Whether you're a seasoned clinician or brand-new to practice, this space offers practical OB/GYN guidance—without judgment, fluff, or condescension.
ReproNomad is your on-call backup.
There’s a critical shortage of obstetrician-gynecologists across the U.S.—and frontline clinicians are carrying the weight.
Primary care and emergency room physicians, PAs, NPs, and even new OB/GYN residency grads are being asked to take on more advanced reproductive healthcare, often with limited training, patchy resources, or no backup.
Maybe you’ve had great mentorship and solid OB support.
Maybe you’ve been thrown into the mix with little more than Google, gut instinct, and a cranky consultant on speed dial.
Whether you're a seasoned provider, a new grad, or holding it down in a rural clinic solo—ReproNomad has your back.
I’m a board-certified OB/GYN with over a decade of experience as a clinician and educator, and I’ve partnered with primary care teams across urban trauma centers, rural clinics, and everything in between. I know what it’s like to be asked, “Can you take a look at this ultrasound?” or “Does this need a referral—or can I handle it here?”
This section is your on-call backup:
✔️ Straightforward, evidence-based guidance
✔️ Digestible breakdowns of key clinical concepts
✔️ Management tips you can use today—without the fluff, judgment or posturing.
Whether you’re trying to offer more than a pelvic ultrasound and a long wait for a referral—or you just want to sharpen your skills—you’re in the right place.
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Have a question I haven’t covered? Want to talk through something sticky? This space is here to work with you. Let me know what you’re seeing—and what you'd like help managing next.
Postmenopausal Bleeding: Targeted History
While it is expected to have irregular periods in the perimenopausal period, once a full 12 months have passed without menses, they should not come back. Bleeding after menopause is NEVER normal.
From the first question to the final plan—this guide helps you assess postmenopausal bleeding without overtesting or missing critical diagnoses.
Abnormal Uterine Bleeding: Differential Diagnosis
Abnormal uterine bleeding (AUB) isn’t a final diagnosis—it’s a symptom. And when someone walks into your office with heavy, irregular, or unexpected bleeding, the question isn’t “What’s the name of the condition?” It’s “What systems could be at play here?”
This is where we stop chasing zebras, resist the urge to blindly order an ultrasound, and start grouping possible causes into one of 5 meaningful categories for more diagnostic clarity, and a plan that helps you get your patient answers fast. Let’s break it down.
Abnormal Uterine Bleeding: Targeted History
Abnormal uterine bleeding is one of the most common gynecologic complaints. It is also one where patients’ concerns are often ignored. As an OBGYN, I get referrals for this symptom all the time. While almost everyone gets a pelvic ultrasound, there are often gaps in the history or simple blood tests that would have helped the patients get some reassurance or relief before a three- to six- month wait to see me. This guide outlines key causes, targeted history, and the best labs and imaging for reproductive-age patients with AUB.
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