Caledonia Buckheit, MD

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

09/30/2026

1. Estradiol patch + nighty oral micronized progesterone — far and away my most commonly prescribed regimen. Won’t suppress ovulation, low dose background bioidentical hormones.

2. Estradiol patch + cyclic progesterone — force a regular cycle, luteal progesterone whether ovulation occurs or not.

3. Slynd + estradiol patch — contraception, endometrial protection, estrogen for symptom management.

4. Estradiol gel + Mirena IUD — adhesive sensitivity? No problem, gel or spray options can be great, no increased blood clot risk just like patch. Mirena for endometrial protection, contraception and period control.

09/23/2026

September is 💚

I am very NICU aware.. my daughter spent 103 DAYS in the NICU and it was a RIDE. So grateful for the angels that staff NICUs all over the world. They deserve all the praise!!

09/16/2026

We should care about heavy periods because they lead to iron deficiency. Iron deficiency leads to iron deficiency anemia. Iron deficiency anemia impacts every organ system within the human body. This means your heart health, your brain health, your immune system function, your reproductive health. All of these things are impacted if you have iron deficiency anemia. Because heavy menstrual bleeding is often underreported, under addressed, and generally accepted by society is OK, that means that about 20% of women are walking around losing more blood than their body can reasonably replace. That means that women are not functioning at their best, and we should really not be accepting this as normal or OK.
Xoxo thanks for coming to my TED talk 🤍

1. Induction is recommended in the 41st week of unless delivery is medically indicated prior 2. 39 week (and 40 week) ...
09/15/2026

1. Induction is recommended in the 41st week of unless delivery is medically indicated prior
2. 39 week (and 40 week) elective inductions are safe, and for some populations are risk reducing
3. If an is recommended to you by your obstetrics team, it’s because ongoing pregnancy is considered riskier than delivery at that gestational age
4. There are multiple ways to induce , and the methods used depend on your starting cervical exam, prior obstetric history, clinician training, and hospital policies
5. Foley balloons sound scarier than they are, and they are not inflated inside the cervical canal, but above it
6. is not the enemy, it’s a safe medication with a short half life that can be carefully titrated
7. Breaking water is the most important step in an induction (and for augmentation of labor), don’t delay this step if your OB or midwife is recommending it
8. Inductions are ditterent than natural labor, not better or worse

1. You might deliver on time, early, or “late”2. Labor may come on its own, or you might need an induction3. Your baby w...
09/12/2026

1. You might deliver on time, early, or “late”
2. Labor may come on its own, or you might need an induction
3. Your baby will likely be head down, but it’s not guaranteed
4. You could need operative assistance or a C-section to deliver your baby
5. You may have a perineal tear, sometimes these are severe or take a long time to recover from
6. Labor could take days, or may happen really fast
7. Pain management could look a lot of different ways, depending on you, your labor and your baby
8. Picking the medical team and support people that will help you feel comfortable navigating any of 1-7? Key.

Having a baby is really “choose your own adventure,” but it’s usually not us doing the choosing — it’s nature, your baby, and luck of the draw.

Talk to your obstetrics team, your friends, your family. Learn about different birth outcomes, not just your ideal birth. Listen to all the stories, ask questions, discuss “what if” scenarios.

Labor & delivery is a JOURNEY. Choose your obstetrics team, place of delivery, and support people so that you feel comfortable and safe while you navigate this next adventure.



Kamm McKenzie OBGYN

09/12/2026

One of the most fulfilling parts of my job is helping women manage heavy bleeding with surgery. Be it a hysteroscopic procedure removing a polyp or fibroid, an endometrial ablation, myomectomy, or a hysterectomy—going into the OR knowing that my surgical skills will help someone suffer less? Such a good day.

Medications and lifestyle modifications have their place, don’t get me wrong. But surgery can be the answer in certain situations. I am so grateful for my training and the privilege to get to care for women in this way!

09/10/2026

We’re ‘s biggest fangirls — why? Bc it literally prevents cervical cancer. Recommended for everyone 9-26 and with shared decision making for those 27-45. Over 45? Depending on your risk factors, you might still be a candidate. Talk to your primary care doctor or OBGYN about the Gardasil-9 vaccine! It’s a game changer.

09/10/2026

Great question about ablations!

09/04/2026

Bilateral salpingectomy is a great contraceptive option for those who are done childbearing, or who never want to have kids! Also bonus, it reduces lifetime risk of ovarian cancer by >50%.
Hysterectomy can be definitive management when you have periods or bulk symptoms that negatively impact your quality of life—there are less invasive options, but when these fail or aren’t right for you, surgery can be your girl.

09/04/2026

Spoiler alert, I like to think of cervical cancer like a sexually transmitted disease and Nicole thinks that’s shaming 😅 What do you think!?

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Raleigh, NC
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