Dr Steven R. Goldstein MD

Obgyn in Manhattan for abnormal bleeding conditions

 

 Doctor Steven R. Goldstein is a top obgyn in NYC and an internationally recognized expert in gynaecological ultrasound and imaging.

 A frequent complaint of women visiting their gynecologist is abnormal bleeding. Unfortunately, many of these women are told they need a Dilation and Curettage (D&C) to find the cause of their abnormal bleeding. A D&C involves dilation of the cervix and then scraping of the endometrial lining of the uterus.

 This is a painful, costly procedure with associated   risks and requires anaesthesia. Even worse is the fact that three fourths of these operations turn up nothing and turn out to be totally unnecessary. Furthermore, many women fear cancer from this abnormal bleeding.

 As one of America’s best gynecologists and an obgyn in Manhattan, Dr Goldstein uses painless, non-invasive transvaginal ultrasounds (Vaginal Sonograms) and Sonohysterograpy performed right in his office within a few minutes to determine the cause of any abnormal uterine bleeding.

 Abnormal uterine bleeding can occur for many reasons - uterine polyps, fibroids, miscarriage, the onset of menopause, hormonal imbalances or even cancer. Using the clear, high resolution images provided by non-invasive Sonohysterography or Vaginal Sonograms, Dr Goldstein is able to isolate the cause of the abnormal uterine bleeding.

 For instance, examination of the high-resolution images of the uterine lining may show that the bleeding is due to a hormonal imbalance. Without progesterone, unopposed estrogen can cause heavy, spotty bleeding.

 Abnormal bleeding may also occur from cancer or hyperplasia (pre cancer). Even in this case, vaginal probe ultrasounds and fluid enhanced Sonohysterography can eliminate the need for almost all diagnostic D&C’s and the pain, cost and risks associated with them.

 Dr Goldstein is a Professor of Obstetrics and Gynecology at New York School of Medicine, and a former Director of Gynecologic Ultrasound at New York University Medical Center and is a past President of the American Institute of Ultrasound in Medicine. Dr Goldstein personally performs all transvaginal ultrasounds and sonohysterograms. He does not rely on a technician or a report.

 If you are suffering from abnormal uterine bleeding and need to determine whether it is from a cancerous condition, or if you need ovarian and cervical cancer screening, contact Dr Steven R. Goldstein MD, the best obgyn in NYC for an appointment.

 

Dr Steven R. Goldstein MD - Early Detection of Ovarian Cancer

 

Doctor Steven R. Goldstein MD, is an Obgyn NYC who screens patients for Ovarian Cancer. Dr Goldstein shares why ovarian cancer screening is important for the early detection of ovarian cancer.

 There are two large ovarian cancer screening programs. Interestingly enough, The University of Kentucky got a large grant in 1987 and started screening women annually for the presence of ovarian cancer. They picked up 82% of ovarian tumors at stage 1 or 2 which is virtually the opposite of the real world where 82% present at stage 3 or 4. In general, earlier stage detection results in much better survival rates. A large study in Britain had somewhat similar results. 

 

 

However, in both of these trials, there was a small but not insignificant number of women who presented less than a year after their negative screening encounter with a bellyful of ovarian cancer. I was extremely interested in these individuals. I believe that if some came in two or three months after their negative screening with a bellyful of cancer that perhaps some of these tumors were so virulent that no matter what we do it would not be helpful. However, in both of these studies all of those patients were between six and thirteen months since their negative screening encounter. The take-home message is that if you screen annually, you will do well. But if you screen at six-month intervals, you will do even better.

 Even before I had this scientific information, my personal motto was “over surveillance, under treat.” You see, in some people’s hands, over surveillance leads to over treatment. This can result in unnecessary testing, and, unfortunately, sometimes even unnecessary surgery. It is important to understand the difference between an ominous finding when using routine ultrasound and findings that are innocuous and much more common than previously appreciated.

Dr Steven R. Goldstein MD is an expert Gynecologist in NYC who routinely performs ovarian and cervical cancer screening in NYC. A former Director of Gynecologic Ultrasound at NYU Langone Medical Center, Dr Goldstein personally performs all transvaginal ultrasounds with color flow doppler to screen for ovarian cancer. He does not rely on a report or use a technician.

If you have been told you have an ovarian mass (tumor) and need to be screened for ovarian cancer, schedule a consultation with Dr Steven R. Goldstein MD, a leading obgyn in NYC who uses transvaginal ultrasounds with color flow doppler and state of the art radiology to provide painless, non-invasive screening for ovarian cancer.