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The first three months of Covid were a stark reminder that Tia’s role as a healthcare provider was not limited to the traditional practice of medicine alone."}],"markDefs":[{"_key":"b76b64872bf1","_type":"internalLink","linkType":"text","reference":{"_ref":"825e42cf-8486-4b66-b605-2ac8f8778797","_type":"reference"}}],"style":"normal"},{"_key":"2fd46a27a66d","_type":"sectionHeader","title":"Despite the stressors inherent to the crisis, there were moments of light."},{"_key":"acbc714f37ab","_type":"block","children":[{"_key":"4190bf1e2162","_type":"span","marks":[],"text":"We learned that women wanted — and trusted — Tia to be their therapist and saw mental health as integral to, not separate from, their physical healthcare."}],"markDefs":[],"style":"normal"},{"_key":"aee6da5311f4","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e36d09edf7af6d322f3cb0fe0d5e2a34cf71e0d8-1379x544-png","_type":"reference"}}}}]},{"_key":"9b36c45cce9d","_type":"block","children":[{"_key":"aa07a801b6060","_type":"span","marks":[],"text":"We learned that virtual care does not have to be a lesser-than version of in-person care."}],"markDefs":[],"style":"normal"},{"_key":"c6c8dd2ed09a","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-7fdc6ab6c049b4d9bb6cad8bcd49e287ae00aa2e-1379x544-png","_type":"reference"}}}}]},{"_key":"9a548174b23c","_type":"block","children":[{"_key":"fbcf4fc138e5","_type":"span","marks":[],"text":"We learned that Tia’s role as an information provider — a translational bridge between science and the layperson — was foundational at a time of rampant misinformation and confusion."}],"markDefs":[],"style":"normal"},{"_key":"10470d2fa9e5","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-2f1ad37644bdaa4275d93fc4ef00531747887510-1379x544-png","_type":"reference"}}}}]},{"_key":"9d8554084b60","_type":"block","children":[{"_key":"07a1a4ed8c55","_type":"span","marks":[],"text":"Nine months into the most harrowing global pandemic of our lifetimes, Tia has never been stronger. 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That means:\n"}],"markDefs":[],"style":"normal"},{"_key":"c388d256aa43","_type":"block","children":[{"_key":"3e3240552802","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"eb70f062695a","_type":"block","children":[{"_key":"438dbe349e3c","_type":"span","marks":[],"text":"1. Virtual-first, not virtual-only"}],"markDefs":[],"style":"h2"},{"_key":"f5c50204b271","_type":"block","children":[{"_key":"da3377e570dd","_type":"span","marks":[],"text":"We’ve been wowed by the ways in which the events of 2020 have enabled us to deliver more care on the Internet than ever before — all while improving, not compromising, quality. 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And most important to us, we can deliver more preventive health virtually than we ever could have imagined — and continue your care journey in person for physical exams, bloodwork, and ultrasounds when needed."}],"markDefs":[],"style":"normal"},{"_key":"465377a9f3c7","_type":"block","children":[{"_key":"efebc1d7664b","_type":"span","marks":["strong"],"text":"What this means for women in LA: You can get virtual Tia care today, and in-person Tia Care in early 2021!"}],"markDefs":[],"style":"large"},{"_key":"4a4e4fc244a5","_type":"block","children":[{"_key":"f8745ed1cfad0","_type":"span","marks":[],"text":"Become a Tia member and get virtual primary care, mental health, and gynecology, starting today. And in early 2021, continue your care journey with Tia in person — for pelvic exams, ultrasounds, acupuncture, the works — at our first LA location in Silver Lake. And if you need in-person care in the meantime, we’ll connect you with a Tia-vetted provider near you."}],"markDefs":[],"style":"normal"},{"_key":"83226a31654d","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"6118ee38fe09","_type":"span","marks":[],"text":"Finally, get virtual & in-person women's health that connect!"}],"markDefs":[],"style":"h4"},{"_key":"5153ed8d2705","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Join Tia ","linkType":"join","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"82fdf8389345","_type":"block","children":[{"_key":"f165b68827b8","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"f574f18b2068","_type":"block","children":[{"_key":"510b519b15ac","_type":"span","marks":[],"text":"2. Integrative, whole women’s health"}],"markDefs":[],"style":"h2"},{"_key":"57f9db648eed","_type":"block","children":[{"_key":"fdb19f2183f1","_type":"span","marks":[],"text":"The events of 2020 have shined a spotlight on the importance of whole women’s health that is inclusive of physical, mental, and emotional well-being. In NYC, we saw a 400% increase in mental health related messages on our platform with the onset of Covid — a testament to the lack of and critical need for women’s mental healthcare. And we know women — and especially women in Los Angeles — love wellness and don’t see it as “separate” from healthcare. In fact, more than "},{"_key":"87e8f635b528","_type":"span","marks":["f9438a5b06ae"],"text":"60% of women in Los Angeles"},{"_key":"95e2ea7b3bb4","_type":"span","marks":[],"text":" use complementary and alternative medicine. The problem is, the majority of these wellness-oriented practitioners come at a steep out-of-pocket price and more often than not, do not connect with, or even conflict with a woman's core primary care — leaving patients frustrated and confused on what advice to take."}],"markDefs":[{"_key":"f9438a5b06ae","_type":"externalLink","linkType":"text","url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359242/"}],"style":"normal"},{"_key":"66510138884c","_type":"block","children":[{"_key":"9eb278b5fbd70","_type":"span","marks":[],"text":"At Tia, we practice both "},{"_key":"e876e848d8db1","_type":"span","marks":["em"],"text":"integrated"},{"_key":"e876e848d8db2","_type":"span","marks":[],"text":" and "},{"_key":"e876e848d8db3","_type":"span","marks":["em"],"text":"integrative"},{"_key":"e876e848d8db4","_type":"span","marks":[],"text":" medicine. 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You can get healthcare that treats the whole you — and works with insurance."}],"markDefs":[],"style":"normal"},{"_key":"949904b940e9","_type":"block","children":[{"_key":"92f8448bbe6e","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3d567d4181f9","_type":"block","children":[{"_key":"6ae590d2f3a4","_type":"span","marks":[],"text":"3. Affordable and accessible"}],"markDefs":[],"style":"h2"},{"_key":"136b34f326d6","_type":"block","children":[{"_key":"89755f61184b","_type":"span","marks":[],"text":"At a time of unprecedented crisis, making high-quality healthcare affordable and accessible has never been more important. Los Angeles is on the brink of one of the worst OB/GYN shortages in the country — "},{"_key":"be3f15ccbe71","_type":"span","marks":["02ff78476dda"],"text":"ranking #2 in the U.S."},{"_key":"ec92b1f76784","_type":"span","marks":[],"text":" behind only Las Vegas. And primary care is close behind; the "},{"_key":"9287dc9cc745","_type":"span","marks":["1c2c9b96e9eb"],"text":"average wait time"},{"_key":"a49e9729f644","_type":"span","marks":[],"text":" to see a Primary Care Provider in Los Angeles is 42 days."}],"markDefs":[{"_key":"1c2c9b96e9eb","_type":"externalLink","linkType":"text","url":"https://www.merritthawkins.com/uploadedFiles/MerrittHawkins/Content/Pdf/mha2017waittimesurveyPDF.pdf"},{"_key":"02ff78476dda","_type":"externalLink","linkType":"text","url":"https://www.doximity.com/press_releases/new_study_reveals_growing_threat_of_obgyn_shortages"}],"style":"normal"},{"_key":"9447b58320a5","_type":"block","children":[{"_key":"67b28a8bccc10","_type":"span","marks":[],"text":"At Tia, affordability and accessibility are table stakes. That means accepting as many insurance plans as we can to reduce your cost of care, which is not the norm for integrative care providers. And, ensuring you can get healthcare on "},{"_key":"67b28a8bccc11","_type":"span","marks":["em"],"text":"your schedule"},{"_key":"67b28a8bccc12","_type":"span","marks":[],"text":" — same day, early AM, and evenings."}],"markDefs":[],"style":"normal"},{"_key":"9cdde793ab75","_type":"block","children":[{"_key":"c360ab05f9d3","_type":"span","marks":["strong"],"text":"What this means for women in LA:  Put your insurance to work for care at Tia!"}],"markDefs":[],"style":"large"},{"_key":"d8ca3865dac3","_type":"block","children":[{"_key":"e3cf0b62d2a6","_type":"span","marks":[],"text":"Once a member, you can use your insurance for primary care and gynecology services (and when we open our in-person location, acupuncture too!). As of today, we accept some plans from Aetna, Cigna, United, Anthem BCBS, Blue Shield of California, and are working to take more insurance plans soon. "}],"markDefs":[],"style":"normal"},{"_key":"c74082cd6335","_type":"block","children":[{"_key":"1275606001f5","_type":"span","marks":[],"text":"4. High-quality providers with the distinctly Tia sparkle"}],"markDefs":[],"style":"h2"},{"_key":"ff046b822117","_type":"block","children":[{"_key":"b6dbf2a1bcf90","_type":"span","marks":[],"text":"While we’re all about technology improving healthcare, we’ve recognized since day one that technology alone cannot fix healthcare. Good healthcare is about people — specifically, top-notch providers and care teams that yes, practice great medicine, but also make you feel seen, heard, and cared for in outsized ways."}],"markDefs":[],"style":"normal"},{"_key":"a6512c4278eb","_type":"block","children":[{"_key":"ca50a2e537de0","_type":"span","marks":[],"text":"To achieve this, we’ve invested heavily in building our own Care Team from scratch. This is intentional and means slower scale — a tradeoff we’re okay with, in service of quality. In practical terms, that means that everyone you interact with on the Tia platform from your Care Coordinator to an OB/GYN is employed, vetted, and trained by Tia. Unlike most virtual care offerings, we are not a network or a portal to random doctors via Zoom."}],"markDefs":[],"style":"normal"},{"_key":"787889939ba3","_type":"block","children":[{"_key":"e159e6279535","_type":"span","marks":["strong"],"text":"What this means for women in LA: Get high-quality care from Tia-vetted providers you trust."}],"markDefs":[],"style":"large"},{"_key":"68962a967d26","_type":"block","children":[{"_key":"580f4f09c616","_type":"span","marks":[],"text":"As a Tia member, you get more than a doctor; you get a highly-vetted integrative Care Team who works together — not against each other! — to manage your whole health virtually and in person. You can be confident in the quality, the information sharing (no need to repeat yourself!), and “baton passes” that make your healthcare, whether digital or physical, smooth and seamless."}],"markDefs":[],"style":"normal"},{"_key":"cd1cfef75144","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"d6d864580df1","_type":"span","marks":[],"text":"We believe in collaborative, relationship-based care."}],"markDefs":[],"style":"h4"},{"_key":"47af4cd1aa30","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Meet the LA Care Team","linkType":"button","reference":{"_ref":"e377a479-e152-4105-bfd8-cd8af403f8d8","_type":"reference"}}]}]},{"_key":"a6dc6f2e3be5","_type":"sectionHeader","title":"What’s next?!"},{"_key":"c14faeaa62cf","_type":"block","children":[{"_key":"06ff20d73f2d","_type":"span","marks":[],"text":"In typical Tia style, we will continue to look to you, our community, to inform where we go next, and how to improve our products and services. You, the women "},{"_key":"b2a581956aac","_type":"span","marks":["1c163a5181b7"],"text":"who cast their votes"},{"_key":"fa5d5b629d93","_type":"span","marks":[],"text":" for Tia Clinics near them, track their cycle, health & wellness in our app, read & share our educational content, and send us their wants, needs & dreams are critical co-creators in shaping the future of women’s health. Our ask: continue to build and share along with us! One clinic, one city at a time, we can improve women’s healthcare for women everywhere."}],"markDefs":[{"_key":"1c163a5181b7","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-7b375bc7635d5b37a3a46258915d8167946a49cf-2800x1600-png","_type":"reference"}},"publishedAt":"2020-11-17T05:00:00.000Z","slug":{"_type":"slug","current":"women-of-los-angeles-your-modern-medical-home-is-here"},"status":"production","title":"LA, Meet The Modern Medical Home | The Tia Take","topics":[{"_key":"b5228eee6d43","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Tia is now available in LA, offering a new standard of care with gynecology, primary care,mental health care & acupuncture. 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But we aren't willing to sacrifice our 'special sauce,' moments of delight that energize our clinics and put the soul back in medicine. With #TheMakingOf our second clinic in L.A., the challenge was to find the just-right balance of high-function and form.\n\nWant to check out Tia's spaces? "},{"_key":"f67b4ab38260","_type":"span","marks":["f54acab31324"],"text":"Join Now"}],"markDefs":[{"_key":"f54acab31324","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"large"},{"_key":"9b1b2e4ecdc9","_type":"sectionHeader","title":"The Set Up: how we got here "},{"_key":"34b087c3886a","_type":"block","children":[{"_key":"4c7ff583ff7e","_type":"span","marks":[],"text":"Pre-Covid, 100% of everything we did at Tia took place in our physical clinics, from exams to events. Then the world changed, and we did too. The rise of virtual care made us question the future of our IRL clinics…spoiler alert, we think physical spaces are still key to care. Saying no to virtual-only meant figuring out how to heal our physical spaces by asking:"}],"markDefs":[],"style":"normal"},{"_key":"b6e7ce5427f0","_type":"block","children":[{"_key":"082f6cf77c35","_type":"span","marks":["strong"],"text":"How does a "},{"_key":"7a9afc421ce1","_type":"span","marks":["strong","61a77680ca27"],"text":"waiting room work with social distancing"},{"_key":"3e7a07466a4f","_type":"span","marks":["strong"],"text":"? "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"61a77680ca27","_type":"annotation","text":[{"_key":"b17f203b0170","_type":"block","children":[{"_key":"e8aa9b28b9c2","_type":"span","marks":[],"text":"Asking from 6-feet away..."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"ed33794164f1","_type":"block","children":[{"_key":"b47d9acfad700","_type":"span","marks":["strong"],"text":"How do we create "},{"_key":"0a33ed2a63db","_type":"span","marks":["strong","df2ff4aeb98b"],"text":"moments of delight "},{"_key":"f4f95687a2d0","_type":"span","marks":["strong"],"text":"within our spaces when we’re all hyper-focused on the less sexy stuff, like sanitizer, safety procedures, and all the Covid protocols?"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"df2ff4aeb98b","_type":"annotation","text":[{"_key":"c35ec62f2eb9","_type":"block","children":[{"_key":"8bd937fa888a","_type":"span","marks":[],"text":"Think: boldly-colored waiting area and lush gardens!"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"4c97dd4e4a0f","_type":"block","children":[{"_key":"55feaec4c9dd0","_type":"span","marks":["strong"],"text":"How do we "},{"_key":"603c7058e90b","_type":"span","marks":["strong","d19443738f47"],"text":"design our spaces to meet the distinct needs of our providers"},{"_key":"dae01d57661e","_type":"span","marks":["strong"],"text":" working day in and day out on the frontlines to serve *you* !? "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"d19443738f47","_type":"annotation","text":[{"_key":"a9648216eb86","_type":"block","children":[{"_key":"a608416da8cb","_type":"span","marks":[],"text":"Yes, doctors and nurses deserve human-centric design, too!"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8b90dd65ab99","_type":"block","children":[{"_key":"1d284e2531cd0","_type":"span","marks":["strong"],"text":"How do we incorporate your feedback into everything we do..."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1e6f99e612c1","_type":"editorialImageCarousel","items":[{"_key":"4e8e64af92a3","_type":"editorialImageAndText","containerSize":"container--s","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3b874ca557fa7ca2775873aaa0ffa9a32295e23b-7200x4008-png","_type":"reference"}}}}]},{"_key":"dc4311a09f0e","_type":"sectionHeader","title":"Meet the Makers: the people behind our process, who help us make progress"},{"_key":"8079649be0c5","_type":"editorialImageCarousel","items":[{"_key":"76feca7f7544","_type":"editorialImageAndText","containerSize":"container--s","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-2769443814514490ca864853faf9e77dfa01b0df-7200x4008-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"3fdc594a6018","_type":"block","children":[{"_key":"37c414886f51","_type":"span","marks":["strong"],"text":"\"Healing to me means working towards getting back to the space and place where I feel inspired, strong, and energized. It’s not only a physical process, but a mental and emotional one as well.\" -"},{"_key":"4852d493c129","_type":"span","marks":["90724425cd19","strong"],"text":"Alda Ly"},{"_key":"aae4d493ee81","_type":"span","marks":["strong"],"text":" "}],"markDefs":[{"_key":"90724425cd19","_type":"annotation","text":[{"_key":"e7fa53e75f8d","_type":"block","children":[{"_key":"61b26425b249","_type":"span","marks":[],"text":"Read our full interview with Alda "},{"_key":"5da19f7f1713","_type":"span","marks":["1b159d3c5f71"],"text":"here"},{"_key":"83d4e81f8923","_type":"span","marks":[],"text":"!"}],"markDefs":[{"_key":"1b159d3c5f71","_type":"annotationLink","reference":{"_ref":"3e3e1823-339b-44c3-b473-90d323aa1df0","_type":"reference"}}],"style":"normal"}]}],"style":"large"},{"_key":"16c70c4f0ac6","_type":"sectionHeader","title":"Design By the Numbers"},{"_key":"035be6aae5ec","_type":"block","children":[{"_key":"11db172b4259","_type":"span","marks":[],"text":"Our design process starts by asking questions - a lot of them. From there we look to you and our team of amazing architects and designers to help shape our process and progress. While it’s hard to keep track of all the decisions (and Slack messages) that go into a single space, we thought we’d show you a few of the numbers that stood out in Tia, LA."}],"markDefs":[],"style":"normal"},{"_key":"34f726d5b702","_type":"editorialImageCarousel","items":[{"_key":"ed72050c3d91","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4ea4cd96ab63f5e1007c34fbbae0a7ad2bf3a0d5-7200x4008-png","_type":"reference"}}},"text":[{"_key":"b3edae60d37b","_type":"block","children":[{"_key":"a23157cd8176","_type":"span","marks":[],"text":"\"Co-creation was HUGE part of building the NY clinic. We asked our community so many questions from “where do you put your underwear” (hint: they had no idea where to put it) to how do you want your provider to engage with you during your appointment.\" - "},{"_key":"bd53b5f8b019","_type":"span","marks":["strong"],"text":"Allie Ball, Head of Design"}],"markDefs":[],"style":"normal"}]},{"_key":"c128e4ca5e6e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e829e9dab338eca5ccc1903460d35d339f95c28a-7200x4008-png","_type":"reference"}}}},{"_key":"648c6eec7805","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-df7585de2a7ec7800797b1e1cf74eb86e34e376b-7200x4008-png","_type":"reference"}}}}]},{"_key":"8970afb419dc","_type":"sectionHeader","title":"The Making Of: our in-clinic mural "},{"_key":"e9454978bd43","_type":"block","children":[{"_key":"c3dca1a23407","_type":"span","marks":[],"text":"A picture says a thousand words, and for us a simple, “hi” isn’t enough. Take our NYC space where you’re greeted by: the wonderfully bold, Alexa Proba. Now, that we’ve moved to LA, we’ve created a mural that will sit behind our front desk and greet you each time you’re in our clinic. 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Now, I have the ability to follow patients progress over time and be a collaborative member of the Tia care team every step of the way!"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-808136a7d78a0bece19b60315ae7f7c0bd9c4618-2500x800-png","_type":"reference"}},"publishedAt":"2019-09-25T04:00:00.000Z","slug":{"_type":"slug","current":"gabriela-mora"},"status":"production","title":"Meet Gabriela Mora, Ultrasound Technician at Tia","topics":[{"_key":"3b434aeecc88","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Q&A with Gabriela Mora, Ultrasound Technician at Tia.","metaTitle":"Meet Gabriela Mora, Ultrasound Technician at Tia","openGraphDescription":"Q&A with Gabriela Mora, Ultrasound Technician at Tia.","openImage":{"_type":"image","asset":{"_ref":"image-c358b019e8586e6ebee594f9eb04b46298348ab1-1366x800-png","_type":"reference"}},"title":"Meet Gabriela Mora, Ultrasound Technician at Tia","twitterDescription":"Q&A with Gabriela Mora, Ultrasound Technician at Tia.","twitterImage":{"_type":"image","asset":{"_ref":"image-c358b019e8586e6ebee594f9eb04b46298348ab1-1366x800-png","_type":"reference"}},"twitterTitle":"Meet Gabriela Mora, Ultrasound Technician at Tia"}},"id":"b1cf150f-a51d-5572-b371-6520952e33e9","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"455c62d1f560ad0182b2644d360d55c3","counter":1115,"owner":"gatsby-source-sanity"}},{"_id":"e43a486c-c7d1-4ea2-b9ac-37ccdc5d2d07","_type":"editorial","_createdAt":"2020-08-13T15:01:22Z","_rev":"8ycwaKn5PLURgEeFH9z4T6","_updatedAt":"2022-12-28T09:51:29Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"reference"},"authors":[{"_key":"0e6b0168ac15","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-f3f771743acdf4624170918649f0d956e3b35ade-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"a6a756b987cd","_type":"block","children":[{"_key":"a6a756b987cd0","_type":"span","marks":[],"text":"Last week we hosted our very first Tia Tackles event — "},{"_key":"a6a756b987cd1","_type":"span","marks":["462761f45d02"],"text":"Dr. Terri-Ann Bennett"},{"_key":"a6a756b987cd2","_type":"span","marks":[],"text":" shared her wisdom and expertise in conversation with Dr. Stephanie McClellan, Chief Medical Officer of Tia. They spoke about the need for patient advocacy for BIPOC, what patient advocates do, and how to weave them through the clinical experience from institutional change to providers to the layperson. Here is some of what we learned."}],"markDefs":[{"_key":"462761f45d02","_type":"externalLink","url":"https://www.instagram.com/drbennettmfm/?hl=en"}],"style":"large"},{"_key":"5cc2d857b25a","_type":"sectionHeader","title":"The basics"},{"_key":"18872cfaaa12","_type":"block","children":[{"_key":"18872cfaaa120","_type":"span","marks":[],"text":"The American healthcare system has a long legacy of racism and discrimination, fuel for the disparity that is pervasive in this system. Navigating the healthcare system is daunting for most, but especially for BIPOC. Due to an array of access barriers, BIPOC not only receive less care than white people but also receive worse care. BIPOC are disproportionately misdiagnosed, under-diagnosed, and mistreated, quality of care directly correlates to worse health outcomes."}],"markDefs":[],"style":"normal"},{"_key":"69c3a1a3bba9","_type":"block","children":[{"_key":"69c3a1a3bba90","_type":"span","marks":[],"text":"Emotional expressions and experience of pain by Black individuals are more likely to be misperceived. Pain is under-diagnosed and under-treated as a result of racial bias. Stereotyping is ever-present in clinical situations, leading certain populations to emphasize specific class and cultural resources such as cultural health capital (cultural skills, attitudes, behaviors, and interaction styles) to leverage and mitigate discrimination."}],"markDefs":[],"style":"normal"},{"_key":"f7a587f59750","_type":"block","children":[{"_key":"f7a587f597500","_type":"span","marks":[],"text":"Epigenetics, the study of inherited genetic trait changes, is a quickly evolving field showing that trauma and its effects may be passed through generations, recognizable through gene expression and cellular activity that is influenced by external factors such as environment. Inherited trauma may be likened to the permanence of scar, the remnants of the initial wound become a scar inscribed into a person that then passes on through their lineage. Generational trauma can impact livelihood via both the mind and body."}],"markDefs":[],"style":"normal"},{"_key":"486e325a5684","_type":"block","children":[{"_key":"486e325a56840","_type":"span","marks":[],"text":"There are social determinants of health that directly impact BIPOC — economic and social conditions, such as living and working conditions (think: the distribution of income, wealth, influence, and power) that influence individual and group differences in health status (think: risk and vulnerability of disease or injury) and access to care."}],"markDefs":[],"style":"normal"},{"_key":"5bc6416a244f","_type":"sectionHeader","title":"How can we create a built-in system for patient advocacy?"},{"_key":"8396cabbd87c","_type":"block","children":[{"_key":"8396cabbd87c0","_type":"span","marks":[],"text":"Trust facilitates care-seeking behavior and promotes patient honesty and adherence. Distrust inhibits care-seeking and may lead to non-adherence. One study in Chicago looked at how trustworthy Black people found their physicians. The study found that participants indicated that trust is determined by the interpersonal and technical competence of physicians. Contributing factors to distrust in physicians included a lack of interpersonal and technical competence, perceived quest for profit, and expectations of racism and experimentation during routine health care. Another study looking at race in patient-physician relationships found that the quality of interpersonal care is vital in facilitating a patient’s involvement in their care, increased patient involvement improves patient satisfaction and outcomes."}],"markDefs":[],"style":"normal"},{"_key":"96b7f39ad00d","_type":"block","children":[{"_key":"96b7f39ad00d0","_type":"span","marks":[],"text":"One way to effectively create institutional change is to promote diversity within the healthcare system. Data suggests that African American patients rate their visits with physicians as less participatory than whites. However, patients seeing physicians of their own race rate their physicians’ decision-making styles as more participatory. Improving cross-cultural communication between physicians and patients and providing patients with access to a diverse group of physicians may lead to more patient involvement in care, higher levels of patient satisfaction, and ultimately, better health outcomes. A study conducted by Stanford looked at Black men in Oakland, found that men seen by Black physicians were more likely to engage with them, and even consent to preventive services like cardiovascular screenings and immunizations. Black doctors were 71% more likely to get their patients to receive a cholesterol screening, whereas non-Black doctors were 45% as likely. The study estimates this approach could reduce the Black-white mortality gap due to heart disease by 19%."}],"markDefs":[],"style":"normal"},{"_key":"43ac32ba5304","_type":"block","children":[{"_key":"43ac32ba53040","_type":"span","marks":[],"text":"Dr. Terri-Ann Bennett believes that providers should be trained early on in their schooling to understand not only bias but also the actual biological differences that result from inherited trauma. Beyond this training, she recommends that providers continually check their bias while working with patients and actively seek to understand why their patients have fears or misunderstandings. Understanding why gives way to an empathetic response, leading with empathy engenders advocacy. Dr. Bennett suggests implicit bias training but also asks that providers take it a step further by enhancing their cultural competency and actively work to have an anti-racist practice."}],"markDefs":[],"style":"normal"},{"_key":"01939b3fe286","_type":"sectionHeader","title":"In conclusion"},{"_key":"a0520b6fd005","_type":"block","children":[{"_key":"a0520b6fd0050","_type":"span","marks":[],"text":"Research shows that patient advocacy is effective. One study looking at a sample of 30–74-year-old self-identified African-American and/or Black women who had received abnormal mammogram results found advocacy to be a positive factor in their medical experiences. The participants felt that engaging in medical advocacy helped address ongoing experiences of mistrust and racism in the medical setting. Participants also expressed that they felt accountable for their own bodies because they were involved in decisions about their care because they were informed about their decisions."}],"markDefs":[],"style":"normal"},{"_key":"3cb35a11f00c","_type":"block","children":[{"_key":"3cb35a11f00c0","_type":"span","marks":["strong"],"text":"Institutions can support patient advocacy by…"}],"markDefs":[],"style":"normal"},{"_key":"840e64a59bcc","_type":"block","children":[{"_key":"840e64a59bcc0","_type":"span","marks":[],"text":"Promoting body literacy by actively teaching and making information readily accessible which empowers patients to advocate for themselves."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"276008b74a88","_type":"block","children":[{"_key":"276008b74a880","_type":"span","marks":[],"text":"Personalizing medicine, rather than generalizing."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6607820d9ff9","_type":"block","children":[{"_key":"6607820d9ff90","_type":"span","marks":[],"text":"Revolutionizing healthcare delivery by incorporating patient advocates throughout the patient journey and actively supporting their presence (eg. doulas, friends and family members joining appointments)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c9591238e643","_type":"block","children":[{"_key":"c9591238e6430","_type":"span","marks":["strong"],"text":"Providers can advocate for their patients by…"}],"markDefs":[],"style":"normal"},{"_key":"9be527d2e42e","_type":"block","children":[{"_key":"9be527d2e42e0","_type":"span","marks":[],"text":"Empowering them through teaching and shared-decision making."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2f294d0b9ebb","_type":"block","children":[{"_key":"2f294d0b9ebb0","_type":"span","marks":[],"text":"Reminding patients of their rights."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e788333914af","_type":"block","children":[{"_key":"e788333914af0","_type":"span","marks":[],"text":"Using communication styles that support understanding."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"28ebefbaaff8","_type":"block","children":[{"_key":"28ebefbaaff80","_type":"span","marks":[],"text":"Ensuring care continues after appointments (eg. follow-ups, lifestyle changes, medication, etc.)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0e9da3e98991","_type":"block","children":[{"_key":"0e9da3e989910","_type":"span","marks":["strong"],"text":"Patients can advocate for themselves by…"}],"markDefs":[],"style":"normal"},{"_key":"58a2e5a98858","_type":"block","children":[{"_key":"58a2e5a988580","_type":"span","marks":[],"text":"Bringing someone with them (eg. friend or family member) for support. Note: hospital systems and third party agencies are often able to provide advocates to patients."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"14785252d485","_type":"block","children":[{"_key":"14785252d4850","_type":"span","marks":[],"text":"Not ending an appointment until they feel they understand their provider fully."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b9df7bfd8f51","_type":"block","children":[{"_key":"b9df7bfd8f510","_type":"span","marks":[],"text":"Researching before and after visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8802015a591b","_type":"block","children":[{"_key":"8802015a591b0","_type":"span","marks":[],"text":"Ask all the questions! Ask why and why again! Ask about side-effects, advantages, and disadvantages of recommendations made by the provider. 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"},{"_key":"68da2db4bc45","_type":"span","marks":["00d8b4950642"],"text":"Join Now"},{"_key":"739e8bc9a0dd","_type":"span","marks":[],"text":"\n\nOne of the most exciting things about Tia’s growth and evolution as a healthcare provider is that we’re continually improving, changing, assessing, and evaluating our services to make sure we’re meeting the needs of our community. We understand the deep history of healthcare in the United States as a site of exclusion, oppression, and trauma for many people, making our commitment to personalized, affirming, whole-person care all the more critical. That also means we have a responsibility to take an intersectional approach to our diversity, equity, and inclusion initiatives at every level of our organization, and to offer transparency about that process to our community. You’ve asked us important questions about who we serve, the line between our values and expertise, and what we’re doing to make Tia a more inclusive provider -- we’re here to provide some answers."}],"markDefs":[{"_key":"00d8b4950642","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"},{"_key":"2c6e33ed515b","_type":"block","children":[{"_key":"d8504928d5ad","_type":"span","marks":[],"text":"At Tia, we call ourselves the “modern medical home for women”. We understand that solely referencing cisgender women in the context of women’s health excludes a diverse group of "},{"_key":"0fd9664acd6f","_type":"span","marks":["44ff8a5511ac"],"text":"transgender"},{"_key":"39ff26d63504","_type":"span","marks":[],"text":" and "},{"_key":"b716b165438b","_type":"span","marks":["32d575ec287d"],"text":"gender nonbinary"},{"_key":"b970a12e5ec8","_type":"span","marks":[],"text":" people who have healthcare needs and experiences that can be similar to, but also unique from, those of cisgender women.\n\nTrans women are women, full stop. When we reference “women'' at Tia, our language is always inclusive of trans women, who face unique and disproportionate barriers to healthcare, especially if they are women of color. "},{"_key":"28ea40d4fb7e","_type":"span","marks":["strong"],"text":"Trans people and nonbinary individuals are welcome and celebrated at Tia, and are active members of the Tia patient community today."}],"markDefs":[{"_key":"44ff8a5511ac","_type":"externalLink","linkType":"text","url":"https://www.glaad.org/transgender/transfaq"},{"_key":"32d575ec287d","_type":"externalLink","linkType":"text","url":"https://transequality.org/issues/resources/understanding-non-binary-people-how-to-be-respectful-and-supportive#:~:text=The%20idea%20that%20there%20are,two%20categories%2C%20male%20or%20female."}],"style":"normal"},{"_key":"0bad204028fb","_type":"editorialImageCarousel","items":[{"_key":"b2b7fe49d4fc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1608bc3621e73bf13ff16b6e6c39b779a9271679-2400x1336-png","_type":"reference"}}}}]},{"_key":"ac9ccc60789f","_type":"block","children":[{"_key":"50020f1db97e","_type":"span","marks":[],"text":"As a Tia member, your gender identity will be affirmed and respected. Before you ever meet with one of our providers, you’ll fill out a detailed health record form that will tell us important details about your identity, including your gender, pronouns, and sexual orientation, so we can ensure that we are referring to you correctly and asking appropriate questions about your health and life experiences. "},{"_key":"c22a8b26d458","_type":"span","marks":["strong"],"text":"More than 7% of Tia patients use a pronoun other than she/her and identify across the gender spectrum"},{"_key":"6bd0d0b2cfc0","_type":"span","marks":[],"text":". Where appropriate, we provide our patients clinical context as to why it's important for a provider to understand this information; it’s core to our "},{"_key":"2076771e1362","_type":"span","marks":["c2f7c315e627"],"text":"care philosophy"},{"_key":"7a6a7f8bb135","_type":"span","marks":[],"text":", specifically, our commitment to personalized care and treating the person, not (just) the patient. We recognize the multitude of ways that a patient’s lived experience influences their health and access to care: clinically, psychosocially, and experientially. All Tia providers undergo training on inclusive care as well as inclusive language, protocols, and the individualized, connected model of Tia care that centers our patients and gives you full agency over your health care."}],"markDefs":[{"_key":"c2f7c315e627","_type":"internalLink","linkType":"text","reference":{"_ref":"d7c4a624-4b3b-4863-b4e5-24653bbb4270","_type":"reference"}}],"style":"normal"},{"_key":"e0724b55d1c6","_type":"editorialImageCarousel","items":[{"_key":"0f67f13d62d9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ebaa45eefd3638624fd7f2f7e1fa97d395dbfccc-1644x1138-png","_type":"reference"}}},"text":[{"_key":"2e2a3cdd50fb","_type":"block","children":[{"_key":"7b6f18c3bf47","_type":"span","marks":[],"text":"Tia provider screen that includes important information about patient identity."}],"markDefs":[],"style":"normal"}]}]},{"_key":"b1e2c0d9ff52","_type":"block","children":[{"_key":"b94976a06f2e","_type":"span","marks":[],"text":"While our community is explicitly open and welcoming to people of all genders, we have a duty to be transparent that we are not a center of excellence for every person across the gender spectrum at this time. Tia offers a range of services from primary care to acupuncture to gynecology and mental health, which are currently utilized by trans and nonbinary patients. We provide primary care services for cis, trans and nonbinary patients (ranging from blood pressure management to acute injury or illnesses) and at this time work with our community specialist partners who provide gender affirming hormone therapy and surgical services. While we do not currently offer these specific services that we know are critical to the trans community, you still have a place at Tia. If you are a Tia member in need of a service that we do not offer, we will work with you one on one to refer you to the high-quality, trusted care you require to live healthily and as your authentic self."}],"markDefs":[],"style":"normal"},{"_key":"2f3e2398205b","_type":"block","children":[{"_key":"db5e7889e4b50","_type":"span","marks":[],"text":"As a healthcare provider, Tia is committed to growing and evolving, always keeping diversity, equity, and inclusion at the heart of our mission. As we look forward to our future, we commit to gender inclusivity in the following ways at this moment:"}],"markDefs":[],"style":"normal"},{"_key":"1e05417fa5dd","_type":"block","children":[{"_key":"6dfd1aff438f","_type":"span","marks":["381b1d77117f"],"text":"Creation of a Tia DEI Advisory Council"},{"_key":"6c1bf9936a18","_type":"span","marks":[],"text":" made up of experts and members to strategize and guide us in becoming a more inclusive health care providers"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"381b1d77117f","_type":"internalLink","linkType":"text","reference":{"_ref":"b0cc1191-358f-4639-b68c-f28aae31e8ee","_type":"reference"}}],"style":"normal"},{"_key":"9f46e9ab63f7","_type":"block","children":[{"_key":"2409f5547d53","_type":"span","marks":[],"text":"Engaging an experienced LGBTQ+ consultant, "},{"_key":"e80a46bd575d","_type":"span","marks":["f61eddd2d87f"],"text":"Shane Snowdon"},{"_key":"ef5c6b178845","_type":"span","marks":[],"text":", to ensure our organization and environment of care (for both employees and patients) supports the health of people of all gender identities and sexual orientations"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"f61eddd2d87f","_type":"internalLink","linkType":"text","reference":{"_ref":"571a4e54-4ef4-44ba-87bc-b6eef3f32e63","_type":"reference"}}],"style":"normal"},{"_key":"944c3dd5d759","_type":"block","children":[{"_key":"3044f0ee1d76","_type":"span","marks":[],"text":"Continued education for staff and providers on issues in LGBTQ+ health"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4839d60b3752","_type":"block","children":[{"_key":"e5107206af8d","_type":"span","marks":[],"text":"Community events that specifically speak to the experiences and needs of LGBTQ+ members"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9831a10f8465","_type":"block","children":[{"_key":"3232bdce812b","_type":"span","marks":[],"text":"Building more partnerships with LGBTQ+ institutions, influencers, and health experts / educators"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"833e86a5475c","_type":"block","children":[{"_key":"f42aa73d9ac8","_type":"span","marks":[],"text":"Expansion of the language we use with regard to gender in our clinic experience and communications"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"056d0320340c","_type":"block","children":[{"_key":"421d68edd01c","_type":"span","marks":[],"text":"Increasing representation of LGBTQ+ people on the Tia Care Team and our staff as a whole"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4aefbaa1bfd8","_type":"block","children":[{"_key":"82cbe1f71faf","_type":"span","marks":[],"text":"Providing a listening ear to our community and an open door policy for feedback and ideas for our growth. Reach out at "},{"_key":"02d6628e2863","_type":"span","marks":["9ccaf116e1a4"],"text":"sayhello@asktia.com"},{"_key":"b55f2bcb769a","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9ccaf116e1a4","_type":"externalLink","linkType":"text","url":"mailto:sayhello@asktia.com"}],"style":"normal"},{"_key":"369df6bfe144","_type":"block","children":[{"_key":"ea3a37c58d36","_type":"span","marks":[],"text":"At Tia, we understand that the journey of growth and change can be messy and difficult. We know there may be stumbling blocks or mistakes ahead, and we thank our community for holding us accountable and being a partner in our evolution. Learning is never over, and we’re committed to the process. Our services and care model can grow and change in the future, and we are open to so many possibilities. 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Head this way for a deep dive on the research supporting this effort!"}],"markDefs":[],"style":"normal"},{"_key":"ed3f5579813e","_type":"block","children":[{"_key":"ed3f5579813e0","_type":"span","marks":[],"text":"More than a simple quiz, Female Stress Signatures is an educational tool that communicates five key concepts that every female and women’s healthcare provider should know:"}],"markDefs":[],"style":"normal"},{"_key":"b94ee5458894","_type":"block","children":[{"_key":"b94ee54588940","_type":"span","marks":[],"text":"#1: Female* stress is distinct from male stress."}],"markDefs":[],"style":"h3"},{"_key":"9b66632e07c0","_type":"block","children":[{"_key":"9b66632e07c00","_type":"span","marks":[],"text":"Shocker! Males and females evolved to process stress differently. Even though our bodies react in a similar way (meaning, elevated blood pressure, increased heart rate, dilated pupils), female and male brains activate different pathways — even in response to the same stressors. This is why we need to both study and clinically consider female stress responses and triggers as distinct from male stress patterns."}],"markDefs":[],"style":"normal"},{"_key":"176c25bcc6d7","_type":"block","children":[{"_key":"176c25bcc6d70","_type":"span","marks":["em"],"text":"*Looking to know how we define female with respect to the science of stress? Check out our glossary"},{"_key":"176c25bcc6d71","_type":"span","marks":["em","strong"],"text":" "},{"_key":"176c25bcc6d72","_type":"span","marks":["strong","9454e8a13db8"],"text":"here"},{"_key":"176c25bcc6d73","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"9454e8a13db8","_type":"externalLink","url":"https://stressquiz.asktia.com/glossary/"}],"style":"normal"},{"_key":"fc7e758f07d9","_type":"block","children":[{"_key":"fc7e758f07d90","_type":"span","marks":[],"text":"#2: Not all stress is bad nor created equal!"}],"markDefs":[],"style":"h3"},{"_key":"7431a524f0bb","_type":"block","children":[{"_key":"7431a524f0bb0","_type":"span","marks":[],"text":"Some stress is normal, healthy, and key to our survival. But other forms of stress — and too much stress — is not. Specifically, acute stress — which is stress that lasts anywhere from a few seconds to a few hours — is a natural physical and mental reaction to life’s experiences and is valuable (in doses)."}],"markDefs":[],"style":"normal"},{"_key":"064bde105db3","_type":"block","children":[{"_key":"064bde105db30","_type":"span","marks":[],"text":"But, when you let it run wild and stressors pile up, it can become negative This is called chronic stress and is what we’re committed to helping women better manage through Tia’s Female Stress Signatures."}],"markDefs":[],"style":"normal"},{"_key":"43689cbeb874","_type":"block","children":[{"_key":"43689cbeb8740","_type":"span","marks":[],"text":"#3: Chronic stress can make women sick."}],"markDefs":[],"style":"h3"},{"_key":"5928646224d1","_type":"block","children":[{"_key":"5928646224d10","_type":"span","marks":[],"text":"Stress protects you during short-term threatening conditions, but increasingly, you’ll find yourself in situations where a quick resolution isn’t an option — like feeling constantly overworked or worrying about paying rent on time. And so, the amazing system designed to protect you begins to cause wear and tear instead. This is known as "},{"_key":"5928646224d11","_type":"span","marks":["em"],"text":"allostatic load"},{"_key":"5928646224d12","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"4b0557270066","_type":"block","children":[{"_key":"4b05572700660","_type":"span","marks":[],"text":"How allostatic load presents itself in each individual woman depends on a multitude of complex, interactive factors: the nature, duration, and timing of the chronic stress, your genetics, epigenetics, and the cumulative effects of your lifestyle, good and bad."}],"markDefs":[],"style":"normal"},{"_key":"a50f02749723","_type":"block","children":[{"_key":"a50f027497230","_type":"span","marks":[],"text":"When your brain and body remain alert and activated longer than is healthy, you can become more vulnerable to infections, heart attacks, strokes, high blood pressure, fatigue, gut dysregulation, and accelerated aging. This is why in a very literal way, chronic stress can make you sick!"}],"markDefs":[],"style":"normal"},{"_key":"44bc40a9dd19","_type":"block","children":[{"_key":"44bc40a9dd190","_type":"span","marks":[],"text":"#4: Stress is more than cortisol — it involves the two separate axes of energy and arousal."}],"markDefs":[],"style":"h3"},{"_key":"4701d664db13","_type":"block","children":[{"_key":"4701d664db130","_type":"span","marks":[],"text":"Clinically, the burdens of chronic stress can be broadly grouped into four Stress Signatures:"}],"markDefs":[],"style":"normal"},{"_key":"beb1c3efc6d8","_type":"editorialImageCarousel","items":[{"_key":"9d612adb163c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-743b4c299b0e9020c721b89fcc7e6993408a634a-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"04acfd50ddf7","_type":"block","children":[{"_key":"04acfd50ddf70","_type":"span","marks":[],"text":"These four Stress Signatures focus on the dominant components of the stress response — primarily the cortisol released from your adrenal glands and your autonomic nervous system. In other words, your Stress Signature is a byproduct of how fast you are to mobilize energy and how aroused your nervous system is."}],"markDefs":[],"style":"normal"},{"_key":"f8ff147f94f9","_type":"block","children":[{"_key":"f8ff147f94f90","_type":"span","marks":[],"text":"Energy"}],"markDefs":[],"style":"h4"},{"_key":"9d7ca1503758","_type":"block","children":[{"_key":"9d7ca15037580","_type":"span","marks":[],"text":"When we say “Energy” in the context of stress, we’re talking about how eager your body is to mobilize — either a go-go-go "},{"_key":"9d7ca15037581","_type":"span","marks":["em"],"text":"Sprinter"},{"_key":"9d7ca15037582","_type":"span","marks":[],"text":" or a slow-your-roll "},{"_key":"9d7ca15037583","_type":"span","marks":["em"],"text":"Pacer"},{"_key":"9d7ca15037584","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"95fac5b23877","_type":"editorialImageCarousel","items":[{"_key":"2bd80d03d8f8","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-571e9cfe52954e2152bbae089a30856722783424-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"1c8695f2ce94","_type":"block","children":[{"_key":"1c8695f2ce940","_type":"span","marks":["strong"],"text":"Sprinter"},{"_key":"1c8695f2ce941","_type":"span","marks":[],"text":": In comparison to Pacers, mobilizing energy is as easy as rise and shine. You’re ready to go-go-go from the moment your alarm goes off. But too much eager energy is taxing on your body, sending every cell in your body into overdrive, and bugging friends who’d rather not receive a brunch itinerary at 7AM."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2a0318854f72","_type":"block","children":[{"_key":"2a0318854f720","_type":"span","marks":["strong"],"text":"Pacer"},{"_key":"2a0318854f721","_type":"span","marks":[],"text":": In comparison to Sprinters, you’re slower and more gradual in the way you mobilize energy. Late nights equal Kryptonite. When your circadian rhythms are balanced, you’re able to win the slow and steady race. 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So imagine your body is like a turtle — you prefer to be in your shell and when stress strikes, you’re retreating even further."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"98534900c8e2","_type":"block","children":[{"_key":"98534900c8e20","_type":"span","marks":[],"text":"#5: Stress is a spectrum. Unlike your high school prom pics, you aren’t stuck!"}],"markDefs":[],"style":"h3"},{"_key":"c6ae88f9eadf","_type":"block","children":[{"_key":"c6ae88f9eadf0","_type":"span","marks":[],"text":"So first things first: whether you feel “stressed” day-to-day or not, everyone has a Stress Signature. And there’s no such thing as a bad, wrong, or weird Signature. 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Depending on the care you receive, this could look like: the total amount owed for care might be $300, but the total due this month is $100. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"markDefs":[],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"870100e2ba77191910de15e6ccc94eea","_type":"standardText","backgroundColor":"bcoat","spacing":"pys","text":[{"_key":"46cf34ee3fb7","_type":"block","children":[{"_key":"5b74e53d9dee","_type":"span","marks":["strong"],"text":"Benefits of Predictable Payments:"}],"markDefs":[],"style":"h3"},{"_key":"1098c02cbd0e","_type":"columnText","items":[{"_key":"650ad3839c9d","_type":"plainText","text":[{"_key":"2c4d8e63bfa9","_type":"block","children":[{"_key":"e8eb6d41ec77","_type":"span","text":"1. $100 Capped Invoices"}],"style":"h4"},{"_key":"023c344f8e38","_type":"block","children":[{"_key":"e4e851ff40c4","_type":"span","text":"One of the biggest benefits of this payment method is predictability. With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"f09197a42ee3","_type":"plainText","text":[{"_key":"88f7e338611b","_type":"block","children":[{"_key":"1c16f63a2855","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"619e04901dfd","_type":"block","children":[{"_key":"a64c5612be62","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. You’ll receive a single, predictable invoice each month, making it easier to understand and manage your healthcare expenses."}],"style":"normal"}]}]},{"_key":"02038897740b","_type":"columnText","items":[{"_key":"8ca07cec8ea7","_type":"plainText","text":[{"_key":"bd79b6786e4b","_type":"block","children":[{"_key":"6280485476ae","_type":"span","text":"3. Surprise-Free = Stress-Free"}],"style":"h4"},{"_key":"d03fb2839c50","_type":"block","children":[{"_key":"092bb51bba21","_type":"span","text":"Medical expenses can be overwhelming, especially when they come as a surprise. Our capped invoicing system alleviates this stress by spreading out payments into smaller, more manageable amounts. This approach helps prevent financial strain and ensures you can maintain financial stability."}],"style":"normal"}]},{"_key":"d51059877aec","_type":"plainText","text":[{"_key":"c412813cf992","_type":"block","children":[{"_key":"7d6ae000a89f","_type":"span","text":"4. 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We aim to partner with you not just around the care you receive but also how you budget for the costs associated with the care you need and deserve."}],"style":"normal"}]}]},{"_key":"4fa8fa822cfc","_type":"block","children":[{"_key":"c3a403696d35","_type":"span","marks":[],"text":"Want to know more about Predictable Payments?"}],"markDefs":[],"style":"normal"},{"_key":"9902a975a447","_type":"buttonBlock","items":[{"_key":"c4feceeb1261","_type":"singleButton","backgroundColor":"bctran","linkCta":"Learn more here","linkType":"button","url":"https://asktia.com/predictable-payments/"}],"onlyStackButtons":false}]},{"_key":"b85f0ecea49f23bf8bcbba37363f16f4","_type":"spacer","backgroundColor":"bcoat","spacing":"pys"},{"_key":"0097954cf692","_type":"shape","backgroundColor":"secondary-1","shapeColor":"secondary-2","shapeType":"shape-1"},{"_key":"b99c9d73728581c33b6c44ea9069c98f","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"5be2c9023e6d","_type":"faqModule","faqs":[{"_key":"58fb4d1a54de","_ref":"0d664388-a42d-4f20-8e60-3911c6a8c79b","_type":"reference"},{"_key":"94e901c4849e","_ref":"98fab06a-1a72-409e-8b4d-4e2aef838df1","_type":"reference"},{"_key":"760b26558b0f","_ref":"b3a606ca-3559-4c61-80bf-4d67ade797c8","_type":"reference"}],"title":"Top Insurance FAQ"},{"_key":"66d3fceb67f4","_type":"editorialText","editorialText":[{"_key":"7d5c42f5f4ed","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"cfaa67540e9d","_type":"block","children":[{"_key":"f4dd3108d7b9","_type":"span","text":"Talk to Our Team"}],"style":"h3"},{"_key":"dc4bca435559","_type":"block","children":[{"_key":"7a426b0f77d4","_type":"span","text":"Have questions about Tia’s care? 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Enter the front door of the building on Mission St, below the Tia sign. Ring the doorbell to your left."]},{"_key":"32522674-57fd-4fc6-aa32-bdb3c1885627","_type":"tableRow","cells":["Where to park","SF Mission offers parking validation for the parking garage at 90 11th Street, San Francisco CA. The price starts at $10/hour but should not exceed $20 total with parking validation from the clinic. If garage has sign stating full, please disregard and proceed to park there as we have reserved spot for Tia patients."]},{"_key":"0ce16e9d-1098-4e6d-9b43-17d986f9fcf3","_type":"tableRow","cells":["When to arrive to the clinic before your appointment","Please arrive to your appointment 15 min early, in case you get lost or have trouble with traffic or parking. If you are late to your appointment, we may not be able to care for you and you may be charged a fee."]}]},"title":"Additional Information"},{"_key":"e8e90f3e92859b220b2963c94a3c7ac1","_type":"spacer","backgroundColor":"bccream","spacing":"pyl"},{"_key":"6f5bc9ae2f908bacbee6a83281f4f341","_type":"shape","backgroundColor":"secondary-2","shapeColor":"secondary-1","shapeType":"shape-4"},{"_key":"845d03846d96f3a2f91b98484340bd06","_type":"spacer","backgroundColor":"bcoat","spacing":"pys"},{"_key":"5b2bfcd598c9","_type":"standardText","backgroundColor":"bcoat","containerSize":"container--m","text":[{"_key":"1e1f8a7c8670","_type":"block","children":[{"_key":"55fa1841994c","_type":"span","marks":[],"text":"San Francisco loves Tia"}],"markDefs":[],"style":"h2"}]},{"_key":"be71d6b9a114","_type":"testimonials","backgroundColor":"secondary-2","testimonials":[{"Content":"The whole experience, start to finish was wonderful! The space is beautiful, my doctor was so attentive, checkin and checkout were so easy.","Title":"Elyse","_key":"8066777b0cd2","_type":"inline"},{"Content":"Great space, particularly the waiting room with the nice water options. Everyone from the front desk to the nurse to the doctor were very kind. Great that I was able to get my pap, breast exam, blood labs and flu shot all at once! ","Title":"Lily","_key":"77b610dcaff2","_type":"inline"},{"Content":"Going to Tia was the best experience ever. The staff was attentive and the best part is that they were all women!! I've never like going to the OB/GYN but going to Tia made it more enjoyable and less scary ","Title":"TJ","_key":"7042359cb503","_type":"inline"},{"Content":"Great attention, from the administrator at the front desk who helped me book an appointment for another day and showed me to a peaceful spot where I could wait. To the provider who was attentive, funny, a good listener and made me feel sooooo at ease ","Title":"Monica","_key":"d109274afc69","_type":"inline"},{"Content":"\"It was SO amazing! That was the first time I felt like a psychiatrist really listened and understood everything I was saying. I was so used to providers not taking me seriously and I really felt supported and understood! \"","Title":"Vasi","_key":"062fc3c9258c","_type":"inline"},{"Content":"The environment was beyond inviting. Every single staff member made me feel welcome and at ease. The nurse and doctor that assisted me were very respectful of my anxiety and my needs. I felt valued and very well taken care of. I will 100% recommend Tia to anyone looking for medical assistance. ","Title":"Alexa","_key":"b32eb1966500","_type":"inline"}]},{"_key":"135cde3efdd2f2b74a42bf1627a1b7ad","_type":"shape","backgroundColor":"secondary-1","shapeColor":"secondary-2","shapeType":"shape-3"},{"_key":"a8a84f1aa4ca","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"c5c7cd22d291","_type":"faqModule","cta":"Read full FAQs","faqs":[{"_id":"27b5393b-515d-4bab-bfcc-97f8719ae4e7","_type":"faq","_createdAt":"2020-06-26T22:59:23Z","_rev":"QAhEWF3ACNEfRIQegYcHW1","_updatedAt":"2025-04-02T18:06:43Z","answer":[{"_key":"5061ccaf3e7c","_type":"block","children":[{"_key":"45c1c668aaf0","_type":"span","marks":[],"text":"Your Tia membership includes access to a Care Coordinator, virtual and in-person appointments, community programming, and more. 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All of the questions and information gathered when I first signed up helped to create both a comprehensive medical history as well as a snapshot of my current conditions. But the best part? Whether my visit is virtual or in-person, I never, ever feel rushed. My physician and nurse practitioners are empathetic and understanding. If you want holistic healthcare, try Tia. You won’t be disappointed.","Title":"Natalie D., Tia Patient","_key":"995b939291ee","_type":"inline"}]},{"_key":"b3b130bcb8f3","_type":"editorialText","editorialText":[{"_key":"88a360f65dc9","_type":"cta","text":[{"_key":"089cc2bcc445","_type":"block","children":[{"_key":"d3ada71a90d4","_type":"span","marks":[],"text":"Book a Weight & Metabolic Health visit"}],"markDefs":[],"style":"h2"},{"_key":"08dc1094385d","_type":"block","children":[{"_key":"474383e77aec","_type":"span","marks":[],"text":"Weight and metabolic health can shape everything from your energy and mood to hormones and long-term wellness. 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No patch needed for week four. <br><br><b>Effectiveness:</b> >93%","<b>Pros:</b> No need to take a pill every single day. <br><br><b>Cons:</b> Depending where it’s placed on the body, it can be visible. Not ideal for swimmers or those who have increased sweating."]},{"_key":"5d5abfe9-a2ad-4ff0-81fb-263036f9a253","_type":"tableRow","cells":["<b>The Ring</b> (NuvaRing, Annovera)","Insert a small ring into the vagina each month or annually depending on the ring of choice. <br><br><b>Effectiveness:</b> >93%","<b>Pros:</b> Easy to start and stop when desired. <br><br><b>Cons:</b> You need to remove and replace the ring. Some might want to remove it for sex, though it can stay in the vagina during sex."]},{"_key":"f9ec7345-b7d7-4b2b-8ed8-ac8bd903edb4","_type":"tableRow","cells":["<b>Depo Shot</b> (Depo Provera)","Your provider will give you a shot every three months (13 weeks). <br><br><b>Effectiveness:</b> >96%","<b>Pros:</b> You only need to think about it every three months. <br><br><b>Cons:</b> It’s a shot! You need to come to the clinic every three months for it."]},{"_key":"ec800066-6d88-490d-97d3-56d996df46dd","_type":"tableRow","cells":["<b>The Pill</b>","Daily pill. <br><br><b>Effectiveness:</b> >93%","<b>Pros:</b> You can control your bleeding by continuously cycling. 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"}],"style":"h3"},{"_key":"ddcbc7160577","_type":"block","children":[{"_key":"10877b98d616","_type":"span","text":"The Perimenopause & Menopause Assessment is a comprehensive, whole-body visit with one of Tia’s menopause care specialists. 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total."}],"markDefs":[],"style":"normal"},{"_key":"5162adf3236c","_type":"block","children":[{"_key":"253368ab3b8f0","_type":"span","marks":[],"text":"The average uterus owner will have period pain and cramps severe enough to miss work and other responsibilities, significantly interfering with activities of daily living. Too many people have been conditioned to “suck it up” and “suffer in silence” with pelvic pain and cramps that seriously cramp their lifestyles."}],"markDefs":[],"style":"normal"},{"_key":"297d5896683b","_type":"block","children":[{"_key":"6359e498afa60","_type":"span","marks":[],"text":"If you have a vagina and have been “normalizing” pelvic pain and cramps; if you’ve been led to believe by the medical community or society-at-large that pelvic pain and cramps are simply part of the deal, maybe it’s time to think again."}],"markDefs":[],"style":"normal"},{"_key":"c84e1e329a11","_type":"block","children":[{"_key":"672824323fa00","_type":"span","marks":[],"text":"Sure, some pelvic pain and cramps, might be unavoidable. But modern-day medicine has the tools – the training, the listening skills, the patience, the diagnostic capacity, the medical interventions, the treatment options – to flip the script and “abnormalize” pelvic pain and cramping once and for all."}],"markDefs":[],"style":"normal"},{"_key":"6f1e5ce2dbf5","_type":"block","children":[{"_key":"2414d843cb6c0","_type":"span","marks":[],"text":"Endometriosis and Pelvic Pain"}],"markDefs":[],"style":"h1"},{"_key":"91f2e8842f6b","_type":"block","children":[{"_key":"18eeed33cb0d0","_type":"span","marks":[],"text":"Periods might be the most infamous cause of pelvic pain and cramps, but there is another common culprit that might be hiding in plain sight: Endometriosis. In fact, according to "},{"_key":"533067f35125","_type":"span","marks":["3dd8bd18b14c"],"text":"Yale Medicine"},{"_key":"42bc31187e00","_type":"span","marks":[],"text":", 50-80% of women with pelvic pain have the condition. Globally, "},{"_key":"dc13ca5f3b20","_type":"span","marks":["a4bc0af488c3"],"text":"the World Health Organization"},{"_key":"ffd7d8ea0040","_type":"span","marks":[],"text":" estimates that over 10% of women have endometriosis."}],"markDefs":[{"_key":"3dd8bd18b14c","_type":"externalLink","linkType":"text","url":"https://www.yalemedicine.org/conditions/endometriosis"},{"_key":"a4bc0af488c3","_type":"externalLink","linkType":"text","url":"https://www.who.int/news-room/fact-sheets/detail/endometriosis"}],"style":"normal"},{"_key":"e12d637be03f","_type":"block","children":[{"_key":"06f71545dfa30","_type":"span","marks":["em"],"text":"So, what exactly is endometriosis?"}],"markDefs":[],"style":"h4"},{"_key":"a0f590001c25","_type":"block","children":[{"_key":"b356e576feeb0","_type":"span","marks":["f1fce3634a9e"],"text":"Endometriosis"},{"_key":"551a71d17697","_type":"span","marks":[],"text":" is a condition in which tissue similar to the lining of the uterus grows outside the uterus, most commonly on the ovaries, fallopian tubes, and pelvic lining. This tissue behaves just like the uterine lining, thickening and shedding with each menstrual cycle."}],"markDefs":[{"_key":"f1fce3634a9e","_type":"internalLink","linkType":"text","reference":{"_ref":"33beaad2-818c-4b2b-854b-1a650c6a1219","_type":"reference"}}],"style":"normal"},{"_key":"6801bda41e41","_type":"block","children":[{"_key":"ebf608d46b7f0","_type":"span","marks":[],"text":"The main difference between the uterine lining and endometrial tissue is that endometrial tissue implants on other pelvic organs has and no way to exit the body. This tissue can lead to inflammation, irritation, scarring, and adhesions, and resulting in severe pain, cramping, and even infertility."}],"markDefs":[],"style":"normal"},{"_key":"762a35444831","_type":"block","children":[{"_key":"157dd8e448910","_type":"span","marks":[],"text":"The pelvic pain and cramps associated with endometriosis can be relentless, causing intense pain during menstruation, sex, and bowel movements. It can appear as chronic discomfort that continues throughout the menstrual cycles. It can also present as acute pain that materializes out-of-the-blue between periods. Cramps caused my endometriosis can vary in intensity, with some people experiencing mild pain and others enduring debilitating discomfort."}],"markDefs":[],"style":"normal"},{"_key":"aef087970f58","_type":"block","children":[{"_key":"cf6574e4e2370","_type":"span","marks":[],"text":"Symptoms often match how much endometrial tissue grows and how close it is to sensitive structures in the pelvic area, like the ovaries and uterus. Because symptoms of endometriosis often flare up during menstruation, doctors often dismiss these symptoms as nothing more than “this too shall pass” period pain."}],"markDefs":[],"style":"normal"},{"_key":"3924d8582159","_type":"block","children":[{"_key":"1c6e4d0b91b30","_type":"span","marks":[],"text":"This is what makes endometriosis a unpredictable, mysterious, and misunderstood condition. 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"}],"markDefs":[{"_key":"3bb890755a62","_type":"annotation","text":[{"_key":"6d6d4118451c","_type":"block","children":[{"_key":"1824cf1a32d2","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"318d5c7fcb5a","_type":"block","children":[{"_key":"0d380b6b84b8","_type":"span","marks":[],"text":"A laparoscopy is a surgical procedure where a surgeon uses a small camera that is inserted in the abdomen to look for endometriosis and remove it."}],"markDefs":[],"style":"normal"}]},{"_key":"63e4159c7286","_type":"internalLink","linkType":"text","reference":{"_ref":"6bcab68d-31ec-4735-b466-a805f4bc5dbc","_type":"reference"}}],"style":"normal"},{"_key":"b92a4f8a7361","_type":"block","children":[{"_key":"c25d7ab290c40","_type":"span","marks":[],"text":"There are non-surgical strategies that can help treat endometriosis pain and cramps too, including over-the-counter pain medication, hormonal contraceptives, progestin therapy, and aromatase inhibitors. Even simple things like using a heating pad or doing pelvic floor physical therapy can help a lot. And, as with most chronic conditions, making lifestyle modifications (better diet, regular exercise, restful sleep, less stress) can make a big difference too."}],"markDefs":[],"style":"normal"},{"_key":"f52dd238f316","_type":"block","children":[{"_key":"dfcf55ec1e090","_type":"span","marks":[],"text":"Since every person experiences endometriosis in a different way, the treatment options your healthcare provider chooses will be individualized. "}],"markDefs":[],"style":"normal"},{"_key":"6a2d03d3ef46","_type":"block","children":[{"_key":"02b70387da72","_type":"span","marks":["em"],"text":"At Tia, we understand the complexities and challenges associated with managing endometriosis. That's why we've developed a comprehensive approach to provide our patients with the support and care they need to navigate this notoriously difficult-to-diagnose, chronic condition."}],"markDefs":[],"style":"normal"},{"_key":"9144bfc973a1","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"af9313b9b91e","_type":"block","children":[{"_key":"fbc8598b172a","_type":"span","marks":[],"text":"Experiencing endometriosis symptoms? Become a Tia member and schedule an appointment at the clinic nearest you!"}],"markDefs":[],"style":"large"},{"_key":"6898c3d0975e","_type":"block","children":[{"_key":"96e8b152732d0","_type":"span","marks":["em","b0034a88403e"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles."}],"markDefs":[{"_key":"b0034a88403e","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"54e3fedf5d46","_type":"buttonBlock","items":[{"_key":"b3e5a38340ed","_type":"singleButton","linkCta":"Check your insurance","linkType":"join-scroll"}]}]},{"_key":"ff65de34270e","_type":"block","children":[{"_key":"b41b8aa2587d0","_type":"span","marks":[],"text":"Other Causes of Pelvic Pain and Cramps"}],"markDefs":[],"style":"h1"},{"_key":"5bc1b8531371","_type":"block","children":[{"_key":"a47241f0c9430","_type":"span","marks":[],"text":"The lower abdomen and pelvis are complex. Lots of organs. Many moving parts. "}],"markDefs":[],"style":"normal"},{"_key":"ee72116702c9","_type":"block","children":[{"_key":"87380b1e51ee","_type":"span","marks":[],"text":"So, besides periods and endometriosis, there are other reasons you may experience periodic or even chronic pain and cramps:"}],"markDefs":[],"style":"normal"},{"_key":"7d82fabe381e","_type":"block","children":[{"_key":"997ea1b3b1e10","_type":"span","marks":["strong"],"text":"UTIs:"},{"_key":"997ea1b3b1e11","_type":"span","marks":[],"text":" "},{"_key":"a6ff7b3ab380","_type":"span","marks":["a94b0a01c483"],"text":"Urinary tract infections"},{"_key":"2fe77644f0f0","_type":"span","marks":[],"text":" are another common cause of pelvic pain. Thankfully, UTIs are "},{"_key":"3b0d6159125e","_type":"span","marks":["cb793efaaf50"],"text":"easily treatable"},{"_key":"56c32cd70681","_type":"span","marks":[],"text":" with a short course of oral antibiotics."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"a94b0a01c483","_type":"internalLink","linkType":"text","reference":{"_ref":"3986573d-d7da-44f6-8623-16619416eac3","_type":"reference"}},{"_key":"cb793efaaf50","_type":"internalLink","linkType":"text","reference":{"_ref":"5dc6f871-a243-459e-8f06-43f0af3d8915","_type":"reference"}}],"style":"normal"},{"_key":"a9e04a25131c","_type":"block","children":[{"_key":"f50732f299a40","_type":"span","marks":["strong"],"text":"STDs:"},{"_key":"f50732f299a41","_type":"span","marks":[],"text":" "},{"_key":"f1ef1864490a","_type":"span","marks":["7501d23eaa85"],"text":"STDs"},{"_key":"1c9594ca537a","_type":"span","marks":[],"text":" (sexually transmitted disease), like chlamydia or gonorrhea, don’t always cause pelvic pain. But they can, especially when urinating or having a bowel movement. PID (pelvic inflammatory disease), which is an infection of the reproductive organs, can develop if an STD is "},{"_key":"60aa8825b086","_type":"span","marks":["f0a142cb0714"],"text":"left untreated"},{"_key":"10ea0723385a","_type":"span","marks":[],"text":". Not only can PID cause pelvic, it can also lead to infertility in extreme cases."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"7501d23eaa85","_type":"internalLink","linkType":"text","reference":{"_ref":"2316745a-ad0f-4e89-b60b-d879dc68f16e","_type":"reference"}},{"_key":"f0a142cb0714","_type":"internalLink","linkType":"text","reference":{"_ref":"58606dd2-9b5e-4fc1-bb3f-f1b5d0da143d","_type":"reference"}}],"style":"normal"},{"_key":"43ad73f48b2e","_type":"block","children":[{"_key":"e38543cb5acc0","_type":"span","marks":["strong"],"text":"IBS:"},{"_key":"e38543cb5acc1","_type":"span","marks":[],"text":" Irritable bowel syndrome is a digestive disorder that causes recurrent diarrhea, constipation, bloating, and abdominal discomfort can definitely cause pain that is felt in the lower abdomen and pelvis."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9351358c3e22","_type":"block","children":[{"_key":"e4fa1a1be50f0","_type":"span","marks":["strong"],"text":"Interstitial Cystitis:"},{"_key":"e4fa1a1be50f1","_type":"span","marks":[],"text":" A chronic condition most commonly seen in people with a uterus, interstitial cystitis causes inflamed and irritated bladder walls, which can lead to pain in the bladder and pelvic region."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"38b34a105e56","_type":"block","children":[{"_key":"1ed1bba423510","_type":"span","marks":["strong"],"text":"Uterine Fibroids:"},{"_key":"1ed1bba423511","_type":"span","marks":[],"text":" "},{"_key":"57e3b8924c7d","_type":"span","marks":["0236f96bc7cb"],"text":"Fibroids"},{"_key":"6c638e63f816","_type":"span","marks":[],"text":" are noncancerous tumors in the uterus that can cause pelvic discomfort."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"0236f96bc7cb","_type":"internalLink","linkType":"text","reference":{"_ref":"f158fe1b-1e16-4ebf-b284-ccbb466ed379","_type":"reference"}}],"style":"normal"},{"_key":"cba5b903976e","_type":"block","children":[{"_key":"5aaae8c9ebb70","_type":"span","marks":["strong"],"text":"Pelvic Adhesions:"},{"_key":"5aaae8c9ebb71","_type":"span","marks":[],"text":" These bands of scar-like tissue, which can form from infections, endometriosis, or past surgery, make organs and tissue in the abdomen stick together and can cause a sharp, pulling pain in the lower abdomen."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"085a8a039faa","_type":"block","children":[{"_key":"3a89cae55ed00","_type":"span","marks":["strong"],"text":"Ovary Pain:"},{"_key":"3a89cae55ed01","_type":"span","marks":[],"text":" Experiencing pelvic pain when ovulating each month is not unusual for some people."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"87f45716921c","_type":"block","children":[{"_key":"e52e889f47200","_type":"span","marks":["strong"],"text":"Ovarian Cyst Rupture:"},{"_key":"e52e889f47201","_type":"span","marks":[],"text":" These fluid-filled sacs, which can form on the ovaries, usually don’t cause any problems or present with any symptoms. But they can rupture, it can hurt."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8592f4636d70","_type":"block","children":[{"_key":"42a8815541200","_type":"span","marks":["strong"],"text":"Kidney Stones and Appendicitis:"},{"_key":"42a8815541201","_type":"span","marks":[],"text":" These acute conditions can cause extraordinary pain in the pelvic region and beyond."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d18f81ea113","_type":"block","children":[{"_key":"163d0c18a4bb0","_type":"span","marks":[],"text":"As always, it's best to consult with a healthcare provider to determine the cause of your pelvic pain and receive appropriate treatment."}],"markDefs":[],"style":"normal"},{"_key":"f9b9f1ef6f00","_type":"block","children":[{"_key":"3f671ae1c9650","_type":"span","marks":[],"text":"Pelvic pain and cramps are not something to be brushed aside or endured silently. While they may be common, persistent or severe discomfort warrants attention, especially when endometriosis is a potential factor. By understanding the causes, symptoms, and treatment options for pelvic pain and cramps, individuals can take proactive steps towards managing their condition and improving their quality of life."}],"markDefs":[],"style":"normal"},{"_key":"bf92a82c71d0","_type":"block","children":[{"_key":"5c69325174d60","_type":"span","marks":[],"text":"If you’re suffering from cramps or pelvic pain, it’s important to know that what you’re feeling is valid and you don’t have to “just deal with it.” Meeting with a healthcare provider can help you figure out what’s going on and get the relief you deserve."}],"markDefs":[],"style":"normal"},{"_key":"79bc2a7e373b","_type":"block","children":[{"_key":"20a1885236b00","_type":"span","marks":[],"text":"At Tia, our team of women’s health experts use a comprehensive approach to connect the dots on your symptoms, find the root cause, and create a treatment plan that’s personalized to you. 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for Period Pain.png","path":"images/8qqycr4y/production/961c7272bcaeafe60f36b0ac273f3cbd11cbe6ee-2800x1600.png","sha1hash":"961c7272bcaeafe60f36b0ac273f3cbd11cbe6ee","size":570128,"uploadId":"Bn6bPMhMZ9YvabjKukybkJqoZQkWiNjM","url":"https://cdn.sanity.io/images/8qqycr4y/production/961c7272bcaeafe60f36b0ac273f3cbd11cbe6ee-2800x1600.png","id":"image-961c7272bcaeafe60f36b0ac273f3cbd11cbe6ee-2800x1600-png","parent":null,"children":["1374cbc2-a6f5-5901-a8ca-f970f0f926c1"],"internal":{"type":"SanityImageAsset","contentDigest":"042ca47b10ae3525a8ccf5ebd8bfe209","counter":1490,"owner":"gatsby-source-sanity"}}},"editorialText":[{"_key":"628359fecc5c","_type":"block","children":[{"_key":"1902a6f74c7b0","_type":"span","marks":[],"text":"Dysmenorrhea. Even the name sounds painful."}],"markDefs":[],"style":"normal"},{"_key":"fbc4e5876283","_type":"block","children":[{"_key":"06c443b456cc0","_type":"span","marks":[],"text":"That’s the medical term for menstrual pain, a health condition that affects millions of women each month and has the potential to impact every facet of life – including work, play, sleep, and sex."}],"markDefs":[],"style":"normal"},{"_key":"94f881f68791","_type":"block","children":[{"_key":"0e3dcdacf0a60","_type":"span","marks":[],"text":"There are two types of dysmenorrhea."}],"markDefs":[],"style":"normal"},{"_key":"14c462f699d3","_type":"block","children":[{"_key":"1a9b829e8cca0","_type":"span","marks":["em"],"text":"Primary dysmenorrhea"},{"_key":"eeb9ad6fad0f","_type":"span","marks":[],"text":" is a type of period pain that occurs without an underlying health condition. It’s characterized by cramping pain in the abdomen, lower back, or upper legs that can start up to three days before a period and last up to three days after it’s over."}],"markDefs":[],"style":"normal"},{"_key":"92b00002b024","_type":"block","children":[{"_key":"c0717c38c72a0","_type":"span","marks":[],"text":"Primary dysmenorrhea is caused by prostaglandins, chemicals produced in the uterus that cause it to contract."}],"markDefs":[],"style":"normal"},{"_key":"61768f101dc1","_type":"block","children":[{"_key":"9c44de9a7e4e0","_type":"span","marks":["em"],"text":"Secondary dysmenorrhea"},{"_key":"f451877432a1","_type":"span","marks":[],"text":" is menstrual pain that occurs due to an underlying health condition, like fibroids or endometriosis."}],"markDefs":[],"style":"normal"},{"_key":"91ca8fb70e3f","_type":"block","children":[{"_key":"4882140193cf0","_type":"span","marks":[],"text":"There are medications that can help alleviate period pain. One popular choice is the nonsteroidal anti-inflammatory drug (NSAID), ibuprofen (Advil). It can be particularly helpful because it works by blocking prostaglandins, the chemicals produced in the uterus that cause cramping and pain."}],"markDefs":[],"style":"normal"},{"_key":"6b87a538129e","_type":"block","children":[{"_key":"ab17cecae57f0","_type":"span","marks":[],"text":"Hormonal birth control (pill, patch, IUD) is another option. It reduces the severity of symptoms by blocking ovulation."}],"markDefs":[],"style":"normal"},{"_key":"dee603407d84","_type":"block","children":[{"_key":"9b6e6b55b93c0","_type":"span","marks":[],"text":"But lately, "},{"_key":"2ccbc84f8a29","_type":"span","marks":["strong"],"text":"many people are turning to alternative treatments, like acupuncture,"},{"_key":"4288bc78279c","_type":"span","marks":[],"text":" for a more natural and holistic approach to period pain management."}],"markDefs":[],"style":"normal"},{"_key":"be5ffcbe558d","_type":"block","children":[{"_key":"dbf427aa129f0","_type":"span","marks":[],"text":"If this method of pain relief seems like pseudo-science, it’s not. A growing body of research suggests that acupuncture is an effective and safe treatment option for women with period pain."}],"markDefs":[],"style":"normal"},{"_key":"138525b66c74","_type":"block","children":[{"_key":"8e0323a1a2ff0","_type":"span","marks":[],"text":"Medical researchers in Australia and New Zealand have shown that acupuncture treatment, over time, significantly reduces period pain intensity, duration, and symptoms - with improvements being sustained up to a year after treatment. ("},{"_key":"4046e2675ced","_type":"span","marks":["0b18ad33730d"],"text":"Plos One"},{"_key":"6bd4d641d053","_type":"span","marks":[],"text":")"}],"markDefs":[{"_key":"0b18ad33730d","_type":"externalLink","url":"https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0180177"}],"style":"normal"},{"_key":"08208ae73498","_type":"block","children":[{"_key":"bc248924481a0","_type":"span","marks":[],"text":"Another study found that women undergoing acupuncture more frequently experienced more significant improvements in period pain intensity and related symptoms as well as in overall quality of life. ("},{"_key":"81c64140cf13","_type":"span","marks":["7daddab8fa45"],"text":"Evidence-Based Complementary and Alternative Medicine"},{"_key":"f64c143ed185","_type":"span","marks":[],"text":")"}],"markDefs":[{"_key":"7daddab8fa45","_type":"externalLink","linkType":"text","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3140031/"}],"style":"normal"},{"_key":"b308dd4be590","_type":"block","children":[{"_key":"de0cefabf3650","_type":"span","marks":[],"text":"But, first…"}],"markDefs":[],"style":"normal"},{"_key":"483c750f2278","_type":"block","children":[{"_key":"23e684cf46640","_type":"span","marks":[],"text":"What is Acupuncture?"}],"markDefs":[],"style":"h2"},{"_key":"9e755e9e638f","_type":"block","children":[{"_key":"cfe413830e060","_type":"span","marks":[],"text":"Acupuncture is a medical practice that involves inserting thin needles (You don’t feel them!) into specific points on the body to promote healing and balance. It’s based on traditional Chinese medicine and the belief that health comes from alignment of qi or vital energy."}],"markDefs":[],"style":"normal"},{"_key":"8a3258846688","_type":"block","children":[{"_key":"47c4a07dbac30","_type":"span","marks":[],"text":"Acupuncture has been used for thousands of years, but it recently gained popularity in Western medicine as a safe and effective alternative method for treating many health conditions with few (if any) unwanted side effects."}],"markDefs":[],"style":"normal"},{"_key":"d35ee3302d87","_type":"block","children":[{"_key":"8e094feeadc60","_type":"span","marks":[],"text":"How Does Acupuncture Help with Menstrual Pain?"}],"markDefs":[],"style":"h2"},{"_key":"ae34cec055ea","_type":"block","children":[{"_key":"920d99b38beb0","_type":"span","marks":[],"text":"While the exact mechanism of action isn’t known, researchers have uncovered several properties about acupuncture that likely influence its effect on pain management:"}],"markDefs":[],"style":"normal"},{"_key":"86b4cb2e9e56","_type":"block","children":[{"_key":"5ac24834e5da0","_type":"span","marks":[],"text":"Releasing endorphins"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2eb99c6986b2","_type":"block","children":[{"_key":"54c999f81faf","_type":"span","marks":[],"text":"Acupuncture needles trigger the brain to release of endorphins, which are the body’s natural pain-relieving chemicals. Studies have shown that acupuncture can significantly reduce period pain intensity, duration, and symptoms – including headaches, breast tenderness, and bloating."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0b78ff576f31","_type":"block","children":[{"_key":"cce81b3f377e","_type":"span","marks":[],"text":"Improving blood flow"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b4e95c69d462","_type":"block","children":[{"_key":"778d66bbb0c4","_type":"span","marks":[],"text":"Acupuncture can increase blood flow to the abdomen and pelvic area, which can reduce stagnation – thought to be a primary cause of pain in traditional Chinese medicine – and improve menstrual cramping."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8647b4e9821b","_type":"block","children":[{"_key":"e15ba8ff4ad8","_type":"span","marks":[],"text":"Balancing hormones"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5c721b378eff","_type":"block","children":[{"_key":"c74816010885","_type":"span","marks":[],"text":"Acupuncture might help regulate hormone levels and address one potential cause of menstrual pain – hormonal imbalances."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8bd5962b6281","_type":"block","children":[{"_key":"8582fe36993c","_type":"span","marks":[],"text":"Reducing inflammation"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4702fca4c0e2","_type":"block","children":[{"_key":"72a14a4c88ea","_type":"span","marks":[],"text":"Acupuncture can stimulate anti-inflammatory proteins, which can lower pain signaling and provide pain relief."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4ff766cbb851","_type":"block","children":[{"_key":"fb287e00acfe","_type":"span","marks":[],"text":"Lower stress"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"074a4105d253","_type":"block","children":[{"_key":"d80d3f8e3fa6","_type":"span","marks":[],"text":"Acupuncture can help lower stress hormones, which has positive effects on the menstrual cycle and PMS symptoms."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e5496f80077e","_type":"block","children":[{"_key":"909df7e4c267","_type":"span","marks":[],"text":"Relaxing muscles"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d147c7c13345","_type":"block","children":[{"_key":"61ffac0fb91a","_type":"span","marks":[],"text":"Acupuncture can help relax uterine muscles, which can reduce cramping."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f82235b27c8d","_type":"block","children":[{"_key":"d04030ba0ddb0","_type":"span","marks":[],"text":"What to Expect During Acupuncture Treatment"}],"markDefs":[],"style":"h2"},{"_key":"5c90de7ab9e0","_type":"block","children":[{"_key":"f2e52f8b350b0","_type":"span","marks":[],"text":"If you choose to try acupuncture for menstrual pain, a licensed acupuncturist will take a health history and assess your symptoms before making a personalized treatment plan."}],"markDefs":[],"style":"normal"},{"_key":"3f338dab040e","_type":"block","children":[{"_key":"4ae6311d3c500","_type":"span","marks":[],"text":"Treatment usually involves inserting acupuncture needles into specific points, such as the lower abdomen, lower back, or legs. The needles are typically left in place for about 30 minutes, during which time you may feel a tingling or warming sensation."}],"markDefs":[],"style":"normal"},{"_key":"aabba60c7083","_type":"block","children":[{"_key":"bab32c82d0040","_type":"span","marks":[],"text":"Acupuncture is generally considered safe when performed by a trained professional. Side effects are rare but may include slight bruising or soreness at the needle sites."}],"markDefs":[],"style":"normal"},{"_key":"016a037749f2","_type":"block","children":[{"_key":"8f60fcff158f0","_type":"span","marks":[],"text":"Conclusion"}],"markDefs":[],"style":"h2"},{"_key":"e7e2cb9c1690","_type":"block","children":[{"_key":"b5be0410062c0","_type":"span","marks":[],"text":"Acupuncture offers a low-risk, high-reward way to help manage period pain and provides a natural, complementary option for people seeking relief without medication. It can be effective alone or along with other home remedies, such as using a heating pad or getting regular exercise."}],"markDefs":[],"style":"normal"},{"_key":"3e7300d6eb94","_type":"block","children":[{"_key":"6eaf9f456c0e0","_type":"span","marks":[],"text":"Keep in mind, excessive, ongoing painful menstruation and/or bleeding can be a sign of an underlying health condition, so make sure you consult your healthcare provider if your period symptoms fall into this category."}],"markDefs":[],"style":"normal"},{"_key":"5632992898cd","_type":"block","children":[{"_key":"42990d4c607f0","_type":"span","marks":[],"text":"If you’re looking for a more holistic approach to period pain that addresses the root cause of the problem (and doesn’t just mask the symptoms), this ancient technique might be worth a shot."}],"markDefs":[],"style":"normal"},{"_key":"e0bf32250db3","_type":"block","children":[{"_key":"83f194b8d6c90","_type":"span","marks":[],"text":"Or, you know, a needle."}],"markDefs":[],"style":"normal"},{"_key":"a2c6bc7cc27a","_type":"block","children":[{"_key":"ddb5b9b99fd8","_type":"span","marks":[],"text":"At Tia, we offer a full range of services—including "},{"_key":"8bedea8144f5","_type":"span","marks":["235b00e4175a"],"text":"acupuncture"},{"_key":"05c0d523ab29","_type":"span","marks":[],"text":", "},{"_key":"a43ab37f59dc","_type":"span","marks":["013399a5854e"],"text":"primary care"},{"_key":"bb4c79a9df5f","_type":"span","marks":[],"text":", "},{"_key":"655997379e91","_type":"span","marks":["a89278ccf81a"],"text":"gynecological exams"},{"_key":"8978637207d3","_type":"span","marks":[],"text":", "},{"_key":"44a674699637","_type":"span","marks":["de367daa613b"],"text":"mental health support"},{"_key":"31fc0da4a011","_type":"span","marks":[],"text":", and "},{"_key":"84be6ed923b1","_type":"span","marks":["9258a98180c5"],"text":"skincare"},{"_key":"e98090b14659","_type":"span","marks":[],"text":" — all in one convenient location. 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Period Pain.png","path":"images/8qqycr4y/production/ff03b18502a4e43dc075e75755db11672c000e1e-2800x1600.png","sha1hash":"ff03b18502a4e43dc075e75755db11672c000e1e","size":564582,"uploadId":"BYGlJRa3OpdqyhwXmfg566kUNFpUXXKh","url":"https://cdn.sanity.io/images/8qqycr4y/production/ff03b18502a4e43dc075e75755db11672c000e1e-2800x1600.png","id":"image-ff03b18502a4e43dc075e75755db11672c000e1e-2800x1600-png","parent":null,"children":["c2facf41-e713-521f-9f50-8afa16bcef87"],"internal":{"type":"SanityImageAsset","contentDigest":"95b5991292da4ef214c0f59e62cb55ee","counter":9194,"owner":"gatsby-source-sanity"}}},"editorialText":[{"_key":"7e8de4fe333c","_type":"block","children":[{"_key":"27c95428b4b00","_type":"span","marks":[],"text":"Whether you’re dealing with occasional period discomfort that whispers with dull aches or the kind of intense pain that screams and shouts around the clock, period pain sucks. Period. And finding a way to mute the noise (or at least turn down the volume) can often feel like a quest for the Holy Grail."}],"markDefs":[],"style":"normal"},{"_key":"6ebc1d77b173","_type":"block","children":[{"_key":"c4b4f468198f0","_type":"span","marks":[],"text":"While explorers are still searching for the Holy Grail and historians are still debating its existence, strategies for finding relief for period pain do exist."}],"markDefs":[],"style":"normal"},{"_key":"3b1590d45208","_type":"block","children":[{"_key":"981e9878397a0","_type":"span","marks":[],"text":"Some tactics are tried-and-true. Others are more unconventional. Either way, there is likely an elixir out there that can curtail your period pain if not eliminate it altogether. "}],"markDefs":[],"style":"normal"},{"_key":"0fc558e77815","_type":"block","children":[{"_key":"ff3782494d5e","_type":"span","marks":[],"text":"What causes cramps and period pain?"}],"markDefs":[],"style":"h1"},{"_key":"eb4ebc19e977","_type":"block","children":[{"_key":"a514fd55fb740","_type":"span","marks":[],"text":"Several factors can conspire against "},{"_key":"f9648c4799bc","_type":"span","marks":["3fa76988758d"],"text":"you and your pain threshold"},{"_key":"f37eecd20bba","_type":"span","marks":[],"text":" around the time of your period, but one substance takes the cake for causing most of the discomfort you may experience during your period: "},{"_key":"4f4368a8567d","_type":"span","marks":["em"],"text":"Prostaglandins"},{"_key":"ed66e7b013ca","_type":"span","marks":[],"text":". Prostaglandins are a group of lipids (fats) with hormone-like action that your body makes at sites of tissue damage and infection."}],"markDefs":[{"_key":"3fa76988758d","_type":"internalLink","linkType":"text","reference":{"_ref":"d8b00a5d-e3d4-4264-a2b6-11f6f5a79ba2","_type":"reference"}}],"style":"normal"},{"_key":"65b9f0e20dd0","_type":"block","children":[{"_key":"01c379c4d7170","_type":"span","marks":[],"text":"Under normal circumstances, prostaglandins are a good thing, regulating important functions like blood flow, blood clotting, inflammation, and labor induction during pregnancy. They also cause the uterus to contract during menstruation to help shed its lining. But sometimes, especially during your period, your body can over-produce prostaglandins, which can cause prolonged inflammation, intense pain, and heavy bleeding."}],"markDefs":[],"style":"normal"},{"_key":"23f1d658cba4","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"b500ce04aa7a","_type":"block","children":[{"_key":"b013b7c6129d","_type":"span","marks":[],"text":"Got severe period pain? Sign up for Tia's membership and schedule an appointment at a clinic near you."}],"markDefs":[],"style":"normal"},{"_key":"dc04f9d034ca","_type":"block","children":[{"_key":"32bbc468fb92","_type":"span","marks":["em","cfb7231a1fed"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles. "}],"markDefs":[{"_key":"cfb7231a1fed","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"0bd0531ffb07","_type":"buttonBlock","items":[{"_key":"b8731bb072b3","_type":"singleButton","linkCta":"Check your insurance","linkType":"join-scroll"}]}]},{"_key":"008623152a2d","_type":"block","children":[{"_key":"7706c89d9cd70","_type":"span","marks":[],"text":"Conventional Strategies for Reducing Period Pain"}],"markDefs":[],"style":"h1"},{"_key":"59cea582d5ca","_type":"block","children":[{"_key":"9bba732b549b0","_type":"span","marks":[],"text":"Over the Counter Pain Relievers"}],"markDefs":[],"style":"h3"},{"_key":"c60fe1cff482","_type":"block","children":[{"_key":"2bcf8e9a966e0","_type":"span","marks":[],"text":"Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) and naproxen (Aleve) are often the first-line of offense against period pain. Why? Because these painkillers actually "},{"_key":"e94af7c9495e","_type":"span","marks":["em"],"text":"block prostaglandin production."}],"markDefs":[],"style":"normal"},{"_key":"ed242c5136a9","_type":"block","children":[{"_key":"9016635fd07e0","_type":"span","marks":[],"text":"This remedy actually strikes directly at the culprit of period pain and cramping. Experts recommend taking regular doses of NSAIDs a day or two before your period starts (or when you first notice symptoms) and continuing until your symptoms dissipate."}],"markDefs":[],"style":"normal"},{"_key":"cc8f86ac35c9","_type":"block","children":[{"_key":"6e4228ab39630","_type":"span","marks":[],"text":"Birth control doesn't just prevent pregnancy"}],"markDefs":[],"style":"h3"},{"_key":"537108430032","_type":"block","children":[{"_key":"0feaca9e98ca0","_type":"span","marks":["b9f2cd8f56fd"],"text":"Hormonal birth control"},{"_key":"628a6adf61b5","_type":"span","marks":[],"text":" methods contain hormones that prevent ovulation and reduce the severity of menstrual cramps by also blocking prostaglandin production. They can also shorten and lighten periods. So, even if your pain isn’t completely eliminated, at least you’ll experience it for a shorter duration. These hormones can be delivered in several forms, including pills, patches, implants, injections, vaginal rings, and IUDs."}],"markDefs":[{"_key":"b9f2cd8f56fd","_type":"internalLink","linkType":"text","reference":{"_ref":"ab3cc22d-086a-474b-a093-0be65e222f51","_type":"reference"}}],"style":"normal"},{"_key":"e56a0ab82f73","_type":"block","children":[{"_key":"957566b5d99c","_type":"span","marks":["em"],"text":"P.S. If you're interested in getting on hormonal birth control or switching birth controls, we are pros at matching you to the right pill, IUD, implant, etc. based on your wants and needs. "},{"_key":"5617673a2a3a","_type":"span","marks":["em","ce8e08562346"],"text":"Join Tia's membership"},{"_key":"935c0704a311","_type":"span","marks":["em"],"text":" and schedule an appointment at the clinic nearest you!"}],"markDefs":[{"_key":"ce8e08562346","_type":"internalLink","linkType":"text","reference":{"_ref":"8a7e7b1e-7485-4a22-be24-9a2005998452","_type":"reference"}}],"style":"normal"},{"_key":"ac456a44cc38","_type":"block","children":[{"_key":"1237277a3a3c0","_type":"span","marks":[],"text":"Heat the pain to beat the pain"}],"markDefs":[],"style":"h3"},{"_key":"e4c27fba2a7e","_type":"block","children":[{"_key":"fe8060deaa7a0","_type":"span","marks":[],"text":"Sometimes, keeping it simple is the best medicine of all. Applying heat to the lower abdomen/back can work wonders for some uterus owners. A good heating pad or a good old-fashioned warm bath increases blood flow and relaxes muscles, which can provide relief from period pain and cramping."}],"markDefs":[],"style":"normal"},{"_key":"39329109c73f","_type":"block","children":[{"_key":"80f19c480fe30","_type":"span","marks":[],"text":"Move it to lose it"}],"markDefs":[],"style":"h3"},{"_key":"f6f958548bcb","_type":"block","children":[{"_key":"7adb985f77780","_type":"span","marks":[],"text":"Even if you don’t feel up to it (and you won’t), gentle exercise like yoga, stretching, and walking produces feel-good hormones called endorphins that happen to be natural painkillers. Focusing on movement can also provide a distraction from the discomfort."}],"markDefs":[],"style":"normal"},{"_key":"5334fcf9dc28","_type":"block","children":[{"_key":"bf3b71f3cd8b0","_type":"span","marks":[],"text":"Sex (with a partner or alone) likely won’t be on the top of your mind either, but having an orgasm can help alleviate cramping and pain too. Not only does your uterus contract during an orgasm (which can reduce pain and tension), but your body releases endorphins during sexual activity as well."}],"markDefs":[],"style":"normal"},{"_key":"3bb21a667d0d","_type":"block","children":[{"_key":"da83f2f08b6c0","_type":"span","marks":[],"text":"Water for the win"}],"markDefs":[],"style":"h3"},{"_key":"f2181571d05f","_type":"block","children":[{"_key":"400fdb1f75fc0","_type":"span","marks":[],"text":"Staying hydrated is always a good idea, but especially so during your period. Water and other non-sugary, non-carbonated, non-alcoholic beverages can help prevent your body from retaining water (I know that sounds counterintuitive) and reduce bloating, which often exacerbates cramps. 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Sign up for Tia's membership and schedule an appointment at a clinic near you!"}],"markDefs":[],"style":"normal"},{"_key":"dc8354222c42","_type":"block","children":[{"_key":"684e59a75a650","_type":"span","marks":["em","1ec966f0b826"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles. 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