Dr. Steven R. Goldstein TRANSVAGINAL ULTRASOUNDS AND PREMATURE OVARIAN FAILURE
Dr Steven R. Goldstein is an obgyn in Manhattan and considered one of the nation’s top doctors in Gynecology. Often enough patients present with Premature Ovarian Failure (POF), sometimes referred to as Premature Ovarian Insufficiency (POI). These women are usually under the age of forty. Their symptoms are amenorrhea (the absence of menstruation), hypoestrogenism (a lower than normal level of estrogen), and elevated gonadotropins (peptide hormones that regulate the ovarian function). Most cases of Premature Ovarian Failure arise spontaneously. It is often also necessary to do a further workup for patients who do suffer premature ovarian insufficiency (early menopause prior to age 40). Often, these patients have antithyroid antibodies and sometimes an autoimmune process. In addition, they may have an abnormal number of DNA “copies” in one of their X chromosomes which may be relevant, especially if they have had children. Using transvaginal ultrasounds is the best way to evaluate suspected premature ovarian failure. The findings of Premature Ovarian Failure are similar to those of menopause. The ovaries are usually small and comma shaped and difficult to locate. The uterus may also be small and will typically have a thin endometrial echo. However, because the onset of Premature Ovarian Failure is earlier than menopause, there is an increased risk of menopause associated conditions such as osteoporosis
and cardiovascular disease among others due to the loss of estrogen from early meopause. Dr Goldstein, an obgyn in Manhattan , is an expert in Transvaginal Ultrasounds and a former Director of Gynecologic Ultrasound at NYU Langone Medical Center. Dr Goldstein is one of the most highly recognized and regarded individuals in the field of vaginal probe ultrasounds. He has championed painless, non-invasive means of diagnosis such as Transvaginal Ultrasounds and Sonohysterograms over painful, invasive, exploratory surgeries as a first means of diagnosis. He is a Professor of Obstetrics and Gynecology, New York University Grossman School of Medicine. If you have been told you have Premature Ovarian Failure (POF), then a consultation with Dr Goldstein, a leading obgyn in Manhattan would be appropriate. Dr Goldstein works by appointment only and does not overbook his practice. Please allot at least one hour for your visit.