601 NW Harmon Blvd #10, Bend, OR 97703
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Bio-Identical Hormone Replacement in Bend, OR

Hot flashes, broken sleep, low drive and a mood that doesn’t feel like yours can all come from shifting hormones. Menopause and andropause are the usual reasons, and stress makes both worse.
Proactive Choice offers bioidentical hormone replacement therapy (BHRT) in Bend for women and men whose symptoms and lab results point to a hormone imbalance. Dr. Drew Collins, ND tests first, prescribes only if the numbers and symptoms line up, and rechecks your levels during treatment.

Updated September 15, 2026. Care provided by Dr. Drew Collins, ND, Oregon naturopathic license 1332.

What is bioidentical hormone replacement therapy?

Bioidentical hormones have the same chemical structure as the hormones your body makes. Some are FDA-approved prescription products. Others are mixed to order by a compounding pharmacy, and those are not FDA-approved.

These hormones—such as estrogen, progesterone, testosterone, and sometimes DHEA or thyroid hormones—can be delivered through creams, pellets, patches, or gels depending on your needs and preferences.

Men whose lab results point specifically to low testosterone can read more about testosterone replacement therapy in Bend.

At Proactive Choice, we personalize every BHRT plan based on advanced hormone testing, lifestyle assessment, and your specific symptoms. No two people are alike—your hormone therapy shouldn’t be either.

Who Can Benefit from BHRT

Bio-Identical Hormone Replacement Therapy can help both men and women in Bend, Oregon, who are experiencing:
  • Menopause or perimenopause symptoms (hot flashes, mood swings, poor sleep)

  • Andropause or low testosterone in men (low energy, decreased libido, weight gain)

  • Fatigue, brain fog, or mood changes due to a hormonal imbalance

  • Postpartum hormone depletion or thyroid changes

  • Difficulty maintaining muscle mass, bone strength, or a healthy weight

If you’re feeling “off” but can’t pinpoint why, a simple hormone evaluation at Proactive Choice could uncover the cause—and guide you toward real relief.

Benefits of BHRT

Patients who undergo Bio-Identical Hormone Replacement Therapy in Bend, Oregon, often notice

Improved Mood & Emotional Stability

Balanced hormones can reduce irritability, anxiety, and depression while boosting mental clarity.

Better Sleep & Energy Levels

Rebalanced hormones help regulate circadian rhythms, improve rest, and restore daytime vitality.

Enhanced Sexual Wellness

BHRT may increase libido, ease vaginal dryness, and support reproductive and urinary comfort.

Healthy Weight, Skin & Hair

Proper hormone balance supports metabolism, collagen production, and youthful skin texture.

Bone health support

Estrogen and testosterone both play a part in keeping bones strong.

Why Choose Proactive Choice in Bend, Oregon

Dr. Drew Collins and the Proactive Choice team take an integrative approach to BHRT—combining the precision of laboratory diagnostics with naturopathic care principles.

Our process includes:

  • Comprehensive hormone and metabolic testing

  • Review of lifestyle, stress, sleep, and nutrition patterns

  • Individualized dosing and delivery methods

  • Ongoing monitoring and adjustments for safety and effectiveness

  • Integration with other natural therapies for full-body balance

 

This ensures your treatment is safe, targeted, and designed for long-term wellness—not just temporary symptom relief.
Dr. Drew Collins smiling outdoors

Is BHRT safe? Risks and who should avoid it

It depends on your health history and on which product you use. Cleveland Clinic points out that FDA-approved bioidentical hormones have been tested for safety, while compounded bioidentical hormones are not FDA-approved and haven’t been tested for safety or effectiveness. Pharmacies that compound hormones also don’t have to report side effects to the FDA.

Hormone therapy has been linked to blood clots, stroke and gallbladder disease, and the risk of heart disease and breast cancer may go up with age or long-term use. It may not be safe if you have a history of, or a high risk for, blood clotting disorders, heart disease, breast cancer or stroke.

Common side effects include breast tenderness, bloating, headaches, spotting and mood swings. Dr. Collins goes through these before you start, and your hormone levels are tracked during treatment so the dose can be adjusted.

Worth reading next: bioidentical versus synthetic hormones, which hormone tests actually matter, and menopause care in Bend.

About Dr. Drew Collins, ND

Education

Doctor of Naturopathic Medicine, Bastyr University, 1984. B.S. in biology and comparative religion, University of Oregon, 1979.

Licensure

Licensed naturopathic physician in Oregon (license 1332), and also licensed in California and Arizona. NPI 1649432709.

Teaching

Founding clinical director and professor. Adjunct faculty at Bastyr University and Southwest College of Naturopathic Medicine.

Recognition

Arizona Naturopathic Physician of the Year, 1992.

Memberships

American Association of Naturopathic Physicians (AANP), AzNMA and the American Academy of Ozone Therapy.

In practice since 1984

More than 40 years of seeing patients as a naturopathic physician.

You can check these yourself. Look up his Oregon license through the Oregon Board of Naturopathic Medicine licensee lookup, or search NPI 1649432709 in the federal NPI registry. One note on wording: naturopathic physicians are licensed after passing the NPLEX board exams. That is a license, not a specialty board certification, and we would rather be exact about it.

Frequently Asked Questions

Ans. Most patients begin noticing improvements in energy, sleep, and mood within a few weeks. Full balance may take a few months as your body adjusts.
Yes, for men whose labs confirm low testosterone. For men, BHRT usually means testosterone replacement therapy. Our TRT page explains how men are tested, who shouldn't start, and how treatment is monitored.
Ans. Not necessarily. Some patients use BHRT as a long-term wellness strategy, while others taper off once balance and lifestyle improvements are achieved.

For a longer walk-through of the process, see what bioidentical hormone therapy involves in Bend, or read about working with a hormone doctor in Bend.

Experience a Natural Approach to Hormone Balance

Your hormones influence everything—from your mood to your metabolism. At Proactive Choice in Bend, Oregon, we help you restore that balance naturally and safely, so you can feel your best again. ​
Your wellness journey begins with a FREE 10-minute consultation: ​
Call (858) 333-5196 today and discover if Bio-Identical Hormone Replacement Therapy is right for you.
Reignite your vitality. Reconnect with yourself. Choose Proactive Choice—where natural healing meets advanced science.

Book an Appointment

Complete the form below to request an appointment with Dr. Drew Collins. You can also call the clinic at (858) 333-5196.