come with large clots, occur between periods, happen after sex, or happen after menopause. These symptoms deserve evaluation.

Yes. Painful periods, pelvic pain, pain with sex, and pain that interferes with life can have many causes, including endometriosis, ovarian cysts, fibroids, pelvic floor dysfunction, infections, bladder issues, bowel-related pain, or hormonal changes. We can help evaluate the cause and talk through treatment options.

Endometrial ablation is a procedure that treats heavy menstrual bleeding by destroying the lining of the uterus. It can make bleeding much lighter and, for some patients, may stop periods altogether. Ablation is mainly designed to treat heavy bleeding. It may help some people, but it is not always the best treatment for significant pelvic pain, endometriosis, adenomyosis, or fibroid-related symptoms. We can help determine whether ablation fits your actual problem. Alternatives may include birth control pills, progesterone therapy, hormonal IUD, tranexamic acid, NSAIDs, treatment of anemia, fibroid management, hysteroscopy, myomectomy, or hysterectomy depending on the cause of bleeding.

Perimenopause can begin years before your final period. Symptoms may include irregular cycles, heavier or lighter bleeding, hot flashes, night sweats, sleep problems, anxiety, mood swings, brain fog, weight changes, vaginal dryness, lower libido, and worsening PMS.

Yes. Hormones fluctuate, especially in perimenopause. A single lab value does not always capture what is happening day to day. We look at your symptoms, cycle pattern, age, medical history, and goals, not just lab numbers.

Hormone therapy can help with hot flashes, night sweats, sleep disruption related to menopause, vaginal dryness, painful sex, recurrent urinary discomfort related to low estrogen, and some mood or quality-of-life symptoms related to hormonal change.

Yes. Low libido can be related to hormones, stress, sleep, relationship factors, medications, pain with sex, vaginal dryness, depression, anxiety, body image, thyroid issues, or testosterone levels. We can help sort through the possible causes and treatment options. Vaginal dryness and painful sex are common, especially postpartum, while breastfeeding, and around menopause, but they are treatable. Options may include vaginal estrogen, moisturizers, lubricants, pelvic floor therapy, hormone evaluation, or other medications.

Yes. We offer pellet therapy for appropriate patients after a thorough consultation, symptom review, medical history review, and discussion of risks, benefits, and alternatives. Call our practice and ask to book with Caitlyn Schollmeier CNM, MSN for a hormone replacement therapy consultation. 

Hormone pellets are small implants placed under the skin that slowly release hormone over time. They are often used for testosterone therapy and sometimes other hormone treatment plans. Some patients like pellets because they do not have to remember a daily medication and may experience more steady symptom control. They may be considered for select patients with symptoms such as low libido, fatigue, low motivation, or other concerns after evaluation. Possible side effects may include acne, oily skin, hair growth, hair thinning, mood changes, voice changes, clitoral changes, bleeding changes, breast tenderness, or lab changes. We monitor symptoms and labs when appropriate. Many hormone pellet products are compounded, which means they are made by a compounding pharmacy and are not FDA-approved in the same way as commercially manufactured medications. We discuss this clearly so patients can make an informed choice.

Yes. We can help evaluate weight concerns, metabolic health, insulin resistance, PCOS-related weight changes, perimenopause-related weight gain, postpartum weight concerns, and whether GLP-1 medications may be appropriate. GLP-1 medications are prescription medications that affect appetite, fullness, blood sugar regulation, and weight. Some are FDA-approved for diabetes, some for chronic weight management, and some are used depending on medical history and eligibility. Common side effects include nausea, constipation, diarrhea, reflux, decreased appetite, vomiting, and abdominal discomfort. Less common but serious concerns can include gallbladder problems, pancreatitis, dehydration, or severe vomiting.

Options may include pills, patches, rings, injections, implants, IUDs, natural family planning counseling, emergency contraception, and permanent contraception counseling. Some birth control options are safer than others depending on your medical history. We can help choose an option that fits your body, goals, and risk profile. 

We can also help with IUD and implant counseling, placement, removal, side effects, and troubleshooting.

Pap smear timing depends on your age, prior results, HPV status, and medical history. Many patients do not need one every year, but a yearly wellness visit is still valuable. 

Timing depends on age, risk factors, family history, breast density, and prior breast concerns. Some folks are advised to start mammogram screening at 40 years old, while others may be advised to start sooner if they report a strong family history of breast or other feminine cancers. We can help determine what screening schedule is appropriate for you.