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

Doctor Steven R. Goldstein MD is one of the nation’s top gynecologists in practice for over 25 years. He is a Menopause Specialist in NYC, a Professor of Obstetrics and Gynecology at New York University School of Medicine, a Certified Menopause Practitioner, President of the International Menopause Society, and a past President of the North American Menopause Society (NAMS).

Over decades of private practice, Dr. Goldstein has worked with thousands of women in menopause or approaching menopause to better understand their bodies and the changes they are experiencing. Dr. Goldstein explains to his patients the symptoms and the changes their body is going through, and the fact that the symptoms they are experiencing are due to the reduction of the hormones Estrogen and Progesterone experienced during menopause.  When women’s bodies stop producing Estrogen and Progesterone naturally (due to age, menopause, or other factors) there are symptoms that arise such as hot flashes, sleep disturbances, foggy memory, mood swings, night sweats, vaginal dryness, free-floating anxiety and more. Of these, vaginal dryness and hot flashes are the two main symptoms of a lack of Estrogen. Vaginal dryness is also the reason for painful sex during menopause.

 

As a Menopause Specialist in NYC, Dr. Goldstein is an expert at treatment options for menopause such as hormone replacement therapy. This is not a “one size fits all” approach, but rather an approach where Dr. Goldstein tailors to the need of the patient. Depending on the severity of symptoms, pills, patches or creams can be prescribed that will give the patient estrogen synthetically.

The amount of estrogen given is not at a full replacement dosage, but just a fraction of the amount of estrogen that the ovaries usually produce. However, it is enough to alleviate two of the major symptoms of a lack of estrogen that prompt a visit to the gynecologist – hot flashes and vaginal dryness.

In the book “The Estrogen Alternative”, Doctor Goldstein was the first to outline the options and benefits to women interested in synthetic hormones, that is, Selective Estrogen Receptor Modulators (SERMs) for hormone replacement therapy. SERMs are developed by pharmaceutical companies and have gone through clinical trials showing safety and efficacy. They are FDA approved and are prepared to address specific symptoms.

 

If you are approaching menopause or in menopause, schedule a consultation with Dr. Steven R. Goldstein MD, an expert Menopause Specialist in NYC, by visiting https://www.goldsteinmd.com/

Abnormal Uterine Bleeding Specialist in NYC - Dr. Steven R. Goldstein MD

 

Doctor Steven R. Goldstein MD, an Abnormal Uterine Bleeding Specialist in NYC sees patients present with abnormal bleeding. Unfortunately, many of these women are told they need a Dilation and Curettage (D&C) to find the cause of their abnormal bleeding. A D&C involves dilation of the cervix and then scraping of the endometrial lining of the uterus.

This is a painful, costly procedure with associated   risks and requires anaesthesia. Even worse is the fact that three fourths of these operations turn up nothing and turn out to be totally unnecessary.

Furthermore, many women fear that they may have cancer because of abnormal bleeding. However, abnormal uterine bleeding can occur for many reasons - uterine polyps, fibroids, miscarriage, the onset of menopause, hormonal imbalances and not just cancer.

As an abnormal uterine bleeding specialist in New York, Dr. Goldstein uses painless, non-invasive transvaginal ultrasounds (Vaginal Sonograms) and Sonohysterograpy performed right in his office within a few minutes to determine the cause of any abnormal uterine bleeding.

 In some cases, abnormal bleeding may also occur from cancer or hyperplasia (pre-cancer).

Even in this case, vaginal probe ultrasounds and fluid enhanced Sonohysterography can eliminate the need for almost all diagnostic D&Cs and the pain, cost, and risks associated with them.

Using the clear, high-resolution images provided by non-invasive Sonohysterography or Vaginal Sonograms, Dr. Goldstein is able to isolate the cause of the abnormal uterine bleeding.

For instance, examination of the high-resolution images of the uterine lining may show that the bleeding is due to a hormonal imbalance. Without progesterone, unopposed estrogen can cause heavy, spotty bleeding.

Dr. Steven R. Goldstein MD is one of the nation’s top Obstetricians and Gynecologists and an Abnormal Uterine Bleeding Specialist in NYC. He is a Professor of Obstetrics and Gynecology at the New York School of Medicine and is a past President of the American Institute of Ultrasound in Medicine. He is considered one of the nation’s top doctors in Gynecology and is an internationally recognized expert in gynecological ultrasound and imaging.

It is of note that Dr. Goldstein does every single transvaginal ultrasound or Sonohysterogram himself. He does not “outsource” this to a technician. Dr. Goldstein looks not only at the high-resolution images, but is a skilled operator who knows what he wants to see on the screen and how to get there. He is also able to show the patient exactly what the issue is.

Dr. Goldstein is one of the most highly regarded individuals in the field of gynecologic ultrasound.

Dr. Goldstein is also one of the most sought-after Abnormal uterine bleeding specialists in New York for women suffering from abnormal bleeding. He also screens women for ovarian and cervical cancer.

If you are a woman suffering from abnormal uterine bleeding and need to determine whether it is from a cancerous condition, or if you need ovarian and cervical cancer screening, contact Dr. Steven R. Goldstein MD, an abnormal uterine bleeding specialist in New York for an appointment.

Osteoporosis Specialist in NYC on muscle mass and strength

 

 

Dr. Steven R. Goldstein MD is a top Osteoporosis Specialist in NYC and writes the Bone Health update for the OBG Management Journal. Dr. Goldstein has worked with thousands of women to help them through the menopause stage of life where many experience issues with bone health.

Dr. Goldstein believes patients’ bone health must be emphasized more than it has been in the past. Localized breast cancer carries a 5-year survival rate of 99%. By contrast, in this country, a hip fracture carries a mortality rate in the first year of 21%! Furthermore, approximately one-third of women who fracture their hip do NOT have osteoporosis. While the risk of hip fracture is greatest in women with osteoporosis, it is not absent in those without the condition.

The role of muscle mass, strength, and performance in bone health is a rapidly emerging topic. Dr. Goldstein, a leading osteoporosis specialist in NYC, will be writing more on this topic later this year.

A leading Gynecologist 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.

Dr. Goldstein has worked with thousands of women to help them through the menopause stage of life 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.

 

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 - 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/