Best Obgyn In NYC

Doctor Steven R. Goldstein MD is a leading NYC Gyn, who has seen a lot of younger women come into his office recently and said they have been diagnosed with Polycystic Ovarian Syndrome

(PCOS) by a physician. They are distraught because they have researched the condition and learned about issues with infertility, insulin resistance and a predilection for diabetes later in life.

How is polycystic ovarian syndrome (PCOS) presently diagnosed?

According to The Rotterdam Criteria for the Diagnosis of PCOS, if a woman had two of the following three characteristics, she could be labelled as having PCOS:

1) irregular menses

2) increased androgens (either in their blood or clinical manifestations), and

3) more than twelve follicles in their ovary on ultrasound.

Is this PCOS Diagnosis correct?

In the opinion of Dr Steven R. Goldstein, a top obgyn in Manhattan, too many healthcare providers are still functioning under these misconceptions. The problem is that many young women, as stated above, will be having:

• slight irregularity to their menses as the cycle “matures.”

• And as the resolution of transvaginal ultrasound has increased, as many as 50% of women will have more than twelve follicles in their ovary!

What they had was not unusual for late adolescence (women in their teens and even early twenties) whose menstrual cycle is still slightly irregular because the hypothalamic-pituitary-ovarian axis has not yet matured, and someone performed an ultrasound, and they had multiple small follicles in their ovary, and thus, were told they had polycystic ovarian syndrome.

Typically, the women who were thought to have PCOS would be:

•Obese

• Have male pattern hair growth (especially on the chin)

• And bloodwork showed increased androgens (testosterone and an entity know as DHEA-S).

These recent patients seen by Dr Goldstein were

• not obese

• had no evidence of increased androgens, either clinically or in their blood, and

• were extremely healthy.

Multi Cystic Ovaries

They have what Dr Goldstein now refers to as “multicystic ovaries,” which are common and not abnormal in younger women. It has been Dr Goldstein’s experience that the overwhelming majority of such patients, as they get into their midand later twenties, ultimately have very normal menstrual cycles, normal fertility, and no increased risk of insulin resistance or diabetes.

If you have been told that you have Polycystic Ovarian Syndrome (PCOS) and would like a second opinion, schedule a consultation with Dr Steven R. Goldstein MD, a top Obgyn in Manhattan