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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

Excellent
4.7
diane R.
diane R.
Outstanding overall.
Elsa N.
Elsa N.
These team of professionals are the best, so happy they are taking care of me.
Response from the owner: Hi Elsa, thank you for taking the time to leave us a 5-star review. We’re thrilled to hear that you had a positive experience with our team of professionals. It’s our goal to provide the best possible care to our patients, and we appreciate your kind words. Thank you for choosing Great City Medical, and we look forward to seeing you again soon. If you have any questions or concerns, please don’t hesitate to reach out to us at wecaretohear@greatcitymedical.com.
Akerke B.
Akerke B.
I really like this medical centre. The staff is very responsive, doctors are professionals!
Armentha White (.
Armentha White (.
Very good
Arturo Rodriguez L.
Arturo Rodriguez L.
Excelente servicio…. todo fue muy rapido
Rahma M.
Rahma M.
nice services
Tharciany
Tharciany
Great and attentive professionals
Veronica D.
Veronica D.
Excelente Centro de Salud.El personal muy calificado y con mucha educación.
Tony C.
Tony C.
Good
Monìque
Monìque
My visit was very quick for the first time I didn’t have to wait,but i could not get the printed test results
Olga lucía Bastidas H.
Olga lucía Bastidas H.
Cerca a casa y el personal fantástico muy amable I doctora es un amor Dios la bendiga
Response from the owner: We are thrilled you had such a positive experience in our office! Your fantastic review motivates our team to continue providing exceptional patient care. We appreciate you sharing your feedback.
Mayari B.
Mayari B.
Excelente equipo de doctores 👍
Sekou S.
Sekou S.
Great service and care.Clean, professional and on time. Very accommodating.
Ana Martinez C.
Ana Martinez C.
Goood
fanny R.
fanny R.
Son unas personas muy profesionales y tienen un carisma único te encuentran muy amables y si tienes alguna inquietud te respondo con ese profesionalismo único q las caracterizan gracias ..
Elizabeth C.
Elizabeth C.
Súper confortable and the stuff very sweet and professional!!
Response from the owner: Hello Elizabeth,We appreciate your wonderful review and the 5-star rating. We’re thrilled to hear that you found our facilities comfortable and our staff both friendly and professional. That’s exactly the type of experience we strive to provide.Thank you for taking the time to share your positive feedback. We look forward to serving you again soon!
Ivy Deborah (.
Ivy Deborah (.
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 DIAZ8/29/24 Still as great as the first time I went different location but is great same place as my Reumothoid arthritis doctor I love my Dr all these hardworking ladies give their all & I’m super Satisfied we this place….
Thais O.
Thais O.
Great service!
Shay H.
Shay H.
DR TYSBA IS THE BEST GYN IN THE WORLD. I HAVE BEEN TO A LOT WITHIN MY 50 YEARS AND SHES TOP NOTCH!
Response from the owner: We’re thrilled you had such a great experience with us! 😀Thank you for taking the time to leave a review – it means the world. Looking forward to serving you again soon!
Madeline C.
Madeline C.
Very nice always very professional
Response from the owner: Hi Madeline,Thank you so much for the five-star review! Your kind words have brightened our day. 😊 We’re glad to hear that our professionalism stands out – it’s something we always strive for. Looking forward to seeing you again soon!
Martha F.
Martha F.
La atención de primera recomendado
Kelly S.
Kelly S.
Muy buena atención. Lo recomiendo muchísimo. Se puede conversar muy fácilmente con la ginecóloga. Las chicas del staff súper amables.
gina G.
gina G.
Very Nice Visit
Elsa A.
Elsa A.
Excellente servicio, buena comunicación con el paciente, todo el personal fue muy profesional.
Josephine S.
Josephine S.
Great and friendly staff my GYN Dr. is very caring I’ve been going to her since 2016..
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