I'm Dr. Jane Rivera. I help women in perimenopause and menopause sort through symptoms, evidence, and options, then build a plan that fits your health history. Video visits from home, no waiting room.
Board-certified in Internal Medicine. Menopause Society Certified Practitioner (placeholder). Telehealth visits in [State list placeholder].
A full-hour first visit that actually covers your history: symptoms, labs, family history, and what the evidence says about each option in front of you.
An honest look at whether HRT makes sense for you, including the risks and the current evidence. If it isn't right for your history, you'll hear that too.
Bone density, sleep disruption, and brain fog deserve more than a shrug. We measure, track, and treat what's actually going on.
These short videos show how I think about hormone therapy, sleep, bone health, and brain fog, so you know what to expect before your first visit.
“Every treatment decision here is made between you and your doctor, based on your history and the current evidence. No one-size-fits-all protocols, and no promises a careful doctor wouldn't make.”
That means we read the studies together when it helps, we name the uncertainty when it exists, and the plan you leave with is one you understand well enough to explain to someone else.
"The first doctor in years who didn't glance at the clock. She went through my history like it mattered."
"I came in convinced HRT was off the table for me. We walked through the actual evidence, and I finally understood my options."
"She said 'I don't know yet, let's find out' and then actually found out. That's all I ever wanted from a doctor."
When it's appropriate for your history, yes. We'll go through the evidence and your risk factors together, and the decision is always yours to make with full information.
For most consults, yes. If something needs an in-person exam or labs, I'll say so and help you arrange it locally.
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Gather any recent labs, your medication list, and a short timeline of your symptoms. We'll take it from there.
Pick a time that works. First visits are 60 minutes.
Book a visit