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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...
Dr Steven R. Goldstein, a Perimenopause Specialist NYC comments on the increasing use of HRT for Perimenopause. Is HRT good for Perimenopause? Simply giving traditional hormone replacement therapy such as estrogen patches and progesterone pills, or progesterone IUDs (as many nurse practitioners, physician assistants, women’s health internists who are new to this field are doing) may relieve hot flashes and night sweats, but can often exacerbate abnormalities in bleeding and does nothing for ot...
Dr Steven R. Goldstein MD is an Obgyn in Manhattan who has helped thousands of patients deal with abnormal uterine bleeding, menopause, perimenopause and other gynecological issues. Dr Goldstein has this to say on the misconceptions of birth control pills. I find it disturbing that there still are so many misconceptions about the non-contraceptive benefits of hormonal contraception (birth control pills, rings, patches). I have talked to many patients, at many ages, about the fact that suppressi...
Dr Steven R. Goldstein, a NYC Gyn writes the following about IUDs I have spoken to many of my patients about my opinions about IUDs. Intrauterine devices, which is what IUD stands for, have been around for several thousand years. The first IUDs were actually stones put into the uteri of camels when nomads were crossing the desert in order to keep a camel from getting pregnant. These devices are not inducing an abortion. Apparently, in a survey of almost a thousand physicians in the United State...