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2023 William J. Fry Memorial Lecture Award American Institute of Ultrasound in Medicine William J. Fry Memorial Lecture Award The William J. Fry Memorial Lecture Award was established by Joseph H. Holmes, MD, in 1969, and presented for the first time at the AIUM annual meeting in Winnipeg that year. William J. Fry, MS, was a physicist with a strong interest in ultrasound in biology and medicine, whose innovative research efforts advanced the field of diagnostic ultrasound. One of P...
Part 3 of our discussion on Fibroids. Fibroids can be a source of failed pregnancy (miscarriage). When such pregnancy failure occurs, thorough evaluation with transvaginal ultrasound and sometimes saline infusion sonohysterography is essential to be sure that the uterus is, in fact, normal and may not be the culprit for the failed pregnancy (most of the time failed pregnancies are due to abnormal chromosomes, and nature is smarter in not allowing such pregnancies to continue). More on failed pr...
Below is Part II of our series of articles on Uterine Fibroids. Another extremely important issue is that true fibroids have NO malignant potential. Years and years ago they thought that a very small number (less than 1%) could undergo malignant transformation. This does not occur. There are rare malignant tumors of uterine muscle known as sarcomas. These are almost always solitary rather than multiple and, when examined with color flow Doppler ultrasound technology looking at blood flow, will...
An article from Dr. Steven R. Goldstein M.D, a top Gynecologist in NYC. What are uterine fibroids? Fibroids are the most common benign pelvic tumors. They are hormonally responsive to estrogen and, thus, they are not seen prior to women getting their first period and they will shrink in size after menopause when no more estrogen is produced. By age fifty, approximately 70% of Caucasian women and 80% of Black women will have some uterine fibroids. Most will be asymptomatic and incidental, althou...
Recently, I have had a run of several young women who have presented (accompanied by their mothers) having received a diagnosis elsewhere of polycystic ovarian syndrome (PCOS). They have looked this up online and they are relatively distraught having learned about issues of infertility, insulin resistance, and a predilection later in life for diabetes. None of these recent cases truly had the entity itself. What they had was not unusual for late adolescence (women in their teens and even early t...
Bone Health is more than just Osteoporosis In my office almost all women are cognizant of breast health, have a great fear of breast cancer, and for the most part are attuned to the importance of competent periodic breast imaging… the key to earliest detection. The goal is not to have a better bone density score on a Dexa test at age 82, the goal is to not break a hip at age 82 Bone health IS more than just osteoporosis. My hope is to get these same patients to be just as concerned about ...
To my patients, I am writing this email blast from Lisbon, Portugal where the 18th World Congress of the International Menopause Society has just concluded. As many of you know, I have been the president of this society for the last two years and this meeting was the culmination of that term. There were over 1,700 healthcare providers from 76 countries, 183 invited speakers with dozens of scientific sessions, debates, “meet the expert” sessions, and over 200 oral or poster communications. I...
As part of annual exams, Dr Goldstein, the best obgyn in Manhattan, recommends that women have a mammogram as part of their exam and to monitor their breast health. However, Mammography is only as good as the equipment employed and the people performing and interpreting the study. The mammography facilities that Dr Goldstein recommends do not simply have a technician do a study and then later have a physician come by and read images, and then having to decide if it is necessary to call the pa...
Dr Steven R. Goldstein, an abnormal uterine bleeding specialist in NYC comments on a NY Times article on uterine cancer. In last weekend’s NY Times, there was a front-page article entitled, “Uterine cancer rapidly rising, especially among Black women.” Although the rates in Black women have risen the most, the rates of uterine cancer in all women have gone up steadily to the point where it is soon expected to replace colon cancer as the third most common cancer in women and is rapidly a...
Last week, Jane Brody, in her column, wrote about screening for breast cancer and early detection with mammograms as well as the confusion about who should get mammograms and at what frequency. This week, as the second of a two-part series, her article is entitled, “How to Reduce Breast Cancer Threat.” Much of what she writes about is absolutely true and not necessarily new. The relationship of alcohol to breast cancer is well known, although, moderate consumption of wine seems to res...