Dr Steven R. Goldstein MD - Transvaginal Ultrasounds and Endometriosis diagnosis

 

 

 

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

 

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.

 

Dr Steven R Goldstein MD 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.

 

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.

 

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.

 

At Dr Goldstein’s office, patient care is catered to the patient and Dr Goldstein is the only medical personnel you will see on your visit as he attends to you from beginning to end, personally performing all examinations and procedures and of course the transvaginal ultrasounds to detect whether the patient has endometriosis and if so the details of the diagnosis.

 

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.

 

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

 

Dr Steven R. Goldstein - Gynecologist in Manhattan for Heavy Periods

 

 

Dr Steven R. Goldstein MD is a top gynecologist in Manhattan and is regarded as one of the nation’s best gynecologists. He is a Professor of Obstetrics and Gynecology at New York University School of medicine, former Director of Gynecologic Ultrasound at NYU Langone Medical Center and a Past President of the American Institute of Ultrasound in Medicine and many other credentials.

 

In practice for over 25 years, a frequent complaint of patients to Dr Goldstein’s office is unusually heavy periods. In medical terminology, these periods which are unusually heavy or prolonged are referred to as Menorrhagia. This condition is usually accompanied by severe cramps, sometimes the passing of larger blood clots, fatigue and tiredness, and bleeding which can last longer than seven days or so.

 

There are several possible causes for heavy menstural bleeding such as uterine polyps in synchrony with the normal menstrual cycle, the growth of the size of the uterus due to childbirth of many children, fibroids which can cause growth of the uterine cavity, a benign non-cancerous condition called Adenomyosis and hormonal imbalances which we will discuss below.  

 

Hormonal imbalances can cause heavy bleeding during periods. The hormones estrogen and progesterone are involved in the buildup of the lining of the uterus during menstruation. If there is an imbalance between estrogen and progesterone, the uterine lining grows excessively and causes heavy menstrual bleeding when it is shed during the menstrual cycle.

 

These hormonal imbalances cannot be detected by traditional invasive biopsies and such, but by non-invasive transvaginal ultrasounds and Sonohysterography and the clear images produced of the uterine lining.

 

As a top Gynecologist in Manhattan,  and an internationally renowned expert in Gynecologic Ultrasounds, Dr Goldstein uses painless, non-invasive Transvaginal Ultrasounds and Sonohysterography to examine and diagnose patients experiencing menorrhagia (heavy periods).

 

Dr Steven R. Goldstein performs all transvaginal ultrasounds and Sonohysterograms personally, he possesses the skill and experience to diagnose and treat women with heavy menstrual bleeding conditions.

 

Women experiencing menorrhagia may schedule a consultation with Dr Steven R. Goldstein MD, an obgyn Manhattan. At Dr Goldstein’s office, patient care is catered to the patient and Dr Goldstein is the only medical personnel you will see on your visit as he attends to you from beginning to end, personally performing all examinations and procedures. 

Dr Steven R. Goldstein - HRT and the risk of stroke

 

 

 Dr Steven R. Goldstein is a top Hormone Specialist in NYC, a Certified Menopause Practitioner, North American Medical Society, a Past President of the North American Menopause Society, and a past President of the International Menopause Society. He is an expert on female hormone replacement therapy and co-author of the book “The Estrogen Alternative”

 

Women sometimes ask “do I run a greater risk of stroke by taking hormone replacement therapy?” The concept of the risk of stroke related to hormone replacement therapy is quite old and no longer adhered to. It is not dissimilar to concerns about increased blood pressure in the past. In the early days of HRT it was felt that women with high blood pressure should not take estrogen because they were at risk for stroke. This has turned around 180 degrees.

 

Now women with hypertension are among the first to be offered hormone replacement therapy because of the tremendous benefits that this HRT can give the cardiovascular system in terms of reduction of heart disease and stroke. There is less estrogen in HRT than in birth-control pills, which is why HRT is recommended for women with hypertension and birth control pills are not.

 

Dr Steven R. Goldstein, a top Hormone Specialist in NYC says that Estrogen replacement can help prevent heart disease. After menopause, the risk of heart disease for women increases dramatically. Women who are premenopausal have a much lower incidence of heart attacks than men. After menopause, if they don’t go on hormone replacement therapy, women begin to catch up pretty quickly. If they do go on hormone replacement, they retain that advantage. It’s no small benefit. It is estimated that 500,000 women a year die from coronary artery disease.

 

In the recent Nurses Health Study of 120,000 women, which took place over a ten year period, researchers found that women who took estrogen after menopause had about half the incidence of fatal heart attacks as the control group. The reason? Estrogen replacement seemed to improve a woman’s ratio of “good” cholesterol (HDL) to bad cholesterol (LDL). Women who took combination therapy, which included progestin as well, reduced their risk by 61 percent.

 

If you are already experiencing the symptoms of menopause such as hot flashes, foggy memory, vaginal dryness and so on and are interested in learning how hormone replacement therapy can help you then arrange for a consultation with Dr Goldstein by contacting his office in New York City at 212-717-5554. Dr Goldstein has helped thousands of women cope with the symptoms of menopause. He is a leading Hormone Specialist in NYC who works with each women individually to understand the symptoms of menopause she is experiencing and her overall gynecological health before recommending hormone replacement therapy.