Your Questions, Answered
Have a quick question? Check out some common inquiries below
General Information
Do you perform Well Woman Exams?
We don’t perform Well Woman exams, mammograms or pap smears. These in-person visits can be handled by your gynecologist or primary care provider.
We focus on delivering advanced, personalized care through precision medicine. This includes tailored hormone therapy, DNA-informed protocols, microbiome support, and longevity strategies—all designed to meet your unique needs and go beyond what a typical well-woman exam covers.
Think of us as your partner in personalized, cutting-edge care, while your in-person provider takes care of routine physical exams.
Do you accept insurance or HSA/FSA payments?
To provide truly personalized, integrative care, we operate outside the constraints of traditional insurance systems. This allows us to dedicate the time and attention needed to thoroughly address your unique health concerns and design tailored treatment plans that prioritize your goals.
If you have an HSA or FSA, you may be able to use those funds for our services—please confirm with your provider beforehand. Additionally, we can provide Superbills for services with standard billing codes, which you can submit to your insurance carrier for potential reimbursement. Keep in mind that coverage varies, and some services may not have standard codes.
Our goal is to deliver exceptional, individualized care that goes beyond the limitations of insurance-based healthcare.
Do you provide finanical assistance?
Yes! Precision FemCare is a CareCredit provider. To learn more about how this service can support your healthcare needs, visit: CareCredit Link
Do you offer telemedicine visits?
Yes, our practice is exclusively virtual, offering telemedicine visits with our expert providers via Zoom. This allows you to receive personalized and comprehensive care from the comfort of your home or office, without the need to travel.
Do I need to be in Texas to meet with your providers?
- Appointments with Dr. Dian Ginsberg:
While you don’t need to live in Texas to work with Dr. Ginsberg, Texas law requires you to be physically in Texas during your telemedicine consultation. Whether at home, a hotel, or a temporary residence, as long as you’re in Texas, you can schedule your virtual visit with her. - FemGen Blueprint Appointments:
These specialized appointments connect you with our genomic specialist and can be conducted from anywhere, providing maximum flexibility and convenience. - Appointments with Other Team Members:
Sessions with our experts in gut health, microbiome, nutrition, genomics, inflammation and health coaches can be conducted from any location, ensuring flexibility to fit your schedule.
Who can I talk to before booking my first appointment?
Our patient care coordinator is happy to discuss your health goals and concerns to help determine if Precision FemCare is the right fit for you.
Contact us or try our digital assistant. It’s available 24/7 to address common questions and can connect you with our team for additional support.
What makes Precision FemCare different?
At Precision FemCare, we take an integrative approach to women’s health, going beyond symptom management to uncover what your body truly needs. Led by Dr. Dian Ginsberg, we use advanced testing like genetic analysis, comprehensive bloodwork, and hormone evaluations to create personalized care plans tailored to your unique biology.
Unlike traditional medicine, which often offers generalized solutions, we provide a comprehensive, precision-focused approach to hormones, gut health, brain function, and more—helping you feel your best today while building a foundation for lasting wellness.
What kind of medications can your providers prescribe?
Our providers prescribe both traditional medications and compounded formulations, which are custom-made to address your specific health needs. This includes hormones like progesterone, estrogen, and testosterone, as well as other medications tailored to your care. By offering personalized solutions, we ensure your treatment is uniquely designed to help you feel your best.
Can I provide lab results from another doctor instead of doing your initial labs?
Our providers require a comprehensive and up-to-date set of data for your initial consultation. To ensure all necessary information is available, we order specific initial labs before your first visit.
You’re welcome to upload recent lab results from another doctor along with your intake forms, but this is optional and not a substitute for the required initial labs.
What ages of patients do you serve?
We currently provide services for patients aged 18 and older. Genetics-based precision medicine is an emerging field with specific restrictions around DNA testing in minors.
We’re hopeful that, as this field evolves, we’ll be able to extend our services to younger patients.
What is your cancellation policy?
We understand that plans can change. Here’s how our cancellation policy works:
- If you cancel at least two business days before your appointment, you’ll receive a 50% refund of your consultation fee. The remaining 50% can be applied as a credit toward a future appointment for up to one year.
- There is no cost to reschedule your appointment if done at least two business days in advance.
- For cancellations made within two business days of the appointment, the consultation fee is non-refundable and non-creditable.
If you have any questions about your appointment or need to reschedule, feel free to contact us—we’re happy to help!
Which Provider is Right for Me?
Which provider do I see for hormone replacement therapy?
Schedule with Dr. Dian Ginsberg for a comprehensive evaluation and to be prescribed hormone therapy. With dual board certifications in Obstetrics & Gynecology and Anti-Aging & Regenerative Medicine, she brings decades of expertise to women’s hormonal health and personally conducts all hormone therapy consultations, evaluations, and prescriptions.
Beyond her clinical practice, Dr. Ginsberg is a member of the Menopause Society and is actively engaged in cutting-edge research on hormone pharmacokinetics (absorption) and advanced testing methods, keeping her at the forefront of innovation in hormone therapy.
If I’m in my 30's, still have my period, but am experiencing symptoms, who should I see?
Symptoms such as fatigue, mood swings, irregular periods, weight gain, brain fog, or trouble sleeping can often indicate hormonal imbalances. However, because these symptoms can overlap with other health conditions, it’s not always easy to pinpoint the cause on your own.
A consultation with Dr. Ginsberg can provide clarity. She will analyze your blood tests, assess your symptoms, and perform detailed testing to identify any imbalances or underlying issues. Based on her findings, Dr. Ginsberg will guide you through the next steps to restore balance and improve how you feel.
If I’m having trouble getting pregnant, who should I see?
- For most cases of undiagnosed pregnancy challenges, we recommend starting with Sheila Vuckovic. Sheila specializes in microbiome health, nutrition, and nutrient optimization—key factors in fertility. A healthy microbiome supports hormone regulation, reduces inflammation, and enhances egg quality and implantation potential. Sheila works to create a balanced internal environment by addressing nutrient deficiencies, improving gut health, and optimizing your body for conception and pregnancy.
- If you prefer a board-certified doctor’s evaluation of your labs or need a comprehensive assessment of hormonal imbalances, schedule an appointment with Dr. Dian Ginsberg. While she does not perform in vitro fertilization (IVF) or other invasive fertility procedures, Dr. Ginsberg specializes in identifying and addressing systemic or hormonal factors affecting fertility. After her evaluation, she often refers patients back to Sheila to implement the deeper, long-term solutions needed for success.
Both providers work closely together to ensure your care is personalized and effective. If you’re unsure where to start, contact us, and we’ll guide you to the right provider.
If I have PCOS, who should I see?
- For most cases of PCOS, we recommend starting with Sheila Vuckovic. Sheila focuses on addressing the root causes of PCOS by optimizing nutrition, improving microbiome health, and enhancing insulin sensitivity. Her expertise in creating a balanced internal environment can naturally alleviate many PCOS symptoms, such as irregular cycles, weight challenges, and inflammation.
- If you prefer a board-certified doctor’s evaluation of your labs or need a comprehensive medical assessment of hormonal imbalances, schedule an appointment with Dr. Dian Ginsberg. Dr. Ginsberg specializes in identifying and addressing systemic or hormonal factors related to PCOS. After her evaluation, she often refers patients back to Sheila to implement the deeper, long-term solutions needed for lasting success.
Both providers work closely together to ensure your care is personalized and effective. They are also co-authors of a book on managing PCOS, highlighting their combined expertise and collaborative approach to providing the best care. If you’re unsure where to start, contact us, and we’ll guide you.
Which provider should I see for microbiome support, diet, and nutrient optimization?
Schedule an appointment with Sheila Vuckovic, who specializes in microbiome health, personalized nutrition, and nutrient optimization. Sheila’s expertise lies in identifying imbalances through comprehensive testing and creating tailored strategies to support gut health, improve nutrient absorption, and enhance overall wellness.
For gut health concerns like IBS, bloating, or digestive disorders, who should I see?
Book an appointment with Sheila Vuckovic for gut health-related concerns. Sheila specializes in treating conditions such as IBS, bloating, leaky gut (increased intestinal permeability), nutrient absorption issues, and other digestive disorders. Her personalized approach is based on comprehensive testing and gut microbiome analysis, allowing her to identify root causes and develop tailored solutions to improve your digestive health and overall well-being.
If I have both gut health and hormone-related issues, who should I see?
Who you see first depends on your most pressing concerns:
- If hormones are your primary focus, start with Dr. Dian Ginsberg for a comprehensive evaluation of your hormonal health and overall well-being.
- If gut health is your priority, schedule an appointment with Sheila Vuckovic, who specializes in microbiome health, nutrition, and nutrient optimization.
If you’d like to address both concerns simultaneously, contact us, and we’ll help coordinate appointments with both providers for your convenience.
If I have inflamation or an auto-immune condition like Hashimotos, which provider should I see?
Schedule your appointment with Sheila Vuckovic, a Wahls Protocol® Certified practitioner specializing in autoimmune conditions. Sheila takes a personalized approach, focusing on nutrition, lifestyle adjustments, and gut health to help reduce inflammation and manage autoimmune disorders effectively.
If I suspect mold or environmental sensitivities, who should I see?
Schedule an appointment with Sheila Vuckovic, who specializes in addressing mold exposure and environmental sensitivities. Sheila uses advanced testing to identify toxic exposures and works on personalized plans focusing on detoxification, nutrition, and restoring overall balance to help manage these complex conditions effectively.
Hormone Replacement Therapy
How do I know if I need hormone replacement therapy?
If you’re experiencing significant symptoms like heavy bleeding, hot flashes, mood swings, fatigue, or brain fog, hormone replacement therapy might be an option.
To ensure we recommend the best treatment, we conduct detailed blood labs, a symptom assessment, and a full health evaluation. These steps help us identify whether hormone therapy is the right choice or if other treatments, such as lifestyle changes, supplements, or non-hormonal options, may be more suitable.
Our personalized approach ensures your care plan is safe, effective, and tailored to your individual needs.
Does perimenopause require hormone replacement therapy?
Perimenopause, the transitional phase leading up to menopause, is marked by fluctuating hormone levels that can cause symptoms like irregular cycles, hot flashes, mood swings, fatigue, and brain fog.
In the early stages of perimenopause, not everyone requires hormone replacement therapy. Often, lifestyle adjustments, nutrition support, and protocols like our FemGen Blueprint are effective in managing symptoms. For those with more pronounced or disruptive symptoms, advanced hormonal testing and a comprehensive health evaluation help us determine whether hormone therapy or another personalized approach is the best solution.
Our goal is to provide clarity, relief, and a tailored plan that works for your unique needs.
How can hormone replacement therapy benefit women in menopause and beyond?
Bio-Identical Hormone replacement therapy (BHRT) can provide significant benefits for women in menopause and beyond by addressing both immediate symptoms and long-term health risks associated with hormone depletion.
BHRT can help:
- Alleviate symptoms like hot flashes, night sweats, and vaginal dryness
- Improve sleep quality, energy levels, and mood stability
- Enhance cognitive function and reduce brain fog
- Support bone density, reducing the risk of osteoporosis
- Protect heart health by improving cholesterol levels and vascular function
Using a personalized approach, we evaluate your hormone levels and overall health to determine if BHRT is appropriate for you. For many women, BHRT not only improves quality of life but also supports long-term health and well-being in the years after menopause.
Why do you require testing when prescribing hormone replacement therapy?
Testing is essential for safe and effective hormone therapy. Detailed evaluations, including blood labs and advanced hormone testing, provide critical insights into your hormone levels and how your body absorbs and metabolizes them.
With this information, we use compounded bio-identical hormones to fine-tune prescriptions for precise dosing tailored to your needs. This minimizes the risks of over- or under-medication often seen with symptom-based dosing alone. Regular follow-up testing ensures your treatment stays safe, effective, and responsive to your body’s evolving needs.
Why do you use compounded bioidentical hormones instead of patches, pellets, synthetic hormones, or preset one-size-fits-all dosages?
We use compounded bioidentical hormones to provide a personalized, adaptable approach to hormone therapy that other methods simply can’t match. Here’s why:
Custom Precision Dosing:
Unlike patches, pellets, or standard doses, compounded hormones are tailored to your unique needs. This precision is especially important during perimenopause, when hormone levels can fluctuate daily, ensuring you get exactly what your body requires.Improved Absorption and Fewer Side Effects:
Compounded bioidentical hormones closely replicate the structure of your body’s natural hormones. This design enhances absorption and minimizes the risk of side effects. Synthetic hormones—and even some off-the-shelf bioidentical options—don’t achieve the same level of compatibility with your body.Flexibility for Evolving Needs:
Pellets and patches release a fixed dose, leaving no room for adjustment if your hormonal needs change. Compounded hormones allow for real-time adjustments to your treatment as your body’s needs evolve.Truly Personalized Care:
One-size-fits-all solutions may work for some, but we believe in tailoring care to align with your body’s unique rhythms. Compounded hormones let us design a therapy plan that’s uniquely yours, giving you better results and greater comfort.
This approach ensures your treatment is safe, effective, and designed specifically for your health and lifestyle.
Which provider do I need to see for hormone replacement therapy?
Schedule with Dr. Dian Ginsberg for a comprehensive evaluation and to be prescribed hormone therapy. With dual board certifications in Obstetrics & Gynecology and Anti-Aging & Regenerative Medicine, she brings decades of expertise to women’s hormonal health and personally conducts all hormone therapy consultations, evaluations, and prescriptions.
Beyond her clinical practice, Dr. Ginsberg is a member of the Menopause Society and is actively engaged in cutting-edge research on hormone pharmacokinetics (absorption) and advanced testing methods, keeping her at the forefront of innovation in hormone therapy.
What does a typical treatment plan look like?
Each treatment plan is unique but may include a combination of Bioidentical Hormone Replacement Therapy (BHRT) based on testing, targeted supplements, followups, guidance on nutrition, exercise, and sleep to help you feel your best.
FemGen Blueprint & DNA Protocols
How accurate is at-home genetic testing?
Our genetic tests use advanced genomic technologies ensuring high accuracy in identifying genetic markers.
What kind of DNA test do you perform?
We utilize a simple, painless cheek sample collection test that examines key areas of your genome to reveal insights and recommendations based on your genetic variants.
How can genetic testing help me in perimenopause and beyond?
Genetic testing is a cornerstone of our FemGen Blueprint, offering personalized insights into your biology. Whether you’re in early perimenopause or navigating menopause and beyond, genetic testing helps:
- Manage weight and metabolism.
- Tailor diet, supplements, and fitness plans to your genetic strengths and weaknesses.
- Proactively address risks like osteoporosis or cardiovascular issues.
When combined with lab results, symptoms, and environmental exposures, genetic testing becomes a powerful tool for creating a personalized action plan that supports your long-term health and vitality.
How can genetic testing help me manage weight?
Our test analyzes 149 gene results known to influence metabolism, fat storage, and nutrition absorption to provide highly accurate insights into how your body responds to diet and exercise.
Can this help me if other diets have failed?
Absolutely! DNA-informed diets are proven to be up to three times more effective than conventional plans. By combining genetic insights with blood test results, we create a highly personalized plan tailored to how your body processes fats and carbs.
When paired with microbiome support, this approach ensures that your meal plans and exercise routines perfectly align with your body’s unique needs—helping you overcome past challenges and achieve sustainable weight loss success.
How detailed is the genetic analysis for fitness?
Our test analyzes 157 genes known to be directly related to physical performance—endurance vs. power-based, training response, recovery, nutrition, and injury predisposition—providing a detailed blueprint for personalized fitness.
Can genetic testing truly enhance my fitness results?
Absolutely. By aligning your fitness and nutrition strategies with your genetic profile, you can achieve more efficient and effective results, tailored specifically to your body’s needs.
How can the FemGen Blueprint improve my health and longevity?
The FemGen Blueprint combines your genetic data with lab results, symptoms, and environmental factors to create a personalized, comprehensive plan tailored to your unique biology. This approach helps you optimize your health and extend your lifespan. Key benefits include:
- Early Risk Detection: Identify genetic predispositions to conditions like osteoporosis or cardiovascular disease and take proactive measures to protect your health.
- Customized Nutrition & Fitness: Develop a diet and exercise plan aligned with your genetic strengths, enhancing energy, managing weight, and supporting metabolic health.
- Targeted Supplementation: Address genetic challenges, such as nutrient absorption issues, with supplements customized to meet your specific needs.
- Longevity Strategies: Combat inflammation, improve gut health, and reduce age-related risks using precise, data-driven interventions.
- Confident Choices: Gain clarity about your body’s unique needs, empowering you to make well-informed decisions about your health and lifestyle.
By integrating these insights, the FemGen Blueprint provides a holistic roadmap to help you thrive now and in the future.
When will I get the results of my genetic test?
You will receive your results during your appointment, scheduled approximately four weeks after you mail your sample to the lab. The lab typically takes 3–4 weeks to process your sample. During your appointment, we’ll provide a comprehensive analysis of your results and outline the next steps tailored to your needs.
I’m worried about what my DNA might reveal. Should I do this?
It’s completely normal to feel apprehensive, but there’s nothing to fear. We don’t focus on identifying single markers tied to specific diseases. Instead, we analyze pathways—a combination of multiple genetic markers—to understand your body’s strengths and weaknesses. This approach highlights opportunities for optimization rather than delivering alarming results, empowering you to take proactive steps toward better health.
