Tuesday, December 8, 2020

Dr. Steven R. Goldstein MD - Best Obgyn in NYC

Dr Steven R. Goldstein MD is the Best Obgyn in NYC to see for menorrhagia (heavy bleeding). For over 25 years, Dr Goldstein MD has seen many patients with medical complaints related to heavy bleeding (menorrhagia). There are many normal and abnormal situations which may result in heavy menstrual bleeding. 

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For instance women with many children will see growth of the size of their uterus, which increases the surface area of the uterine lining. In this case bleeding may be heavy without there being any abnormality.

There is also a condition known as adenomyosis (endometriosis of the uterus or myometrium) which may result in heavy menstrual bleeding at certain times. Historically, heavy menstrual bleeding (menorrhagia) and painful menstruation (dysmenorrhea) are the major symptoms of adenomyosis. This condition is benign.

Fibroids are also known to cause heavy bleeding at the proper time due to growth of the uterine cavity such that there is more surface area and heavy menstrual bleeding at the proper time.

The presence of uterine polyps in synchrony with the normal menstrual cycle can result in heavy menstrual bleeding at the appropriate time.

As one of the Best Obgyns in NYC and an internationally renowned expert in Gynecologic Ultrasounds, Dr Goldstein uses painless, non-invasive procedures such as Transvaginal Ultrasounds and Sonohysterography to examine and diagnose patients with heavy bleeding. These procedures produce high resolution, clear of the uterus, uterine lining, the wall of the uterus, fallopian tubes and ovaries which are used to make an accurate diagnosis.

Dr Steven R. Goldstein 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. Thus Dr Goldstein who performs all transvaginal ultrasounds and Sonohysterograms personally, possesses the skill and experience to diagnose and treat women with heavy menstrual bleeding conditions.

Women experiencing heavy menstrual bleeding may schedule a consultation with Dr Steven R. Goldstein MD, the Best Obgyn in NYC.

Dr. Steven R. Goldstein MD - Gynecologist in NYC

Dr. Steven R Goldstein MD, an expert Gynecologist in NYC is a Certified Menopause Practitioner, Past President of the North American Menopause Society and Co-Directory of Bone Densitometry and Body Composition, NYU Langone Medical Center. Dr Goldstein has been in private practice for over 25 years and consults with patients going through Menopause. 

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During menopause, women may suffer bone loss. As a Certified Menopause Practictioner and a Certified Clinical Densitometrist (bone health professional), Dr Goldstein has this to say about menopausal women:

What patients should be concerned about is bone health. Nationwide, if one suffers a hip fracture, the statistics show that 25% of women will not live independently again and 30% of women will be dead within a year (some short term from pulmonary embolism or pneumonia, others, long term, simply failure to thrive). Admittedly, many of my patients who are in better physical shape with less comorbidities (that’s “medicalese” for other medical conditions) might not suffer such extreme numbers as those just quoted, but a fall with hip fracture later in life can be much more debilitating and, perhaps, even fatal.

As a leading Gynecologist in NYC, Dr Goldstein consults with women approaching or who are menopausal to address their bone health.

Dr Steven R. Goldstein MC is also the Director of Gynecologic Ultrasound at NYU Langone Medical Center, Professor of Obstetrics and Gynecology at New York University School of medicine, and a Past President of the American Institute of Ultrasound in Medicine.

Women concerned about their bone health may schedule an appointment with Dr Goldstein, a top Gynecologist in NYC by visiting his website at www.goldsteinmd.com

Tuesday, November 10, 2020

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.

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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