How One Portland Practice Addresses Hormonal, Metabolic, and Reproductive Health Together
Portland, United States – July 9, 2026 / Synergy Women’s Health Care /
Portland, OR. A 2024 McKinsey Global Institute report found that women spend roughly 25% more of their lives in poor health than men. For many women, managing hormonal changes, reproductive health concerns, and shifting wellness needs requires care that addresses more than a single symptom or diagnosis. Since 2011, Synergy Women’s Health has offered comprehensive gynecology and women’s health care designed to support patients through each stage of life.
Key Takeaways
– Synergy Women’s Health is a Portland-based gynecology practice offering both conventional OB/GYN care and functional medicine, available in-person and via telehealth.
– Functional medicine at Synergy is led by Dr. Michelle Sang, MD, FAARM, FACOG, whose dual board certifications in OB/GYN and Anti-Aging and Regenerative Medicine distinguish her integrative approach from conventional gynecology alone.
– Alongside Dr. Michelle Sang, co-owner Dr. Karen Ogryzlo and the nurse practitioner team provide comprehensive gynecologic care and incorporate functional medicine principles when appropriate, referring patients to Dr. Sang for deeper integrative evaluation when needed.
– Functional medicine care operates on a membership model with a quarterly or annual fee. All office visits are billed to insurance regardless of visit type, maximizing coverage for patients.
– Evaluation begins with a thorough health history and comprehensive laboratory assessment when appropriate. Additional testing is considered only when it provides meaningful information that may influence care decisions.
When Women’s Health Concerns Overlap
Many women have experienced a familiar pattern without having a name for it. Reproductive concerns are addressed by an OB/GYN, while fatigue, sleep disruption, mood changes, or weight shifts that resist a clear diagnosis are managed separately – or not at all. Hormone panels return within normal limits, yet questions about persistent symptoms remain. Visits end with a referral, reassurance, or both, and neither fully addresses what prompted the appointment.
Women’s health concerns can involve multiple factors that overlap across different areas of care. In these situations, patients may benefit from an integrated approach that considers hormonal health, metabolic health, reproductive health, and overall wellness together.
At Synergy Women’s Health, care is structured around the understanding that hormonal health, metabolic health, reproductive health, and preventive care are often interconnected.
How Does Functional Medicine Fit Into the Practice?
Functional medicine can vary considerably between practices, so understanding how the model operates at Synergy Women’s Health is useful for prospective patients.
Alongside Dr. Sang, co-owner Dr. Karen Ogryzlo and the nurse practitioner team provide comprehensive gynecologic care and incorporate functional medicine principles when appropriate. Patients who would benefit from a deeper integrative evaluation may be referred to Dr. Sang. The goal is to ensure each patient receives the level of care that best fits their clinical needs.
That distinction is relevant for patients who want to know whether integrative care will be available to them. Access to that level of care depends on each patient’s individual needs and clinical situation.
What Does a Functional Medicine Consultation at Synergy Actually Look Like?
The initial functional medicine consultation is 60 minutes, providing time to review a patient’s health history, symptoms, goals, previous evaluations, and overall health picture.
Follow-up visits are typically scheduled every two to three months, offering continuity and the opportunity to adjust care as circumstances change.
Evaluation begins with a thorough history and appropriate conventional laboratory testing. Additional testing is considered only when it may provide meaningful information that helps guide treatment decisions. The objective is not to order more tests, but to gather the right information at the right time so care can be personalized and effective.
How Is Functional Medicine Care Priced?
All office visits at Synergy are billed to insurance, regardless of the reason for the visit. That applies to annual well-woman exams, birth control counseling, menopause consultations, and functional medicine follow-up visits alike. The practice accepts most major insurance plans.
Functional medicine care is offered through a quarterly or annual membership model. The membership fee is separate from insurance and is not billable to insurance.
That structure is worth understanding before scheduling, because the comprehensive women’s health care available at Synergy operates differently from a standard fee-for-service practice. The membership model supports the additional time, education, care coordination, and personalized planning that are part of the functional medicine program.
Why Early Evaluation Matters
Many women delay seeking care because symptoms seem manageable or easy to attribute to external factors. Fatigue may be linked to stress, sleep disruption to a demanding schedule, or cycle changes to the natural aging process.
While some symptoms are a normal part of life transitions, they can also carry meaningful information about a woman’s overall health. Early evaluation creates an opportunity to understand what is changing, discuss available options, and make informed decisions before concerns become more disruptive.
The aim is not to generate unnecessary concern, but to ensure women have access to the information and support needed to make confident decisions about their health.
Who Is This Care Model Right For?
This model may be a suitable fit for women seeking additional time, education, and support as they navigate hormonal changes, fertility planning, menopause, or other health concerns.
It is also worth noting what Synergy’s care model asks of patients in return. Functional medicine care is most effective when patients are actively involved in the process. Patients are expected to track symptoms, follow through on protocols between visits, and participate in the decision-making process. This approach tends to be most successful for women who want an active role in understanding their health and contributing to ongoing care decisions.
For women with persistent concerns or unanswered questions, a more comprehensive evaluation may provide additional insight and direction.
FAQ
Does Synergy Women’s Health accept insurance?
Yes. The practice accepts most major insurance plans. All office visits are billed to insurance regardless of visit type, including routine annual exams, birth control consultations, and functional medicine follow-up visits.
What is the difference between the regular providers and Dr. Sang?
Alongside Dr. Sang, co-owner Dr. Karen Ogryzlo and the nurse practitioner team provide comprehensive gynecologic care and incorporate functional medicine principles when appropriate.
Do patients have to join the functional medicine membership to receive care?
No. Patients can receive conventional gynecology care – including annual exams, birth control counseling, menopause management, and other women’s health services – without enrolling in the functional medicine membership.
Will patients be required to complete extensive specialized testing?
Not necessarily. Testing begins with standard serum labs, which are typically covered by insurance. Additional testing is considered only when conventional evaluation does not fully answer the clinical question and when the information may meaningfully influence treatment decisions.
Does Synergy offer telehealth?
Yes. Both in-person and telehealth visits are available, making comprehensive women’s health care accessible to Portland-area women without requiring an in-clinic visit for every appointment.
What conditions does Synergy treat?
The practice covers the full scope of women’s health: annual preventive exams, birth control counseling, menopause and perimenopause management, hormone therapy, fertility support, and integrative health services. For patients with complex hormonal or metabolic concerns, Dr. Sang’s functional medicine practice offers a more comprehensive integrative evaluation alongside conventional gynecology.
How can a patient determine whether functional medicine is the right path?
A practical starting point is considering whether additional time, education, and evaluation would help clarify symptoms, health goals, or treatment options.
About Synergy Women’s Health
Synergy Women’s Health has provided comprehensive, evidence-based gynecology and women’s health care in Portland, Oregon since 2011. The practice combines conventional OB/GYN care with functional and integrative medicine, offering personalized care pathways for women at every life stage. Services include preventive health, birth control counseling, menopause management, hormone therapy, fertility support, and integrative women’s health care. The clinical team includes Dr. Michelle Sang, co-owner Dr. Karen Ogryzlo, and an experienced nurse practitioner team. Learn more at synergypdx.com.
Media Contact
Synergy Women’s Health
P: (503) 227-4050 F: (503) 477-7673
Contact Information:
Synergy Women’s Health Care
2525 NW Lovejoy St, Suite 300
Portland, OR 97210
United States
Michelle Sang
+1-503-227-4050
https://synergypdx.com
