Dr. Goldstein provides several different types of gynecological cancer screenings to his patients, including ovarian and cervical cancer.
Ovarian cancer is the fifth most common cancer among women, according to the U.S. Library of National Medicine. Its symptoms can be vague and misleading, leading to late diagnosis. Early detection is key to overcoming ovarian cancer. Dr. Goldstein continues to advocate for ovarian cancer screening. He believes recent U.S. recommendations against routine screenings were based on inadequate studies that relied on inappropriate parameters. Ovarian cancer studies from Europe and the University of Kentucky found that annual screenings identified 82 percent of cancer in stage 1, when it is more treatable. Dr. Goldstein recommends such screenings every 6 months, taking into account the patient’s medical history and risk factors.
Cases of cervical cancer have dropped drastically with the advent of the annual pap smear.
Early abnormalities, previously called dysplasia and often referred to as “precancer”, have therefore scared patients into a great deal of overtreatment. It is true that everyone with true cancer passes through all the stages of dysplasia, but most people with early stages of dysplasia may revert to normal and rarely progress to more advanced stages. Thus, avoiding overtreatment is crucial. Unfortunately, too many doctors have recommended LEEP procedures, which Dr. Goldstein believes is overtreatment, mainly because such procedures have been shown to increase the risk of preterm labor and risk of miscarriage.
Dr. Goldstein often works with women seeking a second opinion after a primary OB/GYN recommends a LEEP. He evaluates patients, closely reviews results and has pap smear results re-evaluated as needed. If results indicate further data is needed, Dr. Goldstein performs colposcopy or laser surgery in his office.appointment request
Menopause Menopausal women often have many questions, ranging from the signs and symptoms, treatment options and emotional support. Dr. Steven R. Goldstein, a widely renowned menopause expert, works closely with many women to educate them on the changes happening in their bodies, identify possible ...Learn More
Abnormal Uterine Bleeding 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, con...Learn More
The Use of Ultrasounds to Diagnose Thick Uterine Lining, Abnormal Uterine Bleeding and Ovarian Cysts Ultrasound is an important tool to determine if surgery is truly necessary for women who have been diagnosed with a thick uterine lining (post-menopausal), abnormal uterine bleeding (pre and post-m...Learn More
Pap Smear A Pap smear (or Pap test), is a routine exam that checks for changes in the cells of the cervix. Pap smears are the best tool to identify abnormal, pre-cancerous or cancerous cells and provide immediate and effective treatment. We now understand that abnormal cervical cells are related t...Learn More
There are many misconceptions about birth control pills. When Dr. Goldstein was a medical student, pills came in 80 and 50 microgram strengths of estrogen. By the time he was a resident, they were 50 and 35 micrograms. Most of his career, they have been 35, 30, 25 and 20 micrograms. Now they make a ...Learn More