pathways in reproductive health
Whole-body, lifespan reproductive care for complex bodies the system keeps missing
Reproductive Care That Finally Understands EDS
If you’re a woman with EDS, you’ve likely been dismissed twice: once for being a woman, and again for having a body medicine doesn’t understand. Reproductive health is where that failure shows up most—at puberty, during pregnancy, postpartum, and again at menopause.
Pathways in Reproductive Health exists for people who refuse to accept “this is normal” as an answer for their reproductive concerns. We offer informed, EDS-literate reproductive care across the entire lifespan—because your body isn’t the problem. The system is.
We fix the system by refusing to normalize suffering—and building care that actually understands your body.
This program supports people with EDS, POTS, MCAS, and other chronic conditions across the entire reproductive lifespan with care that is informed, integrated, and built for complex bodies.
has this been your experience?
Period pain is normalized instead of investigated
Heavy bleeding is managed, not explained
Hormonal shifts are blamed on stress or anxiety
Pregnancy risks are underestimated or ignored
Postpartum symptoms are written off as “just hormones”
Perimenopause and menopause are treated as inevitable suffering
We’re not surprised. Because most clinicians receive little to no training in EDS, care often falls apart exactly when your body needs the most support.
We’ve designed our Pathways program to fill that gap.
Support across the entire reproductive lifespan
Pathways in Reproductive Health is not pregnancy-only care.
It is lifespan reproductive care, including:
-
Early or severe menstrual symptoms
Heavy or prolonged bleeding
Pain that interferes with school or daily life
Early hormonal suppression without explanation
Understanding how hypermobility and autonomic issues show up early
-
Endometriosis, adenomyosis, PCOS, fibroids
Chronic pelvic pain and cycle-related flares
Hormonal dysregulation in EDS/POTS/MCAS
Understanding how connective tissue affects the uterus, pelvic floor, and hormones
-
Deciding whether pregnancy is safe, feasible, or desired
Fertility preservation and planning
Genetic risk education and counseling
Values-aligned decision-making—including choosing not to pursue pregnancy
-
Risk-aware pregnancy navigation
Coordinated care with OBs, MFM, and specialists
Labor and birth preparation that accounts for joint instability, autonomic issues, and healing differences
Advocacy support in systems that often don’t understand EDS
-
Recovery with connective tissue considerations
Feeding support and lactation challenges
Autonomic instability and hormonal shifts
Mental health support in the context of chronic illness
Long-term planning, not just short-term survival
-
Hormonal transitions in hypermobile bodies
Joint, autonomic, sleep, and mood changes
Navigating hormone therapy conversations
Support after oophorectomy or hysterectomy
Rebuilding stability in a changing body
meet your team
meet calina - Reproductive wellness specialist
Calina is a Critical Care Registered Nurse and International Board Certified Lactation Consultant (IBCLC) with experience supporting reproductive health across the entire lifespan—from early menstrual and hormonal concerns to pregnancy, postpartum, and major reproductive transitions. Patients often come to Calina when their symptoms don’t fit neatly into standard care, or when they’re trying to understand what’s happening in their bodies beyond being told “this is normal.”
She brings deep expertise in working with people who have Ehlers-Danlos Syndrome, POTS, MCAS, and other complex conditions, and she also lives with hEDS herself. Many patients seek her out for help navigating reproductive decision-making, managing symptoms through hormonal shifts, coordinating care during medically complex pregnancies, or preparing for postpartum recovery in a hypermobile body.
Calina provides virtual care wherever you are and supports clients through both one-time consultations and ongoing coaching. Her work includes education, care coordination, lactation and infant feeding support, and steady, judgment-free guidance through puberty, fertility decisions, pregnancy, postpartum, and beyond.
meet christina - functional nurse practioner, hormone + lifespan reproductive care
Christina is a board-certified Functional Nurse Practitioner with advanced training in hormone support across the reproductive lifespan. She works with patients navigating complex hormonal transitions—including perimenopause, menopause, and surgical menopause—especially when those transitions intersect with chronic illness, connective tissue disorders, and autonomic dysfunction.
Christina is trained through the Women’s Hormone Network, with a focus on individualized, physiology-informed hormone therapy rather than one-size-fits-all approaches. Her care emphasizes thoughtful assessment, patient education, and shared decision-making—helping patients understand their options and choose what aligns with their bodies, values, and long-term health.
What we offer
reproductive wellness coaching
Led by Calina Keating, RN, IBCLC
Whole-body, lifespan support for people navigating reproductive health with complex bodies. This work is education-forward, coaching-based, and deeply supportive—especially when the system hasn’t explained things clearly or at all.
Calina supports patients with:
Lifespan reproductive planning—from puberty through menopause
Menstrual, pelvic, and cycle-related concerns
Pregnancy and postpartum care with EDS, POTS, MCAS, and other complex conditions
Birth preparation, advocacy, and postpartum recovery planning
Lactation and infant feeding support
Reproductive decision-making, including choosing not to pursue pregnancy or parenting
Partner and caregiver support
Care coordination and navigation across providers and systems
Care is available through one-time consultations or ongoing coaching, delivered virtually.
Clinical, physiology-informed care for hormonal and reproductive health—designed for complex bodies and individualized needs.
Christina provides:
Physiology-informed hormone replacement therapy (PHRT) for perimenopause, menopause, and surgical menopause
Functional medicine–based evaluation of hormonal symptoms from puberty through menopause
Comprehensive lab testing and interpretation
Support for complex hormonal presentations intersecting with EDS, autonomic dysfunction, and chronic illness
Shared decision-making around hormone therapy and long-term health planning
This pathway is ideal for patients seeking deeper clinical assessment, diagnostic clarity, and personalized treatment—not one-size-fits-all protocols.
Functional + Hormone-Based Reproductive Care
Led by Christina Betances, MSN, APRN, FNP-C
Investment
Comprehensive consults start at $350, with individual coaching sessions starting at $165 for follow-ups.
Wherever you are on your reproductive path—from your first period through menopause, including every decision, transition, and in-between—this is a place where your story belongs. Let’s get started.