GYNECOLOGIC ULTRASOUNDAND OVARIAN GROWTHS
Dr Steven R Goldstein MD is a NYC Gyn who uses transvaginal ultrasounds and saline infused sonohysterograms to diagnose the cause of abnormal uterine bleeding, issues with the uterine lining, heavy periods (menorrhagia), heavy bleeding, fibroids, and other issues that women encounter.
Be careful if you’ve been told that you have a “mass”. The field of gynecologic ultrasound with the introduction of vaginal probe sonograms in the last 30 years has refined gynecologic diagnosis to the point where the overwhelming majority of masses detected are clearly benign and can be left alone without surgery. Enlargements found during bimanual pelvic exams need to be examined further with a sonogram. If a mass is detected, these growths are usually benign. Unfortunately, many physicians and patients, do not understand that benign ovarian growths do not become malignant.
Dr Goldstein, a top NYC Gyn, says that perhaps this misconception is a result of the fact that virtually all other gynecologic cancers (cervix, uterus, and breast) have well defined premalignant stages that we attempt to identify before they become frank malignances. Dr Goldstein also believes that another major reason that the rate of surgery for ovarian cysts and hysterectomy in the United States is twice as high as European countries is because their ability to better understand that gynecologic ultrasound can reliably suggest “benign” is far ahead of most doctors in the United States.
What should you do if you’ve been told you have an ovarian “mass”? Evaluation with transvaginal ultrasound and color doppler ultrasound to distinguish if it is truly suspicious, and perhaps need surgical removal, or should be left alone. The effective use of transvaginal ultrasound and color doppler ultrasound depend on the skill of the operator. Dr Goldstein personally performs transvaginal ultrasounds and color doppler ultrasounds.
In private practice for over 25 years, Dr Goldstein is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds, and an internationally recognized expert in gynecological ultrasound and imaging.
He is the Recipient of the 2018 Joseph H. Holmes Clinical PioneerAward from the American Institute of Ultrasound in Medicine (AIUM). 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 Goldstein is a former director of Gynecologic Ultrasound at NYU Langone Medical Center from 1995 to 2019.
If you are a woman who has been told you are in need of exploratory surgery because you have a “mass”, and you are in need of a second opinion, then a consultation with Dr Steven R. Goldstein MD, an expert NYC Gyn, may be in order.