Dr Steven R. Goldstein MD Gynecologist in New York

 

Gynecologist in New York

Dr. Steven R. Goldstein MD is an expert Gynecologist in New York and is long considered one of America’s top gynecologists.

 

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.

 

Originally, laparoscopy, an invasive medical procedure was the gold standard for making a differentiation for pain that might be from endometriosis versus normal severe painful periods. As a top Gynecologistin New York, Dr. Goldstein does not recommend laparoscopies but uses painless, non-invasive Transvaginal Ultrasounds to diagnose your condition.

 

As a skilled operator of Transvaginal Ultrasounds, Dr. Goldstein personally conducts each of these ultrasounds to properly diagnose his patients. In addition to what Dr. Goldstein sees on the screen, these transvaginal ultrasounds lead to the production of clear, high-resolution images of the uterus, endometrial lining, fallopian tubes, ovaries, and so on to allow Dr. Goldstein to make a precise diagnosis and preserve the images for any other specialist who may need to see them.

 

Dr. Goldstein is one of the most recognized and renowned Transvaginal Ultrasound experts in the world and has authored several books on gynecologic ultrasound. He is also the Director of Gynecologic Ultrasound, NYU Langone Medical Center, and is the Recipient of the 2018 Joseph H. Holmes Clinical Pioneer Award from the American Institute of Ultrasound in Medicine (AIUM). This is in recognition of Dr Goldstein’s distinguished career in ultrasound in medicine and their making outstanding contributions to the growth and development of medical ultrasound.

 

Dr. Steven R Goldstein MD has been in private practice for over 25 years and is a Professor of Obstetrics and Gynecology at New York University School of medicine, and a Past President of the American Institute of Ultrasound in Medicine.

 

Dr. Goldstein operates as a concierge gynecologist where individualized patient care is a top priority. Patients never feel rushed and Dr. Goldstein personally returns every follow-up call, answers all questions while the patient is in the practice, and the visit never ends until the patient is satisfied that every concern and question has been addressed.

 

Women experiencing painful periods or heavy bleeding during periods may schedule a consultation with Dr. Steven R. Goldstein MD, a top-ranked concierge gynecologist. Visit www.goldsteinmd.com for more information and to schedule an appointment.

Dr. Steven R. Goldstein MD- Osteoporosis Specialist NYC

Osteoporosis Specialist NYC

 

Dr. Steven R. Goldstein MD is a highly regarded Osteoporosis Specialist in NYC. He is also one of the nation’s most highly regarded gynecologists and has worked with countless patients in menopause and approaching menopause regarding their bone health.

Dr. Steven R. Goldstein MD

 

Dr. Goldstein is a Certified Menopause Practitioner, North American Medical Society (NAMS), a Past President, North American Menopause Society, President of the International Menopause Society, a Professor of Obstetrics and Gynecology at New York University School of Medicine, and a Past Chairman of the American College of Obstetrics and Gynecology New York Section

 

Also a menopause doctor in NYC, Bone health is increasingly one of the most important issues for Dr. Goldstein’s patients. As women age and enter menopause, their bodies no longer produce estrogen, which is necessary to prevent bone loss in women.

 

Consider what can happen to a menopausal woman suffering a hip fracture.

 

Ø 25% of these women will never live independently again.

Ø 20 to 30% will be dead within one year.  

 

Dr. Goldstein a top menopause doctor in NYC, has told his patients that they should be as concerned about their bone health and preventing bone loss as any other aspect of their lives as they pursue “healthy aging.” Many patients will spend more than 40% of their lives in a post-reproductive (menopausal) state. There are very real consequences medically of the lack of estrogen production that menopause brings. Loss of bone mass can occur quite rapidly. Osteoporotic fractures are a significant medical issue as the population ages more and more.

 

Dr. Goldstein, an Osteoporosis Specialist in NYC, has the requisite experience, accreditation, and skill to provide help in these circumstances. You can schedule an appointment with Dr. Goldstein by visiting his website at https://www.goldsteinmd.com/

Dr. Steven R. Goldstein MD Gynecologist in NYC to see for a thick uterine lining

Dr. Steven R. Goldstein MD is a Gynecologist in NYC and is long considered one of the nation’s top doctors in gynecology. Dr. Goldstein is a Professor of Obstetrics and Gynecology at New York University School of Medicine, a Past Chairman of the American College of Obstetrics and Gynecology, New York Section, and Honorary Fellow, Royal College of Obstetrics and Gynecology and a Certified Menopause Practitioner. Dr. Goldstein is the recipient of the Thomas A. Clarkson award for many outstanding contributions to menopause-related clinical or basic science research.

Dr. Steven R. Goldstein MD

 

Many patients have been told that they have a thick uterine lining and are possibly in need of invasive procedures. Dr. Goldstein, an expert gynecologist in New York City, was the first to describe the fact that in postmenopausal patients with bleeding, a thin uterine lining on transvaginal ultrasound meant there was no significant tissue and no biopsy or D&C or further intervention was necessary.

 

Unfortunately, many doctors, both radiologists, and gynecologists have misinterpreted all of the early data to believe that a thick lining without bleeding requires some sort of intervention. The data has shown that as many as 1 in 8 postmenopausal women will have thick uterine lining without any bleeding.

 

Such women do not require any type of biopsy or other intervention unless they have any bleeding or brown discharge. If you have had a vaginal sonogram and been told that your lining is thick but have had no bleeding do not allow any invasive intervention. Dr. Goldstein, an expert gynecologist in New York City, has championed this concept, although unfortunately, it is not widely understood by many practitioners.

 

If you have been told you have a thick uterine lining then contact Dr. Steven R. Goldstein,  a top gynecologist in NYC for a consultation. You may visit his website at www.goldsteinmd.com for more information on him and to schedule an appointment.

 

Dr. Steven R. Goldstein MD- Concierge Gynecologist in NYC - To HMO or not to HMO

Doctor Steven R. Goldstein MD is a Concierge gynecologist in private practice for over 25 years. Dr Goldstein had this to say regarding HMOs in volume 1, issue 1 of The Doctor’s View by New York University Medical Center. 

To HMO or not to HMO…why I don’t join HMO plans 

I am often asked “When am I going to join a plan which is offered at work?” by many of my patients. My response is “you wouldn’t like me on those plans”. My patients need to realize I am a solo practitioner.  I see patients one at a time. I take my histories by pen and by ink. I talk to every patient after every visit, no matter how trivial, dressed again in the consultation room. I do not have nurse clinicians and “Physician extenders” doing much of the work that I feel you come to see the doctor for. We do not have a ten page history intake form that is simply scanned into a computer. We do not have an answering system with “Press 1 for appointments, Press 2 for insurance”. We do not have a videotape library in the waiting room. If you have a problem I sit with you and explain for as long as I need to be sure that you understand the nuances of your particular diagnosis and treatment plan. 

This expert gynecologist in New York City goes on to say: 

Managed care medicine (HMOs) in Ob/gyn is a commitment to VOLUME. Out of financial necessity, more people need to come through the door. This is why they use “Physician extenders” in the form of videotape libraries, nurse clinicians,  pamphlets, and nutritionists and all types of paramedical assistance to make the patient feel that the visit has been worthwhile and productive although the time spent with the physician him or herself is incredibly short. 

I choose not to practice medicine that way. I urge you to attempt to maintain a Point of Service option in any plan that you may be offered. With a point of service option we can attempt to work with you and your insurance so that you can continue to see me “out of network”. 

Dr Steven R. Goldstein MD is a Concierge Gynecologist in NYC.  Dr Goldstein is is a Professor of Obstetrics and Gynecology at New York University School Of Medicine and the Director of Gynecologic Ultrasound at NYU Langone Medical Center. He is a Certified Menopause Practitioner and holds many other positions and accreditations. 

To learn about Dr Goldstein, an expert gynecologist in New York City and how he can help you, visit his website at www.goldsteinmd.com for more information on his practice.

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

Doctor Steven R. Goldstein MD is a Menopause Doctor in NYC, and a top NYC Gyn. Dr Goldstein is regarded as one of the nation’s top doctors in Gynecology and is one of the most highly recognized individuals in the field of Gynecologic Ultrasound. He is a Professor of Obstetrics and Gynecology at New York University School of Medicine, Director of Gynecologic Ultrasound at New York University Medical Center, a Certified Menopause Practitioner and President of the International Menopause Society. 

As a menopause doctor in NYC, one of the conditions that Dr Goldstein frequently encounters in his patients is Menopause Bleeding. 

In menopausal women the ovaries are no longer functioning and there is no production of estrogen or progesterone. Thus there is no stimulation of the endometrial lining so there should be no bleeding whatsoever. The medical profession takes the stance that uterine cancer must be ruled out first in any case of menopause bleeding and that any menopausal bleeding is “uterine cancer until proven otherwise.” 

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 and may require some water instillation as described above. 

Doctor Steven R. Goldstein, a top NYC Gyn, is well qualified to evaluate any case of menopause bleeding with non-invasive vaginal sonograms and discuss the results and treatment plan with patients. 

Dr. Steven R. Goldstein, a top NYC Gyn has over 25 years’ experience as an Obstetrician and Gynecologist in private practice in New York City, where appointments are tailored to each individual and each patient is personally attended to by Dr Goldstein.

Dr Steven R. Goldstein MD- Gynecologist in NYC for Endometriosis

As a Gynecologist in NYC, Dr Goldstein uses painless, non-invasive Transvaginal Ultrasounds to diagnose whether women experiencing pelvic pain, painful periods and heavy bleeding during periods have endometriosis. 

Implants of endometriosis can occur anywhere; however the more common areas of involvement include the bladder wall, ureter, and anterior abdominal wall in patients who have had abdominal surgery such as a prior C section or laparoscopy. 

When using transvaginal ultrasounds, Endometriosis of the bladder wall appears as a fusiform solid thickening of the wall itself. A non-functioning kidney may be the result of chronic ureteral obstruction that is silent and present as a result of endometrial implants impinge on the ureter. In patients who have had prior abdominal surgery, endometriosis may present as a hard, solid mass in the anterior abdominal wall in the region of the scar. Little color flow may be present and the mass is often tender. 

This top Gynecologist in New York is not just the Director of Gynecologic Ultrasound at NYU Langone Medical Center, but he is a skilled operator of Transvaginal Ultrasounds and personally conducts each of these ultrasounds to properly diagnose his patients. Dr Goldstein recently received the Joseph H. Holmes Clinical Pioneer Award which honors individuals who have significantly contributed to the growth and development of medical ultrasound. 

In addition to what Dr Goldstein sees on the screen, these transvaginal ultrasounds lead to the production of clear, high resolution images of the uterus, endometrial lining, fallopian tubes, ovaries and so on to allow Dr Goldstein to make a precise diagnosis and preserve the images for any other specialist who may need to see them. 

After the transvaginal ultrasound procedures, Dr Goldstein will discuss the results and diagnosis with the patient and agree on the best possible course of moving forward. 

Dr Steven R. Goldstein MD is a top Gynecologist in New York. 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, a top ranked Gynecologist in NYC.

Dr. Steven R. Goldstein MD- Gynecologist in NYC for Yeast “Infections”

Doctor Steven R. Goldstein MD is a top Gynecologist in NYC, in practice for over 25 years. He is regarded as one of the nation’s top gynecologists and a pioneer in the field of Gynecologic Ultrasound. 

Many patients refer to a yeast “infection”. The use of the word “infection” implies that this is something that is caught or may even be contagious. This is totally not true. The vagina is a location where normally there are a significant number of bacteria as well as yeast forms that live in harmony with each other (medical term is symbiosis). If something upsets the normal balance, a patient may end up with overt symptoms (burning, itching, etc.) of such an imbalance. Thus Dr Goldstein, a highly rated NYC Gyn, prefers the term yeast “imbalance” 

How does this imbalance occur? The most common reason is the use of an antibiotic for some other reason such as sinus infection, urinary tract infection or indiscriminate use for common colds, where patients often feel that an antibiotic will make them well “sooner.” This kills some of the normal bacteria in the vagina and allows yeast forms to flourish. There is just a limited amount of glycogen and nutrients in the vagina and when some of the competition is eliminated, yeast forms will do quite well. That patient then ends up with overt signs of itch or burning with or without a significant amount of cottage cheese-like discharge. 

When medications such as intravaginal and oral medications, which will restore normal vaginal balance of bacteria and yeast are given to restore the normal balance and the patient feels symptoms have gone away, yeast forms are still there but in the normal harmonious balance with the normal bacteria. 

Dr Steven R. Goldstein, is a top Gynecologist in NYC, a Professor of Obstetrics and Gynecology at New York University School of Medicine and a Past Chairman of the American College of Obstetrics and Gynecology, New York Section. He is also an  Honorary Fellow, Royal College of Obstetrics and Gynecology. 

Visit the website of this top NYC Gyn at www.goldsteinmd.com to learn more about him or to schedule an appointment.