
About Ayim Surgical Arts
Dr. Ayim has run her own solo practice in west Houston for more than fifteen years, doing gynecology and cosmetic surgery in the same office. For midlife women she treats perimenopause and menopause with hormone replacement therapy, vaginal estrogen cream, non-hormonal medicines such as SSRIs, and bioidentical hormone pellets as a certified BioTE provider. Hormone care can be paid for visit by visit or taken as a monthly membership, which runs on a twelve month commitment and covers pellet insertions plus one lab panel a year. She also performs laparoscopic gynecologic surgery, so a patient who needs a hysterectomy or fibroid removal can stay with her. Her own bio puts nutrition and fitness at the center of how she works, and the office keeps an interactive screen in every exam room for patients to use during a visit. New patient forms are posted online to print and bring to the first visit.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Vaginal estrogen
- Testosterone
- Non-hormonal medication
- Hormone pellets
- Weight medication
- Gyn procedures
- Supplements & lifestyle
- Lab testing
Particular focus
- Bladder & UTIs
- Weight & metabolism
- Hair & skin
Cost and insurance
Insurance
Private insurance — plans not listed, ask about yours
Self-pay
- Gynecology & Midlife Wellness Membership
- $350 per month
- Hormone Pellet Therapy Membership · includes medication
- $149 per month
- Polished Female Hormone Membership · includes medication
- $259 per month
Commercial insurance is billed only for non-cosmetic services, cosmetic services are cash or card, CareCredit financing is offered, and payment is due before service.
Verified October 2026. Coverage depends on your plan — confirm with your insurer before your visit.
Qualifications
MD
