Field Notes from a Travelling OBGYN

Welcome to ReproNomad!

I’m a board-certified obstetrician-gynecologist working locum tenens across the U.S., sharing clinical insights, patient-centered education, and grounded reflections on reproductive health from the front lines.

This space is for anyone navigating the system: doctors looking for a different career path, patients looking for answers, and providers looking for an approachable sexual and reproductive health resource.

Check out our most recent articles below!

  • This section breaks down common reproductive and sexual health concerns in clear, honest language—no scare tactics, no sugarcoating. Just information that respects your autonomy and your intelligence

For Patients
Could It Be Fibroids? A Patient’s Guide to Symptoms and Treatment.
Could It Be Fibroids? A Patient’s Guide to Symptoms and Treatment.

If you have heavy or long periods, painful periods (or general pelvic pain, presure, difficulty with urination and bowel movements), or difficulty getting pregnant or staying pregnant, have a conversation with your OBGYN provider about your symptoms. Fibroids can be felt on exam, but a pelvic ultrasound is the best way to diagnose them. (Transvaginal ultrasound, where the ultrasound probe is placed in the vagina, gives the best pictures of the uterus and pelvis. Sometimes your provider will follow up the ultrasound with a saline-infused-sonogram (an ultrasound with water pumped into the uterus) to get better pictures of the inside lining or an MRI (usually for surgical planning).

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  • Whether you're a seasoned clinician or brand-new to practice, this space offers practical reproductive health guidance you can use today —without judgment, fluff, or condescension.

For Providers
Postmenopausal Bleeding: Differential Diagnosis
Postmenopausal Bleeding: Differential Diagnosis

I structure a differential diagnosis for post menopausal bleeding slightly differently than I do for AUB in reproductive-age patients for one main reason: the threat of endometrial cancer. Endometrial cancer is rare overall (affecting 3% of people with uteruses in the United States), but over 70% of cases occur in patients over the age of 55, and >90% present with post menopausal bleeding (1). EC can also present in a variety of ways, so it doesn’t matter as much if the bleeding is heavy, light, spotting or situational. It goes without saying that a missed or delayed diagnosis can be devastating, so every postmenopausal patient who walks into my office with bleeding gets a transvaginal ultrasound or endometrial biopsy to evaluate for endometrial cancer, and then I use the history and exam to rule out other potential causes (structural (benign), infection, urinary tract / gastrointestinal, atrophy, or other dermatologic). Let’s get into it:

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  • I left the traditional career path to build a practice that fits my life. If you're curious about how locums works—or wondering if it's right for you—start here. I’ve made the mistakes so you don’t have to.

The Locum Files
10 Lies Your Locum Agent Has Told You
10 Lies Your Locum Agent Has Told You

A reputable agent will work to earn your trust: they will ask questions about the types of roles you are looking for, if you’re willing to travel and how far, specific needs around accomodation, and your desired compensation, then discuss details of jobs that match your preferences before requesting your CV when you are ready to move forward with being “presented” to a facility.

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