Whether you’re seeking information for yourself or someone you care about, this resource is designed to support your well-being with respect, confidentiality, and up-to-date guidance. Empower yourself with knowledge—because your sexual health matters.
No, our goal is not to disrupt your relationship with your OBGYN or general urologist. At the Fosnight Center, we complement the care you’re already receiving and work in partnership with your existing providers to support and enhance your sexual health and overall well-being.
The Fosnight Center team does not practice under endocrinology and cannot support you with your thyroid care or medications. While it is important to know your thyroid hormone levels to provide the best hormone sex steroid therapy, we encourage patients to work with their primary care provider or happy to make a referral to an endocrinologist to optimize your thyroid care.
Our healthcare providers are urology specialists and are considered a specialty medical service.
No referral is needed to schedule an appointment. However, if your insurance plan requires one for reimbursement, we recommend checking with your provider.
Yes, we are in-network with Blue Cross Blue Shield (BCBS), Aetna, and Cigna. If you have coverage through one of these providers, we’re happy to bill your insurance directly. If you have a different insurance plan, we are considered out-of-network, but we can provide a detailed receipt (superbill) for you to submit for possible reimbursement.
We also accept HSA/FSA cards and offer flexible payment options for out-of-pocket costs. For Medicare beneficiaries, please note that our providers have formally opted out of Medicare. As a result, we are unable to submit claims or provide superbills for reimbursement through Medicare.
At this time, we do not offer after-hours care or on-call provider services. If you have a non-urgent concern outside of business hours, please send us a message through the patient portal, and we will respond during the next business day.
For urgent medical needs, we recommend contacting your primary care provider or visiting an urgent care center. In case of a medical emergency, always call 911 or go to the nearest emergency room.
If you are using injectable medications such as hormone therapy, it is important to dispose of needles and syringes safely to protect yourself and others.
Never place loose needles directly in household trash or recycling.
We recommend the following options:
1. Use a sharps container
Place used needles and syringes into an FDA-cleared sharps container. These can be purchased online or at most pharmacies.
2. Household alternative (if a sharps container is unavailable)
If you do not have a sharps container, you can temporarily use a thick plastic container with a screw-top lid, such as a laundry detergent bottle. Once full, seal the lid securely and label it “DO NOT RECYCLE – SHARPS.”
3. Local disposal options
Many communities offer safe sharps disposal through:
Pharmacies
Hospitals or medical clinics
Local health departments
Household hazardous waste facilities
Because disposal rules vary by location, we recommend checking with your local pharmacy or county health department for approved sharps disposal sites near you.
If you have questions about your injection supplies or safe disposal practices, feel free to contact the Fosnight Center at 828-724-7166.
Yes! We offer educational consultation services for individuals outside of North Carolina.
These visits are designed to provide expert guidance, education, and personalized recommendations for your care. While we are unable to diagnose or prescribe across state lines, we will collaborate with your current healthcare provider and provide a detailed summary of recommended treatment options.
Important details:
These are virtual visits only
Insurance is not accepted for these consultations
Visits are out-of-pocket (OOP) and must be paid in advance
$150 for a 30-minute consultation
$250 for a 60-minute consultation
Our goal is to ensure you feel supported, informed, and empowered no matter where you are located.
