Your health is connected. Your care should be, too.
“Ann has been nothing short of amazing in helping boost my confidence to figure out where my journey needed to go. With her guidance I have been able to dig into issues contributing to the demise of my overall health, well-being, and pain from past injuries. We have been able to decrease inflammation to help manage nerve pain and help guide and monitor weight loss. Kultivate has been a lifesaver for me. I am incredibly thankful and ecstatic to be where I am as I continue moving forward. I could not have done it without Kultivate Women's Health!.”
— Janell O., Kultivate Client
Services
Menopause & Hormone Therapy
Perimenopause doesn’t always start with hot flashes. Sometimes the first sign is simply, “I don’t feel like myself.”
Hormonal changes can affect sleep, mood, energy, periods, weight, brain fog, libido, and overall wellbeing — often long before periods stop.
We provide personalized, evidence-based menopause care, including estradiol, progesterone, and testosterone when appropriate, along with non-hormonal options based on your symptoms, health history, and goals. Our goal isn’t just to treat a lab value — it’s to understand what’s changing and help you feel like yourself again.
Medical Weight Loss & Metabolic Health
Weight changes in midlife are real — and the answer isn’t simply to eat less and exercise more.
We take a thoughtful, science-driven approach to weight and metabolic health using GLP-1 medications when appropriate, metabolic testing, body composition monitoring, nutrition support, and personalized medical care.
Our goal is sustainable fat loss while protecting muscle, supporting metabolic health, and helping you build a plan you can actually maintain. No crash diets. No shame. Just evidence-based care designed around you.
Sexual & Gynecologic Health
Sexual health is an essential part of women’s health — at every age. We provide expert, compassionate care for low desire, painful sex, vulvar and vaginal concerns, lubrication and arousal changes, orgasm difficulties, and other sexual health concerns.
We also offer gynecologic exams, IUD insertion and removal, and select in-office procedures, with nitrous oxide available when appropriate to make procedures more comfortable.
Led by our sexual and gynecologic health expert, Jean Marino, APRN-CNP, care may include hormonal or non-hormonal treatment options based on your individual needs.
Nutrition & Healthy Aging
Nutrition needs change in midlife — especially as hormones, metabolism, muscle, bone, and cardiovascular health change.
Our registered dietitian, Renee Cooper, RD, provides personalized nutrition care for perimenopause and menopause, weight management, metabolic health, muscle and bone health, cardiovascular health, and healthy aging.
This isn’t about restrictive diets or eating perfectly. We focus on practical, sustainable strategies that fit your health goals, preferences, and real life — with nutrition care that can work alongside the medical care you receive at Kultivate.
Preventive Cardiology Care
Heart disease is the leading cause of death in women — but much of cardiovascular risk can be identified and addressed years before symptoms appear.
Our preventive cardiology care goes beyond a standard cholesterol panel to look at the bigger picture, including blood pressure, cholesterol, ApoB, lipoprotein(a), metabolic health, family history, lifestyle, and other individual risk factors.
Led by Shaylinn Romano, APRN-CNP, our approach focuses on understanding your risk early and creating a personalized prevention plan. When appropriate, we can order additional testing, prescribe medications, and coordinate specialty care to help protect your long-term heart health.
Thyroid & Internal Medicine
Midlife health is about much more than hormones. We take a comprehensive look at the medical and preventive health issues that become increasingly important as women age — including thyroid and metabolic health, bone health, breast health, cardiovascular risk, and recommended screenings.
We evaluate and treat thyroid conditions, including hypothyroidism and Hashimoto’s thyroiditis, and can help make sure important preventive care such as mammograms, bone density testing, and colon cancer screening is up to date and ordered when needed.
Think of us as another layer of thoughtful medical care focused specifically on women in midlife — helping connect the dots, identify what needs attention, and coordinate with trusted specialists when additional expertise is needed.
“I am so grateful that I found Kultivate Women’s Health. Ann has helped me more in the past three months than my previous Menopause Society Certified doctor did in over a year. She spent so much time with me making sure she understood what symptoms I was having and most importantly, asked me what I wanted to focus on first. Then she created a detailed treatment plan for me. She also performed blood testing that had not been done and helped me address a thyroid issue I didn’t know I had. I simply cannot recommend her enough.” — Julie M.
Pricing
Your first visit is where we put the pieces together. You’ll have up to 55 minutes with your clinician to talk through your symptoms, health history, goals, previous treatments, and what matters most to you.
We’ll look at the bigger picture, identify what needs attention, and create a personalized, evidence-based plan for next steps. Depending on your needs, that may include hormone therapy, medical weight management, thyroid care, sexual health, cardiovascular prevention, nutrition, additional testing, preventive screenings, or referrals to trusted specialists.
This is comprehensive, thoughtful care — not a rushed visit or a one-size-fits-all plan.
55 mins | $425 | Book Now
Initial Consultation
Your care doesn’t stop after the first visit. Follow-ups give us time to see how you’re feeling, review your progress, discuss labs or testing when needed, adjust medications, and address new concerns as they come up.
Your plan can evolve as your health, symptoms, and goals change — because midlife isn’t static, and your care shouldn’t be either.
25 mins | $150 | Book Now
Follow-Up Visit
Medical Weight Loss Membership
Medical Weight Loss Membership
Weight loss doesn’t end with a prescription. Our memberships provide ongoing medical care, nutrition support, and regular follow-up to help you lose weight safely, protect muscle, and build a plan you can maintain.
Depending on the membership you choose, your plan may include medication and medication supplies, follow-up visits, InBody body composition testing, registered dietitian support, nutrition assessment, and ongoing messaging with our team. Care may take place in person, virtually, or by phone based on what you need.
We offer several options, and your clinician will review the options with you and help determine the best fit for your goals and medical needs.
25 Mins | Memberships starting at $225/month