Everything you need to know before your first visit.
You have questions before committing to your first visit. That is completely reasonable. Here are honest answers to everything patients ask before walking through our door.
A partner in
your health journey.
Every woman who comes to me has her own story — her experiences, her struggles, and her hopes for her health. And behind every story is a body that has been trying to communicate something that wasn’t being heard. Understanding that story is just as essential as the science behind the care I provide. Women aren’t looking for treatment. They’re looking for a partner who listens, validates their concerns, and helps them finally make sense of what they’re experiencing.
I’ve worked with women who felt exhausted, frustrated, and completely unheard. And I’ve watched them leave with a renewed sense of hope — armed with knowledge and options that actually fit their lives. Health is not just about lab results. It’s about feeling good in your own skin, regaining energy, and rebuilding confidence.
Your first visit is a full, unhurried hour. I read your chart before you walk in. I review your labs myself. I ask the questions other providers don’t have time for. After your visit, you reach me directly through the SigmaMD patient portal — real answers, from me, to you.
“It is a privilege to walk alongside my patients — offering guidance, support, and a listening ear every step of the way.”
Schedule Your First VisitWhat to know, up front.
When insurance is removed from the equation, everything changes. No approvals, no limits, no surprises.
Women’s Preventive Care is a women’s hormone health clinic in Orlando, founded for patients who deserve more time, more clinical depth, and care that is genuinely individualized.
Our focus is hormones across every phase of a woman’s life — because the same mechanisms that regulate cycle, weight, mood, sleep, libido, and energy at 28 are the ones that go off-balance at 48. We treat the system, not just the phase.
In younger women, that means polycystic ovary syndrome, insulin resistance, irregular cycles, foundational fertility concerns, preventive gynecology, and intentional contraceptive planning.
In women in transition and beyond, it means perimenopause, menopause, and hormone replacement therapy — including female testosterone, therapeutic peptides, pellets, and compounded protocols.
Weight management threads through all of these phases. Hormonal fluctuation and weight difficulty almost always travel together — whether at 28 with PCOS or at 48 in perimenopause — and they are rarely treated as the same problem. Here, they are.
Led by Luciana Svilpa, WHNP — Duke University-trained — our practice combines clinical rigor, active listening, and fully bilingual care in Portuguese and English, for women in Orlando and across the Brazilian and Latina diaspora in the United States.
On a limited basis, yes. Our primary focus is women’s health, and all online appointments are for women. However, we do see a select number of male patients in specific contexts.
Fertility — couples seen together: Basic fertility evaluations are available for couples. Luciana will assess both partners as part of a comprehensive fertility workup. This is one of the areas where her background in Reproductive Endocrinology and Infertility (REI) is most directly applicable — understanding ovarian reserve, hormonal patterns, cycle timing, and male factor fertility as part of one integrated picture.
Partners of existing patients: Male partners may be seen for sexual health, testosterone optimization, and hormone evaluation when relevant to the couple’s overall care. This includes medical weight management evaluation for men, where metabolic health and hormonal optimization are closely connected to sexual function and fertility outcomes.
Male patients and couples cannot schedule online. Please contact us directly first — call or text 407-863-8394, or message us on WhatsApp. We will let you know promptly whether we can help and how to proceed.
Women’s Preventive Care is a private-pay practice — we do not bill insurance for consultations. But before you compare our investment to a copay, understand what you are actually comparing. An insurance-based visit will never give you this:
· A full hour — insurance drives the 15-minute appointment model. It is not a choice; it is the economics of a system that reimburses by volume.
· A holistic plan — insurance reimburses diagnoses and procedures, not time spent understanding your nutrition, sleep, stress, supplements, metabolic health, hair, libido, and how all of it connects. That work is simply not reimbursable.
· A provider who treats you as a whole person — the insurance model rewards throughput. The concierge model rewards outcomes. These are not the same thing.
You are not paying an investment instead of a copay. You are paying for something that does not exist inside the insurance system — a full, unhurried, evidence-based, whole-body consultation that connects every dot in your health picture. No insurance-based practice can offer this — not because they don’t want to, but because the system does not allow it.
What insurance can still cover: Most labs and pharmacy-dispensed medications we prescribe can be billed directly to your insurance. We always clarify the value of your care before your visit — no surprises.
Yes — FSA and HSA cards are accepted for your consultation. A detailed itemized receipt can be provided at your request for reimbursement submission or FSA/HSA records. If your FSA/HSA card does not work at checkout, you can pay with a regular credit or debit card and submit the itemized receipt for reimbursement through your FSA/HSA administrator.
Yes. Telehealth appointments are available and represent the same investment as in-person visits. Telehealth is available to patients in:
· Florida
· Washington State
· California
After scheduling, our team will contact you with your secure telehealth link before your appointment. In-person visits are available at our Orlando office: 1011 Virginia Dr, Suite 102, Orlando, FL 32803.
Sim — atendimento completo em português. Luciana é brasileira e todas as consultas, planos de cuidado e comunicações pelo portal de pacientes podem ser feitos inteiramente em português. Se preferir ser atendida em português, basta nos informar ao agendar ou mencionar na mensagem de confirmação. Toda a equipe está preparada para atendê-la no idioma de sua escolha.
Your first visit is a full 60 uninterrupted minutes. Luciana reads your chart and any labs before you arrive. The conversation covers your full health history, current symptoms, lifestyle, goals, and any concerns you have been carrying — including ones you may not have felt comfortable raising elsewhere. After your visit, you will receive a follow-up summary through your SigmaMD patient portal and a plan tailored specifically to you. You can reach Luciana directly through the portal for any follow-up questions.
Your first visit is a 60-minute consultation focused entirely on getting to know you — your health history, symptoms, goals, labs, lifestyle, and concerns. It is a conversation, not a procedure.
What is included:
· A comprehensive review of your health history and current symptoms
· Review of any existing labs or medical records you bring
· Discussion of your goals and what has or hasn’t worked before
· Ordering of any new labs or imaging Luciana recommends
· A preliminary care plan tailored to your situation
· Time for all your questions — without rushing
What is NOT included in this visit:
· Pelvic exam
· Pap smear
· Physical exam procedures
These are separate services with their own appointment type and investment. If you need a Pap smear, IUD insertion, or pelvic exam, please mention this when scheduling or in your pre-visit message so we can schedule the appropriate appointment. This structure allows your first visit to be fully dedicated to understanding you as a whole — not rushed through a checklist of procedures.
We use SigmaMD as our patient portal for secure messaging, care plans, and health records. After your appointment is confirmed, our team will set up your patient account and you will receive instructions to access your portal. You can access SigmaMD two ways:
· Web browser: patient.sigmamd.com (no download needed)
· Mobile app: available on the App Store and Google Play
If you have any trouble accessing your portal, contact us directly and we will help you get set up.
No referral needed. You can schedule directly online without any prior authorization, referral from another provider, or insurance approval. Simply schedule your consultation online, and our team will follow up within 1–2 business days to welcome you and walk you through everything you need to prepare for your first visit.
Yes. Luciana works with both conventional hormone formulations — and she will recommend what the evidence supports for your specific situation, not what is trending.
Estradiol and progesterone: Most patients can use commercial pharmacy formulations — FDA-approved, well-studied, and often covered by insurance. These are by nature.
Testosterone: No testosterone formulation is currently FDA-approved for women, so compounded testosterone is used. Available formulations include:
· Pellets — inserted subcutaneously, providing steady hormone release over 3–6 months
· Creams — applied topically for flexible dosing adjustment
· Troches — dissolved under the tongue for rapid absorption
Testosterone injections are not offered due to the risk of virilization — the development of masculine characteristics from supraphysiologic levels. Luciana’s approach prioritizes physiologic dosing and patient safety. All compounded medications are an out-of-pocket investment and are discussed transparently before prescribing.
Yes — in the truest sense of the word. Women’s Preventive Care looks at your health as a whole system, not a list of isolated complaints. Beyond hormones and prescriptions, your care plan may include guidance on:
· Nutrition and metabolic health
· Supplements and vitamins targeted to your specific deficiencies
· Physical activity recommendations based on your hormone status
· Sleep and stress optimization
· Hair loss — often hormonal and addressable
· Weight management — addressed through hormonal, metabolic, and behavioral lenses
This is fundamentally different from a practice that writes a prescription and sends you on your way. Every system in your body is connected — and that is how your care is approached.
In your first year, most patients are seen approximately every 3 months — four visits total. This allows Luciana to monitor your response to treatment, adjust your plan as needed, and ensure you are progressing toward your goals. Follow-up appointments are shorter and more focused than your initial visit — designed to review labs, assess how you are feeling, and refine your plan, and represent a smaller investment than the first consultation.
After your first year, visit frequency is adjusted based on your individual needs and stability. Some patients move to twice yearly; others prefer quarterly ongoing.
Compounded medications are custom-formulated by a specialized pharmacy to your exact prescribed dose. They are used when no commercial option meets your clinical need — most commonly for testosterone in women, since no FDA-approved female testosterone product exists.
An important note about compounding pharmacies: Not all compounding pharmacies are equal — and the base, ingredients, and quality of a formulation vary significantly between pharmacies. This matters clinically. The expected results of a hormone or peptide therapy depend heavily on the specific formulation used.
Luciana has worked with a partner compounding pharmacy to develop specific formulations with the correct bases and components for the therapies she prescribes. For this reason, Luciana can only manage your care if your compounded medications come through our partner pharmacy. If a compounded medication is obtained elsewhere, results may be unpredictable and proper clinical management is not possible. This is not a business preference — it is a clinical one.
Compounded medications are an out-of-pocket investment and are not covered by insurance. The value is always discussed transparently before prescribing. Commercial pharmacy options are used whenever clinically appropriate — which is often the case for estradiol and progesterone.
Women’s Preventive Care offers a select range of peptide, amino acid, and enzyme therapies — used as part of a comprehensive, personalized care plan when clinically appropriate.
Currently available:
· GHK-Cu (Copper Peptide) — available as troches (oral) and topical formulations. Supports tissue regeneration, skin health, hair restoration, and anti-aging. Injectable formulations are not used in this practice.
· PT-141 (Bremelanotide) — for low libido and sexual dysfunction in women. Acts centrally on melanocortin receptors to enhance sexual desire and arousal.
· Glutathione — a powerful antioxidant supporting detoxification, immune function, skin brightness, and cellular health.
· NAD+ — supports cellular energy, DNA repair, cognitive clarity, and metabolic function. Particularly relevant in hormonal aging and fatigue.
IV infusions are coming soon — including nutrient and wellness infusions. If this interests you, mention it when scheduling and we will keep you updated.
Have questions about a specific therapy? Message us on WhatsApp before your visit.
Women’s Preventive Care most commonly helps women with:
Hormonal & Menopausal Health
· Perimenopause and menopause — hot flashes, brain fog, sleep disruption, mood changes
· Hormone imbalances — estrogen, progesterone, testosterone, thyroid
· Hair loss — hormonal thinning and alopecia
· Fatigue and low energy — often hormone or nutrient related
· Anxiety and mood changes — frequently hormonal in origin
Sexual & Pelvic Health
· Low libido, lack of arousal, and difficulty with orgasm
· Pain with intercourse (dyspareunia)
· Vaginal dryness and atrophy
Metabolic & Weight Health
· Medical weight management evaluation
· Metabolic health — insulin resistance, blood sugar, inflammation
Gynecology & Preventive Care
· Annual wellness visits and Pap smears
· STI screening and treatment
· Contraception management
· IUD insertion and removal
· Nexplanon insertion and removal
· UTIs and vaginal infections
· Infectious disease screening
· Teenager and adolescent gynecology care
· Preventive medicine and health optimization
· Referrals to specialists when needed
If you are not sure whether your concern falls within our scope, message us before your visit.
These are not bureaucratic requirements. They are clinical ones — grounded in protecting your health and allowing Luciana to care for you responsibly.
Before your first visit, we ask that you:
· Complete the intake form we send you, including your full medical and family history.
· Send any recent lab work, imaging, or relevant medical records you already have. If you don’t, that’s fine — we’ll order what’s needed.
· Bring (or list) every medication, supplement, hormone, peptide, or over-the-counter product you currently take. Dosages matter.
· Note your menstrual history, last period, and any contraception you use or have used.
· Be ready to talk openly about sleep, mood, libido, weight, energy, and anything else that has shifted — nothing is off-limits, and nothing is too small to mention.
· Sign the telehealth and informed consent documents we share before your visit.
The more complete the picture you bring, the more precise Luciana’s plan can be. This is what allows her to treat you as a whole person rather than a list of complaints.
One hour. Your full story. A plan that actually fits your life.
Still have questions? We’re here to help. Schedule when you’re ready, or message us first if it’s easier.
Orlando, FL 32803