Complex initial evaluations, new patient visits, or specialized care requiring extensive time

New Patient Evaluations:

• Full new patient intake and assessment

• Complex medical history requiring specialized care

Specialized/Complex Conditions:

• Gender-affirming gynecological care initiation

• Complex hormone therapy (PCOS, transgender care)

• Cancer survivorship care planning

• BRCA counseling and high-risk breast cancer discussions

• Complex medical history requiring specialized contraception (blood clotting disorders, migraines)

Chronic Conditions (New Diagnosis/Initial Evaluation):

• New chronic pelvic pain or endometriosis evaluation

• New vulvodynia, dyspareunia, or persistent sexual dysfunction

• Arousal, orgasmic, or desire disorders

• Persistent genital arousal disorder

• Pelvic organ prolapse initial assessment

• Interstitial cystitis (bladder pain syndrome) evaluation

• Urinary incontinence/overactive bladder evaluation

• Complex vulvar dermatology (lichen sclerosus, etc.)

Comprehensive Planning:

• Osteoporosis initial diagnosis and treatment planning

• Multiple interconnected concerns requiring coordinated care

Multiple related concerns, moderate complexity, or comprehensive follow-up

Menopause & Hormones:

• New menopause symptom evaluation and treatment initiation

• Complex contraception counseling (failed methods, medical contraindications, abnormal bleeding)

• Hormone therapy initiation (standard menopause cases)

• Perimenopause management

Established Conditions:

• Endometriosis follow-up and management adjustments

• Chronic pelvic pain management (established diagnosis)

• Sexual dysfunction treatment follow-up

• Osteoporosis treatment monitoring and adjustments

• Ongoing medication management and monitoring

• Post-surgical specialized follow-up care (routine)

Single new concern or acute issue requiring evaluation and treatment planning

Acute/New Onset Issues:

• New irregular bleeding

• Breast/chest lump evaluation

• New-onset painful periods

• Acute menopausal symptoms (hot flashes, night sweats)

• New sexual dysfunction concerns

• Abnormal mammogram follow-up discussion

Infections & Recurrent Issues:

• Chronic or recurrent vaginitis

• Recurrent UTIs (3+ episodes)

• Complex vaginal infections

Contraception & Hormones:

• Simple contraception consultations

• Menopausal hormone therapy follow-up (established patients)

• Birth control side effects or method changes

Other:

• New fracture evaluation and immediate bone health concerns

• STI testing and counseling

• Post-procedure complications or concerns

• Medication side effects or questions

Simple, single-issue concerns with straightforward management

• UTI symptoms (uncomplicated)

• Simple vaginitis/yeast infection

• STI test results review

• Emergency contraception

• Birth control refills (established method)

• Medication side effects (minor)

• Post-procedure follow-up (routine, non-urgent)

Annual Preventive Exam (uncomplicated, established patients)

• Full health history review

• Pelvic and breast/chest exam

• Pap smear (if due)

• Menopause or age-appropriate counseling

• Preventive labs and imaging recommendations

• Bone density screening discussions

• HPV vaccination counseling (if appropriate)

• Sexual health education and STI screening

• Mammogram planning for average or high-risk patients

• Cardiovascular risk assessment

• General wellness and lifestyle counseling (calcium, vitamin D, exercise)

• IUD Insertion/Removal:

• Endometrial Biopsy

• Colposcopy