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.

Osteoporosis Specialist in NYC on Bone Loss - Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD

Dr. Steven R. Goldstein MD is the Co-Directory of Bone Densitometry and Body Composition at NYU Langone Medical Center and the top osteoporosis specialist in NYC, as one of the best gynecologists in NYC, Dr. Goldstein frequently encounters patients who are going through menopause stage of life and are prone to bone loss or osteoporosis due to a lack of estrogen. Supplementation is one of the most basic ways to address potential bone loss.

 best gynecologists in NYC

 
Vitamin D is necessary for normal bone metabolism.  A recent study showed 48% of women on medication for osteoporosis had vitamin D levels insufficient for the medication to work properly (< 30pg/ml).

Dr. Goldstein recommends 1000-2000 International Units (IUs) of vitamin D3 daily, available as a stand-alone pill wherever you get supplements.  You can take too much so one dose is good, two is not better. 

Dr. Goldstein, a top osteoporosis specialist in NYC, always recommends to his older patients to have their vitamin D levels checked. If it is markedly low (<30) the treatment is a prescription strength of 50,000 IUs once per week for 12 weeks and then to recheck the blood level. 

Furthermore, vitamin D and exercise are also effective against sarcopenia, also known as muscle wasting. Sarcopenia is associated with a higher risk of falling and bone fractures.
As one gets older and estrogen levels are lower, muscle wasting (sarcopenia) occurs. Vitamin D has been proven to be an important factor in preventing muscle wasting, especially when combined with exercise.

Dr. Steven R. Goldstein MD is one of the nation’s top doctors in gynecology and one of the best gynecologists in NYC. 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.
 
A Certified Menopause Practitioner and President of the International Menopause Society, Dr. Goldstein has decades of experience in dealing with menopausal patients who experience bone loss and muscle wasting (sarcopenia).
 
Dr. Goldstein is the recipient of the Thomas A. Clarkson award for many outstanding contributions to menopause-related clinical or basic science research. If you believe you are in the transition state for menopause or are already in menopause and are concerned about your bone health, arrange for an appointment with Dr. Goldstein, one of the best gynecologists in NYC by visiting his website at www.goldsteinmd.com.

Osteoporosis Specialist in NYC discusses Muscle Wasting in Menopausal Women

 

Dr. Steven R. Goldstein MD, a well-known Osteoporosis Specialist in NYC, is interested in working with his patients to accomplish healthy aging.  Dr. Goldstein has a particular interest in bone health, preventing osteoporosis, diagnosing bone mass with bone density testing, and talking to many of his patients who are in menopause about fall prevention and balance exercise. Dr. Goldstein is the President of the International Menopause Society, the Co-Directory of Bone Densitometry and Body Composition, NYU Langone Medical Center, and a Certified Clinical Densitometrist, International Society of Clinical Densitometry.

In private practice for over 30 plus years, Dr. Goldstein, an Osteoporosis Specialist in NYC, has helped thousands of women cope with the symptoms of menopause and achieve healthy aging, addressing their bone health needs.

One of the conditions that can occur as a result of menopause is osteoporosis, which is the bone loss that occurs in women because of the loss of estrogen. When a woman enters menopause, her body stops producing the hormone estrogen, which is very necessary for bone health. So, bone loss occurs and bones become brittle. Dr. Goldstein, an osteoporosis specialist in NYC sees many patients with this condition.

However, there is also another condition called sarcopenia which is the wasting away of muscle in elderly patients. It can begin as early as age 40 and become extremely pronounced in women in their 60’s. As women age further, this becomes an impediment to their continued health as they become “frail”. Sarcopenia (the wasting away of muscle tissue in menopausal women) can be just as devastating as the bone loss in osteoporosis.

Dr. Goldstein, an osteoporosis specialist in NYC, recommends exercises that use resistance in addition to walking, biking, and cardiovascular exercises. The most important is resistance exercise which builds muscle mass.

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. Get your protein from various sources. Two tablespoons of peanut butter have approximately eight grams of protein. Nonfat milk, two medium eggs, chicken, flounder, or turkey are all excellent sources of protein.

 

https://www.goldsteinmd.com/

Dr. Steven R Goldstein MD is one of the most highly regarded gynecologists in the nation and is a Certified Menopause Practitioner and an osteoporosis specialist in NYC. If you are approaching menopause or are already menopausal, schedule an appointment with Dr. Goldstein to assess your bone health by visiting his website at www.goldsteinmd.com