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Frequently Asked Questions

About the Practice & Dr. Simhaee

Who is Dr. E. Jacob Simhaee and where is his practice located?

Dr. E. Jacob Simhaee, MD, FACOG is a board-certified OB-GYN and cosmetic gynecologist serving women in Manhasset, Long Island and Forest Hills, Queens, NY. His Manhasset office is located at 1201 Northern Blvd, Suite 300—close to North Shore University Hospital. With over four decades of experience, Dr. Simhaee combines comprehensive women's health care with cutting-edge cosmetic, hormonal, and regenerative treatments under one roof.

What makes Dr. Simhaee different from a standard OB-GYN on Long Island?

Unlike a traditional OB-GYN, Dr. Simhaee's practice integrates conventional gynecology with advanced wellness services: bioidentical hormone therapy (BHRT), thyroid optimization, managed medical weight loss, body contouring, skin resurfacing, vaginal rejuvenation, hair restoration, the O-Shot, and urinary incontinence treatment—all performed by a physician who specializes in female anatomy. Women in Nassau County and across Long Island no longer need to visit multiple providers for these concerns.

What areas does Dr. Simhaee serve on Long Island and in New York?

Dr. Simhaee primarily serves Manhasset, Great Neck, Port Washington, Roslyn, Garden City, Mineola, Woodbury, Syosset, Oyster Bay, and across Nassau County, Long Island. He also sees patients from Queens, Forest Hills, and the greater New York City area at his Forest Hills location at 107-21 Queens Blvd, Suite 1.

Why should I see a gynecologist for cosmetic treatments instead of a med spa?

When a board-certified OB-GYN performs cosmetic and aesthetic treatments, you benefit from a level of anatomical expertise, diagnostic capability, and medical oversight that a typical med spa cannot provide. Dr. Simhaee can identify underlying hormonal, structural, or medical causes of concerns like hair loss, weight gain, vaginal changes, or skin aging—and treat the root cause alongside the cosmetic symptom. He also performs procedures like Morpheus8 vaginal rejuvenation and the O-Shot that require intimate knowledge of female anatomy and should only be performed in a clinical medical setting.

Does Dr. Simhaee accept new patients in Manhasset, NY?

Yes. Dr. Simhaee is currently accepting new patients at both his Manhasset and Forest Hills locations. Book online at simhaeeobgyn.com or call (516) 365-6167. Thursday evening hours until 7:00 PM are available for working patients.


Bioidentical Hormone Replacement Therapy (BHRT)

What is bioidentical hormone replacement therapy (BHRT) and who is it for?

Bioidentical hormone replacement therapy (BHRT) uses hormones that are molecularly identical to those naturally produced by the human body. It is designed for women experiencing symptoms of hormonal imbalance, including menopause, perimenopause, low libido, fatigue, mood swings, brain fog, weight gain, hot flashes, night sweats and sleep disturbances. Dr. Simhaee offers BioTE pellet therapy and customized BHRT protocols at his Manhasset, Long Island practice.

What is BioTE hormone pellet therapy and how does it work?

BioTE is a brand of bioidentical hormone pellet therapy. Biote as brand has been around since 1995, assisting in over 8,000 patients, and providers across the entire US. Tiny pellets—approximately the size of a grain of rice—are inserted just beneath the skin in the hip area during a simple in-office procedure. The pellets release a consistent, low dose of estrogen and/or testosterone over 3 to 6 months, closely mimicking the body's natural hormone release. Most patients report improved energy, mood, libido, and body composition within weeks of their first insertion.

How is BHRT different from traditional hormone replacement therapy (HRT)?

Traditional HRT often uses synthetic or animal-derived hormones that approximate but do not exactly match human hormones. Bioidentical hormones are structurally identical to what your body produces – it’s source is nature. Dr. Simhaee customizes every BHRT protocol to the patient's individual hormone levels based on bloodwork, and many women report fewer side effects than with conventional HRT. Women across Long Island who have been told HRT is not right for them are encouraged to come to our Manhasset office for a comprehensive hormone evaluation.

Can BHRT help with perimenopause and menopause symptoms?

BHRT is one of the most effective evidence-based treatments for perimenopause and menopause symptoms. Women in Manhasset, Nassau County, and across Long Island who struggle with hot flashes, night sweats, vaginal dryness, mood changes, memory issues, or disrupted sleep may find significant relief through personalized BHRT by Dr. Simhaee. A comprehensive hormone panel is ordered before starting any treatment.

Does BHRT help with weight loss and metabolism?

Declining estrogen and testosterone are common but often overlooked drivers of stubborn weight gain in women, particularly around the abdomen. Restoring hormonal balance through BHRT can improve metabolism, increase lean muscle mass, and reduce fat accumulation. Dr. Simhaee frequently combines BHRT with his managed medical weight loss program for compounding results at his practice in Manhasset, Long Island.


BHRT for Cancer Survivors

Can women who have had breast cancer use hormone therapy?

This is one of the most important—and underserved—questions in women's health. Many breast cancer survivors are told they can never use any hormone therapy, leaving them to manage severe menopausal symptoms without support. Dr. Simhaee works closely with cancer survivors at his Manhasset, Long Island practice to evaluate each patient's individual history, to determine what—if any—hormone support may be safe and appropriate. There is no universal answer, but every woman deserves an individualized conversation.

What hormone options are available to breast cancer survivors?

Depending on the type of breast cancer, treatment history, receptor status (ER+/PR+/HER2+ vs. Triple Negative), and time since treatment, options may include: low-dose topical or vaginal estrogen for urogenital symptoms (which has minimal systemic absorption), testosterone therapy (which has a distinct safety profile from estrogen), non-hormonal options for hot flashes and mood support, and specialized BHRT protocols in consultation with the patient's oncologist. Dr. Simhaee does not take a one-size-fits-all approach for patients in Nassau County and the greater New York region.

Can cancer survivors use testosterone therapy safely?

Testosterone has a different receptor profile from estrogen and is not directly contraindicated for many breast cancer survivors, though this depends on individual circumstances. Some research suggests testosterone may actually have a protective effect on breast tissue. Dr. Simhaee evaluates each cancer survivor on a case-by-case basis and coordinates with the patient's oncology team. Women in Nassau County and Long Island who have been turned away from other practices because of their cancer history are welcome to schedule a consultation at our Manhasset office.

Are there non-hormonal treatments for menopause symptoms in cancer survivors?

Yes. For women who cannot safely use any form of hormone therapy, Dr. Simhaee offers several effective alternatives at his Manhasset, Long Island practice: certain FDA-approved non-hormonal medications for hot flashes, FemiLift laser therapy for vaginal atrophy and dryness (which works topically without systemic hormonal absorption), pelvic floor support, nutritional and lifestyle optimization, and thyroid evaluation (since thyroid dysfunction frequently compounds menopausal symptoms). No woman should have to suffer in silence.


Testosterone Therapy for Women

Do women need testosterone, and why would a woman need testosterone therapy?

Yes—testosterone is a critical hormone for women, not just men. Sadly society has called testosterone a “Male-Only Hormone” and it’s not. Women produce testosterone in the ovaries and adrenal glands, and levels naturally decline with age, stress, oral contraceptive use, and surgical menopause. Low testosterone in women causes low libido, fatigue, reduced motivation, difficulty building muscle, brain fog, thinning hair, night sweats and a decreased sense of well-being. Dr. Simhaee offers testosterone-only therapy for women at his Manhasset, Long Island practice—a standalone option separate from full BHRT.

What are the symptoms of low testosterone in women?

Common signs of low testosterone in women include: persistent fatigue and low energy despite adequate sleep, significantly reduced or absent sex drive, difficulty achieving orgasm, loss of muscle tone despite exercise, increased body fat (especially abdominal), depression or flat mood, poor concentration and memory, and thinning hair. Many women on Long Island are surprised to learn that these symptoms—often attributed to stress or aging—have a hormonal cause that is highly treatable by Dr. Simhaee in Manhasset.

How is testosterone administered for women?

Dr. Simhaee offers several testosterone delivery options for women at his Manhasset practice, including BioTE pellets (slow-release subcutaneous pellets lasting 3 to 6 months), topical creams or gels applied to the skin, and injectable options in select cases. The best method depends on the patient's hormone levels, lifestyle, and preferences. Dosing for women is far lower than for men and is carefully calibrated to optimize benefits while avoiding side effects.

Is testosterone therapy safe for women? What are the side effects?

When properly dosed and monitored, testosterone therapy is safe for most women. Side effects at physiologically appropriate doses are uncommon but may include mild acne, increased facial hair, or slight voice changes—all of which are dose-dependent and reversible. Dr. Simhaee monitors testosterone levels through regular bloodwork and adjusts dosing accordingly. Women in Nassau County and across Long Island interested in testosterone therapy should schedule a hormone panel consultation at his Manhasset office.

Can testosterone therapy improve my sex drive?

Testosterone is the primary hormone driving libido in both men and women. Restoring testosterone to optimal levels is one of the most reliable and effective interventions for low sex drive in women. Many patients at Dr. Simhaee's Manhasset practice report meaningful improvement in libido, arousal, and sexual satisfaction within 4 to 8 weeks of beginning testosterone therapy—often in combination with the O-Shot or vaginal rejuvenation treatments for a comprehensive approach to sexual wellness on Long Island.


Thyroid Optimization

What is thyroid optimization and how is it different from standard thyroid treatment?

Standard thyroid treatment keeps TSH within a broad "normal" lab range. Thyroid optimization, as practiced by Dr. Simhaee in Manhasset, evaluates the complete picture: Free T3, Free T4, Reverse T3, and thyroid antibodies—to ensure your thyroid is functioning optimally for you, not just testing "acceptable". Many women with classic hypothyroid symptoms are dismissed because their TSH is technically normal; Dr. Simhaee investigates further to help women achieve true wellness on Long Island.

What are the signs that my thyroid might be underperforming?

Common symptoms of suboptimal thyroid function in women include persistent fatigue, unexplained weight gain, difficulty losing weight despite diet and exercise, hair thinning, brain fog, depression, cold hands and feet, dry skin, constipation, low libido, and irregular periods. If you live on Long Island or in the Manhasset area and experience several of these symptoms—particularly if you have been told your thyroid is "fine"—a thyroid optimization consultation with Dr. Simhaee is a valuable next step.

What thyroid treatments does Dr. Simhaee offer?

Dr. Simhaee offers comprehensive thyroid testing and may prescribe desiccated thyroid hormone (natural T3/T4 combination) or other optimized protocols tailored to each patient's full lab picture and symptom profile at his Manhasset, Long Island clinic. His approach often integrates thyroid optimization with hormone therapy, adrenal support, and nutritional guidance for a whole-body solution that goes beyond the standard one-size-fits-all levothyroxine prescription.

Can thyroid problems cause weight gain and hair loss?

Yes—thyroid dysfunction is one of the most common and most commonly missed causes of weight gain and hair thinning in women. An underactive thyroid slows metabolism, increases water retention, and impairs fat burning. It also disrupts the hair growth cycle, leading to diffuse thinning across the scalp. Dr. Simhaee addresses thyroid optimization alongside his managed medical weight loss program and AlmaTed hair restoration for patients with overlapping concerns in Nassau County.

How does thyroid function interact with hormone balance?

Thyroid hormones and sex hormones (estrogen, progesterone, testosterone) are deeply interconnected. Estrogen dominance can impair thyroid hormone binding and conversion. Conversely, hypothyroidism can worsen hormonal imbalance symptoms. Dr. Simhaee evaluates the full hormonal picture—thyroid, sex hormones, adrenal function, and metabolic markers—in a single, integrated consultation at his Manhasset, NY practice rather than treating each system in isolation.


Managed Medical Weight Loss

What is managed medical weight loss and how is it different from a diet program?

Managed medical weight loss is a physician-supervised program that goes far beyond calorie counting. At Dr. Simhaee's Manhasset, Long Island practice, weight loss management addresses the underlying medical, hormonal, and metabolic factors driving weight gain—including hormonal imbalances, thyroid dysfunction, insulin resistance, cortisol dysregulation, and medication side effects. Treatment may include prescription medications, hormone optimization, metabolic testing, body composition analysis, and nutritional guidance—all under direct medical supervision.

Does Dr. Simhaee offer GLP-1 medications like semaglutide, tirzepatide (Ozempic/Wegovy/Mounjaro/Zepbound) for weight loss?

Dr. Simhaee's managed medical weight loss program includes evaluation for FDA-approved weight loss medications, including GLP-1 receptor agonists where clinically appropriate. Candidacy is determined based on your health history, BMI, metabolic labs, and prior weight loss attempts. Please call the office in Manhasset at (516) 365-6167 or book online at simhaeeobgyn.com to schedule a weight loss consultation and discuss current availability.

Why can't I lose weight even though I eat well and exercise?

This is one of the most frustrating and common concerns Dr. Simhaee hears from women across Long Island. In many cases, the answer is hormonal. Declining estrogen, low testosterone, suboptimal thyroid function, elevated cortisol, and insulin resistance all create a metabolic environment where fat storage is favored—regardless of effort. Until these root causes are addressed, traditional diet and exercise yield diminishing returns. Dr. Simhaee's integrated approach in Manhasset identifies and corrects these drivers.

Can fixing my hormones help me lose belly fat specifically?

Yes. Abdominal fat accumulation—particularly after age 40—is strongly linked to declining estrogen and testosterone, elevated cortisol, and insulin resistance. BHRT, thyroid optimization, and targeted medical weight loss strategies can meaningfully shift body composition, reducing visceral (abdominal) fat while preserving or building lean muscle. Many women at Dr. Simhaee's Manhasset practice see changes in their midsection that years of diet and exercise alone could not achieve.

Is EMSculpt NEO available alongside the weight loss program?

Yes. EMSculpt NEO is available at Dr. Simhaee's office as a complementary treatment to medical weight loss. While EMSculpt NEO builds muscle and reduces fat through high-intensity electromagnetic energy and radiofrequency, it works best when combined with a healthy hormonal and metabolic foundation. Dr. Simhaee can create an integrated plan combining managed weight loss, hormone optimization, and EMSculpt NEO body contouring for comprehensive results in Manhasset, Long Island.


Perimenopause & Menopause

What is the difference between perimenopause and menopause?

Perimenopause is the transitional phase leading up to menopause, typically beginning in a woman's early-to-mid 40s but sometimes as early as the late 30s. During perimenopause, estrogen and progesterone levels fluctuate erratically, causing irregular periods, hot flashes, mood swings, sleep disruption, and other symptoms—even while periods are still occurring. Menopause is defined as 12 consecutive months without a menstrual period. Post-menopause begins the day after that 12-month mark. Dr. Simhaee treats women at every stage of this transition at his Manhasset, Long Island office.

What are the early signs of perimenopause that women on Long Island should know?

Early perimenopause symptoms include irregular or heavier periods, worsening PMS, new or increased anxiety, disrupted sleep (especially waking between 2 and 4 AM), difficulty managing stress, mood swings, increased fatigue, brain fog, weight gain around the abdomen, reduced sex drive, and vaginal dryness. Many women in their early-to-mid 40s experiencing these symptoms are told "your labs are normal"—but perimenopause is a clinical diagnosis, not just a lab value, and Dr. Simhaee evaluates the full picture at his Nassau County practice.

When should I start thinking about hormone therapy for perimenopause?

The best time to begin a conversation about hormone therapy is before symptoms become severely disruptive. Research suggests that initiating BHRT earlier in the perimenopausal transition—rather than waiting until post-menopause—may offer the greatest benefits for long-term bone density, cardiovascular health, cognitive function, and quality of life. Dr. Simhaee helps women in Nassau County and Long Island create a proactive hormone health plan rather than a reactive one.

Can perimenopause cause anxiety and depression?

Yes—this is widely underrecognized. Fluctuating estrogen levels directly affect serotonin, dopamine, and GABA pathways in the brain, making perimenopause a common trigger for new-onset anxiety, irritability, depression, and mood instability in women who have never experienced these symptoms before. Many women in their 40s are prescribed antidepressants or anti-anxiety medications when hormone balancing through BHRT would address the root cause. Dr. Simhaee evaluates both hormonal and mental health dimensions together at his Manhasset, NY clinic.

What non-hormonal options exist for menopause symptom management?

For women who prefer to avoid or cannot use hormone therapy, Dr. Simhaee offers several evidence-based non-hormonal alternatives at his Manhasset practice: FDA-approved non-hormonal medications for vasomotor symptoms (hot flashes), FemiLift CO2 laser for vaginal atrophy and dryness, nutritional and lifestyle optimization, sleep support strategies, and thyroid evaluation. A combination approach is often most effective and is tailored to each patient's health history and preferences on Long Island.


O-Shot — Sexual Wellness & Rejuvenation

What is the O-Shot and what does it treat?

The O-Shot (Orgasm Shot) is a platelet-rich plasma (PRP) treatment that uses growth factors drawn from the patient's own blood to rejuvenate vaginal and clitoral tissue. Injected into specific areas by Dr. Simhaee at his Manhasset, Long Island practice, the O-Shot stimulates new tissue growth, improved blood flow, and enhanced nerve sensitivity. It is used to treat low libido, difficulty achieving orgasm, reduced sexual sensation, painful intercourse, and mild urinary incontinence.

How is the O-Shot performed and is it painful?

The O-Shot is performed in-office at Dr. Simhaee's Manhasset practice in approximately 30 minutes. A small amount of blood is drawn, processed in a centrifuge to concentrate the platelet-rich plasma, and then injected into targeted areas using a very fine needle after a topical anesthetic is applied. Most patients report minimal discomfort. There is no downtime, and sexual activity can typically resume within a few days for our patients in Nassau County.

Who is a good candidate for the O-Shot near Long Island?

The O-Shot is suitable for women experiencing: decreased sexual sensation or difficulty reaching orgasm, low or absent libido (especially when hormonal causes have been addressed), pain during intercourse (dyspareunia), vaginal dryness, or mild stress urinary incontinence. It is also popular among women who simply want to enhance their sexual responsiveness. Dr. Simhaee frequently combines the O-Shot with testosterone therapy and/or vaginal rejuvenation treatments for a comprehensive sexual wellness protocol in Manhasset.

How long do O-Shot results last and how many treatments are needed?

Most patients notice initial improvements within 3 to 4 weeks of the O-Shot as new tissue and nerve pathways develop, with full effects typically visible at 3 months. Results commonly last 12 to 18 months. A single treatment is often sufficient, though some patients choose annual maintenance injections or combine with additional PRP sessions for cumulative benefit at Dr. Simhaee's Manhasset, Long Island practice.

Can the O-Shot help with urinary incontinence?

Yes—the O-Shot has been shown to provide meaningful benefit for stress urinary incontinence (leaking with coughing, sneezing, laughing, or exercise) by stimulating regeneration of urethral and periurethral tissue. For women on Long Island dealing with both sexual wellness concerns and urinary leakage, Dr. Simhaee can combine the O-Shot with FemiLift for a synergistic, non-surgical approach to both conditions simultaneously at his Manhasset office.


Stress Urinary Incontinence

What is stress urinary incontinence and how common is it among women?

Stress urinary incontinence (SUI) is the involuntary leakage of urine during physical activities that increase abdominal pressure—such as coughing, sneezing, laughing, jumping, or exercising. It is extremely common, affecting approximately 1 in 3 women at some point in their lives, and is especially prevalent after childbirth and during and after menopause. Despite being common, many women in Nassau County and Long Island suffer silently because they feel embarrassed to raise it with a doctor. Dr. Simhaee addresses urinary incontinence compassionately and effectively in Manhasset.

What non-surgical treatments for urinary incontinence does Dr. Simhaee offer?

Dr. Simhaee offers two highly effective non-surgical options for stress urinary incontinence at his Manhasset, Long Island practice. FemiLift CO2 fractional laser therapy stimulates collagen regeneration and tissue tightening in the anterior vaginal wall and urethral support structures over 1 to 3 sessions. The O-Shot uses PRP to regenerate periurethral tissue. Both are in-office procedures with no anesthesia, no incisions, and no significant downtime—making them attractive alternatives to surgical slings or mesh procedures.

Can BHRT help with urinary incontinence?

Yes. Estrogen receptors are present throughout the urogenital tract—including the bladder, urethra, and pelvic floor muscles. Declining estrogen during perimenopause and menopause weakens these tissues, contributing to both stress urinary incontinence and overactive bladder. Restoring estrogen through BHRT or localized vaginal estrogen therapy can meaningfully improve urinary control and reduce urgency. Dr. Simhaee often combines hormonal and procedural treatments for the most durable results in Manhasset, NY.

How do I know if I have stress incontinence vs. urgency incontinence?

Stress incontinence is leakage triggered by physical pressure (a cough, sneeze, or jump). Urgency incontinence is a sudden, intense urge to urinate that is difficult to defer, sometimes followed by leakage. Overactive bladder involves frequent strong urges with or without leakage. Many women have a mixed picture. Dr. Simhaee performs a thorough evaluation—including a bladder control questionnaire and clinical assessment—to identify the type and cause before recommending the most targeted treatment plan at his Long Island practice.


Vaginal Dryness & Genitourinary Syndrome of Menopause (GSM)

What is genitourinary syndrome of menopause (GSM) and why does it happen?

Genitourinary syndrome of menopause (GSM) is the medical term for a cluster of symptoms caused by declining estrogen affecting the vagina, vulva, and urinary tract. Symptoms include vaginal dryness, burning, irritation, itching, pain during intercourse, urinary urgency, and recurrent UTIs. GSM affects up to 50% of postmenopausal women, and unlike hot flashes, it tends to worsen over time if untreated. Many women on Long Island and in Nassau County suffer with these symptoms unnecessarily—effective treatments are available at Dr. Simhaee's Manhasset practice.

What are the treatment options for vaginal dryness and GSM near Manhasset, NY?

Dr. Simhaee offers a range of GSM treatments tailored to each patient's history and preferences. Options include: FemiLift CO2 laser therapy (non-hormonal, highly effective for tissue regeneration), vaginal or topical estrogen therapy (low-dose, minimally systemic), BHRT including pellets or creams, hyaluronic acid vaginal moisturizers, and the O-Shot for combined dryness and sexual wellness concerns. Women who cannot use systemic estrogen—including some cancer survivors—often respond extremely well to FemiLift at our Manhasset, Long Island facility.

Can vaginal dryness affect my relationship and is it treatable?

Vaginal dryness and GSM cause pain during intercourse (dyspareunia), reduced sensation, and difficulty with arousal—all of which can significantly strain intimate relationships and a woman's sense of self. These symptoms are medical conditions, not inevitable consequences of aging, and they are highly treatable. Dr. Simhaee creates a safe, non-judgmental space for women in Manhasset and across Long Island to discuss these concerns and receive effective treatment.

Is vaginal dryness treatment covered by insurance?

Vaginal estrogen therapy for medically confirmed GSM is often covered by insurance when prescribed for health reasons. Procedural treatments like FemiLift may be considered elective. Dr. Simhaee's team will review your specific insurance situation and financing options during your consultation. Call our Manhasset, NY office at (516) 365-6167 to discuss.


Postpartum Hormone Recovery

Why do so many women feel "not themselves" after having a baby?

Postpartum hormonal changes are among the most dramatic the female body experiences. Estrogen and progesterone plummet within hours of delivery. Prolactin surges during breastfeeding, suppressing estrogen and testosterone. Thyroid function is commonly disrupted (postpartum thyroiditis affects 5 to 10% of women). These shifts drive postpartum depression, anxiety, extreme fatigue, hair shedding, brain fog, low libido, and weight retention. Many women on Long Island are told this is "normal" and told to wait it out—but targeted hormonal support from Dr. Simhaee in Manhasset can make a profound difference.

What is postpartum thyroiditis and how is it treated?

Postpartum thyroiditis is an autoimmune inflammation of the thyroid that occurs within the first year after delivery, affecting up to 10% of women. It typically causes a hyperthyroid phase (anxiety, heart palpitations, weight loss) followed by a hypothyroid phase (fatigue, weight gain, depression, brain fog). Many women—and even some doctors—mistake these symptoms for standard postpartum adjustment. Dr. Simhaee performs full thyroid panels for postpartum patients at his Manhasset, Long Island office and treats the underlying thyroid dysfunction rather than the symptoms alone.

Can BHRT help with postpartum depression and anxiety?

Postpartum depression and anxiety have a strong hormonal component. The dramatic drop in estrogen and progesterone post-delivery, combined with sleep deprivation and the physical demands of new motherhood, creates a neurochemically vulnerable state. While not a substitute for psychiatric care when needed, hormone support—including progesterone restoration, estrogen support, and thyroid optimization—can meaningfully improve mood, energy, and cognitive function for postpartum women on Long Island. Dr. Simhaee works collaboratively with mental health providers when appropriate in Manhasset, NY.

When is it safe to start hormone or aesthetic treatments after having a baby?

Timing depends on the specific treatment and whether the patient is breastfeeding. In general, thyroid evaluation and hormone assessment can begin at the 6-week postpartum visit. BHRT discussions typically begin after breastfeeding concludes or at 3 to 6 months postpartum depending on individual circumstances. Aesthetic treatments like AlmaTed for postpartum hair loss and body contouring with EMSculpt NEO are generally appropriate after clearance at the postpartum visit. Dr. Simhaee personalizes the timeline for every patient at his Manhasset practice.

What can I do about postpartum hair loss on Long Island?

Postpartum hair shedding (telogen effluvium) is caused by the hormonal crash after delivery, which pushes a large proportion of hair follicles into the resting phase simultaneously. Shedding typically peaks at 3 to 6 months postpartum and is alarming but usually temporary. However, if thyroid dysfunction, iron deficiency, or prolonged hormonal imbalance is driving the loss, it will not resolve on its own. Dr. Simhaee addresses the root hormonal cause and offers AlmaTed hair restoration at his Manhasset, Long Island practice to accelerate recovery.


Sexual Health & Low Libido

What causes low libido in women and can it be treated?

Low libido (hypoactive sexual desire disorder, or HSDD) in women is most commonly driven by hormonal changes—particularly low testosterone, declining estrogen, and progesterone imbalance. Other contributing factors include thyroid dysfunction, chronic stress and high cortisol, antidepressant or oral contraceptive use, vaginal discomfort (dryness, atrophy), relationship factors, and mental health. Dr. Simhaee takes a comprehensive approach at his Manhasset, Long Island practice—identifying and treating the underlying cause rather than prescribing a single solution.

What treatments does Dr. Simhaee offer for low libido in women?

Dr. Simhaee offers a multi-modal approach to female low libido that may include testosterone therapy (the most evidence-supported hormonal treatment for women's libido), full BHRT for estrogen/progesterone balance, the O-Shot (PRP to enhance clitoral and vaginal sensitivity), vaginal rejuvenation with FemiLift or Morpheus8 for comfort during intercourse, and thyroid optimization. Treatment is customized based on a thorough hormonal evaluation and patient goals in Manhasset, NY.

Is low libido after menopause normal or treatable?

While low libido is extremely common in menopause and perimenopause, it is not something women simply have to accept. The hormonal drivers of low libido—particularly falling testosterone and estrogen—are directly addressable with modern therapies available at Dr. Simhaee's Manhasset practice. Women across Nassau County and Long Island regularly report significant improvements in sexual desire, arousal, and satisfaction following hormone optimization and complementary treatments.

Can birth control pills cause low libido?

Yes—this is a widely recognized but frequently underdiscussed side effect of hormonal contraceptives, particularly combined oral contraceptive pills. OCPs elevate sex hormone binding globulin (SHBG), which binds to testosterone and reduces the amount of free (biologically active) testosterone available. This can significantly suppress libido, arousal, and sexual satisfaction. Some women notice these effects persist even after stopping the pill. Dr. Simhaee evaluates SHBG alongside total and free testosterone levels for women with libido concerns in Manhasset, Long Island.


Morpheus8 — Skin Tightening & Vaginal Rejuvenation

What is Morpheus8 and what can it treat?

Morpheus8 is an FDA-cleared, minimally invasive radiofrequency (RF) microneedling device that remodels skin and underlying fat by delivering RF energy deep into the tissue. It stimulates collagen production and tightens skin without surgery. At Dr. Simhaee's Manhasset practice, Morpheus8 is used for facial rejuvenation, neck tightening, body contouring, and vaginal rejuvenation—a specialized application that addresses laxity, sensation, and tissue quality in the intimate area.

What is Morpheus8 vaginal rejuvenation and who is a good candidate?

Morpheus8 vaginal rejuvenation uses RF microneedling in the vaginal canal and labia to tighten tissues, improve lubrication, enhance sensitivity, and address structural changes from childbirth, hormonal shifts, or aging. Ideal candidates are women experiencing vaginal laxity, dryness, discomfort during intercourse, or reduced sexual satisfaction. Dr. Simhaee performs this procedure at his Manhasset, Long Island office with little to no downtime required.

How many Morpheus8 treatments are needed and what results can I expect?

Most patients achieve optimal results with 1 to 3 sessions spaced 4 to 6 weeks apart. Results continue to build over 3 to 6 months as new collagen forms. Skin tightening, texture improvement, and vaginal rejuvenation results are typically long-lasting. Dr. Simhaee customizes the treatment plan based on individual goals and findings during your consultation at his Manhasset, Long Island office.

Can Morpheus8 be used on the face and body as well as for vaginal rejuvenation?

Yes. Morpheus8 is a versatile platform used at Dr. Simhaee's practice for facial skin tightening (jowls, lower face, neck), body contouring (abdomen, inner thighs, arms), and intimate rejuvenation—all using the same underlying radiofrequency microneedling technology with different handpiece attachments calibrated for each area. Many patients combine facial Morpheus8 with vaginal Morpheus8 in the same treatment plan at our Manhasset clinic.


FemiLift — Vaginal Rejuvenation & Urinary Incontinence

What is FemiLift and what does it treat?

FemiLift is a non-invasive fractional CO2 laser treatment designed for women's intimate health. It uses controlled laser energy to stimulate collagen regeneration and tissue remodeling inside the vaginal canal. At Dr. Simhaee's Manhasset practice, FemiLift treats vaginal atrophy, dryness, laxity, and stress urinary incontinence—without surgery, anesthesia, or significant downtime.

Can FemiLift treat urinary incontinence without surgery?

Yes—stress urinary incontinence (leaking when coughing, sneezing, laughing, or exercising) is one of the primary indications for FemiLift. The CO2 laser energy tightens and supports the urethral area and anterior vaginal wall, helping reduce or eliminate involuntary leakage. Many women across Long Island who want to avoid medication or surgical slings have found FemiLift to be an effective, comfortable, and low-risk alternative. Results are typically seen after 1 to 3 treatment sessions with Dr. Simhaee in Manhasset.

What is the difference between FemiLift and Morpheus8 for vaginal rejuvenation?

Both treatments are offered at Dr. Simhaee's Manhasset practice, but they use different technologies. FemiLift uses fractional CO2 laser energy and is especially effective for vaginal atrophy (dryness, irritation) associated with menopause and for stress urinary incontinence. Morpheus8 uses radiofrequency microneedling and is best suited for vaginal laxity and tissue tightening. Dr. Simhaee will recommend the best option—or a combination—based on your specific symptoms and goals on Long Island.

Is FemiLift painful and what is the recovery like?

FemiLift is generally well tolerated. Most women describe a mild warming sensation. A topical anesthetic is applied beforehand. The procedure takes approximately 15 to 30 minutes, requires no anesthesia or incisions, and patients can typically return to normal activities the same day. Minor spotting or discharge may occur for a few days. Sexual activity is typically resumed after 5 to 7 days for patients visiting our Manhasset, Long Island office.


Alma Opus Colibri — Eye Rejuvenation

What is Alma Opus Colibri and what does it treat?

Alma Opus Colibri is a specialized fractional plasma handpiece from Alma Lasers used at Dr. Simhaee's Manhasset practice for periorbital (eye area) rejuvenation. It targets fine lines, wrinkles, crepey skin, and mild hooding around the upper and lower eyelids using precise micro-plasma energy to resurface and tighten delicate skin—without surgery.

How is Opus Colibri different from surgical eyelid surgery (blepharoplasty)?

Blepharoplasty requires incisions, anesthesia, and 7 to 14 days of recovery. The Alma Opus Colibri offers a non-surgical alternative with approximately 3 to 7 days of social downtime. Results are visible and meaningful but may be more subtle than surgery. It is ideal for women on Long Island who are beginning to notice aging around the eyes and want a non-invasive first intervention or a way to maintain prior surgical results in Manhasset.

What results can I expect and how long do they last?

Most patients notice visible skin tightening and texture improvement around the eyes within 2 to 4 weeks as new collagen forms. Results build over 3 months and can last 1 to 2 years or longer with proper skincare and sun protection. Typically 1 to 3 sessions spaced 4 to 6 weeks apart are recommended by Dr. Simhaee at his Manhasset, Long Island office.

Can Opus Colibri be combined with other treatments like injectables or Morpheus8?

Yes—combination treatments are common and often produce the best aesthetic outcomes. Opus Colibri can be paired with Botox to address dynamic wrinkles (crow's feet) while the Colibri treats static lines and skin quality. It can also be combined with Morpheus8 for the lower face to create a comprehensive non-surgical facial rejuvenation plan. Dr. Simhaee's consultations include a full facial assessment so recommendations are tailored to the patient's complete picture in Manhasset.


Alma Opus Focus — Skin Resurfacing

What is Alma Opus Focus and what skin concerns does it treat?

Alma Opus Focus is a fractional plasma skin resurfacing treatment available at Dr. Simhaee's Manhasset, Long Island office. It uses controlled plasma energy in a fractional pattern to remove damaged outer skin layers while stimulating deep collagen remodeling. It effectively treats fine lines and wrinkles, acne scars, sun damage, uneven skin tone and texture, and enlarged pores—with results comparable to ablative laser resurfacing but with a more customizable recovery profile.

Who is a good candidate for Opus Focus skin resurfacing?

Women bothered by sun damage, early skin aging, uneven texture, acne scarring, or dull skin tone are typically excellent candidates. It works well on the face, neck, décolletage, and hands. If you live in Manhasset, Nassau County, or the surrounding Long Island area and want significant skin improvement without surgical downtime, Opus Focus is worth discussing with Dr. Simhaee during a consultation.

What is the difference between Opus Focus and traditional laser resurfacing?

Traditional ablative lasers (CO2, Erbium) treat the entire surface, requiring 7 to 14 days of significant healing. Fractional plasma treats only a controlled percentage of the skin per session, leaving surrounding tissue intact to accelerate healing while still triggering meaningful collagen remodeling. Most patients experience 3 to 5 days of redness and peeling—substantially less than full ablative resurfacing at our Manhasset practice.

Can Opus Focus be used on darker skin tones?

Fractional plasma technology has a more favorable safety profile for diverse skin tones compared to traditional ablative lasers because it does not rely on melanin absorption. Dr. Simhaee will evaluate your skin type and history during a consultation at his Manhasset office to confirm candidacy and customize treatment parameters for the safest and most effective outcome on Long Island.


AlmaTed — Hair Restoration

What is AlmaTed and how does it restore hair?

AlmaTed is an injection-free hair restoration treatment offered at Dr. Simhaee's Manhasset, Long Island practice. It uses a proprietary blend of growth factors, peptides, and hyaluronic acid delivered into the scalp via Alma's needle-free system. This activates dormant hair follicles, extends the active hair growth phase, and improves scalp health—resulting in thicker, denser hair without needles or downtime.

How does AlmaTed compare to PRP for hair loss?

Both AlmaTed and PRP are effective hair restoration options. PRP requires a blood draw, centrifuge processing, and multiple scalp injections. AlmaTed delivers a standardized research-backed formula without needles, making it more comfortable and more consistent. Women on Long Island who want hair restoration without the discomfort of injections consistently choose AlmaTed with Dr. Simhaee in Manhasset.

What types of hair loss does AlmaTed treat?

AlmaTed is most effective for androgenetic alopecia (female pattern hair loss), telogen effluvium (stress- or hormone-related shedding), and general hair thinning. Women experiencing hair loss related to hormonal changes—menopause, thyroid imbalance, postpartum shedding—are particularly strong candidates. Dr. Simhaee typically addresses the underlying hormonal driver alongside AlmaTed treatment for comprehensive, lasting results in Nassau County.

How many AlmaTed sessions are needed to see results?

A typical AlmaTed protocol involves 3 to 6 sessions spaced 2 to 4 weeks apart, followed by maintenance treatments every 3 to 6 months. Most patients notice reduced shedding and early regrowth after the third session. Full results are typically visible at 6 to 12 months. Results are enhanced when underlying hormonal and nutritional deficiencies are simultaneously corrected by Dr. Simhaee at his Manhasset clinic.


EMSculpt NEO — Body Contouring

What is EMSculpt NEO and how does it contour the body?

EMSculpt NEO is an FDA-cleared non-invasive body contouring device that simultaneously uses high-intensity focused electromagnetic (HIFEM) energy to contract muscles and radiofrequency (RF) energy to reduce fat. Clinical studies show an average of 25% increase in muscle mass and 30% reduction in subcutaneous fat in treated areas after a standard course of treatment. Dr. Simhaee offers EMSculpt NEO at his Manhasset, Long Island practice for the abdomen, buttocks, arms, calves, and thighs.

Is EMSculpt NEO a weight loss treatment?

EMSculpt NEO is a body contouring and muscle-building treatment, not a primary weight loss intervention. It is most effective for women who are at or near their goal weight but want to improve muscle definition and reduce localized fat that is resistant to diet and exercise. It works best as part of Dr. Simhaee's integrated approach—alongside hormone optimization and managed medical weight loss—where hormonal and metabolic barriers to body composition have already been addressed in Manhasset.

How many EMSculpt NEO sessions are needed and what does it feel like?

A standard EMSculpt NEO treatment series consists of 4 sessions, each lasting approximately 30 minutes, spaced 5 to 10 days apart. The sensation has been described as an intense workout—powerful muscle contractions with a warming sensation from the RF energy. There is no pain, no needles, and no downtime. Results are progressive over 2 to 3 months as muscle remodeling continues after the final session at our Manhasset, Long Island office.

Can EMSculpt NEO help after pregnancy?

Yes—EMSculpt NEO is popular among postpartum women at Dr. Simhaee's Manhasset practice, particularly for addressing diastasis recti (abdominal separation) and restoring core muscle integrity after pregnancy. It is typically recommended after receiving medical clearance at the postpartum visit and once breastfeeding has concluded. Many women combine it with managed weight loss and BHRT for comprehensive postpartum body recovery on Long Island.


Injectables — Botox & Dermal Fillers

Does Dr. Simhaee offer Botox and dermal fillers in Manhasset?

Yes. Dr. Simhaee offers neuromodulator injections (Botox, Dysport, Xeomin) and dermal fillers (hyaluronic acid-based fillers for lips, cheeks, jawline, and under-eye hollows) at his Manhasset, Long Island practice. Injectable treatments are integrated with his full aesthetic menu—including Morpheus8, Opus Plasma, and skincare—so patients can achieve natural, comprehensive facial rejuvenation under the care of a single physician.

Why have injectables performed by a physician rather than an aesthetician or RN?

Facial anatomy is complex, and injectable complications—including vascular occlusion, asymmetry, and overcorrection—are best prevented and managed by a physician with deep anatomical knowledge. Dr. Simhaee brings a gynecologic surgeon's precision and a thorough understanding of facial anatomy to every injectable treatment. Women in Nassau County and Long Island who want the highest standard of injection safety and artistry choose a board-certified physician over a med spa setting.

Can injectables be combined with Morpheus8 or Opus treatments?

Yes—combining injectables with energy-based treatments like Morpheus8 or Opus Plasma often produces the most natural and complete rejuvenation results. Botox addresses dynamic wrinkles (movement-based lines), fillers restore volume loss, and Morpheus8 or Opus improve skin quality, texture, and tightening. Dr. Simhaee designs individualized combination treatment plans during consultations at his Manhasset practice.

How long do Botox and filler results last?

Botox and other neuromodulators typically last 3 to 4 months, with results sometimes extending longer in patients who maintain regular treatment schedules. Hyaluronic acid fillers last 6 to 18 months depending on the specific product used, the area treated, and the patient's metabolism. Dr. Simhaee recommends a maintenance plan during your consultation at his Manhasset, Long Island office.


Scheduling, Location & Insurance

How do I book a consultation with Dr. Simhaee in Manhasset, Long Island?

You can book in three ways: (1) Online at simhaeeobgyn.com using the "Book Online" button, (2) By calling the Manhasset office at (516) 365-6167 during business hours, or (3) Through the Patient Portal. The Manhasset office is open Monday through Friday, with extended evening hours on Thursdays until 7:00 PM for working patients.

Where is Dr. Simhaee's Manhasset office located and how do I get there?

Dr. Simhaee's Manhasset office is located at 1201 Northern Blvd, Suite 300, Manhasset, NY 11030—accessible from the Long Island Expressway (I-495) via Exit 33 (Shelter Rock Road) or Exit 36 (Searingtown Road), and from the Northern State Parkway. The office is near North Shore University Hospital and serves patients from Great Neck, Port Washington, Roslyn, Garden City, Mineola, Woodbury, Syosset, Oyster Bay, and throughout Nassau County.

Does Dr. Simhaee offer telehealth consultations?

Yes. Telehealth options are available for certain consultations—including initial hormone consultations, follow-up appointments, and select OB-GYN concerns—for patients throughout Long Island and New York. Please call our Manhasset office to confirm telehealth availability for your specific needs before scheduling.

What insurance plans are accepted and are cosmetic treatments covered?

Dr. Simhaee accepts a range of insurance plans for OB-GYN services. Most cosmetic, aesthetic, and wellness treatments—including BHRT, Morpheus8, FemiLift, Opus, AlmaTed, O-Shot, EMSculpt NEO, and injectables—are cash-pay or financed services. Financing options are available to make treatment accessible. Please call (516) 365-6167 for current insurance information or to discuss payment options.

What should I expect at my first consultation with Dr. Simhaee?

Your first visit at Dr. Simhaee's Manhasset, Long Island office begins with a comprehensive review of your medical history, current symptoms, medications, and wellness goals. Depending on your concerns, Dr. Simhaee may recommend a hormone panel, thyroid labs, or a clinical examination before presenting a personalized treatment plan. Patients are encouraged to bring prior lab work and a list of current medications and supplements. The consultation is a collaborative conversation—not a rushed appointment—and there is no pressure to begin any treatment on the same day.


Supplemental SEO/AEO FAQs

What are Hair Exosomes?

Hair Exosomes are regenerative signaling products used to support healthier hair follicles and improve the scalp environment. Dr. Simhaee may recommend Hair Exosomes as part of a comprehensive hair restoration plan for patients experiencing thinning hair related to hormones, aging, stress, or genetics.

Can Hair Exosomes be combined with AlmaTed?

Yes. Combining AlmaTed with Hair Exosomes may further support follicle health and improve the scalp environment. Your treatment plan is customized after evaluation.

How do Hair Exosomes compare to PRP?

PRP uses your own platelet-rich plasma while Hair Exosomes provide regenerative signaling factors. Dr. Simhaee will recommend the best option—or combination—based on your hair loss pattern and goals.

Are take-home products recommended after hair restoration?

Yes. Medical-grade shampoos, scalp serums, and physician-recommended maintenance products can help support long-term hair density following in-office treatments.

Can GLP-1 medications cause muscle loss?

Rapid weight loss may reduce lean muscle mass. Dr. Simhaee may recommend nutrition, resistance exercise, hormone optimization when appropriate, and EMSculpt NEO to help support body composition.

Can Morpheus8 improve loose skin after weight loss?

Yes. Morpheus8 stimulates collagen remodeling and skin tightening and may improve mild to moderate skin laxity following significant weight loss.

Can Sculptra restore facial volume after weight loss?

Sculptra stimulates your body's natural collagen production and may gradually restore facial volume lost after aging or weight loss while maintaining a natural appearance.

Can Sculptra be combined with Botox and Morpheus8?

Yes. Combination treatment plans can address facial movement, volume loss, and skin quality for comprehensive rejuvenation.

Can EMSculpt NEO complement GLP-1 weight loss?

Yes. EMSculpt NEO can help strengthen muscles and improve body contour while patients pursue medically supervised weight-loss programs.