Care
Four stages of one life, and the same physician through all of them.
Most women's health is split across a specialist for each decade. Here it isn't. The person who does your annual is the person who manages your hormones, sits with you through fertility, and is there for the delivery.
Aesthetics and IV therapy sit alongside that, and neither one requires a membership. Anyone can book them.
Gynecology
The care that should be routine and usually gets treated as routine. An annual that isn't fifteen minutes. Contraception decided with you rather than for you. Pelvic pain, bleeding and infections looked at properly the first time, instead of across three appointments.
But the annual is not what you're paying for. Membership buys the other three hundred and sixty-four days — the ones where something is wrong on a Tuesday and you need an answer from someone who already knows your history. You have a physician's number. You are not describing yourself from scratch to whoever picks up.
Nothing here is rationed. Come once this year or come nine times; it's the same membership. Results are reviewed with you by the person who ordered them, not delivered as a line of numbers in a portal at 9pm. And if something needs a specialist we don't have, we say so, find the right one, and stay involved rather than handing you a phone number.
What that covers
- Annual exam, screening, and a real look at where you actually are
- Contraception of every kind, including IUD and implant placement and removal
- Adolescent visits for members' daughters, 13 to 17, at no additional cost
- Abnormal bleeding, fibroids, and endometriosis
- PCOS, PMS and PMDD, and cycle disorders
- Pelvic pain, painful sex, and low libido
- Recurrent vaginitis, urinary symptoms, and sexually transmitted infections
- Cervical screening, colposcopy, and endometrial biopsy
- In-office ultrasound, procedures and biopsies
- Breast concerns, imaging coordination, and preventive screening
- Preconception counselling and pregnancy planning
And how you reach it
- Same-day or next-day when something is wrong
- Visits that end when the conversation does
- Direct call and message access to your physician between visits
- Referrals arranged and followed, not handed off
- One doctor — the same one, every time
Every visit, procedure and message for the year — not a set number of them. Routine labs and in-office ultrasound are included at no additional charge. Genetic and specialty send-out labs, outside imaging and pathology are billed at cost, with no markup. Every visit generates an itemised superbill you can submit to your insurer.
Pregnancy
The same physician from the first visit to the delivery to the six-week check, and as many appointments in between as you need — nobody is counting them. If something worries you at eleven at night, you have a number that reaches a person.
Arkansas has the highest maternal mortality rate in the country. The state's own review committee looked at pregnancy-related deaths from 2018 to 2020 and found 92% of them were preventable — and 42% of those women had private insurance. Coverage and a good job are not the protection people assume they are.
We can't promise you an outcome, and anyone who does is selling something. What we can promise is that you will never be explaining your own history to someone who is meeting you for the first time.
Dr. Lloyd delivers at Mercy. Whoever you saw for every prenatal visit is the person who meets you at the hospital — not whoever happens to be on the floor that night.
- Prenatal care, on a schedule set by you and your pregnancy
- Delivery at Mercy, with Dr. Lloyd attending
- Postpartum care, including the parts usually rushed
- Coordination with maternal-fetal medicine when it's needed
- Lactation and recovery support
Every prenatal visit, the delivery, and postpartum. Membership isn't charged on top during those months — if you were already a member that's $4,800 you stop paying, so the pregnancy year adds around $2,700 rather than the whole $7,500.
Worth knowing before you react to that number: a pregnancy is two bills, not one. The hospital's — the room, the nursing, the anesthesia, the newborn — is the fifteen or twenty thousand people talk about, it goes through your insurance, and it is the same whether you come here or go anywhere else. The physician's fee is the separate one, and for a normal pregnancy it runs about four to five thousand dollars whoever you see. So the number you're weighing isn't eight against nothing. Work out what yours would come to.
From January 2027, maternity care is coded per encounter nationwide rather than as one bundled code — which means your superbill itemises every visit instead of summarising nine months in a single line.
Fertility
Fertility care is where being rushed does the most damage, because the questions are the hardest and the appointments are usually the shortest. A first fertility consultation here runs ninety minutes.
We do the full workup, we explain what the results actually mean, and we manage treatment we can manage well. When IVF is the right next step, we say so early rather than late — and we stay your physician through it rather than disappearing at the referral.
- Complete workup for both partners
- Cycle tracking and ovulation induction
- Intrauterine insemination
- Recurrent loss evaluation
- Referral and co-management for IVF
The ninety-minute consultation and the complete workup for both partners are part of membership — routine labs and in-office ultrasound included, genetic and send-out testing at cost. Treatment cycles are priced separately, at a published rate. Medications are billed by the pharmacy, not by us.
- Ovulation induction cycleIncluded
- Intrauterine insemination, per cycle$650
- Sperm preparation (outside andrology lab)$175
- MedicationsBilled by the pharmacy
Most practices earn the majority of a cycle fee on monitoring — the serial ultrasounds and hormone levels. Yours are already inside membership, so we don't charge for them twice. An ovulation induction cycle costs you nothing beyond the prescription, which is usually under twenty dollars.
Menopause and midlife
Perimenopause starts years before anyone names it. The symptoms arrive one at a time and get sent to different people — sleep to one doctor, mood to another, joints to a third, and the whole thing to nobody. It can run a decade.
If your labs are in range and you still feel wrong, that is where we start. A normal result is information, not a conclusion, and it is not the end of the conversation. Symptoms are data too. We are not going to reach for an antidepressant as a first answer to perimenopause, and we are not going to tell you this is just your age.
What we can promise is the attempt: a full history, proper testing, and a plan we keep revising until something works or until we have honestly run out of things to try. Sometimes we do run out. We will tell you that rather than keep you coming back.
What that actually looks like
The approach is multimodal on purpose, because midlife rarely has one cause. Depending on what your history and your labs show, that can include:
- Transdermal estradiol — patch, gel or spray, which avoids the first-pass liver effect and carries a lower clot risk than oral
- Micronised progesterone for anyone with a uterus, dosed to the regimen rather than to a formula
- Vaginal estrogen for genitourinary symptoms — local, low dose, and safe for a great many women who have been told hormones are off the table entirely
- Testosterone where it is genuinely indicated, delivered in a form that can be stopped
- Non-hormonal options for women who can't or would rather not — there are more of these than there used to be, and they are not a consolation prize
- Sleep, thyroid, iron, metabolic and bone health worked up properly, because several of these masquerade as perimenopause and one or two of them are the actual answer
- The unglamorous ones — strength training, protein, alcohol, and what actually helps a hot flash at three in the morning. We'll talk about these even though nobody wants to hear it, because for some women they do more than the prescription
Evaluation, hormone therapy management and the reviews that go with it. Routine labs and in-office ultrasound are included; extended or send-out panels are billed at cost. Prescriptions are billed by the pharmacy, not by us.
We don't do hormone pellets. ACOG recommends against them for testosterone delivery, on the grounds that the safety data isn't there and the pellet can't be removed once it's in. The comparative studies are not close: in one, 20% of pellet patients went on to a hysterectomy for bleeding, against 6% on conventional therapy. They are the most profitable thing we could sell you in this category, and that is part of why you should be careful who is offering them.
To be clear about what that isn't: it is not a position against hormones. We prescribe them, we think they are the right answer for a great many women, and the list above is what we use instead. The objection is to a delivery method you cannot take back out, not to the treatment.
Aesthetics
Delivered by a nurse practitioner, working from your chart and under Dr. Lloyd's medical direction. That's the whole difference, and it's a real one — the person injecting you can see what you're taking, what you've had done, and what you're planning, because it's the same record.
We'll also tell you when something isn't worth doing, or when the result you're describing isn't one this treatment produces.
- Neuromodulators
- Dermal filler
- Skin health and medical-grade treatment plans
- Non-surgical intimate and postpartum treatments
- Open to anyone — no membership required
- Botox, per unit$14
- Dysport, per unit$4.50
- Xeomin, per unit$10
- Dermal filler, per syringe$640
- Sculptra, per vial$740
- Microneedling$285
- Chemical peel, light / medium$130 / $240
- IPL photofacial, full face$340
- Intimate and postpartum, series of three$2,240
Published because almost nobody here publishes anything. Every one of these is a list price, not a starting point, and there is no consultation fee to find out.
IV therapy
A three-seat lounge, designed to be somewhere you would actually choose to spend an hour. Good light, a proper chair, a blanket, and a nurse who isn't watching the clock. Bring your laptop or don't. Most people are back on the street inside forty-five minutes.
Some of what happens in that room is squarely medical — fluids and antiemetics for a pregnancy that isn't keeping anything down, iron for a deficiency we've documented, fluids after an illness that emptied you out. And some of it is simpler than that: an hour in a quiet room, on a week that has asked a lot of you. Both are good reasons to come.
The menu uses the names you already know, because inventing our own would only make it harder to order. What's different is what happens when you ask. A physician reviews every order, and if you want to know what the evidence behind a particular bag actually looks like, you'll get the honest answer rather than the brochure one — including when the honest answer is that people find it helpful and the research is thin. And if an infusion isn't the right call for you at all, you'll hear that before you've paid for one.
- Hydration and antiemetic therapy, including in pregnancy
- Iron infusion for documented deficiency
- Vitamin and mineral formulations, reviewed and ordered by a physician
- Fluids after illness, travel, or a long week
- Open to anyone — no membership required
- Hydration and electrolytefrom $85
- Vitamin and mineral formulations$110 – $150
- NAD+, 250mg / 500mg$225 / $375
- Single injections$25
- Add-ons$15 – $25
Iron infusion and antiemetic therapy in pregnancy are clinical rather than elective, and are priced with your care rather than off this list.
Not sure which of these you need?
That's a common place to start, and it's a reasonable reason to book the consultation. Thirty minutes, no cost, and nobody signs anything.
See if we're a fit →