Services

Great Neck OBGYN in Long Island New York offers a comprehensive team approach to our obstetrical patients – our obstetricians, trained labor and delivery nurses and on-site radiologist work together to assure our obstetrical patients receive round the clock, quality care.

Our practice offers high-risk obstetrical care including specialized care for multi-fetal pregnancy, patients with a history of recurrent pregnancy loss, preterm delivery history and poor obstetrical history.

We perform all obstetrical ultrasound and prenatal care services in our office as well as all ultrasound-related procedures including:

• Three Dimensional (3D) Ultrasound to assess anatomy
• Level 2 Comprehensive Ultrasound
• Multifetal Growth Assessment
• Amniocentesis
• Ultrascreen
• Non-stress Testing
• Biophysical Profiles
• Color Doppler studies to assess placental function and fetal well-being
• Pre-conception Genetic Counseling and on-site testing for Cystic Fibrosis, Gaucher’s Disease, Tay-Sach’s, Canavan’s, Familial Dysautonomia, Sickle Cell Disease, Thalassemias, Fanconi’s anemia, etc.

Our practice is proud to offer the most advanced laparascopic procedures developed to date, offering a wide range of minimally invasive services for patients and a wide array of treatment options for a variety of gynecological conditions. Laparoscopic hysterectomy, operative hysteroscopic fibroid or polyp treatment, and Novasure or rollerball endometrial ablation procedures for severe bleeding disorders are a few of the most commonly used minimally invasive procedures offered by our office.

What Is a Laparoscopic Hysterectomy? Laparoscopic hysterectomy is a relatively new surgical procedure that allows the uterus to be detached from inside the body by laparoscopic instruments while the doctor is viewing the uterus, tubes, and ovaries through a camera attached to a telescope. After the uterus is detached, it is removed through a small incision at the top of the vagina. One advantage of laparoscopic hysterectomy is that the incisions are smaller (1/2 inch) and much less uncomfortable than that of abdominal hysterectomy. Also, the hospital stay of 1 day and the ability to resume normal activity in about 2 weeks are substantially shorter than for abdominal hysterectomy and slightly shorter than for vaginal hysterectomy.

What is operative hysteroscopy? Hysteroscopy is a procedure that allows a visual examination of the interior of the uterus and is performed by inserting a long, slender instrument directly into the uterus via the cervix. The diagnostic procedure usually takes a few minutes. An operative hysteroscopy allows the gynecologist to remove abnormal tissue such as polyps, fibroids that protrude into the uterine cavity or scar tissue. It is performed under general anesthesia and generally takes between 15 and 30 minutes to perform depending on the extent of the surgery required. The patient is sent home after 1 to 2 hours in recovery and may resume full activites by the following morning.

Urinary incontinence is the accidental release of urine. This leakage often occurs when you cough, laugh, sneeze, or have sudden urges to go to the bathroom and can’t get there in time. Incontinence is not a disease but a symptom of a problem and is very common, especially among women. Typically, urinary incontinence does not cause major health problems, but it can be embarrassing and can affect a woman’s self-esteem and confidence.

Our office is fully equipped to perform complex Urodynamic Testing, using the The Lumax Pro Cystometry System I – a state-of-the-art, incontinence diagnostic system that more accurately diagnoses the various cause of female urinary incontinence. Urodynamic testing provides a more advanced way to check bladder function and to determine if incontinence symptoms are due to overactive bladder, pelvic floor relaxation, disorders of the urethra, or a combination of many factors.

Great Neck OBGYN is now offering Femilift!

Femilift was introduced by the Alma Laser company in 2013. The Femilift is a quick, safe, and highly effective in-office procedure for vaginal pain, vaginal atrophy, dryness, recurrent vaginal infections, and urinary stress incontinence. It is done without the need for anesthesia, medication, or hormones. It is virtually painless. The vagina can lose collagen or tightness due to childbirth, aging or gravity. The Femilift uses a special laser that increases collagen and blood flow in the vaginal tissues. This helps to reduce vaginal laxity and improve sexual functioning. In addition, increased blood flow to the vagina increases lubrication, helps to maintain vaginal ph, and prevents recurrent infections.

The Femilift also improves the support to the urethra so it can reduce or cure the loss of urine that occurs with sneezing, coughing or exercise. The Femilift takes 5 to 10 minutes. There can be a sense of warmth during the procedure. It is necessary to avoid intercourse for 3 days after the procedure. The recommended protocol is 3 treatments scheduled 4 weeks apart. A maintenance treatment is recommended once a year.

FemiLift offers a quick, safe and highly effective, minimally-invasive solution that addresses a wide range of feminine health concerns. It is a comprehensive treatment solution that can be performed in an outpatient setting with no need for anesthesia, no pain and achieves immediate improvement with lasting results. There is no patient downtime and women can regain their daily routine immediately post procedure. By generating controlled micro-ablative damage as well as deep thermal heat within the sub-mucosa tissue, FemiLift regenerates collagen and elastin reformation and promotes tissue rejuvenation.

So how does FemiLift work? First, a gynecologist at Great Neck OBGYN will perform a pelvic exam to determine if the Femilift is the right solution. Once everything is discussed with the patient, the treatment, which involves inserting a fractional CO2 laser about four to six centimeters into the vagina, begins. The laser penetrates about 0.5 millimeters into the vaginal wall to reach the level of the skin where collagen is formed. The treatment, which involves multiple sessions, tightens the vaginal wall to restore tone to tissue, increases blood flow, increases lubrication, strengthens the supporting ligaments surrounding the bladder and urethra to reduce the symptoms of stress urinary incontinence, and can even promote sexual pleasure.

If you are interested in less urine loss, increased vaginal lubrication and increased enjoyment with intercourse, the Femilift may be the answer for you.

Botox Cosmetic: A Nonsurgical Treatment for Wrinkles

Botox is a dilute, purified form of Botulinum toxin which is an extremely effective muscle relaxant. Small amounts of Botox are injected with a tiny needle into the muscles that creates the wrinkles which allows relaxation of the muscles producing the wrinkles. Over time and repeated use, the lines on any treated areas will begin to diminish.

Botox is mainly used for improving furrows between the eyebrows, horizontal lines of the forehead, and the crow’s feet area around the eyes. Botox has been used safely and successfully for over 10 years for wrinkle therapy since 1993. Although it is a toxin, it is safe and there have been no serious side effects reported. Although the effects are not permanent, there may be a gradual lengthening of the time interval between treatments resulting in fewer treatments to obtain the same results.

Obstetrical ultrasounds performed in pregnancies include early first trimester screening (known as the ultrascreen), ultrasound-guided amniocentesis, comprehensive level II anatomy screens, cervical length screening for preterm labor prevention,biophysical profiles and fetal growth evaluations in the third trimester, and multifetal pregnancy evaluation. We also offer cutting-edge 3-D ultrasound in our facility, available to our obstetrical and gynecologic practice.

We have on-site bone densitometry for early detection of osteopenia and osteoporosis and counseling available for patients regarding this important women’s health care issue.

Gynecologic ultrasound includes ovarian cancer screening assessment, pelvic and transvaginal ultrasound and sonohysterography for evaluation of uterine abnormalities.

Pre-natal Genetics Counseling

Great Neck Obstetrics and Gynecology offers Pre-natal Genetics Counseling and formal genetic evaluation for couples with poor pregnancy history, recurrent miscarriages and couples who may be at risk for genetic diseases based on ethnicity and country of origin.

After an evaluation, recommendations for tests may include carrier screening for Cystic Fibrosis, Gaucher’s Disease, Tay-Sach’s, Canavan’s, Familial Dysautonomia, Sickle Cell Disease, Thalassemias, Fanconi’s anemia, Niemann-Pick (type A) disease, Bloom syndrome, HTLVIII, Mucolipidosis and Fragile X testing.

Patient’s of Ashkenazi Jewish descent may be at risk for carrying genes that could lead to uncommon, yet severe, incurable neurodegenerative and other diseases in their newborns. There is currently genetic screening available for Tay-Sachs disease, Canavan disease, Familial Dysautonomia, Niemann-Pick disease, Fanconi’s anemia, Bloom syndrome, Gaucher’s disease, mucolipidosis type IV,and glycogen storage disease type 1.

Cystic fibrosis (a progressive, chronic lung disorder that leads to death in young adulthood) is found mostly in Caucasian populations, and Hemoglobin electrophoresis (to screen for blood disorders) is often recommended for individuals of Asian or Mediterranean descent.

Fragile X Syndrome is the most common cause of inherited mental retardation. Carrier screening for this disorder is available. The American College of Medical Genetics and the American College of Obstetrics and Gynecology established the most recent guidelines for Fragile X syndrome carrier which state that anyone with a family history of undiagnosed mental retardation should be considered for Fragile X syndrome carrier testing.

BRCA-1/2 & MyRisk Genetic Counselling

BRACAnalysis is a genetic test that requires only a blood sample to determine whether a patient has a BRCA1 or BRCA2 gene mutation, indicating a predisposition to hereditary breast and ovarian cancer (HBOC). Once genetic risk is identified, there are specific management strategies that can be employed for early detection, risk reduction and possible prevention of these cancers.

We offer a full evaluation for carrier screening that is appropriate for you with a detailed explanation of how carrier screening can affect your unborn child.

Did you know:
» Genetic testing can help you determine if you are at increased risk for developing certain types of cancer.
» 25 Genes are analyzed by Myriad Genetic Laboratories for hereditary cancer risk.
» Coverage is excellent! Most insurance companies cover genetic testing at 100%.

Don’t forget to include BOTH your mother’s and father’s side of the family when answering questions. You will be assessed for the following hereditary cancers: breast cancer, ovarian cancer, colon cancer, uterine cancer, pancreatic cancer, gastric cancer, prostate cancer and melanoma.

These questions are based on the clinical guidelines doctors use to determine whether you should be tested for one of the above syndromes. This is not a test, but rather a questionnaire to help determine risk so you can be prepared to talk to your doctor about further evaluation of your personal and family history of cancer.