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. But it also comes with inconvenient and downright painful symptoms.

If your menstruation symptoms are worrisome or severe, it may indicate a disorder requiring the help of a competent and compassionate gynecologist like Dr. Yelena Tsyba at Great City Medical in New York City.


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.


Menstruation Conditions & Treatments


Menstruation-related conditions treated at Great City Medical include:

  • Premenstrual Syndrome (PMS)
  • Premenstrual Dysphoric Disorder (PMDD)
  • Endometriosis
  • Ovarian Cysts
  • Polycystic Ovarian Syndrome (PCOS)
  • Uterine Fibroids
Premenstrual Syndrome (PMS)

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).

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

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

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.

Polycystic Ovarian Syndrome (PCOS)

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.

Uterine Fibroids

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.


Menstruation Expert and Gynecologist in New York City, NY


If you’re worried about your menstrual symptoms, it is a good idea to visit your gynecologist to rule out other medical conditions or disorders, as well as to identify possible treatments that can bring you relief.

Are you experiencing heavy or painful periods? Are you looking for a compassionate PMDD treatment in NYC? If you have concerns about your menstrual cycle, contact Great City Medical to find out what your treatment options are. Call (212) 281-8600 today to make an appointment with NYC gynecologist Dr. Yelena Tsyba .



Excelente atención
GABY
GABY
18:02 24 Jan 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.
20:23 19 Jan 23
Me gusta mucho ir a esta consulta todos son muy profesionales y amable.
Aurys H.
Aurys H.
17:21 13 Jan 23
It was a good experience.
Randy G.
Randy G.
21:29 12 Jan 23
They are so polite and pay very close attention. They know how to make you feel comfortable.
aggie U.
aggie U.
19:35 06 Jan 23
The place is very clean and nice and staff is very professional the doctors are Great I have been going there for few years now all is good
Ldot
Ldot
04:37 06 Jan 23
Escelente
Gilberto P.
Gilberto P.
20:55 04 Jan 23
Todos bien.
Mildred E.
Mildred E.
22:30 22 Dec 22
Excelente servicio
Ginna Paola Garzon A.
Ginna Paola Garzon A.
18:03 20 Dec 22
friendly staff 🙂 and its a quick transaction. thank you
Mark Anthony L.
Mark Anthony L.
21:39 14 Dec 22
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!!
K K
K 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
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.
Shaula Neekasky (.
Shaula Neekasky (.
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
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Google Rating
4.7
Based on 428 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.



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