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Health Issues

There are a wide range of health issues your gynecologist can help you with. Midtown Gynecology provides healthcare services for all of the issues below and more.

Abnormal Bleeding

Also known as dysfunctional uterine bleeding, irregular menses and/or anovulatory bleeding. Evaluation or assessment of bleeding abnormalities and resolution of problems are obtained via physical evaluation, blood test, radiolgic imaging and more


Physical, emotional and hormonal changes can be unique to individuals in this age group. A variety of concerns usually arise during this phase of life.

Birth Control

Contraceptive management includes a diverse array of options such as oral contraceptive pills, patches (orthoevra.com), injections (www.depo-provera.com/), vaginal rings (www.nuvaring.com), diaphragms, intra-uterine devices (www.paragard.com & www.mirena-us.com) and more.


Breast Pain

Fibrocystic breast disease is the most common cause of painful, lumpy breasts. This phenomenon worsens before menses (www.ncbi.nlm.nih.gov/). A variety of natural remedies and prescription medication is available to alleviate this problem.

Cervicitis & Vaginitis

Inflammation or infection of the vagina or cervix. Symptoms often include discharge, odor, or irritation. Ph balance and microbiology cultures are important tools to aid in the diagnosis and ultimate treatment of a variety of infections.


A procedure to evaluate the surface of the cervix, vagina and vulva for visible signs of precancer changes. Tissue samples (biopsies) are then obtained and sent to a pathology laboratory (questdiagnostics.com, www.med.nyu.edu) for microscopic evaluation and diagnosis. Colposcopy is generally done in response to abnormal pap test results.


Abnormal balls/lumps of muscle which grow from the uterus, and less commonly, from the cervix. Also known as fibroid tumors, leimyomas and myomas, they are very common in women in their 30s & 40s. Surprisingly they need not be treated in most cases. However, medical and surgical options for the management and treatment of discomfort and bleeding issues due to fibroids is available.


Cessation of menstruation by natural or surgical means. Physical and emotional signs and symptoms of menopause can often be overwhelming and unbearable. Natural therapies and prescription medications can be used to address such issues and help to alleviate many menopausal side effects.
Ph balance and microbiology cultures are important tools to aid in the diagnosis and ultimate treatment of a variety of infections.

Pap Smear

A screening test for cervical cancer. The liquid based evaluation is more accurate than the traditional glass slide. In fact studies report an approximately 80-90% accuracy in identifying precancer cervical changes (according to www.thinprep.com). Additionally the laboratory is able to test the pap smear liquid for the presence of HPV (Human Papilloma Virus) which can indicate an increased susceptibility to genital warts and precancer cervical changes.


Premenstrual Syndrome (PMS) is a term used to describe physical and emotional changes which can occur up to two weeks before your menses. Natural/herbal remedies often lessen the severity of such changes as can prescription medications.

Fibrocystic breast disease is the most common cause of painful, lumpy breasts.


Cervical polyps are abnormal balls of blood vessels. The cause of cervical polyps is not entirely understood. They are frequently the result of infection or long term (chronic) inflammation. They can also result from an abnormal response to estrogen levels or congestion of blood vessels in the cervical canal. The most common symptom is abnormal bleeding. Diagnosis and treatment of cervical and uterine (endometrial) polyps is paramount to ease discomfort from the associated symptoms and to prevent possible malignant (cancerous) transformation.

There are natural and medical therapies to help ease or relieve [painful periods]...


Sexually transmitted infection/diseases, also known as venereal diseases can also be silent infections. Evaluation, diagnosis and treatment regardless of how the infection presents is important in order to prevent possible long term health complications. Infections such as Hepatitis B, Herpes, HIV, Syphilis, Gonorrhea, Chlamydia, Genital Warts and Molluscum. See also: Pap Smear.

Painful Periods

Dysmenorrhea, painful menses, is often severe enough to limit normal activities. It may or may not be accompanied with excessively heavy bleeding (aka menorrhagia). Some cramps during menstruation are common, but any degree of pain need not be endured. There are natural and medical therapies to help ease or relieve Dysmenorrhea.
Primary Dysmenorrhea is menstrual pain occurring in healthy women. Secondary Dysmenorrhea is menstrual pain that is attributed to an underlying disease, process or structural abnormality. Possible abnormalities include adenomyosis, abdomino-pelvic adhesions, endometriosis, fibroids, pelvic inflammatory, retroverted-uterus.

Endometriosis is the most common cause of secondary dysmenorrhea, yet it is often overlooked or misdiagnosed.

side Release of prostaglandins and other inflammatory mediators in the uterus (womb) is thought to be the inciting agent in primary dysmenorrhea. Prostaglandins levels have found to be elevated in women who experience severe dysmenorrhea. Relief may be provided with natural/homeopathic supplements, exercise regiments, or by medications which inhibit the production of prostaglandins such as ibuprofen, mefenamic acid and naproxen.

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