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. 

Dr. Steven R. Goldstein MD- Gynecologist in New York City for Perimenopause Treatment

 Dr Steven R. Goldstein is an expert gynecologist in New York for Perimenopause. Dr Goldstein has helped thousands of women safely navigate the perimenopause stage of life. As a certified menopause practitioner and a past President of the North American Menopause Society (NAMS), Dr Goldstein can help women experiencing various symptoms of perimenopause. 

Unscheduled bleeding in perimenopausal women, as well as any bleeding in post-menopausal women not on hormone replacement therapy, accounts for many medical interventions. Traditional diagnostic procedures performed in the office include biopsy, suction aspiration, suction curettage, and diagnostic hysteroscopy. However, dysfunctional uterine bleeding in perimenopausal patients can be caused by a lack of ovulation, which is better treated hormonally, not surgically. 

So how can a gynecologist determine whether the bleeding is caused by a lack of ovulation without doing any surgical procedures to diagnose the condition? The answer is a non-invasive, painless procedure called Sonohysterography which is performed in a few minutes right in the office. Dr Goldstein, a top gynecologist in NYC, personally performs all Sonohysterograms right in his office. 

Sonohysterography, by assessing endometrial thickness, can reliably distinguish between patients whose bleeding is as a result of a lack of ovulation and those who are in need of formal curettage and hysteroscopy. 

Dr Goldstein, an expert gynecologist in NYC for perimenopause, has found that in the vast amount of patients abnormal uterine bleeding is associated with episodes of no ovulation. This condition can be managed hormonally in premenopausal patients or endometrial atrophy in post-menopausal patients. 

Dr Steven R Goldstein MD is an expert gynecologist in New York  who can evaluate female patients who are in either perimenopause or are post-menopausal and experiencing unscheduled bleeding. You can schedule an appointment with Dr Goldstein by visiting his website at www.goldsteinmd.com

Dr. Steven R. Goldstein MD- Top Gynecologist in NYC warns on Incidental Findings

Dr Steven R. Goldstein MD is the best Gynecologist in NYC, regarded as one of the nation’s top doctors in Gynecology. Dr Goldstein is also 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. He is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasound. 

As a top gynecologist in NYC, Dr Goldstein wrote the second book on transvaginal ultrasound and has spent over twenty years teaching OB/Gyns in the US how to do vaginal probe ultrasounds. One of the issues that arises, is one of “incidental findings”. Patients may go for an ultrasound for a particular condition and wind up with a report of another finding, usually unrelated to the condition in question. This is called an incidental finding. 

The problem is that as more and more vaginal ultrasounds are ordered, more and more things that are variants of normal are discovered and leads to unnecessary anxiety, further testing, and even unfortunately, unnecessary surgery for things that are obviously benign. 

Dr Goldstein frequently examines patients with vaginal ultrasounds as part of their office visit. If Dr Goldstein encounters anything on that sonogram which he considers an incidental finding, he shows it to the patient on the screen and warns them that if they ever have an imaging study for another reason, this finding is not a reason for concern. 

The sensitivity of today’s ultrasounds are so great that Dr Goldstein coined a new term to describe them. Sono microscopy. It is as if a microscope were being used to examine the patient. We are seeing things that could not possibly be seen with the naked eye if one were to hold the structure in their hand and squint at it. 

So the beauty of the transvaginal ultrasound is how much can be seen. But the problem is, do we see too much? One must understand the difference between findings that are common and findings that may be ominous. 

As a top gynecologist in NYC in practice for over 2 decades, Dr Goldstein has the experience to properly diagnose the findings. Dr Goldstein conducts every transvaginal ultrasound / color doppler study personally. He does not rely on the skills or report of a technician. 

As one of the most highly recognized individuals in the field of vaginal probe ultrasounds and the best gynecologist in NYC, Dr Goldstein can easily distinguish a normal finding from one that may be considered ominous and a candidate for further study. 

So be careful if you have an ultrasound done of your pelvis and there are “incidental findings”. Make sure you are not overly tested or even worse, operated on. This would never be the case at Dr Goldstein’s practice, a top Gynecologist in NYC. 

If you have been told you have a polyp, fibroid or some other condition and need a second opinion, contact the office of Dr Steven R. Goldstein, the best gynecologist in NYC, for an appointment or visit www.goldsteinmd.com for more information. 

Dr. Steven R. Goldstein MD- Gynecologist in NYC for Uterine Fibroids

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, the best gynecologist in NYC,  is an internationally recognized expert in transvaginal ultrasounds and Sonohysterography imaging, 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. 

In practice for over 25 years, Dr. Goldstein 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 the best gynecologist in NYC for women with uterine fibroids to see.  

See Dr. Steven R. Goldstein MD, for a Best Gynecologist in NYC for a second opinion before gynecologic surgery

Dr. Steven R. Goldstein MD is the best gynecologist in NYC to provide a second opinion before gynecologic surgery. He is internationally known for his work in gynecological ultrasound and imaging and currently serves as the current Director of Gynecologic Ultrasound at New York University Medical Center and President of the American Institute of Ultrasound in Medicine. He is a strong proponent of non-invasive methods like Sonohysterography and Transvaginal Ultrasounds instead of invasive surgery.

 

Dr Goldstein, a top Gynecologist in NYC, uses non-invasive methods to examine the uterus, ovaries, and fallopian tubes. These non-invasive transvaginal ultrasounds, personally performed by Dr Goldstein, are not only useful to assess if there are tumors, fibroids, ovarian cysts and so on, but can also tell whether a woman’s hormonal function is normal based on the images of the uterine lining. Clear, high resolution images from a transvaginal ultrasound or sonohysterogram help Dr. Goldstein properly diagnose the patient and allow Doctor Goldstein to provide a second opinion before gynecologic surgery. 

Women with abnormal uterine bleeding, heavy bleeding (menorrhagia) and other conditions are usually subject to painful endometrial biopsies or exploratory surgeries. However, with transvaginal ultrasounds or Sonohysterography Dr Goldstein, a top Gynecologist in NYC,   can see clear images of the uterus, ovaries and fallopian tubes and in many cases negate the need for painful biopsies or surgeries. 

Women with any abnormal uterine bleeding, menorrhagia or other conditions who have been recommended for gynecologic surgery can consult Dr Goldstein, the best gynecologist in NYC for a second opinion at his New York City office for a second opinion before having gynecologic surgery.

Dr Steven R. Goldstein MD-Best Gynecologist in NYC for Ovarian Cysts

 Dr Steven R. Goldstein MD is one of the best Gynecologists in NYC and one of the most sought after and highly regarded gynecologists in the nation. His personalized approach with each patient from the beginning to the end of their visit combined with his vast experience and being on the cutting edge of medical research makes him a very uniquely qualified gynecologists a patient can see. 

As a Gynecologist in NYC, Dr Goldstein sees patients who have been told they have ovarian cysts, which is a very non-specific term. Such references usually refer to a fluid filled structure within the ovary of the patient. 

These ovarian cysts are not tumors, be it benign or cancerous and does not require any type of intervention. Furthermore, these growths will never grow into cancer. These “ovarian cysts” are formed each month as a dominant follicle prior to ovulation. There are times ovulation does not take place and this follicle turns into what is known as a “follicular cyst”. 

If you have been told that you have an ovarian cyst, Dr Goldstein an evaluate you with a transvaginal ultrasound and color Doppler ultrasound to determine whether the cyst is suspicious, needs surgical removal or should be left alone. The ultrasounds are non-invasive, painless and done right in the office in a few minutes. 

Throughout his career Dr Goldstein,  one of the best Gynecologists in NYC, has advocated for non-invasive procedures like transvaginal ultrasounds and Sonohysterography for diagnosis of a condition instead of painful procedures like Dilation and Curettage (D&C) and blind endometrial biopsies. 

Dr Goldstein is not just a gynecologist in nyc, he is highly regarded in the field of diagnostic ultrasound, having authored several textbooks on the topic. He is currently the Director of Gynecologic Ultrasound at NYU Langone Medical Center and a past President of the American Institute of Ultrasound in Medicine. 

Dr Goldstein has been in practice for over 25 years. His practice offers personalized medical care to each patient. If you have been told you have Ovarian Cysts, contact Dr Goldstein’s office for a consultation.  

Dr. Steven R. Goldstein MD- NYC Gyn Advises on Bioidentical Hormone Therapy

Patients seeking a NYC Gyn for advice on whether bioidentical hormone therapy is suitable for them should see Dr Steven R Goldstein, one of the nation’s most highly regarded Gynecologists and an expert on hormone replacement therapy. Dr Goldstein has been in private practice for over 25 years and has helped thousands of patients with hormone replacement therapy, especially for relief of the symptoms of menopause. 

First of all, the term bioidentical hormone therapy is actually very misleading because these are compounded bioidentical hormones that are made by a pharmacist. There is no package insert regarding what these compounds contain. This is why Dr Goldstein, a top NYC Gyn, does not recommend them. Traditional HRT is FDA approved, having gone through clinical trials showing safety and efficacy. 

Furthermore, these bioidentical compounds made by pharmacists are prepared based on the levels of hormones. However, these levels of hormones vary even during the course of the day. Bioidentical hormone therapy does nothing to address the symptoms. Traditional hormone replacement therapy and SERMs (Selective Estrogen Receptor Modulators) address specific symptoms the patient is experiencing so she finds relief from them. 

Patients who use these bioidenticals need to know that there have been reports of uterine cancers occurring because of inadequate progesterone to protect the uterus. SERMs and traditional HRT are FDA approved with proven uterine safety. 

Dr Goldstein, a top NYC Gyn co author of the book “The Estrogen Alternative”, advises that if patients want hormones that are produced by the ovaries before menopause, these can be prescribed pharmaceutically and quality controlled. However, each patient is different, so Dr Goldstein personally sits with each patient to examine them and understand their history and medical situations before prescribing anyting. 

If you are interested in hormone replacement therapy, schedule an appointment with Dr Goldstein by visiting his website at  www.goldsteinmd.com