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Sexuality, Intimacy, and Menopause Program

The Sexuality, Intimacy, and Menopause Program is one of the only clinics of its kind in the country. By combining both medical and psychological interventions, it is designed to help women who experience sexual dysfunction after cancer. Sexual dysfunction after cancer is common, however, sexual side effects often go untreated after having successfully treated a patient’s cancer. Our doctors look to manage not only the physical issues, but also any psychological concerns that may arise.

Founded by Dr. Elena Ratner, Associate Professor of Obstetrics, Gynecology & Reproductive Sciences and Co-Chief for the Section of Gynecologic Oncology, and Dr. Mary Jane Minkin, Clinical Professor of Obstetrics, Gynecology & Reproductive Sciences, the clinic began nearly a decade ago. Psychologist Dwain Fehon, PsyD, Associate Professor of Psychiatry and Chief Psychologist of Psychiatric Services at Yale New Haven Hospital, is a vital member of the team. He and his staff provide essential emotional care that helps improve relationships and personal health.

What types of patients do we see?

Women who experience:

• Changes in sexual function as a result of chemotherapy, radiation, or surgery for cancer

• Menopause symptoms as a side eff ect of their cancer treatment

• Early menopause or sexual changes aft er surgery for cancer risk reduction

What we provide

• Menopause symptom management

• Resources for cancer survivors on maintaining sexual health

• Access to complementary and supportive services

• Access to individual and couples counseling

What to expect from your appointment

Our team will first discuss your medical and cancer history as well as what type of treatment you have had. You will be asked about symptoms of menopause and sexual problems, 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 have a gynecologic exam. The team will then discuss options for management of your symptoms and improvement in sexual health. You will also have the opportunity to talk about emotional and relationship issues affecting your life. After initial evaluation, women can be followed in our program for symptom management and treatment. Women are welcome to bring partners to their appointment.


Patient appointments available on Thursdays
• Main Clinic Number: (203) 200-4176