Research on “Chemical” Pregnancies by Best Gynecologists in NYC: Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD is the Best Gynecologist in NYC. He 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 is regarded as one of the best Gynecologists in the US. His clinical research has had a significant influence on the way gynecology is practiced.

The advent of the home pregnancy test has revolutionized early pregnancy and our understanding of its failure. Patients can now diagnose a pregnancy event by the time they have their missed menstrual period with very sensitive home, over-the-counter pregnancy tests. Research indicates that as many as 22% of conceptual events (in other words, when an egg meets a sperm) will develop minimally and then bleed at or around the time of the expected menses. These have been dubbed “chemical” pregnancies and may be as high as 22% of all conceptions.

Many patients feel they have suffered a miscarriage. Data, however, shows that the occurrence of such an event, although clearly sad, and parents can and should “mourn” the loss of their pregnancy—still need to realize that the prognosis for a healthy pregnancy is 35% in the next month and has high as 83% in the next six months! In other words, such a chemical pregnancy failure is a very good prognostic sign. It means that the woman is ovulating, her partner produces sperm, at least one tube is open, and she is capable of capacitating her partner’s sperm. The prognosis for a couple who have such a chemical pregnancy is infinitely better than her sister, friend or co-worker who would like to be pregnant but simply gets her period month after month after month.

Dr. Goldstein, one of the Best Gynecologists in NYC, has been in private practice for more than 25 years. For more information on Dr. Steven R. Goldstein MD, or to make an appointment, visit his website at www.goldsteinmd.com.

Top New York City Gynecologist for Perimenopause: Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD is a Top New York City Gynecologist. He 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 is regarded as one of the best Gynecologists in the US. His clinical research has had a significant influence on the way gynecology is practiced. Dr. Goldstein had this to say on perimenopause.

Twenty years ago I wrote a book entitled, "Could It Be Perimenopause." It was mainly observations that I had made on a large number of perimenopausal women who had been referred for a study on the irregular bleeding that can occur in the perimenopause.

I've told many of you that, in many respects, perimenopause is the mirror image of adolescence. Adolescence is the coming onto the reproductive years. It is characterized by irregular menstrual cycles and emotional mood swings, acne, etc., which we often chalk up to our daughters or sisters being "teenagers." In perimenopause, the sporadic ovulation and then lack of ovulation can also cause menstrual irregularities (be they cycles that are closer together or more spaced out) as well as a large number of the psychosocial symptoms such as mood swings, memory changes, sleep disturbances, free floating anxiety, inability to concentrate, etc. Many patients in this perimenopausal transition have been told that their problems are related to their becoming empty-nesters, not getting the promotion they deserved, and so forth, when, in reality, many of the symptoms are tied in to fluctuating levels of unopposed estrogen (as opposed to the absent estrogen of true menopause). I virtually stumbled onto this understanding in evaluating a large number of women with abnormal uterine bleeding, 79% of whom had nothing more than what other doctors call "hormone imbalance." Too many of these patients have been offered Prozac and other antidepressants, when on the contrary, fixing the hormone imbalance can be therapeutically beneficial.

This is truly the transition from the reproductive stage to the non-reproductive stage and the medical term that I have used for the last twenty years is "perimenopause." Many of you who are my patients have experienced this transition and I have and will continue to guide my patients through this transition with as little disruption to their lives as possible utilizing the knowledge that we now possess about the perimenopause.

Dr. Goldstein is a Top New York City Gynecologist for over 25 years. His practice offers personalized medical care to each patient. If you believe you are suffering the symptoms of perimenopause, contact Dr. Goldstein’s office for a consultation.