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.
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.
Andrea is a women's health nurse practitioner and co-founder of The Gynecology Collective, an independent gynecology clinic in Bend owned by women and LGBTQ+ clinicians. She names perimenopause and menopause among her specialties and offers hormone therapy, non-hormonal options and treatment for vaginal and urinary changes after menopause. New patients start with an hour-long visit in the office, and established patients can follow up by video. Her care is shaped by years spent as an advocate for survivors of sexual and domestic violence, and the whole clinic is run around trauma-informed care. It also offers more pain and anxiety options for exams and procedures than most, from local numbing up to IV sedation, which helps if a biopsy is part of working up bleeding.