Dr. Steven R. Goldstein MD: Gynecologist in NYC - Prevent Cervical Cancer with Pap Smear Exams

Dr. Steven R. Goldstein MD is a top Gynecologist in NYC providing individualized care to patients. At his practice, Dr Goldstein is the only medical personnel you will see from beginning to end of your visit. He personally performs all examinations and conducts all procedures himself.

Current guidelines state that women should have their first pap test at age 21 and have one every two years. However, Dr. Goldstein strongly recommends women have a Pap Smear exam done annually to help detect the presence of any cervical cancer cells. Cervical cancer has been on the decline over the last decade thanks to pap smears, however in 2016 13,000 women were diagnosed with invasive cervical cancer.

Dr. Goldstein performs pap smear exams in his office and evaluates patients with abnormal pap smear results. All abnormal pap smears indicate is that there has been a change in the cervical cells. This doesn’t necessarily mean there is cancer present. Changes in the cervical cells can be due to infection, inflammation, changes in the menstrual cycle, or in some cases pre-cancerous or cancerous cells.

In these cases Dr. Goldstein will carefully review your case and determine if further tests are needed or if necessary advise of the best available non-invasive treatment options available to you.

If you are in need of a pap smear or have had a pap smear with abnormal results, then contact Dr. Steven R. Goldstein MD. In addition to being a top Gynecologist in NYC, Dr. Goldstein is also a Professor of Obstetrics and Gynecology at New York University School of Medicine, Director of Gynecologic Ultrasound at NYU Langone Medical Center and the author of over seven books on Gynecology. He is regarded as one of the best Gynecologists in the US.

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.

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.

Dr. Steven R. Goldstein MD - Menopausal Changes That Don’t Have To Be

In a recent issue of Science Times there was an article entitled, “Menopausal vagina monologues.” It was an excellent article talking about the fact that without any estrogen in menopause the vagina becomes atrophic. It loses blood supply and elasticity. It loses its normal pH (acid/base balance) because it cannot support the normal predominant bacteria called lactobacillus that feasts on glycogen and produces lactic acid, thus lowering the ph. Studies have shown that in terms of menopause-related hot flashes and night sweats, which can range from absent to mild to debilitating – that by 4-5 years into menopause 75-80% of women will have little or no symptoms. In other words, in most women such symptoms will eventually diminish. However, the opposite is true in the vagina. Women are spending 40% of their lives in a menopausal state. Other higher order primates (gorillas, chimpanzees) live perhaps only 1-2 years after they stop reproducing. It is unnatural to have a non-estrogenized vagina. And with time these changes from atrophy get more and more pronounced.

Recent studies have shown that as many as 50% of postmenopausal women are not aware that there are treatments that are safe to treat this atrophy. They believe this is just a function of, “getting older.” Thus, many women “suffer in silence” and, if still partnered, are experiencing painful intercourse.

I believe that some degree of sexual intimacy is important to a partnered relationship. It does not and should not have to hurt. There are very low dose estrogen creams, tablets and rings, which have been around for quite some time. One problem is the FDA insistence on “class labeling.” Vaginal estrogen is as little as 1/300th the oral dose used for hot flashes and night sweats. It is virtually not absorbed into the blood stream. It stays in the vagina. Yet because it is the same drug as what is given orally, the FDA gives it the same warnings. As past president of the North American Menopause Society, I helped write an editorial (link to editorial) and petition the FDA to modify that label and its unnecessary frightening warnings. They have not budged.
There is now one oral non-estrogen, which may have other beneficial effects in breast and bone, as well. There is also a local vaginal insert, which is DHEA (dehydroepiandrosterone). It is a non-hormonal but is, however, metabolized to estrogen and testosterone.

Dr Steven R Goldstein MD is the best menopause gynecologist in New York and a menopause bleeding treatment gynecologist who can evaluate 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.

Dr. Steven R. Goldstein MD - Sonohysterorgram Gynecologist in New York City

Dr. Steven R Goldstein MD is a Sonohysterogram Gynecologist in New York City and one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds.

Sonohysterography can be used in female patients experiencing infertility problems.

Submucosal myomas may be a source of decreased fertility or increased risk for pregnancy loss. Endometrial polyps are also more common in patients with fertility problems.

Fluid enhanced Sonohysterography facilitates differentiation of these entities and can consistently diagnose intra and pericavitary lesions in infertile women. Saline infusioin Sonohysterography is widely used to diagnose the shape of the uterine cavity in cases of suspected uterine malformation.

Intrauterine adhesions after previous pregnancy associated procedures can also be detected with saline infusion Sonohysterography.

Sonohysterograms are a non-invasive, painless, less expensive way of diagnosing conditions in women and take only a few minutes in the office of the gynecologist.

Dr Steven R. Goldstein MD has argued against blind endometrial biopsies since 1995 and has championed saline infused sonohysterography, finally endorsed by the ACOG in its Practice Bulletin in 2012. His clinical research has had a significant influence on the way Gynecology is practiced.

Dr Goldstein has been in practice for over 25 years and is a Professor of Obstetrics and Gynecology at New York University School Of Medicine. He is also a Past Chairman of the American College of Obstetrics and Gynecology, New York section, Past President American Institute of Ultrasound in Medicine and is currently the Director of Gynecologic Ultrasound at NYU Langone Medical Center.

If you are a woman suffering from infertility problems then schedule a consultation with Dr Steven R Goldstein, a Sonohysterogram Gynecologist in New York City for a non-invasive Sonohysterogram.