Magen Price
Magen Price, FNP-BC, MSCP, CSC
Endometriosis Long Term Care Provider
Summary: Magen Price, is a Family Nurse Practitioner and skilled Long-Term Endometriosis Care Provider at Mystic Valley Sexual Wellness in Melrose, Massachusetts. She specializes in individualized, comprehensive care for endometriosis, with particular expertise in hormonal health, menopause, and sexual health. Her approach is evidence-informed and patient-centered, incorporating progestogens and oral contraceptives for endometriosis, as well as individualized hormonal therapy during the menopause transition, including oral micronized progesterone, estradiol, and, when appropriate, testosterone guided by ISSWSH recommendations. Pain management may also include analgesics, vaginal suppositories, and non-pharmacologic modalities.
Magen emphasizes comprehensive support throughout the surgical journey. Before surgery, she focuses on patient education, anticipatory guidance, and ensuring that patients have the appropriate emotional and practical supports in place. When possible, she collaborates closely with surgeons and values established relationships with excision specialists. Following surgery, she takes a hands-on approach to recovery, with particular attention to pain management during the first six months, monitoring for postoperative complications, and supporting patients as they begin pelvic floor physical therapy when appropriate. She also helps manage coexisting conditions, including mast cell activation syndrome and autoimmune disease, which may flare during the postoperative period.
Magen earned her Master of Science in Nursing (MSN) as a Family Nurse Practitioner from Simmons College in Boston in 2013 and her Bachelor of Arts in Biology and Psychology from Boston University in 2009. She is a Certified Family Nurse Practitioner through the American Nurses Credentialing Center (ANCC), a Registered Nurse in Massachusetts, a Menopause Society Certified Practitioner (MSCP), and an AASECT Certified Sex Counselor (CSC) and Approved Continuing Education Provider. Her professional affiliations include the International Society for the Study of Women’s Sexual Health (ISSWSH), where she serves on the Education Committee, as well as AASECT, The Menopause Society, the International Society for Mast Cell Activation Syndromes (ISMCAS), and the American Association of Nurse Practitioners (AANP).
City: Melrose, Massachusetts, USA
Visit types: In-Person and Telehealth
Spoken languages: English
Interpreting services for other languages: No
Philosophy of Endometriosis Care: While we aren’t married to any one theory, the polypotential germ-cell is probably at the forefront of our mind and dictates much of how we approach our patients.
Medication: Our practice is most focused on midlife care (though we have plenty of younger patients as well), so our expertise is really in hormonal treatments. For endometriosis we use progestogens and oral contraceptives, we use oral micronized progesterone, estradiol, and testosterone in the menopause transition (thoughtfully, per ISSWSH guidelines, and depending on the case). We have never needed to prescribe GnRH analogues in our practice. Pain management includes analgesics and vaginal suppositories, as well on non-pharmacologic modalities.
Pre-surgical care plan: Pre-surgery much of our focus is on patient support and anticipatory guidance. We work closely with surgeons (if possible). It is much easier when we have a relationship with their excision specialist. We help ensure supports are in place and all questions are answered.
Post-surgical care plan: Post-surgery we are much more hands-on. We focus on pain management for the first 6 months post-op, help with PFPT support when ready, and monitor for any post-surgical complications. We manage coexisting conditions such as MCAS or autoimmune disease which can flare post-surgery.
Lillian Medhus
Lillian Medhus, DNP, WHNP-BC, CNM, MSCP
Endometriosis Long Term Care Provider
Summary: Lillian Medhus, DNP, a Women’s Health Nurse Practitioner and skilled Long-Term Endometriosis Care Provider at Aspire Women’s Wellness. She specializes in comprehensive management of endometriosis, viewing it as a chronic, systemic neuroinflammatory condition and providing individualized, evidence-based care that addresses the whole person rather than focusing solely on gynecologic symptoms
Her comprehensive approach combines hormonal and non-opioid pain management, lifestyle and dietary interventions, metabolic health optimization, and treatment of coexisting conditions such as pelvic floor dysfunction, adenomyosis, migraines, IBS/IBD, hypermobility, MCAS, and mood disorders. She collaborates closely with surgeons, pelvic floor therapists, mental health providers, dietitians, and other specialists to support patients before and after surgery.
Lillian is a Menopause Society Certified Practitioner and holds certifications as a Certified Nurse Midwife, Women’s Health Nurse Practitioner, Certified Nurse Practitioner, and Registered Nurse. She earned her Doctor of Nursing Practice from Frontier Nursing University and her Master’s degree in Nurse Midwifery and Women’s Health Nurse Practitioner from Georgetown University, complemented by advanced training in trauma counseling.
City: Northfield, Minnesotta, USA
Visit types: In-Person (MN only) and Telehealth (throughout MN, TX, OK, and KS)
Spoken languages: English
Interpreting services for other languages: No
Philosophy of Endometriosis Care: Endometriosis is a chronic, neuroinflammatory condition that affects the entire body. The origin is likely genetic and pathophysiologic in nature, with an increased risk of symptoms in patients with other neuroimmune conditions. Treatment must look at the entire body, not isolated treatment of the gynecologic organs. Interventions to reduce inflammation and improve long-term health, include treatment of insulin resistance, nutrient deficiencies, consideration of the increased cardiovascular risks of endometriosis, and treatment of chronic overlapping pain conditions and central sensitization. Patients achieve the best outcomes with interdisciplinary care among surgeons, pelvic floor therapists, mental health providers, dieticians, long-term care providers, and other complementary therapies.
Medication: Progestogens: Progesterone, Drosperinone, Norethindrone acetate, Medroxyprogesterone. Progestogens are utilized for dysmenorrhea, menorrhagia, or chronic pelvic pain. Type of progestogen is based on patient preference, medication history, and pregnancy plans. I currently practice through telehealth only, however I may encourage a patient with suspected adenomyosis to pursue levonorgestrel IUD with their local GYN provider. Low dose naltrexone is utilized as an off-label option for chronic pain & inflammation. Vaginal suppositories (typically baclofen, with or without diazepam & gabapentin) are utilized for pain flares, sciatic pain, and hypertonic pelvic floor. Tirzepatide is used on-label for patients with insulin resistance, obesity, or metabolic disease. It is used off-label in small doses for inflammation. NSAIDs are utilized for pain. GnRH analogs are only used if the patient comes to our practice stable on them or as a bridge to surgery in very rare cases, and only as a final resort. Duavee/bazedoxifene may be an emerging option for endometriosis and menopause.
Pre-surgical care plan: Patients who are awaiting surgery, or who decline surgery, receive a holistic plan of care. New intake visits include a comprehensive lab panel, looking for any other causes of inflammation, fatigue, bloating, or other chronic symptoms which can be improved. Patients are referred to pelvic floor therapy in most cases, especially if there is evidence of pelvic floor dysfunction. Patients are also offered referral to mental health providers skilled in treatment of chronic disease. Patients are offered treatments including dietary interventions (ie- anti-inflammatory diet patterns & blood sugar management), evidence based supplement regimens, and non-opioid pain relief (including vaginal suppositories & NSAIDS). Collaborative care with the surgeon is utilized to make the decision whether to employ hormonal treatment options, or to defer until after surgery.
All the above is also utilized if a patient comes to me after surgery. Additionally, we will consider the use of hormonal options, most often progestogens. We will tailor treatment to any persistent symptoms, or other chronic overlapping conditions (MCAS, hypermobility, mood disorders, migraines, pelvic floor dysfunction, IBS/IBD, etc).
