Tuesday, November 27, 2018

Dr. Steven R. Goldstein MD - Gynecologist in New York for Menopause and Menopause Bleeding

Dr. Steven R. Goldstein is the Best Menopause Gynecologist in New York and a specialist in treating menopause bleeding. It is not uncommon for women to come to Dr Goldstein’s practice with medical complaints of bleeding. Some of these women are menopausal. This means they should not be experiencing any bleeding since their ovaries are no longer functioning and therefore not making any estrogen or progesterone. 

Any post menopause bleeding must be evaluated at once, and be considered “uterine cancer until proven otherwise”, however not every case of post menopause bleeding  is because of cancer. One of the causes can be Endometrial atrophy, where the endometrial lining is very thin in a post menopause woman. In the absence of estrogen, the functional layer atrophies (wastes away or degenerates). In patients with postmenopausal bleeding, a workup is necessary to rule out uterine cancer, hyperplasia and polyps first because Endometrial cancer can coexist with atrophic endometrium.

As a Menopause Bleeding Treatment in New York Gynecologist, Dr Steven R. Goldstein MD uses non-invasive Transvaginal Ultrasounds to diagnose the cause of postmenopausal bleeding. These are simple, inexpensive, well tolerated office procedures to examine and generate clear, high resolution images of the uterus and endometrium in order to make an accurate diagnosis.

Transvaginal ultrasounds are state of the art procedures which are non-invasive, meaning no painful surgeries are required. They are quick, painless procedures performed in the comfort of Dr Goldstein’s office. Dr Goldstein personally performs all transvaginal ultrasounds and Sonohysterograms, examinations and discusses results and diagnoses with patients.

Dr Goldstein is a Certified Menopause Practitioner, a past President of the North American Menopause Society (NAMS), and President elect International Menopause Society and has helped thousands of women cope with the symptoms of menopause in his over 25 years of practice. He is also the Director of Gynecologic ultrasound at NYU Langone Medical Center, and a past President of the American Institute of Ultrasound in Medicine.

This combination of a top gynecologist and one of the most highly regarded individuals in the field of gynecologic ultrasound make Dr Steven R Goldstein the
Best Menopause Gynecologist in New York who can evaluate female patients who are either in menopause  or are post-menopausal and are experiencing unscheduled bleeding. You can schedule an appointment with Dr Goldstein by visiting his website at www.goldsteinmd.com.

Monday, November 5, 2018

Dr. Steven R. Goldstein MD - Gynecologist in NYC for Ovarian Cysts

Dr. Steven R. Goldstein MD is a Gynecologist in NYC and is also one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds.

As a Gynecologist in NYC, Dr. Goldstein sees patients who have been told they have ovarian cysts, which is a very non-specific term. Such references usually refer to a fluid filled structure within the ovary of the patient.

Each month a healthy premenopausal patient forms a 2 ½ centimeter “cyst”, which is the dominant follicle prior to ovulation. If ovulation does not take place and this follicle enlarges, it becomes known as a “follicular cyst.” This is not a tumor (benign or malignant) and does not require any intervention. In addition, benign ovarian structures do not become malignant. This is not the same as in the cervix, breast, or uterine lining where there are well-defined pre-cancer changes that will ultimately “cross the line.” Thus, many women who are told they have an ovarian cyst want it out “before it becomes cancer.” Such benign growths do not become cancer.

If you have been told that you have an ovarian cyst, Dr Goldstein an evaluate you with a transvaginal ultrasound and color Doppler ultrasound to determine whether the cyst is suspicious, needs surgical removal or should be left alone. The ultrasounds are non-invasive, painless and done right in the office in a few minutes.

Throughout his career Dr Goldstein has advocated for non-invasive procedures like transvaginal ultrasounds and Sonohysterography for diagnosis of a condition instead of painful procedures like Dilation and Curettage (D&C) and blind endometrial biopsies.

For example in 1989, Dr Goldstein was the first to suggest that simple cysts of postmenopausal ovaries were benign and did not require surgical intervention. In 2009 that became the standard of care.

Dr Goldstein is not just a Gynecologist in NYC, he is highly regarded in the field of diagnostic ultrasound, having authored several textbooks on the topic. He is currently the Director of Gynecologic Ultrasound at NYU Langone Medical Center and a past President of the American Institute of Ultrasound in Medicine.

Dr Goldstein has been in practice for over 25 years. His practice offers personalized medical care to each patient. If you have been told you have Ovarian Cysts, contact Dr Goldstein’s office for a consultation.