
Feel Like Yourself Again. At Hormones by Design, we specialize in helping women in perimenopause and menopause regain balance, energy, and confidence through personalized monthly hormone injections.
From personal care and proven treatments to a team that actually gets it, we've reimagined hormone care.

While it’s less common, patients consistently report better, more stable results.

No more explaining your story over and over. Your provider gets to know you and stays with you through every step.

After years in women’s health, we knew people deserved more personal, effective hormone care. So we created it.
Meet Dr. Melissa Miskell, Board Certified OB/GYN
During her time in practice, she saw how the symptoms of menopause and peri-menopause negatively affected the quality of life for multitudes of women.
![[object Object]](/_next/image/?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2Fxitdub0m%2Fproduction%2F2c6239860d072880b7ae5b845732143dcbf6e4dd-1024x800.webp%3Frect%3D112%2C0%2C800%2C800%26w%3D400%26h%3D400%26fm%3Dwebp%26q%3D80%26fit%3Dmax%26auto%3Dformat&w=3840&q=75)
Pay as You Go
Start with a 1:1 consultation to review your symptoms and goals.

Hormones Direct Membership
Our monthly membership keeps you connected to expert hormone care by providing ongoing staff support and guidance throughout your treatment journey.




You can experience freedom from the symptoms of menopause.
We do not. We have founded our practice on affordable pricing for exceptional health care.
We have very affordable cash rates for our lab testing… you will be pleasantly surprised! However, established patients can use insurance for their labs. We cannot verify lab benefits for patients, so we recommend that you know your lab benefits prior to your lab draw.
Yes (with the exception of Medicare). We are designed as a cash-based practice, but our Billing Manager can provide you with a Superbill to file your own insurance claim. However, Medicare does not allow this. We are unable to provide Medicare patients with a Superbill.
You may begin treatment immediately at your first appointment.
There are a few ways to receive hormone therapy, including injections, oral medications, and time-released pellets. Most of our patients prefer injections because they can be easily adjusted each month based on your lab results and how you’re feeling, allowing for more precise and personalized results. For those who travel often, oral prescriptions or long-lasting pellets may be more convenient options.
For a hormone test you do not need to fast. If your provider is testing something other than hormones it is best to ask if you need to fast.







Personalized hormone care across six Texas locations — with in-office treatments, expert providers, and fast, affordable lab testing.


