Dr. Ward-Selinger runs a small solo micropractice in Bend where visits run long and she handles most questions herself. She prescribes menopause hormone therapy including estrogen, progesterone and testosterone, using both standard pharmacy products and compounded hormones. She also inserts estrogen and testosterone pellets every few months, but only after a full new patient visit. For women who can't take hormones she offers herbal options. She is trained in Holistic Pelvic Care for chronic pelvic pain, removes skin tags and moles in the office, and speaks Spanish. Visits are in person or by video, and new patients can book a free 10 minute phone call first.
Melinda is a nutrition counsellor and cannot prescribe, so this is food and lifestyle support for the menopause transition and not hormone treatment. She mainly works with autistic, ADHD and AuDHD adults, and her approach is weight-inclusive and non-diet. Care begins with an introductory call and an assessment that covers health history, a menopause symptom questionnaire and a look at the supplements you already take. She takes no supplement affiliate or referral money. Sessions are weekly or every other week in downtown Bend or on Zoom, with messaging in between, and she expects to work together for at least five months. She came to this work through her own perimenopause and a late AuDHD diagnosis, and she also works with eating disorders at the outpatient level.
East Cascade Women's Group is a Bend obstetrics and gynecology practice running since 1980, with a second clinic in Redmond and about twenty clinicians on its roster. Its menopausal care page gathers menopause management, hormone replacement therapy, postmenopausal bleeding, atrophic vaginitis, fibroids, urinary incontinence and pelvic relaxation, and says its providers are experienced with the issues around hormone imbalance. Dr. Hulbert went to an osteopathic medical school before a traditional OB/GYN residency, and she says the osteopathic habit of treating a patient as a whole person is what drew her to the work. Her own bio names no clinical interests, so what is known about her hormone and menopause care comes from the practice pages rather than from her. Menopause care is spread across the group rather than run by one person, with three of its physicians, a nurse practitioner and a nurse midwife naming it among their interests. The practice says it is always accepting new patients, and a physician is on call around the clock for urgent problems.
A solo naturopathic practice for midlife women dealing with perimenopause, menopause, fatigue, stress and burnout, which states plainly that it does not provide primary care. Care runs as a sequence of a free 15-minute call, a new patient intake, a second visit where the plan and lab results are reviewed, then at least two follow-ups, after which visits are quarterly or as needed. Treatment combines prescribed thyroid medication and bioidentical hormone therapy, meaning topical estrogen and oral progesterone, with functional and specialty lab testing, herbal medicine and supplementation, gut health work and mindset coaching using breathwork and biofeedback. The practice does not place pellets or prescribe testosterone.
