Manhattan Women's Medical

A Commitment to Women's Health - Since 1974

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Gynecological Services Manhattan

Manhattan Gynecological Services

Manhattan Gynecological Services

Pap Smears

A pap smear is a sample of cells taken from the cervix that is sent to a laboratory to be looked at under a microscope. The pap smear can detect any changes in the cervix and can find infections abnormal cervical cells that could potentially turn into cancer cells. It is the most effective tool to prevent cervical cancer. All women should receive pap tests regularly once a year until they are 30 and once every two or three years if they are older than 30. Usually, an pap test that comes back as “abnormal” does not mean the patient has cervical cancer.

 

Contraception

Birth Control Pill

Birth control pills, when taken exactly according to the instructions, are approximately 99% effective in preventing a pregnancy by either preventing ovulation or create changes in the cervix/uterus that prevent the union of the egg with a sperm. Women must be examined by a doctor before receiving the pills. They must also have a pap smear as well as some other lab tests. Women are advised not take the pill if they over 40, smoke, have hypertension, liver disease, diabetes, or are seriously overweight. The pill does NOT provide protection against the spread of sexually transmitted diseases, so additional protection such as a condom is necessary.

Patch

The patch, also called OrthoEvra, is another effective method of birth control. The patch is similar to a square band-aid. It must be applied to the buttocks, upper arm, upper torso, or abdomen. When used correctly, OrthoEvra is approximately 99% effective for all women under 198 pounds and 92% effective for those weighing 198 pounds or more. The patch must be applied once a week for three weeks in a row and then on the fourth week, no patch should be applied and your menstrual period should occur. From there, a new patch should be applied. Each time a new patch is applied, change the location where you apply it slightly to prevent any skin irritation. The patch works by releasing a combination of estrogen/progestin hormones through your skin that prevent ovulation and also create a barrier that prevents sperm from entering the uterus. The patch does NOT provide protection against the spread of sexually transmitted diseases, so additional protection such as a condom is necessary.

Intrauterine Device (IUD)

An IUD, or intrauterine device, is a small device that is inserted by a physician into the uterus to prevent a fertilized egg from developing. The IUD can remain in place for several years, depending on the individual and the type of IUD. An IUD is made of copper or plastic and is over 95% effective preventing pregnancy, as long as it remains in place. Sonograms are recommended two weeks after insertion to ensure proper placement. In certain instances, the IUD may slip out of its proper place and therefore must be checked by the woman after each menstrual period. You can check the IUD by attempting to touch the string attached to it. If the string cannot be located, the IUD may have shifted in the uterus. In such cases, contact our office. Women who have cervical, vaginal, uterine, fallopian, or ovarian irregularities may not use an IUD. IUD insertion, in some cases, may cause painful menstrual cramps and women who use an IUD may experience longer and heavier periods and slightly more severe menstrual cramps. Women who experience significant weight gain or loss while using an IUD should schedule an exam more often. If you use an IUD and experience signs of pregnancy, contact our office immediately. An IUD does NOT provide protection against sexually transmitted diseases, so additional protection such as a condom is necessary.

NuvaRing®

NuvaRing® is a soft and flexible ring that is approximately two inches in diameter. The ring is inserted into the vagina and worn for three weeks, then removed for one week (to allow the menstrual period to occur). NuvaRing® contains estrogen and progestin hormones that are delivered to the body continuously through the vaginal wall. NuvaRing® is 99% effective when used properly. With NuvaRing® there is a low incidence of side effects, such as headaches, nausea, and breast tenderness. NuvaRing® does NOT provide protection against sexually transmitted diseases, so additional protection such as a condom is necessary.

Diaphragm

A diaphragm is a soft, rubber cap-shaped device when, with used in combination with spermicidal cream/jelly, prevents sperm from entering the uterus. The diaphragm is approximately 90% effective when used properly with the spermicidal cream/jelly. Spermicidal must be spread in the center of the diaphragm and around the rim before insertion of the diaphragm. The diaphragm must be inserted up to an hour prior to having intercourse and must remain in place for at least 6-8 hours after intercourse. If you and your partner wish to have intercourse again within the 6-8 hours, you must leave the diaphragm in and add more spermicidal cream/jelly with a special applicator. You can gently pull it out to remove it. The diaphragm should be checked once a year to make sure it properly fits and should also be checked if you have either gained or lost of over 10 pounds. Also, regularly run water through the diaphragm to check for leaks, as any leaks ensure that the diaphragm must be discarded. A diaphragm does NOT provide protection against sexually transmitted diseases, so additional protection such as a condom is necessary.

 

Non-Surgical Termination of Pregnancy / Abortion Pill

Abortion Pill

We prescribe Mifiprex (Mifepristone/RU-486) to terminate pregnancies up to 7 weeks (49 days) after the beginning of the most recent menstruation. The success rate for Mifiprex is approximately 99%. Before taking the pill, physicians will perform a pregnancy test and ultrasound to confirm that the pregnancy is early enough to be terminated by the pill. The doctor will review your medical history and will explain the risks and benefits of Mifiprex to you. Mifiprex must be taken in two doses, the first of which must be taken orally during your visit to our office. The second dose must be taken at a later time. The second dose will be provided to you with instructions to take home with you, or if you prefer, you may return to have the physician insert them for you. Some common side effects of Mifiprex include abdominal pain, cramping, vaginal bleeding or spotting for approximately 9-16 days after Mifiprex is administered. Less common side effects include dizziness, nausea/vomiting, diarrhea, and fatigue. Another sonogram MUST be performed 7 to 10 days after administering the pill to ensure that the procedure was successful.

Morning-After Pill (Emergency Contraception, or EC)

The Morning-After Pill is Emergency Contraception (EC). If you have had unprotected sexual intercourse or believe that your primary method of birth control has failed and an unwanted pregnancy may occur, EC is effective in preventing the unwanted pregnancy. The Morning-After Pill must be taken within 72 hours and contains higher doses of the same hormones present in regular birth control pills (estrogens/progestins). EC prevents ovulation and can prevent pregnancy. It is not considered an abortion because it prevents the woman from becoming pregnant in the first place. The pill is taken in two doses, the second dose being ingested 12 hours after the first. EC is only intended as an emergency contraception and not as a primary means for birth control (only as a back-up). 

*There are no age restrictions for abortion; however minors must be accompanied by a parent or guardian for all other gynecological services performed our office.

 

Surgical Termination of Pregnancy (with local or twilight anesthesia)

For patients with pregnancies under 7 weeks, non-surgical terminations of pregnancy are available in the form of Mifiprex (Mifepristone/RU-486). Surgical terminations of pregnancy are available for pregnancies between 5 and 24 weeks.

First Trimester

The first trimester termination of pregnancy includes any pregnancies less than 12 weeks of gestation. The surgery takes very little time (5-10 minutes), but the patient must be supervised by nursing staff for another 30-60 minutes.

Second Trimester

A second-trimester termination of pregnancy includes any pregnancies between 13 and 24 weeks of gestation. For patients between 12 and 15 weeks, the surgery can usually be performed in one day. Patients between 16 and 20 weeks pregnant require a two-day procedure.

Anesthesia

*There are no age restrictions for a NYC abortion; however minors must be accompanied by a parent or guardian for all other gynecological services performed our office.

 

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Services

Non-Surgical Termination of Pregnancy
Abortion Pill
Morning-After Pill

Surgical Termination of Pregnancy
(with local or twilight anesthesia)
First Trimester Abortion
Second Trimester Abortion

Gynecological Services
Pap Smears

Contraception
Birth Control Pill
Patch
Intrauterine Device (IUD)
NuvaRing®
Diaphragm

Manhattan Women's Medical
461 Park Avenue (corner of 31st)
11th Floor
New York City, New York
Tel: (212)473-6600

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Manhattan Women's Medical is a licenced NYC Abortion Clinic that perform Manhattan Gynecological Servicess.