Hormone Therapy for Perimenopause and Menopause
Board-certified physician-led hormone replacement therapy (HRT) delivered entirely via telemedicine. Serving women throughout Florida with personalized bioidentical hormone treatment.
Vandhana Kiswani-Barley, MD
Triple Board-Certified + FACHE · 15+ Years Experience
Is Hormone Optimization Right for You?
This Is for You If...
- You're experiencing hot flashes, night sweats, or sleep disturbances
- Mood changes, brain fog, or fatigue are affecting your quality of life
- You want FDA-approved bioidentical hormones prescribed by a board-certified physician
- You value seeing the same physician every visit: someone who tracks your progress
- You want a root-cause evaluation, not just a quick prescription
What Dr. Kiswani-Barley Evaluates
- Comprehensive hormone panel (estradiol, progesterone, testosterone, DHEA-S, SHBG)
- Thyroid function (TSH, Free T3, Free T4, antibodies)
- Metabolic markers (insulin, glucose, lipids)
- Bone density risk factors and cardiovascular markers
- Symptom severity, duration, and impact on daily life
- Personalized bioidentical hormone therapy protocol
Weekends
Low-cost labs through our partner, Access Labs, billed separately
Telehealth in FL · Same physician every visit · Why direct pay?
What Makes Thrive RX Different
Physician-Led Care
Every visit is with Dr. Kiswani-Barley, a board-certified physician who personally manages your care and makes every clinical decision.
Root-Cause Diagnostics
When appropriate, tests and assessments help look for underlying contributors so treatment can be individualized.
Time & Thoroughness
Because we don't bill insurance, your physician has room to listen, evaluate, and build an individualized plan with you.
Evidence-Based Protocols
Only FDA-approved medications and clinically validated treatments. No compounded alternatives or unproven shortcuts.
Comprehensive Hormone Therapy via Telehealth in Florida
Hormone therapy via telehealth makes physician-led hormone replacement accessible to women throughout Florida, from Miami to Pensacola. Our telemedicine approach brings board-certified hormone care directly to you, eliminating travel and long wait times. We diagnose and treat hormonal imbalances including menopause, perimenopause, low testosterone, and thyroid dysfunction using bioidentical hormone replacement therapy (BHRT). All consultations, lab reviews, and ongoing monitoring are conducted via secure video visits, with labs drawn at a location convenient to you.
- 100% telehealth: no office visits required anywhere in Florida
- Full-spectrum hormone panels including estrogen, progesterone, testosterone, and thyroid
- Board-certified physician guides you throughout your entire hormone therapy journey
- Labs drawn via mobile phlebotomy at your home or office, or at walk-in partner lab
Understanding Women's Hormonal Health
Florida Women's Hormone Health
65% Estrogen Drop
Estrogen levels decline approximately 65% during the perimenopause-to-postmenopause transition, affecting nearly every body system.
Source: North American Menopause Society
Progesterone & Sleep
Progesterone has natural calming effects. Its decline is directly linked to sleep disruption, anxiety, and mood changes during perimenopause.
Source: Journal of Clinical Sleep Medicine
Cardiovascular Protection
Estrogen provides significant cardiovascular protection pre-menopause. Its loss increases heart disease risk, the #1 cause of death in women.
Source: American Heart Association
20% Bone Loss
Women can lose up to 20% of bone density in the 5–7 years after menopause, making early intervention critical for osteoporosis prevention.
Source: National Osteoporosis Foundation
Sources: North American Menopause Society (NAMS) Guidelines, 2024 • Women's Health Initiative re-analysis studies • Endocrine Society Clinical Practice Guidelines
Individual results may vary. Consult with a physician for personalized recommendations.
Your Care Experience
Women seeking a physician who listens, investigates root causes, and provides continuous monitoring with individualized, evidence-based care.
Personalized Care for Your Needs
Women's hormones fluctuate throughout life, from reproductive years through perimenopause, menopause, and beyond. Our physician-led telehealth approach addresses these transitions with precision testing and bioidentical hormone therapy tailored to your unique needs, including testosterone optimization when clinically indicated. All hormone therapy is delivered via telehealth throughout Florida.
Common Symptoms We Address:
- Hot flashes and night sweats
- Irregular or painful periods
- Mood swings, anxiety, or depression
- Weight gain, especially around the midsection
- Brain fog and difficulty concentrating
- Low libido or vaginal dryness
- Sleep disturbances and insomnia
- Thinning hair or skin changes
- Fatigue and decreased motivation
- Loss of muscle tone or strength
How We Help:
- Personalized estrogen, progesterone, and testosterone balancing
- Testosterone optimization when levels are low, often overlooked in women's health
- Relief from menopause and perimenopause symptoms
- Support for PCOS and thyroid-related imbalances
- Bioidentical hormone replacement therapy (BHRT)
- Improved mood stability, energy, and mental clarity
- Restored libido and overall vitality
Hormone Therapy Labs, Monitoring & Follow-Up via Telehealth
Our telehealth approach uncovers the root causes of hormonal imbalance and restores your natural vitality, all from the comfort of your home anywhere in Florida.
Discover
We uncover hormonal imbalances through comprehensive panels and a deep understanding of your symptoms and health history.
Recalibrate
We help your body rebalance using bioidentical hormones, targeted supplements, and lifestyle interventions tailored to your unique needs.
Restore
We rebuild your energy, mood stability, and vitality through ongoing monitoring and physician-guided adjustments.
Thrive
Sustainable hormonal health: you feel like yourself again, with lasting balance and wellness.
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
Frequently Asked Questions
All services are billed per visit. No memberships or hidden fees.
Initial Physician Evaluation
Comprehensive hormone assessment and medical planning
Follow-Up Physician Visit
Optimization and stabilization phases
Blood draw (one fee per lab set)
Low cash-pay Access Labs rates shown. If you prefer using insurance, we can provide a Quest requisition. Coverage and out-of-pocket costs depend on your plan.
Compare all lab panels and prices- Comprehensive initial physician evaluation and medical planning
- Hormone laboratory evaluation interpreted by board-certified physician
- Initial optimization phase with closer monitoring (often every 4–6 weeks)
- Stabilization phase with less frequent monitoring (often quarterly)
- Individualized treatment plans including FDA-approved therapies, supplements, and lifestyle interventions
Note: Medication costs are separate. Itemized insurance invoice (called a superbill) provided for potential reimbursement.
Ready to restore your hormonal balance? Schedule your telehealth consultation to begin your physician-led hormone therapy journey from anywhere in Florida.
Start Hormone Therapy via TelehealthTransparent pricing for every visit type
Initial Consultation
Every new patient starts here, for any service
Follow-up visits
Acute Visit
UTI, sinus, rash, refill, etc.
Primary Care
Up to 3 chronic conditions
Complex Care
4+ chronic conditions
No subscriptions. Pay only when you're seen.
Transparent, Pay-Per-Service Pricing
Thrive RX is a cash-based practice. We do not accept or bill insurance of any kind. After each visit, we provide an itemized insurance invoice you can submit to your insurance for potential out-of-network reimbursement.
Targeted diagnostics available at transparent cash-pay rates.
- Home Sleep Apnea Test (HSAT)$199
Convenient at-home sleep study with Board-Certified Physician read-out.
- Food Sensitivity Test (286 Antigens)$310
Discover how your immune system responds to 286 food antigens.
- allergE+ Allergy & Sensitivity Panel$540
Comprehensive IgE testing for 295 food and environmental allergens.
What to Expect with Hormone Therapy via Telehealth in Florida
From booking to ongoing care, here's exactly how your journey works so you know what's coming at every step.
Book Your Visit
Register through our patient portal, complete your intake forms, and add a card on file. No upfront deposit required.
Share Your Health History
Dr. Kiswani-Barley personally reviews your full medical history, current medications, past treatments, and health goals before your appointment.
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).
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.
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.
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.
Get StartedVideo Coming Soon
Dr. Kiswani-Barley on camera
Meet Dr. Kiswani-Barley
Hear directly from Dr. Kiswani-Barley about her approach to patient care: why she chose medicine, how she practices, and what makes root-cause healthcare different.
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 ConsultationHormone Therapy Across Florida
Thrive RX provides telehealth hormone therapy services throughout Florida. Based in Weston, we serve patients across South Florida and statewide.
View all Broward County locations • Miami-Dade County • Palm Beach County
Ready to Experience the Difference?
Find the right program for you in under 2 minutes, or book directly with Dr. Kiswani-Barley.