Services

Some of the services we offer include:

Management of menopause symptoms

Assessment and treatment of decreased libido

Assessment and treatment of painful intercourse and/or gynecologic exams

Assessment of changes in sexual sensation following trauma (physical or mental)

Assessment and treatment of anorgasmia

Annual well-woman exams and pap smears

Medical pregnancy prevention

Colposcopy and management of abnormal pap results

Medical managment of endometriosis

Work-up for interfertility

Hormone changes over the lifespan, including teenagers and menopause

Abnormal uterine bleeding

IUD removal, Nexplanon removal, and

Nexplanon placement if insurance mails device to office

 

Why choose Compassionate Gynecology of Michigan?

14+ years experience

High quality care

Modern, comfortable office

Professional staff

American Board of Obstetrics & Gynecology Certified

Yearly maintenance of certification education and testing

Completed training through Univerity of Michigan in Sexuality Counseling & Education

 

We do not offer surgical management, obstetric care, or IUD placement.

We are happy to connect you to excellent providers in the area

who will assist you if you need these services!

 

What can I expect before my visit?

 

Please call or text the office using 810-869-6086 and be sure to include your name, and we will call or text you back to schedule your visit. We will need to confirm birth date, insurance information, and reason for your visit.

We will need at least a general reason for your visit so we can book you in the proper room (counseling-only room vs exam room), but the more information we have in advance the more prepared we can be to start right in addressing your need at the start of your actual appointment.

 

You can also email us using compassionategynecologyofmi@gmail.com if you prefer that method of contact. We would appreciate it if you gave us a phone number in your email, but can let us know if you would prefer email communication in the future. We would need the phone number to contact you quickly if your appointment had to be unexpectedly rescheduled, to send you links for pre-appointment forms, and to text you to let you know it is your turn to be brought back to your room. This can allow you to wait in your car rather than in the general waiting room if you are more comfortable with that.

 

We have intake forms online for you fill out in advance. We will text you the link so you can fill them out on your phone. It is important to fill out these forms in advance for a few reasons. First, it lets us confirm your insurance or payment arrangement prior to your visit. Second, Dr Kling looks over the Past Medical History and Review of Systems forms you fill out online so we can spend our visit confirming some of your answers and moving forward with our discussion rather than spending precious time asking about lots of conditions that do not apply to you. It streamlines our time significantly, and I do review it! Third, it confirms items like your pharmacy and PCP in case we need to reference those in the future.

 

If you are unable to fill the forms out on a smartphone or tablet, we will gladly print them for you to fill out prior to your visit. We can mail them to you to fill out at home in the days leading up to your appointment or have them available to fill out at the office. In this case, we will ask you to arrive early to your visit to have the paperwork completed before your appointment time.

 

Your call, text, or email will be addressed by Nicole. We do not have any other staff that interacts with our patients. If it is not Nicole, it will be Dr Kling herself. We are setting up our billing arrangements and will let you know who else you may interact with if you have questions about your bill.

 

If you come into the Fenton Family Medicine waiting room before your appointment, just text us from there - the front desk check-in staff are for the other doctors here and cannot check you in for us.

 

 

What can I expect at my visit?

 

Currently, the office is not requesting or requiring masks be worn by staff or patients. You are welcome to wear one if you prefer and can ask that Dr Kling and Nicole each wear one for your visit if you would like. You will text or call us to let us know you have arrived, then Nicole will text you to let you know we are ready for you, and she will welcome you at the waiting room door that serves as access to all the offices and exam rooms in the building. She will walk you to the scale to get your current weight and height. If you are not comfortable seeing your weight, you may turn around on the scale so you do not see it. If you prefer to not be weighed at all, just let Nicole know and we can skip that step.

 

You will then be taken either to the counseling room (which also serves as our office space), or the exam room. The counseling room will be for visits that will only be talking. Birth control counseling, sexuality counseling and education, and an initial visit for abnormal bleeding are examples of visits that are appropriate to have in the counseling room. Nicole will likely take your blood pressure, then input your vitals into your EMR note. She will ask you in your own words what the reason for your visit is, and document that as well. She will confirm medications and some pertinent past medical history. She will then leave for the duration of our discussion together. You will then have your visit with Dr Kling for the allotted amount of time. Dr Kling may write some notes on a paper in front of you or enter a few sentences into her computer during your visit, but most of her time with you will be focused directly on you. The counseling room is our attempt to feel less like a traditional OB/GYN office where you are seen while sitting on an exam table (which can be physically and socially uncomfortable), and we hope that you will find the space inviting and a calm place you talk with doctor. We have a fan, white noise machine, and window shades that we can adjust to help you feel as comfortable as possible.

 

If you are having an exam, such as a yearly well woman check-up, a follow-up pap smear, a swab of vaginal discharge, a biopsy or similar procedure, or even just have "a spot you want looked at" that involves undressing at all, you will be seen in the exam room. Your visit will start with a stop at the scale, then walking to the exam room. Nicole will get your vitals and ask you some history questions and your reason for your visit, then she will step out after giving you instructions of how much to get undressed, if at all. For any visit that will involve a breast exam we have you keep on your own shirt (and sweater or sweatshirt if you prefer), and simply unhook your bra for your exam - you will not be asked to change entirely into a gown. We can easily lift your shirt to perform that portion of the exam and it reduces the worry of having to tie portions of a gown, remember which direction it should open, or tear a paper gown. If you are having an exam of anything below your belt-line, you will be asked to undress from the waist down and will be given a large paper drape to place over your legs. You are welcome to leave on your shoes/sandals and socks if you are most comfortable with that. If you are easily chilled or don't like the feel of the paper drapes, you are welcome to bring your own blanket to use as a drape. This exam room was chosen because the of the placement of the door - it opens into the corner of the room where the exam table is not visible and can easily be stopped from opening if someone tries to enter when an exam is underway - before any part of the patient can be seen. Before starting and as the exam progresses, Dr Kling will talk you through the planned next step(s). You can let us know if you need to take a break or if you want the exam to stop at any time, and your request will be honored. Continuing without your consent amounts to medical assault. The exam room also has a fan available, and full opaque window shade to try to make it as comfortable as an exam room can be. You are free to ask questions and interrupt doctor or Nicole if you need to during your exam - you should be the person in control and understand what is going on. You are welcome to bring one supportive person with you if you prefer.

 

Who else might be involved in my care?

 

At Dr Kling's office, it will only be doctor and Nicole.

 

As part of your treatment plan, Dr Kling may recommend evaluation and possible treatment with a variety of other providers. These are all professionals she knows and trusts.

 

Primary Care Provider (PCP) – If you do not already have one, Dr Kling would like you to establish with a PCP to help you get your age-appropriate testing like lipid panel, diabetes screening, colonoscopy, etc.

A PCP should be a part of every patient’s overall medical care.

 

Another OBGYN for obstetric care, or surgical urinary or gynecologic care – As these are services she does not provide, Dr Kling will help you find a provider in the area best suited to your personality, and to their area of expertise. This can include high- and low-risk care in pregnancy, as well as surgery for abnormal vaginal bleeding, to achieve sterilization (have your “tubes tied”), if you need a hysterectomy, or if you have urinary leakage not solved using other methods.

 

Preconception counselor (often through a Maternal –Fetal Medicine specialist) for some patients with complicated infertility or previous obstetric care.

 

Pelvic Floor Physical Therapist – These are women who have specialized training in treatment of disorders of the pelvic floor (the muscles at the bottom of your abdomen that attach to several spots on your pelvic bones). They can treat some cases of pelvic pain and painful sex due to muscles being too tight, as well as cases when the muscles are no longer strong enough to support pelvic organs and reliably keep in urine or stool. They do not just spend hours teaching patients to Kegel and relax, their assessments and treatment plans are very individualized and thorough and teach patients about their own anatomy, areas of dysfunction, and how to do exercises at home to bring about lifelong improvements in pelvic floor function. Dr Kling has seen dozens of her own patients entire lives changed by pelvic floor PT (able to engage in activities with their children without worrying about urinary leakage, able to have pleasurable sex when the patient and her partner know how to encourage her body to relax in advance, and comfort when pelvic muscles were strengthened through exercise to support patients’ pelvic organs like uterus, bladder and rectum to reduce the heavy feeling they’d been living with for years).

Every patient doctor has had that completed pelvic floor PT reported being better off having done it.

 

Sex Therapist – Dr Kling completed a certificate program in Sexuality Counseling and Sexuality Education at the University of Michigan School of Social Work in 2020. These classes taught her to diagnose and treat a wide variety of sexual disorders, and innovative ways to help people understand human anatomy and psychology when it comes to sexual function.

This did not teach her to be a sex therapist.

Sex therapists are people specially trained to help patients work – as an individual or a couple – to manage disorders in sexual function (whether actual or perceived). Dr Kling will listen to your history and try to help you understand how it could impact your sexual function. She is not trained to help you process through traumas and integrate the insights you gain into your life moving forward. If you identify for yourself, or Dr Kling sees she is not the person best equipped to treat a portion of your care long-term, she will help you find a sex therapist that can work with you.