Dr. Steven R. Goldstein MD- Menopause Doctor in NYC

Dr Steven R. Goldstein MD, a menopause doctor in NYC, is a Certified Menopause Practitioner, a past President of the North American Menopause Society (NAMS), and President elect International Menopause Society and has helped thousands of women cope with the symptoms of menopause in his over 25 years of practice. He is also the Director of Gynecologic ultrasound at NYU Langone Medical Center, and a past President of the American Institute of Ultrasound in Medicine.

 

As a menopause doctor in NYC Dr Goldstein would encounter 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”. 

As a menopause doctor in NYC, Dr Steven R. Goldstein MD does a workup to rule out uterine cancer, hyperplasia and polyps first. Then he uses non-invasive Transvaginal Ultrasounds to diagnose the cause of postmenopausal bleeding. This 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. 

These simple, inexpensive transvaginal ultrasounds produces 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. 

If you are in menopause and experiencing bleeding, please schedule a consultation with Dr Goldstein 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. 

Schedule a consultation with Dr Steven R. Goldstein, a top menopause doctor in NYC by visiting his site at https://www.goldsteinmd.com/

Dr. Steven R. Goldstein MD - Gynecologist in New York for Menopause and Menopause Bleeding

Dr. Steven R. Goldstein is the Best Menopause Gynecologist in New York and a specialist in treating menopause bleeding. It is not uncommon for women to come to Dr Goldstein’s practice with medical complaints of bleeding. Some of these women are menopausal. This means they should not be experiencing any bleeding 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”, however not every case of post menopause bleeding  is because of cancer. One of the causes can be Endometrial atrophy, where the endometrial lining is very thin in a post menopause woman. In the absence of estrogen, the functional layer atrophies (wastes away or degenerates). In patients with postmenopausal bleeding, a workup is necessary to rule out uterine cancer, hyperplasia and polyps first because Endometrial cancer can coexist with atrophic endometrium.

As a Menopause Bleeding Treatment in New York Gynecologist, Dr Steven R. Goldstein MD uses non-invasive Transvaginal Ultrasounds to diagnose the cause of postmenopausal bleeding. These are simple, inexpensive, well tolerated office procedures to examine and generate clear, high resolution images of the uterus and endometrium in order to make an accurate diagnosis.

Transvaginal ultrasounds are state of the art procedures which are non-invasive, meaning no painful surgeries are required. They are quick, painless procedures performed in the comfort of Dr Goldstein’s office. Dr Goldstein personally performs all transvaginal ultrasounds and Sonohysterograms, examinations and discusses results and diagnoses with patients.

Dr Goldstein is a Certified Menopause Practitioner, a past President of the North American Menopause Society (NAMS), and President elect International Menopause Society and has helped thousands of women cope with the symptoms of menopause in his over 25 years of practice. He is also the Director of Gynecologic ultrasound at NYU Langone Medical Center, and a past President of the American Institute of Ultrasound in Medicine.

This combination of a top gynecologist and one of the most highly regarded individuals in the field of gynecologic ultrasound make Dr Steven R Goldstein the

Best Menopause Gynecologist in New York who can evaluate female patients who are either in menopause  or are post-menopausal and are experiencing unscheduled bleeding. You can schedule an appointment with Dr Goldstein by visiting his website at www.goldsteinmd.com.

Dr. Steven R. Goldstein MD - Menopausal Changes That Don’t Have To Be

In a recent issue of Science Times there was an article entitled, “Menopausal vagina monologues.” It was an excellent article talking about the fact that without any estrogen in menopause the vagina becomes atrophic. It loses blood supply and elasticity. It 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. Studies have shown that in terms of menopause-related hot flashes and night sweats, which can range from absent to mild to debilitating – that by 4-5 years into menopause 75-80% of women will have little or no symptoms. In other words, in most women such symptoms will eventually diminish. However, the opposite is true in the vagina. Women are spending 40% of their lives in a menopausal state. Other higher order primates (gorillas, chimpanzees) live perhaps only 1-2 years after they stop reproducing. It is unnatural to have a non-estrogenized vagina. And with time these changes from atrophy get more and more pronounced.

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.

I believe that some degree of sexual intimacy is important to a partnered relationship. It does not and should not have to hurt. There are very low dose estrogen creams, tablets and rings, which have been around for quite some time. One problem is the FDA insistence on “class labeling.” Vaginal estrogen is as little as 1/300th the oral dose used for hot flashes and night sweats. It is virtually not absorbed into the blood stream. It stays in the vagina. Yet because it is the same drug as what is given orally, the FDA gives it the same warnings. As past president of the North American Menopause Society, I helped write an editorial (link to editorial) and petition the FDA to modify that label and its unnecessary frightening warnings. They have not budged.
There is now one oral non-estrogen, which may have other beneficial effects in breast and bone, as well. There is also a local vaginal insert, which is DHEA (dehydroepiandrosterone). It is a non-hormonal but is, however, metabolized to estrogen and testosterone.

Dr Steven R Goldstein MD is the best menopause gynecologist in New York and a menopause bleeding treatment gynecologist who can evaluate patients who are either in menopause or are post-menopausal and are experiencing unscheduled bleeding. You can schedule an appointment with Dr Goldstein by visiting his website at www.goldsteinmd.com.