The Use of Ultrasounds to Diagnose Thick Uterine Lining,
Abnormal Uterine Bleeding and Ovarian Cysts

Ultrasound is an important tool to determine if surgery is truly necessary for women who have been diagnosed with a thick uterine lining (post-menopausal), abnormal uterine bleeding (pre and post-menopausal) or an ovarian cyst. Dr. Goldstein works closely with many women seeking a second opinion after their primary gynecologist has recommended surgery, biopsy or a D&C (dilation and curettage). Gynecologic ultrasound and imaging is a critical tool to determine if surgery is truly needed or if a non-invasive approach is more appropriate.

Thick Uterine Lining

Post-menopausal women diagnosed with a thick uterine lining are often automatically recommended for surgery, D&C or biopsy. Dr. Goldstein advocates for personal, customized care for each patient and her unique health needs and concerns. He performs ultrasounds on women with thick uterine lining to determine if surgery is necessary or if continual monitoring with gynecological ultrasound and imaging is appropriate.

Abnormal Uterine Bleeding

Dr. Goldstein also works with women experiencing abnormal uterine bleeding. Treating each patient as an individual with unique health care needs, Dr. Goldstein again utilizes ultrasound to determine the cause of abnormal bleeding, which could range from hormonal imbalance, uterine polyps to cancer. Once he has identified the cause, he recommends a personalized treatment plan.

Ovarian Cyst

Women told they have an ovarian cyst oftentimes have many questions and concerns. The common medical approach is often surgery. Dr. Goldstein’s non-invasive approach of utilizing ultrasound provides a better picture and more detail of the cyst without surgery or other invasive procedures. Ultrasounds provide information on cysts that help determine if it is benign or malignant. Looking at blood flow, appearance and other unique characteristics, Dr. Goldstein is able to identify the most appropriate treatment plan for patients.

About Ultrasounds

Gynecologic ultrasounds provides clear images of the female pelvic area, including uterus, ovaries, Fallopian tubes, bladder, adnexa, Pouch of Douglas and findings of the pelvis outside of pregnancy. Dr. Goldstein performs several different types of ultrasounds, including transvaginal, sonohysterography and blood flow studies. He personally performs all ultrasounds, providing a higher quality of care to patients.

Sonohysterography

Sonohysterography is an easy, painless procedure that provides Dr. Goldstein a clear, high-resolution image of the uterus in order to identify and diagnose health concerns. During a sonohysterography, fluid is injected into the uterus through the cervix and then an endovaginal ultrasound is performed to gain images of the uterus. Instilling fluid provides more detail of the uterus than if the ultrasound is used alone.

Sonohysterography (also called saline-infused sonohysterography, SIS or SGH) is often used for patients suffering from abnormal bleeding, infertility or repeated miscarriage. The procedure can detect fibroids, polyps, abnormal uterine shape or scarring. The images help Dr. Goldstein determine the best treatment plan for each individual patient. The procedure is done in Dr. Goldstein’s office and takes merely a matter of minutes.

Dr. Goldstein’s Expertise

Dr. Goldstein is an internationally recognized expert in gynecological ultrasound and imaging. He has contributed several books on ultrasound and invented the Goldstein catheter, the smallest and most comfortable catheter on the market. Dr. Goldstein currently serves as Director of Gynecologic Ultrasound at New York University Medical Center. He is a Fellow of the American Institute of Ultrasound in Medicine and is currently its President. Dr. Goldstein has also served on the board of directors of the American Registry of Diagnostic Medical Sonographers. He is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds.

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