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 received the best medical treatment and follow up services at this clinic.
Dshea Kinta M.
Dshea Kinta M.
13:22 20 May 22
I was in need of a new GYNECOLOGIST. I found Great City Medical in a Google search. I spoke with a staff member after hours via live chat an was scheduled the earliest appointment very quickly. All my basic questions were answered. I was sent to patient portal link to pre-register and fill out the forms. Upon arrival I was greeted with a smile and checked in quickly, wait time was short before the nurse called me in to be triaged. I was placed in a room, which was very clean. Dr. Tsyba greeted me with a smile and was very polite and Thorough with the examination. She explained to me in detail what procedures were going to take place and what testing will be done. The staff was very Knowledgeable and helpful as a first-time patient I enjoyed my visit I highly recommend this practice.
Cheryl B.
Cheryl B.
19:00 16 May 22
The place is very nice, and people are kind and professional. The only downside is that I have waited more than I expected (even though I arrived way earlier than the scheduled time), but maybe it’s been just a coincidence. That being said, nothing else to complain about!
Elena F.
Elena F.
02:02 13 May 22
I waited about 30 min to see the Tech, then spent like 20 min with her as a new patient, then about 10 min. more to see Jaime, the NP who was available, since Dr. Tsyba was in surgery. Jaime then consulted with Dr. Tsyba. I was very satisfied with the gentle, compassionate and thorough care I received by Jaime, and the technician who performed the 2 ultrasounds I needed. I’m happy I found this OB/GYN doctor. I hope to meet Dr. Tysba soon.
Awilda R.
Awilda R.
17:44 12 May 22
They was wonderful, the front desk and even my doctors very gentle with everything they do..I felt very comfortable to open up to them about my needs and I definitely felt like I was in great hands, when it’s comes down to OBGYN’s it’s very hard finding loyalty ,honesty, and security with your doctors THIS WAS WONDERFUL..i found out everything I needed to know and I will definitely enjoy being a new patient here !!!
Londaisha :.
Londaisha :.
12:43 12 May 22
Place was valid … 💯 very respectful and calls patients in a timely manner
Leenia M.
Leenia M.
19:44 02 May 22
Me encantó la atención del personal, y sobre todo la ginecóloga Yelena Tsyba, quien fue la Dra. que fui a consulta, bueno ella es muy profesional, muy amable y gentil ; también la persona que me hizo el sonograma,todos me trataron con mucha gentileza; fue mi primera vez y quedé muy contenta satisfecha…
Sovilek O.
Sovilek O.
02:35 29 Apr 22
The doctor is brilliant!!!
Tyrone H.
Tyrone H.
19:15 21 Apr 22
Very nice always very professional
Madeline C.
Madeline C.
15:38 19 Apr 22
I have known Dr.Tsyba for many years, she sees my friends and my sister gave birth to three children with her, personally in my practice there were moments when I had to urgently go to other doctors, after which I kept returning to her. She, as like a mother, will not advise bad things and will do everything possible to help. The staff is also very responsive and polite professionally fit every patient. You feel at home confidentially. Thank you doctor for your professionalism. I wish you more assistants so that you do not get tired.
Fatima A.
Fatima A.
03:19 06 Apr 22
Great people who made me feel very comfortable for my first appointment at this establishment. Much appreciated.
Nicole De L.
Nicole De L.
16:40 04 Apr 22
Great place to get checked. The staff very professional, they take care of you on your appointment time and the clinic is very clean. My Doctor was great!!
Katty R.
Katty R.
10:43 18 Mar 22
My 1st time going here. All of the staff was friendly and helpful. I loved that I didn’t have to schedule an appointment to go somewhere else for ultrasound. I did 3 things in 1 day and the wait was ok
ivy b
ivy b
20:48 10 Mar 22
good service and everything was very fast no complaints I liked the place
Carmen W.
Carmen W.
18:50 07 Mar 22
It is great office with a best gynecologist Dr Yelena Tsyba
Simon L.
Simon L.
18:40 04 Mar 22
Very good. Attentive staff
Alla T.
Alla T.
22:26 01 Mar 22
Wonderful staff and excellent service
Ramar A.
Ramar A.
22:08 01 Mar 22
Very Professional
Ashlee W.
Ashlee W.
17:35 24 Feb 22
Very amazing service.
Natevia H.
Natevia H.
21:47 23 Feb 22
A++ Service. Great atention to issues and promt call at appointment time👍🏻
Ludo A
Ludo A
16:02 23 Feb 22
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.
17:25 18 Feb 22
Very nice place with very nice people the place is clean and quiet I love it there
Dj Shabba U.
Dj Shabba U.
01:44 18 Feb 22
Very well cared for. Doctors, nurses, & receptionist are wonderful
Joy H.
Joy H.
21:59 17 Feb 22
Very caring knowledgeable doctor highly recommend!
Alona K.
Alona K.
00:36 05 Feb 22
Great place to come for a Covid test. Everything went pretty quick. Results definitely weren’t ready in 15 min but, the clinic was very, very busy, so it’s understandable. The lady who sits in the middle was very professional, polite and very helpful. Would highly recommend this place!
Lynn In The C.
Lynn In The C.
19:51 03 Feb 22
Actively listened to my concerns and believed me when I said somethings not right. Did not brush me off. And focus on finding the cause to my issues. I definitely recommend. Very clean place.
justina R.
justina R.
16:40 03 Feb 22
Very good Doctor and excellent assistants!
Haydee
Haydee
14:15 29 Jan 22
Hello!Today was our first visit, I liked how doctor Tsyba is explaining to us about my daughter’s women health issue. Also I hope doctor will properly treat her/ my daughter. I’ll update later the results.Thank you,Norah & Maftuna.
Nora K.
Nora K.
19:03 28 Jan 22
Good attention, but they should follow the appointments schedule. I saw the doctor almost an hour later
Umma
Umma
17:17 26 Jan 22
I’ve been going to this doctor’s office for yrs I’m very pleased with my pcp doctor Marly Grana she’s always kind hearted.
Angel's E.
Angel’s E.
20:37 19 Jan 22
Great customer service from the entire team.
Mohammed S.
Mohammed S.
19:27 19 Jan 22
Dr Tsyba is the best doctor I ever knew. Very professional service and so nice stuff!
Vika
Vika
23:36 18 Jan 22
Great doctor and amazing team.
ROEZEN BY R.
ROEZEN BY R.
19:58 14 Jan 22
My experience at your facility was excellent. Your staff members treated me with courtesy and professionalism. Staff members were very friendly and polite. I was contacted within 8hrs of my visit. Thank you for your service.
Alonzo T.
Alonzo T.
23:53 05 Jan 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.
17:31 05 Jan 22
Great accomodation. Fast and expedient service. Very proffesional.
Jose C.
Jose C.
20:54 03 Jan 22
I had an pleasant experience there . The medical addressed my medical request in an timely manner.
Tyrone M.
Tyrone M.
00:00 28 Dec 21
Great service ! Fast process and no waiting
Fatima S.
Fatima S.
20:47 22 Dec 21
Excellent doctor. Very professional and attentive
Marina Y.
Marina Y.
01:03 22 Dec 21
I’ve been going to Great City Medical for year’s and they are very professional, my Medical and GYN doctors are the best doctors I’ve never had a problem.
Debbie K.
Debbie K.
19:56 15 Dec 21
I thank for finally give my A1C count. I was told I had diabetic in December 2020 at Langone on pine and wall street. I then had a MRI at Corneil Hospital to find out what seizure came back after 15 years while working. I had stress after lost my job. See you January 4 AM hours
Bevelynn T.
Bevelynn T.
15:36 15 Dec 21
La atención de primera recomendado
Martha F.
Martha F.
18:34 09 Nov 21
Came in for immigration medical. Really great staff. They are prompt, proactive and kind!
Aarthi R.
Aarthi R.
23:02 26 Oct 21
They are very welcoming and professional. I can recommend my family and friends.
Bassa N
Bassa N
20:58 14 Oct 21
All the staff members and the doctors are wonderful , competent and kind
Ayne M.
Ayne M.
18:16 14 Oct 21
Front Desk employees are amazing! Very polite, nice and helpful. Dr. Akselrud is the best doctor becausehe LISTENS to all my concert and patiently explains everything to me. Thank you Dr. Akselrud!
Andra T.
Andra T.
21:58 12 Oct 21
Quick, professional and great prices
Jose H.
Jose H.
21:48 12 Oct 21
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
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
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Google Rating
4.7
Based on 363 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


Patient Portal




Copyright © 2020 Great City Medical. All Rights Reserved.



Copyright © 2020 Great City Medical. All Rights Reserved.