39 practitioners have an office in Maine, and 63 more can see patients here by telehealth. 68 of them are certified by the Menopause Society, and the most are in Portland, Scarborough and Freeport.
Lori Pigeon runs this small Canton practice for women and men in midlife, after nearly 30 years as a nurse practitioner in traditional medicine. She started it after her own late 40s, when the avid cyclist who rode 100 miles at a time found her energy gone and struggled to get answers. Every new patient starts with a long consult, and she recommends the simplest level of care that fits, from a hormone plan on its own up to a coached program. She prescribes bioidentical estrogen and progesterone and considers testosterone for some women, mainly for low desire. Weight loss with GLP-1 medication is a big part of the practice, and she is openly skeptical of peptides and supplement hype. Visits are in person or by video, including for patients in Maine, and new patients currently join a waitlist.
Dr. Wax is a family physician who runs a small direct primary care practice in York with a nurse practitioner who is also Menopause Society certified. Menopause care works as its own program, so you do not need to join the primary care practice to get it. It starts with a long first visit covering your symptoms, history and goals, and you leave with a plan for hormone or non-hormone treatment. The next six months are a membership with three follow-up visits, labs and unlimited messaging while the dose gets adjusted. After that you can stay on a lighter maintenance plan or be handed back to your own doctor or gynecologist with a written summary. Patients reach the team by text rather than through a phone tree.
She is one of about fifteen clinicians at MaineHealth's Congress Street office in Portland, a hospital department that also houses maternal fetal medicine and used to be called MMP Women's Health. She sees patients at MaineHealth's Bramhall Street OB/GYN clinic on the same Portland campus as well. MaineHealth lists perimenopause and menopause treatment among the gynecology care these offices provide, so a menopause visit here sits inside general OB/GYN care rather than a separate menopause program. She finished her residency at Maine Medical Center and then went back for a public health degree at Harvard, and she now also covers MaineHealth's Pen Bay and Waldo hospitals up the coast. Visits are arranged by calling the office on weekdays, and MaineHealth patients use the MyChart portal for messages and bills. MaineHealth publishes no bio for her and says nothing about how she uses hormones, so her own approach is not described on the site.
Luke Roberts is an obstetrician and gynecologist in the MaineHealth group, which runs offices across Maine. He sees patients at the group's Portland office on Bramhall Street, listed as his primary office, and at its Scarborough office. The practice covers routine gynecology exams, preventive screening, birth control and sexual health, pregnancy and birth, and menopause and healthy aging. MaineHealth's menopause pages name both of the offices he works from and describe care for hot flashes, sleep trouble, mood changes and vaginal dryness. For hormone therapy the group describes estrogen, progesterone or a combination, weighs the risks with each patient, and advises the lowest effective dose. Bone loss after menopause is treated as part of the same care, and visits, messages and test results run through the MyChart patient portal.
