Many women experience what they perceive as abnormal uterine bleeding at least once in their lives. Women in their 20s and early 30s often have unusual bleeding due to a hormonal imbalance. Abnormal uterine bleeding becomes more common as women near menopause. However, concerns remain about uterine polyps, fibroids and cancers.
What is considered abnormal uterine bleeding?
Dr. Goldstein works closely with patients to determine likely causes of abnormal or heavy uterine bleeding, discussing medical histories and using non-invasive procedures, such as ultrasounds, sonohysterography or saline-infused solution sonohysterography. He often provides consults with women seeking second opinions and non-invasive treatment options.
Abnormal bleeding can be caused by many reasons, ranging from hormonal imbalances to uterine polyps, fibroids, cancer, miscarriage or the onset of menopause.
Uterine polyps, or endometrial polpys, are small, bulb-shaped masses of endometrial tissue. They are often benign and asymptomatic. Polyps can, however, sometimes cause abnormal bleeding and impact fertility. Transvaginal sonogram sometimes with infusion of saline (sonohysterogram) are the most common tools to identify presence of uterine polyps and removal of polyps.
As many as one in five women develop uterine fibroids during their child-bearing years. Fibroids refer to small, benign tumors that develop in a woman’s womb. Common symptoms of uterine fibroids include:
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 transvaginal ultrasounds and imaging and well equipped to handle the detection and treatment of these fibroids.
Treatment and management vary based on each patient’s health, medical history, symptoms and future plans, including wanting to become pregnant.
Dr. Goldstein is a widely-regarded expert in gynecologic ultrasounds and imaging. He has written the book, “Imaging the Infertile Couple” and invented the Goldstein sonohysterography catheter. Dr. Goldstein currently serves as the Director for Gynecologic Ultrasound, Department of Obstetrics and Gynecology at New York University Medical Center. He has led grants and research relating to abnormal bleeding and gynecologic ultrasounds. Serving on the editorial board more than six scientific journals, he regularly contributes to advancements in the field.appointment request
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