Dr. Steven R. Goldstein MD - Menopause and vaginal atrophy

 

Dr. Steven R. Goldstein MD is a Hormone Specialist in NYC and is held to be one of the nation’s top Gynecologists. He is also a highly regarded menopause Specialist in NYC.  Dr. Goldstein is President of the International Menopause Society, a former President of the North American Menopause Society, and a Certified Menopause Practitioner.

When a woman’s ovaries cease producing estrogen, she enters menopause. Without any estrogen in menopause, the vagina becomes atrophic (the tissue wastes away). It loses blood supply and elasticity. It also loses its normal pH (acid/base balance) because it cannot support the normal predominant bacteria called lactobacillus that feasts on glycogen and produces lactic acid, thus lowering the pH.

Recent studies have shown that as many as 50% of postmenopausal women are not aware that there are treatments that are safe to treat this atrophy. They believe this is just a function of, “getting older.” Thus, many women “suffer in silence” and, if still partnered, are experiencing painful intercourse.

Dr. Goldstein, a highly regarded menopause specialist in NYC, says that there are several helps for vaginal atrophy. First, there are very low-dose estrogen creams, also tablets, and rings. There is also now one oral non-estrogen, which may have other beneficial effects on breast and bone, as well. A local vaginal insert, which is DHEA (dehydroepiandrosterone) is also helpful. It is non-hormonal but is, however, metabolized to estrogen and testosterone.

If you are menopausal and suffering from vaginal atrophy and experiencing painful intercourse, it doesn’t have to be so. Dr. Steven R Goldstein MD is a hormone specialist in NYC who can evaluate menopausal patients

You can schedule an appointment with Dr. Goldstein by visiting his website at www.goldsteinmd.com

Dr. Steven R. Goldstein MD - Uterine Polyps

 

Dr. Steven R. Goldstein MD is an Abnormal Uterine Bleeding Specialist in NYC and has been in practice for over 25 years. He is regarded as one of the nation’s top gynecologists.

Dr. Goldstein usually encounters patients with uterine polyps. These are growths of the endometrial lining tissue. They are characterized by having their own central feeder vessel. They are sometimes inactive, although, they may be in synchrony with the menstrual cycle. They are rarely malignant. However, they can cause either heavy menstrual bleeding or bleeding between normal periods. They may also impact fertility.

Dr. Goldstein, a gynecologist in New York for heavy bleeding, can easily diagnose these uterine polyps in an office setting with minimally invasive techniques that Dr. Goldstein has championed (sonohysterography or the newer disposable office hysteroscopes).

If polyps truly are present and need to be removed, this is done in a simple outpatient procedure with anesthesia.

 

Dr. Steven R. Goldstein MD is recognized as a pioneer in the field of gynecologic ultrasound. His research in the field has significantly changed the way gynecology is practiced and, in many instances, has become the standard of care with the ACOG. This dedication and expertise led to Dr. Goldstein being 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. Goldstein has helped thousands of women who suffer from heavy bleeding. He is the top gynecologist in New York for heavy bleeding conditions in women.

 

Dr. Goldstein is also a Professor of Obstetrics and Gynecology at New York University School of Medicine, the Director for Gynecologic Ultrasound, Department of Obstetrics and Gynecology at New York University Langone Medical Center, and serves on the editorial board of more than 6 scientific journals.

 

If you have been told you have uterine polyps, then schedule a consultation with Dr. Steven R. Goldstein MD, a top Abnormal Uterine Bleeding Specialist in NYC. You may also visit his website at www.goldsteinmd.com for more information.

Dr. Steven R. Goldstein MD Osteoporosis Specialist in NYC on muscle wasting

 

Dr. Steven R. Goldstein MD is a Concierge Gynecologist and a top osteoporosis specialist in NYC. Dr. Goldstein is a Professor of Obstetrics and Gynecology at the New York University School of Medicine, President of the International Menopause Society, a Certified Menopause Practitioner with The North American Menopause Society, a Certified Clinical Densitometrist, International Society of Clinical Densitometry and Co-Directory of Bone Densitometry and Body Composition, NYU Langone Medical Center.

As a Concierge Gynecologist, Dr. Goldstein’s practice is centered around providing first-class care to his patients. He is the only medical personnel you will see on your visit and he personally performs all procedures and examinations. Patients are advised to set aside a minimum of one hour for appointments.

Dr. Goldstein has worked with thousands of women to help them through the menopause stage of life. Many patients have heard about osteoporosis, especially if they are menopausal, but very few are aware of “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 60s. 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.”

Dr. Goldstein, in addition to being a top gynecologist, is an osteoporosis specialist in NYC, and has a particular interest in bone health, preventing osteoporosis, diagnosing bone mass with bone density testing, and talking to his patients 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 tablespoons 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.

As a top osteoporosis specialist in NYC, Dr. Steven R. Goldstein MD evaluates his patients’ bone health, particularly those who are menopausal.  He is a Certified Clinical Densitometrist, with the International Society of Clinical Densitometry. If you are menopausal and concerned about your bone and muscle health, schedule an appointment with Dr. Goldstein by visiting his website at www.goldsteinmd.com

Dr. Steven R. Goldstein MD Gynecologist in NYC for Uterine Fibroids and Menopause Bleeding

 

Dr. Steven R. Goldstein MD is a top gynecologist in NYC diagnosing and treating uterine fibroids. As many as one in five women develop uterine fibroids during their childbearing years. Fibroids refer to small, benign tumors that develop in a woman’s womb.

 

Common symptoms of uterine fibroids include but are not limited to abnormal uterine bleeding, frequent cramping, pelvic cramping or pain with periods, the sensation of fullness or pressure in the lower abdomen, and pain during intercourse.

 

Pelvic exams and ultrasounds are often used to identify the presence of fibroids in the uterus however these fibroids are like real estate – location, location, location. Only with transvaginal ultrasounds can we determine the proper location of fibroids. The ones that impact the uterine cavity will have the most effect on bleeding and/or fertility.

 

Dr. Goldstein is an internationally recognized expert in vaginal ultrasounds for abnormal bleeding, ovarian masses, fibroids, and, essentially, all things gynecological, thus he is well equipped to handle the detection and treatment of uterine fibroids. Treatment and management vary based on each patient’s health, medical history, symptoms, and future plans.

 

Dr. Goldstein is also President of the International Menopause Society and a Certified Menopause Practitioner with the North American Menopause Society (NAMS). He is therefore also a gynecologist for menopause bleeding. Any patient with menopause bleeding needs to be examined post haste because their ovaries are no longer producing any estrogen, thus there is no stimulation of the endometrial lining and therefore there should be no bleeding.

 

Any menopause bleeding regardless of how short or slight must be evaluated quickly. In gynecology, menopausal bleeding is considered “uterine cancer until proven otherwise”. Using transvaginal ultrasounds, Dr. Goldstein is able to assess the endometrial lining and accurately diagnose the cause of any menopausal bleeding. See Dr. Goldstein, the best gynecologist for any menopause bleeding for a painless, non-invasive transvaginal ultrasound.

 

In practice for over 25 years, Dr. Goldstein, a top gynecologist in NYC, provides individualized care to patients. At his practice, Dr. Goldstein is the only medical personnel you will see from beginning to end of your visit. He personally performs all examinations and conducts all procedures himself including transvaginal ultrasounds used in the diagnosis of uterine fibroids and Sonohysterograms.

 

In addition to being a top gynecologist in NYC, Dr. Goldstein is also a Professor of Obstetrics and Gynecology at New York University School of Medicine, Director of Gynecologic Ultrasound at NYU Langone Medical Center, and the author of over seven books on Gynecology. He is regarded as one of the best Gynecologists in the US.

Website URL - https://www.goldsteinmd.com/

Dr. Steven R. Goldstein MD Gynecologist in New York for Abnormal Uterine Bleeding & Heavy Periods

If you are seeking a specialist in New York City for abnormal uterine bleeding or heavy periods of bleeding, then request a consultation with Doctor Steven R. Goldstein MD, a top gynecologist in New York. At his practice, the appointments are tailored to the individual patient and every patient is seen personally by Dr. Goldstein from the beginning of their visit to the end of it, including Dr. Goldstein performing all tests and procedures - including ultrasounds.

 Unfortunately, many women undergo painful surgeries and blind endometrial biopsies in the hopes of finding the cause of abnormal uterine bleeding or heavy bleeding or periods (menorrhagia). Doctor Goldstein uses non-invasive techniques like Sonohysterography to determine the cause of abnormal uterine bleeding. This takes a few minutes in his office and is painless.

Dr. Goldstein listens to his patients and uses ultrasound liberally when solving problems. Dr. Goldstein developed a catheter to put a tablespoon of sterile saline into the uterus, so women with abnormal uterine bleeding can avoid unnecessary biopsies, dilation and curettage procedures, and hysterectomies.

 

Furthermore, Sonohysterography provides Dr. Goldstein with clear, high-resolution images of the uterus to determine the cause of any abnormal uterine bleeding. This painless procedure is not confined to detecting symptoms of abnormal uterine bleeding, but it can also detect fibroids, polyps, and other conditions that may contribute to bleeding. 

To women seeking a specialist for abnormal uterine bleeding in NYC, be aware that the condition may also be due to hormonal reasons. With Sonohysterography, Dr. Goldstein can detect signs in the uterine lining that indicate if the bleeding is due to hormonal reasons.  

If you are seeking treatment in New York City for heavy bleeding from periods or otherwise, Dr. Goldstein is an expert Vaginal Sonogram Specialist who can provide women with a non-invasive option to determine the cause of the bleeding. 

For many years, painful and expensive uterine biopsies were the standard of care. Thanks to Dr. Goldstein’s research, the standard of care in Gynecology now begins with a Vaginal Sonogram, reducing painful surgeries and biopsies.

 

 

Doctor Steven R. Goldstein MD is a top Gynecologist in New York City for abnormal uterine bleeding and heavy bleeding (menorrhagia) with over 25 years of experience in practice. He is a professor of Obstetrics and Gynecology at New York University School of Medicine, and the Director for Gynecologic Ultrasound, Department of Obstetrics and Gynecology at New York University Medical Center. Contact his office for an appointment today. goldsteinmd.com

Importance of the annual gyn exam - Dr. Steven R. Goldstein MD

 

D. Steven R. Goldstein MD is a top New York City Gynecologist and is regarded as one of the nation’s top doctors in gynecology. He is also a Professor of Obstetrics and Gynecology at New York University School of Medicine and is the Director of Gynecologic Ultrasound, NYU Langone Medical Center.

Dr. Goldstein still believes that patients should care for one patient at a time with their individual risk factors, personal history, and family history is taken care into account when decisions are made for her health care regardless of the medical situation that we may be discussing.

Unfortunately, so many women believe that they are only coming to the gynecologist for their “Pap Test”. Nothing could be further from the truth. In Dr. Goldstein’s practice, although obviously, he is concerned that no one develops an advanced abnormality of their cervix, that is a very small part of what Dr. Goldstein does gynecologically. For instance, in women who are menopausal, bone health, breast health, vaginal health, and what’s going on in their pelvis with Dr. Goldstein’s expertise in transvaginal ultrasound in terms of their ovaries and their uterus are of the utmost importance.

Dr. Goldstein, a top gynecologist in NYC, is particularly concerned with the bone and muscle health of those who are in menopause or approaching it. Dr. Goldstein checks Vitamin D levels, screens his patients not only for bone density but osteopenia, which is a condition where bones are weakened due to a lack of estrogen. Weak bones and muscle loss which both occur because of a lack of estrogen can lead to falls and fractures in older or menopausal women. These are all concerns for Dr. Goldstein as he conducts an annual exam.

In women prior to menopause issues like abnormal uterine bleeding, abnormal findings on pelvic examination, painful periods, pelvic pain, fertility, vaginitis, urinary tract issues, birth control are just a few of the many areas that Dr. Goldstein constantly wants to deal with in addition to Pap smears and/or HPV testing.

If a patient has an abnormal pap test resulting in HPV, Dr. Goldstein, a top gynecologist in NYC, says that HPV is not the disease, but the goal is to present cervical cancer which may result. Most HPV clears after time. But cervical cancer screening is very important for patients with abnormal pap smears.  

Dr. Steven R. Goldstein MD, been a top New York City Gynecologist in private practice for over 25 years. You may visit his website at www.goldsteinmd.com for more information.

Female Hormone Replacement Therapy - Bone Loss

Dr. Steven R. Goldstein MD is an expert on female hormone replacement therapy and a menopause bone loss doctor in NYC.

Bone health is increasingly one of the most important issues for Dr. Goldstein’s patients. As longevity has increased dramatically over the last generation or two, so many women are living into their early 90s. Suffering a hip fracture will result in 25% of women never living independently again and 20 to 30% will be dead within one year. Patients should be as concerned about their bone health as any other aspect of their lives as they pursue “healthy aging.”

As women age and the ovarian function ceases, estrogen production ceases and they enter menopause. Rapid bone loss due to the lack of estrogen is frequent during menopause and leads to osteoporotic fractures. Understand that bone is a dynamic organ. It is constantly being laid down and taken away until the day you die. Estrogen is a potent inhibitor of taking a bone away. This is why when women at menopause stop making estrogen they lose bone rapidly.

So what can a woman do during menopause to guard against the loss of estrogen that leads to bone loss? As a menopause bone loss doctor in NYC, Dr. Goldstein prefers those approaches that combine the estrogen Premarin with a different category of the drug than progesterone. That category is SERM (selective estrogen receptor modulator) used in female hormone replacement therapy. This synthetic estrogen is delivered via pills, patches, or creams.

Women who are in menopause should be evaluated for bone loss and discuss with their physicians whether HRT is a consideration for them.

 Dr. Goldstein is the recipient of the Thomas A. Clarkson award for many outstanding contributions to menopause-related clinical or basic science research. He has helped thousands of women alleviate the symptoms of menopause with female hormone replacement therapy.

Dr. Goldstein is a Professor of Obstetrics and Gynecology, New York University School of Medicine, and a Director of Gynecologic Ultrasound, NYU Langone Medical Center. Considered one of the nation’s top doctors in Gynecology, he is also the co-author of the book “The Estrogen Alternative’ and is a Certified Menopause Practitioner by the North American Menopause Society.

 

 

 To learn more about Dr. Goldstein, a menopause bone loss doctor in NYC, or to make an appointment, visit his website at www.goldsteinmd.com.