I am an old-fashioned diagnostician; no, actually, I am a dinosaur. I do not have a six-page medical history form that is emailed to you before your first visit and then scanned into the computer. I ask you questions, in my compulsively ordered fashion, about your medical history, face-to-face.
When you call my office, you never hear, “press one for appointments, press two for billing.” I talk to patients in my consultation room after they are dressed and full of questions following an examination, no matter how trivial or complex the reason for the visit.
My education, training, credentials, and publications demonstrate that I am an expert in vaginal ultrasounds for abnormal bleeding, ovarian masses, fibroids, and, essentially, all things gynecological.
I seem to be the referral person for people who have been told they need surgery elsewhere but want more than just “a second opinion.” I developed a catheter to put a tablespoon of sterile saline into the uterus, so women with abnormal uterine bleeding can avoid unnecessary biopsies, dilations and curettage procedures, and hysterectomies.
I listen to patients. I use ultrasound liberally when solving problems. I partner with patients who want to be healthy and stay healthy. I believe in using experience, judgment, and individualization—not medicine by a “clinical pathway,” or what you might call “formulaic.”
I have been an examiner for the American Board of Obstetrics and Gynecology, giving exams to those who are trying to become Board certified. I teach students and residents about obstetrics and gynecology. I lecture all over the world to doctors in practice. I am active in all aspects of gynecology. I welcome the opportunity to use my experience and expertise to help you, no matter how big or small your gynecologic concerns may be.
Conditions and Treatments
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- Professor, Department of Obstetrics and Gynecology
- Assistant Director, Obstetrics and Gynecology Clerkship
- American Board of Obstetrics & Gynecology - Obstetrics & Gynecology, 1983
Education and Training
- Residency, NYU Medical Center, Obstetrics & Gynecology, 1980
- MD from New York University, 1975
Locations and Appointments
- UnitedHealthcare Top Tier
Research My Research
abnormal uterine bleeding,ultrasound,adnexal masses,SERMs, menopause,sonohysterography
I believe my clinical research has made major contributions to and changed much of the way Gynecology is practiced. I was the first to suggest that a thin distinct endometrial echo on transvaginal ultrasound in post menopausal bleeding did NOT require a biopsy (1991) and this was finally adopted by the American College of Obstetricians and Gynecologists as standard of care in 2009. I was the first to suggest that simple cysts of post menopausal ovaries were benign and did not require surgical intervention (1989) and this became standard of care in 2009. I first described endometrial fluid collections on vaginal sonograms as being a naturally occurring sonohysterogram, and when tissue surrounding the fluid is thin, it excludes endometrial disease. (1994) I was the first to describe the glandular cystic atrophy causing an unusual ultrasound appearance in women receiving tamoxifen (1994) and have been involved in the study of practically every SERM since and have published on their effects including raloxifene, lasofoxifene, levormeloxifene, arzoxifene, and ospemifene,I was the first to warn against unnecessary biopsy in NON BLEEDING post menopausal patients with incidental finding of "thick" endometrial lining on vaginal sonogram (2004) which was then affirmed in the American College of Obstetricians and Gynecologists Gynecologic Practice Bulletin in 2009.I have advocated AGAINST blind endometrial biopsies since 1995 (as well as championing saline infusion sonohysterogram) something finally endorsed by American College of Obstetricians and Gynecologists in their Practice Bulletin in July 2012.
530 First Avenue
New York, NY 10016
Research Interests Timeline
Journal of ultrasound in medicine. 2017 Mar 7; 36(5):849-863
Obstetrics & gynecology. 2010 Jul; 116(1):168-176
American journal of obstetrics & gynecology. 2016 Apr; 214(4):422-423