GYNECOLOGIC ULTRASOUND AND OVARIAN GROWTHS
Dr Steven R Goldstein MD is a NYC Gyn who uses transvaginal ultrasounds and saline infused sonohysterograms to diagnose the cause of abnormal uterine bleeding, issues with the uterine lining, heavy periods (menorrhagia), heavy bleeding, fibroids, and other issues that women encounter. Be careful if you’ve been told that you have a “mass”. The field of gynecologic ultrasound with the introduction of vaginal probe sonograms in the last 30 years has refined gynecologic diagnosis to the point where the overwhelming majority of masses detected are clearly benign and can be left alone without surgery. Enlargements found during bimanual pelvic exams need to be examined further with a sonogram. If a mass is detected, these growths are usually benign. Unfortunately, many physicians and patients, do not understand that benign ovarian growths do not become malignant. Dr Goldstein, a top NYC Gyn, says that perhaps this misconception is a result of the fact that virtually all other gynecologic cancers (cervix, uterus, and breast) have well defined premalignant stages that we attempt to identify before they become frank malignances. Dr Goldstein also believes that another major reason that the rate of surgery for ovarian cysts and hysterectomy in the United States is twice as high as European countries is because their ability to better understand that gynecologic ultrasound can reliably suggest “benign” is far ahead of most doctors in the United States.