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If it has been at least 12 months since your last annual and you stick to preventative topics, your insurance should cover the visit."}],"markDefs":[],"style":"normal"},{"_key":"84fd3ad31f2c","_type":"block","children":[{"_key":"526b1db2a024","_type":"span","marks":[],"text":"What if I discuss other health issues?"}],"markDefs":[],"style":"h4"},{"_key":"e6f90a9c6b23","_type":"block","children":[{"_key":"1b3efbe888e9","_type":"span","marks":[],"text":"Your Annual Physical Exam is designed for preventative care. If you bring up new or specific health concerns (like a rash or headaches), your insurance provider may bill that portion of the visit as a regular office visit. This does not mean that office visit is not covered but depending on your insurance plan, it could result in a copay or co-insurance. 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We take a root-cause approach, considering conditions like PCOS, insulin resistance, and menopause-related changes so you feel supported at every stage of life."}],"style":"normal"}]},{"_key":"23ad0e9c028c","_type":"featureCard","text":[{"_key":"c94828d50283","_type":"block","children":[{"_key":"c5c819784e30","_type":"span","marks":["strong"],"text":"Create a plan, together"}],"style":"h4"},{"_key":"39c4d98112ad","_type":"divider","dividerType":"squiggle-black"},{"_key":"2b987a2915c0","_type":"block","children":[{"_key":"a414f429bdfd","_type":"span","text":"Together, we'll create a personalized care plan that supports your whole health. This includes exploring lifestyle changes, nutrition support, and mental health considerations, as well as medication options like GLP-1s if they're right for you."}],"style":"normal"}]},{"_key":"1461f6be3a1e","_type":"featureCard","text":[{"_key":"2c4f79138576","_type":"block","children":[{"_key":"bbde22ef8486","_type":"span","marks":["strong"],"text":"We’re with you, every step"}],"style":"h4"},{"_key":"be29fc223b58","_type":"divider","dividerType":"squiggle-black"},{"_key":"3823ed6aa49a","_type":"block","children":[{"_key":"49a58bef3c1f","_type":"span","text":"Receive continuous, relationship-based support. 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Whether you're looking to understand your body better, explore treatment options, or just want to feel your best, we're here to help."}],"style":"normal"},{"_key":"c5a6f95984ab","_type":"block","children":[{"_key":"e8fc8103ae26","_type":"span","text":"This appointment may be the right fit for you if you:"}],"style":"normal"},{"_key":"1d353a50f72f","_type":"block","children":[{"_key":"da773b777e4e","_type":"span","text":"Want to understand the root cause of weight changes"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"926b334a983e","_type":"block","children":[{"_key":"24121048afa2","_type":"span","text":"Feel stuck after trying other approaches that haven't worked."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"38bf2d10d8cc","_type":"block","children":[{"_key":"342f43fe35f1","_type":"span","text":"Are considering if GLP-1 medications or non-pharmacological options are right for you."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"1bdb47bb3494","_type":"block","children":[{"_key":"1495dd7ea80f","_type":"span","text":"Need support managing conditions like diabetes, high cholesterol, or hypertension."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"7e96e641d629","_type":"buttonBlock","items":[{"_key":"0f58be67d9cb","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Book appointment","linkType":"join-scroll-shape"}],"onlyStackButtons":false}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"149980d79ba6","_type":"imageAndText","alignment":"normal","aspectRatio":"16:9","autoPlay":false,"backgroundColor":"bcoat","image":{"_type":"image","asset":{"_ref":"image-a851f3f6ad341863314e2820635df3408603d5ff-500x500-png","_type":"reference"}},"mediaType":"image","spacing":"pym","style":"normal","text":[{"_key":"78457b42fc19","_type":"block","children":[{"_key":"e22d183e7307","_type":"span","marks":["strong"],"text":"Symptoms we care for"}],"style":"h3"},{"_key":"ff476ce05994","_type":"block","children":[{"_key":"c14dd24d504f","_type":"span","text":"Unexplained weight changes (gain or loss)"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"d9704535c1af","_type":"block","children":[{"_key":"1e895dbc3b56","_type":"span","text":"Concerns related to cardiometabolic health, including diabetes and high cholesterol"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"76ec5fee900c","_type":"block","children":[{"_key":"4845c8b29150","_type":"span","text":"A general desire to simply feel more energetic and more at ease in your body"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"60832147dd03","_type":"block","children":[{"_key":"c4bd9b3d5ebf","_type":"span","text":"Frustration after feeling like you've \"tried everything\" with little success"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"169123c82b0f","_type":"buttonBlock","items":[{"_key":"2dc0b80500bf","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Book appointment","linkType":"join-scroll-shape"}],"onlyStackButtons":false}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"f1a8638691ab","_type":"imageAndText","alignment":"jcrr","aspectRatio":"16:9","autoPlay":false,"backgroundColor":"bcoat","image":{"_type":"image","asset":{"_ref":"image-4049b354252fd0f26a43df4dcaa4902cadbd0c49-624x621-png","_type":"reference"}},"mediaType":"image","spacing":"pym","style":"normal","text":[{"_key":"7c87e43de448","_type":"block","children":[{"_key":"77b747d92de1","_type":"span","marks":["strong"],"text":"How the Weight Management appointment can help"}],"style":"h3"},{"_key":"81a05b5a49bf","_type":"block","children":[{"_key":"dba951e18488","_type":"span","text":"This care is not about chasing numbers on a scale, it's about understanding your body and feeling well. 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As a woman who doesn’t like going to the doctor (white coat syndrome) and has been discounted and not listened to by doctors in the past, this experience is everything a doctors appt should be. I am so happy I am now a Tia patient and would highly recommend Tia to any female friend or family member that could benefit from the amazing staff and care here 💕","Title":"Katherine E. Tia Patient","_key":"8b75225d7b97","_type":"inline"},{"Content":"I’ve never experienced such personalized, sensitive, thorough, and holistic women’s healthcare in my life. 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Primary care is holistic and patient-centered, often focusing on long-term relationships between patients and their healthcare providers."}],"markDefs":[],"style":"normal"},{"_key":"039a36355e9d","_type":"block","children":[{"_key":"477af9127edf0","_type":"span","marks":[],"text":"Primary care services typically include:"}],"markDefs":[],"style":"normal"},{"_key":"fb550fdf6a95","_type":"block","children":[{"_key":"5d5789eb4f620","_type":"span","marks":["strong"],"text":"Preventative care"},{"_key":"5d5789eb4f621","_type":"span","marks":[],"text":": Annual check-ups, immunizations, screenings for conditions like high blood pressure, diabetes, and cancer, and counseling on lifestyle changes like nutrition and exercise."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"44405606bfd7","_type":"block","children":[{"_key":"d320f3c3ecb80","_type":"span","marks":["strong"],"text":"Treatment for common conditions"},{"_key":"d320f3c3ecb81","_type":"span","marks":[],"text":": This can range from managing chronic conditions such as asthma, diabetes or depression to providing care for infections, colds, or injuries."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c026bc51fd10","_type":"block","children":[{"_key":"7ab48cbd2fe80","_type":"span","marks":["strong"],"text":"Health guidance and education"},{"_key":"7ab48cbd2fe81","_type":"span","marks":[],"text":": Primary care providers offer advice on managing health concerns, mental wellness, sexual health, and aging."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"778a36bd08ac","_type":"block","children":[{"_key":"5b85610b6dd00","_type":"span","marks":["strong"],"text":"Referrals"},{"_key":"5b85610b6dd01","_type":"span","marks":[],"text":": When more specialized care is needed, primary care providers help coordinate the care you need outside of their walls to specialists who have deeper expertise in areas like cardiology, endocrinology, or fertility."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a5a04857d7e1","_type":"sectionHeader","headerLevel":"h2","title":"Why Is Primary Care Important for Women?"},{"_key":"fe51735108ac","_type":"block","children":[{"_key":"1d674f9dcc730","_type":"span","marks":[],"text":"Despite the continued lack of adequate research focused on women’s health, we know women aren’t just small men. And their healthcare needs are often ignored or misunderstood. Comprehensive primary care by clinicians who understand the unique healthcare needs women face at each stage of their lives, and who also are able to provide truly comprehensive care, is incredibly important."}],"markDefs":[],"style":"normal"},{"_key":"61d9232691e7","_type":"block","children":[{"_key":"c6a5b56026c40","_type":"span","marks":[],"text":"Here’s why primary care is so important for women:"}],"markDefs":[],"style":"normal"},{"_key":"442594714659","_type":"block","children":[{"_key":"6a1cd7b9c1d10","_type":"span","marks":["strong"],"text":"Comprehensive, Continuity of Care"},{"_key":"6a1cd7b9c1d11","_type":"span","marks":[],"text":": Primary care offers ongoing, coordinated care over the course of a woman’s life. This continuity of care means your provider can track your health history, understand your unique health needs, and support you in making decisions that align with your overall wellness goals. Having a consistent primary care home, ensures that someone knows you as a whole person, not just a set of symptoms."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"8609865ed671","_type":"block","children":[{"_key":"40ac8a5702ce0","_type":"span","marks":["strong"],"text":"Preventive Health"},{"_key":"40ac8a5702ce1","_type":"span","marks":[],"text":": Preventative care is essential to keeping women healthy long-term. From routine screenings for breast and cervical cancer to heart disease risk assessments and mental health evaluations, primary care providers help women monitor their health and take proactive steps to prevent chronic diseases."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"7ad506644344","_type":"block","children":[{"_key":"d84657e755600","_type":"span","marks":["strong"],"text":"Managing Women's Health Conditions"},{"_key":"d84657e755601","_type":"span","marks":[],"text":": Many health issues are specific to women, and these can affect different stages of life. 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Regular check-ups with a "},{"_key":"577d7e0869b6","_type":"span","marks":["cc3e259c68d3"],"text":"primary care provider"},{"_key":"4cb050d27b7a","_type":"span","marks":[],"text":" (PCP) can help detect potential health issues before they become serious – and become seriously more difficult and more expensive to treat and manage."}],"markDefs":[{"_key":"cc3e259c68d3","_type":"internalLink","linkType":"text","reference":{"_ref":"3c225331-64dd-42ef-bd00-d0f0cf515f3b","_type":"reference"}}],"style":"normal"},{"_key":"f8661f33649b","_type":"block","children":[{"_key":"865dae05e54f0","_type":"span","marks":[],"text":"For women, this includes getting regular screenings for breast cancer, cervical cancer, and osteoporosis as well as monitoring for chronic conditions like "},{"_key":"4d833b5b5638","_type":"span","marks":["7f3d8811ef42"],"text":"hypertension"},{"_key":"958cfe5db691","_type":"span","marks":[],"text":" (high blood pressure), diabetes, and high cholesterol."}],"markDefs":[{"_key":"7f3d8811ef42","_type":"internalLink","reference":{"_ref":"d041a08a-075e-4716-a6e5-a7842f32d88c","_type":"reference"}}],"style":"normal"},{"_key":"4192122febd9","_type":"block","children":[{"_key":"95f2b41ca6220","_type":"span","marks":[],"text":"PCPs are often the first point of contact for receiving these screenings, getting referrals to specialists, understanding risk factors and test results, and making a plan to improve health."}],"markDefs":[],"style":"normal"},{"_key":"b2609b405a0b","_type":"block","children":[{"_key":"89dccf6f98d30","_type":"span","marks":["strong"],"text":"Breast Cancer and Cervical Cancer Screening:"},{"_key":"89dccf6f98d31","_type":"span","marks":[],"text":" Mammograms and "},{"_key":"bbbe0bcb3bbd","_type":"span","marks":["2afd8c6c3eba"],"text":"Pap smears"},{"_key":"c122435b0cb9","_type":"span","marks":[],"text":" are essential components of women’s preventive healthcare, and PCPs can ensure that women receive these screenings at appropriate intervals based on age, risk factors, and family history."}],"markDefs":[{"_key":"2afd8c6c3eba","_type":"internalLink","linkType":"text","reference":{"_ref":"6c80fd4d-6443-420b-aac2-08329b7f4634","_type":"reference"}}],"style":"normal"},{"_key":"7c62e340b908","_type":"block","children":[{"_key":"417c4c0155330","_type":"span","marks":[],"text":"Early detection of breast cancer and cervical cancer through these screenings can significantly improve the chances of successful treatment and survival if one of these tests finds something suspicious."}],"markDefs":[],"style":"normal"},{"_key":"05332f2feb6b","_type":"block","children":[{"_key":"5d3915a5ffea0","_type":"span","marks":["strong"],"text":"Osteoporosis Screening:"},{"_key":"5d3915a5ffea1","_type":"span","marks":[],"text":" Women, particularly postmenopausal women, are at a higher risk for osteoporosis (a disease that weakens bones). PCPs can assess risk factors, advise patients about lifestyle changes and medications that improve bone health, and recommend bone density tests when indicated."}],"markDefs":[],"style":"normal"},{"_key":"d6d3ab4d855b","_type":"block","children":[{"_key":"33c1b86b5eb80","_type":"span","marks":["strong"],"text":"Cardiovascular Health:"},{"_key":"33c1b86b5eb81","_type":"span","marks":[],"text":" Heart disease is the leading cause of death among women, and it’s almost entirely preventable. PCPs can play a big role in recognizing risk factors such as high blood pressure, diabetes, high cholesterol, obesity, and smoking."}],"markDefs":[],"style":"normal"},{"_key":"70a5c695d671","_type":"block","children":[{"_key":"c9e2d1f9a0dd0","_type":"span","marks":[],"text":"They can also make recommendations about lifestyle modifications (like improving diet and exercise), prescribe medications, and refer patients to other physicians when more specialized care is warranted."}],"markDefs":[],"style":"normal"},{"_key":"8e7cce0abea1","_type":"sectionHeader","headerLevel":"h2","title":"Reproductive Health"},{"_key":"26158e55e8a0","_type":"block","children":[{"_key":"543827f439ce0","_type":"span","marks":[],"text":"All women deserve better reproductive healthcare and better access to it, and PCPs understand the unique challenges women face during every stage of their lives - from adolescence and pregnancy to mid-life and menopause."}],"markDefs":[],"style":"normal"},{"_key":"ba1fc15b7cd3","_type":"block","children":[{"_key":"20496ae956f60","_type":"span","marks":[],"text":"PCPs are a great resource for advice and care relating to reproductive health, which includes period pain management, contraception and STI prevention, family planning, pregnancy care, and menopause."}],"markDefs":[],"style":"normal"},{"_key":"1b1dfb1c5bc8","_type":"block","children":[{"_key":"3a98056da0e70","_type":"span","marks":["strong"],"text":"Contraception and Family Planning:"},{"_key":"3a98056da0e71","_type":"span","marks":[],"text":" PCPs can provide counseling on contraceptive options and preconception family planning. These sessions might include discussions about preventing STIs (sexually transmitted infections), promoting sexual health, relieving pain associated with periods, and managing chronic conditions, like PCOS or endometriosis, that may be affecting fertility."}],"markDefs":[],"style":"normal"},{"_key":"eda882bfee78","_type":"block","children":[{"_key":"66afcfad17a60","_type":"span","marks":["strong"],"text":"Pregnancy Care:"},{"_key":"66afcfad17a61","_type":"span","marks":[],"text":" While OB/GYNs typically manage pregnancies, PCPs play a crucial role in the early stages of pregnancy: confirming pregnancy, conducting initial screenings, and managing any pre-existing conditions that could affect pregnancy outcomes."}],"markDefs":[],"style":"normal"},{"_key":"65cb05457ec2","_type":"block","children":[{"_key":"56501f02dbba0","_type":"span","marks":[],"text":"PCPs also provide postpartum care and can address issues like postpartum depression, breastfeeding, and recovery from childbirth."}],"markDefs":[],"style":"normal"},{"_key":"77ef69562b52","_type":"block","children":[{"_key":"0a120a21c2400","_type":"span","marks":["strong"],"text":"Menopause Management:"},{"_key":"0a120a21c2401","_type":"span","marks":[],"text":" Menopause is a significant life transition for women, and PCPs are essential players in helping women navigate this health event with more ease."}],"markDefs":[],"style":"normal"},{"_key":"35c3fda9f8f1","_type":"block","children":[{"_key":"c9581e11f0290","_type":"span","marks":[],"text":"They can offer advice and treatment plans, like hormone replacement therapy (HRT), for symptoms such as hot flashes, mood swings, and sleep disturbances. They can also address long-term health risks associated with menopause, such as osteoporosis and cardiovascular disease, too."}],"markDefs":[],"style":"normal"},{"_key":"047cecf76c56","_type":"sectionHeader","headerLevel":"h2","title":"Mental Health"},{"_key":"e2354300278c","_type":"block","children":[{"_key":"9592766c144c0","_type":"span","marks":[],"text":"Women are more likely than men to experience certain "},{"_key":"d4a08e3d42d3","_type":"span","marks":["034b15622ca3"],"text":"mental health"},{"_key":"be1d4256e1d7","_type":"span","marks":[],"text":" conditions, such as depression and anxiety, particularly during periods of hormonal change (pregnancy and menopause.)"}],"markDefs":[{"_key":"034b15622ca3","_type":"internalLink","linkType":"text","reference":{"_ref":"05c3c462-1aee-4ec5-b586-eb1c603f1444","_type":"reference"}}],"style":"normal"},{"_key":"beab7efb432c","_type":"block","children":[{"_key":"cdfa77417ace0","_type":"span","marks":[],"text":"Mental health is an integral part of women’s overall health, and PCPs are often the first ones to recognize and address mental health issues in women."}],"markDefs":[],"style":"normal"},{"_key":"ae058bcd9465","_type":"block","children":[{"_key":"692943171fbd0","_type":"span","marks":["strong"],"text":"Depression and Anxiety Screening"},{"_key":"692943171fbd1","_type":"span","marks":[],"text":": PCPs routinely screen for depression and anxiety during annual visits or when patients present with related symptoms. Early detection and treatment can significantly improve outcomes, and PCPs can refer patients for counseling, therapy, or medication management as needed."}],"markDefs":[],"style":"normal"},{"_key":"301b9a69e129","_type":"block","children":[{"_key":"de9b6203bf260","_type":"span","marks":["strong"],"text":"Postpartum Depression:"},{"_key":"de9b6203bf261","_type":"span","marks":[],"text":" Postpartum depression is a common condition that is too often overlooked by medicine. PCPs can play a key role in identifying this state of mind, providing support, prescribing medicine, and referring patients to mental health specialists when necessary."}],"markDefs":[],"style":"normal"},{"_key":"4205ada32b4a","_type":"block","children":[{"_key":"121ad85eb00c0","_type":"span","marks":["strong"],"text":"Stress Management and Counseling"},{"_key":"121ad85eb00c1","_type":"span","marks":[],"text":": Family. Careers. Caregiving. Women juggle so much, and the struggle can lead to a slew of health consequences due to chronic stress. PCPs understand the ins and outs of being overworked and overwhelmed and can offer stress management strategies and support to help women cope with the never-ending demands placed on them and their lives."}],"markDefs":[],"style":"normal"},{"_key":"89aac1381b87","_type":"sectionHeader","headerLevel":"h2","title":"Chronic Disease Management"},{"_key":"0d30c196aa03","_type":"block","children":[{"_key":"1c91091445930","_type":"span","marks":[],"text":"Chronic diseases such as diabetes, high blood pressure, and autoimmune disorders often require ongoing management. PCPs are critical to this care. Women often experience these conditions in a different manner than men, and PCPs are positioned to tailor management plans to meet the unique needs of their female patients."}],"markDefs":[],"style":"normal"},{"_key":"f89f920abef6","_type":"block","children":[{"_key":"15f788275e880","_type":"span","marks":["strong"],"text":"Diabetes Management:"},{"_key":"15f788275e881","_type":"span","marks":[],"text":" Women with diabetes face unique challenges related to this disease, including having an increased risk of heart disease and complications during pregnancy. PCPs can help manage blood sugar levels, monitor for complications, provide education on lifestyle changes, and prescribe medications that can help control the disease."}],"markDefs":[],"style":"normal"},{"_key":"b65b5b1fc9c5","_type":"block","children":[{"_key":"1c473af03a430","_type":"span","marks":["strong"],"text":"Hypertension:"},{"_key":"1c473af03a431","_type":"span","marks":[],"text":" High blood pressure is called the “silent killer” for a reason – it’s a significant risk factor for heart disease and stroke but doesn’t have obvious symptoms. During routine visits, PCPs can monitor blood pressure and recommend lifestyle changes or medications to manage hypertension."}],"markDefs":[],"style":"normal"},{"_key":"65f594dcf168","_type":"block","children":[{"_key":"68da112126bc0","_type":"span","marks":["strong"],"text":"Autoimmune Disorders:"},{"_key":"68da112126bc1","_type":"span","marks":[],"text":" Autoimmune disorders - rheumatoid arthritis, thyroid disorders, and lupus - are more common in women. PCPs can use medical history and blood labs to screen for these conditions. They can also help manage symptoms and coordinate care with specialists. This ensures that women receive comprehensive health services and continuous care for the most important ongoing health issues impacting their health and wellness."}],"markDefs":[],"style":"normal"},{"_key":"6d9b25fad59e","_type":"sectionHeader","headerLevel":"h2","title":"Conclusion"},{"_key":"3b40eae31754","_type":"block","children":[{"_key":"66f7dfbbd6fd0","_type":"span","marks":[],"text":"Primary care is essential for everyone’s health, but it’s especially important for the health and wellbeing of women. PCPs play a critical role in providing comprehensive, patient-centered women’s healthcare that can address the unique needs of women throughout their lives."}],"markDefs":[],"style":"normal"},{"_key":"63068b4a081d","_type":"block","children":[{"_key":"47773b99d5fa0","_type":"span","marks":[],"text":"The right PCP can provide preventive care services and cancer screening recommendations, address reproductive and mental healthcare, and manage chronic diseases while also educating and empowering women about making informed decisions about their healthcare."}],"markDefs":[],"style":"normal"},{"_key":"f18c5b1c0711","_type":"block","children":[{"_key":"da53b9794a8e0","_type":"span","marks":[],"text":"The right PCP isn't just a provider. She should also be an advocate who understands you and your life and a partner who helps promote health, prevent illness, and provide compassionate and comprehensive women's healthcare that improves your overall health and wellness. And, in doing so, improves health outcomes for women, men, children, and communities around the world."}],"markDefs":[],"style":"normal"},{"_key":"5be8c02f2e82","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"4c58486b991b","_type":"block","children":[{"_key":"d6ac5e297217","_type":"span","marks":[],"text":"Join Tia today and find the right Primary Care Provider for you"},{"_key":"fa223e2057dc","_type":"span","marks":["em"],"text":". "}],"markDefs":[],"style":"large"},{"_key":"4af94c65ccb0","_type":"block","children":[{"_key":"bc8725b8ad06","_type":"span","marks":["em"],"text":"Located in "},{"_key":"169342d62d90","_type":"span","marks":["em","1627cc835bbc"],"text":"New York"},{"_key":"760b4abb26ec","_type":"span","marks":["em"],"text":", "},{"_key":"6a4b2e9349be","_type":"span","marks":["em","23e7a4f21090"],"text":"Phoenix"},{"_key":"eb3331b6c56e","_type":"span","marks":["em"],"text":", "},{"_key":"1193b4998d70","_type":"span","marks":["em","f4162a91ccb7"],"text":"San Francisco"},{"_key":"36b49aa93302","_type":"span","marks":["em"],"text":", and "},{"_key":"e887cad43ad7","_type":"span","marks":["em","ce61b0eb2e44"],"text":"Los Angeles"},{"_key":"fdeb14fb5140","_type":"span","marks":["em"],"text":"."}],"markDefs":[{"_key":"1627cc835bbc","_type":"internalLink","linkType":"text","reference":{"_ref":"96ced8ef-d692-4f97-8032-88f1a8828219","_type":"reference"}},{"_key":"23e7a4f21090","_type":"internalLink","linkType":"text","reference":{"_ref":"85cda481-9e09-4c4a-aaf6-c5662d8b2613","_type":"reference"}},{"_key":"f4162a91ccb7","_type":"internalLink","linkType":"text","reference":{"_ref":"ae75d891-a665-438a-9fed-e2ea4eecf06e","_type":"reference"}},{"_key":"ce61b0eb2e44","_type":"internalLink","linkType":"text","reference":{"_ref":"e377a479-e152-4105-bfd8-cd8af403f8d8","_type":"reference"}}],"style":"normal"},{"_key":"c0c3cea436a3","_type":"buttonBlock","items":[{"_key":"1df07b17a47f","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Get care","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"onlyStackButtons":false}]}],"image":{"_type":"image","asset":{"_ref":"image-5384d247d37283050a3515af01e1b2a421231c0c-2501x800-jpg","_type":"reference"}},"publishedAt":"2025-07-17T17:12:00.000Z","slug":{"_type":"slug","current":"the-role-of-primary-care-in-womens-health"},"status":"production","title":"The Role of Primary Care in Women’s Health","topics":[{"_key":"445e5209c572","_ref":"8e2a98ec-80d8-4b0d-9d57-b09ef2f233c1","_type":"reference"}],"updatedAt":"2025-07-17T17:12:00.000Z"},"metaInformation":{"_type":"metaCard","metaDescription":"Learn how primary care providers support women’s unique health needs—from routine screenings and reproductive care to managing menopause and chronic conditions.","metaKeywords":"women’s health primary care, reproductive health PCP, chronic disease management women, mental health and primary care, preventive care for women","metaTitle":"Why Primary Care Is Essential for Women’s Health","openGraphDescription":"Learn how primary care providers support women’s unique health needs—from routine screenings and reproductive care to managing menopause and chronic conditions.","openImage":{"_type":"image","asset":{"_ref":"image-5384d247d37283050a3515af01e1b2a421231c0c-2501x800-jpg","_type":"reference"}},"title":"Why Primary Care Is Essential for Women’s Health","twitterDescription":"Explore how primary care supports women’s health—from preventive screenings to reproductive care and chronic condition management—at every life stage.","twitterImage":{"_type":"image","asset":{"_ref":"image-5384d247d37283050a3515af01e1b2a421231c0c-2501x800-jpg","_type":"reference"}},"twitterTitle":"Why Primary Care Is Essential for Women’s Health"}},"id":"5767879c-c5a1-5977-81f8-50d635c07d2f","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"cdefa56d959a754c0182ceb584a54155","counter":775,"owner":"gatsby-source-sanity"}},{"_id":"ff93c078-4f80-4506-b6e1-048a8d0a552f","_type":"editorial","_createdAt":"2025-01-17T04:35:42Z","_rev":"9umEYfUdln1qqtidiCBUrG","_updatedAt":"2025-04-22T20:20:38Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"reference"},"authors":[{"_key":"3ce333131fad","_ref":"0378a027-096c-47b5-929c-1c2bf009c913","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-c074beb2af7973a147d089bfaabf8f5ee5888869-4200x2400-png","_type":"reference"}},"editorialText":[{"_key":"fe45cfbe64d0","_type":"block","children":[{"_key":"e7bda55e46600","_type":"span","marks":[],"text":"From the very beginning, our mission at Tia has been to redefine women’s health for patients "},{"_key":"e7bda55e46601","_type":"span","marks":["em"],"text":"and"},{"_key":"e7bda55e46602","_type":"span","marks":[],"text":" providers alike — to allow the people under our care to live in greater vitality. We have understood that healthcare that really helps people to be healthier needs to not only deliver different care but also deliver care in a different way. This differentiated model has enabled us to earn the privilege of caring for thousands of women across New York, Arizona and California. It has allowed us the opportunity to demonstrate exceptional quality outcomes and scalable operations with an interdisciplinary clinical team that is, for the first time ever, "},{"_key":"e7bda55e46603","_type":"span","marks":["em"],"text":"nurse practitioner forward"},{"_key":"e7bda55e46604","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"1e72df2d0b96","_type":"block","children":[{"_key":"1af42d19d1180","_type":"span","marks":["strong"],"text":"What exactly are Nurse Practitioners?"}],"markDefs":[],"style":"h3"},{"_key":"86d90ef8a74b","_type":"block","children":[{"_key":"e325a62922cc0","_type":"span","marks":[],"text":"Nurse Practitioners, or NP’s, are clinicians who have earned a master's or doctoral degree in nursing and have completed advanced clinical training in diagnosis, medical management and pharmacology. They also receive training in prevention and often approach medicine through a more holistic and collaborative lens. This training, and especially the focus on patient experience and collaborative decision-making, is exactly why we leaned into an NP forward care model at Tia. The training and clinical background of our nurse practitioners and our innovative Tia training program give them a unique blend of clinical expertise in diagnosing and treating health conditions with an added emphasis on disease prevention and healthspan (healthspan = how many "},{"_key":"e325a62922cc1","_type":"span","marks":["em"],"text":"healthy"},{"_key":"e325a62922cc2","_type":"span","marks":[],"text":" years you live,not just how many years you live). This blending of treatment and prevention is core to Tia’s care model. And nurse practitioners, especially when working part of a multidisciplinary team that includes physicians, physician assistants, acupuncture providers, midwives working in primary care, nurses, and mental health practitioners, have a skillset and passion that helps you, as our patient, to remain healthy and vibrant under their care. Nurse practitioners are excellent at primary care, and have proven to be excellent in delivering the integrated primary care we are proud to stand by."}],"markDefs":[],"style":"normal"},{"_key":"337bc8dd6ec8","_type":"block","children":[{"_key":"f17291646e070","_type":"span","marks":[],"text":"Many healthcare organizations utilize nurse practitioners as part of their care team, however, they are often extensions of the physicians and deployed as cost-saving measures. The physician is the patient’s primary provider of record. The patient may see a nurse practitioner for an acute need or when the physician is busy or out of the office. Other models have nurse practitioners staffing the clinic with a single physician who is very loosely engaged in care, overseeing a practice caring for thousands of patients. The average primary care physician in the US holds a panel of 2500 patients. This means one physician is responsible for keeping 2500 people healthy, and knowing 2500 people’s health histories, health goals, and health risk factors. And being available for their acute and ongoing needs. This is impossible, even for the most diligent and thorough of practitioners. While we see value in practices that use NPs as extensions of physicians — we also saw an opportunity."}],"markDefs":[],"style":"normal"},{"_key":"5cb65efce0e8","_type":"block","children":[{"_key":"bdb3c07551740","_type":"span","marks":["strong"],"text":"How and why does Tia work with Nurse Practitioners?"}],"markDefs":[],"style":"h3"},{"_key":"79d8216fa417","_type":"block","children":[{"_key":"8d3d161b06da0","_type":"span","marks":[],"text":"We saw an opportunity to design a care model that allowed nurse practitioners to thrive as holistic primary care practitioners while also building care teams that allowed our incredible physicians to practice in a setting that valued their unique and highly pointed skill set. This model would not only meet our primary goal of keeping YOU as our patient healthy over your lifetime, but would also allow our clinicians to continue to be challenged — to practice with autonomy and to find fulfillment in medicine, something we know combats burnout and keeps high-quality clinicians happy and engaged. When a patient is “under the care of one physician” but often sees an NP or PA for isolated episodic needs, the whole picture of health is missing. Similarly, in models where clinics are fully staffed by NPs and PAs with a single physician providing oversight over many clinics and practitioners without regular engagement, clinicians "},{"_key":"8d3d161b06da1","_type":"span","marks":["em"],"text":"and"},{"_key":"8d3d161b06da2","_type":"span","marks":[],"text":" patients miss out on the ability to collaborate with physicians in a more integrated way. Physicians bring a level of depth and diagnostics that is appropriate and necessary for some more complex patients, and their expertise benefits everyone when interdisciplinary care teams can collaborate together."}],"markDefs":[],"style":"normal"},{"_key":"3faea356b332","_type":"block","children":[{"_key":"2da18c6718160","_type":"span","marks":[],"text":"At Tia we have built a relational primary care model where you are cared for entirely for your preventative health needs, your ongoing health concerns, and the days you wake up not feeling well and need medical help. This happens because we enable our clinicians: nurse practitioners, physicians, midwives, and physician assistants, to build relationships with you over time. We also build structures for our clinicians to collaborate and build relationships with each other — to ensure that you are connected to the right provider, for the right concern, at the right time. We want you to see your primary care provider over time, but we also want to make it easy for you to see other clinicians at Tia with different expertise if and when they might be a better fit for your unique health needs, health complexity, and personal goals. The intentional way we utilize clinicians of various clinical backgrounds is just one way we are building a new model of care — with you, and for you."}],"markDefs":[],"style":"normal"},{"_key":"b00d30775869","_type":"block","children":[{"_key":"91e2de3843c90","_type":"span","marks":[],"text":"You may still be wondering what it means to have a nurse practitioner as your healthcare provider. If so, this breakdown may be a helpful resource."}],"markDefs":[],"style":"normal"},{"_key":"eb73590bd8e6","_type":"block","children":[{"_key":"25dc4111bc2d0","_type":"span","marks":["strong"],"text":"Who can prescribe medications for me?"}],"markDefs":[],"style":"h3"},{"_key":"62ba0d5e5ac2","_type":"block","children":[{"_key":"da0f726a834a0","_type":"span","marks":[],"text":"Nurse practitioners, physician assistants, and physicians can all prescribe medications for you."}],"markDefs":[],"style":"normal"},{"_key":"39f28fcafffa","_type":"block","children":[{"_key":"c61be7f5fd490","_type":"span","marks":["strong"],"text":"Can a nurse practitioner complete a referral for a specialist for me?"}],"markDefs":[],"style":"h3"},{"_key":"d144c59f0013","_type":"block","children":[{"_key":"32ec3b9fcfd90","_type":"span","marks":[],"text":"Yes! Nurse practitioners, physician assistants, and physicians can complete referrals for specialists. Some insurance plans (in some states) may require the referral to be from a physician. If this is the case, you may see one of our physician’s names on a referral order for you."}],"markDefs":[],"style":"normal"},{"_key":"61b494f4cfb4","_type":"block","children":[{"_key":"f82e6ce6c35e0","_type":"span","marks":["strong"],"text":"Is a nurse practitioner and a nurse the same thing?"}],"markDefs":[],"style":"h3"},{"_key":"b86c7004bcea","_type":"block","children":[{"_key":"04310867dcee0","_type":"span","marks":[],"text":"No. All nurse practitioners are also nurses. After completing nursing school - nurse practitioners complete a masters or doctorate degree focused on diagnosis, medical management, pharmacology, and disease prevention. Some of our nurse practitioners completed additional training as part of a post-graduate residency or fellowships, where they earned additional specialized training. 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Use this list to interpret what those letters behind their name mean:"}],"markDefs":[],"style":"normal"},{"_key":"25bdc6204dc0","_type":"block","children":[{"_key":"e887fb35d86d0","_type":"span","marks":[],"text":"MD - medical doctor (physician)"}],"markDefs":[],"style":"normal"},{"_key":"06edb2a90893","_type":"block","children":[{"_key":"f494abb9811e0","_type":"span","marks":[],"text":"DO - doctor of osteopathic medicine (physician)"}],"markDefs":[],"style":"normal"},{"_key":"2576760f591d","_type":"block","children":[{"_key":"cee658d408960","_type":"span","marks":[],"text":"NP - nurse practitioner"}],"markDefs":[],"style":"normal"},{"_key":"d68bf52f2851","_type":"block","children":[{"_key":"9858ff4510210","_type":"span","marks":[],"text":"DNP - doctorate of nursing practice (doctorate prepared nurse practitioner)"}],"markDefs":[],"style":"normal"},{"_key":"dcc7ada1841d","_type":"block","children":[{"_key":"434643262dbc0","_type":"span","marks":[],"text":"PA - physician assistant"}],"markDefs":[],"style":"normal"},{"_key":"29d94197f3f8","_type":"block","children":[{"_key":"a8cee363405a0","_type":"span","marks":[],"text":"CNM - certified nurse midwife - "},{"_key":"a8cee363405a1","_type":"span","marks":["em"],"text":"Did you know midwives do way more than deliver babies? "},{"_key":"a8cee363405a2","_type":"span","marks":[],"text":"Midwives are primary care providers with expertise in caring for women throughout their life."}],"markDefs":[],"style":"normal"},{"_key":"47f8c37a6da1","_type":"block","children":[{"_key":"26502285eb9c0","_type":"span","marks":[],"text":"RN - registered nurse"}],"markDefs":[],"style":"normal"},{"_key":"2bc3ee0a8f13","_type":"cta","text":[{"_key":"15f2abbe01f0","_type":"block","children":[{"_key":"58974bd8fc51","_type":"span","marks":[],"text":"Ready to experience expert care from compassionate providers? Join Tia and schedule an appointment to begin caring for the "},{"_key":"0e53cc2c439e","_type":"span","marks":["em"],"text":"whole you. "}],"markDefs":[],"style":"large"},{"_key":"97eb2b5e6b89","_type":"block","children":[{"_key":"913a310ca6cf","_type":"span","marks":["em","21725a07464e"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."}],"markDefs":[{"_key":"21725a07464e","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"afd7e2957857","_type":"buttonBlock","items":[{"_key":"1df07b17a47f","_type":"singleButton","linkCta":"Join Tia","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"onlyStackButtons":false}]},{"_key":"00e3821d7ae9","_type":"block","children":[{"_key":"d0470706c5d10","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-c074beb2af7973a147d089bfaabf8f5ee5888869-4200x2400-png","_type":"reference"}},"publishedAt":"2025-01-21T21:19:00.000Z","slug":{"_type":"slug","current":"why-tia-embraces-a-nurse-practitioner-forward-model"},"status":"production","title":"Why Tia Embraces a Nurse Practitioner Forward Model","topics":[{"_key":"2a45c6db4a24","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Tia’s innovative Nurse Practitioner-Forward Model reimagines women’s healthcare by combining prevention, holistic care, and interdisciplinary collaboration. 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","twitterTitle":"Why Tia Embraces a Nurse Practitioner-Forward Model"}},"id":"e52a832b-1017-584a-85c6-bfe34535e783","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"201620b9d0eeb65b168474eb4df7abf6","counter":1681,"owner":"gatsby-source-sanity"}}],"title":"Additional resources"},{"_key":"97b99b9023dd","_type":"spacer","backgroundColor":"bcb","spacing":"pys"},{"_key":"82b7c45677b8","_type":"shape","backgroundColor":"secondary-2","shapeColor":"tertiary-3","shapeType":"shape-1"},{"_key":"5656df8ebba0","_type":"spacer","backgroundColor":"bcoat","spacing":"pys"},{"_key":"e2e2c7de5a4c","_type":"faqModule","cta":"See full FAQ","faqs":[{"_id":"03d981da-4ac0-4f07-b6d3-c39cef54b4a6","_type":"faq","_createdAt":"2025-11-12T15:10:50Z","_rev":"qRoQdZ9XLeA6KQW6gpVIDp","_updatedAt":"2025-11-12T15:11:03Z","answer":[{"_key":"d2da718d2e6d","_type":"block","children":[{"_key":"662274618f9a0","_type":"span","marks":[],"text":"Absolutely. We offer the full range of care you'd expect from a primary care provider, from common illnesses to chronic condition management."}],"markDefs":[],"style":"normal"}],"question":"Can I use Tia for common issues like allergies, UTIs, or thyroid concerns?","id":"c0989366-351f-597c-8fc3-835aa3b182ee","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"460b7a55f69b42587a2a00358c40948a","counter":703,"owner":"gatsby-source-sanity"}},{"_id":"6dc4ee4a-97f2-4361-8f78-269ef5d68aea","_type":"faq","_createdAt":"2025-11-12T15:11:29Z","_rev":"Je5SR6382tmDQ8V56wKbHR","_updatedAt":"2025-11-12T15:11:46Z","answer":[{"_key":"89c9f5f5c44b","_type":"block","children":[{"_key":"88cda804fe180","_type":"span","marks":[],"text":"Yes! You can get your annual physical and your well-woman exam in the same appointment. We call this the Annual Preventative Exam."}],"markDefs":[],"style":"normal"}],"question":"Can I get my annual physical exam at Tia?","id":"be65290a-e490-55b5-a1bb-2eec985f3c8f","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"172bea994fc37845ee2d082258ecd257","counter":704,"owner":"gatsby-source-sanity"}},{"_id":"9843588f-0050-4be8-ba91-fe5c93133f4d","_type":"faq","_createdAt":"2025-11-12T15:12:02Z","_rev":"Je5SR6382tmDQ8V56wLw2f","_updatedAt":"2025-11-12T15:12:14Z","answer":[{"_key":"2e79a6cd4154","_type":"block","children":[{"_key":"bb045d9d38fa0","_type":"span","marks":[],"text":"Our providers are trained to connect the dots between your physical, emotional, and reproductive health. We take the time to listen and create a care plan that reflects your goals and lifestyle, treating the whole "},{"_key":"bb045d9d38fa1","_type":"span","marks":["em"],"text":"you"},{"_key":"bb045d9d38fa2","_type":"span","marks":[],"text":"—not just the symptom."}],"markDefs":[],"style":"normal"}],"question":"What makes Tia’s primary care different? ","id":"a3b5345a-fa81-5310-b49f-0ce7e6dafa85","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"3701e8f34e6c9ae1952ff974d067c3b8","counter":705,"owner":"gatsby-source-sanity"}},{"_id":"a6a6bc3d-da6c-4217-99a9-9a981b93acee","_type":"faq","_createdAt":"2025-11-12T15:12:53Z","_rev":"PnHe46xlJcKzbGPRRq7juB","_updatedAt":"2025-11-12T15:13:00Z","answer":[{"_key":"ae6adef2a226","_type":"block","children":[{"_key":"d05d707d10f90","_type":"span","marks":[],"text":"Yes. Our providers can order labs and medications just like any other primary care provider."}],"markDefs":[],"style":"normal"}],"question":"Can I get labs or prescriptions through Tia?","id":"22c0d46a-720f-5d64-951f-4bd601cede5b","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"540ad9f4698401c23e630f02a26339f9","counter":706,"owner":"gatsby-source-sanity"}},{"_id":"c8262fe3-1fac-46ab-8443-38a30be84310","_type":"faq","_createdAt":"2025-11-12T15:13:10Z","_rev":"qRoQdZ9XLeA6KQW6gpVjAn","_updatedAt":"2025-11-12T15:13:34Z","answer":[{"_key":"abb39a9f3805","_type":"block","children":[{"_key":"95df23699e540","_type":"span","marks":[],"text":"The best way to start is with our New Patient Visit. It's a virtual medical visit where a provider will get to know you, your health history, and your goals, and then help you book the right next step."}],"markDefs":[],"style":"normal"}],"question":"What if I’m not sure which visit is right for me?","id":"e27313bb-6ae7-55cf-a5ec-42e29bd18ccf","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"6edae9e2845ea2d318e2c2cf465d0987","counter":707,"owner":"gatsby-source-sanity"}},{"_id":"15725182-cd64-4a33-a0c3-fc413a7b11e1","_type":"faq","_createdAt":"2025-11-12T15:13:47Z","_rev":"qRoQdZ9XLeA6KQW6gpVs3l","_updatedAt":"2025-11-12T15:14:20Z","answer":[{"_key":"9ee0fe8cbdbc","_type":"block","children":[{"_key":"9b46564e10e30","_type":"span","marks":[],"text":"At Tia, you will be seen by a highly qualified primary care provider from our team, which includes physicians (MDs/DOs), nurse practitioners (NPs/DNPs), physician assistants (PAs), and certified nurse midwives (CNMs). We are an "},{"_key":"07067a0bde76","_type":"span","marks":["4d28b77abb8d"],"text":"NP-forward model"},{"_key":"d3300a537036","_type":"span","marks":[],"text":" because we believe their holistic, patient-centered, and prevention-focused training is an excellent fit for our integrated approach. 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If it has been at least 12 months since your last annual and you stick to preventative topics, your insurance should cover the visit."}],"markDefs":[],"style":"normal"},{"_key":"84fd3ad31f2c","_type":"block","children":[{"_key":"526b1db2a024","_type":"span","marks":[],"text":"What if I discuss other health issues?"}],"markDefs":[],"style":"h4"},{"_key":"e6f90a9c6b23","_type":"block","children":[{"_key":"1b3efbe888e9","_type":"span","marks":[],"text":"Your Annual Physical Exam is designed for preventative care. If you bring up new or specific health concerns (like a rash or headaches), your insurance provider may bill that portion of the visit as a regular office visit. This does not mean that office visit is not covered but depending on your insurance plan, it could result in a copay or co-insurance. 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What is it for?"}],"markDefs":[],"style":"h3"},{"_key":"08d5eb994d3d","_type":"block","children":[{"_key":"e7c9624d3a970","_type":"span","marks":[],"text":"A vaginal infection appointment is usually a consultation visit and sometimes a physical exam to discuss vaginal symptoms, recommend prevention and offer treatment if indicated. This visit may also include a recommendation for STI testing depending on your symptoms."}],"markDefs":[],"style":"normal"},{"_key":"0f6721c0a065","_type":"block","children":[{"_key":"563f562b3446","_type":"span","marks":[],"text":"Symptoms associated with a vaginal infection"}],"markDefs":[],"style":"h3"},{"_key":"57185d3d8708","_type":"block","children":[{"_key":"1fed8cecc57c","_type":"span","marks":[],"text":"Vaginal infection symptoms can vary but some common indications that an infection might be present include:"}],"markDefs":[],"style":"normal"},{"_key":"c38ae799c427","_type":"block","children":[{"_key":"8a26b20bac88","_type":"span","marks":[],"text":"The color, amount, odor, or texture of your discharge has changed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3f7f99fabd44","_type":"block","children":[{"_key":"6ecb033efc2f","_type":"span","marks":[],"text":"You are experiencing itching or irritation in your vagina or vulva."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"84daef218ebc","_type":"block","children":[{"_key":"e44135c4b70d","_type":"span","marks":[],"text":"There is a burning sensation, especially during sex or when urinating. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"56fd01064c68","_type":"block","children":[{"_key":"4d0f39f0f8c2","_type":"span","marks":[],"text":"Your vulva is swelling or has increased redness."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f9a450b43b88","_type":"block","children":[{"_key":"c7f0d0800759","_type":"span","marks":[],"text":"You are experiencing vaginal pain and soreness. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aff7801c37c5","_type":"block","children":[{"_key":"283e092f04f9","_type":"span","marks":[],"text":"When should you schedule a vaginal infection appointment?"}],"markDefs":[],"style":"h3"},{"_key":"2e484d0570d1","_type":"block","children":[{"_key":"5c8ad83e77b2","_type":"span","marks":[],"text":"Many women might have been "},{"_key":"9a78273941ff","_type":"span","marks":["985536da5800"],"text":"previously diagnosed"},{"_key":"5cb501e45fbc","_type":"span","marks":[],"text":" with a vaginal infection at least once, meaning you probably know the signs and symptoms to look out for and often can self diagnose your infection. Sometimes, a over the counter medication can ease the symptoms, but will not always cure the infection. You should schedule a vaginal infection visit if:"}],"markDefs":[{"_key":"985536da5800","_type":"annotation","text":[{"_key":"70ff994899b6","_type":"block","children":[{"_key":"18f7813cfae9","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"47cc4bd5a9b6","_type":"block","children":[{"_key":"7c17e380d6bd0","_type":"span","marks":[],"text":"Bacterial Vaginitis (BV) is the most common vaginal condition in women 15-44, affects 29% of women in this age group."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"a7df41d906f9","_type":"block","children":[{"_key":"883085d3e835","_type":"span","marks":[],"text":"You have taken a full course of over the counter medication and your symptoms are still present."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2108e0fb8434","_type":"block","children":[{"_key":"2b011d108d92","_type":"span","marks":[],"text":"You have a history of chronic vaginal infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c8b6d6deb658","_type":"block","children":[{"_key":"9f2b34891897","_type":"span","marks":[],"text":"This is the first time you are experiencing any of the symptoms listed above -- Or if a new symptom has appeared."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4035c10a345c","_type":"block","children":[{"_key":"bee163f63370","_type":"span","marks":[],"text":"You've had multiple sexual partners or you recently introduced a new partner."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2f5c7c848b21","_type":"block","children":[{"_key":"02b22753a7d2","_type":"span","marks":[],"text":"You have fever, chills, or pelvic pain. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b3623e37d1a3","_type":"block","children":[{"_key":"1d0b35eb191e","_type":"span","marks":[],"text":"Even if you have been "},{"_key":"fa448bcd1105","_type":"span","marks":["2198325f0301"],"text":"diagnosed with a vaginal infection before"},{"_key":"3b79d22b2e0d","_type":"span","marks":[],"text":" and it might feel pretty routine to cure it yourself, it is always advised to see medical attention. Your Tia provider will help you make an informed decision with your treatment plan."}],"markDefs":[{"_key":"2198325f0301","_type":"annotation","text":[{"_key":"57dee74e30fc","_type":"block","children":[{"_key":"20fee81a862f","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"1c6f4b065b7f","_type":"block","children":[{"_key":"8788f963f3c0","_type":"span","marks":[],"text":"Vaginal candidiasis (yeast infection) is the second most common type of vaginal infection after bacterial vaginal infections. An estimated 1.4 million outpatient visits for vaginal candidiasis occur annually."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"7529d592f754","_type":"block","children":[{"_key":"171d6a63d61c","_type":"span","marks":[],"text":"What to expect during a vaginal infection appointment"}],"markDefs":[],"style":"h3"},{"_key":"3310013f6e17","_type":"block","children":[{"_key":"67d0ca23f293","_type":"span","marks":[],"text":"If your symptoms are typical to what you've experienced in the past, a virtual visit might suffice to accurately asses the situation and perscribe any medications needed. During a virtual visit, your provider will ask about your symptoms, medical history, and any current medications you are taking. Your provider might recommend over-the-counter or self-care techniques to help manage your symptoms. Additionally, antifungal or antibiotic medications might be perscribed to treat the infection. In some cases, your provider will recommend additional testing to confirm your symptoms. But this is not always necessary."}],"markDefs":[],"style":"normal"},{"_key":"798b2b571fd8","_type":"block","children":[{"_key":"c281748bf86a","_type":"span","marks":[],"text":"Tia members can also schedule an in-person vaginal infection appointment. Your provider will review your symptoms prior to performing a pelvic exam with a swab collection. This sample will then be sent to the lab for confirmation of diagnosis, which can take up to 24 days. In some cases, your provider can treat you simply based on a visual examination -- in efforts to relieve your symptoms -- while awaiting lab confirmation."}],"markDefs":[],"style":"normal"},{"_key":"2b03d3e013dd","_type":"block","children":[{"_key":"7593786b40cc","_type":"span","marks":[],"text":"Potential treatment plans for vaginal infections"}],"markDefs":[],"style":"h3"},{"_key":"c36cbc13689b","_type":"block","children":[{"_key":"73240100d48a","_type":"span","marks":[],"text":"There are a variety of ways to treat a vaginal infection depending on the diagnosis and severity. Your provider might recommend/perscribe:"}],"markDefs":[],"style":"normal"},{"_key":"146447ffdbf6","_type":"block","children":[{"_key":"7cd833c2acf9","_type":"span","marks":[],"text":"Lifestyle/Diet Changes"}],"markDefs":[],"style":"h5"},{"_key":"b61b99f09363","_type":"block","children":[{"_key":"99b1f3987dbf","_type":"span","marks":["strong"],"text":"Lowering saturated fat intake:"},{"_key":"4ea56c65c054","_type":"span","marks":[],"text":" Consuming lots of saturated fat can increase the pH (aka acidity) of your vagina which increases the risk of Bacterial vaginosis. Try adding more olive oil, nuts, and avocados into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0ec697a69eb1","_type":"block","children":[{"_key":"863633e65533","_type":"span","marks":["strong"],"text":"Increaseing fiber intake:"},{"_key":"61671f2cfb94","_type":"span","marks":[],"text":" Fiber is an amazing prebiotic. This means it stimulates the growth of and maintenance of desired gut bacteria. Incorporate more onions, bananas, garlic, apples and oats into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7cef5e345e5","_type":"block","children":[{"_key":"e7f26c079e84","_type":"span","marks":["strong"],"text":"Vitamin D:"},{"_key":"98257b74b150","_type":"span","marks":[],"text":" Low levels of Vitamin D have been associated with a higher risk of Bacterial vaginosis. We recommend starting with 2000 IU daily."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"01a71fa01102","_type":"block","children":[{"_key":"41c5e2dfd92e","_type":"span","marks":["strong"],"text":"Probiotics:"},{"_key":"333a6b7ef7e9","_type":"span","marks":[],"text":" Probiotics, either supplements or whole foods, may improve your symptoms and prevent a potential infection. We like adding more yogurt, sauerkraut, miso, pickles and kimchi into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d6c5802a8520","_type":"block","children":[{"_key":"f65b7674329a","_type":"span","marks":[],"text":"Medications"}],"markDefs":[],"style":"h5"},{"_key":"fa93cf604992","_type":"block","children":[{"_key":"a0d9ec133c9a","_type":"span","marks":["strong"],"text":"Monistat:"},{"_key":"cbdf1ccf0c9c","_type":"span","marks":[],"text":" This is an over-the-counter antifungal ointment that can treat yeast infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ee54e15ae3bb","_type":"block","children":[{"_key":"849c64454ce3","_type":"span","marks":["strong"],"text":"Boric acid:"},{"_key":"4d99bf21c8ba","_type":"span","marks":[],"text":" "},{"_key":"1859f5191c82","_type":"span","marks":["71422af6d4c1"],"text":"This weak acid"},{"_key":"d935e600d6a3","_type":"span","marks":[],"text":" may stop bacteria or yeast from continuing to grow. It may also help in restoring your vaginal acidity and re-establish the ideal environment for beneficial vaginal flora to return. 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Tia will bill your insurance. 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But if it spreads to your kidneys, it can become a serious health problem."}],"markDefs":[{"_key":"cefd4cec85bc","_type":"annotation","text":[{"_key":"60c390accabd","_type":"block","children":[{"_key":"0e001d40d69c","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"44a4b4a92011","_type":"block","children":[{"_key":"ff6e13adabaa0","_type":"span","marks":[],"text":"Urinary tract infections (UTIs) are the most common outpatient infections, with a lifetime incidence of 50-60% in adult women, according to the National Institutes of Health."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8c69fcd4802d","_type":"block","children":[{"_key":"de659deca53e","_type":"span","marks":[],"text":"What are symptoms of a urinary tract infection?"}],"markDefs":[],"style":"h3"},{"_key":"e6816e62044d","_type":"block","children":[{"_key":"547383ef225c0","_type":"span","marks":[],"text":"Symptoms of urinary tact infection can include:"}],"markDefs":[],"style":"normal"},{"_key":"5ca28ebae704","_type":"block","children":[{"_key":"5b0a7c493fa2","_type":"span","marks":[],"text":"Pain or burning while urinating"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"548bbeff6d50","_type":"block","children":[{"_key":"3cb94c951d6d","_type":"span","marks":[],"text":"Frequent urination"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b22bc44767bd","_type":"block","children":[{"_key":"5efb2562f979","_type":"span","marks":[],"text":"Feeling like you can not completely empty your bladder or feeling the need to urinate despite having an empty bladder"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29cb07163215","_type":"block","children":[{"_key":"41328a550a33","_type":"span","marks":[],"text":"Bloody urine"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5636c4aa6cd4","_type":"block","children":[{"_key":"63d9b3da22e9","_type":"span","marks":[],"text":"Pressure or cramping in the groin or lower abdomen"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d4d2fd1efc6f","_type":"block","children":[{"_key":"c6a2a4529c2c","_type":"span","marks":[],"text":"What to expect during a UTI appointment"}],"markDefs":[],"style":"h3"},{"_key":"f518b4511f24","_type":"block","children":[{"_key":"4299ac62b7500","_type":"span","marks":[],"text":"A UTI visit can take place virtually or in-person with referral for testing if indicated. If you have symptoms of a UTI, your visit will likely include:"}],"markDefs":[],"style":"normal"},{"_key":"88c7bc84813a","_type":"block","children":[{"_key":"f320307092c8","_type":"span","marks":[],"text":"Review of your medical history and any medications that you take with special attention to current symptoms and urinary history."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0bce35628da0","_type":"block","children":[{"_key":"369070398697","_type":"span","marks":[],"text":"If you are suspected to have a urinary tract infection (UTI), your healthcare provider may ask for a urine sample to confirm the diagnosis. In such cases, a urinalysis test is conducted to screen for different parts of urine and detect potential infections. The test checks for germs that cause bladder infections. Sometimes, your healthcare provider may start you on antibiotics right away without waiting for the test results if they suspect that you have a UTI."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aa6cc58ecf23","_type":"block","children":[{"_key":"2135131004d6","_type":"span","marks":[],"text":"Potential treatment plans"}],"markDefs":[],"style":"h3"},{"_key":"953ba0d060ca","_type":"block","children":[{"_key":"e143987aadd40","_type":"span","marks":[],"text":"Treatment for UTI requires an antibiotic. If you are diagnosed, your provider will write you a prescription. "}],"markDefs":[],"style":"normal"},{"_key":"a191b1647f6b","_type":"block","children":[{"_key":"28f25c8356ee","_type":"span","marks":[],"text":"How to prevent a UTI in the future"}],"markDefs":[],"style":"h3"},{"_key":"56153e48f884","_type":"block","children":[{"_key":"2ec021163e020","_type":"span","marks":[],"text":"Even thought UTIs are fairly common, they are also easy to prevent with proper hygiene and personal care:"}],"markDefs":[],"style":"normal"},{"_key":"13fe6f8a7c75","_type":"block","children":[{"_key":"52d8f65932c4","_type":"span","marks":["strong"],"text":"Urinate after sexual activity:"},{"_key":"1880b3bb76c0","_type":"span","marks":[],"text":" During intercourse, bacteria and other germs can find its way into your urethra (where you pee from), which can cause UTI's. Urinating after sex forces that unwanted bacteria to be flushed out of your urinary tract."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"06c3590570d8","_type":"block","children":[{"_key":"5068844ccfc0","_type":"span","marks":["strong"],"text":"Stay well hydrated:"},{"_key":"cf71e051589a","_type":"span","marks":[],"text":" Drinking a lot of water helps hydrate bladder tissue, which keeps it healthy. Staying hydrated also dilutes your urine and lowers the concentration of bacteria in the bladder. In some cases, women have been able to cure themselves of a UTI just by drinking water. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d0f43c8dac3","_type":"block","children":[{"_key":"14478351d5ab","_type":"span","marks":["strong"],"text":"Take showers instead of baths:"},{"_key":"2192c7c61adb","_type":"span","marks":[],"text":" Bacteria thrive in warm environments, like hot tubs and baths. Taking showers instead will slow any bacteria from rapidly growing in your urethra. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3eb4f81cbf37","_type":"block","children":[{"_key":"f59120dbe507","_type":"span","marks":["strong"],"text":"Do not use douches, sprays, or powders in the genital area:"},{"_key":"71362096f734","_type":"span","marks":[],"text":" Your vagina is already self-cleaning and does not need help from a douche or any additional \"vaginal cleaning\" products. These products can also wash out the good bacteria that keeps your vagina health and your pH balanced, which could allow for harmful bacteria to take over. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec93c15ddd7b","_type":"block","children":[{"_key":"5337e6106b21","_type":"span","marks":["strong"],"text":"Wipe front to back after using the bathroom:"},{"_key":"55894adae30c","_type":"span","marks":[],"text":" This helps avoid any bacteria from your rectum to contaminate your urethra, which can lead to infection."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68337be97d34","_type":"block","children":[{"_key":"a6e06fe99e29","_type":"span","marks":[],"text":"Consume D Mannose: This is a sugar compound naturally occurring in cranberries that will help coat the bladder making it difficult for bacteria to adhere to it. This is helpful to prevent UTIs when going through a period of frequent bladder infections. 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"},{"_key":"0d956cd856c1","_type":"span","marks":["e86fb3320699"],"text":"An abnormal result"},{"_key":"54cc3b936bea","_type":"span","marks":[],"text":" indicates that there are changes in the size, shape, or appearance of the cervical cells, which could be indicative of infections, inflammation, precancerous, or cancerous conditions. Further diagnostic tests or procedures may be recommended based on the degree and nature of the abnormalities to determine the appropriate course of action for the individual's health. Regular Pap smears are essential for early detection and prevention of cervical cancer."}],"markDefs":[{"_key":"e86fb3320699","_type":"annotation","text":[{"_key":"a4136889a23c","_type":"block","children":[{"_key":"b29047e67ec3","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"6f65a6c0b1b2","_type":"block","children":[{"_key":"f243f4c2b4190","_type":"span","marks":[],"text":"About 5% of all Pap tests will be abnormal, meaning that the sample contains atypical cervical cells. However, the majority of these cells are not cancerous or even precancerous. An abnormal Pap test result does not mean cancer, but it does require follow-up to rule out the possibility of cancer.\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"ac10de391f1d","_type":"block","children":[{"_key":"5d36cfb4f151","_type":"span","marks":[],"text":"When to schedule an appointment regarding an abnormal pap smear result"}],"markDefs":[],"style":"h3"},{"_key":"928cb4356dee","_type":"block","children":[{"_key":"447f89d710240","_type":"span","marks":[],"text":"This visit type might be recommended if:"}],"markDefs":[],"style":"normal"},{"_key":"ecb62520d661","_type":"block","children":[{"_key":"1af6857d1fc80","_type":"span","marks":[],"text":"You have a history of abnormal pap smears and want to talk about screening recommendations."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7cf7eec097f4","_type":"block","children":[{"_key":"162a83aae9ce0","_type":"span","marks":[],"text":"Your "},{"_key":"e0264fae7e7b","_type":"span","marks":["21fb8ac5a758"],"text":"pap results"},{"_key":"b7f7cabf9d40","_type":"span","marks":[],"text":" at Tia are abnormal and you want to discuss further."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"21fb8ac5a758","_type":"internalLink","linkType":"text","reference":{"_ref":"6c80fd4d-6443-420b-aac2-08329b7f4634","_type":"reference"}}],"style":"normal"},{"_key":"8020551ed091","_type":"block","children":[{"_key":"9f6a925076c80","_type":"span","marks":[],"text":"You have completed abnormal pap follow-up (colposcopy, LEEP) and want to discuss next steps and screening recommendations."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2a651b8ae811","_type":"block","children":[{"_key":"ee9e3608d972","_type":"span","marks":[],"text":"What to expect during your appointment"}],"markDefs":[],"style":"h3"},{"_key":"777996285c92","_type":"block","children":[{"_key":"0c14237848b80","_type":"span","marks":[],"text":"This is a consultation based visit to review previous pap smear results and discuss recommendations. It is very helpful if previous results are available and that they be uploaded to your Tia provider ahead of this visit."}],"markDefs":[],"style":"normal"},{"_key":"71b91a23a700","_type":"block","children":[{"_key":"c183ccf12e86","_type":"span","marks":[],"text":"Potential treatment plans and next steps"}],"markDefs":[],"style":"h3"},{"_key":"ca667bc19efe","_type":"block","children":[{"_key":"a0e6068976a40","_type":"span","marks":[],"text":"Once your provider has reviewed your "},{"_key":"c96498bb13d2","_type":"span","marks":["16a8ced02d22"],"text":"previous pap smear results"},{"_key":"5aa45e417469","_type":"span","marks":[],"text":" and discussed your concerns and questions, your provider will provide potential updated cervical cancer screening recommendations which may include future pap recommendations, an appointment for a pap smear or a colposcopy. In some cases, this may require referral to a gynecological surgical specialist."}],"markDefs":[{"_key":"16a8ced02d22","_type":"annotation","text":[{"_key":"303426109dc7","_type":"block","children":[{"_key":"f1aab6115d1c","_type":"span","marks":["strong"],"text":"Did you know?"},{"_key":"47d42b116a14","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"93e77850a2b5","_type":"block","children":[{"_key":"60827431ede80","_type":"span","marks":[],"text":"Abnormal Pap tests are very common. In fact, of the 3 million women with abnormal Pap tests each year, less than 1% (13,240 cases) will be diagnosed with cervical cancer.\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"00d7c7ea9f6e","_type":"cta","backgroundColor":"bccream","text":[{"_key":"7d32f2afa6b7","_type":"block","children":[{"_key":"ed3b89a62d46","_type":"span","marks":[],"text":"Questions about your pap test? 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The primary purpose of a Pap test is to detect abnormal cervical cells, specifically changes in the cells that could indicate the presence of cervical cancer or precancerous conditions."}],"markDefs":[],"style":"normal"},{"_key":"a8f992368919","_type":"block","children":[{"_key":"f527ad25c211","_type":"span","marks":[],"text":"The results of a Pap test can help identify early signs of "},{"_key":"65a554156cb2","_type":"span","marks":["1a8ccc857df9"],"text":"cervical cancer"},{"_key":"7575e9f52a32","_type":"span","marks":[],"text":" or other cervical abnormalities, allowing for prompt medical intervention and treatment when necessary. It is an important preventive healthcare measure for people with a cervix and is typically recommended as part of routine gynecological care. 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They then use a small brush or spatula to collect a sample of cells from the cervix's surface. This cell sample is sent to a laboratory for examination under a microscope."}],"markDefs":[],"style":"normal"},{"_key":"e26470273659","_type":"block","children":[{"_key":"56c37e1fabbf","_type":"span","marks":[],"text":"Potential Outcomes of a Pap Test"}],"markDefs":[],"style":"h3"},{"_key":"94f826d7c5d4","_type":"block","children":[{"_key":"926e68bff3c5","_type":"span","marks":[],"text":"Pap tests are a routine part of women's wellness visits, and are included in Tia's Whole Health Journey. A  normal Pap test means that no abnormal cells were found in the cervix. This is considered a reassuring result and will not require any follow ups."}],"markDefs":[],"style":"normal"},{"_key":"486e1a93935c","_type":"block","children":[{"_key":"7e6d1288f7e1","_type":"span","marks":[],"text":"If your Pap test results are abnormal, this may indicate the presence of abnormal cells on the cervix. 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Follow up tests, such as a colposcopy or closer look at the cervix and biopsy, might be recommended and are readily available at Tia."}],"markDefs":[{"_key":"cd05535933e7","_type":"annotation","text":[{"_key":"bb63710bf9d3","_type":"block","children":[{"_key":"65011106d64c0","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"a474aee6b11d","_type":"block","children":[{"_key":"7d56a98d4204","_type":"span","marks":[],"text":"Cervical cancer is the fourth most common cancer among women globally, with an estimated 604,000 new cases and more than 300,000 deaths in 2020"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"2abebb9a5aa4","_type":"cta","backgroundColor":"bccream","text":[{"_key":"cbd1e72e5cfd","_type":"block","children":[{"_key":"260e9f3b938b","_type":"span","marks":[],"text":"Need a Pap Test? 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They also have an impact on the uterine lining, making it less receptive to implantation. The hormonal IUDs available in the United States are usually effective for 3 to 8 years, depending on the specific brand. Mirena is effective for up to 8 years, Kyleena for up to 5 years, Liletta for up to 8 years, and Skyla for up to 3 years. Hormonal IUDs can also be used to manage heavy, irregular and painful periods."}],"markDefs":[],"style":"normal"},{"_key":"d47d5a03b9e7","_type":"block","children":[{"_key":"51df5f020b92","_type":"span","marks":[],"text":"Copper IUDs"}],"markDefs":[],"style":"h4"},{"_key":"a9195040da16","_type":"block","children":[{"_key":"fe8e5cad91b00","_type":"span","marks":[],"text":"Copper IUDs do not contain hormones. Instead, they have a copper wire wound around the stem of the T-shaped device. Copper is toxic to sperm, so it creates an environment in the uterus that is hostile to sperm survival and fertilization. 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Once the device has arrived to the Tia Clinic, you'll receive a booking link via chat in your member portal to schedule your insertion or removal and insertion."}],"markDefs":[{"_key":"32efc0e0f960","_type":"internalLink","linkType":"text","reference":{"_ref":"ca742657-6062-42c7-8a48-c476af18b8fc","_type":"reference"}},{"_key":"522e78d80566","_type":"annotation","text":[{"_key":"52af08a99eff","_type":"block","children":[{"_key":"c034e9d35f6b","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"418dd3faf6c1","_type":"block","children":[{"_key":"b566b52370f10","_type":"span","marks":[],"text":"Approximately 14% of women who use contraception ages 15 to 44 used an IUD in 2015-2017."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"2cc9e5a2cd26","_type":"block","children":[{"_key":"757d89db6dfd0","_type":"span","marks":[],"text":"What to expect during an IUD insertion or removal appointment"}],"markDefs":[],"style":"h3"},{"_key":"b427502647f5","_type":"block","children":[{"_key":"4e8d44c35989","_type":"span","marks":[],"text":"Before your appointment"}],"markDefs":[],"style":"h5"},{"_key":"ea6bcc4e5165","_type":"block","children":[{"_key":"dd5e72df91710","_type":"span","marks":[],"text":"When you go for your contraception consultation, your healthcare provider may talk to you about ways to reduce any pain that you may experience during the IUD insertion process. This may include taking over-the-counter pain medication before your appointment or being prescribed medication to help open your cervix and make the procedure easier. We also offer IUD placement with the assistance of acupuncture, which can help you feel more comfortable and at ease during the appointment. Be sure to eat a meal or snack and drink plenty of water before your appointment. Follow all pre-visit instructions given by your provider."}],"markDefs":[],"style":"normal"},{"_key":"8aea06855907","_type":"block","children":[{"_key":"81e58598b4090","_type":"span","marks":[],"text":"During your appointment"}],"markDefs":[],"style":"h5"},{"_key":"a9c7786e863a","_type":"block","children":[{"_key":"9bab3000e1dd0","_type":"span","marks":[],"text":"Upon your arrival for your appointment, your healthcare provider will conduct a thorough examination, which includes assessing your vaginal health, cervix, and uterus. Additionally, they may perform a "},{"_key":"d7033e755593","_type":"span","marks":["3525ad2bd3db"],"text":"screening for sexually transmitted infections"},{"_key":"7dcde2820822","_type":"span","marks":[],"text":" (STIs) as part of the comprehensive care."}],"markDefs":[{"_key":"3525ad2bd3db","_type":"internalLink","reference":{"_ref":"58606dd2-9b5e-4fc1-bb3f-f1b5d0da143d","_type":"reference"}}],"style":"normal"},{"_key":"34e915900b19","_type":"block","children":[{"_key":"93167186e1260","_type":"span","marks":[],"text":"To insert the intrauterine device (IUD), your provider will first gently place a speculum into your vagina, allowing them to access the cervix. Subsequently, they will utilize a specialized inserter to carefully position the IUD through the cervical opening and into your uterine cavity. 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This is a consultation based visit usually focused on a thorough review of current concerns, medical, family, medication, and pregnancy history and discussion or risk factors. If you choose to schedule an in-person appointment at a clinic, this visit may include a pelvic exam as large fibroids can sometimes be felt from the outside. 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It also doesn't involve tools being placed in the body."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d1e8530a5cf5","_type":"block","children":[{"_key":"9f1ab52a9106","_type":"span","marks":["strong"],"text":"Minimally invasive: "},{"_key":"ec5ee93afb10","_type":"span","marks":[],"text":"These procedures use no cuts or small cuts. They're linked with faster recovery times and fewer complications compared with traditional open surgery."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ba5ead6776ef","_type":"block","children":[{"_key":"4aeaec3d5f4d","_type":"span","marks":["strong"],"text":"Traditional surgery:"},{"_key":"05366af13a6f","_type":"span","marks":[],"text":" Surgical intervention might be recommended depending on the severity of symptoms and size of the fibroids."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9dc8de32b785","_type":"block","children":[{"_key":"f07920d3c255","_type":"span","marks":[],"text":"Not all diagnosis of fibroids will require medical intervention/treatment. 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Turmeric helps to reduce inflammation and regulates blood flow to help reduce pain."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fbc6dcd415b2","_type":"block","children":[{"_key":"6bbd9b26cda6","_type":"span","marks":["strong"],"text":"CBD:"},{"_key":"33795ce90593","_type":"span","marks":[],"text":" CBD oral capsules or tincture can help with inflammation, cramping, and sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e85e98ac483d","_type":"block","children":[{"_key":"387dc4e6c287","_type":"span","marks":["strong"],"text":"Ginger:"},{"_key":"c865a1e9cddf","_type":"span","marks":[],"text":" Ingesting ginger during the first few days of menstruation may reduce the severity of your menstrual cramps."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"032993b9376e","_type":"block","children":[{"_key":"fe2321a49a48","_type":"span","marks":["strong"],"text":"Magnesium glycinate:"},{"_key":"56a82b3c5cab","_type":"span","marks":[],"text":" Helpful for reducing menstrual pain both preventatively and in the moment. 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Tia is now the only place I’ll go for my health needs.","Title":"Emily F., Tia Patient","_key":"820c392e30ef","_type":"inline"},{"Content":"I cannot say enough good things about my experience at Tia Clinic in Studio City, thanks to Jamee and Alauna. Their customer service was truly unmatched—every interaction was thoughtful, kind, and professional. Jamee was extremely patient with me, taking the time to answer every single one of my many questions without hesitation. She made me feel heard and valued, which is so rare these days. Both Jamee and Alauna went above and beyond to make me feel comfortable throughout my visit.  I’ve officially found my gyno for life with Jamee, and I couldn’t be more grateful for the care and support I received. If you’re looking for a team that genuinely cares about their patients, look no further than Tia Clinic.","Title":"Tia H., Tia Patient","_key":"2c5cbc13e2b3","_type":"inline"}]},{"_key":"40294a6abd8d","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"0a34add3708a","_type":"shape","backgroundColor":"secondary-2","shapeColor":"secondary-1","shapeType":"shape-1"},{"_key":"4ebcc8c25c15","_type":"editorialText","editorialText":[{"_key":"74b539f09b57","_type":"cta","text":[{"_key":"f480944a7924","_type":"block","children":[{"_key":"bfd3a30b720c","_type":"span","text":"Book an appointment"}],"style":"h2"},{"_key":"dab30ba9b8dd","_type":"block","children":[{"_key":"429632a4b74a","_type":"span","text":"Your sexual and gynecological health deserves care that’s open, judgment-free, and empowering. From routine exams and birth control to fertility support and menopause care, Tia’s team helps you understand your body and stay in tune with it, so you can feel confident and well at every stage."}],"style":"normal"},{"_key":"3a223ba0f9bc","_type":"buttonBlock","items":[{"_key":"3c282f1f6e43","_type":"singleButton","addWidgetCopy":true,"backgroundColor":"bcorange","linkCta":"Book an appointment","linkType":"join-scroll-shape","redirectURL":"serviceLines=gynecology","signupH1Copy":"Let's get you scheduled","signupSubcopy":"We need some basic info to find you the right primary gynecologist and book your first visit."},{"_key":"2681b5eb15fd","_type":"singleButton","backgroundColor":"bctran","linkCta":"Learn more about care","linkType":"button","reference":{"_ref":"68757344-78f0-4ba6-b1a7-9f62f7aca2eb","_type":"reference"}}],"onlyStackButtons":false}]},{"_key":"aec1bd6bdb7d","_type":"block","children":[{"_key":"b2e6225ce98c","_type":"span","text":""}],"style":"normal"}]},{"_key":"cc0fa253e5ef","_type":"shape","backgroundColor":"tertiary-3","shapeColor":"secondary-2","shapeType":"shape-1"},{"_key":"dc5ba6b47148","_type":"spacer","backgroundColor":"bcb","spacing":"pys"},{"_key":"10ee0a3f7c67","_type":"featuredArticles","articles":[{"_id":"d8e7ea37-beec-4705-9e9c-7045df680b5e","_type":"editorial","_createdAt":"2024-04-16T23:21:52Z","_rev":"uAwim9aVd6hOR9RgF97y6e","_updatedAt":"2024-04-17T17:41:45Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"reference"},"authors":[{"_key":"86caac62dfdd","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-ff03b18502a4e43dc075e75755db11672c000e1e-2800x1600-png","_type":"reference"}},"editorialText":[{"_key":"7e8de4fe333c","_type":"block","children":[{"_key":"27c95428b4b00","_type":"span","marks":[],"text":"Whether you’re dealing with occasional period discomfort that whispers with dull aches or the kind of intense pain that screams and shouts around the clock, period pain sucks. Period. And finding a way to mute the noise (or at least turn down the volume) can often feel like a quest for the Holy Grail."}],"markDefs":[],"style":"normal"},{"_key":"6ebc1d77b173","_type":"block","children":[{"_key":"c4b4f468198f0","_type":"span","marks":[],"text":"While explorers are still searching for the Holy Grail and historians are still debating its existence, strategies for finding relief for period pain do exist."}],"markDefs":[],"style":"normal"},{"_key":"3b1590d45208","_type":"block","children":[{"_key":"981e9878397a0","_type":"span","marks":[],"text":"Some tactics are tried-and-true. Others are more unconventional. Either way, there is likely an elixir out there that can curtail your period pain if not eliminate it altogether. "}],"markDefs":[],"style":"normal"},{"_key":"0fc558e77815","_type":"block","children":[{"_key":"ff3782494d5e","_type":"span","marks":[],"text":"What causes cramps and period pain?"}],"markDefs":[],"style":"h1"},{"_key":"eb4ebc19e977","_type":"block","children":[{"_key":"a514fd55fb740","_type":"span","marks":[],"text":"Several factors can conspire against "},{"_key":"f9648c4799bc","_type":"span","marks":["3fa76988758d"],"text":"you and your pain threshold"},{"_key":"f37eecd20bba","_type":"span","marks":[],"text":" around the time of your period, but one substance takes the cake for causing most of the discomfort you may experience during your period: "},{"_key":"4f4368a8567d","_type":"span","marks":["em"],"text":"Prostaglandins"},{"_key":"ed66e7b013ca","_type":"span","marks":[],"text":". Prostaglandins are a group of lipids (fats) with hormone-like action that your body makes at sites of tissue damage and infection."}],"markDefs":[{"_key":"3fa76988758d","_type":"internalLink","linkType":"text","reference":{"_ref":"d8b00a5d-e3d4-4264-a2b6-11f6f5a79ba2","_type":"reference"}}],"style":"normal"},{"_key":"65b9f0e20dd0","_type":"block","children":[{"_key":"01c379c4d7170","_type":"span","marks":[],"text":"Under normal circumstances, prostaglandins are a good thing, regulating important functions like blood flow, blood clotting, inflammation, and labor induction during pregnancy. They also cause the uterus to contract during menstruation to help shed its lining. But sometimes, especially during your period, your body can over-produce prostaglandins, which can cause prolonged inflammation, intense pain, and heavy bleeding."}],"markDefs":[],"style":"normal"},{"_key":"23f1d658cba4","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"b500ce04aa7a","_type":"block","children":[{"_key":"b013b7c6129d","_type":"span","marks":[],"text":"Got severe period pain? Sign up for Tia's membership and schedule an appointment at a clinic near you."}],"markDefs":[],"style":"normal"},{"_key":"dc04f9d034ca","_type":"block","children":[{"_key":"32bbc468fb92","_type":"span","marks":["em","cfb7231a1fed"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles. "}],"markDefs":[{"_key":"cfb7231a1fed","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"0bd0531ffb07","_type":"buttonBlock","items":[{"_key":"b8731bb072b3","_type":"singleButton","linkCta":"Check your insurance","linkType":"join-scroll"}]}]},{"_key":"008623152a2d","_type":"block","children":[{"_key":"7706c89d9cd70","_type":"span","marks":[],"text":"Conventional Strategies for Reducing Period Pain"}],"markDefs":[],"style":"h1"},{"_key":"59cea582d5ca","_type":"block","children":[{"_key":"9bba732b549b0","_type":"span","marks":[],"text":"Over the Counter Pain Relievers"}],"markDefs":[],"style":"h3"},{"_key":"c60fe1cff482","_type":"block","children":[{"_key":"2bcf8e9a966e0","_type":"span","marks":[],"text":"Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) and naproxen (Aleve) are often the first-line of offense against period pain. Why? Because these painkillers actually "},{"_key":"e94af7c9495e","_type":"span","marks":["em"],"text":"block prostaglandin production."}],"markDefs":[],"style":"normal"},{"_key":"ed242c5136a9","_type":"block","children":[{"_key":"9016635fd07e0","_type":"span","marks":[],"text":"This remedy actually strikes directly at the culprit of period pain and cramping. Experts recommend taking regular doses of NSAIDs a day or two before your period starts (or when you first notice symptoms) and continuing until your symptoms dissipate."}],"markDefs":[],"style":"normal"},{"_key":"cc8f86ac35c9","_type":"block","children":[{"_key":"6e4228ab39630","_type":"span","marks":[],"text":"Birth control doesn't just prevent pregnancy"}],"markDefs":[],"style":"h3"},{"_key":"537108430032","_type":"block","children":[{"_key":"0feaca9e98ca0","_type":"span","marks":["b9f2cd8f56fd"],"text":"Hormonal birth control"},{"_key":"628a6adf61b5","_type":"span","marks":[],"text":" methods contain hormones that prevent ovulation and reduce the severity of menstrual cramps by also blocking prostaglandin production. They can also shorten and lighten periods. So, even if your pain isn’t completely eliminated, at least you’ll experience it for a shorter duration. These hormones can be delivered in several forms, including pills, patches, implants, injections, vaginal rings, and IUDs."}],"markDefs":[{"_key":"b9f2cd8f56fd","_type":"internalLink","linkType":"text","reference":{"_ref":"ab3cc22d-086a-474b-a093-0be65e222f51","_type":"reference"}}],"style":"normal"},{"_key":"e56a0ab82f73","_type":"block","children":[{"_key":"957566b5d99c","_type":"span","marks":["em"],"text":"P.S. If you're interested in getting on hormonal birth control or switching birth controls, we are pros at matching you to the right pill, IUD, implant, etc. based on your wants and needs. "},{"_key":"5617673a2a3a","_type":"span","marks":["em","ce8e08562346"],"text":"Join Tia's membership"},{"_key":"935c0704a311","_type":"span","marks":["em"],"text":" and schedule an appointment at the clinic nearest you!"}],"markDefs":[{"_key":"ce8e08562346","_type":"internalLink","linkType":"text","reference":{"_ref":"8a7e7b1e-7485-4a22-be24-9a2005998452","_type":"reference"}}],"style":"normal"},{"_key":"ac456a44cc38","_type":"block","children":[{"_key":"1237277a3a3c0","_type":"span","marks":[],"text":"Heat the pain to beat the pain"}],"markDefs":[],"style":"h3"},{"_key":"e4c27fba2a7e","_type":"block","children":[{"_key":"fe8060deaa7a0","_type":"span","marks":[],"text":"Sometimes, keeping it simple is the best medicine of all. Applying heat to the lower abdomen/back can work wonders for some uterus owners. A good heating pad or a good old-fashioned warm bath increases blood flow and relaxes muscles, which can provide relief from period pain and cramping."}],"markDefs":[],"style":"normal"},{"_key":"39329109c73f","_type":"block","children":[{"_key":"80f19c480fe30","_type":"span","marks":[],"text":"Move it to lose it"}],"markDefs":[],"style":"h3"},{"_key":"f6f958548bcb","_type":"block","children":[{"_key":"7adb985f77780","_type":"span","marks":[],"text":"Even if you don’t feel up to it (and you won’t), gentle exercise like yoga, stretching, and walking produces feel-good hormones called endorphins that happen to be natural painkillers. Focusing on movement can also provide a distraction from the discomfort."}],"markDefs":[],"style":"normal"},{"_key":"5334fcf9dc28","_type":"block","children":[{"_key":"bf3b71f3cd8b0","_type":"span","marks":[],"text":"Sex (with a partner or alone) likely won’t be on the top of your mind either, but having an orgasm can help alleviate cramping and pain too. Not only does your uterus contract during an orgasm (which can reduce pain and tension), but your body releases endorphins during sexual activity as well."}],"markDefs":[],"style":"normal"},{"_key":"3bb21a667d0d","_type":"block","children":[{"_key":"da83f2f08b6c0","_type":"span","marks":[],"text":"Water for the win"}],"markDefs":[],"style":"h3"},{"_key":"f2181571d05f","_type":"block","children":[{"_key":"400fdb1f75fc0","_type":"span","marks":[],"text":"Staying hydrated is always a good idea, but especially so during your period. Water and other non-sugary, non-carbonated, non-alcoholic beverages can help prevent your body from retaining water (I know that sounds counterintuitive) and reduce bloating, which often exacerbates cramps. Hot herbal teas, particularly those with anti-inflammatory properties like chamomile and ginger, can also be soothing."}],"markDefs":[],"style":"normal"},{"_key":"4a539d7707f8","_type":"block","children":[{"_key":"9a45d189e2660","_type":"span","marks":[],"text":"Food for thought"}],"markDefs":[],"style":"h3"},{"_key":"94a6e207f9e6","_type":"block","children":[{"_key":"f139809a4cd30","_type":"span","marks":[],"text":"What you eat can impact how you feel during your period. Certain foods can exacerbate cramps (think refined sugars, salty snacks, artificial ingredients, caffeine) while others can help minimize them. Eating a balanced diet rich in fresh fruits and vegetables, lean proteins, nuts, healthy fats, and whole grains can help keep inflammation at bay while improving digestion. Foods high in omega-3 fatty acids, vitamin B1 (thiamin), and magnesium (salmon, nuts, leafy greens) may also make you feel better."}],"markDefs":[],"style":"normal"},{"_key":"ac1458bef088","_type":"block","children":[{"_key":"2248ca5344010","_type":"span","marks":[],"text":"Stress is more"}],"markDefs":[],"style":"h3"},{"_key":"51755729b833","_type":"block","children":[{"_key":"ea9489da7aa80","_type":"span","marks":[],"text":"Psychological stress and pain can form a vicious cycle, with each one seeming to feed each other. Finding ways to reduce stress during your period, through mind-body activities like mediation, deep breathing exercises, and hobbies, can help manage pain symptoms."}],"markDefs":[],"style":"normal"},{"_key":"8e3c365aa886","_type":"block","children":[{"_key":"ba221f093a0e0","_type":"span","marks":["strong"],"text":"Alternative Therapies for Period Pain Relief"}],"markDefs":[],"style":"h1"},{"_key":"b28747b791c1","_type":"block","children":[{"_key":"4f7ff8c2c5fc0","_type":"span","marks":[],"text":"Although most alternative therapies for treating menstrual pain and cramping haven’t been studied enough for experts to fully recommend them, there is plenty of anecdotal evidence to support them in certain instances. Generally, complementary therapies fall into the “low risk/high reward” category, so as long as you do your research and talk to your healthcare provider, there is usually no down side to trying one."}],"markDefs":[],"style":"normal"},{"_key":"5a738da23a03","_type":"block","children":[{"_key":"b485a01371f80","_type":"span","marks":[],"text":"Studies have found that "},{"_key":"b485a01371f81","_type":"span","marks":["strong","9d293128d531"],"text":"acupuncture"},{"_key":"b485a01371f82","_type":"span","marks":[],"text":", which involves inserting extremely thin needles through your skin at strategic points, can be useful in treating period cramps and pain."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9d293128d531","_type":"internalLink","linkType":"text","reference":{"_ref":"23c167f3-9a96-4c4a-8fe4-ac97d4f5723b","_type":"reference"}}],"style":"normal"},{"_key":"eb3d594660ae","_type":"block","children":[{"_key":"cc163dd00ba90","_type":"span","marks":[],"text":"Similarly, "},{"_key":"cc163dd00ba91","_type":"span","marks":["strong"],"text":"acupressure"},{"_key":"cc163dd00ba92","_type":"span","marks":[],"text":" works well for some people. This technique, like acupuncture, stimulates certain points on the body, except with gentle pressure instead of needles."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7bbb419f9f7b","_type":"block","children":[{"_key":"3b012ae1f0a20","_type":"span","marks":[],"text":"Certain "},{"_key":"3b012ae1f0a21","_type":"span","marks":["strong"],"text":"dietary supplements"},{"_key":"3b012ae1f0a22","_type":"span","marks":[],"text":", like omega-3 fatty acids, vitamin E, vitamin B1 (thiamin), vitamin B6 (pyridoxine), and magnesium might reduce period cramps."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4525c387a095","_type":"block","children":[{"_key":"3f039fc7a65c1","_type":"span","marks":["strong"],"text":"Massaging your abdomen"},{"_key":"3f039fc7a65c2","_type":"span","marks":[],"text":" "},{"_key":"3f039fc7a65c3","_type":"span","marks":["strong"],"text":"with essential oils"},{"_key":"3f039fc7a65c4","_type":"span","marks":[],"text":" (rosemary, peppermint, clary sage) may provide benefit for people experiencing period pain and cramps."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fde463362ffc","_type":"block","children":[{"_key":"f4dfac4d08b10","_type":"span","marks":[],"text":"A"},{"_key":"f4dfac4d08b11","_type":"span","marks":["strong"],"text":" transcutaneous electrical nerve stimulation (TENS) "},{"_key":"f4dfac4d08b12","_type":"span","marks":[],"text":"device uses electrodes (attached to the skin with adhesive patches) to deliver electrical currents that stimulate nerves. It’s postulated that TENS units raise the pain threshold and release endorphins, both of which can theoretically help reduce pain."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a6411034be5c","_type":"block","children":[{"_key":"97eb2e3f54b70","_type":"span","marks":[],"text":"Don't let cramps "},{"_key":"de16c060b9c4","_type":"span","marks":["em"],"text":"cramp"},{"_key":"7f48ab51babe","_type":"span","marks":[],"text":" your style"}],"markDefs":[],"style":"h2"},{"_key":"e66fa070697b","_type":"block","children":[{"_key":"2eba1a1dd7bd0","_type":"span","marks":[],"text":"Period cramps and pain are common problems that sometimes require an uncommon approach. Still, with the right mix of self-care practices, lifestyle alterations, and possible medical intervention, many people find relief from the pain of periods. Everybody and every "},{"_key":"848ddc5fda84","_type":"span","marks":["em"],"text":"body"},{"_key":"459d508df0b9","_type":"span","marks":[],"text":" are different, so don’t be afraid to try various approaches until you discover your ideal period pain and cramping cocktail."}],"markDefs":[],"style":"normal"},{"_key":"6491d7f85dcf","_type":"block","children":[{"_key":"92e58fd1ed470","_type":"span","marks":[],"text":"If your "},{"_key":"60ac78e3a7e2","_type":"span","marks":["850df9dce909"],"text":"pain and cramps are severe"},{"_key":"76b95a1db453","_type":"span","marks":[],"text":" and nothing seems to help, it’s a good idea to speak with your healthcare provider. In some cases, painful periods can be a sign of underlying conditions like "},{"_key":"3de2dad0dcbe","_type":"span","marks":["f60e3526e414"],"text":"endometriosis"},{"_key":"cc605caead5e","_type":"span","marks":[],"text":", "},{"_key":"f7f535517cf8","_type":"span","marks":["9a7a60eb36e8"],"text":"uterine fibroids"},{"_key":"7384a61a5f0c","_type":"span","marks":[],"text":", adenomyosis, or pelvic inflammatory disease, and a clinical expert will be able to offer personalized advice and treatment options."}],"markDefs":[{"_key":"f60e3526e414","_type":"internalLink","linkType":"text","reference":{"_ref":"6bcab68d-31ec-4735-b466-a805f4bc5dbc","_type":"reference"}},{"_key":"9a7a60eb36e8","_type":"internalLink","linkType":"text","reference":{"_ref":"306ee82f-4e0a-4591-a88c-88225c10490e","_type":"reference"}},{"_key":"850df9dce909","_type":"internalLink","linkType":"text","reference":{"_ref":"283f9bbe-840c-4f88-9493-19d8c9932348","_type":"reference"}}],"style":"normal"},{"_key":"e41fd77a03cd","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"fc46234ec2db","_type":"block","children":[{"_key":"bcf2984477060","_type":"span","marks":[],"text":"Experiencing painful periods or pelvic pain? Sign up for Tia's membership and schedule an appointment at a clinic near you!"}],"markDefs":[],"style":"normal"},{"_key":"dc8354222c42","_type":"block","children":[{"_key":"684e59a75a650","_type":"span","marks":["em","1ec966f0b826"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles. 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Experiencing painful sex once or occasionally is ‘normal’ and usually due to, well, the occasion: inadequate foreplay, a new position, a larger partner. But for some women, painful sex is a chronic and persistent problem that can have far-reaching consequences on sexual, emotional, and mental health as well as relationships."}],"markDefs":[],"style":"normal"},{"_key":"dbb241b32f18","_type":"block","children":[{"_key":"e941dd7d07600","_type":"span","marks":[],"text":"Among other things, painful intercourse can lead to decreased sexual satisfaction, fear and avoidance of sex, psychological stress and feelings of inadequacy, negative feelings about body image, and a decrease in sexual desire and arousal. How does painful sex affect relationships? Even strong couples with healthy communication habits might find a breakdown in communication over this issue and experience relationship tension that builds to become emotional disconnect and discord."}],"markDefs":[],"style":"normal"},{"_key":"6dc5eedcfab9","_type":"block","children":[{"_key":"8adf2d7844e90","_type":"span","marks":[],"text":"Painful intercourse, also known as dyspareunia, is a condition characterized by persistent or recurrent pain experienced by women during sexual activity, including non-penetrative sex. This discomfort can occur before, during, or after sexual activity and can vary in intensity. Pain is never fun, and this is especially true when it accompanies an activity meant to be pleasurable. Sex "},{"_key":"8adf2d7844e91","_type":"span","marks":["em"],"text":"should"},{"_key":"8adf2d7844e92","_type":"span","marks":[],"text":" feel good for men AND women. And just because painful sex is common, women don’t have to accept it as their norm."}],"markDefs":[],"style":"normal"},{"_key":"1be54ca11cdf","_type":"block","children":[{"_key":"b4d5f9147fa80","_type":"span","marks":[],"text":"Painful sex usually has an identifiable cause and usually is treatable. So, if you’re experiencing pain or discomfort during sex, it’s important to seek support and treatment. A thorough history and exam can often reveal a cause and illuminate a treatment. Sex can still be quite stigmatized and talking openly about this subject still proves to be an uncomfortable exercise for many people, women and men alike. But it doesn’t have to be."}],"markDefs":[],"style":"normal"},{"_key":"efc0533ea795","_type":"sectionHeader","title":"Potential cause of pain during sex"},{"_key":"da4cc2726a64","_type":"block","children":[{"_key":"b6159d4fb5e70","_type":"span","marks":[],"text":"Painful sex can have various causes, and it’s important to identify (along with your care provider) any underlying factors that might shape treatment. Here are some of the most common physical and psychological causes of painful sex:"}],"markDefs":[],"style":"normal"},{"_key":"eb53913f8131","_type":"block","children":[{"_key":"32167e80597a0","_type":"span","marks":[],"text":"Vaginal Dryness"}],"markDefs":[],"style":"h5"},{"_key":"346cca286f88","_type":"block","children":[{"_key":"89e122793781","_type":"span","marks":[],"text":"Dryness is one of the most common causes of painful sex, and it can occur at any age for many reasons. Besides making sex uncomfortable, dryness can also disrupt the vagina’s balance of healthy and unhealthy bacteria, which can cause an infection. (This also causes painful sex.) Dryness happens for several reasons, including inadequate foreplay, decreased sexual desire, medications, relationship problems, anxiety, breastfeeding, and birth control. Perimenopause and menopause deserve special consideration since these phases are when the majority of women experience painful sex. The reason? The significant hormonal drop (especially estrogen) during this time in life can cause vaginal atrophy or thinning and shrinkage of vaginal tissue."}],"markDefs":[],"style":"normal"},{"_key":"a5f099a5daac","_type":"block","children":[{"_key":"48949d13b1690","_type":"span","marks":[],"text":"Infection"}],"markDefs":[],"style":"h5"},{"_key":"fe0b8747a965","_type":"block","children":[{"_key":"e06c9eb323410","_type":"span","marks":["6d6c82637994"],"text":"Many STIs"},{"_key":"c0169b478602","_type":"span","marks":[],"text":" can cause pain with sex, including chlamydia, gonorrhea, and genital herpes. Other common vaginal infections include: "},{"_key":"3c7918edb1bd","_type":"span","marks":["10d524a52876"],"text":"yeast infections, bacterial vaginosis (BV)"},{"_key":"36ab4920324d","_type":"span","marks":[],"text":", "},{"_key":"c2a0ac659343","_type":"span","marks":["4954a07e4c92"],"text":"UTIs"},{"_key":"57b39aba568f","_type":"span","marks":[],"text":", and vaginitis. "},{"_key":"d6b2300fcb81","_type":"span","marks":["d3b380db9fea"],"text":"If you have an infection"},{"_key":"fc17fb8106a5","_type":"span","marks":[],"text":", you will likely have other symptoms, such as discharge and itching."}],"markDefs":[{"_key":"10d524a52876","_type":"internalLink","linkType":"text","reference":{"_ref":"8f0a7f7b-d178-4966-82ff-39f310b2b589","_type":"reference"}},{"_key":"4954a07e4c92","_type":"internalLink","linkType":"text","reference":{"_ref":"5dc6f871-a243-459e-8f06-43f0af3d8915","_type":"reference"}},{"_key":"d3b380db9fea","_type":"internalLink","linkType":"text","reference":{"_ref":"911870d8-c589-4a4d-8d3a-af2b05ba6b77","_type":"reference"}},{"_key":"6d6c82637994","_type":"internalLink","linkType":"text","reference":{"_ref":"58606dd2-9b5e-4fc1-bb3f-f1b5d0da143d","_type":"reference"}}],"style":"normal"},{"_key":"bc6952978d6d","_type":"block","children":[{"_key":"ff38622731150","_type":"span","marks":[],"text":"Endometriosis"}],"markDefs":[],"style":"h5"},{"_key":"4dd286bbca22","_type":"block","children":[{"_key":"0ec6a5e757bf0","_type":"span","marks":[],"text":"Endometriosis is caused by uterine (endometrial) tissue growing outside of the uterus in other areas of the pelvis, such as the ovaries and fallopian tubes. Endometriosis often makes sexual activity painful, especially with deep penetration."}],"markDefs":[],"style":"normal"},{"_key":"f70df7ef9b1d","_type":"block","children":[{"_key":"979d09e8cbbd","_type":"span","marks":[],"text":"Vulvodynia"}],"markDefs":[],"style":"h5"},{"_key":"f1da8742a2df","_type":"block","children":[{"_key":"c264a2fd8a800","_type":"span","marks":[],"text":"Some women suffer from chronic pain of the vulva, which can cause generalized burning, stinging, soreness, itching and, of course, painful sex."}],"markDefs":[],"style":"normal"},{"_key":"72729de889d6","_type":"block","children":[{"_key":"1bc91c77b89f0","_type":"span","marks":[],"text":"Vaginismus"}],"markDefs":[],"style":"h5"},{"_key":"296d0c21b10d","_type":"block","children":[{"_key":"09105200d9160","_type":"span","marks":[],"text":"Vaginismus occurs when the muscles surrounding and inside the vagina spasm. Sexual activity often triggers a tightening of the vagina that makes penetration difficult and painful."}],"markDefs":[],"style":"normal"},{"_key":"47e5d64c2ddf","_type":"block","children":[{"_key":"2046dda656020","_type":"span","marks":[],"text":"Vaginal Injury"}],"markDefs":[],"style":"h5"},{"_key":"7281edff7ceb","_type":"block","children":[{"_key":"cafdb1f66bc10","_type":"span","marks":[],"text":"Injury or previous vaginal trauma can cause painful sex. Some common injuries include: recent childbirth, pelvic surgery, past sexual trauma, and accidents."}],"markDefs":[],"style":"normal"},{"_key":"5cc28baef0bd","_type":"block","children":[{"_key":"2632fb8c134a0","_type":"span","marks":[],"text":"Interstitial Cystitis"}],"markDefs":[],"style":"h5"},{"_key":"48cd0c9879ff","_type":"block","children":[{"_key":"62f0aa8ede880","_type":"span","marks":[],"text":"Also known as painful bladder syndrome, this condition often causes symptoms that mimic a bladder infection, including pain, pressure, and frequent urge to urinate."}],"markDefs":[],"style":"normal"},{"_key":"413cb3e5e743","_type":"block","children":[{"_key":"ad907a8efd1c0","_type":"span","marks":[],"text":"Pelvic Floor Dysfunction"}],"markDefs":[],"style":"h5"},{"_key":"120408c38242","_type":"block","children":[{"_key":"d42bdc6b5cd10","_type":"span","marks":[],"text":"Weakened or damaged pelvic floor muscles – the ones you tighten when trying to stop urinating suddenly – can cause several annoying and unwanted conditions, including incontinence, constipation, pelvic organ prolapse, and painful sex."}],"markDefs":[],"style":"normal"},{"_key":"bc758e36e608","_type":"block","children":[{"_key":"11dbbe0606ef0","_type":"span","marks":[],"text":"Ovarian Cysts and Uterine Fibroids"}],"markDefs":[],"style":"h5"},{"_key":"b353f8d19ff9","_type":"block","children":[{"_key":"a99c41f4bf340","_type":"span","marks":[],"text":"These "},{"_key":"e02ae778fa2d","_type":"span","marks":["8bd3bd4a3483"],"text":"fluid-filled sacs"},{"_key":"1b4334041c7d","_type":"span","marks":[],"text":" on the ovaries and non-cancerous growths on the uterus can cause heavy periods, pelvic pain and pressure, and painful intercourse."}],"markDefs":[{"_key":"8bd3bd4a3483","_type":"internalLink","linkType":"text","reference":{"_ref":"47ec45bc-c4b1-4d19-9561-72aa889eb8a7","_type":"reference"}}],"style":"normal"},{"_key":"d05c861ec2ae","_type":"block","children":[{"_key":"defbf305627e0","_type":"span","marks":[],"text":"Past Trauma"}],"markDefs":[],"style":"h5"},{"_key":"9c77743b380e","_type":"block","children":[{"_key":"022d583c35c80","_type":"span","marks":[],"text":"In response to past physical and sexual trauma, some women develop an increased sensitivity to pain or coping mechanisms, like muscle tightening, to counteract intrusive thoughts and feelings associated with the trauma they experienced. Clearly, this can make sex difficult and painful in physical and emotional ways, but many trauma survivors find comfort in talking to a therapist or counselor about their experiences and symptoms."}],"markDefs":[],"style":"normal"},{"_key":"e887a5868211","_type":"block","children":[{"_key":"f10a7a34e7930","_type":"span","marks":[],"text":"Stress and Anxiety"}],"markDefs":[],"style":"h5"},{"_key":"b05859081f04","_type":"block","children":[{"_key":"2c5e6ee2a8ae0","_type":"span","marks":[],"text":"Emotional stress and anxiety can lead to muscle tension and pain with intercourse."}],"markDefs":[],"style":"normal"},{"_key":"781e8df9c86c","_type":"block","children":[{"_key":"18ed75bbd4080","_type":"span","marks":[],"text":"Relationship Issues"}],"markDefs":[],"style":"h5"},{"_key":"cdac62cf1fbf","_type":"block","children":[{"_key":"77ef35a51d720","_type":"span","marks":[],"text":"Unresolved conflicts and emotional distance between partners can contribute to dyspareunia."}],"markDefs":[],"style":"normal"},{"_key":"b2087cc14246","_type":"block","children":[{"_key":"e86eca8f22c90","_type":"span","marks":[],"text":"Medical Treatments"}],"markDefs":[],"style":"h5"},{"_key":"93e93fad5cbe","_type":"block","children":[{"_key":"f3c25a3095120","_type":"span","marks":[],"text":"Certain medical treatments, such as radiation and chemotherapy, can have side effects that impact sexual function and cause pain."}],"markDefs":[],"style":"normal"},{"_key":"5df6e7b606e0","_type":"block","children":[{"_key":"4b2a9def4d300","_type":"span","marks":[],"text":"Allergies or Irritants"}],"markDefs":[],"style":"h5"},{"_key":"91415383c9d9","_type":"block","children":[{"_key":"8317e3691f630","_type":"span","marks":[],"text":"Allergic reactions to products like latex condoms, spermicide, or feminine products can cause irritation and pain during sex."}],"markDefs":[],"style":"normal"},{"_key":"4bd35459bfe5","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"73e1a39668e6","_type":"block","children":[{"_key":"a46cd3b6c85e","_type":"span","marks":[],"text":"If you're experiencing pain during sex, sign up for Tia's membership and schedule an appointment at a Tia clinic near you!"}],"markDefs":[],"style":"normal"},{"_key":"3b7f1282c322","_type":"buttonBlock","items":[{"_key":"17cc714fbea6","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"fa800995398d","_type":"sectionHeader","title":"Ways to prevent pain during sex"},{"_key":"1bc4aca2a0c0","_type":"block","children":[{"_key":"8cd12cd190c80","_type":"span","marks":[],"text":"The list of potential causes of painful sex is long. Thankfully, there are just as many strategies women can use to prepare their bodies and minds for sex beforehand. Great sex requires instinct and creativity, but it also demands planning and routine. It requires foreplay AND forethought. And this is especially true if one partner is experiencing pain or discomfort with sex. So, let’s look at a few strategies that might be useful in preparing for sex while also exploring lifestyle and health tips to promote overall sexual health and wellness."}],"markDefs":[],"style":"normal"},{"_key":"b09bdd9f9df7","_type":"block","children":[{"_key":"6fb85377bbc10","_type":"span","marks":[],"text":"Prioritize Foreplay"}],"markDefs":[],"style":"h5"},{"_key":"f1f74f403a8c","_type":"block","children":[{"_key":"c5b75f31f56b0","_type":"span","marks":[],"text":"Surveys say both women and men want more foreplay. So, this is a great place to start! While there is no perfect amount or type of foreplay, sex experts generally recommend 20-30 minutes of foreplay – kissing, touching, cuddling, sharing a fantasy, sensual massage, or really any words or actions that promote safety, intimacy, and connection."}],"markDefs":[],"style":"normal"},{"_key":"43ddb51c0502","_type":"block","children":[{"_key":"8f4fcc8daf6d0","_type":"span","marks":[],"text":"Lubricate"}],"markDefs":[],"style":"h5"},{"_key":"46f0cebaf1a2","_type":"block","children":[{"_key":"544c391626e00","_type":"span","marks":[],"text":"Buy a good lube and use it. Lots of it. Early and often. Not only can lubricant be a fun part of foreplay, it also reduces friction and enhances sensitivity and comfort. Water-based and silicone-based lubes are most popular, but there are oil-based and hybrid models that work wonders as well. Do your research and be picky. Your body and sex life deserve it!"}],"markDefs":[],"style":"normal"},{"_key":"b366038a9c86","_type":"block","children":[{"_key":"dc82c8ea21490","_type":"span","marks":[],"text":"Strengthen Your Pelvic Floor"}],"markDefs":[],"style":"h5"},{"_key":"e159cbb8ffb2","_type":"block","children":[{"_key":"82c61572ec980","_type":"span","marks":[],"text":"Pelvic floor exercises, like kegels, can strengthen and tone muscles in the pelvic region, which can reduce pain during sex. Even some fitness classes are paying more attention to exercising the pelvic floor. As always, check with your physician before beginning an exercise routine."}],"markDefs":[],"style":"normal"},{"_key":"7caf1eb80908","_type":"block","children":[{"_key":"0ec3ec8458bb","_type":"span","marks":[],"text":"Relax"}],"markDefs":[],"style":"h5"},{"_key":"8defe9b58963","_type":"block","children":[{"_key":"6c2b697da7f20","_type":"span","marks":[],"text":"Or at least try to. Put away your phone and to-do list and focus on being present with your partner. Take a bath or shower, listen to music, practice mindfulness, or do whatever works for you to put your body and mind in a more relaxed, less distracted place."}],"markDefs":[],"style":"normal"},{"_key":"435c3710bf3d","_type":"block","children":[{"_key":"19c7e3aef9fe0","_type":"span","marks":[],"text":"Communicate Openly and Honestly"}],"markDefs":[],"style":"h5"},{"_key":"251fad77d1b3","_type":"block","children":[{"_key":"fd4416d566760","_type":"span","marks":[],"text":"One of the best ways to improve a sexual experience is by talking openly with your partner about your feelings, concerns, and anxieties related to painful sex. Establishing a supportive and understanding environment is crucial and checking in during sex is important too."}],"markDefs":[],"style":"normal"},{"_key":"2f3a63447001","_type":"block","children":[{"_key":"9893eb5542cd0","_type":"span","marks":[],"text":"Experiment with Positions"}],"markDefs":[],"style":"h5"},{"_key":"9203b0723b72","_type":"block","children":[{"_key":"d2cb5aa1d0910","_type":"span","marks":[],"text":"Certain sexual positions may be more comfortable than others. Experimenting with positions that allow for better control over depth and angle can help minimize pain."}],"markDefs":[],"style":"normal"},{"_key":"a16202ffee38","_type":"block","children":[{"_key":"42c60fb42bce0","_type":"span","marks":[],"text":"Explore Non-penetrative Intimacy"}],"markDefs":[],"style":"h5"},{"_key":"da7cbb667420","_type":"block","children":[{"_key":"c774913e4a4b0","_type":"span","marks":[],"text":"There are so many ways to give and receive pleasure during sex that don’t involve penetration. Study up! And go for it. This can help maintain emotional and physical connection without causing pain."}],"markDefs":[],"style":"normal"},{"_key":"54c867098e5b","_type":"sectionHeader","title":"When to see a doctor"},{"_key":"e6b1c40e7246","_type":"block","children":[{"_key":"6c76ddf6c90f0","_type":"span","marks":[],"text":"Seeking medical advice and understanding for painful sex is a critical and proactive step toward identifying, addressing, and resolving underlying causes of pain. Medical professionals can also rule out any serious conditions and provide education about sexual health, anatomy, and contributing factors."}],"markDefs":[],"style":"normal"},{"_key":"7e623b8e92a3","_type":"block","children":[{"_key":"812926ab8a3a0","_type":"span","marks":[],"text":"Diagnosing and treating painful sex involves a comprehensive approach that includes a thorough medical history, a physical exam (including a pelvic exam), and additional testing. Besides taking a detailed sexual health history and performing a pelvic exam, your provider might order blood tests (to assess hormonal imbalances), take vaginal cultures (to rule out an infection), do imaging studies (to assess pelvic organ health), order allergy testing, and recommend a procedure to evaluate and treat endometriosis."}],"markDefs":[],"style":"normal"},{"_key":"711aaf5d391f","_type":"block","children":[{"_key":"1b56981a7219","_type":"span","marks":[],"text":"Treatment for painful sex depends on the underlying cause(s), and many women who experience pain with sex follow a personalized treatment plan that involves a combination of strategies, potentially including:"}],"markDefs":[],"style":"normal"},{"_key":"5bae7b401405","_type":"block","children":[{"_key":"704dabce7107","_type":"span","marks":[],"text":"Topical Treatments"}],"markDefs":[],"style":"h5"},{"_key":"ebf19eefa2a3","_type":"block","children":[{"_key":"84c694a3a95e0","_type":"span","marks":[],"text":"Vaginal estrogen therapy might improve dryness in perimenopausal and menopausal women while lubrication can be helpful for any woman experiencing dyspareunia. Lidocaine or another prescribed numbing agent may be recommended to alleviate pain and discomfort, especially for women suffering from vulvodynia or a vaginal injury."}],"markDefs":[],"style":"normal"},{"_key":"e8684ce92ae1","_type":"block","children":[{"_key":"113dbca91f4b0","_type":"span","marks":[],"text":"Antibiotic or Antifungal Medications"}],"markDefs":[],"style":"h5"},{"_key":"095905fa532d","_type":"block","children":[{"_key":"df0aae61c0990","_type":"span","marks":[],"text":"If an infection is identified, antibiotics or antifungals might be prescribed to treat the underlying cause."}],"markDefs":[],"style":"normal"},{"_key":"8b408032d57e","_type":"block","children":[{"_key":"177b1913ba6b0","_type":"span","marks":[],"text":"Physical Therapy"}],"markDefs":[],"style":"h5"},{"_key":"0b348ac73c4b","_type":"block","children":[{"_key":"8ce71bbcf4030","_type":"span","marks":[],"text":"Pelvic floor physical therapy involves exercises and techniques to relax and strengthen pelvic floor muscles, which can be beneficial for vaginismus and pelvic floor dysfunction."}],"markDefs":[],"style":"normal"},{"_key":"1b38fa15f7ba","_type":"block","children":[{"_key":"5c54bc16af970","_type":"span","marks":[],"text":"Surgical Intervention"}],"markDefs":[],"style":"h5"},{"_key":"52291e815501","_type":"block","children":[{"_key":"ebadbfdb2ecf0","_type":"span","marks":[],"text":"Certain cases of endometriosis or structural abnormalities might require surgery to remove scar tissue and address anatomical issues."}],"markDefs":[],"style":"normal"},{"_key":"6fd639981d9b","_type":"block","children":[{"_key":"0e59df73aa0b0","_type":"span","marks":[],"text":"Counseling or Sex Therapy"}],"markDefs":[],"style":"h5"},{"_key":"c4233fc621ae","_type":"block","children":[{"_key":"9514bac9e4180","_type":"span","marks":[],"text":"For psychological factors contributing to painful sex, counseling or sex therapy might be recommended to address emotional concerns, trauma, and relationship issues. Additionally, cognitive behavioral therapy and some medications can be useful for people experiencing anxiety, depression, and other mental illnesses impacting sex."}],"markDefs":[],"style":"normal"},{"_key":"d10c8a7bd291","_type":"block","children":[{"_key":"013508ab3a760","_type":"span","marks":[],"text":"Lifestyle Changes"}],"markDefs":[],"style":"h5"},{"_key":"22096dc39efa","_type":"block","children":[{"_key":"c9990b050e3e0","_type":"span","marks":[],"text":"Making lifestyle changes, like managing stress, eating a healthy diet, staying hydrated, and getting regular exercise can have a positive impact on pain and overall sexual health."}],"markDefs":[],"style":"normal"},{"_key":"177dbcf4f766","_type":"sectionHeader","title":"Turn our \"Ouch!\" into \"Ooooh!\""},{"_key":"adb633b24faa","_type":"block","children":[{"_key":"cdb71a198e310","_type":"span","marks":[],"text":"Painful sex is a complex issue that requires understanding, patience, and proactive efforts. It can have profound effects on a person's sexual health and relationships. So, seeking professional help, fostering open communication, and exploring appropriate treatments are essential steps toward addressing the physical and emotional aspects of this condition. Preparing your mind and body for sex when it’s painful involves a combination of physical and psychological strategies, including extending foreplay, practicing self-compassion, strengthening your pelvic floor muscles, making lifestyle changes, and counseling."}],"markDefs":[],"style":"normal"},{"_key":"ce8b10c8b721","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"615ddd1065b4","_type":"block","children":[{"_key":"c2b7724dd149","_type":"span","marks":[],"text":"If you’re experiencing pain or discomfort with sex, Tia can work with you to identify the cause and get a tailored treatment plan started that feels comfortable for you. Sign up for Tia and schedule an appointment at the clinic nearest you!"}],"markDefs":[],"style":"normal"},{"_key":"0032df2efbfe","_type":"buttonBlock","items":[{"_key":"2a90aac7aa86","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]}],"image":{"_type":"image","asset":{"_ref":"image-79034b78420d114ccff1f78bc15e2fb7b4a60f8c-2800x1600-png","_type":"reference"}},"publishedAt":"2023-12-03T23:04:00.000Z","slug":{"_type":"slug","current":"pain-during-sex-causes-treatment"},"status":"production","title":"When \"Ouch!\" Replaces \"Ooh!\" - Understanding Pain During Sex and What to Do About it","topics":[{"_key":"5e490b9c0091","_ref":"8620b4dd-9ad9-4abc-96fb-b7bffc848982","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Painful intercourse is a common problem for many women, but it doesn't have to be. 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Common symptoms of yeast infections include:"}],"markDefs":[{"_key":"8c81ad72d781","_type":"internalLink","linkType":"text","reference":{"_ref":"8f0a7f7b-d178-4966-82ff-39f310b2b589","_type":"reference"}}],"style":"normal"},{"_key":"a4b6b8a310da","_type":"block","children":[{"_key":"7add119052fa0","_type":"span","marks":[],"text":"Itching and irritation on the vulva and around the vagina"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"72d9b0f26fd7","_type":"block","children":[{"_key":"ae238c304f5a0","_type":"span","marks":[],"text":"Pain with urination and intercourse"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0b6e2878f2e6","_type":"block","children":[{"_key":"0c4d7cbbf42d0","_type":"span","marks":[],"text":"Red or swollen vulvar and vaginal tissues"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b606b424b302","_type":"block","children":[{"_key":"1ad99cd41f2c0","_type":"span","marks":[],"text":"Abnormal discharge that can be watery or white and clumpy"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"11b50920ca67","_type":"block","children":[{"_key":"10bf3a75ecde0","_type":"span","marks":[],"text":"Most people are comfortable self-treating with over-the-counter topical medications. However many vagina owners don’t realize how important it is to get an accurate diagnosis when experiencing recurrent yeast infections."}],"markDefs":[],"style":"normal"},{"_key":"44c216182de3","_type":"block","children":[{"_key":"7a3b45e54d9b0","_type":"span","marks":[],"text":"Clinical evaluation of recurrent yeast infections is a must-do. Self-diagnosing can lead to missing important contributors like contraceptive use, weakened immune system, and high blood sugar. It's best to "},{"_key":"9aa4aae3fe57","_type":"span","marks":["ebe888655402"],"text":"consult a medical professional"},{"_key":"3c8ec7cc48ad","_type":"span","marks":[],"text":" for accurate diagnosis and treatment."}],"markDefs":[{"_key":"ebe888655402","_type":"internalLink","linkType":"text","reference":{"_ref":"911870d8-c589-4a4d-8d3a-af2b05ba6b77","_type":"reference"}}],"style":"normal"},{"_key":"205e40eb87bd","_type":"block","children":[{"_key":"95bf29f694e90","_type":"span","marks":[],"text":"Examining the vagina and collecting a sample can identify the specific type of Candida fungus causing the infection. This includes strains of "},{"_key":"95bf29f694e91","_type":"span","marks":["em"],"text":"Candida albicans"},{"_key":"95bf29f694e92","_type":"span","marks":[],"text":" that are resistant to treatment."}],"markDefs":[],"style":"normal"},{"_key":"3a8222b50e12","_type":"block","children":[{"_key":"f188d9c023b90","_type":"span","marks":[],"text":"Treating Chronic Yeast Infections"}],"markDefs":[],"style":"h1"},{"_key":"6ee8e21140f1","_type":"block","children":[{"_key":"4c6a058f724f0","_type":"span","marks":[],"text":"For episodic yeast infections, topical over-the-counter anti-fungal medications or a single oral dose of fluconazole are still the most commone forms of treatment. When used correctly, these first-line treatment choices resolve symptoms quickly and produce a negative culture in up to 90% of women who complete treatment."}],"markDefs":[],"style":"normal"},{"_key":"003f338c4ef3","_type":"block","children":[{"_key":"12ee089f84540","_type":"span","marks":[],"text":"For repeat yeast infections, it's best to use the prescribed or over-the-counter treatment for an extended period. Doctors often recommend a maintenance regimen, too."}],"markDefs":[],"style":"normal"},{"_key":"1e61eb584143","_type":"block","children":[{"_key":"342bc8fbb5690","_type":"span","marks":[],"text":"Chronic infections often need more than one dose of fluconazole or up to two weeks of topical treatment. For reference, standard treatment can last for one, three, or seven days. "}],"markDefs":[],"style":"normal"},{"_key":"edf1c2d52448","_type":"block","children":[{"_key":"cce1035deccc0","_type":"span","marks":[],"text":"For example, the "},{"_key":"9c18bb6ca923","_type":"span","marks":["41a2e3d334e2"],"text":"CDC"},{"_key":"f3e599278c00","_type":"span","marks":[],"text":" recommends using oral fluconazole weekly for six months as an initial treatment for recurrent yeast infections."}],"markDefs":[{"_key":"41a2e3d334e2","_type":"externalLink","linkType":"text","url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812501/"}],"style":"normal"},{"_key":"b332b387081e","_type":"block","children":[{"_key":"6cc354b0ebd70","_type":"span","marks":[],"text":"The long story short: After the acute infection has been treated, followed preventive therapy is important even if optimal treatment. Consequently, treatment must be individualized based on efficacy, convenience, side effects profile, and cost."}],"markDefs":[],"style":"normal"},{"_key":"37bd50a33299","_type":"block","children":[{"_key":"9330dbb4593d0","_type":"span","marks":[],"text":"Most experts agree on a strategy that includes treating the initial yeast infection then starting maintenance therapy at one to three times per week using a topical medication of choice. Twice a week dosing is most often utilized. "},{"_key":"fbc1a8836163","_type":"span","marks":["f7576d830eb8"],"text":"Boric acid"},{"_key":"a529305f450b","_type":"span","marks":[],"text":" is also an option for either "},{"_key":"9330dbb4593d1","_type":"span","marks":["em"],"text":"Candida albicans"},{"_key":"9330dbb4593d2","_type":"span","marks":[],"text":" or "},{"_key":"9330dbb4593d3","_type":"span","marks":["em"],"text":"non-albicans"},{"_key":"9330dbb4593d4","_type":"span","marks":[],"text":" fungi. Most studies also suggest prophylaxis for six months before re-evaluating and re-adjusting the medication, dosage, and frequency based on symptoms and recurrence rates."}],"markDefs":[{"_key":"f7576d830eb8","_type":"internalLink","linkType":"text","reference":{"_ref":"131cbcb8-4730-40d1-a602-bcab3cc457b9","_type":"reference"}}],"style":"normal"},{"_key":"2448cbfb9d9d","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"59a70d2da6e7","_type":"block","children":[{"_key":"faf428fda5c7","_type":"span","marks":[],"text":"Struggling with chronic yeast infections? Become a Tia member and schedule an appointment at a clinic near you!"}],"markDefs":[],"style":"normal"},{"_key":"91f04ec70a84","_type":"block","children":[{"_key":"c3e2b91f97410","_type":"span","marks":["em","394801feed76"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles."}],"markDefs":[{"_key":"394801feed76","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"4f46d025a805","_type":"buttonBlock","items":[{"_key":"6de6ec891743","_type":"singleButton","linkCta":"Check your insurance","linkType":"join-scroll"}]},{"_key":"57cb5c768a7f","_type":"block","children":[{"_key":"16410eaf63cd0","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"}]},{"_key":"6a76fb0c025e","_type":"block","children":[{"_key":"c3254461c5d50","_type":"span","marks":[],"text":"Alternative Therapies, Lifestyle Adjustments, and Personal Triggers"}],"markDefs":[],"style":"h1"},{"_key":"ed0c9fa97052","_type":"block","children":[{"_key":"794e6e1411870","_type":"span","marks":[],"text":"Some people, especially those who don’t respond to conventional treatments, explore alternative therapies for treating and preventing recurrent yeast infections, including tea tree oil, garlic supplements, essential oil of oregano, boric acid, and probiotics. Many of these “at-home” remedies fall into the “won’t hurt/might help” category, but it’s critical to consult with a healthcare provider before trying any of these methods to make sure they’re safe and, at least, potentially effective."}],"markDefs":[],"style":"normal"},{"_key":"35c7c53ad155","_type":"block","children":[{"_key":"1510f8642d340","_type":"span","marks":[],"text":"Certain lifestyle and diet changes may help prevent the recurrence of yeast infections. Many people also find it helpful to be made aware of behaviors, practices, and situations that can lead to recurrent yeast infections."}],"markDefs":[],"style":"normal"},{"_key":"eedd5748d7e6","_type":"block","children":[{"_key":"68bbd275e5a30","_type":"span","marks":["strong"],"text":"Genital Hygiene:"},{"_key":"5a8d3dff7928","_type":"span","marks":[],"text":" Avoid over-washing or using harsh, scented products that can disrupt healthy vaginal flora."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"511e4de90bd5","_type":"block","children":[{"_key":"60fa66c653ec0","_type":"span","marks":["strong"],"text":"Clothing:"},{"_key":"500aec63a628","_type":"span","marks":[],"text":" Breathable, loose-fitting clothes and underwear made from natural fibers reduce moisture and heat, which promotes yeast growth."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"eaf39d39c2a2","_type":"block","children":[{"_key":"2b81cd14dc510","_type":"span","marks":["strong"],"text":"Diet:"},{"_key":"50124a9aee8e","_type":"span","marks":[],"text":" Yeast feeds on sugar, so reducing sugar consumption and refined carbohydrates is advisable."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"380f5a1bf46f","_type":"block","children":[{"_key":"fa81baaca0f90","_type":"span","marks":["strong"],"text":"Antibiotics:"},{"_key":"2f6f0618fcfc","_type":"span","marks":[],"text":" Antibiotics kill healthy, protective vaginal bacteria. Ask your provider for strategies, like eating yogurt with "},{"_key":"fa81baaca0f91","_type":"span","marks":["em"],"text":"lactobacillus"},{"_key":"fa81baaca0f92","_type":"span","marks":[],"text":", to prevent yeast overgrowth if you are prescribed antibiotics."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8d597745b1bd","_type":"block","children":[{"_key":"7fd8c09acbe00","_type":"span","marks":["strong"],"text":"Diabetes:"},{"_key":"b16c956e6964","_type":"span","marks":[],"text":" High blood sugar (hyperglycemia) is considered a risk factor for recurrent yeast infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"760bf5c5ea99","_type":"block","children":[{"_key":"06f35bc65e690","_type":"span","marks":["strong"],"text":"Contraceptive Methods:"},{"_key":"0a6bbd5e098d","_type":"span","marks":[],"text":" Vaginal sponges, diaphragms, spermicidal gels, birth control pills, and hormonal IUDs may increase the risk of yeast infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8f4e4eb40b60","_type":"block","children":[{"_key":"6e1a08ea0fec0","_type":"span","marks":["strong"],"text":"Weakened Immune System:"},{"_key":"ddb420f7cd8c","_type":"span","marks":[],"text":" Yeast infections are more common in people with weak immune systems due to HIV, other illnesses, or certain medications like steroids and chemotherapy."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"14f8abb0e72f","_type":"block","children":[{"_key":"61b035dd4e750","_type":"span","marks":["strong"],"text":"Sexual Activity:"},{"_key":"05a8251ca975","_type":"span","marks":[],"text":" Yeast infections are not STIs, but some studies have found a positive correlation between frequency of sex and frequency of yeast infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b2ad0fae0683","_type":"block","children":[{"_key":"a693ab280c270","_type":"span","marks":["strong"],"text":"Pregnancy:"},{"_key":"c0911f1d0181","_type":"span","marks":[],"text":" Pregnant women (and anyone experiencing hormonal shifts) are more prone to yeast infections because hormone changes can alter the pH balance of the vagina."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"51a4ffc6b7e0","_type":"block","children":[{"_key":"c4b04f5a5aae0","_type":"span","marks":[],"text":"Win the Fight Against Chronic Yeast Infections"}],"markDefs":[],"style":"h1"},{"_key":"9bb2c8f61d3c","_type":"block","children":[{"_key":"9492ce230cca0","_type":"span","marks":[],"text":"Recurrent yeast infections require a multifaceted approach to treatment and prevention. Beyond the immediate relief provided by antifungal medications, finding the right strategy for preventing recurrent yeast infections can take a trial of time and error. It’s important to work with your healthcare provider to develop a personalized plan that considers the unique aspects of your health and lifestyle. "}],"markDefs":[],"style":"normal"},{"_key":"a3bd110e64bb","_type":"block","children":[{"_key":"1253da663e9f","_type":"span","marks":[],"text":"Besides that, considering alternative therapies, addressing lifestyle factors, making dietary changes, and recognizing triggers are other ways to significantly reduce the odds of experiencing recurrent yeast infections going forward."}],"markDefs":[],"style":"normal"},{"_key":"e73a8d29d860","_type":"block","children":[{"_key":"7bbb21af8d57","_type":"span","marks":[],"text":"If you’re suffering from chronic yeast infections, it’s important to know that what you’re feeling is valid and you don’t have to “just deal with it.” Meeting with a healthcare provider can help you figure out what’s going on and get the relief you deserve. At Tia, our team of women’s health experts use a comprehensive approach to connect the dots on your symptoms, find the root cause, and create a treatment plan that’s personalized to you. (And yes, "},{"_key":"345414209742","_type":"span","marks":["9b5831e16bdb"],"text":"we even take insurance!"},{"_key":"e851c55075e4","_type":"span","marks":[],"text":")"}],"markDefs":[{"_key":"9b5831e16bdb","_type":"internalLink","linkType":"text","reference":{"_ref":"e8b9416b-5100-458a-9025-81ebf0119364","_type":"reference"}}],"style":"normal"},{"_key":"f3854d6c9e50","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"3c88d1e2749c","_type":"block","children":[{"_key":"c8d6b810343d","_type":"span","marks":[],"text":"Got chronic yeast infections? Become a Tia member and book an appointment at your nearest clinic!"}],"markDefs":[],"style":"large"},{"_key":"5fcc65d4e9b6","_type":"block","children":[{"_key":"e7bfa4763bd9","_type":"span","marks":["em","1959101a96aa"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles."}],"markDefs":[{"_key":"1959101a96aa","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"2cefa35d129d","_type":"buttonBlock","items":[{"_key":"6445f9994418","_type":"singleButton","linkCta":"Check your insurance","linkType":"join-scroll"}]}]}],"image":{"_type":"image","asset":{"_ref":"image-d61bedf16196f60e1a541d3628b3a168f0eea123-4200x2400-png","_type":"reference"}},"publishedAt":"2024-03-21T22:49:00.000Z","slug":{"_type":"slug","current":"chronic-yeast-infections"},"status":"production","title":"Finding Relief: Common Causes and Remedies for Chronic Yeast Infections","topics":[{"_key":"36b8e8de4b0d","_ref":"89607dc2-e10c-41f9-9c9b-a3aa5bd0479d","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Delve into the common causes and effective remedies for chronic yeast infections with this comprehensive article. 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Too many people have been conditioned to “suck it up” and “suffer in silence” with pelvic pain and cramps that seriously cramp their lifestyles."}],"markDefs":[],"style":"normal"},{"_key":"297d5896683b","_type":"block","children":[{"_key":"6359e498afa60","_type":"span","marks":[],"text":"If you have a vagina and have been “normalizing” pelvic pain and cramps; if you’ve been led to believe by the medical community or society-at-large that pelvic pain and cramps are simply part of the deal, maybe it’s time to think again."}],"markDefs":[],"style":"normal"},{"_key":"c84e1e329a11","_type":"block","children":[{"_key":"672824323fa00","_type":"span","marks":[],"text":"Sure, some pelvic pain and cramps, might be unavoidable. But modern-day medicine has the tools – the training, the listening skills, the patience, the diagnostic capacity, the medical interventions, the treatment options – to flip the script and “abnormalize” pelvic pain and cramping once and for all."}],"markDefs":[],"style":"normal"},{"_key":"6f1e5ce2dbf5","_type":"block","children":[{"_key":"2414d843cb6c0","_type":"span","marks":[],"text":"Endometriosis and Pelvic Pain"}],"markDefs":[],"style":"h1"},{"_key":"91f2e8842f6b","_type":"block","children":[{"_key":"18eeed33cb0d0","_type":"span","marks":[],"text":"Periods might be the most infamous cause of pelvic pain and cramps, but there is another common culprit that might be hiding in plain sight: Endometriosis. In fact, according to "},{"_key":"533067f35125","_type":"span","marks":["3dd8bd18b14c"],"text":"Yale Medicine"},{"_key":"42bc31187e00","_type":"span","marks":[],"text":", 50-80% of women with pelvic pain have the condition. Globally, "},{"_key":"dc13ca5f3b20","_type":"span","marks":["a4bc0af488c3"],"text":"the World Health Organization"},{"_key":"ffd7d8ea0040","_type":"span","marks":[],"text":" estimates that over 10% of women have endometriosis."}],"markDefs":[{"_key":"3dd8bd18b14c","_type":"externalLink","linkType":"text","url":"https://www.yalemedicine.org/conditions/endometriosis"},{"_key":"a4bc0af488c3","_type":"externalLink","linkType":"text","url":"https://www.who.int/news-room/fact-sheets/detail/endometriosis"}],"style":"normal"},{"_key":"e12d637be03f","_type":"block","children":[{"_key":"06f71545dfa30","_type":"span","marks":["em"],"text":"So, what exactly is endometriosis?"}],"markDefs":[],"style":"h4"},{"_key":"a0f590001c25","_type":"block","children":[{"_key":"b356e576feeb0","_type":"span","marks":["f1fce3634a9e"],"text":"Endometriosis"},{"_key":"551a71d17697","_type":"span","marks":[],"text":" is a condition in which tissue similar to the lining of the uterus grows outside the uterus, most commonly on the ovaries, fallopian tubes, and pelvic lining. This tissue behaves just like the uterine lining, thickening and shedding with each menstrual cycle."}],"markDefs":[{"_key":"f1fce3634a9e","_type":"internalLink","linkType":"text","reference":{"_ref":"33beaad2-818c-4b2b-854b-1a650c6a1219","_type":"reference"}}],"style":"normal"},{"_key":"6801bda41e41","_type":"block","children":[{"_key":"ebf608d46b7f0","_type":"span","marks":[],"text":"The main difference between the uterine lining and endometrial tissue is that endometrial tissue implants on other pelvic organs has and no way to exit the body. This tissue can lead to inflammation, irritation, scarring, and adhesions, and resulting in severe pain, cramping, and even infertility."}],"markDefs":[],"style":"normal"},{"_key":"762a35444831","_type":"block","children":[{"_key":"157dd8e448910","_type":"span","marks":[],"text":"The pelvic pain and cramps associated with endometriosis can be relentless, causing intense pain during menstruation, sex, and bowel movements. It can appear as chronic discomfort that continues throughout the menstrual cycles. It can also present as acute pain that materializes out-of-the-blue between periods. Cramps caused my endometriosis can vary in intensity, with some people experiencing mild pain and others enduring debilitating discomfort."}],"markDefs":[],"style":"normal"},{"_key":"aef087970f58","_type":"block","children":[{"_key":"cf6574e4e2370","_type":"span","marks":[],"text":"Symptoms often match how much endometrial tissue grows and how close it is to sensitive structures in the pelvic area, like the ovaries and uterus. Because symptoms of endometriosis often flare up during menstruation, doctors often dismiss these symptoms as nothing more than “this too shall pass” period pain."}],"markDefs":[],"style":"normal"},{"_key":"3924d8582159","_type":"block","children":[{"_key":"1c6e4d0b91b30","_type":"span","marks":[],"text":"This is what makes endometriosis a unpredictable, mysterious, and misunderstood condition. Thus, endometriosis continues to be a common condition that is so commonly overlooked, under-diagnosed, and untreated."}],"markDefs":[],"style":"normal"},{"_key":"30a8f051588e","_type":"block","children":[{"_key":"e1f251aaed9e0","_type":"span","marks":["63e4159c7286"],"text":"Diagnosing endometriosis"},{"_key":"d4069bc0bc4e","_type":"span","marks":[],"text":", like most chronic conditions, starts with taking a good history of your symptoms. Your healthcare provider may do a pelvic exam, conduct an ultrasound, order imaging studies(CT scan, MRI), or recommend a cystoscopy or colonoscopy. In some cases, your doctor might recommend "},{"_key":"b60fe4dc04b3","_type":"span","marks":["3bb890755a62"],"text":"laparoscopy"},{"_key":"dbc3bc5bd837","_type":"span","marks":[],"text":". "}],"markDefs":[{"_key":"3bb890755a62","_type":"annotation","text":[{"_key":"6d6d4118451c","_type":"block","children":[{"_key":"1824cf1a32d2","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"318d5c7fcb5a","_type":"block","children":[{"_key":"0d380b6b84b8","_type":"span","marks":[],"text":"A laparoscopy is a surgical procedure where a surgeon uses a small camera that is inserted in the abdomen to look for endometriosis and remove it."}],"markDefs":[],"style":"normal"}]},{"_key":"63e4159c7286","_type":"internalLink","linkType":"text","reference":{"_ref":"6bcab68d-31ec-4735-b466-a805f4bc5dbc","_type":"reference"}}],"style":"normal"},{"_key":"b92a4f8a7361","_type":"block","children":[{"_key":"c25d7ab290c40","_type":"span","marks":[],"text":"There are non-surgical strategies that can help treat endometriosis pain and cramps too, including over-the-counter pain medication, hormonal contraceptives, progestin therapy, and aromatase inhibitors. Even simple things like using a heating pad or doing pelvic floor physical therapy can help a lot. And, as with most chronic conditions, making lifestyle modifications (better diet, regular exercise, restful sleep, less stress) can make a big difference too."}],"markDefs":[],"style":"normal"},{"_key":"f52dd238f316","_type":"block","children":[{"_key":"dfcf55ec1e090","_type":"span","marks":[],"text":"Since every person experiences endometriosis in a different way, the treatment options your healthcare provider chooses will be individualized. "}],"markDefs":[],"style":"normal"},{"_key":"6a2d03d3ef46","_type":"block","children":[{"_key":"02b70387da72","_type":"span","marks":["em"],"text":"At Tia, we understand the complexities and challenges associated with managing endometriosis. That's why we've developed a comprehensive approach to provide our patients with the support and care they need to navigate this notoriously difficult-to-diagnose, chronic condition."}],"markDefs":[],"style":"normal"},{"_key":"9144bfc973a1","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"af9313b9b91e","_type":"block","children":[{"_key":"fbc8598b172a","_type":"span","marks":[],"text":"Experiencing endometriosis symptoms? Become a Tia member and schedule an appointment at the clinic nearest you!"}],"markDefs":[],"style":"large"},{"_key":"6898c3d0975e","_type":"block","children":[{"_key":"96e8b152732d0","_type":"span","marks":["em","b0034a88403e"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles."}],"markDefs":[{"_key":"b0034a88403e","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"54e3fedf5d46","_type":"buttonBlock","items":[{"_key":"b3e5a38340ed","_type":"singleButton","linkCta":"Check your insurance","linkType":"join-scroll"}]}]},{"_key":"ff65de34270e","_type":"block","children":[{"_key":"b41b8aa2587d0","_type":"span","marks":[],"text":"Other Causes of Pelvic Pain and Cramps"}],"markDefs":[],"style":"h1"},{"_key":"5bc1b8531371","_type":"block","children":[{"_key":"a47241f0c9430","_type":"span","marks":[],"text":"The lower abdomen and pelvis are complex. Lots of organs. Many moving parts. "}],"markDefs":[],"style":"normal"},{"_key":"ee72116702c9","_type":"block","children":[{"_key":"87380b1e51ee","_type":"span","marks":[],"text":"So, besides periods and endometriosis, there are other reasons you may experience periodic or even chronic pain and cramps:"}],"markDefs":[],"style":"normal"},{"_key":"7d82fabe381e","_type":"block","children":[{"_key":"997ea1b3b1e10","_type":"span","marks":["strong"],"text":"UTIs:"},{"_key":"997ea1b3b1e11","_type":"span","marks":[],"text":" "},{"_key":"a6ff7b3ab380","_type":"span","marks":["a94b0a01c483"],"text":"Urinary tract infections"},{"_key":"2fe77644f0f0","_type":"span","marks":[],"text":" are another common cause of pelvic pain. Thankfully, UTIs are "},{"_key":"3b0d6159125e","_type":"span","marks":["cb793efaaf50"],"text":"easily treatable"},{"_key":"56c32cd70681","_type":"span","marks":[],"text":" with a short course of oral antibiotics."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"a94b0a01c483","_type":"internalLink","linkType":"text","reference":{"_ref":"3986573d-d7da-44f6-8623-16619416eac3","_type":"reference"}},{"_key":"cb793efaaf50","_type":"internalLink","linkType":"text","reference":{"_ref":"5dc6f871-a243-459e-8f06-43f0af3d8915","_type":"reference"}}],"style":"normal"},{"_key":"a9e04a25131c","_type":"block","children":[{"_key":"f50732f299a40","_type":"span","marks":["strong"],"text":"STDs:"},{"_key":"f50732f299a41","_type":"span","marks":[],"text":" "},{"_key":"f1ef1864490a","_type":"span","marks":["7501d23eaa85"],"text":"STDs"},{"_key":"1c9594ca537a","_type":"span","marks":[],"text":" (sexually transmitted disease), like chlamydia or gonorrhea, don’t always cause pelvic pain. But they can, especially when urinating or having a bowel movement. PID (pelvic inflammatory disease), which is an infection of the reproductive organs, can develop if an STD is "},{"_key":"60aa8825b086","_type":"span","marks":["f0a142cb0714"],"text":"left untreated"},{"_key":"10ea0723385a","_type":"span","marks":[],"text":". Not only can PID cause pelvic, it can also lead to infertility in extreme cases."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"7501d23eaa85","_type":"internalLink","linkType":"text","reference":{"_ref":"2316745a-ad0f-4e89-b60b-d879dc68f16e","_type":"reference"}},{"_key":"f0a142cb0714","_type":"internalLink","linkType":"text","reference":{"_ref":"58606dd2-9b5e-4fc1-bb3f-f1b5d0da143d","_type":"reference"}}],"style":"normal"},{"_key":"43ad73f48b2e","_type":"block","children":[{"_key":"e38543cb5acc0","_type":"span","marks":["strong"],"text":"IBS:"},{"_key":"e38543cb5acc1","_type":"span","marks":[],"text":" Irritable bowel syndrome is a digestive disorder that causes recurrent diarrhea, constipation, bloating, and abdominal discomfort can definitely cause pain that is felt in the lower abdomen and pelvis."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9351358c3e22","_type":"block","children":[{"_key":"e4fa1a1be50f0","_type":"span","marks":["strong"],"text":"Interstitial Cystitis:"},{"_key":"e4fa1a1be50f1","_type":"span","marks":[],"text":" A chronic condition most commonly seen in people with a uterus, interstitial cystitis causes inflamed and irritated bladder walls, which can lead to pain in the bladder and pelvic region."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"38b34a105e56","_type":"block","children":[{"_key":"1ed1bba423510","_type":"span","marks":["strong"],"text":"Uterine Fibroids:"},{"_key":"1ed1bba423511","_type":"span","marks":[],"text":" "},{"_key":"57e3b8924c7d","_type":"span","marks":["0236f96bc7cb"],"text":"Fibroids"},{"_key":"6c638e63f816","_type":"span","marks":[],"text":" are noncancerous tumors in the uterus that can cause pelvic discomfort."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"0236f96bc7cb","_type":"internalLink","linkType":"text","reference":{"_ref":"f158fe1b-1e16-4ebf-b284-ccbb466ed379","_type":"reference"}}],"style":"normal"},{"_key":"cba5b903976e","_type":"block","children":[{"_key":"5aaae8c9ebb70","_type":"span","marks":["strong"],"text":"Pelvic Adhesions:"},{"_key":"5aaae8c9ebb71","_type":"span","marks":[],"text":" These bands of scar-like tissue, which can form from infections, endometriosis, or past surgery, make organs and tissue in the abdomen stick together and can cause a sharp, pulling pain in the lower abdomen."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"085a8a039faa","_type":"block","children":[{"_key":"3a89cae55ed00","_type":"span","marks":["strong"],"text":"Ovary Pain:"},{"_key":"3a89cae55ed01","_type":"span","marks":[],"text":" Experiencing pelvic pain when ovulating each month is not unusual for some people."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"87f45716921c","_type":"block","children":[{"_key":"e52e889f47200","_type":"span","marks":["strong"],"text":"Ovarian Cyst Rupture:"},{"_key":"e52e889f47201","_type":"span","marks":[],"text":" These fluid-filled sacs, which can form on the ovaries, usually don’t cause any problems or present with any symptoms. But they can rupture, it can hurt."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8592f4636d70","_type":"block","children":[{"_key":"42a8815541200","_type":"span","marks":["strong"],"text":"Kidney Stones and Appendicitis:"},{"_key":"42a8815541201","_type":"span","marks":[],"text":" These acute conditions can cause extraordinary pain in the pelvic region and beyond."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d18f81ea113","_type":"block","children":[{"_key":"163d0c18a4bb0","_type":"span","marks":[],"text":"As always, it's best to consult with a healthcare provider to determine the cause of your pelvic pain and receive appropriate treatment."}],"markDefs":[],"style":"normal"},{"_key":"f9b9f1ef6f00","_type":"block","children":[{"_key":"3f671ae1c9650","_type":"span","marks":[],"text":"Pelvic pain and cramps are not something to be brushed aside or endured silently. While they may be common, persistent or severe discomfort warrants attention, especially when endometriosis is a potential factor. By understanding the causes, symptoms, and treatment options for pelvic pain and cramps, individuals can take proactive steps towards managing their condition and improving their quality of life."}],"markDefs":[],"style":"normal"},{"_key":"bf92a82c71d0","_type":"block","children":[{"_key":"5c69325174d60","_type":"span","marks":[],"text":"If you’re suffering from cramps or pelvic pain, it’s important to know that what you’re feeling is valid and you don’t have to “just deal with it.” Meeting with a healthcare provider can help you figure out what’s going on and get the relief you deserve."}],"markDefs":[],"style":"normal"},{"_key":"79bc2a7e373b","_type":"block","children":[{"_key":"20a1885236b00","_type":"span","marks":[],"text":"At Tia, our team of women’s health experts use a comprehensive approach to connect the dots on your symptoms, find the root cause, and create a treatment plan that’s personalized to you. (And yes, "},{"_key":"d7151f2b2b61","_type":"span","marks":["ec9d4035c918"],"text":"we take insurance!"},{"_key":"df403379b66e","_type":"span","marks":[],"text":")"}],"markDefs":[{"_key":"ec9d4035c918","_type":"internalLink","linkType":"text","reference":{"_ref":"e8b9416b-5100-458a-9025-81ebf0119364","_type":"reference"}}],"style":"normal"},{"_key":"1462a218d13c","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"0e2025e10300","_type":"block","children":[{"_key":"7a0caa69c206","_type":"span","marks":[],"text":"Experiencing cramps or pelvic pain? Become a Tia member and schedule an appointment at the clinic nearest you!"}],"markDefs":[],"style":"large"},{"_key":"fd78d870cd2c","_type":"block","children":[{"_key":"c3e18efb4198","_type":"span","marks":["em","058ae361decd"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles."}],"markDefs":[{"_key":"058ae361decd","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"849aa3382afc","_type":"buttonBlock","items":[{"_key":"6ee765534588","_type":"singleButton","linkCta":"Join Tia","linkType":"join-scroll"}]}]}],"image":{"_type":"image","asset":{"_ref":"image-71ecf250c3d16c13dc9d56908ab80a29ca919a7b-5600x3264-png","_type":"reference"}},"publishedAt":"2024-03-14T20:21:00.000Z","slug":{"_type":"slug","current":"cramps-pelvic-pain"},"status":"production","title":"What's Causing Your Cramps and Pelvic Pain?","topics":[{"_key":"9c10689d5cac","_ref":"8620b4dd-9ad9-4abc-96fb-b7bffc848982","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Explore the often overlooked world of pelvic pain and cramps in women, from understanding the prevalence and causes, such as endometriosis, to debunking societal norms of silence. 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An OB (Obstetrician) focuses on pregnancy care, including prenatal visits, fetal monitoring, and labor and delivery. Many providers are trained in both and are called OB/GYNs."}],"markDefs":[],"style":"normal"}],"question":"What is the difference between a GYN and an OB?","id":"4eaf757c-8555-59aa-97d7-3bbc5fd1882d","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"997bc3f50c671b5fc990ea037962bc07","counter":721,"owner":"gatsby-source-sanity"}},{"_id":"cff89ef3-ade8-4232-87ae-7a170234c35b","_type":"faq","_createdAt":"2025-11-12T17:46:48Z","_rev":"0LNNyTVZXmGxi2ZsT96xlq","_updatedAt":"2025-11-12T17:46:58Z","answer":[{"_key":"e1fdf27f0514","_type":"block","children":[{"_key":"276ebc50fd6b0","_type":"span","marks":[],"text":"It covers comprehensive, whole-person care for a range of concerns. This includes everything from routine care like Pap tests and contraception to managing symptoms like painful periods, irregular bleeding, and conditions like PCOS and endometriosis."}],"markDefs":[],"style":"normal"}],"question":"What does “gynecological health” cover?","id":"50e04afa-9ae1-587c-bd9c-52f7203d2b1f","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"7b13a7f5337730fc347ca6e080eb8827","counter":722,"owner":"gatsby-source-sanity"}},{"_id":"3f7b430b-3a84-4712-ac7a-9ad021d3ba68","_type":"faq","_createdAt":"2025-11-12T17:47:14Z","_rev":"I2Xw8JnjS5IgTWnHMeZlIc","_updatedAt":"2025-11-12T17:47:39Z","answer":[{"_key":"27777a3bf739","_type":"block","children":[{"_key":"89159a9c202c0","_type":"span","marks":[],"text":"Yes, we offer both IUD insertion and removal, as well as Nexplanon insertion and removal. We offer a compassionate, trauma-informed experience with options to increase comfort during the procedure, like acupuncture and cervical blocks."}],"markDefs":[],"style":"normal"}],"question":"Do you perform procedures like IUD insertion or removal?","id":"1d64c530-318b-5c70-85c7-e689f0a9374f","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"5581d3c2895828849e011095d3151514","counter":725,"owner":"gatsby-source-sanity"}},{"_id":"eae7fb20-19f0-4e5c-a7f5-b08deb361549","_type":"faq","_createdAt":"2025-11-12T17:47:54Z","_rev":"HndTDag2HroPoC04tgJat0","_updatedAt":"2025-11-12T17:48:02Z","answer":[{"_key":"254bc40644f5","_type":"block","children":[{"_key":"65ac9b7410b80","_type":"span","marks":[],"text":"Absolutely. We provide in-depth visits for a range of gynecological concerns, including diagnosis, symptom management, and care planning for these conditions. We look at the whole picture—not just the symptom—using both medication and integrative care."}],"markDefs":[],"style":"normal"}],"question":"Can Tia help me with painful periods, PCOS, or endometriosis?","id":"da4abd69-7013-5bbf-96c1-42022076e27d","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"f7c838f6fd5d67f05ac12e3e793a253c","counter":723,"owner":"gatsby-source-sanity"}},{"_id":"ac13e27f-db21-4592-a900-a5b137c69cd4","_type":"faq","_createdAt":"2025-11-12T17:48:15Z","_rev":"HndTDag2HroPoC04tgK09I","_system":{"base":{"id":"ac13e27f-db21-4592-a900-a5b137c69cd4","rev":"HndTDag2HroPoC04tgJfYM"}},"_updatedAt":"2025-11-12T17:50:22Z","answer":[{"_key":"87429e656b16","_type":"block","children":[{"_key":"ebbace7702760","_type":"span","marks":[],"text":"Yes, we provide confidential STI testing and counseling as part of our comprehensive sexual health services. We can also help with prescriptions and management if needed."}],"markDefs":[],"style":"normal"}],"question":"Can I get tested for STIs at Tia?","id":"f87fcd98-4ca3-565f-b48c-a48764b74a6a","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"e41f9b7e0076bdf7147c4c4532dec168","counter":724,"owner":"gatsby-source-sanity"}},{"_id":"15725182-cd64-4a33-a0c3-fc413a7b11e1","_type":"faq","_createdAt":"2025-11-12T15:13:47Z","_rev":"qRoQdZ9XLeA6KQW6gpVs3l","_updatedAt":"2025-11-12T15:14:20Z","answer":[{"_key":"9ee0fe8cbdbc","_type":"block","children":[{"_key":"9b46564e10e30","_type":"span","marks":[],"text":"At Tia, you will be seen by a highly qualified primary care provider from our team, which includes physicians (MDs/DOs), nurse practitioners (NPs/DNPs), physician assistants (PAs), and certified nurse midwives (CNMs). We are an "},{"_key":"07067a0bde76","_type":"span","marks":["4d28b77abb8d"],"text":"NP-forward model"},{"_key":"d3300a537036","_type":"span","marks":[],"text":" because we believe their holistic, patient-centered, and prevention-focused training is an excellent fit for our integrated approach. 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Thank you for the great service!","Title":"Brittany F., Tia Patient","_key":"d80b064ea06b","_type":"inline"},{"Content":"I have a lifelong history of extremely severe medical anxiety due to several traumatic instances in childhood, and rarely being listened to by doctors in adulthood. Everyone at your practice has been gentle, informative, and operates through a trauma-informed lens. I've never felt so heard by my providers, and until today, I’ve never walked away feeling like I was glad I sought treatment. After my first lab sample collection today and sharing a little bit about it I have at least three friends who are also signing up for care with Tia.","Title":"Lillian N., Tia Patient","_key":"f16a80231de2","_type":"inline"},{"Content":"I’ve been a Tia patient for over a year now, and the quality of care I’ve received has been unlike any healthcare experience I’ve ever had. What struck me first is the continuity of the care I receive. All of the questions and information gathered when I first signed up helped to create both a comprehensive medical history as well as a snapshot of my current conditions. But the best part? Whether my visit is virtual or in-person, I never, ever feel rushed. My physician and nurse practitioners are empathetic and understanding. If you want holistic healthcare, try Tia. You won’t be disappointed.","Title":"Natalie D., Tia Patient","_key":"995b939291ee","_type":"inline"}]},{"_key":"b3b130bcb8f3","_type":"editorialText","editorialText":[{"_key":"88a360f65dc9","_type":"cta","text":[{"_key":"089cc2bcc445","_type":"block","children":[{"_key":"d3ada71a90d4","_type":"span","marks":[],"text":"Book a Weight & Metabolic Health visit"}],"markDefs":[],"style":"h2"},{"_key":"08dc1094385d","_type":"block","children":[{"_key":"474383e77aec","_type":"span","marks":[],"text":"Weight and metabolic health can shape everything from your energy and mood to hormones and long-term wellness. 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You may qualify if you have insulin resistance, PCOS, or other cardiometabolic risk factors."}],"markDefs":[],"style":"normal"}],"question":"Can I qualify for medical weight loss if my BMI isn’t very high?","id":"1ffd85e3-75b5-5eef-9a2f-62316dfb4efb","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"895ea26a7ed2fabb264c9b65a3b7927e","counter":805,"owner":"gatsby-source-sanity"}},{"_id":"146e09b7-5012-4ee4-919a-954bd4594f29","_type":"faq","_createdAt":"2026-03-02T20:48:17Z","_rev":"42tmL6AQnk3AV45gmami7h","_updatedAt":"2026-03-02T20:48:27Z","answer":[{"_key":"c03d03595a11","_type":"block","children":[{"_key":"46f829dc9f8f0","_type":"span","marks":[],"text":"You’ll meet with a Tia provider to discuss your full health history, symptoms, and goals. We may order labs and explore tools like nutrition changes or medication if appropriate. You’ll leave with a care plan built around your needs and goals."}],"markDefs":[],"style":"normal"}],"question":"What happens at a weight & metabolic health visit?","id":"72df2784-542e-5488-b096-e6244687b116","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"c501b9b06460eebbbc021a4e7a41a13a","counter":806,"owner":"gatsby-source-sanity"}},{"_id":"68cf5ea9-eba8-4dcf-a223-cfc28db18020","_type":"faq","_createdAt":"2026-03-02T20:48:40Z","_rev":"75p5s3JN4VtlIkrkQHA4tS","_system":{"base":{"id":"68cf5ea9-eba8-4dcf-a223-cfc28db18020","rev":"42tmL6AQnk3AV45gmao9C7"}},"_updatedAt":"2026-03-02T20:50:49Z","answer":[{"_key":"6d1c2d72e91e","_type":"block","children":[{"_key":"b1a130f2e35f0","_type":"span","marks":[],"text":"We treat weight as part of a bigger picture, not just a number to fix. Our care is designed specifically for women, factoring in life stage, hormones, mental health, and more. Whether you’re navigating PCOS or exploring GLP-1s, we create a personalized, evidence-based plan and stay with you to adjust it over time."}],"markDefs":[],"style":"normal"}],"question":"What makes Tia’s weight & metabolic health care different?","id":"2eb19701-dc5a-5793-aeb1-6db08244d09c","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"9c8744132184a825d5199a22f7420da0","counter":804,"owner":"gatsby-source-sanity"}},{"_id":"2f4adc18-6035-496d-9c37-5e91eff3ee93","_type":"faq","_createdAt":"2026-03-02T20:51:16Z","_rev":"mTY7Fq3mpkUfad5Xz0Nero","_updatedAt":"2026-03-02T20:51:24Z","answer":[{"_key":"2128096e15f9","_type":"block","children":[{"_key":"04194f4eb0b40","_type":"span","marks":[],"text":"Testing is based on what is clinically indicated and may include fasting glucose, HbA1c, insulin levels, lipid panels, thyroid labs and liver enzymes. We want to make sure we’re treating the whole you, not just the number on the scale."}],"markDefs":[],"style":"normal"}],"question":"What lab tests may be used? ","id":"70a2b19c-36fa-5f55-882a-e9823433c653","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"a7b32e32c5706a8f34f9aca9c2ddaf64","counter":807,"owner":"gatsby-source-sanity"}},{"_id":"fd50af17-6dad-44c4-a18c-c8eb7eb1f5ac","_type":"faq","_createdAt":"2026-03-02T20:51:32Z","_rev":"42tmL6AQnk3AV45gmaoQtJ","_updatedAt":"2026-03-02T20:51:50Z","answer":[{"_key":"45bf2c24ccd1","_type":"block","children":[{"_key":"9e604dd7314c0","_type":"span","marks":[],"text":"Your care doesn’t stop after a single appointment. Whether you’re starting GLP-1s, tapering off of them, adjusting nutrition, or changing movement routines, we’re here with you every step of the way. You’ll have regular follow-ups to check in on your progress and update your plan."}],"markDefs":[],"style":"normal"}],"question":"What happens after my first visit or prescription?","id":"fbef44dc-606b-5529-b7bd-0dc74d2ee07e","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"8ca05c9937344335f4700cf62aebda5e","counter":808,"owner":"gatsby-source-sanity"}},{"_id":"58456f1d-0b6b-4574-89c6-a22498556d48","_type":"faq","_createdAt":"2026-03-02T20:52:09Z","_rev":"75p5s3JN4VtlIkrkQHCh4X","_updatedAt":"2026-03-02T20:52:16Z","answer":[{"_key":"635c240b36c1","_type":"block","children":[{"_key":"affcfe598c670","_type":"span","marks":[],"text":"Yes. Tia offers virtual care across CA, AZ, NY, NJ, and MA and in-person care in New York, San Francisco, Los Angeles, and Scottsdale."}],"markDefs":[],"style":"normal"}],"question":"Do you offer virtual visits?","id":"4ae45727-99a2-55cd-9c61-1a7289ea7dc0","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"7d8309a3a7367b77d08b84bbd31f5537","counter":809,"owner":"gatsby-source-sanity"}}],"title":"FAQs"},{"_key":"d4be39589aa7a0e3fa2089fd06f4e282","_type":"faqModule","cta":"See full FAQ","faqs":[{"_id":"01409523-3384-40e3-a5eb-359b45b881c7","_type":"faq","_createdAt":"2026-03-02T20:56:43Z","_rev":"75p5s3JN4VtlIkrkQHFokl","_updatedAt":"2026-03-02T20:56:50Z","answer":[{"_key":"866d18990212","_type":"block","children":[{"_key":"032e5a1786430","_type":"span","marks":[],"text":"Metabolic health refers to how well your body regulates blood sugar, insulin, cholesterol, blood pressure, and fat storage. When metabolic function is impaired, it can lead to insulin resistance and difficulty with weight loss."}],"markDefs":[],"style":"normal"}],"question":"What is metabolic health?","id":"69bf366e-4b89-5bdc-a068-919e4fb12069","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"ebf3a7797f4d5d6f311753f575ec5f84","counter":811,"owner":"gatsby-source-sanity"}},{"_id":"9cbb98bd-3a6e-4c0d-94e3-1b28e57fb8a4","_type":"faq","_createdAt":"2026-03-02T20:56:58Z","_rev":"75p5s3JN4VtlIkrkQHG0GV","_system":{"base":{"id":"9cbb98bd-3a6e-4c0d-94e3-1b28e57fb8a4","rev":"75p5s3JN4VtlIkrkQHFuk6"}},"_updatedAt":"2026-03-02T20:57:24Z","answer":[{"_key":"63a234f78824","_type":"block","children":[{"_key":"dee3f1d5335a0","_type":"span","marks":[],"text":"A clinician-supervised approach to weight management that addresses hormones, metabolism, chronic stress, and underlying health conditions. It may include lab testing, lifestyle changes, and prescription medications."}],"markDefs":[],"style":"normal"}],"question":"What is medical weight loss?","id":"b8c59ffa-6fab-5908-a7ae-28e1560f4938","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"6a316c25f1e4f189971f6adfccbbbc27","counter":810,"owner":"gatsby-source-sanity"}},{"_id":"0a69ffa4-11de-4102-bf5c-0bec04d36484","_type":"faq","_createdAt":"2026-03-02T20:59:33Z","_rev":"42tmL6AQnk3AV45gmaq6SG","_updatedAt":"2026-03-02T20:59:40Z","answer":[{"_key":"3a2078dbe8da","_type":"block","children":[{"_key":"8a3fe780100f0","_type":"span","marks":[],"text":"Insulin resistance occurs when your cells don’t respond properly to insulin, leading to elevated blood sugar and increased fat storage. It is a major driver of weight gain, PCOS, and metabolic syndrome."}],"markDefs":[],"style":"normal"}],"question":"What is insulin resistance?","id":"b79ac77b-d76b-59c5-8054-15f5a0a9d7cb","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"ce57fecc9e2e774957541323778b48c1","counter":812,"owner":"gatsby-source-sanity"}},{"_id":"4e50319c-4265-4630-a298-3e07be72cb1b","_type":"faq","_createdAt":"2026-03-02T20:59:50Z","_rev":"mTY7Fq3mpkUfad5Xz0Q5vQ","_system":{"base":{"id":"4e50319c-4265-4630-a298-3e07be72cb1b","rev":"75p5s3JN4VtlIkrkQHH1jj"}},"_updatedAt":"2026-03-02T21:00:05Z","answer":[{"_key":"2318725d87fb","_type":"block","children":[{"_key":"42b4dfaaef090","_type":"span","marks":[],"text":"A cluster of conditions including abdominal weight gain, high blood pressure, abnormal cholesterol, and elevated blood sugar. It increases cardiovascular risk and is closely linked to insulin resistance."}],"markDefs":[],"style":"normal"}],"question":"What is metabolic syndrome?","id":"5a86e335-f57f-5aa4-b39f-55273b9c3b1d","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"f8749a39f79534f5612d1d752a1065bc","counter":9821,"owner":"gatsby-source-sanity"}},{"_id":"e2a26fbe-1610-4348-ba3b-848d9154ff4d","_type":"faq","_createdAt":"2026-03-02T21:00:31Z","_rev":"42tmL6AQnk3AV45gmarSIG","_updatedAt":"2026-03-02T21:00:42Z","answer":[{"_key":"7924685b3b6a","_type":"block","children":[{"_key":"6ca57ea9558b0","_type":"span","marks":[],"text":"Yes. Declining estrogen levels can contribute to increased visceral fat, insulin resistance, and changes in cholesterol. A women-centered plan can help address these specific shifts."}],"markDefs":[],"style":"normal"}],"question":"Can menopause affect metabolic health?","id":"fa57dc62-0cda-5237-b04f-623973566639","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"f9b58401238067f075a59e981a4792b2","counter":813,"owner":"gatsby-source-sanity"}},{"_id":"6304931f-8157-4945-ba53-0bd5b0aee888","_type":"faq","_createdAt":"2026-03-02T21:00:52Z","_rev":"42tmL6AQnk3AV45gmarVhg","_updatedAt":"2026-03-02T21:00:58Z","answer":[{"_key":"50c260b83d3e","_type":"block","children":[{"_key":"90ece11a33c10","_type":"span","marks":[],"text":"Chronic stress can increase cortisol levels, which can worsen insulin resistance and promote abdominal fat storage. Our care includes attention to stress and nervous system regulation."}],"markDefs":[],"style":"normal"}],"question":"How does chronic stress impact weight and metabolism?","id":"36625b97-9b57-5c8d-8752-020b6b3bd203","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"24ec30d6b93474db2454f552d21b619d","counter":815,"owner":"gatsby-source-sanity"}}],"title":"Understanding Metabolic Health"},{"_key":"3993364a23c47cf0e18fb19322a74ae5","_type":"faqModule","cta":"See full FAQ","faqs":[{"_id":"1aed3d83-8a87-435a-9dc0-82e879b845c3","_type":"faq","_createdAt":"2026-03-02T21:01:59Z","_rev":"mTY7Fq3mpkUfad5Xz0Rb7H","_updatedAt":"2026-03-02T21:02:13Z","answer":[{"_key":"a938a02d2e9f","_type":"block","children":[{"_key":"20a2596939090","_type":"span","marks":["strong"],"text":"Yes, if clinically appropriate."},{"_key":"20a2596939091","_type":"span","marks":[],"text":" Your provider will work with you to determine if these medications are right for your body."}],"markDefs":[],"style":"normal"}],"question":"Does Tia prescribe GLP-1s?","id":"75a1350b-ca9b-57d1-a6bd-6dcbc7800f57","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"8616faca36be1fb4428fba8ea9727731","counter":816,"owner":"gatsby-source-sanity"}},{"_id":"51139a2c-3aaf-487a-9a7b-f87940de57cb","_type":"faq","_createdAt":"2026-03-02T21:02:24Z","_rev":"75p5s3JN4VtlIkrkQHJxRH","_updatedAt":"2026-03-02T21:03:06Z","answer":[{"_key":"32b7c15b2400","_type":"block","children":[{"_key":"98b4561c7bc50","_type":"span","marks":[],"text":"GLP-1 receptor agonists (such as semaglutide and tirzepatide) are medications that regulate appetite and blood sugar. They reduce hunger and improve insulin sensitivity."}],"markDefs":[],"style":"normal"}],"question":"What are GLP-1 medications?","id":"393a80fd-0808-5bc6-9895-d086a8ecc00f","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"834b1e4ece2717cead3f9ccaba567174","counter":814,"owner":"gatsby-source-sanity"}},{"_id":"2cdbfc71-3d59-4676-b129-ce8875ee9c1a","_type":"faq","_createdAt":"2026-03-02T21:03:23Z","_rev":"mTY7Fq3mpkUfad5Xz0Sbjx","_updatedAt":"2026-03-02T21:05:13Z","answer":[{"_key":"a3946ae7e21e","_type":"block","children":[{"_key":"753e133090b00","_type":"span","marks":[],"text":"They mimic a natural hormone that signals fullness to the brain and stabilizes blood sugar. This helps reduce cravings and lower caloric intake."}],"markDefs":[],"style":"normal"}],"question":"How do GLP-1 weight loss injections work?","id":"c8abbb40-1d94-5899-80f2-2d1ea009d584","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"ab2f835a2301cc6da29f7fd01a40c1c7","counter":817,"owner":"gatsby-source-sanity"}},{"_id":"3b7d4c94-9b83-4576-8e89-51a275e1e299","_type":"faq","_createdAt":"2026-03-02T21:03:40Z","_rev":"42tmL6AQnk3AV45gmat39b","_system":{"base":{"id":"3b7d4c94-9b83-4576-8e89-51a275e1e299","rev":"mTY7Fq3mpkUfad5Xz0SGw0"}},"_updatedAt":"2026-03-02T21:04:52Z","answer":[{"_key":"ee2f0f84d185","_type":"block","children":[{"_key":"e67d6bc3914d0","_type":"span","marks":[],"text":"No. These are typically self-administered as weekly injections at home. Your provider will teach you how to safely inject. Follow-ups can be virtual or in-person."}],"markDefs":[],"style":"normal"}],"question":"Do I need to visit the clinic for GLP-1 injections?","id":"b87b5ef2-0716-5569-833b-ec93cc9c9133","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"42ee1f4638b35e932633a80b98a514a1","counter":819,"owner":"gatsby-source-sanity"}},{"_id":"a734336a-dd9a-43ba-b3ad-455068d83157","_type":"faq","_createdAt":"2026-03-02T21:05:39Z","_rev":"mTY7Fq3mpkUfad5Xz0SmpF","_system":{"base":{"id":"a734336a-dd9a-43ba-b3ad-455068d83157","rev":"75p5s3JN4VtlIkrkQHLEJN"}},"_updatedAt":"2026-03-02T21:06:38Z","answer":[{"_key":"f09e4f12bb1b","_type":"block","children":[{"_key":"aacb2f97f1f20","_type":"span","marks":[],"text":"They are FDA-approved and widely studied. At Tia, GLP-1s are viewed as one tool within a broader metabolic health strategy, not a standalone solution."}],"markDefs":[],"style":"normal"}],"question":"Are GLP-1 medications safe for long-term use?","id":"a8f8513c-c31f-5f2d-a878-a4b1f453237e","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"f285d147d5498c7b98ddbbfcf08a384e","counter":818,"owner":"gatsby-source-sanity"}},{"_id":"f37b58a5-39c7-49b9-b838-66afea62c9bf","_type":"faq","_createdAt":"2026-03-02T21:07:02Z","_rev":"75p5s3JN4VtlIkrkQHLpeD","_system":{"base":{"id":"f37b58a5-39c7-49b9-b838-66afea62c9bf","rev":"75p5s3JN4VtlIkrkQHLjjh"}},"_updatedAt":"2026-03-02T21:07:27Z","answer":[{"_key":"526567567c06","_type":"block","children":[{"_key":"d743b24b820f0","_type":"span","marks":[],"text":"We may prescribe semaglutide or dual GIP/GLP-1 medications like tirzepatide based on your health profile."}],"markDefs":[],"style":"normal"}],"question":"Which GLP-1 medications does Tia prescribe? ","id":"2a55d711-fbb1-56f3-970d-43f2e60a44f8","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"b82b60ae8d9c3360ad0e867cf9e3967c","counter":820,"owner":"gatsby-source-sanity"}},{"_id":"df415be1-f5d6-49e7-b5a0-1158cad3c264","_type":"faq","_createdAt":"2026-03-02T21:07:54Z","_rev":"42tmL6AQnk3AV45gmatVFz","_updatedAt":"2026-03-02T21:08:38Z","answer":[{"_key":"1d46c874b830","_type":"block","children":[{"_key":"38755f7361ff0","_type":"span","marks":[],"text":"Yes, in some cases (e.g., switching from semaglutide to tirzepatide). This must be medically supervised to ensure proper dosing adjustments."}],"markDefs":[],"style":"normal"}],"question":"Can I switch from one GLP-1 medication to another?","id":"05f609c8-95a4-5af2-b611-42621f836dfe","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"dba01fb8901bfdd4dd8158aa6bc39c92","counter":821,"owner":"gatsby-source-sanity"}},{"_id":"3e05dbd2-bf7b-49c5-8bc4-1c090cbbf71e","_type":"faq","_createdAt":"2026-03-02T21:08:19Z","_rev":"75p5s3JN4VtlIkrkQHM4ey","_updatedAt":"2026-03-02T21:08:29Z","answer":[{"_key":"3ce9ba7c1d4a","_type":"block","children":[{"_key":"3d271189718e","_type":"span","marks":[],"text":"Results vary based on metabolism, hormone balance, and lifestyle changes. Clinical trials show significant potential when combined with comprehensive care."}],"markDefs":[],"style":"normal"}],"question":"How much weight can I lose with GLP-1 medications?","id":"527ab6a1-ce90-5918-8c30-130d7e6968ca","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"d1bef007e5d792bcbdc5ec9d803937f0","counter":823,"owner":"gatsby-source-sanity"}},{"_id":"674bfb86-891a-49c0-99ad-bd51a5dd06d7","_type":"faq","_createdAt":"2026-03-02T21:08:47Z","_rev":"mTY7Fq3mpkUfad5Xz0TIqB","_updatedAt":"2026-03-02T21:09:31Z","answer":[{"_key":"c184bb297794","_type":"block","children":[{"_key":"e7d75c309735","_type":"span","marks":[],"text":"For some women with PCOS and insulin resistance, these medications can improve metabolic markers and support weight management."}],"markDefs":[],"style":"normal"}],"question":"Can GLP-1 medications help with 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The most telling symptom of menopause and the most common reason people seek treatment for this condition, hot flashes (aka vasomotor symptoms) are sudden feelings of warmth in the upper body, which usually feel most intense over the chest, neck, and face."}],"markDefs":[],"style":"normal"},{"_key":"7fe19318a527","_type":"block","children":[{"_key":"094b250f9aca0","_type":"span","marks":[],"text":"But there is no shortage of better (and probably more useful) descriptions offered up by women who’ve felt the heat of hot flashes first-hand:"}],"markDefs":[],"style":"normal"},{"_key":"4530e58cfb61","_type":"block","children":[{"_key":"ed7d4e60c156","_type":"span","marks":["em"],"text":"'It’s like my own personal summer.”"}],"markDefs":[],"style":"normal"},{"_key":"856dc4cbba30","_type":"block","children":[{"_key":"8c0a6e97de71","_type":"span","marks":["em"],"text":"“It feels like being consumed by fire from the inside out.”"}],"markDefs":[],"style":"normal"},{"_key":"5d6c4189ef1f","_type":"block","children":[{"_key":"1e50bc85a804","_type":"span","marks":["em"],"text":"“It’s like having a furnace explode in my body.”"}],"markDefs":[],"style":"normal"},{"_key":"0dbddc005537","_type":"block","children":[{"_key":"254990b85223","_type":"span","marks":[],"text":"The medical term is so infamous, it has spawned an entire industry of self-help products and merch. There are hot flash t-shirts (“Still hot – it just comes in flashes now!”). Hot flash pajamas. Hot flash spray. Hot flash sheets. Hot flash patches. Hot flash tea. Hot flash fans."}],"markDefs":[],"style":"normal"},{"_key":"ee8837238591","_type":"block","children":[{"_key":"672f79604ae10","_type":"span","marks":[],"text":"Of course, hot flashes are just the beginning of things. There are several other symptoms menopausal people often feel on the regular. Night sweats. Mood swings. Painful intercourse. Low libido. Vaginal dryness. Irregular periods. Heavy bleeding. Sleep disturbances. And the list, literally, goes on."}],"markDefs":[],"style":"normal"},{"_key":"d0ccb8edb63b","_type":"block","children":[{"_key":"15923643307b0","_type":"span","marks":[],"text":"It goes without saying that perimenopause (the time period that precedes menopause when symptoms first appear) and menopause are naturally-occurring conditions that can be unnaturally disruptive, debilitating, and difficult to navigate."}],"markDefs":[],"style":"normal"},{"_key":"f5e43db329ab","_type":"block","children":[{"_key":"536a7a0f65380","_type":"span","marks":[],"text":"Thankfully, "},{"_key":"d8efb70f5d8f","_type":"span","marks":["9da0a079d2ff"],"text":"menopause is having a moment"},{"_key":"6356cb7447e5","_type":"span","marks":[],"text":" and, hopefully, a moment that will last. Media outlets, social media influencers, and medical practitioners are paying more attention. 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The time period leading up to menopause, when people start experiencing changes in their menstrual cycles, hot flashes, and other symptoms is called "},{"_key":"f7697d3cc7222","_type":"span","marks":["strong"],"text":"perimenopause."},{"_key":"f7697d3cc7223","_type":"span","marks":[],"text":" As perimenopause marches toward menopause, many people start experiencing more and more menopause symptoms (including irregular periods), but ovulation still occurs and a perimenopausal person can still get pregnant."}],"markDefs":[{"_key":"d12d9d683bb1","_type":"internalLink","linkType":"text","reference":{"_ref":"04cda285-9d18-465d-8ff2-9329d8f3eed6","_type":"reference"}}],"style":"normal"},{"_key":"14e21f59e1b9","_type":"cta","backgroundColor":"bccream","ctaImage":{"_type":"image","asset":{"_ref":"image-19d1947899730f4c922afaaf4bb0172f61920694-1912x1116-png","_type":"reference"}},"text":[{"_key":"ecff53171ee0","_type":"block","children":[{"_key":"cd3a8f95d123","_type":"span","marks":[],"text":"Are you experiencing symptoms of menopause and need medical support? 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"},{"_key":"b79c00b4498b","_type":"span","marks":["93a9b908032e"],"text":"The average age of onset of menopause is 51."},{"_key":"11a6aa8f5825","_type":"span","marks":[],"text":" Menopause (and menopausal symptoms) can also be prematurely triggered by having a hysterectomy or having the ovaries surgically removed."},{"_key":"91e92d080dd25","_type":"span","marks":["strong"],"text":" "},{"_key":"91e92d080dd26","_type":"span","marks":[],"text":"Many factors, which are notoriously difficult to identify and predict, can influence the timing of menopause, including genetics, reproductive history, certain health conditions and treatments (cancer therapy), and some lifestyle habits (smoking)."}],"markDefs":[{"_key":"93a9b908032e","_type":"annotation","text":[{"_key":"7237b9e759f0","_type":"block","children":[{"_key":"be285cfc96730","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"f68735f29882","_type":"block","children":[{"_key":"896f937b20020","_type":"span","marks":[],"text":"The average age of menopause onset is typically between 40 to 58 years old with an average age of onset being 51 years old, although this can vary significantly from person to person."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"e7fda33ae3ac","_type":"sectionHeader","title":"  What are the symptoms of menopause and perimenopause?"},{"_key":"60076b2c6789","_type":"block","children":[{"_key":"ed2ec74860650","_type":"span","marks":[],"text":"Menopause is associated with a variety of symptoms, but the duration and severity of these symptoms vary among people. 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"},{"_key":"58cfe246d9c3","_type":"span","marks":["55e48e88ad57"],"text":"Fibroids"},{"_key":"28d1ebae9bca","_type":"span","marks":[],"text":" and endometriosis, both of which are fueled by estrogen, might become more troublesome too."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"55e48e88ad57","_type":"internalLink","linkType":"text","reference":{"_ref":"f158fe1b-1e16-4ebf-b284-ccbb466ed379","_type":"reference"}}],"style":"normal"},{"_key":"7fbf20a9be29","_type":"block","children":[{"_key":"c368f5ef1a1c0","_type":"span","marks":["strong"],"text":"Hot Flashes and Night Sweats:"},{"_key":"e8e4010af1d3","_type":"span","marks":[],"text":" An estimated 30-35% of perimenopausal and menopausal people suffer sudden waves of body heat with flushing and sweating that can last 5-10 minutes. These episodes can occur at night while sleeping too."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9aaadbfd6e3c","_type":"block","children":[{"_key":"c8e6b49ba5990","_type":"span","marks":["strong"],"text":"Sleep Disturbances:"},{"_key":"a7b2d7013c7c","_type":"span","marks":[],"text":" About 40% of perimenopausal people have sleep problems – trouble falling and staying asleep. This can lead to insomnia and fractured sleep problems and, of course, contribute to fatigue and fogginess."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aaa4a26267ea","_type":"block","children":[{"_key":"102af7898b230","_type":"span","marks":["strong"],"text":"Vaginal Changes:"},{"_key":"0c0234f5cdb2","_type":"span","marks":[],"text":" During late perimenopause, falling estrogen levels can cause vaginal tissue to become thinner, drier, and less elastic, which can lead to itching, irritation, painful sexual intercourse, and an increase in "},{"_key":"2a2426de24b6","_type":"span","marks":["50c1f9d7954d"],"text":"urinary tract infections (UTIs)."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"50c1f9d7954d","_type":"internalLink","linkType":"text","reference":{"_ref":"5dc6f871-a243-459e-8f06-43f0af3d8915","_type":"reference"}}],"style":"normal"},{"_key":"2f67c515436b","_type":"block","children":[{"_key":"da99edf08b4a0","_type":"span","marks":["strong"],"text":"Mood Symptoms:"},{"_key":"9cb5cfbcce8c","_type":"span","marks":[],"text":" Hormonal fluctuations during perimenopause might contribute to mood changes, including irritability, anxiety, and depression. That said, studies haven’t proven a definitive correlation between hormone levels and new mood symptoms. Of course, the unpredictability of perimenopause can be stressful and provoke irritability on its own. The best predictors of mood symptoms, in general, are life stress, poor overall health, and personal and family history."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"12b54f7845c0","_type":"block","children":[{"_key":"d9a21046b3eb0","_type":"span","marks":["strong"],"text":"Fatigue:"},{"_key":"1191da13a004","_type":"span","marks":[],"text":" Some people experience increased fatigue and lack of energy during perimenopause."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a709b47abf4e","_type":"block","children":[{"_key":"32d9fe4f81b60","_type":"span","marks":["strong"],"text":"Changes in Libido:"},{"_key":"97aa786cf023","_type":"span","marks":[],"text":" Some people report lower desire and more difficulty being aroused."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"627789f6856e","_type":"block","children":[{"_key":"e174048c04d10","_type":"span","marks":["strong"],"text":"Memory and Concentration Issues:"},{"_key":"0ec4569fce33","_type":"span","marks":[],"text":" Perimenopause can affect memory, concentration, and cognitive function."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0a8eb57ea9ae","_type":"block","children":[{"_key":"41ae5bfac29c0","_type":"span","marks":["strong"],"text":"Joint and Muscle Pain:"},{"_key":"e5b0ae7ec30d","_type":"span","marks":[],"text":" Perimenopause can be associated with joint and muscle pain."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"656f597c778c","_type":"cta","backgroundColor":"bccream","text":[{"_key":"c230ca1aa93b","_type":"block","children":[{"_key":"7ba7eaedf5e8","_type":"span","marks":[],"text":"Seeking medical treatment for your menopause symtpoms? Join Tia and schedule an appointment at the clinic nearest you. "}],"markDefs":[],"style":"large"},{"_key":"ecceacdcbd1b","_type":"block","children":[{"_key":"a257eb85b661","_type":"span","marks":["em"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."}],"markDefs":[],"style":"normal"},{"_key":"843f6ee7dd8a","_type":"buttonBlock","items":[{"_key":"a8b890223984","_type":"singleButton","linkCta":"Join Tia","linkType":"join-scroll"},{"_key":"a570d0493b41","_type":"singleButton","linkCta":"Find your clinic","linkType":"button","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}]}]},{"_key":"882e91133bb5","_type":"sectionHeader","title":"Are there ways to treat these symptoms?"},{"_key":"5c2fac9148df","_type":"block","children":[{"_key":"82d35adf7d870","_type":"span","marks":[],"text":"The short answer: Yes. There are several useful treatment strategies for managing perimenopause and menopause symptoms, including non-prescription remedies, medical interventions, and lifestyle changes. As always, it’s essential to discuss new, bothersome, or worsening symptoms with a healthcare provider to determine the best approach."}],"markDefs":[],"style":"normal"},{"_key":"b69ac3514d9b","_type":"block","children":[{"_key":"5a14aa889c8c0","_type":"span","marks":["strong"],"text":"Hot Flashes:"},{"_key":"5bea122f88a3","_type":"span","marks":[],"text":" The first rule of thumb is to avoid possible triggers (you’ll know them), like warm air temperatures, hot beverages, and spicy foods. For example, dressing in layers so you can quickly remove layers is always a good idea. Some people find relief with certain medications, like SSRI antidepressants, gabapentin, and clonidine, but there are side effects that need to be considered. For severe hot flashes, estrogen replacement is the only true fix."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ef42059b45fa","_type":"block","children":[{"_key":"4088cba37d890","_type":"span","marks":["strong"],"text":"Irregular Periods:"},{"_key":"9c4c84ba2db7","_type":"span","marks":[],"text":" Low-dose "},{"_key":"76ac60f57833","_type":"span","marks":["c7e786d5337a"],"text":"birth control"},{"_key":"e3a623c4fce5","_type":"span","marks":[],"text":" can be a good choice here. By suppressing ovulation, these meds modulate menstrual flow, regulate periods, and stabilize endometriosis. They also protect against endometrial and ovarian cancer, stave off hot flashes, reduce vaginal dryness, and prevent bone loss."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"c7e786d5337a","_type":"internalLink","linkType":"text","reference":{"_ref":"ca742657-6062-42c7-8a48-c476af18b8fc","_type":"reference"}}],"style":"normal"},{"_key":"31eb498bb545","_type":"block","children":[{"_key":"951bb5742c030","_type":"span","marks":["strong"],"text":"Vaginal Dryness:"},{"_key":"dc26cd0f7d61","_type":"span","marks":[],"text":" Low-dose contraceptives or vaginal estrogen therapy can help relieve this symptom. But there are other approaches. Vaginal moisturizers can improve moisture and elasticity and lubricants (find a good water-based lube) can make intercourse less painful. Additionally, sexual activity seems to improve vaginal tone and help maintain a healthy acidic environment that can be protective against infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"eb42eaab4002","_type":"block","children":[{"_key":"f5fd4244528c0","_type":"span","marks":["strong"],"text":"Non-prescription Remedies:"},{"_key":"993ea1fc1391","_type":"span","marks":[],"text":" Some people find relief using products like soy-based supplements, black cohosh, and herbal remedies, but efficacy varies. Definitely discuss their usage with a care provider."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fd28d3289274","_type":"block","children":[{"_key":"f4bdf49169f30","_type":"span","marks":["strong"],"text":"Bone Health:"},{"_key":"3d2a8014b530","_type":"span","marks":[],"text":" Maintaining bone health is a crucial consideration during menopause and calcium and Vitamin D are two supplements often recommended to reduce the risk of osteoporosis."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bf3473d9cf6c","_type":"sectionHeader","title":"What lifestyle changes help with symptoms?"},{"_key":"d9fe7d087a15","_type":"block","children":[{"_key":"f3f9ed35960b0","_type":"span","marks":[],"text":"Adopting certain lifestyle changes can help manage symptoms of perimenopause and menopause and contribute to overall health and wellbeing. Here are some lifestyle habits that might beneficial:"}],"markDefs":[],"style":"normal"},{"_key":"20c63ef6cfc2","_type":"block","children":[{"_key":"9f1c21090a2e0","_type":"span","marks":["strong"],"text":"Regular exercise:"},{"_key":"0ecc137527be","_type":"span","marks":[],"text":" Both aerobic exercises and strength training helps manage weight, boost mood, and improve sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3bbf05974e50","_type":"block","children":[{"_key":"e38020f728230","_type":"span","marks":["strong"],"text":"Healthy Diet:"},{"_key":"3484656c645c","_type":"span","marks":[],"text":" Consuming a well-balanced diet rich in fresh fruits and vegetables, whole grains, healthy oils, and lean proteins is never a bad move."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"291f0c4d3e00","_type":"block","children":[{"_key":"6eff8886f79a0","_type":"span","marks":["strong"],"text":"Stress Management:"},{"_key":"6aa586e71727","_type":"span","marks":[],"text":" Practicing stress-reducing techniques, like meditation, yoga, deep breathing, and mindfulness can have positive impacts on mood and wellbeing."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a6205c5533b4","_type":"block","children":[{"_key":"639af82f71b70","_type":"span","marks":["strong"],"text":"Adequate Sleep:"},{"_key":"de8584740427","_type":"span","marks":[],"text":" Thoughtful sleep hygiene – consistent sleep schedule, comfortable sleep environment (dark and cool), relaxing before bedtime – might help alleviate symptoms."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d602eb80deaa","_type":"block","children":[{"_key":"88ed4533e8e20","_type":"span","marks":["strong"],"text":"Reduce Caffeine and Alcohol:"},{"_key":"bf0febc28041","_type":"span","marks":[],"text":" They can contribute to poor sleep and exacerbate hot flashes."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0e4e5061c170","_type":"block","children":[{"_key":"9f35a5dc83380","_type":"span","marks":["strong"],"text":"Stay Hydrated:"},{"_key":"a027a0cca821","_type":"span","marks":[],"text":" A good habit for overall health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2b05d190282c","_type":"block","children":[{"_key":"0d83a9cfd73e0","_type":"span","marks":["strong"],"text":"Maintain a Healthy Weight:"},{"_key":"b4378d4e5a5e","_type":"span","marks":[],"text":" Good eating habits + regular exercise. A healthy weight can alleviate symptoms and reduce the risk of health conditions."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"af0af70861bd","_type":"block","children":[{"_key":"ebd2780861940","_type":"span","marks":[],"text":"A reminder: Treatment decisions should be personalized based on your own health history, personal preferences, and subjective symptomology. Regular check-up and check-ins with a provider are essential for monitoring progress and adjusting the plan."}],"markDefs":[],"style":"normal"},{"_key":"9bc5b0c54591","_type":"sectionHeader","title":"Take control of your own menopausal journey"},{"_key":"cb1f41ec9822","_type":"block","children":[{"_key":"779cb5a7eb6f0","_type":"span","marks":[],"text":"Perimenopause and menopause are natural biological processes that all women face, usually beginning in their forties, that cause numerous symptoms related to declining supplies of estrogen and progesterone. Hot flashes tend to get the most buzz, but other symptoms (vaginal dryness, mood changes, sleep disturbances) can be just as disruptive and discomforting. Thankfully, there are many ways to manage these symptoms and many more lifestyle adjustments that can lighten the emotional and physical load of perimenopause and menopause as well. And while several important studies have demonstrated an association between menopausal symptoms and lower quality of life, many menopausal women report positive aspects associated with this life stage as well. So, we leave you with a few good reasons to have hope:"}],"markDefs":[],"style":"normal"},{"_key":"f93f75a2528a","_type":"block","children":[{"_key":"b18afccd7dae0","_type":"span","marks":[],"text":"No more periods or menstrual symptoms. Sex without worrying about pregnancy. Disappearing body hair. Shrinking uterine fibroids. A renewed zest for life. More confidence. Increased bonding with other women."}],"markDefs":[],"style":"normal"},{"_key":"db400d5c57a8","_type":"block","children":[{"_key":"1ad3e73a828a0","_type":"span","marks":[],"text":"If you are experiencing symptoms of perimenopause or menopause, "},{"_key":"32702f1a263d","_type":"span","marks":["e0939ceffeec"],"text":"sign up for a Tia membership"},{"_key":"2cc35918e9a7","_type":"span","marks":[],"text":" and schedule an appointment with the "},{"_key":"c8facb103468","_type":"span","marks":["c22b429e3c04"],"text":"clinic nearest you"},{"_key":"ca44e39c3822","_type":"span","marks":[],"text":". Tia's clinics are located in New York, Arizona, Los Angeles, and San Francisco. Let Tia’s team of sexual and reproductive health experts address your concerns with the highest quality, most comfortable gynecological care around."}],"markDefs":[{"_key":"e0939ceffeec","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}},{"_key":"c22b429e3c04","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-b4ef50ded71558247ddd327ea57d5bcf00542abe-2800x1600-png","_type":"reference"}},"publishedAt":"2024-01-23T23:50:06.826Z","slug":{"_type":"slug","current":"menopause-perimenopause"},"status":"production","title":"Navigating Menopause: Beyond the Hot Flashes","topics":[{"_key":"3ec48801944a","_ref":"1a5231d2-13dc-41ea-ac2d-ad5fd81a36e7","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Discover the unfiltered truth about menopause – from hot flashes to hormonal changes. Our comprehensive guide navigates symptoms, treatment options, and lifestyle changes, empowering women to embrace this transformative journey with confidence and ease. Break the silence surrounding menopause and find solace in understanding, managing, and celebrating this natural transition. Explore beyond the heat and discover a balanced, holistic approach to well-being. Your guide to a positive menopause experience starts here.","metaTitle":"Navigating Menopause: Beyond the Hot Flashes","openGraphDescription":"Discover the unfiltered truth about menopause – from hot flashes to hormonal changes. Our comprehensive guide navigates symptoms, treatment options, and lifestyle changes, empowering women to embrace this transformative journey with confidence and ease. Break the silence surrounding menopause and find solace in understanding, managing, and celebrating this natural transition. Explore beyond the heat and discover a balanced, holistic approach to well-being. Your guide to a positive menopause experience starts here.","openImage":{"_type":"image","asset":{"_ref":"image-b4ef50ded71558247ddd327ea57d5bcf00542abe-2800x1600-png","_type":"reference"}},"title":"Navigating Menopause: Beyond the Hot Flashes"}},"id":"b3e544b7-fb61-5449-be1b-d7c6f678e397","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"167f0965292d8f4c1d5fccd90f4684de","counter":273,"owner":"gatsby-source-sanity"}},{"_id":"35b350e9-9e4a-4499-a78d-243261fac001","_type":"editorial","_createdAt":"2025-01-31T18:47:02Z","_rev":"VL1Czd5X6FwbPnQ5gktFSL","_system":{"base":{"id":"35b350e9-9e4a-4499-a78d-243261fac001","rev":"4Ij9HC2938i6GydsictUIb"}},"_updatedAt":"2026-05-21T14:02:36Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"reference"},"authors":[{"_key":"e5ecc76daf65","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-8e4dda4c8645de88c17f0b58f7b6487de2b5376f-2500x800-webp","_type":"reference"}},"editorialText":[{"_key":"d63266da4e45","_type":"block","children":[{"_key":"6a017f09b22f0","_type":"span","marks":[],"text":"Menopause is all about change: changes in your body, your mood, your health, and yes, your sex drive."}],"markDefs":[],"style":"normal"},{"_key":"63a0e5a59c5a","_type":"block","children":[{"_key":"805ce0fd4b0d0","_type":"span","marks":[],"text":"As women transition through "},{"_key":"0fdf7da53469","_type":"span","marks":["cb270f0dde95"],"text":"perimenopause, menopause, and postmenopause"},{"_key":"50bc6be12426","_type":"span","marks":[],"text":", many experience a wide range of physical and emotional symptoms, including significant shifts in libido. But fear not. While menopause can challenge your sexual health, there are more ways than ever to manage these changes and reignite your sex drive, before, during, and after menopause."}],"markDefs":[{"_key":"cb270f0dde95","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/menopause-perimenopause-assessment/"}],"style":"normal"},{"_key":"6c1299311cb1","_type":"sectionHeader","headerLevel":"h2","title":"The menopause and sex drive connection"},{"_key":"cef79a1e47e4","_type":"block","children":[{"_key":"74660f254cbf0","_type":"span","marks":[],"text":"The numbers tell a clear story. "},{"_key":"22880bac30c1","_type":"span","marks":["6631c5a6927f"],"text":"Research"},{"_key":"c75c5e932a76","_type":"span","marks":[],"text":" shows that up to "},{"_key":"74660f254cbf1","_type":"span","marks":["strong"],"text":"75% of women"},{"_key":"74660f254cbf2","_type":"span","marks":[],"text":" experience changes in their sexual function during the menopause transition, including declines in desire, arousal, lubrication, and satisfaction. Among the most commonly "},{"_key":"b993c34128a6","_type":"span","marks":["7bb58ab1cc02"],"text":"reported symptoms"},{"_key":"45e9d0dfd4cd","_type":"span","marks":[],"text":": low sexual desire (affecting 40 - 55% of women), poor lubrication (25 - 30%), and "},{"_key":"08e396983b6b","_type":"span","marks":["8d87b2acd4f4"],"text":"painful sex"},{"_key":"6f38cd8cb628","_type":"span","marks":[],"text":", known medically as dyspareunia (12 - 45%)."}],"markDefs":[{"_key":"6631c5a6927f","_type":"externalLink","linkType":"text","url":"https://pubmed.ncbi.nlm.nih.gov/27801705/"},{"_key":"7bb58ab1cc02","_type":"externalLink","linkType":"text","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6780739/"},{"_key":"8d87b2acd4f4","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/pain-with-sex/"}],"style":"normal"},{"_key":"dfec59909b89","_type":"block","children":[{"_key":"2f78ebc7ade30","_type":"span","marks":[],"text":"The culprit? Declining reproductive hormones, estrogen, progesterone, and testosterone, all of which play a significant role in sexual health. But the experience isn't the same for everyone. Some women notice little change in their libido, while others experience a dramatic decrease. In some cases, lower estrogen and progesterone levels actually make the effects of testosterone more apparent, which can increase libido for a subset of women."}],"markDefs":[],"style":"normal"},{"_key":"9f37b9d30ac5","_type":"sectionHeader","headerLevel":"h2","title":"The impact of menopause on sex drive and libido"},{"_key":"91eb1d66330b","_type":"block","children":[{"_key":"02099da8ed840","_type":"span","marks":[],"text":"Perimenopause (before menopause)"}],"markDefs":[],"style":"h3"},{"_key":"7bcc1e11380d","_type":"block","children":[{"_key":"da75a4f210fe0","_type":"span","marks":[],"text":"Perimenopause typically begins in the mid-40s and can last anywhere from four to ten years. During this stage, hormones don't just decline - they fluctuate wildly, triggering hot flashes, mood swings, irregular periods, sleep disruption, and changes in sexual desire."}],"markDefs":[],"style":"normal"},{"_key":"5b989774ec6a","_type":"block","children":[{"_key":"98549a67445a0","_type":"span","marks":[],"text":"As estrogen levels decrease, vaginal dryness, discomfort during sex, and reduced sexual interest become increasingly common. Hot flashes and night sweats cause physical exhaustion that further dampens libido. Many women also experience emotional shifts - irritability, anxiety, or depression - that make intimacy feel less appealing."}],"markDefs":[],"style":"normal"},{"_key":"af9c7002bf65","_type":"block","children":[{"_key":"eac88d05c3a40","_type":"span","marks":["strong"],"text":"Perimenopause solution:"}],"markDefs":[],"style":"normal"},{"_key":"2d67a7407d63","_type":"block","children":[{"_key":"cdc32c7b480a0","_type":"span","marks":["em"],"text":"First things first — it's essential to determine if perimenopause or menopause is the most likely culprit of your concerns, as symptoms can overlap with other conditions. "},{"_key":"45744dd007fc","_type":"span","marks":["em","6c78e95a3894"],"text":"Tia's Perimenopause/Menopause Assessment"},{"_key":"ee0e5d8dab0e","_type":"span","marks":["em"],"text":" is the best place to start. Once you have clarity on where you are in your transition, managing perimenopause and sex drive requires addressing both the physical and emotional layers. Maintaining open communication with your partner, engaging in pelvic floor exercises, and using lubricants or vaginal moisturizers can meaningfully improve comfort and desire. Hormone replacement therapy (HRT) may also be an option for some women."}],"markDefs":[{"_key":"6c78e95a3894","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/menopause-perimenopause-assessment/"}],"style":"normal"},{"_key":"35c360ca30e4","_type":"block","children":[{"_key":"4eb042c0ab650","_type":"span","marks":[],"text":"Menopause (the transition)"}],"markDefs":[],"style":"h3"},{"_key":"7094855faf82","_type":"block","children":[{"_key":"cecb887eeea50","_type":"span","marks":[],"text":"Once you've gone 12 months without a period, you've officially reached menopause — which in the United States typically occurs around age 51. At this stage, estrogen levels are significantly lower, leading to further sexual health changes, including vaginal atrophy (thinning and dryness of the vaginal tissues), which can make "},{"_key":"30d64b691f69","_type":"span","marks":["2e1934d38ea5"],"text":"sex painful"},{"_key":"af4e642d92cf","_type":"span","marks":[],"text":". Testosterone, which also plays a role in sexual desire, also tends to decline during menopause."}],"markDefs":[{"_key":"2e1934d38ea5","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/pain-with-sex/"}],"style":"normal"},{"_key":"3579b8909cb6","_type":"block","children":[{"_key":"d2fa30709d780","_type":"span","marks":[],"text":"Here's something worth holding onto: regardless of age or menopausal status, sexual interest continues for many women. The Study of "},{"_key":"293e0d5b2fee","_type":"span","marks":["fd13af54d899"],"text":"Women's Health Across the Nation (SWAN)"},{"_key":"ccd664182354","_type":"span","marks":[],"text":" — one of the largest studies of midlife women's health - found that 76% of middle-aged women reported sex was moderately or extremely important to them. Women often stop initiating sex during this phase not always because they've lost interest, but because they anticipate pain or frustration. These issues are historically underreported and undertreated, often dismissed as an inevitable part of aging. They are not."}],"markDefs":[{"_key":"fd13af54d899","_type":"externalLink","linkType":"text","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC5994393/"}],"style":"normal"},{"_key":"42f2b1ff62d6","_type":"block","children":[{"_key":"c34f9a57635b0","_type":"span","marks":["strong"],"text":"Menopause solution:"}],"markDefs":[],"style":"normal"},{"_key":"75edd4a197ce","_type":"block","children":[{"_key":"3e55e91aa0870","_type":"span","marks":["em"],"text":"Once there is clarity that menopause is confirmed by your primary care physician, (schedule Tia's "},{"_key":"ebf083ca12f8","_type":"span","marks":["em","c02477ca6b9b"],"text":"Hormone and Vitality Assessment"},{"_key":"bdd83f7f906c","_type":"span","marks":["em"],"text":") a clearer treatment path opens up. Hormone replacement therapy (HRT) is a key treatment for many women at this stage. Estrogen therapy can help reduce vaginal dryness and improve sexual comfort. Local treatments, such as vaginal estrogen creams or rings, can target vaginal symptoms directly without affecting the rest of your body."}],"markDefs":[{"_key":"c02477ca6b9b","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/hormone-testing/"}],"style":"normal"},{"_key":"523a70d5f91a","_type":"block","children":[{"_key":"09180387f7590","_type":"span","marks":[],"text":"Postmenopause (after menopause)"}],"markDefs":[],"style":"h3"},{"_key":"623cfeb0f26f","_type":"block","children":[{"_key":"407359c854a60","_type":"span","marks":[],"text":"Postmenopause marks the years following your final period, and while many menopause symptoms may ease, some sexual health issues persist. Vaginal dryness can remain, and lower libido can still be a challenge. The emotional impact of aging and shifting body image can also affect your confidence and sexual desire."}],"markDefs":[],"style":"normal"},{"_key":"da386c7bf9ff","_type":"block","children":[{"_key":"757c8149ff0b0","_type":"span","marks":[],"text":"Women spend, on average, one-third of their lives in the postmenopausal stage. Sexuality continues to be moderately or extremely important to many women in this phase — yet very few discuss sexual health concerns with their healthcare providers."}],"markDefs":[],"style":"normal"},{"_key":"bc1f89c9803a","_type":"block","children":[{"_key":"8c811e1584a20","_type":"span","marks":["strong"],"text":"Postmenopause solution:"}],"markDefs":[],"style":"normal"},{"_key":"0899b7947dcf","_type":"block","children":[{"_key":"75cbc8faeafd","_type":"span","marks":["em"],"text":"Focusing on overall well-being, such as maintaining a healthy diet, managing stress, and staying active, can help boost your energy and sex drive. Some women find that exploring non-hormonal treatments, such as lubricants, can help make sex more comfortable. For postmenopausal women experiencing persistent low libido, FDA-approved medications like Addyi (flibanserin) "},{"_key":"8ac3a104e8c7","_type":"span","marks":["em","5db74c3bebfa"],"text":"are now available"},{"_key":"1d5bb13524d5","_type":"span","marks":["em"],"text":", the first non-hormonal pill specifically approved for low sexual desire in postmenopausal women under 65. Mental health support, like therapy, can also help with emotional barriers to intimacy."}],"markDefs":[{"_key":"5db74c3bebfa","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/addyi-flibanserin-for-low-libido/"}],"style":"normal"},{"_key":"c51e728f56be","_type":"sectionHeader","headerLevel":"h2","title":"How to increase your sex drive before, during, and after menopause"},{"_key":"39be409f71b8","_type":"block","children":[{"_key":"677f5f68e3e10","_type":"span","marks":[],"text":"Here are practical strategies to enhance your libido and sexual satisfaction at every stage of menopause:"}],"markDefs":[],"style":"normal"},{"_key":"072b8e524295","_type":"block","children":[{"_key":"69d76ad07c9e0","_type":"span","marks":[],"text":"Hormone replacement therapy (HRT)"}],"markDefs":[],"style":"h3"},{"_key":"c706a2bfef7e","_type":"block","children":[{"_key":"ef64eabade940","_type":"span","marks":[],"text":"HRT can be a game-changer for women experiencing significant changes in sex drive due to hormonal fluctuations. Estrogen therapy can relieve vaginal dryness and discomfort, while testosterone therapy may help boost libido. For women who are not candidates for systemic HRT, local treatments (such as vaginal estrogen creams or rings) can target symptoms like vaginal atrophy without affecting the entire body."}],"markDefs":[],"style":"normal"},{"_key":"a519373cdaa0","_type":"block","children":[{"_key":"3c7bbda3a0410","_type":"span","marks":[],"text":"Addyi (Flibanserin): A historic new option for low libido"}],"markDefs":[],"style":"h3"},{"_key":"fa39e4cda33d","_type":"block","children":[{"_key":"8d49f30ad3cd0","_type":"span","marks":[],"text":"In a landmark development for women's sexual health, the FDA approved an expanded indication for "},{"_key":"8d49f30ad3cd1","_type":"span","marks":["strong","c4f5345a658b"],"text":"Addyi (flibanserin)"},{"_key":"8d49f30ad3cd2","_type":"span","marks":[],"text":" in December 2025, making it the first and only FDA-approved oral treatment for low sexual desire in postmenopausal women under the age of 65."}],"markDefs":[{"_key":"c4f5345a658b","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/addyi-flibanserin-for-low-libido/"}],"style":"normal"},{"_key":"569967f97601","_type":"block","children":[{"_key":"fdf1f951777a0","_type":"span","marks":[],"text":"Addyi is designed for women under 65 with acquired, generalized HSDD meaning low sexual desire that developed after a period of normal desire and occurs in any sexual situation."}],"markDefs":[],"style":"normal"},{"_key":"328bed07b4e2","_type":"block","children":[{"_key":"89d0381e51cf0","_type":"span","marks":[],"text":"Pelvic floor exercises (Kegels)"}],"markDefs":[],"style":"h3"},{"_key":"7a508da38796","_type":"block","children":[{"_key":"379c9e46611a0","_type":"span","marks":[],"text":"Strengthening your pelvic floor muscles with Kegel exercises can improve sexual function and sensation, particularly after menopause. These exercises help improve blood flow to the genital area, which can enhance arousal and make orgasm easier to achieve. Regular pelvic floor exercises can also help reduce urinary incontinence, another common issue after menopause. If you’re having persistent pain with sex, you may be referred to a pelvic floor physical therapist for additional evaluation and tailored treatment."}],"markDefs":[],"style":"normal"},{"_key":"a5d790b2df07","_type":"block","children":[{"_key":"3f450704c3790","_type":"span","marks":[],"text":"Lubricants and vaginal moisturizers"}],"markDefs":[],"style":"h3"},{"_key":"49a0bef5274a","_type":"block","children":[{"_key":"5b336acd9d590","_type":"span","marks":[],"text":"Vaginal dryness can be a major turn-off during menopause. To make sex more comfortable, use a water-based lubricant or vaginal moisturizer before and during intercourse. A 2025 study published in "},{"_key":"5b336acd9d591","_type":"span","marks":["em"],"text":"Menopause"},{"_key":"5b336acd9d592","_type":"span","marks":[],"text":", the journal of The Menopause Society, found that women who maintained regular sexual activity showed a significantly lower prevalence of vulvar pain, irritation, and dryness — and that orgasm and satisfaction scores did not decline with age."}],"markDefs":[],"style":"normal"},{"_key":"7eb1cc613668","_type":"block","children":[{"_key":"076c7c3bc6ed0","_type":"span","marks":[],"text":"Open communication with your partner"}],"markDefs":[],"style":"h3"},{"_key":"79fd5cc792c3","_type":"block","children":[{"_key":"50ffc8e2c8980","_type":"span","marks":[],"text":"Communication is key to a healthy sexual relationship during menopause. Be open with your partner about any changes you're experiencing. Discussing your desires, boundaries, and concerns in a nonjudgmental way can foster intimacy and help you both find new ways to connect. Couples therapy and/or sexual therapy can help facilitate."}],"markDefs":[],"style":"normal"},{"_key":"e983618604d3","_type":"block","children":[{"_key":"94f263d134c50","_type":"span","marks":[],"text":"Prioritize mental health"}],"markDefs":[],"style":"h3"},{"_key":"c9665ee7e181","_type":"block","children":[{"_key":"23ef6f2494960","_type":"span","marks":[],"text":"Emotional well-being plays a huge role in sexual health. Managing stress, addressing feelings of anxiety or depression, and working on body image can all have positive effects on libido. Research from the "},{"_key":"3b688acadc7a","_type":"span","marks":["56c7b46d702c"],"text":"Seattle Midlife Women's Health Study"},{"_key":"8bd5bb406232","_type":"span","marks":[],"text":" confirms that higher perceived stress is significantly associated with lower sexual desire across the menopausal transition. Seeking therapy or counseling to address these emotional shifts can help improve your relationship with your body and your sexual identity."}],"markDefs":[{"_key":"56c7b46d702c","_type":"externalLink","linkType":"text","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC2834444/"}],"style":"normal"},{"_key":"0cc054428d75","_type":"block","children":[{"_key":"29072b3163320","_type":"span","marks":[],"text":"Non-hormonal options"}],"markDefs":[],"style":"h3"},{"_key":"d34d9a3298df","_type":"block","children":[{"_key":"04b094cf5cfe0","_type":"span","marks":[],"text":"If you're not interested in hormone therapy, there are still options. Over-the-counter vaginal moisturizers can help maintain moisture in the vaginal area, and lubricants can reduce discomfort during intercourse. For women who experience anxiety or low mood, mindfulness, relaxation techniques, or cognitive-behavioral therapy (CBT) can help improve mental and emotional barriers to sex. 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While HRT can effectively address certain symptoms, this reductionist approach fails to account for the complex physiological and psychological changes women experience during this critical life phase. Recent research indicates that we need a more comprehensive, preventive approach to support women's health during perimenopause and beyond."}],"markDefs":[],"style":"normal"},{"_key":"a8f4abd5260f","_type":"block","children":[{"_key":"922924182f240","_type":"span","marks":[],"text":"Understanding the Gaps in Current Care"}],"markDefs":[],"style":"h3"},{"_key":"d9024212dfec","_type":"block","children":[{"_key":"146f4e11a2820","_type":"span","marks":[],"text":"A 2023 study in the Journal of Women's Health found that nearly 75% of perimenopausal women report receiving insufficient guidance from their healthcare providers about managing this transition. This gap in care is particularly concerning given that perimenopause typically begins in a woman's 40s — a crucial period for preventing various age-related health conditions."}],"markDefs":[],"style":"normal"},{"_key":"d3e5b34253b9","_type":"block","children":[{"_key":"c6fdfa7518150","_type":"span","marks":[],"text":"The current trend of virtual-only healthcare solutions that focus solely on prescribing HRT, while convenient, may inadvertently create a false sense of comprehensive care. Research published in Menopause: The Journal of The North American Menopause Society demonstrates that women who receive only HRT without additional preventive care show higher rates of undiagnosed cardiovascular issues and bone density problems compared to those receiving comprehensive care."}],"markDefs":[],"style":"normal"},{"_key":"912b0ef98f8b","_type":"block","children":[{"_key":"cdb1eb4a9d1d0","_type":"span","marks":[],"text":"Essential Preventive Screening and Monitoring: A Data-Driven Approach"}],"markDefs":[],"style":"h3"},{"_key":"afbba75a023e","_type":"block","children":[{"_key":"cbaac97f05d80","_type":"span","marks":[],"text":"Recent longitudinal studies have demonstrated that comprehensive screening during perimenopause can significantly alter health trajectories. Research published in the Journal of Clinical Endocrinology & Metabolism shows that women who receive regular preventive screening during perimenopause have a 64% lower risk of developing serious cardiovascular complications and a 43% reduction in metabolic disorders over the subsequent decade."}],"markDefs":[],"style":"normal"},{"_key":"990a8a6d044c","_type":"block","children":[{"_key":"3b4f8e9ee6a10","_type":"span","marks":[],"text":"A holistic approach to perimenopausal care must include systematic monitoring of key health markers, with timing and frequency guided by the latest clinical evidence:"}],"markDefs":[],"style":"normal"},{"_key":"adfbcb9b57f5","_type":"block","children":[{"_key":"8386b2e10cad0","_type":"span","marks":[],"text":"Metabolic Health Markers"}],"markDefs":[],"style":"h4"},{"_key":"808e23f2fcf5","_type":"block","children":[{"_key":"d48285aa0b690","_type":"span","marks":[],"text":"Comprehensive lipid panel - essential as studies show a 50% increase in cardiovascular risk during the perimenopausal transition"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"09663d65679e","_type":"block","children":[{"_key":"b84cc24243c10","_type":"span","marks":[],"text":"Fasting glucose and HbA1c - particularly important as insulin sensitivity often decreases during this period"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0d91a84f2c33","_type":"block","children":[{"_key":"a9fde7dc7c870","_type":"span","marks":[],"text":"Insulin resistance markers - research indicates early detection can prevent up to 70% of perimenopausal-onset diabetes cases"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9c17d6eaef4b","_type":"block","children":[{"_key":"c66a1d88a1ad0","_type":"span","marks":[],"text":"Inflammatory markers including hsCRP - new evidence links inflammation during perimenopause to accelerated aging"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"83032ff1de06","_type":"block","children":[{"_key":"97204ec21c340","_type":"span","marks":[],"text":"Comprehensive Hormonal Panel"}],"markDefs":[],"style":"h4"},{"_key":"c08f3fab2adf","_type":"block","children":[{"_key":"143a5b2343520","_type":"span","marks":[],"text":"Thyroid function tests (TSH, Free T3, Free T4) - particularly crucial as research indicates that 1 in 8 women develop thyroid dysfunction during perimenopause"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"26a1ccdb6351","_type":"block","children":[{"_key":"b3f0aec1602d0","_type":"span","marks":[],"text":"When appropriate - estradiol and FSH levels to track reproductive aging + DHEA and testosterone levels: new studies show these hormones play a more significant role in cognitive function than previously understood"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"eadbfe258287","_type":"block","children":[{"_key":"3e7a8f4f6d540","_type":"span","marks":[],"text":"Bone Health Indicators"}],"markDefs":[],"style":"h4"},{"_key":"9181a6baaa7b","_type":"block","children":[{"_key":"65d1f498143b0","_type":"span","marks":[],"text":"Vitamin D levels - studies show optimal levels can reduce bone loss by up to 30%"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f40b320a679b","_type":"block","children":[{"_key":"dcd79c5554720","_type":"span","marks":[],"text":"Calcium and bone-specific alkaline phosphatase"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"59e5bff13313","_type":"block","children":[{"_key":"7dec5d255a110","_type":"span","marks":[],"text":"N-telopeptide and other bone turnover markers"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9379cccd5c05","_type":"block","children":[{"_key":"cd00f575c5060","_type":"span","marks":[],"text":"DEXA scans starting at age 45 for baseline bone density assessment"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c4a75c11f1fe","_type":"block","children":[{"_key":"8fa7522653110","_type":"span","marks":[],"text":"Research from the National Osteoporosis Foundation reveals that women lose up to 20% of their bone density in the first five years after menopause. 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Your skin plan works with your primary care, hormones, and overall well-being."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3f19861735cf","_type":"block","children":[{"_key":"96831d59d40d","_type":"span","marks":["strong"],"text":"Expert-Led Aesthetic & Medical Care:"},{"_key":"3b55061dc749","_type":"span","marks":[],"text":" Our team includes licensed medical providers who are specially trained in the services they deliver—from performing skin biopsies to administering neurotoxins, like Botox. This ensures safe, evidence-based treatments you can trust."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"86249c82f31a","_type":"block","children":[{"_key":"eb1080c279b6","_type":"span","marks":["strong"],"text":"One Stop for Convenience and Confidence:"},{"_key":"96825a5b62f2","_type":"span","marks":[],"text":" You get a full spectrum of services from an Yearly Skin Check to Clinical Wrinkle Care, eliminating the need to visit multiple, disconnected providers. We create a personalized plan designed for confidence-boosting results."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5d508e97b35b","_type":"block","children":[{"_key":"6cea32cb92f7","_type":"span","marks":["strong"],"text":"Insurance Accepted for Medical Needs:"},{"_key":"eb362327d1a9","_type":"span","marks":[],"text":" Medical dermatology appointments, like treating infections or performing cryotherapy, are billed to your insurance. You can get care for conditions like acne, rosacea, or rashes from your primary care team, helping you skip the long specialist wait times."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5414d9de3332","_type":"buttonBlock","items":[{"_key":"839e6c12f157","_type":"singleButton","backgroundColor":"bcorange","linkCta":"Book an appointment","linkType":"join-scroll-shape","redirectURL":"serviceLines=skincare"}],"onlyStackButtons":false},{"_key":"f93a0288579f","_type":"block","children":[{"_key":"34ccfa04041c","_type":"span","marks":[],"text":"Takes 3–5 minutes to create an account • No membership fee to book • Insurance accepted"}],"markDefs":[],"style":"small"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"b0c401b0e6cc94a54d48dbd6779dd170","_type":"shape","backgroundColor":"secondary-2","shapeColor":"secondary-1","shapeType":"shape-1"},{"_key":"d79d346186a7","_type":"spacer","backgroundColor":"bcoat","spacing":"pym"},{"_key":"7b748e85a0be","_type":"layoutSection","addOverlay":false,"alignItems":"center","backgroundColor":"bcoat","columns":1,"contentTone":"dark","direction":"row","gap":"none","items":[{"_key":"c2c2626aa371","_type":"layoutBox","alignItems":"stretch","border":"none","borderRadius":"none","columns":2,"direction":"column","gap":"md","items":[{"_key":"d86f65f3bf00","_type":"layoutText","text":[{"_key":"27845dd3a508","_type":"block","children":[{"_key":"76ab7a7caaa0","_type":"span","marks":["fontSerif"],"text":"FAQs"}],"markDefs":[],"style":"h2"}]}],"justifyContent":"flex-start","layoutMode":"flex","mobileColumns":1,"mobileDirection":"column","paddingBottom":"none","paddingLeft":"none","paddingRight":"none","paddingTop":"none","title":"FAQs"}],"justifyContent":"center","layoutMode":"grid","mobileColumns":1,"paddingX":"md","paddingY":"none","showDividers":false,"title":"Title"},{"_key":"5c1daca816cc","_type":"faqModule","backgroundColor":"bcoat","cta":"See full FAQ","faqs":[{"_id":"eaf5599a-232b-4614-a61f-01121be310da","_type":"faq","_createdAt":"2025-11-03T15:45:18Z","_rev":"PrR35qa3j6WvH6znGwgvrp","_system":{"base":{"id":"eaf5599a-232b-4614-a61f-01121be310da","rev":"hHoj97MU0iZOueKSEfqc9b"}},"_updatedAt":"2026-06-22T18:58:00Z","answer":[{"_key":"9e8745fe302a","_type":"block","children":[{"_key":"7bc51d5c86980","_type":"span","marks":[],"text":"Anyone with suspicious moles, a family history of skin cancer or new skin changes should book an annual skin exam with our expert providers. We’ll do a head-to-toe check to spot early warning signs, perform biopsies if needed, and give you peace of mind that your skin is being taken seriously."}],"markDefs":[],"style":"normal"}],"question":"Who should book an Yearly Skin Exam?","id":"d7327834-50ed-57f1-9f6b-e318121301d7","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"2e56046285d3bd2302b958bb3f8cf29e","counter":853,"owner":"gatsby-source-sanity"}},{"_id":"55232a17-cba2-49d7-98c3-a5119fd2fdd9","_type":"faq","_createdAt":"2025-11-03T15:45:36Z","_rev":"Nts8i4d4YcoSFzvfLw5PDe","_updatedAt":"2025-11-03T15:45:44Z","answer":[{"_key":"15276923f185","_type":"block","children":[{"_key":"1ed1860509c90","_type":"span","marks":[],"text":"Anybody who’s not sure where to start, wants expert guidance on their skin goals, or is curious about which treatments or services are right for them. A consultation is the best first step if you’re weighing options and want a personalized plan."}],"markDefs":[],"style":"normal"}],"question":"Who should book a Skin Care Consultation?","id":"244d24db-5de0-538c-8890-5145830446b7","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"af0c255bee5dcee602cded7af334d586","counter":471,"owner":"gatsby-source-sanity"}},{"_id":"de2e9816-b6aa-4751-a9bd-29280da949ac","_type":"faq","_createdAt":"2025-11-03T15:45:58Z","_rev":"Nts8i4d4YcoSFzvfLw5aqe","_updatedAt":"2025-11-03T15:46:07Z","answer":[{"_key":"2ad0abd65e98","_type":"block","children":[{"_key":"b4ec1e25de120","_type":"span","marks":[],"text":"Yes. We treat acne, rashes, and more with prescriptions, procedures and integrative support. Our team evaluates what is driving your symptoms and create a personalized treatment plan."}],"markDefs":[],"style":"normal"}],"question":"Does Tia treat acne and rashes? ","id":"d8f53f4b-f755-585d-8d88-fe0ddc9d47c9","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"62706cba3f44c58280e6a0f890310214","counter":472,"owner":"gatsby-source-sanity"}},{"_id":"8ba83098-8987-404a-b8b0-b3185c3babcd","_type":"faq","_createdAt":"2025-11-03T15:46:20Z","_rev":"Nts8i4d4YcoSFzvfLw5cee","_updatedAt":"2025-11-03T15:46:28Z","answer":[{"_key":"dce47740d901","_type":"block","children":[{"_key":"b3315ab27fdb0","_type":"span","marks":[],"text":"Most dermatology clinics or med-spas only focus on the surface. At Tia, we see your skin as a part of your whole health. That means, we connect skin changes to hormones, stress, and lifestyle factors. Your care is coordinated across one team, from primary care to aesthetics, so nothing gets missed."}],"markDefs":[],"style":"normal"}],"question":"What makes Tia’s skin care different?","id":"4761298a-4983-55ad-baa2-8fe5c9fc94e6","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"8fa556bf0f37ea13a0a394951ab60345","counter":473,"owner":"gatsby-source-sanity"}},{"_id":"1458ed03-cf04-459a-bddc-a522d46a25c0","_type":"faq","_createdAt":"2025-11-03T15:46:41Z","_rev":"hHoj97MU0iZOueKSEfr3Yd","_updatedAt":"2025-11-03T15:47:17Z","answer":[{"_key":"e7447b2baa20","_type":"block","children":[{"_key":"486ef9239b730","_type":"span","marks":[],"text":"Medical dermatology visits like Annual Skin Exam and procedures such as biopsies or cryotherapy are typically covered by insurance. Aesthetic services like Wrinkle Care, peels or red light therapy are elective and not covered."}],"markDefs":[],"style":"normal"}],"question":"Which skin care appointments are covered by insurance?","id":"058d2643-8ce8-5b16-8cc0-2902228aa3c2","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"87260d560b2ab8c9df8d96b27ab8d0bf","counter":474,"owner":"gatsby-source-sanity"}},{"_id":"8334d844-16f1-4a36-b94f-ea71fc63be8c","_type":"faq","_createdAt":"2025-11-03T15:47:37Z","_rev":"hHoj97MU0iZOueKSEfr8Sp","_updatedAt":"2025-11-03T15:47:47Z","answer":[{"_key":"d992e537eb94","_type":"block","children":[{"_key":"5fc7d72dd39d0","_type":"span","marks":[],"text":"No, you will be seeing a Tia primary care provider (a Nurse Practitioner, Physician's Assistant, or Doctor) who has received specialized training in dermatology. They are equipped to handle many skin concerns. If your condition requires the care of a board-certified dermatologist, our team will provide a referral."}],"markDefs":[],"style":"normal"}],"question":"Will I be seeing a board-certified dermatologist for my medical skin care visits?","id":"bd1865cf-5a32-5ff5-921d-c7ceec544583","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"eef30262b74a35e86ba338169411b4c0","counter":475,"owner":"gatsby-source-sanity"}}]}],"serviceImage":{"_type":"image","asset":{"_id":"image-54a3c7d0f7bc9097d06182e12d8d529f7578ec1f-800x600-webp","_type":"sanity.imageAsset","_createdAt":"2025-07-28T15:12:23Z","_rev":"4l1AtK0518mAL0oHXPWHGi","_updatedAt":"2025-07-28T15:12:23Z","assetId":"54a3c7d0f7bc9097d06182e12d8d529f7578ec1f","extension":"webp","metadata":{"_type":"sanity.imageMetadata","blurHash":"V6IDdZ0002O?00:k~pD*0LyD01KPE1xZ-o.R0LI;-:v}","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":1.3333333333333333,"height":600,"width":800},"hasAlpha":true,"isOpaque":false,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#734c39","foreground":"#fff","population":4.94,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#663520","foreground":"#fff","population":6.61,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#663520","foreground":"#fff","population":6.61,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#c6a995","foreground":"#000","population":6.51,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#eba07e","foreground":"#000","population":4.28,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#a26955","foreground":"#fff","population":4.13,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#b06642","foreground":"#fff","population":0.33,"title":"#fff"}}},"mimeType":"image/webp","originalFilename":"skin_care2_1.webp","path":"images/8qqycr4y/production/54a3c7d0f7bc9097d06182e12d8d529f7578ec1f-800x600.webp","sha1hash":"54a3c7d0f7bc9097d06182e12d8d529f7578ec1f","size":73568,"uploadId":"U9dOpNuqaHxnvzhyWL3G4GBRpgRNST3f","url":"https://cdn.sanity.io/images/8qqycr4y/production/54a3c7d0f7bc9097d06182e12d8d529f7578ec1f-800x600.webp","id":"image-54a3c7d0f7bc9097d06182e12d8d529f7578ec1f-800x600-webp","parent":null,"children":["8c031b68-51cc-5cf2-83f0-65613859ac47"],"internal":{"type":"SanityImageAsset","contentDigest":"d3e3b3d9ee579fab77fbd229f7a12fb3","counter":1122,"owner":"gatsby-source-sanity"}}},"shortDescription":"Whether you’re dealing with a rash, acne, signs of aging, or just want to feel more confident in your skin, we’re here to find solutions that work for you and your goals, including topicals, injectables, and safe, effective procedures.","showDefaultHero":false,"showToc":true,"slug":{"_type":"slug","current":"skin-care"},"title":"Skin Care"},"meta":{"_type":"metaCard","metaDescription":"Discover Tia's expanded skin care services designed to improve your skin's health, confidence, and beauty. 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Like, did you know that you can get a test to see the mix of sizes of plaque in your bloodstream? At the end of the visit, I walked away with a clear understanding of my five and ten year risk of a heart event. Spoiler alert, my risk is low and Tashina gave me thoughtful, actionable steps I can take now to help keep it that way!  I walked out wishing that everyone I know could have this visit, but ESPECIALLY the women in my life. If you are a Tia patient, or are thinking about becoming one, I can’t recommend this visit enough!”","Title":"Lindsey C","_key":"40b6cb4ea54c","_type":"inline"}]},{"_key":"dd94e4f302ad","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"d6ff6f0ba7a3","_type":"shape","shapeColor":"secondary-1","shapeType":"shape-4"},{"_key":"4a147fddf86e","_type":"spacer","spacing":"pys"},{"_key":"8181ece22169","_type":"faqModule","faqs":[{"_id":"b7983d1f-8172-49c2-afa5-9f83edf0c6bb","_type":"faq","_createdAt":"2025-08-11T19:35:22Z","_rev":"R4nGrzZLYFVpJgoZuVyswL","_system":{"base":{"id":"b7983d1f-8172-49c2-afa5-9f83edf0c6bb","rev":"jECG3r5EXZCzgpgXPSzwTc"}},"_updatedAt":"2025-08-21T17:50:42Z","answer":[{"_key":"b899e1a99547","_type":"block","children":[{"_key":"729ee1af1cb10","_type":"span","marks":[],"text":"Longevity isn’t just about living longer, it’s about feeling better, staying sharp, and improving your quality of life as you age. At Tia, we define longevity as extending your health span instead of just your lifespan."}],"markDefs":[],"style":"normal"},{"_key":"10d5ed067d97","_type":"block","children":[{"_key":"7d5de15668170","_type":"span","marks":[],"text":"Our care is designed to improve specifically to help women stay healthier for longer and focuses on the systems that matter the most for women as they age: heart health, cognitive health, inflammation, and more."}],"markDefs":[],"style":"normal"}],"question":"What is Longevity?","id":"aa43d9d3-bd1c-5384-ade8-21a69d3a2bed","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"aa6923072414cf428f312ea8f653e1f1","counter":9850,"owner":"gatsby-source-sanity"}},{"_id":"954b1a53-356f-4f54-a432-34159d096bd8","_type":"faq","_createdAt":"2025-08-11T19:35:44Z","_rev":"R4nGrzZLYFVpJgoZuVyv67","_system":{"base":{"id":"954b1a53-356f-4f54-a432-34159d096bd8","rev":"4WeTGovBgJroi8c0Ln4dbn"}},"_updatedAt":"2025-08-21T17:51:02Z","answer":[{"_key":"77a3e9950855","_type":"block","children":[{"_key":"99e2db9093bd0","_type":"span","marks":[],"text":"Tia’s Women’s Longevity Assessment is for anyone who wants to better understand their long-term health, even if they feel fine today. It’s especially great for women in their 20s, 30s, 40s, and 50s who are thinking about prevention. Whether you are curious about getting answers with lab testing, wanting to catch health issues early, or just want clarity about your future health, this appointment is a proactive step towards improving your health so you feel your best for longer."}],"markDefs":[],"style":"normal"}],"question":"Who should book the Women’s Longevity Assessment?","id":"2e3cb3db-3374-5535-b747-5cf542bf3d65","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"00e0389dcb7ef88a26c83ea78c19a9d9","counter":9785,"owner":"gatsby-source-sanity"}},{"_id":"45c7ccf5-7d0d-4d41-8b61-cf44debe889e","_type":"faq","_createdAt":"2025-08-11T19:36:11Z","_rev":"R4nGrzZLYFVpJgoZuVyvOZ","_system":{"base":{"id":"45c7ccf5-7d0d-4d41-8b61-cf44debe889e","rev":"jECG3r5EXZCzgpgXPSzy3Y"}},"_updatedAt":"2025-08-21T17:51:06Z","answer":[{"_key":"30d64867db42","_type":"block","children":[{"_key":"c5eff736f2c00","_type":"span","marks":[],"text":"Most longevity services are built around male biology, a long list of unnecessary labs, and a DIY approach that leaves you with a confusing PDF of results. Tia’s longevity care is different. It’s built for women by women’s health experts with proactive screening, evidence-based and whole-person care that’s tailored to your health risks, life stages, and future health goals."}],"markDefs":[],"style":"normal"},{"_key":"1a05acb513d8","_type":"block","children":[{"_key":"7794bb261d9c0","_type":"span","marks":[],"text":"We focus on tests that actually matter for how women age and your unique biology. Every visit includes 1:1 time with a care provider that helps interpret your results from a women’s health lens and partners with you to come up with a personalized care plan."}],"markDefs":[],"style":"normal"},{"_key":"bf4440b6b711","_type":"block","children":[{"_key":"6ce624b34e650","_type":"span","marks":[],"text":"We help you address the conditions that impact your quality of life, build resilience against chronic stress."}],"markDefs":[],"style":"normal"},{"_key":"3c494ff8f132","_type":"block","children":[{"_key":"0b6b1e6b59290","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"question":"What makes Tia’s Longevity care different? ","id":"d25c4a79-5c42-5e2e-aa7a-4c780b564f1c","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"5833c40d341a462f3b8d18958f70b179","counter":9849,"owner":"gatsby-source-sanity"}},{"_id":"d53af64f-d48b-430a-acec-26ffaff93e16","_type":"faq","_createdAt":"2025-08-11T19:36:41Z","_rev":"R4nGrzZLYFVpJgoZuW1sil","_system":{"base":{"id":"d53af64f-d48b-430a-acec-26ffaff93e16","rev":"QkrnrKEy1qjcFbqbms2ho9"}},"_updatedAt":"2025-08-21T17:52:26Z","answer":[{"_key":"1bf4478c56fe","_type":"block","children":[{"_key":"b7c0cd0129140","_type":"span","marks":[],"text":"Tia’s Women’s Longevity assessment is a 30-minute virtual or in-person visit designed to understand your health goals, risks and priorities. You’ll meet 1:1 with a Tia provider to review your personal and family medical history, discuss lifestyle factors, and share what you want to focus on."}],"markDefs":[],"style":"normal"},{"_key":"6a6d16c3fe91","_type":"block","children":[{"_key":"cfc525cd3fbb0","_type":"span","marks":[],"text":"Together, you’ll decide which advanced labs and screenings make sense for you, including testing for metabolism, inflammation, heart health, cognitive health, and more. Your provider will partner with you to develop a personalized holistic care plan, which may include referrals, follow-up steps, or additional testing.\n"}],"markDefs":[],"style":"normal"}],"question":"What happens during a Women’s Longevity Assessment? ","id":"054c0db6-0c6e-5f19-b923-6859faf98761","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"64a64dabf2db0bf998a536cf2dcbe3e9","counter":352,"owner":"gatsby-source-sanity"}},{"_id":"43e8d58a-e7b8-4352-9f2e-11018e03a561","_type":"faq","_createdAt":"2025-08-11T19:37:15Z","_rev":"YTnLU30AG6EGaIpmvjRMaH","_system":{"base":{"id":"43e8d58a-e7b8-4352-9f2e-11018e03a561","rev":"QkrnrKEy1qjcFbqbms2xDl"}},"_updatedAt":"2025-08-21T17:52:45Z","answer":[{"_key":"e93ea1c2e70d","_type":"block","children":[{"_key":"1e9cd346ca170","_type":"span","marks":[],"text":"Yes, the Women’s Longevity Assessment is now offered virtually! You can choose to have your appointment in-clinic or virtually."}],"markDefs":[],"style":"normal"}],"question":"Can I get the Women's Longevity Assessment virtually? ","id":"c2e9d5b7-a873-5a16-9713-569cdb13d8f8","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"66209a34775244318d85028585e06894","counter":9784,"owner":"gatsby-source-sanity"}},{"_id":"353a7648-f7ab-4f30-a1ff-104f29b14a26","_type":"faq","_createdAt":"2025-09-12T14:46:00Z","_rev":"K9ndBc5fXoqzIFFJt9M4sb","_system":{"base":{"id":"353a7648-f7ab-4f30-a1ff-104f29b14a26","rev":"5KAiCqcY3rs0Bq2bmlzAeU"}},"_updatedAt":"2025-10-16T16:12:50Z","answer":[{"_key":"bcfab2f95c4f","_type":"block","children":[{"_key":"fbf738350b5d0","_type":"span","marks":[],"text":"Your Women’s Longevity Assessment goes beyond a routine annual exam. It takes a deeper look at your long-term health using advanced screening tools, genetic testing, and labs to assess heart, metabolic, inflammatory, and cognitive health. Together with your provider, you’ll build a personalized plan to help you stay healthier, longer."}],"markDefs":[],"style":"normal"},{"_key":"5a1a295880d3","_type":"block","children":[{"_key":"5f09ef7eff69","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"7dd707ce7067","_type":"block","children":[{"_key":"bb4d6291ec470","_type":"span","marks":[],"text":"Because this visit involves medical evaluation and care planning beyond standard preventive care, it’s not billed as a preventive annual exam and may be subject to a copay or deductible."}],"markDefs":[],"style":"normal"}],"question":"How is the Women's Longevity Assessment different than an Annual Exam?","id":"f05f9613-bb43-5a4d-92c2-bfb5554e400a","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"dc7fcc0582e2e812594bbe54abe5037e","counter":383,"owner":"gatsby-source-sanity"}}],"title":"Longevity FAQs"},{"_key":"cf77d5b90059","_type":"spacer","spacing":"pys"},{"_key":"44f60ec5f38d","_type":"spacer","backgroundColor":"bcoat","spacing":"pys"},{"_key":"00e0993f264c","_type":"furtherReading","articles":[{"_id":"959debc0-e8ca-42d3-a2e3-57aaa7a2827c","_type":"editorial","_createdAt":"2025-05-06T15:08:23Z","_rev":"PDv0MBj1H2qsMYGlFzqQa3","_updatedAt":"2025-06-10T23:57:34Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"289b3a6c-1e4d-4435-bcf1-904a0995a934","_type":"reference"},"authors":[{"_key":"36bb1e0b964b","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-489407a06ce090d10f48c5945511b1638169f11d-1934x1354-png","_type":"reference"}},"editorialText":[{"_key":"3992852b8e4d","_type":"block","children":[{"_key":"0f8e42ab63f00","_type":"span","marks":["strong"],"text":"A Women-First Approach to Longevity — Starting with the Heart"}],"markDefs":[],"style":"h1"},{"_key":"16217be74de6","_type":"block","children":[{"_key":"1f3d3010078a0","_type":"span","marks":[],"text":"When we set out to design Tia’s approach to "},{"_key":"7fa7c275609e","_type":"span","marks":["578ae6611b61"],"text":"longevity"},{"_key":"08a0fd9a69b5","_type":"span","marks":[],"text":", we didn’t begin with the usual question: "},{"_key":"1f3d3010078a1","_type":"span","marks":["em"],"text":"What’s the most comprehensive list of biomarkers we can run?"},{"_key":"1f3d3010078a2","_type":"span","marks":[],"text":" Or even: "},{"_key":"1f3d3010078a3","_type":"span","marks":["em"],"text":"How do we help women biohack their way to optimal health?"}],"markDefs":[{"_key":"578ae6611b61","_type":"internalLink","linkType":"text","reference":{"_ref":"eba0d59e-6d57-478c-b60a-23bd2d253f74","_type":"reference"}}],"style":"normal"},{"_key":"38e2ee343023","_type":"block","children":[{"_key":"7093494d8e5c0","_type":"span","marks":[],"text":"We started with something simpler and more human: if aging has become one of the most fearsome processes of life for women, how do we work to demystify this natural and beautiful foundation of life? How might we, as women, find confidence, rather than more fear and need, across this time?"}],"markDefs":[],"style":"normal"},{"_key":"9e2384a07936","_type":"block","children":[{"_key":"ddc3eb4d5ac90","_type":"span","marks":[],"text":"Because here’s the truth: A huge industry has been created to make women afraid of aging and of the way our bodies look with age. We've been made to fear our breasts, our skin, our hair - and now, we're being told we need even more - more drugs, more tests - to outsmart and out-medicate our bodies from their natural flow. Now we need to trust dashboards of data reporting on “optimized” numbers that ignore how we feel in our own bodies and our own minds.But, in reality, women don’t need another overwhelming list of things to do, things to monitor, ways to improve (ways we are not hitting the mark). We don’t need to be told—again—that we’re not good enough or that we need to be supplemented, monitored, or augmented to be healthy or desirable."}],"markDefs":[],"style":"normal"},{"_key":"f0afcdc49dd6","_type":"block","children":[{"_key":"d195b96327650","_type":"span","marks":[],"text":"We just need clear, succinct and actionable ways to be healthy, and then let us be … "},{"_key":"d195b96327651","_type":"span","marks":["em"],"text":"confident and free of worry. "},{"_key":"d195b96327652","_type":"span","marks":[],"text":"We need to know what’s "},{"_key":"d195b96327653","_type":"span","marks":["em"],"text":"essential"},{"_key":"d195b96327654","_type":"span","marks":[],"text":" to protect our long-term health — and where we can give ourselves permission to simply be."}],"markDefs":[],"style":"normal"},{"_key":"570e1b9582da","_type":"block","children":[{"_key":"b78912ec857b0","_type":"span","marks":[],"text":"That’s why we started with the foundation: "},{"_key":"b78912ec857b1","_type":"span","marks":["strong"],"text":"the heart."}],"markDefs":[],"style":"normal"},{"_key":"c4d5b37b26f5","_type":"block","children":[{"_key":"8a887da6f3aa","_type":"span","marks":["em"],"text":"\"...most longevity programs skip cardiovascular screening entirely — even though heart disease kills more women than all forms of cancer combined.\""}],"markDefs":[],"style":"h3"},{"_key":"298600b50b1e","_type":"block","children":[{"_key":"f8686f620b450","_type":"span","marks":[],"text":"Despite being the leading cause of death in women, heart health is often left out of longevity care altogether. In fact, "},{"_key":"f8686f620b451","_type":"span","marks":["strong"],"text":"most longevity programs skip cardiovascular screening entirely"},{"_key":"f8686f620b452","_type":"span","marks":[],"text":" — even though heart disease kills more women than all forms of cancer combined."}],"markDefs":[],"style":"normal"},{"_key":"47325a97243b","_type":"block","children":[{"_key":"1b70ccc459aa0","_type":"span","marks":[],"text":"And when women "},{"_key":"1b70ccc459aa1","_type":"span","marks":["em"],"text":"do"},{"_key":"1b70ccc459aa2","_type":"span","marks":[],"text":" have heart attacks, the symptoms are often missed or misdiagnosed. Fatigue, jaw pain, nausea, and back pain? These are common signs of a cardiovascular event in women — and they rarely show up in textbooks written around male physiology."}],"markDefs":[],"style":"normal"},{"_key":"37801af40d00","_type":"block","children":[{"_key":"f58117ade1190","_type":"span","marks":[],"text":"At Tia, we believe longevity starts with listening differently — to the data, to the evidence, and most importantly, to women."}],"markDefs":[],"style":"normal"},{"_key":"f4cc235c3689","_type":"block","children":[{"_key":"4021cf995ae30","_type":"span","marks":[],"text":"So we built a new kind of offering: "},{"_key":"4021cf995ae31","_type":"span","marks":["strong"],"text":"The Women’s Longevity Assessment"},{"_key":"4021cf995ae32","_type":"span","marks":[],"text":", designed by women’s health experts to put heart health at the center of your care."}],"markDefs":[],"style":"normal"},{"_key":"f853f0fb8253","_type":"sectionHeader","headerLevel":"h2","title":"What’s Included"},{"_key":"67af0d465ff2","_type":"block","children":[{"_key":"095ec354eba70","_type":"span","marks":[],"text":"Our Women’s Longevity Assessment combines advanced labs with in-person testing and 1:1 provider guidance — translating your results into a personalized care plan."}],"markDefs":[],"style":"normal"},{"_key":"2564b87d3be1","_type":"block","children":[{"_key":"1e61ab2adaeb0","_type":"span","marks":[],"text":"We included labs that "},{"_key":"1e61ab2adaeb1","_type":"span","marks":["em"],"text":"actually matter"},{"_key":"1e61ab2adaeb2","_type":"span","marks":[],"text":" for women — including markers your regular doctor may not test for, like "},{"_key":"1e61ab2adaeb3","_type":"span","marks":["strong"],"text":"Lipoprotein(a)"},{"_key":"1e61ab2adaeb4","_type":"span","marks":[],"text":", a genetic cholesterol marker that 1 in 5 women carry, yet few have ever heard of. (It can triple your risk of early heart disease and stroke — and isn’t picked up on a standard lipid panel.)"}],"markDefs":[],"style":"normal"},{"_key":"97b7bdad724b","_type":"block","children":[{"_key":"ec92ab3254ad0","_type":"span","marks":[],"text":"You’ll also get:"}],"markDefs":[],"style":"normal"},{"_key":"310962ceb2c8","_type":"block","children":[{"_key":"14b1b908f6b20","_type":"span","marks":["strong"],"text":"Cardio-metabolic health"},{"_key":"14b1b908f6b21","_type":"span","marks":[],"text":": Lipid panel, ApoB, A1c, insulin resistance"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2de60f22b67d","_type":"block","children":[{"_key":"7a08c3876d890","_type":"span","marks":["strong"],"text":"Inflammation & arterial health"},{"_key":"7a08c3876d891","_type":"span","marks":[],"text":": hs-CRP, Lp-PLA2, fibrinogen, homocysteine"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d0551434f582","_type":"block","children":[{"_key":"7b96465966610","_type":"span","marks":["strong"],"text":"Genetic & advanced cholesterol markers"},{"_key":"7b96465966611","_type":"span","marks":[],"text":": Lp(a), ion mobility fractionation"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"dc6b17081c4f","_type":"block","children":[{"_key":"8555083151330","_type":"span","marks":["strong"],"text":"Organ function"},{"_key":"8555083151331","_type":"span","marks":[],"text":": CMP, CBC, uric acid, microalbumin"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6cd033b4d08b","_type":"block","children":[{"_key":"0d2f1488c13b0","_type":"span","marks":[],"text":"Because in midlife, many women begin to experience subtle shifts — changes in metabolism, energy, mood — but their labs still come back “normal.” We call these the "},{"_key":"0d2f1488c13b1","_type":"span","marks":["strong"],"text":"whispers"},{"_key":"0d2f1488c13b2","_type":"span","marks":[],"text":" before the storm. And our job is to hear them."}],"markDefs":[],"style":"normal"},{"_key":"d3dbfc1282cb","_type":"sectionHeader","headerLevel":"h2","title":"What Happens After the Lab Work"},{"_key":"f55df9fc34e0","_type":"block","children":[{"_key":"d41e9f2127000","_type":"span","marks":[],"text":"You’re not a lab report. You’re a whole person — with a body, a history, and a future. That’s why your provider walks through your results with you in the context of your goals, your symptoms, and your vision for aging well."}],"markDefs":[],"style":"normal"},{"_key":"fc4f50998d09","_type":"block","children":[{"_key":"0002888e9e080","_type":"span","marks":[],"text":"This is not a one-size-fits-all protocol or a printout of supplement recs. It’s a conversation, and a care plan that’s personalized — and "},{"_key":"0002888e9e081","_type":"span","marks":["em"],"text":"actionable"},{"_key":"0002888e9e082","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"48621f4d143a","_type":"block","children":[{"_key":"fc9db9fd7b8b0","_type":"span","marks":[],"text":"If you need deeper expertise, we’ll connect you with top-tier cardiologists across the country — and stay by your side throughout."}],"markDefs":[],"style":"normal"},{"_key":"2f5cbcc71322","_type":"block","children":[{"_key":"cea14c10ee430","_type":"span","marks":[],"text":"Because real longevity care isn’t about chasing perfection. It’s about understanding your body, trusting your path, and caring for yourself with confidence — today, tomorrow, and for all the years to come."}],"markDefs":[],"style":"normal"},{"_key":"29328ae0490c","_type":"sectionHeader","headerLevel":"h2","title":"What’s Next"},{"_key":"3e352b8073f0","_type":"block","children":[{"_key":"3f00502482e70","_type":"span","marks":[],"text":"We’re starting with heart health because the evidence is clearest and the opportunity for impact is greatest. But there’s so much more ahead. This year, we’ll be expanding our longevity offering to support women in more ways — including brain health, hormonal shifts, autoimmune conditions, cancer risk, and beyond."}],"markDefs":[],"style":"normal"},{"_key":"e360253bee82","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"7787dc2a07d5","_type":"block","children":[{"_key":"a0a356e8214e","_type":"span","marks":["strong"],"text":"Now Available"},{"_key":"b97f425c37e6","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"large"},{"_key":"a50984c1003b","_type":"block","children":[{"_key":"7629794f4f0a","_type":"span","marks":[],"text":"Book your "},{"_key":"8021950b39f2","_type":"span","marks":["strong"],"text":"Women’s Longevity Assessment"},{"_key":"5966a8927770","_type":"span","marks":[],"text":", our foundational offering."}],"markDefs":[],"style":"large"},{"_key":"b9e15356374b","_type":"buttonBlock","items":[{"_key":"1df07b17a47f","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Book your Women’s Longevity Assessment","linkType":"join-scroll-shape","reference":{"_ref":"eba0d59e-6d57-478c-b60a-23bd2d253f74","_type":"reference"}}],"onlyStackButtons":false}]},{"_key":"51ac630cc34f","_type":"block","children":[{"_key":"cb93c1805ef0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-489407a06ce090d10f48c5945511b1638169f11d-1934x1354-png","_type":"reference"}},"publishedAt":"2025-05-06T15:50:00.000Z","slug":{"_type":"slug","current":"youre-more-than-your-numbers-new-kind-of-longevity-care-for-women"},"status":"production","title":"You're More Than Your Numbers: A New Kind of Longevity Care for Women","topics":[{"_key":"b9d21a1d9748","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"},{"_key":"d181e0b8820c","_ref":"2059d0d8-f950-4194-a53f-a51970c4fd07","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Discover a new kind of longevity care designed by women, for women — starting with the heart. 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Recent research has demonstrated specific cognitive deficits in individuals with hyperandrogenic PCOS, particularly in executive functions, often exacerbated by insulin resistance."},{"_key":"9016889e49dc","_type":"span","marks":["em"],"text":"1"},{"_key":"8c93e9176ac1","_type":"span","marks":[],"text":" A There are multifaceted mechanisms through which estrogen and androgens influence brain health, from their roles as neurosteroids produced within the brain to their modulation of neurogenesis, synaptic plasticity, neurotransmitter systems, and neuroinflammation via diverse receptor pathways."},{"_key":"f7147ee1575a","_type":"span","marks":["em"],"text":"2"},{"_key":"f2039ceb4f39","_type":"span","marks":[],"text":" There is a complex interplay of hyperandrogenism, insulin resistance, and inflammation as key drivers of PCOS-related cognitive alterations, which can lead to structural brain changes like reduced white matter integrity, even in younger adults."},{"_key":"63cc5f1a4fff","_type":"span","marks":["em"],"text":"11"},{"_key":"9745c2ae90a9","_type":"span","marks":[],"text":" This research in the way that PCOS implicates traditional brain functioning in females can be extrapolated to broader findings about estrogen’s enduring neuroprotective impact across the lifespan, its role in cognitive aging and neurodegenerative diseases, and the potential for targeted hormonal and lifestyle interventions to preserve brain health."},{"_key":"d4e6c5be6f32","_type":"span","marks":["em"],"text":"8"}],"markDefs":[],"style":"normal"},{"_key":"15a928ef15c1","_type":"sectionHeader","headerLevel":"h2","title":"Introduction: Hormonal Influences on Brain Health"},{"_key":"dc0c2e0571dd","_type":"block","children":[{"_key":"3cfdbfb1095c0","_type":"span","marks":[],"text":"Polycystic Ovary Syndrome (PCOS) is a highly prevalent endocrine disorder affecting an estimated 7-10% of women of childbearing age."},{"_key":"7fd44427ac36","_type":"span","marks":["em"],"text":"13"},{"_key":"248af40d17fa","_type":"span","marks":[],"text":" It is primarily recognized for its reproductive manifestations, including oligomenorrhea (infrequent menstruation), hyperandrogenism (elevated androgen levels), and infertility."},{"_key":"c1515fd0cb2e","_type":"span","marks":["em"],"text":"12"},{"_key":"3fa52444981c","_type":"span","marks":[],"text":" Beyond its well-known reproductive and cutaneous sequelae (aka cystic acne), PCOS is increasingly understood as a multi-system disorder associated with a significant adverse cardiometabolic profile. This profile commonly includes insulin resistance, obesity, dyslipidemia, hypertension, and chronic inflammation, all of which contribute to a heightened risk of conditions like type 2 diabetes."},{"_key":"2f7109cc29a2","_type":"span","marks":["em"],"text":"12"},{"_key":"98a7973a492a","_type":"span","marks":[],"text":" The systemic metabolic and hormonal disruptions characteristic of PCOS are now recognized to extend their influence to brain structure and function, impacting mental health and cognitive outcomes across the lifespan."},{"_key":"a77f9827650d","_type":"span","marks":["em"],"text":"13"}],"markDefs":[],"style":"normal"},{"_key":"75b1b791e256","_type":"block","children":[{"_key":"2519034fd61e0","_type":"span","marks":[],"text":"Hormones of the hypothalamic-pituitary-gonadal (HPG) axis, including estrogens and androgens, are not merely peripheral regulators of reproductive function but also potent neurosteroids."},{"_key":"8e3284114efd","_type":"span","marks":["em"],"text":"4"},{"_key":"deec871bb986","_type":"span","marks":[],"text":" These steroid hormones exert profound and multifaceted effects on the development, maintenance, and ongoing function of the central nervous system throughout an individual's life."},{"_key":"d70c347729cf","_type":"span","marks":["em"],"text":"20"},{"_key":"4aa644389c23","_type":"span","marks":[],"text":" They are intricately involved in modulating fundamental neurobiological processes such as neural differentiation, proliferation (neurogenesis, the act of building new brain circuits), and synaptic plasticity."},{"_key":"4a7fefaa7f6d","_type":"span","marks":["em"],"text":"2"},{"_key":"32b9fb79367f","_type":"span","marks":[],"text":" Furthermore, these hormones influence various neurotransmitter systems, collectively supporting cognitive resilience and adaptive brain remodeling."},{"_key":"b123427659a6","_type":"span","marks":["em"],"text":"2"},{"_key":"1fa50560c7cd","_type":"span","marks":[],"text":" The observed sex differences in cognitive functioning, as well as in the vulnerability and manifestation of several psychiatric and neurological diseases—such as Alzheimer's disease (AD) and schizophrenia—strongly underscore the pervasive influence of these sex hormones on overall brain health and disease trajectories."},{"_key":"ddb9919f42f0","_type":"span","marks":["em"],"text":"4"}],"markDefs":[],"style":"normal"},{"_key":"90ecf7d8c71c","_type":"block","children":[{"_key":"e536e28f3e150","_type":"span","marks":[],"text":"Cognitive impacts observed in individuals with PCOS is not broadly discussed, despite an evolving landscape of research demonstrating the clear role of estrogen/androgen in shaping brain anatomy and function."},{"_key":"83ca15f2d8b5","_type":"span","marks":["em"],"text":"1"},{"_key":"a2547710137d","_type":"span","marks":[],"text":" The intricate molecular and cellular mechanisms by which estrogen and androgens influence brain function are critical for understanding the way in which estrogen could impact the brain. While research is evolving in this space, elevating recent findings is pertinent to the broader conversation. There are many implications of these hormonal influences for understanding general brain health, cognitive aging, and neurodegenerative disease risk, thereby integrating specific PCOS findings into a wider neuroendocrinological context. We are simultaneously excited about the research to date and eager for further focus on these critical insights for the overall field of women’s health."}],"markDefs":[],"style":"normal"},{"_key":"401ad7fa2f09","_type":"sectionHeader","headerLevel":"h2","title":"Cognitive Function in Polycystic Ovary Syndrome (PCOS): Specific Findings and Broader Evidence"},{"_key":"c77012fb38c1","_type":"block","children":[{"_key":"a0532839034f0","_type":"span","marks":[],"text":"The investigation into cognitive function in reproductive-aged individuals with PCOS has yielded significant findings, highlighting specific areas of vulnerability. (A seminal study categorized subjects into two groups: hyperandrogenic NIH-PCOS (n=35), characterized by clinical or biochemical hyperandrogenism alongside oligomenorrhea or polycystic ovaries, and non-androgenic PCOS (n=13), presenting with only oligomenorrhea and polycystic ovaries without hyperandrogenism.1)"}],"markDefs":[],"style":"normal"},{"_key":"6476d91884fa","_type":"block","children":[{"_key":"3d6b6fe9666d0","_type":"span","marks":[],"text":"hyperandrogenism is a medical condition characterized by elevated levels of androgens, often referred to as \"male hormones\" like testosterone, which are critical for women's health when in balance. While it can occur in both sexes, it is more common in women."}],"markDefs":[],"style":"normal"},{"_key":"d890def21fd0","_type":"block","children":[{"_key":"1cf6fa162fa70","_type":"span","marks":[],"text":"In women, hyperandrogenism is a clinical characteristic of Polycystic Ovary Syndrome (PCOS), affecting 60-80% of women with the condition and accounting for about 70% of hyperandrogenism cases overall. When androgen levels are high and out of balance, they can contribute to a range of hormonal, metabolic, reproductive, and psychological issues. Symptoms may include acne, seborrhea, hair loss on the scalp, increased body or facial hair (hirsutism), and infrequent or absent menstruation. Complications can also include high blood cholesterol and diabetes"}],"markDefs":[],"style":"normal"},{"_key":"c029a7e68176","_type":"block","children":[{"_key":"a13b30ed187e0","_type":"span","marks":[],"text":"A core finding of this study was that individuals with hyperandrogenic (high androgen) NIH-PCOS demonstrated significantly lower relative performance in executive functions when compared to their non-androgenic counterparts."},{"_key":"24ad5e73f6d1","_type":"span","marks":["em"],"text":"1"},{"_key":"df66a8dbc8d1","_type":"span","marks":[],"text":" This deficit was not generalized but specific, manifesting in subdomains such as verbal fluency, working memory, and cognitive control. These functions were assessed using a battery of neuropsychological tests, including the Delis-Kaplan System (Stroop, Trail Making for cognitive control; Design and Verbal Fluency for generativity) and Wechsler Adult Intelligence Scale (WAIS) Digit Span and Wechsler Memory Scale Symbol Span for working memory."},{"_key":"cd0c296d5c24","_type":"span","marks":["em"],"text":"1"},{"_key":"5a3db000ee58","_type":"span","marks":[],"text":" The study further revealed that among NIH-PCOS subjects, those with co-occurring insulin resistance exhibited the lowest performance on the composite executive function score. This observation underscores that insulin resistance acts as a significant exacerbating factor for cognitive impairment in this population."},{"_key":"d3fc622431fe","_type":"span","marks":["em"],"text":"1"},{"_key":"a13b30ed187e2","_type":"span","marks":[],"text":" Importantly, cognitive performance on measures of \"pre-morbid\" IQ, such as verbal and perceptual reasoning (measured with WAIS) and processing speed (measured by WAIS symbol search), was found to be similar between the hyperandrogenic and non-androgenic PCOS groups."},{"_key":"bfed51e2bc74","_type":"span","marks":["em"],"text":"1"},{"_key":"a1db8d49c012","_type":"span","marks":[],"text":" This suggests that the observed executive function deficits are not indicative of a generalized intellectual impairment but rather a specific impact on higher-order cognitive processes. The findings from this study strongly suggest a direct or indirect causal link between hyperandrogenism (high androgenism), a defining feature of NIH-PCOS, and these specific executive function deficits. The exacerbation of these deficits by insulin resistance further points to a complex interplay of hormonal and metabolic factors. The preservation of \"pre-morbid\" IQ implies that these are acquired, domain-specific impairments rather than global neurodevelopmental issues, indicating that the hormonal and metabolic dysregulation in PCOS might selectively impair neural circuits involved in these higher-order functions."}],"markDefs":[],"style":"normal"},{"_key":"6e6a1cc07a6d","_type":"block","children":[{"_key":"0b7ac09e13ad0","_type":"span","marks":[],"text":"Beyond this initial study, a growing body of evidence consistently links PCOS to cognitive alterations across different age groups. Longitudinal studies, such as the Coronary Artery Risk Development in Young Adults (CARDIA) Women's study, have tracked women with and without PCOS over a 30-year period. These studies revealed that women with PCOS at midlife (average age 54.7 years) performed significantly lower on tests of executive function (Stroop Interference Test), memory (RAVLT Long Delay Recall), and verbal abilities (Category Fluency)."},{"_key":"4e6510d21384","_type":"span","marks":["em"],"text":"11"},{"_key":"9e04677d3b33","_type":"span","marks":[],"text":" Notably, for the test measuring attention, participants with PCOS had an average score approximately 11% lower than those without the condition."},{"_key":"40159df0b469","_type":"span","marks":["em"],"text":"16"},{"_key":"578578e388d7","_type":"span","marks":[],"text":" Beyond functional deficits, these longitudinal investigations also revealed structural brain changes, specifically lower total white matter fractional anisotropy, a measure indicative of reduced white matter integrity."},{"_key":"8b47a3abfca3","_type":"span","marks":["em"],"text":"11"},{"_key":"7ead0c124389","_type":"span","marks":[],"text":" White matter is crucial for efficient information processing and connecting brain regions responsible for learning, balance, focusing, and problem-solving."},{"_key":"6d705aeb9ce5","_type":"span","marks":["em"],"text":"16"}],"markDefs":[],"style":"normal"},{"_key":"e76f3b0d4ace","_type":"block","children":[{"_key":"cfe0e45191140","_type":"span","marks":[],"text":"Moreover, alterations in white matter microstructure have been observed even in younger adult women with PCOS."}],"markDefs":[],"style":"normal"},{"_key":"362d31afbd7a","_type":"block","children":[{"_key":"b4de0c04a1500","_type":"span","marks":[],"text":"White matter is crucial for efficient brain function because it helps the brain process information and connects different areas of the brain. These connections are vital for various cognitive processes, including learning, maintaining balance, focusing attention, and problem-solving. Changes in white matter integrity, such as those observed in conditions like PCOS, can be an early indicator of alterations in the brain that may occur with aging or other health conditions."}],"markDefs":[],"style":"normal"},{"_key":"8d27ce05ff57","_type":"block","children":[{"_key":"60f5ed8f225a0","_type":"span","marks":[],"text":"Studies involving individuals with PCOS (average age 31 years) demonstrated altered white matter microstructure, characterized by a widespread reduction in axial diffusivity (diffusion along the main axis of white matter fibers) and increased tissue volume fraction (the proportion of volume filled by white or grey matter) in regions like the corpus callosum."},{"_key":"13dc46ee9f82","_type":"span","marks":["em"],"text":"15"},{"_key":"d115de4a0253","_type":"span","marks":[],"text":" These structural changes were accompanied by subtle decrements across a broad range of cognitive tests, notably independent of age, education, and body mass index (BMI)."},{"_key":"db7b5da17a6e","_type":"span","marks":["em"],"text":"15"},{"_key":"0f115156a449","_type":"span","marks":[],"text":" The consistent findings across studies, from reproductive-aged to midlife women, and the detection of white matter alterations in young adults,"},{"_key":"60f5ed8f225a2","_type":"span","marks":["strong"],"text":" "},{"_key":"8d441ab7b810","_type":"span","marks":[],"text":"strongly suggest that PCOS is associated with a long-term trajectory of accelerated cognitive aging and early-onset structural brain changes."}],"markDefs":[],"style":"normal"},{"_key":"c540daa08b82","_type":"block","children":[{"_key":"3ef640574c6b0","_type":"span","marks":[],"text":"Altered white matter microstructure, specifically reduced axial diffusivity and increased tissue volume fraction in areas like the corpus callosum, indicates compromised brain communication pathways. White matter is crucial for efficient information processing, learning, and problem-solving. These structural changes are linked to subtle declines across various cognitive tests. Importantly, these alterations are independent of age, education, and BMI, suggesting that the underlying condition (like PCOS) directly impacts brain health and function, even in younger adults."}],"markDefs":[],"style":"normal"},{"_key":"4a261f64a602","_type":"block","children":[{"_key":"5ba7fee15be00","_type":"span","marks":[],"text":"These findings imply that the condition's impact on the brain is not merely a late-life phenomenon but begins much earlier, potentially setting the stage for future cognitive decline. The fact that changes are observed independently of age, education, and BMI in younger adults indicates that the underlying PCOS pathophysiology itself, rather than just aging or obesity, drives these brain alterations."}],"markDefs":[],"style":"normal"},{"_key":"943f6622cba7","_type":"block","children":[{"_key":"4c5cc21f58ea0","_type":"span","marks":[],"text":"The following table summarizes the cognitive domains affected in PCOS and the associated factors identified in the research:"}],"markDefs":[],"style":"normal"},{"_key":"c83d2343ea02","_type":"block","children":[{"_key":"579ac47762a80","_type":"span","marks":["strong"],"text":"Table 1: Summary of Cognitive Domains Affected in PCOS and Associated Factors"}],"markDefs":[],"style":"normal"},{"_key":"df82b6abd8b0","_type":"tableModule","subTable":{"rows":[{"_key":"49f39e98-150f-491b-9983-52d22c7d904a","_type":"tableRow","cells":["Cognitive Domain","Specific Test/Measure","Observed Impact in PCOS","Associated Factors","Relevant Age Group","Source Snippets"]}]},"table":{"rows":[{"_key":"dcd1229b-30a8-49d7-bae2-96f32b6452a3","_type":"tableRow","cells":["Executive Function","Composite Score (Verbal Fluency, Working Memory, Cognitive Control)","Lower performance","Hyperandrogenism, Insulin Resistance","Reproductive-aged","1"]},{"_key":"8b3cdd70-ec4f-4538-b11b-cce288bd0251","_type":"tableRow","cells":["Executive Function","Stroop Interference Test","Lower performance","Hyperandrogenism, Insulin Resistance, Lower white matter integrity","Midlife","11"]},{"_key":"01836726-e14f-4a77-a21d-42f8b5374c6d","_type":"tableRow","cells":["Memory","RAVLT Long Delay Recall","Lower performance","Hyperandrogenism, Insulin Resistance, Lower white matter integrity","Midlife","11"]},{"_key":"621ca952-656d-4468-a5b3-f8e209973c1d","_type":"tableRow","cells":["Verbal Fluency","Category Fluency","Lower performance","Hyperandrogenism, Insulin Resistance, Lower white matter integrity","Midlife","11"]},{"_key":"63ecf791-2f06-4544-95a9-b6d35e6d2377","_type":"tableRow","cells":["Attention","Stroop Test (general)","~11% lower average score","Hyperandrogenism, Insulin Resistance","Midlife","16"]},{"_key":"b466a7fb-1e49-4b1c-81f3-105b4e2dae35","_type":"tableRow","cells":["White Matter Integrity","Total White Matter Fractional Anisotropy","Lower integrity","Hyperandrogenism, Insulin Resistance","Midlife","11"]},{"_key":"2ff739f9-a3fc-4d87-bff6-7bc04c6811f9","_type":"tableRow","cells":["White Matter Microstructure","Axial Diffusivity, Tissue Volume Fraction (Corpus Callosum)","Reduced axial diffusivity, increased tissue volume fraction","Insulin Resistance, Hyperandrogenism","Young Adults","15"]},{"_key":"6c2ef297-2b7a-4a49-8ac5-6fbc2e8cc1fc","_type":"tableRow","cells":["General Cognitive Performance","First Principal Component (broad range of tests)","Subtle decrements","Insulin Resistance, Hyperandrogenism","Young Adults","15"]}]}},{"_key":"9b2ac1ee8d19","_type":"block","children":[{"_key":"ed06e4ebed360","_type":"span","marks":["strong"],"text":"3. Mechanisms of Estrogen's Influence on Brain Function"}],"markDefs":[],"style":"normal"},{"_key":"e13664226347","_type":"block","children":[{"_key":"7eaa29a717c40","_type":"span","marks":[],"text":"Estrogen, particularly 17β-estradiol (E2), is classically recognized as a primary endocrine signal produced by the ovary, essential for female reproduction. However, E2 is also a potent neurosteroid, meaning it can be synthesized locally within the brain by neurons and astrocytes in both men and women."},{"_key":"7eaa29a717c42","_type":"span","marks":["em"],"text":"2"},{"_key":"a3064e1a8d31","_type":"span","marks":[],"text":" This local production, often referred to as neuron-derived E2 (NDE2), allows for intricate, localized control over brain function, potentially independent of systemic ovarian fluctuations."},{"_key":"8fc1baef630b","_type":"span","marks":["em"],"text":"2"},{"_key":"a44633fed113","_type":"span","marks":[],"text":" E2 is a lipophilic steroid, enabling it to readily diffuse through the blood-brain barrier (BBB) to reach the brain parenchyma, where it regulates diverse processes linked to development, reproduction, emotion, and cognition."},{"_key":"fd45bf8cf27b","_type":"span","marks":["em"],"text":"4"},{"_key":"270dfa3b8aa0","_type":"span","marks":[],"text":" The presence of neurosteroidogenesis, the local synthesis of estrogen within the brain, implies a sophisticated, localized regulatory system for brain function. This mechanism could allow the brain to buffer systemic hormonal fluctuations and maintain a stable microenvironment, or conversely, contribute to localized dysregulation in pathological states if this local synthesis is impaired or overwhelmed by peripheral imbalances."}],"markDefs":[],"style":"normal"},{"_key":"f9f9f4b0b279","_type":"block","children":[{"_key":"d438b3d8e67f0","_type":"span","marks":[],"text":"Estrogen exerts its profound effects by binding to specific estrogen receptors (ERs). Three main subtypes have been identified: Estrogen receptor alpha (ERα), estrogen receptor beta (ERβ), and G-protein-coupled estrogen receptor 1 (GPER1)."},{"_key":"f3a50175d226","_type":"span","marks":["em"],"text":"4"},{"_key":"69d126b3bb65","_type":"span","marks":[],"text":" These receptors mediate estrogen's influence through two primary signaling pathways:"}],"markDefs":[],"style":"normal"},{"_key":"5ae7be796bbf","_type":"block","children":[{"_key":"77b985a7e7450","_type":"span","marks":["strong"],"text":"Classical Genomic Actions:"},{"_key":"77b985a7e7451","_type":"span","marks":[],"text":" ERα and ERβ belong to the steroid-activated nuclear receptor family of transcription factors. Upon E2 binding, these receptors undergo conformational changes, dissociate from associated heat shock proteins, and then homo- or hetero-dimerize. The activated dimers translocate to the nucleus, where they recruit coactivators and bind to specific DNA sequences known as estrogen response elements (EREs)."},{"_key":"ccfa8410c4d8","_type":"span","marks":["em"],"text":"4"},{"_key":"4460f4d8ce05","_type":"span","marks":[],"text":" This binding mediates the transcription of target genes involved in cellular proliferation, differentiation, and survival."},{"_key":"fc50bc2637a7","_type":"span","marks":["em"],"text":"4 "},{"_key":"d44d38549d2c","_type":"span","marks":[],"text":"This classical genomic pathway is typically slower, leading to long-term cellular changes crucial for brain development and maintenance."},{"_key":"43940cf7e9ad","_type":"span","marks":["em"],"text":"5"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f9483a0fde15","_type":"block","children":[{"_key":"05161ac4032f0","_type":"span","marks":["strong"],"text":"Rapid Non-Genomic Actions:"},{"_key":"05161ac4032f1","_type":"span","marks":[],"text":" In addition to classical genomic actions, ERs can also mediate rapid, non-genomic effects that do not directly involve DNA binding."},{"_key":"4827eef70cfb","_type":"span","marks":["em"],"text":"4"},{"_key":"644617eac672","_type":"span","marks":[],"text":" These actions occur through membrane-bound estrogen receptors (mERs) or via transcriptional cross-talk, where ERs interact with other transcription factors or activate intracellular signaling cascades, such as PI3K/cAMP pathways."},{"_key":"2c153993c590","_type":"span","marks":["em"],"text":"5"},{"_key":"77225ff49feb","_type":"span","marks":[],"text":" These cascades can rapidly phosphorylate and activate transcription factors, leading to swift changes in gene expression or direct modulation of neuronal excitability and synaptic function."},{"_key":"814d473c2b9d","_type":"span","marks":["em"],"text":"5"},{"_key":"68a55aaa104a","_type":"span","marks":[],"text":" These rapid effects allow for dynamic modulation of neuronal activity and synaptic function."},{"_key":"14c432f3bc1c","_type":"span","marks":["em"],"text":"4"},{"_key":"15431e883077","_type":"span","marks":[],"text":" The existence of both classical genomic (slower, gene transcription) and rapid non-genomic (membrane-mediated, signaling cascades) actions of estrogen, mediated by distinct receptor subtypes, highlights the complexity and versatility of estrogen signaling in the brain. This mechanistic understanding is crucial for developing highly targeted therapeutic interventions, such as selective ER modulators, that can leverage specific pathways for neuroprotection while minimizing unwanted systemic side effects."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"df629a1e7e64","_type":"block","children":[{"_key":"dbdeed2dc18a0","_type":"span","marks":[],"text":"The neurobiological effects of estrogen are extensive and critical for optimal brain function:"}],"markDefs":[],"style":"normal"},{"_key":"ffe9be3f8091","_type":"block","children":[{"_key":"f02ae571a42c0","_type":"span","marks":[],"text":"Modulation of Neural Differentiation, Proliferation, and Synaptic Plasticity: Estrogen plays a pivotal role in shaping brain circuitry. NDE2, for instance, is crucial for regulating synaptic plasticity, a fundamental process underlying learning and memory formation."},{"_key":"e8185d79e9b8","_type":"span","marks":["em"],"text":"2"},{"_key":"0d18c6a3a197","_type":"span","marks":[],"text":" Estrogen receptors in the brain participate in modulating neural differentiation, promoting neurogenesis (the birth of new neurons), and influencing the density and efficacy of synapses."},{"_key":"df3b32b81d0b","_type":"span","marks":["em"],"text":"4"},{"_key":"d86839054a9d","_type":"span","marks":[],"text":" These processes are all vital for cognitive resilience and adaptive brain remodeling throughout life."},{"_key":"192a8a0b80f7","_type":"span","marks":["em"],"text":"4"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4b51bd499278","_type":"block","children":[{"_key":"1f5a3f95b4210","_type":"span","marks":[],"text":"Influence on Neurotransmitter Systems: E2 profoundly modulates various neurotransmitter systems, including the serotonergic, dopaminergic, and glutamatergic pathways."},{"_key":"95bb7a4f8079","_type":"span","marks":["em"],"text":"5"},{"_key":"ba76e3b0b2f8","_type":"span","marks":[],"text":" These systems are fundamental to diverse brain functions such as learning, memory, reward, mood regulation, and sexual behaviors."},{"_key":"57ec39bd18fe","_type":"span","marks":["em"],"text":"5"},{"_key":"79d5d06c5b0a","_type":"span","marks":[],"text":" For example, E2 interacts with the dopaminergic system, which is implicated in cognitive aging and disorders like Parkinson's disease, where reductions in dopamine binding and receptors are observed."},{"_key":"529ca4b2e42f","_type":"span","marks":["em"],"text":"17"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"36f82675146a","_type":"block","children":[{"_key":"05509335c8aa0","_type":"span","marks":[],"text":"Role in Neuroinflammation and Neuroprotection: Estrogen has potent neuroprotective properties, particularly against inflammatory insults within the central nervous system."},{"_key":"694515fbe398","_type":"span","marks":["em"],"text":"4"},{"_key":"ac105398ed63","_type":"span","marks":[],"text":" It exerts significant anti-inflammatory effects, notably by modulating the activity of microglia, the brain's resident immune cells.9 Microglia are crucial for maintaining neuronal connectivity, clearing cellular debris, and responding to injury."},{"_key":"3beead87728e","_type":"span","marks":["em"],"text":"9"},{"_key":"038f81d51ce0","_type":"span","marks":[],"text":" However, prolonged or excessive inflammatory activation by microglia can be detrimental, contributing to neurodegenerative processes."},{"_key":"361d30c55501","_type":"span","marks":["em"],"text":"9"},{"_key":"accd0f5015f3","_type":"span","marks":[],"text":" Estrogen's ability to prevent and control inflammatory responses suggests a key role in protecting the brain from pathologies with an inflammatory component, such as Alzheimer's and Parkinson's diseases."},{"_key":"3b00f78ccb5a","_type":"span","marks":["em"],"text":"9"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"925054df16dc","_type":"sectionHeader","headerLevel":"h2","title":"Mechanisms of Androgen's Influence on Brain Function"},{"_key":"12aa0123e303","_type":"block","children":[{"_key":"80986050eded0","_type":"span","marks":[],"text":"Androgens, such as testosterone and dihydrotestosterone (DHT), are synthesized not only in the gonads and adrenal glands but also locally within the brain itself, functioning as neurosteroids."},{"_key":"a0bf5ca6c76b","_type":"span","marks":["em"],"text":"3"},{"_key":"b4df28e9804e","_type":"span","marks":[],"text":" These hormones exert physiologically important effects on the structure and function of the central nervous system in both sexes."},{"_key":"68768de6c14e","_type":"span","marks":["em"],"text":"3"},{"_key":"418aea2cf38f","_type":"span","marks":[],"text":" Androgen receptors (ARs) are widely expressed in numerous neuronal populations throughout the brain, including the neocortex, hippocampal formation, and amygdala."},{"_key":"c2ccd34b5fc8","_type":"span","marks":["em"],"text":"7"}],"markDefs":[],"style":"normal"},{"_key":"400ddbcfe991","_type":"block","children":[{"_key":"0b0284979e210","_type":"span","marks":[],"text":"The androgen receptor (AR) is a type of nuclear receptor activated by binding to androgenic hormones like testosterone or DHT.6 Similar to estrogen receptors, ARs operate through both genomic and non-genomic mechanisms:"}],"markDefs":[],"style":"normal"},{"_key":"332d141dfca4","_type":"block","children":[{"_key":"d2135bd783b10","_type":"span","marks":["strong"],"text":"Genomic Mechanisms:"},{"_key":"d2135bd783b11","_type":"span","marks":[],"text":" The primary mechanism of AR action involves the direct regulation of gene transcription."},{"_key":"80e0562bed48","_type":"span","marks":["em"],"text":"6"},{"_key":"0982b1274d2f","_type":"span","marks":[],"text":" Upon steroid binding, the AR undergoes a conformational change, releases associated heat-shock proteins, and undergoes phosphorylation."},{"_key":"ab3007354ec5","_type":"span","marks":["em"],"text":"6"},{"_key":"4bd1bbfdaffd","_type":"span","marks":[],"text":" The activated AR then translocates to the nucleus, where it dimerizes, binds to specific androgen responsive elements on DNA, and recruits coactivator proteins, leading to the transcription of target genes."},{"_key":"7ce27cf7e194","_type":"span","marks":["em"],"text":"6"},{"_key":"235cfc73256a","_type":"span","marks":[],"text":" This genomic pathway is fundamental for the development and maintenance of male sexual phenotype, but it also plays a crucial role in various other tissue types and physiological processes, including those in the brain."},{"_key":"e097edf0193c","_type":"span","marks":["em"],"text":"6"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"833fe0e60737","_type":"block","children":[{"_key":"9a627b78dfee0","_type":"span","marks":["strong"],"text":"Non-Genomic Mechanisms:"},{"_key":"9a627b78dfee1","_type":"span","marks":[],"text":" Like estrogen receptors, ARs also mediate rapid, non-genomic actions."},{"_key":"269830191ca9","_type":"span","marks":["em"],"text":"6"},{"_key":"c940b8895020","_type":"span","marks":[],"text":" Recent studies have detected AR immunoreactivity in neuronal and glial processes, including axons, dendrites, and astrocytes, in regions such as the adult rat neocortex, hippocampal formation, and amygdala."},{"_key":"b9055bf443a8","_type":"span","marks":["em"],"text":"7"},{"_key":"c62fb373b3cf","_type":"span","marks":[],"text":" This extranuclear localization suggests functional roles beyond nuclear transcription, enabling rapid modulation of neural activity. These extranuclear ARs may play an important role in the swift behavioral effects of androgens, allowing for more direct and immediate influences on neuronal function."},{"_key":"21db0aaf7330","_type":"span","marks":["em"],"text":"7"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"668ccbde5428","_type":"block","children":[{"_key":"633612bbe61c0","_type":"span","marks":[],"text":"Androgens contribute significantly to neuroplastic effects, particularly within the hippocampus, a brain region critical for learning and memory."},{"_key":"b83b5367bfcc","_type":"span","marks":["em"],"text":"3"},{"_key":"2c461c510b13","_type":"span","marks":[],"text":" These effects include synaptogenesis (the formation of new synapses) and the modulation of glial cell functions, which are essential for neuronal support and brain plasticity."},{"_key":"61bd353d3c6c","_type":"span","marks":["em"],"text":"3"},{"_key":"9e9ecec387b9","_type":"span","marks":[],"text":" Androgens also play a key role in the maintenance of male skeletal integrity via AR signaling in osteoblasts and osteocytes.6"}],"markDefs":[],"style":"normal"},{"_key":"8a843426b401","_type":"block","children":[{"_key":"ce8211fb39540","_type":"span","marks":[],"text":"While often considered \"male hormones,\" androgens are critically important for women's health when present in balanced physiological concentrations."},{"_key":"fdaaaa16d1b2","_type":"span","marks":["em"],"text":"22"},{"_key":"96179fe9514b","_type":"span","marks":[],"text":" The AR is essential for normal female fertility, required for the development and full functionality of ovarian follicles and ovulation, through both intra-ovarian and neuroendocrine mechanisms."},{"_key":"0dee8f0460f0","_type":"span","marks":["em"],"text":"6"},{"_key":"60e435ca9f88","_type":"span","marks":[],"text":" Androgens also play a role in regulating female sexual, somatic, and behavioral functions."},{"_key":"e9b90e18210d","_type":"span","marks":["em"],"text":"6"},{"_key":"6498dddc5f44","_type":"span","marks":[],"text":" However, when androgen levels are high and out of balance, a condition known as hyperandrogenism, they contribute to a range of hormonal, metabolic, reproductive, and psychological issues."},{"_key":"e3cc669c1a6f","_type":"span","marks":["em"],"text":"22"},{"_key":"fe36b77f0e77","_type":"span","marks":[],"text":" Elevated androgens can have neurotoxic effects, and imbalances, such as those commonly observed in PCOS, are linked to cognitive decline."},{"_key":"a0df7980a048","_type":"span","marks":["em"],"text":"16"},{"_key":"527b7f101a17","_type":"span","marks":[],"text":" Androgens, like estrogens, operate through both genomic and non-genomic pathways, enabling both long-term structural changes and rapid modulation of neural activity. Furthermore, their role in the female brain is complex: essential for fertility and various functions at physiological levels, yet potentially neurotoxic at elevated levels, as seen in hyperandrogenism. This highlights the importance of hormonal balance rather than just presence or absence for optimal brain function."}],"markDefs":[],"style":"normal"},{"_key":"acaf18f88973","_type":"block","children":[{"_key":"71a0c16900b90","_type":"span","marks":[],"text":"The following table provides a comparative overview of the mechanisms through which estrogen and androgens influence brain function:"}],"markDefs":[],"style":"normal"},{"_key":"a87ac6243609","_type":"block","children":[{"_key":"7a2cfc3668190","_type":"span","marks":["strong"],"text":"Table 2: Mechanisms of Estrogen and Androgen Action in the Brain"}],"markDefs":[],"style":"normal"},{"_key":"056b01205719","_type":"tableModule","subTable":{"rows":[{"_key":"537c82b3-8cf6-46b8-ae5d-b44e14632e0c","_type":"tableRow","cells":["Hormone","Receptor Subtypes","Primary Signaling Mechanisms","Key Neurobiological Effects"]}]},"table":{"rows":[{"_key":"560ef0df-40b7-43c8-9643-f2f3b13a06d1","_type":"tableRow","cells":["Estrogen (17β-estradiol)","Estrogen receptor alpha (ERα), Estrogen receptor beta (ERβ), G-protein-coupled estrogen receptor 1 (GPER1)","Genomic: Nuclear receptors (ERα, ERβ) bind E2, dimerize, translocate to nucleus, bind to Estrogen Response Elements (EREs) on DNA, regulate gene transcription (e.g., proliferation, differentiation, survival). <br> Non-Genomic: Membrane-bound ERs (mERs) or ERs interacting with other transcription factors/kinases activate rapid signaling cascades (e.g., PI3K/cAMP) without direct DNA binding.","Neurogenesis, neural differentiation, synaptic plasticity (memory, learning), modulation of neurotransmitter systems (serotonergic, dopaminergic, glutamatergic), neuroinflammation control (microglia modulation), neuroprotection."]},{"_key":"d333f472-8827-452a-b941-8f46f6cfdd6f","_type":"tableRow","cells":["Androgen (Testosterone, DHT)","Androgen Receptor (AR)","Genomic: Nuclear receptor (AR) binds androgen, undergoes conformational change, translocates to nucleus, dimerizes, binds to Androgen Responsive Elements (AREs) on DNA, regulates gene transcription (e.g., male sexual phenotype, skeletal integrity). <br> Non-Genomic: Extranuclear ARs detected in neuronal/glial processes mediate rapid behavioral effects and modulate neuronal activity.","Neuroplasticity (synaptogenesis), modulation of glial cell functions, maintenance of male skeletal integrity, regulation of female sexual/somatic/behavioral functions."]}]}},{"_key":"6851b8910cbf","_type":"sectionHeader","headerLevel":"h2","title":"The Complex Interplay: Estrogen, Androgens, and Metabolic Factors in PCOS-Related Cognitive Changes"},{"_key":"aeeadb8c5922","_type":"block","children":[{"_key":"44f6c05072040","_type":"span","marks":[],"text":"Polycystic Ovary Syndrome is characterized by a complex interplay of hormonal and metabolic dysregulations that collectively impact brain function. Hyperandrogenism, defined by elevated levels of androgens such as testosterone, is a hallmark feature of PCOS, affecting a significant majority (60-80%) of women with the condition."},{"_key":"b586c8d028ba","_type":"span","marks":["em"],"text":"14"},{"_key":"170f9a05a937","_type":"span","marks":[],"text":" While androgens are essential for female health in balanced concentrations, excess levels can have neurotoxic effects."},{"_key":"f027bea2e91b","_type":"span","marks":["em"],"text":"16"},{"_key":"1d1e0870e6e3","_type":"span","marks":[],"text":" The direct impact of hyperandrogenism on brain function is suggested by findings that hyperandrogenic NIH-PCOS is associated with lower executive function performance."},{"_key":"ddacb6a0ea3b","_type":"span","marks":["em"],"text":"1"},{"_key":"90b95fd73cfc","_type":"span","marks":[],"text":" Indirectly, hyperandrogenism is intricately intertwined with insulin resistance, establishing a bidirectional relationship where elevated insulin can induce excess ovarian testosterone secretion, and high androgens can, in turn, contribute to metabolic dysfunction."},{"_key":"b1044d1a9500","_type":"span","marks":["em"],"text":"14"},{"_key":"f648bb6b1113","_type":"span","marks":[],"text":" This hormonal-metabolic feedback loop likely exacerbates cognitive vulnerabilities, creating a compounding effect on brain health."}],"markDefs":[],"style":"normal"},{"_key":"20d19ace58b2","_type":"block","children":[{"_key":"b3e35c3b4a470","_type":"span","marks":[],"text":"The critical role of insulin resistance (IR) and subsequent hyperinsulinemia in PCOS-associated cognitive decline cannot be overstated. Insulin resistance is highly prevalent in PCOS, affecting 65-70% of women with the syndrome, often independent of obesity."},{"_key":"c7e182e349e9","_type":"span","marks":["em"],"text":"13"},{"_key":"308f8766614f","_type":"span","marks":[],"text":" Prolonged hyperinsulinemia has a direct negative effect on cognitive function by reducing the number of insulin receptors in the blood-brain barrier (BBB), thereby decreasing the transport of insulin into the brain."},{"_key":"764afbcbb3e9","_type":"span","marks":["em"],"text":"13"},{"_key":"25d6df11b3c9","_type":"span","marks":[],"text":" This impairment can lead to decreased brain glucose utilization, impacting neuronal energy metabolism, which is critical for learning, memory, and overall brain function."},{"_key":"bca49cd5e36f","_type":"span","marks":["em"],"text":"13"},{"_key":"95a3091baf70","_type":"span","marks":[],"text":" In severe cases, decreased brain glucose can even lead to seizures or irreversible brain damage."},{"_key":"b23fbd28475d","_type":"span","marks":["em"],"text":"13"},{"_key":"499c38fe327b","_type":"span","marks":[],"text":" The exacerbation of executive function deficits observed in hyperandrogenic PCOS subjects with co-occurring insulin resistance underscores its central role in cognitive impairment within this population."},{"_key":"82cc84489fff","_type":"span","marks":["em"],"text":"1"},{"_key":"7d19daf95c80","_type":"span","marks":[],"text":" The strong bidirectional relationship between insulin resistance and hyperandrogenism in PCOS creates a vicious cycle that profoundly impacts brain health. High insulin drives androgen production, and elevated androgens can worsen insulin sensitivity, leading to a compounding effect on brain glucose metabolism and overall neuronal function. This highlights metabolic dysfunction as a primary, modifiable driver of cognitive decline in PCOS."}],"markDefs":[],"style":"normal"},{"_key":"a0c59b23f395","_type":"block","children":[{"_key":"699c0559af4e0","_type":"span","marks":[],"text":"Furthermore, PCOS is associated with a broader adverse cardiometabolic profile that extends beyond hyperandrogenism and insulin resistance."},{"_key":"19b98ea5f53b","_type":"span","marks":["em"],"text":"12"},{"_key":"a37b7fdb2633","_type":"span","marks":[],"text":" Chronic inflammation, dyslipidemia, and hypertension are common comorbidities that independently contribute to accelerated cognitive aging and adverse brain health outcomes."},{"_key":"e0ac5472a9da","_type":"span","marks":["em"],"text":"11"},{"_key":"bdc4b25fb3fd","_type":"span","marks":[],"text":" For example, hypertension can lead to vascular dementia by reducing blood flow to the brain."},{"_key":"f2aa5d37aff4","_type":"span","marks":["em"],"text":"13"},{"_key":"4622814c2c08","_type":"span","marks":[],"text":" The cumulative burden of these interconnected metabolic and inflammatory factors likely contributes significantly to the observed cognitive deficits and white matter integrity changes in PCOS."},{"_key":"4af2ed9d3671","_type":"span","marks":["em"],"text":"11"}],"markDefs":[],"style":"normal"},{"_key":"b1db49b6aff0","_type":"block","children":[{"_key":"5b888a11a8ae0","_type":"span","marks":[],"text":"The altered hormonal milieu in PCOS, involving not only elevated androgens but also potentially altered estrogen dynamics and often low progesterone levels, further contributes to observed cognitive and structural brain changes. While the primary focus is often on androgen excess, the neuroprotective effects of progesterone may be diminished when its levels are too low, as is common in PCOS."},{"_key":"b89b97853f32","_type":"span","marks":["em"],"text":"16"},{"_key":"7c36b5fc2a46","_type":"span","marks":[],"text":" The overall hormonal imbalance, coupled with the pervasive metabolic dysfunction (insulin resistance) and chronic inflammation, creates a neurobiological environment conducive to cognitive impairment and structural brain changes, such as reduced white matter integrity."},{"_key":"69be844f05c0","_type":"span","marks":["em"],"text":"11"},{"_key":"97981e0dabd9","_type":"span","marks":[],"text":" This complex interplay suggests a multi-hit hypothesis where various PCOS-related factors synergistically contribute to brain health compromise. While hyperandrogenism is a key feature of PCOS, the cognitive impact is likely not solely due to excess androgens but also the imbalance of other hormones, particularly the potential deficiency of neuroprotective progesterone. This suggests that a holistic view of the hormonal milieu, rather than focusing on a single hormone, is crucial for understanding and addressing PCOS-related brain health issues."}],"markDefs":[],"style":"normal"},{"_key":"fea46fca9a87","_type":"sectionHeader","headerLevel":"h2","title":"Broader Relevance: Estrogen's Enduring Impact on Brain Health Across the Lifespan"},{"_key":"9260eb38f85e","_type":"block","children":[{"_key":"8edc39a2b62b0","_type":"span","marks":[],"text":"The study of PCOS and its impact on cognitive function provides valuable insights into the broader influence of sex hormones on brain health. Sex differences in cognitive functioning have been reported in both healthy individuals and those with disease, and these differences may be partly attributed to the modulating effects of sex hormones."},{"_key":"bca13bbb75e3","_type":"span","marks":["em"],"text":"20"},{"_key":"0b653116f606","_type":"span","marks":[],"text":" While systematic advantages in overall executive function between sexes are not strongly supported by current evidence, individual components of executive functions can be modulated differently, often depending on the modality of testing."},{"_key":"e861f7a1ff22","_type":"span","marks":["em"],"text":"23"},{"_key":"3e791b2dccf6","_type":"span","marks":[],"text":" These differences extend to the vulnerability and manifestation of several psychiatric and neurological diseases, such as Alzheimer's disease (AD) and schizophrenia, highlighting the profound influence of sex hormones on brain health trajectories across the lifespan."},{"_key":"9b50c289e8e7","_type":"span","marks":["em"],"text":"4"}],"markDefs":[],"style":"normal"},{"_key":"1606f8c223cb","_type":"block","children":[{"_key":"c0105707a9b00","_type":"span","marks":[],"text":"As individuals age, circulating sex hormone levels naturally decrease, with a more rapid decline observed at menopause in women and a slower, more gradual reduction in men."},{"_key":"8d6920bcd8b2","_type":"span","marks":["em"],"text":"4"},{"_key":"e9e7ad3cea0e","_type":"span","marks":[],"text":" The rapid decline of 17β-estradiol (E2) during the menopausal transition is associated with a number of changes in the brain, including cognitive alterations such as reduced verbal memory and processing speed, as well as effects on sleep and mood disturbances."},{"_key":"12f4f0d0aa55","_type":"span","marks":["em"],"text":"17"},{"_key":"bf28284055b8","_type":"span","marks":[],"text":" This significant drop in estrogen levels entails a reduction in neuroprotection and resilience within the aging brain."},{"_key":"e194df7ce851","_type":"span","marks":["em"],"text":"4"},{"_key":"f3e1066c5915","_type":"span","marks":[],"text":" Estrogen interactions have been implicated in the pathogenesis of various neuropsychiatric disorders, including AD, Parkinson's disease (PD), schizophrenia, and depression."},{"_key":"418c90e736b6","_type":"span","marks":["em"],"text":"4"},{"_key":"c353319e04c5","_type":"span","marks":[],"text":" The neuroprotective properties of E2, mediated through its diverse receptors, are essential for maintaining brain health, and their decline with aging contributes to age-related cognitive vulnerability and the observed sex differences in neurodegenerative disease incidence and progression."},{"_key":"2407f5bf36c3","_type":"span","marks":["em"],"text":"4"}],"markDefs":[],"style":"normal"},{"_key":"b359f4e306a2","_type":"block","children":[{"_key":"633a42cae3fa0","_type":"span","marks":[],"text":"Recent research has introduced the compelling concept of \"reproductive longevity,\" which posits a direct link between the duration of a woman's reproductive years—defined as the time between menarche (first menstruation) and menopause—and long-term cognitive health."},{"_key":"3909ea8e911e","_type":"span","marks":["em"],"text":"18"},{"_key":"82fe7f15ae7d","_type":"span","marks":[],"text":" Studies indicate that women who experience earlier menarche, later menopause, or a prolonged reproductive window exhibit signs indicative of slower brain aging."},{"_key":"359b48d1d147","_type":"span","marks":["em"],"text":"18"},{"_key":"c7e59e8a5e7a","_type":"span","marks":[],"text":" This discovery positions estradiol as a potential neuroprotective agent, with sustained elevated concentrations throughout the reproductive years appearing to play a crucial role in maintaining brain health and cognitive resilience."},{"_key":"5a52e367f499","_type":"span","marks":["em"],"text":"18"},{"_key":"ef3eb4f7a9cf","_type":"span","marks":[],"text":" This concept underscores the cumulative neuroprotective benefits of endogenous estrogen exposure over a lifetime. The idea that the duration of physiological estrogen exposure over a woman's lifetime is intricately linked to long-term brain health and slower cognitive aging suggests that conditions like PCOS, which involve chronic hormonal dysregulation, or early menopause, might disrupt this protective trajectory, leading to an increased vulnerability to cognitive decline later in life."}],"markDefs":[],"style":"normal"},{"_key":"a7c29866d629","_type":"block","children":[{"_key":"e2cb3a73db620","_type":"span","marks":[],"text":"Given the established neuroprotective roles of estrogen, the potential for hormonal therapies to combat neurodegeneration and preserve cognitive function is a significant area of ongoing research."},{"_key":"de82f817c88e","_type":"span","marks":["em"],"text":"4"},{"_key":"dba184822ac1","_type":"span","marks":[],"text":" Observational studies have pointed towards a decreased risk of AD and PD in women taking menopausal estrogenic replacement therapy (ERT), although results have varied, and the use of hormone therapy (HT) has been controversial due to concerns about breast cancer, thromboembolism, and stroke."},{"_key":"a1e44e423b2e","_type":"span","marks":["em"],"text":"8"},{"_key":"51690cfc5e98","_type":"span","marks":[],"text":" However, a re-evaluation of older studies and the emergence of new data suggest that the benefits of HT can outweigh these risks, particularly when initiated early after menopause."},{"_key":"6b6c9408103a","_type":"span","marks":["em"],"text":"8"},{"_key":"29d4171212bf","_type":"span","marks":[],"text":" Furthermore, certain formulations, such as ERT without progestins, may even be associated with a lower risk of breast cancer."},{"_key":"cf1eefa6dced","_type":"span","marks":["em"],"text":"8"},{"_key":"994ba49576a0","_type":"span","marks":[],"text":" The differential expression of estrogen receptor subtypes offers a promising avenue for more targeted therapeutic interventions. Specifically, ERβ is predominantly expressed in the brain, intestine, and gonads, making it a promising therapeutic target for neuroprotection while potentially avoiding the systemic side effects associated with widespread ERα activation."},{"_key":"a2778faded07","_type":"span","marks":["em"],"text":"8"},{"_key":"a6c8419cdbb0","_type":"span","marks":[],"text":" This understanding moves beyond broad hormonal replacement to a precision medicine approach, aiming to maximize brain benefits while minimizing systemic side effects. This paves the way for personalized or precision medicine approaches, where a better understanding of which individuals may particularly benefit from such treatment is critical for preventing or treating cognitive disturbances during aging."},{"_key":"cb7a9fecbe7a","_type":"span","marks":["em"],"text":"4"}],"markDefs":[],"style":"normal"},{"_key":"888591ed552b","_type":"sectionHeader","headerLevel":"h2","title":"Conclusion and Future Directions"},{"_key":"da4be8d4ca76","_type":"block","children":[{"_key":"62cd4a51a7980","_type":"span","marks":[],"text":"Polycystic Ovary Syndrome is not merely a reproductive disorder but a complex neuroendocrine condition with significant implications for brain health and cognitive function. The evidence consistently demonstrates that hyperandrogenism and insulin resistance, central features of PCOS, are strongly associated with specific cognitive deficits, particularly in executive functions, and structural brain changes like reduced white matter integrity, even from young adulthood."},{"_key":"dd7e322bf7f7","_type":"span","marks":["em"],"text":"1"},{"_key":"139c4582643f","_type":"span","marks":[],"text":" These impacts are mediated by the multifaceted actions of sex hormones like estrogen and androgens, which act as neurosteroids influencing neurogenesis, synaptic plasticity, neurotransmitter systems, and neuroinflammation through both genomic and non-genomic pathways."},{"_key":"0dd81bed6b21","_type":"span","marks":["em"],"text":"2"},{"_key":"6d978010fb06","_type":"span","marks":[],"text":" The broader context reveals that lifetime estrogen exposure contributes significantly to cognitive longevity, and its decline with aging can increase vulnerability to neurodegenerative diseases."},{"_key":"fb13b28c40c5","_type":"span","marks":["em"],"text":"18"},{"_key":"ad924ab5b921","_type":"span","marks":[],"text":" The insights gained from studying PCOS, a condition characterized by chronic hormonal and metabolic dysregulation, serve as a valuable model for understanding the broader impact of sex hormones on brain health, aging, and vulnerability to neurodegenerative diseases. The findings from PCOS can inform research and interventions for other conditions involving hormonal imbalances or metabolic dysfunction."}],"markDefs":[],"style":"normal"},{"_key":"6b9be49ddca7","_type":"block","children":[{"_key":"3d6e804854b40","_type":"span","marks":[],"text":"Despite significant progress, there remains a critical need for additional research to confirm these findings in larger, more diverse cohorts and to further investigate the precise mechanistic pathways linking PCOS to cognitive outcomes."},{"_key":"7d48d7f30dc1","_type":"span","marks":["em"],"text":"1"},{"_key":"d2d93806e93c","_type":"span","marks":[],"text":" Future studies should focus on:"}],"markDefs":[],"style":"normal"},{"_key":"a988dd75747c","_type":"block","children":[{"_key":"7b5ae1e7fa5a0","_type":"span","marks":["strong"],"text":"Detailed Mechanistic Investigations:"},{"_key":"7b5ae1e7fa5a1","_type":"span","marks":[],"text":" Elucidating the specific molecular and cellular mechanisms by which altered androgen and insulin signaling, as well as chronic inflammation, translate into neuronal dysfunction and structural brain changes in PCOS. This includes exploring the reversal of normal brain microstructure-hormone relationships observed in PCOS."},{"_key":"5b992fbff8c2","_type":"span","marks":["em"],"text":"15"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e3ba3af958d8","_type":"block","children":[{"_key":"531db211d14b0","_type":"span","marks":["strong"],"text":"Longitudinal Studies:"},{"_key":"531db211d14b1","_type":"span","marks":[],"text":" Continuing to track cognitive trajectories and brain changes in PCOS populations over extended periods, from adolescence through post-menopause, to better understand the progression and long-term consequences of the condition."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"53c0189aef5d","_type":"block","children":[{"_key":"8e9d6ef34fa70","_type":"span","marks":["strong"],"text":"Identification of Modifiable Factors:"},{"_key":"8e9d6ef34fa71","_type":"span","marks":[],"text":" Pinpointing specific modifiable factors within the complex PCOS phenotype that, when targeted, can most effectively mitigate cognitive decline."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3babbbe6637b","_type":"block","children":[{"_key":"2d6e99052c3b0","_type":"span","marks":["strong"],"text":"Hormone Quantification and Biomarkers:"},{"_key":"2d6e99052c3b1","_type":"span","marks":[],"text":" Future research should incorporate precise hormone quantification and biomarkers of inflammation, neurodegeneration, and vascular health to refine understanding of estradiol's specific contribution and its interplay with other physiological systems affecting brain health."},{"_key":"5e658826a539","_type":"span","marks":["em"],"text":"18"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2efc9a234bde","_type":"block","children":[{"_key":"87f0c178415d0","_type":"span","marks":["strong"],"text":"Neurodevelopmental Impacts:"},{"_key":"87f0c178415d1","_type":"span","marks":[],"text":" Further investigating the potential intergenerational effects of PCOS, particularly the impact of in utero androgen exposure on offspring neurodevelopmental outcomes like autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD)."},{"_key":"ee118cd02c89","_type":"span","marks":["em"],"text":"19"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2fd4ba1fe172","_type":"block","children":[{"_key":"3f7839d994020","_type":"span","marks":[],"text":"The strong links between PCOS, insulin resistance, and cognitive decline highlight the importance of early and sustained management of metabolic health for preserving brain function."},{"_key":"39a3f6341b41","_type":"span","marks":["em"],"text":"13"},{"_key":"12a1bb7a141c","_type":"span","marks":[],"text":" The multi-faceted nature of PCOS's impact on the brain, involving hormonal, metabolic, inflammatory, and even mental health components, necessitates a holistic and personalized approach to patient management. This goes beyond addressing individual symptoms to targeting the underlying systemic dysregulations to preserve long-term cognitive health."}],"markDefs":[],"style":"normal"},{"_key":"d5ae40b75bd6","_type":"block","children":[{"_key":"d4c75a64e9510","_type":"span","marks":[],"text":"Potential therapeutic and lifestyle interventions for improving cognitive outcomes in PCOS and broader brain health include:"}],"markDefs":[],"style":"normal"},{"_key":"6fb37b99dbfc","_type":"block","children":[{"_key":"6740d505126b0","_type":"span","marks":["strong"],"text":"Lifestyle Interventions:"},{"_key":"6740d505126b1","_type":"span","marks":[],"text":" Weight management, adopting a nutrient-rich diet (e.g., fiber-filled diets to reduce insulin resistance), and engaging in regular exercise are crucial first-line interventions."},{"_key":"d073c83ac0d4","_type":"span","marks":["em"],"text":"13"},{"_key":"60dbc110108a","_type":"span","marks":[],"text":" These strategies can significantly improve insulin sensitivity, enhance blood flow to the brain, and positively impact mental health (e.g., reducing depression), thereby mitigating cognitive risks."},{"_key":"1cda3104e10c","_type":"span","marks":["em"],"text":"13"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0241300a4eac","_type":"block","children":[{"_key":"5bcf4b4865bf0","_type":"span","marks":["strong"],"text":"Pharmacological Approaches:"},{"_key":"5bcf4b4865bf1","_type":"span","marks":[],"text":" While conventional treatments for PCOS often include metformin for insulin resistance and oral contraceptives for hormonal regulation "},{"_key":"89c81e8a6908","_type":"span","marks":["em"],"text":"22"},{"_key":"f84c11413907","_type":"span","marks":[],"text":", future therapeutic strategies might involve more targeted approaches, such as selective estrogen receptor modulators (SERMs) that specifically activate neuroprotective pathways without broad systemic effects."},{"_key":"30f72b9597de","_type":"span","marks":["em"],"text":"8"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"829ebce97c02","_type":"block","children":[{"_key":"d3cddfca2f970","_type":"span","marks":["strong"],"text":"Cognitive Enrichment:"},{"_key":"d3cddfca2f971","_type":"span","marks":[],"text":" Promoting cognitive enrichment activities, such as reading, engaging in mentally stimulating games, and memory training, can also contribute to preserving mental function and overall brain health in individuals with PCOS."},{"_key":"bc568dd5cc90","_type":"span","marks":["em"],"text":"16"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b5be01a37d25","_type":"block","children":[{"_key":"8f96543e90420","_type":"span","marks":[],"text":"These integrated strategies underscore the evolving understanding of PCOS as a condition requiring comprehensive management that extends beyond reproductive health to encompass long-term neurological and cognitive well-being."}],"markDefs":[],"style":"normal"},{"_key":"c3ce0d9a2b88","_type":"sectionHeader","headerLevel":"h2","title":"Sources"},{"_key":"f37f8e5d0230","_type":"block","children":[{"_key":"61cbdd3b01180","_type":"span","marks":[],"text":"(PDF) OR15-5 Cognitive Function in Reproductive Aged Individuals ..., accessed June 5, 2025, "},{"_key":"2806d554783c","_type":"span","marks":["3fb85d2a70ea"],"text":"https://www.researchgate.net/publication/365040683_OR15-5_Cognitive_Function_in_Reproductive_Aged_Individuals_with_Polycystic_Ovary_Syndrome"},{"_key":"78a4d1c3dc6f","_type":"span","marks":[],"text":" "}],"level":1,"listItem":"number","markDefs":[{"_key":"3fb85d2a70ea","_type":"externalLink","linkType":"text","url":"https://www.researchgate.net/publication/365040683_OR15-5_Cognitive_Function_in_Reproductive_Aged_Individuals_with_Polycystic_Ovary_Syndrome"}],"style":"small"},{"_key":"21cae2ad2b18","_type":"block","children":[{"_key":"d5b1e7801b9a0","_type":"span","marks":[],"text":"Brain-derived estrogen and neural function - 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Our physical environment today shares little with the environment in which we first evolved, yet our biological systems are 99% the same."}],"markDefs":[{"_key":"bfc73a3705fa","_type":"externalLink","url":"http://publichealthintelligence.org/content/life-expectancy-progress-1990-2013"}],"style":"normal"},{"_key":"cc2a81d1a24e","_type":"block","children":[{"_key":"7e64443e7e3c","_type":"span","marks":[],"text":"The foundations of our modern healthcare system arose around 170 years ago. When we first evolved our healthcare system, life expectancy was 38 years. The most common ways to die were tuberculosis, dysentery, cholera, malaria, typhoid fever, pneumonia, diphtheria, or scarlet fever. Meaning, acute infections. This list is substantially different today. While the average life expectancy for someone born in 1990 is 75 years old, the most common causes of death are heart disease, cancer, accidents, chronic lower respiratory infections (includes asthma), stroke, Alzheimer's, and diabetes. We’ve all but stricken acute infections from the "},{"_key":"73d55e0e9170","_type":"span","marks":["bfc73a3705fa"],"text":"leading causes of death"},{"_key":"e55d214c6a34","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"bfc73a3705fa","_type":"externalLink","url":"http://publichealthintelligence.org/content/life-expectancy-progress-1990-2013"}],"style":"normal"},{"_key":"20dca69ee876","_type":"block","children":[{"_key":"a4cc686fdb7b0","_type":"span","marks":[],"text":"In 1850, when our modern medical system really started to take shape, we were focused on solving these acute diseases. We developed a medical system to eradicate these diseases, and the tools were blunt (read: leg amputations, full lobotomies, annexation of thyroids). Surgical interventions are popularized as one of the most effective tools to stop the spread of infection and disease throughout the body. "}],"markDefs":[],"style":"normal"},{"_key":"c329b164127e","_type":"block","children":[{"_key":"8e7b8535f9730","_type":"span","marks":[],"text":"As we have consistently eradicated acute infections, we’ve failed to update our healthcare system’s focus, and really evolve our tactics to ensure longevity and fight disease. The most prevalent, deadly, and costly diseases of today are not typically (aside from Covid) infections, they are autoimmune-based. They’re diseases of physical degradation and of aging (eg. diabetes, heart disease, Alzheimer's, IBS & Crohns, depression/anxiety, rheumatoid arthritis). "}],"markDefs":[],"style":"normal"},{"_key":"d218f986808a","_type":"editorialImageCarousel","items":[{"_key":"272ff46131f3","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3befb81a4f5ff48ef2f211e03c427dae0c39b293-2103x973-png","_type":"reference"}}}}]},{"_key":"3dbbab87c0e8","_type":"block","children":[{"_key":"4cabefe502bb0","_type":"span","marks":[],"text":"The aging process is, in the most simplistic manner, triggered by oxidative or chronic stress. Enduring periods of stress distract our bodies from critical periods of repair, and without these periods of repair, we start to age or lose optimal performance in our body, typically due to failures in our DNA to properly copy itself. Unlike the lifestyles we are adapted to experience (with short-lived acute stressors) we lead lives that consistently levy psychological burden upon us. Our bodies don’t recognize this manner of stress differently than stress due to starvation or intertribal genocide. So, our bodies start to exhibit features of a chronic stress state, that would make sense evolutionarily but do not benefit us given how we are living today."}],"markDefs":[],"style":"normal"},{"_key":"e9fd85a28ed1","_type":"block","children":[{"_key":"4cdbcf883bc70","_type":"span","marks":[],"text":"At Tia we are fixated on this topic of chronic stress, longevity medicine is another term for it. We believe that this is the equivalent of the realm of antibiotics over a ½ century ago. Our approach to medicine through this lens is what will enable us to unlock the antidotes to the new cadre of disease that humanity is facing: the internally born disease promulgated by us literally eating ourselves from the inside out."}],"markDefs":[],"style":"normal"},{"_key":"a61dfb540b0f","_type":"block","children":[{"_key":"d4bb7982a3480","_type":"span","marks":[],"text":"Our focus is on how to modulate the stress response, or even, at times reverse the implications of aging. While there are certain areas of research in this arena that are showing medical interventions can be useful (metformin, resveratrol, stem cell therapy, NAD+ /NMN), what is fascinating and truly uplifting is that the most effective research in this field shows that lifestyle adjustments are just as, if not more, effective than many of the leading medical interventions on the market."}],"markDefs":[],"style":"normal"},{"_key":"cd677b60a313","_type":"block","children":[{"_key":"0e9d4072e8230","_type":"span","marks":[],"text":"Tia is not an “integrative medicine practice,” meaning our mission is not to combine alternative and “traditional” modalities. First, we aren’t even sure what qualifies as “traditional.” For example, ashwagandha, an Indian herb, has been used in medical practices for centuries. Is it an alternative? What is the purpose of these distinctions, and more importantly, what is the purpose of putting these methods into arbitrarily (in)distinct little boxes? While we certainly are interested in many of the same interventions these practices use, our purpose for using them is perhaps different."}],"markDefs":[],"style":"normal"},{"_key":"f9655996a42b","_type":"editorialImageCarousel","items":[{"_key":"beecaf27b165","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-6ac7878fe69f031d7ca86dedda09feb78f852687-2103x973-png","_type":"reference"}}}}]},{"_key":"bb9819277362","_type":"block","children":[{"_key":"c215833c634f0","_type":"span","marks":[],"text":"Somatically, performance degradation is imputed through symptoms: PMS, migraines, PCOS, anxiety. From our perspective, all of these issues come down to a single root: an overactive stress response, which could likely be wreaking havoc on proper cell functioning, and that could ultimately lead to multifactorial disease promotion. Our mission is to say: what could be off-kilter in your proper functioning? Is it the lack of carbs in your diet? Is it a lifelong attenuated stress pathway due to premature birth? Is it that your grandmother experienced periods of famine, and this was passed down through her and your mother’s epigenome?"}],"markDefs":[],"style":"normal"},{"_key":"254f48924f11","_type":"block","children":[{"_key":"e2d1b46530a0","_type":"span","marks":[],"text":"This approach does require a “precision medicine” approach, as each and every person, due to their genetic composition and epigenetic display, is different. It is far more complex than administering an antibiotic for tuberculosis. While we, over time, hope to consistently layer in more and more data resources that can help us methodologically and empirically assess your cellular age, we are starting with one of the most reliable and important sources for this information: the health record. While ours is long (over 250 questions, in fact) — it asks questions that get to the core of your personal vulnerabilities."}],"markDefs":[],"style":"normal"},{"_key":"b563a30bd67c","_type":"block","children":[{"_key":"3e979e81f182","_type":"span","marks":[],"text":"The annual well-woman has historically been a preventive exam that women (should) get every year. Preventive is an interesting phrase in this case; while yes, the exam & screens are intended to detect diseases preventively (eg. cervical cancer via Pap smears, breast exams/mammograms for breast cancer), the typical well-woman does not revolve around a provider digging into your biology to understand how you tick. Nor is it the norm for your provider to assess the ways in which you may already be, or are predisposed to be, rendered “off-kilter.\" In this way, the typical well-woman operates in the world of “old medicine.” It’s focused on detecting infections and disease *after* onset. It does not assess your vulnerability to developing a disease in the first place. To exemplify the difference here, consider this: cervical cancer is highly correlated with bacterial vaginosis (BV). BV is typically a chronic condition of a dysbiotic vaginal microbiome. Detecting a dysbiotic vaginal microbiome is actually relatively simple, and only requires a swab test, yet we must understand the baseline in each woman to detect abnormalities (and each woman’s vaginal microbiome is different). Sequencing a woman’s vaginal microbiome regularly could enable us to detect aberrations. Most providers do not consider sampling a woman’s vaginal microbiome to assess for general health, nor do they consider counseling patients who have a high sugar/alcohol intake that this could put their vaginal microbiome more at risk. This is what we mean by preventative. Assessing and considering lifestyle factors that could put a patient more at risk."}],"markDefs":[],"style":"normal"},{"_key":"bbe9712514e5","_type":"editorialImageCarousel","items":[{"_key":"e7d3130637bc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-9e2e2c14040750ba7dfc97b3b1a6ec82d8f7b3d2-2103x621-png","_type":"reference"}}}}]},{"_key":"8174fdf301a3","_type":"block","children":[{"_key":"06529bc95370","_type":"span","marks":[],"text":"Tia’s annual Whole Health Exam is anchored on the goal of extending patients' lifespans, mitigating the effects of our chronically stressed environments, and promoting longevity in our cellular function. Tia’s approach is anchored on ensuring truly optimal health. While of course, we will treat disease, we take the view that if we’re treating a patient's disease, we’ve failed. We should’ve set her up for better success from square one."}],"markDefs":[],"style":"normal"},{"_key":"a8d1c9b9c301","_type":"block","children":[{"_key":"846d9ba6a6e50","_type":"span","marks":[],"text":"At Tia, in your "},{"_key":"73f0693a7db1","_type":"span","marks":["da0a885b854a"],"text":"Whole Health Exam"},{"_key":"5c7e2c8c3d2d","_type":"span","marks":[],"text":", we will assess your vulnerabilities (lifestyle, genetic, current condition-based, world views), and craft a Care Plan with you. This Care Plan will not be a “one and done.” This Care Plan will include daily, weekly and monthly activities to promote your health. And, as a part of your Care Plan, your care team will meet with you frequently to assess your progress and ongoing needs."}],"markDefs":[{"_key":"da0a885b854a","_type":"externalLink","linkType":"text","url":"https://asktia.com/whole-health-exam"}],"style":"normal"},{"_key":"436efc9307b4","_type":"block","children":[{"_key":"57dcaa2f8aaf","_type":"span","marks":["strong"],"text":"Sources:"}],"markDefs":[],"style":"normal"},{"_key":"0014244bec89","_type":"block","children":[{"_key":"0d10d302914a","_type":"span","marks":[],"text":"Infoplease. (n.d.). Life Expectancy by Age, 1850?2011. Infoplease. https://www.infoplease.com/us/health-statistics/life-expectancy-age-1850-2011."}],"markDefs":[],"style":"normal"},{"_key":"371a1e490fcb","_type":"block","children":[{"_key":"b828d1c06bf60","_type":"span","marks":[],"text":"Life Expectancy: progress from 1990 to 2013. Life Expectancy: progress from 1990 to 2013 | Health Intelligence. (n.d.). http://publichealthintelligence.org/content/life-expectancy-progress-1990-2013."}],"markDefs":[],"style":"normal"},{"_key":"ed79f3a9dde9","_type":"block","children":[{"_key":"b035bc710e9b0","_type":"span","marks":[],"text":"Oshinsky, D. M. (2017). Bellevue: three centuries of medicine and mayhem at America's most storied hospital. Anchor Books."}],"markDefs":[],"style":"normal"},{"_key":"81df2bf7ccef","_type":"block","children":[{"_key":"07a2cf811a70","_type":"span","marks":[],"text":"Sinclair, D., & LaPlante, M. D. (2021). Lifespan: why we age and why we don't have to. 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The hypothesis is that it triggers blood flow, which initiates an immune response that helps the body heal. A more Western theory is that certain acupuncture points stimulate nerves that then trigger the brain to release hormones that can reduce pain, inflammation, and relax the nervous system."}],"markDefs":[],"style":"normal"},{"_key":"07c9008d157f","_type":"block","children":[{"_key":"cd26a5168009","_type":"span","marks":[],"text":"Here are a few additional facts about Acupuncture:"}],"markDefs":[],"style":"normal"},{"_key":"863bc3f90e71","_type":"block","children":[{"_key":"51fa1747353d0","_type":"span","marks":[],"text":"Acupuncture has a calming effect on the nervous system, taking our bodies from “fight or flight” to “rest and digest”"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8b2c1cf8c746","_type":"block","children":[{"_key":"a79d5d5c70c30","_type":"span","marks":[],"text":"By reducing stress, acupuncture reduces inflammation (which is a trigger for ANY health concern), facilitates our bodies’ ability to heal, improves blood circulation, and makes us feel a resounding sense of calm."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bf3fd5acfa48","_type":"block","children":[{"_key":"aa8d0002e947","_type":"span","marks":[],"text":"Given acupunctures’ ability to decrease stress and inflammation, it is an incredible tool to help treat, alleviate and relieve most unpleasant and unwanted symptoms throughout the body"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":"How does acupuncture work?","id":"59dae918-bb0b-5b63-bef5-b633f5bcb0c3","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"d6c5226e51328524ddfcb5c5165f2d75","counter":2532,"owner":"gatsby-source-sanity"}},{"_id":"afa0e647-b9ab-4677-866a-21fdced9821f","_type":"faq","_createdAt":"2020-09-03T20:25:19Z","_rev":"xVpiZSGlXTJGV40ocs4mUH","_system":{"base":{"id":"afa0e647-b9ab-4677-866a-21fdced9821f","rev":"B6HiadhD20MvAeFsSV41bk"}},"_updatedAt":"2025-08-06T16:16:36Z","answer":[{"_key":"862883363f47","_type":"block","children":[{"_key":"edbe6f96c1f20","_type":"span","marks":[],"text":"This is completely depending on the market you’re in and your insurance plan. We are in network with a select number of insurance billers in our LA + SF and are cash only in our NY and AZ markets. Tia does not accept Anthem, Blue Shield, or insurance plans that use American Specialty Health (ASH) for acupuncture benefits. Please head here for specific details and some questions to support you when calling your insurance for details: Ask Tia (https://asktia.com/acupuncture-benefits/)We can always offer superbills at your request to be submitted to your insurance for possible reimbursement following your visit."}],"markDefs":[],"style":"normal"},{"_key":"6fb7fe49a499","_type":"block","children":[{"_key":"bb1e3ac908460","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"d4c0e2013a28","_type":"block","children":[{"_key":"823e97966e9c0","_type":"span","marks":[],"text":"Please head "},{"_key":"e095dafb30ec","_type":"span","marks":["4c176d023cce"],"text":"here"},{"_key":"7413f24c71d2","_type":"span","marks":[],"text":" for more specific details around benefits. You can view the out-of-pocket (cash) cost for acupuncture appointments "},{"_key":"a52d3837d499","_type":"span","marks":["96d80e65db83"],"text":"here"},{"_key":"44606047fd94","_type":"span","marks":[],"text":". "}],"markDefs":[{"_key":"4c176d023cce","_type":"externalLink","linkType":"text","url":"https://asktia.com/acupuncture-benefits/"},{"_key":"96d80e65db83","_type":"externalLink","linkType":"text","url":"https://asktia.com/tia-service-list/"}],"style":"normal"},{"_key":"1f90f20c19ca","_type":"block","children":[{"_key":"f58f43e6668b","_type":"span","marks":[],"text":"For more information about billing processes, please visit our "},{"_key":"823e97966e9c3","_type":"span","marks":["underline","7d1e3e64e037"],"text":"patient billing FAQ"},{"_key":"9492e3a02d87","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"7d1e3e64e037","_type":"externalLink","linkType":"text","url":"https://asktia.com/patient-billing-faq/"}],"style":"normal"},{"_key":"94dbd7301147","_type":"block","children":[{"_key":"479a8282111c0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"question":"Do you take insurance for acupuncture?","id":"dfc9e811-f808-5690-afcc-79681115fb16","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"56ab1b8d06c149de39593adc65cf1632","counter":2462,"owner":"gatsby-source-sanity"}},{"_id":"aeade810-1e5b-4b51-b9e2-ecfc10f1f278","_type":"faq","_createdAt":"2020-08-17T20:52:21Z","_rev":"6Z1vQzRSgX0uhFrP8HuG65","_updatedAt":"2022-09-29T21:54:52Z","answer":[{"_key":"b25ab28eb776","_type":"block","children":[{"_key":"d78cb96bff03","_type":"span","marks":[],"text":"If you are using insurance for services, the cost or “patient responsibility” will vary depending on your plan and specified service. Our Tia Care Coordinators can help you assess you patient responsibility by running an eligibility check ahead of your appointment. You can view our full cash price list "},{"_key":"b4e7dcb8ae74","_type":"span","marks":["1e0102bd19ba"],"text":"here"},{"_key":"4ee300e71f67","_type":"span","marks":[],"text":". "}],"markDefs":[{"_key":"1e0102bd19ba","_type":"internalLink","linkType":"text","reference":{"_ref":"e4a75667-0564-4b01-9e24-0c8d6c146821","_type":"reference"}}],"style":"normal"}],"question":"How much will my appointment cost?","id":"adbf8e11-0faa-58b1-8de6-fbf6be9b36ab","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"da6465bf04d08b24b95bc443bc0dcfd0","counter":2458,"owner":"gatsby-source-sanity"}},{"_id":"5240c60b-cc47-41d5-a25a-f970265146b4","_type":"faq","_createdAt":"2023-07-18T14:30:32Z","_rev":"rz9drFwQxbJxsNtaFgI9DH","_updatedAt":"2023-07-18T14:30:32Z","answer":[{"_key":"4ae5ea3e0f35","_type":"block","children":[{"_key":"bd327153252b0","_type":"span","marks":[],"text":"Yes! Acupuncture is safe and actually quite beneficial throughout all stages of pregnancy to help support you in feeling your best. Acupuncture has been known to help reduce morning sickness + nausea, support healthy energy levels, regulate digestion and help to reduce pain (back, low back, sciatic, hip, etc.) associated with pregnancy."}],"markDefs":[],"style":"normal"}],"question":"Can I get acupuncture if I'm pregnant?","id":"e02c4050-0952-56c8-9270-73d4291a76dd","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"12197735a6ccd748afe5ab59f62d7ed2","counter":2300,"owner":"gatsby-source-sanity"}},{"_id":"ad11951a-155b-45db-b50d-aae797f631b5","_type":"faq","_createdAt":"2023-07-18T14:30:52Z","_rev":"rz9drFwQxbJxsNtaFgI9rm","_updatedAt":"2023-07-18T14:30:52Z","answer":[{"_key":"0a5635047aca","_type":"block","children":[{"_key":"6c62ce4a0a020","_type":"span","marks":[],"text":"Yes! 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clothing."}],"markDefs":[],"style":"normal"}],"question":"What should I do before coming in for acupuncture?","id":"26ef5e7f-a59b-5d89-ba9a-b3981ccf1979","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"43ba98f95a57ea6d702652bf21257a79","counter":2244,"owner":"gatsby-source-sanity"}},{"_id":"1c4c7fb8-68f6-41ef-b40b-9eaeb63dd38b","_type":"faq","_createdAt":"2022-09-29T23:30:53Z","_rev":"fLfRNBK5SBSu1C06WlSmPB","_updatedAt":"2022-10-12T15:25:52Z","answer":[{"_key":"c13c749c857a","_type":"block","children":[{"_key":"b6e4586cacf70","_type":"span","marks":[],"text":"The most simple answer to this question is usually not! Depending on the thickness of the skin on the areas of the body we are working on, you may feel the needles go in, but there should be no sharp or painful sensations. Once the needles are in, people describe feelings of warmth, tingling or heaviness where the needles have been inserted; these are all signs that blood flow is circulating. Believe it or not, most people actually fall asleep during their treatment."}],"markDefs":[],"style":"normal"}],"question":"Does acupuncture hurt?","id":"a8bd0a0d-266d-54d3-a2f0-376ef4b333a4","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"e511aecc58551c2b74fb06db43460d14","counter":2233,"owner":"gatsby-source-sanity"}},{"_id":"e48e8bb6-41f4-4988-b255-2eac3fb7aff3","_type":"faq","_createdAt":"2022-09-30T17:18:15Z","_rev":"azxXIEqyWHJx9Llaz2ddKM","_updatedAt":"2023-07-18T14:37:49Z","answer":[{"_key":"aa4244b42fc0","_type":"block","children":[{"_key":"46d112d249d10","_type":"span","marks":[],"text":"After your session, allow your body time to restore. Make sure to drink plenty of water, avoid strenuous physical activity, and listen to your body! Take time to adjust back into your day. It can be normal to feel a little faint or signs of a headache. These sensations after your treatment, especially if you didn’t eat or drink anything before your acupuncture can be normal. We recommend drinking extra water and eating a protein rich snack after your appointment."}],"markDefs":[],"style":"normal"},{"_key":"e8218dfd91e3","_type":"block","children":[{"_key":"7a1d766dbbbb0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"question":"What should I do after my acupuncture treatment?","id":"0548ac67-e19d-5ec4-8e82-b129c6e32fc7","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"c3d932b351111c04168da53436d8ee1f","counter":2556,"owner":"gatsby-source-sanity"}},{"_id":"3357041b-fe91-4c66-827b-8766c1e88df2","_type":"faq","_createdAt":"2022-09-29T23:29:05Z","_rev":"B6HiadhD20MvAeFsSVZr3o","_updatedAt":"2022-09-29T23:29:05Z","answer":[{"_key":"1e9e9ffe6232","_type":"block","children":[{"_key":"8f222e766b0d","_type":"span","marks":[],"text":"We've gotten used to quick fixes, but acupuncture is about balance. While every patient is different, the benefits and longer-term improvements from acupuncture take time (we see it often takes up to 6 treatments within 3-month window). You and your acupuncturist can design a treatment plan that is right for you and your goals. "}],"markDefs":[],"style":"normal"}],"question":"How many sessions does it take to see benefits from acupuncture?","id":"8b9610c4-3675-5f92-93d2-40ef3ea2b7c8","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"700f6d1ec6d5f4c6f70d1bc280e12bc7","counter":2266,"owner":"gatsby-source-sanity"}},{"_id":"234acf9a-ddb0-4587-a451-337cd1acbfb7","_type":"faq","_createdAt":"2023-07-18T14:28:59Z","_rev":"3IuUNQ99MCPbEPhGN4gl2X","_updatedAt":"2023-07-18T14:29:32Z","answer":[{"_key":"e767039dc73a","_type":"block","children":[{"_key":"f693154e4c020","_type":"span","marks":[],"text":"We generally recommend waiting at least 1 hour or so before jumping into a workout after acupuncture, especially if it’s high intensity. If you do, make sure to drink extra water and make sure you’re well fed."}],"markDefs":[],"style":"normal"}],"question":"Can I workout after acupuncture session?","id":"8d265146-b484-5821-9ea7-8f4a0f29a849","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"bc45c45a94e277c6db327f8788b07c64","counter":241,"owner":"gatsby-source-sanity"}},{"_id":"1ccd11e1-2604-4ff8-8b1d-dbae841370a7","_type":"faq","_createdAt":"2023-07-18T14:40:30Z","_rev":"rz9drFwQxbJxsNtaFgJ0mH","_updatedAt":"2023-07-18T14:40:30Z","answer":[{"_key":"d07b473767ac","_type":"block","children":[{"_key":"554c6fa70aa8","_type":"span","marks":[],"text":"Your acupuncturist will include your custom recommendation on your care plan, but for most, we recommend following up within the first week of your first session and continuing weekly sessions for 4-6 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"}],"markDefs":[],"style":"h3"},{"_key":"084ad6339cf4","_type":"block","children":[{"_key":"d8b9569540bd0","_type":"span","marks":[],"text":"Fertility appointments are usually initiated after one year of regular unprotected intercourse in women under age 35 years and after six months of unprotected intercourse in women aged 35 years and older."}],"markDefs":[],"style":"normal"},{"_key":"12a9631fd05c","_type":"block","children":[{"_key":"bf18cae974d9","_type":"span","marks":[],"text":"However, a fertility evaluation may be initiated sooner in women with irregular menstrual cycles or known risk factors for infertility, such as "},{"_key":"58ccba402ad8","_type":"span","marks":["c0bcd28bdbcc"],"text":"endometriosis"},{"_key":"726beafa532a","_type":"span","marks":[],"text":", a history of pelvic inflammatory disease, or reproductive tract malformations."}],"markDefs":[{"_key":"c0bcd28bdbcc","_type":"annotation","text":[{"_key":"af24acfe4592","_type":"block","children":[{"_key":"68d040b225b6","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"4936bb3c3633","_type":"block","children":[{"_key":"5073ff2954910","_type":"span","marks":[],"text":"Conditions that incrase risk for infertility: irregular periods or basent periods, PCOS, endometriosis, history of pelvic inflammatory disease (PID)."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"86020b885848","_type":"block","children":[{"_key":"3152b66c5171","_type":"span","marks":[],"text":"What to expect during your appointment"}],"markDefs":[],"style":"h3"},{"_key":"5cdde7478836","_type":"block","children":[{"_key":"5dfd7c5efb980","_type":"span","marks":[],"text":"This appointment based visit to review your medical and medication history, pregnancy history, menstrual history and pregnancy plans. 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For too long, women have been pressured into fertility decisions or dismissed with a casual \"you're fine\" after childbirth when they know they're not. That stops here. We're building a new standard of care, one where you are heard, you are trusted, and you are treated as a whole person. This is a partnership, and you're in the driver's seat.\""}],"style":"normal"},{"_key":"f8f14ae276ba","_type":"block","children":[{"_key":"fb5240d9b704","_type":"span","text":"Courtney Domingo, NP"}],"style":"large"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"990d70c7d612255028685709080e4609","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"6c2789e0ad66","_type":"shape","backgroundColor":"secondary-2","shapeColor":"secondary-1","shapeType":"shape-3"},{"_key":"7fea6839fc68","_type":"spacer","backgroundColor":"bcoat","spacing":"pys"},{"_key":"464a6254f976","_type":"standardText","backgroundColor":"bcoat","text":[{"_key":"8bfd1c13dc44","_type":"block","children":[{"_key":"174c1345875b","_type":"span","text":"What is Tia's approach to your fertility journey?"}],"style":"h2"},{"_key":"949476f3a8df","_type":"block","children":[{"_key":"87862874ef48","_type":"span","text":"At Tia, we believe your health is interconnected and your care should be, too. 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Together, we explore your cycle patterns, fertility goals, pregnancy history, postpartum recovery, and everything in between."}],"style":"normal"}]},{"_key":"e12f077ea09d","_type":"featureCard","text":[{"_key":"02f185f16781","_type":"block","children":[{"_key":"cd3b7d3cac61","_type":"span","marks":["strong"],"text":"Evidence-Based Care"}],"style":"h4"},{"_key":"5712f1c67553","_type":"divider","dividerType":"squiggle-black"},{"_key":"553e8dfaba3e","_type":"block","children":[{"_key":"d4fe345dcd0b","_type":"span","text":"Our care is grounded in science, not trends or pressure. Whether it’s support for conception or recovery after birth, we focus on treatments and guidance proven to help you feel well and stay well. 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Characterized by a constellation of symptoms, including irregular or absent ovulation, PCOS is a global public health concern that affects 5-15% of women and people assigned female at birth (AFAB). Strikingly, according to the best available estimates, "},{"_key":"f96b9a2f61a0","_type":"span","marks":["8e44c4895ec1"],"text":"50-70% of women with PCOS remain undiagnosed"},{"_key":"253e05122a72","_type":"span","marks":[],"text":"—and suffer unnecessarily because of it."}],"markDefs":[{"_key":"8e44c4895ec1","_type":"internalLink","linkType":"text","reference":{"_ref":"208f4e01-a92e-4bb2-ae88-84672bdb6462","_type":"reference"}}],"style":"normal"},{"_key":"d23211baca78","_type":"block","children":[{"_key":"15706c9514440","_type":"span","marks":[],"text":"Hopefully these numbers get your attention. Many people are struggling with PCOS—including struggling to get pregnant and get answers—and the social stigma its diagnosis often carries. But if you learn one thing from this article, let it be this: while PCOS is one of the leading causes of infertility and isn’t curable, it "},{"_key":"15706c9514441","_type":"span","marks":["em"],"text":"is"},{"_key":"15706c9514442","_type":"span","marks":[],"text":" manageable and treatable. You "},{"_key":"15706c9514443","_type":"span","marks":["em"],"text":"can"},{"_key":"15706c9514444","_type":"span","marks":[],"text":" get pregnant if you have PCOS. You "},{"_key":"15706c9514445","_type":"span","marks":["em"],"text":"can"},{"_key":"15706c9514446","_type":"span","marks":[],"text":" have a healthy pregnancy. And you "},{"_key":"15706c9514447","_type":"span","marks":["em"],"text":"can "},{"_key":"15706c9514448","_type":"span","marks":[],"text":"deliver a healthy baby."}],"markDefs":[],"style":"normal"},{"_key":"2b795be056ec","_type":"block","children":[{"_key":"8f653e8d1fa20","_type":"span","marks":[],"text":"At "},{"_key":"88306046d38f","_type":"span","marks":["7f1072c0b983"],"text":"Tia"},{"_key":"0b90bef1f740","_type":"span","marks":[],"text":", our team of collaborative care experts understands the unique needs of people with PCOS and the importance of personalized care that empowers women to navigate their fertility journeys on their terms and without pressure, fear, or judgment. Keep reading to learn more about PCOS and Tia’s holistic, personalized approach to this notoriously complicated condition."}],"markDefs":[{"_key":"7f1072c0b983","_type":"internalLink","linkType":"text","reference":{"_ref":"8a7e7b1e-7485-4a22-be24-9a2005998452","_type":"reference"}}],"style":"normal"},{"_key":"6e29aeacc171","_type":"sectionHeader","title":"Understanding PCOS and its effects on pregnancy"},{"_key":"8522c6947d50","_type":"block","children":[{"_key":"58d19ceefae40","_type":"span","marks":[],"text":"PCOS is a common endocrine disorder that disrupts the delicate balance of hormones involved in ovulation and menstruation, and it manifests with a combination of symptoms related to these hormonal imbalances. PCOS is characterized by irregular or absent menstrual cycles, elevated androgen levels (a male sex hormone present in small amounts in women), and the presence of numerous small cysts on the ovaries. Despite its name, not all women with PCOS develop ovarian cysts. And, confusingly, some women with ovarian cysts don’t meet the diagnostic criteria for PCOS."}],"markDefs":[],"style":"normal"},{"_key":"e65e2b940cc9","_type":"block","children":[{"_key":"4bc005979ff30","_type":"span","marks":[],"text":"While the exact cause of PCOS remains unclear, it likely involves a combination of genetic and environmental factors, including insulin resistance and inflammation. Importantly, women with a family history of PCOS or type 2 diabetes seem to be at a higher risk for developing PCOS."}],"markDefs":[],"style":"normal"},{"_key":"171cf764c3b4","_type":"block","children":[{"_key":"cacb7114afd90","_type":"span","marks":[],"text":"One hallmark feature of PCOS is its significant impact on fertility. The hormonal imbalances seen in PCOS often disrupt the normal ovulatory process, which leads to irregular or absent ovulation. Since ovulation is the process that releases a mature egg from the ovaries and makes it available for fertilization by sperm, it’s easy to understand why unpredictable or absent ovulation makes pregnancy difficult, if not impossible, to achieve without proper counseling and treatment."}],"markDefs":[],"style":"normal"},{"_key":"f32040cf2bf3","_type":"block","children":[{"_key":"85ee0f1c2f450","_type":"span","marks":[],"text":"Besides infertility, PCOS can present with several other symptoms:"}],"markDefs":[],"style":"normal"},{"_key":"47883781c3a5","_type":"block","children":[{"_key":"b37364542d361","_type":"span","marks":["strong"],"text":"Irregular menstrual cycles"},{"_key":"b37364542d362","_type":"span","marks":[],"text":". Women with PCOS might have missed, unpredictable, or absent periods—though it’s not uncommon for them to experience heavy and long periods as well."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"70827416aa84","_type":"block","children":[{"_key":"84b7a888bb2c1","_type":"span","marks":["strong"],"text":"Hirsutism"},{"_key":"84b7a888bb2c2","_type":"span","marks":[],"text":". Excessive hair on the face, chin, chest, back, or parts of the body where men usually have hair is often seen in people with PCOS."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"789cf0937b7a","_type":"block","children":[{"_key":"e803add0e5a71","_type":"span","marks":["strong"],"text":"Acne and/or male-pattern baldness."},{"_key":"e803add0e5a72","_type":"span","marks":[],"text":" Hirsutism, acne, and male-pattern baldness are most likely due to excess androgen levels that often accompany PCOS."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"25525f64cf37","_type":"block","children":[{"_key":"db29d43d983c1","_type":"span","marks":["strong"],"text":"Weight gain, "},{"_key":"db29d43d983c2","_type":"span","marks":[],"text":"especially around the belly."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"70e672ccdd2a","_type":"block","children":[{"_key":"f20ce967ce571","_type":"span","marks":["strong"],"text":"Polycystic ovaries"},{"_key":"f20ce967ce572","_type":"span","marks":[],"text":" that might feel large on exam or appear large on imaging."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d29e5a724323","_type":"block","children":[{"_key":"1aeaf16deeca1","_type":"span","marks":["strong"],"text":"Skin tags "},{"_key":"1aeaf16deeca2","_type":"span","marks":[],"text":"or small pieces of excess skin on the neck or armpits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a33f49ca91ea","_type":"block","children":[{"_key":"a398dbc4e75c1","_type":"span","marks":["strong"],"text":"Dark or thick patches of skin "},{"_key":"a398dbc4e75c2","_type":"span","marks":[],"text":"particularly along neck creases,"},{"_key":"a398dbc4e75c3","_type":"span","marks":["strong"],"text":" "},{"_key":"a398dbc4e75c4","_type":"span","marks":[],"text":"in the groin area, in the armpits, or underneath the breasts."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"db9ca07aea28","_type":"cta","backgroundColor":"bccream","text":[{"_key":"6d3ce20c0c37","_type":"block","children":[{"_key":"9baa1781269e","_type":"span","marks":[],"text":"Experiencing PCOS symptoms? Sign up for Tia's membership and schedule an appointment today."}],"markDefs":[],"style":"normal"},{"_key":"6555ebcbee74","_type":"buttonBlock","items":[{"_key":"c85229a11925","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"cf4fcb84c985","_type":"block","children":[{"_key":"bf18708fd1560","_type":"span","marks":[],"text":"With appropriate medical management aimed at reducing symptoms and"},{"_key":"bf18708fd1561","_type":"span","marks":["strong"],"text":" "},{"_key":"bf18708fd1562","_type":"span","marks":[],"text":"improving ovulation, women with PCOS "},{"_key":"bf18708fd1563","_type":"span","marks":["em"],"text":"can"},{"_key":"bf18708fd1564","_type":"span","marks":[],"text":" get pregnant—but they may face certain challenges during pregnancy that require careful monitoring and possible medical intervention. "}],"markDefs":[],"style":"normal"},{"_key":"fd687ceb6979","_type":"block","children":[{"_key":"67adbd52d5ef","_type":"span","marks":[],"text":"Some of the potential complications associated with pregnancy in women with PCOS:"}],"markDefs":[],"style":"normal"},{"_key":"0cee0e27af29","_type":"block","children":[{"_key":"13344b8fa7c61","_type":"span","marks":["strong"],"text":"Gestational diabetes."},{"_key":"13344b8fa7c62","_type":"span","marks":[],"text":" People with PCOS have an increased risk of developing gestational diabetes. While poorly understood, researchers postulate that fluctuating hormones caused by pregnancy make it more difficult for the body to process blood sugar effectively."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2e77834e3a67","_type":"block","children":[{"_key":"5df12f7a04411","_type":"span","marks":["strong"],"text":"Preeclampisa"},{"_key":"5df12f7a04412","_type":"span","marks":[],"text":". There’s a strong association between PCOS and preeclampsia, a potentially dangerous condition characterized by high blood pressure and proteins in the urine, which can cause organ damage. Regular prenatal visits and routine monitoring are crucial to protect both the parent and baby and prevent preeclampsia from developing into a life-threatening condition called eclampsia."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61cf02261ff7","_type":"block","children":[{"_key":"7341416083da0","_type":"span","marks":["strong"],"text":"Preterm birth."},{"_key":"7341416083da1","_type":"span","marks":[],"text":" There is an increased risk of preterm birth in women with PCOS."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1c7d09526ad1","_type":"block","children":[{"_key":"81b9c486c2f81","_type":"span","marks":["strong"],"text":"Miscarriage."},{"_key":"81b9c486c2f82","_type":"span","marks":[],"text":" People with PCOS have a slightly higher risk of miscarriage compared to those without the condition."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"26d58d0c71ab","_type":"block","children":[{"_key":"ee166fcf53ca1","_type":"span","marks":["strong"],"text":"Increased C-section rates."},{"_key":"ee166fcf53ca2","_type":"span","marks":[],"text":" Those diagnosed with PCOS have a higher likelihood of delivering via Cesarean section, often due to complications related to gestational diabetes, preeclampsia, and fetal distress."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ebdf13b2c5ad","_type":"block","children":[{"_key":"f0c435176e151","_type":"span","marks":["strong"],"text":"Neonatal complications."},{"_key":"f0c435176e152","_type":"span","marks":[],"text":" Babies whose parents have PCOS often experience complications, like respiratory distress syndrome, that necessitate admission to the neonatal intensive care unit."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7e172fccc510","_type":"block","children":[{"_key":"5bb9440e9d7b1","_type":"span","marks":["strong"],"text":"Long-term health implications."},{"_key":"5bb9440e9d7b2","_type":"span","marks":[],"text":" Children born to parents with PCOS have a higher risk of developing certain chronic health conditions later in life, such as obesity and diabetes."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fc745211df6d","_type":"sectionHeader","title":"Optimizing fertility with PCOS"},{"_key":"6800b8880323","_type":"block","children":[{"_key":"18b801be027f0","_type":"span","marks":[],"text":"Not everyone with PCOS will experience these complications, and it’s worth repeating that many women with PCOS have successful, healthy pregnancies. Thankfully, there are several commonsense and effective strategies, including lifestyle modifications and medications, that can greatly increase the likelihood of ovulating and becoming pregnant if you suffer from PCOS."}],"markDefs":[],"style":"normal"},{"_key":"93e4c88a1390","_type":"block","children":[{"_key":"01a075f712df0","_type":"span","marks":[],"text":"Lifestyle modifications almost always begin with getting regular exercise and eating a healthy diet, generally full of protein-rich, low-carbohydrate foods; high-fiber fruits and vegetables; whole grains; and healthy fats and oils. Cutting out caffeine, nicotine, and alcohol are also common recommendations. Weight management through exercise and dietary changes can vastly improve insulin sensitivity and hormonal imbalances, stabilize blood sugar levels, and make fertility easier to achieve, often without additional intervention."}],"markDefs":[],"style":"normal"},{"_key":"9b1d2a881152","_type":"block","children":[{"_key":"9bb1cf7213a30","_type":"span","marks":[],"text":"When lifestyle changes alone don’t lead to pregnancy, healthcare providers often recommend medication to improve fertility and promote ovulation, including metformin and/or clomiphene citrate (Clomid) alone or in combination. Metformin, an insulin-lowering drug and mainstay in type 2 diabetes management, has been shown to improve fertility and ovulation, and reverse endocrine abnormalities in women with PCOS. .Metformin is also a drug-of-choice for women with PCOS because it also has positive effects on other PCOS symptoms, including menstrual irregularities, anovulation (lack of ovulation), hirsutism, and obesity. And during pregnancy, metformin might also be protective against insulin resistance, gestational diabetes, and a first trimester pregnancy loss. Clomiphene citrate (Clomid) is an important ovulation induction agent that works by stimulating hormones necessary for follicle development. Letrozole, another medication that induces ovulation, is sometimes used when clomiphene citrate is ineffective."}],"markDefs":[],"style":"normal"},{"_key":"54ee4325c67a","_type":"sectionHeader","title":"Seeking preconception care"},{"_key":"70cf3c25d58e","_type":"block","children":[{"_key":"7629956b4c1b0","_type":"span","marks":[],"text":"As always, it’s important for people with PCOS to consult with an experienced and trustworthy healthcare provider before trying to conceive. Your provider can help assess your fertility status, manage PCOS symptoms, and address underlying health conditions to improve your chances of getting pregnant, staying pregnant, and having a healthy pregnancy. And since PCOS is associated with other long-term health risks, like type 2 diabetes, endometrial cancer, and cardiovascular disease, it’s even more critical for these people to share their fertility journeys and health histories with their provider before conception so they can make the best and most informed decisions about their health and care."}],"markDefs":[],"style":"normal"},{"_key":"d7520205e4e6","_type":"sectionHeader","title":"Pregnancy care for people with PCOS"},{"_key":"679be8a1efeb","_type":"block","children":[{"_key":"8f6fdbd145670","_type":"span","marks":[],"text":"Close collaboration with a healthcare provider, strict adherence to prenatal care, lifestyle management, and taking a prenatal vitamin that offers folic acid are key components of ensuring a healthy pregnancy for women with PCOS. Since women with PCOS who become pregnant are more vulnerable to certain pregnancy-related complications, like gestational diabetes and preeclampsia, regular prenatal office visits and routine screenings are essential for recognizing the earliest signs of these conditions. Your care team will closely monitor your blood pressure, blood glucose levels, and weight gain, measure the progression of your pregnancy, and address any issues that might contribute to miscarriage or preterm labor."}],"markDefs":[],"style":"normal"},{"_key":"7a49e008bc32","_type":"sectionHeader","title":"Next steps for PCOS treatment"},{"_key":"b6eb1bcd8a2f","_type":"block","children":[{"_key":"215a43a920990","_type":"span","marks":[],"text":"PCOS is a complex and prevalent condition that requires a comprehensive and personalized approach. The impact of PCOS extends beyond the bounds of reproductive health, it impacts metabolic and cardiovascular health too. Some symptoms, like infertility, obesity, and unwanted hair growth, can lead to social stigma and even cause anxiety and depression. Consultation with a healthcare provider or fertility specialist is essential for a thorough evaluation, diagnosis, and a personalized treatment plan aimed at restoring hormonal balance, managing symptoms, and regulating ovulation."}],"markDefs":[],"style":"normal"},{"_key":"e8059e98ad70","_type":"block","children":[{"_key":"6f001f1b66580","_type":"span","marks":[],"text":"So, whether you’re already pregnant, trying, undecided, or not planning to have kids, your journey matters—and so does your story. "}],"markDefs":[],"style":"normal"},{"_key":"87323364518a","_type":"cta","backgroundColor":"bccream","text":[{"_key":"f559b1448cc3","_type":"block","children":[{"_key":"af8a0517f650","_type":"span","marks":[],"text":"Experiencing PCOS symptoms? Sign up for Tia's membership and schedule an appointment today."}],"markDefs":[],"style":"normal"},{"_key":"cf4b3627b65a","_type":"buttonBlock","items":[{"_key":"b99fe2b5f01b","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]}],"image":{"_type":"image","asset":{"_ref":"image-be386cb6359763e79730a31e029a20ffb481d4f1-14000x8000-png","_type":"reference"}},"publishedAt":"2023-11-29T01:36:00.000Z","slug":{"_type":"slug","current":"pcos-pregnancy"},"status":"production","title":"PCOS and Pregnancy: Embracing the Unique Path to Motherhood","topics":[{"_key":"2f4fd95ae57b","_ref":"8620b4dd-9ad9-4abc-96fb-b7bffc848982","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Unlock the journey of navigating pregnancy with PCOS. 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How common is it? "},{"_key":"1b208505da0e","_type":"span","marks":["1e18418d59b6"],"text":"Endometriosis impacts"},{"_key":"ae4825680582","_type":"span","marks":[],"text":" the lives of roughly 10% (190 million) of women during their reproductive years."}],"markDefs":[{"_key":"1e18418d59b6","_type":"externalLink","linkType":"text","url":"https://www.who.int/news-room/fact-sheets/detail/endometriosis"}],"style":"normal"},{"_key":"e1351338a303","_type":"block","children":[{"_key":"e7dcf38bc6890","_type":"span","marks":[],"text":"Endometriosis is a chronic disease that can cause a constellation of uncomfortable symptoms, including pain during periods, sex, and bowel movements, irregular bleeding, abdominal bloating, nausea, fatigue, anxiety, and depression. It is characterized by tissue similar to the lining of the uterus growing outside of it and implanting on other reproductive organs (fallopian tubes, ovaries, uterine ligaments),"}],"markDefs":[],"style":"normal"},{"_key":"2bc4214e3a10","_type":"block","children":[{"_key":"2110b69ee6040","_type":"span","marks":[],"text":"Endometriosis can also "},{"_key":"75481a7102f3","_type":"span","marks":["62b0519eefd4"],"text":"cause infertility"},{"_key":"c0f84023082f","_type":"span","marks":[],"text":" in 30-50% of people suffering from this condition. If you’re living with endometriosis and dreaming about starting or growing a family, you’re probably wondering how endometriosis might affect your pregnancy journey. If so, there’s good news ahead. Even if there is no absolute cure for endometriosis, there are many proven treatments aimed at controlling its symptoms, and many people with the condition become pregnant and have healthy pregnancies and babies."}],"markDefs":[{"_key":"62b0519eefd4","_type":"externalLink","linkType":"text","url":"https://www.massgeneral.org/condition/endometriosis"}],"style":"normal"},{"_key":"a0b49699b9ec","_type":"block","children":[{"_key":"be30685fcc930","_type":"span","marks":[],"text":"How Endometriosis Impacts Fertility"}],"markDefs":[],"style":"h1"},{"_key":"0b8b340470a0","_type":"block","children":[{"_key":"1d4fb53903ef0","_type":"span","marks":[],"text":"Although the medical community has been conducting research and making educated guesses for years, there’s still a lot it doesn’t know about endometriosis, including its exact cause. But there’s something the medical community "},{"_key":"1d4fb53903ef1","_type":"span","marks":["em"],"text":"does"},{"_key":"1d4fb53903ef2","_type":"span","marks":[],"text":" know about the condition: people with endometriosis often have a more challenging time getting pregnant. "}],"markDefs":[],"style":"normal"},{"_key":"3a5c300e7aa7","_type":"block","children":[{"_key":"29bf77c6bf6d","_type":"span","marks":[],"text":"But at Tia, our team of women’s health experts is committed to helping our members manage their endometriosis with a comprehensive approach that ensures their whole health is taken into account."}],"markDefs":[],"style":"normal"},{"_key":"ec67762b1b28","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"ae1643d0ac9f","_type":"block","children":[{"_key":"f5e379d38bdd0","_type":"span","marks":[],"text":"Struggling with fertility? 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They can offer guidance and treatments tailored to your specific situation, which might include managing endometriosis symptoms (NSAIDs, hormonal birth control methods, GnRH agonists), assessing fertility, and exploring fertility treatments."}],"markDefs":[],"style":"normal"},{"_key":"88dc1e07fbd6","_type":"block","children":[{"_key":"5a999eb5ca4b0","_type":"span","marks":[],"text":"In the early stages of endometriosis, you might be able to get pregnant without any medical intervention. Oftentimes, at this stage, controlling symptoms is enough to get past the hurdle of endometriosis."}],"markDefs":[],"style":"normal"},{"_key":"7d3b18080cd4","_type":"block","children":[{"_key":"09543ca512850","_type":"span","marks":[],"text":"If you’re finding it more difficult to conceive, your doctor might recommend a laparoscopy to surgically remove endometriosis. During this simple procedure, a medical professional inserts a camera through a small incision in the abdomen to assess your endometriosis lesions and remove as many as possible."}],"markDefs":[],"style":"normal"},{"_key":"051f75d5d268","_type":"block","children":[{"_key":"47eaed31fba60","_type":"span","marks":[],"text":"For people who are 35 + or diagnosed with a more advanced form of the condition, your doctor might recommend the fertility medication to help trigger ovulation. "}],"markDefs":[],"style":"normal"},{"_key":"a2409610a499","_type":"block","children":[{"_key":"871149f8399a","_type":"span","marks":[],"text":"Additionally, your provider may suggest intrauterine insemination (IUI) instead of surgery. 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Recently, there has been an uptick in attention to chronic conditions like endometriosis and the global toll these conditions can take."}],"markDefs":[],"style":"normal"},{"_key":"5f3732ab75b9","_type":"block","children":[{"_key":"d5f50936e12e0","_type":"span","marks":[],"text":"Advances in treatments and a better understanding of endometriosis have made pregnancy a reality for many people who once thought it might be out of reach. Keeping an open dialogue with your doctor, staying up-to-date and informed, and leaning on your support network is paramount. But with patience, preparation, and proper care you, too, can likely navigate these challenges and start or grow your family with success."}],"markDefs":[],"style":"normal"},{"_key":"56866bebf70a","_type":"block","children":[{"_key":"cfc8b72546270","_type":"span","marks":[],"text":"If you’re experiencing symptoms of endometriosis and struggling to get a diagnosis and treatment plan, Tia is a good place to start. 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Navigating your fertility can be confusing, whether you're just beginning a conversation or are actively trying to conceive. Our expert team provides a trusted place to sort fact from fiction, offering evidence-based and holistic education and support. We offer fertility assessments, bloodwork, guidance on cycle tracking, and medication and supplement reviews. Our goal is to always put you in the driver's seat of your care, ensuring you have the information you need to make the best decisions for your health journey."}],"markDefs":[],"style":"normal"}],"question":"Can Tia help with my fertility questions? 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Your provider will educate you on the benefits and limitations of each option, empowering you to make the best choice for your health."}],"markDefs":[],"style":"normal"}],"question":"Do you do fertility and hormonal testing?","id":"348c2627-d336-5e5e-9766-bac7160eb3ef","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"0db619d5083705eff5dbab34d4afdedb","counter":1219,"owner":"gatsby-source-sanity"}},{"_id":"bceba89b-b7cf-4103-ab57-cd3d684daebd","_type":"faq","_createdAt":"2025-10-08T15:55:10Z","_rev":"ZKXhZ2Mdtd1ZHYRRWwE6Pk","_updatedAt":"2025-10-08T15:55:35Z","answer":[{"_key":"938030fb87ac","_type":"block","children":[{"_key":"19ef39bf71f90","_type":"span","marks":[],"text":"Tia does not offer IVF, egg freezing, or other fertility-related procedures, but we are happy to refer you to a trusted partner."}],"markDefs":[],"style":"normal"}],"question":"Does Tia do egg freezing or IVF?","id":"aaac3c44-a330-5cbc-8d73-7acb75ccdadf","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"ade0442ae9aee7e3e9701bdc719d933f","counter":1220,"owner":"gatsby-source-sanity"}},{"_id":"a8d70ed9-610b-4ee7-ad2d-39c5481184c2","_type":"faq","_createdAt":"2025-10-08T15:55:47Z","_rev":"ZKXhZ2Mdtd1ZHYRRWwEBoC","_updatedAt":"2025-10-08T15:55:55Z","answer":[{"_key":"6103c31c6e87","_type":"block","children":[{"_key":"5cc88f094bec0","_type":"span","marks":[],"text":"Yes, we provide proactive, long-term care to help you avoid the “postpartum cliff.” Re-establishing care after giving birth is a critical step in managing any lingering pregnancy-related health concerns, such as high blood pressure or gestational diabetes. 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Because insurance plans require these visits to be strictly preventive, any specific concern (a UTI, new pain, or fatigue) is best handled at a separate Sick Visit. 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This is called "},{"_key":"78cb3e53cfa6","_type":"span","marks":["strong"],"text":"cost-sharing"},{"_key":"c5e9b2ca608d","_type":"span","text":"."}],"style":"normal"}]},{"_key":"439ede3168fd","_type":"tableModule","backgroundColor":"bccream","spacing":"pys","subTable":{"_type":"table","rows":[{"_key":"b134b05bb6c2","_type":"tableRow","cells":[" Term","What It Is","How it Works"]}]},"table":{"_type":"table","rows":[{"_key":"572e93d9f7ac","_type":"tableRow","cells":["<b>Deductible</b>","The <b>total amount you must pay</b> for covered services <b>before</b> your insurance company starts to pay for anything other than preventive care.","Example: If your deductible is <b>$2,500</b>, you pay the first $2,500 in medical bills for the year. Once you hit that number, the insurance \"kicks in\" and starts paying a share. Your deductible resets every year."]},{"_key":"0be67eab42b0","_type":"tableRow","cells":["<b>Copayment (Copay)</b>","A <b>fixed, flat fee</b> you pay for certain services. 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the total amount you owe, you will only ever be billed $100 per month until your balance is paid off. Depending on the care you receive, this could look like: the total amount owed for care might be $300, but the total due this month is $100. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"1eaa1d5efd4f","_type":"standardText","backgroundColor":"bccream","spacing":"pys","text":[{"_key":"1177301216b6","_type":"block","children":[{"_key":"560e7e8612fd","_type":"span","text":"Benefits of Predictable Payments:"}],"style":"h3"},{"_key":"4405ed31e402","_type":"columnText","items":[{"_key":"6bc3e3e01263","_type":"plainText","text":[{"_key":"2648b9147137","_type":"block","children":[{"_key":"734ea0029e80","_type":"span","text":"1. $100 Capped Invoices"}],"style":"h4"},{"_key":"da8fee1a7b4f","_type":"block","children":[{"_key":"a9b4bb678414","_type":"span","text":"One of the biggest benefits of this payment method is predictability. With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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We’re here with the essential steps and insights you need to make the best decision for the year ahead."}],"markDefs":[],"style":"normal"},{"_key":"020f183409bb","_type":"block","children":[{"_key":"1de8a6186eb10","_type":"span","marks":[],"text":"Healthcare is confusing. Between the need-to-Google terminology and the ever-changing rules, it can be a headache to understand—but it’s also crucial to know how your plan works. Knowing your coverage makes it easier to choose the right plan "},{"_key":"1de8a6186eb11","_type":"span","marks":["em"],"text":"and"},{"_key":"1de8a6186eb12","_type":"span","marks":[],"text":" take full advantage of your current benefits. (You’re paying for them, after all.)"}],"markDefs":[],"style":"normal"},{"_key":"19932b31458f","_type":"block","children":[{"_key":"bd6d0ddc49b90","_type":"span","marks":[],"text":"To ensure you get the healthcare you need without surprises, we recommend carving out time during the Open Enrollment window to call your insurance provider, ask some important questions, and truly get to know your plan options."}],"markDefs":[],"style":"normal"},{"_key":"704cbde1f918","_type":"sectionHeader","headerLevel":"h2","title":"Step 1: Get Prepared to Research Your Options"},{"_key":"9fe04bd86b02","_type":"block","children":[{"_key":"d5a5bf2426f80","_type":"span","marks":[],"text":"Before getting on the phone with your insurance provider or logging into your benefits portal, take a few minutes to get ready."}],"markDefs":[],"style":"normal"},{"_key":"425536d66bfd","_type":"block","children":[{"_key":"d96072412853","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3d6dad85682a","_type":"block","children":[{"_key":"8735d7e7e651","_type":"span","marks":["strong"],"text":"Gather Your Plan Documents"}],"markDefs":[],"style":"normal"},{"_key":"f42ce66d14ee","_type":"block","children":[{"_key":"71ae0696c6dc0","_type":"span","marks":[],"text":"Have the following documents from your current or potential plans handy:"}],"markDefs":[],"style":"normal"},{"_key":"2883f5fbd2ee","_type":"block","children":[{"_key":"71a2ad85c8020","_type":"span","marks":[],"text":"Your current insurance card."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"707f7a34c6bf","_type":"block","children":[{"_key":"487221ec374f0","_type":"span","marks":[],"text":"A copy of the plan’s "},{"_key":"487221ec374f1","_type":"span","marks":["strong"],"text":"Summary of Benefits and Coverage (SBC)"},{"_key":"487221ec374f2","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8bc5996ade97","_type":"block","children":[{"_key":"c291fb0f1b140","_type":"span","marks":[],"text":"Recent "},{"_key":"c291fb0f1b141","_type":"span","marks":["strong"],"text":"Explanation of Benefits (EOB)"},{"_key":"c291fb0f1b142","_type":"span","marks":[],"text":" statements, if applicable."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c595998f1ddc","_type":"block","children":[{"_key":"97a12ca8ec6b0","_type":"span","marks":[],"text":"A list of past and upcoming medical appointments or treatments, including any ongoing prescriptions."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f2d832669a8d","_type":"block","children":[{"_key":"782b3c8a7944","_type":"span","marks":["strong"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"ff74e7276320","_type":"block","children":[{"_key":"d089cfcf2d910","_type":"span","marks":["strong"],"text":"Review Your Medical History and Think About the Year Ahead"}],"markDefs":[],"style":"normal"},{"_key":"661e2ee51c41","_type":"block","children":[{"_key":"b837818b814a0","_type":"span","marks":[],"text":"Make a list of any ongoing health conditions (e.g., fertility treatments, chronic illness management) and medical needs for the upcoming year (e.g., planned surgeries, mental health support, family planning). Determine how your coverage needs might change based on lifestyle shifts, like starting a family or taking a new medication."}],"markDefs":[],"style":"normal"},{"_key":"77170071513a","_type":"sectionHeader","headerLevel":"h2","title":"Step 2: Key Questions to Ask When Comparing Plans"},{"_key":"89a062dc79ae","_type":"block","children":[{"_key":"174fabad576e0","_type":"span","marks":[],"text":"Getting a thorough understanding of your coverage involves asking some nitty-gritty questions. Use this list as a guide when speaking with an insurance representative or reviewing the "},{"_key":"174fabad576e1","_type":"span","marks":["strong"],"text":"Summary of Benefits and Coverage (SBC)"},{"_key":"174fabad576e2","_type":"span","marks":[],"text":" for a potential plan."}],"markDefs":[],"style":"normal"},{"_key":"a6c7e5b1b7d4","_type":"sectionHeader","headerLevel":"h3","title":"Coverage & Network Questions"},{"_key":"54c25e68f126","_type":"block","children":[{"_key":"2b83a9d1500c0","_type":"span","marks":[],"text":"Getting these answers will help you learn how your benefits work and how to make the most of them."}],"markDefs":[],"style":"normal"},{"_key":"cca49e88d4da","_type":"tableModule","subTable":{"rows":[{"_key":"8974759c-bd5f-4cdb-91fa-69e83157b11c","_type":"tableRow","cells":["Category","Key Questions to Ask"]}]},"table":{"rows":[{"_key":"fb8a0faf-e838-451f-9ca7-6ba5a496d023","_type":"tableRow","cells":["<b>General Coverage</b>","What is my <b>deductible</b>? How much do I pay before my plan starts covering care? What are my <b>out-of-pocket maximums</b>? Does my maximum include copays? Is there a <b>co-insurance</b> rate after my deductible is met? Do I have to select a <b>primary care provider (PCP)</b>?"]},{"_key":"0e841ae7-66e0-4a97-bcc4-2a7f27252f15","_type":"tableRow","cells":["<b>Network & Providers</b>","Is my current doctor or specialist <b>in-network</b>? Do I need a <b>referral</b> to see specialists (e.g., dermatologists, mental health professionals)? What are the rules for <b>out-of-network</b> providers?"]},{"_key":"bc5bc4d4-fb20-4ab5-8680-5247f966b8c4","_type":"tableRow","cells":["<b>Prescription Coverage</b>","Are my <b>prescription medications</b> covered? Is there a <b>formulary</b> I should review? What are the <b>co-pay amounts</b> for different types of prescriptions (generics vs. brand-name)?"]}]}},{"_key":"fa89de229fb2","_type":"sectionHeader","headerLevel":"h3","title":"Services & Treatments Questions"},{"_key":"c8f2f3313e4b","_type":"block","children":[{"_key":"3c398564997f0","_type":"span","marks":[],"text":"These questions help you dive deeper into what types of services are covered by your plan."}],"markDefs":[],"style":"normal"},{"_key":"10a821ede3cd","_type":"tableModule","subTable":{"rows":[{"_key":"bfc91828-2ef1-48db-ae07-c28de2f93885","_type":"tableRow","cells":["Category","Key Questions to Ask"]}]},"table":{"rows":[{"_key":"eb435882-6852-414f-8275-c180b8b0ae25","_type":"tableRow","cells":["<b>Preventive Care</b>","What preventive services are fully covered (annual physicals, vaccines, screenings)? Are annual preventive visits and counseling covered at 100% by insurance or will I have a cost share?"]},{"_key":"9d5d1431-d326-46de-a088-20377ad06ba2","_type":"tableRow","cells":["<b>Specialty Services</b>","Are mental health services covered, and if so, what types of care (e.g., therapy, psychiatry)? What alternative treatments are covered (e.g., acupuncture, chiropractic care)? Are there limitations on when these services will be covered?"]},{"_key":"805076de-f38a-4726-83fc-141c530ebbff","_type":"tableRow","cells":["<b>Chronic Conditions & Needs</b>","Does the plan cover care for chronic conditions (e.g., diabetes, asthma)? What fertility treatments are covered (e.g., IVF, egg freezing)? Are maternity services fully covered?"]}]}},{"_key":"5f3b6b44681d","_type":"sectionHeader","headerLevel":"h2","title":"Step 3: Finding Your Perfect Fit: Case Studies in Plan Selection"},{"_key":"3fdba81a79f5","_type":"block","children":[{"_key":"dd69b75bcaeb0","_type":"span","marks":[],"text":"The answers to the questions above will help you weigh the costs and benefits of each plan option. \n\nTo illustrate the choices, meet "},{"_key":"1e1656ed3ec1","_type":"span","marks":["strong"],"text":"Carly, Bea, and Alice"},{"_key":"8d0300c470c2","_type":"span","marks":[],"text":". Their scenarios will reference three different types of Insurance plans: the Gold PPO 2000, the Gold PPO 1000, and the HDHP 5000."}],"markDefs":[],"style":"normal"},{"_key":"e7c194e890c8","_type":"tableModule","subTable":{"rows":[{"_key":"89aef08e-1ab0-486c-898d-710ff82e2a88","_type":"tableRow","cells":["Plan","Premium / Deductible","Best For"]}]},"table":{"rows":[{"_key":"a9047c96-988f-47b6-8b0c-cfecf59444e3","_type":"tableRow","cells":["<b>HDHP 5000</b>","$50/month (Lowest) <b>/</b> $5,000 (Highest)","Healthy individuals who only anticipate needing routine preventive services and want a low-cost plan."]},{"_key":"4c8e3cf8-639d-4097-9cf0-e364013807e0","_type":"tableRow","cells":["<b>Gold PPO 2000</b>","$100/month (Low) <b>/</b> $2,000 (Mid)","Those who need specific covered services (like acupuncture) but don't expect frequent visits."]},{"_key":"18160790-6ce3-46a9-a366-a858b0344c17","_type":"tableRow","cells":["<b>Gold PPO 1000</b>","$200/month (Highest) <b>/</b> $1,000 (Lowest)","Those expecting frequent doctor’s appointments who need predictable costs (copays)."]}]}},{"_key":"681ea84f74d8","_type":"cta","backgroundColor":"bcb","text":[{"_key":"735495fa5daa","_type":"block","children":[{"_key":"e974c6801c320","_type":"span","marks":["strong"],"text":"Open Enrollment Alert: Government Uncertainty and Your Premiums"}],"markDefs":[],"style":"h3"},{"_key":"f74fd11119a4","_type":"block","children":[{"_key":"7b2e38e780320","_type":"span","marks":[],"text":"As you approach your Open Enrollment decision, be aware that the current government funding debate may have a significant and immediate impact on your costs."}],"markDefs":[],"style":"normal"},{"_key":"932f70b20278","_type":"block","children":[{"_key":"cfaf2acf9b860","_type":"span","marks":[],"text":"A key point of dispute causing the current federal government shutdown is the potential expiration of the "},{"_key":"cfaf2acf9b861","_type":"span","marks":["strong"],"text":"Affordable Care Act (ACA) enhanced premium tax credits (subsidies)"},{"_key":"cfaf2acf9b862","_type":"span","marks":[],"text":" at the end of the year."}],"markDefs":[],"style":"normal"},{"_key":"78819ea20967","_type":"block","children":[{"_key":"1df3dccc523d0","_type":"span","marks":["strong"],"text":"What This Means for You:"}],"markDefs":[],"style":"normal"},{"_key":"34c894a9b4dd","_type":"block","children":[{"_key":"8d72b6ee200e0","_type":"span","marks":[],"text":"If these enhanced subsidies are "},{"_key":"8d72b6ee200e1","_type":"span","marks":["strong"],"text":"not extended"},{"_key":"8d72b6ee200e2","_type":"span","marks":[],"text":" by Congress, millions of Americans who purchase their coverage on the ACA Marketplace could face a dramatic increase in their monthly premium payments—in some cases, seeing costs more than double."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ac14b4874d79","_type":"block","children":[{"_key":"ee157d77c15e0","_type":"span","marks":["strong"],"text":"Actionable Step:"},{"_key":"ee157d77c15e1","_type":"span","marks":[],"text":" The rates you see quoted during Open Enrollment may reflect the loss of these subsidies. It is vital to ask your Marketplace or insurer how the ongoing debate will affect your final, out-of-pocket premium. Check for communications from your state or the federal marketplace regarding rate changes and the subsidy status."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"_key":"1540bcefad74","_type":"sectionHeader","headerLevel":"h2","title":"Case Study 1: Carly's Open Enrollment Choice - Prioritizing Low Premiums"},{"_key":"d22643ea975e","_type":"block","children":[{"_key":"60db67098b930","_type":"span","marks":["strong"],"text":"Healthcare needs:"},{"_key":"60db67098b931","_type":"span","marks":[],"text":" Carly is rarely sick and doesn’t expect to need frequent medical care, but wants to stay prepared in case of emergencies. She’s also focused on maintaining her health through preventive care."}],"markDefs":[],"style":"normal"},{"_key":"9ae989fccd04","_type":"block","children":[{"_key":"de856952decf0","_type":"span","marks":["strong"],"text":"Plan chosen: HDHP 5000"}],"markDefs":[],"style":"normal"},{"_key":"5d3af1ba0eb4","_type":"block","children":[{"_key":"b1fc8ae120dc0","_type":"span","marks":["strong"],"text":"Carly’s reasoning:"}],"markDefs":[],"style":"normal"},{"_key":"fc5161a18576","_type":"block","children":[{"_key":"d16ff68525870","_type":"span","marks":[],"text":"Carly isn’t expecting many doctor visits but wants to make sure her "},{"_key":"d16ff68525871","_type":"span","marks":["strong"],"text":"preventive care is covered"},{"_key":"d16ff68525872","_type":"span","marks":[],"text":", which the HDHP 5000 plan offers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"391815456397","_type":"block","children":[{"_key":"7901db7b5d2c0","_type":"span","marks":[],"text":"The "},{"_key":"7901db7b5d2c1","_type":"span","marks":["strong"],"text":"lower premium of $50/month"},{"_key":"7901db7b5d2c2","_type":"span","marks":[],"text":" works well with Carly’s budget, and she’s comfortable with the higher $5,000 deductible since she rarely needs medical attention."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9f4b6e55267c","_type":"block","children":[{"_key":"a429f408bf5a0","_type":"span","marks":[],"text":"Carly’s focus for the Open Enrollment decision is on saving money while still ensuring she’s protected in case of emergencies."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"caae50dd8494","_type":"block","children":[{"_key":"ce482af51d820","_type":"span","marks":["strong"],"text":"Plan benefits for Carly:"}],"markDefs":[],"style":"normal"},{"_key":"8fd070c475a9","_type":"block","children":[{"_key":"ba66164643950","_type":"span","marks":[],"text":"Full coverage for preventive services without needing to meet the deductible."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2dd981077207","_type":"block","children":[{"_key":"7b24ea5ee9380","_type":"span","marks":[],"text":"Lower monthly premiums that allow her to save more."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b6a611e078dd","_type":"block","children":[{"_key":"5f7d304060890","_type":"span","marks":[],"text":"Out-of-pocket costs are manageable because Carly doesn’t foresee major medical expenses in the coming year."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1b371ab44b73","_type":"sectionHeader","headerLevel":"h2","title":"Case Study 2: Bea's Open Enrollment Choice - Managing Ongoing Care"},{"_key":"5dd2dab3091a","_type":"block","children":[{"_key":"ab5c06eb37cf0","_type":"span","marks":["strong"],"text":"Healthcare needs:"},{"_key":"ab5c06eb37cf1","_type":"span","marks":[],"text":" Bea was recently diagnosed with PCOS and needs regular doctor visits, lab work, and fertility consultations. She expects to have more frequent healthcare needs throughout the year."}],"markDefs":[],"style":"normal"},{"_key":"f7a57c819598","_type":"block","children":[{"_key":"75f1ca97fdf20","_type":"span","marks":["strong"],"text":"Plan Chosen: Gold PPO 1000."}],"markDefs":[],"style":"normal"},{"_key":"e79671c970c1","_type":"block","children":[{"_key":"004a58dfc6110","_type":"span","marks":["strong"],"text":"Bea’s reasoning:"}],"markDefs":[],"style":"normal"},{"_key":"35143371dc32","_type":"block","children":[{"_key":"2570aaaba50f0","_type":"span","marks":[],"text":"The "},{"_key":"2570aaaba50f1","_type":"span","marks":["strong"],"text":"$1,000 deductible is manageable"},{"_key":"2570aaaba50f2","_type":"span","marks":[],"text":", and she likes having fixed "},{"_key":"2570aaaba50f3","_type":"span","marks":["strong"],"text":"copays for office visits"},{"_key":"2570aaaba50f4","_type":"span","marks":[],"text":" ($50 for primary care, $75 for specialists), which helps her budget for more frequent appointments."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b5f2fb17e344","_type":"block","children":[{"_key":"d356481e1bcb0","_type":"span","marks":[],"text":"She anticipates needing frequent lab work, office visits, and fertility consultations, and the Gold PPO 1000 plan covers more of these costs than the other options."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec172fe32af7","_type":"block","children":[{"_key":"253f33ebbc1f0","_type":"span","marks":[],"text":"Although the monthly premium is higher ($200/month), Bea values knowing her office visits will be affordable when she needs them, providing financial predictability for the year ahead."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"143be1f9d615","_type":"block","children":[{"_key":"c7be35afcf050","_type":"span","marks":["strong"],"text":"Plan benefits for Bea:"}],"markDefs":[],"style":"normal"},{"_key":"a9a65c738c97","_type":"block","children":[{"_key":"cbf8110a30eb0","_type":"span","marks":[],"text":"Lower out-of-pocket costs for office visits and specialist appointments."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61700b63841b","_type":"block","children":[{"_key":"2d6e8b03707f0","_type":"span","marks":[],"text":"Greater financial predictability for ongoing healthcare and lab work."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2d62f53410c6","_type":"block","children":[{"_key":"18602947a8850","_type":"span","marks":[],"text":"Peace of mind knowing her PCOS treatments will be more easily covered."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cbd36fcd58f5","_type":"sectionHeader","headerLevel":"h2","title":"Case Study 3: Alice's Open Enrollment Choice - Needing Alternative Therapies"},{"_key":"0908b8fafa28","_type":"block","children":[{"_key":"250610b6ae570","_type":"span","marks":["strong"],"text":"Healthcare needs:"},{"_key":"250610b6ae571","_type":"span","marks":[],"text":" Alice has lingering back pain from a car accident and is exploring alternative treatments like acupuncture. She’s not often sick, but she wants coverage for complementary therapies."}],"markDefs":[],"style":"normal"},{"_key":"306cd4a20a11","_type":"block","children":[{"_key":"afb59ea1de0b0","_type":"span","marks":["strong"],"text":"Plan Chosen: Gold PPO 2000."}],"markDefs":[],"style":"normal"},{"_key":"638019a3c167","_type":"block","children":[{"_key":"23c79c567acb0","_type":"span","marks":["strong"],"text":"Alice’s reasoning:"}],"markDefs":[],"style":"normal"},{"_key":"fe5eb6ba150d","_type":"block","children":[{"_key":"b2113ed676050","_type":"span","marks":[],"text":"The "},{"_key":"b2113ed676051","_type":"span","marks":["strong"],"text":"$100/month premium is a middle ground"},{"_key":"b2113ed676052","_type":"span","marks":[],"text":" for her budget, and while she’s okay with a higher "},{"_key":"b2113ed676053","_type":"span","marks":["strong"],"text":"deductible of $2,000"},{"_key":"b2113ed676054","_type":"span","marks":[],"text":", she prioritizes coverage for acupuncture, which isn’t offered under the HDHP 5000."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a9f8df721597","_type":"block","children":[{"_key":"3f6e0b4bc2960","_type":"span","marks":[],"text":"She doesn’t need frequent medical visits, but when she does, she wants the flexibility to access specialists like acupuncturists without breaking the bank."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bc78fe5867dc","_type":"block","children":[{"_key":"96692cc468260","_type":"span","marks":[],"text":"The plan strikes a balance between affordability and access to the specific treatments she needs most, like acupuncture."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8182eb12b84b","_type":"block","children":[{"_key":"3b9317c78b590","_type":"span","marks":["strong"],"text":"Plan benefits for Alice:"}],"markDefs":[],"style":"normal"},{"_key":"a29e9cd3d528","_type":"block","children":[{"_key":"a9ebe96af9ab0","_type":"span","marks":[],"text":"Lower monthly premiums while still offering access to acupuncture services."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8493a45819a9","_type":"block","children":[{"_key":"32336a9c21f10","_type":"span","marks":[],"text":"Flexibility to meet her back pain management needs without frequent doctor visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fc2bc5b78579","_type":"block","children":[{"_key":"31fde5adc2700","_type":"span","marks":[],"text":"The higher deductible works for Alice since she doesn’t expect to meet it often, but she’s comfortable with paying out of pocket for more expensive visits when needed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"489b13bb21a5","_type":"cta","backgroundColor":"bccream","text":[{"_key":"32742315f962","_type":"block","children":[{"_key":"dcfa106ebeae0","_type":"span","marks":["strong"],"text":"Not sure which insurance plan is right for you?"}],"markDefs":[],"style":"h3"},{"_key":"2a0a325dba4a","_type":"block","children":[{"_key":"99899ebee549","_type":"span","marks":[],"text":"Answer some simple questions about your priorities and walk away with answers and actionable next steps so you can take care of your whole health—in open enrollment season and beyond."}],"markDefs":[],"style":"normal"},{"_key":"20ca78e14507","_type":"buttonBlock","items":[{"_key":"a172445c86b9","_type":"singleButton","addWidgetCopy":false,"backgroundColor":"bctran","linkCta":"Take quiz now!","linkType":"button","url":"https://learn.asktia.com/insurancequiz/?utm_medium=organic-search&utm_source=blog"}],"onlyStackButtons":false}]},{"_key":"55b9d677f767","_type":"sectionHeader","headerLevel":"h2","title":"Step 4: Making the Final Decision and Next Steps"},{"_key":"5a06628ca910","_type":"block","children":[{"_key":"ce1e4c8d32a40","_type":"span","marks":[],"text":"As Carly, Alice, and Bea showed, there’s no one-size-fits-all solution: you need insurance that works for your specific financial and healthcare needs."}],"markDefs":[],"style":"normal"},{"_key":"56136f7e88fb","_type":"block","children":[{"_key":"02dcc6289934","_type":"span","marks":["strong"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"b3b6c57bf226","_type":"block","children":[{"_key":"8243b1fcaef90","_type":"span","marks":["strong"],"text":"Document Your Conversation"}],"markDefs":[],"style":"normal"},{"_key":"b1aa3cb48e39","_type":"block","children":[{"_key":"c7fc923b324c0","_type":"span","marks":[],"text":"Once you’ve finished speaking with your insurance representative:"}],"markDefs":[],"style":"normal"},{"_key":"cb6589855ac3","_type":"block","children":[{"_key":"6c48892e95490","_type":"span","marks":[],"text":"Ask for a confirmation number or a reference to your call."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"d919cc4eba8f","_type":"block","children":[{"_key":"4e6c38d12bde0","_type":"span","marks":[],"text":"Request an email follow-up that outlines any agreements or complex coverage details."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"810853ffbee8","_type":"block","children":[{"_key":"bb8a3d8789e90","_type":"span","marks":[],"text":"Keep detailed notes, including the name of the representative you spoke 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These changes have led to confusion and concern, particularly among women and marginalized groups."}],"markDefs":[],"style":"normal"},{"_key":"40127e758853","_type":"block","children":[{"_key":"d95f012a7e180","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"afc8a53f6d0d","_type":"block","children":[{"_key":"352b80ef0d0a0","_type":"span","marks":[],"text":"At Tia, our mission is to be a trusted healthcare advisor for women, providing clear, factual information to help you make informed decisions. Below, we outline the key policy changes and their potential impacts, along with practical steps you can take to protect your health and coverage."}],"markDefs":[],"style":"normal"},{"_key":"05e16b4053f1","_type":"sectionHeader","headerLevel":"h2","title":"Care Access"},{"_key":"6dd11a4a1f92","_type":"block","children":[{"_key":"475a460b3f29","_type":"span","marks":[],"text":"Access to abortion care:"}],"markDefs":[],"style":"h3"},{"_key":"87da617d11b4","_type":"block","children":[{"_key":"1c47379b41230","_type":"span","marks":[],"text":"In 2022, the United States Supreme Court decided a landmark case, Dobbs v. Jackson Women's Health Organization. While this case effectively removed the "},{"_key":"1aede4d15cc8","_type":"span","marks":["em"],"text":"federal constitutional right"},{"_key":"d93c09b3bc27","_type":"span","marks":[],"text":" to bodily autonomy for pregnant women, it did not ban abortions nationwide. Rather, the court’s decision gave individual states (not the federal government) increased rights to determine abortion laws in their respective states. Certain states used this decision as a basis to limit or even outlaw abortions, but other states have remained steadfast in their protection of abortion rights. California, New York, or Arizona (states in which Tia currently provides service) continue to protect abortion rights through state constitutions and statutes. Thus far, the Trump administration has not indicated plans to alter this state-level authority."}],"markDefs":[],"style":"normal"},{"_key":"9ae8c09301bd","_type":"block","children":[{"_key":"9550297a9cd90","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bcf41f81c502","_type":"block","children":[{"_key":"473e3173d5320","_type":"span","marks":[],"text":"In California, Governor Gavin Newsom signed legislation in September 2025 to enhance access to contraception, including over-the-counter options, and to strengthen patient confidentiality protections. In March 2025, a Superior Court judge in Arizona permanently blocked the state's 15-week abortion ban, ruling it unconstitutional in light of the new constitutional amendment."}],"markDefs":[],"style":"normal"},{"_key":"ab5f19d7a5bb","_type":"cta","backgroundColor":"bccream","text":[{"_key":"1f2183fcae1d","_type":"block","children":[{"_key":"bc62bdc7cd11","_type":"span","marks":["strong","em"],"text":"Simplified: Reproductive rights are controlled by the states, not the federal government, since the overturning of Dobbs in 2022. The Trump administration has not indicated a plan to change this. Abortions are legal in CA, NY, and AZ."}],"markDefs":[],"style":"normal"}]},{"_key":"3df7fb2a7a0c","_type":"sectionHeader","headerLevel":"h2","title":"Care for LGBTQIA and individuals subjected to gender-based violence"},{"_key":"ceadae6041c4","_type":"block","children":[{"_key":"e1f0673b9bea0","_type":"span","marks":[],"text":"The new administration has scrubbed government and federal agency websites of content that protects the LGBTQIA community. These actions follow executive orders ending federal funding for gender-affirming care, which would include terminating government-sponsored healthcare for gender affirming programs under Medicaid and Medicare. On June 25, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a final rule prohibiting health insurers from providing coverage for \"sex-trait modification procedures\" as an essential health benefit under the Affordable Care Act's health insurance exchanges. While private/commercial payors have not yet announced similar policies, historically, we have seen commercial payors (eg Aetna, Cigna, United Healthcare, Blue Cross, Anthem etc) follow the same coverage guidelines used by Medicare & Medicaid Services."}],"markDefs":[],"style":"normal"},{"_key":"2d771981e64d","_type":"block","children":[{"_key":"82a600ebfa28","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"6168b74865cf","_type":"cta","backgroundColor":"bccream","text":[{"_key":"3d1d2a8ddba6","_type":"block","children":[{"_key":"9c260f69410d0","_type":"span","marks":["strong","em"],"text":"Simplified: the rights for LGBTQIA people to access gender affirming care no longer broadly exists in this country, and we are watching changes to private/commercial coverage decisions closely."}],"markDefs":[],"style":"normal"}]},{"_key":"2034add44f75","_type":"block","children":[{"_key":"b75739cb68e70","_type":"span","marks":[],"text":"Numerous lawsuits have been filed challenging these federal and state-level restrictions. Some federal judges have issued injunctions blocking the enforcement of certain provisions, such as withholding federal funds from hospitals providing gender-affirming care to minors. However, the legal landscape remains fluid, with ongoing litigation that may impact the implementation of these policies."}],"markDefs":[],"style":"normal"},{"_key":"bc5127ec4dfc","_type":"sectionHeader","headerLevel":"h2","title":"Coverage under the Affordable Care Act (ACA)"},{"_key":"87abe920d7a5","_type":"block","children":[{"_key":"ca77dda8fb7c0","_type":"span","marks":[],"text":"The Affordable Care Act (ACA)(5) is an Obama-era policy that instituted enhanced access and coverage for key healthcare services. The ACA is known most significantly for federally mandating that individuals obtain healthcare coverage, and instituting the exchange (marketplace) for individuals to buy insurance policies."}],"markDefs":[],"style":"normal"},{"_key":"d4ccd2f2b59c","_type":"block","children":[{"_key":"cf3cd6f986640","_type":"span","marks":[],"text":"Healthcare exchange or marketplace plans (terms used interchangeably) are services available in every state that help individuals, families, and small businesses shop for, and enroll in, affordable medical insurance that meet ACA guidelines."}],"markDefs":[],"style":"normal"},{"_key":"e68a2ad5f3d6","_type":"block","children":[{"_key":"e688cb9636690","_type":"span","marks":[],"text":"In most states, the federal government runs the Marketplace or exchange plans available at HealthCare.gov, although some states run their own Marketplaces at different websites. These plans are also accessible through call centers and in-person assistance. If you have an individual plan *not* purchased for you by your employer, you likely have a marketplace plan."}],"markDefs":[],"style":"normal"},{"_key":"c2b4cf3b8676","_type":"block","children":[{"_key":"00a8302fbd8c0","_type":"span","marks":[],"text":"The prior Trump administration rolled back the federal mandate (requiring all in the US to obtain healthcare coverage) in 2017, as part of Tax Cuts and Jobs Act (6). Now, only certain states (Massachusetts, New Jersey, Rhode Island, Vermont, and Washington, D.C) have individual coverage mandates."}],"markDefs":[],"style":"normal"},{"_key":"e9b9c7b9f72c","_type":"sectionHeader","headerLevel":"h2","title":"Policies that impact ACA access"},{"_key":"774cd73cf836","_type":"block","children":[{"_key":"201b62ed99b90","_type":"span","marks":[],"text":"In addition to Trump administration policies that may shift coverage options in the coming years, the administration reduced funding for ACA “navigator” programs — which help people understand their ACA options and enroll — by about 90%. This reduction means many areas will have fewer or no navigators to help low-income or first-time enrollees. Specifically, the new administration has taken measures to:"}],"markDefs":[],"style":"normal"},{"_key":"05db2a07b18e","_type":"block","children":[{"_key":"4ea5754ffc710","_type":"span","marks":[],"text":"Compress the open enrollment window (Nov. 1 - Dec. 15) for federal exchanges"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"35b0ef6b4339","_type":"block","children":[{"_key":"90e634294fab0","_type":"span","marks":[],"text":"Institute stricter measures for pre-enrollment verification and documentation;"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"365b52cfb936","_type":"block","children":[{"_key":"7821c6cb6a360","_type":"span","marks":[],"text":"Rescind Biden-era policies aimed at increasing coverage and access for individuals. The policies facing roll-back include mid-year enrollment and affordability of coverage or financial assistance for coverage."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1c14d0acdaa4","_type":"block","children":[{"_key":"c98fd44f8e470","_type":"span","marks":[],"text":"Healthcare policy analysts have pointed out that as individual access to ACA marketplace options decreases, demand for employer sponsored plans will increase – resulting in higher costs to employers and employees in these plans who have commercial insurance."}],"markDefs":[],"style":"normal"},{"_key":"81395b532380","_type":"block","children":[{"_key":"f9d559befd33","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"5252cbee1205","_type":"cta","backgroundColor":"bccream","text":[{"_key":"1da8de3bfc1d","_type":"block","children":[{"_key":"00915ba7c2860","_type":"span","marks":["strong","em"],"text":"Simplified: for those who access plans through the exchange, it is likely that the administrative burden to get individual coverage will increase and it is likely that most of us on commercial insurance will see plan premiums rise."}],"markDefs":[],"style":"normal"}]},{"_key":"0d0e0a9f3066","_type":"block","children":[{"_key":"a1894a75d317","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"372d32a08aaa","_type":"sectionHeader","headerLevel":"h2","title":"What should I do?"},{"_key":"f9899555ceac","_type":"block","children":[{"_key":"324329eea90d0","_type":"span","marks":[],"text":"Understandably, if you are covered under an ACA marketplace plan or through employer-sponsored coverage, you may be wondering how these upcoming changes could affect you."}],"markDefs":[],"style":"normal"},{"_key":"ac89f49bb805","_type":"block","children":[{"_key":"82303d56c6990","_type":"span","marks":[],"text":"First – note these changes have not yet happened. So, it is critical to continue to watch. We don’t know if / when these proposals will be finalized; however, it is likely that the Administration will strive to put them into effect by Nov 2025, when enrollment for 2026 starts."}],"markDefs":[],"style":"normal"},{"_key":"a09be8c4fc86","_type":"block","children":[{"_key":"f70daf875ea60","_type":"span","marks":[],"text":"Second – even though we don’t have full information, you can start planning now. Here are a few ways for you to stay proactive to protect your coverage and care options through Tia:"}],"markDefs":[],"style":"normal"},{"_key":"d2dcbd32f5ce","_type":"block","children":[{"_key":"13bbcbbc5d480","_type":"span","marks":[],"text":"Budget for higher premiums"}],"markDefs":[],"style":"h4"},{"_key":"66c358469ccf","_type":"block","children":[{"_key":"3438fc980c410","_type":"span","marks":[],"text":"Although the solution of “spend more money” is not ideal, the reality is that premiums under marketplace and employer-sponsored plans will likely increase. As you are choosing a (new) plan, it is important to carefully consider what features of a particular plan are most important to you and where you may be able to decrease coverage in certain areas to increase affordability. While exchange-based plans are most at risk for rising costs, as noted above, employer-based plan premiums could also rise. Again – not that it is not likely these changes will “hit” ahead of the next open enrollment cycle (especially if you are already enrolled in an annual plan), which starts in November 2025."}],"markDefs":[],"style":"normal"},{"_key":"72803d69e047","_type":"block","children":[{"_key":"b2766b39afb20","_type":"span","marks":[],"text":"Research employer-sponsored options"}],"markDefs":[],"style":"h4"},{"_key":"6c746e131df8","_type":"block","children":[{"_key":"57ae361b50470","_type":"span","marks":[],"text":"If you are not currently covered under your employer or eligible partner’s employer-sponsored plan, we recommend that you research coverage options available through those plans. If you get coverage through your employer, your Human Resources team may start to learn about adjusted costs as soon as Q2 – so you could reach out to them to start to understand coverage shifts and changes. Oftentimes, employers are able to negotiate more favorable rates and premiums due to a volume based model. Many employers offer a multitude of plans and we suggest that you carefully consider the components of each plan to ensure that you are optimizing the coverage options vs. the premiums and out of pocket costs based on your individual circumstances."}],"markDefs":[],"style":"normal"},{"_key":"d68367bc0cf0","_type":"block","children":[{"_key":"87c10ed73a910","_type":"span","marks":[],"text":"Tia’s commitment"}],"markDefs":[],"style":"h4"},{"_key":"479e25accbfc","_type":"block","children":[{"_key":"ca48151dbfbd0","_type":"span","marks":[],"text":"Tia has an unwavering commitment to providing women with the high-quality care they deserve. Full stop. We remain steadfast in our efforts to provide safe, compassionate, and comprehensive care, no matter what, including creating a safe space that enables you to show up exactly as you are. Whether in our clinics, through virtual care, or in our community, Tia is here to ensure you are seen, heard, and supported."}],"markDefs":[],"style":"normal"},{"_key":"e1ae021f9dda","_type":"block","children":[{"_key":"242ef44e01780","_type":"span","marks":[],"text":"Despite this commitment, there are realities we must accept and that we strive to build around, including:"}],"markDefs":[],"style":"normal"},{"_key":"2bd73fdda5ea","_type":"block","children":[{"_key":"953aed2c60720","_type":"span","marks":[],"text":"The noise is real and can be overwhelming, especially during uncertain and volatile times. We are committed to being a source of clarity and truth during these times and always. We hope you feel you can turn to us as you need."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7f33b468905e","_type":"block","children":[{"_key":"88d3c375a92b0","_type":"span","marks":[],"text":"Care is not always covered, or fully covered, and the insurance landscape is confusing and hard to navigate (one may think this is on purpose). We strive to provide support navigating insurance coverage with our care team, and when certain visits or procedures are not covered, cost transparency."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"245226bbda0a","_type":"block","children":[{"_key":"55ce29fd02190","_type":"span","marks":[],"text":"Cost is a limiting agent to many seeking healthcare, and the lack of clarity about how much something will cost or when it will “hit” is nerve wracking. We have launched a "},{"_key":"9fbd697788aa","_type":"span","marks":["202034c79d6d"],"text":"predictable payments"},{"_key":"ceaf111407f7","_type":"span","marks":[],"text":" product to assuage these concerns."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"202034c79d6d","_type":"internalLink","linkType":"text","reference":{"_ref":"b242f2b8-a163-4b20-b47a-df2db3f5bdfa","_type":"reference"}}],"style":"normal"},{"_key":"5438101f4f6a","_type":"block","children":[{"_key":"e7bea813e7d90","_type":"span","marks":[],"text":"Thank you for your trust in Tia. We are committed to doing all we can to support our patients and our larger community through times of uncertainty - now more than ever. Please find us in clinic, virtually or through chat - if we can help you navigate any specific concerns."}],"markDefs":[],"style":"normal"},{"_key":"41a24ef406dd","_type":"cta","backgroundColor":"bccream","text":[{"_key":"c17fcaf8345d","_type":"block","children":[{"_key":"14aa515a3e7e0","_type":"span","marks":[],"text":"There is so much change for women and healthcare right now. We see this, and invite you to come as you are to receive our care. "}],"markDefs":[],"style":"large"},{"_key":"4884857c3e64","_type":"block","children":[{"_key":"f686dbc3e28d","_type":"span","marks":["em","d4a2595fa037"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."},{"_key":"7a67758c2875","_type":"span","marks":["d4a2595fa037"],"text":" "}],"markDefs":[{"_key":"d4a2595fa037","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"ce85f0c00405","_type":"buttonBlock","items":[{"_key":"57030f15d667","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Get Care","linkType":"join-scroll-shape"},{"_key":"149c2ce28b5e","_type":"singleButton","backgroundColor":"bctran","linkCta":"Member Portal","linkType":"button","url":"https://member.asktia.com"}],"onlyStackButtons":false}]},{"_key":"2aea48424bb9","_type":"block","children":[{"_key":"524f99c76984","_type":"span","marks":[],"text":"\n————"}],"markDefs":[],"style":"normal"},{"_key":"79fb70e85796","_type":"block","children":[{"_key":"ae93d7e6ceef","_type":"span","marks":[],"text":"1 - Dobbs v. Jackson Women's Health Organization, 597 U.S. 215 (2022)\n2- CAL. HEALTH & SAFETY CODE § 123468, CAL. HEALTH & SAFETY CODE § 123462, CAL. HEALTH & SAFETY CODE § 123466, CAL. HEALTH & SAFETY CODE § 123462;"}],"markDefs":[],"style":"normal"},{"_key":"1f7339a1d0eb","_type":"block","children":[{"_key":"aa81264b71c40","_type":"span","marks":[],"text":"CAL. CONST. Art. I, § 1 (Added 1974); Comm. to Defend Reprod. Rights v. Myers, 625 P.2d 779 (Cal. 1981) (striking down limits on Medicaid coverage for abortions, finding that all women possess a fundamental constitutional right to choose abortion under the California constitutional privacy provision); Am. Acad. of Pediatrics v. Lungren, 940 P.2d 797 (Cal. 1997) (invalidating parental-consent requirement)."}],"markDefs":[],"style":"normal"},{"_key":"d1c5b5bd94cd","_type":"block","children":[{"_key":"e3d94781f7160","_type":"span","marks":[],"text":"A res. to propose to the people of the State of Cal. an amend. to the Const. of the State, by adding Section 1.1 to Article I thereof, relating to fundamental rights, Sen. Const. Amend. No. 10, 2022, https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SCA10. NYTimes, California Proposition 1 Election Results: Constitutional Right to Reproductive Freedom, https://www.nytimes.com/interactive/2022/11/08/us/elections/results-california-proposition-1-constitutional-right-to-reproductive-freedom.html (Last accessed Nov. 9, 2022)."}],"markDefs":[],"style":"normal"},{"_key":"bf0846f84105","_type":"block","children":[{"_key":"77f75e4cea550","_type":"span","marks":[],"text":"3- NY Pub Health L § 2599-BB (2023)"}],"markDefs":[],"style":"normal"},{"_key":"044f9497b277","_type":"block","children":[{"_key":"039f4e31f8be","_type":"span","marks":[],"text":"4- On November 5, 2024, Arizona voters approved Proposition 139, the “Arizona Abortion Access Act.”"}],"markDefs":[],"style":"normal"},{"_key":"b2b034ccc602","_type":"block","children":[{"_key":"988b6b2e701f","_type":"span","marks":[],"text":"5- Public Law 111–148, 124 Stat. 119 (2010)."}],"markDefs":[],"style":"normal"},{"_key":"6dbcff0d98f9","_type":"block","children":[{"_key":"ffb940770d6a","_type":"span","marks":[],"text":"6- Public Law 115-97 (2017)"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-b0f58597b49d7573dd469bee3ae9ae12b7e9bd32-2800x800-png","_type":"reference"}},"publishedAt":"2025-02-18T23:24:00.000Z","slug":{"_type":"slug","current":"understanding-healthcare-policy-changes-how-to-stay-informed-and-protected"},"status":"production","title":"Healthcare Policy Changes: A Guide to Staying Informed & Protecting Your Coverage","topics":[{"_key":"1fb1602a686e","_ref":"e73216c3-62ac-4d28-a1a2-78bb60a208be","_type":"reference"}],"updatedAt":"2025-10-14T02:19:00.000Z"},"metaInformation":{"_type":"metaCard","metaDescription":"Don't get caught off guard by new laws. 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Preventive care is designed to catch problems early—before they grow into something more serious or costly. Services like wellness visits, vaccinations, and screenings are vital for long-term health, and in many cases, insurance plans cover them completely."}],"markDefs":[],"style":"normal"},{"_key":"9421e6a4fa93","_type":"block","children":[{"_key":"fc925e710a640","_type":"span","marks":[],"text":"Sometimes, though, insurance rules can make things tricky. Preventive visits—like your annual wellness exam—are generally covered at no cost to you. But there are certain factors, such as the time since your last visit, your specific insurance benefits, or your healthcare provider network status that can impact this coverage."},{"_key":"369050dd894e","_type":"span","marks":["strong"],"text":" This isn’t unique to Tia; it’s how insurance companies define and process care."}],"markDefs":[],"style":"normal"},{"_key":"6a9cbf97e8b6","_type":"block","children":[{"_key":"37c16672b36f0","_type":"span","marks":[],"text":"At Tia, we’re here to bridge the gap between preventive care and the complex world of insurance, making it easier for you to access the care you need while keeping costs transparent and manageable. In this guide, we’ll explore what preventive care entails and how it’s covered by insurance. By the end, you’ll feel confident in planning your next visit, asking the right questions, and making informed decisions about your health."}],"markDefs":[],"style":"normal"},{"_key":"42827489e417","_type":"block","children":[{"_key":"e4caba382f500","_type":"span","marks":[],"text":"What Is Preventive Care?"}],"markDefs":[],"style":"h2"},{"_key":"6d58ae359d64","_type":"block","children":[{"_key":"cf4766b935f00","_type":"span","marks":[],"text":"Preventive care is the foundation of a healthy lifestyle. It focuses on catching potential health issues early through proactive measures, helping you avoid serious conditions and costly treatments. Key components of preventive care include:"}],"markDefs":[],"style":"normal"},{"_key":"d1b404756ad1","_type":"block","children":[{"_key":"2c5e6b906e4c0","_type":"span","marks":["strong"],"text":"Screenings:"},{"_key":"eac4c6437748","_type":"span","marks":[],"text":" Tests for conditions like high blood pressure, cholesterol, diabetes, and certain cancers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e8ba8d841910","_type":"block","children":[{"_key":"153c857a49fd0","_type":"span","marks":["strong"],"text":"Vaccinations: "},{"_key":"387dbc3949f5","_type":"span","marks":[],"text":"Immunizations to protect against infectious diseases, such as flu shots and childhood vaccines."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c6060c8bd48b","_type":"block","children":[{"_key":"77479df26bd80","_type":"span","marks":["strong"],"text":"Wellness Visits:"},{"_key":"0f7069fa1aed","_type":"span","marks":[],"text":" Routine check-ups where your provider assesses your overall health, offers counseling, and discusses lifestyle factors."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"53a7b649780f","_type":"block","children":[{"_key":"e2a90206b2440","_type":"span","marks":[],"text":"The benefits of preventive care are clear—it improves outcomes, reduces the risk of chronic illnesses, and saves money by addressing issues early."}],"markDefs":[],"style":"normal"},{"_key":"3e1d75706e82","_type":"block","children":[{"_key":"aefebec9fc780","_type":"span","marks":[],"text":"What’s Covered by Insurance? "}],"markDefs":[],"style":"h3"},{"_key":"442e62276a45","_type":"block","children":[{"_key":"aefebec9fc781","_type":"span","marks":[],"text":"Most in-network insurance plans cover many preventive services at 100%, including:"}],"markDefs":[],"style":"normal"},{"_key":"36c63c1fe66c","_type":"block","children":[{"_key":"b6566482fb7d0","_type":"span","marks":[],"text":"Annual well-woman exams"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3c437a75b62a","_type":"block","children":[{"_key":"0a3a65d884270","_type":"span","marks":[],"text":"Cervical cancer screenings (pap smears)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ffe47ecccf38","_type":"block","children":[{"_key":"0d65ca4beb3b0","_type":"span","marks":[],"text":"Blood pressure, diabetes, and cholesterol tests"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"51d2f4be85a6","_type":"block","children":[{"_key":"3a68197deb7e0","_type":"span","marks":[],"text":"STI screenings"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fd4b53afec4f","_type":"block","children":[{"_key":"d99d94ceb0ff0","_type":"span","marks":[],"text":"Immunizations"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d7095e4c996","_type":"block","children":[{"_key":"b544eb84beed0","_type":"span","marks":[],"text":"However, not all plans are created equal. For example, some may cover Vitamin D testing or nutritional counseling as preventive, while others do not. To avoid surprises, it’s important to confirm your coverage directly with your insurance provider."}],"markDefs":[],"style":"normal"},{"_key":"c54572480f28","_type":"block","children":[{"_key":"c4f2fae4696a0","_type":"span","marks":[],"text":"Where Things Can Get Complicated…"}],"markDefs":[],"style":"h2"},{"_key":"aeba902323fe","_type":"block","children":[{"_key":"e723f37d5d0d0","_type":"span","marks":[],"text":"The line between preventive and diagnostic care can be blurry. Preventive visits are routine check-ups aimed at maintaining health, while diagnostic visits focus on addressing specific symptoms or concerns. Just because you are receiving care for preventive purposes unfortunately doesn’t mean your insurance will consider the visit to be preventive. Understanding this distinction is crucial to avoid unexpected bills."}],"markDefs":[],"style":"normal"},{"_key":"5bb00bf5be4c","_type":"block","children":[{"_key":"1defced9d7ec0","_type":"span","marks":[],"text":"Diagnostic Scenario:"}],"markDefs":[],"style":"h3"},{"_key":"7c5618d86cbb","_type":"block","children":[{"_key":"f7a16ef0e82e0","_type":"span","marks":[],"text":"You schedule a preventive wellness visit, which is fully covered by your insurance."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b5872aaf750d","_type":"block","children":[{"_key":"36af64e53dd40","_type":"span","marks":[],"text":"During the visit, you mention experiencing frequent migraines."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4ff732ef7a4e","_type":"block","children":[{"_key":"0c6da19aafe90","_type":"span","marks":[],"text":"Your provider evaluates the migraines, possibly prescribes medication, and orders tests."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"59e471d63afe","_type":"block","children":[{"_key":"cc0a064d1b9f0","_type":"span","marks":[],"text":"In this case, the visit shifts from preventive to diagnostic, meaning you could be responsible for a copay or coinsurance, depending on your plan."}],"markDefs":[],"style":"normal"},{"_key":"01cddea41e0d","_type":"block","children":[{"_key":"140ab4ebbff60","_type":"span","marks":[],"text":"“Not Preventive” Scenario:"}],"markDefs":[],"style":"h3"},{"_key":"7974e3a6682d","_type":"block","children":[{"_key":"908c60616d870","_type":"span","marks":[],"text":"You schedule a preventive wellness visit, which is fully covered by your insurance."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68491a0a69e7","_type":"block","children":[{"_key":"342646a7334a0","_type":"span","marks":[],"text":"During the visit, your provider states they want to order an ultrasound for your PCOS to confirm your current health status."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f0fc0ef02fb7","_type":"block","children":[{"_key":"d1f2caaa609f0","_type":"span","marks":[],"text":"In this case, while the ultrasound was done for preventive reasons, insurance does not consider this service to be preventive based on criteria from the Affordable Care Act."}],"markDefs":[],"style":"normal"},{"_key":"59291f8c8966","_type":"block","children":[{"_key":"1ffa7f9aec220","_type":"span","marks":[],"text":"Timing Issue Scenario:"}],"markDefs":[],"style":"h3"},{"_key":"e9690be2c8ff","_type":"block","children":[{"_key":"00718c3d9a9b0","_type":"span","marks":[],"text":"You schedule a preventive wellness visit for January 15, 2025, but your last preventive exam was February 28, 2024"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9da0f3032b3f","_type":"block","children":[{"_key":"2ba270a8ae4e0","_type":"span","marks":[],"text":"Your visit is fully preventive with your regular annual physical checkup and screenings."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a398f42bafa5","_type":"block","children":[{"_key":"dc7ba7584fcb0","_type":"span","marks":[],"text":"In this case, while your visit was truly preventive with no diagnostic issues and you only had “preventive” services completed, your insurance denied your appointment because it hadn’t been 365 days since your last annual preventive exam, resulting in a bill."}],"markDefs":[],"style":"normal"},{"_key":"986ba5e631f4","_type":"block","children":[{"_key":"b5fc383bba8f0","_type":"span","marks":[],"text":"Actionable Tips for Maximizing Your Benefits"}],"markDefs":[],"style":"h2"},{"_key":"6a6efcea64f7","_type":"block","children":[{"_key":"e5a27aab50830","_type":"span","marks":[],"text":"Before your next visit, take these steps to ensure a smooth experience:"}],"markDefs":[],"style":"normal"},{"_key":"15adee66eab4","_type":"block","children":[{"_key":"c0774f8142420","_type":"span","marks":["strong"],"text":"Call Your Insurance Provider"},{"_key":"c0774f8142421","_type":"span","marks":[],"text":": Ask what preventive services are covered, how often, and if there are any restrictions."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"68d1f024f2f2","_type":"block","children":[{"_key":"abe0820dc9630","_type":"span","marks":["strong"],"text":"Prepare for Your Appointment"},{"_key":"abe0820dc9631","_type":"span","marks":[],"text":": Use Tia’s "},{"_key":"abe0820dc9632","_type":"span","marks":["strong"],"text":"Preventive Insurance Checklist"},{"_key":"abe0820dc9633","_type":"span","marks":[],"text":" to guide your conversation with your 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Care"}],"markDefs":[],"style":"h2"},{"_key":"788744b69045","_type":"block","children":[{"_key":"5ce59bb7ae8d0","_type":"span","marks":[],"text":"Preventive care is about more than avoiding illness—it’s an investment in your overall well-being. At Tia, we’re here to support you with personalized care, transparent costs, and guidance to help you navigate the complexities of insurance."}],"markDefs":[],"style":"normal"},{"_key":"860e6b9a0094","_type":"block","children":[{"_key":"f5acae0e05ee0","_type":"span","marks":[],"text":"Take charge of your health today by scheduling your next preventive visit. If you have questions about your benefits or costs, reach out to Tia’s care team—we’re here to help every step of the way."}],"markDefs":[],"style":"normal"},{"_key":"aced0b748c89","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"c85e3504a604","_type":"block","children":[{"_key":"d9c764ed3de7","_type":"span","marks":[],"text":"Ready to engage in preventive care? Join Tia and schedule an appointment to get started at the clinic nearest you!"}],"markDefs":[],"style":"large"},{"_key":"b45fc719a66a","_type":"block","children":[{"_key":"07df7136844b","_type":"span","marks":["em","2d17c67529f2"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."},{"_key":"b7024b12af6d","_type":"span","marks":["2d17c67529f2"],"text":" "}],"markDefs":[{"_key":"2d17c67529f2","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"6b40478a96f9","_type":"buttonBlock","items":[{"_key":"b71e5a190a2f","_type":"singleButton","linkCta":"Book appointment","linkType":"button","reference":{"_ref":"05c3c462-1aee-4ec5-b586-eb1c603f1444","_type":"reference"}}],"onlyStackButtons":false}]}],"image":{"_type":"image","asset":{"_ref":"image-d7960e8f9cae23512333b5aaa63b589052c52e28-4200x2400-png","_type":"reference"}},"publishedAt":"2025-02-20T20:41:00.000Z","slug":{"_type":"slug","current":"your-guide-to-preventive-care-and-insurance-costs"},"status":"production","title":"Your Guide to Preventive Care and Insurance Costs at Tia: How to Stay Healthy Without Breaking the Bank","topics":[{"_key":"82b5f5cf7967","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","noIndex":false,"openImage":{"_type":"image","asset":{"_ref":"image-d7960e8f9cae23512333b5aaa63b589052c52e28-4200x2400-png","_type":"reference"}},"title":"Your Guide to Preventive Care and Insurance Costs at Tia: How to Stay Healthy Without Breaking the Bank","twitterImage":{"_type":"image","asset":{"_ref":"image-d7960e8f9cae23512333b5aaa63b589052c52e28-4200x2400-png","_type":"reference"}},"twitterTitle":"Your Guide to Preventive Care and Insurance Costs at Tia: How to Stay Healthy Without Breaking the Bank"}},"id":"68286162-cbb1-55e5-8794-9648d73e3d16","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"a8bca28ac527c420332e9ec8d397ca30","counter":9463,"owner":"gatsby-source-sanity"}}],"backgroundColor":"bcb","spacing":"pys","title":"Helpful Resources Related to Insurance"},{"_key":"5d355767e258","_type":"shape","backgroundColor":"secondary-1","shapeColor":"tertiary-3","shapeType":"shape-1"},{"_key":"a18627e098ce","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"122fc5fb9661","_type":"faqModule","faqs":[{"_id":"0d664388-a42d-4f20-8e60-3911c6a8c79b","_type":"faq","_createdAt":"2020-08-30T03:43:46Z","_rev":"MirE1BP5LZnAEHAHShJ0Ds","_system":{"base":{"id":"0d664388-a42d-4f20-8e60-3911c6a8c79b","rev":"RdixGn6lpDGH89K9LFGi20"}},"_updatedAt":"2025-09-04T00:38:39Z","answer":[{"_key":"5b220ee24edc","_type":"block","children":[{"_key":"5b220ee24edc0","_type":"span","marks":[],"text":"To check if your plan works with Tia, go to our "},{"_key":"e561747950dc","_type":"span","marks":["c6d34487e212"],"text":"Join Page"},{"_key":"296d10295564","_type":"span","marks":[],"text":". Once you enter your information on in Step 1, you’ll be able to check if Tia takes your plan in Step 2. Don’t worry, this will not commit you to a membership (that happens in the later steps). "}],"markDefs":[{"_key":"c6d34487e212","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"}],"question":"How do I know if you take my insurance plan?","id":"1894de72-42a3-5558-a08e-fe67b0b9304a","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"0fb781771083bbb9442b7e819900b4e0","counter":2213,"owner":"gatsby-source-sanity"}},{"_id":"98fab06a-1a72-409e-8b4d-4e2aef838df1","_type":"faq","_createdAt":"2020-08-20T17:29:09Z","_rev":"S1ICLYYXLL04VHpWAZR7gv","_system":{"base":{"id":"98fab06a-1a72-409e-8b4d-4e2aef838df1","rev":"uBZyzL1oEJWqYeY7paHABE"}},"_updatedAt":"2025-09-24T17:01:39Z","answer":[{"_key":"162907c09157","_type":"block","children":[{"_key":"162907c091570","_type":"span","marks":[],"text":"Yes! You can join Tia with or without insurance. If you do not have insurance, you can pay cash for services. However, we cannot accept members with Medicaid or Medicaid managed plans as we are not in-network with Medicaid. 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This is all between you, Quest, and your insurance plan.\nBecause of this system, you should expect to receive two separate bills after your visit."}],"style":"normal"},{"_key":"706b10b3f879","_type":"block","children":[{"_key":"9531b22e1eb8","_type":"span","text":"Who to Contact for Lab Bill Questions"}],"style":"large"},{"_key":"16ec2ac265da","_type":"block","children":[{"_key":"9c2874ecf920","_type":"span","text":"Since they run the tests, Quest is the one who has all the details about the charges and is responsible for billing your insurance for the lab work.\nFor any questions about the lab charges, coverage, or your Explanation of Benefits (EOB) related to the tests, please contact Quest/Sonora directly."}],"style":"normal"}]},{"_key":"66efe97768de","_type":"editorialText","editorialText":[{"_key":"5ab7a1066406","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"bd3d6e4e11b8","_type":"block","children":[{"_key":"7cfa84449227","_type":"span","text":"Tia Tip"}],"style":"h3"},{"_key":"551b8afbfe46","_type":"block","children":[{"_key":"da370d8c7f97","_type":"span","text":"You will receive two separate bills for your visit because Tia and the lab (Quest/Sonora) are separate entities."}],"style":"normal"},{"_key":"16c8770bc59b","_type":"block","children":[{"_key":"0dba9b914524","_type":"span","marks":["strong"],"text":"Bill 1 (Tia):"},{"_key":"b4d4fc779226","_type":"span","text":" Covers your actual appointment and time with the clinician."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"1f02436bf33c","_type":"block","children":[{"_key":"974bb0959abc","_type":"span","marks":["strong"],"text":"Bill 2 (Quest/Sonora):"},{"_key":"ea7ab58ddb1e","_type":"span","text":" Covers the processing of your lab tests."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"0a54548538f5","_type":"block","children":[{"_key":"baa6e2dd8fc0","_type":"span","marks":["strong"],"text":"Lab pricing: "},{"_key":"8c6ef66f6ac0","_type":"span","text":"Tia does not set lab prices or control insurance coverage for tests.\n"},{"_key":"3b7f0be123dd","_type":"span","marks":["strong"],"text":"Billing Issues:"},{"_key":"1cda8c44456c","_type":"span","text":" If you have questions about a lab charge, you must contact Quest/Sonora directly, as Tia cannot access their billing systems."}],"style":"normal"},{"_key":"ea6b961257ce","_type":"block","children":[{"_key":"c8c099d7e6d2","_type":"span","text":"You can check with your insurance provider and Quest beforehand if you want to know the exact cost of a test before it’s collected."}],"style":"normal"},{"_key":"e886385b7aaf","_type":"buttonBlock","items":[{"_key":"7088b60c08b5","_type":"singleButton","addWidgetCopy":false,"backgroundColor":"bcorange","linkCta":"See If You're in Network","linkType":"join-scroll-shape"}],"onlyStackButtons":false}]}],"spacing":"pys"},{"_key":"0dd523ae7006","_type":"standardText","backgroundColor":"bccream","options":{"_type":"moduleOptions","uid":"payment"},"spacing":"pys","text":[{"_key":"7c4a181ea2eb","_type":"block","children":[{"_key":"56f194567002","_type":"span","text":"Payment Methods, Superbills, and Claims"}],"style":"h2"},{"_key":"f87bb1d149e5","_type":"featureCardGroup","cards":[{"_key":"6d255725405e","_type":"featureCard","text":[{"_key":"2a8dc21b2924","_type":"block","children":[{"_key":"e4a08c0671e8","_type":"span","text":"Credit or Debit Card"}],"style":"h4"},{"_key":"84358838a0f1","_type":"block","children":[{"_key":"6465a1fa53ca","_type":"span","text":"All major credit and debit cards are accepted through our secure payment portal."}],"style":"normal"}]},{"_key":"9bb5f8fbd666","_type":"featureCard","text":[{"_key":"dcbb4bb8fdeb","_type":"block","children":[{"_key":"2dab35c65ddd","_type":"span","text":"HSA/FSA Accounts"}],"style":"h4"},{"_key":"ee12b94f6b9d","_type":"block","children":[{"_key":"42f558512054","_type":"span","marks":["strong"],"text":"Tia TIP:"},{"_key":"464b391ba48e","_type":"span","text":" Generally, medical services (such as sick visits, imaging, and bloodwork) are eligible for HSA/FSA reimbursement. However, membership fees and non-medically necessary wellness services (like aesthetic skincare) are typically not covered. We recommend checking with your plan administrator for specific eligibility."}],"style":"normal"}]},{"_key":"a48435638ae4","_type":"featureCard","text":[{"_key":"9a11f7a07813","_type":"block","children":[{"_key":"b428c99ff2cf","_type":"span","text":"Superbills & Claims"}],"style":"h4"},{"_key":"c170c5516f95","_type":"block","children":[{"_key":"a2aaaf4a0e21","_type":"span","text":"If you are seeing us as an out-of-network provider, you may be eligible for reimbursement from your insurance company."}],"style":"normal"}]}],"layoutType":"3across"},{"_key":"bea4d7e6a225","_type":"featureCardGroup","cards":[{"_key":"e4d512cc78dc","_type":"featureCard","text":[{"_key":"3200714eb7ef","_type":"block","children":[{"_key":"f29566e03f06","_type":"span","text":"How To Obtain a Superbill"}],"style":"h4"},{"_key":"ed451951816c","_type":"block","children":[{"_key":"9200b3e791ed","_type":"span","text":"A superbill is a detailed, itemized receipt that includes the necessary medical coding (ICD-10 and 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Tia"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"f0a6de6fa3da","_type":"block","children":[{"_key":"cbf1f248b330","_type":"span","text":"Obtain a claim form from your insurance provider’s website (often found under “member forms”)"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"a7905f1df2f2","_type":"block","children":[{"_key":"777794685a01","_type":"span","text":"Submit the documentation via your insurance portal or their 3rd-party claims app."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"701d20cb8078","_type":"block","children":[{"_key":"efef3d62a0f6","_type":"span","text":"Keep a copy of what you send for your records"}],"level":1,"listItem":"bullet","style":"normal"}]},{"_key":"9b564680dffe","_type":"featureCard","text":[{"_key":"70645e561c6c","_type":"block","children":[{"_key":"d414420745f8","_type":"span","text":"What To Do if a Claim Is 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Payment."}],"style":"normal"}]},{"_key":"09e1284b340e","_type":"imageAndText","alignment":"jcrr","aspectRatio":"16:9","autoPlay":false,"backgroundColor":"bccream","image":{"_type":"image","asset":{"_ref":"image-7d90c375e198d62673349fe619cb333247eaa315-1200x864-webp","_type":"reference"}},"mediaType":"image","spacing":"pys","style":"normal","text":[{"_key":"617d45da8fa1","_type":"block","children":[{"_key":"358f4ec05e57","_type":"span","text":"What is Predictable Payments?"}],"style":"h3"},{"_key":"907fbc6a6f9e","_type":"block","children":[{"_key":"38ad22ad796a","_type":"span","text":"Predictable Payments is our new capped invoicing system that ensures that no matter the total amount you owe, you will only ever be billed $100 per month until your balance is paid off. Depending on the care you receive, this could look like: the total amount owed for care might be $300, but the total due this month is $100. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"1eaa1d5efd4f","_type":"standardText","backgroundColor":"bccream","spacing":"pys","text":[{"_key":"1177301216b6","_type":"block","children":[{"_key":"560e7e8612fd","_type":"span","text":"Benefits of Predictable Payments:"}],"style":"h3"},{"_key":"4405ed31e402","_type":"columnText","items":[{"_key":"6bc3e3e01263","_type":"plainText","text":[{"_key":"2648b9147137","_type":"block","children":[{"_key":"734ea0029e80","_type":"span","text":"1. $100 Capped Invoices"}],"style":"h4"},{"_key":"da8fee1a7b4f","_type":"block","children":[{"_key":"a9b4bb678414","_type":"span","text":"One of the biggest benefits of this payment method is predictability. With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. You’ll receive a single, predictable invoice each month, making it easier to understand and manage your healthcare expenses."}],"style":"normal"}]}]},{"_key":"927f242e07bc","_type":"columnText","items":[{"_key":"132c74fbb7b3","_type":"plainText","text":[{"_key":"7052a53ff3fd","_type":"block","children":[{"_key":"5ce065507bd7","_type":"span","text":"3. Surprise-Free = Stress-Free"}],"style":"h4"},{"_key":"c18dd7a15703","_type":"block","children":[{"_key":"be8ec3beaacd","_type":"span","text":"Medical expenses can be overwhelming, especially when they come as a surprise. Our capped invoicing system alleviates this stress by spreading out payments into smaller, more manageable amounts. This approach helps prevent financial strain and ensures you can maintain financial stability."}],"style":"normal"}]},{"_key":"6c495faf3bf0","_type":"plainText","text":[{"_key":"437329b4a6b7","_type":"block","children":[{"_key":"835f3d36d785","_type":"span","text":"4. 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We aim to partner with you not just around the care you receive but also how you budget for the costs associated with the care you need and deserve."}],"style":"normal"}]}]},{"_key":"c9b0eb8ecabd","_type":"block","children":[{"_key":"baf1b1bdaa68","_type":"span","text":"Want to know more about Predictable Payments?"}],"style":"normal"},{"_key":"d28210fee956","_type":"buttonBlock","items":[{"_key":"3014ebce2904","_type":"singleButton","backgroundColor":"bcorange","linkCta":"Learn more","linkType":"button","url":"https://asktia.com/predictable-payments/"}],"onlyStackButtons":false}]},{"_key":"57b3825c12b5","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"659262f06898","_type":"shape","backgroundColor":"tertiary-3","shapeColor":"secondary-1","shapeType":"shape-1"},{"_key":"f01a974dbf9a","_type":"featuredArticles","articles":[{"_key":"2edf6e31fcf8","_ref":"84f78e64-7cb6-4b50-a817-afaad96cef19","_type":"reference"},{"_key":"654ff9f56ea7","_ref":"8367281a-2f19-4bd5-8a85-122599980f9f","_type":"reference"},{"_key":"b39c6f46ac49","_ref":"fa7ac645-0cce-4e50-b72d-6a9996516a44","_type":"reference"},{"_key":"881d9060c32e","_ref":"75dbb458-d708-4276-b231-d6741ff25797","_type":"reference"}],"backgroundColor":"bcb","spacing":"pys","title":"Helpful Resources Related to Insurance"},{"_key":"5d355767e258","_type":"shape","backgroundColor":"secondary-1","shapeColor":"tertiary-3","shapeType":"shape-1"},{"_key":"a18627e098ce","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"122fc5fb9661","_type":"faqModule","faqs":[{"_key":"078bfc830bff","_ref":"0d664388-a42d-4f20-8e60-3911c6a8c79b","_type":"reference"},{"_key":"96140d4c576e","_ref":"98fab06a-1a72-409e-8b4d-4e2aef838df1","_type":"reference"},{"_key":"f824a2634d24","_ref":"b3a606ca-3559-4c61-80bf-4d67ade797c8","_type":"reference"}],"title":"Top Insurance FAQ"},{"_key":"f3bb0641a25b","_type":"editorialText","editorialText":[{"_key":"959ba8d34c5b","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"18cfcd295e3b","_type":"block","children":[{"_key":"92fe51dbc969","_type":"span","text":"Talk to Our Team"}],"style":"h3"},{"_key":"da7338d93879","_type":"block","children":[{"_key":"97c82828ee9b","_type":"span","text":"Have questions about Tia’s care? 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Enter the front door of the building on Mission St, below the Tia sign. Ring the doorbell to your left."]},{"_key":"32522674-57fd-4fc6-aa32-bdb3c1885627","_type":"tableRow","cells":["Where to park","SF Mission offers parking validation for the parking garage at 90 11th Street, San Francisco CA. The price starts at $10/hour but should not exceed $20 total with parking validation from the clinic. If garage has sign stating full, please disregard and proceed to park there as we have reserved spot for Tia patients."]},{"_key":"0ce16e9d-1098-4e6d-9b43-17d986f9fcf3","_type":"tableRow","cells":["When to arrive to the clinic before your appointment","Please arrive to your appointment 15 min early, in case you get lost or have trouble with traffic or parking. If you are late to your appointment, we may not be able to care for you and you may be charged a fee."]}]},"title":"Additional Information"},{"_key":"e8e90f3e92859b220b2963c94a3c7ac1","_type":"spacer","backgroundColor":"bccream","spacing":"pyl"},{"_key":"6f5bc9ae2f908bacbee6a83281f4f341","_type":"shape","backgroundColor":"secondary-2","shapeColor":"secondary-1","shapeType":"shape-4"},{"_key":"845d03846d96f3a2f91b98484340bd06","_type":"spacer","backgroundColor":"bcoat","spacing":"pys"},{"_key":"5b2bfcd598c9","_type":"standardText","backgroundColor":"bcoat","containerSize":"container--m","text":[{"_key":"1e1f8a7c8670","_type":"block","children":[{"_key":"55fa1841994c","_type":"span","marks":[],"text":"San Francisco loves Tia"}],"markDefs":[],"style":"h2"}]},{"_key":"be71d6b9a114","_type":"testimonials","backgroundColor":"secondary-2","testimonials":[{"Content":"The whole experience, start to finish was wonderful! The space is beautiful, my doctor was so attentive, checkin and checkout were so easy.","Title":"Elyse","_key":"8066777b0cd2","_type":"inline"},{"Content":"Great space, particularly the waiting room with the nice water options. Everyone from the front desk to the nurse to the doctor were very kind. Great that I was able to get my pap, breast exam, blood labs and flu shot all at once! ","Title":"Lily","_key":"77b610dcaff2","_type":"inline"},{"Content":"Going to Tia was the best experience ever. The staff was attentive and the best part is that they were all women!! I've never like going to the OB/GYN but going to Tia made it more enjoyable and less scary ","Title":"TJ","_key":"7042359cb503","_type":"inline"},{"Content":"Great attention, from the administrator at the front desk who helped me book an appointment for another day and showed me to a peaceful spot where I could wait. To the provider who was attentive, funny, a good listener and made me feel sooooo at ease ","Title":"Monica","_key":"d109274afc69","_type":"inline"},{"Content":"\"It was SO amazing! That was the first time I felt like a psychiatrist really listened and understood everything I was saying. I was so used to providers not taking me seriously and I really felt supported and understood! \"","Title":"Vasi","_key":"062fc3c9258c","_type":"inline"},{"Content":"The environment was beyond inviting. Every single staff member made me feel welcome and at ease. The nurse and doctor that assisted me were very respectful of my anxiety and my needs. I felt valued and very well taken care of. I will 100% recommend Tia to anyone looking for medical assistance. ","Title":"Alexa","_key":"b32eb1966500","_type":"inline"}]},{"_key":"135cde3efdd2f2b74a42bf1627a1b7ad","_type":"shape","backgroundColor":"secondary-1","shapeColor":"secondary-2","shapeType":"shape-3"},{"_key":"a8a84f1aa4ca","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"c5c7cd22d291","_type":"faqModule","cta":"Read full FAQs","faqs":[{"_id":"27b5393b-515d-4bab-bfcc-97f8719ae4e7","_type":"faq","_createdAt":"2020-06-26T22:59:23Z","_rev":"QAhEWF3ACNEfRIQegYcHW1","_updatedAt":"2025-04-02T18:06:43Z","answer":[{"_key":"5061ccaf3e7c","_type":"block","children":[{"_key":"45c1c668aaf0","_type":"span","marks":[],"text":"Your Tia membership includes access to a Care Coordinator, virtual and in-person appointments, community programming, and more. 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Slightly more expensive than using topiramate and phentermine separately."}],"markDefs":[],"style":"normal"}]},{"_key":"81af7a82139c","_type":"featureCard","text":[{"_key":"bff9e494f1f9","_type":"block","children":[{"_key":"d39b39dcc23d0","_type":"span","marks":["strong"],"text":"Wegovy (Injection)"}],"markDefs":[],"style":"h3"},{"_key":"9748c7d2f35f","_type":"block","children":[{"_key":"a5b37b0892850","_type":"span","marks":["strong"],"text":"Active ingredient"},{"_key":"a5b37b0892851","_type":"span","marks":[],"text":"\nSemaglutide"}],"markDefs":[],"style":"normal"},{"_key":"b40a70561ea4","_type":"block","children":[{"_key":"73451cd7ea570","_type":"span","marks":["strong"],"text":"How it works"},{"_key":"73451cd7ea571","_type":"span","marks":[],"text":"\nMimics GLP-1, a gut hormone that regulates appetite and blood sugar."}],"markDefs":[],"style":"normal"},{"_key":"ff0f1f2dac73","_type":"block","children":[{"_key":"27b52854df600","_type":"span","marks":["strong"],"text":"Pros"},{"_key":"27b52854df601","_type":"span","marks":[],"text":"\nPotent weight loss results. 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Weekly dosing."}],"markDefs":[],"style":"normal"},{"_key":"e814fed90d88","_type":"block","children":[{"_key":"ccfa33d5c3c60","_type":"span","marks":["strong"],"text":"Cons"},{"_key":"ccfa33d5c3c61","_type":"span","marks":[],"text":"\nMay cause rapid weight loss and more GI side effects. Expensive and variable insurance coverage."}],"markDefs":[],"style":"normal"}]}]}],"name":"Screen size","unmetModules":[{"_key":"4142a7849bc7","_type":"tableModule","backgroundColor":"bccream","spacing":"pys","subTable":{"_type":"table","rows":[{"_key":"200851f2bbef","_type":"tableRow","cells":["<b>Medication (Brand Name)</b>","<b>Active Ingredient </b>","<b>How it works</b>","<b>Pros & Cons</b>"]}]},"table":{"_type":"table","rows":[{"_key":"10cef1c88836","_type":"tableRow","cells":["Contrave","Bupropion + Naltrexone","Not fully known. Potentially treating food cravings (naltrexone) and mood issues (bupropion)","<b>Pros:</b> More affordable than GLP1s. 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All of the questions and information gathered when I first signed up helped to create both a comprehensive medical history as well as a snapshot of my current conditions. But the best part? Whether my visit is virtual or in-person, I never, ever feel rushed. My physician and nurse practitioners are empathetic and understanding. If you want holistic healthcare, try Tia. You won’t be disappointed.","Title":"Natalie D., Tia Patient","_key":"995b939291ee","_type":"inline"}]},{"_key":"b3b130bcb8f3","_type":"editorialText","editorialText":[{"_key":"88a360f65dc9","_type":"cta","text":[{"_key":"089cc2bcc445","_type":"block","children":[{"_key":"d3ada71a90d4","_type":"span","marks":[],"text":"Book a Weight & Metabolic Health visit"}],"markDefs":[],"style":"h2"},{"_key":"08dc1094385d","_type":"block","children":[{"_key":"474383e77aec","_type":"span","marks":[],"text":"Weight and metabolic health can shape everything from your energy and mood to hormones and long-term wellness. 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Tia"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"f0a6de6fa3da","_type":"block","children":[{"_key":"cbf1f248b330","_type":"span","text":"Obtain a claim form from your insurance provider’s website (often found under “member forms”)"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"a7905f1df2f2","_type":"block","children":[{"_key":"777794685a01","_type":"span","text":"Submit the documentation via your insurance portal or their 3rd-party claims app."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"701d20cb8078","_type":"block","children":[{"_key":"efef3d62a0f6","_type":"span","text":"Keep a copy of what you send for your records"}],"level":1,"listItem":"bullet","style":"normal"}]},{"_key":"9b564680dffe","_type":"featureCard","text":[{"_key":"70645e561c6c","_type":"block","children":[{"_key":"d414420745f8","_type":"span","text":"What To Do if a Claim Is 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Depending on the care you receive, this could look like: the total amount owed for care might be $300, but the total due this month is $100. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"1eaa1d5efd4f","_type":"standardText","backgroundColor":"bccream","spacing":"pys","text":[{"_key":"1177301216b6","_type":"block","children":[{"_key":"560e7e8612fd","_type":"span","text":"Benefits of Predictable Payments:"}],"style":"h3"},{"_key":"4405ed31e402","_type":"columnText","items":[{"_key":"6bc3e3e01263","_type":"plainText","text":[{"_key":"2648b9147137","_type":"block","children":[{"_key":"734ea0029e80","_type":"span","text":"1. $100 Capped Invoices"}],"style":"h4"},{"_key":"da8fee1a7b4f","_type":"block","children":[{"_key":"a9b4bb678414","_type":"span","text":"One of the biggest benefits of this payment method is predictability. With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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This is all between you, Quest, and your insurance plan.\nBecause of this system, you should expect to receive two separate bills after your visit."}],"style":"normal"},{"_key":"706b10b3f879","_type":"block","children":[{"_key":"9531b22e1eb8","_type":"span","text":"Who to Contact for Lab Bill Questions"}],"style":"large"},{"_key":"16ec2ac265da","_type":"block","children":[{"_key":"9c2874ecf920","_type":"span","text":"Since they run the tests, Quest is the one who has all the details about the charges and is responsible for billing your insurance for the lab work.\nFor any questions about the lab charges, coverage, or your Explanation of Benefits (EOB) related to the tests, please contact Quest/Sonora directly."}],"style":"normal"}]},{"_key":"66efe97768de","_type":"editorialText","editorialText":[{"_key":"5ab7a1066406","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"bd3d6e4e11b8","_type":"block","children":[{"_key":"7cfa84449227","_type":"span","text":"Tia Tip"}],"style":"h3"},{"_key":"551b8afbfe46","_type":"block","children":[{"_key":"da370d8c7f97","_type":"span","text":"You will receive two separate bills for your visit because Tia and the lab (Quest/Sonora) are separate entities."}],"style":"normal"},{"_key":"16c8770bc59b","_type":"block","children":[{"_key":"0dba9b914524","_type":"span","marks":["strong"],"text":"Bill 1 (Tia):"},{"_key":"b4d4fc779226","_type":"span","text":" Covers your actual appointment and time with the clinician."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"1f02436bf33c","_type":"block","children":[{"_key":"974bb0959abc","_type":"span","marks":["strong"],"text":"Bill 2 (Quest/Sonora):"},{"_key":"ea7ab58ddb1e","_type":"span","text":" Covers the processing of your lab tests."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"0a54548538f5","_type":"block","children":[{"_key":"baa6e2dd8fc0","_type":"span","marks":["strong"],"text":"Lab pricing: "},{"_key":"8c6ef66f6ac0","_type":"span","text":"Tia does not set lab prices or control insurance coverage for tests.\n"},{"_key":"3b7f0be123dd","_type":"span","marks":["strong"],"text":"Billing Issues:"},{"_key":"1cda8c44456c","_type":"span","text":" If you have questions about a lab charge, you must contact Quest/Sonora directly, as Tia cannot access their billing systems."}],"style":"normal"},{"_key":"ea6b961257ce","_type":"block","children":[{"_key":"c8c099d7e6d2","_type":"span","text":"You can check with your insurance provider and Quest beforehand if you want to know the exact cost of a test before it’s collected."}],"style":"normal"},{"_key":"e886385b7aaf","_type":"buttonBlock","items":[{"_key":"7088b60c08b5","_type":"singleButton","addWidgetCopy":false,"backgroundColor":"bcorange","linkCta":"See If You're in Network","linkType":"join-scroll-shape"}],"onlyStackButtons":false}]}],"spacing":"pys"},{"_key":"0dd523ae7006","_type":"standardText","backgroundColor":"bccream","options":{"_type":"moduleOptions","uid":"payment"},"spacing":"pys","text":[{"_key":"7c4a181ea2eb","_type":"block","children":[{"_key":"56f194567002","_type":"span","text":"Payment Methods, Superbills, and Claims"}],"style":"h2"},{"_key":"f87bb1d149e5","_type":"featureCardGroup","cards":[{"_key":"6d255725405e","_type":"featureCard","text":[{"_key":"2a8dc21b2924","_type":"block","children":[{"_key":"e4a08c0671e8","_type":"span","text":"Credit or Debit Card"}],"style":"h4"},{"_key":"84358838a0f1","_type":"block","children":[{"_key":"6465a1fa53ca","_type":"span","text":"All major credit and debit cards are accepted through our secure payment portal."}],"style":"normal"}]},{"_key":"9bb5f8fbd666","_type":"featureCard","text":[{"_key":"dcbb4bb8fdeb","_type":"block","children":[{"_key":"2dab35c65ddd","_type":"span","text":"HSA/FSA Accounts"}],"style":"h4"},{"_key":"ee12b94f6b9d","_type":"block","children":[{"_key":"42f558512054","_type":"span","marks":["strong"],"text":"Tia TIP:"},{"_key":"464b391ba48e","_type":"span","text":" Generally, medical services (such as sick visits, imaging, and bloodwork) are eligible for HSA/FSA reimbursement. 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Tia"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"f0a6de6fa3da","_type":"block","children":[{"_key":"cbf1f248b330","_type":"span","text":"Obtain a claim form from your insurance provider’s website (often found under “member forms”)"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"a7905f1df2f2","_type":"block","children":[{"_key":"777794685a01","_type":"span","text":"Submit the documentation via your insurance portal or their 3rd-party claims app."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"701d20cb8078","_type":"block","children":[{"_key":"efef3d62a0f6","_type":"span","text":"Keep a copy of what you send for your records"}],"level":1,"listItem":"bullet","style":"normal"}]},{"_key":"9b564680dffe","_type":"featureCard","text":[{"_key":"70645e561c6c","_type":"block","children":[{"_key":"d414420745f8","_type":"span","text":"What To Do if a Claim Is 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Depending on the care you receive, this could look like: the total amount owed for care might be $300, but the total due this month is $100. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"1eaa1d5efd4f","_type":"standardText","backgroundColor":"bccream","spacing":"pys","text":[{"_key":"1177301216b6","_type":"block","children":[{"_key":"560e7e8612fd","_type":"span","text":"Benefits of Predictable Payments:"}],"style":"h3"},{"_key":"4405ed31e402","_type":"columnText","items":[{"_key":"6bc3e3e01263","_type":"plainText","text":[{"_key":"2648b9147137","_type":"block","children":[{"_key":"734ea0029e80","_type":"span","text":"1. $100 Capped Invoices"}],"style":"h4"},{"_key":"da8fee1a7b4f","_type":"block","children":[{"_key":"a9b4bb678414","_type":"span","text":"One of the biggest benefits of this payment method is predictability. With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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Located on the second floor, above Tartine (perfect for an after appointment treat), our Silverlake clinic is a one-stop-shop for women's healthcare. Integrated primary care, gynecology, mental health, and wellness care all come together to offer a new standard of care for women."}],"markDefs":[],"style":"normal"}]},{"_key":"3d3c646d406b","_type":"tableModule","backgroundColor":"bcoat","subTable":{"rows":[{"_key":"3bd6f6cb-dc8f-4d28-ac10-acfdebca01b1","_type":"column","cells":["Additional Information"]}]},"table":{"rows":[{"_key":"d40d3d60-ddf1-4ca1-aa21-8c68197c79a8","_type":"column","cells":["Where to find us","We are located on the second floor above Tartine suite 201. There are two buzzers to get into our space. The first is at the gate to the right of Tartine. The second is at the elevator/stairs. You can either take the elevator or the stairs to the 2nd floor. You made it! 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Because insurance plans require these visits to be strictly preventive, any specific concern (a UTI, new pain, or fatigue) is best handled at a separate Sick Visit. 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With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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Slightly more expensive than using topiramate and phentermine separately."}],"markDefs":[],"style":"normal"}]},{"_key":"81af7a82139c","_type":"featureCard","text":[{"_key":"bff9e494f1f9","_type":"block","children":[{"_key":"d39b39dcc23d0","_type":"span","marks":["strong"],"text":"Wegovy (Injection)"}],"markDefs":[],"style":"h3"},{"_key":"9748c7d2f35f","_type":"block","children":[{"_key":"a5b37b0892850","_type":"span","marks":["strong"],"text":"Active ingredient"},{"_key":"a5b37b0892851","_type":"span","marks":[],"text":"\nSemaglutide"}],"markDefs":[],"style":"normal"},{"_key":"b40a70561ea4","_type":"block","children":[{"_key":"73451cd7ea570","_type":"span","marks":["strong"],"text":"How it works"},{"_key":"73451cd7ea571","_type":"span","marks":[],"text":"\nMimics GLP-1, a gut hormone that regulates appetite and blood sugar."}],"markDefs":[],"style":"normal"},{"_key":"ff0f1f2dac73","_type":"block","children":[{"_key":"27b52854df600","_type":"span","marks":["strong"],"text":"Pros"},{"_key":"27b52854df601","_type":"span","marks":[],"text":"\nPotent weight loss results. Weekly dosing."}],"markDefs":[],"style":"normal"},{"_key":"f10e8c447cf9","_type":"block","children":[{"_key":"5eba3b47eb4c0","_type":"span","marks":["strong"],"text":"Cons"},{"_key":"5eba3b47eb4c1","_type":"span","marks":[],"text":"\nRisk of GI upset, especially at higher doses. 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Weekly dosing."}],"markDefs":[],"style":"normal"},{"_key":"e814fed90d88","_type":"block","children":[{"_key":"ccfa33d5c3c60","_type":"span","marks":["strong"],"text":"Cons"},{"_key":"ccfa33d5c3c61","_type":"span","marks":[],"text":"\nMay cause rapid weight loss and more GI side effects. Expensive and variable insurance coverage."}],"markDefs":[],"style":"normal"}]}]}],"name":"Screen size","unmetModules":[{"_key":"4142a7849bc7","_type":"tableModule","backgroundColor":"bccream","spacing":"pys","subTable":{"_type":"table","rows":[{"_key":"200851f2bbef","_type":"tableRow","cells":["<b>Medication (Brand Name)</b>","<b>Active Ingredient </b>","<b>How it works</b>","<b>Pros & Cons</b>"]}]},"table":{"_type":"table","rows":[{"_key":"10cef1c88836","_type":"tableRow","cells":["Contrave","Bupropion + Naltrexone","Not fully known. Potentially treating food cravings (naltrexone) and mood issues (bupropion)","<b>Pros:</b> More affordable than GLP1s. 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All of the questions and information gathered when I first signed up helped to create both a comprehensive medical history as well as a snapshot of my current conditions. But the best part? Whether my visit is virtual or in-person, I never, ever feel rushed. My physician and nurse practitioners are empathetic and understanding. If you want holistic healthcare, try Tia. You won’t be disappointed.","Title":"Natalie D., Tia Patient","_key":"995b939291ee","_type":"inline"}]},{"_key":"b3b130bcb8f3","_type":"editorialText","editorialText":[{"_key":"88a360f65dc9","_type":"cta","text":[{"_key":"089cc2bcc445","_type":"block","children":[{"_key":"d3ada71a90d4","_type":"span","marks":[],"text":"Book a Weight & Metabolic Health visit"}],"markDefs":[],"style":"h2"},{"_key":"08dc1094385d","_type":"block","children":[{"_key":"474383e77aec","_type":"span","marks":[],"text":"Weight and metabolic health can shape everything from your energy and mood to hormones and long-term wellness. 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Because insurance plans require these visits to be strictly preventive, any specific concern (a UTI, new pain, or fatigue) is best handled at a separate Sick Visit. 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With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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Tia"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"f0a6de6fa3da","_type":"block","children":[{"_key":"cbf1f248b330","_type":"span","text":"Obtain a claim form from your insurance provider’s website (often found under “member forms”)"}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"a7905f1df2f2","_type":"block","children":[{"_key":"777794685a01","_type":"span","text":"Submit the documentation via your insurance portal or their 3rd-party claims app."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"701d20cb8078","_type":"block","children":[{"_key":"efef3d62a0f6","_type":"span","text":"Keep a copy of what you send for your records"}],"level":1,"listItem":"bullet","style":"normal"}]},{"_key":"9b564680dffe","_type":"featureCard","text":[{"_key":"70645e561c6c","_type":"block","children":[{"_key":"d414420745f8","_type":"span","text":"What To Do if a Claim Is 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Depending on the care you receive, this could look like: the total amount owed for care might be $300, but the total due this month is $100. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"1eaa1d5efd4f","_type":"standardText","backgroundColor":"bccream","spacing":"pys","text":[{"_key":"1177301216b6","_type":"block","children":[{"_key":"560e7e8612fd","_type":"span","text":"Benefits of Predictable Payments:"}],"style":"h3"},{"_key":"4405ed31e402","_type":"columnText","items":[{"_key":"6bc3e3e01263","_type":"plainText","text":[{"_key":"2648b9147137","_type":"block","children":[{"_key":"734ea0029e80","_type":"span","text":"1. $100 Capped Invoices"}],"style":"h4"},{"_key":"da8fee1a7b4f","_type":"block","children":[{"_key":"a9b4bb678414","_type":"span","text":"One of the biggest benefits of this payment method is predictability. With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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