Women's Health Care, From First Periods to Menopause
Care for every stage of a woman's life, with time to talk through the questions that matter to you. Visits start by telehealth for patients located in Utah, and when a hands-on exam or test is needed, we will help you arrange it.
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What Women's Health Care Includes
Women's health is a central part of Sagebrooke Family Medicine. It covers the everyday and the personal: periods, birth control, hormones, bladder health, breast and pelvic concerns, recovery after having a baby, and the changes that come with perimenopause and menopause. It also means looking at how these fit with the rest of your health, such as your blood pressure, thyroid, mood and sleep.
Brooke Tuttle, FNP-C, is a board-certified family nurse practitioner who has practiced family medicine since 2017. Before that, she spent 11 years as a registered nurse in labor and delivery, postpartum and the well-baby nursery. She places an emphasis on all aspects of women's health care, whether you are a teen with questions about your cycle, a new mother a few weeks after delivery, or a woman noticing the first signs of menopause.
Many women's health concerns can be talked through, assessed and treated by video. Some cannot. Pap tests, pelvic exams, breast exams and placing an IUD or implant need an in-person visit. We are telehealth only to start, so when you need one of those, we will tell you plainly and help you arrange it, along with any labs at a local lab and imaging, such as an ultrasound or mammogram, at a local imaging center.
Reasons women reach out
- A well-woman visit to review your health, screenings and goals
- Questions about starting, changing or stopping birth control
- Periods that are heavy, painful, irregular or missing
- Signs that could point to PCOS, such as irregular cycles, acne or unwanted hair growth
- Hot flashes, poor sleep, mood changes or cycle changes in your 40s and 50s
- Burning or frequent urination that could be a urinary tract infection
- A breast change or pelvic symptom you want checked
- Recovery, mood, feeding or birth control questions after having a baby
What to Expect
- A telehealth visit with a board-certified family nurse practitioner who emphasizes women's health
- Time to talk through your history, cycle, symptoms and goals
- Labs ordered to a local lab and imaging ordered to a local imaging center when needed
- Prescriptions sent to your pharmacy when treatment is appropriate
- Help arranging Pap tests, pelvic exams and other hands-on care that cannot happen by video
Our Approach to Women's Health
Listen First
We start with your story: your cycle, pregnancies, birth control history, symptoms, medications and family history. Many women's health questions are easier to answer once the whole picture is on the table, and nothing is too small or too personal to bring up.
A Plan That Fits You
Together we choose the next steps. That may be a lab test, a prescription, a birth control method that suits your life, a screening schedule, or a referral. We explain the benefits and trade-offs of each option so you can decide with confidence.
Follow-Up Over Time
Women's health changes across the years. We follow up on results, adjust treatment, and stay with you through new seasons of life, from first periods to postpartum recovery to menopause.
Benefits
Experience Across Life Stages
Brooke's 11 years as a labor and delivery, postpartum and well-baby nursery nurse, followed by family practice since 2017, shape how she cares for women and new mothers.
Care From Home
Many concerns, such as birth control counseling, period problems, UTI symptoms and menopause questions, can be handled by video from home.
Honest About What Needs a Visit
When a Pap test, pelvic exam or imaging is needed, we say so and help you arrange it, rather than guessing over video.
Connected to Your Whole Health
Women's health care sits alongside the rest of your primary care, so hormones, mood, thyroid, blood pressure and medications are considered together.
How Care Usually Unfolds
First Visit
A telehealth visit to talk through your history, current concerns and goals. You leave knowing the plan, including any labs, prescriptions, or in-person care we will help you arrange.
Weeks 1 to 4
Lab or imaging results come back and we review them with you. If you started a new medication or birth control method, we check how it is going and answer questions.
Months 1 to 3
We see how treatment is working, adjust as needed, and make sure recommended screenings, such as a Pap test or mammogram, are arranged.
Long Term
Regular well-woman care and follow-up as your needs change, so you have one trusted place for questions year after year.
Women's health topics we care for
Well-woman care: a review of your health, screenings that fit your age and history, and guidance on staying well.
Birth control counseling: pills, the patch and the ring can often be started or adjusted after a telehealth visit. Methods that are placed or injected, such as IUDs, implants and the shot, need an in-person visit, and we will help you arrange it.
Menstrual concerns: heavy, painful, irregular or missed periods, and the low iron that heavy bleeding can cause.
PCOS: evaluation with labs and, when needed, an ultrasound, and a long-term plan for cycles, skin, weight and blood sugar.
Perimenopause and menopause: hot flashes, sleep, mood, vaginal dryness and bone health, with hormonal and nonhormonal options discussed openly.
Urinary tract infections: a review of your symptoms, a urine test at a local lab when needed, and treatment.
Breast and pelvic health concerns: a first conversation by video, and help arranging the hands-on exam or imaging that most of these concerns need.
Postpartum follow-up: recovery, mood, sleep, feeding questions and birth control after baby, alongside the care you receive from your delivering provider.
What needs an in-person visit
Some parts of women's health care cannot be done by video. Pap tests, pelvic exams, breast exams, IUD and implant placement, and vaccines need a hands-on visit. Sagebrooke starts as a telehealth practice, with an in-person clinic planned for later. Until then, when you need one of these, we will help you arrange it and go over the results with you.
If you are pregnant or think you may be, we can talk with you about next steps and help you connect with prenatal care.
Common Questions About Women's Health
Can I get birth control through a telehealth visit?
Often, yes. The pill, patch and ring can usually be discussed and prescribed after a telehealth visit, depending on your health history. Methods that are placed or injected, such as IUDs, implants and the shot, need an in-person visit, which we will help you arrange.
Can I get a Pap test by telehealth?
No. A Pap test needs an in-person pelvic exam. We can review your screening history, explain when you are due, help you arrange the test, and then go over the results with you.
Do you see teens for women's health concerns?
Yes. Teens often have questions about periods, cramps, acne and birth control. A parent or guardian is welcome to join, and teens may also have time to talk privately with their provider, within what Utah law allows. We explain how privacy works at the start.
What if I need an ultrasound or mammogram?
We can order imaging at a local imaging center and review the results with you. If the results call for a specialist, such as a gynecologist or a breast specialist, we help with the referral.
Can you help after I have had a baby?
Yes. We can talk through recovery, mood, sleep, feeding questions and birth control after delivery. This works alongside the postpartum care you receive from your delivering provider. If you have heavy bleeding, chest pain, trouble breathing or thoughts of harming yourself or your baby, call 911 or go to the nearest emergency room.
Does insurance cover women's health visits?
Sagebrooke Family Medicine is an insurance-based practice, and we are in the process of joining insurance plans. What you pay depends on your plan, including any copay, deductible or coinsurance. Contact the practice to check whether your plan is accepted, and check with your insurer about coverage for medications, labs and imaging.
Related Services
Condition
Polycystic Ovary Syndrome (PCOS)
Irregular cycles, acne, hair growth and blood sugar, with a long-term plan.
Condition
Perimenopause and Menopause
Hot flashes, sleep, mood and cycle changes, and the options that can help.
Condition
Menstrual Irregularities
Heavy, painful, missed or irregular periods, and what can cause them.
Condition
Urinary Tract Infections
Burning, urgency and frequent urination, with a urine test at a local lab when needed.
Service
Pediatric and Adolescent Care
Care for newborns, kids and teens, including teen health questions.
Telehealth
How Telehealth Visits Work
What to expect from a video visit and what needs an in-person visit.
Ready to Talk About Your Health?
Reach out through our contact page to ask a question, check whether your insurance plan is accepted, or request a telehealth appointment.
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