Feel Better
From Day One

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.

Designed to
be different

From personal care and proven treatments to a team that actually gets it, we've reimagined hormone care.

Injectable BHRT
for Faster Results

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

BHRT clinic patient experiencing relief from hot flashes and night sweats.

Consistent,
Dedicated Providers

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

Hormone wellness program for improved mood, sleep, and vitality.

Founded by
OB/GYN

After years in women’s health, we knew people deserved more personal, effective hormone care. So we created it.

Women's hormone specialist helping patients achieve hormonal balance.
Dr. Melissa Miskell, Hormones by Design Founder
Meet Dr. Melissa Miskell, Board Certified OB/GYN

Pioneer in Women’s Hormone Health

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.


Dr. Miskell’s Philosophy

  • Vision to make high-quality hormone balancing affordable, easy to follow, and available to all.
  • Mission to help women and men improve their quality of life as they age, through hormone balancing.

Supporting PINCC

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.

Select your
Hormone Care

  • Pay as You Go

    Convenient Care,
    On Your Terms

    Start with a 1:1 consultation to review your symptoms and goals.

    • Provider recommend labs
    • Personalized hormone plan, & weight support
    • Labs , treatments & follow-ups
    • Pay-as-you-go, no membership required
    Confident woman enjoying renewed energy from online BHRT for women.
  • Hormones Direct Membership

    Ongoing Care,
    More Savings

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

    • Provider check-ins
    • Treatment adjustments, prescription refills
    • All for one affordable monthly rate
    • Exclusive pricing on labs and medications
    Custom compounded hormones designed to relieve menopause symptoms.

Medicine that's not
just alternative,
It's ahead.

CONTACT US

Frequently asked questions

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.

Our Patients
Improve Their Lives

Google Reviews

4.9 (877 reviews)

9/30/2026

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

Stella Moreno

9/29/2026

Best place for HRT

Isabel Guzman

9/16/2026

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

9/16/2026

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

9/14/2026

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

9/13/2026

Jo Cummings

Find Expert Hormone Care Across Texas

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

Exterior view of Hormones by Design clinic building showcasing professional healthcare facility

Step into your
Healthiest Life