The common medical response to hormonal transitions, whether it’s the debilitating mood swings of Premenstrual Dysphoric Disorder (PMDD), the weight gain of Polycystic Ovary Syndrome (PCOS), or the brain fog of menopause, is often a prescription for birth control or a recommendation to simply wait it out. That isn't health care, that's just symptom suppression. In my practice, I see women who are tired of being dismissed by a corporatized system that treats their hormones in isolation.
Women's health at Longevity Health Clinic is a collaborative effort between myself and Dr. Sarah Mumaw, ND, our Naturopathic Doctor. We aren’t just looking to get women into normal lab ranges. We map out your unique biology to solve the root causes of cycle irregularities, bone density loss, and skin changes. We bridge the gap between naturopathic medicine and advanced functional diagnostics to help you navigate your 30s through your 60s with actual vitality.
Integrative women’s health is a medical model that treats the female body as a complex, interconnected system. It combines the diagnostic precision of functional medicine with naturopathic therapies and hormone optimization to address the root causes of reproductive, metabolic, and aesthetic concerns.
Moving away from protocol-based medicine toward a personalized longevity model offers distinct benefits for your overall well-being.
I find that conventional gynecology often leaves a gap between perfectly healthy and clinically diseased. We focus on that middle ground, where your quality of life is suffering, but your standard labs say you're fine. Sarah and I specialize in the following primary focus areas:
The transition to menopause can start a decade before your period actually stops. We focus on bioidentical hormone replacement therapy (BHRT) to resolve night sweats, sleep disturbances, and the brain fog that often derails a woman’s peak professional years. We don't just aim for the absence of symptoms; we aim for the presence of vigor.
PCOS is more than just an ovarian issue; it is a metabolic and inflammatory condition. I approach this by looking at insulin sensitization and androgen balancing. We often manage PCOS through gut health repair and metabolic resets, focusing on long-term health rather than just masking symptoms.
Premenstrual syndrome and PMDD are serious neurobiological reactions to hormonal shifts. If you feel like a different person for one week a month, it isn't a character flaw—it's a physiological sensitivity to progesterone metabolites. Sarah and I work to stabilize the luteal phase and support neurotransmitter balance to reclaim those lost weeks.
Whether it’s heavy bleeding or cycles that have simply lost their rhythm, we use advanced hormonal mapping to understand the why. We look at estrogen dominance and progesterone deficiency to restore a cycle that is manageable and predictable.
When the second half of your cycle is too short, it affects everything from your mood to your ability to maintain a pregnancy. We use BHRT and naturopathic luteal phase support to lengthen this window, ensuring your hormonal timing is optimized for pregnancy or general cycle health.
Bone density loss is a silent driver of aging. I take a proactive stance on osteoporosis, using advanced diagnostics to identify risks while there is still time to build bone resilience through hormone optimization and targeted fitness protocols.
Your skin reflects endocrine signaling throughout the body. Acne, pigmentation, and loss of elasticity often reflect underlying hormonal and metabolic patterns. Sarah provides personalized skincare including the medical-grade Skinprint system and Nordlys laser, while I personally perform neurotoxin injections to ensure you look as resilient as you feel.
We work with women in Charlottesville, ages 30 to 65, who are seeking evidence-informed care beyond the standard annual checkup. You are a candidate if:
The transition to menopause can start a decade before your period actually stops. We focus on bioidentical hormone replacement therapy (BHRT) to resolve night sweats, sleep disturbances, and the brain fog that often derails a woman’s peak professional years. We don't just aim for the absence of symptoms; we aim for the presence of vigor.
By combining my medical oversight with Sarah’s naturopathic approaches, we provide care for the cycle from both ends. This might include targeted nutrient therapy, botanical medicine, lifestyle, or medical interventions to stabilize the neurochemical triggers that make you suffer.
We utilize data-driven risks reduction strategies. If the data shows you are losing bone mass, we intervene with hormone optimization and specific regenerative protocols to protect your skeletal integrity.
We bridge the gap between beauty and biology. Sarah uses the Skinprint system to analyze your unique skin biology while also addressing internal contributors such as nutrient deficiencies or depletions, gut microbiome patterns, hormone balance, insulin resistance, and inflammation.. We then combine these medical-grade topicals with the Candela Nordlys laser for rejuvenation and my own neurotoxin treatments (Botox, Dysport, Xeomin, or Letybo) to address muscle tension.
Our process is a deep dive. I spend time reviewing your history while Sarah evaluates the naturopathic and nutritional foundations. We combine your history with hard data, metabolic testing, body composition, and comprehensive functional labs, to identify your unique risks. This step ensures we aren't just helping you get by, but helping you live a healthier life.
Since we are focusing on biological resets rather than invasive surgery, there is no physical downtime. However, your internal systems need time to recalibrate. You may experience minor redness after a laser treatment, but your metabolic recovery is where the work happens. We understand that patients deserve a team that follows through during this process.
Managing women's health is a marathon, not a sprint. While many report improved sleep and stabilized moods within the first week or even first month, the most profound changes, weight loss, improved bone density, and skin resilience, typically manifest in the three-to-six-month window. Our goal is a permanent elevation of your baseline vitality so you can meet every day with energy.
Transparency is part of our trust model. The cost of your plan reflects the complexity of the diagnostics and the collaborative time required between an MD/PhD and an ND. Pricing is customized based on the proactive decisions we make for your unique biology. We invite you to explore our options during your initial appointment.
I am a physician who believes the current corporate model of women's health services is failing. While many nurse practitioners in the region do their best, they are often limited by access to resources or time. At my clinic, we expand access to compassionate care by helping you understand the why behind your symptoms. We don't just treat conditions, we optimize the person.
If you are ready to stop managing your symptoms and start solving them, Sarah and I are ready to meet you. Find the support you need to live a healthier life. Contact our Charlottesville office to schedule your assessment.
Menopause is officially 12 months without a cycle. Perimenopause is the 5-10 year transition leading up to it, often characterized by erratic progesterone drops that cause anxiety and sleep loss.
Your gut houses the estrobolome, bacteria that clear estrogen. If gut health is poor, estrogen is reabsorbed, fueling the inflammation and estrogen dominance seen in PCOS and endometriosis.
Absolutely. We focus on the metabolic root, insulin resistance. By utilizing nutrition, peptides, and targeted supplements, we can often restore ovulation and clear skin without masking the issue.
Hormones are your body's software. Estrogen influences serotonin (mood), progesterone supports GABA (sleep), and thyroid/insulin drive your metabolism. When one is off, the entire system lags.
Yes. Estrogen drives collagen. By balancing hormones internally and using medical-grade Skinprint topicals externally, we can fundamentally change the texture and resilience of your skin.
While we focus on hormonal and longevity-focused women's health services, we do not provide childbirth or OB services. For concerns like breast cancer, abortion rights, or a baby on the way, we always refer patients to the appropriate specialized care in Charlottesville.
We don't use generic protocols. We use your data. Your plan is built from your specific lab markers, your metabolic rate, and your personal goals. We are committed to helping you move forward with a plan that actually works.
