Dr Steven R. Goldstein, Do You Need a D&C Procedure to diagnose abnormal bleeding?
Doctor Steven R. Goldstein is one of the nation’s top Obstetricians and Gynecologists and an Abnormal Uterine Bleeding Specialist in New York. A frequent complaint of women visiting their gynecologist is abnormal bleeding. Many women fear cancer from this abnormal bleeding. Unfortunately, many of these women are told they need a Dilation and Curettage (D&C) to find the cause of their abnormal bleeding. A D&C is an invasive diagnostic procedure which involves dilation of the cervix and then scraping of the endometrial lining of the uterus. This is a painful, costly procedure with associated risks and requires anaesthesia. Some of the risks are infection, perforation of the uterine wall or bowel, and adhesions (scar tissue) may develop inside the uterus. Even worse is the fact that three fourths of these operations turn up nothing and turn out to be totally unnecessary. As an abnormal uterine bleeding specialist in NYC, Dr Goldstein uses painless, noninvasive transvaginal ultrasounds (Vaginal Sonograms) and Sonohysterograpy performed right in his office within a few minutes to determine the cause of any abnormal uterine bleeding. Abnormal uterine bleeding can occur for many reasons - uterine polyps, fibroids, miscarriage, the onset of menopause, hormonal imbalances or even cancer. Using the clear, high-resolution images provided by non-invasive Sonohysterography or Vaginal Sonograms, Dr Goldstein is able to isolate the cause of the abnormal uterine bleeding. For instance, examination of the high-resolution images of the uterine lining may show that the bleeding is due to a hormonal
imbalance. Without progesterone, unopposed estrogen can cause heavy, spotty bleeding. Abnormal bleeding may also occur from cancer or hyperplasia (pre cancer). Even in this case, vaginal probe ultrasounds (transvaginal ultrasounds) and fluid enhanced Sonohysterography can eliminate the need for almost all diagnostic D&C’s and the pain, cost and risks associated with them as a first means of diagnosis. If further procedures are needed, then one can proceed with them knowing that they are necessary based on the findings in the transvaginal ultrasounds. Dr Steven R. Goldstein, a top Gynecologist in NYC, is a Professor of Obstetrics and Gynecology at New York School of Medicine, served as a former Director of Gynecologic Ultrasound at New York University Medical Center and is a past President of the American Institute of Ultrasound in Medicine. He is considered one of the nation’s top doctors in Gynecology, and is an internationally recognized expert in gynaecological ultrasound and imaging.