Second Opinion before Gynecologic Surgery in New York - Dr. Steven R. Goldstein MD

Doctor Steven R. Goldstein is a top gynecologist in New York in practice for over 25 years, and is available for a second opinion before gynecologic surgery in New York. 

Many women have been told they need a uterine or endometrial biopsy for diagnosis purposes. Do not do so. Blind endometrial biopsies became very popular in the early 1990’s and became the standard of care after a report said they were 97.5% accurate. Before that women had Dilation and Curettage (D&C) or a scraping that was done under anaesthesia. Both of these are painful, invasive, procedures that cause women a lot of discomfort and needless pain.

In 1995 a well-known study showed that for women with cancer who had a biopsy in the operating room, the biopsy missed 11 out of 65 of those cancers, (16.9%). However when they cut open those uteri they found that the cancer occupied less than half of the surface area of those uteri.

Dr Goldstein lectured on this since 1995, but in 2012 the ACOG finally put in their practice bulletins that when these biopsies are negative, it is not a stopping point. Unfortunately the majority of practicing gynecologists do not know this and continue to do a biopsy as their first choice. Studies have shown these gynecologists are very likely to miss the abnormality with a blind biopsy.

Instead a saline infusion sonogram, where some fluid is put into the uterus allows the operator to see better and produce clear, high resolution images of the entire uterus. If you’ve been told that you need a uterine biopsy for diagnosis, ask first for a saline infusion sonogram, a painless, non-invasive procedure which is performed right in the office in a few minutes.

Dr Steven R. Goldstein is one of the nation’s top Obstetricians and Gynecologists and is well known internationally for ground breaking work in gynaecological ultrasound and imaging. He is a Professor of Obstetrics and Gynecology at New York School of Medicine, serves as Director of Gynecologic Ultrasound at New York University Medical Center and is President of the American Institute of Ultrasound in Medicine. He is available for consultation for a second opinion before gynecologic surgery in New York.

You may contact Dr Goldstein at his New York office to schedule a consultation by visiting his website at www.goldsteinmd.com

Dr. Steven R. Goldstein Top Vaginal Sonogram Specialist New York

Dr. Steven R. Goldstein MD is a Vaginal Sonogram Specialist, New York. He is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds and an internationally recognized expert in the field of gynaecological ultrasound and imaging. 

In his practice Dr Goldstein sees many women with a variety of gynecological medical complaints. As a Vaginal Sonogram Specialist in New York, Dr Goldstein uses vaginal sonograms (transvaginal ultrasounds) to examine the uterus, ovaries, and fallopian tubes to determine if there are tumors, fibroids, ovarian cysts, issues with the uterine lining and so on.

The use of transvaginal ultrasounds for pelvic imaging offers tremendous advantages for women. Often, diagnoses can be made on the spot, allowing more timely therapy, or in the case of normal findings, relieving patient anxieties. It saves time for both the physician and the patient. Patients uniformly prefer vaginal scanning over the discomfort of a full bladder transabominal approach.

Patients can also better understand their care; the pictures generated on the screen are very helpful in communicating the diagnosis and possible treatment options to the patient.

Dr Goldstein uses these non-invasive, non-surgical Vaginal Probe Ultrasounds to diagnose why a woman is bleeding abnormally or many other conditions. The clear images produced from these Vaginal Sonograms tell whether the bleeding is from tumors, polyps, cysts, or from simply hormonal imbalances.

As a Vaginal Sonogram Specialist in New York, Dr Goldstein personally performs all Vaginal Sonograms, diagnoses the condition and then discusses treatment options with the patient. Women with any type of abnormal bleeding can consult Dr Goldstein at his New York City office to determine the cause of bleeding and seek treatment for the condition.

Dr Steven R. Goldstein MD - Top Gynecologist in NYC

As a top rated Gynecologist in NYC for over 25 years, Dr Steven R. Goldstein MD sees many patients with medical complaints related to heavy bleeding (menorrhagia). There are many normal and abnormal situations which may result in heavy menstrual bleeding.

For instance women with many children will see growth of the size of their uterus, which increases the surface area of the uterine lining. In this case bleeding may be heavy without there being any abnormality.

There is also a condition known as adenomyosis (endometriosis of the uterus or myometrium) which may result in heavy menstrual bleeding at certain times. Historically, heavy menstrual bleeding (menorrhagia) and painful menstruation (dysmenorrhea) are the major symptoms of adenomyosis. This condition is benign.

Fibroids are also known to cause heavy bleeding at the proper time due to growth of the uterine cavity such that there is more surface area and heavy menstrual bleeding at the proper time.

The presence of uterine polyps in synchrony with the normal menstrual cycle can result in heavy menstrual bleeding at the appropriate time.

As a top New York City Gynecologist and an internationally renowned expert in Gynecologic Ultrasounds, Dr Goldstein uses painless, non-invasive procedures such as Transvaginal Ultrasounds and Sonohysterography to examine and diagnose patients with heavy bleeding. These procedures produce high resolution, clear of the uterus, uterine lining, the wall of the uterus, fallopian tubes and ovaries which are used to make an accurate diagnosis.

Dr Steven R. Goldstein is a Professor of Obstetrics and Gynecology at New York University School of medicine, Director of Gynecologic Ultrasound at NYU Langone Medical Center and a Past President of the American Institute of Ultrasound in Medicine. Thus as a Gynecologist in NYC who performs all transvaginal ultrasounds and Sonohysterograms personally, he possesses the skill and experience to diagnose and treat women with heavy menstrual bleeding conditions.

Women experiencing heavy menstrual bleeding may schedule a consultation with Dr Steven R. Goldstein MD, a top ranked Gynecologist in NYC. At Dr Goldstein’s office, patient care is catered to the patient and Dr Goldstein is the only medical personnel you will see on your visit as he attends to you from beginning to end, personally performing all examinations and procedures.