Our Office COVID-19 Information

We are updating our guest and Covid-19 policies. 

  • No guests are allowed except for one guest during your ultrasound visit.
  • Children are not allowed in the office.
  • We require masks for all patients, both vaccinated and unvaccinated.

Failure to follow these policies could result in rescheduling your appointment. Thank you for your cooperation.

Protecting your health, and the health of our staff and providers is a priority. We ask that if you are experiencing a fever of 100.4 plus or productive cough to call us at 512-425-3825, Option 3 so that we can determine the best way to meet your medical needs.

See our Childbirth Education Updates HERE.

St. David' Healthcare Visitation Policy Changes & COVID-19 Vaccine Booster

It’s been a year and a half since the first COVID-19 case was confirmed in Texas. As the virus continues to evolve, and COVID-19 continues to bear down on our community, we have remained steadfast in our resolve to combat it. Below are updates on some important and timely issues related to COVID-19 that we wanted to share with you.

Visitation Policy Changes
Due to a recent legislative mandate (Texas House Bill 2211), we are making changes to our visitation policy to comply with the new law. As of September 1, all patients will be allowed one visitor per day during visiting hours.
• Visiting hours are 5am-8pm
• Visitors must be 18 years of age or older
• Visitors must pass the entrance screening
• Visitors must wear a mask at all times
• Any patient seeking emergency care may have one visitor

One visitor may remain overnight for the following services or circumstances:
• Pediatrics under 18 years old
• Laboring mothers
• Patient advocates for elderly, disabled or impaired patients
• Undergoing surgery or a procedure
• End-of-life care

We are committed to providing a safe environment for our patients, physicians, colleagues and visitors. Universal masking remains in effect and additional PPE may be required. All visitors are required to comply with these policies.

Visitation may be denied if an attending physician determines in-person visitation with the patient may lead to the transmission of an infectious agent that poses a serious community health risk.

COVID-19 Vaccination Booster
After careful consideration of the latest medical data, the FDA recently authorized mRNA COVID-19 booster shots for immunocompromised people. A recommendation for the general population is expected soon. This measure is designed to further protect you from COVID-19 as immunity wanes with time and this virus continues to spread.

As a result, we are actively planning for hospital-based third dose vaccination clinics in late September or early October. These vaccinations will only be available to colleagues who have already received both prior doses of either the Moderna or Pfizer vaccine. Please remember to verify your vaccination status prior to September 15 through the HCA Healthcare COVID-19 immunization link.

A third shot is now available and recommended for those who are immunocompromised and, therefore, at greater risk of serious, prolonged illness. Immunocompromised colleagues are encouraged to speak with their physician about whether getting an additional dose is appropriate. This helpful link can identify the closest and most convenient location to receive the vaccine.

For now, booster shots are being advised for the mRNA vaccines only, which does not currently include the Johnson & Johnson shot. It is also recommended to receive the same vaccine administered during the prior two dose series.

For the thousands of St. David’s HealthCare colleagues who have received the COVID-19 vaccine, thank you for choosing to protect yourself and the people around you.
Moment of Silence

The Texas Hospital Association is encouraging hospitals throughout the state to observe “five minutes of silence” at noon on Friday, September 3, to honor those impacted by COVID-19. The observance hopes to shine light on the number of people who have died from COVID-19, on healthcare heroes – like you – who have bravely fought the pandemic, and on the importance of taking action to prevent further illness. We encourage you to participate in this time of reflection, honor and remembrance.

COVID-19 Vaccination
Our physicians are among the most trusted in Central Texas. The community has trusted us to care for them for decades, and now we’re asking them to trust us about the COVID-19 vaccine. We encourage you to watch the below video that features several of our physicians talking about the COVID-19 vaccine, and join us in sharing it with friends and family.

Watch Video Here

Thank you for your tireless work to beat COVID-19. Together, we can move forward and end the pandemic.

Individualized care at
every stage & every age

New Patients Welcome!


located near Mopac & Parmer
gynecologic consultant to the

UT Women’s Athletic Program

Individualized care at
every stage & every age

New Patients Welcome!


located near Mopac & Parmer
gynecologic consultant to the

UT Women’s Athletic Program

Natural Beginning Birth Center

Hormonal Issues

Hormonal issues occur when there is a hormonal imbalance in the body. Hormonal issues develop when there is too much or too little of a hormone in the body. A hormonal imbalance can affect many different functions in the body.

Hormonal Issues: Common Complaints & Symptoms

Many women come in to our office with the complaint of hormonal issues. What that means can vary greatly. Some women experience irregular periods; other women notice vaginal dryness and decreased libido. Many other symptoms exist including hair loss, fatigue, weight gain, pain with sex, etc. Because these symptoms can have both hormonal and NON-hormonal causes, it is essential that a full evaluation be done to assess for possible causes to ensure that the treatment is targeting the cause rather than masking a symptom.

Irregular periods can be either too frequent, erratic, or too far apart. A normal menstrual cycle should be consistent throughout the year. Cycle lengths of 21 to 35 days are considered appropriate as long as each cycle is within +/- 2 days of the average length. For instance, if your cycles are 23 days, there might be variation from 21-25 days. Alternatively, if your last few cycles were 21, 35, 28 days – THAT is abnormal. Cycles that are shorter than 21 days or longer than 35 days are also considered abnormal. Irregular bleeding like this can be caused by hormonal, infectious (bacteria), or anatomic (polyps, fibroids) problems. Each of these potential causes must be evaluated to understand why the irregular bleeding is occurring. It is not always caused by hormonal issues.

Vaginal dryness is a common complaint during postpartum breastfeeding and menopause. This can be caused by hormonal issues such as the lack of estrogen production from the ovary. When breastfeeding exclusively (no formula supplementation or solid foods), ovarian function is suppressed by prolactin – the hormone secreted to support milk production. During this time, hormone levels of both estrogen and progesterone levels are very low. The hormone levels of estrogen and progesterone can also be very low during menopause when ovarian function has stopped. The lack of estrogen at the vagina causes the mucosa (skin) of the vagina to lose its elasticity and moisture production. During sex, women can have difficulty with pain due to tiny splits and abrasions to the vaginal skin. Hormonal replacement of estrogen to the vagina through vaginal cream or systemic estrogen (oral or topical) can correct this. Alternatives include IntraRosa (DHEAS) and Osphena (estrogen reuptake modulator) which create estrogen-like effects through alternative mechanisms.

Decreased libido is a complex multifactorial issue. Libido is influenced by the health of the relationship (feeling loved and appreciated), the health of the individual (fatigue, depression, body image, etc.), and hormonal factors. Because the health of relationship and self are often under strain in our Western culture, low libido is commonplace. Hormonal issues such as low estrogen, progesterone and testosterone levels can also contribute to low libido. Unfortunately, taking testosterone only improves libido in about half of women who try it. The hormone testosterone can also improve muscle development, but at the same time can adversely affect cholesterol, hair growth/loss, and behavior. Addressing the health of the relationship/self and supplementing testosterone together have the best results in improving libido.

Hair loss frequently occurs during postpartum breastfeeding and menopause. It can also occur due to vitamin/mineral deficiencies, scalp infections, thyroid malfunction, over-secretion of the hormone testosterone, cancers, etc. Evaluation of hair loss should be comprehensive and not focus only on hormonal causes. The treatment to stop hair loss depends on the underlying cause which may include hormonal supplementation – but this is not always necessary. As with the other issues addressed above, a multi-pronged approach to treatment is essential to determine if they are caused by hormonal issues.

There are many other concerns that are frequently attributed to hormonal imbalance, such as fatigue, weight gain, pain with sex, etc. Each of these issues require an evaluation of anatomic, infectious, AND hormonal components to obtain the optimal treatment success. It is important to ensure that your doctor or mid-level provider takes this thorough approach to determine if your symptoms are caused by hormonal issues or not.

Additional Reading – Hormonal Issues

To learn more about hormonal issues, please read:


is the practice of:

Maansi Piparia


Rebecca Teng


Dr. Allie Evans headshot

Allie Evans


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