Kylie Sayce Endorsed Nurse Practitioner
Women's Sexual & Reproductive Health
You've been treated.
It came back.
Again.
For women with recurrent BV, thrush, UTIs and GSM whose symptoms keep returning despite treatment.
Telehealth consultations across Australia — understanding why it keeps happening, not just managing each episode.
Medicare Rebates available for eligible patients.
30+
Years Clinical Experience
30,000+
Telehealth Consultations
Australia-Wide
Telehealth Available
Medicare Rebates
Available for Eligible Patients
Endorsed NP
AHPRA Registered
When standard care isn’t enough
A different kind
of consultation
Many women experience symptoms that improve with treatment, only to return weeks or months later. If this is your pattern, treating each episode isn't enough.
Consultations are focused on understanding why symptoms keep recurring — looking at the vaginal microbiome, hormonal influences, triggers and contributing factors that a brief appointment often can't explore.
The goal is a clear, individualised management plan
— not just another prescription.
"Most appointments treat today's episode. Mine focus on why it keeps happening."— Kylie Sayce NP
What every Consultation covers
An in-depth approach for Women whose symptoms keep returning despite standard treatment
Looking beyond the episode
Each consultation explores the factors behind recurring symptoms, vaginal microbiome health, hormonal influences, triggers and past treatments — not just what's happening today.
Patterns over time
Symptoms are assessed in the context of your history; how often they occur, what triggers them, and what hasn't worked, building a clearer picture than a brief appointment allows.
Secure Telehealth Care
Consultations are conducted via confidential telehealth from anywhere in Australia. Medicare rebates available for eligible patients.
Conditions
I Work With
In-depth care for women whose symptoms keep returning despite standard treatment.
Bacterial Vaginosis (BV)
If BV keeps returning after treatment, there is usually an underlying reason. Understanding the pattern is the starting point.
Recurrent Thrush
Symptoms improve, then return — often within weeks. If this cycle is familiar, treating each episode isn't enough.
Recurrent UTIs
Frequent infections despite antibiotic treatment may have a driver that hasn't been identified — hormonal, microbiome or structural.
GSM
Genitourinary Syndrome of Menopause Vaginal dryness, discomfort and recurrent UTIs in perimenopausal and menopausal women often point to GSM — underdiagnosed and treatable.
Learn More →
Aerobic Vaginitis (AV)
Often mistaken for BV or thrush, aerobic vaginitis is a distinct condition that requires a different approach and is frequently missed.
Learn More →
Abnormal Vaginal Discharge
Abnormal discharge can indicate a range of conditions. Understanding the pattern — colour, consistency, timing & testing — is key to finding the right answer.
Telehealth consultations available Australia-wide with Nurse Practitioner Kylie Sayce
Meet
Kylie Sayce,
Nurse Practitioner
Kylie Sayce is an Endorsed Nurse Practitioner, a registered clinician with independent prescribing authority — with a clinical focus on recurrent vaginal symptoms, sexual and reproductive health and the vaginal microbiome.
Over 30+ years of clinical experience and advanced training in vaginal microbiome science and women's sexual and reproductive health. With more than 30,000 telehealth consultations, she brings a depth of experience to conditions that are frequently undertreated or poorly understood in standard care settings.
Her approach combines conventional diagnosis and prescribing with evidence-informed microbiome restoration strategies — developing an individualised management plan focused on long-term improvement, not just the current episode.
What to expect in your Consultation
Consultations are designed for women whose symptoms haven't fully resolved with standard care — allowing more time and depth than a brief appointment.
Some presentations require physical examination or investigations that cannot be appropriately assessed via telehealth including gynaecological examination, in-person pelvic assessment or specialist review. Where this is indicated, I will recommend appropriate face-to-face care or referral.
Your symptom history and recurrence patterns
Hormonal influences including contraception, menstrual cycle and menopause.
Microbiome health and factors that disrupt vaginal balance.
Lifestyle, medications and past treatments
Risk factors for recurrent thrush, bacterial vaginosis, UTIs & STIs.
TRANSPARENT PRICING
Consultation Fees
All consultations via secure telehealth — video or phone. No referral required.
Standard Consult
20+ minutes | $90 | Medicare rebate ~$52.55
Best for follow-up or straightforward concerns.
Long Consult
40+ minutes | $160 | Medicare rebate ~$77.55
Best for complex concerns or detailed history.
No referral required to book. Medicare rebates are available to eligible patients under the Telehealth sexual and reproductive health exemption criteria.
Eligibility is determined at the time of consultation. Consultations are not bulk billed. Out-of-pocket figures are indicative and subject to change.
Cytolytic Vaginosis: Why Your Recurring Thrush Might Not Be Thrush At All
Thrush-like symptoms but Candida tests are negative? Learn about cytolytic vaginosis, Lactobacillus, vaginal pH and why accurate diagnosis matters. ...more
Recurrent Symptoms ,Vaginal Microbiome &Conditions & Diagnosis
September 09, 2026•13 min read
Why Do I Keep Getting BV After Sex?
If bacterial vaginosis keeps returning after sex, you are not alone. Learn why sexual activity can influence the vaginal microbiome and what current Australian guidelines recommend. ...more
Recurrent Symptoms ,Conditions & Diagnosis
September 08, 2026•7 min read
Perimenopause and Your Intimate Microbiome
Hormonal changes in perimenopause disrupt your vaginal microbiome — triggering recurrent infections and intimate symptoms. Find out why and what helps. ...more
Vaginal Microbiome ,Hormones & Life Changes
August 07, 2026•12 min read
For enquiries or to book a consultation, feel free to get in touch.
Confidential, Telehealth consultations focused on recurring vaginal health concerns — private, accessible, and designed for a more comprehensive approach.
Email us: [email protected]
Kylie Sayce NP also consults on ABBY health for general sexual/reproductive health consults
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