Dr. Steven R. Goldstein, Gynecologist in Manhattan for Pelvic Adhesions Dr Steven R Goldstein is an obgyn in Manhattan, regarded as one of the world’s most highly regarded individuals in the field of gynecologic ultrasound. Pelvic Adhesions are scar tissue that may cause internal organs to stick together. Women with pelvic adhesions may experience significant pelvic pain, or painful intercourse or ovulation. Sometimes infertility is also a problem. These adhesions may not be visible on the regular ultrasounds or sonograms used by so many gynecologists. Most imagers will take a myriad of pictures, mostly still snapshots, to illustrate the anatomy of the patient. But how can you evaluate a patient’s pain only with an anatomic image? You cannot
This is where dynamic ultrasonography, which Dr Goldstein, a Gynecologist in Manhattan, has written about extensively, comes into play. Patients with pelvic adhesions and other gynecologic conditions require dynamic assessment with ultrasonography in order to be able to properly diagnose their pelvic pain. Dr Ilan Timor-Tritsch in his book Transvaginal Sonography, states that “diagnosis of pelvic adhesions becomes possible by the sliding organ sign”. The transducer tip is pointed at the uterus, ovaries, pelvis or any pelvic finding and a gentle push pull movement of several centimeters is started.