Elizabeth Silva
Nurse practitioner · Family medicine
6–10 years of experience
Menopause Society Certified Practitioner
About Desert Rain Hormone Health
A solo nurse-practitioner practice treating women in perimenopause and menopause, plus weight and metabolic care, seen by telemedicine across Arizona with in-person visits in Tucson on Thursdays. Every patient starts with a 75-minute consultation preceded by a fasting lab panel, then chooses a time-bound program. One is six months of hormone care with four follow-ups. The other is a twelve-week medically supervised weight program. The hormone program includes the cost of estradiol, progesterone and testosterone shipped from a specialty pharmacy, and thyroid work where indicated. The practice does not provide primary care or gynecology, asks patients to keep their own doctor for those, and does not use pellets.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Weight medication
- Supplements & lifestyle
- Lab testing
Particular focus
- Bone health
- Heart health
- Thyroid
- Weight & metabolism
Cost and insurance
Insurance
Doesn’t accept insurance
Ask whether they provide receipts for out-of-network reimbursement.
Self-pay
- Initial consultation
- $650
- HSA and FSA accepted
Payment is due in full at booking for the consultation, lab panel and any programme chosen afterwards; card, HSA and FSA are accepted.
Verified September 2026.
Qualifications
FNP-BC, MSCP
