Serving patients in Florida via telehealth
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Women's Hormone Health Specialist

Menopause Treatment and HRT in Florida

Hot flashes keeping you up at night? Mood swings, brain fog, or low energy making life difficult? You don't have to suffer through menopause. Hormone therapy can help.

Dr. Kiswani-Barley uses bioidentical hormones and comprehensive testing to restore your balance, so you feel like yourself again.

Medically Reviewed by Dr. Kiswani-Barley
Last updated: February 2026
Quick Answer

What Is the Best Treatment for Menopause Symptoms?

Hormone replacement therapy (HRT) remains the most effective treatment for menopause symptoms, according to the North American Menopause Society (NAMS). A 2024 JAMA study confirmed that for women under 60 or within 10 years of menopause onset, the benefits of HRT outweigh the risks for most patients.

Bioidentical hormone therapy uses hormones molecularly identical to those the body naturally produces, including estradiol, progesterone, and when appropriate, testosterone. The WHI follow-up studies (Manson et al., JAMA 2017, DOI: 10.1001/jama.2017.11217) demonstrated that HRT initiated near menopause onset was associated with reduced cardiovascular risk.

At Thrive RX, Dr. Kiswani-Barley specializes in personalized menopause care via telehealth throughout Florida. Treatment includes comprehensive hormone testing, bioidentical prescriptions, and ongoing monitoring. Initial evaluations are $250, with follow-ups at $200.

Vandhana Kiswani-Barley, MD

Triple Board-Certified + FACHE · 15+ Years Experience

Family Medicine
Obesity Medicine
Pain Management
FDA-Approved Medications Only
Same Doctor Every Visit
Telehealth in FL
Transparent Pay-Per-Service Pricing
Get Started

Is Hormone Therapy Right for You?

This Is for You If...

  • You're experiencing hot flashes, night sweats, or sleep disruption
  • Mood changes, brain fog, or anxiety are affecting your daily life
  • You're in perimenopause, menopause, or post-menopause
  • You want bioidentical hormones prescribed by a physician, not a med spa
  • You want a doctor who listens and takes the time to optimize your protocol

What Dr. Kiswani-Barley Evaluates

  • Comprehensive hormone panel (estradiol, progesterone, testosterone, DHEA, thyroid)
  • Symptom severity and quality-of-life impact
  • Risk assessment for HRT candidacy (breast cancer history, clotting risk)
  • Metabolic factors: weight, insulin resistance, cortisol
  • Sleep quality and mood patterns
  • Bone density concerns and cardiovascular health
$250
Initial Visit
$200
Follow-Up
Evenings &
Weekends
Available
HSA/FSA Eligible
Insurance Invoice Provided

Hormone panel $174.12 (labs only, plus a $75 walk-in or $129 mobile blood draw fee) billed separately through Access Labs or Quest

Telehealth in FL · Same physician every visit · Why direct pay?

What to Expect with Hormone Therapy

From booking to ongoing care, here's exactly how your journey works so you know what's coming at every step.

Step 1· Takes about 10 minutes

Book Your Visit

Register through our patient portal, complete your intake forms, and add a card on file. No upfront deposit required.

Step 2· Before your visit

Share Your Health History

Dr. Kiswani-Barley personally reviews your full medical history, current medications, past treatments, and health goals before your appointment.

Step 3· Before or after your first visit

Comprehensive Lab Work

Get labs at our partner labs (Access Labs or Quest Diagnostics). Walk-in appointments included, or mobile phlebotomy at your home or office ($129 instead of the $75 walk-in draw).

Step 4· 45-60 minutes

Your Telehealth Visit

Meet face-to-face with Dr. Kiswani-Barley via secure video. She takes the time to listen, ask the right questions, and truly understand what's going on.

Step 5· Shared during or after your visit

Your Personalized Treatment Plan

Receive a detailed plan grounded in your lab results, health history, and personal goals. Every recommendation is evidence-based and tailored specifically to you.

Step 6· Follow-ups as needed

Ongoing Physician-Led Care

Dr. Kiswani-Barley remains your physician at every follow-up, tracking your progress, adjusting your plan, and making sure you're reaching your goals.

New patient visits are $250. Follow-ups are $200. No hidden fees, no surprises.

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Dr. Kiswani-Barley on camera

From Your Physician

What Menopause Care Should Actually Look Like

Menopause symptoms deserve real answers and real solutions. Dr. Kiswani-Barley explains her thorough approach to perimenopause and menopause, evaluating the full hormonal picture and using bioidentical hormone therapy to help restore your quality of life.

Dr. Kiswani-Barley is board-certified in Family Medicine, Obesity Medicine, and Pain Management, plus a Fellow of the American College of Healthcare Executives (FACHE), with over 15 years of clinical experience. She personally manages every patient's care, because complex clinical decisions deserve physician-level training and continuity.

Book a Consultation

Common Menopause Symptoms We Treat

Menopause affects every woman differently, but these symptoms are common and treatable. You don't have to "just live with it."

Hot flashes and night sweats

Sudden waves of heat and flushing

Sleep disturbances

Difficulty falling or staying asleep

Brain fog and memory issues

Trouble concentrating and remembering

Mood swings and anxiety

Irritability, sadness, or nervousness

Fatigue and low energy

Persistent tiredness despite rest

Vaginal dryness and discomfort

Changes affecting intimacy and comfort

Experiencing these symptoms? A comprehensive hormone panel can identify imbalances and guide treatment.

Understanding Your Hormonal Journey

Menopause isn't a single event. It's a transition that can span years. Understanding where you are helps us provide the right treatment at the right time.

1

Perimenopause

Mid-40s to early 50s

Hormone levels begin fluctuating, causing irregular periods, hot flashes, and mood changes. This transition can last 4-10 years.

  • Irregular periods
  • Hot flashes beginning
  • Sleep changes
  • Mood swings
2

Menopause

Average age 51

Defined as 12 months without a period. Estrogen and progesterone levels drop significantly, causing classic menopause symptoms.

  • No menstrual periods
  • Hot flashes intensify
  • Vaginal changes
  • Brain fog
3

Post-Menopause

After menopause

Symptoms may continue or improve. Ongoing hormone optimization helps maintain quality of life and protect against bone loss.

  • Symptoms may persist
  • Bone density concerns
  • Heart health focus
  • Ongoing wellness

Benefits of Bioidentical Hormone Therapy

When properly prescribed and monitored by a physician, bioidentical hormone therapy can transform your quality of life during and after menopause.

Relief from hot flashes and night sweats
Improved sleep quality
Better mood stability and reduced anxiety
Enhanced mental clarity and focus
Increased energy levels
Restored libido and sexual comfort
Protection against bone loss
Improved skin and hair quality

The Thrive RX Difference

Dr. Kiswani-Barley takes time to truly listen to what you're experiencing: your symptoms, your concerns, your goals. She combines what you tell her with comprehensive lab analysis to create a complete picture of your hormonal health.

  • 1
    You're heard: Dr. Kiswani-Barley listens to your symptoms, not just lab numbers
  • 2
    Comprehensive labs: CMP, CBC w/Diff, Lipid Panel, Estradiol, Testosterone, FSH & LH, Prolactin, Progesterone, Vitamin D
  • 3
    Bioidentical hormones: molecularly identical to what your body makes
  • 4
    Personalized dosing: adjusted to your unique needs and how you feel

How Menopause Treatment Works at Thrive RX

Our Thrive Pathway ensures you receive personalized, physician-led care from evaluation through long-term hormonal wellness.

1

Initial Evaluation ($250)

Dr. Kiswani-Barley listens to your symptoms, reviews your health history, and orders comprehensive labs ($174.12 labs, plus a blood draw fee, billed separately).

2

Personalized Protocol

Based on labs AND your symptoms, we create a customized bioidentical hormone therapy plan tailored to your goals.

3

Ongoing Monitoring

Follow-up visits ($200) with lab testing to optimize your hormone levels and adjust treatment based on how you feel.

4

Long-Term Wellness

Quarterly monitoring and ongoing support to maintain hormonal balance through perimenopause, menopause, and beyond.

Outstanding medical care and professional staff

"I highly recommend Dr. Kiswani-Barley to anyone looking for a compassionate and professional physician. The level of medical expertise and attentiveness is unmatched. Staff included provide exceptional care. They take the time to answer all questions and never make you feel rushed."

Originally posted on Google

Can't say enough good things

"I can't say enough good things about Dr. Kiswani! I am currently a hormone therapy patient of hers, but she has gone above and beyond to help me with my health. She truly cares about her patients and takes the time to listen and understand your concerns."

Originally posted on Google

Read reviews on Google

Frequently Asked Questions About Menopause Treatment

Get answers to common questions about hormone therapy and menopause care at Thrive RX.

Menopause Treatment Throughout Florida

We provide menopause and hormone therapy services to women across Florida via secure telehealth appointments.

Weston & Broward County

Telehealth consultations for Weston and Broward County women seeking hormone therapy.

Fort Lauderdale HRT

Serving Fort Lauderdale women via telehealth with mobile phlebotomy for comprehensive hormone testing.

Miami Menopause Care

Miami-Dade County women access our physician-led BHRT program via telehealth with convenient lab options.

Boca Raton HRT

Palm Beach County women in Boca Raton enjoy easy access to menopause treatment via our telehealth platform.

West Palm Beach HRT

We serve West Palm Beach and Palm Beach Gardens with telehealth hormone therapy consultations.

Florida Statewide

Our telehealth menopause services extend to Tampa, Orlando, Jacksonville, and all Florida communities.

Your Menopause Physician

Dr. Kiswani-Barley: Women's Hormone Health Expert

As a board-certified physician with expertise in hormone optimization, Dr. Kiswani-Barley understands the unique challenges women face during perimenopause and menopause.

Board Certified in Family Medicine

Comprehensive whole-person approach to women's health

Board Certified in Obesity Medicine

Addressing metabolic changes during menopause

Hormone Optimization Focus

Specialized in bioidentical hormone therapy

Based in Weston and serving patients across Florida, Dr. Kiswani-Barley's evidence-based approach focuses on restoring hormonal balance while addressing the full picture of women's health during this important transition.

Why Physician-Led HRT Matters

Hormone therapy is not one-size-fits-all. Our physician-led approach ensures you receive safe, effective, and personalized treatment.

  • Thorough evaluation of symptoms and health history
  • Risk assessment to ensure HRT is safe for you
  • Bioidentical hormones at the lowest effective dose
  • Regular monitoring and dose adjustments
  • Your physician guides you throughout your entire journey
Serving Florida Statewide via Telehealth

Ready to Feel Like Yourself Again?

Take the first step toward relief from menopause symptoms. Schedule your consultation with our physician team to determine if hormone therapy is right for you.

Serving Fort Lauderdale, Miami, Boca Raton, Palm Beach & all of Florida via Telehealth

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