You know your body. I will listen.
Direct-pay reproductive health for women across Texas. In-person in Corpus Christi. Virtual statewide.
If any of this sounds familiar, you are in the right place.
You were told your labs are normal.
You know something is wrong.
You asked about hormones.
You were handed an antidepressant.
Your 15-minute visit ended before your real question started.
You have read the books.
You want a provider who has read them too.
I built AVENORA for the woman who has been dismissed.
I am Sandra Golaszewski, DNP, APRN, CNM. I have spent two decades inside the system, watching women get rushed, dismissed, and handed prescriptions instead of answers. AVENORA is the practice I wanted to send my patients to. Direct-pay. No insurance middleman. No 15-minute visits. Real workups. Real plans.
What I do.
Perimenopause and Menopause
Hormone therapy evaluation, symptom workup, and long-term care.
Preconception
Full preconception workup, nutrition, labs, and optimization before pregnancy.
Preventive Gynecology
Annual well-woman care, screening, and reproductive health planning.
Problem-Focused GYN
Targeted evaluation for cycle, bleeding, pain, or hormonal concerns.
GLP-1 Medical Weight Loss
Clinician-supervised weight loss with metabolic and hormonal screening.
Community Midwife Collaboration
Medical management partnership for community midwives and their clients.
How this works.
Take a quiz or book directly.
Start with a 3-minute quiz to clarify your stage and priorities. Or skip ahead and book a visit if you already know what you need.
Meet with me.
Virtual visits across Texas. In-person in Corpus Christi. Evening hours Monday, Tuesday, Wednesday, and Friday. Check Google for current hours.
Get a real workup and a real plan.
I order the labs other providers skip. I read them against your symptoms, your history, and the evidence. You leave with answers and a plan in writing.
Stay on plan.
You leave with a written plan, your labs ordered, and your recheck visit booked. Your visit includes 3 portal messages for questions about that plan. New symptoms, dose changes, and new lab orders get their own visit.
Direct-pay. No insurance. No surprises.
I do not bill insurance. That decision protects your time and mine. It means I am not coding for a billing cycle. I am thinking about your case. Every fee is published. Labs run through CPL and are billed separately or through your insurance. Imaging partners offer cash-pay rates.
Ready to be heard.
Start with a quiz. Or book directly.