Dr Steven R. Goldstein MD is a top New York City Gynecologist who has helped thousands of women safely navigate the menopause and perimenopause stage of life.
As a certified menopause practitioner and a
past President of the North American Menopause Society (NAMS), Dr Goldstein works
with women experiencing perimenopause and menopause 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.
Traditionally diagnostic procedures such as
biopsy, suction aspiration, suction curettage, and diagnostic hysteroscopy were
performed. However, these are invasive procedures which are painful, costly,
and inconvenient to the patient. Dr Goldstein prefers to use non-invasive
procedures such as the aforementioned sonohysterography.
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 a top New York City Gynecologist, 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 patients.
