Perimenopause Hormone Optimization

Metabolic Reset

Elizabeth Silva

MSN, FNP-BC, MSCP

Board Certified Nurse Practitioner

Specialist in Perimenopause & Menopause

Women in midlife deserve to be heard, respected, and cared for by a clinician who has the specialized training, time, and compassion to deliver truly personalized care. Elizabeth Silva, MSN, FNP-BC, MSCP, is deeply committed to supporting women through this stage of life — not only as a provider, but as someone experiencing it herself.

Elizabeth founded her concierge telemedicine practice after entering perimenopause and recognizing a significant gap in evidence-based menopause care among traditional primary care and OB/GYN settings. She is dedicated to filling that gap by providing personalized hormone optimization.

With 20 years of experience in the medical field — including backgrounds in family medicine and emergency medicine — Elizabeth brings both depth and breadth to her clinical work. She has also pursued advanced menopause education and earned certification as a Menopause Society Certified Provider (MSCP), solidifying her expertise in the nuanced and evolving science of menopause management.

Elizabeth utilizes evidence-based medicine, prescribing plant-derived bio-identical hormone treatments (BHRT). Elizabeth engages in shared-decision making with her patients to achieve a truly personalized plan of care.

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Based in Tucson, AZ, Desert Rain Hormone Health is a telemedicine practice providing hormone replacement therapy for patients throughout Arizona.

Desert Rain patients are committed to their long-term health and wellness.

Testimonials

  • " I'm so grateful for Elizabeth's evidence-based approach and compassionate care. Elizabeth has made me feel like I have a partner in my health journey. I can't recommend Desert Rain Hormone Health enough to any woman going through this transition. "

    Laurie P.

  • " From the very first telehealth appointment, I knew I was in the right hands with Elizabeth. She is incredibly knowledgeable, well-informed, and clearly up-to-date on all the latest research, which was so refreshing. She did a fantastic job explaining the misinformation surrounding HRT and educating me about what was going on with my body, which felt incredibly empowering. "

    Mari S.

  • " My mood has lifted, hot flashes are gone, I'm sleeping well, and my energy levels are back up. The convenience of doing everything online has made the process seamless and stress-free. "

    Claudia B.

  • " My experience with Desert Rain Hormone Health has been absolutely life-changing. Before starting treatment, I was struggling with classic signs of perimenopause - feeling depressed, constant brain fog, sleepless nights, and a level of fatigue that I couldn't shake. I felt like I was losing myself. Now, a couple of months into my personalized hormone therapy I feel like myself again. "

    Julie C.

  • " Elizabeth was so thorough with me. I'm so excited to have a path during perimenopause - I am just so grateful. Elizabeth is amazing at explaining and so knowledgeable. THANK YOU!"

    Elisa K.