Ashley Hooker is the founder and the only provider at Performance Hormone Health, a concierge hormone clinic in Winston-Salem that treats women and men. Women's care runs through a dedicated hormone therapy service that works on estrogen, progesterone and sometimes testosterone, and every plan is built from the patient's own labs, symptoms and goals. The pathway starts with a short introductory consultation, then an intake assessment with baseline labs, then a monthly membership that covers follow-up labs, routine visits and unlimited messaging with the provider. Most of the process can be done remotely by phone or video with labs drawn at a nearby Quest location, and patients local to Winston-Salem can be seen in the office. The practice refuses hormone pellets outright, arguing on its FAQ that pellets cannot be adjusted once inserted and that the professional societies do not recommend them, and it prescribes injectable, transdermal and oral forms instead. It also declines to prescribe GLP-1 weight drugs, and many women's prescriptions are filled through a compounding pharmacy rather than bundled into the membership.
Christina Saldanha founded Camel City Women's Wellness in 2022 after leaving traditional medicine, where she worked first in gynecologic oncology and then in family medicine. The practice runs as a direct primary care membership and asks for a six month commitment. Appointments run 30 to 90 minutes, patients message her between visits through a secure portal, and new patients start with a consultation that carries no obligation to join. Her menopause care layers lifestyle, supplements, hormone therapy and non-hormonal prescriptions, and she says she enjoys the cases other clinicians turn away, including women at high risk for breast cancer and survivors who were told they could not take hormones. She first learned menopause care from her cancer patients, which is why survivorship is a named part of the practice. She is also an AASECT certified sexuality counselor, and she sees women for vulvar pain, painful sex and sexual function alongside midlife hormone care.
