601 NW Harmon Blvd #10, Bend, OR 97703
Call the clinic: +1 (858) 333-5196

Menopause Specialist in Bend, OR

Dr. Drew Collins, ND is a menopause specialist in Bend, Oregon. He helps women through perimenopause and menopause with hormone testing, bioidentical hormones when they’re a safe fit, herbs, diet and exercise.

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

What is Menopause?

Menopause is when periods stop for good. Mayo Clinic explains that it’s diagnosed after 12 months without a menstrual period, bleeding or spotting, and that it can happen in your 40s or 50s. The average age in the United States is 51.

The years before that, called perimenopause, are often the hardest part. Periods get irregular, sleep goes sideways, and hot flashes or mood changes can start while you’re still cycling. In the video above Dr. Collins calls himself your “physician through transition,” and he means it literally: from early perimenopause to the other side can be a relationship of ten years or so.

There are hormonal and non-hormonal ways to manage it. Which one fits depends on your symptoms, your labs and your health history. For more detail, read the four stages of menopause and perimenopause symptoms that deserve investigation.

Common Signs

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.

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.
Two women having a conversation during a therapy session

Treatment options, hormonal and non-hormonal

Dr. Collins takes a holistic approach to menopause care, blending counseling and
individualized recommendations to support your well-being. His comprehensive method includes
Woman meditating at home

Movement and exercise that fit your daily life

Clinician writing notes on a clipboard during a consultation

Recommending tailored dietary adjustments

Two people holding hands in a comforting gesture

Utilizing herbal remedies, homeopathic solutions, and bio-identical hormone therapy as needed.

Not everyone wants hormones, and not everyone should take them. If you’d rather avoid them, read managing menopause without conventional HRT. If you’re considering them, bioidentical hormone replacement and female hormone replacement therapy explain the options.

Two women in conversation during a counseling session

Your first visit and testing

It starts with a free phone call of about 5 to 10 minutes to see whether you’re a fit.

At the first visit Dr. Collins goes through your health history, including your sexual, gynecologic and obstetric history. He recommends a baseline mammogram and a pelvic exam, and orders blood tests such as luteinizing hormone (LH) and follicle-stimulating hormone (FSH) to gauge ovarian function. Those tests help separate normal age-related cycle changes from missed periods caused by something else. Estrogen, progesterone and testosterone are measured too. If your thyroid could be part of the picture, see hypothyroidism care.

Risks of hormone therapy and who should avoid it

Mayo Clinic says estrogen therapy works best for easing hot flashes, and vaginal estrogen can help with dryness and pain with sex. It still isn’t risk-free, and bioidentical doesn’t mean harmless.

Cleveland Clinic lists increased risk of blood clots, stroke and gallbladder disease, and notes that the risk of heart disease and breast cancer may rise if you’re older or use hormones for a long time. It says bioidentical hormones may not be safe if you have a history of, or high risk for, blood clotting disorders, heart disease, breast cancer or stroke. Common side effects include breast tenderness, bloating, headaches, spotting and mood swings.

Cleveland Clinic also points out that FDA-approved bioidentical hormones have been tested for safety, while compounded versions have not. Ask which kind you’d be getting.

One more thing: bleeding after menopause needs a prompt check. Mayo Clinic advises seeing a healthcare professional as soon as you can if it happens, and that visit shouldn’t wait for a hormone appointment.

Looking for a doctor for this stage? What to look for in a perimenopause doctor in Bend.

Why Choose Dr. Collins

With more than 40 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.
Dr. Drew Collins, ND, naturopathic doctor in Bend, OR, in his office

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

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.

Some women find that foods containing phytoestrogens, such as soy, help a little with hot flashes, though results vary from person to person. Healthy fats and plenty of fruit and vegetables support overall health, and cutting back on caffeine and alcohol helps some women have fewer 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.

Proactive Choice is at 601 NW Harmon Blvd #10, Bend, OR 97703. To book a visit or a free phone consultation, call (858) 333-5196.

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.