Ask the Expert: A Conversation With Anna Barbieri, MD, Clinical Strategy Leader for the Carolyn Rowan Center for Women’s Health and Wellness

A portrait of Anna Barbieri, MD

Anna Barbieri, MD

The new Carolyn Rowan Center for Women’s Health and Wellness exists to move women’s health care from fragmented encounters to coordinated, whole-person care.

“We know every woman’s health journey is different,” says Anna Barbieri, MD, Clinical Strategy Leader at the Center. “But too often, the experience feels the same with rushed appointments, disconnected specialists, and the burden of coordinating it all yourself. The Rowan Women’s Health Center was created to change that.”

In this Q&A, Dr. Barbieri explains how the Center was created to move women’s health care from fragmented encounters to coordinated, whole-person care by bringing the right experts together, listening deeply, and creating a streamlined plan that supports the whole woman at every stage of life.

In simple terms, what problem is the Center designed to solve?

Fragmentation. Women are often left piecing together care. They have to retell their story, juggle opinions, and try to connect the dots on their own. We bring that care together. Our teams communicate, share a plan, and coordinate the care so patients don’t have to.

How will a patient’s experience feel different?

You won’t feel rushed or dismissed. We take the time to understand what’s happening in your body and your life. Then we build a clear, personalized plan that makes sense across specialties. Care here is holistic, integrated, proactive, and intentional. We are not taking a symptom-by-symptom approach.

 Women often manage separate appointments for hormones, sleep, mental health, and more. How do you simplify that?

Those issues are connected, so that’s where we start. Our guided clinical pathways bring the right experts together under one roof, and the care including appointments is coordinated by a dedicated navigator—essentially a care guide that helps organize the journey through the health care system. There’s a shared plan and clear next steps aimed at eliminating any gaps.

Many women say they don’t feel heard. How is this different?

Being heard isn’t optional. It’s essential to good medicine. We’ve built our model around longer visits, deeper listening, and a culture that takes women’s concerns seriously.

What does coordinated care actually look like from the patient’s perspective?

Seamless. There’s a clear entry point, a thoughtful assessment, and a plan that unfolds over time. Specialists communicate directly with each other, so patients aren’t stuck playing messenger. The personal navigator is the glue making sure all details are taken care of efficiently.

What about major transitions like perimenopause or postpartum recovery?

These aren’t one-visit issues. We support women over time through education, evidence-based treatments, and adjusting care as needs evolve. The goal is thoughtful help with symptoms and long-term health, not crisis-driven visits. It’s impossible to cover all aspects of these transitions such as emotional health, sleep, energy, and gynecologic health in a single 15-minute time slot. That is why we designed our care pathways to unfold in a way that addresses these and other layers of health. For example, we know that women can struggle with sleep problems, and adequate sleep is critical for women’s health and plays a vital role in regulating various functions of your body.

How do you make sure care is truly personalized?

It starts with listening, but it’s also grounded in data and shared decision-making. Every treatment has its intended benefits and trade-offs. We consider a woman’s symptoms, risks, goals, and preferences and build a plan together. What’s right for one patient may not be right for another.

Who might be part of a woman’s care team?

Depending on her needs, that could include gynecology, cardiology, endocrinology, behavioral health, nutrition, pelvic floor therapy, and more. The difference is that everyone works within a shared model, with shared goals.

What excites you most about the future of women’s health care?

We’re moving from reactive, episodic care to integrated, lifelong care. That means connecting hormonal health in young adulthood to midlife and beyond, integrating emotional and cognitive health, and blending medical treatments with lifestyle strategies. We’re also bringing research directly into clinical care so knowledge advances faster.

Your Spring Reset

A picture of a mother and daughter walking along the Manhattan waterfront

Spring presents itself as an effortless season of renewal. The light lingers a little longer each evening, the air softens, and the world begins to stir back to life.

But for many women, the shift into spring is rarely as seamless as it appears, according to experts at the Carolyn Rowan Center for Women’s Health and Wellness at Mount Sinai.

As daylight increases in the spring, the body also begins recalibrating its internal clock. Light exposure influences the hypothalamus, the brain’s master regulator of circadian rhythm, which in turn affects hormones such as cortisol and melatonin, as well as  serotonin activity. The body responds to more light by shifting when it wants to wake, sleep, move, and eat.

That recalibration is an opportunity. Spring is one of the best, natural moments in the year to reset health habits. The biology is already leaning in that direction. The question is whether you lean with it, according to these experts.

Here is how to do that well.

Embrace the Light

Morning light is one of the strongest signals for resetting circadian rhythm. Even 10 to 15 minutes outdoors within the first hour of waking can improve sleep timing, stabilize mood, and regulate cortisol patterns.

Protect Your Sleep                                                                                             

Better light exposure during the day is only half of the equation. Sleep quality depends equally on what happens after dark. Consistent sleep and wake times, a calming evening routine, and reduced screen exposure in the hour before bed all support healthy circadian rhythm. Aim for seven to eight hours each night and keep sleep and wake times consistent. For women in perimenopause and beyond, when declining estrogen and progesterone can make sleep more fragile and more fragmented, these habits are foundational.

Nourish Your Body

Spring is a good moment to audit what you are eating, not to restrict, but to recalibrate toward foods that support your physiology. Nutrient-dense whole foods, adequate calcium, vitamin D3, and consistent hydration support bone density, metabolic health, and hormonal function across every decade of a woman’s life.

Move With Intention  

Longer days and warmer temperatures make movement more accessible, and the research on what kind of movement matters most for women is increasingly clear. Strength training protects muscle and bone mass. Low-intensity aerobic movement supports cortisol regulation and cardiovascular health. Women across all age groups benefit from both, and the return on investment only increases over time.

Self-Care is Preventive Care  

For women 40 and older, a spring reset is also a reasonable prompt to make sure certain health conversations have happened recently. Consider whether you are current on a bone density screening, a sleep evaluation, a mental health check-in, a cardiovascular risk assessment, and a real conversation about hormone literacy, meaning a genuine understanding of where your hormones are and what they are doing.

At the Carolyn Rowan Center for Women’s Health and Wellness, we think about women’s health across the lifespan and across every transition. This spring, use the season for what it is genuinely good for: a biologically supported moment to reassess, reset, and invest in yourself.

A New Model for Women’s Health Care Takes Shape on Manhattan’s Upper East Side

An image shows the lobby of the new Rowan Women's Health Center and Joanne Stone, MD, Francesco Callipari, MD, and Anna Barbieri, MD

Standing in the lobby of the new Rowan Women’s Health Center are, from left, Joanne Stone, MD, Francesco Callipari, MD, and Anna Barbieri, MD.

When the Carolyn Rowan Center for Women’s Health and Wellness opens in May, Mount Sinai plans to do more than unveil a new facility. The objective is to revolutionize how women experience care—especially during the often-overlooked stages of midlife and menopause.

Located at East 99th Street and Madison Avenue, the Rowan Women’s Health Center will unite specialists across disciplines—gynecology, cardiology, endocrinology, behavioral health, nutrition, orthopedics, pelvic floor therapy, and more—under one roof. The goal is to replace the fragmented, difficult-to-navigate appointment landscape many women face with a seamless, integrated experience that guides each patient through coordinated, evidence-based care tailored to her as a whole person.

“Our patients won’t have to explain their story again and again,” said Anna Barbieri, MD, one of the Center’s founding leaders. “Every provider they meet is part of a connected team that already knows them, their goals, and their plan.”

Closing Gaps in Care

The Rowan Women’s Health Center was conceived to address a long-standing gap in women’s healthcare. For many women—particularly during perimenopause, menopause, and later life—care is often fragmented, scattered across multiple specialties with little coordination. Even as research advances, these logistical struggles create a barrier to integrated care for hormonal, cardiovascular, metabolic, and emotional well-being.

“Women deserve care that reflects the full complexity of their lives and bodies,” said Joanne Stone, MD, MS, Chair of the Department of Obstetrics, Gynecology and Reproductive Science at Mount Sinai. “At the Center, we’re redefining what comprehensive care looks like—bringing together the best of medical science and integrative wellness in one coordinated experience.”

Guided, Integrated Care

At the heart of the Center’s approach is MyPath, a series of guided care experiences that organize services around specific areas of women’s health, such as hormonal and cardiometabolic wellness, postpartum recovery, and surgical transitions.

Rather than navigating multiple referrals and follow-up calls, patients will work with care teams who coordinate across specialties. A woman managing menopause symptoms, for example, will also be able to address her heart, metabolic, bone health, and mental health, while someone recovering postpartum will be referred to pelvic floor therapy, nutrition counseling, and emotional wellness support—all within a single, connected environment.

“It’s a new level of care coordination that truly puts women at the center,” Dr. Barbieri said.

An image of a doctor with a female patient.

The Center will unite specialists across disciplines, with the goal of replacing the fragmented, difficult-to-navigate appointment landscape many women face with a seamless, integrated experience that guides each patient through coordinated, evidence-based care tailored to her as a whole person.

Educating and Empowering Women

Studies show that many women enter perimenopause or menopause without the information or guidance they need. Nationally, only about half seek medical support, and many describe the experience as confusing or stigmatized.

The Rowan Women’s Health Center plans to address that gap through both care and education. Public programs, expert talks, and a new podcast, HERology hosted by the Center’s co-leaders, will explore topics ranging from hormonal and sexual health to mental well-being, bone strength, and longevity.

“Knowledge is empowering,” said Leslee Shaw, PhD, Director of the Blavatnik Family Women’s Health Research Institute, and Vice Chair for Research, Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, and a leading expert in women’s cardiovascular health. “By sharing insights from science and clinical experience, we will help women feel informed, confident, and in control of their health choices.”

A Model for the Future

As the first center of its kind located in New York City, the Carolyn Rowan Center for Women’s Health and Wellness at the Mount Sinai Health System will become a model for how women’s health is delivered nationwide. Its multidisciplinary structure, guided care pathways, and strong emphasis on education and prevention reflect a growing movement to view women’s health as lifelong, interconnected, and central to innovation in medicine.

“Women’s health is entering a new era,” said Dr. Barbieri. “The Center is part of a larger shift to elevate the standard of care—to treat women not as an afterthought in medicine, but as the foundation of health innovation.”

How Much Do You Know About Breast Cancer? Take the Quiz

 

Breast cancer is one of the most common cancers in the United States, yet there are many misconceptions about the disease. Improving your knowledge is one way you can fight it.

Can you separate myth from fact? Take the quiz below, then click “Done” to see your score and correct answers.

The following quiz is based on Seven Common Misconceptions About Breast Cancer published in Mount Sinai Today.

Create your own user feedback survey

Rushing to the Bathroom? Get Help for Overactive Bladder

You may know well that feeling of frequently running to the bathroom to urinate or waking up at night and making your way to the toilet. You’re not alone. 

Overactive bladder is a condition that causes sudden urges to urinate in both men and women that may be hard to control, often resulting in urinary incontinence, another name for losing control of your bladder.  

Urinary incontinence affects women twice as often as men, as pregnancy, childbirth, and menopause can affect the bladder, urethra, and other muscles in women, according to the Office on Women’s Heath of the U.S. Department of Health and Human Services  

“If you’re having these symptoms, don’t be embarrassed to schedule an appointment with your physician to discuss your concerns,” says Feven Getaneh, MD, a urogynecologist at Mount Sinai. “We see these kinds of symptoms all the time and are here to help you and point you in the right direction so that we can help improve your quality of life.”  

Feven Getaneh, MD

In fact, there are many treatment options available for overactive bladder, such as pelvic floor muscle exercises, medication, and bladder injections. 

 

In this Q&A, Dr. Getaneh, who is also Assistant Professor in the Raquel and Jaime Gilinski Department of Obstetrics, Gynecology and ReproductiveScience at the Icahn School of Medicine at Mount Sinai, explains common symptoms of overactive bladder, how the condition is diagnosed, and treatment options for women. 

 

What is overactive bladder? 

Overactive bladder, also known as OAB, is characterized by bothersome urinary symptoms. This can include urinary urgency, frequency of running to the bathroom, waking up at night to use the bathroom, and even having incontinence episodes when you’re on your way to the bathroom. 

Can you prevent overactive bladder?  

While we don’t know whether overactive bladder is preventable, there are certain things in your behavior that you can modify to help with bothersome urinary symptoms. These include: 

  • Drink less caffeine and carbonated beverages 
  • Use the bathroom at least every two hours 
  • Do some pelvic floor muscle exercises to strengthen your pelvic floor muscles 

How is overactive bladder diagnosed?  

Patients who have bothersome urinary urgency, where they’re running to the bathroom frequently and  often having accidents on the way, should talk with their physician. Their physician may refer them to a specialist, such as a urogynecologist, to evaluate their symptoms and determine the best treatment options that are available. Diagnosis may involve a physical exam and diagnostic tests, such as a urine analysis; tests that measure bladder function; or a cystoscopy, a procedure that examines the inside of the bladder using a thin, flexible tube with a camera.   

What are the treatment options? 

We have many treatment options for women with bothersome urinary symptoms. Sometimes we will refer women to physical therapists to strengthen their pelvic floor muscles. Sometimes we’ll start a bladder medication so that you have more time to make it to the bathroom. If these measures aren’t helpful, we have a lot of advanced therapies to deal with overactive bladder. We do bladder Botox® injections in our office. We also implant pacemakers for the bladder, which are done in the operating room. We even offer an outpatient acupuncture treatment for overactive bladder.  

At Mount Sinai, we have a team of specialists that can find the treatment plan that’s right for you. Call 646-412-9897 to schedule an appointment with a urogynecologist.  

I Am Thinking About Freezing My Eggs. How Does It Work?

 

Egg freezing is popular among women looking for options and balancing family planning with other important responsibilities. Thanks to significant scientific advancements in the laboratory, success rates are higher than ever.

In this Q&A, Alan Copperman, MD, Director of the Division of Reproductive Endocrinology and Infertility and Vice Chair of the Raquel and Jaime Gilinski Department of Obstetrics, Gynecology and Reproductive Science at the Mount Sinai Health System, explains the process of egg freezing and its benefits. Dr. Copperman is also Managing Director and Chief Executive Officer of RMA of New York.

“Fertility preservation has the potential not only to safeguard fertility, but also to empower women to choose parenthood on their terms, at their own pace, aligning with personal and professional aspirations,” says Dr. Copperman. “It enables informed decisions about future family planning.”

Why should I freeze my eggs?

Egg freezing halts the biological clock, which is crucial for women whose age may mean they are facing possible declines in egg quality and quantity. Preserving eggs at a younger age enhances the chances of future conception and reduces risks of chromosomal abnormalities in offspring. It safeguards a woman’s fertility timeline while optimizing her prospects of having biological children later in life.

When should I freeze eggs?

Freezing eggs at a younger age is advisable, ensuring eggs are preserved at their peak quality and minimizing age-related reproductive challenges.

How does the process work?

Over a two-week period, the ovaries are stimulated to release multiple mature eggs for retrieval. Patients self-administer fertility medications, attend monitoring appointments, and then undergo a brief egg retrieval procedure under light sedation. Eggs are frozen and securely stored for future use.

How many eggs are frozen?

The number of eggs to freeze varies based on a woman’s age and family-building goals. Some may require multiple rounds of egg freezing to collect an adequate number of eggs.

What happens next?

When you are ready to conceive, your frozen eggs are thawed and fertilized with sperm, leading to embryo transfer into the uterus to achieve pregnancy.