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 session 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. From there, you can join our monthly membership for ongoing access, support, and continuity as your needs evolve.
The initial consult serves as an opportunity for you to experience the depth of our care and determine whether the practice is the right fit. You’ll have one week following your consultation to decide if you’d like to move forward as a member.
2. Membership
Membership sustains the time and depth this work requires. It includes longer visits, secure portal messaging between visits, medication management and refills, appropriate lab orders, and the behind-the-scenes clinical work that keeps your plan moving forward. We don’t bill insurance for consults; whenever possible, labs and medications can run through your insurance. Superbills are available on request.
Memberships are available in 6- or 12-month commitments, designed to provide consistency and continuity as we fine-tune your care plan and adjust to your body’s needs over time. This structure allows us to provide truly personalized, responsive care and ensure your long-term progress and safety.
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 in your midlife health journey
At Virago Health, our goal is to make sure every woman feels supported, informed, and empowered every step of the way.
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 issues. Most providers receive little to no training in menopause or sexual medicine in school. That’s why I’ve invested years in advanced education—so you get the evidence based care, time, and attention you deserve to address these issues. At Virago Health, we want women to feel safe, validated, and valued.
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