Absolutely appreciate the staff and everyone here! Thank you Erika for being so amazing. I will forever recommend my friends.
Stella Moreno

Safe, Effective Hormone Therapy in Texas
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.

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.
To End Cervical Cancer
Since 2017, Dr. Miskell has led PINCC in its global mission. Her dedication has helped expand the reach of compassionate care and sustainable medical training, saving thousands of lives worldwide.
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.

“I’ve been a patient here almost17 years and I’ve stayed because of the care and kindness I’ve received from PA Rae Benson. She is very helpful & compassionate, a person who listens and offers great insights for overall health and life lessons."

“Always friendly staff. We have been coming to see them for years now and they have helped us tremendously with our overall health. Marcie is great at listening to you and providing the best possible care! I am extremely grateful."

“Going on my 3rd month and I am incredibly grateful for Madison and her team! I have had a drastic change in my mood, libido, sleep, and overall quality of life..”

“I am so glad I have found an answer to hormone replacement therapy at a facility that is friendly, efficient and knowledgeable! Looking forward to feeling better! Thank you, Hormones by Design!"

“I feel so much better! My energy has multiplied 10-fold, and I look forward to getting up each day. Thank you, Susie! My husband thanks you, too."

“Ladies if you need a balance in your hormones, a boost in energy and just a better feeling overall… Go see Suzie Hancock at Hormones by Design. I never knew I could feel so good again."
4.9 (877 reviews)
Absolutely appreciate the staff and everyone here! Thank you Erika for being so amazing. I will forever recommend my friends.
Stella Moreno
Best place for HRT
Isabel Guzman
I stronly encourage visiting Hormones by Design. I have had such a positive experience, I even had my mother start using their services and she's so excited after having he first visit.
Isabel Guzman
I like coming here. They are fast. You are in and out with hardly any waiting. My doctor Katherine Brumley is excellent. The only thing I see needs improvement is the front desk reception area. There’s a girl in particular that is very cold and not so nice. She wants to hang up… I like coming here. They are fast. You are in and out with hardly any waiting. My doctor Katherine Brumley is excellent. The only thing I see needs improvement is the front desk reception area. There’s a girl in particular that is very cold and not so nice. She wants to hang up the phone immediately like she’s in a hurry or like she doesn’t want to work. Front desk can definitely have better patient care. And please answer your phones more. It takes me several several attempts to reach anyone. It’s very stressful when I have to get my prescription or if I’m running 5 min behind I can’t get a hold of anyone. Other than that, they are great !
Monica
This morning I had my annual breast thermography done by Monica Garcia. She is wonderful, very conscientious, considerate and thorough. I do a full body thermography every other year - and last year was my first year working with Monica. She was skilled at the full body… This morning I had my annual breast thermography done by Monica Garcia. She is wonderful, very conscientious, considerate and thorough. I do a full body thermography every other year - and last year was my first year working with Monica. She was skilled at the full body thermography as well. I have been doing this type screening for 6 years and truly appreciate the no radiation and smashing of my small dense tissue breasts. The results are sent to my primary care physician as well as my computer. This opportunity moved a couple years ago from their Vance Jackson Rd location. It is a great location being not only about 20 minutes closer for me, but with HEB and other shops in very close proximity it’s very helpful in getting other errands done. A win win!
Kathy Rust
Jo Cummings
Personalized hormone care across six Texas locations — with in-office treatments, expert providers, and fast, affordable lab testing.
2200 Park Bend Drive, Building 1, Suite 201 Austin, Texas 78758
21218 Market Ridge, Suite 101 San Antonio, Texas 78258
598 N Union Ave., Suite 300 New Braunfels, Texas 78130
1201 Hewitt Drive Suite 105 B Waco, TX 76712
1201 Hewitt Drive Suite 204 Waco, TX 76712
31007 I-10 Suite 115 Boerne, TX 78006
6454 N New Braunfels Ave, Suite 2 (Inside the Sola Salon Studios) San Antonio, TX 78209
2200 Park Bend Drive, Building 1, Suite 201 Austin, Texas 78758
512-233-2938
21218 Market Ridge, Suite 101 San Antonio, Texas 78258
210-756-6184
598 N Union Ave., Suite 300 New Braunfels, Texas 78130
830-626-3963
1201 Hewitt Drive Suite 105 B Waco, TX 76712
254-230-1913
1201 Hewitt Drive Suite 204 Waco, TX 76712
254-230-1914
31007 I-10 Suite 115 Boerne, TX 78006
830-755-4518
6454 N New Braunfels Ave, Suite 2 (Inside the Sola Salon Studios) San Antonio, TX 78209

