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 Consent may be withdrawn at any time by contacting us.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.

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Dietary and Nutritional Support Melissa Koch is a Registered Dietitian and owner of Bloom Nutrition Services. She has devoted most of her career to Toronto Public Health, supporting women and families with hormonal imbalances, fertility, prenatal and postnatal nutrition, and pediatric feeding concerns. She has expertise in nutrition therapy for PCOS, thyroid conditions, insulin resistance, perimenopause, and menopause, and helps families establish healthy eating routines. 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 More information Book an Appointment

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.

Allied Health Services Naturopathic Support Read More Pelvic Physiotherapy Read More Dietary and Nutrition Support Read More Psychotherapy Read More

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Implant (Nexplanon) Implant The newest method of birth control in Canada is the Progestin Implant called Nexplanon ®. It is a single 4cm by 2mm rod that is placed in your non-dominant arm. It is estrogen-free and lasts for 3-5 years. This is the most effective method of birth control with a failure rate of less than 5 per 10 000 users (that’s 180 times more effective than the pill!). This is perfect for patients who do not want to have anything placed in the uterus. It is easy to insert and lowers pelvic pain and menstrual cramps. About 50% of patients report minimal or no bleeding after 6 months but about 10% patients would like to have it removed due to irregular bleeding. More information Nexplanon ® Insertion Nexplanon ® Removal Nexplanon ® Replacement Request Consultation

RESOURCES It's a Plan Gynaecology Quality Improvement Collaboration Sex and U Kyleena & Mirena Info Publications - Canadian Menopause Society Patient Education | The Menopause Society

Cosmetic Vulvar Procedures Cysts and lesions on your vulva are mostly benign but can be bothersome. We get a lot of requests to remove them. These lesions are usually benign and the procedures to remove them are considered cosmetic/elective and will not be covered by OHIP. You do NOT require a referral for elective procedures, so you can just email or call our office for consultation. Fee will depend on the type, size, and number of cysts/lesions you have but generally start at $300+.

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Pelvic Physiotherapy Gerda utilizes manual therapy within a bio-psycho-social framework Individual treatments for a variety of pelvic health conditions: pelvic floor weakness overactive pelvic floor muscles diastasis recti bladder problems bowel problems chronic pelvic pain coccyx pain painful intercourse vulvodynia prolapse recovery from pelvic surgery pre- and post natal concerns constipation incontinence Book an Appointment

TULIP COMFORT EXPERIENCE What is the Tulip Comfort Experience with Penthrox? It is an optional comfort experience offered to patients who prefer additional support during certain gynecologic procedures such as IUD insertion/removal/replacement or endometrial biopsies. It includes Penthrox pain management along with non-medical comfort measures to help you feel more at ease. Is my procedure still covered by OHIP? Yes. Your medical assessment and procedures are covered by OHIP. You are never required to pay to receive medical care. What does the Tulip Comfort Experience include? Penthrox (methoxyflurane) pain management along with extra time/support necessary Penthrox is an inhaler that contains a drug called methoxyflurane, which is poured into the device. A piece of gauze inside soaks up the liquid and you inhale the vapours. These vapours are what provide the pain relief. It is self-administered, self titrated, rapid-acting, non-narcotic inhalational agent that is a low-risk, highly acceptable option for pain management of in-office gynecological procedures. Calming environment (gentle aromatherapy ambiance) Heating pad used during the visit Comfort supports (pillows/blankets as needed) Drink and a light snack (as appropriate) Personalized aftercare card and review How much does it cost? $200 Not covered by OHIP Some private insurance plans may reimburse part of the cost Do I have to choose this option? No. This experience is completely optional. Declining it does not affect: Your care Your appointment The quality of medical treatment you receive Is Penthrox the only way to manage discomfort? No. Many patients choose to proceed without it and take NSAID/Tylenol prior to coming. Your clinician will discuss what to expect and support you regardless of your choice. Why isn’t this covered by OHIP? OHIP covers medically necessary services. Optional comfort experiences and certain pain-management options are not publicly funded. Will my care be rushed or different if I don’t choose it? No. All patients receive the same standard of medical care, whether or not they choose any optional services.

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Colposcopy Colposcopy Colposcopy is looking at your vagina and cervix with a microscope. This is usually done for abnormal testing of her cervix but also for suspicious cervical, vagina, and vulvar conditions. You may or may not need a biopsy depending what is seen at the time of colposcopy. This is done in our office and usually is not painful although may be with some discomfort like a pap test. More information Request Consultation

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

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.