Top New York City Gynecologist for Perimenopause Treatment: Dr. Steven R. Goldstein MD

Dr Steven R. Goldstein MD is a top New York City Gynecologist who has helped thousands of women safely navigate the menopause and perimenopause stage of life.

 

As a certified menopause practitioner and a past President of the North American Menopause Society (NAMS), Dr Goldstein works with women experiencing perimenopause and menopause 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.

Traditionally diagnostic procedures such as biopsy, suction aspiration, suction curettage, and diagnostic hysteroscopy were performed. However, these are invasive procedures which are painful, costly, and inconvenient to the patient. Dr Goldstein prefers to use non-invasive procedures such as the aforementioned sonohysterography.

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 a top New York City Gynecologist, 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 patients.

Dr Steven R Goldstein MD is top New York City gynecologist who can evaluate female patients who are in either perimenopause 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: Best Gynecologist NYC, Hemorrhagic Cysts

Dr. Steven R. Goldstein MD is the Best Gynecologist in NYC for women to see for pain in the pelvic area. He 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. 

In his practice Dr Steven R. Goldstein MD usually consults with patients who are experiencing pain in the pelvic area. One of the possible causes of this pelvic pain is a hemorrhagic cyst which can enlarge up to five centimetres or more, causing pain and may occasionally rupture resulting in the presence of blood in the space between the inner lining of the abdominal wall and the internal abdominal organs.

Using non-invasive transvaginal ultrasounds and Sonohysterograms, Dr Goldstein evaluates the patient and can diagnose, using color flow Doppler whether a hemorrhagic cyst, tumor and so on is responsible for the pain.

Dr Goldstein personally performs all Vaginal Sonograms, diagnoses the condition and then discusses treatment options with the patient. Dr Goldstein is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds and an internationally recognized expert in the field of gynaecological ultrasound and imaging.

If you are experiencing pelvic pain or any form of abnormal uterine bleeding, contact Dr Steven R. Goldstein MD, the Best Gynecologist in NYC to consult for pelvic pain.  Visit his website at www.goldsteinmd.com for more information.

Bioidentical Hormones – Are They Safer: Dr. Steven R. Goldstein MD

Dr Steven R Goldstein MD is an expert on female hormone replacement therapy. He has worked with thousands of women in menopause to explain the symptoms and changes their body is going through and the effect of a lack of estrogen on their bodies. Dr Goldstein does not recommend the use of bioidentical hormones for several reasons.

 

The problem with most bioidentical hormones is that it is compounded or made up by a pharmacist with the guise that it will be special for you, sometimes doing salivary testing for your levels. Unlike thyroid disease, this is really not based on levels it is based on symptoms.

When something is produced pharmaceutically the FDA has control over its manufacture. If people truly want bioidentical hormones, in other words the hormones that were made before they were menopausal, these can be prescribed pharmaceutically and quality controlled. But there are different kinds of estrogens. Some of these estrogens are safer than others. The Bioidentical movement doesn’t come with any package insert and it is not any safer than traditional hormones.

Bioidentical hormone therapy, sometimes called BHT, is really a misnomer. It’s really sad there are so many patients who believe that this is a safer way to get hormone therapy. Many of the doctors who promote this are also involved in the anti-aging movement.

All of us who are leaders in the menopause field and familiar with female hormone replacement therapy have had a handful of patients who have developed uterine cancers on these bioidentical hormones because there wasn’t enough progesterone to protect the uterus. 

If you are already experiencing the symptoms of menopause such as hot flashes, foggy memory, vaginal dryness and so on and are interested in learning how female hormone replacement therapy can help you then arrange for a consultation with Dr Goldstein by contacting his office in New York City or visiting www.goldsteinmd.com

Gynecologist in Manhattan on Muscle Wasting in Menopausal Women: Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD is a top Gynecologist in Manhattan and a Certified Menopause Practitioner. Dr Goldstein has also written several books on Hormone Replacement Therapy and Perimenopause. For over 25 years he has worked extensively with women in menopause.

 

You know about osteoporosis but are you aware of muscle wasting:

In the Science Times of September 4th, the weekly column called, “Personal Health,” by Jane Brody talked about an entity called “sarcopenia”. This is the wasting of muscle that is seen in elderly patients. It can begin as early as age 40. It can become extremely pronounced in women in their 60’s. And as women approach their 80’s and beyond, it is increasingly recognized as a major impediment to continued health and well-being. It is a major component of “frailty.” Why is this so important?  A 50-year-old women, who does not already have cancer or heart disease, has a life expectancy of 91! Thus, concerns about “healthy aging” are an extremely important part of what I am helping my patients accomplish. Many of you know that I have had a particular interest in bone health, preventing osteoporosis, diagnosing bone mass with bone density testing and talking to many of you about fall prevention and balance exercise. Sarcopenia and its loss of muscle can be just as devastating to the elderly as loss of bone. Resistive exercises are important. Walking, biking and cardiovascular machines are good for you but do not build muscle mass. Only resistive exercises and strength training can do so.

Adequate protein in one’s diet is crucial. An adult female who weighs 150 pounds should be eating approximately 81 grams of protein per day. Foods that are relatively high in protein include (believe it or not) peanut butter, for which two table spoons have 8 grams of protein; one cup of non-fat milk, 8.8 grams; two medium eggs, 11.4 grams; one chicken drum stick, 12.2 grams; one half cup of cottage cheese, 15 grams; and 3 ounces of flounder or turkey, 25 grams.

If you are a menopausal woman or approaching menopause, you can schedule an appointment with Dr Goldstein, a top Gynecologist in Manhattan by visiting his website at www.goldsteinmd.com.