Dr. Steven R. Goldstein - Best Obgyn in NYC for a Second Opinion Before Surgery

Sadly, too many gynecologists recommend painful Dilation and Curettage (D&C), exploratory surgeries, or endometrial biopsies as the first option for diagnosing a patient’s condition. These and other invasive procedures are no longer the standard of care in gynecology. They are costly, require anaesthesia, and significant recovery time.

Today there are non-invasive procedures which are less costly, more accurate, painless and can be performed in a few minutes right in the office to fully diagnose the cause of abnormal uterine bleeding, fibroids, ovarian cysts, thick uterine bleeding, menorrhagia and more.

These non-invasive procedures are Sonohysterograms and Transvaginal Ultrasounds.

Dr. Steven R. Goldstein MD, the Best Obgyn in NYC, is a pioneer in the field of gynecological ultrasounds. He is highly regarded as one of the nation’s best gynecologists and a foremost authority on gynecological ultrasound and imaging. He currently serves as Director of Gynecologic Ultrasound at New York University Medical Center and President of the American Institute of Ultrasound in Medicine among many other roles.

Dr. Goldstein personally performs all Sonohysterograms and Transvaginal ultrasounds. While painful endometrial biopsies only sample the area involved, these transvaginal ultrasounds and Sonohysterograms produce clear images of the entire area - uterus, fallopian tubes, ovaries, cervix and so on. These clear images help Dr. Goldstein properly diagnose the patient and recommend a course of treatment.

Dr. Goldstein 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 making outstanding contributions to the growth and development of medical ultrasound.

If you have been recommended for painful exploratory surgery, endometrial biopsies or Dilation and Curettage (D&C), then contact Dr. Steven R. Goldstein MD, the Best Obgyn in NYC, for a second opinion before having surgery. Visit Dr. Goldstein’s website at www.goldsteinmd.com for more information and to make an appointment.

Research on “Chemical” Pregnancies by Best Gynecologists in NYC: Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD is the Best Gynecologist in NYC. He 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 is regarded as one of the best Gynecologists in the US. His clinical research has had a significant influence on the way gynecology is practiced.

The advent of the home pregnancy test has revolutionized early pregnancy and our understanding of its failure. Patients can now diagnose a pregnancy event by the time they have their missed menstrual period with very sensitive home, over-the-counter pregnancy tests. Research indicates that as many as 22% of conceptual events (in other words, when an egg meets a sperm) will develop minimally and then bleed at or around the time of the expected menses. These have been dubbed “chemical” pregnancies and may be as high as 22% of all conceptions.

Many patients feel they have suffered a miscarriage. Data, however, shows that the occurrence of such an event, although clearly sad, and parents can and should “mourn” the loss of their pregnancy—still need to realize that the prognosis for a healthy pregnancy is 35% in the next month and has high as 83% in the next six months! In other words, such a chemical pregnancy failure is a very good prognostic sign. It means that the woman is ovulating, her partner produces sperm, at least one tube is open, and she is capable of capacitating her partner’s sperm. The prognosis for a couple who have such a chemical pregnancy is infinitely better than her sister, friend or co-worker who would like to be pregnant but simply gets her period month after month after month.

Dr. Goldstein, one of the Best Gynecologists in NYC, has been in private practice for more than 25 years. For more information on Dr. Steven R. Goldstein MD, or to make an appointment, visit his website at www.goldsteinmd.com.

Top New York City Gynecologist for Perimenopause: Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD is a Top New York City Gynecologist. He 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 is regarded as one of the best Gynecologists in the US. His clinical research has had a significant influence on the way gynecology is practiced. Dr. Goldstein had this to say on perimenopause.

Twenty years ago I wrote a book entitled, "Could It Be Perimenopause." It was mainly observations that I had made on a large number of perimenopausal women who had been referred for a study on the irregular bleeding that can occur in the perimenopause.

I've told many of you that, in many respects, perimenopause is the mirror image of adolescence. Adolescence is the coming onto the reproductive years. It is characterized by irregular menstrual cycles and emotional mood swings, acne, etc., which we often chalk up to our daughters or sisters being "teenagers." In perimenopause, the sporadic ovulation and then lack of ovulation can also cause menstrual irregularities (be they cycles that are closer together or more spaced out) as well as a large number of the psychosocial symptoms such as mood swings, memory changes, sleep disturbances, free floating anxiety, inability to concentrate, etc. Many patients in this perimenopausal transition have been told that their problems are related to their becoming empty-nesters, not getting the promotion they deserved, and so forth, when, in reality, many of the symptoms are tied in to fluctuating levels of unopposed estrogen (as opposed to the absent estrogen of true menopause). I virtually stumbled onto this understanding in evaluating a large number of women with abnormal uterine bleeding, 79% of whom had nothing more than what other doctors call "hormone imbalance." Too many of these patients have been offered Prozac and other antidepressants, when on the contrary, fixing the hormone imbalance can be therapeutically beneficial.

This is truly the transition from the reproductive stage to the non-reproductive stage and the medical term that I have used for the last twenty years is "perimenopause." Many of you who are my patients have experienced this transition and I have and will continue to guide my patients through this transition with as little disruption to their lives as possible utilizing the knowledge that we now possess about the perimenopause.

Dr. Goldstein is a Top New York City Gynecologist for over 25 years. His practice offers personalized medical care to each patient. If you believe you are suffering the symptoms of perimenopause, contact Dr. Goldstein’s office for a consultation.