Gynecologist in NYC for Menopausal Bleeding: Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD is a top Gynecologist in NYC for menopausal bleeding. In practice for over 25 years, Dr. Goldstein has helped thousands of women suffering from the effects of menopause and perimenopause. Dr. Goldstein is a Certified Menopause Practitioner, North American Medical Society (NAMS), a Past President, North American Menopause Society and President-elect International Menopause Society.

In menopause, by definition, the ovaries are no longer functioning and, therefore, not making any estrogen or progesterone. Thus, there is no stimulation of the endometrial lining and there should be absolutely no further bleeding. Any bleeding in a menopausal patient, even staining, regardless of how slight or short in duration must be evaluated. Even third year medical students know that any menopausal bleeding is “uterine cancer until proven otherwise.”

However, do not be overly alarmed. Studies show that only about 3-7% of women with menopausal bleeding will actually have cancer. However, in medicine, that is a relatively large number and all women with any menopausal bleeding must have an evaluation of their uterus.

In years gone by, this was often a D&C (dilatation and curettage) and for many years a simple uterine biopsy was the standard of care. This has recently changed, based much on Dr. Goldstein’s research, and such an evaluation can begin with a vaginal sonogram.

Dr. Goldstein 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 currently the Director of Gynecologic Ultrasound at NYU Langone Medical Center.

As a highly regarded Gynecologist in NYC, Dr. Goldstein is committed to providing individualized care to his patients and is the only medical personnel you will see on your visit from beginning to end. Visit his website at www.goldsteinmd.com.

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.

Best Obgyn in NYC for Early Pregnancy Monitoring: Dr. Steven R. Goldstein MD

If you are pregnant, then see Dr Steven R. Goldstein, one of the Best Obgyn in NYC for early pregnancy monitoring. In practice for over twenty five years, Dr Goldstein uses painless, non-invasive Transvaginal Ultrasounds to monitor pregnancies. 

The efficiency and reliability of transvaginal ultrasounds is largely dependent on the skill of the operator. Dr Goldstein is an internationally renowned expert in Gynecologic Ultrasounds. He performs all transvaginal ultrasounds personally to ensure your pregnancy is meeting its milestones.

Early pregnancy follows very classic milestones of development and by following a pregnancy with Transvaginal Ultrasound a physician can tell if a pregnancy is meeting its milestones. Miscarriages usually take place one to four weeks after the pregnancy loses its viability.

So for instance if a woman had a miscarriage in week nine, she could not have had a normal eight week six day ultrasound the day before she miscarried. By seeing patients very early in their pregnancy and following them at regular intervals with ultrasound, it is easy to see if the pregnancy is meeting its milestones.

If a pregnancy were to fail, an elective Dilation and Curettage (D&C) will be performed to remove pregnancy tissue before spontaneous miscarriage sends the woman to the Emergency Room. In addition this provides the opportunity to examine the pregnancy tissue to see if there are any abnormalities of the chromosomes which will explain why the pregnancy failed and possibly prevent recurrent miscarriages.

Dr Steven R Goldstein 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 President of the American Institute of Ultrasound in Medicine. He is available for consultation.

If you are pregnant then contact the office of Dr Steven R Goldstein MD, one of the Best Obgyn in NYC for an appointment. All appointments are tailored to the patients and Dr Goldstein is the only medical specialist a patient will see. You may visit his website at www.goldsteinmd.com.

Dr. Steven R. Goldstein MD - Gynecologist in Manhattan, NY

Dr. Steven R. Goldstein MD is a top Gynecologist in Manhattan, New York. Dr Goldstein’s clinical research has had a significant influence on the way gynecology is practiced.

In 1991, he was the first to suggest that a thin, distinct endometrial echo on transvaginal ultrasound in postmenopausal bleeding did not indicate the need for a biopsy. This was finally adopted as the standard of care by the American Congress of Obstetricians and Gynecologists (ACOG) in 2009.

In 1989, he was the first to suggest that simple cysts of postmenopausal ovaries were benign and did not require surgical intervention. In 2009 that, too, became the standard of care.

In 1994, he first described endometrial fluid collections on vaginal sonograms as a naturally occurring, de facto sonohysterogram and determined that when tissue surrounding the fluid is thin, endometrial disease can be excluded.

Also in 1994, he was the first to describe the glandular cystic atrophy causing an unusual ultrasound appearance in women receiving tamoxifen, and has since been involved in the study of—and has published research on—practically every selective estrogen-receptor modulator, including raloxifene, lasofoxifene, levormeloxifene, arzoxifene, and ospemifene.

Dr. Goldstein was the first, in 2004, to warn against unnecessary biopsy in nonbleeding postmenopausal patients with an incidental finding of thick endometrial lining on vaginal sonogram, which was affirmed by ACOG in its Practice Bulletin in 2009, and reaffirmed in 2015.

Since 1995, Dr. Goldstein has argued against blind endometrial biopsies. He also championed saline infusion sonohysterogram—which was finally endorsed by ACOG in its Practice Bulletin in 2012.

Visit Dr Goldstein’s website at www.goldsteinmd.com for more information or to make an appointment.