Dr. Steven R. Goldstein MD- Gynecologist in NYC for Yeast “Infections”

Doctor Steven R. Goldstein MD is a top Gynecologist in NYC, in practice for over 25 years. He is regarded as one of the nation’s top gynecologists and a pioneer in the field of Gynecologic Ultrasound. 

Many patients refer to a yeast “infection”. The use of the word “infection” implies that this is something that is caught or may even be contagious. This is totally not true. The vagina is a location where normally there are a significant number of bacteria as well as yeast forms that live in harmony with each other (medical term is symbiosis). If something upsets the normal balance, a patient may end up with overt symptoms (burning, itching, etc.) of such an imbalance. Thus Dr Goldstein, a highly rated NYC Gyn, prefers the term yeast “imbalance” 

How does this imbalance occur? The most common reason is the use of an antibiotic for some other reason such as sinus infection, urinary tract infection or indiscriminate use for common colds, where patients often feel that an antibiotic will make them well “sooner.” This kills some of the normal bacteria in the vagina and allows yeast forms to flourish. There is just a limited amount of glycogen and nutrients in the vagina and when some of the competition is eliminated, yeast forms will do quite well. That patient then ends up with overt signs of itch or burning with or without a significant amount of cottage cheese-like discharge. 

When medications such as intravaginal and oral medications, which will restore normal vaginal balance of bacteria and yeast are given to restore the normal balance and the patient feels symptoms have gone away, yeast forms are still there but in the normal harmonious balance with the normal bacteria. 

Dr Steven R. Goldstein, is a top Gynecologist in NYC, a Professor of Obstetrics and Gynecology at New York University School of Medicine and a Past Chairman of the American College of Obstetrics and Gynecology, New York Section. He is also an  Honorary Fellow, Royal College of Obstetrics and Gynecology. 

Visit the website of this top NYC Gyn at www.goldsteinmd.com to learn more about him or to schedule an appointment. 

Dr. Steven R. Goldstein MD- Gynecologist in New York City for Perimenopause Treatment

 Dr Steven R. Goldstein is an expert gynecologist in New York for Perimenopause. Dr Goldstein has helped thousands of women safely navigate the perimenopause stage of life. As a certified menopause practitioner and a past President of the North American Menopause Society (NAMS), Dr Goldstein can help women experiencing various symptoms of perimenopause. 

Unscheduled bleeding in perimenopausal women, as well as any bleeding in post-menopausal women not on hormone replacement therapy, accounts for many medical interventions. Traditional diagnostic procedures performed in the office include biopsy, suction aspiration, suction curettage, and diagnostic hysteroscopy. However, dysfunctional uterine bleeding in perimenopausal patients can be caused by a lack of ovulation, which is better treated hormonally, not surgically. 

So how can a gynecologist determine whether the bleeding is caused by a lack of ovulation without doing any surgical procedures to diagnose the condition? The answer is a non-invasive, painless procedure called Sonohysterography which is performed in a few minutes right in the office. Dr Goldstein, a top gynecologist in NYC, personally performs all Sonohysterograms right in his office. 

Sonohysterography, by assessing endometrial thickness, can reliably distinguish between patients whose bleeding is as a result of a lack of ovulation and those who are in need of formal curettage and hysteroscopy. 

Dr Goldstein, an expert gynecologist in NYC for perimenopause, has found that in the vast amount of patients abnormal uterine bleeding is associated with episodes of no ovulation. This condition can be managed hormonally in premenopausal patients or endometrial atrophy in post-menopausal patients. 

Dr Steven R Goldstein MD is an expert gynecologist in New York  who can evaluate female patients who are in either perimenopause or are post-menopausal and experiencing unscheduled bleeding. You can schedule an appointment with Dr Goldstein by visiting his website at www.goldsteinmd.com