Frequently Asked Questions

Does Dr. Goldstein take insurance?

Dr. Goldstein does take some insurance plans, but is considered out-of-network. Out-of-network providers have not negotiated set rates with health insurance companies. Dr. Goldstein prefers to work directly with patients, which enables him to provide in-depth customized care, compared to pushing as many people through the door as is required when physicians work directly with insurance. Keep in mind some health insurance plans may reimburse you after you’ve received and paid for health care. Check with your insurance company. Dr. Goldstein’s staff is happy to assist you and provide additional information.

Does Dr. Goldstein provide maternity care?

Dr. Goldstein will happily assist you in the first 10 weeks of pregnancy, helping ensure that your pregnancy is progressing normally. He provides blood work, ultrasounds and regular monitoring. After the embryotic phase, Dr. Goldstein can recommend a physician for continued obstetrical care.

What kind of experience with menopause and perimenopause does Dr. Goldstein have?

Dr. Goldstein has extensive experience working with menopausal and perimenopausal women and is considered a menopause expert across the nation. He has written two books and countless articles and chapters dealing specifically with the signs, symptoms, management and treatment of menopause and perimenopause related conditions. Dr. Goldstein has conducted numerous studies on health concerns related to menopause and perimenopause, including abnormal uterine bleeding, bone loss and osteoporosis in post-menopausal women. He is a Certified Menopause Clinician and past president of The North American Menopause Society (NAMS). Dr. Goldstein also serves on the editorial board for Menopause, The Journal of the North American Menopause Society.

How does Dr. Goldstein handle abnormal pap smear results?

Women who receive word that their annual pap smear results have come back with an abnormality should not jump to the worst possible conclusion. An abnormal result signifies a change in cervical cells, which can be caused by infection, inflammation, changes to your menstrual cycle, or in some cases pre-cancerous or cancerous cells. Dr. Goldstein will work with you to determine if further testing is needed.

If additional testing determines treatment of the abnormal cells is needed, Dr. Goldstein will recommend options. Dr. Goldstein will review non-invasive treatment options, and others, as best suited to your needs. He is dedicated to working with women to identify and treat abnormal cervical cells before aggressive treatment is needed.

Does Dr. Goldstein provide cancer screenings?

Yes. Dr. Goldstein will work with patients to screen for ovarian, breast and cervical cancers.

What is considered abnormal uterine bleeding and how does Dr. Goldstein treat this?

Dr. Goldstein works closely with patients to determine likely causes of abnormal bleeding, discussing medical histories and using non-invasive procedures, such as ultrasounds or sonohysterography. He often provides consults with women seeking second opinions and non-invasive treatment options. Abnormal uterine bleeding can be illustrated in the following ways:

  • Bleeding or spotting between periods
  • Periods that occur less than 28 days or more than 35 days apart
  • Heavy bleeding
  • Bleeding that lasts longer than normal or for more than 7 days
  • Bleeding that occurs after menopause
What can sonohysterography do?

Dr. Goldstein is an advocate for the use of sonohysterography, which is a specialized ultrasound that instills fluid into the uterus to provide a clear image of possible issues or growths.  The use of endovaginal ultrasound and fluid enhanced ultrasound can eliminate the need for any invasive intervention in women with no anatomic abnormality whose bleeding is due to hormonal imbalance. The procedure takes only moments to perform and is done as part of a regularly scheduled office visit. Approximately 1 to 2 teaspoons of sterile saline solution is put into the uterine cavity through a tiny catheter that literally looks like a piece of spaghetti before being cooked. The procedure is virtually painless and the information obtained is remarkable. With this technique, the only patients who go to the operating room for D&C (dilation & curettage) are those in whom this procedure has documented the presence of an abnormal anatomic finding that needs to be further evaluated.

In a recent study of over 400 women with abnormal bleeding, 79% had no anatomic abnormality and needed no further diagnostic procedure other than ultrasound or SIS.

Why should I see Dr. Goldstein as an out-of-network provider?

Patients need to know Dr. Goldstein is a solo practitioner. He sees patients one at a time, takes histories with paper and pen and talks to every patient after every visit to ensure they are fully taken care of. He does not have nurse clinicians and does every test and ultrasound himself. When you come to see Dr. Goldstein, there will not be a 10 page intake history form to fill out. There is no phone answering system asking you to “press 1 for appointments, press 2 for insurance…” If you have a problem or issue, Dr. Goldstein will sit and talk with you for as long as possible until you understand the nuances of your particular diagnosis and treatment plan.