Dr Steven R. Goldstein MD Gynecologist in New York

 

Gynecologist in New York

Dr. Steven R. Goldstein MD is an expert Gynecologist in New York and is long considered one of America’s top gynecologists.

 

The exact cause of endometriosis is unknown and there are multiple theories. Endometriosis does not always show symptoms. There appears to be a higher incidence of endometriosis in women who are diagnosed with infertility and pelvic pain.

 

Originally, laparoscopy, an invasive medical procedure was the gold standard for making a differentiation for pain that might be from endometriosis versus normal severe painful periods. As a top Gynecologistin New York, Dr. Goldstein does not recommend laparoscopies but uses painless, non-invasive Transvaginal Ultrasounds to diagnose your condition.

 

As a skilled operator of Transvaginal Ultrasounds, Dr. Goldstein personally conducts each of these ultrasounds to properly diagnose his patients. In addition to what Dr. Goldstein sees on the screen, these transvaginal ultrasounds lead to the production of clear, high-resolution images of the uterus, endometrial lining, fallopian tubes, ovaries, and so on to allow Dr. Goldstein to make a precise diagnosis and preserve the images for any other specialist who may need to see them.

 

Dr. Goldstein is one of the most recognized and renowned Transvaginal Ultrasound experts in the world and has authored several books on gynecologic ultrasound. He is also the Director of Gynecologic Ultrasound, NYU Langone Medical Center, and is the Recipient of the 2018 Joseph H. Holmes Clinical Pioneer Award from the American Institute of Ultrasound in Medicine (AIUM). This is in recognition of Dr Goldstein’s distinguished career in ultrasound in medicine and their making outstanding contributions to the growth and development of medical ultrasound.

 

Dr. Steven R Goldstein MD has been in private practice for over 25 years and is a Professor of Obstetrics and Gynecology at New York University School of medicine, and a Past President of the American Institute of Ultrasound in Medicine.

 

Dr. Goldstein operates as a concierge gynecologist where individualized patient care is a top priority. Patients never feel rushed and Dr. Goldstein personally returns every follow-up call, answers all questions while the patient is in the practice, and the visit never ends until the patient is satisfied that every concern and question has been addressed.

 

Women experiencing painful periods or heavy bleeding during periods may schedule a consultation with Dr. Steven R. Goldstein MD, a top-ranked concierge gynecologist. Visit www.goldsteinmd.com for more information and to schedule an appointment.

Dr. Steven R. Goldstein MD- Osteoporosis Specialist NYC

Osteoporosis Specialist NYC

 

Dr. Steven R. Goldstein MD is a highly regarded Osteoporosis Specialist in NYC. He is also one of the nation’s most highly regarded gynecologists and has worked with countless patients in menopause and approaching menopause regarding their bone health.

Dr. Steven R. Goldstein MD

 

Dr. Goldstein is a Certified Menopause Practitioner, North American Medical Society (NAMS), a Past President, North American Menopause Society, President of the International Menopause Society, a Professor of Obstetrics and Gynecology at New York University School of Medicine, and a Past Chairman of the American College of Obstetrics and Gynecology New York Section

 

Also a menopause doctor in NYC, Bone health is increasingly one of the most important issues for Dr. Goldstein’s patients. As women age and enter menopause, their bodies no longer produce estrogen, which is necessary to prevent bone loss in women.

 

Consider what can happen to a menopausal woman suffering a hip fracture.

 

Ø 25% of these women will never live independently again.

Ø 20 to 30% will be dead within one year.  

 

Dr. Goldstein a top menopause doctor in NYC, has told his patients that they should be as concerned about their bone health and preventing bone loss as any other aspect of their lives as they pursue “healthy aging.” Many patients will spend more than 40% of their lives in a post-reproductive (menopausal) state. There are very real consequences medically of the lack of estrogen production that menopause brings. Loss of bone mass can occur quite rapidly. Osteoporotic fractures are a significant medical issue as the population ages more and more.

 

Dr. Goldstein, an Osteoporosis Specialist in NYC, has the requisite experience, accreditation, and skill to provide help in these circumstances. You can schedule an appointment with Dr. Goldstein by visiting his website at https://www.goldsteinmd.com/

Dr. Steven R. Goldstein MD Gynecologist in NYC to see for a thick uterine lining

Dr. Steven R. Goldstein MD is a Gynecologist in NYC and is long considered one of the nation’s top doctors in gynecology. Dr. Goldstein is a Professor of Obstetrics and Gynecology at New York University School of Medicine, a Past Chairman of the American College of Obstetrics and Gynecology, New York Section, and Honorary Fellow, Royal College of Obstetrics and Gynecology and a Certified Menopause Practitioner. Dr. Goldstein is the recipient of the Thomas A. Clarkson award for many outstanding contributions to menopause-related clinical or basic science research.

Dr. Steven R. Goldstein MD

 

Many patients have been told that they have a thick uterine lining and are possibly in need of invasive procedures. Dr. Goldstein, an expert gynecologist in New York City, was the first to describe the fact that in postmenopausal patients with bleeding, a thin uterine lining on transvaginal ultrasound meant there was no significant tissue and no biopsy or D&C or further intervention was necessary.

 

Unfortunately, many doctors, both radiologists, and gynecologists have misinterpreted all of the early data to believe that a thick lining without bleeding requires some sort of intervention. The data has shown that as many as 1 in 8 postmenopausal women will have thick uterine lining without any bleeding.

 

Such women do not require any type of biopsy or other intervention unless they have any bleeding or brown discharge. If you have had a vaginal sonogram and been told that your lining is thick but have had no bleeding do not allow any invasive intervention. Dr. Goldstein, an expert gynecologist in New York City, has championed this concept, although unfortunately, it is not widely understood by many practitioners.

 

If you have been told you have a thick uterine lining then contact Dr. Steven R. Goldstein,  a top gynecologist in NYC for a consultation. You may visit his website at www.goldsteinmd.com for more information on him and to schedule an appointment.

 

Dr. Steven R. Goldstein MD- Concierge Gynecologist in NYC - To HMO or not to HMO

Doctor Steven R. Goldstein MD is a Concierge gynecologist in private practice for over 25 years. Dr Goldstein had this to say regarding HMOs in volume 1, issue 1 of The Doctor’s View by New York University Medical Center. 

To HMO or not to HMO…why I don’t join HMO plans 

I am often asked “When am I going to join a plan which is offered at work?” by many of my patients. My response is “you wouldn’t like me on those plans”. My patients need to realize I am a solo practitioner.  I see patients one at a time. I take my histories by pen and by ink. I talk to every patient after every visit, no matter how trivial, dressed again in the consultation room. I do not have nurse clinicians and “Physician extenders” doing much of the work that I feel you come to see the doctor for. We do not have a ten page history intake form that is simply scanned into a computer. We do not have an answering system with “Press 1 for appointments, Press 2 for insurance”. We do not have a videotape library in the waiting room. If you have a problem I sit with you and explain for as long as I need to be sure that you understand the nuances of your particular diagnosis and treatment plan. 

This expert gynecologist in New York City goes on to say: 

Managed care medicine (HMOs) in Ob/gyn is a commitment to VOLUME. Out of financial necessity, more people need to come through the door. This is why they use “Physician extenders” in the form of videotape libraries, nurse clinicians,  pamphlets, and nutritionists and all types of paramedical assistance to make the patient feel that the visit has been worthwhile and productive although the time spent with the physician him or herself is incredibly short. 

I choose not to practice medicine that way. I urge you to attempt to maintain a Point of Service option in any plan that you may be offered. With a point of service option we can attempt to work with you and your insurance so that you can continue to see me “out of network”. 

Dr Steven R. Goldstein MD is a Concierge Gynecologist in NYC.  Dr Goldstein is is a Professor of Obstetrics and Gynecology at New York University School Of Medicine and the Director of Gynecologic Ultrasound at NYU Langone Medical Center. He is a Certified Menopause Practitioner and holds many other positions and accreditations. 

To learn about Dr Goldstein, an expert gynecologist in New York City and how he can help you, visit his website at www.goldsteinmd.com for more information on his practice.

Dr. Steven R. Goldstein MD- Menopause Doctor in NYC

Doctor Steven R. Goldstein MD is a Menopause Doctor in NYC, and a top NYC Gyn. Dr Goldstein is regarded as one of the nation’s top doctors in Gynecology and is one of the most highly recognized individuals in the field of Gynecologic Ultrasound. He is a Professor of Obstetrics and Gynecology at New York University School of Medicine, Director of Gynecologic Ultrasound at New York University Medical Center, a Certified Menopause Practitioner and President of the International Menopause Society. 

As a menopause doctor in NYC, one of the conditions that Dr Goldstein frequently encounters in his patients is Menopause Bleeding. 

In menopausal women the ovaries are no longer functioning and there is no production of estrogen or progesterone. Thus there is no stimulation of the endometrial lining so there should be no bleeding whatsoever. The medical profession takes the stance that uterine cancer must be ruled out first in any case of menopause bleeding and that any menopausal bleeding is “uterine cancer until proven otherwise.” 

Studies show that only about 3-7% of women with menopausal bleeding will actually have cancer. However, in medicine, that is a relatively large number and all women with any menopausal bleeding must have an evaluation of their uterus. In years gone by, this was often a D&C (dilatation and curettage) and for many years a simple uterine biopsy was the standard of care. This has recently changed, based much on Dr. Goldstein’s research, and such an evaluation can begin with a vaginal sonogram and may require some water instillation as described above. 

Doctor Steven R. Goldstein, a top NYC Gyn, is well qualified to evaluate any case of menopause bleeding with non-invasive vaginal sonograms and discuss the results and treatment plan with patients. 

Dr. Steven R. Goldstein, a top NYC Gyn has over 25 years’ experience as an Obstetrician and Gynecologist in private practice in New York City, where appointments are tailored to each individual and each patient is personally attended to by Dr Goldstein.

Dr Steven R. Goldstein MD- Gynecologist in NYC for Endometriosis

As a Gynecologist in NYC, Dr Goldstein uses painless, non-invasive Transvaginal Ultrasounds to diagnose whether women experiencing pelvic pain, painful periods and heavy bleeding during periods have endometriosis. 

Implants of endometriosis can occur anywhere; however the more common areas of involvement include the bladder wall, ureter, and anterior abdominal wall in patients who have had abdominal surgery such as a prior C section or laparoscopy. 

When using transvaginal ultrasounds, Endometriosis of the bladder wall appears as a fusiform solid thickening of the wall itself. A non-functioning kidney may be the result of chronic ureteral obstruction that is silent and present as a result of endometrial implants impinge on the ureter. In patients who have had prior abdominal surgery, endometriosis may present as a hard, solid mass in the anterior abdominal wall in the region of the scar. Little color flow may be present and the mass is often tender. 

This top Gynecologist in New York is not just the Director of Gynecologic Ultrasound at NYU Langone Medical Center, but he is a skilled operator of Transvaginal Ultrasounds and personally conducts each of these ultrasounds to properly diagnose his patients. Dr Goldstein recently received the Joseph H. Holmes Clinical Pioneer Award which honors individuals who have significantly contributed to the growth and development of medical ultrasound. 

In addition to what Dr Goldstein sees on the screen, these transvaginal ultrasounds lead to the production of clear, high resolution images of the uterus, endometrial lining, fallopian tubes, ovaries and so on to allow Dr Goldstein to make a precise diagnosis and preserve the images for any other specialist who may need to see them. 

After the transvaginal ultrasound procedures, Dr Goldstein will discuss the results and diagnosis with the patient and agree on the best possible course of moving forward. 

Dr Steven R. Goldstein MD is a top Gynecologist in New York. He has been in private practice for over 25 years and is a Professor of Obstetrics and Gynecology at New York University School of medicine, Director of Gynecologic Ultrasound at NYU Langone Medical Center and a Past President of the American Institute of Ultrasound in Medicine. 

Women experiencing painful periods or heavy bleeding during periods may schedule a consultation with Dr Steven R. Goldstein MD, a top ranked Gynecologist in NYC.

Dr. Steven R. Goldstein MD- Gynecologist in NYC for Yeast “Infections”

Doctor Steven R. Goldstein MD is a top Gynecologist in NYC, in practice for over 25 years. He is regarded as one of the nation’s top gynecologists and a pioneer in the field of Gynecologic Ultrasound. 

Many patients refer to a yeast “infection”. The use of the word “infection” implies that this is something that is caught or may even be contagious. This is totally not true. The vagina is a location where normally there are a significant number of bacteria as well as yeast forms that live in harmony with each other (medical term is symbiosis). If something upsets the normal balance, a patient may end up with overt symptoms (burning, itching, etc.) of such an imbalance. Thus Dr Goldstein, a highly rated NYC Gyn, prefers the term yeast “imbalance” 

How does this imbalance occur? The most common reason is the use of an antibiotic for some other reason such as sinus infection, urinary tract infection or indiscriminate use for common colds, where patients often feel that an antibiotic will make them well “sooner.” This kills some of the normal bacteria in the vagina and allows yeast forms to flourish. There is just a limited amount of glycogen and nutrients in the vagina and when some of the competition is eliminated, yeast forms will do quite well. That patient then ends up with overt signs of itch or burning with or without a significant amount of cottage cheese-like discharge. 

When medications such as intravaginal and oral medications, which will restore normal vaginal balance of bacteria and yeast are given to restore the normal balance and the patient feels symptoms have gone away, yeast forms are still there but in the normal harmonious balance with the normal bacteria. 

Dr Steven R. Goldstein, is a top Gynecologist in NYC, a Professor of Obstetrics and Gynecology at New York University School of Medicine and a Past Chairman of the American College of Obstetrics and Gynecology, New York Section. He is also an  Honorary Fellow, Royal College of Obstetrics and Gynecology. 

Visit the website of this top NYC Gyn at www.goldsteinmd.com to learn more about him or to schedule an appointment. 

Dr. Steven R. Goldstein MD- Gynecologist in New York City for Perimenopause Treatment

 Dr Steven R. Goldstein is an expert gynecologist in New York for Perimenopause. Dr Goldstein has helped thousands of women safely navigate the perimenopause stage of life. As a certified menopause practitioner and a past President of the North American Menopause Society (NAMS), Dr Goldstein can help women experiencing various symptoms of perimenopause. 

Unscheduled bleeding in perimenopausal women, as well as any bleeding in post-menopausal women not on hormone replacement therapy, accounts for many medical interventions. Traditional diagnostic procedures performed in the office include biopsy, suction aspiration, suction curettage, and diagnostic hysteroscopy. However, 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. Dr Goldstein, a top gynecologist in NYC, personally performs all Sonohysterograms right in his 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. 

Dr Goldstein, an expert gynecologist in NYC for perimenopause, 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 or endometrial atrophy in post-menopausal patients. 

Dr Steven R Goldstein MD is an expert gynecologist in New York  who can evaluate female patients who are in either perimenopause or are post-menopausal and experiencing unscheduled bleeding. You can schedule an appointment with Dr Goldstein by visiting his website at www.goldsteinmd.com

Dr. Steven R. Goldstein MD- Top Gynecologist in NYC warns on Incidental Findings

Dr Steven R. Goldstein MD is the best Gynecologist in NYC, regarded as one of the nation’s top doctors in Gynecology. Dr Goldstein is also the Recipient of the 2018 Joseph H. Holmes Clinical Pioneer Award from the American Institute of Ultrasound in Medicine (AIUM). This is in recognition of Dr Goldstein’s distinguished career in ultrasound in medicine, and making outstanding contributions to the growth and development of medical ultrasound. He is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasound. 

As a top gynecologist in NYC, Dr Goldstein wrote the second book on transvaginal ultrasound and has spent over twenty years teaching OB/Gyns in the US how to do vaginal probe ultrasounds. One of the issues that arises, is one of “incidental findings”. Patients may go for an ultrasound for a particular condition and wind up with a report of another finding, usually unrelated to the condition in question. This is called an incidental finding. 

The problem is that as more and more vaginal ultrasounds are ordered, more and more things that are variants of normal are discovered and leads to unnecessary anxiety, further testing, and even unfortunately, unnecessary surgery for things that are obviously benign. 

Dr Goldstein frequently examines patients with vaginal ultrasounds as part of their office visit. If Dr Goldstein encounters anything on that sonogram which he considers an incidental finding, he shows it to the patient on the screen and warns them that if they ever have an imaging study for another reason, this finding is not a reason for concern. 

The sensitivity of today’s ultrasounds are so great that Dr Goldstein coined a new term to describe them. Sono microscopy. It is as if a microscope were being used to examine the patient. We are seeing things that could not possibly be seen with the naked eye if one were to hold the structure in their hand and squint at it. 

So the beauty of the transvaginal ultrasound is how much can be seen. But the problem is, do we see too much? One must understand the difference between findings that are common and findings that may be ominous. 

As a top gynecologist in NYC in practice for over 2 decades, Dr Goldstein has the experience to properly diagnose the findings. Dr Goldstein conducts every transvaginal ultrasound / color doppler study personally. He does not rely on the skills or report of a technician. 

As one of the most highly recognized individuals in the field of vaginal probe ultrasounds and the best gynecologist in NYC, Dr Goldstein can easily distinguish a normal finding from one that may be considered ominous and a candidate for further study. 

So be careful if you have an ultrasound done of your pelvis and there are “incidental findings”. Make sure you are not overly tested or even worse, operated on. This would never be the case at Dr Goldstein’s practice, a top Gynecologist in NYC. 

If you have been told you have a polyp, fibroid or some other condition and need a second opinion, contact the office of Dr Steven R. Goldstein, the best gynecologist in NYC, for an appointment or visit www.goldsteinmd.com for more information. 

Dr. Steven R. Goldstein MD- Gynecologist in NYC for Uterine Fibroids

Dr. Steven R. Goldstein MD is a top gynecologist in NYC diagnosing and treating uterine fibroids. As many as one in five women develop uterine fibroids during their childbearing years. Fibroids refer to small, benign tumors that develop in a woman’s womb. 

Common symptoms of uterine fibroids include but are not limited to abnormal uterine bleeding, frequent cramping, pelvic cramping or pain with periods, the sensation of fullness or pressure in the lower abdomen, and pain during intercourse. 

Pelvic exams and ultrasounds are often used to identify the presence of fibroids in the uterus however these fibroids are like real estate – location, location, location. Only with transvaginal ultrasounds can we determine the proper location of fibroids. The ones that impact the uterine cavity will have the most effect on bleeding and/or fertility. 

Dr. Goldstein, the best gynecologist in NYC,  is an internationally recognized expert in transvaginal ultrasounds and Sonohysterography imaging, thus he is well equipped to handle the detection and treatment of uterine fibroids. Treatment and management vary based on each patient’s health, medical history, symptoms, and future plans. 

In practice for over 25 years, Dr. Goldstein provides 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 including transvaginal ultrasounds used in the diagnosis of uterine fibroids and Sonohysterograms. 

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 the best gynecologist in NYC for women with uterine fibroids to see.  

See Dr. Steven R. Goldstein MD, for a Best Gynecologist in NYC for a second opinion before gynecologic surgery

Dr. Steven R. Goldstein MD is the best gynecologist in NYC to provide a second opinion before gynecologic surgery. He is internationally known for his work in gynecological ultrasound and imaging and currently serves as the current Director of Gynecologic Ultrasound at New York University Medical Center and President of the American Institute of Ultrasound in Medicine. He is a strong proponent of non-invasive methods like Sonohysterography and Transvaginal Ultrasounds instead of invasive surgery.

 

Dr Goldstein, a top Gynecologist in NYC, uses non-invasive methods to examine the uterus, ovaries, and fallopian tubes. These non-invasive transvaginal ultrasounds, personally performed by Dr Goldstein, are not only useful to assess if there are tumors, fibroids, ovarian cysts and so on, but can also tell whether a woman’s hormonal function is normal based on the images of the uterine lining. Clear, high resolution images from a transvaginal ultrasound or sonohysterogram help Dr. Goldstein properly diagnose the patient and allow Doctor Goldstein to provide a second opinion before gynecologic surgery. 

Women with abnormal uterine bleeding, heavy bleeding (menorrhagia) and other conditions are usually subject to painful endometrial biopsies or exploratory surgeries. However, with transvaginal ultrasounds or Sonohysterography Dr Goldstein, a top Gynecologist in NYC,   can see clear images of the uterus, ovaries and fallopian tubes and in many cases negate the need for painful biopsies or surgeries. 

Women with any abnormal uterine bleeding, menorrhagia or other conditions who have been recommended for gynecologic surgery can consult Dr Goldstein, the best gynecologist in NYC for a second opinion at his New York City office for a second opinion before having gynecologic surgery.

Dr Steven R. Goldstein MD-Best Gynecologist in NYC for Ovarian Cysts

 Dr Steven R. Goldstein MD is one of the best Gynecologists in NYC and one of the most sought after and highly regarded gynecologists in the nation. His personalized approach with each patient from the beginning to the end of their visit combined with his vast experience and being on the cutting edge of medical research makes him a very uniquely qualified gynecologists a patient can see. 

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. 

These ovarian cysts are not tumors, be it benign or cancerous and does not require any type of intervention. Furthermore, these growths will never grow into cancer. These “ovarian cysts” are formed each month as a dominant follicle prior to ovulation. There are times ovulation does not take place and this follicle turns into what is known as a “follicular cyst”. 

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,  one of the best Gynecologists in NYC, 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. 

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- NYC Gyn Advises on Bioidentical Hormone Therapy

Patients seeking a NYC Gyn for advice on whether bioidentical hormone therapy is suitable for them should see Dr Steven R Goldstein, one of the nation’s most highly regarded Gynecologists and an expert on hormone replacement therapy. Dr Goldstein has been in private practice for over 25 years and has helped thousands of patients with hormone replacement therapy, especially for relief of the symptoms of menopause. 

First of all, the term bioidentical hormone therapy is actually very misleading because these are compounded bioidentical hormones that are made by a pharmacist. There is no package insert regarding what these compounds contain. This is why Dr Goldstein, a top NYC Gyn, does not recommend them. Traditional HRT is FDA approved, having gone through clinical trials showing safety and efficacy. 

Furthermore, these bioidentical compounds made by pharmacists are prepared based on the levels of hormones. However, these levels of hormones vary even during the course of the day. Bioidentical hormone therapy does nothing to address the symptoms. Traditional hormone replacement therapy and SERMs (Selective Estrogen Receptor Modulators) address specific symptoms the patient is experiencing so she finds relief from them. 

Patients who use these bioidenticals need to know that there have been reports of uterine cancers occurring because of inadequate progesterone to protect the uterus. SERMs and traditional HRT are FDA approved with proven uterine safety. 

Dr Goldstein, a top NYC Gyn co author of the book “The Estrogen Alternative”, advises that if patients want hormones that are produced by the ovaries before menopause, these can be prescribed pharmaceutically and quality controlled. However, each patient is different, so Dr Goldstein personally sits with each patient to examine them and understand their history and medical situations before prescribing anyting. 

If you are interested in hormone replacement therapy, schedule an appointment with Dr Goldstein by visiting his website at  www.goldsteinmd.com

Dr. Steven R. Goldstein MD- Menopause Doctor in NYC

Dr Steven R. Goldstein MD, a menopause doctor in NYC, 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.

 

As a menopause doctor in NYC Dr Goldstein would encounter menopausal women who are bleeding. This should never be the case 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”. 

As a menopause doctor in NYC, Dr Steven R. Goldstein MD does a workup to rule out uterine cancer, hyperplasia and polyps first. Then he uses non-invasive Transvaginal Ultrasounds to diagnose the cause of postmenopausal bleeding. This bleeding can be caused by what is known as Endometrial atrophy, where the endometrial lining degenerates and becomes very thin in a post menopausal woman. This is because of a lack of estrogen. 

These simple, inexpensive transvaginal ultrasounds produces very clear, high resolution images and allows Dr Goldstein to see detail on the endometrial lining and make an accurate diagnosis as to whether it is the cause of the post menopausal bleeding. 

If you are in menopause and experiencing bleeding, please schedule a consultation with Dr Goldstein immediately to determine whether your condition is because of a thin endometrial lining or something more serious. Bleeding in post menopausal women must be examined immediately. 

Schedule a consultation with Dr Steven R. Goldstein, a top menopause doctor in NYC by visiting his site at https://www.goldsteinmd.com/

Dr Steven R. Goldstein MD- Gynecologist in New York for Perimenopause

Dr Steven R. Goldstein MD is an expert Gynecologist in New York and is also one of the most highly recognized and regarded individuals for Perimenopause, the phase before women hit menopause. 

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

Dr Goldstein states 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. 

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 of these symptoms are tied in to fluctuating levels of unopposed estrogen (as opposed to the absent estrogen of true menopause). However, this is truly the transition from the reproductive stage to the non-reproductive stage and the medical term that Dr Goldstein has used for the last twenty years is "perimenopause." 

Many of Dr Goldstein’s patients have experienced this transition. Dr Goldstein, a top Gynecologist in New York, continues to guide his patients through this transition with as little disruption to their lives as possible utilizing the knowledge that we now possess about perimenopause. 

Dr Goldstein has been an expert gynecologist in New York 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. Visit https://www.goldsteinmd.com/ for more information.

Dr. Steven R. Goldstein MD- The importance of Gynecological Exams for Every Woman

Dr. Steven R. Goldstein MD is a top gynecologist in NYC in practice for over 25 years, committed to providing individualized care to his patients and is the only medical personnel you will see on your visit from beginning to end.

The annual gynecological exam for a woman is much more than just a pap test and review of the results. In fact, that is only a small part of the exam performed by Dr. Goldstein. While checking the cervix for abnormalities is important, Dr. Goldstein believes that for menopausal women bone health, breast health, and vaginal health are of the utmost importance.

For women closer to menopause the uterus and ovaries should also be checked by non-invasive transvaginal ultrasounds to prevent issues like abnormal uterine bleeding, painful periods, pelvic pain, vaginitis, urinary tract issues and more from arising.

The key is prevention. For instance, pre-cancerous lesions should be detected early before they become advanced and require a hysterectomy. The goal is to prevent the development of lesions that cannot be easily taken care of in an office setting with something as simple as an outpatient laser treatment.

Dr. Goldstein still believes that patients should be cared for one patient at a time with their individual risk factors, personal history, and family history taken into account regardless of the medical situation under discussion.

Dr. Goldstein, a gynecologist in NYC,  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.

To schedule an appointment with this highly regarded gynecologist in NYC visit his website at www.goldsteinmd.com

Dr. Steven R. Goldstein MD- Best Obgyn NYC for Ovarian Cancer Screening

Doctor Steven R. Goldstein MD is a top Gynecologist in New York City with over 25 years of experience in practice, and recognized as one the nation’s top gynaecologists and an internationally renowned expert in the field of Gynecologic ultrasounds.

 

As one of the best obgyn in NYC, Dr Goldstein screens female patients for Ovarian and Cervical cancer. Ovarian cancer is the fifth most common cancer among women according to the US Library of National Medicine. Since the symptom of ovarian cancer can be vague and misleading and lead to a late diagnosis, Dr Goldstein continues to press for ovarian cancer screening based on studies from Europe and the University of Kentucky which found that annual screenings identified 82 percent of the cancers in stage 1, making them more treatable. Doctor Goldstein recommends ovarian cancer screening every six months based on the patient’s medical history and risk factors. 

Doctor Goldstein, one of the best obgyn in NYC, recommends women have a Pap Smear exam done annually to help detect the presence of any cervical cancer cells early and prevent the need for aggressive treatment. This routine, painless examination performed by Dr Goldstein checks the changes in the cells of the cervix and is the best test for identifying abnormal, cancerous and pre-cancerous cells. 

Doctor Steven R. Goldstein MD is a professor of Obstetrics and Gynecology at New York University School of Medicine, and the Director for Gynecologic Ultrasound, Department of Obstetrics and Gynecology at New York University Medical Center. 

If you are seeking one of the best obgyn in NYC for ovarian cancer screening, then contact Dr Steven R. Goldstein MD, one of the nation’s best gynaecologists at his New York City office or visit https://www.goldsteinmd.com/

Dr. Steven R. Goldstein MD - Best Obgyn in NYC

Dr. Steven R. Goldstein MD is one of the best obgyn in NYC and the author of over 6 books on gynecology, actively serves on the editorial board of more than 6 scientific journals, is a Professor of Obstetrics and Gynecology at New York University School of Medicine and a much sought after lecturer. 

Patients who see Dr Goldstein sometimes have Perimenopause. This is the transition period to menopause and can begin 4 to 7 years before menopause. Some women in their late 30’s and forties may already be experiencing symptoms. During this perimenopause stage, “irregular” is what is considered regular in terms of menstrual periods. Shorter, longer, lighter, heavier, the character of a woman’s period can change so much during perimenopause, and at times this change can be subtle.

Why does this matter? It does because cycles when women do not ovulate are characterized by variable amounts of estrogen production without progesterone to balance it. This “imbalance” isn’t dangerous (although it can be in the case of unopposed estrogen for very long periods of time, which is unusual), but it is the basis of a host of symptoms that appear to be totally unrelated to the woman’s menstrual cycle - occasional hot flashes, sleep problems, vaginal dryness, free floating anxiety, memory lapses and “foggy memory”, inability to concentrate, feeling depressed at times and so on.

As one of the best obgyn in NYC, Dr Goldstein can evaluate women with these symptoms, determine if the change is due to hormonal changes surrounding Perimenopause and if so explain the change occurring in their bodies and any treatment options. To schedule an appointment with Dr Goldstein, one of the best obgyn in NYC please contact his office in NYC or visit www.goldsteinmd.com.