- Guaynabo, PR · In person only
- Self-pay · first visit $100
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.
Reviewed September 2026
