Gynecologist for Female Hormone Replacement Therapy: Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD has over 25 years of experience in practice and is considered one of the nation’s top gynecologists. 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 the co-author of the book “The Estrogen Alternative”, the first book of its kind addressing the use of synthetic hormones, and an expert on female hormone replacement therapy. 

Why would a woman need synthetic hormones? As a woman ages and enters menopause, the body produces less Estrogen and Progesterone which produces two major symptoms - vaginal dryness and hot flashes. Other symptoms associated with a lack of estrogen include a lack of concentration, hot flashes, foggy memory, sleep disturbances, irritability and so on.

However, there are even greater effects due to a loss of estrogen. There are over three hundred tissues from brain to bone to skin in a woman’s body that contain receptors for Estrogen. All of a woman’s most important body tissues contain Estrogen receptors. When the secretion of Estrogen changes, a woman’s health and well-being reflect those changes. Breasts, skin and blood vessels rely on Estrogen to stay flexible and toned. Estrogen keeps the uterus, vagina and the base of the bladder moist.

There are also sites in the brain where Estrogen receptors are found. Therefore when a woman enters menopause and the body produces less estrogen, there is a significant impact on a woman’s overall health above and beyond the symptoms like hot flashes.

To combat this decrease in estrogen during menopause and the resulting symptoms and adverse impact, Dr Goldstein uses Female Hormone Replacement Therapy.  Here pills, patches or creams are prescribed to supply estrogen synthetically. The amount of estrogen prescribed is only a small fraction of what the ovaries normally produce, however it is enough to help alleviate the symptoms of a lack of Estrogen.

If you are a menopausal woman struggling with the effects of menopause and the loss of estrogen, then contact the office of Dr Steven R Goldstein MD for a consultation to see if female hormone replacement therapy can work for you. Visit his website at www.goldsteinmd.com for more information.

Top New York City Gynecologist for Ovarian Cancer Screening: Dr Steven R. Goldstein MD

Top New York City Gynecologist Dr. Steven R. Goldstein MD has been in private practice for over 25 years and treated many patients with ovarian masses. Ovarian cancer is the second most common genital tract malignancy and the most deadly (overall 5 year survival of 45%). Ovarian cancer is more prevalent with increasing age, usually occurring with post-menopausal women.

Dr. Goldstein uses non-invasive methods such as gynecologic ultrasounds for initial diagnosis instead of painful, costly, invasive biopsies. Non-invasive ultrasounds are performed right in his office in a short period of time. With these non-invasive ultrasounds, Dr Goldstein is able to view precise, clear, high quality images of ovarian masses for cancer screening. Using ultrasounds, pattern recognition and Doppler features of an ovarian mass are the most accurate method of differentiating a malignant from a benign tumor when performed by an expert practitioner like Dr Goldstein.

Dr. Goldstein uses color flow Doppler in ultrasounds which is very important to evaluate the presence or absence of prominent vessels within the solid areas of the tumor. The main goal of the ultrasound examination is to determine whether the mass is suspicious for malignancy (cancerous) or almost certainly benign (non-cancerous).

If you have been told that you have a mass in your ovaries, it is best to seek a second opinion before scheduling any surgery. Dr Goldstein, a Top New York City Gynecologist, is available for cancer screenings or second opinions before gynecologic surgery. You may contact Dr Goldstein at his New York office to schedule a consultation cancer screening for gynecologic conditions, or visit his website at www.goldsteinmd.com.

Top New York City Gynecologist on Endometriosis: Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD, a Top New York City Gynecologist, often sees patients who have a condition called endometriosis.

The exact cause of endometriosis is unknown and there are multiple theories. Endometriosis does not always show symptoms. There appears to be a higher incidence of endometriosis in women who are diagnosed with infertility and pelvic pain.

Endometriosis is the presence of endometrial tissue outside the endometrial cavity. These glands respond to cyclical hormones, thereby causing microscopic internal bleeding and pain during the course of the menstrual cycle. The ectopic tissue bleeds in episodes, causing inflammation, adhesions and scarring.

Endometriosis can occur in many forms, including the formation of cysts known as endometriomas (chocolate cysts), which typically develop in ovarian tissue. Endometriosis can also occur in the uterus with the propagation of endometrial glands into the myometrium, a condition known as Adenomyosis.

Endometriosis can also take the form of small deep implants of endometrial tissue in many different places in the body, including the wall of the bladder, the anterior abdominal wall, the bowel wall and the uterosacral ligaments, as well as other pelvic sites. Rarely endometriosis can occur in sites such as the lung, potentially causing hemoptysis.

Dr. Steven R. Goldstein MD is a Top New York City Gynecologist. He has been in private practice for over 25 years and is a Professor of Obstetrics and Gynecology at New York University School of medicine, Director of Gynecologic Ultrasound at NYU Langone Medical Center and a Past President of the American Institute of Ultrasound in Medicine.

Women experiencing painful periods or heavy bleeding during periods may schedule a consultation with Dr. Steven R. Goldstein MD by visiting his website at www.goldsteinmd.com.