Dr. Makkiya runs a small gynecology practice in Vienna where menopause and sexual health are one of four main areas of care. She has a particular interest in helping cancer survivors, including women after breast cancer, manage menopause symptoms and sexual health. She sits on a global committee of the International Society for the Study of Women's Sexual Health. She is also a gynecologic surgeon who does vaginal and robotic hysterectomy and treats prolapse and urinary incontinence, so one doctor can cover a lot of midlife care. New patients can book online through the practice portal, and video visits are offered through the same system. She speaks English and Arabic.
Michelle Evans is one of two clinicians at the Endocrine and Diabetes Center, a small endocrinology and diabetes practice in Vienna. Most of her work is diabetes and obesity care, and she holds an advanced diabetes management certification alongside her menopause one. The practice's hormone therapy page takes a strong pro-estrogen position and argues that the breast cancer risk has been overstated. It says breast cancer survivors can take hormone therapy under a doctor's supervision, and it rejects the old advice to use the lowest dose for the shortest time. For low sexual desire after menopause it uses a small daily dose of an FDA-approved testosterone gel made for men, and it states plainly that it does not recommend compounded testosterone. New patients book by phone and bring in a completed registration packet and a menopause health questionnaire they download from the site.
