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? 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 .



I was very pleased with this facility. I didn’t have to wait, the nurse and doctor were quite human (vs bureaucratic), and I felt seen and listened to.
Kim P.
Kim P.
17:59 17 Sep 21
It is great office with a best gynecologist Dr Yelena Tsyba
Simon L.
Simon L.
17:34 17 Sep 21
Both employees who attended me were very helpful and quick to assist me.
Caro O.
Caro O.
17:26 17 Sep 21
Great City Medical clinic helped me file my green card immigration medical exam form. The team is very knowledgeable and flexible. I scheduled my appointment within one week and got the report quickly. Due to some personal health issues, I had to update my report two days before the interview, and the team helped me correct the form with no extra cost within one day! I really appreciated it and highly recommended having your medical exam report done quickly and professionally with the Great City Medical team.
Hao W.
Hao W.
20:49 16 Sep 21
Very efficient.
Black D.
Black D.
19:12 16 Sep 21
Aesthetically this is not the best looking clinic but the service was okay. They gave me false positive results from my pap I wanted to have a second opinion before they was going to go in and do a coloscopy. I was good that I did. I don’t know something was fishy about this place . When I had an ultrasound there were staff members basically arguing with eachother. Talking about a new MA.When I left and came back for results and they told me I had low sodium levels I was worried about that, so I drank pediasure. The only thing they told me to do was eat deli sandwiches and salted nuts. I’m always fishy about places that do abortions, its a clinic not a hospital.
Aliya R.
Aliya R.
09:27 05 Sep 21
I like the way you do a team work
Visseho G.
Visseho G.
00:07 03 Sep 21
My first time at this clinic and they’re awesome at least when they say they is going to call you about your results they do just that Unlike a lot of other clinics. I appreciate what they do for me thank you very much
deboria G.
deboria G.
18:18 25 Aug 21
Everyone is so friendly and pleasant and professional! Doesn’t feel like a hospital at all.
Daria Y.
Daria Y.
19:38 30 Jul 21
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! The office manager, however, could be a little more courteous and friendly with the clients and the staff. 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.
23:43 15 Jul 21
Immigration exam was fast and efficient. Call or visit ahead of time to determine what tests you need. It will save you $$.
Eniola F.
Eniola F.
19:06 15 Jul 21
Very professional, and Friendly Doctors
Cheneere B.
Cheneere B.
18:22 14 Jul 21
Such a great first experience. Dr. Vanessa treated me, she was so understanding and supportive. Removed my iud in seconds after I was told by other doctors that I would need a procedure done to remove it. Definitely recommend her and this place. Awesome staff
jehona V.
jehona V.
20:44 08 Jul 21
The entire staff was friendly and professional. They put the patients at ease by explaining the procedures they are performing. They are willing to answer questions so the patient has clarity. The facilty is clean, well lit, and there is plenty of space for patients to practice social distance.
Tara C.
Tara C.
21:07 25 Jun 21
I’m new to this office and had a great experience with my appointment. Almost no wait time, very pleasant front desk staff and very helpful and caring doctor. On site ultrasound is a big plus. Would recommend this place to everyone.
Ella A.
Ella A.
15:27 18 Jun 21
The BEST team ever 😍😍
arlene G.
arlene G.
16:47 15 Jun 21
I felt comfortable.
Mercy L.
Mercy L.
03:56 11 Jun 21
It was a very special place small but the Personal including the Dr very frendly and competity I will recomended to visit
Silvia C.
Silvia C.
20:15 08 Jun 21
I love this place they are very professional and very clean
Melody V.
Melody V.
15:26 21 May 21
Thank you so mush to my doctor Akselrud
Olga
Olga
00:07 21 May 21
Buen trato y buen servicio
Clsa 0.
Clsa 0.
22:41 18 May 21
Upon arrival Brenda at the front desk is exceptionally wonderful, the medical assistant (never caught her name) is so sweet & Dr. Vanessa Sanchez listened to my concerns and addressed all of my issues. Thanks a lot ladies.
Pamela C.
Pamela C.
16:15 07 May 21
Beautiful office , people in the front desk as well as the doctor and nurses where all amazing and kind . No wait time. Overall a wonderful experience
Lucero G.
Lucero G.
14:30 05 May 21
Had to wait for 1/2 hour and the person at the front desk wore her mask BELOW her nose. Dr. Akselrud could not have been nicer and he was more than helpful in dealing with my medical issue. He is a good doctor.
Alexis G.
Alexis G.
03:07 28 Apr 21
My gyn doctor was great she listen and answer your questions good so if you looking for a gyn doctor she the best so far
sha W.
sha W.
17:09 02 Apr 21
Wonderful office, Amazing doctors and Staff. Highly recommend, a jewel in East Harlem!
Jennifer D.
Jennifer D.
03:28 02 Apr 21
I am fairly new here and had about 4 appointments and never had any issues. The wait sometimes can be a little long, but the staff are always nice. The doctors are kind and gentle with their procedures. The anesthesiologist was so nice and helpful and made me feel comfortable during my procedure. I travel from the Bronx and it’s worth the travel.
Princess L.
Princess L.
20:22 25 Mar 21
Loved my doctor she was very good
Leenia M.
Leenia M.
17:56 25 Mar 21
Always professional and willing to answer all my questions.
ntifafa akoko T.
ntifafa akoko T.
19:28 11 Mar 21
My experience is always great, questions always answered no complaints at all
Darryl W.
Darryl W.
15:37 02 Mar 21
Friendly Team.I was seen by Dr. Vanessa, and she is great!!
Jasmin A.
Jasmin A.
19:18 26 Feb 21
Google Rating
4.7
Based on 257 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


Working Hours:

Monday 9am – 5pm

Tuesday 9am – 5pm

Wednesday 9am – 5pm

Thursday 9am – 6pm

Friday 9am – 5pm

Address

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


Call us anytime

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


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Copyright © 2020 Great City Medical. All Rights Reserved.



Copyright © 2020 Great City Medical. All Rights Reserved.