I am a board-certified gynecologist with a multifaceted clinical practice. I provide general gynecologic care to cancer patients at Memorial Sloan-Kettering, whether they are in the midst of therapy or have already completed their treatment. I also care for women who are at high risk for gynecologic cancers due to their personal or family histories.
After cancer treatment many women have acute gynecologic needs and other survivorship issues. For these women I developed a program that helps them manage menopausal symptoms, addresses their hereditary risk, refers them for screening evaluations, and promotes their sexual health during and after treatment. I also discuss fertility options for those women who may become menopausal as a result of treatment, or for whom pregnancy is contraindicated after treatment.
Women at high risk for breast or ovarian cancer may opt for preventive surgery to remove their ovaries. For those women who are premenopausal, I discuss the options for managing menopausal symptoms with them to help develop a treatment plan before their surgery.
I also have expertise in helping women to manage the symptoms of menopause such as hot flashes and night sweats and the increased risk of osteoporosis that can occur after menopause or is due to cancer treatment. I care for both young women whose early-onset menopause is related to cancer therapy and older women who have reached menopause naturally but whose choices for managing symptoms are limited because of their cancer histories. For example, estrogen-based hormone replacement therapy may not be the best option for some women who have been treated for breast cancer.
Many women have concerns and questions about the various treatments for managing menopausal symptoms. I discuss all treatment options and the pros and cons of each with my patients before establishing an individualized treatment plan. With so many advances and treatment options available today, menopausal symptoms can usually be managed very effectively.
My research interests include investigating ways to maximize the quality of life of menopausal patients who have been treated for cancer and who are not candidates for hormone therapy.