Dr Steven R. Goldstein - Obgyn in NYC for evaluation of Fibroids

 

 

Dr. Steven R. Goldstein MD is an Obgyn in NYC for the evaluation of fibroids. What are fibroids? Uterine fibroids are very common pelvic tumors, though they are benign (non-cancerous). They never appear prior to a woman getting her first period, because they are responsive to the hormone estrogen. When a woman’s ovaries ceases to produce estrogen any longer at menopause, these fibroids will shrink.

 By age 50 many women will have some occurrence of uterine fibroids (to be precise, approximately 70% of white women, and 80% of black women). Most of these will have no symptoms and incidental. However, roughly 25-50% of these women will have heavy menstrual bleeding, painful pressure symptoms, increased urinary frequency, iron deficiency (with or without anemia), and also reproductive issues.

 When transvaginal ultrasound is used, uterine fibroids are easily visualized. However, one must understand the difference between incidental uterine fibroids and significant uterine fibroids. Dr Goldstein says “fibroids are like fingerprints, no two are ever alike.”

 Fibroids are also like real estate – location, location, location. It is not necessarily the size of the uterine fibroid that matters. It is the location. For instance, even relatively small fibroids that impinge on the endometrial cavity can cause a lot of bleeding and result in fertility issues.

 Rather large fibroids that originate in the muscle and grow outward may result in no bleeding or fertility issues. In fact, patients may be totally unaware or never suspect that they have them, until they are found during an examination.

 Dr Goldstein, an Obgyn in Manhattan, uses transvaginal ultrasound liberally in examining his patients. He personally performs these transvaginal ultrasounds and does not rely on a technician or a report. Dr Goldstein is a pioneer in the field of transvaginal ultrasound and Sonohysterograms. His research and practice has had a significant influence on the way gynecology is practiced, he is a fierce advocate of painless, non-invasive means of first diagnosis.

 

If you are a woman suffering from heavy menstrual bleeding, painful pressure or anyof the aforementioned symptoms, you may schedule a consultation with Dr Goldstein. If you have been told you have fibroids, you may also see Dr Goldstein for a second opinion.