caring for the whole woman... physical...emotional...spiritual

About Our Office

Welcome to Woman to Woman

Our small office welcomes you and promises to treat you with dignity and respect in a very cozy, private, warm setting. Karen shares her home with you while maintaining the professional care that you expect.  If you have any concerns about your visit to our clinic, please share them with Karen.

Karen is a Certified Menopause Practitioner which means she specializes in menopause counseling, hormone therapy, peri-menopause management. She is one of the first 100 physicians and nurse practitioners certified in the nation, having achieved that in 2000. So, if you have been having hot flashes, night sweats, vaginal dryness, pain with intercourse, mood swings, decreased libido (sex drive) Karen is here to help!  She has been a member of the North American Menopause Society since 1993.


Karen is a member of the International Society for the Study of Women's Sexual Health. Sexuality is a complex and very important component of our total health. We hope you will feel comfortable asking any questions you may have regarding sexuality and you will be treated with respect.

Although her specialty is menopause, she also enjoys caring for younger women and teenagers. Women of all ages have menstrual problems, cramping, vaginal infections such as yeast, bladder infections, PMS and Karen can care for all those issues. Contraceptive counseling and prescriptions for birth control, STD testing and counseling, Pap tests, ultrasound exams, breast exams are all part of the care.

Breast cancer worries most women! Karen's sister died of breast cancer so she is very sensitive about this isssue and feels very strongly that women should get routine mammograms. If you call with a breast problem you will be seen that very day!

Pap tests are in the news and you may be hearing conflicting ideas about when you need to have Pap tests! Karen is a member of the American Society for Colposcopy and Cervical Pathology which is an organization which specializes in issues having to do with cervical cancer and that is what Pap tests are meant to prevent! If you have questions about Pap tests, Karen will help with the answer.

Ovarian cancer is another worry for women. The symptoms are vague and sometimes the cancer has progressed before you have symptoms. There are no screening tests for ovarian cancer like the Pap test is a screening test for cervical cancer. However, sometimes an ovarian cancer can be detected on ultrasound and Karen does ultrasound in her office.

Having been in practice since 1975, she has extensive experience regarding emotional health issues, sexuality issues, depression, anxiety. However, she refers to mental health professionals when appropriate. Sadly, many women suffer abuse and Karen provides a safe place to discuss this issue and will help you! Caring for women includes physical, emotional and spiritual wellbeing!

Karen has contracts with many insurance companies. It is important for you to check with your insurance to be sure you will have coverage for your visit. Karen is a women's healthcare specialist, not a primary care provider. This is important to understand for several reasons. Insurance companies distinguish this in their contract with you and with Karen. For all insurances you can see Karen for your annual exam and anything that is distinctly a 'women's health' issue. However, there are many health issues that require you to have a primary care provider. A good example is diabetes. If you do not have a PCP, Karen or your insurance company can help you to find one. Also, we regret that at this time we are not handicap accessible

Office hours are Monday-Thursday 8:30-4:30. Karen is available for urgent needs through her cell phone 360.391.3988. Please try to plan ahead for prescription refills! You can request a refill by calling your pharmacy.

Emergencies which are life threatening are not handled by our office and you should call 911. Urgent care clinics in our community are available for healthcare problems that need quick care, but are not life threatening.