Our Philosophy: Live Your Most Free Life
The practice is named for an idea Dr. Twist returns to often, that the years around menopause can be some of the most free and full of a woman's life when her body is supported rather than dismissed. That belief shapes everything here. It means personalized healthcare rather than on-demand medicine: longer appointments, direct access, and treatment plans built around each woman's goals instead of a checkbox protocol. The aim is simple, to help you live your most free life.
Why Physician-Led Care Matters
There is a real clinical difference in having hormone care directed by a board-certified OB/GYN and gynecologic surgeon. Dr. Twist brings decades of training in women’s health to questions that deserve nuance, including who is a candidate for hormone therapy, how to weigh individual risk, and how to adjust a plan over time. This is what you deserve to know when you choose your provider: who is actually making the decisions about your body.
How the Practice Works
Care happens through secure video visits, private messaging, coordinated lab work with local Montana facilities, and physician-managed prescriptions. There is no waiting room and no long drive, only a direct line to your doctor. You can see exactly how a visit unfolds on the virtual visits page, and review the membership care model on the membership page.
Meet Dr. Laura Twist
Dr. Twist is an ABOG board-certified OB/GYN, the former OB/GYN Department Chair at St. James Healthcare in Butte, and menopause specialist. She has spent her career taking women's health seriously, in the exam room, the operating room, and now on screen. Read her full story and credentials on the Dr. Laura Twist page.
Our Commitment to Montana Women
Dr. Twist led the OB/GYN department at St. James Healthcare in Butte from 2017 to 2023, where she came to know the realities of rural Montana healthcare and the gaps women fall through when specialty care is hours away. Telehealth is how she keeps serving those women: expert hormone care, delivered statewide, without the drive. If you are ready to start, book a visit, or read the frequently asked questions first.