Hi, I’m Kathy Kates — nurse practitioner. I treat the whole picture: pelvic, hormone, and sexual health — because it’s all connected.

Kathy Kates, Pelvic Health Specialist

If you’ve been told you’ve been told “you’re fine” or “just wait it out,” you’re not imagining it“—and you’re not alone.


Pelvic, hormone, and sexual health are deeply connected, and your care should be too.


I’ve lived this, studied it, and built a practice that evaluates all three together—so your symptoms finally make sense and you can feel like yourself again.

You deserve care that actually connects the dots.
Let’s get you the answers—and relief—you’ve been looking for.

SEXUAL WELLNESS

Low sex drive. Pain with sex. No desire—even though you want to want to.
You're not alone. These symptoms are common—but they’re not something you just have to live with.

I treat the biological side of sexual dysfunction: hormones, blood flow, brain chemistry, and vaginal tissue health. Whether it’s low libido, difficulty with orgasm, or pain with sex—we’ll explore the options that are right for you.

We may use:

  • Vaginal estrogen, DHEA, or combined estrogen + testosterone

  • Topical testosterone to support libido

  • Prescription creams to support arousal and orgasm

  • Expert-curated resources from our Sexual Wellness Library—personalized guides, evidence-based exercises, and trusted tools designed to help your body rediscover pleasure and connection

✨ You’re not broken. You just deserve better care.

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PELVIC HEALTH & MEDICINE

Pelvic pain isn’t just tight muscles.
It can be driven by hormonal shifts, nerve sensitivity, high-tone pelvic floor dysfunction, or trauma your body still holds.

You’ll get a full-scope pelvic floor evaluation (yes, including tone and motor control), and—if needed—referrals to expert pelvic floor PTs I’ve trained directly.

Whether you’re dealing with vaginismus, constipation, pudendal neuralgia, or unexplained pain—we’ll find the root cause and a plan that works.

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AFTER BREAST CANCER

Surviving breast cancer is hard. Menopause shouldn’t be.
As a breast cancer survivor and hormone specialist, I know the unique challenges of post-treatment care.

Local vaginal estrogen is safe and effective for most survivors—and I’ll walk you through the research, risks, and benefits. We’ll also explore vaginal moisturizers, pelvic floor therapy, and pain-free intimacy strategies that work for your body.

Let’s rebuild comfort, connection, and confidence—together

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HORMONE THERAPY: PERIMENOPAUSE & MENOPAUSE

Mood changes, night sweats, brain fog, low libido—this is hormonal.
You don’t have to wait until your periods stop. Perimenopause can start in your late 30s and early 40s—and we can treat it now.

We’ll build a custom hormone plan using bioidentical estrogen, progesterone, and testosterone when appropriate. I also offer non-hormonal options if you prefer.

You deserve to feel sharp, sexy, and symptom-free again.

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★★★★★

TESTIMONIAL SLIDER

I would HIGHLY recommend Kathy Kates. She was extremely helpful in treating my symptoms. She not only provided the hands-on treatment but she was very helpful in reviewing the exercises that I needed. I have been a personal fitness trainer for over 28 years. I have worked closely with a lot of physical therapists to help my clients recover from injury. Kathy is one of the very best physical therapists I have worked with. She is caring, kind, and most of all, extremely knowledgeable and capable! I had been dealing with some issues for a year and within 4 sessions, my symptoms were drastically better!!! She is amazing!

  • Susan O.

I had a really great experience with Kathy! She helped diagnose nerve issues I was having in my hip area and worked with me over a number of sessions on my rehabilitation. Working with her helped to equip me with knowledge & tools to deal with my current issue. And also give me confidence to deal with future flare-ups.

Kathy Kates is a remarkable clinician. She diagnoses and treats through an iterative process that continues to evolve over many sessions. She is intuitive, evidence-based, and a wonderful listener. Kathy is also a passionate educator for the women’s health community, sharing her knowledge about how pelvic health can be diagnosed and treated. I can't say enough about Kathy and the wonderful results that I've experienced. She is exceptional!

“Pelvic therapy in the hands of Kathy Kates changed my life! I had a surgical menopause in my 30's and struggled with pain and other issues for decades as MDs told me it was just something I just needed to live with. When I finally received a referral to Wellest a miracle occurred. Every woman should have knowledge and access to this treatment. Kathy, in particular, is a true healer!”

  • Donna T.

“I am incredibly grateful to have found Kathy Kates and cannot recommend her services enough. After having twins 5 years ago, I knew I had diastasis recti from the pregnancy and, after several unsuccessful attempts to heal my DR through home programs and various doctor consultations, I had given up ever completely healing my ab separation. However, once I met with Kathy, I immediately started to see and feel improvements and her expertise have led to so many positive changes in my health in the last year. Kathy’s warm approach, attentiveness, and extensive expertise combine to create an optimal environment for enhancing one’s health and I’m so glad to have worked with her.”

  • Rachel V.

“Kathy has an amazing knowledge base, excellent communication and listening skills plus she is an authentic, warm person. So to start pelvic floor work with someone like that, I felt incredibly at ease. Kathy is incredibly observant, watching how I move, sit, engage muscles, in order to diagnose issues and suggest changes. After a few sessions, I am amazed at the relief I've experienced.”

  • Melissa M.

“After 3 years of mysterious pelvic floor pain and dysfunction I had seen a handful of different doctors who were universally dismissive and unhelpful, and I was ready to give up on finding a solution. Then I had the incredible good luck of being referred to Kathy. It was clear to me right away that she was extremely knowledgeable and passionate about her work, and that she genuinely cared about my health and recovery. Her kind, calm and patient approach made the whole experience really pleasant, and after only 6 weeks (!!) I'm nearly 100% recovered.”

  • Nick C.

“Thank you so much for all your help with my pelvic floor. I didn't know what to expect when my doula suggested I proactively see you before the birth of my son, but working with you has wildly exceeded my expectations. Rather than appointments I expected to dread or feel neutral about (who wants a pelvic exam?!), I actually looked forward to our appointments and feeling more relaxed, knowledgeable, and on the right path after each one. I appreciated that you accommodated working with me virtually during those early and scary days of COVID-19 until I was comfortable coming in-person and expanding on what we could do virtually. I appreciate your thoughtfulness, responsiveness, comprehensiveness, accessibility, passion for your work, and also your positive reinforcement. Thanks again for the amazing work you do and for all your help and guidance!”

  • Sara G.

“I can't recommend Kathy Kates NP strongly enough. After seeing multiple specialists for persistent GU symptoms with no clear answers or improvement, a friend recommended I see Kathy Kates. I'm so thankful I did. Kathy's bedside manner is exceptional. In a warm, safe environment, she diagnosed and treated my symptoms, using several modalities including physical therapy exercises. After 6 months, my symptoms dramatically improved. It's not a stretch to say, “I feel like I got my life back."

  • Andrew L.

“Kathy Kates is amazing! She's an attentive listener, incredibly thoughtful & informative, mindful & sensitive to diverse experiences and needs, and deeply holistic in her approach. She put me at ease immediately, taught me so much about my body, and sent me away with practical tools and new skills to further support my own healing process. I can't recommend her highly enough!”

  • Cole P.

“I had major surgery for removal of a cancer in my pelvic cavity. Recovery was tough and slow. Kathy Kates is a pelvic floor nurse Practitioner who specializes in restoring pelvic health. With my surgeon's permission I started working with Kathy about six weeks after my surgery. Without her help, I would still be struggling with pain and discomfort. Kathy's skill is far beyond what is humanly possible. She is a Magician, an Angel, a total Healer. I am so grateful to have been introduced to her.”

  • Carlos N.

“I met Kathy Kates in 2017. Working with her has forever changed my pelvic floor health, body awareness, and general wellness for the best. She’s incredibly knowledgeable, a super capable problem solver, and connects with empathy to allow her to meet you where you’re at. She’s hands down one of the best health providers I’ve ever worked with.”

  • Amanda D.