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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...
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 ...
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 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...
Dr Steven R. Goldstein is a Menopause Specialist in NYC. He is a Certified Menopause Practitioner, a past President of the International Menopause Society, and the author of several books on Menopause. Thirteen years ago, when I was president of NAMS (what was the North American Menopause Society, recently renamed The Menopause Society), if I were at a cocktail party speaking to a few women who found out I was a gynecologist, and I mentioned that I was president of the Menopause Society… It ...
PUBLIC LACK OF AWARENESS CONCERNING BLEEDING AFTER MENOPAUSE From Dr. Steven R. Goldstein, Menopause Specialist in NYC A recent study published in the journal Menopause, entitled “Public Awareness and Provider Counseling Regarding Postmenopausal Bleeding as a Symptom of Endometrial Cancer” came to my attention. It of course refers to bleeding after menopause. I was shocked by the findings, and although they represented a wider cross-section of women than typically find their way to...
Misconceptions About Low Dose Birth Control Pills From Dr Steven R. Goldstein, NYC Gyn There are many misconceptions about Low Dose 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 10 microgram. However, the lowest doses are not always the best choice for women under thirty. Often ...