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.
0 Comments
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. Doctor Steven R. Goldstein MD is a widely renowned Menopause Specialist and an expert on female hormone replacement therapy. He is a Certified Menopause Practitioner and a past President of the North American Menopause Society (NAMS). He has been in practice for over 25 years in his New York City Practice providing individualized medical care to women. At Dr. Goldstein’s practice he is the only medical professional one will see from beginning to end of their visit. He performs all procedures himself, takes medical history and answers all questions before agreeing with the patient on a course of treatment. A woman is medically confirmed to have Menopause after 12 consecutive months of missing a period. This condition is due to ovarian follicles (eggs) being depleted. Some of the common symptoms of menopause are hot flashes, night sweats, insomnia, mood swings, irritability, anxiety, less interest in sex, vaginal dryness and painful intercourse. As a nationally recognized Menopause Specialist and Gynecologist for menopause treatment, Doctor Goldstein has decades of experience working with menopausal women. If one is experiencing any of the aforementioned symptoms of menopause or entered this phase of life, please make an appointment with Dr. Goldstein to understand the change in the body and possible treatment options. Decades of working with menopausal women combined with his unique background make Dr. Goldstein the best menopause gynecologist in New York you can see for this condition. Dr. Goldstein is also a sought-after lecturer and Professor of Obstetrics and Gynecology at New York University School of Medicine, serves on the editorial board of more than 6 scientific journals and is considered one of the nation’s top doctors in gynecology. 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. Dr. Steven R. Goldstein MD is the best gynecologist in NYC to see for menopause. He is a nationally recognized Menopause Specialist and Gynecologist for menopause treatment. Doctor Goldstein has decades of experience working with menopausal women. So how does a woman know when she’s reached menopause? Menopause is defined as the end of menstruation and confirmed medically after 12 consecutive months without a period. So let’s suppose the woman is in her mid-forties and hasn’t had her period for five months. This doesn’t necessarily mean the woman has reached menopause. In order to confirm that this lack of menstruation is the result of the onset of menopause, doctors recommend a test to measure FSH (follicle stimulating hormone). If this simple blood test reveals high levels of FSH then the transition period into menopause may have begun. There may also be the presence of irregular bleeding. Therefore it may also be helpful to measure serum estrogen levels, usually in the form of the dominant estrogen known as estradiol. In true menopause, this will be low. Dr Goldstein is a Certified Menopause Practitioner and a past President of the North American Menopause Society (NAMS). He has been in practice for over 25 years and is a Professor of Obstetrics and Gynecology at New York University School Of Medicine. He is also a Past Chairman of the American College of Obstetrics and Gynecology, New York section, Past President American Institute of Ultrasound in Medicine and is currently the Director of Gynecologic Ultrasound at NYU Langone Medical Center. If you believe you are in the transition state for menopause, arrange for an appointment with Dr. Goldstein, the best gynecologist in NYC to see for menopause. You may visit his website at www.goldsteinmd.com. Dr. Steven R. Goldstein MD is an expert Gynecologist in NYC and has been in practice for over 25 years. He is regarded as one of the nation’s top gynecologists. Dr. Goldstein usually encounters patients with uterine polyps. These are growths of the endometrial lining tissue. They are characterized by having their own central feeder vessel. They are sometimes inactive, although, they may be in synchrony with the menstrual cycle. They are rarely malignant. However, they can cause either heavy menstrual bleeding or bleeding between normal periods. Uterine polyps are easily diagnosed in an office setting with minimally invasive techniques that Dr. Goldstein has championed (sonohysterography or the newer disposable office hysteroscopes). If polyps truly are present and need to be removed, this is done in a simple outpatient procedure with anesthesia. Dr. Steven R. Goldstein MD is recognized as a pioneer in the field of gynecologic ultrasound. His research in the field has significantly changed the way gynecology is practiced and in many instances has become the standard of care with the ACOG. This dedication and expertise led to Dr. Goldstein being the Recipient of the 2018 Joseph H. Holmes Clinical Pioneer Award from the American Institute of Ultrasound in Medicine (AIUM). This is in recognition of Dr. Goldstein’s distinguished career in ultrasound in medicine, and making outstanding contributions to the growth and development of medical ultrasound. Dr. Goldstein is also a Professor of Obstetrics and Gynecology at New York University School of Medicine, the Director for Gynecologic Ultrasound, Department of Obstetrics and Gynecology at New York University Langone Medical Center, and serves on the editorial board of more than 6 scientific journals. If you have been told you have uterine polyps, then schedule a consultation with Dr. Steven R. Goldstein MD, a top Gynecologist in NYC. You may also visit his website at www.goldsteinmd.com for more information. Dr. Steven R. Goldstein MD is an expert Obgyn in Manhattan, and is considered one of the nation’s top doctors in gynecology. In private practice for over 25 years, Dr. Goldstein is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds, and an internationally recognized expert in gynecological ultrasound and imaging. Enlargements found during bimanual pelvic exams need to be examined further with a sonogram. If a mass is detected, these growths are usually benign. The field of gynecologic ultrasound with the introduction of vaginal probe sonograms in the last 30 years has refined gynecologic diagnosis to the point where the overwhelming majority of masses detected are clearly benign and can be left alone without surgery. Unfortunately many physicians and patients, do not understand that benign ovarian growths do not become malignant. Perhaps this misconception is a result of the fact that virtually all other gynecologic cancers (cervix, uterus, and breast) have well defined premalignant stages that we attempt to identify before they become frank malignances. I also believe that another major reason that the rate of surgery for ovarian cysts and hysterectomy in the United States is twice as high as European countries is because their ability to better understand that gynecologic ultrasound can reliably suggest “benign” is far ahead of most doctors in the United States. If you are a woman who has been told you are in need of exploratory surgery because you have a “mass”, then contact Dr. Steven R. Goldstein MD for a second opinion consult. To find out more about Dr. Steven R. Goldstein MD, an expert Obgyn in Manhattan, or schedule an appointment to discuss your gynecological conditions, visit www.goldsteinmd.com. Doctor Steven R. Goldstein MD is the best gynecologist in NYC to see for menopause bleeding, a condition Dr. Goldstein frequently encounters in his patients is Menopause Bleeding. In menopausal women the ovaries are no longer functioning and there is no production of estrogen or progesterone. Thus there is no stimulation of the endometrial lining so there should be no bleeding whatsoever. The medical profession takes the stance that uterine cancer must be ruled out first in any case of menopause bleeding. Therefore there must be an evaluation of the uterus. Dr. Goldstein uses non-invasive methods such as a vaginal sonogram to do this evaluation. The clear, high resolution images from transvaginal ultrasounds / vaginal sonograms etc. provide Dr. Goldstein with the information he needs to make a diagnosis and share with the patient. Doctor Steven R. Goldstein is also a Certified Menopause Practitioner and a past President of the North American Menopause Society (NAMS). He is also the Director of Gynecologic Ultrasound at New York University Medical Center and Past President of the American Institute of Ultrasound in Medicine. He is well qualified to evaluate any case of menopause bleeding with non-invasive vaginal sonograms and discuss with patients. Dr. Steven R. Goldstein has over 25 years’ experience as an Obstetrician and Gynecologist in private practice in New York City, where appointments are tailored to each individual and each patient is personally attended to by Dr Goldstein. If you are suffering from bleeding during menopause, then schedule a consultation with Dr. Steven R. Goldstein MD, one of the best gynecologists in NYC, or visit his website at www.goldsteinmd.com for more information. Dr. Steven R. Goldstein MD is an expert Gynecologist in NYC. He is also a Professor of Obstetrics and Gynecology at New York University School of Medicine, Director of Gynecologic Ultrasound at NYU Langone Medical Center and is regarded as one of the best Gynecologists in the US. At Dr. Goldstein’s NYC office, personalized patient care is priority. As part of annual exams, Dr. Goldstein recommends that women have a mammogram as part of their exam and to monitor their breast health. However, Mammography is only as good as the equipment employed and the people performing and interpreting the study. The mammography facilities that Dr. Goldstein recommends do not simply have a technician do a study and then later have a physician come by and read images, and then having to decide if it is necessary to call the patient back for further evaluation. The best facilities (the ones Dr. Goldstein recommends) do not let the patient leave until all issues have been reconciled and this often involves a spot film or compression film or ultrasound when necessary. Most good facilities will have a “double read” (two physicians) and some even include a clinical breast exam and the doctor speaking to the patient. This way there are no “false negative” studies where people with early cancers go undetected. An expert Gynecologist in NYC, Dr. Goldstein has been in private practice for over 25 years. He is regarded as one of the nation’s top doctors in gynecology. For more information on Dr. Steven R Goldstein MD visit his website at www.goldsteinmd.com where you may also make an appointment. Dr. Steven R. Goldstein MD is a top gynecologist in Manhattan regarded as one of the nation’s top doctors in gynecology. The pap smear is one of the single biggest success stories of modern medicine (barely behind the discovery of polio vaccine). The number of cases of invasive cervical cancer in this country has fallen dramatically over the last 60 years mainly because of the pap smear. Currently, 50% of new cases of cervical cancer today are in women who have never had a pap smear and another 10% in women whose pap smear is abnormal, but have never bothered to follow-up! In my 25 years of practice I have had two cases of invasive cervical cancer and both of those women walked into my office with the disease already. No one who has been under my care has developed invasive cancer. For instance if a woman, done with her childbearing, were to have a total hysterectomy for a very advanced pre-cancerous lesion of her cervix, I would feel that I had failed her miserably. My goal is to prevent the development of lesions that cannot be easily taken care of for instance here in an office setting with something as simple as an outpatient laser treatment. Thus this simple test, the pap smear, should be performed annually as part of your gynecological exam to detect any lesions and allow for their treatment. Dr. Goldstein is a Professor of Obstetrics and Gynecology at New York University School of Medicine and is the Director of Gynecologic Ultrasound, NYU Langone Medical Center. He is a top gynecologist in Manhattan. You may visit his website at www.goldsteinmd.com for more information. |
AuthorWrite something about yourself. No need to be fancy, just an overview. Archives
December 2020
Categories |