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The revised ACOG guidance on the use of transvaginal ultrasound in women with postmenopausal bleeding has much of its rationale in the fact that mortality for endometrial cancer is rising 1 to 2% per year. If we, as healthcare practitioners, want to reduce the mortality from uterine cancer, there are several factors that can and should be strongly implemented. Dr Steven R. Goldstein a menopause specialist in NYC, warns that there should be no bleeding in menopause. He says the first factor that...
Dr Steven R. Goldstein is a top gynecologist in NYC who has helped thousands of women with gynecological issues and women's health in over 35 years of private practice. Dr Goldstein comments on the latest revision of the ACOG with regard to endometrial sampling, and points out the problems with endometrial biopsy. The new revision of the American College of Obstetricians and Gynecologists calls for endometrial sampling, no matter what the transvaginal ultrasound lining shows, in a huge number...
Recently the Wall Street Journal ran an article called, “It’s the deadliest room in the house – especially for seniors.” It focused mainly on the bathroom and all of the ways in which it can be conducive to falling, especially for senior citizens. I was pleasantly surprised to see this prominently displayed in the lay press. Any of you who have been my patient for a period of time know how much I stress the importance of fall prevention as part of comprehensive bone health. I have told...
Dr Steven R. Goldstein is a leading NYC Gyn and transvaginal ultrasound specialist in NYC and shares on the Racial Disparities in Endometrial Cancers. Another area of tremendous importance is the racial disparities and endometrial cancer mortality comparing Black women with Caucasian women. There is no question that inherent racial bias and social determinants of health play an important role in racial disparities. However, some recent publications specifically by Kemi Doll entitled, “Estima...
When a woman experiences abnormal uterine bleeding, one of the most common diagnostic procedures recommended is an endometrial biopsy. While this test has been used for decades and can provide valuable information, many patients are unaware of its limitations, potential discomfort, and the newer technologies that may offer a more complete evaluation of the uterine cavity as a first means of diagnosis. What Is an Endometrial Biopsy? An endometrial biopsy is a procedure in which a physic...
I want to talk to you more about these endometrial or so-called uterine biopsies which are not really biopsies at all. It’s a little complicated but try to stay with me. I’ll make it simple. Medical students are even taught that any bleeding in menopause is uterine cancer until proven otherwise. Most studies would indicate that 5 to 10% of such patients have endometrial cancer. For arguments sake, let’s be generous and say at the highest 12% of these women with postmenopausal bleeding actu...
By now most of you are probably aware that last Monday, the FDA made a rather large announcement removing the black box warning from the labels of menopausal hormone therapy products, both local low-dose vaginal estrogen as well as systemic hormones. This was instituted in 2003 shortly after the Women’s Health Initiative news broke. This is a welcomed action. For the last twenty-three years, there has been stigma and fear, not only among patients who may have been excellent candidates for horm...
For many women, the journey through perimenopause and menopause can feel like navigating uncharted waters. The hormonal shifts bring a host of challenging symptoms, from hot flashes and night sweats to mood swings and vaginal dryness. In the search for relief, you've likely come across the term "bioidentical hormone replacement therapy" (BHRT). It sounds appealing, doesn't it? The word "bioidentical" suggests a natural, safer, and more personalized approach. In fact bioidentical hormone therapy ...
The latest on HRT and Breast Cancer Reduction from Dr Steven R. Goldstein, a Menopause Specialist in NYC. You would have to be living under a rock not to realize that there has been an explosion in interest in the menopausal transition. The membership in the Menopause Society (previously known as NAMS: North American Menopause Society) in two years has gone from 2,000 to 7,600. There is a tremendous amount of information on the internet and social media which, fortunately, has raised awarenes...
Dr Steven R. Goldstein, a Menopause Specialist NYC, is a past President of the International Menopause Society, The Menopause Society, and is a Certified Menopause Practitioner. Dr Goldstein has seen a noticeable rise in interest for the use of testosterone from Menopausal women. As a leading hormone specialist in NYC, he has penned this article to inform women about testosterone therapy for women. Testosterone, normally thought of as a male hormone, is produced by women for their entire live...