Dr. Steven R. Goldstein MD - Menopause and vaginal atrophy

 

Dr. Steven R. Goldstein MD is a Hormone Specialist in NYC and is held to be one of the nation’s top Gynecologists. He is also a highly regarded menopause Specialist in NYC.  Dr. Goldstein is President of the International Menopause Society, a former President of the North American Menopause Society, and a Certified Menopause Practitioner.

When a woman’s ovaries cease producing estrogen, she enters menopause. Without any estrogen in menopause, the vagina becomes atrophic (the tissue wastes away). It loses blood supply and elasticity. It also loses its normal pH (acid/base balance) because it cannot support the normal predominant bacteria called lactobacillus that feasts on glycogen and produces lactic acid, thus lowering the pH.

Recent studies have shown that as many as 50% of postmenopausal women are not aware that there are treatments that are safe to treat this atrophy. They believe this is just a function of, “getting older.” Thus, many women “suffer in silence” and, if still partnered, are experiencing painful intercourse.

Dr. Goldstein, a highly regarded menopause specialist in NYC, says that there are several helps for vaginal atrophy. First, there are very low-dose estrogen creams, also tablets, and rings. There is also now one oral non-estrogen, which may have other beneficial effects on breast and bone, as well. A local vaginal insert, which is DHEA (dehydroepiandrosterone) is also helpful. It is non-hormonal but is, however, metabolized to estrogen and testosterone.

If you are menopausal and suffering from vaginal atrophy and experiencing painful intercourse, it doesn’t have to be so. Dr. Steven R Goldstein MD is a hormone specialist in NYC who can evaluate menopausal patients

You can schedule an appointment with Dr. Goldstein by visiting his website at www.goldsteinmd.com

Importance of the annual gyn exam - Dr. Steven R. Goldstein MD

 

D. Steven R. Goldstein MD is a top New York City Gynecologist and is regarded as one of the nation’s top doctors in gynecology. He is also a Professor of Obstetrics and Gynecology at New York University School of Medicine and is the Director of Gynecologic Ultrasound, NYU Langone Medical Center.

Dr. Goldstein still believes that patients should care for one patient at a time with their individual risk factors, personal history, and family history is taken care into account when decisions are made for her health care regardless of the medical situation that we may be discussing.

Unfortunately, so many women believe that they are only coming to the gynecologist for their “Pap Test”. Nothing could be further from the truth. In Dr. Goldstein’s practice, although obviously, he is concerned that no one develops an advanced abnormality of their cervix, that is a very small part of what Dr. Goldstein does gynecologically. For instance, in women who are menopausal, bone health, breast health, vaginal health, and what’s going on in their pelvis with Dr. Goldstein’s expertise in transvaginal ultrasound in terms of their ovaries and their uterus are of the utmost importance.

Dr. Goldstein, a top gynecologist in NYC, is particularly concerned with the bone and muscle health of those who are in menopause or approaching it. Dr. Goldstein checks Vitamin D levels, screens his patients not only for bone density but osteopenia, which is a condition where bones are weakened due to a lack of estrogen. Weak bones and muscle loss which both occur because of a lack of estrogen can lead to falls and fractures in older or menopausal women. These are all concerns for Dr. Goldstein as he conducts an annual exam.

In women prior to menopause issues like abnormal uterine bleeding, abnormal findings on pelvic examination, painful periods, pelvic pain, fertility, vaginitis, urinary tract issues, birth control are just a few of the many areas that Dr. Goldstein constantly wants to deal with in addition to Pap smears and/or HPV testing.

If a patient has an abnormal pap test resulting in HPV, Dr. Goldstein, a top gynecologist in NYC, says that HPV is not the disease, but the goal is to present cervical cancer which may result. Most HPV clears after time. But cervical cancer screening is very important for patients with abnormal pap smears.  

Dr. Steven R. Goldstein MD, been a top New York City Gynecologist in private practice for over 25 years. You may visit his website at www.goldsteinmd.com for more information.