Dr. Steven R. Goldstein, Saline Infusion Sonohysterograms for Abnormal Uterine Bleeding 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 and a former Director of Gynecologic ultrasound at NYU Langone Medical Center in New York City. Women who experience abnormal uterine bleeding or are suspected to have some abnormalities are sometimes told to have a biopsy or Dilation and Curettage (D&C) procedures. Both are painful procedures. Dr Goldstein instead uses painless Saline Infusion Sonohysterograms as a first means of diagnosis.
Vaginal sonography gives us an image magnification as if we were doing ultrasound through a low powered microscope. For instance, we can see a heartbeat in a 3 mm embryo. So vaginal sonograms today give us an image magnification we’ve never had before. In gynecology, sometimes we cannot see the lining of the uterus very well. This gave rise to a technique called saline infusion sonohysterogram (SIS). A tiny catheter, the size of a swizzle stick, goes into the cervix a couple of inches tops, inject about a tablespoon of sterile saline. Dr Goldstein, a Gynecologist in Manhattan, developed a tiny catheter for these purposes.