Obstetrics: The Video

In Blog, Gynecology, Obstetrical Care by Dr. Gary Goldman

Obstetrics. It’s a true honor participating in the process of bringing a new life into the world. Do we all appreciate the self-sacrifice that every woman makes carrying the pregnancy and raising the baby? I know that Mother’s Day is one way of saying thanks, but here’s another. Enjoy. And bring the Kleenex. http://ipost.christianpost.com/news/mom-took-her-baby-for-her-one-year-check-up-what-she-saw-on-her-way-out-left-her-in-tears-15518/

Are Routine Pelvic Exams Still Appropriate?

In Blog, Gynecology by Dr. Gary Goldman

Are routine pelvic exams still appropriate? A recent article from the American College of Physicians suggested that they aren’t necessary. The ACP said the benefits of exams (e.g. finding pathology) were outweighed by the risks (e.g. discomfort, embarrassment). I agree with the American College of Obstetricians and Gynecologists, who continue to support regular exams as a smart way to find problems early. Read more here: http://www.acog.org/About-ACOG/News-Room/College-Statements-and-Advisories/2014/ACOG-Practice-Advisory-on-Annual-Pelvic-Examination-Recommendations

Acupuncture for Menopausal Hot Flashes

In Blog, Functional Medicine, Gynecology, Holistic Medicine, Integrative Medicine, Menopause by Dr. Gary Goldman

Hot flashes after menopause can be uncomfortable and sometimes embarrassing. Many women are declining effective therapy with estrogens due to appropriate concerns for the potential for adverse health effects from that therapy. A recent publication from the North American Menopause Society has again shown that acupuncture can be an effective therapy for common hot flashes in menopause. 2,500 years of success is a powerful testament! Read more here: http://news.doximity.com/entries/1473841

Can the IUD Increase the Risk of Breast Cancer?

In Blog, Breast Cancer, Gynecology by Dr. Gary Goldman

The progesterone-containing IUD’s (Intra Uterine Device) Mirena and Skyla may increase the risk of breast cancer, according to a recent study. Finnish researchers noted when these IUD’s were used to treat excessively heavy menstrual flow, there was a 19% increase in the rate of breast cancers, especially between the ages of 45-49. However, the research does not say that this type of IUD causes breast cancer. Researchers noted, “one limitation of our study was that women suffering from heavy menstruation may, in fact, represent a selected group of women who may have other risk factors for cancer, such as factors …

Gardasil to Prevent HPV Infections & Cervical Cancer

In Blog, Cancer, Cervical Cancer, Gynecology, Infections, Preventative/Primary Care by Dr. Gary Goldman

Gardasil – the HPV vaccine, remains shrouded in controversy, for reasons I can’t fathom. I am a gynecologist. I’m the doctor who does the pap smears and calls with bad news: there’s an abnormality, caused by having sex, that could lead to cancer. Next comes fear, regrets, gynecologic procedures or surgery, sometimes a cancer diagnosis, and long-term follow-up care… and most of this could be avoided – with the effective and safe vaccine against HPV we already have. Modern medicine has created wonderful opportunities for better health, but the two most important factors in lowering rates of death and disease …

Annual Vaccine Guidelines

In Blog, Infections, Preventative/Primary Care, Women's Health Topics by Dr. Gary Goldman

While we are on the subject of vaccines, here are the 2014 recommendations for vaccines for adults as per the CDC. There are many exceptions to these general rules based on confounding health conditions, so be sure to discuss with your doctor what is best for you. Influenza: yearly. For everyone. It should be coming out at the end of this month, and I recommend getting it as soon as it comes out. For pregnant women, I recommend the thimerosal-free, inactivated version – the only one I carry. I recommend it during pregnancy, regardless of trimester. TDAP (Tetanus, Diphtheria and …

Ebola Overview

In Blog, Infections, Obstetrical Care, Women's Health Topics by Dr. Gary Goldman

Ebola – a truly deadly and terrifying disease. The current outbreak in Africa has already claimed over 1,150 lives, and some believe this number is vastly underestimated. A patient in New York was recently admitted to Mt Sinai hospital for suspected Ebola after a recent trip to Africa – fortunately he did not have it. This outbreak has prompted quite a few inquiries in my office, so here are some facts: Ebola was first identified in 1976, in Africa. It is a virus spread through direct contact with bodily fluids, including blood, saliva, semen and even tears. It is not …

Cologuard as a Screening Test for Colon Cancer

In Blog, Cancer, Gynecology, Women's Health Topics by Dr. Gary Goldman

“You are due for a routine colonoscopy.” Not everyone’s favorite message from his or her doctor. But colorectal cancer is the second leading cause of death from cancer, and colonoscopy to detect pre-cancerous lesions or early colon cancers has been demonstrated to significantly decrease this death rate. While most of my patients understand this advice as sound, the process of undergoing a bowel prep and having a colonoscopy remains a point of contention. Two days ago, the FDA approved a new non-invasive test that also screens for both early colon cancers and pre-cancerous lesions, just by providing a stool sample …

Breast Cancer, Ovarian Cancer, and the PALB2 Gene

In Blog, Breast Cancer, Cancer, Gynecology, Ovarian Cancer by Dr. Gary Goldman

A publication in today’s New England Journal of Medicine describes another important gene responsible for some hereditary breast and ovarian cancers. Dr. Antoniou and colleagues at Cambridge University found that mutations in the PALB2 gene were associated with a 9.5 times higher rate of breast cancer, and a 2.3 times higher rate of ovarian cancer in women. They also found an 8 times higher risk of male breast cancer. A family history of breast cancer was also important in calculating risk. If there was no family history, the lifetime risk of breast cancer was 33%. With a family history, the …

Should You Take a Daily Vitamin?

In Blog, Functional Medicine, Holistic Medicine, Integrative Medicine, Nutrition by Dr. Gary Goldman

Should you take a vitamin? This is a very common question in my office. If you are planning on becoming pregnant, then the answer is a resounding “Yes! You should take folic acid supplements to reduce the risks of fetal open neural tube defects, and possibly autism.” If you have been diagnosed with a vitamin deficiency, such as Scurvy, then you need to replenish your body’s stores – in that case, with Vitamin C, to reverse a potentially serious disease. But what about the average person with a fairly good diet? What does the U.S. Preventive Services Task Force say …