Second Opinion before Gynecologic Surgery in New York - Dr. Steven R. Goldstein MD

Doctor Steven R. Goldstein is a top gynecologist in New York in practice for over 25 years, and is available for a second opinion before gynecologic surgery in New York. 

Many women have been told they need a uterine or endometrial biopsy for diagnosis purposes. Do not do so. Blind endometrial biopsies became very popular in the early 1990’s and became the standard of care after a report said they were 97.5% accurate. Before that women had Dilation and Curettage (D&C) or a scraping that was done under anaesthesia. Both of these are painful, invasive, procedures that cause women a lot of discomfort and needless pain.

In 1995 a well-known study showed that for women with cancer who had a biopsy in the operating room, the biopsy missed 11 out of 65 of those cancers, (16.9%). However when they cut open those uteri they found that the cancer occupied less than half of the surface area of those uteri.

Dr Goldstein lectured on this since 1995, but in 2012 the ACOG finally put in their practice bulletins that when these biopsies are negative, it is not a stopping point. Unfortunately the majority of practicing gynecologists do not know this and continue to do a biopsy as their first choice. Studies have shown these gynecologists are very likely to miss the abnormality with a blind biopsy.

Instead a saline infusion sonogram, where some fluid is put into the uterus allows the operator to see better and produce clear, high resolution images of the entire uterus. If you’ve been told that you need a uterine biopsy for diagnosis, ask first for a saline infusion sonogram, a painless, non-invasive procedure which is performed right in the office in a few minutes.

Dr Steven R. Goldstein is one of the nation’s top Obstetricians and Gynecologists and is well known internationally for ground breaking work in gynaecological ultrasound and imaging. He is a Professor of Obstetrics and Gynecology at New York School of Medicine, serves as Director of Gynecologic Ultrasound at New York University Medical Center and is President of the American Institute of Ultrasound in Medicine. He is available for consultation for a second opinion before gynecologic surgery in New York.

You may contact Dr Goldstein at his New York office to schedule a consultation by visiting his website at www.goldsteinmd.com

Dr. Steven R. Goldstein Top Vaginal Sonogram Specialist New York

Dr. Steven R. Goldstein MD is a Vaginal Sonogram Specialist, New York. He 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. 

In his practice Dr Goldstein sees many women with a variety of gynecological medical complaints. As a Vaginal Sonogram Specialist in New York, Dr Goldstein uses vaginal sonograms (transvaginal ultrasounds) to examine the uterus, ovaries, and fallopian tubes to determine if there are tumors, fibroids, ovarian cysts, issues with the uterine lining and so on.

The use of transvaginal ultrasounds for pelvic imaging offers tremendous advantages for women. Often, diagnoses can be made on the spot, allowing more timely therapy, or in the case of normal findings, relieving patient anxieties. It saves time for both the physician and the patient. Patients uniformly prefer vaginal scanning over the discomfort of a full bladder transabominal approach.

Patients can also better understand their care; the pictures generated on the screen are very helpful in communicating the diagnosis and possible treatment options to the patient.

Dr Goldstein uses these non-invasive, non-surgical Vaginal Probe Ultrasounds to diagnose why a woman is bleeding abnormally or many other conditions. The clear images produced from these Vaginal Sonograms tell whether the bleeding is from tumors, polyps, cysts, or from simply hormonal imbalances.

As a Vaginal Sonogram Specialist in New York, Dr Goldstein personally performs all Vaginal Sonograms, diagnoses the condition and then discusses treatment options with the patient. Women with any type of abnormal bleeding can consult Dr Goldstein at his New York City office to determine the cause of bleeding and seek treatment for the condition.

Dr Steven R. Goldstein MD - Top Gynecologist in NYC

As a top rated Gynecologist in NYC for over 25 years, Dr Steven R. Goldstein MD sees many patients with medical complaints related to heavy bleeding (menorrhagia). There are many normal and abnormal situations which may result in heavy menstrual bleeding.

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 a top New York City Gynecologist 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 as a Gynecologist in NYC who performs all transvaginal ultrasounds and Sonohysterograms personally, he 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, a top ranked Gynecologist in NYC. At Dr Goldstein’s office, patient care is catered to the patient and Dr Goldstein is the only medical personnel you will see on your visit as he attends to you from beginning to end, personally performing all examinations and procedures.

Dr. Steven R. Goldstein MD Female Hormone Replacement Therapy

One of the methods for dealing with the symptoms of menopause is female hormone replacement therapy which generally means replacing the estrogen and progesterone the body is no longer producing because of menopause, with prescription drugs.

Dr Steven R. Goldstein MD recommends a new category of drugs called Selective Estrogen Receptor Modulators (SERMs) as part of his program for female hormone replacement therapy. What are SERMs?

SERMs are first of all Selective, meaning they only act on certain areas or body parts.

The E stands for Estrogen, meaning they are the naturally occurring female hormone that is produced by the follicles that develop in a woman’s ovaries.

The R stands for Receptor meaning a specific site in the cells of the body that can be turned on or off by a drug or natural substance be it a SERM or Estrogen.

The M stands for Modulator, something that acts to regulate and/or activate.

SERMs solve the estrogen dilemma by acting like estrogen where you need it (in bone, lipid and probably heart) but by acting like an antiestrogen where you don’t want it (the breast and the uterus). 
 

In practice for over 25 years, Dr Steven R. Goldstein MD a gynecologist in NYC works closely with menopausal women or women approaching menopause. Dr Goldstein explains the symptoms and the changes their body is going through, the fact that the symptoms they are experiencing is due to the reduction of the hormone Estrogen, and available treatment options. Each woman’s body is different. Dr Goldstein carefully assesses each patient’s medical history and other factors to determine the best course of treatment for the symptoms of menopause and effects of a lack of estrogen on the body. Dr Goldstein can advise whether female hormone replacement therapy is for you.

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

Dr. Steven R. Goldstein MD Top New York City Gynecologist and Sonohysterography Expert

Dr. Steven R Goldstein MD is a top New York City Gynecologist and recognized as one of the nation’s best gynecologists. He has been in practice for over 25 years and 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, Past President North American Menopause Society and contributed numerous chapters and papers to the medical field.

Dr Goldstein’s lengthy experience and research has shown that surgery is not always the best option. Many of the diagnoses are better treated by continued monitoring with ultrasounds and less invasive methods like Sonohysterography.

Many women suffer from abnormal bleeding, while others may have repeated miscarriages or suffer from infertility. To find the cause of abnormal bleeding, repeated miscarriages or possible causes of infertility in women, Dr Goldstein, a Sonohysterogram Gynecologist in New York City, believes that the process of evaluation begins with non-invasive methods such as Sonohysterography.

Sonohysterography (also called saline-infused sonohysterography, SIS or SGH) is a painless procedure used to diagnose the causes of abnormal uterine bleeding, infertility or repeat miscarriages. The procedure involves the instilling of fluid through the cervix followed by an endovaginal ultrasound to capture images of the uterus. These sonohysterograms provide clear, detailed images that allow Dr Goldstein to make a diagnosis and recommend treatment options.

Dr. Steven R. Goldstein MD is one of the most regarded individuals in the field of vaginal probe ultrasounds, an internationally recognized expert in the field of gynaecological ultrasound and imaging and a Sonohysterogram Gynecologist in New York City.

If you are a woman suffering from abnormal bleeding, repeat miscarriages or infertility, then schedule a consultation with Dr Steven R Goldstein, a top New York City gynecologist for a non-invasive Sonohysterogram. 

See Dr Steven R. Goldstein, A Gynecologic cancer screening doctor and Expert Gynecologist in New York

Doctor Steven R. Goldstein is one of the nation’s top Obstetricians and Gynecologists and an expert gynecologist in New York city. He is a Professor of Obstetrics and Gynecology at New York School of Medicine, serves as Director of Gynecologic Ultrasound at New York University Medical Center and is a Certified Menopause Practitioner. He is considered one of the nation’s top doctors in Gynecology.

Dr Goldstein has also served as Chairman of the American College of Obstetrics and Gynecology New York section, President of the American Institute of Ultrasound in Medicine, President of the North American Menopause Society, and many other prestigious positions.

Dr Goldstein is also one of the top gynecologic cancer screening doctors in New York. He uses his expertise as a renowned expert in gynecological ultrasound and imaging to help women who are at risk for ovarian cancer by performing painless ultrasound enhanced bimanual exams with visualization of the ovaries twice a year.

Dr Goldstein continues to advocate for annual pap smears for earl detection of cervical cancer if abnormal cells are found. He works with women who are seeking a second opinion after their primary gynecologist recommended a LEEP procedure. Dr Goldstein evaluates patients and closely reviews results and has pap smear results re-evaluated as needed. When needed, Dr Goldstein performs coloposcopy or laser surgery in his office.

As an internationally recognized expert in gynecological ultrasound and imaging, Dr Goldstein uses his skill with transvaginal ultrasound and Sonohysterography to determine whether abnormal bleeding is from cancer or pre-cancerous conditions.

You may contact Dr Goldstein at his New York office to schedule a consultation for any gynecologic conditions or if you need cancer screening for gynecologic conditions. 

Dr. Steven R. Goldstein MD Gynecologist for Female Hormone Replacement Therapy and Early Pregnancy Monitoring in New York

Doctor Steven R. Goldstein MD is an expert Gynecologist with offices in New York City. At his practice he sees patients requiring diagnosis and treatment for all gynecologic conditions including Female Hormone Replacement Therapy and Early Pregnancy monitoring.

As one of the Early Pregnancy Monitoring Doctors in New York and an Obstetrician and Gynecologist, Dr. Goldstein sees pregnant patients and monitors their pregnancy using painless, non-invasive Transvaginal Ultrasounds (Vaginal Sonograms). With these clear, high resolution images of the uterus, Dr. Goldstein is able to track easily detectable milestones in the pregnancy to see if they are being achieved. This allows him to detect any failed pregnancy early and allow for a scheduled D&C to spare the patient an emergency room visit. This also allows for chromosomal analysis of the pregnancy tissue to advise the couple as to why the pregnancy failed and possibly prevent recurrent miscarriages.

Dr Goldstein also sees female patients for female hormone replacement therapy in New York to treat menopausal women. Hormonal imbalances caused by menopause can cause free floating anxiety, sleep disturbances, night sweats, hot flashes, vaginal dryness, mood swings, mood swings and more.

Using Prescription drugs to replace the lack of estrogen synthetically during female Hormone Replacement Therapy (HRT) will help to alleviate a lot of these symptoms and contribute to the overall wellbeing of women in menopause.

Dr Goldstein is the co-author of the book “The Estrogen Alternative” and several other books on Gynecology. He has over 25 years of experience in practice and is considered one of the nation’s top gynaecologists.

If you are pregnant and need to visit one of the early pregnancy monitoring doctors in New York or are a menopausal woman struggling with the symptoms of menopause and seek female hormone replacement therapy in New York then contact the office of Dr Steven R Goldstein MD for an appointment. All appointments are tailored to the patients and Dr Goldstein is the only medical specialist a patient will see.