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Aviva Romm, MDAviva Romm, MD

Bridging Traditional Wisdom & Modern Medicine for Women and Children

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From your first period to your last, radically better women's health starts here, with YOU at the center.


Aviva Romm MD, Midwife

New! The Mama Pathway

Reclaim Empowered Birth & Motherhood

Reclaim your innate birthing wisdom and navigate your rmama  journey with confidence and support. The Mama Pathway is not your average childbirth education program – it's a robust online education experience where traditional midwifery wisdom & modern medicine meet to help you achieve the empowered birth you deserve.

Learn More

Your Whole Health Journey Starts Here: Articles & Podcast

 For solutions that really, finally, let you own your health, from your first period to your last, and a nourished, root cause approached to hormonal health, fertility, pregnancy, new motherhood, and menopause, browse the AvivaHealth library of articles and podcasts to get started on your journey.

Prenatal Vitamins: Do You Need One and How to Choose

with Free Prenatal Vitamin Guide

I WOULD LIKE HELP WITH

reimagining postpartum

Reclaiming Postpartum: A New (Old) Model of Mama + Baby Care

PMADS

Perinatal Mood and Anxiety Disorders (PMADS): The Hidden Motherhood Struggle

Jessica Zucker

Normalize It: From Miscarriage to Midlife—Owning Our Stories Without Shame with Jessica Zucker

breastfeeding

Breastfeeding Challenges, Tongue Tie, & Trusting Your Instincts

View All Articles & Podcasts

Transforming Women's Health...Together

Online Courses for Women and Practitioners - For Every Phase of a Woman's Journey

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Not your average childbirth education program. Traditional wisdom meets modern medicine to support you on your most empowered pregnancy-birth-mama journey.
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Women's Functional &
Integrative Medicine Training Program. The heart and science of women’s healing, in a revolutionary, Innovative, CME/CE online program.

Women's hormone health deserves a refresh - and that starts here!

Get Dr. Aviva's Multiple Bestselling Book!
New York Times, Wall Street Journal, Globe & Mail and more!

Your hormones are far more than just a balancing act.  From period pain to endometriosis, PCOS to fertility problems, miserable menopause symptoms and more a new approach to your hormones starts here. Your hormones are natural, feeling miserable is not. 

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Adaptogens for Women

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Thyroid
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Daily Nutritional Support

Making a Difference in Your Health and Women’s Lives

The Replenish Formulary marries my commitment to health equity and ending maternal mortality. while bringing you the high quality products you're looking for, with a  discount that makes your daily nutritional support and supplement needs more affordable. You'll find products for woman’s life cycle needs, common concerns, and children’s health.

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@dr.avivaromm

When I was a young mom, a wise elder once told me: When I was a young mom, a wise elder once told me: “Mothers sleep with one eye open.”⁠
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I’ve shared that truism more times than I can count—because it’s true in our bones.⁠
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Even when we sleep, we’re ‘on.’ Hyper-attuned to the slightest stir or sigh, our bodies are wired—evolutionarily—to protect our babies. It’s beautiful. It’s also exhausting.⁠
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This primal reflex can leave us deeply tired, short on patience, long on tension, and stretched far beyond what feels sustainable. Chronic fatigue makes it harder to enjoy motherhood—or anything. And it can contribute to postpartum anxiety and depression.⁠
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There’s no magic fix, but there are gentle shifts that can help:⁠
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✨ If baby wakes frequently and you're up walking to the crib multiple times, safe co-sleeping may help you stay more rested between feeds.⁠
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✨ For older babies or when co-sleeping leaves you more tired, try trading nights with a partner or shifting baby back to a separate sleep space.⁠
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✨ If you're nursing constantly at night, it’s OK to introduce a bottle for a few feedings so your partner can help—this won’t create nipple confusion.⁠
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✨ “Sleep when the baby sleeps” only works when you know baby is well cared for. Let your partner or loved one hold baby while you fully rest—even a short nap can make a difference.⁠
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✨ And sometimes, the kindest move is to surrender. Fighting the 3AM wake-up spiral—adding hours, resenting, worrying—only deepens the overwhelm. Breathe. Repeat a calming mantra. Let it be what it is.⁠
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If you're unable to sleep even when baby is resting, consider checking your thyroid or exploring whether postpartum anxiety or depression may be at play.⁠
⁠
 Mamas—what helped you cope with sleep deprivation in the postpartum days? What got you through those long nights?⁠
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📸 @naraaziza⁠
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#postpartumsupport #postpartumwellness #newmomsupport #tiredasamother #postpartummentalhealth
Spring is in full swing—and so is the mental loa Spring is in full swing—and so is the mental load. Between the juggling act of work, family, childcare (and maybe just a second to yourself), migraines often creep in when you're stretched the thinnest. Add in hormonal shifts from your cycle, postpartum, or perimenopause? It’s the perfect storm.⁠⁠
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You're not imagining it. Migraines are one of the most common neurologic conditions affecting women, often brushed off or misunderstood.⁠
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While conventional medications can absolutely help, there are powerful natural options that many women find effective—especially when used preventatively.⁠⁠
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One of my top go-to recommendations is Riboflavin (Vitamin B2) at 400 mg/day. I've seen it make a big difference for so many of my patients—and it's safe during pregnancy, too.⁠
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Here are a few herbal remedies for migraine relief that I turn to in my practice:⁠
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 🌿 Butterbur – Proven for migraine prevention. A typical dose is 50-75 mg 2x daily. Only use brands labeled “PA-free.” Avoid in pregnancy/breastfeeding.⁠
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 🌿 Lavender – Inhaling for 15 minutes or applying lavender essential oil to temples can ease a migraine. Safe in pregnancy + breastfeeding.⁠
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 🌿 Curcumin (from turmeric) – Can help reduce migraine frequency + intensity. Avoid in pregnancy/breastfeeding. Dose: 500 mg 2x/day.⁠
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 🌿 Vitex – Especially helpful for hormone-related migraines by supporting estrogen + progesterone balance. Dose: 180 to 360 mg daily - capsule or 5 mL tincture daily. Avoid in pregnancy/breastfeeding.⁠
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 🌿 Feverfew – Anti-inflammatory; helps with both prevention + relief. Dose: 25 mg daily.  Avoid if you're on blood thinners or pregnant.⁠
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 🌿 Ginger – Traditionally used to reduce pain and nausea. Safe in pregnancy + breastfeeding. Dose: up to 2g/day.⁠ ⁠
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 It can take a few months of consistent use to really feel the difference—but hang in there. Relief is possible. ⁠
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What are your most surprising migraine triggers lately? Hormones? Stress? Screen time? I’d love to hear what’s helped you.⁠
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#headaches #migrainerelief #herbalremedies #herbalism #herbalmedicineforwomen
57 and postmenopause. No restrictive eating. No ho 57 and postmenopause. No restrictive eating. No hormone therapy. Just a deep commitment to nourishing food, daily movement, and radical self-respect.⁠
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This is what thriving can look like after menopause—and no, it doesn’t require starving yourself, punishing workouts, or chasing youth. It requires something far more revolutionary: tuning in.⁠
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I love good food. I move my body in ways that feel strong but sustainable. My focus isn’t on controlling my body, it’s on listening to her. ⁠
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My priorities? Reducing stress. Loving myself more, not less. Reclaiming the wild, wise feminine that this culture so often tells us to tone down. Keeping it real—always.⁠
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There’s no one-size-fits-all blueprint for postmenopausal health. Some women thrive with hormones. Others don’t need them. What matters is making informed choices that support your vitality, not someone else’s standards.⁠
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If you’re in this phase of life—or heading toward it—know this: It’s not the end of anything. It’s a whole new beginning. One where you get to decide what feeling good, being healthy, and aging well mean to you.⁠
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And sister, you don’t have to shrink to be powerful. You just have to be you.⁠
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What does your version of loving yourself look like?
Did you know that over 70% of women report stress Did you know that over 70% of women report stress in pregnancy?

We hear a lot about how stress in pregnancy might affect the baby—something that too often gets mamas freaked out, because who doesn’t have stress! The reality is, most of us can relax on that one.

But what about the toll stress takes on YOU as a pregnant mama?

Pregnancy can be a beautiful transformation—but let’s be real, it’s a full-body event that places profound physical, emotional, and psychological demands on you. Some experts even call it a “natural stress test.” And for good reason.

Chronic, unrelenting stress leads to something called allostatic load—the cumulative wear and tear on the body caused by prolonged stress hormone exposure. During pregnancy, that “wear and tear” can be especially impactful.

When stress is chronic or intense, it can elevate the risk of health issues like gestational hypertension, preeclampsia, + gestational diabetes. For those already managing something like high blood pressure, adding high stress levels can significantly increase the risk of complications.

And of course, not all stress is physical. Emotional stress—especially when unsupported—can increase the risk for postpartum depression + anxiety. Studies show that relationship stress during pregnancy is a strong predictor of perinatal mental health challenges.

Stress can affect everything from your sleep, energy, and digestion to your mood, immune function, and even your ability to access joy.

Here’s the thing: pregnancy is a big freaking deal. Sometimes unexpected curve balls happen while we’re pregnant—and our lives keep happening the whole time we’re growing a baby. You don’t have to—and it’s unrealistic to expect that you would—stay serene and glowing through it all to have a completely healthy pregnancy, birth, and postpartum.

But what we all do need and deserve are tools for relieving stress and support. Swipe through for tips!

In honor of Maternal Mental Health Month, I’m sharing this article and podcast exploring stress in pregnancy and how to protect your mental health with evidence-based, practical tools—link in bio.

When you think back to your pregnancy, what felt more demanding?
 

About Dr. Aviva

Welcome! From periods and birth control, to all things becoming a mama, to your red hot menopause journey – you'll find the ‘no BS' answers you're looking for – rooted in traditional wisdom, supported by the best of conventional medicine, backed by science – and  served up for you with a whole lot of love and zero judgment -ever. 

I'm Dr Aviva, a Yale trained MD and Board Certified Family Physician, Midwife, Herbalist, NYT Best Selling Author, Teacher, and Mama. Please accept this invitation to awaken wild health, reimagine your body, reclaim your hormones and cycles, and to be your most powerful YOU in every stage, at any age. 

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Aviva Romm, MD

Bridging Traditional Wisdom & Modern Medicine for Women and Children

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