Dr. Steven R. Goldstein MD Best Obgyn in Manhattan for Ectopic Pregnancy Detection
Dr. Steven R. Goldstein MD is the best obgyn in Manhattan to see for ectopic pregnancy detection by ultrasound. Dr Goldstein is in private practice for over twenty five years and is a Professor of Obstetrics and Gynecology at New York University School of Medicine. In addition to dealing with ectopic pregnancy in his medical practice, Dr Goldstein lectures extensively on early pregnancy, both its detection by ultrasound and how to diagnose pregnancy failure before miscarriage.
What is an Ectopic Pregnancy? Ectopic pregnancy is when the developing embryo is located outside of the normal uterine cavity. 98% of these are in the fallopian tube. If they develop and rupture, they can cause hemorrhage requiring emergency surgery and transfusion. Ectopic pregnancy (see below) can occasionally result in a relatively normal early development, which may follow normal doubling times of hCG. Usually the hCG level doubles at 48 hours. However, there is a minimum rate of rise of approximately 35-45% in early pregnancy depending on the starting value of testing. Unfortunately, in the United States, ruptured ectopic pregnancy is still the most common cause of death in the first trimester of pregnancy. Sometimes there are risk factors for ectopic pregnancy but most cases are not predictable. Thus, it is extremely
helpful when a pregnancy occurs to verify its location as being in the uterus as early as possible. This is done definitively with vaginal sonograms by locating the tiny gestational sac within the uterus. Usually this is seen by as little as one week after a patient is late for her period. Fortunately, most of Dr. Goldstein’s patients call when they have had a positive home test and they can be seen relatively early so as to ensure that the pregnancy is located within the uterus and, by serial observation, to be sure that the pregnancy is developing normally. If you are pregnant, then consult with Dr Steven R. Goldstein MD, the best obgyn in Manhattan for early pregnancy monitoring by calling his office at 212-717-5554 or visiting his website.