About Jervis Bay Health Choices

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 Jo Marjoram, endorsed Nurse Practitioner and clinic owner, brings 30 years of experience in nursing, midwifery, and clinical research to the beautiful coastal area of Shoalhaven on the south coast of NSW. 

Jo has worked in medical practices for the last decade of her nursing career, gaining a Masters of Nurse Practitioner in 2022 (subject speciality - primary health care). Jo has seen first-hand some of the challenges in Women's health as a midwife, researcher (clinical lead in a study that supported the implementation of the self-screening CST program in Australia), working with First Nations Women and more recently the challenges some women are experiencing gaining access to individualised, evidence based menopause and peri-menopause treatments. 

As a prescriber, Jo sees the importance of the use of lowest effective doses of medications, but supports the use of lifestyle modifications and health prevention strategies to reduce the risk of developing chronic disease such as diabetes. This supports her interest in monitored de-prescribing of medications or reducing doses where possible (with discussion with the original prescribing clinician).

Jo is also trained in contraception counselling and cervical screening, including implanon insertions (not IUD's) and will offer appropriate sexual health screening.

Endorsed Nurse Practitioner MA (NP), RN, RM 

AHPRA: NMW0001315183 ABN: 21177845442 

Australasian Menopause Society Member - 13248

Director and Owner Jervis Bay Health Choices

Appointments are generally privately billed or bulk billed for *some concession card holders and under 18 years of age. There is a gap payment after medicare claiming is processed (instant refunds). 

We are a card payment only service, no cash payments. 

Please email for more information on cost specific to your circumstances.

Services include Menopause & Peri Menopause treatment options and support, lifestyle modifications for improved health, bones, weight management, & chronic disease prevention, Smoking cessation, Contraception options, de-prescribing (reducing or stopping) medication.

* at the discretion of the NP

Here's an example of what might happen at an initial Peri/Menopause appointment-

- On arrival, complete a menopause/peri questionaire, and we will look at the answers together

- Be given an opportunity to tell your story, be heard and validated

- Be asked about your hormone history

- Be asked about your medical history and family history

- Have your screening history discussed and you will be provided  with options for any overdue checks such as a cervical screening test.

- Your lifestyle, diet, exercise, sleep, stress, social connections will be assessed and advice provided.

- Look at your risk factors for developing chronic disease and you will be given support to reduce these risks.

- You may be offered some pathology tests to complete to check certain levels (iron/vitamins/thyroid etc) or rule out other causes of your symptoms.

- Be given information, education, and most importantly CHOICES around menopause hormone treatments (considering benefits and risks) which may suit you best.

- Often start these treatments immediately.

- You will be offered a follow up appointment (or you can see your preferred, trusted health professional) to check on the effectiveness of any treatments and lifestyle changes.

- Be provided with resources and a summary of our discussion