Fees & FAQs

Payment is due at time of booking. I accept debit, credit, FSA and HSA.

Most PPO insurance plans will reimburse for services and cover lab work. A superbill will be provided upon request.

Medi-Cal, HMO, EPO or Kaiser insurance does not cover services. HMO & EPO will cover select lab work only.

If you have no insurance I have a low cost lab that offers affordable blood work.

Two options are available for at home out of pocket testing:

• Women’s Health Test from Everlywell $249. Use the discount code FERTILEMOONMIDWIFERY25 for 25% off. It takes one month to complete and 10 days to get results. Tests progesterone, estradiol, LH, FSH, DHEAS, Cortisol, TSH, FT3, FT4, testosterone, TPO antibodies.

• Modern Fertility Hormone Test $179. It takes one month to complete and 10 days to get results.Tests AMH, TSH, FSH, estradiol, FT4, Prolactin, LH. This can be taken on hormonal birth control.

I am a DUTCH test provider which is the most accurate and preferred way to test hormones. It is not covered by insurance. Secondly, I offer mail in hormone kits which are slightly less accurate and not covered by insurance but more affordable. And lastly I offer serum (blood) testing which is the least accurate way to test hormones but it is covered by most insurance companies. I will advise the best form of hormone testing based on your symptoms.

Your cervical mucus is a sign of your fertility and wellbeing. I can teach you how to understand your cervical mucus so you can optimize your chances of conceiving and determine how balanced your hormones are. If you are unsure or have unclear fertile mucus patterns, I recommend using the Kegg fertility tracker.

Pap screening frequency has changed. It's no longer a pap every year. If your last one was normal, you should be screened based on your age. If your last Pap was abnormal you will need to follow-up with an OBGYN or NP.

​Pap screening frequency goes by your age. If you are 21+under there is no screening, 21-29 screening is every three years, 30-65 screening is every 3 years or 5 with HPV co-testing, and no screening for those 65"+

HPV, or human papillomavirus, comprises over a hundred strains, categorized as "high risk" and "low risk." High-risk types can lead to cervical cancer, while some low-risk strains cause genital warts. HPV testing focuses on high-risk strains for cervical cancer screening, and we now sub-test for "extra high risk" strains. Although there's no medication for HPV, there are effective herbs and supplements that help the body clear it. Also a vaccine is available for children before puberty and available for adults who do not have HPV. Most people naturally clear HPV within two years, emphasizing the importance of regular screening. Pap smears make developing cervical cancer extremely rare during screenings for cervical cancer.

I recommend screening for STI’s (sexually transmitted infections) formerly called STD’s (sexually transmitted diseases) starting when you become sexually active and continuing when you have a new partner, a known STI exposure, or if you suspect an exposure, regardless of age. Not all STIs have symptoms for example, Chlamydia is a prevalent sexually transmitted disease in the US, with over half of cases showing no symptoms. Left untreated, it can lead to scarring in the fallopian tubes and pelvis, impacting fertility. Fortunately, most STIs, including chlamydia, can be treated with a short course of antibiotics.

Vaginal discharge is a normal part of maintaining vaginal health. I will help you understand what normal discharge is and how its color, consistency, and odor may vary throughout life and the menstrual cycle changes and it will tell you when you are in your fertile window. Factors like lifestyle, hygiene products, hormonal birth control and sexual activities can influence discharge as well. Individual bodies differ, leading to varying amounts of discharge. Unusual discharge may indicate conditions like yeast infections, bacterial vaginosis, or STIs, often accompanied by symptoms like fishy odor, itching, burning, or irritation. To determine the right treatment, I can perform a swab test and send it to the lab. If recurrent infections are a concern, I can help identify potential causes and discuss holistic prevention.

I offer non-hormonal birth control methods only, as I strongly recommend avoiding hormonal birth control due to its harm which includes: depression, low libido, cardiovascular risk, blood clots, heart attack, stroke, weight gain, masking underlying hormonal conditions and increased risk of breast cancer. The available non-hormonal birth control options are copper IUDs or FAM. These are safe, suitable for long-term use, reversible, and easily accessible. Your choice depends on your preferences, medical history, and goals, and I am here to guide you through the options. I can help you detox hormonal birth control and restore ovulation as well as discuss ways to achieve or avoid pregnancy, naturally of course!

FAM is using your natural fertility signs to avoid or achieve pregnancy. This is different from the “rhythm method” which uses only a calendar to determine your fertile signs. Because ovulation varies month to month, this method is more accurate and reliable. Why is it not taught to all menstruating bodies? Because there is no financial gain to be had because once you learn it you can use it forever. The health of your menstrual cycle is a very important vital sign and can tell us a lot about your hormones and body. I are FAM educator and can teach you how to use this as an effective birth control. Through the use of your basal body temperature (BBT), cycle tracking, cervical mucus and position you can determine when you are fertile and if you are ovulating to avoid or achieve pregnancy all for free! This method in combination with withdrawal is 99.4% effective which is as effective as hormonal birth control.

Signs of endometriosis are gradually increasing menstrual pain, pelvic discomfort beyond periods, and pain during intercourse. In this condition, endometrial glands implant outside the uterus, commonly in the pelvis. Diagnosis typically involves surgical exploration through diagnostic laparoscopy with biopsies, although not every suspected case requires surgery. Pain management aligns with general strategies for painful periods, hindering endometriosis progression. I provide natural treatments and discuss pharmaceutical options if desired. Surgery may be necessary for symptom improvement in some cases and referrals will be provided. Left untreated, endometriosis worsens over time, potentially causing pain and infertility. Early recognition and effective treatment can help future fertility and overall quality of life. There is no reason your menstrual periods should be painful!

Polyendocrine Metabolic Ovarian Syndrome (PMOS) is a term used to describe the complex hormonal and metabolic patterns that are commonly associated with what has traditionally been called polycystic ovary syndrome (PCOS).

Rather than viewing PCOS as a single condition, I look at the underlying factors contributing to your individual symptoms and hormone imbalance. These may include disrupted ovulation, insulin resistance, androgen excess, inflammation, nutritional deficiencies, stress, and other metabolic or endocrine factors.

PMOS can affect menstrual cycles, ovulation, metabolism, and androgen balance. Symptoms may include:

• Irregular, infrequent, or unpredictable menstrual cycles

• Difficulty with ovulation or conception

• Acne or oily skin

• Increased facial or body hair

• Hair thinning or hair loss

• Changes in weight or difficulty maintaining a healthy weight

• Blood sugar or insulin regulation concerns

• Mood and energy changes

Your story matters. Diagnosis and assessment may include laboratory testing, ultrasound or other imaging when appropriate, and a detailed review of your personal history, symptoms, menstrual cycles, bleeding patterns, nutrition, lifestyle, and overall health.

There is no single treatment that works for everyone. Instead, we look at what is driving your particular pattern and develop an individualized plan to support healthier ovulation, hormone balance, metabolic function, and menstrual cycles.

My approach focuses on addressing root contributors and supporting the body's natural hormonal processes through personalized nutrition, lifestyle changes, herbs, supplements, and, when appropriate, bioidentical hormones or other therapies.

Together, we’ll create a plan that is tailored to your body, your symptoms, and your goals rather than treating a diagnosis on paper.

Herpes simplex virus (HSV) has two strains, HSV1 and HSV2, affecting oral (cold sores) and genital areas. Transmission occurs through various means: sharing saliva for cold sores, oral sex with an active cold sore for genital herpes, and genital or oralcontact for person-to-person transmission. Diagnosing herpes involves swabbing an active, non-scabbed lesion. Outbreaks last 5-7 days, progressing through redness, itching, blister development, open vesicles, painful sores, scabbing, and scar-free healing. Antiviral herbs and medications treat HSV. Suppression with herbal medicine, supplements or a daily pharmaceutical helps prevent outbreaks and transmission between partners. Accurate diagnosis requires visible lesions and a blood test. We will discuss food triggers and natural management.

If you've consistently had regular periods and go without a menstrual period for 12 months or more, you’re in menopause. Prior to this, you might be seeing signs of perimenopause which are cycling irregularly or frequently and experiencing symptoms such as hot flashes, weight gain, night sweats, vaginal dryness, brain fog, and increased emotional sensitivity. We can explore natural remedies, nutrition and plant based hormone replacement therapy to alleviate these symptoms. While symptoms often naturally improve over time, some individuals may endure them for an extended period. I offer plant based and natural support for this normal physiological transition.

My personalized exams are 1 hour with no wait time. I review your medical history, discuss any issues or concerns and perform a Pap smear and blood work as needed. All blood work is performed in comfort of our office or a lab form is given for a specific date at a draw station. My pelvic exams are gentle, respectful of survivors, gender affirming and focused on self empowerment. Herbal medicine and supplements are offered as a treatment and referrals to specialists are given as needed.

I operate a body positive, sex positive, queer, transgender and gender affirming practice. ​I am committed to serving people of all genders, ethnicities, and economic backgrounds.

I do not offer IUD insertion, testosterone injections or hormonal birth control.