Melissa Lopez runs Montana Hormone Clinic in Billings on her own, treating women in perimenopause and menopause along with some men. Care starts with a short visit for fasting labs and a body composition scan, followed a week later by a 90-minute visit to build the plan. Most patients then follow a six-month program with check-ins about every six weeks before moving to a maintenance membership. She uses adjustable bioidentical estrogen, progesterone and testosterone, sometimes adds thyroid support, and does not use pellets. She also treats surgical menopause, premature ovarian insufficiency and women with a history of breast cancer. She has been through menopause herself and worked in labor and delivery before focusing on midlife hormones.
Dr. Connor is a gynecologic oncologist at the Intermountain Health West End Clinic in Billings, and most of her clinical work is preventing, diagnosing and treating ovarian, uterine, cervical, vaginal and vulvar cancers. Her Intermountain profile is the only one in her department that mentions menopause, and it says her Menopause Society certification recognises her knowledge of managing menopausal health with hormonal and non-hormonal options. She moved to Montana so women in the region would not have to leave the state for gynecologic oncology care. She travels to outreach clinics in Missoula, Butte, Helena, Sidney and Bozeman, and to Cody in Wyoming, so patients in small towns do not have to drive to Billings. New patients start by calling the clinic, because her profile offers no online booking and no video visit.
Hyman is a gynecologist who sees patients at Billings Clinic in Billings and at Barrett Hospital in Dillon. Her stated focus is chronic pelvic pain, painful periods and pain with intercourse, and she lists menopause and perimenopause care with hormone replacement therapy among the gynecologic services she provides. For pain she uses trigger point injections of the abdominal wall and pelvic floor, nerve blocks and medication, and she refers to pelvic floor physical therapy and pain clinics when that helps. She tells patients an exam can be useful but that how much of one happens is in their control. Before Montana she taught laparoscopic surgery to physicians in Guyana and then worked as a locums doctor in small towns, which is what turned her toward rural care. Her own website is still mostly a newsletter signup while she builds an independent practice.
