Many patients have been told that they have a thick uterine lining and possibly in need of invasive surgical procedures. Dr Steven R. Goldstein MD, an obgyn in Manhattan, was the first to suggest in 1991 that a thin, distinct endometrial echo on transvaginal ultrasound in postmenopausal bleeding did not indicate the need for a biopsy. This was finally adopted as the standard of care by the American Congress of Obstetricians and Gynecologists (ACOG) in 2009.
Unfortunately, many doctors, both radiologists and gynecologists, have misinterpreted all of the early data to believe that a thick lining without bleeding requires some sort of intervention. The data has shown that as many as 1 in 8 postmenopausal women will have thick uterine lining without any bleeding.
Such women do not require any type of biopsy or other intervention unless they have any bleeding or brown discharge. If you have had a vaginal sonogram and been told that your lining is thick but have had no bleeding do not allow any invasive intervention.
Dr. Goldstein, a gynecologist in Manhattan, has championed this concept, although unfortunately, it is not widely understood by many practitioners.
Dr. Steven R. Goldstein MD is long considered one of the nation’s top doctors in gynecology. Dr Goldstein 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, and Honorary Fellow, Royal College of Obstetrics and Gynecology and a Certified Menopause Practitioner. Dr Goldstein is the recipient of the Thomas A. Clarkson award for many outstanding contributions to menopause related clinical or basic science research.
If you have been told you have a thick uterine lining then contact Dr Steven R. Goldstein, a top obgyn in Manhattan for a consultation. You may visit his website at for more information on him and to schedule an appointment.
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