Nicole Nisly, MD
Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning Clinic
The Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning (LGBTQ) Clinic is staffed by two primary care physicians, Nicole Nisly, MD (Internal Medicine) and Katie Imborek, MD (Family Medicine). We focus on comprehensive primary care for adult and child (over 10) LGBTQ patients delivered by providers and staff with expertise in the needs of the lesbian, gay, bisexual, transgender, and queer communities. Every member of our staff has undergone training through the Safe Zone Project to ensure an environment that is welcoming and affirming for all our patients.
Routine physical exams and wellness
Chronic disease management, including anxiety and depression
Same-day urgent care visits
Gynecological services, including breast and pelvic exams, menopause care, and obstetric care
Sexually transmitted infection (STI) testing and treatment
Post-surgical care for those who have undergone gender affirming surgery
I drive two hours each way to see Dr. Nisly about once a year for FTM hormone monitoring (testosterone). The main downside with Dr. Nisly is lack of availability -- last year I tried to schedule my regular annual appointment for March and the next availability was in July! So, it may be a long wait. This is probably just because there are so few providers in Iowa offering this kind of service.
The LGBTQ clinic operates only Tuesday evening, as far as I can tell. The evening appointments are good with the long drive. The intake questionnaire has gotten better over the years -- back in 2012 it asked me for my gender, so I clicked "male" and answered a bunch of questions about my nonexistent prostate. Now, they seem to just give the same basic health questionnaire to everyone. UIHealthcare have an online system where you can see test results and appointments and send and receive messages -- it's usually an easier way to communicate with Dr. Nisly than trying to call on the phone.
The nurse is nice and respectful but slow dealing with the computer system, it can take awhile to get all my medications entered in (I have other health issues not related to being trans). Sometimes they seem to forget they're not my primary / only doctor. Dr. Nisly is good about sending blood test requests to where I can get them done less expensively, but I've never gotten them to send records back to my actual primary care. I usually have to bring those myself.
I was already on hormones and significantly masculinized by the time I started going to Dr. Nisly so I don't know what it's like getting started on hormones there. Dr. Nisly seems excited about expanding the range of services available at UIHealthcare, including surgical ones.
Ok so this doctors office is fantastic about using the right pronouns and name etc. They use tablets in replace for any forms so that is really cool too. Dr. Nisly is a great person who is very knowledgeable about the lbgt things and she is involved in a few support groups in the area. She starts the appointment with getting to know the right pronouns etc which is nice.