Dr. Steven R. Goldstein MC is a highly regarded Obgyn in Manhattan and one of the nation’s top gynecologists. Dr Goldstein encounters patients presenting with unscheduled bleeding. Unscheduled bleeding in perimenopausal women, as well as any bleeding in post-menopausal women not on hormone replacement therapy, accounts for many medical interventions. Traditional diagnostic procedures performed in the office include biopsy, suction aspiration, suction curettage, and diagnostic hysteroscopy. However, dysfunctional uterine bleeding in perimenopausal patients can be caused by a lack of ovulation, which is better treated hormonally, not surgically. So how can a gynecologist determine whether the bleeding is caused by a lack of ovulation without doing any surgical procedures to diagnose the condition? The answer is a non-invasive, painless procedure called Sonohysterography which is performed in a few minutes right in the office. Sonohysterography, by assessing endometrial thickness, can reliably distinguish between patients whose bleeding is as a result of a lack of ovulation and those who are in need of formal curettage and hysteroscopy. Dr Goldstein has found that in the vast amount of patients abnormal uterine bleeding is associated with episodes of no ovulation. This condition can be managed hormonally in premenopausal patients or endometrial atrophy in post menopausal patients. Dr Steven R Goldstein MD is top Obgyn in Manhattan who can evaluate female patients who are in either perimenopause or are post-menopausal and are experiencing unscheduled bleeding. Dr Goldstein uses non-invasive sonohysterograms to evaluate and diagnose the reason for unscheduled bleeding. Dr Goldstein, an obgyn in Manhattan, is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds. He is a Sonohysterography specialist, transvaginal ultrasound specialist / vaginal sonogram specialist in New York and an internationally recognized expert in gynecological ultrasound and imaging. You can schedule an appointment with Dr Goldstein by visiting his website at www.goldsteinmd.com.
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Dr. Steven R. Goldstein MD, one of the Best Gynecologists in NYC strongly recommends women have a Pap Smear exam done annually to help detect the presence of any cervical cancer cells early and prevent the need for aggressive treatment. This routine, painless examination performed by Dr Goldstein checks the changes in the cells of the cervix and is the best test for identifying abnormal, cancerous and pre-cancerous cells. In the event that the pap smear results are abnormal, note that doesn’t mean the patient should jump to conclusions. An abnormal pap smear doesn’t mean it will necessarily lead to cancer. It simply means there has been a change in the cervical cells. The reason for the change in cervical cells can be infection, inflammation, changes in the menstrual cycle, or in some cases pre-cancerous or cancerous cells. In the event that there are cancerous or pre-cancerous cells, Dr Goldstein will carefully review your case and advise of the available tests to identify the abnormality such as:
If this additional testing determines that treatment of the abnormal cells is needed, Dr Goldstein may recommend one of the following options:
Patients with abnormal pap smear results can contact Dr Goldstein, one of the best gynecologists in NYC by visiting www.goldsteinmd.com to schedule an appointment. |
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December 2020
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