Importance of the annual gyn exam - Dr. Steven R. Goldstein MD

 

D. Steven R. Goldstein MD is a top New York City Gynecologist and is regarded as one of the nation’s top doctors in gynecology. He is also a Professor of Obstetrics and Gynecology at New York University School of Medicine and is the Director of Gynecologic Ultrasound, NYU Langone Medical Center.

Dr. Goldstein still believes that patients should care for one patient at a time with their individual risk factors, personal history, and family history is taken care into account when decisions are made for her health care regardless of the medical situation that we may be discussing.

Unfortunately, so many women believe that they are only coming to the gynecologist for their “Pap Test”. Nothing could be further from the truth. In Dr. Goldstein’s practice, although obviously, he is concerned that no one develops an advanced abnormality of their cervix, that is a very small part of what Dr. Goldstein does gynecologically. For instance, in women who are menopausal, bone health, breast health, vaginal health, and what’s going on in their pelvis with Dr. Goldstein’s expertise in transvaginal ultrasound in terms of their ovaries and their uterus are of the utmost importance.

Dr. Goldstein, a top gynecologist in NYC, is particularly concerned with the bone and muscle health of those who are in menopause or approaching it. Dr. Goldstein checks Vitamin D levels, screens his patients not only for bone density but osteopenia, which is a condition where bones are weakened due to a lack of estrogen. Weak bones and muscle loss which both occur because of a lack of estrogen can lead to falls and fractures in older or menopausal women. These are all concerns for Dr. Goldstein as he conducts an annual exam.

In women prior to menopause issues like abnormal uterine bleeding, abnormal findings on pelvic examination, painful periods, pelvic pain, fertility, vaginitis, urinary tract issues, birth control are just a few of the many areas that Dr. Goldstein constantly wants to deal with in addition to Pap smears and/or HPV testing.

If a patient has an abnormal pap test resulting in HPV, Dr. Goldstein, a top gynecologist in NYC, says that HPV is not the disease, but the goal is to present cervical cancer which may result. Most HPV clears after time. But cervical cancer screening is very important for patients with abnormal pap smears.  

Dr. Steven R. Goldstein MD, been a top New York City Gynecologist in private practice for over 25 years. You may visit his website at www.goldsteinmd.com for more information.

Female Hormone Replacement Therapy - Bone Loss

Dr. Steven R. Goldstein MD is an expert on female hormone replacement therapy and a menopause bone loss doctor in NYC.

Bone health is increasingly one of the most important issues for Dr. Goldstein’s patients. As longevity has increased dramatically over the last generation or two, so many women are living into their early 90s. Suffering a hip fracture will result in 25% of women never living independently again and 20 to 30% will be dead within one year. Patients should be as concerned about their bone health as any other aspect of their lives as they pursue “healthy aging.”

As women age and the ovarian function ceases, estrogen production ceases and they enter menopause. Rapid bone loss due to the lack of estrogen is frequent during menopause and leads to osteoporotic fractures. Understand that bone is a dynamic organ. It is constantly being laid down and taken away until the day you die. Estrogen is a potent inhibitor of taking a bone away. This is why when women at menopause stop making estrogen they lose bone rapidly.

So what can a woman do during menopause to guard against the loss of estrogen that leads to bone loss? As a menopause bone loss doctor in NYC, Dr. Goldstein prefers those approaches that combine the estrogen Premarin with a different category of the drug than progesterone. That category is SERM (selective estrogen receptor modulator) used in female hormone replacement therapy. This synthetic estrogen is delivered via pills, patches, or creams.

Women who are in menopause should be evaluated for bone loss and discuss with their physicians whether HRT is a consideration for them.

 Dr. Goldstein is the recipient of the Thomas A. Clarkson award for many outstanding contributions to menopause-related clinical or basic science research. He has helped thousands of women alleviate the symptoms of menopause with female hormone replacement therapy.

Dr. Goldstein is a Professor of Obstetrics and Gynecology, New York University School of Medicine, and a Director of Gynecologic Ultrasound, NYU Langone Medical Center. Considered one of the nation’s top doctors in Gynecology, he is also the co-author of the book “The Estrogen Alternative’ and is a Certified Menopause Practitioner by the North American Menopause Society.

 

 

 To learn more about Dr. Goldstein, a menopause bone loss doctor in NYC, or to make an appointment, visit his website at www.goldsteinmd.com.

Osteoporosis Specialist in NYC on Bone Loss - Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD is the Co-Directory of Bone Densitometry and Body Composition at NYU Langone Medical Center and the top osteoporosis specialist in NYC, as one of the best gynecologists in NYC, Dr. Goldstein frequently encounters patients who are going through menopause stage of life and are prone to bone loss or osteoporosis due to a lack of estrogen. Supplementation is one of the most basic ways to address potential bone loss.

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Vitamin D is necessary for normal bone metabolism.  A recent study showed 48% of women on medication for osteoporosis had vitamin D levels insufficient for the medication to work properly (< 30pg/ml).

Dr. Goldstein recommends 1000-2000 International Units (IUs) of vitamin D3 daily, available as a stand-alone pill wherever you get supplements.  You can take too much so one dose is good, two is not better. 

Dr. Goldstein, a top osteoporosis specialist in NYC, always recommends to his older patients to have their vitamin D levels checked. If it is markedly low (<30) the treatment is a prescription strength of 50,000 IUs once per week for 12 weeks and then to recheck the blood level. 

Furthermore, vitamin D and exercise are also effective against sarcopenia, also known as muscle wasting. Sarcopenia is associated with a higher risk of falling and bone fractures.
As one gets older and estrogen levels are lower, muscle wasting (sarcopenia) occurs. Vitamin D has been proven to be an important factor in preventing muscle wasting, especially when combined with exercise.

Dr. Steven R. Goldstein MD is one of the nation’s top doctors in gynecology and one of the best gynecologists in NYC. He is also a Professor of Obstetrics and Gynecology at New York University School of Medicine and is the Director of Gynecologic Ultrasound, NYU Langone Medical Center.
 
A Certified Menopause Practitioner and President of the International Menopause Society, Dr. Goldstein has decades of experience in dealing with menopausal patients who experience bone loss and muscle wasting (sarcopenia).
 
Dr. Goldstein is the recipient of the Thomas A. Clarkson award for many outstanding contributions to menopause-related clinical or basic science research. If you believe you are in the transition state for menopause or are already in menopause and are concerned about your bone health, arrange for an appointment with Dr. Goldstein, one of the best gynecologists in NYC by visiting his website at www.goldsteinmd.com.