Monday, October 7, 2024

CONSIDER THIS BEFORE ANY INVASIVE GYNECOLOGICAL SURGERY


 

 Women with complaints of abnormal uterine bleeding, heavy menstrual bleeding, menorrhagia, ovarian cysts, thick endometrial lining, fibroids and so on who have been recommended for painful biopsies, exploratory surgeries or Dilation and Curettage (D&C) should opt for painless Transvaginal Ultrasounds or Sonohysterography says  Dr Steven R. Goldstein MD, an expert Gynecologist in NYC for a second opinion before any gynecologic surgery.

 

These procedures are painful, expensive, require anesthesia and recovery time and not guaranteed to properly diagnose the cause of bleeding or other conditions. Surgery should not be the first method of diagnosis.

 

Dr Goldstein prefers using non-invasive methods for diagnosis and treatment instead of blind endometrial biopsies or unnecessary and painful surgeries. In 1989 Dr Goldstein was the first to suggest that simple cysts in postmenopausal ovaries were benign and did not require surgery. This became the standard of care in 2009.

 

Since 1995 Dr Goldstein has argued against blind endometrial biopsies, instead recommending saline infusion hysterograms. This was finally endorsed by the American College of Obstetrics and Gynecology (ACOG) in 2012.

 

In 2004 Dr Goldstein was the first to warn against unnecessary biopsies in nonbleeding postmenopausal patients with an incidental finding of thick endometrial lining. This was affirmed by ACOG in its practice bulletin in 2009, and reaffirmed in 2015.

 

Instead of painful exploratory surgeries, Dr Goldstein, a top gynecologist in NYC uses non-invasive methods such as Transvaginal ultrasounds (water sonograms) and Sonohysterography to obtain clear images of the ovaries, fallopian tubes, uterus and endometrial lining. Dr Goldstein performs each of these procedures himself and does not delegate it to a technician.

 

For instance, with abnormal uterine bleeding, it may be caused by hormonal factors, which Dr Goldstein can easily detect using the 2 non-invasive methods.

 

Upon conclusion and review of the images from Transvaginal Ultrasounds or Sonohysterography, Dr Goldstein sits personally with each patient to discuss the findings for their condition and discuss possible treatment options.

 

Doctor Steven R. Goldstein MD is one of the nation’s top Obstetricians and Gynecologists and is well known internationally for ground breaking work in gynaecological ultrasound and imaging. He is regarded as one of the nation’s top doctors in Gynecology. He is a Professor of Obstetrics and Gynecology at New York School of Medicine, served as former Director of Gynecologic Ultrasound at New York University Medical Center and is a past President of the American Institute of Ultrasound in Medicine.

 

If you are suffering from abnormal bleeding, heavy periods, post menopausal bleeding etc. do not opt for painful exploratory procedures or surgeries. Instead you may contact Dr Goldstein, an expert NYC Gyn  at his New York office to schedule a consultation

 

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