Privacy & SMS Communication Policy At Tulip Women’s Health (Dr. Jeanie Yuh & Associates), we are committed to protecting your privacy and ensuring respectful, secure communication with our patients. Privacy Policy We collect personal information only as needed to provide medical care, schedule appointments, and support secure communication. We do not share or sell patient information, including phone numbers, to any third parties for marketing or commercial purposes. Your information is used only for clinical and administrative purposes in accordance with applicable privacy laws. SMS Communication Policy We use SMS (text messaging) only for: Appointment reminders and confirmations Secure video consultation links Important scheduling updates Consent By providing your mobile number in the referral, you consent to receive SMS messages from Tulip Women’s Health. Standard carrier rates may apply. Consent may be withdrawn at any time by contacting us. Limitations Messages are for appointment-related communication only. Privacy Your phone number and other personal information are kept confidential and protected under our Privacy Policy.

Melissa Koch, Registered Dietitian Melissa Koch is a Registered Dietitian with over 15 years of experience in women’s health, perinatal care, and pediatric nutrition. She earned her Bachelor of Applied Science in Nutrition and Food from Toronto Metropolitan University and then completed a graduate-level dietetic internship with Capital Health in Nova Scotia. Melissa also holds a Master’s in Adult Education and Community Development from OISE. She has spent much of her career with Toronto Public Health, supporting women and families with hormonal imbalances, fertility, prenatal and postnatal nutrition, and pediatric nutrition. Her expertise includes nutrition therapy for PCOS, thyroid conditions, insulin resistance, perimenopause, and menopause, and she helps families build healthy, sustainable eating routines. Melissa works collaboratively with clients to create flexible, personalized nutrition strategies that align with their unique goals and lifestyles. She can help you with: • Personalized meal plans and nutritious snack ideas • Using food to help relieve symptoms and boost energy • Guidance on supplementation when needed • Optimizing your diet to prevent or manage chronic conditions • Building sustainable habits that nurture long-term health and well-being She is passionate about empowering women to feel confident and balanced in their relationship with food and their bodies. Outside of work, she is a wife and mother of three children who enjoys baking, biking, and exploring new places with her family.

Uninsured Services Some medical procedures, and most forms and notes, are not insured by OHIP and therefore are subject to a fee. The current fees are determined at the suggestion of the OMA. Payments can be made in the office (debit, credit, and e-transfer are accepted). List of uninsured services are as below: Doctor's notes: $50 Prescription refills without an appointment: $40 Insurance forms : $100

Cancellation/No Show Policy Please provide at least 72 hours notice to cancel an appointment as there are many other patients waiting for time with the doctors. If you need to cancel an appointment for Monday at 9am, you must contact the office before 9am on Friday. Failure to do so and not showing up to the appointment will result in a charge based on OMA recommended rates. You will receive a reminder email ahead of your appointment through a secure message. The office does not give reminder calls for appointments.

Post IUD Insertion Care Congratulations! You had an intrauterine device (IUD) inserted! There are 2 types of IUDs: one that releases a hormone (hormonal IUD) and one that does not (copper IUD). When does my IUD start working? The copper IUD begins working now. Hormonal IUDs (Mirena/ Kyleena) start working in 7 days, unless you started your period. If you started your period less than 7 days ago, it will start working now. If you were taking oral contraceptives, continue it for 7 days after your hormonal IUD insertion. What should I do today? When can I have sex? Today, you may go back to school or work if you feel well. Please abstain from vaginal intercourse, baths, swimming, tampon use, and menstrual cup use for at least 24 hours after IUD insertion. Mirena/Kyleena users will need back-up contraception (i.e. condoms) to prevent pregnancy in the first 7 days after placement, unless you are on your period now. If you have sex without a condom before 7 days, you should take emergency contraception to prevent pregnancy. What should I expect? You can expect to have some cramps and bleeding and or spotting (on and off bleeding or brown discharge) in the first few months but may be worse in the first 1 - 2 weeks. The cramping and bleeding can last for 3-6 months with the hormonal IUDs. After 6 months, the cramping and bleeding should get better. Many hormonal IUD users will stop having periods after 1 or 2 years, which is safe. If you have a copper IUD, you may have more cramping and bleeding with your periods as long as you have the IUD inside you, but worse in the first 3-6 months. How should I take care of myself? Ibuprofen/Motrin/Aleeve (NSAIDs) helps decrease the bleeding and cramping. You can buy them at any drug store without a prescription. You can take as many as 3 pills (600 mg) every 6 hours with food (each pill contains 200 mg). To prevent cramping, start taking it as soon as your period starts and keep taking it every 6 hours for the first 2-3 days of your period. You can also put a warm water bottle on your belly if you have bad cramps. Will my IUD come out? What should I do if it comes out? Your IUD may come out by itself in the first three months. If you can feel the strings, the IUD is most likely in the right place. If you feel the string is longer than usual, the IUD may be moving down. If your IUD comes out, you can become pregnant immediately. Use condoms if you think your IUD may have come out and please contact your family doctor or our office. How do I check for my IUD strings? If you want, you may check for the strings by inserting one finger into the vagina and feeling for the cervix. The cervix feels similar to the tip of your nose. You should feel strings similar in texture to fishing lines coming out of the cervix. Sometimes the strings are tucked high up and can be difficult to feel and that is usually not a concern. We will send you for an US to make sure it is still in place. Does the IUD protect against sexually transmitted infections (STIs)? The IUD does NOT protect you against STIs (HIV, syphilis, gonorrhea, chlamydia, herpes, HPV, etc.) You should ALWAYS use protection against sexually transmitted infections with condoms if you are at risk. Contact your doctor if: • You have persistent, worsening abdominal pain, unrelieved with medications • You have a fever at or above 38.5°C or 101.3°F • You have foul-smelling or unusual vaginal discharge • Your menstrual periods have stopped with the copper IUD • You or your partner can feel the lower post (hard plastic feel, not the string) of the IUD • You think you are pregnant

Dr. Stephanie Zelembaba, ND Dr. Stephanie Zelembaba is a Naturopathic Doctor and co-owner of Abaton Integrative Medicine. She has 8+ years of experience supporting women's health, perinatal care and pediatrics. With respect to women's health, Dr. Stephanie supports women with the menopause transition, PCOS, thyroid concerns, insulin resistance, fertility and more. She is a member of the Menopause Society and is a Menopause Society Certified Practitioner. She has met the Standard of Practice for Prescribing in Ontario allowing her to support her patients with MHT (also known has HRT).

Dr. Amandeep Takhar, MD, CCFP, MSCP Dr. Amandeep Takhar is a GP who holds a special designation in Women's Health. She completed her medical degree at the University of Toronto and her residency training in Family Medicine at Queen’s University. She has additional training in hospital medicine and integrative medicine. She is an Assistant Clinical Professor at McMaster University where she enjoys teaching medical students and residents. She has a focused practice in women’s health with a special interest in managing PCOS (polycystic ovarian syndrome), menopause, PMS/PMDD (premenstrual dysphoric disorder) and vulvar disease.

Post Endometrial Biopsy To promote healing and lessen discomfort, please follow these guidelines: For the next ONE week, do not insert anything into your vagina. This includes tampons, douching, and sexual intercourse. OK to resume usual activities after leaving today. You may shower. Avoid hot tubs or swimming for one week. You may have mild cramping in your lower abdomen for one to two days. You may take Ibuprofen such as Advil, Motrin, Aleve or Tylenol if you are not allergic to it. Please follow the instructions on the bottle. Use ibuprofen 200 mg, 2 tablets every 4 hours as needed for severe cramps. You may have some dark or bright red spotting/discharge for one to two days. This may last for up to one week. Use pads only (no tampons). Do not be alarmed if your period is off-schedule this month. PLEASE CALL the office for: 1) Bleeding heavier than menses, filling one pad or more an hour for 2 hours in a row. 2) Persistent severe pain or cramping after 72 hours. 3) Foul vaginal discharge. 4) Temperature greater than 100.4 degrees.

Locum Physicians On occasion, you may see a ‘locum’ physician (a physician substituting for your own doctor) to ensure access to care.

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Naturopathic Support Naturopathic Medicine For those in perimenopause/menopause, and those with PCOS We have partnered with Naturopathic Doctors (ND) specializing in women's health, Dr. Stephanie Zelembaba and Dr. Denise Handscomb of Abaton Integrative Medicine, Dr. Laura Pipher and Dr Kristin Wootton . This team-based approach allows us to be able to provide you with the most comprehensive care, ensuring women receive the best of both worlds—integrative, whole-person support alongside the expertise of conventional medicine. Perimenopause is a time of transition that can bring physical, emotional, and hormonal changes. Naturopathic doctors (NDs) provide personalized, holistic care to support women through this stage of life. From nutrition and lifestyle strategies to natural therapies, NDs focus on restoring balance, reducing symptoms, and promoting overall wellness. Our Naturopathic Doctors are trained and licensed to prescribe MHT (Menopause Hormone Therapy) More information Book an Appointment

Frequently Asked Questions For Patients Read More For Physicians Read More Preparation for IUD/Implant Read More Post IUD insertion care Read More Cosmetic Procedures Read More Prescription Renewals Read More

MENOPAUSE CARE PROGRAM At Tulip Women’s Health, we understand that perimenopause and menopause can affect many areas of life, including sleep, mood, energy, sexual health, weight, and overall well-being. Our Tulip Menopause Care Program provides comprehensive menopause support through a team-based approach. Medical Doctors and Allied Health professionals work together to help patients better understand their symptoms and create a care plan tailored to their needs. What the Program Aims to Support Hot flashes and night sweats Sleep concerns Mood changes and brain fog Hormone therapy discussions Sexual health and vaginal symptoms Nutrition and lifestyle support Pelvic health concerns Overall wellness during menopause Your Care Team The initial consultation includes both a Medical Doctor and a Naturopathic Doctor. Depending on your needs, you may also have access to: Pelvic Physiotherapy Psychotherapy Dietitian Support Coverage Medical Doctor visits are covered by OHIP. Naturopathic and allied health services are not covered by OHIP, but many extended health benefit plans may provide coverage. Please note: If additional services such as Dietitian Support, Pelvic Physiotherapy, or Psychotherapy are recommended, these are provided as separate appointments and billed separately. Fees may vary depending on the provider and service. Patients are responsible for any costs not covered by their personal or extended health insurance benefits. Referrals and Wait Times Due to the high volume of menopause referrals, our standard menopause referral stream currently has an estimated wait time of approximately 6–12 months. As an alternative, patients are invited to consider Tulip Menopause Care Program , which currently has an estimated wait time of approximately 2–4 weeks . Patients who are referred to Tulip Women’s Health may be contacted directly to discuss the Menopause Care Program as an alternative option. For questions or more information, please contact Tulip Women’s Health.