Choices Gynecological Services: The Highest Level of Care, Concern and Engagement

Choices’ approach and philosophy to GYN is based on over 45 years of experience. We treat women and girls of all ages, from teens to seniors, grandmothers, mothers and daughters. We are proud of our multi-generational patient population. Gold treatment and confidentiality standards, a state of the art facility and a team of highly skilled and caring professionals reduces the stress that often surrounds a visit to the gynecologist. Whether your need is immediate or you wish to develop a long-term relationship with a gynecologist, here is what Choices offers to make our specialty YOU:

  • A convenient location and office hours, same day or next day appointments.
  • Easy travel, near all major bus lines, subways LIRR with free round trip Metro Cards for all Medicaid patients.
  • Annual “Well Woman” GYN program that include vaginal and pelvic exams, PAP tests that can detect changes in the cells of your cervix, breast exams and consultations to fine-tune your health and to reduce the risk of undetected problems or conditions.
  • A full-range of birth control options and licensed social workers to consult and help you choose the method that meets your lifestyle needs.
  • State of the art diagnostic and treatment procedures such as a Colposcopy for early detection of abnormal vulva, cervical and vaginal cells and procedures such as LEEP and Cryotherapy to remove abnormal cells that might become cancerous.
  • Testing and screening for sexually-transmitted infections (STIs).
  • Midlife Services to guide you through the pre-menopausal and menopausal changes that you are experiencing. Services include hormone level testing, nutritional counseling, counseling for age-related psychological problems, medical and holistic treatments for emotional and physical problems and referrals for osteoporosis screenings and mammograms.
  • HIV testing and counseling for you and your partner. You will meet with New York State trained counselors to receive compassionate and confidential information and care. It’s a two-step process; first, a pre-test discussion and lab test and then a second appointment to address post-test results and referrals to agencies or HIV specialists, who work closely with Choices if treatment is necessary.
  • Choices welcomes all HIV-positive patients for all services offered.
  • Walk-in pregnancy testing (free to anyone 18 years old or younger).
  • On-site blood and sonography labs.
  • On site financial, Medicaid, Medicare, insurance and government program specialists to answer all your enrollment and coverage questions.

Gynecological Services

Sonography is a type of medical imaging that uses high-frequency sound waves, also known as ultrasound, to produce images of organs, tissues and blood flow. Choices uses Sonography to determine length of pregnancy or to help diagnose potential problems involving the ovaries or uterus.

The Pap test does not check for ovarian cancer. Pap test screen for is cervical cancer only so it is very important to recognize warning signs, and learn what you can do to reduce your risk. Here is what you can do:

  • If you have had breast, uterine or colon cancer or a close relative has had ovarian cancer, contact Choices and make an appointment to meet with one of our experienced gynecologists. Over 45 years of experience in women’s health care offers you the finest in medical care.
  • Pay attention to your body. If you are experiencing any of the following signs, contact Choices immediately and make an appointment with our staff of GYN professionals. Here is what to look for: abnormal vaginal bleeding or discharge, pain your abdominal area or the pelvic area below your stomach and between your hip bones, back pain, bloating when the area below your stomach swells or feels full, feeling full quickly while eating or a change in your bathroom habits, frequent urination, constipation or diarrhea. These symptoms may be caused by something other than cancer, but the only way to know is to see a doctor. The earlier ovarian cancer is found and treated, the more likely treatment will be successful.
  • During your appointment at Choices you can ask for a diagnostic test, like a recto-vaginal pelvic exam, a trans-vaginal ultrasound, or a CA-125 blood test that can help find or rule out ovarian cancer.

For the past 45 years, Choices has introduced different services in response to the needs of its community offering a comprehensive and confidential HIV Counseling and Testing Program for both women and men. All Choices counselors are New York State trained to work with individuals who may test positive for HIV. The program encompasses two counseling visits, the first pre-test followed by the lab test and the second post-test to review test results, answer questions and if necessary help put a treatment and support program in place. Choices accepts HIV positive patients for all services and there are no special procedures or requirements. It offers compassionate and up to date HIV/AIDS testing and treatment.

Casual, non-intimate contact does not transmit HIV from one person to another. It takes a direct blood-to-blood or semen-to-blood exchange in order to pass the virus on to another person. In addition, direct contact with the body fluids containing blood of an infected person may increase the risk of HIV infection. Most AIDS cases are linked to unprotected sexual activity and intravenous (IV) drug use. Most HIV infected people do not show signs of the disease and may not even be aware that they are infected which is why testing is so important.

If you feel that you may have been exposed to HIV/AIDS, even if you are not currently experiencing any symptoms, remember you can transmit this virus to others via sexual intercourse or needle sharing. Most methods of birth control DO NOT PROVIDE PROTECTION.

Choices has pledged to remain a part of its patient’s healthcare throughout the passage of time and cycles of life and offers a list of services especially for seniors.

For women, Choices is here to guide you through pre-menopausal and menopausal changes. Our mid-life services include hormone level testing, hormone replacement, nutritional counseling, counseling for age-related psychological problems, medical and holistic treatments for emotional and physical problems and referrals for osteoporosis screenings and mammograms.

In addition, Choices recognizes that today, men and women remain sexually active longer and may not realize that they still face the risks of contracting and spreading HIV/AIDS and sexually transmitted infections (STI’s) through unprotected sex.

If you are not currently experiencing any symptoms, remember you can transmit this virus to others via sexual intercourse or needle sharing. Most methods of birth control DO NOT PROVIDE PROTECTION.

Regular and Semi-Annual Check ups


CheckUp_500x300[1] Choices Gynecologists specializing in female reproductive health administer exams and tests such as a Pap Test to check for abnormal cervical cells to make sure you are healthy and to help you stay that way. If you are sexually active, or are considering becoming sexually active, schedule an appointment with a Choices gynecological specialist. If you are interested in birth control, have irregular periods, suspect a sexually transmitted infection (STI) or a urinary tract infection you should take advantage of Choices.

Your health and age will determine how often you should see a Choices GYN ranging from six months, to once a year or every other year.

Knowing what to expect and how to prepare for the exam will reduce your stress and discomfort and turn your exam into a straightforward and rewarding experience. Choices has been treating women for over 45 years making these exams routine, quick and relatively painless.

Here are some tips

Schedule your appointment between menstrual periods and figure out the date your last period started and how long they usually last.

Do not have vaginal intercourse or insert anything into the vagina, including douches or vaginal products, for at least 24 hours before your exam to avoid irritating the vaginal tissue and increasing the chance of incorrect PAP Test results.
Be prepared to answer questions about your sexual health history, family history and make a list of questions or concerns (irregular vaginal bleeding, discharge, odor, pain) you would like to discuss with a Choices GYN such as birth control, pregnancy and sexually transmitted diseases (STIs). Our providers are sensitive and aware of issues that impact the LGBTQ and Trans communities.

Teen Gynecology

100% Confidential, honest and factual, we provide the answers to all your questions. Teen GYN services at Choices are available when you need them with convenient office hours and a location near all public transportation. While we encourage you to include a parent or trusted adult in your health care and decision making, please understand that New York State does not require teens to have parental consent for reproductive and sexual health information or services.

Sex Never Gets Old

Statistics don’t lie. According to the CDC, the NY Times, AARP, WebMD, Psychology Today and most major publications and health related websites, incidences of STIs are up between 30% and 50% for diseases like syphilis, chlamydia and herpes and by the year 2017, 50% of all people, living in the United States with HIV, will be over 50. Education is the key to slowing the spread of STIs and Choices’s workshop series “Sex Never Gets Old” does just that through comprehensive and factual information about the different types of STIs, their symptoms, treatments, testing, prevention and safe sex methods complete with demonstrations, a bit of wry humor that is worthy of the topic and quotes about senior sex from Betty White, Woody Allen and other iconic seniors. Each workshop ends with Q&A a session that is comprehensive, lively, full of humor, brutally honest, and sometimes quite poignant.