TeleHealth Visits - Get the care you need from the comfort of your home.

Menopause Management Specialist

Innovative HealthCare Physicians -  - OB-GYN

Innovative HealthCare Physicians

OB-GYNs located in Financial District, New York, NY

Menopause can cause significant symptoms in many women, and even in those who have few symptoms, getting care can help reduce risk factors for other conditions. Dr. Wirth offers complete care for New York City area women in every stage of menopause so they can continue to feel their best.

Menopause Management Q & A

What are the symptoms of menopause?

Menopause is defined as a condition that occurs when you have not had a period for 12 consecutive months. The time prior to menopause is called perimenopause. Symptoms occurring during this time and which can extend into menopause include:

  • hot flashes
  • night sweats
  • mood fluctuations
  • fatigue
  • aching joints
  • headaches
  • insomnia
  • vaginal dryness
  • incontinence
  • irregular or abnormal periods
  • changes in sex drive

Some women have very few symptoms during perimenopause, while others experience the gamut. Dr. Wirth can help determine if your symptoms are caused by natural hormonal fluctuations or if other conditions may be involved.

How do I know if I'm in perimenopause?

Usually, your age combined with symptoms provide enough information to determine if you're in the early stages of menopause. In some cases, a blood test, vaginal exam or other diagnostic test may be performed to rule out other issues that can cause similar symptoms, especially if you have a personal or family history or cervical cancer or fibroids.

What is hormone replacement therapy?

During perimenopause and menopause, the body's production of estrogen and progesterone declines dramatically. Hormone replacement therapy (HRT) replaces lost hormones to prevent many of the symptoms and side effects associated with lower levels of these hormones. Because estrogen and progesterone play such key roles in women's health, many women find they feel better with HRT.

Do I need Pap tests once I'm in menopause?

Yes, even if you're in menopause, you still need Pap tests unless you've:

  • had a total hysterectomy for non-cancerous reasons and have had no previous Pap tests indicating precancerous cells or abnormalities;
  • are 65 years of age or older and have had three or more normal Pap tests in a row and no abnormal Pap test results within the last 10 years.

Obstetrics Services:

High Risk Pregnancy

Learn More →


Learn More →


Gynecology Services:

Well Woman Exams

Learn More →

Juliet Laser Treatment

Learn More →


Learn More →

Leep Procedure

Learn More →

Abnormal Periods (Menstrual Cycle)

Learn More →

Abnormal Uterine Bleeding

Learn More →

Menopause Management

Learn More →


Learn More →


Learn More →


Learn More →


Learn More →

Vaginal Infections And UTI

Learn More →