Women’s Health & Hormone Care

Care that supports you through every season of life.

At Nurture, we provide personalized, integrative care for every stage of life, including menstrual concerns, perimenopause, menopause, and hormonal imbalance. Whether you're navigating shifting cycles, hot flashes, thyroid or adrenal issues, or simply don’t feel like yourself, we listen deeply, look for root causes, and create a care plan that brings your body back into balance.

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Our Services

Menstrual & Cycle Health

Support for painful, irregular, or heavy periods, PMS/PMDD, PCOS, endometriosis, and overall cycle regulation.

Routine & Preventive Gynecologic Care

Annual well-woman visits, Pap smears, breast exams, contraception counseling, sexual health, and general gynecology throughout all life stages.

Perimenopause & Menopause

Care for hormonal transitions — hot flashes, mood changes, sleep issues, vaginal dryness, low libido, and long-term bone and heart health.

Hormone Imbalance & Endocrine Support

Thyroid health, adrenal fatigue/stress, insulin resistance, low energy, unexplained weight changes, mood fluctuations, and overall hormonal dysregulation.

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Coming January 2026: Pelvic Pain & Endometriosis Care with Dr. Sienna Titen, MD

Women living with pelvic pain or suspected endometriosis deserve more than quick visits and “normal” test results. Dr. Sienna Titen offers personalized, concierge-style gynecology that looks deeper—addressing root causes, restoring balance, and helping you finally feel understood and supported.

Learn More

Our Women’s Health Providers

  • A woman with brown hair wearing a floral dress, smiling, with shelves of containers in the background.

    Dana Ramsey, CNM, MSN, RN

    (she/her)

    Specialties:

    Perimenopause & menopause care (Certified Menopause Practitioner)

    Hormone balance and integrative midlife health

    Fertility and preconception support

    Hereditary cancer genetics and risk assessment

    Book With Dana
  • A smiling woman with long, wavy red hair, wearing a blue top, standing indoors near a large green plant.

    Dr. Sienna Titen

    (she/her)

    Specialties:

    Pelvic pain and endometriosis care

    Hormonal health and perimenopause support

    Root-cause approach to inflammation and nervous system balance

    Integrative pelvic wellness and mind–body care

    Book With Dr. Titen
  • A woman with shoulder-length dark hair smiling, wearing a light blue denim shirt, sitting in a room with a light-colored wall and a beige couch in the background.

    Kayla Cushner, CNM, MSN, RN

    (she/her)

    Specialties:

    Fertility and preconception support

    Postpartum recovery and hormonal transitions

    Perimenopause and menopause care

    Holistic, patient-centered midwifery across all life stages

    Book With Kayla
Testimonials
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Hannah H.

“I've been working with Kayla Cushner at Nuture and she has been exceptionally caring and insightful. I feel cared for and not like another number, which I feel is often the experience at traditional OBGYN groups. Thank you, Kayla and Nurture.”

Erin B.

“I highly recommend Dana. Dana, her office staff, and the environment are incredibly welcoming. I have never felt so seen and heard by a medical professional. I came out of my first appointment with a plan of action instead of feeling at a loss with my symptoms. It's been about 9 months since my initial appointment and I am feeling much better!”