Telehealth Only

1 hour consultation $199

  • Women’s Hormone Replacement (HRT)

  • Women’s Testosterone Replacement

  • Hypothyroid Management

Elizabeth Silva

MSN, FNP-BC, MSCP

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. She understands firsthand how challenging it can be to balance career, family, aging parents, and a changing body.

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 comprehensive, individualized peri- and menopause hormone care.

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, primarily prescribing FDA-approved plant-derived bio-identical hormone treatments that insurance covers, as well as compounded medication when necessary. 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 concierge menopausal hormone replacement therapy (MHT) for patients throughout Arizona.

Our mission is to improve women's quality of life and long-term health with accessible, expert hormone care.

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

Begin by scheduling a one-hour consultation that includes a detailed intake to develop your individual treatment plan.

SERVING PATIENTS IN ARIZONA

Schedule Consultation Now
Female medical provider at desk working on computer during telemedicine visit for menopausal hormone replacement therapy.

How do visits work?

Telemedicine Virtual Visits

100% online, convenient and confidential

  1. Start by scheduling a consultation. Payment of $199 is due at time of scheduling. You will create a patient portal account and fill out intake forms. At your first visit we will review your medical history, discuss your symptoms and concerns, set goals for treatment, and you will leave with a personalized plan of care.

  2. After your consultation, if you become a patient of Desert Rain, you will join a monthly subscription membership (quarterly and annual discounts available) that includes:

    >Follow up visits as needed

    >Medication management

    >Prescription refills

    >Lab interpretation

    >Education

    >Messaging with provider

  3. Prescriptions can be sent to the pharmacy of your choice or mailed from a specialty pharmacy directly to you in discreet packaging.

  4. Follow up visits are included in membership and are typically at 4-6 week intervals until treatment goals are met.

  5. Depending on your history and goals you may need to have labs drawn prior to your follow up visit.

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.

Book Your Consultation Now

New patient consultation $199.

Desert Rain Hormone Health is a cash-pay medical practice with a concierge membership model.

HSA/FSA payment accepted.

No insurance required or accepted.

Insurance may be used for most prescriptions and labs.