Our founder, Dr. Melissa Miskell, has owned a medical practice for over 17 years. During her time in practice, she saw how the symptoms of menopause and peri-menopause negatively effected the quality of life for multitudes of women. So she decided to do something about it...without using harmful prescriptions like Premarin and Provera. The other problem she set about tackling was that laboratory testing for hormone imbalance was very expensive. She created Hormones by Design. Here we can test your hormones in our in-office lab, treat you, and get you back to your busy life! All this at an affordable price.