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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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what people say about us

Testimonials

This place is amazing because of the ladies and doctors that work there. They are an amazing group of people! They are professional, friendly and courteous! I reccomend this clinic to everyone, great place and convenient.To all the staff; thank you for all the hard work that you do!
Elizabeth H.
Elizabeth H.
16:36 17 May 24
I was seen by Dr Marley Grana gentle, attentive listener and warm. Coupled with her knowledge and ability to explain in simple language so that you understand. I would recommend her to anyone.
Carol D.
Carol D.
16:27 17 May 24
Excellent condition and service the nurses and the staff are very friendly and helpful and the doctor are great
Pauline H.
Pauline H.
19:07 08 May 24
Cerca a casa y el personal fantástico muy amable
Olga lucía Bastidas H.
Olga lucía Bastidas H.
18:51 07 May 24
Very efficient…smooth and timely service.The staff was very Professional. I would Recommend this place for GC Medical over another in New York
Von D.
Von D.
21:27 06 May 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 (.
18:03 01 May 24
Exelente como siempre
Vicky I.
Vicky I.
16:49 01 May 24
I love my GYN and her staff
Elsy C.
Elsy C.
16:13 23 Apr 24
Great City Medical you are the bestest best.. Your staff is excellent …Thank you each & everyone for your kind patience ✨️ 💛 mucho ❤️…
Tyra S.
Tyra S.
20:26 17 Apr 24
The stuff was extremely friendly and polite. One of the nicest experiences I had in a medical office.
Anna P.
Anna P.
19:50 17 Apr 24
Great Service
Claudia T.
Claudia T.
20:37 16 Apr 24
My experience has been getting better over the years I’ve been coming to this location!!
Shan S.
Shan S.
18:36 11 Apr 24
Muy buen servicio
Charley B.
Charley B.
17:49 09 Apr 24
Today was my first visit ever .. Everything was so professional from check in to the last .. I will be going here and making this my gyn office 🩷Professionalism is 10/10
Desiree C
Desiree C
18:11 08 Apr 24
DR TYSBA IS THE BEST GYN IN THE WORLD. I HAVE BEEN TO A LOT WITHIN MY 50 YEARS AND SHES TOP SHELF!
Shay H.
Shay H.
15:36 08 Apr 24
Their professionalism makes for a pleasant, medical experience.Grateful to have Dr. Grana, as my primary care physician.
rockerto video R.
rockerto video R.
12:58 04 Apr 24
Clean 🧽 and fresh clinicPoliteness of each employee toward each other and respectability for patientsShort and brief application for new patient
Maria M.
Maria M.
22:57 27 Mar 24
Always a good service and kind people over there. I have been going to there for over 5 years and I had good service with good doctors. Thank you for all the staff.
Yaneth P.
Yaneth P.
18:52 27 Mar 24
My first time at this location, availability is always open. Staff and doctor were very pleasant and attentive. Sign- in was quick and easy! If your looking for a gynecologist this is your place.
Jennifer P.
Jennifer P.
15:45 27 Mar 24
A very friendly and attentive staff. Everything was practical and quick. Affordable prices. I’ll definitely be back for more procedures!
Marina P.
Marina P.
15:41 27 Mar 24
Fue un excelente servicio ☺️
Carolina M.
Carolina M.
13:27 26 Mar 24
The staff,Nursees and Doctor is of utmost professional quality and care
Charles J J.
Charles J J.
20:33 25 Mar 24
Today was my first visit to the office. All staff were very pleasant and thoughtful. The level of professionalism is top tier. I feel welcomed and secured in the knowledge given by the physicians. Looking forward to making this my forever gyn office. Definitely different from the rest!
JamilaMoneka
JamilaMoneka
20:09 25 Mar 24
DR.GRANA IS THE BEST
A Luis S.
A Luis S.
18:32 25 Mar 24
The Whole staff were friendly and very helpful, I didn’t have an appointment but they saw me the same day! From the Receptionist, nurses and Doctor… Great Job TEAM!
Raul V.
Raul V.
18:12 25 Mar 24
Muy buenos servicios, tanto en el front desk como en el personal médico . Excelente servicio, mucha amabilidad. 😍🥰
Martha F.
Martha F.
22:18 20 Mar 24
Le doy la Gracias a Dios por a verlo encontrado es la mejor Ginecologa que conozco estoy feliz con ella mi doctora favorita Gracias 👏🏻👏🏻👏🏻👏🏻
Allalive C.
Allalive C.
17:53 14 Mar 24
Great visit with a great Doctor!She makes time to listen to my concerns and goes even further to answer all of my questions.Overall experience was 10 out of 10!!!
latia H.
latia H.
18:32 13 Mar 24
Everything was great, excellent service
Jose Luis Guerrero G.
Jose Luis Guerrero G.
19:46 06 Mar 24
Great place Dr is very informative and the service is superb they don’t have you waiting for hour’s
Beth H.
Beth H.
23:55 04 Mar 24
Great Doctor and staff
Diana G.
Diana G.
23:15 04 Mar 24
U the best
Tukoy G.
Tukoy G.
17:55 28 Feb 24
Pricing reasonable & appointments quick.
Yolande M.
Yolande M.
22:15 26 Feb 24
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
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
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
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