At 54, she was managing high blood pressure—and quietly struggling with changes she felt embarrassed to discuss.
Weight gain. Unwanted facial hair. Irregular menstrual cycles.
She kept her questions on her phone. Another appointment might mean another bill. So she waited.
When she finally spoke up, two very different experiences were possible.
A plan that connected the dots
Her irregular cycles and unwanted hair growth had begun long before her recent perimenopausal symptoms.
Her care plan addressed PCOS-related concerns and unwanted facial hair, alongside HRT for bothersome perimenopausal symptoms when appropriate, after reviewing her bleeding pattern, medical history, and individual risks.
HRT was one part of the plan—not a cure for PCOS or a weight-loss treatment.
Together, she and her physician also worked on balanced nutrition, regular movement, restorative sleep, and stress management. Preventive care included monitoring blood pressure, blood sugar, and cholesterol.
Follow-up gave her time to ask questions and adjust the plan.
Over time, her symptoms became more manageable. She felt more comfortable reconnecting with friends.
She left with more than advice to lose weight. She left with an explanation, support, and a physician she could reach.
The DPC difference
Time to investigate. Direct physician access. Predictable pricing for included primary care.
At Presence, you don’t have to save every concern for your annual visit.
Schedule a free meet and greet.
Medicine at the pace of trust.
Based on a real patient encounter. Identifying details have been changed to protect privacy. The side-by-side comparison illustrates contrasting approaches to care, not every traditional practice. Individual experiences and treatment outcomes vary.
