Christine Hart Kress DNP, PLLC

Christine Hart Kress DNP, PLLC Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Christine Hart Kress DNP, PLLC, Healthcare administrator, Centreville, VA.

09/09/2026

It’s apples to oranges. Two completely separate jobs with entirely different care.

Gynecologists are great, but unless they explicitly tell you that they’ve continued to pursue midlife and menopause education, that’s not training that anyone gets in medical or nursing school outside of a quick once over. Peri/menopause specialists take extra courses, classes, seminars, certifications — all to specifically work with women in midlife. In-depth hormone knowledge, connections and comorbidities, what those might look like symptomatically and in lab work, how to personalize care plans with incredible nuance, and so on.

Gynecologists are great. They have a super important job. But I’d never ask a bakery to make me a pizza. They probably could, but it won’t be as good as if I asked a pizza shop.
Book with a specialist, I promise you’ll feel the difference.


HRT, telehealth, women’s health nurse practitioner, low libido, motivation, concierge women’s health, virginia women’s healthcare
Serving: VA, CO, MN, MD, MA, NE, ND, FL, and WV

09/06/2026

Grab your lab work and check the results for these 10. The range for “normal” is far too wide, so something that should have flagged most likely didn’t.

Normal means within a range of averages that have been taken over the years using other seemingly healthy lab results from a general population.
Which sounds fine, except there is no discernment between age, gender, existing and underlying conditions, or the individual person and their health.

If it looks fine it must be fine right?

Midlife doesn’t play by the rules. You are a unique individual with unique needs and a unique situation. Your lab work needs more care and attention than a 20-something gym bro’s. “Normal” doesn’t mean optimal and that probably explains why you feel like s**t.

Do you have a provider that goes line by line over your lab results with you? If you don’t, comment your state and I’ll send you some names of women’s health and perimenopause specialists that serve your location ❤️
And if you’re a WHNP or peri/menopause clinician, plug your service states below!


Advocacy, women’s healthcare provider, symptom dismissal, optimal lab work, telehealth provider, perimenopause clinician, personalized care plan, concierge health, midi, insulin resistance, thyroid, iron, ferritin, heart health, glucose, TSH
Serving: VA CO MN MD MA NE ND FL WV

09/06/2026

Grab your lab work and check the results for these 10. The range for “normal” is far too wide, so something that should have flagged most likely didn’t.

Normal means within a range of averages that have been taken over the years using other seemingly healthy lab results from a general population.
Which sounds fine, except there is no discernment between age, gender, existing and underlying conditions, or the individual person and their health.

If it looks fine it must be fine right?

Midlife doesn’t play by the rules. You are a unique individual with unique needs and a unique situation. Your lab work needs more care and attention than a 20-something gym bro’s. “Normal” doesn’t mean optimal and that probably explains why you feel like s**t.

Do you have a provider that goes line by line over your lab results with you? If you don’t, comment your state and I’ll send you some names of women’s health and perimenopause specialists that serve your location ❤️ 
And if you’re a WHNP or peri/menopause clinician, plug your service states below!


Advocacy, women’s healthcare provider, symptom dismissal, optimal lab work, telehealth provider, perimenopause clinician, personalized care plan, concierge health, midi, insulin resistance, thyroid, iron, ferritin, heart health, glucose, TSH
Serving: VA CO MN MD MA NE ND FL WV

09/02/2026

Ablation is not a hysterectomy, a uterus needs progesterone, and whether or not you have a uterus, you CAN be on progesterone. We’re protecting you from endometrial cancers and protecting your sleep and mood.

Request progesterone, uterus or not. Take any pushback to another provider. Outdated medical advice won’t be tolerated here.

cervical cancer, ovarian cancer, uterine cancer, vaginal cancer, vulvar cancer, pelvic pain, progesterone for mood and sleep, cancer prevention, women’s health provider, menopause specialist

08/31/2026

I’m kidding, I love my husband. Most of the time. A good support system is necessary in perimenopause, as long as they don’t chew too loud.

08/29/2026

“It’s just perimenopause” is doing a lot of heavy lifting in gynecology right now.
Adenomyosis is super easy to diagnose and honestly quite common. You might have heavy periods, bad cramps, feeling like there’s a bowling ball in your pelvis. Unlike endometriosis, adeno CAN be seen in scans like MRI and ultrasound (It’s incredibly rare that endo is actually seen on any scans, though it can be possible, just highly unlikely.) But adeno and endo get the same dismissive response from most doctors because painful cramps are just “part of being a woman.”

Even if you’ve had a D&C, or a C-section, or myomectomy, a surgical history isn’t required — plenty of cases show up with no prior surgery at all. Symptom pattern is what should trigger a workup.
Diagnosis means your history, your symptoms, and imaging (ultrasound first, MRI if needed) are looked at together.

There are several options for treatment, birth control and the Mirena IUD can work well for women with adeno, and a full hysterectomy is a permanent cure. And if you’re on hormone therapy and bleeding unexpectedly, that’s not something to wait out either.

We are here when you’re ready to chat — link in bio!


telehealth provider, virginia menopause care, perimenopause, pelvic pain, fibroids, uterine lining, heavy periods, painful cramp relief, endometriosis vs adenomyosis, endo awareness, adeno awareness
Serving: VA, CO, MN, MD, MA, NE, ND, FL, and WV

08/27/2026

Shocking, I know. It’s your body and your health, you *should* do what you think is best for you, I’m not here to tell you what to do.

The peer reviewed studies and thirty or so years of clinical evidence say that hormone therapy works, and works well. Cognitive health, vasomotor symptoms, muscle and bone mass, mood, all good things to show for it. But the decision belongs to you, ideally made with a provider you trust, with all the information on the table and an honest conversation.

What I *am* here to tell you though, is that the fear around hormone therapy came from a study that has since been reanalyzed and corrected. The science evolved but a lot of providers did not. So if you choose not to try HRT, that’s your decision to make and I support you, but please make that choice because it’s right for you, not because someone scared you with data that has been used to fear-monger since 2002.

You deserve accurate information — whether you use it or not is entirely up to you.
If someone has ever told you to stay away from hormone therapy, what was the reason you were given?


HRT, estrogen therapy, testosterone for women, progesterone, studies on hormone therapy, midlife wellness, perimenopause health, virginia healthcare provider, telehealth, menopause practitioner, is hormone therapy safe

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Centreville, VA
20120-20122

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