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Menstruation Care & Management

Many women have a love/hate relationship when it comes to their menstrual cycle. Menstruation is just one component of a necessary, natural change in the female reproductive system.

Menstruation

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Menstruation Challenges

Dr. Tsyba treats women with menstruation symptoms that include:

  • Heavy periods (menorrhagia)
  • Irregular periods (metrorrhagia)
  • Abdominal or pelvic cramps (dysmenorrhea)
  • Breast tenderness
  • Lower back pain
  • Bloating
  • Irritability
  • Uncontrollable crying
  • Headaches
  • Inability to concentrate
  • Joint or muscle pain

While symptoms such as those above might be expected with menstruation, they can also indicate other health issues requiring medical attention. For example, cramps, which occur due to uterine contractions, may also signal the presence of an infection, uterine fibroids, or endometriosis.

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Menstruation Conditions & Treatments

Menstruation-related conditions treated at Great City Medical include:

Premenstrual syndrome (PMS) refers to the collection of symptoms you may experience in the week or so prior to getting your period such as bloating, moodiness, food cravings, and breast tenderness. It is believed to occur when estrogen and progesterone levels drop after ovulation in nonpregnant women. PMS stops when you no longer have a period.

Medications, both over-the-counter and prescription, can help alleviate some PMS symptoms.

Severe PMS symptoms may indicate premenstrual dysphoric disorder (PMDD).

Considered a more serious form of PMS, premenstrual dysphoric disorder symptoms also appear just before you get your period. However, PMDD symptoms are generally more severe and may require medical treatment so you can carry out everyday tasks.

Treatment for PMDD includes medications such as pain relievers, hormone supplements, antidepressants, and diuretics (which help remove excess water and salt from the body). In addition, lifestyle changes involving diet and exercise may be required to bring relief. Alternative therapies such as meditation and yoga may also help.

Endometriosis is a condition that occurs when uterine tissue develops in other places such as the fallopian tubes, ovaries, or even the intestines. This tissue behaves as it would in the uterus (bleeding each month) but may not be able to exit the body due to its displaced location.

The most common symptoms of endometriosis are painful cramps and heavy or irregular periods. It can also cause pain during sexual intercourse, or during bowel movements and urination.

Endometriosis can cause the buildup of scar tissue and, if left untreated, can lead to infertility. Treatment may include hormone therapy, painkillers, as well as surgery to remove the displaced uterine tissue.

Ovarian cysts are fluid-filled sacs (cysts) that develop on or inside an ovary. This is fairly common, with most women developing at least one ovarian cyst at some point in their lives. In most cases, a cyst produces no symptoms and causes no pain.

Occasionally a cyst may cause symptoms such as abdominal pain, bloating, and breast tenderness. A large cyst may twist or move an ovary, cutting off its blood supply, which is considered a medical emergency. Ruptured cysts may cause internal bleeding and may be life-threatening.

If an ovarian cyst needs to be removed, Dr. Tsyba may recommend starting with conservative treatment methods such as hormone therapy before resorting to surgical removal of the cyst.

Irregular menstrual periods can be one of the first symptoms of polycystic ovarian syndrome, or PCOS. It can also spur development of male characteristics such as excess hair growth, acne, or male-pattern baldness.

PCOS occurs when excess androgen (a male hormone, such as testosterone) is produced by the ovaries. This, in turn, can keep the ovaries from releasing an egg, resulting in skipped or absent periods. PCOS can lead to enlarged ovaries, ovarian cysts, and infertility. Excess insulin levels in the body may be at the root of increased androgen production in women.

Treatment of PCOS tends to focus on addressing symptoms, such as hormone therapy to normalize menstrual periods, and other medications to address individual issues such as insulin resistance, excess hair growth, etc.

When noncancerous growths called fibroids develop in the uterus, they can put pressure on the tissue lining the uterus, resulting in more pain and bleeding during menstruation.

Fibroids are a common gynecological issue, and women with a family history of fibroids are at greater risk of developing these growths.

Most often, no treatment is necessary for uterine fibroids. However, if they are causing severe symptoms, treatment may be recommended. There are several ways to treat fibroids, including medications and various surgical options. Dr. Tsyba will evaluate your condition before recommending the options most appropriate for you.

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Testimonials

It’s good all over and everyone is helpful
Ranjana T.
Ranjana T.
20:01 22 Feb 24
Me encantó la amabilidad d todos muy atentos muchas gracias x todo
Francis F.
Francis F.
20:33 21 Feb 24
I have been through a lot and not been able to care for myself for a while. Today I saw my doctor and was able to get the care started that I need. The staff made me feel human and even moved my appointment up to see me sooner. Great City Medical thank you and God bless you all.
Chele From The Block (.
Chele From The Block (.
17:08 21 Feb 24
Excelente
Dennys O.
Dennys O.
22:25 19 Feb 24
Staffs are awesome, friendly, and calm. Thank you so much!!
Ana B.
Ana B.
15:36 19 Feb 24
Excellent service from the beginning to understand all the process, solve questions and doubts. The CRM is excellent, and the medical exams are really efficient. The doctors and their staff are so kind and professional. I had my first visit on Monday, and on Friday, I got all the results. Excellent service, highly recommended.
Juliana R.
Juliana R.
16:22 16 Feb 24
At first it was hard getting through to Great City by phone. I soon discovered the chat. I was verily informed about everything from the costs right down to the procedure, that being examination for immigration purposes. I was kept up to date by Antony all the way up until it was time to pick up my form. The staff were very friendly as well. I should also mention too that the cost was the most inexpensive out of all the places I checked.
Mitsy D.
Mitsy D.
18:30 15 Feb 24
Escelente
Gilberto P.
Gilberto P.
13:34 15 Feb 24
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.. Dr Marly Granna is the best .. you don’t meet doctors like her anymore these days 🙇‍♂️🙏
Thomas R.
Thomas R.
17:10 14 Feb 24
Amazing!!
Taqazua P.
Taqazua P.
00:08 13 Feb 24
Me gustó muy atentos
Irairis M.
Irairis M.
20:29 07 Feb 24
Excellent service and nice personal🤗
Elizabeth B.
Elizabeth B.
16:03 07 Feb 24
Very safe space , quick and give you all the answer’s you need
Diamond F.
Diamond F.
16:28 01 Feb 24
Great place, nice people. Good attitude Very helpful
Elvin A
Elvin A
20:36 31 Jan 24
I like this little clinic a lot! Very friendly stuff, Dr. Grana seems to be a very professional. Been going there for almost a year now. Highly recommend!
Yulya Y.
Yulya Y.
19:35 31 Jan 24
Staff was professional, courteous and informed me of anything along the way. I would definitely go back. I also waited 5 min before being seen on a Monday morning.
Sabrosa V.
Sabrosa V.
22:22 29 Jan 24
Great experience each time I go . Professional clean and very respectful office. Staff always pleasant. Doctors very caring.
Juanita R.
Juanita R.
19:30 24 Jan 24
I am so appreciate Dr. Tsyba and the whole team. You are the best 👌
Alla M.
Alla M.
23:05 22 Jan 24
Las atenciones excelentes, desde informacion y registro, tanto como el personal medico, solo deben mejorar el tiempo de espera para ls citas.
Wanda R.
Wanda R.
00:10 17 Jan 24
Excellent Service
Sathyanarayana Rao Mallur Venkata R.
Sathyanarayana Rao Mallur Venkata R.
01:04 11 Jan 24
From the front desk to the medical assistant, to the lab, and down to the doctor and whoever you passed by, it was excellent customer service. It was topnotch. I think the entire staff took extra customer service classes.
ibro D.
ibro D.
12:52 05 Jan 24
Super mega maravilloso las atenciones
Mildred Yajaira E.
Mildred Yajaira E.
17:22 27 Dec 23
Todos muy amable y comprometido por la salud del paciente .ame este grupo
Veronica R.
Veronica R.
17:56 26 Dec 23
They are very nice and friendly. The appointment didn’t take too long. The only thing I didn’t like is that I’m a transgender woman and all the time they used masculine pronouns which makes me feel uncomfortable. They could just try to be neutral or call me by my name instead.
jose
jose
15:53 22 Dec 23
El trato de todo el personal es excelente
Miosotis M.
Miosotis M.
19:53 20 Dec 23
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.
22:31 19 Dec 23
No long wait times staff is professional and pleasant Doctors are amazing and very knowledgeable
Denise C.
Denise C.
14:43 19 Dec 23
Excelente las atenciones y un personal medico de primera
Carlos F.
Carlos F.
18:11 15 Dec 23
Stagg was friendly doctor listen and communicated clearly….overall good experience
Ayasia K.
Ayasia K.
12:56 12 Dec 23
Everyone was very positive and reassuringly guided us through a rather complicated process. A great shoutout to Patricia for going above and beyond to make everything less stressful for us.
Ntani G.
Ntani G.
12:10 12 Dec 23
I went to have a immigration physical exam. Prior to visit, the chat/email service via their website was clear on my existing vaccinations and what paperwork/proof that would be sufficient. The staff was transparent in the cost and what to expect for the actual physical. The visit went smooth and the waiting time was within 10- minutes. Highly recommended
Jacky H.
Jacky H.
01:07 02 Dec 23
Clean facilitie staff are very professional doctors is awesome he explained everything clearly I understood everything he said to me it was a excellent experience I’ll definitely go back there
Kerry L.
Kerry L.
22:42 01 Dec 23
Excelentes atenciones, no las conozco personalmente y no se porque pero estas personas tienen algo sobrenatural porque no se explicar lo bien que me atendieron. son bastante rápidos pienso yo y todo muy limpio, muy lindo.. gracias chicas!
Chamel D.
Chamel D.
22:17 27 Nov 23
The experience was great Patricia was so nice dealing with me an my sister an so professional
Kwame L.
Kwame L.
19:29 27 Nov 23
Dr. Tsyba is one of the most greatest GYN there is. I couldn’t ask for a better DR.
Gordiva C.
Gordiva C.
22:54 22 Nov 23
Excelente servicio, la atención al cliente y el seguimiento al paciente muy bueno.
Edwin S.
Edwin S.
20:02 13 Nov 23
It’s always a welcoming experience.
Mr.M A
Mr.M A
22:30 09 Nov 23
Súper confortable and the stuff very sweet and professional!!
Elizabeth C.
Elizabeth C.
10:52 08 Nov 23
From the front deck to the Doctor are very easy to talk to, is a great experience visiting them
Azeez O.
Azeez O.
18:46 07 Nov 23
Fast , professional and great experience. I highly recommend this place for anyone who needs to do immigration medical exam . 10/10
adelina T.
adelina T.
23:36 26 Oct 23
J’ai eu une bonne impression a Harlem Gynecologist, l’accueil au top,le personnel au top,rien a dire
diaby H.
diaby H.
18:28 25 Oct 23
My MD is great! Very attentive to my needs. Great listener and good bedside manner.
Rhonda M.
Rhonda M.
18:06 24 Oct 23
I highly recommend Great Medical!they are amazing.
Julio C.
Julio C.
17:48 20 Oct 23
My first time visiting this practice. They were very through, from intake, which was done by a Dr. that I assumed was a nurse because he was so young lol. I wound up seeing Jaime who is a GYN NP, she was awesome. They asked a lot of questions about my history, which I really appreciated. Labs and Sonogram are done on-site. I will be returning.
Shay S.
Shay S.
01:13 20 Oct 23
The ladies are very polite and the doctors are really nice😊
Sheribel C.
Sheribel C.
19:45 12 Oct 23
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.
17:26 12 Oct 23
They e the best and I lov my dr Grana
jorge B.
jorge B.
16:40 09 Oct 23
I have been there about 5 times and I must say , they are very Professional and friendly. From front desk , nurses and doctors.
Wendy W.
Wendy W.
11:05 06 Oct 23
Patty the sono tech and Dr. Yelena Tsyba are excellent care givers. They were kind courteous and answered all my questions
Elisa T.
Elisa T.
20:55 05 Oct 23
I think Dr. Akselrud’s bedside manner is exceptional. It mimics the hospitality depicted in movie, s yet rarely experienced in actual life. As such, I appreciate his expertise and welcome his opinion regarding my health and well-being.I consider him to be a Grade A physician without question!
latia H.
latia H.
20:26 05 Oct 23
Amazing and fast serviceEveryone is so kind and friendlyThank you
Anastasiia T.
Anastasiia T.
17:33 05 Oct 23
I had a great experience at Great City Medical. My appointment was scheduled right away, the staff is very nice and professional, communication was great and prompt. Highly recommend!
Stephany B.
Stephany B.
00:35 27 Sep 23
Great and fast service.. very friendly doctors and assistants..
Mohammed Y.
Mohammed Y.
19:40 26 Sep 23
Great place and Friendly staff .Dr. Tsyba is awesome
Elizabeth M.
Elizabeth M.
16:54 21 Sep 23
Muy buenas atenciones 👍🏽
Mateo Rosario H.
Mateo Rosario H.
16:22 21 Sep 23
The doctor and staff were truly amazing. They are friendly, caring and very professional. I was seen immediately and felt very comfortable in the calmenvironment.
Daysi P.
Daysi P.
00:31 15 Sep 23
helpful,quick response and communication
Cherry P.
Cherry P.
01:26 14 Sep 23
It was all smooth. They shared the information with me prior to the medical immigration test. I highly recommend great city. 5 stars for e-communication and responsiveness!
Mahy H.
Mahy H.
17:34 13 Sep 23
Th everyone is amazing! From the reception all the way to the doctors
Winnie G.
Winnie G.
16:54 06 Sep 23
The wait to be seen is short and everybody worked well together to give each patient a pleasant experience.
Sharon P.
Sharon P.
22:46 05 Sep 23
The staff was knowledgeable of my situation and took care of me properly.
Tyrone M.
Tyrone M.
18:26 30 Aug 23
Good service!
Leandro A.
Leandro A.
16:38 30 Aug 23
Dr yelena is great
Dayana R
Dayana R
16:20 30 Aug 23
Muy profesional
Jose Joaquin Campos J.
Jose Joaquin Campos J.
18:25 22 Aug 23
Fun visit, everyone was super sweet and beautiful! From the front desk allllll the way up until I had my blood drawn at the end! Would recommend to any woman/person
Jasmine K.
Jasmine K.
00:01 15 Aug 23
I finally have a great medical Dr.. She ordered blood work an gave me medical referrals.I love my GYN DR. at this office tooThe office is very nice n clean the front desk receptionists are all very nice a pleasant
Kyra W.
Kyra W.
17:53 07 Aug 23
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