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

 

SALINE INFUSED SONOHYSTEROGRAMS FOR INFERTILITY

 

 A source of decreased fertility in women is submucosal myomas. These submucosal myomas are also indicative of an increased risk for pregnancy loss. Another indication of infertility problems in women are Endometrial polyps.

 

Dr. Steven R Goldstein MD, a top Gynecologist in NYC is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds. He is an expert in Saline Infused Sonohysterograms (SIS), which can be used in patients experiencing infertility problems or are at an increased risk for pregnancy loss.

 

By using fluid enhanced Sonohysterograms, Dr Goldstein can tell if any of these conditions are present in women and differentiate between them. It can also consistently diagnose intra and pericavitary lesions in infertile women. In addition, this saline infused sonoysterography is widely used to diagnose the shape of the uterine cavity in cases of suspected uterine malformation.

 

Dr Goldstein has championed the use of these Saline Infused Sonohysterograms (SIS). During a saline infusion sonohysterogram (SIS), a tiny catheter, the size of a swizzle stick, goes into the cervix a couple of inches tops, and about a tablespoon of sterile saline is injected. Dr Goldstein, a Gynecologist in NYC, developed a tiny catheter for these purposes.

The injection of a tablespoon of water into the uterus via catheter pushes the front and back walls of the uterus apart and enables us to see the uterine lining with microscopic precision. Any submucosal myomas or conditions that can cause infertility become visible. Sonohysterograms are a non-invasive, painless, less expensive way of diagnosing conditions in women and take only a few minutes in the office of Dr Goldstein.

 

Dr Goldstein has been in practice for over 25 years and is 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, Past President American Institute of Ultrasound in Medicine and is a former Director of Gynecologic Ultrasound at NYU Langone Medical Center.

 

If you are a woman suffering from infertility problems then schedule a consultation with Dr Steven R Goldstein MD, a top Gynecologist in NYC for a non-invasive Sonohysterogram.

 

Birth Control Pills - Closer to Natural Than You Think

 

 Dr. Steven R. Goldstein MD, a leading NYC Gyn, at times suggests birth control pills for numerous non-contraceptive benefits in terms of bleeding control, less anemia, and so on. The response is often “they are not natural”.

 

So, what did nature expect for us? As higher order primates, women would have approximately eight children (along the way, statistically, three miscarriages). So if one does the math, women have approximately forty years of menstrual function (roughly age 11-51). There are 13 lunar months in a calendar year. Thus, most women can be expected to have approximately 520 menstrual cycles.

 

There is no bottle or formula in nature and, thus, breast feeding for at least fifteen months would be mandatory. Thus, modern women who have two children, for instance, and nurse them perhaps 3-6 months, end up with nearly 500 menstrual cycles. Left to nature, women would have perhaps 250.

 

One of the reasons, that ovarian, uterine and breast cancers are on the rise in modern industrialized nations is women are cycling too much. Suppressing the cycle with birth control pills is closer to “natural” than what we have socialized into. Dr Goldstein, a leading NYC Gyn, is not suggesting that his patients have eight children and nurse them all for fifteen months, but he is suggesting that we evaluate what is truly “natural” and what is not.

 

In studies, the use of birth control pills has been shown to reduce ovarian and uterine cancers in addition to controlling bleeding, less anemia and other benefits and are closer to being natural as proven above. Women who are prone to ovarian or uterine cancers based on their family history or are experiencing bleeding conditions should schedule a consultation with Dr Steven R Goldstein MD, a top NYC Gyn  to evaluate their condition further.

 

Dr. Steven R. Goldstein MD - Expert Gynecologist in New York City for Dysfunctional Uterine Bleeding in Perimenopausal Patients

Dr. Steven R. Goldstein MD is an Expert Gynecologist in New York City who has helped thousands of women safely navigate perimenopause. As a certified menopause practitioner and a past President of the North American Menopause Society (NAMS), Dr. Goldstein works with women experiencing perimenopause to understand the changes their bodies are undergoing, lifestyle changes necessary, and what treatments are available.

As a woman enters perimenopause and ovulation is on the decline, unscheduled bleeding may occur and cause alarm. This dysfunctional uterine bleeding in perimenopausal patients can be caused by a lack of ovulation, which is better treated hormonally, not surgically. So how can a gynecologist determine whether the bleeding is caused by a lack of ovulation without doing any surgical procedures to diagnose the condition? The answer is a non-invasive, painless procedure called Sonohysterography which is performed in a few minutes right in the office.

Sonohysterography, by assessing endometrial thickness, can reliably distinguish between patients whose bleeding is as a result of a lack of ovulation and those who are in need of formal curettage and hysteroscopy.

Since in both transvaginal ultrasounds and Sonohysterography the skill of the operator is very important, Dr Goldstein performs both these procedures himself to see the uterus, the lining etc. himself. Clear, high definition images are produced for analysis and diagnosis. Dr Goldstein is not just an Expert Gynecologist in  New York City, but he is also Director of Gynecologic Ultrasound at NYU Langone Medical Center and a Professor of Obstetrics and Gynecology, New York University School of Medicine. Thus he is very well qualified to perform Sonohysterograms and properly diagnose the cause of any abnormal uterine bleeding.

Dr. Goldstein has found that in the vast amount of patients abnormal uterine bleeding is associated with episodes of no ovulation. This condition can be managed hormonally in premenopausal.

Dr. Steven R Goldstein MD is an Expert Gynecologist in New York City who can evaluate female patients who are in perimenopause and are experiencing unscheduled bleeding. You can schedule an appointment with Dr Goldstein by visiting his website at www.goldsteinmd.com.

See Dr Steven R. Goldstein, A Gynecologic cancer screening doctor and Expert Gynecologist in New York

Doctor Steven R. Goldstein is one of the nation’s top Obstetricians and Gynecologists and an expert gynecologist in New York city. He is a Professor of Obstetrics and Gynecology at New York School of Medicine, serves as Director of Gynecologic Ultrasound at New York University Medical Center and is a Certified Menopause Practitioner. He is considered one of the nation’s top doctors in Gynecology.

Dr Goldstein has also served as Chairman of the American College of Obstetrics and Gynecology New York section, President of the American Institute of Ultrasound in Medicine, President of the North American Menopause Society, and many other prestigious positions.

Dr Goldstein is also one of the top gynecologic cancer screening doctors in New York. He uses his expertise as a renowned expert in gynecological ultrasound and imaging to help women who are at risk for ovarian cancer by performing painless ultrasound enhanced bimanual exams with visualization of the ovaries twice a year.

Dr Goldstein continues to advocate for annual pap smears for earl detection of cervical cancer if abnormal cells are found. He works with women who are seeking a second opinion after their primary gynecologist recommended a LEEP procedure. Dr Goldstein evaluates patients and closely reviews results and has pap smear results re-evaluated as needed. When needed, Dr Goldstein performs coloposcopy or laser surgery in his office.

As an internationally recognized expert in gynecological ultrasound and imaging, Dr Goldstein uses his skill with transvaginal ultrasound and Sonohysterography to determine whether abnormal bleeding is from cancer or pre-cancerous conditions.

You may contact Dr Goldstein at his New York office to schedule a consultation for any gynecologic conditions or if you need cancer screening for gynecologic conditions.