Abnormal uterine bleeding is one of the most common—and often most distressing—gynecologic complaints women face. Whether the bleeding is unusually heavy, occurs between periods, lasts longer than normal, or happens after menopause, it often causes fear, confusion, and significant disruption to daily life. Women naturally want answers, and they want those answers delivered with accuracy, compassion, and modern medical expertise.
That is why so many individuals turn to a leading abnormal uterine bleeding specialist NYC Dr. Steven R. Goldstein. Dr. Goldstein is widely regarded as one of the nation’s top Obstetricians and Gynecologists and an internationally recognized authority on gynecologic ultrasound and imaging. A Professor of Obstetrics and Gynecology at the New York School of Medicine, he serves as the Director of Gynecologic Ultrasound at New York University Medical Center and is a past President of the American Institute of Ultrasound in Medicine. His deep expertise, coupled with decades of innovation in women’s health imaging, has made him a trusted resource not only for patients but also for physicians seeking guidance in complex cases.
Women in New York and from around the world seek his care because his approach is rooted in advanced, non-invasive, high-precision diagnostics—especially important for women who have been told by another provider that they need a Dilation and Curettage (D&C). When an experienced gynecologist in Manhattan can offer accurate diagnosis without unnecessary surgery, patients benefit on every level: physically, emotionally, and financially.
The Problem With Unnecessary D&Cs
A frequent complaint of women visiting their gynecologist is abnormal bleeding. Unfortunately, many of these women are told they need a Dilation and Curettage (D&C) to determine the cause of their abnormal bleeding. A D&C involves dilation of the cervix followed by scraping of the endometrial lining of the uterus. It is a painful and costly procedure, comes with anesthesia-related risks, and requires recovery time.
Even more concerning is the fact that three-fourths of these operations turn up nothing. In other words, the majority of them are unnecessary.
Many women also fear that their abnormal bleeding may be a sign of cancer. While that fear is understandable, most bleeding is caused by benign and treatable conditions. The key is obtaining an accurate diagnosis before undergoing any invasive procedure. This is where the skills of an expert obgyn in Manhattan become especially valuable.
A Modern, Non-Invasive
Approach to Diagnosing Abnormal Uterine Bleeding
As an abnormal uterine bleeding specialist NYC patients trust, Dr. Goldstein takes a dramatically different approach from the traditional D&C-first model. Instead of defaulting to surgery, he uses painless, non-invasive transvaginal ultrasounds (vaginal sonograms) and Sonohysterography, all performed right in his office.
These procedures:
- Are completed within minutes
- Require no anesthesia
- Are highly accurate
- Allow for real-time visualization of the uterus
- Avoid the pain, cost, and risks of a surgical D&C
This modern diagnostic method, pioneered and refined by experts like Dr. Goldstein, has made it possible to identify the true cause of abnormal bleeding with clarity and precision.
Common Causes of Abnormal Uterine Bleeding
Abnormal uterine bleeding can occur for many reasons. Among the most common are:
- Uterine polyps
- Fibroids
- Miscarriage
- Onset of menopause
- Hormonal imbalances, including unopposed estrogen
- Endometrial hyperplasia (pre-cancer) or cancer
Using the clear, high-resolution images provided by non-invasive Sonohysterography or vaginal sonograms, Dr. Goldstein is able to isolate the cause of the abnormal uterine bleeding with a level of accuracy that often eliminates the need for invasive procedures.
For example, examination of high-resolution images of the uterine lining may show that the bleeding is due to a hormonal imbalance. In women who are not ovulating regularly—often during perimenopause—unopposed estrogen can cause the uterine lining to thicken excessively, leading to heavy or spotty bleeding. Without progesterone to balance estrogen, the lining becomes unstable and sheds irregularly.
Ruling Out Cancer Without Surgery
One of the greatest benefits of advanced imaging is the ability to differentiate benign causes from potentially serious ones without performing a D&C. Abnormal bleeding may also occur from cancer or hyperplasia (pre-cancer). Even in these cases, vaginal probe ultrasounds and fluid-enhanced Sonohysterography can eliminate the need for almost all diagnostic D&Cs and the pain, cost, and risks associated with them.
This is one reason Dr. Goldstein remains one of the most sought-after specialists not only in New York but across the country. His ability to provide accurate diagnosis using non-invasive imaging gives women peace of mind and avoids unnecessary surgical intervention. Women seeking a highly skilled gynecologist in Manhattan often turn to him for his expertise, compassion, and commitment to evidence-based medicine.
Understanding Hormonal Causes: The Role of Unopposed Estrogen
Hormonal imbalance is one of the most overlooked yet common causes of abnormal uterine bleeding. In perimenopausal women—those in their 40s and early 50s—ovulation often becomes irregular. When ovulation does not occur, progesterone is not produced. This leads to a situation known as unopposed estrogen, where the uterine lining continues to thicken without the balancing effect of progesterone.
The result can be:
- Prolonged periods
- Sporadic heavy bleeding
- Spotting
- Thickened endometrium
- A higher risk of hyperplasia
High-resolution ultrasounds enable physicians to visualize the thickness and texture of the endometrial lining, helping determine whether hormonal imbalance is playing a role.
Why Dr. Goldstein Is a Trusted Leader in Women’s Health
With decades of clinical experience, extensive research contributions, and international recognition, Dr. Steven R. Goldstein is considered one of the top abnormal uterine bleeding specialists in New York. Women trust him not only for his diagnostic skill but also for his leadership in the field of gynecologic imaging.
In addition to diagnosing abnormal bleeding, Dr. Goldstein also screens women for ovarian and cervical cancer, using cutting-edge imaging tools to identify abnormalities at the earliest stages.
Women no longer need to rely on outdated diagnostic procedures that are invasive, painful, or unreliable. With the advanced technology and expertise available through an abnormal uterine bleeding specialist NYC patients consistently recommend, they can receive answers quickly, safely, and comfortably.
When to Seek Evaluation
Women should seek evaluation promptly if they experience:
- Bleeding between periods
- Heavy menstrual bleeding
- Bleeding after intercourse
- Postmenopausal bleeding
- Periods lasting longer than normal
- Irregular or unpredictable bleeding
- Passing large blood clots
- Pelvic pain accompanied by bleeding
A skilled obgyn in Manhattan can determine the cause, rule out dangerous conditions,
and offer treatment tailored to the individual’s needs.
Take the First Step Toward Answers
If you are a woman suffering from abnormal uterine bleeding and need to determine whether it is from a cancerous condition—or if you need ovarian and cervical cancer screening—contact Dr. Steven R. Goldstein, MD, an internationally renowned expert that patients rely on for accurate, compassionate care.
Your health, peace of mind, and quality of life matter. Accurate diagnosis should never require unnecessary surgery. With the guidance of Dr Steven R. Goldstein you can get clear answers and effective solutions quickly and safely.
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