18 practitioners have an office in Puerto Rico, and 2 more can see patients here by telehealth. 10 of them are certified by the Menopause Society, and the most are in San Juan, Carolina and Guaynabo.
Dr. Silén Rivera is an OB-GYN who founded and runs Centro de Bienestar para la Mujer, a small private women's health practice in Guaynabo. She offers a dedicated menopause and perimenopause visit built around hormone replacement, and her site says she recommends FDA-approved hormone therapy. Her other main interest is sexual medicine, with its own visit for problems like low desire and pain with sex. The office also treats urinary leakage in-house, including weekly nerve stimulation sessions for overactive bladder and urethral bulking for stress leaks. She has taught at the University of Puerto Rico School of Medicine since 2017, and the website is in Spanish.
A solo board-certified obstetrician-gynecologist in Bayamón, Puerto Rico, seeing women at every stage and describing herself as an expert in hormone replacement for perimenopause and menopause. Hormone care sits within a wider anti-aging and wellness program that also covers weight medication, a physician-designed weight-loss plan with supplements, vitamin injections and platelet-rich plasma. General gynecology is offered in the same office, including cervical screening, colposcopy, hysteroscopy, contraception, fibroids and urinary incontinence, alongside a substantial cosmetic and regenerative gynecology practice. The practice's website is in Spanish.
