Comprehensive Women’s Health Services for Perimenopause, Menopause & Sexual Wellness
Offering virtual and in-person visits for patients in North Carolina
Offering virtual visits for patients located in Virginia
Personalized Care for Midlife Women
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Perimenopause & Menopause Services
Symptoms we commonly treat:
Hot flashes, night sweats, sleep disturbances, brain fog, mood changes, anxiety, vaginal dryness (GSM), painful sex (dyspareunia), low libido, midlife weight gain.
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Sexual Medicine
Symptoms we commonly treat:
Low libido (HSDD), painful sex (dyspareunia), vaginal dryness/GSM, arousal/orgasmic disorders, vulvodynia, vaginismus, postpartum and perimenopausal sexual concerns
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Annual Gynecologic Exams
Common concerns we address:
Cervical cancer screening (pap smear), breast health counseling, birth control management & refills, STI testing & prevention counseling
Initial Visit
Your journey begins with an initial visit: a 90-minute comprehensive consult if you’re new to my practice, or a 60-minute visit if I have seen you before. We review your history, discuss your concerns, complete an exam as indicated, and create a personalized plan.
After this visit, you may continue care through a limited number of fee-for-service follow-up appointments, or you may choose to join our monthly membership program for ongoing access, support, and continuity as your needs evolve.
The initial consult gives you the opportunity to experience the depth of our care and determine whether Virago Health is the right fit for your long-term goals. You’ll have one week following your consultation to decide how you’d like to continue.
How We Work
Welcome to a healthcare practice created especially for women navigating perimenopause, menopause, and sexual health. Traditional medicine often isn’t designed to meet the needs of women facing these challenges, and most providers receive little to no training in menopause or sexual medicine.
That’s why I’ve invested years in advanced education—so you receive evidence-based care, time, and attention to address your concerns with confidence. At Virago Health, we want every woman to feel safe, validated, and valued.
Options for Continuing Care
Fee-for-Service Visits
For those who prefer not to join a membership, a limited number of fee-for-service follow-up visits are available after your initial consultation. These appointments allow you to check in as needed for focused support surrounding a specific concern or treatment question.
Because fee-for-service care does not include the ongoing, between-visit support that membership provides, it’s important to understand the boundaries of this option:
Fee-for-service visits do not include:
Portal messaging between visits
Symptom updates or ongoing discussion outside of scheduled appointments
Dose adjustments or medication management without an in-person or telehealth visit
This structure ensures your care remains safe, appropriate, and clinically aligned with the level of support you choose.
Fee-for-service can be a helpful option for women who need occasional guidance, while membership is best for those seeking comprehensive, continuous support throughout their midlife health journey.
Membership
Membership sustains the time, intention, and depth this work requires. It includes longer visits, secure portal messaging between appointments, medication management and refills, appropriate lab orders, and the behind-the-scenes clinical work that keeps your care plan progressing.
We don’t bill insurance for consults, though whenever possible, labs and medications can be run through your insurance. Superbills are available upon request.
Memberships are available in 6- or 12-month commitments, designed to provide consistency and continuity as we fine-tune your care and adjust to your body’s needs over time. This structure allows us to deliver truly personalized, responsive, and safe long-term care.
As a member, you’ll receive:
Comprehensive, personalized care that evolves with your goals
Ongoing access to your provider via secure messaging between visits
Medication management and refill coordination
Lab orders and result review
Continued education and support throughout your midlife health journey
At Virago Health, our goal is to ensure every woman feels supported, informed, and empowered—every step of the way.
Patient Testimonials
Carla
“Rachel's passion for women's health is a gift she thankfully shares through expertise and empathy. She has an incredible ability to make women feel understood, heard, and confident in their health journeys, rooted in science, research, invaluable experience, and compassion. I leave any consultation big or small with Rachel feeling balanced, informed, and armed with an action plan. I have never once felt rushed, forced, dismissed, or judged, and I am grateful to consider her a care partner for life!”
Shanley