Dr. Steven R. Goldstein MD is the best gynecologist in NYC to see for perimenopause. He is the co-author of the book “Could it be….Perimenopause”. Perimenopause can occur in women in their late thirties to forties and last for four to seven years before menopause begins. When a woman doesn’t ovulate, no progesterone is produced. The presence of estrogen without progesterone to balance it out can cause a variety of symptoms unrelated to a woman’s menstrual cycle. For instance, fairly constant estrogen levels without progesterone (due to the lack of ovulation in Perimenopause) in a woman will cause her not to bleed at all for weeks or months. Secondly, this condition of estrogen without progesterone to balance it (which occurs during Perimenopause) can result in these other symptoms as well such as Salt and Fluid retention, Low blood sugar levels, blood clotting, fibroid tumor enhancement, altered thyroid hormone function (leading to weight gain or feelings of exhaustion), increased production of body fat, feelings of sluggishness and low energy. That’s not to say that if a woman is experiencing any of the above that Perimenopause is definitely the cause, but it should certainly be considered. Doctors need to see a “family” of symptoms that occur following a specific pattern of events in order to make a preliminary diagnosis. Dr. Goldstein, the best gynecologist in NYC for perimenopause, evaluates women with these symptoms to determine if Perimenopause is responsible. Dr Steven R. Goldstein MD is a Professor of Obstetrics and Gynecology at New York University School of Medicine, a Past Chairman of the American College of Obstetrics and Gynecology, New York Section, President elect of the International Menopause Society and Honorary Fellow, Royal College of Obstetrics and Gynecology. To schedule a consultation with Dr Goldstein, one of the best gynecologists in NYC, please visit his website at www.goldsteinmd.com for more information.
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