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Hormone Replacement Therapy Providers in North Carolina

161 listed in North Carolina · Listings last verified November 2026 · How we vet listings

We list hormone therapy providers across North Carolina, mainly in Raleigh–Durham, Charlotte and Asheville (161 in total). Hormone replacement therapy (HRT) treats menopause symptoms like hot flashes and night sweats. Listings include OB/GYN and women's health practices and clinics that focus on menopause care. Compare the listings below, then call the practice to ask about insurance and new-patient openings.

Hormone therapy for menopause in North Carolina is offered by OB/GYN and women's health practices and by clinics that focus on hormone care. The largest groups are around Raleigh and Charlotte, with more in Wilmington, Hickory and Asheville. We list providers whose own website or Google listing names hormone therapy.

What it is

Hormone replacement therapy, also called menopausal hormone therapy, replaces the estrogen your body makes less of after menopause. It's the most effective treatment for hot flashes and night sweats [1].

There are two main types [1]:

  • Systemic therapy goes into your bloodstream. It comes as a pill, patch, gel, spray or vaginal ring, and treats hot flashes and other whole-body symptoms.
  • Low-dose vaginal estrogen treats vaginal dryness and pain with sex. Very little gets into your blood.

If you still have your uterus, you'll take a progestogen along with estrogen to protect against uterine cancer. If you've had a hysterectomy, estrogen alone may be used [1].

In 2026, FDA approved label changes that remove heart disease, breast cancer and dementia from the boxed warning on these products [3][4].

Who it's for

Hormone therapy is mainly for women with moderate to severe menopause symptoms. The Menopause Society says that for most women, the benefits outweigh the risks when therapy starts before age 60 or within 10 years of menopause [1].

Low-dose vaginal estrogen is an option for vaginal and urinary symptoms. Much less of the hormone reaches your blood [1].

HRT still has risks. These include blood clots and stroke, and a higher breast cancer risk after several years of use [1]. It may not be a good fit if you've had breast cancer, blood clots, a stroke or heart disease. Your provider will weigh your history and help you choose a type and dose.

If you can't or don't want to take hormones, non-hormone medicines are another option.

Cost and coverage

Estrogen and progesterone come in pills, patches, gels and rings, and many have generic versions. What you pay depends on your plan's drug list and the form you choose.

Commercial insurance. Each plan lists which forms it covers and at what cost. Ask your pharmacist or insurer what's on your plan's list before you fill.

Medicare. Prescription hormone therapy falls under Part D drug plans or Medicare Advantage plans with drug coverage. Each plan sets its own drug list and cost tiers. Generics are usually in the lowest-cost tier [6]. If a drug you need isn't covered, you or your provider can ask for an exception [6].

Patch supply. In September 2026, FDA said some estradiol patch brands were harder to find because demand went up. Patches are still available. Ask your pharmacist about switching to another FDA-approved patch [5].

Visit costs. Your office visit is billed like any other doctor visit. Some menopause clinics don't take insurance, so ask first.

For more, see our menopause guide and our Veozah savings guide for a non-hormone option.

Wilmington area

Robison Advanced GYN Solutions, PLLC

Menopause

Practice rating 4.3 (27 Google reviews)

  • Hormone Replacement Therapy
Address
1135 Military Cutoff Rd #103, Wilmington 28405
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

Greenville–New Bern area

Carolina Clinic for Health and Wellness

Menopause

Practice rating 4.6 (320 Google reviews)

  • Hormone Replacement Therapy
Address
2414 Emerald Pl, Greenville 27834
Telehealth
Offers telehealth
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

ReShape Health Clinic

Menopause

Practice rating 5.0 (54 Google reviews)

  • Hormone Replacement Therapy
Address
600 Lynndale Ct Ste e, Greenville 27858
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

TotalCare For Women

Menopause

Practice rating 4.8 (99 Google reviews)

  • Hormone Replacement Therapy
Address
1141 N Road St Ste I, Elizabeth City 27909
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

Elsewhere in North Carolina

Alpha Health Southern Pines (Formerly Alpha Male Wellness)

Menopause

Practice rating 4.9 (68 Google reviews)

  • Hormone Replacement Therapy
Address
1545 US-1 A, Southern Pines 28387
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

Foothills Center For Women

Menopause

Practice rating 4.1 (51 Google reviews)

  • Hormone Replacement Therapy
Address
112 Boone Trail, North Wilkesboro 28659
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

Journey Wellness Clinic

Menopause

Practice rating 5.0 (11 Google reviews)

  • Hormone Replacement Therapy
Address
602 Morganton Blvd SW, Lenoir 28645
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

Northern Obstetrics & Gynecology Center

Menopause

Practice rating 4.3 (159 Google reviews)

  • Hormone Replacement Therapy
Address
510 S South St, Mount Airy 27030
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

Thrive

Menopause

Practice rating 4.9 (115 Google reviews)

  • Hormone Replacement Therapy
Address
Nutrition, 760C NW Broad St, Southern Pines 28387
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

Tide Wellness Center

Menopause

Practice rating 5.0 (5 Google reviews)

  • Hormone Replacement Therapy
Address
103 W Woodhill Dr E, Nags Head 27959
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

Total Woman Care

Menopause

Practice rating 4.6 (280 Google reviews)

  • Hormone Replacement Therapy
Address
942 Johnson Ridge Rd, Elkin 28621
Telehealth
Offers telehealth
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

TotalCare For Women

Menopause

Practice rating 4.3 (18 Google reviews)

  • Hormone Replacement Therapy
Address
109 Currituck Commercial Dr Ste B, Moyock 27958
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

VitaCore

Menopause

Practice rating 4.8 (25 Google reviews)

  • Hormone Replacement Therapy
Address
340 Commerce Ave Ste 5, Southern Pines 28387
Telehealth
Not listed
Medicare
Accepts Medicare
Medicaid
Not listed

Last verified Nov 2026 Report a correction

Western Carteret Medical Center

Menopause

Practice rating 4.3 (147 Google reviews)

  • Hormone Replacement Therapy
Address
718 Cedar Point Blvd, Cedar Point 28584
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

WILLIAMSON GYNECOLOGY

Menopause

Practice rating 4.5 (100 Google reviews)

  • Hormone Replacement Therapy
Address
300 Pavilion Wy Ste 100, Southern Pines 28387
Telehealth
Not listed
Medicare
Not listed
Medicaid
Not listed

Last verified Nov 2026 Report a correction

How to choose a provider

Look for menopause training. Many OB/GYNs and primary care doctors prescribe HRT. Some have extra training. The Menopause Society certifies clinicians who pass its exam. Its online directory lets you search by ZIP code and telehealth [7]. Some of our listings show a "Menopause Society Certified" badge.

Ask about FDA-approved hormones. FDA-approved estradiol and progesterone are bioidentical, tested and labeled. Custom-compounded hormones, including pellets, aren't tested for safety or effectiveness and may not contain the dose prescribed [1][2]. Be cautious of clinics that sell only compounded products.

Expect a real conversation. A good provider asks about your symptoms, your health history and your family history. They should explain the risks for you, not just in general, and plan follow-up visits.

Confirm the basics yourself. Call to check insurance, new-patient openings and telehealth. We don't verify these.

Frequently asked questions

Is hormone replacement therapy safe?

For most healthy women who start before age 60 or within 10 years of menopause, The Menopause Society says the benefits outweigh the risks. Risks include blood clots, stroke and a higher breast cancer risk with longer use. Your own risk depends on your age, health and the type of HRT, so talk it through with a provider.

Did FDA remove the black box warning on HRT?

Mostly. In November 2025, FDA started removing heart disease, breast cancer and dementia from the boxed warning on menopausal hormone products. In February 2026, it approved the first updated labels. A warning about uterine (endometrial) cancer stays on systemic estrogen-alone products.

Are bioidentical hormones better?

Some FDA-approved hormones, like estradiol and progesterone, are bioidentical. They're tested and come with a label that lists risks. Custom-compounded "bioidentical" hormones aren't tested for safety or effectiveness. The Menopause Society says they may not contain the dose on the label and aren't safer than approved products.

Does Medicare cover hormone therapy?

Medicare drug plans (Part D) and Medicare Advantage plans with drug coverage cover prescription hormone therapy, but each plan has its own drug list and costs. Generics are usually cheapest. Check your plan's list before you fill, and ask your provider to request an exception if a needed drug isn't covered.

What kind of doctor prescribes HRT?

OB/GYNs, primary care doctors, nurse practitioners and menopause specialists can all prescribe hormone therapy. If your symptoms are complex or your doctor is unsure, look for a clinician certified by The Menopause Society. They've passed an exam on menopause care.

Sources

  1. The Menopause Society — Hormone therapy (patient education)
  2. The Menopause Society — 2022 Hormone Therapy Position Statement
  3. FDA — FDA approves labeling changes to menopausal hormone therapy products (February 12, 2026)
  4. HHS — Fact sheet: FDA initiates removal of boxed warnings from menopausal hormone therapy products (November 2025)
  5. FDA — Update on estradiol transdermal patch availability (September 3, 2026)
  6. Medicare.gov — What do drug plans cover?
  7. The Menopause Society — Choosing a healthcare practitioner