Caledonia Buckheit, MD

Caledonia Buckheit, MD Understand your pregnancy and gynecologic health. Evidence based information from an OBGYN and mom.

01/04/2026

What happens to eggs if you don’t have tubes anymore!? Well, what happens to most eggs most of the time anyways..

01/04/2026

Cold & flu season, but make it evidence-based ✨🦠

If you’re asking what actually has data:
💊 Zinc + vitamin D → best evidence for shorter/less severe illness
🫖 Green tea + probiotics → supportive data, low risk, easy adds

No miracle cures. Just practical science from your friendly OB-GYN 🤍

01/03/2026

Ready to stop pumping? Here’s what you need to do. I pumped for 11 months with my first child and 15 months with my second — so I know it’s a journey. Once you’re ready to be done, you’re really ready! But, you cannot just stop abruptly.

Weaning slowly is the way to go. A good approach is reducing the duration of each pumping session slowly over several days, then eliminating a session with lower production. Continue this kind of pattern over days to weeks, until you are DONE. This approach reduces the risk of clogged milk ducts and mastitis.

Good luck! Always feel free to touch base with your OBGYN or lactation consultant about your weaning plan.

01/03/2026

Trying to conceive (TTC) isn’t about guessing—it’s about understanding your cycle 🤍

Knowing when you ovulate, how long your luteal phase is, and what’s normal for your body can take so much stress (and mystery) out of TTC. Cycle tracking helps you:
✨ Time in*******se more effectively
✨ Spot ovulation patterns (or lack of them)
✨ Identify when it might be time to ask for help

Whether you’re using an app, OPKs, basal body temp, cervical mucus, or all of the above—information is power. Your cycle is data, not a test you can fail.

If TTC feels overwhelming, you’re not doing it wrong—you just might need better tools or support 💛

12/16/2025

What are the options for progesterone for !? Well, these are my favorites:

1. Oral micronized progesterone (either continuous or cyclic), good for those who don’t need reliable
2. Mirena/liletta IUD, set it and forget it method, great period and birth control
3. Slynd! Progesterone only pill, use along with estrogen product for relief of symptoms AND good contraception

11/23/2025

Combined hormonal birth control pills 💊 can sometimes manage perimenopause symptoms 🔥, but not always. This is because sometimes the estrogen progesterone regimen in the birth control pill isn’t fully suppressing your ovary’s natural production of these hormones 🌞, and so as your ovarian egg reserve goes down, you start to develop symptoms despite being on the pill 🏥.
Another possibility is that the pill works well for part of the month but then when you go to have your hormone free interval and a withdrawal bleed 🩸, you develop significant symptoms of perimenopause. There are a few options of how to manage this, including adjusting your birth control pill regimen in someway, or switching to an alternative hormone management strategy 🌸 during the perimenopause years.

11/18/2025

So you’re in perimenopause and we’re thinking about treating with hormone therapy, but:

1. What do we do about the periods?
2. How do we prevent pregnancy?

A good perimenopause hormone therapy plan must manage periods and ensure reliable contraception—if pregnancy is a risk.

If pregnancy is a possibility, a progesterone-containing IUD (Mirena or Liletta are best) plus systemic estrogen is an excellent solution. The IUD keeps the uterine lining thin—meaning light or absent periods—while estrogen manages symptoms. Another strategy is Slynd (a progesterone-only pill) taken daily, plus an estrogen product. And of course, combined hormonal birth control pills can provide both reliable contraception and stable daily hormones to keep the perimenopause chaos in check.

11/18/2025

So you’re in perimenopause and we want to treat you with hormone therapy, but:

1. What do we do about the periods?
2. How do we prevent pregnancy?

A good perimenopause hormone therapy plan must manage periods and ensure reliable contraception—if pregnancy is a risk.

If pregnancy isn’t a concern—because you’re not s*xually active, have permanent sterilization, or don’t have a uterus—the focus is on estrogen replacement and cycle regulation.

In these cases, a continuous estrogen product (pill, patch, gel) plus cyclic oral progesterone (if needed) can work very well. The estrogen helps symptoms, and the cyclic progesterone forces a predictable withdrawal bleed, whether or not you ovulate. Daily progesterone with continuous estrogen is another option, though breakthrough bleeding can be more common.

Blog coming to the .mckenzie.obgyn website soon. Check out the highlights here! Written by Caledonia Buckheit, MD — Meno...
11/17/2025

Blog coming to the .mckenzie.obgyn website soon. Check out the highlights here!

Written by Caledonia Buckheit, MD — Menopause Society Certified Provider .mckenzie.obgyn 👩‍⚕️

11/16/2025

Part 2!

For years, the black box warning on vaginal estrogen products has created unnecessary fear and confusion, even though vaginal estrogen:
✨ uses low, localized doses
✨ does not meaningfully raise estrogen levels in the bloodstream
✨ is considered safe even for many people who cannot use systemic hormone therapy
✨ effectively treats dryness, painful s*x, recurrent UTIs, and vulvovaginal atrophy

The data for local estrogen therapy has been solid for a long time. The black box never matched the actual evidence — and its removal is a big win for women’s health and for evidence-based care 💪🏼

If vaginal dryness, discomfort, or recurrent infections are impacting your quality of life, know that you have safe and effective options. 💛

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