
What is Menopause?
Menopause is a natural, pivotal stage in a woman's life, most commonly occurring between the ages of 45 and 55. It marks the conclusion of the reproductive years, brought on by a gradual decline in ovarian function and a decrease in estrogen levels. While menopause signals the end of menstrual cycles and fertility, it also ushers in new possibilities for personal growth and emotional well-being.
Understanding menopause as an ongoing journey empowers women to approach this transition with greater awareness and a more optimistic outlook. The process often begins with perimenopause—a period marked by changes in menstrual patterns that may last for several years. During perimenopause, women might notice irregular periods along with a variety of physical and emotional symptoms. Thankfully, there are both hormonal and non-hormonal treatment options available to help manage the challenges that can arise during this time.
Hot Flushes and Night
Sweats
Experience sudden waves of heat in the face, neck, or chest, often with skin flushing, sweating, heart palpitations, and a sense of discomfort that can last for several minutes.
Changes in Menstrual Cycle
Menstrual cycles may become irregular and unpredictable before periods eventually stop altogether.
Vaginal Dryness and Discomfort
You may notice increased dryness, pain during intercourse, or even symptoms like urinary incontinence.
Mood and Sleep Disturbances
Menopause can bring challenges such as trouble sleeping (including insomnia), as well as mood swings, increased anxiety, or feelings of depression.
Common Signs

Specialized Support for Women
If you’re facing symptoms such as hot flashes, memory changes, fatigue, or emotional fluctuations after menopause, Bio-Identical Hormone Replacement Therapy (BHRT) could offer relief. Dr. Collins takes a holistic approach, combining BHRT with personalized counseling and encouraging the involvement of supportive family members and mentors to help you navigate this transition. He also stresses the importance of both partners understanding the natural changes that occur during menopause, fostering empathy and connection throughout this stage of life.
Treatment
Dr. Collins takes a holistic approach to menopause care, blending counseling and individualized recommendations to support your well-being. His comprehensive method includes

Integrating movement and exercise routines that fit seamlessly into your daily life.

Recommending tailored dietary adjustments

Utilizing herbal remedies, homeopathic solutions, and bio-identical hormone therapy as needed.
This personalized strategy ensures that every aspect of your health is addressed throughout your menopause journey.

Procedure
Dr. Collins advocates for a comprehensive approach to women's health, beginning with a baseline Digital Mammogram, an internal Gynecologic exam, and a detailed review of the patient's sexual, gynecologic, and obstetrical history. Appropriate blood tests, including Leutrelinizing Hormone and Follicle Stimulating Hormone, are utilized to gauge ovarian function. These tests help identify age-related changes in menstrual cycles, differentiating them from Amenorrhea caused by various medical factors. By measuring Estrogen, Progesterone, and Testosterone, Dr. Collins can interpret the evolving narrative of a woman's health, providing guidance and support at any point in her journey.

Why Choose Dr. Collins
With more than 39 years of experience in Naturopathic Medicine, Dr. Collins expertly integrates time-honored healing traditions with the latest scientific advancements. His academic background in biology and life sciences from the University of Oregon provides him with a comprehensive understanding of holistic patient care, addressing not only physical health but also emotional and spiritual well-being.
Dr. Collins works collaboratively with a network of healthcare professionals in Bend, and draws on a wide range of therapeutic approaches, including classical homeopathy, Traditional Chinese Medicine, and European Biologic Medicine. He is also highly skilled in advanced treatments such as Procaine Neural Therapy and Ozone Therapy, as a member of the American Academy of Ozone Therapy. Dr. Collins’ dedication to ongoing education ensures his patients benefit from the most innovative therapies, all grounded in a holistic philosophy.
We do not participate with insurance.
However, we accept Health Savings Accounts and Flex Savings Accounts.
We also accept Visa, Amex, Master Card, and Discover.
To book your first appointment please call: (858) 333-5196

Initial Consult
Frequently Asked Questions
Many women experience hot flashes, night sweats, changes in menstrual cycles, vaginal dryness, mood fluctuations, and sleep issues. The type and severity of symptoms can differ greatly from person to person.
Naturopathic doctors take a holistic approach, focusing on nutrition, herbal remedies, lifestyle modifications, and, when appropriate, hormone therapy. Their goal is to address underlying causes and support your overall well-being throughout this transition.
Absolutely. Consuming foods high in phytoestrogens (such as soy), healthy fats (like those in avocados and nuts), and antioxidants (including vitamins C and E) can help ease symptoms. Limiting caffeine and alcohol may also reduce the frequency and intensity of hot flashes.
Staying active is essential for women in menopause. Regular exercise strengthens bones, helps manage weight, reduces stress, and improves sleep. Activities such as strength training, yoga, and cardio are especially beneficial.
Dr. Collins’ clinic is located in Bend. We invite you to schedule a visit for individualized, compassionate care for menopause. To learn more or book an appointment, please call us at (858) 333-5196.