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.
Three areas make up most first visits. Each one starts with your story, not a protocol.
A full-hour first visit that actually covers your history: symptoms, labs, prior treatments, and what you want to change.
An honest look at whether HRT makes sense for you, including the risks and the current evidence, explained in plain language.
The symptoms that get dismissed elsewhere get a real workup here: sleep disruption, brain fog, and long-term bone strength.
You shouldn't have to guess whether a doctor gets it. 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.”
The first doctor in years who asked what my nights actually look like before suggesting anything. I left with a plan I understood.
She walked me through the HRT evidence line by line, risks included. It was the opposite of a sales pitch.
I'd been told my brain fog was just stress. Dr. Rivera took it seriously and actually looked for causes.
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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Pick a time that works. First visits are 60 minutes.