Comprehensive hormone testing and treatment for thyroid, adrenal, and sex hormone imbalances, for both women and men.
Dr. Collins on bioidentical hormone therapy, one of the most common paths into his practice.
Hormone symptoms, fatigue, mood changes, weight shifts, low libido, sleep disruption, are common, vague, and easy to attribute to something else. A standard annual visit often includes limited hormone testing and limited time to investigate a pattern that unfolds over months or years, which is part of why hormone imbalances go undiagnosed or dismissed as normal aging.
Dr. Drew Collins, ND has spent decades evaluating and treating hormone imbalance in both women and men in Bend, Oregon, using comprehensive testing that looks at estrogen, progesterone, testosterone, thyroid hormones, and cortisol together rather than one value in isolation. That fuller picture is what allows for a treatment plan actually built around your hormone profile, not a guess based on symptoms alone.
Hormone care at Proactive Choice includes bioidentical hormone replacement therapy, thyroid treatment, testosterone replacement for men, and support through perimenopause and menopause, matched to what your testing actually shows.
Estrogen, progesterone, testosterone, thyroid, and cortisol are evaluated together rather than one value at a time.
Hormone imbalance is evaluated and treated across the full range of patients, not just one demographic.
Compounded and bioidentical hormone therapy is available, matched to your specific labs and symptoms.
Testing goes beyond a single annual snapshot to understand your actual hormone pattern over time.
Dr. Collins has evaluated and treated hormone imbalance in Central Oregon patients for more than 40 years.
Hormone treatment is considered alongside your thyroid, adrenal, and overall metabolic health, not in isolation.

A full hormone panel, estrogen, progesterone, testosterone, thyroid, and cortisol, rather than a single limited lab value.

Your results are reviewed alongside your symptom history and timeline, not just compared to a standard reference range.

A plan drawing from bioidentical hormone therapy, thyroid treatment, or other options matched to your specific hormone profile.

Hormone levels are rechecked and your plan adjusted as your body responds and your needs change.
Hormone therapy matched to your body’s own hormone structure.
Testing and treatment for low testosterone in men.
Hormone support through the menopause transition.
Comprehensive hormone care for women.
See how hormone care fits within a broader whole-person approach.
Learn more about Dr. Collins’ background treating hormone imbalance in Central Oregon.
1. How do I know if I need to see a hormone doctor in Bend, Oregon?
Persistent fatigue, mood changes, weight shifts, low libido, sleep disruption, and irregular cycles are common signs worth investigating, especially if a standard annual visit has not turned up an explanation. A single lab value within normal range does not rule out a meaningful hormone imbalance, particularly for hormones like estrogen and progesterone that fluctuate. A comprehensive hormone panel is the most reliable way to know what is actually happening.
A standard primary care visit typically includes limited hormone testing and limited time to investigate a pattern that unfolds over months. Dr. Collins’ hormone evaluations use comprehensive panels, estrogen, progesterone, testosterone, thyroid, and cortisol together, and more time to connect your specific symptom pattern to what the testing shows. That deeper investigation is often what is missing from a routine annual visit.
3. Does Proactive Choice in Bend treat hormone imbalance in men as well as women?
Yes. Dr. Collins evaluates and treats hormone imbalance in both men and women, including testosterone replacement therapy for men and bioidentical hormone therapy, thyroid treatment, and menopause support for women. The comprehensive testing approach applies across the board, not just to one patient population.
4. Is bioidentical hormone therapy available for patients in Central Oregon at Proactive Choice?
Yes, bioidentical hormone replacement therapy is one of the treatment options available, using hormones structurally identical to what your body naturally produces, matched to your specific lab results and symptoms. Whether it is the right option depends on your individual hormone profile and health history. That is determined through a full evaluation before any treatment plan is built.
5. Does Proactive Choice accept insurance for hormone testing and treatment in Bend, Oregon?
No, the practice operates as a self-pay clinic and does not bill insurance directly, though HSA and FSA funds along with credit cards are accepted. This applies to all hormone testing and treatment services. It is worth confirming current pricing directly with the clinic before scheduling.
Licensed naturopathic medicine grounded in root-cause diagnostics.
Systems-based, lab-driven root-cause investigation.
Natural therapies coordinated alongside your existing medical care.
PRP, stem cell therapy, prolotherapy, and other tissue-repair treatments.
A doctor for your whole family — personal, unhurried, and genuinely likeable.
Virtual visits are available for patients who can’t easily make it into the Bend office, in addition to in-person appointments.