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 …

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 …

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 …

How Should We Screen for Ovarian Cancer?

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

I am frequently asked about screening tests for ovarian cancer. This is a dreaded disease which strikes without warning, and can frequently be deadly. Wouldn’t it be great if we could detect it early and prevent its terrible consequences? You may receive the same emails that I do, presumably from Gene Wilder, encouraging women to have a CA-125 blood test; Gene’s wife, Gilda Radner, died from ovarian cancer. Unfortunately, it’s not a very good test. And what’s worse, it’s about the best test we have. We have studied a variety of blood tests, sonograms, and even screening by symptoms, as …