Welcome to Hormones by Design
in Austin!

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At Hormones by Design we are here to help you “feel better from day one” with our innovative approach to customized hormone replacement. We understand that every woman and man have unique needs, and that is why we set out to create hormone therapy that is Individually customized to each patient.

If you are here, then you are most likely experiencing all or some of these symptoms…

  • Hot flashes
  • Night sweats
  • Mood swings
  • Weight gain
  • Poor sleep quality
  • Fatigue
  • Foggy thinking
  • Low sex drive (libido)
  • Vaginal dryness




  • ✔️ Unique and completely customizable injection that is based on your symptoms and your lab results.
  • ✔️ Can be changed at every visit with your provider.
  • ✔️ Typically administered every 4 weeks.
  • ✔️ Generally the fastest way to symptom relief
  • ✔️ Once on a stable dose (3-6 months) injections are far and away the least expensive option.




  • ✔️ Rapid Dissolving Tablets (RDTs) can be prescribed and compounded with different hormone levels.
  • ✔️ Generally compounded in 90-day supplies so dosage can only be changed every 3 months.
  • ✔️ Can lead to high expenses if dose is needed to constantly be changed.




  • ✔️ Time-released hormone implants inserted in a minor procedure under the skin of the hip area.
  • ✔️ Lasts around 3 months.
  • ✔️ Cannot be removed or customized once implanted.
  • ✔️ Typically, the most expensive, and most difficult to find an optimal dose. Pellet doses are predetermined by the manufacturer

How it works

Step one: Listen to your needs as a patient.
Step two: Draw necessary lab work.
Step three: Treat you with a personalized monthly hormone INJECTION to help you feel better ASAP!

Our Founder and Medical Director, Dr. Melissa Miskell, talks about why you should choose Hormones by Design…


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Schedule an Appointment With Us

Menopause FAQ

  • What are perimenopause symptoms?
  • What is the common perimenopause age?
  • Are there vaginal dryness natural remedies?
  • What are postmenopausal symptoms?
  • How can I combat perimenopause weight gain?
  • What are the three stages of menopause?
  • What is perimenopause?
  • What is post menopause?
What are perimenopause symptoms?

Perimenopause symptoms can include irregular periods, hot flashes, night sweats, mood swings, vaginal dryness, sleep disturbances, and changes in libido.

What is the common perimenopause age?

Perimenopause commonly is between 45-55 years old.

Are there vaginal dryness natural remedies?

Vaginal dryness may be helped by staying hydrated, using personal lubricants and even coconut oil can help provide relief.  Taking omega-3s and Vitamin E has also been shown to be beneficial.

What are postmenopausal symptoms?

Postmenopausal syndrome encompasses various symptoms such as hot flashes, irritability, mood swings, insomnia, vaginal dryness, difficulty concentrating, mental confusion, stress incontinence, urge incontinence, osteoporotic symptoms, depression, headaches, vasomotor symptoms, and insomnia.

How can I combat perimenopause weight gain?

The best way to combat any menopausal weight gain is to work on getting your hormones balanced with hormone replacement therapy, adding more high-quality protein to your diet, increasing strength training exercises and to eat less refined, sugary foods.  Also, to cut down on alcohol.

What are the three stages of menopause?

There are three stages of menopause, Perimenopause, Menopause, and Post Menopause. The average age of menopause is around 51, although it can vary between individuals. The process leading up to menopause is called perimenopause, which can last several years and is characterized by hormonal fluctuations and changes in the menstrual cycle.  Each stage requires unique care, which is why it is important to know which stage you are in. Hormone testing done as part of our program will determine what stage you are in.

What is perimenopause?

Perimenopause is the transitional stage leading up to menopause. It usually begins several years before menopause itself. During this phase, a woman’s hormone levels, particularly estrogen and progesterone, start to fluctuate. As a result, menstrual cycles may become irregular, with changes in the frequency and duration of periods. Women may experience symptoms such as hot flashes, night sweats, mood swings, vaginal dryness, sleep disturbances, and changes in libido. 

What is post menopause?

Post menopause refers to the stage following menopause where symptoms start to diminish. Some women may continue to experience certain symptoms, such as hot flashes, for several years after menopause. Postmenopausal women are also at an increased risk of certain health conditions, including osteoporosis and heart disease, due to the declining levels of estrogen. It is important for women to maintain a healthy lifestyle, including regular exercise, a balanced diet, and estrogen replacement therapy. 

There are hundreds of clinics attempting to treat hormone imbalance. What makes us different? We listen, then we take action. We can start your treatment on day one. Faster treatment = feel better faster!
Hormone Replacement Therapy in Austin, San Antonio, Waco, New Braunfels, and Boerne

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