Recently, I have had a run of several young women who have presented (accompanied by their mothers) having received a diagnosis elsewhere of polycystic ovarian syndrome (PCOS). They have looked this up online and they are relatively distraught having learned about issues of infertility, insulin resistance, and a predilection later in life for diabetes. None of these recent cases truly had the entity itself. What they had was not unusual for late adolescence (women in their teens and even early t...
Bone Health is more than just Osteoporosis In my office almost all women are cognizant of breast health, have a great fear of breast cancer, and for the most part are attuned to the importance of competent periodic breast imaging… the key to earliest detection. The goal is not to have a better bone density score on a Dexa test at age 82, the goal is to not break a hip at age 82 Bone health IS more than just osteoporosis. My hope is to get these same patients to be just as concerned about ...
To my patients, I am writing this email blast from Lisbon, Portugal where the 18th World Congress of the International Menopause Society has just concluded. As many of you know, I have been the president of this society for the last two years and this meeting was the culmination of that term. There were over 1,700 healthcare providers from 76 countries, 183 invited speakers with dozens of scientific sessions, debates, “meet the expert” sessions, and over 200 oral or poster communications. I...
As part of annual exams, Dr Goldstein, the best obgyn in Manhattan, recommends that women have a mammogram as part of their exam and to monitor their breast health. However, Mammography is only as good as the equipment employed and the people performing and interpreting the study. The mammography facilities that Dr Goldstein recommends do not simply have a technician do a study and then later have a physician come by and read images, and then having to decide if it is necessary to call the pa...
In last weekend’s NY Times, there was a front-page article entitled, “Uterine cancer rapidly rising, especially among Black women.” Although the rates in Black women have risen the most, the rates of uterine cancer in all women have gone up steadily to the point where it is soon expected to replace colon cancer as the third most common cancer in women and is rapidly approaching the death rate seen with ovarian cancer, which many of you have come to realize is the most feared malignancy i...
Dear Patients, Usually I send these email blasts in response to some medical news article that needs “fine tuning.” But at this time of year I, like many of you, reflect on the year past and the year ahead. I need not tell any of you how overwhelmingly surreal the circumstances of the past 10 months have been. The hardships of this pandemic medically, emotionally, and economically are truly a once in a century occurrence. No one has been left untouched, although obviously some much mo...
Last week, Jane Brody, in her column, wrote about screening for breast cancer and early detection with mammograms as well as the confusion about who should get mammograms and at what frequency. This week, as the second of a two-part series, her article is entitled, “How to Reduce Breast Cancer Threat.” Much of what she writes about is absolutely true and not necessarily new. The relationship of alcohol to breast cancer is well known, although, moderate consumption of wine seems to res...
There was an article in yesterday’s New York Times by Jane Brody entitled, “Older Women, Mammograms and Confusion.” I’ve always enjoyed reading Jane Brody as I usually find her to be extremely on point and accurate. However, I found this article to be exactly as the title implies – confusing. I agree with her that one cannot go by the recommendation of various Societies because they are conflicting. The United States Preventative Services Task Force, which, I believe, in many other d...
To my patients, In last week’s Science Times, the weekly column on personal health by Jane Brody was entitled, “A New Focus Turns to Preventing Breast Cancer.” I have tremendous respect for Jane Brody and almost always agree with what she writes and the thoroughness with which she presents information. There are, however, some points in that article that I feel I must comment on. She does mention, and rightly so, that if breast cancer is confined to the breast with no spread ...
To my patients, In a recent Sunday New York Times there was an article entitled, “Why do we dread menopause” by a professor named Susan Mattern from the University of Georgia. In it she highlights that if you Google search “menopause and…” you come up with a whole assortment of very negative symptoms like weight gain, depression, hair loss, etc. She goes on to state that such a bleak view of menopause is unique to only modern cultures. She goes into great length about the ...
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