Does Folic Acid Help Prevent Autism?

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

Can Vitamins Prevent Autism? In a stunning article published this week in the Journal of the American Medical Association Psychiatry, researchers found that maternal prenatal vitamin use reduced the incidence of autism. Over 300 women were studied who had previously given birth to a child with autism. The chance of having a second child with autism is about 33%. When women used prenatal vitamins during the first month of pregnancy, that rate was reduced to 14%. Use of prenatal vitamins were also found to decrease the severity of autism. There was a statistically significant decrease in autism severity scores by …

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Are Artificial Sweeteners Bad For You?

In Blog, Nutrition by Dr. Gary Goldman

Just how bad are artificial sweeteners for your health? Deadly bad. In yesterday’s issue of the journal Stroke, researchers combed through the data from 81,714 women studied for almost 12 years in the Women’s Health Initiative. Higher intake of artificial sweeteners was associated with an increased risk of stroke, coronary heart disease, and all-cause mortality. Women who drank two or more artificially sweetened drinks a day had a 23% higher risk of having any type of stroke, and a 31% increased risk of having a stroke due to clotting in brain blood vessels, compared to women who reported drinking fewer …

Processed Foods Linked To Higher Mortality

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

In an article published today in JAMA Internal Medicine, eating ultra-processed food was significantly associated with a higher mortality rate. A 10% increase in consuming these foods yielded a 14% increase in the all-cause mortality rate, mostly due to chronic illnesses, including cancer and cardiovascular disease. Currently, in the United States, 61% of an adult’s total diet comes from ultra-processed foods!! Eat real food. Live longer and healthier. JAMA Internal Medicine

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 …