Dr Steven R. Goldstein - Ectopic Pregnancy Detection by Ultrasound

 

Dr. Steven R. Goldstein MD is a top Gynecologist in NYC and 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, a Past President American Institute of Ultrasound in Medicine and a former  Director of Gynecologic Ultrasound at NYU Langone Medical Center.

 One of the services Dr Goldstein provides for his patients is early pregnancy monitoring. One of the conditions Dr Goldstein checks for is an Ectopic pregnancy, which is when the developing embryo is located outside of the normal uterine cavity. 98% of these are in the fallopian tube. If they develop and rupture, they can cause hemorrhage requiring emergency surgery and transfusion.

 Unfortunately, in the United States, ruptured ectopic pregnancy is still the most common cause of death in the first trimester of pregnancy. Sometimes there are risk factors for ectopic pregnancy but most cases are not predictable. Thus, it is extremely helpful when a pregnancy occurs to verify its location as being in the uterus as early as possible. This is done definitively with vaginal sonograms by locating the tiny gestational sac within the uterus. Usually this is seen by as little as one week after a patient is late for her period.

Fortunately, most of Dr. Goldstein’s patients call when they have had a positive home test and they can be seen relatively early so as to ensure that the pregnancy is located within the uterus and, by serial observation, to be sure that the pregnancy is developing normally.

 Dr Goldstein, an expert NYC Gyn personally performs all Vaginal Sonograms, diagnoses the condition and then discusses treatment options with the patient. Dr Goldstein is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds and an internationally recognized expert in the field of gynaecological ultrasound and imaging.

 If you are pregnant and are considering early pregnancy monitoring, contact Dr. Goldstein’s office to schedule a consultation by visiting his website at www.goldsteinmd.com

Dr Steven R. Goldstein - Menopause and Hot Flashes

 

Dr Steven R. Goldstein MD is a top Menopause Specialist in NYC. He is a recent past President of the International Menopause Society and a Certified Menopause Practitioner in private practice for over 25 years.

 Hot flashes are one well known result of the loss of estrogen, which occurs when a woman reaches menopause. They fall under the category doctors call “vasomotor instability”. When your supply of estrogen dwindles, the hypothalmus, the “temperature regulation control station” in the brain goes awry. It sends a message to the pituitary gland to send out a hormone to stimulate the ovaries to produce more estrogen. This hormone is known as the follicle stimulating hormone (FSH). When the ovaries do not respond because of menopause, the hypothalmus can sometimes release a stimulant called free epinephrine. This spills over into the heat regulating area and the result is increased circulation, dilated blood vessels – a hot flash. Blood rushes to the skin. You flush. The sensation can quickly travel through your whole body.

 Dr Goldstein, a leading Menopause Specialist in NYC , says these flashes or flushes may last from thirty seconds to thirty minutes. Some women have only a few episodes a year, but there are women who have them daily, and often. There are women who have suffered with twenty or more such flashes a day.

 Hot flashes, while uncomfortable, are not medically dangerous to you. And they are not forever. In about two thirds of women, hot flashes last from one to five years. About one quarter of women will experience hot flashes for up to ten years. Fewer than ten percent of them will experience them for more than ten years.

 Women who have a surgical menopause (surgical removal of the ovaries) often suffer the most from frequent hot flashes. This is probably because the drop in estrogen levels in these women is so abrupt and complete. However, hot flashes and night sweats may lead to irritability, insomnia, fatigue, and mood swings.

 Dr Steven R. Goldstein, co author of the book “The Estrogen Alternative” is a top hormone specialist in NYC. Dr Goldstein has helped thousands of women cope with hot flashes and other symptoms of menopause with the use of hormone replacement therapy (HRT). If you are a woman going through menopause and experiencing hot flashes and other symptoms of menopause then schedule an appointment with Dr Steven R. Goldstein, a top menopause specialist in NYC.