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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 mama  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

Microplastics and Nanoplastics

Microplastics and Nanoplastics: How Alarmed Should We Be?

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

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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Women’s Hormones + Health

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Pregnancy
+ Birth

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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Herbal Medicine
for Women

Herbal Course
and Community
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Practitioner
Training

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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More for You!

Gifts, resources, and more you'll adore!

Free Gift: Herbal Guide

Adaptogens for Women

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Free Gift: Thyroid Ebook

Thyroid
Insights

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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

Is “leaky gut” just wellness BS?⁠ ⁠ You’ Is “leaky gut” just wellness BS?⁠
⁠
You’ve probably heard the term tossed around—sometimes with more hype than science.⁠
⁠
But here’s the truth: Leaky gut—or increased intestinal permeability—is real. When the tight junctions in your gut lining become compromised, particles like bacterial LPSs slip into your bloodstream, triggering inflammation and immune reactions.⁠
⁠
Over time, this can show up as:⁠
⁠
– Food intolerances⁠
– Chronic fatigue⁠
– Systemic inflammation⁠
– Autoimmune conditions like Hashimoto's⁠
⁠
What causes it?⁠
⁠
👉🏼 Overuse of NSAIDs, antibiotics, and other meds⁠
👉🏼 Alcohol use⁠
👉🏼 Chronic stress⁠
👉🏼 Dysbiosis (gut microbiome imbalance)⁠
👉🏼 Environmental toxins⁠
👉🏼 An inflammatory diet⁠
👉🏼 Conditions like celiac, Crohn's, and ulcerative colitis⁠
⁠
Bad news? There’s a lot of BS overdiagnosis, testing, and treatment in the wellness world.⁠
⁠
Good news? Your gut lining is resilient. With the right support—removing triggers and adding gut-healing herbs and nutrients—it can repair. Just be mindful of who you're trusting and what they’re recommending.⁠
⁠
One tool I’ve included in my protocol for 20+ years is this Herbal Gut Healing Infusion:⁠
⁠
🌿 Marshmallow root – coats and soothes inflamed tissue⁠
🌿 Ginger – reduces inflammation⁠
🌼 Chamomile – gut anti-inflammatory + nervous system calming⁠
🌼 Calendula – promotes tissue repair⁠
🌿 Licorice root – boosts gut mucin (avoid if pregnant or hypertensive)⁠
⁠
(Except for ginger and chamomile, not recommended in pregnancy)⁠
⁠
Your gut affects more than digestion—it’s central to your immunity, hormones, energy, and mood. That’s why I cover gut healing extensively in The Adrenal Thyroid Revolution, Hormone Intelligence, and in my Women’s Integrative & Functional Medicine Training Program (open through Sept 23—info on my website).⁠
⁠
I’m here to help you sort science from wellness BS. ⁠
⁠
So what functional medicine or wellness fiction and facts do you want me to spill the tea on?
Menopause is a natural stage in life, and Hormone Menopause is a natural stage in life, and Hormone Replacement Therapy (HRT) can play an important role in easing symptoms when women are struggling. But it’s not the whole story. HRT can help manage hot flashes, night sweats, and other discomforts—but it doesn’t create a healthy menopause on its own. And while it might be the right personal choice for you, it’s not a substitute for a lifestyle that supports your hormones, heart, brain, and bones for the long haul.

Here’s what else matters for a truly balanced menopause:

🥦 Nourish Your Cells
Support hormone and metabolic health with a low-glycemic, anti-inflammatory, plant-forward diet:
✔️ Protein and good fats
✔️ Leafy greens, berries, colorful veggies
✔️ Phytoestrogens like flaxseeds and soy

🧠 Boost Brain Health with Connection & Play
✔️ Meaningful conversations
✔️ Joyful movement and creativity
✔️ Activities that stimulate and uplift

🦵 Build Strength & Balance for Bone Health
✔️ Weight-bearing movement
✔️ Resistance training
✔️ Yoga or Tai Chi

🌿 Mind-Body Practices for Nervous System Support
✔️ Meditation & mindfulness
✔️ Gratitude journaling
✔️ Deep breathing to calm stress

✨ This is a time to support your hormones—not just suppress symptoms.

If you’re ready to feel more in tune with your body and balanced in this powerful phase of life, my book Hormone Intelligence is for you. It’s a comprehensive, compassionate guide to hormone health during midlife and beyond—rooted in science, grounded in nature, and made for women like you.

📖 Find it at the link in bio and begin your journey toward hormone balance today. #HormoneIntelligence #HealthyMenopause #WomensHormones #Perimenopause #FunctionalMedicine #MidlifeWellness
As we enter our late 30s and early 40s, many women As we enter our late 30s and early 40s, many women being noticing what seem like strange symptoms - physical, mental, and emotional - and wonder what the heck is going on - often not considering it could be PERIMENOPAUSE!

It can feel confusing, frustrating, and disorienting to not know what’s going on in your body - or what’s normal, and what’s isn’t.

So let’s demystify this overlooked and under-discussed life-cycle.

Perimenopause can last 8 - 10 years for some women. During this time, we experience fluctuations in our estrogen levels as we head towards menopause (complete cessation of ovulation and menstruation, international average age is 52), when estradiol levels drop dramatically.

What does this feel and look like?
* Period irregularity (skipped, lighter, more frequent, heavier - all of the above!)
* Changes in menstrual flow
* Feel overheated or having hot flashes
* Harder to fall asleep, restless nights
* Need to pee more often
* Shifts in sex drive
* Vaginal dryness, changes in vaginal odor
* Appearance of hormonal acne
* Surprise weight gain, particularly around the middle
* Throbbing hormonal migraines
* Hazy focus and memory
* Mood swings: irritability, anxiety, depression, rage( !!)

These symptoms can feel like s#I! - and be really confusing, overwhelming, and anxiety provoking - especially if you don’t have answers or guidance.

And these aren’t just a series of symptoms to tough out or endure. There are so many ways to smooth our the rough patches and bring ease. It starts with getting educated about WTF is really happening in your body, hormones, mind...

So if you’re noticing some subtle or screaming loud shifts that look like perimenopause, let’s start by getting you meno-educated!  In my book, Hormone Intelligence, I’ll tell you what’s going on - and give you so many ways to  support your body - focusing on nutrition, herbs, lifestyle, and movement to address perimenopausal symptoms. 📚

Tell me about your perimenopause journey! What’s taken you by surprise? What did you wish someone had told you ahead of time? What challenges have you faced getting answers?

Dish it all in the comments!
Early puberty, which is on the rise, poses specifi Early puberty, which is on the rise, poses specific risks to the girls who experience it. But it also reflects the chemical and social soup that all of our girls are living in—something that may be impacting them in both visible and invisible ways, now and into their hormonal future.⁠

It’s not just about menstruation starting earlier. It’s a signal—one that tells us our environment is shifting the baseline for what’s biologically “normal” in our daughters’ development.⁠

While we need systemic changes from government agencies, medical institutions, and industry, the truth is: we, as mamas, aunties, grandmamas, teachers, and healthcare providers, are on the frontlines. We can make a difference.⁠

From reducing toxic exposures, to building stress resilience, to nourishing their bodies with real food—we have tools at our fingertips that can lower the risk of not only early puberty, but also lifelong hormonal imbalances like PCOS, endometriosis, thyroid disorders, and autoimmune disease.⁠

For a deeper understanding of the why behind this rise—and practical, science-backed strategies you can use to protect your daughter’s health—grab a copy of my book, Hormone Intelligence.

It’s a guidebook for every stage of a woman’s life—including how to raise girls in a world that often doesn’t put their hormones, or health, first.⁠

⁠📖 Find Hormone Intelligence at the link in bio. Because knowledge is power—and it starts with us.

#hormones #hormonehealth #hormonehealing #hormonebalance
 

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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