Dianna offers a personalized, integrative approach to women’s health that combines evidence-based medicine, functional diagnostics, and lifestyle-based therapies to address PCOS, chronic fatigue, hormonal imbalances, menstrual irregularities, fertility concerns, and those frustrating “not sure what’s wrong” cases. As an experienced integrative family medicine practitioner in Des Moines, Dianna focuses on root-cause evaluation, precise testing, and individualized treatment plans that restore balance, energy, and reproductive health.

Who She Helps

• Women with PCOS (polycystic ovary syndrome): comprehensive assessment of metabolic health, insulin resistance, hormonal patterns, menstrual cycle regulation, nutrition, and targeted medical and lifestyle interventions to improve ovulation, weight management, and fertility outcomes.

• Women with chronic fatigue and low energy: thorough workup to identify contributing causes such as thyroid dysfunction, adrenal dysregulation, nutritional deficiencies, sleep disorders, chronic infection, and lifestyle factors; tailored plans combining medical treatment, nutrition, sleep strategies, and graded activity.

• Women with unexplained or complex symptoms: stepwise, systems-based diagnostic approach using advanced labs, functional testing, and clinical expertise to uncover hidden drivers—autoimmunity, hormonal imbalance, gut dysfunction, or environmental triggers—and create a clear, actionable care plan.

• Hormone-related symptoms across the lifespan: perimenopause and menopause support, menstrual irregularities, PMS/PMDD management, and contraceptive counseling integrated with personalized hormonal and non-hormonal options.

What to Expect

• Comprehensive intake and systems review that values your history, lifestyle, and goals.

• Targeted laboratory and functional testing (hormone panels, metabolic markers, thyroid function, nutrient status, inflammatory markers, and more) to identify root causes.

• Evidence-informed combination of conventional medicine and integrative therapies: tailored prescriptions when needed, bioidentical hormone considerations when appropriate, nutrition and weight-management counseling, sleep and stress interventions, and targeted supplements.

• Collaborative care and long-term follow-up with clear milestones and measurable outcomes to restore function and improve quality of life.

Why Patients Choose Dianna

• Root-cause focus: she doesn’t just treat symptoms—she works to identify underlying drivers.

• Personalized plans: treatments are individualized to your biology, preferences, and life stage.

• Integrative toolbox: combines conventional diagnostics with lifestyle medicine, nutrition, and targeted supplementation for sustainable results.

• Compassionate, thorough care for complex or vague symptoms when others have been uncertain.

If you’re experiencing PCOS symptoms, persistent fatigue, confusing hormone issues, or unexplained health problems, Dianna can help identify the cause and build a practical, personalized plan to restore health, balance, and energy. Book an appointment to start a focused diagnostic process and integrative care tailored to your needs.

What she offers

• Comprehensive preventive gynecologic exams tailored to each patient’s age, health history, and risk factors

• Pap tests (cervical cancer screening) performed with up-to-date guidelines and follow-up planning

• Risk assessment for HPV, cervical dysplasia, and other gynecologic concerns

• Patient-centered counseling on cervical cancer prevention, HPV vaccination considerations, and lifestyle factors that support gynecologic health

• Coordination with primary care and specialty services when additional care or testing is needed

Integrative, preventive focus

• Holistic assessment: Dianna evaluates medical history, reproductive life stage, and social determinants of health alongside exam findings to create personalized prevention plans.

• Education-first care: She prioritizes clear explanations about screening results, risk reduction, and self-care, empowering patients to participate in their preventive health.

• Lifestyle and wellness integration: Nutrition, stress management, sleep, and sexual health conversations are incorporated when relevant to reduce gynecologic risk and enhance overall well-being.

• Evidence-based protocols: Screenings and follow-up adhere to current clinical guidelines while being adapted to individual needs and preferences.

Who benefits

• Individuals seeking routine Pap tests and preventive gynecologic exams

• Patients looking for a preventive care partner who integrates lifestyle and whole-person considerations

• Those who want clear communication, individualized screening intervals, and a proactive approach to reproductive health

Location and accessibility Dianna practices in Des Moines, offering accessible, preventative gynecologic care with an integrative mindset. Appointments emphasize comfort, confidentiality, and thorough preventive planning.

Book an appointment for Pap testing and preventive gynecologic exams with Dianna to prioritize early detection, informed choices, and a personalized approach to women’s preventive health.

Dianna provides comprehensive, patient-centered hormone management and hormone replacement therapy (HRT) that blends evidence-based medicine with personalized, integrative care. She evaluates hormonal health through detailed history, advanced lab testing, and functional assessments to identify underlying contributors to hormonal imbalance—adrenal and thyroid function, nutrition, sleep, stress, gut health, and lifestyle factors. Dianna tailors treatment plans using bioidentical HRT when appropriate, combining precise dosing, delivery methods (topical, transdermal, oral, or injectable), and careful monitoring to restore hormonal balance while minimizing risks and side effects.

Key components of Dianna’s integrative hormone care:

• Comprehensive assessment: in-depth symptom review, metabolic and hormonal lab panels, and functional screenings to pinpoint root causes.

• Personalized HRT protocols: bioidentical and conventional options customized by age, symptoms, medical history, and risk profile.

• Lifestyle and nutrition integration: targeted dietary recommendations, supplementation, sleep optimization, stress reduction techniques, and exercise plans that support hormonal balance.

• Ongoing monitoring and adjustment: regular follow-up visits and lab reassessments to fine-tune therapy, ensure safety, and measure outcomes.

• Preventive and whole-person focus: attention to bone health, cardiovascular risk, cognitive function, and quality of life alongside symptom relief.

• Collaborative care: coordination with specialists and use of complementary therapies as needed to address complex or concurrent conditions.

Benefits patients can expect:

• Reduced menopausal or andropausal symptoms (hot flashes, night sweats, mood changes, low libido)

• Improved energy, sleep, and cognitive clarity

• Better weight management and metabolic health

• Optimized bone density and cardiovascular risk factors

• Safer, evidence-informed HRT delivered within a whole-person treatment plan

Ideal candidates:

• People experiencing menopausal or perimenopausal symptoms, low testosterone, or adrenal and thyroid-related disturbances

• Patients seeking bioidentical or personalized hormone strategies with close clinical monitoring

• Individuals who prefer integrative care that addresses lifestyle, nutrition, and root causes alongside medical therapy

Safety and quality measures: Dianna emphasizes informed consent, risk-benefit discussions, and individualized screening (mammography, DEXA when indicated, cardiovascular risk assessment). She follows current guidelines and continually adjusts therapy based on labs and patient response.

Book an appointment with Dianna to receive a tailored, integrative hormone management plan that prioritizes safety, symptom relief, and long-term wellness.