Dr. Shawna Ruple

10/30/2025

Halloween is a great time to think about getting your “other” pumpkin out! 🎃 🎃🎃

🙈🙊🙉 I cannot begin to tell you how many women stop going in for pelvic exams when they no longer need a pap.

You should check your v***a once a month so you know your normal. Any changes ➡️ see your doctor.

Not all v***al itching is thrush!!!

If treatment for a yeast infection isn’t helping then it could be a chronic skin condition lichen sclerosus.

10/28/2025

High cortisol = high stress and sleepless nights 💤

Buuuuttttt, Here’s the thing👇🏻

Estrogen helps regulate cortisol levels 🟰
🩷better mood
🩷better sleep
🩷less overwhelm

10/23/2025

⚠️ Be cautious with hormone replacement therapy (HRT) offers you see online.

Lately, there’s been a rise in “wellness” companies and social media ads promoting miracle hormone fixes — often with little to no medical oversight. Many of these are scams or use unsafe, unregulated products.

HRT can be life-changing when done correctly — but it should always be prescribed and monitored by a qualified healthcare professional who reviews your full medical history, runs proper lab work, and adjusts dosing based on evidence-based guidelines.

If a clinic promises quick results, uses the same dose for everyone or charges you and fills you medication “in house,” that’s a red flag 🚩

Your hormones aren’t one-size-fits-all, and improper therapy can cause real harm.

👉 Do your homework.
👉 Ask questions.
👉 Trust only licensed medical professionals.

Your health — and your hormones — deserve expert care, not a shortcut‼️

10/22/2025

Losing the battle with insurance companies on BOTH SIDES today 🙁

— as both a physician and as a patient, I’ve spent soooo much time on the phone advocating.

Some days, it feels like the system is designed to break us before it helps us 😔

10/21/2025

Testosterone therapy isn’t one-size-fits-all. For many women, it can help with:
✔️ Increased energy
✔️ Improved mood
✔️ Enhanced libido
✔️ Better muscle tone

Ask your provider if HRT is right for you — because balanced hormones mean a balanced life. 🌼

10/15/2025

To all the patients, parents, families, and friends touched by pregnancy or infant loss — you are not alone.

Join us at 7 PM for the International Wave of Light, as we light candles across the globe in memory and unity.

🕯️ Together, we remember. Together, we shine.

10/14/2025

Hormone replacement therapy dosing is MUCH different from hormonal contraceptives.

Women with history of side effects related to hormones, often incorrectly assume they won’t tolerate HRT.

This isn’t true!

Make an appointment. Stop suffering from perimenopause and menopausal symptoms !!!

10/02/2025

Heck YES!!!!!!!!!!

I can’t even begin to count the number of times I’ve counseled a patient about risks and benefits of hormone replacement….ONLY to have them get scared off by a pharmacist, primary care or the “black box.”

It is TIME for women to start THRIVING during menopause!!! 🎉🥳👏🏻🙌🏻

10/02/2025

Yes!!!!!!!!!!!!!!!

The US Food and Drug Administration plans to make changes soon to the lengthy black box warning on many hormone replacement products for women with menopause symptoms, Commissioner Dr. Martin Makary said. https://cnn.it/42lROAa

10/01/2025

Breast cancer screening requires a MULTI layered approach!

🩷 family and personal history 🩷 self exams/awareness
🩷 clinical exam annually
🩷 mammogram

1 in 8 will develop breast cancer in their lifetime!!!

09/10/2025

Just because you don’t need a Pap Smear—- doesn’t mean you should have a pelvic exam!I am shocked at the number of patients I see that go to their primary care yearly, but don’t ever get a pelvic exam. Make sure you also schedule with a gynecologist once every 1-2 years. This allows your primary care physician to address your global health needs, while still allowing time to have menopausal and gyn concerns evaluated.