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WOMEN'S HEALTH & GYNECOLOGY

Care for Every Stage of a Woman's Life

Comprehensive gynecologic and hormonal care in Bend, Oregon — from annual exams and contraception to the conditions that are too often minimized. Jade Carboy, NP combines conventional women’s health care with an integrative lens.
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COMPREHENSIVE WOMEN'S HEALTH

Personalized Care for Every Stage of Your Health Journey

At Alpenaura Holistic Health in Bend, Oregon, women’s health care includes both preventive gynecology and deeper evaluation of the symptoms that affect your daily life — irregular cycles, PMS or PMDD, pelvic pain, heavy bleeding, fatigue, thyroid concerns, libido changes, mood shifts, and metabolic changes. We combine conventional gynecologic care with an integrative lens to identify underlying contributors and build a personalized plan. Whether you are coming in for a routine annual exam, navigating painful periods, recovering after childbirth, managing hormonal symptoms, planning for pregnancy, or seeking support through perimenopause and menopause, we offer thoughtful care that meets you where you are. We proudly serve patients in Bend, Redmond, Sisters, Sunriver, and throughout Central Oregon. We also offer telehealth services for Oregon, Washington, Alaska, and California clients.

Core Gynecologic Services

Women’s health needs evolve throughout every stage of life. Our comprehensive gynecologic services combine preventive care, diagnostic evaluation, and personalized treatment to support your reproductive, hormonal, and overall health.

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Routine Gynecological & Preventive Care

Preventive gynecologic care is the foundation of long-term women's health. We offer routine well- woman exams, cervical cancer screening, breast health discussions, STI screening, menstrual health evaluations, and age-appropriate preventive care.

  • Annual wellness exams
  • Pap smears and HPV testing
  • Cervical cancer screening
  • Breast health and risk assessment
  • STI testing and counseling
  • Menstrual cycle concerns
  • Preventive lab review and health planning
  • Contraceptive counseling and management
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Contraceptive Management

Choosing contraception should be personal, informed, and aligned with your body and goals. We offer contraceptive counseling and management for patients seeking pregnancy prevention, cycle control, acne support, PMS or PMDD symptom management, or help with heavy and painful periods.

  • Birth control pills
  • Hormonal patches
  • Vaginal rings
  • IUD counseling and management
  • Non-hormonal contraception options
  • Emergency contraception counseling
  • Fertility-awareness education when appropriate
  • Support for side effects or changing methods
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Family Planning, Fertility Evaluation & Preconception Support

Whether you are thinking about pregnancy soon, preserving fertility, trying to conceive, or simply wanting to better understand your reproductive health, we offer supportive family planning and fertility evaluation services.

  • Preconception counseling
  • Cycle tracking and ovulation education
  • Fertility lab evaluation
  • Hormone and thyroid assessment
  • PCOS-related fertility support
  • Irregular cycle evaluation
  • Review of supplements and lifestyle factors
  • Referral coordination when advanced fertility care is needed
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In-Office Gynecologic Procedures & Interventions

When additional evaluation is needed, we offer a range of in-office gynecologic procedures in a supportive, trauma-informed setting. We take time to explain what to expect, why a procedure is recommended, and how to make the experience as comfortable as possible.

  • Colposcopy after abnormal Pap or HPV results
  • Endometrial biopsy for abnormal uterine bleeding
  • Vulvar evaluation and biopsy
  • Evaluation of vulvar dermatoses
  • Cervical and vaginal concerns
  • Follow-up planning after abnormal screening results
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Chronic Gynecologic, Hormonal & Endocrine Conditions

Many women live for years with symptoms that are minimized or treated as "normal." We evaluate and support complex gynecologic, hormonal, and endocrine concerns that affect your periods, mood, metabolism, energy, fertility, skin, hair, and overall wellbeing — including PCOS, endometriosis, adenomyosis, PMDD, thyroid disease, and Hashimoto's thyroiditis. Care plans may include lab evaluation, imaging coordination, lifestyle support, supplements when appropriate, prescription medications, hormonal therapies, and referrals for advanced specialty care when needed. Explore the areas below to learn more about each.

FREQUENTLY ASKED QUESTIONS

Questions, Answered With Care

We understand that choosing a procedure is a deeply personal decision. Here are answers to some of the most common questions about treatment, recovery, results, and the overall Alpenaura experience.

What does a well-woman exam include?
A well-woman exam may include cervical cancer screening, breast health review, menstrual and hormone health discussion, contraception counseling, STI testing when appropriate, and preventive care planning based on age, history, and goals.
Yes. We evaluate and support complex gynecologic and endocrine concerns including PCOS, endometriosis, adenomyosis, PMDD, thyroid disease, Hashimoto’s thyroiditis, irregular cycles, pelvic pain, and hormone-related symptoms. Each of these has a dedicated page below with more detail.
Yes. We offer cycle education, ovulation support, hormone and thyroid evaluation, PCOS-related fertility support, supplement and lifestyle guidance, and referral coordination when advanced fertility care is needed.
No referral is required. You can schedule directly, and our New Patient Information page walks through exactly what to expect at your first visit.

AREAS OF CARE

Specialized Women's Health Care

Explore the areas of care within our women’s health practice — each with its own approach to
evaluation, testing, and treatment.

CYCLE & PELVIC HEALTH

PCOS & Endometriosis Care

Painful periods, irregular cycles, PCOS, endometriosis, and PMDD are among the most commonly minimized conditions in women’s health — and among the most disruptive. We evaluate the full picture: your symptoms, your cycle, your labs, your hormones, your metabolism, and your inflammation. Pain that interferes with your life is a clinical finding, not something to normalize.
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Woman experiencing pelvic discomfort representing PCOS, endometriosis, and menstrual health care

FOURTH TRIMESTER CARE

Postpartum Support

Postpartum care too often ends with a single six-week visit and a “you’re cleared.” Our postpartum support looks at the whole picture — mood, sleep, nutrition, nutrient depletion, pelvic floor and core recovery, and the hormone shifts behind symptoms that get brushed off as “just postpartum.” Taking care of yourself is not separate from taking care of your baby.
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Mother holding her newborn representing compassionate postpartum health and recovery support

THYROID & ENDOCRINE HEALTH

Thyroid Management

If you have been told your thyroid labs are “normal” while losing hair, feeling exhausted, foggy, or cold, you deserve a closer look. We run a full thyroid panel rather than TSH alone — including how your body produces and converts thyroid hormone, and whether autoimmunity such as Hashimoto’s is present. Normal does not always mean optimized.
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Woman touching her neck representing thyroid health evaluation and management for women

PELVIC & INTIMATE HEALTH

Intimate & Sexual Wellness

Bladder leakage, pelvic pressure, vaginal dryness, and pain with intimacy are incredibly common after childbirth and through perimenopause — and common does not mean normal forever. We offer a private, judgment-free space to address the symptoms women most often keep to themselves, looking at hormones, tissue health, and pelvic floor function together.
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Woman relaxing comfortably representing intimate, pelvic, and sexual wellness care

MIDLIFE HORMONE CARE

Perimenopause & Menopause Support

Hot flashes, night sweats, disrupted sleep, brain fog, and a body that suddenly feels unfamiliar — your hormones are shifting, and that transition affects mood, energy, libido, metabolism, bone health, and heart health. We approach this season through an integrative lens, treating symptoms now while protecting your long-term health.
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Mature woman representing personalized perimenopause and menopause hormone support

Meet the Nurse Practitioner

Jade Carboy, WHNP-BC/AGNP-C

Dual Certified Women's Health / Adult-Gerontological Primary Care Nurse Practitioner

Dual-certified Women’s Health and Adult-Gerontological Nurse Practitioner known for her integrative approach to hormone therapy and women’s health. With certifications through the AANP and NCC, she brings clinical expertise spanning every stage of a woman’s life — from reproductive health and fertility to perimenopause, menopause, and beyond.
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YOUR CARE STARTS HERE

Ready To Feel
 Like Yourself Again ?

Stop guessing about your symptoms. Comprehensive testing, honest answers, and a plan built around you — with Jade Carboy, NP.
Book Consultation
Take the Symptom Quiz.
Portrait of Jade Carboy, dual board-certified women’s health and primary care nurse practitioner

Jade Carboy, WHNP-BC/AGNP-C

Dual Certified Women's Health / Adult Gerontological Primary Care Nurse Practitioner.

Dual-certified Women’s Health and Adult-Gerontological Nurse Practitioner known for her integrative
approach to hormone therapy and women’s health. With certifications through the AANP and NCC, she
brings clinical expertise spanning every stage of a woman’s life — from reproductive health and fertility
to perimenopause, menopause, and beyond.

View Profile

YOUR CARE STARTS HERE

Ready To Feel
 Like Yourself Again ?

Jade Carboy, women’s health nurse practitioner at Alpenaura in Bend, Oregon
Stop guessing about your symptoms. Comprehensive testing, honest answers, and a plan built around you — with Jade Carboy, NP.
Book Consultation
Take Symptom Quiz
(541) 762-0262 Book Consultation