ND · Licensed & accepting patients
Menopause & HRT in North Dakota
Menopause and hormone therapy care by video for patients in North Dakota — by video, with no drive and no waiting room. Self-pay, with our rates published before you book.
Yes — we're licensed in North Dakota
Shumeka Hill, DNP, PMHNP-BC, FNP-BC, CPNP-AC, LCDC II, holds licensure in North Dakota. You'll need to be physically located in North Dakota during your appointment, which is a requirement for every telehealth provider, not just this one.
Getting care in North Dakota
North Dakota's low population density means most of the state has very limited access to psychiatric providers, with capacity concentrated in Fargo and Bismarck.
We see patients across North Dakota by video — including Fargo, Bismarck, Grand Forks, Minot, West Fargo and Williston, and every community in between. Because care is delivered remotely, where you live in North Dakota makes no difference to whether you can be seen.
Being told it's normal is not treatment
Hot flashes, broken sleep, brain fog, joint pain, low mood and a libido that disappeared are not things to endure quietly for a decade. They are symptoms, they have treatments, and dismissing them is a failure of care rather than a clinical finding.
Perimenopause can begin years before periods stop, which is why so many people are told they are too young for this to be what it obviously is.
What care can involve
- A real symptom history, including the ones people don't volunteer
- Labs where they are useful, and an explanation of why they often are not diagnostic
- Hormone therapy where appropriate, with benefits and risks laid out honestly
- Non-hormonal options, which matter for people who cannot or prefer not to take hormones
- Sleep, mood and cognitive symptoms, assessed properly rather than assumed
- Bone and cardiovascular health, which is the part that gets forgotten
Other care available in North Dakota
One provider, so these are handled together rather than referred out.
Menopause & HRT in North Dakota: common questions
- Are you licensed in North Dakota?
- Yes. Shumeka Hill, DNP, PMHNP-BC, FNP-BC, CPNP-AC, LCDC II, is licensed in North Dakota and in 22 other states. You need to be physically located in North Dakota at the time of your visit.
- Do I need to travel anywhere in North Dakota?
- No. All care is delivered by video from wherever you are in North Dakota. There is no office to drive to and no waiting room.
- Is hormone therapy safe?
- For many people it is an appropriate and effective treatment, and for some it is not. Risk depends on your age, time since menopause, personal and family history. You will get a real discussion of benefits and risks rather than either a blanket yes or a blanket no.
- How do I know if I'm in perimenopause?
- Largely from symptoms and cycle changes rather than a single lab value, since hormone levels fluctuate considerably during this stage. That is why history matters more than a blood test here.
- Do you prescribe compounded bioidentical hormones?
- We will be clear about what is FDA-approved and what is not. Compounded hormone products are frequently marketed as safer or more natural without evidence supporting that claim, and you are entitled to know the difference.
- Can you help if I can't take hormones?
- Yes. Effective non-hormonal options exist for hot flashes, sleep and mood, and they are a legitimate first choice for many people rather than a consolation prize.
Medication is prescribed only where clinically appropriate following an evaluation. No prescription is guaranteed. You must be physically located in North Dakota at the time of your visit.
Medically reviewed by Shumeka Hill, DNP, PMHNP-BC, FNP-BC, CPNP-AC, LCDC II. Last reviewed .