Doctor Steven R. Goldstein is a top gynecologist in
New York in practice for over 25 years, and is available for a second
opinion before gynecologic surgery in New York.
Many women have been told they need a uterine or
endometrial biopsy for diagnosis purposes. Do not do so. Blind endometrial
biopsies became very popular in the early 1990’s and became the standard of
care after a report said they were 97.5% accurate. Before that women had
Dilation and Curettage (D&C) or a scraping that was done under anaesthesia.
Both of these are painful, invasive, procedures that cause women a lot of
discomfort and needless pain.
In 1995 a well-known study showed that for women with
cancer who had a biopsy in the operating room, the biopsy missed 11 out of 65
of those cancers, (16.9%). However when they cut open those uteri they found
that the cancer occupied less than half of the surface area of those uteri.
Dr Goldstein lectured on this since 1995, but in 2012
the ACOG finally put in their practice bulletins that when these biopsies are
negative, it is not a stopping point. Unfortunately the majority of practicing
gynecologists do not know this and continue to do a biopsy as their first
choice. Studies have shown these gynecologists are very likely to miss the
abnormality with a blind biopsy.
Instead a saline infusion sonogram, where some fluid is
put into the uterus allows the operator to see better and produce clear, high
resolution images of the entire uterus. If you’ve been told that you need a
uterine biopsy for diagnosis, ask first for a saline infusion sonogram, a painless,
non-invasive procedure which is performed right in the office in a few minutes.
Dr Steven R. Goldstein is one of the nation’s top
Obstetricians and Gynecologists and is well known internationally for ground
breaking work in gynaecological ultrasound and imaging. He is a Professor of
Obstetrics and Gynecology at New York School of Medicine, serves as Director of
Gynecologic Ultrasound at New York University Medical Center and is President
of the American Institute of Ultrasound in Medicine. He is available for
consultation for a second opinion before
gynecologic surgery in New York.
You may contact Dr Goldstein at his New York office to
schedule a consultation by visiting his website at www.goldsteinmd.com
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