Services
Some of the services we offer include:
Management of menopause symptoms - Dr Kling is the only board certified OBGYN
doctor in the area who is also a Menopause Society Certified Provider
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
Completed additional education, training, and testing through the Menopause Society (formerly the North American Menopause Society) to become a Menopause Society Certified Provider
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 for the proper amount of time. Now that we have a scheduling service, you do not have to give them a lot of additional details when you call. If you would like to speak to Nicole prior to your visit to let us know more about your history, the schedlers can reach out to her to give you a call back, you can call us back and choose prompt 2, or you can e-mail us. 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 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, and to send you links for pre-appointment forms.
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 to prompt 2, as well as all texts and emails will be addressed by Nicole. Our billing service, CleanClaim, is now doing our general scheduling. When you call to get scheduled, choose prompt 1 to be connected with them. They can also answer any billing questions you have. We do not have any other staff that interacts with our patients. If it is not Nicole or CleanClaim, it will be Dr Kling herself.
If you come into the Fenton Family Medicine waiting room before your appointment, just text 810-869-6086 from there - the front desk check-in staff are for the FFM doctors and therefore cannot check you in for us.
What can I expect at my visit?
You should get a text from us confirming your appointment date and time, and a seperate text with a link to complete new patient paperwork. If you do not get these at least a couple of days before your appointment, please text us to let us know and we will get them to you so you have ample time to complete paperwork.
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. Please text us to let us know you have arrived. When we are ready for you, Nicole 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 to our exam room. Nicole will review the reason for your visit, confirm medications and some pertinent past medical history, and clarify with follow-up questions. She will then leave for the duration of our discussion together. You will then have your visit with Dr Kling - she may write down some notes, but most of her time with you will be focused directly on you. We have a comfortable chair for you to use during the talking portion of your visit. It 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. We also have a poster and visual aid materials we can use to help you understand conditions we discuss during your visit.
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, after talking with Dr Kling, she will leave the room so you can undress in private. 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.