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Aviva Romm, MDAviva Romm, MD

Bridging Traditional Wisdom & Modern Medicine for Women and Children

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Your Body, Your Rules.

The New Women's Health Starts Here.

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. 

The WomanWise Journal

 For real solutions that help you take back your health, or simply to reconnect with the power of the feminine, browse these featured 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

Kris Carr

Going Through Grief and Its Messy Feelings with Kris Carr

Egg Freezing

Should I Freeze My Eggs? Let’s Chat About That!

Tamsen Fadal

Hot Flashes Gone Public with Tamsen Fadal

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Perfectionism: Healing the Shadow Side

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Rather listen? Head to the On Health podcast.

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Loss and grief are big painful feelings that we’ Loss and grief are big painful feelings that we’d generally prefer to avoid, yet they’re a part of being human. We’re all broken open at some point in life. So how do we allow our hearts to feel those cracks while still being able to function, cope, and even learn to thrive when life feels ruptured?

Diving into this question with me on today’s On Health podcast episode is my friend, the truly-remarkable Kris Carr.

Kris is a member of Oprah’s Super Soul 100, a Success Magazine blog star, and is one of the top 100 most influential people in health & fitness. She teaches others how to take back their health and live as they mean it. Kris’ new book, ‘I’m Not a Mourning Person’—which we talk about today—dives into braving loss, grief, and the big messy emotions that happen when life falls apart.

In this episode, Kris and I get into: 

✨ The many ways we face grief from the loss of a loved, a pregnancy, a marriage, or the loss of how we thought life would be.
✨  The ‘messy mascara moment’ that led to Kris’ emotional opening and epiphany.
✨  Overcoming the belief that emotions are ‘unbecoming’ & how they are actually part of becoming our whole selves.
✨  The moments of rupture in her life & how she’s moved through them.
✨  Anticipatory grief & how it can be a gift (but also keep us from being present).
✨  The power of accepting help.
✨  How to be more ‘grief literate’ when talking with someone going through loss.
✨  The 5 pillars of wellness Kris practices during times of distress.
✨  How to approach work when you just can’t show up the same way during grief.

Head to the link in bio to listen to the episode! Please note that this discussion may be triggering for some, so take care of yourself & be sure to tune in when you feel grounded & supported ❤️

I hope you find this episode supportive & inspiring. Think of it like a big hug from us! Share with someone you love who could benefit from this raw & authentic conversation, too.

xx, Dr. A
Did you know that women have 3x more migraines tha Did you know that women have 3x more migraines than men? And get this: migraines are described in medical literature as one of the most common, disabling gynecologic conditions. Yet women with migraines are too often dismissed as stressed!

Why are migraines a gynecologic condition? Because they often have to do with hormonal shifts, like major drops in estrogen. That’s why they tend to pop up around ovulation, premenstrually, postpartum & in menopause.

Here’s a look at the hormone-migraine connection:

🌿 As estrogen declines, so does your feel-good neurotransmitter serotonin, which can trigger a migraine.
🌿 Estrogen modulates pain. As it drops, so can pain tolerance.
🌿 While breastfeeding, suppressed estrogen can be a factor in migraines. 
🌿 Histamines released during the menstrual cycle & the Pill can each cause migraines.

Hormonal migraines can also stem from inflammation, food & environmental triggers, stress, fatigue & low blood sugar.

So what can you do? Start to identify your triggers using a migraine/headache journal. Some common ones are:

🌹 Perfumes & scents
🍷 Alcohol, especially red wine
🧀 Aged cheeses
☕️ Caffeine
❌ Sugar & food additives

Consider supplementation to prevent migraines & ease the pain. Here’s what I most commonly recommend in my practice:

Prevention: 

🌿 Riboflavin (400mg/day), can prevent recurrent migraines by 50%.
🌿 Magnesium (600mg/day), helpful in preventing migraines associated with periods. 
🌿 Calcium (500 mg/day), can prevent & reduce PMS symptoms by 50%.

Pain relief & reducing chronic inflammation:

🌿 Ginger (2g/day), relieves migraine pain & nausea.
🌿 Curcumin (500mg, 2x/day), may reduce migraine frequency, pain & duration.*
*Avoid if pregnant

If you’re feeling the effects of hormonal headaches, know that there is relief! Try the supplementation above & stay consistent—you may notice results quickly, but it can take ~3 months.

Head to the link in bio for my book, Hormone Intelligence, which has a full protocol for you. ❤️

Are migraines affecting you every month? During menopause? Have you gotten the answers you need from your medical providers? 

Comment below, I’m listening!
The first week postpartum is precious, but it can The first week postpartum is precious, but it can also be a rollercoaster. Your hormones are shifting intensely to re-regulate your body after the past 9 months, settling back down after ALL the work it's done!

It can feel really dramatic—trust me, I've been there. Mood swings, tears, anxiety, irritability...it's normal. But the issue is, we're often not well-prepared for it.

Let's talk about what happens: 

🤰🏻During pregnancy, estrogen & progesterone increase to the level of something like taking 100 birth control pills/day! 🤯 

📉 By ~3 days PP, levels plummet back to baseline, near where they were before pregnancy. It’s like PMS on steroids 😅 This is considered the biggest hormone shift we experience at any stage in life. Take that in!

🤱🏽 For BF'ing mamas, estrogen can stay suppressed, which can affect moods.

The most important thing here is to give yourself grace. You're doing it, mama. You & your body are working together! And there are some beautiful solutions that can support you through the (what feels like) chaos.

✨ Keep blood sugar balanced to support your moods. Don't skip meals! This causes blood sugar to drop. Focus on high-quality protein & fats.

✨ Hydrate! Proper hydration leads to optimal brain health, supporting your moods & emotions.

✨ SLEEP. I know, it can be the hardest thing to do with a newborn. When baby's napping, try to rest—even 30 mins. Build up your sleep bank where you can to preempt the impact of sleep lost.

✨ Walk outdoors with baby to nourish your nervous system. It soothes baby's, too.

✨ Stay consistent with your prenatal multi & fish oil for a boost of nutrients.

With all that said, we must acknowledge that perinatal mood & anxiety disorders (PMADS) are real, & more common than we're led to realize. PLEASE reach out to a provider who has the tools to help you if needed ❤️ And if you're not sure? Reach out anyway!

You can find an in-depth convo on everything discussed above (& more) at the link in bio!

What did nobody tell you about PP that you wish you knew? What do you want to share with other mamas about those early days? We're here for one another & I'd love to hear from you.

xx Dr. A

photos by @sara_koba
My favorite fashion statement—finally getting th My favorite fashion statement—finally getting the press it deserves. ⁠
⁠
(Stay tuned for my baby wearing capsule wardrobe photos, coming soon!)⁠
⁠
What's your favorite way to wear baby or your best baby wearing story?⁠
⁠
@newyorkermag. ⁠
⁠
#babywearing
 

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Aviva Romm, MD

Bridging Traditional Wisdom & Modern Medicine for Women and Children

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