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 …

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 …

Do Birth Control Pills Increase the Risk of Breast Cancer?

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

Do birth control pills increase the risk of developing breast cancer? This question has been debated for years, with various studies concluding yes, no, and maybe. Yesterday a new study was published in Cancer Research by Elisabeth Beaber which you will surely hear quoted in the news. Her findings were as follows: recent users of the pill, longer-term users, users of higher dose formulations, users of triphasic style pills (pills that change their dose three times in one cycle), and users of certain brands containing particular types of progesterone had a greater risk of developing breast cancer. The good news …

Routine Mammogram Recommendations

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

Mammograms – a hot topic for discussion. Today let’s begin with timing: when should a woman get her first mammogram? The US Preventive Services Task Force suggested last year that the baseline study should be done at age 50, conflicting with the recommendations of the American Cancer Society and most other groups, which all recommend starting at age 40. One recent study concurs with the 40 year old baseline, pointing out that about half the breast cancer deaths occur in women below the age of 50, and 71% of them had never had a mammogram. Read more here: https://www.doximity.com/doc_news/feeds/4243#entries/756881

What is Functional Medicine?

In Blog, Breast Cancer, Cancer, Endometriosis Care, Functional Medicine by Dr. Gary Goldman

After years of study and practical experience, I am humbled and honored to share that I have passed the Certification Exam for Functional Medicine. Functional Medicine is an exceptional form of medical inquiry, analysis, and care, unique for its deep and individualized perspective. Our therapeutic tools include basic, varied and profound therapies, always seeking to address the root cause and improvement of adverse symptoms and disease. I have expanded my patient base to men (!!) as well as women. I use an integrative approach to care, combining the best elements of standard medicine to the more gentle and natural approach …