Dr. Goldstein is one of the most highly recognized and regarded individuals in the field of Transvaginal Ultrasounds and an internationally recognized expert in gynecological ultrasound and imaging. Dr. Goldstein wrote the second book ever on vaginal sonograms. This technology opened the door to using ultrasound in gynecology rather than just obstetrics, thus he is a pioneer in the field of Gynecologic Ultrasound.
Dr Goldstein is a former Director of Gynecologic Ultrasound at New York University Medical Center. He is a Fellow of the American Institute of Ultrasound in Medicine and is a Past President. Dr. Goldstein has also served on the board of directors of the American Registry of Diagnostic Medical Sonographers. He has contributed several books on ultrasound and invented the Goldstein catheter, the smallest and most comfortable catheter on the market.
Dr Goldstein is the recipient of the Joseph H. Holmes Clinical Pioneer Award from the American Institute of Ultrasound in Medicine. This is in recognition of Dr Goldstein’s distinguished career in ultrasound in medicine, and making outstanding contributions to the growth and development of medical ultrasound.
Dr. Steven R. Goldstein, a Transvaginal Ultrasound Specialist in NYC has helped thousands of women over two decades of patient care diagnose and resolve some of their most difficult gynecologic conditions. Unfortunately, many women have needless surgeries as the first means of diagnosis because some physicians are not aware of the latest standard of care for gynecologic conditions.
If you have been told to have an endometrial biopsy or painful gynecologic surgery as a first means of diagnosis, then opt for painless, non-invasive transvaginal ultrasounds. Dr Goldstein personally performs transvaginal ultrasounds at his office. He does not delegate them to a technician. Dr Goldstein is a former Director of Gynecologic Ultrasound at NYU Langone Medical Center and the first to use ultrasound in gynecology and not just obstetrics.
Transvaginal Ultrasounds are not the typical abdominal ultrasound most gynecologists use where they apply a gel on the abdomen / pelvic area and rub a transducer across it. A transvaginal ultrasound is far superior.
Transvaginal Ultrasounds are used liberally for gynecological exams and in diagnosing and problem solving at Dr Goldstein’s office. Instead of a transducer rubbed on the abdomen, the transducer is placed in the entrance of the vagina and uses higher frequency ultrasound probes. These higher frequency probes are placed into the vagina and can image pelvic structures like the uterus and ovaries with greater magnification than old-fashioned ultrasound transducers placed on the abdomen.
A transvaginal ultrasound / vaginal sonogram not only tells about the anatomy of the uterus, ovaries and fallopian tubes, but also their physiology (that is, their function). The ovary goes through a cyclical change every month and the hormone that it makes (or in some cases fails to make) will be reflected by the changes in the uterine lining. Transvaginal Ultrasounds not only tell about normal anatomy (lack on any tumors, fibroids, ovarian cysts) but also whether the hormonal function is normal.
These Transvaginal Ultrasounds provide clear images of the female pelvic area, including uterus, ovaries, Fallopian tubes, bladder, adnexa, Pouch of Douglas and findings of the pelvis in striking detail. During the procedure, Dr Goldstein can point out areas of interest on the screen to the patient.
If you are experiencing any of the issues below, Transvaginal Ultrasounds performed by Dr Goldstein can help to assess your condition and help Dr Goldstein to diagnose it.
Transvaginal Ultrasounds are ideal tools for painless first diagnosis of a condition or an annual exam. This painless, noninvasive procedure is done in the office and may be an alternative to gynecologic surgery.
Sonohysterograms or water sonograms as they are often referred to, provides a degree of magnification that allows the operator to see clearly and in high resolution the tiniest of detail in the uterus, far greater than what can be seen with the naked eye. For instance, using Sonohysterograms, Dr Goldstein can see a heartbeat within a 3 millimeter embryo. So when it comes to abnormal uterine bleeding, Sonohysterograms are ideal as the first means of diagnosis. They are both painless and non-invasive.
At times it is difficult to see the lining of the uterus very well, so there is a technique called saline infused sonohysterogram. This procedure involves the use of a tiny catheter the size of a swizzle stick, that goes into the cervix a couple of inches or so and instill about a tablespoon of sterile saline while doing the sonogram. This pushes the front and back walls of the uterus apart and enables us to see the uterine lining with microscopic precision.
Why is this important? Because if there is no tissue there then the patient does not need a biopsy or D&C procedure. If something is seen which involves the entire cavity, then a biopsy can be performed. If just one area has abnormal tissue as in the case of a polyp or fibroid, then the patient can be referred for a D&C under some anesthesia so we can be sure to get the area involved.
So if you have abnormal uterine bleeding and someone suggests you get a biopsy, contact us for a saline infused sonohysterogram instead before allowing a painful invasive procedure.
In this video Dr. Goldstein explains why the use of painless, non-invasive Sonohysterograms are so effective in diagnosing gynecologic conditions, including abnormal uterine bleeding.
Steven Goldstein is an international authority – particularly in the management of menopause, the use of ultrasound for diagnosing or excluding gynecological problems and the management of early pregnancy complications. He was one of the first clinicians in the world to recognise the potential for ultrasound as a diagnostic tool in gynecology. His research papers on early pregnancy, the endometrium and others were amongst the first in the field and served as the inspiration for many to take up the technique. He is one of the very few doctors who has shown the ability to stay at the top of the profession in both “hands on” clinical practice, teaching and academic work. Steven is an outstanding clinician and the gynecologist I always recommend to patients should they be visiting or relocating to New York.
Professor Tom Bourne
Chair in Gynecology
Imperial College London
To schedule an appointment with Dr. Steven R. Goldstein click on the link below or simply call the office at 212-717-5554
TRANSVAGINAL ULTRASOUND FOR THE DIAGNOSIS OF ABNORMAL UTERINE BLEEDING.
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