SERVICES
Comprehensive Care for Women in Midlife
Evidence-based, personalized care for women navigating perimenopause and menopause, hormone therapy, weight and metabolic health, sexual wellness, and gynecologic concerns.
Perimenopause & Menopause
Hormone Therapy
Weight & Metabolic Health
Sexual Health & Wellness
Procedures & Surgery
Gynecologic Care
CARE AREA · 1 OF 6
Perimenopause & Menopause
The menopause transition can affect much more than your menstrual cycle. Changes in sleep, mood, concentration, energy, temperature regulation, sexual comfort, and overall well-being can begin years before the final menstrual period.
Dr. Cleveland takes time to understand the full pattern of your symptoms, health history, priorities, and concerns. Together, you will create a practical plan that may include lifestyle strategies, nonhormonal treatment, hormone therapy when appropriate, and ongoing adjustments as your needs change.
Common reasons women seek care
- Hot flashes and night sweats
- Disrupted sleep or persistent fatigue
- Brain fog, mood changes, or difficulty concentrating
- Changing, irregular, or heavier periods
- Vaginal dryness or urinary symptoms
- Questions about bone, heart, and long-term health
- Comprehensive symptom review
- Individualized treatment options
- Relevant screening or testing
- Ongoing follow-up to track progress
CARE AREA · 2 OF 6
Hormone Therapy
Deciding whether hormone therapy is right for you can feel confusing. Women often encounter conflicting information about safety, timing, formulations, dosing, and what “bioidentical” really means.
Dr. Cleveland provides an evidence-informed discussion of the potential benefits, risks, alternatives, and available forms of therapy. When treatment is appropriate, care includes selecting a personalized approach, monitoring your response, addressing side effects, and revisiting the plan over time.
Common reasons women seek care
- Questions about whether hormone therapy is appropriate
- Persistent hot flashes, night sweats, or sleep disruption
- Vaginal or urinary symptoms related to menopause
- Concerns about brain fog, fatigue, mood changes, or weight gain
- A current regimen that is not providing enough relief
- Help understanding different treatment options
- Review of medical and family history
- Discussion of benefits and risks
- Selection of an appropriate formulation
- Ongoing reassessment over time
CARE AREA · 3 OF 6
Weight & Metabolic Health
Weight changes can be frustrating, particularly when strategies that worked in the past no longer seem effective. Sleep, stress, aging, the menopause transition, medications, nutrition, activity, and metabolic health may all play a role.
Care begins with understanding your health history, previous efforts, current habits, and personal goals. Dr. Cleveland works with you to develop a realistic plan focused on sustainable progress, improved metabolic health, and changes that can fit into your actual life.
Common reasons women seek care
- Weight gain during perimenopause or menopause
- Difficulty losing weight despite consistent effort
- Changes in appetite, energy, or body composition
- Questions about medical weight-management options
- A desire for structured accountability and follow-up
- Review of weight and health history
- Evaluation of sleep, nutrition, and activity
- Assessment of medical contributors
- Treatment options when clinically appropriate
CARE AREA · 4 OF 6
Sexual Health & Wellness
Sexual health is an important part of overall health and quality of life. Changes in desire, comfort, arousal, orgasm, or intimacy are common, but they are not concerns you simply have to accept.
Dr. Cleveland provides a private, judgment-free setting to discuss what you are experiencing. Evaluation and treatment are individualized, with attention to both physical symptoms and the broader factors that may be affecting sexual wellness.
Common reasons women seek care
- Low sexual desire
- Vaginal dryness, burning, or irritation
- Pain or discomfort with intimacy
- Changes in arousal, sensation, or orgasm
- Urinary symptoms associated with menopause
- Sexual changes related to medication or health conditions
- Assessment of hormonal and medical factors
- Review of medication and relationship factors
- Pelvic-floor evaluation when relevant
- Individualized treatment or referral
CARE AREA · 5 OF 6
Gynecologic Procedures & Surgery
Some gynecologic concerns require more than observation or medication. When an office procedure or outpatient surgery is recommended, patients deserve a clear understanding of why it may help, what alternatives exist, and what to expect.
Dr. Cleveland helps patients move through these decisions with careful counseling, practical preparation, and continuity before and after the procedure.
In office procedures available include IUD insertion and removal, Nexplanon insertion and removal, endometrial biopsy, labial biopsy, skin tag removal, Bartholin’s cyst drainage, colposcopy and LEEP. Operating room procedures offered include hysteroscopy, polypectomy, hysteroscopic myomectomy, labiaplasty, and hymenectomy.
Recommendations are based on the individual concern, available options, and your preferences.
Common reasons women seek care
- Abnormal or persistent uterine bleeding
- Abnormal pap smear results needing follow-up with a colposcopy or treatment with a LEEP procedure
- Uterine polyps or fibroids
- Contraceptive management, including IUD and Nexplanon
- Bartholin's cyst or abscess
- Questions regarding procedural options
- Review of records and imaging
- Discussion of alternatives
- Preparation and comfort planning
- Post-procedure follow-up
CARE AREA · 6 OF 6
Gynecologic & Preventive Care
Gynecologic care should address both the concerns affecting you today and the preventive care that supports your health over time. Your visit should leave room for questions, careful evaluation, and shared decision-making.
Dr. Cleveland evaluates common gynecologic concerns while helping patients stay current with appropriate screening and preventive planning. When testing, imaging, treatment, or referral is needed, she will help explain and coordinate the next steps.
Common reasons women seek care
- Annual wellness exam and pap smear when indicated
- Breast cancer screening or breast health concerns
- Postmenopausal bleeding
- Irregular or heavy menstrual bleeding
- Vaginal discharge, irritation or pain
- Vulvar disorders
- Contraceptive management
- Preventive medical care for health optimization
- Focused evaluation of symptoms
- Routine well-woman care
- Preventive screening
- Coordination of labs, imaging, or referrals
ready when you are
Let's find the right next step, together.
Every area of care on this page can work on its own or alongside the others — you don't have to know exactly where to begin before reaching out.
Prefer to talk it through? Call (801) 876-5166