Annual Visits
An annual visit with the nurse practitioner or midwife is a full hour long and involves discussion about your overall physical and emotional health and well-being, sexuality, fertility, health screenings, and recommendation for follow-up.
Our midwife and nurse practitioner can take care of health and wellness across the lifespan, from adolescence to menopause. We embrace providing empowering healthcare for anyone with a vagina, uterus, or cervix who requires it, regardless of their gender identity. We do everything in our power to maintain a safe, welcoming environment for each and every person who walks through our door.
Health & Cancer Screenings
We provide stirrup-free (seriously!) pelvic exams when obtaining Pap smears for cervical cancer screenings, referrals for mammograms and breast ultrasound. We can also provide screenings for sexually transmitted infections as well as draw routine bloodwork in our office. Pelvic exams are invasive and are not performed in our office as a matter of routine but rather when there is an indication and after careful discussion and consideration with the client. We provide a trauma-informed approach to care, particularly in regards to your pelvic and breast health, when working with people with uteruses.
Hormone Health & Wellness
Hormonal changes are a natural part of life, but that doesn’t mean you have to navigate them without support. Our Hormone Health & Wellness care is designed to help individuals experiencing perimenopause and menopause better understand their changing bodies and feel well during this transition.
Care is personalized and may include hormone therapy when appropriate, along with guidance on nutrition, sleep, stress management, movement, and herbal or supplemental support. Our goal is to take a whole-person approach—recognizing that hormonal health affects not only the body, but also mood, energy, cognition, and overall quality of life.
At The Coit House, we believe midlife deserves the same thoughtful, individualized care that we provide during pregnancy and postpartum. Our team offers evidence-based guidance in a supportive setting where your experiences are heard, your concerns are taken seriously, and your wellness is the priority.
Common Concerns We Address
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Hot flashes and night sweats
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Sleep disruption and fatigue
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Mood changes, anxiety, or brain fog
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Irregular periods and other hormonal changes
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Vaginal dryness, low libido, or discomfort with intimacy
Pre-conception Planning & Fertility Support
Considering pregnancy? We can help you be your healthiest self upon conception and better understand your fertility in order to achieve pregnancy at an ideal time for your family, career, or other life circumstances.
We can also provide in-office intrauterine insemination (IUI), although the complexities of fertility medications tend to be out of midwifery scope of practice, so IUI with a midwife is best for those who have no or limited fertility challenges, such as couples with slightly low sperm count, same-sex couples, a single person desiring pregnancy who does not have access to sperm, or those who may have tried holistic methods to enhance fertility and are not ready to move on to medications or IVF.
Contraceptive Counseling
Our midwives discuss the full range of contraceptive options–from fertility awareness to condoms to birth control pills–at our reproductive health and wellness center. We can insert intrauterine devices (IUDs) in our office. Midwives in NYS have full prescriptive authority which means that in addition to contraceptives, we can prescribe many other medications. However, we also offer holistic support for an integrative approach to your wellness.
