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Gynecology and Women's Health

New Patients

Welcome to Women’s Health of the High Country!
We’re thrilled to have you as a patient and look forward to partnering with you on your journey to better health. 

Our Mission

At Women’s Health of the High Country, our mission is to provide compassionate, comprehensive care in a welcoming and inclusive environment. We treat every patient with respect and dignity, and are committed to supporting the unique healthcare needs of all women with professionalism, empathy, and excellence.

Services

We offer a full spectrum of medical care—from routine checkups to advanced diagnostics and treatments. Our approach is collaborative, ensuring that every patient receives personalized, high-quality care tailored to their individual needs.

Our services include:

  • Comprehensive gynecologic care
  • Annual well-woman health screening exams
  • Hormone optimization and bio-identical hormone replacement 
  • Medically supervised weight management 
  • Contraceptive counseling and management
  • Evaluation and treatment of abnormal bleeding
  • Management of abnormal pap smears
  • STD screening and treatment
  • Office-based procedures and other common gynecologic services


We are dedicated to supporting your health at every stage of life with compassion, expertise, and individualized attention.

Menopause transition care

SIGNS OF HORMONE IMBALANCE

SIGNS OF HORMONE IMBALANCE

SIGNS OF HORMONE IMBALANCE

 Hormones play a crucial role in regulating your body's systems — from energy levels and mood to metabolism, sleep, and sexual health. As we age, hormone levels naturally decline, often leading to symptoms like fatigue, weight gain, low libido, mood swings, and brain fog. Hormone optimization can help restore balance and improve quality of life. 


Signs And Symptoms of Hormonal Imbalance in Women

There are a variety of symptoms of hormone imbalance in women and may include:

  • Fatigue*
  • Night sweats*
  • Hot flashes or flushes*
  • Decreased sex drive*
  • Weight gain*
  • Trouble sleeping*
  • Irritability*
  • Anxiousness*
  • Mood swings*
  • Low mood*
  • Discomfort during intercourse*

HORMONE OPTIMIZATION

SIGNS OF HORMONE IMBALANCE

SIGNS OF HORMONE IMBALANCE

 

The goal of hormone optimization is to restore and balance hormone levels to their optimal physiological range in order to:


  1. Improve overall health and well-being
    – Increase energy, vitality, and quality of life
    – Reduce symptoms of hormonal imbalance such as fatigue, weight gain, mood changes, and poor sleep
     
  2. Enhance metabolic function
    – Support healthy body composition (e.g., increase lean muscle, decrease fat)
    – Improve insulin sensitivity and blood sugar control
    – Regulate appetite and digestion
     
  3. Support cognitive and emotional health
    – Improve mental clarity, focus, and memory
    – Stabilize mood and reduce anxiety or depression linked to hormonal shifts
     
  4. Protect long-term health
    – Maintain bone density and prevent osteoporosis
    – Support cardiovascular health
    – Reduce the risk of chronic conditions related to hormone decline
     
  5. Support sexual and reproductive health
    – Improve libido and sexual function
    – Normalize menstrual cycles or manage symptoms of menopause or andropause
    – Enhance fertility when appropriate
     
  6. Promote healthy aging and longevity
    – Delay age-related decline in physical and cognitive function
    – Maintain vitality and functional independence
     

Hormone optimization is typically personalized, often involving lifestyle changes, nutritional support, and possibly bioidentical hormone replacement therapy (BHRT) or other medical interventions.

Weight Management

Importance of maintaining a healthy weight

Semaglutide: A Safe, Effective Tool for Lasting Weight Loss

Semaglutide: A Safe, Effective Tool for Lasting Weight Loss


Achieving and maintaining a healthy weight is one of the most impactful steps you can take to improve your overall health and reduce the risk of chronic disease. The benefits are both immediate and long-term:


 Reduces Risk of Chronic Diseases

  • Lowers the risk of type 2 diabetes, heart disease, high blood pressure, and stroke
     
  • Decreases the likelihood of certain cancers (e.g., breast, colon, endometrial)
     

 Improves Hormonal Balance

  • Regulates insulin, estrogen, testosterone, and thyroid function
     
  • Supports fertility and reduces complications in pregnancy
     

 Enhances Metabolic and Physical Health

  • Improves cholesterol levels and blood sugar control
     
  • Reduces joint pain and risk of osteoarthritis
     
  • Increases energy and endurance
     

 Supports Mental and Emotional Well-Being

  • Decreases symptoms of depression and anxiety
     
  • Improves self-esteem and body image
     
  • Enhances quality of sleep
     

 Promotes Longevity and Healthy Aging

  • Increases life expectancy
     
  • Lowers risk of age-related diseases
     
  • Supports cognitive function as you age

Semaglutide: A Safe, Effective Tool for Lasting Weight Loss

Semaglutide: A Safe, Effective Tool for Lasting Weight Loss

Semaglutide: A Safe, Effective Tool for Lasting Weight Loss

 Semaglutide is a powerful, FDA-approved medication that enhances the success of any medical weight loss program. It belongs to a class of medications called GLP-1 receptor agonists, which mimic a naturally occurring hormone released in your gut after eating.


 It works by:

  • Increasing insulin production to help control blood sugar
     
  • Slowing stomach emptying to prolong the feeling of fullness
     
  • Targeting appetite centers in the brain to reduce hunger and cravings
     

When combined with a healthy diet and regular exercise, semaglutide can lead to significant, sustainable weight loss. In clinical studies, patients also experienced a lower risk of heart disease, Type 2 diabetes, and certain cancers.


Whether you’re just beginning your weight loss journey or looking for a powerful addition to your current plan, semaglutide may be the support you need to succeed.

Weight management program

Semaglutide: A Safe, Effective Tool for Lasting Weight Loss

Weight management program

 

Affordable Access to Semaglutide – No Insurance Hassles

We understand that semaglutide can be difficult to access and is rarely covered by insurance. To ensure our patients can benefit from this highly effective medication, we’ve partnered with a trusted compounding pharmacy to make it available without the usual barriers.

Here’s how it works:

  • Monthly Check-In: You’ll visit our office once a month for a weight assessment and check-in with our team.
     
  • Medication Dispensing: After your visit, you’ll receive your month’s supply of semaglutide—four pre-measured weekly doses.
     
  • All-Inclusive Pricing: The cost is $450 per month, which includes:
     
    • Your in-office consultation
       
    • The compounded semaglutide medication
       
    • All necessary supplies for self-administration
       

This streamlined system gives you consistent access to semaglutide without relying on insurance or facing unpredictable pharmacy delays.

Services

24 Hour Service

We know that your medical needs don't stop when office hours are over. Using our help line and our email service, you can get a message to your health team when it is convenient for you.

828-357-7314

dr.bratter@womenshealthofthehighcountry.com

Wellness Support

Our team is here to support you in building a healthier you. Whatever your health needs may be, having the right care team by your side makes all the difference. We work collaboratively to connect you with the personalized services and support you need—every step of the way.

Insurance and Fee for service

Insurance

We accept: BCBS, United, Cigna, Aetna, Medicare Plan B, Care Credit and Health savings accounts (HSA)


Fee for service: 

In an effort to streamline your healthcare and keep it affordable,  we offer a "fee for service" model.


Telehealth Services

Sometimes there are obstacles to coming into a medical office, but help is still available. Our team can meet you over a HIPAA compliant connection. Same day appointments available!

Copyright © 2025 Women's Health of the High Country - All Rights Reserved.

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