Dr Steven R. Goldstein MD, a leading gynecologist in NYC, is a Certified Menopause Practitioner, a past President of the North American Menopause Society (NAMS), and past President of the International Menopause Society. He is also 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’s skill and knowledge of gynecologic ultrasound combined with his knowledge of menopause makes him unique in the field menopause practitioners
As a menopause specialist in NYC Dr Goldstein regularly has patient encounters with menopausal women who are bleeding. This should never be the case since their ovaries are no longer functioning and therefore not making any estrogen or progesterone. Any post menopause bleeding must be evaluated at once, and be considered “uterine cancer until proven otherwise”.
Dr Goldstein uses painless Transvaginal Ultrasounds and Sonohysterograms to rule out uterine cancer, hyperplasia and polyps. These simple, inexpensive transvaginal ultrasounds produce very clear, high resolution images and allows Dr Goldstein to see detail on the endometrial lining and make an accurate diagnosis as to whether it is the cause of the post menopausal bleeding. You do not need to have needless, painful diagnostic surgery in order to determine your condition.
Regular sonograms employ a transducer rubbed on the abdomen. With a transvaginal ultrasound, very high frequency probes are placed in the vagina and image pelvic structures such as the and ovaries with greater magnification. These transvaginal ultrasounds (also called vaginal sonograms) do not only tell about the anatomy of the uterus, ovaries and fallopian tubes, but also their physiology, that is, their function and whether hormonal function is normal.
Dr Goldstein, a menopause specialist in NYC points out that the original observational studies in postmenopausal women with bleeding consistently found that an endometrial echo on transvaginal ultrasound <5 mm was associated with lack of significant tissue. Multiple large, prospective trials, mainly out of Western Europe, caused the American College of Obstetrician and Gynecologists in 2009 to opine that “when present, a thin, distinct endometrial echo on transvaginal ultrasonography 4 mm or less has a risk of malignancy of 1 in 917 and, therefore, endometrial sampling is not required.”
With uterine cancer ruled out, the post menopausal bleeding can be caused by what is known as Endometrial atrophy, where the endometrial lining degenerates and becomes very thin in a post menopausal woman. This is because of a lack of estrogen.
If you are in menopause and experiencing bleeding, please schedule a consultation with Dr Steven R. Goldstein, a menopause specialist in NYC immediately to determine whether your condition is because of a thin endometrial lining or something more serious. Bleeding in post menopausal women must be examined immediately and considered uterine cancer until determined otherwise.
No comments:
Post a Comment