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April 25, 2021 Women

Getting pregnant and starting a family is an exciting and important decision in a woman’s life, but it can sometimes be difficult. You might have a lot of questions preconception about how to have a healthy pregnancy. Our NYC ob/gyns are ready to help answer your questions and make your pregnancy journey as easy as possible for you and your little one. 

In the meantime, here are some answers to a few of the most frequently asked questions about getting pregnant and what affects fertility.

What lifestyle changes should I make?

Whether you are just considering getting pregnant or have been trying for a while, it is a great idea to talk to your health care provider about lifestyle changes you can make to increase your chances of conceiving and having a healthy pregnancy. 

Even if you don’t intend to get pregnant any time soon, it is important to have family planning conversations with your doctor or gynecologist to be sure you are informed about your reproductive health and how lifestyle choices can affect your chances of conceiving.

Having a healthy diet and eating nutrient-dense food is important for every one, but women considering getting pregnant may especially want to follow a healthy diet. Getting lots of protein and nutrient-dense fruits and veggies can be critical lifestyle changes if you want a healthy menstrual cycle and to get pregnant. 

It is also important to be at a healthy weight, have low blood pressure, and exercise regularly, but strenuous exercise or over exercising should be avoided. Over excising can lead to decreased progesterone production and even amenorrhea (loss of your period).

In addition to a healthy diet, supplements such as prenatal vitamins and folic acid are important to take preconception. These supplements can help prepare your body to support conception and healthy growth and development of the baby. Your gynecologist can help determine what vitamins and levels of supplementation are best for you to take.

If you are thinking of getting pregnant, it is best to also consider reducing or stopping any alcohol, drug, cigarette, and caffeine consumption. It is best to avoid these substances while pregnant or trying to conceive for both your health, your reproductive health, and the health of the baby.

You may also want to consider the health and beauty products that you use, as well as other products you use around the home. Some products may expose you to harsh chemicals, hormones, or other substances that might not be recommended for pregnant women.

Finally, it is a good idea to reduce stress as much as possible and get lots of restful sleep.

Talk to your doctor about these questions and evaluate what lifestyle changes you might need to make if you are considering getting pregnant or having trouble conceiving.

What health conditions affect my chances of getting pregnant?

There are several women’s health conditions that may affect fertility, such as PCOS, endometriosis, STDs, ovulation disorders, irregular periods, thyroid problems, uterine or cervical abnormalities such as fibroids, diabetes, autoimmune disorders, and more.  

Fertility does decrease as you get older. Women over the age of 35 are more likely to have trouble conceiving, although not all women will necessarily have issues getting pregnant. If you have any concerns about your fertility, you can also receive fertility testing to determine if you have a normal ovarian reserve and are healthy enough to conceive.

If you have a medical history or family history of any of these conditions or are over the age of 35, you should speak with your obstetrician or fertility specialist about your options for getting pregnant, and if fertility treatments such as IVF might be required. 

Does my partner’s health affect my chances of getting pregnant?

Yes, your partner’s health can affect your chances of getting pregnant! To increase your chance of getting pregnant, your partner should take care of their reproductive health too and talk to their doctor about any existing medical conditions or family history of health issues. 

There are many similar lifestyle changes that your male partner can make to increase fertility.

Being a healthy weight and eating a nutrient-dense diet is not only good for you, but it can increase the health of the man’s sperm as well. It is a great idea to start eating healthy and working out together as a couple to make sure your reproductive health is great.

It is also a good idea to cut back on alcohol and drug use and smoking. These substances can decrease sperm count and health, decrease testosterone production, and affect fertility. It is also best for you to avoid second-hand smoke and being around these substances.

And just like it is good for you to reduce stress and get lots of sleep, your man can benefit from this as well!

Finally, it is best to avoid sources of high heat, such as saunas, steam rooms, hot showers, and hot tubs. Extreme hot environments can reduce sperm count and increase infertility.

If I’m on birth control, how soon should I stop?

If you are on any type of birth control but want to get pregnant soon, you should talk to your gynecologist about when you should stop taking birth control and how long after stopping until you can safely try to get pregnant. 

If you are taking the pill, you might be able to stop right away. If you have an IUD or implant device, you may be able to stop soon but will need to make an appointment to get it removed.

Luckily, most birth control methods allow you to try to get pregnant shortly after stopping and you should not face any long-term effects. Your regular menstrual cycle should return quickly. 

Schedule a preconception checkup 

Discuss these questions and more with our obstetrics specialists so that you are prepared once your are ready to conceive. We will review your health history and help you determine the best lifestyle changes you can make before starting a family. Schedule your preconception visit with us today!

 


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April 24, 2021 Women

Birth control pills, also known as “the pill,” is a very popular oral contraceptive used to prevent pregnancy. The pill is a very effective form of birth control when taken regularly. It is 99% effective at preventing pregnancy with perfect use, and approximately 91% effective with almost perfect use — which is a more realistic number for most women. 

The better you are at taking the pill every day, the more effective it will be, but no method is 100% perfect so it is important to learn more about the pill and proper birth control. This article answers some FAQs about the birth control pill and how to know if the pill is working for you.

What is the Birth Control Pill?

The birth control pill is type of hormonal birth control that needs to be taken orally at the same time every day. It is a very small, round pill that is easy to swallow. Some pills are even chewable!

Combination birth control pills work by delivering a small dose of estrogen and progestin that signals to the body to reduce or stop ovulation, to thicken the cervical mucus to prevent sperm from entering the uterus, and to thin the lining of the uterus to reduce the likelihood that an egg would be able to attach to the uterine lining if it were fertilized. 

There are also progestin-only pills, known as the mini-pill, that are a better option for some women, including women who are breastfeeding, are at high-risk for blood clots, or who cannot otherwise take estrogen.

In addition to preventing pregnancy, the pill can lighten or stop your menstrual cycle, help reduce hormonal acne, reduce painful cramping, reduce the risk of ovarian and cervical cancer, treat endometriosis, as well as other reproductive health benefits.

Birth control pills often come in a pill pack that includes four weeks of pills. There is usually three weeks (21 days) of active pills and one week (7 days) of inactive pills or placebo pills. Some pill packs can include 24 days, 90 days, or even up to 365 days of active pills. The active pills and inactive pills are often different colors so it is easy to keep track of where you are in the cycle.

Most women will have a menstrual cycle or spotting while taking the inactive pills and may experience some spotting if taking a pill pack with a longer active pill section.

How Do you Know if the Pill is Working?

Based on what type of pill you are taking and when you start, your doctor can help you figure out how long it will take for your pill to start working.

It can take up to seven days for the combination pill to be effective and up to two days for the progestin-only pill to be effective at preventing pregnancy after you take the first dose. If you have intercourse during this time period after starting the pill, be sure to use another form of contraception to be sure you are protected against unintended pregnancy. 

There might not be any obvious external signs that the pill is working, but if you are taking it at the same time every day and not experiencing any adverse side effects then the pill should be effective.

If you are using the pill for other reasons, such as controlling irregular bleeding or hormonal acne, it can take up to four months to see signs that the pill is working. Be patient as your body adjusts to the new treatment and stay consistent with taking it regularly.

Long-term signs that the pill is working might include clearer skin, regular periods, and lighter and less painful periods.

Is it Possible for Birth Control to Not Work?

With perfect use of the birth control pill, it is possible but very unlikely to have an unintended pregnancy. Unintended pregnancies while on the pill can be serious and in case of ectopic pregnancy life-threatening, so call your NYC gynecologist or women’s health professional right away if you have missed a period or think you might be pregnant. Your doctor can discuss emergency contraception and pregnancy test options with you.

Of course, sometimes you forget a pill. If you forget a pill, take it as soon as you remember. If you missed a whole day, take the previous day’s pill plus your regular dose. Be sure to use a backup method of contraception or abstain from intercourse until you’ve gotten back on a regular regimen with your pill pack. It is a good idea to set calendar reminders or an alarm on your phone to help you remember to take your pill each day.

It is recommended to always use a backup birth control method while on the pill, such as condoms, especially if you have any missed pills. It is also important to use a barrier method of birth control, such as condoms, to protect against sexually transmitted infections (STIs). 

How Do you Know if your Birth Control isn’t Working for You?

There are many different types of birth control pills so it is possible you will need to try a couple different kinds before you find the one that is right for your body. If you’re experiencing negative side effects from the pill, you may need to switch to another type of pill with different hormone dosages.

If you are experiencing any side effects, such as headaches, nausea, irritability and mood swings, breast tenderness, or abnormal spotting or breakthrough bleeding, speak with your health care provider about your birth control options. These side effects are common and can usually be resolved by a doctor.

If you don’t think birth control pills are working for you and you are interested in trying another method, ask your health care provider about other birth control options such as a hormonal intrauterine device (hormonal IUD), a non-hormonal copper IUD, or a vaginal ring such as the NuvaRing. These options are great for women who struggle with taking the pill on a regular daily basis because they are inserted into the body rather than taken orally. The vaginal ring can be used for three weeks at a time and IUDs can last for years.


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April 8, 2021 Uncategorized

Here at Great City Medical, we specialize in women’s health and reproductive health care. Our Dr. Yelena Tsyba is board-certified by the American College of Obstetricians and Gynecologists as a top obstetrics-gynecologist (ob/GYN). She is happy to help with all of your women’s health needs.

Whether you’re looking for a standard annual gynecology exam and pap smear, a family planning visit, or a surgical procedure, we can perform all of our ob/GYN services on-site in our New York City offices. We provide ob/GYN health care services to women of all ages. If you are looking for the best on/GYN near me in the NYC area, you’ve come to the right place!

Do I Need to Go to the Gynecologist Every Year?

Gynecology is an important part of women’s health care for all women. Women between the ages of 21 and 29 should receive a gynecological exam every year, and may wish to begin seeing a gynecologist as soon as the age of 16 if they become sexually active sooner. Women in this age range have an increased risk of contracting sexually transmitted diseases (STD) or sexually transmitted infections (STI) and of becoming pregnant, so it is important to see a women’s health doctor.

If they are in good health, not pregnant, and not being treated for a disease, women may begin seeing their gynecologist every other year after age 30. However, many women in this age range often do become pregnant and may need to visit their gynecologist more frequently for family planning visits.

Women of any age who experience any negative symptoms, changes to their menstrual cycles, unusual discharge or odors, or severe pelvic pain should arrange to see a gynecologist right away, as those may be signs of something more serious.

 

At What Age Can a Woman Stop Seeing a Gynecologist?

The age that one can stop regularly seeing a gynecologist varies from woman to woman, but generally healthy women over the age of 66 do not need to visit a gynecologist every year or every other year. If a woman near the age of 66 receives three clear pap smears in a row, they may stop receiving their annual pap smear and regular pelvic exams if they wish.

However, women in menopause or post-menopause may wish to continue seeing their gynecologist for treatment for other women’s health issues such as vaginal dryness, unusual discharge or odors, painful intercourse, or urinary incontinence. Gynecology includes many more women’s health services than just pap smears! We are proud to provide quality women’s health care services to women in all stages of life.

It is best to discuss your individual health situation with your gynecologist or primary care doctor before deciding if it is right for you to stop seeing a gynecologist regularly.

 

What Does a Gynecological Exam Include?

An annual gynecological exam, also known as a well-woman visit or gyn exam, can be as quick as just 10 minutes to complete. 

This exam typically includes a pelvic exam, a pap smear, a blood pressure check, a breast exam, and tests for STDs or STIs, such as chlamydia and gonorrhea. It may sometimes include a urine test. You can also receive a birth control prescription, such as the daily pill or an IUD, during your checkup.

During the routine pelvic exam, the doctor will situate you comfortably within the stirrups and upon consent, they will examine the vulva and the labia first to see if there are any signs of abnormalities. Abnormalities can include various signs of irritation, swelling, redness, and STDs or STIs. Once the external examination is finished, the doctor will examine the interior of the vagina using a medical instrument called a speculum. 

During the interior exam, the doctor will examine the cervix and perform pap smear, also called a pap test. The pap test takes a small sample of your cervical cells, which get sent off to a medical lab to check the cells for cervical cancer (cancer of the cervix). The importance of pap smears for women cannot be understated. Pap smears are important to catch any abnormalities early to prevent any major problems in the future. Cervical cancer is one of the most common forms of cancer in the United States. Cervical cancer is a serious medical condition, but an annual exam can be a life-saving procedure as it can help detect signs of cancer early and make it easier to treat. Results from a pap smear should be available within two weeks of your exam.

Using a gloved finger in your vagina and some applied pressure to the abdomen, the doctor will also examine the health of your uterus and ovaries.

The breast exam is part of your primary care and checks for any abnormalities or signs of breast cancer, another common form of cancer in the U.S. Again, this can be a life-saving procedure as it can help detect signs of cancer early and make it easier to treat.

A gynecological exam is an understandably uncomfortable procedure, especially if it is your first time visiting an ob/GYN. But don’t worry—your doctor can help ease your nerves and explain the process if it’s your first time. It is important to relax to help the exam go smoothly and painlessly. Additionally, you may bring a female family member, friend, or nurse chaperone to be in the exam room with you as well, so you never have to be alone with the doctor if that makes you feel uncomfortable.

 

What Women’s Health Care Services Do We Provide?

At Great City Medical in New York City, we provide many women’s health services to women of all ages, in addition to annual wellness exams. We also provide services for the following ob/GYN and ob-GYN-related surgical needs:

  • Family Planning and Birth Control
  • IUD Insertion and Removal
  • Menstruation Care
  • Menopause Management
  • Gynecological Surgeries
  • Pap Smear and Pelvic Exam
  • Urinary Incontinence
  • Endometriosis
  • Fibroids
  • Pelvic Pain
  • Cancer Screenings
  • Breast Exams
  • Leep
  • Dilation and Curettage (D&C)
  • Any other health issues
  • Reconstructive surgery

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March 26, 2021 Testing

An immigration medical examination is a routine part of the application process to become a permanent resident of the United States, also called a green card. The exam is also sometimes called a green card medical exam

 

For a successful green card (Adjustment of Status) petition, these physical exams must be completed by a doctor who is authorized by U.S. Citizenship and Immigration Services (USCIS) (designated civil surgeon). Outside of the U.S., these doctors are called panel physicians. Here at Great City Medical, we have a designated civil surgeon on staff to perform these exams.

 

The requirements for the exam are determined by the Centers for Disease Control and Prevention (CDC), who provide technical instructions to civil surgeons and panel physicians.

What Do they Check in an Immigration Medical Exam?

During an immigration medical exam, the doctor will review your medical history and immunization records, and perform a physical examination. The doctor will also perform blood tests to look for communicable diseases such as tuberculosis, syphilis, gonorrhea, and leprosy because these diseases pose a public health risk. Children under the age of 15 do not need to be tested for syphilis or gonorrhea. Finally, the doctor will check for any physical or mental disorders or mental illnesses that are associated with violent behavior or harmful behavior, as well as any signs of drug abuse or drug addiction. 

 

If you are between the ages of 18-64, you only require immunization against Tetanus and Diphtheria, MMR (measles, mumps, rubella), varicella, and flu during the flu season of October 1- March 31. Pregnant women may be exempt from some vaccination requirements, however.

 

Immigration medical exams are a bit different than standard physical exams. The purpose of the exam is primarily to screen a patient for certain medical conditions that are of concern to the U.S. government and public health and safety. The doctors are not required to examine or treat patients for any medical conditions outside of those deemed relevant by U.S. health officials for the immigration process. 

 

How Long Does the Immigration Medical Exam Take?

The immigration medical exam takes about the same amount of time as a regular doctor’s visit, and might last anywhere from 15 minutes to an hour. 

 

It takes about one week after the exam to receive your lab test results. If any lab tests results come back positive for a communicable disease, you may need to return for a second visit to be evaluated and treated.

 

Can I eat before the Immigration Medical Exam?

You may eat before your immigration medical exam. The blood tests that will be performed do not require you to complete a fast beforehand.

 

What should I bring to my exam?

Many people feel nervous about their immigration medical exam, but being well-prepared with all the documentation that you need can be a great help in ensuring your exam goes smoothly. Be sure to arrange these documents ahead of time and bring them all with you to your exam. Call us before your scheduled exam if you have any questions about what you need to bring with you.

 

      • Form I-693, also called the Report of Medical Examination and Vaccination Record
        • The doctor will use this form to document the results of your exam. After the exam, the doctor will complete this form and place it in a sealed envelope for you to submit to USCIS.
        • You will receive a copy of the Form I-693 for your records
        • To save time on the day of your appointment, you can fill out pages 1-4 of the form in advance. The rest of the form is filled out by Great City Medical.

 

      • Government-issued photo identification
        • This may include your passport, state ID, driver’s license, travel permit, or work permit.

 

      • Your immunization or vaccination records 
        • If you have had immunizations, you must bring your records as proof, as the doctor cannot take your word for it.
        • If you do not have any immunizations, you can receive them during your exam for additional fees, however, at Great City Medical, we can run a blood test that will show if you are immune or not. If the tests show you are immune that that will be sufficient.

 

    • Copy of your medical history
    • Copies of previous chest X-rays, if any
    • If you have any existing health issues, a note from your doctor outlining your treatment plan
    • Payment for the medical exam fee. Great City Medical charges a base fee of $130for the Civil Surgeon Exam, and additional tests and vaccinations will cost additional fees. Please use this link below to find the pricing breakdown. As a note, insurance does not cover the cost of an immigration exam. https://greatcitymedical.com/immigration-doctor/#pricing

 

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February 16, 2021 Uncategorized

Spend a few minutes reading up on the world of health care and you’ll come across this phrase: a primary care doctor. And the phrase itself makes sense. A primary care doctor is someone you see first when you have a problem, or to get a routine check-up.

It’s when you toss in the other words that things get confusing for patients. Who are “internists”? Is a primary care provider different than a primary care physician? Where do pediatrics fit in? And what happens when your health insurance doesn’t offer the coverage for routine checkups with your primary care physician? Let’s answer these questions to make sense of all the different words you’re likely to encounter.

 

What is the Difference Between a Primary Care Physician and a Family Doctor?

A “family doctor” is a doctor who doesn’t specialize in either children or adults. For example, a doctor who specializes in children is known as a pediatrician. Typically, a primary care doctor for “adults” is known as someone in internal medicine. But specializing in family medicine means that the doctor doesn’t specialize in either/or. They’re capable of seeing both adult and child patients. “Family medicine” refers to the practice of examining and treating both age groups.

What about the phrase “primary care doctor”? This refers to the doctor with whom the patient has the most immediate relationship for basic care. For example, a child can have a primary care doctor who is also a pediatrician or a family medicine doctor. Similarly, an adult can have a primary care doctor who specializes in internal medicine or is a family medicine doctor.

 

What Does a Primary Care Doctor Do?

A primary care doctor can help with preventative care and other basic health care needs. Unless you have an emergency, they’re the ones you see first if you have an issue that you need remedied.

Think of the primary care doctor as your first line of defense in the battle to maintain wellness. They’re the ones you see for checkups, or even during the management of your long-term chronic conditions. If you do have medical needs that venture outside their realm of expertise, they can then offer you a referral to a specialist who can pay closer attention to your specific issues.

 

Why is Primary Care So Important?

There isn’t one particular reason; instead, there are all sorts of reasons that primary care can be so important.

 

  • Preventative care. There’s an old saying that an ounce of prevention is worth a pound of cure. That’s certainly the case with many ailments. Having a good relationship with your primary care doctor will help ensure that they’re aware of your issues, and that they can step in and offer preventative care when necessary.
  • A primary care doctor, especially one who handles family medicine, can advise you on the immunizations you or a child may need in certain situations. They can help you navigate the complex world of medical history and medical conditions to understand what your best options for prevention may be.
  • Patient-specific needs. When you have specific needs due to your individual medical status, those are very private needs. No patient wants to constantly switch between gynecologists or internal medicine doctors, after all. To do so can be counterproductive to good care. It also makes navigating the world of medicine much more difficult for each patient.
  •  

Why is Primary Care so Important?

 

Patients of all ages require a primary care physician. For someone young, that may be a doctor who focuses on a family practice. For someone old, it may refer to a geriatrician. But the point is simple: it’s good to have a primary care physician that you can depend on. Someone who knows your history, knows you, and understands what’s important when it comes to your treatment.

 

There’s a temptation to view primary care physicians as “generalists.” People who might not know as much about specific health conditions that you might suffer from. And in many cases, that is true. There is a reason a primary care physician is typically not someone who specializes in a specific type of ailment, or a specific type of patient. Their role is to handle a wider range of knowledge, and then hand over a referral when necessary.

 

It’s also important for you to have some confidence in the people you work with. It’s your health, after all. As you familiarize yourself with your primary care physician, they can handle relatively routine problems like high blood pressure. You’ll get to know their offices and their office hours. As you build familiarity, the entire process of having a routine checkup will feel that much more natural to you.

 

Understanding Other Words in the Medical Field

Because there are so many terms thrown about these days, it’s important for patients to have a clear understanding of who does what. The more you know about these terms, the better you’ll be able to grasp the different quirks of getting your own health taken care of. Let’s look at some of these:

 

  • OB-GYN: This stands for Obstetrics and gynecology.
  • Obstetricians: Separate from an OB-GYN. As WebMD notes, a gynecologist is a doctor specializing in the reproductive health of women. Obstetricians help women during their pregnancy, as well as after the child is born, and can also deliver babies. An OB-GYN refers to someone who handles both specialties.
  • “Board-certified.” Board-certified refers to, according to the American Board of Medical Specialties, “specialty-specific training beyond medical licensure.” Typically this is relevant for medical specialties, and may not be as relevant when consulting with a primary care physician. In that case, a proper medical license is what you’ll want to be focused on.
  • Geriatric: This refers to the care of the elderly. There are many medical professionals who specifically handle elder care.

 

How Do You Know Which Kind of Physician is Right For You?

Between all of the terms—family doctor, primary care physician, internal medicine, etc.—it can be easy to get lost in the vast dictionary of the medical world. But when you zoom in to each individual term, you’ll see that it’s not nearly as difficult to navigate as you think.

 

One of the most important aspects to realize is that having a primary care physician will help you navigate this world. You shouldn’t, after all, be expected to handle all of the research yourself. A family doctor—or a primary care physician—can be your first point of reference for making sense of what needs to happen. It’s this person that you can bring your symptoms to when you need to report something. It’s this person who you answer your questions when you’ve been hearing about the latest medical trends.

 

In turn, a good relationship with a primary care physician means you’ll build up a level of trust and comfort over time. This not only makes you more likely to seek the care you need, but will help you make more informed decisions about your care when working with an expert you can trust. From there, you’ll have more confidence in the way you approach your health—and in the way you seek out the right health care workers to help.

 

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February 10, 2021 Women

There are several doctors that women should see annually to ensure general wellness and prevent future health concerns. The most important doctors a woman should see every year should be her primary care physician and her gynecologist. However, there are a few other doctors, like dentists and dermatologists, that women should also see regularly. Keep reading to learn what type of doctor a woman should see annually and how these regular visits contribute to overall wellness and disease prevention.

Scheduling a Visit with your Primary Care Physician

Most people know they should have a yearly physical exam with their primary care provider (or PCP) to ensure they are in good health and keep track of any known risk factors before becoming more pressing concerns. Visiting your primary care doctor regularly is a great way to prevent major illnesses and build a comprehensive medical history that can follow you to every specialist you see.

Most PCPs are family medicine doctors or general physicians, which means that they can perform a wide range of medical functions. Your yearly physical generally starts with measuring your vital signs like pulse rate, blood pressure, height, and weight. These key indicators are the first signs of the state of your health and can help the doctor assess your wellness during your checkup. Keeping a record of these vital signs means your doctor can track any changes that may indicate the onset of illness, giving them the opportunity to act proactively. 

Since most people visit their PCP regularly, these doctors are usually well-versed in your family history. They can provide guidance regarding hereditary conditions like high cholesterol, high blood pressure, cancer, or diabetes. If you have a family history of these illnesses and start to show risk-factors that could progress, your doctor may order some tests or give you a referral to follow-up with a specialist.

For example: If you’re over 45 or have a family history of colon cancer, your primary health doctor will likely refer you to a gastroenterologist to get a colonoscopy. This regular cancer screening isn’t an annual requirement, and most people only need to have one every ten years. However, you might need them more frequently if you have a family history of colon cancer.

Your yearly physical exam also is an opportunity to bring up any concerns about your health. For example, you can discuss mental health concerns like depression or fatigue with your doctor. Telling your doctor about these troubles can put you on a path to finding the right mental health professional for you, so you can start building a plan to feel better.

Your Yearly Visit With Your Gynecologist

Most women start having regular gynecologic appointments after puberty to make sure they have a full picture of their reproductive health. Generally, a woman should see her gynecologist every year for a regular pelvic exam. This routine check-up is essential for staying well and preventing disease in the future. 

Your yearly exam with an ob/gyn will include some of the same features as an annual physical, including the gathering of vital signs like blood pressure, height, and weight. After that, your doctor will do an internal pelvic exam, which usually includes a pap smear. This procedure involves scraping the cervix to collect cells that are sent for testing. Results from a pap smear can be used to diagnose sexually transmitted infections like HPV. It can also be used to detect cervical cancer and other abnormalities.

Of course, gynecologists also oversee the prescribing and use of birth control. Doctors don’t prescribe hormonal birth control just for contraception. Women can also use it to manage hormone levels. If you use hormonal birth control, your doctor may add a round of blood tests to your yearly check-up to ensure that your levels are consistent.

While a gynecologist is a doctor who specializes in women’s health, an obstetrician is a kind of doctor that takes care of pregnant women. Many doctors combine these specialties as ob/gyns. All three of these doctors are overseen by the American College of Obstetricians and Gynecologists, making sure that these doctors are practicing with the best information and care for their patients.

Other Doctors You Should See Regularly

While you may already see your primary care physician and NYC gynecologist annually, there are a few other doctors you should visit regularly. These doctors fit into a holistic healthcare plan that treats your whole body, preventing mild symptoms from becoming more significant concerns.

Dentists

Visiting a doctor accredited by the American Dental Association is a great way to make sure that you’re taking care of an integral part of your health. While most people see their dentists several times a year for cleanings, it’s essential to visit at least once a year for regular x-rays of your mouth and preventive services. Poor dental hygiene is linked to health concerns outside of the mouth, such as heart disease, diabetes, and certain types of cancer. A regular dental exam can be an early screening for different types of health issues. 

Dermatologist

Most women know that dermatologists are important for preventing signs of aging, but they also serve an essential role in preserving your overall health. Many dermatologists do skin cancer screenings as part of their regular checkups, which can help prevent melanoma, which is one of the most dangerous cancers in women. Several other health concerns have risk factors that show in your skin, like liver complications or diabetes, so visiting a dermatologist for an annual visit is a great way to ensure your well-being.

Optometrist

You should schedule regular eye exams even if you have 20/20 vision. Living with an incorrect eyeglass prescription (or not having glasses when you need them) can headaches or result in dangerous situations while driving. Annual visits with your optometrist can also prevent eye disease, ensuring that your future always looks bright.

Visiting the Doctor During the Covid-19 Pandemic

Every doctor is well-versed in the signs and symptoms of Covid-19 and is doing everything they can to prevent the spread of coronavirus. Some doctors have noticed their patients are avoiding regular appointments during the pandemic to avoid visiting medical offices. This is causing a secondary healthcare crisis, as people aren’t engaging in the preventive care needed to prevent significant health issues.

If you’re worried about transmission of the coronavirus during regular checkups, call your doctor’s office ahead of time and ask them about the measures they’re implementing to ensure all patients are safe from the virus. Personal health practices like wearing a mask and washing your hands are generally enough to ensure your well-being and make sure you can get the health screenings you need to stay well.

If you haven’t had a checkup in a few years, finding a new provider can be a stressful experience. However, it doesn’t have to be. If you reach out to us at Great City Medical, we can get you scheduled for an annual exam with one of our primary care doctors or gynecologists to get you on a long-term healthcare plan that will serve you for years to come. We believe that regular wellness appointments don’t have to be stressful or inconvenient. Contact us today to learn how we can help you get on the path to better health.

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February 10, 2021 Women

Most experts recommend that women have both an annual physical and yearly visit to the gynecologist to ensure their overall health and wellbeing. However, it can seem overwhelming to keep track of so many doctor visits throughout the year. If you’re worried about frequently going to the doctor, you might wonder if it’s possible to combine your yearly checkups into one with a visit to your NYC gynecologist.

Generally speaking, it’s best to have both a primary care physician and a gynecologist. This is because gynecologists and ob/gyns specialize in women’s health and may not provide care for more general medical conditions. Having both a primary care doctor and a gynecologist is a great way to build a health team prepared to assist you in all stages of your life.

Keep reading to find out how gynecologists and primary care physicians differ and how you can make the most of your regular healthcare visits with them.

The differences between a Gynecologist and a primary care physician 

Gynecologists and primary care physicians have different specialties that help them treat their patients. Here is what you need to know about these specific doctors so you can tell the differences between them. 

Gynecologist or OB/GYN

Gynecologists are doctors that focused on women’s health, or gynecology, during their residency after medical school. These doctors can cover a wide range of women’s health concerns, from prescribing contraception to regular checkups and hormonal monitoring.

Gynecologists may share their practices with obstetricians, who focus on pregnancy, labor, and delivery. These doctors can provide pre-pregnancy health checks, such as ultrasounds of the ovaries and uterus, or consultations throughout pregnancy. Your obstetrician will likely work with you throughout your entire pregnancy and may even deliver your baby.

Primary Care Doctors

Primary care physicians (or PCPs, which most people call them) are doctors with the broadest range of specialization. Most primary care doctors focus on internal medicine or family medicine as a specialty, which gives them the versatility to be a one-stop-shop for most healthcare needs. 

Most people will go to their PCP before seeing a specialist when something goes wrong. That’s because these general practitioners can handle anything from a cold to diabetes and joint pain. However, a primary care doctor’s real value comes from yearly physical exams where they can offer preventative services like monitoring vital signs and cholesterol screenings.

Pediatricians are specialized primary care doctors for children, but they can provide medical guidance for the whole family as family medicine doctors. These medical professionals can provide vaccinations and immunizations for common illnesses like chickenpox or measles. Regular visits to your child’s pediatrician are a great way to build a robust medical history that can help them later in life.

Should I have a primary care physician and a gynecologist?

While there may seem to be some overlap between primary care physicians and gynecologists, it’s typically a good idea to have both of them as part of your care team. Since these two doctors are relatively specialized, they provide the best care when performing services in their specialty.

Having both a PCP and a gynecologist helps ensure that all of your specific care needs are met before they become more significant health issues. 

Should I see a gynecologist or regular doctor?

If you’re not sure what kind of doctor you should see, there are a few things you can consider before making your appointment. Are you interested in getting advice regarding birth control, menopause, or other reproductive health concerns? In that case, you should reach out to an ob/gyn.

Suppose you’re worried about something more general, such as a cold, or are interested in a yearly physical, or are looking for more general medical advice. In that case, it might be best to visit a primary care physician or general practitioner. 

You shouldn’t worry about picking the wrong doctor when it comes to medical care. If you accidentally go to the wrong doctor, it’s generally not a big deal. Both general practitioners and ob/gyns can provide referrals to another specialist to ensure you get the best care. For example, while primary care providers may provide some guidance during pregnancy, they are not experts. Your doctor may suggest you follow-up with an ob/gyn for more specialized care, like monitoring fetal development or testing for genetic defects.

Similarly, your gynecologist may recognize that you have high blood pressure while taking your vital signs during an appointment. Since they do not specialize in internal medicine outside of women’s health, they may refer you to an internist to ensure that there is no underlying cause of heart disease. Your gynecologist may also refer you to a dermatologist if they notice a rash during a physical exam.

Can a primary care physician do a pap smear?

Some primary care physicians can do exams that a gynecologist would typically do during your yearly physical. If you’re interested in getting a pelvic exam or pap smear as part of your regular wellness check, ask your doctor if they provide that service. 

Typically, a family practice doctor will provide these services if they see younger patients. However, if they tend to work with older patients, they may not offer these services. It’s important to ask a general practitioner if they will perform well-woman exams, such as breast cancer screenings, pelvic exams, and pap smears, before building a relationship with them, so you know what to expect during your yearly visits.

Even if your PCP does provide these services, you should still consider having a full-time gynecologist specializing in women’s healthcare. If any of the test results done by your general practitioner come back suspicious, your doctor may refer you for a gynecological consultation for further investigation. 

Your health can’t be guaranteed by just one doctor, which is why you need both a gynecologist and a primary care physician. While your gynecologist can give you great insights into your health, you still need a PCP to provide guidance for more general health issues. Many women have a closer relationship with their gynecologist than their PCP, making it attractive to use them as their sole medical professional. 

It’s important to realize that even the best ob/gyn may have limited resources when treating conditions outside of reproductive health. Going to a gynecologist for chest pains or a cold is not ideal, and you might not get the best care. That’s why you need to have a full team of health professionals in your corner to ensure that you get the best care possible.

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September 1, 2020 Uncategorized

Birth control is a vital part of your healthcare if you’re sexually active. The form of birth control is a big decision, and one of the factors you need to know is how long you need to wait before your birth control provides full protection.

From side effects to the birth control method that’s right for you, your birth control is a significant decision. Let’s take a look at how each birth control works, how long does birth control take to kin in, and to understand when it offers full protection from pregnancy.

Hormonal Birth Control Options

Hormonal birth control choices work on several levels. They thicken the cervical mucus to prevent sperm from making it through the uterus, prevent eggs from releasing into the ovaries for fertilization, and thin the uterine lining to prevent implantation if the previous actions aren’t successful. This requires a period of time to adjust your hormones before you’ve got coverage against pregnancy.

Birth Control Pills

Combination pills will protect you from day one if you begin taking them during first five day of your period. This doesn’t mean that your period has started, but the first day of your cycle. If you start at any other point in your cycle use a backup method.

Progestin-only oral contraceptives (the minipill) are effective two days after you start the pill. However, if you miss one, you’ll need to use a backup form of birth control for another two days. It works more quickly, but there’s no room for error.

The Vaginal Ring and The Birth Control Patch

Vaginal rings, such as the Nuvaring, provides the same type of protection that birth control pills do. If you put it in on during the first five days of your menstrual cycle, you’re protected from day one. If you start at any other point in your cycle, use a backup method of birth control.

Patches also work similarly to the Nuvaring and the Pill. You can time it to start during the first day of your cycle, or if you wait longer, you’ll need to use other methods.

Birth Control Injections

Injections like the Depo-Provera are effective within 24 hours if you receive the injection any time during the first five days of your menstrual cycle. Any time after that and, like the rest, you’ll have to wait at least seven days for full protection against pregnancy.

Intrauterine Devices

These long term birth control methods work by inserting a small device into the uterus. A copper IUD works by causing sperm to avoid the copper — thus avoiding the birth canal. Hormonal IUDs, such as Mirena, work by also thickening cervical mucus to prevent sperm from accessing the uterus and preventing the release of eggs with Progestin.

Copper is immediately effective no matter when you insert it, but hormonal IUDs must be inserted during the first week of your menstrual cycle to be effective. If not, wait for up to seven days or use back up methods of birth control.

Barrier Methods

Barrier methods — such as condoms, female condoms, cervical caps, or diaphragms — are effective immediately as long as you use them correctly. These prevent sperm from accessing the uterus for fertilization. Some also use secondary methods such as spermicide to kill sperm before it can reach an egg. These are often the backup methods we require while waiting for hormonal birth control to take full effect.

Sterilization Procedures

Tubal ligation and tubal occlusion are two common surgical sterilization methods. Tubal ligation will require a one week waiting period just to be on the safe side, but tubal occlusion isn’t effective immediately. Unlike a ligation, which cuts your fallopian tubes, an occlusion works through a micro-insert in the fallopian tubes to encourage your body to close them naturally. You’ll need to wait at least three months.

Implants

Birth control implants work similarly to all other forms of hormonal birth control. Time implants to coincide with the first week of your menstrual cycle, or you’ll have to wait at least seven days to allow your body’s hormones to adjust.

Choosing the right birth control

It’s essential to receive medical advice from a trusted provider like Great City Medical. We are ready with all the health information you’ll need to make the best decisions for the forms of birth control that fit your lifestyle and your needs.

We will go over everything you need to know about the side effects of birth control, effectiveness, and how long you’ll have to wait for your chosen birth control to work. We can also work with you to decide on combinations of birth control that can help with other medical issues.

Unprotected sex with your trusted partner doesn’t have to put you at risk of pregnancy. Birth control is one way to take charge of your fertility, and family planning is part of your overall health picture. We can help you make the best decision.


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August 17, 2020 Testing

Building a comprehensive picture of your health care involves more than just doctor’s visits and birth control. Wellness visits that include standard diagnostic tests and screenings help your healthcare practitioner build a baseline of health and provide the foundations for noticing and diagnosing changes early on.

Women’s health includes several screening tests that check for changes in the reproductive system. The most common of these is a pap smear, also called a pap test. The test results can detect precancerous cells, cervical cancer, and HPV.

Your healthcare provider can go over the process and reasons for pap smears as well as offer advice for how often to receive one and whether to use a combination pap smear with HPV testing for certain individuals.

When should I start pap smear tests?

In most cases, pap smears begin to happen regularly once you turn 21. Whether you’re sexually active or not, your reproductive system has matured, and pap smears help your NYC Gynecologist understand your comprehensive health status and notice any changes that may happen over time.

Tests happen every three years until the age of 30, provided each test comes back normal. Abnormal results or high-risk patients may work with a healthcare practitioner to coordinate tests on a different schedule to ensure an accurate medical history.

How often should I get a pap smear?

Pap smear routines depend on two things — age and risk. General advice may not apply to your situation, or your circumstances may change over time, so it’s essential to work closely with your healthcare practitioner to find your personalized solution based on your health needs.

Age-related factors

Women who turn 21 should begin regular pap screenings every three years, as long as the test results return normal. Once they reach age 30, many practitioners recommend combining pap tests with HPV testing for a five-year rotation until the age of 65.

Women who are 65 and older don’t usually need pap smears any more if they’ve had a history of regular testing with no recent abnormal pap smears. This advice continues throughout the remainder of life.

Risk-related factors

On top of age recommendations, your health practitioner will also look at your risk factors to determine the scheduling. If you’re high risk, you may begin regular pap smears sooner than the age of 21 or receive more frequent pap tests.

If you have abnormal results that result in a diagnosis, you may move to that high-risk category at any point in your life. You may also begin co-testing sooner than expected to monitor cell changes or receive tests more often than the recommended five year period.

Abnormal swabs could mean a variety of different things, so working with your healthcare provider to begin an alternate plan is a part of ensuring you have a complete medical history. The sample of cells could be compromised, but they may point to developing conditions your gynecologist wants to watch.

If you’ve had a total hysterectomy for reasons other than cervical cancer and no longer have a cervix, your risk factors are incredibly low — low enough to negate the need for further pap smears. However, if you have other risk factors, you may still receive regular pap smears.

What happens if my test results are abnormal?

Changes in your cervical cells can mean a variety of things, and not all of those are bad news. If you receive an abnormal pap smear result, your gynecologist will likely order diagnostic test.

You may receive additional cervical cancer screenings looking for abnormal cells or further test such as a colposcopy, in which a gynecologist carefully examines the cervix, vulva, and vagina for signs of disease or infection.

Combined HPV testing after the age of 30 can help look for Human papillomavirus strains directly related to certain cancers. These screening guidelines provide a foundation of health and wellness and give you the chance to make decisions based on changes in health information as early as possible.

Pap Smears and Women’s Health

Working with your gynecologist and healthcare practitioner for regular screening tests helps you make the best decisions for health and wellbeing. These checkup tests offer a unique insight into biological changes that happen as you age. With a history of regular testing, your healthcare expert has a better chance of catching and diagnosing any conditions early.

Early diagnosis at your doctor’s office means a better chance of success in treatments plus a broader range of choices. Your risk factors and your health situation is unique; allow the gynecology experts at Great City Medical help you build a lifelong plan for comprehensive health.

We can examine all your risk factors, age, and medical history to create a plan, and give you the best chance at a long, healthy life. Contact us to schedule your health screenings and put your medical foundation in place.


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June 18, 2020 Testing

Great City Medical is dedicated to normalizing sexual health, helping to destigmatize reproductive and sexual health care through a variety of birth control, family planning, and other health services. One of those areas is testing for sexually transmitted diseases.



My experience is always top notch here! Thank you…
ALL W.
ALL W.
18:58 07 Dec 22
These team of professionals are the best, so happy they are taking care of me.
Elsa N.
Elsa N.
21:46 06 Dec 22
They are very professional and treat with care.
Uptothe T.
Uptothe T.
19:31 05 Dec 22
I saw Dr. Yelena Tysba and she was very professional and courteous. She took her time with me and listened to my concerns. In addition, she was very gentle during my procedure and was very knowledgeable on various gynecological conditions. The ultrasound tech, Pat, was also very professional. During my ultrasound she was very kind, patient, and gentle. The two receptionist at the front desk and the nurse were also very professional while making my follow up appointment. I have been to this doctor’s office before and her diagnosis was accurate. I would recommend the GYN office to my family and friends.
Mary S.
Mary S.
22:09 01 Dec 22
Excellent service it’s a lot better than what it used to be and I am grateful for that.. doctor is wonderful.. and the PCA’s that work there are the best all of the women are caring and patient.. they make you feel welcomed..🙇‍♂️
Thomas R.
Thomas R.
22:30 28 Nov 22
Awesome service & very professional staff. I highly recommended this place.Specially Patrisha she is so helpful.Thank you so much!!
KS K.
KS K.
21:43 28 Nov 22
Everyone at the office is always very pleasant. The office is always clean, which is always top on my list. The doctor is always very thorough when explaining herself and also takes her time with you. I would highly recommend great city medical.
Luisa M
Luisa M
16:36 23 Nov 22
It was a great visit.
Willie E. A.
Willie E. A.
18:57 17 Nov 22
This is the best clinic I’ve been! The nurses and doctors treat you with kindness. They are all super friendly. Will definitely keep doing my check ups here!
Yikaury H.
Yikaury H.
23:56 15 Nov 22
I’ve been coming here for years and my doctor shows true concern about all my health issues staff here are also great
Trina M.
Trina M.
23:35 10 Nov 22
My visit was very quick for the first time I didn’t have to wait,
Monìque
Monìque
23:21 09 Nov 22
Great service.
Diego V.
Diego V.
21:16 07 Nov 22
Todos el personal es muy amable gracias
Tony D.
Tony D.
23:52 02 Nov 22
Great hospital
Fatoumata K.
Fatoumata K.
20:02 02 Nov 22
Professional, clean, not wait depend on time schedule appointment. I love evening hours appointment that do rush morning when traffic lot cars out there. I get keep my same doctor when Montefiore Oscar because not in New York so happy that my doctor professional his work, losing 200 pounds so happy after 410 for longest time. My diabetic 2 improve so much went from 8.9 too 5.7 that very jump. So his staff for very professional, and polite with me.
Bevelynn T.
Bevelynn T.
20:38 28 Oct 22
Very professional and friendly. Offices and waiting rooms are always clean, the employees work fast and effectively. They make sure your comfortable and understand what’s going on.
NADYA O.
NADYA O.
18:26 28 Oct 22
Very nice always very professional
Madeline C.
Madeline C.
23:52 25 Oct 22
The doctor is brilliant!!! And the staff will go above and beyond to help you, just be patient they have a lot of patience and you should too!!!
Tyrone H.
Tyrone H.
19:22 20 Oct 22
Great. Wait was surprising ok. Everyone was very nice 👍 Always a pleasant experience 😊
Lex G.
Lex G.
18:52 10 Oct 22
Great experience each time I go . Professional clean and very respectful office. Staff always pleasant. Doctors very caring.
Juanita R.
Juanita R.
17:40 05 Oct 22
Amazing staff. Little to no wait time. Worth the experience was in and out within a heart beat and all my questions and concerns were answered. MA and Doctor made me feel really comfortable. 10/10
Fatoumata K.
Fatoumata K.
22:17 04 Oct 22
Muy buena atención y el personal muy amable.
Linet Leyva B.
Linet Leyva B.
18:28 03 Oct 22
Great attentions !!!!!👍🏼👍🏼👍🏼👍🏼
Jonathan S.
Jonathan S.
17:15 12 Sep 22
I have a great experience this was my first time and I recommend the staff are all welcoming
Oneisha R.
Oneisha R.
19:55 09 Sep 22
I’m very happy that I choose this clinic for my medical exam for green card. I was afraid about my not perfect english and that I can’t understand everything correctly but all nurses and doctor were very patient and attentive. All procedures were made very professional and quick.
iren H.
iren H.
19:28 08 Sep 22
Very Professional Thanks
Saury G.
Saury G.
21:02 07 Sep 22
I love they how the staff was really friendly to me. Making me feel more comfortable with my visit, just love how pretty the place was and clean💕.
Andala M.
Andala M.
21:30 06 Sep 22
Always good service and kind people over there. I had 3 year’s going to there and I had good service with good doctors. Thank you for all the staff.
Yaneth P.
Yaneth P.
15:40 02 Sep 22
Great service. The intake with the nurse was pleasant and fun. The time with the doctor was very comfortable, she listened very attentivet all my concerns, she was very gentle and professional.They have late afternoon appointments wich is a plus.The final step was the scheduling of the next appointment wich was fast!My mom was right to recommend her and I recommend them as well.
Juana G.
Juana G.
22:07 30 Aug 22
Nice, quick, and ON TIME attention.Very clean; excellent and very kind staff.Special thanks to Patricia and to theDr. Grena.Highly recommended.
H. O. L.
H. O. L.
19:59 22 Aug 22
Muy bueno
carlos M.
carlos M.
07:18 20 Aug 22
Best plce
Mimi O.
Mimi O.
19:33 18 Aug 22
Starting from front desk very professional ladies Excellent thenTiffany very sweet I had so much anxiety & after I spoke w her I took a few deep breaths & I felt very comfortable she actually made me feel so comfortable thanks TiffanyThen Doctor Tsyba wow I couldn’t believe I didn’t feel a thing I was relaxed & she was great & then Patty sonogram very professional they all answered all my questions they’re great then I went to do blood work & the lady (I didn’t get her name) very professional.. when I encounter a place w such professionalism it makes me wanna Bragg to all females in my life Want great care, professionalism & feel comfy go to GREAT CITY MEDICAL these ladies do their job w a smile can’t wait to go back THANK YOU LADIES FOR ALL YOUR EXCELLENT WORK🌹🌹🌹🌹🌹🌹MARY DIAZ
Ivy Deborah D.
Ivy Deborah D.
00:59 18 Aug 22
Great Place for immigration exams
Kyle S.
Kyle S.
18:07 08 Aug 22
Excelente atención desde secretarias enfermeras y doctora, el tiempo de espera fue largo ,pero el trabajo excelente, estoy muy satisfecha
Jose R.
Jose R.
23:58 28 Jul 22
Buen trato y buen servicio
Clsa 0.
Clsa 0.
08:43 28 Jul 22
Dr Grana is an amazing doctor! Facility is clean and some of the staff members are super friendly.
Lile shan S.
Lile shan S.
18:02 18 Jul 22
👍👍👍
Jann D
Jann D
19:22 15 Jul 22
Always ❤️ Love the care I get at Great City Medical the staff and my doctor are caring and attentive to my medical issues or concerns. We work as a team to make sure I understand my results and are happy with the outcome.
M I
M I
17:53 14 Jul 22
I’ve been going to this office for primary and gyn care for 3 or 4 years now and have had an outstanding experience every time. The staff and practioners are always super welcoming, helpful, and efficient. Thank you all for everything you do! 🖤
Sarah K.
Sarah K.
22:50 13 Jul 22
Super specialists, very kind personnel.
Kacper P.
Kacper P.
20:44 13 Jul 22
Professional staff, nice atmosphere. Recommend
Yelena C.
Yelena C.
21:49 08 Jul 22
Muyyyyyy buena soy una de las primera paciente hace más de 5 años y no voy de hay hasta que dios quiera excelente servicio amabilidad y profecionalismo sigan así
Escarlet C.
Escarlet C.
16:01 06 Jul 22
Dr Yelena was amazing, she really made my visit easy and comfortable. Loved her, highly recommend!
Valentina M.
Valentina M.
18:12 24 Jun 22
Amazing customer service! Friendly and efficient! Made it fun going to the GYN!
Clara M.
Clara M.
23:28 16 Jun 22
I received the best medical treatment and follow up services at this clinic.
Dshea Kinta M.
Dshea Kinta M.
13:22 20 May 22
I was in need of a new GYNECOLOGIST. I found Great City Medical in a Google search. I spoke with a staff member after hours via live chat an was scheduled the earliest appointment very quickly. All my basic questions were answered. I was sent to patient portal link to pre-register and fill out the forms. Upon arrival I was greeted with a smile and checked in quickly, wait time was short before the nurse called me in to be triaged. I was placed in a room, which was very clean. Dr. Tsyba greeted me with a smile and was very polite and Thorough with the examination. She explained to me in detail what procedures were going to take place and what testing will be done. The staff was very Knowledgeable and helpful as a first-time patient I enjoyed my visit I highly recommend this practice.
Cheryl B.
Cheryl B.
19:00 16 May 22
The place is very nice, and people are kind and professional. The only downside is that I have waited more than I expected (even though I arrived way earlier than the scheduled time), but maybe it’s been just a coincidence. That being said, nothing else to complain about!
Elena F.
Elena F.
02:02 13 May 22
I waited about 30 min to see the Tech, then spent like 20 min with her as a new patient, then about 10 min. more to see Jaime, the NP who was available, since Dr. Tsyba was in surgery. Jaime then consulted with Dr. Tsyba. I was very satisfied with the gentle, compassionate and thorough care I received by Jaime, and the technician who performed the 2 ultrasounds I needed. I’m happy I found this OB/GYN doctor. I hope to meet Dr. Tysba soon.
Awilda R.
Awilda R.
17:44 12 May 22
They was wonderful, the front desk and even my doctors very gentle with everything they do..I felt very comfortable to open up to them about my needs and I definitely felt like I was in great hands, when it’s comes down to OBGYN’s it’s very hard finding loyalty ,honesty, and security with your doctors THIS WAS WONDERFUL..i found out everything I needed to know and I will definitely enjoy being a new patient here !!!
Londaisha B.
Londaisha B.
12:43 12 May 22
Place was valid … 💯 very respectful and calls patients in a timely manner
Leenia M.
Leenia M.
19:44 02 May 22
Me encantó la atención del personal, y sobre todo la ginecóloga Yelena Tsyba, quien fue la Dra. que fui a consulta, bueno ella es muy profesional, muy amable y gentil ; también la persona que me hizo el sonograma,todos me trataron con mucha gentileza; fue mi primera vez y quedé muy contenta satisfecha…
Sovilek O.
Sovilek O.
02:35 29 Apr 22
I have known Dr.Tsyba for many years, she sees my friends and my sister gave birth to three children with her, personally in my practice there were moments when I had to urgently go to other doctors, after which I kept returning to her. She, as like a mother, will not advise bad things and will do everything possible to help. The staff is also very responsive and polite professionally fit every patient. You feel at home confidentially. Thank you doctor for your professionalism. I wish you more assistants so that you do not get tired.
Fatima A.
Fatima A.
03:19 06 Apr 22
Great people who made me feel very comfortable for my first appointment at this establishment. Much appreciated.
Nicole De L.
Nicole De L.
16:40 04 Apr 22
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Google Rating
4.7
Based on 415 reviews
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Doctor in New York City

Looking for a primary care provider in New York City that you can depend on? Make your appointment with the physicians at Great City Medical by calling (212) 281-8600

Manhattan

68e 131st Street Suite 100, New York, NY 10037

Phone: (212) 281-8600

Monday: 9am-5pm
Tuesday: 9am-5pm
Wednessday: 9am-5pm
Thursday: 9am-5pm
Friday: 9am-5pm


Brooklyn

1513 Voorhies Ave 3rd Floor, Brooklyn, NY 11235

Phone: (212) 281-8610

Monday:9:00AM-5:00PM
Tuesday:3:00PM-7:30PM
Wednessday: 9:00AM-5:00PM
Thursday: 9:00AM-5:00PM
Friday:10:00AM-2:30PM


Address

68 East 131st Street, Suite 100
New York, NY 10037


Call us anytime

Phone: (212) 281-8600
Fax: (212) 281-8601


Patient Portal




Copyright © 2020 Great City Medical. All Rights Reserved.



Copyright © 2020 Great City Medical. All Rights Reserved.