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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.

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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

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high-functioning anxiety

The High Cost of ‘I’m Fine’: The Truth About High-Functioning Anxiety and Invisible Depression

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

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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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Practitioner
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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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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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Let's Connect on Instagram!

@dr.avivaromm

We've all seen the movies - the pressure to PUUUSS We've all seen the movies - the pressure to PUUUSSSSSHHHHHH. ⁠
⁠
When we talk about the pushing phase of labor, we have to talk about the episiotomy—a common intervention many women still aren’t fully informed about.⁠
⁠
An episiotomy is a surgical cut made to the perineum (the area between the vagina and anus) during birth to “make more room.” ⁠
⁠
But here’s the truth: routine episiotomies don’t prevent tearing, don’t improve healing, and don’t lower the risk of long-term issues like incontinence. In fact, they often make tearing worse!⁠
⁠
As a midwife for over 20 years and a doctor for another almost 15 years now, I've supported so many women through birth—and helped most avoid tearing completely - at home and in the hospital. ⁠
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We trust the body. We use gravity. We take a hands-off approach at crowning—no perineal massage—and create the  time, and space the body needs to stretch to accomodate baby's passage  out of the birth canal.⁠
⁠
Birth doesn’t need to be rushed. And your perineum doesn’t need to be cut.⁠
⁠
Here’s how you can protect it:⁠
⁠
💕 Work with a midwife. Period. ⁠
💬Ask your doctor, if using one: “How often do you perform episiotomies?”⁠
 🙅🏽‍♀️ Let them know your preference: ONLY if medically necessary (which is rare!) ⁠
 🧘🏾‍♀️ Use upright or side-lying positions for birth.⁠
 🕊 Avoid forced pushing—'breathe your baby down.'⁠
 🤲 Hands-off at crowning—skip the perineal massage.⁠
 🤝 Have someone with you who can advocate if needed.⁠
⁠
✨ I created Birthwise- my Mama Pathway Labor and Birth course, to teach you what I wish every woman knew about birth: ⁠
⁠
🔻How to reduce tearing. ⁠
🔻How to make empowered choices.⁠
🔻 And how to work with your body, not against it.⁠
⁠
Comment WISE below and I’ll send you a free guide from the Mama Pathway to help you feel informed, supported, and ready.⁠
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You deserve to give birth in power, with wisdom on your side. 🕊
To all the dads—⁣⁠ ⁠ The ones who held her To all the dads—⁣⁠
⁠
The ones who held her hand through contractions, packed the hospital bag, learned to install the car seat (after five YouTube videos), and showed up with calm and steadiness when everything felt like too much—⁣⁠
⁠
We see you.⁣⁠
⁣⁠
You may not have carried the baby in your body, but you’ve carried so much else. The late-night fears. The quiet worries. The weight of love that hit like a tidal wave and remade you from the inside out.⁣⁠
⁠
Your role in pregnancy, birth, and postpartum might not always get the spotlight, but it matters. Deeply.⁣⁠
⁠
You are a protector, advocate, teammate, and soft place to land. ⁠
⁠
You've rubbed swollen feet, held newborns so mama could sleep, changed diapers with trembling hands, and offered steady presence in moments of unraveling.⁣⁠
⁠
You’ve been changed by this too.⁣⁠
⁠
Because fatherhood isn’t just about showing up—it’s about letting yourself be transformed. About meeting the rawness of this moment with presence, humility, and heart.⁣⁠
⁠
So today, we honor you. Not for perfection, but for the quiet, life-shifting way you love.⁣⁠
⁠
Fatherhood is not a supporting role. It’s an essential one. And we’re so grateful for the way you walk beside—through every cry, every milestone, every messy, beautiful moment.⁣⁠
⁠
Happy Father’s Day. ⁠
⁠
📸 @abooyeah
Your daughter’s period isn’t just a monthly ev Your daughter’s period isn’t just a monthly event—it’s a threshold. A sacred opportunity to help her feel safe, supported, and at home in her body. Often in ways we as women were never taught and wished we were! ⁠
⁠
Whether she’s 11 or 21, just starting or already cycling, these early experiences imprint deeply. They teach her how to relate to her body—and whether she can trust it.⁠
⁠
When you meet her with warmth, curiosity, and steadiness, you’re doing more than easing cramps or navigating moods. You’re giving her a language. A lineage. A knowing that she doesn’t have to go it alone.⁠
⁠
You’re telling her:⁠
⁠
 “You’re not broken.”⁠
 “This isn’t something to hide.”⁠
 “You’re allowed to rest, feel, and listen to yourself.”⁠
⁠
And that kind of knowing? It sticks.⁠
⁠
Sometimes it looks like:⁠
⁠
 🫖 A warm mug of raspberry leaf tea⁠
 🛁 A quiet bath and a soft place to land⁠
 🥬 Iron-rich foods that nourish and replenish⁠
 🤍 A gentle “How’s your body feeling today?”⁠
⁠
These small moments become a foundation. One she’ll stand on for the rest of her life.⁠
⁠
Because our work isn’t just to manage symptoms—it’s to guide our daughters back to themselves. To their cycles. Their intuition. Their inner wisdom.⁠
⁠
And if you’re on this journey too—from your first period to perimenopause—Hormone Intelligence is a beautiful place to begin.⁠
⁠
It’s the book I wish every mama had in her hands. Tap the link in bio to learn more. 💫
It’s 2025. So why is women’s health still an a It’s 2025. So why is women’s health still an afterthought in research?⁠
⁠
I’m joining in solidarity to say what should no longer need saying:⁠
⁠
Women deserve to be seen, studied, and taken seriously.⁠
⁠
Because the truth is staggering:⁠
⁠
🔬 Until 1993, women weren’t even required to be included in U.S. clinical trials.⁠
 💊 Today, most drugs, diagnostics, and treatments are still developed with male physiology as the default.⁠
 📊 Only 1 in 3 clinical research participants are women—even now.⁠
 🧠 Conditions like endometriosis, PMDD, and perimenopause are wildly under-researched, often misunderstood, and frequently misdiagnosed.⁠
⁠
This isn’t just a data gap.⁠
⁠
 It’s a care gap.⁠
⁠
 It’s a credibility gap.⁠
⁠
 It’s a crisis.⁠
⁠
Because when research excludes us, care fails us.⁠
⁠
 ➡️ Fertility struggles are dismissed or mismanaged.⁠
 ➡️ Hormonal disorders go untreated for years—or forever.⁠
 ➡️ Birth control is handed out as a catch-all “solution” for every hormonal issue, from PCOS to pain.⁠
 ➡️ Women are told their suffering is “just stress,” “in their head,” or “part of being a woman.”⁠
We end up with:⁠
⁠
PCOS, Endometriosis, Autoimmune Diseases and more taking 5-10 years to get diagnosed!⁠
⁠
Lack of treatment for conditions because they primarily impact women⁠
Medication side effects because doses are wrong for women and our side effects dismissed⁠
⁠
Women are not small men. Our bodies are different. Our hormones fluctuate. Our symptoms present differently. And yet, the system still acts like we’re too complicated to study.⁠
⁠
Enough.⁠
⁠
We need a new standard: one where women are included from the start—not as an afterthought, not as a checkbox, but as a priority.⁠
⁠
This is how we change healthcare.⁠
⁠
It starts with better data—and a deeper commitment to listening to women.⁠
⁠
Let's hear your voice in the comments!
 

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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