Amy Pearlman
Physician · Urology
6–10 years of experience
Menopause Society Certified Practitioner
About PRIME Institute
PRIME Institute is a small cash-pay practice in Coral Gables that Pearlman co-founded with Dr. Michelle Pearlman, a gastroenterologist. Pearlman is a urologist, and most of the practice's sexual health pages are written for men. Her women's care is genitourinary syndrome of menopause and low libido, treated with vaginal estrogen, vaginal DHEA and low-dose testosterone, plus non-hormonal drugs like flibanserin and bremelanotide. She tests vaginal pH in the office with a swab and a strip, then retests during treatment to check that the topical hormones are working. Systemic estrogen and progesterone for women is her partner's program, not hers. New out-of-state patients have to be seen in person for the first consultation. She says education is her main mission, so patients understand their own anatomy and hormones before deciding.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Vaginal estrogen
- Testosterone
- Non-hormonal medication
Particular focus
- Bladder & UTIs
Cost and insurance
Insurance
Doesn’t accept insurance
Provides itemized receipts you can submit for out-of-network reimbursement.
Self-pay
Available — prices aren’t published, ask for rates
Visits are not billed to insurance, but the practice says testing and medications can be submitted through a patient's own plan.
Verified October 2026.
Qualifications
MD, MSCP
