Thursday, March 28, 2019

Dr. Steven R. Goldstein MD - Expert Gynecologist in New York City for Dysfunctional Uterine Bleeding in Perimenopausal Patients


Dr. Steven R. Goldstein MD is an Expert Gynecologist in New York City who has helped thousands of women safely navigate perimenopause. As a certified menopause practitioner and a past President of the North American Menopause Society (NAMS), Dr. Goldstein works with women experiencing perimenopause to understand the changes their bodies are undergoing, lifestyle changes necessary, and what treatments are available.

As a woman enters perimenopause and ovulation is on the decline, unscheduled bleeding may occur and cause alarm. This 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.

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.

Since in both transvaginal ultrasounds and Sonohysterography the skill of the operator is very important, Dr Goldstein performs both these procedures himself to see the uterus, the lining etc. himself. Clear, high definition images are produced for analysis and diagnosis. Dr Goldstein is not just an Expert Gynecologist in  New York City, but he is also Director of Gynecologic Ultrasound at NYU Langone Medical Center and a Professor of Obstetrics and Gynecology, New York University School of Medicine. Thus he is very well qualified to perform Sonohysterograms and properly diagnose the cause of any abnormal uterine bleeding.

Dr. Goldstein 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.

Dr. Steven R Goldstein MD is an Expert Gynecologist in New York City who can evaluate female patients who are in perimenopause and are experiencing unscheduled bleeding. You can schedule an appointment with Dr Goldstein by visiting his website at www.goldsteinmd.com.

Friday, March 22, 2019

Best Obgyn in NYC for Early Pregnancy Monitoring: Dr. Steven R. Goldstein MD


If you are pregnant, then see Dr Steven R. Goldstein, one of the Best Obgyn in NYC for early pregnancy monitoring. In practice for over twenty five years, Dr Goldstein uses painless, non-invasive Transvaginal Ultrasounds to monitor pregnancies. 

The efficiency and reliability of transvaginal ultrasounds is largely dependent on the skill of the operator. Dr Goldstein is an internationally renowned expert in Gynecologic Ultrasounds. He performs all transvaginal ultrasounds personally to ensure your pregnancy is meeting its milestones.

Early pregnancy follows very classic milestones of development and by following a pregnancy with Transvaginal Ultrasound a physician can tell if a pregnancy is meeting its milestones. Miscarriages usually take place one to four weeks after the pregnancy loses its viability.

So for instance if a woman had a miscarriage in week nine, she could not have had a normal eight week six day ultrasound the day before she miscarried. By seeing patients very early in their pregnancy and following them at regular intervals with ultrasound, it is easy to see if the pregnancy is meeting its milestones.

If a pregnancy were to fail, an elective Dilation and Curettage (D&C) will be performed to remove pregnancy tissue before spontaneous miscarriage sends the woman to the Emergency Room. In addition this provides the opportunity to examine the pregnancy tissue to see if there are any abnormalities of the chromosomes which will explain why the pregnancy failed and possibly prevent recurrent miscarriages.

Dr Steven R Goldstein 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.

If you are pregnant then contact the office of Dr Steven R Goldstein MD, one of the Best Obgyn in NYC for an appointment. All appointments are tailored to the patients and Dr Goldstein is the only medical specialist a patient will see. You may visit his website at www.goldsteinmd.com.