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Ashley Hooker

Nurse practitioner · Family medicine

Menopause Society Certified Practitioner

About the practice

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.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Testosterone
  • Compounded hormones
  • Supplements & lifestyle
  • Lab testing

Cost and insurance

Care is by membership, and visits aren’t billed to insurance.

Insurance

Doesn’t accept insurance

Ask whether they provide receipts for out-of-network reimbursement.

Self-pay

HRT Membership - Initial Assessment
$200
Monthly membership, women's hormone therapy
$150 per month
  • Free consultation

A membership instead of insurance, where the monthly fee covers provider care, follow-up hormone labs, routine visits and messaging while prescriptions are billed separately by the pharmacy.

Verified October 2026.

Qualifications

MSN, APRN, FNP-C, MSCP