Smilow Cancer Hospital Sexuality, Intimacy, and Menopause Program
The Sexuality, Intimacy, and Menopause (SIM) Program was one of the first clinics in the country dedicated to supporting patients who experience sexual or hormonal challenges during and after cancer treatment. Our interdisciplinary approach offers patients a supportive environment to focus on these important health and quality of life issues. Providers seek to treat patients holistically by addressing physical, hormonal, and psychological concerns.
Established in 2008 by Dr. Elena Ratner and Dr. Mary Jane Minkin, the SIM program is composed of medical and behavioral health providers. Our team consults with patients to develop personalized care plans that integrate medical and psychosocial interventions to address concerns related to sexuality, intimacy, and menopause. Additionally, we offer care targeted toward menopause management for “previvors” – those who undergo preventive surgeries due to a genetic risk of cancer.
What types of patients do we see?
Patients who experience:
• Changes in sexual health following chemotherapy, radiation, or surgery for cancer
• Menopause symptoms as a side effect of cancer treatment
• Early menopause or sexual changes after surgery for cancer risk reduction
What we provide:
• Menopause symptom management
• Resources for maintaining sexual health during and after cancer
• Brief psychotherapy and skills-based psychological interventions
• Access to complementary and supportive services
What to expect from your appointment:
Our team will first discuss your medical and cancer history including types of treatment you have received. You may be asked about symptoms of menopause and sexual concerns, such as hot flashes, night sweats, changes in sexual desire, painful intercourse, vaginal dryness, or changes in mood or sleep patterns.
Depending on the symptoms you are experiencing, you may be offered a gynecologic exam. The team will then discuss options for symptom management. You will also be given the opportunity to discuss emotional, behavioral, and relationship issues that may be impacting you. Patients are welcome to bring support partners to their appointments.
Make Your Appointment:
Appointments are available on Tuesdays, Thursdays, and Fridays. Please call the Main Clinic Number: 203.200.4176
Mary Jane Minkin, MD and Elena Ratner, MD